HomeMy WebLinkAboutContract 60658fORTWORTH CSC No. 60658
CITY OF FORT WORTH
NON-EXCLUSIVE COOPERATIVE PURCHASE AGREEMENT
This non-exclusive Cooperative Purchase Agreement ("Agreement") is entered into by and between H&E
Equipment Services, Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality.
The Agreement includes the following documents which shall be construed in the order of precedence in which
they are listed:
1.This Non-Exclusive Cooperative Purchase Agreement;
2.Exhibit A -Seller's Quote, Scope of Services or Purchase Order;
3.Exhibit B -Cooperative Agency Contract Rental Services of Construction
Equipment, Vehicles, and Other Equipment I B8646-21; and
4.Exhibit C-Conflict oflnterest 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 non-exclusive Agreement for the first year by City
shall not exceed Nine Hundred Thirty-Nine Thousand Six Hundred Forty-Two Dollars and Zero Cents
($939,642.00). The Parties acknowledge that this is a non-exclusive agreement to provide City with rental services
of construction equipment, vehicles, and other equipment and there is no guarantee of any specific amount of
work. Further, Vendor recognizes that the not to exceed amount mentioned above is the total amount of funds
available, collectively, for any Vendor that enters into an agreement with the City under BuyBoard Cooperative
Contract No. 646-21 and that once the collected not to exceed amount has been exhausted, funds have therefore
been exhausted under this Agreement as well. Vendor shall not provide any additional items or services or bill for
expenses incurred for City not specified by this Agreement unless City requests and approves in writing the
additional costs for such services. City shall not be liable for any additional expenses of Vendor not specified by
this Agreement unless City first approves such expenses in writing.
The term of this Agreement is effective beginning on the date signed by the Assistant City Manager below
("Effective Date") and expires on June 30, 2024, with no options to renew in line with the cooperative contract.
However, if funds are not appropriated, the City may cancel the Agreement 30 calendar days after providing
written notification to the Vendor.
Vendor agrees that City shall, until the expiration of three (3) years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the
right to examine at reasonable times any directly pertinent books, documents, papers and records, including, but
not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional
cost to City. Vendor agrees that City shall have access during normal working hours to all necessary Vendor
facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with
the provisions of this section. City shall give Vendor reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have
been delivered when (1) hand-delivered to the other party, its agents, employees, servants or representatives, (2)
delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other party by
United States Mail, registered, return receipt requested, addressed as follows:
To CITY:
City of Fort Worth
Attn: William Johnson, Assistant City Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
To VENDOR:
H&E Equipment Services, Inc.
Address:
12997 North Freeway
Fort Worth, TX 76177
With copy to Fort Worth City Attorney's Office at Facsimile: 817-232-3300
same address
The undersigned represents and warrants that he or she has the power and authority to execute this Agreement
and bind the respective Vendor.
CITY OF FORT WORTH:
By:William �obnson (D/c 27, 2023 08:39 CST)
Name: William Johnson
Title: Assistant City Manager
Date: Dec 27, 2023
APPROVAL RECOMMENDED:
By:Lau�en Prieur (Dec 21, 2023 09:50 CST)
Name: Lauren Prieur
Title: TPW Director
ATTEST:
By:
Name: Jannette Goodall
Title: City Secretary
VENDOR:
H&E Equ�rvices, Inc.
By: cf2
Name: Toby Hawkins
Title: Director of Government Rentals and Sales
Date: Dec 15, 2023
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all performance
and reporting requirements.
By:
Name: Lakeesha Dodson
Title: Sr. Administrative Assistant
APPROVED AS TO FORM AND LEGALITY:
By:
Name: Jessika Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 23-1003
Exhibit A - Quote
H&E Equipment Services, Inc. Information
Contact: Wesley Hebert
Address: 7500 Pecue Lane
Baton Rouge, LA 70809
Phone: (225) 298-5200
Email: whebert@he-equipment.com
By submitting your response, you certify that you are authorized to represent and bind your company.
Kyle Cavalier Kcavalier@he-equipment.com
Signature Email
Submitted at 1/12/2021 9:49:21 AM
Requested Attachments
BuyBoard Proposal Invitation No. 646-21 for Rental Services of Proposal-No-646-21 (1).pdf
Construction Equipment, Vehicles, and Other Equipment
REQUIRED - In PDF format, upload all proposal invitation documents available for download at vendor.buyboard.com
including any additional pages, as necessary. (Please DO NOT password protect uploaded files.)
Catalog/Pricelist
BuyBoard Rates 2021.pdf
REQUIRED - In PDF format, upload catalog/pricelist in proposal invitation instructions. File size must not exceed
100MB.(Please DO NOT password protect uploaded files.)
IRS Form W-9 Request for Taxpayer H and E INC form w-9_LOCKBOX_10-18FORM_2020signed.pdf
Identification Number and Certification
REQUIRED - In PDF format, upload W-9 form. (Please DO NOT password protect uploaded files.)
Response Attachments
Master Branch Listing by regions_11.03.2020.pdf
Branch Locations
Bid Lines
Page 3 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Aerial Work Platforms. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
2
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types Air Compressors and Air Tools. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 4 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
3
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Power Generating Equipment. Catalog/Pricelist MUST be included
or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
4
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Compaction Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 5 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
5
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Concrete and Masonry Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
[�
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Earthmoving Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 6 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
7
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Heavy Construction Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
E:j
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Ditching, Trenching and Utility Equipment. Catalog/Pricelist
MUST be included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 7 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
0
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Debris/Scrap Processing Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Item Notes:
No Bid
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
1
� Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Forklifts and Material Handling Equipment. Catalog/Pricelist
MUST be included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 8 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Light Towers and Generators. Catalog/Pricelist MUST be included
or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
1
2 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Temporary Power and HVAC Equipment. Catalog/Pricelist MUST
be included or proposal will not be considered.
Item Notes:
h�C•13�1:'I
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 9 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
3 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Power Tools and Surveying Equipment. Catalog/Pricelist MUST
be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
1
4 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Pressure Washers and Pumps. Catalog/Pricelist MUST be included
or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 10 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
5 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Trench Safety and Shoring Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
1
6 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Heavy-Duty Trucks and Trailers. Catalog/Pricelist MUST be
included or proposal will not be considered.
h�C•13�1:'I
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 11 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
7 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Welding Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
1
8 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Temporary Fencing. Catalog/Pricelist MUST be included or proposal
will not be considered.
h�C•13�1:'I
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 12 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
9 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of All Other Construction Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
2
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Compact
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 13 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Intermediate/Standard/Mid-
Size Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
2 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Full-Size
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 14 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
3 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Premium Size Sedan
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
4 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Minivans and
SUV's. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 15 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
5 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Small Pickup
Trucks. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
6 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Large Pickup
Trucks. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 16 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
7 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Cargo Vans and
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
$ Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Box Trucks. Catalog/Pricelist
MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 17 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
9 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Refuse Trucks and
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
3
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of All Other Heavy Truck
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 18 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
3
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Rental of Highway
Maintenance/Safety Trucks and Vehicles. Catalog/Pricelist MUST be included or proposal will not be
considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Response Total: $0.00
Page 19 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
�� �
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May, 4 2021
Exhibit B- BuyBoard Contract 646-21
P.O. Box 40ff, Austin, Fexas 787&7
80U.695.2979 • info@6uy6oard.�om • 6uy6aard.com
Sent Via Email: kcavalier@he-equipment.com
Kyle Cavalier
H&E Equipment Services, Inc.
7500 Pecue Ln
Baton Rouge, LA 70809
Welcome to BuyBoard!
Re: Notice of The Local Government Purchasing Cooperative ContractAward; Proposal Invitation
No. 646-21, Rental Services of Construction Equipment, Vehicles, and Other Equipment
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company
a BuyBoardO contract based on the above-referenced Proposal Invitation. The contract is effective for an
initial one-year term of June 30, 2021 through May 31, 2022 and may be subject to two possible one-year
renewals. Please refer to the Proposal Invitation for the contract documents, including the General Terms
and Conditions of the Contract.
To review the items your company has been awarded, please review Proposal Tabulation No. 646-21 at:
www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract
award, and only those awarded items may be sold through the BuyBoard contract. All sales must comply
with the contract terms and must be at or below the awarded pricing as set forth in the General Terms and
Conditions.
The contract will be posted on the BuyBoard website as an online electronic catalog(s). You are reminded
that, in accordance with the General Terms and Conditions, all purchase orders must be
processed through the BuyBoard. Except as expressly authorized in writing by the Cooperative's
administrator, you are not authorized to process a purchase order received directly from a Cooperative
member that has not been processed through the BuyBoard or provided to the Cooperative. If you receive
a purchase order directly from a Cooperative member that you have reason to believe has not been received
by the Cooperative or processed through the BuyBoard, you must promptly forward a copy of the purchase
order by email to info@buyboard.com.
A list of Cooperative members is available on the buyboard.com website. The BuyBoard vendor relations
staff will be contacting you to assist with the resources available and to provide any support you may need
as an awarded BuyBoard vendor.
On behalf of the Cooperative, we appreciate your interest in the Cooperative and we are looking forward
to your participation in the program. If you have any questions, please contact Cooperative
Procurement Staff at 800-695-2919 (select option ��2").
Sincerely,
_ _ ��"�:�r;�� -��-•;=�-
Arturo Salinas
Asst. Division Director, Cooperative Purchasing
Texas Association of School Boards, Inc.,
Administrator for The Local Government Purchasing Cooperative
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Endorsesf by �p TASAI Th'JI� I'„[ ?,,;}
L�'�7�1 '�'�'�' � � .�� ��
� Board� r��=
�. :�<<,t,:�� s�h,��,i
.. ... ...... . .. . .. � Errdarsed by -----.- .�,�r�l, Ascnriaci�ni
May 4, 2021
Sent Via Email: kcavalier@he-equipment.com
Kyle Cavalier
H&E Equipment Services, Inc.
7500 Pecue Ln
Baton Rouge, LA 70809
Welcome to BuyBoard!
Re: Notice of Nationa/ Purchasing Cooperative Award; Proposal Invitation No. 646-21, Rental Services of Construction
Equipment, Vehicles, and Other Equipment
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoardO
contract based on the above-referenced Proposal Invitation. The contract is effective for an initial one-year term of July 1,
2021 through June 30, 2022, and may be subject to two possible one-year renewals. Please refer to the Proposal
Invitation for the contract documents, including the National Purchasing Cooperative Vendor Award Agreement and
General Terms and Conditions of the Contract.
To review the items your company has been awarded, please review Proposal Tabulation No. 646-21 at
www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract award, and only
those awarded items may be sold through the BuyBoard contract. All sales must comply with the contract terms and must
be at or below the awarded pricing as set forth in the General Terms and Conditions.
The contract will be posted on the BuyBoard website as an online electronic catalog(s). You are reminded that, in
accordance with the General Terms and Conditions, all purchase orders from National Cooperative members
must be processed through the BuyBoard. Except as expressly authorized in writing by the Cooperative's
administrator, you are not authorized to process a purchase order received directly from a National Cooperative member
that has not been processed through the BuyBoard or provided to the Cooperative. If you receive a purchase order directly
from a National Cooperative member that you have reason to believe has not been received by the National Cooperative or
processed through the BuyBoard, you must promptly forward a copy of the purchase order by e-mail to
info@buyboard.com
A list of National Cooperative members is available on the buyboard.com website. The BuyBoard vendor relations staff will
be contacting you to assist with resources available and provide any support you may need as an awarded BuyBoard
vendor.
On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any
questions, please contact Coonerative Procurement Staff at 800-695-2919 (select option "2").
Sincerely,
.D�- -
� _� .
Arturo Salinas, Asst. Division Director, Cooperative Purchasing
�.oz.oi.zozi
— — �
�
P 0. 6ox qOp, Ausfin. Texas 787G7-0400
800.695.�979 • buybaard.con� �
� Board�
Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name: Rental Services of Construction
Equipment, Vehicles and Other Equipment
Pronosal Number: 646-21
Pronosal Due Date/Onenina Date and Time:
January 21, 2021 at 4:00 PM
Location of Pronosal Onenina:
Texas Association of School Boards, Inc.
BuyBoard Department
12007 Research Blvd.
Austin, TX 78759
Anticipated Cooperative Board Meetina Date:
Contract Time Period: July 1, 2021 through June April 2021
30, 2022 with two (2) possible one-year renewals.
H&E Equipment 1 /21 /21
Name of Proposing Company Date
7500 Pecue Ln
K� Ca�a�
Street Address
Baton Rouge, LA 70809
City, State, Zip
225-298-5200
Telephone Number of Authorized Company Official
Signature of Authorized Company Official
Kyle Cavalier
Printed Name of Authorized Company Official
National Accounts
Position or Title of Authorized Company Official
81-0553291
Fax Number of Authorized Company Official Federal ID Number
Page 9 of 62
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
The proposing company ("you" or ��your") hereby acknowledges and agrees as follows:
1. You have carefully examined and understand all Cooperative information and documentation associated with this Proposal
Invitation, including the Instructions to Proposers, General Terms and Conditions, attachments/forms, item specifications,
and line items (collectively ��Requirements");
2. By your response (��Proposal") to this Proposal Invitation, you propose to supply the products or services submitted at
the prices quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions
are noted in the Proposal;
3. Any and all deviations and exceptions to the Requirements have been noted in your Proposal and no others will be
claimed;
4. If the Cooperative accepts any part of your Proposal and awards you a contract, you will furnish all awarded products or
services at the prices quoted and in strict compliance with the Requirements (unless specific exceptions are noted in the
Proposal and accepted by the Cooperative), including without limitation the Requirements related to:
a. conducting business with Cooperative members, including offering pricing to members that is the best you offer
compared to similar customers;
b. payment of a service fee in the amount specified and as provided for in this Proposal Invitation;
c. the possible award of a piggy-back contract by another governmental entity or nonprofit entity, in which event you
will offer the awarded goods and services in accordance with the Requirements; and
d. submitting price sheets or catalogs in the proper format as required by the Cooperative as a prerequisite to activation
of your contract;
5. You have clearly identified on the included form any information in your Proposal that you believe to be confidential or
proprietary or that you do not consider to be public information subject to public disclosure under a Texas Public
Information Act request or similar public information law;
6. The individual signing this Agreement is duly authorized to enter into the contractual relationship represented by this
Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a
form) is authorized and has the requisite knowledge to provide the information and make the representations and
certifications required in the Requirements;
7. You have carefully reviewed your Proposal, and certify that all information provided is true, complete and accurate, and
you authorize the Cooperative to take such action as it deems appropriate to verify such information; and
8. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, may disqualify you from
consideration for a contract award under this Proposal Invitation or result in termination of an award or any other remedy
or action provided for in the General Terms and Conditions or by law.
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
VENDOR CONTACT INFORMATION
Name of Company: H&E EqUlpl�'lellt Sel"VICeS
Vendor Proposal/Contract Contact Name: Kyle Caval ier
Vendor Proposal/Contract Contact E-mail Address: KCaValler@%le-equipment.C�l1�1
Vendor Contact Mailing Address for Proposal/Contract Notices: 7500 Pecue Ln. Baton Rouge, LA 70809
Company Website: WWW•he-equipment.com
Purchase Orders: All purchase orders from Cooperative members will be available through the Internet. Vendors need
Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when
a new purchase order arrives. An information guide will be provided to vendors to assist them with retrieving their orders.
Please select options below for receipt of purchase orders and provide the requested information:
0 I will use the internet to receive purchase orders at the following address:
Purchase Order E-mail Address: KCaValler@%le-equipment.C011�l
Purchase Order Contact: Kyle Cavalier Phone: 225-223-9184
Alternate Purchase Order E-mail Address: �U�OI�1r1SOr1@I�le-equipment.COI�TI
Alternate Purchase Order Contact: Jeff JO%11lS011 Phone: 828-458-3499
❑ Purchase orders may be received by the Designated Dealer(s) identified on my company's Dealer Designation
form as provided to the Cooperative administrator. I understand that my company shall remain responsible
for the Contract and the performance of all Designated Dealers under and in accordance with the Contract.
Request for Quotes ("RFQ"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
RFQ E-mail Address: kcavalier@he-equipment.C�m
RFQ Contact: Kyle Cavalier
Phone: 225-223-9184
Alternate RFQ E-mail Address: �d�O%1C1SO1�1@%le—eC,UIpI�T1eI�1t.C�1�1
Alternate RFQ Contact: J eff J o h n s o n
Page 11 of 62
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Proposal Forms COMM/SVCS v.12.19.2019
� Board�
Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
Invoices: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee
invoices and related communications:
Please choose only one 11) of the following options for receipt of invoices and provide the requested
information:
❑ Service fee invoices and related communications should be provided directly to my company at:
Invoice Mailing address: 7500 Pecue Ln
�;�,: Baton Rouge State: LA
Contact Name: Eleanor Saffiotti
Invoice Fax: N�A Invoice E-mail Address: accountspayable@he-equipment.COf'Yl
Alternative Invoice E-mail Address: esaffiotti@he-equipment.COC71
Zip Code: 70809
Phone: 225-2g8-52��
Department: Accounts Payable
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**:
Billing agent Mailing address:
City:
Billing Agent Contact Name: _
Billing Agent Fax:
State:
Billing Agent E-mail Address:
Department:
Zip Code:
Phone:
Alternative Billing Agent E-mail Address:
** If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the
Genera/ Terms and Conditions of the Contract, Vendor specifica/ly acknow/edges and agrees that nothing in
that designation sha/l relieve Vendor of its responsibi/ities and obligations under the Contract induding, but
not limited to, payment of al/ service fees under any Contract awarded Vendor.
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE
Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor)
states: "A person or business entiry that enters into a contract with a school district must give advance notice to the district
if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the
conduct resulting in the conviction of a felony."
Section 44.034 further states in Subsection (b): ��A school district may terminate a contract with a person or business
entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or
misrepresented the conduct resulting in the conviction. The district must compensate the person or business entiry for
services performed before the termination of the contract."
Please check (,/) one of the following:
❑■ My company is a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.)
❑ My company is not owned or operated by anyone who has been convicted of a felony.
❑ My company is owned/operated by the following individual(s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
H&E Equipment Services
Company Name
K�� Kyle Cavalier
Signature of Authorized Company Official Printed Name
DEBARMENT CERTIFICATION
Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs under Executive Order 12549, ��Debarment and Suspension," as described in
the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is currently
listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or declared
ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative and all
Cooperative members with pending purchases or seeking to purchase from my company if my company or an owner or
principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by
agencies or declared ineligible under any statutory or regulatory authoriry.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make
this certification.
H&E Equipment Services
Company Name
K�� Kyle Cavalier
Signature of Authorized Company Official Printed Name
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
RESIDENT/ NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. Under the statute, a��resident" proposer is a person whose principal place of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A
��nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a"resident"
proposer or a��nonresident" proposer under these definitions.
Please check l,/) one of the following:
❑ I certify that my company is a Resident Proposer.
❑■ I certify that my company is a Nonresident Proposer.
If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in
which your company's principal place of business is located):
H&E Eauipment Services 7500 Pecue Ln
Company Name
Address
Baton Rouge LA 70809
City State Zip Code
A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers
whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract?
❑ Yes 0 No
B. What is the prescribed amount or percentage? $ or
%
VENDOR EMPLOYMENT CERTIFICATION
Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when
determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's
ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas, does
your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please check (,/) one of the following:
❑ Yes 0 No
By signature below, I certify that the information in Sections 1(Resident/Nonresident Certification) and 2(�endor
Employment Certi�cation) above is true, complete and accurate and that I am authorized by my company to make this
certification.
H&E Equipment Services
Company Name
K� C�a�
Signature of Authorized Company Official
Kyle Cavalier
Printed Name
Page 14 of 62
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
NO ISRAEL BOYCOTT CERTIFICATION
Effective September 1, 2017, as amended effective May 7, 2019 (H.B. 793), a Texas governmental entity may not enter into
a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding
a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written
verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the
contract. (TEx. Gov'r Co�E Ch. 2270). Accordingly, this certification form is included to the extent required by law.
��Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is
intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity
doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business
purposes. TEx. Gov�T CODE §808.001(1).
By signature below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of any
contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized
by my company to make this certification.
H&E Equipment Services
Company Name
K�� Kyle Cavalier
Signature of Authorized Company Official Printed Name
Note: If Vendor does not wish to make this certification, return the b/ank form in /ieu of a comp/eted
certification.
NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization — specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this certification
is true, complete and accurate; and that I am authorized by my company to make this certification.
H&E Equipment Services
Company Name
K� ��,
Kvle Cavalier
Signature of Authorized Company Official Printed Name
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or ��MWBE" and all referred to in this form as a��HUB'� is encouraged to indicate its HUB certification status when
responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that properly
indicate and document their HUB certification on this form,
Please check (/) all that applv:
❑ I certify that my company has been certified as a HUB in the following categories:
❑ Minority Owned Business
❑ Women Owned Business
❑ Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2), who has a
service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating
of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of
Defense)
Certification Number:
Name of Certifying Agency:
0 My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
H&E Eauipment Services
Company Name
Kyle Cavalier
Printed Name
K� C��
Signature of Authorized Company Official
Page 16 of 62
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
(��Advisory"), Texas law prohibits the procurement of architecture or engineering services through a purchasing
cooperative. This BuyBoard contract does not include such services. Architecture or engineering services must
be procured by a Cooperative member separately, in accordance with the Professional Services Procurement
Act (Chapter 2254 of the Texas Government Code) and other applicable law and local policy.
The Advisory, available at buyboard.com/Vendor/Resources.aspx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy of
the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or services
to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply with the
Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers or potential
Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy of the Advisory
before executing a Member Construction Contract with the member or accepting the member's purchase order for
construction-related goods or services, whichever comes first.
H&E Equipment Services
Company Name
K�� Kyle Cavalier
Signature of Authorized Company Official Printed Name
1 /21 /21
Date
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12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
DEVIATION AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any deviations
in its contract award decision and reserves the right to accept or reject a proposal based upon any submitted deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply with
the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal Invitation
if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the Cooperative.
The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s) regarding any
submitted deviation, consistent with general procurement principles of fair competition. The Cooperative reserves the right
to accept or reject a proposal based upon any submitted deviation.
Please check (�/) one of the following:
❑■ NO; Deviations
❑ Yes; Deviations
List and fully explain any deviations you are submitting:
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: ❑ Common Carrier ❑■ Company Truck ❑ Prepaid and Add to Invoice ❑ Other:
2. Payment Terms: ❑■ Net 30 days ❑ 1% in 10/Net 30 days ❑ Other:
3. Number of Days for Delivery: VBrI@S ARO
4. Vendor Reference/Quote Number: Buy Board
5. State your return policy:
6. Are electronic payments acceptable? ❑Yes ❑ No
7. Are credit card payments acceptable? ❑■ Yes ❑ No
H&E Equipment Services
Company Name
K� ('��e,,
Signature of Authorized Company Official
Kvle Cavalier
Printed Name
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation,
please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders,
and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract.
If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms and Conditions
to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer Designated Dealer
form.
Company Name
Address
City
Phone Number
Contact Person
Company Name
Address
City
Phone Number
Contact Person
State Zip
Fax Number
State Zip
Fax Number
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Cnoperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
MANUFACTURER DEALER DESIGNATION
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers
('�Designated Dealers'� to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete this form for
each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any
obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or
any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible
and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's Designated
Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder, including, but
not limited to suspension and termination of Vendor's Contract for nonpayment of service fees.
If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard
system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor with
Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process such
Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to a
Designated Dealer for processing.
The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated Dealer,
and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise acting
on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or suspend
any or all Designated Dealers from the BuyBoard at any time in its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish to
designate multiple dealers, please duplicate this form as necessary.
Designated Dealer Name
Designated Dealer Address
City
Phone Number
Email address
Designated Dealer Contact Person
Your Company Name
State Zip
Fax Number
Designated Dealer Tax ID Number* (*attach W-9)
Signature of Authorized Company Official
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12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 • buyboard.com
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as ��Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportuniry to service its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to
serve different regions for different products or services included in your proposal, you must comp/ete and
submit a separate Texas Regiona/ Service Designation form for each group of products and dear/y indicate
the products or services to which the designation applies in the space provided at the end of this form. By
designating a region or regions, you are certifying that you are authorized and willing to provide the proposed
products and services in those regions, Designating regions in which you are either unab/e or unwilling to
provide the specified products and services sha/l be grounds for either rejection of your proposal or, if
awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if
you will service only states other than Texas), you must so indicate on this form.
O I will service Texas
Cooperative members
statewide.
�i� ' �,r..-i`
°� ,
H&E Equipment Services, Inc.
Company Name
K� ' Gti
Signature of Authorized Company Official
Kyle Cavalier
Printed Name
Page 21 of 62
❑ I will not service Texas
Cooperative members
statewide. I will only
service members in the
regions checked below:
Region and Headquarters
❑ 1 Edinburg
❑ 2 Corpus Christi
❑ 3 Victoria
❑ 4 Houston
❑ 5 Beaumont
❑ 6 Huntsville
❑ 7 Kilgore
❑ 8 Mount Pleasant
❑ 9 Wichita Falls
❑ 10 Richardson
❑ 11 Fort Worth
❑ 12 Waco
❑ 13 Austin
❑ 14 Abilene
❑ 15 San Angelo
❑ 16 Amarillo
❑ 17 Lubbock
❑ 18 Midland
❑ 19 EI Paso
❑ 20 San Antonio
❑ I will not service members of the
Texas Cooperative.
Proposal Forms COMM/SVCS v.12.19.2019
Reginnal Educati�n Ser�ice Cente�s
� Board�
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12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
If this Texas Regional Service Designation form applies to only one or some of the products and services proposed by
Vendor, list the products and services to which this form applies here:
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STATE SERVICE DESIGNATION
The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including
intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete this
form if you plan to service the entire United States, or will service only the specific states indicated. (Note: If you plan to
ser�ice Texas Cooperative members, be sure that you complete the Texas Regiona/ Service Designation form.)
If you serve different states for different products or services included in your proposal, you must complete
and submit a separate State Service Designation form for each group of products and c%arly indicate the
products or services to which the designation applies in the space provided at the end of this form, By
designating a state or states, you are certifying that you are authorized and wil/ing to provide the proposed
products and services in those states. Designating states in which you are either unable or unwil/ing to
provide the specified products and services sha/l be grounds for either rejection of your proposa/ or, if
awarded, termination of your Contract.
Please check (�/) all that applv:
❑ I will service all states in the United States.
❑■ I will not service all states in the United States. I will service only the states checked below:
Alabama
Alaska
Arizona
Arkansas
California (Public Contract Code 20118 & 20652)
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Page 23 of 62
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Proposal Forms COMM/SVCS v.12.19.2019
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
This form will be used to ensure that you can service other governmental entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a contract
awarded under this proposal.
H&E Equipment Services, Inc.
Company Name
K�� Kyle Cavalier
Signature of Authorized Company Official Printed Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here:
Page 24 of 62
Proposal Forms COMM/SVCS v.12.19.2019
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT
In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal
Invitation may be ��piggy-backed" by another governmental entity. The National Purchasing Cooperative is an
intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout
the United States. If you agree to be considered for a piggy-back award by the National Purchasing Cooperative, you agree
to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the
State Service Designation form, in your Proposal.
By signing this form, Proposer (referred to in this Agreement as "Vendor") agrees as follows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative") awards Vendor a
contract under this Proposal Invitation ��Underlying Award"), the National Purchasing Cooperative ("National Cooperative")
may - but is not required to -��piggy-back" on or re-award all or a portion of that Underlying Award ("Piggy-Back Award'�.
By signing this National Cooperative Vendor Award Agreement ("Agreement"), Vendor accepts and agrees to be bound by
any such Piggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator ("BuyBoard
Administrator'� will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the effective date
stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in
writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order
for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or
changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by its
BuyBoard Administrator in writing.
3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and
same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e., lower)
competitive pricing and more favorable terms and conditions than those in the Underlying Award.
4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form
of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved
in writing by the BuyBoard Administrator.
5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of
purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to
National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon request,
Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members
for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the
right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National Cooperative
members in order to verify the accuracy of service fees.
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the
fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and responsibilities
that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative;
and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying Award shall inure to
Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this
Agreement, and that nothing in this Agreement has application to other third parties, including the Texas Cooperative. In
the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall
control, and then only to the extent necessary to reconcile the conflict.
Proposal Forms COMM/SVCS v.12.19.2019
Page 25 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue for
any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-Back
Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
H&E Equipment Services, Inc.
Name of Vendor
K� ��,
646-21
Proposal Invitation Number
Kvle Cavalier
Signature of Authorized Company Official
1 /21 /21
Printed Name of Authorized Company Official
Date
Page 26 of 62
Proposal Forms COMM/SVCS v.12.19.2019
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
FEDERALAND S�ATE/PURCHASING COOPERATNE EXPERIENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from vendors
with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market
price during the previous 12-month period or the last fiscal year: $ 25,000 .(The period of the 12 month
period is 1/1/20 / 12/31/20 ). In the event that a dollar value is not an appropriate measure of the sales, provide
and describe your own measure of the sales of the item(s).
By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the
Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items under
equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in
the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing cooperatives
as required.
CURRENT BUYBOARD VENDORS
If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the
discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your
current and proposed discounts.
Current Discount (%):
Explanation:
Proposed Discount (%):
Page 27 of 62
Proposal Forms COMM/SVCS v.12.19.2019
❑ MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make
this certification.
H&E Equipment Services, Inc.
Company Name
K�� Kyle Cavalier
Signature of Authorized Company Official Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
Page 28 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts you
offer other governmental customers. Attach additional pages if necessary.
Quantity/
Entitv Name Contact Phone# Email Address Discount Volume
1. Northeast ISD Tammy McCan 210-356-9335 tmccan@neisd.net
2.Judson ISD Mike Huff 210-559-5995 mhuff@judsonisd.org
3. East Central ISD Matt Morgan 210-648-7861 michael.morgan@esisd.net
City of San Antonio LD McGarity 210-207-2078 Idmcgarity@sanantonio.gov
5 New Caney ISD Lucia McCreight 281-577-8460 Imccreight@newcaneyisd.org
Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give
better discounts (lower prices) than indicated? YES ❑ NO ❑■ If YES, please explain:
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
H&E Equipment Services
Company Name
K� ��,
Signature of Authorized Company Official
Kyle Cavalier
Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
Page 29 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
MARKETING STRATEGY
For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or
part of your Proposal. (Example: Explain how your company will initially inform Cooperative members of your BuyBoard
contract, and how you wiU continue to support the BuyBoard for the duration of the contract period.)
Attach additional pages if necessary.
H&E Equipment Services has over 25 locations in the State of Texas,
with multiple sales reps at each location. Upon Award, H&E would do a blitz to all Cooperative members
to inform them of the new contract, and build relationships that would be maintained for the life of this contract and beyond.
H&E Equipment Services
Company Name
K� C��
Signature of Authorized Company Official
Kyle Cavalier
Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
Page 30 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
CONFIDENTIAL/PROPRIETARY INFORMATION
A. Public Disclosure Laws
All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this Proposal
Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public Information
Act (Texas Government Code chapter 552.001, et, seq.) or similar disclosure law. Proposer must clearly identify on this form
any information in its Proposal (including forms, documentation, or other materials submitted with the Proposal) that Proposer
considers proprietary or confidential. If Proposer fails to properly identify the information, the Cooperative shall have no
obligation to notify Vendor or seek protection of such information from public disclosure should a member of the public or
other third party request access to the information under the Texas Public Information Act or similar disclosure law. Proposer
will be notified of any third party request for information in a Proposal that Proposer has identified in this form as proprietary
or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
Please check (J) one of the followin4:
� N0, I certify that none of the information included with this Proposal is considered confidential or proprietary.
� YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is
specifically identified on this form.
If you responded "YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative
and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or
proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will disclose
information when required by law, even if such information has been identified herein as information the vendor considers
confidential or proprietary.
Confidential / Proprietary Information:
(Attach additional sheets if needed.)
Proposal Forms COMM/SVCS v.12.19.2019
Page 31 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
B. Copvright Information
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Please check (V) one of the followina:
� N0� Proposal (including forms, documentation, or other materials submitted with the Proposal) does not
contain copyright information.
❑ YES, Proposal (including forms, documentation, or other materials submitted with the Proposal) does
contain copyright information.
If you responded ��YES", identify below the specific documents or pages containing copyright information.
Copyright Information:
(Attach additional sheets if needed.)
C. Consent to Release Confidential/Proprietarv/Copvriaht Information to BuvBoard Members
BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to
view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential,
proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such
information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other party.
D. Consent to Release Proposal Tabulation
Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal, Vendor
consents and agrees that, upon Contract award, the Cooperative may publicly release, including posting on the public
BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed catalog/pricelist
name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award or non-award
information.
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by my
company to make this certification and all consents and agreements contained herein.
H&E Equipment Services
Company Name
K� C��,.
Signature of Authorized Company Official
Kvle Cavalier
Printed Name
1 /21 /21
Date
Proposal Forms COMM/SVCS v.12.19.2019
Page 32 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
VENDOR BUSINESS NAME
By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must
be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and
accurately provide the information requested below or your Proposal may be deemed non-responsive.
Name of Proposing Company: HBcE ECjUlpf'Yl@Ilt S@i'VIC@S, �f1C.
(List the leoal name of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba, aka, etc. here. Such information may
be pro vided be%w. If you are submitting a joint proposal with another entity to provide the same proposed goods or services, each submitting entity should
complete a separate vendor information form. Separately operating legal business entities, even if a�liated entities, which propose to prouide goods or
services separately must submit their own Proposals )
Please check l�l one of the following:
Tvae of Business:
Individual/Sole Proprietor
Corporation X
Limited Liabiliry Company
Partnership
Other If other, identify
State of Incorporation (if appiicabie): Delaware
Federal Employer ldentification Number: $1-0553291
(l/endor must inc/ude a comp/eted IRS W-9 form with their proposal)
List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note: Ifdifferentthan the Name ofProposing
Company listed abo ve, only valid trade names (dba, aka, etc.) of the Proposing Company may be used and a copy of your Assumed Name Certificate(s), if
applicable, must be attached.)
Proposal Forms COMM/SVCS v.12.19.2019
Page 33 of 62
Farm ���
(Rev. Ooto6er 2018)
€lepartrr�ent of the Treasury
Intemal Ra,renue Service
i Name (as shown on your
M&E EQUEPME111T SE
2 Business name/d€sre�arc
ri
�
a
0
ai c
��
� `
O �
�
d p
�U
�
Q
�
m
m',
�
rer iaentitication Number �
Enter your TIfV in fhe appropriaie box. The T!N provided must match the name given on fine 1 to a�oid
backup wit�holding. For individuals, this is generally your social securiEy number (SSN). However, fo't a
resident afien, sole proprietor, or disregarded entity, see the instr�etions for Part I, ]ater. For other
entities, it is your employer identificafion number (EIN}. If you do nat have a number, see l�iow to get a
TfN, lafer.
Note: If the accounf is in more than one �ame, see the instrucEions far line i. Also see What Name and
Number To Give the Requesfer ior guicEelines on whose number to enfer.
security numl�er
or
Emplayer identiffcation
��000�����
Under penalties of perjury, ! certify Ehat:
1. The r€umber shown on this form is my correct taxpayer identification r€umber (or ! am waiting for a� number to be issued to me); and
2. { am noi subject to backup withhofding because: (a} I am exempi from backup withholding, or (b) i have not been notified t�y the Iniernal Revenue
Senria� (Ii�S) that I am subject to backup withholding as a result of a failure to report al! inferest oe dividends, or (c) the IRS has notified me #haE ! am
no longer s€�bject io backup withholding; ar€d
3. I am a U.S. citizen or other LJ.S. person (defined below); and
G. The FATCA code(s) entered on this form (if any) indicating tMat I am exempt from �A�CA reporting is carrect.
Certificatian instructions. You must eross out item 2 above if you have been notified by the IRS thaf you are currenfly subject ta baokup withholding because
yo€� have failed to report all interest and dividends on your tax rei€�rn. For real estate fransacl'€ons, item 2 does not apply. For mortgage interest paid,
acquisitian or abandon€nent of secured property, cancellation of debt, contriErutions fo an individual retirement arrar�gernent (IRA), and gerserally, paymenis
o#her than interest and dividends, you are not required to sign the certification, but you mus# prov€de your eorrect TIN. See fhe instruetions for Pari il, later.
`5��� Signature of
He1'2 U.S. parson ►
� i �tl�Q Date ► �� L� Z� Z
Genera! Instructions
5ectian references are to fhe Internal Revenue Code unless otherwise
nated.
Future developments. Far #he latest informafian about c{evelopmenis
reiatecf to Form UV-9 and '€ts instructions, such as ]egislatian enacted
after they were pubiished, go to www.irs.gov/�'ormWB.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to {iie an
information return with tt�e IRS rnust obtain your correct taxpayer
identification number (3'IN) which may be your social securify number
(SSNj, individual taxpayer identification number (ITfN), adoption
taxpayer identification nurttber (A7fN), or ernploysr identi#ication number
(EIN), to report on an €nformation return the amounE paid to you, or other
amount reportable on an Information refurn. Examples of infarmatian
returns inclucte, but are nat limiied to, fhe fo[lowing,
• Form 1099-INT (interest earned or paidj
Request for Taxpayer
Identification Number and Certifica#ion
1 Go to vrww.irs.gov/FarmIN9 for instructions and the latest information.
tax return). Name is required on
INC.
entity name, it differenE from a6ove
3 Chec€c appropriate hox far fedet'al iax classiFlcatian of ihe person whosa name [s entered on Ilne 1. Check only one of ti�e
following seven baxes.
❑ Individual/sale proprietor or
single-membsr LLC
Give Form to the
requester. Do not
send to the IRS.
not leave this line biank.
a
� C Corparation ❑ S Corporatlon ❑ Partnership
� TtusVestafe
❑ Limlted liabilify company. Enter the tax classification (GC corporation, 5=S corporaEion, P-Partnershipj ►
Note: Check the appropxiate box In the line above for the tax classification of the single-member owner. �o not check Exemption frorrE FATCA reportir€g
LLC i( the �LC is classitied as a sing[e-membar LLC fhat Is disregarded frorrt the owner unless the otidrr�er of the LLC is cod� (if any) �
another LLC that is not disregarded frorrt Ehe owner for U.S. tederal iax purposes. Otherwise, a s9ngl�-member LLC that
is disregarded from the awner should check the appropriate box tor the tax cfasslFlcation of ifs owne�.
Other (see Instructions) ►
iress (number, street, and apt. or suite no.) 3ee instnsct€flns.
REMIi 70 LOCKBOX PO 80X 849850
8 Ci[y, state, and ZIP code
DALLAS, TX 75284
7 �ist account number(s} here (optionary
name
4 Exemptions (codes apply on€y to
certain antltlas, not indiv€duals; see
instructions on page 3):
Exampt payee cnde (if any) 5
(Apples fo accaUms mafntalned o�fside fhe [I.S.)
• Form 1099-C71V {dividends, including those from stocks or mutual
funds}
• Form 1035-MfSG (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-8 (stock or mutual fund sales and certain other
Eransactions by brokers)
• Form 1099-5 (proceeds from reaf estate transactlons)
� Form 1099-K (merchant oard and fhird party roetwork transactions)
• Form 1098 {home morigage inEerest), 1098-� (student loan interesE),
1098-T {tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonmerot of sec€�red property)
Use F'or€n W-9 only if you are a tl.5. person (including a resident
alien), to provide your correcE T1N.
If you do not retum Form 1N-9 to the requester wifh a TlN, you might
t�e subject to backup withhofdtng. See What is backup wiEhholding,
later.
Caf. Na 10231X � Form iiii-� (Rev. 70-2018j
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific
federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited
to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, 2 CFR 200 (sometimes referred to as the "Uniform Guidance" or new "EDGAR"). All Vendors submitting
proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain
requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This completed
form will be made available to Cooperative members for their use while considering their purchasing options when using
federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in addition to the
BuyBoard contract's general terms and conditions, to address the member's specific contractual needs, including contract
requirements for a procurement using federal grants or contracts.
For each of the items be%w, Vendor shou/d certify Vendor's agreement and ability to comply, where
applicab/e, by having Vendor's authorized representative comp/ete and initia/ the applicab/e boxes and sign
the acknowledgment at the end of this form. If you fail to complete any item in this form, the Cooperative
wil/ consider and may list the Vendor's response on the BuyBoard as "NO,"the Vendor is unab/e or unwilling
to comp/y, A"NO" response to any of the items may, if applicable, impact the abiliry of a Cooperative member to purchase
from the Vendor using federal funds.
1. Vendor Violation or Breach of Contract Terms:
Contracts for more than the Simplified Acquisition Threshold, which is the inflation adjusted amount determined by the Civilian
Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908, must
address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and
provide for such sanctions and penalties as appropriate.
Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms and
Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary contract, or
Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent with and
protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions.
The remedies under the Contract are in addition to any other remedies that may be available under law or in equiry. By
submitting a Proposal, you agree to these Vendor violation and breach of contract terms.
2. Termination for Cause or Convenience:
For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the following
term and condition shall apply:
The Cooperative member may terminate or cancel any purchase order under this Contract at any time, with or without cause,
by providing seven (7) business days advance written notice to the �endor. If this Agreement is terminated in accordance
with this Paragraph, the Cooperative member shaU only be required to pay l/endor for goods or ser�ices delivered to the
Cooperative member prior to the termination and not otherwise returned in accordance with �endor's return policy, If the
Cooperative member has paid l/endor for goods or services not yet provided as of the date of termination, l/endor shall
immediately refund such payment(s).
If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the manner
by which it will be effected and the basis for settlement, is included in the Cooperative member's purchase order, ancillary
agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member's provision shall control.
Proposal Forms COMM/SVCS v.12.19.2019
Page 34 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
3. Equal Employment Opportunity:
Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the definition
of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal opportuniry clause
provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, ��Equal Employment Opportunity" (30 FR 12319,
12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, ��Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR Part 60, "Office of Federal Contract
Compliance Programs, Equal Employment Opportunity, Department of Labor."
The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that such
provision applies to any Cooperative member purchase or contract that meets the definition of "federally assisted construction
contract" in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision.
4. Davis-Bacon Act:
When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction
contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146-3148)
as supplemented by Department of Labor regulations (29 CFR Part 5, ��Labor Standards Provisions Applicable to Contracts
Covering Federally Financed and Assisted Construction"). In accordance with the statute, Vendor is required to pay wages
to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by the Secretary
of Labor. In addition, Vendor shall pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.gov. Vendor agrees that,
for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor's
acceptance of the wage determination.
Vendor further agrees that it shall also comply with the Copeland ��Anti-Kickback" Act (40 USC 3145), as supplemented by
Department of Labor regulations (29 CFR Part 3, ��Contractors and Subcontractors on Public Building or Public Work Financed
in Whole or in Part by Loans or Grants from the United States"). The Act provides that each contractor or subrecipient must
be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work,
to give up any part of the compensation to which he or she is otherwise entitled.
5. Contract Work Hours and Safety Standards Act:
Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of
mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor
regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic
and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible
provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and
provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles
ordinarily available on the open market, or contracts for transportation or transmission of intelligence.
6. Right to Inventions Made Under a Contract or Agreement:
If the Cooperative member's Federal award meets the definition of ��funding agreement" under 37 CFR 401.2(a) and the
recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance or experimental, developmental, or research work under that ��funding
agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made
by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,"
and any implementing regulations issued by the awarding agency.
Vendor agrees to comply with the above requirements when applicable.
Page 35 of 62
Proposal Forms COMM/SVCS v.12.19.2019
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
7. Clean Air Act and Federal Water Pollution Control Act:
Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended — Contracts
and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to
comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401-7671q.) and
the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the Federal
awarding agency and the Regional Office of the Environmental Protection Agency (EPA).
When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean
Air Act and the Federal Water Pollution Control Act.
8. Debarment and Suspension:
Debarment and Suspension (Executive Orders 12549 and iZ689) — A contract award (see Z CFR 180.220) must not be made
to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the
OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR
Part 1989 Comp. p. 235), ��Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended,
or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authoriry other than
Executive Order 12549.
Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended,
or otherwise excluded by agencies or declared ineligible under statutory or regulatory authoriry other than Executive Order
12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases
or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred,
suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
9. Byrd Anti-Lobbying Amendment:
Byrd Anti-Lobbying Amendment (31 USC 1352) -- Vendors that apply or bid for an award exceeding $100,000 must file the
required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay
any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of
Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal
contract, grant or any other award covered by 31 USC 1352. Each tier must also disclose any lobbying with non-Federal
funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up
to the non-Federal award. As applicable, Vendor agrees to file all certifications and disclosures required by, and otherwise
comply with, the Byrd Anti-Lobbying Amendment (31 USC 1352).
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste
Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information
and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of
Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantiry acquired during the
preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and
resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in
the EPA guidelines.
11. Profit as a Separate Element of Price:
For purchases using federal funds in excess of the Simplified Acquisition Threshold, a Cooperative member may be required
to negotiate profit as a separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member,
Vendor agrees to provide information and negotiate with the Cooperative member regarding profit as a separate element of
the price for a particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the
Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative
Contract.
Proposal Forms COMM/SVCS v.12.19.2019
Page 36 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
12. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy such
requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to, applicable
recordkeeping and record retention requirements.
Vendor Certification:
YES, I agree or
Vendor Certification Item No. NO I do NOT a ree Initial
1. Vendor Violation or Breach of Contract Terms Ye$ KC
2. Termination for Cause or Convenience YeS KC
3. Equal Employment Opportunity YeS KC
4. Davis-Bacon Act Yes f\C
5. Contract Work Hours and Safety Standards Act YeS KC
6. Right to Inventions Made Under a Contract or Agreement YeS KC
7. Clean Air Act and Federal Water Pollution Control Act Yes KC
8. Debarment and Suspension YeS KC
9. Byrd Anti-Lobbying Amendment veS �!�
r r�
10. Procurement of Recovered Materials
11. Profit as a Separate Element of Price
12. General Compliance and Cooperation with Cooperative Members veS �!�
r r�
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by my
company to make this certification and all consents and agreements contained herein.
H&E Eauipment Services
Company Name
K� ' ti
Signature of Authorized Company Official
Kyle Cavalier
Printed Name
Proposal Forms COMM/SVCS v.12.19.2019
Page 37 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
PROPOSAL INVITATION QUESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial
resources to provide the goods and perform the services ("Work") under the BuyBoard contract contemplated by this Proposal
Invitation (��Contract"). Proposers must fully answer each question, numbering your responses to correspond to the
questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below, and submit the signed questionnaire and your responses to all questions in one document with your Proposal.
You must submit the signed questionnaire and responses with your Proposal or the Proposal will not be
considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in acquisition
by another entity.
Established in 58 years ago as "Head & Engquist"
Became H&E Equipment Services LLC in 2002
Became H&E Equipment Services, Inc. and became a public company in 2005
H&E Equipment Services, Inc. is not currently for sale or involved in any transaction that would significantly alter its business or result in acquisition by another entity.
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this
Contract. State the number and summarize the experience of company personnel who may be utilized for the Work,
including those who will be available to Cooperative members for assistance with project development, technical issues,
and product selection for Work associated with this Contract.
All cooperative members will have an assigned H&E sales rep who will be responsible
for managing each contract request throughout the term of the contract.
3. Describe Proposer's financial capability to perForm the Contract. State or describe the firm's financial strength and rating,
bonding capaciry, and insurance coverage limits. State whether the firm, or any of the firm's past or present owners,
principal shareholders or stockholders, or officers, have been a debtor parry to a bankruptcy, receivership, or insolvency
proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position with your firm.
H&E is a publicly traded company and all financial statements are available to the public.
Proposal Forms COMM/SVCS v.12.19.2019
Page 38 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
NO
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date and
the name of the procuring entiry. Fully explain the circumstances of the default, failure to complete or deliver the work,
or termination.
Not Aaplicable
6. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought against
your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or
employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this Contract.
Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of the claim,
and resolution or current status.
Not Applicable
By signature below, I certify that the information contained in and/or attached to this Proposal Invitation
Questionnaire in response to the above questions is true and correct and that I am authorized by my company
to make this certification.
H&E Equipment Services
Company Name
K� C�a�
Signature of Authorized Company Official
Proposal Forms COMM/SVCS v.12.19.2019
Page 39 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
REQUIRED FORMS CHECKLIST
(Please check (�) the following)
❑ Completed: Proposer's Agreement and Signature
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
Completed: Vendor Contact Information
Completed: Felony Conviction Disclosure and Debarment Certification
Completed: Resident/Nonresident Certification
Completed: No Israel Boycott Certification
Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Completed: Historically Underutilized Business (HUB) Certification
Completed: Construction Related Goods and Services Affirmation
Completed: Deviation/Compliance
Completed: Location/Authorized Seller Listings
Completed: Manufacturer Dealer Designation
Completed: Texas Regional Service Designation
Completed: State Service Designation
Completed: National Purchasing Cooperative Vendor Award Agreement
Completed: Federal and State/Purchasing Cooperative Experience
Completed: Governmental References
Completed: Marketing Strategy
Completed: Confidential/Proprietary Information
Completed: Vendor Business Name with IRS Form W-9
Com�leted: EDGAR Vendor Certification
Completed: Proposal Invitation Questionnaire
Completed: Proposal Specifications (Discount (%) off Cata/og/Pricelist and/or other required pricing
information including Catalogs/Pricelists (or no bid response) must be submitted with proposal response or
response wi/l not be considered.)
Completed: Required Forms Checklist
Proposal Forms COMM/SVCS v.12.19.2019
Page 41 of 62
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 � PH: 800-695-2919 ' FAX: 800-211-5454 ' buyboard.com
PROPOSAL SPECIFICATION SUMMARY
The categories and items specified for this Proposal Invitation are summarized below. For full Proposal
Specifications, you must review and complete the Proposal Specification information in the electronic proposal
submission system in accordance with the Instructions to Proposers (or, if submitting a hard copy Proposal, timely
request and complete the Proposal Specification Form in accordance with the Instructions to Proposers).
Rental services only. No equipment or vehicle purchases, including any rent-to-own, lease-purchase or other similar arrangements
which may result in a transfer of title to equipment or vehicles to Cooperative members, will be permitted under any contract
awarded under this Proposal Invitation.
Section I: Rental of Construction Eauipment, Tools, and Other Eauinment
1. Discount (%) off catalog/pricelist for Rental of All Types of Aerial Work Platforms.
2. Discount (%) off catalog/pricelist for Rental of All Types of Air Compressors and Air Tools.
3. Discount (%) off catalog/pricelist for Rental of All Types of Power Generating Equipment.
4. Discount (%) off catalog/pricelist for Rental of All Types of Compaction Equipment.
5. Discount (%) off catalog/pricelist for Rental of All Types of Concrete and Masonry Equipment.
6. Discount (%) off catalog/pricelist for Rental of All Types of Earthmoving Equipment.
7. Discount (%) off catalog/pricelist for Rental of All Types of Heavy Construction Equipment.
8. Discount (%) off catalog/pricelist for Rental of All Types of Ditching, Trenching and Utility Equipment.
9. Discount (%) off catalog/pricelist for Rental of All Types of Debris/Scrap Processing Equipment.
10. Discount (%) off catalog/pricelist for Rental of All Types of Forklifts and Material Handling Equipment.
11. Discount (%) off catalog/pricelist for Rental of All Types of Light Towers and Generators.
12. Discount (%) off catalog/pricelist for Rental of All Types of Temporary Power and HVAC Equipment.
13. Discount (%) off catalog/pricelist for Rental of All Types of Power Tools and Surveying Equipment.
14. Discount (%) off catalog/pricelist for Rental of All Types of Pressure Washers and Pumps.
15. Discount (%) off catalog/pricelist for Rental of All Types of Trench Safety and Shoring Equipment.
16. Discount (%) off catalog/pricelist for Rental of All Types of Heavy-Duty Trucks and Trailers.
17. Discount (%) off catalog/pricelist for Rental of All Types of Welding Equipment.
18. Discount (%) off catalog/pricelist for Rental of All Types of Temporary Fencing.
19. Discount (%) off catalog/pricelist for Rental of All Types of All Other Construction Equipment.
Section II: Rental of Vehicles
20. Discount (%) off catalog/pricelist for Rental of Compact Vehicles.
21. Discount (%) off catalog/pricelist for Rental of Intermediate/Standard/Mid-Size Vehicles.
22. Discount (%) off catalog/pricelist for Rental of Full-Size Vehicles.
23. Discount (%) off catalog/pricelist for Rental of Premium Size Sedan Vehicles.
24. Discount (%) off catalog/pricelist for Rental of Minivans and SUV's.
25. Discount (%) off catalog/pricelist for Rental of Small Pickup Trucks.
26. Discount (%) off catalog/pricelist for Rental of Large Pickup Trucks.
27. Discount (%) off catalog/pricelist for Rental of Cargo Vans and Vehicles.
28. Discount (%) off catalog/pricelist for Rental of Box Trucks.
29. Discount (%) off catalog/pricelist for Rental of Refuse Trucks and Vehicles.
30. Discount (%) off catalog/pricelist for Rental of Highway Maintenance/Safety Trucks and Vehicles.
31. Discount (%) off catalog/pricelist for Rental of All Other Heavy Truck Vehicles.
Proposal Forms COMM/SVCS v.12.19.2019
Page 40 of 62
� �
�
�i1R��A���f� �������1�'���
646-21
H&E Equipment Services, Inc.
Supplier Response
Event Information
Number: 646-21
Title: Rental Services of Construction Equipment, Vehicles, and Other
Equipment
Type: Request for Proposal
Issue Date: 11 /17/2020
Deadline: 1/21/2021 04:00 PM (CT)
Notes:
, a
� oar
The Local Government Purchasing Cooperative (BuyBoard)
Proposal Invitation No. 646-21
Rental Services of Construction Equipment, Vehicles, and Other Equipment
Proposal Due Date and Time: January 21, 2021 at 4:00 PM
Responding to this and future proposals online is easy with our online submission
system.
1. View and download the forms.
• DO NOT log in to view and download the documents.
• Visit vendor.buvboard.com and click on the "Current Proposal Invitations" button
shown below to view and download the forms for this proposal.
Page 1 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
Cur�ent Propasal Invitatians ►
2. To submit completed proposal.
• Visit vendor.buvboard.com and click "Register/Login/Submit Proposal" button
shown
below to submit your proposal online.
Regls�erlLagin+S�bmit �ropa�al►
• For additional assistance click this link 1 View our Proposal Submission
Instructions.
New Vendor? Visit vendor.buvboard.com and click "Register/Loqin/Submit Proposal."
Click Reqister now as a new supplier/vendor, so vou don't miss future proposal
opportunities.
Anv Addenda issued with this proposal will also be placed on the website, and it will
be the
vendor's responsibility to obtain the information.
Page 2 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
H&E Equipment Services, Inc. Information
Contact: Wesley Hebert
Address: 7500 Pecue Lane
Baton Rouge, LA 70809
Phone: (225) 298-5200
Email: whebert@he-equipment.com
By submitting your response, you certify that you are authorized to represent and bind your company.
Kyle Cavalier Kcavalier@he-equipment.com
Signature Email
Submitted at 1/12/2021 9:49:21 AM
Requested Attachments
BuyBoard Proposal Invitation No. 646-21 for Rental Services of Proposal-No-646-21 (1).pdf
Construction Equipment, Vehicles, and Other Equipment
REQUIRED - In PDF format, upload all proposal invitation documents available for download at vendor.buyboard.com
including any additional pages, as necessary. (Please DO NOT password protect uploaded files.)
Catalog/Pricelist
BuyBoard Rates 2021.pdf
REQUIRED - In PDF format, upload catalog/pricelist in proposal invitation instructions. File size must not exceed
100MB.(Please DO NOT password protect uploaded files.)
IRS Form W-9 Request for Taxpayer H and E INC form w-9_LOCKBOX_10-18FORM_2020signed.pdf
Identification Number and Certification
REQUIRED - In PDF format, upload W-9 form. (Please DO NOT password protect uploaded files.)
Response Attachments
Master Branch Listing by regions_11.03.2020.pdf
Branch Locations
Bid Lines
Page 3 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Aerial Work Platforms. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
2
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types Air Compressors and Air Tools. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 4 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
3
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Power Generating Equipment. Catalog/Pricelist MUST be included
or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
4
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Compaction Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 5 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
5
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Concrete and Masonry Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
[�
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Earthmoving Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 6 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
7
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Heavy Construction Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
E:j
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Ditching, Trenching and Utility Equipment. Catalog/Pricelist
MUST be included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 7 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
0
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Debris/Scrap Processing Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Item Notes:
No Bid
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
1
� Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Forklifts and Material Handling Equipment. Catalog/Pricelist
MUST be included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 8 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Light Towers and Generators. Catalog/Pricelist MUST be included
or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
1
2 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Temporary Power and HVAC Equipment. Catalog/Pricelist MUST
be included or proposal will not be considered.
Item Notes:
h�C•13�1:'I
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 9 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
3 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Power Tools and Surveying Equipment. Catalog/Pricelist MUST
be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
1
4 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Pressure Washers and Pumps. Catalog/Pricelist MUST be included
or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
Page 10 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
5 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Trench Safety and Shoring Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
1
6 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Heavy-Duty Trucks and Trailers. Catalog/Pricelist MUST be
included or proposal will not be considered.
h�C•13�1:'I
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 11 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
7 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Welding Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
1
8 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of Temporary Fencing. Catalog/Pricelist MUST be included or proposal
will not be considered.
h�C•13�1:'I
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 12 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
1
9 Section I: Rental of Construction Equipment, Tools, and Other Equipment - Discount (%) off
catalog/pricelist for Rental of All Types of All Other Construction Equipment. Catalog/Pricelist MUST be
included or proposal will not be considered.
Total: 15%
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
Buy Board Rental Rates
2
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Compact
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 13 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Intermediate/Standard/Mid-
Size Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
2 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Full-Size
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 14 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
3 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Premium Size Sedan
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
4 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Minivans and
SUV's. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 15 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
5 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Small Pickup
Trucks. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
6 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Large Pickup
Trucks. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 16 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
7 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Cargo Vans and
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
2
$ Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Box Trucks. Catalog/Pricelist
MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 17 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
2
9 Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Refuse Trucks and
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
3
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of All Other Heavy Truck
Vehicles. Catalog/Pricelist MUST be included or proposal will not be considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Page 18 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
3
� Section II: Rental of Vehicles - Discount (%) off catalog/pricelist for Rental of Rental of Highway
Maintenance/Safety Trucks and Vehicles. Catalog/Pricelist MUST be included or proposal will not be
considered.
No Bid
Item Notes:
Vendors proposing various manufacturer product lines per line item must submit the information as
follows or proposal may not be considered:
• Vendor's must list one specific percentage discount for each Manufacturer listed.
• Additional/Alternate Manufacturer lines must submitted by selecting "Add Alternate."
Item Attributes
1. State Name of Catalog/Pricelist
No response
Response Total: $0.00
Page 19 of 19 pages Vendor: H&E Equipment Services, Inc. 646-21
Exhibit C- Conflict of Interest Questionnaire
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An
offense under this section is a misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
N/A
2
� Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
N/A
Name of Officer
4 Describe each employment or other business relationship with the local government officer, or a family member of the
officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIQ as necessary.
N/A
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
� Yes � No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
� Yes � No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
6
❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7
��'�� Dec 15, 2023
Signature of vendor doing business with the governmental entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be 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 § 176.001(1-a): "Business relationship" means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an
agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to, that agency.
Local Government Code � 176.003(a)(2)(A) and (B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
���
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than $100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any
gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application, response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer, described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
Form provided byTexas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
City of Fort Worth,
Mayor and
DATE: 11 /28/23
M8�C FILE NUMBER: M&C 23-1003
LOG NAME: 13P AMEND M&C 23-0196 RENTAL SERVICES CONSTRUCTION EQUIP TPW CB
SUBJECT
(ALL) Authorize Execution of an Amendment to Mayor and Council Communication 23-0196 to Add an Additional Vendor, H&E Equipment
Services, Inc., for Rental Services of Construction Equipment, Vehicles, and Other Equipment Using BuyBoard Cooperative Contract No. 646-
21 for the Transportation and Public Works, Park and Recreation, Aviation, and Code Compliance Departments
RECOMMENDATION:
It is recommended that the City Council authorize the execution of an amendment to Mayor and Council Communication 23-0196 to add an
additional vendor, H&E Equipment Services, Inc., for rental services of construction equipment, vehicles, and other equipment using BuyBoard
Cooperative Contract No. 646-21 for the Transportation and Public Works, Park and Recreation, Aviation, and Code Compliance Departments.
DISCUSSION:
On March 21, 2023, City Council authorized execution of Mayor and Council Communication (M&C) 23-0196 for the rental equipment using
BuyBoard Contract 646-21 for the Transportation and Public Works, Park and Recreation, Aviation, and Code Compliance Departments. The City
utilizes this agreement to procure rental of construction, road and bridge, ditching, trenching, grounds maintenance, and other similar equipment
for City projects from multiple vendors. City departments are now requesting assistance with amending M&C 23-0196 to include H&E Equipment
Services, Inc., as an additional vendor to the original authorization in order to procure additional rental equipment.
The addition of this vendor will not increase or affect the original purchase agreement amount of up to $939,642.00 authorized in M&C 23-
0196. However, the actual amount used will be based on the need of the departments and the available budget.
A M/WBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity.
The agreement is based on BuyBoard Contract 646-21. State law provides that a local government purchasing an item under a cooperative
purchasing agreement satisfies state laws requiring that the local government seek competitive bids for purchase of the items. BuyBoard contracts
have been competitively bid to increase and simplify the purchasing power of government entities.
An administrative change order or increase may be made by the City Manager up to the amount allowed by relevant law and the Fort Worth City
Code and does not require specific City Council approval as long as sufficient funds have been appropriated.
This agreement will end on June 30, 2024 to correspond with the term of the BuyBoard cooperative contract.
This project will serve ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that approval of the recommendation will have no material effect on City funds.
Submitted for City Manager's Office bk Reginald Zeno 8517
William Johnson 5806
Originating Business Unit Head:
Additional Information Contact:
Texas
Council Communication
Reginald Zeno 8517
Lauren Prieur 6035
Jo Ann Gunn 8525
Charles Benson 8063