Maxell MP-AW4001 Ultra-Short Throw Projector

Agency: Northside Independent School District
State: Texas
Type of Government: State & Local
Posted Date: Jul 23, 2020
Due Date: Aug 11, 2020
Solicitation No: Co-Op Quote #2020-158
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Co-Op Quote #2020-158
Maxell MP-AW4001 Ultra-Short Throw Projector
Attachments
Co-Op Required Forms.pdf
2020-158line item response sheet.pdf
CIQ fillable.pdf
07/23/2020 4:02 PM CT
07/23/2020 4:01 PM CT
08/11/2020 4:00 PM CT
Ready for Responses

Attachment Preview

VENDOR INFORMATION
Please provide the following information:
Company Name:
Contract with the following Purchasing Cooperative(s):
2013 Purchasing Cooperative (Region XX ESC)
Choice Partners (CP)
Educational and Institutional Cooperative Services (E & I)
The Local Government Purchasing Cooperative (TASB BuyBoard)
Harris County Department of Education (HCDE)
The Interlocal Purchasing System Texas (Region VIII ESC)
OMNIA Partners
State of Texas Department of Information Resources (DIR)
Texas Comptroller of Public Accounts (TXMAS)
U.S. Communities
Purchasing Cooperative Expiration Date:
Link to Purchasing Cooperative Contract Information (must be located on Purchasing Cooperative’s website:
Purchasing Cooperative Contract #:
E-mail address for placing orders:
Fax number for placing orders:
Telephone number for order status:
Local Contact/Representative:
Local Contact/Rep E-mail Address:
Telephone:
Fax:
Delivery Date After Receipt of Order (ARO):
Discount Payment Terms (standard District payment NET 30):
Does your company offer an on-line ordering system?
If yes, provide web page link:
Is the principal place of business for your company in the State of Texas?
Does your company employ at least 500 people in the State of Texas?
Yes_____ No_____
Yes_____ No_____
Yes_____ No_____
Signature:
Date:
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
Complete Nos. 1 - 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
1 Name of business entity filing form, and the city, state and country of the business
ile entity's place of business.
/F 2 Name of governmental entity or state agency that is a party to the contract for
s which the form is being filed.
.tx.u 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,
and provide a description of the services, goods, or other property to be provided under the contract.
tate 4
s.s Name of Interested Party
City, State, Country
(place of business)
Nature of Interest (check applicable)
Controlling
Intermediary
line at www.ethic 5
Check only if there is NO Interested Party.
on 6 UNSWORN DECLARATION
file My name is _______________________________________________________, and my date of birth is _______________________________.
t My address is ________________________________________________, ___________________, _______, __________, ______________.
s (street)
(city)
(state) (zip code)
(country)
Mu I declare under penalty of perjury that the foregoing is true and correct.
Executed in ___________________ County, State of ______________ , on the _______ day of _______________, 20______.
(month)
(year)
Signature of authorized agent of contracting business entity
(Declarant)
ADD ADDITIONAL PAGES AS NECESSARY
Form provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 12/22/2017
NORTHSIDE ISD
VENDOR CERTIFICATION FORMS
FELONY CONVICTION NOTIFICATION
Texas Education Code, Section 44.034, Notification of Criminal History of Contractor, subsection (a), 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 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 district must compensate the person or business for services performed before the termination of the contract.”
Does vendor agree? YES ________ Initials of Authorized Representative of vendor
CERTIFICATE OF INTERESTED PARTIES FORM 1295
A person or business entity entering into a contract and/or agreement with NISD is required by the New Government Code
Statute §2252.908, to complete Form 1295 “Certificate of Interested Parties”. This form must be submitted online at
https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm. Once the online submission has been processed and a claim number
has been issued, the form must be printed with the claim number, then signed and submitted along with the bid/quote/proposal
document(s). If Form 1295 is not submitted along with your bid/quote/proposal response, your response may be considered “non-
responsive” and may be disqualified.
Does vendor agree? YES ________ Initials of Authorized Representative of vendor
Or
Is publicly traded business entity, including a wholly owned subsidiary of the business entity.
________ Initials of Authorized Representative of vendor
CERTIFICATION OF COMPLIANCE WITH TEXAS FAMILY CODE PROVISION
As per Section 14.52 of the Texas Family Code, added by S.B. 84, Acts, 73rd Legislature, R.S. (1993), all bidders must complete
and submit with the bid the following affidavit:
I, the undersigned vendor, do hereby acknowledge that NO sole proprietor, partner, majority shareholder of a corporation, or an owner
of 10% or more of another business entity is 30 days or more delinquent in paying child support under a court order or a written
repayment agreement. I understand that under this provision, a sole proprietorship, partnership, corporation or other entity in which a
sole proprietor, partner, majority shareholder or a corporation, or an owner of 10% or more of another entity is 30 days or more delinquent
in paying child support under a court order or a written repayment agreement is NOT eligible to bid or receive a state contract.
Does vendor agree? YES ________ Initials of Authorized Representative of vendor
CERTIFICATION OF COMPLIANCE WITH HOUSE BILL 89
Vendor certifies that is in compliance with all applicable provisions of the House Bill 89. Purchases made in accordance under the
provisions of Subtitle F, Title 10, Government Code Chapter 2270 must comply with the following:
1. Does not boycott Israel currently; and
2. Will not boycott Israel during the term of the contract the above-named Company, business or individual with Northside Independent
School District.
Does vendor agree? YES ________ Initials of Authorized Representative of vendor
REQUIRED CONTRACT PROVISIONS FOR NON-FEDERAL ENTITY CONTRACTS
UNDER FEDERAL AWARDS APPENDIX II TO 2 CFR PART 200
The following provisions are required and apply when federal funds are expended by Northside ISD for any contract resulting
from this procurement process.
(A) Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted
amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils)
as authorized by 41 U.S.C. 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.
Pursuant to Federal Rule (A) above, when federal funds are expended by Northside ISD, Northside ISD reserves all rights and
privileges under the applicable laws and regulations with respect to this procurement in the event of breach of contract by
either party.
Does vendor agree? YES ________ Initials of Authorized Representative of vendor
(B) Termination for cause and for convenience by the grantee or sub grantee including the manner by which it will be effected
and the basis for settlement. (All contracts in excess of $10,000)
Pursuant to Federal Rule (B) above, when federal funds are expended by Northside ISD, Northside ISD reserves the right to
immediately terminate any agreement in excess of $10,000 resulting from this procurement process in the event of a breach or
default of the agreement by Vendor, in the event vendor fails to: (1) meet schedules, deadlines, and/or delivery dates within
the time specified in the procurement solicitation, contract, and/or a purchase order; (2) make any payments owed; or (3)
otherwise perform in accordance with the contract and/or the procurement solicitation. Northside ISD also reserves the right
to terminate the contract immediately, with written notice to vendor, for convenience, if Northside ISD believes, in its sole
discretion that it is in the best interest of Northside ISD to do so. The vendor will be compensated for work performed and
accepted and goods accepted by Northside ISD as of the termination date if the contract is terminated for convenience of
Northside ISD. Any award under this procurement process is not exclusive and Northside ISD reserves the right to purchase
goods and services from other vendors when it is in the best interest of Northside ISD.
Does vendor agree to abide by the above?
YES ________ Initials of Authorized Representative of vendor
(C) Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition
of “federally assisted construction contract” in 41 CFR Part 60-1.3 must 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.”
Pursuant to Federal Rule (C) above, when federal funds are expended by Northside ISD on any federally assisted construction
contract, the equal opportunity clause is incorporated by reference herein.
Does vendor agree to abide by the above?
YES ________ Initials of Authorized Representative of vendor
(D) Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime construction
contracts in excess of $2,000 awarded by non-Federal entities must include a provision for compliance with the Davis-Bacon
Act (40 U.S.C. 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, contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing
wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay
wages not less than once a week. The non-Federal entity must place a copy of the current prevailing wage determination
issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned
upon the acceptance of the wage determination. The non-Federal entity must report all suspected or reported violations to
the Federal awarding agency. The contracts must also include a provision for compliance with the Copeland “Anti-

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