HomeMy WebLinkAboutContract 55540FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
CSC No. 55540
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Fit Supply,
LLC. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality. The Cooperative Purchase Agreement includes the following documents which shall be construed in
the order of precedence in which they are listed:
1.This Cooperative Purchase Agreement;
2.Exhibit A-Seller's Quote, Scope of Services or Purchase Order;
3.Exhibit B-Cooperative Agency Contract (e.g., NJPA, DIR, BuyBoard); and
4.Exhibit C -Conflict of Interest Questionnaire.
Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in ac cordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by City
shall be in the amount of $1,240.00. Vendor shall not provide any additional items or services or bill
for expenses incurred for City not specified by this Agreement unless City requests and approves in
writing the additional costs for such services. City shall not be liable for any additional expenses of
Vendor not specified by this Agreement unless City first approves such expenses in writing.
The term of this Agreement shall be for one year beginning on April 1, 2021 and ending on
March 31, 2022.
Vendor agrees that City shall, until the expiration of three (3) years after final payment under
this Agreement, or the final conclusion of any audit commenced during the said three years, have
access to and the right to examine at reasonable times any directly pertinent books, documents, papers
and records, including, but not limited to, all electronic records, of Vendor involving transactions
relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access
during normal working hours to all necessary Vendor facilities and shall be provided adequate and
appropriate work space in order to conduct audits in compliance with the provisions of this section.
City shall give Vendor reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows: Page 1 of 49
City of Fort Worth and Fit Supply. LLC
To CITY:
To VENDOR:
City of Fort Worth Fit Supply, LLC.
Attn: Jesus J. Chapa, Deputy Gity Manager Ryan Freeman, President
200 Texas Street 1421 Ave. R
Fort Worth, TX 76102-6314 Grand Prairie, TX 75050
Facsimile: (817) 392-8654 Facsimile: 866-441-3607
With copy to Fort Worth City Attorney's
Office at same address
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
[SIGNATURE PAGE FOLLOWS]
Page 2 of 49
City of Fort Worth and Fit Supply. LLC
ACCEPTED AND AGREED: CITY OF FORT WORTH By: Jesus J. Chapa (Apr 6, 202114:42 CDT) Name: Jesus J. Chapa Title: Deputy City Manager APPROVAL RECOMMENDED: A/�� By: Neil Noakes (Apr 6, 202113:48 CDT) Name: Neil Noakes Title: Chief of Police ATTEST: By: �9� Name: Mary J. Kayser Title: City Secretary FIT SUPPLY, LLC
��e:Ry�k Title: President City of Fort Worth and Fit Supply. LLC CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance �nd reporting requirements. By: Sasha Kane (Mar 31, 202115:12 CDT) Name: Sasha Kane Title: Sr. Contract Compliance Specialist APPROVED AS TO FORM AND LEGALITY: By: Name: Taylor Paris Title: Assistant City Attorney CONTRACT AUTHORIZATION: M&C: (None Required) Date Approved: Form 1295 Certification No.: NIA
Page 3 of 49
FaRT Wo�TH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Fit Supply,
LLC. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
L This Cooperative Purchase Agreement;
2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B— Cooperative Agency Contract (e.g., NJPA, DIR, BuyBoard); and
4. Exhibit C— Conflict of Interest Questionnaire.
Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
eXhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by City
shall be in the amount of $1,240.00. Vendor shall not provide any additional items or services or bill for
expenses incurred for City not specified by this Agreement unless City requests and approves in writing
the additional costs for such services. City shall not be liable for any additional eXpenses of Vendor not
specified by this Agreement unless City first approves such expenses in writing.
The term of this Agreement shall be for one year beginning on April 1, 2021 and ending on
March 31, 2022.
Vendor agrees that City shall, until the expiration of three (3) years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books, documents, papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows:
Page 1 of 48
City of Fort Worth and Fit Supply. LLC
To CITY:
City of Fort Worth
Attn: Jesus J. Chapa, Deputy City Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney's Office
at same address
To VENDOR:
Fit Supply, LLC.
Ryan Freeman, President
1421 Ave. R
Grand Prairie, TX 75050
Facsimile: 866-441-3607
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
[SIGNATURE PAGE FOLLOWS]
Page 2 of 48
City of Fort Worth and Fit Supply. LLC
ACCEPTED AND AGREED:
CITY OF FORT WORTH
By:
Name: Jesus J. Chapa
Title: Deputy City Manager
APPROVAL RECOMMENDED:
By:
Name: Neil Noakes
Title: Chief of Police
ATTEST:
By:
Name: Mary J. Kayser
Title: City Secretary
FIT SUPPLY, LLC
By:
Name: Ryan Freeman
Title: President
City of Fort Worth and Fit Supply. LLC
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the
person responsible for the monitoring and
administration of this contract, including
ensuring all performance and reporting
requirements.
By:
Name: Sasha Kane
Title: Sr. Contract Compliance Specialist
APPROVED AS TO FORM AND
LEGALITY:
By:
Name: Taylor Paris
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: (None Required)
Date Approved:
Form 1295 Certification No.: N/A
Page 3 of 48
Exhibit A — Seller's Quote
gun�y
4���t�
b��`e�
PhysicNl Addi�ss:
Fil SuPpIY, LLC
1 lU0 iy. 7.81h Ave., Siiite 4U0
111�'W Airp��rt T3C 75261
llnitecl States;
Blll Ta
Jamie ,TahasQn
Fart lhlorih PD �h' Fclix - FS
SD5 W. Felix
Fart Wnrth 'I'R 761 � 5
[Jnitcd Sta.tes
Ship To
Foi�t Worth PD W Felix - FS
5�5 W. Fclix
Fort Worth TX 7S 115
i Tnitecl 5tates
Quote# QTE2989
17r�[e: 3/17/2021
Sales �ep Texrns PD # Custnmer I]eli�ery Methnd Fxpiratinn I]ate
'_�ci I5 911712fl2I
4 Pivi-Gold-Quarterly-21-3Q Ca[d [��arteriy Preveatativc ��laintenanec Agrecment
1'ieces For 21-30 pieces uFequipmenl
'a�•5r �'
i� � �I
' �1
rr� f j f S EP'��
Coup BS 583-19
Crold Quarterly fur 21-30 Pieces
Carciin: fniemal cleaninglinspectinnlluhricalingnfall �rarls
per
mamifacnirer speaification, adjusting belts, chains, and
�ears_Tnspec[ing,
calihrating ac�d [esting units For safe apetation and pruper
electricaf
fimctipnnlity,
Strenqtli: L:leaning, ins��ec[ing all ca6les, 6elFs, pulleys,
upholstery and
frnsrics. I.ul�ricx�iug all ma�ing parts and tcsting all units
for sate
❑�era[ion_
Coid I.n6a�r Rnlc: $85Air Pntts ]7is�ounl: 5%
YRates f'or prepaid aimual Gald PM contracts: $GSRir and
lU% parts discatimt
4 310.00 1240.06
Subtotai �1,240.90
Sales Tax $0.00
Tnial $1,240.OD
1 ac�epl [he [erms and �oirdilions oCtlus quolalion:
tilail Paymcnt "�'o:
3341 Regent RI�d
Ste 130355
Jrving, �'X 75063
f nitial
$3iD.d0 $�,zao.aa
Pflgc � 1 of S
Page 4 of 48
City of Fort Worth and Fit Supply. LLC
quaA
r�~� i�
� q�br
s% 60��P
I accc�t the ceinis and conditinns nf this quntaiinn:
lii�f�1A
Quo�e# QTE�989
Subtolal:
Shipping:
[��stallaNmi:
Tax Tofal:
'1'atal:
$1,24U.00
$O.Q[]
$O.QO
$O.QO
51,240.UU
1'agc�2oi5
Page 5 of 48
City of Fort Worth and Fit Supply. LLC
Exhibit B— Cooperative Agency Contract
312df2020
r w
� Boa� �
COCpar�fllT Py�cb�sfnp
5earches:
Search 6v Vendor
Browse Contracts
Search:
583-19
� All
Vendor Discourits Only
� Catalog Pricing Only
Refine Your Search:
Vendors
Fit Supply[H]
Price Ranc�e
Showall prices
Cate94.CY
None Seleded
Contract
None seleded
pdditional Resour�s
Vendnr Cantra�t Informatian
Index
Em ail :
�fo@6uy6oard.com
ilendorName Fi[Suppy
Address 1421 Avenue R
Grand Prairie, TH 75050
Phone Numqer. [877] 3443368
Email: sales[_a�fitsuppy.com
V4�tlsite httn�lhnnnnnrftsuppjy.com
FederallD: 45-0550240
Contad: Ryan Freeman
Rccepts RFQs Yes
Minorily Owned: No
1N�men Owned: No
Sen�ice-Disaqled Heteran Owned: No
EDGRR Forms Recei�ed: Yes
No Israel Boycott CertiFcate Yes
No Exduded Foreign Terrorist Orgs Yes
Contrad Name Athletic, Physical Education, Gymnasium Supplies and Equipmerit and Heav}
Equipment and Related Accessories
Contractih. 58�1 9
Effedi�e Dffie 04I01I2019
Expiration Dffie 03I31I2022
Payment Terms Net 30 days
Deli�ery Days 30
Shipping Terms Pre-paid and added to irrdoice
FreightTerms FOBDestination
Ship lfia Common Carrier
Region Sen�ed: All Texas Regions
SYates Sen�ed: All States
Quote Reference Numqer. 58�1 9
Retum Policy. 25%restocking fee for canceletl orders
Manufacturer Designated D�lers Yes
Corrtract Documents
EDGAR Notice Clickto view EDGAR NotirE
Pmposal �ocuments Clickto view BwBoard Pmposal Documents
Regulffiory Notice Clickto view BondinnB�ulffiory Notice
Proposal Files Clickto viewHendor Proposal Files Documents
Renewal NoticeiLetter. Clickto view Vendor R�ewal NoticrlLettrr pocumrnts
Contact us 800.695.2919
https:llapp.6uy6oard.comlSearchllndex75earchTerm=583-19&Uendorld=2700
City of Fort Worth and Fit Supply. LLC
111
Page 6 of 48
� Board° ,�-�'
,.,<<,���::i ��E,�,.,i
..,. , . ,. .....�. ... Erzo'arsedby 'NSE3A• Ei,�:�.J;:�.���.�.�i;�,�,
February 6, 2019
Sent Via Email: sales@fitsupply.com
Ryan Freeman
Fit Supply
1421 Avenue R
Grdnd Prairie, TX 75050
Welcome to BuyBoard!
Re: 1W tice af Natranal Purrhasing Caa,c�rabbe PkJgy-Back A ward
Proposal Name and Number: Athletic, Physical Education, Gymnasium Supplies and Equipment and Heavy Duty Exercise
Equipment and Related Accessories, Proposal No. 583-19
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your eompany a BuyBoard�
contract based on the above-referenoed Proposal. As provided for in the Proposal and your National Pur�hasing Cooperative
Vendor Award Agreement, you are authorized to sell the goods and servioes awarded under the Proposal to National
Cooperative members in states other than Texas through the BuyBoard. The contract is effective 4/1/2019 through
3/31/2020, with two possible one-year renewals.
The National Cooperative membership list is available at our we6site www.buyboard.00mlvendor. The list identifies the
current mem6ers 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 wiffiin
BuyBoard guidelines. Accepting purchase orclers 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
ordere from National Cooperative mem6ers must 6e processed through the BuyBoard. Please fonrvard hy e-mail
to info@buyboard.00m any order reoeived directly from a National Cooperative member. If you inadvertently process a
purchase order sent directly to you hy a National Cooperative mem6er, please fax the order to the a6ove num6er and note
it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will 6e sent via e-mail 2 to 3 6usiness
days prior to the start of your contract.
On 6ehalf of the National Cooperative, we are looking foruvard to your participation in the program. If you have any
questions, please contact Caooerative Procurement Staff at 8�0-695-2919.
Sincerely,
�(..�.`- - -�=�.-
Arturo Salinas
Department Director, Cooperative Procurement
v 6.5
City of Fort Worth and Fit Supply. LLC
�
P. 0. Box 40q Aus[m, Texas 78787-0400
800.695,2973•buyboard,coiii �
Page 7 of 48
� Board �
c��t,� �.�has►��r
120fl7 Researdi Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX; 8U0-z1i-5454 ' buvboard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Pro sal N : Athletic, PhySical Education,
Gyrnnasium Supplies and Equipment and Heavy
puty Exercise Equipment and Refated Accessories
Proposal Number: 583-19
Contract Time Period: April 1, 2019 through
March 31, 2U20 with twa {z) passibie one-year
renewals.
Pronos 1 Due DatelOne�ina Date and Time:
August 30, 2018 at 4:U0 PM
i n of Pro sal nin :
Texas Association of School 8oards, Inc.
BUyBoard Deparkment
i2007 Research Blvd.
Austin, TX 78759
Antici ated Coo i�e Baard Mee ' Date:
]anuary 2U19
Fit Supply
Name of Proposing Company
E:��������*�
Date
1421 Ave R
Street Address
Grand Prairie, TX 75050
City, State, Zip
877-344-3368
Telephone �lumber oF Authorized Company Official
8ss-44 � -3so7
Fax Number of Authorized Company Official
Signatu of uthorized Company Official
Ryan Freeman
Printed Name of Auli�orized Campany Official
President
Position or Ti�e of Authorized Company Official
45-055�24Q
Federal ID Number
i �aard �
Coopperatlre pwcAs�s►ng
�2fl07 Researth 80u1evard • Austin, Texas 7$759-2439 • PH: 8Q6-695-29I9 •�AaC; 800-2I1-5454 •�riyh4ard.cam
The prapasing company ("you" or "you�"J herehy acknawledges and agrees as fallows:
1. Yvu have eareFuliy examined and understand all Caapera�ve infvrmation and documentation assoclated with this
Froposal In�ita�lan, in�luding the Instruckions to Proposers, General Terms ami Canditions, attaehment��forms, item
speciflrations, and Ilne items {r.�llectively "Requfrements"j;
2. Sy your response {"Proposaf'� bv this Proposal Inultation, yau propose to supply the produds ar sen��es suhmitted at
the prioes quotad in your Propasal and in strict compllance with the Requirements, unless spedflc deviativns or
excepYians are noted in the Propasal;
3. Any and all devfatians and exceptivns to the Requirements have heen nated in your Praposal and no vthers wil[ he
ciaf ined;
4. If the Ca�perative ao�ept5 any part of your Prvposal and awards ya4a a cantra�t, you will fumish all awarded praducts
or services at the pri�es q�vted and in stri[t oompliance wlth the itequirements {unless specffiC exceptfvns are npted in
the Propasal and accepted by the Caoperati�e}, lneluding withvut Ilmitation the Requirements relabed t�:
a. cqndu[ting bus�ness with Copperati�+e members, incfuding affering prfcing to members that is the best yau offer
aampared to similar �ustomers;
h. paymerrt vF a service fee in the amnunt specified and as provideci far in this Propasal In�itatian;
�. the posslhle award af a piggy-back oontract hy another ga�emmental entity or nonprofft enkity, in whfch event
you will offer the awarded goads and services fn a[tvrdanre with the Requirements; and
d. submltting price sheets vr catalags in the prvper format as required by the Cooperati�e as a prerequisite to
activation of your wntract;
5. Yvu ha�e cleaHy identified vn the included fnrm any informat€an fn your Proposal that yau beiieve Yo be oonfdentiaf w
proprietary or that yvu do nvt consider to be �ublic Infarmation sub3ect tv puhlfc disdosure under a Texas Pu61ic
Inforrnatfon Act re�uest or similar pul�llr InFormation law;
6, The Indivld�al signing this Agreement Is duly autt�vrixed to enter inta the coRtracival relatfariship represented by this
Propvsal Invitatlon an your hehalf and �Ind you ta the Requirements, and such fndi�idua! {and any individual signing a
form} !s autliorixed and has the requfsite knvwledge to provide the informatian and make the represent�tians and
certifi�ativns required in the Requirements;
7. Yau have carefully reviewed your Proposal, and certify that all lnformation prayded is true, camplete and accurate,
and you authorire the Caaperati�e tip take such action as it deems appropriate bn �erify such infarmatifnn; and
8. Any misstatement, fals�fica6fon, ar amissian In your Prvposal� whene�er �r hawe�er discovered, may disqualify yau
from cansideration for a mntrac# award under this Praposal Invitation or resuFt in termination of an award ar any other
remedy �r actian pmvided €nr in the General Terms and Conditivns ar py law.
Page 9 oF 56
Praposeh Fnrms 0�7MJSVCS �.Ofi.142p18
Page 9 of 48
City of Fort Worth and Fit Supply. LLC
� ������
Conpe.atlre Parahaslup
12007 Resear[#� Bpule�ard ' Austin, Texas 78759-2435 ' PFi: 8�645-2919 ' FNC: 8Da-21I-S1FS4 ' I�uv6oard.cam
VEND�R ��NTA�T INFDRMATI�N
�ampa�y: F[t Supply
vendar Contact Name and Nlailing Address far Natioes: 1421 AV@ R Gr�lnd PI'�II'I@, TK 7505d
campany we�site: �w•fitsupply.Gom
Purchase arder�: All purchase orders fram Caaperati�e memhers wfil be a�alla6le through the Intemet. Vendors need
Internet ao�ess and at least one e-mall address so that nvtkfication af new orders can 6e sent ta the Intemet rontact when
a new purehase o3'der arrl�es. A� informatian guide will he prav�ded tQ vendors to assis# them with retrieving their orders.
Please select aptions below for receipt of purchase arders and pwvide the requested information;
0 I will us�e the internet to recel�e purchase orders at the fnllowing address:
�-ma�i Aaaf�s: sales a�,7#itsuppiy.cvm
r��,� ���: Ryan Freemart �one: �77-344-3368
�a�r�a� �-m�,� �d�„e�: rfreeman�fitsupply.com
Alternabe Internet Contact- `��n Wat�Cman �q�e; 877-344-33�$
0 Purchase orders may be reoeived by the aeslgnated Dealer(s} identified vn my campany s Dealer
Designation form as provfded to the Cooperati�e administrata�. I understand that my cornpany shall remaln
responsihle for tCe C,�ntrack and the pertomiance oF all peslgnated Dealers under and an aoaordance with the
Contract. �
R�uest for Quotes ("RF(7°7: Caoperatl�e memhers will send RFQs to you by �mafl. Please pror�ide �mail addresses
far the receipt of RFQs:
E-mailAddress: Sa��S��It5Llpp�]I.COIII
APternate E-mail Address: rfre�m�n Q��ItSU�ip�y.COCII
IRV�: Your oompany will be billed monthly For the servfee fee dUe under a cuntract awarded under this Pmposal
Irwftatlon, All invofoes are avalla6le on the BuyBvard wel�site and �mall notificativns will be sent when they
are ready to be retrie►►ed. Please pra�ide the following address, mnkatt and e-maif irifarmation for r�eipt of service fee
in�oices and related oammunlcatlons:
Please d�oo�e onl►► ane fi] of the Fallowing options for recelpx af invoioes and pro►►ide the reques6ed
infarmation:
Page 10 vf 64
City of Fort Worth and Fit Supply. LLC
Propasal Forms CaMMjSVCS v.OG14.2618
Page 10 of 48
� Baar�l �
c�a��r� pw�sr,�
Z2{107 Resear�h 8oulevard ' Austin, Texas 7$759-2439 ' PH: 8fl0-£95-Z919 ' FA)C: 80{1-211-5454 •�ard.00m
❑■ 5ervioe fee inwices and related oommunications should 6e provided directly to my company at:
Mailing address: ��� � AVB R o�p�rtm�nt: Accounting
c��: Grand Prairie s��: Tx L� c�B: 75Q5n
ContacE Name: •ieC1 �8t�r11'1a�1 Phone: ��7'3�-�3s8
��: 8G6-441 �BD7 E_mau Address: ��Gounting�fitsuppfy.com
ARernatire�-mail►�dress: sales�fitsupply.c�m
❑ In lieu of my oompany, I request and autiwrize all servloe fee in�oioes to be provided directiy to the following billing
agent**:
Mailin� address• Departmen�
��' ��' �p Code•
Contact Name: Phor�e:
Fax• E-mail Address-
Alternative E-mail Address:
❑ In Ueu of my �mpany, I request and authorire servlce fae inv�olces to he pro�ided ta the E]eslgnated pealer{s}
recei��ng the purchase order(s} to which the in�ai�ed servlce fees relate at the address and contad '[nformatinn designa6ed
❑n my mmpany's Deaier beslgn�tivn Form as prQ�lded ta the Cnoperative adminfstrator.�*
*# If Yendnr �ul�iorlre�s a billinq a�errr or Deslqnaled pe,sler�sJ hu rec�eive and prneaess serv►ce lise in voic.ser.
in ac�nrdancie wlth ihe General Terms and Canod►Lions af l�ie Candac� Vendor speciTically �cknowleelges end
aqrrees t�iaf naL�ifng in Gfiat desiynatian aha11 relAeve I/emdorofits respc�nri6►11b1e.s and adeligetlons under the
Condactl►nYud►n� butnot Iim�ed to, paymentafallservlQe �tees ueder�any Con6act awarr�ed Vendor.
Page 11 af 66
Prupusal Forms LpMky�SVCS �.d6.14.2018
Page 11 of 48
City of Fort Worth and Fit Supply. LLC
r ������
Cpppera�hs Pwchssfilg
i2007 Research 8oulevarrf • Austin, Fexas 78759-2�39 ' PFi: $00-fi95-�919 • FAIC: 8�-a11-5454 ' huv6oard.com
FE Y NVICTI�N DLSCL�5l.IRE AMd DE6ARME R FI N
Fe�aNr CoHr►icri�M Disc�asuRe
Suhaeetian (a] of 5ectEon 44.434 oi the Texas Educatian Code {Rotlfiratlon of Criminal History of Contra�arj
states: "A persan or business enkity thaC enters Into a contract with a s�hool district must give advance no�oe ta the dlstrlct
if d�e persnn or an owner or aperator has been �anvicted aF a fefony. The nfltice must include a general descriptiari of the
oonduct resulting in tS�e con�icbivn of a felony."
5eition 44.034 further states in Subsectian [b): "A school dlstri�t may terminate a contract with a persan ar
business entiry if the district detemilnes that the person ar business entity failed to give notl�e as requlred by 5uhsectian
{a] vr misrepreserrted the conduct resuEting in the ovn�iCtion. The dlstr'ict must compensate the person or 6usiness entity
for ser�ices performed hefore the termination of the oorrtra�t."
Please check {aj one af the fnllowinq:
❑ My cA�lp�ny i5 d�]IJb�ICIy-ile�d OOrpD�atidfs. [Advanc+e notice requlrement does rrot apply 6o pu6lidyi�eld car�orahinn.J
� P7y company is noY owned or operated by arryone who has been enn�i[ted af a felony.
❑ My company is avvned�oper'ated by the follnwing Vndlvldual(s) who has�ha�e been aonvicted of a felony:
Name o€ F�In�(s}: _
Detalls of Con�l�tivn�s]:
By signature helaw, I certify that the abave InF4rmat�an is true. wmplete and ao�urat� and that I am authorized hy my
company tv make this certificativn.
Fit Supply
Company Name
- Ryan Freeman
S#gna� tu� ori d CompaFly Official Printed Hame
DEBARME#1'f CERTIFICATIDN
Neither my oompany nvr an awner or principal of my campany has been deharced, suspended or atherwise made ineliglble
for participa�an in Federal Assista►�ce programs under Execu��e Drder i2549, "Debarment and Suspens'son," as desaibed
in the Federal Regfster and Rules and Regulations. IYeither my wmpany nor an vwner nr �rinclpal nf my company Is
currently Ilsted on the ga�ernment-wide exdusfans fn SAM, deharred, suspended, ar otherwise exduded hy agencies or
dedared ineligihie under any statutory flr regulatnry aut�ar�ty. My company agrees ba immediately notify the Cvaperative
anc# all Coapera�ve members with pending purchases or seeWng ta pur�hase from my avmpany if my company or an
awner or prindpal fs later psted_an the ga�ernment-wide exclusians in SAM, or is debarred, suspended, or otherwlse
excluded by �gencfes or dedared inellgible under any sta�utary or reguldtory authoHty.
6y slgnature belaw, I oe�ify that the aho�e is true, eomplete ar►d accurate and that I am autharized hy my company to
make this cerGfication.
Fit Supply
Company Name
Ryan Fre�man
5lgnature A or d Campany dF5[aal Printed Name
Page 12 oF 66
City of Fort Worth and Fit Supply. LLC
Proposal Fom�s COMFIJ5VC5 v.Ofi.14.t018
Page 12 of 48
= Baard �
�������
1Zfl07 Research Boulevard • Rustin, TexdS 78759-2439 ' PFl: 800-695-2419 ' FIUC: 80o-211-5454 ' buvboard.com
R�IDENTINQNRESIDENT CERTIFICATION
Chapter 2252, Suhc�,apter A, af the Texas Govvemment Cade estahlishes certain requirements applfpble t� prv�osers who
are not Texas residents. Under tt�e statute, a"resldent" proposer �s a persvn whose principal place of business fs fn Texas,
Ineluding a cantr-actnr whnse ultlmate parent cvmparsy or majority awRer has its princlpal place af husiness in Texas. A
"nonresEdent" praposer is a persan who Is nat a Texas resident. Please indieate the status af your campany as a"resideRt"
praposer or a"nonresident" propaser under these definiGons.
PJease �heck [,1] one af the fallowirx�
� I certlfy that my com�any is a Resider� Prapo�er.
❑ I oerdfy that my oampany is a Nonresldent Proposer.
If your campany fs a Nvnres[dent Proposer, you must pro�ide the fallowing information for your residerrt state [the state in
which yeur oompany's princlpal place vf business is located):
Company Name
L'�ty
Address
5tate �ip Code
A. Daes your resident state require a proposer wh�se prinapal place nf business is in Texas to under-prioe propasers
whose resEdent stabe is the same as ynurs by a pres�rihed amnunt vr peroentage ta reoei�e a comparahfe cantraR?
❑ Yes ❑ Na
e. What is the prescrfbed amount nr percentage7 $ _ or ,J g6
YfNDl�R EMPL�YMENT CERTIFICATIdN
Section 44.031�h} vf #he Texas Educahon Code estahlishes certain ariterla that a school district must consider when
determining to whom 6a award a oontract, Among t�e crlteNa for certa�n cantracts is whether t�e vendor vr the vendors
ultlmate parent or majarity vwner (E} has its pr�n�ipal plaae of huslness 9n Texas; vr tii) employs at least 500 peaple In
Texa5.
Tf neither yaur cvmpany nor the uEtirnate parent company or majority owner has its principal pEace of business in Texas,
does ynur company� ultimate parent �ampany, or majoriry nwner emplvy at leas# 54D people in Texas?
Please check [J7 one of the fnllowina:
❑ Yes 0 Nv
By signature below, I certify that the Information fn Sections ]. [Resident,INon�slden[ Certifkaiwn) and 2(i�endar
Employment CertificationJ atm�e is true� cnmplete and aocurate and that I am authvriied by rrEy �vmpany ta make this
oettificati�n.
Fit Su�ply
Comparry Name
_ � ..�-�
5ignature a ar ed Company �ffieial
Rage 13 af G6
City of Fort Worth and Fit Supply. LLC
Ryan Freeman
Prtnted Narc�e
Proposal Forms CAMMJSlrCS �,{16,14.2018
Page 13 of 48
r ������
■
Cauptretlrse Parc,baslsg
I2aa7 Research Sou�ard ' Austin, Texas 78759-2439 ' PH: 8U0-fi95-2914 ' FA)f: Sflfl-21f-5954 ^ buv6oard.�om
ND ISRAEL 6OYCQTT CERTYFIC N
Effecti�e 5eptember 1, 2Q17� a Texas governmental entity may nat enter irrto a contra�t wiEh a company for govds or
servfoes unless tt�e contra�t cnntafns a written �erification from the campany that it: tl} does not bayoatt Israel; and {2}
wll] not boyoott Israel during the term � the contratt. (TE][. C+�v� CaDE Ch. 227�}
"gvycott Israel" means refusir�g to deaf with, terminating husiness 2ctivilies wlth, or otherwise taking any a�tlan that ls
intended to penalixe, Irifll�t ecanomlc harm an, nr limit c�mmer�ial relatlons speciF�cally with Israel, ar with a person vr
er�tlty dafng hus�ness in Israe3 ar in an Israeli-dor�trafled territory, hu# dnes not inc[ude an actlon rnade fnr vrdinary huslness
purpnses. Toc. GOv'r CAOE §808.0�1[7).
By signature 6elew, I certify and �erify that Vendor daes not hoycott Israel and wl[I nat bayovtt Israel during the term of
any oontra�t awarded under thls Pmposal In�i#ativn� that this tertifi�aGon is true, wmptete and accurabe, and that I am
authorized by my cnmpany to make this �rtif catian.
Fi# �upply
Company IVame
� . Ryan Freeman
5'ignature vf Authorixed Camparfy Offitfal Printed Narrte
MO E](CLUDED NATI N R FOREIGN TERRORIST �RGANIZATiQN CERTIFICATION
Effe�ti�� 5eptemher 1, 2�17� Chapter 2252 af the Texas Gavemment Cade provldes that a Texas ga�emmental er�dty may
nai enter inhr a contratt with a �ampany engaged in active buslness operatEor�s wit9� Sudan, Iran, ar a fareign terrorist
organiratlon — specil5cally, any oompany identEfied on a list prepared and maintafned hy the Texas Camptroller under Texas
Go�emment Cvde §§8fl6A51, Sfl7.051, or 225Z.153_ [A Campany that the Li.S. Go�emmerrt afFrmativeay declares tn be
excluded from Its federai sanc#lans reglme relating ta 5udan, Iran, nr any federal sanc#ivns regime relating tv a foreign
terrorist organization 3s not su6je�t ta the tontra�t prahihition.}
6y signature helow, I certify and �erify [hat Veridor is nvt an the Texas Comptrallers list identlfled above; that this
certificatinn is tnae, camplete and aoaarate; and that I arr► autf�orized hy my company ta make this cerdFcaUon.
Fit Supply
Company Name
Ryan Freeman
5ignature of A orixed mpany affidaf Printiad Name
Page ia �r s6
vroposa� Fonns cOMnysvrs v.o6.ia.�ols
Page 14 of 48
City of Fort Worth and Fit Supply. LLC
� Baard�
Conperatlre Purchsaing
i2QD7 Resear� Boulevard • AuStin, 7exas 78759-2439 • PFi; 8aQ-695-29i9 • FAX: 800-�11-5454 '�1lY}Zaard.cam
HIST�RI AL Y UN�ER[1TILI2 D BUSINE CERTIFICATI
A praposer tf�at has been certified as a Historically Underuhflized Susfness {aiso knawn as a�linority/Women Business
Enterprise or °MW6E" and all reFerred to In this forrn as a"H118� is enoouraged to [ndicate its HUB certification status
when respanding to this Propasal Invitatian. The efectmnic catafogs will Indlrate HUB certiflcations f4r vendo�s that
properly indicate and dowment tt�eir HUB eertihcation an this form.
P �heck afl th t
❑ I certify that my campany has been certified as a H118 �n the foflawir�g categorles;
❑ Idlnmity Dwned BusFnesa
❑ Wamen 4wnad BusFness
❑ 5erviCe-Oisabled Ve�eran Ownad Business [�eteran d�ned by 38 U.S.C. §Ifli[2}, who has a
ser++ke-oonnected disa6ility as defined br 38 U.S.C. � Yfli(1�}, and wha has a disahility rating
vf 2Q°/v ar more as determined 6y #he U. S. [7epartment of Veterans Affairs or oepartmeM af
DeFense]
Certffication N�m�er:
Name vf Certirying Agenry:
0 My mmpar�y has N07 been certlfled as a H118,
By signature be}ow, I certify that the ahove is tn.�e, complete and accurate and that I am authorixed hy my
ovmpany to make this certifcatian.
Fit 5uppiy
Company Narr�e
Ryan Freeman
Printed N
Signature ori mpar�y �fF'ipal
Page 15 of 6�r
City of Fort Worth and Fit Supply. LLC
Propasa! Porms OOMM15VC5 �A6.1a.2p18
Page 15 of 48
� ����d�
�����
12U47 Research 9vulevard ' Austin, Texas 78759-2�39 • PFE: Sflfl-fi95-2919 • FA?C: 800-211-5454 ' Guvbaard.cam
CQN5TRllCTT�N-REIATED GDOdS AND SERYICES AFFIRMAII4JY
A cantract award�d under this Proposal Invltatlon cavers only the specific goods and servi�es awarded hy t�e e�yBoard. As
expfained in the Buyeoard Pracurement and CAnstru�tian Re�ated Goods and Services Advisory Fvr Texas Nlembers
{"Advfsnr�'}, Texas law prohibi#s the procarement of archibecture or engineering servlces thraugh a
purchasing woperati►re. This BuyBoard cnntract daes nvt include such servfQes. Architecture or engineering
sernices must be procured by s Cooperatl�e memher separately. in acconlanoe with the Pr+ofesslonal
5ervicea Procuremenk Act {Cha�ter 2254 af the Texas Go�emment Code] and other appliea6le law and local
P��11•
The Advisary, a�aifable at bw6oard.camlVendvrlResources.as�x, pravides an overview of certain fegal requirernents that
are poten�ally releuant ta a Cooperati►+e memhers prucurement of consbvctivn or canstruction-related goods and services,
including those For praiects that may Envolve or require archit�cture, engin�ering or indeper�dent kesting servi�es. A w�y
af the Advisory can also be pro�fded upon request.
By sig�ature belnw, the �andersigned affirms that Propaser has obtained a flvpy of ti�e Advisory, Mas read and understands
the Adulsory� and is authorized hy Proposer ta make this affrrr�tivn. If Proposer sells constructlorrrelated goods or
servi�es ta a Cnoperative member under a Buyeaard contract awarded under this Proposal In�itation, Fraposer wlli campiy
witfi� tl'�e Advfsory and app[ica6le legal requirements, make a gcrod faith effort to maice lts Cooperati�e memher customers
or potentral Cnoperatrve member cus6omers aware uf such requfrements, and pravide a Cvoperative member with a cvpy
of the Advlsory befare executing a Member Construction CantraEt with the memher ar accepting the member's purchase
order far constructivn-related gaods or servites, whichever e0mes first
Fit Supply
Corr►pany I�ame
Ryan Fre�man
5kgnature of orixed Camparry Offiaal Printed Name
si��r�o�$
OaEe
Page lfi of 66
Proposal Fottru COMMISVCS �.n6.14.20i8
Page 16 of 48
City of Fort Worth and Fit Supply. LLC
' BQ�!'L��
Caopersfrre P�rch�sr�
I2007 ReSeardl 6oulevard • Austfn, Texas 78759-2439 ' PFI: 890-fi95-2919 • FA)C: 840-211-5q54 ' ,com
DEVIATI AND C�MP NCE
If ypUr company fntends tv deviate from the GeneraE Terms and Cvnditivns, Pr�posal Specificatlans nr ather requlrements
associated with this Proposal in�itatian, you MU5f list all su�h de�iatians nn this fnrm, and provide camplete and detaEled
ir�formation regarding the de�iatians nn this farm or an attachment ta thls form, The Cooperative wilf mnsider any
de�iatiqns In its cantract award decision, and reserves the right ta ac�ept vr re}ect a propvsal based upon any subm�tLed
deviation.
Tn the a�sence af any deviatfan identifed and descriped in a000rdanoe with the above, your company rnust Fully wmply
with the General Terrns and Cvndf#ions, Praposa! Speciflra�ians and all other requirements assoeidl�ed wfth this praposal
Invitatian if awarded a cantratt under tFris Proposal invitativn. A deviation wili not be efferxive unless aoaepted hy the
Cooperati�e. The Cvoperative may, in its sale dlsaetion, seek clariflcatfon fram and�or comr�unicate with Proposer(sj
regard[ng any submitted de�iativn, mnsister�t with general propurement principles nf fair aampetition, l'he Cooperative
reserves the right tv aocept ar reject a praposai hased upan any submlL•b2d deviatior�.
se �h k(�] o e fvllawlno:
❑! M�; Oeviations
❑ Yes; aev�anons
List and fuliy e�1aEn any de�iaiians you are submltlfng;
EASE AR�YI FQLLO IHF RMAT
1. 5hipping Via: 0 Cnmmon Carrier � Campany Trudc a❑ Prepald ar�d Add to rnvoioe ❑ p}her:
2. Payme�t Terms: ■❑ Net 30 days 0 1°/o in 10�Net 30 days ❑ Other:
3. fVumher of Days for Dell�ery: �a ARO
4. Vendor Reference�Quote Number: �8�-� 9
s. st�ee your retum pofitiy: �5°Io Restvcking Fee far cancel�d vrders.
6. Are electronic payrnen� acceptahle? DYes ❑ No
7. Are credit �ard payments aca�pta�le? ❑■ Yes ❑ No
Fit Supply
Campany Name
Ryan Freeman
Sfgnatur o u rixed Company OfFlciaf Printed IVame
Page 17 af fi5
City of Fort Worth and Fit Supply. LLC
Proposal Forrr�s ppMM�SVCS �.p6.14.Zp18
Page 17 of 48
� Baard�
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12QQ7 Research 8oule�ard ' Austin, Texas 78759-Z439 ' PFI: 86�595-2919 ' FA7(: SOQ-211-5454 ' buvboard.�
L�CATIONIA[]THORIIED SELLER LISTIM__��
IF you ha�e mare than ane laratianjauthnrixed seller that will service a oontract awarded under thEs Praposal Invitativn,
please Eist each IpcationJautharixed selier [�elow. If addltioRal sheets are required, pfease dupli�ate this fvrm as necessary.
N�i'E: Awarded Vendors shalf remain responsi6le fvr all aspeets af the Cantract, ind�ding processing of Purchase Orders,
and shail be responsible far the perfarmance of all lacations and authwized sellers under and in acc�rdanoe with the
Co�tract. if you are a praduct manufacturer and wish to designate Designated aealers as deflned in tfi�e General Terms
and �onditivns tv reoeive Cvopera��e memt�er Purchase 4rders on yaur hehalf, you must camplete the Manufacturer
[]eslgnated aealer form.
FItS���ky
Com�any Name
� 421 A�e R
Address
Grand Prairi�
TX
Clry state
877-344-33fi8
Phone IVurnber
8fi6-44�-350?
Fax Numher
TJ��rJ�
Zip
Ryan Freeman
Contact Person
On Sit� Fitness Service
Company Name
142'i A�e R
Aa��55
�rand Prairie
City
aoo-��o-sao2
Phone Number
Jeff Page
Contact Persan
TX
5tate
���-7� �-���2
Fax Num6er
Page 18 of 65
7505�
Iip
PfpppSal FprmS CQMh1�SyCS r.p5.14.2�18
Page 18 of 48
City of Fort Worth and Fit Supply. LLC
� B���d�
ccayaeraHre Pu►r►ras,►.g
124U7 Researd� 8Qul�ard ' Austin, Texas 78759-2439 ' PH: 840-695-29I9 ' FA?L: 8D�Z11-5454 ' buvboard.00m
MANIJFACTl1RfR DEAlER DESIGNATI�N
If Vertdar is a manufa�turer that se�ls produ�ts thrflugh a dealer netwvrk and wishes � designab2 a dealer or �nultiple
dealers ("Designated Dea{� to receive Cfloperative memher Purchase Orders an Vendar's behalf, you must complete
th€s form for each deaier you wlsh ta deslgnate.
Regardless of any pesfgnated Dealers suhm�tted kry Vendvr, Vendar sperafcally agrees and acknowledges that arry such
deslgnat�ons are for Vendor's �an�enience only and sl�all not, if Vendor is awarded a Contract, relie�e Vendar 4f any
abligatians under the Contraet, Indudltzg payment af Coaperati�e service Fees vn a11 Purchase Orders submitted ta Vendflr
ar any bes€gnated �eafer. In acrnrdan�e with the General Terms and Conditions, an awarded VendDr shall remain
respansible and 1ia61e far all af its a#�ligations urider t�e Contraet and the performance af hoth Vendor and any af Vendor's
❑esignated oealers under and In acoordanoe wlth the Contraet and remain subject ta ail remedEes fvr default thereund�,
including, hut nat limifed ta suspensinn an8 termination of Vendor's Cvntract far nanpayment of ser�lae fees.
If awarded, Vendvr autharizes the Cnaperati+�e� in its snle diseretian, to list any Vendor designated Dealers in the Buy6nard
systern and t+o re�ive Rurchase Drders directly fram Caaperatl�e members vn behalf of Vendo�. To the extent a Vendor
wfth Designated bealers reoei�es a Pur�ase Order directly, it shali be the responsibility of Vendor to appropriately process
such Purchase Order in acwrclanee with the Cvntract, fn�ludfng but nat limlted ta timely forwardfng such Purchase Order to
a Designated tiealer for pr;xessing.
The Woperative resen►es the right, In Its sole dls�rerion, to refuse addihlon nf, ar request removaE of, any oesignated
Dealer, and Vendar agrees to immedia#ely require such designated oeaEer ta oease aocepting Purchase Qrders �r atherwise
acting on Vendv�s behaff under the Contra[t. Further, the Cooperatl�+e's administr�ator shall �e authorized 6o remo�e or
suspend any ar all pesignated dealers from the BuyBoard at any time in its sole discretiori.
If you wish to designate a deafer tn servl�e a oantract awarded under this Pro�osal In�itativey please list the oesignaked
Dealer belaw and ha�e this fvrm signed by an oFFlclal of yaur eampany autFwrixed to make su�h designation. If you wish
ta designate mul�lple deaEers, please du�llcate thls �orm as neoessary.
Dn Site Fitness Servi�e
Designated �ealer Name
'142'� Ave R
Designated E}ealer Address
�rand Prairie
Clty
soo-7�a-5saz
Phone Numtrer
Tx
st�t�
7DD-730-5842
Fax Number
?545d
zi�
servi ce�onsitefitr�essservice. cam
Email address
Brandon Maare ar Jeff Page
Designated Dealer Cantact Persvn
261949G31
�esigr�ated aeaier Tax ID Number* {*attach W-9}
Fit 5upply
Your Campany Narne Signature of uthD d Canpany �f�daf
Page 19 of fi6
aroPasai w�r� car�Mrsvcs v.as.ia.zoie
Page 19 of 48
City of Fort Worth and Fit Supply. LLC
� �aard �
�������
li[}07 Research Boulevard ' Austln, Texas 78759-2439 ' P9i: 800-695-2919 ' FA)C: Bfl0-211-5454 ' buv6oard.rom
TE]CAS REGI�NA! S RVI E DE I NATIaN
The Cnoperath�e {referred to as "Texas Coaperati�e" in this farm and in the 5tate Servi�e Resignatlan Form) orrers vendors
tfie opportunity t0 seruioE its members thraughaut the entlrs Stabe af Texas. If y� do not plan to serr�i�e all Texas
Cooperatl�e memhers statewide, ynu must indirate the specific regians you wi11 setvice an this form. if y�w propas�e W
serve di!%r+er�t regians far difl�arient pr�educEs ar servl[�s lnduded In your pinposel, you musf cnmplel�e and
su6mlt a s�{�arate T�aras 17eylanal Servlce daSJgn�dnn lfvrm for �ach gmup �f producYs and dearly indiralr
l�ie p►�dac#s or srervices ta r�+liich L�+e desi�nadnn ayplles ie t�ne spaae pro�►ded at the end of �►ifs form. 6y
desiynaNng a r�eqlon ar ►�eglans, }rtau a►� aeerdfying fiiat you are autharrzed and williny ta p►nvide bhe
P^�P�sed Prnducts and serriaes in thare repin►r.� �heslqnaling r�glona In wlikh yau aro ei[�ier una$Ie ar
en�111ng ta provlde the spedf9'ed pradu�ta dnd serricies sha11 6e grounds far c�ibher r�jedian aI your
propp.fel or, If�wa►�dedi terminatian ofrourCantr�ct. Additionally, if you da nat plan to servloe Texas Cnoperative
rnembers [i.e., if you will service vnly states other t�an Texas), you must so indicate on this Form.
� I will �rvlce Texas
Cnoperat{ve mem6ers
statewide.
❑ I will nat sen►ive Tex�s
Coaperati�e members
statewide. I will onlr
serW�e memhers In the
regions checked below:
Fit Supply
Campa _
Signature af Au rized Cnmpany Offi�ial
Ryan Freeman
PrEnted Name
Page Z� af 6Fi
City of Fort Worth and Fit Supply. LLC
❑
❑
❑
0
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
0
❑
❑
❑
Regbn
1
2
3
4
5
fi
7
8
9
10
11
12
13
14
15
1G
17
is
i�
20
Fleadquarters
Edi nburg
Carpus Christi
VictoHa
Hou5torl
Beaumont
HuntsvE[le
KiEgvre
Mount Pleasant
WiChita Falls
Ri�hardsors
Fvrt Worth
Waoo
Austin
AbileRe
San Mgela
Arnarflfa
Luhhodc
M�land
EI Pasq
San Mtvnio
❑ I wiEl not service members
of the Texas Cnoperative,
prppvsal Fwms CC7h1M�5YC5 v.p6.14.�018
Page 20 of 48
R�gianal Educatlon Sen►1ce Centers
� ��ard �
���� ���
12pp7 Resear�h Boulevard • Austin, Texas 7B754-2439 • Pli: 80fl-695-2419 ' FA1f: 86Q-2i1-S454 ' 6uv6aard.com
If this Te3cas Reglonal Servlce pesfgnation fatm applies 60 only pne or same oF the products and services proposed hy
Vendor� list the products and servioes to which this form applles �ere:
This designation applies to pre�entati�e maintenance, warranty and
senrice wark of equipment affered by Fit 5upp�y to Buy Baard IVlem�ers.
Page 21 of 66
City of Fort Worth and Fit Supply. LLC
Proposai Forms CCMMJSVGS v.Ofi.la.2{118
Page 21 of 48
� ������
I:OOpCl3NYS P�AflCb�Bfl1�
f2fl�7 Research Baulevard • Austln, Texas 78759-2439 • PH: $40-595•2919 • FA}C: 89fl-211-5++59 ' buvboard.�om
STATE SERYICE DESI�NATI�N
The Cooperative nffers uendars the npportunity tn servioe ather governmentai entities in tne united 5tate�, induding
intarga�ernmental purd-iasing ca�peratives sud� as the Nat[onal Purchasing Caoperakive 6uyBaard. Yvu must vomplete
this form If ynu plan to seMce the entEre United 5tates, or wili service only the specific states inditated. �Na2�: Ifyauplan
ha sen+ice Texas Caaperative mem�rs, 6e sure that ynu complete dhe Texas Reglonal Service Designatian (orm.J
If�►ru► serve diflie►�ent st�tes far di!%rent prnducf� or servic�es !►rcJ�ded In your proposal, yo� musi cnmplel�e
and sudmif a s+eparade State 5ervlcae �sfgnaCan farm l�vr each grorrp of p►ndr►c�ts and de�arty indicate the
p►ne�►rcfa ar .s�rvices !n which the desipnation appl►c�s in the spaae provide�al at t,ha end of ShJs Rvrnt. By
des�iynating a stat�e �r.stat�e.s� yau are eaeri�lying t�h�f ynu sre enE�horired �►rd willing ta pmvide ifie p►npose�d
producis end s�aurvlces In Glioe�e at�Ees. DesignaLing stal�es ►n whirh yau are eid�er r�n�ble or unwilling [p
provide tfie speci�d prsvducts and s+e►vk+e� sha11 be yrounds 16or �ither ►�gjertioon vi your propasa! or, if
awaMed, terminalSFon afyaurCbntract
Flease che�k all th
,�I I wll] servfce all states In the llnited States.
❑ I will not servite all states in the llnfted 5tates. I wll] servlce anly the s[ates checked below:
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
Alabama
Alaska
Rrizana
Arkansas
Califarnia [Public Contract Code Z0118 & 2flfi52]
Colaradv
Connecticut
Delaware
�istrict of Columbia
Florida
❑ Nebraska
❑ Nevada
❑ New Hampshlre
❑ New 3ersey
❑ New Me�tloa
❑ New York
❑ Narth Carvlina
❑ North Daitota
❑ 4hio
❑ �klahoma
❑ 4regon
❑ Pennsylvania
❑ Rh�de Island
❑ Sauth Carolfna
❑ Sauth Dakota
❑ Tennessee
❑ Texas
❑ Utah
❑ vQrmont
❑ Virginia
❑ Washingt��
❑ West Virginia
❑ wisflonsin
❑ Wyaming
Gevrgia
Hawaii
Idahv
Illinois
Indiana
I�wa
Kansas
Ker�ucky
Lauisiana
Maine
Mary€and
Massachusetts
Michigan
Minnesata
Mississippi
Missvuri
�1�ntana
Page 22 vf 66
City of Fort Worth and Fit Supply. LLC
PrOpOsal FOrm5LG+MNif5VC5v.06.14.2�i8
Page 22 of 48
= Ba�rd �
Cooperatlre Pr►rodasr,�
12ap7 Research Bouievard • AusEin, Texas 78759-2�3R ' PH: 8E}p-695-2919 • FAx: Sf1ti-211-545�4 ' hoar
This form will he used to ensure that yvu can service other governmen�l entities t�rnughout the Llnf#ed States as
Indl�ated. Your signature he[aw ovnRrms that you unders�nd yaur servl�e oommibner�t� during tihe term of a
ooritract awarded under this prapasal.
Fif Suppfy
Campany f�ame
Ryan Freeman
5ignature o A orl ed Compar�y QfFiclal Printed Name
Tf this 5ta6e 5erviae pesignation fvrm applies ta only ane or some of the produ�ts and 5ervloes pmposed by Vendor,
list the produ�ts and servi�es #a whlch this form a�plies here:
Page 23 oF fi5
City of Fort Worth and Fit Supply. LLC
Proposal Forms COMM�SYCS �.W.la.�n18
Page 23 of 48
� l�aar�l�
ca�arne rarc�s�
12Q07 Research 8oule�ard • Austin, Texas 78759-2439 • Phl: $aa-595-2919 � FA}C: 841fl-211-5454 • bu�6Qard.00m
NATlaNAL PURCHASIIYG CQOP�RATNE VENd�R AWARD AGREEMENT
In acovrdanoe with the Terms and Candltions associated with ti�is Proposal Invitatinn, a contract awarded under this
Prpposal Invitatlon rr�ay he "piggy-hacked" hy another go�ernmental entity. The Natfanal Purehasing Cvoperatl�e is an
Intergavemmer�tal purchas�ng covperative formed by certafn s�havl dlstricts outside of Texas tn serve its members
thrnughout the Unfted 5tates. If yau agree to be oonsidered far a piggy-hadc award hy the Natienal Purchasing
Caopera�ve, ynu agrce to the follawing terms and agree to serve Natfonal Purchasing Cooperative members in the states
yo� have indiCated on the 5tate 5ervice besignaUon form, in your Proposal.
By signing this farm, Praposer {referred ta in thls Agreement as "Vendvr") agrees as f�llnws:
1. Vendor acknvwledges that if The Laeal Govemment Purchasing Coaperath+e ("Texas Coaperative"} awards Vendor a
tnntratt urxier thls Proposal Invftatfan ("Lfnderlying Award"j, the I�ational Purchasing CAoperatl�e {"National Caapera�r�e"}
may - biat is not required to -�`piggy-back" on or re-award all ar a p�rtion of that llnderiying Award ("Piggy-eack Award"}.
6y signirtg this Natfanal Cooperatirre Ver4dor Award Agreement �"Agreement''), Vendar acoeprs and agrees to be baund �ry
any such Plgqy-Back Awa�c! as provided far herein.
2. In the ev�t Nationa[ Cooperative awards Vendor a Rlggy-Ba�k Award, #he Nativnal Cooperative Administratar
�`6uy6vard Administr�ator"� will n�tify Vendor in writfng of su�h Piggy-8ack Award, which award shall commence an the
effective date staied In the Notice and end an the expira�on date of rhe Underlying Award, subject ta annual renewals as
authvriied in writing by the BuySaard Administrator. Vendor agrees that nn furt�hher signafure nr ather action is required oF
Vendor in order far the Piggy-Back Award and this Agreement ta be hinding upon Vendor. Ver�dar furGher agrees ihat nn
interifneatior�s or changes to this Agreement �y Vendor will Ge bindEng on Na�onal Cooperative, unless such c�anges are
agreed ta by its 6uyeoard AdmEnistrator in wrlting.
3. Vendor agrees that 1t shall affer i[s goods arul serviaes ta National Caa�erative members at the same unft prlcing and
same general terms and candi�ons, suhject ta applicable state laws in the stabe af purchase, as required by the lJnderlying
Award. However, nvthir�g in this Agreement prevents Vendor from off�ring National Caoperative memhers better {i,e,,
lowerj competltive prlcing and more fawrable terms and cvrrditions than thase In the Underlying Award.
�. Vendor herehy agrees and avnflrms that it wi[I serve those states it has desagnated an the S#ate Serr�ice [leslgnation
Farm vf this Proposal Invitativn. Any changes to the states designated vn the 5tatie 5erv€�e Designatian Form must be
appro�ed in writing hy the 6uy8oard Adminlstratar.
5. Vendor agrees to pay Natianal Caaperadve tt�e servlae fee provided 'for in the Underlying Award hased an the amaunt of
purohases generated from Nationaf C.�vperative members through the Piggy-8a�k Award. Vendor shall remit payment tn
National Cooperative on sud'i schedule as It speclt3es {whlch shall nat ba more often than monthly), Further, upon
request, Vendor shall pravfde Natlonal CaoFerative with copies vi all purchase orders genera�ed from Natlonal Cavpera��e
members for purpvses of re�+ewing and verifyfng purchase actf�lty. Vendor further agrees tt�at IVational Caaperat��e shall
ha�e the right, upon reasonahle wrltten noflice, ta review V�dors recards pertaln�ng to purchases made by Nat[anal
Coaperati�e memhers in order ta verify the a�cx�rary of ser+�ce fees.
6. Vendar agrees that the Underlyrrng Award, induding Its General Terms and Conditions, are adopted hy referenoe tio t�e
fullest extent such prflvlsions can reasonaGly apply to the post-propasal�van�act award phase. The rights and
respansi5ilities that would ordinarily inure ta the Texas Coaperative pursuant to the llnderlying Award shall inure ta
Nationaf Cooperative; and, cnn�ersefy, the rlghts and resporrslbili�es that would vrdinarily inure to Vendor in the Undertying
Award s�afl Inure to Yendor fn this Agreement. Vendar reo�gniaes and agrees that Vendnr and Na�onal Coaperatl�e are the
unly parties tio this Agreem�t, and that nothing ln this Agreement has applicatian to other thfrd parties, including the
Texas Cppp�ative. In the �ent of confllct between this Agreement and the terms �f the Undertyfng Award, the terms af
this Agreement shall control� and then vnly to the extent necessary ta reoondle the con�E�t.
Prop�sal Fprms ppMMfSVCS �,U6.14.i418
Page 24 af Sb
Page 24 of 48
City of Fort Worth and Fit Supply. LLC
= Bvar��
ravope,arr� �.er,�fAa
f2pQ7 Research Boulevard • Austln, TexaS 78759-2439 • PH: Sfl0-595-2919 ' FAx: SDQ-21I-54S4 • b�y�qard.�am
7. This Agreement shall be gv�erned arrd aonstn�ed In accardance ►vith tire laws af the 5tabe of Rhode Is�arxf and �enue
for any dispute shall lie fn the federal district eourt of Alexandria� Virglnla.
8. Vendar acknowledges and agrees that the award of a Plggy-BaGc Award is withln tl1e sale disrretior� of National
Cnoperative, and hhat this Agreement daes not take effect unless and untl[ Natlanal Cooperathie awards Vendor a Piggy-
eack Awar� and the 6uyBvard Administrator natifies Vendor In wribng af su�h Piggy-eadc Award as provlded fnr herein.
WHEREF4RE, by slgning beiaw Vendor agrees to �he fvragaing and warrants that it has the atathority to er�ter- into this
Agreement.
Fit Supply
Name of V
Signature of Au ❑ri d Company {7fflrial
583-19
Proposal Inr�ftatlon Number
Ryan Freeman
Prin6ad Name of Authorized Company af�cial
8127124 � $
Page 25 of fi5
City of Fort Worth and Fit Supply. LLC
pate
Proparal FprmS COMMISV[' �.OG,14.�a1B
Page 25 of 48
= Bvar��
ravope,arr� �.er,�fAa
f2pQ7 Research Boulevard • Austln, TexaS 78759-2439 • PH: Sfl0-595-2919 ' FAx: SDQ-21I-54S4 • b�y�qard.�am
7. This Agreement shall be gv�erned arrd aonstn�ed In accardance ►vith tire laws af the 5tabe of Rhode Is�arxf and �enue
for any dispute shall lie fn the federal district eourt of Alexandria� Virglnla.
8. Vendar acknowledges and agrees that the award of a Plggy-BaGc Award is withln tl1e sale disrretior� of National
Cnoperative, and hhat this Agreement daes not take effect unless and untl[ Natlanal Cooperathie awards Vendor a Piggy-
eack Awar� and the 6uyBvard Administrator natifies Vendor In wribng af su�h Piggy-eadc Award as provlded fnr herein.
WHEREF4RE, by slgning beiaw Vendor agrees to �he fvragaing and warrants that it has the atathority to er�ter- into this
Agreement.
Fit Supply
Name of V
Signature of Au ❑ri d Company {7fflrial
583-19
Proposal Inr�ftatlon Number
Ryan Freeman
Prin6ad Name of Authorized Company af�cial
8127124 � $
Page 25 of fi5
City of Fort Worth and Fit Supply. LLC
pate
Proparal FprmS COMMISV[' �.OG,14.�a1B
Page 26 of 48
r ������
+Ccaperatlre Pw�eliasfrrg
1ZOQ7 Research Boulevard ' Austfn, Texas 78759-Z439 Pii: 8aa-fi95-2919 ' FA]C: 804-2I1-S454 ' buv6aard.com
By signature below, I certfFy that the ahave ts true, camplete and accura6e and th2t I am author€zed by my comparry ta
rt►ake thls certification.
F�t s�,p�ly
co�„panY �tamQ
Signat�are of u r€xed Company Offlclal
Page i7 of 6fi
City of Fort Worth and Fit Supply. LLC
Ryan Freeman
Printed Name
Praposal wrms COenhySVCS v.W.1f.2Uie
Page 27 of 48
� l�aard �
����
12007 Researdi Baulevard • Aust#n, Texas 78759-�439 • PH: 960-695-Z419 • FP�S: 804-211-5454 • huvboard.r.om
GQYERNMENTAL REFEREIVCES
Fve yvur Prapvsal tv �e consldered, you rrtust supply a minimum of fve {5] individual governmenta! entity referer►ces. The
Cooperatf�e may cantact any and alf referenc�s pru�ided as part of the Pro�asal evaluatlon. Pravide the ir�formation
requestesf below, induding the exis�s�g priaejdiscaunts you ofFer each customer. The Cooperat�ve may determine whether
prEces�disoounts are fair and reasonable hy �omparing prices�discounts stated in your Proposal wlth the pr€ces�discounts
y4u ofFer other go�ernmental custamers. Attach additEonaf pages if necessary.
Quantityj
En�tfiv Name Cn tact Phone# Emall Addresa Disoount Valume
, City of Fort Worth Travis Wiiliamson 81 T-392-879� t�avis.williamson�fortworthtexas,gar► 2fl�59'Q $15Qk
City of Allen Casey IVIcCasiin �469) 39�-7�93 �mccasiin c�cityofall�n.org 20-30°/a $30k
�.City of Katy �ar�a Massey �8�-391-35aa dmassey�citya�caty.com ?a-34°/0 $25k
City af 5pring Jash Posey 832-472-9239 josh.posey(cr7�spring#d.cam 24-3�°/0 $5Qk
5 Ciiy of Buda Alex Haefner 512-295-223� ahaefner(�budafire.org 2�-3i3°/� $25k
Da yau ever modify your wrftte� polides or standard governmerrtal sales practices as identified in the aborre �hart t� give
hetter dfscounts {Iower prices) t�an indicated? YES ❑ N4 ❑■ If YFS, please explaiR:
6y signature belaw. I�rtiFy that the ahave is true and oornect and ttsat I am authvrized E�y my company ta make this
oertit7ratlon.
Fit 5upply
cempan
5ignature a A ixed Company Dffldal
Ryan Freeman
Printed Name
Pdge 28 af 6Fi
City of Fort Worth and Fit Supply. LLC
Prc�posal Forrns COMMISVCS �.Ob.14,2018
Page 28 of 48
= �aard �
COGpEId�IY9 PWCi11R3IAA
I2D07 Res�rth 8oulevard ' Austfn, TexaS 78759-2434 • PH: 8flQ-695-2919 • FA](: 8Q�211-5459 ` ard.c
MARitETING STRATEGY
Fve your Praposai to be oonsidered, yvu must submit the Marketing 5trategy yvu wllf use iF the Cooperative aocepts ali vr
part of yvur Pmpasal. � am : E�lain hayv yow campany wr71 inidally inform Cue,verdtiv� memt�rs ofyaurBuyBoart�
c�n6ac� and hdw you will candnue to supporf b5e BuyBoard far the duration afthe mn6�d peripd.)
Attach additional pages if necessary,
Fit Supply wili market to it's existin� custom�rs that are 6uy Bvard mem�ers
and non-members to encvurage them to �urchase fhraugh the program. Fit 5uppfy
has 10 vutside safes reps that �isit custpmers facilities and de�elop relationships
with Buy Boarci members. In additivn, Fit 5upply markets thrvugh email and mail
tv remin� customers of what products, services and educatian we have
a�ailable through their Buy Board contract pricing.
Fit 5upply
Company Name
5rgnature A orf ed Campany Offlclal
Ryan Freeman
Printed Name
Propa52l FD11ri5 CAMM171SVC5 v.pG,14.201B
Page 29 oF fi6
Page 29 of 48
City of Fort Worth and Fit Supply. LLC
= Baard �
GoopereWe Purcheaing
12a67 Research 6vulevard ' Austln, Texas 7$759-2439 ' PW: 80fl-695-2319 ' FAIC: $UQ-211-5454 ' buvboard.com
C4NFIDENTIALIPROPRIETARY IPIF4RMATI�N
p. Public Disdasure 1 a`s
All PrDpos815, forms, documeritation� ar other mat+erials suhmit't�l by Vendor tv the Coaperat�ve in respvnse ta this
Proposal InNtatlan, induding catalags and prfcelists, may he su6ject to the disclosure requirements of the Texas Puhllc
Informatian Act (Texas Gavemment Cade �hapter 552.00�, ei seq:) or slmllar dlsclosure law. . Propaser must dear�y
identify an this Form any information in its Proposal {Including forms, do�umentation, or nther•materfals submltked wlth the
Propvsal} that Propaser cansiders proprletary or oonf�dential. IF Proposer Falls to praperly identify the informativn, the
Coaperative shall have nv ob{igation ta notify Vendor ar seek protecdon af s��h informatian fram public disclosure should a
memher af the public or ot�er bhird part}+ request ar,cess ta the infarmatian under the Texas Puhllc InFormation Act or
simiEar distlosure law. Praposer wlll be no�fied oF any third party request for infunnatian in a Praposal that Proposer has
identifed in this form as praprietary or conffdential.
Dves yvur Prapasal �including forms, dotumentatlori, or other materials su6mitted with the Propvsal} contain informatian
whi� Ver�dvr cvnsiders proprletary or oonflder�fal?
� N�, I certify that none of the inFormativn included with this �raposal is ronsidered oonfldentfal or proprietary.
� YES, I oertffy that this Proposal mntafns information cflr�sidered mnfdential or praprietary and all such informativn is
speGflcally fdentiFied an this Form.
If yvu respanded "YES", you must identfiy helaw the specific fnfarrnatiun yvu consider tnnflderrtial or proprletary. List each
page number, farrrs numher, ar ather inFormativn s�fFicient ta make the informaiian readily identif[ahle. The Cvoperab�e
and its Admin€stirator will not he respansib[e fQr a Proposers �ailure tv cleariy identify irrFormation cans�dered confldential or
proprietary. Further, hy submltting a Praposal, Proposer acknowledges that the Cooperative and its Adminlstrator will
disdose ErYformatlon when required hy law, even if such Information has been identified herein as informatinn the vendor
considers oonfiden�aE or proprletary. �
ConFdenYial � Proprletary Infarmatron:
@8 �$, ��, �7
Fit Supp�y Buy Baard Prir,e List
r,arr�cr, ad�na,a��ie�s �.�ede��
Page 30 of 6fi
City of Fort Worth and Fit Supply. LLC
Pmpasal Farms COMMISInS �.06.14.2Q18
Page 30 of 48
� Board �
�@Perethre Pwohxslag
i2�07 Researd� Sflulevard ' Austin, Texas 78759•2439 ' PH: 8U0-695-2419 ' Fl�f: 80U-211-5454 '�SLr�ard.�am
�Coayt'laht infnrn�ati�}
�oes yvur Proposa! �including forms, dveumentation, or nther materials submitted with tlie ProposaE) rantain vapyright
Informatfon?
� NQ� Froposai (including forms, documentatian, or ather materials suhmimed with the Propasaf} does not
cvota�n capyright Iniormatian.
❑ YES� Propasal (including farms, dacumentation, ar other materfa�s submltted with the Proposal) dees
rantain ropyright i�fvrrnation.
if you respanded "YES", identlfy below the specifrc dacuments or pages rontaining capyrlght infvrmatlon.
Capyright Infarmation:
(AfCad� add•tiohal she�cs i(nc�ded.J
C. OON�lIt �O R�BilSe �Aqfldpllb�IIPI�OfIBFbPY� IIL YIi�01'111ah0�1 tiU ����
Buyeoard members (Caoperative and nonpmfit members} see}aing to make purchases thrvugh the BuyBoard may wish tn
view infQrmation induded in the Propasals af awarded Vendors. If you identified informatian vn this farm as oonffdential�
praprietary, ar suhject tn copyHght, and yc�u are awarded a B+ayBoard aantract, your aoceptance of the BuyBaard contra�t
award wns6itutes your �nnsent tn the dfs�lasure of surh informativn to &ayBoard memhers, including pnsting aF such
infarmation on the secure euyBnard website for memhe�s, Note: Nelther the Coaperative nar its Administrator wlll be
responsihle for the use nr distributlon of informatfon by euyBr�ard members ar any other party.
Q. Cor�ent � Belease Promssl Tahufatlon
Natwithstandlrg anything in this Casifider�tfal�Proprietary Information Form to the contrary, hy submftting a Prapnsal,
Vendor r.onsenis and agrees that, upori Cantract award, the Coaperat�+e may publlcally release, induding postir►y an the
puhlic 6uyBaard wet�site, a oopy af the proposal tabulation 1`or the Cvntract induding Vendvr name; praposed
�atalog�prlcelist name{s}; �rapnsed percen�ge �iscount{s}� hourly labar rate(s}, �r other specifled prieing; and Vendor
award ar non-award informatian.
8y signature below, I certify that the infvrmatlon in this form is true, oamplete, and aocurate and that I am authvrized by
my oompany to make thls rertifleation and all �ansents and agreements contalned herein.
Fit Suppiy
compan ,
Slgnature nf A ed C'um�any Officiaf
Ryan Freeman
Prinled Name
8/27/2018
❑��
Page 31 oF 65
City of Fort Worth and Fit Supply. LLC
Propowl Farms COMM/StiCS �.OG.14.7.018
Page 31 of 48
` �oar�l �
���� ���
]2a07 Research Boulevard ' Austin, Texas 78759-2439 • Pii: 8a0-fi95-�919 ' FA]C: Sfl6-211-5454 • huvhoard.tam
VENDOR BUSINE55 NAME
By suhmlttir►g a Proposal, Proposer is seeking to enter intv a legal cantract wlth the Caaperati�e. As sud�. a Proposer must
be an individual ar lega! business er�tity rapable of entering irrtv a binding cantra�t, Praposers, must compfetely and
accurately pm�ide the Infoimatfan requested belnw ar your Propasal may he deemed non-respar►slve.
Hame of Pro�asing Cnmpany: Flt Sl![7j�ly, LLC
(G�st Lhe �( rrame of the cv+npany s�ekir+g to canlract avlth Hae L'oaperaGve. � NOT dtst an assumed narr� dda, aFa, etc he�: 5uch infamatiwi may
6e prarided 6elrnx If you are su6mi[trirg a jaint pmpasad wiD`� anolher entily to pravl�e the sa�ne F�qaoszd 9oods or se+vicer eaa7 submr[dr+g enG�y
should mmplete a s�varete Nendar infa�nation farm. SeParatelY Cqverating legal6u�'riea.s ent+7�e , even if af!'itiated enh� evdird� propase ta provrde
gor�ds or spai+ices �ately mua svl�ni[ �t+erir awn P�opesalsl
please check {7�] ane aF the foll�adt�:
7►me aF 8usiness�
Individual�SflEe Proprfetor � _
Corporativn
Limited Llability Company _x,
Partnership
Other Ff ather, iderrtify
$titt@ Cf �11Lp1'ppl�tf0li {if appGca6le]: Tx
Federal Emplvrerlden�cation Numher: �`�Q`�`�Q240
(I�errdor must indude a completed � form wlth their propasal�
List khe Name(s) by which Vendor, if awarded, wishes to he 4dentlf€ad on the 6uyBaard: (+vvre: rrv��r rtran tne n�arr�e ar
�p�`n9 �Pany ILSfed a6av� oRly valld Gade names (db� aka, e[z;J vf dAe P+�v9 ��+A�+Y may be uspd and a mpy of}nrr Assumed Name
Ce�'h'17p1�s), ifappHc�bl� mce7beattrd�ed.J
Fit 5upply
Page 32 of 6fi
City of Fort Worth and Fit Supply. LLC
Pr000sal Forms COMhV5VC5 v.06.1a,�oi8
Page 32 of 48
� Baa�d �
ca�►ger� ��►.,�
I2007 Researth 8oulevard • Austin, Texas 7$759-Z�39 ' Pi1: 800-fi95-2919 ' FA)C: 860-211-545� ' 6uv6oard.cvm
EDGAR VEND�R CERTIFICATIQN
(� CFR Part 2� and Appendix II}
When a Cooperative member seeks ta procure gQods and se�vices using funds under a federal grant ar cvntract� sp�ifl�
federal laws, reyulatians, and requirerr�ents may apply in addition to those under state law. This includes, hut fs not limited
to, the praCuremer�t standards uf the Unifnrm Administrati�e Requlrements, C�ast PHnGples and Audit Requirem�nts for
Fe[feral Awards, 2 CFR 20a (somelimes referred to as the "Unifarm Guidance" or new "E�GAR"}. AA Vendors Su6mitting
propasals must �omplete this EDGAR Certification Fnrm regarding Vendor's willingness and abiiity tv �vmply with cer�ln
requirements wtilch m�r be applicable to specific Canperative mem6� purtihases ustng federal grant funds. This
campleted farm will be made availahle Go Coopera�l�e memhers for their use whlle r4nsidering their purchasing options
when Usfng federal grarrt funds. Coo�erative memhers may also require Vendors to enter Ento andllary agreemen�s, in
additian tv the BuyBoard oontra�t's general tertns and condf4ians, bo address the members specific cantractual needs,
induding q�ntract requirements fnr a procurement using federal grants or cantra�ts.
1°ar eaah of the items 6e1aw, Vendar shnnld certlfy i1e►rdor`s ayr+eement and ability to c+amP�Y. wher�e
appl►caWw� 6y ►yav►�g vendors �udrorlraed rep,esenrative c+an,plete and io►1:ria� rfie appl►c.a61e Iioxes and siyv�
die ac�mo►vledqment at tfie emd af tliis 1f�rm. I� ynu fa11 tn c�v►nple�e any item in this �ivrni, dre Cooperabve
wi11 avn.sider �nd may 1►tst t�ie Vendors respansoe an the Buy6aar� as N�, � t�ie I/enuQor fs unaWe or unwiNinq
t�+ c+vmply. A"IVD" response tio any af the items may, If appliea6le, impac# t�e ability of a Cvaperative member ta
purchase fram the Vendor using federal funds.
i. Vendvr Vfolatlon or 6reach of C�ntract Terms:
Carrtracts far mvre than the simp�lfied aaquisl�on threshold currenUy set at $15a,a0Q, which is the inflatinn adjusted
amount det+ermine[f hy the Civiiian Agenry ACquisitivn Council and the Defense Acquisition Regulatior�s Cauncll (Caundls}
as authorized by 41 USC 1908, must address administra'd�e, cantractual, or legal remedies in instanoes where cantractors
vfalate or breach contract terms, and pravide fur such sanctions and penalties as approprlate.
Pro�fslons regarding Vendor deFault are Included in the BuyBvard General Terms and Conditlons, including S�tifln E.18,
Remedies for Default and Termination of Contract. Any �vntract award will be subject 6o such Buyeoard General Terms
and Canditians, as well as any addid�nal terms and ronditions in any Purchase arder, Cnnperati�e memtrer ancfllary
canh�att, or Memher Construction Contract agraed upon hy Vendor and the Canperati�e member whi�h must he ovnsistent
with and prote�t the Coaperative member at least to the same extent as the BuyBaard Terms and Conditions.
The remedies under the Contract are in add�ion tp any other remedies ti�at may be a�ailahle under faw or in equlry. By
submltbng 2 PropOsal, you agree to [hese Vendor �ivfation and 6reach of cantra�t terms.
Z. Terminativn for Cause ar Convertierioe:
Far any Coaperative memher purchase or corrtract in exoess of $i6,�afl made using federal funds, you agree tf�at the
fvllowing term and condition shal! apply:
The Cbvneradve mem6er may fernrinate or carm� any purahase orp�+r under thls Con(ract ai any time, wi�r ar wlbhouf
rause, 6y provlding seuen �J} 6usiness days advanc� iwrrtten naLic� to the Yend�: If d�i1s Agreement Is tem�inat�d in
ac�ar�c� wlfh 6hls ParagrapPi, bhe Caaperadve member shall only E� r�quir�d to �aay �endor far ,g�s ar sern'c�s
delrvered [u �ie Cooperadve mem6er prior [n tt�e �errnination and not otherwlse returrred In acmrdance with �endors
retum pollcy. If bhe Caopera0�ve member has piaid �endor fw� gaods or s�rvices rrot yet prnuided as af b5e date nf
termirradon, i�endvr shall immediately refurrd surh paymen[�s].
If an alternate provisivn for terminativn af a Covperaki�e memh�r purchase for cause and con�enienoe, iRduding the
manner by which it will �e effected and the basis For setdement, is included in the Caoperatlue member's purchase order,
ancillary agreement, ar Memher Canstructian Canbact agreed tQ 6y the Vendflr, the Cooperati�e mem6er's pro�isivn shall
control.
Prepasa! Forms CQMM�5VC5 vA6.14,20F8
Page 33 of fi6
Page 33 of 48
City of Fort Worth and Fit Supply. LLC
� �aard �
������
i2pp7 Research Boule�ard ' Austin, Texas 78759-2439 ' Pli: 800-695-Z919 ' FIUC: $O�ZIl-5454 ' huvi7o�rd.com
3. Equef Employmenk Opportunity:
Except as vtherwise pravided under 41 CFR Part 60, al! Cooperative member purchases or contracts that meet the
definition oF "federally assisted oonst�uction cantract" In 41 CFR Part 6�1.3 shall he �feemed to include the equal
appartunity dause pro�ided under 41 CFR fia-1.�{b}, in a�oordanoe with ExeCuti�e Drder 11246, "�quaf Empfoyment
Oppnrtunity" {30 FR 12319, 12935, 3 CFR Part, 1954-1955 Comp., p. 339}, as amended by Fxe�u�ve Order 11375,
"Amertding Executi►+e Order 11246 Relating to Equaf Employment Opportunity," and implemetrting reguf2tfons at 41 CFR
Rart 6a, "flffice of Federa! Contract Camplianoe Programs. Equal Employment Oppartunity, Departrnent of Labar."
The equal nppnrtunity cfause provided under 41 CFk fifl-i,4�hj is hereby Incorporated hy refererice. Vendar agrees that
such provision applies to any Coaperative memher purchase ar �ontract that meets the definition of "federally assisted
mnstructicxi contract" in 41 CFR Part b4-1.3 and Vendor agrees that it shall cqmply with such provlsfon.
A. Davis-Bacan Ait:
When required hy Federal pmgram legisfation, Vendor agrees that, for all Caaperatn+e memher prime �vnstru�tion
epntractsjpurchases �n exress af $2,000, Vendvr sha11 comply with the pavis-Bacon Ad {40 U5C 3141-3144, and 314fi-
3i48] as supplemented by E7epartment gf La�or regulations (�9 CFR Part 5, "Labor Standards Provlslar�s Appllcable ta
Cantracts �overing Federally Financed and Assisted Cvnstre��tian"}. In accordance with the statute, Vendor is required tn
pay wages to la6arers and merhanics at a rate nvt less than the prevailing wages speclfied in a wage determinate made by
the Secretary of �aber. In additl�n, Vendor shall pay wages nat less than once a week.
Current prevalling wage determinatfvns Issued hy the oep�artrnent flf Labor are a�aifable at wdal•aov Vendvr agr�es that,
for arry purchase ta which this requirement appiies, the award of the purrhase ta the Vendar Is mndVtfoned upon Vendor's
acceptanoe nF the wage determinaGon.
Vendor further agrees that it shall also oomply with tf�e Copeland `�Antl-Kl�kl�adc" Act (4U USC 3145}, as supplemenbed by
Depar'trrient vf Lahor regulativns {29 CFR Part 3� �'Contractors and 5ub�antractors ❑n PuhliC Building vr PuWie INprk
Financed m Whole or in Part by Loans or Grants Frnm the United 5tates'�. The Act pravfdes that each oontractor or
subreciplent musk be prohibited frvm ind�cing, �y any means, any person employed in the constructian� Campietivn, Or
re air vf uhlic work to i�e u an rt of the cam nsatian to which he ar she is otherwise endtled.
5. Contrac�E W�rk Haurs and SaFety 5tandards Act:
Where applicable, fQr all Coaperati�e member cvr�tracts or purchases fn ex�ess of $10Q,000 that involve the empleyment af
mechaRics or la�arers, Vendor agrees to aomply with 40 U5C 3702 and 37fl4, as suppl2menied hy �2p2rtment of Lahpr
regulations {29 CFR Part 5), Under 40 LJSC 37Q3 of the Act, Vendor Is requlred ta rompute the wages of every me�hanlc
and laharer vn the basis of a standard work week of 40 hours. Work in exoess af the stand8rd work week i5 permiSsi�ie
provided thai the warker is eampensated at a raie of not less than one and a half times the basf� rate of pay far all hours
worked iR exr,ess of 4{1 hvurs in the wark week. The requirements of 40 U5C 3704 are applitahle tri wnstructivn wOrk and
pr-o�ide that no labvrer nr meehanic must he required ta work in surroundings ar under working oondldons whlch are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases vf supplies or matenals or arGcles
❑rdinarily arrailahle on t}ie apen markek, or cnntratts for transportation nr transmission oF Int+elligence.
6, Right to in►�entians Made Under a Cantract or Agreemerrt:
If the Gaoperative memhe�'s Federal award meets the deflnition vf "funding agreement" under 37 CFR 401.2(a} and the
recJpient or subrecipient wishes to enter irrto a cantratt ►vith a small husiness firm or nonprpfit org2nixation reg8rding the
substitution of parlies, assignment or perFomfance ur experiment�l, developmental� vr resear�h work under that "funding
agreement," the recipierrt or subrecipient must compiy with the raquirements vf 37 CFR PBrt 4Q1, "Rights to Imentipns
Made �y Nonpr�fit OrganizatiQns and Small Business Firms Under Go�emment Grants, Contracts and Coaperative
Agreements," and any Imp[ementlng regulations issued try the awarding agency.
Vendar agrees ta oomply wfth the a�o�e requirements when applfcahle.
Page 3�F vF 66
City of Fort Worth and Fit Supply. LLC
Proposal Forms COMMJSVfS r.U6.14.2018
Page 34 of 48
� �oar��
��« ���
ia�D7 Research 6ouleuard • Austln, Texas 78759-2934 • PH: 8flQ-695-�919 • FA7(: S4Q-211-5454 • h�hvard.com
7, dean Air Act and Federal Water Pollution Contml Act:
Clean Alr A� (42 L15C 7401-7fi71q.} and the Federa[ Water Pallution Contr�l Act (33 LlSC 1251-1387), as amended —
Cvr�tracts and subgrants af amvunEs in excess of $150,fl06 must cantairr a pravEsion that requEres the non-Federa! award to
agree to oomply witli all applipble standards, �rders, nr regulations issued pursuank to the Clean Air Act (42 USC 74(il-
7b71q.) and the Federal Water Pollution Control Act, as amended {33 USC 1251-1387}. �afatipr�5 mu5t be repvrted to the
FedQral awarding agency and the Regional OfFioe of the En�ironmental Pmke�tion Agency (EPA).
When required, Vendar agrees 6o aomply with all applira6le standards, orders, or regula#ians Issued pursuant ta the Clean
Air Act and the Federal Water pfllfutlon Control Act.
8. Debarment and Suspensian:
�ebarmer�t and 5uspensian {Executi�e Orders 12549 and 12fi85) — A contra�t award {see 2 CFR 1$�,220} must nat be
r'n2�de to parties li5ted on the grniernrrtent-wide exclusions in the 5ystem for Award Management [SAIN), in aceard8nve with
the aM6 guidelines at 2 CFR 180 that Implem�nt �xecudve �rders 12549 {3 CFR Part 1966 Comp, p. 189} and i2689 {3
CFI� Part 1989 Camp. p. 235}� "deharment and 5uspensiorr." SA�N Exclusfons contafns the names of partie�s de�arred,
suspended, or otherwlse exduded by agencies, as weli as parties dedared ineligi�le under statutory or regulatory authoriry
other than Executive �rder 12549.
Vendar certifies that Vendor is not curre�tly Ifsted Qn the go�ernment-wlde exdusions in 5AM, is not debarred� suspended,
ar �therwlse ex�luded by agencles ar declared ineligihle �nder statutvry or regulatnry authoHty other than Dceeuti�e Order
12549. Vendor further agrees ba Immedfataly notlfy the CoQperative and alf Cooperati�e members wEth per�ding pur�ases
ar seeking to purchase from Vendor if Vendor is later listed on the g��ernment-wlde exclusions in SAM, Or is debarred,
suspended, ar otherrvise exc�uded hy agencies ar dedared ineligible under statutory ar reguiatory authority other it�an
Executi�e arder 12549.
9. Byrd Anti-Lo�ying Amendment:
Byrd Antl-Labbytng Amendment [31 USC 135Z} -- Vendvrs that appiy vr hid far an award exaeeding $100,000 must flle the
rec�uired oertification. Each t]er certifles ta tf�e tler ahove that It will nat and has not used Federal appropriated funds to
pay any person ar organization fvr influencing or att�mpting ta irdluence an oft�lcer or employee oF arry agency, a member
of Congress, offloer or employee af Congress, ar an employee of a member of Cvngress in �anne�tian wfth abtainfng any
Federal cvntra�t, grant or any other award oovered hy 31 USC 1352. Each tfer must alsa dfsclose any iohkrying with nan-
Federal funds that takes place in oonnectlan with abtaining any Federal award. Such disclvsures are forwarded from �er to
tier up tio the nQn-Federal award. As applicable, Vendor agrees to flle all certiflca�ans and diselosUres required hy, and
a#herwise oompl with, the B rd Anti-Lobb in Arnendment 31 IJSC i35i .
10. Procurement of ReCprered Mate�als:
For Cvoperatl�e member purc�ases utiilzing Federal funds, Vendar 2grees bv oomply with 5ection b042 of the Safid Waste
❑isposal Act, as amended by the Resouroe Cvnserva�an and Reaavery Act where appll�ahle and provide such informatian
and cerdflcatlor�s as a Coaperat��e member may require to conFrm estimates and otherwise comply. The requirements of
5ection fi002 indude procuring only items designated in guldellnes of the Envlronmental Protectian Agency {EPA} at 4f] CFR
Part 247 that oontain the highest percentage vf re�overed materials practicable� cvnsistent witih mair�taining a satisfactory
level of wmpeGGvn, where the purchase pr3�e of the Item exceeds $1�,flQ6 ar the value af the quantity aoquired during the
precedfng fiscal year exceeded $1p,pOp; procuring solid wasbe management servlces In a manner that maximixes ea�ergy
and resauroe� reco�ery, and estaGfishing an afflrmatl�e procurement program fvr proourement of rerovered materials
Identifed in the EPa guidelines.
13, Prof'�t as a Separabe Elemerrt of Price:
Far purchases usfng federal funds fn excess of $Z50.000. a Cvaperati�e member may be required ta negotiate prafit as a
separate e�ement af the price. See, 2 CFR 200.323{b}, When requfred by a Cooperative member, Vendor agrees bo
pravide information and negotiate with the Cooperakive member regarding profit as a separate element of bhe price for a
parG�ular purchase. However, Vendor agrees that the total prEae, Induding prpft, ch�rged hy Vendor tio tf�e Cooperatirre
member shaA nnt exceed the awarded pricing� induding any applicahle discaunt, under Vendvr's Cvoperatl�e Contract.
a��i ��� conM�rs v.os.ia,zvis
Page 35 of fi6
Page 35 of 48
City of Fort Worth and Fit Supply. LLC
� �aard�
�����
12d67 Researah 6oulevard • Aushin, Texas 7$759-2439 • PH: 8flU-695-2919 • FFUC: 8D0-�11-5454 •�
12. General Ccmplianoe and Goaperatinn with Caaperatl►re Members:
In addition to the foregvirig specifc rc�quirement;, Vendor agrees, in aaepUng any Purchase Order from a Cooperative
member, it shall make a gaod faith ef'Fart ta wark with Ca�perative members to proNde such irrformatEan and ta satlsfy
such requfrements as may apply ta a particular Cavperati�e member purchase or pur'�hasES induding, but riot limited to,
applicable recordkeeping and record re6entian requirements. __ ___
Vendor Certification:
YES, I agree or
Vendvr Certificatio� Ibem No. Np I da NOT a ree Initia!
1. Vendor Valatian or Brea�h vf CvntracE Terms �ES RF
2. Termination for Cause or C.�n�en�ence YES RF
3. Equal Employment �pportunity YES f�F
�. ��'S-a�`°�'� YES RF
5. Corrtr-est Work Haurs and 5afe'ty Standards Act yES RF
fi. Rlght to Invent9uns Made Under a Contrad or Agreement YE� RF
7. Clean Air Act and Federal Wat� Pollutfon Cantral Rct YE� f�F
8, oebarment and suspension 1(ES RF
9. Byrd Rnti-Lo6hying Amendment YE5 RF
lU. Rrocurement of Reoo�ered Materials YES f�F
11. Prpfit as a 5eparate Element of Price Y E� R F
12. General Compllance and Caoperatlan witf� Coapera�ve Members Y E S R F
6y signature below, I certlfy that the Infarmatlori in this fqrrn is tr-ue, complete, and ao�urate and that I am autharized by
my company to make this �ertkFication and all cflnsents and agreements contaitted herein.
Fit 5upply
�Compa
5igr�atu oF ut xed Company Offlc.Jal
R�ian Freeman
Printed Hame
Page 36 of 66
City of Fort Worth and Fit Supply. LLC
P�opo�t Forms COMM�SiI[5 r.p6.14.2018
Page 36 of 48
� B�ar�l�
�rn� �.�k�
Z2007 Research 8oulevard • Aus�n, Texas 78759-Z439 • PH: 800-595-2919 • F,4X: 80Q-ZS1-5454 • hu ho�ard_oom
PROP05AL INVITATI�N QL1fSTIQNNAIRE
The Cboperative will use your responses to the questions helaw En evaluatlng your Proposai arrd Lechnical and fnancfal
resnurces ta provlde the goads and perform the servioes ("Wark"} under the BuyBoard contract contemplated hy this
Prvpvsal InvitaGon �'Contra�t"}, Rroposers must fu11y answer each question� numhering your responses to correspond tn
the questions�numbers below. Praposers must tompfete helaw vr attach your responses to this questlonnalre, sign where
indi�ated beEow, and submit the signed questionnalre and ynur respanses to a[I quesdorbs in ane document wihh your
Proposal. You must sabmit the signed �uestiannaire and respanses w[th your Proposa[ or the Proposal will
not �e oonsidered.
1. List the number of years Propaser has heen in business and former business names (if applicahte}, I�ote whett�er your
�ampany is �urrentiy For sale or involved In any transactlon that would slgnlflcantly alter its husiness vr result in
acqufsf�fan hy another entity.
11 Years
Fit 5upply has �een in �usiness since �QQ7
2. �escribe the resources Praposer has to manage sfaff and suocessfully perform the Work wntemplateed under th�s
Contract. State the number arid summarize the e�eriente of company persannel who may he utfllzed fvr the Wark,
including those wha wllf be a�allable to Cpoperati�e memhers fvr assistance with project development� tec�n�raf issues,
and product selection far Work associated with this Contract.
Fit Supply has 1 a sales personnel, VP of qperatians, 3 Admins, AR Rep
Install Manager, �� Installers, 1� service warranty Te�hni�ians.
5ervice and suppar� aperations thraugh ❑ut the state vf Texas
for facally pertormed fast respanses.
3. �escribe Rrvpvser's financial �apability ta perform the Carrtrac#. 5tatie or describe hhe firm's Fnanclal strength and
rating, honding �apacity, and fnsurance ca�erage limi�s. State whether the flrm, ar any of the flrm'5 p�st vr present
owners, principal shareholders or sta�khold�s� vr officers, ha�e been a debtar party+ to a bankruptcy, recelvership, or
insol�enry pra�eeding in the last 7 years, and ldentlfy any su� debtar party hy name and relationship to ar positlan
with your Firm.
Fit Supply is financially sound with �oth self fund�d line� of credit in ad�ition t4
traditianal �ank lines af credit shvuld they be necessary.
Insuranae meets or exceeds industry standard with $5,�OO,OQ4 Umbrella
$1,D00,�0� WC, $1,Q��,0�0 Auta
Page 37 oF 66
City of Fort Worth and Fit Supply. LLC
arnposei �amLs ca�ralsvrs y,os.ia.xois
Page 37 of 48
� Ba�r��
caa�g.st�� rn►�aasrn�
12007 Research Boulevard • Austin, Texas 78759-2939 • PN; 8DU-595-2919 � FA7C: $00-211-5454 • 6uv�aard.00m
4. Does your company have any outstandfng flnancial judgments and�ar is it airrently fn default on any laan or flr�anGng
agreement7 If so, pmvide detailed information an the nature af su�h ibems and praspects fnr resalution.
N❑
5. List all contracts, if any, ln the last 10 years an which Proposer has defaulted, falled to camplet� vr deliver the work� ar
that ha�e been terminated For any reason. For each such cantrack, provide the prnject name� smpe, value and date
and the �ame of the pracuring entity. Fu11y explain t�e circumsiances of the defauR, failure ta oomplete or dell�er the
wprk, 4r #ermination.
None
6. List all litigatlan or other legal proceedings {in�luding arhitratian proreedings}, If any� in the last iD years hrought
against yaur firm, ar any nf tf�e flrm's past or present owners, principal shareholders or stackhvlders, affiaers, agents ar
emplayees, that relates to or arises from a ovntra�t similar [o t1�is Contract or the work mntemplated under thls
Contract. Provide the sryle of the 3awsuit ar proceeding (name af partfes and court ar tribunal in whlch fifed}, natuce af
the clafm, arsd resvl�tion or current status.
None
By siqnature below, I oerdfy that the inFormatinn tontained fn andJvr attaehed ta thls �roposal Imi�albn
Questlonnalre in reaponse ta khe a6v►►e questians is true and �arrect and that I am authorixed by my
aompa�y tv make this certifiption.
�It culljJj3�]I
Company Name
5ignature a A orized Campany �ffldal
Page 38 af 56
City of Fort Worth and Fit Supply. LLC
Proposal F4rms COMM/SVCS v.96.14.2018
Page 38 of 48
� B��rd �
Gcapsrative Panehaslog
12D67 Research 8oulevard • Rustin, Texas 78759-2439 ' PH: 8Ufl,695-2919 ' FA7C: 8�0-211-5454 '�urhoard.rnm
RE [IIRE� F RMS CHECICLI T
{Fiease chedc (J) the Foflwving]
0 C.�rppleted: Propose�'s Ilgr�ment and 5lgnature
0
0
0
�
0
0
0
0
0
�
�
0
0
0
0
�
0
�
0
�
0
�
�
Campleted: Vendor Contact InfarmmtFon
Camoleted: Felony Cvnriction �iaclosure and �eharment Certlfcatidn
i leted: Resident�Nunrealdent Certificativn
m let�d: No Israel Boy�calt Certifica�an
Co. mnfeted: No Excluded Natlan nr Fpreign Terrorist �rganixation Certifica#inn
[om : Historicalir Underutilised 6usineas (NU6� Certification]
Campletad: Cvnstn�ctipn Related Govds and Services Affirmatian
S+?�: De►riatlonjCampliance
Camnleted: Lo�atlan�Hert�orixed 5eller Llstings
� I_p eted: Manufacturer pealer Designa�ion
m leted� Texas Regional5ervioe Designation
m lete ; State 5erviae Deslgnatian
Com ete : Natianal Purchasing Conperati►►e Ven�or Awsrd Agreement
Cc�mnleted: Federal and State�Purchasing Cooperat{�e Experience
Completed: Governmental References
Ca eked: Markeling 5trate9r
�Pleted: Conflderrtia1�Proprf�tary Tnformatian
� leted: Vendar Bu�iness Hame with IRS Fvrm W-9
moleted: EDGAR Vendor Certlflcat[on
Com ted: Prnposal in�ftatEan Questionnaire
Campleted: Required Forms Chedclist
Com : E�►aluatinn Items
C�m�t d: Praposal Specificat+on fvrm with Catalogs�Prlcdi�ts
�Ao�•mustbe�dma�d x� propa��res�7se aric�ans� �➢vaor►�p c�xvdered
Pag e 39 of 66
City of Fort Worth and Fit Supply. LLC
Prap0531 FOrms COMM�SVtS v.pfi.14.2018
Page 39 of 48
�Bnard
Page96 of 66
eruuwnonxrv�a
Page 40 of 48
City of Fort Worth and Fit Supply. LLC
08.�7.zo� s
7v:Buy eoard
7200T Research Bl�d
Austtn, T7E T8759
�lT.�� S u PP��
New R PrQ-Owned Sales � Service Calls � Floor P:�ns � lnstalla[ian � Equipment Relo�at�on + Mainlenance
re: Proposal No. 5$$-18
To whom It may ooncern
In reference to the request fvr "E�aluation Ifems" on page 4� of Praposal Na. 583-19 we are
requesting an exemption far the requirement to pro�ide pricing fpr the sample items. Fit Suppfy
does nof sale the items listed in thls section or ha�e altematives. We are pro�ider of
commercia! quality ftness equipment and a�essories items. As a long Eime Buy Board partner
I hope that you will allow Fit 5upply a exemption €rom this requirement.
Ftespectfull
��
Ryan �reeman
Partner
Fit SuppEy
c: 2'i 4-317-58T0
���-�S u�P��r
Tel $77-344-33&8 1421 Ave R www.FitSupply.cam
Fax 8$6�47-3fi0i Grand Prairie, TX 75656 sales(a�fitsupply.com
City of Fort Worth and Fit Supply. LLC
�g u ►�A
`���{a
���u ���
Page 41 of 48
�eoard"
Prepasal In►►itation Na. 583-19-Athletic, Physical Educa�an, Gymnasium Supplies and Equipr�e�rt and
Heavy Duty Exereise Equipment and Related RnoessaHes
{CaWtlo951Pr[Yllsts R'utE be SudrtllteA +vi[h Roposal or Prqw�4 wifl no[ be mn5dered'�}
MOTE: Vendan pmposinq vaHous manufx[turer product lines pw� Ilna iham on tfie Propaeal Spedfication Fortn mustsu6mlt the 1rNormallon as 1W1aw5 or
prapasal may not he oonsidered:
• ManufACturers shell 6e liated in alphabetlral order
• Vendor's must Ils[ ane sp�CifiC perr.sntage dRscaunt for each ManuTacturer Ilsted.
If a vendars rcsponse to ProposalSpecNlratlon rorm states"please 5ee attachment slceet,' all manuiacturers listed on the attachment sheet must ]ndlcate
per manufac[urer the ilne f6em that carrelates to Prnposal 5pecifiratlon Form or�endqWs prapasal may nat Ix eansidered.
'on i: AthleYlc and P Iwl Educatlon Praducts
5tate Plrcent {%] af
Item DiscnuntaTF 5tate Mame aF Exc�ptfons to
No. Short Dascription Full �escrf an Catalog�Pricelist' Catalog�PH[�list' Diseount
p�soount (�ti} Off Please state the discaunt {9b] off cataloglpr�celist for All Athletle NA �A NA
1 Catalog�Pricelistfar A1E 5uPP�ies. ra�wy�r�foaflstMusrn�induaea or uroposaf vriu nathr 96
AthletlCSupp:les ca�wd.rod.
disoount (%) otf %�� �te [1'ie dlsawrR (9G] off catalog�pricellst For All Athletic NA NA
2 �mloglPrtcdist for All Equlpment ca�aylnrk.w� Musr � ind,aed or �,osai wie nac ee N'°' 46
Athletic Equiqment oomldered.
plsmunt (°W) Off ��y� �yte thc discount % oFf rata NA AlA
f��log�Pric�ist for !W i i �o91fN'�Ilst for AlI Athletk NA
3 At}11EbG CI0Y�111�y drld dOthing and 51foPs. CatalvylPrical6t MV9T be lndnded or praq�sr wl� noe °k
Shpes � `p"��'
oiscount ('h] Oft %ease stace the discour.t (%) off raa��oqlprlrnflst for all Fnntpall �A NA
r
4 C�fa109�P�I5t For M 1{l�Inlet,s (ne1V dnd I2�OndlCOlxd}. Catalog�prlppyt MuST 6elnduded or °k
FODLtiall Helmeis prapmal wul not 4! cOnalderad.
Olstaunt (96] Of� p�ease state the discount (°k} off catalogJpricellst for All PhyefrAl NA P1A
5 Catalog�PriCelist for RII EdllCB�IC11 SIIppIFC�. Gb1op�PHcollat MI1ST he mduded er prepesal wlp na! NA °k
Physi�l Educattort
suppNes aeca,�aarea.
PRO P05A L R D� neovae�t s�nFxcanox rpxx
1. Ca[alagsJPnCeliSts eTe leqtllred ta be Submtked with Propo•.al Page 4k af 56
Page 42 of 48
City of Fort Worth and Fit Supply. LLC
-'�'�Board'
Prvposal Im►itatTnn Nv. 583-19-Athletir, PhysicaE Education, G�mnasium Supplies and Equipment and
Heary Duty Exercise Equipment and Related A�cessaries
State Peroent {%j pT
I�m oiscount oR' 5tate Hame o1 beeepllons tn
No. Shnrt ncseripGort Full Ueseription Catafag/Prk+ellsti Cataf �PrieNistL Discaunt
Dlsca,ant [96j aff ��� state the dismunt [%} oft cataloglpricelistfor All Phy�cal �_ �/� Fit Supply B�y NA
6 �����P���� ���� EduCatinn EqUIpll7etlY.GbloglPHaI1sS MI1TT M Indud�darpropasal wlll �56 Sa�ird Priceli�f
Physlql Ed�ption notdeanswerea
Equipment
n: Commerdal Grade Nea du ExercFse E ul me�rt
olsoo�rrt {96} Dff ��� �re � discaunt (9h] off ca[aloglprlcellstfor All Commee�clal �r1 F� S�pply Buy NA
� Catalog�Priceiist fnr RII �� Treadmflls. pta�oqlPncalwt ryusr oe irwuded or proposai vriu no[ w �JL� qy Baard P ricelist
Commercial Grade ���
'rreadm�tfs
Olscount [46) Off ��� �� � discount 9h off ratal Fit 5upply Buy NR
catalog�pricelist fcrwi (} oglpr�cel3st for n1[ cammerciaf �� goard Prioelist
$ Cnmmercial Grade Grade Exercise Bfcydes. cstalug�p�cer�chusrxrnauded wprcpwa� 46
FxerdsC &CydES vnll nd be corufdered.
❑isoount (9'0] oFf Fit Suppfy Buy NA
Catalog�P icelist for All P4ease sta[e ihe tlistnunt t%) off catalog�prlcdlst Por All Commerdal �%]
9 cammerGal Grade Grsdr Elliptical Cross-Trainer5, G�laloglprkr�! Mu57 b�lndudwor �9� Board Pricelist
E{{Iptical Goss- a�voas� w]a me he m�idered.
Iners
❑�smunt [°�i � FR $uFply Buy NA
Catafog�Prkellst far WI �e state the Clscauat [%y off ca�afog�pnod4st for AI! Cammerdal �/ `I' gpgt� prieefist
1D Commercral Grede Grade Stair pimbera. cawog�aescdisc nusT de i�dudad m ProPoa.= rr�� �46
5tatrClimbers �orn�ca++�aw.a.
olsmunt {%] flPf Fit Supply Buy NR
CataloglPrlceJlst for All please sp[e 1hedlscouM [%} aiFpYalog�prl�ellstfor All Commerdal �� Board Pricelisf
Il Cartmerclal Grade Grade 5ede[torized Skrengtlt 7raininp Equipmontca�tvq�aricepss 46
SeledoriZed 54�engfn Musr ya indueed or proporel vrl� �ms he ca�s�aerea.
ralning Fc�flpment
�PROPOSAL NOTE naavosai s[�c�xcwnon �
1. CatalogyP.icellsts are required to be su6mitted wHh PrapasaE Page 42 d 6G
Page 43 of 48
City of Fort Worth and Fit Supply. LLC
�Board
Proposal 3n►ritatian Na. 583-19-Athletic, Physical Edu[ation. Gqmnasium SuppliEs and Equipment and
Heary Duty Exercise Equipmertt and Related Atoessories
S�ie Percent (�/o] of
Item Piseaunt off SYata Name oF Excepticns to
Ho. 5kwrt Desalptlon Fufl �erlptiart C�taloq/pricalistl Cataloq fprioeiirti Discaunt
6isppunt [%) Off
Catalog�Prlcells: �or Please stata the disenunt [9hJ off qtal�glorirElist for All Cammerdal � Frt Supply Buy NA
i2 nll Cammerdal Grade Board Pricelist
Grad6CamputeriiedStrengthTraining Equipment. 96
CO111�N.iEfl2Cd Stl�th CaWioylPrfcds! Mi15T W[nduded vr propmal w91 rtot be corialdered
Train ng Eo�pment
❑isoount [%) a9F F'tt Supply Buy NA
�µ"ioy�wice�is; fQr N1 p�� y�yte thc disoount (%} off qtalpg�pritelist fnr Alf Cammerdel �.� �j Board Pricelist
13 Cammer�aal Grade Grade Plate Laaded Sbcngth Treininp Equipmrnent, �96
PI3Y2 LOddEd Str'e[VJth CatedvglPnnMrt NUST ha fncluded er prvpasal wll! no2 be mMlderod.
"fralning Equiprnment
Olscou�t {°/o} Off
1¢ f.atalog�Ricelistfor �e�� W disoount (96j ofFcataiogjpricelistfor All Cammerdal �j v C�� gaa d P cel st �A
WI Cammeraal Grade �t5. Gtaloq�Prlc�tre MYSTde Mduded w proyeaaf vrie not %
Free Welghts � aorowero6.
Olscount (%] DR Fit SuPp1Y Buy iJll
CataiaglPAcEllst Tai RII Please s�Ye [he diSCpunt [°k) off Catalog�pricelist for NI Out;fppC Board Pricelist
15 ❑uEdoorCammertial Cammercial Grade p(erdse Equfpment C�talog/PHCellst MUST be �O 46
Grade Exerdse Endv� or pmppsal will noY be mnsidered.
Equipnient
iuoun
���,���� � �� �� �� � d«�nti {��, � ��,����5t �� �, o�,� e� r � �c Fit Su PP�Y Huy �R
15 �her Commerciaf �mmerdal Grade Heary 6uty Exerdise Equlpmentand � 60ard Prieelist
90
Grade HeavY fluh' Acaessories. ca���aricelke n+�sr be rndueea or arvoa.ai vrin nae ee
Fxerdse Equipment oonaiAarad.
6fscnunt [96] aff Please state the discourd (96 aff ca r
Catalog�P:icellst far ) �P��t� �r Ren�l vf ►Uf Fit Supply Buy NA
17 Rental of All 7ypes of TyNes of Commercipl Grade F�[etcise lquipment �� � Board Pricelist
Cornmerdal Grade II�QOrIDYYSIOaf]. Ca�lo91Pri0[ili[ NLLST CC i�[luded or propmal wlll nat
6cerd5e EqulpmHtt b' oom�da.ed.
�Q��f� qeoaosAts7[[iFstwnon �+ppM
1. LaralogsJPrk�is4 are requlred m be suEmi[ted with Prppo�l �age 43 of 65
Page 44 of 48
City of Fort Worth and Fit Supply. LLC
�@oard'
Propvsal In►ritation Na.583-19-Athletic, Physital Eduratibn, Gymnasium 5upplies and Eq�ipmentand
Hea►ry outy Exertise Equipment and Re{ated Accessories
State percent {%] of
Item Diacpuntoff State Hame oT Exoeptlans to
IYo. 5hat oescriptian Full �escriptlon CatalogJPrlcelFst1 Calalo �Pricelists oiscounY
mnaslum and Outdoor Field E ui ment end Su Iles
D spoUnt (%) Of# NA NA
CataloglPrlcellst far Please sYate the dismurt (�} off catalogjprl[ellst For Gymnaslum
18 Gyrrnaslum Spectator �a� �bng and Apc�soNes {all lypes induding 6ut not lim3ed N
Seatirg ard m fxed, tJesrnping, pprtab[e, and related i4erns}. asalloy�vrroN�u NusT �'
��„g 6e Indudpd pr prpppsal wbf not the COnnWl+ed.
Diw�unt �Ia Off Please sta� the dfsoour�t 9h off tatalo NA NA
( ) ( } g�pritefist Far Basket6all
Catalag/Pricellst far H��pQq, gaq�6oe�d,s, 6aals and Acaessories (all types induding
19 6asketball 6adcstops, b�t rwt limited to wall mount, cdling rrrount, folding, stationa:ry, and N 9'0
Bad�baards, Goals and rdete� items)� CataloqlPriaeWt MUS'C be Induded vr propcaal wlll rKK 6e
ACC�5,p19C5 mnddered.
�19CO1711t (°/o) Off NA NA
���P���f� Please s�4ethe dismunt (9S�) off catakx�Jpri[2115t for Gymnasium
20 Gymnasium �i�ider ��� Curmins and nc�sarles (all types indudin9 hut not Umlted N
96
Curtains and ��TA`I2Pd, manEaal, �1'!d f�dSEd 14E[IiS�. GdlopfAHce9stMp3T6a
Induded or O�nO73al 1N� 110t D! COHSiClrld�
Aa.eswries
NA �
DlgCaunt [46J Off
Catalag�Pricelist for ��� �ate ihe dlstaunt {q6} ofl` zatalpgJpricciist far 6ymnasium Wall
zI Gyrnnasiuit'� Walf Pads P�g dnd A�oriea {all [ypes}. Guloq�Prkaiist NusrLe IndWM or N 96
and Acaessaries P'OP°�I..itl not ba consMQrod.
Ols�ount [9m] On NA NA
Ca�log�Pri�rJist fnr Please state G'�e dlwwnt [°r6] off catalogJpriceist for Gymnasium FFoar N
2Z Gymnasium FioarMats M� �nd Accesswie: [all types). �mbq�wk.r�st Musrhelnduaeaar �'o
afld AC.C�SSpH.Es P��I rriN no! 6e comldered.
PROPOSAL NOTE vnovp6+��s�csrsunon waM
1. Catalogs�Prltelists afe requ"�ed tn he suhmlttod wMi �ropo�l uage�Ft of 6fi
Page 45 of 48
City of Fort Worth and Fit Supply. LLC
�Board'
Pe+�p�ssal Invitatian Ha. 583-19-Athfeti�, Physical Educatiars. Gymnasfum Supplies and Equipmentand
Hearry Duty Exerase Equlpment and Related Accessories
StAtE PerOBHt [�/o] of
Item oiscount off SYate Name a1 Exceptiaru Eo
Hfl. ShortOeserlptian Fall pestription Catalog�Prlcelisl� CaWIog�Priselistt �Iscauf�!
DEscAunC (%v) pfi` PledSe SYdSe the d15C�u:1i {0/0) DN faiBlog/ptfCelis[ f[x Gymnasium
NA NA
C�tdI0gIP1'IC2145t fOC VdIByb9119yBtEtt14 s�1d Aaessari.es {all lypes rnduding f]�It �,pt
23 GymnasJum Voleyball Ilml[ed te standards, rie�, mpe tensioners, �o=mdary marke+s, antennae, � %
SyStems and ��r pla[es, floor s[eEwes, f►pnr anct�ors, judges stands, rxrster s�ndard
��� center, trarksporters, w�l€ storage hooks, pro[ecbve pads, a�d related
IteR15�. CstelvglprlceHy! NLLS'f hr fnduded w proposal w111 not he tnndde�M.
SCOElF7 PIa75C St75E tI72 df9L0Uf7i `Ya D1f CdW�
����'��� � { } og�pricdist for Gymnnsium ]�A t�fA
[Indaar} 5corehoarda end Aeoeaaories (all types induding �ut rwt N
29 Gymnasium y�y� to isasketbalf, hock �0
Sco,eboards and � ey, swimmir�g, �olleyball, wresding, relafied
kh�r7s). cataloqlvr�wlsc Musr he f ndudoe or p�opaser.al� *ot be w�uweraa.
scaunt oiscaunt % IXFCatal Pri�ellstfa'
[atal�Prlcalsst �ar � � �91 flYmnaslum floorCorerz, Fit 5upply Buy
25 Gymnasium €�or Ruhherlxed 711e and Aeeessories {a11 typesJ. Please state ti�e dlscaunt �� gpard Pricelist
CoVers and E°�0) ��l�glprtcelist. Gnqglvrioellc! MI}5T 6e induded ar propwaf wl�
not W mneldered.
�Iscount (%} Ott Pfease sta{e the dlsco�nY {%} off [atalog/pricelist for Repair Part4 {far � Fft Supply Buy 33A
2fi fatafog�Pncelsst for all types af gy�nansium equipment}. an��aHcd�c nusT ha i�dwiad or � % 6oard Pricelist
Repz�r Parts orocara� w�a nos w con�w■,rd.
Dlscouc�t f%) oif wease state [he dlsmunt (%} oTf mtaloglPdceiist ror Outdoor sports NA NA
27 CataloglPricelist for 6arrier Nettin ProducFsu, N
Qtfh'�001' Sp01T5 $BCIT&' 9 ��JIPrIwNrk Mi157 W indud�6 vr proposN %
Hetting P��du�5 wlu not6e consldereu,
oivaun: {�h) flff �1}A NA
L��log�Ricelist far RII �� �� � d���t 9L off �aW1
ptrier Gymnaslum and �) o91P��1ist fa All Qther N �
�S Outdoor Field 6Ymnadum and Outdoor Flekl EquipmaKand Accassprles,
Equipment and �anlog�n,;crnat nusr 6e �ncluded or propu.a� wnr noc ae mmldmed.
� vaovo�E s�vFrunon w�w
1. C�taEogs�R3oel[str are rnluired to be wtmlEfed wlth Proposal Page a5 d 56
Page 46 of 48
City of Fort Worth and Fit Supply. LLC
�Board'
Pmpvsal In�itadon No. 583-19-Atliletic, Physlcal Educatian, ,� mnasium Supplies and Equipment and
Nea►ry Duty Exercise Equipment and Related Acress�Hes
detailed Exceptlons to
Hat bo Fa[oaed Haurly 1nTarmatlon on Nourty Whor
: lnsqllatlan and Re Ir Servlce LsYor Rate kourl W 6or Rate Rste
Not to Exceed Hou�iy TLrn kaY Extfeme
Labor Rate For ir.stallatiu_i. acility
installatlon�Repair Haurly Lahor Rata For Inr1a11atlanfRepafr Servlce o� Athletk and �7 arnBrS
29 Servloe of Athletic and Gymna�lum Equlpmant, Heary Quty Exertise Equipment and � ��U �Hou• stairs, no
Gymnas[um Rplaiad proelucts — State the Not ho Exceed hourly?abor rate fnr
Equlpment, Heavy Aff�leEi�and Gymnasium Equipment and Related Produr,ts, IBVatDI', dOO�
p�y ��� amo�al, etc}
Equlpment
PROfOSAi HOTE aaoopsa� sneu�unon ww�
1. �mlogslPriceliyts arc rcqulmd 6o be svbmitted wkN Praposzt Pxc aS a! 65
Page 47 of 48
City of Fort Worth and Fit Supply. LLC
Exhibit C— Conflict of Interest Questionnaire
C�HFLICT ❑F iNTEREST LlUES71aNNAIFiE FORM �IQ
For vendar doing dusiness with laca[ ga�emmental enllty
Thls qwrtlenn�ln rrlMc(s d�snpao mma io Sne larr 6y H.9. 23, 8�m Lvp., (wqulor 6�lNvn.
Thisquas["bnnaire is 6e�n� filad in aocarclan,:s wilh Chap�' 176, Local Go�ernment Code,
6y a vendor wh o has a husines s rel atia�sh i� as de5rted hy Sectivn i 78.401 [3-a] w}th a locai
govemmen[al e ntity and tlie verdvr mcels requke menls u nder Se[tipn t 7e.006(a].
$y faw ihEs que4tionnrdire m ust he fil ed Kith fhe r�r[Is adminLspaW r p} the foCdl gOvem mBnidl
eniity na[ lafer9lan S�0 7th I]usiilessday afler 1h� �te tlie vBndpr b9cames aware oF faCts
thal require Ihe statemeM Go he filed. See SeCtion � 7fi.008(a-1}, Local Govermnent Code.
R �andor commfts an offensa if the veridor knowingly vivlates Section 776.0fl6, Wca1
Goramment Code. Moffense under tlzis section is a miscfemeanor.
� Hs�na ee va�or►rho has a business rNatf onshEp w[th local qavwnrner�tal �Mriy.
�j�,St�I.P/�L'� LLG
� C�eckth[c bmt if youarsflpR� An upd�teta s previuualy fllad qnecHormsira
GFFICE USE 0?0.Y
aadc �
�Tne far rqqaires that you fiie an updatad campleted ques[ionnsire with Ihe aaprDpriafe liling euthaAty noi
laicr l�an ttie 7th husiness day aHer Ihe d�eaa on wlxdi yau 6ecame awaze tt+at the v�ig�apy fled ques4onnalre wes
fncomplete w InaqourBDe.}
Nama af O�al yevemmeni o1RCeraDoul wlwmlhe[ wmeiion inlhissaction ic heirtp diacloaW.
— - Hame of OElker
This aeclion {@em 3 incl�ing subparEs A. 6, C, 8 0� mus[ be completed Far each olficer wilh whom �e ver�i hec a�
employmenl or oiher hus�ness relatlonsA�p aS deRnad by Secllon 376.001{1-a], Lacal Gavomment Cade. AI�Ch addrtior�sl
pagee to this Form GQ as ngcf.F�sary-
A. Is !he lxal govemment olf:oar named in It�s aaction rn�Fring or Akey to racetve faxa6h i:iwme. oSher thsn im�Bsmien!
i�oma, hom Vle vBndor7
� Yes � Nv
B. ts the �endor receMing orlingy la receive mxaAle inoome, o�erthan imres7nanl incans, irom ar alfhe drecti«� of Ihe local
gp�smment O}flCs: rtamad in ihis secCon RNb tl�e faxatle incoma is npt repeiveri fiom dre loral gcvemnen�l anlity7
❑ � ��
C. ts C�a liler ot Inis questio�naira empiayed by a corporalron or mher 6usmess entiry wdh respect to which !he locai
gpv8mrrlem oRi�r eerves as an oftics+ or direcior, or hoHs an awnershlp Entarest of one perce� ar rtwre7
� Yes � No
D. Llescr76e each empiayment or 6usi[�ess and family reielionship wbh the local qovemmenl oifcsr named �n lhic aect�on.
T� 3 z z
d vendor doh�g ims .ii3� C�B 9ovem'r�an�F eMl[Y Qata
Rdopled 81712U15
Page 48 of 48
City of Fort Worth and Fit Supply. LLC