R2022-103 2022-05-09RESOLUTION NO. R2022-103
A Resolution of The City Council of the City of Pearland, Texas, authorizing
the City Manager or his designee to participate in an interlocal cooperative
pricing arrangement with the Buyboard Purchasing System for the
purchase of Police Department firearm ammunition, in the estimated
amount of $88,001.30, from Precision Delta Corporation.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS:
Section 1. That contract pricing has been obtained through interlocal cooperative partner
the Buyboard Purchasing System for the purchase of Police Department firearm ammunition.
Section 2. That the City Manager or his designee is hereby authorized to participate in an
interlocal cooperative pricing arrangement with the Buyboard Purchasing System for the purchase of
Police Department firearm ammunition, in the amount of $88,001.30, from Precision Delta
Corporation.
PASSED, APPROVED and ADOPTED this the 9th day of May, A.D., 2022.
________________________________
J.KEVIN COLE
MAYOR
ATTEST:
________________________________
LESLIE CRITTENDEN
CITY SECRETARY
APPROVED AS TO FORM:
________________________________
DARRIN M. COKER
CITY ATTORNEY
DocuSign Envelope ID: 0A25AF02-898B-4C60-9D95-62A4A2F9D6EE
Exhibit A
Board P.O. Box 400,Austin,Texas 78767
800.695.2919•info@buyboard.com • buyboard.com
January 25, 2022
Sent via email to: precdelta(a tecinfo.com
Patricia Lott
Precision Delta Corp
PO Box 128
Ruleville, MS 38771
Re: Public Safety and Firehouse Supplies and Equipment
BuyBoard Contract 603-20
The Local Government Purchasing Cooperative (BuyBoard) awarded your company a contract under
Public Safety and Firehouse Supplies and Equipment, Contract 603-20, for which the current term is set to
expire March 31, 2022.At this time, the BuyBoard is renewing your contract through March 31, 2023. This
will be the final renewal of this contract.
All discounts,terms, and conditions of your contract will remain the same. If you agree to this renewal,there
is nothing you need to do. However, if you do not agree to this renewal, you must notify me via email at
Vka.maraden@tasb.org prior to the start of the renewal term.
If you have questions or comments concerning this renewal, please contact me as soon as possible at
ka.maraden@tasb.org. We appreciate your interest in The Local Government Purchasing Cooperative.
Sincerely,
Lisa Maraden
Contract Administrator
final renewal v.02.13.2020
Endorsed by TASAA TML
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Cooperative Purchasing
P.O.Box 400
Austin, TX 78767.0400
800.695.2919 / 512,467,0222 / Fax:800,211.5454
bcayboard.cam
February 10, 2020
Sent Via Email: precdelta@tecinfo.com
Patricia Lott
Precision Delta Corp
PO Box 128
Ruleville, MS 38771
Welcome to BuyBoard!
Re: Notice of The Local Government Purchasing Cooperative Award
Proposal Name and Number: Public Safety and Firehouse Supplies and Equipment, Proposal No. 603-20
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal. The contract is effective 4/1/2020 through 3/31/2021,with two possible
one-year renewals. The contract documents are those identified in Section 3 of the General Terms and Conditions of the
specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 603-20 on the following
web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through the BuyBoard
contract. In addition, on this website you will find the membership list which will provide you with the names of all entities
with membership in our purchasing cooperative.
Enclosed with this letter you will find the following documents:
1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards
You are advised that receipt of a purchase order directly from a Cooperative member is not within the
guidelines of the Cooperative. Accepting purchase orders directly from Cooperative members may result in a violation
of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all
purchase orders must be processed through the BuyBoard in order to comply. Please forward by email to
info@buyboard.com any order received directly from a Cooperative member. If you inadvertently process a purchase
order sent directly to you by a Cooperative member, please email the order info®buyboard.com and note it as RECORD
ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days prior to
the start of your contract.
On behalf of the Texas Association of School Boards, 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.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
w The t.oe gal Government Pcrrrhasang f'rarape rrrtive is endorsed by the Texas A;ssecrot/on ciSchool FSear's,
E :1,1 �� Texas Manae,war eaote, Testis Assor,rahon of Countss eel the Was��s Assoc ieun of �,�t,eet Administrator
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PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name: Public Safety and Firehouse Proposal Due Date/Opening Date and Time:
Supplies and Equipment July 31, 2019 at 4:00 PM
Location of Proposal Opening:
Texas Association of School Boards, Inc.
BuyBoard Department
Proposal Number: 603-20 12007 Research Blvd.
Austin, TX 78759
Anticipated Cooperative Board Meeting Date:
Contract Time Period:April 1, 2020 through January/February 2020
March 31, 2021 with two (2) possible one-year
renewals
1r ea,(51 . a a I - 2.4/- 1
Name of Proposing Company Date
* .
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Street Address Signature of Authorized Company Official
oevi I I S '711
City, State, Zip --tir Ci C1/4-.
Printed Name of Authorized Company Official
10 9 (o 2 i 0
Telephone Number Number of Authorized Company Official Position or Title of Authorized Company Official
to t'l CO 9 0 • 04 I . 144
Fax Number of Authorized Company Official Federal ID Number
Proposal Forms COMM/SVCS v.05.31.2019
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12007 Research Boulevard •Austin,Texas 78759-2439 * PH: 800-695-2919 ^ FAX: 800-211-5454 ' buyboarthcom
VENDOR CONTACT,INFORMATION
Name of Company: fieel it)i art ed:YepOrtZ4:10()
Vendor Proposal/Contract Contact Name: ''&3:1ri C‘c 0,... ,0 I
Vendor Proposal/Contract Contact E-mail Address: 1—
plea. ,A e I -_ eai 0.0
Vendor Contact Mailing Address for Proposal/Contract Notices:
Lteli; lie 3 91, I
Company Website: V4tAi Iiii, pree i sierl del-6i. cowl
Purchase Orders: All purchase orders from Cooperative members will be available through the Internet. Vendors need
Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when
a new purchase order arrives. An information guide will be provided to vendors to assist them with retrieving their orders.
Please select options below for receipt of purchase orders and provide the requested information:
I will use the internet to receive purchase orders at the following address:
1 1 4a...6;) e,C.' -1, 1') (I
Purchase Order E-mail Address: pree,c„e. -- -1- 1( -v. . 0 ry)
Purchase Order Contact: PaArt Ci a- La 1 I. Phone: (.0(02- 'I (0- 28 0
Alternate Purchase Order E-mail Address: CI irler @pc-ea i 5W oy) ,,e, cool
/ _ta. I
Alternate Purchase Order Contact: rieir 11 I i itOY)S Phone: 6942 2.- '75 6-28( 0
El Purchase orders may be received by the Designated Dealer(s) identified on my company's Dealer
Designation form as provided to the Cooperative administrator. I understand that my company shall
remain responsible for the Contract and the performance of all Designated Dealers under and in
accordance with the Contract.
Request for Quotes("RFQ"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
'.., #.1. 1 '11-)1Y 4me e --0 0
RFQ E-mail Address: eprex, c ,, 1 ri , 0 . _c vv ..n
RFQ Contact: 1 i CI'CA, . Phone:
Alternate RFQ E-mail Address: 0 i el 9 ei Q p rec. is, i d e i -I--a
C.,' A 1 " t
Alternate RFQ Contact: tier „."-t-1 1 i torNS Phone: (.0(02 rino 2 10
Proposal Forms COMM/SVCS v.05.31.2019
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Board
• 410 Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
Invoices: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee
invoices and related communications:
Please choose only one (11 of the following options for receipt of invoices and provide the requested
information:
Service fee invoices and related communications should be provided directly to my company at:
Invoice ailing address: 0 12.8 Department:
City; .1>. one State: Zip Code:
3 7 l
Contact Name: 1C tom- Phone:
Invoice Fax: 9(9. t.54 e S 9() Invoice E-mail Address: )(E?C ci e ► e t ro--0 ,cow--)
Alternative Invoice E-mail Address: () Inc,
) t (' e( ) re @ i 'j i on d e 1 -i- . . 0-cren.
o
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**:
Billing agent Mailing address: Department:
City: State: Zip Code:
Billing Agent Contact Name: Phone:
Billing Agent Fax: Billing Agent E-mail Address:
Alternative Billing Agent E-mail Address:
**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 obllgations under the Contract Including, but
not limited to,payment of all service fees under any Contract awarded Vendor.
Proposal Forms COMM/SVCS v.05.31.2019
biBoard
Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 " FAX: 800-211-5454 • buyboard.com
FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE
Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor)
states: "A person or business entity that enters into a contract with a school district must give advance notice to the district
if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the
conduct resulting in the conviction of a felony."
Section 44.034 further states in Subsection (b): "A school district may terminate a contract with a person or business
entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or
misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for
services performed before the termination of the contract."
Please check(IA one of the following:
El My company is a publicly-held corporation. (Advance notice requirement does not apply to publidy-held corporation.)
My company is not owned or operated by anyone who has been convicted of a felony.
My company is owned/operated by the following individual(s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
CY\ CC) ra -119j
oitee-t-3 v
Company Name
cçcFii cm*i
Signature of Authorized Company Official Printed Name
DEBARMENT CERTIFICATION
Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described
in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is
currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or
declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative
and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an
owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise
excluded by agencies or declared ineligible under any statutory or regulatory authority.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
C/V 4.1
1 vai: 1
Company Name
Signature of Authorized Company Official Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
ku VBoart
Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 PH: 800-695-2919 • FAX: 800-211-5454 buyboard.com
RESIDENT/NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. Under the statute, a"resident" proposer is a person whose principal place of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A
"nonresident"proposer is a person who is not a Texas resident. Please indicate the status of your company as a"resident"
proposer or a"nonresident"proposer under these definitions.
Please check(V)one of the following:
El I certify that my company is a Resident Proposer.
I certify that my company is a Nonresident Proposer.
If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in
which your company's principal place of business is located):
emp
C0114.5rozTion
rea . To 205 ki 9494 e.12 Company Name Name Address
U-Ae 3 19 I
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 e is the same as yours by a prescribed amount or percentage to receive a comparable contract?
CI Yes No
B. What is the prescribed amount or percentage? $ or
VENDOR EMPLOYMENT CERTIFICATION
Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when
determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's
ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in
Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas,
does your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please check(V)one of the following:
El Yes
No
By signature below, I certify that the information in Sections 1 (Resident/Nonresident Certification) and 2 (Vendor
Employment Certification)above is true, complete and accurate and that I am authorized by my company to make this
certification.
.rrec 1.5tan
Company Name
I
Signature of Authorized Company Official Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
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• • Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
No ISRAEL BOYCOTT CERTIFICATION
Effective September 1, 2017, as amended effective May 7, 2019 (H.B. 793), a Texas governmental entity may not enter
into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company
(excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains
a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term
of the contract. (TEx. Govr 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 below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of
any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am
authorized by my company to make this certification.
--7--)
iieCic) i gY\---U-),,tAo. Cc_Arlrcefi 01
Company Name
• . .,
Signature of Authorized Company Official Printed Name
Mote: If Vendor does not wish to make this certification,return the blank form in lieu of a completed
certification.
NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization—specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this
certification is true, complete and accurate; and that I am authorized by my company to make this certification.
1ee-iSi001/41)Sa4=k- 0 a_
Company Name
, .
i CA 0. ff
Signature of Authorized Company Official Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
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..qiB oar 110 111 Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard,com
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION.
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or "MWBE" and all referred to in this form as a "HUB") is encouraged to indicate its HUB certification status
when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that
properly indicate and document their HUB certification on this form.
Please check(-st) all that apply:
El I certify that my company has been certified as a HUB in the following categories:
El Minority Owned Business
El Women Owned Business
1:1 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 200/0 or more as determined by the U. S. Department of Veterans Affairs or Department of
Defense)
Certification Number:
Name of Certifying Agency:
My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
, 06
Copan Name
I
„.._
(.-1,CL.
Printed Name
. '
Signature of Authorized Company Official
Proposal Forms COMM/SVCS v.05.31.2019
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12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
("Advisory"), Texas law prohibits the procurement of architecture or engineering services through a
purchasing cooperative. This BuyBoard contract does not include such services. Architecture or engineering
services must be procured by a Cooperative member separately, in accordance with the Professional
Services Procurement Act (Chapter 2254 of the Texas Government Code) and other applicable law and local
policy.
The Advisory, available at sard,anNe_ndiair ResQurces.aspx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy
of the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or
services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply
with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers
or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy
of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase
order for construction-related goods or services, whichever comes first.
a 0-i ci D-Q-1 (002
Company Name
(-(
it
Signature of Authorized Company Official Printed Name
0""
Date
Proposal Forms COMM/SVCS v.05.31.2019
balf BOard• 4
4110 Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 " buybeersktam
DEVIATION AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check(V) one of the following:
Deviations presented by vendor have been accepted by
Buy It oard
No; Deviations
Yes; Deviations Connie W gurketh CISE30
Buy goard Contract Administrator
List and fully explain any deviations you are submitting:
f(ILISAI it 14fY ai A -
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2.70 • ill A 0 10,
Nulci Crno..V 1101AD e.5 500,DD
PLEASE PROVIDE THEROW)WING INFORMATION:
1. Shipping Via: P4 Common Carrier E] Company Truck El Prepaid and Add to Invoice El Other:
2. Payment Terms: P1t Net 30 days El 1% in 10/Net 30 days El Other:
3. Number of Days for Delivery:,3)-1 eV ARO *
4. Vendor Reference/Quote Number:
5. State your return policy: .2,5% -PLAkb
6. Are electronic payments acceptable? AYes El No
7. Are credit card payments acceptable? JYes ID No
eRfee-A.SIM
-Company Name
i CL
Signature of Authorized Company Official Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
11 1 Board
• • Cooperative Purchasing
12007 Research Boulevard " Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • battoritimm
LOCATION /AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation,
please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders,
and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the
Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms
and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer
Designated Dealer form.
(ao,/,15i • P
Company Name
TO 122) 205 \k 4-119e2a,„_,
Address
Viite/Vri 2877
City State Zip
(0(.0a 150 2-B i0 (r)(0,2 5 62 Ci
Phone Number Fax Number
C.-1 OA
Contact Person
Company Name
Address
City State Zip
Phone Number Fax Number
Contact Person
Proposal Forms COMM/SVCS v.05.31.2019
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12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • nkty.02,,qrstom
MANUFACTURER DEALER DESIGNATION
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple
dealers ("Designated Dealers") to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete
this form for each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any
obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor
or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain
responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's
Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder,
including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees.
If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard
system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor
with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process
such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to
a Designated Dealer for processing.
The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated
Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise
acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or
suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish
to designate multiple dealers, please duplicate this form as necessary.
Designated ealer Name
Designated Dealer Address
City State Zip
Phone Number Fax Number
Email address Designated Dealer Tax ID Number* (*attach W-9)
Designated Dealer Contact Person
'rn-Pree7r, - 4 0 —
Your Company Name I Signature of Authorized Company Official
Proposal Forms COMM/SVCS v.05.31.2019
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12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • Ouyillasliznot
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperkive (referred to as"Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to
serve different regions for different products or services included in your proposal, you must complete and
submit a separate Texas Regional Service Designation form for each group of products and clearly indicate
the products or services to which the designation applies in the space provided at the end of this form. By
designating a region or regions, you are certifying that you are authorized and willing to provide the
proposed products and services in those regions. Designating regions in which you are either unable or
unwilling to provide the specified products and services shall be grounds for either rejection of your
proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative
members (i.e., if you will service only states other than Texas), you must so indicate on this form.
Regional Education Service Centers i i will service Texas
Cooperative members
statewide.
, ,1
171 I will not service Texas
Cooperative members
statewide. I will only
service members in the
regions checked below:j --
• Region Headquarters
O 1 Edinburg
CI 2 Corpus Christi
'TSTr 0 3 Victoria
O 4 Houston
O 5 Beaumont
CI 6 Huntsville
CI 7 Kilgore
( 0 8 Mount Pleasant
0 9 Wichita Falls
CI 10 Richardson
O 11 Fort Worth
O 12 Waco
_1_ 2: . 0 13 Austin
0171 ASabnAnnegelo
1514 Abilene
CI 16 Amarillo
. 0 17 Lubbock
0 18 Midland
Company Name
0 19 El Paso
L71 20 San Antonio
Signature of Authorized Company Official
i CAO— La fl— 0 I will not service members
Printed Name
of the Texas Cooperative.
Proposal Forms COMM/SVCS v.05.31.2019
kivBoaret'
• • Cooperative Purchasing
12007 Research Boulevard "Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • hi.lybol:41:cl,g93
STATE SERVICE DESIGNATION
The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including
intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete
this form if you plan to service the entire United States, or will service only the specific states indicated. (Note:If you plan
to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.)
If you serve different states for different products or services Included in your proposal,you must complete
and submit a separate State Service Designation form for each group of products and clearly indicate the
products or services to which the designation applies in the space provided at the end of this form. By
designating a state or states, you are certifying that you are authorized and 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.
Please check(v') all that apply:
LI I will service all states in the United States.
I will not service all states in the United States. I will service only the states checked below:
El Alabama
0 Alaska El Nebraska
LI Arizona El Nevada
El Arkansas El New Hampshire
LI California (Public Contract Code 20118 &20652) nl New Jersey
Ej Colorado El New Mexico
El Connecticut El New York
0 Delaware 0 North Carolina
El District of Columbia El North Dakota
El Florida 0 Ohio
0 Georgia 0 Oklahoma
El Hawaii LI Oregon
0 Idaho El Pennsylvania
0 Illinois 0 Rhode Island
El Indiana El South Carolina
0 Iowa El South Dakota
El Kansas 0 Tennessee
El Kentucky Texas
0 Louisiana 0 Utah
El Maine Ej Vermont
0 Maryland El Virginia
0 Massachusetts LI Washington
0 Michigan 0 West Virginia
0 Minnesota Wisconsin
0 Mississippi 0 Wyoming
El Missouri
0 Montana
Proposal Forms COMM/SVCS v.05.31.2019
I.I.Hysoard f.9
operative Purchasing
13007 Research Boulevard ^ Austin,Texas 787S9-34]9 ' PH: 800'695'2919 ^ R\%� 8OO'Z11-S4S4 ^ buvboavd.00m
.
NATIONAL PURCHASING COOPERATIVE
ID accordance with the Terms and Conditions associated with this Proposal Invitation, G contract avVanj8d under this
Proposal Invitation may be "piggy-backed" bv 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 tothe 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 tmKm this Agreement am"Vendon") agrees smfollows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Coop8natixe"\ awards Vendor a
contract under this Proposal Invitation /"UndedyinQAward"l, the National Purchasing [}oopen]tive /"Nat|ona| CVVPerat|*e"l
may - but is not nsqu|pad to -"piggy-back. on or re-award all or portion of that Underlying Award C'Piggy-BackAvvand"\.
By signing this National Cooperative Vendor Award Agreement ["Aoneenlent"l, Vendor accepts and agrees to be bound by
any such Piggy-Back Award aa provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator
("BuyBoard Admn|n|Stnator'� will notify Vendor in writing of such Piggy-Back Award, which award shall comnnneDC8 on the
effective date stated in the Notice and end on the expiration date of the Underlying Award, subiectbo annual renewals as
authorized in writing by the Buy8oard 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
|nter||neaUons or changes to this Agreement hv Vendor will be binding on National Cooperative, unless such changes are
agreed tobvits BuyEoaFd Administrator|Owriting.
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, ao required bv the Undedy|ng
Award. However, nothing in this Agreement prevents Vendor �om offering National Cooperative nnenl' rs betterO.e./
|ovxehoVrnpatiUwsphdngand nnmnefavorable terms and conditions than those |n the Undedy|Dg /�xanJ. ^
4. Vendor hereby agrees and confirms that itwill serve those states it has designated on the State Service Designation
Form ofthis Pn]poG5| Invitation. Any changes tothe states designated on the State Service Designation Form must be
approved iD writing h«the BuyBoa[dAdministrator.
5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based oOthe amount of
purchases generated from National Cooperative members through the Piggy-Back
Aw/an]. Vendor shall remit payment to
National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon
request, Vendor shall provide National Cooperative with copies of all purchase orders, generated from National Cooperative
members for purposes ofreviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall
have the right, upon reasonable written noUce, to review Vendor's records pertaining to purchases made by National
Cooperative members in order bo verify the accuracy of service fees.
8. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are v adopted b n�evencetOthe
fullest extent such provisions can reasonably apply to the post-proposal/contract � �md phase. The
The rights and
responsibilities that vvoW|d 0n1|nar||y |OU[e 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 |n 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 Usrr�s of
this Agreement shall control, and then only to the extent necessary to reconcile the conflict.
Proposal Forms cnnM/m/csvu5.»1.zozy
kuyBoard
• Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue
for any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-
Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
Mai din oei , 1 ' 0
Na o Vendor Proposal Invitation Number
I
Signature of Authorized Company Official Printed Name of Authorized Company Official
17.. ,...1,
Date
Proposal Forms COMM/SVCS v.05.31.2019
,.
....Y u oar
ah- 0 Cooperative Purchasing
12007 Research Boulevard ' Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • Wytaivisl,cin
FEDERAL AND STATE/PURCHASING COOPERATIVE EXPERIENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from
vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives .t qr based on an established catalog or
market price during the previous 12-month period or the last fiscal year: '', ),coo . (The period of the 12
month period is j 7.01 ilfweeZoirt). In the event that a dollar value is not an appropriate measure of the sales,
provide and describe our 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.
CURRENT FORMER VENDOR (YIN)?— AWARDED
PURCHASING VENDOR? IF YES, LIST YEARS COMMODITY
GROUP (Y/N) AS VENDOR CATEGORY(IES)
1. Federal General Services Administration
h 1 1
. . ,2. T-PASS (State of Texas) 4 .0.ec4s tekr, ' NIGP GE10 .-CI:
PO° Oa (1,06k" toe0-0,
.. _
3. U.S. Communities Purchasing Alliance
4. National IPA/TCPN
_
5. Houston-Galveston Area Council (HGAC)
.. .. ....
6. National Joint Powers Alliance (NJPA)
- .
7. E&I Cooperative
8. The Interlocal Purchasing System (TIPS) —
. — .
9. Other
El MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUYBOARD VENDORS
If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the
discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between
your current and proposed discounts.
Current Discount(%): Proposed Discount(0/0): 11
I 1 i 6 ,,
Explanation: W I eAmeslier ' 9,4206-1-rve4 ile p ri ci(icebrw, e
Proposal Forms COMM/SVCS v.05.31.2019
ii,Air ir
Cr 0 0 Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 * FAX: 800-211-5454 • noillocifillsini
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
Company Name
--fri e i arn, 11 -H-
Signature of Authorized Company Official Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
Board
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 •hailosird,coni
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts
you offer other governmental customers. Attach additional pages if necessary.
Quantity/
_Entity Name Contact Phone# Email Address JCiisc unt Volume
itk? 57C) 44,
11
I. • e
e z„ (15i7-715. 2,o Lit deo,50„rers- gfecio -14 tts I. (co oo
•
(cc
2. aft° /La
1144) 1iL - ( i3bh€, ,,K r vLWbST 51)5 2„.o,
Oew,;cet tx,ti;. Actitti _Lott,„,
t'S b . Slinm 512-1-f21-1- 1112. d es.itYfas,j°v
u„ ictiAvt.
the
W1/41Ajt 41. tkeiraft aamed,
2,5
4. a:LiteA4U.efro, 240. 5-012-8
usk;
, 4 ,,
5. I. Us 04. lif ° • 2—'4 1-1 ike 41 44:3" 2-q-i-) OLa)
•
Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give
better discounts (lower prices) than indicated? YES E NO ID If YES, please explain:
4-11,469 ix,are 4e7 Vrc;IN, 611 kV ykwe; poxe,itztic,6
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
ee-175i- Tpci , p
pa ny Name
Signature of Authorized Company Official
LC)
Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • bilyty2prdAgrd
MARKETING STRATEGY
For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or
part of your Proposal. , an Ex ,� " % ' loip t �i i l o tive m ��ofy
contras : ' ; e �/ co ueit%s p"r ; uy: : o r,� ;i )
Attach additional pages if necessary.
au- ,11 ta, it,2 ,iz5jr, , co
Company Name
Signature of Authorized Company Official
4 b
Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
iir
Board
0 i Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • htlybogrdzpro
CONFIDENTIAL/PROPRIETARY INFORMATION
A. Public Disclosure Laws
All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this
Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public
Information Act (Texas Government Code chapter 552.001, et. seq.) or similar disclosure law. Proposer must clearly
identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the
Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the
Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a
member of the public or other third party request access to the information under the Texas Public Information Act or
similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has
identified in this form as proprietary or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
Please check(V)one of the following:
lib I NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
1
0 YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is
specifically identified on this form.
If you responded"YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative
and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or
proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will
disclose information when required by law, even if such information has been identified herein as information the vendor
considers confidential or proprietary.
Confidential / Proprietary Information:
(Attach additional sheets if needed.)
Proposal Forms COMM/SVCS v.05.31.2019
..,_
__v Hu oar
• • Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • 12uyiaos,ircjcom
B. Copvriaht Information
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Please check(V)one of the following:
kit NO, Proposal (including forms, documentation, or other materials submitted with the Proposal)does not
contain copyright information.
0 YES, Proposal (including forms, documentation,or other materials submitted with the Proposal) does
contain copyright information.
If you responded"YES", identify below the specific documents or pages containing copyright information.
Copyright Information:
(Attach additional sheets if needed.)
C,Consent to Release Confidential/Proorietaiy/Cooyright Information to B yBoard Members
BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the Buy:;..rd may wish to
view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential,
proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such
information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other party.
D.Consent to Release Proposal Tabulation
Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal,
Vendor consents and agrees that, upon Contract award, the Cooperative may publically release, including posting on the
public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed
catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor
award or non-award information.
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
14ee tie. • _p
Company Name
Signature of Authorized Company Official
• Ne)t a._ •it
Printed Name
Date
Proposal Forms COMM/SVCS v.05.31.2019
Av; oard
41 I 1 • Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • PgylEtard,(oril
VENDOR BUSINESS NAME
By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must
be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and
accurately provide the information requested below or your Proposal may be deemed non-responsive.
Name of Proposing Company: FEC P1 C1 QTf 'C(44I
(List the legal name of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba,aka, etc. here. Such information may
be provided below. If you are submitting a Joint proposal with another entity to provide the same proposed goods or services, each submitting entity
should complete a separate vendor information form. Separately operating legal business entities, even if affiliated entities, which propose to provide
goods or services separately must submit their own Proposals.)
Please check(V)one of the following:
Type of Business:
Individual/Sole Proprietor
Corporation
Limited Liability Company
Partnership
Other If other, identify
•
•
State of Incorporation (if applicable): dli42 '")‘,2 I
Federal Employer Identification Number: 14- ei )8414
,
(Vendor must include a completed I8S1K9 form with their proposal)
List the Name(s) by which Vendor, if awarded, wishes to be identified'on the BuyBoard: (Note: If different than the Name of
Proposing Company listed above, only valid trade names(dba, aka, etc.)of the Proposing Company may be used and a copy of your Assumed Name
Certificate(s),if applicable, must be attached.)
Proposal Forms COMM/Svcs v.05.31.2019
Form W-9 Request for Taxpayer Give Form to the
(Rev.October 2018) Identification Number and Certification requester.Do not
Department of the Treasury send to the IRS.
!mama'Revenue Service Ix.Go to wsvw.tragov/FonviW9 for instructions and the latest Information.
(as shown on your income tax retum).Name required this .do not leave this line blank,
feG5 an - 1.Lairp• • CY)
2 amass name/dI, .0d anti , different from a..ba,
to
3 Check appropriate box for federal tax classification of the person whose name Is entered on line 1.Check only one of the 4 Exemptions(codes apply only to
following seven boxes. certain entities,not individuals;see
instructions on page 3):
E1 Individual/sole proprietor or Itg C Corporation 0 S Corporation 0 Partnership ID TrusVestate
a single-member LLC Exempt payee code(d any)
110 Umited liability company.Enter the tax classification(C--C corporation,S=S corporation,P=Partnership)11.
Note;Check the aPprOptlate box in the line above for the tax ctaaarflcation of the single-member owner, Do not check Exemption from FATCA reporting
P LLC if the LLC le classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC Is code of any)
p— another LLC that Is not disregarded from the owner for U.S.federal tax purposes,Otherwise,a single-member LLC that
u• 0 Is disregarded from tho owner should check the appropriate boa for the tax classification of It owner,
ED Other(see instructions)IP lo accoantei Wait*the Cla)
w Addmas efumter,stmat.end PL aulte no')Se*inslmdlans' 7069, 12-E3 Requester's name and address(optional)
a05 IA) 62, +-
Cthirbe, ZIP.wds
; Ile Aks 3g-7-7
7 List account number(s)here(optional)
Mu Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding.For Individuals,this is generally your social security number(SSN).However,for a r _
-I ..
resident alien,sole proprietor,or disregarded entity,see the instructions for Pert 1,later.For other
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN,later, or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name anti I Employer Identification number
Number To Give the Requester for guidelines on whose number to enter.
7 I 8 it
Part II Certification
Under penalties of perjury,I certify that:
1.The number shown on this form is my correct taxpayer identification number(or I am wafting for a number to be issued to me);and
2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Infernal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(0)the IRS has notified me that I am
no longer subject to backup withholding;and
3.1am 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.
ceraffeation instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to ..iort all Interest and dividends on your taxj return.For reel estate transactions,item 2 does not apply.For mortgage t paid,
acquii.ition or abandonment of secured property,cancellation of debt,contributions to an Individual retirement arrangement(IRA),and generally,payments
other than interest and dividends,you ant not,requ to sign the certification,but you must provide your correct TIN.See the Instructions for Part II,later.
.r- —
Sign z, nature of
Here al&person 1. Date lir I
General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual
funds)
Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross
noted.
proceeds)
Future developments.For the latest information about developments •Fomi1099-13(stock or mutual fund sales and certain other
related to Form W-9 arid Its instructions,such as legislation enacted transactions by brokers)
after they were published,go to wwwirs.gov/FormW9.
•Form 1099-S(proceeds from real estate transactions)
Purpose of Form •Form 1099-K(merchant card and third party network transactions)
An individual or errtity(Form W-9 requester)who Is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest),
information return with the IRS must obtain your correct tax.iyet 1098-T(tuition)
Identification number(TIN)which may be your social security number •Form 1099-C(canceled debt)
(SSN),individual taxpayer identification number(ITIN),adoption
taxpayer identification number(AT1N),or employer Identification number •Form 1099-A(acquisition or abandonment of secured property)
(EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident
amount reportable on an Information return.Examples of Information alien),to provide your correct TIN.
returns include,but are not limited to,the following, If you do not return Form W-9 to the requester with a 77N,you might
•Form 1099-INT(interest earned or paid) be subject to backup withholding.See What Is backup withholding,
later.
Gat.No,10231X Form W-9(Rev.10-2018)
JLYBoard
• • Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • buytmdlign
EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific
federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited
to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, 2 CFR 200 (sometimes referred to as the "Uniform Guidance" or new "EDGAR"). All Vendors submitting
proposals must complete this EDGAR Certification Form regarding Vendor's willingness and ability to comply with certain
requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This
completed form will be made available to Cooperative members for their use while considering their purchasing options
when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in
addition to the BuyBoard contract's general terms and conditions, to address the member's specific contractual needs,
including contract requirements for a procurement using federal grants or contracts.
For each of the Items below, Vendor should certify Vendor's agreement and ability to comply, where
applicable, by having Vendor's authorized representative complete and initial the applicable boxes and sign
the acknowledgment at the end of this form. If you fall to complete any Item In this form, the Cooperative
will consider and may list the Vendor's response on the BuyBoard as NO, the Vendor is unable or unwilling
to comply. A "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, Cooperative member ancillary
contract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent
with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions.
The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By
submitting a Proposal, you agree to these Vendor violation and breach of contract terms.
2. Termination for Cause or Convenience:
For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the
following term and condition shall apply:
The Cooperative member may terminate or cancel any purchase order under this Contract at any time, with or without
cause, by providing seven (7) business days advance written notice to the Vendor. If this Agreement is terminated in
accordance with this Paragraph, the Cooperative member shall only be required to pay Vendor for goods or services
delivered to the Cooperative member prior to the termination and not otherwise returned in accordance with Vendor's
return policy. If the Cooperative member has paid Vendor for goods or services not yet provided as of the date of
termination, Vendor shall immediately refund such payment(s).
If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the
manner by which it will be effected and the basis for settlement, is included in the Cooperative member's purchase order,
ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member's provision shall
control.
Proposal Forms COMM/SVCS v.05.31.2019
kiliBoaret
Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 * FAX: 800-211-5454 • tnyboxii.coi
3. Equal Employment Opportunity:
Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the
definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment
Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375,
"Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR
Part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor."
The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that
such provision applies to any Cooperative member purchase or contract that meets the definition of "federally assisted
construction contract"in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision.
4. Davis-Bacon Act:
When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction
contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146-
3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to
Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute, Vendor is required to
pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by
the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.cov. 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.
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.
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.
Proposal Forms COMM/SVCS v.05.31.2019
tP
Cooperative Purchasing
12007 Research Boulevard ^Austin,Texas 78759-3439 ' PH: 800-695-2919 ^ FAX: 800-211-5454 ^
7. Clean Air Act and Federal Water Pollution Control Act:
[lean Air Act (42 U8C 7401-7671o.} and the Federal Water Pollution Control Act (]] U8C 1351-1]87) as amended —
Contracts and subon5nto 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 tothe Clean Air Act (43 U8C74U1-
7671q.) and the Federal Water Pollution Control Act, aS amended (]] USC1251-1387). Violations must be reportedtothe
Federal awarding agency and the Regional Office of the Environmental Protection Agency(EPA).
When required, Vendor agrees to comply with all applicable standards, Vndec;/ or regulations issued pursuant t0the Clean
Air Act and the Federal Water Pollution Control Act.
8^ Debarment and Suspension:
Debarment and Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.220) must Oct be
made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with
the OMB guidelines at CFR 18O that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3
CFR Part 1989 Comp. p. 235), "Debarment and Suspension." 3AM 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 12S49.
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
13549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases
or seeking to purchase from Vendor if Vendor is later listed on the government-wide eXC|US|Ons in SAM, or is debarred,
suspended, or otherwise excluded by agencies or declared |Oe||g|b|e under statutory or regulatory authority other than
Executive Order 13S49.
9. Byrd Anti-Lobbying Amendment:
Byrd Anti-Lobbying Amendment (31 USC 1352) -- Vendors that apply or bid for an award exceeding $100,000mnust file the
�grt|��� �n' 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 member of Congress in connection with obtaining any
Federal contract, grant or any other award covered by 31 DSC 1352. Each tier must also disclose any lobbying with non-
Federal funds that takes place in coOOeCt|nO with obtaining any Federal award. Such disclosures are forwarded from tier t0
tier up to the non-Federal award. As applicable, Vendor agrees to file all certifications and disclosures required bu' and
otherwise oonmp|yvvith, the Byrd Anti-Lobbying A0eOdnleOt(31USC1352). '
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6003 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 toconfirm estimates and otherwise comply. The requirements of
Section 6DOz2 include procuring
only items dea|gnatedinguide||naoo[theEnvinonmmnta| PnztectionAgency (EPA) at4�OCFR
Part 347 that contain the highest percentage nf recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $1 ,000 or the value of the quantity acquired du ~ the
preceding fiscal year exceeded $10,000, pnocuhng solid waste management services in a manner that maximizes energy
and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA guidelines.
11. Profit as a Separate Element of Price:
For purchases using federal funds in excess of the Simplified Acquisition Threshold, a Cooperative member may be required
to negotiate profit as a separate element of the price. See, 3 CFR 2OO.323(bl. When required by a Cooperative member,Vendoragn�sto provide information and negotiate with the Cooperative ' ' bar regarding profit as a separate element
of the price for a particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to
the Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's
Cooperative Contract.
Proposal Forms comm/svcsv.os.y1.zo1y
r 40 0 Cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 . PH: 800-695-2919 * FAX: 800-211-5454 " buyboard.corn
12. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy
such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to,
applicable recordkeeping and record retention requirements.
,;;;,",;-- z ;';‘,-,; z YEk.,/.1igree or
CertitiOatiohli:eniiAlciJ- //„ Initial— '
1. Vendor Violation or Breach of Contract Terms
e() 0
.. .. - 4
2. Termination for Cause or Convenience
j
a5
3. Equal Employment Opportunity e
0,5 g4. Davis-Bacon Act
5. Contract Work Hours and Safety Standards Act
6. Right to Inventions Made Under a Contract or Agreement 1 I 4
ccez5
7. Clean Air Act and Federal Water Pollution Control Act
42_4m):
8. Debarment and Suspension
_ .9. Byrd Anti-Lobbying Amendment ... PX/
10. Procurement of Recovered Materials
(10
5
14-"-
11. Profit as a Separate Element of Price .0....5
12. General Compliance and Cooperation with Cooperative Members
v
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
4)(QQA51010A*De. i'4/21,4,- trip
Company Name
Signature of Authorized Company Official
Printed Name
Proposal Forms COMM/SVCS v.05.31.2019
......Y alBu Board
,..
0 Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • Laboarg ggn
PROPOSAL INVITATION QUESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial
resources to provide the goods and perform the services ("Work") under the BuyBoard contract contemplated by this
Proposal Invitation ("Contract"). Proposers must fully answer each question, numbering your responses to correspond to
the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below, and submit the signed questionnaire and your responses to all questions in one document with your
Proposal. You must submit the signed questionnaire and responses with your Proposal or the Proposal will
not be considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in
acquisition by another entity.
3'1 .
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this
Contract. State the number and summarize the experience of company personnel who may be utilized for the Work,
including those who will be available to Cooperative members for assistance with project development, technical issues,
and product selection for Work associated with this Contract.
, ,_
/
1 41 .1,4,42- 0P-K wee} vitz,/V 'fre' '' -
...
3. 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.
.
eA ' co(
g4S ': 1Pco.?
. „ .
cnc1wdllie,) 4,10 A 0.644_,,
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,
Proposal Forms COMM/SVCS v.05.31.2019
.4tryi i ,0
B
0 0 Cooperative Purchasing
12007 Research Boulevard •Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 • Mj2uardzoni
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date
and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the
work, or termination.
tm,(Lai,
6. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought
against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or
employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this
Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of
the claim, and resolution or current status.
By signature below, I certify that the information contained in and/or attached to this Proposal Invitation
Questionnaire in response to the above questions is true and correct and that I am authorized by my
company to make this certification.
..,,,,,
•
°rnI) x 4.
tre'a'5 i Di p
Company Name
\\*N.. ..._
Signature of Authorized Company Official
Proposal Forms COMM/SVCS v.05.31.2019
BuY oar 49
lel • cooperative Purchasing
12007 Research Boulevard • Austin,Texas 78759-2439 • PH: 800-695-2919 • FAX: 800-211-5454 buyboard.com
REQUIRED FORMS CHECKLIST
(Please check(V)the following)
• Completed: Proposer's Agreement and Signature
Completed: Vendor Contact Information
ITh Completed: Felony Conviction Disclosure and Debarment Certification
a- Completed: Resident/Nonresident Certification
am C• ompleted: No Israel Boycott Certification
[Er Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Er-- Completed: Historically Underutilized Business (HUB) Certification)
.1" Completed: Construction Related Goods and Services Affirmation
F- - Completed: Deviation/Compliance
Eie- Completed: Location/Authorized Seller Listings
_
IlEr Completed: Manufacturer Dealer Designation
Er Completed: Texas Regional Service Designation
✓ Completed: State Service Designation
Er Completed: National Purchasing Cooperative Vendor Award Agreement
Completed: Federal and State/Purchasing Cooperative Experience
aa Completed: Governmental References
Completed: Marketing Strategy
El C• ompleted: Confidential/Proprietary Information
Er C• ompleted: Vendor Business Name with IRS Form W-9
Er Completed: EDGAR Vendor Certification
Er C• ompleted: Proposal Invitation Questionnaire
Completed: Required Forms Checklist
2 C• ompleted: Proposal Specification Form with Catalogs/Pricelists and Texas Department of
Public Safety License
*c7taiogs/Pr1ce5ts must&submitted alth proposal response or response HO not be considered.
Proposal Forms COMM/SVCS v.05.31.2019
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Phone 800-337-3621 * Fax 662-756-2590
PO Box 128 * Ruleville, S 38771 * wprecisiondeltacorn
July 26, 2019
Sole Source
Precision Delta Corporation is the sole source of Precision Delta Products in the state of Texas.
We do not sell our products through a distributor.
Yours Truly
Patricia Lott
Vice President
AMMUNITION
January 15, 2019
To Whom It May Concern:
Precision Delta Corp. is the authorized law enforcement distributor for Winchester
ammunition and is the sole source for Winchester Ammunition in Alabama, Arkansas,
Georgia, Kansas, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee and Texas.
Sincerely,
Glen Weeks
Director, Government Contracts and
Specialty Products
jdm
gw19-5
Exhibit B
PRECISION DELTA CORPORATION QUOTE
205 W Floyce St
PO Box 128 Date Quote#
Ruleville, MS 38771 4/22/2022 10895-R1
Name/Address Ship To
City of Pearland A/P Pearland TX Police Dept
accountspayable@pearlandtx.gov Troy Mashue 281-467-3766
Pearland,TX 77588-2719 2555 Cullen Pkwy
Pearland,TX 77581
Rep
LE
Item Manufacture Description Qty Rate Total
RA9BA-DS Winchester 9mm+P 124gr.Ranger Bonded JHP 45 207.71 9,346.95
500 rd/cs Drop Ship from Winchester
USA223R1-USA223... Winchester USA223R1K 60 406.78 24,406.80
.223 Rem 55 gr. FMJ 1,000 rd/cs
Drop Ship from Winchester
USA9MM-DS Winchester 9 MM 124 gr.FMJ 290 119.09 34,536.10
500 rd/case
Drop Ship from Winchester
X12RS15-DS Winchester 12 GA 2 3/4'Super X Slug 6 164.04 984.24
250 rd/case
Drop Ship from Winchester
XU128-DS Winchester 12 GA 2 3/4',3 1/4 dram, 1 oz#8 shot 50 81.83 4,091.50
250 rd/cs
Drop Shipped from Winchester
RA12005-DS Winchester 12 GA 2 3/4'9 Pellet 00 Buck 7 146.81 1,027.67
Ranger Low Recoil
250 rd/case Drop Ship from Winchester
RA1200HD-DS Winchester 12 GA Ranger 00 Buck 9 Pellet 7 154.12 1,078.84
250 rds/case
Drop Shipped from Winchester
RA223R-Y-DS Winchester .223 Rem 55 gr.Pointed Soft Pt Ranger 20 626.46 12,529.20
PRICE PER 1,000 RDS
Drop Ship from Winchester
TX-BUY BOARD 603-20
ETA ON SHIPPING IS 60 TO 90 DAYS FROM
THE DATE OF ORDER
Total $88,001.30
Phone# Fax# www.precisondelta.com
662-756-2810 662-756-2590