1. No category

Fort Bend Independent
School District (FBISD)
RFB Cover Sheet
Job No.:
Due Date:
13-017GT
November 30, 2012
DUE NO LATER THAN 2:00 PM (CST)
LATE BIDS WILL NOT BE ACCEPTED
Request for Bid (RFB) : PC Hardware, Services and Related Items
PLEASE NOTE
Carefully read entire document.
Complete all forms and submit
your response with all appropriate
attachments.
Please submit your hard copy response in a
sealed envelope with Job No., description,
and marked “SEALED BID”.
RETURN BID PACKET TO:
Attn: Gloria Truskowski, RTSBA Purchasing
Fort Bend Independent School District
555 Julie Rivers Drive
Sugar Land, TX 77478
For additional information contact Gloria Truskowski 281-634-1803 or by email at
[email protected]
You must sign below in ink and all responses must be typewritten or written in ink
Company Name:
Company Address:
City, State, & Zip
Taxpayer I.D. #
Telephone #
Fax # ______________ e-mail
Print Name
Signature
Your signature attests to your offer to provide the goods and/or services in this
proposal according to the published provisions of this Job. Contract is not valid until
FBISD Board has approved the award.
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
1
PC Hardware, Services and Related Items
BACKGROUND
FBISD is a K-12 public school district in Fort Bend County serving a student enrollment of over 69,000. The
district currently consists of 74 campuses and 14 administrative sites. The intention of this Request for Bid
(RFB) is to solicit bids for PC Hardware, Services and Related Items for FBISD.
For information regarding the bid process, or questions please contact Gloria Truskowski of the Purchasing
Division at [email protected].
Special Note
Please be reminded that all FBISD campuses and departments are tobacco, drug and weapon free facilities.
Vendors are responsible for the conduct of their employees and adherence to FBISD building policies.
General Terms, Conditions and Requirements for Solicitations
This solicitation shall be governed by the following documents which are incorporated herein. A copy may be
obtained at http://www.fortbendisd.com/docs/purchasing/general-provisions-for-purchasing-solicitations-andcontracts.pdf
or by contacting the Fort Bend ISD Buyer listed on the cover sheet. Any exception to the terms and conditions
must be included in the Proposer’s response.
Texas Education Code 44.031
Purchasing and Acquisition, FBISD Policy CH (Legal)
Purchasing and Acquisition, FBISD Policy CH (Local)
The contract period shall be for one (1) year with the option to renew for an additional (4) four years beginning
with Board approval.
RESPONSE REQUIREMENTS
FBISD will accept sealed bids either by mail or hand delivery until November 30, 2012 at 2:00 PM (CST). Bids
received after the opening date and time will not be accepted and will be returned unopened. Three copies (3) of
this bid will need to be submitted along with your original.
QUESTIONS & ANSWERS
Any questions or needed clarifications pertaining to this bid shall be emailed to
[email protected]. All questions must be submitted no later than November 26, 2012 @
10:00 AM (CST). Answers will be posted on November 27, 2012 at the following Fort Bend ISD site:
http://purchasing.fortbendisd.com/CurrentBids.aspx
FBISD reserves the right to award this contract as best meets the district needs to include by line items, group,
single, dual or multiple award.
DESCRIPTION
Fort Bend ISD is seeking bids for PC Hardware along with hardware implementation, integration and removal
services. Large volume purchasing and deployment of student, teacher, and administrative PC’s typically occur
during the summer months with a completion window during the first week of August. Smaller, individual
campus orders are done throughout the year.
2
HARDWARE:
The specifications for the hardware are listed below:
All-In-One PC (Administrator Model)
Model
Operating System
HP 8200 Elite AiO Desktop PC-LN055AV
Windows 7 Downgrade to XP
Processor
Form factor
Intel Core i-5-2400S
All-In-One with pivoting stand
Memory
Memory
Internal Drive
6 GB RAM
250Gb SATA
Optical Drive
HP Slim Tray Load 8X SuperMulti Drive
Graphics
Graphics
Intel® HD Graphics
Expansion Features
Ports
USB 2.0
audio headphone jack
microphone in
audio in
audio out
DisplayPort
Media Devices
Audio
Integrated High Definition audio
Communication Features
Network interface
Warranty (Desktop)
Integrated 10/100/1000 NIC
Intel 802.11a/b/g/n Wireless 6205 Mini-PCIe
3 year parts, labor and onsite service (3/3/3) standard
warranty.
3
All-In-One PC (Teacher Model)
Model
Operating System
HP 8200 Elite AiO Desktop PC-LN055AV
Windows 7 Downgrade to XP
Processor
Form factor
Intel Core i-5-2400S
All-In-One with pivoting stand
Memory
Memory
Internal Drive
6 GB RAM
250Gb SATA
Optical Drive
HP Slim Tray Load 8X SuperMulti Drive
Graphics
Graphics
Intel® HD Graphics
NL571AA HP USB Graphics Adapter VGA
Expansion Features
Ports
USB 2.0
audio headphone jack
microphone in
audio in
audio out
DisplayPort
Media Devices
Audio
Integrated High Definition audio
Communication Features
Network interface
Warranty (Desktop)
Integrated 10/100/1000 NIC
Intel 802.11a/b/g/n Wireless 6205 Mini-PCIe
3 year parts, labor and onsite service (3/3/3) standard
warranty.
4
All-In-One PC (Student Model)
Model
Operating System
HP 7320 TouchSmart Elite AiO – QS101AV
Windows 7 64 Bit
Processor
Form factor
Intel Core i-5-2400S
All-In-One with pivoting stand
Memory
Memory
Internal Drive
6 GB RAM
250Gb SATA
Optical Drive
HP Slim Tray Load 8X SuperMulti Drive
Graphics
Graphics
Intel® HD Graphics
Expansion Features
Ports
USB 2.0
audio headphone jack
microphone in
audio in
audio out
DisplayPort
Media Devices
Audio
Integrated High Definition audio
Communication Features
Network interface
Warranty (Desktop)
Integrated 10/100/1000 NIC
Intel 802.11a/b/g/n Wireless 6205 Mini-PCIe
3 year parts, labor and onsite service (3/3/3) standard
warranty.
5
Administrator Laptop (CPU Only)
Administrator Laptop (Stand Alone CPU Only)
Model
HP ProBook 6460b
Operating System
Windows 7 downgrade to XP
Processor
Intel® Core™ i5-2520M
Memory
8 GB RAM
Storage
Internal drives
320 Gb
Optical Drive
DVD-ROM; DVD+/-RW SuperMulti DL
Graphics
Display
14 Inch 1600x900 with Webcam
Graphics
Expansion Features
Ports
Audio
Intel® HD Graphics
USB 2.0
1394a
DisplayPort
VGA
stereo microphone in
stereo headphone/line-out
AC power
RJ-45
docking connector
Integrated stereo speakers; Integrated microphone Stereo
headphone/line out; Stereo microphone/line in
Communications
Network interface
Wireless
Battery type
Battery life
Integrated Gigabit Ethernet PCI Controller (10/100/1000 NIC)
Integrated Wireless 802.11a/b/g/n
6 cell battery
Warranty
Three (3) year replacement plan/product warranty
6
Administrator Laptop (With Standard Monitor)
Administrator Laptop (Bundle)
Model
HP ProBook 6460b
Operating System
Windows 7 downgrade to XP
Processor
Intel® Core™ i5-2520M
Memory
8 GB RAM
Storage
Internal drives
320 Gb
Optical Drive
DVD-ROM; DVD+/-RW SuperMulti DL
Graphics
Display
14 Inch 1600x900 with Webcam
Graphics
Expansion Features
Ports
Audio
Intel® HD Graphics
USB 2.0
1394a
DisplayPort
VGA
stereo microphone in
stereo headphone/line-out
AC power
RJ-45
docking connector
Integrated stereo speakers; Integrated microphone Stereo
headphone/line out; Stereo microphone/line in
Communications
Network interface
Wireless
Battery type
Battery life
Integrated Gigabit Ethernet PCI Controller (10/100/1000 NIC)
Integrated Wireless 802.11a/b/g/n
6 cell battery
Warranty
Three (3) year replacement plan/product warranty
Additional Items
Monitor
Warranty (Monitor)
Docking Station
Keyboard / Mouse
19-inch Widescreen LCD Monitor
Three years parts, labor, and on-site service.
Docking Station with integrated video and USB ports
USB Keyboard and Mouse Bundle
7
Small Form Factor PC (Stand Alone)
Model
Operating System
HP 6200 Pro Small Form Factor PC
Windows 7 Downgrade to XP
Processor
Intel Core i-5-2400S
Memory
Memory
Storage
Internal Drive
Optical Drive
Graphics
6 GB RAM
160 Gb SATA HDD
HP SATA SuperMulti DVD Writer
Graphics Display Card
Warranty (Desktop)
AMD Radeon HD 7450 DP (1GB) PCIe x16 Graphics
Card
3 Year Warranty
Small Form Factor PC (Bundle)
Model
Operating System
HP 6200 Pro Small Form Factor PC
Windows 7 Downgrade to XP
Processor
Intel Core i-5-2400S
Memory
Memory
Storage
Internal Drive
Optical Drive
Graphics
Display
Graphics Display Card
Display Card Accessories
Stand
Warranty (Desktop and Monitor)
6 GB RAM
160 Gb SATA HDD
HP SATA SuperMulti DVD Writer
19 Wide LCD Monitor compatible ports with card
listed below. DVI is preferred
AMD Radeon HD 7450 DP (1GB) PCIe x16 Graphics
Card
Include additional video cables for correct monitor and
display card configuration. DVI is preferred
Integrated CPU and Monitor Stand
3 Year Warranty
8
Workstation (Bundle)
Model
Operating System
HP Z1 AiO Energy Start Workstation
Windows 7 64Bit
Processor
Xeon E3-1245
Memory
Memory
Storage
Internal Drive
Optical Drive
Graphics
Graphics Display Card
Display Card Accessories
2nd Monitor
Warranty (AiO and Monitor)
6 GB RAM
250 Gb SATA HDD
HP SATA SuperMulti DVD Writer
NVIDIA QADRO 1000M
Include additional video cables for correct monitor and
display card configuration.
19 Inch Secondary Monitor
3 Year Warranty
DEPLOYMENT (Set-up) SERVICES FOR ALL PC:
1. Equipment Delivery & Setup Services- The awarded vendor will contact the PO requester to schedule
a time and date for delivery and set-up. Classroom set-ups will not be made during instructional time.
The vendor must provide an electronic copy of MAC addresses and Serial Numbers for units to be
delivered to Technology Services. Vendor will provide equipment transportation and delivery services
from a designated receiving/staging location to a number of FBISD sites throughout FBISD district
boundaries. The vendor must un-box and setup individual CPU's, and Monitors to specified classroom
locations. Each unit must be fully assembled and upon delivery plugged in and powered on. The
vendor will also apply minor configuration changes such as boot order and verify hardware integrity
once the setup has been completed. At the completion of each site deployment all shipping and
packaging debris must be removed.
2. Equipment Removal Services- Prior to installing any new equipment, all existing equipment to be
removed will be identified by FBISD. The vendor must provide their own covered delivery trucks and
staff to remove the old equipment. The equipment will have to be transported from any number of
FBISD schools to FBISD designated storage or staging locations. The vendor must have their own
equipment to manage the movement of this equipment to include carts, palettes and shrink wrap
material. The vendor will palletize and shrink wrap PC, CPU's, monitors, Keyboards, Mice and cordage
in accordance with FBISD specifications prior to delivery to the final storage location. Please note that
there will be instances where single replacement units will not be immediately removed to ensure
successful data transfer for the end user.
Vendor shall submit a copy of delivery slip with the name of person receiving the order (print and signature) and
date to FBISD Business and Finance Dept. Attn: Fixed Assets Manager.
Vendor should be capable of handling individual deliveries to large volume deliveries of equipment. Equipment
orders may have to be pre-staged at vendor’s warehouse or storage facilities prior to being sent to final location.
Final deliver location will be dependent upon a mutually agreed upon time and location.
UPGRADES and SUBSTITUTIONS:
Fort Bend ISD has the option to upgrade or substitute bundles and other related items any time during the
contracted period.
9
RELATED ITEMS AND SERVICES are defined as other items and services not listed in the bid, but may be
purchased by the FBISD.
INVOICING: Invoice should be sent to Accounts Payable with the following information printed on the
invoice: MAC address and Serial number for each unit.
STAFF AUGMENTATION SERVICES: Provide an hourly rate for standard Desktop Analyst Services for
staff augmentation service requests. Also define a minimum number of hours required to engage these services.
ACCESSORIES, OPTIONS, AND UPGRADES
Options, accessories or upgrades must be approved by Fort Bend ISD and will be of equal or greater in features.
METHOD OF ORDERING
The successful vendor will facilitate with the appropriate Fort Bend ISD Department(s) in merging their catalog
information, with the awarded items on this bid at the negotiated price, into the Fort Bend ISD Oracle System,
or provide a technology equipment ordering process. This will allow Fort Bend ISD schools and departments to
configure desktop and laptop computers, and network multi-functional peripherals for bulk and special ordering.
The catalog information will be modified as technology equipment specifications change. The purchase order
will be submitted to the successful vendor electronically via email.
VENDOR QUALIFICATIONS
The vendor shall be a tier one hardware provider. Furthermore, a copy of all factory authorized
repair/maintenance certification is to accompany the bid document. In addition, the manufacturer solicited is
required to provide demonstrated competencies and references in rolling out volume of desktop and laptop
computers, also network multi-functional peripherals of similar size and nature to Fort Bend ISD
SERVICING
A representative must be available throughout the term of the agreement to respond to all calls from Fort Bend
ISD customers to assist in resolving complaints and problems regarding orders, deliveries, returned and
exchanged defective or damaged equipment. Problems resulting in an exchange could consist of, but would not
be limited to a corrupted software image, or involving defective or damaged equipment received.
RECYCLE PROGRAM
The district accumulates a number of computers a year. Does your company offer a recycling program? If so,
please explain how it works and its benefits to the district.
Time Table:
FBISD anticipates following the time table listed below for this bid:
Item
1
Activity
Job starts to advertise (1st run)
Date
11/09/2012
2
Job advertises (2nd run)
11/16/2012
3
Question Due
11/26/2012
4
Bid Package Due (2:00 PM) CST
11/30/2012
5
Presentation to Board of Trustees
02/11//2013
6
Tabulations and awards posted to
http://www.fortbend.k12.tx.us/finance/bid_awards.cfm
02/13/2013
The time table above is only an estimate and actual dates may vary.
10
PRICE DELIVERY INFORMATION
I.
Respondent must complete the open boxes using information supplied in the Description section listed
above.
Bidder:
II. PC Bundle pricing ONLY. Please provide your company’s order number for the bundles below.
Quantities are based on historically gathered information over a 4 year period. Quantities are not
guaranteed.
Item
Description
Order Number
Qty.
1.
All-In-One PC (Administrator Model)
2500
2.
All-In-One (Student Model)
1,000
3.
All-In-One PC (Teacher Model)
1000
4.
Administrator Laptop (CPU Only)
100
5.
Administrator Laptop (Bundle)
100
6.
Small Form Factor Workstation PC (Stand Alone)
50
7.
Small Form Factor Workstation (Bundle)
300
8.
Workstation (Bundle)
500
9.
Aver Keys Avermedia Averkey 300 Gold
100
Unit
Price
Extension
Price
TOTAL:
(#1-9)
10. Cost of deployment service: _$________________per PC.
11
PC (conti)
Item
Description
Part Number
Qty.
Notebook
Mobility
20
Unit
Price
Extension
Price
11. JAR Cart, Laptop (30 unit capacity) Cart Assembly
and Configuration Services must be included along
with wireless access point. CISCO Aironet 1142 AP
and CISCO Switch As follows:
Cisco
WS-C3750X24P-S
Catalyst 3750X 24
Port PoE IP Base
Cisco
C3KX-PWR715WAC
Cisco
C3KX-NM-1G
Cisco
CAB-3KX-AC
Catalyst 3K-X 715W
AC Power Supply
Catalyst 3K-X 1G
Network Module
option PID
AC Power Cord for
Catalyst 3K-X (North
America)
Cisco
CAB-SPWR30CM
Cisco
CAB-STACK50CM
Cisco
CON-SNT3750X2PS
Cisco
S375XVK9T12255SE
Catalyst 3750X Stack
Power Cable 30 CM
Cisco StackWise
50CM Stacking
Cable
SMARTNET
8X5XNBD Catalyst
3750X 24 PoE IP
Base
CAT 3750X IOS
UNIVERSAL WITH
WEB BASE DEV
MGR
12. Cable, Tripp Lite 25' Cat 5
100
13. Cable, Tripp Lite 50' Cat 5
50
14. Cable, Tripp Lite 10’ Cat 5
500
15. Case, Laptop Carrying
50
16. Computer, Docking Station
100
17. Computer, Keyboard
18. Computer, Monitor
19. Computer, Mouse
Kensington
#S964370
19-inch
Widescreen LCD
Monitor with DVI
and VGA
interface
Logitech Optical
2 Button
#S9931643-0403
30
75
50
12
PC (conti)
Item
Description
Display Port Cables (Display Port M to VGA F
20. Dongle)
21. Flash Driver, USB, 2 GB
Part Number
Display Port
Adaptor
Edge 2GB
DISKGO! PPEEDGMDG002GD
ISKGO; #932830
22. Mouse, USB Optical Travel
RH304AA
ELO 1515L 15"
Touchmonitor
#V21394
POS Line Touch Screens 15LCD w/ Intellitouch
23. USB Serial
24. HP ScanJet 1000 (Mobile Scanner)
Qty.
Unit
Price
2000
80
20
15
5
25. Scanner, HP Scanjet 5590c
#L1910A#B1H
Logitech V10
Notebook
Speakers
26. Speaker, Small External (2 speakers per set)
27. Seagate USB 500gb 7.2K 3.5” EX HDD
40
12
100
TOTAL PC (items 11-27)
Related Items (PC Hardware)
28.
II.
IV.
$
% discount
%
Staff Augmentation Services: Provide an hourly rate for standard Desktop Analyst Services for staff
augmentation service requests. Also, define a minimum number of hours required to engage these
services.
$
III
Extension
Price
hourly rate
minimum hours required
Related Items and Services
What percentage discount could you offer FBISD off your pricing on services not listed above? (If this
line is left blank, it will be considered a “no bid”. Please fill in the percentage discount even if it is 0%).
a.
% discount on items
b.
% discount on repairs
c.
% discount on other services
Payment information: Please provide your payment remit address:
13
V.
Please provide an e-mail address where purchase orders can be sent.
E-mail:
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
14
QUESTIONNAIRE
Bidder:
1.
Does the Hardware Manufacturer support a Self-Maintainer Program?
If so list the requirements for enrollment into that program.
Yes___ No___
2.
How long has your company been in this type of business?
3.
What implementing methodology will the company provide in setting up an FBISD account and how
seamless of a transition will it be?
years
_______________________________________________________________________________
4.
Are you able to provide on-line ordering through Oracle as explained on page 9 (Method of Ordering)
at no cost to Fort Bend ISD?
Yes____ No____
5.
Is your company able to provide the customized bundles Fort Bend ISD is requesting in this bid?
Yes____ No____
6.
Does your company provide a recycling program?
If yes, please provide a brief explanation of the program.
Yes____ No____
7.
Did you submit (3) copies of your bid along with your original?
Yes____ No____
8.
Have you done business with Fort Bend ISD in the last 5 years?
Describe job and department you worked with.
Yes____ No____
9.
Are you a part of a purchasing cooperative or state contract?
Yes____ No____
If so please provide the cooperative name(s), contract number(s) and expiration date(s).
Name:
Contract #
Exp. Date:
Name:
Contract#
Exp. Date:
TRAINING:
10.
Explain in detail the user training that will be provided. The technical support and customer support that will
be made available. ______________________________________
11.
Will you have a 24 hour/7 day customer service support?
Yes___ No___
15
12.
How many hours of training are included with the bid and how many people are included?
_____________________training hours_______________________________# of people included
13. Is there a charge for additional on-site user training or on-site technical support? Yes___ No___
If yes, what is the charge?
INSTALLATION
14.
What is the length of time it will take to install and train personnel? _________________________
15.
What is the lead time for delivery and complete installation of the system? ____________________
________________________________________________________________________________
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
16
CERTIFICATE OF RESIDENCY
The State of Texas has passed a law concerning non-resident contractors. This law can be found in Texas
Education Code under Chapter 2252, Subchapter A. This law makes it necessary for FBISD to determine the
residency of its proposers. In part, this law reads as follows:
“Section: 2252.001
(3)
‘Non-resident bidder’ refers to a person who is not a resident.
(4)
‘Resident bidder’ refers to a person whose principal place of business is in this state, including a
contractor whose ultimate parent company or majority owner has its principal place of business in this
state.
Section: 2252.002
A governmental entity may not award a governmental contract to a nonresident bidder unless the
nonresident underbids the lowest bid submitted by a responsible resident bidder by an amount that is not
less than the amount by which a resident bidder would be required to underbid the nonresident bidder to
obtain a comparable contract in the state in which the nonresident’s principal place of business is
located.”
I certify that
(Name of Company Bidding)
is, under Section: 2252.001 (3) and (4), a
Resident Bidder
Non-resident Bidder
My or Our principal place of business under Section: 2252.001 (3) and (4), is in the city of
in the state of
Signature of Authorized Company Representative
Print Name
Title
Date
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
17
HUB OR MINORITY OWNED BUSINESS
(Tracking purposes only)
1. Is your company owned (51% or more) by an individual or individuals designated as minority, womanowned or handicapped? YES___NO___
2. If you answered yes to question number (1), please submit a copy of the applicable certification with
your proposal document.
Fort Bend Independent School District does not currently maintain set-asides or give preference to HUB
proposals. The above information is solicited for the purpose of statistical tracking only.
The Fort Bend Independent School District’s Supplier Diversity Program ensures that the District will use its
best efforts to inform small, women-owned, and minority businesses of current and future purchasing activities.
The District encourages the participation of these businesses in purchasing of all goods and services. This
information can be found at:
http://www.fortbend.k12.tx.us/finance/Supplier%20Diversity%20updated%20072710.pdf.
FORT BEND INDEPENDENT SCHOOL DISTRICT
Affidavit of Non-Discriminatory Employment
This company, Contractor, or Subcontractor agrees to refrain from discrimination in terms and conditions of
employment on the basis of race, color, religion, sex, or national origin, and agrees to take affirmative action as
required by Federal Statutes and rules and regulations issued pursuant thereto in order to maintain and insure
non-discriminatory employment practices.
_____________________________________
Signature
_____________________________________
Printed Name & Title
_____________________________________
Company Name
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
18
MWBE REGISTRATION APPLICATION
(Tracking purpose only)
Fort Bend Independent School District
Purchasing Department
555 Julie Rivers Drive
Sugar Land, TX 77478
(281) 634-1801 Fax: (281) 634-1829
Instructions: To become registered with FBISD as a certified minority and/or woman owned business enterprise
(MWBE) firm, complete this application, and attach a copy of your MWBE certificate. Mail or fax to the
Purchasing Office at the above address.
Name of Company:
Mailing Address:
City/State:
Telephone Number:
Remit to Address (if different from above):
Mailing Address:
City/State:
Federal I.D. No:
E-mail Address:
Owner’s Name:
Please  Check the Block That Applies
Business Code:
10
30
Sole Proprietorship
Corporation
20
40
Partnership
Joint Venture
100
300
500
African-American
Asian Americans
American Indians
200
400
600
Hispanic
Alaska Natives
Pacific Islanders
100
Male
200
Female
100
300
Houston
Out of State (HQ)
200
400
Texas
Fort Bend County
MWBE Ownership:
Gender:
Business Location:
 Houston Minority Business Council
 City of Houston
 Women’s Business Enterprise Alliance
 HUB (State of Texas) Historically Underutilized Businesses
Signature of Authorized Agent:
Title:
Date:
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
19
FELONY CONVICTION NOTIFICATION
State of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History, Subsection (a),
states “a person or business entity that enters into a contract with a school district must give advance notice to
the district if the person or an owner or operator of the business entity has been convicted of a felony. The
notice must include a general description of the conduct resulting in the conviction of a felony”.
Subsection (b) states “a school district may terminate a contract with a person or business entity if the district
determines that the person or business entity failed to give notice as required by Subsection (a) or
misrepresented the conduct resulting in the conviction. The District must compensate the person or business
entity for services performed before the termination of the contract”.
This Notice is Not Required of a Publicly-Held Corporation.
I, the undersigned agent for the firm named below, certify that the information concerning notification of felony
convictions has been reviewed by me and the following information furnished is true to the best of my
knowledge.
Vendor’s Name:
Authorized Company Official’s Name (Printed):
A.
My firm is a publicly held corporation; therefore, this reporting requirement is not applicable.
Signature of Company Official:
B.
My firm is not owned or operated by anyone who has been convicted of a felony.
Signature of Company Official:
C.
My firm is owned or operated by the following individual(s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
Signature of Company Official:
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
20
CONFLICT OF INTEREST QUESTIONNAIRE
PLEASE COMPLETE AND SIGN EVEN IF NO CONFLICT EXISTS
For vendor or other person doing business with local governmental entity
FORM CIQ
This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session.
OFFICE USE
ONLY
This questionnaire is being filed in accordance with Chapter 176, Local Government Code by a
person who has a business relationship as defined by Section 176.001(1-a) with a local
governmental entity and the person meets requirements under Section 176.006(a).
Date Received
By law this questionnaire must be filed with the records administrator of the local governmental
entity not later than the 7th business day after the date the person becomes aware of facts that
require the statement to be filed. See Section 176.006, Local Government Code.
A person commits an offense if the person knowingly violates Section 176.006, Local
Government Code. An offense under this section is a Class C misdemeanor.
1
Name of person who has a business relationship with local governmental entity.
2 Check this box if you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not
later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.)
3
Name of local government officer with whom filer has employment or business relationship.
Name of Officer
This section (item 3 including subparts A, B, C & D) must be completed for each officer with whom the filer has an employment or other
business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as
necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment
income, from the filer of the questionnaire?
Yes
No
B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income, from or at
the direction of the local government officer named in this section AND the taxable income is not received from the
local governmental entity?
Yes
No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local
government officer serves as an officer or director, or holds an ownership of 10 percent or more?
Yes
No
D. Describe each employment or business relationship with the local government officer named in this section.
Signature of person doing business with the governmental entity
Date
Name of Business/Company
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
21
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief, that:
1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of Congress, or an employee of
a Member of Congress in connection with the awarding of a Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal contract, grant, loan, or cooperative agreement.
2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form-LLL, “Disclosure Form to Report Lobbying”, in accordance with its instruction.
3) The undersigned shall require that the language of this certification be included in the award documents
for all sub awards at all tiers (including subcontracts, sub grants and contracts under grants, loans, and
cooperative agreements) and that all sub recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this certification is a
prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, US Code. Any
person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such failure.
__________________________________
Company
___________________________________
Authorized Representative (Print)
__________________________________
Signature
____________________________________
Date
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
22
VENDOR DEBARMENT STATEMENT
I have read the conditions and specifications provided in the bid document attached.
I affirm, to the best of my knowledge, the company I represent has not been debarred or suspended from
conducting business with school districts in the State of Texas. This certification is required by the
regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR Part 3017, Section
3017.510, Participants’ responsibilities. The regulations were published as Part IV of the January 30, 1989,
Federal Register (pages 4722-4733). Copies of the regulation may be obtained by contacting the
Department of Agriculture Agency with which this transaction originated.
______________________________________________________________________
NAME OF COMPANY (Please Type)
____________________________________________________________________
MAILING ADDRESS
CITY
STATE
ZIP
______________________________________________________________________
PREPARED BY (Please Type)
________________________ ___________________________________________
SIGNATURE
TITLE
____________________
TELEPHONE NUMBER
____________________________________________
FAX NUMBER
DATE
Check here if you have an address or telephone number change: Yes____ No____
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
23
NO RESPONSE FORM
RETURN ONLY IF YOU CHOOSE NOT TO SUBMIT A RESPONSE TO THIS SOLICITATION
RFB NO. 13-017GT
PC Hardware, Services and Related Items
Please Print
Whereas on the ___________ day of ____________________, 2012 (print name of company)
__________________________________________________________________________
has reviewed FBISD’s solicitation RFB No. 13-017GT and elects not to submit a bid:
State Reason for no bid:________________________________________________________
_____________________________________________________________________________
______________________________________________
Street Address
______________________________________________
City, State, Zip Code
______________________________________________
Telephone/Fax Number
______________________________________________
Name of Authorized Individual
___________________________________________
Signature of Authorized Individual
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REFERENCES
Please provide at least four (4) references (co. name, address, telephone no., e-mail address and contact) that
have used your company for services FBISD is requesting in this RFP. List those companies that have used
your services in the last 1-5 years. Please make sure the e-mail is legible and current.
1. Co. Name
Contact
Address
Phone #
Fax #
E-mail Address
2. Co. Name
Contact
Address
Phone #
Fax #
E-mail Address
3. Co. Name
Contact
Address
Phone #
Fax #
E-mail Address
4. Co. Name
Contact
Address
Phone #
Fax #
E-mail Address
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
25
BID SUBMISSION FORM
RFB NO. 13-017GT_
PC Hardware, Services and Related Items
Please Print
Whereas on the _____________ day of _____________________________, 2012 (print name of company)
___________________________________________________________________________ has reviewed
RFB No. 13-017GT and has responded in accordance with the terms and conditions which are incorporated by
reference only, and are not attached as part of this Solicitation.
A copy may be obtained at http://www.fortbend.k12.tx.us/finance/FBISDTermsConditions.pdf or by
contacting the Fort Bend ISD Buyer listed on the cover sheet. Any exception to the terms and conditions must
be included in the Proposer’s response.
Texas Education Code 44.031
Purchasing and Acquisition, FBISD Policy CH (Legal)
Purchasing and Acquisition, FBISD Policy CH (Local):
______________________________________
_____________________________________
Street Address
City, State, Zip Code
______________________________________
_____________________________________
Telephone Number
Fax Number
______________________________________
______________________________________
Name of Authorized Individual
Signature of Authorized Individual
RETURN THIS DOCUMENT IN BID/PROPOSAL PACKAGE
26
Contractor Certification
Introduction: Texas Education Code Chapter 22 requires entities that contract with school districts
to obtain criminal history records on covered employees. Covered employees with disqualifying criminal
histories are prohibited from serving at a school district. Contractors must certify to the district that they have
complied and must obtain similar certifications from their subcontractors.
Definitions:
Covered individuals: Individual who have or will have continuing duties related to the service to be performed
and have or will have direct contact with students. The District will be the final arbiter of what constitutes direct
contact with students.
Disqualifying criminal history: (1) a conviction or other criminal history information designated by the District;
(2) a felony or misdemeanor offense that would prevent a person from obtaining certification as an educator
under Texas Education Code § 21.060, including 19 Tex. Admin. Code §249.16; or (3) one of the following
offenses, if at the time of the offense, the victim was under 18 or enrolled in a public school: (a) a felony offense
under Title 5, Texas Penal Code; (b) an offense for which a defendant is required to register as a sex offender
under Chapter 62, Texas Code of Criminal Procedure; or (c) an equivalent offense under federal law or the laws
of another state.
____
On behalf of _________________________________________________ (“Contractor”), I certify that
[check one]:
[ ]
Or
[ ]
None of Contractor’s employees are covered individuals, as defined above. If this box
is checked, I further certify that Contractor has taken precautions or imposed conditions to
ensure that Contractor’s employees will not become covered individuals. Contractor will
maintain these precautions or conditions throughout the time the contracted services are
provided.
Some or all of Contractor’s employees are covered individuals. If this box is checked, I
further certify that:
1. Contractor has obtained all required criminal history record information regarding its covered
individuals. None of the covered individuals has a disqualifying criminal history.
2. If Contractor receives information that a covered individual subsequently has a reported
criminal history, Contractor will immediately remove the covered individual from contract
duties and notify the District in writing within three business days.
3. Upon request, Contractor will provide the District with the name and any other requested
information of covered individuals so that the District may obtain criminal history record
information on the covered individuals.
4. If the District objects to the assignment of a covered individual on the basis of the covered
individual’s criminal history record information, Contractor agrees to discontinue using the
covered individual to provide services at the District.
Noncompliance or misrepresentation regarding this certification may be grounds for contract termination.
________________________________________
Signature
____________________________
Date
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