ESBD_File_345471_RFP 930- Interactive Virtual Dissection Table.pdf

REQUEST FOR PROPOSAL

RFP # 930

INTERACTIVE VIRTUAL DISSECTION TABLE

Bids due: Wednesday, January 10, 2024, at 5:00PM

Issued By:

Lone Star College 5000 Research Forest Drive

The Woodlands, Texas 77381

RFP # 930 Interactive Virtual Dissection Table

TABLE OF CONTENTS RFP # 930

Interactive Virtual Dissection Table

• BACKGROUND INFORMATION

• LSC SERVICE AREA

• CALENDAR OF EVENTS

• WEBEX INFORMATION

• CONTRACT TERMS

• SCOPE OF WORK

• EVALUATION CRITERIA PROCESS

• CERTIFIED HISTORICALLY UNDERUTILIZED BUSINESS (HUB) AND M/WBE

• PROVISIONS FOR RECOMMENDATION

• INTERPRETATION OR CORRECTION

• SUBMITTAL FORMAT

• IMPORTANT iSTAR VENDOR PORTAL NOTES

BACKGROUND INFORMATION

The voters of the Aldine, Spring, and Humble school districts created North Harris County College in 1972 and opened the college for classes in 1973. The district expanded in 1991 to cover neighboring Montgomery County and adopted the new name of North Harris Montgomery Community College District. As the district expanded to include areas outside north Harris and Montgomery Counties, the College Board of Trustees officially approved Lone Star College as the District’s new name.

Located in the Houston metropolitan area, Lone Star College is one of the fastest growing and largest institutions of higher education in the nation. Lone Star College provides an annual economic impact of nearly $3 billion and is a major and growing contributor to the local economy.

As a leader in community college innovations and learning outcomes, Lone Star College has been recognized nationally for many of its student success and completion initiatives. Lone Star College enrolled over 86,000 students in credit and non-credit classes for fall 2022, providing flexible and affordable classes close to home.

Lone Star College is fully accredited and offers industry-specific certifications, associates, and workforce bachelor’s degrees. Lone Star College transferred more than 138,000 students to more than 1,500 universities from 2010-2020, including many of the top colleges in the country.

Mario K. Castillo J.D. serves as chancellor of Lone Star College, which consists of eight campuses, five centers, eight Workforce Centers of Excellence, and Lone Star Corporate College.

To learn more visit www.LoneStar.edu.

http://www.lonestar.edu/

CALENDAR OF EVENTS

Listed below are the dates and times by which stated actions need to be completed. If LSC determines, in its sole discretion, that it is necessary to change any of the dates and times, LSC will issue a written Addendum to this LSC. All listed times are Central Standard Time.

DATE / TIME ACTION

Wednesday, December 13, 2023 1st Legal advertising

Wednesday, December 20, 2023 2nd Legal advertising

Wednesday, December 20, 2023,10:00AM Web-Ex Pre-proposal Tutorial (non-mandatory) *

Wednesday, January 03, 2024, at 2:00 PM

Last day and time for Respondents to submit email communications and inquiries to:

Dina.Sauser@lonestar.edu

Thursday, January 04, 2024 Addenda, if any, responding to written communications/inquiries will be emailed to Respondents

Wednesday, January 10, 2024 @ 5:00PM Deadline for proposal submission

Tuesday, January 16, 2024 Evaluation of Proposals & Notification to Selected Respondents of Presentation/Interview Date

Monday, January 22, 2024, TBD Presentations, If necessary

Week of January 22, 2024 Recommendation of Selected Respondent(s) mailto:Dina.Sauser@lonestar.edu

PRE-PROPOSAL iSTAR TUTORIAL WEBEX INFORMATION

Wednesday, December 20, 2023, 10:00AM Central Standard Time | 1 hr.

Join from the meeting link https://lonestar.webex.com/lonestar/j.php?MTID=mb05e78f2e0c483450716e1ddf2ddd1 d7 Join by meeting number Meeting number (access code): 2630 510 2802 Meeting password: mRBidZe3J83 Tap to join from a mobile device (attendees only) +1-408-792-6300,,26305102802## Call-in toll number (US/Canada) Join by phone 1-408-792-6300 Call-in toll number (US/Canada) Join from a video system or application Dial 26305102802@lonestar.webex.com You can also dial 173.243.2.68 and enter your meeting number.

WebEx pre-demonstration of the LSC iStar Vendor Portal including:

1. How to register as a supplier,

2. Where to locate the bid documents, and

3. How to successfully submit a bid proposal.

*It is strongly recommended that the individual responsible for uploading the bid proposal submission attend this online meeting.

CONTRACT TERMS

This Request for Proposal (“RFP”), and the information contained within, is an invitation to bid and is provided to assist qualified bidders in formulating proposals. This RFP is not a contract nor an offer to contract. No contractual obligations shall arise until a formal contract is executed between Lone Star College and the successful respondent.

The initial term of the contract resulting from this RFP may be for a period of up to five (5) years.

Per Lone Star College Policy Manual, Section III.D.1.4 and III.D.1.7, all vendors are responsible for verifying an individual’s or organization’s authority before any purchase, contract, or debt is incurred. Persons making unauthorized purchases are fully responsible for such debts. Therefore, vendors are not to render any services or provide goods to Lone Star College until an executed contract is in place.

https://lonestar.webex.com/lonestar/j.php?MTID=mb05e78f2e0c483450716e1ddf2ddd1d7%20 https://lonestar.webex.com/lonestar/j.php?MTID=mb05e78f2e0c483450716e1ddf2ddd1d7%20

SCOPE OF WORK

LSC-UP seeks to purchase an advanced interactive dissection table that creates a 3D anatomy visualization and a virtual dissection tool for anatomy and physiology education to increase student success in various biological sciences and related courses. The highly interactive tool must function like a touch screen operating table and contain renowned radiology software and clinical content to meet legislatively driven student learning outcomes. Radiology and clinical content must include hi-resolution regional cadavers and segmented photo-realistic cadavers, regenerated from actual human bodies with both male and female form, such that photographs can create photographic slices, layer-by-layer. The clinical content should contain functional anatomy modules, including but not limited to joint movement, a beating heart (real heartbeat and real heart artificially combined with blood flow simulations), imagery of nerve pathways, and a real pregnant female cadaver combined with a CT scan of a fetus. High microscopic magnification histology slides and a large database of case studies of MRI’s and CTs of various pathologies with 3D rendering capabilities are also necessary. The table must be large enough for class sizes greater than 24 and have the ability to lay flat and stand upright so that faculty and students are able stand in one location and receive real-time instruction, without major physical space requirements. A hardcover/casing, warranty, and faculty and lab staff training are also needed.

EVALUATION CRITERIA PROCESS

All Requests for Proposals shall be evaluated based on the following criteria listed below by members of an evaluation committee. The committee consists of individuals who are well-versed with the subject matter as well as those who will be the beneficiaries or users of said RFP.

Weighted scoring criteria for the review of the submitted proposals in accordance with Texas Education Code 44.031 will be:

1 The purchase price 10%

2 The reputation of the vendor and of the vendor’s goods or services 15%

3 The quality of the vendor’s goods or services 20%

4 The extent to which the goods or services meet the College’s (LSC’s) needs 20%

5 The vendor’s past relationship with the College (LSC) 15%

6 The impact on the ability of the College to comply with laws and rules relating to historically underutilized businesses (HUB) 5%

7 The total long-term cost to the College to acquire the vendor’s goods or services 5%

The vendor’s ultimate parent company or majority owner has its principal place of business in Texas or employs at least 500 persons in Texas

5%

9 Any other relevant factor specifically listed in this request for bids or proposals 5%

TOTAL 100%

The information that shall be provided under each of the above criteria factors shall be as follows:

1. The purchase prices

a. The vendor will include all applicable costs in their RFP response.

b. Respondent must agree to hold firm all pricing for the term of the agreement. Any changes to this must be submitted and approved in writing by a duly authorized representative of the College.

c. Lone Star College reserves the right to refuse any rate increase it may deem unreasonable. Respondent shall not consider a “no response” as an approval to proceed.

d. If the sum of the item is not included, the bid will be considered non-responsive.

The unit price shall include all items required, including training, installation, shipping, and delivery charges.

e. Respondents shall complete the PRICING WORKSHEET included in the RFP930_Bid Document Forms attachment (page 2).

2. The reputation of the vendor and of the vendor’s goods or services

a. Provide company name, address, telephone number and date the company was established under this proposal.

b. What is the experience providing goods and delivering services equal to those requested? Who will be the proposed account executive?

c. Provide detailed product specifications for any equivalents offered.

3. The quality of the vendor’s goods or services

a. Provide previous experience and references with providing similar goods/services for similar scopes of work (maximum of three (3) pages for submittal).

b. Provide a list of three (3) completed scopes of work with goods/services relevant under this RFP in accordance with the format included in this RFP.

4. The extent to which the goods or services meet the College’s needs

a. Provide the quality-control plan your company will follow to ensure the College will receive the best quality of service requested under this RFP.

b. Provide a summary of quality features included in the services proposed and why these features make these services better than other similar services.

5. The vendor’s past relationship with the College

a. Previous contract award and vendor’s track record.

b. This is an opportunity to evaluate how the vendor has performed on a previous contract award with LSC. New firms with no history with the College will receive three (3) points. No vendor response is needed here.

6. The impact on the ability of the College to comply with laws and rules relating to historically underutilized businesses (HUB) Certified HUB, Minority and/or Veteran and Women-Owned Businesses Participation:

a. If applicable, provide a copy of Certified HUB, Minority and/or Veteran and

Women-Owned Businesses certification.

b. If applicable, indicate the percentage Certified HUB, Minority and/or Veteran and Women-Owned Businesses participation you wish to achieve.

c. Provide procedures to achieve established plan.

d. Provide an example of tools your Firm uses to report to Owners on actual use of Certified HUB, Minority and/or Veteran and Women-Owned Businesses.

7. The total long-term cost to the College to acquire the vendor’s goods or services

a. Provide any other components that may add cost to the bid price.

8. The vendor’s ultimate parent company or majority owner has its principal place of business in Texas or employs at least 500 persons in Texas

a. Does your parent company or majority owner have its principal place of business in Texas?

b. Does your parent company or majority owner employ at least 500 persons in

Texas?

9. Any other relevant factor specifically listed in this request for bids or proposals

a. Provide any recommendations or enhanced services that your company can provide, which is relevant to the RFP.

b. This bid factor will evaluate the comprehensiveness of your company’s response to the proposal including all attachments and required information provided to assess your company’s capacity, experience, staffing and quality control measures.

c. Vendor must indicate whether it would be willing to accept payment from Buyer via credit card with JPMorgan Chase Bank. Such payment would result in quicker turnaround time of vendor’s invoice once it has been approved for payment, eliminating the possibility of lost checks, mail delays, etc. If the successful vendor has indicated that they will accept such payment, further information will be available at time of award. Vendor’s response to this section will be factored into the comparative analysis and final decision.

d. Attach a copy of your standard service level agreement (SLA) template.

CERTIFIED HISTORICALLY UNDERUTILIZED BUSINESS (HUB) and MINORITY, WOMEN, AND VETERAN BUSINESS ENTERPRISE (M/WVBE)

Lone Star College (LSC) promotes and encourages contracting and subcontracting opportunities for Certified HUB and Minority, Women, and Veteran Business Enterprises (M/WVBE) in all proposals/contracts. Respondents are encouraged to include Certified HUB and Minority, Women, and Veteran Business Enterprises whenever feasible which may include subcontracts for products and services. For non-HUB and non-M/WVBE firms, Respondents selected for an on-site interview will be asked to present a HUB/MWBE subcontractor plan as part of its presentation.

Noncompliance of Commitment Participation Utilization Goal:

A Respondent will propose a participation commitment utilization percentage (or goal), which will be tracked by a progress assessment report based on data provided monthly. The monthly submittal of the Progress Assessment Report is mandatory, failure to meet the utilization goal will subject the Respondent to penalties based on the amount of the goal not achieved. Attached will be the mandated LSC Prime Contractor Progress Assessment Report form.

Utilization Goal and Penalty:

If a Respondent utilization goal is not met, there will be a penalty assessed on the amount not achieved using the following sliding scale.

Utilization Goal

Penalty Applied to

Amount not Achieved

0-20% 5% 21-40% 4% 41-60% 3% 61-80% 2.75% 81-100% 2.50%

A Respondent must recommend and receive approved written consent from LSC Supplier Diversity Department for any substitutions of Certified HUB and Minority, Women, and Veteran Business Enterprises related to maintaining the participation commitment or goal.

A Respondent who intentionally and/or knowingly misrepresents facts may be suspended from participating in work for not less than one (1) year.

PROVISIONS FOR RECOMMENDATION

LSC reserves the right to:

1. Reject any and/or all Proposals.

2. Revise the RFP and/or issue addenda to the RFP in the event it becomes necessary. Addenda will be provided to all those who received the RFP notice.

3. Accept any Proposals or portion thereof that, in the opinion of LSC, are the most advantageous to LSC.

4. Cancel this RFP in partial or total; to make a partial award, or to make no award if it determines that such action is in the best interest of the College.

5. Request additional references when deemed necessary.

6. Conduct a post-award meeting with the successful Respondent as deemed necessary.

7. Request additional information or clarifications from the Respondent(s), if needed.

8. Award of this RFP will be made to the vendor or vendors providing the best value for goods or services.

9. Pricing to be held firm for 180 days after bid closes.

INTERPRETATION OR CORRECTION

LSC is not liable for interpretations/misinterpretations or other errors, or omissions made by the respondent in responding to this RFP. Any required addendum to the RFP will be made in writing by the LSC purchasing department. Any person, firm, or corporation submitting a proposal is deemed to have read, understood, and agreed to all terms, conditions, and requirements set forth in the RFP. The respondent agrees to conform in general to the terms of the RFP, details of which will be set forth in a signed agreement between LSC and the respondent.

From the date of issuance of the RFP until a contract is fully executed, the respondent must not discuss the proposals or any part thereof with any employee, agent, or representative of LSC except as expressly requested by LSC in writing. Violation of this restriction will result in the rejection of the respondent’s proposal.

All inquiries, requests for clarification, or additional information must be submitted in writing to the commodity manager. In the written request, the respondent must identify him/herself and provide the page number, section, and paragraph in question. All written inquiries must be received by LSC no later than the scheduled date shown in the Calendar of Events outlined in this document.

All LSC responses will be provided to all prospective respondents. All addenda issued by LSC shall become a part of the RFP, and respondents shall acknowledge receipt of each addendum by corresponding number and date in its response.

Inquiries concerning this RFP should be addressed to LSC as follows:

Dina L. Sauser, Commodity Manager E-mail: Dina.Sauser@lonestar.edu & LSC-Purchasing@lonestar.edu Phone: (832) 813-6532

SUBMITTAL FORMAT

Responses to this RFP shall be submitted online through the iStar Vendor Portal in the order outlined in the Table of Contents. No paper or email submissions will be accepted.

You will need to register and log on to submit a bid proposal or view online documents at http://wwwappsdstc.lonestar.edu/istar/supplier.htm

For assistance with the online registration process, contact MC-Vendors@lonestar.edu mailto:Dina.Sauser@lonestar.edu http://wwwappsdstc.lonestar.edu/istar/supplier.htm

IMPORTANT iSTAR VENDOR PORTAL NOTES:

It is the vendor’s responsibility to successfully submit bid proposals before the bid close date and time specified in the Calendar of Events.

Upload your bid proposal as one PDF attachment on line 1 in iStar and name your PDF file as such: RFP930_YourCompanyName.pdf

(Note: File name cannot exceed 19 characters).

Once your proposal has been submitted successfully in the iStar Vendor Portal, the email address that is associated with the registration will receive an automated confirmation email.

If you believe that you have successfully submitted your bid proposal and did not receive a confirmation email and you have confirmed that it did not go to your SPAM, then contact the Commodity Manager.

Please include in your bid submittal the documents listed on the attached Table of Content

TABLE OF CONTENTS CHECKLIST

Your Company Name:

☐ 1. Table of Contents Checklist

☐ 2. Pricing Worksheet

☐ 3. Primary Contact

☐ 4. Company Profile

☐ 5. References

☐ 6. Quality Plan

☐ 7. Long Term Costs

☐ 8. Other Relevant Factors

☐ 9. Exclusions and/or Substitutions to Proposal

☐ 10. Certified HUB, Minority and/or Veteran and Women-Owned Business

☐ 11. LSC-HSP PAR SDD 2017 7.10.17

☐ 12. Felony Conviction/Debarment Notice Clean Air & Water Act Notice

☐ 13. Federal Provisions Questionnaire

☐ 14. Conflict of Interest Questionnaire: Provide a SIGNED copy of the CIQ (State Required Form, provided in the iStar Vendor Portal)

☐ 15. Certificate of Insurance

☐ 16. Addenda, if any

(2) PRICING WORKSHEET-Cost Proposal (All applicable costs must be provided in this section)

NOTICE TO PROPOSER:

The Proposer shall indicate below the offered prices for providing one (1) advanced virtual dissection table for clinical content and imagining software pertinent to anatomy and physiology education with life-size display. The unit should contain high resolution 3D imaging software with a digital library of various cadavers, regional anatomies, new physiology, and case studies of MRI’s and CTs of various pathologies with 3D rendering capabilities. A protective covering, warranty, and training should be included. The freight and crating charges are to be calculated for freight to the Center for Science and innovation at Lone Star College-University Park, 919 University Park Campus Drive, Houston, Texas 77070. This is a Fixed Cost Proposal and must specifically record below the cost amount(s) proposed in the appropriate space(s) as required herein. Said fixed cost proposed must incorporate all cost for the proposed scope of services for the total contract period.

The Cost Proposal shall detail only the cost proposed as required, and shall not detail any other rates, amounts, or information. It shall not detail any text that could be construed as a qualification of the cost proposed. If the Proposer fails to specify the Fixed Cost Proposal as required, the College shall determine the proposal to be non-responsive and reject it.

Type of Equipment Manufactur er OR Equal Model # Quantit y Cost

Interactive Virtual Dissection Table with 3D Imaging Software

Required Specifications:

• Roughly ~7'x3' in size or more; or about Life-Size (81 Inch) Touch Screen Display Table

• Convertible; be able to lay flat/stand upright

• ~35 High Resolution Regional Anatomies, new physiology (cardiology, nerve pathways, pregnancy, joint movement, and optometry)

• 32 Hi-Resolution Regional Cadavers

• Male & Female & Pregnant Cadavers

• Photographic section slices (~0.5mm thick).

• Histology slides up to 400 x resolution

• Case studies; at least 1600 MRI's and

CT's of various pathologies with 3D rendering capabilities.

• CHILDBIRTH SIMULATION

• ARRHYTHMIAS 3D showcasing

• Case Studies

• 2-year extended warranty

• Shipping/Handling

(3) PRIMARY CONTACT

dba (if applicable):

Address:

Phone Number:

Primary Contact for Bid Clarification for this RFP (please print):

Primary Contact’s Phone Number: (if different from the above phone number):

Primary Contact’s email address required (please print):

Primary Contact’s Title:

(4) COMPANY PROFILE

Phone Number:

Web Page (if available):

Years of experience providing services equivalent to those requested in this proposal:

Number of employees:

Date company established under name stated in this proposal:

Company Principals:

Name: Title:

(5) REFERENCES

Reference # 1:

Is this reference one of your most current and relevant contracts similar in size and scope to this LSC RFP? ☐YES ☐NO

Company Name:

Contact Name:

Phone:

Email:

Brief description of services:

Term of Contract:

Comments:

Reference # 2:

Reference # 3:

(6) QUALITY PLAN

Insert your quality control plan here.

(7) LONG TERM COSTS

Insert your long-term costs here.

(8) OTHER RELEVANT FACTORS

Insert any other relevant factors here, including but not limited to any recommendations or enhanced goods or services that your company can provide.

(9) EXCLUSIONS AND/OR SUBSTITUTIONS TO PROPOSAL

☐ We DO have exclusions and/or substitutions included for this Event (see details listed below)

☐ We DO NOT have any exclusions and/or substitutions included for this Event

Details: (Please list all exclusions and/or substitutions or attach a separate sheet)

(10) CERTIFIED HUB, MINORITY AND/OR VETERAN

AND WOMEN-OWNED BUSINESS

1. Complete Section I to indicate what kind of certifications you have as a HUB. (If you are not a HUB, continue to Section II.)

2. Complete Section II if your company is not planning to utilize HUB or minority sub-contractor(s) and explain the reasons. (Do not fill out Sections III and IV, and then continue to Section V and VI.)

3. Complete Section III if your company plans to utilize HUB or minority sub-contractor(s). List the subcontractors and attach the certification with each sub-contractor in a separate attachment.

4. Complete Section IV to describe your sub-contracting plan.

5. Complete Section V to provide information about your supplier diversity practices.

6. Complete Section VI to do your self-assessment.

Section I: Certifications for HUB Please check the appropriate group and attach your Certification(s) behind this form in your proposal submittal. Upon the receipt of valid certification, HUBs will obtain 5 points on the HUB evaluation.

☐ City of Austin ☐ Southwest Minority Supplier Development Council

☐ City of Houston ☐ State of Texas HUB ☐ Dallas/Fort Worth Minority Supplier Development Council

☐ Texas Department of Transportation

☐ El Paso Hispanic Chamber of Commerce

☐ Women’s Business Council Southwest

☐ Golden Triangle Minority Business Council

☐ Women’s Business Enterprise Alliance

☐ Houston Minority Supplier Development Council

☐ U.S. Department of Veteran Affairs

☐ South Central Texas Regional Certification Agency

☐ National Minority Supplier Development Council

☐ Women’s Business Enterprise National Council

Please state your business utilization goal with your own workforce that you wish to achieve. % of our business utilization goal is with our own workforce.

Section II: Not Presenting a Subcontracting Plan

Section III – Sub-contracting Plan If you are going to utilize HUB or minority businesses, fill out the percentage of utilization goal and the list of subcontractors.

% of our business utilization goal with other Certified HUB or minority businesses.

Sub-Contractors

In the table below write the company name, the service they will provide, the contact information, and the estimated of the utilization goal.

Insert certification(s) for each Company after this page (Verify all certifications are valid and not expired) If additional space is required, please attach information in the below format behind this form in your proposal.

Company Name

Services Address Company Contact

Phone # Subcontracting

Total estimated utilization goal for proposal:

Please provide an explanation of why you will not be presenting a sub-contracting plan.

Section IV: Description of the Sub-contracting Plan

Please provide information about the subcontracting plan. Presenting a strong and coherent sub-contracting plan will allow you to get 2.75 points on the HUB evaluation.

a) Describe the principal types of supplies and services to be subcontracted.

b) Describe your efforts to make sure that minority businesses have an equitable opportunity to compete for subcontracts, and how you identify potential subcontractors.

c) Do you commit to submitting monthly reports so that Lone Star College can determine the extent of compliance with the subcontracting plan?

☐ YES ☐ NO

Section V: Diversity Practices

Please provide information about the diversity practices implemented in your business.

Presenting strong supplier diversity initiatives will allow you to get 2 points on the HUB evaluation.

a) Describe the initiatives performed by the company in supplier diversity and outreach efforts to contact business development organizations, trade associations, conferences, and trade fairs to locate HUB or minority businesses.

b) Share data regarding expenditures made to certified minority businesses or HUBs and has established goals based upon subcontracting activities in the past. (Write N/A if this information is not available).

c) Do you have a mentor-protégé program?

YES _____ NO _____

d) If the “c” is yes, please describe how your program works.

e) If you have a link with more information about your supplier diversity strategies on your website, please share the link here:

Section VI: Self-Assessment

Write an “X” according to the evaluation you give yourself for the criteria listed.

Presenting the self-assessment coherent to the information provided in the other sections will allow you to get 0.25 points on the HUB evaluation.

Description Strong Moderate Minimum None

The methods to calculate and develop a subcontracting goal are…

The system for identifying potential subcontractors for the several projects is…

The efforts to make sure that minority businesses have an equitable opportunity to compete for subcontracts are…

The system for controlling the compliance of the subcontracting plan is…

The initiatives performed by the company in supplier diversity and outreach efforts to contact business development organizations, trade associations, conferences, and trade fairs to locate minority or HUB businesses are…

The system to obtain data regarding expenditures made to certified minority businesses or HUBs is…

The mentor-protégé program is…

The program to promote the use of minority businesses is…

Date: Printed Name:

Title: Signature:

(11) LSC-HSP PAR FORM

Do not complete or fill in this form at this time; simply include a copy of this form in your proposal after the Certified HUB section. Including this form will be your acknowledgement and agreement your firm will utilize this progress assessment form after award of this project.

(12) FELONY CONVICTION / DEBARMENT NOTICE

CLEAN AIR & WATER ACT NOTICE

Texas Education Code Section 44.034, Notification of Criminal History, Subsection (a) states “a person or business entity that enters into a contract with a school district must give advance notice to the district if the person or 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.”

Subsection (b) states “a school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract.” This notice is not required of a publicly held corporation. (Please CHECK APPROPRIATE BOX below and COMPLETE ALL SIGNATURE BLOCKS.)

Company’s Name:

Authorized Company Official’s Name (printed):

☐ My firm is a publicly held corporation; therefore, this reporting requirement is not applicable ☐ My firm is not 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:

I hereby further certify that my company has not been debarred, suspended, or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549, “Debarment and Suspension,” as described in the Federal Register and Rules and Regulations.

I, the vendor, am in compliance with all applicable standards, orders or regulations issued pursuant to the Clean Air Act of 1970, as amended (42 U.S.C. 7606), Section 508 of the Clean Water Act, as amended (33 U.S.C. 1368), Executive Order 11738 and Environmental Protection Agency Regulation, 40 CFR Part 31 and as required under OMB Circular A-102, the grantor agency and to the United States Environment Protection Agency Assistant Administrator for the Enforcement.

(13) FEDERAL PROVISIONS QUESTIONNAIRE

(This form must be completed in its entirety and attached to your completed proposal)

Representative’s Name:

Title:

FEDERAL PROVISIONS

The following provisions are required and apply when federal funds are expended by Lone Star College for any contract resulting from this procurement process. Please acknowledge that you have read the provisions and will comply accordingly: (See terms and conditions for definition) ☐ Yes ☐ No Equal Employment Opportunity

☐ Yes ☐ No Copeland “Anti-Kickback” Act (18 U.S.C. 874 and 40 U.S.C.

276c)

☐ Yes ☐ No Contract Work Hours and Safety Standards act (40 U.S.C. 3701- 3708)

☐ Yes ☐ No Rights to Inventions Made Under a Contract or Agreement (37

CFR PT 401)

☐ Yes ☐ No Davis-Bacon Act as amended (40 U.S.C. 3141-3148)

☐ Yes ☐ No Clean Air Act (42 U.S.C. 7401-7671 q.)

☐ Yes ☐ No Debarment and Suspension (Executive Orders 12549 and 12689)

☐ Yes ☐ No Byrd Anti-Lobbying Amendment (31 U.S.C. 1352)

☐ Yes ☐ No Buy American Act (41 U.S.C. 10a-10d)

☐ Yes ☐ No Sherman Antitrust Act (15 U.S.C. 1-7)

Signature: Date:

(14) CONFLICT OF INTEREST QUESTIONNAIRE

Insert your conflict-of-interest questionnaire (CIQ) here.

(15) CERTIFICATE OF INSURANCE

Insert a copy of your certificate of insurance (COI) here.

(16) ADDENDA

Insert copies of all addenda here to acknowledge that you have received and read each one.

END OF DOCUMENT

TABLE OF CONTENTS RFP # 930