HomeMy WebLinkAboutContract 56858 CSC No. 56858
FORT NORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement("Agreement")is entered into by and between DRS Imaging
Services,LLC ("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 One Hundred Thousand Dollars ($100,000). 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 October 1, 2021 and ending on
September 30, 2022. The City shall be able to renew this agreement for three (3) one-year renewal
options by written agreement of the parties
Vendor agrees that City shall,until the expiration of three(3)years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books,documents,papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows: OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
To CITY: To VENDOR:
City of Fort Worth DRS Imaging Services, LLC
Attn: Jesus Chapa, Deputy City Manager Attn: LoRenzo Daniel,National Account
200 Texas Street Manager
Fort Worth, TX 76102-6314 1200 Gambrel Rd.
Facsimile: (817) 392-8654 Arlington, TX 76014
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:
By signing I acknowledge that I am the person
By: Jesus J.Ch a paljt6c ,20211, 1� responsible for the monitoring and administration
Name: Jesus Chapa of this contract,including ensuring all performance
Title: Deputy City Manager and reporting requirements.
Date: Dec 15,2021
APPROVAL RECOMMENDED: By: Deborah McFadden(Dec 3,202114:40 CST)
Name: Deborah McFadden
Title: Sr Records Analyst
Tgnnette S. Goo�gll
By. Jannette S.Goodall(Dec 3,202114:50 CST) APPROVED AS TO FORM AND LEGALITY:
Name: Jannette Goodall
Title: City Secretary
ATTEST: By: Denis C. cElr (Dec 15,202113:37 CST)
Name: Denis C.c). McElroy
r
7Gl'�'l�'lGI64GI GDOG�GI'LL
Title: Assistant City Attorney
By: Jannette S.Goodall(Dec 16,202108:58 CST) CONTRACT AUTHORIZATION•
Name: Jannette Goodall gao�vnn�� M&C: N/A
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Title: City Secretary pa>Fk.o.
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By:
Name: LoRenzo Paniel
Title:National Account Manager OFFICIAL RECORD
Date: CITY SECRETARY
s FT. WORTH, TX
Exhibit A
INNO VATIOA�--INFORMA TIO&'—PEOPLE
Pricing Schedule
Item Price Per
Prep Work
Light Prep 0.017 Image
Medium Prep 0.023 Image
Heavy Prep 0.029 Image
Scanning
Scan 0.048 Image
Indexing
Indexing 0.01 Keystroke
Destruction
Certified Destruction 0.0027 Image
Exception Processing
Exception Processing $26.50 Hour
Film Conversion
16mm film conversion 0.02 image
35mm film conversion 0.05 image
Jacketed Fiche conversion (min. 25 images) 0.05 image
Archive Writing
Digital archive writing digital to 16mm film 0.05 image
Digital archive writing digital to 35mm film 0.2 Image
Destruction
Diazo Film Duplication 16mm (100 ft) $25.00 roll
Diazo Film Duplication 35mm (100 ft) $45.00 roll
Silver Film Duplication 16mm (100 ft) $75.00 roll
Silver Film Duplication 35mm (100 ft) $120.00 roll
Delivery At Cost delivery
We Make Technology Work for You
Exhibit B
EDUCATION SERVICE CENTER REGION 19 ALLIED STATES COOPERATIVE
RFP AWARD SUMMARY
RFP TITLE: Document Scanning, Records Management, and Related
Services - ESC Region 19 Allied States Cooperative
RFP NUMBER: 20-7383
RFP OPENING DATE: August 14, 2020
CONTRACT TERM: Date of award until September 30, 2021 with 4 annual extension
options.
FUNDING SOURCE: Various
RFP's ISSUED: 759
RESPONSES: 11
ADVERTISEMENT DATES: El Paso Times -July 13, 2020 & July 20, 2020
RECOMMENDED FORAWARD: Accurate Data Inc
ARDEM, Incorporated
DataXport.Net LLC
doc2e-file Inc.
DRS Imaging Services, LLC
Global Solutions Group, Inc.
Professional Document Systems
Records Consultants, Inc.
Secure It Shredding (Governed Services LLC)
Starpoint Global Services (Starpoint, Inc.)
TOTAL(estimated) $1,000,000.00/year
EXPLANATIONS:
Award of this solicitation will enable ESC Region 19 - Allied States Cooperative (ASC) to establish a contract
with vendor(s) for Document Scanning, Records Management, and Related Services for those procurements
made with federal, state or local funds. Evaluation and award recommendation were based on 70% pricing and
services/qualifications and 30% references. Express Employment Professionals (Eddie Lee's Kovert Staffing)
did not meet the scope of work and was not awarded. The awarded vendors' pricing and information can be
found on the Award Detail spreadsheet.
SPECIFICATIONS, PREPARATION AND
EVALUATION PROVIDED BY: Rebecca Hernandez- ESC Region 19
Andrea Amiri - ESC Region 19
Renae Lawrence - ESC Region 19
1 091720
Special Conditions
1. All proposals will comply with HIPAA and FERPA regulatory compliance requirements when
applicable.
2. All proposals will provide specific data as to the areas of specialization the vendor serves.
3. Vendors agree that all ownership of goods/services provided under this contract are always owned
by the member utilizing the service.
4. All vendors will provide their security, privacy, and technology in detail for award consideration.
5. In addition to insurance requirements, vendor will provide and and/or all other forms of security and
redundancy utilized to ensure no data is lost or unaccounted for during the execution of any
transactions that may result from this contract.
6. All charges, no matter how detailed, must be provided at the time proposals are submitted.
7. When software is part of the service, vendor must state in detailed terms what specific rights are of
the ASC member in the event services are used in the event that ASC member decides to obtain
these services through another source or to convert to in house services at a later date.
8. Vendor will provide detailed information regarding: 1) systems cost, 2) systems architecture, 3)
dealing with existing records and paper, 4) uploading of new documents to an electronic format,
and 5) specific ASC member record requirements that may include but not limited to City, County,
University, Community College, Special Districts, Political Subdivisions, K-12 schools, charter
schools, and various State Agencies.
9. If available, vendors should provide options for both in house records management and off-site
records management of archived records and schedules for retention.
10. Vendor proposals should provide document scanning breakdown based on volume by the box
(standard size records retention boxes and/or a per copy basis on a sliding scale both for on-site
and off-site).
11. Any hourly rates for redundant services must be provided if applicable.
12. Vendors must outline in their proposals turnkey solutions for the goods and/or services offered from
cradle to grave regarding compliance with Records Retention Policies of each entity choosing to
utilize this contract. If only a particular service is offered, please indicate on the response all specific
services.
13. Vendor must include detailed information regarding storage facilities, backup facilities, complete
listing of all hardware (scanners, workstations, and other equipment) utilized in performing work,
number of vehicles and their applications, number of full-time personnel and their job descriptions,
as well as requirements by ASC members who wish to utilize the vendor's services.
Approved By: � Date: August 28, 2020
Dr. Arman43 Aguirre
2 091720
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Allied States Cooperative
20-7383
DRS Imaging Services, LLC
Supplier Response
Event Information
Number: 20-7383
Title: Document Scanning, Records Management, and Related Services -
ESC Region 19 Allied States Cooperative
Type: Request For Proposal
Issue Date: 7/9/2020
Deadline: 8/14/2020 03:00 PM (CT)
Notes: This solicitation will replace solicitation 15-7140. Vendors
awarded on solicitation 15-7140 must respond to this solicitation to
remain awarded.
Contact Information
Contact: Andrea Amiri - Purchasing Agent
Address: 6611 Boeing
El Paso, TX 79925
Phone: (915) 780-5019
Email: aamiri@esc19.net
Page 1 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
DRS Imaging Services, LLC Information
Address: 43 Fadem Road
Springfield, NJ 07081
Phone: (469) 438-5112
Email: lorenzogdaniel@aol.com
By submitting your response, you certify that you are authorized to represent and bind your company.
LoRenzo Daniel lorenzo.daniel@doculynx.com
Signature Email
Submitted at 811012020 5:41:06 PM
Requested Attachments
Forms Region 19 Response.pdf
Download forms from the "Attachments" section of the bidding system, complete forms and upload.
Pricelist Region 19 Response Pricing.pdf
MUST provide pricing. Pricelist is preferred in PDF format.
Response Attachments
20-7383 Required Forms.pdf
Required Forms
Bid Attributes
1 Term of Contract
The initial base term of the prospective contract is a period of one (1) year with the option to extend another four
(4) years annually.
I understand
2 Contract Acceptance
By checking this box, vendor hearby proposes and agrees to furnish products and/or services in strict compliance
with the terms, specifications, and conditions of the RFP, this contract and vendor proposal. The vendor further
certifies that the person submitting the proposal is an officer of the company and has the authority to negotiate and
contract for the company named below and meets/agrees with all of the terms and conditions of this Contract and
RFP. This contract is between Allied States Cooperative and the awarded vendor. Vendors and members can add
an additional contract or terms and conditions to purchases as long as both parties agree.
I accept
3 Contract Extension
This contract will automatically be extended at the discretion of Allied States Cooperative. Vendor understands
notice must be given to ASC if vendor does not want to extend the contract. Failure to extend contract may result
in suspension from future bidding or vendor award for up to 36 months.
I agree
Page 2 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
4 Terms and Conditions
Vendor agrees to all terms and conditions as attached and noted in the Contract and RFP. Deviations to the terms
and conditions must be listed on the deviations form and attached with the submittal. Listing exceptions is not an
automatic acceptance by ASC and may be grounds for non award.
I agree
5 Forms
Vendor agrees to review, complete and upload all required forms attached as applicable.
I agree
6 Pricing
All pricing will be effective from contract award date and continue for one (1) year with the option to extend in 12
month increments. Pricing must be held a minimum of one (1) year. Any requests to amend pricing after the initial
contract award will be reviewed in line with current market conditions. Requesting to amend pricing does not
guarantee acceptance and approval.
I agree
7 Company Profile
8 Company Name
Provide official registered name.
DRS Imaging Services, LLC
9 Company Contact
Provide name of person to contact for ordering.
LoRenzo Daniel
1 Company Address
U Provide company address to include street, city, state and zip code.
1200 Gambrel Rd. Suite 104 Arlington, TX 76014
1 Contact Email Address
1 Provide email address for company contact
lorenzo.daniel@doculynx.com
1 Company Phone Number
2 Provide phone number for company contact
(469) 438-5112
1 Company Website
3 Provide company website. If no website is available, please respond n/a.
www.drsimaging.com
1 Administrative Contact Information
4 Provide name, address, phone number and email address of contact for contract administration including monthly
reporting and payment of administrative fees.
LoRenzo Daniel lorenzo.daniel@doculynx.com Phone:469-438-5112
Page 3 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
1 Experience
5 Describe vendor experience with school districts and other governmental entities.
DRS Imaging Services, LLC. specialize in technology and data management intelligence in the educational and
governmental sectors. DRS offers a complete suite of services and solutions to meet the daily challenges
organizations of all sizes are faced with in today's environment. HIPAA and FERPA Compliant
• On Demand Scanning Solutions
o Data entry and document scanning services
o Online file storage with secure access
o Paper to image conversion
o Microfilm to image conversion
• Cloud Repository Services
o Provide access to business-critical information anywhere, anytime
o Facilities Management
o Secure, long-term solutions
• On-Site Scanning and Document Imaging
o Document scanning
o On-site document scanners installation
• Business Process Automation
o Digital mail room services
o Management of ongoing incoming data
1 References
6 Provide four (4) educational or related references your company has provided services to during the past 12
months. Information must have Agency Name, Contact person, person's title, phone number and email address.
References will be contacted for scoring and MUST respond. Failure to provide references that will respond will
result in non-award. ASC reserves the right to non award a vendor based on lack of reference responses or low
scoring responses.
1 Reference #1
7
Pantego Christian Academy -Arlington, TX Nancy Palavicini - Registrar ( nancyp@pantego.com) 817-460-3315
Ext. 1204
1 Reference #2
8
1City of Grand Prairie, TX Jennifer Morones Building Inspections Administrative Supervisor Qmorones@GPTX.org)
972-237-8221
1 Reference #3
9
City of Dallas, TX Gladys G. Facen Project Coordinator III Department of Public Works
(gladys.facen@dallascityhall.com) 320 214-948-4632
2 Reference #4
0
City of Carrollton, TX Ali Cardaropoli Records Coordinator (Alexandra.Cardaropoli@cityofcarrollton.com) 972-466-
3582 direct
2 Minority and Women's Business Enterprise (MWBE), Historically Underutilized Business (HUB)and
1 Small Business Enterprise (SBE)
ASC encourages the use of HUB, MWBE, and SBE both as prime and subcontractors. However, these entities must
meet the same minimum standards and requirements as the prime contractor. Vendor is responsible for pre-
qualifying any subcontractors offered as HUB, MWBE and SBE participants. Some ASC members have specific
goals for use of HUBs, including subcontracting requirements, and will require that a plan be submitted to meet their
goals. See TEX. GOV'T. CODE, Chapter 2161.
Page 4 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
2 Minority & Women's Business Enterprise (MWBE), Historically Underutilized Business(HUB) and Small
2 Business (SBE)
ASC encourages the use of HUB, MWBE, and SBE both as prime and subcontractors. However, these entities must
meet the same minimum standards and requirements as the prime contractor. Vendor is responsible for pre-
qualifying any subcontractors offered as HUB, MWBE and SBE participants. Some ASC members have specific
goals for use of HUBs, including subcontracting requirements, and will require that a plan be submitted to meet their
goals. See TEX. GOV'T. CODE, Chapter 2161.
No response
2 Minority/Women's Business Enterprise— MWBE
3 If vendor is certified as a Minority/Women's Business Enterprise — MWBE, provide the entity that issued the
certification as well as the percentage of vendor's business with WMBE vendors. If vendor is not certified, leave
response blank. Proof of certification will be required after bid award.
No response
2 Historically Underutilized Businesses— HUB
4 If vendor is certified as a Historically Underutilized Businesses — HUB, provide the entity that issued the certification
as well as the percentage of vendor's business with HUB vendors. If vendor is not certified, leave response blank.
Proof of certification will be required after bid award.
No response
2 Small Business Enterprise —SBE
5 If vendor is certified as a Small Business Enterprise— SBE, provide the entity that issued the certification as well as
the percentage of vendor's business with SBE vendors. If vendor is not certified, leave response blank. Proof of
certification will be required after bid award.
No response
2 Principal Place of Business
6 To comply with the non-resident vendor laws detailed in TEX. GOV'T. CODE Chapter 2252, ASC must determine the
residency of its vendors. ASC may not award a contract to a nonresident bidder unless the nonresident underbids
the lowest bid submitted by a responsible resident bidder by an amount that is not less than the amount by which a
resident bidder would be required to underbid the nonresident bidder to obtain a comparable contract in the state in
which the nonresident's principal place of business is located. See TEX. GOV'T. CODE § 2252.003. This
requirement does not apply to a contract involving federal funds. "Resident bidder" is a person whose principal
place of business is in Texas, including a contractor whose ultimate parent company or majority owner has its
principal place of business in Texas. "Nonresident bidder" is a person who is not a resident. See TEX. GOV'T. CODE
§ 2252.001. Provide City and State of Vendor's Principal Place of Business
Dallas and Houston, TX
2 Vendor Questionnaire
7
2 Number of Employees
8 Provide the total number of employees working directly for the vendor
300
2 Years in Business
9 Provide the number of years in business
56
Page 5 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
3 Shipping & Handling
U Pricing submitted includes all transportation charges (FOB Destination). Separate shipping and handling charges
will NOT be paid by ASC or ASC members.
Yes
3 Shipping
1 Does vendor charge additional fees for expediting services/shipments? Respond Yes or No. If yes, please explain
and provide designated contact person for expedites.
No
3 Distribution Channel
2 Which best describes Vendor's position in the distribution channel:
Other
3 Products/Services Provided
3 Provide a brief description of the products and/or services you provide.
Prep Work Light Prep Medium Prep Heavy Prep Scanning Scan Indexing Indexing Destruction Certified Destruction
Exception Processing Exception Processing Film Conversion 16mm film conversion 35mm film conversion Jacketed
Fiche conversion (min. 25 im
3 Pricing/Payment Information
4
3 Pricing/Payment Information
5 In addition to the typical unit pricing furnished herein, Vendor agrees to offer all future product introductions at
prices that are proportionate to the contract price(s).
Yes
3 Payment Terms & Conditions
6 Most ASC members have a standard N30 payment term. Provide information if vendor provides a discount for early
payment.
No response
3 Pricing/Payment Information -Administrative Fees
7 Pricing submitted includes the required ASC Administrative Fee and vendor agrees to remit the 2% fee monthly. In
addition, sales must be reported monthly via the Monthly Report Sheet sent to ascaccounting@esc19.net. Monthly
Report Sheet must be completed in entirety and include the member purchase order number for all sales. A copy of
the member purchase order must be included with the Monthly Report Sheet. Failure to provide monthly reporting
regardless of sale as well as failure to provide monthly payment may be grounds for contract termination.
Yes
3 Bid Use
8 This bid will be for use by ESC Region 19 and its ESC Purchasing Cooperative members as well as any other
members that join during the contract period. Will the vendor agree to service other members throughout the period
of the contract performance? Respond Yes or No. If No, please explain.
Yes
Page 6 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
3 Areas Served
9 Indicate which states vendor is licensed and willing to service. Vendor can also indicate only certain cities, counties
or areas. By indicating an area, vendor agrees to honor pricing and prod uct(s)/service(s) for all members located in
that area.
TX, FL, NM, LA, GA, AZ, CA, NY, NJ, VA, NC, CO
4 Cooperatives
U List any other cooperative contracts currently held by Vendor. Provide cooperative name, percent discount offered
and contract expiration date. If none, state n/a.
NA
4 Solicitation Terms and Conditions
1
4 Financial Information
2 Vendor agrees to provide financial information including but not limited to: audited financial statements (private
company), income statement, balance sheet and cash flow statement (public company) if requested.
I agree
4 Prohibition of Contact
3 Offerors are prohibited from approaching members of the Board, ESC employees, sub-contractors, agents, and
representatives, or any officer of the ESC in an attempt to gain an advantage in the award process, after this
solicitation has been formally advertised to the public for solicitation of submittals. The ESC may, by written
notification to the Offeror, reject an offer for violation of this clause.
I agree
4 Antitrust Certification Statement
4 I affirm under penalty of perjury of the laws of the State of Texas that: I am duly authorized to execute this contract
on my own behalf or on behalf of the company, corporation, firm, partnership or individual ("Company") listed below;
In connection with this bid/proposal, neither I nor any representative of the Company has violated any provision of
the Texas Free Enterprise and Antitrust Act, TEX. BUSINESS & COMMERCE CODE, Chapter 15; In connection with
this bid/proposal, neither I nor any representative of the Company have violated any federal antitrust law; and
Neither I nor any representative of the Company has directly or indirectly communicated any of the contents of this
bid/proposal to a competitor of the Company or any other company, corporation, firm, partnership or individual
engaged in the same line of business as the Company. I further affirm under penalty of perjury of the laws of the
State of Texas that: • The proposal submitted by the Company is genuine and is not collusive or sham; • The
Company has not colluded, conspired, connived or agreed, directly or indirectly, with an entity or person, to put in a
sham proposal or to refrain from bidding, and has not in any manner, directly or indirectly, sought by Contract or
collusion, or communication or conference, with any person, to fix the bid price or of any other Vendor, or to fix any
overhead, profit or cost element of said bid price, or of that of any other vendor, or to secure any advantage
against ASC or any person interested in the proposed contract; and • All statements in Company's proposal are
true.
I agree
4 Certification of Compliance Regarding Texas Family Code
5 As per Section 14.52 of the TEX. FAMILY CODE, added by S.B. 84, Acts, 73rd Legislature, R.S. (1993), all bidders
must complete and submit with the bid the following affidavit: I, the undersigned vendor, do hereby acknowledge
that NO sole proprietor, partner, majority shareholder of a corporation, or an owner of 10% or more of another
business entity is 30 days or more delinquent in paying child support under a court order or a written repayment
Contract. I understand that under this doe, a sole proprietorship, partnership, corporation or other entity in which a
sole proprietor, partner, majority shareholder or a corporation, or an owner of 10% or more of another entity is 30
days or more delinquent in paying child support under a court order or a written repayment Contract is NOT eligible
to bid or receive a state contract.
I agree
Page 7 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
4 Certification of Compliance Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -
6 Lower Tier Covered Transactions
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7
CFR Part 3017, Section 3017.510, Participants' responsibilities. The regulations were published as Part IV of the
January 30, 1989, Federal Register (pages 4722-4733). Copies of the regulations may be obtained by contacting
the Department of Agriculture agency with which this transaction originated. • The prospective lower tier participant
certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any
Federal department or agency. • Where the prospective lower tier participant is unable to certify to any of the
statements in this certification, such prospective participant shall attach an explanation to this proposal.
I agree
4 Grants, Subgrants, Cooperative Contracts and Contracts Exceeding $100,000 in Federal Funds
7 Submission of this certification is a prerequisite for making or entering into this transaction and is imposed by
section 1352, Title 31, U.S. Code. This certification is a material representation of fact upon which reliance was
placed when this transaction was made or entered into. Any person who fails to file the required certification shall
be subject to civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The
undersigned certifies, to the best of his/her knowledge and belief, that: 1. No Federal appropriated funds have been
paid or will be paid or on behalf of the undersigned, to any person for influencing or attempting to influence an
officer or employee of any agency, a member of Congress, an officer or employee of congress, or an employee of a
member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the
making of a Federal loan, the entering into a cooperative Contract, and the extension, continuation, renewal,
amendment, or modification of a Federal contract, grant, loan, or cooperative Contract. 2. If any funds other than
Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, an officer or employee of congress, or an employee
of a member of Congress in connection with this Federal grant or cooperative Contract, the undersigned shall
complete and submit Standard Form-LLL, "disclosure Form to Report Lobbying", in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award documents for all
covered sub-awards exceeding $100,000 in Federal funds at all appropriate tiers and that all sub-recipients shall
certify and disclose accordingly. In addition I, the vendor, am in compliance with all applicable standards, orders or
regulations issued pursuant to the Clean Air Act of 1970, as amended (42 U.S.C. 1857(h)), Section 508 of the
Clean Water Act, as amended (33 U.S.C. 1368), Executive Order 117389 and Environmental Protection Agency
Regulation, 40 CFR Part 15 as required under OMB Circular A-102, Attachment O, Paragraph 14(I) regarding
reporting violations to the grantor agency and to the United States Environment Protection Agency Assistant
Administrator for the Enforcement.
I agree
4 Compliance Certification with the Davis-Bacon Wage Determination Issued by the Department of Labor
8 The Davis-Bacon Wage Determinations are wage determinations issued by the U.S. Department of Labor under the
Davis-Bacon and related acts. The Wage and Hour Division of the U.S. Department of Labor determines prevailing
wage rates to be paid on federally funded or assisted construction projects. It is the responsibility of the federal
agency that funds or financially assists Davis-Bacon covered construction projects to ensure that the proper Davis-
Bacon wage determination(s) is/are applied to such construction contracts(s). See 29 CFR 1.5 and 1.6 (b). I, the
vendor, am in compliance with all applicable standards, orders or regulations issued pursuant to the programs
subject to the Davis Bacon Act (40 U.S.C. 276a et seq.) and the Regulations of the Department of Labor, 29 CFR
part 5 and Texas Government Code section 2258.
I agree
4 Compliance Certification with Buy America &American Recovery & Reinvestment Provisions
9 I, the vendor, am in compliance with all applicable provisions of the Buy America Act and the American Recovery &
Reinvestment Act. Purchases made in accordance with the Buy America Act must still follow the applicable
procurement rules calling for free and open competition.
I agree
Page 8 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
5 Compliance Certification with Foreign Nations
U I, the vendor, am in compliance with all applicable provisions of Government Codes 2252 & 2270. This code
requires vendors agree to NOT boycott Israel or do business with companies that boycott Israel (this statement is
exempt for sole proprietorship vendors, vendors that have less than 10 full time employees and contracts that are
under $100,000 of public funds.) In addition vendor cannot do business with Iran, Sudan or a known terrorist
organization. By submitting a response to this solicitation, vendor certifies compliance with this code. In accordance
with A.R.S. 35-391 and A.R.S. 35-393, the contractor hereby certifies that the contractor does not have scrutinized
business operations in Sudan and/or Iran. Vendors that would like to make an exception as listed above must do so
via the contract deviation form.
I agree
5 Certification of Non-Collusion
I, the vendor, certify under penalty of perjury that their response is in all respects bona fide, fair, and made without
collusion or fraud with any person, joint venture, partnership, corporation or other business or legal entity. The
vendor agrees to comply with all Federal, state, and local laws, rules, regulations and ordinances, as applicable. It
is further acknowledged that vendor certifies compliance with all provisions, laws, acts, regulations, etc. as noted
above, in the RFP, and in the Contract and has not in any manner, directly or indirectly, sought by Contract or
collusion, or communication or conference, with any person, to fix the proposed price, overhead, profit or cost
element of any other vendor, or to secure any advantage against ASC or any person interested in the proposed
contract.
I agree
5 Contractor Employment Eligibility
2 By entering the contract, Contractor warrants compliance with the Federal immigration and Nationality Act (FINA),
and all other federal and state immigration laws and regulations. The Contractor further warrants that it is in
compliance proper with the various state statutes where this contract will operate. Participating government entities
including school districts may request verification of compliance from any Contractor or subcontractor performing
work under this contract. These entities reserve the right to confirm compliance in accordance with applicable laws.
Should the participating entities suspect or find that the contractor or any of its subcontractors are not in
compliance, they may pursue any and all remedies allowed by law, including, but not limited to: suspension of work,
termination of the contract for default, and suspension and/or debarment of the contractor. All costs necessary to
verify compliance are the responsibility of the contractor. The offeror complies and maintains compliance with the
appropriate statutes which requires compliance with federal immigration laws by State employers, State contractors
and State subcontractors in accordance with the E-Verify Employee Eligibility Verification Program. Contractor shall
comply with governing board policy of the participating entities in which work is being performed.
I agree
5 Compliance Certification with Fingerprinting and Background Checks
3 If required to provide services on school district property at least five (5) times during a month, contractor shall
submit a full set of fingerprints to the school district if requested of each person or employee who may provide such
service. Alternately, the school district may fingerprint those persons or employees. An exception to this
requirement may be made as authorized in Governing Board policy. The district shall conduct a fingerprint check in
accordance with the appropriate state and federal laws of all contractors, subcontractors or vendors and their
employees for which fingerprints are submitted to the district. Contractor, subcontractors, vendors and their
employees shall not provide services on school district properties until authorized by the District. The offeror shall
comply with fingerprinting requirements in accordance with appropriate statutes in the state in which the work is
being performed unless otherwise exempted.
I agree
Page 9 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
5 Certification of Compliance with Texas House Bill 1295
4 House Bill 1295 was adopted by the Texas Legislature in 2015, adding section 2252.908 to Texas Government
Code. The new law states a Texas governmental entity or Texas State Entity may not enter into certain contracts
with a business entity unless the business submits a disclosure of interested parties to the Texas Governmental
entity or Texas State Agency when the entity submits the signed contract to the governmental entity or state agency.
The law applies only to contracts with Texas governments and entities that either (1) requires an action or vote by
the governing body of the entity or agency before the contract may be signed or (2) has a value of at least
$1,000,0000 on any contracts entered into after January 1, 2016. The new HB 1295 electronic form is provided for
information only. Vendor may be required by each ESC Region 19 cooperative member to complete this form.
Should this form be required for a Region 19 only contract, it will be requested before recommendation of award.
Vendor agrees to complete form 1295 if requested by ASC or ASC membership.
I agree
5 Rights to Inventions Made Under a Contract or Agreement (EDGAR)
5 If the Federal award meets the definition of"funding agreement" under 37 CFR §401.2 (a) and the recipient or sub-
recipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance of experimental, developmental, or research work under that
"funding agreement," the recipient or sub-recipient 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.
I agree
5 Procurement of Recovered Materials (EDGAR)
6 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 vendor 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 C.F.R. Part 247 that contain the
highest percentage of recovered materials practicable, consistent with maintaining a satisfactory 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.
I agree
5 Litigation
7 Provide information on any past or current litigation in which Vendor is involved. If none, respond n/a.
N/A
5 Exceptions to Contract or General and Solicitation Terms & Conditions
8 Vendor is requested to accept all terms and conditions as listed in this RFP. Any exceptions to the terms and
conditions must be noted on the exceptions form and uploaded with the vendor response. Exceptions listed in any
other location will not be considered. Vendor must reference the term name or number and the requested change.
Changes requested after the submittal will not be considered or accepted. Deviations or exceptions stipulated may
result in disqualification. Vendor may request an additional contract with a member on top of the ASC contract to
include additional terms and conditions. Negotiations regarding a supplemental contract with the member will be
handled by the member and the vendor.
I agree
Page 10 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
5 Assignment of Contract
9 Vendor may not assign this Contract or any of its rights, duties or obligations hereunder without the prior written
approval of ASC. Any attempted assignment of this Contract by Vendor shall be null and void. Any Purchase Order
made as a result of this Contract may not be transferred, assigned, subcontracted, mortgaged, pledged, or
otherwise disposed of or encumbered in any way by Vendor without the prior written approval of ASC and, if
applicable, the ASC member. This contract cannot be assigned without prior written approval from ASC and
approval of assignment documents.
I agree
6 Termination With Cause
U Should a contract be terminated by ASC with cause, vendor may not respond or become awarded on a new
contract for 36 months.
I understand
6 Evaluation Criteria & Bid Award
1 This RFP will be evaluated on the following criteria:
Price - 70 points
Reputation - 30 points
Quality of Goods or Services - 0 points
Meets the Needs - 0 points
Past Relationship - 0 points
HUB Certification -0 points
Long Term Cost- 0 points
Principal Place of Business & 500+ Employed in Texas - 0 points
Other- 0 points
ASC reserves the right to award vendors in the best interest of the cooperative including awarding single or multiple
vendors depending on item value and availability.
Bid Lines
1 Percent discount off pricelist.
Total: 0%
Item Notes: If multiple discounts are offered, please provide the minimum discount offered for all items/services.
Ranges are not allowed in the system.
Vendors MUST upload a pricelist or a website where pricing can be located. Failure to provide pricing
will be grounds for non-award.
2 Provide Rate
Rate: $0.00 Total: $0.00
Item Attributes
1. Hourly or Daily
State if rate is hourly or daily.
Hourly
Page 11 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
2. Services
Notate services provided.
Prep Work Light Prep Medium Prep Heavy Prep Scanning Scan Indexing Indexing Destruction Certified
Destruction Exception Processing Exception Processing Film Conversion 16mm film conversion 35mm film
conversion Jacketed Fiche conversion (min. 25 images)Archive Writing Digital archive writing digital to 16mm
film Digital archive writing digital to 35mm film Destruction Diazo Film Duplication 16mm (100 ft) Diazo Film
Duplication 35mm (100 ft) Silver Film Duplication 16mm (100 ft) Silver Film Duplication 35mm (100 ft) Delivery
Response Total: $0.00
Page 12 of 12 pages Vendor:DRS Imaging Services,LLC 20-7383
VA Exhibit C
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
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
Ned. 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.
Name of vendor who has a business relationship with local governmental entity.
DRS Imaging Services LLC
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.
PJ14
Name of Officer
4 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 otficer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
Yes F-1 No
B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction
of the focal government officer or a family member of the officer AND the taxable income is not receivers from the
local governmental entity?
Yes 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.
6
ElCheck 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
,r [' ,95
Signat re o vendor doing business with the governmental en* Date
Form provided by Texas Ethics C im
mission www.ethics.stale.tx.us Revised 1/1/2021