HomeMy WebLinkAboutContract 56097 CSC No. 56097
FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Caprice
Electronics, Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B —Cooperative Agency Contract(e.g., NJPA, DM, BuyBoard); and
4. Exhibit C—Conflict of Interest Questionnaire.
Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit and in accordance with the
provisions of this Agreement. Total payment made under this Agreement for the first year by City shall
be in the amount not to exceed Fifty-Three Thousand Two Hundred and Ninety Dollars($53,290.00).
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 begin on April 1, 2021 and end on March 31, 2022.
Vendor agrees that City shall,until the expiration of three(3)years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books, documents,papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows:
OFFICIAL RECORD
City of Fort Worth and Caprice Electronics, Inc. CITY SECRETARY
GS-21F-0083Y FT. WORTH, TX
To CITY: To VENDOR:
City of Fort Worth Caprice Electronics, Inc.
Attn: Jesus J. Chapa, Deputy City Manager Attn: Daniel Laufer
200 Texas Street 2902 W. 37th Street
Fort Worth, TX 76102-6314 Brooklyn, NY 11224
Facsimile: (817) 392-8654 Telephone: 718-222-0433
Sales@capricegov.com
With copy to Fort Worth City Attorney's Office
at same address
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
[SIGNATURE PAGE FOLLOWS]
Page 2 of 3
City of Fort Worth and Caprice Electronics, Inc.
GS-21F-0083Y
ACCEPTED AND AGREED:
CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the
person responsible for the monitoring and
7uz-, 1 4�6- 1 administration of this contract, including
By: Jesus J.Chapa(Jul 2 ,202116:24 CDT) ensuring all performance and reporting
Name: Jesus J. Chapa requirements.
Title: Deputy City Manager
APPROVAL RECOMMENDED: Klly Cleveland
By: Kelly Cleveland(Jul 27,202111:30 CDT)
Name: Sasha Kane
Title: Sr. Contract Compliance Specialist
By: Neil Noakes(Jul27,202116:02 CDT)
Name: Neil Noakes APPROVED AS TO FORM AND
Title: Chief of Police LEGALITY:
ATTEST: /1
By: NicoArias(Jul27,202111:21 CDT)
Name: Nico Arias
'By: s4 �`t 5o�et Title: Assistant City Attorney
Name: Mary J. Kayser dg44�a��
apF FORT�aa
Title: City Secretary pooao oo�yo�� CONTRACT AUTHORIZATION:
0
P�o o9�� M&C: (None Required)
�vo Date Approved:
p� O.0000000°°oo *b
��a�nExASoaa Form 1295 Certification No.: N/A
Caprice Electronics, Inc.
By:
Name: Da el Laufer
Title: MANAGER
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
City of Fort Worth and Caprice Electronics, Inc.
GS-21F-0083Y
Exhibit A
8282020 Shopping Cart
NOTES:
Note Product S-5294 already exists in your Shopping Cart.
INFO
Cart Items
CAPRICE ELECTRONICS,INC.(GS-21F-0083Y)
View more items under this contract
Mfr:USP Get quote on eBuy
ME CEI 9X12 KRAFT GUMMED ENV 250/CS
S-7795
Direct Delivery
2 days delivered ARO
Qty O $24.39 EA $24.39
reduce price
Mfr:USP Get quote on eBuy
HARDWARESUPPLIES
C C E I S-9643
Direct Delivery.
3 days delivered ARO
Qty 1 O $16.48 EA $16.48
reduce price
Mfr:USP Get quote on eBuy
14X750'4MIL POLYTUBING
C C E I S-1986
Direct Delivery.
2 days delivered ARO
Qty Ei -
n $89.48 RL $89.48
reduce price
Mfr:USP Get quote on eBuy
18X2000 60GA MINE BLOWN WRAP
C C E I S-5294
Direct Delivery.
2 days delivered ARO
Qty 1 �O $18.12 RL $18.12
reduce price
Mfr:USP Get quote on eBuy
50LB KRAFT PAPER36""X720'
C C E I S-1312
Direct Delivery
2 days delivered ARO
Qty O $40.63 RL $40.63
reduce price
Mfr:USP Get quote on eBuy
https://www.gsaadvantage.gov/advantage/ws/cart/addCart 12
8282020 Shopping Cart
36""40#WHITE BUTCHER PAPER
C I C E 5-5233
Direct Delivery
2 days delivered ARO
$63.62 RL $63.62
Qty O reduce price
Mfr:USP Get quote on eBuy
#12 57LB HARDWARE BAG 250/BD
C C E I 5-6914
Direct Delivery
2 days delivered ARO
Qty 1 $19.95 EA $19.95
reduce price
Mfr:USP Get quote on eBuy
2.25X3.5 KRAFT COIN ENV 500/CS
E,C E I 5-7798
Direct Delivery
2 days delivered ARO
Qty 1 $13.70 EA $13.70
reduce price
Mfr:USP Get quote on eBuy
HARDWARE SUPPLIES
EXEI 5-19977
Direct Delivery
3 days delivered ARO
Qty 1 O $72.76 EA $72.76
reduce price
Mfr:USP Get quote on eBuy
9X12 28LB WHT GUMMED ENV 250/CS
MICE 5-7865
Direct Delivery.
2 days delivered ARO
Qty 1 ! 1 $28.63 EA $28.63
reduce price
Mfr:USP Get quote on eBuy
4X2 THERMAL TRANSFER LBL 12/CS
C CE I 5-15739
Direct Delivery.
2 days delivered ARO
Qty �O $10.61 RL $10.61
reduce price
Sub Total:$398.37
https://www.gsaadvantage.gov/advantage/ws/cart/addCart 22
8/312020 Shopping Cart
Cart Items
CAPRICE ELECTRONICS,INC.(GS-21F-0083Y)
View more items under this contract
Mfr:USP Get quote on eBuy
#25 57LB HARDWARE BAG 250/BD
Pe,CEI 5-7631
Direct Delivery
2 days delivered ARO
QtY E1 ::: l � ) $28.63 EA $28.63
� / reduce price
Sub Total:$28.63
https://www.gsaadvantage.gov/advantage/ws/cart/shopping_cart 1/1
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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, by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code.An
offense under this section is a misdemeanor.
jJ Name of vendor who has a business relationship with local governmental entity.
2
Check this box if you are filing an update to 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 is being disclosed.
Name of Officer
4J Describe each employment or other business relationship with the local government officer, or a family member of the
officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIO as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
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 or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes F-1 No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
s
❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
Signature of vendor doing business with the governmental entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.Iegis.state.tx.us/
Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code§176.001(1-a):"Business relationship"means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an
agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to, that agency.
Local Government Code§176.003(a)(2)(A)and(B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than$100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code§ 176.006(a)and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any
gift described by Section 176.003(a-1);or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application,response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity;or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer,described by Subsection(a);
(B) that the vendor has given one or more gifts described by Subsection (a);or
(C) of a family relationship with a local government officer.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015