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HomeMy WebLinkAboutContract 63395CSC No. 63395 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between Midwest Library Service, Inc. ("Vendor") and the City of Fort Worth ("City"), a Texas home -rule municipality, individually referred to as "Parry" and collectively as the "Parties." 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; OFFICIAL RECORD 2. Exhibit A — Price List; CITY SECRETARY 3. Exhibit B — Cooperative Agency Contract SmartBuy 715-M2; and FT. WORTH, Tx 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. If any provisions of the attached Exhibits conflict with the terms herein, are prohibited by applicable law, conflict with any applicable rule, regulation or ordinance of City, the terms in this Cooperative Purchase Agreement shall control. City shall pay Vendor in accordance with the payment terms in Exhibit A and in accordance with the provisions of this Agreement. Total annual payment made under this Agreement by City shall not exceed One Hundred Thousand Dollars and Zero Cents ($100,000.00). Vendor shall not provide any additional items or services or bill for expenses incurred for City not specified by this Agreement unless City requests and approves in writing the additional costs for such services. City shall not be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing. The term of this Agreement is effective beginning on the date signed by the Assistant City Manager ("Effective Date") and expires on October 31, 2025, with additional one-year renewal options in accordance with the Cooperative agreement. City or Vendor may terminate this Agreement at any time and for any reason by providing the other party with 30 days' written notice of termination. 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 or (2) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: To CITY: City of Fort Worth Attn: Assistant City Manager 100 Fort Worth Trail Fort Worth, TX 76102 With copy to Fort Worth City Attorney's Office at the same address To VENDOR: Midwest Library Service, Inc 11443 St. Charles Rock RD Bridgeton, Missouri 63044 Email: banta@midwestls.com City is a government entity under the laws of the State of Texas and all documents held or maintained by City are subject to disclosure under the Texas Public Information Act. To the extent the Agreement requires that City maintain records in violation of the Act, City hereby objects to such provisions and such provisions are hereby deleted from the Agreement and shall have no force or effect. In the event there is a request for information marked Confidential or Proprietary, City shall promptly notify Vendor. It will be the responsibility of Vendor to submit reasons objecting to disclosure. A determination on whether such reasons are sufficient will not be decided by City, but by the Office of the Attorney General of the State of Texas or by a court of competent jurisdiction. 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 law 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 Tarrant County, City objects to such terms and any such terms are hereby deleted from the Agreement and shall have no force or effect. Nothing herein constitutes a waiver of City's sovereign immunity. To the extent the Agreement requires City to waive its rights or immunities as a government entity; such provisions are hereby deleted and shall have no force or effect. To the extent the Agreement, in any way, limits the liability of Vendor or requires City to indemnify or hold Vendor or any third party harmless from damages of any kind or character, City objects to these terms and any such terms are hereby deleted from the Agreement and shall have no force or effect. If Vendor has fewer than 10 employees or this Agreement is for less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter 2271 of the Texas Government Code, the City is prohibited from entering into a contract with a company 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. The terms "boycott Israel" and "company" has the meanings ascribed to those terms in Chapter 2271 of the Texas Government Code. By signing this Agreement, Vendor certifies that Vendor's signature provides written verification to the City that Vendor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the Agreement. If Vendor has fewer than 10 employees or this Agreement is for less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter 2276 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10 or more full-time employees unless the contract contains a written verification from the Vendor that it: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this Agreement. To the extent that Chapter 2276 of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that Vendor's signature provides written verification to the City that Vendor: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this Agreement. If Vendor has fewer than 10 employees or this Agreement is for less than $100,000, this section does not apply. Vendor acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10 or more full-time employees unless the contract contains a written verification from the Vendor that it: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. To the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that Vendor's signature provides written verification to the City that Vendor: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate against a firearm entity or firearm trade association during the term of this Agreement. (signature page follows) (remainder of this page intentionally left blank) The undersigned represents and warrants that he or she has the power and authority to execute this Agreement and bind the respective party. CITY OF FORT W TH: T�ass2 3/6e By: Dana Burghdoff (May 9, 202 CDT) Name: Dana Burghdoff Title: Assistant City Manager Date: 05/19/2025 APPROVAL RECOMMENDED: 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: April Jacquez (May 13, 2025 09:40 CDT) Name: April Jacquez Title: Sr. Contract Compliance Specialist APPROVED AS TO FORM AND LEGALITY: By: Midori Clark (May 15, 202513:46 CDT) , • / W Name: Midori Clark By: Title: Director, Library Po�FORr°aa Name: Jessika J. Williams p -' %J 0 Title: Assistant City Attorney o'°oo//V,00� �S�as 144Ilgi p4eaa CONTRACT AUTHORIZATION: By: M&C: N/A Name: Jannette Goodall Date Approved: N/A Title: City Secretary 1295 Form: MA\111111A Midwest Library Service, Inc. By: Name: Trudy Barrett Title: General Manager Date: 05/07/2025 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX EXHIBIT A DocuSign Envelope ID: 4D109D3F-9549-4DB9-9D98-FE57A537B58D Contract Item List Contract No. 715M2 Publications, Audiovisual Materials, Books, Textbooks, and Ancillary Services Contract ID No. 715M2-2707 RFP No. 304T-20-715M2 Midwest Library Service, Inc. K-12 School Libraries Category Public Libraries (City, Regional, etc.) Category Academic Institutions Category State Agencies and Co -Op Member Category Electronic and Digital Materials Category 1 Digital pre -loaded; all -in -one audio books Category 2 Digital pre -loaded; all -in -one audio book pack kits Category 3 Digital pre -loaded Category 4 Audiovisual Pre -loaded; Device included Print Materials Category 5 Adult trade; fiction/non-fiction hardbound net - 33% Category 6 Adult trade; fiction/non-fiction paperback net - 10% Category 7 Juvenile trade; fiction/non-fiction hardbound net - 33% Category 8 Juvenile trade; fiction/non-fiction paperback net - 10% Category 9 Mass market paperback; rack net - 10% Category 10 Non -trade publication; hardbound L net - 15% Category 11 Non -trade publications; paperback net - 15% Category 12 University press net - 15% Category 13 Adult library bound; fiction/non-fiction net - 33% Category 14 Juvenile library bound; fiction/non-fiction net - 33% Category 15 Pre -bound hardbound net - 10% Category 16 Pre -bound paperback net - 10% net - 33% net - 33% net - 33% net - 10% net - 10% net - 10% net - 33% net - 33% net - 33% net - 10% net - 10% net - 10% net - 10% net - 10% net - 10% net - 15% net - 15% net - 15% net - 15% net - 15% net - 15% net - 15% net - 15% net - 15% net - 33% net - 33% net - 33% net - 33% net - 33% net - 33% net - 10% net - 10% net - 10% net - 10% net - 10% net - 10% Nonstandard Formats Category 17 Music/Audio Compacts Disc; Pre-recorded Category 18 Music/Audio Record Disc, Vinyl; Pre-recorded Audiovisual DVD/Blue-ray pre-recorded; feature/non- Category 19 feature films Category 20 Spoken word/audio compact disc pre-recorded; abridged Category 21 Spoken word/audio compact disc pre-recorded; un-abridged Category 22 Spoken word/audio MP3 format pre-recorded; un-abridged *N/A = not awarded DocuSign Envelope ID: 4D109D3F-9549-4DB9-9D98-FE57A537B58D Contract Item List Contract No. 715M2 Publications, Audiovisual Materials, Books, Textbooks, and Ancillary Services Contract ID No. 715M2-2707 RFP No. 304T-20-715M2 Midwest Library Service, Inc. Premium Processing - Shelf -Ready Base Price Description Mylar Jacket (or Laminate Cover), Label Protectors, Spine $3.20 Label, Barcode, and Standard MARC Record Mylar Jacket (or Laminate Cover), Label Protectors, Spine Label, Barcode, RFID Tag (programmed and applied), and $3.95 Standard MARC Record Processing Services Base Price Description Brief MARC Record No Charge If Vendor Offers MARC records, a Brief MARC Record Shall Be Free of Charge, Per the Terms of This RFP Full MARC Record $0.85 Mylar Jacket $1.05 lBarcode Label $0.65 1Label (per application -Customer supplied) $0.30 Label (per application -Vendor supplied) $0.50 Genre Label $0.30 Spine Label $0.65 Label Protector $0.25 Pocket (paper) $0.30 Pocket (vinyl) $0.65 Property Stamp (per impression) $0.35 Spine Tape (inside) n/a Spine Tape (Outside) n/a Audio Visual Processing and Accessories Base Price Description Digital Processing for Media n/a Format Conversion Service n/a Hub Label (per application) n/a Shrink Wrap Removal n/a IDVD/CD Case, Holds Single Disc (Paper) n/a IDVD/CD Case, Holds Single Disc (Plastic) n/a IDVD/CD Case, Holds Multiple Discs n/a IDVD/CD Case, Locking n/a Spoken Audio CD Case; Various Capacities n/a Laminated Paperback Covers Base Price Description Polypropylene Laminate; Various Thicknesses $2.20-3.35 Cost dependent on size of book. Hinges $0.75 - $0.95 Vinyl Laminate; Various Thicknesses n/a RFID/Theft Deterrents Base Price Description Pre-programmed RFID/Barcode Set (1 Barcode); Applied to $0.65 book IRFID ("universal" tag programmed and applied) $0.75 1CD/DVD Overlay RFID Tag n/a Theft Deterrent Tape/Strip $0.55 Contract Details Glenn Hegar Texas Comptroller of Public Accounts Contract Details: # 715-M2 Number 715-M2 Description Publications, Audiovisual Materials, Books, Textbooks, and Ancillary Services Category Managed Type Term Start Date 6/29/2020 End Date 10/31/2025 Purchase PCC C Category Code (Agencies Only) Optional Extension: November 1, 2024, through October 31, 2025 Renewal Terms Purchase Customers will issue an internal purchase order that references this CPA Contract Number and current Orders item description(s) and pricing as stated on this contract. The Contractor will not ship any products or provide related services until receipt of a Purchase Order generated by the State Agency, Higher Education or Cooperative member. NIGP 52510 ; 52520 ; 52540 ; 71504 ; 71510 ; 71546 ; 71555 ; 95610 Codes(s) https://www.txsmartbuy.gov/browsecontracts/2231 CPA Contract Questions regarding contract management issues, price changes, amendments or other post -award Management concerns should be directed to: SPD Contract Management Office (SCMO) Texas Comptroller of Public Accounts (CPA) Phone: (512) 463-3034 option 3 Email: spd.cmo@cpa.texas.gov (mailto:spd.cmo@cpa.texas.gov) https://www.txsmartbuy.gov/browsecontracts/2231 Contract Details Contract Customers should contact the applicable company representative in order to set up an account. Items and Pricing 715-M2 Baker & Taylor, LLC Price Sheet (http://www.txsmartbuy.gov/SSP°/`20Applications/NetSuite%201nc.%20- %20Shopping/Custom%20ShopFlow/Documents/Contract%20Attachments/715- M2%20B&T%20TSB%20Contract%201tem%20Listing. pdf) 715-M2 Brodart Co. Price Sheet (http://www.txsmartbuy.gov/SSP%20Applications/NetSuite%201nc.°/o20- %20Shopping/Custom%20ShopFlow/Documents/Contract%20Attachments/715- M2%20Brodart%20TSB%20Contract%20ltem%20Listing.pdf) 715-M2 Yankee Book Peddler, Inc. dba GOBI Library Solutions from EBSCO Price Sheet (http://www.txsmartbuy.gov/SSP°/o20Applications/NetSuite%20Inc.%20- %20Shopping/Custom%20ShopFlow/Documents/Contract%20Attachments/715- M2%20GOBI%20Library%20Solutions%20from%20EBSCO%20TSB%20Contract%201tem%20Listing.pdf) 715-M2 Ingram Library Services LLC Price Sheet (http://txsmartbuy.gov/SSP%20Applications/NetSuite%201nc.%20- %20Shopping/Custom%20ShopFlow/Documents/Contract%20Attachments/715- M2%201 ngram%20TSB%20Contract%201tem%20Listing_10_04_2023.pdf) 715-M2 Midwest Library Service, Inc. Price Sheet (http://www.txsmartbuy.gov/SSP%20Applications/NetSuite%201nc.%20- %20Shopping/Custom%20ShopFlow/Documents/Contract%20Attachments/715- M2%20Midwest%20Library%20Service%20TSB%20Contract%201tem%20Listing.pdf) 715-M2 Midwest Tape, LLC Price Sheet (http://www.txsmartbuy.gov/SSP%20Applications/NetSuite%201nc.%20- %20Shopping/Custom%20ShopFlow/Documents/Contract%20Attachments/715- M2%20Midwest%20Tape%20TSB%20Contract%201tem%20Listing. pdf) 715-M2 ProQuest, LLC Price Sheet (http://www.txsmartbuy. gov/SSP%20Appl ications/NetSuite%201 nc. %20- %20Shopping/Custom%20ShopFlow/Documents/Contract%20Attachments/715- M2%20ProQuest%20TSB%20Contract%201tem%20Listing.pdf) https://www.txsmartbuy.gov/browsecontracts/2231 Contract Details Warranty Warranty/Guarantee Details Each product proposed is to be warranted against defects in workmanship and material for a period of ninety (90) days or the duration of the manufacturer's standard warranty, whichever is longer, following Customer's acceptance. If no time or specific protocol for acceptance is specified elsewhere in the Contract or the Customer purchase order, items are presumed accepted ten (10) working days after receipt. The warranty will apply to any warranty service or repair requested by Customer during the warranty period by contacting the Contractor or Contractor's designee with such request, regardless of the amount of time required to complete the requested warranty service or repair. It is the intention of the parties to this Contract that Contractor's warranty obligations hereunder will survive the termination of this Contract. Replacement 1) Contractor must guarantee replacement of improperly manufactured products due to defective materials or product during the initial Contract period and any exercised renewal options. 2) Contractor must guarantee replacement or compensation to Customer if Contractor damages Customer's property when applying ancillary or processing services. 3) The replacements must be processed and received by the Customer within two weeks of written notification. 4) Contractor will provide replacement free of any charge, including any shipping necessary to return the product when necessary. 5) Contractor will either replace the product with new product or refund the full purchase price of the product, whichever the Customer prefers. Adding New Additional products or services of the same general category that are not already on the contract may be Products to added by submitting an Open Market Requisition (https://comptroller.texas.gov/purchasing/forms/) to the the Contract Statewide Contract Development section at open.market@cpa.texas.gov (maiIto: open. market@cpa.texas. gov). Delivery If delay is foreseen, Contractor shall give written notice to the Customer and must keep Customer advised Delays by at all times of status of order. Contractor Default in promised Delivery Days After Receipt of Order (ARO) without accepted reasons or failure to meet specifications authorizes the Customer to purchase goods and services of this contract elsewhere and charge any increased costs for the goods and services, including the cost of re -soliciting, to the Contractor. Failure to pay a damage assessment is cause for contract cancellation and/or debarment or removal of the contractor, as applicable, from the State's Centralized Master Bidders List (CMBL). https://www.txsmartbuy.gov/browsecontracts/2231 Contract Details Compliant Delivery does not occur until the Contractor delivers products, materials or services in full compliance with Products by the specifications to Customer's F.O.B. destination, unless delivery is specifically accepted, in whole or in Contractor part, by the Customer. Providing products, materials or services which do not meet all specification requirements does not constitute delivery. Customer reserves the right to require new delivery or a refund in the event that materials or products not meeting specifications are discovered after payment has been made. Purchase The Customer may request that a Contractor cancel a specific line item or an entire purchase order. There Order shall be no fees charged for cancellation of an item and/or order prior to shipment by the Contractor. A Cancellations Purchase Order Change Notice should be processed and sent to Contractor. Restocking The Customer may request that a Contractor accept return of products already delivered. If the return is Fee required through no fault of the Contractor, the Contractor may request a reasonable restocking charge. The Customer may pay a restocking charge if the CPA or Customer determines that the charge is justifiable. As a guideline, such charges shall not exceed 10% for contractors. Substitutions During the Contract term, the Contractor shall not substitute a product or brand unless the Contractor has obtained prior written approval from the CPA Contract Manager in coordination with the Customer. The Contractor must have written confirmation from the CPA Contract Manager of the substitution before making delivery. Contract The Statewide Procurement Division Contract Management Office (SCMO), a division of the Comptroller Performance of Public Accounts (CPA), administers a vendor performance program for use by all customers per Texas Government Code (TGC), §2262.055, and 34 Texas Administrative Code JAC), §20.108. The Vendor Performance relies on the customer's participation in gathering information on vendor performance. State agency customers shall report vendor performance on purchases of $25,000 or more from contracts administered by CPA, or any other purchase of $25,000 or more made through delegated authority granted by CPA JAC 20.108), or purchases exempt from CPA procurement rules and procedures. State agencies are additionally encouraged to report vendor performance on purchases under $25,000. Vendor Performance shall be reported through the CPAVENDOR PERFORMANCE TRACKING SYSTEM. (https://www.comptroller.texas.gov/purchasing/programs/vendor-performance-tracking/) The purpose of the Vendor Performance Tracking System is to: • Identify vendors that have exceptional performance • Aid purchasers in making a best value determination based on vendor past performance • Protect the state from vendors with unethical business practices • Track vendor performance for delegated and exempt purchases Contractors Contractor VID: 14731799749 Contractor: Baker & Taylor, LLC Contact Name: Wendy Hardy Email: wendy.hardy@baker-taylor.com https://www.txsmartbuy.gov/browsecontracts/2231 Contract Details Phone: (800) 775-1200 x2776 Alternate Contact Name: Stefanie Kremer Alternate Email: stefanie.kremer@baker-taylor.com Alternate Phone: (704) 998-3135 Address: 2810 Coliseum Centre Drive Suite 300 Charlotte, NC 28217 Contractor VID: 12322487583 Contractor: Brodart Co. Contact Name: Mary Miller Email: mary.miller@brodart.com Phone: (800) 233-8467 Alternate Contact Name: Lisa Miosi Alternate Email: lisa.miosi@brodart.com Address: 500 Arch Street Williamsport, PA 17701 Contractor VID: 16217466966 Contractor: Ingram Library Services LLC Contact Name: Stephen Casey Email: stephen.casey@ingramcontent.com Phone: (214) 952-6310 Alternate Email: ils.orders@ingramcontent.com Address: One Ingram Blvd. La Vergne,TN 37086 Contractor VID: 14308345058 Contractor: Midwest Library Service, Inc. Contact Name: Trish Banta Email: banta@midwestls.com Phone: (800) 325-8833 Alternate Contact Name: Herbert Lesser Alternate Email: hlesser@midwestls.com Address: 11443 St. Charles Rock Rd. Bridgeton, Missouri 63044 Contractor VID: 13714996868 Contractor: Midwest Tape, LLC Contact Name: Janet Timm Email: jtimm@midwesttape.com Phone: (800) 875-2785 Alternate Contact Name: Jeffery Jankowski Alternate Email: jankowski@midwesttape.com Alternate Phone: (419) 868-9370 https://www.txsmartbuy.gov/browsecontracts/2231 Contract Details Address: PO Box 820 Holland, OH 43528 Contractor VID: 13920538553 Contractor: Proquest, LLC Contact Name: Jess Snyder Email: Proposals@proquest.com Phone: (248) 496-1065 Address: Proquest, LLC 789 E. Eisenhower Parkway Ann Arbor, MI 48106 Contractor VID: 10203021430 Contractor: Yankee Book Peddler, Inc. dba GOBI Library Solutions from EBSCO Contact Name: Bonnie LaRose Email: bidadmin@ybp.com Phone: (800) 258-3774 x8895 Alternate Contact Name: Kate Hartnett Alternate Email: khartnett@ybp.com Alternate Phone: (800) 258-3774 x8808 Address: 999 Maple Street Contoocook, NH 02339 Texas Comptroller of Public Accounts Glenn Hegar Home (https://comptroller.texas.gov) Contact Us (https://comptroller.texas.gov/about/contact/) Policies Privacy and Security Policy (https://comptroller.texas.gov/about/policies/privacy.php) Accessibility Policy (https://comptroller.texas.gov/about/policies/accessibility.php) Link Policy (https://comptroller.texas.gov/about/policies/links.php) Search from the Texas State Library (https://www.tsl.texas.gov/trail/index.html) Texas Homeland Security (https://www.dhs.gov/see-something-say-something/reporting/texas) Public Information Act (https://comptroller.texas.gov/about/policies/open-records/public-information-act.php) Texas Secretary of State (https://www.sos.state.tx.us/) H B 855 Other State Sites Texas.gov (https://texas.gov) Texas Records and Information Locator(TRAIL) (https://www.tsl.state.tx.us/trail/) State Link Policy (https://dir.texas.gov/resource-library-item/state-website-linking-privacy-policy) Texas Veterans Portal (https://veterans.portal.texas.gov) https://www.txsmartbuy.gov/browsecontracts/2231 EXHIBIT C CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. jJ Name of vendor who has a business relationship with local governmental entity. Midwest Library Service, Inc. J ❑ Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) J Name of local government officer about whom the information is being disclosed. N/A Name of Officer J Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. N/A A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes F-1 No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? 71 Yes F1 No J Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. N/A J ❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). J 05/07/2025 Signature of vendor d usiness with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code § 176.0010-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code § 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code § 176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021