Conroe Independent School District

Request for Qualifications RFQ #17-10-03

Building System and Building Envelope Commissioning

RFQ Due Date: Tuesday November 7, 2017 @ 2:00PM Central

TABLE OF CONTENTS

General Terms and Conditions (includes Certification Sheet) .................... 3-4

Notice of No Submission ....................................................................................5

Notice to Offerors ............................................................................................ 6-9

Attachment “A” ........................................................................................... 10-13

Declaration of Commitment and Authenticity ................................................ 14

Non-Collusion Statement ................................................................................. 15

Felony Conviction Notification ........................................................................ 16

National Criminal History Certification ............................................................ 17

Debarment Form................................................................................................ 18

Conflict of Interest Questionnaire.................................................................... 19

Certificate of Interested Parties – Form 1295………………………………...20-21

Certification Regarding Terrorist Organizations & Boycott of Israel………..22

GENERAL TERMS & CONDITIONS RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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CONROE INDEPENDENT SCHOOL DISTRICT 2nd Floor, Building A

3205 W. Davis Conroe TX 77304

RFQ# 17-10-03 Building Systems & Building Envelope Commissioning RFQ Due Date: Tuesday November 7, 2017 Time: 2:00pm Central

Buyer: Rick Reeves, Director of Purchasing Phone: 936/709-7798

GENERAL TERMS AND CONDITIONS

1. Request for Qualifications shall be submitted on this original form and returned with (10) ten duplicate

copies. Responses shall be limited to no more than 50 sheets, bound to lay flat when opened. FAXED AND E-MAILED RESPONSES ARE NOT ALLOWED. Should you opt not to offer a response, please return the NOTICE OF NO SUBMISSION form (page 5) to remain on the bidder list.

2. Sealed responses, an original and (10) ten duplicates, must reach the PURCHASING OFFICE on or

before the designated hour of the due date specified. FAILURE TO SUBMIT RFQ IN DUPLICATE MAY RESULT IN REJECTION OF OFFER. Only the names of all bidders submitting responses will be read aloud. Submittal to be as follows:

MAIL DELIVERY: Response(s) sent by mail MUST be addressed to: Conroe ISD PURCHASING OFFICE 2nd Floor, Building A 3205 W. Davis Conroe, TX 77304 RFQ# 17-10-03

HAND DELIVERY: Hand delivered responses MUST be taken to the above address.

3. The undersigned, by his/her signature, represents that he/she is authorized to bind vendor to fully comply with terms and conditions of this response, including all forms and attachments included and/or referenced herein, for the amount(s) shown on the accompanying response form(s).

CERTIFICATION SHEET

Company: _____________________________________ Authorized Signature: _____________________________________ Address: _____________________________________ Print Signature: ___________________________________________ ____________________________________ Title: ___________________________________________ Offer Firm Until: CONTRACT PERIOD Phone: ___________________ FAX:____________________ Company Website Address: ________________________ E-Mail Address: ____________________________________________ Is the principal place of business located in Texas? yes no How many persons are employed in Texas?_________ TAX ID# REQUIRED: _________________________________ Billing Address (if different): __________________________________________________________________________________

GENERAL TERMS & CONDITIONS RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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4. Drop shipments may be refused if they are not labeled with a Conroe ISD purchase order number.

Bidder will be required to pay re-delivery charges, if omitted from the paperwork.

5. Amendments to responses will represent a true and correct statement and shall contain no cause for claim of omission or error.

6. No responses may be withdrawn without District approval. Quantity requirements are a close

approximation, but the right to make variations is reserved. The Board of Trustees of the Conroe Independent School District reserves the right to reject any and all offers and to waive any formalities or irregularities and to make the award of the contract in the best interest of the School District.

7. In the event any article to be sold or delivered hereunder is covered by any patent, copyright, trademark,

or application thereof, the seller shall indemnify and hold harmless the District from any and all loss, cost expenses and legal fees on account of any claims, legal actions, or judgments on account of manufacture, sale or use of such article in violation, infringement or the lack of rights under such patent, copyright, trademark or application.

8. In accordance with Texas Education Code Chapter 44.031(f) and Government Code 2254.003,

Selection of Provider; Fees.; a. A governmental entity may not select a provider of professional services or a group or

association of providers or award a contract for the services based on the basis of competitive bids submitted for the contract or for the services, but shall make the selection and award:

i. On the basis of demonstrated competence and qualifications to perform the services; and

ii. For a fair and reasonable price. b. The professional fees under the contract may not exceed any maximum provided by law.

9. Conroe ISD reserves the rights to accept or reject all or any part of any response, waive minor

technicalities, and award the response to best serve the interest of the District. All protests must be filed in writing with the Director of Purchasing within 10 days.

10. Payments will be made within 30 days after receipt of original invoice for each services rendered (where

services have been received in good order). Only the company listed on the signed proposal document shall invoice and receive payment for those services. All invoices shall be mailed to: CISD Planning & Construction, 3205 W. Davis, Conroe, Texas 77304.

11. Per SB 1, Sec. 44.034, a person or business entity that enters into a contract with a school district must

give advance notice to the district if the person or an owner or operator of the business entity has been convicted of a felony. The Felony Conviction Notification must include a general description of the conduct resulting in the conviction of a felony.

12. Conroe ISD is exempt from all applicable Federal and State Tax. Tax-exempt information will be

furnished upon request. 13. If at any time the respondent fails to fulfill or abide by the terms, conditions, or specifications of this

contract, Conroe ISD reserves the right to cancel upon 30 days written notification. 14. Insurance coverage is required in the Notice to Offerors, a copy of current coverage for General

Liability, Workman’s Compensation and Employer’s Liability with Statutory Limits, Automobile Liability, Errors and Omissions, and Excess Liability shall be furnished with the response. After board approval of the contract, bidder shall name Conroe ISD as the Certificate Holder and additional insured.

15. PLEASE NOTE: All responders shall submit a list of at least three (3) references from companies and/or

school districts for which bidder has provided similar products. References should include the company name, contact name, and telephone number. Responses submitted without three (3) references may be disqualified from consideration.

NOTICE OF NO SUBMISSION RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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NOTICE OF NO SUBMISSION

Complete this form and return it prior to proposal due date and time if:

1. Our company cannot provide the products, supplies and/or services listed in this proposal. MOVE our company name and address to the following commodity (ies) so that we may be included in the proper Conroe ISD proposal(s):

A vendor application may be found on the CISD Purchasing website if you wish to update your company profile details and view commodities available for bidding purposes. http://purchasing.conroeisd.net/ (Click on the link on the left side of the page for Vendor Application.)

2. KEEP our name on the proposal list because we have decided NOT to submit a proposal at this particular time for the following reason(s):

However, we understand that by not submitting bid pricing for two (2) consecutive bid cycles, our name WILL BE REMOVED from the Conroe ISD commodity list.

3. REMOVE our name from all Conroe ISD proposal lists for the reason(s) listed:

COMPANY NAME: REPRESENTATIVE (Please Print): ADDRESS: PHONE NUMBER: FAX NUMBER: MAIL TO: CONROE ISD ATTN: PURCHASING DEPARTMENT 3205 W. DAVIS CONROE, TEXAS 77304 RE: No Bid – RFQ# 17-10-03 Building Systems and Building Envelope Commissioning *** OR *** FAX TO: (936) 760-7796 – PURCHASING DEPARTMENT SIGNATURE: TITLE: DATE: BIDDERS WHO RESPOND TO THIS REQUEST WITH A FORMAL PROPOSAL WILL REMAIN ON OUR MAILING LIST. BIDDERS MAKING NO RESPONSE AT ALL MAY BE REMOVED FROM OUR BIDDER LIST.

NOTICE TO OFFERORS RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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NOTICE TO OFFERORS The Conroe Independent School District (District) is receiving Request for Qualifications (RFQ) for selected services, for the remaining 2015 Bond projects that require Commissioning services for code compliance. RFQ responses are requested from qualified firms in an effort to assist the District in providing services which include:

• Building mechanical, electrical and plumbing system commissioning • Building lighting system commissioning • Energy modeling • Building envelope commissioning • Design review • Building performance benchmarking

The District reserves the right to adjust the Scope of Services and completion schedules for services based on District budget and current District needs. Each respondent will be asked to complete a Summary of Information/Qualifications, which illustrates the firm’s general information, experience, financial information, available services, philosophy, personnel, and references (Attachment “A”). A Selection Committee of the District’s Administrators will evaluate this information. This committee may then select a firm(s) to be interviewed by the Selection Committee. Your RFQ response should be bound so that when opened, documents lay flat, following the same order of Attachment “A” with tabs for each section. Ten (10) copies of the proposal must be included in proposer’s submittals. One copy must be clearly identified on the cover as the “ORIGINAL”. All submittals become the property of the District and will not be returned. Any RFQ received later than the specified time, whether delivered in person or by mail, shall be disqualified. The RFQ may be withdrawn or revised prior to the scheduled time for opening, provided the request for withdrawal is received in writing before the time set for opening. The District reserves the right to hold all RFQ’s for ninety (90) days from the receipt date without action, to reject any/or all RFQ’s, to accept any RFQ, or any combination of RFQ’s, and to waive any informalities as best serves the goals and objectives of the District. All materials produced will be used by the District to communicate facility needs to District staff and the citizens of the District’s communities. Responses to this invitation may be subject to release as public information unless the response or specific parts of the responses are exempted from public disclosure under the Public Information Act. Firms responding to the RFQ shall be responsible for any cost incurred in the preparation of qualifications and participation in the evaluation process. There is no expressed or implied obligation by the District to reimburse any individual or firm for any costs incurred in preparing or submitting qualifications, for providing additional information when requested by the District, for participating in any selection demonstration/interviews, or contract negotiations.

NOTICE TO OFFERORS RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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CRITICAL DATES

Target Selection for November Board Meeting: November 14, 2017 RUN RFQ ADVERTISEMENT: October 21, 2017 (Saturday) and October 22, 2017 (Sunday) RFQ INSRUCTION PACKET RELEASED BY CONROE ISD: October 23, 2017 (Monday) RFQ QUESTIONS AND CLARIFICATIONS: Received in writing no later than November, 3, 2017 (Friday) to: Rick Reeves Director of Purchasing 3205 W Davis Conroe, TX 77304 rreeves@conroeisd.net RFQ DUE: November 7, 2017 (Tuesday) EVALUATION AND INTERVIEW TIME LINE: Short List Notification: November 8, 2017 (Wednesday) Interview Date: November 9, 2017 (Thursday) (Optional)

GENERAL SCOPE

Building commissioning and building envelope commissioning services: Multiple firms may be selected for the purpose of providing Building Commissioning and Building Envelope Commissioning Services. The District intends to select from the qualified responders a firm(s) that will perform building commissioning and building envelope commissioning for code compliance on remaining 2015 Bond projects. The firm(s) selected will provide Building Commissioning and Building Envelope Commissioning Services to include at a minimum:

1. Review, research, analyze, and validate the District’s plans and specification for future facilities/buildings to verify compliance with Governing codes.

2. Provide the District with energy models as required for construction projects. 3. Provide review of project submittal data to verify compliance with designs.

4. Provide site investigation and testing services for commissioning of systems and building envelope. 5. Summarize findings and recommendations for compliance with commissioning plan and follow up to ensure corrections are made. 6. Provide final commissioning report showing projects in compliance with codes and design specifications.

NOTICE TO OFFERORS RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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SELECTION PROCESS

A Selection Committee of the District’s Administrative staff will review submitted RFQ’s. The committee will select a short list of respondents who may be interviewed by the Selection Committee. Additional information may be requested from firms selected for the short list. The District anticipates selecting multiple Firms for Building Commissioning and Building Envelope Commissioning Services. The District retains the option to select multiple firms to perform Building Commissioning and Building Envelope Commissioning Services on a project by project basis. Based on qualifications, the District’s needs and funding, the District will negotiate a contract for individual projects with one of the selected firms. If the District is unable to reach a contract agreement with a selected firm, the District will terminate discussions and proceed to the next firm deemed most appropriate. All contract revisions and approvals are subject to approval by the District’s legal counsel and the District’s Board of Trustees.

SELECTION CRITERIA The criteria used to evaluate the RFQ response includes, but it not limited to:

A. Firm Experience and Qualifications B. Project Manager Experience and Qualifications C. Proposed Team Consultants D. Past Performance as Evaluated by Clients/Owners/Contractors E. Quality of Services F. M/WBE Participation Plan and Outreach Efforts G. Oral Presentation (If applicable – District’s Option)

INSURANCE Unless otherwise agreed to by CISD, the Supplier shall carry insurance with responsible carriers acceptable to CISD rated A or better, by A.M. Best with minimum limits of liability coverage, as stated below, against claims for damages caused by bodily injury, including death, to employees and third parties, and claims for property damage. The Supplier shall furnish certificates of insurance (Acord Form) to CISD indicating compliance with this paragraph.

Type of Coverage Minimum Limits 1. Commercial General Liability

$1,000,000 Combined Single Limit; $500,000 Combined Single Limit Each Occurrence

2. Automobile Liability: Bodily Injury & Property Damage For all owned, non-owned vehicles and hired vehicles.

$1,000,000 Combined Single Limit Each Occurrence

3. Workers’ Compensation and Employer’s Liability

As statutory provisions require in the State of Texas

4. Employer’s Liability

$500,000 Each Accident; $500,000 Disease Policy Limit; $500,000 Disease Each Employee

5. Excess Liability $500,000 Each accident; $500,000 Aggregate

6. Professional Liability (errors and omissions) will be required.

NOTICE TO OFFERORS RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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The Supplier shall submit evidence with the proposal and again at the time of any execution of the contract/agreement that it has in full force and effect all insurance requirements listed above prior to the commencement of any work. The Supplier shall maintain such insurance in full force and effect throughout the duration of the contract/agreement. In the event that it is not commercially feasible to maintain insurance during the period required by the contract/agreement, Supplier shall supply CISD with equivalent assurance to the required insurance, acceptable to CISD. CISD shall be named as an additional insured on the automobile and commercial general liability policy. CISD shall be named as an alternate employer on the workers’ compensation policy. A waiver of subrogation shall be issued in favor of CISD in the workers’ compensation, automobile and commercial general liability policies. The Supplier’s insurance provider(s) shall provide CISD with original certificates of insurance, acceptable to CISD. Insofar as allowed by law, such certificates shall indicate an agreement by each carrier not to cancel or significantly diminish coverage without a minimum of thirty (30) days prior written notice to CISD. In the event there is a deductible on any policy, the Supplier may be asked to provide evidence to the satisfaction of CISD that it is able to satisfy the deductible. Notice regarding insurance and cancellation or changes should be mailed to:

Rick Reeves Conroe Independent School District Purchasing Department 3205 W. Davis St Conroe, Texas 77304

CISD reserves the right to require additional insurance coverage to be carried by the Supplier as deemed desirable by CISD, depending on the type of project.

Self-insurance: A Supplier who self-insures for workers’ compensation must possess a Certificate of Authority to Self-insure issued by the Texas Workers’ Compensation Commission. By signing the Certification Sheet, the Supplier certifies that he/she possesses such certificate, and shall furnish a copy of the certificate with the response.

ATTACHMENT “A” RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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ATTACHMENT A

QUALIFICATION STATEMENT FOR BUILDING COMMISSIONING AND BUILDING ENVELOPE COMMISSIONING SERVICES

1. FIRM GENERAL INFORMATION (Tab 1) Date: ___________________________________________________________________ Firm: ___________________________________________________________________ Address: ________________________________________________________________ City: ____________________________________________________________________ RFQ Contact Person (2)-Limited to two persons per firm/application: Name: __________________________________________________________________ Title: ___________________________________________________________________ Telephone: ______________________________________________________________ Email Address: ___________________________________________________________ Title Texas Registration Number: _____________________________________________ Name: __________________________________________________________________ Title: ___________________________________________________________________ Telephone: ______________________________________________________________ Email Address: ___________________________________________________________ Title Texas Registration Number: _____________________________________________ Type of Organization: ______ Sole Proprietorship (Individual) ______ Partnership ______ Professional Corporation ______ Corporation ______ Joint Venture ______ Other Year present firm established: ____________________________________________________________ Name of parent company, if any: __________________________________________________________ Address: _____________________________________________________________________________ List of principals of firm: _________________________________________________________________ _________________________________________________________________ Former company name(s), if any and years established: Name: _______________________________________ Year: __________ Name: _______________________________________ Year: __________ Name: _______________________________________ Year: __________ Number of employees in firm: ________________________ Total of employees in firm (all office locations): ______________________________________________ Architects __________ Engineers __________ Draftsmen __________ Administration __________ 2. PROJECT TEAM (Tab 2)

a. Proposed team organizational chart for working on Conroe Independent School District projects (renovations and/or additions). The proposed chart should include back-up personnel and consultants. b. Provide resumes and references for each member of the team proposed. Note any disciplinary actions mandated by governing agencies, as applicable. c. Will construction administration on Conroe Independent School District project(s) be performed with staff that was involved in the design and production of the contract documents?

ATTACHMENT “A” RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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d. Describe the involvement of the firm principal in the project. Provide the firm’s current workload include the current number of projects, the budget for each current project, and the current phase of each project. For firms that have multiple office locations, this information is only required for the local office that would manage and provide architectural services to the District.

3. PROFESSIONAL SERVICES-PROJECT CONSULTANTS (Tab 3) Please check all services provided by your firm: Self-Perform Outsource ______ Building MEP Systems Commissioning __________ __________ ______ Lighting Commissioning __________ __________ ______ Envelope Commissioning __________ __________ ______ Energy Modeling __________ __________ ______ Design Review __________ __________ ______ Submittal Review __________ __________ ______ Performance Benchmarking __________ __________ ______ Construction Inspections __________ __________ List name of consultants you propose utilizing for any project(s) performed in Conroe Independent School District. Consultant qualification information is not required as part of the submission requirements but may be requested from firms that are selected to participate in the interview process. 4. PROFESSIONAL LIABILITY INSURANCE (Tab 4) Describe limits per project: ________________________________________________________ Describe limits in aggregate: _______________________________________________________ Describe deductible: _____________________________________________________________ Have you had claims asserted against you within the last five years? _______________________ If yes, provide details of each claim: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5. EDUCATIONAL CLIENT REFERENCES (Tab 5) Please list five (5) clients for whom your firm has worked and would be representative of your firm’s services and accomplishments within the last ten (10) years. District: ______________________________________________________________________________ Contact Person/Title: ___________________________________________________________________ Owner Contact Information: _____________________________________________________________ Phone: ________________________ Fax: _______________________ Email: ______________________ Services Provided: ______________________________________________________________________ Year Services Provided: _________________________________________________________________ District: ______________________________________________________________________________ Contact Person/Title: ___________________________________________________________________ Owner Contact Information: _____________________________________________________________ Phone: ________________________ Fax: _______________________ Email: ______________________ Services Provided: ______________________________________________________________________ Year Services Provided: _________________________________________________________________ District: ______________________________________________________________________________ Contact Person/Title: ___________________________________________________________________

ATTACHMENT “A” RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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Owner Contact Information: _____________________________________________________________ Phone: ________________________ Fax: _______________________ Email: ______________________ Services Provided: ______________________________________________________________________ Year Services Provided: _________________________________________________________________ District: ______________________________________________________________________________ Contact Person/Title: ___________________________________________________________________ Owner Contact Information: _____________________________________________________________ Phone: ________________________ Fax: _______________________ Email: ______________________ Services Provided: ______________________________________________________________________ Year Services Provided: _________________________________________________________________ District: ______________________________________________________________________________ Contact Person/Title: ___________________________________________________________________ Owner Contact Information: _____________________________________________________________ Phone: ________________________ Fax: _______________________ Email: ______________________ Services Provided: ______________________________________________________________________ Year Services Provided: _________________________________________________________________ 6. DELIVERY OF SERVICES (Tab 6) As a separate attachment, provide samples of printed materials or media examples of Services performed by your firm. Summarize services provided and describe the manner and process in which the firm will work with the District to accomplish: Building Commissioning: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Building Envelope Commissioning: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Explain how your firm aids in designs for schools to ensure low maintenance costs, energy efficiency, and sustainability: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Note advantages or superior qualifications that benefit the District and make your firm uniquely qualified to provide the requested Services: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Respond to the following: a. Describe your firm’s culture, vision, and philosophy

ATTACHMENT “A” RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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b. Describe your firm’s organization and project management philosophy c. Describe your firm’s quality control program d. Describe your firm’s process for document coordination with other design consulting disciplines and engineers e. How does your firm handle its errors and omissions? Provide an example f. Describe your firm’s support and role for helping assure on time project occupancy g. Identify your firm’s most successful project and explain why you consider it the most successful project. h. Identify your firm’s most unsuccessful project and explain why you consider it the most unsuccessful project 7. PORTFOLIO OF PROJECTS A. NEW EDUCATIONAL FACILITIES (Tab 7a)

Provide a list of at least five (5) projects, including one elementary, one middle, and one high school that your firm has completed or substantially completed within the past five years. The District may contact the project owner of any listed project as part of the RFQ evaluation process. On a separate page for each project, provide the following information: 1. Name of project 2. Name of owner 3. Mailing address of owner 4. Owner’s contact person 5. Telephone number and e-mail address of owner and contact person 6. Description of project 7. Size in square footage of project 8. Owner’s initial budget for construction cost 9. Date of construction contract 10. Dollar value of construction at completion of contract 11. Explanation of any change orders on the project 12. Name of project architect, engineers 13. Name, address, and telephone number of general contractor/project manager 14. List of energy conservation or design features 15. Documented energy consumption statistics for project if available to include k Wh/sq. ft. and kBtu/sq.ft.

B. NON-INSTRUCTIONAL EDUCATION FACILITIES (Tab 7c) List of two to five recent non-instructional school projects for which your firm provided full architectural/engineer services. For each project listed, provide information listed in Tab 7a.

ATTACHMENT “A” RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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DECLARATION OF COMMITMENT AND AUTHENTICITY (Tab 10)

Request for Qualifications Building Commissioning and Building Envelope Commissioning

Conroe Independent School District RFQ# 17-10-03

In submitting the Request for Qualification (RFQ) for Building Commissioning and Building Envelope Commissioning Services, the responding firm acknowledges that if selected they will in good faith seek to negotiate a contract with the District. Further, the responding firm attests that the information provided in the is document and its attachments represents the named firm and is true and accurate, and the responder has made no attempt to mislead or misinform the District.

Until a contract resulting from this process is executed, no employee, agent or representative of the firm, their staff or consultants, shall make available or discuss its proposal with the press, elected or appointed official, or any employee, agent or other representative of the District, unless specifically instructed otherwise by the District’s Superintendent of Schools (Dr. Don Stockton), Deputy Superintendent of Operations (Dr. Chris Hines) or Director of Planning & Construction (Mr. Easy Foster).

My signature indicates the information provided within this application is true and representative of the firm on whose behalf it is submitted.

___________________________________ Firm

___________________________________ ________________________ Signature of Firm’s Representative Date

___________________________________ Printed Name

___________________________________ Title

NON-COLLUSION STATEMENT RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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NON-COLLUSION STATEMENT “The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this proposal in collusion with any other bidder and that the contents of this offer as to prices, terms or conditions of this said contract have not been communicated by the undersigned nor by any employee or agent to any other persons engaged in this type of business prior to the official opening of this proposal.” Bidder______________________________________________________________________ Address_____________________________________________________________________ Phone_______________________________________________________________________ Fax Number__________________________________________________________________ Offeror (Signature)_____________________________________________________________ Offeror (Print Name)____________________________________________________________ Position With Company_________________________________________________________ Signature of Company Official Authorizing This Proposal________________________________________________________ Company Official Print Name___________________________________________________________________ Official Position______________________________________________________________________

FELONY CONVICTION NOTIFICATION RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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FELONY CONVICTION NOTIFICATION

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. BIDDER’S NAME: ________________________________________________________ AUTHORIZED COMPANY OFFICIAL’S NAME (PRINTED): __________________________ PLEASE CHECK THE APPROPRIATE STATEMENT: ______ My firm is a publicly held corporation, therefore, this reporting requirement is not

applicable. ______ My firm is neither owned nor operated by anyone who has been convicted of a felony. ______ 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: _____________________________________________

NATIONAL CRIMINAL HISTORY CERTIFICATION (SUPPLIER EMPLOYEES) RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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NATIONAL CRIMINAL HISTORY CERTIFICATION

(Supplier Employees)

Definitions: Covered employees: Employees who have or will have continuing duties related to the service to be performed at the District and have or will have direct contact with students. The District will be the final arbiter of what constitutes direct contact with students. Disqualifying criminal history: Any conviction or other criminal history information designated by the District, or one of the following offenses, if at the time of the offense, the victim was under 18 or enrolled in a public school: (a) a felony offense under Title 5, Texas Penal Code; (b) an offense for which a defendant is required to register as a sex offender under Chapter 62, Texas Code of Criminal Procedure; or (c) an equivalent offense under federal law or the laws of another state. On behalf of _________________________________________________ (“Supplier”), I certify that (check one): None of Supplier’s employees are covered employees, as defined above. If this box is checked, I further certify that Supplier has taken precautions or imposed conditions to

ensure that Supplier’s employees will not become covered employees. Supplier will maintain these precautions or conditions throughout the time the contracted services are provided.

Or Some or all of Supplier’s employees are covered employees. If this box is checked, I further certify that:

1. Supplier has obtained all required criminal history record information regarding its covered employees. None of the covered employees has a disqualifying criminal history.

2. If Supplier receives information that a covered employee subsequently has a reported

criminal history, Supplier will immediately remove the covered employee from contract duties and notify the District in writing within 3 business days.

3. Upon request, Supplier will provide the District with the name and any other requested

information of covered employees so that the District may obtain criminal history record information on the covered employees.

4. If the District objects to the assignment of a covered employee on the basis of the covered

employee’s criminal history record information, Supplier agrees to discontinue using the covered employee to provide services at the District.

Noncompliance or misrepresentation regarding this certification may be grounds for contract termination. ________________________________________ ____________________________ Signature Date

DEBARMENT FORM RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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DEBARMENT

Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion

Lower Tier Covered Transactions This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR Part 3017, Section 3017.510, Participants’ responsibilities. The regulations were published as Part IV of the January 30, 1989, Federal Register (pages 4722-4733). Copies of the regulations may be obtained by contacting the Department of Agriculture agency with which this transaction originated.

(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

(2) Where the prospective lower tier participant is unable to comply with any of the

statements in this certification, such prospective participant shall attach an explanation to this proposal.

Organization Name PR/Award Number or Project Name Name and Title of Authorized Representative Signature Date

CONFLICT OF INTEREST QUESTIONNAIRE – FORM CIQ RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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CONFLICT OF INTEREST QUESTIONNAIRE

Texas Local Government Code Chapter 176.003 requires vendors (or their agents) who enter or seek to enter into a contract with the District to complete and file Texas Ethics Commission form CIQ IF the vendor or agent has a business relationship with the District AND (1) has an employment or other business relationship with an officer or officer’s family member described by Local Government Code 176.003(a)(2)(A) OR (2) has given an officer or the officer’s family member one or more gifts with an aggregate value specified by Local Government Code 176.003(a)(2)(B). The form must be filed with the District’s Legal Department. Officers of the District are its Board of Trustees and Superintendent whose names can be found at: http://www.conroeisd.net/about/board/board.asp If neither (1) nor (2) exist, it is NOT necessary to file form CIQ. 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 free 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 charted by a state or federal agency and that is subject to regular examination by, and reporting to that agency. Family member means a person related to another person within the first degree by consanguinity or affinity. This form can only be filed by scanning and sending to rtate@conroeisd.net Note: Bid/Quote responses should be sent to the Purchasing Department at the address or fax number listed on the Bid/Quote form. Do not send them to the above email address.

Form CIQ can be found at the Texas Ethics Commission website: http://www.ethics.state.tx.us/forms/CIQ.pdf

(Hold down the Ctrl key and click on this link.) If the filing of form CIQ is required it must be filed within seven business days of starting discussions or negotiations or submitting a bid, proposal, or other correspondence relating to a potential contract and within seven business days of becoming aware of an employment or other business relationship or gifts to an officer that would require disclosure. It is a Class C misdemeanor to fail to file form CIQ. Chapter 176 requires that all forms be posted on the District’s Web site. If you have any questions regarding the filing of this form, you should contact your lawyer or other legal representative. Carrie Galatas Conroe ISD General Counsel 3205 W. Davis Conroe, TX 77304 936-709-7700

Certificate of Interested Parties – Form 1295 RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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CONROE ISD CERTIFICATE OF INTERESTED PARTIES – FORM 1295 Certificate of Interested Parties (Form 1295 – must be filled out electronically with the Texas

Ethics Commission’s online filing application, printed out, signed, notarized, and returned to Conroe ISD via email or regular mail). Conroe ISD is required to comply with House Bill 1295, which amended the Texas Government Code by adding Section 2252.908, Disclosure of Interested Parties. Section 2252.908 prohibits Conroe ISD from entering into a contract resulting from this RFP with a business entity unless the business entity submits a Disclosure of Interested Parties (Form 1295) to Conroe ISD at the time business entity submits the signed contract. The Texas Ethics Commission has adopted rules requiring the business entity to file Form 1295 electronically with the Texas Ethics Commission. The following definitions apply:

(1) “Business Entity” means an entity recognized by law through which business is conducted,

including a sole proprietorship, partnership, or corporation. TEX. GOV’T CODE § 2252.908(1).

(2) “Interested Party” means a person: a) who has a controlling interest in a business entity with whom CISD contracts; or b) who actively participates in facilitating the contract or negotiating the terms of the contract,

including a broker, intermediary, adviser, or attorney for the business entity. TEX. GOV’T CODE § 2252.908(3).

(3) “Controlling interest” means: a) an ownership interest or participating interest in a business entity by virtue of units,

percentage, shares, stock, or otherwise that exceeds 10 percent; b) membership on the board of directors or other governing body of a business entity

of which the board or other governing body is composed of not more than 10 members; or

c) service as an officer of a business entity that has four or fewer officers, or service as one of the four officers most highly compensated by a business entity that has more than four officers. TEX. ETHICS COMM. RULE 46.3(c).

(4) “Intermediary” means a person who actively participates in the facilitation of the contract

or negotiating the contract, including a broker, adviser, attorney, or representative of or agent for the business entity who:

a) receives compensation from the business entity for the person’s participation; b) communicates directly with the governmental entity or state agency on behalf of

the business entity regarding the contract; and c) is not an employee of the business entity. TEX. ETHICS COMM. RULE 46.3(e).

As a “business entity,” all vendors must electronically complete, print, sign, notarize, and submit Form 1295 with their proposals even if no interested parties exist. Proposers must file Form 1295 electronically with the Texas Ethics Commission using the online filing application, which can be found at https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm. Proposers must use the filing application on the Texas Ethics Commission’s website to enter the required information on Form 1295. Proposers must print a copy of the completed form, which will include a certification of filing containing a unique certification number. The Form 1295 must be signed by an authorized agent of the business entity, and the form must be notarized. The completed Form 1295 with the certification of filing must be filed with Conroe ISD by attaching the completed form to the proposal in the Response Attachment section of the Conroe ISD eBid System. Conroe ISD must acknowledge the receipt of the filed Form 1295 by notifying the Texas Ethics Commission of the receipt of the filed Form 1295 no later than the 30th day after the date the contract binds all parties to the contract. After Conroe ISD acknowledges the Form 1295, the Texas Ethics Commission will post the completed Form 1295 to its website within seven business days after receiving notice from Conroe ISD.

Certificate of Interested Parties – Form 1295 RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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Certificate of Interested Parties – Form 1295 RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

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Certification Regarding Terrorist Organizations and Boycott of Israel Contractor hereby certifies that it is not a company identified on the Texas Comptroller’s list of companies known to have contracts with, or provide supplies or services to, a foreign organization designated as a Foreign Terrorist Organization by the U.S. Secretary of State under federal law. (Tex. Gov’t Code §§ 2252.151-.154) Contractor hereby certifies and verifies that neither Contractor, nor any affiliate, subsidiary, or parent company of Contractor, if any (the “Contractor Companies”), boycotts Israel, and contractor agrees that Contractor and Contractor Companies will not boycott Israel during the term of this Agreement. For purposes of this Agreement, the term “boycott” shall mean and include terminating business activities or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory. (Tex. Gov’t Code §§ 2270.001-.002, 808.001-.006, .051-.057, .101-.102) I certify my company complies.

Name: _____________________________________________________ Title: _____________________________________________________ Date: _____________________________________________________ Signature: ____________________________________________________

Bidder’s Checklist RFQ# 17-10-03 Building Systems and Building Envelope Commissioning

BIDDER’S CHECKLIST

Please check to be certain your proposal is complete and contains all the required forms:

Signed Certification Sheet

Attachment “A”

Non-collusion Statement

Felony Conviction Notification National Criminal History Certification (Supplier Employees)

Debarment Form

Conflict of Interest Questionnaire (if applicable) can only be filed by scanning and

sending to rreeves@conroeisd.net Certificate of Interested Parties – Form 1295

Certification Regarding Terrorist Organizations & Boycott of Israel