HomeMy WebLinkAboutContract 57802CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement (“Agreement”) is entered into by and between Traffic and
Parking Control Co., Inc dba TAPCO (“Vendor”) and the City of Fort Worth, (“City”), a Texas
home rule municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1.This Cooperative Purchase Agreement;
2. Exhibit A – Seller’s Quote, Scope of Services or Purchase Order;
3. Exhibit B – Cooperative Agency Contract OMNIA Partners 2020-200; and
4. Exhibit C – Conflict of Interest Questionnaire
Exhibits A, B, and C, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by City
shall not exceed Five Hundred Seven Thousand Three Hundred Sixteen Dollars and Forty-Two
Cents ($507,316.42). Vendor shall not provide any additional items or services or bill for expenses
incurred for City not specified by this Agreement unless City requests and approves in writing the
additional costs for such services. City shall not be liable for any additional expenses of Vendor not
specified by this Agreement unless City first approves such expenses in writing.
The term of this Agreement shall be for one year beginning on March 1, 2022 and ending on
February 28, 2023. The City shall be able to renew this agreement for seven (7) one-year renewal options
by written agreement of the parties.
Vendor agrees that City shall, until the expiration of three (3) years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books, documents, papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows:
CSC No. 57802
To CITY:
City of Fort Worth
Attn: Dana Burghdoff, Assistant City Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney's Office at
To VENDOR:
Traffic and Parking Control Co., Inc dba T APCO
Andrew Bergholz, President/Owner
Address:
5100 W Brown Deer Rd
Brown Deer, WI 53223
same address Facsimile: NIA
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
CITY OF FORT WORTH:
By:
Name: Dana Burghdoff
Title: Assistant City Manager
Date:
APPROVAL RECOMMENDED:
By:
Name: William M Johnson
Title: Transportation/Public Works Director
ATTEST:
By:
Name: Jannette Goodall
Title: City Secretary
VENDOR:
Traffic and Parking Control Co., Inc dba T APCO
By:
Date:
Digitally signed by Andrew Andrew Bergholz Bergholz
Date: 2022.06.1613:32:57 -05'00'
Name: Andrew Bergholz
Title: President/Owner
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and
administration of this contract, including
ensuring all performance and reporting
requirements.
By:
Name: Brandon Callicoat
Title: TPW Superintendent
APPROVED
LEGALITY:
By:
AS TO
Name: Taylor Paris
FORM
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 21-0133
AND
Brandon Callicoat Digitally signed by Brandon
Callicoat
Date: 2022.06.28 17:13:10 -05'00'
$''$ ( *#).*)җ 0)сшѶспссрфѷрпҘ
Dana Burghdoff (Jul 7, 2022 08:30 CDT)
Dana Burghdoff
Jannette S. Goodall (Jul 7, 2022 13:10 CDT)
Jannette S. Goodall
Item Description Quantity UM Price Extension
373-01602 R1-1,30"x30"x.080 5052 HIP,Stop,Sign, Fed
Spec Stocked
1 EA 101.15 $101.15
373-00146 R1-2,36"x36"x.080 EGP,Yield 1 EA 135.35 $135.35
373-04938 R1-3P,18"x6"x.080, HIP, ALL WAY sign
(Previous MUTCD R1-4)
1 EA 27.55 $27.55
373-02533 R2-1,24"x30" HIP,Speed Limit 25 (Fed Spec)
Sign
1 EA 116.35 $116.35
373-01550 R4-7,24"x30" HIP,Keep Right (Symbol) (Fed
Spec) Sign,5052
1 EA 87.85 $87.85
373-00530 R5-1,30"x30"x.080 HIP,Do Not Enter (Fed Spec)
Sign
1 EA 126.80 $126.80
373-01964 R6-1L,36"x12"x.100 HIP, One Way (Left Arrow)
Fed Spec Sign
1 EA 108.75 $108.75
373-04898 Sign,36"x12"x.100 5052 HIP White Fed Spec 1 EA 87.85 $87.85
R6-1R
373-04761 R6-2L,18"x24" HIP,One Way (w/Left Arrow) Fed
Spec sign (C1500975)
1 EA 82.15 $82.15
373-04728 R6-2R,18"x24"x.080 HIP,One Way (Right Arrow)
Fed Spec Sign
1 EA 82.15 $82.15
119846 R7-2,12"x18"x.080 HIP, No Parking (symbol)
8:30 AM TO 5:30 PM, (Fed Spec) Sign
1 EA 56.50 $56.50
373-05074 S1-1,36"x36"x.080 DG3 FYG,School Crossing
(Symbol) (fed spec) sign
1 EA 214.25 $214.25
373-05066 W16-7PL,30"x18"x.080 DG3 FYG,Down Diagonal
Left Arw(Fed Spec)sign,1.875"Radius (2)3/8"
Holes 3"In
1 EA 124.90 $124.90
373-05065 W16-9P,30"x18"x.080 DG3 FYG,Ahead (Fed
Spec) sign,1.875" Radius (2) 3/8" Holes 3" In
1 EA 128.70 $128.70
373-04411 W16-7PL,24"x12" HIP,Down Diagonal Left Arrow
(Fed Spec) Sign
1 EA 70.75 $70.75
304152 W16-9p,30"x18"x.080 HIP,Ahead Sign 1.875"
Radius (2) 3/8" Holes 3" In
1 EA 116.35 $116.35
$30,742.48$0.00$30,742.48
TotalTaxFreightMerchandise
$0.00
Shipment within
Acceptance By
By
Date
All prices are listed in US Dollars (USD)
For terms and conditions, please visit: https://www.tapconet.com/terms-conditions
5001 James Avenue
Traffic Services Fort Worth, TX 76115
5001 James Avenue
Page
Date
Number
SALES QUOTE
Q22008385
USA
Traffic Services
City Of Fort Worth
Fort Worth, TX 76115
Tyson Whitler
City Of Fort Worth
5/18/2022
1
Customer Copy
Sell To
Cust.
C11991
Ship To
Cust.
SIGNS 6/17/2022 Amy Schmidt-Borden BEST RATEPREPAIDNet 30 DAYS
Customer PO #Expires Slsp Terms Freight Ship Via
Exhibit A
Item Description Quantity UM Price Extension
121850 W1-2L,30"x30"x.080 DG3,Curved Left Arrow
FED SPEC SIGN
1 EA 160.05 $160.05
303018 W1-8,18"x24" DG3 Yellow, Right or Left Chevron
(Fed Spec) Sign
1 EA 83.10 $83.10
373-00879 R3-4,24"x24"x.080 DG3, No U Turn (Symbol)
Sign
1 EA 151.50 $151.50
373-04477 R3-2,24"x24"x.080 HIP,No Left Turn (Symbol)
Sign
1 EA 139.15 $139.15
373-04511 R3-1,24"x24"x.080 DG3,No Right Turn (Symbol)
Sign
1 EA 151.50 $151.50
373-00948 R1-2,36"x36"x36"x.080 HIP,Yield Sign 1 EA 101.95 $101.95
126146 W1-2R,30"x30"x.080 DG3 Yellow Curved Right
Arrow
1 EA 160.05 $160.05
312780 W14-2, 24"x24"x.080,DG3, No Outlet 1 EA 114.45 $114.45
300680 W17-1,30"x30" DG3 Yellow, Speed Hump
(Worded) Fed Spec
1 EA 160.05 $160.05
116041 S5-1,24"x48"x.080 DG3 White/FY, School Speed
Limit 15 When Flashing
1 EA 252.25 $252.25
301230 R5-2,24"x24"x.080 DG3,No Trucks (Symbol) Fed
Spec
1 EA 125.85 $125.85
133031 Lane Delineator, White, 40", Red/White, 2-Sided
Reflectors,Tuff-Curb,Quick Release,Hardware
Incld
1 EA 218.05 $218.05
373-01646 R1-2,30"x30"x.080 DG3, Fed Spec, Yield Sign
(Actual size is 27" due to cut of aluminum)
1 EA 118.95 $118.95
301172 R1-3P,18"x6"x.080 DG3, All Way (worded) Fed
Spec
1 EA 49.85 $49.85
302956 W10-9P,30"x24"x.080 DG3 Yellow,No Train Horn
1.5" Rad, (2)3/8" holes 3" in
1 EA 136.30 $136.30
302404 NCPZ,24"x18" DG3, No Cell Phone Zone (Fed
Spec) Sign
1 EA 70.37 $70.37
$30,742.48$0.00$30,742.48
TotalTaxFreightMerchandise
$0.00
Shipment within
Acceptance By
By
Date
All prices are listed in US Dollars (USD)
For terms and conditions, please visit: https://www.tapconet.com/terms-conditions
5001 James Avenue
Traffic Services Fort Worth, TX 76115
5001 James Avenue
Page
Date
Number
SALES QUOTE
Q22008385
USA
Traffic Services
City Of Fort Worth
Fort Worth, TX 76115
Tyson Whitler
City Of Fort Worth
5/18/2022
2
Customer Copy
Sell To
Cust.
C11991
Ship To
Cust.
SIGNS 6/17/2022 Amy Schmidt-Borden BEST RATEPREPAIDNet 30 DAYS
Customer PO #Expires Slsp Terms Freight Ship Via
Item Description Quantity UM Price Extension
373-05063 W16-7PR,30"x18"x.080,DG3 FY,Down Diagonal
Right Arrow Sign,1.875" Radius (2) 3/8" Holes 3"
In
1 EA 130.60 $130.60
373-05061 W16-7PR,24"x12"x.080 DG3 FY,Down Diagonal
Right Arrow
1 EA 59.35 $59.35
1636-00041 Lane Delineator,YEL,40",Yellow/Yellow,2Sided
Reflectors,Tuff-Curb,QuickRelease,Hardware
Incld
1 EA 328.05 $328.05
373-05309 W3-2,30"x30"x.080 DG3,Yield Ahead (Symbol)
Fed Spec Sign
1 EA 271.25 $271.25
373-05073 S1-1,30"x30" DG3 FYG,School Crossing
(Symbol) Fed Spec Sign
1 EA 154.35 $154.35
302176 R2-1,24"x30" DG3,Speed Limit 30 (Fed Spec)
Sign
1 EA 119.20 $119.20
128813 Poster,2021 MUTCD, Rolled, Jumbo Size
36"x48" For Use Referencing Traffic Signs
1 EA 41.75 $41.75
133032 Lane Delineator, White, 40", White/Black, 2-Sided
Reflectors,Tuff-Curb,Quick Release,Hardware
Incld
1 EA 218.05 $218.05
302478 R3-5L,24"x30" DG3,Left Turn Only (Fed Spec)
Sign (C1501773)
1 EA 138.20 $138.20
112387 W1-1R,30"x30"x.080 DG3 Yellow, Turn Right
Arrow Sign
1 EA 160.05 $160.05
373-00706 CW-2,18"x24"x.080 EGP,Warning Neighborhood
Crime Watch Area (fed spec) Sign (C1606818)
1 EA 101.15 $101.15
373-01499 W11-2,30"x30"x.080 DG3 FY,Pedestrian
Crossing (Symbol) Fed Spec - Fluorescent
Yellow
1 EA 139.15 $139.15
373-05080 R1-1,30"x30"x.080 DG3, Stop,(Fed spec) sign 1 EA 132.50 $132.50
373-05060 W16-7PL,24"x12"x.080 DG3 FY,Down Diagonal
Left Arrow
1 EA 59.35 $59.35
301240 R5-1,30"x30"x.080 DG3,Do Not Enter (Fed Spec)1 EA 166.70 $166.70
$30,742.48$0.00$30,742.48
TotalTaxFreightMerchandise
$0.00
Shipment within
Acceptance By
By
Date
All prices are listed in US Dollars (USD)
For terms and conditions, please visit: https://www.tapconet.com/terms-conditions
5001 James Avenue
Traffic Services Fort Worth, TX 76115
5001 James Avenue
Page
Date
Number
SALES QUOTE
Q22008385
USA
Traffic Services
City Of Fort Worth
Fort Worth, TX 76115
Tyson Whitler
City Of Fort Worth
5/18/2022
3
Customer Copy
Sell To
Cust.
C11991
Ship To
Cust.
SIGNS 6/17/2022 Amy Schmidt-Borden BEST RATEPREPAIDNet 30 DAYS
Customer PO #Expires Slsp Terms Freight Ship Via
Item Description Quantity UM Price Extension
302186 R2-1,24"x30" DG3,Speed Limit 35 (Fed Spec)
Sign
1 EA 138.20 $138.20
340-00003 Cobra Combi Gas Powered Drill/Breaker,7/8"x4-
1/4" Chuck,Handle Width
23",55lbs,2,700BPM,Unleaded Gas
1 EA 6,903.50 $6,903.50
2180-C00203 Blinkersign, W2-1, 30", 4-way Inter, DG3, FY,
Solar, 8 Amb LEDs
1 EA 1,672.00 $1,672.00
102112 S4-I100,24"x48".080HIP/DG3 FYG,School Speed
Limit 20 On School Days When Child.. Fed
Spec,C1502628
1 EA 195.20 $195.20
121182 Sign,24"x36"x.080 DG3 White/FYG 1 Color Print 1 EA 220.00 $220.00
END SCHOOL ZONE
148034 Gate, Access Pro, 24VDC, White, 15' Arm
Included
1 EA 4,847.15 $4,847.15
137806 Solar Power Option w/100W Panel 1 EA 1,625.75 $1,625.75
500146 Controller, 12V, 136921, Radio, 44 Ah, No
Pushbutton
1 EA 2,015.00 $2,015.00
2180-00225DF BlinkerSign, W1-8, 24x30", Chevron, DG3, FY,
Direct Fire, 10 Amb LEDs
1 EA 1,045.00 $1,045.00
2438-00001 Sign Mounting Kit, Square/U-Channel, Anti-
Vandal For Mounting One Blinker Sign to 2" Sq &
U-Channel
1 EA 16.10 $16.10
078-00001-TX Glass Beads,50 lb Bag,TX Type 3, for painting
and epoxy,mix with paint to make lines reflective
1 EA 86.95 $86.95
2180-00246 BlinkerSign, W3-3, 30", Signal Ahead, DG3, FY,
Solar, 8 Amber LEDs
1 EA 1,672.00 $1,672.00
102112 S4-I100,24"x48".080HIP/DG3 FYG,School Speed
Limit 20 On School Days When Child.. Fed
Spec,C1502628
1 EA 195.20 $195.20
145928 Signs,30"x24"x.080, DG3,FY 1 Color Print 1.5"
Radius, (4)3/8" Holes 3" in on corners
1 EA 164.80 $164.80
373-01726 Sign,30"x36"x.080 DG3 White Fed Spec 1 EA 208.55 $208.55
$30,742.48$0.00$30,742.48
TotalTaxFreightMerchandise
$0.00
Shipment within
Acceptance By
By
Date
All prices are listed in US Dollars (USD)
For terms and conditions, please visit: https://www.tapconet.com/terms-conditions
5001 James Avenue
Traffic Services Fort Worth, TX 76115
5001 James Avenue
Page
Date
Number
SALES QUOTE
Q22008385
USA
Traffic Services
City Of Fort Worth
Fort Worth, TX 76115
Tyson Whitler
City Of Fort Worth
5/18/2022
4
Customer Copy
Sell To
Cust.
C11991
Ship To
Cust.
SIGNS 6/17/2022 Amy Schmidt-Borden BEST RATEPREPAIDNet 30 DAYS
Customer PO #Expires Slsp Terms Freight Ship Via
Item Description Quantity UM Price Extension
310107 R3-7R,30"x30"x.080 DG3 White/Black RIGHT
LANE MUST TURN RIGHT - STD MUTCD SIGN
1 EA 119.86 $119.86
301228 R3-4,36"x36"x.080 DG3,No U Turn (Symbol) Fed
Spec
1 EA 256.05 $256.05
137679 Sign,30"x36"x.125 DG3 White 1 Color Print Fed
Spec
1 EA 271.25 $271.25
100451 Sign,36"x42"x.125 5052 DG3 White 1 EA 316.25 $316.25
301226 R3-4,36"x36"x.080 HIP,No U Turn (Symbol) Fed
Spec
1 EA 227.55 $227.55
302480 R3-5L,30"x36"x.080 HIP,Left Turn Only (Fed
Spec) Sign
1 EA 176.20 $176.20
2180-00225 Blinkersign, W1-8L, 24x30", Left Chevron, DG3,
FY, Solar, 10 Amb LEDs
1 EA 1,672.00 $1,672.00
373-01287 Sign,30"x36"x.080 HIP White 1 Color Print Fed
Spec
1 EA 151.50 $151.50
106684 R5-2,30"x30"x.080 HIP,No Trucks (Symbol) Fed
Spec
1 EA 161.00 $161.00
311576 S5-3, 24"x30"x.080, HIP End School Speed Limit 1 EA 104.95 $104.95
147242 S5-1(MOD),24"x48"x.080 DG3 White/FYG
School Speed Limit (Blank) When Flashing
1 EA 199.95 $199.95
TAPCO OMNIA Partners Contract # 2020-200
FREE SHIPPING TAPCO'S OMNIA Contract #
2020-200
Thank You - Amy Schmidt-Borden
Email: amy.schmidtborden@tapconet.com
Office Number: 262-649-5218
$30,742.48$0.00$30,742.48
TotalTaxFreightMerchandise
$0.00
Shipment within
Acceptance By
By
Date
All prices are listed in US Dollars (USD)
For terms and conditions, please visit: https://www.tapconet.com/terms-conditions
5001 James Avenue
Traffic Services Fort Worth, TX 76115
5001 James Avenue
Page
Date
Number
SALES QUOTE
Q22008385
USA
Traffic Services
City Of Fort Worth
Fort Worth, TX 76115
Tyson Whitler
City Of Fort Worth
5/18/2022
5
Customer Copy
Sell To
Cust.
C11991
Ship To
Cust.
SIGNS 6/17/2022 Amy Schmidt-Borden BEST RATEPREPAIDNet 30 DAYS
Customer PO #Expires Slsp Terms Freight Ship Via
MEMORANDUM OF NEGOTIATION RFP# 2020-200
Barron County and TAPCO (Traffic & Parking Control Co., Inc.) hereby agree to the following in
the execution of Contract 2020-200. The period of the contract is from March 1, 2020, through
February 28, 2025, with five (5), one (1) year renewal options.
The final contract contains the following items:
A The Memorandum of Negotiation
B. Barron County Affidavit of Publication
C.Barron County RFP# 2020-200 and all Addenda
D.TAPCO (Traf fic & Parking Control Co., Inc.) Technical proposal as amended by this
Memorandum of Negotiations
E.TAPCO (Traffic & Parking Control Co., Inc.) Cost proposal as amended by this
Memorandum of Negotiations
ACCEPTED BY:
d:3 :::r c:JJ; /tr /;aAndrew Bergholz
VP, Sales
TAPCO (Traffic & Parking Control Co., Inc.)
l{/i 1/40/�1-o
�k I
High::C::sioner
Barron County, WI
Exhibit B
STATE OF WISCONSIN
ss
BARRON COUNTY
Mark C. Bell, being first duly sworn, says: That he
is the publisher of the Barron News-Shield, which is a
weekly newspaper of a general circulation, printed and
published in the City of Barron, in said County and
State; that a notice of which the annexed is a printed
copy taken from said newspaper, was printed and pub-
lished in the full regular edition once in each week for
' a)O successive week(s), commencing and
the first such publication being on the i]�`" day of
�.p � (-���� {��A.D., 20� and ending and
the la ps b ication being on the /6�S``fa` day of
� � � �� A.D., 20�, being �
such pub ication(s).
�� �
e
Subscribed and sworn to before me this � day of
o�eoa�osaa1� i�3�eel����f'�, %
`��e�e°�1�,�.�� � •.✓�i�i�-l�� ��{(` fi.�., 20`! � .
p T �,q ;G�,C.,�+�-
_ " � � �� o c � ��CSL
=�` ��= Notary Public, Barron County, Wis.
' . ,�
�`n� � �81�\�' ' � � Commission expires �� �
.soyT� o •���`a>
o���°''��;;���Lines � Col. � Time(s)$1��-�
First Insertion at •� per �_ lines $�tv -�5
Succeeding Insertion(s) at ��r � I lines $ ZC) - �
Affidavit 1.00
Total $�
� �' � . � � ` � / •
STATE OF WISCONSIN
ss
BARRON COUNTY
Mark C. Bell, being first duly sworn, says: That he
is the publisher of the Barron News-Shield, which is a
weekly newspaper of a general circulation, printed and
published in the City of Barron, in said County and
State; that a notice of which the annexed is a printed
copy taken from said newspaper, was printed and pub-
lished in the full regular edition once in each week for
�-Zx>�� successive week(s), commencing and
the first such publication being on the � day of
(��- }�e� A.D., 20_�_L__ and ending and
the last publication being on the `��`` day of
�c � U��- A.D.,20 �' _,being �z�
such publication(s).
� �
Subscribed and sworn to before me this �`� day of
`���v►aao�tear� f��i_ J ?
��ae�����\��JA����'��i,l CJ V L.� fi.D.� 2� ( CI .
� ��� e �� � � �, � �o � � C/�`R-�. � � �! .<L!Z-�"�-'�
e �
= e� � L, "�� Notary Public, B arron County, Wis .
e� `. ���e�� .� �� Commission expires �� ' C�� )
''ss�; °�. s.°'�,���.�
'''`''���t� �Lines �_ Col. v2 Time(s)$ � - c�
First Insertion at i(�? /� 7per � D lines $ i �� S
Succeeding Insertion(s) at� � �1(�per � lines $ •�
Affidavit 1.00
Total $ �� - �1 �
-1-
COMPETITIVE SOLICITATION
BY BARRON COUNTY
FOR
TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND
SOLUTIONS
ON BEHALF OF ITSELF AND OTHER GOVERNMENT AGENCIES
RFP # 2020-200
-2-
TABLE OF CONTENTS
Notice to Vendors ................................................................................................................3
Proposal Cover Sheet ...........................................................................................................4
Introduction and Background ..............................................................................................5
Overview ..........................................................................................................................5
Introduction ..................................................................................................................5
Objectives .....................................................................................................................6
General Terms and Conditions .....................................................................................6
OMNIA Partners, Inc. ......................................................................................................9
General Definitions of Products and/or Services……………………………………...10
Scope of Contract……………………………………………………………………...10
RFP Questions…………………………………………………………………………12
Contract Period and Renewal………………………………………………………….12
Termination of Contract……………………………………………………………….12
Calendar of Events…………………………………………………………………….13
Proposal Instructions…………………………………………………………………..13
Contact for Contractual Matters………………………………………………………15
Submission of Proposals………………………………………………………………16
Proposer Personnel Requirements and Determination of Responsibility……………..16
Late Proposals…………………………………………………………………………17
Period That Proposals Remain Valid………………………………………………….17
Evaluation of Proposal – Selection Factors……………………………………………17
Trade Secret/Proprietary Information…………………………………………………17
OMNIA Partners Attachment A…………………………………………………………19
Attachment B (Market Basket Pricing for Evaluation Purposes Only) as separate Excel
document
-3-
NOTICE TO VENDORS
Notice is hereby given that Barron County (County) on behalf of itself and other
government agencies and made available through the OMNIA Partners, Inc. will receive
proposals for:
TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND
SOLUTIONS
RFP # 2020-200
Sealed proposals for the material described herein will be received until 11:00 AM local
time on October 29, 2019 by the Barron County Highway Department, Office of the
Highway Commissioner, 260 North 7th Street, Barron, WI 54812, whereupon the sealed
proposals received will be opened and evaluated. Proposals must be sealed, prominently
marked with the RFP number, title, due date, time, and name of vendor on outside of
envelope. Facsimile (FAX) copies of the RFP will not be allowed.
Copies of the RFP documents may be downloaded at www.barroncountywi.gov
The County reserves the right to accept or reject any or all proposals, to waive any
technicalities, and to select the proposal deemed most advantageous to the Barron County
Highway Department and Participating Public Agencies.
RFP 2020-200
PROPOSAL COVER SHEET
-4-
TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND
SOLUTIONS
This Proposal submitted by:
Name of Organization: ___________________________________________
Address: ___________________________________________
___________________________________________
City/State/Zip: ___________________________________________
Primary Contact Person: ___________________________________________
Phone: ___________________________________________
Fax: ___________________________________________
E-mail: ___________________________________________
In accordance with the following and in compliance with all terms and conditions, unless
otherwise noted, the undersigned offers and agrees, if the proposal is accepted, to furnish
items or services for which prices are quoted, delivered or furnished to designated points
within the time specified. It is understood and agreed that with respect to all terms and
conditions accepted by Barron County the items or services offered, and accompanying
attachments shall constitute a contract.
By signing this proposal, Vendor certifies, acknowledges, understands, and agrees to be
bound by the conditions set forth in this Request for Proposal.
___________________________________
Vendor Legally Authorized Signature
___________________________________
Print Name
___________________________________
Title
___________________________________
Date
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GENERAL INFORMATION
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1. INTRODUCTION
Barron County (herein “Principal Purchasing Agency (PPA)”) on behalf of itself and all
states, local governments, school districts, and higher education institutions in the United
States of America, and other government agencies and nonprofit organizations (herein
“Participating Public Agencies”) is soliciting proposals from qualified suppliers to enter into a
Master Agreement for a complete line of Traffic Control Products, Related Products and
Solutions (herein “Products and Services”).
Proposals will be received until to 11:00 A.M. local time on October 29, 2019. Envelopes
must be sealed, prominently marked with the RFP number, RFP title, RFP opening time/date
and name of vendor, and submitted to:
BARRON COUNTY HIGHWAY DEPARTMENT
OFFICE OF THE HIGHWAY COMMISSIONER
260 NORTH 7TH STREET
BARRON, WI 54812
Proposals must be received no later than the time and date designated above. Proposals
received later than the designated time and date will not be accepted. Facsimile (FAX)
copies of the RFP will not be accepted.
This request does not commit the County to pay for any costs incurred in the submission of
the RFP, or in making necessary studies for the preparation thereof, nor to procure or
contract for the services or materials.
There will be no “oral communications” with any County employees regarding this RFP.
ALL PRODUCTS OFFERED MUST BE NEW, UNUSED, LATEST DESIGN AND
TECHNOLOGY. Include in your offering trade-ins, leasing/financing and provide structure
for each of these items.
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2. OBJECTIVES
A. Provide a comprehensive competitively solicited Master Agreement offering Products and
Services to Participating Public Agencies;
B. Establish the Master Agreement as a Supplier’s primary offering to Participating Public
Agencies;
C. Achieve cost savings for Suppliers and Participating Public Agencies through a single
competitive solicitation process that eliminates the need for multiple proposals;
D. Combine the volumes of Participating Public Agencies to achieve cost effective pricing;
E. Reduce the administrative and overhead costs of Suppliers and Participating Public
Agencies through state-of-the-art ordering and delivery systems;
F. Provide Participating Public Agencies with environmentally responsible products and
services.
3. GENERAL TERMS AND CONDITIONS
Taxes – Taxes shall not be included in unit prices.
Brand Name and Number–The Vendors shall state the brand name and number in the column
provided. If none is indicated, it shall be understood that the vendor is quoting on the exact
brand name and number specified in the RFP form. Should any item for which proposals are
requested be patented, or otherwise protected or designated by the particular name of the maker
and the Vendor desires to offer the item of equal character and quality, it may offer such
substitute item by clearly indicating that such substitution is intended and specify the brand.
Such substitution shall be accepted only if deemed by the Highway Commissioner to be equal
in all respects to that specified.
Samples – If needed, samples shall be furnished free of cost to the County after the RFP
opening. If requested, they are to be sent within seven (7) days to the Barron County Highway
Department, Office of the Highway Commissioner, 260 N 7th Street, Barron, WI 54812, unless
otherwise specified. The County reserves the right to reject the RFP of any Vendor failing to
submit samples as requested. Samples must be plainly marked with name of vendor, RFP
number and date of the RFP opening. Samples of the successful Vendors may be retained for
comparison with deliveries. Vendors may pick up samples (if not destroyed by test) on notice
from the Office of the Highway Commissioner. If not picked up within fifteen (15) calendar
days after date of such notice, samples may be disposed of by the County. Vendors (or their
agent) hereby assume all risks of loss or damage to samples whatever the cause.
Quantity and Quality of Materials or Services– The successful Vendor(s) shall furnish and
deliver the quantities designated in the RFP or purchase order. All materials, supplies or
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services furnished under the contract shall be in accordance with the RFP specifications and
the County’s sample or the sample furnished by the Vendors and accepted by the County.
When a sample is taken from a shipment and sent to a laboratory for testing and the test shows
that the sample does not comply with the RFP specifications, the cost of such test shall be paid
by the Vendor(s). The Vendor certifies that all materials conform to all applicable
requirements of Wisconsin OSHA and all other requirements of law. All items of equipment
and individual components, where applicable standards have been established, shall be listed
by the Underwriter Laboratories, Inc., and bear the UL label.
Safety Data Sheets – For all products requiring a Safety Data Sheet – The County requires
that a Safety Data Sheet accompany all orders at the time of delivery.
Severability – If any provisions of this agreement shall be held invalid or unenforceable by a
court of competent jurisdiction, such holding shall not invalidate or render unenforceable any
other provisions hereof.
Amendments – The terms of this Agreement shall not be waived, altered, modified,
supplemented or amended in any manner whatsoever except by written agreement signed by
the parties.
Entire Agreement – This RFP and all attachments thereto constitutes the entire agreement
between the parties. There are no understandings, agreements, representations or warranties,
express or implied, not specified in the Agreement. Vendor, by the execution of his/her
signature on the RFP Form acknowledges that he/she has and read this Agreement, understands
it, and agrees to be bound by its terms and conditions.
Force Majeure Clause – The parties to the contract shall be excused from performance
thereunder during the time and to the extent that they are prevented from obtaining, delivering
or performing by act of God, fire, strike, loss or shortage of transportation facilities, lockout,
or commandeering of materials, products, plants or facilities by the government, when
satisfactory evidence thereof is presented to the other party, provided that it is satisfactorily
established that the nonperformance is not due to the fault or neglect of the party not
performing.
Hold Harmless Clause – The successful Vendor agrees to indemnify, defend and save
harmless Barron County and Participating Agencies, its governing board, related divisions and
entities, officers, agents, and employees from and against any and all claims, demands, losses,
defense costs, or liability of any kind or nature which the County, it’s officers, agents, and
employees may sustain or injure or which may be imposed upon them for injury to or death of
persons, or damage to property as a result of, arising out of, or in any manner connected with
the Vendor or Vendor’s agents, employees or subcontractor’s performance under the terms of
this contract, excepting only liability arising out of the sole negligence of the County.
Prevailing Law – In the event of any conflict or ambiguity between these instructions and
state or federal law or regulations, the latter shall prevail. Additionally, all equipment to be
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supplied or services to be performed under the RFP proposal shall conform to all applicable
requirements of local, state and federal law.
Governing Law and Venue – In the event of litigation, the RFP documents, specifications
and related matters shall be governed by and construed only in accordance with the laws of the
State of Wisconsin. Venue shall only be with the appropriate state or federal court exercising
jurisdiction over Barron County.
Permits and Licenses – The successful Vendors and all of its employees or agents shall secure
and maintain in force such licenses and permits as are required by law, in connection with the
furnishing of materials, articles or services herein listed. All operations and materials shall be
in accordance with law.
Anti-discrimination – It is the policy of the Barron County Board of Supervisors, that in
connection with all work performed under Contracts there shall be no discrimination against
any prospective or active employee engaged in the work because of sexual orientation, physical
and mental disability, medical conditions, marital status, age, pregnancy, veteran status,
gender, race, color, ancestry, national origin, sex, or religious creed. Therefore, the Vendor
agrees to comply with applicable Federal and Wisconsin laws including, but not limited to, the
Wisconsin Fair Employment Act. In addition, the successful Vendors agree to require like
compliance by all subcontractors employed on the work by him.
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4. NATIONAL CONTRACT
Barron County, as the Principal Procurement Agency, defined in Attachment A, has partnered
with OMNIA Partners to make the resultant contract (also known as the “Master Agreement”
in materials distributed by OMNIA Partners) from this solicitation available to other public
agencies nationally, including state and local governmental entities, public and private
primary, secondary and higher education entities, non-profit entities, and agencies for the
public benefit (“Public Agencies”), through OMNIA Partners’ cooperative purchasing
program. Barron County is acting as the contracting agency for any other Public Agency that
elects to utilize the resulting Master Agreement. Use of the Master Agreement by any Public
Agency is preceded by their registration with OMNIA Partners (a “Participating Public
Agency”) and by using the Master Agreement, any such Participating Public Agency agrees
that it is registered with OMNIA Partners, whether pursuant to the terms of a Master
Intergovernmental Purchasing Cooperative Agreement, a form of which is attached hereto on
ATTACHMENT A, or as otherwise agreed to. ATTACHMENT A contains additional
information about OMNIA Partners and the cooperative purchasing program.
OMNIA Partners is the largest and most experienced purchasing organization for public and
private sector procurement. Through the economies of scale created by OMNIA Partners
public sector subsidiaries, National IPA and U.S. Communities, our participants now have
access to more competitively solicited and publicly awarded cooperative agreements. The lead
agency contracting process continues to be the foundation on which we are founded. OMNIA
Partners is proud to offer more value and resources to state and local government, higher
education, K-12 education and non-profits.
OMNIA Partners provides shared services and supply chain optimization to government,
education and the private sector. As a channel partner with Vizient (formally, Novation),
OMNIA Partners leverages over $100 billion in annual supply spend to command the best
prices for products and services. With corporate, pricing and sales commitments from the
Supplier, OMNIA Partners provides marketing and administrative support for the Supplier that
directly promotes the Supplier’s products and services to Participating Public Agencies though
multiple channels, each designed to promote specific products and services to Public Agencies
on a national basis. Public Agencies benefit from pricing based on aggregate spend and the
convenience of a contract that has already been advertised and publicly competed. The
Supplier benefits from a contract that allows Participating Public Agencies to directly purchase
goods and services without the Supplier’s need to respond to additional competitive
solicitations. As such, the Supplier must be able to accommodate a nationwide demand for
services and to fulfill obligations as a nationwide Supplier and respond to the OMNIA Partners
documents (Attachment A).
Barron County anticipates spending approximately $175,000 over the full potential Master
Agreement term for Traffic Control Products and Related Products and Solutions. While no
minimum volume is guaranteed to the Supplier, the estimated annual volume of Traffic Control
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Products and Related Products and Solutions purchased under the Master Agreement through
OMNIA Partners, Public Sector is approximately $25 million. This projection is based on the
current annual volumes among Barron County, other Participating Public Agencies anticipated
to utilize the resulting Master Agreement to be made available to them through OMNIA
Partners, and volume growth into other Public Agencies through a coordinated marketing
approach between the Supplier and OMNIA Partners.
5. GENERAL DEFINITION OF PRODUCTS AND/OR SERVICES
This Solicitation is to establish a nationwide master agreement for the acquisition of the
following products. The category descriptive examples below are not to be considered
restrictive, but rather, provide a general, non-inclusive, description of the category.
The intent is for each Supplier to submit its complete line of Traffic Control Products, Related
Products and Solutions so that Participating Public Agencies may order a wide array of
products, services and solutions as appropriate for their needs. Suppliers should have a
demonstrated experience in providing the Products as defined in this RFP.
Exceptions, deviations and/or variations should be cleared identified in your response.
6. SCOPE OF CONTRACT:
The purpose of this Request for Proposal is to solicit sealed proposals to establish a
cooperative contract or contracts for Traffic Control Products, and Related Products and
Solutions for Barron County, Wisconsin and on behalf of all states, local governments,
school districts, and higher education institutions in the United States of America, and other
governmental agencies and nonprofit organizations.
Product offerings include but not limited to;
A. Intelligent Warning Systems (Solar & Wireless) Products: BlinkerSigns™ and
BlinkerBeacons™, RRFB-XL Crosswalks, Fire Preemptions Systems, Dangerous
Curve Warnings, Web-based Traffic Monitoring & Control, Radar Feedback Signage,
Wrong Way Activation Signage, Emergency Vehicle & Firehouse Warning Systems,
Bike Path Warning Systems, Lighted In-road Lights, Solar Railroad Crossing
Warnings, and any other Intelligent Warning Systems (Solar & Wireless) Products
offered by Supplier.
B. Parking and ITS Solutions: Cameras, Parking Gate Operators, Swing Gate
Operators, Slide Gate Operators, Phone Entry Systems, Mobile Traffic Trailers, Crash
Barriers, Overhead Clearance Tubes, Electric Car Recharging Stations, Shelters, Gate
Arms, Turnstiles, Proximity Sensors, Blank Out Signs, Undercarriage Mirrors, Wheel
Immobilizers and any other Parking and ITS Solutions offered by Supplier.
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C. Work Zone Products: Crowd Control Barricades, Safety Mirrors, Wheel Chocks,
Non-Skid Tapes, Eyewash Stations, Floor Signage, Wall & Pole Guards, Guardrail,
Exit Signs, Dock Bumpers, Exit and Egress Signing, Changeable Message Boards,
Directional Arrow Boards, Barricade Lights Flares, Beacons, Flashlights, Incident
Response Roll-up Signs, Radar Feedback Signs, Barrier Webbing, Reflectors, Traffic
Paddles, Barriers, Cones, Cone signs and any other Industrial and Work Zone
Products offered by Supplier.
D. Traffic, Pavement Marking and Striping Products: Car Stops, Speed Humps,
Speed Tables, Guardrail Reflectors, Cable Guards, Covers, Push & Rider Stripers,
Stencils, Paint, Thermoplastics, Pothole Patch, In-Road LED Markers, Measuring
Wheels and any other Traffic, Pavement Marking and Striping Products offered by
Supplier.
E. Delineators and Markers: Delineators, In-Road Crosswalk Signs, Snow Markers,
Snow Poles, Utility Marking Flags, Hydrant Markers, Modular Signs, Butyl Pads,
Curbing, Butyl Pads & Epoxy and any other Delineators and Markers offered by
Supplier.
F. Signing and Digital Sign Marking: MUTCD Signs, Blanks, Sheeted Blanks,
Sheeted Blanks with Border, Federal Advisory Signage, Sign Mounting Brackets,
Hardware, Sandwich Boards, Lawn Signage, Digital Print capabilities, Screen
Printing Equipment, Reflective Sheeting & Vinyl Rolls, Plotters, Cutters, Sign
Making Software and any other Signing and Digital Sign Marking offered by
Supplier.
G. Posts, Poles and Bases: Square Posts, U-Channel Posts, Wood Posts, Signal Poles,
Round Posts, T-Posts, Flexible Posts, Pole Packages, Anchors, Crosspieces, Portable
Sign Bases, and any other Posts, Poles and Bases offered by Supplier.
H. Streetscape Decorative Products: Decorative Poles, Decorative Bases, Luminaries,
Decorative Brackets, Sign Backers, Ornate Lighting, Finial Pole Toppers, LED
Retrofit Lighting, Street Clocks and any other Streetscape Decorative Products
offered by Supplier.
I. Parks and Recreation Products: Benches, Tables, Waste Receptacles, Drinking
Fountains, Message Centers, Bike Racks, Snuffers, State Flags, Flag Poles, Bulletin
Boards, and any other Parks and Recreation Products offered by Supplier.
J. Service and Preventative IWS (Intelligent Warning Solutions), Parking and
Door Structures and Revenue Control Related Maintenance. Service, repair,
warranty, on-call and preventative maintenance work shall be performed, but not
limited to the following areas; Parking Revenue Control, IWS (Intelligent Warning
Solutions), ITS (Intelligent Transportation Systems), Overhead door and garage
control, Crosswalk systems, and other related services.
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K. Related Products, Solutions and Services: The complete range of Related Traffic
Products and Solutions such as Personal Protective Equipment and any other Related
Products and Services offered by the Supplier.
L. Balance of Line/Comprehensive Product Offering
The complete catalog of Traffic Control Products and Related Products and Solutions.
Each offeror awarded an item under this solicitation may offer their complete product
and service offering/a balance of line for ground maintenance equipment items and
accessories. Pricing for complete product offering/balance of line items will be
determined by a percentage discount off the offeror’s retail price list. The pricing
percentage discount offered must be included in the Cost Proposal Tab. The County
reserves the right to accept or reject any or all balance of line items offered. A
successful offeror will not be awarded complete product offering/balance of line
items that are awarded as an item to another vendor as part of this solicitation.
7. RFP QUESTIONS:
a. The County shall not be bound by and the Proposer shall not request or rely on any oral
interpretation or clarification of this RFP. Therefore, any questions regarding this RFP
are encouraged and should be submitted in writing by email to:
Highway Commissioner: Mark Servi
E-Mail: bchdtcp@co.barron.wi.us
b. Questions received up to the deadline to submit questions in the Calendar of Events will
be answered in writing per the Calendar of Events. Answers to questions from any
Proposer will be provided to all Proposers.
c. All communications regarding this proposal shall only be through the County’s point of
contact listed above. No communication is to be directed to any other County personnel.
8. CONTRACT PERIOD AND RENEWAL:
a. The term of the contract will be for five (5) years following the contract award date.
b. Barron County may, at its option, renew the term of this Contract up to a maximum of
five (5) years, one (1) year at a time. The Contractor shall be notified in writing by
the County of its intention to extend the contract term at least thirty (30) calendar
days prior to the expiration of the original contract term.
c. Any requests for reasonable price adjustments must be submitted sixty (60) days prior
to the Contract annual anniversary date. Requests for adjustment in cost of labor
and/or materials must be justified and based upon verifiable criteria such as the
Consumer Price Index (CPI-U), U.S. City Averages, or other relevant indices.
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d. At any time after the date of the Request for Proposal the Contractor makes a general
price reduction in the comparable price of any material covered by the contract to
customers generally, an equivalent price reduction based on similar quantities and/or
considerations shall apply to this contract for the duration of the contract period (or
until the price is further reduced).
9. MODIFICATION OF TERMS: Participating Agencies commonly require a modification
to a term of the Contract (e.g. governing law). The awarded Supplier and Participating
Agencies may agree to modify terms on any specific purchase by a Participating
Agency without being in conflict with the Contract.
10. TERMINATION OF CONTRACT: This Contract may be terminated at any time by mutual
written consent, or by the County, with or without cause, upon giving thirty (30) days written
notice. The County, at its convenience, by written notice, may terminate this Contract, in whole
or in part. If this Contract is terminated, the County shall be liable only for payment for services
rendered and accepted material received by the County before the effective date of termination.
The County reserves the right to terminate the whole or any part of this Contract due to the
failure of the Contractor to carry out any term or condition of the Contract. The County will
issue a written ten (10) day notice of default to the Contractor for acting or failing to act as
specified in any of the following:
In the opinion of the County, the Contractor provides personnel that do not meet the
requirements of the Contract;
In the opinion of the County, the Contractor fails to perform adequately the stipulations,
conditions or services/specifications required in this Contract;
In the opinion of the County, the Contractor attempts to impose personnel, materials, products
or workmanship of an unacceptable quality;
The Contractor fails to furnish the required service and/or product within the time stipulated
in the Contract;
In the opinion of the County, the Contractor fails to make progress in the performance of the
requirements of the Contract;
The Contractor gives the County a positive indication that the Contractor will not or cannot
perform to the requirements of the Contract.
Each payment obligation of the County created by this Contract is conditioned upon the
availability of County, State and Federal funds that are appropriated or allocated for the
payment of such an obligation. If funds are not allocated by the County and available for the
continued purchase of the services and/or materials provided under this Contract, this Contract
may be terminated by the County at the end of the period for which funds are available. The
County will endeavor to notify the Contractor in the event that continued service will or may
be affected by non-appropriation. No penalty shall accrue to the County in the event this
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provision is exercised, and the County shall not be obligated or liable for any future payments
due or for any damages as a result of termination under this paragraph.
11. CALENDAR OF EVENTS (Subject to Change):
Event Date
Issue RFP September 5, 2019
Pre-proposal meeting September 23, 2019, 3pm CST
In Person:
Barron County Hwy. Office Conference Room
260 North 7th Street, Barron, WI
By phone:
1-832-856-4663 Conference ID: 29158283
Deadline for receipt of questions via email October 4, 2019, 11:00 am CST
Proposal due date October 29, 2019, 11:00 am CST
Evaluation period November 30, 2019
Contract start date March 1, 2020
12. PROPOSAL INSTRUCTIONS:
a. The Proposer must submit the Technical Proposal in a tab containing the following
information. This information will be considered the minimum content of the proposal.
Proposal contents shall be arranged in the same order and identified with headings as
presented herein.
Tab 1 – COVER LETTER: Submit completed Proposal Cover Sheet. Additionally,
include a cover letter which will provide a brief history of the Proposer and its
organization. The letter will indicate the principal or officer of the Proposer
organization who will be the County’s primary point of contact during negotiations.
This individual must have the authority to negotiate all aspects on the scope of products,
services and solutions on behalf of the Proposer. An officer authorized to bind the
Proposer to the terms and conditions of this RFP must sign the cover letter transmitting
the proposal.
Tab 2 - EXECUTIVE SUMMARY: The Proposer will provide an Executive Summary
that presents in brief, concise terms a summary level description of the contents of the
Proposal.
Tab 3 – PROPOSER PROFILE: The Proposer must provide a profile of its organization
and all other affiliated companies as outlined in OMNIA Partners Response to National
Cooperative Contract.
Tab 4 – STATEMENT OF QUALIFICATIONS:
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This section shall describe the Proposer’s ability and experience related to the programs
and services proposed. All project personnel, as applicable, shall be listed including a
description of assignments and responsibilities, a resume of professional experience, an
estimate of the time each would devote to this program, and other pertinent information.
Describe the current distribution model capable of delivering products nationwide,
including the number, size and location of your company’s distribution facilities,
warehouses and retail network, where applicable. Describe your coverage of the United
States.
Tab 5 – FINANCIAL STATEMENTS:
Proposer must provide detailed, audited income statements and balance sheets from two
of the most recent reporting periods.
Tab 6 – OMNIA Partners
Provide a response to the national program.
a. Include a detailed response to Attachment A, Exhibit A, OMNIA Partners Response
for National Cooperative contract. Responses should highlight experience,
demonstrate a strong national presence, describe how offeror will educate its national
sales force about the contract, describe how products and services will be distributed
nationwide, include a plan for marketing the products and services nationwide, and
describe how volume will be tracked and reported to OMNIA Partners.
b. The successful offeror will be required to sign Attachment A, Exhibit B, OMNIA
Partners Administration Agreement. Offerors should have any reviews required to
sign the document prior to submitting a response. Offeror’s response should include
any proposed exceptions to the OMNIA Partners Administration Agreement.
c. OMNIA Partners Exhibit F & G completed/signed
Tab 7 – Submit any initialed and/or signed Addenda (if applicable).
Tab 8 – Proposer’s catalog
Tab 9 - COST PROPOSAL INSTRUCTIONS:
a. Provide the pricing using a fixed percentage (%) discount off PROPOSER’S
CATALOG PRICE LIST or other objectively verifiable criteria in Excel format.
b. Provide the reference to the standard index or other objective criteria used to
determine pricing of each Product category and state why this is most
advantageous to Participating public Agencies. Copies of the relevant price
lists in Excel format must be included in the Cost Proposal.
c. If offered, provide Proposer pricing for custom signs.
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d. Provide the pricing for any services and solutions offered using a mark-up
percentage over cost. Cost shall be substantiated by an actual invoice indicating
the amount paid for services or solutions. Proposer may propose alternative
methodologies for pricing services if it feels it is in the best interest of
Participating Public Agencies.
e. Provide the pricing for any related products and services offered by your
company.
f. Detail any additional pricing incentives or rebates that may be available such as
for large volume purchase by Participating Public Agencies.
g. Prices/discounts shall be F.O.B. destination.
h. It is the Proposer’s responsibility to provide the County and Participating Public
Agencies with an up-to-date price list and any necessary brochures, finish
material samples or related materials at no charge for the duration of the contract.
i. The Proposer must submit Market Basket Pricing in ATTACHMENT B for
evaluation purposes only. Pricing should be based on Proposers fixed percentage
discount off its manufacturer catalog price list. Proposer may take into
consideration any pricing incentives or rebates it is offering through this contract.
j. Special Offers/Promotions: In addition to decreasing prices for the balance of the
Contract term due to a change in market conditions, Vendor may conduct sales
promotions involving price reductions for a specified lesser period. Vendor may
offer Participating Agencies competitive pricing which is lower than the not-
to-exceed price set forth herein at any time during the Contract term and such
lower pricing shall not be applied as a global price reduction under the Contract.
Note: Market Basket Pricing is not to be construed as Proposer’s complete offer
nor is it a core list. It is for evaluation purposes only. Proposer’s entire catalog
list/assortment will be Proposer’s offer to Barron County and Participating Public
Agencies.
13. CONTACT FOR CONTRACTUAL MATTERS:
a. All communications and requests for information and clarifications shall be directed
to the following official:
Mark Servi, Highway Commissioner
Barron County Highway Department
E-mail: bchdtcp@co.barron.wi.us
b. No attempt shall be made by any Proposer to contact members of the Evaluation
Team or others at the County about this procurement.
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14. SUBMISSION OF PROPOSALS:
a. One (1) original (duly marked), ten (10) copies and three (3) thumb drives of the
entire proposal. Electronically stamped delivery receipts are available.
b. Proposers are reminded that changes to the Request for Proposal, in the form of
Addenda, are often issued. All addenda MUST be signed and submitted as a part of
Proposer’s proposal. Notice of addenda will be posted at www.baroncountywi.gov.
It is the Proposer’s responsibility to monitor the web page for the most current
addenda.
c. It is the Proposer’s responsibility to clearly identify and to describe the products and
services being offered in response to this Request for Proposal. Proposers are
cautioned that organization of their response, as well as thoroughness is critical to the
County’s evaluation process. The RFP forms must be completed legibly and in their
entirety; and all required supplemental information must be furnished and presented
in an organized, comprehensive and easy to follow manner.
d. Unnecessarily elaborate brochures of other presentations beyond that sufficient to
present a complete and effective proposal is not desired. Elaborate artwork,
expensive paper, bindings, visual and other presentation aids are not required. The
County encourages the use of recycled paper; therefore, it is urged that proposals be
submitted on paper made from or with recycled content and be printed on both sides.
e. By executing the cover sheet, Proposer acknowledges that it has read this Request for
Proposal, understand it, and agree to be bound by its terms and conditions. Proposals
may be submitted by mail or delivered in person.
15. PROPOSER PERSONNEL REQUIREMENTS AND DETERMINATION OF
RESPONSIBILITY
a. Barron County may make such investigation as deemed necessary to determine the
ability of the Proposer to supply the product or information and data for this purpose
as Barron County may request.
b. Proposers are encouraged to promptly notify the Highway Commissioner, in writing
via email, of any apparent major inconsistencies, problems, or ambiguities in the
Specifications. Address notifications to: Mark Servi, Barron County Highway
Commissioner, bchdtcp@co.barron.wi.us.
16. LATE PROPOSALS:
a. Proposals received in the Highway Department after the date and time prescribed shall
not be considered for contract award and shall be returned to the Proposer.
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17. PERIOD THAT PROPOSALS REMAIN VALID:
a. Proposals will remain valid for a period of one-hundred twenty days (120) calendar days
after the date specified for receipt of proposals.
18. EVALUATION OF PROPOSAL – SELECTION FACTORS:
Oral Presentations/Interviews Barron County reserves the right to conduct interviews with
some or all of the offerors at any point during the evaluation process. However, Barron
County may determine that interviews are not necessary. In the event interviews are
conducted, information provided during the interview process shall be taken into
consideration when evaluating the stated criteria. Barron County shall not reimburse the
supplier for the costs associated with the interview process.
The following factors will be considered in the award of this contract:
a. PROVEN EXPERIENCE of the Company’s success in providing Traffic Control
Products and Related Products and Services on a nationwide and local basis in a timely
manner.
b. Depth of response to Technical Proposal.
c. Depth of response to Cost Proposal.
d. Depth of response to Supplier Qualifications and Information.
e. Depth of response and capabilities for National Program.
19. TRADE SECRET/PROPRIETARY INFORMATION:
a. Trade secrets or proprietary information submitted by a Proposer in connection with a
procurement transaction shall not be subject to public disclosure under the Wisconsin
Public Records Law; however, Proposers must invoke the protections of this section
prior to or upon submission of the data or other materials.
b. The Proposer must identify the data or other materials to be protected and state the
reasons why protection is necessary. Disposition of material after award(s) should be
stated by the Proposer.
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PPA ATTACHMENT #A
REQUIREMENTS FOR NATIONAL COOPERATIVE CONTRACT
TO BE ADMINISTERED BY
OMNIA PARTNERS
The following documents are used in evaluating and administering national cooperative contracts
and are included for Supplier’s review and response.
OMNIA Partners Exhibit A – RESPONSE FOR NATIONAL COOPERATIVE CONTRACT
OMNIA Partners Exhibit B – ADMINISTRATION AGREEMENT, EXAMPLE
OMNIA Partners Exhibit C – MASTER INTERGOVERNMENTAL COOPERATIVE
PURCHASING AGREEMENT, EXAMPLE
OMNIA Partners Exhibit D – PRINCIPAL PROCUREMENT AGENCY CERTIFICATE,
EXAMPLE
OMNIA Partners Exhibit E – CONTRACT SALES REPORTING TEMPLATE
OMNIA Partners Exhibit F – FEDERAL FUNDS CERTIFICATIONS
OMNIA Partners Exhibit G – NEW JERSEY BUSINESS COMPLIANCE
OMNIA Partners Exhibit H – ADVERTISING COMPLIANCE REQUIREMENT
EXHIBIT A
RESPONSE FOR NATIONAL COOPERATIVE CONTRACT
1.0 Scope of National Cooperative Contract
Capitalized terms not otherwise defined herein shall have the meanings given to them in the
Master Agreement or in the Administration Agreement between Supplier and OMNIA
Partners.
1.1 Requirement
The County of Barron, Wisconsin (hereinafter defined and referred to as “Principal
Procurement Agency”), on behalf of itself and the National Intergovernmental
Purchasing Alliance Company, a Delaware corporation d/b/a OMNIA Partners, Public
Sector (“OMNIA Partners”), is requesting proposals for Traffic Control Products and
Related Products and Services. The intent of this Request for Proposal is any contract
between Principal Procurement Agency and Supplier resulting from this Request for
Proposal (“Master Agreement”) be made available to other public agencies nationally,
including state and local governmental entities, public and private primary, secondary
and higher education entities, non-profit entities, and agencies for the public benefit
(“Public Agencies”), through OMNIA Partners’ cooperative purchasing program. The
Principal Procurement Agency has executed a Principal Procurement Agency
Certificate with OMNIA Partners, an example of which is included as Exhibit D, and
has agreed to pursue the Master Agreement. Use of the Master Agreement by any
Public Agency is preceded by their registration with OMNIA Partners as a
Participating Public Agency in OMNIA Partners’ cooperative purchasing program.
Registration with OMNIA Partners as a Participating Public Agency is accomplished
by Public Agencies entering into a Master Intergovernmental Cooperative Purchasing
Agreement, an example of which is attached as Exhibit C, and by using the Master
Agreement, any such Participating Public Agency agrees that it is registered with
OMNIA Partners, whether pursuant to the terms of the Master Intergovernmental
Purchasing Cooperative Agreement or as otherwise agreed to. The terms and pricing
established in the resulting Master Agreement between the Supplier and the Principal
Procurement Agency will be the same as that available to Participating Public
Agencies through OMNIA Partners.
All transactions, purchase orders, invoices, payments etc., will occur directly between
the Supplier and each Participating Public Agency individually, and neither OMNIA
Partners, any Principal Procurement Agency nor any Participating Public Agency,
including their respective agents, directors, employees or representatives, shall be
liable to Supplier for any acts, liabilities, damages, etc., incurred by any other
Participating Public Agency. Supplier is responsible for knowing the tax laws in each
state.
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This Exhibit A defines the expectations for qualifying Suppliers based on OMNIA
Partners’ requirements to market the resulting Master Agreement nationally to Public
Agencies. Each section in this Exhibit A refers to the capabilities, requirements,
obligations, and prohibitions of competing Suppliers on a national level in order to
serve Participating Public Agencies through OMNIA Partners.
These requirements are incorporated into and are considered an integral part of this
RFP. OMNIA Partners reserves the right to determine whether or not to make the
Master Agreement awarded by the Principal Procurement Agency available to
Participating Public Agencies, in its sole and absolute discretion, and any party
submitting a response to this RFP acknowledges that any award by the Principal
Procurement Agency does not obligate OMNIA Partners to make the Master
Agreement available to Participating Procurement Agencies.
1.2 Marketing, Sales and Administrative Support
During the term of the Master Agreement OMNIA Partners intends to provide
marketing, sales and administrative support for Supplier pursuant to this section that
directly promotes the Supplier’s products and services to Participating Public
Agencies
through multiple channels, each designed to promote specific products and services to
Public Agencies on a national basis.
The OMNIA Partners marketing team will work in conjunction with Supplier to
promote the Master Agreement to both existing Participating Public Agencies and
prospective Public Agencies through channels that may include:
A. Marketing collateral (print, electronic, email, presentations)
B. Website
C. Trade shows/conferences/meetings
D. Advertising
E. Social Media
The OMNIA Partners sales teams will work in conjunction with Supplier to promote
the Master Agreement to both existing Participating Public Agencies and prospective
Public Agencies through initiatives that may include:
A. Individual sales calls
B. Joint sales calls
C. Communications/customer service
D. Training sessions for Public Agency teams
E. Training sessions for Supplier teams
The OMNIA Partners contracting teams will work in conjunction with Supplier to
promote the Master Agreement to both existing Participating Public Agencies and
prospective Public Agencies through:
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A. Serving as the subject matter expert for questions regarding joint powers authority
and state statutes and regulations for cooperative purchasing
B. Training sessions for Public Agency teams
C. Training sessions for Supplier teams
D. Regular business reviews to monitor program success
E. General contract administration
Suppliers are required to pay an administrative fee of 3% of the greater of the Contract
Sales under the Master Agreement and Guaranteed Contract Sales under this Request
for Proposal. Supplier will be required to execute the OMNIA Partners Administration
Agreement (Exhibit B).
1.3 Estimated Volume
The dollar volume purchased under the Master Agreement is estimated to be
approximately $25 million annually. While no minimum volume is guaranteed to
Supplier, the estimated annual volume is projected based on the current annual
volumes among the Principal Procurement Agency, other Participating Public
Agencies that are anticipated to utilize the resulting Master Agreement to be made
available to them through OMNIA Partners, and volume growth into other Public
Agencies through a coordinated marketing approach between Supplier and OMNIA
Partners.
1.4 Award Basis
The basis of any contract award resulting from this RFP made by Principal
Procurement Agency will, at OMNIA Partners option, be the basis of award on a
national level through OMNIA Partners. If multiple Suppliers are awarded by
Principal Procurement Agency under the Master Agreement, those same Suppliers will
be required to extend the Master Agreement to Participating Public Agencies through
OMNIA Partners. Utilization of the Master Agreement by Participating Public
Agencies will be at the discretion of the individual Participating Public Agency.
Certain terms of the Master Agreement specifically applicable to the Principal
Procurement Agency are subject to modification for each Participating Public Agency
as Supplier, such Participating Public Agency and OMNIA Partners shall agree.
Participating Agencies may request to enter into a separate supplemental agreement to
further define the level of service requirements over and above the minimum defined
in the Master Agreement (i.e. invoice requirements, order requirements, specialized
delivery, diversity requirements such as minority and woman owned businesses,
historically underutilized business, governing law, etc.). It shall be the responsibility
of the Supplier to comply, when applicable, with the prevailing wage legislation in
effect in the jurisdiction of the Participating Agency. It shall further be the
responsibility of the Supplier to monitor the prevailing wage rates as established by
the appropriate department of labor for any increase in rates during the term of this
contract and adjust wage rates accordingly. Any supplemental agreement developed
as a result of the Master Agreement is exclusively between the Participating Agency
and the Supplier (Contract Sales are reported to OMNIA Partners).
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All purchase orders issued and accepted by the Supplier may survive expiration or
termination of the Master Agreement. Participating Agencies’ purchase orders may
exceed the term of the Master Agreement if the purchase order is issued prior to the
expiration of the Master Agreement. Supplier is responsible for reporting all sales and
paying the applicable administrative fee for sales that use the Master Agreement as the
basis for the purchase order, even though Master Agreement may have expired.
1.5 Objectives of Cooperative Program
This RFP is intended to achieve the following objectives regarding availability through
OMNIA Partners’ cooperative program:
A. Provide a comprehensive competitively solicited and awarded national agreement
offering the Products covered by this solicitation to Participating Public Agencies;
B. Establish the Master Agreement as the Supplier’s primary go to market strategy to
Public Agencies nationwide;
C. Achieve cost savings for Supplier and Public Agencies through a single solicitation
process that will reduce the Supplier’s need to respond to multiple solicitations and
Public Agencies need to conduct their own solicitation process;
D. Combine the aggregate purchasing volumes of Participating Public Agencies to
achieve cost effective pricing.
2.0 REPRESENTATIONS AND COVENANTS
As a condition to Supplier entering into the Master Agreement, which would be available to
all Public Agencies, Supplier must make certain representations, warranties and covenants to
both the Principal Procurement Agency and OMNIA Partners designed to ensure the success
of the Master Agreement for all Participating Public Agencies as well as the Supplier.
2.1 Corporate Commitment
Supplier commits that (1) the Master Agreement has received all necessary corporate
authorizations and support of the Supplier’s executive management, (2) the Master
Agreement is Supplier's primary “go to market” strategy for Public Agencies, (3) the
Master Agreement will be promoted to all Public Agencies, including any existing
customers, and Supplier will transition existing customers, upon their request, to the
Master Agreement, and (4) that the Supplier has read and agrees to the terms and
conditions of the Administration Agreement with OMNIA Partners and will execute
such agreement concurrent with and as a condition of its execution of the Master
Agreement with the Principal Procurement Agency. Supplier will identify an
executive corporate sponsor and a separate national account manager within the RFP
response that will be responsible for the overall management of the Master Agreement.
2.2 Pricing Commitment
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Supplier commits the not-to-exceed pricing provided under the Master Agreement
pricing is its lowest available (net to buyer) to Public Agencies nationwide and further
commits that if a Participating Public Agency is eligible for lower pricing through a
national, state, regional or local or cooperative contract, the Supplier will match such
lower pricing to that Participating Public Agency under the Master Agreement.
2.3 Sales Commitment
Supplier commits to aggressively market the Master Agreement as its go to market
strategy in this defined sector and that its sales force will be trained, engaged and
committed to offering the Master Agreement to Public Agencies through OMNIA
Partners nationwide. Supplier commits that all Master Agreement sales will be
accurately and timely reported to OMNIA Partners in accordance with the OMNIA
Partners Administration Agreement. Supplier also commits its sales force will be
compensated, including sales incentives, for sales to Public Agencies under the Master
Agreement in a consistent or better manner compared to sales to Public Agencies if
the Supplier were not awarded the Master Agreement.
3.0 SUPPLIER RESPONSE
Supplier must supply the following information in order for the Principal Procurement
Agency to determine Supplier’s qualifications to extend the resulting Master Agreement to
Participating Public Agencies through OMNIA Partners.
3.1 Company
A. Brief history and description of Supplier.
B. Total number and location of sales persons employed by Supplier.
C. Number and location of support centers (if applicable) and location of corporate
office.
D. Annual sales for the three previous fiscal years.
E. Submit FEIN and Dunn & Bradstreet report.
F. Describe any green or environmental initiatives or policies.
G. Describe any diversity programs or partners supplier does business with and how
Participating Agencies may use diverse partners through the Master Agreement.
Indicate how, if at all, pricing changes when using the diversity program.
H. Describe any historically underutilized business certifications supplier holds and
the certifying agency. This may include business enterprises such as minority and
women owned, small or disadvantaged, disable veterans, etc.
I. Describe how supplier differentiates itself from its competitors.
J. Describe any present or past litigation, bankruptcy or reorganization involving
supplier.
K. Felony Conviction Notice: Indicate if the supplier
a. is a publicly held corporation and this reporting requirement is not
applicable;
b. is not owned or operated by anyone who has been convicted of a felony; or
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c. is owned or operated by and individual(s) who has been convicted of a
felony and provide the names and convictions.
L. Describe any debarment or suspension actions taken against supplier
3.2 Distribution, Logistics
A. Describe the full line of products and services offered by supplier.
B. Describe how supplier proposes to distribute the products/service nationwide.
Include any states where products and services will not be offered under the Master
Agreement, including U.S. Territories and Outlying Areas.
C. Identify all other companies that will be involved in processing, handling or
shipping the products/service to the end user.
D. Provide the number, size and location of Supplier’s distribution facilities,
warehouses and retail network as applicable.
3.3 Marketing and Sales
A. Provide a detailed ninety-day plan beginning from award date of the Master
Agreement describing the strategy to immediately implement the Master
Agreement as supplier’s primary go to market strategy for Public Agencies to
supplier’s teams nationwide, to include, but not limited to:
i. Executive leadership endorsement and sponsorship of the award as the
public sector go-to-market strategy within first 10 days
ii. Training and education of Supplier’s national sales force with participation
from the Supplier’s executive leadership, along with the OMNIA Partners
team within first 90 days
B. Provide a detailed ninety-day plan beginning from award date of the Master
Agreement describing the strategy to market the Master Agreement to current
Participating Public Agencies, existing Public Agency customers of Supplier, as
well as to prospective Public Agencies nationwide immediately upon award, to
include, but not limited to:
i. Creation and distribution of a co-branded press release to trade publications
ii. Announcement, contract details and contact information published on the
Supplier’s website within first 90 days
iii. Design, publication and distribution of co-branded marketing materials
within first 90 days
iv. Commitment to attendance and participation with OMNIA Partners at
national (i.e. NIGP Annual Forum, NPI Conference, etc.), regional (i.e.
Regional NIGP Chapter Meetings, Regional Cooperative Summits, etc.)
and supplier-specific trade shows, conferences and meetings throughout
the term of the Master Agreement
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v. Commitment to attend, exhibit and participate at the NIGP Annual Forum
in an area reserved by OMNIA Partners for partner suppliers. Booth space
will be purchased and staffed by Supplier. In addition, Supplier commits
to provide reasonable assistance to the overall promotion and marketing
efforts for the NIGP Annual Forum, as directed by OMNIA Partners.
vi. Design and publication of national and regional advertising in trade
publications throughout the term of the Master Agreement
vii. Ongoing marketing and promotion of the Master Agreement throughout its
term (case studies, collateral pieces, presentations, promotions, etc.)
viii. Dedicated OMNIA Partners internet web-based homepage on Supplier’s
website with:
• OMNIA Partners standard logo;
• Copy of original Request for Proposal;
• Copy of contract and amendments between Principal Procurement
Agency and Supplier;
• Summary of Products and pricing;
• Marketing Materials
• Electronic link to OMNIA Partners’ website including the online
registration page;
• A dedicated toll-free number and email address for OMNIA
Partners
C. Describe how Supplier will transition any existing Public Agency customers’
accounts to the Master Agreement available nationally through OMNIA Partners.
Include a list of current cooperative contracts (regional and national) Supplier
holds and describe how the Master Agreement will be positioned among the other
cooperative agreements.
D. Acknowledge Supplier agrees to provide its logo(s) to OMNIA Partners and agrees
to provide permission for reproduction of such logo in marketing communications
and promotions. Acknowledge that use of OMNIA Partners logo will require
permission for reproduction, as well.
E. Confirm Supplier will be proactive in direct sales of Supplier’s goods and services
to Public Agencies nationwide and the timely follow up to leads established by
OMNIA Partners. All sales materials are to use the OMNIA Partners logo. At a
minimum, the Supplier’s sales initiatives should communicate:
i. Master Agreement was competitively solicited and publicly awarded by a
Principal Procurement Agency
ii. Best government pricing
iii. No cost to participate
iv. Non-exclusive
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F. Confirm Supplier will train its national sales force on the Master Agreement. At
a minimum, sales training should include:
i. Key features of Master Agreement
ii. Working knowledge of the solicitation process
iii. Awareness of the range of Public Agencies that can utilize the Master
Agreement through OMNIA Partners
iv. Knowledge of benefits of the use of cooperative contracts
G. Provide the name, title, email and phone number for the person(s), who will be
responsible for:
i. Executive Support
ii. Marketing
iii. Sales
iv. Sales Support
v. Financial Reporting
vi. Accounts Payable
vii. Contracts
H. Describe in detail how Supplier’s national sales force is structured, including
contact information for the highest-level executive in charge of the sales team.
I. Explain in detail how the sales teams will work with the OMNIA Partners team to
implement, grow and service the national program.
I. Explain in detail how Supplier will manage the overall national program
throughout the term of the Master Agreement, including ongoing coordination of
marketing and sales efforts, timely new Participating Public Agency account set-
up, timely contract administration, etc.
J. State the amount of Supplier’s Public Agency sales for the previous fiscal year.
Provide a list of Supplier’s top 10 Public Agency customers, the total purchases
for each for the previous fiscal year along with a key contact for each.
K. Describe Supplier’s information systems capabilities and limitations regarding
order management through receipt of payment, including description of multiple
platforms that may be used for any of these functions.
M. Provide the Contract Sales (as defined in Section 10 of the OMNIA Partners,
Public Sector Administration Agreement) that Supplier will guarantee each year
under the Master Agreement for the initial three years of the Master Agreement
(“Guaranteed Contract Sales”).
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$_______.00 in year one
$_______.00 in year two
$_______.00 in year three
To the extent Supplier guarantees minimum Contract Sales, the administration
fee shall be calculated based on the greater of the actual Contract Sales and the
Guaranteed Contract Sales.
M. Even though it is anticipated many Public Agencies will be able to utilize the
Master Agreement without further formal solicitation, there may be circumstances
where Public Agencies will issue their own solicitations. The following options
are available when responding to a solicitation for Products covered under the
Master Agreement.
i. Respond with Master Agreement pricing (Contract Sales reported to
OMNIA Partners).
ii. If competitive conditions require pricing lower than the standard
Master Agreement not-to-exceed pricing, Supplier may respond with
lower pricing through the Master Agreement. If Supplier is awarded
the contract, the sales are reported as Contract Sales to OMNIA
Partners under the Master Agreement.
iii. Respond with pricing higher than Master Agreement only in the
unlikely event that the Public Agency refuses to utilize Master
Agreement (Contract Sales are not reported to OMNIA Partners).
iv. If alternative or multiple proposals are permitted, respond with
pricing higher than Master Agreement, and include Master
Agreement as the alternate or additional proposal.
Detail Supplier’s strategies under these options when responding to a solicitation.
EXHIBIT B
ADMINISTRATION AGREEMENT, EXAMPLE
ADMINISTRATION AGREEMENT
THIS ADMINISTRATION AGREEMENT (this “Agreement”) is made this ___ day of
______ 20___, between National Intergovernmental Purchasing Alliance Company, a Delaware
corporation d/b/a OMNIA Partners, Public Sector (“OMNIA Partners, Public Sector”), and
________________ (“Supplier”).
RECITALS
WHEREAS, the ___________________ (the “Principal Procurement Agency”) has entered
into a Master Agreement effective _________________, Agreement No_______, by and between the
Principal Procurement Agency and Supplier, (as may be amended from time to time in accordance
with the terms thereof, the “Master Agreement”), as attached hereto as Exhibit A and incorporated
herein by reference as though fully set forth herein, for the purchase of
____________________________ (the “Product”);
WHEREAS, said Master Agreement provides that any or all public agencies, including state
and local governmental entities, public and private primary, secondary and higher education entities,
non-profit entities, and agencies for the public benefit (collectively, “Public Agencies”), that register
(either via registration on the OMNIA Partners, Public Sector website or execution of a Master
Intergovernmental Cooperative Purchasing Agreement, attached hereto as Exhibit B) (each,
hereinafter referred to as a “Participating Public Agency”) may purchase Product at prices stated in
the Master Agreement;
WHEREAS, Participating Public Agencies may access the Master Agreement which is
offered through OMNIA Partners, Public Sector to Public Agencies;
WHEREAS, OMNIA Partners, Public Sector serves as the contract administrator of the
Master Agreement on behalf of Principal Procurement Agency;
WHEREAS, Principal Procurement Agency desires OMNIA Partners, Public Sector to
proceed with administration of the Master Agreement; and
WHEREAS, OMNIA Partners, Public Sector and Supplier desire to enter into this Agreement
to make available the Master Agreement to Participating Public Agencies and to set forth certain
terms and conditions governing the relationship between OMNIA Partners, Public Sector and
Supplier.
NOW, THEREFORE, in consideration of the payments to be made hereunder and the mutual
covenants contained in this Agreement, OMNIA Partners, Public Sector and Supplier hereby agree
as follows:
DEFINITIONS
1. Capitalized terms used in this Agreement and not otherwise defined herein shall have
the meanings given to them in the Master Agreement.
TERMS AND CONDITIONS
2. The Master Agreement and the terms and conditions contained therein shall apply to
this Agreement except as expressly changed or modified by this Agreement. Supplier acknowledges
and agrees that the covenants and agreements of Supplier set forth in the solicitation and Supplier’s
response thereto resulting in the Master Agreement are incorporated herein and are an integral part
hereof.
3. OMNIA Partners, Public Sector shall be afforded all of the rights, privileges and
indemnifications afforded to Principal Procurement Agency by or from Supplier under the Master
Agreement, and such rights, privileges and indemnifications shall accrue and apply with equal effect
to OMNIA Partners, Public Sector, its agents, employees, directors, and representatives under this
Agreement including, but not limited to, Supplier’s obligation to obtain appropriate insurance.
4. OMNIA Partners, Public Sector shall perform all of its duties, responsibilities and
obligations as contract administrator of the Master Agreement on behalf of Principal Procurement
Agency as set forth herein, and Supplier hereby acknowledges and agrees that all duties,
responsibilities and obligations will be undertaken by OMNIA Partners, Public Sector solely in its
capacity as the contract administrator under the Master Agreement.
5. With respect to any purchases by Principal Procurement Agency or any Participating
Public Agency pursuant to the Master Agreement, OMNIA Partners, Public Sector shall not be: (i)
construed as a dealer, re-marketer, representative, partner or agent of any type of the Supplier,
Principal Procurement Agency or any Participating Public Agency; (ii) obligated, liable or
responsible for any order for Product made by Principal Procurement Agency or any Participating
Public Agency or any employee thereof under the Master Agreement or for any payment required to
be made with respect to such order for Product; and (iii) obligated, liable or responsible for any failure
by Principal Procurement Agency or any Participating Public Agency to comply with procedures or
requirements of applicable law or the Master Agreement or to obtain the due authorization and
approval necessary to purchase under the Master Agreement. OMNIA Partners, Public Sector makes
no representation or guaranty with respect to any minimum purchases by Principal Procurement
Agency or any Participating Public Agency or any employee thereof under this Agreement or the
Master Agreement.
6. OMNIA Partners, Public Sector shall not be responsible for Supplier’s performance
under the Master Agreement, and Supplier shall hold OMNIA Partners, Public Sector harmless from
any liability that may arise from the acts or omissions of Supplier in connection with the Master
Agreement.
7. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, OMNIA
PARTNERS, PUBLIC SECTOR EXPRESSLY DISCLAIMS ALL EXPRESS OR IMPLIED
REPRESENTATIONS AND WARRANTIES REGARDING OMNIA PARTNERS, PUBLIC
SECTOR’ PERFORMANCE AS A CONTRACT ADMINISTRATOR OF THE MASTER
AGREEMENT. OMNIA PARTNERS, PUBLIC SECTOR SHALL NOT BE LIABLE IN ANY
WAY FOR ANY SPECIAL, INCIDENTAL, INDIRECT, CONSEQUENTIAL, EXEMPLARY,
PUNITIVE, OR RELIANCE DAMAGES, EVEN IF OMNIA PARTNERS, PUBLIC SECTOR IS
ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
TERM OF AGREEMENT; TERMINATION
8. This Agreement shall be in effect so long as the Master Agreement remains in effect,
provided, however, that the provisions of Sections 3 – 8 and 12 – 23, hereof and the indemnifications
afforded by the Supplier to OMNIA Partners, Public Sector in the Master Agreement, to the extent
such provisions survive any expiration or termination of the Master Agreement, shall survive the
expiration or termination of this Agreement.
9. Supplier’s failure to maintain its covenants and commitments contained in this
Agreement or any action of the Supplier which gives rise to a right by Principal Procurement Agency
to terminate the Master Agreement shall constitute a material breach of this Agreement. If such
breach is not cured within thirty (30) days of written notice to Supplier, in addition to any and all
remedies available at law or equity, OMNIA Partners, Public Sector shall have the right to terminate
this Agreement, at OMNIA Partners, Public Sector’ sole discretion. Notwithstanding anything
contained herein to the contrary, this Agreement shall terminate on the date of the termination or
expiration of the Master Agreement.
NATIONAL PROMOTION
10. OMNIA Partners, Public Sector and Supplier shall publicize and promote the
availability of the Master Agreement’s products and services to Public Agencies and such agencies’
employees. Supplier shall require each Public Agency to register its participation in the OMNIA
Partners, Public Sector program by either registering on the OMNIA Partners, Public Sector website
(www.omniapartners.com/publicsector), or executing a Master Intergovernmental Cooperative
Purchasing Agreement prior to processing the Participating Public Agency’s first sales order. Upon
request, Supplier shall make available to interested Public Agencies a copy of the Master Agreement
and such price lists or quotes as may be necessary for such Public Agencies to evaluate potential
purchases.
11. Supplier shall provide such marketing and administrative support as set forth in the
solicitation resulting in the Master Agreement, including assisting in development of marketing
materials as reasonably requested by Principal Procurement Agency and OMNIA Partners, Public
Sector. Supplier shall be responsible for obtaining permission or license of use and payment of any
license fees for all content and images Supplier provides to OMNIA Partners, Public Sector or posts
on the OMNIA Partners, Public Sector website. Supplier shall indemnify, defend and hold harmless
OMNIA Partners, Public Sector for use of all such content and images including copyright
infringement claims. Supplier and OMNIA Partners, Public Sector each hereby grant to the other
party a limited, revocable, non-transferable, non-sublicensable right to use such party’s logo (each,
the “Logo”) solely for use in marketing the Master Agreement. Each party shall provide the other
party with the standard terms of use of such party’s Logo, and such party shall comply with such
terms in all material respects. Both parties shall obtain approval from the other party prior to use of
such party’s Logo. Notwithstanding the foregoing, the parties understand and agree that except as
provided herein neither party shall have any right, title or interest in the other party’s Logo. Upon
termination of this Agreement, each party shall immediately cease use of the other party’s Logo.
ADMINISTRATIVE FEE, REPORTING & PAYMENT
12. An “Administrative Fee” shall be defined and due to OMNIA Partners, Public Sector
from Supplier in the amount of three percent (3%) (“Administrative Fee Percentage”) multiplied by
the total purchase amount paid to Supplier, less refunds, credits on returns, rebates and discounts, for
the sale of products and/or services to Principal Procurement Agency and Participating Public
Agencies pursuant to the Master Agreement (as amended from time to time and including any renewal
thereof) (“Contract Sales”). From time to time the parties may mutually agree in writing to a lower
Administrative Fee Percentage for a specifically identified Participating Public Agency’s Contract
Sales.
13. Supplier shall provide OMNIA Partners, Public Sector with an electronic accounting
report monthly, in the format prescribed by OMNIA Partners, Public Sector, summarizing all Contract
Sales for each calendar month. The Contract Sales reporting format is provided as Exhibit C
(“Contract Sales Report”), attached hereto and incorporated herein by reference. Contract Sales
Reports for each calendar month shall be provided by Supplier to OMNIA Partners, Public Sector by
the 10th day of the following month. Failure to provide a Contract Sales Report within the time and
manner specified herein shall constitute a material breach of this Agreement and if not cured within
thirty (30) days of written notice to Supplier shall be deemed a cause for termination of the Master
Agreement, at Principal Procurement Agency’s sole discretion, and/or this Agreement, at OMNIA
Partners, Public Sector’ sole discretion.
14. Administrative Fee payments are to be paid by Supplier to OMNIA Partners, Public Sector
at the frequency and on the due date stated in Section 13, above, for Supplier’s submission of
corresponding Contract Sales Reports. Administrative Fee payments are to be made via Automated
Clearing House (ACH) to the OMNIA Partners, Public Sector designated financial institution
identified in Exhibit D. Failure to provide a payment of the Administrative Fee within the time and
manner specified herein shall constitute a material breach of this Agreement and if not cured within
thirty (30) days of written notice to Supplier shall be deemed a cause for termination of the Master
Agreement, at Principal Procurement Agency’s sole discretion, and/or this Agreement, at OMNIA
Partners, Public Sector’ sole discretion. All Administrative Fees not paid when due shall bear interest
at a rate equal to the lesser of one and one-half percent (1 1/2%) per month or the maximum rate
permitted by law until paid in full.
15. Supplier shall maintain an accounting of all purchases made by Participating Public
Agencies under the Master Agreement. OMNIA Partners, Public Sector, or its designee, in OMNIA
Partners, Public Sector’ sole discretion, reserves the right to compare Participating Public Agency
records with Contract Sales Reports submitted by Supplier for a period of four (4) years from the date
OMNIA Partners, Public Sector receives such report. In addition, OMNIA Partners, Public Sector
may engage a third party to conduct an independent audit of Supplier’s monthly reports. In the event
of such an audit, Supplier shall provide all materials reasonably requested relating to such audit by
OMNIA Partners, Public Sector at the location designated by OMNIA Partners, Public Sector. In the
event an underreporting of Contract Sales and a resulting underpayment of Administrative Fees is
revealed, OMNIA Partners, Public Sector will notify the Supplier in writing. Supplier will have thirty
(30) days from the date of such notice to resolve the discrepancy to OMNIA Partners, Public Sector’
reasonable satisfaction, including payment of any Administrative Fees due and owing, together with
interest thereon in accordance with Section 13, and reimbursement of OMNIA Partners, Public
Sector’ costs and expenses related to such audit.
GENERAL PROVISIONS
16. This Agreement, the Master Agreement and the exhibits referenced herein supersede
any and all other agreements, either oral or in writing, between the parties hereto with respect to the
subject matter hereto and no other agreement, statement, or promise relating to the subject matter of
this Agreement which is not contained or incorporated herein shall be valid or binding. In the event
of any conflict between the provisions of this Agreement and the Master Agreement, as between
OMNIA Partners, Public Sector and Supplier, the provisions of this Agreement shall prevail.
17. If any action at law or in equity is brought to enforce or interpret the provisions of this
Agreement or to recover any Administrative Fee and accrued interest, the prevailing party shall be
entitled to reasonable attorney’s fees and costs in addition to any other relief to which it may be
entitled.
18. This Agreement and OMNIA Partners, Public Sector’ rights and obligations hereunder
may be assigned at OMNIA Partners, Public Sector’ sole discretion to an affiliate of OMNIA Partners,
Public Sector, any purchaser of any or all or substantially all of the assets of OMNIA Partners, Public
Sector, or the successor entity as a result of a merger, reorganization, consolidation, conversion or
change of control, whether by operation of law or otherwise. Supplier may not assign its obligations
hereunder without the prior written consent of OMNIA Partners, Public Sector.
19. All written communications given hereunder shall be delivered by first-class mail,
postage prepaid, or overnight delivery on receipt to the addresses as set forth below.
A. OMNIA Partners, Public Sector:
OMNIA Partners, Public Sector
Attn: President
840 Crescent Centre Drive
Suite 600
Franklin, TN 37067
B. Supplier:
____________________
____________________
____________________
____________________
20. If any provision of this Agreement shall be deemed to be, or shall in fact be, illegal,
inoperative or unenforceable, the same shall not affect any other provision or provisions herein
contained or render the same invalid, inoperative or unenforceable to any extent whatever, and this
Agreement will be construed by limiting or invalidating such provision to the minimum extent
necessary to make such provision valid, legal and enforceable.
21. This Agreement may not be amended, changed, modified, or altered without the prior
written consent of the parties hereto, and no provision of this Agreement may be discharged or
waived, except by a writing signed by the parties. A waiver of any particular provision will not be
deemed a waiver of any other provision, nor will a waiver given on one occasion be deemed to apply
to any other occasion.
22. This Agreement shall inure to the benefit of and shall be binding upon OMNIA
Partners, Public Sector, the Supplier and any respective successor and assign thereto; subject,
however, to the limitations contained herein.
23. This Agreement will be construed under and governed by the laws of the State of
Delaware, excluding its conflicts of law provisions and any action arising out of or related to this
Agreement shall be commenced solely and exclusively in the state or federal courts in Williamson
County Tennessee.
24. This Agreement may be executed in counterparts, each of which is an original but all
of which, together, shall constitute but one and the same instrument. The exchange of copies of this
Agreement and of signature pages by facsimile, or by .pdf or similar electronic transmission, will
constitute effective execution and delivery of this Agreement as to the parties and may be used in lieu of
the original Agreement for all purposes. Signatures of the parties transmitted by facsimile, or by .pdf or
similar electronic transmission, will be deemed to be their original signatures for any purpose whatsoever.
[INSERT SUPPLIER ENTITY NAME] OMNIA PARTNERS, PUBLIC
SECTOR
Signature
Signature
Sarah E. Vavra
Name
Name
Sr. Vice President, Public Sector
Contracting
Title
Title
Date Date
EXHIBIT C
MASTER INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENT,
EXAMPLE
MASTER INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENT
This Master Intergovernmental Cooperative Purchasing Agreement (this “Agreement”) is entered
into by and between those certain government agencies that execute a Principal Procurement Agency
Certificate (“Principal Procurement Agencies”) with National Intergovernmental Purchasing
Alliance Company, a Delaware corporation d/b/a OMNIA Partners, Public Sector and/or
Communities Program Management, LLC, a California limited liability company d/b/a U.S.
Communities (collectively, “OMNIA Partners, Public Sector”) to be appended and made a part
hereof and such other public agencies (“Participating Public Agencies”) who register to participate
in the cooperative purchasing programs administered by OMNIA Partners, Public Sector and its
affiliates and subsidiaries (collectively, the “OMNIA Partners Parties”) by either registering on the
OMNIA Partners, Public Sector website (www.omniapartners.com/publicsector or any successor
website), or by executing a copy of this Agreement.
RECITALS
WHEREAS, after a competitive solicitation and selection process by Principal Procurement
Agencies, in compliance with their own policies, procedures, rules and regulations, a number of
suppliers have entered into “Master Agreements” (herein so called) to provide a variety of goods,
products and services (“Products”) to the applicable Principal Procurement Agency and the
Participating Public Agencies;
WHEREAS, Master Agreements are made available by Principal Procurement Agencies through
the OMNIA Partners Parties and provide that Participating Public Agencies may purchase Products
on the same terms, conditions and pricing as the Principal Procurement Agency, subject to any
applicable federal and/or local purchasing ordinances and the laws of the State of purchase; and
WHEREAS, in addition to Master Agreements, the OMNIA Partners Parties may from time to time
offer Participating Public Agencies the opportunity to acquire Products through other group
purchasing agreements.
NOW, THEREFORE, in consideration of the mutual promises contained in this Agreement, and of
the mutual benefits to result, the parties hereby agree as follows:
1. Each party will facilitate the cooperative procurement of Products.
2. The Participating Public Agencies shall procure Products in accordance with
and subject to the relevant federal, state and local statutes, ordinances, rules and regulations
that govern Participating Public Agency’s procurement practices. The Participating Public
Agencies hereby acknowledge and agree that it is the intent of the parties that all provisions
of this Agreement and that Principal Procurement Agencies’ participation in the program
described herein comply with all applicable laws, including but not limited to the requirements
of 42 C.F.R. § 1001.952(h), as may be amended from time to time. The Participating Public
Agencies further acknowledge and agree that they are solely responsible for their compliance
with all applicable “safe harbor” regulations, including but not limited to any and all
obligations to fully and accurately report discounts and incentives.
3. The Participating Public Agency represents and warrants that the Participating
Public Agency is not a hospital or other healthcare provider and is not purchasing Products on
behalf of a hospital or healthcare provider.
4. The cooperative use of Master Agreements shall be in accordance with the
terms and conditions of the Master Agreements, except as modification of those terms and
conditions is otherwise required by applicable federal, state or local law, policies or
procedures.
5. The Principal Procurement Agencies will make available, upon reasonable
request, Master Agreement information which may assist in improving the procurement of
Products by the Participating Public Agencies.
6. The Participating Public Agency agrees the OMNIA Partners Parties may
provide access to group purchasing organization (“GPO”) agreements directly or indirectly
by enrolling the Participating Public Agency in another GPO’s purchasing program, including
but not limited to Vizient Source, LLC, Provista, Inc. and other OMNIA Partners, Public
Sector affiliates and subsidiaries; provided the purchase of Products through the OMNIA
Partners Parties or any other GPO shall be at the Participating Public Agency’s sole discretion.
7. The Participating Public Agencies (each a “Procuring Party”) that procure
Products through any Master Agreement or GPO Product supply agreement (each a “GPO
Contract”) will make timely payments to the distributor, manufacturer or other vendor
(collectively, “Supplier”) for Products received in accordance with the terms and conditions
of the Master Agreement or GPO Contract, as applicable. Payment for Products and
inspections and acceptance of Products ordered by the Procuring Party shall be the exclusive
obligation of such Procuring Party. Disputes between Procuring Party and any Supplier shall
be resolved in accordance with the law and venue rules of the State of purchase unless
otherwise agreed to by the Procuring Party and Supplier.
8. The Procuring Party shall not use this Agreement as a method for obtaining
additional concessions or reduced prices for purchase of similar products or services outside
of the Master Agreement. Master Agreements may be structured with not-to-exceed pricing,
in which cases the Supplier may offer the Procuring Party and the Procuring Party may accept
lower pricing or additional concessions for purchase of Products through a Master Agreement.
9. The Procuring Party shall be responsible for the ordering of Products under this
Agreement. A non-procuring party shall not be liable in any fashion for any violation by a
Procuring Party, and, to the extent permitted by applicable law, the Procuring Party shall hold
non-procuring party harmless from any liability that may arise from the acts or omissions of
the Procuring Party.
10. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE
OMNIA PARTNERS PARTIES EXPRESSLY DISCLAIM ALL EXPRESS OR IMPLIED
REPRESENTATIONS AND WARRANTIES REGARDING ANY PRODUCT, MASTER
AGREEMENT AND GPO CONTRACT. THE OMNIA PARTNERS PARTIES SHALL
NOT BE LIABLE IN ANY WAY FOR ANY SPECIAL, INCIDENTAL, INDIRECT,
CONSEQUENTIAL, EXEMPLARY, PUNITIVE, OR RELIANCE DAMAGES, EVEN IF
THE OMNIA PARTNERS PARTIES ARE ADVISED OF THE POSSIBILITY OF SUCH
DAMAGES. FURTHER, THE PROCURING PARTY ACKNOWLEDGES AND AGREES
THAT THE OMNIA PARTNERS PARTIES SHALL HAVE NO LIABILITY FOR ANY
ACT OR OMISSION BY A SUPPLIER OR OTHER PARTY UNDER A MASTER
AGREEMENT OR GPO CONTRACT.
11. This Agreement shall remain in effect until termination by either party giving
thirty (30) days’ written notice to the other party. The provisions of Paragraphs 6 - 10 hereof
shall survive any such termination.
12. This Agreement shall take effect upon (i) execution of the Principal
Procurement Agency Certificate, or (ii) registration on the OMNIA Partners, Public Sector
website or the execution of this Agreement by a Participating Public Agency, as applicable.
OMNIA PARTNERS, PUBLIC SECTOR
Authorized Signature Signature
Sarah E. Vavra
Name Name
Sr. Vice President, Public Sector Contracting
Title and Agency Name Title
Date Date
EXHIBIT D
OMNIA PARTNERS PRINCIPAL PROCUREMENT AGENCY CERTIFICATE, EXAMPLE
PRINCIPAL PROCUREMENT AGENCY CERTIFICATE
In its capacity as a Principal Procurement Agency (as defined below) for National
Intergovernmental Purchasing Alliance Company, a Delaware corporation d/b/a OMNIA Partners,
Public Sector (“OMNIA Partners, Public Sector”), Barron County, WI agrees to pursue Master
Agreements for Products as specified in the attached Exhibits to this Principal Procurement Agency
Certificate.
I hereby acknowledge, in my capacity as _____________ of and on behalf of Barron County, WI
(“Principal Procurement Agency”), that I have read and hereby agree to the general terms and
conditions set forth in the attached Master Intergovernmental Cooperative Purchasing Agreement
regulating the use of the Master Agreements and purchase of Products that from time to time are
made available by Principal Procurement Agencies to Participating Public Agencies nationwide
through OMNIA Partners, Public Sector.
I understand that the purchase of one or more Products under the provisions of the Master
Intergovernmental Cooperative Purchasing Agreement is at the sole and complete discretion of the
Participating Public Agency.
Authorized Signature, [PRINCIPAL PROCUREMENT AGENCY]
Signature
Name
Title
Date
EXHIBIT E
OMNIA PARTNERS CONTRACT SALES REPORTING TEMPLATE
Supplier Name:
Contract Sales Report Month:
Contract ID:
Supplier Reporting Contact:
Title:
Phone:
Email:
Participating Agency Name Address City State Zip Code
Participating
Agency #
{Assigned by
National IPA
and provided
to Supplier}
Transaction
Date
(Date of
Sale)
Contract
Sales for
Month ($)
Admin
Fee %
Admin
Fee $
Report Totals
Cumulative Contract Sales
OMNIA PARTNERS EXHIBITS
EXHIBIT C - CONTRACT SALES REPORTING TEMPLATE
(to be submitted electronically in Microsoft Excel format)
OMNIA Partners Contract Sales Monthly Report
EXHIBIT F
FEDERAL FUNDS CERTIFICATIONS
FEDERAL CERTIFICATIONS
ADDENDUM FOR AGREEMENT FUNDED BY U.S. FEDERAL GRANT
TO WHOM IT MAY CONCERN:
Participating Agencies may elect to use federal funds to purchase under the Master Agreement. This form should be
completed and returned.
DEFINITIONS
Contract means a legal instrument by which a non–Federal entity purchases property or services needed to carry out the project
or program under a Federal award. The term as used in this part does not include a legal instrument, even if the non–Federal entity
considers it a contract, when the substance of the transaction meets the definition of a Federal award or subaward
Contractor means an entity that receives a contract as defined in Contract.
Cooperative agreement means a legal instrument of financial assistance between a Federal awarding agency or pass-through
entity and a non–Federal entity that, consistent with 31 U.S.C. 6302–6305:
(a) Is used to enter into a relationship the principal purpose of which is to transfer anything of value from the Federal
awarding agency or pass-through entity to the non–Federal entity to carry out a public purpose authorized by a law of the
United States (see 31 U.S.C. 6101(3)); and not to acquire property or services for the Federal government or pass-through
entity's direct benefit or use;
(b) Is distinguished from a grant in that it provides for substantial involvement between the Federal awarding agency or
pass-through entity and the non–Federal entity in carrying out the activity contemplated by the Federal award.
(c) The term does not include:
(1) A cooperative research and development agreement as defined in 15 U.S.C. 3710a; or
(2) An agreement that provides only:
(i) Direct United States Government cash assistance to an individual;
(ii) A subsidy;
(iii) A loan;
(iv) A loan guarantee; or
(v) Insurance.
Federal awarding agency means the Federal agency that provides a Federal award directly to a non–Federal entity
Federal award has the meaning, depending on the context, in either paragraph (a) or (b) of this section:
(a)(1) The Federal financial assistance that a non–Federal entity receives directly from a Federal awarding agency or
indirectly from a pass-through entity, as described in § 200.101 Applicability; or
(2) The cost-reimbursement contract under the Federal Acquisition Regulations that a non–Federal entity
receives directly from a Federal awarding agency or indirectly from a pass-through entity, as described in §
200.101 Applicability.
(b) The instrument setting forth the terms and conditions. The instrument is the grant agreement, cooperative agreement,
other agreement for assistance covered in paragraph (b) of § 200.40 Federal financial assistance, or the cost-
reimbursement contract awarded under the Federal Acquisition Regulations.
(c) Federal award does not include other contracts that a Federal agency uses to buy goods or services from a contractor
or a contract to operate Federal government owned, contractor operated facilities (GOCOs).
(d) See also definitions of Federal financial assistance, grant agreement, and cooperative agreement.
Non–Federal entity means a state, local government, Indian tribe, institution of higher education (IHE), or nonprofit organization
that carries out a Federal award as a recipient or subrecipient.
Nonprofit organization means any corporation, trust, association, cooperative, or other organization, not including IHEs, that:
(a) Is operated primarily for scientific, educational, service, charitable, or similar purposes in the public interest;
(b) Is not organized primarily for profit; and
(c) Uses net proceeds to maintain, improve, or expand the operations of the organization.
Obligations means, when used in connection with a non–Federal entity's utilization of funds under a Federal award, orders placed
for property and services, contracts and subawards made, and similar transactions during a given period that require payment by
the non–Federal entity during the same or a future period.
Pass-through entity means a non–Federal entity that provides a subaward to a subrecipient to carry out part of a Federal program.
Recipient means a non–Federal entity that receives a Federal award directly from a Federal awarding agency to carry out an
activity under a Federal program. The term recipient does not include subrecipients.
Simplified acquisition threshold means the dollar amount below which a non–Federal entity may purchase property or services
using small purchase methods. Non–Federal entities adopt small purchase procedures in order to expedite the purchase of items
costing less than the simplified acquisition threshold. The simplified acquisition threshold is set by the Federal Acquisition Regulation
at 48 CFR Subpart 2.1 (Definitions) and in accordance with 41 U.S.C. 1908. As of the publication of this part, the simplified
acquisition threshold is $150,000, but this threshold is periodically adjusted for inflation. (Also see definition of § 200.67 Micro-
purchase.)
Subaward means an award provided by a pass-through entity to a subrecipient for the subrecipient to carry out part of a Federal
award received by the pass-through entity. It does not include payments to a contractor or payments to an individual that is a
beneficiary of a Federal program. A subaward may be provided through any form of legal agreement, including an agreement that
the pass-through entity considers a contract.
Subrecipient means a non–Federal entity that receives a subaward from a pass-through entity to carry out part of a Federal
program; but does not include an individual that is a beneficiary of such program. A subrecipient may also be a recipient of other
Federal awards directly from a Federal awarding agency.
Termination means the ending of a Federal award, in whole or in part at any time prior to the planned end of period of performance.
The following certifications and provisions may be required and apply when Participating Agency expends federal funds for any
purchase resulting from this procurement process. Pursuant to 2 C.F.R. § 200.326, all contracts, including small purchases, awarded
by the Participating Agency and the Participating Agency’s subcontractors shall contain the procurement provisions of Appendix II to
Part 200, as applicable.
APPENDIX II TO 2 CFR PART 200
(A) 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 U.S.C. 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.
Pursuant to Federal Rule (A) above, when a Participating Agency expends federal funds, the Participating Agency reserves all rights
and privileges under the applicable laws and regulations with respect to this procurement in the event of breach of contract by either
party.
Does offeror agree? YES Initials of Authorized Representative of offeror
(B) Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be
effected and the basis for settlement. (All contracts in excess of $10,000)
Pursuant to Federal Rule (B) above, when a Participating Agency expends federal funds, the Participating Agency reserves the right
to immediately terminate any agreement in excess of $10,000 resulting from this procurement process in the event of a breach or
default of the agreement by Offeror as detailed in the terms of the contract.
Does offeror agree? YES Initials of Authorized Representative of offeror
(C) Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the
definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 must include the equal opportunity clause
provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, “Equal Employment Opportunity” (30 CFR
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.”
Pursuant to Federal Rule (C) above, when a Participating Agency expends federal funds on any federally assisted construction
contract, the equal opportunity clause is incorporated by reference herein.
Does offeror agree to abide by the above? YES Initials of Authorized Representative of offeror
(D) Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime
construction contracts in excess of $2,000 awarded by non-Federal entities must include a provision for compliance
with the Davis-Bacon Act (40 U.S.C. 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, contractors must be required to pay wages to laborers and mechanics at
a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In
addition, contractors must be required to pay wages not less than once a week. The non-Federal entity must place a copy
of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award
a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non - Federal entity
must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a
provision for compliance with the Copeland “Anti-Kickback” Act (40 U.S.C. 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. The non -Federal entity must report all
suspected or reported violations to the Federal awarding agency.
Pursuant to Federal Rule (D) above, when a Participating Agency expends federal funds during the term of an award for all
contracts and subgrants for construction or repair, offeror will be in compliance with all applicable Davis-Bacon Act provisions.
Does offeror agree? YES Initials of Authorized Representative of offeror
(E) Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, all contracts awarded by the
non-Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a provision
for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under
40 U.S.C. 3702 of the Act, each contractor must be 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 U.S.C. 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.
Pursuant to Federal Rule (E) above, when a Participating Agency expends federal funds, offeror certifies that offeror will be in
compliance with all applicable provisions of the Contract Work Hours and Safety Standards Act during the term of an award for all
contracts by Participating Agency resulting from this procurement process.
Does offeror agree? YES Initials of Authorized Representative of offeror
(F) Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the definition of “funding
agreement” 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 of 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.
Pursuant to Federal Rule (F) above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror agrees to comply with
all applicable requirements as referenced in Federal Rule (F) above.
Does offeror agree? YES Initials of Authorized Representative of offeror
(G) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 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 U.S.C. 7401-
7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251- 1387). Violations must be reported to the
Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA)
Pursuant to Federal Rule (G) above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term of an award for all contracts by Participating Agency member resulting from this procurement process, the offeror agrees
to comply with all applicable requirements as referenced in Federal Rule (G) above.
Does offeror agree? YES Initials of Authorized Representative of offeror
(H) 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 Executive Office of the President Office of Management and Budget (OMB) guidelines at 2 CFR 180 that implement
Executive Orders 12549 (3 CFR part 1986 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.
Pursuant to Federal Rule (H) above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror certifies that neither
it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation by any federal department or agency. If at any time during the term of an award the offeror or its principals becomes
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal
department or agency, the offeror will notify the Participating Agency.
Does offeror agree? YES Initials of Authorized Representative of offeror
(I) Byrd Anti-Lobbying Amendment (31 U.S.C. 1352)—Contractors 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 U.S.C. 1352. 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.
Pursuant to Federal Rule (I) above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term and after the awarded term of an award for all contracts by Participating Agency resulting from this procurement process, the
offeror certifies that it is in compliance with all applicable provisions of the Byrd Anti-Lobbying Amendment (31 U.S.C. 1352). The
undersigned further certifies that:
(1) No Federal appropriated funds have been paid or will be paid for on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an
employee of a Member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making
of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification
of a Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an
employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete
and submit Standard Form-LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all covered sub-
awards exceeding $100,000 in Federal funds at all appropriate tiers and that all subrecipients shall certify and disclose accordingly.
Does offeror agree? YES Initials of Authorized Representative of offeror
RECORD RETENTION REQUIREMENTS FOR CONTRACTS INVOLVING FEDERAL FUNDS
When federal funds are expended by Participating Agency for any contract resulting from this procurement process, offeror certifies
that it will comply with the record retention requirements detailed in 2 CFR § 200.333. The offeror further certifies that offeror will
retain all records as required by 2 CFR § 200.333 for a period of three years after grantees or subgrantees submit final
expenditure reports or quarterly or annual financial reports, as applicable, and all other pending matters are closed.
Does offeror agree? YES Initials of Authorized Representative of offeror
CERTIFICATION OF COMPLIANCE WITH THE ENERGY POLICY AND CONSERVATION ACT
When Participating Agency expends federal funds for any contract resulting from this procurement process, offeror certifies that it
will comply with the mandatory standards and policies relating to energy efficiency which are contained in the state energy
conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S.C. 6321 et seq.; 49 C.F.R. Part 18).
Does offeror agree? YES Initials of Authorized Representative of offeror
CERTIFICATION OF COMPLIANCE WITH BUY AMERICA PROVISIONS
To the extent purchases are made with Federal Highway Administration, Federal Railroad Administration, or Federal Transit
Administration funds, offeror certifies that its products comply with all applicable provisions of the Buy America Act and agrees to
provide such certification or applicable waiver with respect to specific products to any Participating Agency upon request.
Purchases made in accordance with the Buy America Act must still follow the applicable procurement rules calling for free and
open competition.
Does offeror agree? YES Initials of Authorized Representative of offeror
CERTIFICATION OF ACCESS TO RECORDS – 2 C.F.R. § 200.336
Offeror agrees that the Inspector General of the Agency or any of their duly authorized representatives shall have access to any
documents, papers, or other records of offeror that are pertinent to offeror’s discharge of its obligations under the Contract for the
purpose of making audits, examinations, excerpts, and transcriptions. The right also includes timely and reasonable access to
offeror’s personnel for the purpose of interview and discussion relating to such documents.
Does offeror agree? YES Initials of Authorized Representative of offeror
CERTIFICATION OF APPLICABILITY TO SUBCONTRACTORS
Offeror agrees that all contracts it awards pursuant to the Contract shall be bound by the foregoing terms and conditions.
Does offeror agree? YES Initials of Authorized Representative of offeror
Offeror agrees to comply with all federal, state, and local laws, rules, regulations and ordinances, as applicable. It is
further acknowledged that offeror certifies compliance with all provisions, laws, acts, regulations, etc. as specifically
noted above.
Offeror’s Name: ____________________________________________________________________________________________
Address, City, State, and Zip Code: _____________________________________________________________________________
Phone Number:___________________________________ Fax Number: ______________________________________
Printed Name and Title of Authorized Representative:______________________________________________________________________
Email Address: ____________________________________________________________________________________________
Signature of Authorized Representative: ____________________________________Date: _____________________________
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
NEW JERSEY BUSINESS COMPLIANCE
Suppliers intending to do business in the State of New Jersey must comply with policies and
procedures required under New Jersey statues. All offerors submitting proposals must complete the
following forms specific to the State of New Jersey. Completed forms should be submitted with the
offeror’s response to the RFP. Failure to complete the New Jersey packet will impact OMNIA
Partners’ ability to promote the Master Agreement in the State of New Jersey.
DOC #1 Ownership Disclosure Form
DOC #2 Non-Collusion Affidavit
DOC #3 Affirmative Action Affidavit
DOC #4 Political Contribution Disclosure Form
DOC #5 Stockholder Disclosure Certification
DOC #6 Certification of Non-Involvement in Prohibited Activities in Iran
DOC #7 New Jersey Business Registration Certificate
New Jersey suppliers are required to comply with the following New Jersey statutes when
applicable:
• all anti-discrimination laws, including those contained in N.J.S.A. 10:2-1 through N.J.S.A.
10:2-14, N.J.S.A. 10:5-1, and N.J.S.A. 10:5-31 through 10:5-38;
• Prevailing Wage Act, N.J.S.A. 34:11-56.26, for all contracts within the contemplation of the
Act;
• Public Works Contractor Registration Act, N.J.S.A. 34:11-56.26; and
• Bid and Performance Security, as required by the applicable municipal or state statutes.
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #1
OWNERSHIP DISCLOSURE FORM
(N.J.S. 52:25-24.2)
Pursuant to the requirements of P.L. 1999, Chapter 440 effective April 17, 2000 (Local Public Contracts Law),
the offeror shall complete the form attached to these specifications listing the persons owning 10 percent (10%)
or more of the firm presenting the proposal.
Company Name:
Street:
City, State, Zip Code:
Complete as appropriate:
I _______________________________________, certify that I am the sole owner of
____________________________________, that there are no partners and the business is not
incorporated, and the provisions of N.J.S. 52:25-24.2 do not apply.
OR:
I _______________________________________, a partner in___________________________, do hereby
certify that the following is a list of all individual partners who own a 10% or greater interest therein. I
further certify that if one (1) or more of the partners is itself a corporation or partnership, there is also set
forth the names and addresses of the stockholders holding 10% or more of that corporation’s stock or the
individual partners owning 10% or greater interest in that partnership.
OR:
I _______________________________________, an authorized representative of
______________________, a corporation, do hereby certify that the following is a list of the names and
addresses of all stockholders in the corporation who own 10% or more of its stock of any class. I further
certify that if one (1) or more of such stockholders is itself a corporation or partnership, that there is also set
forth the names and addresses of the stockholders holding 10% or more of the corporation’s stock or the
individual partners owning a 10% or greater interest in that partnership.
(Note: If there are no partners or stockholders owning 10% or more interest, indicate none.)
Name Address Interest
I further certify that the statements and information contained herein, are complete and correct to the best of
my knowledge and belief.
Date Authorized Signature and Title
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #2
NON-COLLUSION AFFIDAVIT
Company Name: ________________________________________
Street: ________________________________________________
City, State, Zip Code:____________________________________
State of ________________________________________________
County of ______________________________________________
I, of the_______________________________________________
Name City
in the County of ____________________________, State of _______________________________
of full age, being duly sworn according to law on my oath depose and say that:
I am the _________________________of the firm of _____________________________________
Title Company Name
the Offeror making the Proposal for the goods, services or public work specified under the attached
proposal, and that I executed the said proposal with full authority to do so; that said Offeror has not
directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken
any action in restraint of free, competitive bidding in connection with the above proposal, and that
all statements contained in said proposal and in this affidavit are true and correct, and made with
full knowledge that relies upon the truth of the statements contained in said proposal and in the
statements contained in this affidavit in awarding the contract for the said goods, services or public
work.
I further warrant that no person or selling agency has been employed or retained to solicit or secure
such contract upon an agreement or understanding for a commission, percentage, brokerage or
contingent fee, except bona fide employees or bona fide established commercial or selling agencies
maintained by
Company Name Authorized Signature & Title
Subscribed and sworn before me
this ______ day of ______________, 20____
__________________________________________
Notary Public of ______________________
My commission expires _________________ , 20____
SEAL
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #3
AFFIRMATIVE ACTION AFFIDAVIT
(P.L. 1975, C.127)
Company Name:
Street:
City, State, Zip Code:
Proposal Certification:
Indicate below company’s compliance with New Jersey Affirmative Action regulations. Company’s
proposal will be accepted even if company is not in compliance at this time. No contract and/or
purchase order may be issued, however, until all Affirmative Action requirements are met.
Required Affirmative Action Evidence:
Procurement, Professional & Service Contracts (Exhibit A)
Vendors must submit with proposal:
1. A photo copy of their Federal Letter of Affirmative Action Plan Approval
OR
2. A photo copy of their Certificate of Employee Information Report
OR
3. A complete Affirmative Action Employee Information Report (AA302) ________
Public Work – Over $50,000 Total Project Cost:
A. No approved Federal or New Jersey Affirmative Action Plan. We will complete Report Form
AA201-A upon receipt from the
B. Approved Federal or New Jersey Plan – certificate enclosed
I further certify that the statements and information contained herein, are complete and correct to
the best of my knowledge and belief.
_______________________ _________________________________
Date Authorized Signature and Title
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #3, continued P.L. 1995, c. 127 (N.J.A.C. 17:27)
MANDATORY AFFIRMATIVE ACTION LANGUAGE
PROCUREMENT, PROFESSIONAL AND SERVICE
CONTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for
employment because of age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual
orientation. The contractor will take affirmative action to ensure that such applicants are recruited and employed, and
that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry,
marital status, sex, affectional or sexual orientation. Such action shall include, but not be limited to the following:
employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay
or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in
conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency
Compliance Officer setting forth provisions of this non-discrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or advertisement for employees placed by or
on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to
age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation.
The contractor or subcontractor, where applicable, will send to each labor union or representative of workers with which
it has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency
contracting officer advising the labor union or workers' representative of the contractor's commitments under this act and
shall post copies of the notice in conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer
pursuant to P.L. 1975, c. 127, as amended and supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to attempt in good faith to employ minority and female workers trade consistent
with the applicable county employment goal prescribed by N.J.A.C. 17:27-5.2 promulgated by the Treasurer pursuant to
P.L. 1975, C.127, as amended and supplemented from time to time or in accordance with a binding determination of the
applicable county employment goals determined by the Affirmative Action Office pursuant to N.J.A.C. 17:27-5.2
promulgated by the Treasurer pursuant to P.L. 1975, C.127, as amended and supplemented from time to time.
The contractor or subcontractor agrees to inform in writing appropriate recruitment agencies in the area, including
employment agencies, placement bureaus, colleges, universities, labor unions, that it does not discriminate on the basis
of age, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation, and that it will
discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.
The contractor or subcontractor agrees to revise any of it testing procedures, if necessary, to assure that all personnel
testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the state
of New Jersey and as established by applicable Federal law and applicable Federal court decisions.
The contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and lay-off
to ensure that all such actions are taken without regard to age, creed, color, national origin, ancestry, marital status, sex,
affectional or sexual orientation, and conform with the applicable employment goals, consistent with the statutes and court
decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.
The contractor and its subcontractors shall furnish such reports or other documents to the Affirmative Action Office as
may be requested by the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Affirmative Action Office for conducting a compliance
investigation pursuant to Subchapter 10 of the Administrative Code (NJAC 17:27).
________________________________________________
Signature of Procurement Agent
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Public Agency Instructions
This page provides guidance to public agencies entering into contracts with business entities that are required to file
Political Contribution Disclosure forms with the agency. It is not intended to be provided to contractors. What follows
are instructions on the use of form local units can provide to contractors that are required to disclose political contributions
pursuant to N.J.S.A. 19:44A-20.26 (P.L. 2005, c. 271, s.2). Additional information on the process is available in Local
Finance Notice 2006-1 (http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html). Please refer back to these
instructions for the appropriate links, as the Local Finance Notices include links that are no longer operational.
1. The disclosure is required for all contracts in excess of $17,500 that are not awarded pursuant to a “fair and open”
process (N.J.S.A. 19:44A-20.7).
2. Due to the potential length of some contractor submissions, the public agency should consider allowing data to be
submitted in electronic form (i.e., spreadsheet, pdf file, etc.). Submissions must be kept with the contract documents
or in an appropriate computer file and be available for public access. The form is worded to accept this alternate
submission. The text should be amended if electronic submission will not be allowed.
3. The submission must be received from the contractor and on file at least 10 days prior to award of the contract.
Resolutions of award should reflect that the disclosure has been received and is on file.
4. The contractor must disclose contributions made to candidate and party committees covering a wide range of public
agencies, including all public agencies that have elected officials in the county of the public agency, state legislative
positions, and various state entities. The Division of Local Government Services recommends that contractors be
provided a list of the affected agencies. This will assist contractors in determining the campaign and political
committees of the officials and candidates affected by the disclosure.
a. The Division has prepared model disclosure forms for each county. They can be downloaded from the “County
PCD Forms” link on the Pay-to-Play web site at http://www.nj.gov/dca/divisions/dlgs/programs/lpcl.html#12.
They will be updated from time-to-time as necessary.
b. A public agency using these forms should edit them to properly reflect the correct legislative district(s). As
the forms are county-based, they list all legislative districts in each county. Districts that do not represent
the public agency should be removed from the lists.
c. Some contractors may find it easier to provide a single list that covers all contributions, regardless of the county.
These submissions are appropriate and should be accepted.
d. The form may be used “as-is”, subject to edits as described herein.
e. The “Contractor Instructions” sheet is intended to be provided with the form. It is recommended that the
Instructions and the form be printed on the same piece of paper. The form notes that the Instructions are printed
on the back of the form; where that is not the case, the text should be edited accordingly.
f. The form is a Word document and can be edited to meet local needs, and posted for download on web sites, used
as an e-mail attachment, or provided as a printed document.
5. It is recommended that the contractor also complete a “Stockholder Disclosure Certification.” This will assist the
local unit in its obligation to ensure that contractor did not make any prohibited contributions to the committees listed
on the Business Entity Disclosure Certification in the 12 months prior to the contract (See Local Finance Notice
2006-7 for additional information on this obligation at
http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html). A sample Certification form is part of this package
and the instruction to complete it is included in the Contractor Instructions. NOTE: This section is not applicable to
Boards of Education.
DOC #4
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Contractor Instructions
Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and
open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2 (N.J.S.A. 19:44A-
20.26). This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions
to:
• any State, county, or municipal committee of a political party
• any legislative leadership committee*
• any continuing political committee (a.k.a., political action committee)
• any candidate committee of a candidate for, or holder of, an elective office:
o of the public entity awarding the contract
o of that county in which that public entity is located
o of another public entity within that county
o or of a legislative district in which that public entity is located or, when the public entity is a county,
of any legislative district which includes all or part of the county
The disclosure must list reportable contributions to any of the committees that exceed $300 per election cycle that were
made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for more details on
reportable contributions.
N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity is not a
natural person. This includes the following:
• individuals with an “interest” ownership or control of more than 10% of the profits or assets of a business entity
or 10% of the stock in the case of a business entity that is a corporation for profit
• all principals, partners, officers, or directors of the business entity or their spouses
• any subsidiaries directly or indirectly controlled by the business entity
• IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity
and filing as continuing political committees, (PACs).
When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be
deemed to be a contribution by the business entity.” [N.J.S.A. 19:44A-20.26(b)] The contributor must be listed on the
disclosure.
Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an
amount to be determined by the Commission which may be based upon the amount that the business entity failed to report.
The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official
and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to
identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed
information may exceed the minimum requirement.
The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along with a
signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public
Records Act.
The contractor must also complete the attached Stockholder Disclosure Certification. This will assist the agency in
meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts.
* N.J.S.A. 19:44A-3(s): “The term "legislative leadership committee" means a committee established, authorized to be
established, or designated by the President of the Senate, the Minority Leader of the Senate, the Speaker of the General
Assembly or the Minority Leader of the General Assembly pursuant to section 16 of P.L.1993, c.65 (C.19:44A-10.1) for
the purpose of receiving contributions and making expenditures.”
Doc #4, continued
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant to N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City: State: Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein represents
compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions
accompanying this form.
_______________________ _______________________ ________________________
Signature Printed Name Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable
political contributions (more than $300 per election cycle) over the 12 months prior to submission to
the committees of the government entities listed on the form provided by the local unit.
Check here if disclosure is provided in electronic form
Contributor Name Recipient Name Date Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Doc #4, continued
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor, and Legislative Leadership Committees
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
Freeholders County Clerk Sheriff
{County Executive} Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD
FROM THE PAY TO PLAY SECTION OF THE DLGS WEBSITE A
COUNTY-BASED, CUSTOMIZABLE FORM.
Doc #4, continued
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #5
STOCKHOLDER DISCLOSURE CERTIFICATION
Name of Business:
I certify that the list below contains the names and home addresses of all stockholders
holding 10% or more of the issued and outstanding stock of the undersigned.
OR
I certify that no one stockholder owns 10% or more of the issued and outstanding stock of
the undersigned.
Check the box that represents the type of business organization:
Partnership Corporation Sole Proprietorship
Limited Partnership Limited Liability Corporation Limited Liability Partnership
Subchapter S Corporation
Sign and notarize the form below, and, if necessary, complete the stockholder list below.
Stockholders:
Name: Name:
Home Address:
Home Address:
Name: Name:
Home Address: Home Address:
Name:
Name:
Home Address:
Home Address:
Subscribed and sworn before me this ___ day of ___________,
2__.
(Notary Public)
My Commission expires:
_________________________________
(Affiant)
________________________________
(Print name & title of affiant)
(Corporate Seal)
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #6
Certification of Non-Involvement in Prohibited Activities in Iran
Pursuant to N.J.S.A. 52:32-58, Offerors must certify that neither the Offeror, nor any of its parents,
subsidiaries, and/or affiliates (as defined in N.J.S.A. 52:32 – 56(e) (3)), is listed on the Department
of the Treasury’s List of Persons or Entities Engaging in Prohibited Investment Activities in Iran
and that neither is involved in any of the investment activities set forth in N.J.S.A. 52:32 – 56(f).
Offerors wishing to do business in New Jersey through this contract must fill out the Certification of
Non-Involvement in Prohibited Activities in Iran here:
http://www.state.nj.us/humanservices/dfd/info/standard/fdc/disclosure_investmentact.pdf.
Offerors should submit the above form completed with their proposal.
OMNIA PARTNERS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #7
NEW JERSEY BUSINESS REGISTRATION CERTIFICATE
(N.J.S.A. 52:32-44)
Offerors wishing to do business in New Jersey must submit their State Division of Revenue issued
Business Registration Certificate with their proposal here. Failure to do so will disqualify the
Offeror from offering products or services in New Jersey through any resulting contract.
http://www.state.nj.us/treasury/revenue/forms/njreg.pdf
OMNIA PARTNERS EXHIBITS
EXHIBIT H- OMNIA PARTNERS ADVERTISING COMPLIANCE REQUIREMENT
Pursuant to certain state notice provisions, including but not limited to Oregon Revised Statutes Chapter 279A.220, the following
public agencies and political subdivisions of the referenced public agencies are eligible to register with OMNIA Partners and access
the Master Agreement contract award made pursuant to this solicitation, and are hereby given notice of the foregoing request for
proposals for purposes of complying with the procedural requirements of said statutes:
Nationwide:
State of Alabama State of Hawaii State of Massachusetts State of New Mexico State of South
Dakota
State of Alaska State of Idaho State of Michigan State of New York State of Tennessee
State of Arizona State of Illinois State of Minnesota State of North Carolina State of Texas
State of Arkansas State of Indiana State of Mississippi State of North Dakota State of Utah
State of California State of Iowa State of Missouri State of Ohio State of Vermont
State of Colorado State of Kansas State of Montana State of Oklahoma State of Virginia
State of Connecticut State of Kentucky State of Nebraska State of Oregon State of Washington
State of Delaware State of Louisiana State of Nevada State of Pennsylvania State of West
Virginia
State of Florida State of Maine State of New Hampshire State of Rhode Island State of Wisconsin
State of Georgia State of Maryland State of New Jersey State of South Carolina State of Wyoming
District of Columbia
Lists of political subdivisions and local governments in the above referenced states / districts may be found at
http://www.usa.gov/Agencies/State_and_Territories.shtml and https://www.usa.gov/local-governments.
Certain Public Agencies and Political Subdivisions:
CITIES, TOWNS, VILLAGES AND BOROUGHS
INCLUDING BUT NOT LIMITED TO:
BAKER CITY GOLF COURSE, OR
CITY OF ADAIR VILLAGE, OR
CITY OF ASHLAND, OR
CITY OF AUMSVILLE, OR
CITY OF AURORA, OR
CITY OF BAKER, OR
CITY OF BATON ROUGE, LA
CITY OF BEAVERTON, OR
CITY OF BEND, OR
CITY OF BOARDMAN, OR
CITY OF BONANAZA, OR
CITY OF BOSSIER CITY, LA
CITY OF BROOKINGS, OR
CITY OF BURNS, OR
CITY OF CANBY, OR
CITY OF CANYONVILLE, OR
CITY OF CLATSKANIE, OR
CITY OF COBURG, OR
CITY OF CONDON, OR
CITY OF COQUILLE, OR
CITY OF CORVALLI, OR
CITY OF CORVALLIS PARKS AND RECREATION
DEPARTMENT, OR
CITY OF COTTAGE GROVE, OR
CITY OF DONALD, OR
CITY OF EUGENE, OR
CITY OF FOREST GROVE, OR
CITY OF GOLD HILL, OR
CITY OF GRANTS PASS, OR
CITY OF GRESHAM, OR
CITY OF HILLSBORO, OR
CITY OF INDEPENDENCE, OR
CITY AND COUNTY OF HONOLULU, HI
CITY OF KENNER, LA
CITY OF LA GRANDE, OR
CITY OF LAFAYETTE, LA
CITY OF LAKE CHARLES, OR
CITY OF LEBANON, OR
CITY OF MCMINNVILLE, OR
CITY OF MEDFORD, OR
CITY OF METAIRIE, LA
CITY OF MILL CITY, OR
CITY OF MILWAUKIE, OR
CITY OF MONROE, LA
CITY OF MOSIER, OR
CITY OF NEW ORLEANS, LA
CITY OF NORTH PLAINS, OR
CITY OF OREGON CITY, OR
CITY OF PILOT ROCK, OR
CITY OF PORTLAND, OR
CITY OF POWERS, OR
CITY OF PRINEVILLE, OR
CITY OF REDMOND, OR
CITY OF REEDSPORT, OR
CITY OF RIDDLE, OR
CITY OF ROGUE RIVER, OR
CITY OF ROSEBURG, OR
CITY OF SALEM, OR
CITY OF SANDY, OR
CITY OF SCAPPOOSE, OR
CITY OF SHADY COVE, OR
CITY OF SHERWOOD, OR
CITY OF SHREVEPORT, LA
CITY OF SILVERTON, OR
CITY OF SPRINGFIELD, OR
CITY OF ST. HELENS, OR
CITY OF ST. PAUL, OR
CITY OF SULPHUR, LA
CITY OF TIGARD, OR
CITY OF TROUTDALE, OR
CITY OF TUALATIN, OR
CITY OF WALKER, LA
CITY OF WARRENTON, OR
CITY OF WEST LINN, OR
CITY OF WILSONVILLE, OR
CITY OF WINSTON, OR
CITY OF WOODBURN, OR
LEAGUE OF OREGON CITES
THE CITY OF HAPPY VALLEY OREGON
ALPINE, UT
ALTA, UT
ALTAMONT, UT
ALTON, UT
AMALGA, UT
AMERICAN FORK CITY, UT
ANNABELLA, UT
ANTIMONY, UT
APPLE VALLEY, UT
AURORA, UT
BALLARD, UT
BEAR RIVER CITY, UT
BEAVER, UT
BICKNELL, UT
BIG WATER, UT
BLANDING, UT
BLUFFDALE, UT
BOULDER, UT
CITY OF BOUNTIFUL, UT
BRIAN HEAD, UT
BRIGHAM CITY CORPORATION, UT
BRYCE CANYON CITY, UT
CANNONVILLE, UT
CASTLE DALE, UT
CASTLE VALLEY, UT
CITY OF CEDAR CITY, UT
CEDAR FORT, UT
CITY OF CEDAR HILLS, UT
CENTERFIELD, UT
CENTERVILLE CITY CORPORATION, UT
CENTRAL VALLEY, UT
CHARLESTON, UT
CIRCLEVILLE, UT
CLARKSTON, UT
CLAWSON, UT
CLEARFIELD, UT
CLEVELAND, UT
CLINTON CITY CORPORATION, UT
COALVILLE, UT
CORINNE, UT
CORNISH, UT
COTTONWOOD HEIGHTS, UT
DANIEL, UT
DELTA, UT
DEWEYVILLE, UT
DRAPER CITY, UT
DUCHESNE, UT
EAGLE MOUNTAIN, UT
EAST CARBON, UT
ELK RIDGE, UT
ELMO, UT
ELSINORE, UT
ELWOOD, UT
EMERY, UT
ENOCH, UT
ENTERPRISE, UT
EPHRAIM, UT
ESCALANTE, UT
EUREKA, UT
FAIRFIELD, UT
FAIRVIEW, UT
FARMINGTON, UT
FARR WEST, UT
FAYETTE, UT
FERRON, UT
FIELDING, UT
FILLMORE, UT
FOUNTAIN GREEN, UT
FRANCIS, UT
FRUIT HEIGHTS, UT
GARDEN CITY, UT
GARLAND, UT
GENOLA, UT
GLENDALE, UT
GLENWOOD, UT
GOSHEN, UT
GRANTSVILLE, UT
GREEN RIVER, UT
GUNNISON, UT
HANKSVILLE, UT
HARRISVILLE, UT
HATCH, UT
HEBER CITY CORPORATION, UT
HELPER, UT
HENEFER, UT
HENRIEVILLE, UT
HERRIMAN, UT
HIDEOUT, UT
HIGHLAND, UT
HILDALE, UT
HINCKLEY, UT
HOLDEN, UT
HOLLADAY, UT
HONEYVILLE, UT
HOOPER, UT
HOWELL, UT
HUNTINGTON, UT
HUNTSVILLE, UT
CITY OF HURRICANE, UT
HYDE PARK, UT
HYRUM, UT
INDEPENDENCE, UT
IVINS, UT
JOSEPH, UT
JUNCTION, UT
KAMAS, UT
KANAB, UT
KANARRAVILLE, UT
KANOSH, UT
KAYSVILLE, UT
KINGSTON, UT
KOOSHAREM, UT
LAKETOWN, UT
LA VERKIN, UT
LAYTON, UT
LEAMINGTON, UT
LEEDS, UT
LEHI CITY CORPORATION, UT
LEVAN, UT
LEWISTON, UT
LINDON, UT
LOA, UT
LOGAN CITY, UT
LYMAN, UT
LYNNDYL, UT
MANILA, UT
MANTI, UT
MANTUA, UT
MAPLETON, UT
MARRIOTT-SLATERVILLE, UT
MARYSVALE, UT
MAYFIELD, UT
MEADOW, UT
MENDON, UT
MIDVALE CITY INC., UT
MIDWAY, UT
MILFORD, UT
MILLVILLE, UT
MINERSVILLE, UT
MOAB, UT
MONA, UT
MONROE, UT
CITY OF MONTICELLO, UT
MORGAN, UT
MORONI, UT
MOUNT PLEASANT, UT
MURRAY CITY CORPORATION, UT
MYTON, UT
NAPLES, UT
NEPHI, UT
NEW HARMONY, UT
NEWTON, UT
NIBLEY, UT
NORTH LOGAN, UT
NORTH OGDEN, UT
NORTH SALT LAKE CITY, UT
OAK CITY, UT
OAKLEY, UT
OGDEN CITY CORPORATION, UT
OPHIR, UT
ORANGEVILLE, UT
ORDERVILLE, UT
OREM, UT
PANGUITCH, UT
PARADISE, UT
PARAGONAH, UT
PARK CITY, UT
PAROWAN, UT
PAYSON, UT
PERRY, UT
PLAIN CITY, UT
PLEASANT GROVE CITY, UT
PLEASANT VIEW, UT
PLYMOUTH, UT
PORTAGE, UT
PRICE, UT
PROVIDENCE, UT
PROVO, UT
RANDOLPH, UT
REDMOND, UT
RICHFIELD, UT
RICHMOND, UT
RIVERDALE, UT
RIVER HEIGHTS, UT
RIVERTON CITY, UT
ROCKVILLE, UT
ROCKY RIDGE, UT
ROOSEVELT CITY CORPORATION, UT
ROY, UT
RUSH VALLEY, UT
CITY OF ST. GEORGE, UT
SALEM, UT
SALINA, UT
SALT LAKE CITY CORPORATION, UT
SANDY, UT
SANTA CLARA, UT
SANTAQUIN, UT
SARATOGA SPRINGS, UT
SCIPIO, UT
SCOFIELD, UT
SIGURD, UT
SMITHFIELD, UT
SNOWVILLE, UT
CITY OF SOUTH JORDAN, UT
SOUTH OGDEN, UT
CITY OF SOUTH SALT LAKE, UT
SOUTH WEBER, UT
SPANISH FORK, UT
SPRING CITY, UT
SPRINGDALE, UT
SPRINGVILLE, UT
STERLING, UT
STOCKTON, UT
SUNNYSIDE, UT
SUNSET CITY CORP, UT
SYRACUSE, UT
TABIONA, UT
CITY OF TAYLORSVILLE, UT
TOOELE CITY CORPORATION, UT
TOQUERVILLE, UT
TORREY, UT
TREMONTON CITY, UT
TRENTON, UT
TROPIC, UT
UINTAH, UT
VERNAL CITY, UT
VERNON, UT
VINEYARD, UT
VIRGIN, UT
WALES, UT
WALLSBURG, UT
WASHINGTON CITY, UT
WASHINGTON TERRACE, UT
WELLINGTON, UT
WELLSVILLE, UT
WENDOVER, UT
WEST BOUNTIFUL, UT
WEST HAVEN, UT
WEST JORDAN, UT
WEST POINT, UT
WEST VALLEY CITY, UT
WILLARD, UT
WOODLAND HILLS, UT
WOODRUFF, UT
WOODS CROSS, UT
COUNTIES AND PARISHES INCLUDING BUT NOT
LIMITED TO:
ASCENSION PARISH, LA
ASCENSION PARISH, LA, CLEAR OF COURT
CADDO PARISH, LA
CALCASIEU PARISH, LA
CALCASIEU PARISH SHERIFF’S OFFICE, LA
CITY AND COUNTY OF HONOLULU, HI
CLACKAMAS COUNTY, OR
CLACKAMAS COUNTY DEPT OF TRANSPORTATION,
OR
CLATSOP COUNTY, OR
COLUMBIA COUNTY, OR
COOS COUNTY, OR
COOS COUNTY HIGHWAY DEPARTMENT, OR
COUNTY OF HAWAII, OR
CROOK COUNTY, OR
CROOK COUNTY ROAD DEPARTMENT, OR
CURRY COUNTY, OR
DESCHUTES COUNTY, OR
DOUGLAS COUNTY, OR
EAST BATON ROUGE PARISH, LA
GILLIAM COUNTY, OR
GRANT COUNTY, OR
HARNEY COUNTY, OR
HARNEY COUNTY SHERIFFS OFFICE, OR
HAWAII COUNTY, HI
HOOD RIVER COUNTY, OR
JACKSON COUNTY, OR
JEFFERSON COUNTY, OR
JEFFERSON PARISH, LA
JOSEPHINE COUNTY GOVERNMENT, OR
LAFAYETTE CONSOLIDATED GOVERNMENT, LA
LAFAYETTE PARISH, LA
LAFAYETTE PARISH CONVENTION & VISITORS
COMMISSION
LAFOURCHE PARISH, LA
KAUAI COUNTY, HI
KLAMATH COUNTY, OR
LAKE COUNTY, OR
LANE COUNTY, OR
LINCOLN COUNTY, OR
LINN COUNTY, OR
LIVINGSTON PARISH, LA
MALHEUR COUNTY, OR
MAUI COUNTY, HI
MARION COUNTY, SALEM, OR
MORROW COUNTY, OR
MULTNOMAH COUNTY, OR
MULTNOMAH COUNTY BUSINESS AND
COMMUNITY SERVICES, OR
MULTNOMAH COUNTY SHERIFFS OFFICE, OR
MULTNOMAH LAW LIBRARY, OR
ORLEANS PARISH, LA
PLAQUEMINES PARISH, LA
POLK COUNTY, OR
RAPIDES PARISH, LA
SAINT CHARLES PARISH, LA
SAINT CHARLES PARISH PUBLIC SCHOOLS, LA
SAINT LANDRY PARISH, LA
SAINT TAMMANY PARISH, LA
SHERMAN COUNTY, OR
TERREBONNE PARISH, LA
TILLAMOOK COUNTY, OR
TILLAMOOK COUNTY SHERIFF'S OFFICE, OR
TILLAMOOK COUNTY GENERAL HOSPITAL, OR
UMATILLA COUNTY, OR
UNION COUNTY, OR
WALLOWA COUNTY, OR
WASCO COUNTY, OR
WASHINGTON COUNTY, OR
WEST BATON ROUGE PARISH, LA
WHEELER COUNTY, OR
YAMHILL COUNTY, OR
COUNTY OF BOX ELDER, UT
COUNTY OF CACHE, UT
COUNTY OF RICH, UT
COUNTY OF WEBER, UT
COUNTY OF MORGAN, UT
COUNTY OF DAVIS, UT
COUNTY OF SUMMIT, UT
COUNTY OF DAGGETT, UT
COUNTY OF SALT LAKE, UT
COUNTY OF TOOELE, UT
COUNTY OF UTAH, UT
COUNTY OF WASATCH, UT
COUNTY OF DUCHESNE, UT
COUNTY OF UINTAH, UT
COUNTY OF CARBON, UT
COUNTY OF SANPETE, UT
COUNTY OF JUAB, UT
COUNTY OF MILLARD, UT
COUNTY OF SEVIER, UT
COUNTY OF EMERY, UT
COUNTY OF GRAND, UT
COUNTY OF BEVER, UT
COUNTY OF PIUTE, UT
COUNTY OF WAYNE, UT
COUNTY OF SAN JUAN, UT
COUNTY OF GARFIELD, UT
COUNTY OF KANE, UT
COUNTY OF IRON, UT
COUNTY OF WASHINGTON, UT
OTHER AGENCIES INCLUDING ASSOCIATIONS,
BOARDS, DISTRICTS, COMMISSIONS, COUNCILS,
PUBLIC CORPORATIONS, PUBLIC DEVELOPMENT
AUTHORITIES, RESERVATIONS AND UTILITIES
INCLUDING BUT NOT LIMITED TO:
BANKS FIRE DISTRICT, OR
BATON ROUGE WATER COMPANY
BEND METRO PARK AND RECREATION DISTRICT
BIENVILLE PARISH FIRE PROTECTION DISTRICT 6,
LA
BOARDMAN PARK AND RECREATION DISTRICT
CENTRAL CITY ECONOMIC OPPORTUNITY CORP, LA
CENTRAL OREGON INTERGOVERNMENTAL
COUNCIL
CITY OF BOGALUSA SCHOOL BOARD, LA
CLACKAMAS RIVER WATER
CLATSKANIE PEOPLE'S UTILITY DISTRICT
CLEAN WATER SERVICES
CONFEDERATED TRIBES OF THE UMATILLA INDIAN
RESERVATION
COOS FOREST PROTECTIVE ASSOCIATION
CHEHALEM PARK AND RECREATION DISTRICT
DAVID CROCKETT STEAM FIRE COMPANY #1, LA
EUGENE WATER AND ELECTRIC BOARD
HONOLULU INTERNATIONAL AIRPORT
HOODLAND FIRE DISTRICT #74
HOUSING AUTHORITY OF PORTLAND
ILLINOIS VALLEY FIRE DISTRICT
LAFAYETTE AIRPORT COMMISSION, LA
LAFOURCHE PARISH HEALTH UNIT – DHH-OPH
REGION 3
LOUISIANA PUBLIC SERVICE COMMISSION, LA
LOUISIANA WATER WORKS
MEDFORD WATER COMMISSION
MELHEUR COUNTY JAIL, OR
METRO REGIONAL GOVERNMENT
METRO REGIONAL PARKS
METROPOLITAN EXPOSITION RECREATION
COMMISSION
METROPOLITAN SERVICE DISTRICT (METRO)
MULTNOMAH EDUCATION SERVICE DISTRICT
NEW ORLEANS REDEVELOPMENT AUTHORITY, LA
NORTHEAST OREGON HOUSING AUTHORITY, OR
PORT OF BRANDON, OR
PORT OF MORGAN CITY, LA
PORTLAND DEVELOPMENT COMMISSION, OR
PORTLAND FIRE AND RESCUE
PORTLAND HOUSING CENTER, OR
OREGON COAST COMMUNITY ACTION
OREGON HOUSING AND COMMUNITY SERVICES
OREGON LEGISLATIVE ADMINISTRATION
ROGUE VALLEY SEWER, OR
SAINT LANDRY PARISH TOURIST COMMISSION
SAINT MARY PARISH REC DISTRICT 2
SAINT MARY PARISH REC DISTRICT 3
SAINT TAMMANY FIRE DISTRICT 4, LA
SALEM MASS TRANSIT DISTRICT
SEWERAGE AND WATER BOARD OF NEW ORLEANS,
LA
SOUTH LAFOURCHE LEVEE DISTRICT, LA
TRI-COUNTY METROPOLITAN TRANSPORTATION
DISTRICT OF OREGON
TUALATIN HILLS PARK & RECREATION DISTRICT
TUALATIN VALLEY FIRE & RESCUE
TUALATIN VALLEY WATER DISTRICT
WILLAMALANE PARK AND RECREATION DISTRICT
WILLAMETTE HUMANE SOCIETY
K-12 INCLUDING BUT NOT LIMITED TO:
ACADIA PARISH SCHOOL BOARD
BEAVERTON SCHOOL DISTRICT
BEND-LA PINE SCHOOL DISTRICT
BOGALUSA HIGH SCHOOL, LA
BOSSIER PARISH SCHOOL BOARD
BROOKING HARBOR SCHOOL DISTRICT
CADDO PARISH SCHOOL DISTRICT
CALCASIEU PARISH SCHOOL DISTRICT
CANBY SCHOOL DISTRICT
CANYONVILLE CHRISTIAN ACADEMY
CASCADE SCHOOL DISTRICT
CASCADES ACADEMY OF CENTRAL OREGON
CENTENNIAL SCHOOL DISTRICT
CENTRAL CATHOLIC HIGH SCHOOL
CENTRAL POINT SCHOOL DISTRICT NO.6
CENTRAL SCHOOL DISTRICT 13J
COOS BAY SCHOOL DISTRICT NO.9
CORVALLIS SCHOOL DISTRICT 509J
COUNTY OF YAMHILL SCHOOL DISTRICT 29
CULVER SCHOOL DISTRICT
DALLAS SCHOOL DISTRICT NO.2
DAVID DOUGLAS SCHOOL DISTRICT
DAYTON SCHOOL DISTRICT NO.8
DE LA SALLE N CATHOLIC HS
DESCHUTES COUNTY SCHOOL DISTRICT NO.6
DOUGLAS EDUCATIONAL DISTRICT SERVICE
DUFUR SCHOOL DISTRICT NO.29
EAST BATON ROUGE PARISH SCHOOL DISTRICT
ESTACADA SCHOOL DISTRICT NO.10B
FOREST GROVE SCHOOL DISTRICT
GEORGE MIDDLE SCHOOL
GLADSTONE SCHOOL DISTRICT
GRANTS PASS SCHOOL DISTRICT 7
GREATER ALBANY PUBLIC SCHOOL DISTRICT
GRESHAM BARLOW JOINT SCHOOL DISTRICT
HEAD START OF LANE COUNTY
HIGH DESERT EDUCATION SERVICE DISTRICT
HILLSBORO SCHOOL DISTRICT
HOOD RIVER COUNTY SCHOOL DISTRICT
JACKSON CO SCHOOL DIST NO.9
JEFFERSON COUNTY SCHOOL DISTRICT 509-J
JEFFERSON PARISH SCHOOL DISTRICT
JEFFERSON SCHOOL DISTRICT
JUNCTION CITY SCHOOLS, OR
KLAMATH COUNTY SCHOOL DISTRICT
KLAMATH FALLS CITY SCHOOLS
LAFAYETTE PARISH SCHOOL DISTRICT
LAKE OSWEGO SCHOOL DISTRICT 7J
LANE COUNTY SCHOOL DISTRICT 4J
LINCOLN COUNTY SCHOOL DISTRICT
LINN CO. SCHOOL DIST. 95C
LIVINGSTON PARISH SCHOOL DISTRICT
LOST RIVER JR/SR HIGH SCHOOL
LOWELL SCHOOL DISTRICT NO.71
MARION COUNTY SCHOOL DISTRICT
MARION COUNTY SCHOOL DISTRICT 103
MARIST HIGH SCHOOL, OR
MCMINNVILLE SCHOOL DISTRICT NOAO
MEDFORD SCHOOL DISTRICT 549C
MITCH CHARTER SCHOOL
MONROE SCHOOL DISTRICT NO.1J
MORROW COUNTY SCHOOL DIST, OR
MULTNOMAH EDUCATION SERVICE DISTRICT
MULTISENSORY LEARNING ACADEMY
MYRTLE PINT SCHOOL DISTRICT 41
NEAH-KAH-NIE DISTRICT NO.56
NEWBERG PUBLIC SCHOOLS
NESTUCCA VALLEY SCHOOL DISTRICT NO.101
NOBEL LEARNING COMMUNITIES
NORTH BEND SCHOOL DISTRICT 13
NORTH CLACKAMAS SCHOOL DISTRICT
NORTH DOUGLAS SCHOOL DISTRICT
NORTH WASCO CITY SCHOOL DISTRICT 21
NORTHWEST REGIONAL EDUCATION SERVICE
DISTRICT
ONTARIO MIDDLE SCHOOL
OREGON TRAIL SCHOOL DISTRICT NOA6
ORLEANS PARISH SCHOOL DISTRICT
PHOENIX-TALENT SCHOOL DISTRICT NOA
PLEASANT HILL SCHOOL DISTRICT
PORTLAND JEWISH ACADEMY
PORTLAND PUBLIC SCHOOLS
RAPIDES PARISH SCHOOL DISTRICT
REDMOND SCHOOL DISTRICT
REYNOLDS SCHOOL DISTRICT
ROGUE RIVER SCHOOL DISTRICT
ROSEBURG PUBLIC SCHOOLS
SCAPPOOSE SCHOOL DISTRICT 1J
SAINT TAMMANY PARISH SCHOOL BOARD, LA
SEASIDE SCHOOL DISTRICT 10
SHERWOOD SCHOOL DISTRICT 88J
SILVER FALLS SCHOOL DISTRICT 4J
SOUTH LANE SCHOOL DISTRICT 45J3
SOUTHERN OREGON EDUCATION SERVICE
DISTRICT
SPRINGFIELD PUBLIC SCHOOLS
SUTHERLIN SCHOOL DISTRICT
SWEET HOME SCHOOL DISTRICT NO.55
TERREBONNE PARISH SCHOOL DISTRICT
THE CATLIN GABEL SCHOOL
TIGARD-TUALATIN SCHOOL DISTRICT
UMATILLA MORROW ESD
WEST LINN WILSONVILLE SCHOOL DISTRICT
WILLAMETTE EDUCATION SERVICE DISTRICT
WOODBURN SCHOOL DISTRICT
YONCALLA SCHOOL DISTRICT
ACADEMY FOR MATH ENGINEERING & SCIENCE
(AMES) , UT
ALIANZA ACADEMY , UT
ALPINE DISTRICT , UT
AMERICAN LEADERSHIP ACADEMY , UT
AMERICAN PREPARATORY ACADEMY , UT
BAER CANYON HIGH SCHOOL FOR SPORTS &
MEDICAL SCIENCES , UT
BEAR RIVER CHARTER SCHOOL , UT
BEAVER SCHOOL DISTRICT , UT
BEEHIVE SCIENCE & TECHNOLOGY ACADEMY
(BSTA) , UT
BOX ELDER SCHOOL DISTRICT , UT
CBA CENTER , UT
CACHE SCHOOL DISTRICT , UT
CANYON RIM ACADEMY , UT
CANYONS DISTRICT , UT
CARBON SCHOOL DISTRICT , UT
CHANNING HALL , UT
CHARTER SCHOOL LEWIS ACADEMY , UT
CITY ACADEMY , UT
DAGGETT SCHOOL DISTRICT , UT
DAVINCI ACADEMY , UT
DAVIS DISTRICT , UT
DUAL IMMERSION ACADEMY , UT
DUCHESNE SCHOOL DISTRICT , UT
EARLY LIGHT ACADEMY AT DAYBREAK , UT
EAST HOLLYWOOD HIGH , UT
EDITH BOWEN LABORATORY SCHOOL , UT
EMERSON ALCOTT ACADEMY , UT
EMERY SCHOOL DISTRICT , UT
ENTHEOS ACADEMY , UT
EXCELSIOR ACADEMY , UT
FAST FORWARD HIGH , UT
FREEDOM ACADEMY , UT
GARFIELD SCHOOL DISTRICT , UT
GATEWAY PREPARATORY ACADEMY , UT
GEORGE WASHINGTON ACADEMY , UT
GOOD FOUNDATION ACADEMY , UT
GRAND SCHOOL DISTRICT , UT
GRANITE DISTRICT , UT
GUADALUPE SCHOOL , UT
HAWTHORN ACADEMY , UT
INTECH COLLEGIATE HIGH SCHOOL , UT
IRON SCHOOL DISTRICT , UT
ITINERIS EARLY COLLEGE HIGH , UT
JOHN HANCOCK CHARTER SCHOOL , UT
JORDAN DISTRICT , UT
JUAB SCHOOL DISTRICT , UT
KANE SCHOOL DISTRICT , UT
KARL G MAESER PREPARATORY ACADEMY , UT
LAKEVIEW ACADEMY , UT
LEGACY PREPARATORY ACADEMY , UT
LIBERTY ACADEMY , UT
LINCOLN ACADEMY , UT
LOGAN SCHOOL DISTRICT , UT
MARIA MONTESSORI ACADEMY , UT
MERIT COLLEGE PREPARATORY ACADEMY , UT
MILLARD SCHOOL DISTRICT , UT
MOAB CHARTER SCHOOL , UT
MONTICELLO ACADEMY , UT
MORGAN SCHOOL DISTRICT , UT
MOUNTAINVILLE ACADEMY , UT
MURRAY SCHOOL DISTRICT , UT
NAVIGATOR POINTE ACADEMY , UT
NEBO SCHOOL DISTRICT , UT
NO UT ACAD FOR MATH ENGINEERING & SCIENCE
(NUAMES) , UT
NOAH WEBSTER ACADEMY , UT
NORTH DAVIS PREPARATORY ACADEMY , UT
NORTH SANPETE SCHOOL DISTRICT , UT
NORTH STAR ACADEMY , UT
NORTH SUMMIT SCHOOL DISTRICT , UT
ODYSSEY CHARTER SCHOOL , UT
OGDEN PREPARATORY ACADEMY , UT
OGDEN SCHOOL DISTRICT , UT
OPEN CLASSROOM , UT
OPEN HIGH SCHOOL OF UTAH , UT
OQUIRRH MOUNTAIN CHARTER SCHOOL , UT
PARADIGM HIGH SCHOOL , UT
PARK CITY SCHOOL DISTRICT , UT
PINNACLE CANYON ACADEMY , UT
PIUTE SCHOOL DISTRICT , UT
PROVIDENCE HALL , UT
PROVO SCHOOL DISTRICT , UT
QUAIL RUN PRIMARY SCHOOL , UT
QUEST ACADEMY , UT
RANCHES ACADEMY , UT
REAGAN ACADEMY , UT
RENAISSANCE ACADEMY , UT
RICH SCHOOL DISTRICT , UT
ROCKWELL CHARTER HIGH SCHOOL , UT
SALT LAKE ARTS ACADEMY , UT
SALT LAKE CENTER FOR SCIENCE EDUCATION, UT
SALT LAKE SCHOOL DISTRICT , UT
SALT LAKE SCHOOL FOR THE PERFORMING ARTS,
UT
SAN JUAN SCHOOL DISTRICT , UT
SEVIER SCHOOL DISTRICT , UT
SOLDIER HOLLOW CHARTER SCHOOL , UT
SOUTH SANPETE SCHOOL DISTRICT , UT
SOUTH SUMMIT SCHOOL DISTRICT , UT
SPECTRUM ACADEMY , UT
SUCCESS ACADEMY , UT
SUCCESS SCHOOL , UT
SUMMIT ACADEMY , UT
SUMMIT ACADEMY HIGH SCHOOL , UT
SYRACUSE ARTS ACADEMY , UT
THOMAS EDISON - NORTH , UT
TIMPANOGOS ACADEMY , UT
TINTIC SCHOOL DISTRICT , UT
TOOELE SCHOOL DISTRICT , UT
TUACAHN HIGH SCHOOL FOR THE PERFORMING
ARTS , UT
UINTAH RIVER HIGH , UT
UINTAH SCHOOL DISTRICT , UT
UTAH CONNECTIONS ACADEMY , UT
UTAH COUNTY ACADEMY OF SCIENCE , UT
UTAH ELECTRONIC HIGH SCHOOL , UT
UTAH SCHOOLS FOR DEAF & BLIND , UT
UTAH STATE OFFICE OF EDUCATION , UT
UTAH VIRTUAL ACADEMY , UT
VENTURE ACADEMY , UT
VISTA AT ENTRADA SCHOOL OF PERFORMING
ARTS AND TECHNOLOGY , UT
WALDEN SCHOOL OF LIBERAL ARTS , UT
WASATCH PEAK ACADEMY , UT
WASATCH SCHOOL DISTRICT , UT
WASHINGTON SCHOOL DISTRICT , UT
WAYNE SCHOOL DISTRICT , UT
WEBER SCHOOL DISTRICT , UT
WEILENMANN SCHOOL OF DISCOVERY , UT
HIGHER EDUCATION
ARGOSY UNIVERSITY
BATON ROUGE COMMUNITY COLLEGE, LA
BIRTHINGWAY COLLEGE OF MIDWIFERY
BLUE MOUNTAIN COMMUNITY COLLEGE
BRIGHAM YOUNG UNIVERSITY - HAWAII
CENTRAL OREGON COMMUNITY COLLEGE
CENTENARY COLLEGE OF LOUISIANA
CHEMEKETA COMMUNITY COLLEGE
CLACKAMAS COMMUNITY COLLEGE
COLLEGE OF THE MARSHALL ISLANDS
COLUMBIA GORGE COMMUNITY COLLEGE
CONCORDIA UNIVERSITY
GEORGE FOX UNIVERSITY
KLAMATH COMMUNITY COLLEGE DISTRICT
LANE COMMUNITY COLLEGE
LEWIS AND CLARK COLLEGE
LINFIELD COLLEGE
LINN-BENTON COMMUNITY COLLEGE
LOUISIANA COLLEGE, LA
LOUISIANA STATE UNIVERSITY
LOUISIANA STATE UNIVERSITY HEALTH SERVICES
MARYLHURST UNIVERSITY
MT. HOOD COMMUNITY COLLEGE
MULTNOMAH BIBLE COLLEGE
NATIONAL COLLEGE OF NATURAL MEDICINE
NORTHWEST CHRISTIAN COLLEGE
OREGON HEALTH AND SCIENCE UNIVERSITY
OREGON INSTITUTE OF TECHNOLOGY
OREGON STATE UNIVERSITY
OREGON UNIVERSITY SYSTEM
PACIFIC UNIVERSITY
PIONEER PACIFIC COLLEGE
PORTLAND COMMUNITY COLLEGE
PORTLAND STATE UNIVERSITY
REED COLLEGE
RESEARCH CORPORATION OF THE UNIVERSITY OF
HAWAII
ROGUE COMMUNITY COLLEGE
SOUTHEASTERN LOUISIANA UNIVERSITY
SOUTHERN OREGON UNIVERSITY (OREGON
UNIVERSITY SYSTEM)
SOUTHWESTERN OREGON COMMUNITY COLLEGE
TULANE UNIVERSITY
TILLAMOOK BAY COMMUNITY COLLEGE
UMPQUA COMMUNITY COLLEGE
UNIVERSITY OF HAWAII BOARD OF REGENTS
UNIVERSITY OF HAWAII-HONOLULU COMMUNITY
COLLEGE
UNIVERSITY OF OREGON-GRADUATE SCHOOL
UNIVERSITY OF PORTLAND
UNIVERSITY OF NEW ORLEANS
WESTERN OREGON UNIVERSITY
WESTERN STATES CHIROPRACTIC COLLEGE
WILLAMETTE UNIVERSITY
XAVIER UNIVERSITY
UTAH SYSTEM OF HIGHER EDUCATION, UT
UNIVERSITY OF UTAH, UT
UTAH STATE UNIVERSITY, UT
WEBER STATE UNIVERSITY, UT
SOUTHERN UTAH UNIVERSITY, UT
SNOW COLLEGE, UT
DIXIE STATE COLLEGE, UT
COLLEGE OF EASTERN UTAH, UT
UTAH VALLEY UNIVERSITY, UT
SALT LAKE COMMUNITY COLLEGE, UT
UTAH COLLEGE OF APPLIED TECHNOLOGY, UT
STATE AGENCIES
ADMIN. SERVICES OFFICE
BOARD OF MEDICAL EXAMINERS
HAWAII CHILD SUPPORT ENFORCEMENT AGENCY
HAWAII DEPARTMENT OF TRANSPORTATION
HAWAII HEALTH SYSTEMS CORPORATION
OFFICE OF MEDICAL ASSISTANCE PROGRAMS
OFFICE OF THE STATE TREASURER
OREGON BOARD OF ARCHITECTS
OREGON CHILD DEVELOPMENT COALITION
OREGON DEPARTMENT OF EDUCATION
OREGON DEPARTMENT OF FORESTRY
OREGON DEPT OF TRANSPORTATION
OREGON DEPT. OF EDUCATION
OREGON LOTTERY
OREGON OFFICE OF ENERGY
OREGON STATE BOARD OF NURSING
OREGON STATE DEPT OF CORRECTIONS
OREGON STATE POLICE
OREGON TOURISM COMMISSION
OREGON TRAVEL INFORMATION COUNCIL
SANTIAM CANYON COMMUNICATION CENTER
SEIU LOCAL 503, OPEU
SOH- JUDICIARY CONTRACTS AND PURCH
STATE DEPARTMENT OF DEFENSE, STATE OF
HAWAII
STATE OF HAWAII
STATE OF HAWAII, DEPT. OF EDUCATION
STATE OF LOUISIANA
STATE OF LOUISIANA DEPT. OF EDUCATION
STATE OF LOUISIANA, 26TH JUDICIAL DISTRICT
ATTORNEY
STATE OF UTAH
Description Manufacturer
Name
Mfg.
Number
Estimated
Quantity
Catalog
Price or
Mfg. List
Price
Discount
(Percentage)
Unit Price
(List less Discount)Extended Price
R6-2L Engineer Grade Prismatic Rectangular Lane Control Sign, Legend
"ONE WAY (left arrow)", 12" Width x 18" Height, Aluminum, Black on
White 6500 $ - $ -
R2-1 High Intensity Prismatic Rectangular Lane Control Sign, Legend "SPEED
LIMIT 35", 18" Width x 24" Height, Aluminum, Black on White 3792 $ - $ -
R5-1 Engineer Grade Prismatic Square Standard Traffic Sign, Legend "DO
NOT ENTER", 24" Width x 24" Height, Aluminum, Red on White 2844 $ - $ -
R7-1D Engineer Grade Prismatic Rectangular Standard Traffic Sign, Legend
"NO PARKING ANY TIME (double arrow)", 12" Width x 18" Height, 5052-
Aluminum, Red on White 6500 $ - $ -
R7-8D High Intensity Prismatic Rectangular ADA Handicap Sign, Legend
"RESERVED PARKING with ADA Handicap Symbol (double arrow)", 12"
Width x 18" Height, Aluminum, Green/Blue on White 5056 $ - $ -
R1-1 High Intensity Prismatic Octagon Standard Traffic Sign, Legend "STOP",
30" Width x 30" Height, 5052-Aluminum, Red on White 2844 $ - $ -
Sheeted Blank, 18"x24"x.080 EGP White, Single Faced 6067 $ - $ -
Traffic Guard Portable Double Lane Speed Bump with Delineators and
Reflectors, 10' Length x 4" Width x 3/16" Height, Yellow 142 $ - $ -
Road Cone 18-Inch High Visibility Orange Safety/Traffic Cone 15167 $ - $ -
PVC Traffic Safety Cone, 12-Inch 15167 $ - $ -
Plastic Single Sided Reflective Pavement Marker, 4" Length x 2" Width,
Amber 60667 $ - $ -
V-Loc Traffic Post Breakaway Concrete Anchor, 1-3/4" Length x 1-3/4" Width
Square Post 4136 $ - $ -
Rubber Vehicle Stop with 2 Spikes, 36" Length x 6" Width x 4" Height,
Black/Yellow Stripes, For Asphalt Installation 3033 $ - $ -
Temporary Construction Reflective Striping Tape, 50 yds Length x 4" Width,
White 1517 $ - $ -
BlinkerBeacon Solar Flashing LED Red Lens Beacon, 4-1/2" OD Pole, Black 51 $ - $ -
Striper, LineLazer IV 3400 model with 1 Gun, Airless, 4.0 HP Honda Engine 19 $ - $ -
LineLazer V 200HS Standard Series, Two Guns,9 $ - $ -
LineLazer V 5900 Standard Series, 2 Guns, Mechanical 13 $ - $ -
Replacement Tip for Graco Striper Spray Gun LLT-215 2528 $ - $ -
TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND SEERVICES
RFP 2020-200
Attachment B
Market Basket Pricing for Evaluation Purposes
Note: This pricing is for evaluation purposes only. All pricing must correspond with submitted catalog pricing. If you are not pricing an item in this Market Basket, mark line item as "No Bid".
Glass Beads, 50 lb Bag, WI DOT approved for painting and epoxy, mix with
paint to make lines reflective 3640 $ - $ -
U-Channel Post - 2lbs./f - 6'L - Green 7000 $ - $ -
U-Channel Post-2lbs./f - 6'L - Galvanized 5688 $ - $ -
U-Channel Post- 2lbs./f - 8'L - Green 5688 $ - $ -
U-Channel Post -2lbs./f - 8'L - Galvanized 4333 $ - $ -
U-Channel Post - 2lbs./f - 10'L - Green 3957 $ - $ -
U-Channel Post -2lbs./f - 10'L - Galvanized 3138 $ - $ -
U-Channel Post - 2lbs./f - 12'L - Green 3640 $ - $ -
U-Channel Post -2lbs./f - 12'L - Galvanized 3033 $ - $ -
Windmaster Sign Stand, 4860 Model, for use with Rigid or Rollup Signs, 5'
Deployable Height 346 $ - $ -
Windmaster Sign Stand, 4814HDKD with Kick Release, telescoping legs, use
w/roll-ups 435 $ - $ -
Emergency Road Flares, 6-Pack, 30 Minute Capacity 13"x2.75"x4", Includes
Bright Orange Vest Packaging 3640 $ - $ -
Bollard Cover, 7"x60" Yellow Color, with two red reflective stripes, 1/8" thick
HDPE 1820 $ - $ -
Safe Pace Radar Feedback Sign, SP400, White, Solar Powered, "Your Speed"
With Trailer 11 $ - $ -
Delineator, 36"Lx3" OD Orange Post, DP-200 Model, Surface Mount w/2 HIP
white reflective bands&base 2758 $ - $ -
Delineator, 36" Long Yellow Post, FG-300 Model, Cloverleaf Design w/Base &
2 HIP Yellow Refl Bands 2275 $ - $ -
Drop Over Cable Protector, 36"x14.25"x3", One Channel Guard Slot 350 $ - $ -
Yellow Jacket Cable Protector, 36"x19.75"x1.875", Five Cable Guards Slots,343 $ - $ -
Utility Round Dome Marker, White Pole 72" Length, 48" Above Ground, Solid
Blue Color Enhancer Top 2528 $ - $ -
PowerFlares, 6-Pack, Yellow Shell/Amber LED light w/soft carrying bag &
(12) lithium batteries incl 260 $ - $ -
PowerFlares, 3-Pack, Tan Shell/Amber LED light w/soft carrying bag & (6)
lithium batteries incl 514 $ - $ -
BlinkerSign, R1-2, 30", Yield, DG3, Red/White, Solar, 9 White LEDs 57 $ - $ -
Plasticade Type I Barricade, 12"x24", White EG reflective top panel 1517 $ - $ -
Econocade Barricade, Type I, 8"x24" HIP Orange & White reflective top board 1820 $ - $ -
Collapsible Breakaway Type III Plastic Barricade 4' One-sided HIP shtg, right
orientation, org/white 423 $ - $ -
Narrowcade, 12"x24" EG Reflective Barricade with orange and white stripes,
fillable & accepts lights 1655 $ - $ -
Econocade II, Channelizer Drum/Barrel, 23"Wx40"H, low profile, four 4" EG
orange/white bands, high density 2022 $ - $ -
StrongArm Gate Operator, Standard Model 14 feet 12 $ - $ -
Safe Pace Radar Feedback Sign, SP100, White, Solar Powered, "20 $ - $ -
Extra Battery for GR3 Retroreflectometer,Spare 30 $ - $ -
Retroreflectometer,GRX-1 Model Required, Unit w/Camera 15 $ - $ -
Overhead Door Maintenance and Support Labor (Hours)100 $ - $ -
Parking and ITS Maintenanc and Support Labor (Hours)100 $ - $ -
RRFB, Rectangular Rapid Flashing Beacon with BlinkLink Solar 55/48, Radio,
SOP, DS,Amber, PB, H Pole X2 25 $ - $ -
SafePace Cruiser LT Compact Trailer 10 $ - $ -
Standard Aluminum Pole,10' 6061-T6 Schedule 40, "4.5"OD, T.O.E. 50 $ - $ -
BlinkerPaddle,18",HIP,Stop/Stop (R1-1/R1-1),Red/Red,25 $ - $ -
Portable Surface Barrier,12'Long,Model 850K-144WTL K8 Rated 10 $ - $ -
Armadillo-DC, Radar Traffic Data Collector and Classifier 25 $ - $ -
Valet Podium,18"Dx16"Wx41"H,100 hook,cam lock and key panel 35 $ - $ -
Traffic Controller Signals,Red/Yellow/Green,21"Hx7""Wx5.5"D,Vertical
LED,Wall Mount 120V"65 $ - $ -
Lime, 3 Pocket, Zipper, Mesh Vest, 2"w reflective Size M-XL 1500 $ - $ -
Individual TAPCO Solar LED Barricade Light,Amber w/3-Way Switch 500 $ - $ -
Solar Message Board, 48"H x 96"W, SMC 4000 Message Center Trailer 25 $ - $ -
Reflector,White,3.25" Plastic Back Centermount RT-90C 5000 $ - $ -
Crosswalk Sign,12"x36" (R1-6) State Law Yield To Ped w/QR One Base 50 $ - $ -
SignCentral MUTCD Sign & Font Library w/MUTCD Cloud Library 25 $ - $ -
Pole Package, 10', 2-3/8" OD, V-Loc Soil Anchor Pole, Cap & Brackets 500 $ - $ -
Mini Base for 3" Round Post, Black, Slip Over 500 $ - $ -
MH-300 Milwaukee Harp Light Fixtures with Wall Mount Bracket 50 $ - $ -
US Flag,5'x3' Outdoor, embroidered stars & stripes Nylon (US Made)500 $ - $ -
BlinkerBeacon, Solar 55/105, SOP, DV-SS,Tex. Approved Amber 12"50 $ - $ -
TOTAL $ -
BARRON COUNTY
REQUEST FOR PROPOSALS 2020-200
TRAFFICE CONTROL PRODUCTS AND RELATED PRODUCTS AND SOLUTIONS
ADDENDUM NO. 1
October 14, 2019
NOTICE TO ALL BIDDERS
This Addendum is attached to and made part of the above entitled Request for Proposal for Barron
County.
Incorporate the following into your bid response.
Questions and answers received
Question 1
I really appreciate your help with this solicitation.
However, I am still in need of further clarification. The scope of the project states Parks and Recreation
Products such as: Benches, Tables, Waste Receptacles and Bike Racks. We manufacture all of the
requested items.
I have reviewed the RFP and the Market Basket and none of the documents provide specifications for
any of the aforementioned site amenities.
That’s where the confusion is coming into play.
Is the expectation to just submit our catalog for consideration, and the Highway Department will choose
amenities from vendors based off their proposed offerings?
Please advise as to how we should proceed.
Answer 1
The RFP is focused on Traffic Control Products and Related Products and Solutions. The market basket is
a summary of the most frequently purchased items. Each company needs to make a business decision
on how to respond to the RFP
END OF QUESTIONS
Question 2
I was a pleasure meeting with you yesterday. I appreciate the County’s willingness to consider
extending the term to base 4-year contract with (2) 3 year contract extension options. Additionally, I
appreciate the wiliness to modify the amount of copies needed from 10 to 5.
I did want to discuss with you two additional matters.
Namely, the proposed increase in the administrative fee increase from 2% to 3% (and shipping
terms). It’s important to first know that many of our largest revenue projects bid on very low (single
digit) profit margins. I’ve very concerned about being able to retain (and land) existing and future large
projects with the administrative fee at 3%.
I would ask the County to revise this fee back to the (original) base of 2%.
If that isn’t feasible, then I would ask these options to be considered;
A. After the 15MM in annual (baseline) reported sales is reach, TAPCO would be willing to agree to
a 2.5% administrative fee on sales above and beyond 15MM. The logic here is that I don’t want
to increase pricing on existing contracts and/or be punitive to the established, business. I would
be willing to increase the administration fee a half a percent after our baseline of 15MM is met.
B. If the County requires a 3% administrative fee, then I would ask to adjust the RFP language
regarding the shipping terms. I would request to offset the risk/impact of smaller sales orders,
by requesting a concession on the freight terms (which are currently a universal FOB
Destination) term.
C. I would like to propose free freight only on order of $1000 and up. This minimum threshold
would still allow for the same terms and conditions to apply to TAPCO’s largest customers but
would safeguard against the risk smaller (freight sensitive) orders. For instance; items over 8’ in
length (like u-channel posts) shipping out west can cost easily $500 for shipping (or
more). Freight is a considerable factor to the supplier and to avoid the role of smaller orders
impact on freight.
D. Another option would to be to allow some time to grandfather in any proposed administrative
increase in the extension years.
Your response and consideration on these two areas is appreciated. I’m happy to jump on a phone call
with you as well.
Answer 2
We will take this into consideration and if there are changes it will be issued in the addendum. Please
note any/all exceptions in your response to the RFP.
Question 3
It appears this bid is in connection with OMNIA, is there a reason that Barron County decided to go this
route instead of releasing the bid to WI based vendors?
• Is Barron County looking to purchase all of the line items listed, or just some of them?
o If the County is looking at only purchasing some of the items, would you be opposed
to Decker Supply providing a quote directly to you for these items?
• The qty’s for each line item is very high, is that because it is a nationwide contract of some sort?
• It appears the contract is a 5 year contract, which includes (5) 1 year renewal options. However, it
does not say anything about price escalations every year. Will the price escalation be allowed, assuming
they are accepted by both parties?
• Some of the sign sizes listed (and sheeting) do not meet WisDOT state Specs. I assume the County
wants to follow state specs for these signs?
o ONE WAY Signs (should be a minimum size of 24” x 30”, with High Intensity Prismatic
Sheeting)
o Speed Limit Signs should be a min size of 24” x 30”
• The 18” x 24” sheeted blanks, it states Engineer Grade Sheeting……….is that what you want, or
would you prefer the HIP?
• 18” and 12” cones are listed………are these the correct sizes?
I have several more questions, but I don’t want to bog you down with them. Overall, I am just looking
for more clarity on this bid, and what it all entails, etc…….
Answer 3
Barron County will be the contract holder of this RFP. It is intended to be a national purchasing
opportunity, through Omnia to take it to the national level. The quantities in the Market Basket are
what we would anticipate seeing and will give us a basis for comparison. Sizes, materials etc. should be
bid as stated.
RFP Addendums
Item 8. CONTRACT PERIOD AND RENEWAL is Amended as follows;
b. The initial term of the Agreement will be from March 1, 2020 through February 28, 2025(Initial Term).
Barron County may, at its option, renew the term of this Agreement for Five (5) successive One (1) year
periods (renewal term) and any combination thereof. The Contractor shall be notified in writing by the
County of its intention to extend the contract term at least thirty (30) calendar days prior to the
expiration of the original contract term.
Item 14. SUBMISSION OF PROPOSALS
a. One (1) original (duly marked), three (3) copies and three (3) thumb/jump drives of the entire
proposal. Electronically stamped delivery receipts are available.
END OF ADDENDUM #1
COMPETITIVE SOLICITATION
BY BARRON COUNTY
FOR
TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND
SOLUTIONS
ON BEHALF OF ITSELF AND OTHER GOVERNMENT AGENCIES
RFP # 2020-200
-1-
TABLE OF CONTENTS
Noticeto Vendors ...............................................................................................................3
ProposalCover Sheet ...........................................................................................................4
Introduction and Background ..............................................................................................5
Overview..........................................................................................................................5
Introduction..................................................................................................................5
Objectives .....................................................................................................................6
General Terms and Conditions .....................................................................................6
OMNIAPartners, Inc . ......................................................................................................9
General De�nitions of Products and/or Services .............................................10
Scope of Contract .................................................................................
10
RFPQuestions ....................................................................................
Contract Period and Renewal ......... .. ..................................... ......... ..........12
Termination of Contract .........................................................................12
Calendarof Events ......... ................... ................. .. ........... ... ................ ..13
ProposalInstructions . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13
Contact for Contractual Matters ...............................................................15
Submission of Proposals .................... ................................ ....................16
Proposer Personnel Requirements and Determination of Responsibility .................16
LateProposals ....................................................................................17
Period That Proposals Remain Valid ...... ............ ... .... .............. ...................17
Evaluation of Proposal — Selection Factors ...................................................17
Trade Secret/Proprietary Information .........................................................17
OMNIA Partners Attachment A ........ .................. ..... ... ...................... ..........19
Attachment B(Market Basket Pricing for Evaluation Purposes Only) as separate Excel
document
-2-
NOTICE TO VENDORS
Notice is hereby given that Barron County (County) on behalf of itself and other
government agencies and made available through the OMNIA Partners, Inc. will receive
proposals for:
TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND
SOLUTIONS
RFP # 2020-200
Sealed proposals for the material described herein will be received until 11:00 AM local
time on October 29, 2019 by the Barron County Highway Department, Office of the
Highway Commissioner, 260 North 7th Street, Barron, WI 54812, whereupon the sealed
proposals received will be opened and evaluated. Proposals must be sealed, prominently
marked with the RFP number, title, due date, time, and name of vendor on outside of
envelope. Facsimile (FAX) copies of the RFP will not be allowed.
Copies of the RFP documents may be downloaded at www.barroncountvwi. ov
The County reserves the right to accept or reject any or all proposals, to waive any
technicalities, and to select the proposal deemed most advantageous to the Barron County
Highway Department and Participating Public Agencies.
-3-
PROPOSAL COVER SHEET
RFP 2020-200
TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND
50LUTIONS
This Proposal submitted by:
Name of Organization: ����-'(� ( (�.-�` �, �, � �,_ ��� �' � � J �,y�e )
Address: � f � C� ., ���� �, �(` �
t�� � ��r, �Z
City/State/Zip: ���a �
Primary Contact Person: ��/'QO_A ����tA -- ��l���/'
Phone: �� � n�.3� "�� 1 a" �� �P ' �� ��j ��� GQ�(��
Fax: b�' ��ri - �3� �
E-mail: � I"�2C..�.) �( C�wQ o Cv cilil
�
In accordance with the following and in compliance with all terms and conditions, unless
otherwise noted, the undersigned offers and agrees, if the proposal is accepted, to furnish
items or services for which prices are quoted, delivered or furnished to designated points
within the time specified. It is understood and agreed that with respect to all terms and
conditions accepted by Barron County the items or services offered, and accompanying
attachments shall constitute a contract.
By signing this proposal, Vendor certifies, acknowledges, understands, and agrees to be
bound by the conditions set forth in this Request for Proposal.
�'t G�
Vendor Legally Authorized Signature
�n��� ��F��f�alZ
Print Name
r
,l�i�e�flG��Gt � � [%C.,i7.�/'
Title
/� /.�
Date
-4-
GENERAL INFORMATION
1. INTRODUCTION
RFP 2020-200
Barron County (herein "Principal Purchasing Agency (PPA)") on behalf of itself and all
states, local governments, school districts, and higher education institutions in the United
States of America, and other government agencies and nonprofit organizations (herein
"Participating Public Agencies") is soliciting proposals from qualified suppliers to enter into a
Master Agreement for a complete line of Traffic Control Products, Related Products and
Solutions (herein "Products and Services").
Proposals will be received until to 11:00 A.M. local time on October 29, 2019. Envelopes
must be sealed, prominently marked with the RFP number, RFP title, RFP opening time/date
and name of vendor, and submitted to:
BARRON COUNTY HIGHWAY DEPARTMENT
OFFICE OF THE HIGHWAY COMMISSIONER
260 NORTH 7� STREET
BARRON, WI 54812
Proposals must be received no later than the time and date designated above. Proposals
received later than the designated time and date will not be accepted. Facsimile (FAX)
copies of the RFP will not be accepted.
This request does not commit the County to pay for any costs incurred in the submission of
the RFP, or in making necessary studies for the preparation thereof, nor to procure or
contract for the services or materials.
There will be no "oral communications" with any County employees regarding this RFP.
ALL PRODUCTS OFFERED MUST BE NEW, UNUSED, LATEST DESIGN AND
TECHNOLOGY. Include in your offering trade-ins, leasing/financing and provide structure
for each of these items.
-5-
GENERAL INFORMATION
2. OBJECTIVES
RFP 2020-200
A. Provide a comprehensive competitively solicited Master Agreement offering Products and
Services to Participating Public Agencies;
B. Establish the Master Agreement as a Supplier's primary offering to Participating Public
Agencies;
C. Achieve cost savings for Suppliers and Participating Public Agencies through a single
competitive solicitation process that eliminates the need for multiple proposals;
D. Combine the volumes of Participating Public Agencies to achieve cost effective pricing;
E. Reduce the administrative and overhead costs of Suppliers and Participating Public
Agencies through state-of-the-art ordering and delivery systems;
F. Provide Participating Public Agencies with environmentally responsible products and
services.
3. GENERAL TERMS AND CONDITIONS
Taxes — Taxes shall not be included in unit prices.
Brand Name and Number—The Vendors shall state the brand name and number in the column
provided. If none is indicated, it shall be understood that the vendor is quoting on the exact
brand name and number specified in the RFP form. Should any item for which proposals are
requested be patented, or otherwise protected or designated by the particular name of the maker
and the Vendor desires to offer the item of equal character and quality, it may offer such
substitute item by clearly indicating that such substitution is intended and specify the brand.
Such substitution shall be accepted only if deemed by the Highway Commissioner to be equal
in all respects to that specified.
Samples — If needed, samples shall be furnished free of cost to the County after the RFP
opening. If requested, they are to be sent within seven (7) days to the Barron County Highway
Department, Office of the Highway Commissioner, 260 N 7th Street, Barron, WI 54812, unless
otherwise specifed. The County reserves the right to reject the RFP of any Vendor failing to
submit samples as requested. Samples must be plainly marked with name of vendor, RFP
number and date of the RFP opening. Samples of the successful Vendors may be retained for
comparison with deliveries. Vendors may pick up samples (if not destroyed by test) on notice
from the Office of the Highway Commissioner. If not picked up within fifteen (15) calendar
days after date of such notice, samples may be disposed of by the County. Vendors (or their
agent) hereby assume all risks of loss or damage to samples whatever the cause.
Quantitv and Qualitv of Materials or Services— The successful Vendor(s) shall furnish and
deliver the quantities designated in the RFP or purchase order. All materials, supplies or
-6-
GENERAL INFORMATION
RFP 2020-200
services furnished under the contract shall be in accordance with the RFP specifications and
the County's sample or the sample furnished by the Vendors and accepted by the County.
When a sample is taken from a shipment and sent to a laboratory for testing and the test shows
that the sample does not comply with the RFP specifications, the cost of such test shall be paid
by the Vendor(s). The Vendor certifies that all materials conform to all applicable
requirements of Wisconsin OSHA and all other requirements of law. All items of equipment
and individual components, where applicable standards have been established, shall be listed
by the Underwriter Laboratories, Inc., and bear the UL label.
Safetv Data Sheets — For all products requiring a Safety Data Sheet — The County requires
that a Safety Data Sheet accompany all orders at the time of delivery.
Severabilitv — If any provisions of this agreement shall be held invalid or unenforceable by a
court of competent jurisdiction, such holding shall not invalidate or render unenforceable any
other provisions hereof.
Amendments — The terms of this Agreement shall not be waived, altered, modified,
supplemented or amended in any manner whatsoever except by written agreement signed by
the parties.
Entire Agreement — This RFP and all attachments thereto constitutes the entire agreement
between the parties. There are no understandings, agreements, representations or warranties,
express or implied, not specified in the Agreement. Vendor, by the execution of his/her
signature on the RFP Form acknowledges that he/she has and read this Agreement, understands
it, and agrees to be bound by its terms and conditions.
� Force Maieure Clause — The parties to the contract shall be excused from performance
thereunder during the time and to the extent that they are prevented from obtaining, delivering
or performing by act of God, fire, strike, loss or shortage of transportation facilities, lockout,
- -- or commandeering of materials, products, plants or facilities by the government; when --
satisfactory evidence thereof is presented to the other party, provided that it is satisfactorily
established that the nonperformance is not due to the fault or neglect of the party not
performing.
Hold Harmless Clause — The successful Vendor agrees to indemnify, defend and save
harmless Barron County and Participating Agencies, its governing board, related divisions and
entities, officers, agents, and employees from and against any and all claims, demands, losses,
defense costs, or liability of any kind or nature which the County, it's officers, agents, and
employees may sustain or injure or which may be imposed upon them for injury to or death of
persons, or damage to property as a result of, arising out of, or in any manner connected with
the Vendor or Vendor's agents, employees or subcontractor's performance under the terms of
this contract, excepting only liability arising out of the sole negligence of the County.
PrevailinE Law — In the event of any conflict or ambiguity between these instructions and
state or federal law or regulations, the latter shall prevail. Additionally, all equipment to be
-7-
GENERAL INFORMATION
RFP 2020-200
supplied or services to be performed under the RFP proposal shall conform to all applicable
requirements of local, state and federal law.
Governing Law and Venue — In the event of litigation, the RFP documents, speciiications
and related matters shall be governed by and construed only in accordance with the laws of the
State of Wisconsin. Venue shall only be with the appropriate state or federal court exercising
jurisdiction over Barron County.
Permits and Licenses — The successful Vendors and all of its employees or agents shall secure
and maintain in force such licenses and permits as are required by law, in connection with the
furnishing of materials, articles or services herein listed. All operations and materials shall be
in accordance with law.
Anti-discrimination — It is the policy of the Barron County Board of Supervisors, that in
connection with all work performed under Contracts there shall be no discrimination against
any prospective or active employee engaged in the work because of sexual orientation, physical
and mental disability, medical conditions, marital status, age, pregnancy, veteran status,
gender, race, color, ancestry, national origin, sex, or religious creed. Therefore, the Vendor
agrees to comply with applicable Federal and Wisconsin laws including, but not limited to, the
Wisconsin Fair Employment Act. In addition, the successful Vendors agree to require like
compliance by all subcontractors employed on the work by him.
-8-
GENERAL INFORMATION
4. NATIONAL CONTRACT
RFP 2020-200
Barron County, as the Principal Procurement Agency, defined in Attachment A, has partnered
with OMNIA Partners to make the resultant contract (also known as the "Master Agreement"
in materials distributed by OMNIA Partners) from this solicitation available to other public
agencies nationally, including state and local governtnental entities, public and private
primary, secondary and higher education entities, non-profit entities, and agencies for the
public benefit ("Public Agencies"), through OMNIA Partners' cooperative purchasing
program. Barron County is acting as the contracting agency for any other Public Agency that
elects to utilize the resulting Master Agreement. Use of the Master Agreement by any Public
Agency is preceded by their registration with OMNIA Partners (a "Participating Public
Agency") and by using the Master Agreement, any such Participating Public Agency agrees
that it is registered with OMNIA Partners, whether pursuant to the terms of a Master
Intergovernmental Purchasing Cooperative Agreement, a form of which is attached hereto on
ATTACHMENT A, or as otherwise agreed to. ATTAC�IMENT A contains additional
infortnation about OMNIA Partners and the cooperative purchasing program.
OMNIA Partners is the largest and most experienced purchasing organization for public and
private sector procurement. Through the economies of scale created by OMNIA Partners
public sector subsidiaries, National IPA and U.S. Communities, our,participants now have
access to more competitively solicited and publicly awarded cooperative agreements. The lead
agency contracting process continues to be the foundation on which we are founded. OMNIA
Partners is proud to offer more value and resources to state and local government, higher
education, K-12 education and non-profits.
OMNIA Partners provides shared services and supply chain optimization to government,
education and,the private sector. As a channel partner with Vizient (formally, Novation),
OMNIA Partners leverages over $100 billion in annual supply spend to command the best
prices for products and services. With corporate, pricing and sales commitments from the
Supplier, OMNIA Partners provides marketing and administrative support for the Supplier that
directly promotes the Supplier's products and services to Participating Public Agencies though
multiple channels, each designed to promote specific products and services to Public Agencies
on a national basis. Public Agencies benefit from pricing based on aggregate spend and the
convenience o£. a contract that has already been advertised and publicly competed. The
Supplier benefits from a contract that allows Participating Public Agencies to directly purchase
goods and services without the Supplier's need to respond to additional competitive
solicitations. As such, the Supplier must be able to accommodate a nationwide demand for
services and to fulfill obligations as a nationwide Supplier and respond to the OMNIA Partners
documents (Attachment A).
Barron County anticipates spending approximately $175,000 over the full potential Master
Agreement term for Traffic Control Products and Related Products and Solutions. While no
minimum volume is guaranteed to the Supplier, the estimated annual volume of Traffic Control
�
RFP 2020-200
Ct7��1�:7_\�1�1��1�u1_��[�]�I
Products and Related Products and Solutions purchased under the Master Agreement through
OMNIA Partners, Public Sector is approximately $25 million. This projection is based on the
current annual volumes among Barron County, other Participating Public Agencies anticipated
to utilize the resulting Master Agreement to be made available to them through OMNIA
Partners, and volume growth into other Public Agencies through a coordinated marketing
approach between the Supplier and OMNIA Partners.
5. GENERAL DEFINITION OF PRODUCTS AND/OR SERVICES
This Solicitation is to establish a nationwide master agreement for the acquisition of the
following products. The category descriptive examples below are not to be considered
restrictive, but rather, provide a general, non-inclusive, description of the category.
The intent is for each Supplier to submit its complete line of Traffic Control Products, Related
Products and Solutions so that Participating Public Agencies may order a wide array of
products, services and solutions as appropriate for their needs. Suppliers should have a
demonstrated experience in providing the Products as defined in this RFP.
Exceptions, deviations and/or variations should be cleared identiiied in your response.
6. SCOPE OF CONTRACT:
The purpose of this Request for Proposal is to solicit sealed proposals to establish a
cooperative contract or contracts for Traffic Control Products, and Related Products and
Solutions for Barron County, Wisconsin and on behalf of all states, local governments,
school districts, and higher education institutions in the United States of America, and other
governmental agencies and nonprofit organizations.
Product offerings include but not limited to;
A. Intelligent Warning Systems (Solar & Wireless) Products: BlinkerSignsTM and
BlinkerBeaconsTM, RRFB-XL Crosswalks, Fire Preemptions Systems, Dangerous
Curve Warnings, Web-based Traffc Monitoring & Control, Radar Feedback Signage,
Wrong Way Activation Signage, Emergency Vehicle & Firehouse Warning Systems,
Bike Path Warning Systems, Lighted In-road Lights, Solar Railroad Crossing
Warnings, and any other Intelligent Warning Systems (Solar & Wireless) Products
offered by Supplier.
B. Parking and ITS Solutions: Cameras, Parking Gate Operators, Swing Gate
Operators, Slide Gate Operators, Phone Entry Systems, Mobile Traffic Trailers, Crash
Barriers, Overhead Clearance Tubes, Electric Car Recharging Stations, Shelters, Gate
Arms, Turnstiles, Proximiry Sensors, Blank Out Signs, Undercarriage Mirrors, Wheel
Immobilizers and any other Parking and ITS Solutions offered by Supplier.
-10-
GENERAL INFORMATION
RFP 2020-200
C. Work Zone Products: Crowd Control Barricades, Safety Mirrors, Wheel Chocks,
Non-Skid Tapes, Eyewash Stations, Floor Signage, Wall & Pole Guards, Guardrail,
Exit Signs, Dock Bumpers, Exit and Egress Signing, Changeable Message Boards,
Directional Arrow Boards, Barricade Lights Flares, Beacons, Flashlights, Incident
Response Roll-up Signs, Radar Feedback Signs, Barrier Webbing, Reflectors, Traffic
Paddles, Barriers, Cones, Cone signs and any other Industrial and Work Zone
Products offered by Supplier.
D. Traffic, Pavement Marking and Striping Products: Car Stops, Speed Humps,
Speed Tables, Guardrail Reflectors, Cable Guards, Covers, Push & Rider Stripers,
Stencils, Paint, Thermoplastics, Pothole Patch, In-Road LED Markers, Measuring
Wheels and any other Traffic, Pavement Marking and Striping Products offered by
Supplier.
E. Delineators and Markers: Delineators, In-Road Crosswalk Signs, Snow Markers,
Snow Poles, Utility Marking Flags, Hydrant Markers, Modular Signs, Butyl Pads,
Curbing, Butyl Pads & Epoxy and any other Delineators and Markers offered by
Supplier.
F. Signing and Digital Sign Marking: MUTCD Signs, Blanks, Sheeted Blanks,
Sheeted Blanks with Border, Federal Advisory Signage, Sign Mounting Brackets,
Hardware, Sandwich Boards, Lawn Signage, Digital Print capabilities, Screen
Printing Equipment, Reflective Sheeting & Vinyl Rolls, Plotters, Cutters, Sign
Making Software and any other Signing and Digital Sign Marking offered by
Supplier.
G. Posts, Poles and Bases: Square Posts, U-Channel Posts, Wood Posts, Signal Poles,
Round Posts, T-Posts, Flexible Posts, Pole Packages, Anchors, Crosspieces, Portable
Sign Bases, and any other Posts, Poles and Bases offered by Supplier.
H. Streetscape Decorative Products: Decorative Poles, Decorative Bases, Luminaries,
Decorative Brackets, Sign Backers, Ornate Lighting, Finial Pole Toppers, LED
Retrofit Lighting, Street Clocks and any other Streetscape Decorative Products
offered by Supplier.
I. Parks and Recreation Products: Benches, Tables, Waste Receptacles, Drinking
Fountains, Message Centers, Bike Racks, Snuffers, State Flags, Flag Poles, Bulletin
Boards, and any other Parks and Recreation Products offered by Supplier.
J. Service and Preventative IWS (Intelligent Warning Solutions), Parking and
Door Structures and Revenue Control Related Maintenance. Service, repair,
warranty, on-call and preventative maintenance work shall be performed, but not
limited to the following areas; Parking Revenue Control, IWS (Intelligent Warning
Solutions), ITS (Intelligent Transportation Systems), Overhead door and garage
control, Crosswalk systems, and other related services.
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GENERAL INFORMATION
RFP 2020-200
K. Related Products, Solutions and Services: The complete range of Related Traffic
Products and Solutions such as Personal Protective Equipment and any other Related
Products and Services offered by the Supplier.
L. Balance of Line/Comprehensive Product Offering
The complete catalog of Traffic Control Products and Related Products and Solutions.
Each offeror awarded an item under this solicitation may offer their complete product
and service offering/a balance of line for ground maintenance equipment items and
accessories. Pricing for complete product offering/balance of line items will be
determined by a percentage discount off the offeror's retail price list. The pricing
percentage discount offered must be included in the Cost Proposal Tab. The County
reserves the right to accept or reject any or all balance of line items offered. A
successful offeror will not be awarded complete product offering/balance of line
items that are awarded as an item to another vendor as part of this solicitation.
7. RFP QUESTIONS:
a. The County shall not be bound by and the Proposer shall not request or rely on any oral
interpretation or clarification of this RFP. Therefore, any questions regarding this RFP
are encouraged and should be submitted in writing by email to:
Highway Commissioner: Mark Servi
E-Mail: bchdtcp(a�co.barron.wi.us
b. Questions received up to the deadline to submit questions in the Calendar of Events will
be answered in writing per the Calendar of Events. Answers to questions from any
Proposer will be provided to all Proposers.
c. All communications regarding this proposal shall only be through the County's point of
contact listed above. No communication is to be directed to any other County personnel.
8. CONTRACT PERIOD AND RENEWAL:
a. The term of the contract will be for five (5) years following the contract award date.
b. Barron County may, at its option, renew the term of this Contract up to a maximum of
five (5) years, one (1) year at a time. The Contractor shall be notified in writing by
the County of its intention to extend the contract term at least thirty (30) calendar
days prior to the expiration of the original contract term.
c. Any requests for reasonable price adjustments must be submitted sixty (60) days prior
to the Contract annual anniversary date. Requests for adjustment in cost of labor
and/or materials must be justified and based upon verifiable criteria such as the
Consumer Price Index (CPI-U), U.S. City Averages, or other relevant indices.
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GENERAL INFORMATION
RFP 2020-200
d. At any time after the date of the Request for Proposal the Contractor makes a general
price reduction in the comparable price of ariy material covered by the contract to
customers generally, an equivalent price reduction based on similar quantities and/or
considerations shall apply to this contract for the duration of the contract period (or
until the price is further reduced).
9. MODIFICATION OF TERMS: Participating Agencies commonly require a modification
to a term of the Contract (e.g. governing law). The awarded Supplier and Participating
Agencies may agree to modify terms on any specific purchase by a Participating
Agency without being in conflict with the Contract.
10. TERMINATION OF CONTRACT: This Contract may be terminated at any time by mutual
written consent, or by the County, with or without cause, upon giving thirty (30) days written
notice. The County, at its convenience, by written notice, may terminate this Contract, in whole
or in part. If this Contract is terminated, the County shall be liable only for payment for services
rendered and accepted material received by the County before the effective date of termination.
The County reserves the right to terminate the whole or any part of this Contract due to the
failure of the Contractor to carry out any term or condition of the Contract. The County will
issue a written ten (10) day notice of default to the Contractor for acting or failing to act as
specified in any of the following:
In the opinion of the County, the Contractor provides personnel that do not meet the
requirements of the Contract;
In the opinion of the County, the Contractor fails to perform adequately the stipulations,
conditions or services/specifications required in this Contract;
In the opinion of the County, the Contractor attempts to impose personnel, materials, products
or worktnanship of an unacceptable quality;
The Contractor fails to furnish the required service and/or product within the time stipulated
in the Contract;
In the opinion of the County, the Contractor fails to make progress in the performance of the
requirements of the Contract;
The Contractor gives the County a positive indication that the Contractor will not or cannot
perform to the requirements of the Contract.
Each payment obligation of the County created by this Contract is conditioned upon the
availability of County, State and Federal funds that are appropriated or allocated for the
payment of such an obligation. If funds are not allocated by the County and available for the
continued purchase of the services and/or materials provided under this Contract, this Contract
may be terminated by the County at the end of the period for which funds are available. The
County will endeavor to notify the Contractor in the event that continued service will or may
be affected by non-appropriation. No penalty shall accrue to the County in the event this
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GENERAL INFORMATION
RFP 2020-200
provision is exercised, and the County shall not be obligated or liable for any future payments
due or for any damages as a result of termination under this paragraph.
11. CALENDAR OF EVENTS (Subject to Change):
Event Date
Issue RFP September 5, 2019
Pre-proposal meeting September 23, 2019, 3pm CST
In Person:
Barron County Hwy. Office Conference Room
260 North 7th Street, Barron, WI
B� hp one:
1-832-856-4663 Conference ID: 29158283
Deadline for receipt of questions via email October 4, 2019, 11:00 am CST
Proposal due date October 29, 2019, 11:00 am CST
Evaluation period November 30, 2019
Contract start date March 1, 2020
12. PROPO5AL INSTRUCTIONS:
a. The Proposer must submit the Technical Proposal in a tab containing the following
information. This information will be considered the minimum content of the proposal.
Proposal contents shall be arranged in the same order and identified with headings as
presented herein.
Tab 1— COVER LETTER: Submit completed Proposal Cover Sheet. Additionally,
include a coyer letter which will provide a brief history.of the Proposer and its
organization. The letter will indicate the principal or officer of the Proposer
organization who will be the County's primary point of contact during negotiations.
This individual must have the authority to negotiate all aspects on the scope of products,
services and solutions on behalf of the Proposer. An of�cer authorized to bind the
Proposer to the terms and conditions of this RFP must sign the cover letter transmitting
the proposal.
Tab 2- EXECUTIVE SUMMARY: The Proposer will provide an Executive Summary
that presents in brief, concise terms a summary level description of the contents of the
Proposal.
Tab 3— PROPOSER PROFILE: The Proposer must provide a profle of its organization
and all other affiliated companies as outlined in OMNIA Partners Response to National
Cooperative Contract.
Tab 4— STATEMENT OF QUALIFICATIONS:
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GENERAL INFORMATION
RFP 2020-200
This section shall describe the Proposer's ability and experience related to the programs
and services proposed. All project personnel, as applicable, shall be listed including a
description of assignments and responsibilities, a resume of professional experience, an
estimate of the time each would devote to this program, and other pertinent information.
Describe the current distribution model capable of delivering products nationwide,
including the number, size and location of your company's distribution facilities,
warehouses and retail network, where applicable. Describe your coverage of the United
States.
Tab 5 — FINANCIAL STATEMENTS:
Proposer must provide detailed, audited income statements and balance sheets from two
of the most recent reporting periods.
�'ab 6 — OMNIA Partners
Provide a response to the national program.
a. Include a detailed response to Attachment A, E�ibit A, OMNIA Partners Response
for National Cooperative contract. Responses should highlight experience,
demonstrate a strong national presence, describe how offeror will educate its national
sales force about the contract, describe how products and services will be distributed
nationwide, include a plan for marketing the products and services nationwide, and
describe how volume will be tracked and reported to OMNIA Partners.
b. The successful offeror will be required to sign Attachment A, Exhibit B, OMNIA
Partners Administration Agreement. Offerors should have any reviews required to
sign the document prior to submitting a response. Offeror's response should include
any proposed exceptions to the OMNIA Partners Administration Agreement.
c. OMNIA Partners Exhibit F& G completed/signed
Tab 7— Submit any initialed and/or signed Addenda (if applicable).
Tab 8 — Proposer's catalog
Tab 9- COST PROPOSAL INSTRUCTIONS:
a. Provide the pricing using a fized percentage (%) discount off PROPOSER'S
CATALOG PRICE LIST or other objectively verifiable criteria in Excel format.
b. Provide the reference to the standard index or other objective criteria used to
determine pricing of each Product category and state why this is most
advantageous to Participating public Agencies. Copies of the relevant price
lists in Excel format must be included in the Cost Proposal.
c. If offered, provide Proposer pricing for custom signs.
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GENERAL INFORMATION
RFP 2020-200
d. Provide the pricing for any services and solutions offered using a mark-up
percentage over cost. Cost shall be substantiated by an actual invoice indicating
the amount paid for services or solutions. Proposer may propose alternative
methodologies for pricing services if it feels it is in the best interest of
Participating Public Agencies.
e. Provide the pricing for any related products and services offered by your
company.
f. Detail any additional pricing incentives or rebates that may be available such as
for large volume purchase by Participating Public Agencies.
g. Prices/discounts shall be F.O.B. destination.
h. It is the Proposer's responsibility to provide the County and Participating Public
Agencies with an up-to-date price list and any necessary brochures, finish
material samples or related materials at no charge for the duration of the contract.
i. The Proposer must submit Market Basket Pricing in ATTACHMENT B for
evaluation purposes only. Pricing should be based on Proposers fixed percentage
discount off its manufacturer catalog price list. Proposer may take into
consideration any pricing incentives or rebates it is offering through this contract.
j. Special Offers/Promotions: In addition to decreasing prices for the balance of the
Contract term due to a change in market conditions, Vendor may conduct sales
promotions involving price reductions for a specified lesser period. Vendor may
offer Participating Agencies competitive pricing which is lower than the not-
to-exceed price set forth herein at any time during the Contract term and such
lower pricing shall not be applied as a global price reduction under the Contract.
Note: Market Basket Pricing is not to be construed as Proposer's complete offer
nor is it a core list. It is for evaluation purposes only. Proposer's entire catalog
list/assortment will be Proposer's offer to Barron County and Participating Public
Agencies.
13. CONTACT FOR CONTRACTUAL MATTERS:
a. All communications and requests for information and clarifications shall be directed
to the following official:
Mark Servi, Highway Commissioner
Barron County Highway Department
E-mail: bchdtc�(cr�,co.barron.wi.us
b. No attempt shall be made by any Proposer to contact members of the Evaluation
Team or others at the County about this procurement.
-16-
GENERAL INFORMATION
14. SUBMISSION OF PROPOSALS:
RFP 2020-200
a. One (1) original (duly marked), ten (10) copies and three (3) thumb drives of the
entire proposal. Electronically stamped delivery receipts are available.
b. Proposers are reminded that changes to the Request for Proposal, in the form of
Addenda, are often issued. All addenda MUST be signed and submitted as a part of
Proposer's proposal. Notice of addenda will be �posted at www.baroncountvwi. ov�.
It is the Proposer's responsibility to monitor the web page for the most current
addenda.
It is the Proposer's responsibility to clearly identify and to describe the products and
services being offered in response to this Request for Proposal. Proposers are
cautioned that organization of their response, as well as thoroughness is critical to the
County's evaluation process. The RFP forms must be completed legibly and in their
entirety; and all required supplemental information must be furnished and presented
in an organized, comprehensive and easy to follow manner.
d. Unnecessarily elaborate brochures of other presentations beyond that sufficient to
present a complete and effective proposal is not desired. Elaborate artwork,
expensive paper, bindings, visual and other presentation aids are not required. The
County encourages the use of recycled paper; therefore, it is urged that proposals be
submitted on paper made from or with recycled content and be printed on both sides.
e. By executing the cover sheet, Proposer acknowledges that it has read this Request for
Proposal, understand it, and agree to be bound by its terms and conditions. Proposals
may be submitted by mail or delivered in person.
15. PROPOSER PERSONNEL REQUIREMENTS AND DETERMINATION OF
RESPONSIBILITY
a. Barron County may make such investigation as deemed necessary to determine the
ability of the Proposer to supply the product or information and data for this purpose
as Barron County may request.
b. Proposers are encouraged to promptly notify the Highway Commissioner, in writing
via email, of any apparent major inconsistencies, problems, or ambiguities in the
Specifications. Address notifcations to: Mark Servi, Barron County Highway
Commissioner, bchdtcp(a�co.barron.wi.us.
16. LATE PROPOSALS:
a. Proposals received in the Highway Department after the date and time prescribed shall
not be considered for contract award and shall be returned to the Proposer.
-17-
GENERAL INFORMATION
17. PERIOD THAT PROPOSALS REMAIN VALID:
RFP 2020-200
a. Proposals will remain valid for a period of one-hundred twenty days (120) calendar days
after the date specified for receipt of proposals.
18. EVALUATION OF PROPOSAL — SELECTION FACTORS:
Oral Presentations/Interviews Barron County reserves the right to conduct interviews with
some or all of the offerors at any point during the evaluation process. However, Barron
County may determine that interviews are not necessary. In the event interviews are
conducted, information provided during the interview process shall be taken into
consideration when evaluating the stated criteria. Barron County shall not reimburse the
supplier for the costs associated with the interview process.
The following factors will be considered in the award of this contract:
a. PROVEN EXPERIENCE of the Company's success in providing Traffc Control
Products and Related Products and Services on a nationwide and local basis in a timely
manner.
b. Depth of response to Technical Proposal.
c. Depth of response to Cost Proposal.
d. Depth of response to Supplier Qualifications and Information.
Depth of response and capabilities for National Program.
19. TRADE SECRET/PROPRIETARY INFORMATION:
a. Trade secrets or proprietary information submitted by a Proposer in connection with a
procurement transaction shall not be subject to public disclosure under the Wisconsin
Public Records Law; however, Proposers must invoke the protections of this section
prior to or upon submission of the data or other materials.
b. The Proposer must identify the data or other materials to be protected and state the
reasons why protection is necessary. Disposition of material after award(s) should be
stated by the Proposer.
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P A R T N E R S
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REQUIREMENTS FOR NATIONAL COOPERATIVE CONTRACT
TO BE ADMINISTERED BY
OMNIA PAxTNERs
The following documents are used in evaluating and administering national cooperative contracts
and are included for Supplier's review and response.
OMNIA Partners E�ibit A—RESPONSE FOR NATIONAL COOPERATIVE CONTRACT
OMNIA Partners Exhibit B— ADMINISTRATION AGREEMENT, EXAMPLE
OMNIA Partners E�ibit C— MASTER INTERGOVERNMENTAL COOPERATIVE
PURCHASING AGREEMENT, EXAMPLE
OMNIA Partners Exhibit D—PRINCIPAL PROCUREMENT AGENCY CERTIFICATE,
EXAMPLE
OMNIA Partners E�ibit E— CONTRACT SALES REPORTING TEMPLATE
OMNIA Partners Exhibit F— FEDERAL FUNDS CERTIFICATIONS
OMNIA Partners Exhibit G—NEW JERSEY BUSINESS COMPLIANCE
OMNIA Partners Exhibit H—ADVERTISING COMPLIANCE REQUIREMENT
-19-
EXHIBIT A
RESPONSE FOR NATIONAL COOPERATIVE CONTRACT
1.0 Scope of National Cooperative Contract
Capitalized terms not otherwise defned herein shall have the meanings given to them in the
Master Agreement or in the Administration Agreement between Supplier and OMNIA
Partners.
1.1 Requirement
The County of Barron, Wisconsin (hereinafter defined and referred to as "Principal
Procurement Agency"), on behalf of itself and the National Intergovernmental
Purchasing Alliance Company, a Delaware corporation d/b/a OMNIA Partners, Public
Sector ("OMNIA Partners"), is requesting proposals for Traffic Control Products and
Related Products and Services. The intent of this Request for Proposal is any contract
between Principal Procurement Agency and Supplier resulting from this Request for
Proposal ("Master Agreement") be made available to other public agencies nationally,
including state and local governmental entities, public and private primary, secondary
and higher education entities, non-profit entities, and agencies for the public benefit
("Public Agencies"), through OMNIA Partners' cooperative purchasing program. The
Principal Procurement Agency has executed a Principal Procurement Agency
Certificate with OMNIA Partners, an example of which is included as Exhibit D, and
has agreed to pursue the Master Agreement. Use of the Master Agreement by any
Public Agency is preceded by their registration with OMNIA Partners as a
Participating Public Agency in OMNIA Partners' cooperative purchasing program.
Registration with OMNIA Partners as a Participating Public Agency is accomplished
by Public Agencies entering into a Master Intergovernmental Cooperative Purchasing
Agreement, an example of which is attached as E�chibit C, and by using the Master
_ . . . _ ..
Agreement, any such Participating Public Agency agrees that it is registered with
OMNIA Partners, whether pursuant to the terms of the Master Intergovernmental
Purchasing Cooperative Agreement or as otherwise agreed to. The terms and pricing
established in the resulting Master Agreement between the Supplier and the Principal
Procurement Agency will be the same as that available to Participating Public
Agencies through OMNIA Partners.
All transactions, purchase orders, invoices, payments etc., will occur directly between
the Supplier and each Participating Public Agency individually, and neither OMNIA
Partners, any Principal Procurement Agency nor any Participating Public Agency,
including their respective agents, directors, employees or representatives, shall be
liable to Supplier for any acts, liabilities, damages, etc., incurred by any other
Participating Public Agency. Supplier is responsible for_knowing the tax laws in each
state.
This E�ibit A defines the expectations for qualifying Suppliers based on OMNIA
Partners' requirements to market the resulting Master Agreement nationally to Public
Agencies. Each section in this Exhibit A refers to the capabilities, requirements,
obligations, and prohibitions of competing Suppliers on a national level in order to
serve Participating Public Agencies through OMNIA Partners.
These requirements are incorporated into and are considered an integral part of this
RFP. OMNIA Partners reserves the right to determine whether or not to make the
Master Agreement awarded by the Principal Procurement Agency available to
Participating Public Agencies, in its sole and absolute discretion, and any party
submitting a response to this RFP acknowledges that any award by the Principal
Procurement Agency does not obligate OMNIA Partners to make the Master
Agreement available to Participating Procurement Agencies.
1.2 Marketing, Sales and Administrative Support
During the term of the Master Agreement OMNIA Partners intends to provide
marketing, sales and administrative support for Supplier pursuant to this section that
directly promotes the Supplier's products and services to Participating Public
Agencies
through multiple channels, each designed to promote specific products and services to
Public Agencies on a national basis.
The OMNIA Partners marketing team will work in conjunction with Supplier to
promote the Master Agreement to both existing Participating Public Agencies and
prospective Public Agencies through channels that may include:
A. Marketing collateral (print, electronic, email, presentations)
B. Website
C. Trade shows/conferences/meetings
Ia. Advertising
E. Social Media
The OMNIA Partners sales teams will work in conjunction with Supplier to promote
the Master Agreement to both existing Participating Public Agencies and prospective
Public Agencies through initiatives that may include:
A. Individual sales calls
B. Joint sales calls
C. Communications/customer service
D. Training sessions for Public Agency teams
E. Training sessions for Supplier teams
The OMNIA Partners contracting teams will work in conjunction with Supplier to
promote the Master Agreement to both existing Participating Public Agencies and
prospective Public Agencies through:
-21-
A. Serving as the subject matter expert for questions regarding joint powers authority
and state statutes and regulations for cooperative purchasing
B. Training sessions for Public Agency teams
C. Training sessions for Supplier teams
D. Regular business reviews to monitor program success
E. General contract administration
Suppliers are required to pay an administrative fee of 3% of the greater of the Contract
Sales under the Master Agreement and Guaranteed Contract Sales under this Request
for Proposal. Supplier will be required to execute the OMNIA Partners Administration
Agreement (E�ibit B).
1.3 Estimated Volume
The dollar volume purchased under the Master Agreement is estimated to be
approximately $25 million annually. While no minimum volume is guaranteed to
Supplier, the estimated annual volume is projected based on the current annual
volumes among the Principal Procurement Agency, other Participating Public
Agencies that are anticipated to utilize the resulting Master Agreement to be made
available to them through OMNIA Partners, and volume growth into other Public
Agencies through a coordinated marketing approach between Supplier and OMNIA
Partners.
1.4 Award Basis
The basis of any contract award resulting from this RFP made by Principal
Procurement Agency will, at OMNIA Partners option, be the basis of award on a
national level through OMNIA Partners. If multiple Suppliers are awarded by
Principal Procurement Agency under the Master Agreement, those same Suppliers will
be required to extend the Master Agreement to Participating Public Agencies through
OMNIA Partners. Utilization of the Master Agreement by Participating Public
Agencies will be at the discretion of the individual Participating Public Agency.
Certain terms of the Master Agreement specifically applicable to the Principal
Procurement Agency are subject to modification for each Participating Public Agency
as Supplier, such Participating Public Agency and OMNIA Partners shall agree.
Participating Agencies may request to enter into a separate supplemental agreement to
further define the level of service requirements over and above the minimum defined
in the Master Agreement (i.e. invoice requirements, order requirements, specialized
delivery, diversity requirements such as minority and woman owned businesses,
historically underutilized business, governing law, etc.). It shall be the responsibility
of the Supplier to comply, when applicable, with the prevailing wage legislation in
effect in the jurisdiction of the Participating Agency. It shall further be the
responsibility of the Supplier to monitor the prevailing wage rates as established by
the appropriate department of labor for any increase in rates during the term of this
contract and adjust wage rates accordingly. Any supplemental agreement developed
as a result of the Master Agreement is exclusively between the Participating Agency
and the Supplier (Contract Sales are reported to OMNIA Partners).
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All purchase orders issued and accepted by the Supplier may survive expiration or
termination of the Master Agreement. Participating Agencies' purchase orders may
exceed the term of the Master Agreement if the purchase order is issued prior to the
expiration of the Master Agreement. Supplier is responsible for reporting all sales and
paying the applicable administrative fee for sales that use the Master Agreement as the
basis for the purchase order, even though Master Agreement may have expired.
1.5 Objectives of Cooperative Program
This RFP is intended to achieve the following objectives regarding availability through
OMNIA Partners' cooperative program:
A. Provide a comprehensive competitively solicited and awarded national agreement
offering the Products covered by this solicitation to Participating Public Agencies;
B. Establish the Master Agreement as the Supplier's primary go to market strategy to
Public Agencies nationwide;
C. Achieve cost savings for Supplier and Public Agencies through a single solicitation
process that will reduce the Supplier's need to respond to multiple solicitations and
Public Agencies need to conduct their own solicitation process;
D. Combine the aggregate purchasing volumes of Participating Public Agencies to
achieve cost effective pricing.
2.0 REPRESENTATIONS AND COVENANTS
As a condition to Supplier entering into the Master Agreement, which would be available to
all Public Agencies, Supplier must make certain representations, warranties and covenants to
both the Principal Procurement Agency and OMNIA Partners designed to ensure the success
of the Master Agreement for all Participating Public Agencies as well as the Supplier.
2.1 Corporate Commitment
Supplier commits that (1) the Master Agreement has received all necessary corporate
authorizations and support of the Supplier's executive management, (2) the Master
Agreement is Supplier's primary "go to market" strategy for Public Agencies, (3) the
Master Agreement will be promoted to all Public Agencies, including any existing
customers, and Supplier will transition existing customers, upon their request, to the
Master Agreement, and (4) that the Supplier has read and agrees to the terms and
conditions of the Administration Agreement with OMNIA Partners and will execute
such agreement concurrent with and as a condition of its execution of the Master
Agreement with the Principal Procurement Agency. Supplier will identify an
executive corporate sponsor and a separate national account manager within the RFP
response that will be responsible for the overall management of the Master Agreement.
2.2 Pricing Commitment
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Supplier commits the not-to-exceed pricing provided under the Master Agreement
pricing is its lowest available (net to buyer) to Public Agencies nationwide and further
commits that if a Participating Public Agency is eligible for lower pricing through a
national, state, regional or local or cooperative contract, the Supplier will match such
lower pricing to that Participating Public Agency under the Master Agreement.
2.3 Sales Commitment
Supplier commits to aggressively market the Master Agreement as its go to market
strategy in this de�ned sector and that its sales force will be trained, engaged and
committed to offering the Master Agreement to Public Agencies through OMNIA
Partners nationwide. Supplier commits that all Master Agreement sales will be
accurately and timely reported to OMNIA Partners in accordance with the OMNIA
Partners Administration Agreement. Supplier also commits its sales force will be
compensated, including sales incentives, for sales to Public Agencies under the Master
Agreement in a consistent or better manner compared to sales to Public Agencies if
the Supplier were not awarded the Master Agreement.
3.0 SUPPLIER RESPONSE
Supplier must supply the following information in order for the Principal Procurement
Agency to determine Supplier's qualifications to extend the resulting Master Agreement to
Participating Public Agencies through OMNIA Partners.
3.1 Company
A. Brief history and description of Supplier.
B. Total number and location of sales persons employed by Supplier.
C. Number and location of support centers (if applicable) and location of corporate
office.
.__ �._ _. D. Annual sales for the three previous fiscal years. _ _
E. Submit FEIN and Dunn & Bradstreet report.
F. Describe any green or environmental initiatives or policies.
G. Describe any diversity programs or partners supplier does business with and how
Participating Agencies may use diverse partners through the Master Agreement.
Indicate how, if at all, pricing changes when using the diversity program.
H. Describe any historically underutilized business certifications supplier holds and
the certifying agency. This may include business enterprises such as minority and
women owned, small or disadvantaged, disable veterans, etc.
I. Describe how supplier differentiates itself from its competitors.
J. Describe any present or past litigation, bankruptcy or reorganization involving
supplier.
K. Felony Conviction Notice: Indicate if the supplier
a. is a publicly held corporation and this reporting requirement is not
applicable;
b. is not owned or operated by anyone who has been convicted of a felony; or
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c. is owned or operated by and individual(s) who has been convicted of a
felony and provide the names and convictions.
L. Describe any debarment or suspension actions taken against supplier
3.2 Distribution, Logistics
A. Describe the full line of products and services offered by supplier.
B. Describe how supplier proposes to distribute the products/service nationwide.
Include any states where products and services will not be offered under the Master
Agreement, including U.S. Territories and Outlying Areas.
C. Identify all other companies that will be involved in processing, handling or
shipping the productslservice to the end user.
D. Provide the number, size and location of Supplier's distribution facilities,
warehouses and retail network as applicable.
3.3 Marketing and Sales
A. Provide a detailed ninety-day plan beginning from award date of the Master
Agreement describing the strategy to immediately implement the Master
Agreement as supplier's primary go to market strategy for Public Agencies to
supplier's teams nationwide, to include, but not limited to:
Executive leadership endorsement and sponsorship of the award as the
public sector go-to-market strategy within frst 10 days
ii. Training and education of Supplier's national sales force with participation
from the Supplier's executive leadership, along with the OMNIA Partners
team within first 90 days
B. Provide a detailed ninety-day plan beginning from award date of the Master
Agreement describing the strategy to market the Master Agreement to current
Participating Public Agencies, existing Public Agency customers of Supplier, as
well as to prospective Public Agencies nationwide immediately upon award, to
include, but not limited to:
i. Creation and distribution of a co-branded press release to trade publications
ii. Announcement, contract details and contact information published on the
Supplier's website within first 90 days
iii. Design, publication and distribution of co-branded marketing materials
within first 90 days
iv. Commitment to attendance and participation with OMNIA Partners at
national (i.e. NIGP Annual Forum, NPI Conference, etc.), regional (i.e.
Regional NIGP Chapter Meetings, Regional Cooperative Summits, etc.)
and supplier-specific trade shows, conferences and meetings throughout
the term of the Master Agreement
-25-
v. Commitment to attend, exhibit and participate at the NIGP Annual Forum
in an area reserved by OMNIA Partners for partner suppliers. Booth space
will be purchased and staffed by Supplier. In addition, Supplier commits
to provide reasonable assistance to the overall promotion and marketing
efforts for the NIGP Annual Forum, as directed by OMNIA Partners.
vi. Design and publication of national and regional advertising in trade
publications throughout the tertn of the Master Agreement
vii. Ongoing marketing and promotion of the Master Agreement throughout its
term (case studies, collateral pieces, presentations, promotions, etc.)
viii. Dedicated OMNIA Partners internet web-based homepage on Supplier's
website with:
• OMNIA Partners standard logo;
• Copy of original Request for Proposal;
• Copy of contract and amendments between Principal Procurement
Agency and Supplier;
• Summary of Products and pricing;
• Marketing Materials
� Electronic link to OMNIA Partners' website including the online
registration page;
• A dedicated toll-free number and email address for OMNIA
Partners
C. Describe how Supplier will transition any existing Public Agency customers'
accounts to the Master Agreement available nationally through OMNIA Partners.
Include a list of current cooperative contracts (regional and national) Supplier
.., ,_._,, _. __ ..ho.lds.and describe how the Master Agreement will be positioned among the_other
cooperative agreements.
D. Acknowledge Supplier agrees to provide its logo(s) to OMNIA Partners and agrees
to provide permission for reproduction of such logo in marketing communications
and promotions. Acknowledge that use of OMNIA Partners logo will require
permission for reproduction, as well.
E. Confirm Supplier will be proactive in direct sales of Supplier's goods and services
to Public Agencies nationwide and the timely follow up to leads established by
OMNIA Partners. All sales materials are to use the OMNIA Partners logo. At a
minimum, the Supplier's sales initiatives should communicate:
i. Master Agreement was competitively solicited and publicly awarded by a
Principal Procurement Agency
ii. Best government pricing
iii. No cost to participate
iv. Non-exclusive
-26-
F. Confirtn Supplier will train its national sales force on the Master Agreement. At
a minimum, sales training should include:
i. Key features of Master Agreement
ii. Working knowledge of the solicitation process
iii. Awareness of the range of Public Agencies that can utilize the Master
Agreement through OMNIA Partners
iv. Knowledge of benefits of the use of cooperative contracts
G. Provide the name, title, email and phone number for the person(s), who will be
responsible for:
i. Executive Support
ii. Marketing
iii. Sales
iv. Sales Support
v. Financial Reporting
vi. Accounts Payable
vii. Contracts
H. Describe in detail how Supplier's national sales force is structured, including
contact information for the highest-level executive in charge of the sales team.
I. Explain in detail how the sales teams will work with the OMNIA Partners team to
implement, grow and service the national program.
I. Explain in detail how Supplier will manage the overall national program
throughout the term of the Master Agreement, including ongoing coordination of
marketing and sales efforts, timely new Participating Public Agency account set-
up, timely contract administration, etc.
J. State the amount of Supplier's Public Agency sales for the previous fiscal year.
Provide a list of Supplier's top 10 Public Agency customers, the total purchases
for each for the previous fiscal year along with a key contact for each.
K. Describe Supplier's information systems capabilities and limitations regarding
order management through receipt of payment, including description of multiple
platforms that may be used for any of these functions.
M. Provide the Contract Sales (as defined in Section 10 of the OMNIA Partners,
Public Sector Administration Agreement) that Supplier will guarantee each year
under the Master Agreement for the initial three years of the Master Agreement
("Guaranteed Contract Sales").
-27-
$ � � .00 in year one
$ a�.00 in year two
$� Iq�1 .00 in year three
To the extent Supplier guarantees minimum Contract Sales, the administration
fee shall be calculated based on the greater of the actual Contract Sales and the
Guaranteed Contract Sales.
M. Even though it is anticipated many Public Agencies will be able to utilize the
Master Agreement without further formal solicitation, there may be circumstances
where Public Agencies will issue their own solicitations. The following options
are available when responding to a solicitation for Products covered under the
Master Agreement.
i. Respond with Master Agreement pricing (Contract Sales reported to
OMNIA Partners).
ii. If competitive conditions require pricing lower than the standard
Master Agreement not-to-exceed pricing, Supplier may respond with
lower pricing through the Master Agreement. If Supplier is awarded
the contract, the sales are reported as Contract Sales to OMNIA
Partners under the Master Agreement.
iii. Respond with pricing higher than Master Agreement only in the
unlikely event that the Public Agency refuses to utilize Master
Agreement (Contract Sales are not reported to OMNIA Partners).
iv. If alternative or multiple proposals are permitted, respond with
pricing higher than Master Agreement, and include Master
Agreement as the alternate or additional proposal.
Detail Supplier's strategies under these options when responding to a solicitation.
-28-
EXHIBIT B
ADMINISTRATION AGREEMENT, EXAMPLE
P A R T N E R S
ADMINISTRATION AGREEMENT
THIS ADMINISTRATION AGREEMENT (this "Agreement") is made this _ day of
20 , between National Intergovernmental Purchasing Alliance Company, a Delaware
corporation d/b/a OMNIA Partners, Public Sector ("OMNIA Partners, Public Sector"), and
("Supplier").
RECITALS
WHEREAS, the (the "Principal Procurement Agency") has entered
into a Master Agreement effective , Agreement No , by and between the
Principal Procurement Agency and Supplier, (as may be amended from time to time in accordance
with the terms thereof, the "Master Agreement"), as attached hereto as E�ibit A and incorporated
herein by reference as though fully set forth herein, for the purchase of
(the "Product");
WHEREAS, said Master Agreement provides that any or all public agencies, including state
and local governmental entities, public and private primary, secondary and higher education entities,
non-profit entities, and agencies for the public benefit (collectively, "Public Agencies"), that register
(either via registration on the OMNIA Partners, Public Sector website or execution of a Master
Intergovernmental Cooperative Purchasing Agreement, attached hereto as E�ibit B) (each,
hereinafter referred to as a"Participating Public Agency") may purchase Product at prices stated in
the Master Agreement;
WHEREAS, Participating Public Agencies may access the Master Agreement which is
offered through OMNIA Partners, Public Sector to Public Agencies;
WHEREAS, OMNIA Partners, Public Sector serves as the contract administrator of the
Master Agreement on behalf of Principal Procurement Agency;
WHEREAS, Principal Procurement Agency desires OMNIA Partners, Public Sector to
proceed with administration of the Master Agreement; and
WHEREAS, OMNIA Partners, Public Sector and Supplier desire to enter into this Agreement
to make available the Master Agreement to Participating Public Agencies and to set forth certain
terms and conditions governing the relationship between OMNIA Partners, Public Sector and
Supplier.
NOW, THEREFORE, in consideration of the payments to be made hereunder and the mutual
covenants contained in this Agreement, OMNIA Partners, Public Sector and Supplier hereby agree
as follows:
DEFINITIONS
1. Capitalized terms used in this Agreement and not otherwise defined herein shall have
the meanings given to them in the Master Agreement.
TERMS AND CONDITIONS
2. The Master Agreement and the terms and conditions contained therein shall apply to
this Agreement except as expressly changed or modiiied by this Agreement. Supplier acknowledges
and agrees that the covenants and agreements of Supplier set forth in the solicitation and Supplier's
response thereto resulting in the Master Agreement are incorporated herein and are an integral part
hereof.
3. OMNIA Partners, Public Sector shall be afforded all of the rights, privileges and
indemnifications afforded to Principal Procurement Agency by or from Supplier under the Master
Agreement, and such rights, privileges and indemnifications shall accrue and apply with equal effect
to OMNIA Partners, Public Sector, its agents, employees, directors, and representatives under this
Agreement including, but not limited to, Supplier's obligation to obtain appropriate insurance.
4. OMNIA Partners, Public Sector shall perform all of its duties, responsibilities and
obligations as contract administrator of the Master Agreement on behalf of Principal Procurement
Agency as set forth herein, and Supplier hereby acknowledges and agrees that all duties,
responsibilities and obligations will be undertaken by OMNIA Partners, Public Sector solely in its
capacity as the contract administrator under the Master Agreement.
5. With respect to any purchases by Principal Procurement Agency or any Participating
Public Agency pursuant to the Master Agreement, OMNIA Partners, Public Sector shall not be: (i)
construed as a dealer, re-marketer, representative, partner or agent of any type of the Supplier,
Principal Procurement Agency or any Participating Public Agency; (ii) obligated, liable or
responsible for any order for Product made by Principal Procurement Agency or any Participating
Public Agency or any employee thereof under the Master Agreement or for any payment required to
be made with respect to such order for.Product; and (iii) obligated, liable or responsible for any failure
by Principal Procurement Agency or any Participating Public Agency to comply with procedures or
requirements of applicable law or the Master Agreement or to obtain the due authorization and
approval necessary to purchase under the Master Agreement. OMNIA Partners, Public Sector makes
no representation or guaranty with respect to any minimum purchases by Principal Procurement
Agency or any Participating Public Agency or any employee thereof under this Agreement or the
Master Agreement.
6. OMNIA Partners, Public Sector shall not be responsible for Supplier's performance
under the Master Agreement, and Supplier shall hold OMNIA Partners, Public Sector harmless from
any liability that may arise from the acts or omissions of Supplier in connection with the Master
Agreement.
7. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, OMNIA
PARTNERS, PUBLIC SECTOR EXPRESSLY DISCLAIMS ALL EXPRESS OR IMPLIED
REPRESENTATIONS AND WARRANTIES REGARDING OMNIA PARTNERS, PUBLIC
SECTOR' PERFORMANCE AS A CONTRACT ADMINISTRATOR OF THE MASTER
AGREEMENT. OMNIA PARTNERS, PUBLIC SECTOR SHALL NOT BE LIABLE IN ANY
WAY FOR ANY SPECIAL, INCIDENTAL, INDIRECT, CONSEQUENTIAL, EXEMPLARY,
PUNITIVE, OR RELIANCE DAMAGES, EVEN IF OMNIA PARTNERS, PUBLIC SECTOR IS
ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
TERM OF AGREEMENT; TERMINATION
8. This Agreement shall be in effect so long as the Master Agreement remains in effect,
provided, however, that the provisions of Sections 3— 8 and 12 — 23, hereof and the indemnifications
afforded by the Supplier to OMNIA Partners, Public Sector in the Master Agreement, to the extent
such provisions survive any expiration or termination of the Master Agreement, shall survive the
expiration or termination of this Agreement.
9. Supplier's failure to maintain its covenants and commitments contained in this
Agreement or any action of the Supplier which gives rise to a right by Principal Procurement Agency
to terminate the Master Agreement shall constitute a material breach of this Agreement. If such
breach is not cured within thirty (30) days of written notice to Supplier, in addition to any and all
remedies available at law or equity, OMNIA Partners, Public Sector shall have the right to terminate
this Agreement, at OMNIA Partners, Public Sector' sole discretion. Notwithstanding anything
contained herein to the contrary, this Agreement shall terminate on the date of the termination or
expiration of the Master Agreement.
NATIONAL PROMOTION
10. OMNIA Partners, Public Sector and Supplier shall publicize and promote the
availability of the Master Agreement's products and services to Public Agencies and such agencies'
employees. Supplier shall require each Public Agency to register its participation in the OMNIA
Partners, Public Sector program by either registering on the OMNIA Partners, Public Sector website
(www.omniapartners.com/publicsector), or executing a Master Intergovernmental Cooperative
Purchasing Agreement prior to processing the Participating Public Agency's first sales order. Upon
request, Supplier shall make available to interested Public Agencies a copy of the Master Agreement
and such price lists or quotes as may be necessary for such Public Agencies to evaluate potential
purchases.
11. Supplier shall provide such marketing and administrative support as set forth in the
solicitation resulting in the Master Agreement, including assisting in development of marketing
materials as reasonably requested by Principal Procurement Agency and OMNIA Partners, Public
Sector. Supplier shall be responsible for obtaining permission or license of use and payment of any
license fees for all content and images Supplier provides to OMNIA Partners, Public Sector or posts
on the OMNIA Partners, Public Sector website. Supplier shall indemnify, defend and hold harmless
OMNIA Partners, Public Sector for use of all such content and images including copyright
infringement claims. Supplier and OMNIA Partners, Public Sector each hereby grant to the other
party a limited, revocable, non-transferable, non-sublicensable right to use such party's logo (each,
the "Logo") solely for use in marketing the Master Agreement. Each party shall provide the other
party with the standard terms of use of such party's Logo, and such party shall comply with such
terms in all material respects. Both parties shall obtain approval from the other party prior to use of
such party's Logo. Notwithstanding the foregoing, the parties understand and agree that except as
provided herein neither party shall have any right, title or interest in the other party's Logo. Upon
termination of this Agreement, each party shall immediately cease use of the other party's Logo.
ADMINISTRATIVE FEE, REPORTING & PAYMENT
12. An "Administrative Fee" shall be defined and due to OMNIA Partners, Public Sector
from Supplier in the amount of three percent (3%) ("Administrative Fee Percentage") multiplied by
the total purchase amount paid to Supplier, less refunds, credits on returns, rebates and discounts, for
the sale of products and/or services to Principal Procurement Agency and Participating Public
Agencies pursuant to the Master Agreement (as amended from time to time and including any renewal
thereo fl("Contract Sales"). From time to time the parties may mutually agree in writing to a lower
Administrative Fee Percentage for a specifically identified Participating Public Agency's Contract
Sales.
13. Supplier shall provide OMNIA Partners, Public Sector with an electronic accounting
report monthly, in the format prescribed by OMNIA Partners, Public Sector, summarizing all Contract
Sales for each calendar month. The Contract Sales reporting format is provided as Exhibit C
("Contract Sales Report"), attached hereto and incorporated herein by reference. Contract Sales
Reports for each calendar month shall be provided by Supplier to OMNIA Partners, Public Sector by
the 10�` day of the following month. Failure to provide a Contract Sales Report within the time and
manner speci�ed herein shall constitute a material breach of this Agreement and if not cured within
thirty (30) days of written notice to Supplier shall be deemed a cause for termination of the Master
Agreement, at Principal Procurement Agency's sole discretion, and/or this Agreement, at OMNIA
Partners, Public Sector' sole discretion.
14. Administrative Fee payments are to be paid by Supplier to OMNIA Partners, Public Sector
at the frequency and on the due date stated in Section 13, above, for Supplier's submission of
corresponding Contract Sales Reports. Administrative Fee payments are to be made via Automated
Clearing House (ACH) to the OMNIA Partners, Public Sector designated financial institution
identified in E�chibit D. Failure to provide a payment of the Administrative Fee within the time and
manner specified herein shall constitute a material breach of this Agreement and if not cured within
thirty (30) days of written notice to Supplier shall be deemed a cause for termination of the Master
Agreement, at Principal Procurement Agency's sole discretion, and/or this Agreement, at OMNIA
Partners, Public Sector' sole discretion. All Administrative Fees not paid when due shall bear interest
at a rate equal to the lesser of one and one-half percent (1 1/2%) per month or the maximum rate
permitted by law until paid in full.
15. Supplier shall maintain an accounting of all purchases made by Participating Public
Agencies under the Master Agreement. OMNIA Partners, Public Sector, or its designee, in OMNIA
Partners, Public Sector' sole discretion, reserves the right to compare Participating Public Agency
records with Contract Sales Reports submitted by Supplier for a period of four (4) years from the date
OMNIA Partners, Public Sector receives such report. In addition, OMNIA Partners, Public Sector
may engage a third party to conduct an independent audit of Supplier's monthly reports. In the event
of such an audit, Supplier shall provide all materials reasonably requested relating to such audit by
OMNIA Partners, Public Sector at the location designated by OMNIA Partners, Public Sector. In the
event an underreporting of Contract Sales and a resulting underpayment of Administrative Fees is
revealed, OMNIA Partners, Public Sector will notify the Supplier in writing. Supplier will have thirty
(30) days from the date of such notice to resolve the discrepancy to OMNIA Partners, Public Sector'
reasonable satisfaction, including payment of any Administrative Fees due and owing, together with
interest thereon in accordance with Section 13, and reimbursement of OMNIA Partners, Public
Sector' costs and expenses related to such audit.
GENERAL PROVISIONS
16. This Agreement, the Master Agreement and the e�ibits referenced herein supersede
any and all other agreements, either oral or in writing, between the parties hereto with respect to the
subject matter hereto and no other agreement, statement, or promise relating to the subject matter of
this Agreement which is not contained or incorporated herein shall be valid or binding. In the event
of any conflict between the provisions of this Agreement and the Master Agreement, as between
OMNIA Partners, Public Sector and Supplier, the provisions of this Agreement shall prevail.
17. If any action at law or in equity is brought to enforce or interpret the provisions of this
Agreement or to recover any Administrative Fee and accrued interest, the prevailing party shall be
entitled to reasonable attorney's fees and costs in addition to any other relief to which it may be
entitled.
18. This Agreement and OMNIA Partners, Public Sector' rights and obligations hereunder
may be assigned at OMNIA Partners, Public Sector' sole discretion to an affiliate of OMNIA Partners,
Public Sector, any purchaser of any or all or substantially all of the assets of OMNIA Partners, Public
Sector, or the successor entity as a result of a merger, reorganization, consolidation, conversion or
change of control, whether by operation of law or otherwise. Supplier may not assign its obligations
hereunder without the prior written consent of OMNIA Partners, Public Sector.
19. All written communications given hereunder shall be delivered by first-class mail,
postage prepaid, or overnight delivery on receipt to the addresses as set forth below.
A. OMNIA Partners, Public Sector:
OMNIA Partners, Public Sector
Attn: President
840 Crescent Centre Drive
Suite 600
Franklin, TN 37067
B. Supplier:
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20. If any provision of this Agre ment shall be deemed to be, or shall in fact be, illegal,
inoperative or unenforceable, the same shall not affect any other provision or provisions herein
contained or render the same invalid, inoperative or unenforceable to any extent whatever, and this
Agreement will be construed by limiting or invalidating such provision to the minimum extent
necessary to make such provision valid, legal and enforceable.
21. This Agreement may not be amended, changed, modified, or altered without the prior
written consent of the parties hereto, and no provision of this Agreement may be discharged or
waived, except by a writing signed by the parties. A waiver of any particular provision will not be
deemed a waiver of any other provision, nor will a waiver given on one occasion be deemed to apply
to any other occasion.
22. This Agreement shall inure to the benefit of and shall be binding upon OMNIA
Partners, Public Sector, the Supplier and any respective successor and assign thereto; subject,
however, to the limitations contained herein.
23. This Agreement will be construed under and governed by the laws of the State of
Delaware, excluding its conflicts of law provisions and any action arising out of or related to this
Agreement shall be commenced solely and exclusively in the state or federal courts in Williamson
County Tennessee.
24. This Agreement may be executed in counterparts, each of which is an original but all
of which, together, shall constitute but one and the same instrument. The exchange of copies of this
Agreement and of signature pages by facsimile, or by .pdf or similar electronic transmission, will
constitute effective execution and delivery of this Agreement as to the parties and may be used in lieu of
the original Agreement for all purposes. Signatures of the parties transmitted by facsimile, or by .pdf or
similar electronic transmission, will be deemed to be their original signatures for any purpose whatsoever.
[INSERT SUPPLIER ENTITY NAME]
�� � 4�
ignatur `
Name
�����.�
Title
l� /,S" � �
Date
OMNIA PARTNERS, PUBLIC
SECTOR
Signature
Sarah E. Vavra
Name
Sr. Vice President, Public Sector
Contracting
Title
Date
EXHIBIT C
MA5TER INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENT,
EXAMPLE
u � : ► : � I : ► ►I I 1 1 ' ' � L ' ' ► !1Ll�'�� �1 �I�11���
This Master Intergovernmental Cooperative Purchasing Agreement (this "A�reement") is entered
into by and between those certain government agencies that execute a Principal Procurement Agency
Certificate ("Princi�al Procurement Agencies") with National Intergovernmental Purchasing
Alliance Company, a Delaware corporation d/b/a OMNIA Partners, Public Sector and/or
Communities Program Management, LLC, a California limited liability company d/b/a U.S.
Communities (collectively, "OMNIA Partners. Public Sector") to be appended and made a part
hereof and such other public agencies ("Particinating P�blic g nci ") who register to participate
in the cooperative purchasing programs administered by OMNIA Partners, Public Sector and its
affiliates and subsidiaries (collectively, the "OMN A Partners Parties") by either registering on the
OMNIA Partners, Public Sector website (www.omniapartners.com/publicsector or any successor
website), or by executing a copy of this Agreement.
RECITALS
WHEREAS, after a competitive solicitation and selection process by Principal Procurement
Agencies, in compliance with their own policies, procedures, rules and regulations, a number of
suppliers have entered into "Master Agreements" (herein so called) to provide a variety of goods,
products and services ("Products") to the applicable Principal Procurement Agency and the
Participating Public Agencies;
WHEREAS, Master Agreements are made available by Principal Procurement Agencies through
the OMNIA Partners Parties and provide that Participating Public Agencies may purchase Products
on the same terms, conditions and pricing as the Principal Procurement Agency, subject to any
applicable federal and/or local purchasing ordinances and the laws of the State of purchase; and
WHEREAS, in addition to Master Agreements, the OMNIA Partners Parties may from time to time
offer Participating Public Agencies the opportunity to acquire Products through other group
purchasing agreements.
NOW, THEREFORE, in consideration of the mutual promises contained in this Agreement, and of
the mutual benefits to result, the parties hereby agree as follows:
1. Each pariy will facilitate the cooperative procurement of Products.
2. The Participating Public Agencies shall procure Products in accordance with
and subject to the relevant federal, state and local statutes, ordinances, rules and regulations
that govern Participating Public Agency's procurement practices. The Participating Public
Agencies hereby acknowledge and agree that it is the intent of the parties that all provisions
of this Agreement and that Principal Procurement Agencies' participation in the program
described herein comply with all applicable laws, including but not limited to the requirements
of 42 C.F.R. § 1001.952(h), as may be amended from time to time. The Participating Public
Agencies further acknowledge and agree that they are solely responsible for their compliance
with all applicable "safe harbor" regulations, including but not limited to any and all
obligations to fully and accurately report discounts and incentives.
3. The Participating Public Agency represents and warrants that the Participating
Public Agency is not a hospital or other healthcare provider and is not purchasing Products on
behalf of a hospital or healthcare provider.
4. The cooperative use of Master Agreements shall be in accordance with the
terms and conditions of the Master Agreements, except as modification of those terms and
conditions is otherwise required by applicable federal, state or local law, policies or
procedures.
5. The Principal Procurement Agencies will make available, upon reasonable
request, Master Agreement information which may assist in improving the procurement of
Products by the Participating Public Agencies.
6. The Participating Public Agency agrees the OMNIA Partners Parties may
provide access to group purchasing organization ("�") agreements directly or indirectly
by enrolling the Participating Public Agency in another GPO's purchasing program, including
but not limited to Vizient Source, LLC, Provista, Inc. and other OMNIA Partners, Public
Sector affiliates and subsidiaries; provided the purchase of Products through the OMNIA
Partners Parties or any other GPO shall be at the Participating Public Agency's sole discretion.
7. The Participating Public Agencies (each a"Procuring P_ a�") that procure
Products through any Master Agreement or GPO Product supply agreement (each a"GPO
n r ") will make timely payments to the distributor, manufacturer or other vendor
(collectively, " li ") for Products received in accordance with the terms and conditions
of the Master Agreement or GPO Contract, as applicable. Payment for Products and
inspections and acceptance of Products ordered by the Procuring Party shall be the exclusive
obligation of such Procuring Party. Disputes between Procuring Party and any Supplier shall
be resolved in accordance with the law and venue rules of the State of purchase unless
otherwise agreed to by the Procuring Party and Supplier.
8. The Procuring Party shall not use this Agreement as a method for obtaining
additional concessions or reduced prices for purchase of similar products or services outside
of the Master Agreement. Master Agreements may be structured with not-to-exceed pricing,
in which cases the Supplier may offer the Procuring Party and the Procuring Party may accept
lower pricing or additional concessions for purchase of Products through a Master Agreement.
9. The Procuring Party shall be responsible for the ordering of Products under this
Agreement. A non-procuring party shall not be liable in any fashion for any violation by a
Procuring Party, and, to the extent permitted by applicable law, the Procuring Party shall hold
non-procuring party harmless from any liability that may arise from the acts or omissions of
the Procuring Party.
10. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE
OMNIA PARTNERS PARTIES EXPRESSLY DISCLAIM ALL EXPRESS OR IMPLIED
REPRESENTATIONS AND WARRANTIES REGARDING ANY PRODUCT, MASTER
AGREEMENT AND GPO CONTRACT. THE OMNIA PARTNERS PARTIES SIIALL
NOT BE LIABLE 1N ANY WAY FOR ANY SPECIAL, 1NCIDENTAL, INDIRECT,
CONSEQUENTIAL, EXEMPLARY, PUNITIVE, OR RELIANCE DAMAGES, EVEN IF
THE OMNIA PARTNERS PARTIES ARE ADVISED OF THE POSSIBILITY OF SUCH
DAMAGES. FURTHER, THE PROCURING PARTY ACKNOWLEDGES AND AGREES
THAT THE OMNIA PARTNERS PARTIES SHALL HAVE NO LIABILITY FOR ANY
ACT OR OMISSION BY A SUPPLIER OR OTHER PARTY UNDER A MASTER
AGREEMENT OR GPO CONTRACT.
11. This Agreement shall remain in effect until termination by either party giving
thirty (30) days' written notice to the other party. The provisions of Paragraphs 6- 10 hereof
shall survive any such termination.
12. This Agreement shall take effect upon (i) execution of the Principal
Procurement Agency Certificate, or (ii) registration on the OMNIA Partners, Public Sector
website or the execution of this Agreement by a Participating Public Agency, as applicable.
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Title and Agency ame
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Date
OMNIA PARTNERS, PUBLIC SECTOR
Signature
Sarah E. Vavra
Name
Sr. Vice President, Public Sector Contracting
Title
Date
EXHIBIT D
OMNIA PARTNERS PRINCIPAL PROCUREMENT AGENCY CERTIFICATE, EXAMPLE
': � '� ':� : u � � :
In its capacity as a Principal Procurement Agency (as defined below) for National
Intergovernmental Purchasing Alliance Company, a Delaware corporation d/b/a OMNIA Partners,
Public Sectar ("OMNIA Partners, Public Sector"), Barron County, WI agrees to pursue Master
Agreements for Products as specified in the attached E�ibits to this Principal Procurement Agency
Certificate.
I hereby acknowledge, in my capacity as of and on behalf of Barron County, WI
("Principal Procurement Agency"), that I have read and hereby agree to the general terms and
conditions set forth in the attached Master Intergovernmental Cooperative Purchasing Agreement
regulating the use of the Master Agreements and purchase of Products that from time to time are
made available by Principal Procurement Agencies to Participating Public Agencies nationwide
through ONINIA Partners, Public Sector.
I understand that the purchase of one or more Products under the provisions of the Master
Intergovernmental Cooperative Purchasing Agreement is at the sole and complete discretion of the
Participating Public Agency.
Authorized Signature, [PRINCIPAL PROGiJREMENT AGENCY]
Signature
Name
Title
Date
EXHIBIT E
OMNIA PARTNERS CONTRACT SALES REPORTING TEMPLATE
OMNIA PARTNERS EJ�TfS
EIC�IT C- CONTRACT SALES REPORTING TEMPLATE
_ _ -- __ _- -- --__ _____ _ _- _
(to be submitted Plectrotucallv in Microsoft Excel foimat)
- -- _ ----- - --
OMNIA Partners Contract Sales Monthly Report
_ __ _.. _ ._
Supplier Name:
Contract Sales Report Month:
---__ _____---- _ __ __
Contract ID:
_ _._. ._...— --_.
Supplier Reporting Contact:
_ ---- _ ,_
Title:
Phone•
EmaiL• _
Participating
Agency # Transaction Contract
{Assigned by Date Admin Admin
Participating Agency Name Address Ciiy State Zip Code �ytional IPA (Date of Sales for Fee % Fee $
and provided Sale) Month ($)
to Supplier}
Report Totals,
Cumulative Contract Sales'
EXHIBIT F
FEDERAL FUNDS CERTIFICATIONS
FEDERAL CERTIFICATIONS
ADDENDUM FOR AGREEMENT FUNDED BY U.S. FEDERAL GRANT
TO WHOM IT MAY CONCERN:
Participating Agencies may elect to use federal funds to purchase under the Master Agreement. This form should be
completed and returned.
DEFINITIONS
Contract means a legal instrument by which a non—Federal entity purchases property or services needed to carry out the project
or program under a Federal award. The term as used in this part does not include a legal instrument, even if the non—Federal entity
considers it a contract, when the substance of the transaction meets the definition of a Federal award or subaward
Contractor means an entity that receives a contract as defined in Contract.
Cooperative agreement means a legal instrument of financial assistance between a Federal awarding agency or pass-through
entity and a non—Fetleral entity that, consistent with 31 U.S.C. 6302-6305;
(a) Is used to enter into a relationship the principal purpose of which is to transfer anything of value from the Federal
awarding agency or pass-through entity to the non—Federal entity to carry out a public purpose authorized by a law of the
United States (see 31 U.S.C. 6101(3)); and not to acquire property or services for the Federal government or pass-through
entity's direct benefit or use;
(b) Is distinguished from a grant in that it provides for substantial involvement between the Federal awarding agency or
pass-through entity and the non—Federal entity in carrying out the activity contemplated by the Federal award.
(c) The term does not include: :
(1) A cooperative research and development agreement as defined in 15 U.S,C. 3710a; or
(2) An agreement that provides only:
(i) Direct United States Government cash assistance to an individual;
(ii) A subsidy;
(iii) A loan;
(iv) A loan guarantee; or
(v) Insurance.
Federal awarding agency means the Federal agency that provides a Federal award directly to a non—Federal entity
Federal award has the meaning, depending on the context, in either paragraph (a) or (b) of this section:
(a)(1) The Federal financial assistance that a non—Federal entity receives directly from a Federal awarding agency or
indirectly from a pass-through entity, as described in § 200.101 Applicability; or
(2) The cost-reimbursement contract under the Federal Acquisition Regulations that a non—Federal entity
receives directly from a Federal awarding agency or indirectly from a pass-through entity, as described in §
200.101 Applicability.
(b) The instrument setting forth the terms and conditions. The instrument is the grant agreement, cooperative agreement,
other agreement for assistance covered in paragraph (b) of § 200.40 Federal financial assistance, or the cost-
reimbursement contract awarded under the Federal Acquisition Regulations.
(c) Federal award does not include other contracts that a Federal agency uses to buy goods or services from a contractor
or a contract to operate Federal government owned, contractor operated facilities (GOCOs).
(d) See also definitions of Federal financial assistance, grant agreement, and cooperative agreement.
Non—Federal entity means a state, local government, Indian tribe, institution of higher education (IHE), or nonprofit organization
that carries out a Federal award as a recipient or subrecipient.
Nonprofit organization means any corporation, trust, association, cooperative, or other organization, not including IHEs, that:
(a) Is operated primarily for scientific, educational, service, charitable, or similar purposes in the public interest;
(b) Is not organized primarily for profit; and
(c) Uses net proceeds to maintain, improve, or expand the operations of the organization.
Obligations means, when used in connection with a non—Federal entity's utilization of funds under a Federal award, orders placed
for property and services, contracts and subawards made, and similar transactions during a given period that require payment by
the non—Federal entity during the same or a future period.
Pass-through entity means a non—Federal entity that provides a subaward to a subrecipient to carry out part of a Federal program.
Recipient means a non—Federal entity that receives a Federal award directly from a Federal awarding agency to carry out an
activity under a Federal program. The term recipient does not include subrecipients.
Simplified acquisition threshold means the dollar amount below which a non—Federal entity may purchase property or services
using small purchase methods. Non—Federal entities adopt small purchase procedures in order to expedite the purchase of items
costing less than the simplified acquisition threshold. The simplified acquisition threshold is set by the Federal Acquisition Regulation
at 48 CFR Subpart 2.1 (Definitions) and in accordance with 41 U.S.C. 1908. As of the publication of this part, the simplified
acquisition threshold is $150,000, but this threshold is periodically adjusted for inflation. (Also see definition of § 200.67 Micro-
purchase.)
Subaward means an award provided by a pass-through entity to a subrecipient for the subrecipient to carry out part of a Federal
award received by the pass-through entity. It does not include payments to a contractor or payments to an individual that is a
beneficiary of a Federal program. A subaward may be provided through any form of legal agreement, including an agreement that
the pass-through entity considers a contract.
Subrecipient means a non—Federal entity that receives a subaward from a pass-through entity to carry out part of a Federal
program; but does not include an individual that is a beneficiary of such program. A subrecipient may also be a recipient of other
Federal awards directly from a Federal awarding agency.
Termination means the ending of a Federal award, in whole or in part at any time prior to the planned end of period of performance.
The following certifications and provisions may be required and apply when Participating Agency expends federal funds for any
purchase resulting from this procurement process.. Pursuant to 2 C.F.R. § 200.326, all contracts, including small purchases, awarded
by the Participating Agency and the Participating Agency's subcontractors shall contain the procurement provisions of Appendix II to
Part 200, as applicable.
APPENDIX II TO 2 CFR PART 200
(A) 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 U.S.C. 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.
Pursuant to Federal Rule (A) above, when a Participating Agency expends federal funds, the Participating Agency reserves all rights
and privileges under the applicable laws and regulations with respect to this procurement in the event of breach of contract by either
party.
Does offeror agree? YES �/ 1 Initials of Authorized Representative of offeror
(B) Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be
effected and the basis for settlement. (All contracts in excess of $10,000)
Pursuant to Federal Rule (B) above, when a Participating Agency expends federal funds, the Participating Agency reserves the right
to immediately terminate any agreement in excess of $10,000 resulting from this procurement process in the event of a breach or
default of the agreement by Offeror as detailed in the terms of the contract.
Does offeror agree? YES /•�I, /) Initials of Authorized Representative of offeror
(C) Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the
definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 must include the equal opportunity clause
provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity" (30 CFR
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."
Pursuant to Federal Rule (C) above, when a Participating Agency expends federal funds on any federally assisted construction
contract, the equal opportunity clause is incorporated by reference herein.
Does offeror agree to abide by the above? YES J�``� Initials of Authorized Representative of offeror
(D) Davis•Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime
construction contracts in excess of $2,000 awarded by non-Federal entities must include a provision for compliance
with the Davis-Bacon Act (40 U.S.C. 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, contractors must be required to pay wages to laborers and mechanics at
a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In
addition, contracto�s must be required to pay wages not less than once a week. The non-Federal entity must place a copy
of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award
a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non- Federal entity
must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a
provision for compliance with the Copeland "Anti-Kickback" Act (40 U.S.C. 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. The non -Federal entity must report all
suspected or reported violations to the Federal awarding agency.
Pursuant to Federal Rule (D) above, when a Participating Agency expends federal funds during the term of an award for all
contracts and subgrants for construction or repair, offeror will be in compliance with all applicable Davis-Bacon Act provisions.
Does offeror agree? YES �(i0 �,) Initials of Authorized Representative of offeror
(E) Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, all contracts awarded by the
non-Federal entity in excess of $100,000 that involve the employment of inechanics or laborers must include a provision
for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under
40 U.S.C. 3702 of the Act, each contractor must be 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 U.S.C. 3704 are applicable to construction work and provide that no
laborer or mechanic must be required to work in surroundings or underworking 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.
Pursuant to Federal Rule (E) above, when a Participating Agency expends federal funds, offeror certifies that offeror will be in
compliance with all applicable provisions of the Contract Work Hours and Safety Standards Act during the term of an award for all
contracts by Participating Agency resulting from this procurement pr cess.
Does offeror agree? YES l/ .�� Initials of Authorized Representative of offeror
�
(F) Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the definition of "funding
agreement" 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 of 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
Govemment Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding
agency.
Pursuant to Federal Rule (F} above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror agrees to comply with
all applicable requirements as referenced in Federal Rule (F) above.
Does offeror agree? YES _ �2 � Initials of Authorized Representative of offeror
(G) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C.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 U.S.C. 7401-
7671 q) and the Federal Water Pollution Control Act as amended (33 U.S.C.1251 • 1387). Violations must be reported to the
Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA)
Pursuant to Federal Rule (G) above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term of an award for all contracts by Participating Agency member resulting from this procurement process, the offeror agrees
to comply with all applicable requirements as referenced in Federal Rule (G) above,
Does offeror agree? YES �2� Initials of Authorized Representative of offeror
(H) 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 Executive Office of the President Office of Management and Budget (OMB) guidelines at 2 CFR 180 that implement
Executive Orders 12549 (3 CFR part 1986 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.
Pursuant to Federal Rule (H) above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror certifies that neither
it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation by any federal department or agency. If at any time during the term of an award the offeror or its principals becomes
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal
department or agency, the offeror will notify the Participating Agency.
Does offeror agree? YES !�� Initials of Authorized Representative of offeror
(I) Byrd Anti-Lobbying Amendment (31 U.S.C. 1352}—Contractors 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 U.S.C. 1352. 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.
Pursuant to Federal Rule (I) above, when federal funds are expended by Participating Agency, the offeror certifies that during the
term and after the awarded term of an award for all contracts by Participating Agency resulting from this procurement process, the
offeror certifies that it is in compliance with all applicable provisions of the Byrd Anti-Lobbying Amendment (31 U.S.C. 1352). The
undersigned further certifies that:
(1) No Federal appropriated funds have been paid or will be paid for on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an
employee of a Member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making
of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification
of a Federal contract, grant, loan, or cooperativ� agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an
employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete
and submit Standard Form-LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all covered sub-
awards exceeding $100,000 in Federal funds at all appropriate tiers and that all subrecipients shall certify and disclose accordingly.
Does offeror agree? YES �/�/'� Initials of Authorized Representative of offeror
RECORD RETENTION REQUIREMENTS FOR CONTRACTS INVOLVING FEDERAL FUNDS
When federal funds are expended by Participating Agency for any contract resulting from this procurement process, offeror certifies
that it will comply with the record retention requirements detailed in 2 CFR § 200.333. The offeror further certifies that offeror will
retain all records as Fequired by 2 CFR § 200.333 for a period of three years after grantees or subgrantees submit final
expenditure reports or quarterly or annual financial reports, as applicable, and all other pending matters are closed.
Does offeror agree? YES �!d Initials of Authorized Representative of offeror
CERTIFICATION OF COMPLIANCE WITH THE ENERGY POLICY AND CONSERVATION ACT
When Participating Agency expends federal funds for any contract resulting from this procurement process, offeror certifies that it
will comply with the mandatory standards and policies relating to energy efficiency which are contained in the state energy
conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S,C, 6321 et seq.; 49 C.F.R. Part 18).
Does offeror agree? YES ,�//G �� Initials of Authorized Representative of offeror
CERTIFICATION OF COMPLIANCE WITH BUY AMERICA PROVISIONS
To the extent purchases are made with Federal Highway Administration, Federal Railroad Administration, or Federal Transit
Administration funds, offeror certifies that its products comply with all applicable provisions of the Buy America Act and agrees to
provide such certification or applicable waiver with respect to specific products to any Participating Agency upon request.
Purchases made in accordance with the Buy America Act must still follow the applicable procurement rules calling for free and
open competition.
Does offeror agree? YES J�� � Initials of Authorized Representative of offeror
CERTIFICATION OF ACCESS TO RECORDS - 2 C.F.R. 6 200.336
Offeror agrees that the Inspector General of the Agency or any of their duly authorized representatives shall have access to any
documents, papers, or other records of offeror that are pertinent to offeror's discharge of its obligations under the Contract for the
purpose of making audits, examinations, excerpts, and transcriptions. The right also includes timely and reasonable access to
offeror's personnel for the purpose of interview and discussi n relating to such documents.
Does offeror agree? YES �� Initials of Authorized Representative of offeror
CERTIFICATION OF APPLICABILITYTO SUBCONTRACTORS
Offeror agrees that all contracts it awards pursuant to the Contract shall be bound by the foregoing terms and conditions.
Does offeror agree? YES / G�� Initials of Authorized Representative of offeror
Offeror agrees to comply with all federal, state, and local laws, rules, regulations and ordinances, as applicable. It is
further acknowledged that offeror certifies compliance with all provisions, laws, acts, regulations, etc. as specifically
noted above.
Offeror's Name: ''l��-��� C ('�. �7 �� vt�9 f�,c �r ,rz�, �n-. � � � � , 1 �1cc �
Address, City, State, and Zip Code: `-� lt� C�.� ��SZ.esZa��d' (� ���� 1�eQd %.�? ����
Phone Number: �— O%u — C�C� Fax Number: � r f
,���� .�C��1- Lp �`� _'`�,� ��'
Printed Name and Title of Authorized Representative: < b� �2 � %.
Email Address: �j� (�P,c.J �� I�,�Cc'; I"�-P-��' t`�l�l
Signature of Authorized Representative: ��" 1`:/��� Date: l�� �l �
OMNIA PARTN�RS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANC�
NEW JERS�Y BUSIN�SS COMPLIANC�
Suppliers intending to do l�usiness in the State of New Jersey must comply with policies and
procedures required under New Jersey statues. All offerors submitting proposals must complete the
following forms specific to the State of New Jersey. Completed forms should be submitted with the
offeror's response to the RFP. Failure to complete the New Jersey pacicet will impact OMNIA
Partners' ability to promote the Master Agreement in the State of New Jersey.
DOC # I Ownership Disclosure Form
DOC #2 Non-Collusion Affidavit
DOC #3 Affrmative Action Affidavit
DOC #4 Political Contribution Disclosure Form
DOC #5 Stocicholder Disclosure Certification
DOC #6 Certification of Non-Involvement in Prohibited Activities in Iran
DOC #7 New Jersey Business Registration Certificate
New Jersey suppliers are required to comply with the following New Jersey statutes when
applicable:
• all anti-discrimination laws, including those contained in N,J.S.A. 10:2-I through N.J.S.A.
10:2-14, N.J.S.A. 10:5-1, and N.J.S.A. 10:5-31 through 10:5-38;
• Prevailing Wage Act, N.J.S.A. 34:1 1-56.26, for all contracts within the contemplation of the
Act;
� Public Worlcs Contractor Registration Act, N.J.S.A. 34:1 1-56.26; and
� Bid and Performance Security, as rec�uired by the applicable municipal or state statutes.
�t��c.�� 1 t��`� r.�-1"c c�,� �(.�L—'� L� � �`��—�9-�.I Ic
OMNIA PAit�'IVERS EXHiBITS
EXHIBTT G NEW JERSEY BUSINESS COMPLIANCE
DOC #1
OWNERSHIP DISCLOSLTRC FORM
(N.J.S. 52:25-24.2)
Pursuant to the requirements of P.L. 1999, Chapter 440 effective April 17, 2000 (Local Public Contracts Law),
the offeror shall complete the form attached to these specifications listing the persons owning 10 percent (10%)
or more of the firm presenting the proposal.
Company Name: Traffic and Parkinc�Control Co., Inc.
Strect: 5100 W Brown Deer Rd
City, State, Zip Code: Brown Deer, WI 53223
Com�lete as appropriate:
I _ , certify that I am the sole owner of
, tlzut there are fio partners crnd the busr.'ness is not
incvNporated, and the provisions afN.JS. 52:25-24.2 do not apply.
OR:
I , a partner zn , do hereby
certify that the, f'ollowing is a list of all individual partners who own a 10% or greater interest the�eirt. I
, fiarther cert� that if one (1) or more of �the partners is itself a corpo�•ation or partriership, there is also set
fortl� the nanaes and addresses of the stockholders holcling 10% or more of that corporation's stock or the
iric�ividual par•tr�ers owning 10% or greater irtterest in that partnership.
OR:
I Andrew R, Beraholz , ar� authorized ��epr�esenrati,�e of'Traffic and Parking
COf�tl'01 GO., 111C. ,� corporntion, do hereby cer�tify lhal the, following is a list of the nnmes arzd
acldresses af all stocklaolders zn the corporcztion who owra 10% or more of its stock of any class. I,further
certify that if'o�ie (1) o�• nao�•e of'such stockhold'ers is itself'a co�poration orpartnership, that tliere is also set
forth the names and addresses of the stockholders hoCding 10% or naore of the corporation's stock ot• the
individual part�aers owrting a 10% or gt°eater interest in that partnership,
(Note: If there are no partners ar stockholders ownin� 10% or more interest, indicate none.)
1Vame Arldress Interest
Andrew R. Berqhoiz, 5100_ W Brown Deer Rc..�Brown Deer WI 53223 - 50% Interest
Jason J. Kuael. 5100 W Brown Deer Rd. Brown Deer WI 53223 - 50% Interest
I further certify that the statements and infornZation contained herein, are complete and cor•rect to the best of
my knowledge and belief.
� ��r 11 � � �� �� ��,��G�.
Date ` ` ` ��ut)iorized SiQnataire anrl Tztle
� �(.�� � ����� c � �.1 �4LZ'� � �=' �=��i" �i,.�-�t �
OMNIA PARTNEItS EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
� DOC #2
� NON-COLLUSION AFFIDAVI'I'
Company Name: Traffic and Parking Control Co., Inc.
Street: 510Q W Brown Deer Rd
' City, State, Zip Code: Brown Deer, WI 53223
State of Wisconsin
County of �_ Milwaukee °
1, Andr�w Berghoiz ofthe Viilag� of Whitefish Bay
Name City
' in the Countv of Milwaukee , State of Wisconsin
' of f'ull age, being duly swof•n according to lmv on my oat1� depose and say that:
; Iam the President and Owner ofthe firm of Traffic and Parkina Control Co. Inc.
Title Compczny Name
� the Offeror making the Proposal for the goods, ser�vices or• public work specified �nder the attached
proposul, and that I executed the sazd proposal with full authority to do so; that said Offeror ha,s not
directly or indirectly enterec� into any agreement, participated in any collu.sion, or otherwise Cakerr
' any actian in restr•aint of�ee, competitive bidding in cortnectiart with the above prv�osal, and that
all stc�tements eontained in said proposal and in this cz�c�avit crre true and eorreet, crnd made ��ith
full knowledge that Nelies upon the tr�uth of' the staternents contained in sczic� proposal arcd in the
statements contained in this af'fidavit in aw�zrding the contrcrct for the said goods, services or�ublic
work.
I, further warrant that no person or selling agency has been em�loyed or retainecl to solicit or secure
such contract upon an agreement or understanding f'or a commission, percentage, brokerage or
contingent fee, except hona, fide employees or hona fide e,stablished commercial or selling agencies
maintained by
iraffic and Parking Control Co., Inc.
Company Name
Subscribed and sworn before zne
�.. r' . L.�� �Sic�L�
.�.. u�-�'
Aut orize igrtature & Title
this ll day of l��-�v� , 24t � MEGAN ELIZABETH NELLIGAN
� ��� Notary Public
State of Wisconsin
Nutary Public of
My commission expires _o, 9�5' 20�_-i—
,
SEAL
OMNTA PART'iVERS EXI�BITS
EXHYBIT G NEW .JERSEX BiJSINESS COMPLIANCE
�� � ►�� �T(�l•�A�L►.� � � � ��-�c �.
� a ., . _, .
. ;
. �.
'• 1 . �� f 'aa-` � . .. \. . . ,.. . :i'.�.::�...
DOC #3
AFFIR[VIATIVE ACTYON AFFIDAVIT
(P.L. 1975, C.127)
Campany Name: Traffic and Parkina Control Co., Inc.
Street: 5100 W Brown Deer Rd
City, State, Zip Code: Brown Deer WI 53223
Proposal Certification: � ' �
Indicate belo�v company's compliance with New Jersey Affitmative Action regulations. Campany's
proposal will be accepted even if company is not in compliance at this time. No contract and/or
purchase arder inay be issued, however, until all Affirmative Action requirements are met.
Itepuired Afiarmative Action Evidence:
Procurement, Professional & Service Contracts (Exhibit A)
Vendors must submit with proposal:
1. A photo copy of their Pederal Letter of Affirmative Action Plan Ap rp oval
•'
2. A photo copy of their Certiiicate of Emplo,yee Information Report
OR
3. A complete Affirmative Action Em�lo�e Information Report (AA302)
Public Wark — Over $50 000 Total Pro'ect Cost:
A: No approved Federal or New Jersey Affirn�ative Action Plan. We will comptete Report Form
AA201-A upon receipt from the
B. Appraved Federal or New Jersey Plan — certificate enclosed
I further cert� th�zt the statements and inf'ormatton containecl herein, ccre co�nplete and corr•ect to
the.best of my knowledge arzd belief. -_.
� C� I l ! � �C � �_ �
Date Arst/zarzzec� Sign ture an itle
�(� � I t�T� t�T l� rJ �� �.,C �� �r4�( l�
OMNIA PARTNERS EXIiIBTTS
EYHIBIT G- NEW JERSEY BUSINI:SS COMPLIANC�
DOC #3, continued P.L. 1995, c. 127 (N,J.A.C. 17:27)
MANDATORY AFFIRMATIVE ACTION LANGUAGE
PROCUREMENT PROFESSIONAL AND SERVICE
C�IVTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any eniplayee or applicant for
employment because of age, race, creed, color, national origin, ancesriy, marital status, sex, affectional or sexual
orientation, The contractor will take aff'�rmative action to ensure that such applicants are recruited and ernployed, and
that etnployees are�treated duruig etnployment, withaut regard.to their,age, race, creed, color, national origin, ancestry,
marital status, sex, affectional or sexual orientation. Such action shall include, but not be limited to the foflowing:
employment, upgrading, demotion, or transfer; recruitment or recr-uihnent advertising; layoff or termination; rates of pay
or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in
conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency
Compliance Officer setting forth provisions of this non-discrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations'or advertisement for ernployees placed by or
on behalf of the contractor, state that all qualified applicants will receive consideration for ernployment without regard to
age, race, creed, color, natianal origin, ancestry, marital status, sex, affectional or sexual orientation.
The eontractor or subcontractor, where applicable, will send to each labor unioii ar represeirtative of workers with which
it has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency
contracting officer advising the labor union or workers' representative of the contractor's commitments under this act and
shall post copies of the notice in conspicuous places available to employees and applicants for employment.
The cnntractor or subcontractor, whera applrcable, agrees ta comply with any regulations promulgated by the Treasurer
pursuant to i'.L. 19'75, c. 127, as amended and suppiemented from time t� time and the Americans with Disabilities Act.
The contractor or subc�ntractor agrees to attempt in good faith to employ minority and female workers trade consistent
with the applicable county employment goal prescribed by N.J.A.C. 17:27-5.2 promulgated by the Treasurer pursuant to
P.L. 1975, C.127, as amended and supplemented from time to time or in accordance with a binding deteimination of the
applicable county employment goals determined by the Affirmative Action Office pursuant to N.7.A.C. 1727-5.2
promulgated by the Treasurer pursuant to P.L. 1975, C.127, as amended and supplemented from time to time.
The contractor ar subcontractor agrees to inforni in writing appropriate recruitmeut agencies in the area, including
employment agencies, placement bureaus, colleges, universities, labor unio►is, that it does not discriminate on the basis
of age, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation, and that it will
discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.
The contractor or subcontractor agrees to revise any ofi it testing procedures, if necessary, to assure that all personnel
testing conforms with the principles of job-related testing, as established by the stahrtes and court decisions of the state
of New 7ersey aud as established by applicable Federal law and applicable Federal court decisions.
T'he contractor or subcontractor lgrees to review all procedures relating to trans%r, upgrading, downgrading and lay-off
to ensure that all such actions are taken without regard to age, creed, color, national arigin, ancestry, niarital status, sex,
affectional or sexual orientation, and conform with the applicable employment goals, consistent with the statutes and court
decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.
The contractor and its subcontractors shall furnish such reports or other doctunents to the Affirmative Action Ofiice as
may be requested by the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Affirmative Action Office for conducting a compliance
investigation pursuant to Subchanter 10 of the Administrative Code (NJAC 17,271.
�/
� � ` �.
�1gn ture of Procurement Agent
I��c�C �r�� ��Tc� � t� �-� ��T��xc'!�
OMNTA PARTIVER5 EX�IIBITS
EXHIBIT G- N�W JERSEY BUSINESS COMPLLANCE
DOC #4 C. 271 POLITICAL CONTRIBUTION DISCLOSURE F0121VI
Public Agency Instructions
This page provides guidance to public agencies entering into contracts with business entities that are required to file
� Political Contribution Disctosure fortns witli the agency, it is not intended to be provided to contractors. What follo�vs
� are instructions on the use of forn� local units can provide to coniractors that are required to disclose palitical contributions
pursuant ta N.J.S.A. 19:44A-20.26 (P.L. 2005, c. 271, s.2). Additional infonnation on the process is available in Local
Finance Notice 2006-1 (http://www.nj. ov/tica/divisions/dl sh�esaw�ces/Ifils 2006.html). Please refer back to these
instructians for the appropriate links, as the Local Finance Notices include links tliat are no longer operational.
1. T'he disclosure is required for all contracts in excess of $17,500 that are not awarded pursuant to a"fair and open"
process (N.J.S.A. 14:44A-20.7).
2. Due to the potential length of some oontractor submissions, the public agency shottld consider allowing data to be
submitted in electronic form (i.e., spreadsheet, pdf file, etc.). Submissions must be kept with the contract documents
or in an appropriate computer file and be available for public access. The form is worded to accept this alternate
submission. The text should be amended if electc�onic submission will not be allowed.
3. The submissiou must be received from the contractor and on file at least 10 days priar to award of the contract.
Resolutions of award si�ould reflect that the disclosure has been received and is on iile.
4. TfYe contractor must disclose contributions made ta candidate and party comrnittees covering a wide range of public
agencies, includiug all public agencies that have elected officials in the county af the public agency, state legislative
pasitions, aud various state entities. The Division of Local Government Services recommends that contraotors be
, provided a list of the affected agelicies. This will assist conh�actors in detennining the campaign and politica.l
, committees o£the officials and candidates affected by the disclosure.
a. The Division has prepared model disclosure forms for each aounty. They can be downloaded fi•om the "County
PCD Foi�ns" link on the Pay-to-Play web site at http://www.nj.�ov/dca/divisions/dl�s/uro�rams/lpcl.htrnl#12.
They will be updated from time-to-time as necessvy.
b. A public agency using these forms should edit them to properly reflect the carrect legislative district(s). As
the forms u•e county-based, they list all legislative districts in each couiity. Districts that do not represent
the public agency should be remaved from the lists.
c. Some contractors may find iC easier to provide a single list that covers all contribntions, regardless of the county.
These submissions are appropriate and slioulci be accepted,
d. The fonn may be used "as�is", subject to edits as descr7bed lierein.
e, The "Contractor Instructions" sheet is intended to be provided with the fonn. It is recommended that the
Inshuctions at�d the form be printed on the same piece of paper. Tl�e form notes tl�at the Inshuctions are printed
on the back of the fonn;. where that is not the case, the text should be edited accordingly.
f. The forni is a Word document and cau be edited to meet local needs, and posted for downlaad on web sites, used
as an e-mail attachrnent, or provided as a printed document.
It is recommended that the contractor fllso complete a"Stockholder Disclosure Certification." This will assist the
local unit in its obligation to ensure that cont�•actor did not make any prohibited contributions to the committees listed
on the Business Entity Disclosure Certification in the 12 months prior to the cont�•act (See Loca( Finance Notice
2006-7 for additional information an this obligation at
littp:(/www.nj.gov/dcalciivisions/dlr�s/resources/Ifns 2006.htm1). A sample Certification form is part of this pack�ge
and the instruction to camplete it is included in the Contractor Instn�ctions. NOT'�: Th'is section is not applicable to
Boards of Education.
;�,��c I�� ►��tl���-��.�-� ��- �T � ��-�►�
OMNIA PARTNERS EXHII3ITS
EXHIBI'1' G- NEW .IERSEY BUSINESS COMPLIANCE
Qoc #4, continued �, z71 POLITICAL CONTRIBUTION DISCLOSURE FORM
Contractor Instructions
Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a"fair and
open" process (defined at N.7.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2 .(N 7.S•A• 19;44A-
20.26}. T'his law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions
to:
• any State, county, or municipal committee of a political party
• any legisiative leadership committee"
• any continuing political committee (a.k.a., political actinn committee)
• any candidate committee of a �andidate for, or holder o£, an elective office:
0 of the pubiic entity awarding the contract
0 of that county in which that public entity is located
0 of another public entity within that county
0 or of a legislative dish•ict in which that public entity is located or, when the public entity is a county,
of any legislative district which includes all or part of the county
The disclosure must list reportable contributions to any of the committees tllat exceed $300 per election cycle that were
made during the 12 months prior to award of the contract. See N.J.S,A. 19:44A-8 and 19:44A�16 for more details on
repartable contribuCions.
N.J.S.A. 19:44A-20.26 itemizes the pacties from whom contributions must be disclosed when a business entity is not a
natural person. This includes the following:
• individuals with an "interesY' ownership or control of more than 10% of the profits or assets of a business entity
or 10% of the stock in the case of a business entity that is a corporation for profit
o all principals, pariners, officers, or directors of the business entity or their spouses
• any subsidiaries directly or indirectly controlled by the business entity
• IRS Code Secti�n 527 N�w 7ersey based organizations, directly or indirectly controlled by the business entity
and iiling as continuing political committees, (PACs).
Wiien the business entity is a natural person, "a contribution by that person's spouse or child, residing therewith, shall be
deemed to be a contribution by the business entiry." .fN 7•S.A• 19:44A-20.26(b)] The conh�ibutor must be listed on the
disclosure.
Any business entity. that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an
amount to be determined by the Commission which rnay be based upon the amount that the business entity failed to repat�t.
The enclosed list of agencies is provided to assist the conn•actor in identifying those public agencies whose elected official
and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor's responsibility ta
identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed
information may exceed the miiiimum requireinent.
The enclosed form, a content-consistent facsimiie, or an electronic data file containing the required details (along with a
signed cover sheet) may be used as the contractor's submission and is disclosable ta the public under the Open Public
Records Act.
The contractor must also complete the attached Stockholder Disclosure C'ertification. This will assist the agency in
meeting its obligatiovs under the law. NOTE: This section does not apply to Soard of Education contracts.
" N.J.S.A, 19:44A-3(s): "The tei7n °legislative leadership committee" means a committee established, authorized to be
established, ar designated by the President of the Senate, tIie Mu�ority Leader of the Senate, the Speaker of the General
Assembly or the Minority Leader of the General Assembly pursuant to section 16 of P.L.1993, c.65 (C.19:44A-10.1) for
the ptu�pose of receiving contributions and making expendiiures."
�� �����C�c� �1�� ��a.= � r ��� k
�
OMNIA PARTNERS EXHIBITS
Doc #4, continued EXHIBIT G- NEW JERSEY BUSTNESS COMPLIANCE
r.. �71 POLITICAL CONTI�BXJTION DISCLOSURE FORM
Required Pursuant to N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
The undersigned being authorized to certify, l�ereby certifies that tlie submission provided herein represents
compliance with the provisions af N.J.S.A. 19:44A-20.26 and as represented by the Instructions
accornpanying tliis forrn.
/-� �� Andrew R. Ber� hg olz President and Owner
S gn ure Printed Nanle Title
�art II — Contribution Disclosuse
Disclosure reql�irement: Pursuant to N.J.S.A. 19:44A�20.26 this disclosure must include all .reportable
political contributions (more than $300 per election cycle) over the 12 months prior to submission to
the committees of the governinent entities listed an the form provided by the local unit.
Check here if disclosure is rovided in electronic form
Contributor Name Reci ient Name Date 17ollar Amount
None � None
❑ Check here if the infornration is continued on subseGuent page(s)
�art i — Vendor Informatinn
/-k-l�� ���..lT C� � i �r�c�.r�� 1--��= `� � �
OMNIA PARTNERS EXHIBITS
Doc #4, continued EXHIBIT G NEW JERSEY BUSIN�SS COMPLIANCE
List of Agencies with Elected Officials Required for Political Contribution Disclosare
N.J.S.A. 19: 44A-20.26
County Name:
State: Governor, and Legislative Leadership Cotnmittees
Legislative District #s:
State Senator and two members of the General Assembly per district.
County;
Freeho�ders , County Clerk Sheriff
{County Executive} Surrogate- �
Municipalities (Mayor and members of govern'rng body, regardless of title):
IJSEIR� �NOULD CRE/4i� 7Hf�ii� O`Ihl'N �O�M, OFt nOiN'NLOA�
PRO� i'H� i�AY T'O �ILAY SECTION OF TF�E DLCiS 1N�BSTTE A
COUNTY-BASED, CUST()P�iIZ/4�LE FORM.
�
�' `V L � �-�..J ��`�� d�-��� ��. E' "7� �C„--l� /l.l �
� � "7
OIVII�TIA PARTNERS EXIiIBI�'S
EXHIBIT G-1vEW JERSEY BUSINESS GUMP1LIAlVCE
DOC #5
STOCHI�OLDER DISCLOSURE CERTIFICATI(?N
l�lame of' Business:
� I certif'y that the list below contains the names and horne addresses of all stockholders
holding 10% or more of the issued and outstanding stock of the undersigned.
OR
I certify that no one stockholder o«�ns 10% or more of the issued and outstanding stock of
the undersigned.
Check the box that represents the type of business organization:
Partnership Corporation Sole Proprietorship
Liniited Parinership Limited Liability Corporation Limited Liability Partnership
X Subchapter S Corporation
Sign a�nd notarize the form below, and, if necessary, complete the stockholder list belovv.
Stockholders:
Name: Name:
Jason J. Kugel Andrew R, Bergholz
Honte Address: 5100 W Br'own Deer Rd Home Address: �� 00 W Brown �eer Rd
Brown Deer, WI 53223 Brown Deer, WI 53223
Name: Name:
Home Address: Horne Address:
Name: Name:
Home Address: Home Address:
Subscribed and sworu before me this �'day of (�� /�/ _, �.-.,�{�l �(�'�('�,��
Z� � (Affiant)
l/+i''�e� � ��` �wc.if'2�� R. �je�c��a`�- PQSfrJIQ-v.:
(Notary Public) � �
(Print riame & title of affiant) E� ���y� �
My Commission expires: �/�s% ('j Z„r'2
/ (Corporate Seal)
MEGAN ELIZABETH NELI.IGAN
Notary public
State of W;sconsin
��t,L � t� T� � �tc� r� ��L � ���
� ��C�4tif �
a ,�- . .��! .. ....i. ..k .�tn� .�„ .i . .. . �
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OMNIA PAI2TNERS EXHIBITS
EYHIBIT G- NEW JERSEY BUSIN�SS COMPI,IANCE
DOC #6
Certifcation of Non-Involvement in Prohibited Actrvitres fn Iran
Pursuant to N.J.S.A. 52:32-58, Offerors must certify that neither tlie Offeror, nor any of its parents,
subsidiaries, and/or affiliates (as defined in N.J.S.A. 52:32 — 56(e) (3)), is listed on the Department
of the Treasttry's List of Persons or Entities Engaging in Prohibited Ynvestment Activities in Iran
and tha.t neither is involved in any of the investment activities set farth in N.J.S.A. 52:32 — 56(�.
Offerors wishing to do business in New Jersey tt�rough this.contract must fill out the Certification of
Non-Involvement in 1°rohibited Ac�ivities in Iran here:
http://www.state.nj.us/humanservices/dfd/info/standard/fdc/disclosur� investmentact pdf.
Offerors shUuld submit the above form completed with their proposal.
��� [���.��r�ud.� L� � � -��.��
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�������ca�€�g�r:
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���9�3��� t�Y��'�` �1:�l�6����f� �?��`i � �� �#��C:.Yaii�� �9��'6��::�t ���W
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�'��i-sua�7t to Pubile �aw 2012., c. 25, any pe�-son ar �nfiiy tha� su�r�Eis � bir� or propc�sal �r� esthervvise propos�s ta enter into or rer€e�u �a
cc�ntr��t rt��st �ornplete the certitic��ion l�eic�w ra attest, Etnd�:r p�r��lty af �erjury, fhat aa�ither the p�r�on or �n#ity, nor any af ifis p�rent�,
subsidiar�ies; ar a�fii'rat�s, is idantir"ieci on tl�� 17epartn�ent �€ �"r�asuty's Ghapt�r 2,5 iist a� a�ersoi7 ar entiky errc��ying in ir�v�sfm�raf activities
in 1ra«. �fi�� Ci��pt�r 25 ii,�t i� faund a��� th� Bivisi�rr�'� u�ref�siie �� !�� ��Ilw��s�,�..����e,ri�:u.�ite��:at�r�l�?x�r���:l�s���.l�r!?��.(�P��a'.,��r,��l.��4�.,.�.r�f. k3idcicr.�
�x-aX���� revieur Fl�tis list ��rior ta completing fihe bcit�wr �ertificia#��n. i-�aii�ar� gcs ��������� �h� e����ic�-��i�s� �n�i# r�r�c�er ��a�e�d�r'� �a�c��es. ��
��uv��r�s��€��i��. if the L7ir�ctor finds a�ers�in or �n�ity to b� it3 vial�tic��� o# law, slhe �hall #alze �xctir�r� aa may I�� �p�rapo-iafie at�d �Srovid��1
�� f�w, r�ile crr contracf, ir�rcluding but npt fi�t�it�ti fp, irt�posing sar�etior�s, se�ki�lt� cflmpliat�cu, recoverirnt� clamages, d�cEarinq �he party ir�
r.i�;fauVt `tr�d �eekinq el�k�arre��r�t or ausp�nsion of th�: pa��y
;`' � r� ��€�" z��'i��": �,. `� P�% a���s�x�°"3�"'���`•Y$"� �.�€���:
� ca��il�, �a.��°�s���t� ��s ��t�t"s� i_�� tii��, �. ��, iF�aY ��i���� �t�� ��a�4�3�� �i�c.�d �����; a�aa- �a�7y ca� �83s� �i���r'� ����rt��,
��s�+��€Si�a�E��, �rr :���aa&�� i� li�u�:s� an the N.J. }�eparff?�enf. af the Treasury„s lisf c�fi �;ntif.ies cietcrrr�in�cf ta be eiiqag�:d in �7r�hiiai�ed
��c�ivities in Iran pursuant tc� [�.L. �ai2; c. 25 („Gt�a{�t�r 25 L.ist"}. i further ctr#ify th�t I�m the ��rson Ii�ter2 al�ove, ar I am an aific�r
c�r repre��ntaiive or t{�re entity fi�ted aP�ov� anc� �rrt �i�thoriz�:d 2c� make this c�r�ifiica�ion nn afs h�h�if. ��ikQ ,�Cip ��r'� ��n� �'s�� �rs�
�:€ss�pt��� fh� E:���Ffa���8car� ��9��.
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�o�t� ��c�� ��c� �ut�s{�9�t� �:��� ��r��i��tii�ac� ���ex��r. Failure to pr,avid�_s��c11 uvill resuit in YI���ro�lc��al_��1.�!�_r��de�ecl �s_r�ur�_
r��p�ansiv_� �nd ap�S��a�riatQ penaifiies, fn�� andlor sanetians wili be as5�sse� �s pr�videc! �y io-�vr.
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`tc�u rr�u:,t �rovtci� �; d�f�aiir�d, acc�Erat� ��id �;rec's�� tiescri�rti�n o3 tl�ie act'tviti�s of the laid�linq persari/c�nYi�y, or �r4� ar its pa!-���rt;a,
st?bsit�i�ries c�r� a�iliates, �r7c�aging ir� the ir�ve �tment �ctivsti�s in �ra�� outiin�d ��ov�: Pay c;cm��iPtirag the k�oRes belc�w.
�.��i-3 ��3� �'��P.�. ���(���"f "��� i°C.� E��C.�'��l�� i���s i�f�'°C`�C�� �E�.�i'6�� �'� �'FB�,�,��:)�'�:. �3..1���'���l:a. �"t„��:a� F'€������k�:
`�€���€�s�t��JC�� ���l�f���'�'f� �f�t�3� �.lt�:�'�'8��. €�'�'e�iy��g�V�g�� l�t�q �i�a��� p;g���p��`k"Ept�P�B�[. ��iT"�:B��, ��i��� Tl�� ",��i� �a,�� ��l.'�€`"t'��':3�°��l..
T4�r� 1 7 N� i/�� �AY G 4i i. �r X�� A•9� EQAi Y,
P��C�ti��
C��scripfiion a�Activities
�1ut�t�c�n �f Enga��;ment
C�it�dE.rlt?i�cror Gan��cfi i�d�n�e
i'��ia�iranship fo Bidcf�r/t7f�Erar
Antici�at���i Cess�tio�i �Jai�
�'c,r�1�c�:1'f�one t�umber
t�cr-�iFic��icr�: i, �3ev�y d��,� sr�rcrre� u�ar� any a�fh, h���b�r r�pees.er�t a€�c# s�ata'ch�� ��e �orre#�e�in�g i�rt�a�rsaa€��•rr �r�€� �r�� �¢�chrn�:;��� �hs;r�Y� ts� �iac� ��a�;s� o�'
r�K�sy E������sd�o are kesae �nd ca�ag�4�e�. d a24�:s4 49��� i���; ��s��a��iz�d �a� �:x�c�a�� �➢�is c�:rii�i�a�i�r�e� vc�a b�F��aif �.a( ffsr� ��aavm-ra�s�E��nce� p�rse�a� �a� �n�ity. �'',.
�cG��rrsbvlecig� t��ii fh� r��f� �f P��e�r .J�s°�e��r ia� r�Byis�� �r� i�tt ir���art�a�eicar� �;car�k�iet�ei &a�Y�ira �a�c� @#�e�e��r acEctsz�vas6�dy�: th�� 9�ss� ur�c@ar � c:�a��6�ruis�€;;
nk�lic�a,4i�t� �cceyn Y�� a�i� o� �has c�;a�'s�icafieasa fhrau�4� £4�� cerarspl�t`sc+rr �f anp c�sn�w�cY� a�Ith �h� ���e �ce e�ts�eryt �h� z�i:� ias a�t�aYir�g c�� any cFr�n€��� to �l��I
�zrs:�w��s c�� 6�fi�rrc��#ior� ian�a€�t�cd �h�reiea. 9 a��re�eavu�Fd�� th�t 3�rro ��u�r� fi.h�� ig i� � cria����a�i ��`�s��� Yss rr�a�ta :� €a9a� �Y���:m��€& ar ra�is�ep�•��e�n��ia� in�
ii�'ss �¢:r�i�ir.�aiio��, �e�ad ff 1€�a s�a, i rs�cera�r�n�¢� f:h�� i a�re s€tbject tra �rarraina� �sro��:c�ati�n �sr�d�r �3s� &�a+� ��aa� ���a� ii: vuit9 �t�a r,aass�igt�C� a earak�ed�d �r��ch r,i
r�ry a�re�r�s�rs�(�) wikh �s�e ��Be rs'r �etr�e .��r�t�� �nr3 t��� tiha� ;`s���6 ai i4� optican a�aay cf�cl�r� �ray �tantv�cfi�s} o��s�ulting� fia�eirrr� thi� c�a�fic��¢c�ra �rzic� �sat�
ta i��rti'�aa-c�::.ab4c.
��ilf tv�srr;> tPfi�Er,c�: Andrew R. Bergholz 5ic��j��;ut•�: � �� I
�i{re��: f�resident and Owner
-- �
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C�aee: �� �
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OMNIA PARTNER� EXHIBITS
EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #7
I�TEVtr �ERSEY BUSINESS REGISTRA.TIOI�T C�R`T'IFICATE
(N.J.S.A. 52:32-44)
Offerors wishing to do business in New Jers�y nlust submit their State Division of Revenue issued
Business Registration Certificate with their proposal here. Failure to do so will disqualify the
Otferor from offering products or services in New Jersey through any resulting contract.
http://www.state.nj_,us/treasurv/revenue/fonns/i�j reg1pdf
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NEW JERSEYDEPARTMENT OF THE TREASURY
DIVISION OF REVENUE AND ENTERPRLS'E SER VICES
CERTIFICATE OFAUTHORITY
TRAFFICAND PARI�ING CONTROL CORPORA'IION
04007U2289
The above-named FOREIGN FOR-PROFIT CORPORATION was duly filed in
accordance with New Jersey state law on 11/13/2014 and was assigned
ia'entification number 0400702289. Following are the articles that
constitute its original certificate.
1. Name.
TRAFFIC AND PARKING CONTROL CORPORATION
2. Registered Agent:
INCORP SERVICES, INC.
3. Registered Office:
208 WEST STATE STREET
TRENTON, NJ 08608 1002
4. Business Purpose:
DISTRIBUTION OF TRAFFIC AND PARKING PRODUCTS
5. Tncorporated Under the Laws of:
WISCONSIN on 04/01/1961
6. Main Business Address:
5100 W. BROWN DEER RD.
BROWN DEER , WI 53223
Signatures:
ANDREW BERGHOLZ
( ".' �
F.
W
�rn
V
TH�% S'T,��
�
�
IN TESTIMONY WHEREOF, 1 have
hereunto set m,y hand and affixed my
Offrcicrl Sea! al Trenton, dhis
13t1� cfa>> of November, 20/4
� r \
�
Andrew P Sidn�non-Erisroff
State Trensurei-
Ceirtification# I 34 ( 92442
Verify this certiticate at
https://www I. stlte. nj. us/TYTR_Standi ngCert/J S PN erify_Cert.j sp
Page 1 of I
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OMNIA PARTNERS EXHIBITS
EXHIBIT H- OMNIA PARTNERS ADVERTISING COMPLIANCE REQUIREMENT
Pursuant to certain state notice provisions, including but not limited to Oregon Revised Statutes Chapter 279A.220, the following
public agencies and political subdivisions of the referenced public agencies aze eligible to register with OMNIA Partners and access
the Master Agreement contract award made pursuant to this solicitation, and are hereby given notice of the foregoing request for
proposals for purposes of complying with the procedural requirements of said statutes:
Nationwide:
Certain Public Agencies and Political Subdivisions:
CITIES. TOWNS, VILLAGES AND BOROUGHS
INCLUDING BUT NOT LINIITED TO:
BAKER CITY GOLF COURSE, OR
CITY OF ADAIR VILLAGE, OR
CITY OF ASHLAND, OR
CITY OF AUMSVILLE, OR
CITY OF AURORA, OR
CITY OF BAKER, OR
CITY OF BATON ROUGE, LA
CITY OF BEAVERTON, OR
CITY OF BEND, OR
CITY OF BOARDMAN, OR
CITY OF BONANAZA, OR
CITY OF BOSSIER CITY, LA
CITY OF BROOKINGS, OR
CITY OF BURNS, OR
CITY OF CANBY, OR
CITY OF CANYONVILLE, OR
CITY OF CLATSKANIE, OR
CITY OF COBURG, OR
CITY OF CONDON, OR
CITY OF COQUILLE, OR
CITY OF CORVALLI, OR
CITY OF CORVALLIS PARKS AND RECREATION
DEPARTMENT, OR
CITY OF COTTAGE GROVE, OR
CITY OF DONALD, OR
CITY OF EUGENE, OR
CITY OF FOREST GROVE, OR
CITY OF GOLD HILL, OR
CITY OF GRANTS PASS, OR
CITY OF GRESHAM, OR
CITY OF HILLSBORO, OR
CITY OF INDEPENDENCE, OR
CITY AND COUNTY OF HONOLULU, HI
CITY OF KENNER, LA
CITY OF LA GRANDE, OR
CITY OF LAFAYETTE, LA
CITY OF LAKE CHARLES, OR
CITY OF LEBANON, OR
CITY OF MCMINNVILLE, OR
CITY OF MEDFORD, OR
CITY OF METAIRIE, LA
CITY OF MILL CIT'Y, OR
CITY OF MILWAUKIE, OR
CITY OF MONROE, LA
CITY OF MOSIER, OR
CITY OF NEW ORLEANS, LA
CITY OF NORTH PLAINS, OR
CITY OF OREGON CITY, OR
CITY OF PILOT ROCK, OR
CITY OF PORTLAND, OR
CITY OF POWERS, OR
CITY OF PRINEVILLE, OR
CITY OF REDMOND, OR
CITY OF REEDSPORT, OR
CITY OF RIDDLE, OR
CITY OF ROGUE RIVER, OR
CITY OF ROSEBURG, OR
CITY OF SALEM, OR
CITY OF SANDY, OR
CITY OF SCAPPOOSE, OR
CITY OF SHADY COVE, OR
CITY OF SHERWOOD, OR
CITY OF SHREVEPORT, LA
CITY OF SILVERTON, OR
CITY OF SPRINGFIELD, OR
CITY OF ST. HELENS, OR
CITY OF ST. PAUL, OR
CITY OF SULPHiJR, LA
CITY OF TIGARD, OR
CITY OF TROUTDALE, OR
CITY OF TUALATIN, OR
CITY OF WALKER, LA
CITY OF WARRENTON, OR
CITY OF WEST LINN, OR
Lists of political subdivisions and local governments in the above referenced states / districts may be found at
http:1/�wvw.usa.�ov/Aeencies/State and Territoriesshtml and https://www.usa.eov/local-governments.
CITY OF WILSONVILLE, OR
CITY OF WINSTON, OR
CITY OF WOODBURN, OR
LEAGUE OF OREGON CITES
THE CITY OF HAPPY VALLEY OREGON
ALPINE, UT
ALTA, UT
ALTAMONT, UT
ALTON,UT
AMALGA,UT
AMERICAN FORK CITY, UT
ANNABELLA,UT
ANTIMONY, UT
APPLE VALLEY, UT
AURORA,UT
BALLARD,UT
BEAR RIVER CITY, UT
BEAVER,UT
BICKNELL, UT
BIG WATER, UT
BLANDING, UT
BLUFFDALE,UT
BOULDER,UT
CITY OF BOUNTIFUL, UT
BRIAN HEAD, UT
BRIGIIAM CITY CORPORATION, UT
BRYCE CANYON CITY, UT
CANNONVILLE, UT
CASTLE DALE, UT
CASTLE VALLEY, UT
CITY OF CEDAR CITY, UT
CEDAR FORT, UT
CITY OF CEDAR HILLS, UT
CENTERFIELD, UT
CENTERVILLE CITY CORPORATION, UT
CENTRAL VALLEY, UT
CI-IARLESTON, UT
CIRCLEVILLE, UT
CLARKSTON,UT
CLAWSON, UT
CLEARFIELD, UT
CLEVELAND,UT
CLINTON CITY CORPORATION, UT
COALVILLE, UT
CORINNE, UT
COItNISH, UT
COTTONWOOD HEIGHTS, UT
DAIVIEL, UT
DELTA,UT
DEWEYVILLE, UT
DRAPER CITY, UT
DUCHESNE, UT
EAGLE MOUNTAIN, UT
EAST CARBON, UT
ELK RIDGE, UT
ELMO, UT
ELSINORE, UT
ELWOOD, UT
EMERY,UT
ENOCH,UT
ENTERPRISE, UT
EPHRAIM, UT
ESCALANTE, UT
EUREKA,UT
FAIRFIELD, UT
FAIRVIEW, UT
FARMINGTON, UT
FARR WEST, UT
FAYETTE, UT
FERRON, UT
FIELDING, UT
FILLMORE, UT
FOUNTAIN GREEN, UT
FRANCIS, UT
FRUIT HEIGHTS, UT
GARDEN CITY, UT
GARLAND,UT
GENOLA,UT
GLENDALE,UT
GLENWOOD, UT
GOSHEN,UT
GRANTSVILLE, UT
GREEN RIVER, UT
GiJNNISON, UT
HANKSVILLE, UT
HARRISVILLE, UT
HATCH, UT
HEBER CITY CORPORATION, UT
HELPER, UT
HENEFER, UT
HENRIEVILLE, UT
HERRIMAN, UT
HIDEOUT, UT
HIGHLAND, UT
HILDALE, UT
HINCKLEY, UT
HOLDEN,UT
HOLLADAY,UT
HONEYVILLE, UT
HOOPER,UT
HOWELL, UT
HUNTINGTON, UT
HUNTSVILLE, UT
CITY OF HURRICANE, UT
HYDEPARK,UT
HYRLTM, UT
INDEPENDENCE, UT
IVINS, UT
JOSEPH, UT
JiINCTION, UT
KAMAS, UT
KANAB, UT -
KANARRAVILLE, UT
KANOSH,UT
KAYSVILLE, UT
KINGSTON, UT
KOOSHAREM,UT
LAKETOWN, UT
LA VERKIN, UT
LAYTON,UT
LEAMINGTON, UT
LEEDS, UT
LEHI CITY CORPORATION, UT
LEVAN, UT
LEWISTON, UT
LINDON, UT
LOA, UT
LOGAN CITY, UT
LYMAN, UT
LI'NNDYL, UT
MANILA, UT
MANTI, UT
MANTUA,UT
MAPLETON, UT
MARRIOTT-SLATERVILLE, UT
MARYSVALE,UT
MAYFIELD, UT SCOFIELD, UT
MEADOW, UT SIGURD, UT
MENDON, UT SMITHFIELD, UT
MIDVALE CITY INC., UT SNOWVILLE, UT
MIDWAY, UT CITY OF SOUTH JORDAN, UT
MILFORD, UT SOUTH OGDEN, UT
MILLVILLE, UT CITY OF SOUTH SALT LAKE, UT
MINERSVILLE, UT SOUTH WEBER, UT
MOAB, UT SPANISH FORK, UT
MONA, UT SPRING CITY, UT
MONROE, UT SPRINGDALE, UT
CITY OF MONTICELLO, UT SPRINGVILLE, UT
MORGAN, UT STERLING, UT
MORONI,UT STOCKTON,UT
MOUNT PLEASANT, UT SiJNNYSIDE, UT
MURRAY CITY CORPORATION, UT SL]NSET CITY CORP, UT
MYTON, UT SYRACUSE, UT
NAPLES, UT TABIONA, UT
NEPHI, UT CITY OF TAYLORSVILLE, UT
NEW HARMONY, UT TOOELE CITY CORPORATION, UT
NEWTON, UT TOQUERVILLE, UT
MBLEY, UT TORREY, UT
NORTH LOGAN, UT TREMONTON CITY, UT
NORTH OGDEN, UT TRENTON, UT
NORTH 3ALT LAKE CITY, UT TROPIC, UT
OAK CITY, UT UINTAH, UT
OAKLEY, UT VERNAL CITY, UT
OGDEN CITY CORPORATION, UT VERNON, UT
OPHIR, UT VINEYARD, UT
ORANGEVILLE, UT VIRGIN, UT
ORDERVILLE, UT WALES, UT
OREM, UT WALLSBURG, UT
PANGUITCH, UT WASHINGTON CITY, UT
PARADISE, UT WASHINGTON TERRACE, UT
PARAGONAH, UT WELLINGTON, UT
PARK CITY, UT WELLSVILLE, UT
PAROWAN, UT WENDOVER, UT
PAYSON, UT WEST BOUNTIFUL, UT
PERRY, UT WEST HAVEN, UT
PLAIN CITY, UT WEST JORDAN, UT
PLEASANT GROVE CITY, UT WEST POINT, UT
PLEASANT VIEW, UT WEST VALLEY CITY, UT
PLYMOUTH, UT WILLARD, UT
PORTAGE, UT WOODLAND HILLS, UT
PRICE, UT WOODRUFF, UT
PROVIDENCE, UT WOODS CROSS, UT
PROVO, UT
RANDOLPH, UT COUNTIES AND PARISHES INCLUDING BUT NOT
REDMOND, UT LINIITED TO:
RICHFIELD, UT ASCENSION PARISH, LA
RICHMOND, UT ASCENSION PARISH, LA, CLEAR OF COURT
RIVERDALE, UT CADDO PARISH, LA
RIVER HEIGHTS, UT CALCASIEU PARISH, LA
RIVERTON CITY, UT CALCASIEU PARISH SHERIFF'S OFFICE, LA
ROCKVILLE, UT CITY AND COUNTY OF HONOLULU, HI
ROCKY RIDGE, UT CLACKAMAS COUNTY, OR
ROOSEVELT CITY CORPORATION, UT CLACKAMAS COUNTY DEPT OF TRANSPORTATION,
ROY, UT OR
RUSH VALLEY, UT CLATSOP COUNTY, OR
CITY OF ST. GEORGE, UT COLUMBIA COUNTY, OR
SALEM, UT COOS COUNTY, OR
SALINA, UT COOS COUNTY HIGHWAY DEPARTMENT, OR
SALT LAKE CITY CORPORATION, UT COUNTY OF HAWAII, OR
SANDY, UT CROOK COUNTY, OR
SANTA CLARA, UT CROOK COUNTY ROAD DEPARTMENT, OR
SANTAQUIN, UT CURRY COUNTY, OR
SARATOGA SPRINGS, UT DESCHLITES COUNTY, OR
SCIPIO, UT DOUGLAS COUNTY, OR
EAST BATON ROUGE PARISH, LA
GILLIAM COUNTY, OR
GRANT COUNTY, OR
HARNEY COUNTY, OR
HARNEY COUNTY SHERIFFS OFFICE, OR
HAWAII COLTNTY, HI
HOOD RIVER COUNTY, OR
JACKSON COUNTY, OR
JEFFERSON COLTNTY, OR
JEFFERSON PARISH, LA
JOSEPffiNE COUNTY GOVERNMENT, OR
LAFAYETTE CONSOLIDATED GOVERNMENT, LA
LAFAYETTE PARISH, LA
LAFAYETTE PARISH CONVENTION & VISITORS
COMMISSION
LAFOURCHE PARISH, LA
KAUAI COUNTY, HI
KLAMATH COUNTY, OR
LAKE COUNTY, OR
LANE COUNTY, OR
LINCOLN COUNTY, OR
LINN COUNTY, OR
LIVINGSTON PARISH, LA
MALHEUR COUNTY, OR
MAUI COUNTY, HI
MARION COLJNTY, SALEM, OR
MORROW COUNTY, OR
MULTNOMAH COUNTY, OR
MULTNOMAH COUNTY BUSINESS AND
COMMUNITY SERVICES, OR
MiJI,TNOMAH COUNTY SHERIFFS OFFICE, OR
MUI,TNOMAH LAW LIBRARY, OR
ORLEANS PARISH, LA
PLAQUEMINES PARISH, LA
POLK COUNTY, OR
RAPIDES PARISH, LA
SAINT CI-IARI,ES PARISH, LA
SAINT CHARLES PARISH PUBLIC SCHOOLS, LA
SAINT LANDRY PARISH, LA
SA1NT TAMMANY PARISH, LA
SHERMAN COLTNTY, OR
TERREBONNE PARISH, LA
TILLAMOOK COUNTY, OR
TILLAMOOK COUNTY SHERIFF'S OFFICE, OR
TILLAMOOK COUNTY GENERAL HOSPITAL, OR
UMATILLA COUNTY, OR
iJNION COUNTY, OR
WALLOWA COUNTY, OR
WASCO COUNTY, OR
WASHINGTON COUNTY, OR
WEST BATON ROUGE PARISH, LA
WIIEELER COUNTY, OR
YAMIIILL COUNTY, OR
COUNTY OF BOX ELDER, UT
COUNTY OF CACHE, UT
COUNTY OF RICH, UT
COUNTY OF WEBER, UT
COUNTY OF MORGAN, UT
COUNTY OF DAVIS, UT
COUNTY OF SUMMIT, UT
COUNTY OF DAGGETT, UT
COUNTY OF SALT LAKE, UT
COUNTY OF TOOELE, UT
COUNTY OF UTAH, UT
COUNTY OF WASATCH, UT
COUNTY OF DUCHESNE, UT
COUNTY OF UINTAH, UT
COUNTY OF CARBON, UT
COUNTY OF SANPETE, UT
COUNTY OF NAB, UT
COUNTY OF MII.LARD, UT
COUNTY OF SEVIER, UT
COUNTY OF EMERY, UT
COUNTY OF GRAND, UT
COUNTY OF BEVER, UT
COUNTY OF PNTE, UT
COUNTY OF WAYNE, UT
COUNTY OF SAN NAN, UT
COLTNTY OF GARFIELD, UT
COUNTY OF KANE, UT
COUNTY OF IRON, UT
COUNTY OF WASHINGTON, UT
OTHER AGENCIES INCLUDING ASSOCIATIONS.
BOARDS. DISTRICTS. COMII�SSIONS. COiJNCILS.
PUBLIC CORPORATIONS, PUBLIC DEVELOPMENT
AUTHORITIES. RESERVATIONS AND UTILITIES
INCLUDING BUT NOT LIMITED TO:
BANKS FIRE DISTRICT, OR
BATON ROUGE WATER COMPANY
BEND METRO PARK AND RECREATION DISTRICT
BIENVILLE PARISH FIRE PROTECTION DISTRICT 6,
LA
BOARDMAN PARK AND RECREATION DISTRICT
CENTRAL CITY ECONOMIC OPPORTiINITY CORP, LA
CENTRAL OREGON INTERGOVERNMENTAL
COUNCIL
CITY OF BOGALUSA SCHOOL BOARD, LA
CLACKAMAS RIVER WATER
CLATSKANIE PEOPLE'S UTILITY DISTRICT
CLEAN WATER SERVICES
CONFEDERATED TRIBES OF THE UMATILLA INDIAN
RESERVA'I'ION
COOS FOREST PROTECTIVE ASSOCIATION
CHEHALEM PARK AND RECREATION DISTRICT
DAVID CROCKETT STEAM FIRE COMPANY # 1, LA
EUGENE WATER AND ELECTRIC BOARD
HONOLULU INTERNATIONAL AIRPORT
HOODLAND FIRE DISTRICT #74
HOUSING AUTHORITY OF PORTLAND
ILLINOIS VALLEY FIRE DISTRICT
LAFAYETTE AIRPORT COMMISSION, LA
LAFOURCHE PARISH HEALTH UNIT - DHH-OPH
REGION 3
LOUISIANA PUBLIC SERVICE COMMISSION, LA
LOUISIANA WATER WORKS
MEDFORD WATER COMIVIISSION
MELHEUR COUNTY JAIL, OR
METRO REGIONAL GOVERNMENT
METRO REGIONAL PARKS
METROPOLITAN EXPOSITION RECREATION
COMNIISSION
METROPOLITAN SERVICE DISTRICT (METRO)
Mi.JLTNOMAH EDUCATION SERVICE DISTRICT
NEW ORLEANS REDEVELOPMENT AUTHORITY, LA
NORTHEAST OREGON HOUSING AUTHORITY, OR
PORT OF BRANDON, OR
PORT OF MORGAN CITY, LA
PORTLAND DEVELOPMENT COMMISSION, OR
PORTLAND FIRE AND RESCUE
PORTLAND HOUSING CENTER, OR
OREGON COAST COMMUNITY ACTION
OREGON HOUSING AND COMMtTNITY SERVICES
OREGON LEGISLATIVE ADMINISTRATION
ROGUE VALLEY SEWER, OR
SAINT LANDRY PARISH TOURIST COMMISSION
SAINT MARY PARISH REC DISTRICT 2
SAINT MARY PARISH REC DISTRICT 3
SAINT TAMMANY FIRE DISTRICT 4, LA
SALEM MASS TRANSIT DISTRICT
SEWERAGE AND WATER BOARD OF NEW ORLEANS,
LA
SOUTH LAFOURCHE LEVEE DISTRICT, LA
TRI-COUNTY METROPOLITAN TRANSPORTATION
DISTRICT OF OREGON
TUALATIN HILLS PARK & RECREATION DISTRICT
TUALATIN VALLEY FIRE & RESCUE
TUALATIN VALLEY WATER DISTRICT
WILLAMALANE PARK AND RECREATION DISTRICT
WILLAMETTE HLTMANE SOCIETY
K-12 INCLUDING BUT NOT LIMITED TO:
ACADIA PARISH SCHOOL BOARD
BEAVERTON SCHOOL DISTRICT
BEND-LA PINE SCHOOL DISTRICT
BOGALUSA HIGH SCHOOL, LA
BOSSIER PARISH SCHOOL BOARD
BROOKING HARBOR SCHOOL DISTRICT
CADDO PARISH SCHOOL DISTRICT
CALCASIEU PARISH SCHOOL DISTRICT
CANBY SCHOOL DISTRICT
CANYONVILLE CHRISTIAN ACADEMY
CASCADE SCHOOL DISTRICT
CASCADES ACADEMY OF CENTRAL OREGON
CENTENNIAL SCHOOL DISTRICT
CENTRAL CATHOLIC HIGH SCHOOL
CENTRAL POINT SCHOOL DISTRICT N0.6
CENTRAL SCHOOL DISTRICT 13J
COOS BAY SCHOOL DISTRICT N0.9
CORVALLIS SCHOOL DISTRICT 509J
COUNTY OF YAMIIILL SCHOOL DISTRICT 29
CULVER SCHOOL DISTRICT
DALLAS SCHOOL DISTRICT N0.2
DAVID DOUGLAS SCHOOL DISTRICT
DAYTON SCHOOL DISTRICT N0.8
DB LA SALLE N CATHOLIC HS
DESCHi1TE5 COUNTY SCHOOL DISTRICT N0.6
DOUGLAS EDUCATIONAL DISTRICT SERVICE
DUFUR SCHOOL DISTRICTN0.29
EAST BATON ROUGE PARISH SCHOOL DISTRICT
ESTACADA SCHOOL DISTRICT NO.IOB
FOREST GROVE SCHOOL DISTRICT
GEORGE MIDDLE SCHOOL
GLADSTONE SCHOOL DISTRICT
GRANTS PASS SCHOOL DISTRICT 7
GREATER ALBANY PUBLIC SCHOOL DISTRICT
GRESI-IAM BARLOW JOINT SCHOOL DISTRICT
HEAD START OF LANE COUNTY
HIGH DESERT EDUCATION SERVICE DISTRICT
HILLSBORO SCHOOL DISTRICT
HOOD RIVER COUNTY SCHOOL DISTRICT
JACKSON CO SCHOOL DIST N0.9
JEFFERSON COLTNTY SCHOOL DISTRICT 509-J
JEFFERSON PARISH SCHOOL DISTRICT
JEFFERSON SCHOOL DISTRICT
NNCTION CITY SCHOOLS, OR
KLAMATH COUNTY SCHOOL DISTRICT
KLAMATH FALLS CITY SCHOOLS
LAFAYETTE PARISH SCHOOL DISTRICT
LAKE OSWEGO SCHOOL DISTRICT 7J
LANE COUNTY SCHOOL DISTRICT 4J
LINCOLN COUNTY SCHOOL DISTRICT
LINN CO. SCHOOL DIST. 95C
LIVINGSTON PARISH SCHOOL DISTRICT
LOST RIVER JR/SR HIGH SCHOOL
LOWELL SCHOOL DISTRICT N0.71
MARION COUNTY SCHOOL DISTRICT
MARION COUNTY SCHOOL DISTRICT 103
MARIST HIGH SCHOOL, OR
MCMINNVILLE SCHOOL DISTRICT NOAO
MEDFORD SCHOOL DISTRICT 549C
MITCH CHARTER SCHOOL
MONROE SCHOOL DISTRICT NO.1J
MORROW COUNTY SCHOOL DIST, OR
MLJLTNOMAH EDUCATION SERVICE DISTRICT
MLII.TISENSORY LEARNING ACADEMY
MYRTLE PINT SCHOOL DISTRICT 41
NEAH-KAH-IVIE DISTRICT N0.56
NEWBERG PUBLIC SCHOOLS
NESTUCCA VALLEY SCHOOL DISTRICT NO.101
NOBEL LEARNING COMMLINITIES
NORTH BEND SCHOOL DISTRICT 13
NORTH CLACKAMAS SCHOOL DISTRICT
NORTH DOUGLAS SCHOOL DISTRICT
NORTH WASCO CITY SCHOOL DISTRICT 21
NORTI-IWEST REGIONAL EDUCATION SERVICE
DISTRICT
ONTARIO MIDDLE SCHOOL
OREGON TRAIL SCHOOL DISTRICT NOA6
ORLEANS PARISH SCHOOL DISTRICT
PHOErTIX-TALENT SCHOOL DISTRICT NOA
PLEASANT HILL SCHOOL DISTRICT
PORTLAND JEWISH ACADEMY
PORTLAND PUBLIC SCHOOLS
RAPIDES PARISH SCHOOL DISTRICT
REDMOND SCHOOL DISTRICT
REYNOLDS SCHOOL DISTRICT
ROGUE RIVER SCHOOL DISTRICT
ROSEBURG PUBLIC SCHOOLS
SCAPPOOSE SCHOOL DISTRICT 1J
SAINT TAMMANY PARISH SCHOOL BOARD, LA
SEASIDE SCHOOL DISTRICT 10
SHERWOOD SCHOOL DISTRICT 88J
SILVER FALLS SCHOOL DISTRICT 4J
SOUTH LANE SCHOOL DISTRICT 45J3
SOUTI�RN OREGON EDUCATION SERVICE
DISTRICT - -
SPRINGFIELD PUBLIC SCHOOLS
SUTHERLIN SCHOOL DISTRICT
SWEET HOME SCHOOL DISTRICT NO.55
TERREBONNE PARISH SCHOOL DISTRICT
THE CATLIN GABEL SCHOOL
TIGARD-TUALATIN SCHOOL DISTRICT
UMATILLA MORROW ESD
WEST LINN WILSONVILLE SCHOOL DISTRICT
WILLAMETTE EDUCATION SERVICE DISTRICT
WOODBURN SCHOOL DISTRICT
YONCALLA SCHOOL DISTRICT
ACADEMY FOR MATH ENGINEERING & SCIENCE
(AMES) , UT
ALIANZA ACADEMY , UT
ALPINE DISTRICT , UT
AMERICAN LEADERSHIP ACADEMY , UT
AMERICAN PREPARATORY ACADEMY , UT
BAER CANYON HIGH SCHOOL FOR SPORTS &
MEDICAL SCIENCES , UT
BEAR RIVER CIIARTER SCHOOL , UT
BEAVER SCHOOL DISTRICT , UT
BEEHIVE SCIENCE & TECHNOLOGY ACADEMY
(BSTA) , UT
BOX ELDER SCHOOL DISTRICT , UT
CBA CENTER,UT
CACHE SCHOOL DISTRICT , UT
CANYON RIM ACADEMY , UT
CANYONS DISTRICT , UT
CARBON SCHOOL DISTRICT , UT
CHAIdNING HALL , UT
CHARTER SCHOOL LEWIS ACADEMY , UT
CITY ACADEMY , UT
DAGGETT SCHOOL DISTRICT , UT
DAVINCI ACADEMY , UT
DAVIS DISTRICT , UT
DUAL IMMERSION ACADEMY , UT
DUCHESNE SCHOOL DISTRICT , UT
EARLY LIGHT ACADEMY AT DAYBREAK , UT
EAST HOLLYWOOD HIGH , UT
EDITH BOWEN LABORATORY SCHOOL , UT
EMERSON ALCOTT ACADEMY , UT
EMERY SCHOOL DISTRICT , UT
ENTHEOSACADEMY,UT
EXCELSIOR ACADEMY , UT
FAST FORWARD HIGH , UT
FREEDOM ACADEMY , UT
GARFIELD SCHOOL DISTRICT , UT
GATEWAY PREPARATORY ACADEMY , UT
GEORGE WASHINGTON ACADEMY , UT
GOOD FOUNDATION ACADEMY , UT
GRAND SCHOOL DISTRICT , UT
GRANITE DISTRICT , UT
GUADALUPESCHOOL,UT
HAWTHORN ACADEMY , UT
INTECH COLLEGIATE HIGH SCHOOL , UT
IRON SCHOOL DISTRICT , UT
ITINERIS EARLY COLLEGE HIGH , UT
JOHN HANCOCK CHARTER SCHOOL , UT
JORDAN DISTRICT , UT
NAB SCHOOL DISTRICT , UT
KANE SCHOOL DISTRICT , UT
KARL G MAESER PREPARATORY ACADEMY , UT
LAKEVIEW ACADEMY , UT
LEGACY PREPARATORY ACADEMY , UT
LIBERTY ACADEMY , UT
LINCOLN ACADEMY , UT
LOGAN SCHOOL DISTRICT , UT
MARIA MONTESSORI ACADEMY , UT -
MERIT COLLEGE PREPARATORY ACADEMY , UT
MILLARD SCHOOL DISTRICT , UT
MOAB CHARTER SCHOOL , UT
MONTICELLO ACADEMY , UT
MORGAN SCHOOL DISTRICT , UT
MOUNTAINVILLE ACADEMY , UT
MURRAY SCHOOL DISTRICT , UT
NAVIGATOR POINTE ACADEMY , UT
NEBO SCHOOL DISTRICT , UT
NO UT ACAD FOR MATH ENGINEERING & SCIENCE
(NLTAMES) , UT
NOAH WEBSTER ACADEMY , UT
NORTH DAVIS PREPARATORY ACADEMY , UT
NORTH SANPETE SCHOOL DISTRICT , UT
NORTH STAR ACADEMY , UT
NORTH SUMMIT SCHOOL DISTRICT , UT
ODYSSEY CHARTER SCHOOL , UT
OGDEN PREPARATORY ACADEMY , UT
OGDEN SCHOOL DISTRICT , UT
OPEN CLASSROOM , UT
OPEN HIGH SCHOOL OF UTAH , UT
OQUIRRH MOUNTAIN CHARTER SCHOOL , UT
PARADIGM HIGH SCHOOL , UT
PARK CITY SCHOOL DISTRICT , UT
PINNACLE CANYON ACADEMY , UT
PIUTE SCHOOL DISTRICT , UT
PROVIDENCE HALL , UT
PROVO SCHOOL DISTRICT , UT
QUAIL RUN PRIMARY SCHOOL , UT
QUEST ACADEMY , UT
RANCHESACADEMY,UT
REAGAN ACADEMY , UT
RENAISSANCE ACADEMY , UT
RICH SCHOOL DISTRICT , UT
ROCKWELL CHARTER HIGH SCHOOL , UT
SALT LAKE ARTS ACADEMY , UT
SALT LAKE CENTER FOR SCIENCE EDUCATION, UT
SALT LAKE SCHOOL DISTRICT , UT
SALT LAKE SCHOOL FOR THE PERFORMING ARTS,
UT
SAN JUAN SCHOOL DISTRICT , UT
SEVIER SCHOOL DISTRICT , UT
SOLDIER HOLLOW CHARTER SCHOOL , UT
SOUTH SANPETE SCHOOL DISTRICT , UT
SOUTH SUMMIT SCHOOL DISTRICT , UT
SPECTRUM ACADEMY , UT
SUCCESS ACADEMY , UT
SUCCESS SCHOOL , UT
S[JMMIT ACADEMY , UT
SUMNIIT ACADEMY HIGH SCHOOL , UT
SYRACUSE ARTS ACADEMY , UT
THOMASEDISON-NORTH,UT
TTMPANOGOS ACADEMY , UT
TINTIC SCHOOL DISTRICT , UT
TOOELE SCHOOL DISTRICT , UT
TUACAHN HIGH SCHOOL FOR THE PERFORMING
ARTS,UT
UINTAH RIVER HIGH , UT
UINTAH SCHOOL DISTRICT , UT
UTAH CONNECTIONS ACADEMY , UT
UTAH COUNTY ACADEMY OF SCIENCE , UT
UTAH ELECTROr1IC HIGH SCHOOL , UT
UTAH SCHOOLS FOR DEAF & BLIND , UT
UTAH STATE OFFICE OF EDUCATION , UT
UTAH VIRTUAL ACADEMY , UT
VENTURE ACADEMY , UT
VISTA AT ENTRADA SCHOOL OF PERFORMING
ARTS AND TECHNOLOGY , UT
WALDEN SCHOOL OF LIBERAL ARTS , UT
WASATCH PEAK ACADEMY , UT
WASATCH SCHOOL DISTRICT , UT
WASHINGTON SCHOOL DISTRICT , UT
WAYNE SCHOOL DISTRICT , UT
WEBER SCHOOL DISTRICT , UT
WEILENMANN SCHOOL OF DISCOVERY , UT
HIGHER EDUCATION
ARGOSY UAIIVERSITY
BATON ROUGE COMMiJNITY COLLEGE, LA
BIRTHINGWAY COLLEGE OF MIDWIFERY
BLUE MOUNTAIN CONIMUNITY COLLEGE
BRIGHAM YOUNG LINIVERSITY - HAWAII
CENTRAL OREGON COMMUNITY COLLEGE
CENTENARY COLLEGE OF LOUISIANA
CHEMEKETA COMMUNITY COLLEGE
CLACKAMAS COMMUNITY COLLEGE
COLLEGE OF THE MARSHALL ISLANDS
COLUMBIA GORGE COMMLJNITY COLLEGE
CONCORDIA iJNIVERSITY
GEORGE FOX iJNIVERSITY
KLAMATH COMMUNITY COLLEGE DISTRICT
LANE COMMLTNITY COLLEGE
LEWI5 AND CLARK COLLEGE
LINFIELD COLLEGE
LINN-BENTON COMMDNITY COLLEGE
LOLTISIANA COLLEGE, LA
LOUISIANA STATE iJNIVERSITY
LOUISIANA STATE iJNIVERSITY HEALTH.SERVICES
MARYLHURST UNIVERSITY
MT. HOOD COMMUNITY COLLEGE
MUI,TNOMAH BIBLE COLLEGE
NATIONAL COLLEGE OF NATURAL MEDICINE
NORTf1WEST CHRISTIAN COLLEGE
OREGON HEALTH AND SCIENCE LJNIVERSITY
OREGON INSTITUTE OF TECHNOLOGY
OREGON STATE iJNIVERSITY
OREGON iJNIVERSITY SYSTEM
PACIFIC UMVERSITY
PIONEER PACIFIC COLLEGE
PORTLAND CONIMLJNITY COLLEGE
PORTLAND STATE iJNIVERSITY
REED COLLEGE
RESEARCH CORPORATION OF THE LJNIVERSITY OF
HAWAII
ROGUE COMMi.1NITY COLLEGE
SOUTI�ASTERN LOUISIANA UNIVERSITY
SOUTHERN OREGON iJNIVERSITY (OREGON
LJNIVERSITY SYSTEM)
SOUTHWESTERN OREGON COMMIJNITY COLLEGE
TULANE iJNIVERSITY
TILLAMOOK BAY COMMiJNITY COLLEGE
UMPQUA COMNIUNITY COLLEGE
UNIVERSITY OF HAWAII BOARD OF REGENTS
iINIVERSITY OF HAWAII-HONOLULU COMMUNITY
COLLEGE
iJNIVERSITY OF OREGON-GRADUATE SCHOOL
UNIVERSITY OF PORTLAND
UNNERSITY OF NEW ORLEANS
WESTERN OREGON UNIVERSITY
WESTERN STATES CHIROPRACTIC COLLEGE
WILLAMETTE LINIVERSITY
XAVIER iJNIVERSITY
UTAH SYSTEM OF HIGHER EDUCATION, UT
iJNIVERSITY OF UTAH, UT
UTAH STATE Ur1IVERSITY, UT
WEBER STATE IJNI-VERSITY, UT- - -
SOUTHERN UTAH LTNIVERSITY, UT
SNOW COLLEGE, UT
DIXIE STATE COLLEGE, UT
COLLEGE OF EASTERN UTAH, UT
UTAH VALLEY iINIVERSITY, UT
SALT LAKE COMMiJNITY COLLEGE, UT
UTAH COLLEGE OF APPLIED TECHNOLOGY, UT
STATE AGENCIES
ADMIN. SERVICES OFFICE
BOARD OF MEDICAL EXAMINERS
HAWAII CHILD SUPPORT ENFORCEMENT AGENCY
HAWAII DEPARTMENT OF TRANSPORTATION
HAWAII HEALTH SYSTEMS CORPORATION
OFFICE OF MEDICAL ASSISTANCE PROGRAMS
OFFICE OF THE STATE TREASURER
OREGON BOARD OF ARCHITECTS
OREGON CHILD DEVELOPMENT COALITION
OREGON DEPARTMENT OF EDUCATION
OREGON DEPARTMENT OF FORESTRY
OREGON DEPT OF TRANSPORTATION
OREGON DEPT. OF EDUCATION
OREGON LOTTERY
OREGON OFFICE OF ENERGY
OREGON STATE BOARD OF NURSING
OREGON STATE DEPT OF CORRECTIONS
OREGON STATE POLICE
OREGON TOURISM COMMISSION
OREGON TRAVEL INFORMATION COUNCIL
SANTIAM CANYON COMMUNICATION CENTER
SEIU LOCAL 503, OPEU
SOH- NDICIARY CONTRACTS AND PURCH
STATE DEPARTMENT OF DEFENSE, STATE OF
HAWAII
STATE OF HAWAII
STATE OF HAWAII, DEPT. OF EDUCATION
STATE OF LOUISIANA
STATE OF LOUISIANA DEPT. OF EDUCATION
STATE OF LOLTISIANA, 26TH NDICIAL DISTRICT
ATTORNEY
STATE OF UTAH
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TRAFFIC CONTROL PRODUCTS AND RELATED PRODUCTS AND SEERVICES
RFP 2013-100
Attachment B
Market Basket Pricing for Evaluation Purposes
)
IQote: This pricing is for evaluation purposes only. All pricing must correspond with submitted catalog pricing. If you aze not pricing an item in this Muket Basket, mazk line item as 'No Bid".
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r�e ,.,u. .t� .b2x,se' �.Y�.� �,<�ill'C ..:�: � " ""'� .?,., ....yr .
$6-2L Engmeer Grade Ynsmari'h. _ . � z __ ,.5 , . , . . ,. f . < < „ .. � . .. _, .�., ,� ,.t, x, �
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c Rectangulaz Lane Control Sign, Legend
"ONE WAY (left arrow)", 12° Width x 18" Height, Aluminum, Black on
White TAPCO Traffic and Pazkin Control Co., Inc. 373-04941 6500 $ 21.15 5% $ 20.09 $ 130,601.25
R2-1 High Intensity Prismaric Rectangulaz Lane Conh�ol Sign, Legend
"SPEED LIIvIIT 35", 18" Width x 24" Hei t, Aluminum, Black on White TAPCO Traffic and Pazkin Control Co., Inc. 373-04371 3792 $ 44.15 5% $ 41.94 $ 159,031.98
RS-1 Engineer Grade Prismaric Square Standard Traffic Sign, Legend "DO
IQOT ENT'ER", 24" Width x 24" Hei t, Aluminum, Red on White TAPCO Traffic and Parkin Control Co., Inc. 373-00198 2844 $ 47.50 5% $ 45.13 $ 128,324.22
R7-1D Engineer Grade Prismaric Rectangulaz Standard Tr�c Sign, Legend
'NO PARKING ANY TIlvIE (double arrow)", 12" Width x 18" Height, 5052-
Alutninum, Red on White TAPCO Traf�ic and Pazkin Control Co., Inc. 373-00213 6500 $ 21.15 5% $ 20.09 $ 130,601.25
R7-8D High Intensity Prismatic Rectangulaz ADA Handicap Sign, Legend
"RESERVED PARKING with ADA Handicap Symbol (double arrow)", 12"
Width x 18" Hei t, Aluminum, Ctteen/Blue on White TAPCO Traffic and Pazkin Control Co., Inc.) 373-05758 5056 $ 3235 5% $ 30.73 $ 155,369.86
Rl-1 High Intensity Prismatic Octagon Standard Traffic Sign, Legend "STOP",
30" Width x 30° Hei t, 5052-Aluminum, Red on White TAPCO Traffic and Pazkin Control Co., Inc.) 373-01602 2844 $ 89.10 5% $ 84.65 $ 240,709.22
Sheeted Blank, 18"x24"x.080 EGP White, Sin le Faced TAPCO (Traffic and Pazkin Control Co., Inc.) 373-00616 6067 $ 21.95 5% $ 20.85 $ 126,505.17
Ta�c Guazd Portable Double Lane Speed Bump with Delineators and �
Reflectors, 10' Len x 4" Width x 3/16" Hei t, Yellow TAPCO (Tr�c and Pazkin Control Co., Inc. 3192-00003 142 $ 695.00 5% $ 660.25 $ 93,87930
Road Cone 18-Inch Hi Visibili Oran e Safe /Traffic Cone TAPCO (Traffic and Parkin Control Co., Inc.) 274-00009 15167 $ 10.50 5% $ 9.98 $ 151,287.50
PVC Traffic Safe Cone, 12-Inch TAPCO Traffic and Pazkin Control Co., Inc. 274-00003 15167 $ 7.95 5% $ 7.55 $ I 14,546.25
Piastic Single Sided Reflective Pavement Mazker, 4" Length x 2" Width,
Amber TAPCO Traffic and Pazkin Control Co., Inc. 102208 60667 $ 1.95 5% $ 1.85 $ 112,385.00
V-Loc Tr�c Post Breakaway Concrete Mchor, 1-3/4" Length x 1-3/4" Width
S uare Post TAPCO Traffic and Pazkin Control Co., Inc. 034-00031 4136 $ 27.95 5% $ 26.55 $ 109,830.80
Rubber Vehicle Stop with 2 Spikes, 36" Length x 6" Width x 4" Height,
Black/Yellow Stri es, For As halt Installarion TAPCO Traffic and Parkin Control Co., Ina 1485-00013 3033 $ 59.95 5% $ 56.95 $ 172,755.92
Temporary Construcrion Reflective Striping Tape, 50 yds Length x 4" Width,
White TAPCO (Traffic and Pazkin Control Co., Inc.) 045-00151 1517 $ 84.95 5% $ 80.70 $ 122,398.79
BlinkerBeacon Solaz Flashin LED Red L.ens Beacon, 4-1/2" OD Pole, Black TAPCO � Traffic and Pazldn Control Co., Inc. 2180-BBSRB 51 $ 1,795.00 5% $ 1,70525 $ 86,209.86
Stri er, LineLazer IV 3400 model with 1 Gun, Airless, 4.0 HP Honda En 'ne TAPCO (Tr�c and Pazkin Control Co., Inc.) 245-00001 19 $ 4,490.00 5% $ 4,265.50 $ 79,216.43
i;ineLazer V 200HS Standard Series, Two Guns, TAPCO Traffrc and Pazkin Control Co., Inc.) 115463 9$ 15,700.00 5% $ 14,915.00 $ 135,726.50
LineLazer V 5900 Standard Series, 2 Guns, Mechanical TAPCO (Traffic and Pazkin Control Co., Inc.) 9657456 13 $ 14,590.00 5% $ 13,860.50 $ 180,186.50
Re lacement Ti for Graco Stri er S ra Gun LLT-215 TAPCO (Tr�c and Pazkin Control Co., Ina 245-00024 2528 $ 104.95 5% $ 99.70 $ 252,025.76
Glass Beads, SO lb Bag, WI DOT approved for painting and epoxy, mix with 078-00001
sint to make lines reflecrive TAPCO (Tr�c and Parkin Control Co., Ina 3640 $ 37.95 5% $ 36.05 $ 131,231.10
U-Channel Post - 21bs./f - 6'L - Green TAPCO Traffic and Pazkin Control Co., Inc. 054-00001 7000 $ 23.95 5% $ 22.75 $ 159,267.50
U-Channel Post-21bs./f - 6'L - Cmlvazuzed TAPCO (Traffic and Pazkin Control Co., Inc.) 054-00020 5688 $ 31.95 5% $ 30.35 $ 172,629.84
U-Channel Post- 21bs./f - 87. - Green TAPCO Tr�c and Pazkin Control Co., Inc. 054-00002 5688 $ 31.95 5% $ 30.35 $ 172,629.84
U-Channel Post -21bsJf - 8`L - Galvanized TAPCO (Traffic and Pazkin Control Co., Inc. 054-00015 4333 $ 42.50 5% $ 4038 $ 174,958.33
U-Channel Post - 21bsJf - 10`L - Green TAPCO (Tr�c and Pazldn Control Co., Inc. 054-00004 3957 $ 39.95 5% $ 37.95 $ 150,159.89
U-Channel Post -21bs./f - 10'L - Galvanized TAPCO (Traffic and Pazkin Control Co., Inc. 054-00023 3138 $ 52.95 5% $ 5030 $ 157,845.78
U-Channel Post - 21bs./f - 12'L - Green TAPCO (Tr�c and Pazkin Control Co., Ina 054-00006 3640 $ 47.95 5% $ 45.55 $ 165,811.10
U-Channel Post -21bs./f - 12'L - Galvanized TAPCO (Traffic and Pazldn Control Co., Inc.) 054-00024 3033 $ 63.60 5% $ 60.42 $ 183,274.00
Windmaster Sign Stand, 4860 Model, for use with Rigid or Rollup Signs, 5'
De lo able Hei t TAPCO
Windmaster Sign Stand, 4814HDKD with Kick Release, telescoping legs, use
w/roll-u s TAPCO
Emergency Road Flazes, 6-Pack, 30 Minute Capacity 13"�c2.75"x4", Includes
Bri t Oran e Vest Packa ' TAPCO
Bollazd Cover, 7"x60" Yellow Color, with two red reflecrive stripes, 1/8" thick
HDPE TAPCO
Safe Pace Radar Feedback Sign, SP400, White, Solaz Powered, "Your Speed"
With Trailer TAPCO
Delineator, 36"L�" OD Orange Post, DP-200 Model, Surface Mount w/2 IiIP
white reflective bands&base TAPCO
Delineator, 36" Long Yellow Post, FG-300 Model, Cloverleaf Design wBase
& 2 iilP Yellow Refl Bands TAPCO
Dro Over Cable Protector, 36"x14.25"x3", One Channel Guard Slot TAPCO
Yellow Jacket Cable Protector, 36"x19.75"x1.875", Five Cable Guards Slots, TAPCO
Utility Round Dome Mazker, White Pole 72" Length, 48" Above Ground,
Solid Blue Color Enhancer To TAPCO
PowerFlares, 6-Pack, Yellow ShelUAmber LED light w/soft cazrying bag &
12 lithium batteries incl TAPCO
PowerFlazes, 3-Pack, Tan ShelUAmber LED light w/soft canying bag &(6)
lithium batteries incl TAPCO
BlinkerSi Rl-2, 30", Yield, DG3, Red/White, Solaz 9 White LEDs TAPCO
Plasticade T I Barricade 12"x24", White EG reflective to anel TAPCO
Econocade Bazricade, Type I, 8"�c24" HII� Orange & White reflecrive top
boazd TAPCO
Collapsible Breakaway Type III Plastic Barricade 4' One-sided IiIP shtg, right
orientation, or white TAPCO
Narrowcade, 12"3c24" EG Reflecrive Barricade with orange and white stripes,
fillable Rc acce u li ts TAPCO
Econocade II, Channelizer Drum/Barrel, 23"Wx40"H, low profile, four 4" EG
oran e/white bands, hi h densi TAPCO
Stron Gate O erator, Standazd Model 14 feet TAPCO
Safe Pace Radar Feedback Si , SP100, White, Solaz Powered, " TAPCO
Eatra Batte for GR3 Retroreflectometer,S aze TAPCO
Retroreflectometer,GRX-1 Model Re uired, Unit w/Camera TAPCO
Overhead Door Maintenance and Su ort Labor Hows TAPCO
Pazkin and ITS Maintenanc and Su ort Labor (Hours TAPCO
RRFB, Rectangulaz Rapid Flashing Beacon with B1inkLink Solaz 55l48,
Radio, SOP, DS,Amber, PB, H Pole X2 TAPCO
SafePace Cruiser LT Com act Trailer TAPCO
Standard Aluminum Pole,10' 6061-T6 Schedule 40, "4.5"OD, T.O.E. TAPCO
BlinkerPaddle,l8",FiIP,Sto /Sto I-1/Rl-1 ,Red/Ked, TAPCO
Portable Surface Barrier,l2'Lon ,Model 850K-144WTL K8 Rated TAPCO
Aimadillo-DC, Radar Traffic Data Collector and Classifier TAPCO
Valet Podium,l8"Dx16"Wx41"H,100 hook,cam lock and ke anel TAPCO
Tr�c Conizoller Signals,Red/Pellow/Green,21"I-Lc7"Wx5.5"D,Vertical
LED,WaII Mount 120V" TAPCO
Lime, 3 Pocket, Zi er, Mesh Vest, 2"w reflective Size M-XL TAPCO
[ndividual TAPCO Solaz LED Barricade Li t,Amber w/3-Wa Switch TAPCO
Solaz Messa e Boazd, 48"H x 96"W, SMC 4000 Messa e Center Trailer TAPCO
Reflector,White,3.25" Plastic Back Centermount RT-90C TAPCO
Crosswalk Si 12"x36" (Rl-6) State Law Yield To Ped w/QR One Base TAPCO
Si�nCentral MITTCD SiQn & Font Library w/MiJTCD Cloud Library TAPW
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
Control Co., Inc. 908-00060
Control Co., Inc. 908-00009
Control Co., IncJ 113179
Control Co., Inc. 3335-00012
Control Co., Inc. 109845
Control Co., Inc. 114765
Control Co., Ina 114773
Conuol Co., Inc.) 2927-00002
Control Co.. IncJ 115049
Control Co., Inc. 113784
Control Co., Ina 200691
Control Co., Inc. 200311
Control Co., Inc. 2180-00264
Control Co., Inc.) 013-00001
Control Co., Inc. 013-00210
Control Co., Inc.) 013-00214
Control Co., Inc. 0 1 3-0003 1
Control Co., Inc. 107822
Control Co., Inc. 110267
Control Co., Ina 1485-00071
Control Co., Inc.) 3670-00003
Control Co., Inc. 128380-1B
Conuol Co., Inc. 6373-00001
Control Co., Inc.) 6373-00004
Control Co., Inc. 600743
Control Co., Inc. 126034
Control Co., Inc.) 373-10
Control Co., Ina 2180-00301
Control Co., Ina 114916
Control Co., Inc. 114963
Control Co., Ina 113573
Control Co., Ina 116880
Control Co., Ina 128467
Control Co., Ina 5785469
Control Co., Inc. 1415-30000
Control Co., Inc. 102227
Control Co., Inc.) 1636-00010
Control Co.. IncJ 114756
$ 350.00
$ 220.00
$ 24.95
$ 49.95
II $ 7,950.00
758 $ 36.95
275 $ 49.95
350 $ 229.00
343 $ 315.00
260 $ 425.00
514 $ 249.00
57 $ 1,600.00
517 $ 74.95
820 $ 69.95
423 $ 245.00
2022 $ 39.95
12 $ 9,095.00
20 $ 2,999.00
30 $ 250.00
IS $ 8,500.00
100 $ 150.00
100 $ 150.00
25 $ 6,500.00
10 $ 4,295.00
50 $ 290.00
25 $ 249.95
10 $ 42,500.00
25 $ 3,750.00
35 $ 625.00
65 $ 875.00
1500 $ 10.75
500 $ 39.95
25 $ 16,750.00
5000 $ 1.95
50 $ 350.00
25 $ 500.00
5% $ 332.50 $ 115,047.53
5% $ 209.00 $ 91,000.00
5% $ 23.70 $ 86,277.10
5% $ 47.45 $ 86,363.55
5°/a $ Z552.50 $ SO_R56.1R
$
$
$
$
35.10 $
47.45 $
217.55 $
29925 $
21.80 $
403.75 $
96,797.80
107,954.44
76,142.50
111.88
$ 66.45 $ 120,943.55
$ 232.75 $ 98,512.79
5% $
5% $
5% $
5% $
5% $
5% $
$
$
$
$
$
$
37.95 $ 76,74839
,64025 $ 104,835.03
,849.05 $ 56,981.00
237.50 $ 7,125.00
,075.00 $ 121,125.00
142.50 $ 14,250.00
142.50 $ 14,250.00
,175.00 $ 154,375.00
,080.25 $ 40,802.50
275.50 $ 13,775.00
237.45 $ 5,936.31
,375.00 $ 403,750.00
,562.50 $ 89,062.50
593.75 $ 20,781.25
831.25 $ 54,031.25
10.21 $ 15,318.75
37.95 $ 18,9'76.25
,912.50 $ 397,812.50
1.85 $ 9,262.50
332.50 $ 16,625.00
475.00 $ 11,875.00
Submitted by: TAPCO (Traffic and Pazking
Conffol Co., Inc
r
FOB
Destination
Pricing Offered
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CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
FORM CIQ
OFFICE USE ONLY
Date Received
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An
offense under this section is a misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
Name of Officer
4 Describe each employment or other business relationship with the local government officer, or a family member of the
officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIQ as necessary.
A.Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
Yes No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
6
Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
Signature of vendor doing business with the governmental entity Date
ownership interest of one percent or more.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
Exhibit C
Revised 1/1/2021Form provided by Texas Ethics Commission www.ethics.state.tx.us
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/
Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A)a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an
agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(a)A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
***
(2)the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than $100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a)A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1)has an employment or other business relationship with a local government officer of that local
governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any
gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application, response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer, described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
Official site of the City of Fort Worth, Texas
CITY COUNCIL AGENDA
Fund Department
ID
Account Project
ID
Program Activity Budget
Year
Reference #
(Chartfield 2)
Amount
DATE:2/16/2021 REFERENCE NO.:**M&C 21-0133 LOG NAME:13P BULK SIGNS
TPW ADK
CODE:P TYPE:CONSENT PUBLIC
HEARING:NO
SUBJECT: (ALL) Authorize Execution of an Agreement with Traffic and Parking Control Co, Inc.
dba TAPCO, Using Omnia Partners Cooperative Purchasing Agreement 2020-200 to
Purchase Signs in an Annual Amount Up to $507,316.42 and Authorize Five Annual
Renewal Options
RECOMMENDATION:
It is recommended that the City Council authorize execution of an agreement with Traffic and Parking
Control Co, Inc. dba TAPCO, using Omnia Partners Cooperative Purchasing Agreement 2020-200 to
purchase signs in an annual amount up to $507,316.42 and authorize five annual renewal options.
DISCUSSION:
The Transportation and Public Works Department (TPW) initiated a requisition for an agreement to
purchase pre-made signs, such as regulatory, safety, warning, and street name signs. The City of Fort
Worth Signs and Markings Division of TPW maintains 127,000 signs throughout the City of Fort Worth
along highways, arterial, and residential streets. The Signs and Markings Division receives approximately
2,500 requests for service including over 600 critical sign knockdowns and approximately 300 traffic
engineering work orders for installing pre-made signs. Some examples of these pre-made signs are
regulatory, safety, warning, and street names.
Staff recommends awarding an agreement up to $507,316.42 to Traffic and Parking Control Co, Inc.,
(TAPCO), using the Omnia Partners Cooperative Purchasing Agreement 2020-200. No guarantee was
made that a specific amount of services would be purchased. Staff reviewed the pricing and found it to be
fair and reasonable.
State law provides that a local government purchasing items under a Cooperative Purchasing Agreement
satisfies state laws requiring that the local government seek competitive bids for the purchase of
items. The Omnia Partners Cooperative Purchasing Contract 2020-200 has been competitively bid to
increase the purchasing power of government entities and simplify the process.
M/WBE OFFICE - An MBE/SBE goal is not assigned when purchasing from an approved purchasing
cooperative or public entity.
AGREEMENT TERMS - The Omnia Partners contract 2020-200 will expire on February 28, 2025, with
options to renew for five additional one-year terms through February 28, 2030.
Upon City Council approval, this agreement shall begin upon execution of the agreement.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current capital/operating budget, as
previously appropriated, in the General Fund and General Capital Projects Fund for the FY 21 PAYG Vision
Zero Signs and FY21 PAYG NS-VUEWorks/Resp projects to support the approval of the above
recommendation and execution of an agreement. Prior to any expenditure being incurred, the
Transportation and Public Works Department has the responsibility to validate the availability of funds.
BQN\\
TO
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Fund Department
ID
Account Project
ID
Program Activity Budget
Year
Reference #
(Chartfield 2)
Amount
FROM
Submitted for City Manager's Office by:Jay Chapa (5804)
Dana Burgdoff (8018)
Originating Department Head:Reginald Zeno (8517)
Additional Information Contact:Cynthia Garcia (8525)
Ashley Kadva (2047)
ATTACHMENTS
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