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HomeMy WebLinkAboutContract 57292-R1 CSC No. 57292-Rl CITY OF FORT WORTH CONTRACT RENEWAL NOTICE October 4, 2022 CPR Savers & First Aid Supply LLC Attn: Susana Taylor, Vice President 22328 W Campus Dr. Tempe,AZ 85282-3108 Re: Contract Renewal Notice Contract No. CSC No. 57292-RI (the "Contract") Renewal Term No. 1: December 1, 2022 to November 30, 2023 The above referenced Contract with the City of Fort Worth expires on November 30, 2022 (the "Expiration Date"). Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to inform you that the City is exercising its right to renew the Contract for an additional one (1) year period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Contract Renewal Notice. Failure to provide a signed acknowledgment does not affect the renewal. Please log onto PeopleSoft Purchasing at http://fortworthtexas.gov/purchasing to ensure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, Brenda Ray Sr. Contract Compliance Specialist Brenda.rayg fortworthtexas.gov OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Contract Renewal Page 1 of 3 CSC No. 57292-RI ACCEPTED AND AGREED: CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including VAIX, ' ensuring all performance and reporting By:Valerie•Washington(Oct 11,2022 16:06 CDT) requirements. Name: Valerie Washington Title: Assistant City Manager Date: By:Mark Rauscher(Oct 11,2022 12:03 CDT) APPROVAL RECOMMENDED: Name: Mark Rauscher By:J&fsDavis(Oct11,202214:48CDT) Title: Assistant Fire Director Name: Jim Davis Title: Fire Chief Gaq�Foar 4 APPROVED AS TO FORM AND °°°°°°°° !f►aa °°°O LEGALITY: 0 ° d 000 0 ATTEST: 00 ° Ocp I IF- 00000000 ICY da4zj Saap By. .7G1`I`IG��G c1 GDOG�GZGG Name: Taylor Paris By)annette S.Goodall(Oct 12,2022 14:51 CDT) Name: Jannette Goodall Title: Assistant City Attorney Title: City Secretary CONTRACT AUTHORIZATION: N/A OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Contract Renewal Page 2 of 3 CSC No. 57292-R1 CPR Savers&First Aid S 4pplyLLC By: Name: Susan Tam Title: Vice President OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract 12 newai Page 3 of 3 QUOTE CPR Savm 0"Im, &FIRST 41DSUPPLY� 1172765 Questions or concerns? Don't hesitate to c us at 1-800-480-1277 from 7am to 5pm MST(UTC-7:00)or email us any time at service@cpr-saverS.c m, BIDS: ORDER 11727 5 BILL TO SHIP TO Ordered By: FIRE OfIERATIONS ADMINIS RATION [124191] FIRE OPERATIONS ADMINISTRATION FIRE OPERATIONS ADMINISTRATION Order Reference: CITY OF FORT WORTH CITY OF FORT WORTH Invoice Date: 10 Oct 2022 505 W FELIX STREET 509 W. Felix St Terms: Nef 0 FORT WORTH TX 76115 Fort Worth TX 76115 Due: 10 Oct 2022 United States United States sherry.carter@foriworthtexas.gov Katya.Fiores@fortworthtexas.gov SKU ITEM NAME PRICE QTY TAX SUBTOTAL RCF-RSS•U1000GG Defiblech ARM Tors 5tah{lization Strap'OM' $310.0000 12 $0,00 $3720.00 RCF-A1013EN DefibtechARM Wrist 31raps.Three pairslsets'OM' $175.0000 12 $0.00 $2100,00 RPP-01003GG Defiblech Patient Int rface Pad,3 pack'OM' $83.0000 12 $0.00 $996.00 RCF-RBP-G1000GGD Defiblech Lifeline ARI I Battery Pack'OM' $520.0000 4 $0.00 $2080.00 RAC-U1100GG Defiblech Lifeline ARIAII Backpack Carry Case'OM• $285,0000 4 $0.00 $1140,00 NET30 This invoice will be a 'essed a finance fee of 1.0%if payment is not $0,0000 1 $0.00 $0.00 received 30 days aft receipt of product. GSA contract#G 07F-0107W"" $0.0000 1 $0.00 S0.00 TOTAL $10036.00 PAID TO DATE $0.00 F GOVERNMENT USE ONLY:o.M=OPEN MARKET ITEM TEL: 1-800-4 -1277 E FAX:480-275-7002 1 EMAIL: service@cpr-savers.com 7904 Chaparral Rd. Suite A110-242, Scottsdale,AZ 85250 Page 1 CSC No. 57292 F_O ORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between CPR Savers & First Aid Supply 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 GSA GS-07F-0107W; 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 be in the amount of Thirty-Five Thousand Dollars ($35,000.00). 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 November 29, 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 CITY: TOV VENDOR: i ,offott wortb Savers,&First Aid-Supply' L,LC' tntf:�terie i ' shington,Assistant City,�4�fart ;�r Sttgan a Tyl€ar,Fttxierr' Txceritf 2 Texas Street F W'Drthf T 7b1[}2-63 f4 Address: F -shilca (817)392-8654 22328 W' Carnpw Dr, Tempe.AZ 8529-1-3 1 OS Lith copy to Fort Worth City Attom y's Office at s"M e address. F;ieaimife- 480-275-7002 unde med reprewnts and its that he or she has the power and authority to execute this AS ` Emt LuW bind the respective Vendor, Cl 'OF FORT WORTH: CONTRACT CONTPLYUNCE :k'6_ANAGEW 133, Washington By iag I acknowledw Thai I—am tl�Perwq Valerie Washington(Mar 24,202211:15 CDT) T�p€�usible f0T the n]� ilcinug and admini$ tim rtia : Vnleric Washington ofthLe,czmlract.inch4ingenguing all performance Title A-v�istant(-it). 2 gger and reporwig rgq�d m tts_ c: APPROVAL dR€EC'OM.MUNDiD: SGce���tla� By Sherri Hauch Lar 23,2022 15:37 CDT) Titic: Fim Matudio,Chief By J s Davis(Mar 23,2022 15:46 CDT) 400vvoub APPRO L D AS TO FORM AND L,OAUTY: ! am�< J1€mc 1]ays of F°Rr oaa Title: Fire Chief A ST: �Pd f�%o 0—. GL�Y a 13y: d�II�nEX 45pa =w: Tavlax rahs Ti4k: ASSiSt'ut6t CiFV tg6O lCIr By J ette S.Goodall Mar 24,2022 130 CDT) COWIRA ., A UTHOR.fZ.1MON: Nam: lannenc 03odall C- WA Tale: Cite Secretary VE-1 100R; 1M&FI'MiA-;dIS C bV Title: FiowulevV-ire Prknudeni OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 1121122,7:40 AM CPR Savers Quote# Exhibit A CPR Savers QUOTE FIRSTAID SUPPLY 1138270 Questions or concerns? Don't hesitate(0 call us at 1-800-480-1277 from lam to 5pm MST(UTC-7:00)or email us any time at service cpr-savers.com. BIDS: ORDER 1138270 BILL TO SNIP TO Ordered By: Sherry Carter[124191] Sherry Carter Sherry Carter State and Local Government TX 505 W.Felix St Order Reference: RF01533933S TX Fort Worth TX 76112 Invoice Date: 05 Jan 2022 United States United States Terms: Net 0 sherry.carter@fortvvorthtexas.gov sherry.carter@fortworthtexas.gov Due: 05 Jan 2022 GSA:GS-07F-0107W SKU ITEM NAME PRICE (STY TAX SUBTOTAL RCF-A1000EN DEFIBTECH LIFELINE ARM CHEST COMPRESSION SYSTEM $9975,0000 1 $0.00 $9975.00 Includes; Compression Module(RMC-A1000GG) Frame,Backboard(RMB-G1000GG) Battery Pack(RCF-RBP-G1000GG) Backpack Carry Case{RAC-U1100GG) Patient Pad-set of 3(RPP-G1003GG) Stabilization Strap(RSS-1,11000GG) Wrist Straps-1 set of 2(RCF-Al010EN) Power Module charger(RPM-G100pNA) Quick Start Guide(RAC-U1501EN) User Manual(RAG-Al510EN) User Manual-Wrist Straps(RAC-U 151 3EN) RBP-G1000GG Defibtech Lifeline.ARM Battery Pack'OM` $575,0000 1 $0.00 $575.00 RBC-1000 DUAL BATTERY CHARGER FOR LIFELINE ARM(RCF-RBC- $750.0000 1 $0.00 S750.00 U1000NA) Wrist Straps-RCF-A1013EN(3sels.6pieces) $188,0000 1 $0.00 S18800 Torso Straps-RCF-RSS-U1000GG $307,0000 1 50.00 $307,00 FREE SHIPPING FREE SHIPP$NG'QM" $0.0000 1 $0.00 $0.00 TOTAL $11795.00 https://usel.brigh tpearlapp.com/template_print.php?return-to-oid=1138270&o I D=l 138270&contacts_id=124191&template_type_id=4 112 EXHIBIT B GSA GS-07F-0107W TERMS&CONDITIONS PRICE LIST https://www.gsaadvantage.gov/ref text/GS07F0107W/GS07F0107W online.htm GSA GS-07F-0107W CONTRACT CLAUSES/EXCEPTIONS https://www.gsaelibrary.gsa.gov/ElibMain/home.dohttp:/www.gsaelibrary.%20gsa.gov/ElibMain/pdf/pdf/contra ctCla uses.do?scheduleNumber=MAS&contractNumber=GS-07F- 0107W&contractorName=CPR+SAVERS+%26+FIRST+AID+SUPPLY+LLC&duns=JGLMCZQHSM E7&source=ci&view= clauses Exhibit C CO qFLICT OF INTEREST OUESTIONNAFRE FORM CIO For i endor doing bits ness with local govemmental entity Thin r u ataarsFUWA Wierx 5 ChAAge!l mach t0 iW Fair by H B� 12, tiara t. .. P410AAW Session- OFFXE USE ONLY TNin Cjuu ib0m.Luebaetrtp taco In az-m-fff ncr vearh 0apter f m Lacaj aawc r +_uAp by%vaFtx itra aEW Nwi—+l W a n r MIRUCWft mp us doliryer#by SeoAm 17r tit-sf WjMa Iccal qnvWrvMpftW er"V W ttie —sdor m em r0q .:.arms urn i t i.#r rBM. €7y tsty tt A qu0G1 vWf r USI VO Ne:f itiltt tr!e f*Mfds WmHi+ fig',jr d VW eM4y Hall teMF aloe" NwRim My aigr the dm the vatttiof becames Ava,2 ai i4m that m qor&rile gaLer�tD u2 dile+Ct. n I7$dl7ois-4'i, €.ram Gommrertt Gvaff A vjw#m cafsrruts an rrtferft it ttig venadrr I>tnr.+rvir+,�ly vvadE n a 76 r�i .i al ;�werr�nt Coda An ftg rt atrt 15 a ff lsdame�rmiir t 144 of vLndor who has a bissinesa relVtlsanship with local gone rnmeniat entity- LlCheck thin boat it yeu aM tiling an Upc1aft tag previmui�#y filed arhestrfsnnaisa<_l Trm InwreWresttkaj ytsu lde at updjtt9d -w+ tsd gtm$00nrrarr?mth appmprmin filing aj, rlty Ig01 iamm r T sin l," , M bu5iFF is x afteT Cate Batt}on'rwtliGh > -: rye that the Odg"le faagd QUuz&Drrrta,re was rmu mplffti3 or in ludie.l l4fstti*af tl�o ernment ofttCarahculw i rrruflton es beingdiscioSed- - Ct be each np3csyment or abler business Ftrl3tlfsns#tip with the l�aal government affter. Or a fasnlly rnembtr of the rrffic r.as doseribee by,$z[1ion.176WNa"`2}AkI. Also dat-Crlbe any farttify retatltitaahlp with the;ncat govemmmm oflkeu Canv4 tesuliparL--z A anri S tnr each emplaytnent or btaitnoss relavonrhip described. ,Attaaft additional paaari tan this Form Ct0 reecessas,(. A. is W-L.bmd govetrmrta3rd oti.ter W a #amity Falemmow of ttte Gificer remving Gr lrktely lq fe-reN r tnabifa Ircceermse: €10f thW) RaUeStMey#MtxaFne.from the V0E-diL`fi Yen © No B- is V e vaandct r nej, ing or Kkaty m rKeive Wabke tf-- TM-pttWF than inves,lrne"t.Inco37 '.imm or al r.7€F C:t47n of itm local girvornmgnl ei+Neer or a fimmity Tremtmr of the officer AND The laxoble income rs not nx ved f um to focal WreFf-Lm(n,tal ent�tY; yJa s `,lo 5 00&6 tba each employment or business rip Mal tam var;dor n2med in S+echon I stainmins with a corpaatalion or Ol114F ltlfsinEss entity with resPeLct tp which the local goverrimerit offrc€+r sorvL%a av an nf#icer or director,or holdii are aw+rshlp interest of one percent Car mare- 0 tri t� 7=r tr.G given tha 1 gtvmnmenl tsar;s-r or a tam11y me ritief c 1he u fKC of limes os,mul gaffe as n S? -6. is ER91. IeotaTQ �i#15 srrtec: err 176_003(A-1 J 7 _ , tk3ss oil;T-a wvsrrmeva! e m.% Farm pro uyTei .EM;;CS rr11f'-Lfh�n -vWW r,kr Sta[u..r _} Rai1Jt 9 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