HomeMy WebLinkAboutContract 56039 CSC NO.
CSC No.56039
FORT �RTH���
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement("Agreement")is entered into by and between Delta Industrial
Service & Supply ("Vendor") and the City of Fort Worth, ("City"),a Texas home rule municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. Exhibit A- Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B - Cooperative Agency Contract(e.g.,NJPA, DIR, BuyBoard);and
4. Exhibit C - Conflict of Interest Questionnaire.
Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of
this Agreement for all purposes. Vendor agrees to provide City with the services and goods included
in Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including
all exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance
with the provisions of this Agreement. Total estimated payments made under this Agreement for the
each year by City shall be in the amount up to Fifty Thousand DoNais and Zero Cents($50,000.00).Vendor
shall not provide any additional items or services or bill for expenses incurred for City not specified
by this Agreement unless City requests and approves in writing the additional costs for such services.
City shall not be liable for any additional expenses of Vendor not specified by this Agreement unless
City first approves such expenses in writing.
The term of this Agreement shall be for one year beginning on the date signed by the Assistant
City Manager below ("Effective Date") and shall expire one year from effective date. City shall be
able to renew this agreement for two 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 final conclusion of any audit commenced during the said three years, have
access to and the right to examine at reasonable times any directly pertinent books, documents,papers
and records, including, but not limited to, all electronic records, of Vendor involving transactions
relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access
during normal working hours to all necessary Vendor facilities and shall be provided adequate and
appropriate work space in order to conduct audits in compliance with the provisions of this section.City
shall give Vendor reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively
COOP AGREEMENT-DELTA OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
determined to have been delivered when (1) hand-delivered to the other party, its agents, employees,
servants or representatives, (2) delivered by facsimile with electronic confirmation of the
transmission, or (3) received by the other party by United States Mail, registered, return receipt
requested, addressed as follows:
TO THE CITY: TO VENDOR:
City of Fort Worth Delta Industrial Service& Supply
Attn: Assistant City Manager Attn: Eric Currie, President
Address: 3159 Summit Dr.
200 Texas Street Port Neches, Texas 77651
Fort Worth TX 76102 Phone: (409)724-1055
Facsimile: (817) 392-8564
With Copy to the City Attorney
at same address
The undersigned represents and warrants that he or she has the power and authority to execute
this Agreement and the Cooperative Documents and bind the Vendor.
(signature page follows)
COOP AGREEMENT-DELTA 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH:
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
By:Valerie Washington(Jul20,202117.27 CDT) of this contract,including ensuring all performance
Name: Valerie Washington and reporting requirements.
Title: Assistant City Manager
Date: Jul 20,2021 By. MarkR usc/her(Jul 19,202122:27 CDT)
Name: Mark Rauscher
APPROVAL RECOMMENDED: Title: Fire Assistant Director
APPROVED AS TO FORM AND LEGALITY:
J s Davis(Jul 19,202122:48 CDT)
Name: Jim Davis
Title: Fire Chief B
Nyame: Christopher Austria
aq�FORr� Title: Assistant City Attorney
ATTEST: O
p�00
F °yo10 a0� CONTRA C T AUTHORIZATION:
0 =d00 M&C: N/A
, 1295: N/A
By: % * °° °° �.d
°°°°°°° d
Name: Ronald Gonzalez �a4�EXA5b4a
Title: Acting City Secretary
VENDOR: DELTA INSUTRIAL SERVICE & SUPPLY
Eric Came
Eric Currie(Jul 19,202119:44 CDT)
Name: Eric Currie, President
Date: 7/19/2021
COOP AGREEMENT-DELTA OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
EXHIBIT A
Quote
1:3MLTA
- 1r.Yu.kna'Sorvlce r,5u,a'}=Fire&safely -
Name/Address Date Estimate#
Firestation 18
190B Carleton - May-27-2021 CY05272021 C
Fort Worth,TX 76107
Project
FPre Department
Part Number Description Qty Cost Total
KAPPLER KAPPLER D2H634-9212CP-UPL-CAP, DuraChem 200 16 $1,333.588 $22,137.41 Non
Multi-Piece Configuration Certified to NFPA 1992 and NFPA 13
2112.Includes Jacket with CP Cuff (D2H68DCP),Bib
Overall with 2 cargo pockets(021-1862),Glove Cone Inserts
(AGOAR).Heat Sealed/Taped Seams,SIZES=LG/XL
KAPPLER KAPPLER D2H634-9212CP-UPL-CAP, DuraChem 200 4 $1,481.212 $5,924.85 Non
Multi-Piece Configuration Certified to NFPA 1992 and NFPA 5
2112.Includes Jacket with CP Cuff (D2H680CP), Bib
Overall with 2 cargo pockets(132H662), Glove Cone Inserts
(AGOAR).Heat Sealed/Taped Seams,SIZES=2X/3X
FREIGHT-To Shipping&Handling Cost Pre Pay&Add 1 $0.00 $0.00 Non
Invoice
0.00% $0.00
quote expires:next price increase Total $28,062.26
EXHIBIT B
Board
W
12007 Research Boulevard Austin,Texas 78759-2439 PH: 800-695-2919 .buvboard.com
PROPOSERS AGREEMENT AND SIGNATURE
Proposal Name: Boats,Trailers, Marine and Proposal Due Date/Opening Date and Time:
Waterway Equipment May 24, 2018 at 4:00 PM
Location of Proposal Opening:
Texas Association of School Boards, Inc.
BuyBoard Department
Proposal Number: 578-18 12007 Research Blvd.
Austin,TX 78759
Anticipated Cooperative Board Meeting Date:
Contract Time Period: December 1, 2018 October 2018
through November 30, 2019 with two(2) possible
one-year renewals.
Delta Industrial Service & Supply May 23, 2018
Name of Proposing Company Date
3159 Summit Dr
Street Address Signature of Authorized Company Official
Port Neches, Texas, 77651 Eric Currie
City, State,Zip Printed Name of Authorized Company Official
409-724-1055 President
Telephone Number of Authorized Company Official Position or Title of Authorized Company Official
409-722-8062 76-0696202
Fax Number of Authorized Company Official Federal ID Number
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Board®
Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
The proposing company ("you"or"your") hereby acknowledges and agrees as follows:
1. You have carefully examined and understand all Cooperative information and documentation associated with this
Proposal Invitation, including the Instructions to Proposers, General Terms and Conditions, attachments/forms, item
specifications, and line items (collectively"Requirements");
2. By your response ("Proposal") to this Proposal Invitation, you propose to supply the products or services submitted at
the prices quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or
exceptions are noted in the Proposal;
3. Any and all deviations and exceptions to the Requirements have been noted in your Proposal and no others will be
claimed;
4. If the Cooperative accepts any part of your Proposal and awards you a contract, you will furnish all awarded products
or services at the prices quoted and in strict compliance with the Requirements (unless specific exceptions are noted in
the Proposal and accepted by the Cooperative), including without limitation the Requirements related to:
a. conducting business with Cooperative members, including offering pricing to members that is the best you offer
compared to similar customers;
b, payment of a service fee in the amount specified and as provided for in this Proposal Invitation;
c. the possible award of a piggy-back contract by another governmental entity or nonprofit entity, in which event
you will offer the awarded goods and services in accordance with the Requirements; and
d. submitting price sheets or catalogs in the proper format as required by the Cooperative as a prerequisite to
activation of your contract;
5. You have clearly identified on the included form any information in your Proposal that you believe to be confidential or
proprietary or that you do not consider to be public information subject to public disclosure under a Texas Public
Information Act request or similar public information law;
6. The individual signing this Agreement is duly authorized to enter into the contractual relationship represented by this
Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a
form) is authorized and has the requisite knowledge to provide the information and make the representations and
certifications required in the Requirements;
7. You have carefully reviewed your Proposal, and certify that all information provided is true, complete and accurate,
and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and
S. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, may disqualify you
from consideration for a contract award under this Proposal Invitation or result in termination of an award or any other
remedy or action provided for in the General Terms and Conditions or by law.
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Board®
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.corn
VENDOR CONTACT INFORMATION
Company: Delta Industrial Service & Supply
Vendor Contact Name and Mailing Address for Notices: 3159 Summit Dr. Port Neches, Texas 77651
Company Website: www.deltaiss.com
Purchase Orders: Purchase orders from Cooperative members will be available through the Internet or by facsimile.
Option 1: Internet. Vendors need Internet access and at least one e-mail address so that notification of new
orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be
provided to vendors that choose this option to assist them with retrieving their orders.
Option 2: Fax. Vendors need a designated fax line available at all times to receive purchase orders.
Please choose only one (1) of the following options for receipt of purchase orders and provide the requested
information:
0 I will use the INTERNET to receive purchase orders.
E-mail Address: erlc@deltaiss.com
Internet Contact: Eric Currie Phone: 409-724-1055
Alternate E-mail Address: marissa@deltaiss.com
Alternate Internet Contact: Marissa Guerra Phone: 409-724-1055
❑ I will receive purchase orders via FAX.
Fax Number:
Fax Contact: Phone:
❑ Purchase orders may be received by any Designated Dealer identified on my company's Dealer Designation
form as provided to the Cooperative administrator. I understand that my company shall remain responsible for the
Contract and the performance of all Designated Dealers under and in accordance with the Contract.
Request for Quotes ("RFO"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
E-mail Address: erlc@deltaiss.com
Alternate E-mail Address: marissa@deltaiss.com
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M78oard
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
Invoices: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee
invoices and related communications:
Please choose only one (1) of the following options for receipt of invoices and provide the requested
information:
0 Service fee invoices and related communications should be provided directly to my company at:
Mailing address: 3159 Summit Dr. Department: Accounts Payable
City. Port Neches State: Texas Zip Code: 77651
Contact Name: Jacqui Currie Phone: 409-724-1055
Fax: E-mail Address: jaX@deltaiss.com
Alternative E-mail Address: marissa@deltaiss.com
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**:
Mailing address: Department:
City: State: Zip Code:
Contact Name: Phone:
Fax: E-mail Address:
Alternative E-mail Address:
❑ In lieu of my company, I request and authorize service fee invoices to be provided to the Designated Dealer(s)
receiving the purchase order(s)to which the invoiced service fees relate at the address and contact information designated
on my company's Dealer Designation form as provided to the Cooperative administrator.**
**If Vendor authorizes a billing agent or Designated Dealer(s) to receive and process service fee invoices,
in accordance with the General Terms and Conditions of the Contract, Vendor specifically acknowledges and
agrees that nothing in that designation shall relieve Vendor of its responsibilities and obligations under the
Contract including, but not limited to,payment of a#service fees under any Contract awarded Vendor.
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Board 0
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE
Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor)
states: "A person or business entity that enters into a contract with a school district must give advance notice to the district
if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the
conduct resulting in the conviction of a felony."
Section 44.034 further states in Subsection (b): "A school district may terminate a contract with a person or
business entity if the district determines that the person or business entity failed to give notice as required by Subsection
(a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity
for services performed before the termination of the contract."
Please check W)one of the following:
Al My company is a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.)
❑i■ My company is not owned or operated by anyone who has been convicted of a felony.
❑ My company is owned/operated by the following individual(s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature of Authorized Company Official Printed Name
DEBARMENT CERTIFICATION
Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described
in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is
currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or
declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative
and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an
owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise
excluded by agencies or declared ineligible under any statutory or regulatory authority.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature of Authorized Company Official Printed Name
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Board®
DCooperative Pyrehasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
RESIDENT/NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. Under the statute, a "resident" proposer is a person whose principal place of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A
"nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a "resident"
proposer or a"nonresident" proposer under these definitions.
Please check (-V)one of the following_
❑■ I certify that my company is a Resident Proposer.
❑ I certify that my company is a Nonresident Proposer.
If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in
which your company's principal place of business is located):
Delta Industrial Service & Supply 3159 Summit Dr.
Company Name Address
Port Neches TX 77651
City State Zip Code
A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers
whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract?
❑ Yes ❑ No
B. What is the prescribed amount or percentage? $ or 11/0
VENDOR EMPLOYMENT CERTIFICATION
Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when
determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's
ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in
Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas,
does your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please check M one of the following:
❑ Yes ❑ No
By signature below, I certify that the information in Sections 1 (Resident/Nonresident Certification) and 2 (Vendor
Employment Certification) above is true, complete and accurate and that I am authorized by my company to make this
certification.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature o Authorized Company Official Printed Name
Page 14 of 69
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Board®
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
NO ISRAEL BOYCOTT CERTIFICATION
Effective September 1, 2017, a Texas governmental entity may not enter into a contract with a company for goods or
services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2)
will not boycott Israel during the term of the contract. (TEx.GOUT CODE Ch. 2270)
"Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is
intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or
entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business
purposes. TEx. GOv'T CODE§808.001(1).
By signature below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of
any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am
authorized by my company to make this certification.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature of Authorized Company Official Printed Name
NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization —specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this
certification is true, complete and accurate; and that I am authorized by my company to make this certification.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature of Authorized Company Official Printed Name
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Board
Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or "MWBE" and all referred to in this form as a "HUB") is encouraged to indicate its HUB certification status
when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that
properly indicate and document their HUB certification on this form.
Please check(V) all that apply:
❑ I certify that my company has been certified as a HUB in the following categories:
❑ Minority Owned Business
❑ Women Owned Business
❑ Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2),who has a
service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating
of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of
Defense)
Certification Number:
Name of Certifying Agency:
❑ My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
Delta Industrial Service & Supply
Company Name
Eric Currie
Printed Name
Signature of Authorize Company official
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DCooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
("Advisory"), Texas law prohibits the procurement of architecture or engineering services through a
purchasing cooperative. This BuyBoard contract does not include such services. Architecture or engineering
services must be procured by a Cooperative member separately, in accordance with the Professional
Services Procurement Act (Chapter 2254 of the Texas Government Code) and other applicable law and local
policy.
The Advisory, available at buyboard.com/Vendor/Resources.aspx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy
of the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or
services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply
with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers
or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy
of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase
order for construction-related goods or services, whichever comes first.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature o _zwdCompany Official Printed Name
May 23, 2018
Date
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Board 0
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
DEVIATION AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (-/) one of the following:
❑■ NO; Deviations
❑ YeS; Deviations
List and fully explain any deviations you are submitting:
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: ❑ Common Carrier ❑ Company Truck ❑■ Prepaid and Add to Invoice ❑ Other:
2. Payment Terms: ❑■ Net 30 days ❑ 1% in 10/Net 30 days ❑ Other:
3. Number of Days for Delivery: 60-120 ARO
4. Vendor Reference/Quote Number:
5. State your return policy: NO Returns
6. Are electronic payments acceptable? OYes ❑ No
7. Are credit card payments acceptable? ❑Yes ❑■ No
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature o Authorized Company Official Printed Name
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Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buyboard.corn
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to
serve different regions for different products or services included in your proposal, you must complete and
submit a separate Texas Regional Service Designation form for each group of products and clearly indicate
the products or services to which the designation applies in the space provided at the end of this form. By
designating a region or regions, you are certifying that you are authorized and willing to provide the
proposed products and services in those regions. Designating regions in which you are either unable or
unwilling to provide the specified products and services shall be grounds for either rejection of your
proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative
members (i.e., if you will service only states other than Texas), you must so indicate on this form.
Regional Education Service Centers 0 I will service Texas
Cooperative members
statewide.
❑ I will not service Texas
Cooperative members
statewide. I will only
service members in the
"" —"°' —w� � � r regions checked below:
•� - Region Headquarters
z ❑ 1 Edinburg
c- w�' _-- ❑ 2 Corpus Christi
;� ❑ 3 Victoria
.... �_ _ `i ❑ 4 Houston
s` �; ❑ 5 Beaumont
❑ 6 Huntsville
T f ❑ 7 Kilgore
❑ 8 Mount Pleasant
❑ 9 Wichita Falls
4wrn y V
-LLB ❑ 10 Richardson
❑ 11 Fort Worth
�`'k: ❑ 12 Waco
~ ❑ 13 Austin
❑ 14 Abilene
❑ 15 San Angelo
❑ 16 Amarillo
Delta Industrial Service & Supply ❑ 17 Lubbock
❑ 18 Midland
Company Name ❑ 19 El Paso
❑ 20 San Antonio
Signature of Au horized Company Official
Eric Currie ❑ I will not service members
Printed Name of the Texas Cooperative.
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Board®
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
This form will be used to ensure that you can service other governmental entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a
contract awarded under this proposal.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature of A rized Company Official Printed Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here:
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&4179oard
Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT
In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this
Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an
intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members
throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing
Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states
you have indicated on the State Service Designation form, in your Proposal.
By signing this form, Proposer(referred to in this Agreement as"Vendor") agrees as follows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative") awards Vendor a
contract under this Proposal Invitation ("Underlying Award"), the National Purchasing Cooperative ("National Cooperative")
may - but is not required to -"piggy-back"on or re-award all or a portion of that Underlying Award ("Piggy-Back Award").
By signing this National Cooperative Vendor Award Agreement ("Agreement"), Vendor accepts and agrees to be bound by
any such Piggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator
("BuyBoard Administrator") will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the
effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as
authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of
Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no
interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are
agreed to by its BuyBoard Administrator in writing.
3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and
same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e.,
lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award.
4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation
Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be
approved in writing by the BuyBoard Administrator.
5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of
purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to
National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon
request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative
members for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall
have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National
Cooperative members in order to verify the accuracy of service fees.
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the
fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and
responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to
National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying
Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the
only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the
Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of
this Agreement shall control, and then only to the extent necessary to reconcile the conflict.
Proposal Forms COMM/SVCS v.01.12.2018
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Board®
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.corn
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue
for any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-
Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
Delta Industrial Service & Supply 578-18
Name of Vendor Proposal Invitation Number
Eric Currie
Signature uthorized Company Official Printed Name of Authorized Company Official
May 23, 2018
Date
Proposal Forms COMMJSVCS v.01.12.2018
Page 26 of 69
Board®
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
FEDERAL AND STATE/PURCHASING COOPERATIVE EXPERIENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from
vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or
market price during the previous 12-month period or the last fiscal year: $ . (The period of the 12
month period is / ). In the event that a dollar value is not an appropriate measure of the sales,
provide and describe your own measure of the sales of the item(s).
2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the
Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items
under equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in
the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing
cooperatives as required.
FORMERCURRENT DO• AWARDED
PURCHASING VENDOR? COMMODITY
GROUPDO• O-
1. Federal General Services Administration
2. T-PASS (State of Texas)
3. U.S. Communities Purchasing Alliance
4. National IPA/TCPN
5. Houston-Galveston Area Council (HGAQ Y Emerg...y P,,pr d—,&S,f,ry Equipment EP.1,_,7
6. National Joint Powers Alliance (NJPA)
7. E&I Cooperative
8. The Interlocal Purchasing System (TIPS)
9. Other
❑ MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUYBOARD VENDORS
If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the
discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between
your current and proposed discounts.
Current Discount (%): Proposed Discount (%):
Explanation:
Proposal Forms COMM/SVCS v.01.12.2018
Page 27 of 69
D4176oard 0
Cuuperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH. 800-695-2919 • buvboard.com
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
Delta Industrial Service & Supply
Company Name
Eric Currie
Signature of Authnrizeri Company Official Printed Name
Proposal Forms COMM/SVCS v.01.12.2018
Page 28 of 69
Board®
DCapperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts
you offer other governmental customers. Attach additional pages if necessary.
Quantity/
Entity Name Contact Phone# Email Address Discount Volume
1 CyFair VFD Eliu Hernandez 281-541-8989 Eliu.Hernandez@cyfairvfd.org
2. Spring FD Keith Topper 281-951-7013 keith.topper@springfd.org
3. Harris County ESD 48 Lou Fabricant 281-578-2518 lou.fabricant[cQhcesd48.org
4. Nederland Fire Dept. Terry Morton 409-723-1535 tmorton gci.nederland.tx.us
5.Wylie Fire Dept Andrew Johnson 972-429-8072 andrew.johnson agwylietexas.gov
Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give
better discounts (lower prices)than indicated? YES ❑ NO ❑■ If YES, please explain:
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
Delta Industrial Service & Supply
Company Name
Signature of Authorized Company Official
Eric Currie
Printed Name
Proposal Forms COMM/SVCS v.01.12.2018
Page 29 of 69
DZUBoard 0
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
MARKETING STRATEGY
For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or
part of your Proposal. (Example: Explain how your company will initially inform Cooperative members of your BuyBoard
contract, and how you will continue to support the BuyBoard for the duration of the contract period.)
Attach additional pages if necessary.
Our company will market the Buyboard program to current and potential members.
We plan to advertise the buyboard logo on our website and Facebook page. We
also plan to advertise at tradeshows we attend (with approval by Buyboard)
Delta Industrial Service & Supply
Company Name
Signature of Authorized Company official
Eric Currie
Printed Name
Proposal Forms COMM/sVCs v.01.12.2018
Page 30 of 69
DZUBoard
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
CONFIDENTIAL/PROPRIETARY INFORMATION
A. Public Disclosure Laws
All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this
Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public
Information Act (Texas Government Code chapter 552.001, et. seq.) or similar disclosure law. Proposer must clearly
identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the
Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the
Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a
member of the public or other third party request access to the information under the Texas Public Information Act or
similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has
identified in this form as proprietary or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
Please check f,/1 one of the following:
❑J NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is
specifically identified on this form.
If you responded "YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative
and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or
proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will
disclose information when required by law, even if such information has been identified herein as information the vendor
considers confidential or proprietary.
Confidential / Proprietary Information:
(Attach additional sheets if needed.)
Proposal Forms COMM/SVCS v.01.12.2018
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Board®
Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
B. Copyright Information
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Please check(-0 one of the following_
NO, Proposal(including forms, documentation, or other materials submitted with the Proposal) does not
contain copyright information.
❑� YES, Proposal (including forms, documentation, or other materials submitted with the Proposal)does
contain copyright information.
If you responded"YES", identify below the specific documents or pages containing copyright information.
Copyright Information: Sealegs Price List - all photographs and text are copyright of Sealegs
(Attach additional sheets if needed.)
C. Consent to Release Confidential/Proprietary/Copyriaht Information to BuyBoard Members
BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to
view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential,
proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such
information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other party.
D. Consent to Release Proposal Tabulation
Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal,
Vendor consents and agrees that, upon Contract award, the Cooperative may publically release, including posting on the
public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed
catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor
award or non-award information.
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
Delta Industrial Service & Supply
Company Name
Signature of Authorized Company Official
Eric Currie
Printed Name
May 23, 2018
Date
Proposal Forms COMM/SVCS v.01.12.2018
Page 32 of 69
&578oard
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • buvboard.corn
VENDOR BUSINESS NAME
By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must
be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and
accurately provide the information requested below or your Proposal may be deemed non-responsive.
Name of Proposing Company: JETS Fire & Safety
(List the legal name of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba,aka, etc. here. Such information may
be provided below. If you are submitting a joint proposal with another entity to provide the same proposed goods or services, each submitting entity
should complete a separate vendor information form. 5eparately operating legal business entities, even if affiliated entities, which propose to provide
goods or services separately must submit their own Proposals.)
Please check M one of the following:
Tyne of Business:
Individual/Sole Proprietor
Corporation x
Limited Liability Company
Partnership
Other If other, identify
State of Incorporation (if applicable): Texas
Federal Employer Identification Number: 76-0696202
(vendor must include a completed IRS w--9 form with their proposal)
List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note: ifoifferent than the Name of
Proposing Company listed above, only valid trade names(dba, aka, etc) of the Proposing Company may be used and a copy of your Assumed Name
Certificate(s),if applicable,must be attached.)
Delta Industrial Service & Supply
Proposal Forms COMM/SVCS v.01.12.2018
Page 33 of 69
Form W-9 Request for Taxpayer Give Form to the
(Rev.November2017) Identification Number and Certification requester.Do not
Department of the Treasury send to the IRS.
Internal Revenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information.
1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank.
Jets Fire &Safety
2 Business name/disregarded entity name,if different from above
Delta Industrial Service&Supply
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to
Cfollowing seven boxes. certain entities,not individuals;see
a instructions on page 3):
o El �-y Individual/sole proprietor or LYJ C Corporation ❑S Corporation ❑ Partnership ❑Trust/estate
ra single-member LLC Exempt payee code(if any)
aS c
a o
.e.'v ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)►
o 2 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 unless the owner of the LLC is code(if any)
another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that
a_R is disregarded from the owner should check the ap
propriate box for the tax classification of its owner.
d
❑ Other(see instructions)► (Applies to accounts mintalned outside the U.S.)
y 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional)
3159 Summit Drive
CIO
6 City,state,and ZIP code
Port Neches, TX 77651
7 List account number(s)here(optionap
IMM Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box_The TIN provided must match the name given on line 1 to avoid social security number
backup withholding.For individuals,this is generally your social security number(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 to get a
TIN,later. or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and I Employer identification number
Number To Give the Requester for guidelines on whose number to enter.
7 6 — 0 1 6 1 9 1 6 1 2 1 0 1 2
Certification
Under penalties of perjury,I certify that:
1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and
2.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)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 notified me that I am
no longer subject to backup withholding;and
3.1 am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,
acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments
other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part 11,later.
Sign Signature of
Here U.S.person► Date 0411 7/2 0 1 8
•Form 1099-DIV(dividends,including those from stocks or mutual
General Instructions
funds)
Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISCvarious
noted. ( types of income,prizes,awards,or gross
proceeds)
Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other
related to Form W-9 and its instructions,such as legislation enacted transactions by brokers)
after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions)
Purpose of Form •Form 1099-K(merchant card and third party network transactions)
An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
identification number(TIN)which may be your social security number •Form 1099-C(canceled debt)
(SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property)
taxpayer identification number(ATIN),or employer identification number Use Form W-9 only if you are a U.S.person(including a resident
(EIN),to report on an information return the amount paid to you,or other alien),to provide your correct TIN.
amount reportable on an information return.Examples of information
returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might
•Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding,
later.
Cat.No.10231X Form W-9(Rev.11-2017)
M78oard(9
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-595-2919 ' buyboard.com
EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific
federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited
to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, 2 CFR 200 (sometimes referred to as the "Uniform Guidance" or new "EDGAR"). All Vendors submitting
proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain
requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This
completed form will be made available to Cooperative members for their use while considering their purchasing options
when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in
addition to the BuyBoard contract's general terms and conditions, to address the member's specific contractual needs,
including contract requirements fora procurement using federal grants or contracts.
For each of the items below, Vendor should certify Vendor's agreement and ability to comply, where
applicable, by having Vendor's authorized representative complete and initial the applicable boxes and sign
the acknowledgment at the end of this form. If you fail to complete any item in this form, the Cooperative
wi11 consider and may list the Vendor's response on the BuyBoard as "ND,"the Vendor is unable or unwilling
to comply. A "NO" response to any of the items may, if applicable, impact the ability of a Cooperative member to
purchase from the Vendor using federal funds.
1. Vendor Violation or Breach of Contract Terms:
Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted
amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils)
as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors
violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms
and Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary
contract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent
with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions.
The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By
submitting a Proposal, you agree to these Vendor violation and breach of contract terms.
2. Termination for Cause or Convenience:
For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the
following term and condition shall apply:
The Cooperative member may terminate or cancel any purchase order under this Contract at any time, with or without
cause, by providing seven (7) business days advance written notice to the Vendor. If this Agreement is terminated in
accordance with this Paragraph, the Cooperative member shall only be required to pay Vendor for goods or services
delivered to the Cooperative member prior to the termination and not otherwise returned in accordance with Vendor's
return policy. If the Cooperative member has paid Vendor for goods or services not yet provided as of the date of
termination, Vendor shall immediately refund such payment(s).
If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the
manner by which it will be effected and the basis for settlement, is included in the Cooperative member's purchase order,
ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member's provision shall
control.
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M78oard 0
Cooperative Purchasing
12007 Research Boulevard . Austin,Texas 78759-2439 ' PH: 800-695-2919 ' buyboard.com
3. Equal Employment Opportunity:
Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the
definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment
Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375,
"Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR
Part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor."
The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that
such provision applies to any Cooperative member purchase or contract that meets the definition of "federally assisted
construction contract" in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision.
4. Davis-Bacon Act:
When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction
contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146-
3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to
Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute, Vendor is required to
pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by
the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.aov. Vendor agrees that,
for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor's
acceptance of the wage determination.
Vendor further agrees that it shall also comply with the Copeland "Anti-Kickback"Act (40 USC 3145), as supplemented by
Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work
Financed in Whole or in Part by Loans or Grants from the United States"). The Act provides that each contractor or
subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or
repair of public work, to give up any part of the compensation to which he or she is otherwise entitled.
S. Contract Work Hours and Safety Standards Act:
Where applicable, for all Cooperative member contracts or purchases in excess of$100,000 that involve the employment of
mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor
regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic
and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible
provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and
provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles
ordinarily available on the open market, or contracts for transportation or transmission of intelligence.
6. Right to Inventions Made Under a Contract or Agreement:
If the Cooperative members Federal award meets the definition of "funding agreement" under 37 CFR 401.2(a) and the
recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance or experimental, developmental, or research work under that "funding
agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions
Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative
Agreements,"and any implementing regulations issued by the awarding agency.
Vendor agrees to comply with the above requirements when applicable.
Proposal Forms COMMISVCS v.01.12.2018
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M78oard 0
Coup wative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 ' buyboard.com
7. Clean Air Act and Federal Water Pollution Control Act:
Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended —
Contracts and subgrants of amounts in excess of$150,000 must contain a provision that requires the non-Federal award to
agree to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401-
7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the
Federal awarding agency and the Regional Office of the Environmental Protection Agency(EPA).
When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean
Air Act and the Federal Water Pollution Control Act.
S. Debarment and Suspension:
Debarment and Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.220) must not be
made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with
the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp, p. 189) and 12689 (3
CFR Part 1989 Comp. p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority
other than Executive Order 12549.
Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended,
or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order
12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases
or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred,
suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
9. Byrd Anti-Lobbying Amendment:
Byrd Anti-Lobbying Amendment (31 USC 1352) -- Vendors that apply or bid for an award exceeding $100,000 must file the
required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to
pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member
of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any
Federal contract, grant or any other award covered by 31 USC 1352. Each tier must also disclose any lobbying with non-
Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to
tier up to the non-Federal award. As applicable, Vendor agrees to file all certifications and disclosures required by, and
otherwise comply with, the Byrd Anti-Lobbying Amendment (31 USC 1352).
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste
Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information
and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of
Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the
preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy
and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA guidelines.
11. Profit as a Separate Element of Price:
For purchases using federal funds in excess of $150,000, a Cooperative member may be required to negotiate profit as a
separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to
provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a
particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the Cooperative
member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Contract.
Proposal Forms COMMISVCS v.01.12.2018
Page 36 of 69
s ard
Comparative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 . PH: 800-695-2919 ' buyboard.mm
12. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy
such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to,
applicable recordkeeping and record retention requirements.
Vendor Certification:
YES, I agree or
Vendor Certification Item No. NO, I do NOT a ree Initial
1. Vendor Violation or Breach of Contract Terms YES EC
2. Termination for Cause or Convenience I NO I EC
3. Equal Employment Opportunity YES EC
4. Davis-Bacon Act YES EC
5. Contract Work Hours and Safety Standards Act YES EC
6. Right to Inventions Made Under a Contract or Agreement YES EC
7. Clean Air Act and Federal Water Pollution Control Act YES EC
8. Debarment and Suspension YES EC
9. Byrd Anti-Lobbying Amendment YES EC
10. Procurement of Recovered Materials YES EC
11. Profit as a Separate Element of Price YES EC
12. General Compliance and Cooperation with Cooperative Members YES EC
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
Delta Industrial Service & Supply
Company Name
Signature of Authorized Company Official
Eric Currie
Printed Name
Proposal Forms COMMISVCS v.01.12.2018
Page 37 of 69
Board 0
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 . PH: 800-695-2919 ' buyboard.com
PROPOSAL INVITATION QUESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial
resources to provide the goods and perform the services ("Work") under the BuyBoard contract contemplated by this
Proposal Invitation ("Contract"). Proposers must fully answer each question, numbering your responses to correspond to
the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below, and submit the signed questionnaire and your responses to all questions in one document with your
Proposal. You must submit the signed questionnaire and responses with your Proposal or the Proposal will
not be considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in
acquisition by another entity.
17 years in business
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this
Contract. State the number and summarize the experience of company personnel who may be utilized for the Work,
including those who will be available to Cooperative members for assistance with project development, technical issues,
and product selection for Work associated with this Contract.
We have many resources to manage our staff and successfully perform the work contemplated
under this contract. Our customer service reps and sales reps will be available to provide
assistance with project development, technical issues, and product selection for work associated
with this contract.
3. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and
rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present
owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or
insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position
with your firm.
Delta Industrial Service & Supply is an established business with a great financial
background. We have $1 million general liability insurance coverage. The firm
has never been a debtor for bankruptcy.
Proposal Forms COMMISVCS v.01.12.2018
Page 38 of 69
DBaa►�d®
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 . PH: 800-695-2919 ' buyboard.com
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
No.
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date
and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the
work, or termination.
not applicable
6. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought
against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or
employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this
Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of
the claim, and resolution or current status.
not applicable.
By signature below, I certify that the information contained in and/or attached to this Proposal Invitation
Questionnaire in response to the above questions is true and correct and that I am authorized by my
company to make this certification.
Delta Industrial Service & Supply
Company Name
Signature of Authorized company Official
Proposal Forms COMMISVCS v.01.12.2018
Page 39 of 69
M78oard
Cooperative Purchasing
12007 Research Boulevard . Austin,Texas 78759-2439 ' PH: SOC-695-2919 ' buyboard.com
REQUIRED FORMS CHECKLIST
(Please check(d)the following)
0 Completed: Proposer's Agreement and Signature
0 Completed: Vendor Contact Information
❑ Completed: Felony Conviction Disclosure and Debarment Certification
0 Completed: Resident/Nonresident Certification
❑ Completed: No Israel Boycott Certification
❑ Completed: No Excluded Nation or Foreign Terrorist Organization Certification
❑ Completed: Historically Underutilized Business (HUB) Certification)
❑ Completed: Construction Related Goods and Services Affirmation
❑ Completed: Deviation/Compliance
❑ Completed: Location/Authorized Seller Listings
❑ Completed: Manufacturer Dealer Designation
0 Completed: Texas Regional Service Designation
❑ Completed: State Service Designation
0 Completed: National Purchasing Cooperative Vendor Award Agreement
0 Completed: Federal and State/Purchasing Cooperative Experience
❑ Completed: Governmental References
❑ Completed: Marketing Strategy
❑ Completed: Confidential/Proprietary Information
0 Completed: Vendor Business Name with IRS Form W-9
❑ Completed: EDGAR Vendor Certification
❑ Completed: Proposal Invitation Questionnaire
❑ Completed: Required Forms Checklist
❑ Completed: Proposal Specification Form with Catalogs/Pricel ists and
Manufacturer Authorization Letters
*Catalogs/pricelists must be submitted with proposal response or response will not be considered
Proposal Forms COMMISVCS v.01.12.2018
Page 4C of 69
Board®
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
NOTE 1: All fees to be charged for any purchase from this contract with the exception of delivery fees(i.e.pre deliveryinspection,make ready,applicable state
inspection or license fee,manufacturer destination fees,etc.)are to be included in the base price(s). Fees not included in the base price(s)will not be allowed.
NOTE 2: An awarded Vendor must be approved by the manufacturer to sell,install,and service the brand of equipment submitted.Proposers responding to this
Proposal Invitation should submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions and/or states in which
equipment may be sold.
Section I: Boats
Item State Brand of
No. Short Description Full Description Base Model Price Boat Manufacturer Options
10 Foot Boat-- 10 Foot Boat,outboard/inboard
1 10 Foot Boat propulsion,fiberglass or aluminum,complete with all $n�a
manufacturer's standard equipment.
11 Foot Boat--11 Foot Boat,outboard/inboard
n/a
2 11 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
12 Foot Boat-- 12 Foot Boat,outboard/inboard
n/a
3 12 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
13 Foot Boat-- 13 Foot Boat,outboard/inboard
n/a
4 13 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
14 Foot Boat-- 14 Foot Boat,outboard/inboard
n/a
5 14 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Pricelists are required to be submitted with Proposal Page 41 of 69
ApBoard'
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
Item State Brand of
No. Short Description Full Description Base Model Price Boat Manufacturer Options
15 Foot Boat--15 Foot Boat,outboard/inboard n/a
6 15 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
16 Foot Boat--16 Foot Boat,outboard/inboard n/a
7 16 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
17 Foot Boat--17 Foot Boat,outboard/inboard
n/a
8 17 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
19 Foot Boat--19 Foot Boat,outboard/inboard n/a
9 19 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
21 Foot Boat--21 Foot Boat,outboard/inboard $99,900 SEALEGS 6.1 m Sport RIB*
10 21 Foot Boat propulsion,fiberglass or aluminum,complete with all $1 n4 9nn SEALEGS 6.1 m Sport D-Tube
manufacturer's standard equipment.
22 Foot Boat--22 Foot Boat,outboard/inboard
11 22 Foot Boat propulsion,fiberglass,complete with all $n/a
manufacturer's standard equipment.
23 Foot Boat--23 Foot Boat,outboard/inboard 119,900 SEALEGS 7.1m Sport RIB*
12 23 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Priceli sts are required to be submitted with Proposal Page 42 of 69 other custom options available.
POA. Same discount applies
Board'
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
Item State Brand of
No. Short Description Full Description Base Model Price Boat Manufacturer Options
24 Foot Boat--24 Foot Boat,outboard/inboard
n/a
13 24 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
25 Foot Boat--25 Foot Boat,outboard/inboard $132,900 SEALEGS 7.7m Sport D-Tube'
14 25 Foot Boat propulsion,fiberglass or aluminum,complete with all $134,900 SEALEGS 7.7m Wide Console RIB"
manufacturer's standard equipment. $149,900 SEALEGS 7.7m Cabin RIB"
26 Foot Boat--26 Foot Boat,outboard/inboard
15 26 Foot Boat propulsion,fiberglass or aluminum,complete with all $n/a
manufacturer's standard equipment.
27 Foot Boat--27 Foot Boat,outboard/inboard n/a
16 27 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
28 Foot Boat--28 Foot Boat,outboard/inboard
n/a
17 28 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
30 Foot Boat--30 Foot Boat,outboard/inboard n/a
18 30 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
32 Foot Boat--32 Foot Boat,outboard/inboard n/a
19 32 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Pricelists are required to be submitted with Proposal Page 43 of 69 *other custom options available. POA.
Same discount applies
Board
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
Item State Brand of
No. Short Description Full Description Base Model Price Boat Manufacturer Options
33 Foot Boat--33 Foot Boat,outboard/inboard n/a
20 33 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
34 Foot Boat--34 Foot Boat,outboard/inboard
n/a
21 34 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
35 Foot Boat--35 Foot Boat,outboard/inboard 189,000 SEALEGS 9.Om Hydrasol RIB
22 35 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
36 Foot Boat--36 Foot Boat,outboard/inboard
n/a
23 36 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
37 Foot Boat--37 Foot Boat,outboard/inboard
n/a
24 37 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
38 Foot Boat--38 Foot Boat,outboard/inboard n/a
25 38 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
40 Foot Boat--40 Foot Boat,outboard/inboard
n/a
26 40 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Pricelists are required to be submitted with Proposal Page 44 of 69 mother custom options available.
POA. Same discount applies
AyBoard"
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
Item State Brand of
No. Short Description Full Description Base Model Price Boat Manufacturer Options
41 Foot Boat--41 Foot Boat,outboard/inboard n/a
27 41 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
44 Foot Boat--44 Foot Boat,outboard/inboard
n/a
28 44 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
46 Foot Boat--46 Foot Boat,outboard/inboard n/a
29 46 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
48 Foot Boat--48 Foot Boat,outboard/inboard n/a
30 48 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
52 Foot Boat--52 Foot Boat,outboard/inboard
n/a
31 52 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
54 Foot Boat--54 Foot Boat,outboard/inboard n/a
32 54 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
60 Foot Boat--60 Foot Boat,outboard/inboard n/a
33 60 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Pricelists are required to be submitted with Proposal Page 45 of 69
VBoarff
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
Item State Brand of
No. Short Description Full Description Base Model Price Boat Manufacturer Options
65 Foot Boat--65 Foot Boat,outboard/inboard n/a
34 65 Foot Boat propulsion,fiberglass or aluminum,complete with all $
manufacturer's standard equipment.
Section II: Boat Motors
State Percent(%)
Item of Discount off State Name of
No. Short Description Full Description Catalog/Pricelist Catalog/Pricelist Exceptions to Discount
Discount(%)Off Please state the discount(%)off catalog/pricelist for
35 Catalog/Pricelist for All All Types Boat Motors and Accessories. 0 % SEALEGS
Types of Boat Motors Catalog/Pricelist MUST be included or proposal will not be
and Accessories considered.
Section III: Boat Marine and Waterway Equipment and Products
Discount(%)Off Discount(%)Off Catalog/Pricelist for Lake,River
Catalog/Pricelist for and Waterway Equipment(dock floats,decking,
36 Lake, River and waterway barriers, buoys,markers,and similar % SEALEGS
Waterway Equipment related equipment). Catalog/Pricelist MUST be included
or proposal will not be considered.
Discount(%)Off
Catalog/Pricelist for Discount(%)Off Catalog/Pricelist for Anchors,
37 Anchors, Docking Docking Equipment,Accessories and Related 0 % SEALEGS
Equipment, Products. Catalog/Pricelist MUST be included or
Accessories and proposal will not be considered.
Related Products
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Pricelists are required to be submitted with Proposal Page 46 of 69
Board-
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
State Percent(%)
Item of Discount off State Name of
No. Short Description Full Description Catalog/Pricelist Catalog/Pricelist Exceptions to Discount
Discount(%)Off
Catalog/Pricelist for Discount(%)Off Catalog/Pricelist for Life Vests,
38 Life Vests,Jackets, Jackets,Accessories and Related Products. 0 % SEALEGS
Accessories and Catalog/Pricelist MUST be included or proposal will not be
considered.
Related Products
Discount(%)Off
Catalog/Pricelist for Please state the discount(%)off catalog/pricelist for
39 Boat Seats, Boat Seats,Accessories and Related Products. O 0/0 SEALEGS
Accessories and Catalog/Pricel ist MUST be included or proposal will not be
considered.
Related Products
Discount(%)Off Please state the discount(%)off catalog/pricelist for
Catalog/Pricelist for
40 Marine Electronics, Marine Electronics,Accessories and Related 0 % SEALEGS
Accessories and Products. Catalog/Pricelist MUST be included or
proposal will not be considered.
Related Products
Discount(%)Off
Catalog/Pricelist for Please state the discount(%)off catalog/pricelist for
41 Marine Batteries, Marine Batteries,Chargers,Accessories and 0 % SEALEGS
Chargers,Accessories Related Products. Catalog/Pricelist MUST be included
or proposal will not be considered.
and Related Products
Section IV: Boat Trailers
Discount(%)Off Catalog/Pricelist for All Types of
Discount(%)Off Boat Trailers(Load capacity rated at 60 MPH,DOT
O
42 Catalog/Pricelist for All approved lights and standard manufacturer's % SEALEGS
Types of Boat Trailers equipment.)Catalog/Pricelist MUST be included or
proposal will not be considered.
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Pricelists are required to be submitted with Proposal Page 47 of 69
Beard"
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
Section V:OPTIONAL EQUIPMENT and PARTS-Options will be selected by the Cooperative member at the time of order. A COMPLETE LIST OF ALL OPTIONAL
EQUIPMENT AND PARTS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED.
State Percent(%)
Item of Discount off State Name of
No. Short Description Full Description Catalog/Pricelist Catalog/Pricelist Options
Discount(%)Off
Catalog/Pricelist for all Discount(%)off all Original Equipment Q
43 Original Equipment Manufacturer(OEM)Options. %
Manufacturer(OEM)
Options
Discount(%)Off
Catalog/Pricelist for
44 Third Party Options Discount(%)off Third Party Options(not OEM) 0 0/0
(not OEM)and and Unpublished Options and Equipment.
Unpublished Options
and Equipment
Discount(%)Off
Catalog/Pricelist for Discount(%)off Original Equipment Q
45 Original Equipment Manufacutrer(OEM)Parts. 0/0
Manufacutrer(OEM)
Parts
Discount(%)Off
Catalog/Pricelist for Discount(°/a)off Extended Service Maintenance n/a
46 Extended Service Agreements. 0/0
Maintenance
Agreements
Discount(%)off Floor Discount(%)off Floor Plan Insurance and Lot n/a
47 Plan Insurance and Insurance.
0/0
Lot Insurance
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Priceli sts are required to be submitted with Proposal Page 48 of 69
ArBoard°
Proposal Invitation No. 578-18 Boats,Trailers, Marine and Waterway Equipment
*ALL COLUMNS MUST BE COMPLETED OR PROPOSAL WILL NOT BE CONSIDERED*
Section VI: Delivery Fees And Labor Rate For Installation and Repair Service Of Boats
Detailed
Information on
Item Hourly Labor Rate Hourly Labor Rate Exceptions to Hourly Labor Rate
No. Short Description Full Description and Delivery Fee and Delivery Fee and Delivery Fee
Not to Exceed Hourly Hourly Labor Rate for Installation and Repair
Labor Rate for Service of Boat Equipment and Products--State
48 Installation and Repair the Not to Exceed hourly labor rate for $ n'a /Hour
Service and of Boat Installation/Repair Service of Equipment and
Equipment and Products.
Products
Per Mile Delivery Fee Per Mile Delivery Fee for Boats-State the per 2.00
49 for Boats mile delivery fee for Boats. Mile
PROPOSAL NOTE PROPOSAL SPECIFICATION FORM
1.Catalogs/Priceli sts are required to be submitted with Proposal Page 49 of 59
EXHIBIT C
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY
This questionnaire is being filed in accordance with Chapter 176.Local Government Code. oats Re eNsc
by a vendorwho has a business relationship as defined by Section 176.001(1-a)with a local
governmental entity and the vendor meets requirements under Section 176.006(a).
By law this questionnaire must be fi led with the records administrator of the local governmental
entity not later than the 7th business day after the date the vendor becomes aware of facts
that require the statement to be filed. See Section 176.006(a-1).Local Government Cade.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local
Government Code.An offense under this section is a misdemeanor.
t Name of vendor who has a business relationship with local governmental entity.
IL
2 Check this box If you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not
later than the 7th business day after the date on which you became aware that the originally filed questionnaire was
incomplete or inaccurate.)
3
Name of local government officer about whom the information in this section is being disclosed.
Name of Officer
This section (item 3 including subparts A. B, C. & ❑I must be completed for each officer with whom the vendor has an
employment or other business relationship as defined by Section 176.001(1-a), Local Government Cade. Attach additional
pages to this Form CIO as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income,other than investment
income, from the vendor')
F7 Yes F-1 No
B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction of the local
government officer named in this section AND the taxable income is not received from the local governmental entity?
F] Yes F-1 No
C. is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local
government officer serves as an officer or director, or holds an ownership interest of one percent or more?
Yes F-1 No
D. Describe each employment or business and family relationship with the local government officer named in this section-
4
Signature of vendor doing business with the governmental entity Date
Adopted 8/7/2015