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1 N O T I C E T O B I D D E R S The Grand Prairie Independent School District will receive bids on a continual basis: Until 4:30 p.m. (CST) Wednesday, May 31, 2017 FOR: Printing Services, Awards, Promotional/Spirit Items, etc. RFP #16-05 Prospective bidders may secure further information and specifications at http://www.gpisd.org/Page/3289 The school district reserves the right to reject any and/or all bids and to waive all formalities and irregularities in bidding. All bids (submitted via envelope) must be stamped in at the Purchasing Department (no other GPISD department or staff are acceptable). Bids may also be submitted electronically (preferred method) to the Purchasing Department’s e-mail address: [email protected] (please contact the Purchasing department directly to make sure your response was received) Faxed (972-237-5533) and/or hand carried responses (without envelope) are also acceptable. It is the duty of the responding vendor to make sure their response has been received and accepted by a member of the GPISD Purchasing Staff. BID ENVELOPE MUST BE ADDRESSED TO (If Mailing): Grand Prairie ISD Purchasing Department 2602 South Belt Line Road Grand Prairie, TX 75052 AND PLAINLY MARKED: RFP NO. 16-05

16-05 Printing, Awards, Spirit and Promotional Items and ......FOR: Printing Services, Awards, Promotional/Spirit Items, etc. ... All Custom Made Signs/Sign Supplies/Equipment - _____%

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Page 1: 16-05 Printing, Awards, Spirit and Promotional Items and ......FOR: Printing Services, Awards, Promotional/Spirit Items, etc. ... All Custom Made Signs/Sign Supplies/Equipment - _____%

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

The Grand Prairie Independent School District will receive bids on a continual basis:

Until 4:30 p.m. (CST) Wednesday, May 31, 2017

FOR: Printing Services, Awards, Promotional/Spirit Items, etc.

RFP #16-05

Prospective bidders may secure further information and specifications at http://www.gpisd.org/Page/3289

The school district reserves the right to reject any and/or all bids and to waive all formalities and irregularities in bidding.

All bids (submitted via envelope) must be stamped in at the Purchasing Department (no other GPISD department or staff are acceptable).

Bids may also be submitted electronically (preferred method) to the Purchasing

Department’s e-mail address: [email protected] (please contact the Purchasing department directly to make sure your response was received)

Faxed (972-237-5533) and/or hand carried responses (without envelope) are also acceptable. It is the duty of the responding vendor to make sure their response has been received and accepted by a member of the GPISD Purchasing Staff.

BID ENVELOPE MUST BE ADDRESSED TO (If

Mailing):

Grand Prairie ISD Purchasing Department

2602 South Belt Line Road Grand Prairie, TX 75052

AND

PLAINLY MARKED:

RFP NO. 16-05

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GRAND PRAIRIE INDEPENDENT SCHOOL DISTRICT

PROCEDURES FOR SEALED BIDS 1.0.0 GENERAL CONDITIONS

1.1.0 APPLICABILITY - These conditions are applicable and form a part of the contract documents in each equipment and/or service contract and a part of the terms of each purchase order for items of equipment and/or service included in the specifications and bid forms issued herewith.

1.2.0 WITHDRAWAL OF BIDS - Any bid may be withdrawn by the bidder prior to

the scheduled time for opening. Any request by a bidder to withdraw a bid must be in person or in writing and submitted to the Director of Purchasing prior to the scheduled time for opening bids. Any bid that is received after the time specified shall not be considered and may be returned unopened to the bidder.

1.3.0 BIDS SHALL BE SUBMITTED ON THESE FORMS - Deviations to the General

Conditions and/or Specifications shall be conspicuously noted in writing by the bidder and shall be included in the bid.

1.4.0 GPISD reserves the right to waive any or all bid irregularities, formalities,

or other technicalities; to be the sole and independent judge of quality and suitability of any products offered; and may accept or reject any bid in its entirety, or may reject any part of any bid without affecting the remainder of that bid, and may award the individual items on this bid in any combination or in any way to best serve the interests of GPISD as it perceived those interests to be in its sole discretion.

1.5.0 GPISD will enter into contractual relationships only with those bidders who

have, through word and action, affirmed that they comply with all applicable existing laws or executive orders to insure equal employment opportunities, without regard to race, creed, color, sex, or national origin. Minority owned or HUB companies are encouraged to compete in providing goods and services to the district. GPISD does not operate under a set-aside program.

1.6.0 DELIVERIES required in this bid shall be between 7:00 a.m. and 2:00 p.m.,

inside delivery.

2.0.0 SPECIFICATIONS may be those developed by the Using Department or by the Manufacturer to represent items of regularly manufactured products, materials, or equipment.

2.1.0 DISTRICT SPECIFICATIONS have been developed by the Using Department

to show minimal standards as to the usage, materials, and contents based on their needs.

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2.2.0 WARRANTY CONDITIONS for all supplies and/or equipment shall be considered manufacturer's minimum standard warranty unless otherwise agreed to in writing. Bidder shall be an authorized dealer, distributor or manufacturer for the product. Seller shall not limit or exclude any implied warranties, any attempt to do so shall render this contract void at the option of the Buyer.

3.0.0 EVALUATION OF BIDS, in accordance with Article 2368a.3, Section 5, takes into

account the following considerations: 3.0.1 Purchase Price; 3.0.2 Reputation of the vendor, vendor’s goods and services; 3.0.3 Quality of vendor’s goods or services; 3.0.4 Extent to which the goods or services meets district’s needs; 3.0.5 Vendor’s past relationship with the district; 3.0.6 Impact on the ability of the district to comply with laws and rules relating to

historically underutilized businesses; 3.0.7 Total long-term cost to the district to acquire the vendor’s goods or services; 3.0.8 Any other relevant factor specifically listed in the request for bids and proposals, such

as vendor response time and compatibility of goods/products purchased. 3.1.0 AWARD of BID; BID SUMMARY: The GPISD reserves the right to award a

separate contract to more than one bidder for each item/group/service or to award on contract for the entire bid. Approved vendors will be listed and posted the district Purchasing webpage.

http://www.gpisd.org/Page/3289 4.0.0 CONTRACTS

4.1.0 CONTRACTS FOR PURCHASE will be put into effect by means of a purchase order(s) executed by the Purchasing Department after bids have been awarded.

4.2.0 ALL CONTRACTS AND AGREEMENTS between bidders and the GPISD shall strictly adhere to the statutes as set forth in the Uniform Commercial Code as last amended in 1977 by the American Law Institute in the National Conference of Commissioners on uniform state laws.

4.3.0 Buyer's obligation is payable only and solely from the funds available for the

purpose of this purchase. Lack of funds shall render this contract null and void to the extent funds are not available and any delivered but unpaid for goods will be returned to the Seller by the Buyer. Do not include Federal Excise, State or City Sales Tax. Entity shall furnish exemption certificate.

4.4.0 If vendor performance becomes an issue during the contract term, GPISD has

the right to terminate the contract with said vendor prior to the original expiration term noted in original contract.

5.0.0 DISCLOSURES – see attached EDGAR Regulations Form

6.0.0 CONDUCT WHILE ON DISTRICT PREMISES

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6.1.0 Successful bidder or contractor, and all employees, will be required to comply with the same standards applicable to the employees of the GPISD with regard to Employee Conduct and Welfare of the Auxiliary Employee Handbook at:

http://www.gpisd.org/Page/3656

SECTION 7.0.0 – 10.0.0 (SECURITY; BID SECURITY; PAYMENT BONDS; AND INSURANCE) do not apply to this bid. 11.0.0 INTERLOCAL AGREEMENT

The Grand Prairie ISD participates in the Educational Purchasing Cooperative of North Texas (EPCNT) There are several governmental entities which utilize this organization for potential purchases. A complete list may be viewed at

http://www.epcnt.com/Current_members.htm

Governmental entities utilizing Internal Governmental contracts with the EPCNT will be eligible, but not obligated, to purchase materials/services under the contract(s) awarded as a result of this solicitation. All purchases by governmental entity other than Grand Prairie ISD will be billed directly to that governmental entity and paid by that governmental entity. Grand Prairie ISD will not be responsible for another governmental entity’s debts. Each governmental entity will order material/service as needed and issue the appropriate purchasing documents/contracts.

12.0.0 SIGNED CONTRACTS OR AGREEMENTS: Contracts may only be signed by the Board, Superintendent or CFO. Any contracts or agreements signed by any District employee other than the above shall be considered null and void. 13.0.0 CONTACT If you have any questions regarding this bid, please contact Sherry Ellis, Purchasing Director at 972-237-5403 or at [email protected]

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BIDDER’S CERTIFICATE FORM – RFP #16-05

This RFP is a qualifying agreement and all vendors responding will be approved. Your company MUST respond to this RFP in order to become an approved vendor with GPISD. There are no specific items/services requested because we are unsure of what will be purchased. All purchases must occur with a district purchase order. 1) Would you prefer to receive your orders electronically by email?

No Yes If yes, email address:________________________________

2) Will your organization accept payments of invoices via credit card? No

Yes - GPISD will not pay any fees associated with the credit card payment.

Please list a % discount off of materials/services or put the word “varies” in each section your company is responding. Please only respond to the sections which apply to your company – your company does not have to bid on all sections to become an approved vendor.

1. Our firm will accept orders using district purchase orders.

Yes No

2. All Printing Services/Supplies - ____________________% off of catalog/pricelist.

3. All T-Shirts (Includes selling and embroidery services) - ___________________% off of catalog/pricelist.

4. All Awards (Includes selling and engraving services) - ____________________% off of catalog/pricelist.

5. All Promotional/Spirit Items - ____________________% off of catalog/pricelist.

6. All Custom Made Signs/Sign Supplies/Equipment - __________________% off of catalog/pricelist.

7. Freight/Shipping Charges Applicable Yes No 8. Vendor Reference Number, if applicable ______________________________

It is understood that this bid will be effective until August 31, 2021.

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EPCNT INTERLOCAL AGREEMENT CLAUSE Should the governmental, referenced above, elect to participate in this contract, would you, (the contractor) agree that all terms, conditions, specifications, and pricing would apply? YES □ NO □ ADDITIONAL STORE LOCATIONS/ON-LINE ORDERING Will your organization agree to all the terms and conditions set forth in this bid document for other store locations and/or on-line ordering? YES □ NO □

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GRAND PRAIRIE INDEPENDENT SCHOOL DISTRICT PROPOSER/VENDOR CERTIFICATION FORMS –

MUST BE RETURNED WITH BID PACKET

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 Grand 

Prairie ISD for any contract resulting from this procurement process. 

The Grand Prairie IS is the subgrantee or Subrecipient by definition. 

In addition to other provisions required by the Federal agency or non‐Federal entity, all contracts made by the non‐Federal entity under the Federal award must contain provisions covering the following, as applicable. 

(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 Grand Prairie ISD, Grand Prairie ISD reserves all rights and privileges under the applicable laws and regulations with respect to this procurement in the vent 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 subgrantee 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 Grand Prairie ISD, Grand Prairie 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 

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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.  Grand Prairie ISD also reserves the right to terminate the contract immediately, with written notice to vendor, for convenience, if Grand Prairie ISD believes, in its sole discretion that it is in the best interest of Grand Prairie ISD to do so.  The vendor will be compensated for work performed and accepted and goods accepted by Grand Prairie ISD as of the termination date if the contract is terminated for convenience of Grand Prairie ISD.  Any award under this procurement process is not exclusive and Grand Prairie ISD reserves the right to purchase goods and services from other vendors when it is in the best interest of Grand Prairie ISD. 

Does the vendor agree to abide by the above?  YES_____  Initials of Authorized Representative of Vendor 

(C) Rights to Inventions Made Under a Contract Agreement.  If the 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 of 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. 

Pursuant to Federal Rule (F) above, when federal funds are expended by Grand Prairie ISD, the vendor certifies that during the term of an award for all contracts by Grand Prairie ISD resulting from this procurement process, the vendor agrees to comply with all applicable requirements as referenced in Federal Rule (F) above. 

Does vendor agree?  YES_________  Initials of Authorized Representative of Vendor 

(D) Clean Air Act (42 U.S.C. 7401‐7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251‐

1387), as amended—Contracts and subgrants 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 to the Clean Air Act (42 U.S.C. 7401‐7671q) and the Federal Water 

Pollution Control Act as amended (33 U.S.C. 1251‐1387).  Violations must be reported to the Federal 

awarding agency and the Regional Office of the Environmental Protection Agency (EPA). 

Pursuant to Federal Rule (G) above, when federal funds are expended by Grand Prairie ISD, the vendor certifies that during the term of an award for all contracts by Grand Prairie ISD resulting from this procurement process, the vendor agrees to comply with all applicable requirements as referenced in Federal Rule (G) above. 

Does vendor agree?  YES__________  Initials of Authorized Representative of Vendor 

(E) Debarment and Suspension (Executive Orders 12549 and 12689)—A contract award (see 2 CFR 

180.220) must not be made to parties listed on the governmentwide exclusions in the system for 

Award Management (SAM0, in accordance with the OMB guidelines at 2 CFR 180 that implement 

Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), 

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“Debarment and Suspension.”  SAM Exclusions contains the names of parties debarred, suspended, or 

otherwise excluded by agencies, as well as parties declared inelibgible under statutory or regulatory 

authority other than Executive Order 12549. 

Pursuant to Federal Rule (H) above, when federal funds are expended by Grand Prairie ISD, the vendor certifies that during the term of an award for all contracts by Grand Prairie ISD resulting from this procurement process, the vendor certifies that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency. 

Does vendor agree?  YES_________  Initials of Authorized Representative of Vendor 

(F) Byrd Anti‐Lobbying Amendment (31 U.S.C. 1352)—Contractors that apply or bid for an award 

exceeding $100,000 must file the required certification.  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 a member of Congress in connection with obtaining any 

Federal contract, grant or any other award covered by 31 U.S.C. 1352.  Each tier must also disclose any 

lobbying with non‐Federal funds that takes place in connection with obtaining any Federal award.  

Such disclosures are forwarded from tier to tier up to the non‐Federal award. 

Pursuant to Federal Rule (I) above, when federal funds are expended by Grand Prairie ISD, the vendor certifies that during the term and after the awarded term of an award for all contracts by Grand Prairie ISD resulting from this procurement process, the vendor certifies that it is in compliance with all applicable provisions of the Byrd Anti‐Lobbying Amendment (31 U.S.C. 1352).  The undersigned further certifies that: 

(1) No Federal appropriated funds have been paid or will be paid for on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative agreement. 

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form‐LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions. 

(3) The undersigned shall require that the language of this certification be included in the award documents for all covered sub‐awards exceeding $100,000 in Federal funds at all appropriate tiers and that all subrecipients shall certify and disclose accordingly. 

Does vendor agree?  YES___________  Initials of Authorized Representative of Vendor 

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RECORD RETENTION REQUIREMENTS FOR CONTRACTS PAID FOR WITH FEDERAL FUNDS – 2 CFR § 200.333 

When federal funds are expended by Grand Prairie ISD for any contract resulting from this procurement process, the vendor certifies that it will comply with the record retention requirements detailed in 2 CFR § 200.333.  The vendor further certifies that vendor will retain all records as required by 2 CFR § 200.333for a period of three years after grantees or subgrantees submit final expenditure reports or quarterly or annual financial reports, as applicable, and all other pending matters are closed. 

Does vendor agree?   YES____________  Inititals of Authorized Representative of Vendor 

CERTIFICATION OF COMPLIANCE WITH THE ENERGY POLICY AND CONSERVATION ACT 

When federal funds are expended by Grand Prairie ISD for any contract resulting from this procurement process, the vendor certifies that the vendor will be in compliance with mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S.C. 6321, et seq.; 49 C.F.R. Part 18; Pub. L. 94‐163, 89 Stat. 871). 

Does vendor agree?  YES_____________  Initials of Authorized Representative of Vendor 

CERTIFICATION OF COMPLIANCE WITH BUY AMERICA PROVISIONS 

Vendor certifies that vendor is in compliance with all applicable provisions of the Buy America Act.  Purchases made in accordance with the Buy America Act must still follow the applicable procurement rules calling for free and open competition. 

Does vendor agree?  YES_____________  Initials of Authorized Representative of Vendor 

CERTIFICATION OF NON‐COLLUSION STATEMENT 

Vendor certifies under penalty of perjury that its response to this procurement solicitation is in all respects bona fide, fair, and made without collusion or fraud with any person, joint venture, partnership, corporation or other business or legal entity. 

Does vendor agree?  YES_____________  Initials of Authorized Representative of Vendor 

Vendor agrees to comply with all federal, state, and local laws, rules, regulations and ordinances, as 

applicable.  It is further acknowledged that vendor certifies compliance with all provisions, laws, acts, 

regulations, etc. as specifically noted above. 

Vendor’s Name/Company Name:_________________________________________________________ 

DUNS #______________________________ Company registered on SAM.gov?  Yes______  No_______ 

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Address, City, State, and Zip Code:________________________________________________________ 

Phone Number:__________________________________  Fax Number:__________________________ 

Printed Name and Title of Authorized Representative:________________________________________ 

Email Address:_________________________________________________________________________ 

Signature of Authorized Representative:________________________________  Date:______________ 

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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 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 entity for services performed before the termination

contract.” This Notice Is Not Required of a Publicly Held Corporation

(I) (We), 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.

Check the appropriate box and sign the form.

My firm is a publicly held corporation; therefore, this reporting requirement is not

applicable.

AUTHORIZED SIGNATURE:___________________________________________

My firm is not owned nor operated by anyone who has been convicted of a felony.

AUTHORIZED SIGNATURE:___________________________________________

My firm is owned or operated by the following individual(s) who has/have been

convicted of a felony.

Name of Felony: _______________________________________________________

Details of Conviction(s):

AUTHORIZED SIGNATURE:___________________________________________

DATE:_____________________

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Revised 11/30/2015Form provided by Texas Ethics Commission www.ethics.state.tx.us

FORM CIQ

OFFICE USE ONLYThis questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.

This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor whohas a business relationship as defined by Section 176.001(1-a) with a local governmental entity and thevendor meets requirements under Section 176.006(a).

By law this questionnaire must be filed with the records administrator of the local governmental entity not laterthan the 7th business day after the date the vendor becomes aware of facts that require the statement to befiled. See Section 176.006(a-1), Local Government Code.

A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. Anoffense under this section is a misdemeanor.

CONFLICT OF INTEREST QUESTIONNAIREFor vendor doing business with local governmental entity

Date Received

A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,other than investment income, from the vendor?

Yes No

B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the directionof the local government officer or a family member of the officer AND the taxable income is not received from thelocal governmental entity?

Yes No

7

Check this box if the vendor has given the local government officer or a family member of the officer one or more giftsas described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).

Signature of vendor doing business with the governmental entity Date

Name of vendor who has a business relationship with local governmental entity.1

Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated

completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which

you became aware that the originally filed questionnaire was incomplete or inaccurate.)

2

3 Name of local government officer about whom the information is being disclosed.

Name of Officer

Describe each employment or other business relationship with the local government officer, or a family member of theofficer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.Complete subparts A and B for each employment or business relationship described. Attach additional pages to this FormCIQ as necessary.

4

6

5Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation orother business entity with respect to which the local government officer serves as an officer or director, or holds an

ownership interest of one percent or more.

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Revised 11/30/2015Form provided by Texas Ethics Commission www.ethics.state.tx.us

CONFLICT OF INTEREST QUESTIONNAIRE

For vendor doing business with local governmental entity

A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.

Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more partiesbased on commercial activity of one of the parties. The term does not include a connection based on:

(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or anagency of a federal, state, or local governmental entity;(B) a transaction conducted at a price and subject to terms available to the public; or(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency andthat is subject to regular examination by, and reporting to, that agency.

Local Government Code § 176.003(a)(2)(A) and (B):(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:

***(2) the vendor:

(A) has an employment or other business relationship with the local government officer or afamily member of the officer that results in the officer or family member receiving taxableincome, other than investment income, that exceeds $2,500 during the 12-month periodpreceding the date that the officer becomes aware that

(i) a contract between the local governmental entity and vendor has been executed;or(ii) the local governmental entity is considering entering into a contract with thevendor;

(B) has given to the local government officer or a family member of the officer one or more giftsthat have an aggregate value of more than $100 in the 12-month period preceding the date theofficer becomes aware that:

(i) a contract between the local governmental entity and vendor has been executed; or(ii) the local governmental entity is considering entering into a contract with the vendor.

Local Government Code § 176.006(a) and (a-1)(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationshipwith a local governmental entity and:

(1) has an employment or other business relationship with a local government officer of that localgovernmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);(2) has given a local government officer of that local governmental entity, or a family member of theofficer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding anygift described by Section 176.003(a-1); or(3) has a family relationship with a local government officer of that local governmental entity.

(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administratornot later than the seventh business day after the later of:

(1) the date that the vendor:(A) begins discussions or negotiations to enter into a contract with the local governmentalentity; or(B) submits to the local governmental entity an application, response to a request for proposalsor bids, correspondence, or another writing related to a potential contract with the localgovernmental entity; or

(2) the date the vendor becomes aware:(A) of an employment or other business relationship with a local government officer, or afamily member of the officer, described by Subsection (a);(B) that the vendor has given one or more gifts described by Subsection (a); or(C) of a family relationship with a local government officer.

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15

VENDOR PROFILE

Company Name:

Company Address:

Website Address:

E-Mail Address:

To send bid documents:______________________________________________________________________________

Telephone Numbers:

To check on orders:

Fax Number:

Contact for this proposal:

Name:

Address:

City, State, Zip:

Phone: Fax:

E-Mail:

Authorized Signature:_______________________________________________________________________________

Remit to Address (if different than above):

Company Name:____________________________________________________________________________________________

Address:

City, State, Zip:

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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 Commission 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

17

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innovate, educate, graduate

2602 S. Belt Line Rd.

Grand Prairie, Texas 75052

972.264.6141

www.gpisd.org

DISTRICT PURCHASE ORDER

REQUIREMENTS

Vendor:

Items and/or services are to be delivered Grand Prairie Independent

School District ONLY when a district approved purchase order has

been faxed, e-mailed or called into your company.

Under no circumstances, should items and/or services be provided to

the district without a properly drawn district purchase order.

If your company provides any item and/or service without a properly

drawn district purchase order, you are NOT GUARANTEED

PAYMENT and the item and/or service you provided could be

constituted as a donation to the district.

Please inform any staff member that handles the Grand Prairie

Independent School District account of these procedures.

You MUST sign this document as acknowledgement that you

understand this policy in order for your vendor to be placed on our

approved vendor listing or to remain an approved vendor.

____________________________________________

Company Name

____________________________________________

Signature

____________________________________________

Printed Name

____________________________________________

Date

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