HomeMy WebLinkAboutContract 55930CSC N o. 55930
FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between S&S
Worldwide, Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule
munic ipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed
in the order of precedence m which they are listed:
L This Cooperative Purchase Agreement;
2. E�ibit A— Seller's Quote, Scope of Services or Purchase Order;
3. E�ibit B— Cooperative Agency Contract (e.g., NJPA, DIR, BuyBoard); and
4. E�ibit 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 E�ibit 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 Thirty-Five Thousand Dollars ($35,000.00). Vendor shall not
provide any additional items or services or bill for expenses incurred for City not specif'ied 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 April 1, 2021 and ending
on March 31, 2022. City shall be able to renew this agreement for zero (0) one-year renewal
options by written agreement of the parties.
Vendor agrees that City shall, until the expiration of three (3) years after fmal 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, mcluding, but not limited to, all electronic records, of Vendor
involvmg transactions relating to this Agreement at no additional cost to City. Vendar agrees that
City shall have access during normal working hours to all necessary Vendor facilities and shall be
provided adequate and appropriate work space m order to conduct audits m 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 a ents
Coope rative Pu rchasing Agreeme nt
v. 1.0
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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:
To CITY:
City of Fort Worth
Attn: Valerie Washington,
Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
To VENDOR:
S&S Worldwide, Inc.
Assistant City Attn.: Jenna Schall, Bid Manager
75 Mill Street
Colchester, CT 06415
Facsimile : 800-432-2842
With copy to Fort Worth City Attorney's
Office at same address
[SIGNATURES ON THE FOLLOWING PAGEJ
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
Coope rative Pu rchasing Agreeme nt 2 of 3
v. 1.0
C�1_Y_II•_��] 111C�] 711��i�[�] 711I: A
u��erie w�shivr fah
�: Valerle Washington (Jun 2, 202ll5:16 CDT)
Name: Valerie Washington
Title: Assistant City Manager
Date: J u n 29, 2021
APPROVAL RECOMMENDED:
�:�v ��
Rc�: Rlchard Zavala (Jun 7_l, 7_07_1 11:40 CDT)
Ly
Name: Richard Za�ala
Title: Director
Park & Recreation Department
Q�r,L�..�.�.�
Sandra Younb o d(Jun 18, 202111:58 CDT)
Name: Sandra Youngblood
Title: Assistant Director
Park & Recreation Department
���������
Name: Kelli Pickard
Title: Assistant Director
Park & Recreation Department
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Name: Mary Kayser
Title: City Secretary
VENDOR:
CON'1'RACT 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.
�!{�.,LL.��„d.p... ,
�7: Sheri Endsley (Jun 18, 202 P:02 CDT)
"J
Name: Sheri Endsley
Title: District Superintendent
Park & Recreation Department
APPROVED AS TO FORM AND LEGALITY:
/1�
�7: NicoArias(Jun29,20210835CDT)
Name: Nico Arias
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: P-12326
Form 1295: 2019-463026
S&S Worldwide, Inc.
`7e�r�q S�G�qCC
Jenna Schall (Jun 21, 202llL52 EDT)
Name: Jenna Schall
Title: Bid Manager
Coope rative Pu rchasing Agreeme nt
v. 1.0
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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� Board°
Cooparetlrs Purshasfag
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Additional Resources
EXHIBIT B Index
Vendor Contract Information
Vendor Name:
Address:
Phone Number:
Email:
Website:
Federal ID:
Contact:
Accepts RFQs:
Minority Owned:
Women Owned:
Service-Disabled Veteran Owned:
EDGAR Forms Received:
No Israel Boycott Certificate:
No Excluded Foreign Terrorist Orgs:
Contract Name:
Contract Documents
Contract#:
Effective Date:
Expiration Date:
Payment Terms:
Delivery Days:
Shipping Terms:
Freight Terms:
Ship Via:
Region Served:
States Served:
Quote Reference Number:
Return Policy:
EDGAR Notice:
Proposal Documents:
Regulatory Notice:
Proposal Files:
Renewal Notice/Letter:
Extended Exceptions:
S & S Worldwide, Inc.
75 Mill Street
Colchester, CT 06415
(800) 243-9232
bids@ssww.com
http://www.ssww.com
06-0520020
Jenna Schall
Yes
No
No
No
Yes
Yes
Yes
Athletic, Physical Education, Gymnasium Supplies and Equipment and Heav�
Equipment and Related Accessories
583-19
04/01 /2019
03/31 /2022
Net 30 days
10
Pre-paid and added to invoice
FOB Destination
Common Carrier
All Texas Regions
All States
583-19
See Extended Exceptions for return policy
Click to view EDGAR Notice
Click to view BuyBoard Proposal Documents
Click to view Bonding Regulatory Notice
Click to view Vendor Proposal Files Documents
Click to view Vendor Renewal Notice/Letter pocuments
Click to view Vendor Extended Exceptions Documents
Contact us 800.695.2919
https://app.buyboard.com/Search/Index?SearchTerm=583-19&Vendorld=1450 1 /1
'�'�
� �
♦� � � � ` � �� �
To Whom it May Concernc
Re: S& S Worldwide Return Policy:
Items may be returned to S& S V1/orldwide within 30 days. Customers receiving
damaged goads should contact customer service innmediately so that we can take
steps to resolve the issue and ceplace the item. If a customer is not satisfied in any
way with one of our products, we will be happy to replace it at no charge. if a
customer receives an incorrect item we will "call tag" the item at no expense to the
customer. The correct item will be sent as soon as possible.
If a custarner should decide to return an item due to their ordering nnistake, the item
must be returned within 30 days. The customer will be responsible for alI shipping
charges associated with the return. Once the item is received at S& S Worldwide,
the account will be credited.
To return a product, follow the instructions on the back of the p�cking slip. All
returns must be in their original condition. C'lease include the packing slip to ensure
your account is credited properly. For drap shipments contact customer service for
instructions.
/
I F ft/ � /�
i
�
�enna Schall
Bid �lnalyst
S & S Worldwide
� ] f� %�
/����
{` �
� Board�
Cooperative Prrrchasing
P.O. Baz 40U
Ausr,n, TX 7&7b7-04UD
8d0.695.2919 � 572.467A2,22 � Fax: 800.211.5454
huybnard.cvm
February 6, 2019
Sent Via Email: orders@ssww.com
Jenna Schall
S & S Worldwide, Inc.
75 Mill Street
Colchester, CT 6415
Welcome to BuyBoard!
Re: Notice of The Loca/ Government Purchasing Cooperative Award
Proposal Name and Number: Athletic, Physical Education, Gymnasium Supplies and Equipment and Heavy Duty
Exercise Equipment and Related Accessories, Proposal No. 583-19
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a
BuyBoardO contract based on the above-referenced Proposal. The contract is effective 4/1/2019 through 3/31/2020,
with two possible one-year renewals. The contract documents are those identified in Section 3 of the General Terms
and Conditions of the specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 583-19 on the
following web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through
the BuyBoard contract. In addition, on this website you will find the membership list which will provide you with the
names of all entities with membership in our purchasing cooperative.
Enclosed with this letter you will find the following documents:
1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards
You are advised that receipt of a purchase order directly from a Cooperative member is not within the
guidelines of the Cooperative. Accepting purchase orders directly from Cooperative members may result in a
violation of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract.
Therefore, all purchase orders must be processed through the BuyBoard in order to comply. Please
forward by email to info@buyboard.com any order received directly from a Cooperative member. If you inadvertently
process a purchase order sent directly to you by a Cooperative member, please fax the order to the above number
and note it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days
prior to the start of your contract.
On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we are
looking forward to your participation in the program. If you have any questions, please contact Cooperative
Procurement Staff at 800-695-2919.
Sincerely,
;'t �.. _
:_Y�"�. t��� -
Arturo Salinas
Department Director, Cooperative Procurement
�+— Tlta Zoca! Goverrunerti Purcftasirtg Cooperative rs andorsed 6ylhe Texas Assocratron of Schoa! Boa�ds,
T��, :�; 'j'2�a
�� Texas MUnicrpa! Leagua, Texas Assoc�afion of Co�niies, and the Texas Associatidn ot School Admrnrs�rators.
�.
.�. ►
�_�
�� ti:3t��,�,:,� s�i,.,�,�
E17d0!'Sedby tiSE3A kin:�ni;:1-.o�i:i[i��n
February 6, 2019
Sent Via Email: orders@ssww.com
Jenna Schall
S & S Worldwide, Inc.
75 Mill Street
Colchester, CT 6415
Welcome to BuyBoard!
Re: Notice ofNationalPurchasing Cooperative Piggy-BackAward
Proposal Name and Number: Athletic, Physical Education, Gymnasium Supplies and Equipment and Heavy Duty Exercise
Equipment and Related Accessories, Proposal No. 583-19
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoardO
contract based on the above-referenced Proposal. As provided for in the Proposal and your National Purchasing Cooperative
Vendor Award Agreement, you are authorized to sell the goods and services awarded under the Proposal to National
Cooperative members in states other than Texas through the BuyBoard. The contract is effective 4/1/2019 through
3/31/2020, with two possible one-year renewals.
The National Cooperative membership list is available at our website www.buyboard.com/vendor. The list identifies the
current members that may purchase awarded goods and services under your National Cooperative BuyBoard contract.
You are advised that receipt of a purchase order directly from a National Cooperative member is not within
Buy6oard guidelines. Accepting purchase orders directly from Cooperative members may result in a violation of applicable
competitive procurement law and termination of this National Cooperative BuyBoard contract. Therefore, all purchase
orders from National Cooperative members must be processed through the BuyBoard. Please forward by e-mail
to info@buyboard.com any order received directly from a National Cooperative member. If you inadvertently process a
purchase order sent directly to you by a National Cooperative member, please fax the order to the above number and note
it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business
days prior to the start of your contract.
On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any
questions, please contact Cooperative Procurement Staff at 800-695-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
��
P. �. 8ox 9D0, Aus[in, Texas 787fi7-04DQ
SOD.695. �919 • b��ybaard. com �
� Board►�
Caoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-Z439 • PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name: Athletic, Physical Education,
Gymnasium Supplies and Equipment and Heavy
Duty Exercise Equipment and Related Accessories
Proposal Number: 583-19
Proposal Due DatelOnening Date and Time:
August 30, 2018 at 4:00 PM
Lucation of Proposal Openinq:
Texas Association of School Boards, Inc.
BuyBoard Department
12007 Research Blvd.
Austin, TX 78759
Cantract Time Period: April 1, 2019 through
March 31, 2020 with two (2) possible one-year
renewals.
Anticipated Cootserati�e Board Meetin4 Date:
January Z019
Name of Proposing Company
��c���l�
Date
SS►s wb���wiQ�
75 I►�ILL STREET
Str�et Add L ' `'' ' ''
City, State, Zip
�oo - ay 3- �� 3a
Telephone Number of Authorized Company Official
�-�- ��a - ����
Fax Number of Authorized Company Official
ttire of Authorized Company Official
��.�r1 �1� ��.� � �
Printed Name of Authorized Company Official
,
Position or Title of Auth rized Campany Official
c� -a5��«d �
Federal ID Number
Page 8 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Y 0����
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
VENDOR CONTACT INFORMATIUN
Company: , �`� S wO�l�(,�f ��, �n� ,
Vendor Contact Name and Mailing Address for Notices: ( �� ►��Q��(,� � 1 ' '���"(1 � � �, ��-� �e,{r�e'��� ��
��o� 15
Company Website: _(�t�Lt� � . SSi�ti� , CC��
Purchase Orders: All purchase orders from Cooperative members will be available through the Internet. Vendors need
Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when
a new purchase order arrives. An information guide will be provided to vendors to assist them with retrieving their orders.
Please select options below for receipt of purchase orders and provide the requested information:
�� I will use the internet to receive purchase orders at the following address:
E-mail Address: Q'�� �'� 5`�' S 5L( �(�L� � C C� (��
Internet Contact: ��ir1l�Q JG�''?(�. � Phone: $� —0��� ` /�3�
Alternate E-mail Address:
Alternate Internet Contact:
Phone:
❑ Purchase orders may be received by the Designated Dealer(s) identified on my company's Dealer
Designation form as provided to the Cooperative administrator. I understand that my company shall remain
responsible for the Contract and the performance of all Designated Dealers under and in accordance with the
Contract.
ReauesY for puotes ("RFQ): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
E-mail Address: KJ t C V Jl "- 55 �(�t� i C-� �
Alternate E-mail Address: CS � v 1 C e�`" S5 W W, CQ_�
Invoices: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee
invoices and related communications:
Please choose only one (1) of the following options for receipt of invoices and provide the requested
information:
Page 10 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • biiyl�c��rd.c.om
�Service fee invoices and related communications should be provided directly to my company at:
Mailing address: 7 5 l" t i I���- � Department: ,T� i`� J
City: _�C} �C�v I�5� l:_.�l State: CT Zip Code: ��'�i ��
Contact Name: �,_1enr�� � )C C it_,t � � Phone:�(�ii�i - a �3 -9a �a
Fax:�6C� F'�.lo� "P7�'1�0� E-mail Address: �J lC� 5 SSI.,��t,i� � C�
_ �.�
Alternative E-mail Address: I S�Q" l l�°� SS�c.c 1_ C.d
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**:
Mailing address:
City:
Contact Name:
Fax: E-mail Address:
Alternative E-mail Address:
Department:
State: Zip Code:
Phone:
❑ In lieu of my company, I request and authorize service fee invoices to be provided to the Designated Dealer(s)
receiving the purchase order(s) to which the invoiced service fees relate at the address and contact information designated
on my company's Dealer Designation form as provided to the Cooperative administrator.**
** If Vendor autho�izes a bi//ing agent or Designated Dea/er(s) to receive and p�ocess service fee in voices,
in accordance with the Genera/ Terms and Conditions of the Contract, Vendor speciFca//y acknow/edges and
agrees that nothing in that designation sha// re/ieve Vendor of its responsibi/ities and ob/igations under the
Contract inc/uding, but not /imited to, payment ofa// senrice fees under any Contract awarded Vendor,
Page 11 of 66
Proposal Forms COMM/SVCS v.06.14.2018
s Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com
FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE
Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor)
states: "A person or business entity that enters into a contract with a school district must give advance notice to the district
if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the
conduct resulting in the conviction of a felony."
Section 44.034 further states in Subsection (b): ��A school district may terminate a contract with a person or
business entity if the district determines that the person or business entity failed to give notice as required by Subsection
(a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity
for services performed before the termination of the contract."
Please cf�eck (Jl ane of the failowing:
❑ y C0111pd11y IS 8 piJbllCly-held COfpot"�tlOn. (Ativan�e notice requir�ment does not apply to publicly-held corporation.)
[�My company is not owned or op�rated by anyone who has been convicted of a felony.
❑ My company is owned/operated by th� foliowing individual{s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
� .� �`f-���� id c.�t o� �°
Company Name �
" �" ' ta�e�r�r�a �.t
nature of Authorized Company Offici ! Printed Name
DEBARMENT CERTIFICATION
Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described
in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is
currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or
declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative
and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an
owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise
excluded by agencies or declared ineligible under any statutory or regulatory authoriry.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
't-- � iJ�1C�� �
,/ �� Company Name � �
�
ignature of Autharized Company Official Printed Name
Page 12 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Board�
Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 • buvboard.com
RESIDENT/ NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. Under the statute, a"resident" proposer is a person whose principal place of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A
"nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a"resident"
proposer or a"nonresident" proposer under these definitions.
Please check fJ) one of the follawin4:
❑ I certify that my company is a Resident Proposer.
�certify that my company is a Nonresident Proposer.
If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in
which your company's principal place of business is located):
��+-5 l� �o� 1�. c�� Cl� �
Company Name
Go (c.�nF s%' �
��ty
%� /��� �� S�- -
Address
C�C� �l �
State Zip Code
A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers
whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract?
❑ Yes [}f No
B. What is the prescribed amount or percentage? $ or
°Io
VENDOR EMPLOYMENT CERTIFICATION
Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when
determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's
ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in
Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas,
does your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please check (d} ane of the fallowing_
❑ Yes � No
By signature below, I certify that the information in Sections 1(Resident/Nonresident Certi�cation) and 2(�endor
Employment Cer[�ification) above is true, complete and accurate and that I am authorized by my company to make this
certification.
�- S l� �.' ��� � C� G
Company Name
/ � �
gnature of Authorized Company Official Printed Name
Page 13 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Board�
Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
NO ISRAEL BOYC�JTT CERTIFICATION
Effective September 1, 2017, a Texas governmental entity may not enter into a contract with a company for goods or
services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2)
will not boycott Israel during the term of the contract. (TEx. Gov'T Co�E Ch. 2270)
"Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is
intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or
entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business
purposes. TEx. GOV�T CODE §HOH.001�1�.
By signature below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of
any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am
authorized by my company to make this certification.
s&s�►aR�ovu�oE
Company Name
� � � �� � �
gnature of Authorized Company Official Printed Name
NQ EXCLUDED NATIUN OR FOREIGN TERRORIST ORGANIZATIUN CERTIFICATION
EfFective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization — specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this
certification is true, complete and accurate; and that I am authorized by my company to make this certification.
S&S 1�1�RLD'�IIDE
Company Name
`,
�
nted Name
Page 14 oF 66
Proposal Forms COMM/SVCS v.06.14.2018
� Boa�d �
Cuoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 • buvba�rd.com
HISTURICALLY UNDERUTILIZED BUSINESS CERTIFTCATIaN
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or "MWBE" and all referred to in this form as a"HUB") is encouraged to indicate its HUB certification status
when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that
properly indicate and document their HUB certification on this form.
Piease check (�/) all that applv:
❑ I certify that my company has been certified as a HUB in the following categories:
❑ Minority Owned Business
❑ Women Owned Business
❑ Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2), who has a
service-connected disability as defined by 38 U.S.C. § 101(i6), and who has a disabiiity rating
of 2a% or more as determined by the U. S. Department of Veterans Affairs or D�partment of
Defense}
Certification Number:
Name of Certifying Agency:
�Nicom an has NOT been certifie
Y p Y d as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
s���oR��w�oE
Company Name
Page 15 oF 66
Proposal Forms COMM/SVCS v.06.14.2016
s Boa�d�
Cooperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
("Advisory'�, Texas law prohibits the procurement of architecture or engineering services through a
purchasing cooperative. This BuyBoard contract does not include such services. Architecture or engineering
services must be procured by a Cooperative member separately, in accordance with the Professional
Services Procurement Act (Chapter 2254 of the Texas Government Code) and other applicable law and local
policy.
The Advisory, available at buvboard.com/V�nciorlR�stiurces.asqx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy
of the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or
services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply
with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers
or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy
of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase
order for construction-related goods or services, whichever comes first.
��c�
Page 16 of 66
Proposal Forms COMM/SVCS v.06.14.2018
S&S '�UdRLD�IiIDE
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard,com
DEVIATION AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (�/) one of the followinc�:
❑ NO; Deviations
�Yes; Deviations
List and fully explain any deviations you are submitting:
, , .
4 s Cl J
��-$�r,�,
�°1<� off of CURRENT LIST PRICE at time of order placement.
Not to be combined with sale prices, offer codes, Internet specials,
or quar�tity breaks. Items labeled FOB/Dropship are not eligible for
free frei�ht - shipping will be charged pre�.�aid & added to the
invoice.�Dropship items or orders shipping by truck are also
ineligible for free inside delivery & liftgate services. If required,
please contact our customer service department at 800- 243-9232 or
cservice(a�ssww.com for a quote. S&S Worldwide does not
provide �ssem6ly or insta! lations. Please reference bid
# S$,�j-19 � on all correspoi�c3ence for special pricing.
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: 0 Common Carrier ❑ Company Truck ❑ Prepaid and Add to Invoice ❑ Other:
2. Payment Terms: �et 30 days ❑ 1% in 10/Net 30 days ❑ Other:
3. Number of Days for Delivery: 7'� �� ARO
4. Vendor Reference/Quote Number; �$ c
5. State your return policy: _�
_I��
�h
6. Are electronic payments acceptable? [�es ❑ No
7. Are credit card a ments acce table? �es ❑ No
S�S 1l��RLD'�IIDE
Compa Name
;;-
i ature of Authorized Company Official
Deviations presented by the vendor have
been accepted by BuyBoard.
Connie W Burkett, CTSBS
BuyBoard Contract Administrator
, l�r��� �;�� � �
Pr nt�d Name
Page 17 of 66
Proposal Forms COMM/SVCS v.06.14.2018
'�'�
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To Whom it May Concernc
Re: S& S Worldwide Return Policy:
Items may be returned to S& S V1/orldwide within 30 days. Customers receiving
damaged goads should contact customer service innmediately so that we can take
steps to resolve the issue and ceplace the item. If a customer is not satisfied in any
way with one of our products, we will be happy to replace it at no charge. if a
customer receives an incorrect item we will "call tag" the item at no expense to the
customer. The correct item will be sent as soon as possible.
If a custarner should decide to return an item due to their ordering nnistake, the item
must be returned within 30 days. The customer will be responsible for alI shipping
charges associated with the return. Once the item is received at S& S Worldwide,
the account will be credited.
To return a product, follow the instructions on the back of the p�cking slip. All
returns must be in their original condition. C'lease include the packing slip to ensure
your account is credited properly. For drap shipments contact customer service for
instructions.
/
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i
�
�enna Schall
Bid �lnalyst
S & S Worldwide
� ] f� %�
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{` �
� Board�
Caoperafive Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-Z919 ' FAX: 800-211-5454 • k�;iyl�oarcE.cam
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation,
please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders,
and shall be responsible for the perFormance of all locations and authorized sellers under and in accordance with the
Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms
and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer
Designated Dealer form.
S&S Worldwide, Inc.
Company Name
75 M i I I St.
Address
Colchester
c�ty
800-243-9232
Phone Number
Jenna Schall
Contact Person
Company Name
Address
City
Phone Number
Contact Person
CT
State
State
06415
Zip
800-432-2842
Fax Number
Zip
Fax Number
Page 18 oF 66
Proposal Forms COMM/SVCS v.06.14.2018
� Board�
Caoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com
MANUFACTURER DEALER DESIGNATION
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple
dealers ("Designated Dealers") to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete
this form for each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any
obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor
or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain
responsible and liable for a11 of its obligations under the Contract and the perFormance of both Vendor and any of Vendor's
Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder,
including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees.
If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard
system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor
with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process
such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to
a Designated Dealer for processing.
The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated
Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise
acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or
suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish
to designate multiple dealers, please duplicate this form as necessary.
Designated Dealer Name
Designated Dealer Address
City
Phone Number
State � Zip
Fax Numbe
Email address � Designat¢d Dealer Tax ID Number* (*attach W-9)
Designated Dealer Contact
Your Company Name Signature of Authorized Company Official
Page 19 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Boarc��
Cnoperafive Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to
serve different regions for different products or services inc/uded in your proposa/, you must comp/ete and
submit a separate Texas Regiona/ Service Designation form for each g�oup of products and c%ar/y indicate
the products o� services to which the designation app/ies in the space p�ovided at the end of this form. By
designating a region or regions, you are certifying that you are authorized and wi//ing to provide the
proposed products and services in those regions. Designating regions in which you are either unab/e or
unwi//ing to provide the speci�ed products and services sha// be g�ounds for eithe� �ejection of your
proposa/ or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative
members (i.e., if you will service only states other than Texas), you must so indicate on this form.
I
�
I
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.e_
S&S I�Vorldwide, Inc.
Compa Name „ �., /
Si ature of Authorized Company Official
, enna Schall
Printed Name
5
e.:
i;
8 I will service Texas
Cooperative members
statewide.
❑ I will not service Texas
Cooperative members
statewide. I will only
service members in the
regions checked below:
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
0
❑
❑
❑
❑
❑
❑
Region Headauarters
1 Edinburg
2 Corpus Christi
3 Victoria
4 Houston
5 Beaumont
6 Huntsville
7 Kilgore
8 Mount Pleasant
9 Wichita Falls
10 Richardson
11 Fort Worth
12 Waco
13 Austin
14 Abilene
15 San Angelo
16 Amarillo
17 Lubbock
18 Midland
19 EI Paso
20 San Antonio
❑ I will not service members
of the Texas Cooperative.
Page 20 of 66
Proposal Forms COMM/SVCS v.06.14.2018
Regional Educatio� Ser�iee Centers
� Boa�d�
Cooperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
If this Texas Regional Service Designation form applies to only one or some of the products and services proposed by
Vendor, list the products and services to which this form applies here:
Page 21 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Baardm
Cooperafive Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • I�uvbaard.cam
STATE SERVICE DESIGNATION
The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including
intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete
this form if you plan to service the entire United States, or will service only the specific states indicated. (Note: If you plan
to ser�ice Texas Cooperative members, be sure that you complete the Texas Regional Service D�signation fo�m.)
If you serve different states for different products or services inc/uded in your proposa/, you must comp/ete
and submit a separate State Service Designation form for each group of products and c%ar/y indicate the
products or services to which the designation applies in the space provided at the end of this form, By
designating a state or states, you are certifying that you are authorized and wi//ing to provide the propased
products and services in those states Designating states in which you are either unab/e or unwi//ing to
provide the specified products and services sha// be grounds for either rejection of your prvposa/ or, if
av,rarded, termination of your Contract;
Please check (�/) alf that appiv:
❑ I will service all states in the United States.
[Jf I will not service all states in the United States. I will service only the states checked below:
[� Alabama
❑ Alaska
� Arizona
(� Arkansas
[� California (Public Contract Code 20118 & 20652)
[� Colorado
[+� Connecticut
Delaware
District of Columbia
Florida
[,� Georgia
❑ Hawaii
[� Idaho
� Illinois
[� Indiana
� Iowa
[� Kansas
[� Kentucky
[•� Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Page 22 of 66
ebraska
Nevada
Q'New Hampshire
�[✓7 ew Jersey
[�New Mexicfl
ew York
[✓]' North Carolina
�'North Dakota
�ahio
[�Oklahoma
[�Oregon
[�Pennsylvania
�'�hode Island
�j'�5outh Carolina
[�South Dakota
[� Tenn�ssee
[�Texas
��ltah
[� Vermont
Virginia
Washington
�West Virginia
�scansin
Wyoming
Proposal Forms COMM/SVCS v.06.14.2018
� Baard�
Caoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' uuyt�oard.com
This form will be used to ensure that you can service other governmental entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a
contract awarded under this proposal.
� _ .1 s&sr�o+����r���
, / ! , Company Name
/ ' G�" . / �` �� ( �
nature of Authorized Campany OFficial rinted Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here:
Page 23 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Baard�
Cooperative Furchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • htivboard.�om
NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT
In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this
Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an
intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members
throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing
Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states
you have indicated on the State Service Designation form, in your Proposal.
By signing this form, Proposer (referred to in this Agreement as "Vendor") agrees as follows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative") awards Vendor a
contract under this Proposal Invitation ("Underlying Award'�, the National Purchasing Cooperative ("National Cooperative'�
may - but is not required to -"piggy-back" on or re-award all or a portion of that Underlying Award ("Piggy-Back Award'�.
By signing this National Cooperative Vendor Award Agreement ("Agreement"), Vendor accepts and agrees to be bound by
any such Piggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator
("BuyBoard Administrator'� will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the
effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as
authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of
Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no
interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are
agreed to by its BuyBoard Administrator in writing.
3. Vendor agrees that it shall ofFer its goods and services to National Cooperative members at the same unit pricing and
same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e.,
lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award.
4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation
Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be
approved in writing by the BuyBoard Administrator.
5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of
purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to
National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon
request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative
members for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall
have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National
Cooperative members in order to verify the accuracy of service fees.
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the
fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and
responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to
National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying
Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the
only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the
Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of
this Agreement shall control, and then only to the extent necessary to reconcile the conflict.
Proposal Forms COMM/SVCS v.06.14.2018
Page 24 oF 66
� Bo��d�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue
for any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-
Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
��� r � �I�I ��3-1 �I
Name f Vendor � Proposal Invitation Nu er
,'ij' ,
S' ture of Authorized Company Official Printed Name of Authorized Company O �cia!
C� C� I �
Da e
Proposal Forms COMM/SVCS v.06.14.2018
Page 25 of 66
� r ��U }��� L � .'� �
August 30, 2018
Texas Association of School Boards, Inc.
Buy Board Department
12007 Research Blvd.
Austin, TX 78759
To Whom It May Concern:
Please be advised that the enclosed information about our governmental agencies,
discounts and volume information is considered CONFIDENTIAL information.
We are supplying this information as part of your bid/contract request and ask that you
not release any of this information beyond those people responsible for determining the
award of this contract.
Thank you in advance for your cooperation.
Jenna Schall
Bid Manager
S&S Worldwide, Inc.
75 Mill Street ••, CT 06415 • USATeI: 800-642-7354 x-2503• Fax: 800-432-2842 Email: jschall@ssww.com
� Baa�d �
Covperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
FEDERALAND S�ATEIPURCHASTNG C�OPERATNE EXPERIENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from
vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or
market price during the previous 12-month period or the last fiscal year: � .(The period of the 12
month period is l ). In the event that a dollar value is not an appropriate measure of the sales,
provide and describe your own measure of the sales of the item(s).
2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the
Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items
under equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in
the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing
cooperatives as required.
.. �. ��. � .•� �
. . � ��� �• • •�
•• • � ��� , �.
1. Federal General Services Administration ��Q� �b
/�� �° S - ooc�
2. T-PASS (State of Texas) / 1� �j 9O
/V / l/
3. U.S. Communities Purchasing Alliance �O
4. National IPA/TCPN ,� 1O ��
�V
5. Houston-Galveston Area Council (HCAc) �� ��
6. National Joint Powers Alliance (NJPA) �� ��
7. E&I Cooperative � ��
8. The Interlocal Purchasing System (TIPS) �Q � �j� a ��,�p �
C
9. Other
❑ MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUYBOARD VEIVDQRS
If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the
discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between
your current and proposed discounts.
Current Discount (%): � �
Explanation:
Proposed Discount (%):20
Page 26 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Board�
Cooperative Puichasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 ' buyboard.com
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
S&� �UU�R�,D'I�IDE
� Company Name
,� �� ,� � � �
gnature of Authorized Company OfFiciaf Pnnted Name
Proposal Forms COMM/SVCS v.06.14.2018
Page 27 of 66
, Y D��� �
Cooperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts
you offer other governmental customers. Attach additional pages if necessary.
Quantity/
Entitv Name Contact Phone# Email Address Discount Volume
1 EI Paso ISD, Gloria Alcocer, 915-759-2700, gxalcoce@episd.org, 20%
2 Alief ISD, Judy Coronado, 281-498-8110, judith.coronado@aliefisd.net, 20%
3 Klein ISD, Cindy Lebrun, 832-249-4000, clebrun@kleinisd.net, 20%
4 Lewisville ISD, Janice Garrison, 214-222-2450, garrisonj@lisd.net, 20%
5 Houston ISD, Evelyn Goff, 713-892-6970, egoff@houstonisd.org, 20%
Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give
better discounts (lower prices) than indicated? YES ❑ NO �❑ If YES, please explain:
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
S&S Worldwide, Inc.
nature of Authorized Company �fficial
Jenna Schall
Printed Name
Proposal Forms COMM/SVCS v.06.14.2018
Page 28 of 66
s Board�
Cnvperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
MARKETING STRATEGY
For your Proposal to be con�ider�d, you must submit the Marketing Strakec�y yoti will use if the Cooperative accepts all or
part of your ProG�osal. (Exan�ple: E,eplain how yow� company will initially inform Caopeiative membei� of your BuyBoard
contracl; and how you wrll contirrue to suppart rhe Bc�yBoard for the duration of the cantract period. J
Attach additianal pages if necessary
� �' � Q `iT� � J�I I
s�s�uo�L��iD�
Compa Name
���/. % f
; r� �
f�nature of Authorized Company Official
1
' ed Name
Proposal Forms COMM/SVCS v.06.14.2018
Page 29 of 66
Marketin� Plan
S&S Worldwide can market this contract in many ways. There can be an announcement
of award through our website and other social media sites. We can also market using
email blasts to our customers who are linked to this bid/contract.
If awarded, S&S Worldwide will describe and demonstrate the benefits of this contract
to our customers who are eligible entities through our website and email blasts. If they
need more information, they can always call to discuss questions or concerns. We have
an inside sales team that makes on average of 280 calls a day to customers within their
base of accounts. In these calls, the rep keeps customers informed of recent
developments with their order, or general information. A strategy could be worked out
where for an allotted period these reps can make calls pertaining to Buyboard and their
awarded contracts.
Within the first 90 days, our marketing plan will include the following:
• Announcement of Award on our website & social media sites
• Targeted email blasts to your customer base
• Telesales phone call campaigns
• Attending trade shows
• Special custom-pricing web portal
� Board�
Cooperafive Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com
CONFIDENTIAlIPR�PRIETARY INFORMATION
A. Public Disclosure Laws
All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this
Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public
Information Act (Texas Government Code chapter 552.001, et, seq.) or similar disclosure law. Proposer must clearly
identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the
Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the
Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a
member of the public or other third party request access to the information under the Texas Public Information Act or
similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has
identified in this form as proprietary or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
f'lease �he�k (�� one of the foqowinq:
� NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
� YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is
specifically identified on this form.
If you responded "YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative
and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or
proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will
disclose information when required by law, even if such information has been identified herein as information the vendor
considers confidential or proprietary.
(Attach additiona/ sheets if needed.)
Proposal Forms COMM/SVCS v.06.14.2018
Page 30 of 66
Confidential / Proprietary Information:
� Board`�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
B. Copvriqht Information
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Plea� check { ane �f the followinn:
� N�� Proposal (including forms, documentation, or other materials submitted with the Proposal) does not
contain copyright information.
❑ YES, Proposal (including forms, documentation, or other materials submitted with the Proposal) does
contain copyright information.
If you responded "YES", identify below the specific documents or pages containing copyright information.
Copyright Information:
(Attach additionalsheets ifneeded.)
C, Cansent ta Release CanfidentiallProprietarylCopyright Information to Bu�Board Members
BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to
view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential,
proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such
information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other party.
D. Cansent to Release Proaosal Tabufation
Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal,
Vendor consents and agrees that, upon Contract award, the Cooperative may publically release, including posting on the
public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed
catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor
award or non-award information.
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
m con�pany to m ke this certification and all consents and agreements contained herein.
���''���L��'1DE
Cam ny Name
� ` ;/ ;
�g ture of Authori d Compan� Official
l
Print Name
� t
C] e
Proposal Forms COMM/SVCS v.06.14.2018
Page 31 of 66
� Baard�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
VENDOR BUSINESS NAME
By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must
be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and
accurately provide the information requested below or your Proposal may be deemed non-responsive.
Name of Proposing Company: �,`�"� l/�J�`�'( IV�
(List the /eoa/ name of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba, aka, etc, here. Such information may
be provided be%w. If you a�e submitting a joint proposal with another entity to provide the same proposed goods or services, each submitting entity
should complete a separate vendor information form. Separately operating lega/ business entities, even if a�liated entities, which propose to provide
goods or services separately must submit their own Proposals.)
P1�ase che�k [/� one oF tiie foElawinq:
Tvae of Business:
Individual/Sole Proprietor
Corporation �-
Limited Liability Company
Partnership
Other If other, identify
State of Incorporation (it aPpiicabie): C- I
Federal Employer ldentification Number: �.�9 —����a �
(l/endor must include a campleted �5_t�/� form with their proposal)
List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note: rPdi�erent than the Name of
Proposing Company listed above, only valid trade names (dba, aka, etc.) of the Proposing Company may be used and a copy of your Assumed Name
Certificate(s), if applicable, must be altached.)
Proposal Forms COMM/SVCS v.06.14.2018
Page 32 of 66
Fo� W-9
(Rev. November 201 �
Oepartment of Ihe Treasury
lntomal Revenue Service
Request for Taxpayer
Identification Number and Certification
► Cio to www.lrs.gov/FormW9 for instructions and the latest informatlon.
1 Name {as shown on your income tax retumj. Name Is required on thls Nne; do not leave this Ilne hlank.
►:j
Give Form to the
requester. Do not
send to the IRS.
2 Buslness name/dfsregarded entRy name, iF dif(erent irorn above
oi
a�
m
a
C
O
d c
0
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0
c �D
.� c
a�
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3 Check approprfate box for federal tax classlflcatlon of the person whose name Is entered on Ilne 1. Check only one of the 4 Exemptlons (codes apply only to
following seven boxes. certain entitles, not Indlviduals; see
Instructions on page 3):
❑ IndlviduaUsole proprietor or � C Corporation ❑ S Corporation ❑ Partnership ❑ TrusVestate
single-member LLC Exempt payee code Qf any) `
❑ Llmlted Ilabllky company. Enter the tax classiflcatlon (C=C corporation, S=S corporatlon, P=Partnershlp) ►
Note: Check the appropr[ete bnx In Ihe line abave tor ihe tax classiflcatlon oi the sEngle-member owner. �o not check Exemption irom FATCA reporting
LLC if the LLC Is classitled as a singfe-mamber LLC Shat Is dfsragarded lrem the owner untass the awner of the LLC Is code (If any)
another LLC that Is not dfsregardec3 irom the owner for U.S, federal tax purposas. Otherwfse, a singEe-memher LLC that
Is disregarded irom the owner should check the epproprlate box for the tax classillcatlon of Its owner.
U Other (see instructlans) ►
5 Address (number, street, snd apt. or sulte no.) See Instructlons.
1� � li� s�'f�,�{' +ff.,CYlI'� AddYg�.S: � Q,Lht �
8 Cfty, state, and ZiP code
�`dIC�1eS�'s Cf U 10�415 �� ►''�� ,
7 List account number(s) here (optiona� �� 7�
(AppNes fo accounls mNnleined ou1�We fhe U.S.J
name and aadress (optlonal)
Taxpayer ldentification Number (T!N
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avofd L
backup withholding. For individuals, this is generally your social security number (SSN). However, for a �
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later. or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and [
Number To Glve the Requester for guidellnes on whose number to enter. �
identification numher
-�S2 U�Z
Under penalties of pery'ury, I certify that:
1. The number shown on this form is my correct taxpayer identificatlon number (or I am waiting for a number to be issued to me); and
2. I am not subJect to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notlfied by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or divldends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For moRgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and divldends, you are not required to slgn the certiflcation, but you must provide your correct TIN. See the instructions for Part II, later.
��9n I Signature of
Here u.s.�►�on►
Date ►
General Instructions
Section references are to the Intemal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its Instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (I'IN) which may be your social security number
(SSN), individual taxpayer identificatlon number (ITIN), adoption
taxpayer ldentificatlon number (ATIN), or employer identiflcatlon number
(Elt�, to report on an Information retum the amount pald to you, or other
amount reportable on an fnformation retum. Examples of Informatlon
retums Include, but are not Ifmited to, the following.
• Form 1099-INT (interest earned or paid)
• Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (varlous types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester wlth a TIN, you mlght
be subject to backup withholding. See What is backup withholdfng,
later.
Cat, No. 10231X Form W-9 (Rev. 11-2017)
� Baa�dm
Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 ' Uuyi�aard,conl,
EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific
federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited
to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, 2 CFR 200 (sometimes referred to as the "Uniform Guidance" or new "EDGAR"). All Vendors submitting
proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain
requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This
completed form will be made available to Cooperative members for their use while considering their purchasing options
when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in
addition to the BuyBoard contract's general terms and conditions, to address the member's specific contractual needs,
including contract requirements for a procurement using federal grants or contracts.
For each of the items be%w, Vendor shou/d certify Vendor's agreement and abi/ity to comp/y, where
applicaGle, by having Vendor's authorized representative comp/ete and initia/ the applira6le boxes and sign
the acknow/edgment at the end of this form. If you fai/ to comp/ete any item in this form, the Cooperative
wi// consider and may /ist the Vendor's response on the BuyBvard as "NO, "the Vendor is unab/e or unwi//ing
to comp/y, A'�NO" response to any of the items may, if applicable, impact the ability of a Cooperative member to
purchase from the Vendor using federal funds.
1. Vendor Violation or Breach of Contract Terms:
Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted
amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils)
as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors
violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms
and Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary
contract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent
with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions.
The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By
submitting a Proposal, you agree to these Vendor violation and breach of contract terms.
2. Termination for Cause or Convenience:
For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the
following term and condition shall apply:
The Cooperative member may terminate or cancel any purchase order under this Contract at any time, with or without
cause, by pro�iding seven (7) business days advance written notice to the �endor. If this Agreement is terminated in
accordance with this Paragraph, the CoQpe�ative member shall on/y be regurrecl to pay �endor for goods or services
de/ivered to the Cooperative member prior to the termination and not otherwise returned in accordance with l/endor's
return policy. IF the Cooperative member has paid �endor for goods or ser�ices not yet pro�ided as of the date of
termination, l/endor sha/l immediately refund such payment(s).
If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the
manner by which it will be effected and the basis for settlement, is included in the Cooperative member's purchase order,
ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member's provision shall
control.
Proposal Forms COMM/SVCS v.06.14.2018
Page 33 of 66
� Boar�d�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • f�t�yl�nard.com
3. Equal Employment Opportunity:
Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the
definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal
opportuniry clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment
Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375,
"Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR
Part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor."
The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that
such provision applies to any Cooperative member purchase or contract that meets the definition of "federaliy assisted
construction contract" in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision.
4. Davis-Bacon Act:
When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction
contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146-
3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to
Contracts Covering Federally Financed and Assisted Construction'�. In accordance with the statute, Vendor is required to
pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by
the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.aov. Vendor agrees that,
for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor's
acceptance of the wage determination.
Vendor further agrees that it shall also comply with the Copeland "Anti-Kickback" Act (40 USC 3145), as supplemented by
Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work
Financed in Whole or in Part by Loans or Grants from the United States'�. The Act provides that each contractor or
subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or
repair of public work, to give up any part of the compensation to which he or she is otherwise entitled.
5. Contract Work Hours and Safety Standards Act:
Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of
mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor
regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic
and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible
provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and
provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles
ordinarily available on the open market, or contracts for transportation or transmission of intelligence.
6. Right to Inventions Made Under a Contract or Agreement:
If the Cooperative member's Federal award meets the definition of "funding agreemenY' under 37 CFR 401.2(a) and the
recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance or experimental, developmental, or research work under that "funding
agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions
Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative
Agreements," and any implementing regulations issued by the awarding agency.
Vendor agrees to comply with the above requirements when applicable.
Page 34 of 66
Proposal Forms COMM/SVCS v.06.14.2018
� Board�
Cooperative Pu�chasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • b�6oard.�nm
7. Clean Air Act and Federal Water Pollution Control Act:
Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended —
Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to
agree to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401-
7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the
Federal awarding agency and the Regional OfFice of the Environmental Protection Agency (EPA).
When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean
Air Act and the Federal Water Pollution Control Act.
8. Debarment and Suspension:
Debarment and Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.220) must not be
made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with
the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3
CFR Part 1989 Comp. p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority
other than Executive Order 12549.
Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended,
or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order
12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases
or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred,
suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
9. Byrd Anti-Lobbying Amendment:
Byrd Anti-Lobbying Amendment (31 USC 1352) -- Vendors that apply or bid for an award exceeding $100,000 must file the
required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to
pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member
of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any
Federal contract, grant or any other award covered by 31 USC 135Z. Each tier must also disclose any lobbying with non-
Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to
tier up to the non-Federal award. As applicable, Vendor agrees to file all certifications and disclosures required by, and
otherwise comply with, the Byrd Anti-Lobbying Amendment (31 USC 1352).
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste
Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information
and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of
Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the
preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy
and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA Quidelines.
il. Profit as a Separate Element of Price:
For purchases using federal funds in excess of $150,000, a Cooperative member may be required to negotiate profit as a
separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to
provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a
particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the Cooperative
member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Contract.
Proposal Forms COMM/SVCS v.06.14.2018
Page 35 of 66
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
12. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy
such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to,
applicable recordkeeping and record retention requirements.
Vendar Cerrific�tian:
YES, I agree or
Vendor Certification Item No. NO, I do NOT a ree Initial
1. Vendor Violation or Breach of Contract Terms
2. Termination for Cause or Convenience 1�
CJ
3. Equal Employment Opportunity C
�
4. Davis-Bacon Act
� �
5. Contract Work Hours and Safety Standards Act
6. Right to Inventions Made Under a Contract or Agreement �
7. Clean Air Act and Federal Water Pollution Control Act �
8. Debarment and Suspension
9. Byrd Anti-Lobbying Amendment � �
10. Procurement of Recovered Materials �
11. Profit as a Separate Element of Price 1�
U
12. General Compliance and Cooperation with Cooperative Members � C
J
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
SB�S �QRLD�IDE
Com�anv Name ,� � f? �
re of ALitharize Company Dfficial
��-�� ��� � �
Name
Proposal Forms COMM/SVCS v.06.14.2018
Page 36 of 66
� Board �
Cooperative Purchasirrg
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • Uuvf�oard.con�
PROPOSAL INVITATXON QUESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial
resources to provide the goods and perForm the services ("Work'� under the BuyBoard contract contemplated by this
Proposal Invitation ("Contract"). Proposers must fully answer each question, numbering your responses to correspond to
the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below, and submit the signed questionnaire and your responses to all questions in one document with your
Proposal. You must submit the signed questionnaire and responses with your Proposal or the Proposal will
not be considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in
acquisition by another entity.
S&S Worldwide has been in business for 112 years.
We began business as S&S Leather and later became S&S Arts & Crafts.
In 1946, S&S Worldwide became incorporated.
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this
Contract. State the number and summarize the experience of company personnel who may be utilized for the Work,
including those who will be available to Cooperative members for assistance with project development, technical issues,
and product selection for Work associated with this Contract.
S&S Worldwide employs a number of Customer Service Representatives and Call Center Associates,
as well as a Bids/Contracts team of 8 members to successfully receive and process PO's for this contract.
The company staffs roughly 200-300 employees based on the season.
All of our employees are required to be cross trained in other areas to prevent shortages from occurring.
3. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and
rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present
owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or
insolvency proceeding in the last 7 years, and identify any such debtor parly by name and relationship to or position
with your firm.
Upon request, S&S Worldwide can provide Certificates of Insurance or Bonds.
We are a privately owned company, and upon request, can supply the D&B number
and/or financial statements that must remain confidential. We do not have a
shareholder/stockholder who has been a debtor party to a bankruptcy or insolvency.
Proposal Forms COMM/SVCS v.06.14.2018
Page 37 of 66
� Board�
Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-Z11-5454 • buyboard.com
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
No.
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date
and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the
work, or termination.
N/A
6. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought
against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or
employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this
Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of
the claim, and resolution or current status.
N/A
By signature below, I certify that the information contained in and/or attached to this Proposal Invitation
Questionnaire in response to the above questions is true and correct and that I am authorized by my
company to make this certification.
S&S Worldwide, Inc.
Compan� Name
gnature of Authorized Company Official
Proposal Forms COMM/SVCS v.06.14.2018
Page 38 of 66
� Baard�
Conperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
REQUIRED FORMS CHECKLIST
(Please check (�) the following)
� Completed: Proposer's Agreement and Signature
[� Completed: Vendor Contact Information
[� Completed: Felony Conviction Disclosure and Debarment Certification
[v� Completed: Resident/Nonresident Certification
�
V
t►J
�
il
V
A
V
A
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A
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�
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V
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u
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r
L
Completed: No Israel Boycott Certification
Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Completed: Historically Underutilized Business (HUB) Certification)
Completed: Construction Related Goods and Services Affirmation
Completed: Deviation/Compliance
Completed: Location/Authorized Seller Listings
Completed: Manufacturer Dealer Designation
Completed: Texas Regional Service Designation
Completed: State Service Designation
Completed: National Purchasing Cooperative Vendor Award Agreement
Completed: Federal and State/Purchasing Cooperative Experience
Completed: Governmental References
Completed: Marketing Strategy
Completed: Confidential/Proprietary Information
Completed: Vendor Business Name with IRS Form W-9
Completed: EDGAR Vendor Certification
Completed: Proposal Invitation Questionnaire
Completed: Required Forms Checklist
Completed: Evaluation Items
Completed: Proposal Specification Form with Catalogs/Pricelists
''Calalogs/Prlcelists mus7 6e sutrRirilpd ss+ith pro,rwsal response er resprrri_,e eviH riat 1� mnsdder�
Proposal Forms COMM/SVCS v.06.14.2018
Page 39 of 66
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� Baard �
Cooperafive Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • ww4v.btiyboard.cnm
THE LOCAL GOVERNMENT PURCHASING COOPERATIVE
ADDENDUM NO. 1
Proposal No. 583-19
Athletic, Physical Education, Gymnasium Supplies and Equipment
and Heaw Dutv Exercise Equipment and Re[ated Accessories
The following information becomes a permanent part of the Proposal Invitation document.
PROPOSALDUEDATE
The correct deadline date for this proposal is August 30, 2018, at 4:00 P.M.
Please sign and return one copy of the addendum with proposal as verification of receipt and compliance with
addendum information.
Company Name: S&S Worldwide, �r1C.
Address: 75 Mill St. Colchester, CT 06415
� %,
Signature of Authorized �/ ' �`' - �,/ �
Company Official: `� �'i�_' . -7:��' Title: Bid Mana�er
Telephone Number: ��-243-9232 oate: 8/29/18
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 Date Received
has a business reiationship 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.
� Name of vendor who has a business relationship with local governmental entity.
z
S+ `J- 1�0 � 1 d c.,� i c1 �° �n C.
� 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 disctosed.
N/�- — ���e_.
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 locaf 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?
aYes � 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.
� �/ 1
6
I� Gheck this box if the vendor has given the local government officer or a famlly member of the officer one or more gifts
U as descr �>d in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7 � ,-� '
I � � I
Si' rriture of �en�lqr dnincl husin���s with the gUvermm�ntal cnthy bate
Form provided y Texas Ethics Commission www.ethics.state.tx.us Revised 11112021
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 Go�ernment Cocfe � 176.001(1-aj: "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 Go�ernment Code $176.403(a?f2j{A) and {B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
*«*
(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.
Lacal Government Cnde § 176.006(a} a�d {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 1I1/2021
M&C Review
Page 1 of 2
Official site of the City of Fort Worth, Texas
A CITY COUNCIL AGEND F�RT_� H
DATE
CODE:
5/14/2019 REFERENCE
NO..
P TYPE:
**P-12326 LOG NAME
CONSENT PUBLIC
HEARING:
13PATHLETIC, PHYSICAL
EDUCATION, GYMNASIUM
SUPPLIES CC PARD
NO
SUBJECT: Authorize Agreements with the Listed Vendors for Athletic, Physical Education,
Gymnasium Supplies and Equipment and Heavy Duty Exercise Equipment and Related
Accessories and Services, Using a Cooperative Contract for City Departments in the
Combined Annual Amount Up to $1,000,000.00 (ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council authorize Agreements with the vendors listed below for
athletic, physical education, gymnasium supplies and equipment and heavy duty exercise equipment
and related accessories, and services using Texas Association of School Boards BuyBoard Contract
No. 583-19 for City Departments in an annual amount up to $1,000,000.00.
DISCUSSION:
City Departments will utilize the Agreements to purchase commercial exercise equipment, athletic
supplies, gym supplies, which includes score and video boards, athletic clothing, related repair parts
and services at several City facilities. The equipment is primarily used by citizens at City Community
Centers and by public safety employees.
Staff's recommended vendor list includes multiple vendors offering a variety of products offered
through TASB Contract No. 583-19. Recommended vendors and award amounts are below:
Vendor Award Amount
Daktronics, Inc $360,000.00
Comm-Fit LP $400,000.00
Fit Supply LLC $100,000.00
Nevco Inc $10,000.00
BSN Sports LLC $95,000.00
S&S Worldwide, Inc. $35,000.00
COOPERATIVE PURCHASE - The Purchasing Division will use TASB Contract No. 583-19 to
acquire commercial exercise equipment, athletic supplies, gym supplies, which includes score and
video boards, athletic clothing, related repair parts and services. State law provides that a local
government purchasing an item under a Cooperative Purchasing Agreement satisfies state laws
requiring that the local government seek competitive bids for purchase of the items. TASB contracts
have been competitively bid to increase and simplify the purchasing power of government entities.
M/WBE OFFICE -A MBE/SBE goal is not assigned when purchasing from an approved purchasing
cooperative or public entity.
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M&C Review
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AGREEMENT TERMS - Upon City Council approval, this Agreement will begin on May 8, 2019 and
end March 31, 2020.
RENEWAL OPTIONS - The TASB Agreement may be renewed at the City's option for two additional
one-year term if TASB renews its contract. This action does not require specific City Council
approval provided that the City Council has appropriated sufficient funds to satisfy the City's
obligations during the renewal term. Staff anticipates that the costs for renewal years shall remain
approximately the same as the first year.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budgets, as
appropriated, of the participating departments and that prior to an expenditure being made, the
department has the responsibility to validate the availability of funds.
BQN\583-19\CC
TO
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
Fund Department I Account Project
ID ID
Submitted for City Manager's Office by:
Originating Department Head:
Additional Information Contact:
ATTACHMENTS
Form 1295 Redacted.
Program � Activity Budget
Year
Susan Alanis (8180)
Kevin Gunn (2015)
Reference # � Amount
(Chartfield 2� _
Cynthia Garcia (8525)
Cristina Camarillo (8355)
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