The URL can be used to link to this page

CM-2026-022 - 1/9/2026 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)- COMMUNITY HOUSING REPAIR AND REHABILITATION PROGRAM CONTRACTOR AGREEMENT This CDBG Community Housing Repair and Rehabilitation Program Contractor Agreement (Agreement), is made this ► day of ,TO/Vail , 2026, between the CITY OF ROUND ROCK, Texas, 221 East Main Street, Ronfid Rock, Texas ("CITY"), and FARNUM ENTERPRISES, INC., dba B&O Construction, 16238 Highway 620, Suite F-405, Austin, Texas 78717 ("CONTRACTOR"). RECITALS WHEREAS, CITY has been awarded grant funds which may be spent by CITY for the provision of certain services authorized under the U.S. Department of Housing and Urban Development(HUD)Community Development Block Grant(CDBG)Program; and WHEREAS, CITY wishes to assist qualified homeowners in the minor rehabilitation of their residence by providing a grant to pay CONTRACTOR for labor, materials and equipment to be utilized in the rehabilitation; and WHEREAS, CITY issued its "Invitation for Bid" for the provision of such labor, materials and equipment; and WHEREAS, CITY has determined that the CONTRACTOR is the lowest responsible bidder; and WHEREAS, CITY will pay CONTRACTOR for labor, materials and equipment to be utilized in the rehabilitation of SOUTH CREEK SEC 14 AMENDED, BLOCK A, LOT 45, Williamson County, Texas, also known as 2233 Jasmine Path, Round Rock, Texas 78664 (the "Property"), as specified in the CITY'S Invitation for Bid designated IFB No. 26-007 and CONTRACTOR's BID RESPONSE for CDBG Home Repairs — Location #2 (collectively the "Bid Documents"), attached hereto and incorporated herein as Exhibit "A," by reference for all purposes; NOW THEREFORE, for and in consideration of the mutual promises and covenants set forth herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, CITY and CONTRACTOR agree as follows: ARTICLE 1 GENERAL REQUIREMENTS 1.1 CITY will pay CONTRACTOR Nineteen Thousand Sixty-Two and 63/100 ($19,062.63) ("Contract Amount"). Funds will not be used to pay the homeowner or members of its family. 4922-5177-4852/ss2 C�1�2o21Q— 022 1 1.2 Payment will be made by CITY for all work described in the Bid Document after all of such work is found to be satisfactorily completed and inspected by the Construction Advisor, as defined in the City of Round Rock Minor Home Repair Program Policies and Procedures, and the CITY Inspector. CITY will pay CONTRACTOR for work in accordance with CITY'S Prompt Payment Policy, as defined in the City of Round Rock 2023 Community Housing Repair and Rehabilitation Program Policies and Procedures. 1.3 CONTRACTOR will not deviate from the work described in the Bid Documents without a change order from CITY. Any such change order will be included in an amendment to this Agreement. The Contract Amount and any change orders shall not exceed a total amount equal to a twenty-five(25)percent increase in the original Contract Amount. 1.4 The Contract Amount and any approved change orders will not total more than the amount of$4,765.66. 1.5 All work specified in the Bid Documents will be satisfactorily completed within ninety (90)days from the date of the Notice to Proceed. 1.6 There shall be no Bid Document line item deletions. ARTICLE 2 CONTRACTOR'S RESPONSIBILITIES 2.1 CONTRACTOR will ensure that all work performed under this Agreement is permitted and inspected by CITY's Building Inspection Division. CONTRACTOR agrees to be duly licensed under CITY ordinances and State laws and be responsible for obtaining the building permit. 2.2 CONTRACTOR understands that it is solely responsible for meeting the terms and conditions of this Agreement. If CONTRACTOR fails to properly perform or complete any of the work specified in the Bid Documents, CONTRACTOR will not receive funding for any work that is found to be improperly performed or incomplete. 2.3 CONTRACTOR understands that all work described in the Bid Documents must be completed before any funds will be paid out. 2.4 CONTRACTOR understands that the job will be inspected by a CITY Inspector and Construction Advisor before any funds will be paid out. 2.5 CITY will provide a Notice to Proceed to CONTRACTOR to commence work. CONTRACTOR agrees to start work within thirty (30) calendar days after receipt of the Notice to Proceed. If CONTRACTOR fails to commence work within thirty (30) days from the date on the Notice to Proceed, CITY will have the right to terminate this Agreement,by providing a written notice of termination to CONTRACTOR. 2 2.6 CONTRACTOR agrees to complete the work within ninety (90) days from the date of the Notice to Proceed. If completion is delayed for reasons beyond the CONTRACTOR's control, CONTRACTOR will provide timely notice to CITY of the reasons for such delay. If such good cause is claimed by CONTRACTOR, it will be CONTRACTOR'S obligation to substantiate its claim by adequate documentation. 2.7 CONTRACTOR affirms that it has not been debarred from performing federal contract work. ARTICLE 3 OTHER PROGRAM REQUIREMENTS 3.1 PERMITS AND CODES. CONTRACTOR agrees to secure and pay for all necessary permits and licenses required for CONTRACTOR'S performance and to adhere to applicable local codes and requirements whether or not covered by the Bid Documents, including any CONTRACTOR registration requirements. 3.2 DISCRIMINATION. CONTRACTOR will not exclude any person from participation in, deny the benefits of or subject the person to discrimination under any of the CONTRACTOR's activities while receiving federal financial assistance on the grounds of race, color, religion, sex,national origin, age or disability. 3.3 WARRANTY. CONTRACTOR agrees to provide a full one-year warranty to the homeowner, said warranty will extend to subsequent owners of the property to be improved. The warranty will provide that improvements, hardware, and fixtures of whatever kind or nature installed or constructed on said property by the CONTRACTOR are of good quality and free from defects in workmanship or materials or deficiencies subject to the warranty provided in this paragraph. CONTRACTOR and CITY agree, however, that the warranty set forth in this paragraph will apply only to such deficiencies and defects as to which homeowner or subsequent owners will have given written notice by certified mail to the CONTRACTOR, at its principal place of business, within one (1) year from the date of the final inspection and acceptance by the CITY Inspector that all work under the Agreement has been completed. 3.4 BID. CONTRACTOR acknowledges that it has prepared the Bid Documents, attached hereto and incorporated herein as Exhibit "A" and that such Bid Document is accurate and consistent as to the name of CONTRACTOR, scope of work that the CONTRACTOR will under-take, and price. CONTRACTOR acknowledges the performance requirement established in the write up and warrants that all work undertaken will conform to said specifications. 3.5 REMOVAL OF DEBRIS. Upon completion of work CONTRACTOR agrees to remove all construction debris and surplus material from the Property and leave the Property in a neat and clean condition. 3.6 SUBCONTRACTORS. CONTRACTOR agrees that all the warranties contained herein will apply to all work performed under this Agreement, including that performed by any 3 Subcontractors. 3.7 FRAUDULENT ACTS. CONTRACTOR nor any of its officers, partners, owners, agents, representatives, employees, subcontractors or parties in interest has in any way colluded, conspired, connived or agreed, directly or indirectly with any other bidder, firm, or person to submit a collusive or sham bid in connection with CONTRACTOR for which the bid has been submitted or to refrain from bidding in connection with this Agreement, or has in any manner,directly or indirectly, sought by agreement or collusion or communication or conference with any other bidder, firm, or person to fix any overhead, profit, or cost element of the bid price shown in the Bid Documents or the bid price of any other bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement, any advantage against CITY or any person interested in this Agreement; and the price or prices quoted are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of CONTRACTOR or any of its agents,representatives, owners, employees, or parties in interest. 3.8 INTEREST OF MEMBERS, OFFICERS, EMPLOYEES OF PUBLIC BODY, MEMBERS OF LOCAL GOVERNING BODY, OR OTHER PUBLIC OFFICIALS. No member, officer, or employee of CITY, or its designees or agents, no member of the City Council, and no other public official of CITY during his/her tenure or for one (1) year thereafter, will have any interest, direct or indirect, in any contract or subcontract, or the proceeds thereof, for work to be performed in connection with the program assisted under this Agreement. 3.9 PROHIBITION OF BONUS OR COMMISSION. The assistance provided under this Agreement will not be used in payment of any bonus or commission for the purpose of obtaining CITY approval of the application for such assistance. 3.10 STATUTE OF LIMITATIONS. As between the parties to this Agreement, as to all acts or failures to act by either party to this Agreement, any applicable statute of limitations will commence to run and any alleged cause of action will be deemed to have accrued in any and all events when the party commencing said cause of action knew or should have known of the existence of the subject act(s)or failure(s)to act. 3.11 INDEMNIFICATION. CONTRACTOR will defend, 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 CONTRACTOR, or CONTRACTOR's agents, employees, or subcontractors, in the performance of CONTRACTOR's obligations under this Agreement, no matter how, or to whom, such loss may occur. Nothing herein will be deemed to limit the rights of CITY or CONTRACTOR (including, but not limited to the right to seek contribution) against any third party who may be liable for an indemnified claim. 3.12 CHANGE ORDERS. CONTRACTOR expressly agrees that no material changes or alterations in the Bid Documents or price provided above will be made unless in writing, 4 mutually agreed to by the homeowner and CONTRACTOR, and authorized by CITY. 3.13 TERMS. All references in this Agreement to any particular gender are for convenience only and will be construed and interpreted to be of the appropriate gender. For the purposes of this Agreement the term "will" is mandatory. 3.14 SEVERABILITY. Should any provision in this Agreement be found or deemed to be invalid, this Agreement will be construed as not containing such provision, and all other provisions which are otherwise lawful will remain in full force and effect, and to this end the provisions of this Agreement are declared to be severable. 3.15 PUBLIC INFORMATION ACT. The CITY is governed by the Texas Public Information Act, Chapter 552 of the Texas Government Code. This Agreement and all written information generated under this Agreement may be subject to release under this Act. 3.16 PERFORMANCE. In performing this Agreement, CONTRACTOR will comply with all local, state,and federal laws. 3.17 LIEN WAIVERS. CONTRACTOR agrees to protect, defend, and indemnify homeowner and CITY from any claims for unpaid work, labor, or materials with respect to CONTRACTOR'S performance. Final payment will not be paid until the CONTRACTOR has delivered to CITY complete release of all liens for work completed arising out of CONTRACTOR'S performance or a receipt in full, covering all labor and materials for which a lien could be filed or a bond satisfactory to the homeowner and CITY indemnifying him against any lien. 3.18 REPORTING REQUIREMENTS. CONTRACTOR agrees to submit a W9 Form, attached hereto and incorporated herein as Exhibit "B" to fulfill reporting requirements with the Internal Revenue Service. ARTICLE 4 SUSPENSION AND TERMINATION 4.1 If CONTRACTOR fails to fulfill in a timely and proper manner its obligations under this Agreement, or violates any of the terms or conditions of this Agreement, then the CONTRACTOR will have ten (10) days from the date it receives written notice from CITY directing it to cure or correct the defects. If CONTRACTOR fails to cure or correct the defects as required by this agreement, CITY will have the right to terminate this Agreement and to select a substitute CONTRACTOR. If the expense of finishing the work exceeds the amount of this Agreement, CONTRACTOR will pay the difference to CITY. Should CONTRACTOR fail to make corrections as directed by CITY, and such breach of contract results in a violation of federal law or regulation for which CITY receives a demand of reimbursement of grant funds from HUD or its successor, CITY may terminate this Agreement immediately, and may recover from CONTRACTOR the amount sought by HUD for reimbursement, up to the full amount of funds CONTRACTOR received from CITY. 5 4.2 CONTRACTOR will not be relieved of the liability to CITY for damages sustained by the CITY by virtue of any breach of this Agreement by CONTRACTOR. CITY may withhold payment to CONTRACTOR until the amount of monetary damages due CITY from CONTRACTOR is determined. 4.3 If CITY becomes aware of any CONTRACTOR activity which could jeopardize CITY's position with HUD and cause CITY to return CDBG funds or other federal funds received by CITY, CITY may take appropriate action, including injunctive relief against CONTRACTOR, to terminate or prevent the activity. Failure of CITY to exercise this right will not constitute a waiver by CITY of its right to demand payment or to seek any other relief in law or in equity to which it may be entitled. ARTICLE 5 PAYMENTS 5.1 For work completed by CONTRACTOR, as described in the Bid Documents, CITY agrees to pay CONTRACTOR the Contract Amount after all of such work is found to be satisfactorily completed and is inspected by the Construction Advisor and CITY Inspector, in accordance with the CITY'S Prompt Payment Policy. ARTICLE 6 ATTORNEY'S FEES 6.1 Any party to this Agreement who prevails in any legal proceedings between the parties regarding this Agreement will be entitled to recover court costs and reasonable attorney's fees from the non-prevailing party. ARTICLE 7 VENUE AND REMEDIES 7.1 This Agreement is governed by the laws of the State of Texas. Exclusive venue for any dispute arising under this Agreement is in Williamson County, Texas. ARTICLE 8 COMPLIANCE WITH LAWS,CHARTERS AND ORDINANCES 8.1 CONTRACTOR, its agents, employees and subcontractors shall use best efforts to comply with applicable federal and state laws, the Charter and Ordinances of the CITY, as amended, and with all applicable rules and regulations promulgated by local, state and national boards,bureaus and agencies. 8.2 In accordance with Chapter 2271, 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 Israel during the term of this Agreement. The signatory executing this Agreement on behalf of CONTRACTOR verifies CONTRACTOR does not boycott 6 Israel and will not boycott Israel during the term of this Agreement. ARTICLE 9 SUCCESSORS AND ASSIGNS 9.1 CITY and CONTRACTOR, respectively, bind themselves, their successors, assigns and legal representatives to the other party to this Agreement and to the successors, assigns and legal representatives of the other party with respect to all covenants of this Agreement. Except for CONTRACTOR'S assignment of mechanic's lien contracts and mechanic's lien notes to the CITY pursuant to Paragraph 1.7, neither CITY nor CONTRACTOR will assign, sublet, or transfer any interest in this Agreement without the written consent of the other party. ARTICLE 10 ENUMERATION OF CONTRACT DOCUMENTS 10.1 This Agreement represents the entire and integrated agreement between CITY and CONTRACTOR for the work specified in Exhibit "A" and supersedes all prior negotiations, representations or agreements either written or oral. This Agreement may be amended only by written instrument signed by CITY and CONTRACTOR. The Agreement contains the following exhibits attached to and incorporated in this Agreement for all purposes: (1) Bid Document(Exhibit"A") (2) W9 Form(Exhibit"B"). ARTICLE 11 ACKNOWLEDGMENT 11.1 The above warranties are in addition to, and not in limitation of, any and all other rights and remedies to which CITY and the homeowner, or subsequent owners, may be entitled, at law or in equity, and will survive the conveyance of title, delivery of possession of the Property, or other final settlement made by the homeowner and will be binding on the undersigned notwithstanding any provision to the contrary contained in any instrument heretofore, and thereafter executed by the homeowner. [Signatures on the following page.] 7 This Agreement is effective as of the date first written above. CONTRACTOR: CITY: FARNUM EN RPRISES,INC. CITY OF ROUND ROCK db C n ction '94,_ am Broo s Bennett, anage Title 8 EXHIBIT"A" BID DOCUMENTS 9 ROUND ROCK TEXAS PURCHASING DIVISION City of Round Rock, Texas Purchasing Division 221 East Main Street Round Rock, Texas 78664-5299 www.roundrocktexas.gov INVITATION FOR BID (IFB) COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) HOME REPAIRS SOLICITATION NUMBER 26-007 OCTOBER 2025 City of Round Rock Community Development Block Grant(CDBG) Home Repairs IFB 26-007 Commodity Code: 909-62 October 2025 COMMUNITY DEVELOPMENT BLOCK GRANT(CDBG)HOME REPAIRS PART I GENERAL REQUIREMENTS 1. INTRODUCTION: The City of Round Rock, hereinafter"the City," seeks bids from firms experienced in home repair to provide all materials, labor, and services to residential homes in accordance with the Federal Community Development Block Grant(CDBG) Program. The City of Round Rock Home Repair Program is a Community Development Block Grant (CDBG) program, funded by the U.S. Department of Housing and Urban Development(HUD). The primary program objectives are to make health and safety-related repairs to owner-occupied homes, with priority given to very low-income applicants, income-eligible elderly individuals, and individuals with disabilities. 2. SOLICITATION PACKET: This solicitation packet is comprised of the following- Description Index Part I—General Requirements Page(s)2-6 Part II—Definitions, Standard Terms and Conditions, and Insurance Page 7 Requirements Part III—Supplemental Terms and Conditions Page(s)8-9 Part IV—Scope of Work/Specifications Page(s) 10 Attachment A—Reference Sheet Separate Attachment Attachment B—Subcontractor Information Form Separate Attachment Attachment C—Bid Sheet Separate Attachment Attachment D—Prevailing Wage Rates Separate Attachment Attachment E - Location#1 Separate Attachment Attachment F-Location#2 Separate Attachment Attachment G-CDBG Federal Requirements Separate Attachment Attachment H -SAM Registration Separate Attachment Attachment I -Debarment Certification Separate Attachment Attachment J -W-9 Form 2024 Separate Attachment Attachment K-Conflict of Interest Affidavit and Info Separate Attachment Attachment L-Equal Employment Certification Separate Attachment Attachment M -Clean Air and Water Certification Separate Attachment Attachment N -Certification of Non-Lobbying Separate Attachment Attachment 0-Non-Collusion Affidavit Separate Attachment Attachment P-MBE WBE Information and Worksheet Separate Attachment Attachment Q -Section 3 FAQ and Certification Separate Attachment Attachment R- Insurance Instructions Separate Attachment Page 2 of 10 City of Round Rock Community Development Block Grant(CDBG)Home Repairs IFB 26-007 Commodity Code: 909-62 October 2025 3. SCHEDULE OF EVENTS: It is the City's intention to follow the solicitation timeline below. EVENT DATE Solicitation released Wednesday, 1 0/1 5/2025 8:00 AM CST Mandatory Pre-Bid meeting/site visit Monday, 10/27/2025 8:30 AM CST Deadline for submission of questions Thursday, 10/30/2025 5:00 PM CST City responses to questions or addenda Approx Wednesday 11/05/2025 5:00 PM CST Deadline for submission of responses Friday 11/14/2025 2:00 PM CST All questions regarding the solicitation shall be submitted through Bonfire by 5:00 PM, CST on the due date noted above. A copy of all questions submitted and the City's response to the questions shall be posted on the City's webpage in the form of an addendum at: https://roundrocktexas.bonfirehub.com The City reserves the right to modify these dates. Notice of date change will be posted to the City's website: https://roundrocktexas.bonfirehub.com 4. SOLICITATION UPDATES: Bidders shall be responsible for monitoring the City's website at https://roundrocktexas.bonfirehub.com for any updates pertaining to the solicitation described herein.Various updates may include addendums, cancellations, notifications, and any other pertinent information necessary for the submission of a correct and accurate response. The City will not be held responsible for any further communication beyond updating the website. 5. MANDATORY PRE-PROPOSAL MEETING, SITE VISIT,AND/OR INSPECTION:A pre-bid meeting/site visit, and inspection will be conducted to fully acquaint Bidders with the facilities, difficulties, and/or restrictions inherent in the services specified. The pre-proposal meeting/site visit will be conducted on the date specified in PART I, Section 3- Schedule of Events. A. Attendance at the pre-bid meeting/site visit is mandatory. Bidders shall sign-in at the pre-bid meeting to document their attendance. Immediately following the pre-bid meeting, a site visit tour will be conducted to enable Bidders to determine labor, equipment, supplies and materials necessary to perform the services specified herein. Bidders shall sign-in at each site the attend, to document their attendance. The City reserves the right to determine a response"not available for award" if the Bidder fails to attend the mandatory pre-bid meeting and site visit tour which shall initially begin at: City Hall Council Chambers 221 East Main Street Round Rock, Texas 78664 B. Bidders will be responsible for their own transportation for the site visit tour. C. Bidders are strongly encouraged to bring a copy of the solicitation document with them to the pre- proposal meeting/site meeting/site visit. D. It is the responsibility of the Bidder to examine each facility and determine quantity, amounts, precise measurements, material requirements, equipment requirements, labor requirements, and other solicitation-related details during said site visits. Page 3 of 10 City of Round Rock Community Development Block Grant(CDBG) Home Repairs IFB 26-007 Commodity Code: 909-62 October 2025 6. RESPONSE DUE DATE: Appropriately submitted responses are due on the due date noted in PART I, Section 3—Schedule of Events. The Bidder shall respond via the City's electronic bidding platform, Bonfire: https://roundrocktexas.bonfirehub.com A. This Invitation for Bid (IFB) does not commit the City to contract for any supply or service. B. No paper or submittals outside of Bonfire will be accepted by the City. C. Responses cannot be altered or amended after digital opening. D. No response can be withdrawn after opening without written approval from the City for an acceptable reason. E. The City will not be bound by any oral statement or offer made contrary to the written specifications. F. Samples and/or copies shall be provided at the Bidder's expense and shall become the property of the City. 7. BIDDER QUALIFICATIONS: The City has established the following minimum qualifications. Bidders who do not meet the minimum qualifications will not be considered for award. The Bidder shall: A. Be firms, corporations, individuals, or partnerships normally engaged in providing CDBG home repairs as specified herein and have adequate organization, facilities, equipment, financial capability, and personnel to ensure prompt and efficient service to the City. B. In order to confirm financial stability, the City may choose to review audited financial statements at any time throughout the IFB evaluation process. Upon request, the Bidder shall provide two years audited financial statements, including any notes or supplemental schedules within 2 business days of the original request. C. Be domiciled in or have a home office within a 50-mile radius of Round Rock, Texas. D. In order to do business with the City of Round Rock, you must be registered with the City's Vendor Database. To register, go to: https://roundrocktxvendors.munisselfservice.comNendors/default.aspx 8. RESPONSE REQUIREMENTS:The Bidder, by electronically submitting their Offer, acknowledges that he/she is an authorized representative of the Vendor, has received and read the entire document packet sections defined above including all documents incorporated by reference, and agrees to be bound by the terms therein. The Bidder shall include the following information with their bid response: • Attachment A—Reference Sheet • Attachment B—Subcontractor Information Form • Attachment C—Bid Sheet • Attachments G -Q • Acknowledged Addenda(if applicable) • Acknowledgment that the Respondent is located within the 50-mile radius of Round Rock, Texas. 9. BEST VALUE EVALUATION AND CRITERIA: The City reserves the right to reject any or all responses, or to accept any response deemed most advantageous, or to waive any irregularities or informalities in the response received that best serves the interest and at the sole discretion of the City. All solicitations received may be evaluated based on the best value for the City. In determining best value, the City may consider: A. Purchase price. B. Reputation of Bidder and of Bidder's goods and services. C. Quality of the Bidder's goods and services. D. The extent to which the goods and services meet the City's needs. E. Bidder's past performance with the City. F. The total long-term cost to the City to acquire the Bidder's goods or services. G. Any relevant criteria specifically listed in the solicitation. Page 4 of 10 City of Round Rock Community Development Block Grant(CDBG)Home Repairs IFB 26-007 Commodity Code: 909-62 October 2025 Bidders may be contacted for clarification of bid and/or to discuss details of the services they are offering. 10. CERTIFICATE OF INTERESTED PARTIES: Section 2252.908 of the Texas Government Code requires the successful bidder to complete a Form 1295 "Certificate of Interested Parties"that is signed for a contract award requiring council authorization. The"Certificate of Interested Parties"form must be completed on the Texas Ethics Commission website, printed, signed, and submitted to the City by the authorized agent of the Business Entity with acknowledgment that disclosure is made under oath and under penalty of perjury prior to final contract execution. Link to Texas Ethics Commission Webpage: https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm 11. EX PARTE COMMUNICATION: Please note that to ensure the proper and fair evaluation of a bid, the City of Round Rock prohibits ex-parte communication (e.g., unsolicited) initiated by the bidder to the city official, employee, city consultant, or evaluation team member evaluating or considering the bid prior to the time a bid decision has been made. Communication between bidder and the City will be initiated by the appropriate city official or employee in order to obtain information or clarification needed to develop a proper and accurate evaluation of the bid. Ex-parte communication may be grounds for disqualifying the offending bidder from consideration or award of the bid then in evaluation, or any future bid. 12. OPPORTUNITY TO PROTEST: The Purchasing Manager for the City of Round Rock("City"), in consultation with the City Attorney, shall have the authority to settle or resolve any dispute concerning the solicitation or award of a contract. The Purchasing Manager may solicit written responses to the protest from other interested parties. The aggrieved person must prepare his or her complaint in writing and send it by electronic mail to the City's Purchasing Department at protest@a.roundrocktexas.gov. In the event of a timely protest, the City shall not proceed further with the solicitation or award of a contract unless it is determined that the award must take place without delay, to protect the best interest of the City. The procedures for notifying the City of an alleged deficiency or filing a protest are listed below. If you fail to comply with any of these requirements, the Purchasing Office may dismiss your complaint or protest. A. Prior to Bid Due Date: If you are a prospective bidder for the award of a contract ("Bidder")and you become aware of the facts regarding what you believe is a deficiency in the solicitation process before the due date for receipt of bids in response to an IFB, you must notify the City in writing of the alleged deficiency before that date, giving the City an opportunity to resolve the situation prior to the bid due date. B. After Bid Due Date: If you submit a bid to the City and you believe that there has been a deficiency in the bid process or the award, you have the opportunity to protest the bid process or the recommended award as follows: i. You must file a written notice with your intent to protest within four(4)working days of the date that you know or should have known of the facts relating to the protest. If you do not file a written notice of intent within this time, you have waived all rights to protest the bid process or the award. ii. You must file your formal written protest within ten (10)working days of the date that you know or should have known of the facts relating to the protest unless you know of the facts before the bid has been closed. If you know of the facts before those dates, you must notify the City as stated in section (A) above. iii. You must submit your protest in writing and must include the following information: a. Your name, address, phone number, and email address. b. Solicitation number. c. A specific identification of the statutory or regulatory provision that you are alleging has been violated. d. A detailed statement of the factual grounds for your protest, including copies of any relevant documents. e. A statement of any issues of law or fact that you contend must be resolved; and f. A statement of the argument and authority that you offer in support of your protest. iv. Your protest must be concise and presented logically and factually to help with the City's review. Page 5 of 10 City of Round Rock Community Development Block Grant(CDBG)Home Repairs IFB 26-007 Commodity Code: 909-62 October 2025 C. Receipt of Timely Protest: When the City receives a timely and complete written protest, the Purchasing Manager, with assistance from the City Attorney, shall make one of the following determinations: i. Determine that a violation of rules and statutes has occurred prior to the award of the contract and inform you and other interested parties of the determination. The City will prepare updated documents and will re-solicit the bid. ii. Determine that no violation of rules or statutes has occurred and inform you and other interested parties via letter-which will include the determining factors. iii. Determine that a violation of rules and statutes has occurred after the award of the contract and inform you and other interested parties of the determination. However, the awarded contract will not be canceled.As needed, corrective actions may be taken with purchasing or any other pertinent City staff. iv. A determination will usually be made within fifteen (15) business days after receipt of the formal protest. v. Any written decisions by the Purchasing Manager shall be the final administrative action for the City. All documentation pertaining to a protest will be kept on file at the City and are subject to open records requests. Page 6 of 10 City of Round Rock Community Development Block Grant(CDBG) Home Repairs IFB 26-007 Commodity Code: 909-62 October 2025 PART II DEFINITIONS,STANDARD TERMS AND CONDITIONS AND INSURANCE REQUIREMENTS 1. DEFINITIONS, STANDARD TERMS AND CONDITIONS: By submitting a response to this Invitation for Bid (IFB), the Bidder agrees that the City's definitions and standard terms and conditions, in effect at the time of release of the solicitation, shall govern unless specifically provided otherwise in a separate agreement or on the face of a purchase order. These can be obtained from the City's website at: https://www.roundrocktexas.qov/city-departments/purchasinq/. In addition, the Supplemental Terms and Conditions listed in Section III, shall also be enforced as part of the contract. 2. INSURANCE: The Bidder shall meet or exceed all insurance requirements set forth in Standard Insurance Requirements. The City's Standard Insurance Requirements document can be viewed and downloaded from the City's website at: https://www.roundrocktexas.gov/city-departments/purchasing/ Page 7 of 10 City of Round Rock Community Development Block Grant (CDBG) Home Repairs IFB 25-007 Commodity Code: 909-62 November 2024 PART III SUPPLEMENTAL TERMS AND CONDITIONS 1. AGREEMENT TERM: The term of the Agreement shall begin from date of award and shall remain in full force until inspection and acceptance of the completed project. 2. SUBCONTRACTORS If subcontractors will be used, the Bidder is required to complete and submit with their proposal response Attachment B: Subcontractor Information Form. The contractor shall be fully responsible to the City for all acts and omissions of the subcontractors,just as the contractor is responsible for the contractor's own acts and omissions. The Contractor shall: A. Require that all deliverables to be provided by the subcontractor be provided in strict accordance with the provisions, specifications, and terms of the contract. B. Require that all subcontractors obtain and maintain,throughout the term of the agreement, primary insurance in the type and amounts specified for the Contractor, with the City being named as an additional insured; and C. Require that the subcontractor indemnify and hold the City harmless to the same extent as the Contractor is required to indemnify the City. D. The awarded Contractor is required to submit a list of all subcontractors for approval by the City prior to use of any subcontractors throughout the term of the contract. 3. PREVAILING WAGE: Pursuant to Chapter 2258 of the Texas Government Code, a worker employed on a public work project by a city must be paid: (1) not less than the general prevailing wage rate of per diem wages for work of a similar character in the locality in which the work is performed; and (2) not less than the general prevailing rate of per diem wages for legal holiday and overtime work. In accordance with Chapter 2258.022, the City adopted through Resolution No. R-2016-3760, the wage rates set forth by the Texas Workforce Commission for the Austin-Round Rock Area as the general prevailing wage rate for the City's public works contracts.A contractor or subcontractor who is awarded a contract by the City shall pay not less than the rates set forth in Attachment D and comply with all applicable sections of Chapter 2258. Attachment D—Prevailing Rates are posted in this Solicitation Document on the Bonfire Portal https://roundrocktexas.bonfirehub.com 4. SAFETY: The City reserves the right to remove any employee from City property for violation of federal, state, and local health, safety, and environmental laws, ordinances, rules, and regulations. The Bidder shall: A. Ensure that all employees comply with all Occupational Safety and Health Administration (OSHA), State and City safety and occupational health standards, and other applicable federal, state, and local health, safety, and environmental laws, ordinances, rules, and regulations in the performance of these services. B. Be held responsible for the safety of their employees and unsafe acts or conditions that may cause injury or damage to any person or property within and around the work site. In case of conflict, the most stringent safety requirement shall govern. C. Indemnify and hold the City harmless from and against all claims, demands, suits, actions,judgments, fines, penalties, and liability of every kind arising from the breach of the Contractor's obligations under this paragraph. 5. WORKFORCE: Successful Bidder shall: A. Ensure Bidder's employees perform the services in a timely, professional, and efficient manner. B. Ensure Bidder's employees,while working on city property,wear a company uniform that clearly identifies them as the Bidder's employee. C. Employ all personnel for work in accordance with the requirements set forth by the United States Department of Labor. The City reserves the right to verify citizenship or right to work in the United States. 6. PRICING: The Bidder shall determine and submit a fixed cost for the work and shall include all of the following: incidental costs, labor, overhead charges,travel, payroll expenses,freight, equipment acquisition and maintenance, demurrage, fuel surcharges, delivery charges, costs associated with obtaining permits, insurance, bonds, and risk management. No separate line-item charges shall be permitted for either response or invoice purposes. Page 8 of 10 City of Round Rock Community Development Block Grant(CDBG) Home Repairs IFB 25-007 Commodity Code: 909-62 November 2024 7. ACCEPTANCE/INSPECTION: Acceptance/inspection should not take more than five(5)working days. The contractor will be notified within the time frame if the services delivered are not in full compliance with the specifications. In the event that the services are not performed to the City's satisfaction, the contractor shall agree to re-perform the services to specification at no additional cost to the City. If any agreement or purchase order is cancelled due to non-acceptance, the required services may be purchased elsewhere. 8. PERFORMANCE REVIEW: The City reserves the right to review the awarded contractors' performance anytime during the contract term. 9. ORDER QUANTITY: The quantities shown on the solicitation are estimates only. No guarantee of any minimum or maximum purchase is made or implied. The City will only order the services/goods needed to satisfy requirements within budgetary constraints, which may be more or less than indicated. 10. AWARD: The City reserves the right to enter into an agreement or a purchase order with a single award, split award, primary and secondary award, non-award, or use any combination that best serves the interest, and at the sole discretion of the City. Bidders will be notified when the city staff makes a recommendation for award. The award announcement will be posted to the City's website at https://roundrocktexas.bonfirehub.com once the City Council has approved the award recommendation and the agreement has been executed. 11. POST AWARD MEETING: The City and successful Bidder(s) may have a post award meeting to discuss, but not be limited to the following: A. The method to provide a smooth and orderly transition of services performed from the contractor. B. Provide City contact(s) information for implementation of the agreement. C. Identify specific milestones, goals, and strategies to meet objectives. 12. POINT OF CONTACT/DESIGNATED REPRESENTATIVE: A. Contractor's point of contact: To maintain consistent standards of quality work performed, the City shall be provided with a designated point of contact upon award of the contract to include contact details. The City's designated representative shall be notified by the Bidder immediately should the point of contact change. B. The City's designated representative: Elizabeth Alvarado Coordinator-CDBG Community&Neighborhood Services Phone: 512-341-3328 E-mail:ealvarado(a�roundrocktexas.gov C. Do not contact the individual listed above with questions or comments regarding this solicitation during the solicitation process. Page 9 of 10 City of Round Rock Community Development Block Grant(CDBG)Home Repairs IFB 25-007 Commodity Code: 909-62 November 2024 PART IV SCOPE OF WORK 1. INTRODUCTION: The City of Round Rock seeks to contract with qualified contractor("Contractor") to provide all material, labor, and services to repair residential homes in accordance with the Federal Community Development Block Grant(CDBG) Program. 2. PURPOSE: This Invitation for Bid ("IFB") outlines the required services for repairing the exterior and/or interior of residential structures as detailed in the attached bid sheet. The scope of work includes, but is not limited to, the repair or replacement of flooring, countertops, fixtures, sheetrock, HVAC systems, exterior components, roofing, tile, plumbing, and other residential structural elements. All completed repairs must comply with applicable federal, state, and local building codes. 3. CONTRACTOR RESPONSIBILITIES: The Contractor shall- A. Provide all labor, supervision, tools, equipment, materials, and supplies necessary to perform and complete the specified repairs in accordance with applicable local, state, and federal requirements. B. Coordinate with the City to develop a mutually agreeable project schedule for each home repair. Work shall be completed within the timeframe established by the City and consistent with CDBG program guidelines. C. Provide the City with a list of key personnel and responsible representatives, including names, titles, business addresses, phone numbers, and email addresses. Any changes in key personnel shall be communicated to the City immediately. D. Be responsible for the removal, protection, and reinstallation of any existing items necessary to perform the repair(e.g., removal and reinstallation of a toilet to access a bathtub). Contractor shall restore all disturbed areas to their original or better condition. E. Leave any excess interior and exterior paint with the homeowner in sealed containers labeled with the paint color, brand, and location of use. F. Provide information to the homeowner and the City on any discontinued, surplus, or"off-market" products that are new or like-new and comparable to the materials present in each home. Colors that differ from existing finishes or that are neutral tones shall be approved in writing by the homeowner prior to installation. G. Upon completion of the repairs, remove and properly dispose of all waste, surplus materials, containers, and debris. The property shall be left clean, safe, and in an orderly state. H. All repairs shall be completed to a"move-in ready" condition, clean, safe, functional, and compliant with applicable codes and CDBG Housing Quality Standards (HQS). I. Comply with all applicable CDBG and HUD requirements, including but not limited to: Davis-Bacon and Related Acts (if applicable), Section 3, Equal Opportunity Employment, and Lead-Based Paint regulations (24 CFR Part 35). 4. CITY RESPONSIBILITIES:The City will- A. Provide the Contractor with the addresses of the homes to be repaired after contract award. B. Monitor and inspect the repairs for compliance with the approved scope of work, codes, and CDBG requirements. C. Coordinate schedules and access to homes with the Contractor and homeowners. D. Provide final approval of the completed repairs before payment is issued. E. Provide lead-based paint testing reports for any structures built prior to 1978 where lead hazards have been identified. Contractor shall follow all applicable lead-safe work practices and regulations. Page 10 of 10 ATTACHMENT REFERENCE SHEET PLEASE COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION RESPONSE SOLICITATION NUMBER: IFB 26-007 RESPONDENT'S NAME: Farnum Enterprises Inc.dba B&O Construction DATE: 11/13/25 Provide the name, address,telephone number and E-MAIL of at least three (3) valid Municipal, Government agencies or firms of comparable size that have utilized services that are similar in type and capacity within the last two (2)years. City of Round Rock references are not applicable. References may be checked prior to award. If references cannot be confirmed or if any negative responses are received it may result in the disqualification of submittal. 1. Company's Name 1106 Clayton Ventures SC,LLC Name of Contact Betsey Perkins Title of Contact Senior Property Manager E-Mail Address betsey@claytontowers.com Present Address 1106 Clayton Lane,Suite 242W City, State, Zip Code Austin,TX 78723 Telephone Number ( 512 ) 454-3661 Fax Number: ( 2. Company's Name KPG Commercial Name of Contact Taylor Langford Title of Contact Director of Property Management E-Mail Address taylor@kpgcommercial.com Present Address 115 Wild Basin,Suite 210 City, State, Zip Code Austin,TX 78746 Telephone Number ( 512 ) 441-1062 Fax Number: ( 3. Company's Name Solid Group LLC Name of Contact Gib Wentworth Title of Contact Owner E-Mail Address gib@austinsolidgroup.com Present Address 716 County Road 105 Spur City, State, Zip Code Hutto,TX 78634 Telephone Number 512-373-8253 FAILURE TO PROVIDE THE REQUIRED INFORMATION WITH THE SOLICITATION RESPONSE MAY AUTOMATICALLY DISQUALIFY THE RESPONSE FROM CONSIDERATION FOR AWARD. ATTACHMENT B SUBCONTRACTOR INFORMATION FORM COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION RESPONSE SOLICITATION NUMBER: IFB 26-007 RESPONDENT'S NAME: Farnum Enterprises Inc. dba B&O Construction DATE: 11/13/25 • CIRCLE ONE - NO, I WILL NOT USE SUBCONTRACTORS ON THIS CONTRACT NO YES, I INTEND TO USE SUBCONTRACTORS ON THIS CONTRACT al If yes complete the information below 1. Subcontractor Name Yawn Heating and A/C, Inc. Name of Contact Teren Yawn E-Mail Address terenvawnac.com Address 1807 Eclipse Cove City, State, Zip Code Cedar Park, TX 78613 Telephone Number ( 512 ) 750-7395 Fax Number: ( ) Describe work to be Replace HVAC unit performed Percentage of contract 15 work to be performed 2. Subcontractor Name Name of Contact Title of Contact E-Mail Address Address City, State, Zip Code Telephone Number ( ) Fax Number: ( ) Describe work to be performed Percentage of contract yo work to be performed • Add additional pages as needed Attachment C-Bid Sheet Solicitation Number: IFB 26-007 Solicitation Description: CDBG HOME REPAIRS The Respondent represents that they are submitting a binding offer and are authorized to bind the respondent to fully comply with the solicitation documents contained in IFB No. 26-007 CDBG Home Repairs. The Respondent acknowledges that they have received and read the entire solicitation packet, attachments, addendums, and all documents incorporated by reference, and agrees to be bound by the terms therein. Special Instructions: Be advised that exceptions taken to any portion of the solicitation will jeopardize acceptance of the bid. Alternative bids will not be considered and unauthorized modifications to the bid sheet format will result in the rejection of the bid. The City reserves the right to choose which repairs will be completed based on budget and the budget may not include all repairs listed per location. NOTE: You must bid all line items for a location,there are 2 separate locations. Only 1 contractor will be awarded per location.The maximum spend per location is$25,000. Location #2 LINE AREA DESCRIPTION LINE ITEM TOTAL HVAC HVAC Remove old HVAC unit and replace with same size unit and test airflow. 1 12,487.94 Sliding Screen Door Sliding Screen Door 2 Replacement Remove old sliding screen door and replace with new. 252.00 Garage Door Repair 3 Garage Door Panel Repair and/or replace garage door panel and/or hardware. If panel is to be replaced, paint with 2 coats to match. 450.00 BATHROOM 4 Master Bath Remove vanity top and replace with new vanity top with built-in sink and install new faucet. 1,498.75 5 Master Bath Remove tub/shower combo and replace with walk-in ADA compliant shower, hardware, install bars. 3,794.34 6 Master Bath Remove toilet and install ADA compliant toilet 579.60 COMPANY NAME: Farnum Enterprises, Inc. dba B&O Construction NAME OF AUTHORIZED REPRESENTATIVE: Pa rnum SIGNATURE 144/‘' PHONE NUMBER: ffice: 512-9 9-6222, Cell Phone: 512-423-6836 EMAIL ADDRESS: paul@bnoconstruction.com Page 2 of 2 ATTACHMENT D - PREVAILING WAGE 2016 ANNUAL TEXAS WORKFORCE COMMISSION WAGE RATES Construction and Extraction Occupations Hourly $12.32 First-Line Supervisors of Construction Trades and Extraction Workers Hourly $18.79 Brickmasons and Blockmasons Hourly $20.94 Carpenters Hourly $13.28 Floor Layers, Except Carpet,Wood, and Hard Tile Hourly $12.00 Tile and Marble Setters Hourly $12.20 Cement Masons and Concrete Finishers Hourly $12.92 Construction Laborers Hourly $10.81 Paving,Surfacing, &Tamping Equipment Operators Hourly $12.41 Pile-Driver Operators Hourly $14.65 Operating Engineers and Other Construction Equipment Hourly $13.80 Drywall and Ceiling Tile Installers Hourly $14.28 Electricians Hourly $15.80 Glaziers Hourly $13.08 Insulation Workers, Floor, Ceiling, and Wall Hourly $13.29 Insulation Workers, Mechanical Hourly $14.52 Painters, Construction and Maintenance Hourly $12.25 Pipelayers Hourly $13.19 Plumbers, Pipefitters, and Steamfitters Hourly $14.46 Reinforcing Iron and Rebar Workers Hourly $13.87 Roofers Hourly $12.38 Sheet Metal Workers Hourly $13.25 Structural Iron and Steel Workers Hourly $14.75 Helpers-Brickmasons, Blockmasons,Stonemasons,and Tile and Marble Hourly $12.36 Setters Helpers-Carpenters Hourly $8.17 Helpers-Electricians Hourly $8.78 Helpers-Pipelayers, Plumbers, Pipefitters, and Steamfitters Hourly $10.04 Helpers-Construction Trades,All Other Hourly $10.34 Construction and Building Inspectors Hourly $19.15 Fence Erectors Hourly $12.17 Hazardous Materials Removal Workers Hourly $12.98 Highway Maintenance Workers Hourly $13.44 Septic Tank Servicers and Sewer Pipe Cleaners Hourly $12.05 Construction and Related Works, All Others Hourly $13.34 Derrick Operators, Oil and Gas Hourly $10.38 Service Unit Operators, Oil, Gas and Mining Hourly $13.22 Earth Drillers, Except Oil and Gas Hourly $16.45 Rock Splitters, Quarry Hourly $10.65 Roustabouts, Oil and Gas Hourly $11.69 Installation, Maintenance, and Repair Occupations Hourly $12.59 First-Line Supervisors of Mechanics, Installers, and Repairers Hourly $19.61 1 ATTACHMENT- PREVAILING WAGE 2016 ANNUAL TEXAS WORKFORCE COMMISSION WAGE RATES Computer,Automated Teller&Office Machinery Repairers Hourly $10.93 Radio Mechanics Hourly $14.11 Telecommunications Equipment Installers and Repair Hourly $15.62 Electric Motor, Power Tool,and Related Repairs Hourly $13.76 Electrical and Electronics Repairers,Commercial and Residential Hourly $16.12 Electrical and Electronic Repairers, Powerhouse Substation, and Relay Hourly $22.18 Electronic Equipment Installers and Repairers, Motor Vehicles Hourly $13.30 Security and Fire Alarm Systems Installers Hourly $17.79 Aircraft Mechanic and Service Technicians Hourly $21.97 Automotive Body and Related Repairs Hourly $15.89 Automotive Glass Installers and Repairers Hourly $14.29 Automotive Service Technicians and Mechanics Hourly $13.38 Bus &Truck Mechanics& Diesel Engine Specialists Hourly $15.61 Farm Equipment Mechanics Hourly $11.52 Mobile Heavy Equipment, Except Engines Hourly $14.84 Motorboat Mechanics Hourly $13.38 Motorcycle Mechanics Hourly $10.79 Outdoor Power Equipment&Other Small Engine Mechanics Hourly $10.31 Recreational Vehicle Service Technicians Hourly $12.75 Tire Repairers and Changers Hourly $10.45 Control and Valve Installers and Repairers, Except Mechanical Door Hourly $14.82 Heating,Air Conditioning and Refrigeration Mechanics and Installers Hourly $16.15 Home Appliance Hourly $13.04 Industrial Machinery Mechanics Hourly $15.74 Maintenance Workers, Machinery Hourly $15.31 Millwrights Hourly $15.79 Electrical Power-Line Installers and Repairers Hourly $15.94 Telecommunications Line Installers and Repairers Hourly $13.68 Medical Equipment Repairers Hourly $19.05 Precision Instrument Repairers, Other Hourly $14.40 Maintenance and Repair Workers, General Hourly $11.42 Coin,Vending, and Amusement Machine Servicers and Repairers Hourly $10.00 Locksmiths and Safe Repairers Hourly $12.93 Helpers-Installation, Maintenance, and Repair Workers Hourly $8.30 Installation, Maintenance& Repair Workers, Other Hourly $10.61 Production Occupations Hourly $10.43 First Line Supervisors of Production and Operating Workers Hourly $19.08 Electrical and Electronic Equipment Assemblers Hourly $11.81 Electromechanical Equipment Assemblers Hourly $15.04 Structural Metal Fabricators and Fitters Hourly $14.88 Team Assemblers Hourly $9.19 Timing Device Assemblers,Adjusters&Calibrators Hourly $16.33 2 ATTACHMENT - PREVAILING WAGE 2016 ANNUAL TEXAS WORKFORCE COMMISSION WAGE RATES Assemblies and Fabricators,All Other Hourly $10.10 Computer Controlled Machine Tool operators, Metal and Plastic Hourly $12.70 Numerical Tool and Process Control Programmers Hourly $20.26 Extruding and Drawing Machine Setters Hourly $12.14 Cutting, Punching, and Press Machine Setters, Operators Hourly $10.91 Grinding, Lapping, Polishing and Buffing Machine Hourly $10.58 Lathe and Turning Machine Tool Setters, Operators Hourly $13.47 Machinists Hourly $14.96 3 Attachment F - Location 2 I _ ,) I lit i j , .-.... 6 • - til i. monmr ��, I . - i l .I , I •! �-� o. "l� -- -- r - I �Gc F _A 's +° sh y • yY er-,,. 2 t� .I _ - • - - _ • R� /r��.�...._�-.ter '� �....► .xt lati1 vi r `' it � J,r1 ;,Q.'_i:-' Z. '� i7'2 ,:v 41shr °r +F3A � .40:.'"> `,. +.4 u 4...5;* ,t 47 ' ,"ss., Remove existing HVAC system and replace with same size unit.Test airflow. -0*,),,r•'„,- '; i ,, -: Vt, 7......,c(4, tiro,..w. to- - r 4 - . • -- - ' • .-• ' ---- 1 0 -:•••• • ,, • •:- ' -,*--‘, , ,.4; -.4.: •!..-4'If •P - . sit• `.s., ---4, ‘..-., •- .14.- . t, ''4...• '',,A _. ......0„,,,... . .. ,, _„. , .. .. ' Vb. .•,. .. ••, ..,.. . 1 X . ' I - ••—.... .4"—, '11 .--...tte.,.• - '• -._ - s..-.. -..•••••. y At- ''- ' 44 .... .. . - t • "Ns- . s, / ...ty,-. . l'•,- , ...... 4—k " $ e ..-- ., 4 rt •le '4 ' .,. .. . Remove and replace sliding screen door �31pv k% ze i�4a.C . mw IC if00/0011/0/0/10101 - _ 3 i x _ Garage door panel is cracked where the hardware is connected. Repair or replace panel. ,ter. ' '.I '\ '-'4';4trZ-745:414 5,,,,,,f,:-.1•1?: * -:.:4,-.:!*T';--1-''''''''''"-':.:::'''''';''':•:111:'"'-7- 2r fa' Master bath:Tub to walk-in shower conversion with ADA bars. 5 IIIL is 41 is0. • .S Remove and replace toilet with ADA toilet. Master bathroom sink is leaking. Replace vanity top with built in sink and faucet. Attachment G I. CDBG Required Certifications All required certifications should be reviewed, completed,and submitted with the final bid/proposal packet. If these documents are not submitted, the submittal will be deemed non-responsive and disqualified from possible award. a. Prospective contractor/vendor is required to have an active registration in the System for Award Management (SAM). Instructions on how to register are included. The website link for registration is www.sam.gov . b. The Certification Regarding Debarment and Suspension from must be completed and submitted with final proposals. c. The Request for Taxpayer Identification Number and Certification form must be completed and submitted with final bid/quote. d. Prospective contractor/vendor must review the Conflict-of-Interest Summary of Rules for CDBG Contractors. The affidavit must be reviewed, signed, and submitted. ANY possible conflict of interest must be reported. e. Prospective contractor/vendor must complete and submit the Certification Regarding Equal Employment Opportunity. f. Prospective contractor/vendor should complete and submit the Clean Air and Water Certification, if applicable. g. Prospective contractor/vendor should complete and submit the Certification on Non-Lobbying Activities. Additional information is included. h. Prospective contractor/vendor must complete and submit the Non-Collusion Affidavit. Additional information is included. i. Information regarding use of Minority-Owned Business Enterprises/Women Owned Business Enterprises is included. j. If this project is subject to Section 3 compliance as explained in the Instructions to Bidders, the documents should be reviewed and completed as applicable. Attachment H SYSTEM FOR AWARD MANAGEMENT REGISTRATION AND ACTIVATION Any business choosing to bid or provide proposals on Federally Funded projects, must be currently REGISTERED and ACTIVE IN THE System for Awards Management (SAM) database, at the time of bid opening. The database is the primary federal registrant portal for the collecting,validating, storing,and disseminating data on federal awards. SAM is an official website of the U.S. Government and there is not cost to register on this site. 1. Does your organization have ACTIVE REGISTRATION status with SAM.gov? V YES NO 2. If so, please provide your organization's Unique Entity ID (UEI#): Y71 GBN 1 WHAR8 Bidders are required to provide the UEI#. To register, please access the following internet website: http:/jsam.gov . What is the UEI? Beginning April 2, 2022, the federal government will stop using the DUNS number issues by DUN and Bradstreet to uniquely identify entities. At this point, entities doing business with the federal government will use a Unique Entity Identifier (UEI) number assigned in the SAM.gov and will not longer use a third-party website to obtain their identifier number. Entities are able to manage organizational information, such as legal business name and physical address associated with UEI number, directly from SAM.gov . How do I register with SAM? To register with SAM, go to the System for Award Management (SAM) site. Follow the online instructions to complete SAM registration. If you have any questions, please contact the Federal Service Desk at www.FSC.Rov . Their phone number is (866) 606-8220. Attachment I Certification Regarding U.S.Department of Housing Debarment and Suspension and Urban Development Certification A: Certification Regarding Debarment, suspension and Other Responsibility Matters - Primary Covered Transactions 1.The prospective primary participant certifies to the best of its knowledge 4. The prospective primary participant shall provide Immediate and belief that its principals: written notice to the department or agency to whom this proposal is submitted Hat any time the prospective primary participant teams a. Are not presently debarred, suspended, proposed for debarment, that Its certification was erroneous when submitted or has become declared ineligible.or votuntanty excluded from covered transactions by erroneous by reason of changed circumstances. any Federal debarment or agency: 5. The terms covered transaction, debarred, suspended, b. Have not within a three-year period preceding this proposal, bean Ineligible, lower tier cowered transaction,participant, person, convicted of or had a civil judgment rendered against them for commission primary covered transaction, principal, proposal, and of fraud or a criminal offense in connection with obtaining,attempting to voluntarily excluded, as used in this clause,have the meanings obtain, or performing a public (Federal. Stale, or local) transaction or set out in the Definitions and Coverage sections of the rules contract under a public transaction;violation of Federal or State antitrust implementing Executive Order 12549. You may contact the statutes or commission of embezzlement, theft, forgery, bribery, department or agency to which this proposal is being submitted for falsification,or destruction of records.making false statement,or receiving assistance in obtaining a copy of these regulations. stolen property 6. The prospective prmary participant agrees by submitting this c.Are not presently indicted for or otherwise crinwtafly or civilly charged by proposal that,should the proposed covered transaction be entered a governmental entity(Federal,State or local)with commission of any of into,it shall not knowingly enter any lower tier covered transaction the offenses enumerated in paragraph(1)(b)of this certification;and with a person who is debarred,suspended,declared ineligible,or voluntarily excluded from participation in this covered transaction, d.Have not within a three-year period preceding this application/proposal unless authorized by the department or agency entering Into this had one or more public transacoons(Federal,State or local)terminated for transaction. cause or default. 7.The prospective primary participant further agrees by submitting 2.Where the prospective pricey participant is unable to certify to any of this proposal that it will include the clause titled 'Certification he statement in this certification.such prospective participant shall attach Regarding Debarment, Suspension, Ineligibility and Voluntary an explanation to this proposal. Exclusion - Lower Tier Covered Transaction.' provided by the department or agency entering into this covered transaction,without Instructions for Certification(A) modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions 1. By signing and submitting this proposal, the prospective primary participant is providing the certification set out below. 6. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered 2.The inability of a person to provide the certification required below will transaction that it is not debarred, suspended, ineligible, or not necessarily result In denial of participation in this covered transaction. voluntarily excluded form the covered transaction,unless it knows The prospective participant shall submit an explanation of why it cannot that the certification Is erroneous. A participant may decide the provide the certification set out below. The certification or explanation will method and frequency try which it determines this eligibility of its be considered in oonnecton with the department or agencys principals. Each participant may,but is riot required to,check the determination whether to enter into this transaction. However,failure of Non-procurement tat the prospective primary participant to furnish a certification of the prospective primary participant to furnish a certification or an explanation 9.Nothing contained in the foregoing shall be construed to require shall disqualify such person from participation in this transaction. establishment of a system of records In order to render in good faith the certification required by this clause. The knowledge and 3.The certification in this clause is a material representation of fact upon information of a participant is not required to exceed that which is which reliance was in place when the department or agency determined to normally possessed by a prudent person in the ordinary course of enter Into this transaction. if it is tater determined that the prospective business dealings. primary participant knowingly rendered en erroneous certification, in addition to other remedies available to the Federal Government the 10.Except for transactions authorized under paragraph(5)of these department or agency may terminate this transaction for cause or default. instructions, H a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended. debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause of default. Page 1 of 2 form HUD-2992(3/98) Certification 8: Certification Regarding Debarment, Suspension, Ineligible and Voluntary Exclusion-Lower Tier Covered Transactions 1. The prospective lower tier participant certifies, by submission of this 5.The prospective lower tier participant agrees by submitting this proposal,that neither it not its principals Is presently debarred,suspended, proposal that,should the proposed covered transaction be entered proposed for debarment declared ineligible,or voluntarily excluded from into,it shall not knowingly enter into an lower tier transaction with a participation in this transaction by any Federal department or agency. person who is debarred. suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction. 2.Where the prospective lower ter participant is unable to testify to any of unless authorized by the department or agency with which this the statements in this certification,such prospective participant shall attach transaction originated. an explanation to this proposal. 6. The prospective tower tier participant further agrees by instructions for Certification(B) submitting this proposal that it will include this clause tilled 'Certification Regarding Debarment, Suspension, Ineligibility and 1. 8y signing and submitting this proposal, the prospective lower tier Voluntary Exclusion-Lower Tier Covered Transaction,'without participant is providing the certification set out below. modification. in all lower tier covered transactions and in all 2.The certification in this clause a a material to solicitattions for lower tier covered transactions. presentation of tact upon which reliance was placed when this transaction was entered into. tf it is 7. A participant in a covered transaction may rely upon a later dotetmined that the prospective lower tier participant knowingly certification of a prospective participant in a lower tier covered rendered an erroneous oedification in addition to other remedies available transaction that it is not debarred, suspended. ineligible, or to the Federal Government, the department or agency with which this voluntarily excluded from the covered transeclien,unless it knows transaction originated may pursue available remedies,including suspension that the certification is erroneous. A participant may deride the artdior debarment- method and frequency by which it detemhines the eligibility of lb 3. The pnoay,ac.tive rawer tier participant shallprincipals. Each participant may,but is not required to,check the W provide immediate written Non-procurement fist notice to the person to which this proposal is submitted rt at any time the prosper-Ave lower tier participant learns that its certification was erroneous 8.Nothing contained in the foregoing shall be construed to require when submitted or has become by reason of changed circumstances. establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and 4 The terms covered transaction, debarred, suspended, Ineligible, information of a participant is not required to exceed that which is tower tier covered transaction. participant,parson,primary covered normally possessed byprudent a person in the ordinary course of transaction,principal,proposal,and voluntarily excluded,as used in business dealings. this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing F_Ter rove Order 12549. You may contact 9.Except for transactions authorized under paragraph(5)of these the person to which this proposal is submitted for assistance in obtaining a instructions, if a participant in a lower covered transaction copy of these regulations. knowingly enters into a lower tier covered transaction with a person who is suspended.debarred,Ineligible.or voluntarily excluded from participation in this transaction, in addition to other remedies 'makable to the Federal Government the department or agency with which this transaction originated may pursue available remedies including suspension and/or debarment. Appiica^.'. - Date 1 Farnum Enterprises, Inc. dba B&O Construction / S Authorized rtifying Official _ Title ((( President Page 2 of 2 form MUD-2992(3/90 Attachment J Request for Taxpayer Give Form to the Form (Rev.October2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service O.Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. 2 Business name/disregarded entity name,if different from above th 3 Check appropriate box for federal tax classification of theperson whose name is entered on line 1.Check onlyone of the 4 Exemptions(codes applyonlyto y P� c following seven boxes. certain entities,not individuals;see a instructions on page 3): o ❑ IndWidualIsote proprietor or ❑ C Corporation ❑S Corporation 0 Partnership 0 Trust/estate single-member LLC Exempt payee code(if any) o.o 'e 0 Limited liability company.Enter the tax classification(C-C corporation,S-S corporation,P-Partnership)► `0 2 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting 4' H LLC if the LLC Is classified as a single-member LLC that Is disregarded from the owner unless the owner of the LLC Is Y) C another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that code rf an o. S is disregarded from the owner should check the appropriate box for the tax classification of its owner. w ❑ Other(see Instructions)► (Apples to eaounts mahtened outade W US.) N 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) 2 u) 6 City,state,and ZIP code 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid I Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other - - entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN,later. Or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. - Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form Is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature of Here u.s.person► Date► General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sates and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption .Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer Identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) Attachment J Form W-9(Rev.10-2018) Page 2 By signing the filled-out form,you: Example.Article 20 of the U.S.-China income tax treaty allows an 1.Certify that the TIN you are giving is correct(or you are waiting for a exemption from tax for scholarship Income received by a Chinese number to be issued), student temporarily present in the United States.Under U.S.law,this 2.Certifythatyou are not to backupwithholding,or student will become a resident alien for tax purposes if his or her stay in subjectthe United States exceeds 5 calendar years.However,paragraph 2 of 3.Claim exemption from backup withholding if you are a U.S.exempt the first Protocol to the U.S.-China treaty(dated April 30, 1984)allows payee.If applicable,you are also certifying that as a U.S.person,your the provisions of Article 20 to continue to apply even after the Chinese allocable share of any partnership income from a U.S.trade or business student becomes a resident alien of the United States.A Chinese Is not subject to the withholding tax on foreign partners'share of student who qualifies for this exception(under paragraph 2 of the first effectively connected income,and protocol)and is relying on this exception to claim an exemption from tax 4.Certify that FATCA code(s)entered on this form(if any)indicating on his or her scholarship or fellowship income would attach to Form that you are exempt from the FATCA reporting,is correct.See What is W-9 a statement that includes the information described above to FATCA reporting,later,for further information. support that exemption. Note:If you are a U.S.person and a requester gives you a form other If you are a nonresident alien or a foreign entity,give the requester the than Form W-9 to request your TIN,you must use the requester's form if appropriate completed Form W-8 or Form 8233. It is substantially similar to this Form W-9. Backup Withholding Definition of a U.S.person.For federal tax purposes,you are considered a U.S.person if you are: What is backup withholding?Persons making certain payments to you •An individual who is a U.S.citizen or U.S.resident alien; must under certain conditions withhold and pay to the IRS 24%of such payments.This is called"backup withholding." Payments that may be •A partnership,corporation,company,or association created or subject to backup withholding include interest,tax-exempt interest, organized in the United States or under the laws of the United States; dividends,broker and barter exchange transactions,rents,royalties, •An estate(other than a foreign estate);or nonemployee pay,payments made in settlement of payment card and third party network transactions,and certain payments from fishing boat •A domestic trust(as defined in Regulations section 301.7701-7). operators.Real estate transactions are not subject to backup Special rules for partnerships.Partnerships that conduct a trade or withholding. business in the United States are generally required to pay a withholding You will not be subject to backup withholding on payments you tax under section 1446 on any foreign partners'share of effectively receive if you give the requester your correct TIN,make the proper connected taxable income from such business.Further,in certain cases certifications,and report all your taxable interest and dividends on your where a Form W-9 has not been received,the rules under section 1446 tax return. require a partnership to presume that a partner is a foreign person,and pay the section 1446 withholding tax.Therefore,if you are a U.S.person Payments you receive will be subject to backup withholding if: that is a partner in a partnership conducting a trade or business in the 1.You do not furnish your TIN to the requester, United States,provide Form W-9 to the partnership to establish your 2.You do not certify your TIN when required(see the instructions for U.S.status and avoid section 1446 withholding on your share of Part II for details), partnership income. vri 3.The IRS tells the requester that you furnished an incorrect TiN, In the cases below,the followi ng person must give Form W-9 to the partnership for purposes of establishing its U.S.status and avoiding 4.The IRS tells you that you are subject to backup withholding withholding on its allocable share of net income from the partnership because you did not report all your interest and dividends on your tax conducting a trade or business in the United States. return(for reportable interest and dividends only),or •In the case of a disregarded entity with a U.S.owner,the U.S.owner 5.You do not certify to the requester that you are not subject to of the disregarded entity and not the entity; backup withholding under 4 above(for reportable interest and dividend •In the case of a grantor trust with a U.S.grantor or other U.S.owner, accounts opened after 1983 only). generally,the U.S.grantor or other U.S.owner of the grantor trust and Certain payees and payments are exempt from backup withholding, not the trust;and See Exempt payee code,later,and the separate Instructions for the •In the case of a U.S.trust(other than a grantor trust),the U.S.trust Requester of Form W-9 for more information. (other than a grantor trust)and not the beneficiaries of the trust. Also see Special rules for partnerships,earlier. Foreign person.If you are a foreign person or the U.S.branch of a What is FATCA Reporting? foreign bank that has elected to be treated as a U.S.person,do not use Form W-9.Instead,use the appropriate Form W-8 or Form 8233(see The Foreign Account Tax Compliance Act(FATCA)requires a Pub.515,Withholding of Tax on Nonresident Aliens and Foreign participating foreign financial institution to report all United States Entities). account holders that are specified United States persons.Certain Nonresident alien who becomes a resident alien.Generally,only a payees are exempt from FATCA reporting.See Exemption from FATCA nonresident alien individual may use the terms of a tax treaty to reduce reporting code,later,and the Instructions for the Requester of Form or eliminate U.S.tax on certain types of income.However,most tax W-9 for more information. treaties contain a provision known as a"saving clause."Exceptions Updating Your Information specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise You must provide updated information to any person to whom you become a U.S.resident alien for tax purposes. claimed to be an exempt payee if you are no longer an exempt payee If you are a U.S.resident alien who is relying on an exception and anticipate receiving reportable payments in the future from this contained in the saving clause of a tax treaty to claim an exemption person.For example,you may need to provide updated information if from U.S.tax on certain types of income,you must attach a statement you are a C corporation that elects to be an S corporation,or if you no to Form W-9 that specifies the following five items. longer are tax exempt.In addition,you must furnish a new Form W-9 if 1.The treaty country.Generally,this must be the same treaty under the name or TIN changes for the account;for example,if the grantor of a which you claimed exemption from tax as a nonresident alien. grantor trust dies. 2.The treaty article addressing the income. Penalties 3.The article number(or location)in the tax treaty that contains the saving clause and its exceptions. Failure to furnish TIN.If you fail to furnish your correct TIN to a 4.The type and amount of income that qualifies for the exemption requester,you are subject to a penalty of$50 for each such failure from tax. unless your failure is due to reasonable cause and not to willful neglect. 5.Sufficient facts to justify the exemption from tax under the terms of Civil penalty for false information with respect to withholding.If you the treaty article. make a false statement with no reasonable basis that results in no backup withholding,you are subject to a$500 penalty. Attachment J Form W-9(Rev.10-2018) Page 3 Criminal penalty for falsifying information.Willfully falsifying IF the entity/person on line 1 Is THEN check the box for... certifications or affirmations may subject you to criminal penalties a(n).., including fines and/or imprisonment. Misuse of TINs.If the requester discloses or uses TINs in violation of • Corporation Corporation federal law,the requester may be subject to civil and criminal penalties. • Individual Individual/sole proprietor or single- • Sole proprietorship,or member LLC Specific Instructions • Single-member limited liability company(LLC)owned by an Line 1 Individual and disregarded for U.S. You must enter one of the following on this line;do not leave this line federal tax purposes. blank.The name should match the name on your tax return. • LLC treated as a partnership for Limited liability company and enter If this Form W-9 is for a joint account(other than an account U.S.federal tax purposes, the appropriate tax classification. maintained by a foreign financial institution(FF1)),list first,and then • LLC that has filed Form 8832 or (P=Partnership;C=C corporation; circle,the name of the person or entity whose number you entered in 2553 to be taxed as a corporation, or S.S corporation) Part I of Form W-9.If you are providing Form W-9 to an FFI to document or a joint account,each holder of the account that is a U.S.person must . LLC that is disregarded as an provide a Form W-9. entity separate from its owner but a. Individual.Generally,enter the name shown on your tax return.If the owner is another LLC that is you have changed your last name without informing the Social Security not disregarded for U.S.federal tax Administration(SSA)of the name change,enter your first name,the last purposes. name as shown on your social security card,and your new last name. Note:ITIN applicant:Enter your individual name as it was entered on ' Partnership Partnership your Form W-7 application,line 1 a.This should also be the same as the • Trust/estate Trust/estate name you entered on the Form 1040/1040A/1040EZ you filed with your Line 4, Exemptions application. b. Sole proprietor or single-member LLC.Enter your individual If you are exempt from backup withholding and/or FATCA reporting, name as shown on your 1040/1040A/1040EZ on line 1.You may enter enter in the appropriate space on line 4 any code(s)that may apply to your business,trade,or"doing business as"(DBA)name on line 2. you. c. Partnership,LLC that Is not a single-member LLC,C Exempt payee code. corporation,or S corporation.Enter the entity's name as shown on the • Generally,individuals(including sole proprietors)are not exempt from entity's tax return on line 1 and any business,trade,or DBA name on backup withholding. fine 2. • Except as provided below,corporations are exempt from backup d. Other entities.Enter your name as shown on required U.S.federal withholding for certain payments,including interest and dividends. tax documents on line 1.This name should match the name shown on the • Corporations are not exempt from backup withholding for payments charter or other legal document creating the entity.You may enter any made in settlement of payment card or third party network transactions. business,trade,or DBA name on line 2. • Corporations are not exempt from backup withholding with respect to e. Disregarded entity.For U.S.federal tax purposes,an entity that is attorneys'fees or gross proceeds paid to attorneys,and corporations disregarded as an entity separate from its owner is treated as a that provide medical or health care services are not exempt with respect "disregarded entity." See Regulations section 301.7701-2(c)(2)0ll).Enter to payments reportable on Form 1099-MISC. the owner's name on line 1.The name of the entity entered on line 1 should never be a disregarded entity.The name on line 1 should be the The following codes identify payees that are exempt from backup name shown on the income tax return on which the income should be withholding.Enter the appropriate code in the space in line 4. reported.For example,if a foreign LLC that is treated as a disregarded 1—An organization exempt from tax under section 501(a),any IRA,or entity for U.S.federal tax purposes has a single owner that is a U.S. a custodial account under section 403(bX7)if the account satisfies the person,the U.S.owner's name is required to be provided on line 1.If requirements of section 401(f)(2) the direct owner of the entity is also a disregarded entity,enter the first 2—The United States or any of its agencies or instrumentalities owner that is not disregarded for federal tax purposes.Enter the disregarded entity's name on line 2,"Business name/disregarded entity 3—A state,the District of Columbia,a U.S.commonwealth or name."If the owner of the disregarded entity is a foreign person,the possession,or any of their political subdivisions or instrumentalities owner must complete an appropriate Form W-8 instead of a Form W-9. 4—A foreign government or any of its political subdivisions,agencies, This is the case even if the foreign person has a U.S.TIN. or instrumentalities Line 2 5—A corporation If you have a business name,trade name,DBA name,or disregarded 6—A deafer in securities or commodities required to register in the entity name,you may enter It on line 2. United States,the District of Columbia,or a U.S.commonwealth or possession Line 3 7—A futures commission merchant registered with the Commodity Check the appropriate box on line 3 for the U.S.federal tax Futures Trading Commission classification of the person whose name Is entered on line 1.Check only 8—A real estate investment trust one box on tine 3. 9—An entity registered at all times during the tax year under the Investment Company Act of 1940 10—A common trust fund operated by a bank under section 584(a) 11—A financial institution 12—A middleman known in the investment community as a nominee or custodian 13—A trust exempt from tax under section 664 or described in section 4947 Attachment J Form W-9(Rev.10-2018) Page 4 The following chart shows types of payments that may be exempt M—A tax exempt trust under a section.403(b)plan or section 457(g) from backup withholding.The chart applies to the exempt payees listed plan above,1 through 13. Note:You may wish to consult with the financial institution requesting IF the payment is for... THEN the payment is exempt this form to determine whether the FATCA code and/or exempt payee for... code should be completed. Interest and dividend payments All exempt payees except Line 5 for 7 Enter your address(number,street,and apartment or suite number). Broker transactions Exempt payees 1 through 4 and 6 This is where the requester of this Form W-9 will mail your information through 11 and all C corporations. returns.If this address differs from the one the requester already has on S corporations must not enter an file,write NEW at the top.If a new address is provided,there is still a exempt payee code because they chance the old address will be used until the payor changes your are exempt only for sales of address in their records. noncovered securities acquired Line 6 prior to 2012. Barter exchange transactions and Exempt payees 1 through 4 Enter your city,state,and ZIP code. patronage dividends Part I. Taxpayer identification Number (TIN) Payments over$600 required to be Generally,exempt payees Enter your TIN in the appropriate box.If you are a resident alien and reported and direct sales over 1 through 52 you do not have and are not eligible to get an SSN,your TIN is your IRS $5,000' individual taxpayer identification number(ITIN).Enter it in the social security number box.if you do not have an ITIN,see How to get a TIN Payments made in settlement of Exempt payees 1 through 4 below. payment card or third party network If you are a sole proprietor and you have an EIN,you may enter either transactions your SSN or EIN. 'See Form 1099-MISC,Miscellaneous Income,and its instructions. If you are a single-member LLC that is disregarded as an entity separate from its owner,enter the owner's SSN(or EIN,if the owner has 2 However,the following payments made to a corporation and one).Do not enter the disregarded entity's EIN.If the LLC is classified as reportable on Form 1099 MISC are not exempt from backup a corporation or partnership,enter the entity's EIN. wi thholding:medical and health care payments,attorneys'fees,gross Note:See What Name and Number To Give the Requester,later,for proceeds paid to an attorney reportable under section 6045((},and further clarification of name and TIN combinations. payments for services paid by a federal executive agency. Exemption from FATCA reporting code.The following codes identify How to get a TIN.If you do not have a TIN,apply for one immediately. payees that are exempt from reporting under FATCA These codes To apply for an SSN,get Form SS-5,Application for a Social Security apply to persons submitting this form for accounts maintained outside Card,from your local SSA office or get this form online at of the United States by certain foreign financial institutions.Therefore,if www.SSA.gov.You may also get this form by calling 1-800-772-1213. you are only submitting this form for an account you hold in the United Use Form W-7,Application for IRS Individual Taxpayer Identification Slates,you may leave this field blank.Consult with the person Number,to apply for an ITIN,or Form SS-4,Application for Employer requesting this form if you are uncertain if the financial institution is Identification Number,to apply for an EIN.You can apply for an EIN subject to these requirements.A requester may indicate that a code is online by accessing the IRS website at www.lrs.gov/Businesses and not required by providing you with a Form W-9 with"Not Applicable"(or clicking on Employer Identification Number(EIN)under Starting a any similar indication)written or printed on the line for a FATCA Business.Go to www.irs.gov/Forms to view,download,or print Form exemption code. W-7 and/or Form SS-4. Or,you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 A—An organization exempt from tax under section 501(a)or any business days. individual retirement plan as defined in section 7701(a)(37) If you are asked to complete Form W-9 but do not have a TIN,apply B—The United States or any of its agencies or instrumentalities for a TIN and write"Applied For"in the space for the TIN,sign and date C—A state,the District of Columbia,a U.S.commonwealth or the form,and give it to the requester.For interest and dividend possession,or any of their political subdivisions or instrumentalities payments,and certain payments made with respect to readily tradable D—A corporation the stock of which is regularly traded on one or instruments,generally you will have 60 days to get a TIN and give it to more established securities markets,as described in Regulations the requester before you are subject to backup withholding on section 1.1472-1(cx1)(i) payments.The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until E—A corporation that is a member of the same expanded affiliated you provide your TIN to the requester. group as a corporation described in Regulations section 1.1472 1(c)(t)(i) Note:Entering"Applied For"means that you have already applied for a F—A dealer in securities,commodities,or derivative financial TIN or that you intend to apply for one soon. instruments(includingnotional principal contracts,futures,forwards, Caution:A disregarded U.S.entity that has a foreign owner must use and options)thathatisis registered as such under the laws of the United the appropriate Form W-8. States or any state G—A real estate investment trust Part iI. Certification H—A regulated investment company as defined in section 851 or an To establish to the withholding agent that you are a U.S.person,or entity registered at all times during the tax year under the Investment resident alien,sign Form W-9.You may be requested to sign by the Company Act of 1940 withholding agent even if item 1,4,or 5 below indicates otherwise. I—A common trust fund as defined in section 584(a) For a joint account,only the person whose TIN is shown in Part I J—A bank as defined In section 581 should sign(when required).In the case of a disregarded entity,the K—A broker person identified on line 1 must sign.Exempt payees,see Exempt payee L—A trust exempt from tax under section 664 or described in section code,earlier. 4947(a)(1) Signature requirements.Complete the certification as indicated in items 1 through 5 below. Attachment J Form W-9(Rev.10.2018) Page 5 1.Interest,dividend,and barter exchange accounts opened For this type of account: Give name and EIN of: before 1984 and broker accounts considered active during 1983. 14.Account with the Department of The public entity You must give your correct TiN,but you do not have to sign the Certification. Agriculture in the name of a public entity(such as a state or local 2.Interest,dividend,broker,and barter exchange accounts government,school district,or opened after 1983 and broker accounts considered inactive during prison)that receives agricultural 1983.You must sign the certification or backup withholding will apply.If program payments you are subject to backup withholding and you are merely providing your correct TIN to the requester,you must cross out item 2 in the 15.Grantor trust filing under the Form The trust certification before signing the form. 1041 Filing Method or the Optional 3.Real estate transactions.You must sign the certification.You may Form 1099 Fling Method 2(see Regulations section 1.671-4{b)(2) cross out item 2 of the certification. n(B}) 4.Other payments.You must give your correct TIN,but you do not 'List first and circle the name of the person whose number you furnish. have to sign the certification unless you have been notified that you If only one person on a joint account has an SSN,that person's number have previously given an incorrect TIN."Other payments"Include must be furnished. payments made in the course of the requester's trade or business for 'Circle the minor's name and furnish the minor's SSN. rents,royalties,goods(other than bills for merchandise),medical and health care services(including payments to corporations),payments to 3 You must show your individual name and you may also enter your a nonemployee for services,payments made in settlement of payment business or DBA name on the"Business name/disregarded entity" card and third party network transactions,payments to certain fishing name line.You may use either your SSN or EIN(if you have one),but the boat crew members and fishermen,and gross proceeds paid to IRS encourages you to use your SSN. attorneys(including payments to corporations). 4 List first and circle the name of the trust,estate,or pension trust.(Do 5.Mortgage Interest paid by you,acquisition or abandonment of not furnish the TiN of the personal representative or trustee unless the secured property,cancellation of debt,qualified tuition program legal entity itself is not designated in the account title.)Also see Special payments(under section 529),ABLE accounts(under section 529A), rules for partnerships,earlier. IRA,Coverdell ESA,Archer MSA or HSA contributions or 'Note:The grantor also must provide a Form W-9 to trustee of trust. distributions,and pension distributions.You must give your correct Note:If no name is circled when more than one name is listed,the TIN,but you do not have to sign the certification. number will be considered to be that of the first name listed. What Name and Number To Give the Requester Secure Your Tax Records From Identity Theft For this type of account: Give name and SSN of: Identity theft occurs when someone uses your personal information 1,Individual The individual such as your name,SSN,or other identifying information,without your 2,Two or more individuals Point The actual owner of the account or,if permission,to commit fraud or other crimes.An identity thief may use account)other than an account combined funds,the first Individual on your SSN to get a job or may file a tax return using your SSN to receive maintained by an FFI the account' a refund. 3.Two or more U.S.persons Each holder of the account To reduce your risk: (joint account maintained by an FFI) •Protect your SSN, 4.Custodial account of a minor The minor2 •Ensure your employer is protecting your SSN,and (Uniform Gift to Minors Act) •Be careful when choosing a tax preparer. 5.a.The usual revocable savings trust The grantor-trustee' If your tax records are affected by identity theft and you receive a (grantor is also trustee) notice from the IRS,respond right away to the name and phone number b.So-called trust account that is not The actual owner printed on the IRS notice or letter. a legal or valid trust under state law If your tax records are not currently affected by identity theft but you 6.Sole proprietorship or disregarded The owner3 think you are at risk due to a lost or stolen purse or wallet,questionable entity owned by an Individual credit card activity or credit report,contact the IRS Identity Theft Hotline 7.Grantor trust filing under Optional The grantor' at 1-800-908-4490 or submit Form 14039. Form 1099 Filing Method 1(see For more information,see Pub.5027,Identity Theft Information for Regulations section 1.671-4(b)(2)() Taxpayers. (A)) Victims of Identity theft who are experiencing economic harm or a For this type of account: Give name and EIN of: systemic problem,or are seeking help in resolving tax problems that 8.Disregarded entity not owned by an The owner have not been resolved through normal channels,may be eligible for individual Taxpayer Advocate Service(TAS)assistance.You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 9.A valid trust,estate,or pension trust Legal entity' 1-800-829-4059. 10.Corporation or LLC electing The corporation Protect yourself from suspicious emalls or phishing schemes. corporate status on Form 8832 or Phishing is the creation and use of email and websites designed to Form 2553 mimic legitimate business emalls and websites.The most common act 11.Association,club,religious, The organization is sending an email to a user falsely claiming to be an established charitable,educational,or other tax- legitimate enterprise in an attempt to scam the user into surrendering exempt organization private information that will be used for identity theft. 12.Partnership or multi-member LLC The partnership 13.A broker or registered nominee The broker or nominee Attachment J Form W-9(Rev.10-2018) Page 6 The IRS does not initiate contacts with taxpayers via emails.Also,the Privacy Act Notice IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers,passwords,or similar secret access Section 6109 of the Internal Revenue Code requires you to provide your information for their credit card,bank,or other financial accounts. correct TIN to persons(including federal agencies)who are required to If you receive an unsolicited email claiming to be from the IRS, file information returns with the IRS to report interest,dividends,or forward this message to phishing@irs.gov.You may also report misuse certainacquisition other income paid abtoandonment of you; o property;interest the youc paid;the of of the IRS name,logo,or other IRS property to the Treasury Inspector debt;oro trr butions you nt made secured tanIRA, rch cancellation h General for Tax Administration(TIGTA)at 1-800-366-4484.You can nsncontributions ions you us to information Archer MSA,or HSA.fiThe forward suspicious emails to the Federal Trade Commission at person collecting this form uses the reportingth o et ne form tio ne spam@uce.gov or report them at www.ftc.gov/complaint.You can information usesRoutine oft returns h informationth IRS includeng the above information. attme contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT(877-438-4338). JJustice civil this min giving it s,to the Department of If you have been the victim of identity theft,see www.IdentityTheft.gov Columbia,for and criminal litigatione and to cities, nsfortates,the District of and Pub.5027. and U.S,commonwealths and possessions for use in administering their laws.The information also may be disclosed to other Visit www.irs.gov/ldentityTheft to learn more about identity theft and countries under a treaty,to federal and state agencies to enforce civil how to reduce your risk. and criminal laws,or to federal law enforcement and intelligence agencies to combat terrorism.You must provide your TIN whether or not you are required to file a tax return.Under section 3406,payers must generally withhold a percentage of taxable interest,dividend,and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information. Attachment K CONFLICT OF INTEREST SUMMARY OF RULES FOR CDBG CONTRACTORS I. Introduction Prospective CDBG contractors should carefully consider whether any of their activities may give rise to an improper conflict of interest situation. Conflict of interest situations that are not properly addressed can result in a loss of CDBG funding to the program and/or to the city, and in some cases can result in civil or criminal liability. Organizations that are requesting CDBG funding should ask themselves the following questions: Are any of my employees or board members, • A city employee or consultant who exercises CDBG- related functions as part of their city position? • A City Official? Are any immediate family members or business associates of my employees or beard members, • A city employee or consultant who exercises CDBG• related functions as part of their city position? • A City Official? Will any of my employees or board members receive a financial interest or benefit from CDBG funds (other than employee salaries or personnel benefits)? Will any immediate family members or business associates of my employees or board members receive a financial interest or benefit from CDBG funds(other than employee salaries or personnel benefits)? To my knowledge, will my program or project have a financial effect on a city official or employee wo exercises CDBG-related functions, or an immediate family member or business associate of such person? For } example, will any of these persons be receiving rental payments, other business income or program services from my program? if you can answer"yes" to any of these questions, it is possible that there may be a conflict of interest. You should review the rules below to determine whether an actual conflict situation is raised, and, if so, what action needs to be taken to avoid a violation of the law. You should contact city staff immediately if you suspect that there might be an issue. Any contractor entering into an agreement with the City in which CDBG funding will be utilized, will be required to warrant, and represent,to the best of his/her knowledge at the time the contract is executed, he/she is not aware of any improper conflict of interest as described below. Also, the contract will obligate contractors to exercise due diligence to ensure that no improper conflict situations occur during the contract. The following Federal and State Conflict of Interest Laws govern activities funded with CDBG funds: • HUD conflict of interest regulations(24 CFR Part 570.611 and 24 CFR Part 85.36) • Texas Local Government Code Chapter 171.004 II. City Officials,Their Family,or Business Partners Benefitting from CDBG Projects. HUD Rule. The HUD conflict of interest rule prohibits any "covered person" associated with the City (as defined below) from obtaining a financial interest or benefit from a CDBG assisted activity or contract, of the proceeds under any such contract, during that covered person's tenure with the City and for one year thereafter. A "covered person" is defined by HUD as any employee,agent,consultant,officer,or elected or appointed official of the City who,with respect to CDBG-funded activities under the contract: (a) exercises or has exercised any functions or responsibilities;or, (b) is in a position to participate in a decision-making process; or, (c) is in a position to gain inside information. City staff members or consultants who exercise the above roles or function with respect to the CDBG activity are considered "covered persons." For purposes of the CDBG program, a "covered person" specifically includes any member of the Round Rock City Council,or any director of any board associated with reviewing and making recommendations on the funding for the contract,whether or not that council member or director actually participated in the review or recommendation. "Covered person" may also include member of other City boards and commissions, if that board or commission has exercised functions or decision-making with respect to the CDBG activity. The HUD rule further prohibits anyone with "family or business ties" to the covered public official from receiving a financial interest or benefit. State Law. State law requires a local public official with substantial interest in a business entity or in real property, to file, before a vote or decision on any matter involving the business entity or the real property, an affidavit stating the nature of the extent of the interest. The state law required that any public official of the City, should publicly recuse him/herself from participating in any discussions relating to the CDBG grant-making process. Failure of the person to recuse him/herself before the discussions begin may disqualify the organization's application for funds. III. Interests of persons associated with the contractor. The HUD rule also addresses financial interests that are held by certain persons associated with a CDBG contractor. The HUD rule prohibits any "covered person" associated with the contractor from obtaining a financial interest or benefit(with the exception of the use of CDBG funds to pay salaries and other related administrative and personnel costs)from a CDBG assisted activity or contract, or the proceeds under any such contract,during that covered person's tenure with the contactor and for one year thereafter. A "covered person" is defined by HUD as any employee, agent, consultant, officer, or elected or appointed official of the contractor who, with respect to CDBG-funded activities under the contract: (a) exercises or has exercised any functions or responsibilities; or (b) is in a position to participate in a decision-making process;or(c) is in a position to gain inside information. This rule extends to those with whom the covered person has "family or business ties" (as defined above). This rule would, for example, prohibit certain employees or directors of a CDBG contractor from using CDBG funds to pay for rent on a property owned by that employee or director, as well as family and business associates of that person. IV. Remedies and Sanctions. The CDBG grant contract provides that if a CDBG contractor fails to make a good faith effort to avoid an improper conflict of interest situation or is responsible for the improper conflict situation, the City may(1) suspend CDBG payments, (2) terminate the contract, (3) require reimbursement by the contractor to the City of HUD of any amounts already disbursed and/or (4) bar future CDBG funding of the contractor in the event HUD suspends or terminates its rant to the city for conflict of interest reasons, or in the event the city reasonably determines that an improper conflict of interest situation may arise from payments under the contract. This could happen whether or not the contractor is responsible for the conflict-of-interest situation. Certification: I,the undersigned,acknowledge and certify that I have read and understand the summary of Rules for CDBG Contractors. Date: j Company/Vendor Name: / 1 /i' 7,CT7. 6 Farnum Enterprises, Inc. dba B&O Construction Printed Name and Title: ut or'z Signatory: Paul Farnum, President CITY OF ROUND ROCK COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM AFFIDAVIT REGARDING CONFLICT OF INTEREST Acknowledgement: I, the undersigned, certify that I have read and understand the conflict of interest regulations by the US Department of Housing and Urban Development, Community Development Block Grant Program,including 24 CFR Part 570.611: 24 CFR Part 570.611(b)Conflicts prohibit.No persons described in paragraph(c) of this section who exercise or have exercised any functions or responsibilities with respect to activities assisted with CDBG funds or wo are in a position to participate in a decision-making process or gain inside information with regard to these activities, may obtain a financial interest or benefit from a CDBG-assisted activity,or have an interest in any contract, subcontract, or agreement with respect thereto, or the proceeds thereunder,either for themselves or those with whom they have family or business ties, during their tenure or for one year thereafter. 24 CFR Part 570.611(c)Persons covered. The conflict of interest provisions of paragraph (b)of this section apply to any person who is an employee, agent,consultant,officer,or elected official or appointed official to the recipient,or of any designated public agencies, or of subrecipients that are receiving CDBG funds. Certification: I,the undersigned,certify and report that to the best of my knowledge, )1(1 have no conflict of interest to disclose o I have the following conflict of interest to disclose: Date: I I l 1 -c Company/Vendor Name: Farnum Enterprises, Inc. dba BOO Construction P nted ame and Title: Authorized Signatory: Paul Farnum, President Attachment L U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT CERTIFICATION OF BIDDER REGARDING EQUAL EMPLOYMENT OPPORTUNITY INSTRUCTIONS This certification is required pursuant to Executive Order 11246(30 F.R.12319-25). The implementing rules and regulations provide that any bidder or prospective contractor, or any of their proposed subcontractors, shall state as an initial part of the bid or negotiations of the contract, whether it has participated in any previous contract or subcontract subject to the equal opportunity clause;and,if so, whether it has filed all compliance reports due under applicable instructions. Where the certification indicates that the bidder has not filed a compliance report due under applicable instructions,such bidders shall be required to submit a compliance report within seven (7)calendar days after bid opening. No contract shall be awarded unless such report is submitted. CERTIFICATION BY BIDDER Bidder's Name: Famum Enterprises, Inc. dba B&O Construction Address and Zip Code: 16238 Hwy 620 North,Suite F405,Austin,TX 78717 I Bidder has participated in previous contract or subcontract subject to the Equal Employrpent Opportunity Clause. Yes 7` No (If answer is yes,identify the most recent contract) Compliance reports were required to be filed in connection with such contract or subcont ct. Yes No (If answer is yes,identify the most recent contract) 3 Bidda4'-t filed all compliance reports due under applicable instructions,including SF-100. Yes No None Required )fa 4, If answer to Item 3 is"No",please explain in detail on the reverse side of this certification. Certification — The information above is true and complete to the best of my knowledge and belief. Paul :mum,Pres' ant (Nam an. Titl of gner—please type) / 5 i^2f� Sr 4 ature Date H1,•4238 0 o 71Z4As \l N S L ccc cc \tk S cc\ S ls• .S 0 ecc 1 Attachment M CLEAN AIR AND WATER CERTIFICATION (For all contracts exceeding$100,000 including indefinite quantities where the amount is expected to exceed$100,000 In any year) The Bidder certifies that: 1.Any facility to be used in the performance of this proposed contract is not listed on the Environmental Protection Agency List of Violating Facilities; 2. The bidder will immediately notify the Procuring Agency, before award, of the receipt of any communication from the Administrator,or a designee,of the Environmental Protection Agency, indicating that any facility that the Bidder proposes to use for the performance of this contract is under consideration to be listed on the EPA List of Violating Facilities;and 3. The Bidder will include a certification substantially the same as this certification, including this paragraph, in every non-exempt subcontract. i Signature of Contractor's Authorized Official: Name of Contractor's Authorized Official: Paul Farn m Title of Contractor's Authorized Official: President Date: I11,/?-02_6 Attachment N CERTIFICATION ON NON-LOBBYING ACTIVITIES CERTIFICATION FOR CONTRACTS,GRANTS,AND LOANS The undersigned certifies,to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the Undersigned,to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant or Federal loan, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant or loan. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant or loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the Award documents for all subawards at all tiers (including contracts, subcontracts, and subgrants under grants and loans) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Paul Farnum _ President NA TITLE 9 ! 1�(2,02_6 lG TU DATE Attachment 0 NON-COLLUSION AFFIDAVIT OF PRIME BIDDER/SUBCONTRACTOR State of Texas) County of Williamson) City of Round Rock) Paul Farnum ,being the first duly sworn,deposes and says that: 1.He/she is of owner of Farnum Enterprises, Inc. dba B&O Construction (Owner,partner,etc.) (Company] the Bidder that has submitted the attached Bid; 2.He/she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; 3.Such Bid is genuine and is not a collusive or sham Bid; 4.Neither the said Bidder nor any of its officers,partners,owners,subcontractors,agents, representatives,employees or parties in interest including this affiant,has in any way colluded, conspired,connived or agreed,directly or indirectly,with any other Bidder,firm or person to submit a sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract,or has in any manner,directly or indirectly sought by agreement or collusion or communication or conference with any other Bidder,firm or person to fix price or prices in the attached Bid or of any other Bidder,or to fix overhead,profit or cost element of the bid price or the bid price of any other bidder,or to secure through any collusion,conspiracy, connivance or unlawful agreement and advantage against the City of Round Rock; 5.No member of the City Council,or any person in the employ of the City is directly or indirectly interested in the bid,or the work to which it relates,or in any portion of the profits thereof;and, 6.The price of prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy,connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives,owners,employees or parties in interest including this affiant; 7.I have read and understand the document and agree(s)to comply with the terms and conditions contained as t date her of;8.I the Bidder am not indebted to the City of Round kck in any form or manner. !%� } Signature Date: 1l/� i �/ /2o�J Title: President Notary: (Apply Notary Seal)(Print or type names under all signatures) His Gibi h Notary MNY•••H1••nY•MMN•WNM•N PHYLLIS GIOICH lD I128775495 My Commission Expires Oc'aae.et) zoz� Attachment P This form to be submitted with Bid: MINORITY AND WOMEN'S BUSINESS ENTERPRISE UTILIZATION WORKSHEET Grant Applicant City of Round Rock Project Number IFB 26-007 Contractor/Engineer Famum Enterprises,Inc.dba B&O Construction Address,City,State,and Zip 16238 Hwy 620 North,Suite F405,Austin,TX 78717 Contact Person Paul Famum Telephone No 512-423-6836 Amount of Contract MBE Percentage WBE Percentage: I. MBE x Subcontractor WBE Address,City,State,Zip Contact Person Asiancontrador©gmail.com Amount of Subcontract Tax ID Number Scope Of Work solicited by email,no response received 2. MBE ' Subcontractor WBE x Address,City,State,Zip Contact Person info(p'Ibrwame.org Amount of Subcontract Tax ID Number Scope Of Work solicited by email,no response received 3. MBE x Subcontractor WBE Address,City,State,Zip Contact Person brc-pro{ swbell.net Amount of Subcontract Tax ID Number Scope Of Work solicited by email.no response received 4. MBE Subcontractor WBE Address,City,State,Zip Contact Person Amount of Subcontract Tax ID Number Scope Of Work Attachment SECTION 3 FREQUENTLY ASKED QUESTIONS WHAT IS SECTION 3? Section 3 is a provision of the Housing and Urban Development(HUD)Act of 1968 which ensures that employment and other economic opportunities generated by certain HUD financial assistance shall,to the greatest extent feasible,be directed to low and very low-income persons. The City of Round Rock is committed to promoting employment,contracting,and training opportunities to low and very low-income individuals and to business concerns who employ such individuals. WHICH CITY OF ROUND ROCK PROJECTS ARE SUBJECT TO SECTION 3 REQUIREMENTS? Section 3 projects include housing rehabilitation,housing construction and other public construction (infrastructure,public facilities,park improvements etc.)assisted under the Community Development Block Grant Program(CDBG)when the total funding amount exceeds$200,000. WHAT IS A SECTION 3 BUSINESS CONCERN? A Section 3 Business Concern is a business that meets at least one of the following criteria,documented within the last 6 months: 1.At least 51%owned and controlled by low or very low income persons;or 2.Over 75%of the labor hours performed for the business over the prior 3-month period were performed by Section 3 workers;or 3.A business at least 51%owned and controlled by current public housing residents or residents who currently live in Section 8-assisted housing. If your business meets the criteria as noted above,please register as a Section 3 Business Concern on the HUD Section 3 Business Registry database here: hops;//portalapps.hud.Pov/Sec3BusReg/BRegistry/What •Please note that registry on this database DOES NOT GUARANTEE contract preference.The City of Round Rock must still review and verify the attached certifications and provide final approval. WHO IS A LOW-INCOME PERSON?To determine if a person is considered low-income,please refer to the FY2021 HUD Individual Income Limits included in the attached Section 3 Eligibility Guidelines. WHO IS A"SECTION 3 WORKER"? A Section 3 worker is any worker who currently meets,or when hired within the past 5 years met,at least one of the following categories: 1.The worker's income for the previous or annualized calendar year is below the income limit established by HUD;or 2.The worker is employed by a Section 3 Business Concern;or 3.The worker is a YouthBuild Participant. WHO IS A"TARGETED SECTION 3 WORKER"? A Section 3 worker is any worker who currently meets,or when hired within the past 5 years met,at least one of the following categories: 1.The worker is employed by a Section 3 Business Concern;or 2.Currently meets or when hired met,at least one of the following,documented within the past 5 years: •living in the service area or the neighborhood of the project,as defined in 24 CFR Part 75.5;or •Is a YouthBuild Participant. If you have questions or need assistance,please contact the Community Development office at(512) 341-3328 Section 3 Business Concern Certification Instructions: Enter the following information and select the criteria that applies to certify your business's Section 3 Business Concern status. Business Information Name of Business. Address of Business: Name of Business Owner: Phone Number: Email: Preferred Contact Information D Same as above Name of Preferred Contact Phone Number: Email: Type of Business(select from the following options): OCorporation ❑Partnership ❑Sole Proprietorship OJoint Venture Select from ONE of the following three options below that applies and provide required documentation for verification and certification: O At least 51% of the business is owned and controlled by low or very low income persons (Refer to Eligibility Guidelines document). o Most Recent Income Tax Return Statement 0 At least 51% of the business is owned and controlled by current public housing residents or residents who currently live in Section 8-assisted housing. o Letter of verification from the Public Housing Authority ❑Over 75% of the labor hours performed for the business over the prior three-month period are performed by Section 3 workers (Refer to Eligibility Guidelines document). o Payroll Hours Log for ALL employees for the prior three-month period;and o Payroll Hours Log for the prior three-month period showing at least 75%of total hours were worked by Section 3 or Targeted Section 3 Workers; and o Section 3 or Targeted Section 3 Self-Certifications for all workers included in the 75% claim Business Concern Affirmation I affirm that the above statements (on the frontside of this form) are true, complete, and correct to the best of my knowledge and belief. I understand that businesses who misrepresent themselves as Section 3 business concerns and report false information to the City of Round Rock may have their contracts terminated as default and be barred from ongoing and future considerations for contracting opportunities. I hereby certify, under penalty of law, that the following information is correct to the best of my knowledge. Print Name: Signature: Date: Certification expires within six months of the date of signature Information regarding Section 3 Business Concerns can be found at 24 CFR 75.5 FOR ADMINISTRATIVE USE ONLY Is the business a Section 3 Business Concern based upon their certification and documentation provided? OYES ONO Reviewer Comments: EMPLOYERS MUST RETAIN THIS FORM IN THEIR SECTION 3 COMPUANCE FILE FOR FIVE YEARS. ROUND ROCK TEXAS (Instructions for completing and submitting a certificate to the City of Round Rock) Complete the certificate of insurance with the information listed below as required: A) Certificate of Insurance date B) Producer (Insurance Agency) Information -complete name, address, telephone information, & email address. C) Insured's(Insurance Policy Holder) Information-complete name&address information D) Insurer (name/names of insurance company) (The City requires all insurance companies to be Authorized to do business in the State of Texas) E) NAIC # (National Association of Insurance Commissioners, a # that is assigned by the State to all insurance companies) F) Insurer letter represents which insurance company provides which type of coverage from D. G) General Liability Insurance Policy-must have an (x) in box. Also, "Occurrence" type policy -must have an (x) in the box (occurrence policy preferred but claims made policy can be accepted with special approval) H) This section shall be filled in with "Y"for yes under Additional Insured for all coverages, except for Professional Liability and Workers' Compensation. There shall also be a "Y" for yes under all coverages for subrogation waived. I) Automobile Liability Insurance—must be checked for Any Auto, All Owned Autos, Hired Autos J) Umbrella Coverage—must be checked in this section and by occurrence whenever it is required bywritten contract and in accordance with the contract value. K) Worker's Compensation and Employers Liability Insurance - information must be completed in this section of the certificate of insurance form(if applicable) L) Builder's Risk Policy—for construction projects as designated by the City of Round Rock. Professional Liability Coverage—for professional services if required by the City of Round Rock. M) Insurance Policy#'s N) Insurance policy effective dates(always check for current dates) 0) Insurance Policy limits P) This section is to list projects,dates of projects, or location of project. Endorsements to the insurance policy(ies) must be provided separately and not in this section. The following endorsements are required by the City of Round Rock. (1) Adding the City of Round Rock as an additional insured. The "additional insured" endorsement is not required for professional liability and workers compensation insurance; and (2) Waiver of Subrogation (3) Primary and Non-Contributory (4) Cancellation Notice Q) City of Round Rock's name and address information must be listed in this section. R) Notice of cancellation, non-renewal, or material change to the insurance policy(ies)must be provided to the City of Round Rock in accordance with a cancellation notice endorsement to the policy and/or per the policy provisions based on the endorsement adding the City as an additional insured. (Sec. 1811.155, Tex. Ins. Code) S) The certificate must be signed by the Authorized Agent in this section of the certificate form. Page 5 of 6 DATED:AUGUST 2024 ROUND ROCK TEXAS ACGRIJ CERTIFICATE OF LIABILITY INSURANCE Aj DATE IMwoorrrYY) �� o2ro1no24 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT John Smith NAME: ABC Insurance Agency PHONE 812-230-0000 I M FACx IAC Nu FM. I .NM: 561 South Oak Street ADE ess: info)@abcagency.com Tampa,Florida 33333-000 INSURER(S)AFFORDING COVERAGE HNC a INSURER A: Insurance Carrier Name 00000 INSUREDNsonER s: Insurance Carrier Name D 00000 'r- ' -) 'ea Company NsuRER c. Insurance Carrier Name 00000�� 1 V 1 5630 E.4Ih m Street Insurance Carrier Name 00000 • lra�l/ NS W ER D: Houston,Texas 77010-0000 NsonERE: Insurance Carrier Name 00000 NSURER F: COVERAGES CERTFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 0 INN AWLOF AWL WEIR POLICY EFF POUCY ESP LIARS i M M'wee POLKY NUMBER IMAEYYYYI IMWODYYI X COMM RCLALOERALUAaurY EACH OCCURRENCE f 1,000,000 ■ CLAIMS-MADE n occur ry M ' i DR AMAGE4oER.o�ac�,«c.) f 100.000 �!'� EN MEDEXP(Any meoeeon) a 5•e" A _ Y Y X123456 02/15/2024 02/15/2025 PERsaNuaAovlwutY f 1,000,000 - II GEN'LAGGiEGATE LSAT APPLIES PER: I„I GENERAL AGGREGATE f 2.000,OD0 POLICY❑T.& n LOc PRODUCTS-COMP/OP AGG S 1•°°°•DDD OTHER $ AUTOMORLELIA9uTY 0 COMBINED SINGLE LIMIT:Ea acc se $ 1.000.000 m X ANY AUTO BODILY INJURY;Pr penal) $ B OWNED SCHEDUE° Y Y X4561239 02/15/2024 02/15/2025 BODILY INJURY(Pr amsRHO S AUTOS ONLY _AUTOS HRED NON-OWNED PROPERTY DAMAGE f AUTOS ONLY _AUTOS ONLY IPv az crt) El $ X uraaELIAuaa CUR EACH OCCURRENCE S 5,000.000 C excess Lets cwMSAMDE Y ,, 23456789 02/15/2024 02/15/2025 AGGREGATE $ 5,000,000 YroRxE�As COMPENSATION I f © ppEEjA� o S AND EMPLOYERS'LIAMLITY XISTATUTE I IERµ D OfFi.NEIai•'1Ia sscr EXC JDJTEWnvE I I NIA Y A1234567 02/15/2015 02/15/2025 EL EACH ACC ICENT f 1,000.000 pllarldstory In NH) EL DISEASE-EA EMPLOYEE f 1,000,000 uyye'.(Realm under 1,000,000 DESCRPT*DN OF OPERATIONS pe ow E.L DISEASE-POUCY LMIT i Buiders Risk,— 100%Ins Value E Professional Services ; ,.� L I Y Y B45678910 02/15/2024 02/15/2025 Ea.Clam 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD IMAMS/mud Remark.Senedule.may be attecn.d a more apace Is ngMnd) Additional description of insurance coverage.locations and vehicles as needed. ID la CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Round Rock ACCORDANCE WITH THE POLICY PROVISIONS. Q 221 E.Main St Round Rock,TX 78664 AUTHORIZED REPRESENTATIVE S Attention:Chef Procurement Officer Authorized Agent Signature I TI 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 6 of 6 DATED:AUGUST 2024 EXHIBIT"B" W9 FORM 10