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Home My WebLink AboutContract 59736CSC No. 59736 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between AM Signal, LLC ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality. The Cooperative Purchase Agreement includes the following documents which shall be construed in the order of precedence in which they are listed: This Cooperative Purchase Agreement; Exhibit A — Seller's Quote, Scope of Services or Purchase Order; Exhibit B — Cooperative Agency Contract PACE OD-358-21; and 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 Three Hundred Fifty Thousand Dollars ($350,000.00). 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 ending on December 13, 2023 in line with cooperative contract. Upon the expiration of this Term, the Agreement shall renew automatically under the same terms and conditions for up to three (3) one-year renewal periods, unless City or Contractor provides the other party with notice of non - renewal at least 60 days before the expiration of the Initial Term or renewal period. However, if funds are not appropriated, the City may cancel the Agreement 30 calendar days after providing written notification to the Contractor. Vendor agrees that City shall, until the expiration of three (3) years after final payment under this Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records, including, but not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access during normal working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor reasonable advance notice of intended audits. Federal Compliance: Vendor agrees to comply with all federal statutes relating to nondiscrimination, labor standards, domestic preference and environmental compliance. Additionally, for work to be performed under the Agreement or subcontract thereof, including procurement of materials or leases of equipment, Vendor shall notify each potential subcontractor or supplier of the Vendor's federal compliance obligations. These may include, but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§ 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) the Fair Labor Standards Act of 1938 (29 USC 676 et. seq.), (d) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794), which prohibits discrimination on the basis of handicaps and the Americans with Disabilities Act of 1990; (e) the Age Discrimination in Employment Act of 1967 (29 USC 621 et. seq.) and the Age Discrimination Act of 1974, as amended (42 U.S.C. §§ 6101-6107), which prohibits discrimination on the basis of age; (f) any OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX other nondiscrimination provisions in any specific statute(s) applicable to any Federal funding for this Agreement; (g) the requirements of any other nondiscrimination statute(s) which may apply to this Agreement; (h) applicable provisions of the Davis -Bacon Act under 40 USC § 3141 — 3148, and the Contract Work Hours and Safety Standards Act under 40 USC § 3701 — 3708; (i) applicable provisions of the Rights to Invention Made Under Contract or Agreement Act under 37 CFR Part 401; 0) applicable provisions of the Clean Air Act under 42 USC § 7401 — 7671, the Energy Federal Water Pollution Control Act 33 USC § 1251 — 1387, and the Energy Policy Conservation Act under 42 USC § 6201; (k) compliance with all Buy America requirements under 23 USC 313 and 23 CFR 635.410, which require a domestic manufacturing process for any steel or iron products; (1) Compliance with Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment under 2 CFR §200.216 and §200.471; (m) compliance with federal assistance programs under Executive Order 12549, Debarment and Suspension, which prohibit participation of debarred or suspended or otherwise excluded from or ineligible vendor or its suppliers using federal funds; (n) compliance with federal restriction on lobbying expenditures under 2 CFR 200 clauses: (o) consistent with Domestic preferences for procurements under 2 CFR §200.322, which provide a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States as appropriate and to the greatest extent practicable. This Agreement shall be construed in accordance with the laws of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought pursuant to this Agreement, venue for such action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. 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: To CITY: To VENDOR: City of Fort Worth AM Signal, LLC Attn: William Johnson, Assistant City Manager Alex Undzis, Director of Operations 200 Texas Street Fort Worth, TX 76102-6314 Address: Facsimile: (817) 392-8654 8100 Southpark Way, Unit A10 Littleton, CO 80120 With copy to Fort Worth City Attorney's Office at same address Facsimile: 720-348-6950 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: By: Wi Ilia nnJohnson (Jul 10,202314:04 CDT) Name: William Johnson Title: Assistant City Manager Date: J u 110, 2023 APPROVAL RECOMMENDED: AL..., .2,....... By: Lauren Prieur (Jul 6, 202309:00 CDT) Name: Lauren Prieur Title: Transportation/Public Works Director 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. By: Aziz Rah (Ju 6, 2023 08:33 CDT) Name: Aziz Rahman Title: Engineering Manager APPROVED AS TO FORM AND LEGALITY: ATTEST: p F F9RT,9�o 0 �a �q p C10 ogi� 0�� (NiCC�aNtd OdAa ndbn�oog4pc By: % r3��,L9 Name: Jessika Williams By: Title: Assistant City Attorney Name: Jannette Goodall Title: City Secretary CONTRACT AUTHORIZATION: M&C: 23-0585 VENDOR: AM Signal, LLC By: .A� Name: Alex Undkis Title: Director of Operations OFFICIAL RECORD Date: July 5, 2023 CITY SECRETARY FT. WORTH, TX EXHIBIT A TRAVEL TIME AND ORIGIN DESTINATION 4. zm For Members of Purchasing Cooperative of America SIGNAL OD-358-21 Traffic Control Products, Services & Related Items Acyclica/Flir AC-DA300 AC-DA300-DPH AC-DA300-HRM AC-DA300-Y-SDLC-5 AC-DA400 AC-DA400-HRN AC-MIMO-ANT AC-MIMO-ANT-LP Data Aggregator DA-300-AC; Data Aggregator, AC, WIFI Reader Enabled $ 5,715.00 $ 5,143.50 with EDI Components DA-300 PWR Harness H3 for 12-24Vdc $ 40.42 $ 36.38 Cabinet Interface Harness Kit $ 420.33 $ 378.30 SDLC Y Harness 5 foot $ 420.33 $ 378.30 Data Aggregator AC-DA-400-AC $ 2,242.32 $ 2,018.09 Cabinet Interface Harness Kit DA-400 $ 420.33 $ 378.30 5-Band MIMO Antenna-SMA $ 226.33 $ 203.70 5-Band MIMO Antenna-SMA Low Profile $ 428.42 $ 385.58 AC-SRV VPN Dedicated Cloud Based VPN Service (price per client group per year) $ 6,666.67 $ 6,000.00 AC-SRV VPN_5YR Dedicated Cloud Based VPN Service 5YR (per instance) $ 26,666.67 $ 24,000.00 AC-SIM-CARD SIM Card for Cellular Service $ 25.00 $ 22.50 AC-SRV CELM_DS Cellular data service ly $ 666.67 $ 600.00 Signal Timing Tools - 1 year license. Requires a Travel Time lyr license. AC-SW_SIGNAL (advanced travel & delay time, progression diagram, Speed by Segment, $ 388.00 $ 349.20 Timing Plan) Signal Timing Tools - 5 year license. Requires a Travel Time 5 yr license. AC-SW_SIGNAL_5YR (advanced travel & delay time, progression diagram, Speed by Segment, $ 1,552.00 $ 1,396.80 Timing Plan) Intersection Performance Measures 1 yr license. Requires connection to AC-SW_INTERS signal phase information. (arrivals on red/green, purdue coordination, $ 388.00 $ 349.20 veh/ped delay) Intersection Performance Measures 5 yr license. Requires connection to AC-SW_INTERS_5YR signal phase information. (arrivals on red/green, purdue coordination, $ 1,552.00 $ 1,396.80 veh/ped delay) AC -SW ROUTE Route Performance Measures Requires both FUR VSO & Travel Time I $ 388.00 $ 349.20 — licenses. (congestion index, VHT / VMT, emissions, vehicle delay hours) AC -SW ROUTE 5YR Route Performance Measures Requires both FLIR VSO & Travel Time 5yr $ 1,552.00 $ 1,396.80 licenses. (congestion index, VHT / VMT, emissions, vehicle delay hours) AC -SW REPORT Reporting Module 1 year license. Requires a Travel Time lyr license.(route $ 388.00 $ 349.20 — & segment travel time distribution, turning movement count) AC -SW REPORT 5YR Reporting Module 5 year license. Requires a Travel Time 5yr license.(route $ 1,552.00 $ 1,396.80 & segment travel time distribution, turning movement count) AC -SW PLAN Planning Module 1 year license. Requires a Travel Time lyr license. $ 388.00 $ 349.20 — (advanced O/D) AC -SW PLAN 5YR AC-SW_VSO AC -SW VSO 5YR AC-SW_FLIR VSO AC -SW FLIR VSO_5YR AC -SW TRAVEL IYR AC-SW_TRAVEL_5Y Planning Module 5 year license. Requires a Travel Time 5yr license. $ 1,552.00 S 1,396.80 (advanced O/D) Non-FLIR VSO ly license (per sensor) (Wavetronix. RTMS. Iteris....) $ 194.00 S 174.60 FLIR Sensor Package 5y (FLIR VSO, Travel Time, Signal Timing Tools, $ 775.00 S 697.50 Reporting Module, Planning Module, Route Performance) FLIR VSO I license (historical & real-time VSO data, images, events) $ 242.50 $ 218.25 FLIR VSO 5y license (historical & real-time VSO data, images, events) $ 970.00 $ 873.00 Travel Time (1 year license) (basic travel & delay time, O/D) $ 727.50 $ 654.75 Travel Time (5 year license) (basic travel & delay time, O/D) $ 2,910.00 $ 2,619.00 FLIR Sensor Package I (FLIR VSO, Travel Time, Signal Timing Tools, AC -SW FLIR SNSR $ 2,522.00 $ 2,269.80 Reporting Module, Planning Module, Route Performance) FLIR Sensor Package 5y (FLIR VSO, Travel Time, Signal Timing Tools, AC -SW FLIR SNSR SYR $ 10,088.00 $ 9,079.20 Reporting Module, Planning Module, Route Performance) AC-DA300_SW_CONG AC-DA400_SW_CONG AC-DA400_SW_ALL DA-300 Congestion Package 5y (Travel Time, Intersection Performance) $ 5,286.50 $ 4,757.85 DA-300 Congestion Package 5y (Travel Time, Intersection Performance) $ 5,286.50 $ 4,757.85 DA-400 All Package 5y (Travel Time, Intersection Performance, Signal $ 9,942.50 $ 8,948.25 Timing Tools, Reporting Module, Planning Mod AC -SW TRAVEL_IOM IOmin Travel Time Group API Call, 1 yr $ 216.67 $ 195.00 AC -SW TRAVEL_5M 5min Travel Time Group API Call, 1 yr $ 608.33 $ 547.50 AC -SW TRAVEL_1M Imin Travel Time Group API Call, 1 yr $ 3,766.67 $ 3,390.00 AC -SW VSO_I0M IOmin VSO Group API call, IYr $ 216.67 $ 195.00 AC -SW VSO_5M 5min VSO Group API call, lYr $ 608.33 $ 547.50 AC -SW VSO_1M Imin VSO Group API call, 1Yr $ 3,766.67 $ 3,390.00 Signal Services - Call us for coordination & details $ 5,000.00 $ 4,500.00 Other Acyclica Products Not Listed - Take 10% off list price AM Signal LLC 2021 - Acyclica/Flir - Travel Time and Origin Destination Pricing Catalog Uninterruptable Power Supply For Members of Purchasing Cooperative of Americajbm - SIGNAL OD-358-21 Traffic Control Products, Services & Related Items APC APC SECUREUPS 1300VA / 1300W, 120VAC IN/OUT RM XUIK3LLXXRCC CONFORMAL COATED WARRANTY: 3 YEARS, REPAIR OR $ 2,303.93 $ 2,073.54 REPLACE APC SECURE UPS SERVICE BYPASS UNIT 2000 W 120VAC IN/OUT XS30ALLXXR2 RM CONFORMAL COATED WARRANTY: 3 YEARS, REPAIR OR $ 393.44 $ 354.10 REPLACE APC SECURE UPS SERVICE BYPASS UNIT w/ GENERATOR SET, XS30ALLXXR2G 120VAC, 30AMP, INCLUDES CABLES FOR GENERATOR, UTILITY $ 425.00 $ 382.50 & OUTPUT, 8FT UPS I/O, HW XHXXS7A4F SECURE UPS BATTERY HARNESS SBS75 4FT $ 298.83 $ 268.95 XHXXS7A8F SECUREUPS BATTERY HARNESS SBS75 8 FT $ 308.59 $ 277.73 XB050XXIXS SECURE UPS BATTERY 50AH 12VDC EXTENDED TEMPERATURE $ 345.00 $ 310.50 SHELF MOUNT XB102XXIXS SECURE UPS BATTERY 100AH 12VDC EXTENDED TEMPERATURE 410.00 369.00 SHELF MOUNT $ $ XM050DXXXA BATTERY HEATER MAT 256 SQ. IN. 120VAC $ 340.98 $ 306.89 XMI02DXXXA BATTERY HEATER MAT 256 SQ. IN. 120VAC $ 383.61 $ 345.25 AP9335TH APC Temperature and Humidity Sensor $ 185.00 $ 166.50 SUA500PDR APC Smart UPS, DIN Rail -Control Panel UPS 500.0 VA, 325.0 W $ 620.00 $ 558.00 RBC136 APC Replacement Battery Cartridge # 136 $ 610.00 $ 549.00 OTHER APC ITEMS NOT LISTED - TAKE 10% OFF LIST PRICE AM Signal LLC 2021 - APC -Uninterrupatable Power Supply Pricing Catalog CCTV zmFor Members of Purchasing Cooperative of America SIGNAL OD-358-21 Traffic Control Products, Services & Related Items BOSCH MIC IP Starlight 7100i Ruggedized PTZ 2MP HDR 30x IP68 black. Ruggedized, outdoor PTZ camera; 1080p HD, 30x, starlight imaging, MIC-7522-Z30B H.265, IVA. Uses 60W HPOE: Optional Illuminator sold separately $ 5,857.00 $ 5,271.30 requires 95W HPOE. Black (RAL 9005). Sand finish. Also available in enhanced black -MIC-7522-Z30BR MIC IP Starlight 7100i Ruggedized PTZ 2MP HDR 30x IP68 grey. Ruggedized, outdoor PTZ camera; 1080p HD, 30x, starlight imaging, MIC-7522-Z30G H.265, IVA. Uses 60W HPOE: Optional Illuminator sold separately $ 5,857.00 $ 5,271.30 requires 95W HPOE.Optional Illuminator sold separately requires 95W HPOE Gray (RAL 7001) color. Sand finish. Also available in enhanced gray -MIC-7522-Z30GR MIC IP Starlight 7100i Ruggedized PTZ 2MP HDR 30x IP68 white. MIC-7522-Z30W Ruggedized, outdoor PTZ camera; 1080p HD, 30x, starlight imaging, $ 5,857.00 $ 5,271.30 H.265, IVA. Uses 60W HPOE: Optional Illuminator sold separately requires 95W HPOE. White (RAL 9010). Sand finish. MIC IP Starlight 7100i Ruggedized PTZ 2MP HDR 30x IP68 enhanced white (also available in enhanced black & enhanced grey). Ruggedized PTZ MIC-7522-Z30WR camera; 1080p, 30x, starlight imaging, defroster, SD card slot. Uses 60W $ 6,740.00 $ 6,066.00 HPOE: Optional Illuminator sold separately requires 95W HPOE. White (RAL 9010). Sand finish. MIC 7100I PTZ 4K Camera, Enhanced 8MP HDR 12X, IP68 White; SD MIC-7504-Z12WR Local Storage, Inwindo Defroster, Anti -Backlash Drivetrain, Uses 60W $ 9,031.65 $ 8,128.49 HPOE; Illuminator (Sold Separately Requires 95W HPOE) MIC-7100I-SNSHLD-W Sunshield for MIC 7100i white. Sunshield for MIC IP ultra 7100i camera $ 97.44 $ 87.70 models.(Same with black and grey). Deep conduit mount, M25 holes,white, DCA mount for MIC7000 family MIC-DCA-HW and MIC IP fusion 9000i cameras. Aluminum. Two M25 holes for conduit/ $ 263.00 $ 236.70 cable glands. White (RAL 9010) color. Available in black and gray. Deep conduit mount, M25 holes,white, DCA mount for MIC7000 & MIC IP fusion 9000i, cameras. Alum. Two M25 holes for conduit/cable glands. MIC-DCA-HWA Incl an conduit adapter (male M25 to female 3/4" NPT). Available in $ 263.00 $ 236.70 specific regions only. White (RAL 9010) color. Available in black and gray. MIC-DCA-HB-Corner Wall Mnt MIC Hinged DCA, Corner Wall Mount, Black. Available also in white and $ 175.00 $ 157.50 gray. MIC-DCA-HB-Pole Wall Mount MIC Hinged DCA, Pole Wall Mount, Black. Available also in white and $ 175.00 $ 157.50 gray. MIC-DCA-HB-Wall Mount MIC Hinged DCA, Wall Mount, Black. Available also in white and gray. $ 175.00 $ 157.50 Deep conduit mount, two M25 holes, grey. DCA mount for MIC7000 MIC-DCA-HG family and MIC IP fusion 9000i cameras. Aluminum. Two M25 holes for $ 263.00 $ 236.70 conduit/cable glands. Grey (RAL 7001) color. MIC-CMB-BD Corner mount bracket, black. Corner mount bracket, black sand finish $ 233.00 $ 209.70 (RAL9005). Available also in white or gray. MIC-PMB Pole mount bracket. Pole mount bracket (includes 2 x 455 mm stainless $ 273.00 $ 245.70 steel banding straps for pole diameters 75 to 145 mm) MIC-SPR-BD MIC 550/MIC 612 Wall Mount Spreader Plate, Black. Available also in $ 129.00 $ 116.10 white or gray. MIC-SPR-WD MIC 550/MIC 612 Wall Mount Spreader Plate, White $ 129.00 $ 116.10 MIC-WMB-BD /MIC-WMB-WD / MIC- WMB-GD MIC-ILB-400 MIC-M25XNPT34 MIC-SCA-BD MIC-SCA-WD MIC-SCA-GD MIC-WKT-iR Wall mount bracket, black Wall mount bracket, black sand finish $ 403.00 $ 362.70 (RAL9005), white sand finish (RAL9010), gray sand finish (RAL7001) Illuminator, Black-IR light 450m, black Illuminator accessory for certain MIC IP cameras, IR (850 nm/940 nm) + White light LEDs Black (RAL $ 811.00 $ 729.90 9005) - also available in white and gray. Sand finish. Compatible with MIC 7100I Series Only: Requires 95W HPOE Conduit Adapter, Adapter, M25 to 3/4"NPT, stainless steel. M25 to 1/4" $ 78.90 $ 71.01 NPT thread adapter Shallow conduit adapter, black sand. Shallow conduit adapter for a MIC- $ 142.00 $ 127.80 WMB, a MIC-PMB, or a MIC-SPR, black sand finish (RAL9005) Shallow conduit adapter, white sand. Shallow conduit adapter for a MIC- $ 142.00 $ 127.80 WMB, a MIC-PMB, or a MIC-SPR mount, white sand finish (RAL9010). Shallow conduit adapter, gray sand. Shallow conduit adapter for a MIC- $ 142.00 $ 127.80 WMG, a MIC-PMG, or a MIC-SPR, gray sand finish (RAL7001) Washer kit for MIC IP starlight 7000i and MIC IP fusion 9000i camera $ 104.00 $ 93.60 models. Washer kit for analog infrared MIC camera models Bosch Autodome 7000i PTZ Starlight Camera. 7000i Autodome IP NDP-7512-Z30CT Starlight Camera, HD 1080p Video. PTZ 2MP HDR 30X TINTED IP54 IN- $ 3,588.00 $ 3,229.20 CEILING.Also available in clear. Bosch Autodome 7000i PTZ Starlight Camera. 7000i Autodome IP NDP-7512-Z30 Starlight Camera, HD 1080p Video. PTZ 2MP HDR 30X Clear IP66 $ 3,588.00 $ 3,229.20 Pendant. Bosch Autodome 7000i PTZ Starlight Camera. 7000i Autodome IP NDP-7512-Z30K Starlight Camera, HD 1080p Video. PTZ 2MP HDR 30X CLEAR IK10 $ 3,588.00 $ 3,229.20 PENDANT. NPD-5001-PoE PoE Single Port Midspan 15AW 110/240 AC IN $ 80.00 $ 72.00 NDP-5502-Z30L AUTODOME IP 5000i IR 1080P 30X, PENDANT, INDOOR / $ 1,914.00 $ 1,722.60 OUTDOOR NDM-7702-A Fixed dome 12MP 4x 3MP, 30FPS, 3.7-7.7mm AVF lens, IP66, IK10, $ 2,250.00 $ 2,025.00 Integrated MIC, IVA, Camera Trainer NDA-U-PAO IEEE802.3bt Gigabit 95W PoE Injector with Hardened PSU and Cable kit $ 195.00 $ 175.50 EKI-2701MPI-IAE Fixed dome 12MP 4x 3MP, 30FPS, 3.7-7.7mm AVF lens, IP66, IK10, $ 595.00 $ 535.50 Integrated MIC, IVA, Camera Trainer NPD-6001B High PoE Midspan 60W indoor midspan for AUTODOME 7000 and MIC $ 181.00 $ 162.90 IP cameras without illuminators. Midspan, high PoE, single port, AC in. 95 W indoor midspan for MIC IP NPD-9501A cameras with or without illuminators (Required when using MIC $ 449.00 $ 404.10 Illuminator Module). NPD-9501-E Midspan 95W 1 port outdoor 95 W outdoor midspan for MIC IP cameras call for pricing with or without illuminators. Pole Mount Adapter for an Autodome IP 5000/7000 Pendant Arm or a VG4-A-9541 Dinion Imager; Requires VDA-AD-JNB for use with Autodome IP 5000; $ 92.80 $ 83.52 Designed for Poles with a Diameter of 100 380 mm (4 15 in.); White VG4-A-PAO Autodome Pendant Arm, 24VAC (No Transformer), White $ 172.00 $ 154.80 VG4-A-PSUO Power supply, 24VAC, for PTZ Camera in the AUTODOME Serues. Rated $ 110.00 $ 99.00 IP66 and IK 08. 100 W output. Power Supply, 120VAC, for AUTODOME, MIC7000, Power supply for VG4-A-PSUl AUTODOME 7000, MIC IP cameras, without illuminators. 120VAC in, call for pricing 24VAC out Power supply, 230VAC, AUTODOME, MIC7000, Power supply for VG4-A-PSU2 AUTODOME 7000, MIC IP cameras, without illuminators. 230VAC in, call for pricing 24VAC out MIC inteox 7100i - 2MP Ruggedized, outdoor PTZ camera; 1080p HD, MIC-7602-Z30B PTZ 2MP 30x, starlight imaging, H.265, IVA open camera platform Black (RAL call for pricing 9005). Sand finish. Available in other variants and colors. AUTODOME inteox 7000i - 2MP PTZ dome camera, 2MP, 30x, starlight NDP-7602-Z30 PTZ 2MP imaging, H.265, IVA, open camera platform Outdoor pendant mount. call for pricing Available in other variants and colors. FOR ALL BOSCH CAMERA ACCESSORIES NOT LISTED - 10% OFF LIST AM Signal LLC 2021 - BOSCH - CCTV Pricing Catalog Al Traffic Management Platform For Members of Purchasing Cooperative of America SIGNAL OD-358-21 Traffic Control Products, Services & Related Items DERQ Derq-Insight-Cloud Derq-Insight-Edge Derq-Insight-Edge-Full Derq-Sense-CAV-Full Derq-Sense-Det-Full Derq-Smart Derq-Smart-Full Derq-RSE Derq-RSE-Full Derq-Eng Derq Insight full -suite deployed on cloud for 1 intersection for 1 year $ (existing cameras) Derq Insight full -suite deployed on edge for 1 intersection for 1 year $ (includes edge device only) Derq Insight full -suite deployed on edge for 1 intersection for 1 year $ (includes edge device and cameras) Derq Sense for CAV applications deployed for 1 intersection for 1 year $ (includes edge device and camera, excludes RSU) Derq Sense for AI Detection deployed for 1 Pedestrian Crossing for 1 year $ (includes edge device and cameras, excludes signs or beacons) Derq Smart Intersection (Insight full -suite and Sense for CAV) deployed on $ edge for 1 intersection for 1 year (includes edge device only, excludes RSU Derq Smart Intersection (Insight full -suite and Sense for CAV) deployed on $ edge for 1 intersection for 1 year (includes edge device and cameras, Derq Roadside Edge Unit (unit only) $ Derq Roadside Edge Unit (full kit with pole-mouned cabinet and ancillary $ components) Engineering and Implementation Support (hourly rate) $ Other CATEGORY DESCRIPTION Products & Services Not Listed - Take 10% off list price AM Signal LLC 2021 - DERQ - AI Traffic Management Pricing Catalog 26,655.00 $ 29,370.00 $ 38,585.00 $ 26,970.00 $ 22,420.00 $ 36,445.00 $ 45,490.00 $ 9,000.00 $ 11,500.00 $ 175.00 $ FRCJ 23,989.50 26,433.00 34,726.50 24,273.00 20,178.00 32,800.50 40,941.00 8,100.00 10,350.00 157.50 Intelligent Warning Systems & Wrong Way Detection ACAMFor Members of Purchasing Cooperative of America SIGNAL OD-358-21 Traffic Control Products, Services & Related Items' Flir Intelligent Transportation Systems TRAFISENSE 2 690 CAMERA Trafisense 2 690 w/Sunshield, Integrated Thermal Sensor and Video $ 6,402.00 $ 5,761.80 Detector, FOV: 90 Degree Horizontal; 69 Degree Vertical; 10-7470 TRAFISENSE 2 645 CAMERA Trafisense 2 645 w/Sunshield, Integrated Thermal Sensor and Video $ 6,402.00 $ 5,761.80 Detector, FOV: 45 Degree Horizontal; 35 Degree Vertical; 10-7474 TRAFISENSE 2 632 CAMERA Trafisense 2 632 w/Sunshield, Integrated Thermal Sensor and Video $ 6,402.00 $ 5,761.80 Detector, FOV: 32 Degree Horizontal; 26 Degree Vertical; 10-7476 TRAFIRADAR CAMERA TRAFIRADAR BPL, VEHICLE PRESENCE SENSOR, VIDEO & $ 6,596.00 $ 5,936.40 RADAR, 7W #10-6066U TRAFIONE 195 ALL-ILV-V1VL -N--- 1 -- 1 --- 11\1[71V J UL V L111VLLJ, 111L1\1V1AL DETECTION & WIFI TRACKING. 8 DETECTION ZONES, 160x120 $ 2,667.50 $ 2,400.75 RESOLUTION, 95 DEGREE LENS FOV, 30 FPS 9Hz, including HD ALL�llV-V1V1: JJi1VJV1\1'Vl\11:LLJ11\lA1V0- VJi111t.LLJ, lllJil\1V1AL TRAFIONE 156 DETECTION & WIFI TRACKING. 8 DETECTION ZONES, 160x120 $ 2,667.50 $ 2,400.75 RESOLUTION, 56 DEGREE LENS FOV, 30 FPS 9Hz, including HD TRAFISENSE2 690 - VGA TrafiSense2 690 - VGA, 90' H FOV, 30Hz, including sunshield #10-7470 $ 6,402.00 $ 5,761.80 TRAFISENSE2 645- VGA TrafiSense2 645- VGA, 45' H FOV, 30Hz, including sunshield #10-7474 $ 6,402.00 $ 5,761.80 TRAFISENSE2 632 - VGA TrafiSense2 632 - VGA, 32' H FOV, 30Hz, including sunshield #10-7476 $ 6,402.00 $ 5,761.80 TRAFISENSE2 V2X 690 - VGA TrafiSense2 V2X 690 - VGA, 90' H FOV, 30Hz, including sunshield, V2X $ 7,469.00 $ 6,722.10 ready #10-7450 TRAFISENSE2 V2X 645 - VGA TrafiSense2 V2X 645 - VGA, 45' H FOV, 30Hz, including sunshield, V2X $ 7,469.00 $ 6,722.10 ready #10-7454 TRAFISENSE2 V2X 632 - VGA TrafiSense2 V2X 632 - VGA, 32' H FOV, 30Hz, including sunshield, V2X $ 7,469.00 $ 6,722.10 ready #10-7456 TRAFISENSE2 DUAL 690 - Thermal TrafiSense2 Dual 690 - Thermal VGA/90' HFOV/30Hz, Visual HD/30-90° $ 7,954.00 $ 7,158.60 VGA/90 HFOV/25Hz, including sunshield #10-7570 TRAFISENSE2 DUAL 645 - Thermal TrafiSense2 Dual 645 - Thermal VGA/45' HFOV/30Hz, Visual HD/5-50° $ 7,954.00 $ 7,158.60 VGA/45 HFOV/25Hz, including sunshield #10-7574 TRAFISENSE2 DUAL 632 - Thermal TrafiSense2 Dual 632 - Thermal VGA/32' HFOV/30Hz, Visual HD/5-50° $ 7,954.00 $ 7,158.60 VGA/32 HFOV/25Hz, including sunshield #10-7576 ITS Dual 632 AID Camera AID 316L Intelligent Dual vision camera for Automatic Incident & Fire detection ITS $ 18,895.00 $ 17,005.50 Dual 632 AID Camera, 24 VDC, PoE #10-6435 Queue Detection System - Per Ramp Includes Trafisense 2 Video Detection, PeE Interface Circuit Board, 48V $ 52,225.00 $ 47,002.50 PS, Mount, Qfree Queue Algorithm Ramp Activation AM Signal LLC 2021 - FLIR - hitelligent Warning Systems & Wrong Way Detection Pricing Catalog TI X-STREAM EDGE 48VDC TI X-STREAM BPL EDGE 48VDC TI - 4 outputs, SDLC via PIM module - $ 1,212.50 $ 1,091.25 US Edge ConnectoR (TrafiRadar, TrafiSense, ) #10-6055 TI X-STREAM EDGE BPL TI X-stream BPL - 16 outputs (TrafiSense BPL & TrafiRadar) TI BPL $ 1,212.50 $ 1,091.25 Stand Alone (TrafiRadar, TrafiSense, ) #10-6085 TRAFISENSE 4/Os XP 4/Os xp. Edge - Output Expansion Board - 4 outputs - single slot - US Edge $ 485.00 $ 436.50 Connector (TrafiSense, TrafiCam & TrafiRadar) #10-4670 TI XP BLP - EXP BOARD TI xp. BPL - Expansion board (Trafcam, TrafiRadar & TrafiSense BPL) $ 698.40 $ 628.56 #10-6044 TRAFIRADAR MOUNTING KIT TrafiRadar Mounting Kit - Wall mount + Pole adapter + Adapter Piece #20- $ 339.50 $ 305.55 6065 TI BPL2 EDGE Interface - 4 outputs - SDLC via PIM module - double slot - US Edge $ 1,455.00 $ 1,309.50 Connector (TrafiCam, TrafiOne, TrafiSense2, Trafisense2 Dual) #10-7013 41/0 USB hiput/Output expansion board - 4 outputs - single slot - US Edge Connector $ 485.00 $ 436.50 (TrafiCam, TrafiOne, TrafiSense2, Trafisense2 Dual) #10-4675 ruwci I- iic nnviiaw - iv UuLyuw mIV-I VOA �VIIIIc�w cVIIV vuLyuw IIV- TI BPL2 INTERFACE BPL2 or PL sensor(s) to controller. Provides power to BPL2 or PL , $ 1,455.00 $ 1,309.50 ETHERNET INTERFACE CIRCUIT BOARD Ethernet interface #10-6075 DIN RAIL MOUNT (TrafiOne) $ 291.00 $ 261.90 TI BPL2 EDGE B&SIU Interface - 4 outputs - SDLC - double slot - US Edge Connector #10-7018 $ 1,920.60 $ 1,728.54 (TrafiCam, TrafiOne, TrafiSense2, Trafisense2 Dual) FLIR PoE INTERFACE FLIR PoE Interface #10-7320 (TrafiCam, TrafiOne, TrafiSense2, $ 291.00 $ 261.90 Trafisense2 Dual) TrafiSense 48V PS Assy AC -DC; 48V@2.5A; 100-264V In; ENCLOSED; DIN RAIL MOUNT; $ 122.68 $ 110.41 PFC; SDR SERIES, with DIN RAIL Spare Power/BPL Conn (TrafiSense BPL) Spare Power / BPL Connector #CNCIR004F7 (3Wires) $ 58.00 $ 52.20 Spare Power Conn (TrafiSense ETH) Spare Power Connector #CNCIR004F6 (3 Wires) $ 58.20 $ 52.38 Spare Conn (TrafiSense2 & Dual) Spare Connector - 8 pins - BPL2 - PoE #CNCIR008F1 $ 58.20 $ 52.38 Spare Wrench Spare Wrench - tool for applying right torque cable gland #TOOL160620 $ 19.40 $ 17.46 6 Pos. Terminal Block w/12 male Terminal For 6 pos term block, Double Row, 3-Post, 30 Amp, Black, with (12) male tern $ 26.70 $ 24.03 forks. 5' of red, green & black 14 awg wire. (G-6YH71). Trafisense Easy Pull Cable 18/3C-1000 Trafisense2 Camera Cable, Easy Pull, 18/3C, 1000FT Spool $ 578.00 $ 520.20 Premium Traffic Data License Fee - 10-7499 Optional, to be ordered in 970.00 873.00 Premium Traffic Data License Fee addition with article 10-7035 or 10-7034 $ $ FLUX TRAFICON MGT SYSTEM FLUX FLIR MGMT SYSTEM SERVER LICENSE 1 SERVER LICENSE $ 6,935.48 $ 6,241.94 #10-0076 FLUX EMBEDDED CLUSTERING FLUX EMBEDDED CLUSTERING LIBRARY LICENSE #10-0150 $ 403.23 $ 362.90 LIBRARY FLUX EMBEDDED DATABASE LICENSE FLUX EMBEDDED DATABASE LICENSE #10-0160 $ 403.23 $ 362.90 FLUX - 1 video channel license (IMUX), required for viewing streaming 282.26 FLIR FLUX Single Streaming Video License $ $ 254.03 video (price per single video channel) #10-0125 EMAIL PLUGIN - for FLUX Email plugin - for FLUX #10-0084 $ 2,741.94 $ 2,467.74 Queue Length & Waiting Time License Queue Length & Waiting Time License - for ramp metering applications $ 483.87 $ 435.48 Extended warranty +1 year Extended warranty+1 year #EW-ITS-1 net price +7% Extended warranty +2 year Extended warranty +2 year #EW-ITS-2 net price +14% TURN ON SUPPORT / SERVICE PER DAY $ 2,770.00 I $ 2,500.00 All other services and products not listed, PCA members take 10% off list price AM Signal LLC 2021 - FLIR - Intelligent Warning Systems & Wrong Way Detection Pricing Catalog 'Aam For Members of Purchasing Cooperative of America oeneec S 1 C NAL OD-358-21 Traffic Control Products, Services & Related Items Genetec ADV-CAMP-lY GSC-1PMEDECOBASE GSC-1 POFFLINELOCK-1 L GSC-5.10 GSC-BASE-5.10 GSC-OmP GSC-OmP-1 C GSC-Om-P-lDV GSC-OM-P-1 PAC GSC-OM-P-IBWC GenetecTM Advantage for 1 OmnicastTM Pro Camera-1 year $ 41.00 S 30.90 Medeco Base intelligent key management Plugin. Requires GSC-lP- OFFLINELOCK-1 L per lock to be added. 1 Base per system when Medeco $ 1,000.00 $ 900.00 plugin is required. Only available with Professional or Enterprise packages (SynergisTM and/or OmnicastTm). 1 part per Offline lock. Requires the Offline lock system base part. Only available with Professional or Enterprise packages (SynergisTM and/or $ 40.00 $ 30.00 OmnicastTM) Software Version $ - $ Genetec Security Center (GSC) Base Package - Version 5.10 which includes: 1 Directory, 5 Security Desk client connections (incl. Web Client), $ - $ Plan Manager Basic, Alarm Management, Advanced Reporting, System Partitioning, Zone Monitoring, IO Modules Support GSC OmnicastTM Professional Package which includes: Archiving support, Media Router, Audio, Remote Security Desk, Camera Sequences, Camera Blocking, Camera Dewarping, Time Zone, Edge recording, trickling and $ 1,289.00 $ 1,160.10 archive transfer, Keyboard and Joystick Support, Max. 250 cameras, Max. 10 clients, Max. 20 Archivers I camera connection 1 DVR/NVR camera input S 262.00 S 235.80 $ 148.00 $ 133.20 1 analog camera connection (compatible with selected encoders) $ 66.00 $ 59.40 1 body wearable camera connection is required for each body wearable $ 171.00 $ 153.90 camera holder AM Signal LLC 2021 - GENETEC Pricing Catalog GSC-PM-Advanced Advanced Plan Manager for G1S Map servers. Requires GSC-PM-STD- $ 5,422.00 $ 4,879.80 XXX. GenetecTM Advantage. Plan Manager for up to 50 entities (cameras, doors, intrusion panels, custom entities). Supports vector -based maps (PDF), alarm mgt, PTZ control and field of GSC-PM-STD-50 view, customizable entity states, simple Bing maps support & Macros. Only $ 2,682.00 $ 2,413.80 available with Professional or Enterprise packages (SynergisTM and/or OmnicastTM). GenetecTM Advantage. Plan Manager for up to 100 entities (cameras, doors, alarm panels, custom entities). Supports vector -based maps (PDF), intrusion mgt, PTZ control and field GSC-PM-STD-100 of view, customizable entity states, simple Bing maps support & Macros. Only $ 4,851.00 $ 4,365.90 available with Professional or Enterprise packages (SynergisTM and/or OmnicastTM). GenetecTM Advantage. Plan Manager for up to 250 entities (cameras, doors, alarm panels, custom entities). Supports vector -based maps (PDF), intrusion mgt, PTZ control and field GSC-PM-STD-250 of view, customizable entity states, simple Bing maps support & Macros. Only $ 8,047.00 $ 7,242.30 available with Professional or Enterprise packages (SynergisTM and/or OmnicastTM). GenetecTM Advantage. Support 1 Bosch B/G Serie intrusion control panel connection. Requires the GSC-IAP-Bosch GSC-AP-Base and one of Standard, Professional or Enterprise packages $ 399.54 $ 359.59 (SynergisTM and/or OmnicastTM). Mandatory GenetecTM Advantage. GSC-1PLEN 1 Lenel OnGuard PACS plugin. 1 part per 750 readers. Only available with $ 9,132.42 $ 8,219.18 Professional or Enterprise packages (SynergisTM and/or OmnicastTM) GSC-IVLEN 1 Lenel OnGuard Video Translator. Only available with Professional or $ 9,132.42 $ 8,219.18 Enterprise packages (SynergisTM and/or OmnicastTM) Intrusion Base component. 1 part required per system with any intrusion unit manufacturer. Requires the GSC-IAP-Manufacturer part per panel. GSC-AP-BASE $ 1,141.55 $ 1,027.40 Requires one of Standard, Professional or Enterprise packages (SynergisTM and/or OmnicastTM). Mandatory GenetecTM Advantage. GSC-1PADVANCEENROLL GSC-1 P-DYNLOGBOOK-BASE GSC-1 P-DYNLOGBOOK-CLIENT GSC-1 P-KEYCABINETBASE GSC-1 P-OFFLINELOCK-1 L 1 Advanced Enrollment Plugin. 1 part per directory. Only available with $ 4,257.99 $ 3,832.19 Professional or Enterprise packages (SynergisTM and/or OmnicastTM) 1 part per Dynamic LOGBOOK integration for 5 Client workstations. Only available with Professional or Enterprise packages (SynergisTM and/or $ OmnlcastTM\ 1 additional Client station license. Requires GSC- I P-DYNLOGBOOK- Base per system. Only available with Professional or Enterprise packages $ (SynergisTM and/or OmnicastTM) 1 Asset Management Base Plugin. Requires individual cabinet parts to be added. 1 Base per system when asset manager plugin are required. Only $ available with Professional or Enterprise packages (SynergisTM and/or OmnlcastTM) 1 part per Offline lock. Requires the Offline lock system base part. Only available with Professional or Enterprise packages (SynergisTM and/or $ OmnlcastTM) OTHER GENETEC ITEMS NOT LISTED - TAKE 10% OFF LIST PRICE AM Signal LLC 2021 - GENETEC Pricing Catalog 3,424.66 $ 3,082.19 570.78 $ 513.70 1,712.33 $ 1,541.10 45.66 $ 41.10 ,A&M SIGNAL VEHICLE DETECTION MIOVISION 2022 miovision NA-MIO-CTM-V 1 Miovision Core (NA) - Mioviiion Core wireless connectivity, telemetry and sensor $ 3,404.50 $ 3,095.00 platform. NA-MIO-CTM-DCM-Vl Miovision Core DCM (NA) - Miovision Core wireless connectivity, telemetry and $ 12,815.00 $ 11,650.00 sensor platform with Detection and Counts Hardware Module (DCM) NA-MIO-DCM-VI Miovision DCM Upgrade (NA) - Miovision Detection and Counts Module $ 9,515.00 $ 8,650.00 upgrade device. Requires Miovision Core (NA) hardware. SP-PT-CBL-ADAPTC 55 POS ADAPT C CABLE $ 487.67 $ 443.33 ITS-CAM-MNT-BELL Camera Mount - Bell Only $ 209.00 $ 190.00 SP-CAM-MNT-HRZ-CLAMP Camera Mount (no extension) - Horizontal - Clamp hub $ 390.13 $ 354.67 ITS-PT-CAMHUB-BAND Camera Mounting Hub - Banding $ 146.30 $ 133.00 ITS-PT-CAMHUB-CLAMP Camera Mounting Hub - Clamp $ 174.17 $ 158.33 ITS -PT -ANTENNA -RABBIT Cellular Antenna (Rabbit Ear Style) $ 41.80 $ 38.00 SP-DCBL-ASC23-CAB D-Cable for Econolite ASC2/3 - Cabinet side $ 348.33 $ 316.67 ITS-SMARTSENSE-L4-NOCBL Miovision SmartSense (L4) (No Cables) $ 11,704.00 $ 10,640.00 ITS-SDLC-YCABLE SDLC Y-Cable $ 110.07 $ 100.07 SP-SMRTLNK-ENC-STL SmartLink Enclosure (Steel, 16xl6x6) $ 1,393.33 $ 1,266.67 ITS-SL-RACKMNT SmartLink Rack Mount Accessory $ 64.09 $ 58.27 ITS -PT -ANT TrafficLink Antenna with LTE/WIFI/GPS/DSRC 6ft $ 348.33 $ 316.67 SP-INT-ABCD TrafficLink Interface (ABCD) - Adaptor device to allow connectivity to NEMA $ 2,786.67 $ 2,533.33 ABCD style controllers SP-INT-EF140 TrafficLink Interface (EF-140) - Adaptor device to allow connectivity to NEMA $ 2,786.67 $ 2,533.33 EF-140 style controllers SP-INT-LMD40 TrafficLink Interface (LMD40) $ 2,786.67 $ 2,533.33 SP-INT-SDLC TrafficLink Interface (SDLC) - Adaptor device to allow connectivity to SDLC $ 1,393.33 $ 1,266.67 based controllers and detectors ITS-NETINT-NA TrafficLink Network Integration $ 6,966.67 $ 6,333.33 SP-CAM360-EXT Universal Camera Extension - 6ft extension used for both vertical and horizontal $ 557.33 $ 506.67 installs SP-CAM360-UNIMOUNT Universal Camera Mount with Universal Hub - Camera mount used for both $ 668.80 $ 608.00 vertical and horizontal installs SP-CAM360-HUB Universal Hub - Mounting bracket to accommodate banding configurations for $ 278.67 $ 253.33 both vertical and horizontal installs SP-PA-SPC ASY Power Cable NA with IEC-320-C13 $ 7.70 $ 7.00 SP-PA-PPC ASY Pigtail Power Cable with IEC-320-C13 $ 7.70 $ 7.00 SP-WARRANTY-EXT TrafficLink Extended Warranty (5 years) $ 1,925.00 $ 1,750.00 SP-TRAINING TrafficLink Product Training (software and hardware) - Onsite or remote product $ 2,750.00 $ 2,500.00 training from Miovision Sales Engineer ITS-MNGDATA-1GB Managed LTE Connectivity (I GB) per intersection per 12 month term. $ 170.50 $ 155.00 TrafficLink Intersection Monitoring Real time cabinet telemetry, smart ITS-INT-MONITOR infrastructure alerts, remote cabinet device access, and video streaming & recall $ 214.50 $ 195.00 through the web -based TrafficLink portal. Miovision TrafficLink Safety Analytics Includes red light runner and pedestrian ITS -SW -SAFETY compliance reports that provide immediate insight into vehicle and pedestrian $ 275.00 $ 250.00 behaviour to help you proactively identify unsafe intersections. TrafficLink Continuous Counts Continuous multimodal traffic counts with cloud- ITS-SW-DETECTCOUNTS based count storage, dashboard, reporting tools, API, configuration, and software $ 825.00 $ 750.00 updates. TrafficLink Partner Demo Software. Includes all software features ITS -SW -DEMO $ 550.00 $ 500.00 (Communications, Performance, Detection). TrafficLink Performance Measures A cloud -hosted solution that proactively surfaces ITS-SW-PERF inefficient operations using ATSPM data. Users also have access to 12 ATSPM metrics $ 825.00 $ 750.00 for detailed analysis, Travel Time information, and a before/after comparison tool to measure impact. Miovision Detection ITS -SW -SS -DETECTION Video detection license to enable detection and actuation capability and $ 3,300.00 $ 3,000.00 configuration. Compatible with Miovision SmartSense. Miovision Detection Plus Video detection license to enable detection and actuation capability and configuration. Compatible with Miovision SmartSense. The ITS -SW -SS -DETECTION -PLUS Detection Plus License includes access to to rolling 90-day Turning Movement $ 7,150.00 $ 6,500.00 Counts available for CSV export, and the following detection metrics: Arrivals on Red, Arrivals on Green, Occupancy Ratio and Phase Interval. Miovision Detection Plus Upgrade Adds Detection Plus capability to a base ITS -SW -SS -DETECTION -PLUS- detection license. Compatible with Miovision SmartSense. The Detection Plus UPGRADE License includes access to rolling 90-day Turning Movement Counts available for $ 3,850.00 $ 3,500.00 CSV export, and detection metrics: Arrivals on Red, Arrivals on Green, Occupancy Ratio and Phase Interval. ALL OTHER MIOVISION PRODUCTS NOT LISTED, TAKE 10% OFF LIST PRICE. AM Signal LLC 2021 - MioVision Pricing Catalog RADIOS, SWITCHES AND FIBER; For Members of Purchasing Cooperative of America SIGNAL =_ OD-358-21 Traffic Control Products, Services & Related Items Moxa SFP- 1GLHLC SFP Module with 1 1000base SFP port with LC Connector for 30KM $ 359.00 $ 323.10 transmission, -40 to 85 C SFP-1GLHXLC-T SFP Interface Module, 100013aseLHX, LC Connector, 40 km, -40 to 85°C $ 911.40 $ 820.26 SFP-1GLXLC-T SFP Module with 1 I000base SFP port with LC Connector for 1 OKM $ 354.00 $ 318.60 transmission, -40 to 85 C EDS-G516E-4GSFP-T Managed Full Gigabit Ethernet switch with 12 10/100/100013ase T(X) 1,975.00 $ 1,777.50 ports, and 4 100/100013ase SFP slots, -40C to 75C operating Temp $ 6-port Gigabit managed Ethernet switch, 4 10/100BaseT(X) PoE/PoE+ EDS-P506E-4PoE-2GTXSFP-T ports, 2 Combo Port( 10/100/1000BaseT(X) or 100/1000BaseSFP), -40 to $ 1,350.00 $ 1,215.00 75°C operating temperature EDS-G516E-4GSFP-T 16-port full Gigabit managed Ethernet switch, 12 Gigabit T(X) ports, 4 1,880.00 $ 1,692.00 Gigabit SFP slots, -40 to 75°C operating temperature $ EDS-G512E-4GSFP-T 12-port full Gigabit managed Ethernet switch,8 Gigabit T(X) ports, 4 $ 1,058.00 $ 952.20 Gigabit SFP slots, -40 to 75°C operating temperature 12-port full Gigabit managed Ethernet switch, 8 10/100/100013aseT EDS-G512E-8PoE-4GSFP-T PoE/PoE+ ports, 4 100/1000BaseSFP slots, -40 to 75°C operating $ 1,880.00 $ 1,692.00 temperature S8VKG03024 30W 24VDC 1.3A 100-240VAC $ 61.00 $ 54.90 EDS-510E-3GTXSFP Moxa -7 port Ehernet and 3 SFP Network Switch $ 1,582.00 $ 1,423.80 RK-4U Cabinet 19 inch Rack Mount Kit for DIN Rail Mount of accessories $ 262.00 $ 235.80 MC-1100 $ 14.00 $ 12.60 AM Signal LLC 2021 - VARIOUS VENDORS - Radios, Switches and Fiber Pricing Catalog LAM SIGNAL WWD SYSTEMS / BLINKERSIGNS / RRFB'S For Members of Purchasing Cooperative of America OD-358-21 Traffic Control Products, Services & Related Items TAPCO DETECTOR, I 20VAC,RADIO, 2FLIR, 2CAM, MODEM, BLINKERSIGN. INCLUDES: Controller,WW,120VAC, Radio, C1oudGate, Dual FLIR, TrafiSense ETH 325 Assy & TrafiSense ETH 345 Assy, Axis Q Series 3-9mm WW Advance Config, Axis Q Series 3-9mm WW Event Config, LED Illuminator Assy, 2 Pole AC WWD Tapco-System (I Blinkersign, R5-lA, 42x30", Wrong Way, DG3, Red, Direct Fire, 8 Red LEDs, Detector, 1 Warning Pole) Pole Package, 20', 4.5" OD, 42" Includes (1) Warning Pole, Radio, Blinkersign Tapco 2180-System: Controller, 120VAC, 108045, Hollow, Radio, BlinkerSign, R5-lA, 4200", Wrong Way, DG3, Red, Direct Fire, 8 Red LEDs, SPM, Sign Mounting Kit, Banded, Flared Leg, Anti -Vandal For Mounting One Blinker Sign to a Large Pole, Pole Package, 13', 4.5" OD, 42" J-Bolts Includes: Pole, Base,J-Bolts. DETECTOR,120VAC,RADIO,2FLIR,2CAM,MODEM,BLINKERSIGN. INCLUDES: Controller,WW,120VAC, Radio, C1oudGate, Dual FLIR, TrafiSense ETH 325 Assy & TrafiSense ETH 345 Assy, Axis Q Series 3-9mm WW Advance Config, Axis Q Series 3-9mm WW Event Config, LED Illuminator Assy, 4 Pole AC WWD Tapco-System Blinkersign, R5-lA, 42x30", Wrong Way, DG3, Red, Direct Fire, 8 Red LEDs, (1 detector, 3 warning pole) Pole Package, 20', 4.5" OD, 42". Includes (3) Warning Pole, Radio, Blinkersign Tapco 2180-System: Controller, 120VAC, 108045, Hollow, Radio, Blinkersign, R5-lA, 4200", Wrong Way, DG3, Red, Direct Fire, 8 Red LEDs, SPM, Sign Mounting Kit, Banded, Flared Leg, Anti -Vandal For Mounting One Blinker Sign to a Large Pole, Pole Package, 13', 4.5" OD, 42" J-Bolts Includes: Pole, Base,J-Bolts. DETECTOR,I2V,RADIO,2FLIR,2CAM,MODEM,BLINKERSIGN, Controller,WW,12V,PS30,139527, Bottom Conduit, Radio C1oudGate, Dual FLIR, TrafiSense ETH 325 Assy & TrafiSense ETH 345 Assy, Axis Q Series 3-9mm WW Advance Config, Axis Q Series 3-9mm WW Event Config, LED Illuminator Assy, Blinkersign, R5-IA, 4200", Wrong Way, DG3, Red, Direct Fire, 8 Red 2 Pole Solar WWD Tapco-System LEDs, Pole Package, 20', 4.5" OD, 42" Dual 130W/12V Solar Panel Package, (1 detector, 1 warning pole) Side of Pole Mount, Battery, Universal Battery, 12V 100Ah, AGM, UB121000, Cable, Bulk, 2C 12AWG Red/Blk, Outdoor Rated, 100 foot pre-cut length. Includes (1) Warning Pole, Radio, Blinkersign Tapco 2180-System: Controller, 6V, 141332, Radio, 28 Ah, Activated, Blinkersign, R5-lA, 4200", Wrong Way, DG3, Red, Direct Fire, 8 Red LEDs, SPM, Sign Mounting Kit, Banded, Flared Leg, Anti - Vandal For Mounting One Blinker Sign to a Large Pole, Pole Package, 13', 4.5" OD, 42" J-Bolts Includes: Pole, Base,J-Bolts. DETECTOR, I2V,RADIO,2FLIR,2CAM,MODEM,BLINKERSIGN, Controller,WW,12V,PS30,139527, Bottom Conduit,Radio C1oudGate, Dual FLIR, TrafiSense ETH 325 Assy & TrafiSense ETH 345 Assy, Axis Q Series 3-9mm WW Advance Config, Axis Q Series 3-9mm WW Event Config, LED Illuminator Assy, BlinkerSign, R5-lA, 4200", Wrong Way, DG3, Red, Direct Fire, 8 Red 4 Pole Solar WWD Tapco-System LEDs, Pole Package, 20', 4.5" OD, 42" Includes, Dual 130W/12V Solar Panel (1 detector, 3 warning pole) Package, Side of Pole Mount, Battery, Universal Battery, 12V 100Ah, AGM, UB121000, Cable, Bulk, 2C 12AWG RedBlk, Outdoor Rated, 100 foot pre-cut length, Includes (3) Warning Poles, Radio, Blinkersign Tapco 2180-System: Controller, 6V, 141332, Radio, 28 Ah, Activated, BlinkerSign, R5-1A, 4200", Wrong Way, DG3, Red, Direct Fire, 8 Red LEDs, SPM, Sign Mounting Kit, Banded, Flared Leg, Anti -Vandal For Mounting One Blinker Sign to a Large Pole, Pole Package, 13', 4.5" OD, 42" J-Bolts Includes: Pole, Base,J-Bolts. 47,077.00 $ 42,369.30 57,461.44 $ 51,715.30 55,199.53 $ 49,679.58 67,025.28 $ 60,322.75 2180-LINK C B1inkLink Annual Subs,Adv TAPCO Gateway Connection - 3 YEARS $ 4,811.83 $ 4,330.65 RS10140 TAPCO API Development Cost - EA $ 13,445.00 $ 12,100.50 RS10114 TAPCO On Site to Oversee Install Single System installation - 1 HR $ 11,650.00 $ 10,485.00 2180-System 1 3 Pole AC Single Sided Option - Single Radar sensor for single point of $ 10,433.68 $ 9,390.32 detection 2180-System 2 3 pole AC 13213 Option - Radar sensor on either end of the system to $ 16,125.79 $ 14,513.21 monitor each approach 3 Pole 13W Single Sided Option - Single Radar sensor for single point of 2180-System 3 detection. A small form factor cabinet. Incl: batteries, controller, radio, & $ 11,030.53 $ 9,927.47 solar panel. 3 Pole 13W 13213 Option - Radar sensor on either end of system to monitor 2180-System 4 each approach. A small form factor cabinet. Incl batteries, controller, radio, $ 16,722.63 $ 15,050.37 & solar panel. 3 Pole 30W Single Sided Option - Radar sensor on either end of the system 2180-System 5 to monitor each approach. Designed to be used for systems that require $ 12,754.74 $ 11,479.26 more power where a 13W solar engine is inadequate. 3 Pole 30W 13213 Option - Single Radar sensor for single point of detection. 2180-System 6 Designed to be used for systems that require more power where a 13W solar $ 18,446.84 $ 16,602.16 engine is inadequate. 2180-System 7 6 Pole AC Single Sided Option - Single Radar sensor for single point of $ 18,988.42 $ 17,089.58 detection 2180-System 8 6 pole AC 13213 Option - Radar sensor on either end of the system to $ 28,493.68 $ 25,644.32 monitor each approach 6 Pole 13W Single Sided Option - Single Radar sensor for single point of 2180-System 9 detection. A small form factor cabinet. Incl batteries, controller, radio, & $ 20,182.11 $ 18,163.89 solar panel. 6 Pole 13W 13213 Option - Radar sensor on either end of the system to 2180-System 10 monitor each approach. A small form factor cabinet. Incl batteries, $ 28,351.55 $ 25,516.39 controller, radio, & solar panel. 6 Pole 30W Single Sided Option - Single Radar sensor for single point of 2180-System 11 detection. Designed to be used for systems that require more power where a $ 24,090.14 $ 21,681.13 13W solar engine is inadequate. 6 Pole 30W 13213 Option - Radar sensor on either end of the system to 2180-System 12 monitor each approach. Designed to be used for systems that require more $ 33,780.28 $ 30,402.25 power where a 13W solar engine is inadequate. Custom Built Chevron System - Radar sensors, # of poles, power, signs, 2180-System Custom mounting, etc. built to meet your needs, requirements & specifications in $ 24,835.00 $ 22,351.50 most optimal and effective manner. Call AM Signal for pricing. 2180-SYSTEM LV I LegendViz Dusk Till Dawn, Blinkersign 24/7, "Solar 13/28, TOP, SS, Red, $ 2,895.00 $ 2,605.50 30", RI-1, DG3, Red 2180-SYSTEM LV 2 LegendViz Dusk Till Dawn, "Solar 13/28, TOP, SS, 30", RI-1, DG3, Red $ 2,777.00 $ 2,499.30 2180-SYSTEM LV 3 LegendViz Dusk Till Dawn, Blinkersign 24/7, "Solar 13/28, TOP, SS, Red, $ 2,893.00 $ 2,603.70 30", R5-lA, DG3,Red 2180-SYSTEM LV 4 LegendViz Dusk Till Dawn, "Solar 13/28, TOP, SS, 4200", R5-1, DG3, $ 2,777.00 $ 2,499.30 Red 2180-SYSTEM LV 5 LegendViz Dusk Till Dawn, Blinkersign 24/7, "120VAC, SS, Red, 30", R5- $ 3,356.00 $ 3,020.40 IA, DG3, Red" 2180-SYSTEM LV 6 LegendViz Dusk Till Dawn, "120VAC, SS, 30", R5 -1, DG3, Red", R5-IA, $ 3,240.00 $ 2,916.00 DG3, Red Product od1 Discount 2180-00230 Wl 1-2,30"DG3 FY,PED XING SYM SOLAR BLINKERSIGN, 8 LEDS $ 1,800.00 $ 1,620.00 2180-00214 Wl 1-2 30"DG3 FYG Ped Xing SOLAR BLINKERSIGN, 8 LEDS $ 1,800.00 $ 1,620.00 2180-00232 Wl 1-2,36" DG3 FYG PED XING SYM SOLAR BLINKERSIGN, 8 LEDS $ 1,916.00 $ 1,724.40 2180-00218 Wl 1-2,36" DG3 FY PED XING SYM SOLAR BLINKERSIGN, 8 LEDS $ 1,916.00 $ 1,724.40 2180-00210 Wl 1-2,36" DG3 FYG,PED XING SYM 110VAC BLINKERSIGN, 8 $ 1,800.00 $ 1,620.00 LEDS 2180-00254 Wl 1-2,30"DG3 FYG ,PED XING SYM 110VAC BLINKERSIGN, 8 $ 1,695.00 $ 1,525.50 LEDS 2180-00250 Wl 1-2,30"DG3 FY DV,PED XING SYM 110VAC BLINKERSIGN, 8 $ 1,695.00 $ 1,525.50 LEDS 2180-00251 Wl 1-2,36"DG3 FY,PED XING SYM 110VAC BLINKERSIGN, 8 LEDS $ 1,800.00 $ 1,620.00 2180-00202 51-1,30"DG3 FYG,SCHL XING SOLAR BLINKERSIGN, 5 LEDS $ 1,800.00 $ 1,620.00 2180-00215 S1-1,36"DG3 FYG,SCHL XING SOLAR BLINKERSIGN, 5 LEDS $ 1,916.00 $ 1,724.40 2180-00204 51-1,30"DG3 FYG,SCHL XING 110VAC BLINKERSIGN, 5 LEDS $ 1,695.00 $ 1,525.50 2180-00227 S1-1,36"DG3 FYG,SCHL XING 110VAC BLINKERSIGN, 5 LEDS $ 1,800.00 $ 1,620.00 2180-00264 R1-2,30" DG3,YIELD SOLAR BLINKERSIGN, 6 WHT LEDS $ 1,890.00 $ 1,701.00 2180-00265 R1-2,36" DG3,YIELD SOLAR BLINKERSIGN, 9 WHT LEDS $ 2,011.00 $ 1,809.90 2180-00266 R1-2,48" DG3,YIELD SOLAR BLINKERSIGN, 9 WHT LEDS $ 2,199.00 $ 1,979.10 2180-00235 R1-1,24"DG3 BLINKERSTOP SOLAR, 8 LEDS $ 1,808.10 $ 1,627.29 2180-00209 R1-1,30" DG3, BLINKERSTOP SOLAR, 8 LEDS $ 1,890.00 $ 1,701.00 2180-00208 R1-1,36" DG3 BLINKERSTOP SOLAR, 8 LEDS $ 2,011.00 $ 1,809.90 2180-00207 R1-1,48" DG3 BLINKERSTOP SOLAR, 8 LEDS $ 2,199.00 $ 1,979.10 2180-00203 R1-1,30" DG3 BLINKERSTOP 110VAC, 8 LEDS $ 1,779.00 $ 1,601.10 2180-00205 R1-1,36" DG3 BLINKERSTOP 110VAC, 8 LEDS $ 1,890.00 $ 1,701.00 2180-00256 Rl-1, 48" DG3 BLINKERSTOP 110VAC, 8 LEDS $ 2,077.00 $ 1,869.30 RRFB W/ FLIR - TrafiOne 195 Solar, 2 Pole All -in -one sensor for pedestrians and vehicles, thermal detection, 8 System detection zones, 160x120 resolution, 95 degree lens FOV, 30 FPS, Tapco $ 20,345.00 $ 18,310.50 Controller, Solar package, Batteries, Push Button, Sign 600167 RRFB, Single Sided, Solar 55/48, Radio, SOP, SS, Amber, PB, H Pole X2 $ 5,910.56 $ 5,319.50 600169 RRFB, Single Sided, 120VAC, Radio, SOP, SS, Amber, PB, H Pole X2 $ 5,320.80 $ 4,788.72 600147 RRFB, Double Sided, Solar 55/48, Radio, SOP, DS, Amber, PB, H Pole X2 $ 7,261.00 $ 6,534.90 600149 RRFB, Double sided, 120VAC, Radio, SOP, DS, Amber, PB, H Pole X2 $ 6,052.00 $ 5,446.80 WWD SITE COMMISSION $2,700.00/day FOR CUSTOM CONFIGURATIONS PLEASE CALL FOR PRICING - 10% DISCOUNT OFF LIST All systems above is for electrical hardware only. No signs or poles are included. AM Signal LLC 2021 - TAPCO - WWD SYSTEMS/BLINKERSIGNS/RRFBs Pricing Catalog EXHIBIT B 61S Sth Street & O'Donnell, TX 793S1 December 13, 2021 AM Signal, LLC Alex Undzis, Dir of Ops 5100 Southpark Way, Unit A10 Littleton, CO 80120 aiex@amsignaiinc.com cc..Rale@amsignaiinc.com Ofc:806-428-3239 • Fax:806-428-3440 Subject. PURCHASING COOPERATIVE OF AMERICA CONTRACT AWARD LETTER PCA OD-358-21Traffic Control Products, Services & Related Items Dear Alex Undzis, Congratulations! The City of O'Donnell has awarded your company a contract for the above -referenced solicitation. Your contract number will be the same as the solicitation number: PCA OD-358-21. The contract number is to be on all Invoices for proper reporting. You are responsible for keeping PCA up to date with your current contact information and for submitting. monthly reports. For months with inactivity, complete the company/contact information and simply input 'No Activity'. We send out the Members list monthly, in response to your organization emailing the monthly report. The contract is effective for the dates on the Contract Acceptance and Signatures Page and may be renewed up to four (4) additional years; unless notified otherwise, the renewal will be automatic. For any inquiries about your contract, please contact ucamerica@pcamerica.org & we will assist you We will contact you for an orientation meeting and for content for your vendor page on the PCA web site. PCA looks forward to working with you! Sincerely, Kirh Parker, Mayor City of O'Donnell The award packet includes; • Award Letter • Signed Contract Acceptance and Signatures Page a Instructions for Monthly Report and Administrative Fee Tab 3 + Monthly Report Form & Instructions RFP OD-358-21 Traffic Controi Products, Seta ms and Related Items RFP CAD-363-21 AM Signal, LE.C. Traf is Control Products, Services and Related Items Form 8 — Contract. Acceptance and Signatures ccer)tance and Exceations The undersigned Ven t 2Clln0Wledge9 that haighs hat examined this solicitation, the aco o€nparsyingTorrns and rorttract terms and conditions, and scope ar4d specifications associated with this solicitation. The undersigned Vendor hereby agrees to furnish products and/or services in strict camphance, with the terms, specifir_ataions, and conditions of the solic4ation, the Contract, and the Vendor's response. Tile undarslgned certifies that he ©r she is an officer of the company and has authority to negotiate anG contract for the company named beiow and meetslagrees with all of the terms and conditions of this Contract and the solicitatiors. ZX No Exceptions. In the absence of any exception entry on this form, the Vmidor assures Awarding Agency of their full compliance with the solicitation, the accompanying forms and contract terms and conditions, scope and specifications associated "th this solicitation. [} Exceptions as Listed on Attached Page(s). ANY AND ALL EXCEPTIONS TO THE CONTRACT TERMS AND CONDITIONS OF THIS CONTRACT MUST BE NOTED ON THE COMPLIANCE AND EXCEPTIONS FORM AND REFERENCE THE SPECIFIC T WCONDITION. NO OTHER EXC €+TiONS TO THE CONTRACT TERMS AND CONDITIONS VWLL BE CLAIMED. Awarding Agency will consider any exceptigns during contract award evaluation and reserves the right to accept or reject any Ind all responses based on any exception indicated. I .accev once by Awarrdino Acenq 7ers:t ofContract Unless otherMse stated, this Contract is for a period of one ;1) year with an option to renew annually for an additicrral four (4) yam if agreed upon by Awarding Agency and Vendor, Unless informed otherwise, the renewal shall bt automatic on anniversary date. Vendor shall honor all administraWe fees for any sales resulting from this Cora#ract Nteether Vendor is awarded s renewal or not. 0�/ ba ng Agency Attihonzed Sig /sire E]ate Printed Name_ �i r � r rI[�rAa--- PURCHASING COOPERATIVE OF AMERICA °ape 3s of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items TAB 4 - SIGNATURE FORMS AND CHECKLIST This checklist is provided for your convenience. Complete and submit all of the attached forms: Form # Form Title W A. Contract First Page for entering Company Legal Name © B. Contract Acceptance and Signatures Form Texas Law Requirement: Submitting a signed Contract Acceptance and Signatures Form is required. If this Form is NOT SIGNED, the response will be DISQUALIFIED. B cont'd - Exceptions: This form MUST be filled out if there are ANY EXCEPTIONS to the contract to be considered by Awarding Agency/PCA. Follow the instructions on the form, enter the legal company name, date, and obtain an authorized signature. If there are no exceptions, this form does not need to be signed. ® C. Conflict of Interest Questionnaire ® D. Antitrust Certification Statement ® E. W 9 Request for Taxpayer Identification Number and Certification ® F. Vendor Certification Forms ® G1. SB 9 Contractor Certification: Contractor Employees ® G2. SIB 9 Contractor Certification: Subcontractor ® H. Contractor Certification -Arizona Requirement ® I. Bond Letter, If Required ® J. Certification Regarding Debarment, Suspension and Other Responsibility Matters ® K. Addendum(s), If Issued ® L. Vendor Questionnaire and Company Profile PURCHASING COOPERATIVE OF AMERICA Page 33 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM A TAB 3 - CONTRACT TERMS AND CONDITIONS CONTRACT BETWEEN CITY OF O'DONNELL. TEXAS ("PC.A. AWARDING AGENCY") AND AM Signal, LLC (Vendor's LEGAL name including aka or dba if applicable) FOR TRAFFIC CONTROL PRODUCTS, SERVICES AND RELATED ITEMS This Contract is entered into between the PCA Awarding Agency and Vendor, having submitted a response to RFP # OD-358-21 issued by Purchasing Cooperative of America ("PCA") ("Cooperative") and whose response has been accepted and awarded by the PCA Awarding Agency. Any exceptions to the Terms and Condition must be noted on the Compliance and Exceptions Form or on pages attached to the Form. Responses that are qualified with conditional clauses, items not called for, or other irregularities may be considered non -responsive by the Awarding Agency/PCA and eliminated from further consideration. In consideration of the mutual covenants and conditions contained in this Contract and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Awarding Agency and Vendor, intending to be legally bound and subject to the terms, conditions, and provisions of this Contract, agree as follows: Entire Agreement The term "Contract," as used in this document, means the comprehensive collection of: • Contract Terms and Conditions, the solicitation and all attachments and addendums thereto; • Specifications included in the solicitation; • Completed and signed forms; • Respondent's entire response to the solicitation; • Respondent's Notice of Award document; • Any negotiated items in writing that become amendments and/or addendums to the contract; and • Additional terms, conditions, or instructions contained in each individual Purchase Order issued by any Member(s) of the Cooperative. Collectively, these documents represent the entire agreement between the contracting parties. The Contract, the solicitation, Vendor's response to the solicitation, the attached and incorporated attachments, addendum, and/or exhibits, if any, and the Supplemental Contract, if any, contain the entire agreement of the parties relative to the purpose(s) of the Contract and supersede any other representations, agreements, arrangements, negotiations, or understandings, oral or written, between the parties to this Contract. In the event of a conflict between this Contract and the solicitation or Vendor's response to the solicitation, this Contract shall control. This Contract supersedes any conflicting terms and conditions on any Purchase Order, invoices, checks, order acknowledgements, forms, purchase orders, or similar commercial documents relating hereto and which may be issued by Vendor after the Effective Date of this Contract. In addition to this Contract, a Supplemental Contract (agreement) between Vendor and the PCA Member may be established to further detail the terms and conditions and scope and specifications of the PCA PURCHASING COOPERATIVE OF AMERICA Page 34 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items Form B — Contract Acceptance and Signatures Must be signed at Submission of Proposal Acceptance and Exceptions The undersigned Vendor acknowledges that he/she has examined this solicitation, the accompanying forms and contract terms and conditions, and scope and specifications associated with this solicitation. The undersigned Vendor hereby agrees to furnish products and/or services in strict compliance with the terms, specifications, and conditions of the solicitation, the Contract, and the Vendor's response. The undersigned certifies that he or she is an officer of the company and has authority to negotiate and contract for the company named below and meets/agrees with all of the terms and conditions of this Contract and the solicitation. ❑X No Exceptions. In the absence of any exception entry on this form, the Vendor assures Awarding Agency of their full compliance with the solicitation, the accompanying forms and contract terms and conditions, scope and specifications associated with this solicitation. ❑ Exceptions as Listed on Attached Page(s). ANY AND ALL EXCEPTIONS TO THE CONTRACT TERMS AND CONDITIONS OF THIS CONTRACT MUST BE NOTED ON THE COMPLIANCE AND EXCEPTIONS FORM AND REFERENCE THE SPECIFIC TERM/CONDITION. NO OTHER EXCEPTIONS TO THE CONTRACT TERMS AND CONDITIONS WILL BE CLAIMED. Awarding Agency will consider any exceptions during contract award evaluation and reserves the right to accept or reject any and all responses based on any exception indicated. Company Name: AM Signal, LLC Address. 8100 Southoark Wav, Unit Al City/State/Zip Code Littleton / CO / 80120 Phone 720-348-692. Authorized Company Signatur Email: alex@amsgnalinc.com Printed Name, Title Alex Undzis, Director of Ooerations Acceptance by Awardinq Aqencv Term of Contract to 11 /15/2021 Date Unless otherwise stated, this Contract is for a period of one (1) year with an option to renew annually for an additional four (4) years if agreed upon by Awarding Agency and Vendor. Unless informed otherwise, the renewal shall be automatic on anniversary date. Vendor shall honor all administrative fees for any sales resulting from this Contract whether Vendor is awarded a renewal or not. Awarding Agency Authorized Signature Date Printed Name: PURCHASING COOPERATIVE OF AMERICA Page 35 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items Form B continued — Compliance and Exceptions Form (fill -out only if there are exceptions) In the absence of any exception entry on this form, the Vendor assures Awarding Agency of their full compliance with the solicitation, the accompanying forms and contract terms and conditions, scope and specifications associated with this solicitation. Awarding Agency/PCA will consider any exceptions indicated below in its contract award decisions. Awarding Agency /PCA reserves the right to accept or reject any and all responses based on any exception indicated on this form. List all exceptions your company is submitting (Use additional pages, as necessary). Signature(s) below are only required if the box is checked and there are exceptions listed above The undersigned Vendor hereby agrees to furnish products and/or services in strict compliance with the terms, specifications, and conditions of the solicitation, the Contract, and the Vendor's response. Company Name (Please Print) Authorized Signature: Date: ❑ Exception(s) Accepted ❑ Exception(s) Rejected — New Form B must be re -submitted; if not submitted, award will not be recommended. ❑ Exception(s) Partially Accepted — New Form B must be re -submitted with rejected items removed; if not submitted, award will not be recommended. PCA/Awarding Agency Authorized Signature Date PURCHASING COOPERATIVE OF AMERICA Page 36 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM C - CONFLICT OF INTEREST QUESTIONNAIRE To comply with TEX. LOCAL GOV'T. CODE, Chapter 176, Disclosure of Certain Relationships with Local Government Officers, any company that does business with Awarding Agency must fill out a Conflict of Interest Questionnaire (CIQ) whether or not a conflict of interest exists. A conflict of interest exists in the following situations: (1) The person has employment or other business relationship with a Member of the Awarding Agency approving Board, Council, or other approving Authority, or with a local government officer listed below or a family Member resulting in the officer or family Member receiving taxable income, and/or (2) Your company has given one of the Awarding Agency's local government officers or family Member(s) one or more gifts (excluding food, lodging, transportation, and entertainment) that has an aggregate value of more than $250.00 in the twelve (12)-month period preceding the date the officer becomes aware of an executed contract or consideration of the person for a contract to do business with PCA. IF NO CONFLICT OF INTEREST EXISTS, YOU MUST FILL OUT BOX 1 AND TYPE N/A ON BOX 3 Or THE CIQ FORM, SIGN, AND DATE IT. Going forward, a Conflict of Interest Questionnaire must be filed within seven (7) business days after the company becomes aware that a conflict of interest exists. PURCHASING COOPERATIVE OF AMERICA Page 37 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items CONFLICT OF INTEREST (QUESTIONNAIRE FORM CIO For vendor doing business wRh local governmental entity This questionnaire reflects changes made to the low by KB. 23, 94th Leg, Regular Session. OFFICE USE ONLY This questionnaire s being filed ;n accordance wrth Ci apt r 176 Local Government Code, by a vendor who Dale Received has a Gus ^ess relatoroo as defined by Section 176.001(1-a) with a local gevernmerital entity and the vendor -+eet3 ec•,,fenwt- under Section 176 00&a) By law this questionnaire must be Fled with the records 3,1, sty s:-• ,t ne focal govemme— r <t later than the 7th business day after the date the vendor t. es awa-e _f •a_ts that require '.o be filed See Section 176 006(a-1), Local Govemment A vendor commits an offense i he vendor K^av rgly violates Section 176 006, Local Government Code An offense under this section is a misdemeanor J Name of vendor who has a business relationship with local governmental erttiM AM Signal, LLC J Check this boot if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not rater than the 7th business day after the date on which you became aware that the onginaly f led questionnaire was incomplete or inaccu:-ate.) J Name of local government officer about whom the information is being disclosed. n/a Name of = r ur J Describe each employment or other business relationship with the local government officer, or a family member of the officer, as descnbed by Section 176 0031aX2MA). Also describe any family retattonshfp with the local government officer. Complete subpans A and B for each employment or business relationship descntxed Attach additional pages to this Form CIO as necessary A Is the local government officer or a family member of the officer ro-- ping or likely to receive taxable income, other than investment income from the vendor? Yes a No B Is the vendor receiving or likely to rc-�q.;_ ve taxable income. other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not re,--'.ed from the ,.ca.1 governmental entity? F1 Yes a No J Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity, with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. J ElGhech :his box f the oerdcr has gr en the local government officer cr a !amry member of he olker one or more gifts as described in Section 176.003(a)(2)(13), excluding gifts described in Section 176.003(a-1) cnl'u�'-'1 11 /15/2021 ;. vet rig awrvss wdn t9 gnvemmie-ta, a^trq Dare Form provided by Texas Ethics Commtssior www ethics state -Ix us REv,sed :11301201S PURCHASING COOPERATIVE OF AMERICA Page 38 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at httpJ/www statutes.legis.state tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code 6 176.001(1-a): "Business relationship' means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal. state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that Is subject to regular examination by, and reporting to, that agency. Local Government Code 4 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2.500 during the 12-month period preceding the date that the officer becomes aware that It) a contract oetween the local governmental entity and vendor has been executed (ii) the local governmental entity is considering entering into a contract with the vertdor (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed: or (ii) the local governmental entity is considering entering into a contract with the vendor Local Government Code 6 176.006(a) and (a-1) (a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local govemmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176 003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local govemment officer, or a family member of the officer, described by Subsection (a); (8) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer_ Form provided by Texas Ethics Commission www ethics state tx us Revised 11/30/2015 PURCHASING COOPERATIVE OF AMERICA Page 39 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items Form D — Antitrust Certification Statement TEX. GOV'T. CODE §2155.005 affirm under penalty of perjury of the laws of the State of Texas that: • 1 am duly authorized to execute this contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual ("Company") listed below; • In connection with this proposal, neither I nor any representative of the Company has violated any provision of the TEX. BUSINESS & COMMERCE CODE, Chapter 15, Texas Free Enterprise and Antitrust Act; • In connection with this proposal, neither I nor any representative of the Company have violated any federal antitrust law; and • Neither I nor any representative of the Company has directly or indirectly communicated any of the contents of this proposal to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Company. further affirm under penalty of perjury of the laws of the State of Texas that: • The proposal submitted by the Company is genuine and is not collusive or sham; • The Company has not colluded, conspired, connived or agreed, directly or indirectly, with an entity or person, to put in a sham proposal or to refrain from responding, and has not in any manner, directly or indirectly, sought by Contract or collusion, or communication or conference, with any person, to fix the bid price or of any other Vendor, or to fix any overhead, profit or cost element of said bid price, or of that of any other Vendor, or to secure any advantage against Awarding Agency or any person interested in the proposed contract; and • All statements in Vendor's proposal are true. Vendor: AM Signal, LLC Address: 8100 Southoark Way. Unit Al Littleton, CO 80120 Phone: 720-348-6925 Fax: 720-348-6950 Company Official Authorizing Response: _Alex Undzis Printed Name Director of Operations Title PURCHASING COOPERATIVE OF AMERICA Page 40 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. Form Request for Taxpayer Give Form to the (Rev. October2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs.gov1Form1N9 for instructions and the latest information. 1 Name (as shown on your Income tax returril. Name Is required on this line; do not leave this lllte blank. AM SOnal, LLC 2 Business name/disregarded entity name, if different 'ram above ri m m a a 0 0 N C O i c ao w U rA Iv v7 . 3 Check appropriate box for federal tax classification of the 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; see instructions on page 3): ElIndividual/sole proprietor or ElC Corporation ElS Corporation ❑ Partnership ❑ Trust/estate single -member LLC Exempt payee code (If any) ❑✓ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► P Note: Check the sporopriate box ,n the line above for the tax classification of the single -member owner. Do rat check Exemption from FATCA reporting LLC If the LLC is classified as a single -member LLC that Is dlsregardee from the owner unless the owner of the LLC Is code (if any) another LLC that Is not disregarded from the ow,,ar for U.S. federal tax purposes. Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner ❑ Other (see Instructlore) ► 5 Address (number, street, and apt. or suite no.) see Instructions. 8100 Southpark Wav, Unit A-10 6 City, state, and ZIP code Littleton, CO 80120 7 List account number(s) pore (optional) (Applies to eaounts m intolned outside the U.S) Requester's name and address (optional) Milig-M Taxpayer Identification Number (TIN) 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 (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other 1 entities, it is your employer identification number (EIN). 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 Employer identification number Number To Give the Requester for guidelines on whose number to enter. M86 —I 1 18 I ti 14 18 16 8 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has 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 4. 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 11, later. Sin s yy� Here I U.S. person f► /?Icle e� -- Date 0-/n4 a pi t . 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 (interest 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 thlyd party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (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 TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM F - VENDOR CERTIFICATIONS FORM Vendor will initial each certification and sign and date at the end of Form F TEXAS CERTIFICATIONS: DOING BUSINESS WITH INDIVIDUALS. ENTITIES OR COUNTRIES SANCTIONED BY TEXAS AND OTHER STATES Texas Government Code (Subchapter F), Chapter 2252 prohibits Texas governments from contracting with companies that do business with listed foreign terrorist organizations, as updated: other states may have similar laws. Does Vendor agree? If YES, provide the initials of an Authorized Representative"' " INVESTMENTS AND CONTRACTS WITH COMPANIES THAT BOYCOTT ENERGY COMPANIES Subtitle A, Title 8, Texas Government Code, Chapter 809 - Effective date, September 1, 2021. Contracts for goods/services between a governmental entity and a company (excluding a sole proprietorship) with 10 or more full-time employees that has a value of $100,000 or more to be paid wholly or in part from public funds. Vendor certifies that Vendor • Does not boycott energy companies, and • Will not boycott energy companies during the term of the contract Jl Does Vendor agree? If YES, provide the initials of an Authorized Representative = " TEXAS FAMILY CODE As per Section 14.52 of the TEX. FAMILY CODE, added by S.B. 84, Acts, 73rd Legislature, R.S. (1993), all responders must complete and submit the following affidavit: I, the undersigned Vendor, do hereby acknowledge that NO sole proprietor, partner, majority shareholder of a corporation, or an Owner of 10% or more of another business entity is 30 days or more delinquent in paying child support under a court order or a written repayment agreement is eligible to respond or receive a state contract. Does Vendor agree? If YES, provide the initials of an Authorized Representative F=L CONTRACTS WITH COMPANIES THAT DISCRIMINATE AGAINST FIREARM INDUSTRY Subtitle F, Title 10, Government Code. Chapter 2274 - Effective date, September 1, 2021. For contracts for goods/services between a governmental entity and a company (excluding a sole proprietorship) with 10 or more full-time employees that has a value of $100,000 or more to be paid wholly or in part from public funds, Vendor certifies that Vendor • Does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association, and • Will not discriminate against a firearm entity/ firearm trade association during the termofthe contract. ' " Does Vendor agree? If YES, provide the initials of an Authorized Representative TEXAS FELONY CONVICTION NOTICE TEX. EDUC. CODE §44.034, Notification of Criminal History of Vendor s, provides: (a.) A person or business entity that enters into a contract with a Texas school district must give advance notice to the district if the person or an Owner or operator of the business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony. (b.) A Texas 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. (c.) This section does not apply to a publicly held corporation. ) Does Vendor agree? If YES, provide the initials of an Authorized Representative STATE OF TEXAS FRANCHISE TAX By submitting a response to the RFP, Vendor certifies that Vendor is not currently delinquent in Vendor's payment of any franchise taxes or other taxes owed to the State of Texas. Does Vendor agree? If YES, provide the initials of an Authorized Representative PURCHASING COOPERATIVE OF AMERICA Page 42 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 FEDERAL CERTIFICATIONS Traffic Control Products, Services and Related Items BUY AMERICA PROVISIONS Vendor certifies that Vendor is in compliance with all applicable provisions of the Buy America Act. Purchases made in accordance with the Buy America Act must still follow the applicable procurement rules calling for free and open competition. Buy American Act (1933) applies to direct U.S. Federal procurement, covers specified products, and requires the U.S. government to prefer domestic goods and services unless the head of the agency involved in the procurement has determined that the prices of the domestic suppliers are "unreasonable" or that the purchase would be "inconsistent with the public interest." The Act contains exceptions in terms of trade agreements. Buy America Act (1983) applies only to mass -transit -related procurements such as highways, bridges, transit systems and terminal programs valued over $100,000 and funded at least in part by Federal grants issued by the Federal Transit Administration and Federal Highway Administration. Under Buy America, Federal -aid funds may not be obligated for a project unless iron and steel products used in such projects are manufactured in the United States —with some exceptions. 1 Does Vendor agree? If YES. provide the morals of an Authorized Representative Y v REQUIRED CONTRACT PROVISIONS FOR NON-FEDERAL ENTITY CONTRACTS UNDER FEDERAL AWARDS — APPENDIX II TO CFR PART 200 In addition to other provisions required by the Federal agency or non -Federal entity, all contracts made by the non -Federal entity under the Federal award must contain provisions covering the following, as applicable: (A) 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 U.S.C. 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. Does Vendor agree? If YES, provide the initials of an Authorized Representative (B) All contracts in excess of $10,000 must address termination for cause and for convenience by the non -Federal entity including the manner by which it will be effected and the basis for settlement. TODoes Vendor agree? If YES provide the initials of an Authorized Representative "v (C) Equal Employment Opportunity - Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of "Federally assisted construction contract" in 41 CFR Part 60-1.3 must 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 oart 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor." Does Vendor agree? If YES, provide the initials of an Authorized Representative (D) Davis -Bacon Act, as amended (40 U.S.C. 3141-3148) - When required by Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non -Federal entities must include a provision for compliance with the Davis -Bacon Act 40 U.S.C. 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, contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. The non -Federal entity must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non -Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a provision for compliance with the Copeland "Anti -Kickback" Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations 2( 9 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. The non -Federal entity must report all suspected or reported violations to the Federal awarding agency. Does Vendor agree? If YES provide the initials of an Authorized Representative (E) Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708) - Where applicable, all contracts awarded by the non - Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be 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 U.S.C. PURCHASING COOPERATIVE OF AMERICA Page 43 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items 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 tines Vendor agree? If YES provide the initials of an Authorized RenresentafivF (F) Rights to Inventions Made Under a Contract or Agreement - If the 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 of 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. ')oes Vendor agree? If YES, provide the initials of an Authorized Representative (G) Clean Air Act (42 U.S.C. 7401-7671a.) and the Federal Water Pollution Control Act 133 U.S.C. 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 U.S.C. 7401-7671a) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). / }oes Vendor agree? If YES, provide the initials of an Authorized Representative fv7 (H) 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 governmentwide 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 1986 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 tJ (1) Byrd Anti -Lobbying Amendment (31 U.S.C. 1352) - Contractors 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 U.S.C. 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 upI to the non -Federal award. Does Vr-minr igr,,el If YFS nrnv,dN the rniti„I: of qn Atiihrlrgy'1 R�nro:Pnt;rli•;.- ' v CERTIFICATION OF COMPLIANCE WITH THE ENERGY POLICY AND CONSERVATION ACT Vendor certifies that Vendor is in compliance with mandatory standards and policies relating to energy efficiency which are contained in the state energy plan issued in compliance with the Energy Policy and Conservation Act (Puub.I L. 94-163, 89 Stat. 871). + V CERTIFICATION OF COMPLIANCE WITH EPA REGULATIONS APPLICABLE TO GRANTS. SUBGRANTS. COOPERATIVE AGREEMENTS. AND CONTRACTS IN EXCESS OF $100.000 OF FEDERAL FUNDS Vendor certifies that Vendor is in compliance with all applicable standards, orders or regulations issued pursuant to the Clean Air Act of 1970, as amended (42 U.S.C. 1857(h)); Section 508 of the Clean Water Act, as amended (33 U.S.C. 1368), Executive Order 117389 and Environmental Protection Agency Regulation. 40 CFR Part 15. I 1 Does Vendor agree? If YES provide the in+r•=:Is of an -ornn- d P-or- niativ, _� FERPA CONFIDENTIALITY Vendor agrees to cooperate with Awarding Agency/PCA to secure the confidentiality of all information and records in accordance with applicable Federal and state laws, rules, and regulations. Vendor understands that the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232(g), governs the privacy and security of educational records and information and agree to abide by FERPA rules and regulations, as applicable. CERTIFICATION OF NON -COLLUSION STATEMENT Vendor certifies under penalty of perjury that its response to this procurement solicitation is in all respects bona fide, fair, and made without collusion or fraud with any person joint venture. partnership corporation or other business or legal entity Does Vendor agree? If YES provide Iho milials of an Authorized Represenlativt lb -IV PURCHASING COOPERATIVE OF AMERICA Page 44 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items OSHA Vendor, its sub-vendor(s), and their respective employees shall comply fully with all applicable Federal, state, and local safety and health laws, ordinances, rules, and regulations in the performance of services under this Contract, as applicable, including, without limitation, the Occupational Safety and Health Administration (OSHA). In case of conflict, the most stringent safety requirements shall govern. Vendor shall comply with all safety guidelines and standards as required by PCA Members. Vendor shall indemnify and hold Awarding Agency /PCA, PCA agents, and/or PCA Member(s) harmless from and against all claims, demands, suits, actions, judgments. fines, penalties. and liability of every kind arising from the breach of Vend ?r s obligations under this provision Does Vendor agree? if YES provide th, !10ials of an thorized Representative " v RECORDS ACCESS AND RETENTION REQUIREMENTS 2 C.F.R. § 200.336. Vendor agrees that the Inspector General of the District or any of their duly authorized representatives shall have access to any books, documents, papers and records of Vendor that are directly pertinent to Vendor's discharge of its obligations under the Contract for the purpose of making audits, examinations, excerpts, and transcriptions. The right also includes timely and reasonable access to Vendor's personnel for the purpose of interview and discussion relating to such documents. 2 CFR § 200.333. When Federal funds are expended by PCA Members for any contract resulting from this procurement process, Vendor certifies that it will comply with the record retention requirements detailed in 2 CFR § 200.333. The Vendor further certifies that Vendor will retain all records for a period of three years after grantees or sub grantees submit final expenditure reports or quarterly or annual financial reports, as applicable, and all other pending matters are closed. Does Vendor agree? If YES, provide the initials of an Authorized Representative`+��/ DOING BUSINESS WITH INDIVIDUALS. ENTITIES OR COUNTRIES SANCTIONED BY U.S. GOVERNMENT Vendor certifies that it is not engaged and doing business with individuals, entities or countries sanctioned by the U.S. Government, including, but limited to, those on the Listing of Specially Designated Nationals and Blocked Persons (the "SDN List"). Does Vendor agree? If YES, provide the initials of an Authorized Representative CERTIFICATION OF APPLICABILITY TO SUBCONTRACTORS Vendor agrees that any/all subcontractors it uses to fulfill the Contract shall also be bound by the foregoing certifications and provisions. Also, Vendor agrees to be responsible for their subcontractors and acknowledge that their subcontractors will be held to the same standards as Vendor. Does Vendor agree? If YES, provide the initials of an Authorized Representative -�� CERTIFICATION Vendor agrees to comply to all Federal, state and local provisions, laws, acts, regulations, as applicable. It is further acknowledged that Vendor certifies compliance with the provisions, laws, acts, regulations, etc. noted above. PCA Members may have additional provisions, laws, acts, regulations they will require the Vendor to agree to, and adhere to, which will be added to the purchase order and/or in a supplemental contract. Vendor Company Name A M S i g n a I, L L C Address, City, State and Zip Code 8100 Southoark Wav, Unit A10, Littleton, CO 80120 Printed Name and Title of Authorized Representative: Alex Undzis. Director of Operations Phone Number 720-348-6925 Ema I Address alexa-amsianalinc com Signature of Authorized Representative Date: 11/15/2021 PURCHASING COOPERATIVE OF AMERICA Page 45 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM G1 - SB 9 CONTRACTOR CERTIFICATION: CONTRACTOR EMPLOYEES Background TEX. EDUC. CODE, Chapter 22 requires entities that contract with school districts to obtain criminal history records on covered employees. Covered employees with disqualifying criminal histories are prohibited from serving at a school district. Vendors must certify to Awarding Agency that they have complied and must obtain similar certifications from their subcontractors. The law requires each contractor to obtain the criminal histories of its covered employees. For more information or to set up an account, contact the Texas Department of Public Safety's Crime Records Service at 512.424.2474. Definitions Covered emplovees: Employees of a contractor who have or will have continuing duties related to the service to be performed at a school district and have or will have direct contact with students. Awarding Agency and/or the PCA Member issuing a Purchase Order will be the final arbiter of what constitutes continuing duties and direct contact with students. Disaualifvino criminal historv: (1) A conviction or other criminal history information designated by Awarding Agency or an PCA Member; (2) A felony or misdemeanor offense that would prevent a person from being employed under TEX. EDUC. CODE §22.085(a), that is: if at the time of the offense, the victim was under 18 or was enrolled in a public school: (a) A felony offense under Title 5, Texas Penal Code; (b) An offense on conviction for which a defendant is required to register as a sex offender under Chapter 62, TEX. CR. CODE ANN.; or (c) An offense under federal law or the laws of another state that is equivalent to (a) or (b). On behalf of AM Signal, LLC ("Vendor'), I, the undersigned authorized signatory for Vendor, certify to Awarding Agency that [check one]: [X] None of Vendor's employees are covered employees, as defined above. If this box is checked, I further certify that Vendor has taken precautions or imposed conditions to ensure that its employees will not become covered employees. Vendor will maintain these precautions or conditions throughout the time the contracted services are provided. - Or — Some or all of Vendors employees are covered employees. If this box is checked, I further certify that: (1) Vendor has obtained all required criminal history record information regarding its covered employees. None of the covered employees has a disqualifying criminal history. (2) If Vendor receives information that a covered employee subsequently has a reported criminal history, Vendor will immediately remove the covered employee from contract duties and notify PCA in writing within 3 business days. (3) Upon request, Vendor will provide PCA Member with the name and any other requested information of covered employees so that PCA Member may obtain criminal history record information on the covered employees. If PCA Member objects to the assignment of a covered employee on the basis of the covered employee's criminal history record information, Vendor agrees to discontinue using that covered employee to provide services at PCA Member. I also certify to Awarding Agency on behalf of Vendor that Vendor has obtained certifications from its subcontractors of compliance with TEX. EDUC. CODE, Chapter 22. Noncompliance or misrepresentation regarding this certification may be grounds for contract termination. Director of Operations 11 /15/2021 Signature Title Date PURCHASING COOPERATIVE OF AMERICA Page 46 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM G2 — SB 9 CONTRACTOR CERTIFICATION: SUBCONTRACTOR Background TEX. EDUC. CODE, Chapter 22 requires entities that contract with school district contractors to obtain criminal history records regarding covered employees. Covered employees with disqualifying criminal histories are prohibited from serving at a school district. Subcontractors must certify to Member and to the Vendor that they have complied. The law requires each subcontractor to obtain the criminal histories of its covered employees. For more information or to set up an account, contact the Texas Department of Public Safety's Crime Records Service at 512-424-2474. Definitions Covered emplovees: Employees of a Vendor who have or will have continuing duties related to the service to be performed at a school district and have or will have direct contact with students. Awarding Agency or other co-op Member issuing a Purchase Order will be the final arbiter of what constitutes continuing duties and direct contact with students. Disaualifvina criminal historv: (1) A conviction or other criminal history information designated by an PCA Member; (2) A felony or misdemeanor offense that would prevent a person from being employed under TEX. EDUC. CODE §22.085(a), that is: if, at the time of the offense, the victim was under 18 or was enrolled in a public school: (a) A felony offense under Title 5, TEXAS PENAL CODE; (b) An offense on conviction for which a defendant is required to register as a sex offender under Chapter 62, TEX. CR. CODE ANN.; or (c) An offense under federal law or the laws of another state that is equivalent to (a) or (b). Subcontractor has entered into a contract with AM Siqnal. LLC ("Vendor'), to provide services in connection with the contract between Awarding Agency and Vendor. I, the authorized signatory for Subcontractor, certify to Awarding Agency and Contractor that [check one]: [X] None of Subcontractor's employees are covered employees, as defined above. If this box is checked, I further certify that Subcontractor has taken precautions or imposed conditions to ensure that its employees will not become covered employees. Subcontractor will maintain these precautions or conditions throughout the time the contracted services are provided. - Or - [ ] Some or all of Subcontractors employees are covered employees. If this box is checked, I further certify that: (1) Subcontractor has obtained all required criminal history record information regarding its covered employees. None of the covered employees has a disqualifying criminal history. (2) If Subcontractor receives information that a covered employee subsequently has a reported criminal history, Subcontractor will immediately remove the covered employee from contract duties and notify PCA in writing within three (3) business days. (3) Upon request, Subcontractor will provide Awarding Agency with the name and any other requested information of covered employees so that Awarding Agency may obtain criminal history record information on the covered employees. If a Member objects to the assignment of a covered employee on the basis of the covered employee's criminal history record information, Subcontractor agrees to discontinue using that covered employee to provide services at Member. I also certify to Awarding Agency and Vendor on behalf of Subcontractor that Subcontractor has obtained certifications from its subcontractors of compliance with TEX. EDUC. CODE, Chapter 22. Noncompliance or misrepresentation regarding this certification may be grounds for contract termination. EL>/ Director of Operations 11/15/2021 Signature Title Date PURCHASING COOPERATIVE OF AMERICA Page 47 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM H — CONTRACTOR CERTIFICATION-ARIZONA REQUIREMENT Contractor's Employment Eligibility By entering into the contract, Contractor warrants compliance with the Federal Immigration and Nationality Act (FINA), and all other federal and state immigration laws and regulations. The Contractor further warrants that it is in compliance proper with the various state statutes where this contract will operate. Participating government entities including school districts may request verification of compliance from any Contractor or subcontractor performing work under this contract. These entities reserve the right to confirm compliance in accordance with applicable laws. Should the participating entities suspect or find that the contractor or any of its subcontractors are not in compliance, they may pursue any and all remedies allowed by law, including, but not limited to: suspension of work, termination of the contract for default, and suspension and/or debarment of the contractor. All costs necessary to verify compliance are the responsibility of the contractor. The Vendor complies and maintains compliance with the appropriate statutes which requires compliance with federal immigration laws by State employers, State contractors and State subcontractors in accordance with the E-Verify Employee Eligibility Verification Program. Contractor shall comply with governing board policy of the participating entities in which work is being performed. Fingerprint & Background Checks (Arizona requirement) If required to provide services on school district property at least five (5) times during a month, contractor shall submit a full set of fingerprints to the school district if requested of each person or employee who may provide such service. Alternately, the school district may fingerprint those persons or employees. An exception to this requirement may be made as authorized in Governing Board policy. The district shall conduct a fingerprint check in accordance with the appropriate state and federal laws of all contractors, subcontractors or Vendors and their employees for which fingerprints are submitted to the district. Contractor, subcontractors, Vendors and their employees shall not provide services on school district properties until authorized by the District. The Vendor shall comply with fingerprinting requirements in accordance with appropriate statutes in the state in which the work is being performed unless otherwise exempted. Business Operations in Sudan, Iran In accordance with Arizona Revised Statutes 35-391 and Arizona Revised Statutes 35-393, the contractor hereby certifies that the contractor does not have scrutinized business operations in Sudan and/or Iran. CA 11 /15/2021 SignatureV Respondent I Date PURCHASING COOPERATIVE OF AMERICA Page 48 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM I BONDING LETTER, IF APPLICABLE PURCHASING COOPERATIVE OF AMERICA Page 49 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM J INSTRUCTIONS FOR CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS 1. A signed certification is due upon submittal of an offer and during the annual contract renewal period. A PCA Member may also request and receive a certification prior to purchase of goods or commencement of work. 2. The inability of Vendor to provide the certification below will not necessarily result in disqualification of the Vendor's submittal or non -renewal of the Awarded Contractor's (Vendor's) contract. The Vendor/Awarded Contractor shall submit an explanation of why it cannot provide the certification. The certification or explanation will be considered in connection with Awarding Agency's determination whether to award a contract/terminate an existing contract. However, failure of the Vendor to furnish a certification or an explanation shall disqualify such Vendor from being awarded a contract or the Awarded Contractor from renewal of an existing contract. 3. The certification is a material representation of fact upon which reliance was placed when Awarding Agency awards/renews a contract. If it is later determined that the Vendor/Awarded Contractor knowingly rendered an erroneous certification, Awarding Agency may terminate the contract for cause or default. 4. The Vendor/Awarded Contractor shall provide immediate written notice to Awarding Agency per the instructions specified in the Notice paragraph of the Contract Terms and Conditions if at any time the Vendor/Awarded Contractor learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a Vendor/Awarded Contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS 1 The Vendor/Awarded Contractor certifies to the best of its knowledge and belief, that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency, or State agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three-year period preceding this submittal/renewal had— one or more public transactions (Federal, State or local) terminated for cause or default. 2 Where the Vendor/Awarded Contractor is unable to certify to any of the statements in this certification, such pros ective p rticipant shall attach an explanation to this proposal. Authorized Company Signature _Alex Undzis, Director of Operations Printed Name & Title PURCHASING COOPERATIVE OF AMERICA Page 50 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM K - ADDENDUM(S) IF ISSUED Addendums, if issued, will be noticed on Bonfire through the www.pcamerica.orq website on the Solicitation Tab. Vendor must download the addendum have an authorized person acknowledge the addendum by signing and dating and submit the addendum with the company's submission or proposal. If the company has submitted their proposal before the notice is posted, the addendum notice must be submitted by email to pcamericatapcamerlca.orq.. PURCHASING COOPERATIVE OF AMERICA Page 51 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items FORM L - VENDOR QUESTIONNAIRE AND COMPANY PROFILE 1. Certification of Residencv-TEXAS TEX. GOV7. CODE § 2252.002, PCA "...may not award a contract to a nonresident bidder unless the nonresident underbids the lowest bid submitted by a responsible resident bidder by an amount that is not less than the amount by which a resident bidder would be required to underbid the nonresident bidder to obtain a comparable contract (1) in the state in which the nonresident's principal place of business is located; or (2) a state in which the nonresident is a resident manufacturer." This requirement does not apply to contracts involving federal funds. TEX. GOV'T. CODE § 2252.004. "Resident bidder" 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. "Nonresident bidder" is a person who is not a Texas resident. TEX. GOV7. CODE § 2252.001. COMPANY'S LEGAL NAME: AM Sional, LLC City and state of Vendor's principal place of business: Littleton. CO Vendor is a Texas "resident bidder" OR a "non-resident bidder" X (complete 'a' and 'b') a) Does your "resident state" require bidders whose principal place of business is in Texas to underbid bidders whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? ❑Yes ❑X No b) What is the prescribed amount or percentage? % OR % 2. Which best describes Vendor: ❑ Manufacturer direct ❑ Certified education/government reseller ❑X Authorized distributor ❑ Manufacturer marketing through reseller ❑ Value -add reseller ❑ Other: Authorized distributors and Resellers must provide letters from the manufacturer. 3. Check all states and territories where Vendor intends to pursue work, even states where you are not currently licensed. Note: Licenses must be obtained before commencement of work ❑ All States ❑ Kentucky ❑ North Dakota ❑ Alabama ❑ Louisiana ❑ Ohio ❑ Alaska ❑ Maine ❑ Oklahoma ® Arizona ❑ Maryland ❑ Oregon ❑ Arkansas ❑ Massachusetts ❑ Pennsylvania ❑ California ❑ Michigan ❑ Rhode Island M Colorado ❑ Minnesota ❑ South Carolina ❑ Connecticut ❑ Mississippi ❑ South Dakota ❑ Delaware ❑ Missouri ❑ Tennessee ❑ Florida ❑ Montana ® Texas - see below also ❑ Georgia ❑ Nebraska ® Utah ❑ Hawaii ❑ Nevada ❑ Vermont PURCHASING COOPERATIVE OF AMERICA Page 52 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 ❑ Idaho ❑ Illinois ❑ Indiana ❑ Iowa ❑ Kansas ❑ District: Washington D.C. ❑ All U.S. Territories ❑ American Samoa ❑ Fed. States of Micronesia USMCA ❑ Canada Traffic Control Products, Services and Related Items ❑ New Hampshire ❑ New Jersey IKI New Mexico ❑ New York ❑ North Carolina ❑ Guam ❑ Midway Islands ❑ Northern Mariana Islands ❑ Mexico Texas Education Service Center Area Map (below) ® All ESCs ❑ ESC 7 ❑ ESC 1 ❑ ESC 8 ❑ ESC 2 ❑ ESC 9 ❑ ESC 3 ❑ ESC 10 ❑ ESC 4 ❑ ESC 11 ❑ ESC 5 ❑ ESC 12 ❑ ESC 6 ❑ ESC 13 Texas Education Service Center Area Map Special Noticing Requirements of Other States ❑ Virginia ❑ Washington ❑ West Virginia ❑ Wisconsin ® Wyoming ❑ Puerto Rico ❑ U.S. Virgin Islands ❑ ESC 14 ❑ ESC 15 ❑ ESC 16 ❑ ESC 17 ❑ ESC 18 ❑ ESC 19 ❑ ESC 20 Pursuant to Oregon Revised Statutes Chapter 279A.220, and similar laws in other states, the following public agencies and political subdivisions of the referenced public agencies are eligible to register with PCA and access the Master Agreement contract award made pursuant to this solicitation, and hereby given notice of the foregoing request for responses for purposes of complying with the procedural requirements of said statutes. Lists of political subdivisions and local governments in the above referenced states/districts may be found at littus.uwyrry usa aovistate-tribal-governments. PURCHASING COOPERATIVE OF AMERICA Page 53 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 4. Comnanv Profile. Provide: Traffic Control Products, Services and Related Items a) Legal Company name. This should be the name on Form A and will be used on the contract: AM Siqnal, LLC b) Dun & Bradstreet number and rating. 042614201 / Will provide financials upon request If you do not provide a Dun & Bradstreet rating in (b), Vendor agrees to provide the following financial information, if requested, at any point during the procurement process, before or after contract award: (1) If public, Company's income statement, balance sheet, and cash flow statement for the latest audited year, OR (2) If private, Company's audited financial statements for the latest fiscal year available. ®Yes ❑No c) Federal tax identification number (EIN): 8 6- 1 8 6 4 8 6 8 d) Number of years company has been in the business described in this solicitation: 20 e) Number of full-time employees: 22 f) Corporate office address/city/state/zip: 8 1 0 0 S o u t h p a r k W a y, U n i t A 1 0 Littleton, CO 80120 g) Describe Company's relevant market and company's position within it. AM Siqnal is a leadinq distributor in traffic siqnal control devices and Intelligent Transportation Systems. 5. References— Required Provide references from at least three (3) customers, preferably public sector entities, that Vendor has provided services to within the last three years. Vendor may supply a letter from a company on letterhead, including contact information. PCA reserves the right to contact the references and will not be held responsible for references that will not respond after two (2) attempts by phone or email. (1) Contact Name: Brian Carbone Company: City & County of Denver Address: 5440 Roslyn Street, Denver, CO 80216 Contact phone number(s): 3 0 3- 3 0 1- 5 7 5 8 Email: brian.carboneCa denveraov.com (2) Contact Name: M a a d v K o z m a n Company: TXDOT Houston District Address: 6922 Katv Rd. Houston. TX 77024 Contact phone number(s): 7 1 3- 8 8 1- 3 3 1 7 Email: maadv.kozman @,txdot.aov PURCHASING COOPERATIVE OF AMERICA Page 54 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items (3) Contact Name: Kassondra Munoz Company: TXDOT Corpus Christi District Address: 1701 S Padre Island Dr, Corpus Christi, TX 78416 Contact phone number(s): 361-877-0212 Email: kassondra.munoz(a txdot.gov (4) Contact Name: Leroy Baca Company: City of Greeley, Colorado Address: 1300 'A' Street, Bldg E, Greeley, CO 80631 Contact phone number(s): 970-539-6214 Email: Ieroy.bacat7a greeleygov.com (5) Name: Steve Koebler Company: Arizona DOT. Phoenix Address: 2302 W. Duranao. Phoenix. AZ 85009 Contact phone number(s): 602-712-2037 Email: skoebler(a-)azdot.gov 6. Insurance. All contracts require proof of insurance; for the purposes of this solicitation, the certificate holder is Awarding Agency /Purchasing Cooperative of America. a) Vendor's insurance provider: Arthur J. Gallagher Risk Manaqement Services, Inc. b) Provide insurance certification demonstrating compliance with the Insurance Requirements listed in the Terms and Conditions. 7. Accountina. a) Define company's standard terms of payment. N E T 3 0 b) Discuss the invoicing options company offers and the payment terms for each. Standard email invoicinq, NET 30 8. Corporate Resources and Commitment - Construction ONLY If Not Applicable, initial here N/A Corporate resources and commitments are important as indicators of the respondent's commitment and ultimate success. Vendors must include the following information in their responses: a) Has a corporate officer been assigned to the program? ❑Yes ❑No b) Does corporate understand the need for prompt payment of subcontractors? ❑Yes ❑No c) Does the company have business procedures and a business manager assigned to this program that will conform to the solicitation? [-]Yes ❑No d) Has the company committed the people long-term to this program for continuity? ❑Yes ❑No PURCHASING COOPERATIVE OF AMERICA Page 55 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items e) Does corporate acknowledge PCA Member's rights to proposed changes in key personnel and to remove Vendor personnel for any reason? ❑Yes [:]No 9. ISO Certification. If "Yes" Vendor must provide a copy of the Certification to receive credit. Vendor is certified: ❑Yes ®No 10. HUB, MWBE, VOSB. SBE. etc. Certification. If "Yes" Vendor must provide a copy of letter(s) or certificate(s) to receive credit. Vendor is certified If Yes, type of Certification/awarding agency: ❑Yes X❑No Some PCA Members have specific goals for use of HUBs, etc., including subcontracting requirements, and will require that a plan be submitted to meet their goals. See TEX. GOV7. CODE, Chapter 2161. State percentage of Vendor's business with HUB/WMBE/SBE, etc. subcontractors: 0 % 11. Cvbersecurity Maturitv Model Certification (CMMC). Vendor must provide a copy of the Certification to receive credit. Vendor is certified: []Yes X❑No 12. Awards/Certificates/Licenses. Vendor must provide copies of Award/Certificate/License to receive credit. a) List environmental, social or industry standards awards or recognition Vendor has received. Provide documentation. b) Provide copies of licensing certificates, including contractor licenses and certifications, for each state in which Vendor can provide products/services. 13. List all other cooperative contracts currently held by Vendor. ❑ Check here, if none. COOPERATIVE NAME DISCOUNT OFFERED EXPIRATION DATE Buy Board 10% 5/31/2022 Maricopa County ITS & Comm Equipment 3-22% 7/31/2023 14. Comr)anv Contact Information. Vendor must keep the following information up-to-date. Email name ;rr�nra with changes as they occur. ADMINISTRATIVE SUPPORT SERVICES — Provide the contact who will be responsible for monthly reporting, payment of administrative fees, website updates, etc.: Name: Gale Nation Title: Estimator / Contracts Manager Address if different than Corporate: City/State/Zip Office Phone: 720-348-6925 Cell: n/a E-mail: aale anamsianalinc.corn PURCHASING COOPERATIVE OF AMERICA Page 56 of 68 RFP OD-358-21 Traffic Control Products, Services and Related Items AM Signal, LLC. RFP OD-358-21 Traffic Control Products, Services and Related Items SALES AND MARKETING CONTACT. Provide the contact who can assist with sales and marketing questions, fees & monthly report questions, member lists, etc.: Name: Gale Nation Title: Estimator / Contracts Manager Address if different than Corporate: City/State/Zip: Office Phone: 720-348-6925 Cell: n/a E-mail: gale@amsignalinc.corn AWARD PACKET AND ORIENTATION CONTACT. If awarded a contract, this contact person will be responsible for the following: • receiving the award packet and, as necessary, distributing the content throughout the Company, • receiving email information regarding setting up orientation dates and times and will make sure PCA has the names, email addresses, phone numbers for those who will attend the orientation(s). Name: Gale Nation Address if different than Corporate. Title: Estimator / Contracts Manaqer City/State/Zip: Office Phone: 720-348-6925 Cell: n/a E-mail: gale@amsignalinc.com PURCHASING COOPERATIVE OF AMERICA Page 57 of 68 EXHIBIT C CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity FORM CIQ This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. jJ Name of vendor who has a business relationship with local governmental entity. AM Signal, LLC J ❑ Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) J Name of local government officer about whom the information is being disclosed. N/A Name of Officer J Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes F-1 No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? 71 Yes F1 No J Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. J ❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). J �� July 5th, 2023 Signature of vendor doing b ess with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code § 176.0010-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code § 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code § 176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 .ncia ACITY COUNCIL AGEND FORT�TII Create New From This M&C REFERENCE **M&C 23- 13PCOOP PCA OD-358-21 DATE: 6/27/2023 NO.: 0585 LOG NAME: TRAFIC DECTION SYSTEM TD TPW CODE: P TYPE: CONSENT PUBLIC NO HEARING: SUBJECT. (ALL) Authorize Execution of Agreement with AM Signal, LLC for a MioVision Traffic Detection System and Traffic Signal Equipment in the Annual Amount of $350,000.00 Using Purchasing Cooperative of America Contract OD-358-21 for the Transportation & Public Works Department (2022 Bond Program) RECOMMENDATION: It is recommended that the City Council authorize execution of an agreement with AM Signal, LLC for a MioVision traffic detection system and traffic signal equipment in the annual amount of $350,000.00 and authorize three consecutive one-year renewal options for the same annual amount using Purchasing Cooperative of America Contract OD-358-21 for the Transportation & Public Works Department. DISCUSSION: In February 2023, the Transportation & Public Works Department (TPW) approached the Purchasing Division to enter into an agreement with AM Signal, LLC to purchase a new traffic detection system utilizing Purchasing Cooperative of America (PCA) contract OD-358-21. The current detection system is an intelligent transportation system (ITS) to detect vehicles, pedestrians, and cyclists with a single camera at the intersection. Traffic engineers utilize the detection system to minimize traffic delay and distribute the unused timing to the major street to move the traffic more efficiently. The City of Fort Worth (City) is replacing the old detection technology with MioVision detection system where appropriate. This system will provide detailed traffic data to the traffic engineers for timing adjustment and traffic pattern analysis. The vendor will help the City to program the system, which detects the traffic and can send the signal to the traffic controller for signal timing operation. The City traffic staff can monitor the traffic through cameras and adjust the timing remotely. PCA Contract No. OD-358-21 has a term through December 13, 2023. The Request for Proposal was published on October 14, 2021, and responses were opened on November 16, 2021. PCA contracts offer fixed discounts. Staff reviewed the pricing and determined it to be fair and reasonable. Funding is budgeted in the TPW Dept Highway & Streets Department's 2022 Bond Program Fund for the purpose of funding the TPW 2022 Bond Traffic Signal project, as appropriated. This Agreement may be renewed for up to three additional one-year terms, in accordance with the terms of the PCA Contract. Should PCA elect to exercise the renewal option, the City will do the same. An administrative change order or increase may be made by the City Manager or his designee 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. State law provides that a local government purchasing an item under a cooperative purchase agreement satisfies any state law requiring that the local government seek competitive bids for purchase of the item. BuyBoard contracts are competitively bid to increase and simplify the purchasing power of government entities across the State of Texas. A M/WBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity. This project will serve ALL COUNCIL DISTRICTS FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budget, as previously appropriated, in the 2022 Bond Program Fund for the TPW 2022 Bond Traffic Signal project to support the approval of the above recommendation and execution of the agreement. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. BQN\\ TO Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) FROM Fund Department Account Project I Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Submitted for Citv Manager's Office bv: Originating Department Head: Additional Information Contact: Reginald Zeno (8517) William Johnson (5806) Reginald Zeno (8517) Lauren Prieur (6035) Jo Ann Gunn (8525) Taylor Dean (7648) ATTACHMENTS 13PCOOP PCA OD-358-21 TRAFIC DECTION SYSTEM TD TPW funds availabilitv..pdf (CFW Internal) Form 1295 Certificate 101053746 Ft Worth SIGNED.Ddf (CFW Internal) SAMS AM Sianal. LLC.Ddf (CFW Internal)