HomeMy WebLinkAboutContract 58569 FORT WORTH CSC No.58569
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between MasterTurf
Products and Service, 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 an amount not to exceed Fifty Thousand Dollars and Zero Cents ($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 shall coincide with the terms of the Cooperative Agreement
beginning on June 1, 2022, and ending on May 31, 2023. City shall be able to renew this agreement for
two 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 MasterTurf Products and Service, Inc.
Attn: Valerie Washington, Assistant City Attn.: Stan Standridge, Jr., Vice President
Manager 1852 Norwood Plz. Ste. 201
200 Texas Street Hurst, TX 76054
Fort Worth, TX 76102-6314 Facsimile: 817-494-3322
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney's Office
at same address
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(Sep 16,202210:24 CDT) responsible for the monitoring and administration
Name: Valerie Washington of this contract,including ensuring all performance
Title: Assistant City Manager and reporting requirements.
Date: Sep 16, 2022
APPROVAL RECOMMENDED: By: Matthew Quinn(Jul 7,202214:39 CDT)
Name: Matthew Quinn
,� e Title: Management Analyst II
By: /W fe-, APPROVED AS TO FORM AND LEGALITY:
Name: Richard Zavala
Title: Director p�aovouuu
ATTEST: By:
Name: Taylor Paris
d
Title: Assistant City Attorney
P�a�nEXASopd
.7q�l�l2tt2 c� C7000t�GI�G
By: JannetteS.Goodall(Nov 30,202209:00CST) CONTRACT AUTHORIZATION:
Name: Jannette S. Goodall M&C: 22-0441
Title: City Secretary
VENDOR:
MasterEhznfliW, Inc.
By: STAN STAN DRIDGE J R(Sep 15,202210:27 CDT)
Name: Stan Standridge, Jr.
OFFICIAL RECORD
Title: Vice President CITY SECRETARY
Date: Sep 15, 2022 FT.WORTH,TX
Board®
Cooperative Purchasing
P.O.Sax 400
Austin, TX 78767-0408
800.695.2919 / 512.457.0222 / Fax:809.211.5454
buyboard.cam
April 29, 2020
Sent Via Email: stan@masterturfproducts.com
Stan Stanridge, Jr.
MasterTurf Products and Services, Inc.
1852 Norwood Piz. Ste. 201
Hurst, TX 76054
Welcome to BuyBoard!
Re: Nobbe of The Local Government Purchasing Cooperative Award
Proposal Name and Number: Grounds Maintenance Equipment, Irrigation Parts,Supplies and Installation, Proposal No.
611-20
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard@
contract based on the above-referenced Proposal.The contract is effective 6/1/2020 through 5/31/2021,with two possible
one-year renewals. The contract documents are those identified in Section 3 of the General Terms and Conditions of the
specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 611-20 on the following
web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through the BuyBoard
contract. In addition, on this website you will find the membership list which will provide you with the names of all entities
with membership in our purchasing cooperative.
Enclosed with this letter you will find the following documents:
1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards
You are advised that receipt of a purchase order directly from a Cooperative member is not within the
guidelines of the Cooperative.Accepting purchase orders directly from Cooperative members may result in a violation
of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all
purchase orders must be processed through the BuyBoard in order to comply. Please forward by email to
info@buyboard.com any order received directly from a Cooperative member. If you inadvertently process a purchase
order sent directly to you by a Cooperative member, please email the order info@buyboard.com and note it as RECORD
ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days prior to
the start of your contract.
On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we are looking
forward to your participation in the program. If you have any questions, please contact Cooperative Procurement Staff
at 800-695-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
��►— The Local Government Purchasing Cooperative is endorsed by the Texas Association of School Boards,
im = : Tea Texas Municipal League, Texas Association of Counties,and the Texas Association of School Administrators.
Bna�dIt tiatiui2ai School
Endorsed by •NSBA• Boards Assu[ianon
April 29, 2020
Sent Via Email: scan@masterturfproducts.com
Stan Stanridge,Jr.
MasterTurf Products and Services, Inc.
1852 Norwood Piz. Ste. 201
Hurst,TX 76054
Welcome to BuyBoard!
Re: Notice of National Purchasing Cooperative Award
Proposal Name and Number: Grounds Maintenance Equipment, Irrigation Parts, Supplies and Installation, Proposal
No. 611-20
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard@
contract based on the above-referenced Proposal. As provided for in the Proposal and your National Purchasing
Cooperative Vendor Award Agreement, you are authorized to sell the goods and services awarded under the Proposal to
National Cooperative members in states other than Texas through the BuyBoard. The contract is effective 6/1/2020
through 5/31/2021,with two possible one-year renewals.
The National Cooperative membership list is available at our website www.buyboar-d.com/vendor. The list identifies the
current members that may purchase awarded goods and services under your National Cooperative BuyBoard contract.
You are advised that receipt of a purchase order directly from a National Cooperative member is not within
BuyBoard guidelines. Accepting purchase orders directly from Cooperative members may result in a violation of
applicable competitive procurement law and termination of this National Cooperative BuyBoard contract. Therefore, all
purchase orders from National Cooperative members must be processed through the BuyBoard. Please
forward by e-mail to info@buyboard.com any order received directly from a National Cooperative member. If you
inadvertently process a purchase order sent directly to you by a National Cooperative member, please fax the order to the
above number and note it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business
days prior to the start of your contract.
On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any
questions, please contact Cooperative Procurement Staff at 800-695-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
F.O.Box 400,Austin, Texas 78767-0400
800,695.2919•buyboard.com
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&178oard
Coaperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 ' FAX: 800-211-5454 ' bu bo_y ard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name: Grounds Maintenance Proposal Due Date/Opening Date and Time:
Equipment, Irrigation Parts, Supplies and December 5, 2019 at 4:00 PM
Installation
Location of Proposal Opening:
Texas Association of School Boards, Inc.
BuyBoard Department
Proposal Number: 611-20 12007 Research Blvd.
Austin,TX 78759
Anticipated Cooperative Board Meeting Date:
Contract Time Period: April 2020
June 1, 2020 through May 31, 2021 with two (2)
possible one-year renewals.
ma's RfTulf( Lrd&�_G 2
Name of Proposing Company Date
185� D' dia,
Street Address Signature of Authorized Com any Iff,Cial
NUX-ff J 1rn,)
City, State, 2ip Printed Name of Authorized Company Official
3 Vi Ct ffieSiamlt
Telephone Number of Authorized Company Official Position or Title of Authorized Company Official
( �j gqq - 33;1�
Fax Number of Authorized Company Official Federal ID Number
Page 10 of 72
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D_578oard
cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454 • butiboard.com
VENDOR CONTACT INFORMATION
Name of Company: m as r)C .
Vendor Proposal/Contract Contact Name: Ta-4?dr-;A P
Vendor Proposal/Contract Contact E-mail Address: CJ�Mnj r I rd - (110
Vendor Contact Mailing Address for Proposal/Contract Notices: ®1 Pt• 26)
� asp
Company Website: vV yyy - 1 i 10f *fff (10rn
Purchase Orders: All purchase orders from Cooperative members will be available through the Internet. Vendors need
Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when
a new purchase order arrives. An information guide will be provided to vendors to assist them with retrieving their orders.
Please select options below for receipt of purchase orders and provide the requested information:
I will use the internet to receive purchase orders at the following address:
Purchase Order E-mail Address:Sk", CAM d
Purchase Order Contact: Phone:
"� ��07�
Alternate Purchase Order E-mail Address:
Alternate Purchase Order Contact: i 0 A Or Z— Phone:
❑ Purchase orders may be received by the Designated Dealer(s) identified on my company's Dealer
Designation form as provided to the Cooperative administrator. I understand that my company shall
remain responsible for the Contract and the performance of all Designated Dealers under and in
accordance with the Contract.
Request for Quotes("RFOO: Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
RFQ E-mail Address: f -kl- hwmC)S• CVfn
RFQ Contact: Phone: ('�l T3'O"aQ 9,
Alternate RFQ E-mail Address:l Q�Ul 0 InIAfftf iY waoctS edfy)
Alternate RFQ Contact: Phone:
q#t_ l
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&578oard�
CaoperatIve Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ` FAX: 800-211-5454 , buyboard.com
Invoices: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee
invoices and related communications:
Please choose only one (1) of the following options for receipt of invoices and provide the requested
information:
K(5ervice fee invoices and related communications should be provided directly to my company at:
Invoice Mailing address: 161 ����� -2 S1a Department:
City: OW
�� State: 1 Zip Code:
Contact Name: Phone:
Invoice Fax: Wq-&-2tp7a� Invoice E-mail Address: r
Alternative Invoice E-mail Address: i0pb �'?Gt jftCfLf l ��5 �'d
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**:
Billing agent Mailing address: Department:
City: State: Zip Code:
Billing Agent Contact Name: Phone:
Billing Agent Fax: Billing Agent E-mail Address:
Alternative Billing Agent E-mail Address:
** If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the
General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in
that designation shall relieve Vendor of its responsibilities and obligations under the Contract including, but
not limited to,payment of all service fees under any Contract awarded Vendor.
Page 13 of 72
Proposal Forms COMMJ5VC5 V.09.12.2019
&UHoard
V %a Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH. 800-695-2919 ' FAX: 800-211-5454 • bu lbboard.com
FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE
Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor)
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 has been convicted of a felony. The notice must include a general description of the
conduct resulting in the conviction of a felony."
Section 44.034 further states in Subsection (b): "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."
Please check one of the following:
❑ My company is a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.)
My company is not owned or operated by anyone who has been convicted of a felony.
❑ My company is owned/operated by the following individual(s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
Company Name
ki2A �W S ,e .
Signature of Authorized C pa Official Printed Name
DEBARMENT CERTIFICATION
Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described
in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is
currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or
declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative
and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an
owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise
excluded by agencies or declared ineligible under any statutory or regulatory authority.
By signature Below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
V"VU
Company Name
Signature of Authorized C mpa y Official Printed Name
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WouperativuParchasinq
12007 Research Boulevard ' Austin,Texas 78759-2439 , PH: 800-595-2919 ' FAX: B00-211-5454 'bu bo_ K_ ard.com
RESIDENT/NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. Under the statute, a"resident" proposer is a person whose principal place of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A
"nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a `resident"
proposer or a"nonresident"proposer under these definitions.
Please check one of the following:
/I certify that my company is a Resident Proposer.
❑ I certify that my company is a Nonresident Proposer.
If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in
which your company's principal place of business is located):
Company dame Address
City State Zip Code
A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers
whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract?
❑ Yes ❑ No
B, What is the prescribed amount or percentage? $ or °Io
VENDOR EMPLOYMENT CERTIFICATION
Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when
determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's
ultimate parent or majority owner (i) has its principal place of business in Texas, or (ii) employs at least 500 people in
Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas,
does your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please check one of the followin :
❑ Yes ❑ No
By signature below, I certify that the information in Sections 1 (Resident/Nonresident Certification) and 2 (Venda,,
Employment Certification) above is true, complete and accurate and that I am authorized by my company to make this
certification.
Mxlff 74-r pa
&C-t.S Lit
Company Name
Signature of Authorized C&npaly Official Printed Name `° J
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!Hoard
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 ' buybcard.com_
NO ISRAEL BOYCOTT CERTIFICATION
Effective September 1, 2017, as amended effective May 7, 2019 (H.B. 793), a Texas governmental entity may not enter
Into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company
(excluding a sole proprietorship) that has 10 or more full-time employees 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. (TEX. Gov'T CODE Ch. 2270). Accordingly, this certification form is included to the extent required by law.
"Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is
intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or
entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business
purposes. TEx. GOV'T CODE§808.001(1).
By signature below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of
any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am
authorized by my company to make this certification.
5 � W,(d�cc�s � �1Qrv;a lne .
an Compy Name
Signature of Authorized dompiny Official Printed Name
(Vote: If Vendor does not wish to make this certification,return the blank form in lieu of a completed
certification.
NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization —specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153, (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this
certiflcation is true, complete and accurate; and that I am authorized by my company to make this certification.
LTa u!d&C r 6MCL scru• Ce, Inc .
Company Name Ran
Signature of Authorized C mpa y Official Printed Name
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DUHoard®
Coaperative Purchasing
12007 Research Boulevard • Austin,Texas 75759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or "MWBE" and all referred to in this form as a "HUB") is encouraged to indicate its HUB certification status
when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that
properly indicate and document their HUB certification on this form.
Please check all that apply:
❑ I certify that my company has been certified as a HUB in the following categories:
❑ Minority Owned Business
❑ Women Owned Business
❑ Service-Disabled Veteran awned Business(veteran defined by 38 U.S.C. §101(2), who has a
service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating
of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of
Defense)
Certification Number:
Name of Certifying Agency:
My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
masttrruo
Company Name
luo
Printed
Signature of Authorized Comllany Offkial
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Proposal Forms COMM/SVCS v.09.12.2019
&57Board
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 - PH: 800-595-2919 ' FAX: 800-211-5454 ' buyboard.com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
C'Advisory"), Texas law prohibits the procurement of architecture or engineering services through a
purchasing cooperative. This BuyBoard contract sloes not include such services. Architecture or engineering
services must be procured by a Cooperative member separately, in accordance with the Professional
Services Procurement Act (Chapter 2254 of the Texas Government Code) and other applicable law and local
policy.
The Advisory, available at buyboard.com/Vendor/Resources.aspx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy
of the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or
services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply
with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers
or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy
of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase
order for construction-related goods or services, whichever comes first.
34117�cls anLr
Company Name
Signature of AuthorizedfCo4any Official Printed Name
Date
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Proposal Forms COMMJSVCS v.09.12.2019
M78oard
Cooperative Purchasing
12007 Research Boulevard I Austin,Texas 78759-2439 , PH: 800-695-2919 , FAX: 800-211-5454 , buyboard.com
DEVIATION AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposai Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (,I) one of the following:
❑/NO; Deviations
® YeS; Deviations
List andfully explain any deviations
��you are submitting:
P rep a-twill 1,�. 0
ou" IV
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: 2/common Carrier ❑ Company Truck ❑ Prepaid and Add to Invoice ❑ Other:
2. Payment Terms: M/Net 30 days ❑ 111/o in 10/Net 30 days ❑ Other:
3. Number of Days for Delivery: I ARO
4. Vendor Reference/Quote Number: � � � — 20
5. State your return policy:
6. Are electronic payments acceptable? [' Yes ❑ No
7. Are credit card payments acceptable? ❑Yes ZNo
Makk?17 Acd,�UxciS-_a kral U, /na
Mq�/ __,Oa
Comp e
Signature of Authorized C mpa Vy DfFlcial Printed Name
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12007 Research Boulevard - Austin,Texas 78759-2439 - PH: 800-695-2919 - FAX: 800-211-5454 ' buvboard.corn
LOCATION AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation,
please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders,
and shall he responsible for the performance of all locations and authorized sellers under and in accordance with the
Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms
and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer
Designated Dealer fora.
m ter-rao oCIT
Company Name
5� [WrOd
Address
City State Zip
Phone lumber Fax Number
Contact Person
Company Name
Address
City State Zip
Phone Number Fax Number
Contact Person
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W
ooperative Purchasing
12007 Research Boulevard . Austin,Texas 78759-2439 ' PH: 800-695-2919 . FAX: 800-211-5454 . buyboard.com
MANUFACTURER DEALER DESIGNATION
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple
dealers ("Designated Dealers' to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete
this form for each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any
obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor
or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain
responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's
Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder,
including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees.
If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard
system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor
with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process
such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to
a Designated Dealer for processing.
The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated
Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise
acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or
suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish
to designate multiple dealers, please duplicate this form as necessary.
Designated Dealer Name
Designated Dealer Address
City State Zip
Phone Number Fax Number
Email address Designated Dealer Tax ID Number* (*attach W-9)
Designated Dealer Contact Person
0-7U-/r)C ao-&LIC ff 4"-k"j C-1,11 )r)0- -
Your Company Name Signature of Authorized Company Offic' I
Page 21 of 72
Proposal Forms COMM/SVCS v.09.12.2019
DUBoard
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 . FAX: 800-211-5454 ' buyboard.com
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as"Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to
serve different regions for different products or services included in your proposal, you must complete and
submit a separate Texas Regional Service Designation form for each group of products and clearly indicate
the products or services to which the designation applies in the space provided at the end of this form. By
designating a region or regions, you are certifying that you are authorized and willing to provide the
proposed products and services in those regions. Designating regions in which you are either unable or
unwilling to provide the specified products and services shall be grounds for either rejection of your
proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative
members (i.e., if you will service only states other than Texas), you must so indicate on this form.
Regional Education Service Centers �I will service Texas
Cooperative members
statewide.
"' " ❑ I will not service Texas
Cooperative members
°"=y= statewide. I will only
service members in the
regions checked below:
-M; ,, �- `� ' '`� .._ Region Headquarters
a ❑ 1 Edinburg
�_ _ _ ❑ 2 Corpus Christi
• { ❑ 3 Victoria
i ❑ 4 Houston
❑ 5 Beaumont
i ,.. .` . „ ❑ 6 Huntsville
M1 �a - + * ❑ 7 Kilgore
i_W `f' ❑ 8 Mount Pleasant
Y r ❑ 9 Wichita Falls
l
w' - ❑ 10 Richardson
' " ' ( ❑ 11 Fort Worth
❑ 12 Waco
❑ 13 Austin
❑ 14 Abilene
`'v` . ❑ 15 San Angelo
L-
❑ 16 Amarillo
❑ 17 Lubbock
SfffV4 Je1Vra'11)C—. ❑ 18 Midland
Com n a e ❑ 19 El Paso
❑ 20 San Antonio
Signature of Authorized dompa1hy Official
3 9 a0ari64qe ,,'V- ❑ I will not service members
Printed Name of the Texas Cooperative.
Page 22 of 72
Proposal Forms COMM/SVCS v.09.12.2019
PFBoard'
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
STATE SERVICE DESIGNATION
The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including
intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete
this form if you plan to service the entire United States, or will service only the specific states indicated. (Note:If you plan
to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.)
If you serve different states for different products or services included in your proposal, you must complete
and submit a separate State Service Designation form for each group of products and clearly indicate the
products or services to which the designation applies in the space provided at the end of this form. By
designating a state or states,you are certifying that you are authorized and willing to provide the proposed
products and services in those states. Designating states in which you are either unable or unwilling to
provide the specified products and services shall be grounds for either rejection of your proposal or, if
awarded, termination of your Contract.
Please check (/) all that apply:
❑ I will service all states in the United States.
VI will not service all states in the United States. I will service only the states checked below:
❑ Alabama
❑ Alaska ❑ Nebraska
[❑ Arizona ❑ Nevada
Arkansas ❑ New Hampshire
California (Public Contract Code 20118 &20652) ❑ New Jersey
Colorado ❑ New Mexico
❑ Connecticut ❑ New York
❑ Delaware ❑ North Carolina
❑ District of Columbia ❑ North Dakota
❑ Florida Voklahoma
hio
❑ Georgia
❑ Hawaii ❑ Oregon
❑ Idaho ❑ Pennsylvania
❑ Illinois ❑ Rhode Island
❑ Indiana ❑ South Carolina
❑ Iowa ❑ South Dakota
aV Kansas ❑Tennessee
❑ Kentucky [Texas
VLouisiana ❑ Utah
❑ Maine ❑ Vermont
❑ Maryland ❑ Virginia
❑ Massachusetts ❑ Washington
❑ Michigan ❑ West Virginia
❑ Minnesota ❑ Wisconsin
❑ Mississippi ❑ Wyoming
❑ Missouri
❑ Montana
Page 24 of 72
Proposal Forms COMM/SVCS v.09.12.2019
Board®
V W Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
This form will be used to ensure that you can service other governmental entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a
contract awarded under this proposal.
r�u o c �a elvl , Inc .
Company Name sl ,/,,,
Signature of Authorized C pa Official Printed Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here:
Page 25 of 72
Proposal Forms COMM/SVCS v.09.12.2019
Board®
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue
for any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-
Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
Name d Proposal Invitation Number
Sian
Signature of Authorized Corhparp Official Printed Name of Authorized Company Official
12 J5 p51)ol9
Date
Proposal Forms COMM/SVCS v.09.12.2019
Page 27 of 72
%78oard
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 . buXboard.com
FEDERAL AND STATE/PURCHASING COOPERATIVE EXPERIENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from
vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or
market price during the previous 12-month period or the last fiscal year: $ . (The period of the 12
month period is / ). In the event that a dollar value is not an appropriate measure of the sales,
provide and describe your own measure of the sales of the item(s).
2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the
Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items
under equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in
the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing
cooperatives as required.
VENDOR?CURRENT FORMER VENDOR (Y/N)?— AWARDED
PURCHASING • •D
GROUPD•■ •.
1. Federal General Services Administration
2. T-PASS (state of Texas)
3. OMNIA Partners
4. Sourcewell (NIPA)
5. E&I Cooperative
6. Houston-Galveston Area Council (HGAC)
7. Choice Partners
8. The Interlocal Purchasing System (TIPS)
9. Other
[/MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUYBOARD VENDORS
If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the
discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between
your current and proposed discounts.
Current Discount(%): Proposed Discount(%):
Explanation:
Proposal Forms COMM/SVCS v.09.12.2019
Page 28 of 72
&578oard
U W Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454 . buyboard.com
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
Company Name
"HUI
Signature of Authorized m ny Official Printed Name
Proposal Forms COMM/SVCS v.09.12.2019
Page 29 of 72
&UHaard
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts
you offer other governmental customers. Attach additional pages if necessary.
Quantity/
Entity Name Contact Phone# Email Address Discount Volume
1.0 i-y w appe o ana l`1�.a,—an 4(lo - ua -511 i 1nvt (v -elo-Tx . Jav
2.C� �c n f� Gn SC Oe �'���2f� ^1�� �cSGl�rae r�lr� nr r.e
3. ILL]a Sir B 1 S J of SJ-,fa � t, M"&Py7 - Z7�3'� Ararn44n J @
4. Fri SCO jSO Je" Utuilmn 2 i y -5t14- "40 C -rr sco ISA .orq
5. 0 jLa-L aLeZ A1- ISO GhnS �o S Z�l �3� G1��, �s Cc1S�• �-
Do you ever modify your written policies or standardernmental sales practices as identified in the above chart to give
better discounts (lower prices) than indicated? YES n NO ❑ If YES, please explain:
Fmgh-r �ji 11 l fic brad an ln�"mil ,�e®nq�:
eG� �G�iGG4I' ���a�cr1S
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
G ,q0,1 /ze,, /ne .
ComTof
Signature AuthMpp
S
Printed Name
Proposal Forms COMM/SVCS v.09.12.2019
Page 30 of 72
Board®
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
MARKETING STRATEGY
For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or
part of your Proposal. _ (Example: Explain how your company will initially inform Cooperative members of your BuyBoard
contract, and how you will continue to support the BuyBoard for the duration of the contraet,oeriod.)
Attach additional pages if necessary.
e i I ), I(A
ru_v eon t M�ea cec"is -fi-an -ITYXas 1'g�2 J�Az®dl
1.v ('L' reer��s" �Ci Sfi/'11L>
Grt rvl Cc ., Inc.
Comps a
ia
Signature of Authorized C mpa y Official
SW J12-
Printed Name
Proposal Forms COMM/SVCS v.09.12.2019
Page 31 of 72
ard®
B
W
ooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
CONFIDENTIAL/PROPRIETARY INFORMATION
A. Public Disclosure Laws
All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this
Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public
Information Act (Texas Government Code chapter 552.001, et. seq.) or similar disclosure law. Proposer must clearly
identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the
Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the
Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a
member of the public or other third party request access to the information under the Texas Public Information Act or
similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has
identified in this form as proprietary or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
Pleas check one of the following:
NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is
specifically identified on this form.
If you responded"YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative
and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or
proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will
disclose information when required by law, even if such information has been identified herein as information the vendor
considers confidential or proprietary.
Confidential / Proprietary Information:
(Attach additional sheets if needed.)
Proposal Forms COMM/SVCS v.09.12.2019
Page 32 of 72
Bo and
Cooperative Purchasing
12007 Research Boulevard - Austin,Texas 78759-2439 • PH: 800-695-2919 - FAX: 800-211-5454 - buyboard.com
B. Copyright Information
tation, or other materials submitted with the Proposal) contain copyright
Does your Proposal (including forms, documen
information?
Please check(-v)one of the following:
NO, Proposal (including forms,documentation,or other materials submitted with the Proposal) does not
contain copyright information.
❑ YES, Proposal (including forms,documentation,or other materials submitted with the Proposal) does
contain copyright information.
If you responded"YES", identify below the specific documents or pages containing copyright information.
Copyright Information:
(Attach additional sheets if needed.)
C.Consent to Release Confidential/Proprietary/Copyright Information to BuyBoard Members
BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to
view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential,
proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such
information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other parry.
Q.Consent to Release Proposal Tabulation
Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal,
Vendor consents and agrees that, upon Contract award, the Cooperative may publically release, including posting on the
public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed
catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor
award or non-award information.
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
I t !sew,�� ,0�
Co pa e
Signature of Authorized C mp y Official
Printed Name
Date
Proposal Forms COMM/SVCS v.09.12.2019
Page 33 of 72
Board®
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
VENDOR BUSINESS NAME
By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must
be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and
accurately provide the information requested below or your Proposal
,may be deemed non-responsive.
Name of Proposing Company: r��,�/� ���f�'us � � ewe C4��W
(List the legal name of the company seeking to contract with the Cooperative. Do NOT list an assumed name,dba,aka,etc. her�h information may
be provided below. ff you are submitting a joint proposal with another entity to provide the same proposed goods or services, each submitting entity
should complete a separate vendor information form. Separately operating legal business entities, even/f affiliated entities, which propose to provide
goods or services separately must submit their own Proposals)
Please check(-V)one of the following:
Type of Business-
Individual/Sole Proprietor
Corporation
Limited Liability Company
Partnership
Other If other, identify
State of Incorporation (if applicable):
Federal Employer Identification Number:
(Vendor must include a completed IRS W-9 form with their proposal)
List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note: if different than the Name of
Proposing Company listed above, only valid trade names(dba, aka, etc.)of the Proposing Company may be used and a copy of your Assumed Name
Certificate(s),if applicable,must be attached.)
Proposal Forms COMM/SVCS v.09.12.2019
Page 34 of 72
Give Form to the
Form �Mer!
' Request for Taxpayer requester.Do not
(Rev.Demb4) Identification Number and Certification send to the IRS.
Department of theasury
In
Revenue Service
1 Name(as shown on your income tax return).Name is required on this Line;do n le thiB line nk.
TW4V 0
2 Business name/disregarded entity name,if different from above
N
QI
rn 4 Exemptions(codes apply only to
(a
°- 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: certain entities,not individuals;see
Trust/estate
O ❑Individual/sole proprietor or ❑ C Corporation ❑S Corporation El Partnership instructions on page 3):
ac single-member LLC Exempt payee code(if any)
.0 ❑Limited liability company.Enter the tax classification(C C corporation,S=S corporation,P=partnership)► Exemption from FATCA reporting
0 3 Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for code(if any)
wthe tax classification of the single-member owner. (ye:lu a�o�e a ed outside me U.S.)
a: ❑Other(see instructions)►
Requester's name and address(optional)
'— 5 A dress number,//street,
and
//apt.
��or suite no.)
d
V 4�I VtJd(/(/r,. a -
a
rn 6 i state,an ZIP code
CD
Cn
7 List account number(s)here(optional)
Taxpayer Identification Number(TIN) Social security number
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid —�
backup withholding.For individuals,this is generally your social security number(SSN).However,for a —m
resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a or
Tltd on page 3. Employer identification number
Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for
guidelines on whose number to enter. �Xq
Certification �l V
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification number(or 1 am waiting for a number to be issued to me);and
2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)i have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has noted me that I am
no longer subject to backup withholding;and
3. 1 am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(f any)indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to repo ai Interest d div' rids on your tax return.For real estate transactions,item 2 does not apply.For mortgage
interest paid,acquisition or ab on Is d p erty cellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments other th i ere n ivi nds,yo no required to sign the certification,but you must provide your correct TiN.See the
instructions on page 3.
Sign Signature of Date► a v"
Iq
Here u.s.person► � ®J
General Instructions ^Form 1098(home mortgage interest),1098-E(student loan interest),1098T(tuition)
Section references are to the Internal Revenue Code unless otherwise noted. •Form 1 o99-C(canceled debt)
Future developments.information about developments affecting Form W-9(such .Form 1099-A(acquisition or abandonment of secured property)
as legislation enacted after we release it}is at www.irs.govlfws. Use Forin W-9 only if you are a U.S.person(including a resident alien),to
Purpose Of Form provide your correct TIN.
if you do not retum Form W-9 to the requester with a TIN,you might be subject
An individual or entity(Form W-9 requester)who is required to file an information to backup withholding.See What is backup withholding9 on page 2.
return with the IRS must obtain your correct taxpayer identification number(TIN) the filled-out form,you:
which may be your social security number(SSN),individual taxpayer identification By signing
number(ITIN),adoption taxpayer identification number(KnN),or employer 1.Certify that the TiN you are giving is correct(or you are waiting for a number
identification number(EIN),to report on an information return the amount paid to to be issued),
you,or other amount reportable on an information return.Examples of information 2 Certify that you are not subject to backup withholding,or
returns include,but are not limited to,the following:
•Form 1099-INT(interest earned or paid) 3.Claim exemption from backup wifhhoiding if you are a U.S.exempt payee.if
applicable,you are also certifying that as a U.S.person,your allocabte share of
•Form 1099-DIV(dividends,including those from stocks or mutual funds) any partnership income from a U.S.trade or business is not subject to the
•Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and
•Form 1099-6(stock or mutual fund sales and certain other transactions by red on , r y indicating re
exempt from the FATCAreporting, s orrect.SeeWhat is FATCA on
brokers) page 2 for further information.
•Form 1099-5(proceeds from real estate transactions)
•Form 1099-K(merchant card and third party network transactions)
Cat.No.10231X Form W-9(Rev.12-2014)
Board®
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
12. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy
such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to,
applicable recordkeeping and record retention requirements.
Vendor Certificatio,n.
YES, I agree or
Vendor Certification Item No. NO, I do NOT agree i 'al
1. Vendor Violation or Breach of Contract Terms C
2. Termination for Cause or Convenience ye-S
3. Equal Employment Opportunity -yes
4. Davis-Bacon Act jes
5. Contract Work Hours and Safety Standards Act
6. Right to Inventions Made Under a Contract or Agreement
7. Clean Air Act and Federal Water Pollution Control Act
8. Debarment and Suspension vp S
9. Byrd Anti-Lobbying Amendment V11V
10. Procurement of Recovered Materials va�
11. Profit as a Separate Element of Price Va�
12. General Compliance and Cooperation with Cooperative Members e S
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
-ero et .'Jnc .
Comp
Signature of Authorized Co pa Official
S&W S B'e
Printed Name
Proposal Forms COMM/SVCS v.09.12.2019
Page 38 of 72
Board®
Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 ' PH: 800-695-2919 • FAX: 800-211-5454 , buyboard.com
PROPOSAL INVITATION QUESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial
resources to provide the goods and perform the services ("Work' under the BuyBoard contract contemplated by this
Proposal Invitation ("Contract'. Proposers must fully answer each question, numbering your responses to correspond to
the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below, and submit the signed questionnaire and your responses to all questions in one document with your
Proposal. You must submit the signed questionnaire and responses with your Proposal or the Proposal will
not be considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in
acquisition by another entity.
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this
Contract. State the number and summarize the experience of company personnel who may be utilized for the Work,
including those who will be available to Cooperative members for assistance with project development, technical issues,
and product selection for Work associated with this Contract.
ore `n -tu eei
3. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and
rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present
owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or
insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position
with your firm.
PiW Cg GPI SLrea y-m 42�?AQ �y
Proposal Forms COMM/SVCS v.09.12.2019
Page 39 of 72
MUSoard
cooperative Purchasing
12007 Research Boulevard . Austin,Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
n0
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date
and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the
work, or termination.
6. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought
against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or
employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this
Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of
the claim, and resolution or current status.
y o tom•
By signature below, I certify that the information contained in and/or attached to this Proposal Invitation
Questionnaire in response to the above questions is true and correct and that I am authorized by my
company to make this certification.
Sere;ee,
Comps a e
Signature of Authorized C pa y Official
Proposal Forms COMM/SVCS v.09.12.2019
Page 40 of 72
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PFBv�rd®
Cooperativehirchasing
P.O. Box 400
Austin, TX 78767-0400
809,695,2919 f 512.467.0222 / Fax.809.211.5454
buyboard.com
PRICE SHEET ADVISORY
The following pages were presented as part of the proposal response from the vendor.
These pages were used as part of the evaluation of the vendor's proposal, and are
included here as reference items only.
The pricing shown on these pages may or may not be in effect during the contract.
Connie W Burkett, CTSBO
Contract Administrator
BuyBoard
+— The Local Government Purchasing Cooperative is endorsed by the Texas Association orschool Boards,
® TNII. Texas Municipal League,Texas Association of Counties,and the Texas Association of School Administrators.
�, .:.,, •�:Tea
MasterTurf Products and Service, Inc.
1852 Norwood Plaza Suite 201 Hurst,Tx. 76054 Office(817)494-3222 Cell(817)929-0166 Fax(817)494-3322
December 5, 2019
The Local Government Purchasing Cooperative
Attn: Proposal Administration Manager
12007 Research Boulevard
Austin, Tx. 78759
The following information is being provided as requested per Grounds Maintenance
Equipment, Irrigation Parts, Supplies & Installation# 529-17:
MTPS Pricelist: Products
Description Price Extended Price
Infill Synthetic Turf- 14,400 or less $ 14.00 per sq. ft. $ 14.00 per sq. ft.
Infill Synthetic Turf- 25,000 or less $ 12.00 per sq. ft. $ 12.00 per sq. ft.
Infill Synthetic Turf- 80,000 or less $ 9.50 per sq. ft. $ 9.50 per sq. ft.
Infill Synthetic Turf- 110,000 or less $ 8.00 per sq. ft. $ 8.00 per sq. ft.
Note: Stabilization of existing subgrade will be determined upon evaluation. This
applies only to Infill Synthetic Turf athletic fields.
*Masterseal Conditioner $ 2.7777 $ 2.7777 /250.00
(Per Pound/ 901b Bag Only)
*Masterseal Infield Mix with $ 49.60 per ton $ 49.60
Conditioner
*Mastereal Topdressing Material $ 28.50 per ton $ 28.50
(For Athletic Grass Surfaces)
*Masterseal Drainage System
(6" Multi-Flow) per square foot $ 2.50 $ 2.50
(12" Multi-Flow) per square foot $ 3.00 $ 3.00
(18" Multi-Flow) per square foot $ 3.95 $ 3.95
*Grozyme III
(Soil Catalyst& Root Growth $ 85.00 per gallon $ 85.00
Enhancer)
Freight not included in above prices. 8.00 per sq. ft. 8.00 per sq. ft.
* Note: Discounts are based on Quantity Ordered
MTPS Pricelist: Flat Rate Pricing
"Laser Grading - $ 2,000.00 $ 2,000.00
**Tilling - $ 1,500.00 $ 1,500.00
** Flat Rate for infield dirt portion of the Baseball or Softball field.
MTPS Pricelist: Service Rates
Aerification - $ 160.00 Per Hour
Topdressing- $ 160.00 Per Hour
Verticutting- $ 220.00 Per Hour
Clipping Removal - $ 125.00 Per Hour
Chemical & Fertilizier - $ 220.00 Per Hour+ $ Chemical
Spraying Applications
Chemical and Fertilizer Applications do not include material. Material can be supplied by
either MasterTurf or Customer.
The above applies to all Standard UIL(High School),NCAA, CITY/MUNICIPALITY
Fields (Per Field)
*** Aerification and Vericutting is a 2/Hour Minimum charge,but we always go 2
directions when completing these services or applications.
Sod Installation Pricing
Price
Standard Adult Softball Field (85,000 sf) $ Call for pricing
Standard High School (UIL)Baseball Field (90,000 sf) $ Call for pricing
Standard High School (UIL) Softball Field(33,500 sf) $ Call for pricing
Standard University/College Baseball Field(120,000 sf) $ Call for pricing
Standard University/College Softball Field (33,500 sf) $ Call for pricing
* Depends on Location, if freight is included or not in above pricing
MTPS Pricelist: Labor Rates
Items 43 - 46:
Labor Rates will vary based on type of work being performed: $ 25.00 — 87.50
MTPS Pricelist: Mobilization Rates
May be applied upon location of job or project. Based on one way trip charge or mileage
surcharge, but always in the customers best interest.
Each job or project will be quoted separately as needed.
We look forward to earning your business and should you have any questions, feel free to
contact me at(817) 929-0166 at your convenience.
Wtandridge,
Masterturf Products and Service, Inc.
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. 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.
rnplis,rc-RTuR r Nnuc_Ts N� SERV i �l✓ ,i�lC
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 71h 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.
IW I
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?
Yes ® 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?
O Yes LZ 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 descri S 7 a)(2) xcluding gifts described in Section 176.003(a-1).
7
5 '20 2o2Z
Signature of veridor doing businesiWith thVU governmental entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015
6/27/22,7:55 AM M&C Review
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FOR, TRni
` 0
Create New From This M&C
DATE: 6/14/2022 REFERENCE**M&C 22- LOG 13P AMEND 611-20 GROUNDS
NO.: 0441 NAME: MAINTENANCE EQUIP TD CITY
CODE: P TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT. (ALL)Authorize Execution of Amendments to Existing Contracts to Increase the
Compensation Amount and Amend Mayor and Council Communication 20-0777 to Add
Interspec, LLC and Justin Seed Co. as Additional Vendors and Authorize the Execution of
Additional Cooperative Contracts through Sourcewell 031121-DAC, Sourcewell 031121-
KBA, Sourcewell 031121-TTC, and TIPS 190901 for Grounds Maintenance Equipment,
Irrigation Parts, Supplies and Installations for all City Departments and to Increase the
Combined Annual Amount from $725,000.00 to a Combined Annual Amount Not to
Exceed $2,300,000.00
RECOMMENDATION:
It is recommended that the City Council authorize execution of an amendment to existing contracts to increase the
compensation amount and amend mayor and council communication 20-0777 to add Interspec, LLC and Justin
Seed Co. as additional vendors and authorize the execution of additional cooperative contracts through Sourcewell
031121-DAC, Sourcewell 031121-KBA, Sourcewell 031121-TTC, And TIPS 190901 for grounds maintenance
equipment, irrigation parts, supplies and installations for all City departments and to increase the combined annual
amount from $725,000.00 to a combined annual amount not to exceed $2,300,000.00.
DISCUSSION:
The Park& Recreation Department(PARD) requested that the Purchasing Division assist with amending agreements
under Mayor and Council Communication (M&C) 20-0777 to increase the annual amount not to exceed from
$725,000.00 to $2,300,000.00 and to add additional suppliers using additional cooperative agreements. The Water,
Code, Police and Transportation & Public Works (TPW) Departments will also use these agreements.
The increase will be used to replace damaged irrigation items as well as add additional ground maintenance
equipment, supplies, installation, and athletic field turf maintenance. Trees, shrubs, and bedding plants will also be
purchased as the City sent a bid (ITB 22-0033) out for these items and received no response and the current
suppliers will not renew their contract, expiring October 13, 2022. The purchase of new golf course equipment will
also be obtained in place of the current golf course equipment that is being leased.
The following is the revised utilization plan:
M&C 20-0777 New Estimated Cooperative Cooperative
Vendors Estimated Amounts Agreement Expiration Date
Amounts
BWI Companies, Inc. $0.00 $250,000.00 TIPS 190901 November 30,
2022
Austin Turf&Tractor $0.00 $485,000.00 Sourcewell 031DAC 121- April 30, 2025
Ewing Irrigation $56,000.00 $90,000.00 BuyBoard 611-20 May 31, 2023
Interspec, LLC $0.00 $20,000.00 BuyBoard 611-20 May 31, 2023
Justin Seed Co. $0.00 $12,000.00 BuyBoard 611-20 May 31, 2023
KBW Supply, Inc. $5,200.00 $6,000.00 BuyBoard 611-20 May 31, 2023
Kubota Tractor Corporation $55,000.00 $55,000.00 BuyBoard 611-20 May 31, 2023
apps.cfwnet.org/council_packet/mc_review.asp?I D=29994&councildate=6/14/2022 1/3
6/27/22,7:55 AM M&C Review
Kubota Tractor Corporation $0.00 $200,000.00 Sourcewell 031121- April 30, 2025
KBA
LSM Outdoor Power $22,000.00 $22,000.00 BuyBoard 611-20 May 31, 2023
MasterTurf Products and Services, $1,400.00 $43,000.00 BuyBoard 611-20 May 31, 2023
Inc.
Professional Turf Products, LP $155,000.00 $30,000.00 BuyBoard 611-20 May 31, 2023
Professional Turf Products, LP $0.00 $1,023,000.00 Sourcewell 031TTC 121- April 30, 2025
SiteOne Landscape Supply $130,000.00 $340,000.00 BuyBoard 611-20 May 31, 2023
WinField United $56,000.00 $24,000.00 BuyBoard 611-20 May 31, 2023
* BWI Companies, Inc. $135,000.00 $0.00 BuyBoard 611-20 May 31, 2023
*Austin Turf&Tractor $25,000.00 $0.00 BuyBoard 611-20 May 31, 2023
* Hill Country Outdoor Power $6,000.00 $0.00 BuyBoard 611-20 May 31, 2023
*JHouston Holdings, LLC, dba, $8,500.00 $0.00 BuyBoard 611-20 May 31, 2023
JRC Associates, LLC
* Kinloch Equipment&Supply, Inc. $43,000.00 $0.00 BuyBoard 611-20 May 31, 2023
* Note: BWI Companies, Inc. and Austin Turf&Tractor have been redistributed to TIPS 190901 and Sourcewell
031121-DAC respectively. The department will be receiving a better value at a lower cost using these cooperative
agreements. Hill Country Outdoor Power, JHouston Holdings, LLC, dba, JRC Associates, LLC, and Kinloch
Equipment&Supply, Inc. have been removed.
The maximum amount allowed under this agreement citywide will be $2,300,000.00, however the actual amount
used will be based on the need of the department and available budget.
State law provides that a local government purchasing an item under a cooperative purchase agreement satisfies
any state law requiring that the local government seek competitive bids for purchase of the item. BuyBoard contracts
are competitively bid to increase and simplify the purchasing power of government entities across the State of Texas.
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 &capital budgets, as previously
appropriated, in the participating departments' Operating Funds and in the General Capital Projects Fund for the
Golf Equipment Replacement and Golf Course Equipment FY22 projects to support the approval of the above
recommendation and execution of the amendment to 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 Department Account Project Program Activity Budget Reference# Amount
ID ID Year Chartfield 2
apps.cfwnet.org/council_packet/mc_review.asp?ID=29994&councildate=6/14/2022 2/3
6/27/22,7:55 AM M&C Review
Submitted for City Manager's Office by: Reginald Zeno (8517)
Valerie Washington (6192)
Originating Department Head: Anthony Rousseau (8338)
—g g—p Richard Zavala (5711)
Additional Information Contact: Cynthia Garcia (8525)
Taylor Dean (7648)
ATTACHMENTS
13PAMEND 611-20 GROUNDS MAINTENANCE EQUIP TD CITY funds availability pdf (CFW Internal)
All 1295 Forms.pdf (CFW Internal)
All SAMS Reports.pdf (CFW Internal)
FID TABLE BLANK WITH INSTRUCTIONS V2(002).xlsx (CFW Internal)
apps.cfwnet.org/council_packet/mc_review.asp?ID=29994&councildate=6/14/2022 3/3