HomeMy WebLinkAboutContract 57406 CSC No. 57406
FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Altitude
Technologies, Inc. dba Chinook Medical Gear, Inc. ("Vendor") and the City of Fort Worth,
("City"), a Texas home rule municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B—Cooperative Agency Contract(e.g.,NJPA, DIR, BuyBoard); and
4. Exhibit C—Conflict of Interest Questionnaire
Exhibits A, B, and C,which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by City
shall be in the amount of One Hundred Eighty-One Thousand Dollars ($181,000.00). 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 expires on August 7, 2022. The City shall be able to renew this
agreement for three (3) one-year renewal options by written agreement of the parties.
Vendor agrees that City shall,until the expiration of three (3)years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books,documents,papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows: OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
To CITY: To VENDOR:
City of Fort Worth Altitude Technologies, Inc. dba Chinook Medical
Attn: Fernando Costa,Assistant City Manager Gear, Inc.
200 Texas Street Gary Warnock, Contracts Manager
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654 Address:
54 Girard Street, Suite A
With copy to Fort Worth City Attorney's Durango, CO 81303
Office at same address
Facsimile: (970) 375-6343
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: responsible for the monitoring and administration
Name: Fernando Costa of this contract,including ensuring all
Title: Assistant City Manager performance and reporting requirements.
Date:
J
APPROVAL"COMMENDED: By: Sasha Kane(Apr 13,202209:24 CDT)
. Name: Sasha Kane
Title: Contract Compliance Manager
Neil Noakes(Apr 1 ,2022 12:45 CDT) .dgb4oR Ilia APPROVED AS TO FORM AND LEGALITY:
By: a F F°°°T rya
Name: Neil Noakes 14.c °%Cl
01. °�1,
Title: Police Chief 0.0o os� _^
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ATTEST: ova*�°° °�° d
aQa By.
�unaa44 Name: Taylor Paris
Title: Assistant City Attorney
ddG�z.��e:t;1v
By: Pffiette S.Goodall(Apr 13 D22 is: CDT CONTRACT AUTHORIZATION:
Name: Jannette Goodall M&C: 20-0823 .
Title: City Secretary
VENDOR:
Altitude Technologies, Inc. dba Chinook Medical Gear,
Inc. Gary Digitally signed by Gary
Wa rnock:A01 09 B300000 Warn.k:A0109B30000017962679
5te:203440
2.03. OFFICIAL RECORD
1796267956900034405 Date:2022.03.1014:04:14-07D0
By.
Name: Gary Warnock CITY SECRETARY
Title: Contracts Manager FT.WORTH,TX
Date:
EXHIBIT A Page: 1
Medical Quote
Gear, Inc.. Order Number: 0104204
Date: 1/3/2022
Custom Medical Solutions for the Harshest Environments Customer Number: 0026489
54 Girard St,Suite A
Durango, Colorado81303 USA Salesperson: MEM
Phone:970-375-1241 Fax:970-375-6343 Prepared By: MEM
sales(d),chinookmed com Quote Valid Until: 4/3/2022
www.chinookmed.com
Billed To: Ship To:
Fort Worth Police Department Fort Worth Police
505 W. Felix Rd 310 Gulfstream Rd
Fort Worth,TX 76106 USA Fort Worth,TX 76106 USA
Confirm To: Trent Hill
Customer P.O. Ship VIA F.O.B. Terms
UPS GROUND ORIGIN PREPAID Net 30
Line Quantity Unit NSN Item Number Price Amount
1 200.00 EACH CAT Gen 7(Combat Application 6515-01-521-7976 COTS 01294 24.5918 4,918.36
Tourniquet)Black
2 200.00 EACH RIGID TQ Case for C-A-T Gen 7 COTS 05250BK 34.3914 6,878.28
(Tek-Loc), Black
3 100.00 EACH Israeli 4"Emergency Bandage 6510-01-460-0849 COTS 05130 7.3350 733.50
4 250.00 EACH Kerlix large roll,4.5 in x 4.1 yd,6 ply 6510-00-058-3047 COTS 100041 1.3900 347.50
Sterile
5 150.00 EACH Black SWAT-T Tourniquet COTS 500470 17.9500 2,692.50
6 150.00 EACH HALO Vent Combo Pack IFAK COTS 12121 14.9210 2,238.15
1216-10012
7 150.00 EACH EMT Shears Black,7.25" COTS 01202 4.0162 602.43
8 200.00 KIT Ft.Worth Med Leg Rig w/7.5 QuikClot COTS O4712H 166.7000 33,340.00
1.00 EACH LEMK-10 Bag, BK(Law Enforceme 02174BK
2.00 EACH Israeli 4"Emergency Bandage 05130
2.00 EACH Black SWAT-T Tourniquet 500470
2.00 EACH Kerlix large roll,4.5 in x 4. 100041
1.00 EACH QuikClot Combat Gauze,Z-Folde 05168MT
1.00 EACH HALO Vent Combo Pack IFAK 1216 12121
6.00 EACH Micro Flex Gloves, LG,BL,Supr 902108LG
Continued
CAGE 04JV2
Certified Veteran and 8(a)Owned Small Business DUNS 621904622
dLt 44 nUSFCR
Schedule vosB slim
GS-07F-5989R $(a)Certified
eVe ER®oR
Page: 2
Medical Quote
Gear, Inc.. Order Number: 0104204
Date: 1/3/2022
Custom Medical Solutions for the Harshest Environments Customer Number: 0026489
54 Girard St,Suite A
Durango,Colorado 81303 USA Salesperson: MEM
Phone:970-375-1241 Fax:970-375-6343 Prepared By: MEM
sales(d),chinookmedcom Quote Valid Until: 4/3/2022
www.chinookmed.com
Billed To: Ship To:
Fort Worth Police Department Fort Worth Police
505 W. Felix Rd 310 Gulfstream Rd
Fort Worth,TX 76106 USA Fort Worth,TX 76106 USA
Confirm To: Trent Hill
Customer P.O. Ship VIA F.O.B. Terms
UPS GROUND ORIGIN PREPAID Net 30
Line Quantity Unit NSN Item Number Price Amount
1.00 EACH EMT Shears Black,7.25" 01202
99 1.00 EACH Freight Charge /FREIGHT 475.0000 475.00
Net Order: 52,225.72
Less Discount: 0.00
Freight: 0.00
GSA Orders are eligible for 1%Net 20 Terms.Items on our GSA Schedule are designated with"GSA" Sales Tax: 0.00
Items not on our Schedule are designated with "COTS"(Commercial Off The Shelf/Open Market). Order Total: USD 52,225.72
CAGE 04JV2
Certified Veteran and 8(a)Owned Small Business DUNS 621904622
® Schedulek,S-,; nUSFCR
cs-07F-59e9a $(a)Certified
W. R®oa
EXHIBIT B
GSA#GS-07F-5989R TERMS&CONDITIONS PRICE LIST
https://www.gsaadvantage.gov/ref text/GS07F5989R/GS07F5989R online.htm
GSA#GS-07F-5989R CONTRACT CLAUSES/EXCEPTIONS
https://www.gsaelibrary.gsa.gov/ElibMain/contractClauses.do?scheduIeNumber=MAS&contractNumber=GS-
07F-5989R&contractorName=ALTITUDE+TECHNOLOGIES+INC.&duns=L6NXD48QG5M1&source=ci&view=clauses
EXHIBIT C
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICEUSEONLY
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.
Name of vendor who has a business relationship with local governmental entity.
Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
NA
Name of Officer
4 Describe each employment or other business relationship with the local government officer, or a family member of the
officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
aYes a 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?
a Yes a No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
6
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 Gary Digitally signed by Gary
Wa rnoc k:A0109133000001 Warnock:A010963000001796267
796267956900034405 95690003440
Date:2022.03.1014:02:59-0700
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
Acomplete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx.us/
Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code&176.0010-a): "Business relationship"means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal,state, or local governmental entity or an
agency of a federal,state,or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to,that agency.
Local Government Code&176.003(a)(2)(A)and(B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than$100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code & 176.006(a) and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any
gift described by Section 176.003(a-1);or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application, response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity;or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer,described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
11/11/2020 M&C Review
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FoRTWoRTII
DATE: 11/10/2020 REFERENCE **M&C 20- LOG NAME: 13PCOOP MEDICAL GEAR
NO. 0823 AR PD
CODE: P TYPE: CONSENT PUBLIC NO
HEARING
SUBJECT: (ALL) Authorize Cooperative Agreement with Altitude Technologies, Inc. dba Chinook
Medical Gear in an Annual Amount Up to $181,000.00 for Medical Gear for the Police
Department Using General Services Administration (GSA) Contract No. GS-07F-5989R
RECOMMENDATION:
It is recommended that the City Council authorize a Cooperative Agreement with Altitude
Technologies, Inc. dba Chinook Medical Gear in an annual amount up to $181,000.00 for the Police
Department using GSA Contract No. GS-07F-5989R.
DISCUSSION:
The Police Department approached the Purchasing Division to procure medical gear using General
Services Administration (GSA) Contract No. GS-07F-5989R. The agreement will be utilized to
purchase medical equipment and supplies such as individual first aid kits which are issued to all
officers through the Tactical Medic Unit. This will allow officers to provide initial first aid to the general
public.
Staff recommends awarding to Altitude Technologies, Inc. dba Chinook Medical Gear using GSA
Contract No. GS-07F-5989R. No guarantee was made that a specific amount of these goods will be
purchased. Staff reviewed the pricing and found it to be fair and reasonable.
A MBE/SBE goal is not assigned when purchasing from an approved purchasing cooperative or public
entity.
The agreement is based on GSA Contract No. GS-07F-5989R. State law provides that a local
government purchasing an item under a cooperative purchasing agreement satisfies state laws
requiring that the local government seek competitive bids for purchase of the items. GSA contracts
have been competitively bid to increase and simplify the purchasing power of government entities.
An administrative change order or increase may be made by the City Manager up to the amount
allowed by relevant law and the Fort Worth City Code and does not require specific City Council
approval as long as sufficient funds have been appropriated.
This agreement will end on August 7, 2025 to correspond with the term of the GSA cooperative
contract.
In the event that a cooperative agreement is not renewed, staff would cease making purchases at the
end of the last purchase agreement coinciding with the valid cooperative agreement. If the City
Council were to not appropriate funds for a future year, staff would cease making purchases when the
last appropriation expires, regardless of whether the then-current purchase agreement has expired. If
the cooperative contract is extended, this Mayor and Council Communication (M&C) authorizes the
City to purchase similar products and services under the extended contracts. If the cooperative
contract is not extended, but a new cooperative contract is executed with Altitude Technologies, Inc.
dba Chinook Medical Gear with substantially similar terms as the previous cooperative contract, this
M&C authorizes the City to purchase the services under the new cooperative contract.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget, as
previously appropriated, in the General Fund to support the approval of the above recommendation
and execution of the purchase agreement. Prior to any expenditure being incurred, the Police
Department has the responsibility to validate the availability of funds.
apps.cfwnet.org/council_packet/mc_review.asp?ID=28392&councildate=11/10/2020 1/2
11/11/2020 M&C Review
BQN\\
TO
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year (Chartfield 2)
FROM
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year (Chartfield 2)
Submitted for City Manager's Office by Jesus J. Chapa (5804)
Originating Department Head: Reginald Zeno (8517)
Additional Information Contact: Cynthia Garcia (8285)
A'ja Robertson (8585)
ATTACHMENTS
apps.cfwnet.org/council_packet/mc_review.asp?ID=28392&councildate=11/10/2020 2/2