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HomeMy WebLinkAboutContract 56154 CSC No. 56154 FORT WORT, H CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between Paradigm Traffic Systems, 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: l. This Cooperative Purchase Agreement; 2. Exhibit A—Seller's Quote, Scope of Services or Purchase Order; 3. Exhibit B--Cooperative Agency Contract(e.g.,NJPA,DIR, BuyBoard);and 4. Exhibit C—Conflict of Interest Questionnaire. Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of this Agreement for all purposes. Vendor agrees to provide City with the services and goods included in Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all exhibits thereto. City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with the provisions of this Agreement. Total payment made under this Agreement for the first year by City shall be in the amount of three hundred and one thousand Dollars ($301,000.00]). 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 upon execution of the parties and ending on March 31, 2022. City shall be able to renew this agreement for I 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 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 SECRETARY FT. WORTH, TX To CITY: To VENDOR: City of Fort Worth Paradigm Traffic Systems. Inc Attn: Dana Burghdoff. Assistant City Manager Jerry Priester 200 Texas Street 2201 E. Division St. Fort Worth. TX 76102-6314 Arlington, TX 76011 Facsimile: (817) 392-8654 Facsimile: 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 A-reernent and bind the respective Vendor. CITY OF FORT WORTH: CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person By: Dana Burghdofl(Aug 10,20,'/12:4BCOY responsible for the monitoring and administration Name: Dana Burghdoff of this contract, including ensuring all performance Title: Assistant City Manager and reporting requirements. Date: APPROVAL RECOMMENDED: By: Ji Name: Adrian Olguin Title: TPW Superintendent By: .0,202Y10:50 CDT) APPROVED AS TO FORM AND LEGALITY: Name: William Johnson Title: TPW Director poa4FORr ATTEST: A� °�S►�1 By: 0.0E g=� Name: Paris Taylor O ° o° o� Title: Assistant City Attorney By: a��nF�pSoa CONTRACT AUTHORIZATION: Name: Ronald Gonzales M&C: 21-0467 Title: City Secretary VENDOR: nr .., ffic Systems, In Jer ri t: Pr!ident /a� .� OFFICIAL RECORD Date: I CITY SECRETARY G FT. WORTH, TX City of Fort Worth, Texas Mayor and Council Communication DATE: 06/22/21 M&C FILE NUMBER: M&C 21-0467 LOG NAME: 13P PARADIGM TRAFFIC SYSTEMS MG TPW SUBJECT (ALL)Authorize Purchase Agreement with Paradigm Traffic Systems, Inc. for Traffic Signal Assemblies for Transportation and Public Works Department Using BuyBoard Cooperative Contract 603-20 in an Annual Amount Up to$301,000.00 for the Initial Term and Authorize One Annual Renewal Option in an Amount Up to$301,000.00 RECOMMENDATION: It is recommended that the City Council authorize a purchase agreement with Paradigm Traffic Systems, Inc. for traffic signal assemblies for Transportation and Public Works Department using BuyBoard Cooperative Contract 603-20 in an annual amount up to$301,000.00 for the initial term and authorize one annual renewal option in an amount up to$301,000.00. DISCUSSION: The Transportation and Public Works Department will use this purchase agreement to purchase traffic signal parts for the repair, replacement, or upgrade of traffic control systems. The parts provided under the agreement include battery backup units,traffic signal cabinet parts, and signal hardware. COOPERATIVE PURCHASE-State law provides that a local government purchasing an item under a cooperative purchase agreement satisfies any state law requiring that the local government seek competitive bids for purchase of the item. BuyBoard contracts are competitively bid to increase and simplify the purchasing power of government entities across the State of Texas. BUSINESS EQUITY-A M/WBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity. AGREEMENT TERM-Upon City Council's approval,this agreement will commence upon execution by both parties through March 31, 2022 with the option to renew for one additional one year period through March 31, 2023 in accordance with the terms of the cooperative contract. This action does not require specific City Council approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal term. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current capital and operating budgets, as previously appropriated, in the General Capital Projects Fund for the FY2021 PAY GO T.S. Improvement and FY 21 PAYG SL Arterials projects, Prior to any expenditure being incurred, the Transportation and Public Works Department has the responsibility to validate the availability of funds. Submitted for City Manager's Office by: Jay Chapa 5804 Dana Burghdoff 8018 Originating Business Unit Head: Reginald Zeno 8517 William Johnson 7801 Additional Information Contact: Cynthia Garcia 8525 Michelle Green 2058 Exhibit A—Seller's Pricing P.O.Box 5508—Arlington—Texas—76005-5508 817.831.9406—fax 817.831.9407 Estimating@Paradigmtraffic.com PARIAD GM www.paradigmtraffic.com - - — Ira Ific Systems— — — — — — — — — — — — — — — — — — — — — — — — — — QUOTATION TO: City of Fort Worth RFQ: BuyBoard Contract 4 603-20 5001 James Avenue Public Safety,Fire House Supply&Equipment& Fort Worth,TX 75155 Traffic Signals 1/0/1900 attn: Elizabeth Camargo 512-467-0222 pn ph: 817-392-8759 1-800-211-5454 fax fx: elizabeth.camargo(abFortWorthTexas.gov DATE SLSMN DELIVERY OF MATERIAL FREIGHT SHIP VIA F.O.B TERMS QTE NUMBER 3/17/2021 DJ 45-60 Days ARO PPD&Allowed Best Way Destination Net 30 Q27454DJ ITEM QTY DESCRIPTION UNIT PRICE TOTAL PRICE 1 15 Alpha FXH HP BBU System.Each system cosist of the following: $5,500.00 $82,500.00 lea 170022-001 Alpha FXM HP2000 4ea 1810229 240XTV Battery lea 740-678-22 BATTERY CABLE KIT lea 026-026-053-051 S6 Cab Assy W/iJATS,Gen Option,and LRI Light I each Alpha Guard Battery Balancer I each UPS Side Mount Cabinet w/Generator Option NOTE:The Above Assembly,With The Items Listed,Is Warranted For 5 Years. 2 2 FXM-HP 2000, 120Vi/o w/TB i/o (0 170022-00 1)(Mo( $1,665.00 $3,330.00 3 2 020-168-41 Acsy Shlf w/UATS w/MTS Conn PI,RPA,120V $700.00 $1,400.00 4 2 740-628-28-Battery Harness Kit,48V,5', 10-32Term,FXM $210.00 $420.00 5 2 A1phaGuard,Battery Charge Mgmt for 1 string of 48 VDC battery 48V(Standard) $139.00 $278.00 6 1 SCHOOL ZONE FLASHER ASSEMBLY W/DFB c/o: $13,500.00 $13,500.00 (City of Fort Worth ISD Specification) Each School Zone Flasher Assembly Consists Of: lea 90W Solar Panel w/Side of Pole Mounting Bracket lea 12"Driver Feedback Smart Sign,FYG Face Color M75-12DFB-0002 2ea Battery,A1phaCell 12V, 106Ah lea Applied Information School Timer Switch&Cell Modem,AI-500-070 lea Glance License(AT-PT-07) lea Configuration(AT-PT-08), lea School Beacon Monitoring IOM(AT-PT-13) 10 Year. lea Applied Information School Beacon DC Flasher Panel AI-900-011 (DC Panel) lea 2-Compartment Cabinet w/Corbin Lock&Pole Mount Hardware 3ea 1W-1Section Signal,w/12", 12VDC LED,Yellow,&Mounting Hardware lea Astro-Brac Sign Mounting Hardware With School Signs lea Aluminum Pole Base 1 ea 20'Aluminum Pole 1 ea Screw-In Anchor Foundation DATE SLSMN DELIVERY OF MATERIAL FREIGHT SHIP VIA F.O.B TERMS QTE NUMBER 1/28/2021 DJ 45-60 Days ARO PPD&Allowed Best Way Destination Net 30 Q27454DJ 7 2 Applied Information ,AI-500-070-School Timer Switch &Cell $850.00 $1,700.00 8 2 Al 500-085-02, Preempt/Priority FMU2 4G Video w/4 Port Switch $2,350.00 $4,700.00 9 10 Door Switch $32.00 $320.00 10 10 Spare Combined Cell&GPS Antenna $70.00 $700.00 11 10 RTC School Beacon Retrofit Kit $40.00 $400.00 12 2 Applied Information Glance/Configuration Software- $565.00 $1,130.00 One Time Subscription, Per Device 13 2 Intersection Monitoring- IOMB 2 Year Plan(Excludes passthrough and video) $1,850.00 $3,700.00 14 2 Preemption and Priority In-Cabinet-50MB 2 yr(includes passthrough,excludes video) $6,800.00 $13,600.00 15 2 Quicklook Camera&High Bandwith Apps-1GB 2 yr-Includes preempt,passthrough $3,250.00 $6,500.00 and video 16 2 School Beacon Monitoring-TOMB @ 2 Year $1,850.00 $3,700.00 17 4 AC or DC Flasher Panel $390.00 $1,560.00 18 4 Flasher for Beacon System $65.00 $260.00 19 4 Al Connectivity Upgrade 2 year plan $350.00 $1,400.00 20 1 Annual Video Connectivity Plan $850.00 $850.00 21 1 AI-500-095CD-C-V2X and DSRC Capability $2,750.00 $2,750.00 22 5 Tinted 12"Red LED-HiFlux TXDOT JXC300-HFTRO4 $43.00 $215.00 23 5 Tinted 12" Yellow LED-HiFlux TXDOT JXC300-HFTY04 $46.00 $230.00 24 5 Tinted 12" Green LED-HiFlux TXDOT JXC300-HFTGO4 $43.00 $215.00 25 5 12"Red Arrow-IL-TXDOT $49.00 $245.00 26 5 12" Yellow Arrow IL-TXDOT $49.00 $245.00 27 5 12"Green Arrow IL-TXDOT $60.00 $300.00 28 5 16"x 18"LED CD Ped Incand look JXM-40OVIEL $162.00 $810.00 29 5 12"Yelllow LED 12VDC 5 Watt $73.00 $365.00 30 5 Hanging Hardware Assy for ILSN c/o: 2ea AB-0160-62-PNC,2ea SE-0611,2ea $150.00 $750.00 SE-0371-PNC DATE SLSMN DELIVERY OF MATERIAL FREIGHT SHIP VIA F.O.B TERMS QTE NUMBER 1/28/2021 DJ 45-60 Days ARO PPD&Allowed Best Way Destination Net 30 Q27454DJ 31 5 Add City Logo for ILSN New Build Only(1-3 colors) $79.00 $395.00 32 1 Blankout Sign with Mast Arm Mounting Hardware $5,280.00 $5,280.00 33 5 Backmount Hardware for ILSN signs $88.00 $440.00 34 1 333 S ATCC Cabinet Assembly w/o Controller and with plug ins $33,050.00 $33,050.00 35 2 2070C Controller(Econolite) $2,600.00 $5,200.00 36 2 Cobalt C Series Controller $2,850.00 $5,700.00 37 40 SDLC Cable 8' $50.00 $2,000.00 38 40 SDLC Cable 12' $108.00 $4,320.00 39 10 Signal Aluminum 3 section(Signal Head Only) $168.00 $1,680.00 40 10 Signal Aluminum 4 section(Signal Head Only) $225.00 $2,250.00 41 10 Signal Aluminum 5 section(Signal Head Only) $275.00 $2,750.00 42 10 Signal Aluminum 1 section(Signal Head Only) $67.00 $670.00 43 10 Signal Poly 3 section(Signal Head Only) $132.00 $1,320.00 44 10 Signal Poly 4 section(Signal Head Only) $182.00 $1,820.00 45 10 Signal Poly 5 section(Signal Head Only) $222.00 $2,220.00 46 10 Signal Poly 1 section(Signal Head Only) $51.50 $515.00 47 10 12"Aluminum Tunnel Visor,Yellow $12.00 $120.00 48 10 12"Aluminum Tunnel Visor,Black $11.00 $110.00 49 10 12"Poly Tunnel Visor,Yellow $11.50 $115.00 50 10 12"Poly Tunnel Visor,Black $9.65 $96.50 51 10 Blackplate Alum 1 Section $15.62 $156.20 52 10 Blackplate Alum 2 Section $21.00 $210.00 53 10 Blackplate Alum 3 Section $30.00 $300.00 54 10 Blackplate Alum 4 Section $59.50 $595.00 55 10 Blackplate Alum 5 Section $71.00 $710.00 56 10 Blackplate Alum,Louvered, 1 Section $19.25 $192.50 DATE SLSMN DELIVERY OF MATERIAL FREIGHT SHIP VIA F.O.B TERMS QTE NUMBER 1/28/2021 DJ 45-60 Days ARO PPD&Allowed Best Way Destination Net 30 Q27454DJ 57 10 Blackplate Alum,Louvered,3 Section $39.50 $395.00 58 10 Blackplate Alum,Louvered,4 Section $108.00 $1,080.00 59 10 Blackplate Alum,Louvered,5 Section $74.00 $740.00 60 10 Blackplate Alum,Louvered,5 Section,Cluster $91.00 $910.00 61 4 Flush-Mount MircoRadar TM Sensor(Bicycle Applications)(113-263) $500.00 $2,000.00 62 4 TS1 or TS2 Cabinet Interface Module, 1 to 4 Sensor $3,250.00 $13,000.00 63 4 Advance+Traffic Sensor Kit(219-1005-50 1) $3,500.00 $14,000.00 64 2 DIN Rail Assembly with Three TMIB to Interface panel cables(219-1008-504) $265.00 $530.00 65 2 EDI Bus Interface Module(BIU) $245.00 $490.00 66 20 EDI Model 200 Load Switch $25.00 $500.00 67 2 18 Channel 2070 type Monitor w/Datakey&EIA 232 $684.00 $1,368.00 68 5 18 Channel 2070 type Monitor w/Datakey $847.00 $4,235.00 69 10 EDI 242 DC Isolator $50.00 $500.00 70 10 EDI MMU16E/LE Program Card $189.00 $1,890.00 71 1 16 Channel LCD Enhanced TS2 Smart Monitor MMU216LEIP $1,035.00 $1,035.00 72 10 Pedestrian Signal Clamshell Mount,Alum,Black $65.00 $650.00 73 10 Pedestrian Signal Clamshell Mount,Alum,Yellow $65.00 $650.00 74 10 16"Pedestrian Signal Housing,Alum,Yellow $115.00 $1,150.00 75 10 16"Pedestrian Signal Housing,Alum,Black $115.00 $1,150.00 76 2 8 Phase Display,Yellow Flashing Arrow,Standard Cable $625.00 $1,250.00 77 2 8 Phase Intersection Layout Display,Standard Cable $625.00 $1,250.00 78 2 4 Overlap&4 Auxillary Display,Standard cable $365.00 $730.00 79 2 Solar Flasher Assembly consisting of solar flasher cabinet and solar components $3,500.00 $7,000.00 80 5 One Hour Field Service $430.00 $2,150.00 81 5 One Hour Field Installation $430.00 $2,150.00 82 1 Rectunglar Rapid Flashing Beacon Assembly $5,000.00 $5,000.00 83 2 Screw-In Anchor for Pedestrian Poles $670.00 $1,340.00 DATE SLSMN DELIVERY OF MATERIAL FREIGHT SHIP VIA F.O.B TERMS QTE NUMBER 1/28/2021 DJ 45-60 Days ARO PPD&Allowed Best Way Destination Net 30 Q27454DJ 84 2 90 Watt Solar Panel $250.00 $500.00 85 2 Side of Pole Mount for Solar Panel $215.00 $430.00 86 2 Miscelanous Solar Equipment $2,100.00 $4,200.00 87 2 12 Volt Battery $440.00 $880.00 88 10 Gusseted Tube Extender,Alum AB-0508-PNC $32.00 $320.00 89 10 Gusseted Tube,46"for 3 section signal AB-2003-46-PNC $30.00 $300.00 90 10 Gusseted Tube,58",for 3 section signal AB-2003-58-PNC $38.00 $380.00 91 10 Gusseted Tube,74",for 3 section signal AB-2003-74-PNC $45.00 $450.00 92 100 #16AWG,3 Conductor with coaxial cable(for AIS IV cameras) $1.50 $150.00 93 2 12"DFB Smart Sign(Sign 0nly)(M75-12DFB-000X) $2,600.00 $5,200.00 NOTE:PURCHASE ORDER MUST BE PROCESSED THROUGH www.buyboard.com For any questions,comments or concerns,Please email us at Estimating@Paradigmtraffic.com TOTAL $300,241.20 *Thank you for the opportunity to submit a proposal to you on this OFFERED BY: equipment. Please reference this quotation(by QTE number) when placing order. If you have any questions,please call or send a fax to me. . *This quote is valid for 60 days. Thereafter it is subject to change without notice. Dan Jaynes *When sending RFQ's,PO's or RFI's,please send to Paradigm Traffic Systems,Inc. ESTIMATING@PARADIGMTRAFFIC.COM EstimatinoCabparadiomtraffic.com Federal ID#75-2520341 Exhibit B—Cooperative Agency Contract(e.g., NJPA, DIR, BuyBoard);and Board® Cooperative Purchasing P.O. Box 400 Austin, TX 78767-0400 609.695.2919 / 512.467.0222 / Fax:800.211,5454 buyhoard.com February 10, 2020 Sent Via Email: estimating@paradigmtraffic.com Jerry Priester Paradigm Traffic Systems, Inc 2201 E. Division Street Arlington, TX 76011 Welcome to BuyBoard! Re: Notice of The Local Government Purchasing Cooperative Award Proposal Name and Number: Public Safety and Firehouse Supplies and Equipment, Proposal No. 603-20 Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard® contract based on the above-referenced Proposal. The contract is effective 4/1/2020 through 3/31/2021, with two possible one-year renewals. The contract documents are those identified in Section 3 of the General Terms and Conditions of the specifications. To view the items your company has been awarded, please review the proposal tabulation No. 603-20 on the following web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through the BuyBoard contract. In addition, on this website you will find the membership list which will provide you with the names of all entities with membership in our purchasing cooperative. Enclosed with this letter you will find the following documents: 1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards You are advised that receipt of a purchase order directly from a Cooperative member is not within the guidelines of the Cooperative.Accepting purchase orders directly from Cooperative members may result in a violation of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all purchase orders must be processed through the BuyBoard in order to comply. Please forward by email to info@buyboard.com any order received directly from a Cooperative member. If you inadvertently process a purchase order sent directly to you by a Cooperative member, please email the order info@buyboard.com and note it as RECORD ONLY to prevent duplication. As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days prior to the start of your contract. On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we are looking forward to your participation in the program. If you have any questions, please contact Cooperative Procurement Staff at 800-695-2919. Sincerely, Arturo Salinas Department Director, Cooperative Procurement v.6.5 The Local Government Purchasing Cooperative is endorsed by the Texas Association of School Boards, N = `T�a Texas Municipal League, Texas Association of Counties,and the Texas Association of School Administrators.W.' oardo Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 ' bu board.com PROPOSER'S AGREEMENT AND SIGNATURE Proposal Name: Public Safety and Firehouse Proposal Due Date/Opening Date and Time: Supplies and Equipment July 31, 2019 at 4:00 PM Location of Proposal Openin4: Texas Association of School Boards, Inc. BuyBoard Department Proposal Number: 603-20 12007 Research Blvd. Austin,TX 78759 Anticipated Cooperative Board Meetinci Date: Contract Time Period: April 1, 2020 through January/February 2020 March 31, 2021 with two(2) possible one-year renewals Paradigm Traffic Systems, Inc. 07/29/19 Name of Proposing Company Date 2201 E. Division Street Street Address ignature Authorized ompany Official Arlington, TX 76011 Jerry Priester-President City, State, Zip Printed Name of Authorized Company Official 817-831 -9406 President Telephone Number of Authorized Company Official Position or Title of Authorized Company Official 817-831 -9407 75-2520341 Fax Number of Authorized Company Official Federal ID Number Proposal Forms COMM/SVCS v.05.31.2019 Aucapperative Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 , FAX: 800-211-5454 • bu bo rd.corn 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's 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. Proposal Forms COMM/SVCS v.05.31.2019 PFBoard CapperafiveParchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 ' buyboard.com VENDOR CONTACT INFORMATION Name of Company: Paradigm Traffic Systems, Inc. Vendor Proposal/Contract Contact Name: Jerry Priester Vendor Proposal/Contract Contact E-mail Address: estimating @ paradigmtraffic.com Vendor Contact Mailing Address for Proposal/Contract Notices: 2201 E. Division Street Arlington, TX 76011 Company Website: WWW.paradigmtraffic.com Purchase Orders: All purchase orders from Cooperative members will be available through the 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 to assist them with retrieving their orders. Please select options below for receipt of purchase orders and provide the requested information: 0 I will use the internet to receive purchase orders at the following address: Purchase order E-mail Address: estimating @ paradigmtraffic.com Purchase Order Contact: Jerry Priester Phone: 817-831 -9406 Alternate Purchase order E-mail Address: jpriester@paradigmtraffic.com Alternate Purchase order Contact: Jerry Priester Phone: 817-831 -9406 ❑ Purchase orders may be received by the Designated Dealer(s) 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 "RFQ'': Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: RFQ E-mail Address estimating @ paradigmtraffic.com RFQ Contact: Jerry Priester Phone: 817-831 -9406 Alternate RFQ E-mail Address: jpriester@paradigmtraffic.com Alternate RFQ contact: Jerry Priester Phone: 817-831 -9406 Proposal Forms COMM/SVCS v.03.311019 DuCauperative Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • 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 (11 of the following options for receipt of invoices and provide the requested information: ■❑ Service fee invoices and related communications should be provided directly to my company at: Invoice Mailing address: PO Box 5508 Department: City: Arlington State: TX Zip Code: 76005 Contact Name: Shelly Anthony Phone: 817-831 -9406 Invoice Fax: 817-831-9407 Invoice E-mail Address: santhony@paradigmtraffic.com Alternative Invoice E-mail Address: estimating @paradigmtraffic.com ❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing agent**: Billing agent Mailing address: Department: City: State: Zip Code: Billing Agent Contact Name: Phone: Billing Agent Fax: Billing Agent E-mail Address: Alternative Billing Agent E-mail Address: **If Vendor authorizes a b1111ng agent 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/n that des/gnatlon shall relieve Vendor of Its respons/bllltles and obligations under the Contract Including, but not limited to,payment of all service fees under any Contract awarded Vendor. Proposal Forms COMM/SVCS v.05.31.2019 PFBoard Cooporativeft WOng 12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • 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: ❑ My company IS a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.) ❑■ My company is not owned or operated by anyone who has been convicted of a felony. ❑ My company is owned/operated by the following 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. Paradigm Traffic Systems, Inc. Company Name S2 Jerry Priester-President Signatur of Author ed 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. Paradigm Traffic Systems, Inc. r Company Name Jerry Priester-President AuthoriV Company Official Printed Name Proposal Forms COMM/SVCS v.05.31.2019 pvBoard® c0aperativepa bughig 12007 Research Boulevard 'Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' 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 51nonresident"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(iU one of the following: X 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): Company Name Address City State Zip Code A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? ❑ Yes ❑ No B. What is the prescribed amount or percentage? $ or % VENDOR EMPLOYMENT CERTIFICATION Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's ultimate parent or majority owner (i) has its principal place of business in Texas; or (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 one of the following: Yes ❑ No By signature below, I certify that the information in Sections 1 (ResidenVNonresident Certification) and 2 (Vendor Employment Certification)above is true, complete and accurate and that I am authorized by my company to make this certification. Paradigm Traffic Systems, Inc. Company Name Jerry Priester-P resident Pof�Authoed Company ClfFcia Printed Name Proposal Forms COMM/SVCS v.05.31.2019 DuCouperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com NO ISRAEL BOYCOTT CERTIFICATION Effective September 1, 2017, as amended effective May 7, 2019 (H.B. 793), a Texas governmental entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. (TEx. Gov'T CODE Ch. 2270). Accordingly, this certification form is included to the extent required by law. "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. Toc. 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. Paradigm Traffic Systems, Inc. Company Name Jerry Priester-President oSignaturof Authori Company Official Printed Name Note: If Vendor does not wish to make this certification,return the blank form In lieu of a completed certlflcatlon. 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. Paradigm Traffic Systems, Inc. Company Name Jerry Priester-President Signatur of AuthoriXg Company Official Printed Name Proposal Forms COMMISVCS v.05.31.2019 PFBaard® Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 •buy_board.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 M 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: Fx I My company has NOT been certified as a HUB. By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification. Paradigm Traffic Systems, Inc. Company Name Jerry Priester-President Printed Nam Si nature uthorized pany Official Proposal Porm5 COMM/SVCS v.05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH; 800-695-2919 • FAX; 800-211-5454 • 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. Paradigm Traffic Systems, Inc. Company Name Jerry Priester-President ZSignat of Author ed Company Official Printed Name 07/29/19 Date Proposal Forms COMMISVCS v.0531.2019 DwBoard eauperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 1 bgvboard.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(-V) one of the followin9: ❑■ NO; Deviations ❑ YeS; Deviations List and fully explain any deviations you are submitting: PLEASE PROVIDE THE FOLLOWING INFORMATION: I. Shipping Via: >•❑ Common Carrier ❑ Company Truck ❑ Prepaid and Add to Invoice ❑ Other: 2. Payment Terms: 0 Net 30 days ❑ 1% in 10/Net 30 days ❑ Other: 3. Number of Days for Delivery: 30-60 ARO 4. Vendor Reference/quote Number: BuyBoard 603-20 5. state your return policy: Return of any items require authorization from the President of company. 6. Are electronic payments acceptable? FM-]Yes ❑ No 7. Are credit card payments acceptable? ❑Yes ■❑ No Paradigm Traffic Systems, Inc. Cam an e Jerry Priester-President ignature Authori d Company Official Printed Name Proposal Forms COMM/SVCS v.05.31.2019 PFBoard Cooperative Purchasing 12007 Research Boulevard , Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.corn LOCATION /AUTHORIZED SELLER LISTINGS If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation, please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary. NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders, and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract, If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer Designated Dealer form. Paradigm Traffic Systems, Inc. Company Name 2201 E. Division Street Address Arlington Texas 76011 City State Zip 817-831 -9406 817-831 -9407 Phone Number Fax Number Jerry Priester Contact Person Company Name Address City State Zip Phone Number Fax Number Contact Person Proposal Forms CQMM/SVCS v.05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 • buvboard.com MANUFACTURER DEALER DESIGNATION If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers ("Designated Dealers'o to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete this form for each dealer you wish to designate. Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder, including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees. If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to a Designated Dealer for processing. The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion. If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish to designate multiple dealers, please duplicate this form as necessary. Not Applicable Designated Dealer Name Designated Dealer Address City State zip Phone Number Fax Number Email address Designated Dealer Tax ID Number* (*attach W-9) Designated Dealer Contact Person Your Company Name Signature of Authorized Company Official Proposal Forms COMM/SVCS v.05.31.2019 PVBoard C00perative Purchasing 12007 Research Boulevard I Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com 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 regions checked below, Region Headquarters ❑ 1 Edinburg I mi 17� ❑ 2 Corpus Christi ❑ 3 Victoria ❑ 4 Houston ,: �;j ❑ 5 Beaumont �� ry .. ry ❑ 6 Huntsville _ ' — ❑ 7 Kilgore ❑ 8 Mount Pleasant ❑ 9 Wichita Falls -r0 1p Richardson ❑ 11 Fort Worth `.� nF ❑ 12 Waco ❑ 13 Austin __ r 9 ❑ 14 Abilene ❑ 15 San Angelo � :' ❑ 16 Amarillo Paradigm Traffic Systems, Inc. ❑ 17 Lubbock ❑ 18 Midland �ofAuth�oed e ❑ 19 El Paso ❑ 20 San Antonio ZeCompany Official Jerry Priester-President ❑ 1 will not service members Printed Name of the Texas Cooperative. Proposal Forms WMM/SVCSv.05.31.2019 Board® Cooperative purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.eom If this Texas Regional Service Designation form applies to only one or some of the products and services proposed by Vendor, list the products and services to which this form applies here: All products sold and serviced in Texas. Proposal Farms COMM/SVCS v.05.31.2019 PVBoard C00perativepa hqFfflg 12007 Research Boulevard , Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com STATE SERVICE DESIGNATION The Cooperative offers vendors the opportunity to service other governmental entities in the united States, including intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete this form if you plan to service the entire United States, or will service only the specific states indicated. (Note.-If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.) If you serve different states for different products or services included in your proposal,you must complete and submit a separate State Service Designation form for each group of products and clearly Indicate the products or services to which the designation applies in the space provided at the end of this form. By designating a state or states,you are certlfy/ng that you are authorized and willing to provide the proposed products and services in those states. Designating states in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your proposal or, if awarded, termination of your Contract. Please check (,/)all that apply: ❑ I will service all states in the United States. 0 I will not service all states in the United States. I will service only the states checked below: ❑ Alabama ❑ Alaska ❑ Nebraska ❑ Arizona ❑ Nevada ❑ Arkansas ❑ New Hampshire ❑ California (Public Contract Code 20118 &20652) ❑ New Jersey ❑ Colorado ❑ New Mexico ❑ Connecticut ❑ New York ❑ Delaware ❑ North Carolina ❑ District of Columbia ❑ North Dakota ❑ Florida ❑ Ohio ❑ Georgia ❑ Oklahoma ❑ Hawaii ❑ Oregon ❑ Idaho ❑ Pennsylvania ❑ Illinois ❑ Rhode Island ❑ Indiana ❑ South Carolina ❑ Iowa ❑ South Dakota ❑ Kansas ❑ Tennessee ❑ Kentucky 0 Texas ❑ Louisiana ❑ Utah ❑ Maine ❑ Vermont ❑ Maryland ❑ Virginia ❑ Massachusetts ❑ Washington ❑ Michigan ❑ West Virginia ❑ Minnesota ❑ Wisconsin ❑ Mississippi ❑ Wyoming ❑ Missouri ❑ Montana Proposal Forms COMM/SVCS v.05.31.2019 DuBoard capperative Purchasing 12007 Research Boulevard , Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • bu bad ard.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. Paradigm Traffic Systems, Inc. 4 Company Name Jerry Priester-President na of Authori d 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: Proposal Forms COMM/SVCS v.05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 • 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'D 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.05.31.2019 Board Cooperative haOng 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buybaard.com 7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue for any dispute shall 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. Paradigm Traffic Systems, Inc. 603-20 Public Safety and Firehouse Supplies and Equipment Na or Proposal Invitation Number Jerry Priester-President i nat f Authori d Company Official Printed Name of Authorized Company Official 07/29/19 Date Proposal Forms COMMISVCS v.05.31.2019 Board® Cooperative Purchasing 12007 Research Boulevard ' Austin,Texas 78759-2439 . PH: 800-695-2919 ' FAX: 800-211-5454 • 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 car based on an established catalog or market price during the previous 12-month period or the last fiscal year: $M-e ',�.i(��rM. (The period of the 12 month period is�At. 1 �! ). 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 Dr• AWARDED PURCHASING VENDOR? COMMODITY GROUPVENDOR r- 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 6. National Joint Powers Alliance (NJPA) 7. E&I Cooperative 8. The Interlocal Purchasing System (TIPS) 9. Other 0 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(o/o): 0% and 5% Proposed Discount(a/o): 0% and 5% Explanation: 2 Price lists and 2 discounts Proposal Forms COMMJSVCS v.05.31.2019 DuCouperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification. Paradigm Traffic Systems, Inc. Z�aCompany Name o ) Jerry Priester-President Signatur f Authoriz ompany Official Printed Name Proposal Forms COMMISVCS v.05.31.2019 PVBoard C00perative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • bu bow ard.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 C/Bedford Kenny Overstreet 817-952-220 Kenneth.Overstreet@bedfordtx.gov 0% discount Z T/Addison Juan Gutierrez 214-687-2629 jutierrez@addisontx.gov 0% discount 3. C/Duncanville John Borchardt 214-282-2416 Borchardt@ci.duncanville.tx.us 0% discount 4 C/Mansfield David Boski 817-276-4208 david.boski@mansfield-tx.gov 0% discount 5 C/Frisco Tracy Nichols 972-877-9795 TNichols@friscotexas.gov 0% discount 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. Paradigm Traffic Systems, Inc. Com n ( Signatre f uthorized pany Official Priester-President Printed Name Proposal Forms COMM/SVCS v.05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.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 Plow you wrfi continue to support the BuyBoard for the duration of the contract period.) Attach additional pages if necessary. Paradigm attends several trade shows per year and displays BuyBoard information. Paradigm sales staff discusses the BuyBoard contract on sales calls. Paradigm Traffic Systems, Inc. Company Name r Signatur of AuthoriA Company Official Jerry Priester-President Printed Name Proposal Farms COMM/SVCS v.05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • b au board.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(y)one of the following: ❑E 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.05.31.2019 PFBoard Cooperative Purchasing 12007 Research Boulevard 'Austin,Texas 78759-2439 • PH: 800-695-2919 ` FAX: 800-211-5454 , buvboard.com B. Copyright Information Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright information? Please check()o 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: (Attach additional sheets if needed.) C.Consent to Release Confidential/Proprietary/Copyright 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. Paradigm Traffic Systems, Inc. Z7bfAu(thorl d Company Official Jerry Priester-President Printed Name 07/29/19 Date Proposal Forms COMMISVCS v.05.31.2019 PVBoard C00perative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 •buvboard.com 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: Paradigm Traffic Systems, Inc. (List the LWAJ 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 farm. Separately operating legal business entities, even if affiliated entities, which propose to provide goods orservices separately most submit their own Proposals.) Please check_(3 Lgge of the following: Type 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. 75-2520341 (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: if different 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 Certifrcate(s),if applicable,must be attached.) Proposal Forms COMMiSVCS v.05.31.2019 1=orrn 9 Request for Taxpayer Give Form to the (Rev.October 2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service ►Go to wwwJrs gov1Fornl 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. Paradigm Traffic Systems, Inc. 2 Business name/disregarded entity name,if different from above cD 3 Check a ro rlate 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 � PP P P Pt ( PPY Y b following seven boxes. certain entities,not individuals;see a instructions on page 3): o ❑ Individuallsole proprietor or ❑✓ C Corporation ElS Corporation ❑ Partnership ❑TrusVestate c single-member LLC Exempt payee code(if any) ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)1 8 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 A LLC if the LLG is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is a ( Y) e another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwlse,a single-member LLG that code if an s~ is disregarded from the owner should check the appropriate box for the tax classification of its owner. d [� Other(see instructions)► (� Pbas fa c Unis mainleined m&we Me US) uj 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) m PO Box 5508 Arlin tonr TX 76005 2201 E.Division Street m B City,state,and ZIP code Arlin ton TX 76011 7 List account numbers)here(optional) JUM 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(s .However,fora _m _ 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 Now 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 Employer identification number Number To Give the Requester for guidelines on whose number to enter. 7 ,s - 25zo3 � j 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 II,later. Sign signature of Here U.S.person► oj��t� Date. <72Z General Instructions orm 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise .Form 1099-MISC(various types of income,prizes,awards,or gross noted. 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.gov1Form1N9. .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 (Ell to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. 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.10-2018) Board® Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.coln 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'l. 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 for a 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 fall to complete any item In this form, the Cooperative will consider and may list the Vendor's response on the BuyBoard as "NO,'the Vendor is unable or unwllling 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, 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. Y 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. Proposal Forms COMM/SVCS v,05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard , Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.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 Camp., 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.00v. 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 member's Federal award meets the definition of"funding agreement" under 37 CFR 401.2(a) and the recipient or subreciplent 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 COMM/SVCS v.05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 1 buvboard.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 the Simplified Acquisition Threshold, 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 COMM/SVCS v.05.31.2019 Board® Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com 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 Ipitial 1. Vendor Violation or Breach of Contract Terms Yes 2. Termination for Cause or Convenience Yes 3. Equal Employment Opportunity Yes 4. Davis-Bacon Act Yes 5. Contract Work Hours and Safety Standards Act Yes 6. Right to Inventions Made Under a Contract or Agreement Yes 7. Clean Air Act and Federal Water Pollution Control Act Yes 8. Debarment and Suspension Yes 9. Byrd Anti-Lobbying Amendment Yes 10. Procurement of Recovered Materials Yes 11. Profit as a Separate Element of Price Yes 12. General Compliance and Cooperation with Cooperative Members Yes 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. Paradigm Traffic Systems, Inc. Com Al e Sig ature of Auth ized Co pany Official Je ester-President Printed Name Proposal Forms COMM/SVS v.05.31.2019 PFBoard COUPerativap" busfflg 12007 Research Boulevard I Austin,Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 • bvyboard.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 safe or involved in any transaction that would significantly alter its business or result in acquisition by another entity. Paradigm Traffic Systems has been in business for 25 years. Paradigm is currently not for sale. 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. Paradigm Traffic has 24 employees. 4 on the management team, 4 on the sales team, 8 technicians, 3 estimators, and 5 office and warehouse staff. 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. No owners, stockholders, or officers, have ever been involved in bankruptcy, receiving or insolvency proceedings. Paradigm's bond capacity is $1 million dollars. Paradigm has a 25 year history of supplying traffic signal equipment in the State of Texas and a 6 year history with BuyBoard. Proposal Forms COMM/SVCS v.05,31.2019 oard Cooperative Purchasing 12007 Research Boulevard . Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com 4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing agreement? If so, provide detailed information on the nature of such items and prospects for resolution. 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. None 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. None 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. Paradigm Traffic Systems, Inc. Company fume Sig !tore o uthorized ompany Official Proposal Forms COMMISVCS v.05.31.2019 Board® Cooperative Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com REQUIRED FORMS CHECKLIST (Please check(tn the following) 211 Completed: Proposer's Agreement and Signature 0 Completed: Vendor Contact Information [� Completed: Felony Conviction Disclosure and Debarment Certification 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 [f Completed: Deviation/Compliance [A Completed: Location/Authorized Seller Listings Completed: Manufacturer Dealer Designation [� Completed: Texas Regional Service Designation EJ Completed: State Service Designation [X Completed: National Purchasing Cooperative Vendor Award Agreement Completed: Federal and State/Purchasing Cooperative Experience Lg Completed: Governmental References EY Completed: Marketing Strategy [� Completed: Confidential/Proprietary Information © Completed: Vendor Business Name with IRS Form W-9 []' Completed: EDGAR Vendor Certification Ff Completed: Proposal Invitation Questionnaire ®� Completed: Required Forms Checklist Completed: Proposal Specification Form with Catalogs/Pricelists and Texas Department of Public Safety License •Catalog4/Prkelists must be su6m/tte4i w#h proposal response or response will not 6e considered Proposal Forms COMMISKS v.05.31.2019 Board® corpL.ax.�vrrcr�r a Proposal invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Priceiists must be submitted with Proposal or Proposal will not be considered', NOTE:Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the Information as follows or Proposal may not be considered: ❑Manufacturers shall be listed In alphabetical order 01endor's must list one specific percentage discount for each Manufacturer listed. If a vendor's response to Proposal Specification Form states"please see attachment sheet,"all manufacturers listed on the attachment sheet must indicate per manufacturer the line item that correlates to Proposal Specification Form or Vendor's proposal may not be considered. Section L Public Safety Sul iplies and Equipment State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricel€sti Cataio /Pricelist' Discount Discount(%)Off Catalog/Pricelist for Please state the discount(%)off catalog/pricelist for Firearms and A /°° 1 Firearms and Ammunition.Catalog/Pricelist MUST be included or proposal will not be considered. Ammunition Discount(%)Off Please state the(%)off catalog/pricelist for Tactical Equipment. NIA 2 Catalog/Pricelist for Tactical Equipment Catalog/Pricelist MUST be included or proposal will not be considered. Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Night Sticks and 3 Night Sticks and Batons. Catalog/Pricellst MUST be included or proposal will not be °/° considered. Batons Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Riot Equipment/Body ° 4 Armor. Catalog/Pricelist MUST be included or proposal will not be A /° Riot Equipment/Body considered. Armor Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Public Safety Vehicle 5 Public Safety Vehicle Equipment and Related Accessories. Catalog/Pricelist MUST N/A % Equipment and related be included or proposal will not be considered. accessories oP 05AL PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal oard®YZ aWM11"P.,o r(qy Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'. State Percent(%)of Item Discount off State Name of Exceptions to No. Short Descri lion Full Description Catalog/Pricelists Catalog/Pricelists Discount Discount(%)Off %th t t e sae e Catalog/Pricelist for pleas (%)off catalog/pricelist for Tear Gas/Mace and N/A ° 6 Tear Gas/Mace and related items. catalog/Pricelist MUST be included or proposal will not be related items considered. Discount(3'0)Off Please state the(%)off catalog/pricelist for Night Vision 7 Catalog/Pricellst for Equipment. catalog/Pricelist MUST be included or proposal will not be A % Night Vision Equipment considered. Discount(%)Off Please state the(%)off catalog/pricelist for Thermal Imaging ^' 8 Thermal Imaging Catalog/Pricelist for Equipment. Catalog/Pricelist MUST be included or proposal will not be I V A % considered. Equipment Discount(%)Off Please state the(%)off catalog/pricelist for Flashlights,Batteries, 9 Catalog/Pricelist for and related items. Catalog/Pricelist MUST be included or proposal will NIA % Flashlights,Batteries, not be considered. and related items Discount(%)ON please state the(%)off catalog/pricelist for Electronic Stand-up lU ElectrCatalonic Stand-up for Vehicle(ESV). Catalog/Pricellst MUST be included or proposal will not be NIA Electronic Stand-up Vehide(ESV) considered. Discount(%)Off C /P st for All please state the(%)off catalog/pricelist for Al l Types of Public 11 Typesypes of Publiubli c Safety Safety Patrol Bicycles,Supplies and Related Accessories. Supplies and NIA Patrol Bicycles, Catalog/Pricelist MUST be included or proposal will not be considered and Related R Accessories PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal 7,Board- Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pd elists must be submitted with Proposal or Pro osal will not be considered'.) State Percent(n/o)of Item Discount off State Name of Exceptions to No. Short Descri on Full Description Catalog/Pricelist, Catalog/Pricelist' Discount Discount(%)Off Please state the(%)off catalog/pricelist for Public Safety Rescue 12 Catalog/Pricelist for Equipment. catmog/Priceiist MUST be included or proposal will not be N/A % Public Safety Rescue considered. Equipment Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Handcuffs and A 13 Handcuffs and Restraints. Catalog/Pricelist MUST be included or proposal will not be Restraints considered. Discount(%)Off 14 Catalog/Pricelist for Please state the(%)off catalog/pricelist for Scopes and Binoculars. N/A % Catalog/Pricelist MUST be included or proposal will not be considered. Scopes and Binoculars Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Alcohol and Drug 0/0 15 Alcohol and Drug Testing Products and Related Services. Catalog/Pricelist MUST be A Testing Products and included or proposal will not be considered. Related Services Discount(%)Off Please state the(%)off catalog/pricelist for Law Enforcement N/A 16 Lat Enforcement for Training Targets. Catalog/Pricelist MUST be included or proposal will not Law Enforcement Training Targets be considered. Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Fingerprint Equipment Q i7 Fingerprint Equipment and Supplies.Catalog/Pricelist MUST be included or proposal will not be " considered. and Supplies PRO120SAL NOTE PApPO5A1.SPECTFECATJON FOAM 1.Catalogs/Pricelists are required to be submitted with Proposal EBoard® aopefail ve Pureialag Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'.) State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelist* Catalog/Pricelistl Discount Discount(%)Off Please state the(%)off catalog/pricetist for Law Enforcement NIA Catalog/Pricelist for Knives and Tools(multipurpose tools,clip tools,mini tools,and '° ° 16 Law Enforcement related accessories). Catalog]Pricelist MUST be included or proposal will Knives and Tools not be considered. Discount(%)Off CatalDg/Pricelist for Public Safety Uniforms, Please state the(%)off catalog/pricelist for Public Safety Uniforms, NIA 19 Rainwear,Jackets, Rainwear,Jackets,Footwear and Accessories. Catalog/Pricelist % MUST be included or proposal will not be considered. Footwear and Accessories Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Weather Monitoring ° 20 /o Weather Monitoring Systems. Catalog I Pricelist MUST be included or proposal will not be N A Systems considered. Discount(%)Off Please state the(%)off catalog/pricelist for Red Light Monitoring 21 Catalog/Pricelist for Systems. Catalog/Pricelist MUST be included or proposal will not be NIA % Red Light Monitoring considered. Systems Discount(%)Off Please state the(%)off catalog/priceiist for Speed Enforcement 22 Catalog/Pricelist for Equipment. Catalog/Pricelist MUST be included or proposal will not be NIA Speed Enforcement considered. Equipment Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Public Safety Life 23 Public Safety Life Preserver and Related Items. Catalog/Pricelist MUST be included or N/A Preserver and Related proposal will not be considered. Items PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1,Catalogs/Pricelists are required to be submitted with Proposal Board- a""-ffre PwoZ-0 Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered. State Percent(%)of Item Discount off State Name of Exceptions to No. Short.Description Full Description Catalog/Pricelist' Catalog/Pricelist' Discount Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Emergency Radio Q 24 Emergency Radio Dispatch Consoles and related items. catalog/Pricelist MUST be " ` % Dispatch Consoles and included or proposal will not be considered. related items Discount(%)Off Please state the(%)off catalog/pricelist for Safety and Security 25 Catalog/Pricelist for Window Film Products. Catalog/Pricelfst MUST be included or proposal N/"A Safety and Security will not be considered. Window Film Products Discount(%)Off Please state the(%)off catalog/pricelist for All Types Security 26 Catalog/Pricelist for All Access Doors and related accessories(accordion,roll up, NA Types Security Access woodfold,flat lead post,narrow lead post,and curved). Doors Catalog/Pricefist MUST be included or proposal will not be considered. Discount(%)Off Catalog/Pricelist for All Please state the(%)off catalog/pricelist for All Other Public Safety 27 Other Public Safety Products and Equipment. catalog/Pricelist MUST be included or N /� A Products and proposal will not be considered. Equipment Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Public Safety 28 Public Safety Equipment Repair Parts. Catalog/Pricelist MU5r be included or NA " ' % Equipment Repair proposal will not be considered. Parts PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal Board® coop�,.u�rrr�a.�og Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered. State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelistl Catalog/Priceill Discount Discount(%)Off Catalog/Pricelist for Public Safety Please state the(%)off catalog/pricelist for Public Safety N A 29 Equipment and Equipment and Products Maintenance/Warranty Agreements. Products Catalog/Pricelist MUST be included or proposal will not be considered. Maintenance/Warranty Agreements Section II: Firehouse Sup lies and Equipment State Percent(%)of Item Discount off State Nance of Exceptions to No. Short Description Full Description Catalog/Pricelist' Catalog/Pricell Discount Discount(%)Off Please state the % off catalo 30 Catalog/Pricelist for ( ) g/pricelist for Breath in 9 A p s. N/A % CatalogJPretelist MUST be included or proposal will not be considered.erect. Breathing Apparatus Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Protective Clothing and Protective Clothing and Rescue Gear including Protective Boots,Helmets and Gear ° 31 Rescue Gear including � � /° Bags. Catalog/Pricelist MUST be included or proposal will not be Protective Boots, considered. Helmets and Gear Ba s Discount(%)Off Catalog Gear for Please state the(%)off catalog/pricelis#for Turnout Gear. N/A urnou 32 C Tatalog Gedr Catalog/Pricelist MUST be included or proposal will not be considered. PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Priceilsts are required to be submitted with Proposal ,Board- t:eooerattrs Furchufng Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pdcelists must be submitted with Proposal or Proposal will not be considered'. State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Price]istl Catalog/Pricelist' Discount Discount(%)Off Please state the(%)off catalog/pricelist for Nomex Station 33 Catalog/Pricelist for Uniforms. Catalog/Pricelist MUST be included or proposal will not be N/A °10 Nomex Station considered. Uniforms Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Communication NIA 34 Communication Devices and Systems. Catalog/Pricelist MUST be included or proposal Devices and Systems will not be considered. Discount(%)Off Please state the(%)off catalog/pricelist for EMS Supplies and 35 Catalog/Pricelist for Equipment. Catalog/Pricelist MUST be included or proposal will not be NIA EMS Supplies and Equipment considered.Discount(%)Off Please state the(%)off catalog/pricelist for Portable Lighting 36 Catalog/Pricelist for Equipment.Catalog/Pricelist MUST be included or proposal ° Portable Lighting p posal will not be N A considered. Equipment Discount(%)Off Please state the(%)off catalog/pricelist for Vehicle Light Barsr 37 Catalog/Pricelist for Sirens and Speakers. catalog/Pricelist MUST be Included or proposal NIA Vehicle Light Bars, will not be considered. Sirens and Speakers Discount(%)Off Please state the(%)off catalog/pricelist for Fire Extrication Rescue 38 Catalog/Pricelist for Equipment. Catalog/Pricelist MUST be included or proposal will not be NIA Fire Extrication Rescue considered.Equipment PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal vBr Board® nw-fh PwcAarrug Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricelists must be submitted with Proposal or Pro osal will not be considered'. State Percent(%)of item Discount off State Name of Exceptions to No. Short Description Full Descri teen Catai /Priiceiist1 Catalog/Pricelist' Discount Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Firehouse Uniforms, 39 FirehehouseuseUUniforms, Rainwear,3ackets,Footwear and Accessories. Catatog/Pricelist NIA % Rainwear,lockets,Footwear and MUST be included or proposal will not be considered. Accessories Discount(%)Off Please state the(%)off catalog/pricelist for Gas Detection Devices. ° 40 Gas Detection for Catalog/Pricelist MUST be included or proposat will not be Considered. /b Gas Detection Devices Discount(%)Off N A Please state the(%)off catalog/pricelist for Fire Hose and Nozzles. ° 41 Catalog/Pricelist for /° Fire Hose and Nodes Catalog/Pricelist MUST be included or proposal will not be considered. Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Fire Extinguishers and ° Fire Extinguishers and 42 Fire Fighting Foam. Catalog/Prtceltst MUST be included or proposal will N A /° F not be considered. Fire Fighting Foam Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for Fire Fighting Training 43 Fire Fighting Training Materials and Equipment. Catalog/Pricelist MUST be included or N/A % Materials and proposal will not be considered. Equipment PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal Board® CaapemffrePwabaslag Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'.) State Percent(0/6)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelist, Catala Pricelist' Discount Discount(%)Off APPLIED INFORMATION Catalog/Pricelist for Optical Emergency Please state the(%)off catalog/pricelist for Optical Emergency °/° 44 Traffic Pre-Emption Traffic Pre-Emption Supplies and Equipment.Catalog/Pricelist Supplies and MUST be included or proposal will not be considered. Equipment Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist for All Other Firehouse A 45 Other Firehouse Equipment and Supplies. Catalog/Pricelist MUST be included or " - % Equipment and proposal will not be considered. Supplies Discount(%)Off Catalog/Pricelist for Please state the(%)off catalog/pricelist far Firehouse Equipment N /° I Q ° 46 Firehouse Equipment Repair Parts. Catalog/Pricelist MUST be included or proposal will not be 'V considered. Repair Parts Discount(%)Off Catalog/Pricelist for Firehouse Equipment Please state the(%)off catalog/pricelist for Firehouse Equipment {�I ° 47 and Products Safety and Products Safety Maintenance/Warranty Agreements. 'V A /o and Products Safety catalog/Pricelist MUST be included or proposal will not be considered. MaiAgreements PROPOSAL NOTE PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal Board® Ceeperallra Purcpaerap Proposal Invitation No.603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered',) Section Ili. Traffic Signal SupplieS and Equipment State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description full Description Catalog/Pricelil Catalog/Pricellstl Discount Discount(%)Off PARADIGM Catalog/Pricelist for Please state the(%)off catalog/pricelist for Traffic Signal O 48 Traffic Signal Equipment. catalog/Pricelist MUST be included or proposal will not be Equipment considered. Discount(%)Off 49 Catalog/Pricelist for Please state the(%)off catalog/pricelist for Traffic Signal Supplies. !{�V A Catalog/Pricelist MUST be included or proposal will not be considered. Traffic Signal Supplies Discount(%)Off PELCO/ Catalog/Pricelist for All Please state the(%)off catalog/pricelist for All Other Traffic Signal 5 PARADIGM 50 Other Traffic Signal Products. Catalog/Pricellst MUST be included or proposal will not be Products considered. Discount(/a)Off Please state the(%)off catalog/pricelist for Traffic Signal Repair 51 Catalog/Pricelist for parts. Catalog/Pricelist MUST be included or proposal will not be N/A °/n Traffic Signal Repair considered. Parts Discount(%)Off Catalog/Pricelist for Traffic Signal Please state the(%)off catalog/pricelist for Traffic Signal A 52 Equipment and Equipment and Products Maintenance/Warranty Agreements. % Products Catalog/Pricelist MUST be included or proposal will not be considered. Maintenance/Warranty Agreements PROPOSAL SPECIFICATION FORM 1.Catalogs/Pricelists are required to be submitted with Proposal W: poard- c.v­ri"PwZla o Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'.) Section IV: Security Personnel Services and Solutions-In accordance with Chapter 1702 of the Texas Occupations Code,vendors proposing to serve Cooperative members in Texas must hold,maintain,and submit with their proposal a copy of their current,valid license as issued by the Texas Department of Public Safety. Vendors proposing to serve Cooperative members outside of Texas must hold,maintain,and submit with their proposal a copy of their current,valid licenses)which are required by an legal authority in the jurisdiction s Vendors propose to serve. State Percent(%)of Item Discount off State Name of Exceptions to No. Short Description Full Description Catalog/Pricelistl Catalog/Pricelistl Discount Discount(%)Off Rate N/A N/A Sheet for Security Please state the(%)off rate sheet for Security Personnel Services 0 53 and Solutions(weekly,monthly,quarterly and yearly)rates. $ Solutionss Personnel Services and Catalog/POCCI st MUST be included or proposal will not be considered. Solutions Section V. Installation and Repair Service Detailed Exceptions to Item Not to Exceed Hourly Information on Hourly Labor No. Short Description Full Description tabor Rate Hourly Labor Rate Rate Not to Exceed Hourly Labor Rate for Hourly Labor Rate for Installation/Repair Service of Public NIA 54 Installation/Repair Safety Equipment and Products-State the Nottto Exceed hourly $ /Hour Service of Public Safety labor rate for Installation/Repair Service of Public Safety Equipment Equipment and and Products. Products Not to Exceed Hourly Labor Rate for Hourly Labor Rate for Installation/Repair Service of Firehouse NIA 55 Installation/Repair Equipment and Products-State the Not to Exceed hourly labor $ /Hour Service of Firehouse rate for Installation/Repair Service of Firehouse Equipment and Equipment and Products. Products Not to Exceed Hourly Labor Rate for Hourly Labor Rate for Installation/Repair Service of Traffic NA 56 Instailation/Repair Signal Equipment and Products-State the Not to Exceed hourly $ /Hour Service of Traffic labor rate for Installation/Repair Service of Traffic Signal Equipment Signal Equipment and and Products. Products PROOSAL NQTE PROPOSAL SPECIFICATION FORM I.Catalogs/Pricelists are required to be submitted with Proposal Exhibit C—Conflict of Interest Questionnaire. CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects rhanges made to the raw by H.H.23,801th Leg.,Regular Session. OFFICE USE ONLY This ques€ionnairs is being filed in accordance with Chapter 176,Local Government Code, nele neAned by averrdor who has a business relationship as defined by Section 176.001(1-a)with a locai governmental entity and the vendor meets requirements under Section 176.006(a). Bylaw this questionnaire must be tiled 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 statementtobefiled.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. t 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 tiled questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not Eater than the 7th business day after the date on which you became aware that the originally filed questionnaire was moompfete 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,&D) 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 Govemment Code. 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 vender? Yes El No B.Is the vendor receiving or likely to receive taxable income,other than investment income,from oral the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? Yes =No C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the focal government officer serves as an officer or director,or holds an ownership interest of one percent or more? Yes El No 0.Describe each employment or business and famiy relationship with the local government officer named in this section. a Signature of vendor doing business with the govemmental entity Dam Adopted f11712015