BID DUE DATE Thursday, September 8, 2016 at 2:00 P.M.

Similar documents
N O T I C E T O B I D D E R S

N O T I C E T O B I D D E R S

N O T I C E T O B I D D E R S

N O T I C E T O B I D D E R S

Qualifications will be accepted until 10:00 AM on Monday August 15, 2016.

Bidders shall execute the following forms and return the signed original with their proposal.

EUSTACE INDEPENDENT SCHOOL DISTRICT REQUEST FOR QUALIFICATIONS TOTAL CAMPUS ENERGY OPTIMIZATION SERVICES

Austin Independent School District Contract and Procurement Services 1111 West 6th Street Suite A330 Austin, Texas

Alief Independent School District

BRYAN INDEPENDENT SCHOOL DISTRICT INVITATION TO BID # Awards & Trophies 101 NORTH TEXAS AVENUE BRYAN, TEXAS 77803

GRAND PRAIRIE INDEPENDENT SCHOOL DISTRICT REQUEST FOR QUALIFICATIONS. Program Management Services for Facilities Construction/Upgrades/Maintenance

CAMERON INDEPENDENT SCHOOL DISTRICT REQUEST FOR QUALIFICATIONS ENERGY SAVING PERFORMANCE CONTRACT TOTAL CAMPUS ENERGY OPTIMIZATION SERVICES

N O T I C E T O B I D D E R S

RFP# ATHLETIC TRAINER SUPPLIES RFP Opening Date: April 13, p.m.

September 12, 2017 REQUEST FOR BID. Sealed Bid to be marked Bid # Copier Paper ARTICLES AND DESCRIPTION

Beaumont Independent School District

Notice to Bidders. No faxed or ed bids will be accepted. Bids received after the closing time will not be accepted.

COMPANY NAME: RFP #

INVITATION TO SUBMIT PROPOSAL

Board of Trustees. Special Board Meeting

NORTH EAST INDEPENDENT SCHOOL DISTRICT 8961 Tesoro Drive San Antonio, TX 78217

NAVARRO INDEPENDENT SCHOOL DISTRICT 6450 N. State Hwy 123 Seguin, TX (830)

SEALED BID. September 29, 2017

PINE TREE INDEPENDENT SCHOOL DISTRICT CONSULTING AGREEMENT

ARTICLES AND DESCRIPTION. specified) from the day set for submission of bids. When no bid is returned, the vendor is removed from our vendor list.

RAYMONDVILLE INDEPENDENT SCHOOL DISTRICT PURCHASING DEPARTMENT BID SPECIFICATIONS FOR: CHARTER BUS SERVICES DISTRICT WIDE RFP #18-006

Human Resources and/or Student Medical Consultant RFQ September 2, 2014 at 11:00 am

SEALED BID. February 19, 2018

Request for Qualifications Number 1470 General Construction Services

Request for Proposal (RFP) The Rhodes School. Project: 13 Unit Modular Move

BRYAN INDEPENDENT SCHOOL DISTRICT REQUEST FOR PROPOSAL # ANNUAL FINANCIAL AUDIT

REQUEST FOR PROPOSAL

PHYSICAL PLANT SERVICES 435 S. SAN DARIO San Antonio, TX (210) FAX (210)

REQUEST FOR PROPOSAL (RFP) CONSTRUCTION MANAGER-AT-RISK LAKE TRAVIS HIGH SCHOOL - PERFORMING ARTS CENTER (PAC) and FIRST FLOOR OF C-WING RENOVATIONS

REQUEST FOR PROPOSAL (RFP) PROPOSAL TITLE: Apparel, Uniforms and Accessories (Supplemental II), RFP #

HOUSING QUALITY STANDARDS (HQS) & UNIFORM PHYSICAL CONDITIONS STANDARDS (UPCS) INSPECTION SERVICES

Sealed proposals will be received by the South Texas Independent School District for: UNEMPLOYMENT COMPENSATION INSURANCE

Hallsville Independent School District REQUEST FOR PROPOSALS. RFP# Waste Disposal and Cardboard Recycling Services

REQUEST FOR PROPOSAL BRIDGEPORT ISD. PROPOSAL TITLE: Mowing and Weed Eating Services Proposal

Houston Independent School District PROCUREMENT SERVICES

PINE TREE INDEPENDENT SCHOOL DISTRICT CONSULTING AGREEMENT

BROWNSVILLE NAVIGATION DISTRICT OF CAMERON COUNTY, TEXAS PORT OF BROWNSVILLE. Specifications for Bid WD Motor Grader 2018 Boom Mower (Shredder)

Cherokee Nation

VALLEY VIEW INDEPENDENT SCHOOL DISTRICT REQUEST FOR COMPETITIVE SEALED PROPOSAL DISTRICT-WIDE SECURITY GUARD SERVICES CSP#

REQUEST FOR QUALIFICATIONS CONSTRUCTION MANAGER-AT-RISK, TWO-STEP PROCESS

UNIT DESCRIPTION ETUDE STUDENT CLARINET MODDEL ECL STANDARD 33 ETUDE EAS-100 STUDENT ALTO SAXOPHONE LACQUER 5

RICHARDSON INDEPENDENT SCHOOL DISTRICT 400 S. GREENVILLE AVENUE RICHARDSON, TEXAS 75081

Cherokee Nation

REQUEST FOR PROPOSAL

Name: Title: Fax:

RFCSP EXCESS WORKERS COMPENSATION INSURANCE

Sherman Independent School District Vendor Application

REQUEST FOR QUALIFICATIONS/PROPOSALS CHESAPEAKE COLLEGE (RFQ/RFP) INSURANCE BROKER SERVICES FOR PROPERTY AND CASUALTY PROGRAM

ENNIS INDEPENDENT SCHOOL DISTRICT

ARTICLES AND DESCRIPTION

RICHARDSON INDEPENDENT SCHOOL DISTRICT 400 S. GREENVILLE AVENUE RICHARDSON, TEXAS REQUEST FOR BID Electrical Supplies BID #

RICHARDSON INDEPENDENT SCHOOL DISTRICT 400 SOUTH GREENVILLE AVENUE RICHARDSON, TEXAS 75081

County of Greene, New York REQUEST FOR PROPOSALS (RFP) TO PROVIDE INSURANCE BROKERAGE SERVICES FOR THE COUNTY OF GREENE

CITY OF BIG SPRING SOLICITATION, OFFER AND AWARD FORM SOLICITATION INFORMATION REQUEST FOR BIDS (RFB) 6. ADVERTISING DATES:

BID INVITATION (THIS IS NOT AN ORDER) 2:00 P.M., TUESDAY, OCTOBER 15, 2013

PUBLIC NOTICE NOTICE OF REQUEST FOR BIDS CITY OF HIGHWOOD, ILLINOIS ROADWAY SNOW REMOVAL AND SALT APPLICATION

Request for Proposals. Annual Financial Audit Services (RFP #14-026)

REQUEST FOR PROPOSAL (RFP)

REQUEST FOR PROPOSAL Asbestos Inspection, Project Design and Monitoring

Houston Independent School District PROCUREMENT SERVICES

BAYONNE BOARD OF EDUCATION. Insurance Brokerage Services: Property and Casualty and Workmen s Compensation

TOWN OF MANCHESTER REQUEST FOR PROPOSAL RFP NO. 15/16-32 FOR RISK MANAGEMENT CONSULTANT SERVICES PROPOSALS DUE: NOVEMBER 13, 4:00 P.M.

UNIVERSAL SCREENING ASSESSMENTS OPENING 2:00 P.M.

AUSTIN COMMUNITY COLLEGE DISTRICT

PROPOSAL REQUEST. Sumner County Sheriff s Office

REQUEST FOR PROPOSAL

NORTH EAST INDEPENDENT SCHOOL DISTRICT 8961 Tesoro Drive San Antonio, TX 78217

January 25, 2018 NOTICE OF INVITATION TO BID

Request for Proposal Seeking Lighting Suppliers to Provide Energy Efficient Lighting Fixtures & Controls

INSTRUCTIONS TO BIDDERS

City of Bowie Private Property Exterior Home Repair Services

REQUEST FOR PROPOSALS RFP # ELECTRIC SUPPLY & SERVICES FROM RETAIL ELECTRIC PROVIDERS

1.1. Hays Consolidated Independent School District (HCISD) requests proposals for Administrative Contracted Services.

REQUEST FOR PROPOSAL FOR Flexible Spending Account (FSA) Administration RFP #1389

CITY OF LAREDO FINANCE DEPARTMENT PURCHASING DIVISION FORMAL INVITATION FOR BIDS

LEWISVILLE ISD Fund Raising Vendor for School Year Registration Form

RFP # Buyer: Pewitt Consolidated Independent School District I. GENERAL CONDITIONS

Information Security Tools & Systems

COUNTY OF COLE JEFFERSON CITY, MISSOURI

Paradise Independent School District Vendor Application

BASE PROPOSAL, ALTERNATE PROPOSAL, LIST OF SUBCONTRACTORS AND QUALIFICATIONS DUE: DATE AND TIME: THURSDAY, FEBRUARY 9, 2017 AT 2:00 P.M.

RICHARDSON INDEPENDENT SCHOOL DISTRICT 400 S. GREENVILLE AVENUE RICHARDSON, TEXAS 75081

GREENWICH PUBLIC SCHOOLS Purchasing Department 290 Greenwich Avenue Greenwich, CT (203) Fax (203)

BID # Queens Flushing Library Date: February 16, Contractor Services Contract for: Emergency Generator Fuel Tank Replacement Project

RICHARDSON INDEPENDENT SCHOOL DISTRICT 400 S. GREENVILLE AVENUE RICHARDSON, TEXAS 75081

TRAVERSE CITY HOUSING COMMISSION REQUEST FOR PROPOSALS FOR ARCHITECTURAL/ENGINEERING SERVICES

REGION 3 EDUCATION SERVICE CENTER Regional Purchasing Cooperative 1905 Leary Ln, Victoria, TX Phone: (361) Fax: (361)

BROWNSVILLE NAVIGATION DISTRICT OF CAMERON COUNTY, TEXAS PORT OF BROWNSVILLE. Specifications for Bid. Crushed Limestone

REQUEST FOR PROPOSALS CITY OF CONROE PD DISTRIBUTED ANTENNA SYSTEM (DAS) SERVICE FOR CELLULAR ENHANCEMENT

NOTICE TO BIDDERS BID # ALL AMERICA 10K & FUN RUN MEDALS

No late bids will be considered.

INVITATION FOR BID ATTENTION: This is not an order. Read all instructions, terms and conditions carefully.

MELBA SCHOOL DISTRICT

RICHARDSON INDEPENDENT SCHOOL DISTRICT 400 S. GREENVILLE AVENUE RICHARDSON, TEXAS 75081

GENERAL CLAUSES AND CONDITIONS

Transcription:

ARLINGTON ISD REQUEST FOR PROPOSAL RFP #17-22 PROPERTY AND CRIME INSURANCE RFP AVAILABLE ON Monday, August 15, 2016 BID DUE DATE Thursday, September 8, 2016 at 2:00 P.M. EFFECTIVE DATE October 25, 2016

TABLE OF CONTENT NOTICE TO PROPOSERS... 3 CONDITIONS FOR PROPOSAL... 4 Option to Extend the Contract... 4 Termination of the Contract... 4 GENERAL REQUIREMENTS... 5 Purpose... 5 Timetable... 5 Proposal Submission... 5 Withdrawal of Proposals... 5 Interpretation of Specifications... 5 Qualifications of Proposers or Insurers... 6 Copies of Contracts / Service Agreements / Policies... 6 Other Conditions... 6 UNDERWRITING INFORMATION... 7 Property... 7 Inland Marine... 8 Boiler & Machinery... 8 Crime... 9 PROPOSAL RESPONSE FORMS... 10 Property... 10 Inland Marine... 11 Boiler and Machinery... 11 Crime... 12 PREMIUM SUMMARY... 13 SUBMITTING VENDORS INFORMATION... 14 ANTI COLLUSION ~ BID PROPOSAL ACKNOWLEDGMENT CLAUSE... 15 CONFLICT OF INTEREST QUESTIONNAIRE... 16 FELONY CONVICTION NOTIFICATION... 17 SUSPENSION OR DEBARMENT CERTIFICATE... 18 HISTORICALLY UNDERUTILIZIED BUSINESS... 18 W-9 TAX FORM... 18 CERTIFICATE OF INTERESTED PARTIES FORM 1295... 218 P R O P E R T Y S C H E D U L E... Error! Bookmark not defined. 5 Y E A R L O S S R U N S... Error! Bookmark not defined. Page 2 of 22

NOTICE TO PROPOSERS Arlington Independent School District is seeking competitive proposals for their property and crime insurance. RFP #17-22 Property and Crime Insurance will be available on and after Monday, August 15, 2016. The RFP packet can be obtained from the District s website at http://www.aisd.net>>departments>>purchasing>>aisd Current Bid Information. The RFP will also serve as notice to the current carrier(s) as intent of the school districts desire to terminate its current agreement(s) upon its anniversary date. Information provided in these specifications is to be used only for preparing a proposal detailing the coverage s specified. It is further expected that each proposer will read these specifications with care, for failure to meet every one or a combination of specified conditions may invalidate the proposal. The school district reserves the right to reject any or all proposals, or any portion thereof, to negotiate with the provider, and to accept the proposal deemed most advantageous to the school district. Proposers are requested to submit quotations on the basis of these specifications. Alternative quotations (for coverage on a basis different than that requested in these specifications) will receive consideration providing such alternatives are clearly explained. Any exceptions to coverages requested herein must be clearly noted in writing and be included as a part of the proposal. The school district believes that the date contained in these specifications is sufficient for preparation of proposals. The information is believed to be accurate and is based upon the latest available information, but it is not to be considered in any way as a warranty. Questions or clarifications about this RFP must be made in writing no later than 4:00 PM on August 30, 2016. Please email questions to LPHILLIP@AISD.NET. Sealed proposals, one original hard copy and one electronic copy (CD or flash drive), will be received no later than Thursday, September 8, 2016, at 2:00 PM. Proposals must be clearly marked Property and Crime Insurance Proposal RFP#17-22 and addressed to: Tammy Craig, Director Arlington ISD 1203 W. Pioneer Parkway Arlington, TX 76013 Page 3 of 22

CONDITIONS FOR PROPOSAL 1. Specimen Policies with all endorsements must be included. 2. Alternate Proposals may be considered. They must however be presented in a concise and easily understandable format. 3. Any proposal received after the bid due date and time will not be considered. 4. Insurance companies must have a Best Rating of A- VII and licensed to transact business in the state of Texas (admitted carriers). Financial strength derived from reinsurance carriers will not be considered. 5. A program or plan qualifying under the Interlocal Cooperation Act will also be acceptable. Financial information must be included. 6. Proposals received in a timely fashion will be recorded. Individual contact for clarification may occur. The information contained in the proposals will not be released until the school board has approved the selected companies. The winning carriers will then be notified and all others are free to review any or all of the other quotes. Option to Extend the Contract The district reserves the unilateral right to extend the proposed contract for two additional oneyear terms. Termination of the Contract The districts Board of Trustees shall have the continuing right to terminate the contract for coverage at the expiration of each budget period during the term of the contract. The continuing right to terminate the contract shall be based on the Board of Trustee s best efforts to obtain and appropriate funds for the payment of the contract. Page 4 of 22

Purpose GENERAL REQUIREMENTS The school district is interested in receiving proposals from responsible parties, which will allow it to reduce its cost to the lowest level possible, while providing the broadest coverage available. Timetable Proposals should be mailed or hand delivered to the administration office to arrive no later than Thursday, September 8, 2016, at 2:00 PM. Submitters of successful proposals will be notified as soon as practical after the scheduled board meeting. The policy effective date will be October 25, 2016. Proposal Submission To promote the fair and objective evaluation of each proposal, a specific proposal format is required. Delivery of the proposal (one original hard copy and one electronic copy) is the responsibility of the proposer whether it be mailed or in person. Where proposals are sent by mail, the proposers shall be responsible for their delivery before the date and time set for the closing of proposal acceptance. Withdrawal of Proposals Proposers may withdraw their proposals at any time prior to the bid due date and time. No proposer shall withdraw or cancel his proposal for a period of sixty (60) days after the specified closing time. Once the school district accepts a proposal and notifies the successful proposer, that proposal may be withdrawn, canceled, or modified only at the request of the school district. Interpretation of Specifications If any person contemplating submitting a proposal is in doubt as to the true meaning of any part of these specifications, he may submit a written request for as interpretation thereof. The person submitting the request will be responsible for its prompt delivery. Any interpretation of these specifications will be made in writing and distributed to all those that received a copy of these specifications. Failure on the part of the prospective proposers to receive a written interpretation prior to the closing time for acceptance of proposals will not be grounds for withdrawal of the proposal. Page 5 of 22

Qualifications of Proposers or Insurers Proposers and /or insurers shall be duly licensed or approved non-admitted carriers and comply with all applicable state insurance and property casualty laws and requirements of duly constituted regulatory authorities. In addition, proposals will be accepted from municipal joint self-insurance funds established to serve Texas schools, cities, counties and other political subdivisions (latest audited financial statements of the program or plan must be submitted). Agents must furnish a Best s policy rating for each separate insurance company with which coverage is quoted. Copies of Contracts / Service Agreements / Policies It is requested that complete specimen contracts, interlocal agreements, bylaws, service agreements, reinsurance (excess insurance or stop loss) policies, and /or insurance policies be included in all proposals. Other Conditions The proposers must have the knowledge and capability of complying with the Governmental Accounting Standards Board (GASB), Statement No. 10 should they be required, which establishes accounting and financial reporting procedures. The carrier must be able to provide the required reports. Please describe in your proposal how this would be carried out if necessary. Each proposer should outline in detail its experience in providing property and casualty services to other similar political subdivisions. References should be listed, with phone numbers. Account representatives in each major area should be identified. All prices must be guaranteed for a minimum twelve-month period beginning the effective date. Proposals are to be good for one year with the option to renew annually for two additional years. Multi-year proposals must allow for annual renewal/appropriation requirements. The annual escalation provision of the proposals must not exceed 10% and the school district will have the option to rescind the contract if the proposal price increase is not reasonable in the opinion of the school district officials. Please specify all fees and commissions to be received and paid by each proposer, vendor, and /or carrier. All governing law will be in the State of Texas. Please complete the proposal forms in the RFP packet. Page 6 of 22

Property UNDERWRITING INFORMATION All Risk Form Yes No Replacement Cost Basis Yes No Agreed Amount Endorsement Yes No Per Occurrence Yes No Blanket Building, Contents and Adjacent Structures $1,747,708,766 Loss Limit $750,000,000 Flood (designate excluded locations) $50,000,000 Earthquake $50,000,000 Newly Acquired or Constructed $5,000,000 Extra Expense $5,000,000 Unintentional Errors & Omissions $5,000,000 Increased Cost of Construction Personal Property of Students and Teachers Policy Limit $1,000,000 max limit/$10,000 per person Unnamed Locations $2,500,000 Account Receivables $1,000,000 Valuable Papers $5,000,000 Deductible All Other Perils $100,000 Deductible Windstorm and Hail $250,000 Deductible Flood $100,000 Deductible Earthquake $100,000 Current Premium including Terrorism $828,932 Page 7 of 22

Inland Marine All Risk Including Theft Yes No Replacement Cost Yes No Computer Equipment (EDP) $5,000,000 In Transit on EDP $500,000 Musical Instruments and Uniforms $2,000,000 Audio & Visual Equipment $3,000,000 Miscellaneous Equipment $100,000 Mobile Equipment $1,000,000 Deductible $10,000 \ Boiler & Machinery Comprehensive Form Yes No Replacement Cost Yes No Limit Policy Limit Expediting Expense $250,000 Water Damage Hazardous Substance Policy Limit Policy Limit Deductible $20,000 Boiler inspection service must be included. Page 8 of 22

Crime Faithful Performance Endorsement Yes No Public Employee Dishonesty $500,000 Forgery and /or Alteration $500,000 Theft, Disappearance & Destruction Inside the Premises $100,000 Theft, Disappearance & Destruction Outside the Premises $100,000 Computer Fraud $500,000 Money Orders and Counterfeit Paper Currency $100,000 Funds Transfer Fraud $500,000 Deductible $10,000 Page 9 of 22

Property PROPOSAL RESPONSE FORMS All Risk Coverage Yes No Replacement Cost Valuation Yes No Agreed Amount Endorsement Yes No Per Occurrence Yes No Mold/Fungus Covered as consequence of a covered peril Yes No Blanket Building, Contents and Adjacent Structures Limit Quoted $ Flood (designate excluded locations) Limit Quoted $ Earthquake Limit Quoted $ Newly Acquired or Constructed Limit Quoted $ Extra Expense Limit Quoted $ Unintentional Errors & Omissions Limit Quoted $ Increased Cost of Construction Limit Quoted $ Personal Property of Students and Teachers Limit Quoted $ Unnamed Locations Limit Quoted $ Account Receivables Limit Quoted $ Valuable Papers Limit Quoted $ Deductible All Other Perils Ded Quoted $ Deductible Windstorm and/or Hail Ded. Quoted $ Deductible Flood Ded. Quoted $ Deductible Earthquake Ded. Quoted $ Page 10 of 22

Inland Marine All Risk Including Theft Yes No Replacement Cost Yes No Computer Equipment (EDP) Limit Quoted $ In Transit on EDP Limit Quoted $ Musical Instruments and Uniforms Limit Quoted $ Audio / Visual Equipment Limit Quoted $ Miscellaneous Equipment Limit Quoted $ Mobile Equipment Limit Quoted $ Deductible Ded. Quoted $ Boiler and Machinery Comprehensive Form Yes No Limit Quoted $ Replacement Cost Yes No Boiler Inspection Service Included Yes No Expediting Expense Limit Quoted $ Water Damage Limit Quoted $ Hazardous Substance Limit Quoted $ Deductible Ded. Quoted $ Page 11 of 22

Crime Faithful Performance Endorsement Yes No Employee Dishonesty Limit Quoted $ Forgery and/or Alteration Limit Quoted $ Theft, Disappearance and Destruction Inside the Premises Limit Quoted $ Theft, Disappearance and Destruction Outside the Premises Limit Quoted $ Computer Fraud Limit Quoted $ Money Orders and Counterfeit Paper Currency Limit Quoted $ Funds Transfer Fraud Limit Quoted $ Deductible Ded. Quoted $ Page 12 of 22

PREMIUM SUMMARY Coverage Carrier A.M. Best Rating Premium Property Inland Marine Boiler & Machinery Crime Total Premium Name of Submitting Vendor: Page 13 of 22

SUBMITTING VENDORS INFORMATION Vendor: Address: Agent: Telephone: Email: Signature: Date: Page 14 of 22

ANTI COLLUSION ~ BID PROPOSAL ACKNOWLEDGMENT CLAUSE I/We have read the instructions and specifications to Bidder/Proposer. My/Our bid/proposal conforms to all bid/proposal specifications, condition, and instructions as outlined by the school district. Signing this form confirms that our company will enter into a binding contract with the school district for item(s) awarded to our company. The undersigned Bidder/Proposer, by signing and executing this bid/proposal, certifies and represents to the School District that Bidder/Proposer has not offered, conferred or agreed to confer any pecuniary benefits, as defined by 1.07 (a) (6) of the Texas Penal Code, or any other thing of value, as consideration for the receipt of information or any special treatment or advantage relating to this bid/proposal. The Bidder/Proposer also certifies and represents that Bidder/Proposer has not offered, conferred or agreed to confer any pecuniary benefit or other things of value as consideration for the recipient's decision, option, recommendation, vote or other exercise of discretion concerning this Bidder/Proposer: The Bidder/Proposer certifies and represents that Bidder/Proposer has neither coerced nor attempted to influence the exercise of discretion by any officer, trustee, agent or employee of the School District concerning this bid/proposal on the basis of any consideration not authorized by law. The Bidder/Proposal also certifies and represents that the Bidder/Proposer has not received any information not available to other Bidders/Proposers so as to give the undersigned a preferential advantage with respect to this bid/proposal. The Bidder/Proposal further certifies and represents that Bidder/Proposer has not violated any state, federal or local law, regulation or ordinance relating to bribery, improper influence, collusion or the like and that Bidder/Proposer will not in the future offer, confer, or agree to confer any pecuniary benefit or other thing of value to any officer, trustee, agent or employee of the School District in return for the person having exercised the person's official; discretion, power or duty with respect to this bid/proposal. The Bidder/Proposer certifies and represents that it has not now and will not in the future offer, confer, or agree to confer a pecuniary benefit or other things of value to any officer, trustee, agent or employee of the School District in connection with information regarding this bid/proposal, the submission of this bid/proposal, the award of this bid/proposal or the performance, delivery or sale pursuant to this bid/proposal. BIDDER/PROPOSER/QUOTER AGREES TO COMPLY WITH ALL TERMS AND CONDITIONS. PURCHASES MADE FOR SCHOOL DISTRICT USE ARE EXEMPT FROM THE STATE SALES TAX AND FEDERAL EXCISE TAX. DO NOT INCLUDE THESE TAXES IN YOUR BID. BOTH UNIT PRICES AND EXTENTIONS MUST BE SUBMITTED. UNIT PRICES SHALL GOVERN. VENDOR MUST ACKNOWLEDGE BY COMPLETING AND SIGNING BELOW: Signature of Authorized Representative: Title: Printed Name: Date: Page 15 of 22

CONFLICT OF INTEREST QUESTIONNAIRE CONFLICT OF INTEREST QUESTIONNAIRE For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. By law this questionnaire must be filed with the records administrator of the local government not later than the 7 th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. FORM CIQ OFFICE USE ONLY 1 Name of person doing business with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7 th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) 3 Name of local government officer with whom filer has employment or business relationship. (Complete this section only if the answer to A, B, or C is YES.) Name of Officer This section (item 3 including subparts A, B, C & D) must be completed for each officer with whom the filer has an employment or other business relationship as define by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the filer of the questionnaire? Yes No B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local government entity? Yes No C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership of 10 percent or more. Yes No D. Describe each employment or business relationship with the local government officer named in this section. 4 Signature of person doing business with the government entity Date Page 16 of 22

FELONY CONVICTION NOTIFICATION 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 a contract with a school district must give advance notice to the school district if the person or 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 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 school district must compensate the person or business entity for services performed before the termination of the contract. This notice is not required of a publicly held corporation. Please complete the information below: 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 (Please print or type): A. My firm is a publicly held corporation; therefore, this reporting requirement is not applicable: Signature of Company Official: Date: B. My firm is not owned nor operated by anyone who has been convicted of a felony. Signature of Company Official: Date: C. My firm is owned or operated by the following individual(s) who has/have been convicted of felony: Name of Felon(s): Details of Conviction(s): Signature of Company Official: Date: Page 17 of 22

SUSPENSION OR DEBARMENT CERTIFICATE Non-Federal entities are prohibited from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of $100,000.00. Contractors receiving individual awards for $100,000.00 or more and all subrecipients must certify that the organization and its principals are not suspended or debarred. By submitting this offer and signing this certificate, the bidder : Certifies that the owner/operator has not been convicted of a felony except as indicated on separate attachment to this offer, in accordance with Sec. 44.034, Texas Education code, and Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the Federal OMB, A-102, Common Rule(.36). Vendor Name : Vendor Address : Vendor E-mail Address : Vendor Telephone : Authorized Company Official s Name : (Printed) Signature of Company Official : Date : Page 18 of 22

HISTORICALLY UNDERUTILIZED BUSINESS (HUB) CERTIFICATION Bidding companies that have been certified by the Texas Building and Procurement Commission (TBPC) 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 certification for vendors that properly indicate and document their HUB certification on this form. I certify that my company has been certified by the Texas Building and Procurement Commision 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 Texas Building and Procurement Commission as a Historically Underutilized Business (HUB). Signature of Authorized Representative Name (Please Print) Title Date Company Name (Please Print) Page 19 of 22

Page 20 of 22

DISCLOSURE OF INTERESTED PARTIES Each Vendor must submit, along with its response to this RFP/BID, a Disclosure of Interested Parties as referenced in Texas Government Code 2252.908 and 1 Tex. Admin. Code 46.1(c). In order to complete the required disclosure, the Ethics Commission requires that a user log on to its online system in order to generate the necessary form. Instructions for completing this form can be found on the Texas Ethics Commission s website: https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm. Click on Log In then Form 1295 Filings. The user will then print the form, sign and notarize it, and submit it to AISD in hard copy along with its response to this RFP/BID. AISD requires that every respondent to this RFP/BID submit this disclosure. For purposes of completing the disclosure, the identification number used by AISD for tracking this contract is the RFP/BID number that is specified in this RFP/BID. Page 21 of 22

Page 22 of 22