ARLINGTON INDEPENDENT SCHOOL DISTRICT

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Vendor Name: ARLINGTON INDEPENDENT SCHOOL DISTRICT PURCHASING DEPARTMENT Tammy Craig Purchasing Director BID NO. 17-04 COMPUTER, AUDIO VISUAL SUPPLIES, EQUIPMENT & SERVICES (VENDOR QUALIFYING BID) BIDS DUE: May 12, 2016 DUE AT: 2:00 PM OPENED AT: 2:00 PM *Note Arlington ISD strives to do business with only approved vendors. Your company must submit this bid by the due date and time in order to be an approved vendor for our District. OUR BID FORMS MUST BE USED IF THEY ARE NOT, YOUR COMPANY S RESPONSE WILL BE CONSIDERED NON-RESPONSIVE. PLEASE SEND ONLY YOUR ORIGINAL BID MULTIPLE COPIES AND CATALOGS WILL NOT BE NEEDED. This bid replaces Bid #16-04 & 16-18 THIS BID INCLUDES THE FOLLOWING ITEMS AND SERVICES: Computer Equipment (includes peripherals, software, hardware, printers, networking equipment, parts for computers, repair parts, and any other category not listed.) Audio Visual Equipment Services, Salvage, Consultations, Training, Etc. IF YOUR COMPANY WOULD LIKE A TABULATION, PLEASE VISIT THE FOLLOWING LINK: http://w2.aisd.net/aisd/purchasing. TABULATIONS WILL BE RELEASED AFTER BOARD APPROVAL. (RESULTS WILL NOT BE GIVEN OVER THE PHONE.) 1

OFFICE OF: PURCHASING DIRECTOR Bidders and Vendors: ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 West Pioneer Parkway Arlington, Texas 76013 The Board of Education of the Arlington Independent School District will receive sealed proposals in the office of the Purchasing Director, 1203 West Pioneer Parkway, Arlington, Texas, as per attached specifications. The Arlington Independent School District agrees to use diligent efforts to purchase all goods and services from businesses within the boundaries of the Arlington Independent School District whenever such goods and services are comparable in availability, quality and price. The district encourages contractors, in performing the contract, to implement the same policies. The Arlington Independent School District awards all bids in accordance with Texas Education Code, Section 44.031. The Arlington Independent School District reserves the right to reject any or all proposals and to waive any formality or irregularity and to make the award of the contract in the best interest of the Arlington Independent School District. The District reserves the right to enforce the performance of this contract in any manner prescribed by law or deemed to be in the best interest of the District in the event of breach or default of this contract. The District reserves the right to terminate the contract immediately in the event the successful bidder fails to meet schedules or otherwise perform in accordance with these specifications. Breach of contract or default authorizes the District to purchase the service from the next low bidder or elsewhere, and charge the full increase in cost and handling to the defaulting successful bidder. The use of manufacturers' names and models is for description only and is not restrictive, unless specified as no substitution. Literature on items proposed is desirable and samples may be required. Any item which does not perform or meet tests as specified or claimed by the seller will be replaced at no cost to the school district. All discounts shall be listed on the bid form. Payment will be made only after satisfactory delivery and/or installation. Transfer or assignment of contracts by seller is prohibited. In submitting your proposal, please mark on the outside of the envelopes BID NUMBER 17-04. This bid must be in the office of the Purchasing Director no later than 2:00 P.M. May 12, 2016. Thank you for your response. Sincerely, Tammy Craig Director Purchasing 2

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 West Pioneer Parkway Arlington, Texas 76013 STANDARD TERMS AND CONDITIONS 1. Delivery shall be made based on the proposed timeline. Payment will be made by Purchaser after satisfactory delivery. 2. All quotations shall include freight to purchaser's designated locations within the School District. Inside delivery is required to all locations except the AISD receiving dock. (See Bid Form for Details) 3. Awards may be made on an item-by-item basis, or whatever is in the best interest of the District, unless specified otherwise. 4. All quantity and prompt payment discounts shall be listed on the bid/response form. 5. Quantities are estimates only and may be increased or decreased; your quotation shall be firm for one-year from Board approval date, unless stated otherwise in the bid specifications. 6. Specifications on the items you are bidding are desirable and samples may be required. If you are bidding other than specified, you must list the brand and/or model you are bidding. If the item is marked No Substitution we will only accept the specified product. 7. In case of extension error, unit price will prevail. 8. Past performance, seller's location, and availability of stock and representative will be considered in award. 9. Any item that does not perform or meet test as specified or as claimed by the seller will be replaced at no cost to purchaser. 10. Transfer or assignment of contracts by seller is prohibited. 11. The School District reserves the right to accept or reject quotations on each item separately or as a whole. 12. Title to the material shall pass to the Arlington Independent School District upon receipt by the school district. 13. Checks will be issued to the vendor awarded the contract. Request for joint-pay checks will not be honored. 14. The Arlington ISD does not allow purchase orders to be changed, FOR ANY REASON, without PRIOR WRITTEN approval from someone in our District Purchasing Department. If your company increases quantities, makes substitutions, etc. on ANY order without written approval, your company s invoice(s) WILL NOT BE PAID. 15. If you would like to send your invoices electronically, please email them to acctspayable@aisd.net. 16. All bid openings are public, but line items are not read aloud, therefore, bid results will not be given over the telephone. Bid tabs are available at www.aisd.net, after board approval. 17. By signing below, the Vendor acknowledges that, upon approval of the AISD Board of Trustees, the terms and conditions of this Request for Proposals ( RFP ) form the Contract between the District and the Vendor, which will govern any purchases that the District may make during the term of the Contract. Nothing in this Contract obligates the District to make any purchases from Vendor or prevents the District from making purchases from any other vendor. Should the District elect to make a purchase under this Contract, the District will issue a purchase order to the Vendor, which purchase order shall be governed by the terms and conditions of this Contract. The terms of this Contract will not be modified or supplemented in any way by any (1) oral statements, or (2) any document or writing that the Vendor may transmit or otherwise create in anticipation of or response to receipt of a purchase order from the District. The parties may not modify this Contract, except by written agreement duly authorized 3

and signed by both parties that identifies itself explicitly as an amendment to this contract. No employee or agent of the District has the authority to modify this Contract in any way, unless the District s governing body specifically delegates that authority. A purchase order issued under this Contract shall, as combined with the terms of this Contract, constitute the final, complete and exclusive statement of the contract for purchase and may not be modified or rescinded except by a written change order issued by the District. If a purchase order constitutes an offer by the District to purchase the goods and/or services specified upon the terms and conditions and at the price(s) and with the delivery date(s) specified in the purchase order, Seller shall indicate its acceptance of the purchase order by verbal acceptance communicated to the District, by written acceptance on the face of the purchase order received by the District, by other written confirmation received by the District, by commencing work on the purchase order in any manner, expressly conditioned on notice of such commencement of work received by the District, or by the delivery of the goods or services within the time for such delivery as stated in the purchase order. Regardless of the manner or medium of acceptance time is of the essence. As an offer, the purchase order expressly limits acceptance to its terms and conditions (which include the terms and conditions of this Contract), and notification of objection to any different or additional terms in any response to this offer from the Vendor is hereby given. If the purchase order is construed as an acceptance of the Vendor's offer, the acceptance is expressly conditioned on the Vendor's assent to any additional or different terms contained in this Contract and the purchase order. If the purchase order is construed as a confirmation of an existing contract, the parties agree that the purchase order, as combined with the terms of this Contract, constitutes the final, complete and exclusive terms and conditions of the contract between the parties. The parties agree that the use of a purchase order to place orders for goods or services pursuant to this Contract shall be construed to supplement the terms of this Contract only to the extent that the terms and conditions of the purchase order are not inconsistent with this Contract. Regardless of its construction as an offer, acceptance, or use to place orders for goods or services pursuant to this Contract, each purchase order incorporates by reference all terms of the Uniform Commercial Code providing any protection for the District as a buyer, including, without limitation, all express and implied warranty protection and all buyer s remedies under the Uniform Commercial Code. 18. There are no third-party beneficiaries to this Contract. The parties do not intend that any non-party have any right to enforce any part of this Contract. 19. The laws of the State of Texas (with giving effect to its conflicts of law principles) govern all matters arising out of or relating to this Contract, including, without limitation, its validity, interpretation, construction, performance, and enforcement. Exclusive and mandatory venue for any action or proceeding arising out of this Contract is in the state courts of Tarrant County, Texas. A party bringing a legal action or proceeding against the other party arising out of or relating to this Contract or the transactions it may contemplate shall bring the legal action or proceeding in said courts. The vendor waives, to the fullest extent permitted by law, (a) any objection which it may now or later have to the laying of venue as provided herein of any legal action or proceeding arising out of or relating to this Contract and (b) any claim the tiny such action or proceeding brought in such court has been brought in an inconvenient forum. Vendor consent to the exclusive jurisdiction of the state courts sitting in Tarrant County, Texas, ad agrees that the exclusive choice of forum set forth herein does not prohibit the enforcement of any judgment obtained in an appropriate forum. This section does not waive any immunity to which the District is otherwise entitled. 20. To the fullest extent allowed by law, the Vendor shall indemnify and defend the District at all times after the date of this Contract against any liability, loss, damages, claim, settlement payment, cost and expense, interest, award judgment, diminution in value, fine, fee, and penalty, or other charge (an Indemnified Loss ) arising out of or relating to the transactions that are contemplated by this Contract, but only to the extent that such Indemnified Loss arises out of the Vendor s negligence or other fault. 21. Vendor agrees that, as a condition precedent and contractual prerequisite to suit, it shall exhaust all administrative remedies, including, but not limited to, the grievance process set forth in District policy GF (LOCAL), prior to instituting any action or proceeding against the District. Failure by the Vendor to fully exhaust the GF (LOCAL) process through Level Three, whether by missing timelines, abandoning a grievance, or otherwise, will constitute a waiver of any such claims Vendor and will bar Vendor from instituting or continuing any legal action or proceeding relating thereto. For purposes of this Contract, the timeline for filing an initial grievance under GF (LOCAL) is extended to ninety days from the date Vendor first knows, or with reasonable diligence should have known, of the decision or action giving rise to the complaint or 4

grievance. 22. No amount shall be considered due and owing to Vendor from District unless, at a minimum, such amount (1) has been properly invoiced, and (2) is attributable to the Vendor s satisfactory performance of its obligations under this Contract. 23. By submitting a response to this RFP, each respondent waives any claims it may have against the District, its trustees, officers, and employees, arising at any time prior to the date of submission of the RFP response. 24. Vendor and District agree that the right to recovery of attorneys fees that may arise under Texas Local Government Code Chapter 271 is hereby waived. NAME OF COMPANY AUTHORIZED SIGNATURE PRINTED NAME ADDRESS CITY STATE ZIP PHONE NUMBER FAX NUMBER DATE RFP/BID NUMBER PAYMENT TERMS E-MAIL ADDRESS 5

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 W. Pioneer Parkway Arlington, TX 76013 FORMS CHECKLIST The following forms must be submitted with your Bid/RFP : STANDARD TERMS AND CONDITIONS FELONY CONVICTION NOTICE HUB CERTIFICATE SUSPENSION OR DEBARMENT CERTIFICATE CITY OF ARLINGTON COOPERATIVE PURCHASING FORM DEALERSHIP LISTING BID FORM FUNDING OUT PROVISION W-9 CERTIFICATE CONFLICT OF INTEREST DISCLOSURE OF INTERESTED PARTIES VENDOR CONTACT INFORMATION 6

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 West Pioneer Parkway Arlington, Texas 76013 FELONY CONVICTION NOTIFICATION State of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History, Subsection (a), states, a person or business entity that enters into a contract with a school district must give advance notice to the District if the person or owner or operator of the business entity has been convicted of a felony The notice must include a general description of the conduct resulting in the conviction of a felony. Subsection (b) states, a school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract. This notice is not required of a publicly-held corporation. Please complete the information below: I, the undersigned agent for the firm named below, certify that the information concerning notification of felony convictions has been reviewed by me and the following information furnished is true to the best of my knowledge. Vendor s Name: Authorized Company Officials Name (Please print or type): A. My firm is a publicly-held corporation; therefore, this reporting requirement is not applicable: Signature of Company Official: Date: B. My firm is not owned nor operated by anyone by anyone who has been convicted of a felony. Signature of Company Official: Date: C. My firm is owned or operated by the following individual(s) who has/have been convicted of a felony: Name of Felon(s): Details of Conviction(s):_ Signature of Company Official:_Date: 7

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 W. Pioneer Parkway Arlington, TX 76013 HISTORICALLY UNDERUTILIZED BUSINESS (HUB) CERTIFICATION Bidding companies that have been certified by the Statewide HUB Program of the state of Texas as Historically Underutilized Business (HUB) entities are encouraged to indicate their HUB status when responding to this RFP Invitation. The electronic catalogs will indicate HUB certification for vendors that properly indicate and document their HUB certification on this form. I certify that my company has been certified by the Texas Statewide HUB Program as a Historically Underutilized Business (HUB), and I have attached a copy of our HUB Certification to this form. (Required documentation for recognition as a HUB). My company has NOT been certified by the Texas Building and Procurement Commission as a Historically Underutilized Business (HUB). Signature of Authorized Representative Name (Please Print) Title Company Name (Please Print) 8

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 W. Pioneer Parkway Arlington, TX 76013 SUSPENSION OR DEBARMENT CERTIFICATE Non-Federal entities are prohibited from contracting with or making subawards under convered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of $100,000.00. Contractors receiving individual awards for $100,000.00 or more and all subrecipients must certify that the organization and its principals are not suspended or debarred. By submitting this offer and signing this certificate, the bidder : Certifies that the owner/operator has not been convicted of a felony except as indicated on separate attachment to this offer, in accordance with Sec. 44.034, Texas Education code, and Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the Federal OMB, A-102, Common Rule(.36) Vendor Name : Vendor Address : Vendor E-mail Address : Vendor Telephone : Authorized Company Official s Name : (Printed) Signature of Company Official : Date : 9

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 W. Pioneer Parkway Arlington, TX 76013 CITY OF ARLINGTON - COOPERATIVE PURCHASING FORM Arlington ISD has an inter-local agreement with the City of Arlington. If agreed upon by the vendor, other government entities that are a member of this cooperative my purchase from our contract. Should other Government Entities decide to participate in this contract, would you, the Vendor, agree that all terms, conditions, specifications, and pricing apply? Yes No_ If you, the Vendor checked yes, the following will apply: Government entities utilizing Inter-Governmental Contracts with the City of Arlington will be eligible, but not obligated, to purchase materials/services under this contract(s) awarded as a result of this bid. All purchases by Governmental Entities other than Arlington Independent School District will be billed directly to that Governmental Entity and paid by that Governmental Entity. Arlington Independent School District will not be responsible for another Governmental Entity s debts. Each Governmental Entity will order their specific material/service as needed. NAME OF COMPANY AUTHORIZED SIGNATURE PRINTED SIGNATURE ADDRESS CITY STATE ZIP PHONE NUMBER FAX NUMBER DATE 17-04 BID NUMBER PAYMENT TERMS EMAIL ADDRESS 10

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 W. Pioneer Parkway Arlington, TX 76013 DEALERSHIP LISTINGS If your company has more than one location that will be servicing this contract, please list each location below. If additional sheets are required, please duplicate this form if necessary. (Please print) Company Name Address City State Zip _ Phone Number Fax Number Contact Person Company Name Address City State Zip _ Phone Number Fax Number Contact Person 11

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 West Pioneer Parkway Arlington, Texas 76013 BID 17-04 Computer, Audio Visual Supplies, Equipment & Services (Qualifying Bid) SPECIFICATIONS In order to be in compliance with the state competitive bidding requirement for school districts, and to secure the best pricing, the Arlington Independent School District is seeking sealed bids from various vendors. This bid is for COMPUTER, AUDIO VISUAL SUPPLIES, EQUIPMENT & SERVICES for the Arlington Independent School District. This is a qualifying bid only there are no particular items required as of this moment. When your company submits this bid to the AISD, you are placed on our approved vendor list. If your company fails to submit a bid, the AISD will not be allowed to purchase any products from your company. A valid purchase order from the AISD must be received before products are delivered or picked up. Please note: If your company ships items to the AISD without a valid purchase order, the AISD is not responsible for paying your company or the returning shipping costs. 1. Shipping charges shall be prepaid and added to the invoice. Please provide the percentage to be added in the space provided on the Bid Form. 2. Your bid is to be firm from July 1, 2016 through June 30, 2017. 3. The District reserves the right to accept or reject any and all bids and to waive technicalities. 4. Successful bidder(s) will be given a reasonable length of time for delivery; however, purchase orders over 30 days old are considered unreasonable. The District reserves the right to review bidder s delivery performance and to re-award to another bidder if delivery is unsatisfactory. 5. Payment will be made on the District s regular payment schedule. 6. The cost to the District will be based on the current catalog price using the discount offered. It is the responsibility of the approved bidder(s) to update catalogs as necessary. 7. Tips are not a District allowed purchase if tips are added to any order, they will not be paid. 8. If services are provided, insurance information and criminal background checks are required and will be requested before services are rendered. NOTE: State law prohibits bidders from faxing bid responses. You may wish to overnight or federal express your response to this bid invitation. You also may hand carry your response to the purchasing department. 12

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 West Pioneer Parkway Arlington, Texas 76013 BID 17-04 Computer, Audio Visual Supplies, Equipment & Services (Qualifying Bid) BID FORM VENDOR MUST RETURN SIGNED BID FORM WITH ANY ATTACHMENTS. Questions regarding this bid should be directed to Norma LaJudice via email at nlajudic@aisd.net or fax at 817-459-7246 and will be answered in writing. (Phone #682-867-7346). Any changes to the bid specifications will be issued in written addenda. The estimated expenditure for this contract is approximately $500,000.00 per year. However, this estimate should not be construed to be a guarantee of either minimum or maximum expenditures and is dependent upon actual needs and available funding. Please provide the following information: % Discount from Catalog Price/Shelf Price % (Please note you can put any discount from 0-100% or the word varies in the above blank.) Will your company charge shipping for the merchandise you sell? Yes No List below any items or categories of items to which the discount reflected above DOES NOT apply. List what discount WOULD apply to the exceptions. % discount % discount % discount Is there a minimum order? If yes, please explain Reference Number (If Any) to be Used for this bid: Any other charges/comments: 13

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 West Pioneer Parkway Arlington, Texas 76013 FUNDING OUT PROVISION The undersigned hereby offers to provide the articles/services specified above at the prices and terms stated. Net price must include inside delivery and freight. The Arlington Independent School District (AISD) is exempt from all federal excise taxes and state sales tax. This bid may be withdrawn after the specified time. AISD reserves the right to accept or reject in part or in whole any bids submitted and to waive any technicalities for the best interest of AISD. FUNDING OUT PROVISION: If Arlington Independent School District fails to appropriate funds to provide for the annual funding of the contract (17-04), the AISD may terminate the contract, without termination charges, provided the contractor receives at least thirty (30) days prior written notice of the termination stating the non-appropriation of funds as the reason for termination. NAME OF COMPANY AUTHORIZED SIGNATURE PRINTED SIGNATURE ADDRESS CITY STATE ZIP PHONE NUMBER FAX NUMBER DATE 17-04 BID NUMBER PAYMENT TERMS E-MAIL ADDRESS 14

CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). FORM CIQ OFFICE USE ONLY Date Received By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. 2 3 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) Name of local government officer about whom the information is being disclosed. Name of Officer 4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? Yes No 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. 6 Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7 Signature of vendor doing business with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015

CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code 176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: *** (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code 176.006(a) and (a-1) (a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015

ARLINGTON INDEPENDENT SCHOOL DISTRICT 1203 W. Pioneer Parkway Arlington, TX 76013 BID 17-04 Computer, Audio Visual Supplies, Equipment & Services DISCLOSURE OF INTERESTED PARTIES Each Vendor must submit, along with its response to this RFP/BID, a Disclosure of Interested Parties as referenced in Texas Government Code 2252.908 and 1 Tex. Admin. Code 46.1(c). In order to complete the required disclosure, the Ethics Commission requires that a user log on to its online system in order to generate the necessary form. Instructions for completing this form can be found on the Texas Ethics Commission s website: https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm. Click on Log In then Form 1295 Filings. The user will then print the form, sign and notarize it, and submit it to AISD in hard copy along with its response to this RFP/BID. AISD requires that every respondent to this RFP/BID submit this disclosure. For purposes of completing the disclosure, the identification number used by AISD for tracking this contract is the RFP/BID number that is specified in this RFP/BID. 15

Vendor Contact Information AISD is promoting paperless ordering. In order to help with this process, we ask for your preference in receiving purchase orders via email or fax. Please complete the following information for the person whom will be handling our account for your company. Contact Name: Contact Number: Contact EMAIL for POs_ Contact FAX for POs Preference for Purchase Orders (please circle) FAX EMAIL