HomeMy WebLinkAboutContract 55117 CSC No. 55117
FORT WORT
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement("Agreement") reflects the agreement between the
City of Fort Worth, ("City"), a Texas home rule Municipal Corporation and Aadvantage Laundry
Systems,Inc,a Corporation("Vendor")to purchase a washer and dryer and repair and maintenance
service request under a cooperative agreement.
The Agreement includes the following documents (collectively, Cooperative Agreement
Documents")which shall be construed in the order of precedence in which they are listed:
I. This Cooperative Purchase Agreement
2. Exhibit A —Fort Worth Terms and Conditions;
3. Exhibit B—BuyBoard Cooperative Agency Contract;
4. Exhibit C—Aadvantage Quote ; and
5. Exhibit D—Conflict of Interest Questionnaire.
All Exhibits which are attached hereto and incorporated herein are made a part of this
Agreement for all purposes. In the event of a conflict between Exhibit A and Exhibits B and C,
Exhibit A shall control,but only to the extent allowable under the Cooperative Agency Contract.
The maximum amount to be paid to the Vendor for all services performed and goods
purchased hereunder shall not exceed Forty Thousand dollars($40,000.00)per year.
The Agreement shall become effective upon the signing of the Agreement by an Assistant
City Manager of the City (the "Effective Date") and shall expire one (1) year after the Effective
Date (the Expiration Date"), unless terminated earlier in accordance with the provisions of the
Agreement or otherwise extended by the parties.The Agreement may be renewed for three(3)one
(1)year renewals at City's option,each a"Renewal Term."City shall provide Vendor with written
notice of its intent to renew at least thirty(30) days prior to the end of each term.
The undersigned represents and warrants that he or she has the power and authority to
execute this Agreement and the Cooperative Documents and bind the Vendor.
(signature page follows)
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Cooperative Purchase—Aadvantage Laundry Systems Inc. Page I of 2
Executed effective as of the date signed by the Assistant City Manager below.
FORT WORTH:
City of Fort Worth Contract Compliance Manager:
By signing I acknowledge that I am the
person responsible for the monitoring and
Y f administration of this contract, including
By: Valeriewashington(Jan 3,2 112:45CST) ensuring all performance and reporting
Name: Valerie Washington requirements.
Title: Assistant City Manager
Approval Recommended: By: tonyh r(Dec 31,2020 07:50 CST)
Name: TToo;yy Hiller
Title: Code Compliance Superintendent
By: Tim Morton(Dec 31,2020 09:01 CST) Approved as to Form and Legality:
Name: Timothy Morton
Title: Assistant Code Compliance Director ak ito he f t l�
Attest: By: Christopher A stria(Dec 31,2020 09:19 CST)
Name: Christopher Austria
Title: Assistant City Attorney
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Name: Mary Kayser ,a061oo °°°°°dad M&C: 24089-03-2020 (March 19, 2020)and
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VENDOR:
Aadvantage Laundry Systems Inc.
By:
Name:
Title:
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Cooperative Purchase—Aadvantage Laundry Systems Inc. Page 2 of 2
EXHIBIT A
FORTWORTH.
FORT WORTH STANDARD TERMS AND CONDITIONS
1. Termination.
1.1. Convenience.Either the City or Vendor may terminate this Agreement at any time
and for any reason by providing the other party with 30 days written notice of termination.
1.2. Breach. If either party commits a material breach of this Agreement, the non-
breaching Party must give written notice to the breaching party that describes the breach in
reasonable detail. The breaching party must cure the breach ten(10)calendar days after receipt of
notice from the non-breaching party,or other time frame as agreed to by the parties.If the breaching
party fails to cure the breach within the stated period of time, the non-breaching party may, in its
sole discretion, and without prejudice to any other right under this Agreement, law, or equity,
immediately terminate this Agreement by giving written notice to the breaching party.
1.3. Fiscal)~undiniz Out.In the event no funds or insufficient funds are appropriated by
the City in any fiscal period for any payments due hereunder, the City will notify Vendor of such
occurrence and this Agreement shall terminate on the last day of the fiscal period for which
appropriations were received without penalty or expense to the City of any kind whatsoever,except
as to the portions of the payments herein agreed upon for which funds have been appropriated.
1.4. Duties and Obli ations of the Parties. In the event that this Agreement is
terminated prior to the Expiration Date,the City shall pay Vendor for services actually rendered up
to the effective date of termination and Vendor shall continue to provide the City with services
requested by the City and in accordance with this Agreement up to the effective date of termination.
Upon termination of this Agreement for any reason, Vendor shall provide the City with copies of
all completed or partially completed documents prepared under this Agreement.In the event Vendor
has received access to City information or data as a requirement to perform services hereunder,
Vendor shall return all City provided data to the City in a machine readable format or other format
deemed acceptable to the City.
2. Disclosure of Conflicts and Confidential Information.
2.1. Disclosure of Conflicts. Vendor hereby warrants to the City that Vendor has made
full disclosure in writing of any existing or potential conflicts of interest related to Vendor's services
under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this
Agreement,Vendor hereby agrees immediately to make full disclosure to the City in writing.
2.2. Confidential Information. The City acknowledges that Vendor may use products,
materials, or methodologies proprietary to Vendor. The City agrees that Vendor's provision of
services under this Agreement shall not be grounds for the City to have or obtain any rights in such
proprietary products, materials, or methodologies unless the parties have executed a separate
written agreement with respect thereto. Vendor, for itself and its officers, agents and employees,
agrees that it shall treat all information provided to it by the City ("City Information") as
Cooperative Purchase Agreement—Fort Worth Terms and Conditions Page 1 of 8
confidential and shall not disclose any such information to a third party without the prior written
approval of the City.
2.3. Public Information Act. City is a government entity under the laws of the State of
Texas and all documents held or maintained by City are subject to disclosure under the Texas Public
Information Act. In the event there is a request for information marked Confidential or Proprietary,
City shall promptly notify Seller. It will be the responsibility of Seller to submit reasons objecting
to disclosure.A determination on whether such reasons are sufficient will not be decided by City,
but by the Office of the Attorney General of the State of Texas or by a court of competent
jurisdiction.
2.4. Unauthorized Access. Vendor shall store and maintain City Information in a secure
manner and shall not allow unauthorized users to access, modify, delete or otherwise corrupt City
Information in any way.Vendor shall notify the City immediately if the security or integrity of any
City information has been compromised or is believed to have been compromised, in which event,
Vendor shall, in good faith, use all commercially reasonable efforts to cooperate with the City in
identifying what information has been accessed by unauthorized means and shall fully cooperate
with the City to protect such information from further unauthorized disclosure.
3. Right to Audit.
3.1. Vendor agrees that the City shall, until the expiration of three(3)years after final
payment under this Agreement, have access to and the right to examine at reasonable times any
directly pertinent books, documents, papers and records of the Vendor involving transactions
relating to this Agreement at no additional cost to the City. Vendor agrees that the 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. The City shall give Vendor not less than 10 days written notice of any intended
audits.
3.2. Vendor further agrees to include in all its subcontractor agreements hereunder a
provision to the effect that the subcontractor agrees that the City shall,until expiration of three(3)
years after final payment of the subcontract, have access to and the right to examine at reasonable
times any directly pertinent books,documents,papers and records of such subcontractor involving
transactions related to the subcontract, and further that City shall have access during normal
working hours to all subcontractor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this paragraph.City shall give
subcontractor not less than 10 days written notice of any intended audits.
4. Independent Contractor. It is expressly understood and agreed that Vendor shall operate as
an independent contractor as to all rights and privileges granted herein,and not as agent, representative or
employee of the City. Subject to and in accordance with the conditions and provisions of this Agreement,
Vendor shall have the exclusive right to control the details of its operations and activities and be solely
responsible for the acts and omissions of its officers, agents, servants, employees, contractors and
subcontractors. Vendor acknowledges that the doctrine of respondeat superior shall not apply as between
the City, its officers,agents,servants and employees,and Vendor,its officers,agents, employees, servants,
contractors and subcontractors. Vendor further agrees that nothing herein shall be construed as the creation
of a partnership or joint enterprise between City and Vendor. It is further understood that the City shall in
no way be considered a Co-employer or a Joint employer of Vendor or any officers, agents, servants,
employees or subcontractors of Vendor. Neither Vendor, nor any officers, agents, servants, employees or
subcontractors of Vendor shall be entitled to any employment benefits from the City. Vendor shall be
Cooperative Purchase Agreement—Fort Worth Terms and Conditions Page 2 of 8
responsible and liable for any and all payment and reporting of taxes on behalf of itself, and any of its
officers,agents, servants,employees or subcontractors.
5. LIABILITY AND INDEMNIFICATION.
5.1. LIABILITY - VENDOR SHALL BE LIABLE AND RESPONSIBLE FOR
ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL
INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR
CHARACTER,WHETHER REAL OR ASSERTED,TO THE EXTENT CAUSED BY THE
NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL
MISCONDUCT OF VENDOR,ITS OFFICERS,AGENTS,SERVANTS OR EMPLOYEES.
5.2. INDEMNIFICATION - VENDOR HEREBY COVENANTS AND AGREES
TO INDEMNIFY, HOLD HARMLESS AND DEFEND THE CITY, ITS OFFICERS,
AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL
CLAIMS OR LAWSUITS OF ANY KIND OR CHARACTER, WHETHER REAL OR
ASSERTED, FOR EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED
DAMAGE OR LOSS TO BUSINESS, AND ANY RESULTING LOST PROFITS),
PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, AND
DAMAGES FOR CLAIMS OF INTELLECTUAL PROPERTY INFRINGEMENT,
ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT,TO THE EXTENT
CAUSED BY THE ACTS OR OMISSIONS OF VENDOR, ITS OFFICERS, AGENTS,
SUBCONTRACTORS,SERVANTS OR EMPLOYEES.
6. Assignment and Subcontracting.
6.1. Vendor shall not assign or subcontract any of its duties,obligations or rights under
this Agreement without the prior written consent of the City. If the City grants consent to an
assignment, the assignee shall execute a written agreement with the City and the Vendor under
which the assignee agrees to be bound by the duties and obligations of Vendor under this
Agreement.The Vendor and assignee shall be jointly liable for all obligations under this Agreement
prior to the assignment. If the City grants consent to a subcontract,the subcontractor shall execute
a written agreement with the Vendor referencing this Agreement under which the subcontractor
shall agree to be bound by the duties and obligations of the Vendor under this Agreement as such
duties and obligations may apply.The Vendor shall provide the City with a fully executed copy of
any such subcontract.
7. Insurance.
7.1. The Vendor shall carry the following insurance coverage with a company that is
licensed to do business in Texas or otherwise approved by the City:
7.1.1. Commercial General Liability:
7.1.1.1. Combined limit of not less than $2,000,000 per occurrence;
$4,000,000 aggregate; or
7.1.1.2. Combined limit of not less than $1,000,000 per occurrence;
$2,000,000 aggregate and Umbrella Coverage in the amount of $4,000,000.
Umbrella policy shall contain a follow-form provision and shall include coverage
for personal and advertising injury.
Cooperative Purchase Agreement--Fort Worth Terms and Conditions Page 3 of 8
7.1.1.3. Defense costs shall be outside the limits of liability.
7.1.2. Automobile Liability Insurance covering any vehicle used in providing
services under this Agreement, including owned, non-owned, or hired vehicles, with a
combined limit of not less than$1,000,000 per occurrence.
7.1.3. Professional Liability(Errors & Omissions) in the amount of$1,000,000
per claim and$1,000,000 aggregate limit.
7.1.4. Statutory Workers' Compensation and Employers' Liability Insurance
requirements per the amount required by statute.
7.1.5. Technology Liability(Errors&Omissions)
7.1.5.1. Combined limit of not less than $2,000,000 per occurrence;
$4million aggregate or
7.1.5.2. Combined limit of not less than $I,000,000 per occurrence;
$2,000,000 aggregate and Umbrella Coverage in the amount of $4,000,000.
Umbrella policy shall contain a follow-form provision and shall include coverage
for personal and advertising injury. The umbrella policy shall cover amounts for
any claims not covered by the primary Technology Liability policy. Defense costs
shall be outside the limits of liability.
7.1.5.3. Coverage shall include,but not be limited to,the following:
7.1.5.3.1. Failure to prevent unauthorized access;
7.1.5.3.2. Unauthorized disclosure of information;
7.1.5.3.3. Implantation of malicious code or computer
virus;
7.1.5.3.4. Fraud, Dishonest or Intentional Acts with final
adjudication Ianguage;
7.1.5.3.5. Intellectual Property Infringement coverage,
specifically including coverage for intellectual property infringement
claims and for indemnification and legal defense of any claims of
intellectual property infringement, including infringement of patent,
copyright, trade marls or trade secret, brought against the City for use of
Deliverables, Software or Services provided by Vendor under this
Agreement;
7.1.5.3.6. Technology coverage may be provided through
an endorsement to the Commercial General Liability (CGL) policy, a
separate policy specific to Technology E&O, or an umbrella policy that
picks up coverage after primary coverage is exhausted. Either is
acceptable if coverage meets all other requirements. Technology coverage
shall be written to indicate that legal costs and fees are considered outside
Cooperative Purchase Agreement—Fort Worth Terms and Conditions Page 4 of 8
of the policy limits and shall not erode Iimits of liability. Any deductible
will be the sole responsibility of the Vendor and may not exceed$50,000
without the written approval of the City. Coverage shall be claims-made,
with a retroactive or prior acts date that is on or before the effective date
of this Agreement. Coverage shall be maintained for the duration of the
contractual agreement and for two (2) years following completion of
services provided. An annual certificate of insurance,or a full copy of the
policy if requested, shall be submitted to the City to evidence coverage;
and
7.1.5,3.7. Any other insurance as reasonably requested by
City.
7.2. General Insurance Requirements:
7.2.1. All applicable policies shall name the City as an additional insured
thereon, as its interests may appear. The term City shall include its employees, officers,
officials,agents,and volunteers in respect to the contracted services.
7.2.2. The workers' compensation policy shall include a Waiver of Subrogation
(Right of Recovery) in favor of the City of Fort Worth.
7.2.3. A minimum of Thirty (30) days' notice of cancellation or reduction in
limits of coverage shall be provided to the City. Ten(10)days' notice shall be acceptable
in the event of non-payment of premium. Notice shall be sent to the Risk Manager, City
of Fort Worth, 1000 Throckmorton, Fort Worth, Texas 76102, with copies to the City
Attorney at the same address.
7.2.4. The insurers for all policies must be licensed and/or approved to do
business in the State of Texas. All insurers must have a minimum rating of A- VII in the
current A.M.Best Key Rating Guide,or have reasonably equivalent financial strength and
solvency to the satisfaction of Risk Management. If the rating is below that required,
written approval of Risk Management is required.
7.2.5. Any failure on the part of the City to request required insurance
documentation shall not constitute a waiver of the insurance requirement.
7.2.6. Certificates of Insurance evidencing that the Vendor has obtained all
required insurance shall be delivered to and approved by the City's Risk Management
Division prior to execution of this Agreement.
8. Compliance with Laws,Ordinances,Rules and Regulations. Vendor agrees to comply with
all applicable federal,state and local laws, ordinances,rules and regulations. If the City notifies Vendor of
any violation of such laws, ordinances, rules or regulations, Vendor shall immediately desist from and
correct the violation.
9. Non-Discrimination Covenant. Vendor, for itself, its personal representatives, assigns,
subcontractors and successors in interest,as part of the consideration herein,agrees that in the performance
of Vendor's duties and obligations hereunder, it shall not discriminate in the treatment or employment of
any individual or group of individuals on any basis prohibited by law. If any claim arises from an alleged
violation of this non-discrimination covenant by Vendor, its personal representatives, assigns,
Cooperative Purchase Agreement---Fort Worth Terms and Conditions Page 5 of 8
subcontractors or successors in interest,Vendor agrees to assume such liability and to indemnify and defend
the City and hold the City harmless from such claim.
10. Notices. Notices required pursuant to the provisions of this Agreement shall be
conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents,
employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the
transmission, or(3) received by the other party by United States Mail, registered, return receipt requested,
addressed as follows:
TO THE CITY. VENDOR
City of Fort Worth Aadvantage Laundry Systems,Inc
Attn:Assistant City Manager Attn:Shawn Allen-Director of Government Sales
200 Texas Street 2510 National Drive
Fort Worth TX 76102 Garland TX 75041
Facsimile:(817)392-xxxx sallen a aadvantagelaundry.com
With Copy to the City Attorney
at same address
11. Solicitation of Employees. Neither the City nor Vendor shall, during the term of this
Agreement and additionally for a period of one year after its termination,solicit for employment or employ,
whether as employee or independent contractor, any person who is or has been employed by the other
during the term of this Agreement,without the prior written consent of the person's employer.This provision
shall not apply to an employee who responds to a general solicitation or advertisement of employment by
either party.
12. Governmental Powers. It is understood and agreed that by execution of this Agreement,
the City does not waive or surrender any of its governmental powers.
13. No Waiver. The failure of the City or Vendor to insist upon the performance of any term
or provision of this Agreement or to exercise any right granted herein shall not constitute a waiver of the
City's or Vendor's respective right to insist upon appropriate performance or to assert any such right on any
future occasion.
14. Governing Law and Venue. This Agreement shall be construed in accordance with the laws
of the State of Texas. If any action,whether real or asserted, at law or in equity, is brought on the basis of
this Agreement,venue for such action shall lie in state courts located in Tarrant County,Texas or the United
States District Court for the Northern District of Texas,Fort Worth Division.
15. Severability. If any provision of this Agreement is held to be invalid, illegal or
unenforceable,the validity, legality and enforceability of the remaining provisions shall not in any way be
affected or impaired.
16. Force Maieure. The City and Vendor shall exercise their best efforts to meet their
respective duties and obligations as set forth in this Agreement,but shall not be held liable for any delay or
omission in performance due to force majeure or other causes beyond their reasonable control (force
majeure), including,but not limited to, compliance with any government law,ordinance or regulation,acts
of God, acts of the public enemy, fires, strikes, lockouts, natural disasters, wars, riots, material or labor
restrictions by any governmental authority,transportation problems and/or any other similar causes.
Cooperative Purchase Agreement—Fort Worth Terms and Conditions Page 6 of 8
17. Headings Not Controlling. Headings and titles used in this Agreement are for reference
purposes only and shall not be deemed a part of this Agreement.
18. Review of Counsel. The parties acknowledge that each party and its counsel have reviewed
this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved
against the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto.
19. Amendments. No amendment of this Agreement shall be binding upon a parry hereto
unless such amendment is set forth in a written instrument, and duly executed by an authorized
representative of each party.
20. Entirety of Agreement. This Agreement, including any exhibits attached hereto and any
documents incorporated herein by reference,contains the entire understanding and agreement between the
City and Vendor, their assigns and successors in interest, as to the matters contained herein.Any prior or
contemporaneous oral or written agreement is hereby declared null and void to the extent in conflict with
any provision of this Agreement.
21, Counterparts. This Agreement may be executed in one or more counterparts and each
counterpart shall,for all purposes,be deemed an original,but all such counterparts shall together constitute
one and the same instrument.An executed Agreement,modification,amendment,or separate signature page
shall constitute a duplicate if it is transmitted through electronic means,such as fax or e-mail, and reflects
the signing of the document by any party. Duplicates are valid and binding even if an original paper
document bearing each party's original signature is not delivered.
22. Warranty of Services. Vendor warrants that its services will be of a professional quality
and conform to generally prevailing industry standards. City must give written notice of any breach of this
warranty within thirty(30) days from the date that the services are completed. In such event, at Vendor's
option, Vendor shall either(a)use commercially reasonable efforts to re-perform the services in a manner
that conforms with the warranty, or(b) refund the fees paid by the City to Vendor for the nonconforming
services.
23. Immigration Nationalfty Act. Vendor shall verify the identity and employment eligibility
of its employees who perform work under this Agreement, including completing the Employment
Eligibility Verification Form(I-9). Upon request by City, Vendor shall provide City with copies of all I-9
forms and supporting eligibility documentation for each employee who performs work under this
Agreement. Vendor shall adhere to all Federal and State laws as well as establish appropriate procedures
and controls so that no services will be performed by any Vendor employee who is not legally eligible to
perform such services. VENDOR SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS
FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS
PARAGRAPH BY VENDOR, VENDOR'S EMPLOYEES, SUBCONTRACTORS, AGENTS, OR
LICENSEES. City, upon written notice to Vendor, shall have the right to immediately terminate this
Agreement for violations of this provision by Vendor.
24. No Boycott of Israel. If Vendor has fewer than 10 employees or the Agreement is for less
than$100,000, this section does not apply.Vendor acknowledges that in accordance with Chapter 2270 of
the Texas Government Code, City is prohibited from entering into a contract with a company for goods or
services unless the contract contains a written verification from the company that it: (1) does not boycott
Israel; and (2) will not boycott Israel during the term of the contract. The terms "boycott Israel" and
"company" shall have the meanings ascribed to those terms in Section 808.001 of the Texas Government
Code. By signing this Addendum, Vendor certifies that Vendor's signature provides written verification to
Cooperative Purchase Agreement—Fort Worth Terms and Conditions Page 7 of 8
City that Vendor. (I) does not boycott Israel; and (2) will not boycott Israel during the term of the
Agreement.
25. Survival of Provisions. The parties'duties and obligations pursuant to sections related to
Duties and Obligations,Disclosure of Conflicts and Confidential Information,Right to Audit,and Liability
and Indemnification shall survive termination of this Agreement.
Cooperative Purchase Agreement—Fort Worth Terms and Conditions Page 8 of 8
EXHIBIT B
PFBoard
P.O.Box 400,Austin,Texas 78767
800.895.2919•info@buyboard.cGm•buyboard.com
November 4, 2020
Sent via email to: sallenra''7aadvantagelaundry.com
Shawn Allen
AAdvantage Laundry Systems Inc.
2510 National Dr.
Garland TX 75041
Re: Commercial Washers and Dryers
BuyBoard Contract 596-19
The Local Government Purchasing Cooperative (BuyBoard) awarded your company a contract under
Commercial Washers and Dryers, Contract 596-19 effective December 1, 2019 through November 30,
2020, with two possible one-year renewals. At this time, the BuyBoard is renewing your contract through
November 30, 2021.
All discounts,terms, and conditions of your contract will remain the same. If you agree to this renewal,there
is nothing you need to do. However, if you do not agree to this renewal, you must notify me via email at
lisa.maraden@tasb.org prior to the start of the renewal term.
Reminder: Once a BuyBoard contract is awarded,vendors must generate a minimum of$15,000 annually
or they may not be offered a contract renewal.
If you have questions or comments concerning this renewal, please contact me as soon as possible at
lisa.maradenOtasb.org. We appreciate your interest in The Local Government Purchasing Cooperative.
Sincerely,
Lisa Maraden
Contract Administrator
lst renewal v.02.13.2020
Endorsed by fa
TASA►
Boa d
P 0,Box 400
Austin, TX 78767-OW
890,695.2919 1512.467.0222 J fax:809,211.5454
buyboard.rum
November 6, 2019
Sent Via Email: sallen@aadvantagelaundry.com
Shawn Allen
AAdvantage Laundry Systems Inc.
2510 National Dr.
Garland,TX 75041
Welcome to BuyBoard!
Re: Notice of The Local Government Purchasing Cooperative Award
Proposal Name and Number: Commercial Washers and Dryers, Proposal No. 596-19
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard@
contract based on the above-referenced Proposal. The contract is effective 12/1/2019 through 11/30/2020, with two
possible one-year renewals. The contract documents are those identified in Section 3 of the General Terms and Conditions
of the specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 596-19 on the following
web-site: www,buyboard,com/vendor. Only items marked as awarded to your company can be sold through the BuyBoard
contract. In addition, on this website you will find the membership list which will provide you with the names of all entities
with membership in our purchasing cooperative.
Enclosed with this letter you will find the following documents:
1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards
You are advised that receipt of a purchase order directly from a Cooperative member is not within the
guidelines of the Cooperative.Accepting purchase orders directly from Cooperative members may result in a violation
of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all
purchase orders must be processed through the BuyBoard in order to comply. Please forward by email to
info@buyboard.com any order received directly from a Cooperative member. If you inadvertently process a purchase
order sent directly to you by a Cooperative member, please email the order info@buyboard.com and note it as RECORD
ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days prior to
the start of your contract.
On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we are looking
forward to your participation in the program. If you have any questions, please contact Cooperative Procurement Staff
at 800-695-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.6
The Local Government Purchasing Cooperative is endorsed by the Texas Association of School6oards,
:Q: Texas Municipal League, Texas Association of Counties,and the Texas Association of School Administrators.
BoardIt xationnl School
N.ekwlPlnrl:ss6^➢ec.Mira!e+x Endntsed by hW ' Bonrds&swiaticm
November 6, 2019
Sent Via Email: sallen@aadvantagelaundry.com
Shawn Allen
AAdvantage Laundry Systems Inc.
2510 National Dr.
Garland,TX 75041
Welcome to BuyBoard?
Re: Notice of National Purchasing Cooperative Piggy-BackAward
Proposal Name and Number:Commercial Washers and Dryers, Proposal No. 596-19
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard®
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 12/1/2019
through 11/30/2020,with two possible one-year renewals.
The National Cooperative membership list is available at our website www,buvboard,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 800-595-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
�.s.s
I
PO.Box 400,Austin, Texas 78767-0400
800.695.291 go buyboard com
#.W.E.410,
12007 Research Boulevard •Austin,Texas 78759-2439 'PH.800-695-2919•FAX:800-211-5454•b- Yboard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name:Commercial Washers and Dryers Pwaml Due Rate/Opening note and rime
April 4,2019 at 4:00 PM i
Texas Association of School Boards, Inc.
BuyBoard Department
Proposal Number: 596-19 12007 Research Blvd.
Austin,TX 78759
II
December 1, 2019 October 2019 +
through November 30,2020 with two (2) possible i
one-year renewals.
AAdvantage Laundry S ,L04/02/2019
Name of Proposing Company Date
2510 National Dr.
Street Address Signature of AahONWCompany Official
Garland, Tx. 75041 Ryan C. Smith
City,State,Zip Printed Name of Authorized Company Official
972-278-2138 President
Telephone Number of Authorized Company Official Position or Time of Authorized Company Official
972-272-0225 82-3905195
Fax Number of Authorized Company Official Federal ID Number
Page 8 of 61
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The proposing company("you"or"your'} hereby acknowledges and agrees as follows:
i
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'); i
2. By your response ("Proposal') to this Proposal Invitation, you propose to supply the products or services submitted at
the prices quoted In your Proposal and in strict compliance with the Requirements, unless specific deviations or
exceptions are noted in the Proposal;
1 Any and all deviations and exceptions to the Requirements have been noted in your Proposal and no others will be
dalmed;
4. If the Cooperative accepts any part of your Proposal and awards you a contract, you will fumish 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 dlsdosure under a Texas Public
Information Act request or similar public information law;
6. The individual signing this Agreement is duly authorized to enter into the contractual relationship represented by this
Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a
form) is authorized and has the requisite knowledge to provide the information and make the representations and l
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.
Page 9 of 61
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VENDOR CONTACT INFORMATION
Name of company: AAdvantage Laundry Systems, Inc.
Vendor Proposal/Contract Contact Name: Marcela Veloz
Vendor Proposal/Contract Contact E-mail Address: mveloz@aadvantagelaundry.com
Vendor Contact Mailing Address for Proposal/Contract Notices; 251 National fir.
Garland, TX 75041
Company Website: www.aadvantagelaundry.com
Purchase Orders: Aft purchase orders from Cooperative members will be available through the Internet. Vendors need I
Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when
a new purchase order arrives. An Information guide will be provided to vendors to assist them with retrieving their orders.
Please select options below for receipt of purchase orders and provide the requested Information:
0 I wlll use the intemet to receive purchase orders at the following address:
Purchase Order E-mail Address: sallen@aadvantagelaundry.com
Purchase order Contact: Shawn Allen Phone: 972-922-6532
Alternate Purchase Order E-mail Address: mveloz@aadvantagelaundry.com
Altemate Purchase Order Contact: Marcelo VeIOZ Phone: 972-278-2138
❑ Purchase orders may be received by the Designated Deafer(s) identified on my company's Dealer
Designation form as provided to the Cooperative administrator. I understand that my company shall j
remain responsible for the Contract and the performance of all Designated Dealers under and in
accordance with the Contract
Request for Quotes CRF011: Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs;
RFQ Email Address: sallen@aadvantagelaundry.com
Alternate RFQ E-mail Address: mveloz@aadvantagelaundry.com
Page 10 of 61
Proposal Forms COMM/SVCS v.02.1 L2019
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voic : Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuySoard waibsite and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail Information for receipt of service fee.
Invoices and related communications: I
Please choose only one fl) of the following options for receipt of invoices and provide the requested
Information:
0 Service fee invoices and related communications should be provided directly to my company at:
Invoice Mailing address: 2510 National Dr. Department: Accts Payable
City, Garland state: Tx. zip code: 75041
Contact Name: Phone.-
Invoice Fax, 972-272-0225 Invoice E-mail Address:
Alternative Invoice E-mail Address:
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**;
Billing agent Mailing address: Department;
city: State' Zip Code:
Billing Agent Contact Name: Phone.•
Billing Agent Fax: Billing Agent E-mail Address:
Alternative Billing Agent E-mail Address:
❑ In lieu of my company, I request and authorize service fee invoices to be provided to the Designated Dealer(s)
receiving the purchase order(s)to which the invoiced service fees relate at the address and contact information designated
on my company's Dealer Designation form as provided to the Cooperative administrator.**
*#If Vendor authorizes a billing agent or Designated Dealer(s) to recelve and process service fee Invokes,
In accordance with the General Terms and Conditions of the Contract, Vendor speclfleally acknowledges and
agrees that nothing in that deslgnation shall relleve Vendor of Its responsibilities and oblIgadons under the
Contract including,but not limited to,payment of all service fees under any Contract awarded Vendor,
I
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FELONY QofflamgN D=Losugg AND DEBARMENT CERTIFICAMN i
EUM COINMCFION DISCI OSUP.E
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 the of the f to
❑IR My company is a pubAdy-held corporation. (Advance notice requirement does not apply to pubticlyf-held corporation,)
❑ My company Is not owned or operated by anyone who has been convicted of a felony,
❑ My company is owned/operated by the following Ind€vidual(s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
AAdvantage Laundry Systems, Inc.
Company Name
Ryan C. Smith
Signature df L4hohdCompany Official Printed Name
DFRA MENT 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.
AAdvantage Laundry Systems 'n�
q" Company Name
Ryan C. Smith
Signature of ut n Company Official Printed Name
Page 12 of 61
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RESIDENT/,NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. finder 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(,)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 l
which your company's principal place of business Is located): j
1
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 El 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 (I) has its principal place of business in Texas; or (0) employs at least 500 people in
Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business In Texas,
does your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please c e e o a following:
❑ Yes E] No
By signature below, I certify that the information in Sections 1 (ResldentlNonresident Cerftadon) and 2 (Vendor
Employment Cert/fcabon)above is true, complete and accurate and that I am authorized by my company to make this
certification,
AAdvantage Laundry Systems,
Company Name
1"W Ryan C. Smith
Signature o ut o ' Company Official printed Name
Page 13 of 61
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NO ISRAgL BOYCOTT CERTIFICATION
Effective September 1, 2017, a Texas governmental entity may not enter into a contract with a company for goods or
services unless the contract contains a written verification from the company that it; (1) does not boycott Israel; and (2)
will not boycott Israel during the term of the contract. (TEx. Gov`r CODE Ch. 2270)
"Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that Is
Intended to penalize, inflict economic harm on, or limit commercial relations specifically w€th 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.
Laundry AAdvanta a
g S Y4,.+s, �nG.
Company Name
a_ f Ryan C. Smith
Signature of ut ized Company Official Printed Name
NO ExcLUDED NATION OR FOREIGN TERRORIST QRGANwmoN CERTIFICATION
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization—specifically,any company Identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor Is not on the Texas Comptroller's list identified above; that this
certification is true, complete and accurate; and that I am authorized by my company to make this certification.
AAdvantage Laundry Sy,54,,,,S, r�t.
Company Name
Ryan C. Smith
Signature of th mpany Official Printed Name
i
Page 14 of 61
Proposal Forms COMMISVCS Y,02.11.2019
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12007 Research Boulevard'Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX:800-211-5454'buyboard.com
HISTQRICALLY 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 form.
Please cbtd((y)all that apply:
❑ I certify that my company has been certified as a HUB in the following categories:
❑ Minority owned Business
❑ Women Owned Business
❑ Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C.§101(2),who has a
service-connected disability as defined by 38 U.S.C. § 101(16),and who has a disability rating
of 20% or more as determined by the U.S. Department of Veterans Affairs or Department of
Defense)
Certification Number:
Name of Certifying Agency:
I
[] My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
AAdvantage Laundry Systems, Inc.
Company Name
Ryan C. Smith
PrintedtV
Signature A ed Company official
Page 15 of 61
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12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919• FAX: 800-211-5454•buYhQgrd,com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
C'Advisory'), Texas law prohibits the procurement of architecture or engineering services through a
purchasing cooperatives.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.comNendarlRg4ources.aspx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy
of the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory, and Is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or
services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply
with the Advisory and applicable legal requirements, make a good faith effort to make Its Cooperative member customers
or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy
of the Advisory before executing a Member Construction Contract with the member or accepting the members purchase
order for construction-related goods or services, whichever comes first.
AAdvantage Laundry Systems, Tnc .
Company Name
q4f Ryan C. Smith
Signature company official Printed Name
04/02/2019
Date
Page 16 of 61
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DEVIATION,AN® COMPLIANCE i
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.
P e of the f
[■ NO; Deviations
❑ VeS; Deviations
List and fully explain any deviations you are submitting:
PLEASE PROVIDE THE FOLLOWING INFORMATION;
1. Shipping Via: N Common Carrier ❑ Company Truck ❑ Prepaid and Add to Invoice ❑ Other:
2. Payment Terms: H Net 30 days ❑ 1% in 10/Net 30 days ❑ Other:
3. Number of Days for Delivery: L 4 ARO
4. Vendor Reference/Quote Number:
5. State your return policy: 20% restocking fee plus cost of freight
6. Are electronic payments acceptable? ■❑Yes ❑ No
7. Are credit card payments acceptable? ❑Yes ❑■ No
AAdvantage Laundry System-s, Tnv-, j
Company
Ryan C. Smith
Signature of A o Company Official printed Name j
Page 17 of 61
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LOCATION JAUTHORIZED SELLER LISTINGS j
1
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.
Company Name
Address
City State Zip
Phone Number Fax Number
Contact Person
i
Company Name
Address
t
City State Zip
Phone Number Fax Number
Contact Person
Page 18 of 61
Proposal FoPms COMM/SACS v.02.11.2019
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MANUFACTURER DEALER DESIGNATION
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple
dealers [,Designated Dealers'} to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete
this form for each dealer you wish to designate. i
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor Is awarded a Contract, relieve Vendor of any
obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor
or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain
responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's
Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder,
including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees.
If awarded,Vendor authorizes the Cooperative, in Its sole discretion, to list any Vendor Designated Dealers In the BuyBoard
system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor
with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process
such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to
a Designated Dealer for processing.
The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated
Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise
acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or
suspend any or all Designated Dealers from the BuyBoard at any time In Its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish
to designate multiple dealers, please duplicate this form as necessary.
Designated Dealer Name
Designated Dealer Address
I
City State Zip '
Phone Number Fax Number
Email address Designated Dealer Tax ID Number* (*attach W-9)
Designated Dealer Contact Person
Your Company Name Signature of Authorized Company Official
P Y
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TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as"'texas Cooperative"in this form and In the State Service Designation form) offers vendors
the opportunity to service Its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. Ifyoupropose 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 and of this form. By
designating a region or regions, you are certifying that you are authorized and w1111ng to provide the
proposed products and services In those regions Designating reglons in which you are either unable or
unwilling to provide the specified products and services shall be grounds for either dejection 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 Canters ❑ I will service Texas
Cooperative members
i statewide.
1 T I will not service Texas
Cooperative members
a statewide. I will only
service members In the
regions checked below:
RaW HeadouatUrs
�•`- 1 Edinburg
'" "-; `.. ❑ 2 Corpus Christi
3 Victoria
❑ 4 Houston
i' . �. ❑ 5 Beaumont
y • --3 ;t 0� 6 Huntsville
7 Kilgore
\ w ' 8 Mount Pleasant
_.3 9 Wichita Falls
10 Richardson
tort Worth
J ,,`•w;� 12 Waco
--• 13 Austin
14 Abilene
San Angelo
16 Amarillo
AAdvantage Laundry Systems, Inc. le 17 Lubbock
18 Midland
Comp ❑ 19 £I Paso
❑ 20 San Antonio
Signaturt Uu o d Company Official
Ryan G. mith ❑ I will not service members
Printed Name of the Texas Cooperative.
Page 20 of 61
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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:
i
4
I
i
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i
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STATE SERVICE DESIGNATION
The Cooperative offers vendors the opportunity to service other governmental entities in the United States, Including
intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete
this form if you plan to service the entire United States, or will service only the specific states indicated. (Note:If you plan
to service Texas Cooperative members,be sure that you complete the Texas Regional Service Designation farm.)
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 deslgnatlon 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 speclfled products and services shall be grounds for either rejection of your proposal or, If
awarded,termination of your Contract
Please check M all that apply:
❑ I will service all states in the United States.
I will not service all states in the United States. I will service only the states checked below:
❑ Alabama
❑ Alaska
❑ Nebraska t
❑ Arizona ❑ Nevada
Arkansas ❑ New Hampshire
❑ California (Public Contract Code 20118&20652) ❑ New Jersey
❑ Colorado ❑ New Mexico
❑ Connecticut ❑ New York
❑ Delaware X North Carolina
❑ District of Columbia ❑ North Dakota
❑ Florida ❑ Ohio
❑ Georgia ❑ Oklahoma
❑ Hawaii ❑ Oregon j
❑ Idaho ❑ Pennsylvania
❑ Illinois ❑ Rhode Island
❑ Indiana ❑ South Carolina
❑ Iowa ❑ South Dakota
❑ Kansas ❑Tennessee
❑ Kentucky ❑e Texas
❑! Louisiana ❑ Utah
❑ Maine ❑ Vermont
❑ Maryland ■❑ Virg€nia
❑ Massachusetts ❑ Washington
❑ Michigan ❑ West Virginia
❑ Minnesota ❑ Wisconsin
X Mississippi ❑ Wyoming
❑ Missouri
❑ Montana
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Proposal Forms COMM/SVCS v.02.11.2019
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12007 Research Boulevard•Austin,Texas 78759-2439, PH:800-695-2919• FAX:800-211-5454•�uyl�oard,com
This form will be used to ensure that you can service other governmental entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a
contract awarded under this proposal.
AAdvantage Laundry Systems, Inc.
Company Name
Ryan C. Smith
Signatu o zed Company Official Printed Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here;
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Page 23 of 61
Proposal Forms COMM/5VC5 v a2.11.2019
✓ ,ratlra Phr�6lrs>rl�a
12007 Research Boulevard `Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX:800-211-5454'buvlcard,com
NATIONAL PURCHASING CUMBLIM VENDOR WARD AGREEIIENT
In accordance with the Terms and Conditions asswated with this Proposal Invitation, a contract awarded under this
Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an
intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve Its members
throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing
Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states
you have Indicated on the State Service Designation form, in your Proposal.
By signing this form,Proposer(referred to in this Agreement as"Vendors 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 Plggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Plggy-Back Award, the National Cooperative Administrator
("BuyBoard Administrator's 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
interiineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are
agreed to by Its BuyBoard Administrator in writing.
3, Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and
same general terms and conditions,subject to applicable state laws in the state of purchase, as required by the Underlying
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e.,
lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award,
4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation
Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be
approved in writing by the BuyBoard Administrator.
I
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 a°
National Cooperative on such schedule as It specifies (which shall not be more often than monthly). Further, upon
request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative
members for purposes of reviewing and verifying purchase activity. Vendor further.agrees that National Cooperative shall
have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National
Cooperative members in order to verify the accuracy of service fees.
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the
fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and
responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall Inure to
National Cooperative; and, conversely,the rights and responsibilities that would ordinarily inure to Vendor in the Underlying
Award shall Inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the
only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the
Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award,the terms of
this Agreement shall control, and then only to the extent necessary to reconcile the conflict,
Page 24 of 61
Proposal Forms COMM/SVCS v.02.11,2019
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12007 Research Boulevard 'Austin,Texas 78759-2439 - PH:800-695-2919° FAX: 800-211-5454'buyboard.com
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue
for any dispute shall Ile in the federal district court of Alexandria,Virginia,
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-
Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
f
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
AAdvantage Laundry Systems, Im. 596-19
Name of V r Proposal Invitation Number
Ryan C. Smith ?
Signature of K OMUb8 Company Official Printed Name of Authorized Company Official
04/02/2019
Hate
Page 25 at 61 Proposal Forms COMM/SVGS v.02.11.2019
AWCOOPSMUM Prurs6a5fAW
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919' FAx:800-211-5454`huyboard.mm
Mom AND �TEI PURgI&MG QQPERATNE EVERIENQ
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: $500,000 . (The period of the 12
month period is 1-1-17 I1-1-1a). In the event that a dollar value is not an appropriate measure of the sales,
provide and describe your own measure of the sales of the Item(s).
2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the
Cooperative are equal .to or better than the best price you offer other purchasing cooperatives for the .same items
under equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in
the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing
cooperatives as required.
CURRENT FORPIERbNVARDED
PUPCHASING VENDOR-) ! !D
GROUPAS +
1. Federal General Services Administration
2. T-PASS(state of Texas)
3. U.S. Communities Purchasing Alliance
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4. National IPAJTCPN
5. Houston-Galveston Area Council (HGAQ
6. National Joint Powers Alliance (NJPA)
7. E&I Cooperative
8.The Interlocal Purchasing System (TIPS)
9. Other j
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MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUY13-OARD 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(0 a): 30 Prop*sed Discount(%):
Explanation:
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Page 26 of 61 Proposal rtlm,s COMM/SVCS v.02.11.2019 i
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12007 Research Boulevard•Austin,Texas78759-2439 • PH:800-595-2919• FAX: 800-211-5454 buyboard.com
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
AAdvantage Laundry Systems, Inc. I
Company Name
Ryan C. Smith
Signature o ' Company offlcial Printed Name
E
Page 27 of 61 deposal Forms CQMmIsvCs v.o2.11.2o29
UCLOOPTHOWAqP,
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12007 Research Boulevard -Austin,Texas 78759-2439 • PH: 800-695-2919' FAX: 800-211-5454'buybgaW.Cgm
GOVERNMENTAL RgEERENCES
For your Proposal to be considered,you must supply a minimum of five(5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated In your Proposal with the prices/discounts
you offer other governmental customers. Attach additional pages If necessary.
Quantity/
Entl1h► Phone# Email Add 1M=nt Volume
1 Henderson Correctional Joanne Futrell 318-424-6673 30% 3 units freight ( )�.
2.Denton Cnty Jail Vicki McKee 940-349-3120 30% 1 unit freight (prepay)
(prepay)
Rowlett Fire Dept. Richard Strange 972-412-6253 30% 1 unit freight re
�, 9 9 P
4 Lanpasas HS. Mr. McQueen 512-556-2327 30% 1 unit freight (prepay)
..Haskell ISD. Brad Brunson 940-864-2539 30% 1 unit freight (prepay)
Do you ever modify your written policies or standard overnmental sales practices as identified In the above chart to give
better discounts(lower prices)than Indicated? YES NO 0 If YES, please explain:
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By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
AAdvaptage. Laundry Systems, Inc.
Compa
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Signature f Company Official
Ryan C. Smith
Printed Name
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Proposal Forms COMM/SVCS v.02.11.2019
Page 28 of 61
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12007 Research Boulevard "Austin,Texas 78759-2439 • PH: 800-695-2919" PAX: 800-211-5454"b1to oard.rom
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. (Exampler Explain how your company will 1nIttaily inform Cooper "Ge s of your BuyB at
confrac ip id,how you will conbInue to.support tlr BuJii-aarr� O,r !ye dur of r nbad
Attach additional pages if necessary.
Tradeshow booths, and direct mail campaigns. Warm and cold calls to
prospective buyers.
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AAdvantage Laundry Systems, Inc.
Company Name
SignaturAUAW&L41 Comparry official
Ryan C. Smith
Printed Name
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Page 29 of 61 Proposal Fonts COMMISVCS v.02.11,2019
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12007 Research Boulevard 'Austin,Texas 78759-2439 • PH: 800-695-2919• FAX:800-211-5454•tzuvbo ra d.com
!Q0NF1DE&ML/PRQPR1 RY INEQgMAUON
A. PublIC 01=s Wum(Laws
All Proposals, forms, dozzurrientatlon, or other materials submitted by Vendor to the Cooperative in response to this
Proposal Invitation, including catalogs and pricellsts, 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 I
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?
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, farm number, or other Information sufficient to make the information readily Identifiable. The Cooperative
and Its Administrator will not be responsible for a Proposers 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:
(Affadh addWanal-4xxts ffneeded)
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Page 30 of 61 Praposal rorms COMM/SVCS v.02,11.2019
12007 Research Boulevard 'Austin,T s 78759-2439 - PH: 8o0-695-2919•FAX., Boo-211-5454 t rd.com
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Pie saw-cbgd M one d the fo gMnn:
Proposal(including forms,documentation,or other materials submitted with the Proposal)does not
contain copyright information.
❑ YES, Proposal(including forms,documentation, or other materials submitted with the Proposal)does
contain copyright Information.
If you responded 'YES", identify below the specific documents or pages containing copyright information.
Copyright Information: i
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(AttmQ addltrralshutsifneeded)
G I r1
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 parry,
Q.Q%spat Ipa Rely Prima! T �aulatin
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 induding 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.
AAdvantage Laundry Systems, 1-hc
Cam e
Signatu f nzed Company official
Ryan C. Smith
Printed Name
04/0212019
Date
Page 31 of 51 Proposal Forms comm/svcs v.o2.11.2olq
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Arcoopeouff Vie#
I2007 Research Boulevard •Austin,Texas 78759-2439 • Phi:800-695-2919° FAX:800-211-5454•�ybpar�,com
VEI1 O-_. SYNESS NAME
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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: AAdvantage Laundry Systems, Inc.
(list dre(6(name of the mmpanyseeddng to wntraat with the Lbgperabl a Do Mrllstan assumed name,dba,aft eer-hem. Suds kfhmzation may
be provided be4ow. If Wu are submfttlhg a joInt prOpaes-al with another&Wly to pn wA*the same pravosed goo*orservfi!r, awh sLftWrg entity
should a separate vendor 1nfbnw&ur form. _r4o&afty opera&g kWf business wins, even d a>;''7ii algid enfthe ,wdrk3i pjnywe o pmvlde
goods ar servhes sedaratelymwsvbmft thefrown Pr als.)
Please check 00 one of the fallawf0g:
T/peOLSllslinew
Individual/Sole.Proprietor
Corporation x
Limited Liability Company
Partnership
Other If other, identify
State of Incorporation(if applicable): DELAWARE
Federal Employer Identification Number: 82-3905195
(V/ndor must indude a completed form with tahWir proposal)
List the Name(s) by which Vendor, If awarded, wishes to be identified on the BuyBoard: (Note,• 1fd,&rent dean tide AlaRm of
ftuatslny any Ifated above, a*valid bade names(dbka,aka,ett")of the Pnpo&ng cWwny may be used and a COPY of your Assumed Name
C&WkaWs),fappllCa*must heatiadLed)
AAdvantage Laundry Systems, Inc.
Page 32 of 61 Proposal Forms comm/svcs Y.o2.11.2o19
Farm W-9 Request for Taxpayer Gene Form to the
iflev_November 2017i Identlf eaCon Number and �a&Acation requester.oo not
t of the Treasury
tn�ternai Revanue servie. P,Go to www.ftg*v1r-WmM for irtsbswOona reed the loton Wannalion. send to the IRS.
1 Name(as shown on your lacerate tare ratan),No. Is required on this k a;do not leave this line blank,
AADVANTAGE LAUNDRY SYSTEMS,INC.
2 Business nemeldiareguded entity name.ii dlNatent from shove
3 Check appropriate box for federal tax ctassifaatkm or the person whose note is entered on line I.Check only one of the 4 ExempHaris(codas apilly only to
following seven boxes certain amities.not Individuals;sae
IrtatNetiorrs on page 3),
❑ IndKiduallsole proprietor or ❑ o u:orporrtion El Comoratlan ❑ Partnership ❑rreatleatafe
single-member LLC
Exenlpl pares code(if aryl
❑ limited lability company,Enter the tax cfss*katlon(C=C corporation,S-S corporation,P=ParhrershfM►
`d Nora:Check the appropriate box In the Gate above for the tax classtfx ation of to slogte-mernber owner. Do not check nUn F-xefnpiiort from FATCp ropaWtg
LLC it the LLC is classified as a khmomber Ur,Mat is disregarded from the owner unless the owner of bite LLC is x any)
t 5 another ILW that Is not duegarded from the owner for U.S.federal tax purposes.f]gterwhe.a sI gle-member LLC coo Of
4 Is disregarded from do owner should check the appropriate box ra the tax c1miflcatkxt of Ns awner.
Other(sod ktatatetions)► WON n.aa w,ae•.tx n W4LW.a.u34
W a Address(number,sheaf,end apt or suite nc j See jr.WucWm. Requester`s mama and address(eptto W
2510 NATIONAL DR
a City,slate.and ZiP cods
GARLAND TX 75041
7 Urt accmmt nusnber(s)here(optional)
Taxpayer Idetl Mcatlon Number(nM
Enter your-11N in the appropriate box.The TIN provided must match the name gilM an line 1 to avoid mil security number
backup withholding.For Individuals,rd is this is generally your social security number,later.For other fore � —m —�
resident alien,sofa proprietor,or disregarded entity,sae the instructions for Part I,later.For other
ent[fes,It Is your employer Identiffeallon number(EIN).If you do not have a number,see Now io get a
7W later.
or
Note:H the account is in more than one name,see the instruo�W for line 1.Also see What Name and terrnplo -ktatttecaaon number
Number To Give the Requester for guidelines on whose number to enter
8 2 — 3 4LOL5] 1 9 5
CerI i�cabon
Under penalties of perjury.I certify that:
1.The number shown an this farm is my correct taxpayer identification number(or 1 am waiting for a number to be Issued to foe),and i
2,1 art not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,of(c)the IRS has notified me that I am
no longer subject to backup withholding,,and i
3.1 am a U.S.citizen or other U.S.person(defined below),and
4.The FATCA code(s)entered on this form Of any)Indicating that I am exempt from FATCA reporting is correct,
t ertifica on Instructions.You must cross out Hem 2 above if you have been notified by the IRS that you ere Cirrently subject to backup wfthhalding because
you have failed to report sill Interest and dividefds on your tax return.For real estate transactions,Item 2 does not apply.For mortgage interest paid,
acquisition or abandonirnent of secured property,cancellation of debt,contributions to an Individual retirement arrangement(IRA},and generally.payments
other than interest and dividends,you are not required to sign the certification,but you must provide your corred TIN.Sae the irtstnwtions for Part fl,later.
Sign person .. ,'� Deis►
Here uof
General Instructions Form 1 D99-DIV(dividends,including those fmm stocks or mutual
Section references are to the Internal Revenue Cade unless otherwise funds)Form 10@9-MISC various priz
noted. ( types of Income, es,awards,or gross
Future dOV010pir"Onts.For the latest Information about developments �)
related to Form W-9 and Its instructions,such as legislation enacted Form bons b (stock a mutual fund sales and certain after
after they were published,go to www.lrs_gov1FormM. -For transactions S brokers)
■Form t Of39�(proceeds from real estate transactions)
Purpose of Form •Form 1099-K(rnerc:hant card and third party network transactions)
An Individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage k0rest),1098-E(student loan interest),
Information return with the IRS must obtain your correct taxpayer 1098 T(tuition)
Identification number frIM which may be your social security number •Form 1099-C(canceled debt)
(SSM,individual taxpayer IdanttOcation number(MM,adoption •Form 1099-A(acquisition or abandonment of secured property)
taxpayer identification number(ATIN),or employer Identification number Use Farm W 9 on ly If you are a U S.person gncluding a resident
to report an an information return the amount paid to you,or other
amount reportable on an Information return.Examples of information amen),to provide your correct TIN.
returns include,but are not limited to,the fofiowing. ►f you do riot return Form W-9 to the requester with a TIN,you might
•Form 1 M-1 NT(Interest earned or paid) be subleCt to backup withholding.See What Is backup withholding,
Gat.No.10231X Form w-9 ftev.11-2017)
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�i�hasing
12007 Research Boulevard•Ausdrr,Texas 78759-2439 • PH:800-695-2919 • FAX:800-211-5454, huyboard.com
MAR V EN®OR&ERT1EL1 jMON
(Z CFR Part 200 and Appendix YI)
a
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 Indudes,but Is not limited
to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for I
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 consfdering 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 members specific contractual needs,
including contract requirements for a procurement using federal grants or contracts.
For g& of the Items below, Vendor should certify Vendor's agreement and ability to comply, where
applicable,by having Vendors authorlied representative complete and Initial the applicable boxes and sign
the acknowledgment at the end of this form. if you f311 to complete any Item In this form, the Cooperative
will consider and may list the Vendors response on the BuyBoard as "NO,s 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.
I. Vendor Violation or Breach of Contract Terms:
Contracts for more than the simplified acquisition threshold currently set at $150,000, which Is the inflation adjusted
amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils)
as authorized by 41 U5C 1908, must address administrative, contractual, or legal remedies in instances where contractors
violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms j
and Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary l
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.
a. Termination for Cause or Convenience:
For any Cooperative member purchase or Contract In excess of $10,000 made using federal funds, you agree that the
following term and condition shall apply:
The Cooperative member may terminate or cancel any purd�ase order under this Contract at any time, with or without
cause, by providing seven (7)business days advance written/ noble to the Vendor, If tills Agreement Is terminated in
accordance with this Paragraph, the Cooperabve member shall only be required to pay Vendor for goods or services
delivered to the Cooperative member prior to the termination and not otherwise retumed in accordance with Vendor's
return policy. If the Cooperative member has paid Vendor for goods or serwbes not yet provided as of the date of
tenninatron, Vendorshallimmedrateiyrefundsurh 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 members. purchase order;
ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative members provision shall
control.
Page 33 of 61 Proposal Fcums CQMM/SVCS v,02.I1.20I9
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12007 Research Boulevard I Austin,Texas 78759-2439 - PH; 800-695-2919• FAX:800-211-5454•buytMgig,com
3. Equal Employment Opportunity:
Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the
definition of "Federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment
Opportunity" (30 FIR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375,
"Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR
Part 60,"Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Gabor."
The equal opportunity clause provided under 41 CFR 60-1A(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. Danis-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 Construcction'o. 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
subredpient 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
S. 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 taborer 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
5. 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 subreciplent must comply with the requirements of 37 CFR Part 401, "Rights to Inventions
Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative
Agreements,"and any Implementing regulations Issued by the awarding agency.
Vendor agrees to comply with the above requirements when applicable.
Page 34 of fit Proposal Farms COMM/SVCS v.02.11.2019
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VC984""Irwam 1
12007 Research Boulevard •Austin,Texas78759-2439- PH. 800-595-2919. FAX: 800-211-5454`.J7� gard,com
7. Clean iJr Act and Federal eater Pollut;on Contrail Act:
Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended —
Contracts and subgrants of amounts in excess of$150,000 must contain a provision that requires the non-Federal award to
agree to comply with all applicable standards, orders, or regulations Issued pursuant to the Clean Air Act (42 USC 7401-
7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the
Federal awarding agency and the Regional Office of the Environmental Protection Agency(EPA).
When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean
Air Act and the Federal Water Pollution Control Act,
13. 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.
i
9. Byrd Anti-Lobbying Amendment: j
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 obtalning 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 tapes place in connection with obtaining any Federal award. Such disclosures are forwarded from Her 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 USG 1352).
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federal funds,Vendor agrees to comply with Section 6002 of the Solid Waste
Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such Information
and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of
Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency(EPA) at 40 CFR
Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition,where the purchase price of the item exceeds$10,000 or the value of the quantity acquired during the
preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy
and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA guidelines.
11. Profit as a Separate Element of Price:
For purchases using federal funds In excess of$150,000, a Cooperative member may be required to negotiate profit as a
separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to
provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a
particular purchase. However, Vendor agrees that the total price; including profit, charged by Vendor to the Cooperative
member shall not exceed the awarded pricing, Including any applicable discount, under Vendor's Cooperative Contract.
Page 35 of 61 Proposal Forms COMM ISVCS v.02.11.2619
i
I
i
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH:800-695-2919 -FAX: 800-211-5454 buvboara.Gam
12, General Compflanm and Cooperation With Cooperative Members: �
In addition to the foregoing spedfic 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.
1Ehlf�or Certificf�,,
AYES,I agreVendor Certification Item No. do 1VpT I itfa
1. Vendor violation or Breach of Contract Terms YES
2. Termination for Cause or Convenience YES
3. Equal Employment Opportunity YES
4. Davis-Bacon Act YES
5. Contract Work Flours and Safety Standards Act YES
6. Right to Inventions Made Under a Contract or Agreement YES
7, Clean Air Act and Federal Water Pollution Control Act YES
8. Debarment and Suspension YES
LMV
9, Byrd And-Lobbying Amendment 1-0
YES
10. Procurement of Recovered Materials YES
11. Profit as a Separate Element of Price YES
L
General Compliance and Cooperation with Cooperative Members YES
1K
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.
AAdvan#age Laundry Systems,Z-nc, ,
coln me
Sign u e o ohzed Company Official
Ryan C. Smith
Printed Name
Page 36 of 61 Proposal Forms COMMISVCS V.02.11.2019
{illy
I
wevopendnq,,,�,
12007 Research Boulevard•Austin,Texas 78759-2439 • PH: 800-595-2919 • FAX: 800-211-5454•bumbpard.cM
PROPOSAL INI/1TATION QUESnONN_MIM
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,
We have been in business for 23 years and our former name was ZUF
Acquisitions I LLC, dba AAdvantage Laundry Systems.
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.
64 employees i
C
1 describe Proposer's financial capability to perform the Contract. State or describe the frm'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, prindpal 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.
Through our parent company we have a $100 million dollar line of credit,
grade A financial rating and top tier insurance coverage.
Page 37 of 61 PYoposal Forms COMM/SVC-S v,02J1.21119
A7#0#Ld
d
12007 Research Boulevard •Austin,Texas 78759-2439 ' PH: 800-695-2919• FAX:800-211-5454-buyboard,com
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing
agreement? If so, provide detailed information on the nature of such Items and prospects for resolution.
N/A
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted,failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date
and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the
work, or termination.
N/A
6, List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought
against your firm,or any of the firm's past or present owners, principal shareholders or stockholders, officers,agents or
employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this
Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of
the claim, and resolution or current status.
N/A
f
By signature below, i certify that the inform` Alton contained In and/or attached to this proposal invitation
Questionnaire in response to the above questions Is true and correct and that T am authorized by my
company to make this certification.
AAdvantage Laundry Systems, Inc.
Campan Na e
x(
Signature Au Company Official
Page 38 of 61 Proposal Forms COMW5VCS v.02.11,2019
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Co�sr�t/va P Fag
12007 Research Boulevard'Austin,Texas 78759-2439 ` PH:800-695-2919• FAX: 800=211-5454*buv fd.cnm
RE OUI E® Fo CHECKLIST
(Rease check(Y)the rftwiog)
VCompleted: Proposals Agreement and Signature
/complelgd: Vendor Contact Information
Completed: Felony Conviction Disclosure and Debarment Certification
i� Com Imp eted: Resident/Nonresident Certification l
Completed: No Israel Boycott Certification
Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Cam fete : Historically Underutilized Business HUB Certifiraflon)
m le . Construction Related Goods and Services Affirmation
] Completed: Deviation/Complianre
Completed: Location/Authorized Seller Listings
i
Completed: Manufacturer Dealer Designation i
I
Completed:Texas Regional Service Designation I
Completed: State Service Designation
Came : National Purchasing Cooperative Vendor Award Agreement
L Completed: Federal and State/Purchasing Cooperative Experience
a et : Governmental References
l
Campleted: Marketing Strategy
Completed: Confidential/Proprietary Information
Completed:Vendor Business Name with IRS Form W-9
Com lamed: EDGAR Vendor Certification
Completed: Proposal Invitation Questionnaire
Completed- Required Forms Checklist
[� Completed: Proposal Specification ft m with Catalogs/Pricelists and Manufacturer Letters
r b `U&M*d%bovPawneWMa'mwWw1whve`Mt9i*e
Page 39 of 61 Proposal Fortes COMMISVCS V.02.11.2019
• V�Iroard-
Proposal invitation No.596-19-Commercial Washers and Dryers
(CatalogsL"- 11212m SUbmhed with Pro f or ftposal Mil Mg x
NOTE 1:Vendors proposing various anw Adbtttuwr product Mm per Inks(den on thw Proposal Specification Farm must submit the Information as folkwo or
proposed nnatr not be cooddered:
EManufacturers shall be listed In alphabatled order
Calendar's must IW one specific percentage discount for each Manufacturer listed.
No vendor's response to Propood Spedligdon Fa+rn sus"Pease wee otlafnnent "add snanufacbmers lhftd an the attachment sheet must indicate
per nranufactum the line Own that rave loll s Eo P Spedflcaltlen Form or Vendor's pr*aW may not be cnnsldared.
jNOTE j:An awarded Vwndor anuwt be approved bi►the inanulacturw to sek intme,and service the brand of equiptnent Sabi ItEed.proposwa responano to i
this ProPaeM idfrksRlon whorl'submit an approW lefty from each rnamtfaetwrer listed. HhnufacbAw aWwfhztloa letters rrnrst bschnde tfna ragtime in
welch!gut be sold.
State Percent{-�Nr- f
Rent Discount off Stata.Name;of ExaWdonsto
Na. Start d3e8crt an - FuIF Despi n Cafai /Priceitsti Caftl /Pricalisnt1 Dff count_=
Please state the discount(9�a)off catalog/prtcelist far All Continental WA
Discount(%)Off Types Free
Dexter
f log/Priaellst for Free Standing Commercial Washer-Extractor(10 to 100+pound 30
Maytag
1 Standing Commercial capacity per cycle capacity with stainless steel cyifnder;Front and Top °* Sports Laundry
Washer-Extractor load,Gas or Etetitric;Tub and cover panel). cm log/prtceft musr be systems
tndudad or pi Wtii not be considered.
Discount(9%)Off Please state the discount(%)off catalog/pricetist far All Types of Continental NIA
Catalog/Pricellst for Stationary Standing Commercial Washer-Extractor(110 to Dexter
Sports
2 Stationary Standing 13S+pound per cycle capacity with Stainless steel cylinder,Gas tx 30 96 Maytag
Commercial Washer- Electric;Tub and cover panel).cats Stems Laundry
) log JPrtxtist MUST 6e included or
Extractor PropoW wi➢not be coreidared.
Discount(4b)Off Please state the discount(%)off cataiog/priceifst for All Types of Continental NIA
Fierdmount Commercial Washer-Extractor 35 to 80+ dexter
C13talog/Prieellst for ( pound P�
3 Hardmount Commercial CYde capacity wlth stainless steel cylinder;Gas or FJectric;Tub and ° So MaytagLaundry
Washer-Extractor COVer Panel).C*tZ1o9/Prktftt HUST be Included or proposal will not be Systems
Please state the discount(%)off catafog/priodist for All Types of Continental NIA
Discount(`f5)Off Tumbler Dryers(30 pound to 170+pound drying capacity;Stainless 30 dexter
9 Catalog/Pricelist for steel cylinder and tub;Gas or Electric;Stack and/or Single Pocket; % Mayes
Tumbler Dryers Cover Panel).Catalog/PrkeW WW be included or proposal wnl not be Sports Laundry
ronstdered, Systems
PROPOSAL NOTE
1.t atai PROPOSAL 9KI=Clilott FORM
ogs/Prlceiists are required to be sutxaRted twttft Proposal Page 40 of fit
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i
I
Mveard'
Proposal Invitation No.S96-19-Commerdal Washers and Dryers
(CatalOWPricelists must be submiUl yjith Nwosat ar Mom'wl0 notbe consld t.
S,tate;Pet�CeiiE.(�6�Qt
' Dl ocp tt off She fiatnelof leiter ptions,tb
"NO-6—ShodiDescrip0mFuIIIDe_sCri .. n Catai �ps{celjstx ;Cola /pirFceNst Disredunt
Dlsmunt(%)OPF Continental NIA
Catalog/Pricellst for All Please state the discount(96)off catalog/prieellst For All Other 3 Dexte tr
5 Other Com merda! Commercial Washer and DryeF Equipment.cataing/Prlceltut musr % SKft Laundry
Washer and Dryer be indddW or p►opdael vAll not be aaeafdemd. Systems
Equipment
Discount(%)Off Continental NIA
Catalog/Pric elfst for Please state the discount(%)off catalog/prfcellst far Commercial 30 matter
6 Commercial Washer and Washer and Dryer Supplies,tffWo9/Pr1c*lM Must be indudgd or % Maytag
proPo"will net be considered. Sports Laundry
Dryer Supplies
Systems
i
Discmnt(%)Off Continental NIA
Catalog/Pricelist for Please statefthe discount(%)off catalog/prkelist fbr Commercial 30 Dexter
7 Commercial Washer and Washer and Dryer Repair Parts,cataloyfprloeNft MUST belndWed 96 Maytag
Dryer Repair parts or propoW will not be considered. Sports laundry
Systems
Continentei N/A
Discount(%)Off Dexter
Catalog/Pricefist for Please state the discount(0k)off ratalbg/pricellst for Commercial Maytag
B Cornmerdaf Washer and Washer and Dryer:Service Maintenance Agreements. 30 Sports Laundry Systems
Dryer Service Catalog/Pricallst MUST be fncloded or proposal Will not:be eonddom&
Maintenance Agreements
i
Detailed 6rception3!tip
Flot.tg'EXce6d'Houiiy IISft}rniatid",oil FC0r,r6,L-ab4r
:+_installatlbwandl irsof iice
Lailear,ltbtt Hburf,rlLibor,'Ratts:_ Rate:
Not to Bned Hourly
Labor Rate.for Hourly labor hate For Installation/Repair Servim of t1/1
g Instalfation/Repair Commercial Washer and Dryer Egtdpntentand Products—State 75.00 Hour
Serv1W of Cammeiedal the Not to Exceed hourly labor rate for installation/Repair Service of
Washer and Dryer Equipment and products.
Equipment and Products
PROPO L NdTE
1.Cal:alDWPrlce11stsare rquEd to be submitted with Prop0.sbl Page 41 of 6i PRoaoM09CI CAatteaRM
h
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FA
GIRBAU INC.'
INNOVATIVE LAUNDRY SOLUTIONS
I
April 3, 2019
To Whom it May Concern:
This correspondence will serve to advise that AAdvantage laundry
Systems, having offices in Garland Texas, is an authorized distributor
of Continental Girbau Brand Products in Texas.
Best regards,
h
a Ne Kilgore
Director of Customer Experiences
INDUSTRIAL I OPL COMMERCIAL I VENDED
TEXTILE CARE I MULTI-HOUSING
r,A
April 2, 2019
To Whom it may concern;
Dexter Laundry, Inc. confirms that AAdvantage Laundry Systems, with offices located at
2510 National Drive, Garland, TX, 7626 East 4e Place Tulsa OK and 101 High Hoe
Lane. Garner. NC is an authorized distributor of Dexter laundry equipment. Subject to
the terms of their distributor agreement with Dexter Laundry, Inc. AAdvantage is
authorized to provide equipment, parts and support services within the states, Texas,
Oklahoma, Arkansas, Tennessee, Mississippi, Louisiana & North Carolina.
As outlined in their distributor agreement, for advertising and promotional purposes,
AAdvantage is authorized to promote that it is an authorized Dexter distributor and
service provider.
If there are any questions regarding AAdvantage's status as an authorized distributor,
you are welcome to contact me directly for further confirmation, contact information is
provided below.
Sincerely
/zdwa R, g
Kevin Histpas
Director of Sales
Dexter Laundry, Inc.
An Employee Owned Company
(0) —641-209-8152
Email— khietoas(&-dexter.com
2211 WEST GRIMES AVENUE • FAIRFIELD,IOWA 52556 • WWW-DEXTER.COM PRONIE:i6413 472-5131
AN i=MPLOYEE OWNED COMPANY
I
April 3, 2019
To whom it may concern,
Please accept this letter as documentation that AAdvantage Laundry Systems is a valued authorized distributor
of Maytag single load commercial laundry equipment. Subject to contracted terms with Maytag Commercial
Laundry,AAdvantage is authorized to sell equipment, parts and support services within their territory consisting
of Texas, Oklahoma,Arkansas,Tennessee, Mississippi, Louisiana and!North Carolina.
Please feel free to contact me should you have questions regarding AAdvantage Laundry Systems.
Sincerely,
Brian Crespo
Regional Sales Manager
Maytag Commercial
Cell: 616.635.1829
Email: brian c crespo(a)whirl000l.corn
a
WHIRLPOOL CORPORATION,
R ORATION, 400 KLOCK ROAD, MD 8600, BENTON HARBOR, MICHIGAPN 49022
www.maytagoommerciallaundry.com
••2 ) SPORTS
LAUNDRY SYSTEMS"
•• &Monw:krftft Wmpdy
April 3, 2019
To Whom It May Concern.
Please be advised that this correspondence will serve to advise that
AAdvantage Laundry Systems, having offices in Garland Texas, is an authorized
distributor of the Sports Laundry Systems brand throughout the state of Texas.
Best Regards,
"1 PL L
Steven P. Leib
National Sales Director
Sports Laundry Systems
Steve Leib, National sales Manager
SALES QUOTE EXHIBIT C AAdvantage Laundry Systems Date: 11/18/0020
2510 National Drive SQ151045
Garland,TX 75041 Requested By: TONY HILLER
Phone:(800)880-2138
www.aadvantagelaundry.corn Phone: 817-392-7026 Mobile Phone:
Saleperson E-mail: Billing Terms: Payment 0 days after invoice date
scottf@aadvantagelaundry.com cam
AADVANTAGE Salesperson: Scott Frankum
/Z LAUNDRY SYSTEMS Customer Ref:
Expiration: 12/31/0020 Page 112
Bill-To: FOR003 Ship-To:
FORT WORTH ANIMAL CARE/CONTRO FORT WORTH ANIMAL CARE/CONTRO
TONY HILLER TONY HILLER
4900 MARTIN ST 4900 MARTIN ST
FORT WORTH,TX 76119-5200 FORT WORTH,TX 76119-5200
817-392-7026
SERVICE QUOTE
CHECK OUT EQUIPMENT
Product No. Description Quantity Net Unit Price Extended Price
Terms-Buyboard Contract 596-19 Applied to Quote
****BUYBOARD CONTRACT 596-19 APPLIED TO QUOTE***
SRV-LABOR Service Call Labor 4 EA 75.00 300.00
SRV-CHARGE Service Charge 1 EA 95.00 95.00
SRV-FUELCHG Service-Fuel surcharge 1 EA 5.00 5.00
SRV-SPECL COVID Cleaning and Disinfectant Charge 1 EA 7.50 7.50
PRT-SHIPHAND Parts-Shipping and Handling 1 EA 24.95 24,95
9379-183-013 WATER VALVE 24V 1 EA 84.00 84.00
9379-202-002 DRAIN VALVE 3"24V 1 EA 256,25 256.25
9892-017-002 DOOR LOCK ASSY SWD 24v 1 EA 130.00 130.00
9040-076-008 BELT,WCAD45-50&WCVD40 EXPRESS 1 EA 56.50 56.50
9040-076-003 BELT 1 EA 41.50 41.50
9857-182-001 ING.CONT.BOX,NEW STYLE DEXTER 1 EA 1513.00 158.00
U380993Z PARKER REPAIR KIT,1/2" 4 EA 66.30 265.20
U2803547 BELT,886 UW35PV 1 EA 42.10 42.10
U380619Z DRAIN VALVE,2"220V(GRAY) 1 EA 241.90 241.90
M70276204P BELT POLY-V J-SECTION T45 PKG UT055 1 EA 110.75 110.75
M70052601Z ROLLER BEARING ASSY,JT300&350 2 EA 40,90 81.80
M70458601 IGNITION BOARD,N/S 24V(AFT-9/17/12 1 EA 114.85 114,85
Service-Parts Quote
-PLEASE NOTE THIS IS ONLY A QUOTE AND MUST BE APPROVED PARTS
WILL NOT BE ORDERED WITHOUT APPROVAL
-TO APPROVE THIS QUOTE SIGN AND SEND TO
SCOTTF@AADVANTAGELAUNDRY.COM ORSERVICEDESK@AADVANTAGELAUNDRY.COM
OR FAX TO 972-272-0225 PARTS MAY TAKE 5-7 BUSINESS DAYS TO BE
DELIVERED AND SERVICE WILL NOT BE SCHEDULED UNTIL PARTS HAVE
ARRIVED
-CUSTOMER IS RESPONSIBLE FOR ANY ADDITIONAL PARTS OR LABOR
SERVICE QUOTES EXPIRE AFTER 30 DAYS FROM DATE OF QUOTATION
Subtotal 2,015.30
Total Tax 0.00
Total $2,016.30
CUSTOMER ACKNOWLEDGMENT:
Buyer: Signature:
Phone: Name of Authorized Signature:
Email:
Description: Date:
*All goods are sold FOB-Factory,except if otherwise specified
and are subject to the EQUIPMENT-TERMS AND
CONDITIONS OF SALE on the following page
SALES {QUOTE AAdvantage Laundry Systems Date: 11118/0020 SQ151045
2510 National Drive
Garland,TX 75041 Requested By: TONY HILLER
Phone: dean gelau d Phone: 817-392-7026 Mobile Phone;
www.aadvantagelaundry.com
Saleperson E-mail: Billing Terms: Payment 0 days after invoice date
scottf t�aadvantagelaundry.com
AADUANTAGE Salesperson: Scott Frankum
LAUNDRY SYSTEMS Customer Ref:
Expiration: 12/31/0020 Page 212
EQUIPMENT-TERMS AND CONDITIONS OF SALE
I.These Terms and Conditions of Sale are incorporated by reference into the Sales Agreement signed by Purchaser on the first page thereof(hereinafter referred to as the"Agreement").The Agreement supersedes
any prior understanding or written or oral agreement between the parties,and constitutes the entire agreement between the parties and any understanding or representation not contained herein is hereby
expressly waived.It is expressly understood that no representative of the Seller has the power to modify the provisions hereof in any respect,that Seller shall not be bound by,or liable to,Purchaser for any
representation,promise or endorsement made by any agent or person in Seller's employment not set forth in this Agreement,and no modification or amendment of this Agreement shall be binding on the Seller
unless set forth in writing and signed by an authorized officer of the Seller.
2,If Purchaser claims sales or use tax exemption on all or part of the machinery and/or equipment subject to this Agreement(referred herein as the"Goads"},Purchaser must provide Seiler with a tax exemption
certificate acceptable to Seiler.All typographical or clerical errors made by Seller in any quotation,acknowledgment or publication,including any price changes made by manufacturer of the Goods prior to Seller's
placement of a binding order are subject to correction.Any changes in material or design can be made in the Goods sold by Seller and Seller is under no obligation to make such changes on Goods previously sold and
delivered.Amounts charged on credit cards are limited.Seller may terminate this Agreement in its sole discretion based upon any reasonable negative credit review and/or any site review.
3.If the full purchase price is not paid in cash at or before delivery,Purchaser may be required by Seller to execute and deliver to Seller,a promissory note or a series of promissory notes accompanied by an
installment sales contract,equipment lease or security agreement,as appl€cable,UCC 1 or such other lien instrument in form appropriate for the state where the Goods will be located,provided,however,that title to
all Goods referred to in this Agreement shall remain in Seger,until the full purchase price has been paid.If Purchaser fails to execute and deliver such promissory note or series of promissory notes and installment
sales contract,equipment lease,security agreement,as applicable,or other lien instrument as Seller may request,the full purchase price shall forthwith become due and payable immediately.Until the full purchase
price has been paid by Purchaser,Purchaser shall not remove any of the Goods from the premises where they were originally installed without the prior written consent of Seller.In addition,Seller is entitled to fife a
UCC 1 for a purchase money security interest in Goods to secure Sellers position with respect to possible other secured parties and other rights under Applicable Laws.Purchaser hereby acknowledges that Seller
does not recommend or require any third party financing institution in connection with financing,purchase or leasing the Goods specified in this Agreement,and Purchaser owes the amounts for the Goods set forth
herein regardless of any third party Purchaser selects forfinancing.
4.To secure the payment of the purchase price of the Goods,the payment of interest and reasonable attorney's fees and other legal expenses incurred by Seller as hereinafter set forth,Purchaser hereby grants to
Seiler a security interest in all Goods and any and all equipment,parts,accessories,attachments,additions and other goods,and all replacements thereof,now or hereinafter installed in,affixed to or used in
connection with said goods,and if Purchaser sells or otherwise disposes of the goods in violation of the terms of this Agreement,Seller shall have a security interest In the proceeds of such sale or disposition until all
payments due from Purchaser to Seller are made in full(the"Collateral")-In the event Purchaser fails to pay when due any indebtedness secured by this Agreement,Purchaser shall be deemed in default under this
Agreement,and Seller shall have all the rights and remedies granted under Applicable Law,including,but not limited to,the rights and remedies under the Uniform Commercial Cede,and the right to replevin or
repossess the Collateral.In addition,Seller may require Purchaser to assemble the Collateral and make it available to Seller at any place designated by Seller that is reasonably convenient to both parties.The
respective names and addresses of Purchaser and Seller are set forth on the Sales Agreement,or as updated from time to time by the parties.Purchaser and Seller agree that this Agreement,or a copy thereof,may
be used as a financing statement,and Purchaser hereby appoints Seller as Purchasers attorney-in-fact forthe limited purpose of filing a UCC-1 financing statement on the Collateral in any applicable jurisdiction.
S.In addition to the rights and remedies set forth above,if Purchaser is in default under any of the terms or provisions of this Agreement,Seller,at its option,may retain all payments made by Purchaser hereunder to
offset any damages incurred by Seller and/or the purchase price not paid of the Goods.Purchaser agrees that if Purchaser is unable to fulfill the total covenants and obligations as provided for and contained in this
Agreement,any money paid herewith as a deposit shall become the abso?i property of Seller as partial compensation of Purchaser's failure to perform its agreement and such funds shall be applied to Sellers
damages.However,Seller shall also be entitled to immediately proceed under any Applicable Laws to be compensated for all of the damages resulting from Purchaser's breach.If Seller or its assigns retakes
possession of the Collateral,Seller shall keep all payments made by Purchaser,and all rights of Purchaser shall then be extinguished,and Seiler may forthwith sell the Collateral at public or private sale.Any action
required to be taken for Purchasers failure to perform the terms and conditions of this Agreement shall result in Purchaser's being responsible for the payment of reasonable attorney's fees for any attorney engaged
by Seller to protect its interests,all costs incurred,and interest at the maximum rate allowed by law from the date of Purchaser's breach hereof payable an demand,whether the parties litigate or not,including any
appellate or bankruptcy proceeding.
6.Purchaser agrees that until the purchase price is paid in full or in the event that this Agreement is financed through the use of an installment sales contract or equipment lease,Purchaser will keep the Goods fully
insured for the benefit of Seller and Purchaser as their respective interest may appear.Purchaser shall furnish the Seller with a policy or certificate thereof prior to the date the Goods are delivered.Purchaser agrees
the amount of all insurance carried in the Collateral shall be an amount not less than that which shall provide for Seller to receive full compensation for the unpaid portion of the price due to Seiler in rase full or
partial loss occur to Sellers goods.Coverage must be placed with a reputable or financially responsible carrier or carriers with a minimum A.M.Best rating of A+.Purchaser shall cause its insurers to endorse the
required Insurance hereunder to waive any rights of subrogation against the Seller and its indemnitees.This Insurance must name the Seller and Its Indemnitees as additional insureds under an"Additional Insured"
endorsement,and it must be primary over any insurance maintained by Seller and its indemnitees.
7.Delivery dates are estimates only,and not binding on Seller.Wer shall not be liable for any damages caused by delay in delivery beyond its control.In the event of deNy,the date of delivery sha11 be extended for a
period of time equal to the time lost by reason of the delay.
B.Except as may be set forth on page 1 of the Sales Agreement,all Goods are sold FOB Shipping Point.Purchaser shall pay all freight,cartage,shipping,and handling charges from the factory where the Goods have
been manufactured.The risk of loss or damage from time of shipment of the Goods shall be borne by Purchaser when the Goods are tendered to the carrier.The same shall hold forth whether Seller delivers the
Goods to a common carrier,an independent contractor or transport service whether provided by Seller or Purchaser.
9.Unless set forth in this Agreement as mutually agreed upon,all delivery of Goods shall be curbside delivery at the point or place designated herein.Seller shall have no responsibility whatsoever to uncrate or set up
any of Goods unless specified by mutual agreement in writing.Purchaser shall have the sole responsibility for all installation of the Goods and any permits required and for providing the connection of the Goods
delivered to any plumbing,electric,gas,vent or other utility connections.Purchaser shall be responsible for providing adequate access for delivery of Goods.
10.Pursuant to notices that may be required under Applicable Laws,there are no cash refunds,credit refunds or exchanges of merchandise under this Agreement.
11.This Agreement shall be binding an and inure to the benefit of the parties hereto and their respective heirs,executors,administrators,legal representatives,successors,and assigns,where permitted by this
Agreement.Purchaser expressly agrees that this Agreement is binding upon it and is not subject to cancellation.Purchaser agrees that in the event of cancellation of this Agreement by mutual consent or by notice of
right of cancellation embodied in this Agreement,then,and in that event,Purchaser will pay to the Seller any restocking charges,out of pocket costs,and the reasonable value of work done by Seller.This provision
shall not give Purchaser the right of cancellation of this Agreement.The obligations of Purchaser and rights Of Seller shall survive termination or expiration of this Agreement.
12.The right,title and interest of Seller,in this Agreement and to the Goods referred to herein may be assigned without notice and the assignee shall acquire all of the rights and remedies of Seller,but shall not be
deemed to have assumed any of its obligations-Purchaser will not assert against the assignee of Seller,any defenses,counterclaims or setoffs available against the Seller.
13.If any provision is modified by statute or declared invalid,the remaining provisions shall nevertheless continue In full force and effect.Purchaser and Seller agree that this Agreement shall be construed and
governed by the laws of the State of Sellers primary domicile(the"Applicable Laws"(and that venue for any dispute or litigation arising out of this Agreement shelf be In the appropriate State or Federal courts in the
city or county nearest to Seller's primary domicile.The parties agree that any signatures or initials communicated electronically or by facsimile machine and any facsimile or photocopy or electronic copy of this
Agreement including counterparts shall be valid and binding on the parties.
14.WARRANTY DISCLAIMER,THE ONLY WARRANTIES,IF ANY EXPRESSLY STATED IN THE SALES AGREEMENT THAT APPLY TO THE GOODS ARE THOSE GIVEN BY THE ORIGINAL MANUFACFURER,AND ARE EXPRESSLY IN LIEU OF ALL OTHER WARRANTIES,
EXPRESS OR IMPLIED.THE SELLER HEREBY DISCLAIMS ALL WARRANTIES,EITHER EXPRESS OR IMPLIED,INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE AND NEITHER ASSUMES NOR AUTHORIZES
ANY EMPLOYEE,AGENT OR OTHER PERSONS TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE GE THIS GOODS.Any description of the of Goods Is for the sole purpose of ideri ffying them and shall not be deemed to
create an express warranty that the Goods shall conform to any such description;any sample or model is for illustrative purpose only and shall not be deemed to create an express warranty that the Df Goods shall
conform to the sample model;and no affirmation or promise,or description,or sample or model shall be deemed part of the basis of the bargain.
1S.PURCHASER SHALL NOT BE ENTITLED TO RECOVER FROM SELLER ANY INDIRECT DAMAGES,PUNITIVE DAMAGES,CONSEQUENTIAL DAMAGES,INCIDENTAL DAMAGES,DAMAGES FOR LOSS OF TIME,LOSS OF PROFIT,LOSS OF USE,MATERIALS IN
GOODS,OR LOSS OF INCOME.PURCHASER HEREBY WAIVES ALL RIGHTS OF REFUSAL AND RETURN OF GOODS.PURCHASER ACKNOWLEDGES THAT PURCHASER IS NOT RELYING ON SELLER'S SKILL OR JUDGMENT TO SELECT OR FURNISH GOODS SUITABLE
FOR ANY PARTICULAR PURPOSE AND THAT THERE ARE NO WARRANTIES WHICH WOULD EXTEND BEYOND THE DESCRIPTION ON THE FACE HEREOF.
16.SELLER'S TOTAL LIABILITY UNDER THES AGREEMENT,WHETHER IN LAW,EQUITY,CONTRACT,INFRINGEMENT,NEGLIGENCE,STRICT LIABILITY OR OTHERWISE,SHALL NOT EXCEED THE PRICE PAID BY PURCHASER UNDER THE AGREEMENT FOR THE
GOODS GIVING RISETO THE CLAIM.Purchaser shall fully indemnify,defend and hold harmless Seller and its af€iRates and their respective shareholders,officers,directors,members,agents and employees against all
expenses,costs(including reasonable attorneys'fees►,claims,demands,damages,liability,suits or the like arising in connection with or out of(i)any breach by Purchaser of the Agreement;(ii)Seller's adherence to
specifications or use of material furnished or specified by Purchaser or any of its agents;(111)any damage to property or Injury(including death)caused by the acts or omissions of Purchaser or its agents;or[iv)any
damages arising out of the sale or exchange of all or a part of the Goods sold hereunder to a third party,
17.If Purchaser is trading-in equipment as part of this sale,Purchaser warrants and represents that Purchaser has good title,free and clear of all liens and encumbrances and further Purchaser agrees to indemnify,
defend,and hold harmless Seller from all casts or claims whatsoever arising out of the trade-in equipment.
Purchaser Initials
EXHIBIT D
CON ZLICT OF INTERE51 DISC LOSURF.REOUIREMYAJ
Pursuant to Chapter 176 of the Local Government Code, any person or agent of a person who contracts or seeks to
contract for the sale or purchase of property,goods, or services with a local governmental entity(i.e.The City of
Fort Worth)must disclose in the Questionnaire Form CIQ("Questionnaire")the person's affiliation or business
relationship that might cause a conflict of interest with the local governmental entity. By law,the Questionnaire
must be fled with the Fort Worth City Secretary no later than seven days after the date the person begins contract
discussions or negotiations with the City,or submits an application or response to a request for proposals or bids,
correspondence, or another writing related to a potential Agreement with the City. Updated Questionnaires must be
filed in conformance with Chapter 176.
A copy of the Questionnaire Form CIQ is enclosed with the submittal documents.The form is also available at
htti)://www.ethics.state.tx.us/forms/CIQ.pdf,
If you have any questions about compliance,please consult your own legal counsel. Compliance is the individual
responsibility of each person or agent of a person who is subject to the filing requirement.An offense under Chapter
176 is a Class C misdemeanor.
NOTE: If you are not aware of a Conflict of Interest in any business relationship that you might have with
the City,use N/A in each of the areas on the form.However,a signature is required in the#4 box in all cases.
CONFLICT OF INTEREST QUESTIONNAiRE FORM CIQ
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular session. OFFICE USE ONLY
This questionnaire Is being filed In accordance with Chapter 176,Local Government Code,by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requlrements under Section 176,006(a).
By iaw this questionnalm must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006,Local Government Code.An
offense under thfs section Is a misdemeanor.
.1J Name of vendor who has a business relationship with local governmental entity.
�ir�lVQv��a e. La�Nt�� S S�ev�n 5��v�C
IT TiCheck this box If you are filing an update to a previously flied questionnaire.(The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
Name of Officer
4J Describe each employment or other business relationship with the local government officer,or a family member of the
officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
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?
0 Yes ® No
B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
71 Yes � No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director,or holds an
ownership interest of one percent or more.
Sck- O-q Liu r-,A '%j E n u, FIm e"* {E Tv\Six% of-u,'c e
6 u
❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
71 (L OA/V/ I
a P Vo a
Signature f N dftn6 business with the governmental entity Date
Farm provfded by Texas Ethi Commission www.ethics.state.tx.us Revised 1113012015
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at hftp://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 6 176.001(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
(li) 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
(8) 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 Revised 11/30/2015
www.ethics.state.tx.us