Harris County Department of Education (HCDE) RFP Cover Sheet
Transcription
Harris County Department of Education (HCDE) RFP Cover Sheet
Harris County Department of Education (HCDE) RFP Cover Sheet Job No.: 08/037JC Due Date: 8/15/08 DUE NO LATER THAN 1:00 P.M. LATE BIDS WILL NOT BE ACCEPTED Request for Proposal (RFP) for: Compact Construction Equipment for Harris County Department of Education (HCDE) and the Purchasing Cooperative. PLEASE NOTE Carefully read entire proposal document and specifications. Complete all forms submit your bid with all appropriate supplements. Please submit your hard copy proposal in a sealed envelope with job no., description, and marked “SEALED PROPOSAL”. RETURN PROPOSAL TO: Attn: Jack Cutting – Purchasing Harris County Department of Education 6300 Irvington Blvd., Room 226 Houston, TX 77022-5618 For additional information contact Jack Cutting at (713) 696-0744 You must sign below in INK, failure to sign WILL disqualify the offer. All prices and responses must be typewritten or written in ink Company Name: ____________________________________________________ Company Address: ____________________________________________________ City, State, & Zip ____________________________________________________ Taxpayer I.D. # ____________________________________________________ Telephone # __________________ Fax # ______________ e-mail ______________ Print Name ____________________________________________________ Signature ____________________________________________________ Your signature attests to your offer to provide the goods and/or services in this proposal according to the published provisions of this Job. Contract is not valid until HCDE Board has approved the award. ACCEPTED BY: __________________________ HCDE Board Approval Page 1 of 28 DATE: ________________ TABLE OF CONTENTS Items checked below represent components which comprise this bid/proposal package. If the item IS NOT checked, it is NOT APPLICABLE to this bid/proposal. Offerors are asked to review the package to be sure that all applicable parts are included. If any portion of the package is missing, notify the Purchasing Department immediately. It is the Offeror's responsibility to be thoroughly familiar with all Requirements and Specifications. Be sure you understand the following before you return your bid packet. __X__ 1. Cover Sheet (page 1) Your company name, address, the total amount of the bid/proposal, and your signature (IN INK) should appear on this page. __X__ 2. Table of Contents (page 2) This page is the Table of Contents. __X__ 3. Terms and Conditions (page 3-5) You should be familiar with all of the requirements. __X__ 4. Specifications (page 6-10) This section contains the detailed description of the product/service sought by the HCDE. __X__ 6. Price Delivery Information (page 11) __X__ 7. Attachments (Submittals) Page 2 of 28 __X__ a. Proposal Submission Form (page 12) __X___ b. Felony Conviction Notice (page 13) __X__ c. Bid Certification Sheet (page 14) __X__ d. No Response Form (page 15) __X__ e. References (page 16) __X__ f. Minimum Insurance Requirements (page 17) __X__ g. Compact construction equipment Questionnaire (page 18-19) __X__ h. Conflict of Interest Questionnaire (page 20-21) __X__ i. HUB Certification (page 22) __X__ j. W-9 Form (page 23-24) __X__ k. Client Member List (page 25-27) __ X__ l. Antitrust Certification (page 28) TERMS AND CONDITIONS ASSIGNMENT - Any award made as a result of this solicitation, may not be transferred, assigned, subcontracted, mortgaged, pledged, or otherwise disposed of or encumbered in any way by the vendor. CANCELLATION – HCDE reserves the right to cancel this solicitation. (See paragraph “Financial Responsibility”). CHANGES - Any changes to the requirements specified herein will be communicated to all proposers by the issuance of an addendum. All proposers shall comply with the requirements specified in any addendum issued by HCDE. CUSTOMER REFERENCE LIST – The proposer may be required to submit a customer reference list. CONTRACT TERM – The initial term of the contract will be for a period of one (1) year with HCDE having the option to renew the contract four (4) additional years in one (1) year increments. Consequently, the total term of the contract may be for a period of five (5) years. Because all services will be provided on an “as needed” basis, HCDE makes no representation either orally or in writing to the amount of temporary services HCDE will use during the term of the contract(s). DISQUALIFICATION - A proposer may be disqualified before or after the proposals are opened, upon evidence of collusion with the intent to defraud, or perform other illegal activities for the purpose of obtaining an unfair competitive advantage. EQUAL OPPORTUNITY – It is the policy of HCDE not to discriminate on the basis of race, color, national origin, gender, limited English proficiency or handicapping conditions in its programs. EXCEPTIONS – Proposers are responsible for identifying any exceptions to the requirements specified herein. Any exceptions must be noted on the proposer’s letterhead and returned with the proposal. Proposals, which are qualified with conditional clauses, items not called for, or irregularities, may be considered non-responsive by HCDE. FOB – All shipments shall be FOB destination full freight allowed in Houston, TX & adjoining counties. Shipments outside of this area will be FOB Shipping Point pre-paid and add. FINANCIAL RESPONSIBILITY – HCDE assumes no financial responsibility for any costs incurred in developing and submitting a proposal. FORMAT –Proposals shall include one (1) original complete proposal and two (2) copies. Proposers are responsible for ensuring their proposal is received at the time and place specified on the cover page. HCDE is not responsible for proposals that arrive late, or proposals that do not have all the required information. Page 3 of 28 INDEMNIFICATION - The vendor shall indemnify and hold harmless HCDE from all liabilities, costs, expenses, attorney fees, fines, penalties or damages for any or claimed infringement of any patents, trademarks, copyright or other corresponding right(s) which is related to any item the vendor is required to deliver. The vendor’s obligation to this clause shall survive acceptance and payment by HCDE. INSURANCE – The successful proposer shall be required to provide HCDE with copies of certificates of insurance, named as additional insured, Texas Workman’s Compensation and General Liability Insurance. INTERPRETATION – This solicitation represents the basis for any award, and supersedes all prior offers, negotiations, exceptions and understandings (whether orally or in writing). The information submitted should be self-explanatory and not require any clarification or additional information. INVOICES – HCDE and cooperative members will be invoiced directly; payment terms are net thirty (30) days. PENALTIES- If a successful proposer is unable to provide the awarded items at the quoted prices, after the proposal has been opened, HCDE may take the following action(s): • Insist the successful proposer honor the quoted price(s) specified in their respective proposal; • Have the successful proposer pay the difference between their price, and the price of the next acceptable proposal (as determined by HCDE); • Recommend to HCDE’s Board of Trustees the successful proposer no longer be given the opportunity to submit a proposal to HCDE. PERFORMANCE - The successful proposers will use best efforts to provide the services mutually agreed upon. POSTPONEMENT - The time and place established for the receipt of the proposals will not be changed unless otherwise specified (in writing) by HCDE’s Director of Purchasing. PRICES- HCDE and the Purchasing Cooperative has a preference for firm pricing during the contract period. However due to market conditions, a price escalation/deescalation is being allowed as follows: A. Semi-annual basis only- Prices may be adjusted after six months from the start of the contract and at the time of the annual renewal. B. Contractor shall need to notify Buyer of increase at least 30/days before escalation takes place. Page 4 of 28 C. Letter from manufacture (on manufactures letterhead) stating the price increase/decrease signed and dated along with a HCDE Price Adjustment form attached. D. Contractor shall only pass along manufactures’ increase/decrease. Contractor’s original profit margin in actual dollars shall remain the same. All prices quoted shall be inclusive of a two percent (2%) participation fee to be remitted to HCDE, based on actual sales generated by the members of HCDE’s Purchasing Cooperative. PROFESSIONAL SERVICE CONTRACT – The successful proposers will be required to complete a Professional Service Contract. QUESTIONS – Questions regarding the requirements specified in this solicitation must be faxed to (713) 694-0732 attn: Jack Cutting no less than three (3) working days before the proposals are due. Questions must be sent on the proposer’s letterhead, dated and signed by an authorized representative of the proposer’s company. HCDE will not answer verbal questions. Any responses to the proposer’s questions will be reduced in writing by HCDE and provided to all proposers. QUALITY - Any order issued as a result of this solicitation will conform to the specification and descriptions identified herein. Unless otherwise specified, the vendor will not deliver substitutes without prior authorization. RESPONSIBLE PROPOSER - A responsible proposer is a proposer who has adequate financial resources (or the ability to obtain such resources), can comply with the delivery requirements (taking into consideration existing business commitments), and is a qualified and established firm regularly engaged in the type of business that provides the items listed herein. RESPONSIVE PROPOSAL - Refers to a proposal that complies with all material and administrative aspects of this solicitation. RETURN OF PROPOSALS – Proposals once submitted will not be returned. TAXES - HCDE is tax – exempt. Proposals prices should not include taxes. TERMS – Payment terms on all invoices are Net 30 days TIE PROPOSALS - Should a tie occur (i.e., unit price is the same) between a nonresident proposer and a Texas resident proposer, Purchasing will make an award to the Texas resident proposer, as defined in Vernon’s Annotated Civil Statues Article 601g, Sections 1 and 2. TITLE AND RISK OF LOSS - The title to any item shall pass upon acceptance or payment, whichever is later. Page 5 of 28 SPECIFICATIONS Request for Proposal (RFP) for: Compact Construction Equipment and related items for Harris County Department of Education (HCDE) and the Purchasing Cooperative. BACKGROUND The intention of this Request for Proposal (RFP) is to solicit proposals for compact construction equipment and related items for Harris County Department of Education (HCDE) and the Purchasing Cooperative. HCDE represents over 80 school districts and 30 plus private education facilities that are eligible to participate in this catalog discount price program. Each school district would be autonomous and be responsible for issuing their own purchase orders and paying their own invoices. This contract will be made available to our members in Harris County, adjoining counties and also statewide in Texas (see Attachment k for membership list). HCDE is utilizing the Request for Proposal (RFP) method for the procurement of this service in accordance with Texas Governmental Code Section 44.031 Purchasing of Contracts, Item (3) Request for Proposals. For information regarding the proposal process, contact Jack Cutting of the Purchasing Division at (713) 696-0744. TIME TABLE OF RFP: Job advertised – 7/18/08 & 07/21/08 Proposals due – 8/15/08 Estimated award – 9/16/08 IDEAL CONTRACTOR The ideal contractor shall be a full line distributor of compact construction equipment and related items. Contractor shall have the ability to sell, maintain and service equipment. Contractor shall be large enough, have a distribution network or alliances to sell statewide in Texas. MINIMUM QUALIFICATIONS Minimum contractor qualifications are listed below: 1. In business for at least 5 years working with government agencies. 2. Able to provide sales, service and maintenance. 3. Be a stocking distributor with sales office. Page 6 of 28 DESCRIPTION HCDE and the Purchasing Cooperative members are looking to obtain pricing on the following equipment: I. Ditch Witch mini skid steer, Model SK650 or equivalent. Specification: 3 cylinder liquid cooled diesel engine, Kubota D1105-T or equal Minimum 30-35 net engine horsepower Rated speed of 2800- 3200 RPM Fuel capacity of 7-10 gallons Engine oil capacity 4-5 quarts Hydraulic reservoir 6-8 gallons Battery SAE reserve capacity rating of 100-120 minimum Battery SAE cold crank rating @ zero degrees F of 700-900 amps 12 volt electrical system Ground drive speed of 3-5 MPH Auxiliary gear pump pressure of 13-14 GPM at 3000 PSI Ground Drive dual hydrostat flow rate 16-17 GPM at 2500 PSI Overall weight 2500-2800 LB Overall height 50-55 IN Overall length 80-85 IN Tipping Capacity of 1800-2000 LB Wheelbase/track length 40-45 IN Track width 40-45 IN II. Ditch Witch trencher, Model 1330 or equivalent. Specification: 4 stroke overhead valve air cooled gasoline engine, Honda GX390 or equal Manufacturers power rating 10-15 HP Rated Speed 3600 RPM Hydraulic two speed power train infinitely variable Pump drive direct from the engine Digging chain 33,000-35,000 lb. test Digging chain speed 250-300 FPM Spoils handling drive mechanical, attached to and rotates with head shaft Spoils handling auger size outer diameter 11-13 IN Spoils handling auger size inner diameter 3-5 IN Tires 16 x 6.50-8 28 PSI Hydraulic drive pump capacity 7-8 GPM Hydraulic filtration return flow 10 micron nominal Hydraulic cylinders boom lift double action Fuel tank capacity 1-2llons Engine oil capacity 2-3 pints Hydraulic reservoir 4-5 gallons Page 7 of 28 Hydraulic system 4-6 gallons Trench depth 30-40 IN Trench width 4-6 IN Transport height 40-50 IN Transport length 80-90 IN Wheel base 30-40 IN Battery 200-250 amps III. Ditch Witch directional drill, Model JT1220 or equal. Specification: Overall length 180-190 IN Overall width 50-55 IN Overall height 75-80 IN Drilling unit overall mass 9600-9800 LB Entry angle 10-15 degree Power pipe nominal length 110-130 IN Power pipe diameter 1.5-2.0 IN Power pipe bend radius minimum 100-110 FT Power pipe weight lined 50-60 LB Spindle speed maximum 170-200 RPM Spindle torque maximum 1300-1500 FT LB Carriage thrust travel speed 150-160 FPM Thrust force 9,000-11,000 LB Pullback force 11,000-13,000 LB Bore diameter 3.5 IN Ground travel speed forward and reverse 2.5-3.0 MPH 4 cylinder liquid cooled diesel engine Cummins B3.3 or equal Manufacturer’s gross power rating 55-65 HP Rated speed of engine 2100-2300 RPM Drilling fluid pressure maximum 1200-1300 PSI Drilling fluid flow maximum 14-16 GPM Hydraulic reservoir capacity 16-18 GAL Fuel tank capacity 18-20 GAL Battery SAE reserve capacity rating 190-200 MINUTES Battery SAE cold crank rating @ zero degrees F 900-1000 AMPS IV. Ditch Witch vacuum excavator, Model FX 30 or equal. Specification: Overall length 200-205 IN Overall height 90-95 IN Overall width 95-100 IN Deck height 15-20 IN Dry weight 5200-5300 LB Weight with full tanks 9900-10,000 LB Tank length 65-70 IN Tank diameter 45-55 IN Page 8 of 28 V. Drain valve size 5-7 IN Inlet valve size 3-5 IN 3 cylinder liquid cooled diesel engine, Kubota D1105-ES or equal Manufacturers gross power rating 25-30 HP Rated speed 2800-3200 RPM Hydraulic system pressure 2400-2600 PSI Hydraulic system drive type 12-vold DC power Tank lift cylinder size 2.5-3.0 IN Maximum tilt angle 45 degree Time to tilt fully up 20-25 SEC Time to tilt fully down 18-20 SEC Battery 78U, 12 VOLT Battery SAE reserve capacity 100-120 MINUTES Battery SAE cold crank rating @ zero degree F 700-900 AMPS Related Items Related items are those items such as other equipment not listed above your company sells, parts, consumables (oils, lubricants, cleaners, etc.) accessories that are used with your equipment. Related items are all those other items in your catalog. HCDE would like to obtain a discount off of these items. Please note as your company adds new manufacturers they will also become part of the related items mix. These new manufacturers will be added on a quarterly basis. Quarters will follow the fiscal year September 1 through August 31. VI. Page 9 of 28 Maintenance Contractors shall provide a discount off published maintenance service shop rate. Contractor shall include a copy of published maintenance service shop rate with proposal. EVALUATION CRITERIA Proposals will be evaluated based on the criteria listed below corresponding to requested scope of services: 1. Price . 2. Reputation of Vendor 3. Quality of Vendor’s Service 4. Extent to which service meets HCDE needs 5. Vendor’s past relationship with the HCDE 6. Impact on historically underutilized businesses 7. Total long term cost to HCDE 8. Previous work with governmental agencies Total 65 pts 5 pts 5 pts 5 pts 5 pts 5 pts 5 pts __5 pts 100 pts HCDE is looking to make multiple awards to companies that receive a minimum of 70 points on the evaluation score and meet HCDE specifications. The proposal shall remain confidential information until an award decision has been made. After the award has been made, all proposers will be allowed to view proposal results or request bid tabulation results. Page 10 of 28 PRICE DELIVERY INFORMATION I. Offeror must complete the open boxes using information supplied in the description section listed above. Proposer: Item Description I. II. III. IV. Unit of Measure Qty. Ditch Witch mini skid steer, Model SK650 or equivalent Ea. 1 Ditch Witch trencher, Model 1330 or equivalent Ea. 1 Ea. 1 Ea. 1 Ditch Witch directional drill, Model JT1220 or equivalent Ditch Witch vacuum excavator, Model FX30 or equivalent Unit Price Percentage off Catalog/Shop Rate VI. VII. II. Related Items and Accessories Maintenance Service Payment Terms: Please provide your payment terms in the space below: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Page 11 of 28 Attachment a. PROPOSAL SUBMISSION FORM RFP NO. 08/037 JC Compact Construction Equipment and related items for Harris County Department of Education Please Print Whereas on the _____________ day of _____________________________, 2008 (print name of company) ___________________________________________________________________________ reviewed has RFP 08/037 JC and has responded in accordance with the terms and conditions therein: ______________________________________ _____________________________________ Street Address City, State, Zip Code ______________________________________ _____________________________________ Telephone Number Fax Number ______________________________________ ______________________________________ Name of Authorized Individual Signature of Authorized Individual Page 12 of 28 Attachment b. FELONY CONVICTION NOTICE State of Texas Legislative Senate Bill No. 1 Section 44.034, Notification of Criminal History, Subsection (a), states “a person or business entity that enters into an agreement with a school district must give advance notice to the district if the person or an owner or operator of the business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony” Subsection (b) states “a school district may terminate the agreement 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 agreement” Note: This notice is not required of a Publicly-Held Corporation I, the undersigned agent for the firm named below, certify that the information concerning notification of felony convictions has been reviewed by me and the following information furnished is true to the best of my knowledge. Vendor’s Name:______________________________________________ Authorized Company Official’s Name (Printed or Typed):_________________________ A) My firm is a publicly-held corporation, therefore the above reporting requirement does not apply Signature of Company Official:______________________________________________ B) My firm is not owned nor operated by anyone who has been convicted of a felony Signature of Company Official:______________________________________________ C) My firm is owned or operated by the following individual(s) who has/have been convicted of a felony: Name of individuals:_______________________________________________________ Detail of Conviction(s):____________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Page 13 of 28 Attachment c. BID CERTIFICATION SHEET In order for a bid to be evaluated and considered, the following information must be provided. As defined by Texas House Bill 602, a "nonresident bidder" means a bidder whose principal place of business is not in Texas, but excludes a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. I certify that my company is a "resident bidder": Signature:___________________________ Date:_____________________ -----------------------------------------------------------------------------------------------------------If you qualify as a "nonresident bidder," you must furnish the following information: What is your resident state? (The state your principal place of business is located) ______________________________________________________________ Address (include City, State and Zip Code) (A) Does your "residence state" require bidders whose principal place of business is in Texas to underbid bidders whose residence state is the same as yours by a prescribed amount or percentage to receive a comparable contract? "Residence State" means the state in which the principal place of business is located. Yes______ No______ (B) What is the amount or percentage?__________% I certify that the above information is correct: _______________________________________ _________________________ Typed Name Position ______________________________________ Company Name Page 14 of 28 Attachment d. NO RESPONSE FORM RFP NO. 08/037 JC Compact Construction Equipment and related items County Department of Education (HCDE) Please Print Whereas on the ___________ day of ____________________, 2008 (print name of company) __________________________________________________________________________ has reviewed HCDE’s solicitation No. 08/037 JC, and elects not to submit a proposal: ______________________________________________ Street Address ______________________________________________ City, State, Zip Code ______________________________________________ Telephone/Fax Number ______________________________________________ Name of Authorized Individual ___________________________________________ Signature of Authorized Individual Page 15 of 28 Attachment e. References Please provide at least three (3) references (co. name, address, telephone no. and contact) that have used your compact construction equipment in the last 3-4 years. A. ______________________________ ______________________________ ______________________________ ______________________________ B. _______________________________ _______________________________ _______________________________ _______________________________ C. ________________________________ ________________________________ ________________________________ ________________________________ Page 16 of 28 Attachment f. Minimum Insurance Requirements • The contractor shall, at all times during the term of this contract, maintain insurance coverage with not less than the type and requirements shown below. Such insurance is to be provided at the sole cost of the contractor. These requirements do not establish limits of the contractor's liability. • All policies of insurance shall waive all rights of subrogation against HCDE, its officers, employees and agents. • Upon request, certified copies of original insurance policies shall be furnished to HCDE. • HCDE reserves the right to require additional insurance should it be deemed necessary. A. Workers' Compensation (with Waiver of subrogation to HCDE) Employer's Liability, including all states, U.S. Longshoremen, Harbor Workers and other endorsements, if applicable to the Project. Statutory, and Bodily Injury by Accident: $100,000 each employee. Bodily Injury by Disease: $500,000 policy limit $100,000 each employee. HCDE shall be named as "additional insured" on workers’ compensation policy. B. Commercial General Liability Occurrence Form including, but not limited to, Premises and Operations, Products Liability Broad Form Property Damage, Contractual Liability, Personal and Advertising Injury Liability and where the exposure exists, coverage for watercraft, blasting collapse, and explosions, blowout, catering and underground damage. $300,000 each occurrence Limit Bodily Injury and Property Damage Combined $300,000 Products-Completed Operations Aggregate Limit $500,000 Per Job Aggregate $300,000 Personal and Advertising Injury Limit. HCDE shall be named as "additional insured" on commercial general liability policy. C. Automobile Liability Coverage: $300,000 Combined Liability Limits. Bodily Injury and Property Damage Combined. HCDE shall be named as "additional insured" on automobile policy. Page 17 of 28 Attachment g. Compact Construction Equipment Questionnaire (add additional sheets if necessary) 1. How long has your company been in business providing compact construction equipment and related items? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 2. Does your company have a will call area? __________________________________________________________________ __________________________________________________________________ 3. How long has your company been selling the product line that your are submitting a catalog discount price on to education and government entities. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 4. Where will the majority of your products ship from? __________________________________________________________________ __________________________________________________________________ 5. How do you monitor quality control with regard to orders taken and shipped? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 6. Do you have factory trained technicians that can service the product you sell? __________________________________________________________________ __________________________________________________________________ 7. Are all of your technicians factory trained, if so, how many hours of training do they receive a year? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Page 18 of 28 8. What are you hours of service Monday through Friday? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 9. What are your after hours of service Monday through Friday and on weekends? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 10. What else would you like to tell us about your company’s service that sets your company apart from other competitors? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 11. Do you have service technicians in Harris County, Texas? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 12. Is your company able to service Harris County, adjoining counties and the State of Texas? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 13. Tell us where all your company has sales offices in the State of Texas? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 14. Does your company have a distribution network or alliance to sell products outside of your general geographical area? If so include cities that your would be able to service. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Page 19 of 28 Attacment h. CONFLICT OF INTEREST DISCLOSURE STATEMENT HCDE is required to comply with Texas Local Government, Code 176 and Disclosure of Certain Relationships with Local Government Officers. This means any company that does business with HCDE must fill out a Conflict of Interest Questionnaire (CIQ) if the following situation exists: 1. The person has employment or other business relationship with the local government officer or a family member resulting in the officer or family member receiving taxable income. 2. Your company has given one of HCDE’s local government officers or family member one or more gifts (excluding food, lodging, transportation, and entertainment) that has an aggregate value of more than $250 in the twelve month period preceding the date the officer becomes aware of an executed contract or consideration of the person for a contract to do business with the District. Statements must be filed within seven (7) business days after the officer becomes aware a conflict of interest exists. Below is a listing of current HCDE Board of Trustees (BOT): Mr. Raymond T. Garcia, President Ms. Angie Chestnut, Vice-President Mr. Roy Morales Mr. Louis Evans, III Mr. Michael Wolfe Dr. Robert Peterson Mr. Carl Schwartz Dr. John Sawyer Below is a listing of current local government officers: Jesus Amezcua Janell Baker Karl Boland Curtis Davis Angela Drake Malcolm Greer Celes Harris Les Hooper Deborah Johnson Doug Kleiner Tammy Lanier Noemi Lopez Pam Newman Elaine Nichols Linda Pitre Jean Polichino Joanie Rethlake Alfonso Saldivar Dean Zajicek Natasha Truitt Faye Wells Jeannette Truxillo Page 20 of 28 Shannon Bishop Jim Davis Richard Griffin Sonny Janczak Michele Kronke Peggy McGrane Venetia Peacock Gayla Rawlinson Jim Schul John Weber Page 21 of 28 Attachment i. Historically Underutilized Business (HUB) Certification Form Bidding companies that have been certified by the State of Texas as Historically Underutilized Business (HUB) entities are encouraged to indicate their HUB status when responding to this Bid Invitation. The electronic catalogs will indicate HUB certifications for vendors that properly indicate and document their HUB certification on this form. I certify that my company has been certified by the State of Texas as a Historically Underutilized Business (HUB), and I have attached a copy of our HUB certification to this form. (Required documentation for recognition as a HUB) My company has NOT been certified by the State of Texas as a Historically Underutilized Business (HUB). ______________________________________ Signature of Authorized Representative ______________________________________ Name (Please Print) ______________________________________ Company Name (Please Print) Page 22 of 28 _________________________ Title Attachment j. Form W-9 page 1 of 2 • Revised March 2005 Taxpayer Identification Number Request This form may be used only by a U.S. person, including a resident alien. Foreign persons should furnish us with the appropriate Form W-8. The IRS defines a U.S. person as: *a U.S. citizen; *an entity (company, corporation, trust, partnership, estate, etc.) created or organized in, or under the laws of, the United States; *a U.S. resident (someone who has a “green card” or has passed the IRS “substantial-presence test.” For an explanation of the substantial-presence test, please see IRS Pubs. 515 or 519.) Please complete all three parts below. Part 1 - Tax Identification: 1. Name: 2. Enter your Taxpayer Identification Number in the appropriate box. For individuals, this is your social security number (SSN). For other entities, it is your employer identification number (EIN). Social Security Number Employer Identification Number OR _____ _____ _____ ⎯ _____ _____ ⎯ _____ _____ _____ _____ _____ _____ ⎯ _____ _____ _____ _____ _____ _____ _____ IF you are a SOLE PROPRIETOR or SINGLE-OWNER LLC – whether payment is made to a personal name or to a doing business name, you must provide the following: Required: Personal name of owner of the business: ___________________________________________________________________________________ Optional: Business name if different from above:______________________________________________________________________________________ IF you assign payment to a third party – such as a factor – provide the following: Required: Your name:___________________________________________________________________________________________________________ Optional: Name of third party: Part 2 - Exemption: If exempt from Form 1099 reporting, check your qualifying reason below: Corporation Note that there is no corporate exemption for medical and healthcare payments or payments for legal services. Page 23 of 28 Tax Exempt Entity under 501(a) (includes 501(c)(3), or IRA. The United States or any of its agencies or instrumentalities. A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or agencies. A foreign government or any of its political subdivisions or an international organization in which the United States participates under a treaty or Act of Congress. Part 3 - Certification/Signature: Under penalties of perjury my signature certifies that: 1. I am a U.S. person (including a U.S. resident alien). 2. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me). 3. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding. Certification Instructions - You must cross out item 3 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, number 3 above does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. Person completing this form: Phone: (__________) ______________________________ Signature: _______________________________________________________________ Date: ___________________________________________ Address: ________________________________________________________________________ _________________________________________ City: ____________________________________________________________________ State: _______ ZIP:_______________________________ Instructions. We are about to pay you an amount that may be reported to the Internal Revenue Service (IRS). The IRS will match this amount to your tax return. In order to avoid additional IRS scrutiny, we must provide the IRS with your name and Taxpayer Identification Number. The name we need is the name that you use on the tax return that will report this amount. We are required by law to obtain this information from you. Exempt from backup withholding. On page 2 of this form is a chart showing who is exempt from backup withholding. If you are exempt from backup withholding, indicate the reason why in part 2 of this form, and we will not send you a Form 1099. Penalties. Your failure to provide a correct name and Taxpayer Identification Number may subject your payments to 28% federal income tax backup withholding. If you do not provide us with this information, you may be subject to a $50 penalty imposed by IRS under section 6723. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 civil penalty. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Confidentiality. If we disclose or use your Taxpayer Identification Number in violation of Federal law, we may be subject to civil and criminal penalties. Instructions continued on Page 2 Page 24 of 28 Attachment k. Purchasing Cooperative Client Members ALDINE ISD ALIEF ISD ALVIN ISD ANAHUAC ISD ANDERSON-SHIRO CISD ANGLETON ISD ANNUNCIATION ORTHODOX AUSTIN COUNTY AVANCE, INC-HOUSTON AWTY INTERNATIONAL BARBERS HILL ISD BASTROP COUNTY BELLVILLE ISD BIG BROTHERS/SISTERS GRT HOU BOLING ISD BRAZORIA COUNTY BRAZOS ISD BRAZOSPORT ISD BRENHAM ISD BRYAN ISD BUCKHOLTS ISD BUFFALO ISD CALDWELL ISD CAMERON COUNTY CAMERON ISD CHANNELVIEW ISD CITY OF BAYTOWN CITY OF DEER PARK CITY OF GALVESTON CITY OF HUMBLE CLAY ROAD BAPTIST SCHOOL CLEAR CREEK ISD CLEVELAND ISD COLD SPRINGS-OAKHURST ISD COLLEGE OF THE MAINLAND COLLEGE STATION ISD COLUMBIA BRAZORIA ISD CONROE ISD CORPUSCHRISTI CATHOLIC CORPUS CHRISTI ISD COTULLA ISD CROSBY ISD CYPRESS COMMUNITY CHRISTIAN CYPRESS-FAIRBANKS ISD DAMON ISD DANBURY ISD DEER PARK ISD DEVERS ISD DICKINSON ISD DUCHESNE ACADEMY EAST CHAMBERS COUNTY C ISD EDINBURG CISD EL CAMPO ISD EPISCOPAL HIGH SCHOOL FAYETTEVILLE ISD FORT BEND BAPTIST ACADEMY FORT BEND ISD Page 25 of 28 FORT SAM HOUSTON ISD FRIENDSWOOD ISD GALENA PARK ISD GALVESTON ISD GEORGE I SANCHEZ CHARTER HIGH SCHOOL GOOSE CREEK C ISD GRACE COMMUNITY BIBLE CHURCH HARDIN-JEFFERSON ISD HARRIS COUNTY HARRIS COUNTY DEPT OF EDUCATION HEMPSTEAD ISD HIDALGO COUNTY HIDALGO CTY DRAINAGE DISTRICT #1 HITCHCOCK ISD HOLY GHOST SCHOOL HOUSTON CHRISTIAN HIGH SCHOOL HOUSTON COMMUNITY COLLEGE HOUSTON ISD HOUSTON LEARNING ACADEMY HUFFMAN ISD HUMBLE ISD HUNTSVILLE ISD IMMANUAL LUTHERAN SCHOOL INCARNATE WORD ACADEMY JAMIE'S HOUSE CHARTER KATY ISD KENDLETON ISD KILLEEN ISD KINGSVILLE ISD KINKAID SCHOOL KLEIN ISD LA AMISTAD LOVE/LEARNING ADMY LA GRANGE ISD LA MARQUE ISD LA PORTE ISD LAKE DALLAS ISD LAMAR CISD LEE COUNTY, TEXAS LEXINGTON ISD LITTLE CYPRESS-MAURICEVILLE CISD LONE STAR COLLEGE SYSTEM LONGVIEW ISD LOUISE ISD MADISON COUNTY, TEXAS MAGNOLIA ISD MANSFIELD ISD MCALLEN ISD MONTGOMERY ISD MUMFORD ISD NAVASOTA ISD NEEDVILLE ISD NEW CANEY ISD NORTH EAST ISD NORTH FOREST ISD NORTHWEST PREPARATORY OUR LADY QUEEN OF PEACE PASADENA ISD PEARLAND ISD PILGRIM LUTHERAN SCHOOL PORT OF HOUSTON AUTHORITY PRAIRIE VIEW A&M UNIVERSITY REGION I ESC Page 26 of 28 REGION III ESC REGION VI ESC REGION XVII ESC REGIS SCHOOL RHODES SCHOOL ROUND TOP-CARMINE ISD SALEM LUTHERAN SCHOOL SACRED HEART CATHOLIC SCHOOL SAN JACINTO COLLEGE DISTRICT SANTA FE ISD SER-NINOS CHARTER SCHOOL SETONCATHOLICJR HIGH SCHOOL SHELDON ISD SPLENDORA ISD SPRING BRANCH ISD SPRING ISD ST. CECILIA CATHOLIC SCHOOL ST. FRANCIS DE SALES SCHOOL ST. FRANCIS EPISCOPAL ST. HYACINTH SCHOOL ST. JOHN'S SCHOOL ST. LAURENCE CATHOLIC SCHOOL ST. MARK LUTHERAN SCHOOL ST. MARTHA CATHOLIC SCHOOL ST. MARY CATHOLIC SCHOOL ST. PETER THE APOSTLE SCHOOL ST. PIUS X HIGH SCHOOL ST. ROSE OF LIMA SCHOOL ST. THOMAS MORE SCHOOL SOUTH TEXAS ISD STAFFORD MSD STEPPING STONES CHARTER ELEMENTARY STRAKE JESUIT COLLEGE PREPARATORY SWEENY ISD TARKINGTON ISD TEXAS A&M CORPUS CHRISTI TEXAS CITY ISD THE EMERY/WEINER SCHOOL THORNDALE ISD TOMBALL ISD TROPICALTEXAS BEHAVIORAL HEALTH TWODIMENSIONSPREPARATORY UNITED ISD UNIVERSITY OF HOUSTON U OF H DOWNTOWN UNIVERSITY OF TEXAS @ ARLINGTON VARNETT CHARTER SCHOOL (THE) VIDOR ISD WACO ISD WALKER COUNTY WALLER ISD WICHITA FALLS ISD WILLIS ISD Page 27 of 28 Attachment l. Antitrust Certification Statement (Tex. Government Code § 2155.005) I affirm under penalty of perjury of the laws of the State of Texas that: (1) I am duly authorized to execute this contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual (Company) listed below; (2) In connection with this bid, neither I nor any representative of the Company have violated any provision of the Texas Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter 15; (3) In connection with this bid, neither I nor any representative of the Company have violated any federal antitrust law; and (4) Neither I nor any representative of the Company have directly or indirectly communicated any of the contents of this bid to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Company. _________________________ Signature Address __________________________ _________________________ __________________________ Printed Name __________________________ _________________________ Position with Company Phone __________________________ Official _________________________ Authorizing Signature Fax __________________________ Bid _________________________ Printed Name Email __________________________ _________________________ Position with Company Vendor Page 28 of 28 __________________________ Bidder