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Contract 58935
CSCO No. 58935 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between PRECISION DELTA CORPORATION ("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 BuyBoard #603-20; 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 one hundred thousand dollars with zero cents ($100,000.00). 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. 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 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 1 of 66 To CITY: City of Fort Worth Attn: Fernando Costa, Assistant City Manger 200 Texas Street Fort Worth, TX 76102-6314 Facsimile: (817) 392-8654 With copy to Fort Worth City Attorney's Office at same address To VENDOR: PRECISION DELTA CORPORATION Ginger Stillions Vice President of Sales Address: PO Box 128 Ruleville, MS, 38771 Fax: 662-756-2590 Email: precdelta@tecinfo.com 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: 5w,.4C ___ By: Name: Fernando Costa Title: Assistant City Manager Date: Feb 27, 2023 APPROVAL RECOMMENDED: IN Digitally signed by Robert Robert Alldredge Alldredge Date: 2023.02.17 15:01:46-06'00' Name: Robert A. Alldredge Jr. Title: Executive Assistant Chief ATTEST: 0 ooann p o� pORt�aA eat'= a 0.0, �o QQO*o 000*pd aaanrezp5 a' �dnoo4� Name: Jannette Goodall Title: City Secretary VENDOR: PRECISION DELTA CORPORATION Ginger Sti//ions Ginger St - nz (Feb 16, 202312.5]CST) By: Name: Ginger Stillions Title: Vice President of Sales Date: Feb 16, 2023 CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. 0 Keith Morris Date: l023.02.17ned Keith Morris Dale: 2023.02.17 14:30:37 -06'00' Name: Keith L. Morris Title: Assistant Police Director ' ' ' @1113 17_ V 1117 x13.113V FRO 11011(w.3 pit", Jeremy Anato- Digitally signed by Jeremy Anato- Mensah M e n s a h Date: 2023.02.27 13:38:00-06'00' Name: Jeremy Anato-Mensah Title: Assistant City Attorney CONTRACT AUTHORIZATION: M&C: 20-0218 / 23-0103 DATE: 4/7/2020 / 2/14/2023 1295: 2023-970901 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 2 of 66 I Z x W 0 _ (A c G Q ra a ° 2 El [A m a' W W C U) 0 E c M a l Y u C O FA ° Ul d �► o 0 0 0 0 C °u MA E 0 p d C C d Q � O i -WU. O \ goo E c U) dl a a � _2 a m ul ;) = to 0 C 0 O m U 7 u! 'C fA _ c y 0 G \ C a i +.+ ._ , .@ ° v d > ° rA c £ ° C _ L O? u„ *, W u m� f0 ° v+'i o c 0 C a cp ++ O p - p 1_ y S,2 •C C w O d c O •a 3 u L jp L Q O L 0. 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U W d a y J Ln 0 a O N Cl) C) co -a R 0 m CD U 0 C U c 0 0 Q a o O ,> a L N a Q U 0 :3 o En L cl) o U O �6 � o ,0 U N � �o a W v O °' w Z U L � a � Q m o a ° 0 at U w CL r U rM u U.YA i 1 1 14op-t�! 40 January 25, 2022 Patricia Lott Precision Delta Corp PO Box 128 Ruleville, MS 38771 WN■14'319'J P.O. Box 400, Austin, Texas 78767 800.695.2919 • info@buyboard.com • buyboard.com Sent via email to: precdeltaCa7tecinfo.com Re: Public Safety and Firehouse Supplies and Equipment BuyBoard Contract 603-20 The Local Government Purchasing Cooperative (BuyBoard) awarded your company a contract under Public Safety and Firehouse Supplies and Equipment, Contract 603-20, for which the current term is set to expire March 31, 2022. At this time, the BuyBoard is renewing your contract through March 31, 2023. This will be the final renewal of this contract. All discounts, terms, and conditions of your contract will remain the same. If you agree to this renewal, there is nothing you need to do. However, if you do not agree to this renewal, you must notify me via email at lisa.maraden@tasb.org prior to the start of the renewal term. If you have questions or comments concerning this renewal, please contact me as soon as possible at lisa.maraden@tasb.org. We appreciate your interest in The Local Government Purchasing Cooperative. Sincerely, Lisa Maraden Contract Administrator final renewal v.02.13.2020 Endorsed by �® TASAV TML City of Fort Worth and Precision Delta Corporation - Nmerative Agency Contrauy0Qa*603-20 Page 14 of 66 Vendor Precision Delta Corp Contact Patricia Lott Phone 6627562810 Email precdelta@tecinfo.com Vendor Website www.precisiondelta.com TIN 64-0671844 Address Line 1 PO Box 128 Vendor City Ruleville Vendor Zip 38771 Vendor State MS Vendor Country USA Delivery Days 180 Freight Terms FOB Destination Payment Terms Net 30 days Shipping Terms Common Carrier Ship Via Common Carrier Designated Dealer No EDGAR Received Yes Service -disabled Veteran Owned No Minority Owned No Women Owned No National No No Foreign Terrorist Orgs Yes No Israel Boycott Yes MWBE No ESCs All Texas Regions States Texas Contract Name Public Safety and Firehouse Supplies and Equipment Contract No. 603-20 Effective 04/01/2020 Expiration 03/31/2023 Accepts RFQs Yes Quote Reference Number 603-20 Return Policy 25% restocking fee plus freight. 2/6/2023 3:20 PM City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 15 of 66 Board Cooperative Purchasing P.O. Sax 400 Austin, TX 78767-0400 800.695.2919 / 512.467.0222 / fax. 800.211.5454 huyhoard. cam February 10, 2020 Sent Via Email: precdelta@tecinfo.com Patricia Lott Precision Delta Corp PO Box 128 Ruleville, MS 38771 Welcome to BuyBoard! Re: Notice of The Local Government Purchasing Cooperative Award Proposal Name and Number: Public Safety and Firehouse Supplies and Equipment, Proposal No. 603-20 Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard® contract based on the above -referenced Proposal. The contract is effective 4/1/2020 through 3/31/2021, 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. 603-20 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 Q "bf_ w ec� I� KolBf fhaii(4f �a p �fi�av���yq r��, #6yBUgfg4K0Stkhoo1 Boards, Page 16 of 66 ® QQ.a Texas Municipal League, Texas Association of Counties, and the Texas Association of School Adminisfrators. Board® Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com PROPOSERrS AGREEMENT AND SIGNATURE Proposal Name: Public Safety and Firehouse Supplies and Equipment Proposal Number: 603-20 Contract Time Period: April 1, 2020 through March 31, 2021 with two (2) possible one-year renewals Proposal Due Date/Opening Date and Time: July 31, 2019 at 4:00 PM Location of Proposal Opening: Texas Association of School Boards, Inc. BuyBoard Department 12007 Research Blvd. Austin, TX 78759 Anticipated Cooperative Board Meeting Date: January/February 2020 On P&4R awl Name of Proposing Company Date IeZ �I Street Address Signature of Authorized Company Official ' uLL W i I 1,e jws City, State, Zip Coda 9 s co 2 s i o 87 71 , <<Cl- Lo 4 Printed Name of Authorized Company Official Telephone Number of Authorized Company Official CD�a `15(o 2590 Fax Number of Authorized Company Official i C.P_ Pres k c e4-�- Position or Title of Authorized Company Official Coy--(- OVI l b'`--f 4 Federal ID Number City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 17 of 66 Proposal Forms COMM/SVCS V.05.31.2019 D�7Hoard Cooperative Purchasing 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com VENDOR CONTACT INFORMATION Name of Company: Vendor Proposal/Contract Contact Name: t C i 0. Vendor Proposal/Contract Contact E-mail Address: preede I +� T e-o— i 4o. (,n,A Vendor Contact Mailing Address for Proposal/Contract Notices: ?c)� 12-8 '_ U-lev; l le Aks 3 S -111 Company Website: VJ W UJ, prec I s OY) d e 14� . Cowes 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: Pree ae14a- t-eC14o. coYYI Purchase Order Contact: TQAfLi OL L4 Phone: G(Q2-'15(c-2810 Alternate Purchase Order E-mail Address: q 1 (1 g e r p (' eC i S e Ul'l�e CO ry1 V `J Alternate Purchase Order Contact: G. ng i M-S 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 ("RFQ_'): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: RFQ E-mail Address:yree, J e 14"o. ® 4e C RFQ Contact: Loft Phone: &(e a 7 5 (4�, 2810 Alternate RFQ E-mail Address: N Alternate RFQ Contact: ��(1q er J5 _r Wi e n s Phone: (D(na `-(5 (0 2 E? 10 Q City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 18 of 66 Proposal Forms COMM/SVCS v.05.31.2019 Board® Cooperative Purchasing 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buvboard.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: t.'Service fee invoices and related communications should be provided directly to my company at: �o Iz8 Invoice, aillin�g'radldrness: nn Department: city: 11 1 { IC, State: I ` 5 Zip Codd: Contact Name: _ i C i a L0 4� Phone: a l J 1, 2 O 1 0 Invoice Fax: M Wo a590 Invoice E-mail Address: e c d e @_ e l D n-�o , cones Alternative Invoice E-mail Address: q l nS e( L (-C� I S 1 6 n d e l e ❑ 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: City: Billing Agent Contact Name: Billing Agent Fax: State: Billing Agent E-mail Address: Alternative Billing Agent E-mail Address: Department: Zip Code: Phone: ** 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 a# service fees under any Contract awarded Vendor. City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 19 of 66 Proposal Forms COMM/SVCS v,05.31.2019 DZUBoard Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 . buvboard.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 W) 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 —�� _ (x C i _(c_ �a Signature of Authorized Company 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. Company Name cL� L.IO ► 1 �.f._ Signature of Authorized Company Official Printed Name City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 20 of 66 Proposal Forms COMM/SVCS v.05.31.2019 DUH,aard Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.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): �-eC,S �o�n �a-1=tGn O � ( 2 2�U.5 VJ `�(04 Q Company Name 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 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 followin4• ❑ Yes [V No By signature below, I certify that the information in Sections 1 (Resident/Nonresident Certification) and 2 (Vendor Employment Certification) above is true, complete and accurate and that I am authorized by my company to make this certification. cyn Company Name Signature of Authorized Company Official Printed Name City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 21 of 66 Proposal Forms COMM/SVCS v.05.31.2019 &57Hoard Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.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. Govt 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. Company Name cl Cl.- L Signature of Authorized Company Official Printed Name Note; If Vendor does not wish to make this cert/ficatlon, 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 certification is true, complete and accurate; and that I am authorized by my company to make this certification. Company Name TUTi cAca— L o-t-t- Signature of Authorized Company Official Printed Name City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 22 of 66 Proposal Forms COMM/SVCS v.05.31.2019 &57Board Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • 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 (A all that apples ❑ I certify that my company has been certified as a HUB in the following categories: ❑ Minority Owned Business ❑ Women Owned Business ❑ Service -Disabled Veteran Owned 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: r �❑V 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. Co Name C Printed Name Signature of Authorized Company Official City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 23 of 66 Proposal Forms COMM/SVCS v.05.31.2019 %7Hoard Cooperative Purchasing 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 . 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 'Advisory'), Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This BuyBoard contract does 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 bLiyboard.com/Vendor/Resoui-ces.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. Company Name Q _PCJf CA_ LO Signature of Authorized Company Official Printed Name ' ,_ �-lo- Date City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 24 of 66 Proposal Forms COMM/SVCS v,05.31,2019 &57Hoard Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 • FAX: 800-211-5454 ' buvboard.cam DEVIATION AND COMPLIANCE If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements associated with this Proposal 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 &J one of the following_ ❑ NO; Deviations Z Yes; Deviations List and fully explain any deviations you are submitting: Deviations presented by vendor have been accepted by BuyBoard. Connie W Burkett, CTSBO BuyBoard Contract Administrator 500, p0 1. Shipping Via: % Common Carrier ❑ Company Truck ❑ Prepaid and Add to Invoice ❑ Other: 2. Payment Terms: 0 Net 30 days ❑ 1% in 10/Net 30 days ❑ Other: 3. Number of Days for DeliverY� �I -"ARO 4. Vendor Reference/Quote Number: 5. State your return policy: 6. Are electronic payments acceptable? []Yes ❑ No 7. Are credit card payments acceptable? Yes GYl pany Name Signature of Authorized Company Official ❑ No - "IC-**tC�- �- Printed Name City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 25 of 66 Proposal Forms COMM/SVCS v.05.31.2019 Board® U %J Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com 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 be 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 form. 17e1keL Cor Company Name 0 Px\�, 122 205 VJ_qo-q Q tk— Address ' 4I��`II I� City State b(991 "7510 28 lv Phone Number in Contact Person Company Name Address City Phone Number Contact Person Lot State 3B77 Zip (o62 95 to P,5q o Fax Number Fax Number Zip City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 26 of 66 Proposal Forms COMM/SVCS V.05.31.2019 Board Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 , FAX: 800-211-5454 • buvboard.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 Phone Number Email address Designated Dealer Contact Person Your Company Name State Zip Fax Number Designated Dealer Tax ID Number* (*attach W-9) 5lgnature of Authorized Company Official City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 27 of 66 Proposal Forms COMM/SVCS v.05.31.2019 Board 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 unwllling to provide the speclfled 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 - statewide. I will only service members in the 0 9 regions checked below: • ` Region Headquarters - �� ❑ 1 Edinburg �.. 7 - — Christi hnsti - -� �- �_- ❑ 3 Victoria _ 19 - �' ^ - -- ❑ 4 Houston - ' `; n 5 ❑ 5 Beaumont - _ �r ❑ 6 Huntsville -- -- - :L - - �i- ❑ 7 Kilgore ❑ 8 Mount Pleasant 1 ` 3. ❑ 9 Wichita Falls _20-; - ' '_" ❑ 10 Richardson ❑ 11 Fort Worth 2 ❑ 12 Waco =- ❑ 13 Austin -- ❑ 14 Abilene _ - . ❑ 15 San Angelo `-- ❑ ❑ 16 Amarillo 17 Lubbock t? Company Name ❑ 18 Midland ❑ 19 ElPaso ❑ 20 San Antonio Signature of AuthorizedCompany Official "i GQ- f `-`� Y ' ❑ I will not service members Printed Name of the Texas Cooperative. City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 28 of 66 Proposal Forms COMM/SVCS v.05.31.2019 &57Board 0 Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 • buvboard.corri 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 w1111ng 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, !f awarded, termination of your Contract. Please check (-/) all that apply: ❑ I will service all states in the United States. I 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 ❑ Ohio ❑ Georgia ❑ Oklahoma ❑ Hawaii ❑ Oregon ❑ Idaho ❑ Pennsylvania ❑ Illinois ❑ Rhode Island ❑ Indiana ❑ South Carolina ❑ Iowa ❑ South Dakota ❑ Kansas ❑ Tennessee ❑ Kentucky ® Texas ❑ Louisiana ❑ Utah ❑ Maine ❑ Vermont ❑ Maryland ❑ Virginia ❑ Massachusetts ❑ Washington ❑ Michigan ❑ West Virginia ❑ Minnesota ❑ Wisconsin ❑ Mississippi ❑ Wyoming ❑ Missouri ❑ Montana City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 29 of 66 Proposal Forms COMM/SVCS v.05.31.2019 &U7Board Cooperative Purchasing 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal Invitation may be "piggy -backed" by another governmental entity. The National Purchasing Cooperative is an intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout the United States. If you agree to be considered for a piggy -back award by the National Purchasing Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the State Service Designation form, in your Proposal. By signing this form, Proposer (referred to in this Agreement as "Vendor") agrees as follows: 1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative') awards Vendor a contract under this Proposal Invitation ("Underlying Award'o, the National Purchasing Cooperative ("National Cooperative'o may - but is not required to - "piggy -back" on or re -award all or a portion of that Underlying Award {"Piggy -Back Award'). By signing this National Cooperative Vendor Award Agreement ("Agreement', Vendor accepts and agrees to be bound by any such Piggy -Back Award as provided for herein. 2. In the event National Cooperative awards Vendor a Piggy -Back Award, the National Cooperative Administrator 'BuyBoard Administrator's will notify Vendor in writing of such Piggy -Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order for the Piggy -Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by its BuyBoard Administrator in writing. 3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e., lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award. 4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved in writing by the BuyBoard Administrator. 5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of purchases generated from National Cooperative members through the Piggy -Back Award. Vendor shall remit payment to National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National Cooperative members in order to verify the accuracy of service fees. 6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall control, and then only to the extent necessary to reconcile the conflict. Proposal Forms COMM/SVCS v.05.31.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 30 of 66 &�7Board 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. a �QAR Cr( Na of Vendor Signature of Authorized Company Official Date 603-2-o Proposal Invitation Number e- Tl i C i 0. L tT Printed Name of Authorized Company Official 0roposal Forms CO�Ja City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-2/eV�f�S ��65631.2019 &578oard0 Cooperative Purchasing 12007 Research Boulevard . Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.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 t r based on an established catalog or market price during the previous 12-month period or the last fiscal year: c C.0 . . (The period of the 12 month period is 20 ?Xl ). In the event that a dollar value is not an appropriate measure of the sales, provide and describe Vour 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. PURCHASING GROUPCURRENT 1. Federal General Services Administration VENDOR? FORMER VENDOR (Y/N)? — IF YES, LIST YEARS DO' AWARDED COMMODITY O. 2. T-PASS (State of Texas)+ 1y i5 �uQ N►GP (oBn -C)Lf m8o-o5 3. U.S. Communities Purchasing Alliance 4. National IPA/TCPN 5. Houston -Galveston Area Council (HGAQ 6. National Joint Powers Alliance (NJPA) 7. E&I Cooperative 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 (%): 2-5 Explanation: Proposed Discount (%): q I 1d Proposal Forms COMMT v, 531.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page ot°66 &578oard 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. � e GS ion -1�)e 1G2�2 Company Name Signature of Authorized Company Official Printed Name City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-2P0roposal Fortes COMM/ vs§ 9MI.1019 Board® Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.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/ � �GqLjvec4c %�d(rez. 9 -'7q5- 2-A dcasa.reZe C�.tu,us ` Ll Dx0o My 2 a 12. -9 � - � t, c UOs� 5 15 20, cx) j :,%; 3. —Tbdips. ieycas. jo►( 7 Ac1lllow Go' v�tky ' �r Cc�kearraa a[ame.edw Ld 4. WQ� CG1Ia.G e,(ra 'LAo- "5- 0128 use (I. CXX I i AC6 Q ho�palite.or� m8�' 5. � � u � � �.� i n�o $32• � Z3(�2 ��OoO Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give better discounts (lower prices) than indicated? YES YES ® NO ❑ If YES, please explain: 9. C�4E?h L,,&Case. ,4�1e 4 crWe( Itlw Dric i Ns;m iCL z,6 )o IumA, nur�knAr, By signature below, I certify that the above is true and correct and that I am authorized by my company to make this certification. mpany Name Signature of Authorized Company Official `fir ► C. '� L^k- Lo t�- Printed Name Proposal Forms COMM/sV v 0 1,2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 34 of 66 Board® Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.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 contract period.) Attach additional pages if necessary. to L 7�1C.G,S ► UYl �a Company Name Signature of Authorized Company Official Low Printed Name Proposal Forms COVaIRV��SS vQ531.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 'a e 3) of 00 &578oard Cooperative Purchasing 12007 Research Boulevard ' Austin, Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 ' buvboard.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? Please 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 addldonal sheets if needed.) Proposal Forms COMM/SVCS V.05.31.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 36 of 66 &578oard ° Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com B. Copyright Information Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright information? Please check (J) one of the followina: ❑� 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 party. D. 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. 46) CtS_►C(y_1__L)P_ �_�a Company Name Signature of Authorized Company Official 1 -tt Printed Name I- - lq Date City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-26roposal Forms COPVjS �t gol.2019 allBoard° Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.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(eCj 5 ciY1 ,�6rA-ri (List the leas/ name of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba, aka, etc. here. Such information may be provided below. If 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 if 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): 1 1 f2h i Federal Employer Identification Number: (Q1 W qj"I q (Vendor must include a completed lRS 1!1 :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), ifapplicable, must be attached.) Proposal Forms COMM/SVCS v,05.31.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 38 of 66 w-9 Request for Taxpayer Give Form Form !2ete) Identification Number and Certification to the IFev.oct requester. Do not Department of the Treasury Internal Revenue Service ► Go to www.irs.gov/FormW9 for insbuatfons and the latest information. send to the IFtS. (as shown on your Income tax ret ). NameAre_q/uired on thls ffrlo� do not leave this line blank. 2 Business naoWdisregarded entity name, If different from above r' o 3 Check ate box forfedwal tax classification of the appropriate person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entities, not Individuals; we C1 o ❑ IndivlduaVsole proprietor or C Corporation [3S Corporation ❑ Partnership ❑ Tnievestate instructions on page 3): m single -member LLC Exempt payee code (f any) ❑ Limhed liability company. Enterthe tax classification (r-=C corporation, S=S corporation, P=Partnership) ► p Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting u� 'C 6• LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single�momber LLC that Code (if any) is disregarded from the owner should check the appropriate box for the tax classification of Its owner. ❑ Other (Gee instructions)► Otordn lnecrounls nWnraY,ed ourtfW rM U.a) 5 Addressumber, street, and apt. or suite no,) See ins, actions. e 5 W Requesters name and address (optionag 8 Vie, an ZIP cod ► 38 i 7 List account number(s) here (optional) - i ax ayer iGenimcation NUmoer (I IN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, this is generally your social security number (SHowever, fora-7 resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other _ m - entities, it is your employer identification number (FIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is In more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter. of Certification Under penalties of perjury, I certify, that: 1. The number shown on this form is my correct taxpayer identification number (or I am wafting 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 notified 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 The FATCA code(s) entered on this form [if 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 report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the Instructions for Part II, later. �r rt Signature nature of Here U.S. person ► Date ► ' • L �( General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer Identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to. the following. • Form 1099-INT Qnterest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-0 (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (Including a resident alien), to provide your correct TIN. if you do not return Form W-9 to the requester with a 77N, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X For, W-9 (Rev. 1e-2018) City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 39 of 66 &578oardm Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com EDGAR VENDOR CERTIFICATION (2 CFR Part 200 and Appendix II) When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, 2 CFR 200 (sometimes referred to as the "Uniform Guidance" or new "EDGAR'. All Vendors submitting proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This completed form will be made available to Cooperative members for their use while considering their purchasing options when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in addition to the BuyBoard contract's general terms and conditions, to address the member's specific contractual needs, including contract requirements for a procurement using federal grants or contracts. ' For each of the Items below, Vendor should certify Vendor's agreement and ablllty to comply, where applicable, by having Vendor's authorized representative complete and Initial the applicable boxes and sign the acknowledgment at the end of this form. If you fall to complete any Item In this form, the Cooperative will consider and may list the Vendor's response on the BuyBoard as "NO,"the Vendor Is unable or unwilling to comply. A "NO" response to any of the items may, if applicable, impact the ability of a Cooperative member to purchase from the Vendor using federal funds. 1. Vendor Violation or Breach of Contract Terms: Contracts for more than the Simplified Acquisition Threshold, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate. Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18, Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms and Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary contract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions. The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By submitting a Proposal, you agree to these Vendor violation and breach of contract terms. 2. Termination for Cause or Convenience: For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the following term and condition shall apply: The Cooperative member may terminate or cancel any purchase order under this Contract at any time, with or without cause, by providing seven (7) business days advance written notice to the Vendor. If this Agreement is terminated in accordance with this Paragraph, the Cooperative member shall only be required to pay Vendor for goods or services delivered to the Cooperative member prior to the termination and not otherwise returned in accordance with Vendor's return policy. If the Cooperative member has paid Vendor for goods or services not yet provided as of the date of termination, Vendor shall immediately refund such payment(s). If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the manner by which it will be effected and the basis for settlement, is included in the Cooperative member's purchase order, ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member's provision shall control. City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-2groposal Forms CO WV4�df(W1.2019 Board© Cooperative Purchasing 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com 3. Equal Employment Opportunity: Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR Part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor." The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that such provision applies to any Cooperative member purchase or contract that meets the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision. 4. Davis -Bacon Act: When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction contracts/purchases in excess of $2,000, Vendor shall comply with the Davis -Bacon Act (40 USC 3141-3144, and 3146- 3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction'. In accordance with the statute, Vendor is required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week. Current prevailing wage determinations issued by the Department of Labor are available at wdol.aov. Vendor agrees that, for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor's acceptance of the wage determination. Vendor further agrees that it shall also comply with the Copeland "Anti -Kickback" Act (40 USC 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States'. The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. S. Contract Work Hours and Safety Standards Act: Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. 6. Right to Inventions Made Under a Contract or Agreement: If the Cooperative member's Federal award meets the definition of "funding agreement" under 37 CFR 401.2(a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance or experimental, developmental, or research work under that "funding agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding agency. Vendor agrees to comply with the above requirements when applicable. Proposal Forms COMM/SVCS v.05.31.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 41 of 66 &57Board 0 Cooperative Purchasing 12007 Research Boulevard . Austin, Texas 78759-2439 • PH: 800-695-2919 . FAX: 800-211-5454 . buyboard.com 7. Clean Air Act and Federal Water Pollution Control Act: Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended — Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non -Federal award to agree to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401- 7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act and the Federal Water Pollution Control Act, 8. Debarment and Suspension: Debarment and Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.220) must not be made to parties listed on the government -wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR Part 1989 Comp. p. 235), 'Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor certifies that Vendor is not currently listed on the government -wide exclusions in SAM, is not debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from Vendor if Vendor is later listed on the government -wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. 9. Byrd Anti -Lobbying Amendment: Byrd Anti -Lobbying Amendment (31 USC 1352) -- Vendors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 USC 1352. Each tier must also disclose any lobbying with non - Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non -Federal award. As applicable, Vendor agrees to file all certifications and disclosures required by, and otherwise comply with, the Byrd Anti -Lobbying Amendment (31 USC 1352). 10. Procurement of Recovered Materials: For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. 11. Profit as a Separate Element of Price: For purchases using federal funds in excess of the Simplified Acquisition Threshold, a Cooperative member may be required to negotiate profit as a separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Contract. Proposal Forms COMM/SV v 0 1.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 4ffof 66 &UBoard0 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 Certification: YES, I agree or Vendor Certification Item No. NO, I do NOT agree Initial 1. Vendor Violation or Breach of Contract Terms 2. Termination for Cause or Convenience 3. Equal Employment Opportunity 1 4. Davis -Bacon Act S 5. Contract Work Hours and Safety Standards Act u 6. Right to Inventions Made Under a Contract or Agreement 7. Clean Air Act and Federal Water Pollution Control Act 1 8. Debarment and Suspension 9. Byrd Anti -Lobbying Amendment 14 e 10. Procurement of Recovered Materials U 11. Profit as a Separate Element of Price S 12. General Compliance and Cooperation with Cooperative Members 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. Company Name �p ,—q� Signature of Authorized Company Official �iC�0. lo* Printed Name Proposal Forms COMM/SVCS v.05.31.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 43 of 66 Board® Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 . FAX: 800-211-5454 • buvboard.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's. 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. 4 r • ' J/ � O t'('q V V 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. -All 12d GZs M Proposal Forms C0�1a /eV,R City of Fort Worth and Precision Delta Corporation -Cooperative Agency Contract BuyBoard #603-2ovf0 ol.2019 Board Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 • buyboarcl,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. 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. �/( ou-, 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. 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. 71aL�15 idYL CW Company Name Signature of Authorized Company Official Proposal Forms COMM/SVCS v.05.31.2019 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 45 of 66 %7Board U U Cooperative Purchasing 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 • buvboard.com REQUIRED FORMS CHECKLIST (Please check (J) the following) [� Completed: Proposer's Agreement and Signature Completed: Vendor Contact Information Completed: Felony Conviction Disclosure and Debarment Certification Completed: Resident/Nonresident Certification Completed: No Israel Boycott Certification Completed: No Excluded Nation or Foreign Terrorist Organization Certification 0 Completed: Historically Underutilized Business (HUB) Certification) Completed: Construction Related Goods and Services Affirmation Completed: Deviation/Compliance [� Completed: Location/Authorized Seller Listings Completed: Manufacturer Dealer Designation Completed: Texas Regional Service Designation Completed: State Service Designation v� Completed: National Purchasing Cooperative Vendor Award Agreement ®' Completed: Federal and State/Purchasing Cooperative Experience Completed: Governmental References Completed: Marketing Strategy [ Completed: Confidential/Proprietary Information Q Completed: Vendor Business Name with IRS Form W-9 [� Completed: EDGAR Vendor Certification Completed: Proposal Invitation Questionnaire [R( Completed: Required Forms Checklist Completed: Proposal Specification Form with Catalogs/Pricelists and Texas Department of Public Safety License -'Catalogs/ cellsts must be submitted with proposal response or nsponse W11 not be considered. 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V a C O L U r6 0 i C � r m O U" U� W a O rO�pp 0- O Z J u W a O V) 0) O L Z J (n (n d 0 M V- LI) cD m t,l E z Lr) Q H z LO Ln LO V1 0 n f 0 z ccoo O o 4 � U. F. M W a a J a 0 a a 0 N co CD co -Q 0 O m m U m c O C U c 0 Q aa) O d N C i Q O U c O Ln in Oo_ O -0U _o M 0 c ,O L U N � �a W Ln z o i O Ln Qa� Q' O` o LL a m o a U Y PRECISION DELTA" Your Partners In Performance. Phone 800-337-3621 * Fax 662-756-2590 PO Box 128 * Ruleville, MS 38771 * www.precisiondelta.com July 26, 2019 Sole Source Precision Delta Corporation is the sole source of Precision Delta Products in the state of Texas. We do not sell our products through a distributor. Yours Truly Patricia Lott Vice President City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 58 of 66 �YI1�CtTE..f'TE�.. A M M U N I T 1 D N January 15, 2019 To Whom It May Concern: Precision Delta Corp. is the authorized law enforcement distributor for Winchester ammunition and is the sole source for Winchester Ammunition in Alabama, Arkansas, Georgia, Kansas, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee and Texas. Sincerely, Glen Weeks Director, Government Contracts and Specialty Products j dm gw 19-5 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 59 of 66 EXHIBIT C CONFLICT OF INTEREST DISCLOSURE REQUIREMENT Pursuant to Chapter 176 of the Local Government Code, any person or agent of a person who contracts or seeks to contract for the sale or purchase of property, goods, or services with a local governmental entity (i.e. The CITY of Fort Worth) must disclose in the Questionnaire Form CIQ ("Questionnaire") the person's affiliation or business relationship that might cause a conflict of interest with the local governmental entity. Bylaw, the Questionnaire must be filed with the Fort Worth CITY Secretary no later than seven days after the date the person begins contract discussions or negotiations with the CITY, or submits an application or response to a request for proposals or bids, correspondence, or another writing related to a potential agreement with the CITY. Updated Questionnaires must be filed in conformance with Chapter 176. A copy of the Questionnaire Form CIQ is enclosed with the submittal documents. The form is also available at http://www.ethics.state.tx.us/forms/CIQ.pdf. If you have any questions about compliance, please consult your own legal counsel. Compliance is the individual responsibility of each person or agent of a person who is subject to the filing requirement. An offense under Chapter 176 is a Class C misdemeanor. NOTE: If you are not aware of a Conflict of Interest in any business relationship that you might have with the CITY, state Vendor name in the # 1, use N/A in each of the areas on the form. However, a signature is required in the #7 box in all cases. City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 60 of 66 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This quesrionnaim mM@cts dungos made is the law by li.EL 23, e4th Leg., Regular Session OFF9GE USEONLY This gw Bonn- il. d in acoordame with Chapier 176, L ocal Cauornmonl Goclia, tag a vorxlor who _ po6ow j has a !Nisiness reEr. ;a as Mined by Section 176-Doilt-ai with a local govvrA*nral miry and the verrdv Rreer5 r@%ir:,r .--is upck- 13ectl4n 17ti.tiJrJ5�;d1. % law M gLiestrannalre rnus'I :- ' ed with to ferards admirmiratlor of the local giwomirrental mtrtr no later than the 7tfl business day ahe, ._: date tw vondvt bamnw* aware of fasts that requis the statement to be Mad. Sim Soctirl 1 is DmCa , - xal Cipvwmerrt Cede. A vendlor commit am dkwra H the vendor kncwinaly violates Section 176.+ %. Lcral Governmgnt Cade. An dtertsw u+1r]w Ift seco w rl a rnsdorrlpelrarpr. 1J Name ofvendcrwho has abusin"i relafionshipwith local goverrnmentalordity. Precision Delta Corporation 2 Check Ih Is boor if you are fl Inn an la to a rev iousl libel ues#ronnmrs- The Law r ores that you file an u lad Y 9 +tea P y q ( � y P� completed gLwstionnaire with the appropriate filing authority not later than the 7th business day after the dale on which you ba+carno a7wrarfa anal. Lhe of,ginak filed questinnnaira was incomplete or maccurate. Nanny cf local govommard oflicor about whom the information is boiling risclortr d, 1 kalYl� bt Othear # L]oscriba oachomploymunl or DI her businoas roWianshipwith the local ®0rr9mm4nt olflCQL or family momtssr of Iho officer, as described by Section 176.003(a) (2) (A)- Also describe any family re lationship with the local government off icer. Complowsubparts Aand t3loreachornployrnlpnlofbusussrolationship dpwribad, Attach additionalpDWstothis Form CI as n assary. A. Is the local governmard 09bu or a farnitir mgmbvr of the olficar rocan+irg or hko4y to rvcvr o taxsbla FICorno, other than inrssstmant inoonrm, from Ma v€lntdor? F7Yes 7No B- Is. Hwverldrsr rwa&ing of Wely to racarva mxabla rroomo, other than invesumont incoma, from of at th4 dria,ction of the local glaremment officer ar a family member of the offow AND the taxable income is root received from the local gorsrnmpntal oritity? YOS IX Nb AlDtrscrrbE oach emplayrinarit or business ral.atrrxlship that tho voncllor nilM" in Soction 1 maintains with b corparatlorl or other business entity with respect to which the local goventment officer serves as an officer or director: or holds an ownGF81111P InkWOMI Of ore p?rcant €ir moria. ❑ Check this box if the vendor has given the local government aiircar or a iarniy member DI the offr w one or more grf s as described in Section 176.0M7 a)(2)(B), exclWing gilts described in Sectign 176.DD3(a-1)- i Giv,�rersfi//iovrs Feb 16, 2023 -Anatrrre 01 vedoing tx&ness wth the goner andy_ Farm pcvrtladter TexasEtitecs C'N"l$sron *%w.athets.stata ix.us Retsed vi.eM2i City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 61 of 66 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete Copy of Chapler 176 oI the Local Govammant Code may be found at http::ww+r_slatules_leg�s_slat_tr_us Docs'LG'htrn1e 176 htm For easy reference, below are some of the se0ons cited on ibis form. L2gi!l Government Code § 176.00J (I -al. "BuWnm relalionshipy" means a connection between two or mare parties leased on commercial activity of one of Me parties. The term does not include a connection based on_ (A) a trw achon that is subject to rate or fee reguiLoWn by a tederal, state, or k3ca1,governmental enlity or an egg+' of gl ledaral, state, or local governmental entity; (B) a transaction conducted at a prig and subject 1v terms available tothe public; or (C) a purchase OF lease of goods or sen+km from a person that Is chartered by a spate or federal agency and that is Subled 10 regular examinaW by, SM rWrting to., thal agency. Local Government Code 4176.00a)(2)(A) errd (M.- (a) 1# IbC�I galArnmeitit bificar srialt file 8 cC�rtfl ia:L9 d15C145ure 31a3enlaarit w itiM r�rspeet 1c� a w erid�br d: (2) the vendor (A) has an employment or other business relation ship with the local gOVeFn Men t ONICar or a family member of the officer that results in the officer OF fatuity member receiving twiable income, outer than investme— ins -rre1 that exceeds $2.500 during the 12-month period preceding the date that theo'f . ' L ::F._.. 4.S aware that tip aconrac epi .,e local governmental oniFty and vendor has beenexecuted: or (ii, the local governmental entrt}r is ccrnsiclering entering into a contract with the vendrx:: (6) has given to tne local government officer or a famly rmm ber of the off icer one or FT10re gifts thal have an aggregate value of more than $100 in the 12-month perod preceditgtheda[ethe officer becomes awarr3 trial: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the loci govemrental entity is considering entering into a contract wM the vendor. Local Govemment Code A 176.0lWail and (a-1] 1,a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and. (1) has an employment orother business relationship with a local guv®mmenl officer of that local gavern mental entity, or family membercf ftre officer. described by Section 176_DO3(a)(2)(A); (2) has given a local government officer o1 that lorad garlyern mental entity, or a tam Ily member of the officer, one or n-*re gifU with the aggregaie value specified by SecWn 176-003(a)(2)(8), excludi ng eery g'Ift described by Section 17fa,003(art );er (3) has a family relationship wear a local government calker of that local governmental entity - (a. 1) TheC4mliloled WrifliCt of nlote$l gtrestionnaire ritual befiledwdh the appropriate r9W4rris ad minisiriator not later than the seventh business day after the later of: (1) the date that the vendou (A) begins discussions or negoiiabons to enler into a mntract with the local governmental entity, or {B} submits to the local governmental entity an application, response to a request for propc6als or bids., corresporidance, or another writing relatad to a potanmi contracl with ttr19 local goveminenlal entity; OF (2) the date the vendor becomes aware: (A) of an employment or olher business r€rlaliamsho wo a local govemment otlicet, or a family member of the Ulficer, dsscribed by Subsection (e); (113) thal the vendor has g iven one or more gifts described by Subsecti n (a); or (C) ol a family relati onsh ip mui a local government otfrcer. Form prwdad by Tomas Clhics Gouirniss+an wrw.w1hics stalo 9x us RWA04W luuml City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 62 of 66 City of Fort Worth, Texas Mayor and Council Communication DATE: 04/07/20 M&C FILE NUMBER: M&C 20-0218 LOG NAME: 13P BB 603-20 PUBLIC SAFETY BSR SUBJECT Authorize Non -Exclusive Purchase Agreements for Public Safety Supplies and Equipment with Casco Industries, Inc., Dana Safety, GT Distributors, Inc., Daco Fire Equipment, Metro Fire Apparatus Specialists, Inc., Lone Star Products and Equipment LLC, Galls, LLC, Cap Fleet Upfitters, LLC, and Big Country Supply, Using a Cooperative Contract in the Combined Annual Amount Up to $6,621,000.00 for the City Departments (ALL COUNCIL DISTRICTS) RECOMMENDATION: It is recommended that the City Council authorize Non -Exclusive Purchase Agreements for public safety supplies and equipment with Casco Industries, Inc., GT Distributors, Inc., Daco Fire Equipment, Dana Safety, Metro Fire Apparatus Specialists, Inc., Lone Star Products and Equipment LLC, Galls, LLC, Cap Fleet Upfitters, LLC, and Big Country Supply, using Texas Association of School Boards BuyBoard Contract No. 603-20 in the amount up to $6,621,000.00 for the City departments. DISCUSSION: The Police, Fire and Municipal Courts Departments approached the Purchasing Division to finalize annual agreements to purchase supplies and equipment for police officers, firefighters, marshals and new recruits on an as -needed basis from multiple vendors. City is utilizing Texas Association of School Boards BuyBoard (TASB) Cooperative Purchase Agreement Contract No. 524-17 to procure public safety supplies and equipment from multiple suppliers for a total amount up to $6,621,000.00. The services include firearms, ammunition, tactical/riot equipment, vehicle equipment, night vision/thermal imaging equipment, fingerprint equipment, uniforms, red light monitoring systems, speed enforcement equipment, breathing apparatus, protective clothing, gas detection devices, and fire hoses/nozzles. The Agreements also include hourly labor rates for installation/repair service and up -fit for law enforcement service vehicles. On April 11, 2017, City Council (M&C P-12025) authorized Cooperative Agreements with multiple suppliers for Public Safety Supplies and Equipment in the amount up to $5,005,000.00 for the City departments. On March 3, 2020 City Council (M&C 20-0113) authorized an increase in the amount up to $1,000,000.00 for a new total amount up to $6,121,000.00. In addition, on December 5, 2017, City Council (M&C P-12136) authorized Cooperative Agreement with Casco Industries, Inc., for the Fire Department in an annual amount up to $450,000.00. These Agreements will expire on March 31, 2020 The staff recommends awarding multiple vendors offering a variety of products offered through Texas Association of School Boards BuyBoard (TASB) Contract No. 603-20. Recommended vendors are Casco Industries, Inc., GT Distributors, Inc., Daco Fire Equipment, Dana Safety, Metro Fire Apparatus Specialists, Inc., Lone Star Products and Equipment LLC, Galls, LLC, Cap Fleet Upfitters, and Big Country Supply. Vendors will be selected for ordering according to price and availability. PRICE ANALYSIS - Staff reviewed the contract price percentage list under the TASB contract. The price list reflected a decrease on certain items and no change on other items. No guarantee was made that a specific amount of goods and services would be purchased; however, Staff estimated annual expenditures in the amount of $6,621,000.00. COOPERATIVE PURCHASE - City Departments will use TASB Contract No. 603-20 to acquire public safety supplies and equipment. State law provides that a local government purchasing an item under a Cooperative Purchasing Agreement satisfies state laws requiring that the local government seek competitive bids for purchase of the items. TASB contracts have been competitively bid to increase and simplify the purchasing power of government entities AGREEMENT TERMS - This Agreement will begin upon City Council approval and end on March 31, 2021 to correspond with the term of the cooperative contract. RENEWAL OPTIONS - Agreements may be renewed, in accordance with the terms of the TASB contract, for two additional one-year terms. This action does not require specific City Council approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal term. Staff anticipates that the costs for renewal years shall remain approximately the same as the first year. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current operating budgets, as appropriated, of the participating departments and that prior to an expenditure being made, the department has the responsibility to validate the availability of funds. Submitted fo Cit anaaer's Office bv: Kevin Gunn 2015 i y 0 or o an-reci�sin iUelta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 63 of 66 Originating Business Unit Head: Reginald Zeno 8517 Additional Information Contact: Cynthia Garcia 8525 Blanca Sanchez 8354 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 64 of 66 City of Fort Worth, Texas Mayor and Council Communication DATE: 02/14/23 M&C FILE NUMBER: M&C 23-0103 LOG NAME: 13PAMEND M&C 20-0218 PUBLIC SAFETY MC PD SUBJECT (ALL) Authorize Amendment to Mayor and Council Communication 20-0218 to Authorize Execution of a Cooperative Agreement for Public Safety Supplies and Equipment to add CMC Government Services, Inc., Clyde Armory, Inc., Proforce Marketing, Inc., and Precision Delta Corporation as Additional Vendors RECOMMENDATION: It is recommended that the City Council authorize an amendment to Mayor and Council Communication 20-0218 to authorize execution of a cooperative agreement for public safety supplies and equipment to add CMC Government Services, Inc., Clyde Armory, Inc., Proforce Marketing, Inc., and Precision Delta Corporation as additional vendors. DISCUSSION: On April 7, 2020, City Council authorized execution of Mayor and Council Communication (M&C) 20-0218 for public safety supplies and equipment using Buyboard Contract 603-20 for the Police, Fire, and Municipal Courts Departments. The City utilizes this agreement to procure public safety supplies and equipment that include firearms, ammunition, tactical/riot equipment, vehicle equipment, night vision/thermal imaging equipment, fingerprint equipment, uniforms, speed enforcement equipment, breathing apparatus, protective clothing, gas detection devices, and fire hoses/nozzles from multiple vendors. City departments are now requesting assistance with amending M&C 20-0218 to include CMC Government Services, Inc., Clyde Armory, Inc., Proforce Marketing, Inc., and Precision Delta Corporation as additional vendors to the original authorization in order to procure additional supplies and equipment. The addition of these vendors will not increase or affect the original purchase agreement amount of up to $6,621,000.00 authorized in M&C 20- 0218, however, the actual amount used will be based on the need of the department and the available budget. The Department will be using funds from their Crime Control and Prevention District (CCPD) and General Funds in order to pay for these expenditures. A MBE/SBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity. The agreement is based on BuyBoard Contract 603-20. State law provides that a local government purchasing an item under a cooperative purchasing agreement satisfies state laws requiring that the local government seek competitive bids for purchase of the items. BuyBoard contracts have been competitively bid to increase and simplify the purchasing power of government entities. An administrative change order or increase may be made by the City Manager up to the amount allowed by relevant law and the Fort Worth City Code and does not require specific City Council approval as long as sufficient funds have been appropriated. This agreement will end on March 31, 2023 to correspond with the term of the BuyBoard cooperative contract. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that approval of the above recommendation will have no material effect on City funds. Submitted for City Manager's Office by. Reginald Zeno 8517 Originating Business Unit Head: Additional Information Contact: Fernando Costa 6122 Reginald Zeno 8517 Neil Noakes 4212 Anthony Rousseau 8338 Maria Canoura 2526 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 65 of 66 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2023-970901 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Precision Delta Corporation Ruleville, MS United States Date Filed: 01/11/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Fort Worth Texas Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Buyboard Agreement 603-20 ammunition for law enforcement 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECII ALRATION , G �7 My name is l and my date of birth is ��`�p �/ % /. My address is br1 (street) (city) (state) (zip code) (country) I declare under pen of perjury that the foregoing is true and correct. Nn .( Executed in County, State of /'r `�' on the day of - , 20�� (month) (year) sijQati>e of authorized agent of contracting business entity (Declarant) corms provided by I exas Etnics uommisslon www.ethics.state.tx.us Version V3.5.1.3ac88bc0 City of Fort Worth and Precision Delta Corporation - Cooperative Agency Contract BuyBoard #603-20 Page 66 of 66