HomeMy WebLinkAboutContract 55921CSC No. 55921
FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Mity
Lite, Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed
in the order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. E�ibit A— Seller's Quote, Scope of Services or Purchase Order;
3. E�iibit B— Cooperative Agency Contract (e.g., NJPA, DIR, BuyBoard); and
4. Exhibit C— Conflict of Interest Questionnaire.
E�ubits 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
mcluded 'm E�ibit 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 E�bit 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 Fifty Thousand Dollars ($50,000.00). Vendar shall not provide
any additional items or services or bill for expenses incurred for City not specif'ied 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. City shall be able to renew this agreement far zero (0) one-year renewal
options by written agreement of the parties.
Vendor agrees that City shall, until the expiration of three (3) years after final payment
under this Agreement, or the fmal 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 warking 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 facsirnile with electronic confirmation of
OFFICIAL RECORD
Cooperative Purchasing Agreement CITY SECRETARY
v. 1.0
FT. WORTH, TX
the transmission, or (3) received by the other parry by United States Mail, registered, return receipt
requested, addressed as follows:
To CITY:
City of Fort Worth
Attn: Valerie Washington,
Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
To VENDOR:
Mity Lite, Inc.
Assistant City Attn: John King, Gov. Account Manager
1301 West 400 North
Orem, UT 84057
Fac s imile : 800-224-6191
With copy to Fort Worth City Attorney's
Office at same address
[SIGNATURES ON THE FOLLOWING PAGEJ
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendar.
Coope rative Pu rchasing Agreeme nt 2 of 3
v. 1.0
CITY OF FORT WORTH:
Y�ie- Wa�Gcr"�cgt�
Valerle Washington (Jun 29, 2 11325 CDT)
Name: Valerie Washington
Title: Assistant City Manager
Date: J u n 29, 2021
APPROVAL RECOMMENDED:
�i�G��cfzq�a�q
T2c�: Richard Zavala (Jun 22,20211214CDT)
�_� �
Name: Richard Za�ala
Title: Director
Park & Recreation Department
Qn�-�.�1
Sandra Youn o d(Jun 13, 2021 1201 CDT)
Name: Sandra Youngblood
Title: Assistant Director
Park & Recreation Department
��� Q �����ti� �
�
Name: Kelli Pickard
Title: Assistant Director
Park & Recreation Department
d�vonn�
ba� FORp aa
ATTEST: , � o��°° °°°���oa
o a
A� o°�-�
�C�° oZ'
� I��e�� Y���
By; a�t
Name: Mary Kayser
Title: City Secretary
VINDOR:
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.
�lh.,,:.��,�d.p,..,
Sheri Endsley (Jun 1S, 202 1Z23 CDT)
Name: Sheri Endsley
Title: District Superintendent
Park & Recreation Department
APPROVED AS TO FORM AND LEGALITY:
/1�'
�: Nico Arias (Jun 29, 202ll0:43 CDT)
Name: Nico Arias
Title: Assistant City Attorney
CONTRACT ALITHORIZATION:
M&C: P-12264
Form 1295: 2018-398087
Mity Lite, Inc.
�
�]: J n Kinb (Jun 22, 20Il 1 2 MDT)
_,✓
Name: John King
Title: Gov. Account Manager
Date: J u n 22, 2021
Coope rative Pu rchasing Agreeme nt
�. i.o
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
EXHIBIT A
j� �-� -� �� ��� ��,`L� c � �.�,l�L� �!`t %���' -�La�� � ���'�t �� i iC��. �
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Prapasal No. 584-7.9-Furniture for 5chool, OfFce, Science, Library and Dormitory
EVALUATIONITEMS
evqLUA7TON ITEMS: This information will 6e used only for purposes of assistiog in tf�e evaluatian of Vendor's price competitiveness. These items will not 6e individually awarded. THE
FOLLOWING EUALUATION ITEMS MUST 6E COMPLETED FOR EITHER THE AS SPECIFIED OR ALTERNATE PR9bUCT. Equai alternates may be submitted in the proper columns only if you do
nat sell the specific product listed. This form must 6e fully completed a�d returned or PROPOSAL RESPONSE WILL NOT BE C6NSI�ERED. Vendors that do not offer anv of the evaluation or
alternafe items Gsted 6elow shall submit a written explanation to reguest exemotion from thfs requlCernent. The Cooperative may determine, in iYs sole discretlpn, whether or not to exernpt
a vendoe� from thfs requirement 6ased on all informatfon pravitled wiYh the proposal response.
- _ '.1- - ,'��:
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American Seating for auditoriums, arenas antl suites in the
1 Seating Stellar Zlb etlucation, sports, pertorming arts, and pla�es of
warship.
2 Midwes[ CafeteriaTa6le Round; Sa'; ChromeLegs; 29"h
3 Hon Hon 2090 Series �ecutive Chair, High-Back, �eatner, 3fi0 Degree
Swlvel, Tilt Tension and Lock, FWe-SWr Base, 81a[k
4 Vir[o 785 52ri05 �pen f-ront Schoo� Pesk - Metal Book Box -
Fiberboard Top
5 �IversiFied �b Works[a[�on �agon S�ience �ab WorksLaGan � Drawer Base (56"
Wood[rafts �iameter)
6 Hon 1�70a Series '�p0ular FurniW ra, Right Pedesta! Credenza, 72w x
24d x 29-i/2h, Bourbon Cherry
7 G3oba1 930aP Series Lateral File CabineY, 42" 4Vide, 4-�rawer, Black
8 Lyon 52225U Set-Up Locker - 2 Compartment Pouhle Tier 12"w x
18"d x 3fi"h
9 Eorr21E CF246flP 60" Fofding iaUle
wlth 5/8" thick High-pressure Laminate Top
10 Coaster 5531Q Stuart Cappuccmo BroEvn Queen Dormitory Platform
Bed
Page 40 of 63
e+rnwanoN rreMs
� 'Bnard�
Atoperdfire Pwchazing
Proposal In�itation No. 584-19-Furniture for Schaal, OfFce, Science, Library and Dnrmitory
{Catalogs/Pricelists must be submitted with Proposal or Proposal will not he [onsldered'.)
NQTE 1; Vendors proposing �arious manufacturer product �ines per liree item on the Proposal Specification Form rnust suhmit the information as follows or
proposal may noC be considered:
�7anu€acturers shall be listed in aEphabetical arder
C7Jendor's must list one speciftc percentage discount For each Manufacturer listed.
If a vendor`s response to proposal 5pecification Form states "please see attachment sheet," all manufacYurers listed on the attachment sE�eet must indicate
per manufacturer the iine iYem that correkates to Proposal Specification Form or Vendor's propasal may not be cansidered.
NpTE 2; Vendors praposing must be approved by the manufacturer ta sell, ins#all, and service the brand of equipment submitted. Proposer`s responding to
�E�is Proposal In�itation shvuld submit an approval letter from eath manufatturer. NFanufac#urer authorization letters must indude the regions in which
equipment may be sold.
SeGtian I: Furniture
5tate PercenY (%) of
��� Discount off State Name of Exceptions io
No. Short Des[riptian Full Descviptian Catalog/Pritelistl Catalag�Pricelist1 Discount
DiscounT (°/a} Off See Addendum 3A 8�
Catalog/Pricelist for All Please state the discount (%} off catalog�pricelist fo� A41 Auditorium �O _ 79 Qq
� S�dting Furnitur�. Catalog/Pricelist M[15f be inGuded or proposal will not %
AEJditOriUm SEdtlflg 6e wnsidered.
Furniture
DiSCAunt °/o OfF o See Addendum 3A &
O Please state the discount (/o) off cataiog�pricelist for All Library 56.27 4A
Z Catalag/Pr�celist for All Furniture. Catalog�Pricelist 3N115T 6e includad or proposal will not be %
Library Fumiture consi[fered.
See Addendum 3A &
Discount (%} Off Please state the discount (%) ofF catalag/pricelist for All Office 56. 27 4A
3 Catalog/Pricelist for All FUI'lliture. Catalog/Priceiist MUST 6e incfuded ar praposal will not be %
OffiCe Furntture considered.
DISCou�lt (°/a) Off See Addendum 3A &
Catalog/PricelisY for Ali P3ease state the discount (%} off catalog/priceltst for All Classroom arsd 56.27 4A
4 Classroom and 5chaol $ChOvl Fu�nitu�e. Catatap�Pricelist MU57 be included or propasal will not be %
consFdered.
Furnikure
See Addendum 3A &
C}is�ount (%} Off Please state the discaunt (%} off catalogJpricelfst far All Science 56.27 aA
5 Catalog/Priceiist for Furniture. Cata[og/Pricelist NIUST be included or proposal will not be %
All SCienCe Furni[ure considered.
PRbPOSAENOTE
PROPOSAL SPECIFICATiON FORM
i. Catalogs/Pricelfsirs are requlred to be submitted with Proposal Page 4i of 63
�: r , r
. .
Propasal In�itation lVo. 584-19-Furniture for School, Office, Science, Library and Dormitory
5tate Percent (°/n) of
Item Discount ofF 5tate Naone of Exceptions to
Na. Short Descriptian Full Description Catalog/�ricelist' Caialog/Pricel�stl Discounk
See Addendum 3A &
Discount {%) Off Please state the discount (%) aff catalag/�ricelist for All Cafeteria �6 .�� 4A
6 Catalog/Pricelist for A91 Furnit�r6. Catalog�Pricelist MtlSfl�e included or proposal will not he %
Cafeteria ��miture considered.
Dfscpuni (%} Off See Addendum 3A 8�
Catalog/Pricelis# for Ail Please state the discount (°/o) ofF catalag/pricelist for All Modular 62.45 4A
� Modular FurnitUr�, Furqlture {N2w). Cata3og/Pricelist [�EIIST 6e 9ncluded or propasal will not 6e %
�� W COt�sldered.
DisCount {%) Off See Addendum 3A 8
Catalog/Pricelist for All Please state the discount {%) aff catalog/pricelist for All Modular 62.45 aA
& Madular Furniture, FurnitU�e {RefU�I315Iled}. Cakalog/PriceEist MUST be included or propasal %
will not he considered.
Refurbished
Discour�t (°Jo} Off p�ease state the dfscount (%} off catalog�pricelFst for All Filing
9 Catalog/PriCelist fo� Alf C3binet5. CataloglPriceGst MUST be included or proposal will not he %
FfEing Cal�inets considered.
Discount (%) OfF
Catalog/Pricelist far Please state the discount (°/a) off catalog/pricelist far All Lotkers and
10 f.ocker Products. Gatalog�Pricelist MUSC be induded or proposal will not be °�o
All Lockers and Locker
Produds considered.
See Addendum 3A &
€?"sscount (%) Off Please state the discaunt (%} off catalog/pricelist for All Dorm'ttory 5�.2 � 4A
12 Catalog/Priceiist for Furnfture. Catalqg/PriceGst MUST he included or proposal wfll not be %
All �ormitory Furniture considered.
See Addendum 3A 8�
flisCount (%) Off Alease state the discount (�/o} off cafalag/pricelist for All Cpurkroom CJ6,27 qA
I2 Catalog/Pricelist for All Fi�rr�iture. Catafog�Pncelist MUST be included or proposal will not be °�
Co��raom �urniture considered.
Di5C0uflt (%) OfF See Addendum 3A &
Catalog/Pricelist for All �lease state the discount (°/o) ofF catalog�pricelist for All Church and 56.27 0 4A
�3 Church and ReEigious Religious Furrtiture. Catalog/Pricelist hlilS� 6e incmaed or prpposa� will not �p
Fl1TIlitU?"E be considered.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORi�1
1. CatalogslPricelists are required to be submitted with Proposal Page 42 of 63
�: r. 1
. . ..
Proposal Invitation Na. 584-19-Furniture for Schaal, Office, Scie�ce, Lihrary and Dormitory
State Percent (°/a) of
IGem 4is[ouni off State Name of Exceptions to
No. Shqrt QescripCipn Full Des[ription CataEog/Priteli5tl Cdtdlog/Pritel"r5t' Distount
See Addendum 3A &
�iscount (%) OfF Please state the dfscount (°/fl) off catalog/pricelfst for AI! Other 55. 75 �A
14 C�talOg/PnCEliSt fOr Afl FUr�ItUrB. Catalog/Pricelist Ml15T be included or praposal will not be %
Dther Fumiture considered.
See Addendum 3A &
Discount (°Io) Off
Catalog/Pncel�st for A[I Please state the discount (%) off catalog/pricelist for All Moveabfe 65. �O 4A
15 �OVe���e Ull81iS �fl� walls and Partition5. Catalvg/Pricelist MUS'C 6e incEuded or proposal will %
PartftfOn5 notbeconsidered.
DISCOUIIt (%� Off
Catalog/Pricelfst for All Piease state the discount {%) ofF catalog�pricelist for All Types of
16 3ypes of Acoustic Acoustic Ceiling, Wall Panels and Related Materials. °/a
Ceilin�, W311 Pdn�15 CatalogJPricelist MU5T be included or proposal will nat he wnsidered.
and Related Materiais
Discount (%} OfF please state the discount {%) ofF catalog�priceltst for All Window
17 Cdt�lOg�PriCBIiSt fDt" All Tr�dttl'�2nt5. CataEog/Pricelist MUST be included or propvsal will not he � °�a
Window Treatments considered.
Dekailetl
Not to Exceed Hourly Information on Exceptions to
Section N: Installation and Re air Service Labor Rate Labor Rate Labor Rate
EVot to Exceed Ho�rly
Labor Rate for Hourly Labor Rate far Installatian/Repair Service of All Types of ^' /�
18 Installation/Repair Furnitvre — 5fate the Nat to Exceed hourly labor rate for All Types of $' V H IHour
Service of All Types of Furniture.
�urniture
5tate the Percent (%) State the Percent (%} Rate af Total Order for Installation aF
Rate o� Total Orcfer for
19 Installation of Furniture — State the Nof to Exceed percent (°/a) Rate ofTotal Qrder for N p` %
�urnit�re Installation an{y of Furniture.
PROPOSAL N07E PROPOSAL SPECIFICATION FORM
1. Catalogs/Priteli5ts 8re required to be submitted with Proposal Page 43 of 63
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Index Page 1 of 1
EXHIBIT B
� Board°
Conperaflre PurtAuing
Searches:
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Mity-Lite[X]
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Contract
Furniture for School, Office,
Science, Library and Dormitory[X]
Additional Resources
Administration RFQ
Vendor Contract Information
Reports
Phone: 800.695.2919
Email:
info@buyboard.com
Welcome Shatabya
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Vendor Name: Mity-Lite
Address: 1301 West 400 North
Orem, UT 84057
Phone Number: (800) 362-5820
Email: john.king@mityinc.com
Website: http://www.mitvlite.com
FederallD: 87-0652595
Contact: John King
Accepts RFQs: Yes
Minority Owned: No
Women Owned: No
Service-Disabled Veteran Owned: No
EDGAR Forms Received: Yes
No Israel Boycott Certificate: Yes
No Excluded Foreign Terrorist Orgs: Yes
Contract Name: Furniture for School, Office, Science, Library and Dormitory
Contract#: 584-19
Effective Date: 04/01/2019
Expiration Date: 03/31/2022
Payment Terms: Net 30 Days
Delivery Days: 35
Shipping Terms: Pre-paid and added to invoice
Freight Terms: FOB Destination
Ship Via: Common Carrier
Region Served: All Texas Regions
States Served: All States
Quote Reference Number: 584-19
Return Policy: 20 % restocking fee and return freight costs will be charged for reason other th
transit or wrong items shipped.
Manufacturer Designated Dealers: Yes. See Manufacturer Designated Dealer information in vendor's award listinc
Contract Documents
EDGAR Notice: Click to view EDGAR Notice
Proposal Documents: Click to view BuvBoard Proposal Documents
Regulatory Notice: Click to view Bondinq Requlatory Notice
Proposal Files: Click to view Vendor Proposal Files Documents
Contact us 800.695.2919
https://app.buyboard.com/Search/Index?SearchTerm=&Vendorld=1949&DiscountProduct... 1 /28/2020
�u � �
� 1 1 1 1
r��
February 27, 2020
John King
Mity-Lite
1301 West 400 North
Orem UT 84057
P.�. Box 4a4, Austin, Texas 78767
800.895.2919 • infa@buyboard.com • bwyhoard.com
Sent via email to: lohn.kinq(a�mitvinc.com
Re: Furniture for School, Office, Science, Library, & Dormitory
BuyBoard Contract 584-19
The Local Government Purchasing Cooperative (BuyBoard) awarded your company a contract
under Furniture for School, Office, Science, Library, & Dormitory, Contract 584-19, effective April
1, 2019 through March 31, 2020, with two possible one-year renewals. At this time, the BuvBoard
is renewina vour contract throuah March 31. 2021.
All discounts, terms, and conditions of your contract will remain the same. If you agree to this
renewal, there is nothing you need to do. However, if you do not agree to this renewal, you must
notify me via email at connie.burkett(a�tasb.orq prior to the start of the renewal term.
Reminder: Once a BuyBoard contract is awarded, vendors must generate a minimum of $15,000
annually or they may not be offered a contract renewal.
If you have questions or comments concerning this renewal, please contact me as soon as
possible at connie.burkett(a�tasb.ora. We appreciate your interest in The Local Government
Purchasing Cooperative.
Sincerely,
l -�� '�, �
Connie W Burkett, CTS80
Contract Administrator
15T renewal v.02.13.2020
A� TASAr �r� �
Endorsed 6y �
&.t�' �'
� Board�
Coaperative Prrrchasing
P.O. 8ox 40U
Auslin, TX 7&7G7-04UD
8d0.695.2919 � 572.467.0222 � Fax: 8Q0.271.5454
buybnard.com
February 6, 2019
Sent Via Email: john.king@mityinc.com
John King
Mity-Lite
1301 West 400 North
Orem, UT 84057
Welcome to BuyBoard!
Re: Notice of The Loca/ Government Purchasing Cooperative Award
Proposal Name and Number: Furniture for School, Office, Science, Library and Dormitory, Proposal No. 584-19
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a
BuyBoardO contract based on the above-referenced Proposal. The contract is effective 4/1/2019 through 3/31/2020,
with two possible one-year renewals. The contract documents are those identified in Section 3 of the General Terms
and Conditions of the specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 584-19 on the
following web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through
the BuyBoard contract. In addition, on this website you will find the membership list which will provide you with the
names of all entities with membership in our purchasing cooperative.
Enclosed with this letter you will find the following documents:
1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards
You are advised that receipt of a purchase order directly from a Cooperative member is not within the
guidelines of the Cooperative. Accepting purchase orders directly from Cooperative members may result in a
violation of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract.
Therefore, all purchase orders must be processed through the BuyBoard in order to comply. Please
forward by email to info@buyboard.com any order received directly from a Cooperative member. If you inadvertently
process a purchase order sent directly to you by a Cooperative member, please fax the order to the above number
and note it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days
prior to the start of your contract.
On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we are
looking forward to your participation in the program. If you have any questions, please contact Cooperative
Procurement Staff at 800-695-2919.
Sincerely,
/�.. '
- ��� '
� 's���� .
Arturo Salinas
Department Director, Cooperative Procurement
* a— �a Tlra toca! Goverrtmenf Purchasirag Cvoperative rs sndorsed bylhe rexas Associafron of Schoa! Boards,
"�'ML �
��: �Q• T Texas Municrpa! League Texas Assoc�ation of Couniies, and the Texas Association ot School Admrnrsfratais.
�.
.�. ►
�_�
�� ti:3t��,�,:,� s�i,.,�,�
E17d0!'Sedby tiSE3A kin:�ni;:1-.o�i:i[i��n
February 6, 2019
Sent Via Email: john.king@mityinc.com
John King
Mity-Lite
1301 West 400 North
Orem, UT 84057
Welcome to BuyBoard!
Re: Notice of National Purchasing Cooperative Piggy-Back Award
Proposal Name and Number: Furniture for School, Office, Science, Library and Dormitory, Proposal No. 584-19
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoardO
contract based on the above-referenced Proposal. As provided for in the Proposal and your National Purchasing Cooperative
Vendor Award Agreement, you are authorized to sell the goods and services awarded under the Proposal to National
Cooperative members in states other than Texas through the BuyBoard. The contract is effective 4/1/2019 through
3/31/2020, with two possible one-year renewals.
The National Cooperative membership list is available at our website www.buyboard.com/vendor. The list identifies the
current members that may purchase awarded goods and services under your National Cooperative BuyBoard contract.
You are advised that receipt of a purchase order directly from a National Cooperative member is not within
BuyBoard guidelines. Accepting purchase orders directly from Cooperative members may result in a violation of applicable
competitive procurement law and termination of this National Cooperative Buy6oard contract. Therefore, all purchase
orders from National Cooperative members must be processed through the BuyBoard. Please forward by e-mail
to info@buyboard.com any order received directly from a National Cooperative member. If you inadvertently process a
purchase order sent directly to you by a National Cooperative member, please fax the order to the above number and note
it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business
days prior to the start of your contract.
On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any
questions, please contact Cooperative Procurement Staff at 800-695-2919.
Sincerely,
-- �t��:.:=,�'—
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
��
P. �. 8ox 9D0, Aus[in, Texas 787fi7-04DQ
SOD.695. �919 • b��ybaard. com �
� Board �
Cobperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-Z439 • PH: 800;695-2919 • FAX: 80Q.�11-5454� • buyboard.com
PR�POSER'S AGREEMENT AND SIGNATURE
Pro osal Narne: Furniture for School, OfFice,
Scie�ce, Library and Dormitory
Proposal Number: 584-19
Proposal Due Da#e/Openinq Date and Time:
September b, 201$ at 4:00 PM
Locatifln of Praaasal Openina:
Texas Association of School Boards, Inc.
BuyBoard Department
12007 Research Blvd.
Austir�, TX 78759
Contract Time Period: April 1, 2019 through
March 31, 2020 with two {2) possible one-year
renewals.
Anticipated Coaperative Board Meetina Date:
January Z019 �
M ity Lite, 1 nc.
Name of Praposir�g Company
� 301 Wes� 400 North
Street Address
August 16, 2018
Date
� �� =�
�:- ���. J,,� �// �
� �-�
Signature of Authorized Cornpany -O�-ficial
4rem, UT, 84457
Cltj/, Stdt2, ZIP
800-362�-5820
Tefephone Number of Aut�orized Com�any OfFiciaf
801-224-6191
John King
Printed Name af Authorized Company Official
Gov. Account Manager
Pos9tion or Ti�le of Authorized Company Official
87-Q652595
Fax Number of Authorized Company Official Federal ID Number
Page 8 of b3
Proposal Forms COMM/SVCS v.fl6.14.201$
� �oard �
Caaperative Prrrchasing
�.2007 Research Boulevard • Austin, 7exas 78759-2439 • PH: 800-fi95-29f9 ' FAX: 800-211-5454 • �uyboard.com
VENDOR CONTACT INFORMATION
co�,pa�y: Mi�y Li�e, inC.
Venclor Cantact Name and Mailir�g Address for Notices: �Oilll King
Gompany website: WWW`mlt�/�I�e.COf'Yl
Purchase Orciers: Alf purchase orders frorn Cooperati�e members will be a�ailable through the Internet. Vendors need
Internet access and at least one e-mail ad�ress so that natification of new orders can be ser�t to the Internet contact when
a new purchase order arri�es. An inforrnation guide wifl be pro�ided to vendors to assist them with retrieving their orders.
Pfease select opttons below fnr receip# of purchase orders and pro�ide the requested information:
��
I will use the internet to receive purchase orders at the following address:
E-m�il Address: �O�lfl.king@mityinc.com
Internet Contact: JOhn King phane: $00-362-5820
Alterr�ate E-mail Address: �eff.SCOtt@I'1'lltyll'1C.001'�'�)
Altemate Internet Contact: Jeff SCOtt
Phone: $��-79J-�67$
❑ Purchase orders rr�ay be received by the Designated Dealer(s) identified on my campany's �ealer
Designatian form as provided to the Cooperative administrator. I understand that my company sha�l remain
respo�sible for the Contract and the perFormance of a�l Designated Dealers under and in accardance with the
Cantract.
Request for Quotes �"RF�): Cooperative merribers will se�d RFQs to ya� by e-mail. Please provide e-mail addresses
for tl�e receipt of itFQs:
E_ma�� Ad�r�$S: John.king@mityinc.com
Alternate E-mail Address: Jeff.SCO�t p�l'711tyIC1C,COC11
Inrrai�es; Your company will be billed month[y for the service fee due under a contract awarded under this Proposal
Invitation. All in�oices are a�ailable on the B�yBoard website and e-mail w�otifications will be sent when they
are ready ta be retrie�ed. Please provide the fallawing address, cantact and e-mail infarmation fior receipt of service fee
invoices and related communications:
Please chaose only one (1) of the follawing options for receipt af in�oices and pra�ide the requested
irtf�rm�tior�:
Page 10 of 63
Proposal Forms COMMf5VC5 v.D6.i4.2qi9
i Board a
Caaperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2419 •�AX: 800-211-5454 • b_u_yboard.com
�❑ Service fee invoices and rela�ed cammunications should be protided cfirectly to my company at:
Mailing adclress: � 301 West 40D Norkh Department: Sales
c��: Orem State: �T z�p cod�: 84057
�ontact Name: John King Pha�e; 80�-�6Z-5$2�
�aX: 8012246191 �..mail Address: John.king@mifiyinc.com
Alternative E-tnail Address: Jeff.SCO�t C�l Il11tj/1nC.COCTi
❑ In lieu of my company, I request and authorize all service fee invoices to be Aravided directly ta the fallowing 6illing
agent**:
Mafling address:
Gity:
Con#act Name;
Fax: E-mai! Address:
Afternati►►e E-Enail Address:
Department:
State: Zip Code:
Phone:
❑ In Eieu of my company, I rec�uest and autharize servic� fee in�oices to be pro�ided to the Designated Dealer(s)
recei�ing the purchase order(s) to which the invoiced service fees relate at the address anci contact information cfesignated
an rny company's Dealer Designation form as provided to the Cooperati�e administrator.**
** .If Vendar autharizes a billing agent or Designated Dealer(s) to rec�eive and process seryice fee invoices,
in accordance with the General Terms and Conditions of the Contract, Vendor specifically acknowledges and
agrees that nothing in that designation shall relieve Vendnr of its responsi6ilities and o6ligations under the
Contract induding, but not limited to, payment of aIl service fees und�r any Contract awarded Vendor.
Page 11 qf 63
F'roposal Forms CDMM/SVCS �A6.14.2018
� Board�
Caaperaffve Aurchasing
12Q07 Research Bpulevard • Austin, Texas 78759-Z439 � PH: 800-695-2919 ' FAX: $a0-�17.-5454 • buvboard.com
FEL4NY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATI�N
FELONY CONVICTIQN DISCi.OSURE
Subsectian (a) of Section 44.D34 of the Texas Ed�cation Code (Notification of Criminai History of Contractor)
states: "A p�rson or business entity that enters into a contra�t with a schoal district must give ad�ance notice ta �he district
if the persan or an awner or operator has been convicCed of a felony. The natice must incEude a general descriptian of the
canduct resulting in the convictio� of a felany."
Sectian 44.Q34 further staies in Subsectior� {h): "A school district may terminate a contract with a person or
business entity if the district determines that the persan or business entlty failec! to give notice as required by Subsection
(a} or misreprese€�ted th� conduct resulting in �he canvictian. The district mu�t compensate the persan or business entity
for services performed before �he termination of the contract."
Please check J one of the followin :
❑ My company is a publicly-held corporation. (Advance notice requirerr�ent does nat apply to publicly-held corporation.)
❑■ My company is not awned or operated by anyone who has been canvicted of a felony.
❑ My compa�y is owned/operated by the follawing individual{s) wha has�have been con�icted af a fefony:
Name of FeEon(s}:
Detaiis of Con�iction(s):
By signature beiow, I certify that t�e above information is true, complete and accurate and that I am aut�orized by my
company ta make this certification.
M ity Lite, I nc.
�
_ �_ rf
Signature of Authorized Company cial
�
Company Name
John King
Printed Name
DEBARMENT CERTIFICATi�N
Neither my company nor an owner or principal of my campany has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs uncEer Exetuti�e Order 12549, "l7ebarment and Suspensian," as described
in the Federal Register anci Rules and Reguiations. Neither my company nor an owner o� principal of my com�any is
currently iisted on the gavernment-wide exclusians in SAM, debarred, suspended, or otherwise excluded by agencies or
declared ineligible under any siatutory or regulatory authority, My company agrees to immediately notify the Cooperative
artd alf Cooperati�e members with pending purchases or seeking ta �urchase from my company if my eompany ar an
owr�er or principal is fater iisted on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise
excluded by agencies or declared irteligible under any statutory or regulatory au�horEty.
By signature befow, I c�rtify that the above is true, cQmplete and accurate and that I am authorized by my company to
make this certification.
Mity Lite,lnc.
Company Name
����� � John King
f-- -_�. �—
Signature of Aufhorized Corr�pany OfFicial Printed Name
Page 12 of 63
Proposal Farms COh'FM/SVCS v.06.i4.2�i8
� Board �
Cooperative Purchasing
i2007 Research Boulevard • Austin, Texas 78759-2439 • PH: 8�Q-695-2919 ' FAX: 80Q-�ll-5454 • buybaard.com
RESIDENT NQNRESYDENT CERTIFICATI4N
Chapter 225Z, 5ubchapter A, of the Texas Govemrr�ent Code estabiishes certain requirements applicable to proposers wha
are r�ot Texas residents. Under the statute, a"resident" proposer is a person whose principal pEace of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal piace af bus��ess in Texas. A
°nonresi�en�" proposer is a person who is nat a Texas resident. Please indicate the status of your company as a"resident"
�rapaser or a"nanresident" propaser unde�- these definitions.
Please chec[c �/ one of the fallowin :
❑ I ce�tify that my company is a Resident Pro�oser.
�■ I certify that my company is a Nonresident Propaser.
If your company is a fVonresident Proposer, you must pro�ide the following infarmation for your resident state (the state in
whicF� your company's principal �lace of business is located):
Mity Lite, 1nc.
Company Name
Orem
Ciry
� 301 West 400 North
Address
UT
State
A. Daes yo�r r�sident state require a proposer wh�se principaf place of business is in Texas to under-price proposers
whase resident state is the same as yours by a prescribed amount or percentage to receive a camparable contract?
❑ Yes 0 Na
8. What is the prescribed amount ar percentage? � or
Page 13 of 53
VENDOR EMPLOYMENT CERTIFZCATION
5ec�ion 44.D31{b) of the Texas Education Code estabEishes certain criteria that a schooE district must �onsider when
deterrr�ining to whom to award a contract. Among �he criteria for tertain contracis is whether the �endor or the vendor's
ultimate parent or �ajority owr�er (i) has its principa[ place of b�siness in Texas; or (ii) employs at least 500 people in
Texas.
If neither your company nor the ultimate pareRt company or majority owner has its principal place of business in Texas,
daes yaur company, ultimate parent company, ar majority owner employ at least 500 peopEe in Texas?
Please check (�/ one of the fallowina:
❑ Yes [� No
By signature below, I certify that the inforrr�ation in Sections 1(Resideni/Nonresident Certification) and 2(l/endor
Employment Certificatian) aba�e is true, eamplete and accuraCe and that I am authorized by my �ompany ta make this
eertification.
Mity Lite, Inc.
i "
Company Name
�' �G-r�^�%� John KEn
�- -- 9
Sig�ature of Autharized Company OfFcial Printed Name
�; , �
Zip Code
%
Propasal Forms CQMM�SVCS v.06.14.20i8
' Board p
.
Caaperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2419 • FAX: 800-Z11-54S�k ' buXbaard.com
NO ISRAEL BOYCOTT CERTIFICATiON
Effecti�e September �, 2017, a Texas governmental entity may not enter into a contract with a company for goods or
se�vices unfess the contract cantains a written verification from the company that it: {1) does not boycott Israel; and (2)
will not boycott Israel during the term of the contract, (TEx. Gov'T CoaE C�. 2270)
"Baycott Israel" means refusing to deal with, terrrtinating business acriv9ties with, ar otherwEse taking any action that is
intended ta penalize, inflict economi� harm on, ar limit commercial relation5 specifically with Israel, ar with a person or
entity doing busir�ess in Israel or in an Israeli-controlled territory, but does �ot include an action made for ordinary business
purposes. TEx. Gov'� Co�E §80$.001(1},
By signature belaw, I certify and ��.rify that Vendor does nat boycott Tsrael and will not boycott Israel during the term of
any contract awarded under this Praposal Invitation, that this certification is true, camplete and accurate, and that I am
a�thorize�d by my company to mafce this certifiCa�ion.
Mity Lite, �nc.
�� ' �
, � r-�_ U-.� _�/.�ll'
-
5ig�ature of Autf�or-�d Company ��cial
Company lVame
John King
Printed Name
NO EXCLUDED NATION OR FOREIGN TERRURIST ORGANIZATI�N CERTIFICAT��N
Effecti�e September 1, 2017, Chapter 2Z52 of the Texas Government Code provides t�at a TExas go�ernmental entity may
nat e�ter into a cor�tract with a company engaged in active �usiness aperations with Sudan, Iran, or a foreign t�rrorist
�rganization — specifically, �ny company identified on a list p�epared and maintained by th� Texas Comptroller und�r Texas
Gavernment Code §§806.051, 807.�51, or Z252.153. {A cam�any that the U.S. Gavernment affirmatively declares to he
excluded from its federal sanctions regime relating to SucEan, Iran, ar any fed�ral sanctions regi�ne relating tQ a foreign
terrorist orga�ization is not subject to the contract prohi�ition.)
Sy signature b�low, I certify and verify that Vendor is nvt on the �exas Comptroller's list identified abo�e; that this
certif9ca�ion is firue, complete and accurate; and that I am authorized by my company io make this certificatian.
Mity Lite, Inc.
�i j l f
�{- � -;� == � �
��� -�. �- " �_--�
Sig ture of Authorized Comp�y-�fficiai
Company Name
John King
Printed Name
Page 14 of 63
Proposal Forms COMM/SVCS �.D6.14.2018
� Board�
Caoperative Pr�rclrasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-645-2919 ' FAX: 80�-211-5454 • buyboard.com
HISTURZCALLY UNDERUTILIZED BllSINESS CERT�FICATION
A proposer �hat has been certified as a Historically Underutilized Business (also known as a Minority/Wornen Business
Enterprise or "MWBE" a�td all referred to �n thi5 farm as a"HUB`� is encouraged to indicate its HL1B certification status
when responding to this Proposai Invitatian. The elecCronic catalogs wi�l indicate HEJB certifications for �endors that
properly indieate and dacument their HUB certificatian on this form.
Please c�eck afI that a I:
❑ I certify that my �ompany has been certified as a HUB in the following categories:
❑ Minority Owned Business
❑ Women Owned Business
❑ Seruice-Disaf��e� Veteran Owned Business (�eteran defined by 38 U.S.C. §101(2), who has a
servE�e-connected disabil�ty as defined by 38 U.S.C. § 101(16}, and who has a disabifity rating
of 20�1a or more as determined b'y t�e U. S. Departmen# af Veterans Affairs or Department of
Defense)
Certifcatian Number.
Name of Certifying Agency:
x❑ My cornpany has NOT been certified as a HUB.
By signature belaw, I eertify that the above is true, complete a�d accurate and that I am autharized by my
company to make this certification.
Mity Lite, [nc.
Company Name
John King
Printed Name /ij � ���
� '� �/��i
� �-�
Signature af Autharized Coenpany Official
Page 15 of 63
Proposal Forms COMM/SVCS v.06.14.2018
� Board�
Coaperative P�rchasing
1ZD07 Research Boulevard • Austin, Texas 78759-Z439 � PH: 80D-695-2919 ' FAX: 80D-Z1].-5454 • buyboard.cam
C�NSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A eontract awarded unc�er this Proposal Invitatian covers on�y the specific goods and ser�ices awarded by the BuySoard. As
explained in the BuyBoard Procurement and Construction Related Goods and 5ervices Advisory for Texas Mem�ers
("Advisory'�, Texas law prohibits the procurement of archite�ture or engineering services through a
purchasi�g cnoperati�e. 7his BuyBaard cantract does not include such senrEces. Architecture or engineering
services must be pracured by a Cooperative member sepacately, in accordance uuith the Pro�essional
Ser�ices Pracuremer�t Act (Chapter 2254 of the Texas Go�ernment Code) and otlter applicabie law and local
palicy.
Tt�e Ad�isary, available at buyboard.com/VendorlResources.as�, provides an overview of cer�ain legal requirements that
are patentially rel��ant ta a Caoperative member's procurement of construction or construc�ion-related goods and services,
including th�se for prajects that may invalve or rec�uire architecture, engineering or independent testing services. A copy
of the Advisory can also be provided upon request.
By signature below, the �ndersigr�ed affirms that Proposer has obtained a copy af the Advisory, has read and understands
#he Ad�isory, and is autharized by Proposer to make this affirmation. If Proposer sells construction-related goods or
services to a Cooperative member under a BuyBoard contract awarc�ed under this Propasa! Invitation, Proposer will comply
with �he Ad�isory and ap�licable iegal requirements, ma[ce a good faith effort to make its Cooperative member custamers
or poter�tial Cooperative member customers aware of such requirements, and pra�ide a Cooperati�e member with a copy
of the Ad�isory before executing a Memb�r Construction Contract with the member or accepting the member's purchase
arder for constructior�-related goods ar ser�ices, wF�ichever comes first.
Mity Lite, inc.
Company Name
�
f�����_�- John King
Signature of Authorized Company Official Printed Name
August 16, 2018
Date
Page 16 of 63
Proposal Forms COMM�SVCS v.06.14.201$
� Board�
Caoperative Purchasing
�2007 Research Boulevard ` Austin, 7exas 78759-2439 • PH: 800-595-2919 � FAX: 860-211-5454 ' bukboard.com
DEVIATION AND COMPLIANCE
If ya�r company intends to de�iafe from the General Terms and Conditjons, Proposal Spe�i�icatians or other �equirements
associated with this Froposal In�itation, yau MlJST list all such d�viations on this form, and provide complete and detailed
information regarding the de�iations on this form or an at#achment to this form. The Coaperative wili cansider any
deviations in its contract award decision, and reserves the right to aecept or reject a proposal based upon ariy submitted
cfe�iation.
In the absence of any de�iation identified and described in acc�rclance with the abo�e, your company must fully comply
with the Genera� Terms and Canditions, Proposal Specifications and all other re�uirements associated with th�s Proposal
invitatian if awardecE a cantrack under this Proposal Invitation. A deviation will not be efFective unless accepted by the
Coaperati�e. 7he Caoperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles af fai� competition. The Coaperati�e
reserves �he right Eo accept or reject a prapasal based upon anv submitted deviatian.
Please check one of the fallowin :
Deviations presented by vendor have been accepted by
BuyBoard.
❑ N�; Deviations
�■ Yes; Deviations
Connie W Burkett, CTSBS
BuyBoard Contract Administrator
List and fully explain any de�iatians you are submitting: '
Samples are made per order and lead time will very. Samples are free
except for the freight. See addendum 1 A for shipping rates on samples
PLEASE PROVIDE THE FOLLOWING IN�ORMATION;
1. Shipping Via: ❑■ Common Carrier ❑ Campany Truck ❑ Prepaid and Add to In�oice ❑ Other:
2. Payment Terms: ❑■ Net 30 days ❑ 1% in 10/Net 30 days ❑ Other:
3. Number of Days for Delivery: 35 ARO
4. Vendor Reference/Quote Number: 6 � 234
5. State your return policy: 20% restocking fee & return freight costs wif� be charged
for reason other than goods damaged in transit or wrong items shipped.
6. Are electronie payments acceptabie? ❑Yes ❑ Na
7. Are credit eard payments acceptab�e? �Yes ❑ No
Mi�y Lite, lnc.
Carrtpany Name
John King
Signature of Autharized Company Official Printed Name
Page 17 of 63
Propnsal Forms COMM�SVCS v.Ob.14.ZD18
Addendum 1A
MITY
� �_ -P�.,��TF�
September 13, 2018
Mity Lite's rates for shipping of sample products.
M�tyi.ite & l�ols��
�pdat�d �rralua�ian �ample Polic�
1. MityLite evaluation J sarri�le prodt�et �rders will naw in�l�de a fceight
sur-charge �vith �ach ordcr. Scc flat frci�ht char�e l�y pr�duct t�pe chart
b�lcaw.
2, �111 H�lsa�; ev�lu�Ciot� / s�rt�p�e �rociucts ���iil c�nti nue tc� he �har�c�i tc� th�e
customer at the quoted �rice b�s�d an the app�r�runity al��ng with a
subsidiaed freight sur-rh�rge (se� taE�lc�w-)
3. 'I`he fn�llnwing crit�ri� shnuld he eonsider�d bef�rre ordering � sampl�:
a. �ustomer is cort�idering �urch�5ing �vSthin 12 m�nLhS
�. Th�re is a� �50t�a likelihc�c�� c�f winning th� c�rder
c. P�tential order si�e is at l�ast $5,UUtl for H�lsag f�7 f�,[10�] fc�r �ityLite
d. Ll�-fr�r�t �t�ordinatinn witt3 the �u�tarn�r to minimize rn«Iti�rl�,
sarripl e s b�i n� sen t
4. Free samples are NO'T availat�lc on Tavc�l� & El�v�r� Banqu�� Pre�entation
tat�le�, St��in�, Partitio�is ai� Table & C�ai�• Carts.
5, All e�€eepti�ns and sainple ard�es th�t �i� ncyt inclu�l� ap�I•opz•ia�te cliarges
havt tc� hc a�rprc��red t�y Sal�s Nf�t7�gernerit,
�, Sampf� Order F'r�c�ss: Sarn� as other �rders —�nter r�l�vant inf� ir�ta t�te
Smartsheet nr•der form - Bc surt tra sclect "Sampl�" in th� order typ� elrc��
�io�rn.
a. The I}esign (;�nter �;c����-ciinatc�r v��ill cnsure all orclers ar� �nt�r���i int�
hfA�, ec�ordinate �vitf� �roductian tearns arld k�e the sirs�;lc �r�int �f
coii#ac�t fc�e �tatus �vith thG w�lts l�arn.
7. The Fr�i�;ht S��r-c�iarg� Table t�elow is ��or Cnt�tinental 17�, shi��aeci via
�eauncl. Expt€lit�d stii�piri� or sainpl�s serit ouzside af the �c�ntinental US
will require � frei�ht q�a�at�.
Addendum 1A
Folding Ta�le�
Restaurant 4able tap
�anc�uet Chair�
h11ultE-purpose Stacking Chairs
Fr�ldin� Chairs / Chair cushic�r�s
HQisag Side chairs
Ho9s�� Bar Cha�rs
Sample Freight
Sur-charg� �$U5�
�i�o
$3i�
$�5
$�5
$S5
��.�.5a
� $18
2
� Board�
Gooperative Purchasing
120Q7 Research Bouie�ard ' Austin, Texas 78759-2439 � PH: 800-695-2919 • FAX: 8�D-211-5454 ' buvboard.corn
LOCAT�QN /AUTH�RIZED SELLER LISTINGS
If you have rnore than one locatior�/authorized seller that will service a contract awarded under this Praposal Invitation,
please list each location/authorized seller below. If additional sheefis are required, please duplicate this farm as necessary.
NOTE: Awarded Vendors s�all remain responsible far all aspec�s of the Contract, including processing of Purchase Orders,
and shal! be responsible for the pe�formance of all locations and authorized sellers under and in accordance with the
Con�ract. IF yau are a produ�ct manufacturer and wish to designate Designated Dealers as defined in t�e General T�rms
and Condi�ions to receive Caoperative member Purchase Orders on your behalf, yau must camplete the Manufacturer
Designated Dealer farm.
,�.r.i /�
Cornpany Name
Address
City State Zip
Phone Number
Contact Person
Company Name
Adciress
CE�y
Pl�one Number
Cor�tact Person
Fax Number
State Zip
Fax Number
Page 18 of 63
Proposal Forms COMM/SVCS v.06.14.2018
� Baard�
Caaperative Purchasing
I2007 Research Boulevard ' Austin, Texas 78759-Z439 ' PH: $00-695-Z919 ' FAX: 800-211-5454 ` buyboard.com
MANUFACTURER DEALER DESIGNATIQN
If Ve�dor is a manufacturer that sells products through a dealer network and wisf�es to designate a dealer or multiple
dealers ("Designated Dealers'� to receive Coaperative member Purchase Orders on Vendar's behalf, you must complete
this form for eacf� dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendar, Vendor specifical9y agrees and acknowledges that any such
�esignat+ons are for Vendor's con�enience only an� shall not, if Vendar is awarded a Con�ract, refie�e Vendor of any
ol�fagat�ans u�nder the Contract, including �ayment af Cooperative service fees on all Purchase Orcfers submitted to Vendor
or any Qesignaked Deaier. In accordance with the General Terms and Conditions, an awarded �endor shall remai�
responsible and liabie for all of its ahliga�ions under the Contract and the pe�formance of both Vendor and any of Vendor's
Designated Dealers under and in accordance w�th the Cantract and remain subject to all remedies far default thereunder,
includjng, but not limited ta sus�ension and termination of Vendor's Contract for nonpayment of service fees.
If awarded, Vendor authorizes the Caoperative, in its sole discretion, to list any Vendor Designated Deakers ir� the BuyBoard
system and �o receive Purchase Orders direc��y from Coaperative members an behalf of Vendor. To the exten� a Vendor
witF� Designated Dealers �ecei�es a Purchase Order directly, it shall be the responsibility af Vendor to appropriately process
such Purchase Order in accardance with the Contract, incfuding but not limited to timely forwarding such Purchase Order to
a Designated Dealer for process9ng.
The Cooperative reser�es th� right, in its sole discretion, to refuse addition of, or reques� removal of, any Des�gnated
Dealer, and Vendor agrees to immecfiately require such Designated Dealer to cease accepting Purchase Orders or otherwise
acting an Vendar's beha]f under the Contract. Further, the Cooperati�e's administrator shall be authorized to remo�e or
suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretian.
If yau wish ta designate a dealer ta service a cantract awarded und�r this Proposal In�itation, please list the �esignated
Deafer below and have this farm signed by an official of your company autharized to make such designation. If you wish
to designate multiple dealers, please dup[icate this form as necessary.
Total Off ce Soiutions
Designated Dealef iVame
36� 5 Franklin A�e. #328
Designated Dealer Address
Waco Tx
Cii�r
254-435-5204
Phone l�umber
Christine@Mytotaloffice.com
Err�ail address
Christine Sterling
Desigr�ated Dealer Contact Persan
Mity Lite, Inc.
Your Company Name
767��
State Zip
254-235-8226
Fax Number
20-263856?
Designated Dealer Tax I� Number* (*attach W-9)
� � �'
��� _= � . �
�
�_.-�' �-�
Sig�ature of Authorize�'C.`om�any Offi� al
Page 19 of 63
Propasal Forms GOMM/SVCS v.06.14.2418
i Board �
Cooperafi►re PLrchasing
1�Q07 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 860-695-Z9].9 ' FAJC: 80�-Z11-5�454 ' b_uVboard.cam
TEXAS REGI4NAL SERVICE DESIGNATION
The Coaperative {referred to as "Texas Cooperative" in this form and in the State 5etvice Designation forrn) offers vendors
�he opportunity to seivice its memb�rs througho�t the entire State of Texas. if you da not plan to service a11 Texas
Cooperative members statewide, yau must indicate the specific regions yau wili serv9ce on this form. If yau propose to
ssrve different regians for different products or services induded in your proposal, you must complete and
submit a separate Texas Regional Service Designation form for each graup of products and clearly inditate
the praducts or services to whic�h the designation applies in tfre spac� provided at the end of this form. By
designating a region or regions, you are certifying that you are authorized and willing to provide thg
prnposed praducts and services in i'hose regions. Designating regians in which you are either una6le or
unwilling fo provide the specified products and services shall 6e grounds for either rejection af your
propasal or, if a�varded, termination of your Cpntract. Additionally, if yau do not plan to service Texas Cooperati�e
members (i.e., 9f you will service anly states other than Texas), you must so intlicate on this form.
Regiona! Educa#ion Service Ge�ters
_. ,1 -_.....
�..,�-� _ ...
_, . .. ,..: ,.! : �='-' -',�, _ -, -- -
.—.�� _
_. .:., i....
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�
�'\i " .� � .� . _f� �.i
� ,.
.``� �,.,
� 1� .., � _
�� �,,f
.. .. ..;--
�— � `- -, -
:_� _
Mi�y Lite, lnc.
Campany Name �` -
_ _ �/.� �- �.��
� �
Signaiure af Authorized Cam�any Official--���
John King
Printed Name
J _ ���
., ,,,^ "
. _��� :'
i,.., „_._.�i�/+
__ ---t�_ _.....
_ 7` -.. , --
_ ._
� �. � -
�.. �,,` �� ,�, :_1,
�' ,� i• � ...� _ �,
,� , �
- �..��.. i..,_ � '.� _ �
, - � � . '! .. "_ �!� _
0 I will service Texas
Cooperati�e members
statewide.
❑ I will not service Texas
Cooperati�e members
staterruide. I will anly
service members in the
regians checked betaw:
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
R_ eqion
i
2
3
4
5
6
8
9
10
11
12
13
14
15
16
17
1$
19
2�
Headuuarters
Etiinburg
Corpus Christi
Victoria
}i0U5tOil
Bea�mant
Huntsviile
Kilgare
Mount Pl�asant
Wichita �alls
Richardson
Fort Worth
Waco
Ausrin
Abilene
San Angelo
Amarillo
Lubbock
Midland
�I Paso
San Ankon�o
❑ I wili nat service r�emi�ers
of the Texas Caoperative.
Page 20 of 53
propasal Forms COMMJSVCS v.06.14.2018
� Baard �
�avperative Purchasing
12D07 Research Boulevard ' Austin, Texas 78759-2439 � PN: 800-69�-Z914 ' FAX: 800-211-5454 ' buvboard.com
If this Texas Regio�al Service Designation form applies to only one or some of the products and servites proposed by
Vendor, list the products and services to which this form applies here:
Page 21 of 63
Proposal �orms COMM/SVCS v.06.14.2018
� Boar�l�
Coaperative Pyrchasing
1Z007 Research 6oule�ard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 8�0-211-5454 • buvbaard.com
STATE SERVTCE DESIGNATION
The Coaperati�e ofFers vendars the oppfl�t�nity to service other governmental entities in tF�e United States, induding
�nCergover�mental purchasing cooperati�es sueh as the National Purchasing Cooperati�e BuyBoard. Yau must complet�
this farm if yau plan to service the entire United States, or will service only the specific states indicated. (Note: Ifyou p/an
Ca service Texas Cooperative memhers, 6e sure that you complete the Texas Regional Service Designation form.}
If you s�rve different states for different products or services included in your proposal, yau must camplete
and su6mit a separate State Service Designation form for each group of praducts and clearly indicate ihe
products or services to which the designatian applies in the space proyided at the end of this form. By
designating a state or states, yau are certifying that you are autharized and willing to pravide the proposed
products and services rn those states. Designating states in which you are either unable or unyvilling to
provide the specified product's and services shall 6e graunds for either rejection of yaur proposal or, if
ar+varded, termination of your Contract.
�kease check (,�/) all that anpjy�
❑� T will ser�ice all states in the United States.
❑ I will not service a!I states in the United States. I will se�vice only the states checked faefow:
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
Alabama
Alaska
Arizana
Arkansas
California (Public Contract Cade 24118 & ZQ652)
Colorada
Conneeticut
Delawa re
District af Columbia
Florida
Georgia
Hawaii
Iciaho
Illinois
Indiana
IDW�
Kansas
Kentucky
Louisiana
Maine
Mary{and
Massachusetts
Michigan
Minnesota
Mississippi
Missauri
Montana
❑ Nebraska
❑ Nevada
❑ New Hampshire
❑ New Jersey
❑ New Mex9co
❑ New York
❑ North Carolina
❑ North Dakota
❑ Ohia
❑ Oklahoma
❑ Qregon
❑ Pennsyl�ania
❑ Rhode Tsland
❑ South Carolina
❑ South Dakota
❑ Tennessee
❑ Texas
❑ Utah
❑ Vermont
❑ Virgi�ia
❑ Washington
❑ West Virginia
❑ Wisconsin
❑ Wyaming
Page 22 of 63
Prpposal Forms COMM/SVCS v.06.14.2018
i Board �
Cnnperative Purchasing
iZ007 Research Bou{evard ' Austin, Texas 78759-Z439 � PN: 800-595-.Z919 ' FAX: $�0-211-5454 ' buyboard.corn
This form will be used ta ensure that yau can service other governme�tal entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a
cor�tract awarded under this proposai.
Mity Lite, inc.
� Company Name
� � ��_ - �� �� � John King
Signature of Authorized �ompany Offcifi� Printed Name
�
If this State Service Designation form app�ies to only ane or some of the products and services proposed by Vendor,
list the products and senrices to which this form applies E�ere:
Page 23 oF 63
Proposal Forms COMM/SVCS v.06.1a.2018
s Yoard�
Caaperative PUrchasing
i2007 Research Boulevard ' Austin, Texas 78759-Z439 � PH: 8D0-695-29f9 ' FAX: 800-Z11-5454 ' bu bo_._y ard•coi'n
NATI�NAL PURCHASING CO�PERATIVE VENDOR AWARD AGREEMENT
in accardance with the Terms and Conditions associated with this Praposal Tnvitation, a contract awarded under tfi�is
Proposa� In�itatian may be "piggy-backed" by another governmental entity. The National Purchasing Cooperati�e is an
intergo�ernmentaf purci�asing coaperative Forrr�ed �y certain school districts outside af T�xas to se�e its members
�hroughout the lfnited States. If you agree �a be considered �or a piggy-back award �y the f�ational Purchasing
Cooperative, yau agree to ti�e following terms and agree to serve National Purchasing Caoperati�e merribers in the states
you have indicat�d on the State Service Designation form, in your Proposal.
By signing thi� farrn, Proposer {referred t� in this Agreement as `"Vendor") agrees as folfow5:
1. Ve�dor acknowledges that ifi The Local Government Purchasing Cooperati�e ("Texas Cooperative") awards Vendor a
cantract under this Proposal Fn�i�ation ("Underlying Award"�, the Natianal Purchasing Caoperative ("[Vational Caoperative"}
may - but is not required to -"piggy-back" on ar re-award all or a partion of that Underlying Award ("Piggy-6ack Award`�.
By signing �his National Cooperati�e Vendor Award Agreement ("Agreem�nt'�, Vendor accepts and agrees ta be bound by
any such Piggy-Back Award as pro�ided far herein.
2. In the event Nat9onal Caaperative awards Vendor a Piggy-Back Award, the National Coaperative Administrator
("B�yBaard Administrator") will notify Vendar in writing of such Piggy-Back Award, which award shall commence on the
effective date stated in the Notice and end an the expiration date of the Underlying Award, subject to annual renewals as
authflrized in writing by the BuyBoard AdminisCrator. Ve�dor agrees that no further signature or other action is required of
Vendor in order for the Piggy-Back Award and this Agreement ta be binding upon Vendar. Vendar further agrees that no
interlineatidns ar ci�anges to this Agreemen� by Vendor will be binding an National Cooperative, unless such changes are
agreed to by i�s �uyBoard Administrator in writing.
3. Vendor agre�s thai it shall oFFer its goods and services to Na�ional Cooperative members at the same unit pricing and
S�me ger�erai terrns and canditions, subject to applicable state faws in the state o� purchase, as required by the Underiying
Award. Howe�er, nothing in this Agreement prevents V2ndor from offering National Cooperative members better (i.e.,
lower) competiti�e pricing and more fa�arabfe terms and canditfans than those in the Underlying Award.
4. Vendor hereby agrees and confirms that it wifl s�r�e those states it has designated on the State Ser�ice Designation
Farm of this Proposal Invita�ion. Any changes to the sta�es designated on the State Service Designation Form must be
appro�ed in wriCing by the BuyBoard Aciministratar.
5. Vendor agrees to pay National Cooperative the serv+ce fee pro�ided far En the Underlying Award based on the amount of
purchases generated from Nationa! Cooperative members through the Piggy-Back Award. Vendor shall remit payment to
Na�ional Cooperative an such schedule as it specif�es (wh�ch shalf not be more often than monkhly). Further, upon
request, Ve�dor shall pro�ide National Cooperat9ve wi�h capfes of a!I �urchase orders generated from National Cooperative
members for purposes of reviewing and �erifying purchase acti�ity. Vendor further agrees that National Coop�rative shall
have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National
Cooperati�e members in order to �erify khe accuracy of service fees.
5. Vendar agrees that the Underlying Award, including its Genera! Terms and Conditions, are adopted by re�erence to the
fuliest e�ent such provisions can reasona6ly apply to the post-proposal�contract award ph�se. The rights and
responsibilities tha� would ordinarily inure to the Texas Cooperative pursuant Co ti�e Underlying Award sha!! inure to
NationaE Cooperati�e; and, con�ersely, the �ights and responsibilities that would ordinarily inure ta Vendor in the Underlying
Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and Natianal Cooperative are fihe
anly parties ta this Agreement, and that nothing in this Agreement has application to other third parties, incl�ding the
Texas Caoperati�e. In the event of conflict between this Agreernen� and the terms of the Underlying Award, the terms of
this Agreement shall cantrol, and then only ta tY�e extent necessary t0 reconc[le the canflict.
Proposal Forms CQs�M/SVCS v.a6.14.2018
Page 2�} of 63
� Bvard�
Coaperative Pu,rchasing
].20a7 Research Boule�ard ' Austin, Texas 78759-Z439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' bu bo_�ard.com
7. This Agreemer�t shall be go�erned and con5trued in accordance with the laws af the State of Rhode Island and venue
for any dispute shall !ie 9n the federa! district court o� Akexandria, Virginia.
8. Vendor acknawledges and agrees that ti�e award of a Piggy-Back Award is within the sole discret3on of IVational
Cooperative, and that this Agreement does n�t take effect unless and until [�ational Cooperativ� awards Vendor a Piggy-
Back Award and �he BuyBoard Administratar notifies Vendor in writing of such Piggy-Back Award as pro�ided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority ta enter into this
Agreement.
Mity Lite, Inc.
584-19
Name of Vendar ,� `� Proposal Invitation Number
�" ' �� John King
� �� ���� - �
� �-
Signature of Aufhorizet�Company icial Printed I�ame of Authorized Company Official
August 16, 2018
Date
Proposal Form5 COMM/SVCS v.06.i4.2D18
Page 25 of 63
� Board�
Gooperati�e P�rchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 " FAX: 80Q-Z11-5454 • buvboard.com
FEDERAL AND S�ATEI PURCHASING COOPERATNE EXPERIENCE
The Cooperati�e strives to provide its members with the best services and products at the hest prices a�aiiable fram
�endors with the technical resources and ability to serve Coopera�i�e members. Please respond to the foNowing questions.
Pravide the doUar �alue of safes to or through purchasing cooperatives at ar based on an established catalog or
market pfice during ti�e previous 12-month periad or the last fiscal year: $ .(7h� period of the 12
r�onth period is 1 ). Ir� the event that a doliar value is not an appropriate measure of the sales,
provide and describe your own measure of thE sales of the item(s).
By sub�ni�ting a propasaf, yau agree that, based on yaur written discou�ting �alicies, the discounts you offer the
Cooperative are equal to ar hetter than the best price yau offer ather purchasing cooperati�es for the same items
u�der equivalent circumstanCes.
Provide �he infor�'nation requested below for other purchas�ng cooperatives for which Propaser currently serves, or in
the past has seFved, as an awarded vendar. Rows should be added to accommodate as many Purchasing
caaperati�es as required.
•• rs• �•r r
.
M*• �° • ��
.� �s• •'
i. Fer�eral General Services Administration �eS 2003 to 2021 71, 7110, 7105
2. T-PASS (State of Texas)
3, �J.S. Communities �urchasing Ailiance
4. Natianal IPA/TCPN
5. Ffouston-Gaivesto� Area Council (r�cac}
6. Nationaf Joint Pawers Allia�rce {NJPA}
7. E&I Cooperati�e
8. The Interlocal Purchasing System (TIPS)
9. Other �' Yes �' r ^' 42025
/ .�/1%� .il� 7�.�,� i�r� ��J
❑ MY COMPANY DQES NOT CURRENTLY HAVE ANY OF THE ABOVE �R SIMILAR TYP� CONTRACTS.
CURI7ENT BUYBOARD VENDORS
If yau are a current BuyBoard vendor in the same contract category as proposed in this Praposal In�itation, indicate the
discount for yaur current BuyBoard contract ar�d the proposed discount in this Praposal. Explai� any difference between
your current and proposed discounts.
0 63.30 Pro osed Discaunt �/a �2•45
Current Discount { /a): P i )=
�x��a�at��n: To keep this contract in line with our current GSA & TXMAS contracts.
This is the discount rate on Mity Lite Tables, othe� lines may be difFerant
Proposal Farms COf�M/SVCS v.06.14.2018
Page 26 of 63
� Board �
Cnnperative Purchasing
12007 Research Bouie�ard ' Austin, Texas 78759-Z434 • PH: 80Q-695-2919 ' FAX: 80fl-211-5454 '�uVboard.com
By signat�are below, I certify that the above is true, compleie and accurate and that I am authorized by my compar�y to
make this certificatian.
Mity Lite, Inc.
Cam�any Name
�:��=% � John King
Signature of Authorized Cam��n Offi�ial Printed Name
Proposal Forms COMM/SVCS v.06.14.2018
Page 27 of 53
� Board�
Coaperative Purchasing
120D7 Ftesearc� Boufevard � Austin, Texas 78759-2439 • PH: 500-695-�919 •�AX: $Qd-211-5454 ' buvboard.com
GOVERNMENTAL REFERENCES
For your Proposal to be cansidered, you must supply a minimurrt of fiv� (5) indiuiduai go�ernmental entity referencEs. The
Cnaperati�e may contact any and a11 references prov9ded as part of the Proposal evafuation. Pro�ide the information
requesied below, including the existing �ric�/dEscaunts you offer each customer. The Cooperatave may determine whether
prices/discour�ts are fair and reasonable by comparing prices/dis�ounts stated in your Proposal with the prices/discounts
you affer ather governmental custamers. Atta�1� additior�al pages if necessary.
Quantity/
Entittr NaEne Contact �hone# Ernail Address Discount Volum�
C_'1Tu �- �{c��; i��� I �i� jr.�/ s-b I��. �r_��-f� r.�/��Z� C��_ S.S~ ��
. .� _ .� a _ il � . , n . � ,,. . __ .n�-- „r,v ,� : i . -.� . __ . �
� 1 1 ��i (� � ���L—�' Y:-.f_,C, l�lfl
2 ��i! �� �:� l �� ��
J3C� UI �'U'.,� ��
C� �� J _.3 lG�
2. C.�:.��..�.� �l ��/� � AG� �'�c��/�tc�� � �� r�; ��-���C--�'��� �X. C�i�
� � i �f I' � ,� i���� .�" G �T' �� �-1C� �� �i` � � / �, %�/ � L ����>>9%� � S" . � � ��
3. /�rC�L� %� � I ��t� �- S�� �"���''--G.�T�/-1 .?� C���
G r � `—�i �� �', ���`�l� �?.�'�' h�'%�� 3/ ��i' l�C>��C'��i�I`� ��-- � ��
4. a�� �� � �[����/�=.,�1� ,,�i`�����_�� �� ��'�.�t%�T� ���
�'� ���/�.`� ; c�;�l �n vt�rr- � �/ � � � � �/ ��/ ��" �3���C��'{��J ����,�
�. ,�v� � �-r�/� L_.�'� ��,4 r2��1 � . C������� �' . C%�AG-. U�� i��1/_ �! � �
Do you ever modify your writ�er� po4icies ar standard gavernmental sales practices as identified in �he above chart to give
�etter discounts (lower �rices) than indicated? YES ❑■ NO ❑ If YES, please explain:
Mi�y Lite offers a vo�ume discount scale
$y signature below, I cerYify t�at the above is true and correct and that i arn authorized by my company to make this
certificatian.
Mity Lite, Imc.
Company Name �`
" _�- .��
�_
Signature of Authorized Company �ffci
John King
Printed N�me
Prnposal Forms COMM/SVCS �.a6.14.2018
Page 28 of 63
' Board �
.
Cooperative Purc�asing
12fl07 Research Boulevard ' Austin, Texas 78759-2439 • Phi: 800-695-2919 ' FAX: 800-21i-5454 • buyboard.com
MARKETING STRATEGY
Fa� your Proposal to be considered, you must submit the Marketing Strategy you wiU use if the Cooperati�e accepts all or
part of your PropasaL (Examp/e: Explain how your company will inrtially inform Cooperative mem6ers of yaur BuyBoard
contract, and how you will continue to support the 8uy8aard for the duration af the contract period.)
Attach additional pages if necessary.
i111ity Lite runs a Semi-annual marketing campaign. VVe target all accounts
that are eligible to purchase off of our Buyboard contract via email
Also as I�alk with clients that are efigible to purchase ofF our Buyboard
contract I always make that option a�ai�able.
Mi�y Lite, inc.
Company I�ame
/ � �
� -=�-� �-�!/�
�
Signature of Authorized Company�Official
John King
Prin�ed fVame
Proposal Forms COMM/5VC5 v.06.14.2�18
Page 29 of 53
i �����
�
Coaperative Pr►rchasing
120a7 Research Baule�ard ' Austin, Texas 78759-Z439 ' PH: 50�-695-2919 ' FAX: 800-211-�454 ' buyboard.com
CONFiDENTIALI PROPRIETARY INFORMATxON
A. Public Disciosure Laws
All Proposals, forms, documentation, ar other materials submitted by Vendor to the Caoperative in response to this
Prapasal Invitation, including catalogs and pricelists, rr�ay be subject to the dis�losure requirements of the Texas Pu�lic
Information Act (Texas Government Code chapter 55Z.001, et. seq,} or similar disclosure law. Proposer must clearly
ident3fy on this form any information in its Proposal {including forrr�s, documentatian, or other rnaterials submitted with the
Proposal} that Propaser considers proprietary or confidential. If Proposer �ails to properly identify the ir�formation, the
Cooperative shall ha�e no abligation to notify Vendor or seek protection of such informatian from public disclosure should a
rnem�er of the �c�blic or other third party rec�uest access ta the in�ormation under the Texas Public Infarmaiian Act ar
5imilar disclosure law. Proposer will b� notifiied of any third party request for information in a Proposal that Proposer has
identi�ied in this form as proprietary ar canfidential.
Does your Proposa[ ([ncluding forms, dacumen�ation, or other materials submitted with the Praposal) contain informa�ion
which Vendor cansiders proprietary ar con�ide�tial?
Please check [�) one af the foliowinq:
� N0, I certify that nane of the inPormation included with this Propasal is considered confidentiaf or proprietary.
� YES, I certify that this Proposal contains infarmatipn considered confidential ar proprietary and all such informatian is
specifically identified on this form.
If you respondeci "YE5", you must identify beEow the specifit ir�formation you consider confidentia! or proprietary. List each
page nurr�her, form number, or other informatian sufficient to make the inforr�ation reacfily identifiable. The Caoperati�e
ar�d its Administrator will not be responsible for a�roposer's failure to clearly identify information cansidered canfidential or
pro�rietary. Further, �y submitting a Prapasal, Propaser acknowledges that the Cooperati�e and its Administratar will
disclose infarmation when required by law, e�en if such information has been identified herein as informatifln the vendor
considers confidential or proprietary.
Confidential / Proprietary Infarmation:
The Buyboard contract pricing is confidential. And is not made know
to general public.
(Attach additronal sheets ifneeded.)
Proposal Forms CDMM�SVCS v.06.14.2018
Page 30 of 63
� Board �
Cnoperafive Purchasing
12007 Research Boule�arcf • Austin, Texas 78759-2439 ' PH: 860-695-2919 ' FAX: 80D-21f-5454 ' buyboard.com
B. Copyriqht Ynformation
Does your Propasaf (including farms, dacumentation, ar other materEa�s su�mitted with the Proposal} contain copyright
ir�formation?
Please check f�l) one of the following_
� i��� Proposa{ (inc�uding forms, documentation, ar ather materials submitted with the Proposal) does nai
contain capyright informatian.
� Y�$, Proposal (including forms, documentation, or other materials submitted with the Proposal) does
° contain copyright information.
If you responded "YES", identify below the specific documents or pages containing copyright information.
Copyright Informatian:
(Altach additional sheeis if needed.)
C. Consent to Release Confidential/Proprie#arv/Coarrriqht Infarmation to BuyBoard Members
BuyBoard members (Cooperative ar�d nonprofit members) seeking to make purchases through the BuyBoard may wish to
�iew information in�luded in the Prapasals of awarcEed Vendors. If you identified information on this form as canfidential,
proprietary, o� subject �o copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award canstitutes your consent to the discfosure of such information to BuyBaard members, including posting of such
information on th� secure BuyBaard website for members. Note: Neither the Cooperative nor its Administrator wil! be
respansii�le for the use or distributian of information by BuyBoard members or any other party.
�. Consent to Release Provosa{ Tab�lation
No�+nrithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal,
Vendor consents and agrees that, upon Contract award, the Cooperative may publically release, including posting on the
public BuyBoarcf websi�e, a copy of the proposal tabulatio� for the Contract including Ve�dor name; proposed
catalog/pricelist name(s); propased �ercentage discount(s}, hourly labor rate(s), or ather specified pricing; and Vendor
award or nar�-award information.
By signature helow, I certify that thE information in this form is true, compiete, and accurate and that I am authorized by
my carr�pany to make this �ertification and a11 consents and agreeme�ts contained herein.
Mity Li�e, Inc
Company Name /�!/
�� �% .
=�� __ _ , . �- j' _
Signature of Autharized Company Ofifcial
John King
Printed Name
September �th, 2018
Date
Proposal Forms COMM/SVCS v.Q6.14.2018
Page 31 of 63
' Baard �
s
Caoperafive Purchasing
120Q7 Research Boule�ard ' Austin, Texas 78759-2439 � PH: 800-695-2919 • FAX: 80D-2i1-5454 • buvboard,Com
VENDOR BUS�NESS NAME
8y submitting a Proposal, Prapaser is seeking to enter into a legal cor�tract with the Cooperative. As such, a Proposer must
be an individuai ar legal business e�tity capable of entering into a 5inding contract. Proposers, must completely and
accurately pro�ide the informatian requested below or your Proposal may be deemed non-responsiv�.
Name of Proposing Company: MIt�I L1t@, �nC.
(Llst the leQdl name of the company seeking to contract wr'th the Cooperah've. Do NOT list an assumed name, dba, aka, etc. here. Such information may
6e provided below. If you are su6mittrng a jornt proposal wrth another entrty to provide the same proposed goads or services, each submitting enG�ty
should complete a separate vendor information form. Separately aperating legal 6usmess entities, �ven if affli�ted entitres, which propose to pravide
goods or services separately must su6mrt their oyvn Proposals%
Please chetk (� one of the followinq;
Tvae of Business:
Individua!/Sole Prap�ietor
Carporation vEs
Limited Lia�ility Company
Partnership
Qther If other, identify
State of Incorporatio� (if applicable}: Utah
federal Emplayer ldenti�ication Number: 87-0652595
(I/endor must� include a completed I.� W 9 form with their proposal)
List the Name(s) by which Ve�dor, if awarded, wishes to be identified on the BuyBoard: (Note: IP d�f�erent than the 1Uame of
Proposrng Company Irsted a6ave, anty valid trade names (dba, aka, etc.J of the Proposing Company may 6e used and a capy of your Assumed Name
Certificate(s}, ifapplica6le, must6eattached.j
Proposal Forms CbMM/SVCS v.06.14.2018
Page 3z of 63
Fo�, W-9
(Rev. November 2017)
Department of the Treasury
Internal Revenue Service
on this tine; do not
1 Name (as shown on your income tax return
MITY-LITE, INC
2 Business nameldisregarded entity name, if
ri
w
rn
m
a
c
0
ai c
ao
"1'�`' U
O �
C y
.i C
a o
�
U
d
a
N
�
a�
�
Give Form to the
requester. Do not
send to the IRS.
from above
3 Check appropriate box for federai tax classification of the person whose name is entered on Iine 1. Check oniy one of the
following seven boxes.
❑ IndividuaUsole proprietor or
single-member LLC
Request for Taxpayer
Identification Number and Certification
► Go to www.irs.govlFormW9 for instructions and the latest infarmation.
Q✓ C Corporation ❑ S Corporation ❑ Partnership
� Taxpayer ldentification Number (TIN}
Enter your TIN in the appropriate box. The TIN provided must match the name given on line � to avoid
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer identification number {EIN). if you do not have a number, see How fo gef a
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see Whaf Name and
Number To Give fhe Requester for guidelines on whose number to enter.
Social security number
L� —m _�
or
Empioyer identification number
�n_fl652595
� Gertification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt_from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has natified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person {defined below); and
4. The FATCA code(sj entered on this form (if any) indicating that I am exempt from FATCA reporting is correot.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax retum. For real estate transactions, item 2 does not apply. For mortgage interest paid,
aoquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions far Part II, later.
Sign Signature of
Here u.S. person ►
General Instructions
❑ TrusVestate
Date ► � �' 6
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester} who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number {ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
4 Exemptions (codes appiy oniy to
certain entities, not individuals; see
instructions on page 3):
Exempt payee code (if any)
❑ Limited liability company. Enter the tax classification (C=C corporation, S=5 corporation, P=Partnership) ►
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner uniess the owner of the LLC is code (if any)
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Othervvise, a single-member LLC that
is disregarded from the owner should check the appropriate brnc for the tvc classification of its owner.
� Other (see instructions) � (Mplies to accounts maintained outside the U.S.)
5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional)
PO BOX 679303
6 City, state, and ZIP code
DALLAS, TX 75267-930
7 List account number(s) here
• Form 1 �99-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S {proceeds from real estate transactions}
• Form 1099-K {merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1 d98-T {tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not retum Form W-9 io the requester wiYh a TIN, you might
be subject to backup withholding. See What is backup withholding,
tater.
Cat. No. 10231X Form W-J (Rev. 11-2017}
� Baard�
Cooperative P�rrchasing
12007 Research Boule�ard ' Austin, Texas 78759-Z�}39 • PH: 800-695-Z919 ' FAX: Sb0-211-5454 ' buvboard.cor�
EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperati�e member seeks to procure goods and services using funds under a federal grant or cor�tractr specific
federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is nat limited
ta, the procurement standards of the Ur�ifarm Administrative Rec�uirem�nts, Cost Principles and Audit Requirements for
Federal Awards, Z CFR Z00 (sometimes r�ferred to as the "Uniform Guidance" or new "�DGAR"�. AII Vendors submitting
proposals mus� complete tf�is EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain
requirer�ents wF�ich may be applicable ta specific Cooperative member purchases using federal grant funds. This
carnpteted form will be made available to Cooperative members for their use whiie considering their purchasing options
when usir�g federal grank funds. Coaperati�e rr�embers may also require Vendors to enter inta ancillary agreements, in
addition to the BuyBaard contract's general terms and conditions, to adciress the memb�r's speciFc contractual needs,
inciuding co�tract requir�ments for a pracuremer�t using federal grants or cantracts.
For each of the items 6elow, Vendor shauld certify Vendor's agreement and a6ility to camply, where
applica6le, 6y having Vendar's authorized representa�i�e cnmplet�e and ini(�ial the applica6le 6oxes and sign
Che acknowledgment at the end of this form. If you fafl to complete any item in this form, the Cooperative
c�vill consider ar�d may list the Vendor's response on the BuyBoard as "NO,"the Vendor rs unable or unwill�ng
to comply, A"NO" respanse to any of the items may, if applicable, impact the abiGty of a Cooperat[�e member ta
purchase from the Vendor using federai funds.
1. Vendor Viofation or Breach of Contract Terms:
Contracts far mare than the sir�plified acquisition thr�sho�d currently set at $150,000, which is t�e inflation adj�sted
arnount deterrnined by the Civilian Agency Acquisitian Council and the Defense AcquiSitio� Regulations Caut�cil (Councils}
as authorized by 41 USG 1908, must address administrative, contractual, ar legal remedies in instances where contractors
violate ar breach contract terms, and pro�ide f�r such sanctians and penalties as appropriate.
Pravisions regarding Vendor defaul� are includeci in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination of Contrack. Any Contract award will be subject to such BuyBoard General Terms
and Conditiorss, as well as any add�tianal terms a�d conditions in any Purchase Order, Cooperative member ancillary
cantract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which m�st be consistent
with and �rotect the Cooperative member at least to the same e�ent as the BuyBoard Terms and Conditior�s.
T�e r�medies u�►der the Contract are in addition to any other remedies that may be available under !aw or in equity. By
subrnitting a Prapasal, you agree to these Vendor �iolation and breach af contract terms.
2. 7errr�ination for Cause or Can�enience:
For any Cooperati�e member purchase or contract in excess of $10,000 made using tederal funds, you agree that the
folEowing term and condition shall apply:
The Cooperative mem6er may terminate ar cancel any purchase order under this Contract at any time, with or without
cause, 6y providing seven (7J business days advance vvritten notice to the l/endor If this Agreement is terminated in
accordance �ith this Paragraph, the Cooperative mem6er shall only 6e required to pay Uendar far goods or servrce.s
delivered ta the Cooperative mem6er prior to the termination and not othervvise retumed in accordance with I/endor's
retum palicy. Tf the Cooperative member has paid l/endor for gaods ar services not yet provided as of the date of
terminatron, l/endor shall immediately refund such payment(sj.
If an alternate pravision for termination of a Cooperati�e member purc�ase for �ause and can�enience, incluclir�g the
manner by which it v�rill be eFFected and the basis �or settleme�t, is included in the Cooperative member's purchase order,
ancillary agreem�:nt, or Member Construction Contract agreed to by the Ven�or, the Cooperati�e member's pravision shall
control.
Proposal Forms CDMM/SVCS �.06.14.2018
Page 33 of 63
� Bo�rd �
Cooperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2�+39 � PH: SQO-695-Z919 ' FAX: 80Q-21�-5454 • bu�bpard.com
3. Equal Employment �pportunity:
Except as otherwise provided under 41 CFR Par� 60, all Cooperati�e member purchases or contracts that meet the
definition of "federally assisted construction cantract" in 41 CFR Part 60-1.3 shall be deemed to include the equal
oppartunity clause provided under 41 CFR 60-1.4(b}, in accordance with Ex�cuti�e Order 11246, "Equal Employment
Opportunity" (30 FR 12319, 12935, 3 CFR Part, 19G4-1965 Comp., �. 339), as amended by Executive �rder 11375,
"Amerrding Executive Order I1246 Relating to Equal Employment Opport�nity," and implementing regulatians at 41 CFR
Part 6D, "Office af Federaf Contract Compliance Programs, Equal Employment Opportunity, Department of Labor."
The equal apportu�ity elause provided under 41 CFR 64-1.4(b) is hereby incorparated by �eference. Vendor agrees that
such pravision applies to any Cooperative rr�ember purchase or contract that meets the definition of "federally assisted
construcfion contract" in 41 CFR Part 60-1.3 and Vendor a rees that it shall c4m I with such ravision.
4. Davis-Bacon Act:
Wf�en rec��ired by F�deral program legislation, VencEar agrees �hat, for all Coaperative member priEne construction
cantracts/purchases in excess of $2,000, Vendor shall comply with the �a�is-Bacon Act (40 USC 3141-3144, and 3146-
3148) as supplemented by Department of Labor reg�latian� (29 CFR Part 5, �'Labor Standards Provisions A�plicable to
Contracts Cavering Federally Fina�ced and AssEsted Canstruction'�. In accardance with the statute, Vendor is requirec[ ta
pay wages ta lab�rers and mechanics at a rate not less than the pre�aiEing wages specified in a wage deterrninate macfe by
the Secrekary of Labor. In acEdi�ion, Vendor s�all pay wages nat less than once a week.
Current prevailing wage �etermina�ions issued by the Depar�ment of Labor are available ai wdoE.gov. Vendor agrees that,
for any purchase ta which thEs requirement applies, the award of the p�rchtase to the Vendor is conditioned upon Vendor's
acceptance of the wage determination.
Vendor furthe� agrees that it shall also camply with the Copeland `�Anti-Kicfcback" Act (40 USC 3145), as supplemented by
Department vf Labor regula�ions (29 CFR Part 3, "Contractors and S�bcontractors on Public 8uilding or Public Work
Financed in Whole or in Part by Loans or Grants from the United States"}. The Act provides that each contractor or
subrecipient must be prohibited �ram inducing, by any means, any person empioyed in the construc�ion, completion, or
re air of �blic wark, to ive u an art of the cam ensation ta wh[ch he or sh� is otherwise entitled.
5. Contract Work Hours and Safety Standards Act:
Where applicable, for al! Cooperati�e member contracts or purci�ases in excess of $100,040 that invoive the employment of
mechanics or laborers, VencEor agrees ta comply with �+0 USC 370z and 3704, as suppleme�ted by Department af Labor
regula�ions (29 CFR Part 5). Ur�der 40 USC 3702 af the Act, Vendor is required to compute the wages of every mechanic
and laborer on the basis of a star�dard work week of 4D haurs. Work in excess of the standard work week is perrrEissible
pro�ided that the worker is campensated at a rate of not less than one and a half times the basic ra�e of pay far all hours
worked in excess of 40 hours in fhe work week. The requirements of 40 U5C 3704 are applicable to construction work and
provide that �o laborer or mer�anic mu5t be required ta wark in surraundings or under working conditio�s which are
�nsanitary, hazardous or clangerous. These reguirements do not apply to the purchases of supplies or materials or articles
ordi�tarily available an the open markeC, or co�tracts for transportatior� or transmission of intell�gence.
6. Right ta In�entions Made Under a Cantract or Agreement:
If the Caaperative member's �ederal awarcf ineets the definition of "funding agreement" under 37 CFR 4Q1.2(a) and the
recipient or subre�ipient wishes fo enter inta a contract with a srrtall business firm or nonproFit organizatian regarding the
s��,stitu�ion of parties, assignment or perfor�nance or experimental, developmental, or research work under that "funding
agreement," ti�e recipient ar subrecipient must comply with the requirements of 37 CFR Part 4Q1, '�Rights ta Inventions
Made by iVonprofit Organizatians and Smal! Business Firms E�nder Government Grants, Contracts and Coaperati�e
Agreements," and any implemen�ing regulations issued by the awarding agency.
Vendor agree5 to comply witl� the above requirements when applicable.
Page 34 oP 63
Praposal Forms COMM/SVCS v.06.14.2p18
' Board �
�
Coaperafive Purchasing
12Q�7 Researth Bouie�ard ' Austin, Texas 78759-Z439 • PH: 800-695-2919 ` FAX: 806-211-5454 • buvboard.com
7. Clean Air Ac� and Federal Water Pollu�ion Control Act:
Ciea� Air Act (42 USC 740I-7671q.) and the Federal Water Pollution Control Act (33 USC 1Z51-1387), as amended —
Contracts and subgrants of amaunts in excess of $15�,��p must con�ain a provision that requires th� non-Federal award fia
agre� to comp�y with all ap�licable standards, orders, or regulations issued pursuant to the Clean Air Act {4Z llSC 7401-
7'67�q.) and the Federal Water Pollution Control Act, as amended {33 U5C 1251-1387}. Vialations mt�st be reparted to the
Federa! awarding ageney and the Regio�al OfFice of the Environmental Pratection Agency (EPA).
When required, Vendor agrees to camply w€th all applicable standards, orders, or regulations issued pursuant ta the Clean
Air Ac� a�d the Fedeeal Wa�er Pollutian ControE Act.
8. Debarment anc� Suspensian:
Debarment ar�d Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.22�) must not be
made to �arties listed on the gavernment-wide exclusions in the 5ystem for Award Management (5AM}, ir� accardanc� with
the OMB guidelfnes aC 2 CFR 180 that implement Executive Orders 1Z549 (3 CFR Part 1956 Com�. p. 189) and 12689 (3
CFR Part 19$9 Camp. p. Z35), "Debarment and S�spension." SAM �xclusians cantains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineiigible under statutory or regulatory autharity
other than Executive �rder 12549.
Vendor certifies that Vendor is nak currently fisted o� the government-wide exclusions in SAM, is not debarred, suspended,
or otherwise exclucfec! by agencies or declared ineligible under statutory or regulatory authority ather thar� Executi�e Order
1Z549. Vendor further agrees to i�mediately natify the Caoperative and all Caaperative members with pending purchases
or se�king to purchase from Vendor i# Vendor is later listed on the go�ernment-wide exclusions in SAM, or is debarred,
suspended, or otherwise excluded �y agencies or declared ineligible under statutory ar regulatary authority other than
Execut9ve Order 12549.
9. Byrd Anti-lobbying Amendment:
Byrd Anti-Lobbying Amendment (31 USC 1352} -- Vendors that apply or F�id For an award exceeding $I00,000 must �le the
required certification. �ach tier certifies to the tier abo�e �hat it will not and has not used Federal appropriated funds to
pay any per�on or arganiza�ion far influencing ar attempki�g to influence an ofFicer or e�nployee of any agency, a member
of Congress, ofFicer or employee of Congress, or an employee of a member of Congress in cannection with obtaining any
�ederal contract, grant or any other award co�ered by 31 USC 1352. Each tier must also disclose any lobbying with non-
Federal funds tt�at takes place in connection with a�taining any Federal award. Such disclosures are farwarded frpm tier to
tier u� to the non-Federal award. As applicable, Ve�dor agrees to file all cerCificaCions and disclosures required by, and
ofherwise camply with, the Byrd Anti-Labbying Amendment {31 USC 1352).
10. Procurement of Recovered Materials;
For Cooperative member purchases utilizing Fec�eral funds, Vendar agrees to comply with Section 6002 of the Solid Waste
Dis�osaf Act, as amended by the Resource Conservatian and Recovery Act where applicable and provide such infarmation
and certifica�ions as a Cooperative mernber rrtay require to canfirm estimates ar�d atherwise camply. The requirements of
Section 6002 include procuring anly items designated in guidelines of the Environmentai Protection Agency (EPA) at 40 CFR
Part 247 thaC �ontain the highest percentage of recavered materials practicable, consistent with maintaining a satisfackory
level of competition, where the purchase price of t�e item exceeds $1D,�Q0 ar the val�e of the quantity atquired during the
preceding fiscal year exceeded $10,a00; procuri�g solid waste management services in a manner that maximizes energy
and resource recovery, and establishing an affirmative procurement program for pracurement of reco�ered materials
identified in the EPA quidelines.
11. Profit as a Separate Element of Price:
For purchases using Federal funds in excess of $150,0�0, a Cooperative member may be required to negotiate �rofit as a
separate eiement af the price. See, 2 CFR �q0.323(b). When required by a Cooperative member, Vendor agrees to
pra�icfe infarrr�ation and negotiate with th� Cooperative member regarding profit as a separate element of t�e price far a
particular purchase. However, Vendor agrees that the tatal priee, incl�ding profit, charged by Vendor to the Cooperative
member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Cantract.
Proposal Forms CdMM/SVC$ �.06.14.2U18
Page 35 of 63
� Baard�
Cooperafive Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 806-211-5454 • b�yboarcE.com
1Z. General Campliance and Cooperation with Cooperati�e Members:
In addition to tne foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a goad �aith efFort to wark with Cooperative members to provide such inForrr�ation and to satisfy
such requirements as may ap�ly to a pa�-ticular Cooperative member purchas� or purchases including, but not limited to,
a licable record�cee in and re��rd retention re uirements.
Vendor Cer�ifcation:
YES, I agree or
Vendor Certification Item No. NQ I do NOT a ree Initial
1. Vendor Violation or Breach of Contract Terms YeS J K
2. Termination far Cause of Con�enience YeS J K
3, Equal Employment Oppart�niry YeS J K
4. Davis-�acan Act YeS J K
5. Cantract Wark Hours and Safety Standards Act YeS ��
6. Right to In�entions Made Under a Contract ar Agreement l/eS �i K
7. Clean Air Act and Federal Water Polkution Control Act YeS J K
8. Debarment anc! SuspensioR YeS JK
9. Byrd Anti-Lobbying Amendment �/eS J K
10. Procurement oF Recovered Materials �eS J�
11. Profit as a Separate Element of Price YeS J K
i2, Generai Cornpliance and Caoperation with Cooperative Members YES JK
By signature below, I certify that the informatian in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and afl cflnsents and agreements contained herein.
Mity Li�e, inc.
Company l�ame� '_�
�:� � �.��
�— . �
Signaiure �f Authorized Company �fficial
John King
Printed Name
Proposal Farms COMM/SVCS v.66.14.2078
Page 3b of 63
i Board�
Canperative Purchasing
I2007 Research Boulevard ' Austin, Texas 78759-Z439 � PH: 80D-595-2919 ' FAX: 800-211-5454 ` buyboard.cam
PROPQSAL INVITATION UESTIQNNAIRE
The Coaperative wifl use your responses to the questions below in e�aluating your Praposaf and technical and fnancial
resources to pravic�e the goods and per�orm the services (`�Work"} under the BuyBoard cantract contemplated �y this
Proposaf Invitation ("Contract'�. Proposers must fully answer each question, numbering your responses to correspand to
the �uestions/nurr�bers below. Proposers must co�nplete below or attach your responses to this questionnaire, sign where
indicated beiow, and �ubmit the signed qu�stionnaire and your r�sponses to ali questions in one docume�t with your
prapasal. You tnust su6mEt the signed c�uestio�naire and responses with you� Proposal or the Proposal will
not be considered.
1. List the number af years Proposer has been in business and former busin�ss names (if applicable). Note whether your
campany is currently for sale or in�ol�ed in any transaction that would significantly alker its business or result in
acq�isitian by another entity.
Mity Lite has been in business since 1987. So 31 years in business!
2. Describe the resources Praposer has to manage staff and success�uily perform the Work cor�templated under this
Cantrack. State the number and summarize the experien�e of company personn�l who rnay be utilized for the Work,
including thase who will be available to Cooperative members far assistance wi�h project de�elopment, technical issues,
and prnducC selection for Work associated with this Cantract.
Mi�y Li�e has four manu�acturing sites in North America. This insures
e�ery peace of furni#ure purcnased on our Buyboard contract is
made to order right and on time.
3. Describe Proposer's �nan�ial capability to perForm the Contract. 5tate or describe the firm's financial strength and
rating, bonding capacity, and insurance co�erage limits. State whether the firm, or any of the firm's past or present
owners, principaE sharehoEders or stockholders, or officers, have been a debtor party to a bankru�tcy, receivership, or
insolvency proceeding in the last 7 years, anci identify any such debtor party by name and relationship to or position
with your firm.
Our annual re�enue is approximately $120,000,000.00
We have a 78 paydex &� R3 rating w�th D&B
We have �nsurance co�erage, see attachment
Our owners ha�e never been party to a bankruptcy o� any type
Proposal Forms COMM/SVCS v.06.14.20?8
Page 37 of b3
� Board �
Cooperative Purchasing
12007 Research Boule�ard • A�sstin, Texas 78759-Z439 � PH: 8Qfl-695-Z919 • FAX: 800-Z11-5454 • buyboard.com
4. Does your campany ha�e any o�tstanding finar�cia] judgments and/or is it currently in defauit on any loan or financing
agreeme�t? If so, provide detai�ed information on the nature of such items and prospects for resolution.
None
5. �ist all contracts, if any, in the last 10 years on which Proposer has defaulted, failed �o complete or del3ver the wark, or
�hat ha�e been terminated for any reason. For each such contract, pro�ide the project narne, scope, value and date
and the name of the procuring entity. Fuily explain the circumstances af the default, failure to complete or deliver the
work, or termination.
\��
List all litigatian or other legal proceedings (including arbitration proceedings}, if any, in the last 10 years braught
against your firm, or any of the firm's past or present owners, principal sharehofders or stockholders, officers, agents or
employees, that relates ta ar arises from a contract similar to this Contract or the work conter�p�ated under this
Contract. Provide the style of the lawsuit or proc�eding (name of parties and court or tribunal in which filed), �ature of
the claim, and resoiution or current sta�us.
None
By signature below, I certify that the i�formation contained in andJor attached to this Proposal In�itation
queskiannaire in response ta �he above quest�ons is true and correct and that I am authorized by rr�y
company to make this certification.
Mity Lite, Inc.
Company Name
�
���, �� �
Signature of Authorized Company OFFicial
Praposal Forms COMM/SVCs v.06.14.zQ18
Page 38 of b3
i �o�rrd �
Goaper�tive Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 500-695-2919 • FAX: 800-211-5454 • buyboard.com
RE IJIRED FORMS CHECKLIST
(Please check (�/) the following}
�
�
�
�
�
�
�
��
�
i
�
�
i`�
�
�
�
�
�
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�
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Completed; Propaser's Agreement and Signature
Completed: Vendor Contact Infa�rmation
Completed; FeEony Canviction Disclasure and Debarment Certifcation
Cam�Ieted: Resident/Nonresident Certifica#ian
Campleted: No Tsrael Boycatt Certificati�n
Completed: Na Excluded Nation or Foreign 7'errorist Organizatian Certification
Co.._m�leted: Historically Underutiltaed Business {HUB) Certification)
Com io eted: Construction Related Goods and Ser�ices Affirmatian
Completed: Der�iation/Compliance
Completed: L�cation/Authorized Seller Listings
Co�: Manufacturer Dealer Designation
Completed; Texas Regiona! Service Designation
Com�leted: State Serv�ce Designation
Campfeted: Natio�al Purchasing Cooperative Vendor Award Agreement
Completed: Federal and State/Purchasing Cooperatir►e Experience
Completed: Go�ernmental References
Completed: Marketing Strategy
Completed: Canfidentiai/Proprietary Information
CampEeted: Venclor Business Name wit#� IRS Form W-9
Com Ip eted: EDGAR Vendor Certificat�on
Completed: Proposal Invitation Questiannaire
Comqleted: Required Farms Ch�cklist
Campleted: Proposal Specificatian Form with Catalags/Pricelists and Evaluation Items
*Catalogs/Pricelists must 6e su6mitted with praposa! response ar response will not 6e mnsidered.
Prpposal Farms COMM/SVCS v.06.34.zQ18
Page 39 of 63
� �� �'� �� ��� ��� c �.�L�'t�t �..� -�L'��� �A��t�iC�h/
� �Z U---,� i _
�Board°
�.,.�.
Praposal No. 584-7.9-Furniture for 5chool, OfFce, Science, Li6rary and Dorntitory
EVALUATIONITEMS
EVALUA�'ION ITEnnS: This infnrmation wi[I 6e used only for purposes of assisting in the evaluatian of Vendor's price competitiveness. These items will not 6e individually awarded. THE
FOL�OWING EVALUATION ITEMS MUST 6E COMPLETED FOR EITHER TtiE dS SPECIFIED OR ALTERNATE PR9DLlLT. Equai alternates may be suhmitted in the proper columns only if you do
nat self the spedfic product listed. This form must he iully completed and returned or PROPOSAL RESPONSE W1LL F{OT BE C4NSI��RED. Vendors that do not offer anv af the eva3ua#ion or
alternafe items Issted 6elow shall suhmit a written explanadon to reguesE exemption from thfs regu�_rement. The Cooperative may determine, iro iYs sole discretion, whether or not to exempt
a�iendo� from thfs re�uirertsanC �rased on all information arovideil with the nropasa! response.
,� .
- .. � .. �:":��
- � s, '.-,-...r � . . . � --
�_ -
.4merican Seating for auditoriums, arenas and suites in the
Z Seating Stellar 216 education, sports, performing arts, and plares of
warship.
2 Midwes[ Cafeterla Tabie Round; 'v0" Chrome Legs; 29"h
3 kon Hon 2090 Ser�es �ecutive Chair, High-Back, �eather, 3fi0 Degree
Swlvel, Tilt Tension and Lock, Five-SWr 6ase, Bla[k
4 Vkl'[o 7BS $Eri�S Open Front School Dzsk - Metal Book Box -
Piberboartl Top
5 o9vers�fied �b worksta[ion �agon Sdence �ab Worksta�on - Drawer 6ase (56"
WooOtrafts �iameter}
fi Hon 1�706 Series '�p0ukar Purnitura, Right Pedesta! Credenza, 72w x
24d x 29-1lZh, Baurboo Chem/
7 G3oba1 930aP Series Lateral File CabmeY, 42" YVide, 4-�rawer, Black
8 Lyon 52225U Set-Up Locker - 2 Compartment Dou6le Ter 12"w x
18"d x 36"h
4 Eorr�ll CF246flP 60" Folding Table
wlth 5/8" thick ht�gh-pressurt Laminate Top
10 Coaster 5531Q Stuaft Cappucnno Bro�vn Queen Dormitory Platform
Bed
Page 40 of 63
n+a�unrcoN rreMs
� 'Bnard�
Atoperdfire Pwchazing
Proposal In�itation No. 584-19-Furniture for Schaal, OfFce, Science, Library and Dnrmitory
{Catalogs/Pricelists must be submitted with Proposal or Proposal will not he [onsldered'.)
NQTE 1; Vendors proposing �arious manufacturer product �ines per liree item on the Proposal Specification Form rnust suhmit the information as follows or
proposal may noC be considered:
�7anu€acturers shall be listed in aEphabetical arder
C7Jendor's must list one speciftc percentage discount For each Manufacturer listed.
If a vendor`s response to proposal 5pecification Form states "please see attachment sheet," all manufacYurers listed on the attachment sE�eet must indicate
per manufacturer the iine iYem that correkates to Proposal Specification Form or Vendor's propasal may not be cansidered.
NpTE 2; Vendors praposing must be approved by the manufacturer ta sell, ins#all, and service the brand of equipment submitted. Proposer`s responding to
�E�is Proposal In�itation shvuld submit an approval letter from eath manufatturer. NFanufac#urer authorization letters must indude the regions in which
equipment may be sold.
SeGtian I: Furniture
5tate PercenY (%) of
��� Discount off State Name of Exceptions io
No. Short Des[riptian Full Descviptian Catalog/Pritelistl Catalag�Pricelist1 Discount
DiscounT (°/a} Off See Addendum 3A 8�
Catalog/Pricelist for All Please state the discount (%} off catalog�pricelist fo� A41 Auditorium �O _ 79 Qq
� S�dting Furnitur�. Catalog/Pricelist M[15f be inGuded or proposal will not %
AEJditOriUm SEdtlflg 6e wnsidered.
Furniture
DiSCAunt °/o OfF o See Addendum 3A &
O Please state the discount (/o) off cataiog�pricelist for All Library 56.27 4A
Z Catalag/Pr�celist for All Furniture. Catalog�Pricelist 3N115T 6e includad or proposal will not be %
Library Fumiture consi[fered.
See Addendum 3A &
Discount (%} Off Please state the discount (%) ofF catalag/pricelist for All Office 56. 27 4A
3 Catalog/Pricelist for All FUI'lliture. Catalog/Priceiist MUST 6e incfuded ar praposal will not be %
OffiCe Furntture considered.
DISCou�lt (°/a) Off See Addendum 3A &
Catalog/PricelisY for Ali P3ease state the discount (%} off catalog/priceltst for All Classroom arsd 56.27 4A
4 Classroom and 5chaol $ChOvl Fu�nitu�e. Catatap�Pricelist MU57 be included or propasal will not be %
consFdered.
Furnikure
See Addendum 3A &
C}is�ount (%} Off Please state the discaunt (%} off catalogJpricelfst far All Science 56.27 aA
5 Catalog/Priceiist for Furniture. Cata[og/Pricelist NIUST be included or proposal will not be %
All SCienCe Furni[ure considered.
PRbPOSAENOTE
PROPOSAL SPECIFICATiON FORM
i. Catalogs/Pricelfsirs are requlred to be submitted with Proposal Page 4i of 63
�: r , r
. .
Propasal In�itation lVo. 584-19-Furniture for School, Office, Science, Library and Dormitory
5tate Percent (°/n) of
Item Discount ofF 5tate Naone of Exceptions to
Na. Short Descriptian Full Description Catalog/�ricelist' Caialog/Pricel�stl Discounk
See Addendum 3A &
Discount {%) Off Please state the discount (%) aff catalag/�ricelist for All Cafeteria �6 .�� 4A
6 Catalog/Pricelist for A91 Furnit�r6. Catalog�Pricelist MtlSfl�e included or proposal will not he %
Cafeteria ��miture considered.
Dfscpuni (%} Off See Addendum 3A 8�
Catalog/Pricelis# for Ail Please state the discount (°/o) ofF catalag/pricelist for All Modular 62.45 4A
� Modular FurnitUr�, Furqlture {N2w). Cata3og/Pricelist [�EIIST 6e 9ncluded or propasal will not 6e %
�� W COt�sldered.
DisCount {%) Off See Addendum 3A 8
Catalog/Pricelist for All Please state the discount {%) aff catalog/pricelist for All Modular 62.45 aA
& Madular Furniture, FurnitU�e {RefU�I315Iled}. Cakalog/PriceEist MUST be included or propasal %
will not he considered.
Refurbished
Discour�t (°Jo} Off p�ease state the dfscount (%} off catalog�pricelFst for All Filing
9 Catalog/PriCelist fo� Alf C3binet5. CataloglPriceGst MUST be included or proposal will not he %
FfEing Cal�inets considered.
Discount (%) OfF
Catalog/Pricelist far Please state the discount (°/a) off catalog/pricelist far All Lotkers and
10 f.ocker Products. Gatalog�Pricelist MUSC be induded or proposal will not be °�o
All Lockers and Locker
Produds considered.
See Addendum 3A &
€?"sscount (%) Off Please state the discaunt (%} off catalog/pricelist for All Dorm'ttory 5�.2 � 4A
12 Catalog/Priceiist for Furnfture. Catalqg/PriceGst MUST he included or proposal wfll not be %
All �ormitory Furniture considered.
See Addendum 3A 8�
flisCount (%) Off Alease state the discount (�/o} off cafalag/pricelist for All Cpurkroom CJ6,27 qA
I2 Catalog/Pricelist for All Fi�rr�iture. Catafog�Pncelist MUST be included or proposal will not be °�
Co��raom �urniture considered.
Di5C0uflt (%) OfF See Addendum 3A &
Catalog/Pricelist for All �lease state the discount (°/o) ofF catalog�pricelist for All Church and 56.27 0 4A
�3 Church and ReEigious Religious Furrtiture. Catalog/Pricelist hlilS� 6e incmaed or prpposa� will not �p
Fl1TIlitU?"E be considered.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORi�1
1. CatalogslPricelists are required to be submitted with Proposal Page 42 of 63
�: r. 1
. . ..
Proposal Invitation Na. 584-19-Furniture for Schaal, Office, Scie�ce, Lihrary and Dormitory
State Percent (°/a) of
IGem 4is[ouni off State Name of Exceptions to
No. Shqrt QescripCipn Full Des[ription CataEog/Priteli5tl Cdtdlog/Pritel"r5t' Distount
See Addendum 3A &
�iscount (%) OfF Please state the dfscount (°/fl) off catalog/pricelfst for AI! Other 55. 75 �A
14 C�talOg/PnCEliSt fOr Afl FUr�ItUrB. Catalog/Pricelist Ml15T be included or praposal will not be %
Dther Fumiture considered.
See Addendum 3A &
Discount (°Io) Off
Catalog/Pncel�st for A[I Please state the discount (%) off catalog/pricelist for All Moveabfe 65. �O 4A
15 �OVe���e Ull81iS �fl� walls and Partition5. Catalvg/Pricelist MUS'C 6e incEuded or proposal will %
PartftfOn5 notbeconsidered.
DISCOUIIt (%� Off
Catalog/Pricelfst for All Piease state the discount {%) ofF catalog�pricelist for All Types of
16 3ypes of Acoustic Acoustic Ceiling, Wall Panels and Related Materials. °/a
Ceilin�, W311 Pdn�15 CatalogJPricelist MU5T be included or proposal will nat he wnsidered.
and Related Materiais
Discount (%} OfF please state the discount {%) ofF catalog�priceltst for All Window
17 Cdt�lOg�PriCBIiSt fDt" All Tr�dttl'�2nt5. CataEog/Pricelist MUST be included or propvsal will not he � °�a
Window Treatments considered.
Dekailetl
Not to Exceed Hourly Information on Exceptions to
Section N: Installation and Re air Service Labor Rate Labor Rate Labor Rate
EVot to Exceed Ho�rly
Labor Rate for Hourly Labor Rate far Installatian/Repair Service of All Types of ^' /�
18 Installation/Repair Furnitvre — 5fate the Nat to Exceed hourly labor rate for All Types of $' V H IHour
Service of All Types of Furniture.
�urniture
5tate the Percent (%) State the Percent (%} Rate af Total Order for Installation aF
Rate o� Total Orcfer for
19 Installation of Furniture — State the Nof to Exceed percent (°/a) Rate ofTotal Qrder for N p` %
�urnit�re Installation an{y of Furniture.
PROPOSAL N07E PROPOSAL SPECIFICATION FORM
1. Catalogs/Priteli5ts 8re required to be submitted with Proposal Page 43 of 63
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Addendum 4A
MITY
September 13, 2018
RE: Discount Off/ Volume Discounts
To Whom It May Concern:
Below is the Volume Discount structure we would like to offer BuyBoard.
Volume Discounts (Units)
Manufacturer Category Type Line Names 1-6 7-49 50-99 100+
Reveal, ABS,
Mity-Lite Inc. School Furniture Tables Madera, & AL- 62.45% 62.45% 63.69% 65.62%
13
Volume Discounts (Units)
Manufacturer Category Type 1-74 75-149 150- 300+
Line Names 299
Royale,
Encore,
Classic, Grand
Auditorium Seating II, Grand, o 0 0 0
Mity-Lite Inc. Comfort Seating Prestige, 60.79/ 61.65/ 62.50/ 63.35/0
Furniture
Regency,
Essential,
Essential II, &
Access
Madrid,
Cambridge,
Seville, Oslo,
Mity-Lite Inc. Auditorium Seating Dining Chairs Milan, Sofia, 60.79% 61.65% 62.50% 63.35%
Furniture Zurich,
Barcelona,
Bordeaux,
Lisbon &
Addendum 4A
Mity-Lite Inc.
Library, Office, School,
Dorm & Meeting room
seating
Auditorium Seating
Furniture
Stacking chairs
Holsag, Forum, 56.27
Domani &
Meta
Hagen
58.17 I 60.08 I 61.98
Mity-Lite Inc.
Dining Tables
' S8% 59% 60% 61%
Winchester
Volume Discounts (Units)
Manufacturer Category Type 1-99 100- 300- 500+
Line Names 299 499
Mesh One
Stack, Adapt,
Mity-Lite Inc. Office Furniture Stacking Chairs Swiftset Stack, 56.27% 58.17% 60.08% 61.98%
Swiftset HD,
Chiavari &
Napoleon
Mesh One
Folding, One
Mity-Lite Inc. Office Furniture Folding Chairs Series, Swiftset 56.27% 58.17% 60.08% 61.98%
Folding &
Duramax
Manufacturer Category Type AIl
Line Names Units
Mity-Lite Inc. Other Furniture Carts Carts for all 55.75%
Products
Mity-Lite Inc. Other Furniture Dance Floors Magnattach 65.00%
Mity-Lite Inc. Other Furniture Staging Mobile Stages 66.37%
Versifold,
Moveable Walls & VersiFlex,
Mity-Lite Inc. Partitions 65.62%
Partitions VersiWall, &
VersiVide
Folding Tables would be FOB: Destination with free freight.
All other products would be FOB: Destination with freight prepaid and added to the invoice as a
separate line item.
Let me know if you have any questions.
Sincerely,
John King
Mity-Lite Inc
2
EXHIBIT C
GDNFLI�T �F INTEREST QUESTlQNNAIRE FORM ��Q
For �endor daing pusiness with Iocak ga�ernmentaE entity
This questiannaire retle�ts changes made to the law by H.B, 23, 84th Leg., ReguEar Session. �FFlCEUS��HLY
This guestiannaire is being filed in accordance with Chapter 176, LoCal Go�errTment Gode, by a �endQr who pate Fieceived
has a business relat9onship as def'tned by Section 176.001(1-aj wiih a local gavernmenfal entity and the
r+endar meets requirements under Section � 76.flO6�a}.
By law this questionnaire must be filed with 1he rec4rds adrninistrator af the Ivcal governmental entity not later
than the 7th business day �fter the date the �endvr becomes aware af faats that require the siatement to be
4iled. See 5ection 176.Qp6[a-1 ], Lo�al Go�ernment Code.
A vendor commits an offense if fhe �endor knowingly �iolates Section 176.DQfi, Local Go�ernment Code. An
otfen5e under this section is a misdemeanor.
� Name of ►►endor who has a busine5s refatianship with local go�ernmentaf entity.
/t �i 17~%� �...1 T� Ih/ � .
z
❑ Check this box if yvu are filing an update to a pre�iausly filed questivnnaire. ��he law requires that you file a� updated
cpmpleted questitinnaire with the appropriate filing authority noi later than the 7ih iou5iness day after the date vn which
you beCame aware that the originaliy filed quesliannaire ►vas incvmplete or in�ccurate.j
3 Name of I�cal go�ernme�t aificer about whom the informa#+an is being disclased.
_ �-.��-I o�° ��i �.��
Name of �ffieer
4 DeScribe each employment or other business relationship with ihe local government oificer, or a famiiy member af the
oificer, a5 descrit�ed by Section 176.0�3ta}{2)(Q}. Alsv describe any family relativnship with the local gavernment ofiicer.
Cvmplete subparts A ared B for eacfi employment or hus�ness ralatiansY�i�s descrihed. Attach additional pages t4 this Form
CI[� as necessary.
! � �J
A. Is t�e loc�l government offioer vr a family member of the offi�er receiving or likely to receive taxable income,
ather than investmenl income, #rom the vendor?
�Yes �No
B. Is the �endor recei�ing or likely ta racei�e taxabfe income, ather than in�estment incame, from or at the direction
nf the Iocal go�ernment afficer or a family member of the officer AND ihe taxable income is not receivect from the
lacal go�ernmental erttity?
� Y@5 � IVO
-��
� I]escrilye each employment or business relationship that the �endor narned in Sect'son � maintains uvith a corporat+vn or
ather bus#ness erstity with respect ta wi�ich th� Iocal ga�ernment off�cer serrres as an officer or director, on c�tds an
awnership interest af one perasnf or more.
/� �
6
❑Check this hox if the �endar has given the local government afficer or a family member oi the officer one ar more gifts
aS ciescribed ln Se�tion 176.a03(a)��)(Bf, excluding gifts described in SecFian 176.D03�a-1).
7
5i n u►e o! vendar doin b� ss with ���� f��1'� ���
g g gov mental entity+ ��te
Fa[m prot�ded by Te�cas EthiCB Cammi�s{on www.eth'scs.state.tx,us Revised 111I�U�1
C�NFLICT OF INTEREST QUESTI�NNAIRE
Fvr vendor doing business w�th lacal gouernmen#al entity
Acomplete copy of Chapter 17G af the �vcal Go�rernment Cade rnay be found at http:llwww.statutes.�egis.state.tx.usl
DocsILGlhtmILG.176.htm. For easy referenca, below are some of the sections cited an this farm.
La�al Government Code f 176,,.001�1-a1: "Business relationship" means a cannectian between two or more parties
based an commercial activity of ane of the parties. The term dves not inciude a connection basec! on:
{Ay a transaction that is subject to rate or tee regulatian by a federal, state, ar loGaf governmental entity ar an
agency vf a federa4, state, or local gavernmental entity;
(B} a transaction conducted at a price and subject to terrns avaifabfe to the public; ar
{C) a purck�ase flr lease of goods or sen+ic�s fram a persvn that is chartered by a state ar federaE agency and
that is subject ta regular examination by, and repnrting ta, that agency.
Lacai Go�ernment Code 17fi.OD3 � 2 A and B:
ta� A lacal government officer shall fiie a conflicks dis�losure statement with respect tp a vendor if:
...
(2) the vendor:
(A} has an emplayment or other business relatianship with the local gavernment afticer or a
family member of the offi�er that results 'sn the vfficer or famiky member recei�ing taxable
incame, other than in�estment in�ome, that exceeds $2,54fl during the 12-manth period
preceding the date that the officer becomes aware that
{i) a contra�t between the inca4 governmental entity anci ver►dor has been exe��ted;
or
�ii} the local governmental entity is considering entering into a contract with the
�endor;
�B} has given ta the local governrnent afficer or a fami4y member of the officer one ar more gifts
that have an aggregate �alue of more lhan $1 D� in the 12-manth period preceding the date the
afficer becames aware that:
ji} a �ontra�t between the local go�ernmental entity and �endor has been execut�d; or
(iij the lacal gflvernmenial entity is considering entering into a contract with the vendar.
Loca! Government Code 1?6.O�B a and a-i
[aj A vendor shail file a campleted canflict of interest questionnaire if the �endar has a business relatianship
with a local go��rnmental entity and:
(� j has an employment or other business relatianship with a local go�ernment offiGer of that lacal
g�vernmental enlity, or afamily member of the o�ficer, descrik�ed by Section 176.003(aj�2}(A};
{2y has given a lo�al government officer af that local governmental entity, ar a family mernber of the
officer, one or mare gifts with the aggregate �alue specified by Section 176.403[a}{2}�B}, excludirig any
gift described �y Sectinn i 76.003(a-1); ar
(3] has a iamify relationship with a 4ocal government officer of that Iocal governmenta! entity.
{a-1} The completed conflict af interest questionnaire must be filed with the appropriate records administrator
not later than the se�enth �usiness day after the later of:
(� y the date that the vendor:
(A} begins disCussions ar negotiations to enter into a cantract with th� local governmental
entfty; or
tB} submits ta the Iocal gavernmental en#ity an application, response to a request for proposaEs
or bids, �orrespondence, or another writing relaied ta a potential contraci with the lacal
governmental entity; �r
�2y the date the vendor becomes aware:
�AJ of an emplvyment or other business relationship with a Iocal gavernment officer, ar a
family member af #he ofticer, described by Subsectian �a};
�Sy that the vendar F�as given one ar mar� gifts described by Subsection jaj; ar
�C) af a family relationship with a local governmen4 officer,
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3/17/2021
CITY COUNCIL AGENDA
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COUNCIL ACTION: Approved on 10/16/2018
DATE: 10/16/2018 REFERENCE **P_12264 LOG 13P18-105125 COMMUNITY CNTRS
NO.: NAME: TABLES & CHAIRS PARD SR
CODE: P TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize Execution of Agreements for the Purchase of Tables and Chairs from Southern
Aluminum, Inc., and Mity-Lite, Inc., for the Park & Recreation Department Using
Cooperative Contracts in an Annual Amount of Up to $200,000.00 with Four One-Year
Renewal Options (ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council authorize cooperative agreements for the purchase of tables
and chairs from Southern Aluminum, Inc., and Mity-Lite, Inc., for the Park & Recreation Department in
an annual amount of up to $200,000.00 with four one-year renewal options.
DISCUSSION:
The Fort Worth Park & Recreation Department approached the Purchasing Division to finalize annual
agreements for tables and chairs. The City of Fort Worth Park & Recreation Department will use two
cooperative contracts to purchase tables and chairs for the Community Centers within the City of Fort
Worth. The City of Fort Worth Community Centers are one of the primary spaces for community
gatherings, events and meetings.
The new chairs and tables will serve as replacements in the Community Centers within the Park &
Recreation Department. These purchases will strictly serve the purpose of providing quality,
lightweight tables and chairs. These will serve all Fort Worth residents in ALL COUNCIL DISTRICTS.
The table below displays the prices for chairs and tables with their quotes from the suppliers for these
cooperative contracts.
TXMAS TXMAS
TERMS TERMS
Tables Kay-Twelve SchoolOutfitters
Total
Chairs
Total
$145,242.84 $156,853.41
: :•��� : :•���
-� -
TERMS
Mity Lite
$56,497.15
TERMS
Workspace
Interiors
$65,863.30
M&C Review
TXMAS
TERMS
Southern
Aluminum
$118,035.76
BUYBOARD
TERMS
Total Office
Solutions
$57,119.40
COOPERATIVE PURCHASING - State law provides that a local government purchasing an item under
a Cooperative Purchasing Agreement satisfies State laws requiring that the local government seek
competitive bids for purchase of the item. TXMAS and Buyboard contracts have been competitively bid
to increase and simplify the purchasing power of local government entities across the State of Texas.
PRICE ANALYSIS - By using the TXMAS 15-71010 & Buyboard 503-16 contracts, the City will
receive a discount off the published customer price for the tables and chairs. The Park & Recreation
Department reviewed the TXMAS 15-71010 & Buyboard 503-16 contracts and concluded that the
prices are fair and reasonable.
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3/17/2021
M&C Review
M/WBE - An M/WBE goal is not assigned when purchasing from an approved purchasing cooperative
or other public entity.
RENEWAL OPTIONS - These Agreements may be renewed for up to four additional one-year terms
at the City's option, subjected to validity of cooperative contracts. This action does not require specific
City Council approval provided that the City Council has appropriated sufficient funds to satisfy the
City's obligations during the renewal term. Staff anticipates the cost for renewal years will be the
same as for the first year.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget, as
appropriated, for the Park & Recreation Department. Prior to an expenditure being made, the Park
and Recreation Department has the responsibility to validate the availability of funds.
BQN\18-105125\SR
Fund Department Account Project
ID ID
Submitted for City Manager's Office by_
Originating Department Head:
Additional Information Contact:
ATTACHMENTS
Chairs Bid Tab.pdf
Mity Lite 1295 Form.pdf
Southern Aluminum 1295.pdf
Tables Bid Tab.pdf
TXMAS 15-71010.pdf
Program Activity Budget
Year
Susan Alanis (8180)
Cynthia Garcia (8525)
Jeff Cope (8313)
Steven Rathers (2057)
Reference # Amount
Chartfield 21
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