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HomeMy WebLinkAbout145-26 RESOLUTIONPage 1 113 West Mountain Street Fayetteville, AR 72701 (479) 575-8323 Resolution: 145-26 File Number: 2026-1787 A RESOLUTION TO APPROVE THE PURCHASE OF PORTABLE TRAFFIC SIGNALS FROM OMJC SIGNAL INC. IN THE TOTAL AMOUNT OF $65,696.47, PURSUANT TO A BUYBOARD COOPERATIVE PURCHASING CONTRACT, PLUS ANY APPLICABLE SURCHARGES, FREIGHT CHARGES, TITLE, LICENSING OR DELIVERY FEES UP TO 10% OF THE ORIGINAL PURCHASE PRICE, AND TO APPROVE A BUDGET AMENDMENT. WHEREAS, water and sewer utility construction activity has been increasing through the city, requiring more traffic control while performing needed work on city infrastructure; and WHEREAS, the purchase of these portable traffic signals will support ongoing Water and Sewer operations and reduce the need for continued rental expenses associated with similar equipment on current and future projects and will provide a more cost-effective long-term solution; and WHEREAS, the portable traffic signals may also be utilized by other departments as operational needs arise, improving work zone safety and traffic control on linear projects, reducing reliance on manual flagging operations, and allowing personnel to be utilized more efficiently while maintaining safety and traffic control compliance. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1: That the City Council of the City of Fayetteville, Arkansas hereby authorizes the purchase of portable traffic signals from OMJC Signal Inc. in the total amount of $65,696.47, pursuant to a BuyBoard cooperative purchasing contract, plus any applicable surcharges, freight charges, title, licensing or delivery fees up to 10% of the original purchase price. Section 2: That the City Council of the City of Fayetteville, Arkansas hereby approves a budget amendment, a copy of which is attached to this Resolution. PASSED and APPROVED on June 16, 2026 Approved: Attest: _______________________________ Molly Rawn, Mayor _______________________________ Kara Paxton, City Clerk Treasurer Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Mailing address: 113 W. Mountain Street Fayetteville, AR 72701 www.fayetteville-ar.gov CITY COUNCIL MEMO 2026-1787 MEETING OF JUNE 16, 2026 TO: Mayor Rawn and City Council THROUGH: Terry Gulley, Asst Public Works Director - Ops FROM: Ross Jackson, Fleet Operations Superintendent SUBJECT: Purchase of two expansion mobile traffic signals for the Water Sewer Department through OMJC Signal Inc. RECOMMENDATION: A RESOLUTION TO AUTHORIZE THE PURCHASE OF ONE SET OF TWO PORTABLE TRAFFIC SIGNALS IN THE AMOUNT OF $65,696.47 FROM OMJC SIGNAL INC. PLUS ANY ADDITIONAL TAXES, SURCHARGES, FREIGHT CHARGES, TITLE, LICENSING OR DELIVERY FEES UP TO 10% OF THE ORIGINAL PURCHASE PRICE IN ACCORDANCE WITH A BUYBOARD COOPERATIVE PURCHASING CONTRACT (795-26) AND APPROVE A BUDGET AMENDMENT. BACKGROUND: Water and Sewer utility construction activity has been increasing throughout the city, requiring more traffic control while performing needed work on city infrastructure. If approved, it will be asset 9399 (WSEW_F130). DISCUSSION: The purchase of these portable traffic signals will support ongoing Water and Sewer operations and reduce the need for continued rental expenses associated with similar equipment on current and future projects. Based on operational usage and projected demand, purchasing the equipment is expected to provide a more cost- effective long-term solution. In addition to supporting Water and Sewer operations, the portable traffic signals may also be utilized by other departments as operational needs arise. The equipment will improve work zone safety and traffic control on linear projects, reduce reliance on manual flagging operations, and allow personnel to be utilized more efficiently while maintaining safety and traffic control compliance. BUDGET/STAFF IMPACT: This is not a FY26 budgeted expansion, a budget amendment is attached for your approval. ATTACHMENTS: 3. Staff Review Form, 4. Budget Adjustment, 5. OMJC Final Quote , 6. Price Hold Through June, 7. BuyBoard Contract 795-26 OMJC Tabulation Sheet, 8. OMJC BuyBoard Contract-1 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Page 1 City of Fayetteville, Arkansas Legislation Text 113 West Mountain Street Fayetteville, AR 72701 (479) 575-8323 File #: 2026-1787 A RESOLUTION TO APPROVE THE PURCHASE OF PORTABLE TRAFFIC SIGNALS FROM OMJC SIGNAL INC. IN THE TOTAL AMOUNT OF $65,696.47, PURSUANT TO A BUYBOARD COOPERATIVE PURCHASING CONTRACT, PLUS ANY APPLICABLE SURCHARGES, FREIGHT CHARGES, TITLE, LICENSING OR DELIVERY FEES UP TO 10% OF THE ORIGINAL PURCHASE PRICE, AND TO APPROVE A BUDGET AMENDMENT. WHEREAS, water and sewer utility construction activity has been increasing through the city, requiring more traffic control while performing needed work on city infrastructure; and WHEREAS, the purchase of these portable traffic signals will support ongoing Water and Sewer operations and reduce the need for continued rental expenses associated with similar equipment on current and future projects and will provide a more cost-effective long-term solution; and WHEREAS, the portable traffic signals may also be utilized by other departments as operational needs arise, improving work zone safety and traffic control on linear projects, reducing reliance on manual flagging operations, and allowing personnel to be utilized more efficiently while maintaining safety and traffic control compliance. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1: That the City Council of the City of Fayetteville, Arkansas hereby authorizes the purchase of portable traffic signals from OMJC Signal Inc. in the total amount of $65,696.47, pursuant to a BuyBoard cooperative purchasing contract, plus any applicable surcharges, freight charges, title, licensing or delivery fees up to 10% of the original purchase price. Section 2: That the City Council of the City of Fayetteville, Arkansas hereby approves a budget amendment, a copy of which is attached to this Resolution. Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 City of Fayetteville Staff Review Form 2026-1787 Item ID 6/16/2026 City Council Meeting Date - Agenda Item Only N/A for Non-Agenda Item Ross Jackson 5/14/2026 FLEET OPERATIONS (770) Submitted By Submitted Date Division / Department Action Recommendation: A RESOLUTION TO AUTHORIZE THE PURCHASE OF ONE SET OF TWO PORTABLE TRAFFIC SIGNALS IN THE AMOUNT OF $65,696.47 FROM OMJC SIGNAL INC. PLUS ANY ADDITIONAL TAXES, SURCHARGES, FREIGHT CHARGES OR DELIVERY FEES UP TO 10% OF THE ORIGINAL PURCHASE PRICE IN ACCORDANCE WITH A BUYBOARD COOPERATIVE PURCHASING CONTRACT (795-26) AND APPROVE A BUDGET AMENDMENT. Budget Impact: 9700.770.1920-5802.00 FLEET Account Number Fund 97000.5400.720 FLEET EXPANSION VEHICLES- W&S Project Number Project Title Budgeted Item?Yes Total Amended Budget $84,489.00 Expenses (Actual+Encum)$84,308.28 Available Budget $180.72 Does item have a direct cost?Yes Item Cost $65,696.47 Is a Budget Amendment attached?Yes Budget Amendment $66,000.00 Remaining Budget $484.25 Purchase Order Number:Previous Ordinance or Resolution # Change Order Number:Approval Date: Original Contract Number: Comments: Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 City of Fayetteville, Arkansas - Budget Amendment/Adjustment (Agenda) Budget Year Division /Org2 FLEET OPERATIONS (770) BA Number 2026 Requestor:Ross Jackson BUDGET AMENDMENT/ADJUSTMENT DESCRIPTION: This budget adjustment is requested for the purchase of a portable traffic signal to support Water and Sewer operations. The cost is comparable to a single project rental, making this a cost-effective long-term investment. Owning the equipment will improve traffic control and job site safety on utility projects while reducing the need for manual flagging and additional personnel. Traffic signal to be unit 9399 WSEW_F130. COUNCIL DATE:6/16/2026 ITEM ID#:2026-1787 April Melton 5/20/2026 9:03 AM Budget Division Date TYPE:D - (City Council) JOURNAL #: GLDATE: 6/16/2026 RESOLUTION/ORDINANCE CHKD/POSTED:/ v.202646TOTAL66,000 66,000 Increase / (Decrease)Project.Sub# Account Number Expense Revenue Project Sub.Detl AT Account NameGLACCOUNTEXPENSEREVENUEPROJECTSUBATDESCRIPTION X 5400.720.1840-5801.00 (66,000)-15019 1 EX Fixed Assets 5400.720.4000-7602.70 66,000 -59700 5400 EX Transfers To Funds - Shop 9700.770.1920-6602.40 -66,000 97000 5400.720 RE Transfer from Fund - Water & Sewer 9700.770.1920-5802.00 66,000 -97000 5400.720 EX Vehicles & Equipment - base -- -- -- -- -- -- -- -- -- -- -- -- -- 1 of 1 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Quotation ATTN:Ross Jackson PH:479-444-3494 FAX: Quote Number: 9803 Quote Date: April 29, 2026 Sales Rep Name Quoted to: City of Fayetteville, AR Good Thru 5/29/26 Customer ID Payment Terms Page: CFAYETTEVILLE Net 30 Days Tarah C. Dalziel 1 Quantity Item Description Unit Price Extension 1.00 MISC LDPTS-M: Per Texas BuyBoard 34,051.50 34,051.50 Description MSRP: $36,225; 6% BuyBoard Discount 1.00 MISC LDPTS-S: Per Texas BuyBoard 21,620.00 21,620.00 Description MSRP: $23,000; 6% BuyBoard Discount 2.00 VPR-26-OMJC Vehicle Motion Detector 1,100.00 2,200.00 BuyBoard Contract #795-26 *Freight as Estimate Only* Total 65,696.47 Sales Tax 5,642.47 Subtotal 57,871.50 Freight 2,182.50 Freight & handling are in addition to the prices quoted above unless otherwise specified. All parts, materials and components are new unless otherwise specified. OMJC has been in business since July of 1985 to serve you. City of Fayetteville, AR 1525 S Happy Hollow Rd FAYETTEVILLE, AR 72701 SHIP TO: Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 1 Jackson, Ross From:Tarah Dalziel <Tarah@omjcsignal.com> Sent:Wednesday, May 20, 2026 10:30 AM To:Jackson, Ross Cc:Sales Subject:Re: New TX BuyBoard Quote CAUTION: This email originated from outside of the City of Fayetteville. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good Morning Ross, We will honor the price through the end of June. Do you need me to change the date and send you an updated quote? Thanks, From: Jackson, Ross <rjackson@fayetteville-ar.gov> Sent: Wednesday, May 20, 2026 10:05 AM To: Tarah Dalziel <Tarah@omjcsignal.com> Cc: Sales <sales@omjcsignal.com> Subject: RE: New TX BuyBoard Quote Tarah, Could you let me know if the quoted price will be good through the month of June? The quote currently will expire June 12th, this will go to city council June 16th. I will need to know if you will honor the quote through the month of June. Thank you, Ross Jackson Jr., CAFM Fleet Operations Superintendent Fleet Operations Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 v.01.03.2025 Electronic Delivery Steve Salutric OMJC Signal Inc 403 Chestnut ST Waterloo, IA 50703 Welcome to BuyBoard! Re: Proposal Invitation No. 795- 26, Traffic Signal Systems and Safety Barrier Products Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard® contract based on the above-referenced Proposal Invitation. The contract is effective for an initial one-year term of April 1, 2026, through March 31, 2027, and may be subject to two possible one- year renewals. Please refer to the Proposal Invitation for the contract documents, including the General Terms and Conditions of the Contract. To review the items your company has been awarded, please review Proposal Tabulation No. 795-26 at: www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract award, and only those awarded items may be sold through the BuyBoard contract. All sales must comply with the contract terms and must be at or below the awarded pricing as set forth in the General Terms and Conditions. A list of Cooperative members is available on the buyboard.com website. In addition, the BuyBoard Administrator’s vendor relations staff is available to assist you in locating available BuyBoard informational resources and answering questions you may have as an awarded BuyBoard vendor. On behalf of the Cooperative, we appreciate your interest in the Cooperative and we are looking forward to your participation in the program. If you have any questions, feel free to contact me at bids@buyboard.com. Sincerely, Victoria Lewis, Bid Analyst Texas Association of School Boards, Inc., Administrator for The Local Government Purchasing Cooperative Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Electronic Delivery Steve Salutric OMJC Signal Inc 403 Chestnut ST Waterloo, IA 50703 Welcome to BuyBoard! Re: Proposal Invitation No. 795-26, Traffic Signal Systems and Safety Barrier Products Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard® contract based on the above-referenced Proposal Invitation. The contract is effective for an initial one- year term of April 1, 2026, through March 31, 2027, and may be subject to two possible one-year renewals. Please refer to the Proposal Invitation for the contract documents, including the National Purchasing Cooperative Vendor Award Agreement and General Terms and Conditions of the Contract. To review the items your company has been awarded, please review Proposal Tabulation No. 795-26 at www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract award, and only those awarded items may be sold through the BuyBoard contract. All sales must comply with the contract terms and must be at or below the awarded pricing as set forth in the General Terms and Conditions. A list of National Cooperative members is available on the buyboard.com website. In addition, the BuyBoard Administrator’s vendor relations staff is available to assist you in locating available BuyBoard informational resources and answering questions you may have as an awarded BuyBoard vendor. On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any questions, feel free to contact me at bids@buyboard.com. Sincerely, Victoria Lewis, Bid Analyst Texas Association of School Boards, Inc., Administrator for the National Purchasing Cooperative v.01.03.2025 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 PROPOSER’S ACCEPTANCE AND AGREEMENT Proposal Invitation Name Traffic Signal Systems and Safety Barrier Products Proposal Due Date/Opening Date and Time October 30, 2025, at 4:00 PM Proposal Invitation Number 795-26 Location of Proposal Opening Texas Association of School Boards, Inc. BuyBoard Department 12007 Research Blvd. Austin, TX 78759 Contract Term April 1, 2026, through March 31, 2027, with two possible one-year renewals. Anticipated Cooperative Board Meeting Date February 2026 ________________________________________________ _______________________________________________ Name of Proposing Company Date ________________________________________________ _______________________________________________ Street Address Signature of Authorized Company Official ________________________________________________ _______________________________________________ City, State, Zip Printed Name of Authorized Company Official ________________________________________________ _______________________________________________ Telephone Number of Authorized Company Official Position or Title of Authorized Company Official ________________________________________________ _______________________________________________ Fax Number of Authorized Company Official Federal ID Number 10 of 67 OMJC SIGNAL INC 10/29/2025 403 CHESTNUT ST WATERLOO, IA. 50703 319-236-0200 JENNIFER SHIMP PRESIDENT 42-1361699 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 PROPOSAL FORMS PART 1: COMPLIANCE FORMS INSTRUCTIONS: Proposer must review and complete all forms in this Proposal Forms Part 1: Proposal Acknowledgements Felony Conviction Disclosure Resident/Nonresident Certification Debarment Certification Vendor Employment Certification No Boycott Verification No Excluded Nation or Foreign Terrorist Organization Certification Historically Underutilized Business Certification Acknowledgement of BuyBoard Technical Requirements Construction-Related Goods and Services Affirmation Deviation and Compliance Vendor Consent for Name Brand Use Confidential/Proprietary Information EDGAR Vendor Certification Compliance Forms Signature Page An authorized representative of Proposer where indicated and complete and sign the Compliance Forms Signature Page. Proposer’s failure to fully complete, initial, and sign forms as required may result in your Proposal being rejected as non-responsive. PROPOSAL ACKNOWLEDGEMENTS The proposing company (“you” or “your”) hereby acknowledges and agrees as follows: 1. You have carefully examined and understand all information and documentation associated with this Proposal Invitation, including the Instructions to Proposers, General Information, General Terms and Conditions, attachments/forms, appendices, item specifications, and line items (collectively “Requirements”); 2. By your response (“Proposal”) to this Proposal Invitation, you propose to supply the products or services submitted at the pricing quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions are noted in the Proposal; 3. By your Proposal, you acknowledge and certify all items set forth in the General Terms and Conditions, Section B.12 (Certifications), including all non-collusion certifications and certifications regarding legal, ethical, and other matters set forth therein. 4. Any and all deviations and exceptions to the Requirements have been noted in your Proposal on the required form and no others will be claimed; Initial: _____ 11 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 5. If the Cooperative accepts any part of your Proposal and awards you a Contract, you will furnish all awarded products or services at the pricing quoted and in strict compliance with the Requirements (unless specific deviations or exceptions are noted on the required form and accepted by the Cooperative), including without limitation the Requirements related to: a. conducting business with Cooperative members, including offering pricing to members that is the best you offer compared to similarly situated customers in similar circumstances; b. payment of a service fee in the amount specified and as provided for in this Proposal Invitation; c. the possible award of a piggy-back contract by the National Purchasing Cooperative or nonprofit entity, in which event you will offer the awarded products and services in accordance with the Requirements; and d. submitting price sheets or catalogs in the proper format as required by the Cooperative as a prerequisite to activation of your Contract; 6. You have clearly identified on the included form any information in your Proposal that you believe to be confidential or proprietary or that you do not consider to be public information subject to public disclosure under the Texas Public Information Act or similar public information law; 7. The individual submitting this Proposal is duly authorized to enter into the contractual relationship represented by this Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a form or Proposal document) is authorized and has the requisite knowledge to provide the information and make the representations and certifications required in the Requirements; 8. You have carefully reviewed your Proposal, and certify that all information provided is true, complete, and accurate to the best of your knowledge, and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and 9. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, will be grounds for disqualifying you from consideration for a contract award under this Proposal Invitation, termination of a contract award, or any other remedy or action provided for in the General Terms and Conditions or by law. FELONYCONVICTIONDISCLOSURE Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor) states: “A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony.” Section 44.034 further states in Subsection (b): “A school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract.” My company is a publicly-held corporation. (Advance notice requirement does not apply to publicly-held corporation.) My company is not owned or operated by anyone who has been convicted of a felony. My company is owned/operated by the following individual(s) who has/have been convicted of a felony: Name of Felon(s): ___________________________________________________________________________________ Details of Conviction(s): _______________________________________________________________________________ __________________________________________________________________________________________________ Initial: _____ 12 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 RESIDENT/NONRESIDENT CERTIFICATION Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who are not Texas residents. Under the statute, a “resident” proposer is a person whose principal place of business is in Texas, including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A “nonresident” proposer is a person who is not a Texas resident. Please indicate the status of your company as a “resident” proposer or a “nonresident” proposer under these definitions. I certify that my company is a Resident Proposer. I certify that my company is a Nonresident Proposer. If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in which your company’s principal place of business is located): ________________________________________________ _______________________________________________ Company Name Address ________________________________________________ ___________ ________________________________ City State Zip Code A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract? Yes No B. What is the prescribed amount or percentage? $_______________ or ______________% DEBARMENT CERTIFICATION By signature on the Compliance Forms Signature Page, I certify that neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549, “Debarment and Suspension,” as described in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under any statutory or regulatory authority. VENDOR EMPLOYMENT CERTIFICATION Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor’s ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in Texas. If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas, does your company, ultimate parent company, or majority owner employ at least 500 people in Texas? Yes No Initial: ______ 13 of 67 OMJC SIGNAL INC 403 CHESTNUT ST Waterloo IA 50703 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 NO BOYCOTT VERIFICATION A Texas governmental entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel and will not boycott Israel during the term of the contract (TEX. GOV’T CODE Ch. 2271), (2) does not boycott energy companies and will not boycott energy companies during the term of the contract (TEX.GOV’T CODE Ch. 2276), and (3) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and will not discriminate during the term of the contract against a firearm entity or firearm trade association (TEX. GOV’T CODE Ch. 2274). Accordingly, this certification form is included to the extent required by law. “Boycott Israel” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. TEX. GOV’T CODE §808.001(1). “Boycott energy company” means, without an ordinary business purpose, refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described by Paragraph (A). TEX. GOV’T CODE §809.001(1). “Discriminate against a firearm entity or firearm trade association” means, (A) with respect to the entity or association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; and (B) does not include: (i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (ii) a company’s refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship: (aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or (bb) for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity’s or association’s status as a firearm entity or firearm trade association. TEX. GOV’T CODE §2274.001(3). By signature on the Compliance Forms Signature Page, to the extent applicable, I certify and verify that Vendor does not boycott Israel, boycott energy companies, or discriminate against a firearm entity or firearm trade association and will not do so during the term of any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized by my company to make this certification. Initial: _____ 14 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 NOEXCLUDEDNATIONORFOREIGNTERRORISTORGANIZATIONCERTIFICATION Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist organization – specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to the contract prohibition.) By signature on the Compliance Forms Signature Page, I certify and verify that Vendor is not on the Texas Comptroller’s list identified above; that this certification is true, complete and accurate; and that I am authorized by my company to make this certification. HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION A Proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business Enterprise or “MWBE” and all referred to in this form as a “HUB”) is encouraged to indicate its HUB certification status when responding to this Proposal Invitation. The BuyBoard website will indicate HUB certifications for awarded Vendors that properly indicate and document their HUB certification on this form I certify that my company has been certified as a HUB in the following categories: Minority Owned Business Women Owned Business Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2), who has a service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of Defense) Certification Number: ___________________________________________________ Name of Certifying Agency: _______________________________________________ My company has NOT been certified as a HUB. ACKNOWLEDGEMENT OF BUYBOARD TECHNICAL REQUIREMENTS Vendor shall review the BuyBoard Technical Requirements included in this Proposal Invitation. By signature on the Compliance Forms Signature Page, the undersigned affirms that Proposer has obtained a copy of the BuyBoard Technical Requirements, has read and understands the requirements, and certifies that Vendor is able to meet and will comply with those requirements except as follows: Note: In accordance with the General Terms and Conditions of the Contract, to the extent Vendor is awarded a Contract under this Proposal Invitation but is unable or unwilling to meet the applicable BuyBoard Technical Requirements, the information available on the BuyBoard for Vendor’s awarded products or services may be limited, potentially placing Vendor at a disadvantage and impacting the ability of Cooperative members to search, find, review, and purchase Vendor’s awarded products and services on the BuyBoard website. Further, to the extent Vendor has acknowledged ability to meet and comply with the BuyBoard Technical Requirements, any subsequent failure or refusal by Vendor to promptly provide information upon request to the Cooperative administrator in accordance with those technical requirements may be deemed an event of default under the Contract. Initial: _____ 15 of 67 WOSB211809 Women's Business Enterprise National Council Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION The Cooperative issued the BuyBoard Procurement and Construction-Related Goods and Services Advisory for Texas Members (“Advisory”), which provides information specifically relevant to the procurement of construction-related goods and services by Texas Cooperative members. The Advisory, available at buyboard.com/Vendor/Resources.aspx, provides an overview of certain legal requirements that are potentially relevant to a Cooperative member’s procurement of construction or construction-related goods and services, including those for projects that may involve or require architecture, engineering or independent testing services. A copy of the Advisory can also be provided upon request. Because many BuyBoard contracts include goods or installation services that might be considered construction-related, Proposer must make this Construction Related-Goods and Services Affirmation regardless of type of goods or services associated with this Proposal Invitation. A contract awarded under this Proposal Invitation covers only the specific goods and/or services awarded by the Cooperative. As explained in the Advisory (“Advisory”), Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This Proposal Invitation and any Contract awarded thereunder does not include such services. Architecture or engineering services must be procured by a Cooperative member separately, in accordance with the Professional Services Procurement Act (Chapter 2254 of the Texas Government Code) and other applicable law and local policy. By signature on the Compliance Forms Signature Page, Proposer affirms that Proposer has obtained a copy of the Advisory, has read and understands the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or services to a Cooperative member under a Contract awarded under this Proposal Invitation, Proposer will comply with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy of the Advisory before accepting the member’s Purchase Order or other agreement for construction- related goods or services. Initial: ______ 16 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 DEVIATION AND COMPLIANCE If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed information regarding the deviations on this form or an attachment to this form. Prior to completing this form, Vendor shall review the General Terms and Conditions section B.4 (Deviations from Item Specifications and General Terms and Conditions). Please note that, as provided in section B.4, certain provisions of the General Terms and Conditions are NOT subject to deviation, and certain deviations will be deemed rejected without further action by the Cooperative. Any attempted deviation, whether directly or indirectly, to provisions identified in this Proposal Invitation as not subject to deviation shall be deemed rejected by the Cooperative and, unless otherwise withdrawn by Vendor, may result in Vendor’s Proposal being rejected in its entirety. The Cooperative will consider any deviations in its contract award decision and reserves the right to accept or reject a proposal based upon any submitted deviation. In the absence of any deviation identified and described in accordance with the above, your company must fully comply with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal Invitation if awarded a Contract under this Proposal Invitation. A deviation will not be effective unless accepted by the Cooperative. The Cooperative, by and through the Cooperative administrator, may, in its sole discretion, seek clarification from and/or communicate with Proposer(s) regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative reserves the right to accept or reject a Proposal based upon any submitted deviation. No; Deviations Yes; Deviations List and fully explain any deviations you are submitting: _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Initial: _____ 17 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 VENDOR CONSENT FOR NAME BRAND USE BuyBoard members seeking to make purchases using a Contract awarded under this Proposal Invitation may view information regarding awarded Vendors, including but not limited to product catalogs, pricelists, pricing, and Proposals, through the BuyBoard website. To improve and enhance the experience of BuyBoard members seeking to procure goods and services under the Contract utilizing the BuyBoard website, any Vendor logo, product images, and similar brand and trademark information provided by Vendor for purposes of the Contract (“Vendor Information”) may be posted on the BuyBoard website. You acknowledge that, by submitting your Proposal, unless you specifically opt out below, you consent to use of your company’s Vendor Information on the BuyBoard website if awarded a Contract. You further acknowledge that whether, where, and when to include the Vendor Information on the BuyBoard website shall be at the sole discretion of the BuyBoard Administrator. Vendor retains, however, the right of general quality control over the BuyBoard Administrator’s authorized display of proprietary Vendor Information. Neither the BuyBoard nor its administrator will be responsible for the use or distribution of Vendor Information by BuyBoard members or any other third party using the BuyBoard website. This Vendor Consent shall be effective for the full term of the Contract, including renewals, unless Vendor provides a signed, written notice revoking consent to contractadmin@buyboard.com. BuyBoard shall have up to thirty days from the date of receipt of a termination or revocation of a Vendor Consent to remove Vendor information from the BuyBoard website. This Vendor Consent is subject to the Terms and Conditions of the Contract, including, but not limited to, those terms pertaining to Disclaimer of Warranty and Limitation of Liability, Indemnification, and Intellectual Property Infringement. Vendor logo files must be submitted in one of the formats set forth in the BuyBoard Technical Requirements. Proposers are requested to submit this information with Vendor’s Proposal. (This consent shall not authorize use of your company’s Vendor Information by BuyBoard if your company is not awarded a Contract.) OPT OUT: If your company wishes to opt out of the Vendor Consent for Name Brand Use, you must check the opt out box below. By checking this box, Vendor hereby declines to provide consent for use of Vendor Information (as defined herein) on the BuyBoard website. By opting out, Vendor acknowledges and agrees that, if Vendor is awarded a Contract under this Proposal Invitation, information available on the BuyBoard for Vendor’s awarded products or services may be limited, potentially placing Vendor at a disadvantage and impacting the ability of Cooperative members to search, find, review, and purchase Vendor’s awarded products and services on the BuyBoard website. Initial: _____ 18 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 CONFIDENTIAL/PROPRIETARY INFORMATION A. Public Disclosure Laws All Proposals, forms, documentation, catalogs, pricelists, or other materials submitted by Vendor to the Cooperative in response to this Proposal Invitation, may be subject to the disclosure requirements of the Texas Public Information Act (Texas Government Code chapter 552.001, ) or similar disclosure law. Proposer must clearly identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a member of the public or other third party request access to the information under the Texas Public Information Act or similar disclosure law. When required by the Texas Public Information Act or other disclosure law, Proposer may be notified of any third-party request for information in a Proposal that Proposer has identified in this form as proprietary or confidential. Does your Proposal (including forms, documentation, catalogs, pricelists, or other materials submitted with the Proposal) contain information which Vendor considers proprietary or confidential? NO, I certify that none of the information included with this Proposal is considered confidential or proprietary. YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is specifically identified on this form. If you responded “YES”, you must clearly identify below the specific information you consider confidential or proprietary. List each page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative and Cooperative administrator shall not be responsible for a Proposer’s failure to clearly identify information considered confidential or proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and Cooperative administrator will disclose information when required by law, even if such information has been identified herein as information Vendor considers confidential or proprietary. Confidential / Proprietary Information: _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Initial: _____ 19 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 B. Copyright Information Does your Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) contain copyright information? NO, Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) does not contain copyright information. YES, Proposal (including forms, documentation, pricelists, catalogs, or other materials submitted with the Proposal) does contain copyright information. If you responded “YES”, clearly identify below the specific documents or pages containing copyright information. Copyright Information: ________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ C. Consent to Release Confidential/Proprietary/Copyright Information to BuyBoard Members BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential, proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such information on the secure BuyBoard website for members. Note: Neither the Cooperative nor Cooperative administrator will be responsible for the use or distribution of information by BuyBoard members or any other party. D. Consent to Release Proposal Tabulation Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal, Vendor consents and agrees that, upon Contract award, the Cooperative may publicly release, including posting on the public BuyBoard website, a copy of the proposal tabulation and award information for the Contract including Vendor name; proposed catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor award or non-award information. Initial: ______ 20 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 EDGAR VENDOR CERTIFICATION (2 CFR Part 200 and Appendix II) When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, 2 CFR 200 (sometimes referred to as the “Uniform Guidance” or new “EDGAR”). All Vendors submitting a Proposal must complete this EDGAR Certification Form regarding Vendor’s willingness and ability to comply with certain requirements which be applicable to specific Cooperative member purchases using federal grant funds. Completed forms will be made available to Cooperative members for their use while considering their purchasing options when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in addition to the terms and conditions of the BuyBoard contract, to address the member’s specific contractual needs, including contract requirements for a procurement using federal grants or contracts. A “NO” response to any of the items may, if applicable, impact the ability of a Cooperative member to purchase from the Vendor using federal funds. 1. Vendor Violation or Breach of Contract Terms: Contracts for more than the simplified acquisition threshold, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate. Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18, Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms and Conditions, as well as any additional terms and conditions in any Purchase Order or Cooperative member ancillary contract agreed upon by Vendor and the Cooperative member which must be consistent with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions. The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By submitting a Proposal, you agree to these Vendor violation and breach of contract terms. YES, I agree. NO, I do not agree. 2. Termination for Cause or Convenience: For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the following term and condition shall apply: If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the manner by which it will be effected and the basis for settlement, is included in the Cooperative member’s Purchase Order or ancillary agreement agreed to by the Vendor, the Cooperative member’s provision shall control. YES, I agree. NO, I do not agree. Initial: _____ 21 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 3. Equal Employment Opportunity: Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, “Equal Employment Opportunity” (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, “Amending Executive Order 11246 Relating to Equal Employment Opportunity,” and implementing regulations at 41 CFR Part 60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.” The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that such provision applies to any Cooperative member purchase or contract that meets the definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision. YES, I agree. NO, I do not agree. 4. Davis-Bacon Act: When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146- 3148) as supplemented by Department of Labor regulations (29 CFR Part 5, “Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction”). In accordance with the statute, Vendor is required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week. Current prevailing wage determinations issued by the Department of Labor are available at www.sam.gov. Vendor agrees that, for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor’s acceptance of the wage determination. Vendor further agrees that it shall also comply with the Copeland “Anti-Kickback” Act (40 USC 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States”). The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. YES, I agree. NO, I do not agree. 5. Contract Work Hours and Safety Standards Act: Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. YES, I agree. NO, I do not agree. Initial: _____ 22 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 6. Right to Inventions Made Under a Contract or Agreement: If the Cooperative member’s Federal award meets the definition of “funding agreement” under 37 CFR 401.2(a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance or experimental, developmental, or research work under that “funding agreement,” the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Vendor agrees to comply with the above requirements when applicable. YES, I agree. NO, I do not agree. 7. Clean Air Act and Federal Water Pollution Control Act: Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended – Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401- 7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act and the Federal Water Pollution Control Act. YES, I agree. NO, I do not agree. 8. Debarment and Suspension: Debarment and Suspension (Executive Orders 12549 and 12689) – A contract award (see 2 CFR 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3 CFR Part 1989 Comp. p. 235), “Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than Executive Order 12549. YES, I agree. NO, I do not agree. 9. Byrd Anti-Lobbying Amendment: Byrd Anti-Lobbying Amendment (31 USC 1352) - Vendors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 USC 1352. Each tier must also disclose any lobbying with non- Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. As applicable, Vendor agrees to file all certifications and disclosures required by, and otherwise comply with, the Byrd Anti-Lobbying Amendment (31 USC 1352). YES, I agree. NO, I do not agree. Initial: _____ 23 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 10. Procurement of Recovered Materials: For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. YES, I agree. NO, I do not agree. 11. Domestic Preferences for Procurements: Where appropriate and consistent with law, 2 CFR §200.322 contains certain considerations for domestic preferences for procurements which may be applicable to Cooperative members using federal funds. When required by a Cooperative member, Vendor agrees to provide such information or certification as may reasonably be requested by the Cooperative member regarding Vendor’s products, including whether goods, products, or materials are produced in the United States. YES, I agree. NO, I do not agree. 12. Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment 2 CFR §200.216 prohibits expending federal loan or grant funds to procure or obtain covered telecommunications equipment or services. To the extent applicable and when required by a Cooperative member, Vendor agrees to provide such information or certification as may reasonably be requested by the Cooperative member to confirm whether any telecommunications equipment or services provided by Vendor is covered telecommunications equipment or services under 2 CFR §200.216. YES, I agree. NO, I do not agree. 13. General Compliance and Cooperation with Cooperative Members: In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to, applicable recordkeeping and record retention requirements. YES, I agree. NO, I do not agree. Initial: _____ 24 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 COMPLIANCE FORMS SIGNATURE PAGE By initialing pages and by signature below, I certify that I have reviewed the following forms; that the information provided therein is true, complete, and accurate; and that I am authorized by my company to make all certifications, consents, acknowledgements, and agreements contained herein: Proposal Acknowledgements Felony Conviction Disclosure Debarment Certification Resident/Nonresident Certification Vendor Employment Certification No Boycott Verification No Excluded Nation or Foreign Terrorist Organization Certification Historically Underutilized Business Certification Construction-Related Goods and Services Affirmation Acknowledgement of BuyBoard Technical Requirements Deviation and Compliance Vendor Consent for Name Brand Use Confidential/Proprietary Information EDGAR Vendor Certification __________________________________________ Company Name __________________________________________ Signature of Authorized Company Official __________________________________________ Printed Name and Title __________________________________________ Date 25 of 67 Type text here OMJC SIGNAL INC JENNIFER SHIMP 10/29/2025 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 VENDOR CONTACT INFORMATION FEDERAL AND STATE/PURCHASING COOPERATIVE EXPERIENCE The Cooperative strives to provide Cooperative members with the best services and products at the best prices available from Vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions. 1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market price during the previous 12-month period or the last fiscal year: $______________. (The period of the 12-month period is _________/_________). In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the sales of the item(s). 2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items under equivalent circumstances. 3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing cooperatives as required. PURCHASING GROUP CURRENT VENDOR? (Y/N) FORMER VENDOR (Y/N)? – IF YES, LIST YEARS AS VENDOR AWARDED COMMODITY CATEGORY(IES) 1. Federal General Services Administration 2. T-PASS (State of Texas) 3. OMNIA Partners 4. Sourcewell (NJPA) 5. E&I Cooperative 6. Houston-Galveston Area Council (HGAC) 7. Choice Partners 8. The Interlocal Purchasing System (TIPS) 9. Other MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS. CURRENT BUYBOARD VENDORS If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your current and proposed discounts. Current Discount (%): _________________________ Proposed Discount (%):_______________________ ________________________________________________________________________________________ 27 of 67 $52,210 10/01/2024 09/30/2025 N N N N N N N N N 6% 6% Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 GOVERNMENTAL REFERENCES For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information requested below, including the existing pricing/discounts you offer each customer. The Cooperative may determine whether pricing/discounts are fair and reasonable by comparing pricing/discounts stated in your Proposal with the pricing/discounts you offer other governmental customers. Attach additional pages if necessary. Quantity/ Entity Name Contact Phone# Email Address Discount Volume 1._______________________________________________________________________________________________ 2._______________________________________________________________________________________________ 3._______________________________________________________________________________________________ 4._______________________________________________________________________________________________ 5._______________________________________________________________________________________________ Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give better discounts (lower pricing) than indicated? YES NO If YES, please explain: ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ COMPANY PROFILE Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would like to have included with your company profile on the BuyBoard website.Submit your company profile in a separate file, in Word format, with your Proposal. (Note: Vendor is solely responsible for any content provided for inclusion on the BuyBoard website. The Cooperative reserves the right to exclude or remove any content in its sole discretion, with or without prior notice, including but not limited to any content deemed by the Cooperative to be inappropriate, irrelevant to the Contract, inaccurate, or misleading.) 28 of 67 COSA TX Roads Dustin Hohensee 325-277-3063 Dustin.Hohensee@cosatx.us 6% 1ia Daji Qiao 515-294-2390 Daji@iastate.edu 0% 1 Iowa St University Jackson County Iowa Jayden Scheckel 563-652-4782 Jceng@jacksoncounty.iowa.gov 5% 1 City of Waterloo Iowa Tina Schellhorn 319-291-4440 Tina.schellhorn@waterloo-ia.org 5% 1 City of Irvine CA Daryl Gee 949-591-6862 Dgee@cityofirvine.org 0% 1 da Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 We provide sustainable, cutting edge roadway and pedestrian traffic solutions. We are continually at the forefront of developing technologies which lower power consumption and increase safety, while maximizing your resources. We manufacture all of our products at our factory in Waterloo, Iowa. Raw steel is used to build our trailers by our Machinist , and Welders. our customers money. None of our processes are outsourced. Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 TEXAS REGIONAL SERVICE DESIGNATION The Cooperative (referred to as “Texas Cooperative” in this form and in the State Service Designation form) offers vendors the opportunity to service its members throughout the entire State of Texas. In the electronic proposal submission system, you must indicate if you will service Texas Cooperative members statewide or, if you do not plan to service all Texas Cooperative members statewide, you indicate the specific regions you will service. If you propose to serve different regions for different products or services included in your Proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. (Additional forms can be obtained by contacting bids@buyboard.com .) Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), Region and Headquarters 1 Edinburg 2 Corpus Christi 3 Victoria 4 Houston 5 Beaumont 6 Huntsville 7 Kilgore 8 Mount Pleasant 9 Wichita Falls 10 Richardson 11 Fort Worth 12 Waco 13 Austin 14 Abilene 15 San Angelo 16 Amarillo 17 Lubbock 18 Midland 19 El Paso 20 San Antonio 29 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 STATE SERVICE DESIGNATION As set forth in the Proposal Invitation, it is the Cooperative’s intent that other governmental entities in the United States have the opportunity to purchase goods or services awarded under the Contract, subject to applicable state law, through a piggy- back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire United States or only specific states, If you serve different states for different products or services included in your Proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. (Additional forms can be obtained by contacting bids@buyboard.com I will service all states in the United States. I will not service all states in the United States. Alabama Montana Alaska Nebraska Arizona Nevada Arkansas New Hampshire California (Public Contract Code 20118 & 20652) New Jersey Colorado New Mexico Connecticut New York Delaware North Carolina District of Columbia North Dakota Florida Ohio Georgia Oklahoma Hawaii Oregon Idaho Pennsylvania Illinois Rhode Island Indiana South Carolina Iowa South Dakota Kansas Tennessee Kentucky Texas Louisiana Utah Maine Vermont Maryland Virginia Massachusetts Washington Michigan West Virginia Minnesota Wisconsin Mississippi Wyoming Missouri 30 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal Invitation may be “piggy-backed” by another governmental entity. The National Purchasing Cooperative is an intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on the State Service Designation form, in your Proposal. By signing this form, Proposer (referred to in this Agreement as “Vendor”) agrees as follows: 1. Vendor acknowledges that if The Local Government Purchasing Cooperative (“Texas Cooperative”) awards Vendor a contract under this Proposal Invitation (“Underlying Award”), the National Purchasing Cooperative (“National Cooperative”) may - but is not required to - “piggy-back” on or re-award all or a portion of that Underlying Award (“Piggy-Back Award”). By signing this National Cooperative Vendor Award Agreement (“Agreement”), Vendor accepts and agrees to be bound by any such Piggy-Back Award as provided for herein. 2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator (“BuyBoard Administrator”) will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by its BuyBoard Administrator in writing. 3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same pricing and same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e., lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award. 4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be approved in writing by the BuyBoard Administrator. 5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members, vendor invoices, and/or such other documentation regarding those purchase orders as the Cooperative’s administrators may require in their reasonable discretion for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the right, upon reasonable written notice, to review Vendor’s records pertaining to purchases made by National Cooperative members in order to verify the accuracy of service fees. 6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall control, and then only to the extent necessary to reconcile the conflict. 31 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 7. This Agreement shall be governed and construed in accordance with the laws of the State of Texas and venue for any dispute shall lie in the federal district court of Travis County, Texas. 8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein. WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this Agreement. _______________________________________________ _______________________________________________ Name of Vendor Proposal Invitation Number _______________________________________________ _______________________________________________ Signature of Authorized Company Official Printed Name of Authorized Company Official __________________________________ Date 32 of 67 OMJC SIGNAL INC 795-26 JENNIFER SHIMP 10/29/2025 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 LOCATION/AUTHORIZED SELLER LISTINGS If you have more than one location/authorized seller that will service a Contract awarded under this Proposal Invitation, please list each location/authorized seller below. If additional sheets are required, please duplicate this form as necessary. NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, including processing of Purchase Orders, and shall be responsible for the performance of all locations and authorized sellers under and in accordance with the Contract. Location/Authorized Seller Name Contact Person Contact Information (Mailing Address, Phone, Fax, Email) 33 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 MANUFACTURER DEALER DESIGNATION If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple dealers (“Designated Dealers”) to receive Cooperative member Purchase Orders on Vendor’s behalf, you must complete this form for each dealer you wish to designate. Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such designations are for Vendor’s convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor’s Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder, including, but not limited to suspension and termination of Vendor’s Contract for nonpayment of service fees. If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to a Designated Dealer for processing. The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise acting on Vendor’s behalf under the Contract. Further, the Cooperative administrator shall be authorized to remove or suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion. If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated Dealer below. If you wish to designate multiple dealers, please duplicate this form as necessary. _______________________________________________ _______________________________________________ Designated Dealer Name Designated Dealer Contact Person ___________________________________________________________________________________________________ Designated Dealer Address _______________________________________________ __________ ________________________________ City State Zip Code _______________________________________________ _______________________________________________ Phone Number Fax Number _______________________________________________ _______________________________________________ Email address Designated Dealer Tax ID Number* (*attach W-9) 34 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 PROPOSAL INVITATION QUESTIONNAIRE The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial resources to provide the goods and perform the services (“Work”) under the BuyBoard contract contemplated by this Proposal Invitation (“Contract”). Proposers must fully answer each question, numbering your responses to correspond to the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire and submit in one document with your Proposal. You must submit the questionnaire and responses with your Proposal or the Proposal will not be considered. 1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your company is currently for sale or involved in any transaction that would significantly alter its business or result in acquisition by another entity. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this Contract. State the number and summarize the experience of company personnel who may be utilized for the Work, including those who will be available to Cooperative members for assistance with project development, technical issues, and product selection for Work associated with this Contract. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 3.Marketing Strategy: For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or part of your Proposal. Attach additional pages if necessary. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 35 of 67 40 years. We are not for sale nor involved in any transactions that would significantly alter our business. We have a structure that supports daily operations of our manufacturing facility. A CEO, President, 3 managers and department leads. We have a high retention rate with 30 employees with years of service from 1 year to 18 years. Our staff is highly skilled. We offer 24/7 technical support. We offer consultation to assist with project development and reviewing project specifications. We have an Research and Development team available also. We have an extensive email subscriber base that we will inform via our campaigns during the year. We will promote these contracts via targeted, paid and organic listings on search engines and social media. Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 4. Describe Proposer’s financial capability to perform the Contract. State or describe the firm’s financial strength and rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm’s past or present owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position with your firm. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 5. Does your company have any outstanding financial judgments and/or is it currently in default on any loan or financing agreement? If so, provide detailed information on the nature of such items and prospects for resolution. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 6. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or that have been terminated for any reason. For each such contract, provide the project name, scope, value and date and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the work, or termination. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 7. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought against your firm, or any of the firm’s past or present owners, principal shareholders or stockholders, officers, agents or employees, that relate to or arise from a contract similar to this Contract or the Work contemplated under this Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of the claim, and resolution or current status. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 36 of 67 As of September 30, 2025, the Company has stockholders equity of $1,854,594 with a debt to equity ratio of 1.44. We have never applied for a bond. We have general liability insurance of $1,000,000 with an aggregate of $2,000,000. No shareholder has been a debtor party to bankruptcy, receivership, or insolvency. None None None Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 PROPOSAL SPECIFICATION SUMMARY The categories and items specified for this Proposal Invitation are summarized below. For full Proposal Specifications, you must review and complete the Proposal Specification information in the electronic proposal submission system in accordance with the Instructions to Proposers (or, if submitting a hard copy Proposal, timely request and complete the Proposal Specification Form in accordance with the Instructions to Proposers). __________________________________________________________________________________________________ Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. Section I: Equipment, Products, and Supplies 1. Discount (%) off catalog/pricelist for Traffic Light and Signal Systems, Supplies, and Equipment. 2. Discount (%) off catalog/pricelist for Traffic Safety Barrier, Barricade, and Guardrail Products (Cable, Concrete, Plastic, Steel, Wood, W-Beam, Tri-Beam, End Treatments, Posts, and other related products). 3. Discount (%) off catalog/pricelist for Traffic Intersection Safety (Parking Lot, Pedestrian, Railroad, School Zone) Equipment and Products. 4. Discount (%) off catalog/pricelist for Traffic Marker and Sign Products. 5. Discount (%) off catalog/pricelist for Computerized Traffic Design Plans, Traffic Flagging, and Special Event Services. 6. Discount (%) off catalog/pricelist for All Other Traffic Light and Signal System Products. 7. Discount (%) off catalog/pricelist for Traffic Light and Signal Systems Repair Parts. 8. Discount (%) off catalog/pricelist for Traffic Light and Signal Equipment and Products Maintenance/Warranty Agreements. Section II: Installation and Repair Service 9.Hourly Labor Rate for Installation/Repair Service of Traffic Signal Systems, Products, and Related Items – Not to Exceed hourly labor rate for Installation/Repair Service of Traffic Signal Systems, Equipment, and Products. 10.Hourly Labor Rate for Installation/Repair Service of Traffic Safety Barrier, Barricade, and Guardrail Products, and Related Items - Not to Exceed hourly labor rate for Installation/Repair Service of Traffic Safety Barrier, Barricade, and Guardrail Products. 37 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 PROPOSAL FORMS COMM/SVCS V.10.04.2024 REQUIRED FORMS CHECKLIST Reviewed/Completed:Proposer’s Acceptance and Agreement PROPOSAL FORMS PART 1: COMPLIANCE FORMS Reviewed/Completed:Proposal Acknowledgements Reviewed/Completed: Felony Conviction Disclosure Reviewed/Completed: Resident/Nonresident Certification Reviewed/Completed: Debarment Certification Reviewed/Completed: Vendor Employment Certification Reviewed/Completed: No Boycott Verification Reviewed/Completed: No Excluded Nation or Foreign Terrorist Organization Certification Reviewed/Completed: Historically Underutilized Business Certification Reviewed/Completed: Acknowledgement of BuyBoard Technical Requirements Reviewed/Completed: Construction-Related Goods and Services Affirmation Reviewed/Completed: Deviation and Compliance Reviewed/Completed: Vendor Consent for Name Brand Use Reviewed/Completed: Confidential/Proprietary Information Reviewed/Completed: EDGAR Vendor Certification Reviewed/Completed: Compliance Forms Signature Page PROPOSAL FORMS PART 2: VENDOR INFORMATION FORMS Reviewed/Completed: Vendor Business Name Reviewed/Completed: Vendor Contact Information ( Reviewed/Completed: Federal and State/Purchasing Cooperative Experience Reviewed/Completed: Governmental References Reviewed/Completed: Company Profile Reviewed/Completed: Texas Regional Service Designation ( Reviewed/Completed: State Service Designation ( Reviewed/Completed: National Purchasing Cooperative Vendor Award Agreement Reviewed/Completed: Local/Authorized Seller Listings Reviewed/Completed: Manufacturer Dealer Designation Reviewed/Completed: Proposal Invitation Questionnaire Reviewed/Completed: Proposal Specifications 38 of 67 Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 OMJC Signal, INC Information Address: 403 Chestnut St Waterloo, IA 50702 Phone: (800) 776-5999 x115 Web Address: omjcsignal.com By submitting your response, you certify that you are authorized to represent and bind your company. steve salutric accounting@omjcsignal.com Signature Email Submitted at 10/30/2025 05:19:29 AM (CT) Requested Attachments BuyBoard Proposal Invitation No. 795-26, Traffic Signal Systems and Safety Barrier Products Proposal No. 795-26.pdf REQUIRED-In PDF format, upload all COMPLETED and FILLED in proposal invitation documents available for download at www.buyboard.com.vendor. Click on the button to view and download the forms for this proposal including any additional pages, as necessary. NOTICE: DO NOT complete proposal forms in internet browser. No data will be stored. Download file to computer and complete proposal forms prior to submitting. (DO NOT password protect uploaded files.) Manufacturer Catalog(s) and/or Product Price list(s)Copy of Buy Board Pricing Calalogue texas 10.29.25.pdf REQUIRED-In PDF format ONLY, upload manufacturer catalog(s) and/or product price list(s) in accordance with proposal invitation instructions. Vendors shall submit catalog(s)/price list(s) with their Proposal response or Proposal will not be considered. No paper catalogs or manufacturer/vendor websites will be accepted. File size must not exceed 250MB. (DO NOT password protect uploaded files.) Exceptions and/or Detailed Information Related to Discount % and/or Hourly Labor Rate Proposed No response In PDF format and if necessary, vendor shall attach detailed information regarding exceptions to pricing and/or discount percentage and define the services that are proposed to be provided. NOTE: IF DETAILED INFORMATION IS NOT SUBMITTED, PROPOSAL MAY NOT BE CONSIDERED. (DO NOT password protect uploaded files.) Company Profile OMJC Company Summary.docx REQUIRED-Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would like to have included with your company profile on the BuyBoard website. Submit your company profile in a separate file, in Word format, with your Proposal. (Note: Vendor is solely responsible for any content provided for inclusion on the BuyBoard website. The Cooperative reserves the right to exclude or remove any content in its sole discretion, with or without prior notice, including but not limited to any content deemed by the Cooperative to be inappropriate, irrelevant to the Contract, inaccurate, or misleading.) (DO NOT password protect uploaded files.) IRS Form W-9 Request for Taxpayer Identification Number and Certification W-9 2025.pdf REQUIRED-In PDF format, upload W-9 form. (DO NOT password protect uploaded files.) Vendor: OMJC Signal, INC 795-26Page 3 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 Bid Attributes 1 Name of Proposing Company (Legal Name) By submitting a Proposal, Vendor is seeking to enter into a legal contract with the Cooperative. As such, Vendor must be an individual or legal business entity capable of entering into a binding contract. List the LEGAL NAME of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba, aka, etc. here. Such information may be provided below. OMJC Signal Inc 2 Vendor Business Name Name by which Vendor, if awarded, wishes to be identified on the BuyBoard. If different than the Name of Proposing Company listed above, only valid trade names (dba, aka, etc.) of the Proposing Company may be used. OMJC Signal Inc 3 Vendor Mailing/Street Address Vendor Mailing/Street Address 403 Chestnut St 4 Vendor Mailing/Street Address - City Vendor Mailing/Street Address - City Waterloo 5 Vendor Mailing/Street Address - State Vendor Mailing/Street Address - State (Abbreviate State Name) IA 6 Vendor Mailing/Street Address - Zip Code Vendor Mailing/Street Address - Zip Code 50703 7 Federal Identification Number Federal Identification Number 42-1361699 8 No Boycott Verification/No Excluded Nation or Foreign Terrorist Organization Certification/Historically Underutilized Business Certification No Boycott Verification/No Excluded Nation or Foreign Terrorist Organization Certification/Historically Underutilized Business Certification Vendor: OMJC Signal, INC 795-26Page 4 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 9 No Boycott Certification A Texas governmental entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it: (1) does not CODE Ch. 2276), and (3) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and will not discriminate during the term of the contract against a firearm the extent required by law. is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; and (B) does not include: (i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (ii) business relationship, or decision to terminate an existing business relationship: (aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or (bb) for any traditional business reason By signature on the Compliance Forms Signature Page, to the extent applicable, I certify and verify that Vendor does not boycott Israel, boycott energy companies, or discriminate against a firearm entity or firearm trade association and will not do so during the term of any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized by my company to make this certification. Yes 10 No Excluded Nation or Foreign Terrorist Organization Certification Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist organization to be excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to the contract prohibition.) By signature on the Compliance Forms Signature Page, I certify and verify that Vendor is not on the Texas my company to make this certification. Yes Vendor: OMJC Signal, INC 795-26Page 5 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 11 Historically Underutilized Business Certification A Proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women certification status when responding to this Proposal Invitation. The BuyBoard website will indicate HUB certifications for awarded Vendors that properly indicate and document their HUB certification on this form. I certify that my company has been certified as a MWBE/HUB in the following categories:(Please check all that apply) 12 Minority Owned Business Minority Owned Business Minority Owned Business 13 Women Owned Business Women Owned Business Women Owned Business 14 Service-Disabled Veteran Owned Business S. Department of Veterans Affairs or Department of Defense) Service-Disabled Veteran Owned Business 15 Certification Number Certification Number WOSB211809 16 Name of Certifying Agency Certifying Agency Women"s Business Enterprise National Council 17 Non-MWBE/HUB My company has NOT been certified as a MWBE/HUB Non-HUB 18 Vendor General Contact Information Proposal/Contract General Contact Information 19 Vendor Proposal/Contract Contact - First Name Vendor Proposal/Contract Contact - First Name Steve 20 Vendor Proposal/Contract Contact - Last Name Vendor Proposal/Contract Contact - Last Name Salutric 21 Vendor Proposal/Contract Contact E-mail Address Vendor Proposal/Contract Contact E-mail Address accounting@omjcsignal.com Vendor: OMJC Signal, INC 795-26Page 6 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 22 Vendor Proposal/Contract Mailing Address Vendor Proposal/Contract Mailing Address 403 Chestnut ST 23 Vendor Proposal/Contact Mailing Address - City Vendor Proposal/Contact Mailing Address - City Waterloo 24 Vendor Proposal/Contact Mailing Address - State Vendor Proposal/Contact Mailing Address - State (Abbreviate State Name) IA 25 Vendor Proposal/Contact Mailing Address - Zip Code Vendor Proposal/Contact Mailing Address - Zip Code 50703 26 Vendor Proposal/Contact Phone Number Vendor Proposal/Contact Phone Number (xxx-xxx-xxxx) 319-236-0200 27 Vendor Proposal/Contact Extension Number Vendor Proposal/Contact Extension Number 112 28 Company Website Company Website (www.XXXXX.com) www.omjcsignal.com 29 Purchase Orders Contact Information All Purchase Orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to Vendors to assist them with retrieving their orders. Please select options below for receipt of Purchase Orders and provide the requested information: I will use the internet to receive Purchase Orders at the following address Yes 30 Purchase Order E-mail Address Purchase Order E-mail Address sales@omjcsignal.com 31 Purchase Order Contact - First Name Purchase Order Contact - First Name Jennifer Vendor: OMJC Signal, INC 795-26Page 7 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 32 Purchase Order Contact - Last Name Purchase Order Contact - Last Name Shimp 33 Purchase Order Contact Phone Number Purchase Order Contact Phone Number (xxx-xxx-xxxx) 319-236-0200 34 Purchase Order Contact Extension Number Purchase Order Contact Extension Number 119 35 Alternate Purchase Order E-mail Address Alternate Purchase Order E-mail Address accounting@omjcsignal.com 36 Alternate Purchase Order Contact - First Name Alternate Purchase Order Contact - First Name Steve 37 Alternate Purchase Order Contact - Last Name Alternate Purchase Order Contact - Last Name Salutric 38 Alternate Purchase Order Contact Phone Number Alternate Purchase Order Contact Phone Number (xxx-xxx-xxxx) 319-236-0200 39 Alternate Purchase Order Contact Extension Number Alternate Purchase Order Contact Extension Number 112 40 Purchase Orders Contact Information All Purchase Orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to Vendors to assist them with retrieving their orders. Please select options below for receipt of Purchase Orders and provide the requested information: Designation form as provided to the Cooperative administrator. I understand that my company shall remain responsible for the Contract and the performance of all Designated Dealers under and in accordance with the Contract. No 41 Request for Quotes (RFQ) Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: Vendor: OMJC Signal, INC 795-26Page 8 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 42 Request for Quote (RFQ) E-mail Address Request for Quote (RFQ) E-mail Address sales@omjcsignal.com 43 Request for Quote (RFQ) Contact - First Name Request for Quote (RFQ) Contact - First Name Jennifer 44 Request for Quote (RFQ) Contact - Last Name Request for Quote (RFQ) Contact - Last Name Shimp 45 Request for Quote (RFQ) Contact Phone Number Request for Quote (RFQ) Contact Phone Number (xxx-xxx-xxxx) 319-236-0200 46 Request for Quote (RFQ) Contact Extension Number Request for Quote (RFQ) Contact Extension Number 119 47 Alternate Request for Quote (RFQ) E-mail Address Alternate Request for Quote (RFQ) E-mail Address accounting@omjcsignal.com 48 Alternate Request for Quote (RFQ) Contact - First Name Alternate Request for Quote (RFQ) Contact - First Name Steve 49 Alternate Request for Quote (RFQ) Contact - Last Name Alternate Request for Quote (RFQ) Contact - Last Name Salutric 50 Alternate Request for Quote (RFQ) Contact Phone Number Alternate Request for Quote (RFQ) Contact Phone Number (xxx-xxx-xxxx) 319-236-0200 51 Alternate Request for Quote (RFQ) Contact Extension Number Alternate Request for Quote (RFQ) Contact Extension Number 112 52 Invoices Your company will be billed monthly for the service fee due under a Contract awarded under this Proposal Invitation.All invoices are available on the BuyBoard website and e-mail notifications will be sent when they are ready to be retrieved. Vendor: OMJC Signal, INC 795-26Page 9 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 53 Invoices Please choose only one (1) of the following options for receipt of invoices and provide the requested information: (a) Service fee invoices and related communications should be provided directly to my company at: or (b) In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing agent: If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relieve Vendor of its responsibilities and obligations under the Contract including, but not limited to, payment of all service fees under any Contract awarded Vendor. Service fee invoices and notices direct to company 54 Invoice Company Name Invoice Company Name OMJC Signal Inc 55 Invoice Company Department Name Invoice Company Department Name Accounting 56 Invoice Contact - First Name Invoice Contact - First Name Steve 57 Invoice Contact - Last Name Invoice Contact - Last Name Salutric 58 Invoice Mailing Address Invoice Mailing Address (P.O. Box or Street Address) PO Box 1594 59 Invoice Mailing Address - City Invoice Mailing Address - City Waterloo 60 Invoice Mailing Address - State Invoice Mailing Address - State (Abbreviate State Name) IA 61 Invoice Mailing Address - Zip Code Invoice Mailing Address (Zip Code) 50704 Vendor: OMJC Signal, INC 795-26Page 10 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 62 Invoice Contact Phone Number Invoice Contact Phone Number (xxx-xxx-xxxx) 319-236-0200 63 Invoice Contact Extension Number Invoice Contact Extension Number 112 64 Invoice Contact Fax Number Invoice Contact Fax Number (xxx-xxx-xxxx) No response 65 Invoice Contact E-mail Address Invoice Contact E-mail accounting@omjcsignal.com 66 Invoice Contact Alternate E-mail Address Invoice Contact Alternate E-mail Address sales@omjcsignal.com 67 Billing Agent Company Name Billing Agent Company Name No response 68 Billing Agent Department Name Billing Agent Department Name No response 69 Billing Agent Contact - First Name Billing Agent Contact - First Name No response 70 Billing Agent Contact - Last Name Billing Agent Contact - Last Name No response 71 Billing Agent Mailing Address Billing Agent Mailing Address (P.O. Box or Street Address) No response 72 Billing Agent Mailing Address - City Billing Agent Mailing Address - City No response 73 Billing Agent Mailing Address - State Billing Agent Mailing Address - State (Abbreviate State Name) No response Vendor: OMJC Signal, INC 795-26Page 11 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 74 Billing Agent Mailing Address - Zip Code Billing Agent Mailing Address - Zip Code No response 75 Billing Agent Contact Phone Number Billing Agent Contact Phone Number (xxx-xxx-xxxx) No response 76 Billing Agent Contact Extension Number Billing Agent Contact Extension Number No response 77 Billing Agent Fax Number Billing Agent Fax Number No response 78 Billing Agent Contact E-mail Address Billing Agent Contact E-mail Address No response 79 Billing Agent Alternative E-mail Address Billing Agent Alternative E-mail Address No response 80 Shipping Via Common Carrier, Company Truck, Prepaid and Add to Invoice, or Other Common Carrier 81 Payment Terms Note: Vendor payment terms must comply with the BuyBoard General Terms and Conditions and the Texas Prompt Payment Act (Texas Government Code Ch. 2251). Net 30 Days 82 Vendor's Internal/Assigned Reference/Quote Number Vendor's Internal/Assigned Reference/Quote Number No response 83 State or Attach Return Policy terms, terms of sale, or other information not specifically related to return requirements and processes included in Deviation and Compliance Form and accepted by the Cooperative. No response 84 Electronic Payments Are electronic payments acceptable to your company? Yes Vendor: OMJC Signal, INC 795-26Page 12 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 85 Credit Card Payments Are credit card payments acceptable to your company? No 86 Texas Regional Service Designation Texas Regional Service Designation - Refer to Form in Proposal Invitation The vendors the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to serve different regions for different products or services included in your Proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract.Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on this form. 87 Company Name Company Name OMJC Signal Inc 88 Texas Regional Service Designation Select only one of the following options.If you select "I will NOT serve all Regions of Texas", you must then check the individual Regions you wish to serve. I will serve all Regions of Texas 89 Region 1 Region 1 - Edinburg Region 1 90 Region 2 Region 2 - Corpus Christi Region 2 91 Region 3 Region 3 - Victoria Region 3 92 Region 4 Region 4 - Houston Region 4 93 Region 5 Region 5 - Beaumont Region 5 94 Region 6 Region 6 - Huntsville Region 6 Vendor: OMJC Signal, INC 795-26Page 13 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 95 Region 7 Region 7 - Kilgore Region 7 96 Region 8 Region 8 - Mount Pleasant Region 8 97 Region 9 Region 9 - Wichita Falls Region 9 98 Region 10 Region 10 - Richardson Region 10 99 Region 11 Region 11 - Fort Worth Region 11 100 Region 12 Region 12 - Waco Region 12 101 Region 13 Region 13 - Austin Region 13 102 Region 14 Region 14 - Abilene Region 14 103 Region 15 Region 15 - San Angelo Region 15 104 Region 16 Region 16 - Amarillo Region 16 105 Region 17 Region 17 - Lubbock Region 17 106 Region 18 Region 18 - Midland Region 18 Vendor: OMJC Signal, INC 795-26Page 14 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 107 Region 19 Region 19 - El Paso Region 19 108 Region 20 Region 20 - San Antonio Region 20 109 State Service Designation State Service Designation - Refer to Form in Proposal Invitation. As set States have the opportunity to purchase goods or services awarded under the Contract, subject to applicable state law, through a piggy-back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire United States or only specific states, you must complete this form accordingly. (Note: If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.)In addition to this form, to be considered for a piggy-back award by the National Purchasing Cooperative, you must have an authorized representative sign the National Purchasing Cooperative Vendor Award Agreement that follows this form. If you serve different states for different products or services included in your Proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a state or states, you are certifying that you are authorized and willing to provide the proposed products and services in those states. Designating states in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. 110 Company Name Company Name OMJC Signal Inc 111 State Service Designation Select only one of the following options. If you select "I will NOT serve all States", you must then check the individual States you wish to serve. I will serve all states in the United States 112 Alabama Alabama Alabama 113 Alaska Alaska Alaska 114 Arizona Arizona Arizona 115 Arkansas Arkansas Arkansas Vendor: OMJC Signal, INC 795-26Page 15 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 116 California California (Public Contract Code 20118 & 20652) California 117 Colorado Colorado Colorado 118 Connecticut Connecticut Connecticut 119 Delaware Delaware Delaware 120 District of Columbia District of Columbia District of Columbia 121 Florida Florida Florida 122 Georgia Georgia Georgia 123 Hawaii Hawaii Hawaii 124 Idaho Idaho Idaho 125 Illinois Illinois Illinois 126 Indiana Indiana Indiana 127 Iowa Iowa Iowa Vendor: OMJC Signal, INC 795-26Page 16 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 128 Kansas Kansas Kansas 129 Kentucky Kentucky Kentucky 130 Louisiana Louisiana Louisiana 131 Maine Maine Maine 132 Maryland Maryland Maryland 133 Massachusetts Massachusetts Massachusetts 134 Michigan Michigan Michigan 135 Minnesota Minnesota Minnesota 136 Mississippi Mississippi Mississippi 137 Missouri Missouri Missouri 138 Montana Montana Montana 139 Nebraska Nebraska Nebraska Vendor: OMJC Signal, INC 795-26Page 17 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 140 Nevada Nevada Nevada 141 New Hampshire New Hampshire New Hampshire 142 New Jersey New Jersey New Jersey 143 New Mexico New Mexico New Mexico 144 New York New York New York 145 North Carolina North Carolina North Carolina 146 North Dakota North Dakota North Dakota 147 Ohio Ohio Ohio 148 Oklahoma Oklahoma Oklahoma 149 Oregon Oregon Oregon 150 Pennsylvania Pennsylvania Pennsylvania 151 Rhode Island Rhode Island Rhode Island Vendor: OMJC Signal, INC 795-26Page 18 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 152 South Carolina South Carolina South Carolina 153 South Dakota South Dakota South Dakota 154 Tennessee Tennessee Tennessee 155 Texas Texas Texas 156 Utah Utah Utah 157 Vermont Vermont Vermont 158 Virginia Virginia Virginia 159 Washington Washington Washington 160 West Virginia West Virginia West Virginia 161 Wisconsin Wisconsin Wisconsin 162 Wyoming Wyoming Wyoming Bid Lines Vendor: OMJC Signal, INC 795-26Page 19 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 1 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for Traffic Light and Signal Systems, Supplies, and Equipment. Catalog/Price list MUST be included or proposal will not be considered. Total:6% Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". OMJC Signal Inc 2 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for Traffic Safety Barrier, Barricade, and Guardrail Products (Cable, Concrete, Plastic, Steel, Wood, W-Beam, Thri-Beam, End Treatments, Posts, and other related products). Catalog/Price list MUST be included or proposal will not be considered. No Bid Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response Vendor: OMJC Signal, INC 795-26Page 20 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 3 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for Traffic Intersection Safety (Parking Lot, Pedestrian, Railroad, School Zone)Equipment and Products. Catalog/Price list MUST be included or proposal will not be considered. No Bid Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response 4 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for Traffic Marker and Sign Products. Catalog/Price list MUST be included or proposal will not be considered. No Bid Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response Vendor: OMJC Signal, INC 795-26Page 21 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 5 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for Computerized Traffic Design Plans, Traffic Flagging, and Special Event Services. Catalog/Price list MUST be included or proposal will not be considered. No Bid Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response 6 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for All Other Traffic Light and Signal System Products. Catalog/Price list MUST be included or proposal will not be considered. No Bid Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response Vendor: OMJC Signal, INC 795-26Page 22 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 7 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for Traffic Light and Signal Systems Repair Parts. Catalog/Price list MUST be included or proposal will not be considered. No Bid Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response 8 Section I: Equipment, Products, and Supplies Discount (%) off catalog/price list for Traffic Light and Signal Equipment and Products Maintenance/Warranty Agreements. Catalog/Price list MUST be included or proposal will not be considered. No Bid Item Notes:PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted. Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered: Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed list listed Item Attributes 1. State Name of Manufacturer Catalog or Product Price list Proposed with Discount Percentage NOTE: Do not reference SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". No response 9 Section II: Installation and Repair Service Hourly Labor Rate for Installation/Repair Service of Traffic Signal Systems, Products, and Related Items Not to Exceed hourly labor rate for Installation/Repair Service of Traffic Signal Systems, Equipment, and Products. Quantity:1 UOM:Hourly Labor Rate Price:$150.00 Total:$150.00 Vendor: OMJC Signal, INC 795-26Page 23 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816 10 Section II: Installation and Repair Service Hourly Labor Rate for Installation/Repair Service of Traffic Safety Barrier, Barricade, and Guardrail Products, and Related Items - Not to Exceed hourly labor rate for Installation/Repair Service of Traffic Safety Barrier, Barricade, and Guardrail Products. Quantity:1 UOM:Hourly Labor Rate No Bid Response Total: $150.00 Vendor: OMJC Signal, INC 795-26Page 24 of 24 pages Docusign Envelope ID: 37324E2B-84DA-8EF6-838D-EC29D8403816