HomeMy WebLinkAboutContract 58176 FORT WORTH CSC No. 58176
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Safeware,
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 GS-07F-5668P; 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
Fifty Thousand Dollars ($50,000.00). 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 March 31, 2023 in line with cooperative contract.Upon the
expiration of this Term,the Agreement shall renew automatically under the same terms and conditions for up to
One (1)one-year renewal period beginning April 1, 2023 to March 31, 2024,unless City or Contractor provides
the other party with notice of non-renewal at least 60 days before the expiration of the Initial Term or renewal
period.However,if funds are not appropriated,the City may cancel the Agreement 30 calendar days after
providing written notification to the Contractor.
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 Safeware,Inc
Attn: Valarie Washington,Assistant City Manger Karla A.Hyatt
200 Texas Street
Fort Worth,TX 76102-6314 Address:
Facsimile: (817) 392-6192 4403 Forbes Blvd.
Lanham,MD 20706
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:
VA" By signing I acknowledge that I am the person
By:Valerie,Washington(Sep 30,202214:55 CDT) responsible for the monitoring and administration
Name: Valerie Washington of this contract,including ensuring all performance
Title: Fire Department ACM and reporting requirements.
Date:
APPROVAL RECOMMENDED: By:BRay(Sep 27,202210:19 CDT)
Name: Brenda Ray
Title: Fire Purchasing Manager
By. s Davis(Sep 29,202216:24CDT) APPROVED AS TO FORM AND LEGALITY:
Name: James Davis
Title: Fire Dept. Chief
,daaann�
ATTEST: O FORr100000, 4 By:
d
Name: Jessika Williams
�o 0-d Title: Assistant City Attorney
�0
p11�v o o=�
By.JannetteS.Goodall(Oc�t3,202209:20CDT) y� o o°.4", CONTRACT AUTHORIZATION:
./ Name: Jannette Goodall '�4 0...00 �.o-cy M&C: N/A
Title: City Secretary
VENDOR:
Safware,Inc
By:
Nan e: Mary Pelfrcy
Title: Vice President
Date: 09/27/2022 OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
v SAFEWARE Exhibit A QUOTATION
801 W. 116th Avenue Order Number
Ste#400 1895178
Westminster,CO 80234 Order Date Page
303-322-3577 05/31/2022 14:18:53 1 of 2
www.safewareinc.com
Quote Expires On:06/30/2022
Bill To: Customer ID: 19794 Ship To:
City of Fort Worth Fire Department City of Fort Worth Fire Department
2900 West Bolt Street 2900 West Bolt Street
Fort Worth,TX 76110 Fort Worth,TX 76110
817-871-8354
Requested By:Brenda Ray
PO Number Taker Email
Rope Vicky Garcia vgarciagsafewareinc.com
Freight Terms Phone Fax
Freight Paid
Sales Representative
Kenneth Crawford
Quantities Pricing
Item ID UOM Unit Extended
Ordered Allocated Remaining UOM a Item Description Price Price
Unit Size q Unit Size
1.00 0.00 1.00 EA K CRAWFORD EA 0.00 0.00
1.0 For questions concerning this proposal 1.0
please contact your local Safeware territory
Manager Kenneth Crawford
Direct line-281-755-3692
Safeware Office: 1-800-282-4782
Email-Kcrawford@safewareinc.com
1.00 0.00 1.00 EA GSA EA 0.00 0.00
1.0 GSA Contract#GS-07F-5668P 1.0
Contract End Date:March 31,2024
Multiple Award Schedule(MAS)
Legacy Schedule 084
www.gsaadvantage.gov
Standard freight for shipments within the
continental US are paid,expedited freight billed.
**HAZMAT fees of$33/case of gas will be
billed.**
600.00 0.00 600.00 FT CMC K03160 FT 1.17 702.00
1.0 NEW ENGLAND KMIII 1/2IN STATIC BLUE 1.0
W/
WHITE TRACER,SOLD BY THE FOOT
600.00 0.00 600.00 FT CMC K03160 FT 1.17 702.00
1.0 NEW ENGLAND KMIII 1/21N STATIC BLUE 1.0
W/
WHITE TRACER,SOLD BY THE FOOT
v SAFEWARE QUOTATION
801 W. 116th Avenue Order Number
Ste#400 1895178
Westminster,CO 80234 Order Date Page
303-322-3577 05/31/2022 14:18:53 2 of 2
www.safewareinc.com
Quote Expires On:06/30/2022
Quantities Pricing
Item ID UOM Unit Extended
Ordered Allocated Remaining UOM a Item Description Price Price
Unit Size q Unit Size
600.00 0.00 600.00 FT CMC K03160 FT 1.17 702.00
1.0 NEW ENGLAND KMIII 1/2IN STATIC BLUE 1.0
W/
WHITE TRACER,SOLD BY THE FOOT
600.00 0.00 600.00 FT CMC K01160 FT 1.17 702.00
1.0 NEW ENGLAND KMIII STATIC 1.0
KERNMANTLE
1/2IN,RED W/WHITE TRACER,SOLD BY
THE FOOT
600.00 0.00 600.00 FT CMC K01160 FT 1.17 702.00
1.0 NEW ENGLAND KMIII STATIC 1.0
KERNMANTLE
1/2IN,RED W/WHITE TRACER,SOLD BY
THE FOOT
Total Lines: 7 SUB-TOTAL: 3,510.00
TAX. 0.00
AMOUNT DUE: 3,510.00
Actual freight added per freight terms
EXHIBIT B
GSA#GS-07F-5668P TERMS& CONDITIONS/PRICE LIST
https://www.gsaadvantage.gov/ref text/GS07F5668P/OXLBKF.3TBOG7 GS-07F-
5668P GS07F5668P20220720.PDF
GSA#GS-07F-5668P CONTRACT CLAUSES/EXCEPTIONS
https://www.gsaeli brary.gsa.gov/Eli bMai n/home.dohttp:/www.gsaeli brary./`20gsa.gov/Eli bMai n/pdf/pdf/contra
ctClauses.do?scheduleNumber=MAS&contractNumber=GS-07F-
5668P&contractorName=SAFEWARE+I NC.&duns=JRVNJ LXMZN64&source=ci&view=clauses
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. 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.
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.
N/A
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
CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
Yes 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.
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
0.. " 09/27/22
Signat 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