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7178 - Informal Amendment 1 Exeucted - Midwest Docusign Transmittal Coversheet File Name Purchasing Contact Contract Expiration Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 7178 - Kennel and Veterinary Supplies March 17, 2025 Kayla Clark Procurement 901 B Texas St., Denton, TX 76209  (940) 349-7100 OUR CORE VALUES Inclusion  Collaboration  Quality Service  Strategic Focus  Fiscal Responsibility June 27, 2024 Ms. Jennifer Flickinger Midwest Veterinary Supply, Inc. 21467 Holyoke Ave., Lakeville, MN 55044 jennifer.flickinger@midwestvet.net Re: 7178 - Kennel and Veterinary Supplies Dear Ms. Flickinger, Thank you for being such a valued partner. By signing this Amendment below, COD and Midwest Veterinary Supply, Inc. agree that the Contract is hereby deemed amended to the updated Schedule of Charges, as shown in Attachment A. Except as amended by this Amendment, the Contract is not otherwise amended and all other terms and conditions of the Contract remain in full force and effect, as amended hereby. This Amendment may be executed in any number of counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. Signatures transmitted electronically shall have the same effect as the delivery of original signatures. The City of Denton reserves the right to re-evaluate pricing as the market conditions change and can ask your firm to provide updated proposed pricing, including, but not limited to, a decrease in pricing, as a result of any such change. We look forward to future business with your firm. Regards, ____________________________ ___________________________ Kayla Clark, Buyer Jennifer Flickinger Procurement or Authorized Representative City of Denton Midwest Veterinary Supply, Inc. Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 1 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 350.10070.2 DIPQUICK 1 FIXATIVE TEAL 500ml 1.00 EA 24.0000 24.00 J0322A1 350.10072.2 DIPQUICK 2 STAIN RED 500ml 1.00 EA 27.0000 27.00 J0322A2 350.10074.2 DIPQUICK 3 COUNTER STAIN BLUE 1.00 EA 27.8500 27.85 J0322A3 500ml 733.67500.3 PILL WRAP 56 SERV 1.00 EA 10.2300 10.23 191.32060.3 CEPHALEXIN CAPS 500mg 500ct 1.00 BO 38.3300 38.33 (KEFLEX) 000.12017.2 MVET LOCK COLLAR W/TAB 35cm 1.00 EA 5.7330 5.73 (CLIC TYPE) (22"-26") 193.12358.3 CLAVACILLIN DROPS 50mg/15ml 1.00 EA 11.9300 11.93 (AMOX & CLAV POT ORAL SUS) 562.30804.3 CHLORHEXIDINE Q SCRUB 2% 1.00 EA 47.1500 47.15 GAL 193.13291.3 DEXMEDESED INJ .5mg/ml 10ml 1.00 EA 113.2200 113.22 (DEXMEDETOMIDINE HYDRO) 724.35120.3 EPI-OTIC ADVANCED 8oz 1.00 BO 11.7200 11.72 191.45670.3 GABAPENTIN TABS 600mg 500ct 1.00 BO 23.4400 23.44 (NEURONTIN) 000.50052.3 MVET ISOPROPYL ALCOHOL 70% 1.00 BO 4.2780 4.28 QUART DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 ATTACHMENT A QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 2 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 193.50382.2 MONOSWIFT PS 2/0 PFS1 36" 1.00 EA 60.7300 60.73 PS0943 VIOLET 12ct 193.50383.2 MONOSWIFT PS 3/0 PFS1 36" 1.00 EA 60.7300 60.73 PS0942 VIOLET 12ct 000.12016.2 MVET LOCK COLLAR W/TAB 30cm 1.00 EA 4.4190 4.42 (CLIC TYPE)(18"-22.25") 000.07011.2 MVET 2" COHESIVE WRAP 1.00 PK 38.0604 38.06 NEON COLOR PK 36 ROLLS/BOX 751.79995.2 SYR 1cc LL 100ct 1.00 BX 40.6200 40.62 BD > 193.75805.2 SYR 10cc LS 100ct 1.00 BX 24.3700 24.37 SURVET 193.75860.2 SYR 5cc LL 100ct 1.00 BX 21.8100 21.81 SURVET 193.75880.2 SYR 60cc LL 25ct 1.00 BX 23.0200 23.02 SURVET 349.12100.3 DOLOREX INJ 10mg/ml 50ml C-IV 1.00 BO 190.9000 190.90 (BUTORPHANOL) 193.40620.3 KETAMINE 100mg/ml 10ml CIII(N) 1.00 EA 7.3200 7.32 DECHRA LABEL 578.01561.5 FORTIFLORA CANINE CHEW TABS 1.00 CA 298.1400 298.14 PRO PLAN PROBIOTIC 6x90ct DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 3 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 573.00211.4 OK STERI STRIPS 4" 250ct 1.00 BX 16.8000 16.80 193.69001.3 RESCUE CONCENTRATE 5 GAL PAIL 1.00 EA 180.9400 180.94 193.00132.2 RESCUE PUMP 5 GAL 1oz PER PUMP 1.00 EA 7.5100 7.51 001.38721.2 STERILIZATION POUCH 3.5"X9" 1.00 EA 8.2100 8.21 200ct 193.00181.2 GARDEN HOSE GUN 1.00 EA 12.7500 12.75 193.75960.2 SYR TB 1cc LS NO NDL 100ct 1.00 BX 16.4600 16.46 SURVET 193.75940.2 SYR 3cc LL 22gaX3/4" 100ct 1.00 BX 14.1600 14.16 SURVET 191.47640.3 HYDROXYZINE HCL TABS 25mg 1.00 BO 2.4500 2.45 100ct (ATARAX) 266.62000.3 NUTRI-CAL 4.25oz 1.00 TB 9.5000 9.50 349.87000.3 TRI-HEART PLUS 68mcg 10X6ct 1.00 BX 142.8000 142.80 BLUE UP TO 25lbs 349.87020.3 TRI-HEART PLUS 136mcg 10x6ct 1.00 BX 191.8000 191.80 GREEN 26-50lbs 349.87040.3 TRI-HEART PLUS 272mcg 10X6ct 1.00 EA 249.9000 249.90 BROWN 51-100lbs 191.19000.3 AZITHROMYCIN ORL PWD 100mg/5ml 1.00 BO 3.0000 3.00 15ml (ZITHROMAX) 191.19040.3 AZITHROMYCIN ORL PWD 200mg/5ml 1.00 BO 2.8900 2.89 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 4 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 30ml (ZITHROMAX) 885.10390.3 DIROBAN 50mg w/DILUENT 5pk 1.00 EA 275.0000 275.00 349.56030.1 NOBIVAC CANINE 1-DAPPv 25X1ds 1.00 PK 91.7500 91.75 349.56620.1 NOBIVAC 3-RABIES 5X10ds 1.00 PK 78.5000 78.50 349.56500.1 NOBIVAC FELINE 1-HCP 25X1ds 1.00 PK 76.5000 76.50 349.56420.1 NOBIVAC INTRA-TRAC 3 25X1ds 1.00 PK 93.5000 93.50 578.20025.5 CANINE EN HOSPITAL PACK 25lb 1.00 EA 36.7000 36.70 475.20065.2 INSTRUMENT CLEANER/LUBE GAL 1.00 EA 32.2400 32.24 3-710 000.19074.2 MVET SURGICAL DRAPE 30"X30" 1.00 EA 9.6300 9.63 W/4"X.75" FENESTRATIN GREEN 000.36316.2 MVET GERMAN 6.75" MAYO 1.00 EA 18.4644 18.46 SCISSORS STRAIGHT 000.36318.2 MVET ROCHESTER CARMALT 1.00 EA 21.2400 21.24 6.25" GERMAN CURVED 000.19076.2 MVET SURGICAL DRAPE 30"X30" 1.00 EA 9.5940 9.59 W/7"X1.25" FENESTRATION GREEN 000.19074.2 MVET SURGICAL DRAPE 30"X30" 1.00 EA 9.6300 9.63 W/4"X.75" FENESTRATIN GREEN 000.19050.2 MVET SURGICAL TOWEL 18"X33" 1.00 EA 2.7540 2.75 BLUE 000.36308.2 MVET 4.75" ADSON BROWN GERMAN 1.00 EA 19.3600 19.36 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 5 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 000.36463.2 MVET 5.5" GERMAN OLSEN HEGAR 1.00 EA 57.8220 57.82 NEEDLE HOLDER TUNGSTEN CARBIDE 193.62406.3 PRAZIQUANTEL INJ 50ml 1.00 EA 382.4200 382.42 (BIMEDA LABEL) 350.11151.2 SODA LIME 3lb BAG 1.00 BG 8.4000 8.40 J0553 015.36102.2 SYR ALLISON 35ml 50ct LS 1.00 EA 17.3200 17.32 NO NDL #111-7435 001.12214.2 SYR 50-60cc ELS w/CAP 25ct 1.00 EA 13.1500 13.15 EXEL 552.50000.4 SPAY HOOK 8" 1.00 EA 17.8500 17.85 2-28131 *DS* 191.57350.3 PREDNISONE TABS 10mg 1000ct 1.00 BO 28.5000 28.50 (ORASONE) 001.09042.2 GLOVES SURGICAL LATEX PF 6.5 1.00 EA 40.6600 40.66 50ct ENCORE SENSI-TOUCH 295.92200.2 VICRYL 4/0 SH1 27" VIOLET 36ct 1.00 BX 214.6600 214.66 J310H 052.01006.3 MAX & MOLLY 500g (17.64oz) 1.00 EA 19.9800 19.98 FREEZE DRIED BEEF LIVER TREAT 001.14305.2 GOWN ISOLATION YELLOW 50ct 1.00 EA 66.7500 66.75 733.93000.3 CLEVOR .3ml PRE-FILLED DROPPER 1.00 EA 125.4800 125.48 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 6 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 5pk 349.65100.3 PANACUR GRANULES CANINE 1lb 1.00 EA 403.3500 403.35 FENBENDAZOLE 349.99990.3 MEASURING SCOOP & DISPENSING 1.00 EA .0000 .00 BAGS FOR PANACUR GRANULES 191.26890.3 BUPRENORPHINE INJ .3mg/ml CIII 1.00 BX 84.8800 84.88 5x1ml VIALS (PAR) 349.12100.3 DOLOREX INJ 10mg/ml 50ml C-IV 1.00 BO 190.9000 190.90 (BUTORPHANOL) 515.00719.3 CARPRIEVE INJ 50mg/ml 50ml 1.00 EA 137.2500 137.25 CARPROFEN 046.15000.2 COOL CARE PLUS 15.5oz 1.00 EA 8.3400 8.34 ANDIS 000.36307.2 MVET 5.5" KELLY HEMOSTAT 1.00 EA 20.6080 20.61 CURVED GERMAN 562.57205.3 NOROCILLIN SUSPENSION 250ml 1.00 EA 20.2400 20.24 PROCAINE PEN-G 052.50310.3 OPTIXCARE EYE LUBE PLUS 20gm 1.00 TB 8.7700 8.77 EA 053.59000.3 PYRANTEL PAMOATE QT 1.00 EA 22.2400 22.24 ORAL-PRO LABEL 001.14168.2 SILVER NITRATE STICKS 100ct 1.00 BG 18.3100 18.31 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 7 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 DUKAL 001.14801.2 GLOVES EXAM NITRILE PF SM 1.00 EA 6.5100 6.51 200ct 004.40200.3 LACTATED RINGERS 1000ml 1.00 BG 6.5600 6.56 000.71050.4 MVET SHARPS CONTAINER 1.00 EA 4.0388 4.04 RED 4qt SM W/CHIMNEY TOP 475.00214.2 SCALPEL BLADE SS 15 STERILE 1.00 EA 36.8700 36.87 4-315 100ct MILTEX 193.00186.2 RESCUE LID FOR FOAMER 1.00 EA 3.3900 3.39 BLUE 193.17556.3 EPINEPHRINE INJ 1:1000 50ml 1.00 EA 29.1100 29.11 586.00010.3 MAROPITANT 16mg 1x4ct 1.00 EA 11.1800 11.18 (MAROPITANT TABLET) 586.00012.3 MAROPITANT 24mg 1x4ct 1.00 EA 11.5700 11.57 (MAROPITANT TABLET) 586.00014.3 MAROPITANT 60mg 1x4ct 1.00 EA 21.1000 21.10 (MAROPITANT TABLET) 191.52005.3 METOCLOPRAMIDE INJ 5mg/ml 2ml 1.00 BO 32.7400 32.74 25ct (REGLAN) 191.55010.3 ONDANSETRON INJ 2mg/ml 20ml 1.00 BO 3.1600 3.16 (ZOFRAN) 193.59751.3 OXYTOCIN 100ml (BIMEDA LABEL) 1.00 EA 9.0100 9.01 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 8 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 586.00016.3 MAROPITANT 160mg 1x4ct 1.00 EA 24.5700 24.57 (MAROPITANT TABLET) 191.09010.3 ALLOPURINOL TABS 300mg 100ct 1.00 BO 4.3000 4.30 (ZYLOPRIM) 193.11050.3 COSEQUIN CAPS FOR CATS 80ct 1.00 BO 13.4800 13.48 000.00507.2 MVET BOSTON ROUND W/YORKER 1.00 EA 18.2070 18.21 2oz 50ct 247.80005.3 TRIZULTRA+KETO FLUSH 12oz 1.00 EA 18.2500 18.25 295.90000.2 VICRYL 6/0 P1 18" UNDYED 12ct 1.00 BX 203.9600 203.96 J489G 900.00005.3 VETIGEL HEMOSTATIC GEL 5ml SYR 1.00 EA 80.0000 80.00 2ct 900.00007.3 VETIGEL HEMOSTATIC GEL 5ml SYR 1.00 EA 200.0000 200.00 5ct 900.00009.3 VETIGEL HEMO GEL ACCESSORIES 1.00 EA 20.0000 20.00 2ct (PRECISION TIPS & ADAPTER) 577.31105.3 CEFPODERM TABS 200mg 100ct 1.00 EA 67.9700 67.97 (CEFPODOXIME PROXETIL) 193.11052.3 COSEQUIN FOR CATS SOFT CHEWS 1.00 EA 7.5200 7.52 60ct 193.52952.2 NDL HYPO 18gaX1.5" RW 100ct 1.00 EA 4.1100 4.11 ENGAUGE DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 9 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 193.52962.2 NDL HYPO 20gaX1" RW 100ct 1.00 EA 4.1100 4.11 ENGAUGE 193.59270.2 NDL HYPO 22gaX.1" RW 100ct 1.00 EA 4.1100 4.11 ENGAUGE 193.52880.2 NDL PH 22gaX3/4" RW 100ct 1.00 BX 7.4300 7.43 SURVET 193.07730.3 CARPROVET CHEWABLE TABS 75mg 1.00 EA 68.3400 68.34 180ct CARPROFEN 191.35540.3 CLINDAMYCIN CAPS 300mg 100ct 1.00 BO 10.5900 10.59 (CLEOCIN) 153.00608.3 FELIWAY SPRAY 219ml 1.00 BO 57.3700 57.37 PROFESSIONAL PACK 193.33270.3 ISOSPIRE (ISOFLURANE) 250ml 1.00 EA 30.9000 30.90 INHALATION ANESTHETIC 349.65620.3 PANACUR SUSPENSION GAL 1.00 GA 389.5500 389.55 FENBENDAZOLE 153.90040.3 THUNDEREASE PHEROMONE SPRAY 1.00 EA 22.4900 22.49 60ml 749.20000.3 FATAL-PLUS SOL. 250ml C-II(N) 1.00 BO 104.0000 104.00 PENTOBARBITAL SODIUM 578.00328.5 FELINE HYDRA CARE 6X12ct 1.00 CA 59.9400 59.94 DRY VET SUPPLEMENTS DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 10 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 578.01561.5 FORTIFLORA CANINE CHEW TABS 1.00 CA 298.1400 298.14 PRO PLAN PROBIOTIC 6x90ct 080.00064.2 BREATHING BAG 2 LITER 7/8 BUSH 1.00 EA 16.5900 16.59 NECK BICKFORD 553.00001.3 CERENIA INJ 10mg/ml 20ml 1.00 EA 210.8000 210.80 885.10380.3 CONVENIA 10ml 1.00 EA 423.5000 423.50 191.42390.3 DOXYCYCLINE HYCLATE TABS 1.00 BO 20.5200 20.52 100mg 500ct (VIBRA-TABS) 001.14803.2 GLOVES EXAM NITRILE PF LG 1.00 EA 6.5100 6.51 200ct 001.14802.2 GLOVES EXAM NITRILE PF MED 1.00 EA 6.5100 6.51 200ct 515.50005.3 LOXICOM INJ 5mg/ml 20ml 1.00 EA 112.1900 112.19 MELOXICAM 000.02030.2 MVET BASIC CLEAR COLLAR 25cm 1.00 EA 3.3480 3.35 (15.5"-19") 733.67500.3 PILL WRAP 56 SERV 1.00 EA 10.2300 10.23 562.80852.3 REVERTIDINE 5mg/ml 10ml 1.00 EA 118.3300 118.33 (ATIPAMEZOLE HYDROCHLORIDE) 321.55000.2 SYR ORAL W/CAP 1cc CLEAR 1.00 EA 16.8500 16.85 W/BLUE PLUNGER 50ct 321.55004.2 SYR ORAL W/CAP 3cc CLEAR 1.00 EA 17.5900 17.59 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 11 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 W/BLUE PLUNGER 50ct 432.00191.2 BREATHING BAG 3 LITER 1.00 EA 40.0000 40.00 432.00215.2 BREATHING BAG 1 LITER 1.00 EA 40.0000 40.00 432.00192.2 BREATHING BAG 4 LITER 1.00 EA 40.0000 40.00 350.60901.2 SHARPS CONTAINER .5 LITER 1.00 EA 3.0000 3.00 J0886A 470.00018.4 AUTOCLAVE TAPE LF 1/2"X60yd 1.00 EA 3.6600 3.66 COMPLY STEAM INDICATOR TAPE 350.10698.2 IV EXTENSION SET W/T SM BORE 1.00 EA 5.9000 5.90 J0467E 5.5" NEEDLELESS 350.05483.2 BREATHING BAG 2 LITER 1.00 EA 32.0000 32.00 J0249R2 193.03705.3 ATROPINE SULFATE 1/120gr 100ml 1.00 BO 23.7500 23.75 .54mg/ML 350.78725.2 ELASTIC ADHESIVE BANDAGE 2" 1.00 EA 14.5000 14.50 J1030A 6ct 001.10700.2 ELASTIKON 1"X2.5yd 12ct 1.00 BX 26.2800 26.28 5172 > 193.17556.3 EPINEPHRINE INJ 1:1000 50ml 1.00 EA 29.1100 29.11 000.06061.2 MVET WHITE POROUS TAPE 1" 1.00 BX 12.5764 12.58 12ct 000.06062.2 MVET WHITE POROUS TAPE 2" 1.00 BX 12.4936 12.49 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 12 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 6ct 586.00014.3 MAROPITANT 60mg 1x4ct 1.00 EA 21.1000 21.10 (MAROPITANT TABLET) 578.00328.5 FELINE HYDRA CARE 6X12ct 1.00 CA 59.9400 59.94 DRY VET SUPPLEMENTS 191.26890.3 BUPRENORPHINE INJ .3mg/ml CIII 1.00 BX 84.8800 84.88 5x1ml VIALS (PAR) 350.11122.2 CENTRIFUGE TUBES DISP 15ml 1.00 BX 17.7000 17.70 J0546A CONICAL POLYSTYR 100ct 193.50388.2 MONOSWIFT PS 0 PFSL 36" VIOLET 1.00 EA 60.4900 60.49 PS0987 12ct 015.36100.2 SYR ALLISON 12ml 100ct LS 1.00 EA 16.8600 16.86 NO NDL 432.00191.2 BREATHING BAG 3 LITER 1.00 EA 40.0000 40.00 193.69003.3 RESCUE CONCENTRATE 55 GAL ** 1.00 EA 1646.0000 1646.00 DRUM 666.00018.3 AMOXI & CLAV.POT.OS-DROPS 15ML 1.00 EA 13.9400 13.94 50/12.5 MG (62.5MG/M) 191.19000.3 AZITHROMYCIN ORL PWD 100mg/5ml 1.00 BO 3.0000 3.00 15ml (ZITHROMAX) 350.70000.3 BARIUM SULFATE SUSPENSION 16oz 1.00 BG 17.8000 17.80 J1350 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 13 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 000.20007.2 MVET THERMOMETER COVERS 1.00 EA 2.6010 2.60 100's ADI 052.50310.3 OPTIXCARE EYE LUBE PLUS 20gm 1.00 TB 8.7700 8.77 EA 555.00250.3 TERRAMYCIN OPHTH OINT 1/8oz 1.00 TB 18.4000 18.40 349.87000.3 TRI-HEART PLUS 68mcg 10X6ct 1.00 BX 142.8000 142.80 BLUE UP TO 25lbs 349.87020.3 TRI-HEART PLUS 136mcg 10x6ct 1.00 BX 191.8000 191.80 GREEN 26-50lbs 349.87040.3 TRI-HEART PLUS 272mcg 10X6ct 1.00 EA 249.9000 249.90 BROWN 51-100lbs 000.19074.2 MVET SURGICAL DRAPE 30"X30" 1.00 EA 9.6300 9.63 W/4"X.75" FENESTRATIN GREEN 715.75197.2 BLACK BREATHING BAG .5 LITER 1.00 EA 17.2600 17.26 *DS* 193.13211.3 DEXIUM SP INJ 4MG 100ml 1.00 EA 31.7800 31.78 DEXAMETHASONE 000.05959.2 MVET COVER SLIPS GLASS 22X22 1.00 BX 2.1988 2.20 1OZ (APROX 156CT) 191.47650.3 HYDROXYZINE HCL TABS 25mg 1.00 BO 11.9100 11.91 500ct (ATARAX) 191.47670.3 HYDROXYZINE HCL TABS 50mg 1.00 BO 2.5300 2.53 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 14 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 100ct (ATARAX) 193.13214.3 DEXAMETHASONE INJ 2mg 100ml 1.00 BO 8.0600 8.06 001.09042.2 GLOVES SURGICAL LATEX PF 6.5 1.00 EA 40.6600 40.66 50ct ENCORE SENSI-TOUCH 885.10390.3 DIROBAN 50mg w/DILUENT 5pk 1.00 EA 275.0000 275.00 193.69008.3 RESCUE TB WIPES 6"X7" 160ct 1.00 EA 14.6100 14.61 DISINFECTANT 193.69020.3 RESCUE WIPES 11"X12" 160ct 1.00 EA 42.0600 42.06 BUCKET DISINFECTANT 366.03529.4 GAUZE SPONGE DERMACEA 3"X3" 1.00 EA 41.0500 41.05 4PLY 4000ct 193.75860.2 SYR 5cc LL 100ct 1.00 BX 21.8100 21.81 SURVET 130.40095.2 BOSTON ROUND AMBER .5oz w/20mm 1.00 EA .9800 .98 ORAPAC INSERT & 1ml ORAL SYR 000.12015.2 MVET LOCK COLLAR W/TAB 25cm 1.00 EA 3.2850 3.29 (CLIC TYPE) (15.5"-19") 000.40003.2 MVET PLASTIC DISPENS BAG 12X9 1.00 EA 11.7576 11.76 I HEART MY PET 100ct 366.60900.4 SYR ORAL 1cc 100ct 1.00 BX 17.0700 17.07 193.75823.2 SYR 10cc ELS 100ct 1.00 EA 24.4000 24.40 SURVET DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 15 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 193.75940.2 SYR 3cc LL 22gaX3/4" 100ct 1.00 BX 14.1600 14.16 SURVET 193.75855.2 SYR 3cc LS 100ct 1.00 BX 12.2800 12.28 SURVET 193.49492.3 MICONAHEX+TRIZ MOUSSE 7.1oz 1.00 EA 16.8700 16.87 733.88103.2 SIMPLERA OTIC SOLUTION 10X1ml 1.00 EA 139.6200 139.62 751.79995.2 SYR 1cc LL 100ct 1.00 BX 40.6200 40.62 BD > 712.45025.3 DIAGEL CAT 6X1ml 1.00 EA 74.6200 74.62 NEW FORMULA 712.45020.3 DIAGEL KITTEN 6X.5ml 1.00 EA 69.6200 69.62 NEW FORMULA 053.59000.3 PYRANTEL PAMOATE QT 1.00 EA 22.2400 22.24 ORAL-PRO LABEL 578.16220.5 CANINE AND/OR FELINE CN 1.00 CA 54.6700 54.67 CRITICAL NUTRITION 24x5.5oz 578.01536.5 FORTIFLORA SA PRO FELINE 1.00 CA 125.9400 125.94 30X1gm 6ct SYNBIOTIC ACTION 193.02352.3 CLAVACILLIN TABS 125mg 210ct 1.00 EA 117.2200 117.22 (AMOXICILLIN/CLAV.POT.) 193.02354.3 CLAVACILLIN TABS 250mg 210ct 1.00 EA 193.0400 193.04 (AMOXICILLIN/CLAV.POT.) DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 16 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 193.02356.3 CLAVACILLIN TABS 375mg 210ct 1.00 EA 275.8300 275.83 (AMOXICILLIN/CLAV.POT.) 193.02350.3 CLAVACILLIN TABS 62.5mg 210ct 1.00 EA 63.2600 63.26 (AMOXICILLIN/CLAV.POT.) 193.13291.3 DEXMEDESED INJ .5mg/ml 10ml 1.00 EA 113.2200 113.22 (DEXMEDETOMIDINE HYDRO) 198.26000.2 FECAL LOOP DUAL END 100ct 1.00 EA 12.9700 12.97 DISP FOR ADULT & PUPPY 193.50382.2 MONOSWIFT PS 2/0 PFS1 36" 1.00 EA 60.7300 60.73 PS0943 VIOLET 12ct 266.62000.3 NUTRI-CAL 4.25oz 1.00 TB 9.5000 9.50 302.00002.3 SOLUTIONKITS - GABAPENTIN 1.00 EA 82.0000 82.00 191.19000.3 AZITHROMYCIN ORL PWD 100mg/5ml 1.00 BO 3.0000 3.00 15ml (ZITHROMAX) 191.19040.3 AZITHROMYCIN ORL PWD 200mg/5ml 1.00 BO 2.8900 2.89 30ml (ZITHROMAX) 321.55000.2 SYR ORAL W/CAP 1cc CLEAR 1.00 EA 16.8500 16.85 W/BLUE PLUNGER 50ct 470.00369.4 VETBOND 3ml APPLICATOR BOTTLE 1.00 BO 22.2000 22.20 193.13291.3 DEXMEDESED INJ .5mg/ml 10ml 1.00 EA 113.2200 113.22 (DEXMEDETOMIDINE HYDRO) 475.20065.2 INSTRUMENT CLEANER/LUBE GAL 1.00 EA 32.2400 32.24 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 17 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 3-710 004.75900.3 SIMBADOL INJ 1.8mg/ml CIII 1.00 BO 305.2500 305.25 10ml (BUPRENORPHINE) 350.05414.2 MINI GELPI RETRACTOR 5.5" 1.00 EA 39.0000 39.00 J0240ME ECON *SO* 266.20100.3 FECASOL GAL 1.00 GA 39.3800 39.38 562.80852.3 REVERTIDINE 5mg/ml 10ml 1.00 EA 118.3300 118.33 (ATIPAMEZOLE HYDROCHLORIDE) 193.69003.3 RESCUE CONCENTRATE 55 GAL ** 1.00 EA 1646.0000 1646.00 DRUM 080.00100.2 F-AIR CANISTER 1.00 EA 5.7500 5.75 193.13340.3 DEXTROSE SOLUTION 50% 500ml 1.00 BO 3.6100 3.61 349.56030.1 NOBIVAC CANINE 1-DAPPv 25X1ds 1.00 PK 91.7500 91.75 349.56500.1 NOBIVAC FELINE 1-HCP 25X1ds 1.00 PK 76.5000 76.50 349.56420.1 NOBIVAC INTRA-TRAC 3 25X1ds 1.00 PK 93.5000 93.50 193.75823.2 SYR 10cc ELS 100ct 1.00 EA 24.4000 24.40 SURVET 193.75805.2 SYR 10cc LS 100ct 1.00 BX 24.3700 24.37 SURVET 193.75940.2 SYR 3cc LL 22gaX3/4" 100ct 1.00 BX 14.1600 14.16 SURVET 193.43111.3 LIDOCAINE HCL INJ 2% 100ml 1.00 BO 2.9900 2.99 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 QUOTE PAGE QUOTE # DATE B S I H L I L P T T O O CUSTOMER PURCHASE ORDER NO.SHIP VIA TERMS SLMN SPECIAL INSTRUCTIONS > ITEM NO.DESCRIPTION QTY. ORDERED U/M PRICE AMOUNT SUB - TOTAL TOTAL DISCOUNTS SHIPPING & HANDLING FREIGHT MISCELLANEOUS TAX TOTAL MIDWEST VETERINARY SUPPLY, INC 18 21467 HOLYOKE AVENUE 22544272LAKEVILLE, MN 55044 6/25/24 0029495 LINDA MCNATT ANIMAL CARE #LINDA MCNATT ANIMAL CARE 901 TEXAS ST STE B 3717 N ELM ST AND ADOPTION CENTER AND ADOPTION CENTER U.S.A.U.S.A. quote NET 30 DAYS 275 193.40620.3 KETAMINE 100mg/ml 10ml CIII(N) 1.00 EA 7.3200 7.32 DECHRA LABEL 193.08855.3 CHLORHEXIDINE SOLUTION 2% GAL 1.00 GA 9.7800 9.78 000.19074.2 MVET SURGICAL DRAPE 30"X30" 1.00 EA 9.6300 9.63 W/4"X.75" FENESTRATIN GREEN 15170.29 .00 .00 .00 .00 .00 15170.29 DENTON, TX 762094354 DENTON, TX 762077701 U.S.A. Phone: (800)328-2975 Fax: (952)894-5407 Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 CONFLICT OF INTEREST QUESTIONNAIRE CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ For vendor or other person doing business with local governmental entity This 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 who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. 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. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship 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 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information in this section is being disclosed. Name of Officer This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the vendor has an employment or other business relationship as defined 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 vendor? Yes No B. Is the vendor 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 governmental 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 one percent or more? Yes No D. Describe each employment or business and family relationship with the local government officer named in this section. 4 I have no Conflict of Interest to disclose. 5 Signature of vendor doing business with the governmental entity Date Docusign Envelope ID: 53BC289D-402F-4D98-9C64-041995F37AE6 MIDWEST VETERINARY SUPPLY, INC. X None X X X 7/31/2024 X Certificate Of Completion Envelope Id: 53BC289D402F4D989C64041995F37AE6 Status: Completed Subject: ***Purchasing Approval*** 7178 - Kennel and Veterinary Supplies- informal line amendment Source Envelope: Document Pages: 21 Signatures: 3 Envelope Originator: Certificate Pages: 6 Initials: 2 Kayla Clark AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 901B Texas Street Denton, TX 76209 kayla.clark@cityofdenton.com IP Address: 198.49.140.10 Record Tracking Status: Original 6/27/2024 7:23:48 AM Holder: Kayla Clark kayla.clark@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Kayla Clark kayla.clark@cityofdenton.com Buyer City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.10 Sent: 6/27/2024 7:34:32 AM Viewed: 6/27/2024 7:34:42 AM Signed: 6/27/2024 7:34:49 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Lori Hewell lori.hewell@cityofdenton.com Purchasing Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.104 Sent: 6/27/2024 7:34:51 AM Viewed: 6/27/2024 7:47:24 AM Signed: 6/27/2024 8:05:23 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Colleen Sachse Colleen.sachse@midwestvet.net Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 75.73.98.44 Sent: 6/27/2024 8:05:25 AM Resent: 7/1/2024 6:38:35 AM Resent: 7/2/2024 1:11:07 PM Resent: 7/5/2024 9:27:16 AM Resent: 7/11/2024 1:14:39 PM Resent: 7/15/2024 7:43:34 AM Resent: 7/16/2024 7:42:10 AM Resent: 7/22/2024 11:09:50 AM Resent: 7/29/2024 8:44:52 AM Resent: 7/29/2024 8:52:11 AM Resent: 7/31/2024 7:21:37 AM Resent: 7/31/2024 7:39:42 AM Resent: 7/31/2024 8:02:50 AM Viewed: 7/31/2024 8:05:52 AM Signed: 7/31/2024 8:07:41 AM Electronic Record and Signature Disclosure: Accepted: 7/31/2024 8:05:52 AM ID: aa338a0d-b36c-459d-b025-192337595572 Signer Events Signature Timestamp Nikki Sassenus Nikki.Sassenus@cityofdenton.com Director of Animal Services Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 7/31/2024 8:07:43 AM Resent: 8/5/2024 12:21:56 PM Resent: 8/6/2024 8:03:13 AM Viewed: 8/6/2024 8:15:29 AM Signed: 8/6/2024 8:16:12 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Kayla Clark kayla.clark@cityofdenton.com Buyer City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 8/6/2024 8:16:14 AM Viewed: 8/6/2024 8:18:53 AM Signed: 8/6/2024 8:19:01 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Sent: 8/6/2024 8:19:03 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/27/2024 7:34:32 AM Envelope Updated Security Checked 7/1/2024 6:38:35 AM Envelope Updated Security Checked 7/1/2024 6:38:35 AM Envelope Updated Security Checked 7/1/2024 6:38:35 AM Envelope Updated Security Checked 7/31/2024 7:39:41 AM Envelope Updated Security Checked 7/31/2024 7:39:41 AM Envelope Updated Security Checked 7/31/2024 7:39:41 AM Envelope Updated Security Checked 7/31/2024 8:02:48 AM Envelope Updated Security Checked 7/31/2024 8:02:48 AM Certified Delivered Security Checked 8/6/2024 8:18:53 AM Signing Complete Security Checked 8/6/2024 8:19:01 AM Completed Security Checked 8/6/2024 8:19:03 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Denton (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. Electronic Record and Signature Disclosure created on: 7/21/2017 1:59:03 PM Parties agreed to: Colleen Sachse How to contact City of Denton: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: purchasing@cityofdenton.com To advise City of Denton of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at melissa.kraft@cityofdenton.com and in the body of such request you must state: your previous e-mail address, your new e-mail address. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in DocuSign. To request paper copies from City of Denton To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an e-mail to purchasing@cityofdenton.com and in the body of such request you must state your e-mail address, full name, US Postal address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with City of Denton To inform us that you no longer want to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your DocuSign account, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an e-mail to purchasing@cityofdenton.com and in the body of such request you must state your e-mail, full name, IS Postal Address, telephone number, and account number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software Operating Systems: Windows2000? or WindowsXP? Browsers (for SENDERS): Internet Explorer 6.0? or above Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0, NetScape 7.2 (or above) Email: Access to a valid email account Screen Resolution: 800 x 600 minimum Enabled Security Settings: •Allow per session cookies •Users accessing the internet behind a Proxy Server must enable HTTP 1.1 settings via proxy connection ** These minimum requirements are subject to change. If these requirements change, we will provide you with an email message at the email address we have on file for you at that time providing you with the revised hardware and software requirements, at which time you will have the right to withdraw your consent. Acknowledging your access and consent to receive materials electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to e-mail this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the 'I agree' button below. By checking the 'I Agree' box, I confirm that: • I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and • I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and • Until or unless I notify City of Denton as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by City of Denton during the course of my relationship with you.