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Home My WebLink AboutContract 55061 CSC No. 55061 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between FarrWest Environmental Supply, Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality. The Cooperative Purchase Agreement includes the following documents which shall be construed in the order of precedence in which they are listed: 1. This Cooperative Purchase Agreement; 2. Exhibit A—Seller's Quote, Scope of Services or Purchase Order; 3. Exhibit B—Cooperative Agency Contract (e.g.,NJPA, DIR, BuyBoard); and 4. Exhibit C—Conflict of Interest Questionnaire. Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of this Agreement for all purposes. Vendor agrees to provide City with the services and goods included in Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all exhibits thereto. City shall pay Vendor in accordance with the fee schedule in Exhibit and in accordance with the provisions of this Agreement. Total payment made under this Agreement for the first year by City shall be in the amount not to exceed $176,872.20 (One Hundred Seventy-Six Thousand, Eight Hundred Seventy Two Dollars and Twenty Cents). Vendor shall not provide any additional items or services or bill for expenses incurred for City not specified by this Agreement unless City requests and approves in writing the additional costs for such services. City shall not be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing. The term of this Agreement shall be from November 1, 2020 and ending on March 31, 2021. City shall be able to renew this agreement for two(2)one(1)-year renewal options by written agreement of the parties. Vendor agrees that City shall,until the expiration of three(3)years after final payment under this Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the right to examine at reasonable times any directly pertinent books,documents,papers and records, including, but not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access during normal working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor reasonable advance notice of intended audits. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) City of Fort Worth and FarrWest Environmental Supply, Inc. OFFICIAL RECORD BuyBoard Contract#603-20 CITY SECRETARY FT. WORTH, TX received by the other party by United States Mail, registered, return receipt requested, addressed as follows: To CITY: To VENDOR: City of Fort Worth FarrWest Environmental Supply, Inc. Attn: Jesus J. Chapa, Deputy City Manager Attn: Matt Meyer 200 Texas Street 108 Commercial Place, Suite 200 Fort Worth, TX 76102-6314 Schertz, TX 78154 Facsimile: (817) 392-8654 Facsimile: 210-566-1857 mmeyer@farrwestem.com With copy to Fort Worth City Attorney's Office at same address The undersigned represents and warrants that he or she has the power and authority to execute this Agreement and bind the respective Vendor. [SIGNATURE PAGE FOLLOWS] Page 2 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 ACCEPTED AND AGREED: CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including By: Jesus Chapa(Dec fS,202013:36 Cs1) ensuring all performance and reporting Name: Jesus J. Chapa requirements. Title: Deputy City Manager APPROVAL RECOMMENDED: sasha Kane(Dec 17,202 By: Name: Sasha Kane Title: Sr. Contract Compliance Specialist By: Edwin Kraus(Dec 18,202011:42 Cs1) Name: Edwin Kraus APPROVED AS TO FORM AND Title: Chief of Police LEGALITY: ATTEST: By. �� a444nnnIl� Name: Taylor Paris as FORT a <♦/ By: o�*,000 °pO°Op0O Title: Assistant City Attorney Name: Mary J. Kayser A-° 01 Title: City Secretary d�o° 01, � CONTRACT AUTHORIZATION: 0� ° �` M&C: 20-0934 ��( °OO°0000° aaz,n�a o��p Date Approved: 12/15/2020 Form 1295 Certification No.: N/A FARRWEST ENVIRONMENTAL SUPPLY, INC. By: 92dU'101 Name: Travis Brown Title: President OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 3 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Exhibit A Estimate 00 I FA R R W E 5 T Date Estimate# 1OIH/2020 1U61v 108 Commercial Place Scherta,T\7S 154 Phi 210-566-1857 Fax 210-566-1897 CITY Of FORT WORTI I-POLICE DEPAR rmEN'I I-D BAC.H c dward.bac h1u'Fo rl►vo rtlitexas.gov P.O.No. Rep Project/Event h]M Item Description Oty Cost Totai 425082541 RadEve SPRD-ER-I:1 I',contains I ea.RadLve 2 2,847,5(1 5.695.00 SPRD-ER,Lutetium Test Adapter.Desktop holder +USB connection cable,Sufl',varc package RadEve,exe+RadEyeSpectra,l IuIster and spare AAA batteries 4250825 RadF_yc SPRT)-F.R,Pocket-siaed persond1 '. i 1.N 147.407.00 radiation deteeutr.C'sl(11)-det with S11M.esnmta deteclion.nuclide identification and energy compensated dnsc rate calculation(60 keV to 3.0 McV):identification detector mensuring range I pRlh-25mR/h.high rang... 425067095 RAI3F1T STl..F BATTERY COVER- (10 353.60 21.216.00 13LI,JE'1'00']'i 14 PROTOCOI. 425067046 holster with belt clip tar RadEye P'RD Sized to 19 37A0 2.169.20 insert instrument with rubber shock protection, I11000 Sl11PPING,do IIANDLING-GROOM) 1 385.00 385.00 "*RUYBOARD PRIC lNG- C 0NT1UC'T#603-20w+* HU Y HOARD CON'fRAC TF1603-20 S u btota 1 $176.872.20 Sales Tax (0.0%/ S0.00 Tota 1 $176.872.20 Phone# Fax# Web Site 210-566-1857 210-56h-1847 www.farRvestcnv Cohn Page 4 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board Exh{bit B Cooperative Purchasing P.0,Box 400 Anna,TX 78767-0484 899.696.2919 157F.467.0222 1 Fax:899.211.5454 bayhoard.cam February 10, 2020 Sent Via Email: mmeyerQ0farrwestenv.com Matt Meyer FarrWest Environmental Supply, Inc 108 Commercial PI. Suite 200 Scherta,TX 78154 Welcome to BuyBoard! Re: Notice of The Local Government Purchasing Cooperative Award Proposal Name and Number: Public Safety and Firehouse Supplies and Equipment, Proposal No. 603-20 Congratulations,The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard® contract based on the above-referenced Proposal.The contract is effective 4/1/2020 through 3/3112021,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. 603-20 on the following web-site: vmm.buyboard.com/vendor.Only items marked as awarded to your company ran be sold through the BuyBoard contract.In addition,on this website you will find the membership list which will provide you with the names of all entities with membership in our purchasing cooperative. Enclosed with this letter you will find the following documents: 1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards You are advised that receipt of a purchase order directly from a Cooperative member is not within the guidelines of the Cooperative.Accepting purchase orders directly from Cooperative members may result in a violation of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all purchase orders must be processed through the BuyBoard in order to comply. Please forward by email to infoCa)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 infoCcobuyboardd-corn 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 800.69S-2919. Sincerely, Arturo Salinas Department Director,Cooperative Procurement Thu Loral airarnmarrl Prrrcnas+r?u Cooverafiva a errdorsed by Ihe'exas AvaciMon 0 5choal Boards. '5 ' Texas Woji gil Luxgim.TcxasA!�walla i W Cmjiifh�,,and the Texas Ax.wialydn of-Wool AeNiiirisrr:adrs. Page 5 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board February 10,2020 Sent Via Email; mmeyerCufarrwestenv.com Matt Meyer Fan-West Environmental Supply,Inc 108 Commercial PI.Suite 200 Schertz,TX 78154 Welcome to BuyBoard! Re: Notice of National Purchasing Cooperative Award Proposal Name and Number:Public Safety and Firehouse Supplies and Equipment,Proposal No.603-20 Congratulations,The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard(k contract based on the above-referenced Proposal. As provided for in the Proposal and your National Purchasing Cooperative Vendor Award Agreement,you are authorized to sell the goods and services awarded under the Proposal to National Cooperative members in states other than Texas through the BuyBoard. The contract is effective 4/1/2020 through 3/31/2021,with two possible one-year renewals. The National Cooperative membership list is available at our website www.buyboard.com/vendor. The list identifies the current members that may purchase awarded goods and services under your National Cooperative BuyBoard contract. You are advised that receipt of a purchase order directly from a National Cooperative member is not within BuyBoard guidelines. Accepting purchase orders directly from Cooperative members may result in a violation of applicable competitive procurement law and termination of this National Cooperative BuyBoard contract. Therefore,all purchase orders from National Cooperative members must be processed through the BuyBoard. Please forward by e-mail to info@buyboard.com any order received directly from a National Cooperative member. If you inadvertently process a purchase order sent directly to you by a National Cooperative member,please fax the order to the above number and note it as RECORD ONLY to prevent duplication. As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days prior to the start of your contract. On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any questions,please contact Cooperative Procurement Staff at 800-695-2919. Sincerely, 4t4� Arturo Salinas Department Director Cooperative Procurement 6,5 0000 P0,8ox 406,Austin.Texas 78767-0400 40 800.695,7919•buydoard,corn Page 6 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Duward Caupetative Purchasing 12007 Research Boulevard' Austin,Texas 78759-2439• PH 800-695-2919' FAX; 800-211-5454 •huyboard.com PROPOSER'S AGREEMENT AND SIGNATURE Proposal Name: Public Safery and Firenouse Proposal Due Date/Opening Date and Time: Supplies and Equipment July 31, 201.9 at 4:00 PM Location of ProMai Opening: Texas Association of School Boards, Inc. BuyBoard Department Proposal Number: 603-20 12007 Research Blvd. Austin, TX 78759 Anticipated Cooperative Board Meeting Date: Contract Time Period: Aprii 1, 2020 through January/February 2020 March 31, 2-021 with two(2)possible one-year renewals FarrWest Environmental Suppiy,lne- 7/28/2019 Marne of Proposing Company Date 108 Commercial PI, Suite 200 Street Address Signature of Authorized Company Official Schertz, TIC 78154 Travis Brawn City,State,Zip Printed Name of Authorized Company Official 210-566-1857 CEO Telephone Number of Authorized Company Official Position ar Title of Authorized Company Official 210-566-1897 56-2475084 Fax number of Authorized Company Official Federal ID Number T PmPo5ai Forms COMMJ5VCS v.05,h,�W9 Page 7 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Baird 0 DUaQRerative Purchasing 12007 Research Boulevard•Austin,Texas 78759-2439- PH; 800-695-2919' FAX:800-211-5454•buvbnard.com PROPOSERS AGREEMENT AND SIGNATURE Proposal Name:Public Safety and Firehouse Proposal Due Qatel012ening Date and Time: Supplies and Equipment July 31,201.9 at 4:00 PM Lg ation of Pranosal Onenina: Texas Association of School Boards, Inc. BuyBoard Department Proposal Number: 603-20 12007 Research Blvd. Austin,TX 78759 Anticipated Cg92@Eatiy_e_Boar4_Megting Date. Contract Time Period:April 1, 2020 through January/February 2020 March 31, 2021 with two(2)passible one-year renewals FarrWest Environmental Supplyjnc. 7/28/2019 Name of Proposing Company Date 108 Commercial Pf, Suite 200 Street Address Signature of Authorized Company Official Schertz, TX 78154 Travis Brown CO,State,Zip Printed Name of Authorized Company Official 210-566-1857 CEO Telephone Number of Authorized Company Official Position or Title of Authorized Company Official 210-566-1897 56-2475084 Fax Number or Authorized Company Official Federal ID Number Proposal Forms COMMJSVC5 v.05.31.2019 Page 8 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Beard® Couperstive Purchasl�g 12007 Research Boulevard 'Austin,Texas 78759-2439• PH:800-695-2919 • FAX: 800-211-5454•huvboard.com The proposing company C"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'I 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 taw; 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 8. 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, Proposal Forms COMM/5VC5 V.45.31.2019 Page 9 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board' Cooperative Parehasing 12007 Research Boulevard •Austin,Texas 78759-2439- PH:800-695-2919• FAX: 800-211-5454•bukboard.com VENDOR CONTACT INFORMATION Name of Company: FarrWest Environmental 5uppiy,lnc- Vendor Proposal/Contract Contact Name: Travis Brown Vendor Proposal/Contract Contact E-mail Address: tbrown@farrwesteny.Com Vendor Contact Mailing Address For Proposal/Contract Notices: 08 Commercial PI, Suite 200 5chertz, TX 78154 Company Website: wWwJarrwesteny.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: I Will use the intemet to receive purchase orders at the following address: Purchase Order E-mail Address: mmeyer@farrwesteny.com Purchase Order Contact; Matt Meyer Phone: 210-566-1857 Alternate Purchase Order E-mail Address; thrown@farrwestenv.com Alternate Purchase order Contact: Travis Brown Phone: 210-566-1857 ❑ 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 ail Designated Dealers under and in accordance with the Contract. Reauest for Cluotes f"RFD"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: RFQ E-mail Address: mmeyer@farrwestenv.com RFQ Contact:: Matt Meyer Phone: 210-566-1857 Alternate RFQ E-mail Address: thrown@farrwesteny.com Alternate RFQ Contact: Travis Brown Phone; 210-566-1857 Iwpu l Forms COMM/SVCS v.05.31.2019 Page 10 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board® Cooperative Parchasing 12O07 Research Ooulevard•Austin,Texas 78759-2439•PH:800-695-29L9'6Ak 800-211-5454•buyboard.cam Invoices: Your company will be trilled monthly for the service fee due under a contract awarded under this Proposal Invitation. All invoices are available on the BuyBoard website and a-mail notifications will be sent when they are ready to be retrieved. Please provide the following address,contact and a-mail information for receipt of service fee invoices and related communications: Please choose only one (1 of the foiiowinq 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: Invoice Mailing address: 1 D8 Commercial PI Department: Billing City: JChertz state, TX Zip Code: 78154 Contact Name: Travis Brown Phone: 210-566-1857 Invoice Fax: 210-5fifi-1897 Invoice E-mail Address: dbyrd@farrwestenv.com Alternative Invoice E-mail Address: abrashears@farrwestenv.com ❑ I 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: xx If Vendor authorizes a b+'lling agent to receive and process service fee invoices, in accordance with the General terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relieve Vendor of its responsibilities and obligations under the Contract including, but not limited to,payment of all service fees under any Contract awarded Vendor. Prcrxrsal Forms COMWSVCS v.05.31.201 Page 11 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DUBaardm aaperati�e purshas►ag 12007 Reseaith Boulevard•Ausiyn,Texas 78759-2439 PH:Sao-595 2919 FAx:8{}0 211 5454 t�uyBoard.tlam FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION FELONY CONVICTION DISCLOSURE Subsection(a)of Section 44.034 of the Texas Education Code(Notification of Criminal History of Contractor) states:"A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator has been convicted of a felony The notice must include a general description of the conduct resulting in the conviction of a felony." Section 44.034 further states in Subsection(b):"A school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract." Please check(,/)one of the following: ❑ My company is a pub Iidy-held corporation.(Advance notice iequIrement does not apply to putrl[dy°held corporation_} ❑■ My company is not owned or operated by anyone who has been convicted of a felony. ❑ My company is ownedloperated by the following individual(s)who has/have been convicted of a Felony: Name of Felon(s): Retails of Conviction(s): By signature Wow, I certify that the above information is true, complete and accurate and that I am authorized by my company to make this certification, FarrWest Environmental Supply,lnc. Company Name Travis Brown Signature of Authorized Company Official Printed Name DEBARMENT CERTIFICATION Neither my company nor an owner or principal of my company has been debarred,suspended or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549,"Debarment and Suspension,"as described in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or declared Ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory 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. FarrWest Environmental Supply,lnc. Company Name Travis Brawn Signature of Authorized Company Official Printed Name Proposal Forms COMM/SVCS v.05.31.2014 Page 12 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 V%JC00PVr8f1V6PXnchasing 12007 Research Boulevard'Akishn,Texas 78759-2439- PH:800-695-2919'FAX:800-211-5454•buvboard.com RESIDENT/NONRESIDENT CERTIFICATION Chapter 2252,Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who are not Texas residents. Under the statute,a"resident"proposer is a person whose principal place of business is in Texas, including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A "nonresident"proposer is a person who is not a Texas resident. Please indicate the status of your company as a"resident" proposer or a"nonresident"proposer under these definitions. Please check 0A one of the following_ ❑i 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 iocated): Company Name Address city state Zip Code A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? ❑ Yes ❑ No B. What is the prescribed amount or percentage? $ or % VENDOR EMPLOYMENT CERTIFICATION Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's ultimate parent or majority owner (0 has its principal place of business In Texas; or (it) employs at least 509 people in Texas. If neither your company not the ultimate parent company or majority owner has its principal place of business in Texas, does your company,ultimate patent company,or majority owner employ at least 500 people in Texas? Please Check_(_l)one of the_Fo11owing_ ❑ Yes ❑ 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. FarrWest Environmental Supply jnc. Company Name Travis Brown Signature of Authorized Company Official Printed Name proposal storms cOMMISKS V-DS311679 Page 13 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DuBv�rd� Ccaperarive Purchasing 12007 Research Boulevard•Austin,Texas 78759-2439- PH: 800-695-2919• FAX.800-211-5454•huvnoara,com NO ISRAEL BOYCOTT CERTIFICATION Effective September 1, 2017, as amended effective May 7, 2D19 (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 r 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'rCODE§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. FarrWest Environmental Supply,lnc. Company Name Travis Brown Signature of Authorized Company Official Printed Name AV=: If Vendor does not wish to make this certification,return the blank form in lieu of a completed certification. NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION Effective September 1, 2017,Chapter 2252 of the Texas Government Cade 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,campiete and accurate;and that I am authorized by my company to make this certification. FarrWest Environmental Supply,lnc. Company Name Travis Brown Signature of Authorized Company Official Printed Name QrW)sai Forms COMMI5VC5 v.45.31,2019 Page 14 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Beard Cnoperatfve Purchasing 12007 Research,Boulevard•Austin,Texas 78759-2439-PH:800-695-2919 1 FAX 800-211-5454 'buvhoard.com HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business Enterprise or"MWBE"and all referred to in this form as a "HUB") is encouraged to indicate its HUB certification status when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that properly indicate and document their HUB certification on this farm. Please check(V all-that apply: Ll 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: 15624475084800 Name of Certifying Agency: State of Texas ❑ My company has NOT been certified as a HUB. By signature below, I certIN that the above is true, complete and accurate and that I am authorized by my company to make this certification. Company Name Printed Name Signature of Authorized Company Official Prnp l Farms 00MMISYLS.v,053 E 2614 Page 15 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 ;DiBa 99) Cooperative Purchasing 12007 Research Boulevard'Austri,Texas 78759-2439• PH:800-695-2919'FAX:800.211-5454 nuyha�rci,._oi CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION A contract awarded under this Proposal Invitaation covers only the specific goods and services awarded by the BuyBoard. As explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory For Texas Members ("Advisory"}, Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This BuyBoard contract does not include such services.Architecture or engineering services must be procured by a Cooperative member separately, in accordance with the Professional Services Procurement Act(Chapter 2254 of the Texas Government Code)and other applicable law and local policy. The Advisory, available at buvboard.comlVendor/Resources.asf) , 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 members purchase order for construction-related goods or services,whichever comes first. FarrWest Environmental Supplyjnc. Company Name Travis Brawn Signat of Authorized Company Official Printed Name 7/28/2019 Date Repoeal Fomu COMMISVCS v,0531-2019 Page 16 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DWBv�rd onperadve Purchasing ® 12007 Research Boulevard•Austin,Texas 78754-2439 PH;80e7-fi95 2919• FAX:$00 21i-S454•birvboard.com DEVIATION AND COMPLIANCE If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted deviation. In the absence of any deviation identified and described in accordance with the above, your company must fully comply with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s) regarding any submitted deviation, Consistent with general procurement principles of fair competition. The Cooperative reserves the right to accept or reject a proposal based upon any submitted deviation. Please check 00 one of the following: X NO; Deviations ❑ Yes; Deviations List and fully explain any deviations you are submitting: PLEASE PROVIDE THE FOLLOWING INFORMATION; 1.Shipping Via: ❑Common Carrier ❑Company Truck 0 Prepaid and Add to Invoice ❑Other: 2. Payment Terms: 9 Net 30 days ❑1%in 10/Net 30 days ❑Other: 3, Number of Days for Delivery: 30 ARO 4.Vendor Reference/Quote Number: BB### 5.State your return policy: All returns or exchanges must be made within 30 days and are subject to a 30% manufacturer restocking fee 6.Are electronic payments acceptable.? Eyes ❑No 7. Are credit card payments acceptable?❑Yes ❑ No FarrWest Environmental Supply,lnc. Company Nam 9L� Travis Brawn Signature of Authorized Company Official Printed Name Proposal Forms CoMMISVC5 v.05.31.2019 Page 17 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DwCoaperativeft k i 9 frig 12007 Research Bouievald•Austin,Texas 78759-2439- PH: 804-695-2919•FAX:804-211-5454•1}uvboas_d.caln LOCATION/AUTHORIZED_SELLER LISTINGS If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation, please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary, NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders, and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer Designated Dealer form. FarrWest Specialty Vehicles, LLC Company Name 108 Commercial PI Address Schertz Texas 78154 City State Zip 210-566-1857 210-566-1897 Phone Number Fax Number Stephen Hill- General Manager; shill(a farrwestwcom Contact Person Company Name Address City State Zip Phone Number Fax Number Contact Person Arwnal Fom+s COMMI5VC5 Y.0531.2DA Page 18 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DWBaard0 VoperalivC PurChasiug 12007 Research Boulevard'Austin,Texas 78759�439 PH:800 G95 2419 FA% 80d-Z11 5454'huvboard.cam 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'l 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 Vendors 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 Vendors Contract for nonpayment of service fees. If awarded,Vendor authorizes the Cooperative,in its sole discretion,to Ilst any Vendor Designated Dealers in the SuyBoard 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 responsihllity of Vendor to appropriately process such Purchase Order in accordance With the Contract,including but not limited to timefy 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 imme6ately require such Designated Dealer to cease accepting Purchase Orders or otherwise acting on Vendors behalf under the Contract. Further,the Cooperative's administrator shall be authorized to remove or suspend any or all Designated Dealers from the Buyl3oard at any 6me 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. NIA Designated Dealer Name Designated Dealer Address City state Zip Phone Number Fax Number Email address Designated Dealer Tax ID Number`(*attach W9) Designated Dealer Contact Person Your Company Dame Signature of Authorized Company Official pratxml FMM5 M14WSVcS V.05.31.i019 Page 19 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 B�ard� Cooperative Purchasing 12007 Research Boulevard•Austn,Texas 78759-2439-PH:800-695-2919• FAX:800-211-5454•buvboard.com TEXAS REGIONAL SERVICE DESIGNATION The Cooperative(referred to as"Texas Cooperative"in this form and in the State Service Designation form)offers vendors the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas Cooperative members statewide,you m ust indicate the specific regions you will service on this form. If you propose to serve different regions for different products or services included in your proposal,you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly Indicate the products or services to which the designation applies In the space provided at the end of this form. By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your proposal or,If awarded,termination of your Contract. Additionally,if you do not plan to service Texas Cooperative members(i.e.,if you will service only states other than Texas),you must so indicate on this form. Regional Education Service Centers ® I will service Texas Cooperative members statewide. © I will not service Texas Cooperative members statewide. I will only service members in the regions checked below: - Renion Headauarters l.. ,. - .. Cl 1 Edinburg - 7 ❑ 2 Corpus Christi ' - ❑ 3 Victoria ❑ 4 Houston ❑ 5 Beaumont — ❑ 6 Huntsville T ❑ 7 Kilgore ❑ 8 Mount Pleasant ��. 3 ❑ 9 Wichita Falls ❑ 10 Richardson - ❑ 11 Fort Worth - ❑ 12 Waco ?�L - ❑ 13 Austin _ ❑ 14 Abilene ❑ 15 San Angelo ❑ 16 Amarillo FarrWest Environmental 5upply.lnc. ❑ 17 Lubbock ❑ 18 Midland Company Name Cl 19 El Paso e�®r-z-- ❑ 20 San Antonio Signature of Authorized Company Official Travis Brown ❑ 1 will not service members Printed Name of the Texas Cooperative. Proposal Fomts COMWSVC5 V,05.31,2DI9 Page 20 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 B�aral� Cooperative Porchasigg 12007 Research Boulevard•Austln,Texas 75759 2+i39 P1 f: 800-695 2919• FAX: $00 211-5 i54•buvboard,r-'3 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: propnsaI Forms comw5vcs v,05.31.20X9 Page 21 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 oard� Cooperative Purchasing 12007 Research Boulevard•Austin,Texas 78759-2439-PH:800-695-2919' FAX:800-211-5454•Wy-boardsom STATE SERVICE DESIGNATION The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete this form if you plan to service the entire United States,or will service only the specific states indicated. (Note.Ifyou 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,terminatlon of your Contract Please check W)all that aody: ❑■ I will service all states in the United States. ❑ 1 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 Prupa5;01 Forms COMMISVCS VAS 31-2019 Page 22 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Beard Cncperatfre Pcrchas3rr� 0 t2007 Research Bouievard-Austin,Texas 78754 2�39 PH;$ua-G95 Z919'FA)C:8fl9 Z11 5454 buvhoai2i,cam This Form will be used to ensure that you can service other governmental entitles 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. FarrWest Environmental 5upply,lnc. Company Name Travis Brown Signature of Authorized Company OfrroaI Printed Name If this State Service Designation form applies to only ane or some of the products and services proposed by Vendor, list the products and services to which this form applies here; Proposal RMM CPMWSVM v.05.11.20to Page 23 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 AFRpard Purehasfp- 12007 Research Boulevard•Austin,Texas 78759-2439- PH:800-695-2919•FAX:800-211-5454•buvboard.com NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal Invitation may be "piggy-backed" by another govemmental 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 8uyBoard 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-proposa I/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. Prnrmwl FUMS COMM)WCS V.05.3QU19 Page 24 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Beard DU 12007 Research Boulevard•Austin,Texas 78759 2439 PH:800 595 2919 FAX:800 211 5454 btUoard,corri 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. S. 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. EarrWest Environmental Supply,lnc 603-20 Name of Vend Proposal Invitation Number Travis Brown Signature of Authorized Company Official Printed Name of Authorized Company Official 7/28/2019 Date Proposal Farms CQMMISVCSv.05,3U019 Page 25 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 ,6E4ZL ►BQard'0 Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 - PH. 800-595-2919• FAX: $00-211-5454 •buyboard.cUm FEDERAL AND STATES PURCHASING CooPERATWE EXPERIENCE The Cooperative strives to provide its members with the best services and products at the best prices available from vendors with the technical resources and ability to serve Cooperative members, Please respond to the following questions. 1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market price during the previous 12-month period or the last fiscal year: $45000000 . (The period of the 12 month period is 77112016 I711!2019 )_ 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). Z. 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. FORMERCURRENT ■ • r ■ VENDOR?PURCHASING • ■■ VENDOR r• 1, Federal General Services Administration 2. T-PASS(State of Texas) 3. U.S- Communities Purchasing Alliance 4. National IPA/TCPN S. Houston-Galveston Area Council (HGAC) Yes Emergency Products 6. National Joint Powers Alliance (NJPA) 7. E&I Cooperative S.The Interiocal Purchasing System (TIPS) 9. other 0 MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS, CURRENT BUYBOARD VENDORS If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your current and proposed discounts. Current Discount(%): Various/Multiple Manufacturers Proposed Discount(o/a): Equal to or better to an current con trac, Exnla nation; Noposal Forms CPMWSVCS V.05.31.2-019 Page 26 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 COD w �oard Cooperative Purchasing 12007 Research Boulevard 'Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 'b7-ML6ard iS riT 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. FarrWest Environmental 5upply,lnc- Company Name Travis Brown Signature of Authorized Company Official Printed Name Pmpns9l Forms COMWSVCS v.05.31.2019 Page 27 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Bvard� PF Furshasing 12007 Research Boulevard•Austin,Texas 78759-2439 PH;$00 59S 29t9 FAx:$00 211 5g54•buvyoar�.mm 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 prices1discounts 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 Herds County David Corbin B32-657-2081 davtd.corbin@fmo,hctx.net HGAGIBuyBoard S100.000.00 2.City of Frisco Gordon Holbrook 972-754-286! gholbrook@friscofire.com HGACIBuySoard $50.000 00 3 Brazos River Authority Don Naylor 254-717-4384 don.naylor@brazos.org HGAC/BuyBoard $15,000.00 4,Texas Commission on Environmental Quality Sergin Vasquez 512-239-0339 HGACIBuyfloard $200.000.00 S Oklahoma I}epartmeni of Hemelane Security Johnny Vaughn 405-425-7274 lvaughn@dps.stale.ok gov HGAGIBuyBowd $400.000.00 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 M■ NO❑ If YES,please explain: The only time that lower prices would be given is to meet cost a specific budgetary item or if there was a possible competitive bid that requires a 'best and final offer' due to needing lower pricing than what is offered an State contracts By signature below, I certify that the above is true and correct and that I am authorized by my company to make this certification. FarrWest Environmental Supply, Inc. Company Name Signature of Authorized Company Official Travis Brown Printed Name FrUPGRI Forms commsves rA5,3t.2018 Page 28 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DuBeard® Doper9five Purchasittg 12007 Research Boulevard.Austin,Texas 78759 2439' PH:800 645 2919'FAX 800 211 5454'hlvbQacd.coPI MARKETING 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. (Examale. Frplain how your company will initially inform Cooperative members of your BuyBoard contract,and haw you will continue to support the BuyBoard for Me duration of the contract period) Attach additional pages if necessary. Displaying BuyBoard Contract on the main, front page of the FarrWest webpage Displaying BuyBoard Contract on promotional brochures and handouts for FarrWest Offering/displaying BuyBoard Contract discounts on customer quotes and estimates Displaying'BuyBoard Contract Vendor'at more than 15 annual trade shows and conferences throughout the Country Willing to work collectively with BuyBoard to advertise and market contract through Country FarrWest Environmental Supply, Inc. Company Name .0�-- Signature of Authorized Company Official Travis Brown Printed Name Fropasal Forms COMMISVCS vA5.31.2019 Page 29 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board Cooperative Purchasing 12007 Research Boulevard•Austin,Texas 78759-2439•PH: 800-695-2919•FAX:800-211-5454•buvboard,com CONFIDENTIAL/PROPRIETARY INFORMATION A. Public Disclosure Laws All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public Information Act {Texas Government Code chapter 552.001, et seq.} or similar disclosure law. Proposer must clearly identify on this Form any information in its Proposal(including Forms, documentation, or other materials submitted with the Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a member of the public or other third party request access to the information under the Texas Public Information Act or similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has identified in this form as proprietary or confidential. Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information which Vendor considers proprietary or confidential? Please check fV)one of the fo ROM no: ❑ 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: Smiths Detection Price List FUR Detection Price List for Chemical Detection Equipment Rigaku Analytics {Attach additonal sheets if needed} Phoposal Forms COMMISVCS v.05.31.2019 Page 30 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board Du PurshasiRg 12007 Research Boulevard I Ausrin,Texas 78759 2434 PH:80O-695-�919•FAX:800 211-5454•huY vboarcJ.corn B. Cooyright Information Does your Proposal (including Forms, documentation, or other materials submitted with the Proposal) contain copyright information? PoeasQ rt esk(Vl one of the following ❑■ NO, Proposal(including forms,documentation,or other materials submitted with the Proposal)dues 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 addlronal sheets efneeded.) C.Consent to Release ConfidentiallProprietarylCovvright Infomtation_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 publically release, including posting on the public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award or non-award information. By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by my company to make this certification and all consents and agreements contained herein. FarrWest Environmental Supply, Inc. Company Na� Signature of Authorized Company Official Travis Brown Printed Name 7128/2019 Date Proposal Forms COMMISVCS V.05.31.2019 Page 31 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board Cp�prerative Perrchasirrg 12007 Research Boulevard'Austin,Texas 78759-2439' PH; 800-595-2919' FAX: 800-211-5454•bstybastrsi,.cum VENDOR BUSYNESS 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: FarrWeSt Environmental Supply, Inc. (List the(pal name of the company seeking to contract wri4 the CoopefabVe. Do AI�I&an assumed name,dba,aka,etr.here Such Infomrabon Wray be provided below. If you are submitting a lowt propa:ol with another entity tv provkle the same proposed goods each wbmettmy entity should complete a separate vendor information farm. Separately operating legal business entitle04 even if amdted entities, which propose to pro Wde goods or serwes separately most subinIt their awn Proposals] Pleasedi%k()I)one of the fnllawinQ: Tyne of Business: Individual/Sole Proprietor Corporation x Limited Liability Company Partnership Other If other, identify State of Incorporation(if applicable): Texas Federal Employer Identification Number: 56-2475084 (Vendor must include a completed IRS IrY-9 form with their proposal) List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Naty. if different than the Name of Propokng Company AFted above; only valid trade names(dba, aka, etc.)of the Prappsing Company may be used and a Gppy of your Assumed Name Cerhllcate(s),if applicable,must be attached.} Propo_W Forms COMM/SVC5 v.C5.31AtO Page 32 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 ward P7 Purchasing 12007 Research Boulevard•Aust carn 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 Yet 5. Contract Work Hours and Safety Standards Act Yes 6, Right to Inventions Made Linder a Contract or Agreement Yes 7. Clean Air Act and Federal Water Pollution Control Act Yes 8. 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 l 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_ FarrWest Environmental Supply, Inc. Company Nam Signature of Authorized Company Official Travis Brown Printed Name Proposal Forms COMMSVCS v.45.31.2019 Page 33 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 0 Duaaperative Purshas►ng 12007 Research Boulevard• Aust}n,Texas 78759 2439 pH:844 b95 2919• FAx:840-211-5454•buvboard.cam EDGAR VENDOR CERTIFICATION (2 CFR Part 200 and Appendix II) When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific federal laws,regulations, and requirements may apply in addition to those under state law. This includes, but is not limited to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, 2 CFR 200 {sometimes referred to as the "Uniform Guidance"or new"EDGAR). All Vendors submitting proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This completed form will be made available to Cooperative members for their use while considering their purchasing options when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in addition to the BuyBoard contract's general terms and conditions, to address the member's specific contractual needs, including contract requirements for a procurement using federal grants or contracts. For pach 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 Vendor's response on the Buyeoard as N,0 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 EAS, 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 Cooperahve member may terminate or cancel any purchase order under this Contract at any time, with or without cause, by prow ding 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 Farms COMMJSVCSv.0531.2019 Page 34 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Du eardoaperarFve Purchasing 12007 Research Boulevard•Aust m 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 FIR 17319, 12935, 3 CFR Part, 1964-1965 Camp., 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 roans Commjsva YM31.2019 Page 35 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DU��ard uQperatire Purchasing u 12007 Research Boulevard•Austin,Texas 78759 243R PH:800 695 2919 FAX:800-211 5454•E2uvh4ar_d corn 7. Clean Air Act and Federal Water Pollution Control Act: Clean Air Act t42 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,CDO 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 12S1-1387). 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. a. 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 Agencyy(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 $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. 11. Profit as a Separate Element of Price: For purchases using federal funds in excess of the Simplified Acquisition Threshold,a Cooperative member may be required to negotiate profit as a separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a particular purchase. However,Vendor agrees that the total price, including profit,charged by Vendor to the Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendors Cooperative Contract. V wn zl Forms COMMIMS v 05,31.2019 Page 36 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DF�aard auperatFve PurchasFng 0 12007 Research Boulevard'Austin,Yexas 78759-2A39 PH;Spp 695 2919' FA7[:$Qp 2]1-5454 'huvhaardxam 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 kimited to, applicable recordkeeping and record retention requirements. Vendor Certification:. YES, I agree or Vendor Certification Item No. N8 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 Worts Hours and Safety Standards Act Yes 6, Right to Inventions Made Linder a Contract or Agreement Yes 7. Clean Air Act and Federal Water Pollution Control Act Yes 8. Debarment and Suspension Yes 9, Byrd Anti-Lobbying Amendment Yes J 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_ FarrWest Environmental Supply, Inc. Company Name Signature of Authorized Company Official Travis Brown Printed Name Pror*o l Films COMWSVCS v.4511.2019 Page 37 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DCooperative Purchasing 12007 Research Boulevard•Aust nauLcorn PROPOSAL INVITATION QUESTIONNAIRE The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and Financial resources to provide the goods and perform the services ("Work'} under the BuyBoard contract contemplated by this Proposal Invitation ("Contract"}. Proposers must fully answer each question, numbering your responses to correspond to the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, 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. Incorporated in August of 2004, 15 years in business 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. Inside/ Outside Sales Staff- 8 total: Texas, Colorado, Kansas, Oklahoma and Connecticut Technical Assistance and Product Support- 9 total: Colorado, Oklahoma, Arizona, Texas Marketing Staff- 2 total: Texas 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. FarrWest Environmental Supply is a debt-free Corporation in excellent financial standing with an annual revenue of more than$9 million with an average of 40%gross profit. None of the owners have been party to bankruptcy. FarrWest is a fully-insured Corporation and maintains a $500,000 open credit line with our bank. Prop"Forms COMMISVC5 v.05.31.2014 Page 38 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Baardo Cooperative Pumbasing 12007 Research Boulevard•Austin,Texas 78759-2439' PH:800-695-2919' FAX:800-211.5454'#yy�Qard.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. FarrWest has NO outstanding financial judgments and is not in default of any 'loans 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. FarrWest has not defaulted, been terminated or failed to complete any work or contracts. 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 firms 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 andlor 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. FarrWest Environmental Supply, Inc. Company Name Signature of Authorized Company Official Proposal frxms COMWSVCS v.05.31.2019 Page 39 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 DuBaard uoperatifre Ptrrchasfttg 12007 Research Boulevard•Austm,Texas 78759 2A39 PH:SpU 59S 2919•FAx:8pp 211 5454 ¢aard&am REQUIRED FORMS CHECKLIST (Pkeese check IV)the following) [l Cornpleted: Proposer's Agreement and Signature 0 Completed: Vendor Contact Information C] Completed: Felony Conviction Disclosure and Debarment Certification Completed: Resident/Nonresident Certification I] Completed: No Israel Boycott Certification �] Completed: No Excluded Nation or Foreign Terrorist Organization Certification Ej Completed: Historically Underutilized Business(HUB)Certification) 0 Completed: Construction Related Goods and Services Affirmation C] Completed: Deviation/Compliance El Completed: Location/Authorized Seller Listings 0 Completed: Manufacturer Dealer Designation �] Completed: Texas Regional Service Designation E, Completed: State Service Designation 0 Comp_leted: National Purchasing Cooperative Vendor Award Agreement 0 Completed: Federal and State/Purchasing Cooperative Experience 0 Completed; Governmental References f] Completed: Marketing Strategy Completed: Confidential/Proprietary Information Completed; Vendor Business Name with IRS Form W-9 ] Cam I❑eted: EDGAR Vendor Certification [� Completed: Proposal Invitation Questionnaire [] Completed: Required Forms Checklist Com In eted' Proposal Specification Form with Catalogs/Pricelists and Texas Department of Public Safety License 1C4r,710 gy'AXV1+'sh mus[fre 5a,51mved WINS prt l response or rE$"L W 11 pat to cwsldererl Prcvposal FnrnLs C()NIWSVCS v.05 3l 2039 Page 40 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board rr� Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catalo s/Nce4s%must be submitted with Proposal or Proposal will net be consderedi.) NOTE:Vendors proposing various manufacturer product fines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: EManufacturers shall be listed In alphabetical order Diendor's must list one specific percentage discount for each Manufacturer listed. If a vendor's response to Proposal Specification Form states"please see attachment sheet,"all manufacturers Ii Ste d on the attachment sheet must indicate per manufacturer the fine item that correlates to Proposal Specification Form or Vendor's proposal may not be considered. Section I:Public Safe Su lies and E q ui ment State Percent(°Io)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelist I Catalog/Pricelistl Discount Discount(%)Off CataiogJPricelist for Please state the discount(%)off catalvgJpricefist for Firearms and t Firearms and Ammunition.Catalog/PrkWist MUST be included or proposal wi11 not considered. Ammunition Discount(%)Off 2 CatalvgJPricelist for Please state the(°k)off cataiogJpriceiist for Tactical Equipment. o0 Tactical Equipment Catalog/Pritelist MUST de be includ or proposal will not be considered. Discount(%)Off CatalogJPricelPst for Please state the(%)off catalogJpriceiist for Night Sticks and 3 BatOnS. Catalog/Prieelist MUST be included or proposal °l will not be /0 Night Sticks and Batons OP"S� Discount(%)Off CatalagJPricelist for Please state the(Pb)off catalvgJpricellst for Riot Equipment/Body r 4 Riot Equipment/Body Armor. Catalog/Pricelist MUST be included or proposal will not be considered. Armor Discount(°I°)Off Havis CatalogJPricellst for Please state the(%)off catalogJpriceiist for Public Safety Vehicle See attached Putco 5 Public Safety Vehicle Equipment and Related Accessories. CataIog/PriceIist MUST % Westin Equipment and related be included or proposal will not be considered. Whelen accessories PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Priceiists are required to be submitted with Proposal Page 41 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 YBaard® Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment Cats s/Pricelists must be submitted with Propcisall or Propdsal will not be Lnsidered r-) State Percent(0/n)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelistr Catalog/Pricelist, Discount Discount(%)Off Cata log/Pricelist for Please state the(%)off catalog/pricelist for Tear Gas/Mace and ° 6 Tear Gas/Mace and related Items. Catalog/Pricerist MUST be included or proposal will not be /o Considered. related items Discount(%)Off Please state the(%)off catalog/prlcelist for Night Vision 7 Catalog/Pricelist for Equipment. Catalog/Pricelist MUST be Included or proposal will not be Night Vision Equipment considered. Discount(%)Off ❑ragef Catalog/Pricelist For Please state the(%)off catalog/pricelist for Thermal Imaging See Attached FLIR 8 Thermal Imaging Equipment. Catalog/Pricelist MUST be included or proposal will not be % Equipment considered. Discount(%)Off Baycol Nightstick Catalog/Pricelist for Please state the(%)off catalog/priceiist for Flashlights,Batteries, 1 0% 9 Flashlights,Batteries, and related items. Catalog/Pricelist MUST be included arproposal will and related items not be considered. Discount(%)Off Catalog/Pricelist for Please state the(%)off Cataloglpricelist for Electronic Stand-up 10 Electronic Stand-up VehiCie(ESV). Cata"IPHcellst MUST be included or proposal will not be Vehicle(ESV) considered. Discount(%)Off Catalog/Pricelist for All Types of Public Safety Please state the(%)off catalog/pricelist for All Types of Public 11 Safety Patrol Bicycles,Supplies and Related Accessories. % Patrol Bicycles, Catalog/Pricel ist MUST be included or proposal will not be considered Supplies and Related Accessories PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal Page 42 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board a Lb OpHAlivC PwL+wsig9 Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricel ists muA be submitted with Pro osaI or Proposal will not he ccnsideredI-) State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelist' Catalog/Pricelist' Discount Discount(%)Off NRS CatalpglPricelist for Please state the(%)off catalog/pricelist far Public Safety Rescue See attached PMI 12 Public Safety Rescue Equipment. Catalog/Pricelist MUST be included or proposal will not be % considered. Equipment Discount(%)Off Please state the(%)off catalog/pricelist for Handcuffs and 13 Catalog/Pricelist for Restraints. Catalog/Pricelist MUSTbe included or proposal will not be °/v Handcuffs and considered. Restraints Discount(%)Off Please state the(%)off catalog/pricelist for Scapes and Binoculars.14 Catalog/Pricelist for Catalog/Pricelist MUST be included or proposal will not be considered. ❑❑ Scopes and Binoculars Discount(%)Off 908 Devices Catalog/Pricelist for Please state the(%)off catalog/pricelist for Alcohol and Drug See Attached Detectachem 15 Alcohol and Drug Testing Products and Related Services. catalog/Price list MUST be °Io FLIR Detection Testing Products and included or proposal will not be considered. Smiths Detection Related Services Rigaku Analytics Discount(%)Off Catalog/Pricelist for Please state the(%)off cata log/p ricelist for Law Enforcement 16 Law Enforcement Training Targets. catalog/Pricelist MUST be included or Proposal will not be considered. Training Targets Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Fingerprint Equipment 17 fingerprint Equipment and Supplies.catalog/Pricelist MUST be included or proposal will not be % considered.and Supplies PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1,Catalogs/Pricelists are required to be submitted with Proposal Page 43 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board' Cvrper""PPoZ Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment Catalo s/PriceliAs must be submitted with Proposal or Proposal will not be considered'. State Percent(❑/o)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelist, Catalog/Pricelist3 Discount Discount(%)Off Please state the(%)off catalog/pricelist for Law Enforcement Leatherman 18 Catalog/Pricelist for Knives and Toads[multipurpose tools,clip tools,mini tools,and 22 �o Law Enforcement related accessories]. catalog/Pricelist MUST be included or proposal will Knives and Tools not be considered. Discount(%)Off Haix Boots Catalog/Pricelist for Please state the(%)off catalog/pricelist for Public Safety Uniforms, See BttGFled Tingley Rubber 19 Public Safety Uniforms, Rainwear,Jackets,Footwear and Accessories. Catalog/Pricelist °� WI e x Rainwear,Jackets, MUST be included or proposal will not be considered. Y Footwear and Accessories Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for weather Monitoring 20 Weather Monitoring SWems. Catalog/Pnoelist MUST be induded or proposal will not be % Systems considered. Discount(%)off Please state the(%)off catalog/pricelist for Red Light Monitoring 21 Catalog/Pricelist for Systems. Catalog/Pricelist MUSTbe included or proposal will not be 0/0 Red Light Monitoring considered. Systems Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/prieelist for Speed Enforcement 22 Speed Enforcement Equipment. catalog/Pricelist MUST be included or proposal will not be 0/1, Equipment considered. Discount(%)off NRS Catalog/Pricelist for Please state the(%)off catalog/pricelist for Public Safety Life 12 23 Public Safety Life Preserver and Related Items. Catalog/PHcelist MUST be included or Preserver and Related proposal will not be masidered. Items PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.CatalogslPHoelists are required to be submitted with Proposal Page 44 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board® cray�rreww,o-gr� Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment CatalogsfPricelists must be submitted with Proposal or Pro osaI will not be consideredi. State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelists Catalog/Pricelistl Discount Discount(%)pff Catalog/Pricelist for Please state the(%)off catalog/pricelist for Emergency Radio 24 Emergency Radio Dispatch Consoles and related items. cataloglPricelist MUST be �❑ Dispatch Consoles and Included or proposal will not be considered. related items Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/prioelist for Safety and Security n 25 Safety and Security Wind /o ow Film Products. catalog MUST be included or proposal Window Film Products well not be considered. Discount(❑Io)Off Please state the(%)off cata log/pricel i st for All Types Security Z6 Catalog/Pricelist for All Access Doors and related accessories(accordion,roll up, % Types Security Access woodfold,Flat lead post,narrow lead post,and curved). Doors Catalog/Prioelist MUST be included or proposal will not be considered. Discount(%)Off Catalog/Pricelist for All Please state the(%)off cat@ log/pricel i st for All Other Public Safety 27 Dther Public Safety Products and Equipment. Catalog/Pricelist MUST be included or % Products and proposal will not be considered. Equipment Discount(%)Off Catalog/Pricelist for Please state the(%)off cata log/pricel i st for Public Safety 28 Public Safety Equipment Repair Parts. CatalogMricelist Musr be included or % Equipment Repair proposal will not be considered. Parts PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal Page 45 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Board Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment CatalogslPriceIists must be submitted with Proposal or Proposal will not be considered'.) State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelist' Catalog/Pricelist' Discount Discount{%}Off FarrWest Catalog/Pricelist for Public Safety Please state the{%}off catalog/pricelist For Public Safety 5% 29 Equipment and Equipment and Products Maintenance/Warranty Agreements. Products Catalog/Pricelist MUST be included or proposal will not be considered. Maintenance/Warranty Agreements Section II: Firehouse Sup lies and Equipment State Percent{%}of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelistx Catalog IPricelist' Discount Drager Discount{❑/a}Off 30 Catalog/Pricelist for Please state the(%)off caWlog/pricelistfDr Breathing Apparatus. 25 % Breathing Apparatus CataloglPricelist MUST be included or proposal will not be considered. Discount(%)Off I"lalx Boots Catalog/Pricelist for Protective Clothing and Please state the(%)off catalog/prirelist For Protective Clothing and Kapp!er Rescue Gear including Protective Boots,Helmets and Gear See attached Tingley Rubber 31 Rescue Gear including �O True North Protective Boots, Bags. CataloglPricelist MUST be included or proposal will not be considered. Helmets and Gear Bags Discount(%)Off Please state the(%)off catalog/pricelistfor Turnout Gear. ° 32 Catalog/Pricelist for Catalog/Pricelist MUST be included or proposal will not be considered. IO Turnout Gear PROPOSAL NOTE PROPOSAL SPECIFICATION FORM I.Catalogs/Pricelists are required to be submitted with Proposal Page 46 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 YYBoard- Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catal2uVPricelists must be submitted with Proposal or Proposal will not be considered 1. State Percent{0/a}of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelistl Catalog/Pracelist1 Discount Discount(%)Of Catalog/Pricelist for Please state the(%)off catalog/pricelist for Nomex Station 33 NOmex Station Uniforms. Catalog I Pricelist MUST be included or proposal will not be Uniforms cornidered. Casmunt{90}Off please state the(%)off catalog/pricelist far Communication 34 Communicati ist for Devices and Systems. Catalog/Pncelist MUST be included or proposal Devices Sy will not be considered. Devices and Systems Ca talog/{%}Off please state the(%)off catalog/pricellst for EMS Supplies and COnlOgency 35 EMS Supplies an for Equipment. Catatog/Pricetist MUST be included or proposal will not be � °b ENS Supplies and consdered Equipment Discount(%)off Bayco!Nightstick Catalog/Pricelist for Please state the(%)off catalog/pricelist for Portable Lighting 10 36 Portable Lighting Equipment.catalog/Prieel ist MUST be included or proposal will not be % considered. Equipment Discount(%)off Putco Catalog/Pricelist for Please state the(%)off catalog/pricelist for Vehicle Light Bars, See Attached Rigid 37 Vehicle Light Bars, Sirens and Speakers. catalog/Pricelist MUST be included or proposal % Whelen Sirens and Speakers will not be considered. Catalog/ rice Off please state the(%)off catalog/pricelist for Fire Extrication Rescue 38 FireE Extrication far Equipment. catalog/Pricelist MUST be Included or proposal wall not be Fire Extrication Rescue considered Equipment PROPOSAL NOTE PROPOSAL SPECIFICATION FORM I.Catalogs/Pricelats are required to be submitted with Proposal Page 47 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Vlloard- Proposa I Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catalog s/Price€ists rnust he submitted with Proposal or Proposal will not he considered'.) State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelistt CatalogIPricelistl Discount Discount(%)Off Haix Boots Catalog/Pricelist for Tingley Rubber Firehouse Uniforms, Please state the(%)off catalog/prkelist for Firehouse Uniforms, See attached 39 Rainwear,lockets, Rainwear,Jackets,Footwear and Accessories. Catalog/Pricelist Footwear and MUST be included or proposal will not be considered. Accessories Drager RAE Discount(%)Off FUR Deteclion Accessories; Please state the(%)off catalog/pricelist for Gas Detection Devices. See Attached RAE systems-Portables 40 Catalog/Pricelist for Catalog/Prlcelist MUST be included or proposal will not be considered. /0 RAE Systems-Wiiralass Portables and Gas Detection Devices Sensil Wireless-7% Thermo Radialion off Priceiist Discount(%)Off Please state the(%)off catalogjpri celi st for Fire Bose and Nozzles.41 Catalog/Pricelist for catalog/Pricelist MUST be included or proposal will not be considered. °/0 Fire Hose and Nozzles Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Fire Extinguishers and o 42 Fire Fighting Foam. Catalog/Pricalist MUST be included or pro ppsal will �o Fire Extinguishers and not be considered. Fire Fighting Foam Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Fire Fighting Training 43 Fire Fighting Training Materials and Equipment. catalog/Priceli st MUST be included or Materials and proposal will not be considered. Equipment PROPOSAL NOTE PROP05AL 5PE(IFICATION FORM 1.Catalogs/Pricelism are required to be submitted with Proposal Page 48 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 VBoard- Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment Cata log s/Pricelists must be submitted with Pro posal or Proposal will not be considered'. State Percent(a/o)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelistl Catalog/Pricelistl Discount Discount(%)Off Cataiog/Pricelist for Optical Emergency Please state the(%)off catalog/priceiist for Optical Emergency ❑ 44 Optical P Emergency Traffic Pre-Emption Supplies and Equipment.catalog/PricelistTraffic MUST be included or proposal will not be considered. Supplies and Equipment AEMC Discount(%)Off Catalog/Plicelist for Please state the(%)off cata log/priceiist for All Other Firehouse 45 Other Firehouse Equipment and Supplies. Catalog/Pricelist MUST be included or % Equipment and proposal will not be considered. Supplies Discount(%)Off Please state the(%)off catalog/pricelist for Firehouse Equipment 46 Catalog/Pricelist for Repair Parts. Catalog/Priceli st MUST be included or proposal will not be % Firehouse Equipment considered. Repair Parts Discount(%}Off Fan-West DiscoCatalunt (%)lO for Equipment Lease Please state the(%)off catalog/pricelist for Firehouse Equipment and Maintenance 47 Firehouse Equipment and Products Safety Ma i ntenan cel Warranty Agreements. 5 % Programs and Products Safety Catalog IPrieelist MUST be included or proposal will not be considered. Mai ntenance/Warranty Agreements PROPOSAL NOTE PROPOSALSPecrFiCAnoN FORM 1.Catalogs/Pricelists are required to be submitted with Proposal Page 49 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Y�Board® Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (CataloWPricelists must be submitted with Proposal or Pro sal will not be considered'.) Section IV: Security Personnel Services and Solutions-In accordance with Chapter 1702 of the Texas Occupations Code,vendors proposing to serve Cooperative members in Texas must hold,maintain,and submit with their proposal a copy of their current,valid license as Issued by the Texas Department of Public Safety. Vendors proposing to serve Cooperative members outside of Texas must hold,maintain,and submlt with their proposal a copy of their current,valid license(s)which are required by any legal authority in the jurisdiction s Vendors propose to serve. State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelisti Catalog/Pricetistr Discount Discount(%)Off Rate Please state the(%)off rate sheet for Security Personnel Services Sheet for Security 53 Personnel Services and and Solutions(weekly,monthly,quarterly and yea rly)rates. $ Solutions Catatog/Priceiist MUST be included or proposal will not be considered. Section V., Installation and Repair Service Detailed Exceptions to Item Not to Exceed Hourly Information on Hourly Labor No. Short Description Full Description Labor Rate Hourly Labor Rate Rate Not to Exceed Hourly Personal Safety Labor Rate for Hourly Labor Rate for Installation/Repair Service of Public 65 Equipment 54 Installation/Repair Safety Equipment and Products-State the Not to Exceed hourly Service of Public Safety labor rate for Installation/Repair Service of Publit Safety Equipment 'Hcur Vehicles/ Equipment and and Products. Products Automotive Not to Exceed Hourly Labor Rate for Hourly Labor Rate for Installation/Repair Service of Firehouse 55 Installation/Repair Equipment and Products-State the Not to Exceed hourly labor $ /Hour Service of Firehouse rate for Installation/Repair Service of Firehouse Equipment and Equipmerrt and Products. Products Not to Exceed Hourly Labor Rate for Hourly Labor Rate for Installation/Repair Service of Traffic Installation/Repair Signal Equipment and Products-State the Not to Exceed hourly 56 Service of Traffic labor rate for Installation/Repair Service of Traffic Signal Equipment $ Hour Signal Equipment and and Products. Products PROPOSAL NOTE PRO POSAt SPECIFICATION FORM 1.Catdlpg5/PriC21i5t5 are required to be submitted with Proposal Page 50 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 Exhibit C CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by 14.8. 23, 84th Leg., Regular Session. OFFICEUSEONLY This questionnaire is being filed in accordance with Chaptar 176,Local Government Coda,by a vendor who pate Received has a business relationship as defined by Section 176.001(1-a)with a local governmental antity and die vendor meets requirements under Section 176.008(a). By law this questianizaire must 15e filed with the records administrator of the local governmental entity not later than the 7th busiiiass day after the date the vendor bFx�omas aware of facts ilia[require the statement to be filed See Section 176.008Ra-1j, Loral Government Code. A vendor commits an offense it 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 previously filed questionnaire.(The law requites 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.) 1J Name of local government officer about whom the information is being disclosed. Name of Officer 4 Describe each employment or other business relationship with the local government officer,or a family member of the officer,as described by Section 176.003(a)(2){A). Also describe any family relationship with the local government officer. Com pi ete,subparts A and B for each employment or business reiationshipdescribed. Attach additional pages to this Farm CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment Income, from the vendor? F] Yes F1 No R Is the vendor receiving or Ilkely to receive taxable income,other than investment Income,from or at the direction of the local govemment officer or a family member of the officer AN❑the taxable income Is not received from the local governmental entity? F7Yes FlNo s Describe each employment or business relationship that the vendor framed 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. s ❑ Check this box if the vendor has givers the focal government officer or a family member of the officerone or more gifts as described in Section 176.003(a){2)(e). excluding gifts described in Section 176.003la-l). 7 Signature of vendor doing business with 8-tan governmental entity Date Farm provided by Texas Ethics Commission www.ethics.state tx.trs Revised 1 113 012 4 1 5 Page 51 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference,below are some of the sections cited on this form. Local Government Code§176.001(1-a):"Business relationship"means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal,state,or local governmental entity or an agency of a federal,state,or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public;or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by,and reporting to,that agency. Local Government Code§176.003(a)(2)(A)and(B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than$100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed;or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code§176.006(a)and(a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity,or a family member of the officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any gift described by Section 176.003(a-1);or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity;or (B) submits to the local governmental entity an application,response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity;or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer,described by Subsection(a); (B) that the vendor has given one or more gifts described by Subsection(a);or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 Page 52 of 52 City of Fort Worth and FarrWest Environmental Supply, Inc. BuyBoard Contract#603-20 M&C Review Page 1 of 2 Official site of the City of Fort Worth,Texas CITY COUNCIL AGENDA FORT WORTH DATE: 12/15/2020 REFERENCE **M&C 20- LOG NAME: 13PAMEND M&C 20-0218 NO.: 0934 PUBLIC SAFETY AR PD CODE: P TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: (ALL)Authorize Amendment to Mayor and Council Communication 20-0218 to Authorize Execution of a Cooperative Agreement for Public Safety Supplies and Equipment to add FarrWest Environmental Supply, Incorporated, as an Additional Vendor RECOMMENDATION: It is recommended that the City Council authorize an amendment to Mayor and Council Communication 20-0218 to authorize execution of a cooperative agreement for public safety supplies and equipment to add FarrWest Environmental Supply, Incorporated, as an additional vendor. DISCUSSION: The Police Department approached the Purchasing Division to procure radiation detection equipment using Texas Association of School Boards (BuyBoard) Contract 603-20. The agreement will be utilized to purchase radiation equipment to detect radiation in a steady state operation such as for large gatherings and special events around the City. The devices are used by officers daily and have the ability to provide quick identification and mitigation of any source of radiation it detects. On April 7, 2020, City Council authorized execution of public safety supplies and equipment using Buyboard Contract 603-20 for the Police, Fire, and Municipal Courts Departments. Staff recommends the addition of a tenth vendor, FarrWest Environmental Supply, Incorporated to the original authorization in order to allow the Police Department to purchase radiation detection equipment. The Department will be using funds from their Homeland Security Grant Program- Urban Area Security Initiative (HSGP-UASI) in order to pay for these expenditures. A MBE/SBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity. The agreement is based on BuyBoard Contract 603-20. State law provides that a local government purchasing an item under a cooperative purchasing agreement satisfies state laws requiring that the local government seek competitive bids for purchase of the items. BuyBoard contracts have been competitively bid to increase and simplify the purchasing power of government entities. An administrative change order or increase may be made by the City Manager up to the amount allowed by relevant law and the Fort Worth City Code and does not require specific City Council approval as long as sufficient funds have been appropriated. This agreement will end on March 31, 2021 to correspond with the term of the BuyBoard cooperative contract. This Agreement may be renewed, in accordance with the terms of the BuyBoard contract, for two additional one-year terms. This action does not require specific City Council approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal term. In the event that a cooperative agreement is not renewed, staff would cease making purchases at the end of the last purchase agreement coinciding with the valid cooperative agreement. If the City Council were to not appropriate funds for a future year, staff would cease making purchases when the last appropriation expires, regardless of whether the then-current purchase agreement has expired. If the cooperative contract is extended, this Mayor and Council Communication (M&C)authorizes the City to purchase similar products and services under the extended contracts. If the cooperative contract is not extended, but a new cooperative contract is executed with FarrWest Environmental http://apps.cfwnet.org/council_packet/mc review.asp?ID=28503&councildate=12/15/2020 12/17/2020 M&C Review Page 2 of 2 Supply, Incorporated with substantially similar terms as the previous cooperative contract, this M&C authorizes the City to purchase the services under the new cooperative contract. (ALL COUNCIL DISTRICTS) FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budget, as previously appropriated, in the Grants Operating Federal Fund for the 2019 UASI LETPA project to support the approval of the above recommendation and execution of the purchase agreement. Prior to any expenditure being incurred, the Police Department has 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 Reference# Amount ID ID Year (ChartField 2) Submitted for City Manager's Office by: Jay Chapa (5804) Originating Department Head: Reginald Zeno (8517) Additional Information Contact: Cynthia Garcia (8525) A'ja Robertson (8585) ATTACHMENTS http://apps.cfwnet.org/council_packet/mc review.asp?ID=28503&councildate=12/15/2020 12/17/2020