RequestforProposal(RFP)forHVACEquipment,Installation,Service,&RelatedProductsSolicitationNumber:05-16

PublicationDate:Monday,February15th,2016

NoticetoRespondent:

SubmittalDeadline:Tuesday,March29th,20162:00pmCSTQuestionsregardingthissolicitationmustbesubmittedtoquestions@ncpa.usnolater

thanTuesday,March22nd,2016.Allquestionsandanswerswillbepostedtohttp://www.ncpa.us/solicitations.

ItistheintentionofRegion14EducationServiceCenter(herein“Region14ESC”)toestablishaMasterAgreementforHVACEquipment,Installation,Service,&RelatedProductsforusebyRegion14ESCandotherpublicagenciessupportedunderthiscontract.ThisRequestforProposalisissuedonbehalfoftheNationalCooperativePurchasingAlliancethroughapublicagencyclause,whichprovidesthatanycounty,city,specialdistrict,localgovernment,schooldistrict,privateK-12school,highereducationinstitution,state,othergovernmentagency,healthcareorganizationornonprofitorganizationmaypurchaseProductsandServicesthroughthiscontract.RespondentswillberequiredtoexecutetheNCPAAdministrationAgreementuponaward.

Thiscontractwillallowagenciestopurchaseonan“asneeded”basisfromacompetitivelyawardedcontract.Respondentsarerequestedtosubmittheirtotallineofavailableproductsandservices.WhilethissolicitationspecificallycoversHVACEquipment,Installation,Service,&RelatedProducts,respondentsareencouragedtosubmitanofferingonanyorandallproductsandservicesavailablethattheycurrentlyperformintheirnormalcourseofbusiness.

ResponsesshallbereceivednolaterthanthesubmittaldeadlineintheofficesofRegion14ESCattheaddressbelow:

Region14EducationServiceCenter1850Highway351Abilene,Texas79601Immediatelyfollowingthedeadline,allresponseswillbepublicallyopenedandtherespondentsrecorded.Anyresponsereceivedlaterthanthespecifieddeadline,whetherdeliveredinpersonormailed,willbedisqualified.Faxedorelectronicallysubmittedresponsescannotbeaccepted.

Responsesmustbesealedandplainlymarkedwiththecompanynameandtheopeningdateandtime.Two(2)boundandsignedcopiesoftheproposalsandTwo(2)electroniccopiesonCD,DVD,orflashdrives(i.e.pinorjumpdrives)shallbeprovided.

CompetitiveSolicitationby

Region14EducationServiceCenter

For

HVACEquipment,Installation,Service,&RelatedProducts

OnbehalfofitselfandotherGovernmentAgencies

Andmadeavailablethroughthe

NationalCooperativePurchasingAlliance

RFP#05-16

Introduction/Scope

♦ Region14ESConbehalfofitselfandallstates,localgovernments,schooldistricts,andhighereducationinstitutionsintheUnitedStatesofAmerica,andothergovernmentagenciesandnon-profitorganizations(herein“PublicAgency”orcollectively“PublicAgencies”)issolicitingproposalsfromqualifiedvendorstoenterintoaMasterAgreementforacompletelineofHVACEquipment,Installation,Service,&RelatedProducts.

♦ Region14ESC,astheleadpublicagency,haspartneredwithNCPAtomaketheresultantcontractavailabletoallparticipatingagenciesintheUnitedStates.NCPAprovidesmarketingandadministrativesupportfortheawardedvendorthatpromotesthesuccessfulvendor’sproductsandservicestoPublicAgenciesnationwide.TheVendorwillexecutetheNCPAAdministrationAgreement(Tab2)uponaward.VendorshouldthoroughlyreviewalldocumentsandnoteanyexceptionstoNCPAtermsandconditionsintheirproposal.

♦ Awardedvendor(s)shallperformcoveredservicesunderthetermsofthisagreement.Respondentsshallprovidepricingbasedonadiscountfromtheirstandardpricingschedulesforproductsand/orservicesoffered.RespondentsmustprovideexplanationonhowtheywillprovideeitherCatalogand/orpricelistsintheiraccompanyingproposal.Pleasespecifywheredifferentpercentagediscountsapply.Additionalpricingand/ordiscountsmaybeincluded.

♦ Eachserviceproposedistobepricedseparatelywithallineligibleitemsidentified.Servicesmaybeawardedtomultiplevendors.Respondentsmayelecttolimittheirproposalstoasingleservicewithinanycategory,ormultipleserviceswithinanyandallcategories.

♦ NationalCooperativePurchasingAlliance(NCPA)Ø TheNationalCooperativePurchasingAlliance(herein“NCPA”)assistspublicagenciesto

increasetheirefficiencyandreducetheircostswhenprocuringgoodsandservices.Thisisaccomplishedbyawardingcompetitivelysolicitedcontractsthatareleveragednationallybycombiningthevolumesandpurchasingpowerofentitiesnationwide.Ourcontractsareavailableforusebyanyentitythatmustcomplywithprocurementlawsandregulations.

♦ ItistheintentionofRegion14ESCandNCPAtoachievethefollowingobjectivesthroughthisRFP.Ø ProvideacomprehensivecompetitivelysolicitedMasterAgreementofferingProductsand

ServicestoPublicAgencies;Ø AchievecostsavingsofVendorsandPublicAgenciesthroughasinglecompetitive

solicitationprocessthateliminatestheneedformultipleproposals;Ø CombinethepurchasingpowerofPublicAgenciestoachievecosteffectivepricing;Ø ReducetheadministrativeandoverheadcostsofVendorsandPublicAgenciesthrough

stateoftheartpurchasingprocedures.

♦ VendorScope

Ø ItistheintentionofRegion14ESCtoestablishacontractwithvendor(s)forHVACEquipment,Installation,Service,&RelatedProducts.Awardedvendor(s)shallprovideproductsandperformcoveredservicesunderthetermsofthisagreement.Offerorsshallprovidepricingbasedonadiscountfromamanufacturer’spricelistorcatalog,orfixedprice,oracombinationofbothwithindefinitequantities.Additionalpricingand/ordiscountsmaybeincluded.IfOfferorhasexistingcooperativecontractsinplace,Offerorisrequestedtosubmitpricingequalorbetterthanthosethatareinplace.Multiplepercentagediscountstructureisalsoacceptable.Pleasespecifywheredifferentpercentagediscountsapply.

Ø Each service proposed is to be priced separately with all ineligible items identified.

Servicesmaybeawardedtomultiplevendors.Offerorsmayelecttolimittheirproposalstoasingleservicewithinanycategory,ormultipleserviceswithinanyorallcategories.

Ø Region 14 ESC is seeking a service provider that has the depth, breadth and quality of

resourcesnecessarytocompleteallphasesofthiscontract.Inaddition,NCPAalsorequestsanyvalueaddproductorservicethatcouldbeprovidedunderthiscontract.

Ø WhilethissolicitationspecificallycoversHVACEquipment,Installation,Service,&Related

Products,respondentsareencouragedtosubmitanofferingonanyandallproductsorservicesavailablethattheycurrentlyperformintheirnormalcourseofbusiness.ThescopeofthisRFPshallincludebutnotbelimitedtothefollowingproductsandservices:

• HVACRefrigerationType-Rotary,Centrifugal,Scroll,Reciprocating.,Absorption• IndoorAirQualityProductsandDevicesType-Activepolarization,non-ionizing,

electronicaircleaningsystemsintendedtoreplacepassivefiltration,anyother.

• UnitaryType-rooftops,splitsystems,VRFs,HeatPumps,PTACs,water-source,mini-splits

• AirhandlingType-centralstation-manufacturedorcustommakeupair,fan,filter,coilsections

• AirTerminalDevicesandHeatingProductsType-VAV,FanCoils,UnitVentilators,

UnitHeaters,FinTubeRadiation/Convectors• DDCControlsType-corecomponents,enddevices,lighting,panels

• CoolingTowersType-open,closed,evaporative,other

• PumpsType-singlestage,splitcase,endsuction,inline,circulator,turbines

• Invertors• Boilers&WaterHeatersType-modulating,condensing,castiron,watertube,

packagedandother

• HVACSpecialtyProductsType(e.g.,modular,outside/inside,Steam&ThermalHeatRecovery,HumidityControl,HeatWheel,HeatPipe,HeatExchangers,Geothermal)

• EquipmentPartsandSuppliesType-manufacturedparts,emergencypartsservice,miscellaneousmaterialandsuppliesandother

• Startup&CommissioningServicesType-equipmentstartups,systemcheckouts,

controlverification,retrocommissioning,M&Vverifications,rebateauditing,other

• Service&MaintenanceType-preventativeandfullmaintenancecontracts,man-atattendance,remotemonitoring,annuals,emergencyservices,regulatorycompliance,cleaning(e.g.,duct,coilsandfilters),scheduledmaintenance(e.g.,oil,chemicalandvibrationanalysis)andother

• InstallationandTurnkeyContractingType-retrofit,newconstruction,energy

retrofit,controlsnew-andupgradeandother

• WarrantyServicesType-Extendedparts&labor(definemaximumnumberofyearsavailable),delayedstart-upandother

• EnergyServicesType-EnergyTracking,EnergyAnalysis,EvaluationofPotential

Upgrades,demandresponse,rebatesandother

• EquipmentRentalsType-chillers,pumps,transformers,terminalunits,generators,coolingtowers,packagedunitaryandother

• FinancialServicesType-leasing,promptandpre-paymentdiscounts,guaranteed

savingsandother

• ProfessionalServicesType-Engineering,Design,Drafting,Architectural,ProjectManagementandother

• SiteSurveysType-Equipment,systemanalysis,operational,architecturalandother

InstructionstoRespondents

♦ SubmissionofResponseØ Onlysealedresponseswillbeaccepted.Faxedorelectronicallytransmittedresponseswill

notbeaccepted.Ø Sealedresponsesmaybesubmittedonanyorallitems,unlessstatedotherwise.Region14

ESCreservestherighttorejectoracceptanyresponse.Ø Deviationstotheterms,conditionsand/orspecificationsshallbeconspicuouslynotedin

writingbytherespondentandshallbeincludedwiththeresponse.Ø Withdrawalofresponsewillnotbeallowedforaperiodof120daysfollowingtheopening.

Pricingwillremainfirmfor120daysfromsubmittal.

♦ RequiredProposalFormatØ Responsesshallbeprovidedinathree-ringbinderorreportcoverusing8.5x11paper

clearlyidentifiedwiththenameofRespondentscompanyandsolicitationrespondingtoontheoutsidefrontcoverandverticalspine.Two(2)boundandsignedcopiesoftheproposalsandTwo(2)electroniccopiesonCD,DVD,orflashdrives(i.e.pinorjumpdrives)shallbeprovided.Tabsshouldbeusedtoseparatetheproposalintosections,asidentifiedbelow.Respondentsfailingtoorganizeinthemannerlistedmaybeconsiderednon-responsiveandmaynotbeevaluated.

♦ BinderTabsØ Tab1–SignatureFormØ Tab2–NCPAAdministrationAgreementØ Tab3–VendorQuestionnaireØ Tab4–VendorProfileØ Tab5–ProductsandServices/ScopeØ Tab6-ReferencesØ Tab7-PricingØ Tab8–ValueAddedProductsandServicesØ Tab9–RequiredDocuments

♦ ShippingLabel

Ø Thepackagemustbeclearlyidentifiedaslistedbelowwiththesolicitationnumberandnameofthecompanyresponding.AllpackagesmustbesealedanddeliveredtotheRegion14ESCofficesnolaterthanthesubmittaldeadlineassignedforthissolicitation.From: ________________________________________________________________Company: ________________________________________________________________Address: ________________________________________________________________City,State,Zip: ________________________________________________________________SolicitationNameandNumber: ________________________________________________________________DueDateandTime: ________________________________________________________________

Tab1–MasterAgreementGeneralTermsandConditions

♦ CustomerSupportØ Thevendorshallprovidetimelyandaccuratetechnicaladviceandsalessupport.The

vendorshallrespondtosuchrequestswithinone(1)workingdayafterreceiptoftherequest.

♦ AssignmentofContract

Ø NoassignmentofcontractmaybemadewithoutthepriorwrittenapprovalofRegion14ESC.Purchaseordersandpaymentcanonlybemadetoawardedvendor.AwardedvendorisrequiredtonotifyRegion14ESCwhenanymaterialchangeinoperationismade.

♦ Disclosures

Ø Respondentaffirmsthathe/shehasnotgiven,offeredtogive,norintendstogiveatanytimehereafteranyeconomicopportunity,futureemployment,gift,loan,gratuity,specialdiscount,trip,favororservicetoapublicservantinconnectionwiththiscontract.

Ø Therespondentaffirmsthat,tothebestofhis/herknowledge,theofferhasbeenarrivedatindependently,andissubmittedwithoutcollusionwithanyonetoobtaininformationorgainanyfavoritismthatwouldinanywaylimitcompetitionorgiveanunfairadvantageoverothervendorsintheawardofthiscontract.

♦ RenewalofContract

Ø Unlessotherwisestated,allcontractsareforaperiodofone(1)yearwithanoptiontorenewannuallyforanadditionalfour(4)yearsifagreedtobyRegion14ESCandthevendor.

♦ FundingOutClause

Ø Any/allcontractsexceedingone(1)yearshallincludeastandard“fundingout”clause.Acontractfortheacquisition,includinglease,ofrealorpersonalpropertyisacommitmentoftheentity’scurrentrevenueonly,providedthecontractcontainseitherorbothofthefollowingprovisions:

Ø Retainstotheentitythecontinuingrighttoterminatethecontractattheexpirationofeachbudgetperiodduringthetermofthecontractandisconditionedonabesteffortsattemptbytheentitytoobtainappropriatefundsforpaymentofthecontract.

♦ Shipments(ifapplicable)

Ø Theawardedvendorshallshiporderedproductswithinthewrittenestimateofdeliverytimebythevendortotheentityafterthereceiptoftheorderunlessmodified.Ifaproductcannotbeshippedwithinthattime,theawardedvendorshallnotifytheentityplacingtheorderastowhytheproducthasnotshippedandshallprovideanestimatedshippingdate.Atthispointtheparticipatingentitymaycanceltheorderifestimatedshippingtimeisnotacceptable.Alldeliveriesshallbefreightprepaid,F.O.B.destination.

♦ TaxExemptStatus

Ø Sincethisisanationalcontract,knowingthetaxlawsineachstateisthesoleresponsibilityofthevendor.

♦ PaymentsØ Theentityusingthecontractwillmakepaymentsdirectlytotheawardedvendorortheir

affiliatesaslongaswrittenrequestandapprovalbyNCPAisprovidedtotheawardedvendor.

♦ Addingauthorizeddistributors/dealers

Ø Awardedvendorsareprohibitedfromauthorizingadditionaldistributorsordealers,otherthanthoseidentifiedatthetimeofsubmittingtheirproposal,tosellundertheircontractawardwithoutnotificationandpriorwrittenapprovalfromNCPA.

Ø AwardedvendorsmustnotifyNCPAeachtimeitwishestoaddanauthorizeddistributorordealer.

Ø PurchaseordersandpaymentcanonlybemadetoawardedvendorunlessotherwiseapprovedbyNCPA.

Ø Pricingprovidedtomembersbyaddeddistributorsordealersmustalsobelessthanorequaltothepricingofferedbytheawardedcontractholder,unlessotherwiseapprovedbyNCPA.

♦ Pricing

Ø Allpricingsubmittedtoshallinclude,asacostofsaletotheawardedvendor,theadministrativefeetoberemittedtoNCPAbytheawardedvendor.Itistheawardedvendor’sresponsibilitytokeepallpricinguptodateandonfilewithNCPA.Forthosepricingrequiringannualorperiodicpricingupdates,awardedvendorsareexpectedtoprovidethesechangesassubmitted.

Ø Alldeliveriesshallbefreightprepaid,F.O.B.destinationandshallbeincludedinallpricingofferedunlessotherwiseclearlystatedinwriting

Ø All supplies, equipment and services shall include manufacturer's minimum standardwarrantyandone(1)yearlaborwarrantyunlessotherwiseagreedtoinwriting.

♦ BestPriceGuaranteeØ TheawardedvendoragreestoprovidepricingtoRegion14ESCanditsparticipating

entitiesthatarethelowestpricingavailableandthepricingshallremainsothroughoutthedurationofthecontract.

Ø TheawardedvendoragreestolowerthecostofanyproductpurchasedthroughNCPAfollowingareductioninthemanufacturerorpublisher'sdirectcost.

Ø Theawardedvendoragreesallprices,terms,warranties,andbenefitsgrantedbythevendortoMembersthroughthiscontractarecomparabletoorbetterthantheequivalenttermsofferedbyvendortoanypresentcustomermeetingthesamequalificationsorrequirements.

♦ Warranty

Ø Proposalsshouldaddresseachofthefollowing:

§ Applicablewarrantyand/orguaranteesofequipmentandinstallationsincludinganyconditionsandresponsetimeforrepairand/orreplacementofanycomponentsduringthewarrantyperiod.

§ Availabilityofreplacementparts§ Lifeexpectancyofequipmentundernormaluse§ Detailedinformationastoproposedreturnpolicyonallequipment

♦ AdministrativeFee

Ø AllpricingsubmittedtoRegion14ESCshallincludetheadministrativefeetoberemittedtoNCPAbytheawardedvendor.

Ø The awarded vendor agrees to pay administrative fees toNCPAof threepercent (3%).(SaleswillbecalculatedforfiscalyearofJanuary1stthroughDecember31standreseteachyear)

♦ AuditrightsØ Vendorshall,atVendor’ssoleexpense,maintainappropriateduediligenceofallpurchases

madebyanyentitythatutilizesthisAgreement.NCPAandRegion14ESCeachreservetherighttoaudittheaccountingforaperiodofthree(3)yearsfromthetimesuchpurchasesaremade.ThisauditrightshallsurviveterminationofthisAgreementforaperiodofone(1)yearfromtheeffectivedateoftermination.IntheStateofNewJersey,thisauditrightshallsurviveterminationofthisAgreementforaperiodoffive(5)yearsfromthedateoffinalpayment.Suchrecordsshallbemadeavailable to theNewJerseyOfficeof theStateComptrolleruponrequest.

Ø Region14ESCshallhavetheauthoritytoconductrandomauditsofVendor’spricingthatisofferedtoeligibleentitiesatRegion14ESC'ssolecostandexpense.Notwithstanding theforegoing, in theevent thatRegion14ESC ismadeawareofanypricingbeingoffered toeligible agencies that is materially inconsistent with the pricing under this agreement,Region 4 ESC shall have the ability to conduct an extensive audit of Vendor’s pricing atVendor’s sole cost and expense.Region14ESCmay conduct the audit internally ormayengageathird-partyauditingfirm.Intheeventofanaudit,therequestedmaterialsshallbeprovidedintheformatandatthelocationdesignatedbyRegion14ESCorNCPA.

♦ Indemnity

Ø Theawardedvendorshallprotect,indemnify,andholdharmlessRegion14ESCanditsparticipants,administrators,employeesandagentsagainstallclaims,damages,lossesandexpensesarisingoutoforresultingfromtheactionsofthevendor,vendoremployeesorvendorsubcontractorsinthepreparationofthesolicitationandthelaterexecutionofthecontract.

♦ LicensesandDutytokeepcurrentlicensesØ Vendor shall maintain in current status all federal, state and local licenses, bonds and

permits required for the operation of the business conducted by vendor. Vendor shallremainfullyinformedofandincompliancewithallordinancesandregulationspertainingtothelawfulprovisionofservicesunderthecontract.Region14ESCreservestherighttostop work and/or cancel the contract of any vendor whose license(s) expire, lapse, aresuspendedor terminated.Vendor is expected toprovideall required license(s)with thisRFPresponse.

♦ FranchiseTaxØ Therespondentherebycertifiesthathe/sheisnotcurrentlydelinquentinthepaymentof

anyfranchisetaxes.

♦ SupplementalAgreementsØ Theentityparticipatinginthiscontractandawardedvendormayenterintoaseparate

supplementalagreementtofurtherdefinethelevelofservicerequirementsoverandabovetheminimumdefinedinthiscontracti.e.invoicerequirements,orderingrequirements,specializeddelivery,etc.Anysupplementalagreementdevelopedasaresultofthiscontractisexclusivelybetweentheparticipatingentityandawardedvendor.

♦ CertificatesofInsurance

Ø CertificatesofinsuranceshallbedeliveredtothePublicAgencypriortocommencementofwork.Theinsurancecompanyshallbelicensedintheapplicablestateinwhichworkisbeingconducted.Theawardedvendorshallgivetheparticipatingentityaminimumoften(10)days’noticepriortoanymodificationsorcancellationofpolicies.Theawardedvendorshallrequireallsubcontractorsperforminganyworktomaintaincoverageasspecified.

♦ LegalObligations

Ø ItistheRespondent’sresponsibilitytobeawareofandcomplywithalllocal,state,andfederallawsgoverningthesaleofproducts/servicesidentifiedinthisRFPandanyawardedcontractandshallcomplywithallwhilefulfillingtheRFP.Applicablelawsandregulationmustbefollowedevenifnotspecificallyidentifiedherein.

♦ Protest

Ø Aprotestofanawardorproposedawardmustbefiledinwritingwithinten(10)daysfromthedateoftheofficialawardnotificationandmustbereceivedby5:00pmCST.NoprotestshalllieforaclaimthattheselectedVendorisnotaresponsibleBidder.ProtestsshallbefiledwithRegion14ESCandshallincludethefollowing:

§ Name,addressandtelephonenumberofprotester§ Originalsignatureofprotesteroritsrepresentative§ IdentificationofthesolicitationbyRFPnumber§ Detailedstatementoflegalandfactualgroundsincludingcopiesofrelevant

documentsandtheformofreliefrequestedØ Anyprotestreviewandactionshallbeconsideredfinalwithnofurtherformalitiesbeing

considered.♦ ForceMajeure

Ø IfbyreasonofForceMajeure,eitherpartyheretoshallberenderedunablewhollyorinparttocarryoutitsobligationsunderthisAgreementthensuchpartyshallgivenoticeandfullparticularsofForceMajeureinwritingtotheotherpartywithinareasonabletimeafteroccurrenceoftheeventorcausereliedupon,andtheobligationofthepartygivingsuchnotice,sofarasitisaffectedbysuchForceMajeure,shallbesuspendedduringthe

continuanceoftheinabilitythenclaimed,exceptashereinafterprovided,butfornolongerperiod,andsuchpartyshallendeavortoremoveorovercomesuchinabilitywithallreasonabledispatch.

Ø ThetermForceMajeureasemployedherein,shallmeanactsofGod,strikes,lockouts,orotherindustrialdisturbances,actofpublicenemy,ordersofanykindofgovernmentoftheUnitedStatesoranycivilormilitaryauthority;insurrections;riots;epidemics;landslides;lighting;earthquake;fires;hurricanes;storms;floods;washouts;droughts;arrests;restraintofgovernmentandpeople;civildisturbances;explosions,breakageoraccidentstomachinery,pipelinesorcanals,orothercausesnotreasonablywithinthecontrolofthepartyclaimingsuchinability.Itisunderstoodandagreedthatthesettlementofstrikesandlockoutsshallbeentirelywithinthediscretionofthepartyhavingthedifficulty,andthattheaboverequirementthatanyForceMajeureshallberemediedwithallreasonabledispatchshallnotrequirethesettlementofstrikesandlockoutsbyaccedingtothedemandsoftheopposingpartyorpartieswhensuchsettlementisunfavorableinthejudgmentofthepartyhavingthedifficulty

♦ PrevailingWage

Ø ItshallbetheresponsibilityoftheVendortocomply,whenapplicable,withtheprevailingwagelegislationineffectinthejurisdictionofthepurchaser.ItshallfurtherbetheresponsibilityoftheVendortomonitortheprevailingwageratesasestablishedbytheappropriatedepartmentoflaborforanyincreaseinratesduringthetermofthiscontractandadjustwageratesaccordingly.

♦ Miscellaneous

Ø Eitherpartymaycancelthiscontractinwholeorinpartbyprovidingwrittennotice.Thecancellationwilltakeeffect30businessdaysaftertheotherpartyreceivesthenoticeofcancellation.Afterthe30thbusinessdayallworkwillceasefollowingcompletionoffinalpurchaseorder.

♦ CancellationforNon-PerformanceorContractorDeficiency

Ø Region14ESCmayterminateanycontractifawardedvendorhasnotusedthecontract,orifpurchasevolumeisdeterminedtobelowvolumeinany12-monthperiod.

Ø Region14ESC reserves the right to cancel thewholeor anypart of this contractdue tofailurebycontractortocarryoutanyobligation,termorconditionofthecontract.

Ø Region14ESCmayissueawrittendeficiencynoticetocontractorforactingorfailingtoactinanyofthefollowing:

♦ Providingmaterialthatdoesnotmeetthespecificationsofthecontract;♦ Providingworkand/ormaterialthatwasnotawardedunderthecontract;♦ Failing to adequately perform the services set forth in the scope of work and

specifications;♦ Failing to complete requiredwork or furnish requiredmaterialswithin a reasonable

amountoftime;♦ Failingtomakeprogress inperformanceof thecontractand/orgivingRegion14ESC

reason to believe that contractorwill not or cannot perform the requirements of thecontract;

Ø Uponreceiptofawrittendeficiencynotice,contractorshallhaveten(10)daystoprovidea

satisfactoryresponsetoRegion14ESC.Failuretoadequatelyaddressallissuesofconcern

may result in contract cancellation. Upon cancellation under this paragraph, all goods,materials,work, documents, data and reports prepared by contractor under the contractshallbecomethepropertyofRegion14ESCondemand.

If awarded vendor is going to do business in the State of Arizona, the following terms andconditionsshallapply♦ CancellationforConflictofInterest

Ø PerA.R.S.38-511aSchoolDistrict/publicentitymaycancelthisContractwithinthree(3)

years after Contract execution without penalty or further obligation if any personsignificantlyinvolvedininitiating,negotiating,securing,drafting,orcreatingtheContractonbehalfoftheSchoolDistrict/publicentityis,orbecomesatanytimewhiletheContractoranextensiontheContractisineffect,anemployeeoforaconsultanttoanyotherpartytothisContractwithrespecttothesubjectmatteroftheContract.Thecancellationshallbeeffectivewhentheawardedvendorreceiveswrittennoticeofthecancellationunlessthenoticespecifiesalatertime.

♦ RegisteredSexOffenderRestriction

Ø Pursuant to this order, the awarded vendor agrees by acceptance of this order that no

employeeoftheawardedvendororasubcontractoroftheawardedvendor,whohasbeenadjudicated to be a registered sex offender, will performwork on any School District’spremisesorequipmentatanytimewhenDistrictstudentsare,orarereasonablyexpectedto be, present. The awarded vendor further agrees by acceptance of this order that aviolation of this condition shall be considered a material breach and may result in acancellationoftheorderattheDistrict'sdiscretion.

♦ Contract’sEmploymentEligibility

Ø Byenteringthecontract,awardedvendorwarrantscompliancewithA.R.S.41-4401,A.R.S.23-214, the Federal Immigration and Nationality Act (FINA), and all other federalimmigrationlawsandregulations.ASchoolDistrict/publicentitymayrequestverificationofcompliancefromanycontractororsubcontractorperformingworkunderthiscontract.A School District/public entity reserves the right to confirm compliance in accordancewith applicable laws. Should the School District/public entity suspect or find that theawarded vendor or any of its subcontractors are not in compliance, the SchoolDistrict/publicentitymaypursueanyandallremediesallowedbylaw,including,butnotlimited to: suspension ofwork, termination of the contract for default, and suspensionand/ordebarmentoftheawardedvendor.Allcostsnecessarytoverifycompliancearetheresponsibilityoftheawardedvendor.

♦ TerrorismCountryDivestments

Ø Per A.R.S. 35-392, a School District/public entity is prohibited from purchasing from acompanythatisinviolationoftheExportAdministrationAct.

♦ FingerprintChecks

Ø IfrequiredtoprovideservicesonSchoolDistrict/publicentity’sproperty,awardedvendorshallcomplywithA.R.S.15-511(h).

♦ Indemnification

Ø Notwithstandingallotherprovisionsofthisagreement,SchoolDistrict/publicentitydoesnot agree to accept responsibility, waive liability, or indemnify the awarded vendor, inwhole or in part, for the errors, negligence, hazards, liabilities, contract breach and/oromissionsoftheawardedvendor,itsemployeesand/oragents.

♦ OpenRecordsPolicyØ BecauseRegion14ESCisagovernmentalentityresponsessubmittedaresubjecttorelease

aspublicinformationaftercontractsareexecuted.Ifavendorbelievesthatitsresponse,orpartsofitsresponse,maybeexemptedfromdisclosure,thevendormustspecifypage-by-pageandline-by-linethepartsoftheresponse,whichitbelieves,areexempt.Inaddition,therespondentmustspecifywhichexception(s)areapplicableandprovidedetailedreasonstosubstantiatetheexception(s).

Ø ThedeterminationofwhetherinformationisconfidentialandnotsubjecttodisclosureisthedutyoftheOfficeofAttorneyGeneral(OAG).Region14ESCmustprovidetheOAGsufficientinformationtorenderanopinionandtherefore,vagueandgeneralclaimstoconfidentialitybytherespondentarenotacceptable.Region14ESCmustcomplywiththeopinionsoftheOAG.Region14ESCassumesnoresponsibilityforassertinglegalargumentsonbehalfofanyvendor.Respondentareadvisedtoconsultwiththeirlegalcounselconcerningdisclosureissuesresultingfromthisprocurementprocessandtotakeprecautionstosafeguardtradesecretsandotherproprietaryinformation.

ProcessRegion14ESCwillevaluateproposalsinaccordancewith,andsubjectto,therelevantstatutes,ordinances,rules,andregulationsthatgovernitsprocurementpractices.NCPAwillassistRegion14ESCinevaluatingproposals.Award(s)willbemadetotheprospectivevendor(s)whoseresponseisdeterminedtobethemostadvantageoustoRegion14ESC,NCPA,anditsparticipatingagencies.Toqualifyforevaluation,responsemusthavebeensubmittedontime,andsatisfyallmandatoryrequirementsidentifiedinthisdocument.

♦ ContractAdministrationØ ThecontractwillbeadministeredbyRegion14ESC.TheNationalProgramwillbe

administeredbyNCPAonbehalfofRegion14ESC.♦ ContractTerm

Ø Thecontracttermwillbeforone(1)yearstartingfromthedateoftheaward.Thecontractmayberenewedforuptofour(4)additionalone-yearterms.

♦ ContractWaiverØ Anywaiverofanyprovisionofthiscontractshallbeinwritingandshallbesignedbythe

dulyauthorizedagentofRegion14ESC.Thewaiverbyeitherpartyofanytermorconditionofthiscontractshallnotbedeemedtoconstitutewaiverthereofnorawaiverofanyfurtheroradditionalrightthatsuchpartymayholdunderthiscontract.

♦ ProductsandServicesadditionsØ ProductsandServicesmaybeaddedtotheresultingcontractduringthetermofthe

contractbywrittenamendment,totheextentthatthoseproductsandservicesarewithinthescopeofthisRFPandhaswrittenapprovalofNCPAandRegion14ESC.

♦ CompetitiveRangeØ ItmaybenecessaryforRegion14ESCtoestablishacompetitiverange.Responsesnotin

thecompetitiverangeareunacceptableanddonotreceivefurtherawardconsideration.♦ DeviationsandExceptions

Ø Deviationsorexceptionsstipulatedinresponsemayresultindisqualification.ItistheintentofRegion14ESCtoawardavendor’scompletelineofproductsand/orservices,whenpossible.

♦ EstimatedQuantitiesØ TheestimateddollarvolumeofProductsandServicespurchasedundertheproposed

MasterAgreementis$100milliondollarsannually.ThisestimateisbasedontheanticipatedvolumeofRegion14ESCandcurrentsaleswithintheNCPAprogram.Thereisnoguaranteeorcommitmentofanykindregardingusageofanycontractsresultingfromthissolicitation

♦ EvaluationØ Region14ESCwillreviewandevaluateallresponsesinaccordancewith,andsubjectto,

therelevantstatutes,ordinances,rulesandregulationsthatgovernitsprocurementpractices.NCPAwillassisttheleadagencyinevaluatingproposals.Recommendationsfor

contractawardswillbebasedonmultiplefactors,eachfactorbeingassignedapointvaluebasedonitsimportance.

♦ FormationofContractØ AresponsetothissolicitationisanoffertocontractwithRegion14ESCbaseduponthe

terms,conditions,scopeofwork,andspecificationscontainedinthisrequest.AsolicitationdoesnotbecomeacontractuntilitisacceptedbyRegion14ESC.TheprospectivevendormustsubmitasignedSignatureFormwiththeresponsethus,eliminatingtheneedforaformalsigningprocess.

♦ NCPAAdministrativeAgreementØ ThevendorwillberequiredtoenterandexecutetheNationalCooperativePurchasing

AllianceAdministrationAgreementwithNCPAuponawardwithRegion14ESC.Theagreementestablishestherequirementsofthevendorwithrespecttoanationwidecontracteffort.

♦ Clarifications/Discussions

Ø Region14ESCmayrequestadditionalinformationorclarificationfromanyoftherespondentsafterreviewoftheproposalsreceivedforthesolepurposeofeliminationminorirregularities,informalities,orapparentclericalmistakesintheproposal.Clarificationdoesnotgiverespondentanopportunitytoreviseormodifyitsproposal,excepttotheextentthatcorrectionofapparentclericalmistakesresultsinarevision.Aftertheinitialreceiptofproposals,Region14ESCreservestherighttoconductdiscussionswiththoserespondent’swhoseproposalsaredeterminedtobereasonablysusceptibleofbeingselectedforaward.DiscussionsoccurwhenoralorwrittencommunicationsbetweenRegion14ESCandrespondentsareconductedforthepurposeclarificationsinvolvinginformationessentialfordeterminingtheacceptabilityofaproposalorthatprovidesrespondentanopportunitytoreviseormodifyitsproposal.Region14ESCwillnotassistrespondentbringitsproposaluptothelevelofotherproposalsthroughdiscussions.Region14ESCwillnotindicatetorespondentacostorpricethatitmustmeettoneitherobtainfurtherconsiderationnorwillitprovideanyinformationaboutotherrespondents’proposalsorprices.

♦ MultipleAwards

Ø MultipleContractsmaybeawardedasaresultofthesolicitation.MultipleAwardswillensurethatanyensuingcontractsfulfillcurrentandfuturerequirementsofthediverseandlargenumberofparticipatingpublicagencies.

♦ PastPerformanceØ Pastperformanceisrelevantinformationregardingavendor’sactionsunderpreviously

awardedcontracts;includingtheadministrativeaspectsofperformance;thevendor’shistoryofreasonableandcooperativebehaviorandcommitmenttocustomersatisfaction;andgenerally,thevendor’sbusinesslikeconcernfortheinterestsofthecustomer.

EvaluationCriteria

♦ Product&Services/Pricing(40points)Ø Respondent(s)’ products and services (e.g.; quality and breadth of product(s)/service(s),

description(s) quality, reputation in themarketplace, average on time delivery rate andhistorical shipping timelines, returnandrestockingpoliciesandapplicable fees, averageFillRate,shippingchargesandother)

Ø CompetitiveLevelofPricingforvendor’savailableproductsandservicesØ Warranties on Respondent(s)’ products and services (e.g.; availability of

standard/extendedwarranties,pricing,detaileddescriptions,easeofprocessandothers)Ø EvidenceoftheabilityofRespondent(s)’productsandservicestosavememberstimeand

money(e.g.;breadthofservicedepartments,technologicaladvances,personnelexperience,product(s)efficiencies,andothers)

Ø Otherfactorsrelevanttothissectionassubmittedbytheresponder(s)

♦ AbilitytoProvideandPerformtheRequiredServicesfortheContract(25points)Ø Responsetoemergencyorders&service(e.g.;responsetime,breadthofservicecoverage,

strengthofmeetingserviceandwarrantyneedsofmembers)Ø Customerservice/problemresolution(e.g.;technicalabilitiesofservicepersonnel;quality

ofprocesses,)Ø Invoicingprocess(e.g.;easeofuse;transparency,billingresolutions)Ø Respondent(s)’processes,andqualityoforganizationalstructureØ Contractimplementation/CustomertransitionØ FinancialconditionofvendorØ Offeror’ssafetyrecord(e.g.;benchmarks,losthours,reporting)Ø Instructionalmaterialsandtraining(e.g.;administrativedocumentation,internaltechnical

training,trainingofagencies)Ø Otherfactorsrelevanttothissectionassubmittedbytheproposer

♦ References(10points)

Ø Aminimumoften(10)customerreferencesforproductand/orservicesofsimilarscopedatingwithinpast3years

♦ QualificationandExperience(15points)Ø Respondent(s)’reputationinthemarketplaceØ PastrelationshipwithRegion14ESCand/orNCPAmembersØ Experience with cooperative selling (e.g.; number of other cooperatives, Exhibited

understandingofcooperativepurchasing)Ø ExperienceandqualificationofkeyemployeesØ LocationandnumberofsalespersonswhowillworkonthiscontractØ MarketingplanandcapabilityØ Pastexperienceworkingwiththegovernmentsector

Ø Pastlitigation,bankruptcy,reorganization,stateinvestigationsofentityorcurrentofficersanddirectors

Ø Completeness of response (e.g.; filled out all sections, answered all questions, providedpricing)

Ø Otherfactorsrelevanttothissectionassubmittedbytheproposer

♦ ValueAddedServicesDescription,Productsand/orServices(10points)Ø MarketingandagencyTrainingØ CustomerServiceØ Salesforcetraining(e.g.; internaltrainingplan,corporateofficerinvolvement,orientation

commitment)Ø Marketingplanandcapability(e.g.;contractrolloutplan,benchmarks,goals)Ø Greeninitiative(s)(e.g.;philosophy,certificates,awards)Ø Qualityandbreadthofvalueadd(s)Ø Otherfactorsrelevanttothissectionassubmittedbytheproposer

SignatureForm

Theundersignedherebyproposesandagreestofurnishgoodsand/orservicesinstrictcompliancewiththeterms,specificationsandconditionsatthepricesproposedwithinresponseunlessnotedinwriting.Theundersignedfurthercertifiesthathe/sheisanofficerofthecompanyandhasauthoritytonegotiateand bind the company named below and has not prepared this bid in collusion with any otherRespondentandthatthecontentsofthisproposalastoprices,termsorconditionsofsaidbidhavenotbeencommunicatedbytheundersignednorbyanyemployeeoragenttoanypersonengagedinthistypeofbusinesspriortotheofficialopeningofthisproposal.

Pricesareguaranteed:120days

Companyname

Address

City/State/Zip

TelephoneNo.

FaxNo.

Emailaddress

Printedname

Positionwithcompany

Authorizedsignature

Tab2–NCPAAdministrationAgreementThisAdministrationAgreementismadeasof__________________________________,byandbetweenNational

CooperativePurchasingAlliance(“NCPA”)and____________________________________(“Vendor”).

Recitals

WHEREAS,Region14ESChasenteredintoacertainMasterAgreementdated_______________________,referencedasContractNumber_______________________,byandbetweenRegion14ESCandVendor,asmaybeamendedfromtimetotimeinaccordancewiththetermsthereof(the“MasterAgreement”),forthepurchaseofHVACEquipment,Installation,Service,&RelatedProducts;

WHEREAS,saidMasterAgreementprovidesthatanystate,city,specialdistrict,localgovernment,schooldistrict,privateK-12school,technicalorvocationalschool,highereducationinstitution,othergovernmentagencyornonprofitorganization(hereinafterreferredtoas“publicagency”orcollectively,“publicagencies”)maypurchaseproductsandservicesatthepricesindicatedintheMasterAgreement;

WHEREAS,NCPAhastheadministrativeandlegalcapacitytoadministerpurchasesundertheMasterAgreementtopublicagencies;

WHEREAS,NCPAservesastheadministrativeagentforRegion14ESCinconnectionwithothermasteragreementsofferedbyNCPA

WHEREAS,Region14ESCdesiresNCPAtoproceedwithadministrationoftheMasterAgreement;

WHEREAS,NCPAandVendordesiretoenterintothisAgreementtomakeavailabletheMasterAgreementtopublicagenciesonanationalbasis;

NOW,THEREFORE,inconsiderationofthepaymentstobemadehereunderandthemutualcovenantscontainedinthisAgreement,NCPAandVendorherebyagreeasfollows:

♦ GeneralTermsandConditionsØ TheMasterAgreement,attachedheretoasTab1andincorporatedhereinbyreferenceas

thoughfullysetforthherein,andthetermsandconditionscontainedthereinshallapplytothisAgreementexceptasexpresslychangedormodifiedbythisAgreement.

Ø NCPAshallbeaffordedalloftherights,privilegesandindemnificationsaffordedtoRegion14ESCundertheMasterAgreement,andsuchrights,privilegesandindemnificationsshallaccrueandapplywithequaleffecttoNCPAunderthisAgreementincluding,butnotlimitedto,theVendor’sobligationtoprovideappropriateinsuranceandcertainindemnificationstoRegion14ESC.

Ø Vendorshallperformallduties,responsibilitiesandobligationsrequiredundertheMasterAgreementinthetimeandmannerspecifiedbytheMasterAgreement.

Ø NCPAshallperformallofitsduties,responsibilities,andobligationsasadministratorofpurchasesundertheMasterAgreementassetforthherein,andVendoracknowledgesthatNCPAshallactinthecapacityofadministratorofpurchasesundertheMasterAgreement.

Ø WithrespecttoanypurchasesmadebyRegion14ESCoranyPublicAgencypursuanttotheMasterAgreement,NCPA(a)shallnotbeconstruedasadealer,re-marketer,representative,partner,oragentofanytypeofVendor,Region14ESC,orsuchPublic

Agency,(b)shallnotbeobligated,liableorresponsible(i)foranyordersmadebyRegion14ESC,anyPublicAgencyoranyemployeeofRegion14ESCorPublicAgencyundertheMasterAgreement,or(ii)foranypaymentsrequiredtobemadewithrespecttosuchorder,and(c)shallnotbeobligated,liableorresponsibleforanyfailurebythePublicAgencyto(i)complywithproceduresorrequirementsofapplicablelaw,or(ii)obtainthedueauthorizationandapprovalnecessarytopurchaseundertheMasterAgreement.NCPAmakesnorepresentationsorguarantieswithrespecttoanyminimumpurchasesrequiredtobemadebyRegion14ESC,anyPublicAgency,oranyemployeeofRegion14ESCorPublicAgencyunderthisAgreementortheMasterAgreement.

Ø ThePublicAgencyparticipatingintheNCPAcontractandVendormayenterintoaseparatesupplementalagreementtofurtherdefinethelevelofservicerequirementsoverandabovetheminimumdefinedinthiscontracti.e.invoicerequirements,orderingrequirements,specializeddelivery,etc.AnysupplementalagreementdevelopedasaresultofthiscontractisexclusivelybetweenthePublicAgencyandVendor.NCPA,itsagents,membersandemployeesshallnotbemadepartytoanyclaimforbreachofsuchagreement.

♦ TermofAgreementØ ThisAgreementshallbeineffectsolongastheMasterAgreementremainsineffect,

provided,however,thattheobligationtopayallamountsowedbyVendortoNCPAthroughtheterminationofthisAgreementandallindemnificationsaffordedbyVendortoNCPAshallsurvivethetermofthisAgreement.

♦ FeesandReportingØ TheawardedvendorshallelectronicallyprovideNCPAwithadetailedmonthlyor

quarterlyreportshowingthedollarvolumeofallsalesunderthecontractforthepreviousmonthorquarter.Reportsshallbesentviae-mailtoNCPAofficesatfacilities.reporting@ncpa.us.Reportsaredueonthefifteenth(15th)dayafterthecloseofthepreviousmonthorquarter.Itistheresponsibilityoftheawardedvendortocollectandcompileallsalesunderthecontractfromparticipatingmembersandsubmitone(1)report.Thereportshallincludeatleastthefollowinginformationaslistedintheexamplebelow:

EntityName ZipCode State POorJob# SaleAmount RegisteredVendor

Quotation# Total________________

Ø EachmonthNCPAwillinvoicethevendorbasedonthetotalofsaleamount(s)reported.

FromtheinvoicethevendorshallpaytoNCPAthree(3%)administrativefeeontheamountoftheagency’spurchaseorderlessanyapplicablesalestaxandPerformanceand/orPaymentbondcost.Vendor’sannualsalesshallbemeasuredonacalendaryearbasis.DeadlinefortermofpaymentwillbeincludedintheinvoiceNCPAprovides.

Ø SuppliershallmaintainanaccountingofallpurchasesmadebyPublicAgenciesundertheMasterAgreement.NCPAandRegion14ESCreservetherighttoaudittheaccountingforaperiodoffour(4)yearsfromthedateNCPAreceivestheaccounting.Intheeventofsuchanaudit,therequestedmaterialsshallbeprovidedatthelocationdesignatedbyRegion14

ESCorNCPA.IntheeventsuchauditrevealsanunderreportingofContractSalesandaresultingunderpaymentofadministrativefees,VendorshallpromptlypayNCPAtheamountofsuchunderpayment,togetherwithinterestonsuchamountandshallbeobligatedtoreimburseNCPA’scostsandexpensesforsuchaudit.

♦ GeneralProvisionsØ ThisAgreementsupersedesanyandallotheragreements,eitheroralorinwriting,

betweenthepartiesheretowithrespecttothesubjectmatterhereof,andnootheragreement,statement,orpromiserelatingtothesubjectmatterofthisAgreementwhichisnotcontainedhereinshallbevalidorbinding.

Ø AwardedvendoragreestoallowNCPAtousetheirnameandlogowithinwebsite,marketingmaterialsandadvertisement.AnyuseofNCPAnameandlogooranyformofpublicityregardingthiscontractbyawardedvendormusthavepriorapprovalfromNCPA.

Ø IfanyactionatlaworinequityisbroughttoenforceorinterprettheprovisionsofthisAgreementortorecoveranyadministrativefeeandaccruedinterest,theprevailingpartyshallbeentitledtoreasonableattorney’sfeesandcostsinadditiontoanyotherrelieftowhichsuchpartymaybeentitled.

Ø NeitherthisAgreementnoranyrightsorobligationshereundershallbeassignablebyVendorwithoutpriorwrittenconsentofNCPA.Anyassignmentwithoutsuchconsentwillbevoid.

Ø ThisAgreementandNCPA’srightsandobligationshereundermaybeassignedatNCPA’ssolediscretion,toanexistingornewlyestablishedlegalentitythathastheauthorityandcapacitytoperformNCPA’sobligationshereunder

Ø Allwrittencommunicationsgivenhereundershallbedeliveredtotheaddressesassetforthbelow.

NationalCooperativePurchasingAlliance:

Name: ________________________________________

Title: ________________________________________

Address: ________________________________________

________________________________________

Signature: ________________________________________

Date: ________________________________________

Vendor: ________________________________________

Name: ________________________________________

Title: ________________________________________

Address: ________________________________________

________________________________________

Signature: ________________________________________Date: ________________________________________

NCPARegisteredVendorQuotationNumberRFP responders are requested to agree to a quotation number registration program to provideconsistencyand fasterservice forour facilityawardedvendors,agencymembersandparticipants.TheprocesswillrequireFacilityContractholderstoregisterandreceiveaNCPAVendorRegisteredQuotationNumberthatmustbeprominentlydisplayedoneachproposal(s)thatyoupresenttotheagencies.ThesystemwilltrackFacilitytransactionsfromtheinitialproposalstagetothecompletionofeachproject.NCPAhasassembledanexperiencedFacilitiesManagementTeamthatstandsreadyandwillingtoassistitsvendorsinprovidingqualityservicestotheawardedvendor’sorganization.Failure to receive theVendorRegisteredQuotationNumber can result inpotential delays to yourservices and the only acceptable proposals need to have a NCPA Vendor Registered QuotationNumber.

NCPARegisteredVendorQuotationNumberProcessFillouttheformontheFacilitiespageatwww.NCPA.us

(Directlinkishttp://www.ncpa.us/Facilities/Register)

*Filloutandsubmit.

• Allregisteredvendorquotationnumberrequestsmustbesubmittedandaproposalnumberreceivedbeforeyoupresentittoyourpotentialcustomer.

• YouwillhavearesponsewithaNCPAVendorRegisteredQuotationNumberwithin4hours.

• If you have an emergency and need a quotation number sooner, call any member of theFacilityManagementteamandwewillhelpyou.

• Includethequotationnumberonallproposals.

Thisdocumentacknowledgesthatyouhavereceivedandagreetothedetails,directionsandexpectationsoftheNCPAVendorRegisteredQuotationNumberprocess.

Date

RFPNumber

CompanyName

PrintedName

Signature

Tab3–VendorQuestionnairePleaseprovideresponsestothefollowingquestionsthataddressyourcompany’soperations,organization,structure,andprocessesforprovidingproductsandservices.

♦ StatesCoveredØ Biddermustindicateanyandallstateswhereproductsandservicescanbeoffered.Ø Pleaseindicatethepriceco-efficientforeachstateifitvaries.

50States&DistrictofColumbia(Selectingthisboxisequaltocheckingallboxesbelow)

Alabama Maryland SouthCarolina

Alaska Massachusetts SouthDakota

Arizona Michigan Tennessee

Arkansas Minnesota Texas

California Mississippi Utah

Colorado Missouri Vermont

Connecticut Montana Virginia

Delaware

DistrictofColumbia

Nebraska

Nevada

Washington

WestVirginia

Florida NewHampshire Wisconsin

Georgia NewJersey Wyoming

Hawaii NewMexico

Idaho NewYork

Illinois NorthCarolina

Indiana NorthDakota

Iowa Ohio

Kansas Oklahoma

Kentucky Oregon

Louisiana Pennsylvania

Maine RhodeIsland

AllUSTerritoriesandOutlyingAreas(Selectingthisboxisequaltocheckingallboxesbelow)

♦ MinorityandWomenBusinessEnterprise(MWBE)and(HUB)ParticipationØ ItisthepolicyofsomeentitiesparticipatinginNCPAtoinvolveminorityandwomen

businessenterprises(MWBE)andhistoricallyunderutilizedbusinesses(HUB)inthepurchaseofgoodsandservices.RespondentsshallindicatebelowwhetherornottheyareanM/WBEorHUBcertified.

§ Minority/WomenBusinessEnterprise• RespondentCertifiesthatthisfirmisaM/WBE

§ HistoricallyUnderutilizedBusiness• RespondentCertifiesthatthisfirmisaHUB

♦ ResidencyØ RespondingCompany’sprincipalplaceofbusinessisinthecityof_______________________,

Stateof__________♦ FelonyConvictionNotice

Ø PleaseCheckApplicableBox;Apublicallyheldcorporation;therefore,thisreportingrequirementisnotapplicable.Isnotownedoroperatedbyanyonewhohasbeenconvictedofafelony.Isownedoroperatedbythefollowingindividual(s)whohas/havebeenconvictedof

afelonyØ Ifthe3rdboxischecked,adetailedexplanationofthenamesandconvictionsmustbe

attached.♦ DistributionChannel

Ø Whichbestdescribesyourcompany’spositioninthedistributionchannel:ManufacturerDirect Certifiededucation/governmentresellerAuthorizedDistributor ManufacturermarketingthroughresellerValue-addedreseller Other:______________________________________

♦ ProcessingInformationØ Providecompanycontactinformationforthefollowing:

§ SalesReports/AccountsPayableContactPerson:_____________________________________________________________________Title:_________________________________________________________________________________Company:____________________________________________________________________________Address:_____________________________________________________________________________City:____________________________State:________________________Zip:______________Phone:_________________________________Email:____________________________________

AmericanSamoa NorthernMarinaIslands

FederatedStatesofMicronesia PuertoRico

Guam U.S.VirginIslands

MidwayIslands

§ PurchaseOrdersContactPerson:_____________________________________________________________________Title:_________________________________________________________________________________Company:____________________________________________________________________________Address:_____________________________________________________________________________City:____________________________State:________________________Zip:______________Phone:_________________________________Email:____________________________________

§ SalesandMarketingContactPerson:_____________________________________________________________________Title:_________________________________________________________________________________Company:____________________________________________________________________________Address:_____________________________________________________________________________City:____________________________State:________________________Zip:______________Phone:_________________________________Email:____________________________________

♦ PricingInformation

Ø Inadditiontothecurrenttypicalunitpricingfurnishedherein,theVendoragreestoofferallfutureproductintroductionsatpricesthatareproportionatetoContractPricing.

§ Ifanswerisno,attachastatementdetailinghowpricingforNCPAparticipantswouldbecalculatedforfutureproductintroductions.

Yes NoØ PricingsubmittedincludestherequiredNCPAadministrativefee.TheNCPAfeeis

calculatedbasedontheinvoicepricetothecustomer.Yes No

Ø Vendorwillprovideadditionaldiscountsforpurchaseofaguaranteedquantity.Yes No

♦ Cooperatives

Ø Listanyothercooperativeorstatecontractscurrentlyheldorintheprocessofsecuring.

Cooperative/StateAgency DiscountOffered

Expires AnnualSalesVolume

Tab4–VendorProfilePlease provide answers to the following questions in a clear and concise manner.Providethequestionnumberinyourresponse:GENERAL:

1. Company’sofficialregisteredname.

2. Briefhistoryofyourcompany,includingtheyearitwasestablished.

3. Company’sDun&Bradstreet(D&B)number.

4. Corporateofficelocation.

5. Listnumberofemployeeseithernationallyorregionally(ifyourresponseisnotallstates) with breakdown of direct sales, sales support, service technicians,engineeringsupportandadministration.

6. Listthenumberandlocationofoffices,orservicecentersforallstatesbeingoffered

insolicitation.Additionally,listthenamesofkeycontactsateachlocationwithtitle,address,phoneande-mailaddress.

7. Pleaseprovidecontactinformationfortheperson(s)whowillberesponsibleforthe

followingareas,includingresumes:a. Salesb. SalesSupportc. Marketingd. FinancialReportinge. ExecutiveSupport

8. Defineyourstandardtermsofpayment.

9. Whoisyourcompetitioninthepublicmarketplace?

10. Overallannualsalesforlastthree(3)years;2013,2014,2015.

11. Overallpublicsectorsales,excludingFederalGovernment,forlastthree(3)years;

2013,2014,2015.

12. Whatisyourstrategytoincreasemarketshareinthepublicspace?

13. Whatdifferentiatesyourcompanyfromyourcompetitors?

14. Brieflysummarizeyourcompany’sQualitycontrol/Qualityassuranceprogram.

15. Provideinformationregardingwhetheryourfirm,eitherpresentlyorinthepast,hasbeeninvolvedinanylitigation,bankruptcy,orreorganization.

16. Provide evidence of your company’s ability to continuously lower the customer’s

costs.Provideexamplesofanydocumentedcostreductionresultsthatyourcompanyhasengagedinwithyourcustomers.

PRODUCTS:

17. Whatisthereputationofyourcompany’sproductsinthepublicmarketplace?

18. Indicateyourcompany’sabilitytoprovidetemporarycoolingwhenneeded.19. Whatequipment/systemsupportdocumentswillyourcompanyprovide?

20. Identifytheprocessofreceivingapurchaseordertotheorderingofequipment.

21. Describeyourcompany’sshippingschedulenotificationprocedures.

22. Describe how your company dealswith shipping delays. How do you notify yourcustomerofdelays?

23. Provideyourshippingschedulereportingform.Howmanytimesdoyouupdate?

24. Howmanyproductsdoyoustock?Where?

25. Whatisyourpercentageofon-timedeliveryateachmanufacturingplant?

26. Describeanydirectorderentrysystemorcapabilitiesyourorganizationhassuchasinternetcapabilities.

27. AreallHVACunitsULlistedandincompliancewithallapplicablecodesinallstates?

28. Ifyourproductisdefective,whatisthereplacementprocessandturnaround?

29. Whatisthecapabilityofyourcompanytorespondtoemergency/rushorders?

30. Statewhether your companyprovides a quality guarantee on your products. If so,pleasedescribe.

31. Describeyourprocedurestomonitorthequalityofyourproducts.

32. Doyouofferextendedpartsandlaborwarranties?Ifyes,statelengthofwarranty.

33. Pleasegiveexamplesofstateandlocalagencieswhereyourcompanyhasextendedlaborwarranties.Includelengthofthesewarranties.

34. WhatisyoustandardwarrantyonBuildingAutomationControls?

35. Whatisyourstandardwarrantyonreplacementparts?

36. How does your company track warranties and update equipment lists/warrantyperiodsasunitsorcomponentsarereplaced?

37. Whatstateswouldyourcompanynothonorpricingonyoursuppliedequipmentforthiscontract,intheeventthatthiscontractismadeavailabletoallstates?

SERVICES:

38. Describeyourcompany’sCustomerServiceDepartment(hoursofoperation,numberof service centers, parts outlets, number of technicians, etc.) Clarify if the servicecentersareownedbyyourcompanyofiftheyareanetworkofsubcontractors.

39. Describe how your company handles after-hours customer service needs indicateyouraverageresponsetimetoemergencyservicecalls.

40. Discussyourorganization’scapabilityandhistorical flexibility incompleting timelyservicecallsandproblemresolution.

41. Pleasedescribe thequalityprogram(s)withinyourcompanywhichmeasuresyourservicework.

42. List your company’s standard scope of work performed for preventativemaintenancevisits.

43. List the dollar volume your company completes nationally (or regionally if yourespondedassuch)inHVACmaintenanceannually.

44. Describeyourcallcenterorganization.

45. Doesyour companyoffer adedicated,800number for all locations toplacephoneandfaxorders?Isthecallcenteravailable24hours/7daysweek?

46. Describehowservicecallproblemsgetescalatedinemergencysituationsduringandafter hours. Who would be responsible in your company for assessing theappropriatecourseofactiontoremedytheproblem?

47. List the steps taken from start to finish in receiving a service call through tocompletionofrepairandinvoicing.Includetimeframesassociatedwitheachstep.

48. WhattechnologysuchasGPStrackingdoesyourcompanyusetotrackcompletionofrepairs?

49. Whatisthereputationofyourcompany’sserviceinthepublicmarketplace?

50. HowdoesyourcompanyspreadthecostofaPreventativeMaintenancecontractovertheentireyear?

51. Identify the process of receiving a purchase order to the providing of a servicecontract.

52. Listyourcompany’scurrentcapabilitiesforenergymanagementsystemmonitoring.DiscusstheprocessinvolvedwhenresolvingaproblemassociatedwithanHVACunitorsystemwhereanenergymanagementsystemisinstalled.

53. List the number of sites your company currently monitors Energy ManagementSystems(EMS).

54. List your company capabilities regarding system changes and repairs to EMSsystems.

55. ListthereportingcapabilitiesyourcompanyhasforEMSsystemparameters.

56. Does your company maintain and repair/replace EMS in-house (self perform)includingmonitoring,alarmresolution,repairsandadjustments?

57. Describeyourprocessfortroubleshootingaproblem(HVAC,lighting,etc.)atasitewithanEMSsystem.Howdoesrepairgetescalatedforservice?

58. Describeyourcompany’sstartupandsystemcheckoutresponsibilities

59. Describeyourcompany’spost-installationandwarrantysupport

60. Describeyourcompany’sstepsforsystemanalysis.

61. Discuss your company’s current computer systems architecture. How does yourcompany’scomputersystemguaranteecustomersreceiveconsistentservicesupport,HVACresponsibilityverification,andmanagementreporting?

62. Whatdoesyourcompanydotoensurebillsarereceivedfromservicecenterswithinareasonabletimeframeandissuedtogovernmententitiesforpayment?

63. Explainhowyourcompanyqualifies/certifies its servicecentersandwhat typesofchecksareperformedtoensurestandardsareupheld.

64. Iswarrantycoveragedependentonusingyourstart-upprocedure?

65. Whoperformsyourstart-upprocedure?

66. ListthetotaldollarvolumeyourcompanycompletesinHVACretrofitsannually.

67. List the other functions your company can provide regarding unit replacement toofferaturnkeyproject(ex.electrical,sheetmetalwork,EMSsystemconnectionandprogramming,etc.)

68. Explain how your company would propose a planned unit replacement programincludinghowunitswouldbeidentifiedforreplacementandhowpricingwouldbeaddressed.

69. Describewhat project scheduling tools your company use to track projects duringconstruction.

70. How does your company make the proper equipment selection on a turnkey orenergyretrofitcontractproject?

71. Describe how your company handles site development and project permittingprocess.

72. Describe you company’s design-build quality control guidelines for design,constructionandreviewonaturnkeyorenergyretrofitcontractproject.

73. What is your company’s design approach and philosophy for a turnkey or energyretrofitcontractproject?

74. Describeyourcompany’sconstructionmanagementplan.

75. Whatisyourstandardwarrantyoninstallation?

76. Whatisyourstandardwarrantyonenergyretrofitcontracting?

77. Doyoudifferentiateinyourcompany’sstandardwarrantyiffinancingispartofthecontract?Ifso,pleasedescribe.

78. State whether your company provides a quality guarantee on your service. If so,pleasedescribe.

79. Whatstateswouldyourcompanynothonorpricingonservicesforthiscontract, intheeventthatthiscontractismadeavailabletoallstates?

SAFETY:

80. Describeyourcompany’ssafetyprogramduringservice/repairwork.

81. Describeyourcompany’ssafetyprogramduringconstruction.

82. Indicatenumberoflosthoursorotherbenchmarkstoverifyyourcompany’seffectivenessoftheirsafetyrecord.

83. Whatreportingmechanismdoesyourcompanyprovidedtothecustomeruponcompletionofanyproject?

MARKETING/SALES84. Detailhowyourorganizationplanstomarketthiscontractwithinthefirst90daysof

theawarddate.Thisshouldinclude,butnotbelimitedto:

a. Aco-brandedpressreleasewithinfirst30daysb. Announcementofawardthroughanyapplicablesocialmediasitesc. Directmailcampaignsd. Co-brandedcollateralpiecese. Advertisementofcontractinregionalornationalpublicationsf. Participationintradeshowsg. DedicatedNCPAandRegion14ESCinternetweb-basedhomepagewith:

i. NCPAandRegion14ESCLogoii. LinktoNCPAandRegion14ESCwebsiteiii. Summaryofcontractandservicesofferediv. Due Diligence Documents including; copy of solicitation, copy of

contractandanyv. amendments,marketingmaterials

85. Describehowyourcompanywilldemonstratethebenefitsofthiscontracttoeligible

entitiesifawarded.

86. Explainhowyourcompanyplanstomarket thisagreement toexistinggovernmentcustomers.

87. Provide a detailed 90-day plan describing how the contract will be implementedwithinyourcompany.

88. Describehowyou intendon trainyournational and/or regional sales forceon theRegion14ESCagreement.

89. Acknowledgethatyourorganizationagreestoprovideitscompanylogo(s)toRegion14ESCandagreestoprovidepermissionforreproductionofsuchlogoinmarketingcommunicationsandpromotions.

90. Providetherevenuethatyourorganizationanticipateseachyear for the first three(3)yearsofthisagreement.

$_________inyearone

$_________inyeartwo

$_________inyearthree

ADMINISTRATION

91. Describe your company’s implementation and success with existing cooperativepurchasing programs, if any, and provide the cooperative’s name(s), contactperson(s)andcontactinformationasreference(s).

92. Describe the capacity of your company to report monthly sales through thisagreement.

93. Describe the capacity of your company to provide management reports, i.e.consolidated billing by location, time and attendance reports, etc. for each eligibleagency.

94. Pleaseprovideanysuggestedimprovementsandalternativesfordoingbusinesswith

yourcompanythatwillmakethisarrangementmorecosteffectiveforyourcompanyandParticipatingPublicAgencies.

GreenInitiatives

Wearecommittedtohelpingtobuildacleanerfuture!Asourbusinessgrows,wewanttomakesureweminimizeourimpactontheEarth'sclimate.Sowearetakingeverystepwe can to implement innovative and responsible environmental practices throughoutRegion 14 ESC to reduce our carbon footprint, reduce waste, promote energyconservation, ensure efficient computing, and much more. We would like vendors topartnerwithus in this enterprise.To that effort,we ask respondents toprovide theircompaniesenvironmentalpolicyand/orgreeninitiative.

95. Pleaseprovideyourcompany’senvironmentalpolicyand/orgreeninitiative.

VendorCertifications(ifapplicable)

96. Provide a copy of all current licenses, registrations and certifications issued byfederal, state and local agencies, and any other licenses, registrations orcertifications from any other governmental entity with jurisdiction, allowingrespondent to perform the covered services including, but not limited to licenses,registrations or certifications. M/WBE, HUB, DVBE, small and disadvantagedbusiness certifications and other diverse business certifications, as well asmanufacturercertificationsforsalesandservicemustbeincludedifapplicable.

Tab5–ProductsandServicesRespondentsarerequestedtoprovideproductformswithdetaileddescriptionofyourproductofferings.Providetheminimuminformationaslistedforyourproductcategoriesonthefollowingclassificationsofproduct:

♦ HVACRefrigerationØ Type(e.g.,Rotary,Centrifugal,Scroll,Reciprocating.,Absorption)Ø Coolingmedium(e.g.,air,water)Ø BrandName(s)Ø CapacityRange(tons)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø RangeofEfficiencies(KW/Ton)Ø EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ IndoorAirQualityProductsandDevicesØ Type(Activepolarization,non-ionizing,electronicaircleaningsystemsintended

toreplacepassivefiltration,anyother.)Ø BrandName(s)Ø CapacityRangeØ StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø RangeofEfficienciesØ EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ UnitaryØ Type(e.g.,rooftops,splitsystems,VRFs,HeatPumps,PTACs,water-source,mini-

splits)Ø BrandName(s)Ø CapacityRangeØ HeatingMedium(Electric,Gas,Steam,HotWater)Ø CoolingMedium(DX,ChilledWater)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTime

Ø LocationofManufacturing(City,StateorCountry)Ø RangeofEfficiencies(EER,SEER,COP)Ø EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ AirhandlingØ Type(e.g.centralstation-manufacturedorcustommakeupair,fan,filter,coil

sections)Ø BrandName(s)Ø FanTypes(e.g.Backwardincline,Forwardcurve,airfoil)Ø CapacityRange(CFM)Ø HeatingMedium(Electric,Gas,Steam,HotWater)Ø CoolingMedium(DX,ChilledWater)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ AirTerminalDevicesandHeatingProductsØ Type(e.g.VAV,FanCoils,UnitVentilators,UnitHeaters,FinTube

Radiation/Convectors)Ø BrandName(s)Ø CapacityRange(CFM)Ø HeatingMedium(Electric,Gas,Steam,HotWater)Ø CoolingMedium(DX,ChilledWater)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ DDCControls

Ø Type(corecomponents,enddevices,lighting,panels)BrandName(s)Ø SystemProtocol(BACnet,LonWorks,ProprietaryorCombo)Ø LANCommunicationStructure(Peer-to-peer,Polling)Ø HumanMachineInterface(HMI)types(PC,Notebooks,Handheldterminals)Ø Thirdpartyinterface(DriversandGateways)Ø RemotealarmandmessagecapabilitiesØ StandardWarranty(Parts&Labor)

Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø EstimatedMarketShare(NorthAmerica)Ø DetailFeatures&Benefits

♦ CoolingTowersØ Type(e.g.,open,closed,evaporative,other)Ø BrandName(s)Ø CapacityRange(tons)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø RangeofEfficienciesØ EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ PumpsØ Type(e.g.,singlestage,splitcase,endsuction,inline,circulator,turbines)Ø BrandName(s)Ø CapacityRange(GPM)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø RangeofEfficienciesØ EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ InvertorsØ BrandName(s)Ø CapacityRange(HP)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ Boilers&WaterHeaters

Ø Type(e.g.,modulating,condensing,castiron,watertube,packaged,other)Ø BrandName(s)Ø HeatingMedium(Electric,Gas,Steam,HotWater)Ø CapacityRange(MBH)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø RangeofEfficienciesØ EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ HVACSpecialtyProductsØ Type(e.g.,modular,outside/inside,Steam&ThermalHeatRecovery,Humidity

Control,HeatWheel,HeatPipe,HeatExchangers,Geothermal)Ø BrandName(s)Ø HeatingMedium(Electric,Gas,Steam,HotWater)Ø CoolingMedium(DX,ChilledWater)Ø CapacityRange(CFMand/orMBH)Ø StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ LocationofManufacturing(City,StateorCountry)Ø RangeofEfficienciesØ EstimatedMarketShare(NorthAmerica)Ø ProvideexampledataoneachtypeofproductprovidedØ DetailFeatures&Benefits

♦ EquipmentPartsandSuppliesØ Type(e.g.,manufacturedparts,emergencypartsservice,miscellaneousmaterial

andsuppliesandother)Ø BrandName(s)stockedØ LocationofstockingpartsØ StandardWarranty(Parts&Labor)Ø OptionalWarranty(componentscovered&Labor)Ø EstimatedLead/DeliveryTimeØ PercentageoflocallystockedpartstodeliveredpartsØ DetailFeatures&Benefits

Respondentsarerequestedtoprovideserviceformswithdetaileddescriptionofyourserviceofferings.Providetheminimuminformationaslistedforyourservicecategoriesonthefollowingclassificationsofservice:

♦ Startup&CommissioningServices

Ø DefineprocessforvalidationofsystemorequipmentoperationtodesignØ Type(e.g.,equipmentstartups,systemcheckouts,controlverification,retro

commissioning,M&Vverifications,rebateauditing,other)Ø Listkeypersonnel(factory,sub-contract,other)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ Service&Maintenance

Ø Type(e.g.,preventativeandfullmaintenancecontracts,man-atattendance,remotemonitoring,annuals,emergencyservices,regulatorycompliance,cleaning(e.g.,duct,coilsandfilters),scheduledmaintenance(e.g.,oil,chemicalandvibrationanalysis)andother)

Ø Defineprocessesforeachtypeofserviceand/ormaintenanceofthesystemortheequipment

Ø Listkeypersonnel(factory,sub-contract,other)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ InstallationandTurnkeyContractingØ Type(e.g.,retrofit,newconstruction,energyretrofit,controlsnew-andupgrade

andother)Ø DefineprocessesforeachtypeinstallofthesystemortheequipmentØ BondingandlicensingcapabilitiesØ Listkeypersonnel(factory,sub-contract,other)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ WarrantyServicesØ Type(e.g.,Extendedparts&labor(definemaximumnumberofyearsavailable),

delayedstart-upandother)Ø DefineprocessesforeachtypeofwarrantyØ Listkeypersonnel(factory,sub-contract,other)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ EnergyServicesØ Type(e.g.,(EnergyTracking,EnergyAnalysis,EvaluationofPotentialUpgrades,

demandresponse,rebatesandothers)Ø DefineprocessesforeachtypeofenergyservicesØ CertificationsofpersonnelØ Listkeypersonnel(factory,sub-contract,other)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ EquipmentRentalsØ Type(e.g.,chillers,pumps,transformers,terminalunits,generators,cooling

towers,packagedunitaryandother)Ø BrandsavailableØ LocationsofrentalfleetØ ProcessofaccessingrentalfleetduringdisastereventØ Listkeypersonnel(factory,sub-contract,other)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ FinancialServicesØ Type(e.g.,leasing,promptandpre-paymentdiscounts,guaranteedsavingsand

other)Ø DescribetypeofeachfundingandavailabilityØ FundingSources(internaland/orexternal)Ø Listkeypersonnel(internaland/orexternal)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ ProfessionalServicesØ Type(e.g.,Engineering,Design,Drafting,Architectural,ProjectManagementand

other)Ø DescribetypeofeachprofessionalserviceandavailabilityØ LicensingandcertificationcapabilitiesØ Listkeypersonnel(internaland/orexternal)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

♦ SiteSurveysØ Type(e.g.,Equipment,systemanalysis,operational,architecturalandother)Ø DescribetypeofsurveyØ LicensingandcertificationcapabilitiesØ AdvancedtechnologyusesforeachtypeofsurveyØ Listkeypersonnel(internaland/orexternal)Ø References(publicsectoronly)Ø Casestudiesdescribingbenefitsofservices

Tab6–References

♦ Provideatleastten(10)customerreferencesforproductsand/orservicesofsimilarscopedatingwithinthepastthree(3)years.PleaseprovidearangeofreferencesacrossalleligiblegovernmententitygroupsincludingK-12,highereducation,city,county,ornon-profitentities.

♦ Allreferencesshouldincludethefollowinginformationfromtheentity:Ø EntityNameØ ContactNameandTitleØ CityandStateØ PhoneØ YearsServicedØ DescriptionofServicesØ AnnualVolume

Tab7–PricingEQUIPMENTPRICING

♦ ProvideaDiscountsOffCatalog/PriceListMatrixoftheproductclassificationslistedintheScopeSectionandProducts/ServicesSectionofthisRFP.Therespondershallalsooffermaximummarkuponanymaterialnotdesignatedequipmentorservicesanddeemthisas“miscellaneousmaterial”.

♦ Anyspecialdiscountsduetostockingorfastershipitemsthathavehigherlistpriceadjustmentsordifferentdiscountsshallbelistedseparately.

♦ HVACRefrigeration♦ IndoorAirQualityProductsandDevices♦ Unitary♦ Airhandling♦ AirTerminalDevicesandHeating♦ DDCControls♦ CoolingTowers♦ Pumps♦ Invertors♦ Boilers&WaterHeaters♦ HVACSpecialtyProducts♦ EquipmentPartsandSupplies♦ Otherequipmentnotlisted♦ MiscellaneousMaterial

LABORBASEDPRICING

♦ Provideclassificationsoflaborwithbillableratesforeachrespondent’soffice(s),territoriesordistrict(s)alongwithanysub-officepricingasrequired.Eachoftheselaborratesshallbefullyburdenedandwillbesetforregularworkinghours(offerorshalldescribethesehours).Sub-contractorlaborshallnotberecognized.Eachrespondentshalldeterminetheirsub-contractor’slaborrateasaprimelaborclassification.Forexample,anelectrician’slaborrateshallbecalculatedbasedontherespondent’ssub-contractor’slaborbillablerateplusrespondent’snormalmarginsonsub-contractorlabor.Aperdiemandover-timehoursshallbesetatacertainrate.TheclassificationdefinitionsshallbedescribedinthisRFP.Additionally,thehoursforeachtaskinascopeofworkshallUSEabenchmarkagainstanestablisheddataset(e.g.;RSMeansorothers)toensurethatthehoursprovidedcanbeverified.Eachofthesehourlytasksshallhaveacoefficientoflaboragainstanestablisheddataset(e.g.;RSMeansorothers)citycostindexbyeachrespondent’soffice(s),territoriesordistrict(s)todetermineeffectivenessofprovidingthesetasks.Additionallyaformulashallbeestablishedtoadjustlaborratesonayearlybasis.

♦ IfRespondentdoesnotchosetoincludeaspecificlaborclassificationsimplymarkthelineitemas“NA”.AwardedvendorswillthenberequiredtoapplyforapprovalfromRegion14ESCpriortousinganitemmarked“NA”.

LaborBillingRates

EffectiveDate-____/16

CLASSIFICATION HourlyRate

Office/DistrictDescription

Architectural

AsbestosWorker

Boilermaker

Bricklayers;Masons

Carpenter/Caseworker

CarpetLayers/FloorInstallers

ConcreteFinishers

DataComm./TelecomInstaller

Deliverypersonnel

Drafting

DrywallInstallers;CeilingInstallers

Electricians

ElevatorMechanics

EngineeringDesign

EnergyEngineer

Glaziers

HeavyEquipmentOperators

Helper

HVACCommercialA/Ctechnician

HVACLightCommercial

HVACHelper

HVACFieldSupervisor

HVACRefrigerationtechnician

HVACDuctinstaller

HVACFiltertechnician

HVACBuildingAutomationtechnician

InfraredTechnician

Insulators

Ironworkers

Laborers

Lathers

LightEquipmentOperators

MetalBuildingAssembler

Millwrights

OperatingEngineer

Painters/WallCoveringInstallers

Pipefitters

Plasterers

Plumbers

ProjectManager

ProjectAdministrator

ProjectEngineering

RefrigerationTechnician

RefrigerationSupervisor

Roofers

SheetMetalWorkers

SprinklerFitters

TerrazzoWorkers

Test&BalanceTechnician

TileSetters

Waterproofers/Caulkers

WaterTreatmentTechnician

MiscellaneousMaterialMargins TobeFilledin

LaborCoefficientTobeFilled

in

NOTES:

1.ALLLABORRATESAREBASEDONSTANDARDHOURS2.OVERTIMERATES(AFTERHOURS,SATURDAY):____XSTANDARDRATES

3.OVERTIMERATES(SUNDAY,HOLIDAYS):_____XSTANDARDRATES 4.PERDIEMRATES:___/DAY/PERSON(WHENREQUIRED)EXCEPTAK&HI____/DAY/PERSON

5.MINIMUMCHARGEOF__HOURSFORALLOVERTIMEWORK 6.RATESWILLBEADJUSTEDANNUALLYATRENEWALDATEBASEDONTHEFOLLOWINGFORMULA:

%fieldlaboradjustmentfactorchangefromthepreviousyear____ %materialpriceindexchangefromthepreviousyear____ %office&operatingexpensechangesfromthepreviousyear____

7.FINALAPPROVALUPONNCPA'SDISCRETION.

LABORWAGECLASSIFICATION

WorkerClassificationDefinitionSheet

Architect ProfessionalLicenseddesignerprovidingArchitecturaldrawings

AsbestosWorker Workerwhoremoves&disposesofasbestosmaterials.

Boilermaker WorkerwhoAssemblesboilers,tanks,vatsandpressurevessels.Thedutiesoftheboilermakerincludewelding,acetyleneburning,riveting,caulking,rigging,fittingup,grounding,reamingandimpactmachineoperating.

Carpenter Workerwhobuildswoodstructuresorstructuresofanymaterialwhichhasreplacedwood.Includesrough&finishcarpentry,hardwareandtrim.

CarpetLayer/FloorInstaller Workerwhoinstallscarpetand/orfloorcoverings-vinyltile.

ConcreteFinisher Workerwhofloats,trowelsandfinishesconcrete.

DataComm./TelecomInstaller Workerwhoinstallsdata/telephone&televisioncable&associatedequipmentandaccessories

DeliveryPersonnel WorkerwhocandelivermaterialstootherHVACpersonnelaswellasworkasasecondmanonjobsifnecessary.

Drafting WorkerwhoprovidesdetailengineeringdrawingsutilizingCADDtypedocuments

Drywall/CeilingInstaller Workerwhoinstallsmetalframedwalls&ceilings,drywallcoverings,ceilinggridsandceilings

Electrician Skilledcraftsmanwhoinstallsorrepairselectricalwiring&devices.IncludesfirealarmsystemsandHVACelectricalcontrols.

ElevatorMechanic Craftsmanskilledintheinstallation&maintenanceofelevators.

EngineeringDesign ProfessionalLicensedEngineerwholayoutsHVAC,Plumbing,Electrical,StructuralorCivilsystems

EnergyEngineer SkilledEngineer(neednotbelicensed)whocandevelopenergyconservationmeasures(ECMs)atagivensiteandcandeterminefinancialanalysisandprojectenergysavingsinaProFormaaswellasprovidingmeasurementandverificationofthatanalysis

FireProofingInstaller Workerwhospraysorappliesfireproofingmaterials.

GeothermalWellFieldLabor WorkerwholayscoiledpipeandtestsandconnectstoHVACequipmentinearthentrench

Glazier Workerwhoinstallsglass,glazingandglassframing.

HeavyEquipmentOperator Includes,butnotlimitedto,allCattractors,allderrick-powered,allpoweroperatedcranes,back-hoe,backfiller,poweroperatedshovel,winchtruck,alltrenchingmachines

HVACBuildingAutomationtechnician Workerwhoiscapableofworkingonlowtemperaturerefrigerationequipmentaswellassmallcommercialequipmentunder60tons

HVACCommercialA/Ctechnician Workerwhoiscapableofworkingonlargecommercialupto3000tons

HVACLightCommercial Workerwhoiscapableofworkingonsmallcommercialupto25tons

HVACDuctinstaller Workerwhoinstallsductwork.Assistswithsomeequipmentinstallation.

HVACFieldSupervisor WorkerwhomonitorsqualityaswellasprovidetechnicalsupporttoallotherHVACtechnicianskilllevels

HVACFiltertechnician WorkerwhochangesfiltersinalltypesofHVACequipmentaswellasminormaintenanceonlightcommercialequipmentsuchaschangingwornbelts.

HVACHelper Workerwhocanassistacommercialorrefrigerationtechnicianaswellasperformminoranalysisandrepairsonequipmentunder30tons

HVACRefrigerationtechnician Workerwhoiscapableofworkingonlowtemperaturerefrigerationequipmentaswellassmallcommercialequipmentunder60tons

Insulator Workerwhoapplies,spraysorinstallsinsulation.

IronWorker Skilledcraftsmanwhoerectsstructuralsteelframing&installsstructuralconcreterebar.

Laborer/Helper Workerqualifiedforonlyunskilledorsemi-skilledwork.Lifting,carryingmaterialsandtools,hauling,digging,clean-up.

Lather/Plasterer Workerwhoinstallsmetalframing&lath.Workerwhoappliesplastertolathing&installsassociatedaccessories

LightEquipmentOperator Includes,butnotlimitedto,aircompressors,truckcranedriver,flexplane,buildingelevator,formgrader,concretemixer(lessthan14cf),conveyer.

Mason;Bricklayer Craftsmanwhoworkswithmasonryproducts,stone,brick,blockoranymaterialsubstitutingforthosematerialsandaccessories.

MetalBuildingAssembler Workerwhoassemblespre-mademetalbuildings.

Millwright Mechanicspecializingintheinstallationofheavymachinery,conveyance,wrenches,docklevelers,hydrauliclifts&alignpumps.

Painter/WallCoveringInst. Workerwhoprepareswallsurfaces&appliespaintand/orwallcovering,tape&bedding.

Pipefitter Trainedworkerwhoinstallspipingsystems,chilledwaterpiping&hotwater(boiler)piping,pneumatictubingcontrols,chillers,boilers&associatedmechanicalequipment.

Plumber Skilledcraftsmanwhoinstallsdomestichot&coldwaterpiping,wastepiping,stormsystempiping,waterclosets,sinks,urinals,andrelatedwork.

ProjectEngineering WorkerwhomonitorstheengineeringdocumentsaswellasprovidetechnicalsupportregardingtheengineeringplansandspecificationsasdesignedbytheProfessionalEngineer.Workerisresponsibleformaintainingprojectstatusandreports.

ProjectManager WorkerwhomonitorsqualityaswellasprovidetechnicalsupporttoallotherHVACtechnicianskilllevelsandisresponsibleformaintainingprojectstatusandreports.

ProjectAdministrator

Workerwhoprovidesadministrativesupporttoalltechnicianskilllevelsandisresponsibleforalladministrativefunctionsoftheprojectsuchasbillings,contracts,workorders,legalrequirements,purchaseorders,salestaxcertificatesaswellasproperrecordkeeping.

RefrigerationtechnicianWorkerwhoiscapableofworkingonlowtemperaturerefrigerationequipmentaswellassmallcommercialequipmentunder60tons

RefrigerationFieldSupervisorWorkerwhomonitorsqualityaswellasprovidetechnicalsupporttoallotherRefrigerationtechnicianskilllevels

Roofer Workerwhoinstallsroofingmaterials,Bitumen(asphalt&coaltar)felts,flashings,alltypesroofingmembranes&associatedproducts.

SheetMetalWorkerWorkerwhoinstallssheetmetalproducts.Roofmetal,flashings&

curbs,ductwork,mechanicalequipmentandassociatedmetals.

SprinklerFitterWorkerwhoinstallsfiresprinklersystems&fireprotection

equipment.

TerrazzoWorker Craftsmanwhoplaces&finishesTerrazzo.

TileSetter Workerwhoprepareswalland/orfloorsurfaces&appliesceramictilestothesesurfaces

Waterproofer/CaulkerWorkerwhoapplieswaterproofingmaterialtobuildings.Products

includesealant,caulk,sheetmembrane,liquidmembranes,sprayed,rolledorbrushed.

Test&BalanceTechnicianCertifiedtechnicianperAABCorNEBBstandardstrainedto

performwaterandairbalance.Alsoprovidessoundandvibrationtestingandpreparingofcertifiedreports

InfraredTechnician Workerwhoutilizesinfraredphotographytodeterminelocationofthermalheatlosses.

WaterTreatmentTechnician

Certifiedtechnicianwhoistrainedtoevaluateanalyticaltestresultsonboilersystemwater,condenserwater,andchillwatersamplesandtomakeappropriaterecommendationsregardingresiduallevels,cycles,andfeedrates.

MISCELLANEOUSMATERIAL

♦ Allitemsnotequipmentorlaborshallbeconsideredmiscellaneousmaterialwhichwillhaveamaximummargincharged.Sincescopesofworkvarygreatlyitisdifficulttosetspecificmarginswithoutcomplicatingtheprocesswhichisnotinthebestinterestofallparties.

PRICINGCOMPLIANCEREVIEW

♦ TheawardedvendorwillbeexpectedtoparticipateintheNCPAcompliancereviewprogramthatincludespricingverification.Thegoalistoprovidetransparency&contractcomplianceforNCPA&thevendorasa3rdpartyindependentreview.

♦ Theprocessincludesareviewofthescopeofworknarrativebylineitemplusanyadjustmentssuchasregionaldiscounts,perdiemrate,overtime,etc.

♦ Priortotheselectionofthevendors,amorecomprehensivediscussionwillbeprovidedtothevendorsfortheirevaluation.

NOTTOEXCEEDPRICING

♦ NCPArequestspricingbesubmittedas“nottoexceedpricing”foranyparticipatingentity.

♦ Theawardedvendorcanadjustsubmittedpricinglowerbutcannotexceedoriginalpricingsubmittedforsolicitation.

♦ NCPArequeststhatvendorhonorlowerpricingforsimilarsizeandscopepurchasestoothermembers.

Tab8–ValueAddedProductsandServices

♦ Includeanyadditionalproductsand/orservicesavailablethatvendorcurrentlyperformsintheirnormalcourseofbusinessthatisnotincludedinthescopeofthesolicitationthatyouthinkwillenhanceandaddvaluetothiscontractforRegion14ESCandallNCPAparticipatingentities.

ExecutiveSummary

♦ Describetheproductand/orserviceinanoutlineformat♦ Describethevaluetoparticipatingagencies♦ DescribethevaluetoNCPA♦ Describehowyourcompanywouldmarketthisproductand/orservicethroughthis

contract♦ Provideananticipatedsizeofthemarketforthisproductand/orserviceinthepublic

arenaDetailDescription

♦ Whereistheproductmanufactured?♦ Anycertificationsprovided?♦ Whereistheserviceperformed?♦ Whoperformstheserviceandwhatistheirexpertise?♦ Isthisaproprietaryproductand,ifnot,whoisyourcompetition?♦ Providereferences♦ Providecasestudies♦ ProvideanypricingthatisdifferentthanthepricinginTAB7inthissolicitation.

Tab9–RequiredDocuments

♦ CleanAirandWaterAct/DebarmentNotice

♦ ContractorsRequirements

♦ AntitrustCertificationStatements

♦ FEMAStandardTermsandConditionsAddendumforContractsandGrants

♦ RequiredClausesforFederalAssistancebyFTA

♦ StateNoticeAddendum

NewJerseyvendorsarealsorequiredtocomplywiththefollowingNewJerseystatuteswhenapplicable:Allanti-discriminationlaws,includingthosecontainedinN.J.S.A.10:2-1throughN.J.S.A.10:2-14,N.J.S.A.10:5-1,andN.J.S.A.10:5-31through10:5-38.CompliancewithPrevailingWageAct,N.J.S.A.34:11-56.26,forallcontractswithinthecontemplationoftheAct.CompliancewithPublicWorksContractorRegistrationAct,N.J.S.A.34:11-56.26BidandPerformanceSecurity,asrequiredbytheapplicablemunicipalorstatestatutes.

CleanAirandWaterAct&DebarmentNotice

I,theVendor,amincompliancewithallapplicablestandards,ordersorregulationsissuedpursuanttotheCleanAirActof1970,asAmended(42U.S.C.1857(h),Section508oftheCleanWaterAct,asamended(33U.S.C.1368),ExecutiveOrder117389andEnvironmentalProtectionAgencyRegulation,40CFRPart15asrequiredunderOMBCircularA-102,AttachmentO,Paragraph14(1)regardingreportingviolationstothegrantoragencyandtotheUnitedStatesEnvironmentProtectionAgencyAssistantAdministratorfortheEnforcement.

Iherebyfurthercertifythatmycompanyhasnotbeendebarred,suspendedorotherwiseineligibleforparticipationinFederalAssistanceprogramsunderExecutiveOrder12549,“DebarmentandSuspension”,asdescribedintheFederalRegisterandRulesandRegulations

PotentialVendor

PrintName

Address

City,Sate,Zip

Authorizedsignature

Date

ContractorRequirements

ContractorCertificationContractor’sEmploymentEligibility

Byenteringthecontract,ContractorwarrantscompliancewiththeFederalImmigrationandNationalityAct(FINA),andallotherfederalandstateimmigrationlawsandregulations.TheContractorfurtherwarrantsthatitisincompliancewiththevariousstatestatuesofthestatesitiswilloperatethiscontractin.

ParticipatingGovernmentEntitiesincludingSchoolDistrictsmayrequestverificationofcompliancefromanyContractororsubcontractorperformingworkunderthisContract.TheseEntitiesreservetherighttoconfirmcomplianceinaccordancewithapplicablelaws.

ShouldtheParticipatingEntitiessuspectorfindthattheContractororanyofitssubcontractorsarenotincompliance,theymaypursueanyandallremediesallowedbylaw,including,butnotlimitedto:suspensionofwork,terminationoftheContractfordefault,andsuspensionand/ordebarmentoftheContractor.AllcostsnecessarytoverifycompliancearetheresponsibilityoftheContractor.

TheofferorcompliesandmaintainscompliancewiththeappropriatestatuteswhichrequirescompliancewithfederalimmigrationlawsbyStateemployers,StatecontractorsandStatesubcontractorsinaccordancewiththeE-VerifyEmployeeEligibilityVerificationProgram.

ContractorshallcomplywithgoverningboardpolicyoftheNCPAParticipatingentitiesinwhichworkisbeingperformed

Fingerprint&BackgroundChecks

Ifrequiredtoprovideservicesonschooldistrictpropertyatleastfive(5)timesduringamonth,contractorshallsubmitafullsetoffingerprintstotheschooldistrictifrequestedofeachpersonoremployeewhomayprovidesuchservice.Alternately,theschooldistrictmayfingerprintthosepersonsoremployees.AnexceptiontothisrequirementmaybemadeasauthorizedinGoverningBoardpolicy.Thedistrictshallconductafingerprintcheckinaccordancewiththeappropriatestateandfederallawsofallcontractors,subcontractorsorvendorsandtheiremployeesforwhichfingerprintsaresubmittedtothedistrict.Contractor,subcontractors,vendorsandtheiremployeesshallnotprovideservicesonschooldistrictpropertiesuntilauthorizedbytheDistrict.

Theofferorshallcomplywithfingerprintingrequirementsinaccordancewithappropriatestatutesinthestateinwhichtheworkisbeingperformedunlessotherwiseexempted.

ContractorshallcomplywithgoverningboardpolicyintheschooldistrictorParticipatingEntityinwhichworkisbeingperformed

BusinessOperationsinSudan,Iran

InaccordancewithA.R.S.35-391andA.R.S.35-393,theContractorherebycertifiesthatthecontractordoesnothavescrutinizedbusinessoperationsinSudanand/orIran.

Authorizedsignature

Date

AntitrustCertificationStatements(Tex.GovernmentCode§2155.005)

IaffirmunderpenaltyofperjuryofthelawsoftheStateofTexasthat:

(1)Iamdulyauthorizedtoexecutethiscontractonmyownbehalforonbehalfofthecompany,corporation,firm,partnershiporindividual(Company)listedbelow;

(2)Inconnectionwiththisbid,neitherInoranyrepresentativeoftheCompanyhasviolatedanyprovisionoftheTexasFreeEnterpriseandAntitrustAct,Tex.Bus.&Comm.CodeChapter15;

(3)Inconnectionwiththisbid,neitherInoranyrepresentativeoftheCompanyhasviolatedanyfederalantitrustlaw;and

(4)NeitherInoranyrepresentativeoftheCompanyhasdirectlyorindirectlycommunicatedanyofthecontentsofthisbidtoacompetitoroftheCompanyoranyothercompany,corporation,firm,partnershiporindividualengagedinthesamelineofbusinessastheCompany.

Companyname

Address

City/State/Zip

TelephoneNo.

FaxNo.

Emailaddress

Printedname

Positionwithcompany

Authorizedsignature

FEMAStandardTermsandConditionsAddendumforContractsandGrants

IfanypurchasemadeundertheMasterAgreementisfundedinwholeorinpartbyFederalEmergencyManagementAgency(“FEMA”)grants,ContractorshallcomplywithallfederallawsandregulationsapplicabletothereceiptofFEMAgrants,including,butnotlimitedtothecontractualproceduressetforthinTitle44oftheCodeofFederalRegulations,Part13(“44CFR13”).

Inaddition,Contractoragreestothefollowingspecificprovisions:

1) Pursuantto44CFR13.36(i)(1),Universityisentitledtoexercisealladministrative,contractual,orotherremediespermittedbylawtoenforceContractor’scompliancewiththetermsofthisMasterAgreement,includingbutnotlimitedtothoseremediessetforthat44CFR13.43.

2) Pursuantto44CFR13.36(i)(2),UniversitymayterminatetheMasterAgreementforcauseorconvenienceinaccordancewiththeproceduressetforthintheMasterAgreementandthoseprovidedby44CFR13.44.

3) Pursuantto44CFR13.36(i)(3)-(6)(12),and(13),Contractorshallcomplywiththefollowingfederallaws:

a. ExecutiveOrder11246ofSeptember24,1965,entitled“EqualEmploymentOpportunity,”asamendedbyExecutiveOrder11375ofOctober13,1967,andassupplementedinDepartmentofLabor(“DOL”)regulations(41CFRCh.60);

b. Copeland“Anti-Kickback”Act(18U.S.C.874),assupplementedinDOLregulations(29CFRPart3);

c. Davis-BaconAct(40U.S.C.276a-276a-7)assupplementedbyDOLregulations(29CFRPart5);

d. Section103and107oftheContractWorkHoursandSafetyStandardsAct(40U.S.C.327-30)assupplementedbyDOLregulations(29CFRPart5);

e. Section306oftheCleanAirAct(42U.S.C.1857(h),section508oftheCleanWaterAct(33U.S.C.1368),ExecutiveOrder11738,andEnvironmentalProtectionAgencyregulations(40CFRpart15);and

f. MandatorystandardsandpoliciesrelatingtoenergyefficiencywhicharecontainedinthestateenergyconservationplayissuedincompliancewiththeEnergyPolicyandConservationAct(Pub.L.94-163,89Stat.871).

4) Pursuantto44CFR13.36(i)(7),ContractorshallcomplywithFEMArequirementsandregulationspertainingtoreporting,includingbutnotlimitedtothosesetforthat44CFR40and41.

5) Pursuantto44CFR13.36(i)(8),Contractoragreestothefollowingprovisions72regardingpatents:a. Allrightstoinventionsand/ordiscoveriesthatariseoraredeveloped,inthecourseofor

underthisAgreement,shallbelongtotheparticipatingagencyandbedisposedofinaccordancewiththeparticipatingagenciespolicy.Theparticipatingagency,atitsowndiscretion,mayfileforpatentsinconnectionwithallrightstoanysuchinventionsand/ordiscoveries.

6) Pursuantto44CFR13.36(i)(9),Contractoragreestothefollowingprovisions,regardingcopyrights:a. IfthisAgreementresultsinanycopyrightablematerialorinventions,inaccordancewith44

CFR13.34,FEMAreservesaroyalty-free,nonexclusive,andirrevocablelicensetoreproduce,publishorotherwiseuse,forFederalGovernmentpurposes:1) Thecopyrightinanyworkdevelopedunderagrantorcontract;and2) Anyrightsofcopyrighttowhichagranteeoracontactorpurchasesownershipwith

grantsupport.

7) Pursuantto44CFR13.36(i)(10),Contractorshallmaintainanybooks,documents,papers,andrecordsoftheContractorwhicharedirectlypertinenttothisMasterAgreement.Atanytimeduringnormalbusinesshoursandasoftenastheparticipatingagencydeemsnecessary,Contractorshallpermitparticipatingagency,FEMA,theComptrollerGeneralofUnitedStates,oranyoftheirdulyauthorizedrepresentativestoinspectandphotocopysuchrecordsforthepurposeofmakingaudit,examination,excerpts,andtranscriptions.

8) Pursuantto44CFR13.36(i)(11),ContractorshallretainallrequiredrecordsforthreeyearsafterFEMAorparticipatingagencymakesfinalpaymentsandallotherpendingmattersareclosed.Inaddition,Contractorshallcomplywithrecordretentionrequirementssetforthin44CFR13.42.

RequiredClausesforFederalAssistanceprovidedbyFTA

ACCESSTORECORDSANDREPORTS

Contractoragreesto:

a) Maintainallbooks,records,accountsandreportsrequiredunderthisContractforaperiodofnotlessthanthree(3)yearsafterthedateofterminationorexpirationofthisContractoranyextensionsthereofexceptintheeventoflitigationorsettlementofclaimsarisingfromtheperformanceofthisContract,inwhichcaseContractoragreestomaintainsameuntilPublicAgency,theFTAAdministrator,theComptrollerGeneral,oranyoftheirdulyauthorizedrepresentatives,havedisposedofallsuchlitigation,appeals,claimsorexceptionsrelatedthereto.

b) Permitanyoftheforegoingpartiestoinspectallwork,materials,payrolls,andotherdataandrecordswithregardtotheProject,andtoauditthebooks,records,andaccountswithregardtotheProjectandtoreproducebyanymeanswhatsoeverortocopyexcerptsandtranscriptionsasreasonablyneededforthepurposeofauditandexamination.

FTAdoesnotrequiretheinclusionoftheserequirementsofArticle1.01insubcontracts.Reference49CFR18.39(i)(11).

CIVILRIGHTS/TITLEVIREQUIREMENTS

1) Non-discrimination.InaccordancewithTitleVIoftheCivilRightsActof1964,asamended,42U.S.C.§2000d,Section303oftheAgeDiscriminationActof1975,asamended,42U.S.C.§6102,Section202oftheAmericanswithDisabilitiesActof1990,asamended,42U.S.C.§12132,andFederalTransitLawat49U.S.C.§5332,Contractororsubcontractoragreesthatitwillnotdiscriminateagainstanyemployeeorapplicantforemploymentbecauseofrace,color,creed,nationalorigin,sex,maritalstatusage,ordisability.Inaddition,ContractoragreestocomplywithapplicableFederalimplementingregulationsandotherimplementingrequirementsFTAmayissue.

2) EqualEmploymentOpportunity.ThefollowingEqualEmploymentOpportunityrequirementsapplytothisContract:

a. Race,Color,Creed,NationalOrigin,Sex.InaccordancewithTitleVIIoftheCivilRightsAct,asamended,42U.S.C.§2000e,andFederalTransitLawat49U.S.C.§5332,theContractoragreestocomplywithallapplicableEqualEmploymentOpportunityrequirementsofU.S.Dept.ofLaborregulations,“OfficeofFederalContractCompliancePrograms,EqualEmploymentOpportunity,DepartmentofLabor,41CFR,Parts60etseq.,andwithanyapplicableFederalstatutes,executiveorders,regulations,andFederalpoliciesthatmayinthefutureaffectconstructionactivitiesundertakeninthecourseofthisProject.Contractoragreestotakeaffirmativeactiontoensurethatapplicantsareemployed,andthatemployeesaretreatedduringemployment,withoutregardtotheirrace,color,creed,nationalorigin,sex,maritalstatus,orage.Suchactionshallinclude,butnotbelimitedto,thefollowing:employment,upgrading,demotionortransfer,recruitmentorrecruitmentadvertising,layoffortermination,ratesofpayorotherformsofcompensation;andselectionfortraining,includingapprenticeship.Inaddition,ContractoragreestocomplywithanyimplementingrequirementsFTAmayissue.

b. Age.InaccordancewiththeAgeDiscriminationinEmploymentAct(ADEA)of1967,asamended,29U.S.C.Sections621through634,andEqualEmploymentOpportunityCommission(EEOC)implementingregulations,“AgeDiscriminationinEmploymentAct”,29CFRPart1625,prohibitemploymentdiscriminationbyContractoragainstindividualsonthebasisofage,includingpresentandprospectiveemployees.Inaddition,ContractoragreestocomplywithanyimplementingrequirementsFTAmayissue.

c. Disabilities.InaccordancewithSection102oftheAmericanswithDisabilitiesActof1990,asamended(ADA),42U.S.C.Sections12101etseq.,prohibitsdiscriminationagainstqualifiedindividualswithdisabilitiesinprograms,activities,andservices,andimposesspecificrequirementsonpublicandprivateentities.ContractoragreesthatitwillcomplywiththerequirementsoftheEqualEmploymentOpportunityCommission(EEOC),“RegulationstoImplementtheEqualEmploymentProvisionsoftheAmericanswithDisabilitiesAct,”29CFR,Part1630,pertainingtoemploymentofpersonswithdisabilitiesandwiththeirresponsibilitiesunderTitlesIthroughVoftheADAinemployment,publicservices,publicaccommodations,telecommunications,andotherprovisions.

d. SegregatedFacilities.Contractorcertifiesthattheircompanydoesnotandwillnotmaintainorprovidefortheiremployeesanysegregatedfacilitiesatanyoftheirestablishments,andthattheydonotandwillnotpermittheiremployeestoperformtheirservicesatanylocationundertheContractor’scontrolwheresegregatedfacilitiesaremaintained.Asusedinthiscertificationtheterm“segregatedfacilities”meansanywaitingrooms,workareas,restroomsandwashrooms,restaurantsandothereatingareas,parkinglots,drinkingfountains,recreationorentertainmentareas,transportation,andhousingfacilitiesprovidedforemployeeswhicharesegregatedbyexplicitdirectiveorareinfactsegregatedonthebasisofrace,color,religionornationaloriginbecauseofhabit,localcustom,orotherwise.ContractoragreesthatabreachofthiscertificationwillbeaviolationofthisCivilRightsclause.

3) SolicitationsforSubcontracts,IncludingProcurementsofMaterialsandEquipment.Inallsolicitations,eitherbycompetitivebiddingornegotiation,madebyContractorforworktobeperformedunderasubcontract,includingprocurementsofmaterialsorleasesofequipment,eachpotentialsubcontractororsuppliershallbenotifiedbyContractorofContractor'sobligationsunderthisContractandtheregulationsrelativetonon-discriminationonthegroundsofrace,color,creed,sex,disability,ageornationalorigin.

4) SanctionsofNon-Compliance.IntheeventofContractor'snon-compliancewiththenon-discriminationprovisionsofthisContract,PublicAgencyshallimposesuchContractsanctionsasitortheFTAmaydeterminetobeappropriate,including,butnotlimitedto:1)WithholdingofpaymentstoContractorundertheContractuntilContractorcomplies,and/or;2)Cancellation,terminationorsuspensionoftheContract,inwholeorinpart.

ContractoragreestoincludetherequirementsofthisclauseineachsubcontractfinancedinwholeorinpartwithFederalassistanceprovidedbyFTA,modifiedonlyifnecessarytoidentifytheaffectedparties.

DISADVANTAGEDBUSINESSPARTICIPATION

ThisContractissubjecttotherequirementsofTitle49,CodeofFederalRegulations,Part26,“ParticipationbyDisadvantagedBusinessEnterprisesinDepartmentofTransportationFinancialAssistancePrograms”,therefore,itisthepolicyoftheDepartmentofTransportation(DOT)toensurethatDisadvantagedBusinessEnterprises(DBEs),asdefinedin49CFRPart26,haveanequalopportunitytoreceiveandparticipateintheperformanceofDOT-assistedcontracts.

1) Non-DiscriminationAssurances.Contractororsubcontractorshallnotdiscriminateonthebasisofrace,color,nationalorigin,orsexintheperformanceofthisContract.Contractorshallcarryoutallapplicablerequirementsof49CFRPart26intheawardandadministrationofDOT-assistedcontracts.FailurebyContractortocarryouttheserequirementsisamaterialbreachofthisContract,whichmayresultintheterminationofthisContractorothersuchremedyaspublicagencydeemsappropriate.EachsubcontractContractorsignswithasubcontractormustincludetheassuranceinthisparagraph.(See49CFR26.13(b)).

2) PromptPayment.ContractorisrequiredtopayeachsubcontractorperformingWorkunderthisprimeContractforsatisfactoryperformanceofthatworknolaterthanthirty(30)daysafterContractor’sreceiptofpaymentforthatWorkfrompublicagency.Inaddition,Contractorisrequiredtoreturnanyretainagepaymentstothosesubcontractorswithinthirty(30)daysafterthesubcontractor’sworkrelatedtothisContractissatisfactorilycompletedandanylienshavebeensecured.Anydelayorpostponementofpaymentfromtheabovetimeframesmayoccuronlyforgoodcausefollowingwrittenapprovalofpublicagency.ThisclauseappliestobothDBEandnon-DBEsubcontractors.ContractormustpromptlynotifypublicagencywheneveraDBEsubcontractorperformingWorkrelatedtothisContractisterminatedorfailstocompleteitsWork,andmustmakegoodfaitheffortstoengageanotherDBEsubcontractortoperformatleastthesameamountofwork.ContractormaynotterminateanyDBEsubcontractorandperformthatWorkthroughitsownforces,orthoseofanaffiliate,withoutpriorwrittenconsentofpublicagency.

3) DBEProgram.InconnectionwiththeperformanceofthisContract,ContractorwillcooperatewithpublicagencyinmeetingitscommitmentsandgoalstoensurethatDBEsshallhavethemaximumpracticableopportunitytocompeteforsubcontractwork,regardlessofwhetheracontractgoalissetforthisContract.Contractoragreestousegoodfaitheffortstocarryoutapolicyintheawardofitssubcontracts,agentagreements,andprocurementcontractswhichwill,tothefullestextent,utilizeDBEsconsistentwiththeefficientperformanceoftheContract.

ENERGYCONSERVATIONREQUIREMENTS

ContractoragreestocomplywithmandatorystandardsandpoliciesrelatingtoenergyefficiencywhicharecontainedintheStateenergyconservationplansissuedundertheEnergyPolicyandConservationAct,asamended,42U.S.C.Sections6321etseq.and41CFRPart301-10.

FEDERALCHANGES

ContractorshallatalltimescomplywithallapplicableFTAregulations,policies,proceduresanddirectives,includingwithoutlimitationthoselisteddirectlyorbyreferenceintheContractbetweenpublicagencyandtheFTA,astheymaybeamendedorpromulgatedfromtimetotimeduringthetermofthiscontract.Contractor’sfailuretosocomplyshallconstituteamaterialbreachofthisContract.

INCORPORATIONOFFEDERALTRANSITADMINISTRATION(FTA)TERMS

Theprovisionsinclude,inpart,certainStandardTermsandConditionsrequiredbytheU.S.DepartmentofTransportation(DOT),whetherornotexpresslysetforthintheprecedingContractprovisions.AllcontractualprovisionsrequiredbytheDOT,assetforthinthemostcurrentFTACircular4220.1F,datedNovember1,2008,areherebyincorporatedbyreference.Anythingtothecontraryhereinnotwithstanding,allFTAmandatedtermsshallbedeemedtocontrolintheeventofaconflictwithotherprovisionscontainedinthisContract.Contractoragreesnottoperformanyact,failtoperformanyact,orrefusetocomplywithanypublicagencyrequeststhatwouldcausepublicagencytobeinviolationoftheFTAtermsandconditions.

NOFEDERALGOVERNMENTOBLIGATIONSTOTHIRDPARTIES

AgencyandContractoracknowledgeandagreethat,absenttheFederalGovernment’sexpresswrittenconsentandnotwithstandinganyconcurrencebytheFederalGovernmentinorapprovalofthesolicitationorawardoftheunderlyingContract,theFederalGovernmentisnotapartytothisContractandshallnotbesubjecttoanyobligationsorliabilitiestoagency,Contractor,oranyotherparty(whetherornotapartytothatcontract)pertainingtoanymatterresultingfromtheunderlyingContract.

ContractoragreestoincludetheaboveclauseineachsubcontractfinancedinwholeorinpartwithfederalassistanceprovidedbytheFTA.Itisfurtheragreedthattheclauseshallnotbemodified,excepttoidentifythesubcontractorwhowillbesubjecttoitsprovisions.

PROGRAMFRAUDANDFALSEORFRAUDULENTSTATEMENTS

ContractoracknowledgesthattheprovisionsoftheProgramFraudCivilRemediesActof1986,asamended,31U.S.C.§§3801etseq.andU.S.DOTregulations,“ProgramFraudCivilRemedies,”49CFRPart31,applytoitsactionspertainingtothisContract.UponexecutionoftheunderlyingContract,Contractorcertifiesoraffirmsthetruthfulnessandaccuracyofanystatementithasmade,itmakes,itmaymake,orcausestomemade,pertainingtotheunderlyingContractortheFTAassistedprojectforwhichthisContractWorkisbeingperformed.

Inadditiontootherpenaltiesthatmaybeapplicable,Contractorfurtheracknowledgesthatifitmakes,orcausestobemade,afalse,fictitious,orfraudulentclaim,statement,submission,orcertification,theFederalGovernmentreservestherighttoimposethepenaltiesoftheProgramFraudCivilRemediesActof1986onContractortotheextenttheFederalGovernmentdeemsappropriate.

Contractoralsoacknowledgesthatifitmakes,orcausestomemade,afalse,fictitious,orfraudulentclaim,statement,submission,orcertificationtotheFederalGovernmentunderacontractconnectedwithaprojectthatisfinancedinwholeorinpartwithFederalassistanceoriginallyawardedbyFTAundertheauthorityof49U.S.C.§5307,theGovernmentreservestherighttoimposethepenaltiesof18U.S.C.§1001and49U.S.C.§5307(n)(1)ontheContractor,totheextenttheFederalGovernmentdeemsappropriate.

ContractoragreestoincludetheaboveclausesineachsubcontractfinancedinwholeorinpartwithFederalassistanceprovidedbyFTA.Itisfurtheragreedthattheclausesshallnotbemodified,excepttoidentifythesubcontractorwhowillbesubjecttotheprovisions.

OWNERSHIPDISCLOSUREFORM(N.J.S.52:25-24.2)

Pursuant to the requirements of P.L. 1999, Chapter 440 effective April 17, 2000 (Local PublicContracts Law), the offeror shall complete the form attached to these specifications listing thepersonsowning10percent(10%)ormoreofthefirmpresentingtheproposal.

CompanyName:____________________________________________ Street: City,State,ZipCode: Completeasappropriate:

I_______________________________________,certifythatIamthesoleownerof____________________________________,that there are no partners and the business is not incorporated, and the provisions ofN.J.S. 52:25-24.2 do notapply.OR:

I_______________________________________,apartnerin______________________________,doherebycertifythatthefollowingisalistofallindividualpartnerswhoowna10%orgreaterinteresttherein.Ifurthercertifythatifone(1)ormoreofthepartnersisitselfacorporationorpartnership,thereisalsosetforththenamesandaddressesofthe stockholders holding 10% or more of that corporation’s stock or the individual partners owning 10% orgreaterinterestinthatpartnership.OR:

I _______________________________________ , an authorized representative of ______________________________ , acorporation, dohereby certify that the following is a list of thenamesandaddresses of all stockholders in thecorporation who own 10% or more of its stock of any class. I further certify that if one (1) or more of suchstockholders is itself a corporation or partnership, that there is also set forth the names and addresses of thestockholdersholding10%ormoreofthecorporation’sstockortheindividualpartnersowninga10%orgreaterinterestinthatpartnership.

(Note:Iftherearenopartnersorstockholdersowning10%ormoreinterest,indicatenone.) Name Address Interest

Ifurthercertifythatthestatementsandinformationcontainedherein,arecompleteandcorrecttothe

bestofmyknowledgeandbelief.

_____________________________________ ____________________________________________________________ Date AuthorizedSignatureandTitle

NON-COLLUSIONAFFIDAVIT

CompanyName: Street: City,State,ZipCode:

StateofNewJersey

Countyof________________________________

I,____________________________ofthe___________________________NameCityin the County of ____________________________, State of ___________________________________ of fullage,beingdulyswornaccordingtolawonmyoathdeposeandsaythat:

Iamthe_____________________________ofthefirmof_______________ Title CompanyName

theofferormakingtheProposal forthegoods,servicesorpublicworkspecifiedundertheHarrison Township Board of Education attached proposal, and that I executed the saidproposalwithfullauthoritytodoso;thatsaidofferorhasnotdirectlyorindirectlyenteredintoanyagreement,participatedinanycollusion,orotherwisetakenanyactioninrestraintoffree,competitivebiddinginconnectionwiththeaboveproposal,andthatallstatementscontained in said proposal and in this affidavit are true and correct, andmadewith fullknowledge that the Harrison Township Board of Education relies upon the truth of thestatementscontained insaidproposaland in thestatementscontained in thisaffidavit inawardingthecontractforthesaidgoods,servicesorpublicwork.

Ifurtherwarrantthatnopersonorsellingagencyhasbeenemployedorretainedtosolicitorsecuresuchcontractuponanagreementorunderstandingforacommission,percentage,brokerage or contingent fee, except bona fide employees or bona fide establishedcommercialorsellingagenciesmaintainedby CompanyName AuthorizedSignature&TitleSubscribedandswornbeforemethis______dayof______________,20______________________________________________NotaryPublicofNewJerseyMycommissionexpires____________________________ ,20____SEAL

AFFIRMATIVEACTIONAFFIDAVIT(P.L.1975,C.127)

CompanyName:____________________________________ Street: ______________________________________

City,State,ZipCode: _____________________________________ProposalCertification:

IndicatebelowyourcompliancewithNewJerseyAffirmativeActionregulations.Yourproposalwillbeacceptedevenifyouarenotincomplianceatthistime.Nocontractand/orpurchaseordermaybeissued,however,untilallAffirmativeActionrequirementsaremet.RequiredAffirmativeActionEvidence:

Procurement,Professional&ServiceContracts(ExhibitA)Vendorsmustsubmitwithproposal:

1. AphotocopyoftheirFederalLetterofAffirmativeActionPlanApproval_________________

OR2. AphotocopyoftheirCertificateofEmployeeInformationReport _____________________

OR3. AcompleteAffirmativeActionEmployeeInformationReport(AA302)____________________

PublicWork–Over$50,000TotalProjectCost:

A. NoapprovedFederalorNewJerseyAffirmativeActionPlan.WewillcompleteReportForm

AA201-AuponreceiptfromtheHarrisonTownshipBoardofEducation _____________________B. ApprovedFederalorNewJerseyPlan–certificateenclosed _____________________

I furthercertifythatthestatementsandinformationcontainedherein,arecompleteandcorrecttothe

bestofmyknowledgeandbelief.

_____________________________________ ____________________________________________________________ Date AuthorizedSignatureandTitle

P.L.1995,c.127(N.J.A.C.17:27) MANDATORYAFFIRMATIVEACTIONLANGUAGE PROCUREMENT,PROFESSIONALANDSERVICE

CONTRACTSDuringtheperformanceofthiscontract,thecontractoragreesasfollows:The contractor or subcontractor, where applicable, will not discriminate against anyemployee or applicant for employment because of age, race, creed, color, national origin,ancestry, marital status, sex, affectional or sexual orientation. The contractor will takeaffirmative action to ensure that such applicants are recruited and employed, and thatemployeesare treatedduringemployment,without regard to theirage, race, creed, color,nationalorigin,ancestry,maritalstatus, sex,affectionalorsexualorientation. Suchactionshall include, but not be limited to the following: employment, upgrading, demotion, ortransfer;recruitmentorrecruitmentadvertising;layoffortermination;ratesofpayorotherformsofcompensation;andselectionfortraining,includingapprenticeship.Thecontractoragreestopostinconspicuousplaces,availabletoemployeesandapplicantsforemployment,noticestobeprovidedbythePublicAgencyComplianceOfficersettingforthprovisionsofthisnon-discriminationclause.Thecontractororsubcontractor,whereapplicablewill,inallsolicitationsoradvertisementforemployeesplacedbyoronbehalfofthecontractor,statethatallqualifiedapplicantswillreceive consideration for employment without regard to age, race, creed, color, nationalorigin,ancestry,maritalstatus,sex,affectionalorsexualorientation.The contractor or subcontractor, where applicable, will send to each labor union orrepresentative of workers with which it has a collective bargaining agreement or othercontract or understanding, a notice, to be provided by the agency contracting officeradvisingthelaborunionorworkers'representativeofthecontractor'scommitmentsunderthisactandshallpostcopiesofthenoticeinconspicuousplacesavailabletoemployeesandapplicantsforemployment.Thecontractororsubcontractor,whereapplicable,agrees tocomplywithanyregulationspromulgatedbytheTreasurerpursuanttoP.L.1975,c.127,asamendedandsupplementedfromtimetotimeandtheAmericanswithDisabilitiesAct.The contractor or subcontractor agrees to attempt in good faith to employminority andfemaleworkerstradeconsistentwiththeapplicablecountyemploymentgoalprescribedbyN.J.A.C.17:27-5.2promulgatedbytheTreasurerpursuanttoP.L.1975,C.127,asamendedandsupplementedfromtimetotimeorinaccordancewithabindingdeterminationoftheapplicablecountyemploymentgoalsdeterminedbytheAffirmativeActionOfficepursuanttoN.J.A.C.17:27-5.2promulgatedbytheTreasurerpursuanttoP.L.1975,C.127,asamendedandsupplementedfromtimetotime.

The contractor or subcontractor agrees to inform in writing appropriate recruitmentagencies in the area, including employment agencies, placement bureaus, colleges,universities, labor unions, that it does not discriminate on the basis of age, creed, color,nationalorigin,ancestry,maritalstatus,sex,affectionalorsexualorientation,andthatitwilldiscontinue the use of any recruitment agency which engages in direct or indirectdiscriminatorypractices.

Thecontractororsubcontractoragreestoreviseanyofittestingprocedures,ifnecessary,toassure that all personnel testing conforms with the principles of job-related testing, asestablishedbythestatutesandcourtdecisionsofthestateofNewJerseyandasestablishedbyapplicableFederallawandapplicableFederalcourtdecisions.The contractor or subcontractor agrees to review all procedures relating to transfer,upgrading,downgradingandlay-offtoensurethatallsuchactionsaretakenwithoutregardto age, creed, color, national origin, ancestry, marital status, sex, affectional or sexualorientation,andconformwiththeapplicableemploymentgoals,consistentwiththestatutesand courtdecisionsof theStateofNew Jersey, andapplicableFederal lawandapplicableFederalcourtdecisions.ThecontractoranditssubcontractorsshallfurnishsuchreportsorotherdocumentstotheAffirmativeActionOffice asmaybe requestedby theoffice from time to time inorder tocarry out the purposes of these regulations, and public agencies shall furnish suchinformation as may be requested by the Affirmative Action Office for conducting acompliance investigation pursuant to Subchapter 10 of the Administrative Code (NJAC17:27).

________________________________________________SignatureofProcurementAgent

C.271POLITICALCONTRIBUTIONDISCLOSUREFORM

PublicAgencyInstructionsThispageprovidesguidancetopublicagenciesenteringintocontractswithbusinessentitiesthatarerequiredtofilePoliticalContributionDisclosureformswiththeagency.Itisnotintendedtobeprovidedtocontractors.WhatfollowsareinstructionsontheuseofformlocalunitscanprovidetocontractorsthatarerequiredtodisclosepoliticalcontributionspursuanttoN.J.S.A.19:44A-20.26(P.L.2005,c.271,s.2).AdditionalinformationontheprocessisavailableinLocalFinanceNotice2006-1(www.nj.gov/dca/lgs/lfns/lfnmenu.shtml).

1. Thedisclosureisrequiredforallcontractsinexcessof$17,500thatarenotawardedpursuanttoa“fairandopen”process(N.J.S.A.19:44A-20.7).

2. Duetothepotentiallengthofsomecontractorsubmissions,thepublicagencyshouldconsiderallowingdatatobesubmittedinelectronicform(i.e.,spreadsheet,pdffile,etc.).Submissionsmustbekeptwiththecontractdocumentsorinanappropriatecomputerfileandbeavailableforpublicaccess.Theformiswordedtoacceptthisalternatesubmission.Thetextshouldbeamendedifelectronicsubmissionwillnotbeallowed.

3. Thesubmissionmustbereceivedfromthecontractorandonfileatleast10dayspriortoawardofthecontract.Resolutionsofawardshouldreflectthatthedisclosurehasbeenreceivedandisonfile.

4. Thecontractormustdisclosecontributionsmadetocandidateandpartycommitteescoveringawiderangeofpublicagencies,includingallpublicagenciesthathaveelectedofficialsinthecountyofthepublicagency,statelegislativepositions,andvariousstateentities.TheDivisionofLocalGovernmentServicesrecommendsthatcontractorsbeprovidedalistoftheaffectedagencies.Thiswillassistcontractorsindeterminingthecampaignandpoliticalcommitteesoftheofficialsandcandidatesaffectedbythedisclosure.

a. TheDivisionhaspreparedmodeldisclosureformsforeachcounty.Theycanbedownloadedfromthe“CountyPCDForms”linkonthePay-to-Playwebsiteatwww.nj.gov/dca/lgs/p2p.Theywillbeupdatedfromtime-to-timeasnecessary.

b. Apublicagencyusingtheseformsshouldeditthemtoproperlyreflectthecorrectlegislativedistrict(s).Astheformsarecounty-based,theylistalllegislativedistrictsineachcounty.Districtsthatdonotrepresentthepublicagencyshouldberemovedfromthelists.

c. Somecontractorsmayfinditeasiertoprovideasinglelistthatcoversallcontributions,regardlessofthecounty.Thesesubmissionsareappropriateandshouldbeaccepted.

d. Theformmaybeused“as-is”,subjecttoeditsasdescribedherein.e. The“ContractorInstructions”sheetisintendedtobeprovidedwiththeform.Itis

recommendedthattheInstructionsandtheformbeprintedonthesamepieceofpaper.TheformnotesthattheInstructionsareprintedonthebackoftheform;wherethatisnotthecase,thetextshouldbeeditedaccordingly.

f. TheformisaWorddocumentandcanbeeditedtomeetlocalneeds,andpostedfordownloadonwebsites,usedasane-mailattachment,orprovidedasaprinteddocument.

5. Itisrecommendedthatthecontractoralsocompletea“StockholderDisclosureCertification.”ThiswillassistthelocalunitinitsobligationtoensurethatcontractordidnotmakeanyprohibitedcontributionstothecommitteeslistedontheBusinessEntityDisclosureCertificationinthe12monthspriortothecontract.(SeeLocalFinanceNotice2006-7foradditionalinformationonthisobligation)AsampleCertificationformispartofthispackage

andtheinstructiontocompleteitisincludedintheContractorInstructions.NOTE:ThissectionisnotapplicabletoBoardsofEducation.

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM ContractorInstructions

Businessentities(contractors)receivingcontractsfromapublicagencythatareNOTawardedpursuanttoa“fairandopen”process(definedatN.J.S.A.19:44A-20.7)aresubjecttotheprovisionsofP.L.2005,c.271,s.2(N.J.S.A.19:44A-20.26).Thislawprovidesthat10dayspriortotheawardofsuchacontract,thecontractorshalldisclosecontributionsto:

• anyState,county,ormunicipalcommitteeofapoliticalparty• any

legislativeleadershipcommittee*• any

continuingpoliticalcommittee(a.k.a.,politicalactioncommittee)• any

candidatecommitteeofacandidatefor,orholderof,anelectiveoffice:o ofthepublicentityawardingthecontracto ofthatcountyinwhichthatpublicentityislocatedo ofanotherpublicentitywithinthatcountyo orofalegislativedistrictinwhichthatpublicentityislocatedor,whenthepublic

entity is a county, of any legislative district which includes all or part of thecounty. The disclosure must list reportable contributions to any of thecommittees that exceed $300 per election cycle thatweremade during the 12monthspriortoawardof thecontract. SeeN.J.S.A.19:44A-8and19:44A-16formoredetailsonreportablecontributions.

N.J.S.A.19:44A-20.26itemizesthepartiesfromwhomcontributionsmustbedisclosedwhenabusinessentityisnotanaturalperson.Thisincludesthefollowing:• individualswithan“interest”ownershiporcontrolofmorethan10%oftheprofitsor

assetsofabusinessentityor10%ofthestockinthecaseofabusinessentitythatisacorporationforprofit

• allprincipals,partners,officers,ordirectorsofthebusinessentityortheirspouses• anysubsidiariesdirectlyorindirectlycontrolledbythebusinessentity• IRSCodeSection527NewJerseybasedorganizations,directlyorindirectlycontrolled

bythebusinessentityandfilingascontinuingpoliticalcommittees,(PACs).Whenthebusinessentityisanaturalperson,“acontributionbythatperson’sspouseorchild,residingtherewith,shallbedeemedtobeacontributionbythebusinessentity.”[N.J.S.A.19:44A-20.26(b)]Thecontributormustbelistedonthedisclosure.AnybusinessentitythatfailstocomplywiththedisclosureprovisionsshallbesubjecttoafineimposedbyELECinanamounttobedeterminedbytheCommissionwhichmaybebasedupontheamountthatthebusinessentityfailedtoreport.Theenclosedlistofagenciesisprovidedtoassistthecontractorinidentifyingthosepublicagencieswhoseelectedofficialand/orcandidatecampaigncommitteesareaffectedbythedisclosurerequirement.Itisthecontractor’sresponsibilitytoidentifythespecificcommitteestowhichcontributionsmayhavebeenmadeandneedtobedisclosed.Thedisclosedinformationmayexceedtheminimumrequirement.Theenclosedform,acontent-consistentfacsimile,oranelectronicdatafilecontainingtherequireddetails(alongwithasignedcoversheet)maybeusedasthecontractor’ssubmissionandis

disclosabletothepublicundertheOpenPublicRecordsAct.ThecontractormustalsocompletetheattachedStockholderDisclosureCertification.Thiswillassisttheagencyinmeetingitsobligationsunderthelaw.

NOTE:ThissectiondoesnotapplytoBoardofEducationcontracts.*N.J.S.A.19:44A-3(s):“Theterm"legislativeleadershipcommittee"meansacommitteeestablished,authorizedtobeestablished,ordesignatedbythePresidentoftheSenate,theMinorityLeaderoftheSenate,theSpeakeroftheGeneralAssemblyortheMinorityLeaderoftheGeneralAssemblypursuanttosection16ofP.L.1993,c.65(C.19:44A-10.1)forthepurposeofreceivingcontributionsandmakingexpenditures.”

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM RequiredPursuantToN.J.S.A.19:44A-20.26

Thisformoritspermittedfacsimilemustbesubmittedtothelocalunit

nolaterthan10dayspriortotheawardofthecontract.

PartI–VendorInformationVendorName: Address: City: State: Zip:

Theundersignedbeingauthorizedtocertify,herebycertifiesthatthesubmissionprovidedhereinrepresentscompliancewiththeprovisionsofN.J.S.A.19:44A-20.26andasrepresentedbytheInstructionsaccompanyingthisform.

_________________________ ____________________ ____________________Signature PrintedName Title

PartII–ContributionDisclosureDisclosurerequirement:PursuanttoN.J.S.A.19:44A-20.26thisdisclosuremustincludeallreportablepoliticalcontributions(morethan$300perelectioncycle)overthe12monthspriortosubmissiontothecommitteesofthegovernmententitieslistedontheformprovidedbythelocalunit.

c Checkhereifdisclosureisprovidedinelectronicform.

ContributorName RecipientName Date DollarAmount

$

c Checkhereiftheinformationiscontinuedonsubsequentpage(s)

ContinuationPage

C.271POLITICALCONTRIBUTIONDISCLOSUREFORMRequiredPursuantToN.J.S.A.19:44A-20.26

Page___of______VendorName:

ContributorName RecipientName Date DollarAmount

$

c Checkhereiftheinformationiscontinuedonsubsequentpage(s)

ListofAgencieswithElectedOfficialsRequiredforPoliticalContributionDisclosureN.J.S.A.19:44A-20.26

CountyName:State:Governor,andLegislativeLeadershipCommitteesLegislativeDistrict#s:

StateSenatorandtwomembersoftheGeneralAssemblyperdistrict.County: Freeholders CountyClerk Sheriff {CountyExecutive} Surrogate Municipalities(Mayorandmembersofgoverningbody,regardlessoftitle):

USERSSHOULDCREATETHEIROWNFORM,ORDOWNLOADFROMWWW.NJ.GOV/DCA/LGS/P2PACOUNTY-BASED,CUSTOMIZABLEFORM.

StateNoticeAddendum

Pursuanttocertainstatenoticeprovisionsthefollowingpublicagenciesandpoliticalsubdivisionsofthereferencedpublicagenciesareeligibletoaccessthecontractawardmadepursuanttothissolicitation.Publicagenciesandpoliticalsubdivisionsareherebygivennoticeoftheforegoingrequestforproposalforpurposesofcomplyingwiththeproceduralrequirementofsaidstatutes:

Nationwide:http://www.usa.gov/Agencies/Local_Government/Cities.shtml

OtherStates:Cities,Towns,Villages,andBoroughs

No.Cities,Towns,VillagesandBoroughsinOregon

1 CEDARMILLCOMMUNITYLIBRARY2 CITYCOUNTYINSURANCESERVICES3 CITYOFADAIRVILLAGE4 CITYOFALBANY5 CITYOFASHLAND6 CITYOFASTORIAOREGON7 CITYOFAUMSVILLE8 CITYOFAURORA9 CITYOFBEAVERTON10 CITYOFBOARDMAN11 CITYOFBURNS12 CITYOFCANBY13 CITYOFCANNONBEACHOR14 CITYOFCANYONVILLE15 CITYOFCENTRALPOINTPOLICEDEPARTMENT16 CITYOFCLATSKANIE17 CITYOFCOBURG18 CITYOFCONDON19 CITYOFCOOSBAY20 CITYOFCORVALLIS21 CITYOFCOTTAGEGROVE22 CITYOFCRESWELL23 CITYOFDALLAS24 CITYOFDAMASCUS25 CITYOFDUNDEE26 CITYOFEAGLEPOINT27 CITYOFECHO28 CITYOFESTACADA29 CITYOFEUGENE30 CITYOFFAIRVIEW31 CITYOFFALLSCITY32 CITYOFGATES33 CITYOFGEARHART34 CITYOFGERVAIS35 CITYOFGOLDHILL36 CITYOFGRANTSPASS37 CITYOFGRESHAM38 CITYOFHAPPYVALLEY39 CITYOFHILLSBORO40 CITYOFHOODRIVER41 CITYOFJOHNDAY42 CITYOFKLAMATHFALLS43 CITYOFLAGRANDE44 CITYOFLAKEOSWEGO45 CITYOFLAKESIDE46 CITYOFLEBANON47 CITYOFMALIN48 CITYOFMCMINNVILLE49 CITYOFMEDFORD50 CITYOFMILLCITY51 CITYOFMILLERSBURG52 CITYOFMILWAUKIE53 CITYOFMORO54 CITYOFMOSIER55 CITYOFNEWBERG56 CITYOFNORTHPLAINS57 CITYOFOREGONCITY

58 CITYOFPHOENIX59 CITYOFPILOTROCK60 CITYOFPORTORFORD61 CITYOFPORTLAND62 CITYOFPOWERS63 CITYOFREDMOND64 CITYOFREEDSPORT65 CITYOFRIDDLE66 CITYOFSALEM67 CITYOFSANDY68 CITYOFSANDY69 CITYOFSCAPPOOSE70 CITYOFSEASIDE71 CITYOFSHADYCOVE72 CITYOFSHERWOOD73 CITYOFSPRINGFIELD74 CITYOFST.PAUL75 CITYOFSTAYTON76 CITYOFTIGARD,OREGON77 CITYOFTUALATIN,OREGON78 CITYOFWARRENTON79 CITYOFWESTLINN/PARKS80 CITYOFWILSONVILLE81 CITYOFWINSTON82 CITYOFWOODVILLAGE83 CITYOFWOODBURN84 CITYOFYACHATS85 FLORENCEAREACHAMBEROFCOMMERCE86 GASTONRURALFIREDEPARTMENT87 GLADSTONEPOLICEDEPARTMENT88 HOUSINGAUTHORITYOFTHECITYOFSALEM89 KEIZERPOLICEDEPARTMENT90 LEAGUEOFOREGONCITIES91 MALINCOMMUNITYPARKANDRECREATIONDISTRICT92 METRO93 MONMOUTH-INDEPENDENCENETWORK94 PORTLANDDEVELOPMENTCOMMISSION95 RAINIERPOLICEDEPARTMENT96 RIVERGROVEWATERDISTRICT97 SUNSETEMPIREPARKANDRECREATION98 THENEWPORTPARKANDRECREATIONCENTER99 TILLAMOOKPEOPLESUTILITYDISTRICT100 TUALATINVALLEYFIRE&RESCUE101 WESTVALLEYHOUSINGAUTHORITYNo. CountiesandParishes1 ASSOCIATIONOFOREGONCOUNTIES2 BENTONCOUNTY3 CLACKAMASCOUNTYDEPTOFTRANSPORTATION4 CLATSOPCOUNTY5 COLUMBIACOUNTY,OREGON6 COOSCOUNTYHIGHWAYDEPARTMENT7 CROOKCOUNTYROADDEPARTMENT8 CURRYCOUNTYOREGON9 DESCHUTESCOUNTY10 DOUGLASCOUNTY11 GILLIAMCOUNTY12 GILLIAMCOUNTYOREGON13 GRANTCOUNTY,OREGON14 HARNEYCOUNTYSHERIFFSOFFICE

15 HOODRIVERCOUNTY16 HOUSINGAUTHORITYOFCLACKAMASCOUNTY17 JACKSONCOUNTYHEALTHANDHUMANSERVICES18 JEFFERSONCOUNTY19 KLAMATHCOUNTYVETERANSSERVICEOFFICE20 LAKECOUNTY21 LANECOUNTY22 LINCOLNCOUNTY23 LINNCOUNTY24 MARIONCOUNTY,SALEM,OREGON25 MORROWCOUNTY26 MULTNOMAHCOUNTY27 MULTNOMAHCOUNTY28 MULTNOMAHLAWLIBRARY29 NAMILANECOUNTY30 POLKCOUNTY31 SHERMANCOUNTY32 UMATILLACOUNTY,OREGON33 UNIONCOUNTY34 WALLOWACOUNTY35 WASCOCOUNTY36 WASHINGTONCOUNTY37 YAMHILLCOUNTY1 BOARDOFWATERSUPPLY2 COUNTYOFHAWAII3 MAUICOUNTYCOUNCILNo. HigherEducation1 BIRTHINGWAYCOLLEGEOFMIDWIFERY2 BLUEMOUNTAINCOMMUNITYCOLLEGE3 CENTRALOREGONCOMMUNITYCOLLEGE4 CHEMEKETACOMMUNITYCOLLEGE5 CLACKAMASCOMMUNITYCOLLEGE6 COLUMBIAGORGECOMMUNITYCOLLEGE7 GEORGEFOXUNIVERSITY8 KLAMATHCOMMUNITYCOLLEGEDISTRICT9 LANECOMMUNITYCOLLEGE10 LEWISANDCLARKCOLLEGE11 LINFIELDCOLLEGE12 LINN-BENTONCOMMUNITYCOLLEGE13 MARYLHURSTUNIVERSITY14 MT.HOODCOMMUNITYCOLLEGE15 MULTNOMAHBIBLECOLLEGE16 NATIONALCOLLEGEOFNATURALMEDICINE17 NORTHWESTCHRISTIANCOLLEGE18 OREGONHEALTHANDSCIENCEUNIVERSITY19 OREGONUNIVERSITYSYSTEM20 PACIFICUNIVERSITY21 PORTLANDCOMMUNITYCOLLEGE22 PORTLANDSTATEUNIV.23 REEDCOLLEGE24 ROGUECOMMUNITYCOLLEGE25 SOUTHWESTERNOREGONCOMMUNITYCOLLEGE26 TILLAMOOKBAYCOMMUNITYCOLLEGE27 UMPQUACOMMUNITYCOLLEGE28 WESTERNSTATESCHIROPRACTICCOLLEGE29 WILLAMETTEUNIVERSITY1 ARGOSYUNIVERSITY2 BRIGHAMYOUNGUNIVERSITY-HAWAII3 COLLEGEOFTHEMARSHALLISLANDS4 RESEARCHCORPORATIONOFTHEUNIVERSITYOFHAWAII5 UNIVERSITYOFHAWAIIATMANOANo. K-121 ARCHBISHOPFRANCISNORBERTBLANCHETSCHOOL2 BAKERCOUNTYSCHOOLDIST.16J-MALHEURESD3 BAKERSCHOOLDISTRICT5-J4 BANDONSCHOOLDISTRICT5 BANKSSCHOOLDISTRICT6 BEAVERTONSCHOOLDISTRICT7 BEND/LAPINESCHOOLDISTRICT8 BEND-LAPINESCHOOLDISTRICT9 BROOKINGHARBORSCHOOLDISTRICTNO.17-C

10 CANBYSCHOOLDISTRICT11 CANYONVILLECHRISTIANACADEMY12 CASCADESCHOOLDISTRICT13 CASCADESACADEMYOFCENTRALOREGON14 CENTENNIALSCHOOLDISTRICT15 CENTRALCATHOLICHIGHSCHOOL16 CENTRALPOINTSCHOOLDISTRICTNO.617 CENTRALSCHOOLDISTRICT13J18 CLACKAMASEDUCATIONSERVICEDISTRICT19 COOSBAYSCHOOLDISTRICT20 COOSBAYSCHOOLDISTRICTNO.921 COQUILLESCHOOLDISTRICT822 COUNTYOFYAMHILLSCHOOLDISTRICT2923 CRESWELLSCHOOLDISTRICT24 CROSSROADSCHRISTIANSCHOOL25 CULVERSCHOOLDISTRICTNO.26 DALLASSCHOOLDISTRICTNO.227 DAVIDDOUGLASSCHOOLDISTRICT28 DAYTONSCHOOLDISTRICTNO.829 DELASALLENCATHOLICHS30 DESCHUTESCOUNTYSDNO.6-SISTERSSD31 DOUGLASCOUNTYSCHOOLDISTRICT11632 DOUGLASEDUCATIONSERVICEDISTRICT33 DUFURSCHOOLDISTRICTNO.2934 ELKTONSCHOOLDISTRICTNO.3435 ESTACADASCHOOLDISTRICTNO.10836 FORESTGROVESCHOOLDISTRICT37 GASTONSCHOOLDISTRICT511J38 GENCONFOFSDACHURCHWESTERNOR39 GLADSTONESCHOOLDISTRICT40 GLENDALESCHOOLDISTRICT41 GLIDESCHOOLDISTRICTNO.1242 GRANTSPASSSCHOOLDISTRICT743 GREATERALBANYPUBLICSCHOOLDISTRICT44 GRESHAM-BARLOWSCHOOLDISTRICT45 HARNEYCOUNTYSCHOOLDIST.NO.346 HARNEYEDUCATIONSERVICEDISTRICT47 HEADSTARTOFLANECOUNTY48 HERITAGECHRISTIANSCHOOL49 HIGHDESERTEDUCATIONSERVICEDISTRICT50 HOODRIVERCOUNTYSCHOOLDISTRICT51 JACKSONCOSCHOOLDISTNO.952 JEFFERSONCOUNTYSCHOOLDISTRICT509-J53 JEFFERSONSCHOOLDISTRICT54 KLAMATHFALLSCITYSCHOOLS55 LAGRANDESCHOOLDISTRICT56 LAKEOSWEGOSCHOOLDISTRICT7J57 LANECOUNTYSCHOOLDISTRICT4J58 LANECOUNTYSCHOOLDISTRICT6959 LEBANONCOMMUNITYSCHOOLSNO.960 LINCOLNCOUNTYSCHOOLDISTRICT61 LINNCO.SCHOOLDIST.95C-SCIOSD62 LOSTRIVERJR/SRHIGHSCHOOL63 LOWELLSCHOOLDISTRICTNO.7164 MARIONCOUNTYSCHOOLDISTRICT103-WASHINGTONES65 MCMINNVILLESCHOOLDISTRICTNO.4066 MEDFORDSCHOOLDISTRICT549C67 MITCHCHARTERSCHOOL68 MOLALLARIVERACADEMY69 MOLALLARIVERSCHOOLDISTRICTNO.3570 MONROESCHOOLDISTRICTNO.1J71 MORROWCOUNTYSCHOOLDISTRICT72 MT.ANGELSCHOOLDISTRICTNO.9173 MT.SCOTTLEARNINGCENTERS74 MULTISENSORYLEARNINGACADEMY75 MULTNOMAHEDUCATIONSERVICEDISTRICT76 MYRTLEPOINTSCHOOLDISTRICTNO.4177 NEAH-KAH-NIEDISTRICTNO.5678 NESTUCCAVALLEYSCHOOLDISTRICTNO.10179 NOBELLEARNINGCOMMUNITIES80 NORTHBENDSCHOOLDISTRICT1381 NORTHCLACKAMASSCHOOLDISTRICT

82 NORTHSANTIAMSCHOOLDISTRICT29J83 NORTHWASCOCTYSCHOOLDISTRICT21-CHENOWITH84 NORTHWESTREGIONALEDUCATIONSERVICEDISTRICT85 NYSSASCHOOLDISTRICTNO.2686 ONTARIOMIDDLESCHOOL87 OREGONTRAILSCHOOLDISTRICTNO.4688 OURLADYOFTHELAKESCHOOL89 PHILOMATHSCHOOLDISTRICT90 PHOENIX-TALENTSCHOOLDISTRICTNO.491 PORTLANDADVENTISTACADEMY92 PORTLANDJEWISHACADEMY93 PORTLANDPUBLICSCHOOLS94 RAINIERSCHOOLDISTRICT95 REDMONDSCHOOLDISTRICT96 REEDSPORTSCHOOLDISTRICT97 REYNOLDSSCHOOLDISTRICT98 ROGUERIVERSCHOOLDISTRICTNO.3599 ROSEBURGPUBLICSCHOOLS100 SALEM-KEIZERPUBLICSCHOOLS101 SCAPPOOSESCHOOLDISTRICT1J102 SEASIDESCHOOLDISTRICT10103 SEVENPEAKSSCHOOL104 SHERWOODSCHOOLDISTRICT88J105 SILVERFALLSSCHOOLDISTRICT106 SIUSLAWSCHOOLDISTRICT107 SOUTHCOASTEDUCATIONSERVICEDISTRICT108 SOUTHLANESCHOOLDISTRICT45J3109 SOUTHERNOREGONEDUCATIONSERVICEDISTRICT110 SOUTHWESTCHARTERSCHOOL111 SPRINGFIELDSCHOOLDISTRICTNO.19112 STANFIELDSCHOOLDISTRICT113 SWEETHOMESCHOOLDISTRICTNO.55114 THECATLINGABELSCHOOL115 TIGARD-TUALATINSCHOOLDISTRICT116 UMATILLA-MORROWESD117 VERNONIASCHOOLDISTRICT47J118 WESTHILLSCOMMUNITYCHURCH119 WESTLINNWILSONVILLESCHOOLDISTRICT120 WHITEAKERMONTESSORISCHOOL121 YONCALLASCHOOLDISTRICTNO.321 CONGREGATIONOFCHRISTIANBROTHERSOFHAWAII,INC.2 EMMANUALLUTHERANSCHOOL3 HANAHAU`OLISCHOOL4 HAWAIITECHNOLOGYACADEMY5 ISLANDSCHOOL6 KAMEHAMEHASCHOOLS7 KEKULAOS.M.KAMAKAU8 MARYKNOLLSCHOOL9 PACIFICBUDDHISTACADEMYNo. Nonprofit&Other1 211INFO2 ACUMENTRAHEALTH3 ADDICTIONSRECOVERYCENTER,INC4 ALLFOURONE/CRESTVIEWCONFERENCECTR.5 ALVORD-TAYLORINDEPENDENTLIVINGSERVICES6 ALZHEIMERSNETWORKOFOREGON7 ASHLANDCOMMUNITYHOSPITAL8 ATHENALIBRARYFRIENDSASSOCIATION9 BARLOWYOUTHFOOTBALL10 BAYAREAFIRSTSTEP,INC.11 BENTONHOSPICESERVICE12 BETHELCHURCHOFGOD13 BIRCHCOMMUNITYSERVICES,INC.14 BLACHLYLANEELECTRICCOOPERATIVE15 BLINDENTERPRISESOFOREGON16 BONNEVILLEENVIRONMENTALFOUNDATION17 BOYSANDGIRLSCLUBSOFPORTLANDMETROPOLITANAREA18 BROADBASEPROGRAMSINC.19 CANBYFOURSQUARECHURCH20 CANCERCARERESOURCES21 CASCADIABEHAVIORALHEALTHCARE22 CASCADIAREGIONGREENBUILDINGCOUNCIL

23 CATHOLICCHARITIES24 CATHOLICCOMMUNITYSERVICES25 CENTERFORRESEARCHTOPRACTICE26 CENTRALBIBLECHURCH27 CENTRALCITYCONCERN28 CENTRALDOUGLASCOUNTYFAMILYYMCA29 CENTRALOREGONCOMMUNITYACTIONAGENCYNETWORK30 CHILDPEACEMONTESSORI31 CITYBIBLECHURCH32 CLACKAMASRIVERWATER33 CLASSROOMLAWPROJECT34 COASTREHABILITATIONSERVICES35 COLLEGEHOUSINGNORTHWEST36 COLUMBIACOMMUNITYMENTALHEALTH37 COMMUNITYACTIONORGANIZATION38 COMMUNITYACTIONTEAM,INC.39 COMMUNITYCANCERCENTER40 COMMUNITYHEALTHCENTER,INC41 COMMUNITYVETERINARYCENTER42 CONFEDERATEDTRIBESOFGRANDRONDE43 CONSERVATIONBIOLOGYINSTITUTE44 CONTEMPORARYCRAFTSMUSEUMANDGALLERY45 CORVALLISMOUNTAINRESCUEUNIT46 COVENANTCHRISTIANHOODRIVER47 COVENANTRETIREMENTCOMMUNITIES48 DECISIONSCIENCERESEARCHINSTITUTE,INC.49 DELIGHTVALLEYCHURCHOFCHRIST50 DOGSFORTHEDEAF,INC.51 DOUGLASELECTRICCOOPERATIVE,INC.52 EASTHILLCHURCH53 EASTSIDEFOURSQUARECHURCH54 EASTWESTMINISTRIESINTERNATIONAL55 EDUCATIONALPOLICYIMPROVEMENTCENTER56 ELMIRACHURCHOFCHRIST57 EMERALDPUD58 EMMAUSCHRISTIANSCHOOL59 ENAVANT,INC.60 ENTERPRISEFOREMPLOYMENTANDEDUCATION61 EUGENEBALLETCOMPANY62 EUGENESYMPHONYASSOCIATION,INC.63 EUGENEWATER&ELECTRICBOARD64 EVERGREENAVIATIONMUSEUMANDCAP.MICHAELKING.65 FAIRSHARERESEARCHANDEDUCATIONFUND66 FAITHCENTER67 FAITHFULSAVIORMINISTRIES68 FAMILIESFIRSTOFGRANTCOUNTY,INC.69 FANCONIANEMIARESEARCHFUNDINC.70 FARMWORKERHOUISNGDEVCORP71 FIRSTCHURCHOFTHENAZARENE72 FIRSTUNITARIANCHURCH73 FORDFAMILYFOUNDATION74 FOUNDATIONSFORABETTEROREGON75 FRIENDSOFTHECHILDREN76 GATEWAYTOCOLLEGENATIONALNETWORK77 GOALONECOALITION78 GOLDBEACHPOLICEDEPARTMENT79 GOODSHEPHERDCOMMUNITIES80 GOODWILLINDUSTRIESOFLANEANDSOUTHCOASTCOUNTIES81 GRANTPARKCHURCH82 GRANTSPASSMANAGEMENTSERVICES,DBA83 GREATERHILLSBOROAREACHAMBEROFCOMMERCE84 HALFWAYHOUSESERVICES,INC.85 HEARINGANDSPEECHINSTITUTEINC86 HELPNOW!ADVOCACYCENTER87 HIGHLANDHAVEN88 HIGHLANDUNITEDCHURCHOFCHRIST89 HIVALLIANCE,INC90 HOUSINGAUTHORITYOFLINCOLNCOUNTY91 HOUSINGAUTHORITYOFPORTLAND92 HOUSINGNORTHWEST93 INDEPENDENTINSURANCEAGENTSANDBROKERSOFOREGON94 INTERNATIONALSOCIETYFORTECHNOLOGYINEDUCATION

95 INTERNATIONALSUSTAINABLEDEVELOPMENTFOUNDATION96 IRCO97 JASPERMOUNTAIN98 JUNIORACHIEVEMENT99 KLAMATHHOUSINGAUTHORITY100 LACLINICADELCARINOFAMILYHEALTHCARECENTER101 LAGRANDEUNITEDMETHODISTCHURCH102 LANEELECTRICCOOPERATIVE103 LANEMEMORIALBLOODBANK104 LANECOFEDERALCREDITUNION105 LAURELHILLCENTER106 LIFEWORKSNW107 LIVINGWAYFELLOWSHIP108 LOAVES&FISHESCENTERS,INC.109 LOCALGOVERNMENTPERSONNELINSTITUTE110 LOOKINGGLASSYOUTHANDFAMILYSERVICES111 MACDONALDCENTER112 MAKINGMEMORIESBREASTCANCERFOUNDATION,INC.113 METROHOMESAFETYREPAIRPROGRAM114 METROPOLITANFAMILYSERVICE115 MIDCOLUMBIACOUNCILOFGOVERNMENTS116 MID-COLUMBIACENTERFORLIVING117 MID-WILLAMETTEVALLEYCOMMUNITYACTIONAGENCY,INC118 MORNINGSTARMISSIONARYBAPTISTCHURCH119 MORRISONCHILDANDFAMILYSERVICES120 MOSAICCHURCH121 NATIONALPSORIASISFOUNDATION122 NATIONALWILDTURKEYFEDERATION123 NEWAVENUESFORYOUTHINC124 NEWBEGINNINGSCHRISTIANCENTER125 NEWHOPECOMMUNITYCHURCH126 NEWBERGFRIENDSCHURCH127 NORTHBENDCITY-COOS/URRYHOUSINGAUTHORITY128 NORTHWESTFOODPROCESSORSASSOCIATION129 NORTHWESTLINEJOINTAPPRENTICESHIP&TRAININGCOMMITTEE130 NORTHWESTREGIONALEDUCATIONALLABORATORY131 NORTHWESTYOUTHCORPS132 OCHIN133 OHSUFOUNDATION134 OLIVETBAPTISTCHURCH135 OMNIMEDIXINSTITUTE136 OPENMEADOWALTERNATIVESCHOOLS,INC.137 OREGONBALLETTHEATRE138 OREGONCITYCHURCHOFTHENAZARENE139 OREGONCOASTCOMMUNITYACTION140 OREGONDEATHWITHDIGNITY141 OREGONDONORPROGRAM142 OREGONEDUCATIONASSOCIATION143 OREGONENVIRONMENTALCOUNCIL144 OREGONMUSUEMOFSCIENCEANDINDUSTRY145 OREGONPROGRESSFORUM146 OREGONREPERTORYSINGERS147 OREGONSTATEUNIVERSITYALUMNIASSOCIATION148 OREGONSUPPORTEDLIVINGPROGRAM149 OSLCCOMMUNITYPROGRAMS150 OUTSIDEIN151 OUTSIDEIN152 PACIFICCASCADEFEDERALCREDITUNION153 PACIFICFISHERYMANAGEMENTCOUNCIL154 PACIFICINSTITUTESFORRESEARCH155 PACIFICSTATESMARINEFISHERIESCOMMISSION156 PARALYZEDVETERANSOFAMERICA157 PARTNERSHIPSINCOMMUNITYLIVING,INC.158 PENDLETONACADEMIES159 PENTAGONFEDERALCREDITUNION160 PLANNEDPARENTHOODOFSOUTHWESTERNOREGON161 PORTCITYDEVELOPMENTCENTER162 PORTLANDARTMUSEUM163 PORTLANDBUSINESSALLIANCE164 PORTLANDHABILITATIONCENTER,INC.165 PORTLANDSCHOOLSFOUNDATION166 PORTLANDWOMENSCRISISLINE

167 PREGNANCYRESOUCECENTERSOFGRETERPORTLAND168 PRINGLECREEKSUSTAINABLELIVINGCENTER169 PUBLICDEFENDERSERVICESOFLANECOUNTY,INC.170 QUADRIPLEGICSUNITEDAGAINSTDEPENDENCY,INC.171 REBUILDINGTOGETHER-PORTLANDINC.172 REGIONALARTSANDCULTURECOUNCIL173 RELEVANTLIFECHURCH174 RENEWABLENORTHWESTPROJECT175 ROGUEFEDERALCREDITUNION176 ROSEVILLA,INC.177 SACREDHEARTCATHOLICDAUGHTERS178 SAIFCORPORATION179 SAINTANDREWNATIVITYSCHOOL180 SAINTCATHERINEOFSIENACHURCH181 SAINTJAMESCATHOLICCHURCH182 SALEMALLIANCECHURCH183 SALEMELECTRIC184 SALMON-SAFEINC.185 SCIENCEWORKS186 SEWORKS187 SECURITYFIRSTCHILDDEVELOPMENTCENTER188 SELFENHANCEMENTINC.189 SERENITYLANE190 SEXUALASSAULTRESOURCECENTER191 SEXUALASSAULTRESOURCECENTER192 SHELTERCARE193 SHERIDANJAPANESESCHOOLFOUNDATION194 SHERMANDEVELOPMENTLEAGUE,INC.195 SILVERTONAREACOMMUNITYAID196 SISKIYOUINITIATIVE197 SMART198 SOCIALVENTUREPARTNERSPORTLAND199 SOUTHCOASTHOSPICE,INC.200 SOUTHLANEFAMILYNURSERYDBAFAMILYRELIEFNURSE201 SOUTHERNOREGONCHILDANDFAMILYCOUNCIL,INC.202 SOUTHERNOREGONHUMANESOCIETY203 SPARCENTERPRISES204 SPIRITWIRELESS205 SPONSORS,INC.206 SPOTLIGHTTHEATREOFPLEASANTHILL207 SPRINGFIELDUTILITYBOARD208 STVINCENTDEPAUL209 ST.ANTHONYCHURCH210 ST.ANTHONYSCHOOL211 ST.MARYSOFMEDFORD,INC.212 ST.VINCENTDEPAULOFLANECOUNTY213 STANDFORCHILDREN214 STAROFHOPEACTIVITYCENTERINC.215 SUMMITVIEWCOVENANTCHURCH216 SUNNYSIDEFOURSQUARECHURCH217 SUNRISEENTERPRISES218 SUSTAINABLENORTHWEST219 TENASILLAHEECHILDCARECENTER220 THEEARLYEDUCATIONPROGRAM,INC.221 THENATIONALASSOCIATIONOFCREDITMANAGEMENT-OREGON,

INC.222 THENEXTDOOR223 THEOREGONCOMMUNITYFOUNDATION224 THESALVATIONARMY-CASCADEDIVISION225 TILLAMOOKCNTYWOMENSCRISISCENTER226 TILLAMOOKESTUARIESPARTNERSHIP227 TOUCHSTONEPARENTORGANIZATION228 TRAILSCLUB229 TRAININGEMPLOYMENTCONSORTIUM230 TRI-COUNTYHEALTHCARESAFETYNETENTERPRISE231 TRILLIUMFAMILYSERVICES,INC.232 UMPQUACOMMUNITYDEVELOPMENTCORPORATION233 UNIONGOSPELMISSION234 UNITEDCEREBRALPALSYOFORANDSWWA235 UNITEDWAYOFTHECOLUMBIAWILLAMETTE236 USCONFERENCEOFMENONNITEBRETHRENCHURCHES237 USFISHANDWILDLIFESERVICE

238 USAGENCIESCREDITUNION239 VERMONTHILLSFAMILYLIFECENTER240 VIRGINIAGARCIAMEMORIALHEALTHCENTER241 VOLUNTEERSOFAMERICAOREGON242 WECAREOREGON243 WESTERNRIVERSCONSERVANCY244 WESTERNSTATESCENTER245 WESTSIDEBAPTISTCHURCH246 WILDSALMONCENTER247 WILLAMETTEFAMILY248 WILLAMETTEVIEWINC.249 WOODBURNAREACHAMBEROFCOMMERCE250 WORDOFLIFECOMMUNITYCHURCH251 WORKSYSTEMSINC252 YOUTHGUIDANCEASSOC.253 YWCASALEM1 ALOCHOLICREHABILITATIONSVSOFHIINCDBAHINAMAUKA2 ALOHACARE3 AMERICANLUNGASSOCIATION4 BISHOPMUSEUM5 BUILDINGINDUSTRYASSOCIATIONOFHAWAII6 CTRFORCULTURALANDTECHINTERCHNGBETWEASTANDWEST7 EAH,INC.8 EASTERSEALSHAWAII9 GOODWILLINDUSTRIESOFHAWAII,INC.10 HABITATFORHUMANITYMAUI11 HALEMAHAOLU12 HAROLDK.L.CASTLEFOUNDATION13 HAWAIIAGRICULTURERESEARCHCENTER14 HAWAIIEMPLOYERSCOUNCIL15 HAWAIIFAMILYLAWCLINICDBAALAKUOLA16 HONOLULUHABITATFORHUMANITY17 IUPAT,DISTRICTCOUNCIL5018 LANAKILAREHABILITATIONCENTERINC.19 LEEWARDHABITATFORHUMANITY20 MAUICOUNTYFCU21 MAUIECONOMICDEVELOPMENTBOARD22 MAUIECONOMICOPPORTUNITY,INC.23 MAUIFAMILYYMCA24 NAHALEOMAUI25 NALEIALOHAFOUNDATION26 NETWORKENTERPRISES,INC.27 ORIANUENUEHALE,INC.28 PARTNERSINDEVELOPMENTFOUNDATION29 POLYNESIANCULTURALCENTER30 PUNAHOUSCHOOL31 ST.THERESACHURCH32 WAIANAECOMMUNITYOUTREACH33 WAILUKUFEDERALCREDITUNION34 YMCAOFHONOLULUNo. Special/IndependentDistricts1 BAYAREAHOSPITALDISTRICT2 CENTRALOREGONINTERGOVERNMENTALCOUNCIL3 CENTRALOREGONIRRIGATIONDISTRICT4 CHEHALEMPARKANDRECREATIONDISTRICT5 CITYCOUNTYINSURANCESERVICES6 CLEANWATERSERVICES7 COLUMBIA911COMMUNICATIONSDISTRICT8 COLUMBIARIVERPUD9 DESCHUTESCOUNTYRFPDNO.210 DESCHUTESPUBLICLIBRARYSYSTEM11 EASTMULTNOMAHSOILANDWATERCONSERVANCY12 GASTONRURALFIREDEPARTMENT

13 GLADSTONEPOLICEDEPARTMENT14 GLENDALERURALFIREDISTRICT15 HOODLANDFIREDISTRICTNO.7416 HOODLANDFIREDISTRICT#7417 HOUSINGAUTHORITYANDCOMMUNITYSERVICESAGENCY18 KLAMATHCOUNTY9-1-119 LANEEDUCATIONSERVICEDISTRICT20 LANETRANSITDISTRICT21 MALINCOMMUNITYPARKANDRECREATIONDISTRICT22 MARIONCOUNTYFIREDISTRCT#123 METRO24 METROPOLITANEXPOSITION-RECREATIONCOMMISSION25 MONMOUTH-INDEPENDENCENETWORK26 MULTONAHCOUNTYDRAINAGEDISTRICT#127 NEAHKAHNIEWATERDISTRICT28 NWPOWERPOOL29 OAKLODGEWATERDISTRICT30 ORINT'LPORTOFCOOSBAY31 PORTOFSTHELENS32 PORTOFUMPQUA33 REGIONALAUTOMATEDINFORMATIONNETWORK34 RIVERGROVEWATERDISTRICT35 SALEMAREAMASSTRANSITDISTRICT36 SANDYFIREDISTRICTNO.7237 SUNSETEMPIREPARKANDRECREATION38 THENEWPORTPARKANDRECREATIONCENTER39 THEPORTOFPORTLAND40 TILLAMOOKPEOPLESUTILITYDISTRICT41 TUALATINHILLSPARKANDRECREATIONDISTRICT42 TUALATINVALLEYFIRE&RESCUE43 TUALATINVALLEYWATERDISTRICT44 UNIONSOIL&WATERCONSERVATIONDISTRICT45 WESTMULTNOMAHSOILANDWATERCONSERVATIONDISTRICT46 WESTVALLEYHOUSINGAUTHORITY47 WILLAMALANEPARKANDRECREATIONDISTRICT48 YOUNGSRIVERLEWISANDCLARKWATERDISTRICTNo. StateAgencies1 BOARDOFMEDICALEXAMINERS2 OFFICEOFMEDICALASSISTANCEPROGRAMS3 OFFICEOFTHESTATETREASURER4 OREGONBOARDOFARCHITECTS5 OREGONCHILDDEVELOPMENTCOALITION6 OREGONDEPARTMENTOFEDUCATION7 OREGONDEPARTMENTOFFORESTRY8 OREGONDEPTOFTRANSPORTATION9 OREGONDEPT.OFEDUCATION10 OREGONLOTTERY11 OREGONOFFICEOFENERGY12 OREGONSTATEBOARDOFNURSING13 OREGONSTATEPOLICE14 OREGONTOURISMCOMMISSION15 OREGONTRAVELINFORMATIONCOUNCIL16 SANTIAMCANYONCOMMUNICATIONCENTER17 SEIULOCAL503,OPEU1 ADMIN.SERVICESOFFICE2 HAWAIICHILDSUPPORTENFORCEMENTAGENCY3 HAWAIIHEALTHSYSTEMSCORPORATION4 SOH-JUDICIARYCONTRACTSANDPURCH5 STATEDEPARTMENTOFDEFENSE6 STATEOFHAWAII7 STATEOFHAWAII8 STATEOFHAWAII,DEPT.OFEDUCATION