Competitive Sealed Proposal (CSP)
CSP Number: 160121
Title: Electrical Services
Due Date: January 21, 2016
Prior to: 3:00 pm
Mail or deliver complete CSP package to:
Denton Independent School District
Purchasing Department
1213 N. Locust St.
Denton, TX 76201
For additional information, please contact the person listed below. All questions must be submitted in writing
(email preferred) and received on or before seven (7) calendar days prior to the opening date.
.
Cheryl Farmer, Asst. Purchasing Agent
cfarmer@dentonisd.org
PROPOSER IDENTIFICATION (Please print information clearly)
Firm Name:
Date:
Address:
Phone:
Fax:
City/St/Zip:
Email:
You MUST sign the CSP Response Form on page 8 in order for your CSP to be accepted.
Electrical Services
CSP 160121
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CSP 160121
Electrical Services
The Denton Independent School District (referred to as the “District” from this point forward) is soliciting
responses to this Competitive Sealed Proposal (CSP) for Electrical Services as per specifications stated in this
solicitation document.
RESPONDENTS ARE CAUTIONED TO READ THE INFORMATION CONTAINED IN THIS CSP
CAREFULLY AND TO SUBMIT A COMPLETE RESPONSE TO ALL REQUIREMENTS AND
QUESTIONS AS DIRECTED.
Your company is invited to submit one (1) original and one (1) copy of your proposal no later than 3:00 pm CST,
January 21, 2015 to Cheryl Farmer, Assistant Purchasing Agent, Denton ISD, 1213 N. Locust St., Denton, TX
76201.
PROPOSALS SUBMITTED AFTER THE SPECIFIED DATE AND TIME WILL NOT BE ACCEPTED.
All proposals are to be checked in at the Purchasing Department office. Proposals not checked in properly may
cause disqualification. FAXED PROPOSALS WILL NOT BE ACCEPTED.
All questions concerning the CSP must be submitted in writing on or before seven (7) calendar days prior to the
opening date to Cheryl Farmer, Assistant Purchasing Agent at cfarmer@dentonisd.org. List the CSP name and
number in the Subject line.
The bid documents can be obtained from the Purchasing Department at 1213 N. Locust St., Denton, TX. 76201 OR
on the Purchasing Department page of the Denton ISD website at www.dentonisd.org. All addenda issued by
Denton ISD prior to the time that responses are received shall be considered part of the CSP and Respondent shall
be required to consider and acknowledge receipt of such in the response. Vendors receiving this CSP other than
directly from Denton ISD are responsible for obtaining any addendum (amendment) in the event an addendum is
issued.
The CSP materials submitted must be enclosed in a sealed envelope (box or container) clearly labeled on the
outside with the proposal name and number CSP 160121.
Pricing will not be read aloud at the time of opening. A committee will convene to review the proposals and rank
them according to the specified criteria. The District does not award contracts on lowest pricing alone. Results will
be posted on the Purchasing Department webpage after a recommendation has been sent to the governing body for
consideration.
The District reserves the right to accept or reject any and /or all proposals, to waive any technicalities, to be the sole
judge of quality and equality and to accept the proposal that is in the best interest of the district. The District
reserves the right to award each item separately or as a whole, or as is in the best interest of the district, unless
bidder states otherwise. The District also reserves the right to be the sole judge as to the definition of “best
interest”.
Electrical Services
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Section 1.0:
Instructions to Proposers
1.1
To be considered for award of this solicitation, all pages requiring signature plus any/all
attachments, must be completed with all requested information, signed and returned sealed
in an envelope or other appropriate package adequate to conceal and contain the contents
prior to the CSP date and time.
1.2
The Proposer is strongly encouraged to read the entire CSP document prior to submitting a
response. Failure to provide the information requested in its entirety may be grounds for
disqualification of CSP.
1.3
All questions concerning the CSP must be submitted in writing on or before seven (7) calendar
days prior to the Due Date to Cheryl Farmer, Assistant Purchasing Agent at
cfarmer@dentonisd.org. List the CSP name and number in the Subject line.
1.4
The CSP response must be signed by an individual authorized to contractually bind the company
submitting the CSP. A failure to sign the CSP could cause it to be rejected as non-responsive. The
CSP must include full firm name and address of Proposer, the title or authority to bind his/her firm
in a contract and contact information. A Signature Sheet is included in this packet.
1.5
Vendors that do business with a school district are required to file a questionnaire to identify any
potential conflicts of interest. The CONFLICT OF INTEREST QUESTIONNAIRE is attached in
this proposal.
1.6
Possession of fire arms, alcohol and/or drugs, even in vehicles, is strictly prohibited on school
district property. Use of any tobacco products is not permitted on school property.
1.7
The District reserves the right to acquire reasonable amount of additional goods or services, as
listed on this CSP, subject to verification of the same or lower prices and conditions on CSP.
1.8
The District reserves the right to annul any contract, if it determines at its sole discretion that the
Bidder has failed at any time, to perform faithfully an contract requirements or, in the case of any
willful attempt to impose upon the District, materials, products, and/or work inferior to that
required by District, and any action taken in pursuance of this latter stipulation shall not affect or
impair any rights or claims of the District to the damages for the breach of any covenant of the
contract by the Bidder.
Section 2.0:
Scope of Work
2.1
The District is accepting Competitive Sealed Proposals (CSP) from qualified vendors for Electrical
Services to perform work as needed on a cost per hour basis.
2.2
The District will schedule projects, as needed, with the accepted vendor during the term of this
proposal.
2.3
Proposer should have adequate staff available to respond to a call for service within 24 hours.
2.4
The hourly rate, including overtime rate, shall remain firm for the term of this proposal.
Afterward, any cost changes shall be reported to the District Purchasing office for consideration
and approval.
2.5
The District will provide supplies as needed for the different projects unless there is a written
agreement between the District and the vendor.
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2.6
Any written agreement must be signed by Paul Andress, Executive Director of Operations, or
designee, and an authorized representative of the awarded vendor.
2.7
Contact concerning this proposal between solicited contractors and any District user department,
including Paul Andress, beginning with our request for proposals through our evaluation process is
prohibited. Any attempt by a solicited contractor to contact these individuals will result in
disqualification.
2.8
All questions concerning the CSP must be submitted in writing on or before seven (7) calendar
days prior to the opening date to Cheryl Farmer, Assistant Purchasing Agent at
cfarmer@dentonisd.org. List the CSP name and number in the Subject line.
Section 3.0:
Standard Terms and Conditions
3.1
The District reserves the right to reject any and all proposals, the right in its sole discretion to
accept the proposal it considers most favorable to the district’s interest, and the right to waive
minor irregularities in the procedures. The District further reserves the right to reject all proposals
and seek new proposals when such procedures are in the best interest of the district. The District
also will be the sole judge as to the definition of “district’s best interest.”
3.2
The project is not to begin without a purchase order signed by the Purchasing Agent. No payment
will be made for work performed without an approved purchase order.
3.3
All invoices must include the purchase order number and sent to:
Denton Independent School District
Accounts Payable Department
P.O. Box 2387
Denton, Texas 76202.
3.4
Transfer or assignment of contract by vendor is prohibited.
3.5
Insurance
The contractor shall provide at all times during the contract period the following insurance
coverage:
1. Worker’s Compensation Insurance, Statutory Benefits and Employer’s Liability
Insurance with limits of not less than $500,000;
2. Commercial General Liability Insurance with limits of not less than $1,000,000 for
bodily injury and $1,000,000 for property damage per occurrence, including
Contractual Liability coverage.
3. Motor Vehicle Liability Insurance with an employer’s non-ownership endorsement.
Limits of liability shall not be less than $1,000,000 combined single limit.
4. Third Party Fidelity bond of $50,000 per employee.
5. The bidder shall furnish Denton ISD certificates of insurance within 21 working days
after acceptance of a contact.
6. Denton ISD must have a ten (10) day notice of cancellation or change in insurance
coverage and give it’s’ approval.
7. Pollution Insurance with limits of not less than 1,000,000 for property damage per
occurrence.
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Section 4.0:
4.1
Special Terms and Conditions
To be considered for award of this solicitation, all pages requiring signature, plus any/all
attachments, must be legible and completed with all requested information, signed and returned
sealed in an envelope or other appropriate package adequate to conceal and contain the contents
prior to the CSP date and time. Required documents are:
4.1.1
4.1.2
4.1.3
4.1.4
4.1.5
4.1.6
4.1.7
4.1.8
4.1.9
4.1.10
4.1.11
4.1.12
4.1.13
4.1.14
4.1.15
4.1.16
Signature Sheet
Deviation / Compliance Signature Form
Senate Bill 9 – Criminal History Record Information
Non-Collusion Statement
Criminal Background Check and Felony Conviction Notification
Debarment or Suspension Certification
Toxic Control Affidavit
Nonresident Bidder’s Certification
Conflict of Interest
EPCNT Purchasing Cooperative
References
Vendor Data Form
HUB certification documentation – if applicable
Certificates of Insurance – when applicable
W-9 Tax Paper Identification Number & Certification
Labor Rate / Pricing Sheet
4.2
Vendors taking exception to the terms and conditions or specifications of this proposal shall state
these exceptions plainly on the Proposal and Deviation form of this proposal document. If no
exceptions are indicated on the submitted form, it will be assumed that your proposal complies
with our document.
4.3
By submitting a proposal to the District, the vendor agrees to waive and does waive any claim or
cause of action against the Denton ISD, its Trustees, agents and employees arising out of or in
connection with, the review of, evaluation of, and application of criteria for selection to the
proposal; the recommendation of any proposal to the Board of Trustees, the selection or approval
of any proposal by the Trustees on behalf of the District; the awarding of any contract by the
Trustees; the selection or approval of any proposal by the Trustees on behalf of the District, the
awarding of any contract by the Trustees for services included in the proposal; the waiver of any
requirement contained in this Proposal; and any determination of best value to the District by the
District, its’ Trustees, Agents or employees from the proposals submitted to the district in response
to the Proposal.
4.4
The District limits its purchases through the use of properly drawn and authorized purchase orders.
The District is NOT responsible for services or products that were not authorized via this method.
Verbal order should not be accepted.
4.5
The Contractor shall maintain protection of all work from damage and shall protect the Owner’s
property from injury or loss arising from this agreement. At the end of the work day, all work must
be protected from damage or injury. Contractor will be responsible for all damages. The
Contractor shall provide and maintain at all times any OSHA required danger signs, guards and/or
obstructions necessary to protect the public and workers from any dangers inherent with or created
by the work in progress.
4.6
The Contractor is responsible for obtaining all necessary permits, blueprints, when necessary, and
payment of any fees including inspection fees.
4.7
All permits will be posted by the Contractor or readily available upon request.
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4.8
The Contractor is required to furnish their own tools and equipment.
4.9
Proper clothing will be worn at all times. Sleeved t-shirts and long pants are the preferred attire
with the company logo on the shirts. Any deviation from this will be reviewed for acceptance.
4.10
Contractor will provide Denton ISD with a copy of a picture ID of each employee who will be
performing work in our facilities. Denton ISD requires all vendors doing business on Denton ISD
property to have their employees and vehicles identified with company logos on vehicles, ball caps,
shirts and /or badges.
4.11
All contractors, subcontractors and their employees may not work on district property where
students may or may not be present when they have charges pending, have been convicted,
received probation or deferred adjudication for the following:
4.11.1
4.11.2
4.11.3
4.11.4
4.11.5
4.11.6
Any offense against a child
Any sex offense
Any crimes against persons involving weapons or violence
Any felony offense involving controlled substances
Any felony offense against property
Any other offense the District believes might compromise the safety of students,
staff, or property.
4.12
All contractors, subcontractors and their employees must submit to the Denton ISD proof of a
satisfactory criminal record history of all individuals working on District property through
background checks conducted as required by Senate Bill 9. The criminal record history must be
obtained by the successful company before any work is to be performed. The information
regarding the requirements for conducting a criminal records check is posted on the Texas Public
Safety’s website, www.txdps.state.tx.us by clicking open Crime Records and reading School
District Guide to Senate Bill 9. The cost for each criminal records check is approximately
$100.00., students or volunteers is strictly prohibited.
4.13
Use or possession of weapons, firearms, tobacco, alcohol beverages, controlled substances, and/or
drugs, even in vehicles, is strictly prohibited on Denton ISD property.
4.14
Any harassment of employees, students, or volunteers is strictly prohibited.
4.15
Vendors who perform work inside Denton ISD facilities are hereby notified that our buildings may
contain asbestos containing materials. This notification is required by both the State of Texas
Department of State Health Services and the Federal EPA Asbestos regulations. These guidelines
cover both Denton ISD’s responsibilities and the Employer’s responsibility to their employees. As
a vendor, it is your responsibility to check each building prior to performing any work in that
facility. These building materials may include but are not limited to: ceiling tile, floor tile and
mastic, sheetrock, tape and bed compound, thermal pipe insulation, spray-on ceiling material,
chalks and roofing products. As there have been numerous asbestos containing products
manufactured over the years, you must check each building’s Asbestos Management Plan. This
plan is usually kept in the main office and may be reviewed upon request. After reviewing the
Asbestos Management Plan and are still unclear about whether the area you will be working in
contains asbestos or not, please contact Bill Knight at 940-369-0200.
Section 5.0:
5.1
Electrical Services
Evaluation Criteria
In evaluating bids/proposals submitted and per the Texas Education Code 44.031(b), the following
considerations shall be taken into account to determine the best value for the District:
CSP 160121
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a.
b.
c.
d.
e.
f.
The purchase price;
The reputation of the vendor and of the vendor’s goods or services;
The quality of the vendor’s goods or services;
The extent to which the goods or services meet the district’s needs;
The vendor’s past relationship with the district;
The impact on the ability of the district to comply with laws and rules relating to
historically underutilized businesses;
g. The total one-term cost to the district to acquire the vendor’s goods or services;
h. Any other relevant factor specifically listed in this CSP.
5.2
Section 6.0:
The District does not award contracts on pricing alone. The District reserves the right to award the
contract to the vendor(s) who offers the proposal with the best value, and in the best interest of the
district. The District also reserves the right to be the sole judge as to the definition of “best value”
and “best interest of the district”. The District reserves the right to conduct any test, evaluations or
comparisons it deems necessary to complete the evaluation process.
Proposal Term
6.1
The term of this contract shall be for a period of two (2) years, upon governing body approval,
beginning February, 2016 through January 31, 2018 with an option to extend for two (2) terms of
two (2) years with governing approval, based on the long-range needs of the District and mutual
consent of both parties. The final expiration date would be January 31, 2022.
6.2
The District reserves the right to extend this solicitation 60 days past end of the contract term
should it be determined that doing so would be in the best interest of the District. All purchase
orders dated and issued within these dates will be subjected to the terms and conditions of this CSP
6.3
The extension will be subject to the availability of funds, product and service quality, vendor
performance, and the agreement of both parties to extend.
6.4
The hourly rate, including overtime rate, shall remain firm for the term of this proposal.
Afterward, any cost changes shall be reported to the District Purchasing office for consideration
and approval.
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Signature Sheet
We, the undersigned, have read and fully understand the specifications and conditions relating to this document.
SUBMITTED BY:
FIRM: _____________________________________________
(OFFICIAL FIRM NAME)
MUST BE SIGNED IN INK TO BE
CONSIDERED RESPONSIVE
BY:
_____________________________________________
(Original Signature)
Name: ____________________________________________
(Typed or Printed Name)
Title:
____________________________________________ _______________________________
(Typed or Printed Title)
(Date)
Address:
______________________________________
City/State/Zip: ______________________________________
Phone #:
______________________________________ Fax #: __________________________
Email:
______________________________________
NOTE: Submit copy of Proposer’s
Taxpayer Identification #: _____________________________ current W-9 Form
I hereby acknowledge receipt of the following addenda (if applicable) which have been issued and incorporated
into the CSP Document. (Please initial in ink beside each addenda received.)
Addendum No. 1
_________
Addendum No. 2
__________
Addendum No. 3
_________
Addendum No. 4
__________
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DEVIATION/COMPLIANCE SIGNATURE FORM
Company Name:
Address:
City/State/Zip:
Phone Number:
Fax #:
Email:
If the undersigned Proposer intends to deviate from the Item(s) Specifications listed in this CSP document, all such
deviations must be listed on this page, with complete and detailed conditions and information included or attached.
The District will consider any deviations in its CSP award decisions, and the District reserves the right to accept or
reject any CSP based upon any deviations indicated below or in any attachments or inclusions.
In the absence of any deviation entry on this form, the Proposer assures the District of his/her full compliance with
the Terms and Conditions, Item Specifications, and all other information contained in this CSP document.
No Deviation
Yes Deviations
Signature of Proposer
Date Signed
If yes is checked, please list below. Attach additional sheet(s) if needed.
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THIS COMPLETED FORM MUST BE RETURNED WITH BID PROPOSAL.
Model SB 9 Contractor Certification Form
Criminal History Record Information Review of Certain Contract Employees
Introduction: Texas Education Code Chapter 22 requires service contractors to obtain criminal history record
information regarding covered employees and to certify to the District that they have done so. Covered employees
with disqualifying convictions are prohibited from serving at a school district.
Definitions:
Covered employees: Includes all employees of a contractor (to include any subcontractors and/or independent
contractors) who have or will have continuing duties related to the service to be performed at the District and have
or will have direct contact with students. The District will be the final arbiter of what constitutes direct contact with
students.
Disqualifying conviction: One of the following offenses, if at the time of the offense: (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 ______________________________________________ ("Name of Contractor"), I
First Name: __________________________ Last Name:_______________________________
Address: _____________________________________ City: __________________State:_____
Zip: _________ Telephone: ______________ Fax: ____________ Email:__________________
Certify that [check one]:
[ ] None of Contractor’s employees are covered employees, as defined above.
Or
[ ] Some or all of the Contractor's employee are covered employees. If this box is selected, I further certify that:
Contractor has obtained all required criminal history record information, through the Texas Department of Public
Safety, regarding its covered employees. None of the covered employees has a disqualifying conviction.
Contractor has taken reasonable steps to ensure that its employees who are not covered employees do not have
continuing duties related to the contract services or direct contact with students.
If Contractor receives information that a covered employee has a disqualifying conviction, Contractor will
immediately remove the covered employee from contract duties and notify the District in writing within three (3)
business days.
Upon request, Contractor will make available for the District's inspection the criminal history record information of
any covered employee. If the District objects to the assignment of a covered employee on the basis of the covered
employee's criminal history record information, Contractor agrees to discontinue using that covered employee to
provide services at the District.
Noncompliance by the Contractor with this certification may be grounds for contract termination.
__________________________________________
Signature
Electrical Services
____________________________
Date
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NON-COLLUSION STATEMENT
The undersigned affirms that he/she is duly authorized to execute this CSP, that this company, corporation, firm,
partnership or individual has not prepared this CSP in collusion with any other Proposer, and that the contents of
this CSP as to prices, terms or conditions of said CSP have not been communicated by the undersigned nor by any
employee or agent to any other person engaged in this type of business prior to the official opening of the CSP.
Firm Name:
_________________________________________________________________
Address:
_________________________________________________________________
City/State/Zip:
_________________________________________________________________
Phone #:
_______________________
Fax #: ______________________
Name of Authorized Official:
____________________________________________________
(Typed or clearly printed)
Signature of Authorized Official:
____________________________________________________
Position / Title:
___________________________________
Date Signed: ______________
Firm hereby assigns to purchaser any and all claims for overcharges associated with this CSP which arise under the
antitrust laws of the United States, 15 USCA Section 1 and which arise under the antitrust laws of the State of
Texas, Business and Commerce Code, Section 15.01.
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CRIMINAL BACKGROUND CHECK AND FELONY CONVICTION NOTIFICATION
CRIMINAL BACKGROUND CHECK
Bidder/Proposer will obtain history record information that relates to an employee, applicant for employment, or agent of the
Bidder/Proposer if the employee, applicant, or agent has or will have continuing duties related to the contracted services; and the duties are or
will be performed on school property or at another location where students are regularly present. The Bidder/Proposer certifies to the Denton
ISD before beginning work and at no less than an annual basis thereafter that criminal history record information has been obtained.
Bidder/Proposer shall assume all expenses associated with the background checks, and shall immediately remove any employee or agent who
was convicted of a felony, or misdemeanor involving moral turpitude, as defined by Texas law, from Denton ISD’s property or other location
where students are regularly present. Denton ISD shall be the final decider of what constitutes a “location where students are regularly
present.” Bidder/Proposer’s violation of this section shall constitute a substantial failure.
If the Bidder/Proposer is the person or owner or operator of the business entity, that individual may not self-certify regarding the criminal
history record information and its review, and must submit original evidence acceptable to the District with this Agreement showing
compliance.
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 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.
THE FELONY CONVICITON NOTICE IS NOT REQUIRED OF A PUBLICLY-HELD CORPORATION.
I, the undersigned agent for the firm named below, certify that the information concerning criminal background check and
notification of felony convictions has been reviewed by me, the following information furnished is true to the best of my
knowledge, and I acknowledge compliance with this section.
Firm Name: __________________________________________________________________________________
Name of Authorized Company Official: ____________________________________________________________
(Typed or clearly printed)
My firm is a publicly-held corporation; therefore this reporting requirement is not applicable:
Signature of Company Official: _________________________________
Date: ________________
A. My firm is not owned nor operated by anyone who has been convicted of a felony.
Signature of Company Official: _________________________________
Date: ________________
B. 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: _________________________________
Date: ________________
NOTE: Name and signature of company official should be the same as on the Non-Collusion Statement
Vendor is responsible for the performance of the persons, employees and/or sub-contractors Vendor assigns to provide services for the Denton ISD pursuant to
this CSP on any and all Denton ISD campuses or facilities. Vendor will not assign individuals to provide services at a Denton ISD campus or facility who have
a history of violent, unacceptable, or grossly negligent behavior or who have a felony conviction, without the prior written consent of the Denton ISD
Purchasing Department.
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DEBARMENT OR SUSPENSION CERTIFICATION FORM
Non-Federal entities are prohibited from contracting with or making sub-awards under covered transaction to
parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include
procurement of goods or services equal to or in excess of $100,000. Vendors receiving individual awards of
$100,000 or more and all sub-recipients must certify that the organizations and its principals are not suspended or
debarred.
By submitting this offer and signing this certificate, you (the Vendor):
(1) Certifies that neither it nor its principals is presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency under the Federal OMB, A-102, common rule.
Firm’s Name: ________________________________________________________________________
Address:
________________________________________________________________________
City/State/Zip: ________________________________________________________________________
Telephone #:
_________________________________
Authorized Company Official’s Name:
_____________________________________________
(Typed or printed)
Title of Authorized Representative:
_____________________________________________
(Typed or printed)
Signature of Authorized Company Official:
_____________________________________________
Date Signed:
_____________________________________________
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TOXIC CONTROL AFFIDAVIT
Denton ISD has established Management Plans for ensuring a high level of environmental air quality
through its Operations Department. All contractors performing construction projects for DISD must
familiarize themselves with these Management Plans and comply prior with the beginning of any
awarded construction project. DISD employees are available to review such Plans and assist in
interpretation and understanding its Asbestos Management Plans at any time prior to beginning
construction.
Certification of non-use of Asbestos and Lead Containing Materials is required by all General and Sub
Contractors for all construction projects, by State and Federal regulations which Denton ISD is subject
to. Completion of this Affidavit is mandatory before final payment on a project will be made.
Complete this certificate, have it notarized and submit it with your application for final payment,
certifying that no materials used in conjunction with this project contain asbestos or lead in any form
and that all Material Safety Data Sheets (MSDA) have been supplied to Owner before submitting
application for final payment.
ASBESTOS AND LEAD-FREE MATERIALS
I, the undersigned agent for the company/firm or individual named below, certify that materials
supplied by me and used in conjunction with this project contained neither Asbestos nor Lead and are
non-toxic in nature. I further certify this statement to be true for the project contracted with Owner as
described below:
Project No. ____________________ School/Facility: __________________________________
Description of project, including specific areas within school/facility certified as Asbestos/Lead free.
Include building map, if necessary. Use facility name and room numbers where applicable: ______
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Contractor’s Name: ________________________________________________________________
Authorized Company Official’s Name: ________________________________________________
(Printed or Typed)
The claim contained within this affidavit is subscribed and swore before me, a Notary Public, this
______ day of _________________, 20____.
Notary Public, State of _______________________
__________________________________________
Signature
(Seal)
Electrical Services
__________________________________________
Printed Name
__________________________________________
Date of Commission Expires
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NONRESIDENT BIDDER’S CERTIFICATION
The 1985 Texas Legislature passed HB 620 relating to bids by nonresident contractors. The pertinent portion of
the Act has been extracted and is as follows:
Section 1. (a)

“Nonresident bidder” means a bidder whose principal place of business is not in this state, but

excludes a contractor whose ultimate parent company or majority owner has its principal place of
business in this state.
“Texas resident bidder” means a bidder whose principal place of business is in this state, and
includes a contractor whose ultimate parent company or majority owner has its principal place of
business in this state; or employs at least 500 persons in this state.
Section 1. (b)
The state or a governmental agency of the state may not award a contract for general construction,
improvements, services, or public works projects or purchases of supplies, materials, or equipment to a
nonresident bidder unless the nonresident’s bid is lower than the lowest bid submitted by a responsible
Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a
nonresident bidder to obtain a comparable contract in the state in which the nonresident’s principal
place of business is located.
I certify that _______________________________________________________________________is a
Resident Bidder of Texas as defined in HB 620.
Signature:
__________________________________________________________________
Printed Name:
__________________________________________________________________
**************************************************************************************
I certify that _______________________________________________________________________is a
Nonresident Bidder of Texas as defined in HB 620 and our principal place of business is:
City and State:
__________________________________________________________________
Signature:
____________________________________________________________
Printed Name:
____________________________________________________________
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INTERLOCAL AGREEMENT CLAUSE
Several governmental entities around the Denton Independent School District have indicated an interest in being
included in this contract. Should these governmental entities decide to participate in this contract, would you (the
vendor) agree that all terms, conditions, specifications, and pricing would apply?
Yes
No
If you (the vendor) check yes, the following will apply:
Governmental entities utilizing Internal Governmental contracts with the Fort Worth Independent School District
will be eligible, but not obligated, to purchase materials/services under the contract(s) awarded as a result of this
solicitation. All purchases by governmental entity other than Denton Independent School District will be billed
directly to that governmental entity and paid by that government entity. Denton Independent School District will
not be responsible for another governmental entity’s debts. Each governmental entity will order its’ own
material/service as needed.
For information regarding the Educational Purchasing Cooperative of North Texas, please visit their website at the
following address: http://www.epcnt.com/INDEX.htm
Company Name:
(Typed or printed)
Title of Authorized Representative:
(Typed or printed)
Signature of Authorized Company Official:
Date Signed:
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REFERENCES
Please provide three (3) references, preferably from school districts, who have used your services within the last three years.
Additional references may be required. DO NOT LIST DENTON ISD EMPLOYEES, FORMER OR CURRENT AS
REFERENCES.
1.
Company Name: _____________________________________________________________________________
Address:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Business Phone: _______________________________
Fax:
__________________________________
Contact Person: _______________________________
Email: __________________________________
Description of project or work completed: _________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
2.
Company Name: _____________________________________________________________________________
Address:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Business Phone: _______________________________
Fax:
__________________________________
Contact Person: _______________________________
Email: __________________________________
Description of project or work completed: _________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
3.
Company Name: ______________________________________________________________________________
Address:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Business Phone: _______________________________
Fax:
___________________________________
Contact Person: _______________________________
Email: ___________________________________
Description of project or work completed: __________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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VENDOR DATA FORM
1. For Purchase Orders: ORDERING ADDRESS INFORMATION
Company Name:
dba Name:
Address:
Business Phone:
Fax:
Contact Person:
Email:
Web address:
______________________________
Indicate how your company would receive Purchase Orders from Denton ISD.
By Email:
Yes _____
No _____
Email address: ____________________________________
By Fax:
Yes _____
No _____
Fax:
____________________________________
By Mail:
Yes _____
No _____
Address:
____________________________________
____________________________________
Representative Name: __________________________
Contact Number:
__________________________
Email: _____________________________
Purchasing Cooperatives: _______________________________________________________________
2. For Payments: REMITTANCE ADDRESS INFORMATION
Company Name:
Address:
Business Phone:
Fax:
Contact Person:
Email:
3. For BID/PROPOSAL Notifications: ADDRESS INFORMATION
Company Name:
Address:
Business Phone:
Fax:
Contact Person:
Email:
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THIS PAGE IS INTENTIONALLY LEFT BLANK
Please insert Required Documents listed on page 5, if applicable, that are not
included in this document.
HUB certification documentation
Valid copy(s) of Certificates of Insurance
W-9, Tax Payer Identification Number & Certification
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Labor Rate / Pricing Sheet
Enter rates in the appropriate column.
Hourly Rate Skilled / Certified Personnel
Hourly Rate / General Labor
Master Electrician $____________________
$_______________________
Overtime Rate $_____________________
$ _______________________
Journeyman Electrician $_______________
$_______________________
Overtime Rate $_____________________
$ _______________________
Apprentice $ __________________________
$ _______________________
Overtime Rate $______________________
$ _______________________
All overtime must be approved by the District prior to work being performed.
Response time: ________________________________________________
(Section 2, 2.3, page 3)
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