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HomeMy WebLinkAboutContract 61392CSC No. 61392 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between Interstate Trailers, Inc., ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality. The Cooperative Purchase Agreement includes the following documents which shall be construed in the order of precedence in which they are listed: 1. This Cooperative Purchase Agreement; 2. Exhibit A — Seller's Quote; 3. Exhibit B — Cooperative Agency Contract (BuyBoard 687-22); and 4. Exhibit C — Conflict of Interest Questionnaire Exhibits A, B, and C, which are attached hereto and incorporated herein, are made a part of this Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A, B, or C and the terms and conditions set forth in the body of this Agreement, the terms and conditions of this Agreement control. City shall pay Vendor in accordance with the fee schedule in Exhibit A, including any future quotes, and in accordance with the provisions of this Agreement. Total annual payment made under this non-exclusive Agreement may be an amount up to Five -Hundred Thousand Dollars and Zero Cents ($500,000.00). The Vendor acknowledges that this is a non-exclusive agreement and there is no guarantee of any specific amount of purchase. Further, Vendor recognizes that the amount stated above is the total amount of funds available, collectively, for any Vendor that enters into an agreement with the City under the relevant M&C or cooperative agreement and that once the full amount has been exhausted, whether individually or collectively, funds have therefore been exhausted under this Agreement as well. The Parties will engage in multiple transactions to purchase vehicles under this Agreement. For each purchase made pursuant to this Agreement, Vendor must supply a quote for the subject vehicles, and the quote must conform with the then -current pricing under the underlying cooperative agreement. If the City accepts the quote and places an order for the vehicle(s), that quote shall be considered an addendum to this agreement but is not required to be filed in the City records. The Parties will maintain all quotes for the three-year Audit period included herein. The term of this Agreement is effective beginning on the date signed by the Assistant City Manager below ("Effective Date") and expires on November 30, 2024. The City shall be able to renew this agreement for one (1) one-year renewal options by written agreement of the parties. Vendor agrees that City shall, until the expiration of three (3) years after final payment under this Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records, including, but not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access during normal working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor reasonable advance notice of intended audits. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand -delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other parry by United States Mail, registered, return receipt requested, addressed as follows: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX To CITY: To VENDOR: City of Fort Worth Interstate Trailers, Inc. Attn: Dana Burghdoff, Assistant City Manager 200 Texas Street 1101 Heritage Parkway Fort Worth, TX 76102-6314 Mansfield, TX 76063 With copy to Fort Worth City Attorney's Office at Facsimile: N/A 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: Dam �rGt�la�F By: Dana Burghdoff (May 202414: 2 CDT) Name: Dana Burghdoff Title: Assistant City Manager Date: APPROVAL RECOMMENDED: By: Name: Marilyn Marvin Title: Interim Property Management Director gp4UUIlnb ATTEST: p�� FORt09�� Fo d Pam° 0 duo 8=o d � aQbn�Ezp56aa By: /vJ Name: Jannette Goodall Title: City Secretary VENDOR: Interstate Trailers, Inc. By: Name: Title: President Date:5-2-2024 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: aK Name: Ashley Kadva Title: Purchasing Supervisor APPROVED AS TO FORM AND LEGALITY: By: Name: Jeremy Anato-Mensah Title: Assistant City Attorney CONTRACT AUTHORIZATION: M&C: 23-0450 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Exhibit A T R A I L E R S, I N C. Phone: 1-800-433-5384 Fax: 1-817-453-5445 Salesman: Treye Phleps Terms: Net due 10 days Delivery: 14 weeks Quotation No: 4121923-5BB Date: 4/10/2024 Dealer: City of Fort Worth 200 Texas St. Fort Worth, Texas 76115 Interstate model 40DLA - Standard Specification General description: 40,000 lb. capacity tag -along trailer with Suspension: Hutch 9700 multi -point spring with beavertail & ramps. radius rod axle tracking adjustment, Load capacity: 40,000 lbs. at 65 M.P.H. (G.V.W.R. 47,600 lbs.) 44,000 lb. capacity. Overall length: 30'-0" Axles: (2) 22,500 lb. capacity with Deck length: 24'-0" (19'-0" flat deck + 5'-0" beavertail) oil bath hubs. Deck width: 8'-6" Brakes: 12-1/4" x 7-1/2" air with "Wabco" Deck height: 36" unloaded anti -lock braking system and spring Frame construction: Pierced mainbeam construction with one piece parking brakes. interlocking crossmembers. Wheels: 8 hole, hub piloted steel disc. Mainbeams: W 14" x 22 lbs. per ft., grade 50 Hi- Tires: 215/75R17.5, (H) tensile. Ramps: 60" x 22" wood -filled with spring assist. Crossmembers: 6" I-beam x 3.9 lbs per ft., Jack: 25,000 lb. 2 speed, side crank. grade 50 Hi -tensile on 22" centers. 3/16" steel Hitch: 4 position cast steel pintle eye, fabricated knee bracing on every other x-member. 1-5/8" stock, 3" I.D. Siderails: C8" x 11.5 lbs. per ft. Grade 50 Hi- Tie downs: (8) heavy duty D-rings, 4 per side. tensile. Lights: 12 volt DOT & ICC approved. All lights Headboard: 8" channel, full width of trailer. are LED type and flush Decking: 2" nominal oak secured to cross- mounted in rubber grommets. Wiring members with 5/16" torque screws. is run in flexible neoprene jacket and Standard paint: Black Urethane modular in design. 7 way plug. (Optional colors available) Rust prohibitive undercoating. Standard Unit, Dealer Net: $25,198.00 Factory Installed Options: Note: Optional equipment may change standard specifications. ❑ 6'-0" beavertail:: $435.00 ❑✓ Additional deck length: 9 ft. @ $435.00 per ft. ❑ 235/75R17.5, (H) tires: $780.00 ❑✓ Additional tie down rings: 4 @ $55.00 each ❑✓ Lockable tool box lid: $346.00 ❑ Stake pockets & rubrail: $750.00 NOTES: ❑ Spare tire & wheel: $498.00 ❑ 3" safety rail: $649.00 BuyBoard 687-22 ❑ Spare tire carrier: $300.00 ❑✓ Bucketplate on beavertail: $602.00 ❑ Dual 2 speed landing gear: $731.00 ❑✓ 6' x 3' Elec/Hydramps: $4,900.00 ❑� Angle iron traction on ramps: N/C Additional deck length required w/air ramps 28' Flat, 5' dovetail ❑✓ Self-cleaning traction dovetail: N/C 7' Tongue, Total 40' Misc. options: Price: ❑✓ 7' Tongue $ 435.00 EPR 21-3585 1 ea. ❑✓ Document Holder $ 125.00 EPR 21-3586 2 ea. ❑✓ 5% BuyBoard Discount $ (1,785.70) Quotes good for 15 days unless otherwise stated Sub Total: 33,955.30 and do not incld. F.E.T., state taxes or Freight: 400.00 licensing fees. Total net ea F.O.B. Fort Worth: $ 34,355.30 x3 Units: $ 103,065.90 Exhibit B DVBoard0 October 12, 2022 Sent Via Email: mattlaws@interstatetrailers.com Matt Laws Interstate Trailers, Inc. 1101 Heritage Parkway Mansfield, TX 76063 Welcome to BuyBoard! P.O. Box 400, Austin, Texas 78767 800.695.2919 • info@buyboard.com • buyboard.com Re: Notice of The Local Government Purchasing Cooperative ContractAward; Proposal Invitation No. 687- 22, Trailers, Optional Equipment, Parts and Maintenance Repair Service Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard@ contract based on the above -referenced Proposal Invitation. The contract is effective for an initial one-year term of December 1, 2022 through November 30, 2023, 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. 687-22 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, feel free contact me at 800-695-2919. Sincerely, Leigh Clover, Bid Analyst Texas Association of School Boards, Inc., Administrator for The Local Government Purchasing Cooperative v.02.01.2021 Endorsed by 10`1® TASAV VT 0.' Board® National Purchasing Cooperative October 12, 2022 Sent Via Email: mattlaws@interstatetrailers.com Matt Laws Interstate Trailers, Inc. 1101 Heritage Parkway Mansfield, TX 76063 Welcome to BuyBoard! Re: Notice of National Purchasing Cooperative Award; Proposal Invitation No. 687-22, Trailers, Optional Equipment, Parts and Maintenance Repair Service Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard@ contract based on the above -referenced Proposal Invitation. The contract is effective for an initial one-year term of December 1, 2022 through November 30, 2023, 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. 687-22 at www.buvboard.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, feel free to contact me at 800-695-2919. Sincerely, 1 Leigh Clover, Bid Analyst Texas Association of School Boards, Inc., Procurement Administrator for the National Purchasing Cooperative v.02.01.2021 s 78767-0400 5uyboard.com Board® PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvboard.com PROPOSER'S ACCEPTANCE AND AGREEMENT Proposal Invitation Name: Trailers, Optional Pr000sal Due Date/Opening Date and Time: Equipment, Parts and Maintenance Repair Service July 14, 2022, at 4:00 PM Proposal Invitation Number: 687-22 Contract Term: December 1, 2022, through November 30, 2023, with two possible one-year renewals. Location of Proposal Ouenina: Texas Association of School Boards, Inc. BuyBoard Department 12007 Research Blvd. Austin, TX 78759 Anticioated Coonerative Board Meetina Date: October 2022 By signature below, the undersigned acknowledges and agrees that you are authorized to submit this Proposal, including making all acknowledgements, consents, and certifications herein, on behalf of Proposer and, to the best of your knowledge, the information provided is true, accurate, and complete. Interstate Trailers, Inc. Name of Proposing Company 1101 Heritage Parkway Street Address Mansfield, TX 76016 City, State, Zip 800-433-5384 Telephone Number of Authorized Company Official 817-453-5445 --;7" b ' i Zompany Official Matt Laws Printed Name of Authorized Company Official President Position or Title of Authorized Company Official 75-1834480 Fax Number of Authorized Company Official Federal ID Number Page 10 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Board PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 . PH: 800-695-2919 . buvboard.com PROPOSAL FORMS PART 1: COMPLIANCE FORMS INSTRUCTIONS: Proposer must review and complete all forms in this Proposal Forms Part 1: ■ Proposal Acknowledgements ■ Felony Conviction Disclosure ■ Resident/Nonresident Certification ■ Debarment Certification Vendor Employment Certification ■ No Boycott Verification • No Excluded Nation or Foreign Terrorist Organization Certification ■ Historically Underutilized Business Certification • Acknowledgement of BuyBoard Technical Requirements ■ Construction -Related Goods and Services Affirmation ■ Deviation and Compliance ■ Vendor Consent for Name Brand Use Confidential/Proprietary Information ■ EDGAR Vendor Certification ■ Compliance Forms Signature Page An authorized representative of Proposer must initial in the bottom right corner of each -page where indicated and complete and sign the Compliance Forms Signature Page. Proposer's failure to fully complete, initial, and sign forms as required may result in your Proposal being rejected as non -responsive. PROPOSAL ACKNOWLEDGEMENTS The proposing company ("you" or "your' hereby acknowledges and agrees as follows: 1. You have carefully examined and understand all information and documentation associated with this Proposal Invitation, including the Instructions to Proposers, General Information, General Terms and Conditions, attachments/forms, appendices, item specifications, and line items (collectively "Requirements'); 2. By your response C'Proposal'� to this Proposal Invitation, you propose to supply the products or services submitted at the pricing quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions are noted in the Proposal; 3. By your Proposal, you acknowledge and certify all items set forth in the General Terms and Conditions, Section B.12 (Certifications), including all non -collusion certifications and certifications regarding legal, ethical, and other matters set forth therein. 4. Any and all deviations and exceptions to the Requirements have been noted in your Proposal on the required form and no others will be claimed; Page 11 of 72 Proposal Farms COMM/SVCS v.08.11.2021 Board PURCHASIHO COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com If the Cooperative accepts any part of your Proposal and awards you a Contract, you will furnish all awarded products or services at the pricing quoted and in strict compliance with the Requirements (unless specific deviations or exceptions are noted on the required form 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 similarly situated customers in similar circumstances; 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 the National Purchasing Cooperative or nonprofit entity, in which event you will offer the awarded products 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; 6. 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 the Texas Public Information Act or similar public information law; 7. The individual submitting this Proposal 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 or Proposal document) is authorized and has the requisite knowledge to provide the information and make the representations and certifications required in the Requirements; 8. You have carefully reviewed your Proposal, and certify that all information provided is true, complete, and accurate to the best of your knowledge, and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and 9. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, will be grounds for disqualifying you from consideration for a contract award under this Proposal Invitation, termination of a contract award, or any other remedy or action provided for in the General Terms and Conditions or by law. FELONY CONVICTION DISCLOSURE Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor) states: "A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony." Section 44.034 further states in Subsection (b): "A school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract." Please check M 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): L'�/y Init' Page 12 of 72 Proposal Farms COMM/SVCS v.08.11.2021 Board- PURCHASWO COOPERATIVE 12007 Research Boulevard . Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvboard.com RESIDENT/ NONRESIDENT CERTIFICATION Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who are not Texas residents. Under the statute, a "resident" proposer is a person whose principal place of business is in Texas, including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A "nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a "resident" proposer or a "nonresident" proposer under these definitions. Please check (,/) one of the followino: ❑■ I certify that my company is a Resident Proposer. ❑ I certify that my company is a Nonresident Proposer. If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in which your company's principal place of business is located): Company Name Address City State Zip Code A. Does your resident state require a proposer whose principal place of business is in Texas to under -price proposers whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? ❑ Yes ❑ No B. What is the prescribed amount or percentage? $ or DEBARMENT CERTIFICATION By signature on the Compliance Forms Signature Page, I certify that neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is currently listed on the government -wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an owner or principal is later listed on the government -wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. 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 NA one of the Following: ❑ Yes ❑ No Page 13 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Board. PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvboard.com NO BOYCOTT VERIFICATION 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 will not boycott Israel during the term of the contract (TEx. GOv'T CODE Ch. 2271), (2) does not boycott energy companies and will not boycott energy companies during the term of the contract (TEx. Gov'T CODE Ch. 2274 effective September 1, 2021), and (3) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and will not discriminate during the term of the contract against a firearm entity or firearm trade association (TEx. Gov'T CODE Ch. 2274 effective September 1, 2021). 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). "Boycott energy company" means, without an ordinary business purpose, 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 with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel -based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described by Paragraph (A). TEx. Gov't CODE §809.001(1) (effective September 1, 2021). "Discriminate against a firearm entity or firearm trade association" means, (A) with respect to the entity or association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; and (B) does not include: (i) the established policies of a merchant, retail seller, Or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (ii) a company's refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, Or decision to terminate an existing business relationship: (aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or (bb) for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity's or association's status as a firearm entity or firearm trade association. TEx. Gov'T CODE §2274.001(3) (effective September 1, 2021). By signature on the Compliance Forms Signature Page, to the extent applicable, I certify and verify that Vendor does not boycott Israel, boycott energy companies, or discriminate against a firearm entity or firearm trade association and will not do so 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. Initia KZ2__ Page 14 of 72 Proposal Forms COMM/SVCS v.08.11.2021 A:VBoard- PURCHASINO COOPERATIVE 12007 Research Boulevard - Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvboard.com NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION, 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 on the Compliance Forms Signature Page, 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. 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 BuyBoard website will indicate HUB certifications for awarded Vendors that properly indicate and document their HUB certification on this form. Please check N) all that aDDly: ❑ 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: ® My company has NOT been certified as a HUB. ACKNOWLEDGEMENT OF BUYBOARD TECHNICAL REQUIREMENTS Vendor shall review the BuyBoard Technical Requirements included in this Proposal Invitation. By signature on the Compliance Forms Signature Page, the undersigned affirms that Proposer has obtained a copy of the BuyBoard Technical Requirements, has read and understands the requirements, and certifies that Vendor is able to meet and will comply with those requirements except as follows: [List and explain BuyBoard Technical Requirements, if any, to which your company canno or will Qt comply.] Note: In accordance with the General Terms and Conditions of the Contract, to the extent Vendor is awarded a Contract under this Proposal Invitation but is unable or unwilling to meet the applicable BuyBoard Technical Requirements, the information available on the BuyBoard for Vendor's awarded products or services may be limited, potentially placing Vendor at a disadvantage and impacting the ability of Cooperative members to search, find, review, and purchase Vendor's awarded products and services on the BuyBoard website. Further, to the extent Vendor has acknowledged ability to meet and comply with the BuyBoard Technical Requirements, any subsequent failure or refusal by Vendor to promptly provide inform upon request to the Cooperative administrator in accordance with those technical requirements may be deemed ev. of default under the Contract. Initial Page 15 of 72 Proposal Forms COMMjSVtS v.08.11.2021 Board" PURCHASINO COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 . PH: 800-695-2919 ' buvlzoard.com CONSTRUCTION- RELATED GOODS AND SERVICES AFFIRMATION The Cooperative issued the BuyBoard Procurement and Construction -Related Goods and Services Advisory for Texas Members ("Advisory'), which provides information specifically relevant to the procurement of construction -related goods and services by Texas Cooperative members. The Advisory, available at buvboard.comNendor/Resources.asox, 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. Because many BuyBoard contracts include goods or installation services that might be considered construction -related, Proposer must make this Construction Related -Goods and Services Affirmation regardless of type of goods or services associated with this Proposal Invitation. A contract awarded under this Proposal Invitation covers only the specific goods and/or services awarded by the Cooperative. As explained in the Advisory ("Advisory'), Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This Proposal Invitation and any Contract awarded thereunder 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. By signature on the Compliance Forms Signature Page, Proposer 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 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 accepting the member's Purchase Order or other agreement for construction -related goods or services. 0 Initial: Page 16 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.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. Prior to completing this form, Vendor shall review the General Terms and Conditions section 13.4 (Deviations from Item Specifications and General Terms and Conditions). Please note that, as provided in section 113.4, certain provisions of the General Terms and Conditions are NOT subject to deviation, and certain deviations will be deemed rejected without further action by the Cooperative. Any attempted deviation, whether directly or indirectly, to provisions identified in this Proposal Invitation as not subject to deviation shall be deemed rejected by the Cooperative and, unless otherwise withdrawn by Vendor, may result in Vendor's Proposal being rejected in its entirety. 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, by and through the Cooperative administrator, 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 W) one of the following: ❑N NO; Deviations ❑ Yes; Deviations List and fully explain any deviations you are submitting: Initiaf:`�ts Page 17 of 72 Proposal Forms COMM/SVCS v.08.11.2021 WP:Board" URCHASINO COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvhoard.com VENDOR CONSENT FOR NAME BRAND USE BuyBoard members seeking to make purchases using a Contract awarded under this Proposal Invitation may view information regarding awarded Vendors, including but not limited to product catalogs, pricelists, pricing, and Proposals, through the BuyBoard website. To improve and enhance the experience of BuyBoard members seeking to procure goods and services under the Contract utilizing the BuyBoard website, any Vendor logo, product images, and similar brand and trademark information provided by Vendor for purposes of the Contract ("Vendor Information's may be posted on the BuyBoard website. You acknowledge that, by submitting your Proposal, unless you specifically opt out below, you consent to use of your company's Vendor Information on the BuyBoard website if awarded a Contract. You further acknowledge that whether, where, and when to include the Vendor Information on the BuyBoard website shall be at the sole discretion of the BuyBoard Administrator. Vendor retains, however, the right of general quality control over the BuyBoard Administrator's authorized display of proprietary Vendor Information. Neither the BuyBoard nor its administrator will be responsible for the use or distribution of Vendor Information by BuyBoard members or any other third party using the BuyBoard website. This Vendor Consent shall be effective for the full term of the Contract, including renewals, unless Vendor provides a signed, written notice revoking consent to contractadminna buvboard.com. BuyBoard shall have up to thirty days from the date of receipt of a termination or revocation of a Vendor Consent to remove Vendor information from the BuyBoard website. This Vendor Consent is subject to the Terms and Conditions of the Contract, including, but not limited to, those terms pertaining to Disclaimer of Warranty and Limitation of Liability, Indemnification, and Intellectual Property Infringement. Vendor logo files must be submitted in one of the formats set forth in the BuyBoard Technical Requirements. Proposers are requested to submit this information with Vendor's Proposal. (This consent shall not authorize use of your company's Vendor Information by BuyBoard if your company is not awarded a Contract.) OPT OUT: If your company wishes to opt out of the Vendor Consent for Name Brand Use, you must check the opt out box below. DO NOTselect this box unless your company is opting out of this Vendor Consent for Name Brand Use. ❑ By checking this box, Vendor hereby declines to provide consent for use of Vendor Information (as defined herein) on the BuyBoard website. By opting out, Vendor acknowledges and agrees that, if Vendor is awarded a Contract under this Proposal Invitation, information available on the BuyBoard for Vendor's awarded products or services may be limited, potentially placing Vendor at a disadvantage and impacting the ability of Cooperative members to search, find, review, and purchase Vendor's awarded products and services on the BuyBoard website. �g Initial. �-- Page 18 of 72 Proposal Forms COMM/SVCS v.08.11.2021 W:Boarff URCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvboard.com CONFIDENTIAL/ PROPRIETARY INFORMATION A. Public Disclosure Laws All Proposals, forms, documentation, catalogs, pricelists, or other materials submitted by Vendor to the Cooperative in response to this Proposal Invitation, 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. When required by the Texas Public Information Act or other disclosure law, Proposer may 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, catalogs, pricelists, or other materials submitted with the Proposal) contain information which Vendor considers proprietary or confidential? Please check N) one of the following: aNO, 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 clearly 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 Cooperative administrator shall 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 Cooperative administrator will disclose information when required by law, even if such information has been identified herein as information Vendor considers confidential or proprietary. Confidential / Proprietary Information: (Attach additional sheets if needed.) Initial _ Page 19 of 72 Proposal Forms COMM/SVCS v.08.11.2021 j' Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com B. Coovriaht Information Does your Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) contain copyright information? Please check M one of the following: aNO, Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) does not contain copyright information. ❑ YES, Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) does contain copyright information. If you responded "YES", clearly identify below the specific documents or pages containing copyright information. Copyright Information: (Attach additional sheets irneeded. ) C. Consent to Release Confidential/Proorietarv/Colavriaht Information to BuyBoard Members BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential, proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such information on the secure BuyBoard website for members. Note: Neither the Cooperative nor Cooperative 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 and award information 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. �y Initial. Page 20 of 72 Proposal Forms COMM/SVCS v.08.11.2021 W:Board URCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvhoard.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 a Proposal 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. Completed forms 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 terms and conditions of the BuyBoard contract, to address the member's specific contractual needs, including contract requirements for a procurement using federal grants or contracts. For each of the items below, Vendor should certify Vendor's agreement and ability to comply, where applicable, by having Vendor's authorized representative check the applicable boxes, initial each page, and sign the Compliance Forms Signature Page. If you fail to complete any item in this form, the Cooperative will consider and may list the Vendor's response on the BuyBoard as "NO,"the Vendor is unable or unwilling to comply. A 'ENO" response to any of the items may, if applicable, impact the ability of a Cooperative member to purchase from the Vendor using federal funds. 1. Vendor Violation or Breach of Contract Terms: Contracts for more than the simplified acquisition threshold, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate. Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18, Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms and Conditions, as well as any additional terms and conditions in any Purchase Order or Cooperative member ancillary contract agreed upon by Vendor and the Cooperative member which must be consistent with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions. The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By submitting a Proposal, you agree to these Vendor violation and breach of contract terms. 01 YES, I agree. ❑ NO, I do not agree. 2. Termination for Cause or Convenience: For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the following term and condition shall apply: The Cooperative member may terminate or cancel any Purchase Order under this Contract at any time, with or without cause, by providing seven (7) business days advance written notice to the Vendor. If this Agreement is terminated in accordance with this Paragraph, the Cooperative member shall only be required to pay Vendor for goods or services delivered to the Cooperative member prior to the termination and not otherwise returned in accordance with Vendor's return policy. If the Cooperative member has paid Vendor for goods or services not yet provided as of the date of termination, Vendor shall immediately refund such payment(s). If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the manner by which it will be effected and the basis for settlement, is included in the Cooperative member's Purchase Order or ancillary agreement agreed to by the Vendor, the Cooperative member's provision shall control. YES, I agree. ❑ NO, I do not agree. Initial Page 21 of 72 Proposal Forms COMM/SVCS v.08.11.2021 WP:Board" URCHASINQ COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 • buvboard.com 3. Equal Employment Opportunity: Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR Part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor." The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that such provision applies to any Cooperative member purchase or contract that meets the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision. 4 YES, I agree. ❑ NO, I do not agree. 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 beta.sam.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. 14 YES, I agree. ❑ NO, I do not agree. 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. 4 YES, I agree. ❑ NO, I do not agree. Initial. Page 22 of 72 Proposal Forms COMM/SVCS v.08.11.2021 VBoard" URCHASING COOPERATIVE 12007 Research Boulevard . Austin, Texas 78759-2439 . PH: 800-695-2919 • buvl]oard.com 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. 11 YES, I agree. ❑ NO, I do not agree. 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. 4 YES, I agree. ❑ NO, I do not agree. 8. Debarment and Suspension: Debarment and Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.220) must not be made to parties listed on the government -wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR Part 1989 Comp. p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor certifies that Vendor is not currently listed on the government -wide exclusions in SAM, is not debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from Vendor if Vendor is later listed on the government -wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. 4 YES, I agree. ❑ NO, I do not agree. 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). YES, I agree. ❑ NO, I do not agree. Initia40 Page 23 of 72 Proposal Farms COMM/SVCS v.08.11.2021 Board PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 . PH: 800-695-2919 ' buvboard.corn 10. Procurement of Recovered Materials: For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. 4 YES, I agree. ❑ NO, I do not agree. 11. Domestic Preferences for Procurements: Where appropriate and consistent with law, 2 CFR §200.322 contains certain considerations for domestic preferences for procurements which may be applicable to Cooperative members using federal funds. When required by a Cooperative member, Vendor agrees to provide such information or certification as may reasonably be requested by the Cooperative member regarding Vendor's products, including whether goods, products, or materials are produced in the United States. A YES, I agree. ❑ NO, I do not agree. 12. Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment 2 CFR §200.216 prohibits expending federal loan or grant funds to procure or obtain certain telecommunications and video surveillance services or equipment. To the extent applicable and when required by a Cooperative member, Vendor agrees to provide such information or certification as may reasonably be requested by the Cooperative member to confirm whether any telecommunications or video surveillance services or equipment provided by Vendor is covered equipment or covered services under 2 CFR §200.216. 4 YES, I agree. ❑ NO, I do not agree. 13. 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 200.324(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. 4 YES, I agree. ❑ NO, I do not agree. 14. 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. IR YES, I agree. ❑ NO, I do not agree. 4/ Initial:_ Page 24 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 ' PH: 800-695-2919 • buvboard.com COMPLIANCE FORMS SIGNATURE PAGE By initialing pages and by signature below, I certify that I have reviewed the following forms; that the information provided therein is true, complete, and accurate; and that I am authorized by my company to make all certifications, consents, acknowledgements, and agreements contained herein: ■ Proposal Acknowledgements ■ Felony Conviction Disclosure • Debarment Certification • Resident/Nonresident Certification • Vendor Employment Certification • No Boycott Verification • No Excluded Nation or Foreign Terrorist Organization Certification • Historically Underutilized Business Certification • Construction -Related Goods and Services Affirmation • Acknowledgement of BuyBoard Technical Requirements ■ Deviation and Compliance • Vendor Consent for Name Brand Use • Confidential/Proprietary Information ■ EDGAR Vendor Certification Interstate_ Trailers, Inc. Compa e Sign re o ized Company Of ciel Matt Laws, President Printed Name and Title 7- 6.7 Date Page 25 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Board" PURCHASINO COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvboard.com PROPOSAL FORMS PART 2: VENDOR INFORMATION FORMS INSTRUCTIONS: Proposer must completely and accurately provide all information requested in the following Vendor Information Forms or your Proposal may be rejected as non -responsive: ■ Vendor Business Name Vendor Contact Information ° Federal and State/Purchasing Cooperative Experience ■ Governmental References ■ Company Profile ■ Texas Regional Service Designation State Service Designation • National Purchasing Cooperative Vendor Award Agreement (vendors serving outside Texas only) • Local/Authorized Seller Listings • Manufacturer Dealer Designation ■ Proposal Invitation Questionnaire ■ Vendor Request to Self -Report BuyBoard Purchases (optional) To the extent any information requested is not applicable to your company, you must so indicate on the form. VENDOR BUSINESS NAME By submitting a Proposal, Vendor is seeking to enter into a legal contract with the Cooperative. As such, Vendor must be an individual or legal business entity capable of entering into a binding contract. Name of Pr000sina Comoanv: Interstate Trailers, Inc. (!!st the /eoa/ name of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba, aka, etc. here. Such information may be provided below. If you are submitting a joint proposal with another entity to provide the same proposed goods orservices, each submitting entity should complete a separate vendor information form. Separately operating legal business entities, even if affiliated entities, which propose to provide goods or services separately must submit their own Proposals) Please check N) one of the following: Dime of Business: ❑ Individual/Sole Proprietor ❑ Other (Specify: 4 Corporation ❑ Limited Liability Company ❑ Partnership State of Incorporation (if applicable): Texas Federal Emoiover Identification Number: 75-1834480 (Vendor must include a completed IRS /1 7 form with their Proposal) i Name by which Vendor. if awarded. wishes to be identified on the BuvBoard.: (Note: Ifdifferent than the Name ofProposing Company listed above, only valid trade names (dba, aka, etc.) of the Proposing Company may be used and a copy of your Assumed Name Certificate(s), if applicable, must be attached.) Page 26 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Form ■ V Request for taxpayer Give Form to the (Rev. October 201,8 Identification Number and Certification requester. Do not 0 epaltment of the Tteasury send to the IRS. Internet Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name Is required on this line; do not leave this line blank. INTERSTATE TRAILERS, INC. 2 Business name/disregarded entity name, if different from above a) 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to m following seven boxes. certain entities, not individuals; see a instructions on page 3): o ❑ Individual/sole proprietor or ❑ C Corporation ❑✓ S Corporation ElPartnership ElTrust/estate a single -member LLC Exempt payee code (if any) ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ►�� `p Note: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting *LLC if the LLC Is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is aanother LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that code (if any) is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other, (see instructions) ► (npplws fo scmunN melntained -WA me U S ) to 5 Address (number, street, and apt. or suite no.) See Instructions. Requester's name and address (optional) 1101 HERITAGE PKWY 8 City, state, and ZIP code MANSFIELD, TX 76063 7 i.fst account number(s) here (optional) taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid 1 Social security number backup withholding. For individuals, this is generally your social security number (SSN). I-lowever, for a ]J] resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other ff � entities, it is your, employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name andBmpFoynridentiticaiien number Number To Givethe Requester for guidelines on whose number to enter. M75 - 1 8� 3 4 14 8 0 1 Certification EE Under penalties'of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interestand dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sin , Signal"ure of Here U.S. person ► W�. �� Date 0- Genera[ Instructions • Form 1099-DIV (dividends, including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise a Form 1099-MISC (various types of income, prizes, awards, or gross noted. proceeds) Future developments. For the latest information about developments . Form 1099-B (stock or mutual fund sales and certain other related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.irs.gov/FormW9, • Form 1099-S (proceeds from real estate transactions) Purpose of Form • Form 1099-K (merchant card and third party network transactions) An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T (tuition) identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN), individual taxpayer identification number (ITIN), adoption .Form 1099-A (acquisition or abandonment of secured property) taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a resident amount reportable on an information return. Examples of information alien), to provide your correct TIN, returns include, but are not limited to, the following. If you do not return Form W-9 to the requester with a TIN, you might • Form 1099-INT,(interest earned or paid) be subject to backup withholding. See What is backup withholding, later. Cat. No, 10231X Form W-9 (Rev. 10-2018) Board- PURCHASINO COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 ' PH: 800-695-2919 • bL10oard.com VENDOR CONTACT INFORMATION Vendor shall provide the requested Vendor Contact Information In the electronic proposal submission system including contract, purchase order, RFQ, and Invoice contacts (or, If submitting a hard copy Proposal, timely request and complete the Vendor Contact Information form In accordance with the Instructions to Proposers). FEDERAL AND STATE/PURCHASING COOPERATIVE EVERIENCE The Cooperative strives to provide Cooperative 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: $ 2,000,000.00 . (The period of the 12-month period is 05/21 / 05/22 ). In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the sales of the item(s). 2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items under equivalent circumstances. 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. 1. Federal General Services Administration Y Equipment Trailers 2. T-PASS (State of Texas) 3. OMNIA Partners 4. Sourcewell (NIPA) 5. E&I Cooperative 6. Houston -Galveston Area Council (HGAC) 7. Choice Partners 8. The Interlocal Purchasing System (TIPS) 9. Other N I Y, 10 Years Equipment Trailers ❑ MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS. CURRENT BUYBOARD VENDORS If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your current and proposed discounts. Current Discount (%): 5 Proposed Discount (%): 5 Exr)lanation: Page 27 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Bo and�� PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com GOVERNMENTAL REFERENCES For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information requested below, including the existing pricing/discounts you offer each customer. The Cooperative may determine whether pricing/discounts are fair and reasonable by comparing pricing/discounts stated in your Proposal with the pricing/discounts you offer other governmental customers. Attach additional pages if necessary. Quantity/ Entity Name Contact Phone# Email Address Discount Volume 1 City of Portland, OR Carter Oster 503-823-1801 carter.oster@portlandoregon.gov 5% $195,000.00 Z City of Mesquite, TX Tonette Blasius 972-216-6966 tblasius@cityofinesquite.com 5% $173,000.00 I City of Irving, TX Yesina Jasso 972-721-2210 yjasso@cityofirving.org 5% $115,000.000 4. City of McKinney, TX Israel Blanco 972-547-9015 iblanco@mckinneytexas.org 5% $93,000.00 5 Nevada Water Authority, NV Jim Morwood 800-252-2011 james.morwood@lvvwd.com 5% $107,000.00 Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give better discounts (lower pricing) than indicated? YES ❑ NO ■❑ If YES, please explain: COMPANY PROFILE Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would like to have included with your company profile on the BuyBoard website. Submit your company profile in a separate file, in Word format, with your Proposal. (Note; Vendor is solely responsible for any content provided for inclusion on the BuyBoard website. The Cooperative reserves the right to exclude or remove any content in its sole discretion, with or without prior notice, including but not limited to any content deemed by the Cooperative to be inappropriate, irrelevant to the Contract, inaccurate, or misleading.) Page 28 of 72 Proposal Forms COMM/SVCS v.08.11.2021 ArSff��� TRAILERS, INC. 1101 Heritage Parkway • Mansfield, Texas 76063 • 817-453-5402 • Fax 817-453-5445 July 5, 2022 Interstate Trailers, Inc. 1101 Heritage Parkway Mansfield, TX 76063 Re: Company Profile Interstate Trailers, Inc. manufactures a full line of heavy-duty tag, tilt, gooseneck and lowboy trailers, ranging from 10,000 lbs. to 110,000 lbs. capacity. Originally established in 1982 in Arlington, Texas, Interstate now operates in a state of the art 125,000 square foot manufacturing facility located in Mansfield, Texas. We have invested millions of dollars in our 4 automated production lines ensuring our welding, cutting, fabricating and painting equipment all produce the highest quality frame construction and best -in -class trailer finishes. We also stock a wide variety of parts and accessories, wheels & tires, oak decking, DOT approved lighting, brakes, hitches and more in-house. With over 40 years of experience in the trailer manufacturing industry and over 200 dealers nation-wide, our clientele of Heavy Equipment dealers, State and Local Governments, Utility Companies, General Contractors, and Paving Contractors have come to appreciate our expertise and the quality trailers we produce. Features such as pierced main beam construction, sealed modular wiring harness, standard rust inhibitive undercoating and patented cast one-piece hitch all combine to provide the customer with the best value for dollar trailer in the industry. 2022 also marks Interstate's 20th Year partnering with the Buy Board. We greatly value the success we've had working with our dealers and customers via the Buy Board Cooperative and look forward to continuing this relationship for many years to come. Sincerely, Matt Laws President Interstate Trailers, Inc. Board° PURCHASIHO COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' buvboard.com TEXAS REGIONAL SERVICE DESIGNATION This form must be completed /n the electronic proposal submisslon system for. If submlttlna a hard copy Proposal, timely reouest and complete the form in accordance with th, a Tastructlons to Proposers]. The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors the opportunity to service its members throughout the entire State of Texas. In the electronic proposal submission system, you must indicate if you will service Texas Cooperative members statewide or, if you do not plan to service all Texas Cooperative members statewide, you must indicate the specific regions you will service. If you propose to serve different regions for different products or services included in your Proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. (Additional forms can be obtained by contacting bids@buvboard.com at least five (5) business days prior to the Pr000sal Due Date.) By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on the form in the electronic or000sal submission system. Regional Education Service Centers Region and Headauarters 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 ElPaso 20 San Antonio Page 29 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Boards PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buvboard.com STATE SERVICE DESIGNATION This form must be completed In the electronic proposal submission system (or, If submitting a hard copy PrvQmt timely request and complete the in accordance with the Instructions to Proposers . As set forth in the Proposal Invitation, it is the Cooperative's intent that other governmental entities in the United States have the opportunity to purchase goods or services awarded under the Contract, subject to applicable state law, through a piggy- back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire United States or only specific states, you must complete the State Service Desianation information in the electronic proposal submission system. (Note. If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.) In addition to this form, to be considered for a piggy -back award by the National Purchasing Cooperative, you must have an authorized representative sign the National Purchasing Cooperative Vendor Award Agreement that follows this page. If you serve different states for different products or services included in your Proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. (Additional forms can be obtained by contacting bidsabuvboard.com at least five (5) business days prior to the Pr000saI Due Date.I By designating a state or states, you are certifying that you are authorized and willing to provide the proposed products and services in those states. Designating states in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. U will service all states in the United States. • I will not service all states in the United States. Alabama Alaska Nebraska Arizona Nevada Arkansas New Hampshire California (Public Contract Code 20118 & 20652) New Jersey Colorado New Mexico Connecticut New York Delaware North Carolina District of Columbia North Dakota Florida Ohio Georgia Oklahoma Hawaii Oregon Idaho Pennsylvania Illinois Rhode Island Indiana South Carolina Iowa South Dakota Kansas Tennessee Kentucky Texas Louisiana Utah Maine Vermont Maryland Virginia Massachusetts Washington Michigan West Virginia Minnesota Wisconsin Mississippi Wyoming Missouri Montana Proposal Forms COMM/SVCS v.08.11.2021 Page 30 of 72 W Boardf PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 - PH: 800-695-2919 ' 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's may - but is not required to - 'piggy -back" on or re -award all or a portion of that Underlying Award ("Piggy -Back Award'. By signing this National Cooperative Vendor Award Agreement ("Agreement'), Vendor accepts and agrees to be bound by any such Piggy -Back Award as provided for herein. 2. In the event National Cooperative awards Vendor a Piggy -Back Award, the National Cooperative Administrator ("BuyBoard Administrator's will notify Vendor in writing of such Piggy -Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order for the Piggy -Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by its BuyBoard Administrator in writing. 3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e., lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award. 4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved in writing by the BuyBoard Administrator. 5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of purchases generated from National Cooperative members through the Piggy -Back Award. Vendor shall remit payment to National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members, vendor invoices, and/or such other documentation regarding those purchase orders as the Cooperative's administrators may require in their reasonable discretion 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 past-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 Farms COMM/SVCS v.08.11.2021 Page 31 of 72 Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.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. Interstate Trailers, Inc. 687-22 Name of V Proposal Invitation Number Matt Laws Si nat a of rized Company Official Printed Name of Authorized Company Official 7- 6 - -2 )-- Date Proposal Forms COMM/SVCS v.08.11.2021 Page 32 of 72 Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • 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, Holt Truck Center Fort Worth, TX Holt Truck Center Irving, TX Holt Truck Center San Antonio, TX Holt Truck Center Pflugerville, TX Holt Truck Center Houston, TX Ditch Witch of East Texas Tyler, TX Sonsray Machinery Portland, OR Pat Kelly Equipment Hazelwood, MO Coastal Equipment VA Beach, VA Yellowhouse Machinery Abilene, TX Tim Pyle 549 Loop 820 North Fort Worth, TX 76108 timothy.pyle@holttruckcenters.com 817-246-6651 F 817-367-0119 Tim Pyle 415 N Walton Walker Blvd Irving, TX 75061 timothy.pyle@holttruckcenters.com 972-830-4200 F 972-830-4222 Robert Mollica 3302 South WW White Road San Antonio, TX 78222 robert.mollica@holttruckcenters.com 210-648-1111 F 210-648-0079 Robert Mollica 16013 North IH-35 robert.mollica@holttruckcenters.com PFlugerville, TX 78660 512-252-1133 F 512-251-7268 Neels van Schalkw y k North Loop Hou Houston, TX 77028 neels@holttruckcenters.com 281-651-6665 F 210-648-8300 Kevin Knuckle y 7809 Hwy 271 North Tyler, TX 75708 kknuckley@witchequipment.net 903-592-6226 F 903-535-9768 Bill Hunsinger bhunsinger@sonsray.com Dan Christian dan@patkelly.com Tim Daffron tdaffron@coastalequipment.net Brenton Woods brentonw@yhmc.com 6455 NE Columbia Blvd Portland, OR 97218 503-283-2461 F 503-978-9004 5920 N Lindbergh Blvd Hazelwood, MO 63042 314-895-9500 F 314-895-9500 504 S Military Hwy VA Beach, VA 23464 757-424-1900 F 757-523-5635 1111 East Hwy 80 Abilene, TX 79601 325-271-8581 F 325-677-4682 Proposal Forms COMM/SVCS v.08.11.2021 Page 33 of 72 Board PURCHASIMO COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' 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 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. If you wish to designate multiple dealers, please duplicate this form as necessary. BD Holt Co. (Holt Truck Centers) Designated Dealer Name 5665 Southeast Loop 410 Designated Dealer Address San Antonio city 214-596-7555 Phone Number Texas State timothy.pyle@holttruckcenters.com Email address Tim Pyle Designated Dealer Contact Person ,10� - ( Fax Number 74-1389993 78222 Zip s" 7�- Designated Dealer Tax ID Number* (*attach W-9) Page 34 of 72 Proposal Forms COMM/SVCS v.08.11.2021 Form w9 Request for Taxpayer Give Form to the (Rev. October201B) Identification Number and Certification requester. Do not Deparrmartt of the Treasury send to the IRS. Inlemul Revenue Service ► Go to www,trs.govlForrnW9 for Instructions and the latest Information. t Namo (as show on your Income tax return). Name is required on Ilits rimedo not leave Ihg line blank BD HOLT CO 2 Business oamoldis)"Wrinrl miffs name, it dMoroni from ab&e (T..'M_VA ._TT'i.—%�ii7i�iT.'i'C '!'; cTiia rani Tiittlpmrnt. r�r�!`f"ii'I'cjax, Iha HOLT Truck Centers, dba [loll Power Systems, dba HOLT Rental Services, dba HC Used Parts, dba HOLT Mining 5111ullons, dba HOLT � vianut�:eudlrtt.-dlxa-tiUl:i=+lgrabuanuc� - - m 3 Check approprlale box for fooeraf tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals; see a Instructions on page 3): o ❑ Individual/sole proprietor or ❑ C Corporation ❑✓ S Corporation ❑ Partnership ❑ Trust/estate Vil single member LLC Exempt payee code [if anyl 0 ❑ Limited liability company. Enter the tax classitication (C=C corporation, S--S corporation, P=Partnership) ► o Note: Check the appropriate box in the line above for the tax classification of the single -member owner Do not check Exemption from FATCA reporting LLC it the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is code (if any) aC o another LLC that Is not disregarded from the owner for U.S. federal tax purposes Otherwise, a single -member LLC tied is disregarded from the owner should check the appropriate box for the tax classification of its owner rOther seeinstruchuns � ( 1 ► (Applies to naa,nfs nrirorerren uurstye the U. S. i y 5 Address (number, streel, and apt. or sinto no) Sao matn,ollons rtetquaster's name and address (optWna$ m rn 5665 SE Loop 410 8 City. state, and ZIh r000 San Antonio, TX 78222 7 List accountnumber(s) here(optlnniiii sjQM Taxpayer Identification Plumber (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, or this this is generallyd entity, your social security number (5SNr However, for a _m resident alien, sale prnprietor, or disregarded entity, see the instructions for Part 1, later. For other entities. it is your employer identification number (EIN). If you do not have a number, see Mow to yet a TIN, later or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Fmptoyvr d-7wi tfaatlon number --I Number To Give the Requester for guidelines on whose number to enter. !! 1 M74 -j 1 13 1 8 l 91 9 19 13 Certification II Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service {)RS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not Aquirad to sign the certification, but you must provide your correct TIN. See the Instructions for Part II, later. Sign Signature of Here I U.S. person ► Date ► I rff General Instructions • Form 1099-DIV (dividends, including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless olharwtse e Form 1099-MISC (various types of income, prizes, awards, or gross noted. proceeds) Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published. go to www.irs.gov/FormiW9. Purpose of Form An individual or entity (Form W-9 requester) who Is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN). adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns inctude, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form f 099-8 (shock or mutual fund sales and certain other transactions by brokers) • Form 1099-8 (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan Interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What Is backup withholding, later. Cal. No 10231 X Form W-9 (Rev, 10-201 B) VBoanf URCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 - PH: 800-695-2919 ' buvboard.com PROPOSAL INVITATION QUESTIONNAIRE The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial resources to provide the goods and perform the services ("Work") under the BuyBoard contract contemplated by this Proposal Invitation (" Contract's. Proposers must fully answer each question, numbering your responses to correspond to the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire and submit in one document with your Proposal. You must submit the 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. Interstate Trailers has been manufacturing equipment trailers in the State of Texas since it's incorporation in 1982. We have been under the same ownership since 1982 as well. Ownership currently has no plans to significantly alter the business structure. 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. Interstate moved into a new production facility in Mansfield, Texas in 2000. This facility has 125,000 square feet of office and manufacturing space allowing us to run 4 separate production lines as well as have an in-house parts department. Our 50 line workers / welders average over 17 years of experience with the company. Our 15 person office / sales team averages over 20 years of experience with us. 3. Marketina Strateay: For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or part of your Proposal. (Example: Explain how your company will initially inform Cooperative members of your BuyBoard Contract, and how you will continue to support the BuyBoard for the duration of the Contract term.)Attach additional pages if necessary. Since 2002, Interstate Trailers has taken pride in the relationship we have built with the Buy Board. We have worked hard to promote your service to our dealers and customers both in Texas and across the country and continue to encourage our dealers to promote the Buy Board to all of their municipal and governmental customers whenever possible. We also inform member entities of our relationship by advertising in industry related publications and emailing interested members. Proposal Forms COMM/SVCS v.08.11.2021 Page 35 of 72 Board PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 - PH: 800-695-2919 ' bu 1 ard•com 4. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position with your firm. Interstate Trailers is an "A" rated, debt -free company. Our strong financial reserves allow us to borrow from ourselves should the need arise. We carry a $5M umbrella insurance policy including product liability insurance. Neither our owner nor principal shareholders have been party to a bankruptcy. 5. 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. Interstate Trailers does not have any outstanding financial judgments nor are we in default of any loan or agreement. 6. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or that have been terminated for any reason. For each such contract, provide the project name, scope, value and date and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the work, or termination. Interstate Trailers has not defaulted or failed to deliver on any previous contract. 7. 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 relate to or arise 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. Interstate Trailers owner nor principal shareholders have been a party to any legal proceedings arising from similar contract disputes. Proposal Forms COMM/SVCS v.08.11.2021 Page 36 of 72 lb D:VBoard URCHASINO COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 . buvboard.com VENDOR REOUEST TO SELF -REPORT BUYBOARD PURCHASES The General Terms and Conditions require that all Purchase Orders generated by or under any Contract awarded under this Proposal Invitation be processed through the BuyBoard and, except as expressly authorized in writing by the Cooperative administrator, Vendors are not authorized to process Purchase Orders received directly from Cooperative members that have not been processed through the BuyBoard or provided to the Cooperative. In accordance with this provision, Vendor may request authorization of the Cooperative administrator to self -report Cooperative member purchases if awarded a Contract under this Proposal Invitation. By making such a request, Vendor acknowledges and agrees that self -reporting is specifically subject to and conditioned upon (1) Vendor's agreement to the Additional Terms and Conditions for BuyBoard Self -Reporting which are included in this Proposal Invitation and incorporated herein for all purposes and (2) approval of this request in writing by the Cooperative administrator. Note: This form is NOT required as part of your proposal. You should sign and return this form ONL Y if you wish to request authorization to self -report BuyBoard purchases. Any request to self -report will not be effective, and Vendor shall not be authorized to self -report BuyBoard member purchases, unless and until (1) Vendor is awarded a Contract under this Proposal Invitation, and (2) the request has been approved in writing by the Cooperative administrator. By my signature below, I hereby request authorization from the Cooperative administrator to self -report BuyBoard purchases if my company is awarded a Contract. I certify that I am authorized by the above -named Vendor to approve this form, and I have received and read the Additional Terms and Conditions for BuyBoard Self -Reporting included in this Proposal Invitation and do hereby approve and agree to such terms and conditions on behalf of Vendor. NAME OF VENDOR. Interstate Trailers, Inc. Signatur f-Vendor Authorized Representative Printed Name: Matt Laws Title: President Date: _ 6 (For Cooperative Administrator Use Only) Approved by BuyBoard Administrator: Effective/Start Date for Self -Reporting: Proposal Forms COMMJSVCS v.08.11.2021 Page 37 of 72 Interstate Trailers, Inc. Information Address: 1101 Heritage Parkway Mansfield, TX 76063 Phone: (800) 433-5384 Fax: (817) 453-5445 Toll Free: (800) 433-5384 Web Address: www.interstatetrailers.com By submitting your response, you certify that you are authorized to represent and bind your company. Aaron Matthew Laws mattlaws@interstatetrailers.com Signature Email Submitted at 71712022 03:07:16 PM (CT) Requested Attachments BuyBoard Proposal Invitation No. 687-22 Trailers, Optional Proposal- No-687-22 Completed.pdf Equipment, Parts and Maintenance Repair Service REQUIRED -In PDF format, upload all proposal invitation documents available for download at vendor.buyboard.com including any additional pages, as necessary. NOTICE: DO NOT complete proposal forms in internet browser. No data will be stored. Download file to computer and complete proposal forms prior to submitting. (Please DO NOT password protect uploaded files.) Catalog/Pricelist Pricing pages complete 687-22.pdf REQUIRED -In Excel or PDF format, upload catalog (s)/price Iist(s) in accordance with proposal invitation instructions. Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or Proposal will not be considered. No paper catalogs or manufacturer/vendor websites will be accepted. File size must not exceed 250MB. (Please DO NOT password protect uploaded files.) Exceptions and/or Detailed Information Related to Discount % and/or Hourly Labor Rate No response Proposed In PDF format and if necessary, vendor shall attach detailed information regarding exceptions to pricing and/or discount percentage and define the services that are proposed to be provided. NOTE: IF DETAILED INFORMATION IS NOT SUBMITTED, PROPOSAL MAY NOT BE CONSIDERED. (Please DO NOT password protect uploaded files.) Company Profile 2022 Company Profile.doc REQUIRED -Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would like to have included with your company profile on the BuyBoard website. Submit your company profile in a separate file, in Word format, with your Proposal. (Note: Vendor is solely responsible for any content provided for inclusion on the BuyBoard website. The Cooperative reserves the right to exclude or remove any content in its sole discretion, with or without prior notice, including but not limited to any content deemed by the Cooperative to be inappropriate, irrelevant to the Contract, inaccurate, or misleading.) IRS Form W-9 Request for Taxpayer Identification Number and Certification W9.pdf REQUIRED -In PDF format, upload W-9 form. (Please DO NOT password protect uploaded files.) Manufacturer Authorization Letter(s) 2022 BB Manufacturer Letter Signed.pdf REQUIRED - Upload Manufacturer Authorization Letter(s)in PDF format. Manufacturers responding to this proposal invitation, in lieu of an authorization letter, must submit a response on company letterhead explaining that the company is a manufacturer of products proposed. Dealers responding to this Proposal Invitation should submit an approval letter from each manufacturer or a response on company letterhead explaining that the company is not required to submit an authorization letter. Page 3 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 Response Attachments AR ITI DEALERS by STATE.pdf Complete Dealer List Bid Attributes 1 Federal Identification Number Federal Identification Number 175-1834480 2 HUB/No Israel Boycott Certification/No Excluded Nation or Foreign Terrorist Certification HUB/No Israel Boycott Certification/No Excluded Nation or Foreign Terrorist Certification 3 No Israel Boycott Certification A Texas governmental entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. (TEX. GOV'T CODE Ch. 2270). Accordingly, this certification form is included to the extent required by law. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made for ordinary business purposes. TEX. GOV'T CODE §808.001(1). By signature on the Compliance Forms Signature Page, to the extent applicable, 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. Yes 4 No Excluded Nation or Foreign Terrorist Organization Certification 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 on the Compliance Forms Signature Page, 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. Yes I 5 MWBE/HUB Status 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 BuyBoard website will indicate HUB certifications for awarded Vendors that properly indicate and document their HUB certification on this form. certify that my company has been certified as a MWBE/HUB in the following categories: (Please check all that apply) Page 4 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 6 Minority Owned Business Minority Owned Business ❑ Minority Owned Business (Yes) 7 Women Owned Business Women Owned Business ❑ Women Owned Business (Yes) 8 Service -Disabled Veteran 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) ❑ Service -Disabled Veteran Owned Business (Yes) 9 Certification Number Certification Number No response 1 Name of Certifying Agency U Certifying Agency No response 1 Non-MWBE/HUB 1 My company has NOT been certified as a MWBE/HUB ❑,r Non -HUB (Yes) L12Vendor General Contact Information Proposal/Contract General Contact Information 1 Vendor Proposal/Contract Contact Name 3 Vendor Proposal/Contract Contact Name Matt Laws 1 Vendor Proposal/Contract Contact E-mail Address 4 Vendor Proposal/Contract Contact E-mail Address mattlaws@interstatetrailers.com 1 Vendor Proposal/Contract Mailing Address 5 Vendor Proposal/Contract Mailing Address 1101 Heritage Parkway 1 Vendor Proposal/Contact Mailing Address - City 6 Vendor Proposal/Contact Mailing Address - City Mansfield 1 Vendor Proposal/Contact Mailing Address - State 7 Vendor Proposal/Contact Mailing Address - State (Abbreviate State Name) Texas Page 5 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 Vendor Proposal/Contact Mailing Address - Zip Code 8 Vendor Proposal/Contact Mailing Address - Zip Code 176063 1 Vendor Proposal/Contact Phone Number 9 Vendor Proposal/Contact Phone Number (xxx-xxx-xxxx) 1 817-453-5402 2 Vendor Proposal/Contact Extension Number U Vendor Proposal/Contact Extension Number 1 103 2 Company Website 1 Company Website (www.xxxxx.com) www.interstatetrailers.com 2 2 Purchase Orders Contact Information All Purchase Orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to Vendors to assist them with retrieving their orders. Please select options below for receipt of Purchase Orders and provide the requested information: • I will use the internet to receive Purchase Orders at the following address Yes I 2 Purchase Order E-mail Address 3 Purchase Order E-mail Address mattlaws@interstatetrailers.com 2 Purchase Order Contact Name 4 Purchase Order Contact Name Matt Laws 2 Purchase Order Contact Phone Number 5 Purchase Order Contact Phone Number (xxx-xxx-x)=) 18174535402 2 Purchase Order Contact Extension Number 6 Purchase Order Contact Extension Number 1 103 2 Alternate Purchase Order E-mail Address 7 Alternate Purchase Order E-mail Address marksmith@interstatetrailers.com Page 6 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 2 Alternate Purchase Order Contact Name 8 Alternate Purchase Order Contact Name Mark Smith 2 Alternate Purchase Order Contact Phone Number 9 Alternate Purchase Order Contact Phone Number (xxx-xxx-xxxx) 18174535402 3 Alternate Purchase Order Contact Extension Number U Alternate Purchase Order Contact Extension Number 1118 3 1 Purchase Orders Contact Information 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: • 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. Yes I 3 Request for Quotes (5EoeRFQ5E) 2 Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: 3 Request for Quote (RFQ) E-mail Address 3 Request for Quote (RFQ) E-mail Address mattlaws@interstatetrailers.com 3 Request for Quote (RFQ) Contact Name 4 Request for Quote (RFQ) Contact Name Matt Laws 3 Request for Quote (RFQ) Contact Phone Number 5 Request for Quote (RFQ) Contact Phone Number (xxx-xoa-=oo 18174535402 3 Request for Quote (RFQ) Contact Extension Number 6 Request for Quote (RFQ) Contact Extension Number 1 103 3 Alternate Request for Quote (RFQ) E-mail Address 7 Alternate Request for Quote (RFQ) E-mail Address marksmith@interstatetrailers.com Page 7 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 3 I Alternate Request for Quote (RFQ) Contact Name 8 Alternate Request for Quote (RFQ) Contact Name Mark Smith 3 Alternate Request for Quote (RFQ) Contact Phone Number 9 Alternate Request for Quote (RFQ) Contact Phone Number (xxx-xxx-xxxx) 18174535402 4 Alternate Request for Quote (RFQ) Contact Extension Number U Alternate Request for Quote (RFQ) Contact Extension Number 1118 4 1 4 2 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. Invoices Please choose only one (1) of the following options for receipt of invoices and provide the requested information: (a) Service fee invoices and related communications should be provided directly to my company at: [•0 (b) In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing agent: If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relieve Vendor of its responsibilities and obligations under the Contract including, but not limited to, payment of all service fees under any Contract awarded Vendor. Service fee invoices and notices direct to company 4 Invoice Company Name 3 Invoice Company Name Interstate Trailers, Inc. 4 Invoice Company Department Name 4 Invoice Company Department Name Accounts Receivable 4 Invoice Contact Name 5 Invoice Contact Name Lisa Gunter 4 Invoice Mailing Address 6 Invoice Mailing Address (P.O. Box or Street Address) 11101 Heritage Parkway Page 8 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 4 Invoice Mailing Address - City 7 Invoice Mailing Address - City Mansfield 4 Invoice Mailing Address - State 8 Invoice Mailing Address - State (Abbreviate State Name) Texas 4 Invoice Mailing Address - Zip Code 9 Invoice Mailing Address (Zip Code) 176063 5 Invoice Contact Phone Number U Invoice Contact Phone Number (xxx-xxx-xxxx) 18174535402 5 Invoice Contact Extension Number Invoice Contact Extension Number I111 5 Invoice Contact Fax Number 2 Invoice Contact Fax Number (xxx-xxx-xxxx) 18174535445 5 Invoice Contact E-mail Address 3 Invoice Contact E-mail Igunter@interstatetrailers.com 5 Invoice Contact Alternate E-mail Address 4 Invoice Contact Alternate E-mail Address shutcherson@interstatetrailers.com 5 Billing Agent Company Name 5 Billing Agent Company Name No response 5 Billing Agent Department Name 6 Billing Agent Department Name No response 5 Billing Agent Contact Name 7 Billing Agent Contact Name No response 5 Billing Agent Mailing Address 8 Billing Agent Mailing Address (P.O. Box or Street Address) No response Page 9 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 5 Billing Agent Mailing Address - City 9 Billing Agent Mailing Address - City No response 6 Billing Agent Mailing Address - State U Billing Agent Mailing Address - State (Abbreviate State Name) No response 6 Billing Agent Mailing Address - Zip Code Billing Agent Mailing Address - Zip Code No response 6 Billing Agent Contact Phone Number 2 Billing Agent Contact Phone Number (xxx-xxx-xxxx) No response 6 Billing Agent Contact Extension Number 3 Billing Agent Contact Extension Number No response 6 Billing Agent Fax Number 4 Billing Agent Fax Number No response 6 Billing Agent Contact E-mail Address 5 Billing Agent Contact E-mail Address No response 6 Billing Agent Alternative E-mail Address 6 Billing Agent Alternative E-mail Address No response 6 Shipping Via 7 Common Carrier, Company Truck, Prepaid and Add to Invoice, or Other Other I 6 Payment Terms 8 Note: Vendor payment terms must comply with the BuyBoard General Terms and Conditions and the Texas Prompt Payment Act (Texas Government Code Ch. 2251). 1 Net 30 Days 6 Vendor's Internal/Assigned Reference/Quote Number 9 Vendor's Internal/Assigned Reference/Quote Number No response Page 10 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 7 State or Attach Return Policy U Note: Only return requirements and processes will be deemed part of Vendor's return policy. Any unrelated contract terms, terms of sale, or other information not specifically related to return requirements and processes included in Vendor's return policy shall not apply to any awarded Contract unless specifically included as a deviation in the Deviation and Compliance Form and accepted by the Cooperative. Customer is responsible for return freight. 7 Electronic Payments Are electronic payments acceptable to your company? Yes 7 Credit Card Payments 2 Are credit card payments acceptable to your company? Yes I 7 3 Texas Regional Service Designation Texas Regional Service Designation - Refer to Form in Proposal Invitation The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to serve different regions for different products or services included in your Proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on this form. 7 Company Name 4 Company Name Interstate Trailers, Inc. 7 Texas Regional Service Designation 5 Select only one of the following options. If you select "I will NOT serve all Regions of Texas", you must then check the individual Regions you wish to serve. All Regions 7 Region 1 6 Region 1 - Edinburg ❑ Region 1 (1) 7 Region 2 7 Region 2 - Corpus Christi ❑ Region 2 (2) 7 Region 3 8 Region 3 - Victoria ❑ Region 3 (3) Page 11 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 7 Region 4 9 Region 4 - Houston ❑ Region 4 (4) 8 Region 5 0 Region 5 - Beaumont ❑ Region 5 (5) 8 Region 6 Region 6 - Huntsville ❑ Region 6 (6) 8 Region 7 2 Region 7 - Kilgore ❑ Region 7 (7) 8 Region 8 3 Region 8 - Mount Pleasant ❑ Region 8 (8) 8 Region 9 4 Region 9 - Wichita Falls ❑ Region 9 (9) 8 Region 10 5 Region 10 - Richardson ❑ Region 10 (10) 8 Region 11 6 Region 11 - Fort Worth ❑ Region 11 (11) 8 Region 12 7 Region 12 - Waco ❑ Region 12 (12) 8 Region 13 8 Region 13 - Austin ❑ Region 13 (13) 8 Region 14 9 Region 14 - Abilene ❑ Region 14 (14) 9 Region 15 0 Region 15 - San Angelo ❑ Region 15 (15) Page 12 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 9 Region 16 1 Region 16 - Amarillo ❑ Region 16 (16) 9 Region 17 2 Region 17 - Lubbock ❑ Region 17 (17) 9 Region 18 3 Region 18 - Midland ❑ Region 18 (18) 9 Region 19 4 Region 19 - El Paso ❑ Region 19 (19) 9 Region 20 5 Region 20 - San Antonio ❑ Region 20 (20) 9 6 State Service Designation State Service Designation - Refer to Form in Proposal Invitation. As set forth in the Proposal Invitation, it is the Cooperative's intent that other governmental entities in the United States have the opportunity to purchase goods or services awarded under the Contract, subject to applicable state law, through a piggy -back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire United States or only specific states, you must complete this form accordingly. (Note: If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.) In addition to this form, to be considered for a piggy -back award by the National Purchasing Cooperative, you must have an authorized representative sign the National Purchasing Cooperative Vendor Award Agreement that follows this form. If you serve different states for different products or services included in your Proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a state or states, you are certifying that you are authorized and willing to provide the proposed products and services in those states. Designating states in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. 9 Company Name 7 Company Name Interstate Trailers, Inc. H State Service Designation Select only one of the following options. If you select "I will NOT serve all States", you must then check the individual States you wish to serve. Al I States 9 Alabama 9 Alabama ❑ Alabama (AL) Page 13 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 Alaska 0 0 Alaska ❑ Alaska (AK) 1 Arizona Arizona ❑ Arizona (AZ) 1 Arkansas 0 Arkansas ❑ Arkansas (AR) 1 California 0 California (Public Contract Code 20118 & 20652) 3 ❑ California (CA) 1 Colorado 0 4 Colorado ❑ Colorado (CO) 1 Connecticut 0 5 Connecticut ❑ Connecticut (CT) 1 Delaware 0 Delaware ❑ Delaware (DE) 1 District of Columbia 0 District of Columbia 7 ❑ District of Columbia (DC) 1 Florida 0 8 Florida ❑ Florida (FL) 1 Georgia 9 Georgia ❑ Georgia (GA) 1 Hawaii UHawaii ❑ Hawaii (HI) 1 Idaho 1 1 Idaho ❑ Idaho (ID) Page 14 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 Illinois 1 Illinois 2 ❑ Illinois (IL) 1 Indiana 1 Indiana ❑ Indiana (IN) 1 Iowa 4 Iowa ❑ Iowa (IA) 1 Kansas 5 Kansas ❑ Kansas (KS) 1 Kentucky 1 Kentucky 6 ❑ Kentucky (KY) 1 Louisiana 1 Louisiana ❑ Louisiana (LA) 1 Maine 1 Maine ❑ Maine (ME) 1 Maryland 9 Maryland ❑ Maryland (ME) 1 Massachusetts 2 Massachusetts 0 ❑ Massachusetts (MA) 1 Michigan 2 Michigan 1 ❑ Michigan (MI) 1 Minnesota 2 Minnesota ❑ Minnesota (MN) 1 Mississippi 2 3 Mississippi ❑ Mississippi (MS) Page 15 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 Missouri 2 Missouri ❑ Missouri (MO) 1 Montana 22 Montana ❑ Montana (MT) 1 Nebraska 2 6 Nebraska ❑ Nebraska (NE) 1 Nevada 2 Nevada ❑ Nevada (NV) 1 New Hampshire 2 8 New Hampshire ❑ New Hampshire (NH) 1 New Jersey 2 9 New Jersey ❑ New Jersey (NJ) 1 New Mexico 6 New Mexico ❑ New Mexico (NM) 1 New York 3 1 New York ❑ New York (NY) 1 North Carolina 3 2 North Carolina ❑ North Carolina (NC) 1 North Dakota 3 3 North Dakota ❑ North Dakota (ND) 1 Ohio 4 Ohio ❑ Ohio (OH) 1 Oklahoma 3 5 Oklahoma ❑ Oklahoma (OK) Page 16 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 Oregon 6 Oregon ❑ Oregon (OR) 1 Pennsylvania 3 7 Pennsylvania ❑ Pennsylvania (PA) 1 Rhode Island 3 Rhode Island ❑ Rhode Island (RI) 1 South Carolina 3 9 South Carolina ❑ South Carolina (SC) 1 South Dakota 4 0 South Dakota ❑ South Dakota (SD) 1 Tennessee Tennessee ❑ Tennessee (TN) 1 Texas 4 Texas ❑ Texas (TX) 1 Utah 3 Utah ❑ Utah (UT) 1 Vermont 4 Vermont ❑ Vermont (VT) 1 Virginia 44 Virginia ❑ Virginia (VA) 1 Washington 4 6 Washington ❑ Washington (WA) 1 West Virginia 4 7 West Virginia ❑ West Virginia (WV) Page 17 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 Wisconsin Wisconsin ❑ Wisconsin (WI) Wyoming Wyoming ❑ Wyoming (WY) Bid Lines Page 18 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 Section I: Trailers Discount (%) off catalog/pricelist for All Types of Utility Trailers (Min. 2,000 lb. load capacity rated at 60 MPH, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. Total: 1 5% 1 Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". IPLBB0622 Page 19 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 2 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Tag Trailer (18,000 to 40,000 lb. load capacity rated at 60 MPH, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. Total: 1 5% 1 Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". PLBB0622 Page 20 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 3 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Rigid Gooseneck Trailer (70,000 to 100,000 lb. load capacity rated at 60 MPH, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. Total: 1 5% Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". PLBB0622 Page 21 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 4 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Hydraulic Detachable Gooseneck Trailer (70,000 to 100,000 lb. load capacity concentrated in any 16' rated at 60 MPH, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. Total: 5% Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". PLBB0622 Page 22 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 5 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Belly Dump Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment, SEI, slide and go tarp). Catalog/Pricelist MUST be included or proposal will not be considered. WIT:.j Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/priceIist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE E,21�JyLTA I109Z191ViT1IIMMIZ!W1II01�e N Me] II01�e] I a W4 0g119 0a W Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". N/A Page 23 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 6 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Dump Pup Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment, ABS brakes, short or long tongue, steel disc wheels). Catalog/Pricelist MUST be included or proposal will not be considered. W07:.A Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/priceIist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE I,31JyLTA I109Z191ViT1IIMMIZ!W1II01�e N Me] II01�e>I a W4 0g119 0a W Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". N/A Page 24 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 7 Section I: Trailers Discount (%) off catalog/pricelist for Base Model End Dump Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment, min. 10-gauge floor, min. 12 gauge sides). Catalog/Pricelist MUST be included or proposal will not be considered. W07:.A Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/priceIist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE E,21�JyLTA I109Z191ViT1IIMMIZ!W1II01�e N Me] II01�e>I a W4 0g119 0a W Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". N/A Page 25 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 0 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Livestock/Agriculture Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response Page 26 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 0 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Flatbed Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. Total: 1 5% Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE II i It 19 : ►ir I I I a I 11111i I &W I I I . I at, 1111iL`L�1111113a] �6"J B : b Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". PLBB0622 Page 27 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 0 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Landscape Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. W07:.A Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/priceIist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE E,21�JyLTA I109Z191ViT1IIMMIZ!W1II01�e N Me] II01�e] I a W4 0g119 0a W Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". N/A Page 28 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Enclosed Cargo Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". N/A Page 29 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 2 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Concession/Food Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response Page 30 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 3 Section I: Trailers Discount (%) off catalog/pricelist for Base Model Auto/Equipment Towing Trailer (various cubic yard sizes, DOT approved lights and standard manufacturer's equipment). Catalog/Pricelist MUST be included or proposal will not be considered. Total: 1 5% 1 Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". PLBB0622 Page 31 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 4 Section I: Trailers Discount (%) off catalog/pricelist for All Other Types of Trailers. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 5% 1 Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". PLBB0622 Page 32 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 5 Section II: Optional Eauipment for Trailers Discount (%) off catalog/pricelist for Optional Equipment and Upgrade Options for All Types of Trailers. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 5% 1 Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". OLBB0622-1, OLBB0622-2 Page 33 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 6 Section III: Repair Parts and Supplies Discount (%) off catalog/pricelist for Repair Parts and Supplies for All Types of Trailers. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: PROPOSAL NOTE 1: Vendors shall submit catalog (s)/priceIist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog (s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor's must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed PROPOSAL NOTE 2: Vendors proposing must be approved by the manufacturer to sell, install, and service the brand of equipment submitted. Proposers responding to this Proposal Invitation shall submit an approval letter from each manufacturer. Manufacturer authorization letters must include the regions in which equipment may be sold. PROPOSAL NOTE 3: The majority of the optional equipment and upgrade options will be selected at time of Cooperative member order. A DETAILED AND COMPLETE LIST OF ALL OPTIONAL EQUIPMENT AND UPGRADE OPTIONS MUST BE SUBMITTED WITH PROPOSAL FOR PROPOSAL TO BE CONSIDERED. Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response Page 34 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 1 7 Section IV: Installation and Repair Service Hourly Labor Rate for Installation/Repair Service of Trailers -Not to Exceed hourly labor rate for Installation/Repair Service of Equipment and Products. Quantity: 1 UOM: Hourly Labor Rate No Bid Response Total: $0.00 Page 35 of 35 pages Vendor: Interstate Trailers, Inc. 687-22 mrkY&MTRAILERS, INC. 1101 Heritage Parkway • Mansfield, Texas 76063 • 817-453-5402 • Fax 817-453-5445 July 1, 2022 Interstate Trailers, Inc. 1101 Heritage Parkway Mansfield, TX 76063 Re: Manufacturer Letter To Whom It May Concern, Established in 1982, Interstate Trailers, Inc. is an equipment trailer manufacturer located in Mansfield, Texas. We proudly manufacture the tag, tilt and lowboy trailers we are proposing on Buy Board contract 687-22. 2022 marks our 201h Anniversary of partnering with the Buy Board. We have had great success working with our dealers and customers via the Buy Board Cooperative and look forward to continuing this relationship for many years to come. President Interstate Trailers, Inc. Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# AL NTS MIKEDON, LLC-THEODORE 5965 RANGELINE RD THEODORE, AL 36582 _= 4 2493m AL SUN SOUTH LLC. 1975 FORBES DR. MONTGOMERY, AL 36110 334-834-6340 334-834-6360 3 1021 -------------------- AL WARRIOR TRACT. & EQ. CO.INC-AL 6801 MCFARLAND BLVD. WEST NORTHPORT, AL 35476 205-339-0300 205-333-0101 -------------------- 3 2670 AL WARRIOR TRACTOR & EQUIP-MONR 66 INDUSTRIAL PARK DR. MONROEVILLE, AL 36460 251-575-7111 -------------------- -------------------- 3 2670C AL WARRIOR TRACTOR & EQUIP.-PELHA 2149 HIGHWAY 31 SOUTH PELHAM, AL 35124 205-988-4472 205-988-4563 3 2670B -------------------- AL WARRIOR TRACTOR-MONTG.-AL 3540 WETUMKA HWY MONTGOMERY, AL 36110 334-277-7260 334-270-9831 -------------------- 3 2670A AR COAL CREEK TRUCK & EQUIPMENT 4605 HWY 5 SOUTH MOUNTAIN HOME, AR 72653 870-404-6444 -------------------- 3 4250 AR DITCH WITCH OF ARKANSAS-SPRG 368 ALBANO DRIVE SPRINGDALE, AR 72762-0000 479-419-9771 479-419-9781 3 518D -------------------- -------------------- AR ORANGE POWER GROUP LLC - BENTO DITCH WITCH OF ARKANSAS P O BOX 476 501-316-3200 501-794-3441 3 518B -------------------- -------------------- AR ORANGE POWER GROUP LLC - ROGER DITCH WITCH OF ARKANSAS ROGERS, AR 72756 479-633-8400 479-633-8403 3 518C -------------------- -------------------- AR POTTER EQUIPMENT - AR 302 INDUSTRIAL PARK RD. HARRISON, AR 72601 870-741-8900 870-741-8923 4 1221A -------------------- -------------------- AR SCOTT EQ CO,LLC.- FT. SMITH 6100 S.ZERO FT.SMITH, AR 72903 479-648-1600 479-648-9521 -------------------- -------------------- 4 1391F AR STRIBLING EQUIPMENT 3410 S. ZERO FORT SMITH, AR 72906 479-646-8381 479-646-6886 -------------------- 3 10411 AR STRIBLINGS EQ.-CAMDEN-AR 2380 HWY 79 NORTH CAMDEN, AR 71701 870-574-0290 870-574-0293 9 1041H Page: 1 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# AR UCO EQUIPMENT 4045 HIGHWAY 5 CABOT, AR 72023 877-941-4330 -------------------- -------------------- 3 4200 AR WARRIOR OF ARKANSAS - ARK 301 HIGH SCHOOL DR. ARKADELPHIA, AR 71923 870-246-8678 807-246-9417 -------------------- 3 1587A AR WARRIOR OF ARKANSAS - CAMDEN 2380 HWY 79 NORTH CAMDEN, AR 71701 870-574-0290 870-574-0293 -------------------- 8 1626 AR WARRIOR OF ARKANSAS - FT. SMTH 3410 SOUTH ZERO FT.SMITH, AR 72908 479-646-8381 479-646-6886 3 1587B -------------------- -------------------- AR WARRIOR OF ARKANSAS - MABEL 10601 OTTER CREEK BLVD.EAST MABELVALE, AR 72103 501-455-2540 501-455-2466 3 1587 -------------------- -------------------- AR WARRIOR OF ARKANSAS-TEX 1800 JIM WALTER DRIVE TEXARKANA, AR 71854 870-772-9321 -------------------- -------------------- 3 1587C AZ MIDCO SALES 1200 S. AKIMEL LN CHANDLER, AZ 85226 480-999-0607 4 4235 -------------------- AZ NTS MIKEDON, LLC-PHOENIX 2950 W. DURANGO PHOENIX, AZ 85009 602-272-8660 4 2493D -------------------- AZ NTS MIKEDON, LLC-TUCSON 320 E. MEDINA RD. TUCSON, AZ 85756 _= 4 2493G AZ TITAN MACHINERY -PHOENIX -AZ 1411 N 27TH AVE PHOENIX, AZ 85009 602-269-3221 602-269-6918 3 12290 -------------------- -------------------- AZ TITAN MACHINERY-TUCSON,AZ 1701 W. GRANT RD. TUCSON, AZ 85745 520-623-5848 520-623-6058 9 1647 -------------------- -------------------- AZ TITAN MACHINRY INV.-FLAG-AZ 5061 E EMPIRE AVE FLAGSTAFF, AZ 86004 605-526-5991 928-526-5791 -------------------- -------------------- 3 1229N CA D & R WHOLESALE-GOSHEN ,CA 30595 RD 68 GOSHEN, CA 93227 559-651-0330 559-651-0333 3 3541 -------------------- CA GOLDEN STATE UTILITY CO. -CA 4425 FARM SUPPLY DRIVE CERES, CA 95307 209-579-3446 209-579-3497 9 1052 -------------------- CA JOHNSON MACHINERY CO -RIVER -CA 800 E. LA CADENA DR. RIVERSIDE, CA 92501 951-686-4560 951-774-3270 3 955 Page: 2 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# CA JOHNSON TRUCK CENTER 656 E. LA CADENA DRIVE RIVERSIDE, CA 92507 951-683-5960 951-788-5112 3 4057 -------------------- -------------------- CA NTS MIKEDON, LLC-SACRAMENTO 7849 STOCKTON BLVD SACRAMENTO, CA 95823 916-416-4311 -------------------- -------------------- 4 2493E CA PETERSON CAT - CHICO 425 SOUTHGATE AVE. CHICO, CA 95927 530-343-1911 530-343-2163 3 1216C -------------------- CA PETERSON CAT - EUREKA 3990 BROADWAY EUREKA, CA 95502 707-443-1653 707-443-7897 3 1216D -------------------- CA PETERSON CAT - REDDING 5100 CATERPILLAR RD. REDDING, CA 96002 530-243-5410 530-243-8767 3 1216E -------------------- CA PETERSON CAT - SAN DOSE 1645 OLD BAY SHORE HWY SAN JOSE, CA 95112 408-436-8835 -------------------- 000-000-0000 3 1216G CA PETERSON CAT - SAN MARTIN 13155 SYCAMORE AVE. SAN MARTIN, CA 95046 800-562-9260 -------------------- 408-686-1194 3 1216A CA PETERSON CAT - STA ROSA 3710 REGIONAL PKWY SANTA ROSA, CA 95403 707-576-1616 707-576-0741 3 1216F -------------------- -------------------- CA PETERSON CAT - WILLITS 1471 B.SOUTH MAIN WILLITS, CA 95490 707-459-9006 707-459-1347 3 1216B -------------------- -------------------- CA PETERSON CAT- S. LEANDRO 955 MARINA BLVD. SAN LEANDRO, CA 94577 510-357-6200 510-357-2174 3 1216 -------------------- -------------------- CA PETERSON CAT-FORTUNA 1700 ALAMAR WAY FORTUNA, CA 95540 707-725-1888 3 1216L -------------------- -------------------- CA PETERSON CAT-MT.SHASTA 411 SKI VILLAGE ROAD MOUNT SHASTA, CA 96067 530-918-9469 530-926-6828 3 12161 -------------------- -------------------- CA PETERSON CAT -WILLOWS -CA 411 SOUTH TEHAMA ST WILLOWS, CA 95988 530-934-8839 530-934-9315 3 12161 -------------------- -------------------- CA PETERSON SAN LEAND.POWER-CA 2828 TEAGARDEN STREET SAN LEANDRO,CA 95928 510-895-8400 530-343-2163 3 1216K -------------------- -------------------- CA QUINN CO.-LANCASTER-CA 46101 N SIERRA HWY LANCASTER, CA 93534 661-942-7277 661-942-6332 3 12501 CA QUINN COMPANY QUINN POWER SYSTEMS 562-463-6087 3 1250K Page: 3 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# CA QUINN COMPANY - BAKERSFIELD 2200 PEGASUS BAKERSFIELD, CA 93308 661-393-5800 661-393-7052 3 1250A -------------------- -------------------- CA QUINN COMPANY - CORCORAN 510 PICKERELL STREET CORCORAN, CA 93212 559-992-2193 -------------------- -------------------- 559-992-8648 3 1250B CA QUINN COMPANY - INDUSTRY 10006 ROSE HILLS RD CITY OF INDUSTRY, CA 90601 562-463-4000 -------------------- 562-699-0491 3 125OG CA QUINN COMPANY - OXNARD 801 DEL NORTE BLVD. OXNARD, CA 93030 805-485-2171 805-983-1643 3 1250C -------------------- CA QUINN COMPANY - PASO ROBLES 1560 RAMADA DR. PASO ROBLES, CA 93446 805-237-7700 -------------------- 805-237-0127 3 1250H CA QUINN COMPANY - RIVERSIDE 800 E. LA CADENA DR. RIVERSIDE, CA 92502-2572 562-463-4000 -------------------- -------------------- 562-690491 3 1250L CA QUINN COMPANY - SALINAS 1300 ABBOTT STREET SALINAS, CA 93901 831-758-8461 831-758-8583 3 1250D -------------------- CA QUINN COMPANY - SANTA MARIA 1655 NORTH CARLOTTI SANTA MARIA, CA 93454 805-925-8611 805-925-1909 3 1250E -------------------- CA QUINN COMPANY - SELMA 10273 S. GOLDEN STATE BLDG. A SELMA, CA 93662 559-896-4040 -------------------- 559-896-8725 3 125OF CA QUINN COMPANY -FOOTHILL RANCH 25961 WRIGHT STREET FOOTHILL RANCH, CA 92610 949-768-1777 -------------------- 949-768-1717 3 12503 CA QUINN COMPANY-LA,CA BILLING 10006 ROSE HILLS ROAD CITY OF INDUSTRY 90601 562-463-4000 562-699-0491 3 1250 -------------------- -------------------- CA SONSRAY MACH.LLC-SAN LEAN -CA 1450 DOOLITTLE DRIVE SAN LEANDRO, CA 94577 510-562-0653 510-633-7693 9 1620m -------------------- -------------------- CA SONSRAY MACHINERY - REDDING 2535 ELLIS REDDING, CA 96001 530-245-9000 530-246-2978 1 332A -------------------- -------------------- CA SONSRAY MACHINERY 11C-SACTO-CA 1751 BELL AVE. SACRAMENTO, CA 95838 916-649-0096 916-649-0584 9 1620 -------------------- -------------------- CA SONSRAY MACHINERY-FONTANA,CA 10062 LIVE OAK AVENUE CONTANA, CA 92335 909-355-1075 909-355-1124 9 16201 Page: 4 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# CA SONSRAY MACHINERY-SAN DIEGO-CA 1475 PIONEER WAY EL CAJON, CA 92335 619-873-0123 619-873-0120 9 1620K -------------------- -------------------- CA SONSRAY MACHINERY -STOCK -CA 1041 S. PERSHING AVE. STOCKTON, CA 95206 209-464-9600 209-464-9647 1 16201 -------------------- -------------------- CA SONSRAY MACNINERY-SANTA FE-CA 10950 NORWALK BLVD SANTA FE SPRINGS, CA. 90670 562-903-7377 562-903-7301 -------------------- -------------------- 9 1620L CN HAYWORTH EQUIP. SALES,INC. #202-26229 TWP 531A CANADA 780-962-9100 780-962-8758 -------------------- 3 3555 CN NORTRAX EQUIPMENT US ACCOUNTS PAYABLE MISSISSAUGA, ON L4W 1S5 905-670-1655 813-635-2396 -------------------- 8 1160 CO COLORADO STORAGE SYSTEMS TRAIL 5075 VASQUEZ BLVD DENVER, CO 80216 303-494-6472 4 4234 -------------------- -------------------- CO DITCH WITCH OF THE ROCKIES 7160 EUDORA DRIVE COMMERCE CITY, CO 80022 303-287-7563 303-287-9565 3 4255 -------------------- -------------------- CO TITAN MACHINERY - CO 7250 GREENRIDGE RD. WINDSOR, CO 80550 970-461-4960 970-663-1042 -------------------- -------------------- 9 1229S CO TITAN MACHINERY-COLO SPG.-CO 120 TROY HILL RD COLORADO SPRINGS, CO 80916 719-596-2924 715-596-0793 9 12291 -------------------- CO TITAN MACHINERY-HENDERSON -CO 9600 E 104TH AVE HENDERSON, CO 80640 303-286-7000 303-286-7589 9 12291 -------------------- CO TITAN MACHINERY-LOVEL-CO 3555 S. LINCOLN AVE LOVELAND, CO 80537 970-461-4960 970-593-1169 -------------------- 9 1229K CO VERMEER OF COLORADO 1030 TRANSIT DRIVE COLORADO SPRINGS, CO 80903 719-382-1947 719-382-1952 -------------------- 9 1565C CO VERMEER OF COLORADO 726 SANTA FE AVE. SOUTH FOUNTAIN, CO 80817 719-382-1947 000-000-0000 9 1565A -------------------- -------------------- CO VERMEER SALES & SERV.OF COLO. 5801 E. 76TH AVE. COMMERCE CITY, CO 80022 303-286-1866 303-286-0406 9 1565 -------------------- -------------------- CO VERMEER SALES & SERVICE 712 ARROWWEST COURT GRAND JUNCTION, CO 81505 970-244-9177 970-241-3896 9 1565B Page: 5 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# CT KAHN TRACTOR & EQUIP., INC. JUNCTION 32 & 207 NORTH FRANKLIN, CT 06254 860-642-7596 -------------------- -------------------- 860-642-6364 9 1005 FL ALL AM. TRLR CONNECTIONS,INC 3531 LAKE WORTH RD. PALM SPRINGS, FL 33461 561-582-1800 561-582-1873 3 4231 -------------------- -------------------- FL AXE TRAILERS 2885 S. CONGRESS AVE-STE. E DELRAY BEACH, FL 33445 561-717-7055 X110 -------------------- 2 4236 FL BEARD EQUIPMENT CO 356 NORTH HWY 17 PALATKA, FL 32177 386-325-6268 386-329-9872 4 3658B -------------------- FL BEARD EQUIPMENT CO -JACK. -FL 6870 PHILLIPS HWY JACKSONVILLE, FL 32216 904-296-5000 904-296-0525 4 3658 -------------------- FL BEARD EQUIPMENT-PENSA-FL 3195 WEST NINE MILE ROAD PENSACOLA, FL 32534 850-476-0277 -------------------- 850-476-7556 4 3658A FL DOBBS EQUIPMENT - FORT MYERS 3005 HANSON ST 239-334-6327 1 9985D -------------------- -------------------- FL DOBBS EQUIPMENT - MIAMI 4343 NW 77TH AVE 813-621-4902 1 9985A -------------------- -------------------- FL DOBBS EQUIPMENT - ORLANDO 4333 N. JOHN YOUNG PARKWAY 407-299-1212 1 9985C -------------------- -------------------- FL DOBBS EQUIPMENT - RIVERVIEW 2730 FALKENBURG RD. 813-620-1000 1 9985 -------------------- -------------------- FL DOBBS EQUIPMENT - TAMPA 2710 FALKENBURG RD 813-621-4902 14 9985F -------------------- -------------------- FL DOBBS EQUIPMENT - WESLEY CHAPE 4618 SCARBOROUGH DR 813-995-0841 1 9985E FL DOBBS EQUIPMENT - WEST PALM BE 3933 MARTIN LUTHER KING BLVD 561-848-6618 1 9985B FL NORTRAX (USE #9985C) 4333 JOHN YOUNG HWY. ORLANDO, FL 32804 407-299-1212 407-297-1556 8 1160A -------------------- FL NORTRAX - FT. MYERS 9034 3005 HANSON STREET FT. MYERS, FL 33901 239-334-3627 239-334-8839 8 1160F Page: 6 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# FL NORTRAX - LUTZ 4618 SCARBORUGH DRIVE LUTZ, FL 33559 813-995-0841 813-995-9810 8 1160H -------------------- -------------------- FL NORTRAX - POMANO BEACH 9037 2611 HAMMONDVILLE RD. POMPANO BEACH, FL 33069 305-972-3535 305-968-6254 8 1160D -------------------- -------------------- FL NORTRAX - RIVERVIEW 2710 SOUTH FALKENBURG RD RIVERVIEW, FL 33578 813-621-4902 813-664-8525 8 1160G -------------------- -------------------- FL NORTRAX - ST. AUGUSTINE 9925 LEO-MCGUIRE RD. ST. AUGUSTINE, FL 32092 904-940-8911 904-940-0412 8 1160B -------------------- -------------------- FL NORTRAX - W. PALM BEACH 3933 MARTIN LUTHER K.BLVD WEST PALM BEACH, FL 33404 561-848-6618 561-848-7099 8 1160C -------------------- -------------------- FL NTS MIKEDON, LLC-DAVIES,FL 4601 OAKES RD. DAVIES, FL 33314 _= 4 2493B FL NTS MIKEDON, LLC-ORLANDO 307 N. GOLDEN ROD RD. ORLANDO, FL 32807 407-773-0614 4 2493A -------------------- IA MCCOY CONSTRUCTION & FORESTRY 2099 SOUTHPARK CT STE 1 DUBUQUE, IA 52003 563-845-5057 563-584-2634 -------------------- 9 1190 IA TITAN MACH. -CENTER POINT -IA 4250 GRAIN LANE CENTERPOINT, IA 52213 319-849-3889 3 1229H IA TITAN MACHINERY - DES MOINES 2290 NE 54TH AVE 515-974-5100 14 1229T IA TITAN MACHINERY - SIOUX CTY.IA 5601 HARABOR DRIVE SIOUX CITY, IA 51111 712-239-4941 712-239-4950 3 1229A -------------------- IA TITAN MACHINERY- CEDAR RAPIDS 4250 GRAIN LANE CENTERPOINT, IA 52213 319-399-1033 319-396-6062 3 330 -------------------- IA TITAN MACHINERY-DAVENPORT,IA 3136 W. 76TH STREET DAVENPORT, IA 52806 563-386-0400 563-386-6113 3 326 -------------------- IA TITAN MACHINERY. - OMAHA 14961 SHEPARD ST. OMAHA, NE 68138 402-733-3700 402 733-5700 3 325C -------------------- ID WESTERN STATES EQ.-ID FAL-ID 1200 FOOTE DR. IDAHO FALLS, ID 83402 208-552-2287 3 3506C -------------------- -------------------- ID WESTERN STATES EQ.-LEW-ID 16772 HATWAI BYPASS RD. LEWISTON, ID 83501 208-746-3301 3 3506D Page: 7 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# ID WESTERN STATES EQ.-POC-ID 8403 S. 5TH AVE-STE D POCATELLO, ID 83204 208-232-2640 3 3506B -------------------- -------------------- ID WESTERN STATES EQ.-TWF-ID 3085 E. KIMBERLY RD. TWIN FALLS, ID 83301 208-734-7330 3 3506A -------------------- -------------------- ID WESTERN STATES EQ.CO.-CORP -ID 500 E. OVERLAND RD. MERIDIAN, ID 83642 208-888-2287 3 3506 -------------------- -------------------- ID WESTERN STATES EQ.HYD-ID 10780 N.HIGHWAY 95 HAYDEN, ID 83835 208-762-6690 -------------------- -------------------- 3 3506E IL DDS SALES 1608 W. MAIN ST. TEUTOPOLIS, IL 62467 217-857-3196 217-857-3828 -------------------- 3 502 IL ILLINOIS TRUCK & EQ.- MORRIS 320 BRISCOE DRIVE MORRIS, IL 60450 815-941-1900 815-941-1486 3 915 -------------------- IL NTS MIKEDON, LLC-ELMHURST 249 W. LAKE ST. ELMHURST, IL 60126 _= 4 2493F IL VERMEER MIDWEST 2801 BEVERLY DRIVE AURORA, IL 60502 630-820-3030 9 4233 -------------------- -------------------- IL WEST SIDE TRACTOR - LISLE 3300 Ogden Ave Ave Lisle, IL 60532 630-355-7150 630-355-7173 3 1600 -------------------- -------------------- IL WEST SIDE TRACTOR - ROCKFORD 3110 PRAIRIE RD. ROCKFORD, IL 61102 815-961-3160 815-965-1810 3 1600A -------------------- -------------------- IL WEST SIDE TRACTOR - S HOLLAND 150 W. 162ND STREET SOUTH HOLLAND, IL 60473 708-331-6362 708-331-7334 3 1600B -------------------- -------------------- IL WEST SIDE TRACTOR - WAUCONDA RT. 12, 1560 N. OLD RAND RD. WAUCONDA, IL 60084 847-526-7700 847-526-3565 3 1600C -------------------- -------------------- IL WEST SIDE TRACTOR -ROCKDALE 600 WALNUT CT ROCKDALE, IL 60436 815-730-9011 815-730-9036 -------------------- -------------------- 3 1600D IN WEST SIDE TRACTOR - IND-IN 7355 E. 30TH STREET INDIANAPOLIS, IN 46219 317-544-3411 317-544-3420 3 1600E -------------------- IN WEST SIDE TRACTOR-BOOOM-IN 1095 NORTH CURRY PIKE BLOOMINGTON, IN 47404 812-333-9677 812-333-9731 3 1600H -------------------- IN WEST SIDE TRACTOR-FT.WYN.-IN 3120 CONGRESSIONAL PARKWAY FORT WAYNE, IN 46808 260-482-8576 260-483-4057 3 160OG -------------------- IN WEST SIDE TRACTOR-LAFAY-IN 3201 SOUTH 460 EAST LAFAYETTE, IN 47905 765-447-6933 765-448-9038 3 16001 Page: 8 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# IN WEST SIDE TRACTOR-S.BEND-IN 25166 STATE ROAD 2 SOUTH BEND, IN 46619 574-232-1461 574-233-3324 -------------------- -------------------- 3 160OF KS DITCH WITCH OF KANSAS-WICH 7825 N. HARTMAN ARENA DR PARK CITY, KS 67147-8312 316-755-1911 316-755-0519 -------------------- 8 562 KS VICTOR L. PHILLIPS - GARD CITY 2203 WEST JONES GARDEN CITY, KS 67846 620-275-1996 620-275-4178 3 1580A -------------------- KS VICTOR L. PHILLIPS - TOPEKA 1305 S.W. 42ND ST. TOPEKA, KS 66609 785-267-4345 785-267-0185 3 1580C -------------------- KS VICTOR L. PHILLIPS - WICHITA 3250 N. HYDRAULIC WICHITA, KS 67219 316-838-3346 316-838-0087 3 1580D -------------------- KY BEVINS MOTOR CO., INC 1175 LEXINGTON ROAD GEORGETOWN, KY 40324 502-863-2529 3 4179 -------------------- -------------------- KY IMPCO, INC. PO BOX 1213 MADISONVILLE, KY 42431 270-821-6868 -------------------- 3 4206 KY MCKEEL EQUIPMENT - MURRAY-KY 3724 US HWY 641 SOUTH MURRAY, KY 42071 270-753-3062 270-753-3148 9 1092A -------------------- -------------------- KY MCKEEL EQUIPMENT - PADUCAH 1939 N. 8TH STREET PADUCAH, KY 42001 270-444-0110 270-444-0515 -------------------- -------------------- 9 1092 KY MEADE EQUIPMENT - GEORGETOWN 1797 LEXINGTON RD GEORGETOWN , KY 40324 859-623-2030 3 4175G -------------------- KY MEADE EQUIPMENT - LOUISVILLE 13090 AIKEN RD LOUISVILLE, KY 40223 502-253-3721 14 4175F -------------------- KY MEADE EQUIPMENT- BOWLING GREEN 4233 RUSSELLVILLE RD BOWLING GREEN, KY 42101 270-842-3400 3 4175E -------------------- KY MEADE EQUIPMENT- LONDON 140 JAMES LEWIS DR LONDON, KY 40744 606-862-8447 3 4175H -------------------- KY NEWMAN TRACTOR, INC. 2841 VERONA ROAD VERONA, KY 41092 859-485-8500 859-485-8573 -------------------- 3 1284 KY NORTRAX INC.-BOWLING GRN.-KY 4233 RUSSELLVILLE ROAD BOWLING GREEN, KY 42010 270-842-3400 270-843-3100 3 1160K Page: 9 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE Adress Ship to City/St ST DEALER PHONE FAX Slm DO KY NORTRAX INC.-LONDON, KY 140 JAMES LEWIS ROAD LONGON, I<Y 40741 606-862-8447 606-862-1668 3 1160L KY NORTRAX INC.-LOUISVILLE, KY 13090 AIKEN ROAD LOUISVILLE, KY 40223 502-254-0758 502-814-2767 3 11601 KY NORTRAX INC.-RICHMOND,KY 3279 LEXINGTON ROAD. (US 25) RICHMOND, KY 40475 859-623-2030 859-623-2015 3 11603 LA CLM EQUIPMENT CO. 9251 W. OAKLAWN RD BILOXI, MS 39S32 337-837-6693 8 4054 LA DITCH WITCH OF LOUISIANA 5402 INDUSTRIAL DRIVE EXT. BOSSIER CITY, LA 71112 318-747-0660 318-747-2907 3 4253 LA LEE TRACTOR CO. - BILOXI 12306 N. OAKLAWN LANE BILOXI, MS 39532 228-392-9922 228-392-8866 1 1055A LA LEE TRACTOR CO. - KENNER 10203 AIRLINE HWY SAINT ROSE, LA 70087 504-467-6794 504-467-6799 4 1055 LA SCOTT EQ CO,LLC.- SHREVEPORT 945 N. MARKET ST. SHREVEPORT, LA 71107 318-226-9696 318-677-2493 4 1391C LA SCOTT EQ. CO,LLC- BATON ROUGE 10160 AIRLINE HWY BATON ROUGE, LA 70816 225-293-3683 225-292-9658 4 1397 LA SCOTT EQ. CO,LLC- SPRINGDALE 4831 NORTH THOMPSON SPRINGDALE, AR 72764 479-751-4242 479-751-3491 4 1391D LA SCOTT EQ.CO,LLC- BROUSSARD 100 IDA ROAD BROUSSARD, LA 70518 337-837-2907 337-837-5116 4 1391G LA SCOTT EQ.CO,LLC- LAKE CHARLES 6149 HWY 90 EAST LAKE CHARLES, LA 70601 337-433-9811 337-433-6623 4 1391H LA SCOTT EQ.CO,LLC- LITTLE ROCK 10923 INTERSTATE 30 W. P 0 BOX 1036 **ALL MAIL** 501-455-59SS 501-455-5070 4 1391B LA SCOTT EQ.CO,LLC- MONROE 1002 MARTIN LUTHER KING BLVD. MONROE, LA 71211 318-387-4160 318-388-9258 4 1391 LA SCOTT EQ.CO,LLC- NATCHITOCHIS 1790 HWY 3175 NATCHITOCHES, LA 71457 318-352-9876 318-352-9879 4 1391E Page: 10 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# LA SCOTT EQ.CO., LLC- ALEXANDRIA 3007 MACARTHUR DR. ALEXANDRIA, LA 71303 318-448-1647 318-487-4949 -------------------- -------------------- 4 1391A LA SCOTT POWERLINE & UTILITY EQ 3018 HARVESTER DR MONROE, LA 71203 877-388-9269 318-388-9383 8 4178 -------------------- LA SCOTT TRUCK, LLC 1000 HWY 165 MONROE, LA 71201 318-388-9237 318-387-8775 8 4242 -------------------- LA TRAILCO OF I-49 LLC 116 CHAD DRIVE MANSFIELD, LA 71052 318-872-3040 -------------------- 3 4219 LA WATER MOCCASIN OUTDOOR 2001 HWY 171 STONEWALL, LA 71078 318-925-9668 318-925-5398 -------------------- 3 3786 MA AMBROSE ASPHALT EQUIP., INC. 1 MADISON STREET PLAINVILLE, MA 02762 508-643-0044 508-643-0034 -------------------- -------------------- 7 1654A MA NTS MIKEDON, LLC-ANDOVER 77 LOWELL JUNCTION DR ANDOVER, MA 01810 _= 4 2493N MA UNITED CONSTRUCTION & FORESTRY 1620 PAGE BLVD. RTE 20 SPRINGFIELD, MA 01104 413-543-5595 413-543-5871 9 1390D -------------------- MA UNITED CONSTRUCTION & FORESTRY 2397 ]CT 6/136 NORTH SWANSEA, MA 02777 508-379-9810 508-379-1160 9 1390B -------------------- MA UNITED CONSTRUCTION & FORESTRY 4 Sterling Rd N. BILLERICA, MA 01862 978-667-4345 978-667-4810 -------------------- 9 1390A MA UNITED CONSTRUCTION & FORESTRY 80 SOUTH BRIDGE RD.RTE 20 N. OXFORD, MA 01537-0578 508-987-8786 508-987-3578 -------------------- -------------------- 9 1390 MA UNITED CONSTRUCTION & FORESTRY 88 CAMELOT DR., UNIT 42 PLYMOUTH, MA 02360 508-830-9997 508-830-1014 9 1390C -------------------- MD DO NOT USE---GROFF TRACTOR MI 629 S. PHILADELPHIA BLVD ABERDEEN, MD 21001 410-575-6580 -------------------- 3 4244 MD GROFF-FREDICKS-MD (NEW# 654F) 1561 Ti1Co Or FREDERICK, MD 21704 301-663-3185 301-662-8929 3 805F Page: 11 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# MD GROFF TRACTOR MID ATLANTIC LLC 629 S. PHILADELPHIA BLVD ABERDEEN, MD 21001 410-575-6580 410-575-7052 3 654 -------------------- -------------------- MD GROFF TRACTOR MID ATLANTIC LLC 2300 ESKOW AVE. BALTIMORE, MD 21227 410-247-7454 7 654E -------------------- -------------------- MD GROFF TRACTOR MID ATLANTIC LLC 1561 TILCO DR. FREDERICK, MD 21704 301-682-4441 301-682-6075 9 654F -------------------- -------------------- MD GROFF TRACTOR MID ATLANTIC LLC 212 Monmouth Rd Freehold NJ 07728 (732) 780-4600 301-682-6075 -------------------- -------------------- 9 654G MD GROFF TRACTOR MID ATLANTIC LLC 12420 SUSSEX HWY GREENWOOD, DE 19950 302-349-5760 302-349-5785 -------------------- 9 654B MD GROFF TRACTOR MID ATLANTIC LLC 6300 CRAIN HWY, RT. 301 UPPER MARLBORO, MD 20772 301-627-3937 301-627-9764 9 654D -------------------- MD HALE TRAILER BRAKE-BALTIM-MD 2201 HAWKINS POINT ROAD BALTIMORE, MD 21226 410-355-9410 -------------------- 7 136D MD SECURITY EQUIPMENT CO. 3828 WASHINGTON BLVD. BALTIMORE, MD 21227 410-247-9600 410-247-4819 3 1413 -------------------- -------------------- MD VERNON E. STUP CO. - MD 5859 URBANA PIKE FREDERICK, MD 21705-3598 301-663-3185 301-662-8929 7 1570 -------------------- -------------------- MD VERNON E. STUP CO. - VA 4781 MARTINSBURG PIKE CLEAR BROOK, VA 22624 540-662-8266 540-722-4372 7 1570A -------------------- -------------------- ME BEAUREGARD EQUIPMENT- SCARBORO 14 GIBSON ROAD SCARBOROUGH, ME 04074 207-885-0600 -------------------- -------------------- 1 3504A ME BEAUREGARD EQUIPMENT-HERMON 59 Contractor Rd Hermon, ME 04401 207-848-2050 207-848-7482 1 3504 -------------------- ME NORTRAX HERMON, ME 04401 34 PAGE ROAD WEST HERMON, ME 04401 207-947-6786 207-947-1529 1 1160N -------------------- ME NORTRAX- DO NOT USE 396 COUNTY ROAD DO NOT USE 04092 207-773-3777 207-773-4675 1 1160m -------------------- ME NORTRAX-HOULTON ,ME 106 NORTH STREET HOULTON, ME 04730 207-532-6517 207-532-7304 -------------------- 1 11600 ME SKOWHEGAN EQUIPMENT 14 SOMERSET BUSINESS PKWY SKOWHEGAN, ME 04976 207-474-6543 1 4213 Page: 12 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# MI ALTA CONSTRUCTION EQ.-TRAV-MI 1061 STEPKE COURT TRAVERSE CITY, MI 49685 231-943-3700 231-943-8110 -------------------- 9 1114A MI ALTA EQUIPMENT 56195 PONTIAC TRAIL NEW HUDSON, MI 48165 248-356-5200 248-356-2029 -------------------- 9 1114C MI ALTA EQUIPMENT CO. LLC- MI 13211 MERRIMAN ROAD LIVONIA, MI 48150 248-449-6700 248-449-6707 9 1114 -------------------- -------------------- MI ALTA EQUIPMENT COMP-BYRON MI 8840 BYRON COMMERCE DR.SW BYRON CENTER, MI 49315 616-878-7450 9 1114B -------------------- -------------------- MI BUCK & KNOBBY EQ. CO., INC. 6220 STERNS RD. OTTAWA LAKE, MI 49267-9525 734-856-2811 734-856-2709 -------------------- -------------------- 1 240 MI CARLETON EQUIP, -CHEST. -MI 48135 GRATIOT AVE CHESTERFIELD, MI 48051 586-463-3333 -------------------- 9 312C MI CARLETON EQUIPMENT - BYRON CTR 343 100TH STREET S.W. BYRON CENTER., MI 49315 616-877-3388 616-877-4737 1 312A -------------------- MI CARLETON EQUIPMENT - KALAMAZOO 4704 SOUTH 29TH STREET KALAMAZOO, MI 490489774 269-343-2943 269-343-4201 1 312 -------------------- MI CARLETON EQUIPMENT-SAGINAW 3380 MACK ROAD SAGINAW, MI 48601 989-777-6666 989-777-3357 1 312B -------------------- MI D-P EQUIPMENT COMPANY 10700 S. EDON RD., HWY M-49 CAMDEN, MI 49232 517-368-5266 517-368-5288 3 500 -------------------- MI FLINT NEW HOLLAND, INC. 3266 E. BRISTOL RD. BURTON, MI 48529 810-744-2030 810-744-0444 -------------------- 3 660 MI GRAND EQUIPMENT 3310 HUDSON TRAIL DR. HUDSONVILLE, MI 49426 616-896-7700 616-896-6700 -------------------- -------------------- 3 808 MI INA STORE BRIDGEPORT 4770 ZELLE ROAD '` BRIDGEPORT, MI 48722 989-777-1900 989-777-1908 1 232 -------------------- MI RICHMOND NEW HOLLAND 68295 OAK STREET RICHMOND, MI 48062 586-727-3515 586-727-4056 3 660A Page: 13 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# MN TITAN MACHINERY - MARSHALL-MN 1201 HWY 59 NORTH MARSHALL, MN 56258 507-537-9477 3 1229C -------------------- -------------------- MN TITAN MACHINERY - ROGERS-MN 14375 JAMES RD. ROGERS, MN 55374 763-428-5099 763-428-5051 9 315A -------------------- -------------------- MN TITAN MACHINERY- PIP.MN 1402 HWY 75 SOUTH PIPESTONE, MN 56164 507-825-5155 507-825-4104 3 1229D -------------------- -------------------- MN TITAN MACHINERY-ALB.MN 77847 209 th STREET ALBERT LEA , MN 56007-5630 _= 3 1229m MN TITAN MACHINERY -MN 6340 COUNTY RD 101 EAST SHAKOPEE, MN 55379 952-445-5400 -------------------- 952-445-0365 9 315 MO DINZLER EQUIPMENT 1320 SOUTH VANDEVENTER ST.LOUIS, MO 63110 314-535-2340 314-535-2390 8 517 -------------------- MO HERTZ EQUIPMENT RENTAL 707 E 16TH STREET KANSAS CITY, MO 64108 816-221-7788 816-221-8465 9 857AL -------------------- MO PAT KELLY EQUIPMENT 5920 N. LINDBERGH BLVD. HAZELWOOD, MO 63042-3124 314-895-9500 314-895-4474 9 82 -------------------- MO POTTER EQUIPMENT - MO 1155 S. KANSAS EXPWY SPRINGFIELD, MO 65807 417-862-9275 -------------------- 417-862-2025 4 1221 MO TRUCKS, INC. 330 S. INTERSTATE DRIVE SIKESTON, MO 63801 573-472-2650 573-472-2651 3 4241 -------------------- -------------------- MO UTILITY TRAILER COMPANY 6401 W. HWY 40 COLUMBIA, MO 65202 573-445-3990 573-445-3990 9 1529 -------------------- -------------------- MO VICTOR L. PHILLIPS - JOPLIN 5430 S.HIGHWAY 43 JOPLIN, MO 64804 417-781-8222 417-781-2768 3 1580B -------------------- -------------------- MO VICTOR L. PHILLIPS CO.- KC -MO 4100 GARDNER AVE. KANSAS CITY, MO 64120 816-241-9290 -------------------- -------------------- 816-241-1738 3 1580 MO VICTOR L.PHILLIPS-BROOKLIN 6330 W.HWY 60 BROOKLINE STATION, Mo 65619 417-887-2729 -------------------- 417-887-7942 3 1580E MS B AND Z SALES 144 OLD HWY 80 WEST BRANDON MS 39042 601-825-1900 -------------------- 601-825-3020 8 4047 MS LEE TRACTOR CO. - GULFPORT P.O. BOX 2803 GULFPORT, MS 39505 228-392-9922 228-392-8866 4 1056 Page: 14 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# MS STRIBLING EQ.,LLC-JACK-RICH-MS 408 HIGHWAY 49 SOUTH RICHLAND, MS 39218 601-939-1000 -------------------- -------------------- 601-932-3306 9 1041 MS STRIBLING EQUIP -PHILA ,MS 10400 COUNTY ROAD 383 PHILADELPHIA, MS 39350 601-656-1997 -------------------- 9 10411 MS STRIBLING EQUIP.-BELDON-MS 2454 MCCULLOUGH BLVD. BELDEN (TUPELO), MS 38826 662-844-3212 9 1041C -------------------- MS STRIBLING EQUIP.-NATCHEZ, MS 275 JOHN R. JUNKIN DRIVE NATCHEZ, MS 39120 601-442-3613 601-442-3936 9 1041E -------------------- MS STRIBLING EQUIPMENT (COLUMBUS) 155 WILKINS-WISE ROAD COLUMBUS, MS 39705 662-328-0820 9 1041G -------------------- MS STRIBLING EQUIPMENT (MERIDIAN) 125 US HWY 11 & 80 MERIDIAN, MS 39301 601-482-5575 601-693-1535 9 1041F -------------------- MS STRIBLING EQUIPMENT-GREEN.MS 3811 HIGHWAY 82 EAST GREENWOOD, MS 38930 662-453-7556 -------------------- 662-453-7755 9 1041D MT WESTERN STATES EQ.-KALIS-MT 3500 HIGHWAY 93 SOUTH KALISPELL, MT 59901 406-752-3030 3 3506G -------------------- -------------------- MT WESTERN STATES EQ.-MISS-MT 3760 N. RESERVE ST MISSOULA, MT 59808 406-721-4050 -------------------- -------------------- 3 3506F NC JFW EQUIPMENT COMPANY 3517 WAYNE WHITE ROAD CLIMAX, NC 27233 336-685-4998 -------------------- 336-685-0968 4 937 NC LINDER INDUSTRIAL MACHINERY CO 1 BUSINESS PARK CIR ARDEN , NC 28704-8587 828-274-3031 828-274-8105 8 1132 -------------------- NC R.W. MOORE EQ. CO.- AHOSKIE NORTH CAROLINA 42 AHOSKIE, NC 27910 252-332-5550 -------------------- 000-000-0000 8 1260D NC R.W. MOORE EQ. CO.- CASTLE, NC 113 CROWATAN RD. IND PARK NORTH CASTLE HAYNE, NC 28429-5819 910-675-9211 -------------------- -------------------- 000-000-0000 8 1260B NC R.W. MOORE EQ. CO.- FAY, NC 5039 US HWY 301 SOUTH FAYETTEVILLE, NC 28306 910-424-1200 -------------------- 000-000-0000 8 1260E Page: 15 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# NC R.W. MOORE EQ. CO.- GARNER, NC 1128 HIGHWAY 70 WEST GARNER, NC 27529 919-772-2121 919-779-5432 8 1260A -------------------- -------------------- NC R.W. MOORE EQ. CO.- GREENVILLE 3604 HWY 264 EAST GREENVILLE, NC 27834 252-758-4403 000-000-0000 8 1260C -------------------- -------------------- NC R.W. MOORE EQ. CO.- NEW BERN 3816 ML KING JR.BLVD. NEW BERN, NC 28562-2236 252-638-5838 000-000-0000 8 1260F -------------------- -------------------- NC R.W. MOORE EQ. CO.- RALEIGH 1128 HIGHWAY 70 WEST GARNER, NC 27529 919-772-2121 919-779-5432 8 1260 -------------------- -------------------- NC SOUTHCO INDUSTRIES, INC 1840 EAST DIXON BLVD SHELBY, NC 28152 704-482-1477 704-482-2015 -------------------- -------------------- 9 3602 ND TITAN MACH., INC. 4201 N.CLIFF AVE SIOUX FALLS, SD 57104 605-336-3434 605-335-2207 -------------------- 3 1229 ND TITAN MACHINERY 4001 38TH STREET S FARGO, NO 58104 952-445-5400 952-445-0365 -------------------- 9 1229U NO TITAN MACHINERY, INC- FARGO-ND 2503 5TH AVENUE SOUTH FARGO, NO 58103 701-237-3333 701-237-3336 3 1229F -------------------- -------------------- NO TITAN MACHINERY-BISMARCK-ND 1500 INDUSTRIAL DR. BISMARCK,ND 58501 701-250-7925 701-250-7924 -------------------- -------------------- 9 1229L NE TITAN MACHINERY - LINCOLN ATTN: CHARLES EHLERS LINCOLN, NE 68504-1764 402-464-3711 402-464-4722 -------------------- 14 1229R NH ALTA EQUIPMENT COMPANY. 1401 HOOKSETT RD. HOOKSETT, NH 03106 603-644-8787 603-851-0876 7 1654 -------------------- NH BEAUREGARD EQUIPMENT-CONCORD,N 231 SHEEP DAVIS ROAD CONCORD, NH 03301 603-225-6621 -------------------- 1 3504B NH CHAPPELL TRACTOR EAST 251 ROUTE 125 BRENTWOOD, NH 03833 603-642-5666 603-642-4333 7 319A -------------------- -------------------- NH CHAPPELL TRACTOR SALES, INC. 454 RT. 13 SOUTH MILFORD, NH 03055 603-673-2640 603-672-0019 7 319 -------------------- -------------------- NH NORTRAX - PEMBROKE, NH 03275 98 SHEEP DAVIS RD. RT. 106 PEMBROKE, NH 03275 603-225-2769 663-226-0279 1 1160P Page: 16 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX Slm DL# NJ CONSTRUCTION INDUSTRIAL EQ.COR 255 MARGARET KING AVE. RINGWOOD, NJ 07456 201-845-6800 201-845-4361 -------------------- -------------------- 9 395 NJ DO NOT USE ----- GROFF TRACTOR-N 551 N. HARDING HWY VINELAND, NJ 08360 856-697-1414 -------------------- -------------------- 3 4204 NJ FUSCO MACHINERY INC. 799 ROUTE 202 & SUMMER RD. FLEMINGTON, NJ 08822 908-782-4880 908-782-5502 -------------------- -------------------- 7 710 NJ GROFF TRACTOR - DO NOT USE ACC 212 MONMOUTH RD FREEHOLD, NJ 07728 732-780-4600 3 4204B -------------------- -------------------- NJ GROFF TRACTOR NEW JERSEY,LLC 200 BOMONT PL. TOTOWA, NJ 07512 973-785-4900 3 4204A -------------------- -------------------- NJ HALE TRAILER BRAKE & WHEEL -NJ C/O BRIDA TRUCKING RTE 322 GLASSBORO, NJ 08028 856-228-4648 56-881-1700) -------------------- -------------------- 7 136A NJ HALE TRAILER BRAKE & WHEEL -NJ 92 ROUTE 73 & COOPER RD VOORHEES, NJ 08043 856-768-1330 856-768-7671 -------------------- -------------------- 7 136 NJ HIGHWAY EQUIPMENT CO OF NEW JE 615 STATE ROUTE 33 MILLSTONE TOWNSHIP, NJ 08535 732-446-7600 732-446-9255 -------------------- -------------------- 7 825 NJ HOFFMAN EQUIPMENT CO.- PIS. NJ 300 SOUTH RANDOLPHVILLE ROAD PISCATAWAY, NJ 08854 732-752-3600 932-968-8371 -------------------- -------------------- 9 2821 NM CENTURY EQUIPMENT 6301 EDITH BLVD. NE ALBUQUERQUE, NM 87107 801-262-5761 -------------------- -------------------- 9 902 NM DITCH WITCH OF NEW MEXICO 2520 COMANCHE NE ALBUQUERQUE, NM 87107 505-345-1888 505-345-1889 -------------------- 3 559 -------------------- NM TITAN MACH.EQ.-ALBQ.-NM 6613 EDITH BLVD. NE ALBUQUERQUE, NM 87113 505-342-2566 505-342-1602 -------------------- -------------------- 9 1229P NV APCO EQUIPMENT -NV 3432 N. 5TH STREET NORTH LAS VEGAS, NV 89032 702-871-7474 702-871-4821 8 161 Page: 17 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# NV NTS MIKEDON, LLC-LAS VEGAS 7885 WESTWIND ROAD LAS VEGAS, NV 89139 702-432-3360 -------------------- -------------------- 4 2493K NV SONSRAY MACHINERY - SPARK -NV 1455 GLENDALE AVE. SPARKS, NV 89431 775-358-5000 775-355-5148 -------------------- 8 332 NY ABELE TRACTOR & EQUIPMENT CO. 72 EVERETT RD. ALBANY, NY 12205 518 438 4444 518-438-5751 9 110 -------------------- NY ALL ISLAND EQUIPMENT CORP. 39 JERSEY STREET W. BABYLON, NY 11704 631-643-2605 631-643-4060 -------------------- 4 125 NY GEORGE & SWEDE SALES & SERVICE 7155 BIG TREE ROAD PAVILION, NY 14525 585-584-3425 585-584-8853 3 750 -------------------- -------------------- NY HOFFMAN EQUIPMENT,CO.-MARL.NY 1440 ROUTE 9W MARLBORO, NY 12542 845-236-3000 845-236-3154 9 2821A -------------------- -------------------- NY TRACEY ROAD EQUIP-HENRIETTA 300 MIDDLE ROAD HENRIETTA, NY 14467 585-334-5120 585-334-5127 7 1500D -------------------- -------------------- NY TRACEY ROAD EQUIP.- ADAMS CTR 19598 CADY ROAD ADAMS CENTER, NY 13606 315-788-0200 315-788-3006 7 1500A -------------------- -------------------- NY TRACEY ROAD EQUIP.- ALBANY 115 RAILROAD AVE. EXIT ALBANY, NY 12205 518-438-1100 518-438-4430 7 1500B -------------------- -------------------- NY TRACEY ROAD EQUIP.- KIRKWOOD 1523 N.Y.S. RT.11 KIRKWOOD, NY 13795 607-775-5010 607-775-5104 -------------------- -------------------- 7 15000 NY TRACEY ROAD EQUIP.- SYRACUSE 6803 MANLIUS CENTER RD. EAST SYRACUSE, NY 13057 315-437-1471 315-437-0254 -------------------- 7 1500 OH B CRUM ENTERPRISES LLC-OH 10156 PALMER RD SW PATASKALA, OH 43062 740-927-1800 740-927-1845 8 1699 -------------------- OH DAYTON TRACTOR & CRANE, INC 1861 US 42 S XENIA, OH 45385-7350 937-293-9300 937-293-3319 3 508 -------------------- OH INTERSTATE TRAILER & EQ.-COLUM 5440 RENNER ROAD COLUMBUS, OH 43228 614-771-1220 -------------------- 3 914A OH INTERSTATE-TRUCKWAY, INC. 1755 DREMAN AVE. CINCINNATI, OH 45223 513-541-8188 513-542-5572 3 914 Page: 18 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# OH NTS MIKEDON LLC-OAKWOOD VILL 525 GOLDEN OAK PARKWAY OAKWOOD VILLAGE, OH 44146 330-410-4825 -------------------- -------------------- 4 2493H OH OHIO CAT - CADIZ 1016 EAST MARKET STREET CADIZ, OH 43907 800-837-6204 740-942-4029 3 1688B -------------------- OH OHIO CAT - CANTON 4476 APPLEGROVE ST NORTH CANTON, OH 44720 800-837-6207 330-478-6529 3 1688C -------------------- OH OHIO CAT - CINN 11330 MOSTELLER RD. SHARONVILLE, OH 45241 888-332-4658 513-672-7658 3 1688A -------------------- OH OHIO CAT CORP. - BROADVIEW 3993 E. ROYALTON RD. BROADVIEW HEIGHTS, OH 44147 440-526-6200 -------------------- 440-838-7346 3 1688 OH OHIO CAT- CANTON 4731 CORPORATE STREET SW CANTON, OH 44706 330-478-6525 330-478-6529 3 1688F -------------------- OH OHIO CAT- YOUNGSTOWN 1 OHIO MACHINERY BLVD. YOUNGSTOWN, OH 44420 330-530-9010 -------------------- 330-530-9102 3 1688E OH OHIO CAT-COLUMB,OH 5252 WALCUTT CT COLUMBUS, OHIO 43228 614-878-2287 -------------------- -------------------- 614-851-5015 3 1688D OH OHIO CAT-PERRYSBURG 13017 Eckel Junction Rd, PERRYSBURG, OH 43551 419-874-7975 419-873-8255 3 1688G -------------------- OH VASCO EQUIPMENT CO. 3612 ERIE AVE. S.W. MASSILLON, OH 44648 330-832-5454 -------------------- 330-832-4475 3 1550 OK ORANGE POWER GROUP LLC - TULSA DITCH WITCH OF TULSA TULSA, OK 74116 918-438-1560 918-438-1564 3 518A -------------------- OK ORANGE POWER GROUP LLC -OK CIT DITCH WITCH OF OKLAHOMA OKLAHOMA CITY, OK 73131 405-348-4633 405-341-7831 3 518 OR SONSRAY MACHINERY -PORT. -OR 6455 NE COLUMBIA BLVD PORTLAND, OR 97218 503-283-2461 503-283-2879 9 1620C -------------------- -------------------- OR SONSRAY MACHINERY-SALEM-OR 3092 SILVERTON ROAD SALEM, OR 97303 503-362-1371 503-362-8047 9 1620G -------------------- -------------------- OR WESTERN STATES EQ.-LA GRAN -OR 10505 WEST FIRST STREET LA GRANDE, OR 98750 _= 3 3506H Page: 19 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# OR WESTERN STATES EQ.-PEND-OR 607 AIRPORT ROAD PENDLETON, OR 97801 541-276-5812 -------------------- -------------------- 3 35061 PA A.R. BEATTY DIESEL ROUTE 6 WEST, BOX 222A YOUNGSVILLE, PA 16371 814-563-4808 000-000-0000 8 105A -------------------- PA A.R. BEATTY DIESEL - ERIE 5251 KUHL RD. ERIE, PA 16510 814-899-4294 814-899-2807 8 105 -------------------- PA BEST LINE EQUIPMENT -PA 2266 UNIVERSITY DRIVE LEMONT FURNACE, PA 15456 724-437-1578 724-437-2098 3 1525 -------------------- PA EARTHBORNE EQUIPMENT CO. -EAST 35 EASTON RD WARRINGTON, PA 215-443-0770 215-443-0787 7 581A -------------------- PA EARTHBORNE INC 100 TITUS AVE. WARRINGTON, PA 18976 215-343-2000 SALES 215-343-7001 -------------------- 7 581 PA GREENLINE SUPPLY, INC. RT.119 NORTH UNIONTOWN, PA 15401 412-439-1234 412-437-2098 -------------------- 3 1525A PA GROFF TRACTOR & EQ - MECH- PA 6779 CARLISLE PIKE MECHANICSBURG, PA 17050-1712 717-766-7671 717-766-1580 3 805 -------------------- -------------------- PA GROFF TRACTOR - BELLEFONT-PA 210 ROLLING RIDGE DR BELLEFONTE, PA 16823 814-353-8400 301-662-8929 3 805A -------------------- -------------------- PA GROFF TRACTOR - CRANBERRY -PA 100 SMITH DR. CRANBERRY TOWNSHIP,PA 16066 724-898-1535 724-898-1540 3 805C -------------------- -------------------- PA GROFF TRACTOR - EPHRATA 20 STAUFFER LANE EPHRATA, PA 17522 717-738-0220 717-738-4317 3 805B -------------------- -------------------- PA GROFF TRACTOR-EBENSBURG 4355 ADMIRAL PEARY PKWY EBENSBURG, PA 15931 814-472-7300 814-472-7303 3 805E -------------------- -------------------- PA GROFF TRACTOR -NEW STANTON 963 S.CENTER AVE. NEW STANTON, PA 15672 724-755-0124 724-755-0128 3 805D -------------------- -------------------- PA HALE TRAILER BRAKE & WHEEL -PA 5361 OAKVIEW DRIVE ALLENTOWN, PA 18104 610-395-0371 610-395-7868 -------------------- -------------------- 7 136B PA HALE TRAILER BRAKE-PORT,ME 20 PINETREE INDUSTRIAL PARKWAY PORTLAND, ME 04102 207-772-8272 207-772-7582 -------------------- 7 136C PA MEDICO CONSTRUCTION EQUIP INC 1500 HWY 315 WILKES-BARRE, PA 18702 570-825-7711 570-824-1169 3 3516 Page: 20 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# PA PLASTERER EQUIP. - BETHLEHEM 400 STOKE PARK ROAD BETHLEHEM, PA 18017 610-867-4657 000-000-0000 9 1336A -------------------- -------------------- PA PLASTERER EQUIPMENT CO. 2550 E. CUMBERLAND ST LEBANON, PA 17042 717-273-2616 9 1336 -------------------- -------------------- PA PLASTERER EQUIPMENT CO.,INC 3215 STATE ROAD SELLERSVILLE, PA 18960 215-258-5700 215-258-2858 -------------------- -------------------- 9 1336B PR DIVERSIFIED EQUIPMENT CORP. P. 0. BOX 2439 TOA BAJA, PR 00951-2439 787-794-0041 787-794-3165 9 565 -------------------- PR KANE CARIBBEAN, INC.- TOA BAJA CARR. 189 KM.2.8 CAGUAS, PR 00725 809-798-6600 787-251-8909 -------------------- 7 1002B SC ALTMAN TRACTOR - CONWAY SC 1151 HWY 501 BUSINESS CONWAY, SC 29526 843-347-4664 843-347-4774 4 140 -------------------- SC ALTMAN TRACTOR - FLORENCE 1808 E. PAMPLICO HWY FLORENCE, SC 29505 843-662-0151 843-665-8239 -------------------- 4 135 SC NTS MIKEDON LLC-N.CHARLESTON 7285 PEPPERMILL PKWY NORTH CHARLESTON, Sc 29418 _= 4 24931 SD NORTHERN TRUCK EQUIPMENT 47213 SCHWEIGERS CIRCLE SIOUX FALLS, SD 57107 605-543-5206 605-543-5219 3 3740 -------------------- SO TITAN MACHINERY - RAPID CTY-SD 1441 DEADWOOD AVE. RAPID CITY, SD 57702 605-388-0266 605-388-9210 -------------------- 3 1229B SO TITAN MACHINERY, INC 29315 E. HWY 14 PIERRE, SD 57501 605-336-3434 605-336-3456 3 4249 -------------------- -------------------- SO TITAN MACHINERY,INC-SIOUX FALL 4400 W. 62ND ST.N SIOUX FALLS, SD 57107 605-336-3434 605-336-3456 -------------------- -------------------- 3 4249A SO TITAN MACHINERY,INC.- ADER.-SD 4411 6th AVE SE ABERDEEN, SO 57401 605-225-0505 605-226-3329 -------------------- 3 1229E TN HERTZ EQUIP. RENTAL-KNOX-TN 9000 EXECUTIVE PARK DR. KNOXVILLE, TN 37923 _= 9 857AM Page: 21 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# TN MEADE EQUIPMENT, LLC 2000 TRI-CITIES CROSSING KINGSPORT, TN 37663 423-573-2022 423-572-2027 9 4175 -------------------- -------------------- TN MEADE EQUIPMENT- CHATTANOOGA 4301 BONNY OAKS DRIVE CHATTANOOGA, TN 37416 423-855-0633 9 4175C -------------------- -------------------- TN MEADE EQUIPMENT- KINGSPORT 2000 Tri-Cities Crossing KINGSPORT, TN 37663 _= 9 4175A TN MEADE EQUIPMENT- KNOXVILLE 2825 JOHN DEERE DRIVE KNOXVILLE, TN 37917 865-546-3207 9 4175B -------------------- TN MEADE EQUIPMENT- LAVERGNE 1525 J.P. HENNESSY DRIVE LAVERGNE, TN 37086 615-501-8600 -------------------- 9 4175D TN NORTRAX - KNOXVILLE,TN 2825 JOHN DEERE DR. KNOXVILLE, TN 37917 _= 9 1160Q TN NORTRAX- SOLD TO MEADE 632 EASTERN STAR RD. KINGSPORT, TN 37663 423-349-5001 423-349-6942 9 1160T -------------------- -------------------- TN NORTRAX- CHATTANOOGA-TN 4301 BONNY OAKS DR. CHATTANOOGA, TN 37416 423-855-0633 423-899-9156 9 1160R -------------------- -------------------- TN STRIBLING EQUIPMENT,LLC-MEMPH 1505 CORPORATE AVE. MEMPHIS, TN 38132 901-345-5294 901-345-6003 9 1041A -------------------- -------------------- TN STRIBLING EQUIPMENT-JACKSON-TN 743 AIRWAYS BLVD. JACKSON, TN 38301 731-422-2542 731-423-9227 -------------------- -------------------- 9 1041B TX AREA TRAILER SALES & RENTAL-LU 2420 E.SLATON HWY LUBBOCK, TX 79404 855-862-7252 806-745-5578 3 2959A -------------------- TX AREA TRAILER SALES & RENTAL -TX PO Box 32018 AMARILLO, TX 79120 806-331-2174 806-331-2176 3 2959 -------------------- TX AREA TRAILER SALES-ODESSA,TX 8001 E. 1-20 ODESSA, Tx 79765 432-561-9725 3 2959B -------------------- TX BANE MACHINERY INC-DALLAS,TX 2449 MANANA DALLAS, Tx 75220 214-352-2468 214-352-2460 3 3260 -------------------- TX BANE MACHINERY INC-HOUSTON,Tx 505 RANKIN ROAD HOUSTON, TX 77073 281-443-7667 281-443-7886 3 2770 -------------------- TX BANE MACHINERY INC.-TYLER-TX 3402 N NE LOOP 323 TYLER, Tx 75708 903-597-6641 903-593-0519 3 3260A -------------------- TX BRIGHT COOP, INC. 803 WEST SEALE STREET NACOGDOCHES, TX 75964 936-564-8378 936-564-3281 -------------------- 4 269 TX DITCH WITCH OF EAST TEXAS 7717 U.S. HWY 69 NORTH TYLER, TX 75706 903-592-6226 903-535-9768 3 3732 Page: 22 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# TX DITCH WITCH OF HOUSTON 14565 NORTH FREEWAY HOUSTON, TX 77090 713-252-3924 713-462-3125 3 4187 TX DITCH WITCH OF SOUTH TEXAS 8010 WESTWAY DR. 956-440-1313 956-440-1318 3 3864 -------------------- TX DUCKETT HOBBY SHOP 44 CR 526 573-429-2902 573-776-6353 8 4194 -------------------- TX HERTZ EQUIPMENT CORP 313 SOUTH PADRE ISLAND DR 361-289-1204 9 857AN -------------------- -------------------- TX HOLT CAT PSD 2001 N LOOP 12 972-721-5816 9 887E TX HOLT CAT-EDINBURG,TX 1320 S. 25th AVENUE 956-289-7600 MARK BRUNNEMANN 9 887A -------------------- -------------------- TX HOLT CAT -FORT WORTH,TX 549 W.LOOP 820 NORTH 817-246-6651 9 887B TX HOLT CAT-HOUSTON,TX 281-851-6665 -------------------- TX HOLT CAT-IRVING,TX 214-596-7571 -------------------- TX HOLT CAT-PFLUGERVILLE,TX 512-252-1133 TX HOLT CAT-TYLER,TX 903-595-6424 -------------------- -------------------- TX HOLT CAT-WACO 254-662-7344 7010 NORTH LOOP E 9 887H 415 N WALTON WALKER BLVD(LOOP 12) 9 887C 16013 NORTH IH-35 9 887D 12218 STATE HWY 31 W 9 887F HOLT CAT-WACO 9 887G TX HOLT TEXAS, LTD -SAN ANTONT-TX 5665 SOUTHEAST LOOP 410 210-648-1111 210-648-0079 9 887 TX INTERSTATE TRAILERS,INC 1101 HERITAGE PARKWAY 817-453-5402 817-453-5445 9 4210 HARLINGEN, TX 78552 POPLAR BLUFF, MO 63901 CORPUS CHRISTI, TX 78405 IRVING, TX 75061 EDINBURG, TX 78540 FORT WORTH, TX 76108-1447 HOUSTON, TX 77028 IRVING, TX 75061 PFLUGERVILLE, TX 78660 TYLER, TX 75709 SAN ANTONIO, TX 78222 MANSFIELD, TX 76063 Page: 23 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX Slm DL# TX NTS MIKEDON, LLC-CONROE 12460 FM 2854 CONROE, TX 77304 _= 4 24930 TX NTS MIKEDON, LLC-FREMONT 41655 OSGOOD RD FREMONT, CA 94539 510-490-2140 4 2493c -------------------- -------------------- TX P-LEASING, INC. 114 S.E. 46TH AVE. AMARILLO, TX 79105 806-373-6811 806-373-5971 3 4207 -------------------- -------------------- TX SUPERIOR TRAILER SALES 10600 MAYBELLINE RD NORTH LITTLE ROCK, AR 72117 501-940-6509 -------------------- -------------------- 13 3678A TX TITAN INDUSTRIES,INC. 22335 GOSLING ROAD SPRING, TX 77389 281-353-3600 281-353-6800 -------------------- 3 1239 -------------------- TX VERMEER OF TEXAS-KILGORE 707 ACCESS ROAD KILGORE, TX 75662 903-988-9868 903-988-0417 -------------------- 8 2530A -------------------- TX VERMEER OF TEXAS-KILGORE 707 ACCESS ROAD KILGORE, TX 75662 903-988-9868 903-988-0417 -------------------- -------------------- 9 3797 TX VIKING SPECIALIZED TRAILERS 1730 SW STALLINGS DR-STE 101 NACOGDOCHES, TX 75963 936-564-8370 936-205-9171 -------------------- -------------------- 4 4045 TX WITCH EQUIPMENT CO., INC. 1901 EAST LOOP 820 SOUTH FORT WORTH, TX 76112 817-429-4824 817-451-3339 -------------------- -------------------- 3 3733 TX YELLOWHOUSE MACHINERY-W.FALLS 2800 CENTRAL FREEWAY EAST WICHITA FALLS, TX 76301 940-322-3337 940-322-3037 -------------------- -------------------- 8 17431 TX YELLOWHOUSE MACHINERY-ABILENE 1111 EAST HWY 80 ABILENE, TX 79601 325-677-2291 325-677-4682 4 1743A -------------------- -------------------- TX YELLOWHOUSE MACHINERY-AMARILLO 11500 1-40 EAST AMARILLO, TX 79118 806-335-1681 806-335-3932 4 1743 -------------------- -------------------- TX YELLOWHOUSE MACHINERY-LUBBOCK 3405 E. SLATON HWY LUBBOCK, TX 79404 806-763-0473 806-763-3608 4 1743c -------------------- -------------------- TX YELLOWHOUSE MACHINERY -MIDLAND 12230 W. HWY 191 MIDLAND, TX 79707 432-580-3337 432-580-3464 -------------------- -------------------- 4 1743D TX YELLOWHOUSE MACHINERY-SAN ANGE 6541 HWY 277 SOUTH SAN ANGELO, TX 76904 325-651-3337 (325) 223-5543 4 1743E Page: 24 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# UT NTS MIKEDON-SLC,UTAH 3121 WEST DIRECTORS ROW SALT LAKE CITY, UT 801-975-9000 4 24931 -------------------- -------------------- UT RASMUSSEN EQUIPMENT CO. -UT 3333 WEST 2100 SOUTH WEST VALLEY CITY, UT 84119 801-972-5588 801-972-2215 1 1275 -------------------- -------------------- UT RASMUSSEN- STORE CLOSED STORE CLOSED WASHINGTON, UT 84780 435-656-1404 435-656-1485 -------------------- -------------------- 1 1275A VA COASTAL EQUIPMENT - YORKTOWN 333 FREEDOM BLVD. YORKTOWN, VA 23692 757-898-1900 757-898-5407 9 371A -------------------- VA COASTAL EQUIPMENT-VIRG.BEA-VA 504 S. MILITARY HWY VIRGINIA BEACH, VA 23464 757-424-1900 757-523-5635 -------------------- 9 371 VA MCCLUNG-LOGAN 358 KINGS HIGHWAY FREDERICKSBURG, VA 22405 540-373-7755 540-373-8914 9 3459A -------------------- VA MCCLUNG-LOGAN 11243 WASHINGTON HWY. GLEN ALLEN, VA 23059 804-798-9281 804-798-2683 9 3459 -------------------- VA RICHMOND MACH. & EQ. CO., INC. 1701 ROSENEATH RD. RICHMOND, VA 23230 804-359-4048 804-359-4179 4 1309 -------------------- VA WHITE OAK EQUIPMENT CO- MANASS 9115 INDUSTRY DR. MANASSAS PARK, VA 20111 703-330-1333 703-330-5193 1 1605 -------------------- VT LUCKY'S TRAILER SALES 402 VT ROUTE 107 SOUTH ROYALTON, VT 05068 802-763-2585 802-763-2492 -------------------- 9 965 VT NORTRAX EQUIPMENT -VT 375 ENGINEERS DRIVE WILLISTON, VT 05495 802-658-2121 802-658-4821 -------------------- -------------------- 9 1160U WA SONSRAY MACHINERY -PASCO-WA 1901 FRONTIER LOOP PASCO, WA 99301 509-547-8920 509-547-2251 9 1620D -------------------- WA SONSRAY MACHINERY -AUBURN -WA 2702 W. VALLEY HWY. NORTH AUBURN, WA 98001 253-735-2702 253-735-3664 9 1620A -------------------- WA SONSRAY MACHINERY-CLARK-WA 723 15TH ST. CLARKSTON, WA 99403 519-758-8235 519-751-9021 9 1620F -------------------- WA SONSRAY MACHINERY-MARY-WA 15111 SMOKEY POINT BLVD. MARYSVILLE, WA 98271 360-651-2171 360-651-2487 9 1620B -------------------- WA SONSRAY MACHINERY-SPOKAN-WA W. 7916 SUNSET HWY. SPOKANE, WA 99224 509-838-3547 509-838-3552 9 1620E Page: 25 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# WA WESTERN STATES EQ.-PASCO-WA 2100 FRONTIER LOOP PASCO, WA 99301 509-547-9541 3 3506K -------------------- -------------------- WA WESTERN STATES EQ.-SPOK-WA 4625 E. TRENT AVE. SPOKANE, WA 99212 509-535-1744 -------------------- -------------------- 3 35061 WI BROOKS TRACTOR INC.- DEPERE 1031 LAWRENCE DR. DEPERE, WI 54115 920-336-5711 920-336-6405 9 235A -------------------- WI BROOKS TRACTOR INC.- MILWAUKEE 12101 W. SILVER SPRING DR. MILWAUKEE, WI 53225 414-462-9790 414-462-7242 9 235B -------------------- WI BROOKS TRACTOR INC.- W. SALEM 451 W. AVE. NORTH WEST SALEM, WI 54669 608-786-2644 608-786-2206 9 235C -------------------- WI BROOKS TRACTOR INC.-SUN PR -WI 1900 W. MAIN SUN PRAIRIE, WI 53590 608-837-5141 608-837-4012 9 235 -------------------- WI KELBE BROS. EQ.-MADISON 4621 DUTCH MILL ROAD MADISON, WI 53716 608-221-8300 608-221-0610 9 1008A -------------------- WI KELBE BROS.EQUIPMENT-WI 12770 WEST SILVER SPRING DR. BUTLER, WI 53007 262-781-4970 -------------------- 262-781-9671 9 1008 WI KELBE BROTHERS EQUIPMENT 3101 FRENCH ROAD DEPERE, WI 54115 920-343-6496 -------------------- 262-781-9671 9 1008B WI NORTRAX, LLC EAU CLAIRE-WI*FL EAU CLAIRE, WI 54702 715-834-2924 715-834-1173 9 1180 -------------------- -------------------- WI NORTRAX, LLC - ASHLAND 310 INDUSTRIAL PK.DR. ASHLAND, WI 54806 715-682-5522 715-682-8476 9 1180F -------------------- -------------------- WI NORTRAX, LLC - BEMIDJI 3419 WASHINGTON AV.SE BEMIDJI, MN 56601 218-759-1996 218-759-1790 9 1180A -------------------- -------------------- WI NORTRAX, LLC - CHIPPEWA FALLS 4341 S.PRAIRIE VIEW RD. CHIPPEWA FALLS, WI 54729 715-834-2924 -------------------- -------------------- 715-834-1173 9 1180E WI NORTRAX, LLC - DULUTH 3401 ARROWHEAD RD. DULUTH, MN 55811 218-722-7456 -------------------- 218-722-2619 9 1180B WI NORTRAX, LLC - ESCANABA 1818 N. LINCOLN RD. ESCANABA, MI 49829 906-789-9054 906-789-0344 9 1180C Page: 26 Prepared 07/01/2022 10:56 INTERSTATE TRAILERS, INC. Report ARCUST-16 AR ITI DEALERS by STATE ST DEALER Adress Ship to City/St PHONE FAX SIM DL# WI NORTRAX, LLC - MONICO 1890 US HIGHWAY 8 MONICO, WI 54501 715-487-5583 715-487-5968 9 1180D -------------------- -------------------- WI SERVICE MOTOR CO. - FONDULAC N5560 CTH D FOND DU LAC, WI 54937 920-923-1768 920-923-1796 9 1408B -------------------- -------------------- WI SERVICE MOTOR CO. - NEW FRANKN 3969 CHAMPEAU RD. NEW FRANKEN, WI 54229 920-468-7700 920-468-0712 9 1408C -------------------- -------------------- WI SERVICE MOTOR CO. - SEYMOUR 831 N. MAIN SEYMOUR, WI 54165 920-833-2378 920-833-2380 9 1408D -------------------- -------------------- WI SERVICE MOTOR CO. - STEVENS PT 6639 HWY 66 STEVENS POINT, WI 54481 715-592-4111 715-592-4111 9 1408E -------------------- -------------------- WI SERVICE MOTOR CO. -WI W 9614 US HWY 96 DALE, WI 54931 920-779-4311 -------------------- -------------------- 920-667-5330 9 1408 WV LESLIE EQUIPMENT - COWEN 19 GOFF CROSSING DRIVE CROSS LANES 304-204-1818 304-204-1811 3 995D -------------------- WV WEST VIRGINIA TRACTOR 214 VIRGINIA STREET WEST CHARLESTON, WV 25302 304-346-5301 -------------------- 304-346-5305 3 4215 WY MULLIGAN TRAILER SALES 3800 WIGWAM BLVD. GILLETTE, WY 82718 307-682-0025 307-682-3961 8 2239 -------------------- WY TITAN MACHINERY-CHEY-WY 707 EAST FOX FARM ROAD CHEYENNE, WY 82007 307-638-4400 307-638-1585 3 1229G -------------------- WY WESTERN STATES EQ.-JACK-WY 700 ROICE LN JACKSON, WY 83001 307-734-6866 -------------------- 3 3506L End of report Page: 27 Type text here Exhibit C - Conflict of Interest Questionnaire CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity FORM CIQ This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. jJ Name of vendor who has a business relationship with local governmental entity. Interstate Trailers, Inc. J ❑ Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) J Name of local government officer about whom the information is being disclosed. Name of Officer J Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes F-1 No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? 71 Yes F1 No J Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. J ❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). J ed-AP- 5-2-2024 5 Signature of vendorbo(inegbuWsiness with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code § 176.0010-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code § 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code § 176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 City of Fort Worth, Texas Mayor and Council Communication DATE: 06/13/23 M&C FILE NUMBER: M&C 23-0450 LOG NAME: 13P BLANKET COOPERATIVE AUTHORIZATION FLEET ACQUISITIONS ADK SUBJECT (ALL) Authorize Purchase Agreements with Multiple Vendors for the Purchase of Fleet Vehicles, Off -Road Vehicles, and Other Motorized Equipment up to the Amount of Available Funding in Capital Projects Across Multiple Funds Citywide using Multiple Cooperative Contracts and Interlocal Agreements for Three Years for the Property Management Department RECOMMENDATION: It is recommended that the City Council authorize the execution of purchase agreements with multiple vendors for the purchase of fleet vehicles, off road vehicles, and other motorized equipment up to the amount of available funding in Capital Projects Across Multiple Funds Citywide using multiple cooperative contracts and interlocal agreements for three years for the Property Management Department. DISCUSSION: The Property Management Department's Fleet Acquisitions Division is currently in the process of fulfilling a multi -year backlog of City vehicle and equipment purchases. The biggest challenge in trying to overcome this backlog is the availability of vendors, inventory, and the time it takes for the City to make purchases when vehicles are available. Currently, the City has a backlog of eight (8) years totaling more than $30 million dollars. The City currently has contracts with the following vendors using cooperative contracts: VENDOR �Siddons Martin Emergency Group, LLC �Siddons Martin Emergency Group, LLC �JI­Iouston Holdings, LLC �Versalift Lake Country Chevrolet North Texas Trailers, LLC Silsbee Ford Associated Supply Company (ASCO) Rogue Jet Boatworks, Inc. Lenco Industries, Inc. Polaris Sales, Inc. Nationwide Trailers, LLC �Crafco, Inc. �0Z0] ;j =1 011%9LTA WI[r] =I2Iwo BuyBoard Houston -Galveston Area Council (HGAC) BuyBoard Sourcewel I The Interlocal Purchasing System (TIPS) Buyboard TIPS BuyBoard General Services Administration (GSA) HGAC Sourcewel I BuyBoard BuyBoard However, due to limited inventory and availability, additional vendors and options are needed. Fleet Acquisitions has already identified twenty-nine additional vendors that are available through cooperatives. Approval of this Mayor & Council Communication (M&C) authorizes the City to execute contracts with any vendor that is currently listed on any valid cooperative that has one or more vehicles or pieces of equipment that is a current need for the City's fleet. This authorization would also include purchases made using Interlocal Agreements with other governmental entities. Fleet Acquisitions recently partnered with the Purchasing Division in an effort to better ensure that the City is able to purchase needed items as quickly and efficiently as possible. The Fleet team meets regularly with key personnel to ensure that specifications are appropriate for the City's fleet, costs are reasonable and acceptable, and that departments are receiving items that meet their business needs. COOPERATIVE PURCHASE and INTERLOCAL AGREEMENTS - State law provides that a local government purchasing an item under a cooperative purchasing agreement or interlocal agreement satisfies state laws requiring that the local government seek competitive bids for purchase of the item. AGREEMENT TERMS - Upon City Council approval of this M&C, the City will have authority to enter into one-time purchase agreements or annual agreements with available vendors for up to three years from the date of approval. At the expiration of three years from the date of approval, the City will seek additional authorization for any necessary contracts at that time. BUSINESS EQUITY - an M/WBE goal is not assigned when purchasing from an approved purchasing cooperative or other public entity. FUNDING - Currently, there is $42,593,019.00 in the City's budget in capital projects across multiple funds citywide for the purpose of funding fleet acquisitions. Prior to each purchase agreement or contract being executed, staff will confirm that funding is available for that purchase and is appropriated for that purpose. All existing contracts shall be amended or terminated to release encumbered funds to ensure that the City is able to make purchases with the vendors that have needed items available for purchase on a rolling basis. No guarantee has been or will be made to any vendor regarding minimum purchases. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budgets, as previously appropriated, in the Vehicle and Equip Replacement Fund, W&S Capital Projects Fund, Stormwater Capital Projects Fund, Municipal Airport Capital Proj Fund, Solid Waste Capital Projects Fund, CCPD Capital Projects Fund, ITS Capital Fund, Fleet Capital Projects Fund, Environmental Prot Cap Proj Fund, Tax Note 2019 Fund and Tax Note 2020 Fund to support the approval of the above recommendation for the purchase of vehicles and equipment. Prior to any expenditures being incurred, the Property Management Department has the responsibility to validate the availability of funds. Submitted for Citv Manaaer's Office bv: Reginald Zeno 8517 Dana Burghdoff 8018 Oriainatina Business Unit Head: Reginald Zeno 8517 Steve Cooke 5134 Additional Information Contact: Jo Ann Gunn 8525 Ashley Kadva 2047