HomeMy WebLinkAboutContract 58181 CSC No. 58181
FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Flymotion,
LLC ("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 627-20; 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 Two Hundred Sixty-Two Thousand Eight Hundred Seventy-Eight Dollars
($262,878.00). 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 expires on November 30, 2022 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 one (1) one-year renewal period(December I to November 30), unless City or
Contractor provides the other parry 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 parry by United States Mail, registered, return receipt requested, addressed as
follows:
To CITY: To VENDOR:
City of Fort Worth Flymotion,LLC
Attn: Fernando Costa,Assistant City Manager Chase Haley,Account Manager
200 Texas Street
Fort Worth,TX 76102-6314 Address:
Facsimile: (817) 392-8654 4558 Eagle Falls Place
Tampa,FL, 33619
With copy to Fort Worth City Attorney's Office at
same address Facsimile: 813-441-7697
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 COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
By: responsible for the monitoring and administration of this
Name: Fernando Costa contract,including ensuring all performance and
Title: Assistant City Manager reporting requirements.
Date: Oct 3, 2022
APPROVAL RECOMMENDED: By: Sasha Kane(Sep 28,202209:16 CDT)
Name: Sasha Kane
Title: Sr. Contract Compliance Specialist
By: Julie Spearingin(Oct 3,202214:20CDT) APPROVED AS TO FORM AND LEGALITY:
Name: Julie Swearingin
Title: Acting Police Chief
ATTEST: By:
Name: Jessika Williams
Title: Assistant City Attorney
By: J ette S.Goodall(Oct 3,2022 15:5 T) CONTRACT AUTHORIZATION:
4a400nr M&C: 22-0752
Name: Jannette Goodall bpF FORA a�
°°°°°°�a
Title: City Secretary 9A,�°°°° °00
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VENDOR: °°° o° d
P� �cd
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0000°°° p
Flymotion, LLC a�nExAsapp
By: Ci 1a4z Y
Name: Chase Hal y
Title: Account Manager
OFFICIAL RECORD
Date: /ZS/ZZ CITY SECRETARY
FT.WORTH, TX
Exhibit A
FLYMOTION 4416 Eagle Falls PI.
F L PA O T 1 O 800-548-5844 Tampa, Florida
1 -336 9 9611
United States
Prepared For Estimate Date Estimate Number
City of Fort Worth Police 08/10/2022 1064047
Department
505 W Felix St.
Fort Worth, Texas
76115
United States
Rate Qty Line Total
SPOT Enterprise (w/o Docking Station) $99,200.00 1 $99,200.00
Base platform: Spot with the current software release
Spot battery(qty 2)
Spot battery charger(power loader)with cables
JXD tablet controller with the then current software release
Micro-USB charger for JXD tablet
Storage and transportation case for Spot and accessories
SPOT Arm $64,000.00 1 $64,000.00
Equipped to operate through both semi-autonomous actions and
telemanipulation, the arm will open doors, pick, place, push, or drag
objects, and adapt to new situations at the push of a button or swipe of
a screen.
Boston Dynamics Spot Cam+ IR (REAR MOUNT) $38,950.00 1 $38,950.00
Payload: Boston Dynamics Spot CAM+ IR
FLYMOTION Ridgeback System w/Starter Kit $37,979.00 1 $37,979.00
1x FLYMOTION Ridgeback(S-Band)
1 x Ridgeback Kit for SPOT(Chasis, batteries, antennas, cables)
1 x Radio for Operator(Chasis, batteries, antennas, cables)
1 x Controller
1 x Android Tablet
1 x Juggernaut Case&Mount
FM Technical Support 1 Year $749.00 1 $749.00
Receive FLYMOTION's first in class tech support for 1 year,with 24/7
access to the tech support email account that gets responded to within
24 hours.
Shipping $2,000.00 1 $2,000.00
Ground Shipping (Insured)
From factory to FLYMOTION HQ.
Subtotal 242,878.00
Tax 0.00
Estimate Total (USD) $242,878.00
Notes
BuyBoard Coop#627-20
Terms
• Payment due upon receipt (unless other terms have been agreed upon).
• Pricing valid for 14 days from the date issued.
• 3% Convenience charge on orders more than 2500.00 for credit card processing.
• Send orders to sales@flymotionus.com.
• Lead time will be confirmed upon receipt of a valid PO.
• Please inquire about our Training Classes.
® Exhibit B
Board
PFCooperativehirchasing
P.O.Box 400
Austin, TX 78767-0400
800.695.2919 1512.467.0222 / Fax.608.211.5454
buyboard.com
October 22, 2020
Sent Via Email: sales@flymotionus.com
Chase Haley
Flymotion
4558 Eagle Falls Place
Tampa, FL 33619
Welcome to BuyBoard!
Re: Notice of The Local Government Purchasing Cooperative Award
Proposal Name and Number: Unmanned Aerial Vehicles and Surveillance Services, Proposal No. 627-20
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal. The contract is effective 12/1/2020 through 11/30/2021, with two
possible one-year renewals.The contract documents are those identified in Section 3 of the General Terms and Conditions
of the specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 627-20 on the following
web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through the BuyBoard
contract. In addition, on this website you will find the membership list which will provide you with the names of all entities
with membership in our purchasing cooperative.
You are advised that receipt of a purchase order directly from a Cooperative member is not within the
guidelines of the Cooperative. Accepting purchase orders directly from Cooperative members may result in a violation
of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all
purchase orders must be processed through the BuyBoard in order to comply. Please forward by email to
info@buyboard.com any order received directly from a Cooperative member. If you inadvertently process a purchase
order sent directly to you by a Cooperative member, please email the order info@buyboard.com and note it as RECORD
ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days prior to
the start of your contract.
On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we are looking
forward to your participation in the program. If you have any questions, please contact Cooperative Procurement Staff
at 800-695-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
—�►� The Local Covernment Purchasing Cooperative is endorsed by the Texas Association of Schooi Boards.
= T 3 Texas Municipal League, Texas Association of Counties,and the Texas Association of Schaal Administrators.
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name: Unmanned Aerial Vehicles and Proposal Due Date/ Opening Date and Time:
Services June 4, 2020 at 4:00 PM
Location of Proposal Opening:
Texas Association of School Boards, Inc.
BuyBoard Department
Proposal Number: 627-20 12007 Research Blvd.
Austin,TX 78759
Anticipated Cooperative Board Meeting Date:
Contract Time Period: December 1, 2020 October 2020
through November 30, 2021 with two (2) possible
one-year renewals.
FLYMOTION 6/1 /20
Name of Proposing Company Date
4558 Eagle Falls Place
Street Address Signature of Authori d Company Official
Tampa, FL, 33619 Chase Haley
City, State, Zip Printed Name of Authorized Company Official
800-548-5844 Account Manager
Telephone Number of Authorized Company Official Position or Title of Authorized Company Official
813-441 -7697 465362918
Fax Number of Authorized Company Official Federal ID Number
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%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
The proposing company("you"or"your') hereby acknowledges and agrees as follows:
1. You have carefully examined and understand all Cooperative information and documentation associated with this Proposal
Invitation, including the Instructions to Proposers,General Terms and Conditions,attachments/forms, item specifications,
and line items (collectively"Requirements');
2. By your response ("Proposal') to this Proposal Invitation, you propose to supply the products or services submitted at
the prices quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions
are noted in the Proposal;
3. Any and all deviations and exceptions to the Requirements have been noted in your Proposal and no others will be
claimed;
4. If the Cooperative accepts any part of your Proposal and awards you a contract,you will furnish all awarded products or
services at the prices quoted and in strict compliance with the Requirements (unless specific exceptions are noted in the
Proposal 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 similar customers;
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 another governmental entity or nonprofit entity, in which event you
will offer the awarded goods 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;
5. 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 a Texas Public
Information Act request or similar public information law;
6. The individual signing this Agreement 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) is authorized and has the requisite knowledge to provide the information and make the representations and
certifications required in the Requirements;
7. You have carefully reviewed your Proposal, and certify that all information provided is true, complete and accurate, and
you authorize the Cooperative to take such action as it deems appropriate to verify such information; and
S. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, may disqualify you from
consideration for a contract award under this Proposal Invitation or result in termination of an award or any other remedy
or action provided for in the General Terms and Conditions or by law.
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
VENDOR CONTACT INFORMATION
Name of Company: FLYMOTION
Vendor Proposal/Contract Contact Name: Chase Haley
Vendor Proposal/Contract Contact E-mail Address. sales@flymotlonuS.Com
Vendor Contact Mailing Address for Proposal/Contract Notices: 4558 Eagle Falls Place, Tampa,
FL, 33619
Company Website: .www.f lymotionus.com
Purchase Orders: All purchase orders from Cooperative members will be available through the Internet. Vendors need
Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when
a new purchase order arrives. An information guide will be provided to vendors to assist them with retrieving their orders.
Please select options below for receipt of purchase orders and provide the requested information:
0 I will use the internet to receive purchase orders at the following address:
Purchase Order E-mail Address: sales@flymotlonus.com
Purchase Order Contact: Chase Haley Phone: 800-548-5844
Alternate Purchase Order E-mail Address: Info@flymotlonus.com
Alternate Purchase Order Contact: David Stratchko Phone: 800-548-5844
❑ 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.
Request for Quotes ("RFQ"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
RFQ E-mail Address: sales@flymotlonus.com
RFQ Contact: Chase Haley Phone: 800-548-5844
Alternate RFQ E-mail Address: Info@flymotlonus.com
Alternate RFQ Contact: David Stratchk0 Phone: 800-548-5844
Page 11 of 62
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
Invoices: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee
invoices and related communications:
Please choose only one (1) of the following options for receipt of invoices and provide the requested
information:
0 Service fee invoices and related communications should be provided directly to my company at:
4558 Eagle Falls Place------ Accounts Receivable
Invoice Mailing address: g Department:
City: Tampa ------------------- State: FL-------------- Zip Code: 33619 ----------
Contact Name: Chase Haley Phone: 800'548-5844
------------------------------------- -----------------------------
I nvoice Fax: 813-41 1 -7697 Invoice E-mail Address: Sales@flymotionus-co TI
---------------- ---------------------------------------
Alternative Invoice E-mail Address: info@flymotionus.com
--------------------------------------------------------
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent":
Billing agent Mailing address: Department:
---------------
City:----------------------------- State: ------------------ Zip Code: -------------------
Billing Agent Contact Name: ___ Phone:
-------------------
Billing Agent Fax: _____ Billing Agent E-mail Address:
-------------------------------
Alternative Billing Agent E-mail Address:
----------------------------------------------------
**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 allservice fees under any Contract awarded Vendor.
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
FELONY CONVI CTI ON DI SCLOSURE AND DEBARMENT CERTI FI CATI ON
FELONY CONVI CTI ON DI SCLOSURE
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(i/)one of the following:
❑ My company is a publicly-held corporation. (Advance notice requirement does not apply to publicly-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):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
FLYMOTION
Company Name
Chase Haley
Signature of AuthorizeO Company Official Printed Name
DEBARMENT CERTI FI CATI ON
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.
By signature below, I certify that the above is true,complete and accurate and that I am authorized by my company to make
this certification.
FLYMOTION
Company Name
Chase Haley
Signature of, Company Official Printed Name
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
RESI DENT/ NONRESI DENT CERTI FI CATI ON
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. Under the statute, a "resident" proposer is a person whose principal place of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A
"nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a "resident"
proposer or a "nonresident" proposer under these definitions.
Please check W)one of the followina:
❑ 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):
FLYMOTION 4558 Eagle Falls Place
Company Name Address
Tampa FL 33619
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 0 No
B. What is the prescribed amount or percentage? $ or %
VENDOR EM PLOYM ENT CERTI FI CATI ON
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(i/)one of the following_
❑ Yes 0 No
By signature below, I certify that the information in Sections 1 (Resident/Nonresident Certification) and 2 (Vendor
Employment Certification) above is true, complete and accurate and that I am authorized by my company to make this
certification.
FLYMOTION
Company Name
Chase Haley
Signature of A,ithorizM Company Official Printed Name
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
No I SRAEL BOYCOTT CERTI FI CATI ON
Effective September 1, 2017, as amended effective May 7, 2019 (H.B. 793), 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 below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of any
contract awarded under this Proposal Invitation,that this certification is true,complete and accurate,and that I am authorized
by my company to make this certification.
FLYMOTION
Company Name
Chase Haley
Signature of Authori d Company Official Printed Name
Note; If Vendor does not wish to make this certification,return the blank form in lieu of completed
certification,
NO EXCLUDED NATI ON OR FOREI GN TERRORI ST ORGANI ZATI ON CERTI FI CATI ON
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization —specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below,I certify and verify that Vendor is not on the Texas Comptroller's list identified above;that this certification
is true, complete and accurate; and that I am authorized by my company to make this certification.
FLYMOTION
Company Name
Chase Haley
Signature of Authoriz Company Official Printed Name
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
HI STORI CALLY UNDERUTI LI ZED BUST NESS CERTI FI CATI ON
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or"MWBE"and all referred to in this form as a "HUB") is encouraged to indicate its HUB certification status when
responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that properly
indicate and document their HUB certification on this form.
Please check(-/) all that aoDly:
❑ 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 20% or more as determined by the U. S. Department of Veterans Affairs or Department of
Defense)
Certification Number:
----------------------------------------------------
Name of Certifying Agency:
----------------------------------------------------
0 My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
FLYMOTION
Company Name
Chase Haley
Printed Name
Signature of AuthorizjO Company Official
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
CONSTRUCTI OW RELATED GOODS AND SERVI CES AFFI RMATI ON
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
("Advisory'), Texas law prohibits the procurement of architecture or engineering services through a purchasing
cooperative. This BuyBoard contract does not include such services. Architecture or engineering services must
be procured by a Cooperative member separately, in accordance with the Professional Services Procurement
Act (Chapter 2254 of the Texas Government Code) and other applicable law and local policy.
The Advisory, available at buyboard.com/Vendor/Resources.aspx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy of
the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory,and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or services
to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply with the
Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers or potential
Cooperative member customers aware of such requirements,and provide a Cooperative member with a copy of the Advisory
before executing a Member Construction Contract with the member or accepting the member's purchase order for
construction-related goods or services, whichever comes first.
FLYMOTION
Company Name
Chase Haley
Signature of Authorizg Company Official Printed Name
6/1 /20
Date
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
DEVI ATI ON AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any deviations
in its contract award decision and reserves the right to accept or reject a proposal based upon any submitted deviation.
In the absence of any deviation identified and described in accordance with the above,your company must fully comply with
the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal Invitation
if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the Cooperative.
The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s) regarding any
submitted deviation, consistent with general procurement principles of fair competition. The Cooperative reserves the right
to accept or reject a proposal based upon any submitted deviation.
Please check(1/) one of the following_
❑■ NO; Deviations
❑ YeS; Deviations
List and fully explain any deviations you are submitting:
PLEASE PROW DE THE FOLLOW NG I NFORMATI ON:
1. Shipping Via: ❑■ Common Carrier ❑ Company Truck ❑ Prepaid and Add to Invoice ❑ Other:
2. Payment Terms: ❑■ Net 30 days ❑ 1% in 10/Net 30 days ❑ Other:
3. Number of Days for Delivery: 30 ARO
4. Vendor Reference/Quote Number: ,,I days ,,I
5. State your return policy: Within 14 Calendar Of receiving a product.
6. Are electronic payments acceptable? ❑■Yes ❑ No
7. Are credit card payments acceptable? x❑Yes ❑ No
FLYMOTION
Company Name
clw� Chase Haley
Signature of Authoked Company Official Printed Name
Page 18 of 62
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12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
LOCATI ON/ AUTHORIZED SELLER Li STI NGS
If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation,
please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders,
and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract.
If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms and Conditions
to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer Designated Dealer
form.
N/A
Company Name
Address
City State Zip
Phone Number Fax Number
Contact Person
Company Name
Address
City State Zip
Phone Number Fax Number
Contact Person
Page 19 of 62
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12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
MANUFACTURER DEALER DESIGNATION.
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers
("Designated Dealers')to receive Cooperative member Purchase Orders on Vendor's behalf,you must complete this form for
each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any
obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or
any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible
and liable for 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 cease accepting Purchase Orders or otherwise acting
on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or suspend
any or all Designated Dealers from the BuyBoard at any time in its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish to
designate multiple dealers, please duplicate this form as necessary.
N/A
Designated Dealer Name
Designated Dealer Address
City State Zip
Phone Number Fax Number
Email address Designated Dealer Tax ID Number* (* attach W-9)
Designated Dealer Contact Person
FLYMOTION
Your Company Name Signature of AuthAzed Company Official
Page 20 of 62
Proposal Forms COMM/SVCS v.12.19.2019
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
TEXAS REGI ONAL SERVI CE DESI GNATI ON
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. Ifyou 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 in the space provided at the end of this form. By
designating a region orregions,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.
Regional Education Service Centers ® 1 will service Texas
Cooperative members
- statewide.
❑ I will not service Texas
Cooperative members
statewide. I will only
~� service members in the
regions checked below:
-�d—*-4
_ Reaion and Headquarters
�.i ���"� ❑ 1 Edinburg
-- ❑ 2 Corpus Christi
❑ 3 Victoria
"" "" � ❑ 4 Houston
7 ` ❑ 5 Beaumont
�� . A*,w ❑ 6 Huntsville
`" �' ❑ 7 Kilgore
❑ 8 Mount Pleasant
�- "�'� ❑ 9 Wichita Falls
* � ❑ 10 Richardson
{ ❑ 11 Fort Worth
❑ 12 Waco
� �a In ❑ 13 Austin
" "` ❑ 14 Abilene
__� � ❑ 15 San Angelo
v ❑ 16 Amarillo
FLYMOTION ❑ 17 Lubbock
❑ 18 Midland
Company Name ❑ 19 El Paso
cl ❑ 20 San Antonio
Signature of Auth Ized Company Official
Chase Haley ❑ I will not service members of the
Printed Name Texas Cooperative.
Page 21 of 62
Proposal Forms COMM/SVCS v.12.19.2019
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
If this Texas Regional Service Designation form applies to only one or some of the products and services proposed by
Vendor, list the products and services to which this form applies here:
Page 22 of 62
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12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
STATE SERVICE DESI GNATI ON
The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including
intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete this
form if you plan to service the entire United States, or will service only the specific states indicated. (Note:If you plan to
service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation 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 in the space provided at the end of this form. 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.
Please check(1/) all that apply:
® I will service all states in the United States.
❑ I will not service all states in the United States. I will service only the states checked below:
❑ Alabama
❑ Alaska ❑ Nebraska
❑ Arizona ❑ Nevada
❑ Arkansas ❑ New Hampshire
❑ 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
Page 23 of 62
Proposal Forms COMM/SVCS v.12.19.2019
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
This form will be used to ensure that you can service other governmental entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a contract
awarded under this proposal.
FLYMOTION
Company Name
clw Chase Haley
Signature of Auth zed Company Official Printed Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here:
Page 24 of 62
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12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
NATI ONAL PURCHASI NG COOPERATI VE VENDOR AWARD AGREEMENT
In accordance with the Terms and Conditions associated with this Proposal Invitation,a contract awarded under this Proposal
Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an
intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout
the United States. If you agree to be considered for a piggy-back award by the National Purchasing Cooperative, you agree
to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the
State Service Designation form, in your Proposal.
By signing this form, Proposer (referred to in this Agreement as "Vendor") agrees as follows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative') awards Vendor a
contract under this Proposal Invitation ("Underlying Award'), the National Purchasing Cooperative ("National Cooperative")
may - but is not required to - "piggy-back"on or re-award all or a portion of that Underlying Award ("Piggy-Back Award").
By signing this National Cooperative Vendor Award Agreement ("Agreement'), Vendor accepts and agrees to be bound by
any such Piggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award,the National Cooperative Administrator("BuyBoard
Administrator') will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the effective date
stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in
writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order
for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or
changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by its
BuyBoard Administrator in writing.
3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and
same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better(i.e., lower)
competitive pricing and more favorable terms and conditions than those in the Underlying Award.
4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form
of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved
in writing by the BuyBoard Administrator.
5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of
purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to
National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon request,
Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members
for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the
right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National Cooperative
members in order to verify the accuracy of service fees.
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the
fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and responsibilities
that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative;
and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying Award shall inure to
Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this
Agreement, and that nothing in this Agreement has application to other third parties, including the Texas Cooperative. In
the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall
control, and then only to the extent necessary to reconcile the conflict.
Proposal Forms COMM/SVCS v.12.19.2019
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue for
any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative,and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-Back
Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
FLYMOTION 627-20
Name of Vendor Proposal Invitation Number
(f�� Chase Haley
Signature of Auth ized Company Official Printed Name of Authorized Company Official
6/1/20
Date
Proposal Forms COMM/SVCS v.12.19.2019
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
FEDERAL AND STATE/ PURCHASI NG COOPERATI VE EXPERI ENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from vendors
with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market
price during the previous 12-month period or the last fiscal year: $ 55,281.98 . (The period of the 12 month
period is 6/19 / 6/20 ). 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 VENDOR (Y/N)? — AWARDED
PURCHASING VENDOR? • •D
GROUPD•• ••
1. Federal General Services Administration N N
2. T-PASS (state of Texas) N N
3. OMNIA Partners N N
4. Sourcewell (NJPA) N N
5. E&I Cooperative N N
6. Houston-Galveston Area Council (HGAC) N N
7. Choice Partners N N
S. The Interlocal Purchasing System (TIPS) N N
9. Other N N
X❑ MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SI MI LAR 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 (% ): Proposed Discount (% ):
Explanation:
Proposal Forms COMM/SVCS v.12.19.2019
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
By signature below, I certify that the above is true,complete and accurate and that I am authorized by my company to make
this certification.
FLYMOTION
Company Name
Chase Haley
Signature of Authoi4zed Company Official Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
Page 28 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts you
offer other governmental customers. Attach additional pages if necessary.
Quantity/
Entity Name Contact Phone# Email Address Discount Volume
1. *Governmental Reference information is listed on pg. 11 of the Agency proposal attachment*
2.
3.
4.
5.
Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give
better discounts (lower prices) than indicated? YES ❑ NO x❑ If YES, please explain:
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
FLYMOTION
Company Name
C&a-a—
Signature of Autho9zed Company Official
Chase Haley
Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
Page 29 of 62
4 tow% AGENCY REFERENCESNRWI
Agency: New York Police Department, 1 Police Plz. New York, New York 10038
Contact: Deepu John, 718-971-1411,deepu.john@nypd.org
Scope of Work: Drone Equipmentand Training
Agency: Orange County Fire Rescue, 2976 Forsyth Rd.Winter Park, FL 32792
Contact: Jason Perrigo,407-836-9000,jason.perrigo@ocfl.net
Scope of Work: Drone Equipmentand Training
Agency: Sacramento Metro Fire District,6248 ChestnutAve,Orangevale,CA 95662
Contact: Ryan Gifford,(916) 859-4300,gifford.ryan@metrofire.ca.gov
Scope of Work: Drone Equipmentand Training
Agency: FDNY, 9 MetroTech Center, Brooklyn, NY 11201
Contact: Michael Leo, 917-288-1510, michael.leo@fdny.nyc.gov
Scope of Work: Drone Equipmentand Training
Agency: Jacksonville Fire Rescue, 6272 Powers Ave, Jacksonville , FL 33217
Contact: Chris McKeown, 904-994-5427, cmckeown@coj.net
Scope of Work: Drone Equipmentand Training
FLYMOTIONUS.COM FLYMOTION
ow , FL 33619
:00 : - - 4558 EAGLE FALLS PLACE
• • • • •
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
M ARKETI N G STRATEGY
For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or
part of your Proposal. (Example: 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 period.)
Attach additional pages if necessary.
FLYMOTION will actively seek out Cooperative members of our BuyBoard
contract. Our Active Campaign program supports this contract by reaching
out to potential customers by phone and email to offer products within the
duration of the contract period.
FLYMOTION
Company Name
C&d-v- �
Signature of Auth4fzed Company official
Chase Haley
Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
CONFI DENTI AL/ PROPRI ETARY I NFORMATI ON
A. Public Disclosure Laws
All Proposals,forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this Proposal
Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public Information
Act(Texas Government Code chapter 552.001, et. seq.) or similar disclosure law. Proposer must clearly identify on this form
any information in its Proposal (including forms,documentation,or other materials submitted with the Proposal)that Proposer
considers proprietary or confidential. If Proposer fails to properly identify the information, the Cooperative shall have no
obligation to notify Vendor or seek protection of such information from public disclosure should a member of the public or
other third party request access to the information under the Texas Public Information Act or similar disclosure law. Proposer
will be notified of any third party request for information in a Proposal that Proposer has identified in this form as proprietary
or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
Please check(A one of the following:
❑X NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is
specifically identified on this form.
If you responded "YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative
and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or
proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will disclose
information when required by law, even if such information has been identified herein as information the vendor considers
confidential or proprietary.
Confidential / Proprietary Information:
(Attach additional sheets if needed.)
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12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
B. Coayriaht I nformation
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Please check(-v)one of the following:
❑X NO, Proposal (including forms, documentation, or other materials submitted with the Proposal)does not
contain copyright information.
❑ YES, Proposal (including forms, documentation,or other materials submitted with the Proposal) does
contain copyright information.
If you responded "YES", identify below the specific documents or pages containing copyright information.
Copyright Information:
(Attach additional sheets if needed.)
C. Consent to Release Confidential/ Proprietary/Copyright I nformation to BuyBoard Members
BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to
view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential,
proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such
information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other party.
D. Consent to Release Proposal Tabulation
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 for the Contract including Vendor name; proposed catalog/pricelist
name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award or non-award
information.
By signature below, I certify that the information in this form is true,complete, and accurate and that I am authorized by my
company to make this certification and all consents and agreements contained herein.
FLYMOTION
Company Name
Signature of AuthoAzed Company Official
Chase Haley
Printed Name
6/1/20
Date
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D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
VENDOR BUSI NESS NAME
By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must
be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and
accurately provide the information requested below or your Proposal may be deemed non-responsive.
Name of Proposing Company: FLYMOTION�LLC _
(List the/eoa/name of the company seeking to contract with the Cooperative. Do NOTlist an assumed name,dba,aka,etc.here. Such information may
be provided below, If you are submitting a joint proposal with another entity to provide the same proposed goods or services,each submitting entity should
complete a separate vendor information form, Separately operating legal business entities, even if affiliated entities, which propose to provide goods or
services separately must submit their own Proposals.)
Please check(A one of the following
Type of Business:
Individual/Sole Proprietor
Corporation
Limited Liability Company X
Partnership
Other If other, identify
State of Incorporation (if applicable): Florida
Federal Employer Identification Number: 465362918
(Vendor must include a completed IRS W-9 form with their proposal)
List the Name(s) by which Vendor, if awarded,wishes to be identified on the BuyBoard: (Note: Ifdifferentthan the Name ofProposing
Company listed abo ve,only valid trade names(dba, aka, etc,)of the Proposing Company may be used and a copy of your Assumed Name Certificate(s),if
applicable, must be attached.)
DBA: FLYMOTION
Proposal Forms COMM/SVCS v.12.19.2019
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Form -9 Request for Taxpayer Give Form to the
(Rev.October2018) Identification Number and Certification requester.Do not
Department of the Treasury send to the IRS.
Internal Revenue Service ►Go to www.irs.gov/ForrnW9 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.
FLYMOTION LLC
2 Business name/disregarded entity name,if different from above
FLYMOTION
CO 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
mfollowing seven boxes. certain entities,not individuals;see
fl instructions on page 3):
o ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate
a a single-member LLC Exempt payee code(if any)
Q Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► S
p` Y 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
U) LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is a (another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that code if any)
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
d ❑ Other(see instructions)► (Applies to accounts maintained outside the U.S.)
y 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional)
W 4558 Eagle Falls Place
6 City,state,and ZIP code
Tampa,FL 33619
7 List account number(s)here(optional)
Taxpayer Identification Number(TIN)
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(S .However,fora
resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN, later. or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number
Number To Give the Requester for guidelines on whose number to enter.
M46 - 5 3 1 6 2 9 1 e
Limm 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)1 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 secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments
other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part 11,later.
Sign Signature of
Here. U.S.person► Date► J
General Instructions •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 o Form 1099-B(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),
information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
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
(EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident
amount reportable on an information return.Examples of information alien),to provide your correct TIN.
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)
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
EDGAR VEN DOR CERTI FI CATI ON
(2 CFR Part 200 and Appendix 11)
When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific
federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited
to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, 2 CFR 200 (sometimes referred to as the "Uniform Guidance" or new "EDGAR'). All Vendors submitting
proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain
requirements which maybe applicable to specific Cooperative member purchases using federal grant funds. This completed
form will be made available to Cooperative members for their use while considering their purchasing options when using
federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in addition to the
BuyBoard contract's general terms and conditions, to address the member's specific contractual needs, including contract
requirements for a procurement using federal grants or contracts.
For each of the items below, Vendor should certify Vendor's agreement and ability to comply, where
applicable, by having Vendor's authorized representative complete and initial the applicable boxes and sign
the acknowledgment at the end of this form. If you fail to complete any item in this form, the Cooperative
will consider and may list the Vendors 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, Cooperative member ancillary contract, or
Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent with and
protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions.
The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By
submitting a Proposal, you agree to these Vendor violation and breach of contract terms.
2. Termination for Cause or Convenience:
For any Cooperative member purchase or contract in excess of$10,000 made using federal funds,you agree that the following
term and condition shall apply:
The Cooperative member may terminate or cancel any purchase order under this Contract at any time, with or without cause,
by providing seven (7)business days advance written notice to the Vendor. If this Agreement is terminated in accordance
with this Paragraph, the Cooperative member shall only be required to pay Vendor 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, Vendor 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, ancillary
agreement, or Member Construction Contract agreed to by the Vendor,the Cooperative member's provision shall control.
Proposal Forms COMM/SVCS v.12.19.2019
Page 34 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.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.
4. Davis-Bacon Act:
When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction
contracts/purchases in excess of$2,000,Vendor shall comply with the Davis-Bacon Act(40 USC 3141-3144, and 3146-3148)
as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts
Covering Federally Financed and Assisted Construction'). In accordance with the statute, Vendor is required to pay wages
to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by the Secretary
of Labor. In addition,Vendor shall pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.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 on Public Building or Public Work Financed
in Whole or in Part by Loans or Grants from the United States'). The Act provides that each contractor or subrecipient must
be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work,
to give up any part of the compensation to which he or she is otherwise entitled.
5. Contract Work Hours and Safety Standards Act:
Where applicable, for all Cooperative member contracts or purchases in excess of$100,000 that involve the employment of
mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor
regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic
and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible
provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and
provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles
ordinarily available on the open market, or contracts for transportation or transmission of intelligence.
6. Right to Inventions Made Under a Contract or Agreement:
If the Cooperative member's Federal award meets the definition of"funding 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 "funding
agreement,"the recipient or subrecipient must comply with the requirements of 37 CFR Part 401,"Rights to Inventions Made
by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,"
and any implementing regulations issued by the awarding agency.
Vendor agrees to comply with the above requirements when applicable.
Proposal Forms COMM/SVCS v.12.19.2019
Page 35 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
7. Clean Air Act and Federal Water Pollution Control Act:
Clean Air Act(42 USC 7401-7671q.)and the Federal Water Pollution Control Act(33 USC 1251-1387),as amended—Contracts
and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to
comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401-7671q.) and
the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the Federal
awarding agency and the Regional Office of the Environmental Protection Agency (EPA).
When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean
Air Act and the Federal Water Pollution Control Act.
8. Debarment and Suspension:
Debarment and Suspension (Executive Orders 12549 and 12689) —A contract award (see 2 CFR 180.220) must not be made
to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the
OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR
Part 1989 Comp. p. 235),"Debarment and Suspension." SAM Exclusions contains the names of parties debarred,suspended,
or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended,
or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order
12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases
or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred,
suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
9. Byrd Anti-Lobbying Amendment:
Byrd Anti-Lobbying Amendment (31 USC 1352) -- Vendors that apply or bid for an award exceeding $100,000 must file the
required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay
any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of
Congress,officer or employee of Congress,or an employee of a member of Congress in connection with obtaining any Federal
contract, grant or any other award covered by 31 USC 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).
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste
Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information
and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of
Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the
preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and
resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in
the EPA guidelines.
11. Profit as a Separate Element of Price:
For purchases using federal 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 200.323(b). When required by a Cooperative member,
Vendor agrees to provide information and negotiate with the Cooperative member regarding profit as a separate element of
the price for a particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the
Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative
Contract.
Proposal Forms COMM/SVCS v.12.19.2019
Page 36 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
12. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy such
requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to,applicable
recordkeeping and record retention requirements.
Vendor Certification:
YES, I agree or
Vendor Certification Item No. NO, I do NOT agree Initial
1. Vendor Violation or Breach of Contract Terms Yes
2. Termination for Cause or Convenience Yes
3. Equal Employment Opportunity
Yes
4. Davis-Bacon Act
Yes
5. Contract Work Hours and Safety Standards Act Yes
6. Right to Inventions Made Under a Contract or Agreement Yes
7. Clean Air Act and Federal Water Pollution Control Act C�i'Y
Yes
S. Debarment and Suspension
Yes
9. Byrd Anti-Lobbying Amendment
Yes
10. Procurement of Recovered Materials Yes
11. Profit as a Separate Element of Price Yes
12. General Compliance and Cooperation with Cooperative Members Yes
By signature below, I certify that the information in this form is true,complete, and accurate and that I am authorized by my
company to make this certification and all consents and agreements contained herein.
FLYMOTION
Company Name
/
cli � Y r
Signature of Autho ed Company Official
Chase Haley
Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
Page 37 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
PROPOSAL I NVI TATI ON QUESTI ONNAI RE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial
resources to provide the goods and perform the services("Work") under the BuyBoard contract contemplated by this Proposal
Invitation ("Contract'). Proposers must fully answer each question, numbering your responses to correspond to the
questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below,and submit the signed questionnaire and your responses to all questions in one document with your Proposal.
You must submit the signed questionnaire and responses with your Proposal or the Proposal will not be
considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in acquisition
by another entity.
FLYMOTION has been in business for 5 years. FLYMOTION does not have
a former business name and is currently not for sale.
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.
FLYMOTION is fully staffed with a shipping department,technical department, and team of consultants and account
managers that are capable of performing the work under this contract. FLYMOTION has a staff of 13 members, six of
which have a background in consulting and business management. The remaining seven have previous experience in
account management and technology. All employees will be available to assist the work associated with this contract.
3. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and rating,
bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present owners,
principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or insolvency
proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position with your firm.
FLYMOTION has the financial capability and strength to perform the work within this contract.
Proposal Forms COMM/SVCS v.12.19.2019
Page 38 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
No
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope,value and date and
the name of the procuring entity. Fully explain the circumstances of the default,failure to complete or deliver the work,
or termination.
None
6. List all litigation or other legal proceedings(including arbitration proceedings), if any, in the last 10 years brought against
your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or
employees,that relates to or arises from a contract similar to this Contract or the work contemplated under this Contract.
Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of the claim,
and resolution or current status.
None
By signature below, I certify that the information contained in and/ or attached to this Proposal Invitation
Questionnaire in response to the above questions is true and correct and that I am authorized by my company
to make this certification.
FLYMOTION
Company Name
C'l'a
Signature of Autho zed Company Official
Proposal Forms COMM/SVCS v.12.19.2019
Page 39 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
REQUI RED FORMS CHECKLI ST
(Please check(,V)the following)
® Completed: Proposer's Agreement and Signature
® Completed: Vendor Contact Information
❑X Completed: Felony Conviction Disclosure and Debarment Certification
® Completed: Resident/ Nonresident Certification
® Completed: No Israel Boycott Certification
® Completed: No Excluded Nation or Foreign Terrorist Organization Certification
❑X Completed: Historically Underutilized Business(HUB) Certification
® Completed: Construction Related Goods and Services Affirmation
❑X Completed: Deviation/ Compliance
® Completed: Location/ Authorized Seller Listings
® Completed: Manufacturer Dealer Designation
® Completed: Texas Regional Service Designation
❑X Completed: State Service Designation
® Completed: National Purchasing Cooperative Vendor Award Agreement
® Completed: Federal and State/ Purchasing Cooperative Experience
® Completed: Governmental References
® Completed: Marketing Strategy
® Completed: Confidential/ Proprietary Information
® Completed: Vendor Business Name with I RS Form W-9
® Completed: EDGAR Vendor Certification
® Completed: Proposal Invitation Questionnaire
® Completed: Proposal Specifications (Discount (%) off Catalog/Pricelist and/or other required pricing
information including Catalogs/Pricelists(or no bid response)must be submitted with proposal response or
response will not be considered.)
® Completed: Required Forms Checklist
Proposal Forms COMM/SVCS v.12.19.2019
Page 41 of 62
D178oard
%J %J Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
PROPOSAL SPECI FI CATI ON SUMMARY
The categories and items specified for this Proposal Invitation are summarized below. For full Proposal
Specifications, you must review and complete the Proposal Specification information in the electronic proposal
submission system in accordance with the I nstructions to Proposers(or, if submitting a hard copy Proposal, timely
request and complete the Proposal Specification Form in accordance with the I nstructions to Proposers).
Section 1 : Unmanned Aerial Vehicles(UAV) Equipment. Products. and Supplies
1 . Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) — (all types of UAV's for consumer or
professional use).
2 . Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) Software Management Systems.
3 . Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) Battery Packs and Related Equipment.
4 . Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) Ground Control Equipment,
Controllers, and Related Accessories.
5 . Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) Camera Systems and Related
Accessories - all types of cameras (HD video, digital still cameras and other related camera systems).
6 . Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) Components and Related Supplies.
7 . Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) Operational Training Sessions.
8 . Discount (%) off catalog/pricelist for All Other Unmanned Aerial Vehicles(UAV) Supplies and Equipment.
9 . Discount (%) off catalog/pricelist for Service Maintenance Agreements.
Section 11 : Unmanned Aerial Vehicles(UAV) Services
10. Discount (%) off catalog/pricelist for Unmanned Aerial Vehicles(UAV) Services - performance of aerial
photography/videography, aerial mapping,facility inspection and similar UAV services (vendor-owned equipment).
Section III : Installation and Repair Service
11. Hourly Labor Rate for I nstallation/ Repair Service of Unmanned Aerial Vehicles(UAV) Equipment and
Products, not to exceed hourly labor rate for Installation/Repair Service of Unmanned Aerial Vehicles (UAV)
Equipment and Products.
Proposal Forms COMM/SVCS v.12.19.2019
Page 40 of 62
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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. OFFICEUSEONLY
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.
2
❑ Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the''information is being disclosed.
N14
Name of Officer
4J Describe each employment or other business relationship with the local government officer, or a family member of the
officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
Yes 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?
Yes F-1 No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
6
❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
Signature of vendor doing Wsiness with the governmental entity 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
A complete copy of Chapter 176 of the Local Government Code maybe 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) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any
gift described by Section 176.003(a-1);or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application,response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity;or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer,described by Subsection(a);
(B) that the vendor has given one or more gifts described by Subsection(a);or
(C) of a family relationship with a local government officer.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA F4R
TWoRni
Ir-
Create New From This M&C
DATE: 9/27/2022 REFERENCE**M&C 22- LOG 13PCOOP BB 627-20 SPOT
NO.: 0752 NAME: ENTERPRISE MOBILE ROBOT TD PD
CODE: P TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT. (ALL)Authorize a Purchase Agreement with Flymotion, LLC for a Spot Enterprise Mobile
Robot Including Maintenance, Repairs,and Upgrades for the Special Weapons And
Tactics Team in the Amount of$262,878.00 and Authorize One Consecutive One-Year
Renewal Option for the Same Annual Amount Using BuyBoard Cooperative Contract 627-
20 for the Police Department
RECOMMENDATION:
It is recommended that the City Council authorize a purchase agreement with Flymotion, LLC for a
Spot Enterprise mobile robot including maintenance, repairs,and upgrades for the Special Weapons
And Tactics Team in the amount of$262,878.00 and authorize one consecutive one-year renewal
option for the same annual amount using BuyBoard cooperative contract 627-20 for the Police
Department.
DISCUSSION:
In August 2022,the Police Department contacted the Purchasing Division to enter into an agreement
with Flymotion, LLC under BuyBoard Contract No.627-20,for a Spot®Agile Mobile Robot.The robot
will be used by the Special Weapons And Tactics(SWAT)team in the event there is a terrorist attack,
natural disaster,or when lives are in danger.The robot will have the capability to enter a structure or
an area that has been damaged and see if there is anyone in need of assistance.The robot has arms
with cameras allowing the SWAT Team to better assess the situation and quickly determine the
necessary approach.
The amount shall also cover any future maintenance, repairs or hardware reliability upgrades the
mobile robot may need so it can continue to complete its tasks as optimally expected.
BuyBoard Contract No.627-20 has a term through November 31,2022.The Request for Offer for
BuyBoard Contract No.627-20 was published on February 12,2020, and responses were opened on
June 4,2020. BuyBoard contracts offer fixed discounts.Staff reviewed the pricing and determined it to
be fair and reasonable.
Funding is budgeted in the Cap-Out Equipment account in the Fire Department's Public Safety Grant
Project for Award 3419804 2020 UASI within the Grants Operating Federal Fund and in the Other
Contractual Services account within the Crime Control&Prev Distr Operating Fund for Fiscal Year
2023. While the purchase will be used by the Police Department,the UASI grant has been awarded
to the Fire Department.The Police&Fire Departments will be managing the availability of funds for
this purchase.
This Agreement may be renewed for up to one additional one-year term, in accordance with the terms
of the BuyBoard Contract.Should BuyBoard elect to exercise the renewal option,the City will do the
same.
State law provides that a local government purchasing an item under a cooperative purchase
agreement satisfies any state law requiring that the local government seek competitive bids for
purchase of the item. BuyBoard contracts are competitively bid to increase and simplify the purchasing
power of government entities across the State of Texas.
A M/WBE goal is not assigned when purchasing from an approved purchasing cooperative or public
entity.
This project will serve ALL COUNCIL DISTRICTS.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget,as
previously appropriated, in the Grants Operating Federal Fund and upon approval of the above
recommendation and adoption of the Fiscal Year 2023 Budget by the City Council,funds will be
available in the Fiscal Year 2023 operating budget,as appropriated, in the Crime Control&Prev Distr
Fund to support the approval of the above recommendation and award of the agreement. Prior to
any expenditure being incurred,the Fire and Police Departments have the responsibility to validate
the availability of funds.
BQN\\
TO
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year (Chartfield 2)��
FROM
Fund Department Account Project Program Activity Budget I Reference# Amount
ID I I ID I I Year Chartfield 2
Submitted for City Manager's Office by_ Reginald Zeno(8517)
Fernando Costa(6122)
Ori matin Department Head: Anthony Rousseau(8338)
g g—P Neil Noakes(4212)
Additional Information Contact: Anthony Rousseau(8338)
Taylor Dean (7648)
ATTACHMENTS
1295 Form.pdf (CFW Internal)
13COOP BB 627-20 SPOT ENTERPRISE MOBILE ROBOT TO PD.docx (CFW Internal)
Flymotion FY20 UASI FIDS table.xlsx (CFW Internal)
SAMS Flymotion,LLC.pdf (CFW Internal)