Loading...
Contract - Community Impact Newspaper - 8/25/2016CITY OF ROUND ROCK AGREEMENT FOR DESIGN, PRINTING AND DISTRIBUTION OF SUMMER PROGRAM GUIDES FROM COMMUNITY IMPACT NEWSPAPER THE STATE OF TEXAS § CITY OF ROUND ROCK § COUNTY OF WILLIAMSON § COUNTY OF TRAVIS § KNOW ALL BY THESE PRESENTS: That this Agreement for design, printing and distribution services for the City of Round Rock's Parks and Recreation Summer Program Guides (referred to herein as the "Agreement"), is made and entered into on this the 09111, day of the month of , 2016, by and between the CITY OF ROUND ROCK, TEXAS, a home -rule muni ipality whose offices are located at 221 East Main Street, Round Rock, Texas 78664 (referred to herein as the "City") and COMMUNITY IMPACT NEWSPAPER, whose offices are located at 16225 Impact Way, Suite 1, Pflugerville, Texas 78660 (referred to herein as the "Services Provider"). RECITALS: WHEREAS, City desires, to purchase design, printing and distribution services for the City's Summer Program Guides, and City desires to procure same from Services Provider; and WHEREAS, City has issued its "Invitation for Bid" for the provision of said goods and services, and City has selected the Bid submitted by the Services Provider; and WHEREAS, the parties desire to enter into this Agreement to set forth in writing their respective rights, duties, and obligations; NOW, THEREFORE, WITNESSETH: That for and in consideration of the mutual promises contained herein and other good and valuable consideration, sufficiency and receipt of which are hereby acknowledged, it is mutually agreed between the parties as follows: 1.01 DEFINITIONS A. Agreement means the binding legal contract between City and Services Provider whereby City is obligated to buy specified services and Services Provider is obligated to sell same. The Agreement includes the following: (a) City's Invitation for Bid designated Solicitation Number 16-016 dated April 2016; (b) Services Provider's Response to the IFB; (c) contract award; and (d) any exhibits, addenda, and/or amendments thereto. Any inconsistencies or conflicts in the contract documents shall be resolved by giving preference in the following 00360359/ss2 order: (1) This Agreement; (2) Services Provider's Response to IFB; (3) City's Invitation for Bids, exhibits, and attachments. B. City means the City of Round Rock, Williamson and Travis Counties, Texas. C. Effective Date means the date upon which the binding signatures of both parties to this Agreement are affixed. D. Force Majeure means acts of God, strikes, lockouts, or other industrial disturbances, acts of the public enemy, orders of any kind from the government of the United States or the State of Texas or any civil or military authority, insurrections, riots, epidemics, landslides, lightning, earthquakes, fires, hurricanes, storms, floods, restraint of the government and the people, civil disturbances, explosions, or other causes not reasonably within the control of the party claiming such inability. E. Goods and services mean the specified services, supplies, materials, commodities, or equipment. 2.01 EFFECTIVE DATE, INITIAL TERM, AND ALLOWABLE RENEWALS A. This Agreement shall be effective on the date it has been signed by both parties hereto, and shall remain in full force and effect unless and until it expires by operation of the term stated herein, or until terminated or extended as provided herein. B. The term of this Agreement is for forty-eight (48) months from the effective date hereof. C. City reserves the right to review the relationship at any time, and may elect to terminate this Agreement with or without cause or may elect to continue. 3.01 CONTRACT DOCUMENTS AND EXHIBITS City selected Services Provider to supply the services as outlined in the IFB and Response to IFB submitted by Services Provider, all as specified in Exhibit "A." The intent of these documents is to formulate an Agreement listing the responsibilities of both parties as outlined in the IFB and as offered by Services Provider in its Response to the IFB. The services which are the subject of this Agreement are described in Exhibit "A" and, together with this Agreement, comprise the total Agreement and they are fully a part of this Agreement as if repeated herein in full. 2 4.01 ITEMS AWARDED; SCOPE OF WORK A. Items Awarded. All bid items on page eleven (11) of Exhibit "A" ("Attachment A: Bid Form") are awarded to Services Provider. B. Scope of Work. For purposes of this Agreement, City has issued documents delineating the required services (specifically Invitation for Bid Solicitation Number 16-016, dated April 2016). Services Provider has issued its response agreeing to provide all such required service in all specified particulars. All such referenced documents are included in Exhibit "A" attached hereto and made a part hereof for all purposes. When taken together with the appended exhibits, this Agreement shall evidence the entire understanding and agreement between the parties and shall supersede any prior proposals, correspondence or discussions. Services Provider shall satisfactorily provide all services described under the attached exhibits within the contract term specified in Section 2.01. Services Provider's undertakings shall be limited to performing services for the City and/or advising City concerning those matters on which Services Provider has been specifically engaged. Services Provider shall perform its services in accordance with this Agreement, in accordance with the appended exhibits, in accordance with due care, and in accordance with prevailing industry standards for comparable services. 5.01 COSTS City agrees to pay Services Provider the amounts set forth on pages ten (10) through fifteen (15) ("Attachment A: Bid Form") of the attached Exhibit "A" for the bid items listed on said pages. 6.01 INVOICES All invoices shall include, at a minimum, the following information: A. Name and address of Services Provider; B. Purchase Order Number; C. Description and quantity of items received or services provided; and D. Delivery or performance dates. 7.01 INTERLOCAL COOPERATIVE CONTRACTING/PURCHASING Authority for local governments to contract with one another to perform certain governmental functions and services, including but not limited to purchasing functions, is granted under Government Code, Title 7, Chapter 791, Interlocal Cooperation Contracts, Subchapter B and Subchapter C, and Local Government Code, Title 8, Chapter 271, Subchapter F, Section 271.101 and Section 271.102. Other governmental entities within the State of Texas may be extended the opportunity to purchase off of the City's bid, with the consent and agreement of the successful vendor(s) and the City. Such agreement shall be conclusively inferred for the vendor from lack of exception to this clause in the vendor's response. However, all parties hereby expressly agree that the City is not an agent of, partner to, or representative of those outside agencies or entities and that the City is not obligated or liable for any action or debts that may arise out of such independently - negotiated "piggyback" procurements. 8.01 NON -APPROPRIATION AND FISCAL FUNDING This Agreement is a commitment of City's current revenues only. It is understood and agreed that City shall have the right to terminate this Agreement at the end of any City fiscal year if the governing body of City does not appropriate funds sufficient to purchase the services as determined by City's budget for the fiscal year in question. City may effect such termination by giving Services Provider a written notice of termination at the end of its then current fiscal year. 9.01 PROMPT PAYMENT POLICY In accordance with Chapter 2251, V.T.C.A., Texas Government Code, payment to Services Provider will be made within thirty (30) days of the day on which City receives the performance, supplies, materials, equipment, and/or deliverables, or within thirty (30) days of the day on which the performance of services was complete, or within thirty (30) days of the day on which City receives a correct invoice for the performance and/or deliverables or services, whichever is later. Services Provider may charge interest on an overdue payment at the "rate in effect" on September 1 of the fiscal year in which the payment becomes overdue, in accordance with V.T.C.A., Texas Government Code, Section 2251.025(b); however, this Policy does not apply to payments made by City in the event: A. There is a bona fide dispute between City and Services Provider, a contractor, a subcontractor or supplier about the goods delivered or the service performed that cause the payment to be late; or B. The terms of a federal contract, grant, regulation, or statute prevent City from making a timely payment with federal funds; or C. There is a bona fide dispute between Services Provider and a subcontractor or between a subcontractor and its supplier about the goods delivered or the service performed that causes the payment to be late; or D. Invoices are not mailed to City in strict accordance with instructions, if any, on the purchase order or the Agreement or other such contractual agreement. 4 10.01 GRATUITIES AND BRIBES City may, by written notice to Services Provider, cancel this Agreement without liability to Services Provider if it is determined by City that gratuities or bribes in the form of entertainment, gifts, or otherwise were offered or given by Services Provider or its agents or representatives to any City officer, employee or elected representative with respect to the performance of this Agreement. In addition, Services Provider may be subject to penalties stated in Title 8 of the Texas Penal Code. 11.01 TAXES City is exempt from Federal Excise and State Sales Tax; therefore, tax shall not be included in Services Provider's charges. 12.01 ORDERS PLACED WITH ALTERNATE SERVICES PROVIDERS If Services Provider cannot provide the goods as specified, City reserves the right and option to obtain the products or services from another supplier or suppliers. 13.01 INSURANCE Services Provider shall meet all requirements as stated in the attached IFB, including all attachments and exhibits thereto, and Services Provider's bid response and as set forth at: http://www.roundrocktexas.gov/n-content/uploads/2014/12/con insurance 07.20112.pdf. 14.01 CITY'S REPRESENTATIVE City hereby designates the following representatives authorized to act in its behalf with regard to this Agreement: Roger Heaney Marketing Specialist Parks and Recreation Department 301 W. Bagdad Avenue, Suite 250 Round Rock, Texas 78664 (512) 341-3361 15.01 RIGHT TO ASSURANCE Whenever either party to this Agreement, in good faith, has reason to question the other party's intent to perform hereunder, then demand may be made to the other party for written assurance of the intent to perform. In the event that no written assurance is given within the reasonable time specified when demand is made, then and in that event the demanding party may treat such failure as an anticipatory repudiation of this Agreement. 16.01 DEFAULT If Services Provider abandons or defaults under this Agreement and is a cause of City purchasing the specified goods elsewhere, Services Provider agrees that it may be charged the difference in cost, if any, and that it will not be considered in the re -advertisement of the service and that it may not be considered in future bids for the same type of work unless the scope of work is significantly changed. Services Provider shall be declared in default of this Agreement if it does any of the following: A. Fails to make any payment in full when due; B. Fails to fully, timely and faithfully perform any of its material obligations under this Agreement; C. Fails to provide adequate assurance of performance under the "Right to Assurance" section herein; or D. Becomes insolvent or seeks relief under the bankruptcy laws of the United States. 17.01 TERMINATION AND SUSPENSION A. City has the right to terminate this Agreement, in whole or in part, for convenience and without cause, at any time upon thirty (30) days' written notice to Services Provider. B. In the event of any default by Services Provider, City has the right to terminate this Agreement for cause, upon ten (10) days' written notice to Services Provider. C. Services Provider has the right to terminate this Agreement only for cause, that being in the event of a material and substantial breach by City or by mutual agreement to terminate evidenced in writing by and between the parties. D. In the event City terminates under subsections (A) or (B) of this section, the following shall apply: Upon City's delivery of the referenced notice to Services Provider, Services Provider shall discontinue all services in connection with the performance of this Agreement and shall proceed to cancel promptly all existing orders and contracts insofar as such orders and contracts are chargeable to this Agreement. Within thirty (30) days after such notice of termination, Services Provider shall submit a statement showing in detail the goods and/or services satisfactorily performed under this Agreement to the date of termination. City shall then pay Services Provider that portion of the charges, if undisputed. The parties agree that Services Provider is not entitled to compensation for services it would have performed under the remaining term of the Agreement except as provided herein. 6 18.01 INDEMNIFICATION Services Provider shall defend (at the option of City), indemnify, and hold City, its successors, assigns, officers, employees and elected officials harmless from and against all suits, actions, legal proceedings, claims, demands, damages, costs, expenses, attorney's fees, and any and all other costs or fees arising out of, or incident to, concerning or resulting from the fault of Services Provider, or Services Provider's agents, employees or subcontractors, in the performance of Services Provider's obligations under this Agreement, no matter how, or to whom, such loss may occur. Nothing herein shall be deemed to limit the rights of City or Services Provider (including, but not limited to the right to seek contribution) against any third party who may be liable for an indemnified claim. 19.01 COMPLIANCE WITH LAWS, CHARTER AND ORDINANCES A. Services Provider, its agents, employees and subcontractors shall use best efforts to comply with all applicable federal and state laws, the Charter and Ordinances of the City of Round Rock, as amended, and with all applicable rules and regulations promulgated by local, state and national boards, bureaus and agencies. B. Services Provider acknowledges and understands that City has adopted a Storm Water Management Program (SWMP) and an Illicit Discharge Ordinance, Sections 14-139 through 14-152 of the City's Code of Ordinances, to manage the quality of the discharges from its Municipal Separate Storm Sewer System (MS4) and to be in compliance with the requirements of the Texas Commission on Environmental Quality (TCEQ) and the Texas Pollutant Discharge Elimination System (TPDES). The Services Provider agrees to perform all operations on City -owned facilities in compliance with the City's Illicit Discharge Ordinance to minimize the release of pollutants into the MS4. The Services Provider agrees to comply with of the City's stormwater control measures, good housekeeping practices and any facility specific stormwater management operating procedures specific to a certain City facility. In addition, the Services Provider agrees to comply with any applicable TCEQ Total Maximum Daily Load (TMDL) Requirements and/or I -Plan requirements. 20.01 ASSIGNMENT AND DELEGATION The parties each hereby bind themselves, their successors, assigns and legal representatives to each other with respect to the terms of this Agreement. Neither party shall assign, sublet or transfer any interest in this Agreement without prior written authorization of the other party. 21.01 NOTICES All notices and other communications in connection with this Agreement shall be in writing and shall be considered given as follows: 7 When delivered personally to the recipient's address as stated in this Agreement; or 2. Three (3) days after being deposited in the United States mail, with postage prepaid to the recipient's address as stated in this Agreement. Notice to Services Provider: Community Impact Newspaper 16225 Impact Way, Suite 1 Pflugerville, TX 78660 Notice to City: City Manager Stephen L. Sheets, City Attorney 221 East Main Street AND TO: 309 East Main Street Round Rock, TX 78664 Round Rock, TX 78664 Nothing contained herein shall be construed to restrict the transmission of routine communications between representatives of City and Services Provider. 22.01 APPLICABLE LAW; ENFORCEMENT AND VENUE This Agreement shall be enforceable in Round Rock, Texas, and if legal action is necessary by either party with respect to the enforcement of any or all of the terms or conditions herein, exclusive venue for same shall lie in Williamson County, Texas. This Agreement shall be governed by and construed in accordance with the laws and court decisions of the State of Texas. 23.01 EXCLUSIVE AGREEMENT This document, and all appended documents, constitutes the entire Agreement between Services Provider and City. This Agreement may only be amended or supplemented by mutual agreement of the parties hereto in writing, duly authorized by action of the City Manager or City Council. 24.01 DISPUTE RESOLUTION City and Services Provider hereby expressly agree that no claims or disputes between the parties arising out of or relating to this Agreement or a breach thereof shall be decided by any arbitration proceeding, including without limitation, any proceeding under the Federal Arbitration Act (9 USC Section 1-14) or any applicable state arbitration statute. 25.01 SEVERABILITY The invalidity, illegality, or unenforceability of any provision of this Agreement or the occurrence of any event rendering any portion or provision of this Agreement void shall in no way affect the validity or enforceability of any other portion or provision of this Agreement. Any void provision shall be deemed severed from this Agreement, and the balance of this Agreement shall be construed and enforced as if this Agreement did not contain the particular portion or provision held to be void. The parties further agree to amend this Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. The provisions of this section shall not prevent this entire Agreement from being void should a provision which is of the essence of this Agreement be determined void. 26.01 MISCELLANEOUS PROVISIONS Standard of Care. Services Provider represents that it employs trained, experienced and competent persons to perform all of the services, responsibilities and duties specified herein and that such services, responsibilities and duties shall be performed in a manner according to generally accepted industry practices. Time is of the Essence. Services Provider understands and agrees that time is of the essence and that any failure of Services Provider to fulfill obligations for each portion of this Agreement within the agreed timeframes will constitute a material breach of this Agreement. Services Provider shall be fully responsible for its delays or for failures to use best efforts in accordance with the terms of this Agreement. Where damage is caused to City due to Services Provider's failure to perform in these circumstances, City may pursue any remedy available without waiver of any of City's additional legal rights or remedies. Force Majeure. Neither City nor Services Provider shall be deemed in violation of this Agreement if it is prevented from performing any of its obligations hereunder by reasons for which it is not responsible as defined herein. However, notice of such impediment or delay in performance must be timely given, and all reasonable efforts undertaken to mitigate its effects. Multiple Counterparts. This Agreement may be executed in multiple counterparts, any one of which shall be considered an original of this document; and all of which, when taken together, shall constitute one and the same instrument. [Signatures on the following page.] 0 IN WITNESS WHEREOF, City and Services Provider have executed this Agreement on the dates indicated. City of Round Rock, Texas By: L Printed Na Title: Date Signed: Attest: By: Sara White, City Clerk For City, �4roveqas to orm: By: ' L. 0 Stephan Sheets, City Attorney E Community Impact Newspaper By: A�: �- — Printed Na S�.JoY Title: al !!ik •amour Date Signed: q l ll l I :K TEXAS City of Round Rock, Texas Purchasing Division 221 East Main Street Round Rock, Texas 78664-5299 www.roundrocktexas.gov INVITATION FOR BID Program Guides SOLICITATION - IFB No. 16-016 April 2016 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 CITY OF ROUND ROCK INVITATION FOR BID FOR PROGRAM GUIDES PART GENERAL 1. PURPOSE: The City of Round Rock, herein after "the City" seeking formal bids for a multi-year contract with a qualified Individual, Firm or Corporation, hereafter referred to as "Respondent', for the design, printing and distribution by direct mail or other means to approximately 32,000 City of Round Rock — Parks and Recreation Department program guides to City of Round Rock residents. An additional quantity of 3,000 program guides shall also be printed and delivered to the City of Round Rock — Parks and Recreation Department (PARD) at 301 W. Bagdad, Round Rock, Texas 78664 2. BACKGROUND: The City of Round Rock — Parks and Recreation Department distributes program guides to all Round Rock residents two times a year for the Summer and Spring/Fall/Winter. The program guides are full color and are inserted into the Community Impact Newspaper that are distributed to all Round Rock Residents. The program guides list and promote all PARD special events and programming. 3. ATTACHMENTS: Attachment A through C, are herein made part of this invitation for bid 3.1 Attachment A: Bid Sheet 3.2 Attachment B: Reference Sheet 3.3 Attachment C: Addendum Acknowledgment Form 4. CLARIFICATION: For questions or clarification of specifications, you may contact: Mike Schurwon, CPPB, CTPM Purchaser Purchasing Department City of Round Rock E-mail: mschurwon(a)-roundrocktexas.gov The individual listed above may be contacted by e-mail for clarification of the specifications only. No authority is intended or implied that specifications may be amended or alterations accepted prior to solicitation opening without written approval of the City of Round Rock through the Purchasing Department. 5. RESPONDENT QUALIFICATIONS: The City has established the following minimum qualifications. Respondents who do not meet the minimum qualifications will not be considered for award. The Respondent shall: 5.1. Be firms, corporations, individuals or partnerships normally engaged in providing program guides as specified herein and have adequate organization, facilities, equipment, financial capability, and personnel to ensure prompt and efficient delivery of City of Round Rock - Parks and Recreation program guide to the City of Round Rock residents and the City of Round Rock — Parks and Recreation Department; Page 2 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 5.2. Be domiciled in or have a home office inside the United States. Respondents domiciled outside the United States, or not having a home office inside the United States will not be included for consideration in this procurement process; 6. SUBCONTRACTORS: Respondent shall not subcontract or otherwise engage subcontractors for the required printing and distribution of program guides. The City seeks to do business directly with a company experienced in providing the required design, printing and distribution of program guides. 7. DAMAGE: The Respondent shall be responsible for damage to the City's equipment and/or property, the workplace and its contents by its work, negligence in work, its personnel and equipment usage. 8. SAFETY: The City reserves the right to remove any employee from any City of Round Rock resident's property for violation of federal, state, and local health, safety and environmental laws, ordinances, rules and regulations. The Respondent shall: 8.1. Ensure that all employees comply with all Occupational Safety and Health Administration (OSHA), State, City, and Dell Diamond Baseball Stadium safety and occupational health standards and other applicable federal, state, and local health, safety, and environmental laws ordinances, rules and regulations during delivery of outdoor light fixtures; 8.2. Be held responsible for the safety of their employees and unsafe acts or conditions that may cause injury or damage to any persons or property within and around the delivery site. In case of conflict, the most stringent safety requirement shall govern; 8.3. Indemnify and hold the City and Dell Diamond Baseball Stadium harmless from and against all claims, demands, suits, actions, judgments, fines penalties and liability of every kind arising from the breach of the Successful Respondents' obligations under this paragraph. 9. PRICING: The Respondent shall determine and submit a fixed cost for the printing, delivery, and distribution of all City of Round Rock — Parks and Recreation Department program guide and shall include all 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. 10. ACCEPTANCE/INSPECTION: All program guide deliveries shall be made directly to approximately 32,000 City of Round Rock residents. An additional delivery of 3,000 program guides shall also be delivered to the City of Round Rock — Parks and Recreation Department. The awarded vendor will be notified within one (1) business day if the program guide delivered are not in full compliance with the specifications. In the event the program guide are not printed to the satisfaction of the City of Round Rock — Parks and Recreation Department, the City shall notify awarded vendor the same business day in order to reschedule the required program guide for the redelivery once any printing deficiencies have been corrected and program guides have been reprinted. If any agreement or purchase order is cancelled for non-acceptance, the required program guides may be purchased elsewhere and the vendor may be charged liquidated damages. Page 3 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 PART II SPECIFICATIONS 1. SCOPE: The City of Round Rock is requesting invitation for bids for the design (City of Round Rock — Parks and Recreation Department to provided text, photos, and logos), printing, and distribution by direct mail or other means approximately 32,000 each, program guides to City of Round Rock residents as outlined below: 2. PROPRIETARY PURCHASE: This solicitation is being advertised in accordance with Texas Government Code, Title 10, Subtitle D, Chapter 2155, Subchapter B, Section 2155.067. 3. PRODCUT SPECIFICATIONS: 3.1. Fall -Winter - Spring Program Guides —"Design, Printing, and Distribution" Quantity: 32,000 Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite -56 pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock (client) Delivery: Deliver program guide to 32,000 plus Round Rock residents 3.2. Fall -Winter - Spring Program Guides — "Printing Only" Quantity: 3,000 Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite -56 pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock (client) Delivery: Price to include delivery to the City of Round Rock - Parks and Recreation Department, 301 W. Bagdad, Round Rock, Texas 78664 3.3. Summer Program Guides —"Design, Printing, and Distribution" Quantity: 32,000 Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite -56 pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock (client) Delivery: Deliver program guide to 32,000 plus Round Rock residents 3.4. Summer Program Guides — "Printing Only" Quantity: 3,000 Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite -56 pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock (client) Page 4 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Delivery: Price to include delivery to the City of Round Rock - Parks and Recreation Department, 301 W. Bagdad, Round Rock, Texas 78664 NOTE: Delivery dates exclude the City of Round Rock and Dell Diamond Baseball Stadium holidays as follows: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, Christmas Day (and either working day before or after). 4. POINT OF CONTACT / DESIGNATED REPRESENTATIVE: 4.1. Respondent's point of contact: In order to maintain consistent standards of quality work performed, the City shall be provided with a designated and identified point of contact upon award of the contract to include contact information. The City's designated representative shall be notified by the Respondent immediately should the point of contact change. 4.2. The City's designated representative: The City's designated representative shall be Roger Heaney Marketing/Communications/Media Relations City of Round Rock — Parks & Recreation Division rheaney(aD-roundrocktexas.gov 5. WORKFORCE: Successful Respondent shall: 5.1. Ensure respondent's employees provide the products in a timely, professional and efficient manner; 5.2. Ensure respondent's employees, while delivering the required program guides on City of Round Rock and resident's property, wear a company uniform that clearly identifies them as the Respondent's employee; 5.3. 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. 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 outdoor program guide needed to satisfy requirements within budgetary constraints, which may be more or less than indicated. Page 5 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 PART III SCHEDULE AND RESPONSE INSTRUCTIONS SCHEDULE OF EVENTS: It is the City's intention to comply with the following solicitation timeline: EVENT DATES Solicitation released April 28, 2016 Deadline for submission of questions May 6, 2016 @ 5:00 PM, CST City responses to questions or addendums May 9 2016 @ 5:00 PM, CST Deadline for submission of responses May 17, 2016 @ 3:00 PM, CST All questions regarding the solicitation shall be submitted in writing by May 6, 2016, @ 5:00 p.m., CST on the due date noted above. A copy of all the 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 hftp://www.roundrocktexas.gov/.bids Questions shall be submitted to the City contact named herein. The City reserves the right to modify these dates. Notice of date change will be posted to the City's website. SOLICITATION UPDATES: Respondents shall be responsible for monitoring the City's website at ham://www.roundrocktexas.gov/bids 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. 3. RESPONSE DUE DATE: Signed and sealed responses are due at or before May 17, 2016 @ 3:00 p.m., on the due date noted in Part III, Section 1. Mail or hand deliver sealed responses to: City of Round Rock 221 E. Main Street — City Hall 1s' Floor Reception Desk Attn: Mike Schurwon, CPPB, CTPM Purchaser Round Rock, Texas 78664-5299 3.1 Sealed responses shall be clearly marked on the outside of packaging with the solicitation address as listed above, bid number (IFB No. 16-016), title (Program Guides), due date and "DO NOT OPEN". 3.2 Facsimile or electronically transmitted responses are not acceptable. 3.3 Responses cannot be altered or amended after opening. 3.4 No response can be withdrawn after opening without written approval from the City for an acceptable reason. 3.5 The City will not be bound by any oral statement or offer made contrary to the written specifications. 3.6 Samples and/or copies shall be provided at the Respondent's expense, and shall become the property of the City. Page 6 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 4. 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 and Dell Diamond Baseball Stadium. In determining best value, the City may consider: 4.1 Purchase price; 4.2 Reputation of Respondent and of Respondent's goods and services; 4.3 Quality of the Respondent's goods and services; 4.4 The extent to which the goods and services meet the Dell Diamond Baseball Stadium needs; 4.5 Respondent's past performance with the City; 4.6 The total long-term cost to the City to acquire the Respondent's goods or services; 4.7 Delivery time (will be a factor in determining an award); 4.8 Any relevant criteria specifically listed in the solicitation. Respondents may be contacted for clarification of bid and/or to discuss details of the program guides they are proposing. This may include a presentation and/or the request for additional material/information to clarify. 5. 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. Award announcement will be made upon City Council approval of staff recommendation and executed agreement. Award announcement will appear on the City's website at: hftp://www.roundrocktexas.gov/bids 6. POST AWARD MEETING: The City and Successful Respondent(s) may have a post award meeting to discuss, but not be limited to the following: 6.1 The method to provide a smooth and orderly transition of services performed from the current contractor; 6.2 Provide City contact(s) information for implementation of agreement. 6.3 Identify specific milestones, goals and strategies to meet objectives. 7. NON -APPROPRIATION: The resulting agreement is a commitment of the City's current revenues only. It is understood and agreed the City shall have the right to terminate the agreement in the City's current fiscal year if the governing body of the City does not appropriate funds sufficient to purchase the estimated quantities, as determined by the City's budget for the fiscal year in question. The City may affect such termination by giving Vendor a written notice of termination at the end of its then current fiscal year. PART IV RESPONSE REQUIREMENTS The City of Round Rock makes no warranty that this checklist is a full comprehensive listing of every requirement specified in the solicitation. This list is only a tool to assist participating Respondents in compiling their final responses. Respondents are encouraged to carefully read the entire solicitation. Respondents shall submit one (1) evident signed "Original" response and two (2) copies of the response requirements including any required attachments. The samples and/or copies shall be provided at the Respondent's expense, and shall become the property of the City. Page 7 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 This invitation for bid (IFB) does not commit the City to contract for any supply or service. Respondents are advised that the City will not pay for any administrative costs incurred in response preparation to this IFB; all costs associated with responding to this IFB will be solely at the interested parties' expense. Not responding to this IFB does not preclude participation in any future IFB/RFQ/RFP. For your bid to be responsive, all required items identified below shall be submitted with your proposal. Attachment A: Responses shall be submitted on itemized, signed bid sheet provided herein. Failure to itemize or sign solicitation may result in disqualification. Submission of responses on forms other that the City's solicitation document may result in disqualification of the response. Attachment B: Provide the name, address, telephone number and e-mail of at least three (3) municipal, government agencies or firms of comparable size that have utilized similar service within the last two (2) years. City of Round Rock references are not applicable. References may be checked prior to award. Any negative responses received may result in disqualification of submittal. Attachment C: Provide signed copy of the addendum acknowledgement form or a signed copy of each issued addendum with bid upon submission. Additional Information Requested: Contract Information: Respondent shall provide information of any current established contract with a local City, County, Municipality, Cooperative Agreement, Comptroller of Public Accounts (CPA) Texas Smart Buy Contract, Texas Multiple Award Schedule (TXMAS), General Services Administration (GSA), Inter -local Agreement, or any other contractual resource. The following items shall be made available upon request by the City prior to award and the approval of any contract: Proof of insurance for General Liability, Worker's Compensation and standard automobile liability coverage as set forth by the Insurance Requirements as identified on the City's website at: http://www.roundrocktexas.gov/bids PART V CONFIDENTIALITY OF CONTENT CONFIDENTIALITY OF CONTENT: All documents submitted in response to a solicitation shall be subject to the Texas Public Information Act. Following an award, responses are subject to release as public information unless the response or specific parts of the response can be shown to be exempt from the Texas Public Information Act. Pricing is not considered to be confidential under any circumstances. 1.1 Information in a submittal that is legally protected as a trade secret or otherwise confidential must be clearly indicated with stamped, bold red letters stating "CONFIDENTIAL" on that section of the document. The City will not be responsible for any public disclosure of confidential information if it is not clearly marked as such. 1.2 If a request is made under the Texas Public Information Act to inspect information designated as confidential, the Respondent shall, upon request from the City, furnish sufficient written reasons and information as to why the information should be protected from disclosure. The matter will then be presented to the Attorney General of Texas for final determination. Page 8 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 PART VI GENERAL TERMS AND CONDITIONS / INSURANCE REQUIREMENTS (ITEMS BELOW APPLY TO AND BECOME A PART OF THE CONTRACT) INSURANCE: The Respondent shall meet or exceed all insurance requirements set forth by the Insurance Requirements as identified on the City's website at: http://www.roundrocktexas.gov/bids 2. DEFINITIONS, TERMS AND CONDITIONS: By submitting a response to this solicitation, the Respondent agrees that the City's standard Definitions, 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. Said Definitions, Terms and Conditions are subject to change without notice. It is the sole responsibility of respondents to stay apprised of changes. The City's Definitions, Terms and Conditions can be obtained from the City's website http://www.roundrocktexas.gov/bids 3. PROMPT PAYMENT POLICY: Payments will be made in accordance with the Texas Prompt Payment Law, Texas Government Code, Subtitle F, Chapter 2251. The City will pay Vendor within thirty days after the acceptance of the supplies, materials, equipment, or the day on which the performance of services was completed or the day, on which the City receives a correct invoice for the supplies, materials, equipment or services, whichever is later. The Vendor may charge a late fee (fee shall not be greater than that which is permitted by Texas law) for payments not made in accordance with this prompt payment policy; however, this policy does not apply to payments made by the City in the event: PART VI GENERAL TERMS AND CONDITIONS / INSURANCE REQUIREMENTS (CONTINUED) (ITEMS BELOW APPLY TO AND BECOME A PART OF THE CONTRACT) 3.1 There is a bona fide dispute between the City and Vendor concerning the supplies, materials, services or equipment delivered or the services performed that causes the payment to be late; or 3.2 The terms of a federal agreement, grant, regulation, or statute prevent the City from making a timely payment with Federal Funds; or 3.3 The is a bona fide dispute between the Vendor and a subcontractor or between a subcontractor and its suppliers concerning supplies, material, or equipment delivered or the services performed which caused the payment to be late; or 3.4 The invoice is not mailed to the City in strict accordance with instructions, if any, on the purchase order or agreement or other such contractual agreement. Page 9 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Solicitation Number: z O Solicitation Name: QOpening Date: ct; Opening Time: O ly z z Opening Location: O ATTACHMENT A: BID FORM (Total of 5 pages starting on pages 10 of 17 —15 of 17)) PURCHASING DEPARTMENT 221 E. Main Street - Round Rock, Texas 78664-5299 #16-016 Item # PROGRAM GUIDES O C May 17, 2016 Q Parks & Recreation 2016 - 2017— On or Before 3:00 p.m. a CST O w City of Round Rock z F City Hall W A 221 E. Main Street z Number of Pages: 60 O Round Rock, TX 78664 tr w I x HON DID YOU HEAR ABOUTTHISF-1Newspaper SOLICITATION? lst T1111E FD RESPONDING TO YCS ON, THE CITY? Tax ID Number: Business Name: Address: Address: Contact: Telephone: E-mail: Website: City's Website F-� E-mail Announcement 1-1 ESBD Other ARE YOU REGISTERED WITH Yes No Register at: VENDOR CFNTRAI? http://roundrocktexas.gov/departments/purchasing/ Bidder(s) to quote pricing to provide program guides for line items 1 - 16 as follows: Item # Description Quantity Unit of Measure Unit Price Extended Price Parks & Recreation 2016 - 2017— Fall-Winter-Spring Program Guide "Design, Printing, and Distribution" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 1 pages 32,000 Ea. Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Page 10 of 17 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Page 11 of 18 EXHIBIT "A" Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Attachment A: Bid Form (Continued) Parks & Recreation 2016 — 2017 — Fall -Winter -Spring Program Guide "Printing Only" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 pages I/ ��� 2 3,000 Each Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664. Parks & Recreation 2017—Summer Program Guide "Design, Printing, and Distribution" Number of Pages: 60 Cover: 100# Gloss — 4 pages 2 $ s Interior Pages: 35#80 Hi -Brite 56 32,000 Each t � � 63 pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Parks & Recreation 2017 — Summer Program Guide "Printing Only" Number of Pages: 60 Cover: 100# Gloss — 4 pages C (, , L+ 4 Interior Pages: 35#80 Hi -Brite 56 3,000 Each pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Page 11 of 18 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Page 12 of 18 EXHIBIT "A" Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664, Attachment A: Bid Form (Continued) Parks & Recreation 2017— 2018 Fall -Winter -Spring Program Guide "Design, Printing, and Distribution" Number of Pages: 60 Cover: 100# Gloss — 4 pages �3 5 Interior Pages: 35#80 Hi -Brite 56 32,000 Each z pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Parks & Recreation 2017 — 2018 — Fall -Winter -Spring Program Guide "Printing Only" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 pages 6 Full color throughout 3,000 Each Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664. Parks & Recreation 2018—Summer Program Guide "Design, Printing, and Distribution"; Number Pages: 7 of 60 32,000 Each Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 pages Full color throughout Frequency: One time publication Page 12 of 18 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Page 13 of 18 EXHIBIT "A" Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Attachment A: Bid Form (Continued) Parks & Recreation 2018 — Summer Program Guide "Printing Only" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 8 pages 3,000 Each Ful Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664. Parks & Recreation 2018— 2019 Fall -Winter -Spring Program Guide "Design, Printing, and Distribution" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 3' s pages 32,000 Each Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department, Parks & Recreation 2018 — 2019 — Fall -Winter -Spring Program Guide "Printing Only" Number of Pages: 60 10 Cover: 100# Gloss — 4 pages 3,000 Each Interior Pages: 35#80 Hi -Brite 56 pages Full color throughout Frequency: One time publication Text, photos, and logos to be Page 13 of 18 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Page 14 of 18 EXHIBIT "A" provided by City of Round Rock — Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664. Attachment A: Bid Form (Continued) Parks & Recreation 2019—Summer Program Guide "Design, Printing, and Distribution" Number of Pages: 60 11 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 32,000 Each O. ka pages Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Parks & Recreation 2019 — Summer Program Guide "Printing Only" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 pages Full color throughout 12 Frequency: One time publication 3,000 EachL. Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664. Parks & Recreation 2019 — 2020 Fall -Winter -Spring Program Guide "Design, Printing, and Distribution" Number of Pages: 60 Cover: 100# Gloss 4 13 — pages 32,000 Each Interior Pages: 35#80 Hi -Brite 56 pages Full color throughout Frequency: One time publication Text, photos, and logos to be Page 14 of 18 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Page 15 of 18 EXHIBIT "A" provided by City of Round Rock — Parks & Recreation Department. Attachment A: Bid Form (Continued) Parks & Recreation 2019 — 2020 — Fall -Winter -Spring Program Guide "Printing Only" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 es L'' $I, 4L�v 14 Fullcolorcolor throughout 3,000 Each Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664. Parks & Recreation 2020—Summer Program Guide "Design, Printing, and Distribution" Number of Pages: 60 Cover: 100# Gloss — 4 pages Interior Pages: 35#80 Hi -Brite 56 O. 15 pages 32,000 Each Full color throughout Frequency: One time publication Text, photos, and logos to be provided by City of Round Rock — Parks & Recreation Department. Parks & Recreation 2020 — Summer Program Guide "Printing Only" Number of Pages: 60 16 Cover: 100# Gloss — 4 pages 3,000 Each d"1, `+`4-C) Interior Pages: 35#80 Hi -Brite 56 pages Full color throughout Frequency: One time publication Text, photos, and logos to be Page 15 of 18 EXHIBIT "A" City of Round Rock Program Guides IFB No. 16-016 Class/Items: 966-60 / 966-63 April 2016 ATTACHMENT B: RESPONDENT'S REFERENCE SHEET PLEASE COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION RESPONSE SOLICITATION NUMBER: RESPONDENT'S NAME: DATE: 1 t L Provide the name, address, telephone number and e-mail of at least three (3) Municipal and/or Government agencies or firms of comparable size that have utilized similar service within the last two (2) years. City of Round Rock references are not applicable. References may be checked prior to award. Any negative responses received may result in disqualification of submittal. Company's Name Ut-y d� A ` Name of Contact K t G wv�S Title of Contact Lo; E -Mail Address �C� . CSLJa.v� � 0.�.�i✓� �a-S .Nov Present Addressc)0� City, State, Zip Code Telephone Number (�jl 2) �'� 2 C'�(�� Fax Number: ( ) Company's Name Uo � 4 FrtSc-i�) Name of ContactT � 0_V\'0_ Title of Contact E -Mail Address L{ bcur�@ tY�SCz,�A tiy Present Address City, State, Zip Code �irtSw�T�L ''15p3` { Telephone Number 7_9 2. 51jVp Fax Number: ( ) 3. Company's Name Name of Contact Page 16 of 18 EXHIBIT "A" provided by City of Round Rock — Parks & Recreation Department. Price to include delivery to CoRR, Parks & Recreation Dept., 301 W. Bagdad, Round Rock, TX 78664, ATTACHMENT B: RESPONDENT'S REFERENCE SHEET PLEASE COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION RESPONSE SOLICITATION NUMBER: RESPONDENT'S NAME: DATE: 1 t L Provide the name, address, telephone number and e-mail of at least three (3) Municipal and/or Government agencies or firms of comparable size that have utilized similar service within the last two (2) years. City of Round Rock references are not applicable. References may be checked prior to award. Any negative responses received may result in disqualification of submittal. Company's Name Ut-y d� A ` Name of Contact K t G wv�S Title of Contact Lo; E -Mail Address �C� . CSLJa.v� � 0.�.�i✓� �a-S .Nov Present Addressc)0� City, State, Zip Code Telephone Number (�jl 2) �'� 2 C'�(�� Fax Number: ( ) Company's Name Uo � 4 FrtSc-i�) Name of ContactT � 0_V\'0_ Title of Contact E -Mail Address L{ bcur�@ tY�SCz,�A tiy Present Address City, State, Zip Code �irtSw�T�L ''15p3` { Telephone Number 7_9 2. 51jVp Fax Number: ( ) 3. Company's Name Name of Contact Page 16 of 18 EXHIBIT "A" City of Round Rock Program Guides IF13 No. 16-016 Class/Items: 966-60 / 966-63 April 2016 Title of Contact t E -Mail Address Present Address S2 °J 2 1..k-1"'Al pcl_k by-. City, State, Zip Code Q-,yvne_i i 11 �)'%, ` f Telephone Number ( G 3(4 ) Z1 3 q15 C Fax Number: ( ) FAILURE TO PROVIDE THE REQUIRED INFORMATION WITH THE SOLICITATION RESPONSE MAY AUTOMATICALLY DISQUALIFY THE RESPONSE FROM CONSIDERATION FOR AWARD. ATTACHMENT C: ADDENDUM ACKNOWLEDGMENT FORM NOTE: If multiple addendums have been issued, respondents may complete and return this attachment with their proposal in place of the individual addendums to be submitted. Failure to provide either this form or the individual addendums with signatures may result in disqualification of the proposal. Addenda Acknowledgment: The undersigned acknowledges the receipt of the following Addenda: Addendum #: Addendum #: Addendum #: Addendum #: Addendum #: Dated: Dated: Dated: Dated: Dated: Respondent (Company): LkW"U"Vv �+ ctiC� (� SPapR✓ Signature (in ink): Name n (Typed/printed): I Title: G_9-O'A �A- (�AQ-✓ Date: �II��IcF Page 17 of 18 EXHIBIT "A" CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos, 1.4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2016-98570 JG Media dba Community Impact Newspaper Pflugerville, TX United States Date Filed: 08/12/2016 2 Name of governmental entity or state agency that is a parry to the contract for which the form is being filed. City of Round Rock Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Summer Program Guide Design & Printing of Summer Program Guide 4 Name of Interested Parry City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. ;;PYa�; AMANDA t.ANAY ALLBRIGHT i.. £ Notary Public, State of Texas My Commission Exptres f�� Oct.Q��iAAAM 2019 S nature of a th rized a t of contractin siness entity AFFIX NOTARY STAMP/ SEAL ABOVE -�Lr Sworn to and subscribed before me, by the said ✓-� iiia I ��)�1. , this the day of 20to certify which, witness my hand and seal of office. Signature of officer administering dath Printed name of officer administeride oath Title of officer 0ministering oath Forms provided by Texas Ethics Commission www.ethics.state•tx.us Version V1.0.277 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-98570 Date Filed: 08/12/2016 Date Acknowledged: 08/18/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. JG Media dba Community Impact Newspaper Pflugerville, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Round Rock 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Summer Program Guide Design & Printing of Summer Program Guide 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277