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HomeMy WebLinkAboutContract 58105 CSC No. 58105 FORT'WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between Lugra Incorporated dba Specialty Advertisers ("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 BuyBoard 671-22; 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 Twenty Thousand Dollars($20,000.00). 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 is effective beginning on the date signed by the Assistant City Manager below("Effective Date") and ending on June 30, 2023 in line with cooperative contract. Upon the expiration of this Term, the Agreement shall renew automatically under the same terms and conditions for up to two (2) one-year renewal period (July 1 to June 30), unless City or Contractor provides the other party with notice of non-renewal at least 60 days before the expiration of the Initial Term or renewal period. However, if funds are not appropriated, the City may cancel the Agreement 30 calendar days after providing written notification to the Contractor. Vendor agrees that City shall, until the expiration of three(3)years after final payment under this Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the right to examine at reasonable times any directly pertinent books, documents,papers and records, including, but not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access during normal working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor reasonable advance notice of intended audits. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX To CITY: To VENDOR: City of Fort Worth Lugra Incorporated dba Specialty Advertisers Attn: Jesica L McEachern, Assistant City Manager Lucila Richa, President/Owncr 200 Texas Street Fort Worth,TX 76102-6314 Address: Facsimile: (817) 392-8654 3664 Commerce Dr Brownsville,TX 78521 With copy to Fort Worth City Attorney's Office at Facsimile: N/A same address 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: CONTRACT COMPI,I ANCE MANAGER: By signing I acknowledge that I am the person By: responsible for the monitoring and administration Name: Jesica L McFachern of this contract, including ensuring all performance Title: Assistant City Manager and reporting requirements. Date: Sep 19, 2022 APPROVAL. RECOMMENDED: By: Name: Tim Shidal Title: Administrative Services Manager By: p4�a4�n��� APPROVED AS TO FORM AND LEGALITY: Name: Manya Shorr o FORT��a Title: Library Director �o°°° °°°°Odd d j.o °o9�d l u J ATTEST: vg o=� By: 0 ddd*o °gad Name: Jessika Williams a °°OOppppO°° a Title: Assistant City Attorney Y 9�uuae�e-S. Cdrfr7aCG By: JannetteS.GoodaU(Sep20,202208:24CDT) CONTRACT AUTHORIZATION: Name: Jannctte Goodall M&C: N/A Title: Cit ecrctary VENDO Spec Adve sers J By: Name: Lucila Richa Title: President/Owncr Date: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX EXHIBIT A 1 Section I: Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for Awards, Plaques, Trophies, and Personal Recognition Products. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 9% Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers,Websites,and/or"See Attached/Enclosed". Windsor Collection, St Regis.. 2 Section I: Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for Corporate Gift Products. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 9% Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers,Websites,and/or"See Attached/Enclosed". Evan's, Cosmo, Lungsal, AThinc Page 18 of 20 pages Vendor:Specialty Advertisers 671-22 3 Section I: Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for Screen Print and Embroidery Products. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 9% Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers,Websites,and/or"See Attached/Enclosed". Sanmar,Augusta, BAW, NISSIN,A4 4 Section I: Equipment. Products, and Supplies - Discount (%) off catalog/pricelist for Design and Engraving Services for awards, plaques, trophies, and related items (No additional or separate fees on proofs to be provided prior to custom work). Catalog/Pricelist MUST be included or proposal will not be considered. Total: I9% Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers,Websites,and/or"See Attached/Enclosed". JDS,SHOWDOWN,BLOWING DISP Page 19 of 20 pages Vendor:Specialty Advertisers 671-22 5 Section I: Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for Engraving/Routing Products and Systems for use with awards, plaques, trophies, and related items. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 9% Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers,Websites,and/or"See Attached/Enclosed". Sanmar,Augusta, BAW, NISSIN,A4 6 Section I: Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for All Other Promotional/Advertising Specialty Products. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 9% Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers,Websites,and/or"See Attached/Enclosed". HIR,EVANS,ILLINE,LEEDS,CROWN P Response Total: $0.00 Page 20 of 20 pages Vendor:Specialty Advertisers 671-22 EXHIBIT B PIVBoard° P.O. Box 400,Austin,Texas 78767 800.695.2919 •info@buyboard.com • buyboard.com April 27, 2022 LRICHA@SPECIALYADVERTISERS.COM LUCILA RICHA Specialty Advertisers 3664 COMMERCE DR BROWNSVILLE,TEXAS 78521 Welcome to BuyBoard! Re:Notice of The Local Government Purchasing Cooperative ContractAward; Proposal Invitation No. 671- 22,Awards,Trophies, and Personal Recognition Products Congratulations,The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard® contract based on the above-referenced Proposal Invitation. The contract is effective for an initial one-year term of July 1, 2022 through June 30, 2023 and may be subject to two possible one- year renewals. Please refer to the Proposal Invitation for the contract documents, including the General Terms and Conditions of the Contract. To review the items your company has been awarded, please review Proposal Tabulation No. 671-22 at: www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract award, and only those awarded items may be sold through the BuyBoard contract. All sales must comply with the contract terms and must be at or below the awarded pricing as set forth in the General Terms and Conditions. The contract will be posted on the BuyBoard website as an online electronic catalog(s).You are reminded that, in accordance with the General Terms and Conditions, all purchase orders must be processed through the BuyBoard. Except as expressly authorized in writing by the Cooperative's administrator, you are not authorized to process a purchase order received directly from a Cooperative member that has not been processed through the BuyBoard or provided to the Cooperative. If you receive a purchase order directly from a Cooperative member that you have reason to believe has not been received by the Cooperative or processed through the BuyBoard,you must promptly forward a copy of the purchase order by email to info@buyboard.com. A list of Cooperative members is available on the buyboard.com website. The BuyBoard vendor relations staff will be contacting you to assist with the resources available and to provide any support you may need as an awarded BuyBoard vendor. On behalf of the Cooperative, we appreciate your interest in the Cooperative and we are looking forward to your participation in the program. If you have any questions, please contact Cooperative Procurement Staff at 800-695-2919 (select option "2'). Sincerely, Arturo Salinas Asst. Division Director, Cooperative Purchasing Texas Association of School Boards, Inc., Administrator for The Local Government Purchasing Cooperative v.oz.oi.zozi Endorsed by A TASAV VT Board National Purchasing CooAerative April 29, 2022 Sent Via Email: LRICHA@SPECIALYADVERTISERS.COM LUCILA RICHA Specialty Advertisers 3664 COMMERCE DR BROWNSVILLE, TEXAS 78521 Welcome to BuyBoard! Re: Notice of Nation/Purchasing Cooperative Award,Proposal Invitation No. No. 671-22,Awards, Trophies, and Personal Recognition Products Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard@ contract based on the above-referenced Proposal Invitation. The contract is effective for an initial one-year term of July 1, 2022 through June 30, 2023 and may be subject to two possible one-year renewals. Please refer to the Proposal Invitation for the contract documents, including the National Purchasing Cooperative Vendor Award Agreement and General Terms and Conditions of the Contract. To review the items your company has been awarded, please review Proposal Tabulation No. 671-22 at www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract award, and only those awarded items may be sold through the BuyBoard contract. All sales must comply with the contract terms and must be at or below the awarded pricing as set forth in the General Terms and Conditions. The contract will be posted on the BuyBoard website as an online electronic catalog(s). You are reminded that, in accordance with the General Terms and Conditions, all purchase orders from National Cooperative members must be processed through the BuyBoard. Except as expressly authorized in writing by the Cooperative's administrator, you are not authorized to process a purchase order received directly from a National Cooperative member that has not been processed through the BuyBoard or provided to the Cooperative. If you receive a purchase order directly from a National Cooperative member that you have reason to believe has not been received by the National Cooperative or processed through the BuyBoard, you must promptly forward a copy of the purchase order by e-mail to info@buyboard.com A list of National Cooperative members is available on the buyboard.com website. The BuyBoard vendor relations staff will be contacting you to assist with resources available and provide any support you may need as an awarded BuyBoard vendor. On behalf of the National Cooperative,we are looking forward to your participation in the program. If you have any questions, please contact Cooperative Procurement Staff at 800-695-2919 (select option"2'�. Sincerely, Arturo Salinas, Asst. Division Director, Cooperative Purchasing Texas Association of School Boards, Inc., Procurement Administrator for the National Purchasing Cooperative v.02.01.2021 P.0. Box 400,Austin, Texas 78767-0400 %WWO 800.695.2919•buyboard.com Board� pURCHAsING COOPERATIVE 12007 Research Bouievard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' buyb0�rd.com PROP®SER'S ACCEPTANCE AND AGREEMENT Proposai xnvittatlon Name: uniforms and pr esal Due ®ateiOnerairsa ►ate aid Time: Accessories December 16, 2021, at 4:00 PM Locgtion of Pr000sai�oeninc�: Texas Association of School Boards, Inc. BuyBoard Department proposal glivitation Number: 670-22 12007 Research Blvd. Austin, TX 78759 Antici2ated Cooperative Board Meetin ®ate: Contract Term: June 1, 2022, through May 31, April 2022 2023, with two possible one-year renewals. By signature below, the undersigned acknowledges and agrees that you are authorized to submit this Proposal, including making all acknowledgements, consents, and certifications herein, on behalf of Proposer and, to the best of your knowledge, the information provided is true, accurate, and complete. (Q�,vil ��Uty k So S Narhe of Propo ing Company Date street Address Signatur of Authorized Company Official _ Ub I u _� jLZJk-4�_ City, State, Zip Printed Name of Authorized Company Official icial Position or Title of Authorized Company Official Telephone Number of Authorized Company Off Fax Number of Authorized Company Official Federal ID Number Page 10 of 72 Proposal Forms COMM/SVCS v.08.1 1.2021 yJ Doard WUPCHASI.MC COOFTRATWE 12007 Research Boulevard ' Austin, Texas 78759-2439 , PH: 800-695-2919 ' buyboard.com PROPOSAL FORMS PART 1: COMPLIANCE FORM5 INSTRUCTIONS: Proposer must review and complete all forms in this Proposal Forms Part 1: Proposal Acknowledgements ■ Felony Conviction Disclosure • Resident/Nonresident Certification • Debarment Certification • Vendor Employment Certification ■ No Boycott Verification • No Excluded Nation or Foreign Terrorist Organization Certification ■ Historically Underutilized Business Certification • Acknowledgement of BuyBoard Technical Requirements ■ Construction-Related Goods and Services Affirmation • Deviation and Compliance = Vendor Consent for Name Brand Use ■ Confidential/Proprietary Information ■ EDGAR Vendor Certification • Compliance Forms Signature Page An authorized representative of Proposer must initial in the bottom right corner of each page where indicated and complete and sign the Compliance Forms Signature Rage. Proposer's failure to fully complete, initial,and sign forms as required may result in your Proposal being rejected as non-responsive. PROPOSAL ACKNOWLEDGEMENTS The proposing company ("you"or"your' hereby acknowledges and agrees as follows: 1. You have carefully examined and understand all information and documentation associated with this Proposal Invitation, including the Instructions to Proposers, General Information, General Terms and Conditions, attachments/farms, appendices, item specifications, and line items (collectively"Requirements'); 2. By your response ("Proposal'o to this Proposal Invitation, you propose to supply the products or services submitted at the pricing quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions are noted in the Proposal; 3. By your Proposal, you acknowledge and certify all items set forth in the General Terms and Conditions, Section B.12 (Certifications), including all non-collusion certifications and certifications regarding legal, ethical, and other matters set forth therein. 4. Any and all deviations and exceptions to the Requirements have been noted in your Proposal on the required form and no others will be claimed; Initial: Page 11 of 72 Propossl Forms COMM/SVCS v.08.11.202t P2?RCNk37:ti,CRGP':s7AriVE 12007 Research Boulevard . Austin, Texas 78759-2439 • PH: 800-695-2919 . boybeard.corn 5. If the Cooperative accepts any part of your Proposal and awards you a Contract, you will furnish all awarded products or services at the pricing quoted and in strict compliance with the Requirements (unless specific deviations or exceptions are noted on the required form and accepted by the Cooperative), including without limitation the Requirements related to: a. conducting business with Cooperative members, including offering pricing to members that is the best you offer compared to similarly situated customers in similar circumstances; b. payment of a service fee in the amount specified and as provided for in this Proposal Invitation; c. the possible award of a piggy-back contract by the National Purchasing Cooperative or nonprofit entity, in which event you will offer the awarded products and services in accordance with the Requirements; and d. submitting price sheets or catalogs in the proper format as required by the Cooperative as a prerequisite to activation of your Contract; 6. You have clearly identified on the included form any information in your Proposal that you believe to be confidential or proprietary or that you do not consider to be public information subject to public disclosure under the Texas Public Information Act or similar public information law; 7. The individual submitting this Proposal is duly authorized to enter into the contractual relationship represented by this Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a form or Proposal document) is authorized and has the requisite knowledge to provide the information and make the representations and certifications required in the Requirements; 8. You have carefully reviewed your Proposal, and certify that all information provided is true, complete, and accurate to the best of your knowledge, and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and 9. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, will be grounds for disqualifying you from, consideration for a contract award under this Proposal Invitation, termination of a contract award, or any other remedy or action provided for in the General Terms and Conditions or by law. FELONY CO NVICMO N DISCLOSURE Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor) states: "A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony." Section 44.034 further states in Subsection (b): "A school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract." Please check 1, one of th fo€iowin My Company is a publicly-held Corporation. (Advance notice requirement does not apply to pubkiy-held corporation.) My company is not owned or operated by anyone who has been convicted of a felony. My company is owned/operated by the following individual(s) who has/have been convicted of a felony: Name of Felon(s): Details of Conviction(s):_ _ Initial: 2/L Page 12 of 72 Proposal Forms COMM/SVCS V.08.11.2027 AV 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 . buyboard.com RESIDENT/NONRESIDENT CERTIFICATION Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who are not Texas residents. tinder the statute, a "resident" proposer is a person whose principal place of business is in Texas, including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A "nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a "resident" proposer or a "nonresident" proposer under these definitions. Please check (V) one of the following-. I certify that my company is a Resident Proposer. ❑ I certify that my company is a Nonresident Proposer. If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in which your company's principal place of business is located); Company Name Address City State Zip Code A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? ❑ Yes ❑ No B. What is the prescribed amount or percentage? $ or DEBARMENT CERTIFICATION By signature on the Compliance Forms Signature Page, I certify that neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. VENDOR EMPLOYMENT CERTIFICATION Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's ultimate parent or majority owner (i) has its principal place of business in Texas; or(ii) employs at least 500 people in Texas. If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas, does your company, ultimate parent company, or majority owner employ at least 500 people in Texas? Please check t/) one of the followina: ` 71 Yes No Initial: Page 13 of 72 Proposal Forms COMM/SVCS v.08.1:.2021 '. Boara ptrRc►��ss>�a son�a,�r:�•� 12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ' buvboard.com No 0Y90T>E' 1/ER1F1 AT10N A Texas governmental entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it. (1) does not boycott Israel and will not boycott Israel during the term of the contract (Tex. Gov'T CODE Ch. 2271), (2) does not boycott energy companies and will not boycott energy companies during the term of the contract (TEx. Gov'T CODE Ch. 2274 effective September 1, 2021), and (3) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and will not discriminate during the term of the contract against a firearm entity or firearm trade association (TEx. Gov'T CODE Ch. 2274 effective September 1, 2021). Accordingly, this certification form is included to the extent required by law. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. TEx. GOv'T CODE §808.001(1). "Boycott energy company"means,without an ordinary business purpose, refusing to deal with,terminating business activities with; or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (8) does business with a company described by Paragraph (A). TEx. Gov'T CODE §809.001(1) (effective September 1, 2021). "Discriminate against a firearm entity or firearm trade association" means, (A) with respect to the entity or association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based soleiy on its status as a firearm entity or firearm trade association; IQ refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; and (B) does not include: (i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (ii) a company'; refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship: (aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or (bb) for any traditional business reason that is specific to the customer or potentiai customer and not based solely on an entity's or association's status as a firearm entity or firearm trade association. TEx. Gov'T CODE §2274.001(3) (effective September 1, 2021). By signature on the Compliance Forms Signature Page, to the extent applicable, I certify and verify that Vendor does not boycott Israel, boycott energy companies, or discriminate against a firearm entity or firearm trade association and will not do so during the term of any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized by my company to make this certification. Initial- 5X.1 Page 14 of 72 Qrcpo sa!FormS COMM/jVCS v,06.11.2021 " loard PURCHL1100 CMPF4A ME 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 • buyboard.com NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist organization — specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to the contract prohibition.) By signature on the Compliance Forms Signature Page, I certify and verify that Vendor is not on the Texas Comptrollers list identified above; that this certification is true, complete and accurate; and that I am authorized by my company to make this certification. HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION A Proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business Enterprise or"MWBE"and all referred to in this form as a"HUB") is encouraged to indicate its HUB certification status when responding to this Proposal Invitation. The BuyBoard website will indicate HUB certifications for awarded Vendors that properly indlcate and document their HUB certification on this form. Please check t;/) all that apply_ I certify that my company has been certified as a HUB in the following categories: Minority Owned Business ❑ Women Owned Business Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2), who has a service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating of 200{0 or more as determined by the U. S. Department of Veterans Affairs or Department of Defense) r� Certification Number: 14 3 � Q 5 (�-t rl�} V 1 b 0 V Name of Certifying Agency: Tr lc ems &N k t Lo 5 ❑ My company has NOT been certified as a HUB. ACKNOWLEDGEMENT OF 13UYBOARD TECHNICAL REQUIREMENTS Vendor shall review the BuyBoard Technical Requirements included in this Proposal Invitation. By signature on the Compliance Forms Signature Page, the undersigned affirms that Proposer has obtained a copy of the BuyBoard Technical Requirements, has read and understands the requirements,and certifies that Vendor is able to meet and will comply with those requirements except as follows: [List and explain BuyBoard Technical Requirements, if any, to which your company cannot or will not comply.f Note: In accordance with the General Terms and Conditions of the Contract, to the extent Vendor is awarded a Contract under this Proposal Invitation but is unable or unwilling to meet the applicable BuyBoard Technical Requirements, the information available on the BuyBoard for Vendor's awarded products or services may be limited, potentially placing Vendor at a disadvantage and impacting the ability of Cooperative members to search, find, review, and purchase Vendor's awarded products and services on the BuyBoard website. Further, to the extent Vendor has acknowledged ability to meet and comply with the BuyBoard Technical Requirements, any subsequent failure or refusal by Vendor to promptly provide inform on upon request to the Cooperative administrator in accordance with those technical requirements may be deemed an v of default under the Contract. Initial: Page 15 of 72 Pro,'1.ms Forrns COMM/SVCS v.08.1i.2021 GLENN HEGAR TEXAS COMPTROLLER OF PUBLIC ACCOUNTS The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBS and facilitates the use of HUBS in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certificationlre-certi ication as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at https://mycpa.cpa.state.tx.us/tpasscmbisearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company's compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Mote:Any changes made to your company's information may require the HUB Program to re-evaluate your company's eligibility. Please visit our website at http://comptroller.texas.gov/procurement/prog/hubi and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on state procurement resources that can increase your company's chances of doing business with the state. Thank you for your participation in the HUB Program! If you have any questions, you may contact a HUB Program representative at 512-463-5872 or toll-free in Texas at 1-888-863-5881. Texas Historically Underutllized Business (HUB) Certificate CertificateNID Number: 1431959901Eoo File/Vendor Number: 17930 Approval©ate: 3,123/2018 4F- H B Scheduled Expiration Date: 3/23/2022 Statewide Historically Underutilized Business Program The Texas Comptroller of Public Accounts(CPA), hereby certifies that LUGRA INCORPORATED' has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be recognized as a HUB. This certificate printed 23-MAR-2018, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information (i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business' application for registration/certification as a HUB, you must immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of ineligibility. R-1-71 S_ Laura Cagle-Hinojosa, Statewide HUES Program Manager Statewide Support Services Division Note: In order for State agencies and institutlWrs of higher education(universities)to be credited for utilizing this business as a HUB,they must award payment Under the CertiticateNlO Number identified above. Agencies,universities and prime contractors are encouraged to verify the companys HUg certification prior to issuing a notice of award by accessing the Internet (https-//mycpa.epa.state.tx.ushpasscmbisearchAndex.jsp)or by contacting the HUB Program at 512463-5872 or toll-free in Texas at 1-888-863,5861. Rev.06116 Ard" FURS iASffgC ITJC?E:ZKF!SE 12007 Research Boulevard ' Austin, Texas 76759-2439 • PH: 800-695-2919 ° i_uy oa scorn CONSTRUCTION GOODS AND SERVICES AFFIRMATION The Cooperative issued the BuyBoard Procurement and Construction-Related Goods and Services Advisory for Texas Members ("Advisory's, which provides information specifically relevant to the procurement of construction-related goods and services by Texas Cooperative members. The Advisory, available at buyboard.com/Vendo/`Rgsou.ces.asox, provides an overview of certain legal requirements that are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services, including those for projects that may involve or require architecture, engineering or independent testing services. A copy of the Advisory can also be provided upon request Because many BuyBoard contracts include goods or installation services that might be considered construction-related, Proposer must make this Construction Related-Goods and Services Affirmation regardless of type of goods or services associated with this Proposal Invitation. A contract awarded under this Proposal Invitation covers only the specific goods and/or services awarded by the Cooperative. As explained in the Advisory ("Advisory', Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This Proposal Invitation and any Contract awarded thereunder does not include such services. Architecture or engineering services must be procured by a Cooperative member separately, in accordance with the professional Services Procurement Act(Chapter 2254 of the Texas Government Code) and other applicable law and local policy. By signature on the Compliance Forms Signature Page, Proposer affirms that Proposer has obtained a copy of the Advisory, has read and understands the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction- related goods or services to a Cooperative member under a Contract awarded under this Proposal Invitation, Proposer will comply with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy of the Advisory before accepting the member's Purchase Order or other agreement for construction-related goods or services. Initial: Page 16 of 72 Propcsa!Forms COMMISVL-v.09.11.2021 PL��SN�slNG S��Pc"��rr�J= Board 12007 Research Boulevard . Austin,Texas 78759-2439 • PH: 800-695-2-919 , buyboard.com DEVIATION AND COMPLIANCE If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed information regarding the deviations on this form or an attachment to this form. Prior to completing this form, Vendor shall review the General Terms and Conditions section B.4 (Deviations from Item Specifications and General Terms and Conditions). Please note that, as provided in section B.4, certain provisions of the General Terms and Conditions are NOT subject to deviation, and certain deviations will be deemed rejected without further action by the Cooperative. Any attempted deviation, whether directly or indirectly, to provisions identified in this Proposal Invitation as not subject to deviation shall be deemed rejected by the Cooperative and, unless otherwise withdrawn by Vendor, may result in Vendor's Proposal being rejected in its entirety. The Cooperative will consider any deviations in its contract award decision and reserves the right to accept or reject a proposal based upon any submitted deviation. In the absence of any deviation identified and described in accordance with the above, your company must fully comply with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal Invitation if awarded a Contract under this Proposal Invitation. A deviation will not be effective unless accepted by the Cooperative. The Cooperative, by and through the Cooperative administrator, may, in its sole discretion, seek clarification from and/or communicate with Proposer(s) regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative reserves the right to accept or reject a Proposal based upon any submitted deviation. Please check_ ,one of the following No; Deviations Yes; Deviations List and fully explain any deviations you are submitting: Initial:` Page 17 of 72 Proposal Farms CCMM!$VCS v_08.11.2621 Aboardo 12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 ° buyboard.com Mgt OP. COS ENT FOFt NLME BRAND USE BuyBoard members seeking to make purchases using a Contract awarded Under this Proposal Invitation may view information regarding awarded Vendors, including but not limited to product catalogs, price€ists, pricing, and Proposals, through the BuyBoard website. To improve and enhance the experience of BuyBoard members seeking to procure goods and services under the Contract utilizing the BuyBoard website, any Vendor logo, product images, and similar brand and trademark information provided by Vendor for purposes of the Contract i lVendcr Information's may be posted on the BuyBoard website. You acknowledge that, by submitting your proposal, unless you specifically opt out below,you consent to use of your company's Vendor Information on the BuyBoard website if awarded a Contract. You further acknowledge that whether, where, and when to include the Vendor Information on the BuyBoard website shall be at the sole discretion of the BuyBoard Administrator. Vendor retains, however, the right of general quality control over the BuyBoard Administrator's authorized display of proprietary Vendor Information. Neither the BuyBoard nor its administrator will be responsible for the use or distribution of Vendor Information by BuyBoard members or any other third party using the BuyBoard website. This Vendor Consent shall be effective for the full term of the Contract, including renewals, unless Vendor provides a signed, written notice revoking consent to c n ractadmin@buyboard cam. BuyBoard shall have up to thirty days from the date of receipt of a termination or revocation of a Vendor Consent to remove Vendor information from the BuyBoard website. This Vendor Consent is subject to the Terms and Conditions of the Contract, including, but not limited to, those terms pertaining to Disclaimer of Warranty and limitation of Liability, Indemnification, and Intellectual Property Infringement. Vendor logo files must be submitted in one of the formats set forth in the BuyBoard Technical Requirements, Proposers are requested to submit this information with Vendor's Proposal. (This consent shall not authorize use of your company's Vendor Information by BuyBoard if your company is not awarded a Contract.) QEi C1UT— If your company wishes to opt out of the Vendor Consent for Name Brand Use, you must check the opt out box below. DO PJOTselect this box unless your company is opting out of this Vendor Consent for[Vame Brand Use. ❑ By checking this box, Vendor hereby declines to provide consent for use of Vendor Information (as defined herein) on the BuyBoard website. By opting out, Vendor acknowledges and agrees that, if Vendor is awarded a Contract under this proposal Invitation, information available on the BuyBoard for Vendor's awarded products or services may be limited, potentially placing Vendor at a disadvantage and impacting the ability of Cooperative members to search, find, review, and purchase Vendor's awarded products and services on the BuyBoard website. Initial: Par_m I8 of 72 Pr cposal Forms COMM/Svcs v.08.11.202' Mw0ard UPCHASiNu C0DiTPA r 1VE 12007 Research Boulevard ` Austin, Texas 78759-2439 - PH: 800-695-2919 ' buyboard.com CONFIDENTIAL/PROPRIETARY INFORMATION A. Public Disclosure Laws All Proposals, forms, documentation, catalogs, pricelists, or other materials submitted by Vendor to the Cooperative in response to this Proposal Invitation, may be subject to the disclosure requirements of the Texas Public Information Act(Texas Government Code chapter 552.001, et seq.) or similar disclosure law. Proposer must clearly identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a member of the public of- other third party request access to the information under the Texas Public Information Act or similar disclosure law. When required by the Texas Public Information Act or other disclosure law, Proposer may be notified of any third-party request for information in a Proposal that Proposer has identified in this form as proprietary or confidential. Does your Proposal (including forms, documentation, catalogs, pricelists, or other materials submitted with the Proposal) contain information which Vendor considers proprietary or confidential? Please check one of the following: NO, I certify that none of the information included with this Proposal is considered confidential or proprietary. YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is specifically identified on this form. If you responded"YES', you must clearly identify below the specific information you consider confidential or proprietary. List each page number,form number, or other information sufficient to make the information readily identifiable. The Cooperative and Cooperative administrator shall not be responsible for a Proposer's failure to clearly identify information considered confidential or proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and Cooperative administrator wili disclose information when required by law, even if such information has been identified herein as information Vendor considers confidential or proprietary. Confidential / Proprietary Information: (Attach addittionai sheets if needed.) Inii`ial• �'r C Page 19 of 72 Proposal Forms COY.AfsvCS v.68.11.2021 12007 Research Boulevard , Austin, Texas 78759-2439 • PH: 800-595-2919 ` buyboard.com B. Copyright Information Does your Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) contain copyright information? Pease check V' one ofi ft following: crs NO, Proposai (including forms, documentation, pftelists, catalogs, or other materials submitted with the Proposal), does not contain copyright inforr nation. 0 YES Proposal (including forms documentation celists catalogs,or other materials submitted with the Proposal) does � P (� g f pri_ g , A 7 contain copyright information. If you responded "YES", clearly identify below the specific documents or pages containing copyright information. Copyright Information: (Attach additional sheets if needed.) C.Consent to Release Cenfdential I Proprietary/Caprt ht Information to lBo lard Me€nbers BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential, proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such information on the secure BuyBoard website for members. Note: Neither the Cooperative nor Cooperative administrator will be responsible for the use or distribution of information by BuyBoard members or any other party. D.Consent to Release Prowl Tabulilti can Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal, Vendor consents and agrees that, upon Contract award, the Cooperative may publicly release, including posting on the public BuyBoard website, a copy of the proposal tabulation and award information for the Contract including Vendor name; proposed catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award or non-award information. Initial: �l Page 20 of 72 Proposal Farms COMMISVCS v.0$.11.2021 a PURL yAS:NC OOOPs PA TIV€ 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-595-2919 - buybo rd_com EDGAR 1/E 'ION (2 CFR Dart 200 and Appendix II) When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, 2 CFR 200 (sometimes referred to as the "'Uniform Guidance"or new "EDGAR'}. All Vendors submitting a Proposal must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain requirements which may be applicable to specific Cooperative member purchases using federal grant funds. Completed forms will be made available to Cooperative members for their use while considering their purchasing options when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in addition to the terms and conditions of the BuyBoard contract, to address the member's specific contractual needs, including contract requirements for a procurement using federal grants or contracts. For each of the items below, Vendor should certify Vendor's agreement and ability to comply, where applicable, by having Vendor's authorized representative check the applicable boxes, in each page, and sign the Compliance Forms Signature Page. if you fail to complete any item in this form, the Cooperative will consider and may list the Vendor's response on the BuyBoard as "NO,"the Vendor is unable or unwilling to comply. A "NO" response to any of the items may, if applicable, impact the ability of a Cooperative member to purchase from the Vendor using federal funds. 1. Vendor Violation or Breach of Contract Terms: Contracts for more than the simplified acquisition threshold, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908 must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate. Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18, Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms and Conditions, as well as any additional terms and conditions in any Purchase Order or Cooperative member ancillary contract agreed upon by Vendor and the Cooperative member which must be consistent with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions. The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By submitting a Proposal, you agree to these Vendor violation and breach of contract terms. K YES, I agree. NO, I do not agree. 2. Termination for Cause or Convenience: For any Cooperative member purchase or contract in excess o€$10,000 made using federal funds,you agree that the following term and condition shall apply: The Cooperative member may terminate or cancel any Purchase Order under this Contract at an by prc viding seven (7) business days advance written notice to the Vendor. If this Agreement is/me ter, with or minated 1 tgpcord use, with this Paragraph, the Cooperative member shall only be required to pay Vender for goods or services delivered to the Cooperative member prior to the termination and not otherwise returned in accordance with Vendor's return policy. if the Cooperative member has paid Vendor for goods or services not yet provided as of the date of termination, 1/endor shall immediately refund such payment(s). If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the manner by which it will be effected and the basis for settlement, is included in the Cooperative member's Purchase Order or ancillary agreement agreed to by the Vendor, the Cooperative member's provision shall control. YES, I agree. ❑ NO, I do not agree. Initial: 4L Page 21.of 72 Proo"01 Forms C7MV1yGVCS V-08.2.1.202t au��ss,�ac nac����rrv� 12007 Research Boulevard ' Austin, Texas 78759-2439 - PH: 800-695-2919 ' bObQard.com 3. Equal Employment Opportunity: Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the definition of"federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246,"Equal Employment Opportunity"(30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR Part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor." The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that such provision applies to any Cooperative member purchase or contract that meets the definition of"federally assisted construction contract" in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision. % YES; I agree. ❑ NO, I do not agree. 4. Davis-Bacon ,Act: When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction contracts/purchases in excess of$2,000,Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contra is Covering Federally Financed and Assisted Construction'. In accordance with the statute, Vendor is required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week. Current prevailing wage determinations issued by the Department of Labor are available at beta.sam.gov. Vendor agrees that, for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor's acceptance of the wage determination. Vendor further agrees that it shall also comply with the Copeland "Anti-Kickback" Act (40 USC 3145), as supplemented by Department of Labor regulations (29 CFR Part 3,"Contractors and Subcontractors an 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. i YES, I agree. J7 NO, I do not agree. S. Contract Work !'fours and Safety Standards Act: Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 USC 3702 of the Act; Vendor is required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence, YES, I agree. ❑ NO, I do not agree. Initial: BIZ L Page 22 of 72 Proposal Forms COMM/SKS v.09.11.2021 PU�Cr1ASlkG�U?EP.dT1L'c 12007 Research Boulevard ' Austin, Texas 78759-24.39 - PH: 800-695-2919 • bud oard.com 6. Right to Inventions Made Under a Contract or Agreement: If the Cooperative members 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 or experimental, developmental, or research work under that "fundina agreement,"the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding agency. Vendor agrees to comply with the above requirements when applicable. YES, I agree. ❑ NO, I do not agree. 7. Clean Air Act and Federal Water Pollution Control Act: Clean Air Act(42 USC 7401-7671q.)and the Federal Water Pollution Control Act(33 USC 1251-1387), as amended—Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1 387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection. Agency (EPA). When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act and the Federal Water Pollution Control Act. YES, I agree. 0 NO, I do not agree. S. Debarment and Suspension: Debarment and Suspension (Executive Orders 12549 and 12689) —A contract award (see 2 CFR 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR Part 1989 Comp. p. 235),"Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. X YES, I agree, L7 NO, I do not agree. 9. Byrd Anti-Lobbying Amendment: Byrd Anti-Lobbying Amendment (31 USC 1352) - Vendors that apply or bid for an award exceeding $100,000 must fie the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 USC 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. As applicable, Vendor agrees to file all certifications and disclosures required by, and otherwise comply with, the Byrd Anti-Lobbying Amendment (31 USC 1352). `w1 YES, I agree. El NO, I do not agree. Initial: r Pace 23 of 72 Raposai Farns LOM MIMIC5 v.68.21.2021 oar PURCHAS1Nu CGOPERATME 12007 Research Boulevard 'Austin,"texas 78759-2439 • PH: 800-695-2919 ' "u oard.com 10. Procurement of Recovered Materials- For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection r Agency (EPA) at 40 CFR Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantib/acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. V-PYES, I agree. ❑ NO, I do not agree. 11. Domestic Preferences for Procurements: Where appropriate and consistent with law, 2 CFR §200.322 contains certain considerations for domestic preferences for procurements which may be applicable to Cooperative members using federal funds. When required by a Cooperative member, Vendor agrees to provide such information or certification as may reasonably be requested by the Cooperative member regarding Vendor's products, including whether goods, products, or materials are produced in the united States. JI YES, I agree. ❑ NO, I do not agree. 12. Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment 2 CFR §200.216 prohibits expending federal loan or grant funds to procure or obtain certain telecommunications and video surveillance services or equipment. To the extent applicable and when required by a Cooperative member, Vendor agrees to provide such information or certification as may reasonably be requested by the Cooperative member to confirm whether any telecommunications or video surveillance services or equipment provided by Vendor is covered equipment or covered services under 2 CFR §200.216. `ES, I agree. ❑ NO, I do not agree. 13. Profit as a Separate Element of Price: For purchases using federa! funds in excess of the Simplified Acquisition Threshold, a Cooperative member may be required to negotiate profit as a separate element of the price. See, 2 CFR 200,324(b). When required by a Cooperative member; Vendor agrees to provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Contract. YES, I agree. ❑ NO, I do not agree. 14. General Compliance and Cooperation with Cooperative Members: In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative member, it shall make a good faith Effort to work with Cooperative members to provide such information and to satisfy such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to, applicable recordkeeping and record retention requirements. YES, 1 agree. ❑ NO, I do rot agree. initial: Page 24 of 72 Proposai Forms COMM/SVCS v.06.11.2021 I PuRegro 12007 Research Boulevard 'Austin,Texas 78759-2439 - PH: 800-695-2919 ' buyboard.com COMPLIANCE FORMS SIGNATURE PAGE By initialing pages and by signature below, I certify that I have reviewed the following forms; that the information provided therein is true, complete, and accurate; and that I am authorized by my company to make all certifications, consents, acknowledgements, and agreements contained herein: ■ Proposal Acknowledgements • Felony Conviction Disclosure ■ Debarment Certification ■ Resident/Nonresident Certification • Vendor Employment Certification • No Boycott Verification • No Excluded Nation or Foreign Terrorist Organization Certification • Historically Underutilized Business Certification ■ Construction-Related Goods and Services Affirmation • Acknowledgement of BuyBoard Technical Requirements • Deviation and Compliance • Vendor Consent for Name Brand Use • Confidential/Proprietary Information or EDGAR Vendor Certification PJU e( � sell s Co e Signature f Authorized Company Offici I Printed Name and Title Date Page 25 of 71 Proposal Forms COMM/SVCS v.08.11.2021 4 ard �u aa�ur cv PERAr Ivz 12007 Research Boulevard . Austin,Texas 78759-2439 • PH: 800-695-2919 ` buyboard.com PROPOSAL_FORMS. PART 2: MENDOP. INFORMATION,FORMS INS i RUCTIONS, Proposer must completely and accurately provide all information requested in the following Vendor Information Forms or your Proposal may be rejected as non-responsive: Vendor Business Name e National Purchasing Cooperative Vendor Award Vendor Contact Information Agreement (vendorssening outside Texas only) Federal and State/Purchasing Cooperative " Local/Authorized Seller Listings Experience M Manufacturer Dealer Designation Governmental References Z; Proposal Invitation Questionnaire Company Profile In Vendor Request to Self-Report BuyBoard y Texas Regional Service Designation Purchases (opt,'onaq State Service Designation To the extent any information requested is not applicable to your company, you musk so indicate on the form. VEi 9P. BUSINESS NAME By submitting a Proposal, Vendor is seeking to enter into a legal contract with the Cooperative. As such, Vendor must be a: individual or legal business entity capable of entering into a binding contract. Name_of proposing Company: (List the legal name of the company seeking to rant act with the Cooperative. Do NOT list an assumed name, dba, aka, ctC. here. Such information may be prol.ided beloiv If you are submitting a joint pmposal with another entily to provide the same proposed goods or services-each submitting ent ty should complete a separate vendor information form. Separately operating legal business entities, even if affiliated enymt&s wi7ich propose to provide goods or services separately must sutmit their own f7cposals.) Please cnecKj.)d one of'tie following: Type of Susiness: ❑ individual/Sole Proprietor /❑l Corporation ❑ Limited Liability Company ❑ Partnership Gather {Specify: Mate of Incorporation (if applicable): � � X a s- Federal Employe Identification Number: H 3 — ` G J q I V (Verdor must include a completed la-W-Q form with their Proposal) Name by`nrhich Vendor, if awarded,wislhhesto be identified on the B1sliBpard: (Note: tf different than the Name ofProposing Company Psted abo ve, only valid trade names(dba,aka,etc.)of the Proposing Company may be used and a copy of your Assumed Name Certlfrcate(s), if applicable,must be attached.) Page 26 of 72 Praposwl Forms GOM ISVCS vM.l 1-2721 Request for Taxpayer Give Form to the Form W 9 Identification Number and Certification requester.Do not (Rev.October 2018) send to the IRS. Department of the Treasury Internal Revenue Service ►Go to www.irs.gov/ForinW9 for instructions and the latest information. 1 Name(as shown on your income tax return).Name is required on this line:do not leave this line blank. LUGRA INCORPORATED 2 Business name/disregarded entity name,if different from above SPECIALTY ADVERTISERS ro 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to a) following seven boxes. certain entities,not individuals;see instructions on page 3): a ❑ le proprietor or ElC Corporation RI Corporation El Partnership Trust/estate o Exempt payee code(if any) to single-member LLC c 0 ❑ Limited liability company.Enter the tax classification IC=C corporation,S=S corporation.P=Partnership)► p Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting N LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(if any) 'C a another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that 0- o is disregarded from the owner should check the appropriate box for the tax classification of its owner. (Applies to ecc ts—iilhed Daub.the U.S.) ❑ Other(see instructions)► N5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) a 3664 COMERCE DR 6 City,state,and ZIP code BROWNSVILLE TEXAS 78521 7 List account number(s)here(optional) Taxpayer Identification Number IN Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a _FPresident alien,sole proprietor,or disregarded entity,see the instructions for Part 1,later.For other entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN, later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. ]4L— 1 9 5�9O Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that i am exempt from FATCA reporting is correct. Certification Instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secu " property,cancellation o contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends, are not requir o ig he certi ation.but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature I &'(, Date► Here U.S.person► G� Genera) InStruc . nS •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise .Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-6(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest), (tuition) information return with the IRS must obtain your correct taxpayer 1098-T( identification number(TIN)which may be your social security number .Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number Use Form W-9 only if you are a U.S.person(including a resident (EIN),to report on an information return the amount paid to you,or other Y to, provide our correct TIN. amount reportable on an information return.Examples of information alien), P returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) ": oard PVPCHASFRG CWPEP t T tVL 12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 ° buybpard.= VENDOR CONTACT INFORMATION Vendor shall provide the requested Vendor Contact Information in the electronic proposal submission system including contract,purchase order, RFQ, and invoice contacts(or, if submitting a hard copy Proposal, timely request and complete the Vendor Contact information form in accordance with the Instructions to Proposers). FEDERAL AND STATELPURCHASING COOPERATIVE EXPERIENCE The Cooperative strives to provide Cooperative members with the best services and products at the best prices available from Vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions. 1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market price during the previous 12-month period or the last fiscal year: $ . (The period of the 12-month period is / ). In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the sales of the item(s). 2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the Cooperative are equal to or better than the best price you offer other purchasing cooperatives For the same items under equivalent circumstances. 3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing cooperatives as required. CURRENT FORMER VENDORAWARDED PURCHASING VENDOR? • •r GROUPDO. •. 1. Federal General Services Administration 2. T-PASS (State of Texas) 3. GMNIA Partners 4. Sourcewe!1 (N"IPA) 5. E&I Cooperative 6. Houston-Galveston Area Council (HGAC) 7. Choice Partners 8. The Interlocal Purchasing System (TIPS) 9. Other �9,114Y COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS. CURRENT BUYBOARD VENDORS If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your current and proposed discounts. Current Discount (%): I O Proposed Discount(%): 10 Explanation: Page 27 of 71 Proposal Forma COMIMlsvrs v.ae.11.74121 12007 Research l3culevard ' Austin,Texas 78759-2439 • PH: 800-695-1419 ` bu}+�aard.com For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information requested below, €nclud€ng the existing pricing/discounts you offer each customer. The Cooperative may determine whether pricing/discounts are fair and reasonable by comparing pricing/discounts stated in your Proposal with the pricing/discounts you offer other governmental customers. Attach additional pages if necessary. Quantity/ Entity Nacre Contact Ph ne# - all Address .. iDis.coynt ;loluMe ��0•y� be 2. roWsV11(.e, �S (�onn it A a r (a d.�s . 3 2s' c9a 3. S T 15 f)- k marlda '0 61 o 1 1 - et aa 1d ` od6r I � 7 1 15J a nee `' p/ �. eome(o() �au-n - I)to(ja Pcljt Ila . J(0 a-- -d I)o C�_Carnero_n �Us � s 5. Umu m Nun R turd Rrt,jna . u r VudvPdz .00rr>. 10() us Do you ever!modify your written policies or standard governmental sales practices as identified in the above chart to give better discount lower pricing) than indicated? YES NO ❑ If YES, please explain: COMPANY ERQEILE Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would like to have included with your company profile on the BuyBoard website, Submit your company profile in a separate file, in Word format, with your Proposal. (Note: Vendor is solely responsible for any content provided for inclusion on the BuyBoard website. The Cooperative reserves the right to exclude or remove any content in its sole discretion, with or without prior notice, including but not limited to any content deemed by the Cooperative to be inappropriate, irrelevant to the Contract, inaccurate, or misleading.) Rage 28 of 11 Flap=i Farms CDM M!SVC5 v.OR.11.2021 SPECIALTY ADVERTISERS, WAS FOUNDED IN 2002, IN BROWNSVILLE TEXAS, SERVING THE COMMUNITY PLUS SURROUNDING AREAS, AND DIFFERENT STATES, FAMILY OWN BUSINESS RUN BY LUCILA RICHA , MINORITY BUSINESS, WOMEN'S OWNED . WE ARE FULL SERVICE ADVERTISING SPECIALTIES COMPANY OFFERING A WIDE RANGE OF PROMOTIONAL ITEMS, SCREEN PRINTING, EMBROIDERY, RECOGNITION AWARDS, BANNERS AND MUCH MORE TO PROMOTE YOUR COMPANY ard PuReS? S3h'�COCPERATNE 12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ' buyboard.com TEXAS REGIONAL SERVICE DESIGNATION This form must be completed in the electronic proposal submission system /or; if submitting as hard c02v Pr _oral_timely request dad cormiete the form in accordance with the Instructions to Proposers'. The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors the opportunity to service its members throughout the entire State of Texas. In the electronic proposal submission system, you must indicate if you will service Texas Cooperative members statewide or, if you do not plan to service all Texas Cooperative members statewide, you must indicate the specific regions you will service. If you propose to serve different regions for different products or services included in your Proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. (Additional forms can be obtained by contacting bids Qa-buyboard.com at-least five (5) business days prior to the Proposal Due Date. By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in 'which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on the form in the electronic,proposal submission system. Regional Education Service Center-, _.. . _ Region„and Headggarters 1 Edinburg 2 Corpus Christi Victoria jz F 4 Houston __T1 5 Beaumont - 6 Huntsville r==~ 7 Kilgore A= 8 Mount Pleasant 4_, 9 Wichita Falls 10 Richardson - µ 11 Fort Worth 12 Waco f 13 Austin 14 Abilene 15 San Angelo 16 Amarillo 17 Lubbock -' 18 Midland 20 San Antonio .0 Page 29 a`72 Proposal'Farms COMMJSVCS v.08.11.2021 a R: oard 701RCHASM;COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-291.9 • FAX: 800-211-5454 • buyboard.corr. STATE SERVICE DESIGNATION This,`orm must be completed In the electronic proposal submission system for, lfsubm tt r c a hard co,� Pr�p §Igl. time v request and c m fete th in aQ crd-ny with the Instr bans t Pr s r As set forth in the Proposal Invitation, it is the Cooperative's intent that other governmental entities in the United States have the opportunity to purchase goods or services awarded under the Contract, subject to applicable state law, through a piggy- back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire United States or only specific states, you must complete the State Service Designation information in the electronic proposal submission system. (Note:If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.) In addition to this form, to be considered for a piggy-back award by the !National Purchasing Cooperative, you must have an authorized representative sign the National Purchasing Cooperative Vendor Award Agreement that follows this page. If you serve different states for different products or services included in your Proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. (Additional forms can be obtained by contacting biids2bu board.com at least five 5)business days prior to the Proposal Due Date.) By designating a state or states, you are certifying that you are authorized and willing to provide the proposed products and services in those states. Designating states in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, ifawarded, termination of your Contract. ■ I will service all states in the united States. ■ I will not service all states in the United States. Alabama Alaska Nebraska Arizona Nevada Arkansas New Hamoshire California (Public Contract Code 20118 & 20652) New Jersey Colorado New Mexico Connecticut New York Delaware North Carolina District of Columbia North Dakota Florida Ohio Georgia Oklahoma Hawaii Oregon Idaho Pennsylvania Illinois Rhode Island Indiana South Carolina Iowa South Dakota Kansas Tennessee Kentucky Texas Louisiana Utah Maine Vermont Maryland Virginia Massachusetts Washington Michigan, West Virginia Minnesota Wisconsin Mississippi Wyoming Missouri Montana Proacof R;r:PS CC 11M 5VCS v.aa.11.2021 Pace 30 of 72 Ruxc�r�s�kc cno�a�rr�r oard 12007 Pes-earch uou€evary ° Austin,Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 • uybcarc,com NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the State Service Designation form, in your Proposal. By signing this form, Proposer (referred to in this Agreement as"Vendor") agrees as follows: I. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative's awards Vendor a contract under this Proposal Invitation ("Underlying Award', the National Purchasing Cooperative (`National Cooperative' may - but is not required to - "piggy-back" on or re-award all or a portion of that Underlying Award ("Piggy-Sack Award'). By signing this National Cooperative Vendor Award Agreement ("Agreement), Vendor accepts and agrees to be bound by any such Piggy-Back Award as provided for herein. 2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator ( BuyBoard Administrator') will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by its BuyBoard Administrator in writing. 3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and same general terms and conditions, subject to applicable'state laws in the state of purchase, as required by the Underlying Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better(i.e., lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award. 4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved in writing by the BuyBoard Administrator. 5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further; upon request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members, vendor invoices, and/or such other documentation regarding those purchase orders as the Cooperative's administrators may require in their reasonable discretion for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National Cooperative members in order to verify the accuracy of service fees. 6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the underlying Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this Agreement, and that nothing in this Agreement has application to Other third parties, including the Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall control, and then only to the extent necessary to reconcile the conflict. PrrNsal Forms COMMI5VC5 v.p8.�.7..2027 Page 31 of 72 > r � �uaxasmro>; Qnnvt 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5451 't)uvboard,f 7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue for any dispute shall lie in the federal district court of Alexandria, Virginia. B. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back.Award as provided for herein. WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this Agreement. Spe c G_ Af 4cic'eI � Narnetof Ven r Proposal Invitation Number a�� C - re of uthorized Company Official Printed Name of Authorized Company Official Date Proposal Forms COMM/SVCS v.t18.11.2U21 Page 32 of 71 12007 Research Boulevard ' Austin,Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454 ' buvboard.com LOCATION AUTHORIZED SELLER LISTINGS If you have more than one location/authorized seller that will service a Contract awarded under this Proposal Invitation, please list each locationlauthorized seller below. If additional sheets are required, please duplicate this form as necessary. ,'COTE: awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders, and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms and Conditions to receive Cooperative member Purchase Carders on your behalf, you must complete the Manufacturer Designated Dealer form. Location/Authorized Contact Information Seller Name Contact Person (Mailing Address, Phone, Fax, Email) Sp,Q±0 LuttG3�L ,4 7 c '7852,E Fa --- Irle-Ad (� 5 �f �t�er� r5P60ad� � Proposal Forms COMMISVCS v.08-11.2021 Page 33 of 71 ard' 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' FAX: 800-211-5454 ' buy d___com MANUFACTURE.IR ,QEAL9g QgsIG.t1A,TIoN If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers ("Designated Dealers")to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete this form for each dealer you wish to designate. Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such designations are for Vendor's convenience only and shall rnct, if Vendor is awarded a Contract, relieve Vendor of any obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder, including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees. if awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process such Purchase order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to a Designated Dealer for processing. The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated Dealer, and Vendor agrees to immediately require such Designated Dealer to tease accepting Purchase Orders or otherwise acting on Vendor's behalf under the Contract. Further, the Cooperative administrator shall be authorized to remove or suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion. If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please fist the Designated Dealer below. If you wish to designate multiple dealers, please duplicate this farm as necessary. Designated Dealer Name Designated Dealer Contact Person Designated Dealer Address �- City State zip Phone Number Fax dumber Email address Designated healer Tax ID Dumber* (*attach W'9) t Proposal Forms COMN/SJa v.08-11.221 Page 34 of 71 All oard FL R"A51NG GQOPERAME 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-595-2919 , FAX: 800-211-5454 • buyocard.cor'l PROPOSAL INVITATION QUESTIONNAIRE The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial resources to provide the goods and perform the services ("Work'; under the BuyBoard contract contemplated by this Proposal Invitation ("Contract'}. Proposers must fully answer each question, numbering your responses to correspond to the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire and submit in one document with your Proposal. You must submit the questionnaire and responses with your Proposal or the Proposal will not be considered. 1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your company is currently for sale or involved in any transaction that would significantly alter its business or result in acquisition by a`other entity. 2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this Contract. State the number and summarize the experience of company personnel who may be utilized for the Work, including those who will be available to Cooperative members for assistance with project development, technical issues, and product selection for Work associated with this Contract. 3. Marketing Strategy: For your Proposal to be considered, you must submit the Marketing Strategy you w1fl use if the Cooperative accepts all or part of your Proposal. (Examole: Explain how your company will initially inform Cooperative members of your BuyBoard Contract, and how you will continue to support the BuyBoard for the duration of the Contract term.)Attach additional pages if necessary. der WON 15 Cb bu of Nll " ( Itacl, C2 N Proposal Forms COMM/SVC5 v.08.11.2022 Page 35 of 72 oard" AFFORCHASiNGCOOPEPATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 , FAX: 800-211-5454 ' buyboard.coLn 4. Describe Proposer's financial capability to perform the Contract. State or describe the fiirm's financial strength and rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the irm's past or present owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position with your firm. IV 5. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing agreement? If so, provide detailed information on the nature of such items and prospects for resolution. 6. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or that have been terminated for any reason. For each such contract, provide the project name, scope, value and date and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the work, or termination. 7. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or employees, that relate to or arise from a contract similar to this Contract or the Work contemplated under this Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of the claim, and resolution or current status. V Page 16 of 72 proposal Forms CUVMtSVCS v.08.11.2121 �4 n �u�;.xa sr�a ca�re�rr�r ard 12Gv7 Resea;di Boulevard • Austin, Texas 78759-2439 ' PH: 800-595-2919 ' FAX: 800-211-5454 • bu board.com (F.Fase check N)th?folloviing? ( ReviewedLCompleted: Proposer's Acceptance and Agre8ment PROPQSAL FORMS FART I:COMP IANce FoRms Rf Reviewed/Completed: Proposal Acknowledgements LV Reviewed/Completes: Felony Conviction Disclosure Lam' Reviewed/Cam let : Resident/Nonresident Certification Zn Reviewed/Completed: Debarment Certification Reviewed/Completed: Vendor Employment Certification Reviewed Como[eted: No Boycott Verification Reviewed Com feted: No Excluded Nation or Foreign Terrorist Organization Certification Reviewed/Completed: Historically Underutilized Business Certification Reviewed/Cornpleted: Acknowledgement of BuyBoard Technical Requirements L l� Reviewed�Comoleted: Construction-Related Goods and Services Affirmation l►'i Reviewed/Completed: Deviation and Compliance Reviewed/Completed: Vendor Consent for Name grand Use Revi ed Com ieted: Confidential/Proprietary Information A,/ tReviewed/Completed: EDGAR Vendor Certification s� eviekvedmomnieted: Compliance Forms Signature Pane PROPOSAL O 's PARS'2:VENDOR © Reviewed/Completed: Vender Business Dame Reyieweds9Ft1ed: Vendor Cor tMct Information (complete in electronic proposal submission system) LI Reviewed Completed: Federal and State/Purchasing Cooperative Experience Reviewed/Co : Governmental References Reviewed/Qompleted: Company Profile Reviewed/Completed: Texas Regional Service Designation (complete in electronicproposalsubmissionsystem) Reviewed/Completed: State Service Designation (complete in eleetronic proposal submission system) Reviewed/Completed: National Purchasing Cooperative Vendor Award Agreernea(vendor5Servingoutside rrexasonly) Reviewed lCom p feted: Local/Authorized Seiler Listings �' Reviewed/Completed: Manufacturer Dealer Designation Z ' Reviewed&ompieted: Proposal Invitation Questionnaire Reviewed/ omoleted: vendor Request to self-Report BeyBoard Purchases (optional) Reviewed/Completed: Proposal Specifications, Evaluation Items and Discount(%)off Cata/og/Pricelistand/or other required pricing information including Catalogs/Pricelists(or no bid response)must be submitted with the Proposal or the Proposal wilt not be considered: PraP—Sd!FO,MIS COMMJSUCS v.6$.11.Z021 Page 40 of 72 oard VPURCHAS;NG COOPERATIVE 671 -22 Specialty Advertisers LUGRA INC. Supplier Response Event Information Number: 671-22 Title: Awards, Trophies, and Personal Recognition Products Type: Request for Proposal Issue Date: 10/18/2021 Deadline: 1/13/2022 04.00 PM (CT) Notes: The Local Government Purchasing Cooperative (BuyBoard) Proposal Invitation No. 671-22 Awards, Trophies, and Personal Recognition Products Proposal Due Date and Time: January 13, 2022, at 4:00 PM Responding to this and future proposals online is easy with our online submission system. 1. View and download the forms. • DO NOT log in to view and download the documents. • Visit vendor.buyboard.com and click on the "Current Proposal Invitations" button shown below to view and download the forms for this proposal. To submit completed proposal. Page 1 of20 pages Vendor:Specialty Advertisers 671-22 • Visit vendor.buyboard.com and click "Register/Login/Submit Proposal" button shown below to submit your proposal online. • For additional assistance click this link 1 View our Proposal Submission Instructions. New Vendor? Visit vendor.buyboard.com and click "Register/Login/Submit Proposal." Click Register now as a new supplier/vendor, so you don't miss future proposal opportunities. Any Addenda issued with this proposal will also be placed on the website, and it will be the vendor's responsibility to obtain the information. Page 2 of 20 pages Vendor:Specialty Advertisers 671-22 Specialty Advertisers Information Address: 3664 Commerce Dr. Brownsville, TX 78521 Phone: (956) 986-0958 Fax: (956) 986-0959 Web Address: VWWV.SPEC IALTYADVERTISERS.COM By submitting your response, you certify that you are authorized to represent and bind your company. MARIA RAM IREZ LRICHA@specialtyadvertisers.com Signature Email Submitted at 111312022 3:33:12 PM Requested Attachments BuyBoard Proposal Invitation No. 671-22 Awards, Trophies, and Personal 671-22 PROPOSAL.pdf Recognition Products REQUIRED-In PDF format, upload all proposal invitation documents available for download at vendor.buyboard.com including any additional pages, as necessary. (Please DO NOT password protect uploaded files.) Catalog/Pricelist VENDOR LIST 2022.pdf REQUIRED-In Excel or PDF format, upload catalog/pricelist in proposal invitation instructions. Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or Proposal will not be considered. No paper catalogs or manufacturer/vendor websites will be accepted. File size must not exceed 100MB. (Please DO NOT password protect uploaded files.) Exceptions and/or Detailed Information Related to Discount % and/or Hourly Labor Rate No response Proposed In PDF format and if necessary, vendor shall attach detailed information regarding exceptions to pricing and/or discount percentage and define the services that are proposed to be provided. NOTE: IF DETAILED INFORMATION IS NOT SUBMITTED, PROPOSAL MAY NOT BE CONSIDERED. (Please DO NOT password protect uploaded files.) Company Profile SPECIALTY- HISTORY.pdf REQUIRED-Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would like to have included with your company profile on the BuyBoard website. Submit your company profile in a separate file, in Word format, with your Proposal. (Note: Vendor is solely responsible for any content provided for inclusion on the BuyBoard website. The Cooperative reserves the right to exclude or remove any content in its sole discretion, with or without prior notice, including but not limited to any content deemed by the Cooperative to be inappropriate, irrelevant to the Contract, inaccurate, or misleading.) IRS Form W-9 Request for Taxpayer Identification Number and Certification W-9 - 01-13-22.pdf REQUIRED-In PDF format, upload W-9 form. (Please DO NOT password protect uploaded files.) Bid Attributes 1 Federal Identification Number Federal Identification Number 4 11959901 2 HUB/No Israel Boycott Certification/No Excluded Nation or Foreign Terrorist Certification HUB/No Israel Boycott Certification/No Excluded Nation or Foreign Terrorist Certification Page 3 of 20 pages Vendor:Specialty Advertisers 671-22 3 No Israel Boycott Certification A Texas governmental entity may not enter into a contract with a value of$100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. (TEX. GOV'T CODE Ch. 2270). Accordingly, this certification form is included to the extent required by law. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. TEX. GOV'T CODE §808.001(1). By signature on the Compliance Forms Signature Page, to the extent applicable, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized by my company to make this certification. Yes 4 No Excluded Nation or Foreign Terrorist Organization Certification Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist organization —specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to the contract prohibition.) By signature on the Compliance Forms Signature Page, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this certification is true, complete and accurate; and that I am authorized by my company to make this certification. Yes 5 MWBE/HUB Status Certification A Proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business Enterprise or"MWBE" and all referred to in this form as a "HUB") is encouraged to indicate its HUB certification status when responding to this Proposal Invitation. The BuyBoard website will indicate HUB certifications for awarded Vendors that properly indicate and document their HUB certification on this form. certify that my company has been certified as a MWBE/HUB in the following categories: (Please check all that apply) 6 Minority Owned Business Minority Owned Business ❑Minority Owned Business (Yes) 7 Women Owned Business Women Owned Business I Women Owned Business (Yes) 8 Service-Disabled Veteran Owned Business Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2), who has a service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of Defense) ❑Service-Disabled Veteran Owned Business (Yes) Page 4 of 20 pages Vendor:Specialty Advertisers 671-22 9 Certification Number Certification Number 1431959901600 1 Name of Certifying Agency U Certifying Agency THE TEXAS COMPTROLLERS 1 Non-MWBE/HUB 1 My company has NOT been certified as a MWBE/HUB ❑Non-HUB (Yes) 1 Vendor General Contact Information 2 Proposal/Contract General Contact Information 1 Vendor Proposal/Contract Contact Name 3 Vendor Proposal/Contract Contact Name LUCILA RICHA 1 Vendor Proposal/Contract Contact E-mail Address 4 Vendor Proposal/Contract Contact E-mail Address LRICHA@SPECIALYADVERTISERS.COM 1 Vendor Proposal/Contract Mailing Address 5 Vendor Proposal/Contract Mailing Address 3664 COMMERCE DR 1 Vendor Proposal/Contact Mailing Address - City 6 Vendor Proposal/Contact Mailing Address - City BROWNSVILLE 1 Vendor Proposal/Contact Mailing Address -State 7 Vendor Proposal/Contact Mailing Address - State (Abbreviate State Name) TEXAS 1 Vendor Proposal/Contact Mailing Address -Zip Code 8 Vendor Proposal/Contact Mailing Address -Zip Code 78521 1 Vendor Proposal/Contact Phone Number 9 Vendor Proposal/Contact Phone Number(xooc)ooc-=(c) 956-986-0958 2 Vendor Proposal/Contact Extension Number U Vendor Proposal/Contact Extension Number No response Page 5 of20 pages Vendor:Specialty Advertisers 671-22 2 Company Website 1 Company Website (www.xxxxx.com) VWWV.SPECIALTYADVERTISERS.COM 2 Purchase Orders Contact Information 2 All Purchase Orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to Vendors to assist them with retrieving their orders. Please select options below for receipt of Purchase Orders and provide the requested information: I will use the internet to receive Purchase Orders at the following address Yes 2 Purchase Order E-mail Address 3 Purchase Order E-mail Address LRICHA@SPECIALYADVERTISERS.COM 2 Purchase Order Contact Name 4 Purchase Order Contact Name LUCILA RICHA 2 Purchase Order Contact Phone Number 5 Purchase Order Contact Phone Number(xoa-xxx-)o=) 956-9860958 2 Purchase Order Contact Extension Number 6 Purchase Order Contact Extension Number No response 2 Alternate Purchase Order E-mail Address 7 Alternate Purchase Order E-mail Address ACCOUNTING@SPECIALTYADVERTISERS.COM 2 Alternate Purchase Order Contact Name 8 Alternate Purchase Order Contact Name MARIA RAMIREZ 2 Alternate Purchase Order Contact Phone Number 9 Alternate Purchase Order Contact Phone Number(xxx-xxx-xxxx) 956-9860958 3 Alternate Purchase Order Contact Extension Number U Alternate Purchase Order Contact Extension Number No response Page 6 of 20 pages Vendor:Specialty Advertisers 671-22 3 Purchase Orders Contact Information All Purchase Orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to Vendors to assist them with retrieving their orders. Please select options below for receipt of Purchase Orders and provide the requested information: • Purchase Orders may be received by the Designated Dealer(s) identified on my company's Dealer Designation form as provided to the Cooperative administrator. I understand that my company shall remain responsible for the Contract and the performance of all Designated Dealers under and in accordance with the Contract. No 3 Request for Quotes (a€oeRFQAE) 2 Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: 3 Request for Quote (RFQ) E-mail Address 3 Request for Quote (RFQ) E-mail Address NONE 3 Request for Quote (RFQ) Contact Name 4 Request for Quote (RFQ) Contact Name NONE 3 Request for Quote (RFQ) Contact Phone Number 5 Request for Quote (RFQ) Contact Phone Number (xxx-xxx-)o=) NONE 3 Request for Quote (RFQ) Contact Extension Number 6 Request for Quote (RFQ) Contact Extension Number No response 3 Alternate Request for Quote (RFQ) E-mail Address 7 Alternate Request for Quote (RFQ) E-mail Address No response 3 Alternate Request for Quote (RFQ) Contact Name 8 Alternate Request for Quote (RFQ) Contact Name No response 3 Alternate Request for Quote (RFQ) Contact Phone Number 9 Alternate Request for Quote (RFQ) Contact Phone Number (xxx-xxx-x)=) No response 4 Alternate Request for Quote (RFQ) Contact Extension Number U Alternate Request for Quote (RFQ) Contact Extension Number No response Page 7 of 20 pages Vendor:Specialty Advertisers 671-22 4 Invoices 1 Your company will be billed monthly for the service fee due under a Contract awarded under this Proposal Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they are ready to be retrieved. 4 Invoices 2 Please choose only one (1) of the following options for receipt of invoices and provide the requested information: (a) Service fee invoices and related communications should be provided directly to my company at: or (b) In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing agent: If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relieve Vendor of its responsibilities and obligations under the Contract including, but not limited to,payment of all service fees under any Contract awarded Vendor. Service fee invoices and notices direct to company 4 Invoice Company Name 3 Invoice Company Name SPECIALTY ADVERTISERS 4 Invoice Company Department Name 4 Invoice Company Department Name ACCOUNTING 4 Invoice Contact Name 5 Invoice Contact Name MARIA RAMIREZ 4 Invoice Mailing Address 6 Invoice Mailing Address (P.O. Box or Street Address) 3664 COMMERCE DR 4 Invoice Mailing Address - City 7 Invoice Mailing Address - City BROWNSVILLE 4 Invoice Mailing Address - State 8 Invoice Mailing Address - State (Abbreviate State Name) TEXAS 4 Invoice Mailing Address -Zip Code 9 Invoice Mailing Address (Zip Code) 78521 Page 8 of 20 pages Vendor:Specialty Advertisers 671-22 5 Invoice Contact Phone Number U Invoice Contact Phone Number(xxx-xxx-xxxx) 956-9860958 5 Invoice Contact Extension Number 1 Invoice Contact Extension Number No response 5 Invoice Contact Fax Number 2 Invoice Contact Fax Number(xxx-xxx-xxxx) No response 5 Invoice Contact E-mail Address 3 Invoice Contact E-mail LRICHA@SPECIALYADVERTISERS.COM 5 Invoice Contact Alternate E-mail Address 4 Invoice Contact Alternate E-mail Address ACCOUNTING@SPECIALTYADVERTISERS.COM 5 Billing Agent Company Name 5 Billing Agent Company Name No response 5 Billing Agent Department Name 6 Billing Agent Department Name No response 5 Billing Agent Contact Name 7 Billing Agent Contact Name No response 5 Billing Agent Mailing Address 8 Billing Agent Mailing Address (P.O. Box or Street Address) No response 5 Billing Agent Mailing Address -City 9 Billing Agent Mailing Address - City No response 6 Billing Agent Mailing Address - State U Billing Agent Mailing Address - State (Abbreviate State Name) No response 6 Billing Agent Mailing Address -Zip Code 1 Billing Agent Mailing Address - Zip Code No response Page 9 of 20 pages Vendor:Specialty Advertisers 671-22 6 Billing Agent Contact Phone Number 2 Billing Agent Contact Phone Number(xxx-xxx-xxxx) No response 6 Billing Agent Contact Extension Number 3 Billing Agent Contact Extension Number No response 6 Billing Agent Fax Number 4 Billing Agent Fax Number No response 6 Billing Agent Contact E-mail Address 5 Billing Agent Contact E-mail Address No response 6 Billing Agent Alternative E-mail Address 6 Billing Agent Alternative E-mail Address No response 6 Shipping Via 7 Common Carrier, Company Truck, Prepaid and Add to Invoice, or Other Company Truck 6 Payment Terms 8 Note: Vendor payment terms must comply with the BuyBoard General Terms and Conditions and the Texas Prompt Payment Act(Texas Government Code Ch. 2251). 21 DAYS AFTER RECEIPT OF ITEMS 6 Vendor's Internal/Assigned Reference/Quote Number 9 Vendor's Internal/Assigned Reference/Quote Number No response 7 State or Attach Return Policy U Note: Only return requirements and processes will be deemed part of Vendor's return policy. Any unrelated contract terms, terms of sale, or other information not specifically related to return requirements and processes included in Vendor's return policy shall not apply to any awarded Contract unless specifically included as a deviation in the Deviation and Compliance Form and accepted by the Cooperative. UNWORN ITEMS-DEFECTIVE FABRIC& DEFECTIVE LOGOS- 14 DAYS 7 Electronic Payments 1 Are electronic payments acceptable to your company? Yes 7 Credit Card Payments 2 Are credit card payments acceptable to your company? Yes Page 10 of 20 pages Vendor:Specialty Advertisers 671-22 7 Texas Regional Service Designation 3 Texas Regional Service Designation - Refer to Form in Proposal Invitation The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to serve different regions for different products or services included in your Proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on this form. 7 Company Name 4 Company Name SPECIALTY ADVERTISERS 7 Texas Regional Service Designation 5 Select only one of the following options. If you select "I will NOT serve all Regions of Texas", you must then check the individual Regions you wish to serve. All Regions 7 Region 1 6 Region 1 - Edinburg 0 Region 1 (1) 7 Region 2 7 Region 2 - Corpus Christi 0 Region 2 (2) 7 Region 3 8 Region 3 -Victoria 0 Region 3 (3) 7 Region 4 9 Region 4 - Houston 0 Region 4 (4) 8 Region 5 U Region 5 - Beaumont 0 Region 5 (5) 8 Region 6 1 Region 6 - Huntsville 0 Region 6 (6) 8 Region 7 2 Region 7 - Kilgore 0 Region 7 (7) Page 11 of 20 pages Vendor:Specialty Advertisers 671-22 8 Region 8 3 Region 8 - Mount Pleasant PI Region 8 (8) 8 Region 9 4 Region 9 - Wichita Falls 0 Region 9 (9) 8 Region 10 5 Region 10 - Richardson ❑Region 10 (10) 8 Region 11 6 Region 11 - Fort Worth 0 Region 11 (11) 8 Region 12 7 Region 12 - Waco 0 Region 12 (12) 8 Region 13 8 Region 13 -Austin 0 Region 13 (13) 8 Region 14 9 Region 14 -Abilene 0 Region 14 (14) 9 Region 15 0 Region 15 - San Angelo 0 Region 15 (15) 9 Region 16 Region 16 -Amarillo 0 Region 16 (16) 9 Region 17 2 Region 17 - Lubbock 0 Region 17 (17) 9 Region 18 3 Region 18 - Midland 0 Region 18 (18) 9 Region 19 4 Region 19 - El Paso 0 Region 19 (19) Page 12 of 20 pages Vendor:Specialty Advertisers 671-22 9 Region 20 5 Region 20 - San Antonio Region 20 (20) 9 State Service Designation 6 State Service Designation - Refer to Form in Proposal Invitation. As set forth in the Proposal Invitation, it is the Cooperative's intent that other governmental entities in the United States have the opportunity to purchase goods or services awarded under the Contract, subject to applicable state law, through a piggy-back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire United States or only specific states, you must complete this form accordingly. (Note: If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.) In addition to this form, to be considered for a piggy-back award by the National Purchasing Cooperative, you must have an authorized representative sign the National Purchasing Cooperative Vendor Award Agreement that follows this form. If you serve different states for different products or services included in your Proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a state or states, you are certifying that you are authorized and willing to provide the proposed products and services in those states. Designating states in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. 9 Company Name 7 Company Name SPECIALTY ADVERTISERS 9 State Service Designation 8 Select only one of the following options. If you select "I will NOT serve all States", you must then check the individual States you wish to serve. All States 9 Alabama 9 Alabama I Alabama (AL) 1 Alaska 6 Alaska I Alaska (AK) 1 Arizona Arizona 0 Arizona (AZ) 1 Arkansas 2 Arkansas 0 Arkansas (AR) 1 California 0 California (Public Contract Code 20118 & 20652) 3 0 California (CA) Page 13 of 20 pages Vendor:Specialty Advertisers 671-22 1 Colorado U Colorado 4 ,!❑Colorado (CO) 1 Connecticut U Connecticut 5 ]Connecticut (CT) 1 Delaware 6 Delaware ❑Delaware (DE) 1 District of Columbia U District of Columbia 7 I District of Columbia (DC) 1 Florida U Florida 8 I Florida (FL) 1 Georgia 9 Georgia ❑Georgia (GA) 1 Hawaii dHawaii ❑Hawaii (HI) 1 Idaho 1 Idaho 1 O Idaho (ID) 1 Illinois 1 Illinois 2 O Illinois (IL) 1 Indiana 1 Indiana I Indiana (IN) 1 Iowa 4 Iowa PI Iowa (IA) 1 Kansas 5 Kansas ,!❑Kansas (KS) Page 14 of 20 pages Vendor:Specialty Advertisers 671-22 1 Kentucky 1 Kentucky 6 Kentucky (KY) 1 Louisiana 1 Louisiana I Louisiana (LA) 1 Maine 1 Maine 0 Maine (ME) 1 Maryland 9 Maryland I Maryland (ME) 1 Massachusetts 2 0 Massachusetts I Massachusetts (MA) 1 Michigan 2 Michigan 1 ❑Michigan (MI) 1 Minnesota 2 Minnesota ❑Minnesota (MN) 1 Mississippi 2 3 Mississippi I Mississippi (MS) 1 Missouri 2 Missouri ,!❑Missouri (MO) 1 Montana 2 2 Montana I Montana (MT) 1 Nebraska 2 Nebraska 6 0 Nebraska (NE) 1 Nevada 2 Nevada ,!❑Nevada (NV) Page 15 of 20 pages Vendor:Specialty Advertisers 671-22 1 New Hampshire 2 New Hampshire 8 0 New Hampshire (NH) 1 New Jersey 2 9 New Jersey 0 New Jersey (NJ) 1 New Mexico UNew Mexico 0 New Mexico (NM) 1 New York 3 New York 1 0 New York(NY) 1 North Carolina 3 North Carolina 2 0 North Carolina (NC) 1 North Dakota 3 North Dakota ❑North Dakota (ND) 1 Ohio 4 Ohio 0 Ohio (OH) 1 Oklahoma 3 Oklahoma 0 Oklahoma (OK) 1 Oregon 3 Oregon 0 Oregon (OR) 1 Pennsylvania 3 Pennsylvania 7 0 Pennsylvania (PA) 1 Rhode Island 8 Rhode Island 0 Rhode Island (RI) 1 South Carolina 3 9 South Carolina ,!❑South Carolina (SC) Page 16 of 20 pages Vendor:Specialty Advertisers 671-22 1 South Dakota 4 South Dakota 0 O South Dakota (SD) 1 Tennessee Tennessee 0 Tennessee (TN) 1 Texas 4 Texas 0 Texas (TX) 1 Utah 4 Utah 3 0 Utah (UT) 1 Vermont 4 Vermont 0 Vermont (VT) 1 Virginia 544 Virginia ❑Virginia (VA) 1 Washington 4 Washington 6 3 Washington (WA) 1 West Virginia 4 West Virginia 7 0 West Virginia (WV) 1 Wisconsin 4 Wisconsin ,❑Wisconsin (WI) 1 Wyoming 9 Wyoming 0 Wyoming (WY) Bid Lines Page 17 of 20 pages Vendor:Specialty Advertisers 671-22 EXHIBIT C CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code,by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1),Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code.An offense under this section is a misdemeanor. jJ Name of vendor who has a business relationship with local governmental entity. 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 after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 31 Name of local government officer about whom the information is being disclosed. Name of Officer 4.1 Describe each employment or other business relationship with the local government o cer, or a family member of the officer,as described by Section 176.003(a)(2)(A). Also describe any family relationshi ith the local government officer. Complete subparts A and B for each employment or business relationship described ttach additional pages to this Form CIO 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? F] Yes F-1 No B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity'.) aYes allo 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director,or holds an ownership interest of one percent or more. 6 ❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described i Section 176.003(a)(' excl ifts described in Section 176.003(a 1). 7 d,d D 9 1 D Signature o endor doing business with the govern nta Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.Iegis.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) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any gift described by Section 176.003(a-1);or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application,response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity;or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer,described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a);or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021