7919 - Contract Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Crystal Westbrook
03/31/2023
7919
FIRE DEPARTMENT FORM
FILE
City of Denton
_____________________________________________________________________________________
INFORMATION SHEET
DEPARTMENT: Procurement & Compliance
DATE: December 28, 2021
SUBJECT
Adoption of contract through the Buyboard Cooperative Purchasing Contract Number 603-20 with Casco
Industries, Inc., for the acquisition of services and products for all City of Denton Departments; providing
for expenditures of funds therefor; and providing and effective date (File 7919 – awarded to Casco
Industries, Inc. in the not-to-exceed amount of $49,000).
BACKGROUND
Chapter 271.102 of the Local Government Code authorizes local governments to participate in a cooperative
purchasing program with another local government or local cooperative organization. In lieu of competitive
bidding, items and services may be purchased through such agreements as the agreements have already
been bid by the sponsoring entity or agency. Pricing obtained through the Sourcewell Cooperative
Purchasing Network has been competitively bid and meets the statutory requirements of Texas Local
Government Code 271.102.
RECOMMENDATION
Award a contract with Casco Industries, Inc., for products and services related to 603-20, in the non-to
exceed amount of $49,000.
ESTIMATED SCHEDULE OF PROJECT
603-20 with a contract expiration date of 03/31/2023.
FISCAL INFORMATION
This service and products will be used by all City of Denton Departments.
EXHIBITS
Exhibit 1: Information Sheet
Exhibit 2: Contract 603-20, pricing sheet and extension
Respectfully submitted:
Crystal Westbrook, Senior Buyer
Procurement and Compliance
City Hall
215 E. McKinney Street
Denton, Texas
www.cityofdenton.com
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
February 10, 2020
Sent Via Email: david@cascoindustries.com
David Stewart
Casco Industries, Inc.
607 W. 62nd Street
Shreveport, LA 71106 Welcome to BuyBoard! Re: Notice of The Local Government Purchasing Cooperative Award Proposal Name and Number: Public Safety and Firehouse Supplies and Equipment, Proposal No. 603-20
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal. The contract is effective 4/1/2020 through 3/31/2021, 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. 603-20 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
EXHIBIT 2
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
February 10, 2020
Sent Via Email: david@cascoindustries.com David Stewart
Casco Industries, Inc.
607 W. 62nd Street
Shreveport, LA 71106
Welcome to BuyBoard! Re: Notice of National Purchasing Cooperative Award Proposal Name and Number: Public Safety and Firehouse Supplies and Equipment, Proposal No. 603-20
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard®
contract based on the above-referenced Proposal. As provided for in the Proposal and your National Purchasing
Cooperative Vendor Award Agreement, you are authorized to sell the goods and services awarded under the Proposal to
National Cooperative members in states other than Texas through the BuyBoard. The contract is effective 4/1/2020 through 3/31/2021, with two possible one-year renewals. The National Cooperative membership list is available at our website www.buyboard.com/vendor. The list identifies the
current members that may purchase awarded goods and services under your National Cooperative BuyBoard contract.
You are advised that receipt of a purchase order directly from a National Cooperative member is not within BuyBoard guidelines. Accepting purchase orders directly from Cooperative members may result in a violation of applicable competitive procurement law and termination of this National Cooperative BuyBoard contract. Therefore, all purchase orders from National Cooperative members must be processed through the BuyBoard. Please forward by e-mail to info@buyboard.com any order received directly from a National Cooperative member. If you inadvertently process a purchase order sent directly to you by a National Cooperative member, please fax the order to the
above number 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 National Cooperative, 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
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
PROPOSER’S AGREEMENT AND SIGNATURE
Proposal Name: Public Safety and Firehouse
Supplies and Equipment
Proposal Due Date/Opening Date and Time:
July 31, 2019 at 4:00 PM
Proposal Number: 603-20
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: April 1, 2020 through
March 31, 2021 with two (2) possible one-year
renewals
January/February 2020
Name of Proposing Company Date
_________________________________ Street Address Signature of Authorized Company Official
City, State, Zip Printed Name of Authorized Company Official
Telephone Number of Authorized Company Official Position or Title of Authorized Company Official
_________________________________________ Fax Number of Authorized Company Official Federal ID Number
Casco Industries, Inc.
607 W. 62nd Street
Shreveport, LA 71106
318-865-5107
253-681-7877
07/30/2019
David Stewart
Purchasing Manager
72-0698936
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
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.
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
VENDOR CONTACT INFORMATION
Name of Company: ____________________________________________________________________________________
Vendor Proposal/Contract Contact Name: __________________________________________________________________ Vendor Proposal/Contract Contact E-mail Address: ___________________________________________________________ Vendor Contact Mailing Address for Proposal/Contract 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:
Purchase Order E-mail Address: ____________________________________________________________
Purchase Order Contact: _____________________________________ Phone: ______________________
Alternate Purchase Order E-mail Address: ____________________________________________________
Alternate Purchase Order 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 (“RFQ”): Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
RFQ E-mail Address: ____________________________________________________________________________
RFQ Contact: _____________________________________________ Phone: ______________________________
Alternate RFQ E-mail Address: ____________________________________________________________________
Alternate RFQ Contact: __________________________________ Phone: _________________________________
Casco Industries, Inc.
David Stewart
david@cascoindustries.com
607 W. 62nd Street
Shreveport, LA 71106
www.cascoindustries.com
X
david@cascoindustries.com
David Stewart 318-865-5107
purchasing@cascoindustries.com
Aaron Miller 318-865-5107
david@cascoindustries.com
David Stewart 318-865-5107
purchasing@cascoindustries.com
Aaron Miller 318-865-5107
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
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:
Please choose only one (1) of the following options for receipt of invoices and provide the requested
information:
Service fee invoices and related communications should be provided directly to my company at: Invoice Mailing address: ____________________________________ Department: __________________ City: _____________________________ State: __________________ Zip Code: ___________________ Contact Name: _____________________________________ Phone: _____________________________ Invoice Fax: ________________ Invoice E-mail Address: _______________________________________
Alternative Invoice E-mail Address: ________________________________________________________
In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**: Billing agent Mailing address: ____________________________________ Department: _______________ City: _____________________________ State: __________________ Zip Code: ___________________ Billing Agent Contact Name: _____________________________________ Phone: ___________________ Billing Agent Fax: ________________ Billing Agent E-mail Address: _______________________________
Alternative Billing Agent E-mail Address: ____________________________________________________
** If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the
General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relieve Vendor of its responsibilities and obligations under the Contract including, but not limited to, payment of all service fees under any Contract awarded Vendor.
607 W. 62nd Street A/P
Shreveport LA 71106
Melissa Schaumburg 318-865-5107
318-865-8157 melissa@cascoindustries.com
purchasing@cascoindustries.com
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
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Proposal Forms COMM/SVCS v.05.31.2019
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 (√) one of the following: My company is a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.) 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. ________________________________________________ Company Name
_________________________________________ ________________________________________
Signature of Authorized Company Official 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.
________________________________________
Company Name ________________________________________ _______________________________________ Signature of Authorized Company Official Printed Name
Casco Industries, Inc.
David Stewart
Casco Industries, Inc.
David Stewart
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
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 (√) 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
B. 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 (√) 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
________________________________________ ________________________________
Signature of Authorized Company Official Printed Name
Casco Industries, Inc.607 W. 62nd Street
Shreveport LA 71106
X
X
Casco Industries, Inc.
David Stewart
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
NO ISRAEL BOYCOTT CERTIFICATION
Effective September 1, 2017, as amended effective May 7, 2019 (H.B. 793), a Texas governmental entity may not enter
into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company
(excluding a sole proprietorship) that has 10 or more full-time employees 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). Accordingly, this certification form is included to the extent required by law. “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 ________________________________________ ________________________________
Signature of Authorized Company Official Printed Name
Note: If Vendor does not wish to make this certification, return the blank form in lieu of a completed certification. 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 Company Official Printed Name
Casco Industries, Inc.
David Stewart
Casco Industries, Inc.
David Stewart
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
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 (√) 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:
____________________________________________________
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
___________________________________________________________
Printed Name
___________________________________________________________
Signature of Authorized Company Official
X
Casco Industries, Inc.
David Stewart
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
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Proposal Forms COMM/SVCS v.05.31.2019
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
_______________________________________ ______________________________________
Signature of Authorized Company Official Printed Name
________________________________________ Date
Casco Industries, Inc.
David Stewart
07/30/2019
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
DEVIATION AND COMPLIANCE
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 (√) one of the following:
No; Deviations
Yes; Deviations
List and fully explain any deviations you are submitting: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: Common Carrier Company Truck Prepaid and Add to Invoice Other:
____________________________________________________________________________________________________
2. Payment Terms: Net 30 days 1% in 10/Net 30 days Other:
____________________________________________________________________________________________________
3. Number of Days for Delivery: ________ARO 4. Vendor Reference/Quote Number: ___________________________
5. State your return policy: _____________________________________________________________________________
____________________________________________________________________________________________________
6. Are electronic payments acceptable? Yes No
7. Are credit card payments acceptable? Yes No
______________________________________
Company Name ______________________________________ _____________________________________ Signature of Authorized Company Official Printed Name
15-90
603-20
Obtain a RGA from Casco Industries and possible restock
fee will be applicable
Casco Industries, Inc.
David Stewart
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
L OCATION/AUTHORIZED S ELLER L ISTINGS
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
Casco Industries, Inc.
1517 W. Carrier Pkwy Suite 118
Grand Prairie TX 75050
972-522-0800 318-865-8157
Jessie Gentry
Casco Industries, Inc.
705 S. 8TH
La Porte TX 77571
281-443-0999 281-443-0858
Teri Rutter
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
M ANUFACTURER D EALER D ESIGNATION
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
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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 applies in the space provided at the end of this form. By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your
proposal or, if 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.
_____________________________________________________
Company Name
_________________________________________________ Signature of Authorized Company Official _________________________________________________
Printed Name
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 Headquarters 1 Edinburg 2 Corpus Christi 3 Victoria 4 Houston 5 Beaumont 6 Huntsville 7 Kilgore 8 Mount Pleasant 9 Wichita Falls 10 Richardson 11 Fort Worth 12 Waco 13 Austin 14 Abilene 15 San Angelo 16 Amarillo 17 Lubbock 18 Midland 19 El Paso 20 San Antonio
I will not service members
of the Texas Cooperative.
Casco Industries, Inc.
David Stewart
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If this Texas Regional Service Designation form applies to only one or some of the products and services proposed by Vendor, list the products and services to which this form applies here: ____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
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Proposal Forms COMM/SVCS v.05.31.2019
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 applies in the space provided at the end of this form. By
designating a state or states, you are certifying that you are authorized and willing to provide the proposed
products and services in those states. Designating states in which you are either unable or unwilling to
provide the specified products and services shall be grounds for either rejection of your proposal or, if
awarded, termination of your Contract. Please check (√) 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 Nebraska
Arizona Nevada
Arkansas New Hampshire
California (Public Contract Code 20118 & 20652) New Jersey
Colorado New Mexico Connecticut New York Delaware North Carolina District of Columbia North Dakota Florida Ohio
Georgia Oklahoma
Hawaii Oregon
Idaho Pennsylvania
Illinois Rhode Island
Indiana South Carolina
Iowa South Dakota
Kansas Tennessee
Kentucky Texas
Louisiana Utah
Maine Vermont
Maryland Virginia Massachusetts Washington Michigan West Virginia Minnesota Wisconsin Mississippi Wyoming
Missouri
Montana
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___________________________________________________
Company Name ___________________________________________ ________________________________
Signature of Authorized Company Official Printed Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
This form will be used to ensure that you can service other governmental entities throughout the United States as indicated. Your signature below confirms that you understand your service commitments during the term of a contract awarded under this proposal.
Casco Industries, Inc.
David Stewart
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Proposal Forms COMM/SVCS v.05.31.2019
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 Piggy-Back 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.
_______________________________________ ___________________________________________
Name of Vendor Proposal Invitation Number
_______________________________________ ___________________________________________
Signature of Authorized Company Official Printed Name of Authorized Company Official
__________________________________ Date
Casco Industries, Inc.603-20
David Stewart
07/30/2019
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Proposal Forms COMM/SVCS v.05.31.2019
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: $______________. (The period of the 12
month period is _________/_________). 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.
PURCHASING GROUP
CURRENT
VENDOR? (Y/N)
FORMER VENDOR (Y/N)? –
IF YES, LIST YEARS AS VENDOR
AWARDED
COMMODITY CATEGORY(IES)
1. Federal General Services Administration
2. T-PASS (State of Texas)
3. U.S. Communities Purchasing Alliance
4. National IPA/TCPN
5. Houston-Galveston Area Council (HGAC)
6. National Joint Powers Alliance (NJPA)
7. E&I Cooperative
8. The Interlocal Purchasing System (TIPS)
9. Other
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 (%): _________________________ Proposed Discount (%): ________________________
Explanation: _________________________________________________________________________________________
____________________________________________________________________________________________________
2,000,000.00
01/2018 12/2018
N
N
N
N
Y
N
N
N
N
10%-48% depends on item #10%-48% depends on item #
Casco Industries, Inc. has multiple contract categories/items with different
discounts offered.
EE08-17 Emergency
Medical & Rescue
Equipment
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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 _______________________________________ _____________________________________ Signature of Authorized Company Official Printed Name
Casco Industries, Inc.
David Stewart
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Proposal Forms COMM/SVCS v.05.31.2019
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you offer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts
you offer other governmental customers. Attach additional pages if necessary.
Quantity/
Entity Name Contact Phone# Email Address Discount Volume______
1._________________________________________________________________________________________________
2.__________________________________________________________________________________________________
3.__________________________________________________________________________________________________
4.__________________________________________________________________________________________________
5.__________________________________________________________________________________________________
Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give
better discounts (lower prices) than indicated? YES NO If YES, please explain:
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
________________________________________________
Company Name
________________________________________________
Signature of Authorized Company Official
________________________________________________ Printed Name
Odessa City of Melissa Valdez 432-335-3251 mvaldez@odessa-tx.gov 25% $673,290.00
McAllen City of Rodolfo Ramirez 956-681-2500 rramriez@mcallen.net 25% $469,394.96
McKinney City of Larry Etcheverry 972-547-2852 letcheverry@mckinneytexas.org 25% $477,918.00
Midland City of Charles Blumenauer 432-685-7350 cblumenauer@midlandtexas.gov 25% $123,708.72
Georgetown City of Bill Sherek 512-930-3600 bill.sherek@georgetown.org 25% $555,768.68
Casco Industries, Inc.
David Stewart
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Proposal Forms COMM/SVCS v.05.31.2019
MARKETING STRATEGY
For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or part of your Proposal. (Example: Explain how your company will initially inform Cooperative members of your BuyBoard contract, and how you will continue to support the BuyBoard for the duration of the contract period.)
Attach additional pages if necessary. _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________
________________________________________________
Company Name
________________________________________________ Signature of Authorized Company Official ________________________________________________
Printed Name
Casco Industries, Inc. will advertise on our website and all our social media outlets
such as Facebook, IG and Twitter. Casco has 42 outside salesmen that call on
customers daily and will also discuss BuyBaord with their customers. Casco will
promote BuyBoard at our local shows we display at.
Casco Industries, Inc.
David Stewart
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Proposal Forms COMM/SVCS v.05.31.2019
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 (√) 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:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
(Attach additional sheets if needed.)
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B. Copyright Information
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Please check (√) one of the following:
NO, Proposal (including forms, documentation, or other materials submitted with the Proposal) does not contain copyright information.
YES, Proposal (including forms, documentation, or other materials submitted with the Proposal) does contain copyright information.
If you responded “YES”, identify below the specific documents or pages containing copyright information.
Copyright Information: _________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
(Attach additional sheets if needed.)
C. Consent to Release Confidential/Proprietary/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 form 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.
_______________________________________
Company Name
_______________________________________
Signature of Authorized Company Official
_______________________________________ Printed Name _______________________________________
Date
Casco Industries, Inc.
David Stewart
07/30/2019
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Proposal Forms COMM/SVCS v.05.31.2019
V ENDOR 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 legal name of the company seeking to contract with the Cooperative. Do NOT 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 form. Separately operating legal business entities, even if affiliated entities, which propose to provide
goods or services separately must submit their own Proposals.)
Please check (√) one of the following:
Type of Business:
Individual/Sole Proprietor _____
Corporation _____
Limited Liability Company _____
Partnership _____ Other _____ If other, identify ________________________ ________________________ ________________________
State of Incorporation (if applicable): ___________________________
Federal Employer Identification Number: ___________________________
(Vendor must include a completed IRS W-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.)
____________________________________________________________________________________________________
____________________________________________________________________________________________________ ____________________________________________________________________________________________________
Casco Industries, Inc.
X
LA
72-0698936
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EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II) When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, 2 CFR 200 (sometimes referred to as the “Uniform Guidance” or new “EDGAR”). All Vendors submitting
proposals must complete this EDGAR Certification Form regarding Vendor’s willingness and ability to comply with certain
requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This
completed form will be made available to Cooperative members for their use while considering their purchasing options
when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in
addition to the BuyBoard contract’s general terms and conditions, to address the member’s specific contractual needs,
including contract requirements for a procurement using federal grants or contracts.
For each of the items below, Vendor should certify Vendor’s agreement and ability to comply, where
applicable, by having Vendor’s authorized representative complete and initial the applicable boxes and sign
the acknowledgment at the end of this form. If you fail to complete any item in this form, the Cooperative will consider and may list the Vendor’s response on the BuyBoard as “NO,” the Vendor is unable or unwilling to comply. A “NO” response to any of the items may, if applicable, impact the ability of a Cooperative member to purchase from the Vendor using federal funds.
1. Vendor Violation or Breach of Contract Terms:
Contracts for more than the Simplified Acquisition Threshold, which is the inflation adjusted amount determined by the
Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms
and Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary
contract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent
with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions.
The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By
submitting a Proposal, you agree to these Vendor violation and breach of contract terms.
2. Termination for Cause or Convenience: For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the following term and condition shall apply: The Cooperative member may terminate or cancel any purchase order 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 returned in accordance with Vendor’s
return policy. If the Cooperative member has paid Vendor for goods or services not yet provided as of the date of
termination, Vendor shall immediately refund such payment(s).
If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the
manner by which it will be effected and the basis for settlement, is included in the Cooperative member’s purchase order,
ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member’s provision shall
control.
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3. Equal Employment Opportunity:
Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the
definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 shall be deemed to include the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, “Equal Employment
Opportunity” (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, “Amending Executive Order 11246 Relating to Equal Employment Opportunity,” and implementing regulations at 41 CFR Part 60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.” The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that
such provision applies to any Cooperative member purchase or contract that meets the definition of “federally assisted
construction contract” in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision.
4. Davis-Bacon Act: When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146-
3148) as supplemented by Department of Labor regulations (29 CFR Part 5, “Labor Standards Provisions Applicable to
Contracts Covering Federally Financed and Assisted Construction”). In accordance with the statute, Vendor is required to
pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by
the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.gov. Vendor agrees that,
for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor’s
acceptance of the wage determination.
Vendor further agrees that it shall also comply with the Copeland “Anti-Kickback” Act (40 USC 3145), as supplemented by
Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States”). The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled.
5. Contract Work Hours and Safety Standards Act:
Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible
provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and
provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles
ordinarily available on the open market, or contracts for transportation or transmission of intelligence.
6. Right to Inventions Made Under a Contract or Agreement:
If the Cooperative member’s Federal award meets the definition of “funding agreement” under 37 CFR 401.2(a) and the
recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance or experimental, developmental, or research work under that “funding
agreement,” the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions
Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative
Agreements,” and any implementing regulations issued by the awarding agency.
Vendor agrees to comply with the above requirements when applicable.
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
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 OMB 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 non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. 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 the Simplified Acquisition Threshold, 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.
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
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.
Vendor Certification Item No.
Vendor Certification: YES, I agree or NO, I do NOT agree
Initial
1. Vendor Violation or Breach of Contract Terms
2. Termination for Cause or Convenience
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
7. Clean Air Act and Federal Water Pollution Control Act
8. 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.
__________________________________________ Company Name __________________________________________ Signature of Authorized Company Official
__________________________________________
Printed Name
NO DS
YES DS
YES DS
NO DS
NO DS
NO DS
YES DS
NO DS
YES DS
NO DS
YES DS
YES DS
Casco Industries, Inc.
David Stewart
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
PROPOSAL INVITATION QUESTIONNAIRE
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.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
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.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
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.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Casco Industries, Inc. has been in business for 69 years.
Casco Industries, Inc. has (1) Purchasing manager with (1) agent to assist.
Casco Industries, Inc. has (3) sales managers and (1) office manager that
over sees a staff of (7) assistants that assist in contracts and major issues.
Please see attached letter from Regions Bank regarding our financial strength.
Per our insurance agent "The Cashion Company" our bonding capacity is $5,000,000.00 for
single job / $10,000,000.00 aggregate. Also attached is a certificate of insurance showing our
coverage limits. There have been no bankruptcy, receivership or insolvency proceeding in the last seven years.
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
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
________________________________________________ Signature of Authorized Company Official
No
N/A
N/A
Casco Industries, Inc.
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
12007 Research Boulevard · Austin, Texas 78759-2439 · PH: 800-695-2919 · FAX: 800-211-5454 · buyboard.com
Proposal Forms COMM/SVCS v.05.31.2019
R EQUIRED F ORMS C HECKLIST
(Please check (√) 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 and Texas Department of
Public Safety License *Catalogs/Pricelists must be submitted with proposal response or response will not be considered.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
1
Discount (%) Off
Catalog/Pricelist for
Firearms and
Ammunition
Please state the discount (%) off catalog/pricelist for Firearms and
Ammunition. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
2
Discount (%) Off
Catalog/Pricelist for
Tactical Equipment
Please state the (%) off catalog/pricelist for Tactical Equipment.
Catalog/Pricelist MUST be included or proposal will not be considered. ______________%
3
Discount (%) Off
Catalog/Pricelist for
Night Sticks and
Batons
Please state the (%) off catalog/pricelist for Night Sticks and
Batons. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
4
Discount (%) Off
Catalog/Pricelist for
Riot Equipment/Body
Armor
Please state the (%) off catalog/pricelist for Riot Equipment/Body
Armor. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
5
Discount (%) Off
Catalog/Pricelist for
Public Safety Vehicle
Equipment and related
accessories
Please state the (%) off catalog/pricelist for Public Safety Vehicle
Equipment and Related Accessories. 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:
Manufacturers shall be listed in alphabetical order
Vendor’s must list one specific percentage discount for each Manufacturer listed.
If 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: Public Safety Supplies and Equipment
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
6
Discount (%) Off
Catalog/Pricelist for
Tear Gas/Mace and
related items
Please state the (%) off catalog/pricelist for Tear Gas/Mace and
related items. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
7
Discount (%) Off
Catalog/Pricelist for
Night Vision Equipment
Please state the (%) off catalog/pricelist for Night Vision
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
8
Discount (%) Off
Catalog/Pricelist for
Thermal Imaging
Equipment
Please state the (%) off catalog/pricelist for Thermal Imaging
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
9
Discount (%) Off
Catalog/Pricelist for
Flashlights, Batteries,
and related items
Please state the (%) off catalog/pricelist for Flashlights, Batteries,
and related items. Catalog/Pricelist MUST be included or proposal will
not be considered.
______________%
10
Discount (%) Off
Catalog/Pricelist for
Electronic Stand-up
Vehicle (ESV)
Please state the (%) off catalog/pricelist for Electronic Stand-up
Vehicle (ESV). Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
11
Discount (%) Off
Catalog/Pricelist for All
Types of Public Safety
Patrol Bicycles,
Supplies and Related
Accessories
Please state the (%) off catalog/pricelist for All Types of Public
Safety Patrol Bicycles, Supplies and Related Accessories.
Catalog/Pricelist MUST be included or proposal will not be considered
______________%
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
5 MSA Price List
40-50
Nightstick Price
List - 40% off,
Streamlight Fire
Price List - 50% off
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
12
Discount (%) Off
Catalog/Pricelist for
Public Safety Rescue
Equipment
Please state the (%) off catalog/pricelist for Public Safety Rescue
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
13
Discount (%) Off
Catalog/Pricelist for
Handcuffs and
Restraints
Please state the (%) off catalog/pricelist for Handcuffs and
Restraints. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
14
Discount (%) Off
Catalog/Pricelist for
Scopes and Binoculars
Please state the (%) off catalog/pricelist for Scopes and Binoculars.
Catalog/Pricelist MUST be included or proposal will not be considered. ______________%
15
Discount (%) Off
Catalog/Pricelist for
Alcohol and Drug
Testing Products and
Related Services
Please state the (%) off catalog/pricelist for Alcohol and Drug
Testing Products and Related Services. Catalog/Pricelist MUST be
included or proposal will not be considered.
______________%
16
Discount (%) Off
Catalog/Pricelist for
Law Enforcement
Training Targets
Please state the (%) off catalog/pricelist for Law Enforcement
Training Targets. Catalog/Pricelist MUST be included or proposal will not
be considered.
______________%
17
Discount (%) Off
Catalog/Pricelist for
Fingerprint Equipment
and Supplies
Please state the (%) off catalog/pricelist for Fingerprint Equipment
and Supplies. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
18
Discount (%) Off
Catalog/Pricelist for
Law Enforcement
Knives and Tools
Please state the (%) off catalog/pricelist for Law Enforcement
Knives and Tools (multipurpose tools, clip tools, mini tools, and
related accessories). Catalog/Pricelist MUST be included or proposal will
not be considered.
______________%
19
Discount (%) Off
Catalog/Pricelist for
Public Safety Uniforms,
Rainwear, Jackets,
Footwear and
Accessories
Please state the (%) off catalog/pricelist for Public Safety Uniforms,
Rainwear, Jackets, Footwear and Accessories. Catalog/Pricelist
MUST be included or proposal will not be considered.
______________%
20
Discount (%) Off
Catalog/Pricelist for
Weather Monitoring
Systems
Please state the (%) off catalog/pricelist for Weather Monitoring
Systems. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
21
Discount (%) Off
Catalog/Pricelist for
Red Light Monitoring
Systems
Please state the (%) off catalog/pricelist for Red Light Monitoring
Systems. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
22
Discount (%) Off
Catalog/Pricelist for
Speed Enforcement
Equipment
Please state the (%) off catalog/pricelist for Speed Enforcement
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
23
Discount (%) Off
Catalog/Pricelist for
Public Safety Life
Preserver and Related
Items
Please state the (%) off catalog/pricelist for Public Safety Life
Preserver and Related Items. Catalog/Pricelist MUST be included or
proposal will not be considered.
______________%
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
15-35
Lion Stationwear Price
List - 35% off,
Propper Price List - 16%
off,
VF Workwear Workrite
Price List - 15% off
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
24
Discount (%) Off
Catalog/Pricelist for
Emergency Radio
Dispatch Consoles and
related items
Please state the (%) off catalog/pricelist for Emergency Radio
Dispatch Consoles and related items. Catalog/Pricelist MUST be
included or proposal will not be considered.
______________%
25
Discount (%) Off
Catalog/Pricelist for
Safety and Security
Window Film Products
Please state the (%) off catalog/pricelist for Safety and Security
Window Film Products. Catalog/Pricelist MUST be included or proposal
will not be considered.
______________%
26
Discount (%) Off
Catalog/Pricelist for All
Types Security Access
Doors
Please state the (%) off catalog/pricelist for All Types Security
Access Doors and related accessories (accordion, roll up,
woodfold, flat lead post, narrow lead post, and curved).
Catalog/Pricelist MUST be included or proposal will not be considered.
______________%
27
Discount (%) Off
Catalog/Pricelist for All
Other Public Safety
Products and
Equipment
Please state the (%) off catalog/pricelist for All Other Public Safety
Products and Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
______________%
28
Discount (%) Off
Catalog/Pricelist for
Public Safety
Equipment Repair
Parts
Please state the (%) off catalog/pricelist for Public Safety
Equipment Repair Parts. Catalog/Pricelist MUST be included or
proposal will not be considered.
______________%
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
29
Discount (%) Off
Catalog/Pricelist for
Public Safety
Equipment and
Products
Maintenance/Warranty
Agreements
Please state the (%) off catalog/pricelist for Public Safety
Equipment and Products Maintenance/Warranty Agreements.
Catalog/Pricelist MUST be included or proposal will not be considered.
______________%
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
30
Discount (%) Off
Catalog/Pricelist for
Breathing Apparatus
Please state the (%) off catalog/pricelist for Breathing Apparatus.
Catalog/Pricelist MUST be included or proposal will not be considered. ______________%
31
Discount (%) Off
Catalog/Pricelist for
Protective Clothing and
Rescue Gear including
Protective Boots,
Helmets and Gear
Bags
Please state the (%) off catalog/pricelist for Protective Clothing and
Rescue Gear including Protective Boots, Helmets and Gear
Bags. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
32
Discount (%) Off
Catalog/Pricelist for
Turnout Gear
Please state the (%) off catalog/pricelist for Turnout Gear.
Catalog/Pricelist MUST be included or proposal will not be considered.______________%
Section II: Firehouse Supplies and Equipment
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
15
MSA Price List
also to include
MSA G1 SCBA
ATO and MSA G1
Facepiece ATO
10-45
ESS Price List - 28% off,
FireCraft Hansen Price List - 20% off,
Globe Footgear Price List - 25% off,
Life Liners Price List - 20% off,
Lion Thoroggod Fire Boot Price List - 45% off
Majestic Hoods Price List - 25% off,
MSA Price List - 35% off,
PGI Price List - 22% off,
Shelby Specialty Gloves Price List - 26% off,
TechTrade Pro Tec 8 Price List - 10% off,
Veridian Glove List Price - 32% off,
25 Globe Gear Price
List
Globe Gear
Athletix Price List
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
33
Discount (%) Off
Catalog/Pricelist for
Nomex Station
Uniforms
Please state the (%) off catalog/pricelist for Nomex Station
Uniforms. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
34
Discount (%) Off
Catalog/Pricelist for
Communication
Devices and Systems
Please state the (%) off catalog/pricelist for Communication
Devices and Systems. Catalog/Pricelist MUST be included or proposal
will not be considered.
______________%
35
Discount (%) Off
Catalog/Pricelist for
EMS Supplies and
Equipment
Please state the (%) off catalog/pricelist for EMS Supplies and
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
36
Discount (%) Off
Catalog/Pricelist for
Portable Lighting
Equipment
Please state the (%) off catalog/pricelist for Portable Lighting
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
37
Discount (%) Off
Catalog/Pricelist for
Vehicle Light Bars,
Sirens and Speakers
Please state the (%) off catalog/pricelist for Vehicle Light Bars,
Sirens and Speakers. Catalog/Pricelist MUST be included or proposal
will not be considered.
______________%
38
Discount (%) Off
Catalog/Pricelist for
Fire Extrication Rescue
Equipment
Please state the (%) off catalog/pricelist for Fire Extrication Rescue
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
15-35
Lion Stationwear Price List -
35% off,
Propper Price List - 16%
off,
VF Workwear Workrite
Price List - 15% off
40-50
Akron Brass Company
Price List - 40% off
Nightstick Price List - 40%
off,
Streamlight Fire Price List
- 50% off,
10-36
Council Tool Company Price List - 35%
off,
Flamefighter Corporation Price List -
25% off,
Genesis Rescue Systems Price List -
10%off,
Nupla Industrial Price List - 36% off,
Zico Price List - 13%off,
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
39
Discount (%) Off
Catalog/Pricelist for
Firehouse Uniforms,
Rainwear, Jackets,
Footwear and
Accessories
Please state the (%) off catalog/pricelist for Firehouse Uniforms,
Rainwear, Jackets, Footwear and Accessories. Catalog/Pricelist
MUST be included or proposal will not be considered.
______________%
40
Discount (%) Off
Catalog/Pricelist for
Gas Detection Devices
Please state the (%) off catalog/pricelist for Gas Detection Devices.
Catalog/Pricelist MUST be included or proposal will not be considered.______________%
41
Discount (%) Off
Catalog/Pricelist for
Fire Hose and Nozzles
Please state the (%) off catalog/pricelist for Fire Hose and Nozzles.
Catalog/Pricelist MUST be included or proposal will not be considered.______________%
42
Discount (%) Off
Catalog/Pricelist for
Fire Extinguishers and
Fire Fighting Foam
Please state the (%) off catalog/pricelist for Fire Extinguishers and
Fire Fighting Foam. Catalog/Pricelist MUST be included or proposal will
not be considered.
______________%
43
Discount (%) Off
Catalog/Pricelist for
Fire Fighting Training
Materials and
Equipment
Please state the (%) off catalog/pricelist for Fire Fighting Training
Materials and Equipment. Catalog/Pricelist MUST be included or
proposal will not be considered.
______________%
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
15-35
Lion Stationwear
Price List - 35% off,
Propper Price List -
16% off,
VF Workwear
Workrite Price List -
15% off
20
MSA Price List
20-46
Akron Brass Company Price List - 41% off,
All American Hose Price List - 35% off,
BullDog Hose Price List - 40% off,
C and S Supply Price List - 35% off,
Crestar Firefighting Price List - 20% off,
Elkhart Price List - 41% off,
Harrington Price List - 46% off
Kochek Price List - 40% off,
North American Fire Hose Corporation Price
List - 35% off,
20-55
Chemguard Chemicals
list price - 55% off,
Verde Microblaze
Price List - 20% off,
25
BlastMask Price
List
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
44
Discount (%) Off
Catalog/Pricelist for
Optical Emergency
Traffic Pre-Emption
Supplies and
Equipment
Please state the (%) off catalog/pricelist for Optical Emergency
Traffic Pre-Emption Supplies and Equipment. Catalog/Pricelist
MUST be included or proposal will not be considered.
______________%
45
Discount (%) Off
Catalog/Pricelist for
Other Firehouse
Equipment and
Supplies
Please state the (%) off catalog/pricelist for All Other Firehouse
Equipment and Supplies. Catalog/Pricelist MUST be included or
proposal will not be considered.
______________%
46
Discount (%) Off
Catalog/Pricelist for
Firehouse Equipment
Repair Parts
Please state the (%) off catalog/pricelist for Firehouse Equipment
Repair Parts. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
47
Discount (%) Off
Catalog/Pricelist for
Firehouse Equipment
and Products Safety
Maintenance/Warranty
Agreements
Please state the (%) off catalog/pricelist for Firehouse Equipment
and Products Safety Maintenance/Warranty Agreements.
Catalog/Pricelist MUST be included or proposal will not be considered.
______________%
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
5-46
Akron Brass Company Price List - 41% off,
C and S Supply Price List - 35% off,
CET Portable Pump Price List - 25% off,
Council Tool Company Price List - 35% off, Crestar Firefighting Price List - 20% off,
Elkhart Price List - 41% off,
Flamefighter Corporation Price List - 25% off, Groves Ready Rack Price List - 11% off,
Hale Portable Pumps Price List - 26% off,
Harrington Price List - 46% off,
Husky Portable Containment Price List - 30% off,
HydroVent Price List - 20% off, Kochek Price List - 40% off,
North American Fire Hose Corporation Price List -
35% off, Nupla Industrial Price List - 36% off,
Ram Air Gear Dryer Price List - 5% of,
Rice Hydro Price List - 20% off,
South Park Corporation Price List - 27%off,
Tempest Fire Price List - 29% off, Zico Price List - 13%off
5-12
Bauer Compressor
Parts Price List - 12%
off,
Hale Parts Portable
Pumps Price List - 5%
off,
MSA Price List - 10%
off,
Tempest Fire
Price List
Battery Power
Blowers -
15% off
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
48
Discount (%) Off
Catalog/Pricelist for
Traffic Signal
Equipment
Please state the (%) off catalog/pricelist for Traffic Signal
Equipment. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
49
Discount (%) Off
Catalog/Pricelist for
Traffic Signal Supplies
Please state the (%) off catalog/pricelist for Traffic Signal Supplies.
Catalog/Pricelist MUST be included or proposal will not be considered.______________%
50
Discount (%) Off
Catalog/Pricelist for All
Other Traffic Signal
Products
Please state the (%) off catalog/pricelist for All Other Traffic Signal
Products. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
51
Discount (%) Off
Catalog/Pricelist for
Traffic Signal Repair
Parts
Please state the (%) off catalog/pricelist for Traffic Signal Repair
Parts. Catalog/Pricelist MUST be included or proposal will not be
considered.
______________%
52
Discount (%) Off
Catalog/Pricelist for
Traffic Signal
Equipment and
Products
Maintenance/Warranty
Agreements
Please state the (%) off catalog/pricelist for Traffic Signal
Equipment and Products Maintenance/Warranty Agreements.
Catalog/Pricelist MUST be included or proposal will not be considered.
______________%
Section III: Traffic Signal Supplies and Equipment
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Proposal Invitation No. 603-20-Public Safety and Firehouse Supplies and Equipment
(Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered¹.)
Item
No. Short Description Full Description
State Percent (%) of
Discount off
Catalog/Pricelist¹
State Name of
Catalog/Pricelist¹
Exceptions to
Discount
53
Discount (%) Off Rate
Sheet for Security
Personnel Services and
Solutions
Please state the (%) off rate sheet for Security Personnel Services
and Solutions (weekly, monthly, quarterly and yearly) rates.
Catalog/Pricelist MUST be included or proposal will not be considered.
$_______________
Item
No. Short Description Full Description
Not to Exceed Hourly
Labor Rate
Detailed
Information on
Hourly Labor Rate
Exceptions to
Hourly Labor
Rate
54
Not to Exceed Hourly
Labor Rate for
Installation/Repair
Service of Public Safety
Equipment and
Products
Hourly Labor Rate for Installation/Repair Service of Public
Safety Equipment and Products - State the Not to Exceed hourly
labor rate for Installation/Repair Service of Public Safety Equipment
and Products.
$ ___________/Hour
55
Not to Exceed Hourly
Labor Rate for
Installation/Repair
Service of Firehouse
Equipment and
Products
Hourly Labor Rate for Installation/Repair Service of Firehouse
Equipment and Products -State the Not to Exceed hourly labor
rate for Installation/Repair Service of Firehouse Equipment and
Products.
$ ___________/Hour
56
Not to Exceed Hourly
Labor Rate for
Installation/Repair
Service of Traffic
Signal Equipment and
Products
Hourly Labor Rate for Installation/Repair Service of Traffic
Signal Equipment and Products - State the Not to Exceed hourly
labor rate for Installation/Repair Service of Traffic Signal Equipment
and Products.
$ ___________/Hour
Section IV: Security Personnel Services and Solutions - In accordance with Chapter 1702 of the Texas Occupations Code, vendors proposing to serve Cooperative
members in Texas must hold, maintain, and submit with their proposal a copy of their current, valid license as issued by the Texas Department of Public Safety. Vendors
proposing to serve Cooperative members outside of Texas must hold, maintain, and submit with their proposal a copy of their current, valid license(s) which are required
by any legal authority in the jurisdiction(s) Vendors propose to serve.
Section V: Installation and Repair Service
PROPOSAL NOTE
1. Catalogs/Pricelists are required to be submitted with Proposal PROPOSAL SPECIFICATION FORM
95.00
Repairs, Flow Test
and Fit test of MSA
SCBA'S
Repairs and Service of
Bauer Compressors
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
March 3, 2021 Sent via email to: david@cascoindustries.com David Stewart Casco Industries, Inc. 607 W. 62nd Street Shreveport LA 71106
Re: Public Safety and Firehouse Supplies and Equipment BuyBoard Contract 603-20 The Local Government Purchasing Cooperative (BuyBoard) awarded your company a contract under Public Safety and Firehouse Supplies and Equipment, Contract 603-20 effective April 1, 2020 through March 31, 2021, with two possible one-year renewals. At this time, the BuyBoard is renewing your contract through March 31,2022. All discounts, terms, and conditions of your contract will remain the same. If you agree to this renewal, there is nothing you need to do. However, if you do not agree to this renewal, you must notify me via email at lisa.maraden@tasb.org prior to the start of the renewal term. Reminder: Once a BuyBoard contract is awarded, vendors must generate a minimum of $15,000 annually or they may not be offered a contract renewal. If you have questions or comments concerning this renewal, please contact me as soon as possible at lisa.maraden@tasb.org. We appreciate your interest in The Local Government Purchasing Cooperative. Sincerely,
Lisa Maraden Contract Administrator
1st renewal v.02.13.2020
DocuSign Envelope ID: AF7A0AF1-FD71-413B-BF3E-ED4E97E60C6C
Certificate Of Completion
Envelope Id: AF7A0AF1FD71413BBF3EED4E97E60C6C Status: Completed
Subject: ***Purchasing Approval*** 7919-Fire Department Form
Source Envelope:
Document Pages: 49 Signatures: 0 Envelope Originator:
Certificate Pages: 5 Initials: 2 Crystal Westbrook
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
crystal.westbrook@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
12/28/2021 7:27:51 PM
Holder: Crystal Westbrook
crystal.westbrook@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Crystal Westbrook
crystal.westbrook@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 12/28/2021 7:31:07 PM
Viewed: 12/28/2021 7:31:14 PM
Signed: 12/28/2021 7:32:02 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 198.49.140.104
Sent: 12/28/2021 7:32:04 PM
Viewed: 12/29/2021 8:04:46 AM
Signed: 12/29/2021 8:04:50 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Dustin Rolfe
dustin.rolfe@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 12/29/2021 8:04:51 AM
Electronic Record and Signature Disclosure:
Accepted: 12/27/2021 7:36:18 AM
ID: c143adb6-8d30-4e62-a45d-8534b284d7b9
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 12/28/2021 7:31:07 PM
Certified Delivered Security Checked 12/29/2021 8:04:46 AM
Signing Complete Security Checked 12/29/2021 8:04:50 AM
Completed Security Checked 12/29/2021 8:04:51 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Dustin Rolfe
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