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HomeMy WebLinkAboutContract 57719 CSC No.57719 FORT NORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between SIEMENS INDUSTRY, 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— Siemens Proposal Suppression System Inspections; 3. Exhibit B — Siemens GSA Schedule GS-07F-217CA; 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 by City shall not exceed the amount of Seven Thousand Six Hundred Eight and 00/100 dollars ($7,608.00). 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 shall be effective beginning on the date signed by the Assistant City Manager below("Effective Date") and ending on April 30, 2025. 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 Cooperative Purchase Page 1 of 26 FT. WORTH, TX To CITY: To VENDOR: City of Fort Worth Siemens Industry, Inc. Attn: Valerie Washington, Assistant City ATTN: Legal Department Manager 8600 North Royal Lane, #100 200 Texas Street Irving, TX 75063 Fort Worth, TX 76102-6314 Facsimile: N/A Facsimile: (817) 392-8654 With copy to Fort Worth City Attorney's Office at same address IP Indemnification. Vendor agrees to indemnify, defend, settle, or pay, at its own cost and expense, including the payment of attorney's fees, any claim or action against the City for infringement of any patent,copyright,trade mark,service mark,trade secret,or other intellectual property right arising from City's use of the Deliverable(s), or any part thereof, in accordance with the Agreement, it being understood that the agreement to indemnify, defend, settle or pay shall not apply if City modifies or misuses the Deliverable(s). So long as Vendor bears the cost and expense of payment for claims or actions against the City pursuant to this section 8, Vendor shall have the right to conduct the defense of any such claim or action and all negotiations for its settlement or compromise and to settle or compromise any such claim; however, City shall have the right to fully participate in any and all such settlement,negotiations, or lawsuit as necessary to protect the City's interest,and City agrees to cooperate with Vendor in doing so.In the event City, for whatever reason, assumes the responsibility for payment of costs and expenses for any claim or action brought against the City for infringement arising under the Agreement, the City shall have the sole right to conduct the defense of any such claim or action and all negotiations for its settlement or compromise and to settle or compromise any such claim; however,Vendor shall fully participate and cooperate with the City in defense of such claim or action. City agrees to give Vendor timely written notice of any such claim or action,with copies of all papers City may receive relating thereto. Notwithstanding the foregoing, the City's assumption of payment of costs or expenses shall not eliminate Vendor's duty to indemnify the City under the Agreement. If the Deliverable(s), or any part thereof, is held to infringe and the use thereof is enjoined or restrained or, if as a result of a settlement or compromise, such use is materially adversely restricted, Vendor shall, at its own expense and as City's sole remedy, either: (a) procure for City the right to continue to use the Deliverable(s); or(b) modify the Deliverable(s)to make them/it non-infringing,provided that such modification does not materially adversely affect City's authorized use of the Deliverable(s); or(c) replace the Deliverable(s) with equally suitable, compatible, and functionally equivalent non- infringing Deliverable(s)at no additional charge to City; or(d)if none of the foregoing alternatives is reasonably available to Vendor, terminate the Agreement, and refund all amounts paid to Vendor by the City, subsequent to which termination City may seek any and all remedies available to City under law. VENDOR'S OBLIGATIONS HEREUNDER SHALL BE SECURED BY THE REQUISITE INSURANCE COVERAGE REQUIRED BY CITY. Cooperative Purchase Page 2 of 26 Data Breach. Vendor further agrees that it will monitor and test its data safeguards from time to time, and further agrees to adjust its data safeguards from time to time in light of relevant circumstances or the results of any relevant testing or monitoring. If Vendor suspects or becomes aware of any unauthorized access to any financial or personal identifiable information ("Personal Data")by any unauthorized person or third party, or becomes aware of any other security breach relating to Personal Data held or stored by Vendor under the Agreement or in connection with the performance of any services performed under the Agreement or any Statement(s) of Work("Data Breach"), Vendor shall immediately notify City in writing and shall fully cooperate with City at Vendor's expense to prevent or stop such Data Breach. In the event of such Data Breach, Vendor shall fully and immediately comply with applicable laws, and shall take the appropriate steps to remedy such Data Breach. Vendor will defend, indemnify and hold City, its Affiliates, and their respective officers, directors,employees and agents, harmless from and against any and all claims, suits,causes of action,liability,loss,costs and damages,including reasonable attorney fees, arising out of or relating to any third party claim arising from breach by Vendor of its obligations contained in this Section, except to the extent resulting from the acts or omissions of City. All Personal Data to which Vendor has access under the Agreement,as between Vendor and City,will remain the property of City. City hereby consents to the use, processing and/or disclosure of Personal Data only for the purposes described herein and to the extent such use or processing is necessary for Vendor to carry out its duties and responsibilities under the Agreement, any applicable Statement(s) of Work, or as required by law. Vendor will not transfer Personal Data to third parties other than through its underlying network provider to perform its obligations under the Agreement, unless authorized in writing by City.Vendor's obligation to defend, hold harmless and indemnify City shall remain in full effect if the Data Breach is the result of the actions of a third party. All Personal Data delivered to Vendor shall be stored in the United States or other jurisdictions approved by City in writing and shall not be transferred to any other countries or jurisdictions without the prior written consent of City. Cooperative Purchase Page 3 of 26 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: Valerie Washington(Jun 23,202209:13CDT) responsible for the monitoring and administration Name: Valerie Washington of this contract, including ensuring all performance Title: Assistant City Manager and reporting requirements. Date: Jun 23,2022 a G1rj� APPROVAL RECOMMENDED: By: Bobby Lee(Jun 9,202211:27 CDT) Name: Bobby Lee Title: Sr. IT Solutions Manager By. Mark Deboer(Jun 9,2022 11:41 CDT) APPROVED AS TO FORM AND LEGALITY: Name: Mark Deboer Title: Acting IT Solutions Director aa�4FORr.4-Q ATTEST: rot By: o1.o °o?�d Name: Taylor Paris �v0 sx� Title: Assistant City Attorney 9C,�ZlZette-.S �rlr�A�i �P��o,° °o�c� By: JannetteS.Goodall(Jun23,202211:23CDT) 1a4 i0000000 pp CONTRACT AUTHORIZATION: r1nnEXAoo Name: Jannette Goodall M&C: N/A Title: City Secretary VENDOR: Siemens Industry, Inc. Electronically signed ba Jason Haddock {L�Rdd6G� Date:Jun ti.2027 By: .5 Z5 CDT Name: Jason Haddock Title: Branch General Manager Date: Electronically signed by:rnh Date:Jun 6, 2022 17.09 CDT Mark Houghteling - FBA Branch Manager OFFICIAL RECORD CITY SECRETARY Cooperative Purchase Page 4 of 26 FT. WORTH, TX Exhibit A Siemens Proposal Suppression System Inspections Cooperative Purchase Page 5 of 26 SIEMENS PROPOSAL Fort Worth IT-Suppression System Inspections PREPARED BY Maricel€a Lira,Siemens Industry,Inc. PREPARED FOR CITY OF FORT WORTH DELIVERED ON March 28, 2022 SMART @UILDING5 Transforming the Everyday j � ! d s l i6L•I:-- C�•���; — h Cooperative Purchase Page 6 of 26 SIEMENS Table of Contents INTRODUCTION.............................................................................................................. 1 Proposal Information............................................................................................. 1 Contact Information ..............................................................................................3 CUSTOMER OVERVIEW....................................................................................................4 Executive Summary......—...... 4 Siemens Capabilities&Customer Commitment...................................................... 5 SERVICE SOLUTION......................................................................................................... 6 Emergency Response Times—Fire.......................................................................... 6 SERVICE IMPLEMENTATION PLAN....................................................................................8 Connectivity and Communications.........................................................................8 Service Agreement Contract Characteristics.......................................................... 9 Maintained Equipment Table............................................................................... 10 ServiceTeam....................................................................................................... 11 TERMS AND CONDITIONS ............................................................................................. 12 Termsand Conditions.......................................................................................... 12 Agreement Terms for Investments....................................................................... 13 SIGNATURE PAGE......................................................................................................... 14 SignaturePage.................................................................................................... 14 APPENDICES................................................................................................................. 15 Appendix A:Siemens Service Portfolio ................................................................. 15 Page 2 Cooperative Purchase Page 7 of 26 SIEMENS Contact Information Proposal#: 6680936 Date: March 28,2022 Sales Executive: Maricella Lira Branch Address: 8600 North Royal Lane #100,Irving TX.75063 Telephone: 214-578-1534 Email Address: Maricella.lira@Siemens.com Customer Contact: Kathy Agee-Dow Customer: City of Fort Worth Address: 1000 Throckmorton St,Fort Worth,TX,76102 Services shall be provided at: 1000 Throckmorton St, Fort Worth,TX,76102 Page 3 Cooperative Purchase Page 8 of 26 SIEMENS Executive Summary Customer Needs The services proposed in this agreement are specifically designed for City of Fort Worth,and the services provided in this proposal will help the customer meet test&inspection code requirements on the fire suppression system below. Our Services Siemens will provide the following services at Fort Worth's IT Building: • Gaseous Clean Agent Fire Suppression System-Annual&Semi-Annual Test&Inspection Page 4 Cooperative Purchase Page 9 of 26 SIEMENS Siemens Capabilities & Customer Commitment Siemens Industry,Inc.is a leading single-source provider of cost-effective facility performance solutions for the comfort,life safety,security,energy efficiency and operation of some of the most technically advanced buildings in the world.For more than 150 years,Siemens has built a culture of long-term commitment to customers through innovation and technology.Siemens is a financially strong global organization with a Branch network that delivers personalized service and support to customers in multiple industries and locations. References are available upon request. Page 5 Cooperative Purchase Page 10 of 26 SIEMENS Building Services - Fire Services that deliver the outcomes you want to achieve. Services delivered by Siemens have been developed to ensure your satisfaction and help you achieve the outcomes you expect. Through the Siemens Building Fire Services we are pleased to offer the following services: • Manage System Operation&Compliance Fire Safety industry acronyms used in the following service descriptions: AHJ—Authority Having Jurisdiction NFPA—National Fire Protection Association Manage System Operation&Compliance Gaseous Clean Agent Fire Suppression System-Annual&Semi-Annual Test&Inspection Siemens will perform the annual&semi-annual test and inspection of the gaseous clean agent fire suppression system, using the locally adopted NFPA 2001 edition's recommended methods as guidelines.Siemens will provide the necessary documentation to aid in satisfying local code and AHJ requirements.A list of equipment covered,along with test fre- quencies,can be found in the List of Maintained Equipment section of this Agreement. 5pecifically,Siemens will perform the following: •Disarm the system according to the man ufacturers'specifications. •Visually inspect and verify condition of Releasing Control Panel(s),Remote Annunciator(s),Notification Appliance Control panels and power supplies • Remove unauthorized material that may hinder access to panel • Ensure area surrounding fire suppression equipment is clean and accessible • Inspect LEDs,lamps,fuses for physical condition • Verify that releasing control equipment is in a system normal condition • Inspect batteries for corrosion,leakage and that date is within parameters • With battery charger disconnected,load test the batteries following the manufacturer's recommendations • Verify the voltage level does not fall below the levels specified • Verify the battery does not fall below the specified volts per cell under load • Verify location,physical condition or physical damage,and system normal condition of signaling equipment,notification devices,initiating devices manual pull stations,abort switches and control relays • Visually inspect system control heads and agent cylinders,documenting agent type and quantity, verify agent quantity using liquid level indicators(where available)and verify agent pressure • Inspect overall system to ensure no changes that would affect system performance • Confirm all devices and the releasing control panel are returned to normal operating conditions •Rearm the system according to the manufacturers'specifications •Notify the appropriate building personnel and monitoring entities that system testing is complete,and the system has been returned to full service Page 6 Cooperative Purchase Page 11 of 26 SIEMENS Emergency Response Times - Fire Emergency Onlineftone Response Premium Monday through Sunday,24 Hours per Day System and software troubleshooting and diagnostics will be provided remotely to enable faster response to emergency service requests and to reduce the costs and disruptions of downtime.Siemens will respond within 2 hours,Monday through Sunday,24 hours per day, including Holidays,upon receiving notification of an emergency,as determined by your staff and Siemens. Where applicable,Siemens will furnish and install the necessary online service technology to enable us to remotely access into your system,through a communications protocol(internet connection or dedicated telephone line)that will be provided by the facility.Where remote access is not available to the system, Siemens will provide phone support to your staff to assist in their onsite troubleshooting and diagnosis.If remote diagnostics determine a site visit is required to resolve the problem,a technician can be dispatched. Depending on your contract coverage,the on-site dispatch will be covered or will be a billable service call. Emergency On-site Response Premium Monday through Sunday,24 hours a day,Emergency Onsite Response will be provided to reduce the costs and disruptions of downtime when an unexpected problem does occur.Siemens will provide this service between scheduled service calls and respond onsite at your facility within 4 hours for emergency conditions, as determined by your staff and Siemens,Monday through Sunday,24 hours per day,including Holidays, upon receiving notification of an emergency.Non-emergency conditions,as determined by your staff and Siemens,may be incorporated into the next scheduled service call. Page 7 Cooperative Purchase Page 12 of 26 SIEMENS Connectivity and Communications Siemens Service Portal The Service Portal complements the personalized services you will receive from your local Siemens office by providing greater visibility into equipment and services delivered by Siemens.This web-based portal allows you the ability to submit service requests,confirm and modify schedules,track repairs,manage agreements, generate reports,and access critical information;then share it across your entire enterprise quickly and efficiently. The Service Portal is a user-friendly way to increase your productivity and the value of your service program. Data security as a basic requirement We value confidentiality and long-term partnerships.That is why we give the security of your data the highest priority.Before we implement an enhanced service package with remote support,we conduct an in- depth analysis of the situation,taking into account national and international regulations,technical infrastructures and industry specifics.Our service employees carefully evaluate your needs on an individual basis with a view toward information security. Page 8 Cooperative Purchase Page 13 of 26 SIEMENS Service Agreement Contract Characteristics Description Hours of Coverage 24 x 7 Response Times(Phonelonline) 2 Hours Response Times(Onsite(Emergency) 4 Hours *Labor and material costs for troubleshooting problems and repairing or replacing components are handled separately.These costs can be billable or included within your Repair and Replacement Coverage.See List of Maintained Equipment to view your current Repair and Replacement Coverage. Page 9 Cooperative Purchase Page 14 of 26 ` Ch a W ' z r o � ar W P u ,Q � YI c N J � m W N r C W C N Cr a a E V! V1 C C .� N a r `u 0�t1 yva +. ii c m OJ rn Q 'E a� a U Ln y 7 y0y Ih C a � a 73 rp H c E � � C .0 E Wv� a 9 o `L E aVI An v+ m Cooperative Purchase Page 15 of 26 SIEMENS Service Team An important benefit of your Service Agreement derives from having the trained building service personnel of Siemens Industry,Inc.familiar with your building systems. Our implementation team of local experts provides thorough,reliable service and scheduling for the support of your system. Added to the team is a team of building experts at our Digital Service Center.The benefits you receive are less disruption to your employees at the site,less intrusive on the system at peak hours,fewer emissions for trucks rolled,and real time analytics with digital workspace hours. The following list outlines the service team that will be assigned to the service agreement for your facility Your Assigned Team of Service Professionals will include: Maricella Lira-Sr.Account Executive- Michael Lake-Fire Service Operations (214)-534-1578 Manager is responsible for managing the maricella.lirafsiemens.com-manages the delivery of your entire support program and overall strategic service plan based upon your service requirements. current and future service requirements. Chantina Wallace-Fire Client Services LaToya Ross-Fire Client Service Coordinator is Manager is responsible for ensuring that our responsible for scheduling your planned contractual obligations are delivered,your maintenance visits,and handling your expectations are being met and you are satisfied emergency situations by taking the appropriate with the delivery of our services. action. Page 11 Cooperative Purchase Page 16 of 26 SIEMENS Terms and Conditions Terms and Conditions(Click to download) Terms&Conditions (http://go.slemens.net]9526DB72] As a result of the global Covid-19 Virus outbreak temporary delays in delivery.labor or services from Siemens and its sub-suppliers or subcontractors may occur.Among other factors,Siemens'delivery is subject to the correct and punctual supply from sub-suppliers or subcontractors,and Siemens reserves the right to make partial deliveries or modify its labor or services.While Siemens shall make every commercially reasonable effort to meet the delivery or service or completion date mentioned above,such date is subject to change. Attachment A Riders (Click on rider below to download) Si Fire Life Safety Rider (http:iigo.siemens.net/36296931) SI Exclusions and Clarifications (http://go.slemens.net/49539933) Page 12 Cooperative Purchase Page 17 of 26 SIEMENS Agreement Terms for Investments Services shall be provided at: 1000 Throckmorton St,Fort Worth,TX,76102 Siemens Industry,Inc.shall provide the services as identified in this Proposal and pursuant to the associated terms and conditions contained within. Duration:This Agreement shall remain in effect for an Initial Term of 1 Period beginning 05-01-2022.The Investments for each year after the Initial Term of the Agreement and each year of each renewal of this Agreement shall be determined as the immediate prior year's Investment plus an escalator of 3%.In addition,each renewal term pricing shall be adjusted for any additions or deletions to services selected for the renewal term. Initial Term Investments: Period Period Range Billing Frequency Price 1 May 1,2022-Apr 30,2023 Annually $2,461.00 2 May 1,2023-Apr 30,2024 Annually $2,535.00 3 May 1,2024-Apr 30,2025 Annually $2,612.00 Multi-Period Investment Total(over 3 years): $7,608.00 *Amount Due In Advance Based On Billing Frequency Applicable sales taxes are excluded from the pricing shown above.The pricing quoted in this Proposal are firm for 30 days. Page 13 Cooperative Purchase Page 18 of 26 F 94 a^ 6 LL LL LLLL H N N rl �_ 4k Ll Cooperative Purchase Page 19 of 26 SIEMENS Signature Page The Buyer acknowledges that when accepted by the Buyer as proposed Siemens Industry,Inc.,this Proposal and the Standard Terms and Conditions of Sale for Services,(together with any other documents incorporated into the forgoing)shall constitute the entire agreement of the parties with respect to its subject matter. BY EXECUTION HEREOF,THE SIGNER CERTIFIES THAT(S)HE HAS READ ALL OF THE TERMS AND CONDITIONS AND DOCUMENTS, THAT SIEMENS INDUSTRY,INC.OR ITS REPRESENTATIVES HAVE MADE NO AGREEMENTS OR REPRESENTATIONS EXCEPTAS SET FORTH THEREIN,AND THAT(S)HE IS DULY AUTHORIZED TO EXECUTE THE SIGNATURE PAGE ON BEHALF OF THE BUYER. Initial Term Investments Period Period Range Billing Frequency Price 1 May 1,2022-Apr 30,2023 Annually $2,461.00 2 May 1,2023-Apr 30,2024 Annually $2,535.00 3 May 1,2024-Apr 30,2025 Annually $2,612.00 Proposed by: Accepted by: Siemens Industry,Inc. City of Fort Worth Company Company Maricella Lira Valerie Washington Name Name(Printed) 6680936 Proposal# Signature $7,608.00(total investment over 3 years) Assistant City Manager Proposal Amount Title March 28,2022 Date Date Purchase Order# ❑Po for billing only❑Pb not required Page 14 Cooperative Purchase Page 20 of 26 SIEMENS Appendix A: Siemens Service Portfolio SIEMENS Advisory and Performance Services r .,,, (�ZN, `�, B06 33 5 q b SurvbsdrllwAar.lama prfdlmm9 Erdrntr hnripnq rwrm+andaratN lavrhae pmlmraarerrun andedda.. w[Iw whr arM[d�pvdbg d. a[1Mphan[a+daalprwtl and sndrdad �uWtaarrrN rrrmlr.i r}rl ax[ws. nnu.a rea.lramanh wnn.tlrancetl br and d}hdlbrngalM mNH[N<N[O d•dYennq meper.w,Nrp Yed aeBlwa fvmlKe..sg antivlrman Y,<uwr[� Prnr•n ueAruiem'.to a[Nnr wNtlanr 1W •Opuml[vd[mnbri s.raq.and•vcwRY 'urcau.as llKtnb ouf[arra vch aa. •wlnlYd [nr Ilalrwrtfs 6nlwnwi Amru ytlrinrnwr[a EaLndrd.ramm dra •cOn'°„iiQ"°'ur � r•wn r,[.,Imd.•rn[I•n� •Gnarl lr,nspnTfKy into[gfl<ar 7rym5 -SIIvmNl4Ctw+rtlmrlVnlNaf •ua,nruad r•rvrn uirnyntm•nl Mlnmrue op.rauny<mu •9aim[vd opw.urb rls! 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Wlrm.wma,w a,aldq and taan sorr�eanmmyrrememem� [a6xedw.ah�=»am wrvo,y agpeoprym xaon agwpnantapmrs n mm,m.m v.*raman[a r . Page 15 Cooperative Purchase Page 21 of 26 Exhibit B Siemens GSA Schedule GS-07F-217CA htti)s://www.2saadvanta2e.2ov/ref text/GS07F217CA/OWZTWH.3SO6V6 GS-07F- 217CA SIEMENSGS07F217CAMODPO0076.PDF httys://www.2saelibrary.2sa.2ov/ElibMain/contractClauses.do?scheduleNumber=MAS&contract Number=GS-07F- 217CA&contractorName=SIEMENS+INDUSTRY+INC.&duns=JZXZSN3BBL98&source=ci&v iew=clauses Cooperative Purchase Page 22 of 26 I M NS SIEMENS INDUSTRY, IN FEDERAL SUPPLY SERVICE AUTHORIZED FEDERAL SUPPLY SERVICE PRICE LIST On-line access to rontraot ordering Informahon. terms and can ditlon5, up-to-date prising,and the option to create an electronic delivery order are avaiIable through GSA A vanlage?T"' ,a menu-driven database system. The INTERNET address GSA A vantage?T" is: tittp.11www.CSAAdvantage.gov MULTIPLE AWARD SCHEDULE (MAS) PSC Codes: R425,6360,R425, R408, N063, J035, R444, R799, R412, R414, W061. V237., 6120. 6125, 6146 NAILS Codes. 238910, 334290, 334512, 541330, S4151 S. 541690. 561210. 333924. 3S5311. 335313, 335314, 335911, 335912, 541620, "1990 Contract Number: G -07F.217CA Contract Effective: September 1, 2015 to August 31,2025 Modification; Through P -0078 Effective Bate. February 24, 2022 For more information on ordering from the Federal Supply Schedules please referto http;ifwww.clsa.go of porta llco nten#120 0369 Siemens Industry, Inc. 1000 Deerfield Parkway BufFala Grove, IL 60069 GSA Contact: Beverly Lester Title; Sr Government Contracts Manager Phone; 571-379-1092 Fax; 703-483-2100 ernail; beverlv,Ies#er siamensnovt.corn Website Address; ht#p.11www.usa.siemens,comlindustryluslenl Business size: Large (O(dering!nformabon can be found on the enclosed Terms and onclltrons) Contract Administration: Siemens Industry, Inc. Attn: Beverly Lester 1881 Campus Commons Drive, Suite 200 Reston. VA 20191 "Prices Shown Herein are net(discount deducted)" i Cooperative Purchase Page 23 of 26 Slamns also pardetpates in the following GSA Contracts as an Authrnlzed Resell4n. UTC Fire &Security G&47F-0450K Pelco GS47F-93235 Bosch G&07F-206C,A Altronix GS47F41062P Alphane G -35Fr0065L Genetec GS-35F-0284U CUSTOMER INFORMATION la. SPECIAL ITEM NUMBERS i • i 5$121058 Smart Bulldln s Systems Integrator 114290 Securityand Detection Systems 1142941_ Other Communieetions.Equl prrient Manufacturirs 234290PACS Ph 5icaI Access Control Systems(PACs -FIP5201 234512 Total 5olubcn Support Products for Facilities Management Systems 238910 Installatlon and SIte Preparation Services 541230L Security5 Stern Integration,Cesi n,Mama ement,and Life Cyrie 541330SEC Security System tntegradon, 0es9 n,Management,and Life C rle Sup art S61210FAC Complete Facilities Maintenance&Maria ement 541690E EnPrV Consulting Services 541511 Smart Buildings 5ysterns lntegfator 335911 Ratterles 315999 Pow&INStridutlon Eciuipment SIN 56121CGO Srnart Buildings Systems Integrator- Includes the comprehensive integration of building systems and technology using a non-proprietary. open architecture_Typical building systems to be Integrated Include. building automation, telecommunications, security,energy and environmental control, HVAC,etc. Tasks may Include, but are not limited to: requrrernanls analysis,integration planning. testing. operational Iralning and support, eybersecui ity for building control systems, etc. NOTE: Subject to Cooperative Purchasing Tasks for these and related services may be ordered_ Orders shall be placed in accordance with FAR SA—Federa I Supply Schedu les. Prtme contractors may suboontract services ordered under this Special Item Number unless specifically prohlbited by the aontracting officer issuing the dellvery order agaiDst this Multiple Award Schedule contract_ The prime contractor shall be responsible,accountable,and:liable for all work performed:by any subcontractor, level,ar tier. SIN 334290 Security and Detection Systems—Includes security and detectiarr systems and devices. such as gas detectors,pressure level monitoring, patienlldetainee,mnitortng systems,etc_ NOTE: Excludes vehicular alarms_ Cooperative Purchase Page 24 of 26 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. OFRCEUSEONLY This questionnaire is being filed in accordance with Chapter 176.Local Government Code,by a vendor who Data P.acaiv¢d alas 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 701 business day after the date the vendor becomes aware of Facts tihat require the statement to be filed. See Section 176.006(a-1y, 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. .1J Name of vendor who has a business relationship with local governmental entity. El 2 Check this box if you are ffling an update to a previou sly fiIad 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 IJ Describe each employment or other business relationship with the local government officer,or a family member of the officer,as described by Section 17B.003{a}[2)[A). Also describe any family relationship with the local government officer. Complete subparts Aand 8 for each employment or business relationship described. Attach additional pages to this Form Cif]as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income,from the vendor? Yes " No B. Is the vendor receiving or likely to receive taxable income,other than investment income,Irom 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? E]Yes E] No 5 Describe each employmentor 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 givers the local government officer or afamIly member of the officer one or more gifts as described in Section 176.003(a)(2)(8), excluding gifts described in Section 176.003(a-1). 7 Signature of vendor doing business with the governmental entity pate Form provided by Texas Ethics Commission www.athIcs.state.tx.us Revised 11130+2015 Cooperative Purchase Page 25 of 26 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A comp lete copy of Chapter 176 of the Local Government Code may be found at http:llwww.statutes.Iegis,state.tx.usl Cocs/LG/htmILG.176.htm.Far easy reference,below are some of the sections cited on this form. Local Government Code§176.001(1-a1:'Business relationship"means a connection between two or mare 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.O03(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) acuntract between the local guvemmental entity and vendor has been executed; or (H) the local governmental entity is considering entering into a contract with the vendor; (B) hasgiven to the local govemment 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 (I i) the local governmental entity is considering entering into a contract with the vendor. Local Government Code§176.006(a)and(a-1) (a) Avendor 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,Ora 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-f);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.9thies.state.tx.us Revised 1113012015 Cooperative Purchase Page 26 of 26