HomeMy WebLinkAboutBid Tab/Specs Police Uniforms
June 19, 2014 Bid Tab
Estimate: N/A
Bid Security Not Required
Bidder Bid Security Bid Amount
Wertjes Uniform's
219 E 11th St. `b/f 27
Cedar Falls, IA 50613 gb-eet PA /214f4i14144,t‘
CITY OF WATERLOO , IOWA
P 1 WATERLOO POLICE DEPARTMENT
�ti& rt��� 715 Mulberry Street • Waterloo, IA 50703 • (319)291-4340 Fax(319)291-4332
I
erloo ‘o
Thursday, May 22nd, 2014
Carpenter Uniform Co.
5801 Thorton Ave
Des Moines, IA 50321
Dear Sir or Madam:
The Waterloo Police Department is presently seeking competitive sealed bids for the
upcoming fiscal year, (July 1, 2014 through June 30, 2015). These bids are for
department uniform and accessories needs.
If your business is interested in bidding on these items, please send your bid to the
City Clerk, City of Waterloo, 715 Mulberry Street, Waterloo, IA by 1:00 PM on
Thursday,June 19th, 2014.
All bids must be sealed and clearly marked, Bid Proposal for Police Uniforms,
FY 15. Bids will be acted upon at a Waterloo City Council Meeting at a later date.
Thank you for your attention to this request.
Sincerely,
AAA L/.--
Dave Mohlis
Captain
Waterloo Police Department
mohlisd@waterloopolice.corn
C: City Clerk
CFO
Finance
3�4,x.$30°om WPD WEBSITE:www.waterloopolice.com
VIGILANCE WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
� ,. �� CITY OF WATERLOO , IOWA
,coI y
, e� t PN � WATERLOO POLICE DEPARTMENT
715 Mulberry Street • Waterloo, IA 50703 • (319)291-4340 Fax(319)291-4332
(terloo ‘o
Thursday, May 22nd, 2014
Wertjes Uniforms
219 East l 1st Street
Cedar Falls, IA 50613
Dear Sir or Madam:
The Waterloo Police Department is presently seeking competitive sealed bids for the
upcoming fiscal year, (July 1, 2014 through June 30, 2015). These bids are for
department uniform and accessories needs.
If your business is interested in bidding on these items, please send your bid to the
City Clerk, City of Waterloo, 715 Mulberry Street, Waterloo, IA by 1:00 PM on
Thursday, June 19th, 2014.
All bids must be sealed and clearly marked, Bid Proposal for Police Uniforms,
FY 15. Bids will be acted upon at a Waterloo City Council Meeting at a later date.
Thank you for your attention to this request.
Sincerely,
D.,...„SLIA.,\„L"-----
Dave Mohlis
Captain
Waterloo Police Department
mohlisd@waterloopolice.com
C: City Clerk
CFO
Finance
3�`r�0 0'DDem WPD WEBSITE:www.waterloopolice.com
4iili
VIGILANCE WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
It CITY OF WATERLOO , IOWA
"ti ' WATERLOO POLICE DEPARTMENT
715 Mulberry Street • Waterloo, IA 50703 • (319)291-4340 Fax(319)291-4332
. 1terloo �o
Thursday, May 22nd, 2014
Uniform Den
1309 5tt1 Ave
Moline, IL 61265
Dear Sir or Madam:
The Waterloo Police Department is presently seeking competitive sealed bids for the
upcoming fiscal year, (July 1, 2014 through June 30, 2015). These bids are for
department uniform and accessories needs.
If your business is interested in bidding on these items, please send your bid to the
City Clerk, City of Waterloo, 715 Mulberry Street, Waterloo, IA by 1:00 PM on
Thursday,June 19th, 2014.
All bids must be sealed and clearly marked, Bid Proposal for Police Uniforms,
FY 15. Bids will be acted upon at a Waterloo City Council Meeting at a later date.
Thank you for your attention to this request.
Sincerely,
•
Dave Mohlis
Captain
Waterloo Police Department
mohlisd@waterloopolice.corn
C: City Clerk
CFO
Finance
�oLOOpo`' WPD WEBSITE:www.waterloopolice.com
3 � m
VIGILANCE WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
CITY OF WATERLOO , IOWA
rlt �- WATERLOO POLICE DEPARTMENT
t �� 715 Mulberry Street • Waterloo,IA 50703 • (319)291-4340 Fax(319)291-4332
erloo \o
Thursday, May 22nd, 2014
Guns N More, LLC
9 5th Street N.
Humboldt, IA 50548-1700
Dear Sir or Madam:
The Waterloo Police Department is presently seeking competitive sealed bids for the
upcoming fiscal year, (July 1, 2014 through June 30, 2015). These bids are for
department uniform and accessories needs.
If your business is interested in bidding on these items, please send your bid to the
City Clerk, City of Waterloo, 715 Mulberry Street, Waterloo, IA by 1:00 PM on
Thursday,June 19th, 2014.
All bids must be sealed and clearly marked, Bid Proposal for Police Uniforms,
FY 15. Bids will be acted upon at a Waterloo City Council Meeting at a later date.
Thank you for your attention to this request.
Sincerely,
co\k,
Dave Mohlis
Captain
Waterloo Police Department
mohlisd@waterloopolice.com
C: City Clerk
CFO
Finance
3���oOpo`m WPD WEBSITE:www.waterloopolice.com
VIGILANCE WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
CITY OF WATERLOO , IOWA
aPk INPlfy
��1�� WATERLOO POLICE DEPARTMENT
715 Mulberry Street • Waterloo, IA 50703 • (319)291-4340 Fax(319)291-4332
Thursday, May 22nd, 2014
Palace Clothiers
2110 Kimball Avenue
Waterloo, IA 50702
Dear Sir or Madam:
The Waterloo Police Department is presently seeking competitive sealed bids for the
upcoming fiscal year, (July 1, 2014 through June 30, 2015). These bids are for
department uniform and accessories needs.
If your business is interested in bidding on these items, please send your bid to the
City Clerk, City of Waterloo, 715 Mulberry Street, Waterloo, IA by 1:00 PM on
Thursday,June 19th, 2014.
All bids must be sealed and clearly marked, Bid Proposal for Police Uniforms,
FY 15. Bids will be acted upon at a Waterloo City Council Meeting at a later date.
Thank you for your attention to this request.
Sincerely,
j
Dave Mohlis
Captain
Waterloo Police Department
mohlisd@waterloopolice.com
C: City Clerk
CFO
Finance
LO0p
4�` o� WPD WEBSITE:www.waterloopolice.com
34g m
VIGILANCE WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
BID PROPOSAL FY 15
UNIFORMS AND ACCESSORIES
CITY OF WATERLOO,IOWA
POLICE DEPARTMENT
PREAMBLE
The undersigned being a corporation existing under the laws of the State of Iowa; a partnership consisting
of the following partners: , or an individual doing
business as , being familiar with the specifications affecting the
cost of this commodity, hereby offers to furnish said commodity to the City of Waterloo Police
Department, 715 Mulberry Street, Waterloo, Iowa, 50703.
SUBMISSION OF BIDS
Sealed bid proposals will be received by the City Clerk, City of Waterloo, 715 Mulberry Street,Waterloo,
Iowa, until 1:00 PM, on the 19th Day of June 2014. Any bids submitted after the specified time and
date shall be rejected.
SPECIFICATIONS
The bidder proposes to deliver, F.O.B., City of Waterloo Police Department, Property Section, 715
Mulberry Street, Waterloo, Iowa, 50703, winter uniforms and accessories, and summer uniforms and
accessories.
1. Male Uniform Trousers-Regular
a. Fechheimer brand, style 39400 or equivalent
b. Tropical weight
c. Poly rayon blend
d. LAPD blue
e. No stripe
f. Front zipper
2. Female Uniform Trousers -Regular
a. Fechheimer brand, style 39450 or equivalent
b. Tropical weight
c. Poly rayon blend
d. LAPD blue
e. No stripe
f. Front zipper
1
3. Male Uniform"Cargo"Type Pants
a. Fechheimer brand, style 39300 or equivalent
b. LAPD blue,tropical weight
c. Poly/Cotton or Poly/Rayon blend
d. No stripes
e. Front zipper
f. "Cargo"type side pockets
4. Female Uniform"Cargo"Type Pants
a. Fechheimer brand, style 39350 or equivalent
b. LAPD blue,tropical weight
c. Poly/Cotton or Poly/Rayon blend
d. No stripes
e. Front zipper
f. "Cargo"type side pockets
5. Male Uniform Shirt-Long Sleeve
a. Fechheimer brand, style 47W6686 or equivalent
b. LAPD blue,all weather tropical
c. 65%polyester/35%rayon
d. Epaulets
e. Badge tabs
f. Velcro closures on pocket tabs
g. Collar stays-permanent
h. Seven(7)permanent military creases
i. Waterloo Police shoulder patch sewn one inch (1") below the top seam on each
sleeve
j. Sergeant chevrons (if required) sewn one inch (1") below the Waterloo Police
shoulder patch on each sleeve
2
6. Female Uniform Blouse-Long Sleeve
a. Fechheimer brand, style 104W6686 or equivalent
b. LAPD blue, all weather tropical
c. 65%polyester/35%rayon
d. Epaulets
e. Badge tabs
f. Velcro closures on pockets
g. Collar stays -permanent
h. Seven(7)permanent military creases
i. Waterloo Police shoulder patch sewn one inch (1") below the top seam on each
sleeve
j. Sergeant chevrons(if required) sewn one inch(1")below the Waterloo Police
shoulder patch on each sleeve
k. Waist darts
7. Male Uniform Shirt- Short Sleeve
a. Fechheimer brand, style 97R6686 or equivalent
b. LAPD blue, all weather tropical
c. 65%polyester/35%rayon
d. Epaulets
e. Badge tabs
f. Velcro closures on pocket tabs
g. Collar stays-permanent
h. Open collar design
i. Seven(7)permanent military creases
j. Waterloo Police shoulder patch sewn one inch (1") below the top seam on each
sleeve
k. Sergeant chevrons(if required) sewn one inch(1")below the Waterloo Police
shoulder patch on each sleeve
3
8. Male Uniform Polo Shirt—Short Sleeve
a. Elbeco brand tactical polo,style Ufx or equivalent
b. LAPD blue and Gray
c. 100%Polyester
d. Waterloo Police embroidered badge sewn on left side centered replacing badge
tabs
e. Waterloo Police shoulder patch sewn one inch (1") below the top seam on each
sleeve
f. Sergeant chevrons(if required) sewn on the collar
g. Embroidered name on the right side opposite of the badge.
9. Female Uniform Blouse- Short Sleeve
a. Fechheimer brand, style 154R6686 or equivalent
b. LAPD blue, all weather tropical
c. 65%polyester/35%rayon
d. Epaulets
e. Badge tabs
f. Velcro closures on pocket tabs
g. Collar stays-permanent
h. Open collar design
i. Seven(7)permanent military creases
j. Waterloo Police shoulder patch sewn one inch (1") below the top seam on each
sleeve
1. Sergeant chevrons(if required) sewn one inch(1")below the Waterloo Police
shoulder patch on each sleeve
m. Waist darts
10. Female Uniform Polo Shirt—Short Sleeve
a. Elbeco brand tactical polo, style Ufx or equivalent
b. LAPD blue and Gray
c. 100%Polyester
4
d. Waterloo Police embroidered badge sewn on left side replacing badge tabs
e. Waterloo Police shoulder patch sewn one inch (1") below the top seam on each
sleeve
f. Sergeant chevrons(if required) sewn on the collar.
g. Embroidered name on the right side opposite of the badge.
11. Uniform Jacket -Winter Weight
a. Propper brand, Defender Delta Drop Panel, Style #F5472-75-450-### or
equivalent
b. Dark Navy,waist length
c. Breathable/water resistant, outer shell (waterproof, windproof, breathable lining
engineered to keep you warm and dry in all weather conditions)
d. Wind resistant shell, high performance sleeve to provide an unprecedented range
of motion.
e. Propper Defender Echo Soft shell liner and stand-alone jacket Style #F5474-07-
001-### that can be worn as a lightweight jacket or equivalent. Storage pockets
on removable liner.
f. Heavy duty zipper, two-way bellows pockets. Double storm flap with full zip to
neck collar, inside zipper storage pockets.
g. Hidden agenda flaps (Police)
h. Epaulets
i. Waterloo Police embroidered badge sewn on left side centered above pocket
replacing badge tab, as well as the soft shell liner.
j. Waterloo Police patch sewn one inch (1") below the top seam on each sleeve, as
well as the soft shell liner.
k. Sergeant chevrons (if required) sewn one inch (1") below the Waterloo Police
shoulder patch on each sleeve, as well as the soft shell liner.
12. Uniform Jacket-Winter Weight
a. 5-11 Brand, 5 in 1 jacket, style#48017-724-Navy or equivalent
b. Dark Navy,waist length
c. Breathable/water resistant outer shell (waterproof, windproof, breathable lining
engineered to keep you warm and dry in all weather conditions)
d. Wind resistant shell, high performance sleeve to provide an unprecedented range
of motion.
5
e. Removable composite liner of warm non-pill micro fleece and 100g of thinsulate
quilted to nylon. Storage pocket on removable liner, pit zips allow increased
ventilation. Long zippered side vents for quick access to equipment
f. Heavy duty zipper, two-way front fleece lined bellows pockets. Double storm
flap with full zip to neck collar, inside zipper storage pockets.
g. Hidden agenda flaps (Police)
h. Epaulets
i. Waterloo Police embroidered badge sewn on left side centered above pocket
replacing badge tab
j. Waterloo Police patch sewn one inch(1")below the top seam on each sleeve
k. Sergeant chevrons (if required) sewn one inch (1") below the Waterloo Police
shoulder patch on each sleeve
13. Uniform Jacket - Summer Weight
a. Blauer Brand, Ike, style 6045, reversible Hi-Vis, or equivalent
b. Navy blue lightweight nylon
c. Waist length
d. Breathable/water resistant
e. Heavy duty zipper
f. Waterloo Police embroidered badge sewn on left side centered above pocket
replacing badge tabs
g. Two(2) front pockets box pleated with scalloped flaps
h. Epaulets
i. Inside pocket
j. Waterloo Police patch sewn one inch(1")below the top seam on each sleeve
k. Sergeant chevrons (if required) sewn one inch (1") below the Waterloo Police
shoulder patch on each sleeve
14. Uniform Rain Coat-Long
a. Blauer Brand, style 26990 or equivalent
b. Reversible, low key black and hi-vis yellow
c. Nylon-waterproof
6
d. Both sides - snap closure
e. Zipper, if available
f. Slash pockets
15. Uniform Rain Coat- Short
a. Blauer Brand, style 233R B.Dry or equivalent
b. Reversible, low key black and hi-vis yellow
c. Nylon-waterproof
d. Both sides-snap closure
e. Zipper
f. Slash pockets
16. Uniform Rain Cover for Uniform Hat
a. Blauer brand, style 107 or equivalent
b. Reversible, low key black and hi vis yellow
c. Nylon-waterproof
17. Uniform Hat-Dress
a. Midway brand, style F-101 or equivalent
b. Frame-open mesh
c. Navy blue, detachable hat, eight(8)point elastic
18. Uniform Hat-winter
a. Blauer brand, style 5120 or equivalent
b. Acrylic pile fur peak and neck warmer
c. Navy blue nylon
d. Interlined with quilted fiberglass
19. Uniform Tie
a. S. Broome brand or equivalent
b. Clip-on tie
c. Black
7
d. 100%polyester
e. Metal clip -choke free
20. Non-Uniform Blazer(Male and Female)
a. Hardwick brand, style 13-1 or equivalent
b. 55%polyester/45%wool
c. Two(2)button single breasted
d. Patch pocket
e. Inside pockets
f. Color-navy
g. Exterior breast pocket
21. Non-Uniform Slacks-Male
a. Edwards brand, style 2750-09 or equivalent
b. Polyester/wool blend
c. Plain front
d. Belt loops
e. Two(2) front pockets
f. Two(2)rear pockets
g. Color-gray
22. Non-Uniform Slacks-Female
a. Edwards brand, style 2750-09 or equivalent
b. Polyester/wool blend
c. Plain front
d. Belt loops
e. Two(2) front pockets
f. Two(2)rear pockets
g. Color-gray
8
23. Male Dress Coat
a. Fechheimer brand, style 38800 or equivalent
b. 100%Polyester, single breasted
c. LAPD blue
d. Fully lined with 4-button front and notched lapels
e. Two box pleated breast pockets with scalloped flaps
f. Two lower simulated pockets with scalloped flaps
g. Back center vent design
h. Shoulder pads and coat front tailoring to enhance shape
of the coat
i. Inside breast pocket and lined inside sweat shield
j. Lined inside sweat shields
k. Badge tab
1. Cross-stitched shoulder straps
24. Female Dress Coat
a. Fechheimer brand, style 38833 or equivalent
b. 100%Polyester, single breasted
c. LAPD blue
d. Fully lined with 4-button front and notched lapels
e. Two box pleated breast pockets with scalloped flaps
f. Two lower simulated pockets with scalloped flaps
g. Back center vent design
h. Shoulder pads and coat front tailoring to enhance shape
of the coat
i. Inside breast pocket and lined inside sweat shield
j. Lined inside sweat shields
k. Badge tab
1. Cross-stitched shoulder straps
9
The bidder shall indicate any and all deviations from the published specifications.
All uniform orders will be issued from the Waterloo Police Department to the vendor in email form from
the Property and Evidence unit prior to measuring or fitting for any uniforms or accessories needed.
• The vendor shall not fill any orders without an email from the Property and Evidence Unit of the
Waterloo Police Department authorizing the purchase. Merchandise ordered without the approval
email will not be accepted or paid for.
• The vendor shall not honor or complete delivery on any Waterloo Police Department Uniform
Request by a police officer later than thirty(30) calendar days from the date of notification to the
vendor.
The vendor shall appropriately and accurately measure, size, and fit each individual Waterloo Police
Officer to insure an adequate,neat, and proper fit of any and all uniforms and accessories ordered.
All subsequent fittings shall be in Waterloo at the business address of the successful bidder, or in the case
of a successful bidder from outside of Waterloo, at an address mutually agreed upon by the Police
Department and the successful bidder from outside of Waterloo. All subsequent fittings, tailoring, or
alterations shall be performed on an "as needed" basis and shall be completed within a one (5) day period
of time.
The cost of any and all subsequent fittings, tailoring, or alterations needed to assure proper fit of the
uniforms shall be at no additional cost to the Waterloo Police Department.
The cost of sewing the Waterloo Police shoulder patch, sergeant chevrons, nametags, and breast badge on
the specified uniform jackets or shirts shall be included in the bid price.
The vendor shall maintain a sufficient inventory to fill the daily uniform needs and shall guarantee
delivery of larger uniform orders within thirty(30)days from date of order.
In the event the existing vendor does not retain the uniform bid,the successful bidder will purchase
a maximum of $2,500.00 of uniform inventory from the existing vendor, at the actual cost to the
existing vendor, after establishing proof of purchase price and date of purchase.
Bidders, upon request of the Waterloo Police Department, shall provide a sample for inspection by the
Waterloo Police Department of any and all uniforms and accessories bid.
Prices quoted shall be good for fiscal year 2015 (July 1, 2014 -June 30, 2015).
The Waterloo Police Department shall purchase the shoulder patches, nametags, breast badge and
sergeant chevrons and will provide them to the vendor.
The Waterloo Police Department shoulder patches, breast badge and chevrons shall remain the property
of the Waterloo Police Department. In the event the existing vendor does not retain the uniform bid, any
and all Waterloo police shoulder patches, breast badge and sergeant chevrons shall be returned to the
Waterloo Police Department.
Uniforms and accessories,to maintain uniformity, must be of the same quality and identical color to those
presently being issued. Bidders may obtain sample uniforms and accessories from the Waterloo Police
Department, Property Section, 715 Mulberry Street, Waterloo, Iowa, 50703.
10
The vendor shall deliver all requisitioned clothing items to the Waterloo Police Department, Property
Section. At time of delivery, the vendor shall provide an itemized billing for all clothing delivered. This
billing shall include the Waterloo Police Department, name of officer for whom the clothing was
requisitioned, and full price of item(s) delivered.
GENERAL REQUIREMENTS FOR SUBMISSION OF BIDS
All bids must be sealed and submitted to the City Clerk's Office in a sealed envelope clearly marked as
follows:
"BID PROPOSAL FOR POLICE UNIFORMS FY 15"
The name of the business submitting the bid must also be clearly marked on the envelope.
All bids must meet or exceed minimum specifications as previously defined. Bids that do not meet or
exceed the minimum specifications, as determined by the City, shall be rejected.
All bid prices, upon submission by bidder, are recognized by the City and vendor to be irrevocable for the
minimum of thirty(30) calendar days from date of bid opening.
Sealed bid proposals will be received by the City of Waterloo, City Clerk's Office, 715 Mulberry Street,
Waterloo, Iowa 50703, until 1:00 PM, June 19th, 2014. Any bid submitted after the specified time shall
be rejected.
OPENING AND ACCEPTANCE OF BIDS
Sealed bid proposals will be opened at the Waterloo City Council Meeting on June 19th, 2014, at 1:00
PM in the City Hall, 1st floor conference room. Bidders understand that they may be in attendance at the
bid opening.
Bids will be acted upon at a later time, which shall then be established.
Standard procedure dictates that the City of Waterloo will accept the lowest responsible bid. However,
the bidder understands that the City reserves the right to reject any bid or part thereof that is either
considered not to be responsible or not most advantageous to the City. The City will award the contract
to the responsible bidder whose bid meets or exceeds minimum specifications.
The City of Waterloo,Iowa reserves the right to reject any and all bids.
Upon acceptance of the bid, a purchase order mailed or delivered to the undersigned vendor which is
accompanied by a copy of this proposal bearing the City Clerk's signature shall constitute acceptance of
the bid and, therefore, be a legal binding agreement.
If applicable, the bidder guarantees that title conveyed shall be good and goods shall be delivered free
from security interest or other lien or encumbrance of which the City at the time of purchase had
knowledge.
CANCELLATION
The successful bidder understands that the City of Waterloo shall cancel this agreement, without notice, if
the City has knowledge that all conditions as stated in this bid proposal have not been fulfilled.
11
BID PRICES
The bidder proposes to meet or exceed the specifications for the below quoted price.
1. Male Uniform Trousers -Regular
Brand Name $ each
2. Female Uniform Trousers-Regular
Brand Name $ each
3. Male Uniform"Cargo"Type Pants
Brand Name $ each
4. Female Uniform"Cargo"Type Pants
Brand Name $ each
5. Male Uniform Shirt-Long Sleeve
Brand Name $ each
6. Female Uniform Blouse-Long Sleeve
Brand Name $ each
7. Male Uniform Shirt- Short Sleeve
Brand Name $ each
8. Male Uniform Polo Shirt—Short Sleeve
Brand Name $ each
9. Female Uniform Blouse- Short Sleeve
Brand Name $ each
10. Female Uniform Polo Shirt—Short Sleeve
Brand Name $ each
11. Uniform Jacket-Winter Weight
Brand Name $ each
12. Uniform Jacket-Winter Weight
Brand Name $ each
13. Uniform Jacket- Summer Weight
Brand Name $ each
14. Uniform Rain Coat-Long
Brand Name $ each
15. Uniform Rain Coat- Short
Brand Name $ each
16. Uniform Rain Cover for Uniform Hat
Brand Name $ each
17. Uniform Hat-Dress
Brand Name $ each
12
18. Uniform Hat-winter
Brand Name $ each
19. Uniform Tie
Brand Name $ each
20. Non-Uniform Blazer(Male and Female)
Brand Name $ each
21. Non-Uniform Slacks (Male)
Brand Name $ each
22. Non-Uniform Slacks(Female)
Brand Name $ each
23. Male Dress Coat-
Brand Name $ each
24. Female Dress Coat-
Brand Name $ each
List all deviations from the published specifications as part of this bid:
13
PAYMENT PROCEDURE
The vendor shall bill the City of Waterloo, Police Department every thirty (30) days for all uniforms and
accessories delivered to the Police Department during the preceding thirty(30)days.
The City of Waterloo Police Department, 715 Mulberry Street, Waterloo, Iowa, 50703 shall make
payment, in its entirety within thirty (30) days of receipt of invoice after acceptance of goods or services
for the preceding thirty(30)day period.
This bidder, having fully read this document, hereby acknowledges that this bid proposal completely
reflects the total bid as contained herein.
BY:
Company Name
Title:
Address
Date:
City, State, &Zip Code
Telephone: Fax:
ATTEST:
DATE:
City Clerk
14