HomeMy WebLinkAboutContract 57056CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement (“Agreement”) is entered into by and between Dealers
Electrical Supply Company (“Vendor”) and the City of Fort Worth, (“City”), a Texas home rule
municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1.This Cooperative Purchase Agreement;
2. Exhibit A – Seller’s Quote, Scope of Services or Purchase Order;
3. Exhibit B – Cooperative Agency Contract (e.g., NJPA, DIR, BuyBoard); and
4. Exhibit C – Conflict of Interest Questionnaire
Exhibits A, B, and C, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by City
shall be in the amount of One Hundred Thousand Dollars ($100,000). Vendor shall not provide any
additional items or services or bill for expenses incurred for City not specified by this Agreement unless
City requests and approves in writing the additional costs for such services. City shall not be liable for
any additional expenses of Vendor not specified by this Agreement unless City first approves such
expenses in writing.
The term of this Agreement shall be for one year beginning on January 7, 2021 and ending on
November 30, 2022. The City shall be able to renew this agreement for two (2) one-year renewal options
by written agreement of the parties.
Vendor agrees that City shall, until the expiration of three (3) years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books, documents, papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows:
CSC No. 57056
To CITY:
City of Fort Worth
Attn: Reginald Zeno, Interim Assistant City
Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8517
With copy to Fort Worth City Attorney’s Office
at same address
To VENDOR:
Dealers Electrical Supply Company
Daryl Donaldson
2320 Columbus Avenue
Waco TX 76701
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
CITY OF FORT WORTH:
By: ___________________________
Name: Reginald Zeno
Title: Interim Assistant City Manager
Date:
APPROVAL RECOMMENDED:
By: ______________________________
Name: Anthony Rousseau
Title: Acting Finance Director
ATTEST:
By: ______________________________
Name: Jannette Goodall
Title: City Secretary
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all performance
and reporting requirements.
By: ______________________________
Name: Cynthia Garcia
Title: Assistant Finance Director
APPROVED AS TO FORM AND LEGALITY:
By: ______________________________
Name: Taylor Paris
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: N/A
VENDOR:
Dealers Electrical Supply Company
By:
Name:
Title:
Date:
Daryl Donaldson
Vice President Sales and Marketing
January 14, 2022
Reginald Zeno (Jan 27, 2022 15:19 CST)
Jan 27, 2022
Jannette S. Goodall (Jan 31, 2022 07:44 CST)
Jannette S. Goodall
657-21
Dealers Electrical Supply
Supplier Response
Event Information
Number:657-21
Title:Building Maintenance, Repair and Operations Supplies and
Equipment
Type:Request for Proposal
Issue Date:4/14/2021
Deadline:6/17/2021 04:00 PM (CT)
Notes:
The Local Government Purchasing Cooperative (BuyBoard)
Proposal Invitation No. 657-21
Building Maintenance, Repair and Operations Supplies and Equipment
Proposal Due Date and Time: June 17, 2021 at 4:00 PM
Responding to this and future proposals online is easy with our online submission
system.
1.View and download the forms.
DO NOT log in to view and download the documents.
Visit vendor.buyboard.com and click on the “Current Proposal Invitations” button
shown below to view and download the forms for this proposal.
Page 1 of 18 pages Vendor: Dealers Electrical Supply 657-21
Exhibit A
2. To submit completed proposal.
Visit vendor.buyboard.com and click "Register/Login/Submit Proposal" button
shown
below to submit your proposal online.
For additional assistance click this link è View our Proposal Submission
Instructions.
New Vendor? Visit vendor.buyboard.com and click “Register/Login/Submit Proposal.”
Click Register now as a new supplier/vendor, so you don’t miss future proposal
opportunities.
Any Addenda issued with this proposal will also be placed on the website, and it will
be the
vendor’s responsibility to obtain the information.
Page 2 of 18 pages Vendor: Dealers Electrical Supply 657-21
Dealers Electrical Supply Information
Address:2320 Columbus Avenue
Waco, TX 76701
Phone:(254) 756-7251
Fax:(254) 756-0133
By submitting your response, you certify that you are authorized to represent and bind your company.
Daryl Donaldson daryld@dealerselectrical.com
Signature Email
Submitted at 6/4/2021 4:44:29 PM
Requested Attachments
IRS Form W-9 Request for Taxpayer Identification Number and
Certification
W-9 dealers electrical supply co.pdf
REQUIRED - In PDF format, upload W-9 form. (Please DO NOT password protect uploaded files.)
Detailed Information and Exceptions Related to Discount and/or Hourly Labor Rate No response
In PDF format, define the services that are proposed to be provided and attach detailed information including
exceptions to pricing or discount percentage, NOTE: IF DETAILED INFORMATION IS NOT SUBMITTED, PROPOSAL
MAY NOT BE CONSIDERED. (Please DO NOT password protect uploaded files.)
BuyBoard Proposal Invitation No.657-21 - Building
Maintenance, Repair and Operations Supplies and
Equipment
dealers electrical supply 657-21 searchable proposal.pdf
REQUIRED - In PDF format, upload all proposal invitation documents available for download at vendor.buyboard.com
including any additional pages, as necessary. (Please DO NOT password protect uploaded files.)
Catalog/Pricelist dealers electrical supply 657-21 Pricelist searchable.pdf
REQUIRED - In PDF format, upload catalog/pricelist in proposal invitation instructions. File size must not exceed
100MB.(Please DO NOT password protect uploaded files.)
Bid Lines
1
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Electrical Supplies, Materials and Equipment.
Total:20%
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Page 3 of 18 pages Vendor: Dealers Electrical Supply 657-21
Item Attributes
1.State Name of Catalog/Pricelist
dealers electrical 657-21
2
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Types of Power Generating
Equipment (electric, gas, diesel portable, back up on-site).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
3
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Various Types of Lamps and
Ballasts (Fluorescent, incandescent, quarts, HID, shatterproof, metal handle, high pressure sodium, ballasts, similar related items).
Total:20%
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
dealers electrical 657-21
Page 4 of 18 pages Vendor: Dealers Electrical Supply 657-21
4
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Various Types of Lighting Fixtures.
Total:20%
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
dealers electrical 657-21
5
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Types of Indoor Signage.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
6
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Types of Solar Supplies and Equipment.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Page 5 of 18 pages Vendor: Dealers Electrical Supply 657-21
Item Attributes
1.State Name of Catalog/Pricelist
No response
7
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Building Supplies and Materials (carpentry,
lumber, drywall, insulation products, concrete products, and similar related items).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
8
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Doors - All Types and Sizes (metal, wooden, and
similar related items).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 6 of 18 pages Vendor: Dealers Electrical Supply 657-21
9
Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Overhead Doors - All Types and Sizes (metal,
wooden, similar related items).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
1
0 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Types of Fasteners and Hardware
Products (doors, cabinets, and similar related items).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 7 of 18 pages Vendor: Dealers Electrical Supply 657-21
1
1 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Roofing Materials and Supplies (PRODUCTS
ONLY - NO LABOR).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
1
2 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Paint and Paint Related Products, Supplies and
Equipment.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 8 of 18 pages Vendor: Dealers Electrical Supply 657-21
1
3 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Parking Lot Striping Equipment, Supplies and
Materials.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
1
4 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Plumbing Supplies, Materials and Equipment.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 9 of 18 pages Vendor: Dealers Electrical Supply 657-21
1
5 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Various Types of Toilet Partitions, Sinks, and
Countertops.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
1
6 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Types of Energy and Water Monitoring
Products.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 10 of 18 pages Vendor: Dealers Electrical Supply 657-21
1
7 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Boiler Equipment and Supplies.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
1
8 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for HVAC Refrigerants and Supplies.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
1
9 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Types of Hand Tools and Sets.
Total:10%
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Page 11 of 18 pages Vendor: Dealers Electrical Supply 657-21
Item Attributes
1.State Name of Catalog/Pricelist
dealers electrical 657-21
2
0 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Welding Supplies and Equipment.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
2
1 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Commercial Building Glass and Other Glass
Materials and Supplies.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 12 of 18 pages Vendor: Dealers Electrical Supply 657-21
2
2 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Building Entryway Awnings, Canopies and
Related Accessories - all types of materials (metal, fabric, and related materials).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
2
3 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Elevator Equipment and Supplies.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 13 of 18 pages Vendor: Dealers Electrical Supply 657-21
2
4 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Escalator Equipment and Supplies.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
2
5 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Material Handling and Storage Equipment and
Supplies (forklifts, warehouse storage systems, pallet jacks, similar related items).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
Page 14 of 18 pages Vendor: Dealers Electrical Supply 657-21
2
6 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Types of Fencing Materials and Supplies.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
2
7 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Pest Control Products and Supplies.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
2
8 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Power Washing Equipment and Materials.
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Page 15 of 18 pages Vendor: Dealers Electrical Supply 657-21
Item Attributes
1.State Name of Catalog/Pricelist
No response
2
9 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for Soil/Road Chemical Base Stabilizer Products
(solvents, surfactants, acid oxidizers, and common dispersing agents).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
3
0 Section I: Equipment, Products, and Supplies- Discount (%) off catalog/pricelist for All Other Building Maintenance, Repair and
Operations Products not listed (supplies, materials and equipment).
No Bid
Item Notes:Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
Vendor's must list one specific percentage discount for each Manufacturer listed.
Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1.State Name of Catalog/Pricelist
No response
3
1 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Boiler
Equipment and Products and Related Items -- Not to Exceed Hourly labor rate for Installation/Repair
Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
Page 16 of 18 pages Vendor: Dealers Electrical Supply 657-21
3
2 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Power
Generating Equipment, Products and Related Items -- Not to Exceed Hourly labor rate for
Installation/Repair Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
3
3 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of
Commercial Building Glass and Related Items -- Not to Exceed Hourly labor rate for Installation/Repair
Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
3
4 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of
Elevator Equipment, Products and Related Items -- Not to Exceed Hourly labor rate for Installation/Repair
Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
3
5 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of
Escalator Equipment, Products and Related Items -- Not to Exceed Hourly labor rate for Installation/Repair
Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
3
6 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Fencing
Products and Related Items -- Not to Exceed Hourly labor rate for Installation/Repair Service of Equipment
and Products.
Quantity:1 UOM:Hour No Bid
3
7 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Toilet
Partitions, Sinks, Countertops and Related Items -- Not to Exceed Hourly labor rate for Installation/Repair
Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
3
8 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of
Overhead Door Equipment, Products and Related Items -- Not to Exceed Hourly labor rate for
Installation/Repair Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
3
9 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Doors,
Framework, Door Hardware Equipment, Products and Related Items -- Not to Exceed Hourly labor rate
for Installation/Repair Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
Page 17 of 18 pages Vendor: Dealers Electrical Supply 657-21
4
0 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Building
Entryway Awnings, Canopies and Related Equipment, Products and Related Items -- Not to
Exceed Hourly labor rate for Installation/Repair Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
4
1 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Power
Washing Equipment and/or Services and Related Items -- Not to Exceed Hourly labor rate for
Installation/Repair Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
4
2 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of Parking
Lot Striping Equipment and/or Services and Related Items -- Not to Exceed Hourly labor rate for
Installation/Repair Service of Equipment and Products.
Quantity:1 UOM:Hour No Bid
4
3 Section II: Installation and Repair Service- Hourly Labor Rate for Installation/Repair Service of
Concrete Cutting and Related Items -- Not to Exceed Hourly labor rate for Installation/Repair Service of
Equipment and Products.
Quantity:1 UOM:Hour No Bid
Response Total: $0.00
Page 18 of 18 pages Vendor: Dealers Electrical Supply 657-21
v.02.01.2021
October 11, 2021
Sent Via Email: daryld@dealerselectrical.com
Daryl Donaldson
Dealers Electrical Supply
2320 Columbus Avenue
Waco, TX 76701
Welcome to BuyBoard!
Re: Notice of The Local Government Purchasing Cooperative Contract Award; Proposal Invitation No.
657-21, Building Maintenance, Repair and Operations Supplies and Equipment
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company
a BuyBoard® contract based on the above-referenced Proposal Invitation. The contract is effective for an
initial one-year term of December 1, 2021, through November 30, 2022, and may be subject to two possible
one-year renewals. Please refer to the Proposal Invitation for the contract documents, including the General
Terms and Conditions of the Contract.
To review the items your company has been awarded, please review Proposal Tabulation No. 657-21 at:
www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract
award, and only those awarded items may be sold through the BuyBoard contract. All sales must comply
with the contract terms and must be at or below the awarded pricing as set forth in the General Terms and
Conditions.
The contract will be posted on the BuyBoard website as an online electronic catalog(s). You are reminded
that, in accordance with the General Terms and Conditions, all purchase orders must be
processed through the BuyBoard. Except as expressly authorized in writing by the Cooperative’s
administrator, you are not authorized to process a purchase order received directly from a Cooperative
member that has not been processed through the BuyBoard or provided to the Cooperative. If you receive
a purchase order directly from a Cooperative member that you have reason to believe has not been received
by the Cooperative or processed through the BuyBoard, you must promptly forward a copy of the purchase
order by email to info@buyboard.com.
A list of Cooperative members is available on the buyboard.com website. The BuyBoard vendor relations
staff will be contacting you to assist with the resources available and to provide any support you may need
as an awarded BuyBoard vendor.
On behalf of the Cooperative, 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 (select option “2”).
Sincerely,
Arturo Salinas
Asst. Division Director, Cooperative Purchasing
Texas Association of School Boards, Inc.,
Administrator for The Local Government Purchasing Cooperative
Exhibit B
v.02.01.2021
October 11, 2021
Sent Via Email: daryld@dealerselectrical.com
Daryl Donaldson
Dealers Electrical Supply
2320 Columbus Avenue
Waco, TX 76701
Welcome to BuyBoard!
Re: Notice of National Purchasing Cooperative Award; Proposal Invitation No. 657-21, Building Maintenance, Repair and
Operations Supplies and Equipment
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal Invitation. The contract is effective for an initial one-year term of December
1, 2021, through November 30, 2022, and may be subject to two possible one-year renewals. Please refer to the Proposal
Invitation for the contract documents, including the National Purchasing Cooperative Vendor Award Agreement and General
Terms and Conditions of the Contract.
To review the items your company has been awarded, please review Proposal Tabulation No. 657-21 at
www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract award, and only
those awarded items may be sold through the BuyBoard contract. All sales must comply with the contract terms and must
be at or below the awarded pricing as set forth in the General Terms and Conditions.
The contract will be posted on the BuyBoard website as an online electronic catalog(s). You are reminded that, in
accordance with the General Terms and Conditions, all purchase orders from National Cooperative members
must be processed through the BuyBoard. Except as expressly authorized in writing by the Cooperative’s administrator,
you are not authorized to process a purchase order received directly from a National Cooperative member that has not been
processed through the BuyBoard or provided to the Cooperative. If you receive a purchase order directly from a National
Cooperative member that you have reason to believe has not been received by the National Cooperative or processed through
the BuyBoard, you must promptly forward a copy of the purchase order by e-mail to info@buyboard.com
A list of National Cooperative members is available on the buyboard.com website. The BuyBoard vendor relations staff will
be contacting you to assist with resources available and provide any support you may need as an awarded BuyBoard vendor.
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 (select option “2”).
Sincerely,
Arturo Salinas, Asst. Division Director, Cooperative Purchasing
Texas Association of School Boards, Inc., Procurement Administrator for the National Purchasing Cooperative
12007 Research Bou levard • Austin, Texas 78759-2439 · PH: 800-695-29 19 • buyboa rd .com
PROPOSER'S ACCEPTANCE AND AGREEMENT
Proposal Invitation Name: Building
Maintenance, Repair, and Operations Supplies and
Equipment
Proposal Due Date/Opening Date and Time:
Ju ne 17, 2021 at 4:00 PM
Proposal Invitation Number: 657-21
Contract Term: December 1, 2021 through
November 30, 2022 with two possible one-year
renewals.
Location of Proposal Opening:
T exas Association of School Boards, Inc.
BuyBoard Department
12007 Research Bl vd.
Austin, TX 78759
Anticipated Cooperative Board Meeting Date:
October 2021
By signature below, the undersigned acknowledges and agrees that you are authorized to submit this
Proposal, lncludlng making all acknowledgements, consents, and certifications herein, on behalf of Proposer
and, to the best of your knowledge, the Information provided Is true, accurate, and complete.
Dealers Electrical Supply Co. May 25, 2021
Name of Proposing Company
2320 Columbus Ave.
Street Address
Waco, Texas 76701 Daryl Donaldson
City, State, Zip Printed Name of Authori zed Company Official
254-756-7251 Vice President Sales and Marketing
T e lephone Number of Authori zed Company Official Position or Title of Authorized Company Official
254-756-0133 74 -1972120
Fa x Number of Authorized Company Offici al Federal ID Number
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PROPOSAL FORMS PART 1: COMPLIANCE FORMS
INSTRUCTIONS:
Proposer must review and complete all forms in this Proposa l Forms Part 1:
• Proposal Acknowledgements
• Felony Conviction Disclosure
• Resident/Nonresident Certification
• Debarment Certification
• Vendor Empl oyment Certification
• No Israel Boycott Certification
• No Excluded Nation or Foreign Terrorist Organization Certification
• Hi storica ll y Underuti lized Business Certification
• Acknowledgement of BuyBoard Technical Requirements
• Construction-Re lated Goods and Services Affirmation
• Deviation and Co m pl ia nce
• Vendor Consent for Name Brand Use
• Confidential/Proprietary Information
• EDGAR Vendor Certification
• Comp lia nce Forms Signature Page
An authorized representative of Proposer must initial in the bottom right corner of each page where indicated
and complete and sign the Compliance Forms Signature Page. Proposer's failure to fully complete, initial, and
sign forms as required may result in your Proposal being rejected as non-responsive.
PROPOSAL ACKNOWLEDGEMENTS
Th e proposing company ['you" or "your'') hereby acknowledges and agrees as follows:
1. You have carefully examined and understand all information and documentation associated with this Proposa l Invitation,
including the I nstructions to Proposers, General Information, General Terms and Conditions, attachments/forms,
append ices, item specifications, and li ne items (collectively "Requirements'');
2. By your response ("Proposa l'') to this Proposal I nvitation, you propose to supp ly the products or services submitted at
t he pricing quoted in your Proposal and in strict comp liance with the Requiremen t s, unless specific deviations or
exceptions are not ed in the Proposal;
3. By your Proposal, you acknowledge and certify all items set forth in the Genera l Terms and Conditions, Section B.12
(Certifications), including all non-collusion certifications and certifications regarding legal, ethica l, and other matters set
forth therein.
4. Any and all deviations and exceptions to the Requirements have been noted in your Proposal on the required form and
no others w ill be claimed;
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5. If the Cooperative accepts any part of your Proposa l and awards you a Contract, you will furnish all awarded products or
services at the pricing quoted and in strict compliance with the Requirements (unless specific deviations or exceptions
are noted on the required form 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 simi la rly situated customers in simi lar circumstances;
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 the Nationa l Purchasing Cooperative or nonprofit entity, in which
event you will offer the awarded products 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;
6. You have clearly identified on the included fo rm 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 the Texas Public
Information Act or simi lar public information law;
7. T he individual submitting this Proposal is duly authorized to enter into the contractual relationship represented by this
Proposal I nvitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a
form or Proposa l document) is authorized and has the requisite knowledge to provide the information and make the
representations and certifications requi red in the Requirements;
8. You have carefu lly reviewed your Proposal, and certify that all information provided is true, complete, and accurate to
the best of your knowledge, and you authorize the Cooperative to take such action as it deems appropriate to verify such
information; and
9. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, wi ll be grounds for
disqua li fying you from consideration for a contract award under this Proposal Invitation, termination of a contract award,
or any other remedy or action provided for in the Gene ral Terms and Conditions or by law.
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 schoo l distri ct may term inate a contract with a person or business
entity if the district determines that the person or business entity fai led 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."
Pl ease check (v'.) one of the followi ng:
D .MY company is a publicly-held corporation. (Adva nce noti ce requirement does not apply t o publicly-held corpo ration.)
Ii] My company is not owned or operated by anyone who has been con victed of a felony .
D My company is owned/operated by the foll owing individual(s) who has/have been convicted of a felony:
Name of Felon(s): ----------------------------------
Details of Conviction(s): __________________________________ ,,
• Dealers is an employee-owned company. To the best of my knowledge, no Officer
or Director of Dealers has ever been convicted of a felony.
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RESIDENT/ NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements appl icable to proposers who
are not Texas residents. Under the statute, a "resident" proposer is a person whose principal place of business is in Texas,
in clud ing 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.
Pl ease check {:v'.} one of the following:
Ill I certify that my company is a Resident Proposer.
D I certify that my company is a Nonresident Proposer.
If yo ur company is a Nonresident Proposer, you must provide the following information for your resident state (the state in
which your company's principa l place of business is located):
Company Name Address
City State Zip Code
A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers
whose resident state is the same as yours by a prescribed amount or percentage to re ceive a comparable contract?
D Yes D No
B. What is the prescribed amount or percentage? $ ______ or ______ %
DEBARMENT CERTIFICATION
By signature on the Compliance Forms Signature Pag e, I certify that neither my company nor an owner or principal of my
com pany has been debarred, suspended or otherwise made ineligible for participation in Federal Assistance programs under
Executive Ord er 12549, "Debarment and Suspension," as described in the Federa l Register and Rules and Regu lations.
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 regu latory 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, su spended, or otherwise excluded by agencies or declared ineligible under any statutory or regu latory
authority.
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 w hether the vendor or the vendor's
ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of bu siness in Texas, do es
your company, ultimate parent company, or majority owner employ at least 500 people in T exas?
Please check {:v'.} one of the foll owing:
• Yes • No
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NO ISRAEL BOYCOTT CERTIFICATION
A Texas governmenta l entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or
partly from public funds with a company (excluding a sole proprietorship) that has 10 or more fu ll -time employees for goods
or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel ; and (2)
wi ll not boycott Israel during the term of the contract. (TEX. Gov'T CODE Ch. 2270). Accordingly, this certification form is
included to the extent required by law.
"Boycott Israel" means refusing to dea l with, terminating business activities with, or otherwise taking any action that is
intended to penalize, inflict economic harm on, or limit commercia l relations specifica lly 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. GOVT CO DE §808.001(1).
By signature on the Compliance Forms Signature Page, to the extent applicable, I certify and verify that Vendor does not
boycott Israel and wi ll not boycott Israel during the term of any contract awarded under this Proposal Invitation, that this
certification is true, comp lete and accurate, and that I am authorized by my company to make this certification.
NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION
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 -specifica ll y, any
company identified on a list prepared and maintained by the Texas Comptroll er 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 san ctions regime re lating to a foreign terrorist organization is not subject to
the contract prohibition.)
By signature on the Compliance Forms Signature Page, I certify and ve rify that Vendor is not on the Texas Comptroller's list
identified above; that this certification is t r ue, complete and accurate; and that I am authorized by my company to make this
certification.
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION
A Proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or "MWBE" and all referred to in this form as a "HUB'') is encouraged to indicate its HUB certification status when
responding to this Proposa l Invitation. The BuyBoard website will indicate HUB certifications for awarded Vendors that
properly indicate and document their HUB certification on this form. Please check (y) all that apply:
D I certify that my company has been certified as a HUB in the following categories:
D Minority Owned Business
D Women Owned Business
D Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2), who has a
service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating
of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of
Defense)
Certification Number: ________________________ _
Name of Certifying Agency:______________________ II
My company has NOT been certified as a HUB.
Initial:
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ACKNOWLEDGEMENT OF BUYBOARD TECHNICAL REQUIREMENTS
Vendor sha ll review the BuyBoard Technical Requirements included in this Proposal Invitation. By signature on the Compliance
Forms Signature Page, the undersigned affirms that Proposer ha s obtained a copy of the BuyBoard Techn ica l Requirements,
has read and understands the requirements, and certifies that Vendor is able to meet and will comply with those requirements
except as follows: [List and explain BuyBoard Technical Requirements, if any, to which your company cannot or will n.Qt
comply.]
Note: I n accordance with the General Terms and Conditions of the Contract, to the extent Vendor is awarded a Contract
under this Proposal Invitation but is unable or unwilli ng to meet the applicable BuyBoard Techni ca l Req uirements, the
information available on the BuyBoard for Vendor's awarded products or services may be limited, potentially placing Vendor
at a disadvantage and impacting the ability of Cooperative members to search, find, review, and purchase Vendor's awarded
products and services on the Bu y Bo ard website. Further, to the extent Vendor has acknowledged ability to meet and comply
with the BuyBoard T echnical Requirements, any subsequent failure or refusal by Vendor to promptly provide information
upon req uest to the Cooperative administrator in accordance w ith those technica l requirements may be deemed an event of
default under the Contract.
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
The Cooperative issued the BuyBoard Procurement and Construction-Related Goods and Services Advisory for Texas Members
C'Advisory"), which provides information specifica lly relevant to the procurement of construction-related goods and services
by T exas Cooperative members. The Advisory, available at buyboa rd.com/Vendor/Resources.aspx . provides an overview of
certain legal requ irements that are potentia lly re levant 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 ca n also be provided upon requ est. Because many BuyBoard contracts
include goods or installation services that might be considered construction-related, Proposer must make this Construction
Related-Goods and Services Affirmation regard less of type of goods or services associated with this Proposal Invitation.
A contract awarded under this Proposal Inv itat ion covers on ly the specific goods and/or services awarded by the Cooperative.
As explained in the Advisory ("Advisory''), Texas law prohibits the procurement of architecture or engineering
services through a purchasing cooperative. This Proposal Invitation and any Contract awarded thereunder
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.
By signature on the Compliance Forms Signature Page, Proposer 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-
re lated goods or services to a Cooperative member under a Contract awarded under this Proposa l 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 accepting the member's Purchase Order, Member Construction Contract, or other agreement
for construction-related goods or services.
Initial:~
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DEVIATION AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated w ith 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. Prior to completing this form, Vendor
shall review the General Terms and Conditions section B.4 (Deviations from Item Specifications and General
Terms and Conditions). Please note that, as provided in section B.4, certain provisions of the General Terms
and Conditions are NOT subject to deviation, and certain deviations will be deemed rejected without further
action by the Cooperative. Any attempted deviation, whether directly or indirectly, to provisions identified in
this Proposal Invitation as not subject to deviation shall be deemed rejected by the Cooperative and, unless
otherwise withdrawn by Vendor, may result in Vendor's Proposal being rejected in its entirety.
The Cooperative wi ll consider any deviations in its contract award decision and reserves the right to accept or reject a proposa l
based upon any submitted deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fu ll y comply with
the General Terms and Conditions, Proposa l 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, by and through the Cooperative administrator, may, in its so le discretion, seek clarification from and/or
commun icate with Proposer(s) regarding any submitted deviation, consistent with general procurement principles of fair
competition . Th e Cooperative reserves the right to accept or reject a Proposal based upon any submitted deviation.
Pl ease check (y) one of the following:
Ill No; Deviations
D Yes; Deviations
List and fully explain any deviations you are subm itting:
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VENDOR CONSENT FOR NAME BRAND USE
BuyBoard members seeking to make purchases using a Contract awarded under this Proposal Invitation may view information
regarding awarded Vendors, including but not l imited to product catalogs, pricelists, pricing, and Proposals, through the
BuyB oard website. To improve and enhance the experience of BuyBoard members seeking to procure goods and services
under the Contract utilizing the BuyBoard website, any Vendor logo, product images, and similar brand and trademark
information provided by Vendor for purposes of the Contract ("Vendor Information'') may be posted on the BuyBoard website.
You acknowledge that, by submitting your Proposal, unless you specifically opt out below, you consent to use
of your company's Vendor Information on the BuyBoard website if awarded a Contract. You further acknowledge
that whether, where, and when to include the Vendor Information on the BuyBoard website sha ll be at the sole discretion of
the BuyBoard Administrator. Vendor retains, however, the right of general quality control over the BuyBoard Administrator's
authorized display of proprietary Vendor Information. Neither the BuyBoard nor its administrator will be responsible for the
use or distribution of Vendor Information by BuyBoard members or any other third party using the BuyBoard website. This
Vendor Consent sha ll be effective for the full term of the Contract, including renewals, unless Vendor provides a signed,
written notice revoking consent to contractadm in@buyboard.com . BuyBoard shall have up to thirty days from the date of
receipt of a termination or revocation of a Vendor Consent to remove Vendor information from the BuyBoard website .
This Vendor Consent is subject to the Terms and Conditions of the Contract, including, but not limited to, those terms
pertaining to Disclaimer of Warranty and Limitation of Liability, Indemnification, and Intellectual Property Infringement.
Vendor logo files must be submitted in one of the formats set forth in the BuyBoard Technical Requirements. Propo sers are
requested to submit this information with Vendor's Proposal. (This consent shall not authorize use of your company's Vendor
Information by BuyBoard if your company is not awarded a Contract.)
OPT OUT:
If your company wishes to opt out of the Vendor Consent for Name Brand Use, you must check the opt out box below. DO
NOT select this box unless your company Is opting out of this Vendor Consent for Name Brand Use.
0 By checking this box, Vendor hereby declines to provide consent for use of Vendor Information (as defined herein) on
the BuyBoard website. By opting out, Vendor acknowledges and agrees that, if Vendor is awarded a Contract
under this Proposal Invitation, information available on the BuyBoard for Vendor's awarded products or
services may be limited, potentially placing Vendor at a disadvantage and impacting the ability of
Cooperative members to search, find, review, and purchase Vendor's awarded products and services on the
BuyBoard website.
Initial:J
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CONFIDENTIAL/ PROPRIETARY INFORMATION
A. Public Disclosure Laws
All Proposals, forms, documentation, cata logs, pricelists, or other materials submitted by Vendor to the Cooperative in
response to this Propo sa l Invitation, may be subject to the di sclosu re requirements of the Texas Public Information Act (Texas
Government Code chapter 552 .001, et. seq.) or simi lar 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 confidentia l. If Proposer fai ls to properly identify the information, the Cooperative sha ll have no
obligation t o notify Vendor or seek protection of such information from publi c disclosure shou ld a member of the public or
other third party request access to the information under the Texas Publ ic Information Act or simi lar disclosure la w. When
required by the Texas Public Information Act or other disclosure law, Proposer may be notified of any third-party request for
information in a Proposal that Proposer has identified in this form as proprietary or con fid ential.
Do es your Proposal (including forms, documentation, catalogs, pricel ists, or other materials submitted with the Proposal)
contain information which Vendor considers proprietary or confidentia l?
Please check (y') one of the following:
NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
• YES , I certify that this Proposa l contains information considered confidentia l or proprietary and all such information is
specifically identified on this form.
I f you responded "YES", you must clearly identify be low the specific information you consider confidential or proprietary. List
each page number, form number, or other information sufficient to make the information readi ly identifiable. The Cooperative
and Cooperative administrator shall not be responsible for a Proposer's failure to clearly id entify information considered
confidentia l or proprietary. Further, by su bm itting a Proposal, Propos er acknowledges that the Cooperative and Cooperative
administrator will disclose information when required by la w, even if such information has been identified herein as
information Vendor considers confide nt ial or proprietary.
Confidentia l / Propri etary Information:
(Attach additional sheets if needed.)
Initial:'
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B. Copyright Information
Does your Proposa l (including forms, documentation, price lists, catalogs, or other materials submitted with the Proposal)
contain copyright information?
Please check {y') one of the following:
•
NO, Proposal (including forms, documentation, pricelists, cata logs, or other materials submitted with the Proposa l) does not
contain copyright information.
YES, Proposal (including forms, documentation, pricelists, cata logs, or other materials submitted with the Proposal) does
contain copyright information.
If you responded "YES", clearly 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 Cooperative 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 publicly release, including posting on the public
BuyBoard website, a copy of the proposal tabulation and award information for the Contract including Vendor name; proposed
cata log/price list name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award
or non-award information.
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EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperative member seeks to procure goods and services using f unds under a federa l grant or contract, specific
f ederal laws, regulations, and re qui rements may apply in addition to those under state law. Th is includes, but is not li mited
to, the procurement standards of the Uniform Administrative Requ irements, Cost Prin ci ples and Aud it Requirements for
Federal Awards, 2 CFR 200 (sometim es referred to as the "Uniform Gui dance" or new "EDG AR''). All Vendors submitting a
Proposal must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain
requi rements which may be applicable to specific Co operative member purchases using federal grant funds. Completed
forms wi ll be made available to Cooperat ive members for their use whi le considering their purchasing options when using
federal gra nt funds. Cooperative members may also require Vendors to enter into ancillary agreements, i n addition to the
terms and cond itio ns of the BuyBoard contract, to address the member's specific contractual needs, incl uding con tract
requirements for a procu rement using f edera l grants or contracts.
For~ of the Items below, Vendor should certify Vendor's agreement and ablllty to comply, where
appllcable, by having Vendor's authorized representative check the appl/cable boxes, Initial each page, and
sign the Comp/lance Forms Signature Page. If you fall to complete any Item In this form, the Cooperative wlll
consider and may I/st the Vendor's response on the BuyBoard as "NO,' the Vendor Is unable or unw/11/ng to
comply. A "NO" response to any of the items may, if applicable, im pact the abi lity of a Cooperative member to purchase
from the Vendor using f ede ral funds.
1. Vendor Violation or Breach of Contract Terms:
Contracts for more t han the simp li fied acquisition threshold, which is the inflation adjusted amount determined by the Civilian
Agency Acquisition Council and t he Defense Acquisition Regulations Counci l (Councils) as authorized by 41 USC 1908, must
address administrative, contractual , or legal remed ies in instances where contractors violate or breach contract terms, and
provide for such sa nctions and penalti es as appropriate.
Provisions regarding Vendor default are included in the Bu yBoard Gene ral Terms and Conditions, including Section E.18,
Remedies for Defau lt and T ermi nation of Contract. Any Contract award wi ll be subject to such BuyBoard General Terms and
Conditions, as well as any additional terms and conditions in any Purcha se Order, Mem ber Construction Contract, or
Cooperative me mber ancillary contract ag reed upon by Vendor and the Cooperative member which must be consistent with
and protect the Cooperative member at least to the sam e extent as the BuyBoard T erms and Conditions. The remedies under
the Contract are in addition to any other remedies that may be avai la ble under law or in equJty. By submitting a Proposal,
you agree to these Vendor violation and breach of contract terms.
~ YES, I agree. D NO, I do not ag ree.
2. Termination for Cause or Convenience:
For any Coopera tive member purchase or contract in excess of $10,000 made using federa l funds, you agree that the following
term and co ndition sha ll apply:
The Cooperative member may terminate or cancel any Purchase Order under this Contract at any time, with or without cause,
by providing seven (7) business days advance written notice to the Vendor. If this Agreement is terminated in accordance
with this Paragraph, the Cooperative member shall only be required to pay Vendor for goods or services delivered to the
Cooperative member prior to the termination and not otherwise returned in accordance with Vendor's return policy. 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 purch ase for cause and convenience, incl uding the manner
by which it will be effected and the basis for settlement, is i nclud ed in the Cooperative member's Purchase Order, M;Jmber
Constru ction Contract, or ancillary ag reement ag reed to by the Vendor, the Cooperative member's provision sha ll control.
~ YES, I agree. D NO, I do not agree. Initial:
Page 20 of 76
Proposal Forms CONST. v.03.0 1.2021
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • buyboard .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 equa l 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
Re lating to Equal Emp loyment Opportunity," and implementing regu lations at 41 CFR Part 60, "Office of Federal Contract
Compliance Programs, Equal Employment Opportunity, Department of Labor."
The equa l opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that such
provision appli es to any Cooperative member purchase or contract that meets the definition of "federall y assisted construction
contract" in 41 CFR Part 60 -1.3 and Vendor agrees that it shall comply with such provision.
~ YES, I agree. D NO, I do not agree.
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 comp ly 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 App licable to Contracts
Covering Federally Fin anced 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 shal l pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at beta.sam.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 supp lemented by
De partment of La bor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Bui lding or Pub lic Work Financed
in Whole or in Part by Loans or Grants from the United States''). The Act provides that each contractor or subrecipient must
be prohibited from inducing, by any means, any person employed in the construction, completion, or repa ir of publ ic work,
to give up any part of the compensation to which he or she is otherwise entitled.
~ YES, I agree. D NO, I do not ag ree.
5. 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 comp ly with 40 USC 3702 and 3704, as supplemented by Department of Labor
regulations (29 CFR Part 5). Und er 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 co mpensated at a rate of not less than one and a ha lf times the basic rate of pay for all hours worked in
excess of 40 hours in the work week.
The requ irements of 40 USC 3704 are applicab le to construction work and provide that no laborer or mechanic must be
required to work in surroundings or under working conditions which are un sanitary, hazardous or dangerous. T hese
requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or
contracts for transportation or transmi ssion of intelligence.
~ YES, I agree. D NO, I do not agree.
Pag e 21 of 76
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12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • buyboard.com
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 appl icable.
~ YES, I agree . D NO, I do not agree.
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 Regiona l 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.
~ YES, I agree. D NO, I do not agree.
8. Debarment and Suspension:
Debarment and Suspension (Executive Orders 12549 and 12689) -A contract award (see 2 CFR 180.220) must not be made
to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the
0MB guideli nes 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 regu latory authority other than
Executive Order 12549.
Vendor certifies that Vendor is not currently li ste d 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.
~ YES, I agree. D NO, I do not agree.
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 wi ll not and has not used Federal appropriated funds to pay
any person or organization for influencing or attempting to infl uence 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 disclo sures required by, and otherwise comply
with, the Byrd Anti-Lobbying Amendment (31 USC 1352).
~ YES, I agree. D NO, I do not agree.
Initial:-'
Pa ge 22 of 76
Proposal Foons CONST. v.03.01.2021
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12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • buyboard .com
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federa l funds, Vendor agrees to comply with Section 6002 of the Sol id 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. T he requirements of
Section 6002 include procuring on ly items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
Part 247 that contain the highest percentage of recovered materials practicab le, consistent with maintaining a satisfactory
leve l of competition, where the purchase price of the item exceeds $10,000 or the va lue of the quantity acquired during the
preceding fisca l year exceeded $10,000; procuring so lid waste management services in a manner that maximizes energy and
resource recovery, and establ ishing an affirmative procurement program for procurement of recovered materials identified in
the EPA guidelines.
~ YES, I agree. D NO, I do not agree.
11. Domestic Preferences for Procurements:
Where appropriate and consistent with law, 2 CFR §200.322 contains certain considerations for domestic preferences for
procurements which may be applicable to Cooperative members using federal funds. When required by a Cooperative
member, Vendor agrees to provide such information or certification as may reasonab ly be requested by the Cooperative
member regarding Vendor's products, including whether goods, products, or materials are produced in the United States.
~ YES, I agree. D NO, I do not agree.
12. Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment
2 CFR §200.216 prohibits expending federal loan or grant funds to procure or obtain certain telecommunications and video
survei ll ance services or equipment. To the extent applicable and when required by a Cooperative member, Vendor agrees to
provide such information or certification as may reasonab ly be requested by the Cooperative member to confirm whether
any telecommunications or vi deo surveillance services or equipment provided by Vendor is covered equipment or covered
services under 2 CFR §200.216.
~ YES, I agree. D NO, I do not agree.
13. Profit as a Separate Element of Price:
For purchases using federal funds in excess of the Simp lified Acquisition Threshold, a Cooperative member may be required
to negotiate profit as a separate element of the price. See, 2 CFR 200.324(b). When required by a Cooperative member,
Vendor ag rees 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, incl uding profit, charged by Vendor to the
Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative
Contract.
~ YES, I agree. D NO, I do not agree.
14. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Pu rchase Order from a Cooperative
member, it sha ll make a good faith effort to w ork 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.
~ YES, I agree. D NO, I do not agree.
Initial:-'
Page 23 of 76
Proposal Forms CONST. v.03.01.2021
12007 Research Bou levard • Austin, Texas 78759-2439 · PH: 800-695-2919 • buyboard.com
COMPLIANCE FORMS SIGNATURE PAGE
By initialing pages and by signature below, I certify that I have reviewed the foll owing forms; that the information provided
therein is true, complete, and accurate; and that I am authorized by my company to make all certifications, consents,
acknowledgements, and agreements contained herein:
• Proposa l Acknowledgements
• Felony Conviction Disclosure
• Debarment Certification
• Res ident/Nonresident Certification
• Vendor Employment Certification
• No I srael Boycott Certification
• No Excluded Nation or Foreign Terrorist Organization Certification
• Historicall y Underutilized Business Certification
• Construction-Related Goods and Services Affirmation
• Acknowledgement of BuyBoard Technical Requirements
• Deviation and Compliance
• Vendor Consent for Name Brand Use
• Confidential/Proprietary Information
• EDGAR Vendor Certification
Signature df Authorized Company Official
Daryl Donaldson, V ice President Sales
Printed Name and Title
May 25, 2021
Date
Page 24 of 76
Proposal Forms CONST. v.03.0 1.2021
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12007 Research Boulevard· Austin, Texas 78759-2439 · PH: 800-695-2919 • buyboard.com
PROPOSAL FORMS PART 2: VENDOR INFORMATION FORMS
INSTRUCTIONS:
Proposer must completely and accurately provide al l information requested in the following Vendor Information Forms or
your Proposal may be rejected as non-responsive :
• Vendor Business Name • National Purchasing Cooperative Vendor Award
• Vendor Contact Information Agreement (Vendors serving outside Texas only)
• Federa l and State/Purchasing Cooperative • Local/Authorized Seller Listings
Experience • Manufacturer Dealer Designation
• Governmental References • Proposal Invitation Questionnaire
• Company Profile • Vendor Request to Self-Report Buy Board
• Texas Reg ional Service Designation Purchases (Optional)
• State Service Des ignation
To the extent any information requested is not applicable to your company, you must so indicate on the form.
VENDOR BUSINESS NAME
By submitting a Proposal , Vendor is seeking to enter into a lega l contract with the Cooperative. As such, Vendor must be an
individual or legal business entity capab le of entering into a binding contract.
Name of Proposing company: Dealers Electrical Supply Co .
(List the &.uJ!l name of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba, aka, etc. here. Such information may
be provided below. If you are submitting a joint proposal with another entity to provide the same proposed goods or services, each submitting entity should
complete a separate vendor information form. Separately operating legal business entities, even if affiliated entities, which propose to provide goods or
services separately must submit their own Proposals.)
Please check (y') one of the following:
Type of Business: D I ndividual/Sole Proprietor ~ Corporation D Limited Li ability Company D Partnership
D Ot her (Specify: __________ )
State of Incorporation (if applicable): Texas
74-1972120 Federal Employer Identification Number:
(Vendor must include a completed IRS W-9 form with their Proposal)
Name by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note: IfdifferentthantheNameofProposing
Company listed above, only valid trade names (dba, aka, etc.) of the Proposing Company may be used and a copy of your Assumed Name Certificate(s), if
applicable, must be attached.)
Dealers Electrical S uppl y Co.
Page 25 of 76
Proposal Forms CONST. v.03.01.202 1
Form W•9
(Rev. October 2018)
Dapartment of the Treasury
lntemal Revenue Service
RequestforTaxpayer
Identification Number and Certification
•Goto www.lrs.gov/FormW9 for lnatructlons and the latest Information.
1 Name (as shown on your lnoome tax return). Name Is required on this fine; do not leave lhls llne blank.
Dealers Electrical Supply Co.
2 Buslnses name/disregarded entity name 1 If different from above
Give Form to the
requester. Do not
send to the IRS.
ojl-------------------------------------,------------3 Check appropriate box for federal tax clasalfloat!on of the parson Whose name le entered on Une 1, Cheak only one of the 4 Exemptions (codes apply only to
~c. foUowfng seven boxes. certE:lln entitles, not lndlvlduats; S$9
Instructions on page 3):
§ D lndlv/duaVsole proprietor or D C Corporation IZJ S Corporation D Partnership D lrust/estate
Exempt payee code Of any)_--=-5-g_ ~ single-member LLC
~ 'ti D Limited lla,bl!lty company. Enter the tai< olasslfloation (G=O oorporatlon, s .. s corporation, P:4'artnershlp) •---
15 ° Note: Cheak the appropriate box: In the Hne above for the tax olasslfloatlon of the slngla-member owner. Do not check 5 j LLO If the LLC la c!aaslfled aa a alngle-member LLO that la disregarded from the owner unless the owner of the LLC Is
Exemption from FATCA reportlng
code (If any)
'i.. .... anoti'ler LLC that ($ not cilsregatded from the owner for U.S. federal tax purposes, otherwise, a slngle~member LLO that
a. ~ Is dfsregaided from the owner should check the appropriate box for the tax classmoatlon of Its owner. l l-='n='-cciO~lh~•c,r ;ci'c. .. c.,l~n•_tr~u,--ol~lo-cns~J-•.,....--,---,-,---...,...-,-:-,--,--:--,,-----------------.~--,,---,-.,....-,,---~---,---,',..',..'o_, __ ,_.,,_m_ .. _",..""'-®-""-'-"-'-"·-·'-
• ® 6 Address (number, street, and apt or suite no.) See Instructions. Requester's name and address {optional)
~ 1--c--P.""O_. B~o~x_2_67~6~----,----------------------l
6 City, state, and ZIP code
Waco, Texas 76702
7 List account number(s) here (opUona~
IJi! •• Taxoayer Identification Number 11 lru1
I Soolal aecurlty number I Enter your TIN In the appro~rlate box. The TIN provided must match the name given on line 1 to avoid
backup with hold Ing. For lnd1vlduals, this Is generally your soolal security number {SSN), However, for a
resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later, For other
entitles, it Is your employer Identification number (EIN). tf you do not have a number1 see How to get a
TIN, later.
[[O -[D -I I I I I
or
Note; If the account Is In more than one name, see the Instructions for llne 1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.
I Employer identification number
Certification
Under penallles of pe~ury, 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 ta me); and
2. I 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 (o) the IRS has notified me that I am
no lo111Jer sub/act to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (If any) Indicating that I am exempt from FATCA reporting Is correct.
Certification Instructions. You must cross out Item 2 above If you have been notlfled by the IRS that you are currently subject to backup wlthholdlng because
you have fafled to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage Interest paid,
acquisition or abandonment of secured property, cancellation of debt, contrlbutlons to an Individual retirement arrangement (IRA), and generally, payments
other than Interest and dividends, you ar not requlr to sign the certification, but you must provide your correct TIN, See the Instructions for Part II, later,
Sign
Here
Signature of
U,S. per.son •
General lnstru
section references are to the Internal Revenue Code unless otheiwlse
noted.
Future developments. Fot the latest Information about developments
related to Fonn W-9 and Its Instructions, suoh as legislation enaoted
after they were published, go to www./rs.gov/FormW9.
Purpose of Form
An Individual or entity (Form W-9 requester) v.tlo Is required to file an
Information return with the IRS must obtain your correct taxpayer
Identification number (flN) which may be your social security number
(SSN), Individual taxpayer Identification number (!TIN), adopUon
taxpayer idonllflcatlon nuntier ('\TIN), or employer Identification number
(EIN), to report on an Information return the amount paid to you. or other
amount reportable on an Information return. Examples of Information
returns Include. but ara not limited to, the following.
• Form 1099-INT (Interest earned or paid)
Cat. No.10231X
Date• 02/06/2020
• Form 1099-DIV (dividends, Including those from stocks or mutual
funds)
• Form 1099-MISC (various types of Income, prizes, awards, or gross
proceeds)
• Form 1099~8 (stock or mutual fund sales and certain othet
transactions by brokers)
• Form 1099-8 (proceeds from real estata transactions)
• Form 1099-K (merchant oard and third party network transactions)
• Form 1098 (home mortgage Interest), 1098-E (student loan Interest),
109&-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W~9 only If you are a U.S. person (lnaludlng a resident
alien), to provide your correct TIN.
If you do not n,turn Form W-9 to the requester with a TIN, you might
be sub]oot to backup wlthholdlng. See What Is backup withholding,
later.
Form W-9 (Rev, 10-2018)
12007 Research Boulevard • Austin, Texa s 78759-2439 · PH : 800 -695-2919 • buyboard.com
VENDOR CONTACT INFORMATION
Proposal/ Contract Contact:
Vendor Proposal/Contract Contact Name: _D_a_ry_l_D_o_n_a_l_d_so_n ___________________ _
Vendor Proposal/Contract Contact E-m ai l Address: _d_a_ry_l_d_@_d_e_a_le_rs_e_l_e_c_tr_ic_a_l._c_o_m ___________ _
Vendor Contact Mailing Address for Proposal/Contract Notices: 232 0 Co lu mbus Ave ., Waco, Texas 76701
Company Website: www.dea lerselectrical.com
Purchase Orders Contact Information: All Pu rchase Orders from Cooperative members w ill be availab le 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:
• I will use the internet to receive Purch ase Orders at the fo llowing address:
Purchase Order E-mail Address: daryld@dealerselectrical.com
Purchase Order Contact: Daryl Donaldson, V. P. Sales Pho ne: 254-756-7251
Alternate Purchase Order E-mail Address: _____________________ _
Alternate Purchase Order Contact: _____________ Phone: ________ _
D Pu rchase Orders may be received by the Designated De aler(s) identified on my company's Dealer Designation
form as provided to the Cooperative administrator. I understand that my company shall remain re sponsible
for the Contract and the performance of all Designated Dealers under and in accordance with the Contract.
Request for Quotes ("RFO"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
RFQ E-mai l Address: daryld@dealerselectrical.com
RFQ Contact: Daryl Donaldson , Vice Pres ident Sa les Phone: _2_5_4_-7_5_6_-_72_5_1 _____ _
Alternate RFQ E-mail Address: ____________________________ _
Alternate RFQ Contact: ______________ Phone: _____________ _
Page 26 of 76
Proposal Forms CONST. v.03.01.2021
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • buyboard.com
Invoices: Your company wil l 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 choose only one (1) of the following options for receipt of invoices and provide the requested
information:
!ii Service fee invoices and related communications should be provided directly to my company at:
Invoice Mailing address: P.O. Box 2676 Department: Sales/Marketing
City: Waco State: Texas Zip Code: 76702-2676
Contact Name: Daryl Donaldson Phone: 254-756-7251 --------------
Invoice Fax: 254-756-0133 Invoice E-mail Address: daryld@dealerselectrical.com
Alternative Invoice E-mail Address: ___________________________ _
D In lieu of my company, I request and authorize all service fee i nvoices to be provided directly to t he following billi ng
agent**:
Billing Agent Mailing Address: _________________ Department: ______ _
City: ______________ State: _________ Zip Code: ________ _
Billing Agent Contact Name: __________________ Phone: ________ _
Billing Agent Fax: ________ Billing Agent E-mail Address: ______________ _
Alternative Billing Agent E-mail Address: _________________________ _
** If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the General Terms and
Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relie ve Vendor
of its responsibilities and obligations under the Contract including, but not limited to, payment of all service fees under any
Contract awarded Vendor.
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: ii Common Carrier !ii Company Truck • Prepaid and Add to Invoice D other: ______ _
2. Payment Terms: [Note: Vendor payment terms must comply with the BuyBoard General Terms and Conditions and the Texas
Prompt Payment Act (Texas Government Code Ch. 2251).): --'-N_,_e=-t,_3=-0"'-"D""'a=yi.:s"'----------------------
3. Vendor's Internal/Assigned Reference/Quote Number (optional): _6_5_7_-_2_1 ______________ _
4. Sta te or attach your return policy. (Note: On ly re turn requirements and processes will be deemed part of Vendor's return
policy. Any unrelated contract terms, terms of sa le, or other information not specifically related to return requ ireme nts and
processes included in Vendor's return policy sha ll not app ly to any awarded Contract unless specifically included as a
deviation in the Deviation and Compliance Form and accepted by the Cooperative): Stock Items returnable,frt ppd
by BuvBoard Member. Non Stock Items are subject to mfars. return poli cy. must be resaleable cond.
5. Are electron ic payments acceptable? •Yes D No 6. Are cred it card payments acceptable? [i]Yes D No
Page 27 of 76
Proposal Forms CO NST. v.03.01.202 1
12007 Research Boulevard • Austin, T exas 78759-2439 · PH: 800-695-2919 • buyboard.com
FEDERAL AND STATE/ PURCHASING COOPERATIVE ExPERIENCE
The Cooperative strives to provide Cooperative 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: $ 70,292 .96 . (The period of the 12-month
period is 01/01/20/ 12/31 /20 ). In the event that a dollar value is not an appropriate measure of the sa les, provide
and describe your own measure of the sales of the item(s).
2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the
Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items under
equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in
the past ha s served, as an awarded vendor. Rows should be added to accommodate as many purchasing cooperatives
as required.
CURRENT FORMER VENDOR (Y/N)? -AWARDED
PURCHASING VENDOR? IF YES, LIST YEARS COMMODITY
GROUP (Y/N) AS VENDOR CATEGORY(IES )
1. Federal General Services Administration
2. T-PASS (State ofTexas)
3. OMNIA Partn ers
4. Sourcewell (NJPA)
5. E&I Cooperative
6. Ho uston-Galveston Area Council (HGAC)
7. Choice Partners
8. The Interlocal Purchasing System (TIPS) YES Three MRO
9. Other
0 MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUYBOARD VENDORS
If you are a current Bu yBoard 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 Proposa l. Explain any difference between your
current and proposed discounts.
current Discount{%): 20% off Pricing List Proposed Discount(%): 20% off Pricing LiS t
Explanation : Members prefer to see the discount vs. net pricing. We strive for most competitive pricing .
Page 28 of 76
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12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • buyboard .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 pricing/discounts you offer each customer. The Cooperative may determine whether
pricing/discounts are fair and reasonab le by comparing pricing/discounts stated in your Proposal with the pricing/discounts
you offer other governmental customers. Attach additiona l pages if necessary.
Entity Name Contact Phone# Email Address Discount
1. City of Ama rill o Trae Kep ley 806-378-3039 trae.kepley@amarillo .gov
2 _ Da ll as Co unty James Gay 214-653-7 434 j ames.gay@dall ascou nty.org
3 _ C ity of Waco Ke ll y Holecek 254 750-8433 ke ll y h@wacotx.gov
4 _ Aransas County ISO Ge rald Goodwi n 361-790-2250 ggoodwin@acisd.org
5 _ City of Bren ham Ky le Branham 979-337-7537 kbranham@cityofbrenham.org
Quantity/
Volume
0% net pricing
0% net pri cing
0% net pricin g
0% net prici ng
0% net pricing
Do you ever modify your written policies or standard governmenta l sales practices as identified in the above chart to give
better discounts (lower pricing) than indicated? YES D NO Iii If YES, please explain:
We discount products in response to product vo l ume , types of products and other factors to provide
the best competitive pricing to BuyBoard Members. We do not disclose the purchase doll ars of any
customers. In 2020 Buyboard Members reported purchases from dealers e lectrical of $1 ,510,008.00
COMPANY PROFILE
Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your
company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would
like to have included with your company profile on the BuyBoard website. Submit your company profile in a separate
file, in Word format, with your Proposal. (Note: Vendor is solely responsible for any content provided for inclusion on
the BuyBoard website. The Cooperative reserves the right to exclude or r emove any content in its sole discretion, w ith or
without prior notice, Including but not l imited to any content deemed by the Cooperative to be inappropriate, irrelevant to
the Contract, inaccurate, or misleading.)
Page 29 of 76
Proposal Fonns CONST. v.03.01.2021
dealers
electrical
supply
an employee owned company
2320 COLUMBUS A VENUE
P .0. BOX 2676
WACO, TX 76702-2676
(254) 756-7251
FAX: 756-0133
dealers electrical supply was founded in Waco, TX in 1946.
We are a privately held , employee-owned company engaged
in the distribution and wholesale of electrical supplies to the
commercial, residential , industrial construction industries, and
electric utility companies. In addition, the company supports
OEM and MRO automation and operates retail lighting showrooms .
Presently, dealers operates through 56 branch locations in Texas,
New Mexico, Oklahoma, Illinois, Wyoming, Colorado and North
Dakota. Corporate Headquarters are located at 2320 Columbus
Ave in Waco, TX. Since 1946, dealers electrical supply has
responded to the needs of the electrical industry with our capabilities
proven in some of the largest buildings, nuclear energy plants,
computer chip manufacturers, and generating stations. We are
qualified to assist our customers with a wide variety of projects and
our excellence in service comes from TOTAL COMMITMENT.
Whether it's the capability to reserve materials at any of our locations,
or an after hours call, dealers is committed to serving the electrical
industry. We have a strong commitment to having a solid inventory
in both breadth and depth. This large and complete inventory allows
faster service and quick deliveries with an online, real time inventory
management system providing visibility for our customers to all
inventories, regardless of the location .
With over 200 major vendor partners and access to more than 5000
supplier lines, dealers can service and meet all your electrical needs .
We maintain a clear mission of providing SERVICE, a VISION for
the future , and stand firm in our belief that the customer's needs are
our primary priority, enabling dealers electrical supply to continually
exceed customer expectations.
View all dealers electrical supply locations and line sheet.
Visit dealer's online webstore : www.dealerselectrical.com
FULL SERVICE BRANCHES IN:
Texas: Amarillo • Arlington • Austin • Austin South • Borger• Brenham • Bryan • Bryan Lighting • Cleburne • Corpus Christi • Corsicana • Dallas • Denton
Duncanville• El Paso• Fort Worth• Georgetown• Greenville• Harlingen• Houston• Houston South• Irving• Kerrville• Killeen• Longview• Lufkin
Marble Falls • Marshall • McAllen • Odessa• Palestine • Paris • Plano • San Antonio • San Marcos
Sherman• Stafford• Sulphur Springs• Temple• Texarkana• Tyler• Waco• Waco Lighting
New Mexico: Albuquerque • Las Cruces • Santa Fe Oklahoma: Durant • Muskogee • Oklahoma City • Tulsa
12007 Research Boulevard • Austin , Texas 78759-2439 · PH: 80 0-695-291 9 • buyboard.com
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all T exas 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 se rvices included in your Proposal, you must complete and submit a separate Texas Regional
Service Designation form for each group of products and clearly ind icate the products or services to which the designation
applies. By designating a region or regions, you are certifying that you are authorized and w//1/ng to provide
the proposed products and services In those regions. Designating regions In which you are either unable or
unw//1/ng 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 on ly states other than Texas), you must so ind icate on this form .
Regional Education Service Centers
-.
dealers electrica l supply co.
Company Name
Page 30 of 76
II I will service Texas
Cooperative members
statewide.
D I will not service Texas
Cooperative members
statewide. I will only
service members in the
regions checked below:
Region and Headquarters
D 1 Edinburg
D 2 Corpus Christi
D 3 Victoria
D 4 Houston
D 5 Beaumont
D 6 Huntsvil le
D 7 Kilgore
D 8 Mount Pleasant
D 9 Wichita Falls
D 10 Richardso n • 11 Fort Worth
D 12 Waco
D 13 Austin
D 14 Abi lene
D 15 San Ange lo
D 16 Amarillo • 17 Lubbock • 18 Mid land
D 19 El Paso
D 20 San Antonio
D I will not service members of the
T ex as Cooperative.
Proposal Forms CONST. v.03.01.2021
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12007 Research Boulevard· Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
STATE SERVICE DESIGNATION
As set forth in the Proposal Invitation, it is the Cooperative's intent that other governmental entities in the United States have
the opportunity to purchase goods or services awarded under the Contract, subject to app li cab le state law, through a piggy-
back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire
United States or only specific states, you must complete this form accordingly. (Note: If you plan to setvice Texas Cooperative
members, be sure that you complete the Texas Regional Service Designation form.) In addition to this form, to be
considered for a piggy-back award by the National Purchasing Cooperative, you must have an authorized
representative sign the National Purchasing Cooperative Vendor Award Agreement that follows this form.
If you serve different states for different products or services included in your Proposal, you must complete and submit a
separate State Service Designation form for each group of products and clearly indicate the products or services to which the
designation applies. By designating a state or states, you are certifying that you are authorized and wllllng to
provide the proposed products and services In those states. Designating states In which you are either unable
or unwl/1/ng to provide the specified products and services shall be grounds for either rejection of your
Proposal or, If awarded, termination of your Contract.
Please check {y) all that apply:
D I will service all states in the United States.
• I will not service all states in the United States. I will service on ly the states checked below:
• Alabama
• Alaska D Nebraska
• Arizona D Nevada • Arkansas D New Hampshire
• Ca li fornia (Pub li c Contract Code 20118 & 20652) D New Jersey
Ill Co lorado Ill New Mexico
• Connecticut D New York
• Delaware D North Carolina
• District of Columbia Ill North Dakota
• Fl orida • Ohio • Georgia Ill Oklahoma
• Hawaii D Oregon
• Idaho D Pennsylvania
Ill Illinois • Rhode Island • Indiana D South Carolina
• Iowa D South Dakota
• Kansas D Tennessee
• Kentucky Ill T exas
• Louisiana • Utah • Maine D Vermont
• Maryland D Virginia
• Massachusetts D Washington
• Michigan D West Virginia
• Minnesota D Wisconsin • Mississippi Ill Wyoming
• Missouri
• Montana
Pro posal Forms CO NST. v.03.01.202 1
Pa ge 31 of 76
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12007 Research Boulevard· Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard .com
NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT
In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposa l
Invitation may be "piggy-backed" by another governmental entity. The Nationa l 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 Nationa l Purchasing Cooperative, you agree
to the following terms and ag ree to serve National Purchasing Cooperative members in the states you have indicated on t he
State Service Designation form, in your Proposal.
By signing this form, Proposer (referred to in this Agreement as "Vendor'1 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 Coopera t ive")
may -but is not required to -"piggy-back" on or re-award all or a portion of that Underlying Award ('Piggy-Back Award").
By signing this National Cooperative Vendor Award Agreement ('Agreement"), Vendor accepts and agrees to be bound by
any such Piggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator C'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 furthe r signature or other action is required of Vendor in order
for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor furthe r agrees that no interl ineations or
changes to this Ag reement by Vendor wi ll be binding on National Cooperative, un less such changes are agreed to by its
BuyBoard Administrator in writing.
3. Vendor agrees that it sha ll 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 Underlyi ng
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e., lower)
competitive pricing and more favorable terms and cond itions 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 Nationa l 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 rem it payment to
National Cooperative on such schedule as it specifies (wh ich sha ll not be more o~en than monthly). Further, upon request,
Vendor sha ll provide National Cooperative w ith copies of al l purchase orders generated from Nationa l Cooperative members,
vendor invoices, and/or such other documentation regarding those purchase orders as t he Cooperative's administrators may
require in their reasonable discretion for purposes of reviewing and verifying purchase activ ity. Vendor further agrees that
National Cooperative sha ll have the right, upon reasonable written notice, to review Vendor's records pertain ing to purchases
made by Nationa l Cooperative members in order to verify the accuracy of service fees.
6. Vendor agrees t hat the Underlying Award, including its Genera l Terms and Conditions, are adopted by reference to t he
fullest extent such provisions can reasonab ly apply to the post-proposal/contract award phase. The r ights and respons ibil ities
that wou ld ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative;
and, converse ly, the rights and responsibi lities that would ordinarily inure to Vendor in the Underlyi ng Awa rd shall inure to
Vendor in this Agreement. Vendor recognizes and agrees that Vendor and Nationa l Cooperative are the only parties to t his
Agreement, and that nothing in this Agreement has appl ication to other third parties, including the Texas Cooperative. In t he
event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement sha ll control ,
and then only to the extent necessary to reconcile the conflict.
Page 32 of 76
Proposal Forms CONST. v.03.01.202 1
12007 Research Boulevard• Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
7. This Agreement sha ll be governed and construed in accordance with the laws of the State of Rhode I sland and venue for
any dispute shall lie in the federal district court of Alexandria, Virginia.
8 . Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of Nationa l
Cooperative, and that this Agreement does not take effect un less 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.
WHERE FORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
Deale rs Electrica l Supply Co. 657-21
Proposa l Invitation Number
Daryl Donaldson, Vice President Sa les
Printed Name of Authorized Company Official
May 25, 2021
Date
Proposa l Forms CONST. v.03 .01.202 1
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12007 Research Bo ulevard· Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX : 800-211-5454 • buyboa rd.com
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller tha t will service a Contract awarded under this Proposal I nvitation,
please l ist each location/authorized seller below. If additiona l sheets are required, please dupl icate 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.
Location/ Authorized Contact Information
Seller Name Contact Person (Mailing Address, Phone, Fax, Ema il )
Dealers Electrical Supply Greg Bracey or
Daryl Donaldson
1416 Franklin Ave
Waco, TX 76701 -1 793
em!: daryld@dealerselectrical.com ph :254-756-4441 fax:254 -756-0316
Dealers Electrical Supply Mike Jetty or 419 Dellwood Street
Daryl Donaldson Bryan, TX 77801-2544
em!: daryld@dealerselectrical.com ph: 979 -775-6500 fax: 979-779-0236
Dealers Electrical Supply David Jones or 316 S, Palace Ave. Daryl Donaldson Tyler , TX 76510-1110 eml: daryld@dealerselectrical.com ph: 903-593-7357 fax: 903-593-9701
Dealers Electrical Supply Scott Weddle or
40 13 Bell Dr. Daryl Donaldson
em!: daryld@dealerselectrical.com Temple, TX 76502-4841
ph: 254-773-5271 fax: 254-770-380
Dealers Electrical Supply Randy Kinsey or 6714 N. Lamar
Daryl Donaldson Austin, TX 78752-3504
em!: daryld@dealerselectrical.com ph: 512-459-5423 fax :512-459-0635
Dealers Electrical Supply Richard Wisdom or 349 W. Cotton
Daryl Donaldson Longview, TX 75601-6223
em!: daryld@dealerselectrical.co m ph: 903-758-3317 fax: 90 3-236-3154
Dealers Electrical Supply John Taylor or 506 W. Houston
Daryl Donaldson Marshall, TX 75670-3933
em!: daryld@dealerselectrical.com ph: 903-935 -7865 fax: 903-935-9873
Dealers Electrical Supply Tony Pierce or 713 N. Beach
Daryl Donaldson Fort Worth, TX 76111-5944
em!: daryld@dealerselectrical.com ph: 817 -831-0054 fax: 817-831 -9738
Dealers Electrical Supply Marvin Courtney or 401 Atkinson Dr.
Daryl Donaldson Lufkin, TX 75901-3155
em!: daryld@dealerselectrical.com ph: 936-634-5591 fax: 936-639-3867
Dealers Electrical Supply Jason Cook or 2580 Manana
Daryl Donaldson Dallas, TX 75220-1 206
em!: daryld@deale rselectrical.com ph: 214-358 -5222 fax: 214-358-1087
P. 1
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12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • bu yb oard,com
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized sell er that wi ll service a Contract awa rd ed under this Proposal In vitatio n,
please list each location/au thorized seller below. If additional sheets are required, please duplicate this fo rm as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of th e Contract, including processing of Purchase Orders,
and sha ll be responsib le 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.
Location/ Authorized Contact Information
Seller Name Contact Person (Mailing Address, Phone, Fax, Ema il)
Dealers Electrica l Supply Marty Long or 1804 Waterall
Daryl Donaldson Texarkana, TX 75501-3639
em!: daryld@dealerselectrical.com ph: 903-794-3596 fax: 903 -792-4820
Dealers Electrical Supply Dustin Byrd or 141 8 Franklin Ave.
Daryl Donaldson Waco, TX 7670 1-1793
em!: daryld@dealerselectrical.com ph: 254-756-3716 fax: 254-756-0316
Dealers Electrical Supply Paxton Myrick or 1616 Baker Rd. Daryl Donaldson
Sherman, TX 75090-2143 em!: daryld@dealerselectrical.com ph: 903-893-1177 fax: 903-893-7536
Dealers Electrical Supply Jeff Munger or 4433 Airline Dr.
Daryl Donaldson Houston, TX 77022-2927
em!: daryld@dealerselectrical.com ph: 713 -691-652 1 fax: 713-694-4535
Dealers Electrical Supply David Duncan or 2629 Traders Rd. Daryl Donaldson Greenville, TX 75401 eml: daryld@dealerselectrical.com ph: 903 -454-3073 fax: 903-454-3743
Dealers Electrical Supply Shawn Harroff or 2230 W. Reagan St.
Daryl Donaldson Palestine, TX 75801-2247
em!: daryld@dealerselectrical.com ph: 903-729-3205 fax: 903-723-3691
Dealers Electrical Supply Robert Zuberbueler or 428 Schreiner Street
Daryl Donaldson Kerrville, TX 78028-4470
em!: daryld@dealerselectrical.com ph: 83 0-896 -0555 fax: 830-896-7137
Dealers Electrical Supply Kyle Marcks o r 616 Texas Ave.
Daryl Donaldson San Marcos, TX 78666-5200
em!: daryld@dealerselectrical.com ph: 512-396 -5454 fax: 512-396-5457
Dealers Electrical Su pply Sean Gardner or 3831 Conflans Rd.
Daryl Donaldson Irving, TX 75061 -39 14
em!: daryld@dealerselectrical.com ph: 972-790-7000 fax: 972-986-2107
Dealers Electrical Supply Kelly Sisco or 101 Koenig Street
Daryl Donaldson Bryan, TX 77801-2128
em!: daryld@dealerselectrical.com ph: 979-775-1697 fax: 979 -775-41 -58
P . 2
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Proposal Forms CONST. v.03.01.202 1
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12007 Research Boulevard • Austin, T exas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard,com
L OCA TI ON /AU T HORIZED S EL LER LISTINGS
If yo u have more tha n one loca tion/autho ri zed se ller t hat wi ll servi ce a Contract awarded un der t his Proposa l I nvitation,
pl ease li st each loca tion/authori zed seller below. If additional sh eets are required , please du plica t e thi s for m as necessa ry.
NOTE: Award ed Ve ndors shall remain re sp ons ib le fo r all aspects of th e Cont ract, includi ng processin g of Purcha se Orders,
and shall be respon sible fo r the perfo rman ce of all locations and authori zed sell ers und er and in acco rdance 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 .
Location/ Authorized Contact Information
Seller Name Contact Person (Mailing Address, Phone, Fax, Email)
D eale r s Electrical Supply Kim Troth or 7 19 E. H ickory
Daryl Donaldson Den ton , TX 76205-4302
eml: daryld@ d eale rselect rical.com p h: 940-566 -3515 fax: 940-566-5645
D ealers Electrical Supply Tony P ierce o r 1120 E. H en de rso n
Daryl Don aldson Cleb urne, TX 76031-5233
em!: daryld@dealerselect rical.com ph: 817-64 1-3621 fax: 817-556-0232
D ealers Elect r ical Supply Roger M iller or 9 11 J. Place Daryl Donaldson Plano, TX 75074-8536 em!: daryld@ dealerselectri cal.com ph: 972-422-2720 fax: 972-422-0472
D ealer s Electr ical Supply Dennis Si m s or 5220 O ld Galveston Rd.
Daryl Donaldson Houston, TX 77017-6 146
ernl : d aryld@dealerselectrical.com ph: 71 3-944-3098 fax: 713-944-4387
D eal er s Elect r ical Supp ly
Mike Dandridge or 1107 S. Cedar Ri dge
Daryl D onaldson Duncan ville, T X 75 137-3070
eml : d aryld@dealerselect rical .com p h : 972-709-0025 fax: 972-709 -4654
Deal er s Ele ct r ical Supply Scott Dame or 2400 Freedom St.
Daryl Donaldson Sa n An tonio, TX 78217-4423
ernl: daryld@dealerselectrical.com ph: 2 10-828-9995 fax: 210-828-070 1
D ealers Ele ctrical Supply Andrew Hed rick or 4700 S unset Trail
Daryl Don aldson Aus tin, TX 78745 -1313
em!: daryld@dealer selectrical.com ph: 512-892-5910 fax : 5 12-892-148 1
Deale r s Electric al Supply Nick Andrews or 8786 Timber Path
Daryl Donald so n San Antonio, TX 78250-43 14
em!: daryld@dealerselectrical.com ph:2 10 -520-3397 fax:2 10-520-3950
D e ale rs Electrical Supply T im Phillips o r 2709 Commerce St.
Daryl Donaldson Marble Falls, TX 78654-3924
eml: da ryld@dealerselectrical.co m ph: 830-693-9 19 1 fax: 830-798-1000
D ealers Elect r ical Supply
Jim Fowler or 1050 Kastrin St.
Daryl Donald son El Paso, TX 79907-
em!: d aryld @dealerselectrical.com p h : 915-775-9700 fax: 915-772 -471 1
P .3
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12007 Research Boulevard• Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard,com
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/author ized seller that will servi ce 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 Pu rchase 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 .
Location/ Authorized Contact Information
Seller Name Contact Person (Mailing Address, Phone, Fax, Email)
Joe Webber or 12730 Sugar Ridge Blvd
Dealers Electrical Supply Daryl Donaldson Stafford, TX 77477-3118
em!: daryld@dea lerse lec trical.com p h: 281 -933-0797 fax: 281 -93 3-9529
Jesus Barragan or 1844-A West Amador Ave.
Dealers Electrical Supply Daryl Donaldson Las Cruces, NM 88005 -4009
eml: daryld@dealerselectrical.com ph: 575 -526-40 I O fax: 575-526-4149
Dealers Electrical Supply Ken Fra n ks or 400N. Main
Daryl Donaldson Corsicana, TX 751 10-4628
em!: darvld@dealerselectrical.com oh:903-872-1211 fax:903-872-9753
Dealers Electrical Supply
Ben Gillespie or 2000 S. Great Southwest P kwy
Daryl Donaldso n Grand Prairie, TX 75051 -3507
em!: d aryld@ d ealerselectrical.com ph: 972-206-0725 fax 972-206-0717
K. C. Ratka or 4220 -A 2nd St. NW
Dealers Electrical Supply Daryl Donaldson Albuquerque, NM 87107-2245
em!: daryld@dealerselec trical.com ph: 505 -880-1344 fax: 505-880 -0090
Orlando Cruz or 402 N orth T. St.
Dealers Electrical Supply Daryl Donaldson Harlinge n, TX 78550-801 1
em!: daryld@dealerselectri ca l.com ph: 956-4 25-8690 fax: 956 -42 5-8798
K. C. Ratka or 2815 Industrial Rd. Dealers Electrical Supply Daryl Donaldson Santa FE, NM 87507-3119
em!: d aryld @dealerselectrical.com ph: 505 -471-2131 fax: 505-47 1-2192
Dealers Electrical Supply Ric Olivarez or 1401 East Upas Ave.
Da ryl D onaldson McAllen, TX 7850 1-5546
em!: da ryld@dealerselectrical.com ph: 956 -630-2233 fax: 956-630-3840
Lloyd Evers or 2000 E. Tom Green St.
Dealers Electrical Supply Daryl Donaldson Brenham, TX 77833-5127
em!: daryld@dealerselectrical.com ph: 979 -251 -9600 fax: 979-25 1-9680
Dealers Electrical Supply
Chris Anderson or 1833 N. Padre Island Dr.
Daryl Donaldson Corpus C hristi, TX 78408-233 1
em!: daryld@d eal e rselectrical.com ph: 361-299-2222 fax: 361 -299-5555
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Proposa l Forms CONST. v.03.01.2021
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12007 Research Boulevard· Austin, Texas 78 759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a Contract awa rded u nd er this Proposal Invitatio n,
please lis t 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 Pu rchase Orders,
and sha ll be responsible for the performance of all locations and authorized sellers under a nd 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.
Location/ Authorized Contact Information
Seller Name Contact Person (Mailing Address, Phone, Fax, Email)
Jeremy Turnbull or 137 1 Vaughn Rd.
Dealers Electrical Supply Daryl Don aldson Wood Rive r, IL 6209 5-2506
em!: daryld@dealerselect rical.com ph: 618 -258-0655 fax: 6 18-258-0863
Scott Weddle o r
405 Commer ce Dr. Dealers Electrical Supply Daryl Donaldson
Killeen, TX 76543-4037 em!: d ar yl d@dealerselect ri cal.com ::'h , 'J t;,L6?R-0nfl? foy• 254-628-0468
Alan Foust or 2400 West 42nd St.
Dealers Electrical Supply Daryl Don aldson Odessa, TX 79764-6309
em!: daryld@dealerselectrical.com ph: 432 -368-5584 fax: 432 -368 -4833
Chris Wear or 3430 Pine Mill Rd.
Dealers Electrical Supply Daryl Donaldson Pa ris, TX 75460-4939
em!: daryld@dealerselectrical.com ph: 903-784 -001 1 fax: 903 -784-66 19
Ken Franks or 555 South Hillcrest Dr.
Dealers Electrical Supply Daryl Donaldson Su lphur Springs, TX 75482-3601 ph:
e m !: daryld@dealerselectrical.com 90 3-438-2222 fax : 90 3-438-4845
Allen Bailey or 15 W. Elm Street
Dealers Electrical Supply Daryl Donaldson Durant, OK 74701-4 105
em!: daryld@dealerselectrical.com ph: 580-924-2464 fax: 580-920-0322
Linda Watson o r 214 N. Cedar St.
Dealers Electrical Supply Daryl Donaldson Borger, TX 79 007-4026
em!: d aryld@dealerselectrical.com ph: 806-274-4420 fax: 806-274-4422
Storey Merrill or 1400 N. Main Dealers Electrical Supply Daryl Donaldson M u skogee, OK 74 401-4445
em!: daryld@dealer selectrical.com ph: 918-683-5000 fax: 918-683 -3035
Dealers Electrical Supply Scott Fields or 100 Madison O aks Ave.
Daryl Donaldson Georgetown, TX 78626-775 1
em !: daryld@dealerselectri cal.com ph: 512-763 -8000 fax: 512-763 -8600
Jeff Dreessen or 8500 E Reno Ave.
Dealers Electrical Supply Daryl Donaldson Oaklahoma City, OK 73127-2952
em!: daryld@dea lerselectrical.com ph: 405 -782-0400 fax:405 -782-0404
P.5
Page 34 of 76 Proposal Forms CONST. v.03.0 1.2021
1Jlw~9..9!!l
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard,com
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a Contract awarded under this Proposa l Invitation,
please list each location/authorized seller below. If additional sheets are req uired, 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 respo nsible 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.
Location/ Authoriz ed Contact Information
Seller Name Contact Person (Mailing Address, Phone, Fax, Email)
Rick Abers or 1010 W. 5th Ave.
Dealers Electrical Supply Daryl Donaldson Amarillo, TX 79101-1110 eml: daryld@d ealerselectrical.com ph: 806-376-5567 fax: 806-376-9473
Charles Collins or 6920 E. l 3th St.
Dealers Electrical Supply Daryl Donaldson Tulsa, OK 74112-5616
eml: daryld@dealerselectrical.coom ph: 918-835-7672 918-835-0583
Josh Saltsgaver or 928 N. Federal Blvd.
Dealers Electrical Supply D aryl Donaldson Rive r ton, WY 82501-2712
eml: daryld@dealerselectrical.com ph: 307-856 -17 41 fax: 307-856 -9185
Josh Saltsgaver or 40 I 12th Street SE
Dealers Electrical Supply Daryl Donaldson Watford City, ND 58854
eml: daryld@dealerselectrica l.com ph: 701-842-3650 fax: 701-842-3653
T ed Leftwich or 5500 Havana St. Suite B
Dealers Electrical Supply Daryl Donaldson Denver, CO 80239
eml: daryld@dealerselectri ca l.com ph: 303 -592-2800 fax: 303-592-2806
P. 6
Proposal Forms CONST. v.03.01.2021
Page 34 of 76
dealers electrical supply co.
BRANC H ROSTER Effective 5/21/2 021
Corporate Office P.O. Box 2676 7 6 7 02-2676 (254 ) 7 56-7251
2 320 Col umbus Ave 7670 1-104 1 Fa x (254 ) 756-0133
Remi t to Address: P .O. Box 2535 76 702-2535 HR Fax (254 ) 750-8 171
Waco , Texas
Federal Tax I.D. Number 74 -1972120 New Mexico CRS t.D . N umbe r 02-1 21645-0 02
Texas Sales Tax Number 1-74-197212 0-8 Okl ahoma Ta x Nu mber STS-1 000041 3-05
1.Waco Greg B racey P.O. Box 1130 76703-1130 (254 ) 756-4 441
Mcl e n nan Co. 14 16 Franklin Ave. 76701-1793 Fax (254 ) 756-0316
2 . Bryan Mike Jetty P.O. Box 3009 7780 5-3009 (9 79 ) 775-6500 CR
Brazos Co. 419 Dellwood S treet 7780 1-2544 Fax (979) 779-0236
3 . Tyl er David Jones P.O. Box 111 0 75710 -11 10 (9 0 3 ) 593-7357 ER
Smith Co. 3 16 S. Palace Ave. 75702-7049 Fax (903) 593-9701
4. Temp le Scott Weddle P.O. Box923 76503-0 923 (254) 773-5271 SR
Bell Co . 4013 Bell Dr. 76502-4841 Fax (254) 770-0380
5 . Austin Randy Kinsey P .O. Box 14624 78761-4624 (512) 459-5423 SR
Travi s Co. 6714 N. Lamar 78752-3504 Fax (512) 459-0635
6 . Longview Richard Wisdom P.O. Box 1072 75606-1072 (903) 758-3317 ER
Gregg Co. 349W. Cotton 7 560 1-6223 Fax (903) 236-3154
7. Marshall John Tayl or P.O. Box687 75670-0687 (903) 9 35-7865 ER
Harrison Co. 506 W. Houston 75670-3933 Fax (903) 935-9873
8. Fort Worth Tony Pierce P .O. Box 7578 76 1 11-7578 (817) 831-0054 MR
Tarran t Co. 713 N. Beach 76111-5944 Fax (8 17) 831 -9738
9 . Lufkin Marvin Courtney P .0. Box 1783 75901-1783 (936) 634-5591 ER
Angelina Co. 401 Atkinson Dr. 75901-3155 Fax (936) 639-3867
10. Dallas Jason Cook P.O. Box 540695 75354 -0 6 95 (214) 358-5222 MR
Dallas Co. 2580 Manana 75220 -12 06 Fax (214) 358-1087
11. Te x arkana Marty Long P.O. Drawer 38 75504-0038 (903) 794-3596 ER
Bowie Co. 1804 Waterall 75501-3639 Fa x (903) 792-4820
12. Wac o Li g hti ng Dustin Byrd P.O. Box 1130 76703-1130 (254) 756-3 716
Mclennan Co. 1418 Frankl in Ave. 7670 1-1793 Fax (254) 756-0 316
13. Sherman Paxton Myri ck P.O. Box 1205 75091-1205 (903) 893-1177 NR
Grayson Co. 1616 Baker Rd. 75090 -2143 Fax 903) 893-7536
14 . Houston Jeff Munger P.O. Box 16160 77222-6160 (71 3) 691 -6521 CR
Harris Co . 4433 Airli ne Dr. 770 22 -2927 Fax (7 13) 694-4535
15. Greenville D avid Duncan P.O. Box 14 58 75403-1458 (903) 4 54-3073 E R
H u nt Co. 2629 Traders Rd. 75401 Fax (903 4 54-37 43
16 . Pa lesti ne Shawn Harroff P.O. Box 1489 7580 2-1489 (903) 729-32 05 ER
Anderson Co. 22 30 W. Reagan St. 75801 -2247 Fax (90 3) 723-36 91
17. Kerrville Robert Zuberbuele r P.O. B ox 290627 78029-0627 (830) 896--0555 SR
Kerr Co. 428 Sch re i ner Street 78028-4470 Fax 830 896-7137
18. San Marcos Kyle Marcks P.O. Box 845 78667-0845 (51 2) 396-5454 SR
Hays Co. 616 Texas Ave. 78666-5200 Fax (~396-5457
19. Irving Se an Gardner P.O. Box 153586 75015-35 86 (972 ) 790-7000 MR
Da ll as Co. 3831 Confl a ns Rd. 7 5061 -3914 Fa x 972) 986-2 10 7
20. Brya n Li g hting Kelly Si sco P.O. Box 4489 77805-4489 (979) 7 75-1697 CR
Brazos Co. 101 Koenig Street 7 780 1-2128 Fax (979) 775-4158
21. Denton Kim Troth P.O. Box 2066 76202-2066 (9 40) 566-3515 MR
Denton Co. 716 E . Hickory 7 6 205-4 302 Fax (9 40 566-5645
22. Cleburne Tony Pierce P.O. Box 811 7 6033-0811 (817) 641-362 1 MR
Johnson Co. 1 120 E . Henderson 76031-5233 Fax (817 ) 556-0 2 32
2 3. Plano Rog e r Miller P.O. Box 9 40169 75094 -0169 (972) 422-2720 MR
Collin Co. 91 1 J. Place 75074-8536 Fax (972 422-0472
24. Housto n Sou th Denni s Sims P.O. Box 12669 77217-2669 (713) 944-3098 CR
Harris Co. 5220 Old Galveston Rd. 770 17-61 46 Fax (713) 944-4387
25. Duncanvi lle Mike Dandridge P .0. Box 381059 75138-1 059 (972) 709--0025 MR
Dallas Co. 1107 S.Cedar Ridge 75137-3070 Fax (972 709-4 654
2 6. San An ton io Scott Dame P .O. Box 17000 78 2 17-700 0 (210) 828 -9995 SR
Bexar Co. 2400 Freedom St. 78217-4423 Fax (2 10) 828-070 1
27. Austin (South) Andrew Hedrick P.O. Box 150293 78 715-0293 (512) 892-59 10 SR
Travis Co. 4 700 Sunset Trail 78745-1313 Fax (512) 892-148 1
28. San An ton io (West) Nick Andrews P.O. Box 680967 78268-0967 (210) 520 -3397 SR
Bexar Co. 8786 Timber Path 78250-4314 Fax (210) 520 -3950
29. Marbl e Falls Tim Phillips P.O. Box 4 25 78654-0425 (830) 693-9191 SR
Burnet Co. 2709 Commerce St. 78654-3924 Fax (830) 798-1000
Page 1 of 3
30.EIPaso Jim Fowler P.O, Box 26279 79926-6279 (915) 775-9700 WR
El Paso Co. 1050 Kastrin St. J9907;_~_72_5<_ _ Fax J~.~-~)_77~_:E!_) __ _ H:,~~f:·~ti~~~f' :,:r~~;~~~~°r!~1~~,.~ri~·1:l;:1~[: ~,, s~it~H~it,1,i ~~~~, :ji1~~JJU~~g~~''. \~~'.;'fai1l
Jesus Barragan P .0. Box 1120 88004-1120 (575) 526-401 O WR 32. Las Cruces
Dona Ana Co. 1844-A West Amador Ave. 88005-4009 Fax (575) 526-4149
34, Grand Prairie Ben Gillespie P.O. Box 530131 75053-0131 (972) 206-0725 MR
Tarrant Co. 2000 S. Great Southwest Pk 75051-3507 Fax (972) 206-0717
36. Harlingen Orlando Cruz P.O. Box 1750 78551-1750 (956)425-8690 WR
?t,~,_Sii",~, e,·,~,:-f'G~ .... ·.·,,.-, ... :". '. -~:··.·.1 ... ·, •. ',.··.\,.:: .. ,.,t.·.~,·.•,'.,.·,·,'.·: .. •·: .•. •,·',~.-.',~,-.o.,,,m, ..•. ,.·';.·~.R,,.·,.',~.·~ lk.,·~,-.·.~,f .. }.?,r,:,' .. · -, .. ,.,. . !0_2 -~o-~h, T. s_t_. ,-. ,-,·,; 'I '·,·,,·~,----•c)t•''n"""··•l~{5~-~-~-1-,~ ,_. .-'''7?7'<'"' . .f~~ ,. ,;• .. ,-.:,)~~"s~}!?.:~~~?,~~, ... ,._:Y '"''-~.::cc:·;;:"'I
:l~-; .~i~ ~;~ ,·f -~~ f;: ,;-~f.j:S}li:~r~•~;:,§~gJ~.ftf9~q., \J/: :::_~}i~!:~;~hl8i-'f kWt:~ ~J~\~!~&r:~;11~:~~f !Jit}:~:ttf!V~k*_i/ ?fA.~~i~t},it~JJl;~t~:~11~1'.1
38, McAllen Ric Olivarez P.O. Box 5967 78502"5967 (956) 630-2233 WR
Hidalgo Co. 1401 East Upas Ave. 78501"5546 Fax (956) 630-3840
40. Corpus Christi Chris Anderson P.O. Box 4747 78469-4747 (361) 299-2222 CR
~~£1~!~~;~:I~~i~;~J:;~~~~lt~tg~~~:Pt ,:5• ,~;: ~t:i~~l~i:i~iI~t~~li\t~Hiii~i~~~i!)~i~~ 1"1tiiil1i1iiii~~~ll2~liJ
42. Killeen Scott Weddle P .0. Box 788 76540-0788 (254) 628-9002 SR
' 83. Bayway P66 Larry Schimmel 3233 Hunting Park Ave. 19129 (215)221-1200 KA
Royal Electric Supply, Agent
(979) 491-2987
77463 Fax (979)491-2104
Brandon Gray Gate 13 -MRO Whse #4 (979) 491-201 o
1s1r'gotl8a!cfwfleiflll~l1'1J£,i',il!t4'i\'loa\iialil1til,,iBi"]:cs"''''lll"Ei?!:r'i!oll::f2iIB'FJ1,"h"f'w~1\\'!l'llJ,~i:1i'2i&g21,2~§~"!,;;1:,,~'11,1'%i/iilW'.s~·iaz'i4'iiff''"'i1i.Fili1¾":j ,s~~Yll>.¾1\~Jlritt1fflli~\~il1itYH1:Ro"n"'c'a-;;~G-1,k~'F'o·;B;~?;:B§l{ti>~'.;:i~~~t4·f">ol1k\.l'.3:~~%:>1t~'t½;1~i~~i£~9£il,?\~l1~,;m1;~;~6·.01Wl;?th~1it~¾;:YffiSZf~'!tt1it?~i\·,·~1;8j ·)-..:3i4.,8,:if1if5·,,A,'f;f!A\1r . .,,;;,.·'f;;r,ftt?? 'f.\11t00{i~z'.•✓~~0!¢"'11,l¼@\.\'Ai.i!.::"'o;.s1s-,&,V,~u.c !J"'==°""-.o!1.• ;,., f£'iJis;,,-;11t"'-0~,d ;;---;,:,~,.,=.Mtii!;!'.l;J!J.It,:;,,li"-'.<S:::.'!:!'.:.:aon.\i\.UJ'fu19f\<liy;C·~-. ,1.,~ ,~~,i; ·ZlkHf,;rnll.1!:s~.:.'.'ri.~c·>:c~IB;. :ii,L~. -~.,.J!-i.n!,.,:!_<1.);:,.;~ti'i..1~'.~,
91. Lake Charles P66 Joe Duke P. 0. Box 1145 70669"1145 (337) 491-5249 KA
Westlake, LA 2200 Old Spanish Trail 70669 Fax (337) 491-5758
Page 2 of3
REGION MANAGERS SALES MANAGERS
Daniel Dreessen NR (611) (405) 787-5553 John Martin (514) (713) 691-6521
Danny Majors CR (514) (713) 691-6521 Michael Powell (604) (972) 298-2111
Scott Fields SR (505) (512) 459-5423 Doug Cameron (503) (903) 593-7357
Ken McCully MR (604) (972) 298-2111
Ken Franks ER (600) (903) 593-4609
Randy Urbina WR (605) (915) 775-9700 INDUSTRIAL AUTOMATION GROUP
Jeff Marlin (903)593-7357
KEY ACCOUNTS Curtis Martin (503) (903)593-7357
Steve May (612) (254) 754-2920 Kurt Brouwer (514) (713) 691-6521
CREDIT OFFICES PRICING GROUP/ WEB SALES
Dana Petersen Corp (254) 756-7251 Tim Booher (254) 757-0773
Harriet Franks ER (606) (903) 593-3098
Robin Stanfield CR (607) (713) 691-6521
Ruby Magdaleno WR (605) (915) 775-9700 Duncanville Regional & Credit Office
Teffannie Bailey MR (604) (972) 298-2111 1107 $.Cedar Ridge Ste. B
Brandy Stanton NR (254) 756-7251 Duncanville, TX 75137
Janet Tavelrne SR (512) 459-5423 (972) 298-2111 Fax (972) 298-2251
NOTES:
Page 3 of 3
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 t his form for
each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges t hat 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 T erms and Conditions, an awarded Vendor shall remai n 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 nonpayme nt of service fees.
If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the Bu yBoard
system and to recei ve Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor wi th
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 administrator shall be authorized to remove or suspend any
or all Designated Dealers from the Bu yBoard 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. I f you wish to designate multiple dealers, please duplicate this form as necessary.
Designated Dealer Name Designated Dealer Contact Person
Designated Dea ler Address
City State Zip
Phone Number Fa x Number
Email address Designated Dealer Tax ID Number* (*attach W-9)
Page 35 of 76
Proposal Forms CONST. v.03.01.2021
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
PROPOSAL INVITATION QUESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and tech nical and fi nancial
resources to provide the goods and perform the services ("Work") under the BuyBoard contract contemp lated by this Proposal
I nvitation (''Contract''). Proposers must fully answer each question, numbering you r responses to correspond to the
questions/numbers below. Proposers must comp lete be low or attach your responses to this questionna ire a nd submit in one
d ocument w ith your Proposa l. You must submit the questionnaire and responses with your Proposal or the
Proposal will not be considered.
1. Li st the number of yea rs 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 acq uisit ion
by another entity.
Dealers Electrical Supply Co. has been in business for 75 years. To the best of m y knowledge, our
company is not currently for sale or in volved in any transaction that wou ld significantly alter our
business or result in acquisition by another entity.
2 . Describe Vendor's direct experience (not as a subcontractor) performing the Work proposed under this Contract. Incl ude
a brief description of the projects you have completed for Texas governmental entities in the last 5 years, and include
for each the project name, scope, va l ue, and date, and the name of the procuring government entity and entity contact
person . Identify the contracts that best represent Vendor's capabilities relative to this Contract.
City of Amarillo-Piggy Back Co ntract since 2017-Trae Kepley Purchasing-$1,035, 199.00 in purchases
Amarillo ISO-Converted $444,000.00 in outdoor lighting starting 2017-Darrell Shaw AISD Planner
City of Texarka na-Retrofit Ligh t ing $160K in 2019 and $130K in 2020
City of Pasadena-Strawberry Park Courts 2021-LED Upgrade-$48,240 .00-Charlie Hester-Elec. Supt.
3. Describe the resources Proposer has to manage staff and successfu lly perform the Work contemplated under this
Contract. State t he number and summarize the experience of company pe rsonnel who may be utili zed for the Work,
including th ose who wi ll be ava ilabl e to Cooperative members for assistance with proj ect development, technical issues,
and product selecti on for Work associated with this Contract.
dealers branch locations utilize the mem ber listing to make contact with all th e mem bers possible
in their areas to advise them of the ability to service their MRO, Lighting and other needs. We bring
in factory reps to assist in product selection and proposals for retrofits, upgrades and other areas
of building needs under the MRO contracts, as we ll as Energy Savings and Outdoor Lighting .
Page 36 of 76
Proposal Forms CONST. v.03.01.2021
Jiu : I I I
• • . • ' II . •'
12007 Research Bou le vard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX : 800-211-5454 • buyboard.com
4. The Contract does not include architectura l or engineering services, which must be procured separately, outside of the
Cooperative, in accordance with Chapter 2254 of the Texas Government Code (Professiona l Services Procurement Act)
or other applicable la w (for entities outside of Texas). If you are perform ing Work under the Contract on a proj ect that
requires the services of an architect or professiona l engineer, how w ill you work w ith a Cooperative member and its
designated arch itect or eng ineer with respect to services that must be procured outside t he Contract?
We provide product information only to the Members wit h regards to any projects that may involve
architectural/engineering that they are using. Information on products specifications , lighting layout
drawings, switchgear data for example. We provide the information to the members upon request.
We price materials, provide information only. We do not act as a contractor or contractor services.
5. Describe the tasks and functions that can be completed by Vendor in-house without the use of a subcontractor or other
third party.
dealers electrical supply is a full line distributor of electrica l parts. Our function is to provide lo cal
inventory and support. We offer serv ices like kitting , vendor managed inventory, specialist assistance
for automation products, project management and training . We do not install, modify or change any
product sold . We do not act as contractor or use subcontractors, in providing products to members.
6. Marketing Strategy: For you r Proposal to be considered, you must subm it the Marketing St rategy you will use if the
Cooperative accepts all or part of your Proposal. [Example: Explain how your company will initi al ly inform Cooperative
members of your BuyBoard Contract, and how you will continue to support the BuyBoard for the duration of the Contract
term.) Attach additiona l pages if necessary .
Direct contact from our outside salesforce w hich we require minimum number per month to be made.
Postings on our website, newsletters, company promotions all include Buyboard logo to promote the
co-op. We train our employees on Buyboard and how to promote to the members benefits from using
Buyboard vendors. We utilize Buyboard to strengthen relationships and the co-op member usage.
7. 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 o r present owners,
principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, o r insolvency
proceeding in the last 7 years, and identify any such debtor party by name and relationship to or pos ition with your firm.
Dealers has been in business for 75 years. We are a privately held 100% employee-owned company
that is very strong financially. All insurance limits wi ll meet or exceed all requirements for our industry .
To the best of my knowledge, no officer or director has ever been a debtor party to a bankruptcy,
receivership, or in solvency proceeding within the last 7 years.
Page 37 of 7 6
Proposa l Forms CONST. v.03.01.2021
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard .co m
8. 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 .
None .
9. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete o r de liver the work, or
that have been terminated for any reason. Include any contract for which the surety was notified of a potential clai m in
regard 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 exp lain the circumstances of the default, notice to surety, failure to complete or
deliver the work, or term ination.
None.
10. List all litigation or other legal proceedings (including arbitration proceedings and/or claims filed with a surety in regard
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 relate to o r arise f rom a
contract simi lar to this Contract or the Work contemplated under this Contract. Provide the style of the lawsu it or
proceeding (name of parties and court or tribunal in which filed), nature of the claim, and resolution or current status.
None.
11. Describe in detail the quality control system Vendor w ill 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 Co ntract.
dealers electrica l does not manufacturer, modify or change any products sold. We represen t our
manufacturers and their warranties that apply to those products. We only sell top line manufacturers
parts, directly from mfgrs. We handle al l warranty and service re lated issues to support the products .
All materials so ld are new, we never support any gray market products. We handle all warranties.
Proposal Forms CONST. v.03.01.2021
Page 38 of 76
12007 Research Bou levard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
12. If the Work wi ll require Vendor to tender performance or payment bonds, provide the name of the bonding company or
surety that wi ll issue such bonds.
N/A
13. Describe in detail all documented safety issues, if any, that have involved Vendor in the last three years related to the
type of work contemplated under this Contract. Provide a three-year history of your firm's workers compensation
experience modifier.
None. 2019-20 -0 .8 2020-2 1 -0 .76 2021-22 -0.95
Proposa l Forms CONST. v.03.01.2021
Page 39 of 76
Buy board Invitation Questionaire
Section 2. Continued
Projects and Success Stories completed for Texas Governmental entities in the last 5 years. Here a few of
the hundreds of project quotes, and successes, continued.
Mansfield ISO
LED Lighting Upgrades $83,000.00. Mansfield ISO has purchased thousands of lamps, as we provided
them with service, competitive pricing and have built a strong relationship with a value Buyboard
Member. Recent project when a 1600 Amp Breaker failed on school campus in August of 2020,
Mansfield ISD called in dealers electrical supply and with our gear manufacturer's assistance, we had the
school back up and running. Project cost: $36,995.00
Dallas County
Being a Buy Board vendor has helped us write over $200k in 2020 with Dallas County
Re-lamped Frank Crowley Judges Chambers with Philips Lamps via Buy Board ($5k)
Re-did the lighting fixtures at Lew Sterret Gym with Elko high-bays via Buy Board ($18k)
Re-did the lighting fixtures at Tax offices Parking Garage with RAB via Buy Board ($11)
George Allen Court House tape light project with Omni Light ($28k)
Sold 6 SQD drives to George Allen Court House, awarded via Buy Board ($30k)
Re-did George Allen Court House walkway lighting with Baselite, awarded via Buy Board ($6k)Dallas
County
Grapevine Colleyville ISD
Consistent working relationship with school district to provide them with service and competitive
pricing. Near daily orders are processed and delivered, as member has relationship with top performing
salesperson bringing them value, information and service.
Fort Worth ISD
Working with Woodman Dawson managing the stocking warehouse FWISD, we have shown the
advantages of our service to them as a valued Buyboard vendor. We deliver regular orders as they know
we have quality product, good pricing, excellent inventory and knowledgeable salespeople to handle
their supply needs.
Hugh Springs ISD
LED lighting upgrades. District wide replace over 1500 fixtures with new 2X4 Flat Panels with project
cost of $55,000.00. Currently working on Hubbell Spectra Clean antimicrobial fixtures for areas for
disinfection. Estimated $45,000.00
Copperas Cove ISD
LED lighting upgrade using Holophane lighting for the Elementary School Gym for $12,000.00. Working
with the electrical department, many other lighting upgrades in the planning stages.
Gadsden ISO
Our being a vendor for Buyboard helped us work with this school district. As result of our local branch
support, salesperson expertise, this account is a consistent user of dealers electrical supply since 2018.
Considering this a success as the purchasing dept was purchasing from a Non-Buyboard Vendor prior to
our converting them over to dealers.
Royce City ISO
Serviced from our Greenville, Texas branch location, this school district is a consistent user of dealers
electrical supply for the many benefit of our Buyboard vendor support.
City of McKinney
Replacement of City Street Light Poles, valued $24,000. Contact point: Thuan Huynh on 4-30-2021
City of Frisco
Upgrades to street lighting projects, $25,562.00. Contact point: Steven Napoleaone. There are
numerous past projects of same value as the city continues to upgrade to LED.
Abilene Christian University
Responding to Request for Quote, we assisted with specifications and were able to provide two projects,
valued at $17,998.27 Courtyard Festoon power and Lighting Upgrade for $3,079.18. Our Fort Worth
branch location serviced this member.
UTA (University of Texas Arlington)
Maverick Activity Center valued at $158,232.00 was largest project to date. Working with the member,
dealers electrical supply was able to provide electrical lighting. Proving our ability to service them as a
Buyboard vendor, this project has helped win many other projects at the college.
City of Grand Prairie
Upgrade Street Lighting Luminaries valued at $73,383.00. Working with the City has made purchasing
easier for them, without a blanket type PO which their former supplier required, open the doors for
many other upgrades to city properties. City canceled their former agreements and moved their
business to dealers electrical supply utilizing the power of working via Buyboard.
Customers Requesting Buyboard Contracts numbers printing automatically on their invoices for ease of
submitting, we do as a customer courtesy, to insure their invoices are accounted for and help the
member when sending in their invoices. We also furnish monthly reports to customers on their
purchases under the Buyboard Contracts to assist them in reconciling and submitting their invoices. We
believe strongly in Buyboard cooperative and search out members to advise them of our capabilities to
help them procure their needs. All new salespeople are prerequisite to make monthly contacts, open
new accounts and grow relationships with Members.
12007 Research Boulevard • Au stin, Texas 78759-2439 · PH : 800-695-2919 • FAX: 800-211-5454 • buyboard.com
VENDOR REQUEST TO SELF-REPORT BUYBOARD PURCHASES
The General Terms and Conditions require that all Purchase Orders generated by or under any Contract awarded under this
Prop osa l Invitation be processed through the BuyBoard and, except as expressly authorized in writing by the Cooperative
administrator, Vendors are not authorized to process Purchase Orders received directly from Cooperative members that have
not been processed through the Bu yBoard or provided to the Cooperative. I n accordance with this provision, Vendor may
request authorization of the Cooperative administrator to self-report Cooperative member purchases if awarded a Contract
under this Propo sa l Invitation. By making such a req uest, Vendor acknowledges and agrees that self-reporting is specifica lly
subject to and conditioned upon (1) Vendor's agreement to the Additional T erms and Conditions for BuyBoard Self-Reporting
which are included in this Proposa l Invitation and Incorporated herein for all purposes and (2) approva l of this request In
writing by the Cooperative administrator.
Note: This form Is NOT required as part of your proposal. You should sign and return this form ONLY If you
wish to request authorization to self-report BuyBoard purchases. Any request to se lf-report wi ll not be effective,
and Vendor shall not be authorized to self-report BuyBoard member purchases, unless and until (1) Vendor Is awarded a
Contract under this Proposal I nvitation, and (2) the request has been approved in writing by the Cooperative administrator.
By my signature below, I hereby request authorization from the Cooperative administrator to self-report
BuyBoard purchases If my company Is awarded a Contract. I certify that I am authorized by the above-named
Vendor to approve this form, and I have received and read the Additional Terms and Conditions for BuyBoard
Self-Reporting Included In this Proposal Invitation and do hereby approve and agree to such terms and
conditions on behalf of Vendor.
NAME OF VENDOR: ________________________ _
Signature of Vendor Authorized Representative
Printed Name: ____________ _
Title: _______________ _
Date:
(For Cooperative Administrator Use Only)
Approved by BuyBoard Administrator: ____________ _
Effective/Start Date for Self-Reporting: ___________ _
Proposal Forms CONST. v.03.01.202 1
Pa ge 40 of 76
liu : , , , . . . . . ,, ...
12007 Research Bou levard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX : 800-211-54 54 • buyboard .com
REQUIRED FORMS CHECKLIST
{Pl ease chec k (,/) the fo llowin g)
Reviewed/Completed: Proposer's Acceptance and Agreement
PROPOSAL FORMS PART 1: COMPLIANCE FORMS
Reviewed/Completed: Proposal Acknowledgements
Reviewed/Completed: Felony Conviction Disclosure
Reviewed/Completed: Resident/ Nonresident Certification
Reviewed/Completed: Debarment Certification
Rev iewed/Completed: Vendor Employment Certification
Rev iewed/Completed: No Israel Boycott Certification
Reviewed/Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Reviewed/Completed: Historically Underutilized Business Certification
Reviewed/Completed: Acknowledgement of BuyBoard Technical Requirements
Reviewed/Completed: Construction-Related Goods and Services Affirmation
Reviewed/Completed: Deviation and Compliance
Reviewed/Completed: Vendor Consent for Name Brand Use
Reviewed/Completed: Confidential/ Proprietary Information
Reviewed/Completed: EDGAR Vendor Certification
Reviewed/Completed: Compliance Forms Signature Page
PROPOSAL FORMS PART 2: VENDOR INFORMATION FORMS
[!(
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[B"
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Reviewed/Completed: Vendor Business Name
Reviewed/Completed: Vendor Contact Information
Reviewed/Completed: Federal and State/Purchasing Cooperative Experience
Reviewed/Completed: Governmental References
Reviewed/Completed: Company Profile
Reviewed/Completed: Texas Regional Service Designation
Reviewed/Completed: State Service Designation
Reviewed/Completed: National Purchasing Cooperative Vendor Award Agreement (Vendors setving outside Texas only)
Reviewed/Completed: Local/ Authorized Seller Listings
~Completed: Manufacturer Dealer Designation -µ/ A.
Reviewed/Completed: Proposal Invitation Questionnaire
(Review~ompleted: Vendor Request to Self-Report BuyBoard Purchases (Optional) .Al/4
I!'.:] Reviewed/Completed: Proposal Specifications Discount(%) off Catalog/Pricelist and/or other required pricing
information including Catalogs/Pricelists (or no bid response) must be submitted wi th the Proposal or the Proposal will not
be considered.
Page 43 of 76
Proposal Forms CONST. v.03.01.202 1
12007 Research Boulevard· Austin, Texas 78759-2439 · PH : 800-695-2919 • FAX : 800-211-5454 • buyboard.com
PROPOSAL SPECIFICATION SUMMARY
The categories and items specified for t his ProposaJ Invitation are summarized below. For fuU Proposal
Specificat ions, you must review and comp lete the ProposaJ Specification information in the electronic proposa l
submission system in accordance with the Instructions to Proposers (or, if subm itting a hard copy ProposaJ, timell'f
request and complet e the Proposa l Specifi cation Form in accordance with t he Instructions to Prop osers).
Section I: Equipment, Products, and Supplies
1. Discount(%) off catalog /pricelist for Electrical Supplies, Materials and Equipment.
2. Discount(%) off cata log /priceli st for All Types of Power Generating Equipment (electric, gas, diesel portable, back
up on-site).
3. Discount(%) off catalog/pricelist for Various Types of Lamps and Ballasts (fluorescent, incandescent, quartz, HID,
shatterproof, metal halide, high pressure sodium, ballasts, simi lar re lated items).
4. Discount(%) off catalog/pricelist for Various Types of Lighting Fixtures.
5. Discount(%) off catalog /pricel ist for All Types of Indoor Signage.
6. Discount(%) off catalog/pricelist for All Types of Solar Supplies and Equipment.
7. Discount(%) off cata log/pricelist for Building Supplies and Materials (carpentry, lumber, drywall, insulation products,
concrete products, and simi lar related items).
8. Discount(%) off catalog /pricelist for Doors-All Types and Sizes (metal, wooden, and simi la r related items).
9. Discount (%) off catalog/pricelist for Overhead Doors-All Types and Sizes (metal, wooden, similar related items).
10. Disc ount (%) off cata log/pr ice list for All Types of Fasteners and Hardware Products (doors, cabinets, and simi lar
related items).
11. Discount(%) off catalog /pricelist for Roofing Materials and Supplies (PROD UCTS ONLY-NO LABOR).
12. Discount (%) off cata log/pricelist for Paint and Paint Related Products, Supplies and Equipment.
13. Discount(%) off cata log/pricelist for Parking Lot Striping Equipment, Supplies and Materials.
14 . Discount(%) off cata log/priceli st for Plumbing Supplies, Materials and Equipment.
15 . Disco unt (%) off catalog/pricelist for Various Types of Toilet Partitions, Sinks, and Countertops.
16. Dis count(%) off cata log /pricelist for All Types of Energy and Water Monitoring Products.
17. Discount{%) off catalog/pricelist for Boiler Equipment and Supplies.
18. Dis coun t(%) off catalog/price list for HVAC Refrigerants and Supplies.
19. Discount(%) off cata log/pricelist for All Types of Hand Tools and Sets.
20. Discount(%) off cata log/pricelist for Welding Supplies and Equipment.
21. Discount(%) off catalog/priceli st for Commercial Building Glass and Other Glass Materials and Supplies.
22 . Discount(%) off cata lo g/priceli st for Building Entryway Awnings, Canopies and Related Accessories -all types
of material (metal, fabric, and related materials).
23. Discount(%) off catalog/pricelist for Elevator Equipment and Supplies.
24. Discount(%) off catalog/pricelist for Escalator Equipment and Supplies.
25. Discount(%) off catalog/pricelist for Material Handling and Storage Equipment and Supplies (forklifts, warehouse
storage systems, pallet jacks, sim ilar related items).
26. Discount(%) off catalog/pricelist for All Types of Fencing Materials and Supplies.
27. Di scount(%) off catalog/pricelist for Pest Control Products and Supplies.
28. Discoun t (%) off catalog/p ri ce list for Power Washing Equipment and Materials.
29. Dis count (%) off catalog/pricelist for Soil/Road Chemical Base Stabilizer Products (so lvents, surfactants, acid
oxidizers, and common dispersing agents).
30. Discount(%) off catalog /priceli st for All Other Building Maintenance, Repair and Operations Products not listed
(supplies, materials and equipment).
Proposal Forms CONST. v.03.01.2021
Page 41 of 76
12007 Research Bou levard • Austin, T ex as 78759-2439 · PH: 800-695-2919 • FAX: 800-211-54 54 • buyboard.com
Section II: Installation and Repair Service
3 1. Hourly Labor Rate for Installation/Repair Service of Boiler Equipment and Products and Related Items --
Not to Exceed hour ly labor rate for I nsta llation/Repair Service of Equi pment and Products .
32. Hourly Labor Rate for Installation/Repair Service of Power Generating Equipment, Products and Related
Items --Not to Exceed hourly labor rate for I nst all ation/Repair Service of Eq ui pment and Prod u cts.
33. Hourly Labor Rate for Installation /Repair Service of Commercial Building Glass and Related Items --Not
to Exceed hourly labor rate for I n sta llation/Repai r Service of Equipment and Products.
3 4 . Hourly Labor Rate for Installation /Repair Service of Elevator Equipment, Products and Related Items --
Not to Exceed hourly labor rate for I nsta ll ation/Repair Service of Equi pment and Products.
35. Hourly Labor Rate for Installation/Repair Service of Escalator Equipment, Products and Related Items --
Not to Exceed hourly labor r ate for I nsta ll ation/Repair Service of Equ ipment and Products.
36. Hourly Labor Rate for Installation/Repair Service of Fencing Products and Related Items --Not to Exceed
hourly labor rate for I nsta llation/Repa ir Service of Equ i pment and Products.
37. Hourly Labor Rate for Installation /Repair Service of Toilet Partitions, Sinks, Countertops and Related
Items --Not to Exceed hourl y labor rat e for I nstalla t ion/Repai r Service of Equipment and Products.
38. Hourly Labor Rate for Installation/Repair Service of Overhead Door Equipment, Products and Related
Items --Not to Exceed hourly labor rate fo r I nstallation/Repair Service of Equipment and Products.
39. Hourly Labor Rate for Installation/Repair Service of Doors, Framework, Door Hardware Equipment,
Products and Related Items --Not to Exceed hourly labor rate for Insta llation/Re pair Service of Equ ipment and
Products.
40. Hourly Labor Rate for Installation/Repair Service of Building Entryway Awnings, Canopies and Related
Equipment, Products and Related Items --Not to Exceed hourly labor rate for I nstallation/Repair Service of
Equipment and Products.
41. Hourly Labor Rate for Installation/Repair Service of Power Washing Equipment and/or Services and
Related Items --Not to Exceed hourly labor rate for Installation/Repa ir Service of Equipment and Products.
42. Hourly Labor Rate for Installation/Repair Service of Parking Lot Striping Equipment and/or Services and
Related Items --Not to Exceed hou rl y labor rate for Insta llation/Repa ir Service of Equipment and Prod ucts.
43 . Hourly Labor Rate for Installation/Repair Service of Concret e Cutting and Related Items --Not to Exceed
hourl y labor rate for I nsta ll ation/Repair Service of Equipment and Products.
Pa g e 42 of 76
Proposal Forms CONST. v.03.01.202 1
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
FORM CIQ
OFFICE USE ONLY
Date Received
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An
offense under this section is a misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
Name of Officer
4 Describe each employment or other business relationship with the local government officer, or a family member of the
officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
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 No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes 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
6
Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
Signature of vendor doing business with the governmental entity Date
ownership interest of one percent or more.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
Exhibit C
Revised 1/1/2021Form provided by Texas Ethics Commission www.ethics.state.tx.us
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/
Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an
agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(a)A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
***
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than $100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a)A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any
gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application, response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer, described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
FORM CIQ
OFFICE USE ONLY
Date Received
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An
offense under this section is a misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
Name of Officer
4 Describe each employment or other business relationship with the local government officer, or a family member of the
officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
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 No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes 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
6
Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
Signature of vendor doing business with the governmental entity Date
ownership interest of one percent or more.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
NEAL HARTMAN
N/A
N/A
JANUARY 17, 2022
Revised 1/1/2021Form provided by Texas Ethics Commission www.ethics.state.tx.us
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/
Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an
agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(a)A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
***
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than $100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a)A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any
gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application, response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer, described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.