HomeMy WebLinkAboutContract 56807 DocuSign Envelope ID: 275480G0-F8F3-4AD3-B1BF-2E3548BOA219
CSC No. 56807
FORT NORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Leslie's
Poolmart,Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B—Cooperative Agency Contract(e.g.,NJPA, 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 Forty Thousand Dollars ($40,000). 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 November 15, 2021 and ending
on May 31, 2022. City shall be able to renew this agreement for one (1) 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
DocuSign Envelope ID: 27548000-F8F3-4AD3-B1BF-2E3548BOA219
To CITY: To VENDOR:
City of Fort Worth Leslie's Poolmart, Inc.
Attn: Jesus Chapa, Deputy City Manager Attn: Brian Agnew, SCP Commercial &
200 Texas Street Wholesale
Fort Worth, TX 76102-6314 2005 E. Indian School Rd
Facsimile: (817) 392-8654 Phoenix, AP 85016
Facsimile: N/A
With copy to Fort Worth City Attorney's Office
at same address
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
CITY OF FORT WORTH:
CONTRACT COMPLIANCE MANAGER:
b BSA jd� By signing I acknowledge that I am the person
By: Dana Burghdoff(Mc 10,20 08:22 CST) responsible for the monitoring and administration
Name: Dana Burghdoff of this contract,including ensuring all performance
Title: Assistant City Manager and reporting requirements.
Date: Dec 10,2021
APPROVAL RECOMMENDED: By:
Name: Shatabya Bergland
Title: Contract Compliance Specialist
CGI�/,I�D.I�GIG�fI��G�G�
By: Christopher H rder(Dec8,202112:35CST) APPROVED AS TO FORM AND LEGALITY:
Name: Christopher Harder
Title: Water Director
ATTEST: By:
Name: Doug Black
Title: Sr. Assistant City Attorney
By. ette S.Goodall(Dec 10,2021 08
CST) CONTRACT AUTHORIZATION:
Name: Jannette Goodall ga44na��� M&C: 20-0583
Title: City Secretary �OF°FOR?�aa
VENDOR: Poo g=d
Leslie's Poolmart, Inc. ?00000 5°d,
°Oo o°° a
a��nEXp oap
By: Es. cy
111 91&uv
Name:Brian Agnew OFFICIAL RECORD
Title:SVP Commercial&Wholesale
CITY SECRETARY
Date: 12/7/2021
FT. WORTH, TX
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Exhibit B
� �����° P.O.Box 400,Austin,Texas 78767
800.695.2919•info@buyboard.com •buyboard.com
April 26, 2021
Sent via email to: government(cNesl.com
Tiadra Carter
Leslie's Poolmart, Inc.
2005 E. Indian School Road
Phoenix AZ 85016
Re: Swimming Pool Chemicals, Supplies and Equipment
BuyBoard Contract 613-20
The Local Government Purchasing Cooperative (BuyBoard) awarded your company a contract under
Swimming Pool Chemicals, Supplies and Equipment, Contract 613-20 effective June 1, 2020 through May
31,2021,with two possible one-year renewals.At this time,the BuyBoard is renewing your contract through
May 31, 2022.
All discounts,terms, and conditions of your contract will remain the same. If you agree to this renewal,there
is nothing you need to do. However, if you do not agree to this renewal, you must notify me via email at
lisa.maraden(cDtasb.org prior to the start of the renewal term.
Reminder: Once a BuyBoard contract is awarded, vendors must generate a minimum of$15,000 annually
or they may not be offered a contract renewal.
If you have questions or comments concerning this renewal, please contact me as soon as possible at
lisa.maraden(@tasb.orq. We appreciate your interest in The Local Government Purchasing Cooperative.
Sincerely,
Lisa Maraden
Contract Administrator
V renewal v.02.13.2020
Endorsed by * TASAV TNIL oT
PFBoard®
Capperative Purchasing
P.O. Box 400
Austin, TX 78767-0400
609.695.2919 / 512.467.0222 / Fax:800.211.5454
buyhoard.com
April 29, 2020
Sent Via Email: government@lesl.com
Tiadra Carter
Leslie's Poolmart, Inc.
2005 E. Indian School Road
Phoenix, AZ 85016
Welcome to BuyBoard!
Re: Notice of The Local Government Purchasing Cooperative Award
Proposal Name and Number: Swimming Pool Chemicals, Supplies and Equipment, Proposal No. 613-20
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal. The contract is effective 6/1/2020 through 5/31/2021, 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. 613-20 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.'
i Bna�d®
%National School
Endorsed by 'NSBA' Boards Association
April 29, 2020
Sent Via Email: government@lesl.com
Tiadra Carter
Leslie's Poolmart, Inc.
2005 E. Indian School Road
Phoenix,AZ 85016
Welcome to BuyBoard!
Re: Notice of Nation/Purchasing Cooperative Award
Proposal Name and Number: Swimming Pool Chemicals, Supplies and Equipment, Proposal No. 613-20
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal. As provided for in the Proposal and your National Purchasing
Cooperative Vendor Award Agreement, you are authorized to sell the goods and services awarded under the Proposal to
National Cooperative members in states other than Texas through the BuyBoard. The contract is effective 6/1/2020
through 5/31/2021, with two possible one-year renewals.
The National Cooperative membership list is available at our website www.buyboard.com/vendor. The list identifies the
current members that may purchase awarded goods and services under your National Cooperative BuyBoard contract.
You are advised that receipt of a purchase order directly from a National Cooperative member is not within
BuyBoard guidelines. Accepting purchase orders directly from Cooperative members may result in a violation of
applicable competitive procurement law and termination of this National Cooperative BuyBoard contract. Therefore, all
purchase orders from National Cooperative members must be processed through the BuyBoard. Please
forward by e-mail to info@buyboard.com any order received directly from a National Cooperative member. If you
inadvertently process a purchase order sent directly to you by a National Cooperative member, please fax the order to the
above number and note it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business
days prior to the start of your contract.
On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any
questions, please contact Cooperative Procurement Staff at 800-695-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
P.O.Box 400,Austin, Texas 78767-0400
800.695.2919•buyboard.com
PCooperative Purchasing
12007 Research Boulevard ,Austin,Texas 78759-2439 - PH:800-695-2919 ' FAX: 800-211-5454,buyboard.com
PROPOSER's AGREEMENT AND SIGNATURE
Proposal Name: Swimming Pool Chemicals, Proposal Due Date/Opening Date and Time:
Supplies and Equipment December 19, 2019 at 4:00 PM
Location of Proposal Opening:
Texas Association of School Boards, Inc.
BuyBoard Department
Proposal Number: 613-20 12007 Research Blvd.
Austin,TX 78759
Anticipated Cooperative Board Meeting Date:
Contract Time Period:June 1, 2020 through May April 2020
31, 2021 with two(2) possible one-year renewals.
Leslie's Poolmart, Inc. r4lg[�J, �
Name of Proposing Company Date
2005 E Indian School Road
Street Address Signa e of Authorized Company Official
Phoenix, AZ 85016 Steven Weddell
City,State,Zip Printed Name of Authorized Company Official
(602) 366-3848 Chief Financial Officer
Telephone Number of Authorized Company Official Position or Title of Authorized Company Official
(602) 366-3939 95-4620298
Fax Number of Authorized Company Official Federal ID Number
Page 9 of 64
Proposal Forms COMM/SVCS v.09.05.2019
DwCouperative huyIng
z200r Research Boulevard I Austin,7exas787s9-24]9 PH: 800-635-2919 rm< 800-211-5454
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 toProposers,General Terms and Conditions,attach ments/horms,item specifications,
and line items(co||entive|y"Requ1nements");
2. By your response ("Proposal) to this Proposal Invitation, you propose to supply the products or man/ices 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 tothe 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 ofo 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
nf your contract;
5. You have clearly identified on the included fnnn 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
hznn) 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 aoit deems appropriate tu verify such information; and
Q. 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 orbylaw.
Page zoofs1
Proposal Forms comwXmc ,uo.oszo/y
DwCouperative Purchasing
12007 Research Boulevard ~Austin,Texas 78759-2439 pH:800-695-2919 FAX: 800-2
VENDOR CONTACT INFORMATION
Name of Company: Leslie's P(JO|00arf, Inc,
Vendor Contact Name: Tiadra Carter
Vendor Contact E-mail Address: govern ment@lesi.com
Vo�n O���M�ing�d��hn Notice.. �O0� �� Indian School Road
Phoenix, AZ 85016
\N\N»�/ |��|'�� | OO
CompanyVVebod�� '' �O�" " - -"��
Orders:Purchase 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 mf purchase orders and provide the requested information:
Fx_1 l will use the internetto receive purchase orders ut the following address:
Purchase Order E-mail Address: govern ment@lesi.com
'�'2rY�B [��3rf��[ /��0�\ ���� ���/1�
Purch�aeOvderCon�ct� ' ' = Carter` Phone: \=°�/ �"=-""-`=
Alternate Purchase Order E-mail Address: tcarter@lesi.com
Alternate Purchase Order Contact: Phone:
[l 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 thatmyoompanysha|| remainresponeib|e
for the Contract and the performance of all Designated Dealers under and in accordance with the Contract,
: Cooperative members will send RFOybo you bye-mai|. Please provide e-mail addresses
for the receipt of RFQs:
RFQ E-mail Address: +@| |
�F'��F� ������� /�M�\ �q� �A&A
�D{b��± " =" Carter Phone: \°"�-/ °=°-°"�"
Alternate RF] E-mail Address:
Alternate 0F0Contact: Lne:
Page oms*
Proposal Forms COMM/SVc ".09u .m19
oa�d
Cooperative Purchasing
12007 Research Boulevard I 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 (1) of the following options for receipt of invoices and provide the requested
information:
50-1 Service fee invoices and related communications should be provided directly to my company at:
Invoice Mailing address: PO Box 501162 Department:
City: St Loius State: MD )Zip Code: 63150
Contact Name: Debbie Weaver Phone: (602) 366-3917
Invoice Fax. (602) 366-3963 Invoice E-mail Address: arcustomerservice@lesi.com
Alternative Invoice E-mail Address:
F1 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 billing agent to recelve and process service fee Invoices,In accordance with the
General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing In
that deslynation shalt relleve Vendor of Its responsIbIlIffes and obligations under the Contract Including,but
not limited to,payment of all service fees under any Contract awarded Vendor.
Page 12 of 64
Proposal Forms COMM/SVCS v.09.05.2019
PFCapperative FIMOrIff
1200 Research Boulevard Austin,Texas78759-2439 PU800-695-2919 800-2
FELONY CONVICTION DiscLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE
Subsection(a)of Section 44.034mf the Texas Education Code(Notification of Criminal HUstmrkmfcontractor)
states: "A person or business entity that enters into a contract with a schoo district must give advance notice to the district
if the person oran owner or operator has been convicted ofafelony. The notice must include a general description ofthe
conduct resulting in the conviction ofafe|ony."
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 nuUoo 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 cf the contract."
following:Please check(V)one of the
My company isa publicly-held corporation. (Advance notice requirement does not apply m publicly-held corporp on.)
RE my company is not owned or operated by anyone who has been convicted of a felony.
L] My company is owned/operated by the following individual(s)who has/have been convicted of felony:
Name of Fe|on(y):
Details nfCunviction(s):
By signature below, I certify that the above information is true, complete and accurate and that am authorized by my
company to make this certification.
Leslie's PQO|marf, Inc.
Company Name
a Steven Weddell
Authorized Company Official Printed Name
Neither my company nor an owner or principal ofmy company has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs under Executive Order 1254A "Debarment and Suspension,"am described in
the Federal Register and Rules and Regulations. Neither my company nor an owner nr principal ofmy company iscurrently
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 ho 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 nn the government-wide exclusions in SAM, or is debarred, suspended, ur 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.
| es|'B/s POCJ|O0arf, |ylc~
Company Name
Steven Weddell
Signafure of Authorized Company Official Printed Name
Page ome*
Proposal Forms comm/Sms".oy.os.aozy
DwCapperaffilre hgq,,rY
12007Research Boulevard I Austin,Texaa78759-2439 pHO00-05-2919 FAX: 800-3
RESIDENT/NONRESIDENT CERTIFICATION
ChaptsZ252, 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 ofbusiness in Texas. A
"nonres|dent"proposer iaa person who is not a Texas resident. Please indicate the status cf your company asa"reoident"
proposer ora"nonres|dent"proposer under these definitions.
Please check W)one of the following:
��
�� I certify that my company isaResident Proposer.
Al� I certify that my company iya 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 ufbusiness is located):
Leslie's Poo|00arf, Inc. 2005 Indian School Road
Company Name Address
Phoenix AZ 85016
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?
Fl Yes �� No
B. What iathe prescribed amount orpercentage? 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 M one of the following:
�� Yes [l No
By signature below, l certify that the information in Sections 1 (ResidentlNonresident {enifkatio?) and 2 (Vendor
Employment LenhMcatinn) above is true, complete and accurate and that l am authorized by my company to make this
certification.
Leslie's PC3C3|ma«f, |Oc.
Company Name
���� Weddell
||
~^^�V6�� ""����..
5|gna&Ureo|Authorized Company Official Printed Name
paoc 1*nre*
Proposal Forms comm/SVo v.09.05.2019
DwCooperatim hagray
12007 Research Boulevard Austin,Texas 78759-2439 PU800-695-29
No ISRAEL Boycon 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 nrservices 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
ountnact.,(To/.Gm/r 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 taNng 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. Tsx.GovT CODE§8O8.0O1(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
bymy company 10 make this certification.
Leslie's ' ~~~~~. ~ ~~.~ ~' Inc.
Company Name
Steven Weddell
SignaVireof Authorized Company Official Printed Name
ALdite. If Vendor does not wisly to make thIs certlflcablon,return the blank form In lieu of a complete/
mert1ficatlon.
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 m foreign terrorist
organization-spedficaUKanyoumpanyidentiMedona |iatpraparedandmaintainedbytheTexaoCompinz||erunderlexas
Government Code §§806.051, 807.051, or 2252,15I (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 pnohibiUon.)
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.
Leslie's U�����U����� Inc.-__''_ _ ' __'' - -~_' .' .. .~'
Company Name
zf �� Weddell
Steven x w n�������u n
Signaturaof Authorized Company Official Printed Name
Page 15mo4
Proposal Forms COmM/SVCSwm.05.m1y
PCooperative Purchasing
12007 Research Boulevard a Austin,Texas 78759-2439 , PH: 800-695-2919 * FAX: 800-211-5454'buvboard.com
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or"MWBE"and all referred to in this form as a"HUB' is encouraged to indicate its HUB certification status when
responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that properly
indicate and document their HUB certification on this form.
Please check(31)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:
Fxj 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,
Leslie's Poolmart, Inc.
Company Name
Steven Weddell
Printed Naine
am
SignatuI14'of Authorized Company Official
Page 16 of 64
Proposal Forms COMM/SVCS v.09,05.2019
DwCooperative hEry"ay
12007 Research Boulevard I Austin,Texas 78759-2439 PH: B00-695-2919
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 BuyBoand Procurement and Construction Related Goods and Services Advisory for Texas Members
("Adviaory'),Texas law prohibits the procurement mf architecture srengineering services through epurchasing
cooperative.This BuyBoardcontract does not include such services.Architecture wr engineering services must
be procured by a Cooperative member separately,in accordance with the Professional Services Procurement
Act(Chapter 2254mf the Texas Government Code)and other applicable law and local policy.
The Advisory, available at , 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,engineeringurindependenttestingservioea. 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 0o make this affirmation. If Proposer sells construction-related goods orservices
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.
Leslie's ' ~~~.~ ~ ~~~~ ~, Inc.
Company Name
zf-�f lia Steven Weddell
5|gn@turecf Authorized Company Offida| Printed Name
Date
Page z7mro*
Proposal Forms cnmm/svc vueo5.201*
40
ffoard
PpCooperative Purchasing
12007 Research Boulevard
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
infonna�onregarding the deviaUonson this form oranaUaohmentto this form. TheConpenative~will consider any deviations
in its contract award decision,and reserves the right to accept or reject proposal based upon any submitted deviation.
In the absence of any deviation identified and described in accordance with the above your company must fuUycomply vvith
theGenera|TennaandCondiUnna,Prnpooa|SpedMcationsanda||nther�quinamen\s`^son�abedwith this PmposalIn�ta1inn
if awarded a contract under this Proposal Invitation. A deviation will not be mf�di-^ unless accepted by the Cooperative.
The Cooperative m� in its sole discretion, seek clarification from and/nrcomm �cobewith Proposer(s) �ganding any
ouUm1i�ddeWahon, cnnsi�entwith general procurementprinciplesof fair -'^ y
to accept orn� �� apnopoya| baaeduponanyyubmiUedon ven ion. The Cooperative nnq(=n1.MC the right
Please checLf3n one of the following: been accepted by BuyBoard.
Connie W Burkett, as
"Ye7s, Dewiabons BuyBoard Contract Administrator |
U§,t andfu|| | i ' .K- � '
e ��
~. PLEASE P&O_VIDE -OWING INF :
1. Shipping Via: RECommon Carrier XOompany Truck X Prepaid and Add to Invoice El Other:
Shipping method will be determined
2. Payment Terms: F0 Net 3Odays 01961n10/Net30dayo [lOther:
3. Number of Days for Delivery:_!_7_0AROf6r chemicals. Equipment will vary due to manufacturer lead times, 1-30 ARO
4. Vendor Reference/Quote Number: N/A
5' State your return policy: Please see attached policy.
8. Are electronic payments acceptable? ��Yey El No
7.Are credit card payments acceptable?EDYes F] No
Leslie's PQo|ma'f, |nc_
ACoany Name
�1.1 IQ Steven Weddell
Signa,-re uthoriz d Company Official Printed Name
Page mofw
DwCooperative budrig
1200 Research Boulevard I Austin,Texas/8759-2439 m800-O95-2919
`
If you have more than one seller that will service ocontract awarded under this Proposal Invitation,
please list each location/authorized seller below. If additional sheets are required, please duplicate this form asnecessary.
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.
Leslie's PoC}|0Uarf, |nc'
Company Name
*See attached |^s*
Address
0y State Zip
Phone Number Fax Number
T'����� Carter
. | =B.^er
Contact Person
Company Name
Address
city State Zip
Phone Number Fax Number .
Contact Person
Page zom6+
Proposal Forms coMm/S/CSv.00us.zo1y
Cooperative Purchasing
12007Feoearch Boulevard ^Austin,Texas7O759a439 9H 800-695-2919 FAX:800-211-5154
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 DealersD 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[bn1radL 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 8uy8oand
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 e 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,
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
Page zomn*
Proposal Forms comw/SVCa^o9us.mzo
PCooperative Purchasing
12007 Research Boulevard ,Austin,Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454' buyboard.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. Ifyou 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 pro vide 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 ofyour 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 1, 1 will service Texas
Vooperative members
statewide.
I will not service Texas
Cooperative members
statewide. I will only
service members in the
regions checked bellowcst-11-V t,&QL-
Region Headouarters co,— 4%� k�
I Edinburg
2 Corpus Christi
3 Victoria
W4 Houston
0 5 Beaumont
0 6 Huntsville
0 7 Kilgore
❑ 8 Mount Pleasant
V 14Wichita Falls
0 Richardson
W �YII Fort Worth
12 Waco
V13 Austin
0 14 Abilene
❑ 15 San Angelo
❑ 16 Amarillo
Leslie's Poolmart, Inc. 0 17 Lubbock
0 8 Midland
C Name 4.1119 El Paso
20 San Antonio
Signs re of Aufhorized Company Official
Steven Weddell ❑ I will not service members of
Printed Name the Texas Cooperative.
Page 21 of 64
Proposal Forms Comm/Svcs v.o9.o5.2o19
DCooperative Purchasing
12007 Research Boulevard 'Austin,Texas 78759-2439 , PH:800-695-2919 1 FAX: 800-211-5454' buvboard.com
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:
See below —
I Q C— SCO Q kl-h aC_ e-
U
-Ty
Notwithstanding the above, and except with regard to the City of Tucson,solely, standard terms of delivery are as follows:
Customers receive free delivery and/or freight on any in-stock products where the order size is over One Hundred Dollars
($100)on products that are stocked by Contractor,excluding salt, sand,diatomaceous earth and/or special order or
hazardous material items in which Contractor may charge a shipping fee for such items, if able to ship due to regulatory
limitations. Liquid chlorine and liquid add are available via local pick-up only at Contractor retail locations,or via local
delivery only if within twenty-five(25)miles of a Contractor commercial service center. Contractor cannot fulfill any orders
for products that it does not stock or cannot reasonably ship/deliver to requested destination points. Mail Orders cannot
ship liquid chlorine and liquid acid due to hazardous materials regulations. Special order items are subject to reasonable
delivery fees charged and such fees will be passed on to customers. All orders placed for delivery less than$100 will be
accessed a shipping fee. Additionally,Contractor shall make every reasonable effort to meet the reasonable delivery date
specified by customers. Customers may cancel any Order or any part of an Order for its own convenience by notifying
Supplier at least seventy-two(72)hours prior to delivery of the Order,excluding special order items.
Page 22 of 64
Proposal Forms comm/svcs v.o9.o5.2o19
DuCooperative figging
12007 Research Boulevard ^Austin,Texas 78759-2439 PM800-695-2919 wm800-211-5154
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. (Wote/lf you plan hv
service Texas[o4oe:ati ve members,be sure that you complete the Texas Regional Service Designation/orm.)
ff you serve g07erent states for mYffemantproducts 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 certifying thatyou 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 specIfted products and services shall be grounds for either rejection of your proposal or, IF
awarded,termination of your Contract.
Please check(I/
.)all that apply:
[1 I will service all states in the United States.
no IwiU not service all states in the d States. I will service only the states checked be W
Alaska nN Nebraska
Arizona Nevada
Arkansas New Hampshire
Ca||[onn|a (Public Contract Code 2U118&2U652) \-A New Jersey
nN Colorado FNI New Mexico
Connecticut New York
Delaware North Carolina
nN District ufColumbia North Dakota
Florida Ohio
Georgia Oklahoma
Hawaii ns Oregon
Idaho
DUmds 1,WRhode Island
Indiana VA South Carolina
A-1 Iowa nN South Dakota
Kansas vWTennessee
Kentucky Texas
Louisiana 01 Utah
Maine Vermont
Maryland Virginia
Massachusetts ^ Washington
Michigan West Virginia
Minnesota Fill Wisconsin
Mississippi XVVyuming
k~* Missouri
�� Montana
Page asors*
Proposal Forms cuMM/SVCsv.0m.oszo1y
'
PFCooperative h'
1200 Research Boulevard
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 nfacontract
awarded under this proposal.
AeS|'e»SPoo|0Narf Inc
Company Name
Steven Weddell
Sqignae of Authorized Company Official Printed Name
If this State Service Designation form applies ko only one or some of the products and services proposed byVendor, "
list the products and services to which this form applies here:
See Below in regards to products. � �
Standard terms of delivery are as follows:Customers receive free delivery and/or freight on any in-stock products where the order
size Is over One Hundred Dollars($100)on products that are stocked by Contractor,excluding salt,sand,diatomaceous earth and/
or special order or hazardous material items in which Contractor may charge a shipping fee for such items,if able to ship due to
regulatory limitations. Liquid chlorine and liquid acid are available via local pick-up only at Contractor retail locations,or via local
delivery only if within twenty-five(25)miles of a Contractor commercial service center. Contractor cannot fulfill any orders for
products that it does not stock or cannot reasonably ship/deliver to requested destination points. Mail Orders cannot ship liquid
chlorine and liquid acid due to hazardous materials regulations. Special order items are subject to reasonable delivery fees charged
and such fees will be passed oniocustomers. All orders placed for delivery less than$1OO will be accessed a shipping fee. `
Additionally,Contractor shall make every reasonable effort to meet the reasonable delivery date specified by customers. Customers
may cancel any Order or any part of an Order for its own convenience by notifying Supplier at least seventy-two(72)hours prior to �
delivery o[the Order,excluding special order items. �
�
�
�
|
!
�
Page 24 ofa4
Proposal Forms commxamsvuoos.2om
PFCapperative haging
12007Reseam Boulevard~Austin,Texas 78759-2439 pH800-695-2919
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 tmKn this Agreement as"Vendor")agrees as follows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative') awards Vendor a
contract under this Proposal Invitation ("Underlying Award), the National Purchasing Cooperative ("National Cooperative")
may- but is not required to -"piggy-back"on or re-award all or a portion of that Underlying Award ("Piggy-Back Award).
By signing this National Cooperative Vendor Award Agreement ("Agreement'�, Vendor accepts and agrees to be bound by
any such Piggy-Back Award aa 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 BuyBoandAdministrator. 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
Buy8oand Administrator 1nwriting.
l Vendor agrees that itshall 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
uf this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved
|n writing by the BuyBoordAdministrator,
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 tu verify the accuracy of service fees,
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference bothe
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 hothis
Agreement, and that nothing in this Agreement has application to other third parties, including the Texas ConpenaUve. In
the event nfconflict 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.
Page z5ms* Proposal Forms cnmM/amsxouos.zo1y
Ducapperative PU hgFing
12007Reseao Boulevard ^Austin,Texas 78759-2439 pH 800-695-2919 mx80O-2
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 Piggy'8ackAv*ard 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 8uyBoan]Administrator nodfiesVendnrinvvhtingofauohPiggy'8ackAwandaspmvidedforhenain.
WHEREFORE, by signing below Vendor agrees Ao the foregoing and warrants that it has the authority toenter into this
Agreement.
Leslie's PQo|m@rf, Inc, 613_28
Name of Ven or Proposal Invitation Num-ber
�nw Steven Weddell
Authorize�Company Official Printed Name of Authorized Company Official
Date
Proposal Forms cmw��c mm���
�����
DuCapperative Pu hasing
1200 Research Boulevard
FEDERAL AND STATE/PURCHASING COOPERATIVE BITERIENCE
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 bn serve Cooperative members. Please respond tn the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market
price during the previous 12-month period or the last fiscal year: (The period of the 12 month
period is . In the event that a dollar value is not an appropriate measure of the sales, provide
and describe your own measure cf the sales of the ibzm(s).
l 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,ayan awarded vendor. Rows should bo added to accommodate as many purchasing cooperatives
as required,
CURRENT FORMER VENDOR(Y/N)?— AWARDED
PURCHASING VENDOR? IF YES, LIST YEARS COMMODITY
GROUP (Y/N) AS VENDOR CATEGORY(IES)
1. Federal General Services Administration No No
2.T-PASS(State of Texas) No No
3. OMNIA Partners Yes No Swimming Pool Supplies
5. E&I Cooperative No No
6. Houston-Galveston Area Council
7. Choice Partners No No
8. The Interlocal Purchasing System
9. Other (TIPS) No No
[� 0@Y COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS~
CURRENT BUYBOARD VENDORS
If you are a current 8uy8oand vendor in the same contract category ao 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(9o): 10-80% Proposed Discount(0/6): 10-80%
Discount h b ihn
I�[������ varies
Page z,o(o* Proposal Forms conm/SmCSvuous.uo1u
DwCouperative kusing
z2007 Research Boulevard ~Austin,Texas787s9-2459 PH: 800-695-2919 FAX: 800-211-5454
By signature below,Icertify that the above btrue,complete and accurate and that Iam authorized bymy company iomake
this certification.
Leslie's P(j[>l0Oarf Inc.
Company Name
Steven Weddell
Signaore of Authorized Company Official Printed Name
Proposal Forms mMM/SVCsx�05.2019
Page 28 of 64
DwCapperative 499ing
12007 Research Boulevard ~Austi Texas 78759-2439 PH:800-695-2919 FAX: 800-2
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 ifnecessary.
Quantity/
Entity Name Contact Phone# Email Address Discount Volume
1.Po|mBeooh [|ounty, K4arioRigabv' (581)903-6741. K4rignby@pbogov.org. vaheo, F/198pend $23,047.7S
I City of Phoenix, Terry Carleton, (8O2)4QS-3780'TenY.Cmdehon@phoenix.gov,varies, FYI&Spend$15U.738.62
3.City of Houston, Wash Sellers, (832)385-7211, VVash.SeUem@houutontx.gov, varies, FYI 8 Spend $83.QS3.3O
4.City ofAustin, yNarkK4ouDuugo| (512)874-9335 markmoodougm|@auoUntemeogov,varies, FYI S Spend $143G447
S.CityofGunriao. Ho||yRaphee|oon^ (954)572-2274, HRophna|aon@ounrieeO.gov.vohea' FY1UBpend$17.12817
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�� N{0Fl D YES, please explain:
Bid prices
tend to b f'f've due to the f f the
BU BC) md customers tend tget better
than fhentities
non-
listed items.
8ysignature below, I certify that the above is hue and correct and that am authorized by my company to make this
certification,
Les|' ' P |
fqaq, Inc.
1T,Vfl111
Signat re of Authorized Company Official
Steven Weddell
Printed Name
������m�x���
m��m�
DCooperative 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 how you will continue to support the BuyBoard for the duration of the contract period)
Attach additional pages if necessary.
Please see attached document.
Leslie's Poolmart, Inc.
Company am
W
Signature of Authorized Company official
Steven Weddell
Printed Name
Page 30 of 64 Proposal Forms COMM/SVCS v.09.05.2019
0 r SWIMMING POOL SUPPLIES
�LESLIES®
Marketing Strategy
Market Presence
Leslie's has 950 retail and commercial centers throughout the nation. We have
experienced outside sales associates in every major market. Our 180,000 square foot
Dallas distribution center is more than capable of supplying all cooperative members in
an efficient and timely manner.
Inform
Leslie's will contact each cooperative member with a letter outlining our company,
products & services offered and our contract with BuyBoard. We will have each regional
sales associate reach out via telephone to introduce ourselves and establish a contact
for cooperative members. Conduct site visits to personally introduce ourselves and offer
any onsite expertise and support.
Support
Leslie's will continue contact via phone and make site visits on a monthly basis. We will
also send advertising mailers 6 times minimum a year.
Our market presence, distribution, sales team, expertise and support make Leslie's your
best option to service cooperative members.
Tiadra Carter
National Government Account Executive
LESLIE'S POOLMART,INC.•2005 INDIAN SCHOOL ROAD•PHOENIX,AZ 85016
602.366.3848•FAX 602.366.3939•GOVERNMENT(a,LESL.COM•WWW.LESLIESPOOL.COM
DuCooperative haging
12007 Research Boulevard
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 forma documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
�. I certify that none of the information included with this Proposal is considered confidential or proprietary.
ED/YESS,I certify that this Proposal contains information considered confidential or proprietary and all such information is
Please check N)one of the following:
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
inh)nnebnn when required by law, even if such information has been identified herein as information the vendor considers
confidential orproprietary.
Confidential/ Proprietary Information:
(Attach addIdonal sheets if needed)
��m�mc���cmm.ms��
��xzofa+ ` —
DwCooperative ftusfrig
12007 Research Boulevard Austin,Texas787S9-Z439 PM 800-695-219 800-2
B.Copyright Information
Does your Proposal (including forms documentation, or other materials submitted with the Pmpooa|) contain copyright
information?
Please check(-V)one of the following:
ME 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 Propml 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 pubUcnUy release, including posting on the public
Buy8oand webyite, a copy of the proposal tabulation for the [bnbaot including Vendor name; proposed catu|og/phceUst
name(s); proposed percentogediaount(s), hourly labor nate(s),ur other specified pricing; and Vendor award or non-award
information.
By signature below,Icertify that the information in this form ia true,complete,and accurate and that Iam authorized bymy
company to make this certification and all consents and agreements contained herein.
Leslie's Poc]|OOE2rf, Inc.
CmRfl
Steven Weddell
Printed No '
Date
Proposal Forms mmmama`wo.os.m1q
Page x2me+
PFCooperative b -ing
12007mesearch Boulevard ~AuaUo Texas78759-2439 PM 800-695-2919 1 FAX 800-211
VENDOR BUSINEss NAME
By submitting a Proposal, Proposer 1aseeking hu enter into a legal contract with the Cooperative. Aa such,a Proposer must
bean individual or legal business entity capable of entering into binding contract. Proposers, Must completely and
accurately provide the information requested below or your Proposal may be deemed non-responsive,
Name of Proposing C Les|ie'SFzUV|0ad Inc.
alsttheLegid name of the company seelang to con — Me CooperatIve Do NOT 11st an assumed name,dba,aka,etc.here, Such infolmation may
beprowdedbelow. Ifyou are submIffing ajointproposal with another ent1ty to proZ-e—the same proposedgooals orservices,each submitting entityshould
complete a separate vendor informatlon forv, Separately operating legal basIness enfifles, even If affl1lated entitles, which propose to prowde goods or
services separately mustsubmit their own Proposals)
Please check M one of the following:
Type of Business:
Individual/Sole Proprietor
Corporation x
Limited Liability Company
Partnership
Other If other, identify
State of Incorporation (if applicable): Delaware
Federal Employer Identification Number: 95-4620298
(Vendor must Include a Completed �-27ormWiffi their—proposal)
List the Vendor,iF awarded,wishes hmbe identified nn the BuyBoand: (wote: /ruVnerentmav the xane
62177paryllsted above,only valid�x�names Nu^a�eo0urme/�v^s*gcamuv�'nsyheuo�'and vovyo/�x�/usnnn�Name
applicable,must be attached.)
- -'--'~
DBA Leslie's Swimming Pool S |i
���m�s�M��cxo��.��
m����
Formw_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 10,Go to wwwJrs.gov/FPrrnW9 for instructions and the latest information,
I Name(as shown on your income tax return).Name is required on thisline;do not leave this line blank.
Leslie's Poolmart,Inc.
2 Business name/disregarded entity name,if different from above
Leslie's Swimming Pool Supplies
a) 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to
0) following seven boxes.
certain entitles,not individuals;see
El Individuaysoie proprietor or R1 C Corporation EI S Corporation El Partnership M Trust/estate instructions on page 3):
single-member LLC
Exempt Payee Code Cif any)
F1 Limited liability company.Enter the tax classification(C=C corporation,S--S corporation,P=Padnership)0-
0 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
C U) LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC Is
T.9 another LLC that is not disregarded from the owner for VS.federal tax purposes.Otherwise,a single-member LLC that
9L 0 code(if any)
fi is disregarded from the owner should check the appropriate box for the tax classification of its owner,
11 El Other(see instructions)I-
0i -
a 91. (APP es W accounts maintained outside the U.S)
5 Address(number,street,and apt.or suite no)See instructions, Requester's name and address�(optional)
PO BOX 501162
6 City,state,and ZIP code
St.Louis,MO 63150-1162
1 List account number(s)here(Optional)
&� Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to a :)Id Social security number
backup withholding.For individuals,this is generally your social security number(SSN).However,for a
resident alien,sole proprietor,or disregarded entity,see the instructions for Part 1,later.For othe;
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a _M TIN,later,
Or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name andEmployer identification number
Number To Give the Requester for guidelines on whose number to enter.
I Certification
'Under Penalties Of perjury,I certify that:
1,The number shown on this form is My correct taxpayer identification number(or I am waiting for a number to be issued to me);and
2.1 am not subject to backup withholding because;(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result Of a failure to report all interest or dividends,or(c)the IRS has notified Me that I am
no longer subject to backup withholding;and
3.1 am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(if any)Indicating that I am exempt from FATCA reporting is correct.
Certification Instructions,You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all Interest and dividends on your tax return,For real estate transactions,item 2 does not apply.For mortgage interest paid,
acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments
other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part 11,later.
Sign Signature of
Here U.S.Person 0- 0,J Date Ill.
..........
General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual
Section references are to the Internal Revenue Code unless otherwise funds)
noted. -Form 1099-MISC(various types of income,prizes,awards,or gross
proceeds)
Future developments.For the latest information about developments related to Form W-9 and its instructions,such as legislation enacted Form 1099-8(stock or mutual fund sales and certain other
after they were published,go to wwwJrs,gov/F6rmW9. transactions by brokers)
*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-0 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
taxpayer identification number(ATIN),or employer identification number -Form 1099-A(acquisition or abandonment of secured property)
(EIN),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)
PFCooperative hasififf
12007 Research Boulevard
EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperative member seeks to procure goody and services using funds under federal grant orcontract, 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 CFR2OU (sometimes referred to as the"Uniform Guidance" or new"EDGARl. All Vendors submitting
proposals must complete this EDGAROarhficaUon Form regarding Vendor's willingness and ability to comply with certain
requirements which maybe 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
8uyBuand contract's general terms and conditions, to address the member's specific contractual needs, including contract
requirements for a procurement using federal grants urcontracts,
For each of the Items below, Vendor should oertIfy Vendor's agreement and abIlity to comply, where
applIcable,by having Vendors authormed representative complete and InItIal the apollcable boxes and s1gn
the acknowledgment a, the end m, un*form. I/you fall^w complete any Item^oozu/form, the Cmmywaraome
will consider and may Ast the Vendorls response on the BuyBoard as "NO,,the Vendor Is unable or unwIllIng
to comply. A"NO"response to any of the items may,if applicable, impact the ability of a Cooperative member to purchase
from the Vendor using federal fu
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 (Cound|s) ns authorized by41USC1gO8, must
address administrative,contractual, or legal remedies in instances where contractors violate or breach contract terms, and
provide for such sanctions and penalties asappropriate.
Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination cfContract. Any Contract award will be subject ho such BuyBoand 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 tenninate or cancel anypurchasemrder under this Contract at anytime, with or without cause,
by providIng seven(7)business days advance written notice to the Vendor. ff 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 inaccordance with Nenobr��return policy. If the
Cooperative member has/ald Vendor for goods or services not yet provided as of the date of termination,. Vendor shall
Immediately refund suchpaynen¢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 cowM/SVcv.oy.os.zo1y
Paue34 of 64
No
PFCapperative Purchasing
12oO7 Research Boulevard
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 Part6O'1.3 shall be deemed to include the equal opportunity clause
provided under 41 CFR 6O'1.4(b),in accordance with Executive Order 11246,"Equal Emp|uymenLOpportunity"(3OFR12319`12g3Gi 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375,"Amend|ng Executive Order 11246Relating to Equal Employment Opportunity,"and implementing regulations at 41 CFR Part 60' "Office of Federal Contrac
tCompliance Programs, Equal Employment Opportunity, Department ofLabor."
The equal opportunity clause provided under 41 CFR 6O'1.4(b)is hereby incorporated bynaference Vendor agrees that such
provision applies Uo any[bopenaUvemember pu�haseoronntmct that moet the definibonnf"federally assisted construction
contract"in 41 CFR Pert60-1.3 and Vendor agrees that/tshall 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$2,0O0,Vendor shall comply with the Davis-Bacon Act(4OUSC3141-3144,and 3146-3148)
as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable ho Contracts
Covering Federally Financed and Assisted Construction'). In accordance with the statute,Vendor is required to pay wages
to|abonarsnndmaohanicsataetenot|emnbhanthepnevaiUngwageospecMedinawage ' �`--~''''~inahemade by the Secretary
of Labor. In addition, Vendor shall pay wages not less than once aweek.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.clo Vendor agrees that,
for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon VendorVendor'saczeptanoanfthewagedmb*nninaUon.
Vendor further agrees that it shall also comply with the Copeland "Anti-Kickback"Act (4UUSC3145) as supplemented by
Department regulations(ZACFR Ra�3,"Conbadooand 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 subreciplent must
be prohibited from inducing, by any means, any person employed in the construction, completion, ur repair o[public work,
to give up any part ofthe 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 subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance or experimental, developmental, or research work under that"funding
agreement,"the recipient or subrecipient must comply with the requirements of 37 CFR Part 401,"Rights to Inventions Made
by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,"
and any implementing regulations issued by the awarding agency,
Vendor agrees ho comply with the above requirements when mpp|i�ab|e.
'
rm��/mmm�Mw�c xup���
p��asorm« — � �
PFCOoperative Purchasing
12007 Research Boulevard ^Austin,Texas78759-2439 PH800-695-Z
7~ Clean Air Act and Federal Water Pollution Control Act:
Clean Air Act(42USC74O1-7671q.)and the Federal Water Pollution Control Act(33USC1251'1387),ms 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,nr regulations issued pursuant to the Clean Air Act(42USC74O1'7671q) and
the Federal Water Pollution Control Act, as amended (33 US[ 1251-1387). Violations must be reported to the `era|
awarding agency and the Regional Office of the Environmental Protection Agency(EPA).
When required, Vendor agrees io comply with all applicable standards, nndus, or regulations issued pursuant tothe 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 isnotcunenUyUstedonthegmvernment+xdeexo|u5io sinSAM, ianoLdebmrn—�d�^ suspended,
'ornLhenwiue excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive On~e12544. 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 nn the government-wide exclusions in SAM, or is debarred,or otherwise excluded by agencies or declared ineligible under statutory nr �gu| toryauthontyothmrthanExecubveOnder12549.
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
Page 36 of 64 Proposal Forms COMM/SVCyV.0e05.m19
DwCooperative Purchasing
12007 Research Boulevard ~Austin,Texas 78759-2439 PH:800-695-2919 FAX: 800-211-545+
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
econdkeepingand record retention requirements.
Initial
Eli Y,
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 Ye
11. Profit as a Separate Element of Price Yes=
12. General Compliance and Cooperation with Cooperative Members
Yes
8y signature below,Icertify that the information in this form io true,complete,and accurate and that Iam authorized bymy
company to make this certification and all consents and agreements contained herein.
Leslie's Poo|[0arf, |nc,
C7�NVW
SignaTure of Authorized Company Official
Steven Weddell
Printed Name
pmw�a/mnnvcomme�o xoensm10
n,yra7mr6*
DuCapperative Purchasing
12007 Research Boulevard I Au
PROPOSAL INVITATION QUESTIONNAIRE
The Cooperative will use your responses hu the questions below in evaluating your Proposal and technical and financial
msourceo1oprovdethegnodsendperfonnthesonioea("VVork�undertheBuy8oandcontrac1oonbamp|atedbyLh|sPmpusa|
Invitation ("ContractD. Proposers must fully answer each question, numbering your responses to correspond to the
questions/numbers below. Proposers must complete below or attach your responses ho 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 PmmpmmsM or the Proposal will not be
considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in acquisition
by another entity.
��
�� years
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this
Contract. State the number and summarize the experience of company personnel who may be utilized for the Work,
including those who will be available to Cooperative members for assistance with project development,technical issues,
and product selection for Work associated with this Contract.
We have over 2M[l locations
'n the State of Texas fo support this contract.
We haVe11 Commercial Account Executives throughout the state hmprovide
assistance to Co-op members. We have a Government AccountExecUf'Ve
located af our Corporate Office that is also available to Co-op members.
3. DescrbePnoposer's financial capability to perform the Contract. State nr describe the finn's financial strength and rating,
bonding capacity, and insurance coverage limits. State whether the firm, orany of the Onn's past or present owners,
principal shareholders or stockholders,or officers, have been a debtor party to a bankruptcy, receivership,orinsolvency
proceeding in the last 7 years,and identify any such debtor party by name and relationship to or position with your firm.
We have DO DOnCe[OS @[OUOd our ability ƒO SUCCeSsfx||V Derf»[O0 the VV0[k OOO18DUpl@feM
under this contract. References have been D[OV'ded- We are able to p[UV'He 'DsU[@DOe
in conformance to state |aws,
Proposal Forms oowwXaVCevu*.ns.m1y
Page»oo[a4
DwCauperative ry F1 Fing
12007 Research Boulevard
4. Does your company have any outstanding financial judgments and/or isit currently in default onany loan mfinancing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
None
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. Usta||Utigationorother|aga|pn)o*edingx(indud1ngarbiLrationpn»ceedings),ifanKinthe|ast1Oyeansbnoughtaga|nst
your firm, or any of the hnn'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.
Leslie's PCJO|marf, |Oc'
Company Name
SignWureor Authorized Company Official
Proposal Forms coww/SVCS^oy.oszozp
Page sovf*+
0
PCooperative Purchasing
12007 Research Boulevard I Austin,Texas 78759-2439 - PH:800-695-2919 ' FAX:800-211-5454' buyboard.corn
REQUIRED FORMS CHECKLIST
(Please check(-,/)the following)
0 Completed: Proposer's Agreement and Signature
Ex-1 Completed: Vendor Contact Information
Fx-1 Completed: Felony Conviction Disclosure and Debarment Certification
nx Completed: Resident/Nonresident Certification
M Completed: No Israel Boycott Certification
El Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Fx-1 Completed: Historically Underutilized Business(HUB)Certification)
El Completed: construction Related Goods and Services Affirmation
Rx Completed: Deviation/Compliance
El completed: Location/Authorized Seller Listings
M Completed: Manufacturer Dealer Designation
nx Completed: Texas Regional Service Designation
El Completed: State Service Designation
El Completed: National Purchasing Cooperative Vendor Award Agreement
� Completed: Federal and State/Purchasing Cooperative Experience
M Completed: Governmental References
El Completed: Marketing Strategy
El Completed: Confidential/Proprietary Information
rx] Completed: Vendor Business Name with IRS Form W-9
Fx-1 Completed: EDGAR Vendor Certification
El Completed: Proposal Invitation Questionnaire
rx-1 Completed: Required Forms Checklist
El Completed: Proposal Specification Form with Catalogs/Pricelists
Proposal Forms COMM/SVCS v,09.05.2019
Page 40 of 64
APSh' POOL SUPPLITS
IWAIES'LIE SERME &UPMR.
Commercial Division
Arlington CSC Anna SE Austin IH-35
2416 E Randol Mill Road 2530 W White Street 9600 S IH 35 Frontage Road
Arlington,TX 76011 Anna,TX 75409 Austin,TX 78748
817.652.7406 214.831.9004 512.233.6800
Austin CSC Arlington Steiner Ranch
10405 Metric Blvd 1104 N Fielder Road 5145 N FM 620
Austin, TX 78758 Arlington,TX 76012 Austin,TX 78732
512.832.0091 817.265.4291 512.266.9367
Garland CSC Lake Arlington Bastrop
3630 W Miller Road 4201 W Green Oaks Blvd 107 Childers Drive
Garland,TX 75041 Arlington,TX 76016 Bastrop,TX 78602
214.553.0384 817.478.6881 512.321.3927
Houston CSC South Arlington Baytown
3780 Westchase Drive 4644 S Cooper Street 4525 Garth Road
Houston,TX 77042 Arlington,TX 76017 Baytown,TX 77521
832.251.8503 817.784.8552 281.428.5887
Houston CSC Crossroads Beaumont
18209 Chisholm Trail 11750 US Highway 380 3939 Dowlen Road
Houston, TX 77060 Aubrey,TX 76227 Beaumont,TX 77706
281.821.9501 940.365.5712 409.347.1819
San Antonio CSC Austin N Beaumont
2418 Austin Hwy 6326 Burnet Road 5896 Eastex Freeway
San Antonio,TX 78218 Austin,TX 78757 Beaumont,TX 77708
210.651.1500 512.451.0482 409.892.1600
Abilene Austin Oakhill Bee Cave #2
4617 S 14th Street 6330 W Highway 290 12400 W Highway 71
Abilene,TX 79605 Austin,TX 78735 Bee Cave,TX 78738
325.691.1459 512.892.4947 512.402.1911
Allen N Austin North Boerne
906 W McDermott Drive 13450 Research Blvd 215 Bandera Road
Allen, TX 75013 Austin,TX 78750 Boerne,TX 78006
972.747.8328 512.257.2125 830.249.1862
Alvin N Central Austin Brownsville
161 N Bypass 35 10710 Research Blvd 2451 Pablo Kisel Blvd
Alvin, TX 77511 Austin,TX 78759 Brownsville,TX 78526
281.756.0092 512.346.1552 956.546.8470
Amarillo North Austin Burleson
3300 S Coulter St 13201 Ranch Road 620 N 811 NE Alsbury Blvd
Amarillo, TX 79106 Austin, TX 78717 Burleson,TX 76028
806.352.7900 512.219.5185 817.447.7558
ldddhh
Z'O,FSL1ES .P.O.OWLCI f ,P'fG11V �
Commercial Division
Carrollton Crosby Desoto
2626 N Josey Lane 14045 FM 2100 Road 901 N Palk Street
Carrollton,TX 75007 Crosby,TX 77532 Desoto,TX 75115
972.466.0897 281.328.1079 972.228.1706
Cedar Park Cypress Dripping Springs
401 W Whitestone Blvd 26084 Highway 290 100 Commons Road
Cedar Park,TX 78613 Cypress,TX 77429 Dripping Springs,TX 78620
512.996.8662 281.758.0772 512.858.0210
Cleburne Cypress#2 Duncanville
1301 W Henderson Street 25823 Northwest Freeway 702 W Wheatland Road
Cleburne, TX 76033 Cypress,TX 77429 Duncanville,TX 75116
817.202.8902 281.304.0899 972.572.2100
S College Station W Cypress El Paso East
895 William D Fitch Parkway 9814 Fry Road 1506 N Lee Trevino Drive
College Station,TX 77845 Cypress,TX 77433 El Paso,TX 79936
979.314.3960 281.256.7471 915.594.1137
College Station Dallas El Paso West
900 Harvey Road 11722 Marsh Lane 7500 N Mesa Street
College Station,TX 77840 Dallas,TX 75229 El Paso,TX 79912
979.693.6270 214.350.7101 915.585.1183
Colleyville Dallas/ Central N El Paso
4908 Colleyville Blvd 8041 Walnut Hill Lane 4650 Woodrow Bean
Colleyville,TX 76034 Dallas,TX 75231 El Paso,TX 79924
817.498.9682 214.363.9229 915.755.2302
Conroe N Dallas Plower Mound
1302 W Davis Street 7114 Campbell Road 2601 Flower Mound Road
Conroe,TX 77304 Dallas,TX 75248 Flower Mound,TX 75028
936.441.0100 972.931.9045 972.899.9100
Coppell Richardson / Dallas Forney
110 W Sandy Lake Road 14203 S Colt Road 724 E US Highway 80
Coppell,TX 75019 Dallas,TX 75254 Forney,TX 75126
972.304.1663 972.231.3793 972.552.3120
Corpus Christi University Park Camp Bowie
5425 S Padre Island Drive 4560 W Mockingbird Lane 6200 Camp Bowie Blvd
Corpus Christi, TX 78411 Dallas,TX 75209 Fort Worth,TX 76116
361.991.4486 214.350.0017 817.731.2993
Corpus Christi #2 Denton Ft Worth
1502 Airline Road 1435 S Loop 288 6120 S Hulen Street
Corpus Christi,TX 78412 Denton,TX 76205 Fort Worth,TX 76133
361.986.0326 940.566.0054 817.370.9384
Affiftirre L POOL SUPPLIGS
A� SERVICE
Commercial Division
Frisco Harlingen Dairy Ashford
4944 Preston Road 509 S Expressway 83 14654 Memorial Drive
Frisco,TX 75034 Harlingen, TX 78550 Houston,TX 77079
972.377.0209 956.423.4448 281.679.5039
NW Frisco Haslet Houston
8756 Teel Pkwy 2488 Avondale Haslet Road 9401 Katy Fwy
Frisco,TX 75034 Haslet,TX 76052 Houston,TX 77024
972.712.2929 817.439.8411 713.932.0162
Garland Highland Village Houston/FM 1960
1013 Northwest Hwy 2940 FM 407 1600 Cypress Creek Pkwy
Garland,TX 75041 Highland Village,TX 75077 Houston,TX 77090
214.227.5070 972.318.0421 281.586.7808
N Garland 290 Freeway Houston NW
1802 Pleasant Valley Road 6417 W 43rd Street 10791 Jones Road
Garland,TX 75040 Houston,TX 77092 Houston,TX 77065
972.675.2919 713.290.8220 281.955.5085
Georgetown Bellaire J Braeswood I-10 East
1013 W University Ave 70 Braeswood Square 13439 East Fwy
Georgetown,TX 78628 Houston,TX 77096 Houston,TX 77015
512.868.2680 713.728.4400 713.455.2275
Granbury Bunker Hill Mission Bend
1030 E Hwy 377 9770 Katy Fwy 6890 Highway 6 S
Granbury, TX 76048 Houston,TX 77055 Houston,TX 77083
817.573.3111 713.465.7444 281.498.0010
Dallas Lake Prairie Champions Forest West Houston
5244 S State Highway 360 5610 Cypress Creek Pkwy 11920 Westheimer Road
Grand Prairie,TX 75052 Houston,TX 77069 Houston,TX 77077
972.522.0060 281.537.6880 281.759.6100
Grand Prairie Clear Lake West University
3824 S Carrier Pkwy 2402 Bay Area Blvd 3143 W Holcombe Blvd
Grand Prairie,TX 75052 Houston,TX 77058 Houston,TX 77025
972.262.1255 281.218.7500 713.661.5544
Grapevine Copperfield Willow Brook
2140 Hall Johnson Road 7075 Highway 6 N 7911E FM 1960 Road W
Grapevine,TX 76051 Houston, TX 77095 Houston,TX 77070
817.251.3901 281.858.7088 281.469.4284
Greenville Copperfield Hwy 6 Hudson Oaks
6103 Wesley Street 6769 Highway 6 N 100 S Oakridge Drive
Greenville, TX 75402 Houston,TX 77084 Hudson Oaks,TX 76087
903.454.1116 281.656.2990 817.599.3950
411111111111h
j FAXESLIES .20,05CITZLIA6.
Commercial Division
Atascocita Kemah The Colony
19211 W Lake Houston P 153 FM 518 4679 State Highway 121
Humble, TX 77346 Kemah,TX 77565 Lewisville,TX 75056
281.812.5205 281.334.2459 469.362.2101
Humble NW Killeen Longview
9723 FM 1960 Bypass Road 1512 Lowes Blvd 1421 W Loop 281
Humble, TX 77338 Killeen,TX 76542 Longview,TX 75604
281.446.6682 254.634.5736 903.291.1987
Hurst Kingwood Lubbock
101 W Bedford Euless Road 2855 W Lake Houston Pkwy 6231 Slide Road
Hurst,TX 76053 Kingwood,TX 77339 Lubbock,TX 79414
817.268.4727 281.361.4593 806.785.4817
Pflugerville Kyle Lucas
2098 Muirfield Bend Drive 5132 Kyle Centre Drive 499 South Angel Parkway
Hutto,TX 78634 Kyle,TX 78640 Lucas,TX 75002
512.990.7794 512.262.1217 214.383.6841
Irving La Marque Lufkin
2532 N Belt Line Road 6608 Gulf Freeway 3055 S John Redditt Drive
Irving,TX 75062 La Marque,TX 77568 Lufkin,TX 75904
972.255.1613 409.240.0170 936.634.1014
Cinco Ranch Lake Jackson Lumberton
5102 FM 1463 Road 204 Highway 332 W 301 N Lhs Drive
Katy,TX 77494 Lake Jackson,TX 77566 Lumberton,TX 77657
281.574.9245 979.292.0018 409.755.4536
N. Cinco Ranch Lake Worth Magnolia
25830 Westheimer Parkway 6548 Lake Worth Blvd 6960 FM 1488 Road
Katy,TX 77494 Lake Worth,TX 76135 Magnolia,TX 77354
346.257.9834 817.238.1911 281.259.7284
Katy Laredo West Magnolia
430 S Mason Road 7309 San Dario Avenue 18640 FM 1488 Road
Katy,TX 77450 Laredo,TX 78045 Magnolia,TX 77354
281.395.0666 956.326.1200 281.259.2971
Katy 1-10 League City Mansfield
235 S Mason Road 2920 Gulf Fwy S 101 W Debbie Lane
Katy, TX 77450 League City,TX 77573 Mansfield, TX 76063
281.578.9439 281.5342416 817.477.8585
Keller Lewisville Mansfield 2
940 Keller Pkwy 1093 W Main Street 2881 Matlock Road
Keller, TX 76248 Lewisville, TX 75067 Mansfield, TX 76063
817.431.1143 972.219.0506 817.453.7851
POOL SU'P".PI,;C S
AND IESSERVICE
Commercid Division
Central McAllen Missouri City #2 Pearland
5612 N 10th Street 6245 Highway 6 2540 aroadway Street
McAllen, TX 78504 Missouri City,TX 77459 Pearlar-id,1X 77581
956.683.1284 281.261.5217 832.7346.9123
McAllen Murphy Si Iverll ake
510 E Expressway 83 158 W FM 544 10228 Broadway Street
McAllen,TX 78503 Murphy,TX 75094 Pearland,TX 77584
956.682.3626 972.509.1636 713,43G6525
McKinney Port Arthur Si Iverf ake*2
4610 Eldorado Pkwy 2828 Highway 365 10621 Broadway Street
McKinney,TX 75070 Nederland,TX 77627 Pearland,TX 77584
972.542.6699 409.724.2880 713.4345.4392
N McKinney New Braunfels N Plarso
2050 W University Drive 651 N Business IH 35 3020 Legacy Drive
McKinney,TX 75071 New Braunfels, TX 78130 Plano,-TX 75023
972.548.1062 830.627.1200 972.491.7444
NW McKinney N Richland Hills PlanojCentral
1411 N Custer Road 8509 Davis Blvd 230 W Parker Rd
McKinney,TX 75071 N Richland Hills,TX 76182 Plano,M 75075
972.369.1170 817.656.4879 972,578.7571
West McKinney Odessa Plano j Independence
8930 State Highway 121 3851 E 42nd Street 3136 Indeependence Pkwy
McKinney,TX 75070 Odessa, TX 79762 Plano,TX 75075
214.383.3516 432.362.0051 972.596.3309
Mesquite Paris W Plano
1515 N Town East Blvd 3924 Lamar Avenue 1713 Preston Road
Mesquite,TX 75150 Paris,TX 75460 Plano,TX 75093
972.270.5000 903.782.9647 972.713.9267
Midland Pasadena Prospe r
4005 W Wall Street 6831 Spencer Hwy 1350 N Preston Road
Midland,TX 79703 Pasadena,TX 77505 Prosper, TX 75078
432.699.5588 281.487.5722 972.347.9643
Midlothian Pasadena #2 Canyon Creek
2000 FM 663 5233 Fairmont Pkwy 401 W President Bush Hwy
Midlothian,TX 76065 Pasadena,TX 77505 Richardson,T.X 75080
972.775.5235 281.487.7707 972.23B.5529
Missouri City Pasadena/Fairmont E Richardson
8720 Highway 6 5712 Fairmont Pkwy 1332 S Plano Road
Missouri City, TX 77459 Pasadena,TX 77505 Richardson,T-(75081
281.778.1553 281.487.4882 972.669.9580
POOL SUPPLIES
E1 SERVICE SLIE
Commercial Division
Katy Bella Terra Leon Valley Woodlands
22720 Bellaire Blvd 6895 Bandera Road 19189 Interstate 45 Ste G
Richmond,TX 77406 San Antonio,TX 78238 Shenandoah,TX 77385
281.342.5515 210.520,7014 281.298.1842
Rockwall N San Antonio Portofino Center
983 E Interstate 30 21019 US Highway 281 N 19075 Interstate 45 Ste 101
Rockwall,TX 75087 San Antonio,TX 78258 Conroe,TX 77385
214.771.3210 210.481.1143 936.321.9338
Rosenberg San Antonio Sherman
7633 Town Center Blvd 2418 Austin Highway 3903 N US Highway 75
Rosenberg,TX 77471 San Antonio,TX 78218 Sherman,TX 75090
832.595.2662 210.657.5988 903.892.9200
Round Rock#3 San Antonio#3 Southlake
110 N Interstate 35 18138 San Pedro Avenue 2315 E Southlake Blvd
Round Rock, TX 78681 San Antonio,TX 78232 Southlake,TX 76092
512.244.9728 210.496.2525 817.488.7670
S Round Rock San Antonio #2 Spring
2601 S IH 35 300 W Bitters Road 20551 Interstate 45 Ste 118
Round Rock, TX 78664 San Antonio,TX 78216 Spring,TX 77388
512.246.1297 210.496.7311 281.528.8067
Rowlett San Antonio/Bandera West Spring
6501 Dalrock Road 9234 N Loop 1604 W 4660 Louetta Road
Rowlett,TX 75089 San Antonio,TX 78249 Spring,TX 77388
214.227.4308 210.681.3057 281,288.9517
San Angelo Shavano Park Spring
5769 Sherwood Way 4079 N Loop 1604 W 8640 W Rayford Rd Ste 110
San Angelo, TX 76901 San Antonio,TX 78257 Spring,TX 77389
325.942.5671 210.764.2300 281.255.0380
Alamo Ranch SW San Antonio Spring I-45
10919 Culebra Road 119 SW Loop 410 201411 H 45 Ste 300
San Antonio,TX 78253 San Antonio,TX 78245 Spring,TX 77388
210.688.9175 210.520.1382 281.353.0862
Boerne San Marcos Bulverde
24165 W Interstate 10 1050 McKinley Place Drive 20475 State Highway 46 W
San Antonio,TX 78257 San Marcos,TX 78666 Spring Branch, TX 78070
210.698.3510 512.392.2208 830.438.7651
Castle Hills NE San Antonio N Sugar Land
2609 Jackson Keller Road 8335 Agora Parkway 13509 University Blvd
San Antonio,TX 78230 Selma,TX 78154 Sugar Land,TX 77479
210.340.3972 210.566.9709 281.207.9320
All r O POOL SUPPLIES
Z SLIE SERWCE &"AMR.
Commercial Division
Sugar LandWaco Wylie
4403 Highway 6 819 N Valley Mills Drive 2041 N Highway 78
Sugar Land,TX 77478 Waco, TX 76710 Wylie,TX 75098
281.265.7732 254.776.3046 972.429.4042
Sugar Land l-69 North Watauga
15495 Southwest Fwy 8420 Denton Highway
Sugar Land, TX 77478 Watauga,TX 76148
281.565.1505 817.514.6409
S Austin/Brodie Ln Watauga
5400 Brodie Lane 6651 Watauga Road
Sunset Valley,TX 78745 Watauga,TX 76148
512.892.3696 817.428.7113
Temple Waxahachie
2102 SW H K Dodgen Loop 1440 N Highway 77
Temple, TX 76504 Waxahachie,TX 75165
254.899.1111 972.923.0123
Texarkana Weatherford
244 Richmond Ranch Road 110 W Interstate 20
Texarkana,TX 75503 Weatherford, TX 76086
903.794.0470 817.596.5400
NW Tomball North Webster
14320 FM 2920 Road 20093 Gulf Freeway
Tomball,TX 77377 Webster,TX 77598
281.516.3833 281.554.7580
Tomball Webster
22625 State Highway 249 1183 W Nasa Road 1
Tomball,TX 77375 Webster,TX 77598
281.370.6353 281.338.5054
Roanoke Weslaco
2001 E Highway 114 1210 W Expressway 83
Trophy Club,TX 76262 Weslaco,TX 78596
817.490.9050 956,447.0131
Tyler Austin Westlake Hills
3603 S Broadway Ave 701 S Capital of Texas Hwy
Tyler,TX 75701 West Lake Hills,TX 78746
903.939.9433 512.306.1144
Victoria Wichita Falls
9104 N Navarro Street 3921 Kemp Blvd
Victoria,TX 77904 Wichita Falls, TX 76308
361.582.4407 940.691.9696
161LA71L%JLIE SERVICE & REPAIR6
qw, Commercial Division
^^�ma�l���fm K�
' Policy
�
QQ%of the time everything is going huAo smoothly with your order,for the other 1Y6of the time
we offer returns up to 14 days after you received your product. Before you ship your product back
give us a call or email us.We will issue you a unique number to make sure your product doesn't
get lost and you're refunded quickly.
Return Information for Products Purchased Online:
Restocking Fee'All returned items are subject Vauptoa 15% restocking fee, plus the shipping
fee detailed below.
14 Day Return Porind- Products are eligible for returns within 14 days after delivery. If after 14
days of delivery, you have any problem with any of the items you purchased, please let us know
and we will help you tu work with the manufacturer to resolve the issue.
Non-refundable and Non-returnable Items
• Items under$25 are not eligible for return.
° For safety reasons, no chemicals or paint can bereturned.
° Custom Orders, including(but not limited to)Safety Covers, Spa Covers, and Pool
Liners.
° Any opened pool liners and pool covers.
- ^ Any Used or Installed items are not eligible for return.
° Any shipping and handling charges are non-refundmb|m.
Standard Fees &Procedures
• Packages that are refused upon arrival will result in a$25.00 shipping fee per package.
° Delivery refusals without contacting Leslie's may result in delay or denial of
refund.
° Products must be returned in new condition in the original packaging.
~ Including warranty cards, packaging, and ALL owners'manuals to be returned in
the condition in which the product was received.
* Returns received that do not follow these guidelines may be refused or have an
increased restocking fee.
How to Return Your Online Purchase:
To return an online purchase, you must complete a Returns Merchandise Authorization ("RIVIA")
Request below.
° Provide adetailed description outothe reason for returning the item.
w Provide images of all items that are tobereturned.
Once the form has been submitted and pictures received, our support staff members will contact
you within 3 business days.
cEmun'uronuwaxz INC.^cuu5xoxnmw SCHOOL ROAD"PHOENIX,AZomm
mo.soaao*o"FAX oo2.seesesy°oovEu^mxrpn@cooL.com"Yvonauamcoo pooL.cow
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�
APW POOL SUPPLIES
m� ���m����� w�� SERVICE ��REPAIR.
MMwP' _~0000% _~00% _.=° _~
• Returns without a Returns Merchandise Authorization ("RMA")number may result in your
refund being delayed ordenied.
• Please remember to add rma@lesliespool.com to your Email Provider's Safe List.
Standard Ground Shipping Returns
° A prepaid UPS label will be provided for each package that is being returned.
* All returns are subject too$15 return shipping fee per package.
Common Carrier Freight Returns
° All returns are subject to the full cost of the return freight shipment, provided by the
applicable carrier.
° A valid phone number must ba provided for the order hobecompleted.
° Invalid phone numbers may result in a higher restocking fee, freight shipping
fees, and any applicable storage fees,from the freight carrier.
° Items must be palletized and shrink wrapped in original packaging before the return is
approved.
� Inability to do so may result in the return being refused or have an increased
restocking fee.
Refund Method &Timing
w Refunds are processed once your package has been returned to the fulfillment center
and inspected to ensure that it meets the refund requiramenta.
° Once verified your refund, |mananyopp|iceb|e#*ms. vvi|| beref ndedbaokt*yourorigina|
payment method.This usually takes 5-7 business days for the refund to be visible within
your payment account.
Return Information for Products Purchased Um-Store:
Restocking Fee-A restocking fee of 15%will be charged on any opened automatic pool
cleaners, pumpm, submersible pumps, booster pumps,5|hara, heatera, heat pumpa, salt systems,
mutoca, automation controllers, pool light fixture, and any fulfilled special order ibemu, un|oma
defective orprohibited by law.
14 Day Return Period-If for any reason you are unhappy with a product from Leslie's, return it
with the original receipt within 14 days in its original container in saleable condition for a refund,
exchange, or store credit equal to our original purchase price.
Refund Method &Timing:
° Refunds for all check purchases will be in the form of store credit or a check from our
corporate office within 1O business days of the return.
* Refunds for cash purchases less than$50 will be refunded with cash or store credit.
~ Refunds for cash purchases of$50 or greater will be in the form of store credit or a check
from our corporate office within 10 business days of the return.
• Refunds on a credit card may only be applied to the original credit card used or the
customer may receive store credit.
/zSuE'oroouwma,INC.^2vu ocwzum«SCHOOL ROAD"PHOENIX,mzwm/a
smaso.»x4x°FAX 6nz.s^a,3oe°GOVERNMENT@LESLCOM"vvp=/LEaueorooL.coM
'
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POOL SUPPLIfs
Em��L����� ��' ����m��' ��mm�mm�mmw
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° Refunds for gift card purchases will only bein the form of store credit.
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DocuSign Envelope ID:275480C0-F8F3-4AD3-B1 BF-2E3548BOA219 Exhibit C
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code.An
offense under this section is a misdemeanor.
jJ Name of vendor who has a business relationship with local governmental entity.
Leslie's Poolmart Inc.
2
Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
NA
Name of Officer
4J Describe each employment or other business relationship with the local government officer, or a family member of the
officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIO as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
Yes F---] No
B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes F---] No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
s
❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
12/7/2021
Brian Agnew, SVP Commercial &Wholesale Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
9/1/2020 M&C Review
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FOT+ n
DATE: 8/25/2020 REFERENCE**M&C 20- LOG 13PSWIMMING POOL CHEMICALS,
NO.: 0583 NAME: SUPPLIES, AND EQUIPMENT
CODE: P TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: (ALL) Authorize Execution of Agreements with Sunbelt Pools, Inc. and Leslie's Poolmart,
Inc. for Swimming Pool Chemicals, Supplies and Equipment for City Departments in a
Combined Annual Amount Up to $200,000.00 Using Cooperative Contracts and Authorize
Two Annual Renewal Options
RECOMMENDATION:
It is recommended that the City Council authorize the execution of agreements with Sunbelt Pools,
Inc. and Leslie's Poolmart, Inc. for swimming pool chemicals, supplies and equipment for all City
Departments in a combined annual amount up to $200,000.00 using Texas Association of School
Boards (Buyboard) Contract No. 613-20 and authorize two annual renewal options.
DISCUSSION:
On May 31, 2020, BuyBoard Contract No. 533-17 for swimming pool chemicals, supplies and
equipment expired with no remaining renewals. In lieu of the expired contract, BuyBoard implemented
contract no. 613-20.
The Purchasing Division contacted all City departments to participate in the new cooperative
agreement. The Code Compliance, Parks and Recreation, and Water Departments responded. City
Departments will use the new agreement to purchase pool chemicals, supplies and equipment needed
for City swimming pools, inspections, and treatment of water chemical tanks on an as needed basis.
The contract also includes hourly labor rates for installation and repair services of swimming pools,
equipment and supplies.
Staff recommends awarding non-exclusive agreements to Sunbelt Pools, Inc. and Leslie's Poolmart,
Inc. using Buyboard Contract No. 613-20. No guarantee was made that a specific amount of these
goods will be purchased.
Fund allocation amongst each vendor will be distributed as listed below:
Sunbelt Pools, Inc. 1 $151,000.00
F Leslie's Poolmart, Inc T $40,000.00
A MBE/SBE goal is not assigned when purchasing from an approved purchasing cooperative or public
entity.
This agreement will commence upon City Council approval and end May 31, 2021, to coincide with
Buyboard Contract No. 613-20.
State law provides that a local government purchasing an item under a cooperative purchasing
agreement satisfies state laws requiring that the local government seek competitive bids for purchase
of the item. Texas Association of School Boards Buyboard Contracts have been competitively bid to
increase and simplify the purchasing power of government entities.
An administrative change order or increase may be made by the City Manager up to the amount
allowed by relevant law and the Fort Worth City Code and does not require specific City Council
approval as long as sufficient funds have been appropriated.
This agreement may be renewed for up to two additional one year terms in accordance with the terms
and conditions of Buyboard Contract No. 613-20 or applicable successive BuyBoard contracts for the
same services at the City's option. This action does not require specific City Council approval provided
that City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal
terms.
apps.cfwnet.org/council_packet/mc_review.asp?ID=28152&counciId ate=8/25/2020 1/2
9/1/2020 M&C Review
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget, as
previously appropriated, in the participating departments' Operating funds to support the approval of
the above recommendation and execution of purchase agreement. Prior to any expenditure being
incurred, the participating departments have the responsibility to validate the availability of funds.
BQN\\
TO
Fund Department Account Project Program Activity Budget FReference # Amount
ID ID I I I Year (Chartfield 2)
FROM
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
Submitted for City Manager's Office by_ Jesus J. Chapa (5804)
Originating Department Head: Reginald Zeno (8517)
Additional Information Contact: Cynthia Garcia (8285)
A'ja Robertson (8585)
ATTACHMENTS
a pps.cfwnet.o rg/co u ncil_packet/mc_review.asp?I D=28152&cou nci Id ate=8/25/2020 2/2