2-25-215-P Vendor Forms.pdf

VENDOR FORMS

NO. 25-215-P

INFORMATION TECHNOLOGY & SCADA

CYBERSECURITY INCIDENT RESPONSE PLANS

SUBMITTALS ARE DUE PRIOR TO:

Thursday, September 18, 2025, at 10:00 AM Central

RFP MAY BE SUBMITTED ELECTRONICALLY TO (Registration is free):

ntmwd.bonfirehub.com

DOCUMENTS MAY BE DELIVERED TO:

NORTH TEXAS MUNICIPAL WATER DISTRICT

PROCUREMENT DEPARTMENT

501 E. BROWN STREET

WYLIE, TX 75098

DOCUMENTS MAY BE MAILED TO:

NORTH TEXAS MUNICIPAL WATER DISTRICT

PROCUREMENT DEPARTMENT

PO BOX 2408

WYLIE, TX 75098

NORTH TEXAS MUNICIPAL WATER DISTRICT CONTACT:

Hannah Mulla hmulla@ntmwd.com

1 PRICING

UTILIZE THE PROPOSAL PRICING BID TABLE PROVIDED ON BONFIRE

2 COOPERATIVE PURCHASING PROVISION (ACCEPTANCE OPTIONAL)

As permitted under Title 8, Chapter 271, Subchapter F., Section 271.101 and 271.102 V.T.C.A. and Title 7, Chapter 791, Subchapter C., Section 791.025, V.T.C.A., other local governmental entities may wish to also participate under the same terms and conditions contained in this contract. Each entity wishing to participate must enter into an Interlocal Agreement with NTMWD and have prior authorization from the Consultant. If such participation is authorized, all purchases or services will be issued directly from, and shipped directly to, the local governmental entity requiring products or services. NTMWD shall not be held responsible for any orders placed, deliveries made or payment for products or services ordered by these entities. Each entity reserves the right to determine their participation in this Contract.

Proposer’s authorized agent must indicate if Proposer agrees to allow other governmental entities to participate in this Contract, if awarded, under the same terms and conditions by checking the appropriate box below.

Proposers will not be penalized for not agreeing to this Provision.

Yes, Agree to Cooperative Purchasing Provision

No, Do Not Agree to Cooperative Purchasing Provision

3 INSURANCE REVIEW VERIFICATION

Does the Proposing Firm currently carry the insurance coverage as specified in the Special Provisions?

Yes No

If no, has your firm reviewed the steps necessary, including cost, with your insurance agent, broker or internal department to ensure it will obtain the specified insurance?

Yes No

4 SUBCONTRACTOR AGREEMENT VERIFICATION

4.1 Bidder acknowledges notification that it will submit fully executed copies of each subcontractor agreement to the assigned contract administrator prior to execution of the contract. Contractor is required to submit the subcontract agreement(s) within thirty(30) business days after receipt of Limited Notice to Proceed.

Bidder's Initials

5 ORGANIZATIONAL SUMMARY INFORMATION

1. PROPOSING FIRM:

2. Social Security or Taxpayer Identification Number:

(NOTE: Submit copy of Proposer’s current W-9 Form.)

3. In what state is the principal place of business?

4. Does the state in which the principal place of business or home office is located have local supplier or manufacturer preference laws? No Yes If yes, give applicable percentage:

%, or other conditions:

5. Optional Information:

Certified as a State of Texas Historically Underutilized Business (HUB) ID Number:

Certified as Small Business Enterprise Certification

Agency:

Certification Number:

Additional Comments if Desired:

6 INSURANCE AFFIDAVIT

North Texas Municipal Water District RFP No. 25-215-P

NAME OF PROPOSER:

To be completed by the Proposer:

I confirm that, if awarded the Contract, I will comply with all requirements stated in Special Provisions, 3. Insurance Provisions, and said insurance shall be provided without change to the prices offered.

Name of Proposer:

Authorized Agent (please print):

Authorized Agent’s Signature:

Date:

7 VENDOR SUPPLEMENTAL INFORMATION

It is recommended this form be completed by a governing person, governing authority, or legal counsel.

The following information is required for contract development.

1. In what state was your business formed?

2. Provide the following information for the person authorized to execute contracts on behalf of your organization:

Name Title

Mailing Address City State Zip

Email Phone Number:

3. Provide the following information for the contact person authorized to implement this contract on behalf of your organization:

4. Provide the following information for the person authorized to receive notices and communications regarding this contract on behalf of your organization:

5. Select and complete one of the following:

a. Sole Proprietorship

i. Legal name of Sole Proprietor:

ii. Business address:

City State Zip

b. General Partnership

i. Legal name of Partnership:

ii. Business address:

Limited Partnership

i. Legal name of Limited Partnership:

ii. Names of General Partners:

iii. Business address:

c. Corporation

i. Legal name of Corporation:

ii. Business address

d. Limited Liability Company

i. Legal name of Limited Liability Company:

e. Other Entity (not listed)

i. Legal name and type of Company:

6. a. Are you a publicly traded business? No Yes – where traded:

b. Are you a wholly owned subsidiary of a publicly traded business? No Yes – which

Publicly traded business:

In signing this form, I acknowledge that I have read the above and state that the information contained therein is true and correct.

Signature: Date:

Print Name: Print Title:

8 PROPOSAL ENDORSEMENTFORM

The undersigned, in submitting this Proposal and endorsement of same, represents that he/she is authorized to obligate his/her firm, and that he/she has read this entire RFP package, is aware of the covenants contained herein and will abide by and adhere to the expressed requirements.

THE PROPOSER AGREES THAT THIS PROPOSAL, WHEN ACCEPTED BY NTMWD, SHALL CONSTITUTE

A CONTRACT EQUALLY BINDING BETWEEN THE PROPOSER AND NTMWD.

Acceptance may take the form of an Acceptance Letter or Purchase Order issued by NTMWD, or a Contract document issued by NTMWD and executed by both parties, followed by a Notice to Proceed issued by NTMWD.

Each of these forms constitutes a legal contract equally binding between the Successful Proposer and NTMWD. After Proposal acceptance, no different or additional terms shall become part of the Contract without a properly executed change order.

PROPOSAL FOR RFP NO. 25-215-P

SUBMITTED BY:

(OFFICIAL NAME OF PROPOSING FIRM)

By: Must be signed for proposal (Original Signature of Proposing Firm’s Authorized Agent) to be considered responsive

(Typed or Printed Name)

(Title)

(Email and Telephone Number)

(Date Signed)

9 PROHIBITION ON CONTRACTS WITH COMPANIES BOYCOTTING CERTAIN ENERGY COMPANIES

Texas Government Code, Chapter 809, prohibits entering into contracts with companies boycotting energy companies. A governmental entity may not enter a contract with a company for goods or services unless the contract contains a written verification from the company that; (i) it does not boycott energy companies;

and (ii) will not boycott energy companies during the term of the contract.

I, , the (Name of Certifying Official) (Title or Position of Certifying Official) of , do hereby verify on behalf of said company to the (Name of Company)

North Texas Municipal Water District that said company does not boycott energy companies and will not boycott energy companies (as such terms are defined in Texas Government Code, Section 809.001) during the term of this contract.

Signature of Certifying Official

Title

Date

10 PROHIBITION ON CONTRACTS WITH COMPANIES THAT DISCRIMINATE AGAINST FIREARM & AMMUNITION

INDUSTRIES

Texas Government Code, Chapter 2274, prohibits entering into contracts with companies that discriminate against a firearm entity or firearm trade association. A governmental entity may not enter a contract with a company for goods or services unless the contract contains a written verification from the company that it;

(i) does not have a practice, policy, guidance or directive that discriminates against a firearm entity or firearm trade association; and (ii) will not discriminate against a firearm entity or firearm trade association during the term of the contract.

I, , the (Name of Certifying Official) (Title or Position of Certifying Official) of , do hereby verify on behalf of said company to the (Name of Company)

North Texas Municipal Water District that said company; (i) does not have a practice, policy, guidance or directive that discriminates against a firearm entity or firearm trade association (as such terms are defined in Texas Government Code, Section 2274.001); and (ii) will not discriminate against a firearm entity or firearm trade association during the term of the contract (as such terms are defined in Texas Government Code, Section 2274.001).

Signature of Certifying Official

Title

Date