ATTACHMENT A: RESPONDER DECLARATIONS

The undersigned certifies, to the best of his or her knowledge and belief, that:

A. Response Contents. The information provided is true, correct, and reliable for purposes of evaluation for potential contract award. The submission of inaccurate or misleading information may be grounds for disqualification from the award as well as subject the Responder to suspension or debarment proceedings as well as other remedies available by law.

B. Authorized Signature. This Declaration is signed by the appropriate person(s), with the authority to contractually bind the Responder, as required by applicable articles, bylaws, resolutions, minutes, and ordinances.

C. Non-Collusion Certification.

1. The Proposal has been arrived at by the Responder independently and has been submitted without collusion and without any agreement, understanding or planned common course of action with any other vendor designed to limit fair or open competition; and

2. The contents of the Response have not been communicated by the Responder or its employees or agents to any person not an employee or agent of the Responder and will not be communicated to any other individual prior to the due date and time of this Solicitation. Any evidence of collusion among Responders in any form designed to defeat competitive responses will be reported to the Minnesota Attorney General for investigation and appropriate action.

D. Organizational Conflicts of Interest. To the best of Responder’s knowledge and belief, and except as otherwise disclosed, there are no relevant facts or circumstances which could give rise to an organizational conflict of interest. An organizational conflict of interest exists when, because of existing or planned activities or because of relationships with other persons,

1. a vendor is unable or potentially unable to render impartial assistance or advice to the State;

2. the vendor’s objectivity in performing the contract work is or might be otherwise impaired; or

3. the vendor has an unfair competitive advantage.

If after award an organizational conflict of interest is discovered, an immediate and full disclosure in writing must be made to the State’s Chief Procurement Officer which must include a description of the action which the contractor has taken or proposes to take to avoid or mitigate such conflicts. If an organizational conflict of interest is determined to exist, the State may, at its discretion, cancel the contract. In the event the Contractor was aware of an organizational conflict of interest prior to the award of the contract and did not disclose the conflict to OSP, the State may terminate the contract for default. Organizational conflicts of interest terms apply to any subcontractors for this work.

E. Certification Regarding Lobbying. For State of Minnesota Contracts and Grants over $100,000, the undersigned certifies, to the best of his or her knowledge and belief that:

1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying in accordance with its instructions.

3. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into and is a prerequisite for making or entering into this transaction imposed by 31 U.S.C. 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

F. Copyrighted Material Waiver. By signing its Response, the Responder certifies that it has obtained all necessary approvals for the reproduction and distribution of the contents of its response.

G. Diverse Spend Reporting. The Sample Contract contains a clause for Diverse Spend Reporting. When this clause applies, Contractor will be required to register in a free portal to report diverse spend.

Please see Diverse Spend Reporting Frequently Asked Questions for additional information.

By signing this form, Responder acknowledges and certifies compliance with all applicable requirements indicated above.

Company Name:

Signature:

Printed Name:

Title:

Date:

Phone Number:

Email Address:

ATTACHMENT B: EXCEPTIONS TO STATE’S TERMS AND CONDITIONS

The State presumes a responder agrees to the terms and conditions of this solicitation unless a responder takes specific exception to one or more of the conditions on this form.

The State reserves the right to reject, negotiate, or accept any exception listed to the State’s terms and conditions (including those found in the attached Sample Contract).

INSTRUCTIONS: A responder must explicitly list all exceptions to State’s terms and conditions, if any (including those found in the attached Sample Contract). Reference the clause number and page number of the State's term and condition for each of a responder’s exceptions. If no exceptions exist, state "NONE" specifically on the form below. Whether or not exceptions are taken, the Responder must sign and date this form and submit it as part of their response. (Add additional pages if necessary.)

By signing this form, I acknowledge that the above-named responder accepts, without qualification, all terms and conditions stated in this solicitation (including the sample contract) except those clearly outlined as exceptions above. This acknowledgement includes acceptance of the section of the Sample Contract, Exhibit A, titled “Contractor’s Documents.”

Signature:

Printed Name:

Title:

Date:

ATTACHMENT C: COST DETAIL

1. Cost Proposal. Responders should review Exhibit D of the Sample Contract for additional pricing terms related to the Cost Proposal.

2. Responders must download and use the Exhibit D, Supplement 1: Price Schedule attached to this Solicitation. The Price Schedule must be completed by the Responder and uploaded with your solicitation response. If pricing is not returned with your solicitation response, your response will be rejected. Failure to use Price Schedule may be cause for rejection. Responders must provide a price for all line items, excluding Optional lines, on the Price Schedule to be considered for an award.

3. Catalogs and Price Literature.

Responders must submit copies of all applicable catalogs, on-line catalog addresses, or price lists used for pricing purposes with their response. Responders must submit Installation, Operations, and Maintenance manuals for each unit submitted. Do not submit marketing material with your response unless otherwise requested.

All price lists proposed must meet accessibility requirements per the Minnesota IT Services, Office of Accessibility website: https://mn.gov/mnit/programs/accessibility/

4. Alterations or Erasures. The State reserves the right to reject a response containing an alteration or erasure of any price used to determine the lowest responsible responder unless the alteration or erasure is done in a manner that is clear and authenticated by an authorized representative of the Responder. An acceptable way to make an alteration or erasure is to cross out the price, print the correction in ink adjacent to it, and have an authorized representative of the Responder initial and date that correction.

ATTACHMENT D: RESPONDER FORMS

Workforce and Equal Pay Declaration Page This form is required for all businesses executing government contracts under the following:

Select one:

Select all that apply:

We are a Certificate holder:

We are applying/have applied for the following certificate(s):

We have not applied for one or both certificates:

☐ Our Company does not yet have a Workforce Certificate or Equal Pay Certificate. We acknowledge that a Workforce and, if applicable, Equal Pay Certificate, or approved exemption by MDHR is required before a contract can be executed.

We are Exempt:

☐ We attest to MDHR that we have not employed 40 or more employees on a single day during the prior 12 months in Minnesota or the state in where we have our primary place of business. MDHR may request the names of our employees during the previous 12 months, the date of separation, if applicable, and the current employment status and count.

Business Information

For assistance with this form, email the Minnesota Department of Human Rights Compliance.MDHR@state.mn.us

ATTACHMENT E: ADDITIONAL INFORMATION

1. Contractor’s Contact Information. Provide the contact information for the representative responsible for the management of the contract and the representative receiving purchase orders.

Vendor’s Legal Name

Address

Contact Person (Contract)

Email Address

Telephone Number

Contact Person (PO Order)

Email Address

Telephone Number

2. Prompt Pay Discount. What prompt pay discounts do you offer? Select all that apply; if “other,” specify terms in the comment section below:

Rev. April 2025 Workforce and Equal Pay Declarations Page

· 1% in 30

· 2% in 30

· 3% in 30

· 1% in 10, Net 30

· 2% in 10, Net 30

· 3% in 10, Net 30

· 5% in 10, Net 30

· Other 1% in 15, Net 30

· 2% in 15, Net 30

· 3% in 15, Net 30

· 1% in 20, Net 30

· 2% in 20, Net 30

· 3% in 20, Net 30

· Net 30

Comments:

3. Delivery Time Frame. Responder must enter a delivery time frame after receipt of order (ARO) in the space below.

ATTACHMENT F: TECHNICAL SPECIFICATIONS

Responder Name: _____________________________________________________

Instructions. Devices must meet the following mandatory requirements detailed by the State in this Attachment F, Sections 1-16. Mandatory requirements are followed by Comply? |_| YES or |_| NO boxes. A box must be checked for each mandatory requirement. A non-response or checking the “No” box will represent the device’s inability to comply with that mandatory requirement. Failure to comply with a mandatory requirement will eliminate the device from further consideration under this procurement unless all proposed devices are unable to comply with that requirement.

If a requirement asks for additional information after checking a box, Responder should provide that information on this form. The State reserves the right to ask Responders for clarification or additional information. Any response to such State clarification requests or questions may be rescored based on the information provided.

If a responder wants to propose more than one camera model, provide a separate, completed Attachment F and Price Schedule for each camera model, clearly labeled to show what camera model it is for.

If a Responder checks “No” for a mandatory specification, the State reserves the right to clarify the Responder’s intent and meaning.

Responses to these requirements and questions should be given in this document only, with the exception of Section F.I.16, RFP Deliverables. Do not add links or refer to other documents within your response when responding to a requirement or a question.

Provide manufacturer name and model number of your proposed device(s):

F.I, Mandatory Requirements

1. Camera:

0. Must be a model already in production and available for purchase

0. Ability for Dynamic I/P frame rate with dynamic quality and compression rate adjustment

0. Minimum of 120dB Wide Dynamic Range (WDR)

0. Aspect Ratio 16:9

0. Day/Night Capabilities with IR Cut Filter

0. Shutter Range 1/1 ~ 1/10,000 sec

0. Signal-to-Noise Ratio >50dB

0. Iris Control Auto Iris with manual override

0. Backlight Compensation F.I.1, Camera: Comply? |_|YES |_|NO

1. Optics:

1. Minimum of 30X optical zoom

1. Angle of view; approximately 60 degree (wide)/2 degree (tele)

1. Full HD 1,920 x 1,080 (1080p) and capable of 60 Images per second F.I.2, Optics: Comply? |_|YES |_|NO

1. Sensitivity:

2. Low Light Down to 0.03 LUX minimum F.I.3, Sensitivity: Comply? |_|YES |_|NO

1. Image Processing:

3. Electronic Image Stabilization (EIS)

3. Ability to display azimuth on video temporarily while moving camera

1. Momentary or continuous display allowed F.I.4, Image Processing: Comply? |_|YES |_|NO

1. IP Stream:

4. Ability to simultaneously provide a minimum of two (2) independent H.264 streams

4. Ability to adjust resolution of each individual stream (minimum of two (2) unique streams)

4. Ability to multicast using H.264

4. Ability to unicast 5 simultaneous users F.I.5, IP Stream: Comply? |_|YES |_|NO

1. Network Interface:

5. Interface Ethernet (Minimum 100 mbps interface) Auto negotiate

5. Supports these protocols: TCP/IP, HTTP, HTTPS, ICMP, UDP, RTP, RTSP, NTP, IPv4, SNMP, ARP

5. Security Access Password protected

5. Must support Chrome and Edge browsers for user Interface

5. Ability for remote software update, rebooting, backup/restore/transfer configuration

5. ONVIF Profile S, Profile G, or Profile T

5. Administrative features include configuring network settings, user password assignments, setting video streaming properties, configuring camera imaging properties, defining presets and tours, and assigning camera ID labels.

F.I.6, Network Interface: Comply? |_|YES |_|NO

1. On Screen Display:

6. Camera must add, with variable size and position, MNDOT color logo with transparency from standard image file to the video stream. See example image here:

F.I.7, On Screen Display: Comply? |_|YES |_|NO

1. Positioning Drive:

7. Minimum vertical tilt from 40 degrees up to 90 degrees down

7. Minimum of 8 presets

7. 360° Continuous Pan Rotation

7. 1° to (70° Minimum) of rotation per second proportional pan

7. Proportional panning speed to zoom level

7. Designed to minimum of IP66 specification

7. Auto home, park

7. Presets, tours, sectors

7. Preset Accuracy: ±0.1° F.I.8, Positioning Drive: Comply? |_|YES |_|NO

1. Electrical:

8. PoE++, Input voltage 120VAC

8. Single CAT5E cable with PoE++

8. Built-in electrical transient/surge protection F.I.9, Electrical: Comply? |_|YES |_|NO

1. Power Supply:

9. Supplied as part of the camera assembly

0. Upon request, Responder must provide specific details of the Power Supply for the State to review.

F.I.10, Power Supply: Comply? |_|YES |_|NO

1. Mechanical:

10. Built in wiper

0. Upon request, Responder must provide drawing/schematic of wiper system including materials description for the State to review for durability. See F.I.16, RFP Deliverables, below; information submitted for that answer will count for this item as well.

10. Thermostatically controlled Window defroster/defogger heater

10. Minimum operation in wind speed of 75 MPH

10. Nominal Maximum dimensions of camera and tilt/pan unit:

3. 20” (twenty inches) high

3. 9” (nine inches) wide

3. 14” (fourteen inches) deep

10. Must have bolt pattern or adapter plate included with each camera to attach to MnDOT RTMC Standard mounting bolt hole pattern. See Figure 1, below. If Adapter plate is used, its finish must be powder coated to match color of camera housing.

4. Upon request, Responder must provide description of how the MnDOT RTMC Standard mounting bolt hole pattern will be utilized for the State to review for compatibility. The State requires a pole top mount, not a side of pole mount.

10. Housing construction: Cast, extruded and sheet aluminum; stainless steel hardware.

5. Non-dome PTZ only. NO DOME-STYLE CAMERAS WILL BE CONSIDERED.

10. Weight not greater than 30# (thirty pounds) with Wiper and IOC

10. If provided with a pre-connectorized ethernet cable:

7. Must exit through the bottom of the PTZ unit, aligning with the 1.4” hole shown in Figure 1, below.

7. Attached Ethernet “connection cord” must be at least 36” in length, if provided.

7. No additional external cables are allowed.

7. RJ45 Ethernet connector on “connection cord” must have a Male field attachable IP67 rated outdoor shell connector.

F.I.11, Mechanical: Comply? |_|YES |_|NO

Remainder of this page intentionally left blank.

See next page for Figure 1: MnDOT Standard Camera Mount Bolt Pattern

FIGURE 1: MnDOT STANDARD CAMERA MOUNT BOLT PATTERN

1. Environmental:

11. Operational specifications meeting NEMA TS2 temperature range, -34°C to 74°C

11. Minimum of IP66 housing protection F.I.12, Environmental: Comply? |_|YES |_|NO

1. Certifications:

12. CE, Class A

12. FCC, Class A

12. UL Listed

12. NEMA TS-2 (Temp.) para 2.2.7.3 - 2.2.7.7

12. Meets NEMA Type 4X and IP66 Standards

12. ONVIF Profile S

12. ONVIF Profile G

12. ONVIF Profile T

12. Shock test per IEC 60068-2-27

12. Vibration per IEC60068-2-6

12. Impact resistance of housing was tested in accordance with IEC 62262 F.I.13, Certifications: Comply? |_|YES |_|NO

1. Accessories:

13. Wall mounts and pole mounts must be available for purchase as desired by MnDOT.

F.I.14, Accessories: Comply? |_|YES |_|NO

1. Warranty:

14. Manufacturer hardware warranty of 5 years with State of Minnesota as the owner.

0. For warranty returns, contractor or manufacturer pays shipping costs to and from MnDOT.

14. Must have ongoing manufacturer support and firmware bug/security patches for a minimum of 5 years after purchase.

14. Known firmware bugs or security vulnerabilities must be resolved within 6 months of notification.

F.I.15, Warranty: Comply? |_|YES |_|NO

1. RFP Deliverables:

15. During the evaluation of the responses, the State may require responders to provide comprehensive data summary sheets describing proposed model(s). It is preferred that responders submit them with their response. Electronic manuals are acceptable. Hyperlinks are not acceptable.

0. If data sheet/manual does not give all information, provide additional data on company letterhead showing how the product meets requirements. Label your response as “F.I.16, RFP Deliverables.”

0. Marketing and publicity materials are discouraged.

15. During the evaluation of the responses, the State may require responders to provide detailed drawings of proposed camera including wiper mechanism specifics and Power Supply specifics.

15. Responders should provide a detailed response of how the MnDOT RTMC Standard mounting bolt hole pattern will be utilized. The State desires a pole top mount, not a side of pole mount.

15. Before final award, at MnDOT’s request Responder must submit a sample unit meeting these specifications for review and testing. Testing duration shall be a minimum of 4 weeks and a maximum of 8 weeks. Responder pays for shipping sample unit to MnDOT and for return shipping to Responder.

F.I.16, RFP Deliverables: Comply? |_|YES |_|NO

F.II, Desirable (Preferred) Capabilities Instructions. The capabilities noted by the State in this Attachment F, Sections 17 and 18, are desirable (preferred) but not required. Desirable capabilities are followed by Comply? |_| YES or |_| NO boxes. A box should be checked for each desirable capability. A non-response or checking the “No” box will represent the device’s inability to comply with that capability. Devices that can provide these preferred capabilities may score higher.

1. Build America Buy America (BABA) - see link for requirements FHWA Announces Updates to Buy America Requirements to Promote Domestic Manufacturing in Transportation Projects | FHWA URL: https://highways.dot.gov/newsroom/fhwa-announces-updates-buy-america-requirements-promote-domestic-manufacturing Does the proposed product meet the BABA requirements effective October 2025?

F.II.17-2025 |_|YES |_|NO

Does the proposed product meet the BABA requirements effective October 2026?

F.II.17-2026 |_|YES |_|NO

In addition to checking a box for each item in Section 18, Responders may choose to add more information explaining how your proposed device meets each desired capability. The State reserves the right to ask Responders for clarification or additional information.

Responses to capabilities and questions below for Sections 18 and 19 should be given in this document only. Do not add links or refer to other documents within your response when responding to a desirable capability or a question.

Responders may add additional lines as necessary.

1. Additional Scoring Considerations:

17. Wide angle lens option available for the same PTZ setup. F.II.18a: Comply? |_|YES |_|NO

17. Higher than 30X optical zoom. F.II.18b: Comply? |_|YES |_|NO

17. Static non-PTZ option with same camera interface and management software.

F.II.18c: Comply? |_|YES |_|NO

17. Optional digital zoom. F.II.18d: Comply? |_|YES |_|NO

17. Management tools for mass software updates while deployed in the field.

F.II.18e: Comply? |_|YES |_|NO

17. Wiper designed for durability and serviceability. F.II.18f: Comply? |_|YES |_|NO

17. Provides H.265 video streams. F.II.18g: Comply? |_|YES |_|NO

17. Offers adjustable/programmable defroster/defogger temp setting. F.II.18h: Comply? |_|YES |_|NO

17. Supports logging to a Syslog server. F.II.18i: Comply? |_|YES |_|NO

17. Supports privacy mask and privacy zones. F.II.18j: Comply? |_|YES |_|NO

17. Low light capabilities better than requirement in F.I.3, Sensitivity, above.

F.II.18k: Comply? |_|YES |_|NO

17. Ability to provide the same or similar camera model accepting a SFP fiber network interface. May be used for small percentage of deployments.

F.II.18l: Comply? |_|YES |_|NO

17. Capability of inverting video for hanging installation, could be physical or through software.

F.II.18m: Comply? |_|YES |_|NO

17. Optional supported protocols, SNMP v3, SSH. F.II.18n: Comply? |_|YES |_|NO (If device supports either or both of these protocols, check “YES” and give details here. Both protocols are optional.)

17. Highest possible image quality for human viewing and vision is essential. Human operators will observe camera feeds. Machine viewing is a secondary consideration. F.II.18o: Comply? |_|YES |_|NO

17. Supports MJPEG video. F.II.18p: Comply? |_|YES |_|NO

17. Ability to capture still image(s) at request to camera. F.II.18q: Comply? |_|YES |_|NO

F.III, Responder Experience Instructions. The State desires to work with Responders who have an established history building and supporting IP PTZ traffic cameras. Failure to respond to this question may result in a lower score.

18. Indicate here the number of years experience Responder has in providing and servicing IP PTZ traffic cameras: ______ years Provide information about similar deployments using the proposed and similar products. Include details about the environment, use case, and include the length of time the products have been deployed. You may include experience creating customized external traffic camera solutions. Responders may add lines and pages as necessary.

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