Lonestar Municipal Equipment LLC - 593-19July 18, 2019
Sent Via Email: paul@lonestarme.com
Paul Folker
Lonestar Municipal Equipment, LLC
13233 Alyssum Drive
Fort Worth, TX 76244
Welcome to BuyBoard!
Re: Notice of The Local Government Purchasing Cooperative Award
Proposal Name and Number: Sewer Inspection and Cleaning Products, Proposal No. 593-19
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal. The contract is effective 10/1/2019 through 9/30/2020, with two
possible one-year renewals. The contract documents are those identified in Section 3 of the General Terms and Conditions
of the specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 593-19 on the following
web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through the BuyBoard
contract. In addition, on this website you will find the membership list which will provide you with the names of all entities
with membership in our purchasing cooperative.
Enclosed with this letter you will find the following documents:
1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards
You are advised that receipt of a purchase order directly from a Cooperative member is not within the
guidelines of the Cooperative. Accepting purchase orders directly from Cooperative members may result in a violation
of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all
purchase orders must be processed through the BuyBoard in order to comply. Please forward by email to
info@buyboard.com any order received directly from a Cooperative member. If you inadvertently process a purchase
order sent directly to you by a Cooperative member, please email the order info@buyboard.com and note it as RECORD
ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business days prior to
the start of your contract.
On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we are looking
forward to your participation in the program. If you have any questions, please contact Cooperative Procurement Staff
at 800-695-2919.
Sincerely,
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name: Sewer Inspection and Cleaning Products Proposal Due Date/Opening Date and Time: January 24, 2019 at 4:00 PM
Proposal Number: 593-19
Location of Proposal Opening: Texas Association of School Boards, Inc.
BuyBoard Department 12007 Research Blvd. Austin, TX 78759
Anticipated Cooperative Board Meeting Date: Contract Time Period: October 1, 2019 through
September 30, 2020 with two (2) possible one-year renewals.
July 2019
Lonestar Municipal Equipment, LLC
Name of Proposing Company
13233 Alyssum Drive
Street Address
Fort Worth, TX 76244
City, State, Zip
817.851.2243
Telephone Number of Authorized Company Official
Fax Number of Authorized Company Official
01/08/2019
Date
Si2�thosc�•'#f
Paul E. Folker, Jr.
Printed Name of Authorized Company Official
Position or 1itle of Authorized Company Official
Federal ID Number
Page 8 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard· Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
The proposing company ("you" or "your") hereby acknowledges and agrees as follows:
1. You have carefully examined and understand all Cooperative information and documentation associated with this Proposal Invitation, including the Instructions to Proposers, General Terms and Conditions, attachments/forms, item specifications, and line items (collectively "Requirements");
2. By your response ("Proposal") to this Proposal Invitation, you propose to supply the products or services submitted at the prices quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions are noted in the Proposal;
3. Any and all deviations and exceptions to the Requirements have been noted in your Proposal and no others will be claimed;
4. If the Cooperative accepts any part of your Proposal and awards you a contract, you will furnish all awarded products or services at the prices quoted and in strict compliance with the Requirements (unless specific exceptions are noted in the Proposal and accepted by the Cooperative), including without limitation the Requirements related to: a. conducting business with Cooperative members, including offering pricing to members that is the best you offer compared to similar customers; b. payment of a service fee in the amount specified and as provided for in this Proposal Invitation; c. the possible award of a piggy-back contract by another governmental entity or nonprofit entity, in which event you will offer the awarded goods and services in accordance with the Requirements; and d. submitting price sheets or catalogs in the proper format as required by the Cooperative as a prerequisite to activation of your contract;
5. You have clearly identified on the included form any information in your Proposal that you believe to be confidential or proprietary or that you do not consider to be public information subject to public disclosure under a Texas Public Information Act request or similar public information law;
6. The individual signing this Agreement is duly authorized to enter into the contractual relationship represented by this Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a form) is authorized and has the requisite knowledge to provide the information and make the representations and certifications required in the Requirements;
7. You have carefully reviewed your Proposal, and certify that all information provided is true, complete and accurate, and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and
8. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, may disqualify you from consideration for a contract award under this Proposal Invitation or result in termination of an award or any other remedy or action provided for in the General Terms and Conditions or by law.
Page 9 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
VENDOR CONTACT INFORMATION
company:
Vendor Contact Name and Mailing Address for Notices:
company website:
Purchase Orders: All purchase orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to vendors to assist them with retrieving their orders.
Please select options below for receipt of purchase orders and provide the requested information:
[;] I will use the internet to receive purchase orders at the following address:
E-mail Address:
Internet Contact: Phone:
Alternate E-mail Address:
Alternate Internet Contact: Phone:
Purchase orders may be received by the Designated Dealer(s) identified on my company's Dealer Designation form as provided to the Cooperative administrator. I understand that my company shall remain responsible for the Contract and the performance of all Designated Dealers under and in accordance with the Contract.
Request for Quotes C"RFO"): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs:
E-mail Address:
Alternate E-mail Address:
Invoices: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee invoices and related communications:
Page 10 of 63 Proposal Forms COMM/SVCS v.06.14.2018
Please choose only one {1) of the following options for receipt of invoices and provide the requested information:
[i] Service fee invoices and related communications should be provided directly to my company at:
Mailing address: 13233 Alyssum Drive Department: _B_il_li_n_g ______ _
City: Fort Worth State: TX Zip Code:_7_6_2_4_4 ___ _
Contact Name: Jennifer Folker Phone: 817.851.2034
Fax: 817.953. 7099 E-mail Address: Jen@LonestarME.com
A It er native E-mail Address: Paul@LonestarME.com
In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing agent**:
Mailing address: _________________ Department: __________ _
City: ______________ State: _________ Zip Code: ________ _
Contact Name: _________________ Phone: _____________ _
Fax: ________ E-mail Address: _______________________ _
Alternative E-mail Address: ____________________________ _
In lieu of my company, I request and authorize service fee invoices to be provided to the Designated Dealer(s) receiving the purchase order(s) to which the invoiced service fees relate at the address and contact information designated on my company's Dealer Designation form as provided to the Cooperative administrator.**
If Vendor authorizes a bll/lng agent or Designated Dealer(s) to receive and process service fee Invoices,
In accordance with the General Terms and Conditions of the Contract, Vendor speclflcally acknowledges and agrees that nothing In that designation shall rel/eve Vendor of Its responslbllltles and obllgatlons under the Contract Including, but not 1/mlted to, payment of all service fees under any Contract awarded Vendor.
Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor) 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 has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony."
Section 44.034 further states in Subsection (b): "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 of the contract."
Please check CY'.} one of the following:
My company is a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.) [j] My company is not owned or operated by anyone who has been convicted of a felony. My company is owned/operated by the following individual(s) who has/have been convicted of a felony:
Name of Felon(s): ------------------------------------
Details of Conviction(s): ________________________________ _
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my company to make this certification.
Lonestar Municipal Equipment, LLC Company Name
Paul E. Folker, Jr. Printed Name
DEBARMENT CERTIFICATION Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification.
Lonestar Municipal Equipment, LLC Company Name
Paul E. Folker, Jr. Printed Name
Page 12 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
RESIDENT/ NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who are not Texas residents. Under the statute, a "resident" proposer is a person whose principal place of business is in Texas, including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A "nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a "resident" proposer or a "nonresident" proposer under these definitions.
Please check (y') one of the following:
I certify that my company is a Resident Proposer.
I certify that my company is a Nonresident Proposer.
If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in which your company's principal place of business is located):
Company Name Address
City State Zip Code
A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? Yes No
What is the prescribed amount or percentage? $ ______ or ______ %
VENDOR EMPLOYMENT CERTIFICATION Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas, does your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please check (y') one of the following:
Yes No
By signature below, I certify that the information in Sections 1 (Resident/Nonresident Certification) and 2 (Vendor Employment Certification) above is true, complete and accurate and that I am authorized by my company to make this certification.
Company Name
Printed Name
Page 13 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard· Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
No ISRAEL BOYCOTT CERTIFICATION
Effective September 1, 2017, a Texas governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. {TEX. Gov'T CODE Ch. 2270)
"Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. TEX. Gov'T CODE §808.001(1).
By signature below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized by my company to make this certification.
Company Name
Si Printed Name
NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist organization -specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this certification is true, complete and accurate; and that I am authorized by my company to make this certification.
Company Name
Signature of Authorized Compan Printed Name
Page 14 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business Enterprise or "MWBE" and all referred to in this form as a "HUB'') is encouraged to indicate its HUB certification status when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that properly indicate and document their HUB certification on this form.
Please check (y') all that apply:
I certify that my company has been certified as a HUB in the following categories:
Minority Owned Business
Women Owned Business
Service-Disabled Veteran Owned Business {veteran defined by 38 U.S.C. §101{2), who has a service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of Defense)
Certification Number:
Name of Certifying Agency:
0 My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification.
Company Name
Page 15 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members ("Advisory"), Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This BuyBoard contract does not include such services. Architecture or engineering services must be procured by a Cooperative member separately, in accordance with the Professional Services Procurement Act (Chapter 2254 of the Texas Government Code) and other applicable law and local policy.
The Advisory, available at buyboard.com/Vendor/Resources.aspx, provides an overview of certain legal requirements that are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services, including those for projects that may involve or require architecture, engineering or independent testing services. A copy of the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase order for construction-related goods or services, whichever comes first.
Company Name
Printed Name
Date
Page 16 of 63 Proposal Forms COMM/SVCS v.06.14.2018
fuBoard'
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX; 800-21I-5454'buvboard.com
DrvrnrroN RNo CoMpLrRNce
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the followinq:
X No; Deviations
m Yes; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac JV1000-2040 (ltem 1 ) - standard delivery is 120 days from receipt
of chassis from chassis manufacturer
PLEASE PROVIDE THE FOLLOWING INFORMATIONI
1, Shipping Via: I Common Carrier f Company Truck E Prepaid and Add to Invoice E Other,
2. Payment Terms: E trtet 30 days n lozo in 10/Net 30 days I other:
3. Number of Days for Delivery: 1 20 ARo
4. Vendor Reference/Quote Number:Dyna-Vac JV1000-2040 (ltem 1)
5. state your return poricy: RETURNS ARE NoT AVAILABLE UPoN PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ lyes I ruo
7. Are credit card payments acceptableZ Eyes f t'lo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Company Name
I -Y \ i-- I vv6
Sionature of Authorized Com
Prooosal Forms COIYw/SVCS v.06. 14.2018
fuB-oard'
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-21L-5454'buyboarcl.cam
D rvrRrro N Rtrt o Cot'rpLrRNcr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form, The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition, The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac JVT500-2040 (ltem 1)- standard delivery is '120 days ARO
When "Truck Mount Option" is selected, delivery will be 120 days from receipt of chassis
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: I Common Carrier I Company Truck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E tlet 30 days I 1olo in 10/Net 30 days n other:
3. Number of Days for Delivery: 120 ARo
4. Vendor Reference/Quote Number:Dyna-Vac JVTS00-2040 (ltem 1)
RETURNS ARE NOT AVAILABLE UPON PRODUCT5. State your return policy:
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptable? Iyes I ttto
7, Are credit card payments acceptableZ Eyes X ruo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Signature of Authorized Co
Prooosal Forms COM14iSVCS v.06.14.2018
fuBoard'
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-21I-5454'huvboard.com
D rvrRtto lrt Rtrt o CouptrRncr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form, The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reseryes the right to accept or reject a proposal based upon any submitted deviation.
Please check (V\ one of the followinq:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac DJ6020 (ltem 3) - standard delivery is 120 days ARO from receipt
of chassis
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: n Common Carrier I CompanyTruck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E trtet 30 days Z toto in 10/Net 30 days I other:
3. Number of Days for Delivery: 1 20 ARo
4, Vendor Reference/Quote
5. State your return policy:
Number: Dyna-Vac DJ6020 (ltem 3)
RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ lyes n llo
7. Are credit card payments acceptable? EYes I t'lo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Cornpany Name
ProDosal Forms COFIM/SVCS v.06. 14.2018
fuBoard'
12007 Research Boulevard 'Austin, Texas 78759-2439'PH:800-695-2919 ' FAX: 800-211-5454 'buyU3grd"rcilf
D evrerro N RN o Cot'r pLrRNce
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac DJT2040 (ltem 4) - standard delivery is 120 days ARO
When "Truck Mount Option" is selected, delivery is '120 days from receipt of chassis
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: I Common Carrier I Company Truck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E lret 30 days n t.z. in 10/Net 30 days tr other:
3. Number of Days for Delivery: 120 ARo
4, Vendor Reference/Quote
5. State your return policy:
Number: Dyna-Vac DJT2040 (ltem 4)
RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6, Are electronic payments acceptablez IYes I f'lo
7. Are credit card payments acceptableZ Eyes I t'lo
Lonestar Municipal Equipment, LLC
Cornryny Na.me
l^-1 7 _ AAj,.., /. Paul E. Folker, Jr.
Signature of Authorized Companf Official Printed Name
Page 17 of 63
ProDosal Forms COMIY/SVCS v.06.14.2018
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12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-21I-5454'huvboa:-d.ccm
D e vratro ru eru o Cou pttRruce
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from andlor communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (r/) one of the followinq:
I NO; Deviations
E Y€s; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac DJT2040s (ltem 4) - standard delivery is 120 days ARO
When "Truck Mount Option" is selected, delivery is 120 days from receipt of chassis
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: J Common Carrier ! Company Truck I Prepaid and Add to Invoice E Other:
2. Payment Terms: E llet 30 days A pn in 10/Net 30 days f other:
3. Number of Days for Delivery: 1 20 ARo
4. Vendor Reference/Quote Numbel Dyna-Vac DJT2040s (ltem 4)
5. state your return poticy: RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ lyes f ruo
7. Are credit card payments acceptable? EYes I tlo
Lonestar Municipal Equipment, LLC
Company Name
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Signature of Authorizec
Prooosal Forms CON1[1/SVCS v,06. 14.2018
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12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-211-5454'iluvlroard.eonr
DevrRrron Rno CoupltRncr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I No; Deviations
E Y€5; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac DJT4020 (ltem 4) - standard delivery is 120 days ARO
When "Truck Mount Option" is selected, delivery will be 120 days from receipt of chassis
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: Ll Common Carrier f-l Company Truck lll Prepaid and Add to Invoice llj Other:
2. Payment Terms: E t'let 30 days ! ty. in 10/Net 30 days I other:
3. Number of Days for Delivery: 120 ARo
4. Vendor Reference/Quote
5. State your return policy:
Number: Dyna-Vac DJT4020 (ltem 4)
RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptablez lyes I t'lo
7. Are credit card payments acceptableZ EYes I t'lo
Lonestar Municipal Equipment, LLC
CoqpanyName / i ./)'c*l 7 *-bl.*,t ,., /', Paul E. Folker, Jr.
P,jtt"d Nl.tre
Page 17 of 63
Prooosal Forms COMIY/SVCS v.06. 14.2018
fuB-oard'
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-21I-5454'buvboard.cont
Devrlrron nno ConaplrRrucr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the followinq:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac DJT6520 (ltem 4) - standard delivery is 120 days ARO
When "Truck Mount Option" is selected, delivery is 120 days from receipt of chassis
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: I Common Carrier ! Company Truck E Prepaid and Add to Invoice E other:
2, Payment Terms: E titet 30 days I tvo in 10/Net 30 days f other:
3. Number of Days for Delivery: 120 ARo
4. Vendor Reference/Quote Number:Dyna-Vac DJT6520 (ltem 4)
RETURNS ARE NOT AVAILABLE UPON PRODUCT5. State your return policy:
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptable? Iyes I t'lo
7, Are credit card payments acceptableZ Eyes I ruo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Prooosal Forms COIYM/SVCS v.06, 14.2018
fuB-oard.
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-211-5454 ' buvbcard.conr
DrvrRrroru nruo Couplrnnce
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the followinq:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac HE800-536 (ltem 5) - standard delivery is 120 days after receipt
of chassis from chassis manufacturer
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1, Shipping Via: I Common Carrier I Company Truck f Prepaid and Add to Invoice E Other:
2. Payment Terms: E tlet 30 days I tv. in 10/Net 30 days X other:
3. Number of Days for Delivery: '120 ARo
4. Vendor Reference/Quote Number Dyna-Vac HE800-536 (ltem 5)
5 srare rrnr r rerr rn nnrinr. RETURNS ARE NOT AVAILABLE UPON PRODUCTilt v -
APPROVAL AND ACCEPTANCE
6, Are electronic payments acceptableZ [yes I ttto
7. Are credit card payments acceptable? EYes I t'lo
Lonestar Municipal Equipment, LLC
Paul E. Folker. Jr.
Printed Name
Page 17 of 63
Prooosal Forms COlvlM/SVCS v.06, 14,2018
fuB-oard'
12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' FAX: 800-21 I-5454 . bglbgg1d,eSm
D rvrnrro N Rtrt o Cot"t plrRrucr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form, The Cooperative will consider any
deviations in lts contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation, A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I No; Deviations
E Y€S; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac HET500-536 (ltem 5) - standard delivery is 120 days after receipt
of chassis from chassis manufacturer
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1, Shipping Via: I Common Carrier I Company Truck E Prepaid and Add to Invoice E other:
2. Payment Terms: E Net 30 days Z toto in 10/Net 30 days I other:
3. Number of Days for Delivery: 120 ARo
4. vendor Reference/Quote Numbel Dyna-Vac HET500-536 (ltem 5)
RETURNS ARE NOT AVAILABLE UPON PRODUCT5, State your return policy:
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ IYes tr t"to
7, Are credit card payments acceptableZ EYes n llo
Lonestar Municipal Equipment, LLC
Corqqany flame
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
fLJ'
Proposal Forms COMIY/SVCS v.06.14.2018
fugoart'
12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH:800-695-2919 . FAX: 800-21 1-5454 . buvb*arcl.com
DrvrRrron Rno CorqptrRrucr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation,
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation, A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from andlor communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reseryes the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I No; Deviations
E Y€S; Deviations
List and fully explain any deviations you are submitting:
Dyna-Vac Rhino Easement Machine (ltem 6) - standard delivery is 120 days
ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: I Common Carrier ! Company Truck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E tlet 30 days Z wo in 10/Net 30 days f other:
3. Number of Days for Delivery: 120 ARo
Dyna-Vac Rhino Easement Machine (ltem 6)4. Vendor Reference/Quote Number:
RETURNS ARE NOT AVAILABLE UPON PRODUCT5. State your return policy:
APPROVAL AND ACCEPTANCE
6, Are electronic payments acceptable? Iyes n llo
7. Are credit card payments acceptable? EYes I tlo
Lonestar Municipal Equipment, LLC
com@ny Name
i,/ t -/ -_/ii iI c*-' v -d| i LL\ -
Signature of Authorized Company' Offidial
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Proposal Forms COIYM/SVCS v.06, 14.2018
fuB-oard'
1 2007 Research Boulevard ' Austin. Texas 78759-2439 ' PH: 800-695-29 19 ' FAX: 800-2 1 L-5454 ' buvboard.conr
DevIRrron Rno CorqplrRncr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation, A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from andlor communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reseryes the right to accept or reject a proposal based upon any submitted deviation.
Please check (r/) one of the followino:
I No; Deviations
E Y€S; Deviations
List and fully explain any deviations you are submitting:
Jetter Depot Nozzles (ltem 6) - standard delivery is 21 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1, Shipping Via: I Common Carrier E Company Truck f, Prepaid and Add to Invoice E Other:
2. Payment Terms: E trtet 30 days tr 1olo in 10/Net 30 days I other:
3, Number of Days for Delivery: 21 o*o
4. Vendor Reference/euote Numbel Jetter Depot Nozzles (ltem 6)
5 Qt:fc rrnr rr rptr rrn nnl._Jicy: RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ lyes n ruo
7. Are credit card payments acceptableZ Eyes I t'lo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Comp4.ny Name
Prooosal Forms COIYM/SVCS v.06. 14.2018
fuBoard'
12007 Research Boulevard 'Austin, Texas 78759-2439'PH:800-695-2919 ' FAX: 800-21I-5454' truvboard.eom
DevrRrton Rno Coupttencr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation,
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation,
Please check (V) one of the followino:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
MEC Equipment Sewer Parts Pricing (ltem 6) - standard delivery is 21 days
ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: I Common Carrier ! Company Truck E Prepaid and Add to Invoice E Other:
2, Payment Terms: E t'tet 30 days Z tvo in 10/Net 30 days I othen
..1 A
3. Number of Days for Delivery: Z I Rno
4, Vendor Reference/Quote Number. MEc Equipment sewer Parts Pricins (ltem 6)
5, stateyourreturn poticy: RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6, Are electronic payments acceptableZ IYes I tlo
7. Are credit card payments acceptableZ EYes I tlo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
ProDosal Forms COMI\4/SVCS v.06. 14,2018
fuaoard'
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-211-5454 ' buybaard.conr
D evtRttolrr Rn o CouplrRrucr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation, A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reseryes the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the followinq:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Sewer Pro Shop Bluestar Nozzles (ltem 6) - standard delivery is 21 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1, Shipping Via: n Common Carrier n CompanyTruck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E trtet 30 days I tv" in 10/Net 30 days n other:
3. Number of Days for Delivery: 21 o*o
4. Vendor Reference/Quote Number:Sewer Pro Shop Bluestar Nozzles (ltem 6)
5. state your return poricy: RETURNS ARE NoT AVAILABLE UPoN PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptable? Iyes I ruo
7. Are credit card payments acceptableZ Eyes I t'lo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Siqnature of Authorized Com
Proposal Forms COMNIiSVCS v.06.14.2018
fupoart'
12007 Research Boulevard 'Austin, Texas 78759-2439 ' PH:800-695-2919 ' FAX: 800-21I-5454'buvboard.com
DevrRrroru nruo Couplrnruce
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Propose(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (r/) one of the following:
I No; Deviations
E YeS; Deviations
List and fully explain any deviations you are submitting:
Sonetics Pricelist (ltem 6) - standard delivery is 30 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: X Common Carrier n Company Truck E Prepaid and Add to Invoice E Other,
2. Payment Terms: E tttet 30 days f t'zo in 10/Net 30 days I othen
3, Number of Days for Delivery: 30 o*o
4. Vendor Reference/Quote
5. State your return policy:
Number: Sonetics Pricelist (ltem 6)
RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AN D ACCEPTANCE
6. Are electronic payments acceptableZ trYes I t'lo
7. Are credit card payments acceptable? EYes I ruo
Lonestar Municipal Equipment, LLC
Paul E. Folker. Jr.
Printed Name
Page 17 of 63
Comqany Name
Signature of Authorized Company
ProDosal Forms COMN4/SVCS v.06,14.2018
fuB-oard'
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-21L-5454'buvboard.conr
DevrRrroru Rno Corqplrence
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider anv
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from andlor communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reseryes the right to accept or reject a proposal based upon any submitted deviation,
Please check (V) one of the following:
I No; Deviations
E Y€S; Deviations
List and fully explain any deviations you are submitting:
Visual lmaging Resources - Magnum M7 (ltem 7) - standard delivery is 21
days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: n Common Carrier ! CompanyTruck I Prepaid and Add to Invoice E Other:
2. Payment Terms: E tlet 30 days f tvo in 10/Net 30 days I other:
3. Number of Days for Delivery: 21 o*o
4, Vendor Reference/Quote
5. State your return policy:
Visual lmaging Resources - Magnum 1,47 (llem 7)Number:
RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ lyes I ruo
7. Are credit card payments acceptableZ EYes I ruo
Lonestar Municipal Equipment, LLC
rr"+r*y ^,"r*
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Proposal Forms COMIY/SVCS v,06.14.2018
t) /'z -/,1 ,'b;r-J ,/ # I), , .
Signature of Authorized Company Official
fugoart'
12007 Research Boulevard 'Austin, Texas 78759-2439 ' PH:800-695-2919 ' FAX: 800-21I-5454'buyboard.com
DrvrRrroru Rruo CouplrRruce
If your company intends to deviate from the General Terms and Conditions, Proposal Speciflcations or other reguirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form, The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation,
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition, The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Mini-Cam Mainline Portable Mini System (ltem B) - standard delivery is21
days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1, Shipping Via: I Common Carrier I Company Truck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E t"let 30 days I t.zo in 10/Net 30 days I other:
3. Number of Days for Delivery: 21 o*o
Mini-Cam l\ilainline Portable N.4ini SVStem (ltem 8)4. Vendor Reference/Quote Number:
RETURNS ARE NOT AVAILABLE UPON PRODUCT5. State your return policy:
APPROVAL AN D ACCEPTANCE
6. Are electronic payments acceptable? IYes I tlo
7. Are credit card payments acceptableZ Eyes f ruo
Lonestar Municipal Equipment, LLC
CoFpeny Name
Paul E. Folker. Jr.
Printed Name
Page 17 of 63
Signature of Authorized
ProDosal Forms CO14M/SVCS v.06. 14.2018
fuaoard'
12007 Research Boulevard'Austin, Texas78759-2439'PH: 800-695-2919'FAX: 800-211-5454'hUylSdld.gg1[
Drvrnrron nno Couplrnrucr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation,
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the followinq:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Visual lmaging Resources - Portable Video Inspection Cameras (ltem 9) -
standard delivery is 21 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1, Shipping Via: I Common Carrier f, Company Truck E Prepaid and Add to Invoice E Other:
2. Payment rerms: E t"tet 30 days I tv. in 10/Net 30 days I other:
3. Number of Days for Delivery: 21 o*o
Vlsual lmaging Resources - Podable Vdeo Inspecl on Cameras (ltem 9)
4, Vendor Reference/Quote Number:
q qf'fa,n,,r rpr, rn nnri^,. RETURNS ARE NOT AVAILABLE UPON PRODUCT[t v
APPROVAL AND ACCEPTANCE
6, Are electronic payments acceptable? Iyes I f'lo
7. Are credit card payments acceptablez EYes I ruo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Signature of Authorized Com
Prooosal Forms COIYM/SVCS v.06. 14.2018
fuBoard'
12007 Research Boulevard 'Austin, Texas 78759-2439' PH:800-695-2919 ' FAX: 800-211-5454'Lruvi:oard.com
Drvtartoru Rno CouptrRncr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation,
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation, A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation,
Please check (V) one of the foilowinq:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Mini-Cam Lateral and Mainline Sewer Inspection Systems (ltem 10) - standard
delivery is 21 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: n Common Carrier I CompanyTruck E Prepaid and Add to Invoice E other:
2. Payment Terms: E trtet 30 days I l,vo in 1O/Net 30 days I other:
3, Number of Days for Delivery: 21 o*o
Mn-Aam Laleral andManlne Sewer nspecron SVilems illem 101
4. Vendor Reference/Quote Number:
RETURNS ARE NOT AVAILABLE UPON PRODUCT5. State your return policy:
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ Iyes n ruo
7. Are credit card payments acceptableZ EYes I t'lo
Lonestar Municipal Equipment, LLC
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
#Signature of nutfrorizeO'
Prooosal Forms COIVNl/SVCS v.06. 14.2018
fuaoard'
12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH:800-695-2919 ' FAX: 800-21L-5454 'buvboard.com
D evtlrro ru Rru o Coptpl-tRncr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation,
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I No; Deviations
E Y€S; Deviations
List and fully explain any deviations you are submitting:
Mini-Cam Trailer Mount TV Sewer Inspection System (ltem 11)- standard
delivery is 4-6 weeks after receipt of trailer from manufacturer
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: I Common Carrier I Company Truck f prepaid and Add to Invoice E Other:
2. Payment Terms: E trtet 30 days I tozo in 10/Net 30 days I Other:
3. Number of Days for Delivery: 28'42 ARo
4. Vendor Reference/Quote Number Mrntscam rra er Mounr rv sewer nspecfon svstem ( tem r l)
5. state your return poricy: RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AN D ACCEPTANCE
6. Are electronic payments acceptable? Iyes tr ruo
7. Are credit card payments acceptableZ Eyes I f'lo
Lonestar Municipal Equipment, LLC
Cor'npany Name
,.'Yl
i. j._o ''*,t-.L.,Paul E. Folker. Jr.i a*e41 ,./ v,'v,
.
Signature of Authorized Company Official Printed Name
Page 17 of 63
Proposal Forms COMlvl/SVCS v,06, 14, 2018
fu,Board'
12007 Research Boulevard 'Austin, Texas 78759-2439 ' PH 800-695-2919 ' FAX: 800-211-5454'buvboard.com
D rvrRrroN Rlrr o CoMpLrRNcr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this Form, The Cooperative will consider anv
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation,
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the followinq:
I No; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Mini-Cam Truck Mount TV Sewer Inspection System (ltem 11)- standard
delivery is 4-6 weeks after receipt of trailer from manufacturer
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. shipping Via: n Common Carrier ! Company Truck E Prepaid and Add to Invoice E Otfrer:
2. Payment Terms: E tlet 30 days J wo in 10/Net 30 days n other:
3. Number of Days for Delivery: 28-42 ARo
4. Vendor Reference/Quote Number:
M n Cam Truck lvlount TV Sewer lnspect on System (llem 1 1 )
5. state your return poricy: RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AN D ACCEPTANCE
6. Are electronic payments acceptable? Iyes f ruo
7. Are credit card payments acceptableZ EYes I ruo
Lonestar Municipal Equipment, LLC
Comeany Name
-,,1-^-. Y -*i),u, Paul E. Folker, Jr.
Signature of Authorized Company Official Printed Name
Page 17 of 63
ProDosal Forms COMlvl/SVCS v.06. 14.2018
fupoart'
12007 Research Boulevard ' Austin, Texas 78759-2439 ' pH: g00-695-2919 . FAX: g00-21 r-54s4 ,
DrvrnrroN nNo CoMpLrRNce
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailedinformation regarding the deviations on this form or an attachment to this form, The Cooperative will consider anydeviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitteddeviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully complywith the General Terms and Conditions, Proposal Specifications and all other requirements associated with this proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by theCooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation,
Please check (y') one of the followingi
f No; Deviations
E YeS; Deviations
List and fully explain any deviations you are submitting:
Pipe Logix - Pipeline Condition Assessment Software (ltem 14) - standard
delivery is 21 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: I Common Carrier ! Company Truck f, Prepaid and Add to Invoice E Other:
2. Payment Terms: E ruet 30 days f tvo in 10/Net 30 days n other:
3. Number of Days for Delivery: 21 o*o
4. Vendor Reference/Quote Number:Pioe I og x - P'oer,'e Co1dil on Assessrel! SofMa e (ltem 14,
5. State your return policy:RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptableZ IYes f] trto
7. Are credit card payments acceptableZ Eyes I ruo
Lonestar Municipal Equipment, LLC
Comp.n.y Nam"
Paul E. Folker. Jr.
Printed Name
Page 17 of 63
ProDosal Forms COM14/SVCS v.06. 14.2018
fuBoard'
12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH: 800-695-2919 ' FAX: 800-211-5454 'buyboard,Com
DrvrRrroru Rno Coptplrnrucr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associatr:d with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of anv deviation identified and described in accordance with the above, your company must fully comply
with the: General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reseryes the right to accept or reject a proposal based upon any submitted deviation,
Please check (V) one of the following:
I NO; Deviations
E Y€s; Deviations
List and fully explain any deviations you are submitting:
Mini-Cam Profiling Systems (ltem 17) - standard delivery is 21 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipp,ing Via: I Common Carrier E Company Truck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E t',let 30 days ! tolo in 10/Net 30 days n other:
3, Numtrer of Days for Delivery: 21 o*o
4. Vendor Reference/Quote Numbel Mini-cam Profiling systems (ltem 17)
RETURNS ARE NOT AVAILABLE UPON PRODUCT5. State your return policy:
APPROVAL AN D ACCEPTANCE
6. Are erlectronic payments acceptable? Iyes E ruo
7. Are credit card payments acceptableZ Eyes I t'lo
Lones;tar Municipal Equipment, LLC
Conpqny Name
Signature of Authorized Company OfRclat Printed Name
) *-i H tln,r, .' Paul E. Folker, Jr.
Page 17 of 63
ProDosal Forms COMltl/SVCS v,06, 14. 2018
fuBoard=
12007 Research Boutevard . Austin, Texas 78759-2439 ' PH: 800-695-2919 ' Ftt(: 800-211-5454 ' buyboard'com
Devrnrron lno CoPtPltnrucr
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Speciflcations and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation, A deviation will not be effective unless accepted by the
Cooperative, The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition' The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation'
Please check (/) one of the followinq:
I NO; Deviations
E Yes; Deviations
List and fully explain any deviations you are submitting:
Mini-Cam All Other Sewer Inspection Systems (ltem 1B) - standard delivery
is 21 days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: E Common Carrier f, Company Truck E Prepaid and Add to Invoice E Other:
2. Payment Terms: E ruet 30 days I ry" in 10/Net 30 days I other:
a.l
3. Number of Days for Delivery: z I ARO
N4ini-Cam A Other Sewef lnspection Systems (ltem 1B)
4. Vendor Reference/Quote Number:
RETURNS ARE NOT AVAILABLE UPON PRODUCT5. State your return PolicY:
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptable? Iyes I ruo
7. Are credit card payments acceptable? Eyes E ttto
Lonestar Municipal EquiPment, LLC
Co*pqny N€me
' --?- i-.{, /*s " 'z-' ., n
Signature df Authorized Company'Offi cial
Paul E. Folker, Jr.
Printed Name
Page 17 of 63
Prooosal Forms C0l'4M/SVCS v,06, 14, 2018
fuB-oard'
12007 Research Boulevard ' Austin, Texas 78759-2439 ' PH:800-695-2919 ' FAX: 800-211-5454 ' buvboard.com
D rvrRrro N Rtrt o Cotvr plrnNce
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative will consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition, The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (V) one of the following:
I NO; Deviations
E YeS; Deviations
List and fully explain any deviations you are submitting:
Mini-Cam Repair & Replacement Parts (ltem 19) - standard delivery is 21
days ARO
PLEASE PROVIDE THE FOLLOWING INFORMATION:
l.ShippingVia: ICommonCarrier !CompanyTruck IPrepaidandAddtolnvoice EOther:
2. Payment Terms: E ruet 30 days f] tyo in 10/Net 30 days I other:
3. Number of Days for Delivery: 21 o*o
4. Vendor Reference/Quote
5. State your return policy:
. Mini-Cam Repair & Replacement Parts (ltem 19)Number:
RETURNS ARE NOT AVAILABLE UPON PRODUCT
APPROVAL AND ACCEPTANCE
6. Are electronic payments acceptable? IVes I tlo
7. Are credit card payments acceptableZ EYes I t'lo
Lonestar Municipal Equipment, LLC
Corpany Name
1 *,,'t i Paul E. Folker. Jr..a i."*'. *.* ''it't,'b.1t.,,-, o , I qul L' I
Signature of Authorized CompanyaOfficial Printed Name
Page 17 of 63
Prooosal Forms COMI4/SVCS v.06. 14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
LOCATION /A UTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation,
please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders, and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer Designated Dealer form.
Company Name
Address
City State Zip
Phone Number Fax Number
Contact Person
Company Name
Address
City State Zip
Phone Number Fax Number
Contact Person
Page 18 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
MANUFACTURER DEALER DESIGNATION
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers (''Designated Dealers'') to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete this form for each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's
Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder,
including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees.
If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard
system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to a Designated Dealer for processing.
The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated
Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish
to designate multiple dealers, please duplicate this form as necessary.
Designated Dealer Name
Designated Dealer Address
City State Zip
Phone Number Fax Number
Email address Designated Dealer Tax ID Number* (*attach W-9)
Designated Dealer Contact Person
Your Company Name Signature of Authorized Company Official
Page 19 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to serve different regions for different products or services Included In your proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly Indicate the products or services to which the designation appl/es In the space provided at the end of this form. By designating a region or regions, you are certifying that you are authorized and w//1/ng to provide the proposed products and services In those regions. Designating regions In which you are either unable or unw//1/ng to provide the specified products and services shall be grounds for either rejection of your proposal or, awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on this form.
Regional Education Service Centers I will service Texas Cooperative members statewide.
I will not service Texas Cooperative members statewide. I will only service members in the
regions checked below:
Region Headguarters
Edinburg
Corpus Christi
3 Victoria
Houston
Beaumont
Huntsville
Kilgore
Mount Pleasant
Wichita Falls
Richardson
11 Fort Worth
Waco
13 Austin
Abilene
San Angelo
Amarillo
Lubbock
Midland
El Paso
San Antonio
Paul E. Folker, Jr. I will not service members
Printed Na me of the Texas Cooperative.
Page 20 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
Page 21 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
STATE SERVICE DESIGNATION
The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete
this form if you plan to service the entire United States, or will service only the specific states indicated. (Note: If you plan
to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.)
If you serve different states for different products or services Included In your proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly Indicate the products or services to which the designation applles In the space provided at the end of this form. By designating a state or states, you are certifying that you are authorized and wllllng to provide the proposed products and services In those states. Designating states In which you are either unable or unwllllng to
provide the specified products and services shall be grounds for either refection of your proposal or, If
awarded, termination of your Contract.
Please check (y) all that apply:
I will service all states in the United States.
I will not service all states in the United States. I will service only the states checked below:
Alabama
Alaska Arizona Arkansas California (Public Contract Code 20118 & 20652) Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia Hawaii Idaho Illinois Indiana Iowa Kansas
Kentucky Louisiana
Maine
Maryland Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Page 22 of 63
Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina
North Dakota
Ohio
Oklahoma
Oregon Pennsylvania Rhode Island South Carolina South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buvboard.com
Page 23 of 63 Proposal Forms COMM/SVCS v.06.14.2018
12007 Research Boulevard· Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT
In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this
Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an
intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the State Service Designation form, in your Proposal.
By signing this form, Proposer (referred to in this Agreement as "Vendor") agrees as follows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative") awards Vendor a contract under this Proposal Invitation ("Underlying Award''), the National Purchasing Cooperative ("National Cooperative") may -but is not required to -"piggy-back" on or re-award all or a portion of that Underlying Award ("Piggy-Back Award''). By signing this National Cooperative Vendor Award Agreement ("Agreement"), Vendor accepts and agrees to be bound by any such Piggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator
("BuyBoard Administrator") will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are
agreed to by its BuyBoard Administrator in writing.
3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and
same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e.,
lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award.
4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved in writing by the BuyBoard Administrator.
5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of
purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to
National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon
request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative
members for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National Cooperative members in order to verify the accuracy of service fees.
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the
fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and
responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to
National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying
Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the
only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the
Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of
this Agreement shall control, and then only to the extent necessary to reconcile the conflict.
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7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue for any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a PiggyBack Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
Proposal Invitation Number
Paul E. Folker, Jr.
Printed Name of Authorized Company Official
01/21/2019
Date
Proposal Forms COMM/SVCS v.06.14.2018 Page 25 of 63
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
FEDERAL AND STATE/ PURCHASING COOPERATIVE ExPERIENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or
market price during the previous 12-month period or the last fiscal year: $ 2,753,10.88 • (The period of the 12
month period is 0112018 / 1212018 ). In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the sales of the item(s).
2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items
under equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing cooperatives as required.
CURRENT FORMER VENDOR (Y /N)? -AWARDED
PURCHASING VENDOR? IF YES, LIST YEARS COMMODITY GROUP (Y/N) AS VENDOR CATEGORY(IES)
1. Federal General Services Administration
2. T-PASS (State ofTexas)
3. U.S. Communities Purchasing Alliance
4. National IPA/fCPN
5. Houston-Galveston Area Council (HGAC)
6. National Joint Powers Alliance (NJPA)
7. E&I Cooperative
8. The Interlocal Purchasing System (TIPS)
9. Other N
Ii] MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUYBOARD VENDORS If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your current and proposed discounts.
Current Discount (%):_N_tA _________ _ Proposed Discount (%): __________ _
Explanation: _N_tA _____________________________________ _
As the authorized GapVax dealer in North Texas we sold over $2.7 million through their Buy Board contract and $330,270 through their HGAC contract
Proposal Forms COMM/SVCS v.06.14.2018 Page 26 of 63
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification.
Company Name
Printed Name
Proposal Forms COMM/SVCS v.06.14.2018 Page 27 of 63
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
GOVERNMENTAL REFERENCES
Entity Name Contact Phone# Email Address Discount Quantity/
Volume
2_ City of Arlington Angelo DuPont (817) 459-5913 Angelo.Dupont@arlingtontx.gov 3-5% $1,037,41 1.62
3_ City of Grapevine James Tuttle (81 7) 410-3343 jtuttle@grapevinetexas.gov 3-5% $230,510.95
4_ City of Pflugerville Max Walther (512) 990-6408 maxw@pflugervilletx.gov 3-5% $370,626
5_ City of Coppell Billy Williams (972) 462-5161 bwilliams@coppelltx.gov 3-5% $297,302.80
YES NO
Co�ny Name s;gng fiho&�fficial
Proposal Forms COMM/SVCS v.06.14.2018 Page 28 of 63
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
MARKETING STRATEGY
For your Proposal to be considered, '{OU must submit the Marketing Strateg'{ '{OU will use if the Coo12erative acce12ts all or part of '{Our ProJ:Josal. {Example:-Ex12.laih how 111;O1.ffe cOmpilnY wilt/fiitialjy inform Goq/2@.rative m�m/5ers of.;'J(.our'Bu 'ifoaril
jgntract, and.how ypu will'continue to •su_,12QfNhe !l.J!@.@r:ri. f..q !i_ th.fLcf.lJ!.i!.ti.PD Qfthe1contract�/Qfi.,)
Attach additional pages if necessary.
Lonestar Municipal Equipment, LLC will market our BuyBoard contract through
daily in-person sales ca lls, participation in the TML Show, participation in Texas
Water Utility Association Show, through phone calls, and through emails. We also
will proudly display the "BuyBoard Vendor" signs at all trade shows.
Lonestar Municipal Equipment, LLC
Company Name
Paul E. Folker, Jr.
Printed Name
Proposal Forms COMM/SVCS v.06.14.2018 Page 29 of 63
12007 Research Boulevard · Austin, Texas 78759-2439 · PH : 800-695-2919 • FAX: 800-211-5454 • buyboard.com
CONFIDENTIAL/ PROPRIETARY INFORMATION
A. Public Disclosure Laws All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public Information Act (Texas Government Code chapter 552.001, et. seq.) or similar disclosure law. Proposer must clearly
identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the
Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a member of the public or other third party request access to the information under the Texas Public Information Act or similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has identified in this form as proprietary or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
Please check (y') one of the following:
NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is specifically identified on this form.
If you responded "YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will disclose information when required by law, even if such information has been identified herein as information the vendor
considers confidential or proprietary.
Confidential / Proprietary Information:
(A ttach additional sheets if needed.)
Proposal Forms COMM/SVCS v.06.14.2018 Page 30 of 63
B. Copyright Information Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright information?
YES,
If you responded "YES", identify below the specific documents or pages containing copyright information.
Copyright Information:-----------------------------------
(A ttach additional sheets if needed)
C. Consent to Release Confidential/Proprietaty/Copyright Information to BuyBoard Members BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential, proprietary, or subject to copyright, and you-are awarded a BuyBoard contract, your acceptance of the BuyBoard contract award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other party.
D. Consent to Release Proposal Tabulation Notwithstanding anything in this Confidential/Proprietary Information fo rm to the contrary, by submitting a Proposal, Vendor consents and agrees that, upon Contract award, the Cooperative may publically release, including posting on the public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award or non-award information.
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by my company to make this certification and all consents and agreements contained herein.
Printed Name
Date
Proposal Forms COMM/SVCS v.06.14.2018
ASSUMED �AME CERTIFICATE FOR AN UNINCORPORATED BUSINESS OR PROFESSION
(PRINT OR TYPE)
Lonesta r Municipal Equipment
1 3233 Alyssum Drive
Fort Worth Texas
10 Years
Limited Liability Company
CERTIFICATE OF OWNERSHIP
13233 Alyssum Drive, Fort Worth, TX
rm! or iypcj
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
VENDOR BUSINESS NAME By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and accurately provide the information requested below or your Proposal may be deemed non-responsive.
Name of Proposing Company: (List the k1Ja1 name of the company seeking to contra ct with the Cooperative. Do !:!QI list an assumed name, dba, aka, etc. here. Such information may be provided below. If you are submitting a joint proposal with another entity to provide the same proposed goods or services, each submitting entity should complete a separate vendor information fo rm. Separately operating legal business entities, even if affiliated entities, which propose to provide goods or services separately must submit their own Proposals.)
Please check C:v'.l one of the foHowinq:
Type of Business: Individual/Sole Proprietor Corporation Li mited Liability Company Partnership X Other If other, identify __________ _
State of Incorporation (if applicable): _T_e_x_a s _________ _
Federal Employer Identification Number: _8 _1 _-4_5_4_6 _5 _5 _4 ______ _
(Vendor must include a completedrpg;:iif/-9 form with their proposal) List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard : (Note: If different than the Name of Proposing Company listed above, only valid trade names (dba, aka, etc.) of the Proposing Company may be used and a copy of your Assumed Name Certificate(s), if applicable, must be attached.) Lonestar Municipal Equipment
Proposal Forms COMM/SVCS v.06.14.2018 Page 32 of 63
Request for Taxpayer Give Form to the
Identification Number and Certification requester. Do not
send to the IRS.
Lonestar Municipal Equipment, LLC
2
3 one 4
s ... u o ,g Note.
(Applies to accovnt.s maintained outside the U.S.)
13233 Alyssum Drive
Fort Worth, TX 76244
Taxpayer Identification Number (TIN)
or
Note.
81-4546554
Certification
Certification instructions.
Sign Signature of Here U.S. person► Date►
General Instructions
Future developments.
Purpose of Form
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
EDGAR VENDOR CERTIFICATION (2 CFR Part 200 and Appendix II)
may
Fo r of th e Items below, Vendor should certify Vendor's agreement and ab/1/ty to comply, where appllcable, by having Vendor's authorized representa tive complete and /nit/al the appllcable boxes and sign the acknowledgment at the end of this fo rm. If you fa ll to complete any Item In this form, the Cooperative w/1I consider and may 11st th e Vendor's response on the BuyBoard as "NO," the Vendor Is unable or unwllllng to comply.
1. Vendor Violation or Breach of Contract Terms:
2. Termination for Cause or Convenience:
"llle Cooperative member may terminate or cancel any purchase orde r under this Contract at any time, with or without
cause, by providing seven (7) business days advance written notice to the Vendor. If this Agreement is terminated in accordance with this Paragraph, the Cooperative member shall only be required to pay Vendor for goods or services delivered to the Cooperative member prior to the termination and not otherwise return ed in accordance wi th Ve ndor's return policy. If the Cooperative member has paid Vendor for goods or services not yet provided as of the date of termination, Vendo r shall immediately refund such payment(s).
Proposal Forms COMM/SVCS v.06.14.2018 Page 33 of 63
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
3. Equal Employment Opportunity:
4. Davis-Bacon Act:
5. Contract Work Hours and Safety Standards Act:
6. Right to Inventions Made Under a Contract or Agreement:
Proposal Forms COMM/SVCS v.06.14.2018 Page 34 of 63
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
7. Clean Air Act and Federal Water Pollution Control Act: Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 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 USC 7401-7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act and the Federal Water Pollution Control Act.
8. Debarment and Suspension: 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 government-wide exclusions in the System for Award Management (SAM), in accordance with the 0MB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR Part 1989 Comp. p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549.
9. Byrd Anti-Lobbying Amendment: Byrd Anti-Lobbying Amendment (31 USC 1352) --Vendors 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 USC 1352. Each tier must also disclose any lobbying with nonFederal 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. As applicable, Vendor agrees to file all certifications and disclosures required by, and otherwise comply with, the Byrd Anti-Lobbying Amendment (31 USC 1352).
10. Procurement of Recovered Materials: For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines.
11. Profit as a Separate Element of Price: For purchases using federal funds in excess of $150,000, a Cooperative member may be required to negotiate profit as a separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the Cooperative member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Contract.
Proposal Forms COMM/SVCS v.06.14.2018 Page 35 of 63
12007 Research Boulevard • Austin, Texas 78759-2439 · PH : 800-695-2919 • FAX: 800-211-5454 • buyboard.com
12. General Compliance and Cooperation with Cooperative Members: In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to, applicable recordkeeping and record retention requirements. ,ve~OQ�egjfl!;;;atiQn: ¥E�, '1,�!Qt.® Oli
I �v.enclorJ...Cii:elitiflaitton1•ltem No. INO,J clo N0ill aar.ee ;IhitialL
1. Vendor Violation or Breach of Contract Terms
2. Termination for Cause or Convenience Equal Employment Opportunity Davis-Bacon Act Contract Work Hours and Safety Standards Act Right to Inventions Made Under a Contract or Agreement
7. Clean Air Act and Federal Water Pollution Control Act Debarment and Suspension
9. Byrd Anti-Lobbying Amendment
10. Procurement of Recovered Materials
11. Profit as a Separate Element of Price
12. General Compliance and Cooperation with Cooperative Members
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by my company to make this certification and all consents and agreements contained herein. C�panl}Name Signature of Authorized CompanyDI Printed Name
Proposal Forms COMM/SVCS v.06.14.2018 Page 36 of 63
12007 Research Boulevard • Austin, Texas 78759-2439 · PH: 800-695-2919 • FAX: 800-211-5454 • buyboard.com
PROPOSAL INVITATION QU ESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial resources to provide the goods and perform the services ("Work") under the BuyBoard contract contemplated by this
Proposal Invitation ("Contract''). Proposers must fully answer each question, numbering your responses to correspond to
the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below, and submit the signed questionnaire and your responses to all questions in one document with your Proposal. You must submit the signed questionnaire and responses with your Proposal or the Proposal will not be considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in
acquisition by another entity.
LME has been in business fo r 2 years and 1 month, since December 1, 201 6
LME is not for sale, nor is it involved in any transactions that would
significantly alter its business or result in acquisition by another entity.
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this Contract. State the number and summarize the experience of company personnel who may be utilized for the Work, including those who will be available to Cooperative members for assistance with project development, technical issues, and product selection for Work associated with this Contract.
As a distributor of products manufactured by other companies, LME
currently exists as a family-run company consisting of my wife Jennifer and
myself and currently employs no other personnel. I have over 20 years of
experience in municipal sewer sales and Jennifer has 10 years experience in administration.
3. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and
rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position with your firm.
LME currently has not been rated, nor has a bond been required . We
maintain $2,000,000 in Commercial General Liability insurance. Paul E.
Folker, Jr., (minority owner) filed a personal bankruptcy in the State of
Georgia in June of 2011 .
Proposal Forms COMM/SVCS v.06.14.2018 Page 37 of 63
12007 Research Boulevard · Austin, Texas 78759-2439 · PH : 800-695-2919 • FAX: 800-211-5454 • buyboard.com
4. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the
work, or termination.
6. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of
the claim, and resolution or current status.
By signature below, I certify that the information contained in and/or attached to this Proposal Invitation Questionnaire in response to the above questions is true and correct and that I am authorized by my company to make this certification.
Company Name
s2�ho��n�clal
Proposal Forms COMM/SVCS v.06.14.2018 Page 38 of 63
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 ·buyboard.com
Proposal Forms COMM/SVCS v.06.14.2018
R EQUIRED F ORMS C HECKLIST
(3OHDVHFKHFN ¥ the following)
Completed: Proposer’s Agreement and Signature
Completed: Vendor Contact Information
Completed: Felony Conviction Disclosure and Debarment Certification
Completed: Resident/Nonresident Certification
Completed: No Israel Boycott Certification
Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Completed: Historically Underutilized Business (HUB) Certification)
Completed: Construction Related Goods and Services Affirmation
Completed: Deviation/Compliance
Completed: Location/Authorized Seller Listings
Completed: Manufacturer Dealer Designation
Completed: Texas Regional Service Designation
Completed: State Service Designation
Completed: National Purchasing Cooperative Vendor Award Agreement
Completed: Federal and State/Purchasing Cooperative Experience
Completed: Governmental References
Completed: Marketing Strategy
Completed: Confidential/Proprietary Information
Completed: Vendor Business Name with IRS Form W-9
Completed: EDGAR Vendor Certification
Completed: Proposal Invitation Questionnaire
Completed: Required Forms Checklist
Completed: Proposal Specification Form with Catalogs/Pricelists *Catalogs/Pricelists must be submitted with proposal response or response will not be considered.
Page 39 of 63
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Proposal Invitation No. 593-19-Sewer Inspection and Cleaning Products(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)PROPOSAL NOTE1. Catalogs/Pricelists are required to be submitted with ProposalPROPOSAL SPECIFICATION FORMItem No. Short Description Full DescriptionState Percent (%) of Discount off Catalog/Pricelist¹State Name of Catalog/Pricelist¹Exceptions to Discount1Discount (%) Off Catalog/Pricelist for Combination Sewer Cleaners, Single EngineDiscount (%) Off Catalog/Pricelist for Combination Sewer Cleaners, Single Engine, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%2Discount (%) Off Catalog/Pricelist for Combination Sewer Cleaners, Dual EngineDiscount (%) Off Catalog/Pricelist for Combination Sewer Cleaners, Dual Engine, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%3Discount (%) Off Catalog/Pricelist for Jetter UnitsDiscount (%) Off Catalog/Pricelist for Jetter Units, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%4Discount (%) Off Catalog/Pricelist for Trailer Jetter Units Discount (%) Off Catalog/Pricelist for Trailer Jetter Units, Attachments, Accessories and related products.Catalog/Pricelist MUST be included or proposal will not be considered.______________%NOTE: Vendors proposing various manufacturer product lines per line item on the Proposal Specification Form must submit the information as follows or proposal may not be considered: 0DQXIDFWXUHUVVKDOOEHOLVWHGLQDOSKDEHWLFDORUGHU 9HQGRU¶VPXVWOLVWRQHVSHFLILFSHUFHQWDJHGLVFRXQWIRUHDFK0DQXIDFWXUHUOLVWHGIf a vendor’s response to Proposal Specification Form states “please see attachment sheet,” all manufacturers listed on the attachment sheet must indicate per manufacturer the line item that correlates to Proposal Specification Form or Vendor’s proposal may not be considered.Section I: Sewer Cleaning Equipment, Products, and SuppliesPage 40 of 635Dyna-VacJV1000-2040Dyna-VacJVT500-20405Dyna-VacDJ6020 N/A5Dyna-Vac DJT2040Dyna-Vac DJT2040sDyna-Vac DJT4020Dyna-Vac DJT6520N/AN/A
Proposal Invitation No. 593-19-Sewer Inspection and Cleaning Products(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)PROPOSAL NOTE1. Catalogs/Pricelists are required to be submitted with ProposalPROPOSAL SPECIFICATION FORMItem No. Short Description Full Description State Percent (%) of Discount off Catalog/Pricelist¹State Name of Catalog/Pricelist¹Exceptions to Discount5Discount (%) Off Catalog/Pricelist for Vacuum Excavation Equipment Discount (%) Off Catalog/Pricelist for Vacuum Excavation Equipment and related products.Catalog/Pricelist MUST be included or proposal will not be considered.______________%6Discount (%) Off Catalog/Pricelist for All Other Sewer Cleaning Equipment Discount (%) Off Catalog/Pricelist for All Other Sewer Cleaning Equipment, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%7Discount (%) Off Catalog/Pricelist for Portable Mini Sewer Inspection SystemsDiscount (%) Off Catalog/Pricelist for Portable Mini Sewer Inspection Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%8Discount (%) Off Catalog/Pricelist for Mainline Portable Mini Sewer Inspection Systems Discount (%) Off Catalog/Pricelist for Mainline Portable Mini Sewer Inspection Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%9Discount (%) Off Catalog/Pricelist for Portable Video Inspection CamerasDiscount (%) Off Catalog/Pricelist for Portable Video Inspection Cameras, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%10Discount (%) Off Catalog/Pricelist for Lateral and Mainline Sewer Inspection SystemsDiscount (%) Off Catalog/Pricelist for Lateral and Mainline Sewer Inspection Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%Section II: Sewer Inspection Equipment, Products and SuppliesPage 41 of 635Dyna-Vac HE800-536Dyna-VacHET500-536N/A5Please SeeAttachmentSheetN/A5Visual ImagingResources -Magnum M7N/A5Mini-CamMainlinePortable MiniSystemN/A5Visual ImagingResources -Portable VideoInspection CamerasN/A5Mini-Cam Lateraland MainlineSewer InspectionSystemsN/A
Proposal Invitation No. 593-19-Sewer Inspection and Cleaning Products(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)PROPOSAL NOTE1. Catalogs/Pricelists are required to be submitted with ProposalPROPOSAL SPECIFICATION FORMItem No. Short Description Full Description State Percent (%) of Discount off Catalog/Pricelist¹State Name of Catalog/Pricelist¹Exceptions to Discount11Discount (%) Off Catalog/Pricelist for Vehicle/Trailer Mounted TV Sewer Inspection and Rehabilitation SystemsDiscount (%) Off Catalog/Pricelist for Vehicle/Trailer Mounted TV Sewer Inspection and Rehabilitation Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%12Discount (%) Off Catalog/Pricelist for Cameras Discount (%) Off Catalog/Pricelist for Sewer Inspection Cameras, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%13Discount (%) Off Catalog/Pricelist for Camera Transporters Discount (%) Off Catalog/Pricelist for Sewer Inspection Camera Transporters, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%14Discount (%) Off Catalog/Pricelist for Pipeline Condition Assessment Software Discount (%) Off Catalog/Pricelist for Pipeline Condition Assessment Software and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%15Discount (%) Off Catalog/Pricelist for Lateral Reinstatement CuttersDiscount (%) Off Catalog/Pricelist for Lateral Reinstatement Cutters, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%16Discount (%) Off Catalog/Pricelist for Lateral Cleaning SystemsDiscount (%) Off Catalog/Pricelist for Lateral Cleaning Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%17Discount (%) Off Catalog/Pricelist for Profiling SystemsDiscount (%) Off Catalog/Pricelist for Profiling Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%Page 42 of 6355Pipe Logix -Pipeline ConditionAssessmentSoftwareN/A5Mini-CamProfilingSystemsN/AN/APlease SeeAttachmentSheet
Proposal Invitation No. 593-19-Sewer Inspection and Cleaning Products(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)PROPOSAL NOTE1. Catalogs/Pricelists are required to be submitted with ProposalPROPOSAL SPECIFICATION FORMItem No. Short Description Full Description State Percent (%) of Discount off Catalog/Pricelist¹State Name of Catalog/Pricelist¹Exceptions to Discount18Discount (%) Off Catalog/Pricelist for All Other Sewer Inspection Systems Discount (%) Off Catalog/Pricelist for All Other Sewer Inspection Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered.______________%19Discount (%) Off Catalog/Pricelist for Repair/Replacement Parts for Sewer Cleaning and Inspection EquipmentDiscount (%) Off Catalog/Pricelist for Repair/Replacement Parts for Sewer Cleaning and Inspection Equipment. Catalog/Pricelist MUST be included or proposal will not be considered.______________%Not to Exceed Hourly Labor RateDetailed Information on Hourly Labor RateExceptions to Hourly Labor Rate20Not to Exceed Hourly Labor Rate for Installation/Repair Service of Sewer Cleaning, Inspection Products, Equipment and Related ItemsHourly Labor Rate for Installation/Repair Service of Sewer Cleaning, Inspection Products, Equipment and Related Items - State the Not to Exceed hourly labor rate for Installation/Repair Service of Equipment and Products.$ ___________/HourSection IV: Installation and Repair ServiceSection III: Repair and Replacement PartsPage 43 of 635Mini-Cam AllOther SewerInspectionSystems5Mini-CamRepair &ReplacementParts ForSewer Cleaningand InspectionEquipment120Shop rate, mustbe at LME shop.Field servicework NOTavailable.Pickup &deliveryavailable at$1.50/mile.N/AN/AN/A
Item Number
State Percent (%) of
Discount off
Catalog/Pricelist
State Name of
Catalog/Pricelist
Exceptions to
Discount
6 5%Dyna-Vac Rhino
Easement Machine N/A
6 5%Jetter Depot Nozzles N/A
6 5%MEC Equipment
Sewer Parts Pricing N/A
6 5%Sewer Pro Shop
Bluestar Nozzles N/A
6 5%Sonetics Pricelist N/A
Item # 6
Item Number
State Percent (%) of
Discount off
Catalog/Pricelist
State Name of
Catalog/Pricelist
Exceptions to
Discount
11 5%
Visual Imaging
Resources - Trailer
Mount TV Sewer
Inspection System
N/A
11 5%
Visual Imaging
Resources - Truck
Mount TV Sewer
Inspection System
N/A
Item # 11