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HomeMy WebLinkAboutContract 61994FORT WORTH CSC No. 61994 CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between Axis Construction, LP ("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 Pricing Schedule; 3. Exhibit B — Cooperative Agency Contract BuyBoard 662-22; 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. Vendor agrees to provide City with the services and goods included in Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all exhibits thereto. City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with the provisions of this Agreement. Total payment made under this Agreement for the first year by City shall not exceed fifty thousand dollars ($50,000.00). Vendor shall not provide any additional items or services or bill for expenses incurred for City not specified by this Agreement unless City requests and approves in writing the additional costs for such services. City shall not be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing. The term of this Agreement is effective beginning on the date signed by the Assistant City Manager below ("Effective Date") and expires on March 31, 2025, with no options to renew. Vendor agrees that City shall, until the expiration of three (3) years after final payment under this Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records, including, but not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access during normal working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor reasonable advance notice of intended audits. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand -delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 1 of 103 To CITY: City of Fort Worth Axis Construction, LP Attn: Fernando Costa, Assitant City Manager Joseph Swinnea 100 Fort Worth Trail Fort Worth, -IX 76102-6314 Address: Facsimile: (817) 392-8654 1331 Maxwell Road Haslet, TX 76052 With copy to Fort Worth City Attorney's Office at same address Facsimile: N/A The Agreement and the rights and obligations of the parties hereto shall be governed by, and construed in accordance with the laws of the United States and state of Texas, exclusive of conflicts of laws provisions. Venue for any suit brought under the Agreement shall be in a court of competent jurisdiction in Tarrant County, Texas, To the extent the Agreement is required to be governed by any state law other than Texas or venue in Tan -ant County, City objects to such terms and any such terms are hereby deleted from the Agreement and shall have no force or effect. The undersigned represents and warrants that he or she has the power and authority to execute this Agreement and bind the respective Vendor. CITY OF FORT WORTH: By: Name: Fernando Costa Title: Assistant City Manager Date: Sep 16, 2024 APPROVAL RECOMMENDED: Chri,-toohqr Harder By: Christopher Harder (Sep 16, 2024 12:19 CDT) Name: Christopher Harder Title: Water Director ATTEST: A '-0 -10 15 By: Name: Jannette Goodall Title: City Secretary VENDOR: Axis Construct By: I Name: Title: / S,vinnel q 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: 1�1 1'1�r 9 -f -11— SG Name: Shatabya Bergland Title: Contract Compliance Specialist APPROVED AS TO FORM AND LEGALITY: By: Name: Jessika Williams Title: Assistant City Attorney CONTRACT AUTHORIZATION: M&C: N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX V!DC,P 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 2 of 103 Exhibit A - Pricing Section (:Water Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Storage Tank Maintenance Services - for all types of water storage tanks (steel, concrete or similar type of structure). Service will include annual tank inspections for safety, sanitation, and structure of tank. Catalog/Price Iist MUST be included or proposal will not be considered. l"J57 ila Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:By signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 18 of 41 pages VendorCl��t& ion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 3 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 19 of 41 pages VendorC.tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 4 of 103 2 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Storage Tank Cleaning Services - for disinfection and improve water quality of tank. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 20 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 5 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 21 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 6 of 103 3 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Mixers for Storage Tanks. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 1 8% 1 Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 22 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 7 of 103 Item Attributes 1. State Name of Catalog/Pricelist Axis / Kasco Page 23 of 41 pages VendorC.tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 8 of 103 4 Section I:Water Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Filter Services for Storage Tanks (cleaning and replacement). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 24 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 9 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 25 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 10 of 103 5 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Leak Detection Services. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 26 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 11 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 27 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 12 of 103 6 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Storage Tank Security Services - for detection of intrusion (includes all hardware and software to install system). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 28 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 13 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 29 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 14 of 103 7 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Well Maintenance Services (cleaning, preventative maintenance, and pump inspection). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 30 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 15 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 31 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 16 of 103 0 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Valve and Hydrant Services. Catalog/Pricelist MUST be included or proposal will not be considered. l"NO IA Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:By signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 32 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 17 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 33 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 18 of 103 9 Section (:Water Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Meter Maintenance Services. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 34 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 19 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 35 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 20 of 103 1 0 Section I:Water Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for All Other Water Storage Tank Services. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 36 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 21 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 37 of 41 pages VendorC.tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 22 of 103 Section II: Trenchless Pipe Repair Svstems and Eauipment - Discount (%) off catalog/pricelist for Trenchless Sewer and Water Pipe Patch Repair Systems (resin -based systems, elbow/flow packers, repair kits and similar related systems). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 38 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 23 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 39 of 41 pages VendorC.tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 24 of 103 1 2 Section II: Trenchless Pipe Repair Svstems and Eauipment - Discount (%) off catalog/pricelist for Trenchless Sewer and Water Pipe Cleaning (Ice Pigging) Services - for all types of water main and sewer line cleaning. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 40 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 25 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response 1 Section III: Installation and Repair Service: Hourly Labor Rate for Installation/Repair Service of 3 Equipment and Products - state the 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 41 of 41 pages VendorC.tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 26 of 103 Axis Construction, LP Detailed Discount Percentage Information Axis is committed to providing BuyBoard members an 8% discount off the MSRP/List Price for Tank Mixers listed on Axis' Proposal Invitation No. 662-22 Product Pricelist. Proposed Services: 1) Provide End User with desired Kasco Mixer as determined by the Part/Item Number listed AND/OR 2) Provide End User with desired Kasco Mixer as determined by the Part/Item Number listed with Installation to Mixer Control Panel. Final electrical connection to power panel is to be responsibility of End User/BuyBoard member. COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 27 of 103 Exhibit B - BB 662-22 Contract rM u U.yA i 1 1 1 4op_t�! 41' February 4, 2022 Sent Via Email: joeswinnea@hotmail.com Joseph Swinnea Axis Construction, LP 1331 Maxwell Road Haslet, TX 76052 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. 662- 22; Water Storage Tank Maintenance and Rehabilitations and Trenchless Pipe Repair 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 4/1/2022 through 3/31/2023, 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. 662-22 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, please contact Cooperative Procurement Staff at 800-695-2919 (select option "2"). Sincerely, Arturo Salinas Asst. Division Director, Cooperative Purchasing Texas Association of School Boards, Inc., Administrator for The Local Government Purchasing Cooperative v.02.01.2021 Endorsed by TWM TML COO 6 22` Water Storage Tank Maintenance and Rehabilitation and Trenchl ss Pipe Repair Systems Page 28 of 103 Board PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 , PH: 800-695-2919 • blyhoard.com PROPOSER'S ACCEPTANCE AND AGREEMENT Proposal Invitation Name: Water Storage Tank Proposal Due Date/Opening Dais and Time: Maintenance and Rehabilitation and Trenchless Pipe September 16, 2021 at 4:00 PM Repair Systems [,MT, .� r. y 1 l ii. iy_ Contract Term: April 1, 2022 through March 31, 2023 with two possible one-year renewals. Location of Proposal Opening: Texas Association of School Boards, Inc. BuyBoard Department 12007 Research Blvd. Austin, TX 78759 January 2022 9 By signature below, ffie undersigned acknowledges and agrees that you are authorized to submit th/s Proposal, lndudlng making all acknowledgemenfs, cionsen&, and cerffi cadons herein, on behalf of Proposer and, to the best of yourknowledge, fhe informafilron prov/ded is true, acruraft and complete. Axis Construction, LP Name of Proposing Company 1331 Maxwell Road Street Address Haslet, TX 76052 City, State, Zip (817) 988-2239 Telephone Number of Authorized Company Official n/a Fax Number of Authorized Company Official 09/14/2021 D -3i ture of Authorized Company Official Joseph Swinnea Printed Name of Authorized Company Official Position or Title of Authorized Company Official 03-0576837 Federal ID Number Page 11 of 74 COOP 622-22 Proposal roans CONST, v.06.012M Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 29 of 103 t and1 PURCHASING COOPERATIVE 12007 Research Boulevard ' Austin, Texas 78759-2439 - PH: 800-695-2919 ' bvvboard.com PROPOSAL FORMS PART 1: COMPLIANCE FORMS IN,STRIICMN ': 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 Israel Boycott Certification ■ 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 comer of each Rage 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 ("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 rioted 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 12 of 74 COOP 622-22 Awosal FaT s CC? Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 30 of 103 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard_com S. 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 duty 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 CoNvicriON DIsapl sun 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 Oheck (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 Feion(s): Details of Conviction(s): Initl 1: Page 13 of 74 RropoSal rorrns CONSr. v. 2021 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 31 of 103 Soard PURCHASINOCOMRATIVE 12007 Research Boulevard , Austin, Texas 78759-2439 * PH: 800-695-2919 , buvbm, rd.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 (v) one of the following: ON I certify that my company is a Resident Proposer. [I 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? D Yes F1 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, U11.11110M parent company, or majority owner employ at least. ;)VV people in Texas? Please check (L) one of the following:. F-1 Yes M- No Page 14 of 74 COOP 622-22 Roposal Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 32 of 103 0 Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 , hoyhoard,rom NO ISRAEL BOYCOTT CERTIFICATION A Texas govemmental entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. (TEx. Gov`r CoaE 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`r CODE §808.001(i). 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. 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 UNDER_IZED 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 (y/)all that agp2ly: ❑ 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: M My company has NOT been certified as a HUB. Page 15 of 74 COOP 622-22 PrDPOSM FMM cot Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 33 of 103 w _ Boar�I PURCkASINO C04PERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • Ph: 800-695-2919 1 buvboard.com. ACKNOWLEDGEMENT OF BUYBL}ARD TECHNICAL REt1UIREMENTM 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 g or will ,W 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 information upon request to the Cooperative administrator in accordance with those technical requirements may be deemed an event of default under the Contract. 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.asnx, 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 sel Is 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, Member Construction Contract, or other agreement for construction -related goods or services. (V Initial: Page 16 of 74 COOP 622-22 ProposaiFomtsCCNNS!•v. a .zo2i Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 34 of 103 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 8.4 (Deviations from Item Specifications and General Terms and Conditions). Please note that, as provided in section 8.4, 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. Tease check (0 one of the following: X No; Deviations ❑ Yes; Deviations List and fully explain any deviations you are submitting: Page 17 of 74 COOP 622-22 P'0posal Famis COt Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 35 of 103 �vard PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buvboard.com VENDOR COWENT 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'? may be posted on the BuyBoard website. You adcnowledge 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 contractadmin(cbbuvboard.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 flies 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 NOT select this box unIms your company is opting out ofMis Vendor Consent for Name Brand Ilse, ❑ 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, hind, review, and purchase Vendor's awarded products and services on the BuyBoard website. fV Initial: Page 18 of 74 COOP 622-22 Proposal Forms ODNST. v.06.03.2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 36 of 103 Beard PURCHASING COOPERATIVE 12007 Research Boulevard , Austin, Texas 78759-2439 , PH: 800-695-2919 . buvboard.com CONFIDENTIAL/PR.OPRIETARY 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? Hope check loll one of the following: I...J NO, I certify that none of the 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. 2021 Kasco Certisafe NSF Mixer Retail Prices. (Attaz* additfonat sheets if needed) Initial - Page 19 of 74 �Y_ I'MPORal r-om s CONST. v.06.03.2021 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Paqe 37 of 103 Board PURCHASINO COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com B. CoR right Information Does your Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) contain copyright information? MNO, 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 additicrtat shee& ifrteeded.) C. Consent tp ReWse ConfidentiallProodetarv/Copyright Information to Buyl3oard 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 Ta # *m 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, induding posting on the public BuyBoard website, a copy of the proposal tabulation and award information for the Contract including Vendor name; proposed catalogjpricellst name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award or non -award information, Initi Page 24 of 74 COOP 622-22 Proposal Form sCQ VM .2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 38 of 103 12007 Research Boulevard , Austin, Texas 78759-2439 • PH: 800-695-2919 1 buvboard,rom EDGAR VENDOR CERTIFI+CATLQN (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 maybe 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 . of the items below, Vendor should caerfitjr Vendors agreement and ability to ciamp/y, where applicable, by having Vendor's authorized riepnesentadve check the applicable boxes, initial each page, and s/gn the Compliance Forms Signature Page. If you fail to complete any item in this form, tie Cooperative rill/ consider and may list the Vendors response on the gayfioard as "NO, "!fie Vendor /s unable or unwi/ling to comply. A "NO" response to any of the items may, if applicable, impact the ability of a Cooperative member to purchase from the Vendor using federal funds. 1. Vendor Violation or Breach of Contract Terms: Contracts for more than the simplified acquisition threshold, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate. Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18, Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms and Conditions, as well as any additional terms and conditions in any Purchase Order, Member Construction Contract, 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. A 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 tenninate 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 ails Paragraph, the Cooperative member shall only be required to play Vendor for goods or services deliverer) to the Cooperative member prior to the termination and not olherwise returned in accordance with Vendor's return policy: If the Cooperative member has plaid Vendor for goods or services not yet provided as of the date of termination, Vendor shall immediately refund such playment(s). If an altemate 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, Member Construction Contract, or ancillary agreement agreed to by the Vendor, the Cooperative member's provision shall co �I YES, I agree. ❑ NO, I do not agree. Initial Page 21 of 74 Proposal Forms c9H5F. v,06A3 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 39 of 103 oard PURCHASING COOPERATIVE 12007 Research Boulevard I Austin, Texas 78759-2439 • PH: 800-695-2919 • bq&aard.cam 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. A 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. 10 YES, I agree. ❑ NO, I do not agree. S. Contract Work Hours and Safety Standards Act: Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. A YES, I agree. ❑ NO, I do not agree. Page 22 of 74 COOP 622-22 Proposal Forms COP Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 40 of 103 PURCHASING COOMATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 PH: 800-695-2919 • biwboard.rorn 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. A 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. A YES, I agree. ❑ NO, I do not agree. S. 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 govemment-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. A 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). A YES, I agree. ❑ NO, I do not agree. Page 23 of 74 COOP 622-22 Proposal00f Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 41 of 103 yid a_ Board !"F p PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 • ttuvhoard-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. A 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. A 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. A 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. A YES, I agree. ❑ NO, I do not agree. Initia . Page 24 of 74 COOP 622-22 Proposal Forms CONST. v.06.0 i Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 42 of 103 Bo�rrd PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.cam 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 Israel Boycott Certification • 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 of Authorized Company Official h Swinnea, Partner Printed Name and Title 09/14/2021 Date Page 25 of 74 COOP 622-22 Vmppsal Fonts CONST. V.06.03.2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 43 of 103 s Beard PURCHASING COOPfRARVE 12007 Research Boulevard • Austin, Texas 78759-2439 * PH: 800-695-2919 • huvboardxom 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 %xas 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. Axis Construction, LP (t & the Ind name of the company seeking to contract with the Cooperative. Do gist an assumed name, dba, aka, etc here Such information may be provided below. rf you are submitting a joint proposal with another entityto provide the same proposed goods or services, eaeb submitting entityshould complete a separate vendor lnfarm hon form. Separately operating legal business entities, even if affiliated entities, which pmpase to provide goods or services separately must submit their own Aqwmis.) Please check fJ) onP of the fallowing: IM gf Business: ❑ Individual/Sole Proprietor ❑ Corporation ❑ Limited Liability Company A Partnership 11 caner (Specify: Limited Partnership, State of Incorporation (if applicable): Texas Federal Employer Identification Number: 03-0576837 (Vendor must include a completed farm wifh their Proposal) Flame by which Ygndor• if awardo. wishes to be ildentifi2d Rnft BuyBoard: (Note: Ifdifferent than the Name ofAoposing Company listed above, only valid trade names (dba, aka, etc:) of the Anpmrig Company may be used and a copy of your Assumed Name Certrrxate(s), if appir`cabfa, must be attad ..) Axis Construction, LP Page 26 of 74 COOP 622-22 RoPosal forms CONST. v.06.03.2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 44 of 103 Form WM9 Request for Taxpayer Give Farm to the (Rev. October2018) Identification Number and Certification requester. Do not Department of the Treasury send to fire IRS. Internal Revenue Service it Go to www.Irs gov/FormVV9 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. Axis Construction, LP 1 2 Business name/disregarded entity name, if different from above o) 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 PR Y P � ( Y following seven boxes. certain entities, not individuals; see a Limited instructions on page 3): o ❑ Indlviduallsole proprietor or ❑ C Corporation ❑ S Corporation Partnership ❑ Trust/estate e single -member LLC Exempt payee code (iany) 0 ❑ Umited liability company. Enter the tax Classification (C=C corporation, SS 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 + as LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is S another LLC that is not disregarded from the owner for U.S. federal tau purposes. Otherwise, a single -member LLC that code (if any) C' 0 is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) ► OWfw to Boceeft mmnhw*dar6vde the US) �y 15 Address (number, street, and apt. or sufte no.) See instructions. Requester's name and address (optioned) P.O. Box 77916 8 City, state, and ZIP code Fort Worth, T r 77 7 List account num s ere (optional) Taxpayer iderltifcation Number (TIN) Enter your TIN in the appropriate tux. The TIN provided must match the name given on line 1 to avoid I Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other I W entities, it is your employer identification number (EIN). If you do not have a number, see How to get TiN, later. or Note: If the account Is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter. MO3 -I01 5 1 7+618 LM Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or i am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has noted me that I am no longer subject to backup withholding; and 3. I 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 currenity subject to backup withholding because you have failed to report all interest and divideZuio�ol return. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured propern of debt, contributions to an individual retirement arrangement ORA), and generally, payments other than interest and dividends, you are notn the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Signature of l 1 Here U.S. person r► Date ► t " Z"o �'�c�t General Instructions Section references are to the internal Revenue Code unless otherwise noted. Future developments. For the latest infomrtation about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, go to wwwJrs.gov1FormW9. 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 (rlN) which may be your social security number (SSN), individual taxpayer identification number (ITiN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Fomt 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, Including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-it (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 Qncluding a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231 X Form W-9 (Rev. 10-2018) COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 45 of 103 oard� PURCHASING C00PERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 • buuvboard.rom VENDOR CONTACT INFORMATION vendor shall provide the requested Vendor Contact Information in the electronic e, ',,;, a.x J submission system including contract, purchase order, R1 Q, and invoice contacts (or, if submitting a hart! copy Proposal, timely request and complete the Vendor Contact Informedon form in accordance with fie Instructions to Proposers). 1 1 • • a { • M 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. 1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market price during the previous 12-month period or the last fiscal year: $ 0.00 . (The period of the 12-month period is 09/0112020 109/0112021 ). In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the sales of the item(s). 2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items under equivalent circumstances. 3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing cooperatives as required. 1. Federal General Services Administration N 2. T-PASS (State of Texas) N 3. OMNIA Partners N 4. Sourcewell (N]PA) N 5. E&I Cooperative N 6. Houston -Galveston Area Council (HGAC) N 7. Choice Partners N 8. The Interlocal Purchasing System (TIPS) N 9. Other I L4 MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS. CURRENT BUYSOARD VENDQRS 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 (Ole)! F. r .. A Discvwn� (e(Yli EXfllanation: Axis Construction, LP has not previously participated in purchasing cooperatives. Page 27 of 74 COOP 622-22 wnposal Farms CONST. v.06.03.2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 46 of 103 f oard PURCNAStNU CWPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 - PH: 800-695-2919 • buvianard.rom GOVERNMENTAL REFERkMES 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/ Entfty Name Contact Phonp# Email Address Miscount vahm ,.City of Haslet, James Tucker (817) 829-4415, jtucker0haslet.org,5%, 2 units 2. City of Plano, Stephen Lane (972)769-4277, slanegplano.gov,5%, 3 units 3. City of Rockwall, Shon Bellah (972)771-7730, sbellah rockwall.com,5%, 2 units 4 City of McKinney, Jeff Maul (214)728-6787, jmaul0mckinneytexas.org,5%, 2 units 5 Johnson Co. SUD, Danny Armstrong(817)760-5224,darmstrongOjcsud.com,5%, 5 units 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 FEW 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 74 COOP 622-22 Pmpcsai rams coNsr. v.06.03.2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 47 of 103 Axis Construction, LP AxisConstractionLP.com Company Profile Axis Construction, LP has been in business since 2005, a family owned and operated company. Axis handles repair and maintenance of water systems for small and large municipal entities. 75% of Axis` business is directly related to water storage tanks. Axis is operated by Joe Swinnea who has over 35+ years in the water industry. Joe has managed complete water tower construction, water treatment plant construction operations, and repair/maintenance of water systems. Axis has 3 employees with 30 years' experience with water storage tank construction and maintenance, 3 employees with 10 years' experience with storage tank maintenance/management and 2 employees with a BA degree in the sales related field. Axis sales Kasco NSF Certified tank mixers and other Kasco products. We are the Kasco Distributor for tank mixers in Texas. Axis has sold, fabricated, and installed various types of tank mixers for over 15 years. Axis is confident that Kasco mixers will last, are effective and are the lowest cost in industry for repair or replacement. COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 48 of 103 p s , Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 ° PH: 800-695-2919 • bLiyboard rgm TEXAS REGIONAL SERVICE DESIGNATION This form most be completed in the electranic proposal submission system (or. ifsubmit M a hard coxty Proaosal time/v revues# and coamvlete the form in acicondancte Writer the Instructions to P�crtrosers). 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(abuvboard.com at least five (5) business days Drior to the Prouosai Due Date.) By designating a mg/on or regions, you are certifying that you are authorized and willing to prowde the proposed producty and services in #hare ►legions. Designating regions in which you are either unable or unwilUng tic 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 1roRgsal submission system. Regional Education Service Centers � ~ =' III q~_ ��• `//1 2 f- B_gaion and Headnuarte_t 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 El Paso 20 San Antonio Page 29 of 74 COOP 622-22 PSI rams COS. v.06.03.2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 49 of 103 Board PURCHASIMC COOKRADVE 12007 Research Boulevard ' Austin, Texas 78759-2439 - PH: 800-695-2919 ` FAX: 800-211-5454 - buvboard.com STATE SERVICE DESIGNATION "�.lr LL.'_ hf._ X :J.r asLLf S' t ..J 1.w1 r.•I �. L jT.17.L.K.,L 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 com Ig ete the State Service Designation information in the electronic or000sal 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 fnnn, to be considered for a piggy -back award by the Naf fonal Purchasing Cooperative, you must have an authorized representative sign the National Purchasing Cooperative Vendor Awarld Agreement that hollows 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 hids0bu board.com at least five i'5) business days prior to the Proposal Due Date.) 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 stags 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, rfawarded, termination of your Contract. I 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 Fo ms CONST, v.06.03.2021 Page 30 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 50 of 103 lBoard� PURCHASiMO C00PERArtVf 12007 Research Boulevard ' Austin, Texas 78759-2439 . PH: 800-695-2919 • FAX: 800-211-5454 ' buvboard.corn NATIONAL PURr."ASING COOPERATAT VENDOR AWARD AGREEMENT In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal Invitation may be "piggy -backed" by another governmental entity. The National Purchasing Cooperative is an intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout the United States. If you agree to be considered for a piggy -back award by the National Purchasing Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the State Service Designation form, in your Proposal. By signing this form, Proposer (referred to in this Agreement as "Vendor") agrees as follows: 1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative") awards Vendor a contract under this Proposal Invitation ("Underlying Award'o, the National Purchasing Cooperative ("National Cooperative") 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'l, Vendor accepts and agrees to be bound by any such Piggy -Back Award as provided for herein. 2. In the event National Cooperative awards Vendor a Piggy -Back Award, the National Cooperative Administrator ("BuyBoard Administrator") will notify Vendor in writing of such Piggy -Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order for the Piggy -Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interiineations 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 post-proposal/contract award phase. The rights and responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall control, and then only to the extent necessary to reconcile the conflict. Proposal Forms CONST. v.06.03.2021 Page 31 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 51 of 103 Board PURCRU►NG CWPERATWE 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' 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. Axis nstVaction, LP Nam of V nd of Authorized Company Official 09/14/2021 Rate 662-22 Proposal Invitation Number Joseph Swinnea Printed Name of Authorized Company Official PrWOMl Forms CONST. v.06.03.2021 Page 32 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 52 of 103 hoard° PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 , FAX: 800-211-5454 • buvboard.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 designafe Designated Dealers as defined in Me General Terms and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complefe the Manufacturer Designated Dealer form. N/A N/A N/A Proposal Fcxms C ONSr. v.06.03.2021 Page 33 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 53 of 103 m Woard PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 , PH: 800-695-2919 ' FAX: 800-211-5454 • buvboard.com MANUFACTURER DEALER DESIGNATION If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers {"Designated Dealers) to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete this form for each dealer you wish to designate. Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any obligations under the Contract, Including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder, including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees. If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Venda- 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. NIA NIA Designated Dealer Name Designated Dealer Contact Person Designated Dealer Address City State Zip Phone Number Fax Number Email address Designated Dealer Tax ID Number* (*attach W-9) Proposal Forms CONST. v.06.03.2021 Page 34 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 54 of 103 Board PuacHastac coaarrve 12007 Research Boulevard ' Austin, Texas 78759-2439 , PH: 800-695-2919 • FAX: 800-211-5454 • buvboard,com The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial resources to provide the goods and perform the services {"Work') under the BuyBoard contract contemplated by this Proposal Invitation ("Contract"}. Proposers must fully answer each question, numbering your responses to correspond to the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire and submit In one document with your Proposal. You must submit the questionnaire and responses wlth 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. Axis Construction, LP, Incorporated in Tx December 2005 to present. Axis Service Company Incorporated in Tx January 2002 to present. Neither Axis Const. or Axis Service are for sale or involved in any transaction that would significantly alter its business/result in an acquisition. 2. Describe Vendor's direct experience (not as a subcontractor) performing the Work proposed under this Contract. Include a brief description of the projects you have completed for Texas governmental entities in the last 5 years, and include for each the project name, scope, value, and date, and the name of the procuring government entity and entity contact person. Identify the contracts that best represent Vendor's capabilities relative to this Contract. Johnson Co. SLID - Equipment & install of Five(5) tank mixers in elevated tanks.Danny Armstong. 01/2016. $20,500/each City of Haslet - Two (2) tank mixers.James Tucker. 05/2019.$21,380/each City of Rockwall - Equipment & Install One (1)tank mixer in 3.OMG GSR.Shon Bellah. 08/2021. $20,820 3. 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. Three (3) employees with 30 years experience with water storage tank maintenance. Three (3) employees with 10 years experience with water storage tank maintenance & management. Two (2) employees with BA in Sales Related Field. ftposa! Farms CONST. v.06.03.2021 Page 35 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 55 of 103 pardPUNCN 12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' FAX: 800-211-5454 ' bu-board.com 4. The Contract does not include architectural or engineering services, which must be procured separately, outside of the Cooperative, in accordance with Chapter 2254 of the Texas Government Code (Professional Services Procurement Act) or other applicable law (for entities outside of Texas). If you are performing Work under the Contract on a project that requires the services of an architect or professional engineer, how will you work with a Cooperative member and its designated architect or engineer with respect to services that must be procured outside the Contract? Axis works with Engineers on 80% of its projects. Axis employees/owner has 30+ years experience in water storage tank construction & maintenance. Axis has strong relationships with many engineering firms. 5. Describe the tasks and functions that can be completed by Vendor in-house without the use of a subcontractor or other third party. Installation of mixer can be installed by end user or by Axis. Final electrical connection should be completed by a licensed electrician. 6. Marketing Strateav: 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. (om�l�; 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. Axis will advertise BuyBoard on its website's main page and will include BuyBoard when we exhibit at trade shows. Axis will include a "BuyBoard " slide in its presentations. Axis will include a "BuyBoard ° slide in its presentations. 7. 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. Axis has strong financial strength and ability to generate profit and sufficient cash flow to pay bills and/or debt. Axis' banding capacity is $700,000. Axis' insurance limits are: General Liability combined limit $2 million, Auto $1 million, Workers Comp $1 million Axis' owners have never been a debtor to bankruptcy, receivership, or insolvency. PrOP001 FOMIS CONST. v.06.03.2421 Page 36 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 56 of 103 r 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 , FAX: 800-211-5454 1 buvboard.com 8. 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. 9. 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. Include any contract for which the surety was notified of a potential claim in regard to a payment or performance bond. 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, notice to surety, failure to complete or deliver the work, or termination. 10. List all litigation or other legal proceedings (including arbitration proceedings and/or claims filed with a surety in regard to a payment or performance bond), if any, in the last 10 years brought against your firm, or any of the firms 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. 2• - 11. Describe in detail the quality control system Vendor will use, including third party auditing certification, to support the long-term performance and structural strength of the products to be used in a project under the Contract. Products being provided are manufactured by Kasco Marine, Inc. Kasco has been in business for over 50 years. Kasco has 11 engineers on staff for development and quality. vAVMai rb.rms CQNST. v.06.03.2021 Page 37 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 57 of 103 Board PURCHASING COOPERATIVE 12007 Research Boulevard • Austin, Texas 78759-2439 , PH: 800-595-2919 • FAX: 800-211-5454 ' hjjYbmrd.cnm 12. If the Work will require Vendor to tender performance or payment bonds, provide the name of the bonding company or surety that will issue such bonds. BSX Insurance 3301 Golden Roade Suite 400 Tyler, TX 75713 13. Describe in detail all documented safety issues, if any, that have involved Vendor in the last three years related to the type of work contemplated under this Contract. Provide a three-year history of your firm's workers compensation experience modifier. Axis has not had any safety issues in the past 3+ years. Below is Axis' WC e.m. 2019 - .87 Ptcpml forms CONSr. v.06.03.2021 Page 38 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 58 of 103 orard PUItCWVNC COOMAVVE 12007 Research Boulevard ` Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 ` buyboard.cam 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 requlried as part of your proposal. You should sign and return tits form Oft Y If you wish to request authodkadon to self -report BuyBoard purafrases. 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 Buy&wrr wrchases lfmy comparryls awarded a Contract I certify Matf am authorized by the above -named Vendor to approve this form, and I have reaelved and read the AddNonal Terms and Conditions for BuyBoard Self -Reporting Included in fhis Proposal Invitation and do hereby approve and agree f v such terms and condrdons on behalf of Vendor, NAME OF VENDO Axis Construction, LP of Vendor Authorized Representative Name: Joseph Swinnea Mtfe: Partner Date: 09/14/2021 ( For Cooperative Administrator Use Only) Approved by BuyBoard Administrator: Effective/Start date for Self -Reporting: Page 39 of 74 Proposal Forms CONSr. v.06.03.2021 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 59 of 103 12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 . h►rvboard,com PROPOSAL SPECIFICATION StIMMARY The categories and items specified for this Proposal Invitation are summarized below. For full Proposal Specifications, you must review and complete the Proposal Specification information in the electronic proposal submission system in accordance with the Instructions to Proposers (or, if submitting a hard copy Proposal, timely request and complete the Proposal Specification Form in accordance with the Instructions to Proposers). NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: Manufacturers shall be listed in alphabetical order Vendor must list one specific percentage discount for each manufacturer listed. NOTE 2: By signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attomey's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Swoon I: Water tjrage Tank Maintenance and Rehabilitation 1. Discount (%) off catalog/pricelist for Water Storage Tank Maintenance Services - for all types of water storage tanks (steel, concrete or similar type of structure). Service will include annual tank inspections for safety, sanitation, and structure of tank. 2. Discount (%) off catalog/pricelist for Water Storage Tank Cleaning Services - for disinfection and improving water quality of tank. 3. Discount (%) off catalog/pricelist for Water Mixers for Storage Tanks. 4. Discount (°lo) off catalog/pricelist for Water Filter Services for Storage Tanks (cleaning and replacement). 5. Discount (%} off catalog/pricelist for Water Leak Detection Services. 6. Discount (°lo} off catalog/pricelist for Water Storage Tank Security Services - for detection of intrusion (includes all hardware and software to install system). 7. Discount (%) off catalog/pricelist for Water Well Maintenance Services (cleaning, preventative maintenance, and pump Inspection), 8. Discount (9/0} off catalog/pricelist for Water Valve and Hydrant Services. 9. Discount (%} off catalog/pricelist for Water Meter Maintenance Services. 10. Discount (%} off catalog/pricelist for All Other Water Storage Tank Services. Section II: Trenchless Pipe Repair Systems and Equipment 11. Discount (%) off catalog/pricelist for Trenchless Sewer and Water Pipe Patch Repair Systems (resin -based systems, elbow/flow packers, repair kits and similar related systems). 12. Discount (%) off catalog/pricelist for Trenchless Sewer and Water Pipe Cleaning (Ice Pigging) Services - for all types of water main and sewer line cleaning. Section III., Installation and Repair Service 13. Hourly Labor Rate for Installation/Repair Service of Equipment and Products — not to exceed, hourly labor rate for Installation/Repair Service of Equipment and Products. Proposal Forms CQNSr. v.04.03.202t Page 40 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 60 of 103 iI r PURCHASING COOPERATIVE 12007 Research Boulevard , Austin, Texas 78759-2439 - PH: 800-695-2919 ' FAX: 800-211-5454 , buvboard.com REQUIRED FORMS CHECKLIST (Pleame check (-V) the Hlowing) ❑ ReviewedlCompleted: Proposer's Acceptance and Agreement PROPOsA4 FORMS PART 1: Comp LANCE FoRMS ❑ ReviewecV_Qmgl Wd: Proposal Acknowledgements ❑ Reviewed/Completed: Felony Conviction Disclosure ❑ Reviewed Completed: Resident/Nonresident Certification ❑ Reviewed/Completed: Debarment Certification ❑ Reviewed/Comp! tamed.: Vendor Employment Certification ❑ Reviewed/Completed: No Israel Boycott Certification ❑ Review /Co eted: No Excluded Nation or Foreign Terrorist Organization Certification ❑ Reviewed/Completed: Historically Underutilized Business Certification ❑ Reviewed le : Acknowledgement of BuyBoard Technical Requirements ❑ ReviewedlCom iced: Construction -Related Goods and Services Affirmation ❑ Reviewed/Completed: Deviation and Compliance ❑ Reviewed/Completed: Vendor Consent for Name Brand Use ❑ Reviewed/Completed: Confidential/Proprietary Information ❑ Reviewed/Completed: EDGAR Vendor Certification ❑ Rg)dewed/Completed: Compliance Forms Signature Page Pons& FORms PART 2: VENDOR INP RMATION FORMS ❑ Reviewed/Completed: Vendor Business Name ❑ Reviewed/Completed: Vendor Contact Information (complete In electronic poposal submission system) ❑ RevieweWComnlet.e : Federal and State/Purchasing Cooperative Experience ❑ Reviewed/Completed: Governmental References ❑ Reviewed/Completed: Company Profile ❑ Review-ed/Conleted_: Texas Regional Service Designation (complete in elech'onic proposal submission system) ❑ Reviewed/Completed: State Service Designation (complete in elertmnie proposal submission system) ❑ Revjevy /Completed: National Purchasing Cooperative Vendor Award Agreement (vendors serving ouds/de Texas only) ❑ Reviewed/Completed: Local/Authorized Seller Listings ❑ ReviewedlCompleted: Manufacturer Dealer Designation ❑ Reviewed/Completed: Proposal Invitation Questionnaire ❑ Reviewed/Completed: Vendor Request to Self -Report BuyBoard Purchases (optional) ❑ Reviewed/Completed: Proposal Specifications !Discount (°ro) oh` CatalogjPricelist and/or other required pricing information including CatalogsfPricelists (or no bid response) must be submitted with the Proposal or the Proposal will not be considered Proposal Forms CONST, v.46.03.2021 Page 41 of 74 COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 61 of 103 Axis Construction LP Information Contact: Joe Swinnea Address: PO Box 77916 Fort Worth, TX 76177 Phone: (817) 439-0709 Email: joeswinnea@hotmail.com By submitting your response, you certify that you are authorized to represent and bind your company. Joseph Swinnea joeswinnea@hotmail.com Signature Email Submitted at 911612021 2:13:56 PM Requested Attachments Exceptions and/or Detailed Information Related to Discount % and/or Axis Const detail disc info.pdf Hourly Labor Rate Proposed In PDF format, vendor shall attach detailed information including 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.) BuyBoard Proposal Invitation No. 662-22 for Water Storage Tank Axis Const Proposal No 662-22.pdf Maintenance and Trenchless Pipe Repair Systems REQUIRED -In PDF format, upload all proposal invitation documents available for download at vendor.buyboard.com including any additional pages, as necessary. (Please DO NOT password protect uploaded files.) Catalog/Pricelist AxisConstPriceList.pdf REQUIRED -In PDF format, upload catalog/pricelist in proposal invitation instructions. File size must not exceed 100MB.(Please DO NOT password protect uploaded files.) Company Profile Axis Const Company Profile.docx 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 Axis W9-2021.pdf REQUIRED -In PDF format, upload W-9 form. (Please DO NOT password protect uploaded files.) Bid Attributes 1 HUB/No Israel Boycott Certification/No Excluded Nation or Foreign Terrorist Certification HUB/No Israel Boycott Certification/No Excluded Nation or Foreign Terrorist Certification Page 3 of 41 pages VendorC 9tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 62 of 103 2 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 3 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 4 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) 5 Minority Owned Business Minority Owned Business ❑ Minority Owned Business (Yes) 6 Women Owned Business Women Owned Business ❑ Women Owned Business (Yes) 7 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) Page 4 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 63 of 103 8 Certification Number Certification Number I No response 9 Name of Certifying Agency Certifying Agency I No response 1 Non-MWBE/HUB U My company has NOT been certified as a MWBE/HUB ❑ Non -HUB (Yes) 1 Vendor General Contact Information 1 Proposal/Contract General Contact Information 1 Vendor Proposal/Contract Contact Name 2 Vendor Proposal/Contract Contact Name I Joseph Swinnea 1 Vendor Proposal/Contract Contact E-mail Address 3 Vendor Proposal/Contract Contact E-mail Address Ijoeswinnea@hotmail.com 1 Vendor Proposal/Contract Mailing Address 4 Vendor Proposal/Contract Mailing Address PO Box 77916 1 Vendor Proposal/Contact Mailing Address - City 5 Vendor Proposal/Contact Mailing Address - City I Fort Worth 1 Vendor Proposal/Contact Mailing Address - State 6 Vendor Proposal/Contact Mailing Address - State (Abbreviate State Name) ITX 1 Vendor Proposal/Contact Mailing Address - Zip Code 7 Vendor Proposal/Contact Mailing Address - Zip Code 176177 1 Vendor Proposal/Contact Phone Number 8 Vendor Proposal/Contact Phone Number (xoa-xoa-)c=) I817-988-2239 1 Vendor Proposal/Contact Extension Number 9 Vendor Proposal/Contact Extension Number I No response Page 5 of 41 pages VendorC fb?9tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 64 of 103 2 Company Website U Company Website (www.xx)=.com) axisconstructionlp.com 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 2 Purchase Order E-mail Address Ijoeswinnea@hotmail.com 2 Purchase Order Contact Name 3 Purchase Order Contact Name Joseph Swinnea 2 Purchase Order Contact Phone Number 4 Purchase Order Contact Phone Number (>oa-xoa-=(x) 1 817-988-2239 2 Purchase Order Contact Extension Number 5 Purchase Order Contact Extension Number No response 2 Alternate Purchase Order E-mail Address 6 Alternate Purchase Order E-mail Address No response 2 Alternate Purchase Order Contact Name 7 Alternate Purchase Order Contact Name No response 2 Alternate Purchase Order Contact Phone Number 8 Alternate Purchase Order Contact Phone Number (xxx-xxx-xxxx) No response 2 Alternate Purchase Order Contact Extension Number 9 Alternate Purchase Order Contact Extension Number No response Page 6 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 65 of 103 3 Purchase Orders Contact Information U 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 3 Request for Quotes (RFQ) 1 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 2 Request for Quote (RFQ) E-mail Address Ijoeswinnea@hotmail.com 3 Request for Quote (RFQ) Contact Name 3 Request for Quote (RFQ) Contact Name Joseph Swinnea 3 Request for Quote (RFQ) Contact Phone Number 4 Request for Quote (RFQ) Contact Phone Number (>oa-xxx-=oo 1 817-988-2239 3 Request for Quote (RFQ) Contact Extension Number 5 Request for Quote (RFQ) Contact Extension Number No response 3 Alternate Request for Quote (RFQ) E-mail Address 6 Alternate Request for Quote (RFQ) E-mail Address No response 3 Alternate Request for Quote (RFQ) Contact Name 7 Alternate Request for Quote (RFQ) Contact Name No response 3 Alternate Request for Quote (RFQ) Contact Phone Number 8 Alternate Request for Quote (RFQ) Contact Phone Number (xxx-xxx-xxxx) No response 3 Alternate Request for Quote (RFQ) Contact Extension Number 9 Alternate Request for Quote (RFQ) Contact Extension Number No response Page 7 of 41 pages VendorC 9tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 66 of 103 4 Invoices U 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. 4 Invoices Please choose only one (11 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: or (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 I 4 Invoice Company Name 2 Invoice Company Name j Axis Construction, LP 4 Invoice Company Department Name 3 Invoice Company Department Name Accounts Payable 4 Invoice Contact Name 4 Invoice Contact Name Joe Swinnea 4 Invoice Mailing Address 5 Invoice Mailing Address (P.O. Box or Street Address) PO Box 77916 4 Invoice Mailing Address - City 6 Invoice Mailing Address - City Fort Worth 4 Invoice Mailing Address - State 7 Invoice Mailing Address - State (Abbreviate State Name) I-rX 4 Invoice Mailing Address - Zip Code 8 Invoice Mailing Address (Zip Code) 176177 Page 8 of 41 pages VendorCl��ti&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 67 of 103 4 Invoice Contact Phone Number 9 Invoice Contact Phone Number (xxx-xxx-xxxx) 1 817-988-2239 5 Invoice Contact Extension Number U Invoice Contact Extension Number No response 5 Invoice Contact Fax Number Invoice Contact Fax Number (xxx-xxx-xxxx) No response 5 Invoice Contact E-mail Address 2 Invoice Contact E-mail Ijoeswinnea@hotmail.com 5 Invoice Contact Alternate E-mail Address 3 Invoice Contact Alternate E-mail Address No response 5 Billing Agent Company Name 4 Billing Agent Company Name No response 5 Billing Agent Department Name 5 Billing Agent Department Name No response 5 Billing Agent Contact Name 6 Billing Agent Contact Name No response 5 Billing Agent Mailing Address 7 Billing Agent Mailing Address (P.O. Box or Street Address) No response 5 Billing Agent Mailing Address - City 8 Billing Agent Mailing Address - City No response 5 Billing Agent Mailing Address - State 9 Billing Agent Mailing Address - State (Abbreviate State Name) No response 6 Billing Agent Mailing Address - Zip Code U Billing Agent Mailing Address - Zip Code No response Page 9 of 41 pages VendorC 9tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 68 of 103 6 Billing Agent Contact Phone Number Billing Agent Contact Phone Number (xxx-xxx-xxxx) No response 6 Billing Agent Contact Extension Number 2 Billing Agent Contact Extension Number No response 6 Billing Agent Fax Number 3 Billing Agent Fax Number No response 6 Billing Agent Contact E-mail Address 4 Billing Agent Contact E-mail Address No response 6 Billing Agent Alternative E-mail Address 5 Billing Agent Alternative E-mail Address No response 6 Shipping Via 6 Common Carrier, Company Truck, Prepaid and Add to Invoice, or Other Prepaid and Add to Invoice I 6 Payment Terms 7 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 6 Vendor's Internal/Assigned Reference/Quote Number 8 Vendor's Internal/Assigned Reference/Quote Number No response 6 9 State or Attach Return Policy 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. No response 7 Electronic Payments U Are electronic payments acceptable to your company? Yes I 7 Credit Card Payments Are credit card payments acceptable to your company? Yes I Page 10 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 69 of 103 7 2 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. 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@buyboard.com at least five (5) business days prior to the Proposal 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 proposal submission system. 7 Company Name 3 Company Name J Axis Construction, LP 7 Texas Regional Service Designation 4 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. JAII Regions 7 Region 1 5 Region 1 - Edinburg ❑ Region 1 (1) 7 Region 2 6 Region 2 - Corpus Christi ❑ Region 2 (2) 7 Region 3 7 Region 3 - Victoria ❑ Region 3 (3) 7 Region 4 8 Region 4 - Houston ❑ Region 4 (4) 7 Region 5 9 Region 5 - Beaumont ❑ Region 5 (5) 8 Region 6 U Region 6 - Huntsville ❑ Region 6 (6) Page 11 of 41 pages VendorC 9tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 70 of 103 8 Region 7 Region 7 - Kilgore ❑ Region 7 (7) 8 Region 8 2 Region 8 - Mount Pleasant ❑ Region 8 (8) 8 Region 9 3 Region 9 - Wichita Falls ❑ Region 9 (9) 8 Region 10 4 Region 10 - Richardson ❑ Region 10 (10) 8 Region 11 5 Region 11 - Fort Worth ❑ Region 11 (11) 8 Region 12 6 Region 12 - Waco ❑ Region 12 (12) 8 Region 13 7 Region 13 - Austin ❑ Region 13 (13) 8 Region 14 8 Region 14 - Abilene ❑ Region 14 (14) 8 Region 15 9 Region 15 - San Angelo ❑ Region 15 (15) 9 Region 16 0 Region 16 - Amarillo ❑ Region 16 (16) 9 Region 17 Region 17 - Lubbock ❑ Region 17 (17) 9 Region 18 2 Region 18 - Midland ❑ Region 18 (18) Page 12 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 71 of 103 9 Region 19 3 Region 19 - El Paso ❑ Region 19 (19) 9 Region 20 4 Region 20 - San Antonio ❑ Region 20 (20) 9 5 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 the State Service Designation 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 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. (Additional forms can be obtained by contacting bids@buyboard.com at least five (5) business days prior to the Proposal Due Date.) 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 6 Company Name J Axis Construction, LP 9 State Service Designation 7 Select only one of the following options. the individual States you wish to serve. I will not serve all states in the United States 9 Alabama 8 Alabama ❑ Alabama (AL) 9 Alaska 9 Alaska ❑ Alaska (AK) 1 Arizona 6 Arizona ❑ Arizona (AZ) If you select "I will NOT serve all States", you must then check Page 13 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 72 of 103 1 Arkansas Arkansas ❑ Arkansas (AR) 1 California U California (Public Contract Code 20118 & 20652) 2 ❑ California (CA) 1 Colorado 3 Colorado ❑ Colorado (CO) 1 Connecticut 4 Connecticut ❑ Connecticut (CT) 1 Delaware 5 Delaware ❑ Delaware (DE) 1 District of Columbia 6 District of Columbia ❑ District of Columbia (DC) 1 Florida 7 Florida ❑ Florida (FL) 1 Georgia 8 Georgia ❑ Georgia (GA) 1 Hawaii 9 Hawaii ❑ Hawaii (HI) 1 Idaho dIdaho ❑ Idaho (ID) 1 Illinois Illinois ❑ Illinois (IL) 1 Indiana 2 Indiana ❑ Indiana (IN) Page 14 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 73 of 103 Iowa 1 Iowa ❑ Iowa (IA) 1 Kansas 1 Kansas ❑ Kansas (KS) 1 Kentucky 1 5 Kentucky ❑ Kentucky (KY) 1 Louisiana 1 Louisiana ❑ Louisiana (LA) 1 Maine 1 Maine ❑ Maine (ME) 1 Maryland 1 8 Maryland ❑ Maryland (ME) 1 Massachusetts 1 9 Massachusetts ❑ Massachusetts (MA) 1 Michigan 2 0 Michigan ❑ Michigan (MI) 1 Minnesota Minnesota ❑ Minnesota (MN) 1 Mississippi 2 2 Mississippi ❑ Mississippi (MS) 1 Missouri 2 Missouri ❑ Missouri (MO) 1 Montana 2 Montana ❑ Montana (MT) Page 15 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 74 of 103 1 Nebraska 5 Nebraska ❑ Nebraska (NE) 1 Nevada 6 Nevada ❑ Nevada (NV) 1 New Hampshire 7 New Hampshire ❑ New Hampshire (NH) 1 New Jersey 8 New Jersey ❑ New Jersey (NJ) 1 New Mexico 9 New Mexico ❑ New Mexico (NM) 1 New York UNew York ❑ New York (NY) 1 North Carolina North Carolina ❑ North Carolina (NC) 1 North Dakota 2 North Dakota ❑ North Dakota (ND) 1 Ohio 3 Ohio ❑ Ohio (OH) 1 Oklahoma 4 Oklahoma ❑ Oklahoma (OK) 1 Oregon 5 Oregon ❑ Oregon (OR) 1 Pennsylvania 6 Pennsylvania ❑ Pennsylvania (PA) Page 16 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 75 of 103 1 Rhode Island 3 Rhode Island 7 ❑ Rhode Island (RI) 1 South Carolina 8 South Carolina ❑ South Carolina (SC) 1 South Dakota 9 South Dakota ❑ South Dakota (SD) 1 Tennessee dTennessee ❑ Tennessee (TN) 1 Texas Texas ❑ Texas (TX) 1 Utah 4 Utah ❑ Utah (UT) 1 Vermont 3 Vermont ❑ Vermont (VT) 1 Virginia 4 Virginia ❑ Virginia (VA) 1 Washington 4 Washington ❑ Washington (WA) 1 West Virginia 4 West Virginia 6 ❑ West Virginia (WV) 1 Wisconsin 7 Wisconsin ❑ Wisconsin (WI) 1 Wyoming 4 8 Wyoming ❑ Wyoming (WY) Bid Lines Page 17 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 76 of 103 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Storage Tank Maintenance Services - for all types of water storage tanks (steel, concrete or similar type of structure). Service will include annual tank inspections for safety, sanitation, and structure of tank. Catalog/Price Iist MUST be included or proposal will not be considered. l"J57 ila Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:By signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 18 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 77 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 19 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 78 of 103 2 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Storage Tank Cleaning Services - for disinfection and improve water quality of tank. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 20 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 79 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 21 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 80 of 103 3 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Mixers for Storage Tanks. Catalog/Pricelist MUST be included or proposal will not be considered. Total: 1 8% 1 Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 22 of 41 pages VendorCl��t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 81 of 103 Item Attributes 1. State Name of Catalog/Pricelist Axis / Kasco Page 23 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 82 of 103 4 Section I:Water Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Filter Services for Storage Tanks (cleaning and replacement). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 24 of 41 pages VendorCl��t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 83 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 25 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 84 of 103 5 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Leak Detection Services. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 26 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 85 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 27 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 86 of 103 6 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Storage Tank Security Services - for detection of intrusion (includes all hardware and software to install system). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 28 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 87 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 29 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 88 of 103 7 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Well Maintenance Services (cleaning, preventative maintenance, and pump inspection). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 30 of 41 pages VendorCl��t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 89 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 31 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 90 of 103 0 Section LWater Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Valve and Hydrant Services. Catalog/Pricelist MUST be included or proposal will not be considered. l"NO IA Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:By signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 32 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 91 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 33 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 92 of 103 9 Section (:Water Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for Water Meter Maintenance Services. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 34 of 41 pages VendorCl��t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 93 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 35 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 94 of 103 1 0 Section I:Water Storaae Tank Maintenance and Rehabilitation - Discount (%) off catalog/pricelist for All Other Water Storage Tank Services. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order • Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 36 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 95 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 37 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 96 of 103 Section II: Trenchless Pipe Repair Svstems and Eauipment - Discount (%) off catalog/pricelist for Trenchless Sewer and Water Pipe Patch Repair Systems (resin -based systems, elbow/flow packers, repair kits and similar related systems). Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 38 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 97 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response Page 39 of 41 pages VendorC.t4tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 98 of 103 1 2 Section II: Trenchless Pipe Repair Svstems and Eauipment - Discount (%) off catalog/pricelist for Trenchless Sewer and Water Pipe Cleaning (Ice Pigging) Services - for all types of water main and sewer line cleaning. Catalog/Pricelist MUST be included or proposal will not be considered. No Bid Item Notes: NOTE 1: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: • Manufacturers shall be listed in alphabetical order . Vendor's must list one specific percentage discount for each Manufacturer listed. NOTE 2:13y signing this Proposal, Proposer certifies that the proposing entity has obtained, and will continue to maintain during the entire term of this Contract, all permits, approvals, registrations, or licenses necessary for lawful performance of its obligations under this Contract, including as applicable all permits and licenses required by chapter 341 of the Texas Health and Safety Code and associated regulations regarding public water supplies and water utility systems or components thereof. In addition, Proposer agrees to comply with all municipal ordinances and codes pertaining to municipal or public water systems to the extent such are applicable to the services to be performed. Proposer further certifies that Proposer has all authorizations required by, and will comply with any and all rules and regulations established by any federal, state or local authority having jurisdiction over the services to be performed including, but not limited to, any applicable laws, rules and regulations relating to public water supplies and water utility systems or components thereof, and persons performing duties relating to such public water supplies and water utility systems or components. Vendor agrees to defend, indemnify, and hold harmless the Cooperative, TASB and Cooperative members, and their officers, board members, agents and employees, from and against all claims, actions, suits, demands, regulatory action, proceeding, costs, damages and liabilities, including court costs and attorney's fees, arising out of or resulting from the failure of Vendor or its agents, employees, suppliers or contractors or subcontractors to comply with any applicable laws, rules, or regulations. This section is not subject to deviation. Page 40 of 41 pages VendorCl��t&tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 99 of 103 Item Attributes 1. State Name of Catalog/Pricelist No response 1 Section III: Installation and Repair Service: Hourly Labor Rate for Installation/Repair Service of 3 Equipment and Products - state the 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 41 of 41 pages VendorC.tq9tion LP 662-22 Addendum 1 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 100 of 103 Axis Construction, LP Detailed Discount Percentage Information Axis is committed to providing BuyBoard members an 8% discount off the MSRP/List Price for Tank Mixers listed on Axis' Proposal Invitation No. 662-22 Product Pricelist. Proposed Services: 1) Provide End User with desired Kasco Mixer as determined by the Part/Item Number listed AND/OR 2) Provide End User with desired Kasco Mixer as determined by the Part/Item Number listed with Installation to Mixer Control Panel. Final electrical connection to power panel is to be responsibility of End User/BuyBoard member. COOP 622-22 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 101 of 103 Exhibit C - Conflict of Interest Questionnaire CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the taw by H.B. 23, 84th Leg., Regular Session. OF19CEUSEONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who pate 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. J Name of vendor who has a business relationship with local governmental entity. &I- 5 otlKiLls -�rUe�Vvt Z' P 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.) 31 Name of local government officer about whom the Jof Oinformation is being disclosed. /V Na a fficer 41 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? Ej 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? Yes E 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. 61 ❑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). 71 Signature Zrg business with the governmental entity —Date — Form provided by Texas Ethics Commission C 4.state.tx.us Revised 1/112021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 102 of 103 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 CQJRvq?t .state.tx.us Revised 1/1/2021 Water Storage Tank Maintenance and Rehabilitation and Trenchless Pipe Repair Systems Page 103 of 103