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HomeMy WebLinkAboutContract 57356 CSC No.57356 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement("Agreement")is entered into by and between Wilson Office Interiors,LLC ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality. The Cooperative Purchase Agreement includes the following documents which shall be construed in the order of precedence in which they are listed: 1. This Cooperative Purchase Agreement; 2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order; 3. Exhibit B—Cooperative Agency Contract TIPS 200301; 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 not exceed Two Million Dollars ($2,000,000.00). Vendor shall not provide any additional items or services or bill for expenses incurred for City not specified by this Agreement unless City requests and approves in writing the additional costs for such services. City shall not be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing. The term of this Agreement is effective beginning on the date signed by the Assistant City Manager below ("Effective Date") and shall expire on May 31, 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: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX To CITY: To VENDOR: City of Fort Worth Wilson Office Interiors, LLC Attn:Reginald Zeno, Interim Asst. City Manager John Young, Principal 200 Texas Street Fort Worth, TX 76102-6314 Address: Facsimile: (817) 392-8654 5051 Pulaski Street Dallas, TX 75247 With copy to Fort Worth City Attorney's Office at same address Facsimile:N/A The undersigned represents and warrants that he or she has the power and authority to execute this Agreement and bind the respective Vendor. CITY OF FORT WORTH: CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person By: ?eno(Apr 6,202215:58 CDT) responsible for the monitoring and administration Name: Reginald Zeno of this contract,including ensuring all performance Title: Interim Assistant City Manager and reporting requirements. Date: APPROVAL RECOMMENDED: By: Name: Cynthia Garcia Title: Assistant Finance Director By: APPROVED AS TO FORM AND LEGALITY: Name: Anthony Rousseau Title: Acting.Finance Director ATTEST: a ppF°FORT�ad By: P~A.p° °°oo�d� Name: Taylor Paris 0, ° �'�A Title: Assistant City Attorney o Tgnnette S. Goo�%ll p�c�° d B �"�` """ `" °°° °°°°° *� CONTRACT AUTHORIZATION• y: Name. Jannette Goodall aa4 hEXAW M&C: 22-0211 Title: City Secretary VENDOR: Wilson Offic teriors L By. Nam . John Youn Title: ipal OFFICIAL RECORD Date: CITY CITY SECRETARY FT. WORTH, TX Exhibit A Pricing Schedule This agreement is for purchasing furniture and furnishings. Vendor shall provide the minimum discount offered on page 20, paragraph 35 [Bid Attribute] of TIPS agreement 200301 (copied below). 3 Discount Offered -CAUTION READ CAREFULLY BECAUSE VENDORS FREQUENTLY MAKE MISTAKES 5 ON THIS ATTRIBUTE QUESTION Remember this is a MINIMUM discount percentage.So, be sure that the discount percentage inserted here can be applied to ANY OFFERING OF GOODS OR SERVICES THROUGHOUT THE LIFE OF THE CONTRACT CAUTION: BE CERTAIN YOU CAN HONOR THIS MINIMUM DISCOUNT PERCENTAGE ON ANY OFFERED SERVICE OR GOOD NOW OR DURING THE LIFE OF THE CONTRACT. What is the MINIMUM percentage discount off of any item or service you offer to TIPS Members that is in your regular catalog (as defined in the solicitation specifications document),website, store or shelf pricing or when adding new goods or services to your offerings during the life of the contract?The resulting price of any goods or services Catalog list prices after this discount is applied is a ceiling on your pricing and not a floor because, in order to be more competitive in the individual circumstance, you may offer a larger discount depending on the items or services purchased and the quantity at time of sale. Must answer with a number between 0%and 100%. 32% Exhibit B TIPS VENDOR AGREEMENT Between MooreCo and (Company Name) THE INTERLOCAL PURCHASING SYSTEM (TIPS), a Department of Texas Education Service Center Region 8 for TIPS RFP 200301 Furniture, Furnishings and Services General Information The Vendor Agreement ("Agreement") made and entered into by and between The Interlocal Purchasing System (hereinafter "TIPS") a government cooperative purchasing program authorized by the Region 8 Education Service Center, having its principal place of business at 4845 US Hwy 271 North, Pittsburg,Texas 75686 and the TIPS Vendor.This Agreement consists of the provisions set forth below, including provisions of all attachments referenced herein. In the event of a conflict between the provisions set forth below and those contained in any attachment, the provisions set forth shall control unless otherwise agreed by the parties in writing and by signature and date on the attachment. A Purchase Order ("PO"), Agreement or Contract is the TIPS Member's approval providing the authority to proceed with the negotiated delivery order under the Agreement. Special terms and conditions as agreed between the Vendor and TIPS Member should be added as addendums to the Purchase Order, Agreement or Contract. Items such as certificate of insurance, bonding requirements, small or disadvantaged business goals are some, but not all, of the possible addendums. Terms and Conditions Freight All quotes to Members shall provide a line item for cost for freight or shipping regardless if there is a charge or not. If no charge for freight or shipping, indicate by stating"No Charge", "$0","included in price"or other similar indication. Otherwise, all shipping, freight or delivery changes shall be passed through to the TIPS Member at cost with no markup and said charges shall be agreed by the TIPS Member unless alternative shipping terms are agreed by TIPS as a result of the proposal award. Warranty Conditions All new supplies equipment and services shall include manufacturer's minimum standard warranty unless otherwise agreed to in writing.Vendor shall be legally permitted to sell all products offered for sale to TIPS Members if the offering is included in the Request for Proposal ("RFP") category.All goods proposed and sold shall be new unless clearly stated in writing. Customer Support The Vendor shall provide timely and accurate customer support for orders to TIPS Members as agreed by the Parties.Vendors shall respond to such requests within a commercially reasonable time after receipt of TIPS Vendor Agreement 10C Ver.01312020_sr Page 1 the request. If support and/or training is a line item sold or packaged with a sale, support shall be as agreed with the TIPS Member. Agreements Agreements for purchase will normally be put into effect by means of a purchase order(s) executed by authorized agents of the TIPS Member participating government entities, but other means of placing an order may be used at the Member's discretion. Tax exempt status Most TIPS Members are tax exempt and the related laws and/or regulations of the controlling jurisdiction(s) of the TIPS Member shall apply. Assignments of Agreements No assignment of this Agreement may be made without the prior notification of TIPS. Written approval of TIPS shall not be unreasonably withheld. Payment for delivered goods and services can only be made to the awarded Vendor,Vendor designated reseller or vendor assigned company. Disclosures • Vendor and TIPS affirm that he/she, or any authorized employees or agents, has not given,offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor or service to a public servant in connection with this Agreement. • Vendor shall attach, in writing, a complete description of any and all relationships that might be considered a conflict of interest in doing business with the TIPS program. • The Vendor affirms that, to the best of his/her knowledge, the offer has been arrived at independently, and is submitted without collusion with anyone to obtain information or gain any favoritism that would in any way limit competition or give an unfair advantage over other vendors in the award of this Agreement. Term and Renewal of Agreements The Agreement with TIPS is for three (3) years with an option for renewal for an additional one (1) consecutive year if both parties agree. TIPS may or may not exercise the one-year extension beyond the base three-year term and whether or not to offer the extension is at the sole discretion of TIPS. The scheduled Agreement termination date shall be the last date of the month of the last month of the agreement's legal effect. Example:If the agreement is scheduled to end on May 23, the anniversary date of the award, it would actually be extended to May 31 in the last month of the last year the contract is active. Automatic Renewal Clauses Incorporated in Awarded Vendor Agreements with TIPS Members Resulting from the Solicitation and with the Vendor Named in this Agreement, No Agreement for goods or services with a TIPS Member by the awarded vendor named in this Agreement that results from the solicitation award named in this Agreement, may incorporate an automatic renewal clause that exceeds month to month terms with which the TIPS Member must comply. All renewal terms incorporated in an Agreement by the vendor with the TIPS Member shall only be valid and enforceable when the vendor receives written confirmation by purchase order, executed Agreement or other written instruction issued by the TIPS Member for any renewal period. The purpose of this clause is to avoid a TIPS TIPS Vendor Agreement JOC Ver.01312020_sr Page 2 Member inadvertently renewing an Agreement during a period in which the governing body of the TIPS Member has not properly appropriated and budgeted the funds to satisfy the Agreement renewal. This term is not negotiable and any Agreement between a TIPS Member and a TIPS awarded vendor with an automatic renewal clause that conflicts with these terms is rendered void and unenforceable. Shipments The Vendor shall ship,deliver or provide ordered products or services within a commercially reasonable time after the receipt of the order from the TIPS Member. If a delay in said delivery is anticipated, the Vendor shall notify TIPS Member as to why delivery is delayed and shall provide an estimated time for completion of the order.TIPS or the requesting entity may cancel the order if estimated delivery time is not acceptable or not as agreed by the parties. Invoices Each invoice or pay request shall include the TIPS Member's purchase order number or other identifying designation as provided in the order by the TIPS Member. If applicable, the shipment tracking number or pertinent information for verification of TIPS Member receipt shall be made available upon request. Payments The TIPS Member will make payments directly to the Vendor, the Vendor Assigned Dealer or as agreed by the Vendor and the TIPS Member after receiving invoice and in compliance with applicable payment statute(s),whichever is the greater time or as otherwise provided by an agreement of the parties. Pricing Price increases will be honored according to the terms of the solicitation. All pricing submitted to TIPS shall include the participation fee, as provided in the solicitation,to be remitted to TIPS by the Vendor. Vendor will not show adding the fee to the invoice presented to TIPS Member customer. Participation Fees and Reporting of Sales to TIPS by Vendor The Participation Fee that was published as part of the Solicitation and the fee published is the legally effective fee, along with any fee conditions stated in the Solicitation. Collection of the fees by TIPS is required under Texas Government Code §791,011 Et seq. Fees are due on all TIPS purchases reported by either Vendor or Member. Fees are due to TIPS upon payment by the Member to the Vendor, Reseller or Vendor Assigned Dealer. Vendor, Reseller or Vendor Assigned Dealer agrees to pay the participation fee to TIPS for all Agreement sales upon receipt of payment including partial payment,from the Member Entity or as otherwise agreed by TIPS in writing and signed by an authorized signatory of TIPS. Thus, when an awarded Vendor, Reseller or Vendor Assigned Realer receives any amount of payment,even partial payment,fora TIPS sale,the legally effective fee for that amount is due to TIPS from the Vendor. Reporting of Sales to TIPS by Vendor Vendor is required to report all sales under the TIPS contract to TIPS. If the TIPS Member entity requesting a price from the awarded Vendor requests the TIPS contract,Vendor must include the TIPS Contract number on any communications with the TIPS Member entity. To report sales,the Vendor must login to the TIPS Vendor Portal online at https://,www.tips-usa.com/vendors form.cfm and click on the PO's and Payments tab. Pages 3-7 of the Vendor Portal User Guide will walk you through the process of reporting sales to TIPS. Please refer to the TIPS Accounting FAQ's for more information about reporting sales and if you have further questions, contact the Accounting Team at accounting@tips-usa.com. The Vendor or vendor assigned dealers are responsible for keeping record of all sales that go through the TIPS Agreement and submitting same to TIPS. Failure to render the participation fee to TIPS shall constitute a breach of this agreement with our parent TIPS Vendor Agreement JOC Ver.01312020_sr Page 3 governmental entity,Texas Education Service Center Region 8,as established by the Texas legislature and shall be grounds for termination of this agreement and any other agreement held with TIPS and possible legal action.Any overpayment of participation fees to TIPS by a Vendor will be refunded to the Vendor within ninety (90) days of receipt of notification if TIPS receives written notification of the overpayment not later than the expiration of six (6) months from the date of overpayment and TIPS determines that the amount was not legally due to TIPS pursuant to this agreement and applicable law. It is the Vendor's responsibility to identify which sales are TIPS Agreement sales and pay the correct participation fee due for TIPS Agreement sales. Any notification of overpayment received by TIPS after the expiration of six (6) months from the date of overpayment will be non-refundable. Region 8 ESC and TIPS reserve the right to extend the six (6) month deadline to notify if approved by the Region 8 ESC Board of Directors. TIPS reserves all rights under the law to collect the fees due. Please contact TIPS at tips@tips-usa.com or call (866) 839-8477 if you have questions about paying fees. Indemnity The Vendor agrees to indemnify and hold harmless and defend TIPS,TIPS Member(s),officers and employees from and against all claims and suits by third parties for damages, injuries to persons (including death), property damages,losses,and expenses including court costs and reasonable attorney's fees,arising out of, or resulting from, Vendor's performance under this Agreement, including all such causes of action based upon common, constitutional, or statutory law, or based in whole or in part, upon allegations of negligent or intentional acts on the part of the Vendor, its officers, employees, agents, subcontractors, licensees, or invitees. Parties found liable shall pay their proportionate share of damages as agreed by the parties or as ordered by a court of competent jurisdiction over the case. NO LIMITATION OF LIABILITY FOR DAMAGES FOR PERSONAL INJURY OR PROPERTY DAMAGE ARE PERMITTED OR AGREED BY TIPS/ESC REGION 8. Per Texas Education Code §44.032(f), and pursuant to its requirements only, reasonable Attorney's fees are recoverable by the prevailing party in any dispute resulting in litigation. State of Texas Franchise Tax By signature hereon,the Vendor hereby certifies that he/she is not currently delinquent in the payment of any franchise taxes owed the State of Texas under Chapter 171,Tax Code. Miscellaneous The Vendor acknowledges and agrees that continued participation in TIPS is subject to TIPS sole discretion and that any Vendor may be removed from the participation in the Program at any time with or without cause. Nothing in the Agreement or in any other communication between TIPS and the Vendor may be construed as a guarantee that TIPS or TIPS Members will submit any orders at any time. TIPS reserves the right to request additional proposals for items or services already on Agreement at anytime. Purchase Order Pricing/Product Deviation If a deviation of pricing/product on a Purchase Order or contract modification occurs between the Vendor and the TIPS Member,TIPS must be notified within five (5) business days of receipt of change order. Termination for Convenience of TIPS Agreement Only TIPS reserves the right to terminate this agreement for cause or no cause for convenience with a thirty(30) days prior written notice.Termination for convenience is conditionally required under Federal Regulations 2 CFR part 200 if the customer is using federal funds for the procurement.All purchase orders presented to the Vendor, but not fulfilled by the Vendor, by a TIPS Member prior to the actual termination of this agreement shall be honored at the option of the TIPS Member. The awarded Vendor may terminate the agreement with ninety (90) days prior written notice to TIPS 4845 US Hwy North, Pittsburg, Texas 75686. TIPS Vendor Agreement JOC Ver.01312020_sr Page 4 The vendor will be paid for goods and services delivered prior to the termination provided that the goods and services were delivered in accordance with the terms and conditions of the terminated agreement. This termination clause does not affect the sales agreements executed by the Vendor and the TIPS Member customer pursuant to this agreement. TIPS Members may negotiate a termination for convenience clause that meets the needs of the transaction based on applicable factors, such as funding sources or other needs. TIPS Member Purchasing Procedures Usually, purchase orders or their equal are issued by participating TIPS Member to the awarded vendor and should indicate on the order that the purchase is per the applicable TIPS Agreement Number. Orders are typically emailed to TIPS at tipspo@tips-usa.com. • Awarded Vendor delivers goods/services directly to the participating member. • Awarded Vendor invoices the participating TIPS Member directly. • Awarded Vendor receives payment directly from the participating member. Fees are due to TIPS upon payment by the Member to the Vendor. Vendor agrees to pay the participation fee to TIPS for all Agreement sales upon receipt of payment including partial payment, from the Member Entity or as otherwise agreed by TIPS in writing and signed by an authorized signatory of TIPS. Licenses Awarded Vendor shall maintain, in current status, all federal, state and local licenses, bonds and permits required for the operation of the business conducted by awarded Vendor. Awarded Vendor shall remain reasonably fully informed of and in compliance with all ordinances and regulations pertaining to the lawful provision of goods or services under the Agreement.TIPS and TIPS Members reserves the right to stop work and/or cancel an order or terminate this or any other sales Agreement of any awarded Vendor whose license(s) required for performance under this Agreement have expired, lapsed, are suspended or terminated subject to a 30-day cure period unless prohibited by applicable statue or regulation. Novation If awarded Vendor sells or transfers all assets, rights or the entire portion of the assets or rights required to perform this Agreement, a successor in interest must guarantee to perform all obligations under this Agreement. A simple change of name agreement will not change the Agreement obligations of awarded vendor. TIPS will consider Contract Assignments on a case by case basis. TIPS must be notified within five (5) business days of the transfer of assets or rights_ Site Requirements(only when applicable to service or job) Cleanup: When performing work on site at a TIPS Member's property,awarded Vendor shall clean up and remove all debris and rubbish resulting from their work as required or directed by TIPS Member or as agreed by the parties. Upon completion of work,the premises shall be left in good repair and an orderly, neat,clean and unobstructed condition. Preparation:Awarded Vendor shall not begin a project for which TIPS Member has not prepared the site, unless awarded Vendor does the preparation work at no cost, or until TIPS Member includes the cost of site preparation in a purchase order. Site preparation includes, but is not limited to: moving furniture, installing wiring for networks or power,and similar pre-installation requirements. Registered sex offender restrictions: For work to be performed at schools, awarded Vendor agrees that no employee of a subcontractor who has been adjudicated to be a registered sex offender will perform work at any time when students are, or reasonably expected to be, present unless otherwise agreed by the TIPS Member.Awarded Vendor agrees that a violation of this condition shall be considered a material breach and may result in the cancellation of the purchase order at the TI PS Member's discretion. Awarded TIPS Vendor Agreement JOC Ver.41312020_sr Page 5 Vendor must identify any additional costs associated with compliance of this term. If no costs are specified,compliance with this term will be provided at no additional charge.Safety measures:Awarded Vendor shall take all reasonable precautions for the safety of employees on the worksite,and shall erect and properly maintain all necessary safeguards for protection of workers and the public.Awarded Vendor shall post warning signs against all hazards created by the operation and work in progress. Proper precautions shall be taken pursuant to state law and standard practicesto protect workers,general public and existing structures from injury or damage. Safety Measures Awarded Vendor shall take all reasonable precautions for the safety of employees on the worksite,and shall erect and properly maintain all necessary safeguards for protection of workers and the public. Awarded vendor shall post warning signs against all hazards created by the operation and work in progress. Proper precautions shall be taken pursuant to state law and standard practices to protect workers, general public and existing structures from injury or damage. Smoking Persons working under Agreement shall adhere to the TIPS Member's or local smoking statutes, codes or policies. Marketing Awarded Vendor agrees to allow TIPS to use their name and logo within TIPS website, marketing materials and advertisement subject to any reasonable restrictions provided to TIPS in the Proposal to the Solicitation.The Vendor may submit an acceptable use directive for Vendor's names and logos with which TIPS agrees to comply. Any use of TIPS name and logo or any form of publicity, inclusive of press release, regarding this Agreement by awarded vendor must have prior approval from TIPS which will not be unreasonably withheld. Request may be made by email to TIPS@TIPS-USA.COM. Supplemental Agreements The TIPS Member entity participating in the TIPS Agreement and awarded Vendor may enter into a separate Supplemental Agreement or contract to further define the level of service requirements over and above the minimum defined in this Agreement such as but not limited to, invoice requirements, ordering requirements, specialized delivery, etc. Any Supplemental Agreement or contract developed as a result of this Agreement is exclusively between the TIPS Member entity customer and the Vendor. TIPS, its agents, TIPS Members and employees not a party to the Supplemental Agreement with the TIPS Member customer, shall not be made party to any claim for breach of such agreement unless named and agreed by the Party in question in writing in the agreement. If a Vendor submitting a Proposal requires TIPS and/or TIPS Member to sign an additional agreement,those agreements shall comply with the award made by TIPS to the Vendor.Supplemental Vendor's Agreement documents may not become part of TIPS'Agreement with Vendor unless and until an authorized representative of TIPS reviews and approves it. TIPS review and approval may be at any time during the life of this Vendor Agreement. TIPS permits TIPS Members to negotiate additional terms and conditions with the Vendor for the provision of goods or services under the Vendor's TIPS Agreement so long as they do not materially conflict with this Agreement. Survival Clause All applicable sales,leases,Supplemental Agreements,contracts,software license agreements,warranties or service agreements that were entered into between Vendor and TIPS or the TIPS Member Customer under the terms and conditions of this Agreement shall survive the expiration or termination of this Agreement.All Orders,Purchase Orders issued or contracts executed by TIPS or a TIPS Member and accepted by the Vendor TIPS Vendor AgreementJOC Ver.01312020_sr Page 6 prior to the expiration or termination of this agreement, shall survive expiration or termination of the Agreement, subject to previously agreed terms and conditions agreed by the parties or as otherwise specified herein relating to termination of this agreement. Legal obligations It is the responding Vendor's responsibility to be aware of and comply with all local, state and federal laws governing the sale of products/services identified in the applicable Solicitation that resulted in this Vendor Agreement and any awarded Agreement thereof.Applicable laws and regulations must be followed even if not specifically identified herein. Audit rights Due to transparency statutes and public accountability requirements of TIPS and TIPS Members', the awarded Vendor shall, at their sole expense, maintain appropriate due diligence of all purchases made by TIPS Member that utilizes this Agreement. TIPS and Region 8 ESC each reserve the right to audit the accounting of TIPS related purchases for a period of three(3)years from the time such purchases are made. This audit right shall survive termination of this Agreement for a period of one (1) year from the effective date of termination. In order to ensure and confirm compliance with this agreement, TIPS shall have authority to conduct audits of Awarded Vendor's pricing or TIPS transaction documentation with TIPS Members with 30 days' notice unless the audit is ordered by a Court Order or by a Government Agency with authority to do so without notice. Notwithstanding the foregoing, in the event that TIPS is made aware of any pricing being offered to eligible entities that is materially inconsistent with the pricing under this agreement,TIPS shall have the ability to conduct the audit internally or may engage a third- party auditing firm to investigate any possible non- compliant conduct or may terminate the Agreement according to the terms of this Agreement. In the event of an audit,the requested materials shall be reasonably provided in the time,format and atthe location acceptable to Region 8 ESC or TIPS. TIPS agrees notto perform a random audit the TIPS transaction documentation more than once per calendar year, but reserves the right to audit for just cause or as required by any governmental agency or court with regulatory authority over TIPS or the TIPS Member. Force Majeure If by reason of Force Majeure,either party hereto shall be rendered unable wholly or in part to carry out its obligations under this Agreement then such party shall give notice and full particulars of Force Majeure in writing to the other party within a reasonable time after occurrence of the event or cause relied upon, and the obligation of the party giving such notice, so far as it is affected by such Force Majeure, shall be suspended during the continuance of the inability then claimed, except as hereinafter provided, but for no longer period, and such party shall endeavor to remove or overcome such inability with all reasonable dispatch. Choice of Law The Agreement between the Vendor and TIPS/ESC Region 8 and any addenda or other additions resulting from this procurement process, however described, shall be governed by, construed and enforced in accordance with the laws of the State of Texas, regardless of any conflict of laws principles. Venue,Jurisdiction and Service of Process Any Proceeding arising out of or relatingto this procurement process or any contract issued by TIPS resulting from or any contemplated transaction shall be brought in a court of competent jurisdiction in Camp County, Texas and each of the parties irrevocably submits to the exclusive jurisdiction of said court in any such proceeding,waives any objection it may now or hereafter have to venue or to convenience of forum,agrees TIPS Vendor Agreement JOC Ver.01312020_sr Page 7 that all claims in respect of the Proceeding shall be heard and determined only in any such court,and agrees not to bring any proceeding arising out of or relating to this procurement process or any contract resulting from or any contemplated transaction in any other court.The parties agree that either or both of them may file a copy of this paragraph with any court as written evidence of the knowing, voluntary and freely bargained for agreement between the parties irrevocably to waive any objections to venue or to convenience of forum. Process in any Proceeding referred to in the first sentence of this Section may be served on any party anywhere in the world. Venue for any dispute resolution process,other than litigation, between TIPS and the Vendor shall be located in Camp or Titus County,Texas. Project Delivery Order Procedures The TIPS Member having approved and signed an interlocai agreement, or other TIPS Membership document,may make a request of the awarded Vendor u nderthis Agreement when the TIPS Member desires goods or services awarded to the Vendor.Notification may occur via phone,the web, courier,email,fax, or in person. Upon notification of a pending request, the awarded Vendor shall acknowledge the TIPS Member's request as soon as possible, but must make contact with the TIPS Member within two working days. Status of TIPS Members as Related to This Agreement TIPS Members stand in the place of TIPS as related to this agreement and have the same access to the proposal information and all related documents. TIPS Members have all the same rights under the awarded Agreement as TIPS. Vendor's Resellers as Related to This Agreement Vendor's Named Resellers("Resellers") under this Agreement shall comply with all terms and conditions of this agreement and all addenda or incorporated documents. All actions related to sales by Authorized Vendor's Resellers under this Agreement are the responsibility of the awarded Vendor. If Resellers fail to report sales to TIPS under your Agreement,the awarded Vendor is responsible for their contractual failures and shall be billed for the fees. The awarded Vendor may then recover the fees from their named reseller. Support Requirements If there is a dispute between the awarded Vendor and TIPS Member,TIPS or its representatives may,at TIPS sole discretion,assist in conflict resolution if requested by either party.TIPS, or its representatives, reserves the right to inspect any project and audit the awarded Vendor's TIPS project files, documentation and correspondence related to the requesting TIPS Members order. If there are confidentiality requirements by either party,TIPS shall comply to the extent permitted by law. Incorporation of Solicitation The TIPS Solicitation which resulted in this Vendor Agreement,whether a Request for Proposals,the Request for Competitive Sealed Proposals or Request for Qualifications solicitation, or other,the Vendor's response to same and all associated documents and forms made part of the solicitation process, including any addenda, are hereby incorporated by reference into this Agreement as if copied verbatim. SECTION HEADERS OR TITLES THE SECTON HEADERS OR TITLES WITHIN THIS DOCUMENT ARE MERELY GUIDES FOR CONVENIENCE AND ARE NOT FOR CLASSIFICATION OR LIMITING OF THE RESPONSIBILITES OF THE PARTIES TO THIS DOCUMENT. STATUTORY REQUIREMENTS Texas governmental entities are prohibited from doing business with companies that fail to certify to this TIPS Vendor Agreement lOC Ver.01312020_sr Page 8 condition as required by Texas Government Code Sec.2270. By executing this agreement,you certify that you are authorized to bind the undersigned Vendor and that your company(1) does not boycott Israel; and (2)will not boycott Israel during the term of the Agreement. You certify that your company is not listed on and does not and will not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations per Texas Gov't Code 2270.0153 found at https://comptroller.texas.gov/purchasing/docs/foreign-terrorist.pdf You certifythat if the certified statements above become untrue at any time during the life of this Agreement that the Vendorwill notify TIPS within three(3)business day of the change by a letter on Vendor's letterhead from and signed by an authorized representative of the Vendor stating the non-compliance decision and the TIPS Agreement number and description at: Attention:General Counsel ESC Region 8/The Interlocal Purchasing System (TIPS) 4845 Highway 271 North Pittsburg,TX,75686 And by an email sent to bids@tips-usa.com Insurance Requirements The undersigned Vendor agrees to maintain the below minimum insurance requirements for TIPS Contract Holders: General Liability $1,000,000 each Occurrence/Aggregate Automobile Liability $300,000 Includes owned, hired&non-owned Workers'Compensation Statutory limits for the jurisdiction in which the Vendor performs under this Agreement. Umbrella Liability $1,000,000 When the Vendor or its subcontractors are liable for any damages or claims,the Vendor's policy,when the Vendor is responsible for the claim, must be primary over any other valid and collectible insurance carried by the Member. Any immunity available to TIPS or TIPS Members shall not be used as a defense by the contractor's insurance policy. The coverages and limits are to be considered minimum requirements and in no way limit the liability of the Vendor(s). Insurance shall be written by a carrier with an A-; VII or better rating in accordance with current A.M. Best Key Rating Guide. Only deductibles applicable to property damage are acceptable,unless proof of retention funds to coversaid deductibles is provided."Claims made" policies will not be accepted. Vendor's required minimum coverage shall not be suspended, voided, cancelled, non-renewed or reduced in coverage or in limits unless replaced by a policy that provides the minimum required coverage except after thirty(30)days prior written notice by certified mail, return receipt requested has been given to TIPS or the TIPS Member if a project or pending delivery of an order is ongoing. Upon request, certified copies of all insurance policies shall be furnished to the TIPS or the TIPS Member. Special Terms and Conditions • Orders: All Vendor orders received from TIPS Members must be emailed to TIPS at tipspo@tips- usa.com.Should a TIPS Member send an order directlyto the Vendor,it is the Vendor's responsibility TIPS Vendor Agreement JOC Ver.01312020 sr Page 9 to forward a copy of the order to TIPS at the email above within 3 business days and confirm its receipt with TIPS. + Vendor Encouraging Members to bypass TIPS agreement: Encouraging TIPS Members to purchase directly from the Vendor or through another agreement,when the Member has requested using the TIPS cooperative Agreement or price,and thereby bypassing the TIPS Agreement is a violation of the terms and conditions of this Agreement and will result in removal of the Vendor from the TIPS Program. • Order Confirmation:All TIPS Member Agreement orders are approved daily by TIPS and sent to the Vendor. The Vendor should confirm receipt of orders to the TIPS Member (customer) within 3 business days. • Vendor custom website for TIPS: if Vendor is hosting a custom TIPS website, updated pricing when effective.TIPS shall be notified when prices change in accordance with the award. • Back Ordered Products: If product is not expected to ship within the time provided to the TIPS Member by the Vendor,the Member is to be notified within 3 business days and appropriate action taken based on customer request. The TIPS Vendor Agreement Signature Page is inserted here. TIPS Vendor Agreement JOC Ver.01312020_sr Page 10 TIPS Vendor Agreement Signature Form RFP 200301 Furniture, Furnishings and Services MooreCo Inc. Company Name 2885 Lorraine Avenue Address Temple TX 76501 City State zip Phone (800) 749-225$ Fax (866) 888-7483 Email of Authorized Representative skurtzman@moorecoinc.com Name of Authorized Representative Scott Kurtzman Title Bid/Contract Manager Signature of Authorized Representative Date 4/13/2020 TIPS Authorized Representative Name -Title Chief Operating Offmcer TIPS Authorized Representative Signature Approved by ESC Region 8 Date 5/21/2020 NOTICE TO MEMBERS REGARDING ATTRIBUTE RESPONSES TIPS VENDORS RESPOND TO ATTRIBUTE QUESTIONS AS PART OF TIPS COMPETITIVE SOLICITATION PROCESS. THE VENDOR'S RESPONSES TO ATTRIBUTE QUESTIONS ARE INCLUDED HEREIN AS "SUPPLIER RESPONSE." PLEASE BE ADVISED THAT DEVIATIONS, IF ANY, IN VENDOR'S RESPONSE TO ATTRIBUTE QUESTIONS MAY NOT REFLECT VENDOR'S FINAL ATTRIBUTE RESPONSE, WHICH IS SUBJECT TO NEGOTIATIONS PRIOR TO AWARD. PLEASE CONTACT THE TIPS OFFICE AT 866-839- 8477 WITH QUESTIONS OR CONCERNS REGARDING VENDOR ATTRIBUTE RESPONSE DEVIATIONS. PLEASE KEEP IN MIND THAT TIPS DOES NOT PROVIDE LEGAL COUNSEL TO MEMBERS. TIPS RECOMMENDS THAT YOU CONSULT YOUR LEGAL COUNSEL WHEN EXECUTING CONTRACTS WITH OR MAKING PURCHASES FROM TIPS VENDORS. t 200301 MooreCo Inc Supplier Response Event Information Number: 200301 Title: Furniture, Furnishings and Services Type: Request for Proposal Issue Date: 3/5/2020 Deadline: 4/24/2020 03:00 PM (CT) Contact Information Address: Region 8 Education Service Center 4845 US Highway 271 North Pittsburg, TX 75686 Phone: +1 (866) 839-8477 Email: bids@tips-usa.com Page 1 of 25 pages Vendor:MooreCo Inc 200301 MooreCo Inc Information Contact: Melissa Kirk Address: 2885 Lorraine Ave Temple, TX 76501 Phone: (254) 778-4727 x238 Fax: (254) 773-0500 Toll Free: (800) 749-2258 x238 Email: mkirk@moorecoinc.com By submitting your response, you certify that you are authorized to represent and bind your company. Scott Kurtzman skurtzman@moorecoinc.com Signature Email Submitted at 411612020 9:54:07 AM Requested Attachments Vendor Agreement 200301_Vendor Agreement.pdf The vendor must download the Vendor Agreement from the attachment tab, fill in the requested information and upload the completed agreement. DO NOT UPLOAD encrypted or password protected files. Agreement Signature Form 200301_Agreement Signature_Form- Signed.pdf If you have not taken exception or deviation to the agreement language in the solicitation attributes, download the AGREEMENT SIGNATURE FORM from the "ATTACHMENTS"tab. This PDF document is a fillable form. Download the document to your computer, fill in the requested company information, print the file, SIGN the form, SCAN the completed and signed AGREEMENT SIGNATURE FORM, and upload here. If you have taken exception to any of the agreement language and noted the exception in the deviations section of the attributes for the agreement, complete the AGREEMENT SIGNATURE FORM, but DO NOT SIGN until those deviations have been negotiated and resolved with TIPS management. Upload the unsigned form here, because this is a required document. Pricing Spreadsheet #1 200301_Pricing_form_1 .xlsx The vendor must download the PRICING SPREADSHEET SHEET from the attachment tab, fill in the requested information and upload the completed spreadsheet. DO NOT UPLOAD encrypted or password protected files. Pricing Spreadsheet #2 200301_Pricing_form_2.xlsx The vendor must download the PRICING SPREADSHEET SHEET from the attachment tab, fill in the requested information and upload the completed spreadsheet. DO NOT UPLOAD encrypted or password protected files. References Reference_Form.xls The vendor must download the References spreadsheet from the attachment tab, fill in the requested information and upload the completed spreadsheet. DO NOT UPLOAD encrypted or password protected files. Proposed Goods and Services Proposed Goods and Services.docx Please upload one or more documents or sheets describing your offerings, line cards, catalogs, links to offerings OR list links to your offerings that illustrate the catalog of proposed lines of goods and or services you carry and offer under this proposal. I does not have to be exhaustive but should, at a minimum tell us what you are offering. It could be as simple as a sheet with your link to your online catalog of goods and services. Page 2 of 25 pages Vendor:MooreCo Inc 200301 Resellers/Dealers - COMPLETE AND UPLOAD ONLY IF YOU HAVE Reseller Dealers_Sheet.xlsx RESELLER OF YOUR GOODS OR SERVICES PROPOSED If the PROPOSING vendor has resellers that will be selling for the vendor UNDER this contract, the vendor must download the Resellers/Dealers spreadsheet from the attachment tab, fill in the requested information and upload the completed spreadsheet. DO NOT UPLOAD encrypted or password protected files. D/M/WBE Certification OPTIONAL No response D/M/WBE Certification documentation may be scanned and uploaded if you desire to claim your status as one of the identified enterprises. (Disadvantaged Business Enterprise, Minority Business Enterprise and/or Woman Business Enterprise) If vendor has more than one certification scan into one document. (PDF Format ONLY) DO NOT UPLOAD encrypted or password protected files. Warranty MooreCo-Warranty-06-11-2019.pdf Warranty information (if applicable) must be scanned and uploaded. (PDF Format ONLY) DO NOT UPLOAD encrypted or password protected files. Supplementary 2020 MooreCo Soft-Seating-Price-Guide.pdf Supplementary information may be scanned and uploaded. (Company information, brochures, catalogs, etc.) (PDF Format ONLY) DO NOT UPLOAD encrypted or password protected files. All Other Certificates No response All Other Certificates (if applicable) must be scanned and uploaded. If vendor has more than one other certification scan into one document. (PDF Format ONLY) DO NOT UPLOAD encrypted or password protected files. Logo and Other Company Marks mooreco-vanerum-logos.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the "Response Attachment" tab. Preferred Logo Format: 300 x 225 px- .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE No response INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at https://www.tips-usa.com/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer - CERTIFICATION—OF—CORPORATE—OFFERER—FORM- Signed.pdf COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, "disclosure Form to Report Lobbying," in the Response attachments section. Confidentiality Form CONFIDENTIALITY CLAIM_FORM_rev111819RP- Signed.pdf REQUIRED CONFIDENTIALITY FORM. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under"Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Response Attachments 2020 MooreCo Soft-Seating-Price-Guide.pdf 2020 MooreCo Soft Seating Price List Page 3 of 25 pages Vendor:MooreCo Inc 200301 2020 Vanerum NA-Price-Guide.pdf 2020 Vanerum Price List 2020 MooreCo Compass-Price-Guide.pdf 2020 MooreCo Compass Price List Bid Attributes 1 Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE (Required by some participating governmental entities) Vendor certifies that their firm is a D/M/WBE? Vendor must upload proof of certification to the "Response Attachments" D/M/WBE CERTIFICATES section. NO 2 Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at https://comptroller.texas.gov/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at https://www.sba.gov/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the "Response Attachments" HUB CERTIFICATES section. No 3 Yes - No The Vendor can provide services and/or products to all 50 US States? Yes 4 States Served: If answer is NO to question #3, please list which states can be served. (Example: AR, OK, TX) No response 5 Company and/or Product Description: This information will appear on the TIPS website in the company profile section, if awarded a TIPS contract. (Limit 750 characters.) MooreCo Inc and family of brands have been designing and manufacturing educational furniture and equipment since 1950. Our extensive product offering is suitable to outfit an entire facility. Our brands include furniture, seating, soft seating, visual communication products, storage, library and technology products. Our brands offer standard products with fast shipping times - as little as 5 days - to premium furniture with custom manufacturing options. Our team includes furniture designers and engineers who can customize designs to any specification or need. We also offer free interior design and rendering services. Our 500,0000 sq ft manufacturing facility is located in the heart of Central Texas. 6 Primary Contact Name Primary Contact Name Scott Kurtzman 7 Primary Contact Title Primary Contact Title Bid/Contract Manager Page 4 of 25 pages Vendor:MooreCo Inc 200301 8 Primary Contact Email Primary Contact Email skurtzman@moorecoinc.com 9 Primary Contact Phone Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 4199891269 1 Primary Contact Fax U Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 8668887483 1 Primary Contact Mobile 1 Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 4199891269 1 Secondary Contact Name 2 Secondary Contact Name Melissa Kirk 1 Secondary Contact Title 3 Secondary Contact Title Bid/Quote Manager 1 Secondary Contact Email 4 Secondary Contact Email mkirk@moorecoinc.com 1 Secondary Contact Phone 5 Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 8007492258 1 Secondary Contact Fax 6 Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 8668887483 1 Secondary Contact Mobile 7 Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 2547182289 Page 5 of 25 pages Vendor:MooreCo Inc 200301 1 Admin Fee Contact Name 8 Admin Fee Contact Name. This person is responsible for paying the admin fee to TIPS. Scott Kurtzman 1 Admin Fee Contact Email 9 Admin Fee Contact Email skurtzman@moorecoinc.com 2 Admin Fee Contact Phone U Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 4199891269 2 Purchase Order Contact Name 1 Purchase Order Contact Name. This person is responsible for receiving Purchase Orders from TIPS. Melissa Kirk 2 Purchase Order Contact Email 2 Purchase Order Contact Email mkirk@moorecoinc.com 2 Purchase Order Contact Phone 3 Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 2547182289 2 Company Website 4 Company Website (Format-www.company.com) www.moorecoinc.com 2 Federal ID Number: 5 Federal ID Number also known as the Employer Identification Number. (Format- 12-3456789) 26-1162929 2 Primary Address 6 Primary Address 2885 Lorraine Avenue 2 Primary Address City 7 Primary Address City Temple 2 Primary Address State 8 Primary Address State (2 Digit Abbreviation) TX Page 6 of 25 pages Vendor:MooreCo Inc 200301 2 Primary Address Zip 9 Primary Address Zip 76501 3 Search Words: U Please list search words to be posted in the TIPS database about your company that TIPS website users might search. Words may be product names, manufacturers, or other words associated with the category of award. YOU MAY NOT LIST NON-CATEGORY ITEMS. (Limit 500 words) (Format: product, paper, construction, manufacturer name, etc.) Furniture Workstation Office Desk Table Stool Chair Whiteboard Dry erase glass board Cart Dividers Soft seating Room Partition printer cart Teacher podium Corkboards Markerboards Podium Student desk Teacherdesk 3 Do you want TIPS Members to be able to spend Federal grant funds with you if awarded? Is it your intent to be able to sell to our members regardless of the fund source, whether it be local, state or federal? Most of our members receive Federal Government grants and they make up a significant portion of their budgets. The Members need to know if your company is willing to sell to them when they spend federal budget funds on their purchase. There are attributes that follow that include provisions from the federal regulations in 2 CFR part 200. Your answers will determine if your award will be designated as Federal or Education Department General Administrative Regulations (EDGAR) compliant. Do you want TIPS Members to be able to spend Federal grant funds with you if awarded and is it your intent to be able to sell to TIPS Members regardless of the fund source, whether it be local, state or federal? Yes Page 7 of 25 pages Vendor:MooreCo Inc 200301 3 Yes - No 2 Certification of Residency (Required by the State of Texas) The vendor's ultimate parent company or majority owner: (A) has its principal place of business in Texas; nR (B) employs at least 500 persons in Texas? This question is required as a data gathering function for information to our members making purchases with awarded vendors. It does not affect scoring with TIPS. Yes 3 Company Residence (City) 3 Vendor's principal place of business is in the city of? Temple 3 Company Residence (State) 4 Vendor's principal place of business is in the state of? TEXAS 3 Discount Offered -CAUTION READ CAREFULLY BECAUSE VENDORS FREQUENTLY MAKE MISTAKES 5 ON THIS ATTRIBUTE QUESTION Remember this is a MINIMUM discount percentage. So, be sure that the discount percentage inserted here can be applied to ANY OFFERING OF GOODS OR SERVICES THROUGHOUT THE LIFE OF THE CONTRACT CAUTION: BE CERTAIN YOU CAN HONOR THIS MINIMUM DISCOUNT PERCENTAGE ON ANY OFFERED SERVICE OR GOOD NOW OR DURING THE LIFE OF THE CONTRACT. What is the MINIMUM percentage discount off of any item or service you offer to TIPS Members that is in your regular catalog (as defined in the solicitation specifications document), website, store or shelf pricing or when adding new goods or services to your offerings during the life of the contract? The resulting price of any goods or services Catalog list prices after this discount is applied is a ceiling on your pricing and not a floor because, in order to be more competitive in the individual circumstance, you may offer a larger discount depending on the items or services purchased and the quantity at time of sale. Must answer with a number between 0% and 100%. 32% 3 TIPS Administration Fee 6 By submitting a proposal, I agree that all pricing submitted to TIPS shall include the Administration Fee, as designated in the solicitation or as otherwise agreed in writing which shall be remitted to TIPS by the Vendor, or the vendor's named resellers, and as agreed to in the Vendor Agreement. I agree that the fee shall not and will not be added by the Vendor as a separate line item on a TIPS member invoice, quote, proposal or any other written communications with the TIPS member. Page 8 of 25 pages Vendor:MooreCo Inc 200301 3 Yes - No 7 Vendor agrees to remit to TIPS the required administration fee or, if resellers are named, Vendor agrees to guarantee the fee remittance by or for the reseller named by the vendor? TIPS/ESC Region 8 is required by Texas Government Code § 791 to be compensated for its work and thus, failure to agree shall render your response void and it will not be considered. Agreed 3 Yes - No 8 Do you offer additional discounts to TIPS members for large order quantities or large scope of work? Yes 3 Years experience in category of goods or services 9 Company years experience in this category of goods or services? This is an evaluation criterion worth a maximum of 10 points. See RFP for more information. 35 4 Resellers: U Does the vendor have resellers that it will name under this contract? Resellers are defined as other companies that sell your products under an agreement with you, the awarded vendor of TIPS. EXAMPLE: BIGmart is a reseller of ACME brand televisions. If ACME were a TIPS awarded vendor, then ACME would list BIGmart as a reseller. (If applicable, vendor should download the Reseller/Dealers spreadsheet from the Attachments section, fill out the form and submit the document in the "Response Attachments" RESELLERS section. Yes 4 Pricing discount percentage are guaranteed for? Does the vendor agrees to honor the proposed pricing discount percentage off regular catalog (as defined in the RFP document), website, store or shelf pricing for the term of the award? YES 4 Right of Refusal 2 Does the proposing vendor wish to reserve the right not to perform under the awarded agreement with a TIPS member at vendor's discretion? No Page 9 of 25 pages Vendor:MooreCo Inc 200301 4 NON-COLLUSIVE BIDDING CERTIFICATE 3 By submission of this bid or proposal, the Bidder certifies that: 1) This bid or proposal has been independently arrived at without collusion with any other Bidder or with any Competitor; 2) This bid or proposal has not been knowingly disclosed and will not be knowingly disclosed, prior to the opening of bids, or proposals for this project, to any other Bidder, Competitor or potential competitor: 3) No attempt has been or will be made to induce any other person, partnership or corporation to submit or not to submit a bid or proposal; 4) The person signing this bid or proposal certifies that he has fully informed himself regarding the accuracy of the statements contained in this certification, and under the penalties being applicable to the Bidder as well as to the person signing in its behalf. Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered. 4 CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ - Do you have any CONFLICT OF INTEREST 4 TO REPORT OR DISCLOSE under this statutory requirement? Do you have any CONFLICT OF INTEREST TO REPORT OR DISCLOSE under this statutory requirement? YES or NO If you have a conflict of interest as described in this form or the Local Government Code Chapter 176, cited therein- you are required to complete and file with TIPS. You may find the Blank CIQ form on our website at: Copy and Paste the following link into a new browser or tab: https://www.tips-usa.com/assets/documents/docs/CIQ.pdf There is an optional upload for this form provided if you have a conflict and must file the form. No 4 Filing of Form CIQ 5 If yes (above), have you filed a form CIQ by uploading the form to this RFP as directed above? No response 4 Regulatory Standing 6 1 certify to TIPS for the proposal attached that my company is in good standing with all governmental agencies Federal or state that regulate any part of our business operations. If not, please explain in the next attribute question. Yes 4 Regulatory Standing 7 Regulatory Standing explanation of no answer on previous question. No response Page 10 of 25 pages Vendor:MooreCo Inc 200301 4 Antitrust Certification Statements (Tex. Government Code § 2155.005) 8 By submission of this bid or proposal, the Bidder certifies that: I affirm under penalty of perjury of the laws of the State of Texas that: (1) 1 am duly authorized to execute this contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual (Company) listed below; (2) In connection with this bid, neither I nor any representative of the Company has violated any provision of the Texas Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter 15; (3) In connection with this bid, neither I nor any representative of the Company has violated any federal antitrust law; (4) Neither I nor any representative of the Company has directly or indirectly communicated any of the contents of this bid to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Company. Page 11 of 25 pages Vendor:MooreCo Inc 200301 4 Suspension or Debarment Instructions 9 Instructions for Certification: 1. By answering yes to the next Attribute question below, the vendor and prospective lower tier participant is providing the certification set out herein in accordance with these instructions. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification in addition to other remedies available to the federal government, the department or agency with which this transaction originated may pursue available remedies, including suspension and / or debarment. 3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participants," "person," "primary covered transaction," "principal," "proposal' and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. 5. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. 6. The prospective lower tier participant further agrees by submitting this form that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction" without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List. 8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible or voluntarily excluded from participation in this transaction, in addition to other remedies available to the federal government, the department or agency with which this transaction originated may pursue available remedies, including suspension and / or debarment. Page 12 of 25 pages Vendor:MooreCo Inc 200301 5 Suspension or Debarment Certification U By answering yes, you certify that no federal suspension or debarment is in place, which would preclude receiving a federally funded contract as described above. Debarment and Suspension (Executive Orders 12549 and 12689)—A contract award (see 2 CFR 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. By answering yes, you certify that no federal suspension or debarment is in place, which would preclude receiving a federally funded contract as described above. Yes 5 Non-Discrimination Statement and Certification In accordance with Federal civil rights law, all U.S. Departments, including the U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. (Title VI of the Education Amendments of 1972; Section 504 of the Rehabilitation Act of 1973; the Age Discrimination Act of 1975; Title 7 CFR Parts 15, 15a, and 15b; the Americans with Disabilities Act; and FNS Instruction 113-1, Civil Rights Compliance and Enforcement— Nutrition Programs and Activities) All U.S. Departments, including the USDA are equal opportunity provider, employer, and lender. Not a negotiable term. Failure to agree by answering YES will render your proposal non-responsive and it will not be considered. I certify that in the performance of a contract with TIPS or its members, that our company will conform to the foregoing anti-discrimination statement and comply with the cited and all other applicable laws and regulations. Yes Page 13 of 25 pages Vendor:MooreCo Inc 200301 5 2 CFR PART 200 Contract Provisions Explanation 2 Required Federal contract provisions of Federal Regulations for Contracts for contracts with ESC Region 8 and TIPS Members: The following provisions are required to be in place and agreed if the procurement is funded in any part with federal funds. The ESC Region 8 and TIPS Members are the subgrantee or Subrecipient by definition. Most of the provisions are located in 2 CFR PART 200 -Appendix II to Part 200—Contract Provisions for Non-Federal Entity Contracts Under Federal Awards at 2 CFR PART 200. Others are included within 2 CFR part 200 et al. In addition to other provisions required by the Federal agency or non-Federal entity, all contracts made by the non- Federal entity under the Federal award must contain provisions covering the following, as applicable. 5 2 CFR PART 200 Contracts 3 Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 U.S.C. 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate. Notice: Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members reserves all rights and privileges under the applicable laws and regulations with respect to this procurement in the event of breach of contract by either party. Does vendor agree? Yes 5 2 CFR PART 200 Termination 4 Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be effected and the basis for settlement. (All contracts in excess of$10,000) Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members reserves the right to terminate any agreement in excess of$10,000 resulting from this procurement process for cause after giving the vendor an appropriate opportunity and up to 30 days, to cure the causal breach of terms and conditions. ESC Region 8 and TIPS Members reserves the right to terminate any agreement in excess of$10,000 resulting from this procurement process for convenience with 30 days notice in writing to the awarded vendor. The vendor would be compensated for work performed and goods procured as of the termination date if for convenience of the ESC Region 8 and TIPS Members. Any award under this procurement process is not exclusive and the ESC Region 8 and TIPS reserves the right to purchase goods and services from other vendors when it is in the best interest of the ESC Region 8 and TIPS. Does vendor agree? Yes Page 14 of 25 pages Vendor:MooreCo Inc 200301 5 2 CFR PART 200 Clean Air Act 5 Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 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 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251- 1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Pursuant to the Clean Air Act, et al above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members requires that the proposer certify that during the term of an award by the ESC Region 8 and TIPS Members resulting from this procurement process the vendor agrees to comply with all of the above regulations, including all of the terms listed and referenced therein. Does vendor agree? Yes 5 2 CFR PART 200 Byrd Anti-Lobbying Amendment 6 Byrd Anti-Lobbying Amendment (31 U.S.C. 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 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. Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members requires the proposer certify that during the term and during the life of any contract with ESC Region 8 and TIPS Members resulting from this procurement process the vendor certifies to the terms included or referenced herein. Does vendor agree? Yes 5 2 CFR PART 200 Federal Rule 7 Compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15). (Contracts, subcontracts, and subgrants of amounts in excess of $100,000) Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members requires the proposer certify that in performance of the contracts, subcontracts, and subgrants of amounts in excess of$100,000, the vendor will be in compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15). Does vendor certify that it is in compliance with the Clean Air Act? Yes Page 15 of 25 pages Vendor:MooreCo Inc 200301 5 2 CFR PART 200 Procurement of Recovered Materials 8 A non-Federal entity that is a state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. Does vendor certify that it is in compliance with the Solid Waste Disposal Act as described above? Yes 5 Certification Regarding Lobbying 9 Applicable to Grants, Subgrants, Cooperative Agreements, and Contracts Exceeding $100,000 in Federal Funds Submission of this certification is a prerequisite for making or entering into this transaction and is imposed by section 1352, Title 31, U.S. Code. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all covered subawards exceeding $100,000 in Federal funds at all appropriate tiers and that all subrecipients shall certify and disclose accordingly. I HAVE NOT Lobbied per above 6 If you answered "I HAVE lobbied" to the above Attribute Question 0 If you answered "I HAVE lobbied" to the above Attribute question, you must download the Lobbying Report "Standard From LLL, disclosure Form to Report Lobbying"which includes instruction on completing the form, complete and submit it in the Response Attachments section as a report of the lobbying activities you performed or paid others to perform. Page 16 of 25 pages Vendor:MooreCo Inc 200301 6 Subcontracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus 1 Area Firms. Do you ever anticipate the possibility of subcontracting any of your work under this award if you are successful? IF NO, DO NOT ANSWER THE NEXT ATTRIBUTE QUESTION. . IF YES, and ONLY IF YES, you must answer the next question YES if you want a TIPS Member to be authorized to spend Federal Grant Funds for Procurement. NO 6 ONLY IF YES TO THE PREVIOUS QUESTION OR if you ever do subcontract any part of your 2 performance under the TIPS Agreement, do you agree to comply with the following federal requirements? ONLY IF YES TO THE PREVIOUS QUESTION OR if you ever do subcontract any part of your performance under the TIPS Agreement, do you agree to comply with the following federal requirements? Federal Regulation 2 CFR §200.321 Contracting with small and minority businesses, women's business enterprises, and labor surplus area firms. (a)The non-Federal entity must take all necessary affirmative steps to assure that minority businesses, women's business enterprises, and labor surplus area firms are used when possible. (b) Affirmative steps must include: (1) Placing qualified small and minority businesses and women's business enterprises on solicitation lists; (2) Assuring that small and minority businesses, and women's business enterprises are solicited whenever they are potential sources; (3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority businesses, and women's business enterprises; (4) Establishing delivery schedules, where the requirement permits, which encourage participation by small and minority businesses, and women's business enterprises; (5) Using the services and assistance, as appropriate, of such organizations as the Small Business Administration and the Minority Business Development Agency of the Department of Commerce ; and (6) Requiring the prime contractor, if subcontracts are to be let, to take the affirmative steps listed in paragraphs(1) through (5) of this section. No response Page 17 of 25 pages Vendor:MooreCo Inc 200301 6 Indemnification 3 The ESC Region 8 and TIPS is a Texas Political Subdivision and a local governmental entity; therefore, is prohibited from indemnifying third parties pursuant to the Texas Constitution (Article 3, Section 52) except as specifically provided by law or as ordered by a court of competent jurisdiction. A provision in a contract to indemnify or hold a party harmless is a promise to pay for any expenses the indemnified party incurs, if a specified event occurs, such as breaching the terms of the contract or negligently performing duties under the contract. Article III, Section 49 of the Texas Constitution states that "no debt shall be created by or on behalf of the State ... " The Attorney General has counseled that a contractually imposed obligation of indemnity creates a "debt" in the constitutional sense. Tex. Att'y Gen. Op. No. MW-475 (1982). Contract clauses which require the System or institutions to indemnify must be deleted or qualified with "to the extent permitted by the Constitution and Laws of the State of Texas." Liquidated damages, attorney's fees, waiver of vendor's liability, and waiver of statutes of limitations clauses should also be deleted or qualified with "to the extent permitted by the Constitution and laws of State of Texas." Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered. Do you agree to these terms? Yes 6 Remedies 4 The parties shall be entitled to exercise any right or remedy available to it either at law or in equity, subject to the choice of law, venue and service of process clauses limitations agreed herein. Nothing in this agreement shall commit the TIPS to an arbitration resolution of any disagreement under any circumstances. Any Claim arising out of or related to the Contract, except for those specifically waived under the terms of the Contract, may, after denial of the Board of Directors, be subject to mediation at the request of either party. Any issues not resolved hereunder MAY be referred to non-binding mediation to be conducted by a mutually agreed upon mediator as a prerequisite to the filing of any lawsuit over such issue(s). The parties shall share the mediator's fee and any associated filing fee equally. Mediation shall be held in Camp or Titus County, Texas. Agreements reached in mediation shall be reduced to writing, and will be subject to the approval by the District's Board of Directors, signed by the Parties if approved by the Board of Directors, and, if signed, shall thereafter be enforceable as provided by the laws of the State of Texas. Do you agree to these terms? Yes, I Agree 6 Remedies Explanation of No Answer 5 No response Page 18 of 25 pages Vendor:MooreCo Inc 200301 6 Choice of Law 6 The agreement between the Vendor and TIPS/ESC Region 8 and any addenda or other additions resulting from this procurement process, however described, shall be governed by, construed and enforced in accordance with the laws of the State of Texas, regardless of any conflict of laws principles. THIS DOES NOT APPLY to a vendor's agreement entered into with a TIPS Member, as the Member may be located outside Texas. Do you agree to these terms? Agreed 6 Venue, Jurisdiction and Service of Process 7 Any Proceeding arising out of or relating to this procurement process or any contract issued by TIPS resulting from or any contemplated transaction shall be brought in a court of competent jurisdiction in Camp County, Texas and each of the parties irrevocably submits to the exclusive jurisdiction of said court in any such proceeding, waives any objection it may now or hereafter have to venue or to convenience of forum, agrees that all claims in respect of the Proceeding shall be heard and determined only in any such court, and agrees not to bring any proceeding arising out of or relating to this procurement process or any contract resulting from or any contemplated transaction in any other court. The parties agree that either or both of them may file a copy of this paragraph with any court as written evidence of the knowing, voluntary and freely bargained for agreement between the parties irrevocably to waive any objections to venue or to convenience of forum. Process in any Proceeding referred to in the first sentence of this Section may be served on any party anywhere in the world. Any dispute resolution process other than litigation shall have venue in Camp County or Titus County Texas. Do you agree to these terms? Agreed 6 Infringement(s) 8 The successful vendor will be expected to indemnify and hold harmless the TIPS and its employees, officers, agents, representatives, contractors, assignees and designees from any and all third party claims and judgments involving infringement of patent, copyright, trade secrets, trade or service marks, and any other intellectual or intangible property rights attributed to or claims based on the Vendor's proposal or Vendor's performance of contracts awarded and approved. Do you agree to these terms? Yes, I Agree 6 Infringement(s) Explanation of No Answer 9 No response 7 Contract Governance U Any contract made or entered into by the TIPS is subject to and is to be governed by Section 271.151 et seq, Tex Loc Gov't Code. Otherwise, TIPS does not waive its governmental immunities from suit or liability except to the extent expressly waived by other applicable laws in clear and unambiguous language. Yes Page 19 of 25 pages Vendor:MooreCo Inc 200301 7 Payment Terms and Funding Out Clause Payment Terms: TIPS or TIPS Members shall not be liable for interest or late payment fees on past-due balances at a rate higher than permitted by the laws or regulations of the jurisdiction of the TIPS Member. Funding Out Clause: Vendor agrees to abide by the laws and regulations, including Texas Local Government Code § 271.903, or any statutory or regulatory limitations of the jurisdiction of any TIPS Member which governs contracts entered into by the Vendor and TIPS or a TIPS Member that requires all contracts approved by TIPS or a TIPS Member are subject to the budgeting and appropriation of currently available funds by the entity or its governing body. See statute(s) for specifics or consult your legal counsel. Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered. Do you agree to these terms? Yes 7 Insurance and Fingerprint Requirements Information 2 Insurance If applicable and your staff will be on TIPS member premises for delivery, training or installation etc. and/or with an automobile, you must carry automobile insurance as required by law. You may be asked to provide proof of insurance. Fingerprint It is possible that a vendor may be subject to Chapter 22 of the Texas Education Code. The Texas Education Code, Chapter 22, Section 22.0834. Statutory language may be found at: http://w\Aw.statutes.legis.state.tx.us/ If the vendor has staff that meet both of these criterion: (1) will have continuing duties related to the contracted services; and (2) has or will have direct contact with students Then you have "covered" employees for purposes of completing the attached form. TIPS recommends all vendors consult their legal counsel for guidance in compliance with this law. If you have questions on how to comply, see below. If you have questions on compliance with this code section, contact the Texas Department of Public Safety Non-Criminal Justice Unit, Access and Dissemination Bureau, FAST-FACT at NCJU@txdps.state.tx.us and you should send an email identifying you as a contractor to a Texas Independent School District or ESC Region 8 and TIPS. Texas DPS phone number is (512) 424-2474. See form in the next attribute to complete entitled: Texas Education Code Chapter 22 Contractor Certification for Contractor Employees Page 20 of 25 pages Vendor:MooreCo Inc 200301 7 Texas Education Code Chapter 22 Contractor Certification for Contractor Employees 3 Introduction: Texas Education Code Chapter 22 requires entities that contract with school districts to provide services to obtain criminal history record information regarding covered employees. Contractors must certify to the district that they have complied. Covered employees with disqualifying criminal histories are prohibited from serving at a school district. Definitions: Covered employees: Employees of a contractor or subcontractor who have or will have continuing duties related to the service to be performed at the District and have or will have direct contact with students. The District will be the final arbiter of what constitutes direct contact with students. Disqualifying criminal history: Any conviction or other criminal history information designated by the District, or one of the following offenses, if at the time of the offense, the victim was under 18 or enrolled in a public school: (a) a felony offense under Title 5, Texas Penal Code; (b) an offense for which a defendant is required to register as a sex offender under Chapter 62, Texas Code of Criminal Procedure; or(c) an equivalent offense under federal law or the laws of another state. I certify that: NONE (Section A) of the employees of Contractor and any subcontractors are covered employees, as defined above. If this box is checked, I further certify that Contractor has taken precautions or imposed conditions to ensure that the employees of Contractor and any subcontractor will not become covered employees. Contractor will maintain these precautions or conditions throughout the time the contracted services are provided. ,k SOME (Section B) or all of the employees of Contractor and any subcontractor are covered employees. If this box is checked, I further certify that: (1) Contractor has obtained all required criminal history record information regarding its covered employees. None of the covered employees has a disqualifying criminal history. (2) If Contractor receives information that a covered employee subsequently has a reported criminal history, Contractor will immediately remove the covered employee from contract duties and notify the District in writing within 3 business days. (3) Upon request, Contractor will provide the District with the name and any other requested information of covered employees so that the District may obtain criminal history record information on the covered employees. (4) If the District objects to the assignment of a covered employee on the basis of the covered employee's criminal history record information, Contractor agrees to discontinue using that covered employee to provide services at the District. Noncompliance or misrepresentation regarding this certification may be grounds for contract termination. None Page 21 of 25 pages Vendor:MooreCo Inc 200301 7 Texas Business and Commerce Code § 272 Requirements as of 9-1-2017 4 SB 807 prohibits construction contracts to have provisions requiring the contract to be subject to the laws of another state, to be required to litigate the contract in another state, or to require arbitration in another state. A contract with such provisions is voidable. Under this new statute, a "construction contract" includes contracts, subcontracts, or agreements with (among others) architects, engineers, contractors, construction managers, equipment lessors, or materials suppliers. "Construction contracts" are for the design, construction, alteration, renovation, remodeling, or repair of any building or improvement to real property, or for furnishing materials or equipment for the project. The term also includes moving, demolition, or excavation. BY RESPONDING TO THIS SOLICITATION,AND WHEN APPLICABLE, THE PROPOSER AGREES TO COMPLY WITH THE TEXAS BUSINESS AND COMMERCE CODE §272 WHEN EXECUTING CONTRACTS WITH TIPS MEMBERS THAT ARE TEXAS GOVERNMENT ENTITIES. 7 Texas Government Code 2270 Verification Form 5 Texas Government Code 2270 Verification Form Texas 2017 House Bill 89 has been signed into law by the governor and as of September 1, 2017 will be codified as Texas Government Code § 2270 and 808 et seq. The relevant section addressed by this form reads as follows: Texas Government Code Sec. 2270.002. PROVISION REQUIRED IN CONTRACT. A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract engaged by: ESC Region 8/The Interlocal Purchasing System (TIPS) 4845 Highway 271 North Pittsburg,TX,75686 I verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future. I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one (1) business day and we understand that our company's failure to affirm and comply with the requirements of Texas Government Code 2270 et seq. shall be grounds for immediate contract termination without penalty to the above-named Texas governmental entity. AND Our company is not listed on and we do not do business with companies that are on the the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations per Texas Gov't Code 2270.0153 found at https:Hcomptroller.texas.gov/purchasing/docs/foreign-terrorist.pdf I swear and affirm that the above is true and correct. YES Page 22 of 25 pages Vendor:MooreCo Inc 200301 7 Logos and other company marks 6 Please upload our company logo to be added to our individual profile page on the TIPS website. If an articular p Y p Y 9 Y p p 9 Yp specifications are required for use of your company logo, please upload that information under the "Logo and Other Company Marks" section under the "Response Attachment" tab. Preferred Logo Format: 300 x 225 px- .png, .eps, Jpeg preferred Potential uses of company logo: *Your Vendor Profile Page of TIPS website * Potentially on TIPS website scroll bar for Top Performing Vendors *TIPS Quarterly eNewsletter sent to TIPS Members * Co-branding Flyers and or email blasts to our TIPS Members (Permission and approval will be obtained before publishing) 7 Solicitation Deviation/Compliance 7 Does the vendor agree with the General Conditions Standard Terms and Conditions or Item Specifications listed in this proposal invitation? Yes 7 Solicitation Exceptions/Deviations Explanation 8 If the bidder intends to deviate from the General Conditions Standard Terms and Conditions or Item Specifications listed in this proposal invitation, all such deviations must be listed on this attribute, with complete and detailed conditions and information included or attached. TIPS will consider any deviations in its proposal award decisions, and TIPS reserves the right to accept or reject any bid based upon any deviations indicated below or in any attachments or inclusions. In the absence of any deviation entry on this attribute, the proposer assures TIPS of their full compliance with the Standard Terms and Conditions, Item Specifications, and all other information contained in this Solicitation. No response 7 Agreement Deviation/Compliance 9 Does the vendor agree with the language in the Vendor Agreement? Yes 8 Agreement Exceptions/Deviations Explanation U If the proposing Vendor desires to deviate form the Vendor Agreement language, all such deviations must be listed on this attribute, with complete and detailed conditions and information included. TIPS will consider any deviations in its proposal award decisions, and TIPS reserves the right to accept or reject any proposal based upon any deviations indicated below. In the absence of any deviation entry on this attribute, the proposer assures TIPS of their full compliance with the Vendor Agreement. No response Page 23 of 25 pages Vendor:MooreCo Inc 200301 8 Felony Conviction Notice Texas Education Code, Section 44.034, Notification of Criminal History, Subsection (a), 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 of the business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony." Subsection (b) states "a school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract." (c) This section does not apply to a publicly held corporation. The person completing this proposal certifies that they are authorized to provide the answer to this question. Select A., B. or C. A. My firm is a publicly held corporation; therefore, this reporting requirement is not applicable. OR B.My firm is not owned nor operated by anyone who has been convicted of a felony, OR C. My firm is owned or operated by the following individual(s) who has/have been convicted of a felony. (if you answer C below, you are required to provide information in the next attribute. B. Firm not owned nor operated by felon; per above 8 If you answered C. My Firm is owned or operated by a felon to the previous question, you are 2 REQUIRED TO ANSWER THE FOLLOWING QUESTIONS. If you answered C. My Firm is owned or operated by a felon to the previous question, you must provide the following information. 1. Name of Felon(s) 2. The named person's role in the firm, and 3. Details of Conviction(s). No response 8 Long Term Cost Evaluation Criterion #4. 3 READ CAREFULLY and see in the RFP document under"Proposal Scoring and Evaluation". Points will be assigned to this criterion based on your answer to this Attribute. Points are awarded if you agree not increase your catalog prices (as defined herein) more than X% annually over the previous year for years two and three and potentially year four, unless an exigent circumstance exists in the marketplace and the excess price increase which exceeds X% annually is supported by documentation provided by you and your suppliers and shared with TIPS, if requested. If you agree NOT to increase prices more than 5%, except when justified by supporting documentation, you are awarded 10 points; if 6% to 14%, except when justified by supporting documentation, you receive 1 to 9 points incrementally. Price increases 14% or greater, except when justified by supporting documentation, receive 0 points. Negotiated change to rescore to increases greater than 14% increases will be 5% or less annually per question 10 changed to 0 due to price hikes larger than anticipated-RP 09-27- 1 8 Required Confidentiality Claim Form 4 Required Confidentiality Claim Form This completed form is required by TIPS. By submitting a response to this solicitation you agree to download from the "Attachments" section, complete according to the instructions on the form, then uploading the completed form, with any confidential attachments, if applicable, to the "Response Attachments" section titled "Confidentiality Form" in order to provide to TIPS the completed form titled, "CONFIDENTIALITY CLAIM FORM". By completing this process, you provide us with the information we require to comply with the open record laws of the State of Texas as they may apply to your proposal submission. If you do not provide the form with your proposal, an award will not be made if your proposal is qualified for an award, until TIPS has an accurate, completed form from you. Read the form carefully before completing and if you have any questions, email Rick Powell at TIPS at rick.powell(cDtips-usa.com Page 24 of 25 pages Vendor:MooreCo Inc 200301 8 Choice of Law clauses with TIPS Members 5 If the vendor is awarded a contract with TIPS under this solicitation, the vendor agrees to make any Choice of Law clauses in any contract or agreement entered into between the awarded vendor and with a TIPS member entity to read as follows: "Choice of law shall be the laws of the state where the customer resides" or words to that effect. Agreed 8 Venue of dispute resolution with a TIPS Member 6 In the event of litigation or use of any dispute resolution model when resolving disputes with a TIPS member entity as a result of a transaction between the vendor and TIPS or the TIPS member entity, the Venue for any litigation or other agreed upon model shall be in the state and county where the customer resides unless otherwise agreed by the parties at the time the dispute resolution model is decided by the parties. Agreed 8 Automatic renewal of contracts or agreements with TIPS or a TIPS member entity 7 This clause DOES NOT prohibit multiyear contracts or agreements with TIPS member entities. Because TIPS and TIPS members are governmental entities subject to laws that control appropriations of funds during their fiscal years for contracts and agreements to provide goods and services, does the Vendor agree to limit any automatic renewal clauses of a contract or agreement executed as a result of this TIPS solicitation award to not longer than "month to month" and at the TIPS contracted rate. Agreed 8 Indemnity Limitation with TIPS Members 8 Texas and other states restrict by law or state Constitution the ability of a governmental entity to indemnify others. TIPS requires that any contract entered into between a vendor and TIPS or a TIPS Member as a result of an award under this Solicitation limit the requirement that the Customer indemnify the Vendor by either eliminating any such indemnity requirement clauses in any agreements, contracts or other binding documents OR by prefacing all indemnity clauses required of TIPS or the TIPS Member entity with the following: "To the extent permitted by the laws or the Constitution of the state where the customer resides, ". Agreement is a required condition to award of a contract resulting from this Solicitation. Agreed 8 Arbitration Clauses 9 Except for certain circumstances, TIPS forbids a mandatory arbitration clause in any contract or agreement entered into between the awarded vendor with TIPS or a TIPS member entity. Does the vendor agree to exclude any arbitration requirement in any contracts or agreement entered into between TIPS or a TIPS member entity through an awarded contract with TIPS? Agreed 9 Required Vendor Sales Reporting U By responding to this Solicitation, you agree to report to TIPS all sales made under any awarded Agreement with TIPS. Vendor is required to report all sales under the TIPS contract to TIPS. If the TIPS Member entity requesting a price from the awarded Vendor requests the TIPS contract, Vendor must include the TIPS Contract number on any communications with the TIPS Member entity. If awarded, you will be provided access to the Vendor Portal. To report sales, login to the TIPS Vendor Portal and click on the PO's and Payments tab. Pages 3-7 of the Vendor Portal User Guide will walk you through the process of reporting sales to TIPS. Please refer to the TIPS Accounting FAQ's for more information about reporting sales and if you have further questions, contact the Accounting Team at accounting(aMips-usa.com. The Vendor or vendor assigned dealers are responsible for keeping record of all sales that go through the TIPS Agreement and submitting same to TIPS. Page 25 of 25 pages Vendor:MooreCo Inc 200301 REFERENCES Please provide three(3)references,preferably from school districts or other governmental entities who have used your services within the last three years.Additional references may be required.DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three(3)references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Young Womens Leadership Academy Cassandra Vara cvara2@saisd.net (210)438-6525 El Paso ISD Alan Wiernicki aawierni@episd.org (915)230-2574 South San Antonio ISD Chad Doucet chad.doucet@soutsanisd.net (210)977-7070 Boboquivari USD Dr.Edna Morris emorris@busd40.org (520)719-1200 Please provide a list of resellers the proposing company desires to be authorized to sell their products and services under the TIPS Agreement,if awarded. Authorized Reselling Company Name Full Address Mein Phone Eztl Contact Cot Ph Contra. we site A.B.Distributing,Inc 3170 North Kenn icott Avenue,Adington Heights,HE 800-874-3300 Barry Glass 800-874-3300 bte(dabdistributing—ru www.abdistributine.con, 847-222-9877 210-344-2821 A.Bargas&Associates P.O.Box792056,San Antonio,TX 800-344-2821 Chico Bargas 210-912-9641 cbargas(dabarg .abargas 210-341-0033 Ables-Land,Inc 420 South Fannin Ave,Tyler,TX 903-593-8407 Gary Ables 903-5938407 garv(dableshand.comcom www—ablesland.com 903-593-8546 h owa rd(da a d emyfu rn.co m Academy Furniture&Supplies 515 Dowd Avenue,Elizabethtown,N1 877-687-2223 Howard Schreiber 877-687-2223 toddeaademyfurn con, aademyfurniturecom AK Sales&Consulting,Inc 1202 East 19th Street,Roswell,NM 575-623-1488 Karen Moyle 575-623-1488 aksalesnmegrnail con, www.aksakesandconsuktine.com 575-623-9112 Alamo Education Essentials P.O.Box 33295,San Antonio,TX 210-473-1585 Miriam Guzman 210-590-1520 an(-alamocrsolutions.com www.alamocrsolutions.com 844-269-7776 Arizona Furnishings 8601W Washington St.,Suite 300,Tolleson,AZ 800-872-2287 Greg Janssen 602-484-7331 gre&2fiumishaz.co .furnishazc 602-484-7825 ATD-Capitol,LLC 1000 Sawga FEE Corporate Parkway,Suite 452,Sunrise, 954-485-5000 Bill McDonough 888-283-2378 wmcd on cog h(datdre www om www.atd.com 954-485-0407 Bassett Office Supply 2266 Fairystone Park Highway,Bassett,VA 800-600-5341 Manly Boyd 276-629-5341 rnanlv(d bassettofficesupply.com www bassettofficesupply.con, Beck Total Office Interiors(NINE CO,Wy) 5300 Eagle Rock Ave NE Suite A,Albuquerque,NM 575644-0775 Tara Bothwell Clark 575-6440755 taa2becktoi con, www.becktoi.com 505-883-3116 Blankenship Associates,Inc P.O.Box 30425,Raleigh,NC 919-787-1346 Leah Padinger 919-787-1346 padinger(dblankshipassoclates.com www.blankenshipasocon,clates.com 919-783-8874 Brame Speclahy ,Company,Inc 949 Washington Street/P.O.Box 271,Durham,NC 800-072-0111 Bill Freshwater 800-072-0011 b.freshwater(dbame eciahy.com www.bamespeclahv 919-598-5623 Business Furniture,LLC 8421 Bearing Drive,Suite 200 East,Indianapolis,IN 317-216-1600 317-216-1600 www.businessfumiture.net CBI I Workspace Solutions 4020 Yancey Road,Charlotte,NC Edgar Garcia 704-705-3710 edear.earciaecid nc con, www.cbi-n Charles)Becker&Bros.(Becker's) 1500 Melrose Highway,Pennsauken,N1 856-792-9292 George Becker 215-464-6565 george becker2cibinccon, www.shopbecker.com 856-792-4500 Classroom Outfitters,LLC. 19301 SW 106th Ave,Suite 11,Miami,FL 877-509-0664 Rick Brewer 877-509-0664 rick_pclassroomoutlaters con, —classroornouthaters.con, Coastal Office Solutions,Inc P.O.Box 4407,Victoria,TX 361-578-5392 J.Shad Estes 361-578-5392 shad(darastalt,con, coastal—on, Connection 732 Milford St,Merrimack,NH 03054 800 8000019 Samantha Jarok 800 800 0019 mantha.iarokPconnection.com nection.com a Contct Source,Inc 2 Corporation Center,Broadview Heights,OR 800-7330027 Claudia Rohnc 216-351-7575 colinc2contaasou a ontctsource m co Core Business Interiors 7910 N.Ingram Ave,Suite 102,Fresno,CA Sarah Mitchell 559-297-6400 Sarah MPCoreBusinesslnteriors.con, Core Office Interiors 10300 Metric Blvd,Suite 200,Austln,TX 512-832-6400 512-832-6400 contact(-co 404-679-8999 Corporate Environments 1636 Northeast Expressway,Atlanta,GA 404-697-8950 bbarneupceofga con, oateenvi ments.com Custer Workplace Interiors 217 Grandville Ave SW,Grand Rapids,MI Lana Voelker 616-456-0332 Ivoelkerecusterinc con, .custeri Dell One Dell Way,Round Rock,TX Jack Seaquist 512-723-7055 Lack.SaouistiSdell.con, www.dell.com Educational Environments by Dixie 6918 Kinro Road,Liberty,NC Donna Gordon 336-662-4202 donnaPeduce —.edu-env.co. Educational Furniture Solutions(EFS) 536 N.Trooper Road,Mail Box N3,Norristown,PA Elizabeth Earley 610-630-3995 elizabethinefs-Ilccom www.efs-Ilcco 800-6423949 Egyptian Business Furniture 129 West Main Street,Belleville,HE Kevin Baltz 618-236-3295 irdo2eebfurn.con, ELB US Inc 415 Boulder Ct,Suite 500,Pleasanton,CA Jeff Schultz (925)400-6175 Lschuhzeelbelobal.con, EON Office 60 Tejon Street,Denver,CO Van young 720-570-5400 ne(denvir mentsdenver.com mentsdenver.com Ernie Morris 232 North Main Street,Bushnell,FL 352-793-2778 ennellj2atlantic net www.atlanticnet Forward UK 6710 East Camelback Road,Suite 200,Scottsdale,AZ Michelle Heel, 480-237-3737 mheeb(dforwardtilt con, www.forwardtih.com Frank Cooney Co. 1226 N.Michael Dr,Suite C,Wood Dale,HE Kevin Cooney 630-694-8800 keviELFankcoo wwwArand,coonel.con, Freedom Interiors 4000 Washington Street,Kansas City,MO Craig Johnson 816-812-8847 ciohnsonefre3dom net www.fre3dom net GBI-Guy Brown Interiors,LLC 320 Seven Springs Way,Suite 450,Brentwood,TN Marcia Gardner 615-425-5255 w ww.g binashville.com gardnerPgbinashville.co. Government&Educational Furnishings 6050 Shadow Hills Road,Las Cases,NM Karen Landwerlen 575-312-2177 karenkandwedenuPgmaiLcom mail.co Hartman Office Furniture,Inc. 53S.Jefferson Road,Suite F,Whippany,N1 Tom Farkas 732-777-9848 thomasfarkas48egmail con, ail con, Henricksen 1101 West Thorndale Ave,Itasca,HE Steve Mefferd 309-696-8566 s meffordehenricksen.con, www.henricksen.com Howard Technology 36 Howard Drive,Ellisville,MS iMelissa Ward 1 601-399-5680 Mwardehoward.con, www.howard.com Indeco Sales 805 E Fourth,Behon,TX Kevin 6oldston 800-692-4256 kevin.eokdston(dindecosakes.com www.indecosakes.com Terry.Paden(dindoff.com Inc. 11816 Indoff, Lackland Road/P.O.Box 46902,St.Louis,MO 575-257-1533 Terry Paden 806-543-3237 tpaden25(dhotmaiLcom www.hotmail.com Innerplan 70011nnerplan Drive,North Little Rock,AR Mark Phillips 501-320-1504 mark(dinnerplan.com erplan.com Institutional Interiors,Inc. 12851 Van Huron Drive,Suite 100,Raleigh,NC Mike Baskett 919-981-5811 mike(dinstitutionakinteriors.com www.institutionakinteriors.com CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. MooreCo Inc. OFFERER: (Name of Corporation) Bob Roddie certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Scott Kurtzman (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid/Contract Manager (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 4/13/2020 DATE 200301 TIPS RFP ff Required Confidential-Information Status Form CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8)IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s),you mast attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan,name"CONFIDENTLAL" and upload with your proposal submission.(You must include all the confidential information in the submitted proposal.The copy uploaded is to indicate which material in your proposal,if any,you deem confidential in the event the receives a Public Information Request.)ESC8 and TIPS will follow procedures of controlling statute(s)regarding any claim of confidentiality and shall not be liable for any release of information required by law.Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. MooreCo Inc. Name of company Scott Kurtzman Printed Name and Title of authorized company officer declaring below the confidential status of material 2885 Lorraine Avenue Temple TX 76501 800-749-2258 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be Confidential and DO L O=desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s)and I invoke my statutory rights to confidential treatment of the enclosed materials. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR ----------------------------------------------------------------------------------------------------------- I DO NOTCLAIM any of my proposal to be confidential, complete the section below. Fxnress W desire to expressly waive any clairn of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. _ 4/13/2020 Signature Date Confidentiality Claire Form rev 02272019 Corporate/Manufacturing: 2885 Lorraine Ave•Temple,TX 76501 Showroom: N 0 4930 S Congress Ave Ste 305•Austin,TX 78745 Phone:800.749.2258• Fax:866.888.7483 ECO VAN E RU M Web:www.moorecoinc.com •www.vanerumna.com MOOR fIORTH RNAERILR MooreCo Products Limited Warranty: MooreCo warrants that your Product is free from defects in materials or workmanship,subject to the below schedule. This warranty only applies to Products purchased directly from an authorized MooreCo dealer and is only valid for the original purchaser and for the original installation.The warranty is terminated upon transfer,sale,or modification of the Product. ' If a Product is defective in materials or workmanship, MooreCo will replace or repair it at no charge,based on the below schedule.This isyour sole and exclusive remedy,and repair or replacement of the Product will be at the sole discretion of MooreCo.Shipping charges to the repair facility will be the responsibility of the purchaser,and shipping charges to return the repaired Product to the purchaser will be paid by MooreCo,except for Products returned for repair during the first 30 days after purchase,in which case all shipping charges will be paid by MooreCo.This warranty is subject to the limitations,exclusions and other provisions below,and applies to Products purchased after February 1, 2010 which are delivered within the United States of America and the Commonwealth of Canada. Hierarchy seating is tested and warrantied for users up to 300 lbs.Use above that weight is not tested or warrantied and considered misuse and abuse. Use of"short throw",wall mounted projectors are only warrantied on the Interactive Projector Board (2G5 and 4G5) series and Interactive Projector Board+Whiteboard System (764XX). Limitations involving particular Product lines,materials and components:The particular Product lines,materials and components listed below are warranted according to the following schedule from the date of sale: Products Warranty PVC and melamine laminate desks,tables,workstations,carts, 1 Year and other furniture Economy Soft Seating 1 Year Surface of markerboard laminate toptables and desks 1 year HPL laminate desks,tables,workstations,carts,and other 12 Yea rs furniture Hierarchy Height Adjustable Grow Stool(Tall and Short) 12Years on plastic components/2Years on cylinder EnrollTM ft.Hierarchy Tablet Chair Limited Lifetime Height adjustable seating 2 Years Non-adjustable seating 12 Years Contract Soft Seating See Spec Guide for details The surface ofwhiteboards&mobile whiteboards with surface of SO Years glass,porcelain steel,porcelain aluminized steel&Rubber-Tak The surface ofwhiteboards and mobile whiteboards with surface 20Years of Dura-Rite The surface ofwhiteboards and mobile whiteboards with surface 10Years of Magne-Rite and tack boards The surface ofwhiteboards and mobile whiteboards with a SYears surface ofTuF-Rite The surface ofwhiteboards and mobile whiteboards with a 3Years surface of Mark-Rite Teach and Tablet/Chromebook charging carts-with exception of 12 Yea rs electrical components Teach and Tablet/Chromebook charging carts-electrical 1 Year components only OneBoa rd-Surface Warranty Limited Lifetime-MooreCo warrants the owner of the original installation that the surface material is to be free of defects for a lifetime of normal use OneBoa rd-Electrica 1 2 Years OneBoa rd-Operating System compatibility No warranty is express or implied due to future operating system updates and other modifications including software versions. Contact MooreCo for details Other Products not listed 1 Year Corporate/Manufacturing: 2885 Lorraine Ave•Temple,TX 76501 Showroom: N 0 4930 S Congress Ave Ste 305•Austin,TX 78745 Phone:800.749.2258• Fax:866.888.7483 ECO VAN E RU M Web:www.moorecoinc.com •www.vanerumna.com MOOR fIORTH EIMERILR Exclusions:This warranty does not apply and no other warranty applies to: Normal wear and tear,which are to be expected over the course of ownership. Damage caused by abuse, misuse, neglect,vandalism,accident, modifications,or water or fire. Damage caused by the carrier in-transit,which will be handled as claims against the carrier Modifications or attachments to the Product that are not approved by MooreCo. Products that were not installed, used or maintained in accordance with Product instructions and warnings Products used for rental purposes. Labor and/or materials to remove and replace Products. Damage caused by environmental issues, including use and/or storage of the Product in facilities subjected to uncontrolled high temperatures. TO THE EXTENTALLOWED BY LAW, MOORECO MAKES NO OTHER WARRANTY, EITHER EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. MOORECO WILL NOT BE LIABLE FOR ANY INDIRECT,CONSEQUENTIAL OR INCIDENTAL ' DAMAGES.THIS WARRANTY DOES NOT COVER CONSEQUENTIAL DAMAGES, LOSS OF TIME OR USE,OR OTHER INCIDENTAL DAMAGES. FOR ITEACH/ONEBOARD USERS-TO THE EXTENT ALLOWED BY LAW, MOORECO MAKES NO OTHER WARRANTY, EITHER EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. MOORECO WILL NOT BE LIABLE FOR ANY INDIRECT, CONSEQUENTIAL OR INCIDENTAL DAMAGES.THIS WARRANTY DOES NOTCOVER CONSEQUENTIAL DAMAGES, LOSS OF TIME OR USE,OR OTHER INCIDENTAL DAMAGES. NOTICE TO PURCHASERS FOR HOME OR PERSONAL USE: Federal law does not permit the exclusion of certain implied warranties for consumer Products.Therefore,if you are purchasing this Product for home or personal use,the exclusion of implied warranties noted in the above paragraph does not apply to you.Some states do not allow the exclusion or limitation of incidental or consequential damages,so the above limitation or exclusion may not apply to you.This warranty gives you specific legal rights,and you may also have other rights which vary from state to state. To obtain service under this limited warranty: By following the procedures regarding warranty claims outlined below,you can be assured of the best level of service. 1. Contact MooreCo by phone at 1-800-749-2258 or by mail at 2885 Lorraine Avenue,Temple,Texas 76501 within 30 days of discovery of the defect. Be prepared to prove you are the original purchaser of the Product and provide your model number,description of the Product,and description of the defect. Then provide MooreCo with your name,address,area code,and telephone number. 2. MooreCo will review all pertinent information regarding the claim,including inspection of the Product if deemed appropriate by MooreCo. 3. If MooreCo affirms that the Product in question is eligible under the conditions of the limited warranty as stated above,the customer service representative or another representative of MooreCo will determine whether to provide replacement parts,authorize repairs or replace the Product. PRODUCTS RETURNED TO THE MOORECO FACILITY WITHOUTA RETURN AUTHORIZATION WILL BE REFUSED. Corporate HQ&Manufacturing 2885 Lorraine Ave.I Temple,Tx 765101 . P:SW.749.22581 F'SN1888,7483 Showoorn 4930 S.Congress Ave.#3051 Austin,TX 78745 RECO VA N L P:800,740,2258 MOOno"-FM S$�AF a•1 u PROPOSED GOODS AND SERVICES MooreCo Inc. is a furniture manufacturer primarily servicing the educational market. Our product line is made up of several categories, all of which can be accessed through our corporate website at www.moorecoinc.com. Once at our site, click on the brand logos near the top of the page to select. You can then click on Products within each of these to see our full offering within each category. MooreCo- our primary offering of high-quality furniture, soft seating, storage and visual communication products Essentials- our in-stock, quick ship merchandise available for immediate delivery. It is also available at www.essentialsbvmooreco.com. Vanerum North America- our higher-end, European designed products. This product can also be seen by going to www.vanerumna.com Within each of the links above, you can click on Resources to download our current catalogs and brochures. www.mGorecoinc.com Audio Visual Toots ELECTRIC POWER DISASTER RELIEF SIGN UP ALL CONTRACTS ALL VENDORS Search C HOME CONTRACTS MEMBERSHIP VENDORS EDGAR & FEDERAL COMPLIANCE COVID ABOUT US ----------------------------------------------------- ---- -------------------- ---------- ------------, EMAIL PO&VENDOR QUOTE TO: TIPSPO@TIPS-USA.COM PO AND QUOTE MUST REFERENCE VENDOR'S TIPS CONTRACT NUMBER ;I-IppRFp VAI EERU1.M ATTACH PO AS A PDF-ONLY ONE PO (WITH QUOTE) PER ATTACHMENT -------------------------------------- ---------------------------- ----------------------------------------------------------------------------------------- Notice: Many Vendors utilize specific warranties,subscription agreements, license agreements, EULA's,etc. ("Supplemental Agreements")when you purchase specific goods or services from that Vendor. Since the Supplemental Agreements do not necessarily apply to every Member,every jurisdiction,or every purchase,TIPS does NOT now negotiate the terms of those agreements on Members'behalf. If you are required to sign such a supplementary agreement by the TIPS Vendor,TIPS strongly encourages Members not to proceed with a purchase until they have carefully reviewed and negotiated all applicable Supplemental Agreements. TIPS recommends you work with your entity's legal counsel to ensure compliance with the legal requirements of your entity and your jurisdiction. TIPS Purchase Order Procedure here OVERVIEW DUE DILIGENCE CONTACTS PRINT PROFILE RESELLERS MooreCo Inc Resellers listed below may also hold a current TIPS contract. PO's for quotes provided by a reseller that are also awarded in the same category will be processed and sent directly to that reseller. Please check under "ALL VENDORS" before requesting a quote from any listed reseller. TIPS Reseller document here Resellers Address A. B. Distributing, Inc. Contact: Barry Glass 3170 North Kennicott Avenue, Arlington Heights, IL, Contact Phone:800-874-3300 60004 Contact Email: btg@abdistributing.com Phone:800-874-3300 Fax: A. Barges &Associates Contact: Chico Barges P.O. Box 792056, San Antonio, TX, 78216 Contact Phone:210-344-2821 Phone:210-344-2821 Contact Email: cbargas@abargasco.com Fax: A.T. Equipment Sales Corp. www.atequipmentsales.com 180 Brook St. Scarsdale NY 10853 Contact: StacySteward Contact Phone:(914)261-1287 Fax:(9(914) -722322 Contact Email: stacy@atequipmentsales.com Fax:(914) 472-7223 Ables-Land, Inc. Contact: Gary Ables 420 South Fannin Ave., Tyler, TX, 75702 Contact Phone:903-593-8407 Phone:903-593-8407 Contact Email: gary@ablesland.com Fax: Academy Furniture & Supplies Contact: Howard Schreiber 515 Dowd Avenue, Elizabethtown, NJ, Contact Phone:877-687-2223 Phone:877-687-2223 Contact Email: "howard@academyfurn.com Fax: AK Sales & Consulting, Inc. Contact: Karen Moyle 1202 East 19th Street, Roswell, NM, 88201 Contact Phone:575-623-1488 Phone:575-623-1488 Contact Email: aksalesnm@gmail.com Fax: Alamo Education Essentials Contact: Miriam Guzman P.O. Box 33295, San Antonio, TX, 78265 Contact Phone:210-590-1520 Phone:210-590-1520 Contact Email: mguzman@alamocrsolutions.com Fax: Alfred Williams & Co. www.alfredwilliams.com 505 S. Cedar Street Charlotte NC 28202 Contact: MadisonRacel Phone:(704) 602-8815 Contact Phone:(704) 607-5119 Fax:(704) 602-8825 Contact Email: mracel@alfredwilliams.com Allied Equipment, Inc Contact: Fred Stucky 9E Princess Rd East Lawrenceville, NJ 08648 Contact Phone:(609) 512-7236 Phone:(609) 947-0534 Contact Email: fred@alliedequipmentnj.com Fax: American Interiors www.aminteriors.com 302 S. Byrne Rd. Toledo OH 48615 Contact: JenniferMalia Contact Phone:(419) 535-1808 Fax:(4(419) 5 1899 8 Contact Email:jmalia@aminteriors.com Fax:(419) 535 1899 Arizona Furnishings Contact: Greg Janssen 8601 W Washington St., Suite 300, Tolleson, AZ, Contact Phone:602-484-7331 85353 Contact Email: greg@furnishaz.com Phone:602-484-7331 Fax: ATD-Capitol, LLC. Contact: Bill McDonough 1000 Sawgrass Corporate Parkway, Suite 452, Contact Phone:888-283-2378 Sunrise, FL, 33323 Contact Email: wmcdonough@atd.com Phone:888-283-2378 Fax: Austin Business Furniture Contact: Laura Caswell 9300 United Drive, Suite 3-140, Austin, TX, 78758 Contact Phone:512-617-4351 Phone:512-617-4351 Contact Email: Icaswell@abfurn.com Fax: Ball Office Products www.ballop.com 2100 Westmoreland St. Richmond VA 23230 Contact: Jonathan Ball Contact Phone:(804) 204-1774 Fax:(8(802 -159774 Contact Email:jball@ballop.com Fax:(804) 204-1597 Bassett Office Supply Contact: Manly Boyd 2266 Fairystone Park Highway , Bassett, VA, 24055 Contact Phone:276-629-5341 Phone:276-629-5341 Contact Email: man ly@bassettofficesu pply.com Fax: Beck Total Office Interiors (NM, CO, WY) Contact: Tara 5300 Eagle Rock Ave NE Suite A, Albuquerque, NM, Rothwell-Clark 87113 Contact Phone:575-644-0755 Phone:575-644-0755 Contact Email: tara@becktoi.com Fax: Blankenship Associates, Inc. Contact: P.O. Box 30425, Raleigh, NC, 27622 Contact Phone:919-787-1346 Phone:919-787-1346 Contact Email: Ipadinger@blankshipassociates.com Fax: BOS www.bos.com 501 S. Gary Ave. Roselle IL 60172 Contact: DarrinWeidman Contact Phone:(630) 373-6348 Fax:(6(630) -525251 i Contact Email: darrin.weidman@bos.com Fax:(630) 228 5252 Brame Specialty Company, Inc. Contact: Bill Freshwater 949 Washington Street/ P.O. Box 271, Durham, NC, Contact Phone:800-672-0011 27702 Contact Email: b.freshwater@bramespecialty.com Phone:800-672-0011 Fax: BSI www.buildingservice.com W222 N630 Cheaney Rd Waukesha WI 53186 Contact: Lori Torrison Phone:(262) 955-6211 Contact Phone:(262) 955-6211 Fax:(262) 955-6212 Contact Email: Iorrison@buildingservice.com Business Furniture, LLC. Contact: 8421 Bearing Drive, Suite 200 East, Indianapolis, IN, Contact Phone:317-216-1600 46268 Contact Email: Phone:317-216-1600 _ Fax: Business Interiors of Idaho www.biispaces.com 176 S. Capital Blvd. Boise ID 83702 Contact: RachelHanley Phone:(208) 819-2551 Contact Phone:(208) 384-5050 Fax:(208) 819-4551 Contact Email: rachel@biispaces.com CBI I Workspace Solutions Contact: Kimberly Covert 4020 Yancey Road, Charlotte, NC, 28217 Contact Phone:704-705-3710 Phone:704-705-3710 Contact Email: kimberly.covert@cbi-nc.com Fax: Charles J Becker& Bros. (Becker's) Contact: George Becker 1500 Melrose Highway, Pennsauken, NJ, 08110-1410 Contact Phone:215-464-6565 Phone:215-464-6565 Contact Email: george.becker@cjbinc.com Fax: Classroom Outfitters, LLC. Contact: Rick Brewer 19301 SW 106th Ave, Suite 11, Miami, FL, 33157 Contact Phone:877-509-0664 Phone:877-509-0664 Contact Email: rick@classroomoutfitters.com Fax: Coastal Office Solutions, Inc. Contact: J. Shad Estes P.O. Box 4407, Victoria, TX, 77903 Contact Phone:361-578-5392 Phone:361-578-5392 Contact Email: shad@coastaltx.com Fax: Connection www.connection.com 732 Milford St, Merrimack NH 03054 Contact: Samantha Jarok Contact Phone: Phone: Contact Email: samantha.jarok@connection.com Fax: Contract Source, Inc. Contact: Claudia Rolinc 2 Corporation Center, Broadview Heights, OH, 44147 Contact Phone:216-351-7575 Phone:216-351-7575 Contact Email: crolinc@contractsource.com Fax: Core Business Interiors Contact: Sarah Mitchell 7910 N. Ingram Ave, Suite 102, Fresno, CA, 93711 Contact Phone:559-297-6400 Phone:559-297-6400 Contact Email: SarahM@CoreBusinessinteriors.com Fax: Corporate Environments Contact: 1636 Northeast Expressway, Atlanta , GA, 30329 Contact Phone: Phone:"404-679-8999 Contact Email: Fax: Corporate Interiors www.the-cigroup.com 7150 Jefferson Hwy Baton Rouge LA 70806 Contact: MelonyFields Contact Phone:(225) 963-9400 Fax:(2(225) -9401 00 Contact Email: mfields@the-cigroup.com Fax:(225) 963 9401 Custer Workplace Interiors Contact: 217 Grandville Ave. SW, Grand Rapids, MI, 49503 Contact Phone:616-458-6322 Phone:616-458-6322 Contact Email: Fax: Dell Contact: Jack Seaquist One Dell Way, Round Rock, TX, 78682 Contact Phone:512-723-7055 Phone:512-723-7055 Contact Email: Jack.Seaquist@dell.com Fax: Educational Environments by Dixie Contact: Donna Gordon 6918 Kinro Road, Liberty, NC, 27298 Contact Phone:336-662-4202 Phone:336-662-4202 Contact Email: donna@edu-env.com Fax: Educational Furniture Solutions (EFS) Contact: Elizabeth 536 N. Trooper Road, Mail Box#3, Norristown, PA, Earley 19403 Contact Phone:610-630-3995 Phone:610-630-3995 Contact Email: elizabeth@efs-Ilc.com Fax: Egyptian Business Furniture Contact: 129 West Main Street, Belleville, IL, 62220 Contact Phone:800-6423949 Phone:800-6423949 Contact Email: info2@ebfurn.com Fax: ELB US Inc. www.elbglobal.com 415 Boulder Court Pleasantoon CA 94566 Contact: JeffSchultz Contact Phone:(925)400-6175 Fax:(9(925) -509675 Contact Email:j.schultz@elbglobal.com Fax:(925) 475-5096 Empire Office Inc www.empireoffice.com Contact: JasyminDestin Ph Madison Ave New York NY 10016 Contact Phone:(954) 707-6216 Fax:(2(212) -1001 00 Contact Email:jdestin@empireoffice.com Fax:(212) 904-1001 Envision Office www.envisionoffice.com PO Box 147 Hope RI 02831 Contact: Rob Ruzzano 0-6498 Contact Phone:(401)440-6266 Fax:(4(401)5 5251 Contact Email: ruzzano@envisionoffice.com Fax:(401) 415 5251 EON Office Contact: Van Young 60 Tejon Street, Denver, CO, 80223 Contact Phone:720-570-5400 Phone:720-570-5400 Contact Email: vyoung@environmentsdenver.com Fax: Ernie Morris Contact: 232 North Main Street, Bushnell, FL, Contact Phone:352-793-2778 Phone:352-793-2778 Contact Email: emei@atlantic.net Fax: Forward Tilt Contact: Michelle Haab 6710 East Camelback Road, Suite 200, Scottsdale, Contact Phone:480-237-3737 AZ, 85251 Contact Email: mheeb@forwardtilt.com Phone:480-237-3737 Fax: Frank Cooney Co. Contact: Kevin Cooney 1226 N. Michael Dr, Suite C, Wood Dale, IL, 60191 Contact Phone:630-694-8800 Phone:630-694-8800 Contact Email: kevin@frankcooney.com Fax: Freedom Interiors Contact: Craig Johnson 4000 Washington Street, Kansas City, MO, 64111 Contact Phone:816-812-8847 Phone:816-812-8847 Contact Email: cjohnson@fre3dom.net Fax: Furniture Solutons For The Workplace www.furnituresolutionsftw.com 1340 Clay Street Cincinnati OH 45202 Contact: ScottHall Phone:(513) 378-7140 Contact Phone:(513) 999-5224 Fax:(513) 672-2011 Contact Email: shall@furnituresolutionsftw.com GBI - Guy Brown Interiors, LLC. Contact: Marcia Gardner 320 Seven Springs Way, Suite 450, Brentwood, TN, Contact Phone:615-425-5255 37027 Contact Email: marcia.gardner@gbinashville.com Phone:615-425-5255 Fax: Government & Educational Furnishings Contact: Karen Fax: 6050 ndwerlen Shadow Hills Road, Las Cruses, NM, 88012 Contact Phone:575-312-2177 Phone:575-312-2177 Contact Email: karenlandwerlen@gmail.com Fax: Grand River Office www.grandriveroffice.com 99 W. Western Ave. Muskegon MI 49442 Contact: MargaretStoika Contact Phone:(616) 218-3795 Fax:(6(833) -389537 Contact Email: margaret@grandriveroffice.com Fax:(616) 218 3895 Greater Houston Office Products www.myghop.com PO Box 899 League City TX 77574 Contact: RussellTidwell Contact Phone:(281) 724-1533 Fax:(2(281) -175533 Contact Email: rtidwell@myghop.com Fax:(281) 724-1755 Hartman Office Furniture, Inc. Contact: Tom Farkas 53 S. Jefferson Road, Suite F, Whippany, NJ, 08854 Contact Phone:732-777-9848 Phone:732-777-9848 Contact Email: thomasfarkas48@gmail.com Fax: Henricksen Contact: Steve Mefford 1101 West Thorndale Ave, Itasca, IL, 60143 Contact Phone:309-696-8566 Phone:309-696-8566 Contact Email: s.mefford@henricksen.com Fax: Howard Technology Contact: Melissa Ward 36 Howard Drive, Ellisville, MS, 39437 Contact Phone:601-399-5680 Phone:601-399-5680 Contact Email: Mward@howard.com Fax: Hudson Blue Print www.hudsonblueprint.com Contact: DonnaMurray Pho :( Street Wichita Falls TX 76301 Contact Phone:(940) 723-0591 Fax:(9(940) -864491 Contact Email: dmurray@hudsonblueprint.com Fax:(940) 723 8644 Impact Office www.impactoffice.com 6800 Distribution Drive Beltsville MD 20705 Contact: SteveGaertner Contact Phone:(240) 865-8200 Fax:(2(866)2 1381 0 Contact Email: sgaertner@impactoffice.com Fax:(240) 542-1381 Indeco Sales Contact: Kevin Goldston 805 E Fourth, Belton, TX, 76513 Contact Phone:800-692-4256 Phone:800-692-4256 Contact Email: kevin.goldston@indecosales.com Fax: Indoff, Inc. Contact: Terry Paden 11816 Lackland Road / P.O. Box 46902, St. Louis , Contact Phone:575-257-1533 MO, 63146 Contact Email: "Terry.Pad en@indoff.com Phone:575-257-1533 Fax: Innerplan Contact: Heather McCarty 7001 Innerplan Drive, North Little Rock, AR, Contact Phone:501-320-1515 Phone:501-320-1515 Contact Email: heather@innerplan.com Fax: Institutional Interiors, Inc. Contact: Mike Baskett 2851 Van Huron Drive, Suite 100, Raleigh, NC, Contact Phone:919-981-5811 27615 Contact Email: mike@institutionalinteriors.com Phone:919-981-5811 Fax: Interior Landscapes LLC www.interioriandscapes.com 2121 Central Street Kansas City MO 64108 Contact: LelandHardison Phone:(818) 842-2120 Contact Phone:(913)485-9392 Fax:(816) 842-2129 Contact Email: Ihardison@interiorlandscapes.com Interior Systems Contact: P.O. Box 529, West End, NC, 27376 Contact Phone:910-673-0633 Phone:910-673-0633 Contact Email: Fax: Interiors for Business Contact: Peter Molenhouse 409 North River Street, Batavia, IL, 60510 Contact Phone:630-761-1070 Phone:630-761-1070 Contact Email: pmolenhouse@interiorsforbusiness.com Fax: Intivity www.intivity.com Contact: AnnMiller-Michaels Ph Despatch Drive East Rochester NY 14445 Contact Phone:(585) 238-2827 Fax:(5(585) -922719 Contact Email: amiller-michaels@intivity.com Fax:(585) 387-9222 JC Office Consultants Contact: Jackie Orlando 1661 US Highway 22 West, Bound Brook, NJ, 08805 Contact Phone:908-581-5161 Phone:908-581-5161 Contact Email:jackie@jcofficeconsultants.com Fax: Kansas Contract Design Contact: Sandy Rasmussen 723 North Gow Street, Wichita, KS, 67203 Contact Phone:316-721-9462 Phone:316-721-9462 Contact Email: sandy@kcdsales.com Fax: Kay Twelve LLC www.kay-twelve.com 1491 Polaris Parkway Columbus OH 43240 Contact: Bob Roche Contact Phone:(215) 206-9445 Fax:(6(888)3 675451 Ext. 29 Contact Email: broche@kay-twelve.com Fax:(614) 423-6750 Kershner Office Furniture www.kershneroffice.com 600 Clark Avenue King of Prussia PA 19406 Contact: Connie Migeot Phone:(610) 768-0200 Contact Phone:(610) 768-0200 Fax:(610) 768-0201 Contact Email: connie@kershneroffice.com 5000 Knowledge Tree Contact: Fred Ernest Summer Avenue, Suite 101, Memphis, TN, 38122 Contact Phone:901-324-9251 812 Contact Email: fernest@theknowledgetree.com Phone:901-324-9251 Fax: Kramer& Leonard Contact: Matt Leake 312 Roberts Road, Chesterton, IN, 46304 Contact Phone:800-922-5226 Phone:800-922-5226 Contact Email: mleake@kramerleonard.com Fax: Learning Environments LLC www.learningenvironments.com 16918 Cottonwood Way Houston TX 77059 Contact: Jarrod Wiggins Contact Phone:(281) 898-5205 Fax:(2(281) 8 5206 5 Contact Email:jarrod@learningenvironments.com Fax:(281) 898 5206 Library Design Systems Contact: Stuart Watson P.O. Box 750757, Houston, TX, 77275 Contact Phone:972-533-8808 Phone:972-533-8808 Contact Email: swatson@ldsgroupusa.com Fax: Lonestar Furnishings Contact: Brad Jones 4301 Reeder Drive, Suite 100, Carrollton, TX, 75010 Contact Phone:972-862-9900 Phone:972-862-9900 Contact Email: brad@lonestarfurnishings.com Fax: Lucas Business Solutions http://www.lucasbusinesssolutions.com/ PO Box 172225 Memphis TN 38187-2225 Contact: ChaseLucas Phone:(901) 624-8900 Contact Phone:(901) 864-2855 Fax:(901) 624-8444 Contact Email: chase@lucasofficefurniture.com Marxmoda www.marxmoda.com 751 Griswold St Detroit MI 48226 Contact: Casey MacDonald Phone:(855) 242-9292 Contact Phone:(855) 242-9292 Fax:(855) 213-3647 Contact Email: casey.macdonald@marxmoda.com McCoy-Rockford, Inc. Contact: "6869 Old Katy Road Contact Phone: Phone: Contact Email: Fax: McHugh Furnishings www.mchif.com Contact: JoanneSkinner 125 Laser Ct Hauppaguge NY Contact Phone: Phone: i Contact Email:jskinner@mchif.com Fax: Midwest Educational Furnishings, Inc. Contact: Dave Welter 21191 North Valley Road, Kildeer, IL, 60047-8580 Contact Phone:847-847-1864 Phone:847-847-1864 Contact Email: dwelter@mwfurnishings.com Fax: MISSCO www.missco.com 2001 Airport Road Flowood MS 39232 Contact: Lee Stegall Contact Phone:(601) 368-2527 Fax:(6(601) -947500 Contact Email: Istegall@missco.com Fax:(601) 856 9475 Modern Business Interiors Contact: 1023 Portwest Drive, St. Charles, MO, 63303 Contact Phone:636-946-2500 Phone:636-946-2500 Contact Email: Fax: Modular Concepts Contact: Dale Layton P.O. Box 2337, Alabaster, AL, 35007 Contact Phone:205-410-7719 Phone:205-410-7719 Contact Email: dale@modularconcepts.com Fax: MOI www.moii.com 2923 Lord Baltimore Drive Baltimore MD 21244 Contact: Janice Dorbu Phone:(443) 780-2037 Contact Phone:(240) 988-3473 Fax:(443) 780-2038 Contact Email:jdorbu@moii.com New Mexico School Products Contact: Pete Moore P.O. Box 2126, Albuquerque, NM, 87103 Contact Phone:505-884-1426 Phone:505-884-1426 Contact Email: petem@newmexicoschoolproducts.com Fax: Nickerson www.nickersonnj.com 515 Union Avenue Union Beach NJ 07735 Contact: Cathy Ihnat Phone:(732) 721-0094 Contact Phone:(732) 721-0094 Fax:(732) 721-0115 Contact Email: cihnat@nickersonnj.com Nickerson Corp. Contact: Mike Walsh 11 Moffit Blvd., Bay Shore, NY, 11706 Contact Phone:631-666-0200 Phone:631-666-0200 Contact Email: mwalsh@nickersoncorp.com Fax: Nickerson NJ Contact: Cathy Ihnat 92 West Front Street, Keyport, NJ, 07735 Contact Phone:732-721-0094 Phone:732-721-0094 Contact Email: cihnat@nickersonnj.com Fax: Northern Business Products, Inc. Contact: "Craig Gibson 2326 West Superior Street, Duluth, MN, 55806 Contact Phone: Phone:715-834-6650 Contact Email: Fax: Nu-Idea Contact: Mike Sawyer 830 E. Liberty Street, Sumter, SC, 29150 Contact Phone:803-773-7389 Phone:803-773-7389 Contact Email: msawyer@nu-idea.com Fax: Office Centre /Teacher's Pet Contact: 312 North Parkerson Ave, Crowley, LA, 70526 Contact Phone:337-783-3884 Phone:337-783-3884 Contact Email: info@teachers-pet.com Fax: Office Furniture Concepts www.ofctx.com 3883 Texas Hwy. 53 Temple TX 76501 Contact: Tony Maldonado Phone:(254) 213-5324 Contact Phone:(254) 624-3431 Fax:(254) 213-5325 Contact Email: tony@ofctx.com Officescapes Contact: Lee Stapp 2506 Zeppelin Road, Colorado Springs, CO, 80916 Contact Phone:719-574-1114 Phone:719-574-1114 Contact Email: Istapp@OfficeScapes.com Fax: Officewise Co. DBA Navajo Office Products www.officewiseco.com 1301 13th Street Lubbock TX 79401 Contact: Andrea Wade Phone:(806) 763-2500 Contact Phone:(806) 763-2500 Fax:(806) 747-1600 Contact Email: awade@officewiseco.com _ One Source Office Products www.onesourceop.com Contact: McKenzie Franks PO Box 1049 Northport AL 35476 PhonContact Phone:(205) 344-6266 Fax:(2(203 -695566 Contact Email: mckenzie@onesourceofficeproducts.com Fax:(205) 344-6955 One Work Place Contact: Manny A. Juarez 2500 De La Cruz Blvd., Santa Clara, CA, 95050 Contact Phone:510-414-0830 Phone:510-414-0830 Contact Email: mjuarez@oneworkplace.com Fax: OpenSquare Contact: 5601 6th Ave S, Suite 470, Seattle, WA, 98108-2544 Contact Phone:206-768-8000 Phone:206-768-8000 Contact Email: Fax: _ P.E.M. Co. www.pemcofurniture.com 1700 N. Highland Road Pittsburgh PA 15241 Contact: Brian McGaughey Phone:(412) 831-7601 Contact Phone:(412) 831-7601 Ext. 103 Contact Email: brian@pemcofurniture.com Fax:(412) 831-7662 Palace Business Solutions Contact: Neal Heckman 2606 Chanticleer Ave, Santa Cruz, CA, 85065 Contact Phone:831-476-5577 Phone:831-476-5577 Contact Email: nealh@gopalace.com Fax: PBI, Inc. Commercial Interiors Contact: Kim Robinson 123 Sweeten Road, Suite A, Asheville, NC, 28803 Contact Phone:828-277-7001 Phone:828-277-7001 Contact Email: kimr@pbiasheville.com Fax: Perfection Equipment Contact: Rob Indicott 135 Harolad Andrews Road / P.O. Box 483, Siler Contact Phone:919-742-5077 City, NC, 27344 Contact Email: indicott@yahoo.com Phone:919-742-5077 Fax: Pivot Interiors Contact: 3355 Scott Blvd, Suite 110, Santa Clara, CA, 95054 Contact Phone:408-432-5735 Phone:408-432-5735 Contact Email: Fax: PMC Commercial Interiors, Inc. Contact: Nicole Hampton 3000 Perimeter Park Drive, Morrisville, NC, 27560 Contact Phone:916-655-7461 Phone:916-655-7461 Contact Email: nicole@pmccommercialinteriors.com Fax: PPG Furnishings www.ppgfurnishings.com 7301 Ranch Rd N 620 Austin TX 78726 Contact: ConradArriola Contact Phone:(432) 386-6321 Fax:(5(512) 1-797960 Contact Email: conrad@ppgfurnishings.com Fax:(512) 831-7970 Premier Furniture & Equipment (PF&E) Contact: Roger P.O. Box 223, Waverly, IA, 50677 Johnson Phone:319-596-5112 Contact Phone:319-596-5112 Contact Email: rogerj@fepremier.com Fax: Red Thread Contact: Mary Sauvageau 22 Boston Wharf Road, Boston, MA, 02210 Contact Phone:617-439-4900 Phone:617-439-4900 Contact Email: Msauvageau@red-thread.com Fax: Resource One www.resourceoneoffice.com 321 East Adams Street Springfield IL 62701 Contact: Leigh Boehm Phone:(217) 753-5709 Ext. 19 Contact Phone:(309) 642-8230 Fax:(217) 753-5748 Contact Email: Iboehm@resourceoneoffice.com Rocky Mountain Record Managers Contact: Austin Vandyke 520 Nichols Blvd., Colorado Springs, CO, 80907 Contact Phone:719-671-4622 Phone:719-671-4622 Contact Email: austin@rmrminc.com Fax: Rudolph Supply www.rudolphsupply.com Contact: David Posten 6610 Amerton Drive Elkridge MD 21075 PhonContact Phone:(703) 795-8051 Fax:(4(410) 1-415850 Contact Email: dposten@rudolphsupply.com Fax:(410) 931-4158 322 Northpoint Parkway Suite D, Acworth, GA, Russell Ventures Contact: Richard Russell Contact Phone:678-574-9805 30102 Contact Email: richard@russellventures.com Phone:678 574-9805 Fax: School Aids Contact: Bill Firnberg 9335 Interline Ave, Baton Rouge, LA, 70809 Contact Phone:225-923-0294 Phone:225-923-0294 Contact Email: bill@schoolaids.com Fax: School Outfitters www.schooloutfitters.com 3736 Regent Avenue Cincinnati OH 45212 Contact: QueenieTakougang Phone:(800) 260-2776 Contact Phone:(800) 260-2776 Fax:(800) 494-1036 Contact Email: contracts@schooloutfitters.com School Specialty Contact: Scott Kurtzman W6316 Design Drive, Greenville, WI, 54942 Contact Phone:800-305-0174 Phone:800-305-0174 Contact Email: scott.kurtzman@schoolspecialty.com Fax: Schoolhouse Products Contact: Andrea Posusta 13517 Prestige Place, Tampa, FL, 33635 Contact Phone:813-855-1414 Phone:813-855-1414 Contact Email: andrea@schoolhouseproducts.com Fax: Scott Rice Office Works Contact: "727 Poyntz Ave. Suite 105 Contact Phone: Phone: Contact Email: Fax: Shiffler Equipment Contact: Ann Kovach 745 South Street, Chardon, OH, 44024 Contact Phone:440-285-9175 Phone:440-285-9175 Contact Email: a.kovach@shifflerequip.com Fax: Signature Products Contact: Mike Monahan 230 Springview Commerce Drive, Bldg 300, Debary, Contact Phone:407-299-0896 FL, 32713 Contact Email: mike@signatureschoolproducts.com Phone:407-299-0896 Fax: South Texas School Furniture Contact: Alan Jirkovsky 107 North Main Street, Hallettsville, TX, 77964 Contact Phone:361-798-4364 Phone:361-798-4364 Contact Email: alanj@texaslibrary.com Fax: Spencer& Co. www.spencerandeo.com 150 Turtle Creek Blvd. Dallas TX 75207 Contact: Whitney Compton Phone:(214) 720-0345 Contact Phone:(214) 237-6907 Fax:(214) 965-9549 Contact Email: whitney.compton@spencerandco.com SSI Furnishings Contact: Mike Sigsbee 6612 Royal Street, Pleasant Valley, MO, 64068 Contact Phone:816-792-2700 Phone:816-792-2700 Contact Email: Msigsbee@ssifurnishings.com Fax: Storey-Kenworthy Contact: Ryan Boese 309 Locust Street, Des Moines, IA, 50309-1788 Contact Phone:515-288-3243 Phone:515-288-3243 Contact Email: rboese@storey-kenworthy.com Fax: STS Education www.stseducation-us.com 130-A W. Cochran St. Simi Valley CA 93065 Contact: SteveOmlor Phone:(866) 499-2580 Contact Phone:(866)499-2580 Fax:(866) 299-2590 Contact Email: steve.omlor@stseducation-us.com T.H.E. Office City Contact: Bill Jones 3167 Corporate Place, Hayward, CA, 94545 Contact Phone:877-484-3633 Phone:877-484-3633 Contact Email: Billj@theofficecity.com Fax: Tallgrass Business Resources Contact: 1239 1st Avenue SE, Cedar Rapids, IA, 52402 Contact Phone:800-373-9211 Phone:800-373-9211 Contact Email: Fax: i TeamPAR www.teampar.com 354 Rt. 206 Flanders NJ 07836 Contact: KarenRossilli-Kiefer Phone:(973) 292-0089 Contact Phone:(973) 292-0089 Fax:(973) 292-0090 Contact Email: karen@teampar.com TEQ - Tequipment Inc. Contact: Keriann Grandazza 7 Norden Lane, Huntington Station, NY, 11746 Contact Phone:877-455-9369 Phone:877-455-9369 Contact Email: keriannGrandazza@teq.com Fax: Terrell Enterprises, Inc. Contact: Al Brannon P.O. Box 461, Greenville, AL, 36037 Contact Phone:334-382-7415 Phone:334-382-7415 Contact Email: al@terrellenterprises.com Fax: Texas Furniture Source Contact: Ron Parr 14560 Midway Road, Farmers Branch, TX, 75244 Contact Phone:972-490-0456 Phone:972-490-0456 Contact Email: rptexasfurniture@sbcglobal.net Fax: The Supply Room www.thesupplyroom.com 14140 N. Washington Hwy. Ashland VA 23005 Contact: Shannon French Contact Phone:(804)412-2820 Fax:(8(804) -1201 00 Contact Email: sfrench@thesupplyroom.com Fax:(804) 412-1201 Today's Classroom Contact: Rick Griffith 6551 Middlebranch Ave NE, Canton, OH, 44721 Contact Phone:877-909-9910 Phone:877-909-9910 Contact Email: rick@todaysclassroom.com Fax: Tom Sexton &Associates Contact: Mark Edwards 65 Cummings Drive, Walton, KY, 41094 Contact Phone:859-785-7065 Phone:859-785-7065 Contact Email: mark.e@tomsextonfurniture.com Fax: Total Office Concepts www.totalofficeconcepts.com 401 S. Ninth Ave Walla Walla WA 99362 Contact: MarkCarlile Contact Phone:(509) 525-5600 Ext. 304 Fax:(5(509) -032000 Ext. 304 i Contact Email: mcarlile@totalofficeconcepts.com Fax:(509) 529 0320 Transact Commercial Interiors Contact: "4600 East Washington Street, Suite 100 Contact Phone: Phone: Contact Email: Fax: Troxell Communications Contact: Paul Champion 4675 East Cotton Center Blvd, Suite 155, Phoenix, Contact Phone:800-352-7912 AZ, 85040 Contact Email: Paul.Champion@trox.com Phone:800-352-7912 Fax: W.B. Mason Contact: Linday Behan P.O. Box 111, Brockton, MA, 02303 Contact Phone:800-242-5892 Phone:800-242-5892 Contact Email: lindsay.behan@wbmason.com Fax: Wayfair www.wayfair.com 4 Copley Place Boston MA 02116 Contact: Olivia Larson Phone:(857) 306-2836 Contact Phone:(857) 306-2836 Fax:(866) 513-2570 Contact Email: wayfairedu@wayfair.com Wilson Office Interiors www.wilsonoi.com 1341 W. Mockingbird Lane Dallas TX 75247 Contact: Karen Denson 4100 Contact Phone:(972)488-4184 Fax:(9(972) - 8 15 Contact Email: kdenson@wilsonoi.com Fax:(972) 488 8815 Workspace Interiors Contact: David McGinnis 200 Corporate Center Drive, Coraopolis, PA, 15108 Contact Phone:724-777-2356 Phone:724-777-2356 Contact Email: david.mcginnis@workspaceinterorsod.com Fax: Workspace Solutions www.txworkspacesolutions.com 3660 Thousand Oaks Drive San Antonio TX 78247 Contact: Mike Schiller Phone:(210) 366-4414 Contact Phone:(210) 366-4414 Fax:(210) 366-4415 Contact Email: mike@txworkspacesolutions.com Your School Resource Group Contact: Michael Dikes P.O. Box 565492, Pinecrest, FL, 33256 Contact Phone:305-781-3113 Phone:305-781-3113 Contact Email: molkes@3oaksgroup.com Fax: Copyright 2005-2021 The Interlocal Purchasing System I Lead agency Region 8 ESC Exhibit C CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code.An offense under this section is a misdemeanor. jJ Name of vendor who has a business relationship with local governmental entity. 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 4J Describe each employment or other business relationship with the local government officer, or a family member of the officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes F-1 No B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? Yes F-1 No 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. s ❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7 Signature of vendor doing business with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.Iegis.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. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 3/30/22,8:27 AM M&C Review Official site of the City of Fort Worth,Texas CITY COUNCIL AGENDA FOTm Create New From This M&C DATE: 3/29/2022 REFERENCE""M&C 22- LOG 13PMULTI COOP FURNITURE DESIGN NO.: 0211 NAME: AND INSTALLATION TD CITY CODE: P TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: (ALL)Authorize Agreement with Wilson Office Interiors, LLC. Using Various Cooperative Agreements as an Authorized Dealer for Various Manufacturers for the Purchase, Design, and Installation of Furniture for all City Departments for an Amount Up to$2,000,000.00 and Authorize Two Consecutive One-Year Renewal Options for the Same Annual Amount RECOMMENDATION: It is recommended that the City Council authorize an agreement with Wilson Office Interiors, LLC. using various cooperative agreement as an authorized dealer for various manufacturers for the purchase, design, and installation of furniture for all city departments for an amount up to$2,000,000.00 and authorize two consecutive one-year renewal options for the same annual amount. DISCUSSION: Staples Contract and Commercial LLC(Staples)will no longer be able to provide the installation and design of furniture for City of Fort Worth (City) Departments. Due to the effects of COVID-19 Staples has changed their business model removing their design and installation services. Because of this change, Staples has recommended Wilson Office Interiors, LLC to staff. Staff recommends Wilson Office Interiors, LLC as we continue to look for a new vendor able to provide the purchase of furniture as well as the installation and design. As Wilson Office Interiors, LLC will be used as an authorized dealer, City Departments will use the following cooperative contracts: Manufacturer Cooperative Contract Term Expiration Allsteel, Inc. OMNIA Partners Contract No. R191802 April 30, 2023 The HON Company LLC. BuyBoard Contract No. 584-19 March 31, 2022 The HON Company LLC. OMNIA Partners Contract No. R191804 March 31, 2023 Metalworks, Inc dba Great Openings TIPS Contract No. 210305 May 31, 2026 MooreCo Inc. TIPS Contract No. 200301 May 31, 2023 National Office Furniture OMNIA Partners Contract No. R191811 April 30, 2023 The maximum amount allowed under this agreement citywide will be$2,000,000.00, however the actual amount used will be based on the need of the department and available budget. RENEWAL OPTIONS: The agreement may be renewed for additional terms according to the cooperative agreement at the City's options to renew. This action does not require specific City Council approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal term. COOPERATIVE PURCHASE-State law provides that a local government purchasing an item under a cooperative purchasing agreement satisfies any state law requiring that the local government seek competitive bids for the purchase of items. BuyBoard, OMNIA, and TIPS Contracts are competitively bid to increase and simplify the purchasing power of government entities. BUSINESS EQUITY-A M/WBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity. This project will serve ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current operating budgets, as appropriated, in the participating departments' Operating Funds to support approval of the above recommendation and award of the contract. Prior to any expenditure being incurred, the participating departments have the responsibility to validate the availability of funds. BQN\\ TO Fund Department Account Project Program Activity Budget Reference# Amount ID ID Year Chartfield 2 FROM Fund I Department Account Project Program Activity Budget Reference# Amount ID I ID Year Chartfield 2 Submitted for City Manager's Office by_ Reginald Zeno(8517) apps.cfwnet.org/counciI_packet/mc_review.asp?ID=29765&counciIdate=3/29/2022 1/2 3/30/22,8:27 AM M&C Review Originating Department Head: Anthony Rousseau (8338) Additional Information Contact: Cynthia Garcia(8285) Taylor Dean (7648) ATTACHMENTS Form 1295 for 200301 &210305.pdf (CFW Internal) Form 1295 for 584-19, R191802,& R191811.pdf (CFW Internal) SAMS Wilson Office Interiors, LLC.pdf (CFW Internal) a pps.cfwnet.o rg/council_packet/mc_review.asp?I D=29765&cou nci Idate=3/29/2022 2/2 CONFLICT OF' INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects.changes made to the law by H.B.,23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire.is being filed in accordance with Chapter 176, Local Government Code,by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 71h business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.000(a-1),Local Government Code. A vendor.commits an offense if the vendor knowingly violates Section 176.006, Local Government Code.An offense under this section is a misdemeanor. Name of vendor who has a business relationship with local governmental entity. Wilson Office.Interiors, LLC z 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. NIA Name of Officer -4J Describe each employment or other.business relationship with the local government officer,or a family member of the. officer;as described by Section 176,003(a)(2)(A)..Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Fortis CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor?. EJ Yes F-1 No 'B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction of the local government.officer or a family member of the officer AND the taxable income"is not received from the. local governmental entity? Yes E:1 No $ Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business enti#y•with respect to which the local government officer serves as an officer or director,or holds an ownership interest of one percent or more. fi I ❑ Check this box if the vendor has.given the local government officer or a family member of the officer one or more gifts a !s din Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). ' 7 f 03/28/2022 Signature of endor oing bu ness h t gove ental entity Date Form provided by Texas Ethics ommission ww.ethics.state.tx.us Revised 1/1/2021