REQUEST FOR PROPOSALS RFP

LONDON INDEPENDENT SCHOOL DISTRICT

Delivered Pizza for Food & Nutrition Services

1306 FM 43

Corpus Christi, Tx. 78415

Issue date: April 15, 2026

Proposal Submission to:

Roxanne Bright rbright@londonisd.net

Deadline for Proposals:

Friday, 2:00 PM, May 15, 2026

Awardee will be notified by email no later than May 21,2026

The District is an Equal Opportunity employer/program.

mailto:rbright@londonisd.net

REQUEST FOR PROPOSALS (RFP)

FOR

Delivered Pizza for Food & Nutrition Services

BACKGROUND INFORMATION

London Independent School District herein referred to as 'the District" is a tax-exempt educational organization that is a public-school district located in Corpus Christi, Texas.

The District has approximately 1900 students and operates five serving sites, 1 Primary school, 1 elementary school, 1 intermediate school, 1 middle school and 1 high school.

PURPOSE

The District is seeking a qualified vendor (“Vendor” or “Consultant”) to provide Delivered Pizza for The Child Nutrition Department for London ISD, on an independent contractor basis.

GENERAL INFORMATION

RFP Requestor: London ISD

Contact Person: Roxanne Bright

Issue Date: April 15, 2026

Deadline for Receipt of Proposal: Friday, 2:00 PM, May 15, 2026

Awardee will be notified by email no later than May 21,2026

Submission of Proposals: email Roxanne Bright rbright@londonisd.net

When submitting a proposal, it is required that proposers have the necessary professional experience, prior training, and applicable professional judgment to perform the activities proposed to supply the services requested by this RFP.

Proposals received will become part of the District’s official files without further obligation to the proposer.

The District reserves the right to:

accept or reject any and all proposals, request additional information from proposers, extend the deadline for submission, reissue the Request for Proposals, waive any defect, irregularity, for informality in any proposal or bidding procedure, retain negotiation right to clarify, or verify any aspect of a submitted proposal in response to the RFP, negotiate a resulting non-exclusive contract for services with one or more of the qualified proposers responding to this RFP, require the submission of any price, technical, or other revision to the proposal which results from negotiations conducted.

The District is under no legal obligation to execute a contract resulting from this RFP and intends the material s provided herein only as a means of identifying and considering various contractor alternatives and the general cost of services derived.

The District reserves the right to vary the provisions set forth herein at any time prior to the execution of a contract. This RFP does not commit the District to pay for any costs incurred prior to the execution of the contract.

The District reserves the right to negotiate the final terms of any and all contracts with successful proposers. Items that may be negotiated include, but are not limited to, type and scope of activities, implementation schedule, and cost. Contracts negotiated as a result of this RFP may be extended, modified, or de-obligated in the manner set forth in the contract in order to attain the objectives of the District. The negotiated contract shall be a non-exclusive contract for an initial term of one (1) year, which may be extended for up to two additional one-year terms, upon mutual written agreement of the parties prior to expiration of the initial or renewal term. If London ISD agrees to a renewal option, pricing cannot be increased beyond an agreed upon Consumer Price Index. London ISD reserves the right to not renew the contract at the end of the fiscal year.

Vendors certify that:

1. Continuing non-performance of the services by the proposer in accordance with the specifications and requirements of the District, or applicable requirements of State or federal laws and regulations relating to such services, shall be a basis for the termination of the contract by the school district. Cancellation by London ISD may be made upon (30) days written notice to the successful vendor. London ISD shall not pay for services, work, supplies, or equipment which are unsatisfactory. Vendors shall be given a reasonable opportunity before termination to correct the deficiencies. This, however, shall in no way be construed as negating the basis for termination for non-performance.

2. All prices, fees and must be guaranteed through completion of the contract.

3. The proposal award shall be based on the following factors:

Price: The monetary proposal amount- 35 points Ability to meet all delivery requirements, quantity, days, delivery times : 25 points Buy American Documentation that validates the ingredients are all compliant with the domestic Standard 20 points Years of experience in working with Child Nutrition Programs 10 points Product Formulation statement to include nutrient standards, portion, meal contribution 10 points

4. Proposals that do not meet or exceed the specifications and submittal requirements of the RFP may be rejected as non-conforming to the RFP specifications/requirements.

5. It is understood and agreed the school district reserves the right to modify conditions and specifications by mutual agreement with the selected vendor both at the time of acceptance of this proposal offer as modified, and subsequent thereto by 25% or less of the total value of award.

6. All contracts, agreements, and purchases between a vendor and London ISD shall strictly adhere to the laws set forth in the Texas school law bulletin and other applicable laws and regulations.

7. Proposals will be read and evaluated after the proposal submittal deadline, with follow-up on references, proposal tabulation, and thereafter possible interviews and negotiation of final contract terms with selected vendors.

8. During the performance of this contract, the vendor agrees not to discriminate against any employee or applicant for employment because of race, color, national origin, age, religion, gender, marital or veteran status, or disability.

9. All contracts and agreements between vendors and London ISD shall strictly adhere to applicable laws.

Bid Form

1. Price Per Pizza $____________________________

2. Do you have the ability to meet all delivery requirements, quanity, days, delivery times Yes______NO______

3. Did you provide Buy American Documentation that validates the ingredients are all compliant with the domestic standard Yes_____NO_____

4. How many years of experience do you have working with Child Nutrition Programs _________

Name of School District__________________School Years you provided service _______________ Name of School District__________________School Years you provided service _______________ Name of School District__________________School Years you provided service _______________ Name of School District__________________School Years you provided service _______________ Name of School District__________________School Years you provided service _______________

5. Did you provide a Product Formulation Statement to include nutrient standards, portion, meal contributin Yes_____ NO_____

Signature Page

The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid.

Company ________________________________________________________________

Address ________________________________________________________________

City ___________________________ State_________________ Zip Code __________

Telephone (_____) _____________________Fax (_____) _____________________

Bidder (Signature) _____________________________________Date _________________

Bidder (Print Name) _________________________________________________________

Position with Company_______________________________________________________

E-mail Address of Bidder____________________________________________________

Signature of Company Official Authorizing this Bid_______________________________

Company Official (Print Name)________________________________________________

Official Position____________________________________________________________

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices and employees and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases all to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the State or local Agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all the information requested in the form.

To request a copy of the complaint form, call (866)632-9992. Submit your completed form or letter to USDA by :

(1)mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250-9410; (2) (202)690-7442; or (3) email program.intake@usda.gov

USDA and this institution are an equal opportunity provider and employer.

General Conditions for Prepared Pizza

1. APPLICABILITY – These conditions are applicable and form a part of the contract documents for each purchase order and a part of the terms of each purchase order for items included in the specifications and bid forms issued herein.

2. BIDS SHALL BE SUBMITTED ON THESE FORMS. Failure to supply all required forms in this packet will prevent the bid from being considered for award. Deviations to the General Conditions and/or Specifications shall be conspicuously noted in writing by the bidder and shall be included with the bid.

3. RIGHT TO REMEDY Failure to notify London ISD Food & Nutrition Service

Department Office of deviations in schedules or quantities will allow London ISD the option to purchase products from another source. If a company defaults on any item, the item will be awarded to the next highest scoring proposal meeting specifications. Any increases in prices that are incurred by London ISD to secure these products may be charged to the defaulting company that received the original bid award.

4. VENDORS WHO DO NOT BID are requested to notify the London Independent School

District Food & Nutrition Services Department in writing if they wish to receive future bids. Failure to do so may result in their being deleted from our vendor list.

5. CONTRACTS (except those of $10,000 or less) awarded by School Food Authorities shall include a provision to the effect that the State agency or School Food Authority, the Department, the Comptroller General of the United States, or any of their duly authorized representatives, shall have access to any books, documents, papers, and records of the contractor which are directly pertinent to the program for the purpose of making audits, examination, excerpts, and transcriptions.

6. TAX EXEMPT - No charge will be allowed for Federal, State, or City taxes for which London ISD is exempt. The price bid shall be net and shall not include the amount of any such tax. Exemption Certificate, if required, will be furnished on forms provided by the vendor.

7. Credits, Rebates and Discounts London ISD requires that all discounts, rebates, and credits accrue back to the school nutrition account. The contractor will be required to identify the amount of each discount, rebate, or other applicable credit on bills and invoices presented to the London ISD. Contractors will be required to identify the method by which they will report discounts, rebates, and credits. All discounts, rebates, and credits will be tracked via monthly invoices or annual velocity reports. Contractors will be required to maintain documentation of costs, discounts, rebates, and credits and make those available to London ISD upon request.

8. FAX BIDS Will not be accepted.

9. All Small Business and Minority Firms, Women’s Business Enterprises, and Labor Surplus

Area firms are encouraged to submit Proposals.

10. QUESTIONS concerning this bid shall be addressed to Roxanne Bright, Child Nutrition Director rbright@londonisd.net or (361) 855-0092 x-1655.

11. BID PERIOD – The contract period for this bid will be from July 24, 2026, to May 19, 2027. Bid prices submitted must remain firm for the entire bid period.

All awards may be renewed for up to two additional twelve (12) month periods by written agreement between the District and the bidder.

Emailed proposals received after the time and date specified, regardless of cause, will not be considered.

The District reserves the right to waive formalities and irregularities and to accept or reject each item separate or as a whole.

12. PRICES – shall be net, transportation and delivery charges fully prepaid by the vendor.

13. ORDER AND DELIVERY CONDITIONS:

Orders for the items included in this bid will be placed via email by the Child Nutrition Director, or Assistant Child Nutrition Director or the Secretary to the Child Nutrition Director. Orders will be based on usage.

Approximately 300 pizzas needed every Friday except intersessions. Family picnics and fundraisers could alter this amount. There is the possibility of 2 or 3 Thursday deliveries, if we are closed on a Friday. One Wednesday delivery may be needed, if we are closed on a Thursday and Friday.

Different delivery times are needed. This year those times are 10:15 Primary School, 10:15 Elementary school, 11:00 Intermediate, 11:00 Middle School and 11:45 to the High School.

Delivery times may slightly be altered once official lunch schedules are determined. The school year is Mid July, through end of May. All Pizza shall be delivered to each designated school site.

Additional school sites may be added during this bid period. Original invoices must be left with each cafeteria manager.

The supplier must deliver promptly any products omitted on the regular delivery or to replace unacceptable products.

All pizza is to be delivered in clean boxes. All products must be properly sealed.

14. SPECIFIATIONS:

Cheese and pepperoni pizza that meets the NSLP specifications. Each slice must equal 2 grains and 2 meat/meat alternatives). Whole grain flour must be used for the crust. (Gram standard of creditable grain per oz equivalent 16g). Part Skim Cheese. Pork or Pork/Beef pepperoni is fine. Submit your specifications with your bid for both cheese and pepperoni pizzas showing the nutritional information, ingredients, allergens, pizza size, slice quantity to equal the 2 grain, 2 m/ma minimums and the grain and m/ma contributions.

Pizza must be delivered hot, cut into eight (8) equal servings and ready to serve. Pizza that does not meet the 8 equal servings will be returned for credit. Deliveries are to be made before each serving period as ordered. There may not be more than one (1) hour between beginning pizza preparation and delivery to the schools. Pizza temperature when received must be 135º or higher. Thermo bags must be furnished for all pizzas. Bags are to appear clean and must be sterilized after each delivery.

15. NUTRITIONAL LABELS and Ingredient Labels must be attached for all products submitted on this bid.

16. NUTRITIONAL ANALYSIS must be furnished by the bidder of each product submitted in this bid document. Nutritional data must meet National School Lunch Program and USDA Child Nutrition Program requirements. Failure to supply the required nutritional data will cause the bid submitted to be incomplete and rejected for consideration.

17. BILLING: One Monthly statement that includes all locations shall be sent. The statements shall reflect items delivered in that calendar month. Please send to: rbright@londonisd.net and nlicon@londonisd.net and kwhite@londonisd.net

18. SUPPLIERS are expected to carry sufficient inventories to cover the needs of the District

19. THE SUCCESSFUL BIDDER will furnish code information and a list showing delivery routes and names of the delivery personnel. The agreed upon written procedures for placing and changing orders, replacement of bad products, and hot shot service will be required.

20. NONPERFORMANCE OF CONTRACT – The District reserves the right to cancel the entire contract with a ten (l0) day notice in the event:

a. any item is not delivered according to the specifications and/or bid price

b. delivery is not made within the specified time period.

c. product quality is not acceptable.

mailto:nlicon@londonisd.net

21. QUANTITIES REQUIRED are substantially correct. The District reserves the right to purchase additional quantities above that stated at the same unit price unless otherwise specified by the bidder.

22. QUALITY of products will be tested for acceptability as per bid specifications. Selection will be based on testing. The decision of the Child Nutrition Department regarding the quality and acceptability will be final.

23. TESTING – All products will be tested upon delivery for wholesomeness, quality, grade, texture, appearance, and flavor. The vendor will be notified by the Child Nutrition Department if any portion of the specified shipment does not meet specification for quality and/or wholesomeness. It will then be the responsibility of the vendor to pick up the entire shipment. The London I.S.D. reserves the right to purchase the specified product elsewhere and charge the increase in price, and cost of handling, if any, to the contractor.

24. CONTRACTS FOR PURCHASE will be put into effect by a purchase order(s) executed by the Child Nutrition Director after bid has been awarded. Purchase Orders will be e-mailed.

25. BUY AMERICAN PROVISION – Per Section 104(d) of the William F. Goodling Child

Nutrition Reauthorization Act of 1998 {Public Law 105-336) added a provision, Section 12(n) to the NSLA (42 USC1760(n)} requiring School Food Authorities (SFA’s) to purchase, to the maximum extent practicable, domestic commodity of product. Section 12(n) of the NSLA defines “domestic commodity of product” as an agricultural commodity that is produced in the United States and a food product that is processed in the United States using substantial agricultural commodities that are produced in the United States. “Substantial” means that over 51 percent of the final processed product consist of agricultural commodities that were grown domestically. Bidders must provide certification in their bid documents that over 51 percent of the final processed product consists of agricultural commodities that were grown domestically in the United States.

Products from Guam, American Samoa, Virgin Islands, Puerto Rico, and the Northern Mariana Islands are allowed under this provision as territories of the United States. The Buy American provision (7 CFR Part 210.21(d)) is one of the procurement standards London ISD must comply with when purchasing commercial food products served in the school meals programs.

26. EQUAL EMPLOYMENT OPPORTUNITY:

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices and employees and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases all to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the State or local Agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all the information requested in the form.

To request a copy of the complaint form, call (866)632-9992. Submit your completed form or letter to USDA by : (1)mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250- 9410; (2) (202)690-7442; or (3) email program.intake@usda.gov

USDA and this institution are an equal opportunity provider and employer.

27. PROTEST PROCEDURES

Filing a Protest Any bidder or prospective bidder who is aggrieved in connection with the procurement may protest to the Child Nutrition Director or designee. The protest must be submitted in writing to London ISD, 1356 FM 43, Corpus Christi, Texas 78415 within 10 calendar days after the bid process closes, bids are reviewed, and all qualified bidders notified.

Determination of Protest The Child Nutrition Director or designee shall have the authority to take any action reasonably necessary to resolve a protest of an aggrieved bidder/offeror concerning a procurement. A determination will be issued promptly, informing the protester of the right to appeal to the Director of Operations.

Appeal If an appeal is requested, the Director of Operations shall promptly issue a determination relating to the protest. The determination shall inform the protester of the right to appeal to the Superintendent of Schools.

Final Determination If an appeal to the Superintendent is requested, the Superintendent shall promptly issue a determination relating to the protest. The determination shall inform the protester of the right to appeal to the Board of Trustees.

Notice of Determination A copy of the final determination issued shall be sent to the protester and other bidders involved in the procurement.

These procedures ensure that vendor protests are handled fairly and transparently, allowing for proper resolution of issues related to procurement within Texas school districts.

ATTACHMENTS TO BE COMPLETED AND RETURNED WITH EACH PROPOSAL

Attachment A. Signature Page

Attachment B.

Attachment C.

Attachment D.

Attachment E.

Attachment F.

Attachment G.

Attachment H.

Attachment I.

Attachment J.

Bid Price Form…Please complete and return items listed on Bid Form

Disclosure of Interest (Form 1295) (Vendor must complete on-line at www.ethics.state.tx.us)

Certificate of Liability Insurance

W-9

Form CIQ: Conflict of Interest Questionnaire

Felony Conviction Notice

Non-Collusion Statement

Suspension or Debarment Certificate

Buy American Requirements http://www.ethics.state.tx.us/

• VENDOR shall comply with the mandatory standards and policies relating to energy efficiency that are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act P.L. 94-163, 89 Stat.

871.

• VENDOR shall comply with Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (the "Act"), 40 U.S.C. §370 1 and 3704, as supplemented by Department of Labor regulations, 29 CFR Part 5. Under Section 103 of the Act, VENDOR shall be required to compute the wages of every laborer on the basis of a standard workweek of 40 hours. Work in excess of the standard workweek is permissible provided that the worker is compensated at a rate of not less than 1 ½ times the basic rate of pay for all hours worked in excess of 40 hours in any workweek. Section 107 of the Act provides that no laborer or mechanic shall be required to work in surroundings or under working condition s, which are unsanitary, hazardous, or dangerous to his health and safety as determined under construction, safety, and health standards promulgated by the Secretary of Labor.

• VENDOR shall comply with Executive Order 11246, entitled Equal Employment

Opportunity, as amended by Executive Order 11375 of October 13, 1967, and as supplemented in Department of Labor regulations, 41CFR60.

• VENDOR shall comply with the following civil rights laws, as amended: Title VI of the Civil Rights Act of 1964; Title IX of the Education Amendments of 1972;

Section 504 of the Rehabilitation Act of 1973; the Age Discrimination Act of 1975; USDA regulations on nondiscrimination7 CFR 15, 15a, and 15b; and FNS Instruction 113-1, Civil Rights Compliance and Enforcement - Nutrition Programs and Activities.

• VENDOR shall comply with the Buy American provision for contracts that involve the purchase of domestic food and food products in the United States using over 51% domestic foods by weight or volume, USDA Regulation 7 CFR 210.21(d) and 7 CFR Part 250.

• VENDOR shall comply with all applicable standards, orders, or requirements issued under Section 306 of the Clean Air Act 42 U.S.C. 7606, §508 of the Clean Water Act 33 U.S.C. 1368 , Executive Order 11738, and Environmental Protection Agency (EPA) regulations Title 40 CFR.

• VENDOR shall strongly encourage the participation of Historically Underutilized

Business (HUB), Minority and Women Business Enterprise (MWBE), and labor surplus area vendors to compete in procurement opportunities the VENDOR conducts on behalf of the SFA.

• VENDOR shall ensure that the nondiscrimination statement is affixed to all letters, notices, publications, and websites as required by FNS Instruction 113.1 (November 8, 2005) .

• Inclusion of any false or misleading information shall be sufficient cause for the rejection of the proposal or termination of any subsequent contract.

Termination

1. If at anytime, the SFA shall make a reasonable decision that adequate funding from federal, state, or local sources shall not be available to carry out its financial obligation to the VENDOR, then the SFA shall have the option to terminate this contract by giving 10 days written notice to the VENDOR.

2. In the event either party commits a material breach of this Contract, the non-breaching party shall give the breaching party written notice specifying the default, and the breaching party shall have 30 days within which to cure the default. If the default is not cured within that time, the non-breaching party shall have the right to then terminate this Contract for cause by giving 30 days additional written notice to the breaching party. If the breach is remedied prior to the proposed termination date, the non-breaching party may elect to continue this Contract. Notwithstanding the foregoing termination clause, in the event that the breach concerns sanitation problems, the failure to maintain insurance coverage as required by this Contract, failure to provide required periodic information or statements, or failure to maintain quality of service at a level satisfactory to SFA, SFA may terminate this Contract immediately.

3. In the event that either party is prevented from performing its obligations under this Contract by war, acts of public enemies, fire, flood, or acts of God (individually each known as a "Force Majeure Event"), that party shall be excused from performance for the period of such Force Majeure Event exists.

4. In the event of VENDOR's nonperformance under this Contract or the violation or breach of the terms of this Contract, SFA shall have the right to pursue any available administrative, contractual, and legal remedies against VENDOR.

5. SFA is the responsible authority without recourse to USDA or TDA for the settlement and satisfaction of all contractual and administrative issues arising in any way from this Contract. Such authority includes, but is not limited to, source evaluation, protests, disputes, claims, or other matters of a contractual nature.

6. Upon service ending by either Contract expiration or termination, it shall be incumbent upon the VENDOR to cooperate fully with the replacement VENDOR or SFA if SFA is returning to self-operated food service and with TDA to ensure a smooth and timely transition to the replacement VENDOR or

SFA.

TREASURY/IRS AND OMB USE ONLY DRAFT

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FILE

Form W-9 (Rev. January 2026)

Request for Taxpayer Identification Number and Certification

Department of the Treasury Internal Revenue Service

Go to www.irs.gov/FormW9 for instructions and the latest information.

Give form to the requester. Do not send to the IRS.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, on page 2.

S ee

S p ec if ic In st ru ct io n s on p ag e

3.

1 Name of entity/individual. An entry is required. (For a sole proprietorship or disregarded entity, enter the owner’s name on line 1, and enter the business/ disregarded entity’s name on line 2.)

2 Business name/disregarded entity name, if different from above.

3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor C corporation S corporation Partnership Trust/estate

LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership)

Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.

Other (see instructions)

3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions

4 Exemptions (codes apply only to certain entities, not individuals;

see instructions on page 4):

Exempt payee code (if any)

Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)

(Applies to accounts maintained outside the United States.)

5 Address (number, street, and apt. or suite no.). See instructions.

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). Do not report the employer identification number (EIN) of a sole proprietorship or disregarded entity. For a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your EIN. If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number or Employer identification number

Part II Certification Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the

Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct; and

5. I am exempt from information reporting as a U.S. digital asset broker within the meaning of Regulations section 1.6045-1(g)(4)(i)

(A)(1) (other than a registered investment adviser). I claim exempt status under Regulations section 1.6045-1(c)(3)(i)(B)(12).

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here Signature of

U.S. person Date / /

Cat. No. 10231X Form W-9 (Rev. 1-2026) Created 8/27/25

CONFLICT OF INTEREST QUESTIONNAIRE

For vendor doing business with local governmental entity

FORM CIQ

OFFICE USE ONLY

Date Received

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).

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.

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.)

3 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

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).

Signature Date ownership interest of one percent or more.

Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/14/2024

Name of signatory

Revised 8/14/2024Form provided by Texas Ethics Commission www.ethics.state.tx.us

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.

NOTIFICATION OF CRIMINAL HISTORY

State of Texas Education Code Section 44.034, Notification of Criminal History of Contractor states:

(a) 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 notice must include a general description of the conduct resulting in the conviction of a felony.

(b) A school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract.

(c) This section does not apply to a publicly held corporation.

I, the undersigned vendor or authorized agent for the vendor named below, certify that I have reviewed the information contained in this Notification of Criminal History, and the information furnished is true and correct to the best of my knowledge.

NAME OF THE PERSON OR BUSINESS ENTITY SERVING AS THE VENDOR: ____________________________________

IF VENDOR IS A BUSINESS ENTITY, NAME AND TITLE OF THE INDIVIDUAL AUTHORIZED TO SIGN FOR THE VENDOR:

Name:

Title:

Please check the applicable box (if “C” is checked, provide the additional information requested) and sign this form at the bottom of the page.

A. The vendor listed above is a publicly-held corporation.

B. I have not been convicted of a felony, or, if the vendor is a business entity, the business entity I am hereby representing is not owned or operated by anyone who has been convicted of a felony.

C. I have been convicted of a felony, and/or the business entity I am representing is owned and/or operated by the following individual(s) who has/have been convicted of a felony:

Individual(s) with Felony Conviction(s):

Details of Conviction(s) for Each Individual:

(Add additional pages to this Notification of Criminal History form if necessary.)

SIGNATURE OF PERSON OR AUTHORIZED OFFICIAL: _______________________________

Revised May 2007

NON-COLLUSION AFFIDAVIT

STATE OF TEXAS §

COUNTY OF NUECES §

________________________, of lawful age, being first sworn on oath says, that he/she is the agent authorized by the bidder to submit the attached bid. Affiant further states that the bidder has not been a party to any collusion among bidders in restraint of freedom of competition by agreement to bid at a fixed price or to refrain from bidding; or with any state official of employees to quantity, quality, or price in the prospective contract, or any other terms of said prospective official concerning the exchange of money or other things of value for special consideration in the letting of contract; that the bidder/contractor had not paid, given or donated, or agreed to pay, give or donate to any officer or employee either directly or indirectly in the procuring of the award of a contract pursuant to this bid.

Signature:

Printed Name:

Title:

Company:

Date:

SUBSCRIBED and sworn to before me the undersigned authority by the of, on behalf of said bidder.

Notary Public in and for the State of Texas

My commission expires: ____________

Suspension or Debarment Certificate

Non-Federal entities are prohibited from contracting with or making subawards under covered transaction 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 a separate attachment to this offer, in accordance with Section 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 ___________________________________

Authorized Company Official’s Name __________________________________________

Signature of Company Official ______________________________Date_______________

Vendor E-mail Address _______________________________________________________

Vendor Telephone Number ___________________________________________________

suspension or debarment certificate