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HomeMy WebLinkAboutContract 56915 CSC No. 56915 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between American Ramp Company, Inc. ("Vendor")and the City of Fort Worth, ("City"), a Texas honle rule nlUnicipality. The Cooperative Purchase Agreement includes the following dOCL1111C11tS which shall be CO11Stl'Llcd ill the order ol'precedence in which they are listed: I. This Cooperative Purchase Agreement, 2. Exhibit A — Seller's QuotC, SCopC ol'SCl'viCCS Or Purchase Order 3. Exhibit i3 — Cooperative Agency Contract (e.g., N,IPA, DIR, BLIyBoard), 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 lot- all purposes. Vendor agrees to provide City with the services and goods included in Exhibit A pUl'SUant to the terms and conditions Of this Cooperative PUrchase Agreement, illClUding all exhibits thereto. City shall pay Vendor in accordance-with the tee schedUIC in Exhibit A and in accordance with the provisions of this Agreement. Total payment made Under this Agreement Im the first year by City shall be in the amOLlllt Of five I hOUsand Dollars ($5,000.00). Vendor shall not provide any additional items or services or bill for expenses incurred for City not specified by this Agreement unless City 1'egUests and approves in writing the additional Costs Iol' SL1CIl services. City shall not be liable for any additional expenses of Vendor not specified by this Aul'CC111Cl1t Unless City first approves SL1CIl CxpC11SCS ill writing. The term Of this Agreement shal l be Im one year beginning Oil October 01, 2021 and ending Oil September 30. 2022 with no remaining renewals. Vendor agrees that City Shall. Ulltil the expiration of three (3) years after filial pay111Cl1t Under this Agreement, or the filial ConclUS1011 ofany audit commenced dLll'illg the said three year's, have access tO and the fight to examine at reasonable times any directly pertinent books, dOCL1111C11tS, paper's and records, i11ClUding, bUt 11Ot li111itCd to, all electronic records, o1 Vendor involving transactions relating to this Agreement at no additional Cost to City. Vendor agrees that City shall have access dUrnlg normal working 11OL11'S to all necessary Vendor facilities and shall be provided adegUate and appropriate work space in order to condUCt audits in compliance with the provisions of this section. City shall give Vendor reasonable advance notice OI intended audits. Notices regUired pLll'SUant to the provisions of this Agreement shall be C0IICIL1S1vely determined to have been delivered when (I) haled-delivered to the other party, its agents, employees, servants or representatives, (2) delivered by lacsimile with electronic confirmation OI 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 I'o CITY: To VENDOR: City of Dort Worth American Ramp Company. Inc. Attn: Valet-ic Washim ton, Assistant City Manager Heather Ogden. Sr. Project Manager 200 Texas Street 601 S. McKinley AvenuC Fort Worth."I'X 76 1 02-63 1 4 .Ioplin MO 64801 Facsimile:(817) 392-8654 facsimile: 417-206-6888 With copy to Dort Worth City Attorneys Oflice at same address The L1llClCl'Si0llCCI repi-ese Its and wat-i-ants that hC ot- She has the powet- and allth01-ity t0 CXCCL1tC this A(M-ee lent and hiller the i-espective Vendor. CITY OF FORT WORTH: CONTRACT COMPLIANCE MANAGER: � J By signing I acknowledge that I and the person By: Valerie Washington(Jan 4,2o2213:22CST) i-esponslhle Ior the mollltoi-ing and adr1 inisti-atlon Name: Valei-ic Washington oTthls Contract, including ensuring all pei- of-mance Title: Assistant City Manager and reporting requirements. Date: Jan 4,2022 APPROVAL RECOMMENDED: By: Name: Scott Pcnn Title: District Superintcndcnt By: DavidCreek(t D �is:05CST) APPROVED AS TO FORM AND LEGALITY: Name: Richard Zavala Title: Park and Recreation Director 'GAF FOR.jpai? p00000 oo d �os�°o ATTEST: By: NicoAriaS(JaR4,2o2212:D3CST) �o �o s=� Nanlc: Nico Arias o*oo oo�ly "Title: Assistant City Attorney aQ P a By: J ette&Goodall(Jan4,202216: ST) CONTRACT AUTHORIZATION: Name:Jannette Goodall M&C: 20-0151 Title: City Secretary VENDOR: American Ramp Company, Inc, OFFICIAL RECORD ATTEST: CITY SECRETARY By: U:mt-�- FT. 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L L N u p +�+ � ate' o u Cam, p [A aJ G o cn a H = rz G� C � W — � ri �° ❑ taZ � ❑ 3 � m a N rp L C] �' Q7 N uJ ... D 4 i^ A Q N N pLL _ O ¢ _n� 3 y p iy = ra vui 2 Q L Ln QJ IA uY h w Ll y r4 zD 4J = w [JI Ln r C ❑ V w i Z 07 x N L y U D lu Q IL D ❑ W rn Zo Q n. a i aQ R � DCa : w n3 Y D l6 ` Y s7 L � ++ o 4-J c aJ �+ r0 L Z w w v o — R D' c = D G sC aJ n ' 1 R 4J O VJ 9 -0 N J pf 0 Q7 C 7 ° � 7R� �v 0 -W y `^— o c} o °a w a a 0 p L c m w p z G .^+ ' L Q Crv 'a� x Lau ❑ y CL 0 IV F-❑a rB O ❑ L z LW DC p zi a — N O a O O a J � ai G T ofu Q w Ln � m waa r c a o NtiN_° CL ro Ln V} a rp m at C G7 N 0 vi o M C W vi W o � O a rZ ., z J VJ d = m C psi Nm z J . w -D C] LA � u Ln �. EQ � g, a4- U yfl 0) yo 0 1-4S Z M y o a [ ++ z m +r z v � LIl ❑_ C-- r-r H Exhibit B PVBoardP.O. Box 400,Austin,Texas 78767 800.695.2919 •info@buyboard.com • buyboard.com August 2, 2021 Sent via email to: heather(aD_americanrampcompany.com Heather Ogden American Ramp Company, Inc. 601 S. McKinley Avenue Joplin MO 64801 Re: Parks and Recreation Equipment and Field Lighting Products BuyBoard Contract 592-19 The Local Government Purchasing Cooperative(BuyBoard)awarded your company a contract under Parks and Recreation Equipment and Field Lighting Products, Contract 592-19, for which the current term is set to expire September 30, 2021.At this time, the BuyBoard is renewing your contract through September 30, 2022. This will be the final renewal of this contract. 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@tasb.org prior to the start of the renewal term. If you have questions or comments concerning this renewal, please contact me as soon as possible at lisa.maraden@tasb.org. We appreciate your interest in The Local Government Purchasing Cooperative. Sincerely, Lisa Maraden Contract Administrator final renewal v.02.13.2020 Endorsed by OR® TASAV TML T,,,' PFBoard® Capperative Purchasing P.O. Box 400 Austin, TX 78767-0400 609.695.2919 / 512.467.0222 / Fax:800.211,5454 buyhoard.com July 18, 2019 Sent Via Email: heather@americanrampcompany.com Heather Ogden American Ramp Company, Inc. 601 S. McKinley Avenue Joplin, MO 64801 Welcome to BuyBoard! Re: Notice of The Local Government Purchasing Cooperative Award Proposal Name and Number: Parks and Recreation Equipment and Field Lighting Products and Installation, Proposal No. 592-19 Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard® contract based on the above-referenced Proposal. The contract is effective 10/1/2019 through 9/30/2020, 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. 592-19 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, Texas Municipal League, Texas Association of Counties,and the Texas Association of School Administrators. AvBoardP.O.Box 400,Austin,Texas 78767 800.695.2919•info@buyboard.com •buyboard.com August 28, 2020 Sent via email to: heather(d)american ram pcomyanv.com Heather Ogden American Ramp Company, Inc. 601 S. McKinley Avenue Joplin MO 64801 Re: Parks and Recreation Equipment and Field Lighting Products BuyBoard Contract 592-19 The Local Government Purchasing Cooperative(BuyBoard)awarded your company a contract under Parks and Recreation Equipment and Field Lighting Products, Contract 592-19 effective October 1, 2019 through September 30, 2020, with two possible one-year renewals. At this time, the BuyBoard is renewing your contract through September 30, 2021. 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 connie.burketta-tasb.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 connie.burketta.tasb.org. We appreciate your interest in The Local Government Purchasing Cooperative. Sincerely, Connie W Burkett, CTSBO Contract Administrator 111 renewal v.02.13.2020 Endol'sed by 100 TASAV rf-1 Boar�� It National School ::;tionarPuichasinp ruperaiire Endorsed by 'NSBA' Boards Association September 4, 2019 Sent Via Email: heather@americanrampcompany.com Heather Ogden American Ramp Company, Inc. 601 S. McKinley Avenue Joplin, MO 64801 Welcome to BuyBoard! Re: Notice of Nation/Purchasing Cooperative Piggy-Back Award Proposal Name and Number: Parks and Recreation Equipment and Field Lighting Products and Installation, Proposal No. 592-19 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 10/1/2019 through 9/30/2020, 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 p0.Box 400,Austin, Texas 78767-0400 800.695.2919■buyboard.com Dwecroperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 ' PM: 800-595-2919 • FAX: 800-211-5454 • buvboard.com PROPOSERrS AGREEMENT AND SIGNATURE Proposal-Name: Parks and Recreation Equipment Proposal Due Date/Opening Date and Time: and Field Lighting Products January 24, 2019 at 4:00 PM Location of Proposal Opening: Texas Association of School Boards, Inc. BuyBoard Department Proposal Number: 592-1.9 12007 Research Blvd. Austin, TX 78759 Anticipated Cooperative Board Meeting Date: Contract Time Period: October 1, 2019 through July 2019 September 30, 2020 with two (2) possible one-year renewals. American Ramp Company, Inc. ! Name of Proposing Company Date 601 S. McKinley Aven Street Address Signature of Auth ized C pany Official Joplin, MO 64801 Jonathon Hunter City, State, Zip Printed Name of Authorized Company Official 417-206-6816 Vice President Telephone Number of Authorized Company Official Position or Title of Authorized Company Official 417-206-6888 35-2353308 Fax Number of Authorized Company Official Federal ID Number Page 9 of 71 Proposal Farms COkST v.06.14.2018 DuBoard ceoperat IVe Purchasing 12007 Research Boulevard 'Austin,Texas 78759-2439 • PH: 800-695-2919• FAX:800-211-5454• buyboard.com The proposing company("you"or"your'l hereby acknowledges and agrees as follows: 1. You have carefully examined and understand all Cooperative information and documentation associated with this Proposal Invitation, including the Instructions to Proposers, General Terms and Conditions, attachments/forms, item specifications, and line items(collectively"Requirements'); 2. By your response ("Proposal') to this Proposal Invitation, you propose to supply the products or services submitted at the prices quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions are noted in the Proposal; 3. Any and all deviations and exceptions to the Requirements have been noted in your Proposal and no others will be claimed; 4. If the Cooperative accepts any part of your Proposal and awards you a contract, you will furnish all awarded products or services at the prices quoted and in strict compliance with the Requirements (unless specific exceptions are noted in the Proposal and accepted by the Cooperative), including without limitation the Requirements related to: a. conducting business with Cooperative members, including offering pricing to members that is the best you offer compared to similar customers; b. payment of a service fee in the amount specified and as provided for in this Proposal Invitation; c. the possible award of a piggy-back contract by another governmental entity or nonprofit entity, in which event you will offer the awarded goods and services in accordance with the Requirements; and d. submitting price sheets or catalogs in the proper format as required by the Cooperative as a prerequisite to activation of your contract; 5. You have clearly identified on the included form any information in your Proposal that you believe to be confidential or proprietary or that you do not consider to be public information subject to public disclosure under a Texas Public Information Act request or similar public information law; 6. The individual signing this Agreement is duly authorized to enter into the contractual relationship represented by this Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a form) is authorized and has the requisite knowledge to provide the information and make the representations and certifications required in the Requirements; 7. You have carefully reviewed your Proposal, and certify that all information provided is true, complete and accurate, and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and 8. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, may disqualify you from consideration for a contract award under this Proposal Invitation or result in termination of an award or any other remedy or action provided for in the General Terms and Conditions or by law. Page 10 of 71 Proposal Forms CONST v.06.14.2018 DuBoard CepperativePareftastag 12007 Research Boulevard •Austin,Texas 78759-2439 - PH:800-695-2919 • FAX: 800-211-5454 •buvboard.com VENDOR CONTACT INFORMATION Company: American Ramp Company, Inc. Vendor Contact Name and Mailing Address for Notices: Heather Ogden, 601 S. McKinley Avenue, Joplin, MO 64801 Company Website: www.americanrampcompany.com Purchase Orders: All purchase orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to vendors to assist them with retrieving their orders. Please select options below for receipt of purchase orders and provide the requested information: El I will use the internet to receive purchase orders at the following address. E-mail Address: heather@americanrampcompany.com Internet Contact: Heather Ogden Phone: 417-206-6816 Alternate E-mail Address: Jeremy@americanrampcompany.com Alternate Internet Contact: Jeremy Jones Phone: 417-206-6816 ❑ Purchase orders may be received by the Designated Dealer(s) identified on my company's Dealer Designation form as provided to the Cooperative administrator. I understand that my company shall remain responsible for the Contract and the performance of all Designated Dealers under and in accordance with the Contract. Request for Ouotes("RFQ"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: E-mail Address: heather@americanrampcompany.com Alternate E-mail Address: Jeremy@americanrampcompany.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: Page 11 of 71 Proposal Forms CONST v.06.14.2018 oa�d B Arceeperative Parahawag 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454•buvboard.com Please choose only one (1) of the following options for receipt of invoices and provide the requested information: 0 Service fee invoices and related communications should be provided directly to my company at: Mailing address: 601 S. McKinley Avenue Department: Sales city: Joplin State: MO Zip code: 64801 Contact Name: Heather Ogden Phone: 417-206-6816 Fax- 417-206-6888 E-mail Address: heather@americanrampcompany.com Alternative E-mail Address: Jeremy@americanrampcompany.com ❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing agent**: Mailing address: Department: City: State: I Zip Code: Contact Name: Phone: Fax: E-mail Address: Alternative E-mail Address: ❑ In lieu of my company, I request and authorize service fee invoices to be provided to the Designated Dealer(s) receiving the purchase order(s)to which the invoiced service fees relate at the address and contact information designated on my company's Dealer Designation form as provided to the Cooperative administrator.** **If Vendor authorizes a bllling agent or DesIgnated Dealer(s)to receive and process service fee In volces, In accordance with the General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relleve Vendor of Its responsibllitles and obligations under the Contract Including,but not limited to,payment of all service fees under any Contract awarded Vendor. Page 12 of 71 Proposal wrens coNsr v.06.14.2o18 DuBaarr�® Couperative Purchasing 12007 Research Boulevard ' Austin,Texas 78759-2439 , PH: 800-595-2919 ' FAX: 800-211-5454 ' buyboard.com FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION FELONY CONVICTION DISCLOSURE Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor) states: "A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony." Section 44.034 further states in Subsection (b): "A school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract." Please check one of the following: ❑ My company Is a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.) ❑■ My company is not owned or operated by anyone who has been convicted of a felony. ❑ My company is owned/operated by the following individual(s) who has/have been convicted of a felony: Name of Felon(s): Details of Conviction(s): By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my company to ma this certification. American Ramp Company, Inc. Company Name _ Jonathon Hunter S� nature of Auth ize ompany Official Printed Name DEBARMENT CERTIFICATION Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification. /_,American Ramp Company, Inc. Company Name Jonathon Hunter ,Signature o Fiorhzed Company Official ___Printed Name f r Page 13 of 71 Proposal Farms C6NST v.06.14.2018 Baarc�� Caopera�ive Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com RESIDENT/NONRESIDENT CERTIFICATION Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who are not Texas residents. Under the statute, a"resident"proposer is a person whose principal place of business is in Texas, including a contractor whose ultimate parent company or majority Owner has its principal place of business in Texas. A "nonresident"proposer is a person who is not a Texas resident. Please indicate the status of your company as a"resident" proposer or a "nonresident" proposer under these definitions. Please check (d)one of the Following: ❑ I certify that my company is a Resident Proposer. lW I certify that my company is a Nonresident Proposer. If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in which your company's principal place of business is located): American Ramp Company, Inc. 601 S. McKinley Avenue Company Name Address Joplin Ma 64801 City State Zip Code A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? ❑ Yes El No B. What is the prescribed amount or percentage? $ or 0/0 VENDOR EMPLOYMENT CERTIFICATION Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's ultimate parent or majority owner (i) has its principal place of business in Texas; or (J) 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 N)one of the Following-: ❑ Yes ❑ No By signature below, I certify that the information in Sections 1 (Resident/Nonresident Certification) and 2 (Vendor Employment Certification) above is true, complete and accurate and that I am authorized by my company to make this certification. American Ramp Company, Inc. Company Name Jonathon Hunter ignature of Auth izy6 Company official Printed Name Page 14 of 71 Proposal Forms CANST v.06.74.2018 i Beard OD Caaperative Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com NO ISRAEL BOYCOTT CERTIFICATION Effective September 1, 2017, a Texas governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. (TEX. Gov`r CODE Ch. 2270) "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. TEx.Gov?CODE§808.001(1). By signature below, I certify and verify that vendor does not boycott Israel and will not boycott Israel during the term of any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized by my company to make this certification. 1 American Ramp Company, Inc. = Company Name Jonathon Hunter Signature of:Auth�o�izedCompany Off - I Printed Name i No EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist organization —specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be excluded from its Federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to the contract prohibition.) By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this certification is true, complete and accurate; and that I am authorized by my company to make this certification. American Ramp Company, Inc. Company Name Jonathon Hunter Z& nature of4orizpany 0 Printed Name Page 15 of 71 Proposal Forms CONST v.06.14.2018 DuCeoperative Purchasing 12007 Research Boulevard .Austin,Texas 78759-2439• PH:800-695-2919 . FAX: 800-211-5454 •buyboard.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'j 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(a[)all that apply: ❑ I certify that my company has been certified as a HUB in the following categories: E 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: Certification #11209, Expires: 1/16/21 Name of Certifying Agency: State of Missouri Office of Equal Opportunity ❑ 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. Company Name Printed Name Signature of Authorized Company Official Page 16 of 71 Proposal Forms CONST v.06.14.2018 Dwecaperafivep'Urchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.corn CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members ("Advisory"], Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This BuyBoard contract does not include such services. Architecture or engineering services must be procured by a Cooperative member separately, in accordance with the Professional Services Procurement Act(Chapter 2254 of the Texas Government Code) and other applicable law and local policy. The Advisory, available at buyboard.comlVendor/Resources.aspx, provides an overview of certain legal requirements that are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services, including those for projects that may involve or require architecture, engineering or independent testing services. A copy of the Advisory can also be provided upon request. By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase order for construction-related goods or services, whichever comes first. merican Ramp Company, Inc. Company Name Jonathon Hunter sighe-u a uth ized Company Official Printed Name 1 h-�// Date Page 17 of 71 Proposal Forms C{}N5T v.06.14.201$ Board® Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com DEVIATION AND COMPLIANCE If your company intends to deviate From the General Terms and Conditions, Proposal Specifications or other requirements associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted deviation. In the absence of any deviation identified and described in accordance with the above, your company must fully comply with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s) regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative reserves the right to accept or reject a proposal based upon any submitted deviation. Please check (V) one of the following: 0 NO; Deviations ❑ Yes; Deviations List and fully explain any deviations you are submitting: PLEASE PROVIDE THE FOLLOWING INFORMATION: 1. Shipping Via: ❑K Common Carrier ❑ Company Truck ❑ Prepaid and Add to Invoice ❑ Other: 2. Payment Terms: ■❑ Net 30 days ❑ i% in 10/Net 30 days ❑ Other: 3. Number of days for delivery: 45 ARO 4. Vendor Reference/Quote Number: 5. state your return policy: 25% Restocking Fee 6. Are electronic payments acceptable? [*Yes ❑ No 7. Are credit card payments acceptable? ❑Yes ❑ No Americ Company, Inc. C an ame Jonathon Hunter i ature of A ized Company Official Printed Name Page 18 of 71 Proposal Forms CONST Y.D6.14.2D!8 Board Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919• FAX: 800-211-5454 •buvboard.com LOCATION /AUTHORIZED SELLER LISTINGS If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation, please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary. NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders, and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer Designated Dealer form. American Ramp Company, Inc. (Factory Direct) Company Name 601 S. McKinley Avenue Address Joplin MO 64801 City State Zip 417-206-6816 417-206-6888 Phone Number Fax Number Jonathon Hunter/Heather Ogden Contact Person Company Name Address City State Zip Phone Number Fax Number Contact Person Page 19 of 71 Proposal Fortes CONST v.06.14.2018 s oard� Cooperative Purchasing 12007 Research Boulevard 'Austin,Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com MANUFACTURER DEALER DESIGNATION If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers ("Designated Dealers") to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete this form for each dealer you wish to designate. Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder, including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees. If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor with Designated Dealers receives a Purchase order directly, it shall be the responsibility of Vendor to appropriately process such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase order to a Designated Dealer for processing. The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase orders or otherwise acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion. If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish to designate multiple dealers, please duplicate this form as necessary. Designated Dealer Name Designated Dealer Address City State Zip Phone Number Fax dumber Email address Designated Dealer Tax ID Number* (*attach W-9) Designated Dealer Contact Person American Ramp Company, In Your Company Name Ignature of Aut zed Company Official rT � Page 20 of 71 Proposal Forms CON v.06.14.2018 Cunperative Pu►chasrng 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 Resignation form) offers vendors the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to serve different regions for different products or services Included in your proposal, you must complete and submit a separate Texas Regional Service Deslgnatlon 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 reglons, you are certifying that you are authorized and willing to provide the proposed products and services In those regions. Designating regions In which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your proposal or,if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on this form. Regional Education Service Centers 0 I will service Texas Cooperative members ` statewide. fiM w ❑ I will not service Texas - Cooperative members statewide. I will only service members in the r` - `--V� regions checked below: Region Headquarters -I +- ❑ 1 Edinburg 14. 7 -=— ❑ 2 Corpus Christi �; _ [,_ +-;... _ j ._ �- ❑ 3 Victoria 19 + ` z �_ ,i • ;.. ❑ 4 Houston A _ ❑ 5 Beaumont r�.'--.. .. ❑ 6 Huntsville ❑ 7 Kilgore "r ❑ 8 Mount Pleasant "� ❑ 9 Wichita Falls `l' _' ' tr`� ❑ to Richardson -� ❑ 11 Fort Worth �``" ❑ 12 Waco w ❑ 13 Austi n ❑ 14 Abilene -;' _ ❑ is San Angelo -�=y' ❑ 16 Amarillo Americ- Ra company, Inc. ❑ 17 Lubbock ❑ 18 Midland Comp y ame ❑ 19 El Paso ❑ 20 San Antonio ure o AutficYed Company official Jonathon Hunter ❑ I will not service members Printed Name of the Texas Cooperative. Page 21 of 71 Proposal Forms CQNST v.06.141018 PFBoard COOPerat"Parebassfag 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919• FAX:800-211-5454•buyboard.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: NIA Page 22 of 71 Proposal Forms CONST v.06.14.2018 Board Caaperatly®Pprchaslag 12007 Research Boulevard •Austin,Texas 78759-2439 • PH:800-695-2919 . FAX:800-211-5454 •buvboard.com STATE SERVICE DESIGNATION The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including Intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete this form if you plan to service the entire United States, or will service only the specific states indicated. (Note:If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.) If you serve different states for different products or services Included In your proposal,you must complete and submit a separate State Service Designation form for each group of products and clearly Indicate the products or services to which the des/gnat/on applies In the space provided at the end of this form. By designating a state or states,you are certifying that you are authorized and w1111ng to provide the proposed products and services In those states. Deslgnat/ng states In which you are either unable or unwllling to provide the speclfled products and services shall be grounds for either rejection of your proposal or, If awarded,terminatlon of your Contract. Please check(30 all that apply: 0 I will service all states in the United States. ❑ I will not service all states in the United States. I will service only the states checked below: ❑ Alabama ❑ Alaska ❑ Nebraska ❑ Arizona ❑ Nevada ❑ Arkansas ❑ New Hampshire ❑ California (Public Contract Code 20118&20652) ❑ New Jersey ❑ Colorado ❑ New Mexico ❑ Connecticut ❑ New York ❑ Delaware ❑ North Carolina ❑ District of Columbia ❑ North Dakota ❑ Florida ❑ Ohio ❑ Georgia ❑ Oklahoma ❑ Hawaii ❑ Oregon ❑ Idaho ❑ Pennsylvania ❑ Illinois ❑ Rhode Island ❑ Indiana ❑ South Carolina ❑ Iowa ❑ South Dakota ❑ Kansas ❑Tennessee ❑ Kentucky ❑Texas ❑ Louisiana ❑ Utah ❑ Maine ❑ Vermont ❑ Maryland ❑Virginia ❑ Massachusetts ❑ Washington ❑ Michigan ❑ West Virginia ❑ Minnesota ❑ Wisconsin ❑ Mississippi ❑ Wyoming ❑ Missouri ❑ Montana Page 23 of 71 Proposal Forms CONST v.06.14.2018 DuBeard CooperativePurrhasing 12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com This form will be used to ensure that: you can service other governmental entitles throughout the United States as indicated. Your signature below confirms that you understand your service commitments during the term of a contract awarded under this proposal, American Ramp Company, Inc. Company Name Jonathon Hunter igg ture of Au on d Company Official ted Name If this State Service Designation form applies to only one or some of the products and services proposed by Vendor, list the products and services to which this form applies here: Page 24 of 71 Proposal FDrrn$CONST v.06.14,2fl18 AWBoard COOPerative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH:800-695-2919 ' FAX: 800-211-5454• buvboard.com NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the State Service Designation form, in your Proposal. By signing this form, Proposer(referred to in this Agreement as"Vendor")agrees as follows: 1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative") awards Vendor a contract under this Proposal Invitation ("Underlying Award'), the National Purchasing Cooperative("National Cooperative'l 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'j, Vendor accepts and agrees to be bound by any such Piggy-Back Award as provided for herein. 2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator ("BuyBoard Administrator') will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by its BuyBoard Administrator in writing. 3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e., lower)competitive pricing and more favorable terms and conditions than those in the Underlying Award. 4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved in writing by the BuyBoard Administrator. 5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National Cooperative members in order to verify the accuracy of service fees. 6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall control,and then only to the extent necessary to reconcile the conflict. Proposal Fortes CONST v.06.14.2018 Page 25 of 71 PFBaarc�� CoaparativePurchasing 12007 Research Boulevard • Austin,Texas 78759-2439 , PM: 800-695-2919 • FAX: 800-211-5454 • buyboard.com 7. This Agreement shall be governed and construed in accordance with the laws of the Skate of Rhode Island and venue for any dispute shall lie in the Federal district court of Alexandria, Virginia. S. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy- Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein. WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this Agreement. America am Company, Inc. 592-1 9 Name of dor , Proposal Invitation Number Jonathon Hunter Ign re of or Company Official Printed Name of Authorized Company Official Date Proposal Forms CONST v.05.14.2018 Page 26 of 71 Ducuoperative purchaslag 12007 Research Boulevard .Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buvboard.com FEDERAL AND STATE/PURCHASING COOPERATIVE_ExPERIENCE The Cooperative strives to provide its members with the best services and products at the best prices available from vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions. 1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market price during the previous 12-month period or the last fiscal year: z.748,340.08 , (The period of the 12 month period is 01118 112118 ). In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the saes of the items). 2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items under equivalent circumstances. 3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing cooperatives as required. FORMERCURRENT ■O• • ■ ■ PURCHASING rrr•? IF YES, LIST YEARS COMMODITY • ■ ■rr• s• 1. Federal General Services Administration Y Yes, 2009-201 2016- Current 192 37I•parY.&Playground Equipment 2. T-PASS(state of Texas) 3. U.S. Communities Purchasing Alliance 4. National IPAJTCPN 5. Houston-Galveston Area Council (HGAQ 5. National Joint Powers Alliance (NJPA) Y Yes, 201 Q-Current 0�0t i•uea,wnb Pial9rwnd E�iament 7. E&I Cooperative 8. The Interloca) Purchasing System (TIPS) 9. Other Y Yes, 2014-Current ❑ MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS. CURRENT BUYBOARD VENDORS If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your current and proposed discounts. Current Discount(°/a):Free Freight Proposed Discount(0/o):Free Freight Explanation: We wilf continue to extend free freight to BuyBoard members.Also.the list price extended is factory direct discounted pricing Proposal Forms CONST Y.GG.M 20 18 Page 27 of 71 DuBaard Ccaperative Purchasing 12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 ' FAX: 800-211-5454 ' bukboard.corn 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. �merican Ramp Company, Inc. Company Name Jonathon Hunter 4ignatfu—irref ut ized Company OfFcla Printed Name r Proposal Forms CONST v.05.14.20IS Page 28 of 71 �aa�d Guuperative f'urchasing 12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 ' FAX: 800-211-5454 . huyboard.com GOVERNMENTAL REFERENCES For your Proposal to be considered, you must supply a minimum of Five (5) individual governmental entity references. The Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information requested below, including the existing price/discounts you offer each customer, The Cooperative may determine whether prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts you offer other governmental customers. Attach additional pages if necessary. Quantity/ Entity Name Contact Phone# Email Address Discount Volume 1 City of El Campo, Mindi Snyder, 979-541-5004, msnydera@cityofelcampo.org, Free Freight, $ 70,110.18 Z Lackland AFB, Phil Heeg, 210-836-8287, donald.heeg@us.af.mil, 8% GSA, $ 98,000.00 3 City of Pearsall, Charles Jackson, 830-334-3576, cjackson@cityofpearsall.arg, Free Freight, $ 150,000.00 4.City of Marshalltown, Anne Sellness, 641-754-5715, aselness@marshalltown-ia.gov, Free Freight, $70,075.00 5 City of Lockport, Greg Ludwig, 815-838-5016, gludwig@lockportpark.org, Free Freight, $149,123.53 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❑ NOW If YES, please explain: By signature below, I certify that the above is true and correct and that I am authorized by my company to make this certification, Ameri n Ra p Fomplany, Inc. Compa Name nature of Aut oriz9fi Company Official Jonathon Hunter Printed Name Proposal Forms CONST v.06.14.2618 Page 29 of 71 ward wouperativaPurchasIng 12007 Research Boulevard •Austin,Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454 • buvboard.com MARKETING STRATEGY For your Proposal to be considered, you must submit; the Marketing Strategy you will use if the Cooperative accepts all or part of your Proposal. (Example: Explain how your company will initially inform Cooperative members of your BuyBoard contract, and haw you will continue to support the BuyBoard for the duration of the contract period.) Attach additional pages if necessary. If we are awarded a Buy Board Cooperative Purchasing contract we will continue to use the Buy Board logo on all applicable marketing material including catalogs, website,e-blasts, mailers, posters, tradeshow banners, etc. Because we print all of our own marketing material in house, including catalogs,we are able to include the Buy Board information on marketing materials immediately.We send e-blasts to over 5,000 potential customers every month and will include information regarding Buy Board on all of those a-mails in applicable markets. All of our Social Media sites will be updated with information regarding procurement through Buy Board. Our company attends over 50 tradeshows throughout the US and Canada that are primarily attended by municipal and other government customers.Any tradeshow in a relevent market will display and have information regarding Buy Board to distribute.We have met with our National Assistant Manager through Buy Board and wilt continue to work with her. Ameri an Ramp Company Compa Name �� Sig ature of A thorired Company Official Jonathon Hunter Printed Name Proposal Forms CONST v.06.141018 Page 30 of 71 DwBoard evoperativepurchastas 12007 Research Boulevard •Austin,Texas 78759-2439 • PH:800-695-2919 • FAX:800-211-5454•buvboard.com CONFIDENTIAL/PROPRIETARY INFORMATION A. Public Disclosure Laws All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public Information Act (Texas Government Code chapter 552.001, et. seq.) or similar disclosure law. Proposer must clearly identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a member of the public or other third party request access to the information under the Texas Public Information Act or similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has identified in this form as proprietary or confidential. Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information which Vendor considers proprietary or confidential? Please check(d1 one of the following: 0 NO,I certify that none of the information included with this Proposal is considered confidential or proprietary. rJYES,I certify that this Proposal contains information considered confidential or proprietary and all such information is specifically identified on this form. If you responded"YES",you must identify below the specific Information you consider confidential or proprietary. List each page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will disclose information when required by law, even if such information has been identified herein as information the vendor considers confidential or proprietary. Confidential/Proprietary Information: (Attach additional sheets if needed.) Proposal Fortes CONST v.06.14.2018 Page 31 of 71 ward Cooperative Purehasing 12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com B. Copyright Information Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright information? Please check OA one of the followina: NO, Proposal(including forms,documentation, or other materials submitted with the Proposal)does not contain copyright information. YES, Proposal (including forms,documentation,or other materials submitted with the Proposal)does contain copyright information. If you responded"YES", identify below the specific documents or pages containing copyright information. Copyright Information: {Attach additional sheets if needed.} C.Consent to Release Confidential/Proprietary/Copyright Information to BuyBoard_Members BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential, proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract award constitutes your consent to the disclosure of such Information to BuyBoard members, including posting of such information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be responsible for the use or distribution of information by BuyBoard members or any other party. D.Consent to Release Proposal Tabulation Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal, Vendor consents and agrees that, upon Contract award, the Cooperative may publicaliy release, including posting on the public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed catalog/pricelist name(s); proposed percentage discounts), hourly labor rate(s), or other specified pricing; and Vendor award or non-award information. By signature below, I certify that the information in this Form is true, complete, and accurate and that I am authorized by my company to e this certification and all consents and agreements contained herein. Americ . 2 p, ompany, Inc. Compa ame Sig Lure of Au oriz d Company Official onathon Hunter Printed Name 1124/19 Date Proposal Farms CaN5T v.06.14.20 18 Page 32 of 71 PFBoard CooperafteParchssing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919• FAX: 800-211-5454 'buvboard.com VENDOR BUSINESS NAME By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and accurately provide the information requested below or your Proposal may be deemed non-responsive. Name of Proposing Company: American Ramp Company.Inc. (List the(goal name of the company seeking to contract with the Cooperative. Do N_QJlist an assumed name,dba,aka, etc.here. Such infomratran may be provided below. If you are submitting a joint proposal with another entity to provide the same proposed goods or services, each submitting entity should complete a separate vendor information fomr. Separately operating legal business entities, even if affiliated entitles, whidr propose to provide goods or services separately must submit 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): Missouri Federal Employer Identification Number: 35-2353308 (Vendor must include a completed - = form with their proposal) List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note. If different than the Name of Pmpasing Company listed above, only valid trade names(dba, aka, etc.)of the Proposing Company may be used and a copy of your Assumed Name Certihcate(s),if applicable,must be attached.) American Ramp Company Proposal Forms CONST v.06.14.2018 Page 33 of 71 Form Request for Taxpayer Give Form to the (Rev.October 2019) Identification Number and Certification requester.Do not Ilepar9er¢nt of the treasury send to the IRS. Internal Revenue 5ery ce ►Go to www.lrs.gov1FormW9 for Instructions and the latest Information. / Name(as shown on your income tax return).Name is required on this line:do not leave this fine blank. American Ramp Company,Inc. 2 Business namerdbregarded entity name.it different from above 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 on to p H P pP y H following seven boxes. certain entitles,not Indrvlduals:see Q, instructions on page 3k p ❑ Ini ividuallsole proprietor or ❑ C Corporation ❑S Corporation ❑ Partnership ❑Trust/estate single-membor LLC Exempt payee cede(if any) ❑ Limited liability company.Enter the lax classification(C_C corporation.S=S corporation.P=Partnership)► o Note:Check the appropriate box in the fuse above for the tax ciasslficalion of the sirtgle-member owner. Do not check Exemption from FATCA reporting a LLC if the LLC is classified as a single-member LLC that is d,sroga►ded from the owner unless the owner of the LLC Is C= another LLC that Is not disregarded from the owner for U.S,federal tax purposes.Otherwise.a single-member LLC that code(if an d° is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other(see instructions)► r�oro.axcanr<msw:a�rarua+mrusr y 6 Address(number,street.and apt.or suite noa See instructions. Requesters name and address(optional) 601 S.McKinley Avenue 6 City.state.and ZIP code Joplin,Mo 64801 7 List account numbers)here(optional) a Tax er Identification Number Enter your TIN in the appropriate box.The TIN provided must match the name given on line t to avoid Social security number backup withholding.for individuals,this is generally your social security number .However,fora resident alien,sole proprietor,or disregarded enttty,see the instructions for Part I,.later. ater.For other entities,it is your employer Identification number(EIN).if you do not have a number,see How to get a 77N,later. or Note:If the account is in more than one name.see the instructions for line 1.Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter. M35 - 2 1 3 1 5 1 3 3 0 8 • certirrcation 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 w oid[ng;and 3.1 am a U.S.citizen or other .S. rsorh(defined below);and 4.The FATCA coda(s)enter o his form(it any)Indicating that I am exempt from FATCA reporting is correct. Certification instructione' �t st 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 a and dividends on you tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandennleured property.cane t' of debt.contributions to an Individual retirement analwment ORA).and generally,payments other than Interest and diou ar of require the certification,but you must provide your correct TIN.See the instructions for Part 11.later. Sign signature t oate► Here U.S.po General In rUCtIOr1S •Fonn 1099-ON(dividends,incl ding those from stocks or mutual funds) Section references to the Internal Revenu Code unless otherwise •Form 1099-MISO(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain otter related to Form W-9 and its Instructions,such as legislation enacted transactions by brokers) after they were published,go to www.ks.gov1F6rmW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest). information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number MN)which may be your social security number •Form 1099-C(canceled debt) (SSM,Individual taxpayer identification number([TIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identificaticn number(ATIN).or employer identification number (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. lryou do not return Form W-9 to the requester with a TIN,you might •Form 1099-1NT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231 X Form W-9(Rev.10-2018) Board Csaperadve Psrchasing 12007 Research Boulevard •Austin,Texas 78759-2439 , PH: 800-695-2919 " FAX: 800-211-5454 •buvboard.com EDGAR VENDOR CERTIFICATION (2 CFR Part 200 and Appendix II) When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, 2 CFR 200 (sometimes referred to as the"Uniform Guidance"or new "EDGAR'). All Vendors submitting proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This completed form will be made available to Cooperative members for their use while considering their purchasing options when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in addition to the BuyBoard contract's general terms and conditions, to address the member's specific contractual needs, Including contract requirements for a procurement using federal grants or contracts. For ggC& of the Items below, Vendor should certify Vendor's agreement and ability to comply, where applicable, by having Vendor's authorized representative complete and Initial the applicable boxes and sign the acknowledgment at the end of this form. If you fall to complete any Item In this form, the Cooperative will consider and may list the Vendor's response on the BuyBoard as "NO,'the Vendor Is unable or unwilling to comply. A "NO" response to any of the items may, if applicable, impact the ability of a Cooperative member to purchase from the Vendor using federal funds. 1. Vendor Violation or Breach of Contract Terms: Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate. Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18, Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms and Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary contract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions. The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By submitting a Proposal, you agree to these Vendor violation and breach of contract terms. 2. Termination for Cause or Convenience: For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the following term and condition shall apply: The Cooperative member may terminate or cancel any purchase order under this Contract at any time, with or without cause, by providing seven (7) business days advance written notice to the Vendor. If this Agreement is terminated in accordance with this Paragraph, the Cooperative member shall only be required to pay Vendor for goods or services delivered to the Cooperative member prior to the termination and not otherwise returned in accordance with Vendors return policy. If the Cooperative member has paid Vendor for goods or services not yet provided as of the date of termination, Vendor shall immediately refund such payment(s). If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the manner by which it will be effected and the basis for settlement, is included in the Cooperative member's purchase order, ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member's provision shall control. Proposal Forms CaNST v.06.14.2018 Page 34 of 71 PVBoard C60perative Parchasing 12007 Research Boulevard •Austin,Texas 78759-2439 , PH: 800-695-2919 . FAX: 800-211-5454 •buvboard.com 3. Equal Employment Opportunity: Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), In accordance with Executive Order 11246, "Equal Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR Part 60,"Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor." The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that such provision applies to any Cooperative member purchase or contract that meets the definition of"federally assisted construction contract"in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision. 4. Davis-Bacon Act: When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146- 3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute, Vendor is required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week. Current prevailing wage determinations issued by the Department of Labor are available at wdol.gov. Vendor agrees that, for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor's acceptance of the wage determination. Vendor further agrees that it shall also comply with the Copeland"Anti-Kickback"Act (40 USC 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whale or in Part by Loans or Grants from the United States"). The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. S. Contract Work Hours and Safety Standards Act: Where applicable,for all Cooperative member contracts or purchases in excess of$100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. 6. Right to Inventions Made Under a Contract or Agreement: If the Cooperative member's Federal award meets the definition of"funding agreement" under 37 CFR 401.2(a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance or experimental, developmental, or research work under that"funding agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,"and any Implementing regulations issued by the awarding agency. Vendor agrees to comply with the above requirements when applicable. Proposal Forms CONST v.06.14.2018 Page 35 of 71 DuBoard ceoperatfre Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 . FAX: 800-211-5454 'Nvboard.com 7. Clean Air Act and Federal Water Pollution Control Act: Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended — Contracts and subgrants of amounts in excess of$150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401- 7671q.) and the Federal Water Pollution Control Act,as amended (33 USC 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency(EPA). When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act and the Federal Water Pollution Control Act. S. Debarment and Suspension: Debarment and Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.220) must not be made to parties listed on the govemment-wide exclusions in the System for Award Management(SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR Part 1989 Comp. p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. 9. Byrd Anti-Lobbying Amendment: Byrd Anti-Lobbying Amendment(31 USC 1352) --Vendors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 USC 1352. Each tier must also disclose any lobbying with non- Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. As applicable, Vendor agrees to file all certifications and disclosures required by, and otherwise comply with,the Byrd Anti-Lobbying Amendment(31 USC 1352). 10. Procurement of Recovered Materials: For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency(EPA) at 40 CFR Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds$10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. 11. Profit as a Separate Element of Price: For purchases using federal funds in excess of$150,000, a Cooperative member may be required to negotiate profit as a separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Contract. Proposal Forms CONST v.06.14.2018 Page 36 of 71 wC oard ouperat&L-Purchaslag 12007 Research Boulevard •Austin,Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 •buyboard.com 12. General Compliance and Cooperation with Cooperative Members: In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to, applicable recordkeeping and record retention requirements. Vendor Certification; YES, I agree or Vendor Certification Item No. NO, I do NOT agree 'al 1. Vendor Violation or Breach of Contract Terms Yes 2. Termination for Cause or Convenience Yes 3. Equal Employment Opportunity Yes 4. Davis-Bacon Act Yes 5. Contract Work Hours and Safety Standards Act Yes 6. Right to Inventions Made Under a Contract or Agreement Yes 7. Clean Air Act and Federal Water Pollution Control Act Yes 8. Debarment and Suspension Yes 9. Byrd Anti-Lobbying Amendment Yes 10. Procurement of Recovered Materials Yes lyd 11. Profit as a Separate Element of Price Yes 12. General Compliance and Cooperation with Cooperative Members Yes By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by my company t ake this certification and all consents and agreements contained herein. Americ Ra p ompany Comp me Sign ure of Aut orl Official Company nathon Hunter rinted Name Proposal Forms CQNST v.06.14.2918 Page 37 of 71 P 0 0 AR Board cooperative Purchasing 12007 Research Boulevard 'Austin,Texas 78759-2439 ' PM: 800-695-7919 ' FAX: 800-211-5454 • buyboard.corn PROPOSAL INVITATION QUESTIONNAIRE The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial resources to provide the goods and perform the services (`Work") under the BuyBoard contract contemplated by this Proposal Invitation ("Contract"). Proposers must fully answer each question, numbering your responses to correspond to the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where indicated below, and submit the signed questionnaire and your responses to all questions in one document with your Proposal. You must submit the signed questionnaire and responses with your Proposal or the Proposal will not be considered. 1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your company is currently for sale or involved in any transaction that would significantly alter its business or result In acquisition by another entity. American Ramp Company has been designing, manufacturing and installing skateparks, bike parks and pump tracks for 20+ years. We offer a wide variety of products, including modular, and onsite construction methods, in order to meet our customers' individual needs. 2. describe Proposer's direct experience (not as a subcontractor) performing the work proposed under this contract. Include a brief description of the projects you have completed for Texas governmental entities in the last S years, and include for each the project name, scope, value, and date, and the name of the procuring government entity and entity contact person. Identify the contracts that best represent Proposer's capabilities relative to this contract. American Ramp Company has held a Buy Board contract since 2013 �Q "&ahed 3. 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. American Ramp Company has staff dedicated to customer support and service. our firm consists of over 100 employees who design and build action sports facilities throughout the world. We perform most of our own work in-house to guarantee quality and a quick turnaround time. over the years we have developed a very efficient system to insure that each customer and project get the attention it needs. Proposal Forms CONST v,06.14.2618 Page 38 of 71 wBoard evoperativepurchasing 12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 •buvboard.com 4. The Contract does not include architectural or engineering services, which must be procured separately, outside of the Cooperative, in accordance with Chapter 2254 of the Texas Government Code(Professional Services Procurement Act). If you are performing work under the contract on a project that requires the services of an architect or professional engineer, how will you work with a Cooperative member and its designated architect or engineer with respect to services that must be procured outside the contract? The scope of project that we provide generally does not require any architect or engineering services. If we happen to be involved in a project which requires an architect or engineer we will work with the customer to source a proximal licensed architect appropriate for the specific project needs. 5. Describe the tasks and functions that can be completed by Proposer in-house without the use of a subcontractor or other third party. Nearly every scope of work within a project that we are involved in is done in-house. We design, manufacture and install ourselves which means our customers have a one stop shop for product and services. Covering all aspects of a project not only insures a quality project with a quick tumaround, it also eliminates third party markup which insures our customers get the best project and most product we can provide for their budget. 6. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position with your firm. American Ramp Company has substantial working capital to perform on this contract.Our insurance coverage limits are at or above industry standard and include Commercial General Liability,Automotive Liability, Umbrella Liability, Professional Liability and Workers Compensation.We have secured bonds for projects up to$1.5 million. None of our current or former owners,principal shareholders,stockholders or officers have been a debtor party to any bankruptcy,receivership or insolvency proceeding. 7. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing agreement? If so, provide detailed information on the nature of such items and prospects for resolution. American Ramp Company does not have any outstanding financial judgments and is not in default on any loan or financing agreement. Proposal Forms COW v.06.14.20IS Page 39 of 71 DuBoard ceaperaffre Porchaslag 12007 Research Boulevard •Austin,Texas 78759-2439, PH: 800-695-2919 'FAX: 800-211-5454 •buvboard.com 8. Ust 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. Include any contract for which the surety was notified of a potential claim in regards to a payment or performance bond. 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, notice to surety, failure to complete or deliver the work,or termination. American Ramp Company has not failed to complete or been terminated on any contracts in the past ten years and no claims have every been made against our payment and performance bonds. 9. List all litigation or other legal proceedings (including arbitration proceedings and/or claims filed with a surety in regards to a payment or performance bond), if any, in the last 10 years brought against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), if applicable, nature of the daim, and resolution or current status. American Ramp Company has not had any litigation or legal proceedings brought against our firm, past or present owners, principal shareholders or stockholders, officers, agents or employees relating to this contract or the similar to the work being proposed under this contract. 10. Describe in detail the quality control system Proposer will use, including third party auditing certification, to support the long-term performance and structural strength of the products to be used in a project under the Contract. We employ our own in-house QC personnel who inspect pre-production plans as well as post production product output. We offer an annual maintenance and inspection plant to our customers where we visit and inspect each project to insure it is in good working condition. 11. If the work will require Proposer to tender performance or payment bonds, provide the name of the bonding Company or surety that will issue such bonds. Western Surety Company Proposal Forms CONST v.06.14.2018 Page 40 of 71 PFCoaperativePurchasIng 12007 Research Boulevard 'Austin,Texas 78759-2439 • PH: 800-695-2919 • FAx: 800-211-5454 . buyboard.com 12. Describe in detail all documented safety issues, if any, that have involved Proposer in the last three (3)years related to the type of work contemplated under this contract. Provide a 3-year history of your firm's workers compensation experience modifier. We have not had any documented safety issues in the past 3 years related to the type of work contemplated under this contract. Please see the attached letter regarding our 3-year history of our workers compensation experience modifier. 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. Americ n Ramp Company Compa am Si a re of Authorized Company official Proposal Forms CoNST v.06.14.20IS Page 41 of 71 ag 4 EMPLOYER ADVANTAGE The Trusted Professional Employer Organization 1027 South Main Street Ste 401 • Joplin,Alissouri 64801 • 417-782-3909 • Fax 417-782-3802 • 800-467-3909 inr ?employeradvantage.com • www.o.rorployemdvantage.com January 24,2019 American Ramp Company 601 McKinley Avenue Joplin, MO 64801 Re: EMR Confirmation To Whom It May Concern: American Ramp Company is covered under The Employer Advantage's master workers' compensation policy. Due to the confidential nature of Employer Advantage's NCCI Worksheet and it containing information that pertains to other clients, we are unable to release the worksheet. The experience modification rates for American Ramp Company are as follows: 07-01-2016 to 07-01-2017 0.79 07-01-2017 to 07-01-2018 0.91 07-01-2018 to 07-01-2019 0.92 The policy period is July 1 to July l of each year. American Ramp Company started with Employer Advantage December 21,2008. If you have any questions,please contact me at 417-782-3909 ext 440. Sincerely, OMAp W'1iZLAAA j Amy Wisener WC Claims Manager 601 McKinley Joplin. 64801 Tall-free $77-RAMP-778 , Local 417-206-6a 16 n Fax 417-206-6888 mmmmmw sales@americanrainpcompany.corn W W W.A M ER IC AN RAM PCOM PANY.COM January 24. 2019 Johs performed in Texas in bast 5 years: February, 201 3 — Luhhock, TX Product Line: (tamp Armor Scope ol'Work: Supply (tamp Armor Customer: City of Lubbock Value: $ 9.718.12 March. 2013 — Brownsville. TX Product Line: Pre-Cast Concrete Scope of Work: DesiLn. Manufacture and Install Pre-Cast Concrete Equipment Customer: City of Brownsville Value: $ 450,000.00 April, 2013 —Spring, TX Product Line: Pre-Cast Concrete Equipment Scope of Work: Design, Manulaeture and Install Pre-Cast Concrete Equipment Customer: City of Spring Value:: $ 31.092.36 May. 201 3 — Midlothian. TX Product fine: Pre-Czist Concrete lquipment Scope of Work: Design. MantllaCture and Install lyre-Cast Concrete Equipment Customer: City of M idlothian Value: $79,793.17 .tune. 201 3 —Borger, TX Product Lille: Ramp Armor Scope oi'Work: Supply Ramp Armor Customer: City of Borger Value: $ 1 A 36,26 Julv. 2013 — Lake Worth Product Line: Max Grip Scope of'Work: Suplll%' Max GriP Paint CuStllnlel': City Of Lake Worth Value: $ 4.973.07 Novernhcr, 2013 — San Antonio, TX Product line: Design Scope ol'Work: Design Skatepark Customer: City of San Antonio Value: $5.000.00 February, 2014— Deer Park. TX Product Line: Max Grip Scope of Work: Supply Max Grip Paint Customer: City of Deer Park Value: $l.103.52 601 McKinley Agie Joplin, MO 64801 Tall-free 877-RAMP-778 Local 417-206-6816 w Fax 417-206-6888 sales@americanrampcompany.corn W W W.AM ERICANRAMPCOM PAN Y.COM iMarcIt, 2014 — S si1 Marcos. TX Product Line: Pre-Gast Concrete Etluipnlent Scope of Work: Design. ManLIfacturC and Install 1're-Cast Concrete Equipniclit Customer: City of San Marcos Value: $ 22,400.24 M are h, 2014 — Malakoff, TX Product Line: Pump Track Scope of Work: Design, %—Innulacturc: and Install Pump]'rack Customer: City of Malakoff Value: $74-500.00 April, 2014 — Fort I food, TX Product Line: Fire Repairs Scope of Work: 0ii-site repairs to life damaged equipment Customer: Dept. of Armv Value: S 3,000.00 May. 2014 — Rio Grande Citv Product Line: Design Scope of Work: Design ofSkatepark Customer: City of Rio Grande City Value: $2.500.00 May, 2014 — Houston, TX Product Line: Max Grip Scope of Work: Provide Max Grip Paint Customer: City Of HOUStcln Value: $ 1.297.60 February. 2015 — Fort Worth. TX Product Line: Pre-Cast Concrete Equipment Scope of Wort:: Design, M2111L1faCtUre and installaticm of pre-cast concrete equipment Customer: City of ForL Wort11 Value: $ 74.151.52 F ehruary, 2015 — F risco, TX Product Line: Desk-n Scope cif work: Design of hike park skills course Customer: City of Frisco Value: $ 5.000.00 April, 2015 — Plainview, TX Product Line: Pre-Cast Concrete Equipment Scope of Work: MWILIfaclure and ship skateboard bench Customer: Citv oi'I'lainview Value: $ 4300.00 April. 2015— Saginaw. TX Product Line: I'ro Series Scope of Work: Desi-n. manufacture and install Pro Series Equipment CL€StOltler: City of SaginaW Value: $ 49,1833.40 601 McKinley Joplin, MO 64801 Toll-free 877-RAMP-778 Local 417-206-6816 Fax 417-206-6888 sales@amencanrampcompany.com W W W.AM E RICAN RA hSPC❑rA PANY.C OM May, 20 15— Denton. TX Product Line: Ramp Armor Scope ❑f'Work: Supply Ramp Armor Customer: City of Denton Value: 1.G 30.62 May, 2015— McCarney, TX Product Line: Max Grip Scope of Work: Supply Max Grip Paint Customer: City o4'McCarnsy Value: 746.80 .Iu tic, 2015 — Sut:arland. TX Product Line: Pro Scries Scope ❑f Work: itlanufacture and Ship IIro Series Equipment Customer, City of Stluarland Value: $7.572.55 June, 2015 — Houston. TX Product Line: Ramp :armor Scope of'Work: Supply Ramp Armor Customer: City of HOUStOrt Value: $ 1.356.35 Jule. 2015 — San Marcos- TX Product Line: Pre-Cast Puntp 1 rack Scope of Work: Design. Manuiaclure and Install pre-cast pump track Customer; City oI'San Marcos & kips Kids 1:0und-.ltio11 Value: $ 45,000.00 September, 2015 — Frisco, TX Product Line: PBR Skills Bike Park Equipment Scope of Work: Desi1-1:1, Ma11Ut 1Cttlre and Install of Skills Park Equipment Customer: City ofFrisco Valtle: $ 17.334.2() Novcrnbcr. 2015 —Corpus Christi, TN Product Line: Pump Track Scope of Work: Design. MaI11U rZICIUre and 111StuI1 1)uln1) 1 rack Customer: City ofCO1.1)US ('11r]StI Value: $ 39,600.00 February, 2010 — B row nwood. TX ProdUCt Lille: Desi-l1 Scope of Work: Design of'Skatepark Customer: Cite of Bro wmvtwd Value: $2.500.00 March. 201E— Rio Grande Cite.'l'X ProduCt Line: Pre-Cast Concrete Equipment SCope of Work: Design- rl�fanufacture and Install I're-Cast Skatepark Equipment CLlStO111Cr, City of Rip Grande C ity VaItie: $ 149,500.00 601 McKinley Agir Joplin,MO 64801 Toll-free 877-RAMP-778 Local 417-206.6816 ca Fax 417-206-6888 sales@ amencanrampcompany.corn W W W.AMER ICA N R AMP COMPANY XOM February, 2016 — LaPorte, TX Produet [,Inc.- Ramp Armor Scope of Work: Supply and Install ]tamp Armor Customer: Town of I-a Pone Vaiut: 527.418.96 March. 2016—Cedar P.rrk. TX ProdUc:t Line: PBR Bike l equipment Scope of Work: Manufacture and Install PBIZ Hike Park Equipment Ctrstorner: City of Cedar Park Value: S33.639.93 May. 2016— Brown \ood. TX PrOdUct Line: Pro Series Scope of Work: i,1anulactu1'e and Installation of Pro Series Skate ELlUipment Customer: City ol'Brownwood Value: $ 100.000.00 ,luly, 2016—Texarkana, TX Product Line: Pre-Cast and Pour In Place 5katepark Scope of Work- [)esi-n, Manul:returc and Consu•uct Concrete Skatepark Value: $ 244,500.00 Customer: City of' fexarkana June, 2016— Rohstown, TX Product Line: Pro Series Skaic Lcluipnleslt Scope of Work: Manufacture lint! Iltstall Pro SerieS ]'equipment Customer: City oI'Robstown VaILIC: S 67.071.66 Au"Fust, 20I6—Fort Werth. TX Produet Line: Pre-Cast Scope of Work: Design, Manufacture and Installation of Pre-Cast Skate EkImpmc:it Customer: City ol'Dort Worth Valur: $ 45,764.42 August, 2016— Brenham. TX Product Line: X Series Scope of Work: ❑esi-r1, Manufacture and Installation of X Series Skate lcluipment Customer: City ol'Brenham Value: $ 7U.U33.18 AuUust. 2016— Sa�zinaw. TX Produet Line: Pro Series Scope of Work: Design, Manuiacture .ind Installation ol'Pro Series Skate EgUipnient Customer: City ol'Saginaw Value: $4-5.494.61 Au-*uSt. 20 16—McCarney. TX Product Linc: Pro Series Scope of Work: I3esiLr7, MallulaetLrre and Installation of Pro Series Skate Equipment Customer: Laity oi'McCamcy Value: $ 35,329.68 601 McKinley "if Joplin, Ma 64801 Tall-Free 877-RAMP-778 Local 417-206-6816 Fax 417-206-6888 sales@americanrampcompany.com W W W.A M ER ICA NRA M PCOM PANY.CC M February, 2017— 1.ulkin. .1 X Product Line: Shotcrcte Skatepark Scope of-Work: Design/Build Shotcrete Skatepark C ustnmer: City of Lufkin VaIc1C: $ 160,000.00 February, 2017— Bandera, TX Product Line: Shotcrete Skatepark Scope of Work: DeSignlf3uild Shotcrete Skatepark Customer: City of Bander Value: $ 100.000.00 March. 2017 —Orange. I k Pft)dnct Line: Pro Series Scope of Work: DesiL�11, MWIL11-aCtUre and Installation of Pro Series Skate Equipment Customer: City of'oram'e V211ur: $ 72,599.35 Mauch. 20 17— Breckenridge, TX PrOdUCt line: Pro Series Scope of'Work: ❑eshm, MallufaCtllre and Installation of Pro Series Skate 1quipment Cus(omer: City of Brec ken rld­c Value: $ 93).578.21 July, 2017— Denton, TX Product Line: Pro Series Scope of Work: Design, Manufacture and Installation of Pro Series Skate Equipment C ustolner: City of Demon Vakle: $41,291.08 AUQUst, 2017— McAIlen. TX Product Linc: Pre-Cast Skate Equipment Scope of Work: Design, Man and Installlatloil oI'Pre-cast Skate Equipment C ustonler: City of McAllen VaILIC: $ 134362.00 .tulle. 2018 — E.I Canino. TX Product Line: Pro Series Scope of Work: Design, Manufacture and Installation of Pro Series Skate Equipment Customer: City of El Campo Value: $ 70.1 10.18 ❑c Lobe r. 20 19— Pearsa1I. TX Product Line: Pro Series Scope of Work: ❑es'sgn, MilnUlaCture and Installation of Pro Series Skate Equipment CL1SIU III ei': City of Pearsa II Value: $ 105,360.00 November. 2018 — Katy. TX Product Line: Pro Series Scope of Work: Design. Manufacture and InstaIlaitIoil of Pro Ser1cs Skate Equipment Customer: City of Katy VaIl1C: $ 73.474.()2 PVBoard C00perativepler I Ing 12007 Research Boulevard ' Austin,Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com REQUIRED FORMS CHECKLIST (Please check(V)the following) Completed: Proposer's Agreement and Signature FV Completed: Vendor Contact Information GZ Completed: Felony Conviction Disclosure and Debarment Certification Yr Completed: Resident/Nonresident Certification Completed: No Israel Boycott Certification Completed: No Excluded Nation or Foreign Terrorist Organization Certification Completed: Historically Underutilized Business (HUB) Certification) [ Completed: Construction Related Goods and Services Affirmation Completed: Deviation/Compliance [� Completed: Location/Authorized Seller Listings Completed: Manufacturer Dealer Designation Corn 2lleted: Texas Regional Service Designation Completed: State Service Designation Completed: National Purchasing Cooperative Vendor Award Agreement Completed: Federal and State/Purchasing Cooperative Experience [� Completed: Governmental References E/ Completed: Marketing Strategy Completedd: Confidential/Proprietary Information Completed: Vendor Business Name with IRS Form W-9 Connoleted: EDGAR Vendor Certification Completed: Proposal Invitation Questionnaire EM Completed: Required Forms Checklist Completed: Proposal Specification Form with Catalogs/Pricelists and Manufacturer Authorization Letters 'Ca talogslFlicelrsts must be submitted with proposal response or response wNl not be cansrdered. Proposal Forms CONST v.06.14.2018 Page 42 of 71 601 McKinley Joplin,MO 64801 Toll-free 877- RAMP-778 Local 417-206.6816 Fax 417-206-6888 sales@americanrampcompany.com W W W.A M ER I CAN R A h1 P C O h1 P ANY.C O M January 24, 2019 American Ramp Company manufactures its own products and therefore does not require a Manufacturer Authorizati o tter. Thank y , .1 thon ter - -- ce Presi ent 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. i A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. American Ramp Company, 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. None Name of Officer i -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 CIQ 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 XI 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? aYes Fx I 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. None s 51 Chr c this box if the vendor has given the local government officer or a family member of the officer one or more gifts as escribed in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7j I DJ�L o S na re of vendor doin sines th the governmental entity r Dale Form provided�y Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Oocs/LG/htm/LG.176.htm.For easy reference,below are some of the sections cited on this form. Local Government Code§176.0010-a):"Business relationship"means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal,state,or local governmental entity or an agency of a federal,state,or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public;or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by,and reporting to,that agency. Local Government Code§176.003(a)(2)(A)and(B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than$100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed;or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code&176.006(a)and(a-1) (a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity,or a family member of the officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any gift described by Section 176.003(a-1);or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application,response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity;or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer,described by Subsection(a); (B) that the vendor has given one or more gifts described by Subsection(a);or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 VERIFICATION OF SIGNATURE AUTHORITY HEATHER OGDEN 601 S. MCKINLEY AVENUE JOPLIN MO 64801 Vendor hereby agrees to provide City with independent audit basic financial statements, but also the fair presentation of the financial statements of individual funds. Execution of this Signature Verification Form ("Form") hereby certifies that the following individuals and/or positions have file authority to legally bind Vendor and to execute any agreement, amendment or change order on behalf'of Vendor. Such binding authority has been granted by proper order, resolution, ordinance or other authorization of Vendor. City is frilly entitled to rely on the warranty and representation set forth in this Form in entering into any agreement or amendment with Vendor. Vendor will submit an updated Form within ten (10) business days if there are any changes to the signatory authority. City is entitled to rely on any current executed Form until it receives a revised Form that has been properly executed by Vendor. 1. Pri Name: P t i r . l�` ignaturc 2. Printed Name: pp qSig,nre 11' 3. Printed Name:CJO Yl Position: }(r� Pry. -1 Signatu Printed e: Signature of Pfmw?-VL+ resi //Board Member Other Title: Date: 10/12/21,2:11 PM M&C Review Official site of the City of Fort Worth,Texas CITY COUNCIL AGENDA FoT+ n DATE: 6/23/2020 REFERENCE**M&C 20- LOG NAME: 13P COOP PLAYGROUND NO.: 0151 EQUIPMENT BB PARD TT CODE: P TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: Authorize Purchase Agreements with Multiple Vendors for Recreation Equipment and Field Lighting Products Using a Cooperative Contract for the Parks & Recreation Department in the Combined Annual Amount Up to $750,000.00 and Authorize Two Annual Renewal Options (ALL COUNCIL DISTRICTS) RECOMMENDATION: It is recommended that the City Council authorize Purchase Agreements with the vendors listed below for parks and recreation equipment and field lighting products using Texas Association of School Boards (BuyBoard) Contract No. 592-19 for the Parks and Recreation Department in the combined annual amount up to $750,000.00 and authorize two annual renewal options. DISCUSSION: The Parks & Recreation Department (PARD) approached the Purchasing Division to finalize annual agreements to purchase new equipment and replacement pieces from multiple vendors which will be installed by the PARD Small Capital Projects Crews (SCPC) and maintenance staff. PARD staff recommends awarding multiple vendors offering a variety of products offered through BuyBoard Contract No. 592-19. Recommended vendors and award amounts are listed below: Vendor Award Amount Total Recreation Products, Inc. $250,000.00 Childs Play, Inc. $150,000.00 Insite Amenities, L.P. $100,000.00 Webuildfun, Inc. $100,000.00 Whirlix Design, Inc. $20,000.00 Kompan, Inc. $5,000.00 American Ramp Company, Inc. $5,000.00 Shade Structures, Inc. $5,000.00 Lea Park & Play Inc. $25,000.00 Play and Park Structures $5,000.00 BSN Sports, LLC $75,000.00 Playground Solutions of Texas, $10,000.00 Inc. Total $750,000.00 apps.cfwnet.org/counciI_packet/mc_review.asp?ID=27720&counciIdate=6/23/2020 1/2 10/12/21,2:11 PM M&C Review COOPERATIVE PURCHASE - The Purchasing Division will use BuyBoard Contract No. 592-19 to purchase new equipment and replacement pieces, from multiple vendors which will be installed by the SCPC and maintenance staff. 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 items. BuyBoard contracts have been competitively bid to increase and simplify the purchasing power of government entities. M/WBE OFFICE -A MBE/SBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity. AGREEMENT TERMS —This agreement will commence upon City Council approval, and end September 30, 2020 to coincide with BuyBoard contract No. 592-19. RENEWAL OPTIONS - The BuyBoard Agreement may be renewed at the City's option for two additional one-year terms if BuyBoard renews its contract. This action does not require specific City Council approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal term. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendation and award of the contract, funds are available in the current operating and capital budgets, as appropriated, of the General and Capital Project Funds. Prior to any expenditure being incurred, the Park& Recreation Department has the responsibility to validate the availability of funds. BQN\\ TO Fund Department Account roject Program Activity udget Reference # Amount ID ID 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_ Kevin Gunn (2015) Originating Department Head: Reginald Zeno (8517) Additional Information Contact: Cynthia Garcia (8525) Tempy Thomas (7648) ATTACHMENTS Buy Board Docs .pdf a pps.cfwnet.o rg/council_packet/mc_review.asp?I D=27720&cou nci Idate=6/23/2020 2/2