Contract - GCA Services Group - 6/27/2019 CITY OF ROUND ROCK
AGREEMENT FOR PURCHASE OF
HIGH RAFTER CLEANING SERVICES
WITH
GCA SERVICES GROUP
THE STATE OF TEXAS §
CITY OF ROUND ROCK § KNOW ALL BY THESE PRESENTS:
COUNTY OF WILLIAMSON §
COUNTY OF TRAVIS §
This Agreement is for purchase of high rafter cleaning services at certain City of Round
Rock facilities, and for related goods and services, and is referred to herein as the "Agreement."
This Agreement is made and entered into on this the ,,,day of the month of
jtj&JU2019, by and between the CITY OF ROUND ROCK, TEXAS, a home-rule
municipality whose offices are located at 221 East Main Street, Round Rock, Texas 78664,
referred to herein as the "City," and GCA SERVICES GROUP, whose offices are located at
11651 Plano Road, Suite 200, Dallas, Texas 75243, referred to herein as the "Services Provider."
This Agreement supersedes and replaces any previous agreement between the named parties,
whether oral or written, and whether or not established by custom and practice.
RECITALS:
WHEREAS, City desires to purchase services for high rafter cleaning in certain City
facilities and to purchase associated goods and services, and City desires to purchase same from
Services Provider; and
WHEREAS, City is a member of the BuyBoard Cooperative Purchasing Program ("Buy
Board") and Services Provider is an approved BuyBoard vendor; and
WHEREAS, City desires to purchase certain services and related goods as set forth
herein in from Services Provider through BuyBoard Contract#564-18; and
WHEREAS, the parties desire to enter into this Agreement to set forth in writing their
respective rights, duties, and obligations;
NOW, THEREFORE, WITNESSETH:
That for and in consideration of the mutual promises contained herein and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties
mutually agree as follows:
00421253/ss2
1.01 DEFINITIONS
A. Agreement means the binding legal contract between City and Services Provider
whereby City is obligated to buy specified goods and/or services and Services Provider is
obligated to sell specified goods and/or services. The Agreement includes Service Provider's
Proposal (attached as Exhibit "A") and any other exhibits, addenda, and/or amendments thereto.
B. City means the City of Round Rock, Williamson and Travis Counties, Texas.
C. Effective Date means the date upon which the binding signatures of both parties
to this Agreement are affixed.
D. Force Majeure means acts of God, strikes, lockouts, or other industrial
disturbances, acts of the public enemy, orders of any kind from the government of the United
States or the State of Texas or any civil or military authority, insurrections, riots, epidemics,
landslides, lightning, earthquakes, fires, hurricanes, storms, floods, restraint of the government
and the people, civil disturbances, explosions, or other causes not reasonably within the control
of the party claiming such inability.
E. Goods and Services mean the specified services, supplies, materials,
commodities, or equipment.
F. Services Provider means GSA Services Group or any successors or assigns.
2.01 EFFECTIVE DATE; TERM
A. This Agreement shall be effective on the date it has been signed by both parties
hereto, and shall remain in full force and effect unless and until it expires by operation of the
term stated herein, or until terminated or extended as provided herein.
B. The term of this Agreement shall be from the effective date hereof through June
30, 2021.
C. Prices shall be firm for the duration of this Agreement. No separate line item
charges shall be permitted for invoicing purposes, including but not limited to equipment rental,
demurrage, costs associated with obtaining permits, or any other extraneous charges.
D. City reserves the right to review the relationship at any time, and may elect to
terminate this Agreement with or without cause or may elect to continue.
3.01 CONTRACT DOCUMENTS AND EXHIBITS
Service Provider's Proposal is set forth in Exhibit "A," which together with this
Agreement comprise of the total Agreement as if repeated herein in full.
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4.01 SCOPE OF WORK
Services shall satisfactorily provide for high rafter cleaning as described in Exhibit "A."
Services undertakings shall be limited to performing services for the City and/or advising City
concerning those matters on which Services Provider has been specifically engaged. Services
Provider shall perform its services in accordance with the Agreement, in accordance with the
appended exhibits, in accordance with due care, and in accordance with prevailing industry
standards for comparable services.
5.01 COSTS
City shall pay Service Provider in accordance with the prices set forth on Exhibit "A."
The City shall be authorized to pay the Services Provider an amount not to exceed One
Hundred Fifty-Three Thousand Six Hundred Seventy-Two and No/100 Dollars
($153,672.00) for the term of the Agreement.
6.01 INVOICES
All invoices shall include, at a minimum, the following information:
A. Name and address of Services Provider;
B. Purchase Order Number;
C. Description and quantity of items received; and
D. Delivery dates.
7.01 NON-APPROPRIATION AND FISCAL FUNDING
This Agreement is a commitment of City's current revenues only. It is understood and
agreed that City shall have the right to terminate this Agreement at the end of any City fiscal year
if the governing body of City does not appropriate funds sufficient to purchase the services as
determined by City's budget for the fiscal year in question. City may effect such termination by
giving Services Provider a written notice of termination at the end of its then-current fiscal year.
8.01 PROMPT PAYMENT POLICY
In accordance with Chapter 2251, V.T.C.A., Texas Government Code, any payment to be
made by City to Services Provider will be made within thirty (30) days of the date City receives
goods under this Agreement, the date the performance of the services under this Agreement are
completed, or the date City receives a correct invoice for the goods or services, whichever is
later. Services Provider may charge interest on an overdue payment at the "rate in effect" on
September 1 of the fiscal year in which the payment becomes overdue, in accordance with
V.T.C.A., Texas Government Code, Section 2251.025(b). This Prompt Payment Policy does not
apply to payments made by City in the event:
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A. There is a bona fide dispute between City and Services Provider, a contractor,
subcontractor, or supplier about the goods delivered or the service performed
that cause the payment to be late; or
B. There is a bona fide dispute between Services Provider and a subcontractor or
between a subcontractor and its supplier about the goods delivered or the
service performed that causes the payment to be late; or
C. The terms of a federal contract, grant, regulation, or statute prevent City from
making a timely payment with federal funds; or
D. The invoice is not mailed to City in strict accordance with any instruction on
the purchase order relating to the payment.
9.01 GRATUITIES AND BRIBES
City may, by written notice to Services Provider, cancel this Agreement without incurring
liability to Services Provider if it is determined by City that gratuities or bribes in the form of
entertainment, gifts, or otherwise were offered or given by Services Provider or its agents or
representatives to any City officer, employee or elected representative with respect to the
performance of this Agreement. In addition, Services Provider may be subject to penalties stated
in Title 8 of the Texas Penal Code.
10.01 TAXES
City is exempt from Federal Excise and State Sales Tax; therefore, tax shall not be
included in Services Provider's charges.
11.01 ORDERS PLACED WITH ALTERNATE SERVICES PROVIDERS
If Services Provider cannot provide the goods as specified, City reserves the right and
option to obtain the products from another supplier or suppliers.
12.01 INSURANCE
Services Provider shall meet all of City's insurance requirements set forth on the City's
website at:
https://www.roundrocktexas.aov/wp-content/uploads/2014/12/coiT insurance 07 20112 pdf
13.01 CITY'S REPRESENTATIVE
City hereby designates the following representatives authorized to act in its behalf with
regard to this Agreement:
Chad McDowell
General Services Director
212 Commerce Cove
Round Rock, Texas 78664
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(512) 341-3191
cmcdowell a,roundrocktexas.gov
14.01 RIGHT TO ASSURANCE
Whenever either party to this Agreement, in good faith, has reason to question the other
party's intent to perform hereunder, then demand may be made to the other party for written
assurance of the intent to perform. In the event that no written assurance is given within the
reasonable time specified when demand is made, then and in that event the demanding party may
treat such failure as an anticipatory repudiation of this Agreement.
15.01 DEFAULT
If Services Provider abandons or defaults under this Agreement and is a cause of City
purchasing the specified goods elsewhere, Services Provider agrees that it may be charged the
difference in cost, if any, and that it will not be considered in the re-advertisement of the service
and that it may not be considered in future bids for the same type of work unless the scope of
work is significantly changed.
Services Provider shall be declared in default of this Agreement if it does any of the
following:
A. Fails to make any payment in_full when due;
B. Fails to fully, timely and faithfully perform any of its material obligations under
this Agreement;
C. Fails to provide adequate assurance of performance under the "Right to
Assurance" section herein; or
D. Becomes insolvent or seeks relief under the bankruptcy laws of the United States.
16.01 TERMINATION AND SUSPENSION
A. City has the right to terminate this Agreement, in whole or in part, for
convenience and without cause, at any time upon thirty (30) days' written notice to Services
Provider.
B. In the event of any default by Services Provider, City has the right to terminate
this Agreement for cause, upon ten (10) days' written notice to Services Provider.
C. Services Provider has the right to terminate this Agreement only for cause, that
being in the event of a material and substantial breach by City, or by mutual agreement to
terminate evidenced in writing by and between the parties.
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D. In the event City terminates under subsections (A) or (B) of this section, the
following shall apply: Upon City's delivery of the referenced notice to Services Provider,
Services Provider shall discontinue all services in connection with the performance of this
Agreement and shall proceed to cancel promptly all existing orders and contracts insofar as such
orders and contracts are chargeable to this Agreement. Within thirty (30) days after such notice
of termination, Services Provider shall submit a statement showing in detail the goods and/or
services satisfactorily performed under this Agreement to the date of termination. City shall then
pay Services Provider that portion of the charges, if undisputed. The parties agree that Services
Provider is not entitled to compensation for services it would have performed under the
remaining term of the Agreement except as provided herein.
17.01 INDEMNIFICATION
Services Provider shall defend (at the option of City), indemnify, and hold City, its
successors, assigns, officers, employees and elected officials harmless from and against all suits,
actions, legal proceedings, claims, demands, damages, costs, expenses, attorney's fees, and any
and all other costs or fees arising out of, or incident to, concerning or resulting from the fault of
Services Provider, or Services Provider's agents, employees or subcontractors, in the
performance of Services Provider's obligations under this Agreement, no matter how, or to
whom, such loss may occur. Nothing herein shall be deemed to limit the rights of City or
Services Provider (including, but not limited to the right to seek contribution) against any third
party who may be liable for an indemnified claim.
18.01 COMPLIANCE WITH LAWS, CHARTER, ORDINANCES AND PROGRAMS
A. Services Provider, its agents, employees and subcontractors shall use best efforts
to comply with all applicable federal and state laws, the Charter and Ordinances of the City of
Round Rock, as amended, and with all applicable rules and regulations promulgated by local,
state and national boards, bureaus and agencies.
B. Services Provider acknowledges and understands that City has adopted a Storm
Water Management Program (SWMP) and an Illicit Discharge Ordinance, Sections 14-139
through 14-152 of the City's Code of Ordinances, to manage the quality of the discharges from
its Municipal Separate Storm Sewer System (MS4) and to be in compliance with the
requirements of the Texas Commission on Environmental Quality (TCEQ) and the Texas
Pollutant Discharge Elimination System (TPDES). The Services Provider agrees to perform all
operations on City-owned facilities in compliance with the City's Illicit Discharge Ordinance to
minimize the release of pollutants into the MS4. The Services Provider agrees to comply with of
the City's stormwater control measures, good housekeeping practices and any facility specific
stormwater management operating procedures specific to a certain City facility. In addition, the
Services Provider agrees to comply with any applicable TCEQ Total Maximum Daily Load
(TMDL) Requirements and/or I-Plan requirements.
C. In accordance with Chapter 2270, Texas Government Code, a governmental entity
may not enter into a contract with a company for goods and services unless the contract contains
written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott
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Israel during the term of this contract. The signatory executing this Agreement on behalf of
Services Provider verifies Services Provider does not boycott Israel and will not boycott Israel at
any term of this Agreement.
19.01 ASSIGNMENT AND DELEGATION
The parties each hereby bind themselves, their successors, assigns and legal
representatives to each other with respect to the terms of this Agreement. Neither party shall
assign, sublet or transfer any interest in this Agreement without prior written authorization of the
other party.
20.01 NOTICES
All notices and other communications in connection with this Agreement shall be in
writing and shall be considered given as follows:
1. When delivered personally to the recipient's address as stated herein; or
2. Three (3) days after being deposited in the United States mail, with postage
prepaid to the recipient's address as stated in this Agreement.
Notice to Services Provider:
GCA Services Group
Mark S. DeMoussett
11651 Plano Road, Suite 200
Dallas, TX 75243
Notice to City:
City Manager Stephen L. Sheets, City Attorney
221 East Main Street AND TO: 309 East Main Street
Round Rock, TX 78664 Round Rock, TX 78664
Nothing contained herein shall be construed to restrict the transmission of routine
communications between representatives of City and Services Provider.
21.01 APPLICABLE LAW; ENFORCEMENT AND VENUE
This Agreement shall be enforceable in Round Rock, Texas, and if legal action is
necessary by either party with respect to the enforcement of any or all of the terms or conditions
herein, exclusive venue for same shall lie in Williamson County, Texas. This Agreement shall be
governed by and construed in accordance with the laws and court decisions of the State of Texas.
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J
22.01 EXCLUSIVE AGREEMENT
This document, and all appended documents, constitutes the entire Agreement between
Services Provider and City. This Agreement may only be amended or supplemented by mutual
agreement of the parties hereto in writing.
23.01 DISPUTE RESOLUTION
City and Services Provider hereby expressly agree that no claims or disputes between the
parties arising out of or relating to this Agreement or a breach thereof shall be decided by any
arbitration proceeding, including without limitation, any proceeding under the Federal
Arbitration Act (9 USC Section 1-14) or any applicable state arbitration statute.
24.01 SEVERABILITY
The invalidity, illegality, or unenforceability of any provision of this Agreement or the
occurrence of any event rendering any portion or provision of this Agreement void shall in no
way affect the validity or enforceability of any other portion or provision of this Agreement. Any
void provision shall be deemed severed from this Agreement, and the balance of this Agreement
shall be construed and enforced as if this Agreement did not contain the particular portion or
provision held to be void. The parties further agree to amend this Agreement to replace any
stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision. The provisions of this section shall not prevent this entire Agreement from
being void should a provision which is of the essence of this Agreement be determined void.
25.01 MISCELLANEOUS PROVISIONS
Standard of Care. Services Provider represents that it employs trained, experienced and
competent persons to perform all of the services, responsibilities and duties specified herein and
that such services, responsibilities and duties shall be performed in a manner according to
generally accepted industry practices.
Time is of the Essence. Services Provider understands and agrees that time is of the
essence and that any failure of Services Provider to fulfill obligations for each portion of this
Agreement within the agreed timeframes will constitute a material breach of this Agreement.
Services Provider shall be fully responsible for its delays or for failures to use best efforts in
accordance with the terms of this Agreement. Where damage is caused to City due to Services
Provider's failure to perform in these circumstances, City may pursue any remedy available
without waiver of any of City's additional legal rights or remedies.
Force Majeure. Neither City nor Services Provider shall be deemed in violation of this
Agreement if it is prevented from performing any of its obligations hereunder by reasons for
which it is not responsible as defined herein. However, notice of such impediment or delay in
performance must be timely given, and all reasonable efforts undertaken to mitigate its effects.
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Multiple Counterparts. This Agreement may be executed in multiple counterparts, any
one of which shall be considered an original of this document; and all of which, when taken
together, shall constitute one and the same instrument.
IN WITNESS WHEREOF, City and Services Provider have executed this Agreement on
the dates indicated.
City of Round Rock, Texas GCA Services Group
By: 4 M By:
Printed Name: - Q(, Printe gee: r.
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Title: to Title: VP 0 pCVA- j D1,4s
Date Signed: v 69- Date Signed:
Attest:
By. ww"
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Sara L. White, City Clerk-
For
lerkFor City, roved as t Form:
By:
Stephan . Sheets, City Attorney
9
QUOTE
EVICES ROUP
f3 u i l d i uip-- Via l u e QUALITY*MIE-AGURE a.MANAGE-0.GUAR ANTF-EO.
Quote delivered via: e-mail
DATE March 5, 2019
Mark DeMoussett EXPIRATION DATE June 3, 2019
713-539-8676
mdemoussett )gcaservices.com
Prepared for: City of Roundrock
221 E. Main Street
Round Rock, TX 78664
ATTN: Oscar Wise
Cleaning Services Requested:
Buy Board Contract • 564-18 (Facility Maintenance • Operations
Rafter and High Cleaning
RRSC
CMRC
Police Department
All prices below subject to state and local taxas at applicable rate
DESCRIPTIONITEM . per i , PRICE
High Rafter Cleaning for Round Rock Sports Center (RRSC) 2 $33,696.00 $ 67,392.00
High Rafter Cleaning for Clay Madsen Rec Center (CMRC) 3 $16,081.00 $ 48,243.00
1) Gym/Basketball court
2) Two (2) Mezzanines
3) Four(4) Racquetball Courts
4) Lobby
High Rafter Cleaning - CMRC- Pool Room 1 $7,125.00 $ 7,125.00
High Rafter Cleaning - (PD) "Sally Port" and Small Garage 3 $10,304.00 $ 30,912.00
ABM TO PROVIDE ALLLABOR, SUPERVISION AND MATERIALS
SUBTOTAL(without tax) $ 153,672.00
FOR.SAFETY-ABM WILL BLOCK OFF AREA WHERE WORK IS TO BE PERFORMED
PLEASE NOTE: WORK CANNOT BE PERFORMED WITHOUT WRITTEN APPROVAL
To accept this quotation, sign here:
Date: Purchase Order#
If approved, please email to: Mark.Demoussett@abm.com
THIS ESTIMATE IS GOOD FOR 45 DAYS. CUSTOMER RESPONSIBLE TO INSPECT AND APPROVE WORK UPON COMPLETION AND TO SIGN OFF THAT WORK WAS COMPLETED
SATISFACTORILY. IF NOT SATISFACTORY, CORRECTIONS OR ADJUSTMENTS WILL BE MADE IMMEDIATELY BY ABM. WORK NOT INSPECTED UPON COMPLETION WILL BE
CONSIDERED ACCEPTABLE TO CUSTOMER. ANY DELAYS IN STARTING OR COMPLETING JOB CAUSED BY CUSTOMER WILL BE BILLED IN ADDITION TO AMOUNT QUOTED. ANY
VARIATION OF WORK QUOTED,OR ADDITIONAL WORK REQUIRED AT TIME OF SERVICE WILL BE BILLED IN ADDITION TO AMOUNT QUOTED.
THANK YOU FOR YOUR BUSINESS!
Exhibit "A"
High Rafter Cleaning for Round Rock Sports Center (RRSC)
2400 Chisholm Trail
Round Rock, Texas 76861
(GCA Services Group)
Annual cleaning shall consist of: All labor, supervision, equipment and supplies to clean and remove dust/debris
from ceiling area, lighting, dividers, monitors and rafters. This shall also include certified mechanical lift
operators.
Everything above the main arena wood floor and upper level seating sections shall be wiped down and cleaned.
Floors must be cleaned each day after high ceiling/rafter cleaning.
To include:
1) 12 overhead volleyball net systems and motors/cables
2) 18 overhead basketball hoop systems and motors/cables
3) Roll-Up divider curtains and motors
4) 12 -60" Television screens and support brackets
5) ALL roof structure support beams (horizontal,vertical, and cross)
6) All Light fixtures, to include globe lights &vertical pedestal lights
7) HVAC ductwork
8) Audio speakers and support brackets
9) Facility banners and support brackets
TIME RESTRICTIONS:
Exact work hours and days must be scheduled with the RRSC Operations Manager.
Aerial floor primary hours:
Monday-Friday
Beginning at 10PM - Completed by 2PM the following afternoon
Court surface primary hours:
Monday-Friday
Beginning at 2PM —Completed by 4PM the same day
The Court surface shall be dust mopped and/or wet mopped
*PLEASE NOTE:
Estimated size of'arena bowl' is 62,400 square feet. Estimated height of bowl is 32 feet from floor to bottom
of first rafter.
i. Aerial scissor lift will be provided by the RRSC, if necessary. All aerial work performed shall meet OSHA
standards for safety requirements, worker protection/safety, etc. GCA has stated that they have certified
mechanical lift operators and shall use proper measures to protect the floor at all times.
ii. To complete the work more quickly, GCA may choose to utilize their lift along with RRSC's lift.Therefore,
the exact model information of GCAs lift must be given to Brian Stillman in advance. For any lift other
than RRSCs in-house Genie 3232, Brian will determine the appropriate floor covering(s) required and
approve or disapprove the lift before use.
iii. GCA's lift shall be in compliance with RRSC's Weight Bearing rules as outlined below.
A. Weight Bearing for the court surface:
• If GCA's lift weighs less than 4,000 pounds, it may operate on RRSC gym floor with only a
protective covering of Masonite between the lift wheels and RRSC's floor surface.
• If GCA's lift weighs more than 4,000 pounds, it may only operate on RRSC gym floor using
the RRSCs covering of 3/a plywood on top of the Masonite
Exhibit "A"
High Rafter Cleaning for Clay Madsen Rec Center(CMRQ
1600 Gattis School Road
Round Rock, TX 78665
Annual cleaning shall consist of: All labor, supervision, equipment and supplies to clean and remove dust/debris
from ceiling area, walls, lighting and lighting apparatus, and rafters. Ceiling/High cleaning work shall include
certified mechanical lift operators. Floors must be cleaned after high ceiling/rafter cleaning. Work hours are
limited, will consist of overnight cleaning, and shall be coordinate with CMRC staff.
1) Gym/Basketball court:
a. (15,750 sq. ft.) —To be cleaned once a year:
b. Cleaning includes: Rafters, hard metal duct work, 12 basketball hoop systems, 32 light fixtures,
and metal wall panels
c. Special care must be taken to protect the gym floor and the track padding around the court
floor.
2) 2 (two) Mezzanines:
a. To be cleaned once a year
b. Access to the mezzanines is limited, and crew will access the mezzanines via permanent ladder
in an enclosed space.
3) 4 (four) Racquetball Courts:
a. To be cleaned once a year
b. Cleaning includes: hand wiping with damp microfiber cloth on hard surface board and dried to
prevent smudging or any cleaning residue
c. Care must be taken to protect the coUrt flooring from mechanical lift equipment if utilized.
4) Lobby:
a. To be cleaned once a year
b. Cleaning includes: cathedral ceiling, vertical drop wall and ledge, metal vents, and Light
apparatus (light apparatus has a very hot track)
c. Limited access to ceiling area over light apparatus.
5) Pool room:
a. (7,500 sq. ft.)—To be cleaned once every 2 years, after the pool has been emptied.
b. Cleaning includes: Ceiling/rafters, hard and soft HVAC duct work, metal wall panels, and light
fixtures.
c. GCA must work closely with CMRC to determine dates and times for pool room ceiling cleaning.
Pool shall be cleaned after high ceiling/rafter cleaning in pool room.
d. Special care must be taken to protect the pool room floor and the pool itself from equipment
damage if utilizing mechanical lift equipment.
Exhibit "A"
High Rafter Cleaning for Police Department's (PD) "Sally Port" & Small Garage
2701 North Mays
Round Rock, TX 78664
Cleaning shall occur- approximately twice a year and shall include: All labor, supervision, equipment and supplies
to clean and remove dust/debris from ceiling area, lighting, walls, and rafters. HVAC ductwork shall be hand-
wiped. This shall also include certified mechanical lift operators. Floors shall be cleaned after high ceiling/rafter
cleaning.
1) Sally Port—325 ft x 57 ft = 18,525 sq ft
2) Small garage—appx. 500 sq ft
Vendor's employees must be conscious of police vehicles arriving and departing at any time and must be able to
shift equipment and people quickly so as not to disrupt or interrupt the flow of traffic. Facility maintenance
manager will coordinate with the Police Department if vehicles need to be moved, or if sections of the parking
area need to be closed off for cleaning. There will be no access to the rafters in the caged in areas due to
security. The Vendor will need to clean the caged areas with extensions to the best of their ability.
Exhibit "A"
CERTIFICATE OF INTERESTED PARTIES FORM 1295
toll
Conivieto Nos,I-4 and(;if uwie ate inteiestmi parties, OFFICE USE ONLY
Complete Nos,1.2.3.S.and 6 if there are no Interested parties. CERTIFICATION OF FILING
I Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2019-493826
GCA Services Group,Inc, I
Stjqar Land,TX United States Date Filed!
2 Name of governmental entity or state agency that is a party tothe contract for which tile form is —05121/2019
being filed.
City(it Rotind Ruck Date Acknowledged-,
3 Provide the identificatlon number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract
000000
High tallef cleaning
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling intermediary
Giacobbe.Scott Atlanta,GA United States x
Scaglione,0.Anthony New York,NY United States x
5 Check only if there is NO Interested Party. 0
0 UNSWORN DECLARATION
My likitne Is AJ it—Ss ' A AI on and my date of birth
My address is rcok
—7*7035
fury) (stath) (Z;l rcilm) (riaLjntry)
I declare under penally of perluty(hat the foregoing IS[Tile and correct.
Executed In County, Statio of on the (Jay of
20J
(year)
Signatui a aut. jzeda t con acting business an
Fctm,;provided by'rexas Ethics Cornrnission wtm ethics.state.tx,us Version V1.1.3918039ci
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2019-493826
GCA Services Group, Inc.
Sugar Land,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 05/21/2019
being filed.
City of Round Rock Date Acknowledged:
05/23/2019
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
000000
High rafter cleaning
4
Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling r Intermediary
Giacobbe, Scott Atlanta, GA United States X
Scaglione, D.Anthony New York, NY United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of on the day of 20
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.39f8039c