HomeMy WebLinkAboutContract 55928CSC No. 55928
FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Carahsoft
Technology Technology Corp. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule
municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B— Cooperative Agency Contract (e.g., NJPA, DIR, BuyBoard); and
4. Exhibit C— Conflict of Interest Questionnaire.
Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by
City shall be in the amount of Forty One Thousand and, Three Hundred and Sixty
Four 84/100 Dollars ($41,364.84). Vendor shall not provide any additional items or services ar
bill for expenses incurred for City not specified by this Agreement unless City requests and
approves in writing the additional costs for such services. City shall not be liable for any
additional expenses of Vendor not specified by this Agreement unless City first approves such
expenses in writing.
The term of this Agreement shall be for one year beginning on May 11, 2021 and ending
on May 10, 2022. City shall be able to renew this agreement for three one-year renewal options
by written agreement of the parties.
Vendor agrees that City shall, until the expiration of three (3) years after final payment under
this Agreement, or the final conclusion of any audit commenced during the said three years, have access
to and the right to examine at reasonable times any directly pertinent books, documents, papers and
records, including, but not limited to, all electronic records, of Vendor involving transactions relating
to this Agreement at no additional cost to City. Vendor agrees that City shall have access during
normal working hours to all necessary Vendor facilities and shall be provided adequate and
appropriate work space in order to conduct audits in compliance with the provisions of this section. City
shall give Vendor reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
To CITY:
City of Fort Worth
Attn: Valerie Washington,
Manager
200 Texas Street
Fart Worth, TX 76102-6314
Facsimile: (817) 392-8654
To VENDOR:
Carahsoft Technology Corporation
Assistant City Attn: Kristina Smith, Contracts Director
1493 Sunset Hills Road, Suite 100
Reston, Virginia 20190
Facsimile: N/A
With copy to Fort Worth City Attorney's Office
at same address
IP Indemnification. Vendor agrees to indemnify, defend, settle, or pay, at its own cost and
expense, including the payment of attorney's fees, any claim or action against the City for
infringement of any patent, copyright, trade mark, service mark, trade secret, or other intellectual
property right arising from City's use of the Deliverable(s), or any part thereof, in accordance
with the Agreement, it being understood that the agreement to indemnify, defend, settle or pay
shall not apply if City modifies or misuses the Deliverable(s). So long as Vendor bears the cost and
expense of payment for claims or actions against the City pursuant to this section 8, Vendor shall
have the right to conduct the defense of any such claim or action and all negotiations for its
settlement or compromise and to settle or compromise any such claim; however, City shall have
the right to fully participate in any and all such settlement, negotiations, or lawsuit as necessary to
protect the City's interest, and City agrees to cooperate with Vendor in doing so. In the event City,
for whatever reason, assumes the responsibility for payment of costs and expenses for any claim
or action brought against the City for infringement arising under the Agreement, the City shall
have the sole right to conduct the defense of any such claim or action and all negotiations for its
settlement or compromise and to settle or compromise any such claim; however, Vendor shall fully
participate and cooperate with the City in defense of such claim or action. City agrees to give
Vendor timely written notice of any such claim or action, with copies of all papers City may receive
relating thereto. Notwithstanding the foregoing, the City's assumption of payment of costs or
expenses shall not eliminate Vendor's duty to indemnify the City under the Agreement. If the
Deliverable(s), or any part thereof, is held to infringe and the use thereof is enjoined or restrained
or, if as a result of a settlement or compromise, such use is materially adversely restricted,
Vendor shall, at its own expense and as City's sole remedy, either: (a) procure for City the right to
continue to use the Deliverable(s); or (b) modify the Deliverable(s) to make them/it non-infringing,
provided that such modification does not materially adversely affect City's authorized use of the
Deliverable(s); or (c) replace the Deliverable(s) with equally suitable, compatible, and functionally
equivalent non-infringing Deliverable(s) at no additional charge to City; or (d) if none of the
foregoing alternatives is reasonably available to Vendor, terminate the Agreement, and refund all
amounts paid to Vendor by the City, subsequent to which termination City may seek any and all
remedies available to City under law. VENDOR'S OBLIGATIONS HEREUNDER SHALL BE
SECURED BY THE REQUISITE INSURANCE COVERAGE REQUIRED BY CITY.
Data Breach. Vendor further agrees that it will monitor and test its data safeguards from
time to time, and further agrees to adjust its data safeguards from time to time in light of relevant
circumstances or the results of any relevant testing or monitoring. If Vendor suspects or becomes
aware of any unauthorized access to any financial or personal identifiable information ("Personal
Data") by any unauthorized person or third party, or becomes aware of any other security breach
relating to Personal Data held or stored by Vendor under the Agreement or in connection with the
performance of any services performed under the Agreement or any Statement(s) of Work ("Data
Breach"), Vendor shall immediately notify City in writing and shall fully cooperate with City at
Vendor's expense to prevent or stop such Data Breach. In the event of such Data Breach, Vendor
shall fully and immediately comply with applicable laws, and shall take the appropriate steps to
remedy such Data Breach. Vendor will defend, indemnify and hold City, its Affiliates, and their
respective officers, directors, employees and agents, harmless from and against any and all claims,
suits, causes of action, liability, loss, costs and damages, including reasonable attorney fees, arising
out of or relating to any third party claim arising from breach by Vendor of its obligations
contained in this Section, except to the extent resulting from the acts or omissions of City. All
Personal Data to which Vendor has access under the Agreement, as between Vendor and City, will
remain the property of City. City hereby consents to the use, processing and/or disclosure of
Personal Data only for the purposes described herein and to the extent such use or processing is
necessary for Vendor to carry out its duties and responsibilities under the Agreement, any
applicable Statement(s) of Work, or as required by law. Vendor will not transfer Personal Data to
third parties other than through its underlying network provider to perform its obligations under
the Agreement, unless authorized in writing by City. Vendor's obligation to defend, hold harmless
and indemnify City shall remain in full effect if the Data Breach is the result of the actions of a
third party. All Personal Data delivered to Vendor shall be stored in the United States or other
jurisdictions approved by City in writing and shall not be transferred to any other countries or
jurisdictions without the prior written consent of City.
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
CITY OF FORT WORTH:
Ualerie Wqshinqton
�a=h,��o� u�� ��zo�� os:sa �01�
By. ��e,e..
Name: Valerie Washington
Title: Assistant City Manager
Date: [INSERT DATE] Jun 2, 2021
APPROVAL RECOMMENDED:
�� ��
:
Name: Kevin Gunn
Title: IT Solutions Director
ATTEST:
By: f � ��U i�z�
U
Name: Mary Kayser
Title: City Secretary
VENDOR:
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Pa � ��°�00000�°°� *�
n� TEXA`'�o,�,a
Carahsoft Technology Corporation
By: /12�� �y�2�Z
Name: Kristina Smith
Title: Contracts Director
Date: 5/26/2021
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all performance
and reporting requirements.
����
Steven Vandever�May26, 202115:43 CDT)
By.
Name: Steven Vandever
Title: Sr. IT Solutions Manager
APPROVED AS TO FORM AND LEGALITY:
:
�`��
Name: Taylor Paris
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
GOVERNMENT- PRICE QUOTATION
Granicus at Carahsoft
carahsoftn
11493 SUNSET HILLS ROAD � SUITE 100 � RESTON, VIRGINIA 20190
PHONE (703) 871-8500 � FAX (703) 871-8505 � TOLL FREE (888) 66CARAH
WWW.CARAHSOFT.COM � SALES@CARAHSOFT.COM
I U Angela Estrada
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102 USA
G GRAN ICUS
FROM: Diana Grigorian
Granicus Government at Carahsoft
11493 Sunset Hills Road
Suite 100
Reston, Virginia 20190
EMAII Angela.Estrada@fortworthtexas.gov
PHONE: (817) 392-2431
TERMS: DIR Contract No. DIR-TSO-4288
Expiration Date: February 21, 2025
FTIN: 52-2189693
Shipping Point: FOB Destination
Credit Cards: VISA/MasterCard/AMEX
Remit To: Same as Above
Payment Terms: Net 30 (On Approved Credit)
Texas VID#:1522189693700
Sales Tax May Apply
LINE NO. PART NO. DESCRIPTION
�
�
�3
4
EMAIL: Diana.Grigorian@carahsoft.com
PHONt: (571) 662-3070 FAX: (703) 871-8505
QUOTE NO:
QUOTE DATE:
QUOTE EXPIRES:
RFQ NO:
�"IPPING:
TOTAL QUOTL.
- QUOTE PRICE
- -._... - � =EES
607-LEG-GR-2460P Legistar Open Platform Package Annual Subscription
Granicus - LEG-GR-2460P
Start Date: 05/11/2021
End Date: 05/10/2022
607-MES-GR-246MP Meeting Efficiency Suite Minutes Package Annual
Subscription
Citizen Participation Suite
Granicus - MES-GR-246MP
Start Date: 05/11/2021
End Date: 05/10/2022
607-SDI-GR-246SP SDI 720p Streaming Upgrade Package Annual Subscription
Granicus - SDI-GR-246SP
Start Date: 05/11/2021
End Date: 05/10/2022
607-GEA-GR-246EAS Encoding Appliance Software Annual Subscription
Granicus - GEA-GR-246EAS
Start Date: 05/11/2021
End Date: 05/10/2022
SUBTOTAL:
27234827
02/03/2021
06/30/2021
GROUND
$41,364.84
$41,364.84
QTY EXTENDED PRICE
$21,816.79 TX DIR 1
$14,447.31 TX DIR 1
$2,833.75 TX DIR 1
$2,266.99 TX DIR 1
TOTAL PRICE:
TOTAL QUOTE:
$21, 816.79
$14,447.31
$2, 833.75
$2, 266.99
$41, 364.84
$41,364.84
$41,364.84
CONFIDENTIAL QUOTE DATE: 02/03/2021
PAGE 1 of 2 QUOTE NO: 27234827
carahsoft��
GOVERNMENT- PRICE QUOTATION
Granicus at Carahsoft
11493 SUNSET HILLS ROAD � SUITE 100 � RESTON, VIRGINIA 20190
PHONE (703) 871-8500 � FAX (703) 871-8505 � TOLL FREE (888) 66CARAH
WWW.CARAHSOFT.COM � SALES@CARAHSOFT.COM
LINE NO. PART NO. DESCRIPTION - QUOTE PRICE
Payment Terms: Net 30 (Payments for subscriptions are due at the beginning of the period of performance.)
Currency: USD
Current Subscription End Date: 5/10/2021
Period of Performance: 5/11/2021 - 5/10/2022
G GRAN ICUS
QTY EXTENDED PRICE
CONFIDENTIAL QUOTE DATE: 02/03/2021
PAGE 2 of 2 QUOTE NO: 27234827
��` GRAN ICUS
�
408 Saint Peter Street, Suite 600
Saint Paul, MN 55102
United States
THIS IS NOT AN INVOICE
Order Form
Prepared for
Fort Worth TX
Reseller: Carahsoft
Procurement Vehicle: Texas Department of Information Resources
(DIR) In Support of: Fort Worth TX
ORDER DETAILS
Prepared By:
Phone:
Email:
Order #:
Prepared On
Expires On:
ORDER TERMS
Lexi Huhta
alexis.huhta@granicus.com
Q-129152
06/25/2021
06/30/2021
Currency: USD
Payment Terms: Net 30 (Payments for subscriptions are due at the beginning of the period of
performance.)
Current Subscription End Date: 05/10/2021
Period of Performance: 05/ 1 1/2021 - 05/ 10/2022
Order #: Q-129152
Prepared: O6/25/2021
Page 1 of 5
�� GRANICUS
Order Form
Fort Worth TX
PRICING SUMMARY
The pricing and terms within this Proposal are specific to the products and volumes contained within this
Proposal.
Renewing Subscription Fees
Solution Billing Quantity/Unit Annual Fee
Fre uenc
Legistar Annual 1 Each $21,816.79
Citizen Participation Suite Annual 1 Each $14,447.31
Upgrade to SDI 720p Streaming Annual 1 Each $2,833.75
Granicus Encoding Appliance Software Annual 1 Each $2,266.99
(GT)
SU BTOTAL: $41,364.84
Order #: Q-129152
Prepared: O6/25/2021
Page 2 of 5
� GRANICUS
PRODUCT DESCRIPTIONS
Order Form
Fort Worth TX
Solution Description
Legistar Legistar is a Software-as-a-Service (SaaS) solution that enables government
organizations to automate the entire legislative process of the clerk's
office. Clerks can leverage Legistar to easily manage the entire legislative
process from drafting files, through assignment to various departments, to
final approval. Legistar includes:
• Unlimited user accounts
• Unlimited meeting bodies and meeting types
• Unlimited data storage and retention
• Up to one (1) Legistar database
• Up to one (1) InSite web portal
Citizen Participation Suite The Granicus Citizen Participation suite provides the ability to involve the
community throughout the legislative process and produce better
outcomes. The Citizen Participation suite also reduces staff time by
providing the ability to effortlessly collect, manage, and prioritize citizen
input. The software provides a convenient way for citizens to voice their
feedback and participate online. Granicus Citizen Participation includes:
• Unlimited user signup
• SpeakUp tool
• eComment tool
• Ability for citizens to sign up and participate in online projects,
discussions, forums, ideas, surveys, and meetings
• Spam protection through CAPTCHA
• Profanity filters
• Role permissions for administrators
• Idea module
• Discussion module
• Forum module
• Projects module
• Survey module
• Meetings module
• Reporting on a module by module basis
• Ability to request, speak, or comment on agenda items
Order #: Q-129152
Prepared: O6/25/2021
Page 3 of 5
� GRANICUS
Order Form
Fort Worth TX
Solution Description
Upgrade to SDI 720p Streaming Upgrade to SDI 720p Streaming (requires Digital encoder and HD feed)
Granicus Encoding Appliance Granicus Encoding Appliance Software (GT) This includes the LiveManager
Software (GT) Software solution where webcasts are started/stopped, agendas
amended and indexed, votes and attendance recorded, and minutes
created.
Order #: Q-129152
Prepared: O6/25/2021
Page 4 of 5
G� GRANICUS
TERMS & CONDITIONS
• Link to Terms: https://�ranicus.com/pdfs/Master Subscription A�reement.pdf
Order Form
Fort Worth TX
• This quote is exclusive of applicable state, local, and federal taxes, which, if any, will be included in the invoice. It
is the responsibility of Fort Worth TX to provide applicable exemption certificate(s).
• Granicus certifies that it will not sell, retain, use, or disclose any personal information provided by Client for any
purpose other than the specific purpose of performing the services outlined within this Agreement.
• Notwithstanding anything to the contrary, Granicus reserves the right to adjust pricing at any renewal in which
the volume has changed from the prior term without regard to the prior term's per-unit pricing.
Order #: Q-129152
Prepared: O6/25/2021
Page 5 of 5
Exhibit B
DIR Contract No. DIR-TSO-4288
Vendor Contract No.
STATE OF TEXAS
DEPARTMENT OF INFORMATION RESOURCES
CONTRACT FOR PRODUCTS AND RELATED SERVICES
Carahsoft Technology Corporation
1. Introduction
A. Parties
This Contract for products and related services is entered into between the State of Texas, acting
by and through the Department of Information Resources (hereinafter "DIR") with its principal
place of business at 300 West 15t" Street, Suite 1300, Austin, Texas 78701, and Carahsoft
Technology Corporation (hereinafter "Vendor"), with its principal place of business at 1860
Michael Faraday Drive, Suite 100, Reston, Virginia 20190.
B. Compliance with Procurement Laws
This Contract is the result of compliance with applicable procurement laws of the State of Texas.
DIR issued a solicitation on the Comptroller of Public Accounts' Electronic State Business Daily,
Request for Offer (RFO) DIR-TSO-TMP-416, on 2/26/2018, for Software Products,Software as a
Service, and Enterprise Resource Planning Software Modules Products and Services. Upon
execution of this Contract, a notice of award for RFO DIR-TSO-TMP-416 shall be posted by DIR on
the Electronic State Business Daily.
C. Order of Precedence
For purchase transactions under this Contract, the order of precedence shall be as follows: this
Contract; Appendix A, Standard Terms and Conditions For Products and Related Services
Contracts; Appendix B, Vendor's Historically Underutilized Businesses Subcontracting Plan;
Appendix C, Pricing Index; Exhibit 1, Vendor's Response to RFO DIR-TSO-TMP-416, including all
addenda; and Exhibit 2, RFO DIR-TSO-TMP-416, including all addenda; are incorporated by
reference and constitute the entire agreement between DIR and Vendor governing purchase
transactions. In the event of a conflict between the documents listed in this paragraph related to
purchases, the controlling document shall be this Contract, then Appendix A, then Appendix B,
then Appendix C, then Exhibit 1, and finally Exhibit 2. In the event and to the extent any provisions
contained in multiple documents address the same or substantially the same subject matter but
do not actually conflict, the more recent provisions shall be deemed to have superseded earlier
provisions.
2. Term of Contract
The initial term of this Contract shall be two (2) years commencing on the last date of approval by
DIR and Vendor, with two (2) optional two-year renewals. Prior to expiration of each term, the
contract will renew automatically under the same terms and conditions unless either party
provides notice to the other party 60 days in advance of the renewal date stating that the party
wishes to discuss modification of terms or not renew. Additionally, the parties by mutual
agreement may extend the term for up to ninety (90) additional calendar days.
Department of Information Resources Page 1 of 5 (DIR rev 03/2018)
DIR Contract No. DIR-TSO-4288
Vendor Contract No.
3. Product and Service Offerings
A. Products
Products available under this Contract are limited to Software Products, Software as a Service,
and Enterprise Resources Planning Software Modules Products and Related Service as
specified in Appendix C, Pricing Index. Vendor may incorporate changes to their product
offering; however, any changes must be within the scope of products awarded based on the
posting described in Section 1.B above. Vendor may not add a manufacturer's product line
which was not included in the Vendor's response to the solicitation described in Section 1.B
above.
B. Services
Services available under this Contract are limited to Services as specified in Appendix C, Pricing
Index. Vendor may incorporate changes to their service offering; however, any changes must
be within the scope of services awarded based on the posting described in Section 1.B above.
C. Emerging Technologies and Future Acquisitions
DIR recognizes that technology is ever-evolving and advancing. DIR reserves the right to
consider the addition of emerging technology such as next generation, enhancements and
upgrades for products and services that are within the scope the solicitation described in
Section 1.B above. Vendor may propose such products and services throughout the term of
the contract. Pricing and terms will be negotiated upon DIR acceptance. Any determination
will be at DIR's sole discretion and any decision will be final. In addition, Texas DIR and Vendor
may mutually agree to add future acquisitions of Vendor to the contract. Subsequent terms
of the acquisition(s) and pricing will be mutually agreed upon in writing and amended under
the contract.
4. Pricing
Pricing to the DIR Customer shall be as set forth in Appendix A, Section 8, Pricing, Purchase Orders,
Invoices and Payment, and as set forth in Appendix C, Pricing Index, and shall include the DIR
Administrative Fee.
5. DIR Administrative Fee
A) The administrative fee to be paid by the Vendor to DIR based on the dollar value of all sales to
Customers pursuant to this Contract three quarters percent (.75%). Payment will be calculated
for all sales, net of returns and credits. For example, the administrative fee for sales totaling
$100,000 shall be $750.00.
B) All prices quoted to Customers shall include the administrative fee. DIR reserves the right to
change this fee upwards or downwards during the term of this Contract, upon written notice to
Vendor without further requirement for a formal contract amendment. Any change in the
administrative fee shall be incorporated in the price to the Customer.
6. Notification
All notices under this Contract shall be sent to a party at the respective address indicated below.
Department of Information Resources Page 2 of 5 (DIR rev 03/2018)
DIR Contract No. DIR-TSO-4288
Vendor Contract No.
If sent to the State:
Kelly A Parker, CTPM, CTCM
Director, Cooperative Contracts
Department of Information Resources
300 W. 15t" St., Suite 1300
Austin, Texas 78701
Phone: (512) 475-1647
Facsimile: (512) 475-4759
Email: kelly.parker@dir.texas.�ov
If sent to the Vendor:
Kai Hollenhorst
Carahsoft Technology Corporation
1860 Michael Faraday Drive, Suite 100
Reston, VA 20190
Phone: (703) 230-7536
Facsimile: (703) 871-8505
Email: kai.hollenhorst@carahsoft.com
7. Software License Agreements
A. Shrink/Click-wrap License Agreement
Regardless of any other provision or other license terms which may be issued by Vendor after
the effective date of this Contract, and irrespective of whether any such provisions have been
proposed prior to or after the issuance of a Purchase Order for products licensed under this
Contract, or the fact that such other agreement may be affixed to or accompany software
upon delivery (shrink-wrap), the terms and conditions set forth in this Contract shall
supersede and govern the license terms between Customers and Vendor. It is the
Customer's responsibility to read the Shrink/Click-wrap License Agreement and determine
if the Customer accepts the license terms as amended by this Contract. If the Customer
does not agree with the license terms, Customer shall be responsible for negotiating with
the reseller to obtain additional changes in the Shrink/Click-wrap License Agreement
language from the software publisher.
B. Conflicting or Additional Terms
In the event that conflicting or additional terms in Vendor Software License Agreements,
Shrink/Click Wrap License Agreements, Service Agreements or linked or supplemental
documents amend or diminish the rights of DIR Customers or the State, such conflicting or
additional terms shall not take precedence over the terms of this Contract.
In the event of a conflict, any linked documents may not take precedence over the printed or
referenced documents comprising this contract; provided further that any update to such
linked documents shall only apply to purchases or leases of the associated Vendor product or
service offering after the effective date of the update; and, provided further, that, if Vendor
has responded to a solicitation or request for pricing, no update of such linked documents on
Department of Information Resources Page 3 of 5 (DIR rev 03/2018)
DIR Contract No. DIR-TSO-4288
Vendor Contract No.
or after the initial date of Vendor's initial response shall apply to that purchase unless Vendor
directly informs Customer of the update before the purchase is consummated.
In the event that different or additional terms or conditions would otherwise result from
accessing a linked document, agreement to said linked document shall not be effective until
reviewed and approved in writing by Customer's authorized signatory.
Vendor shall not [without prior written agreement from Customer's authorized signatory,]
require any document that: 1) diminishes the rights, benefits, or protections of the
Customer, or that alters the definitions, measurements, or method for determining any
authorized rights, benefits, or protections of the Customer; or 2) imposes additional costs,
burdens, or obligations upon Customer, or that alters the definitions, measurements, or
method for determining any authorized costs, burdens, or obligations upon Customer.
If Vendor attempts to do any of the foregoing, the prohibited documents will be void and
inapplicable to the contract between DIR and Vendor or Vendor and Customer, and Vendor
will nonetheless be obligated to perform the contract without regard to the prohibited
documents, unless Customer elects instead to terminate the contract, which in such case may
be identified as a termination for cause against Vendor.
The foregoing requirements apply to all contracts, including, but not limited to, contracts
between Customer and a reseller who attempts to pass through documents and obligations
from its Manufacturer of Publisher.
8. Authorized Exceptions to Appendix A, Standard Terms and Conditions for Product and
Related Services Contracts.
No exceptions have been agreed to by DIR and Vendor.
Department of Information Resources Page 4 of 5 (DIR rev 03/2018)
DIR Contract No. DIR-TSO-4288
Vendor Contract No.
This Contract is executed to be effective as of the date of last signature.
Carahsoft Technology Corporation
Authorized By: Si�nature on File
Name: Kai Hollenhorst
Title: Contract Specialist
Date: 2/12/19
The State of Texas, acting by and through the Department of Information Resources
Authorized By: Si�nature on File
Name: Hershel Becker
Title: Chief Procurement Officer
Date: 2/21/19
Office of General Counsel: mh 2/21/19
Department of Information Resources Page 5 of 5 (DIR rev 03/2018)
Exhibit C
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICEUSEONLY
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who oate Received
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An
offense under this section is a misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
Carahsoft Technology Corp
2
❑ Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
Not Applicaable
Name of Officer
4 Describe each employment or other business relationship with the local government officer, or a family member of the
officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
� Yes � No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
� Yes � No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
6
❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
���� s�.� 5/26/2021
Signature of vendor doing business with the governmental entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/
Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an
agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
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(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than $100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any
gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application, response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer, described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015