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Contract - Marathon Fitness - 10/12/2017 Marathon Fitness sales Proposal www.MarathonFitness.com Date Page ` P.U. Box 17705 Sep 7,2017 Page 1 of 4 Sugar Land, TX 77496 Proposal Number Tel:(800) 391-9496 Fax:(888)240-9360 QT0012247 Fitness Center Specialists Bili To: Ship To: M2462 -City of Round Rock City of Round Rock Attn: Accounts Payable 1600 Gattis School Rd. 221 E. Main St. Round Rock, TX 78664 Round Rock, TX 78664 Salesperson Proposal Valid Until Terms Demariee Anderson 11!6/2017 Net 30 Qty. Item Number Description Unit Retail Sales Price Extended Price 1 CW407 Precor Crossover-Adjustable Pulleys(150 ib stacks) $5.100.00 $3,978.00 $3,978.00 1 PWDSL0404 Precor Discovery Selectorized Chest Press $4,000.00 S 3,120,00 $3,120.00 1 PWDSL0500 Precor Discovery Selectorized Shoulder Press $4,100.00 S3,198.00 $3,198.00 1 CW320 Precor Dip Chin Assist,200lbs $4,275.00 $3,334.50 $3,334.50 1 CW302KS Precor Longpull w/Shroud,250lbs $3,775.00 $2,944.50 $2,944.50 1 PWDSL0310 Precor Discovery Selectorized Seated Row $3,900.00 $3,042.00 $3,042.00 1 PWDSL0714 Precor Discovery Selectorized Abdominal $4,500.00 $3,510.00 $3,510.00 1 PWDSL0602 Precor Discovery Selectorized Leg Press $6,200.00 $4,836.00 $4,836.00 1 PWDSL0619 Precor Discovery Selectorized Seated Leg Curl $4,700.00 $3,666.00 $3,666.00 1 PWDSL0605 Precor Discovery Selectorized Leg Extension $4,400.00 $3,432.00 $3,432.00 1 PWDSL0620 Precor Discovery Selectorized Inner Thigh $4,500.00 $3,510.00 $3,510.00 1 PWDSL0621 Precor Discovery Selectorized Outer Thigh $4,500.00 $3,510.00 $3,510.00 1 PWDPL802 Precor Smith Machine $4,200.00 $3,276.00 $3,276.00 1 PWDPL0601 Precor Leg Press $5,400.00 $4,212.00 $4,212.00 1 PWDBR0113 Precor Adjustable Decline Bench $1,050.00 $819.00 $819.00 1 PWDBR0202 Precor Preacher Curl Bench $990.00 $772.20 $772.20 1 PWDBR0312 Precor Back Extension $1,100,00 $858,40 $856.00 1 ABX100-TITANIUM Precor AB-X Abench - Titanium Frame/Black Upholstery $1,300.00 $1,014.00 $1,014.00 NOTE Bicep and Tricep selectorized machines removed Items below added 1 PWDBR0119 Precor Multi-Adjustable Bench $1,150.00 $897.00 $897.00 Quotation continued on next page... y AUTHORIZED DEALER Marathon Fitness sales Proposal vwwv.MarathonFitness.com date Page P.t7, Box 17705 Sep 7,2017 Page 2 of 4 1 1�7 Sugar Land, TX 77496 Proposal Number Tel-.(800) 391-9496 Fax-.(888) 240-9360 QT0012247 Fitness Center Specialists Bill To: Ship To: M2462- City of Round Rock City of Round Rock Attn: Accounts Payable 1600 Gattis School Rd. 221 E. Main St. Round Rock,TX 78664 Round Rock, TX 78664 Salesperson Proposal Valid Until Terms Demariee Anderson 11/6/2017 Net 30 Qty. Item Number Description Unit Retail Sales Price Extended Price 1 PWDBR0702 Precor Vertical Knee Up $1,190.00 $928.20 $928.20 for ab/core room NOTE Various Spaces 1 MMOUNT-MMTZ-3KIT-1 TRX 14ft Multimount(Supports up to 6 Suspension $1,129.95 $960,46 $960.46 Trainers)-Includes Monkey Bars,Banner 6 TRXCLUB4 TRX Commercial Suspension Trainer v.4(rubber handles, $209.95 $169.98 $1,019,76 locking carabiner) 1 MPLYO01 Escape Multi-Plyo Box (20'724"130"heights) $1,299.00 $1,039,20 $1,039.20 1 ABK Precor Assault Air Bike $999.00 $799.20 $799.20 1 FREIGHT Freight $4,900.00 $4,900.00 $4,900.00 1 EQUIP INSTALL Equipment Installation $1,69500 $1,695,00 $1,695.00 -1 TRADE-EQUIPMENT Trade-In Equipment $6,500.00 $6,500.00 $-6,500.00 Purchased July 2011 Precor 45 Degree Hyperextension Bench SN:BJMEF09110001 Precor AB-X Abench - Titanium Frame/Black Upholstery SN:BC89A24110135 Precor Seated Preacher Curl SN:BELLC18110058 Precor Adjustable Decline Bench SN:BRLKC18110037 Precor Plate Loaded Angled Leg Press SN:BCDLF29110001 Precor Smith Machine,Counterbalanced SN:BCKRF15110002 Precor Crossover-Adjustable Pulleys Quotation continued on next page... 1-10-14 Marathon Fitness Sales Proposal t If www.MarathonFitness.com Date Page P.O. Box 17705 Sep 7,2017 Page 3 of 4 Sugar Land, TX 77496 Proposal Number Tel:(800) 391-9496 Fax-.(888) 240-9360 QT0012247 Fitness Center Specialists Bill To: Ship To: M2462 -City of Round Rock City of Round Rock Attn: Accounts Payable 1600 Gattis School Rd. 221 E. Main St. Round Rock, TX 78664 Round Rock, TX 78664 Salesperson Proposal Valid Until Terms Demariee Anderson 11/612017 Net 30 Qty. Item Number Description Unit Retail Sales Price Extended Price SN:BETCF20110001 Precor C-Line Chest Press(260 lbs) SN:BWJGF08110001 Precor C-Line Shoulder Press(215 lbs) SN:BPCHF09110001 Precor Longpull w/Shroud SN:BBKFF21110001 Precor C-Line Seated Row(260 lbs) SN:BWJMF09110001 or C-Line Abdominal(215 lbs) SN:BWJPF23110001 PWC602NN9910EN Precor C-Line Leg Press(425 lbs) SN:BWJTF13110001 PWC619NN9910EN Precor C-Line Seated Leg Curl (260 lbs) SN:BWJ KFO81 10001 PWC605NN9910EN Precor C-Line Leg Extension(260 lbs) SN:BY561714110002 PWC620NN9910EN Precor C-Line Inner Thigh(215 lbs) SN:BPDLF09110001 PWC621 NN9910EN Precor C-Line Outer Thigh(215 lbs) SN:BWKMF09110001 PWC204NN9910EN Precor C-Line Bicep Curl(170 lbs) SN:B897FO81 10003 PWC215NN9910EN Precor C-Line Seated Dip(260 lbs) SN:BGJYF30110001 NOTE t . Quotation CC►ryPlt7t1ed OR next page,.. ,- Marathon Fitness sales Proposal www.MarathonFitness.com Date Page P.O. Box 17705 Sep 7,2017 Page 4 of 4 Sugar Land, TX 77496 Proposal Number Tel:(800) 391-9496 Fax:(888)240-9360 OT0012247 Fitness Center Specialists Bill To: Ship To: M2462-City of Round Rock City of Round Rock Attn: Accounts Payable 1600 Gattis School Rd. 221 E. Main St. Round Rock, TX 78664 Round Rock, TX 78664 Salesperson Proposal Valid Until Terms Dernariee Anderson 11!6/2017 Net 30 Qty. Item Number Description Unit Retail Sales Price Extended Price Trade equipment must be in working order Pricing valid for 60 days BUY BOARD BUY BOARD INFORMATiONVendor:Team Marathon Fitness,Address:PO Box 17705,Sugar Land,TX 77496Phone:(281)565-2307,Contact:Paul Croegaert, Email:paul@marathonfitness.comFederal ID:68- 05446644,Contract:Athletic,PE&Gym.Supplies W D, Exercise Eq.& Accessories#502-16,Effective Date: 4/1/2016 NOTE Does not included mounting of TRX to wall per manufactures specifications Subtotal $58,771.02 Sales Tax 0.00% $0.00 1 accept the terms and conditions of this proposal. Prices are valid for 30 days. Equipment remains the property of Marathon Fitness until paid in full. Total $ 58,771.02 Signature: PO# Printed Name: Title: DELIVERY INSTRUCTIONS: L A Must arrive by / f Loading Dock: Yes _No L _ ...Trt. . . : ...... .... ..: .. Elevator: Yes No AUTHORIZED DEALER Frame: Upholstery: Index Pagel of l Phone: 800-695-2919 a � f=ax: 800-211 5454 N Email: info@buyboard.com CgopeMlre i'attAtstaQ Welcome Mike[Log Inistration RFQ Purchase Order Reports Shopping Cart Help Off] Vendor Contract Information Back Searches: Vendor Name: Team Marathon Fitness Search by Vendor Address: PO Box 17705 Browse Contracts Sugar Land,TX 77496 Phone Number: (281)565-2307 Email: paul@marathonfitness.com Search: Website: http://Www.marathonfitness,com Federal ID: 68-0544664 0 All Contact: Paul Croegaert O Vendor Discounts Only Accepts RFQs: Yes O Catalog Pricing Only Minority Owned- No Women Owned: Yes Refine Your Search: Service-Disabled Veteran Owned: No yg i ors EDGAR: No Team Marathon Fitness[X] Contract Name: Athletic,P.E.&Gymnasium Supplies,Equip,Heavy Duty Exercise Equip.&Acc. Price Rartge Show an prices Contract Description: Athletic clothing,shoes&equipment;football helmets&reconditioning;PE supplies& Category equipment;commercial fitness equipment;gym spectator seating;basketball backboards,g' None Selected dividers,wall pads.floor mats&covers,netting;volleyball systems,indoor scoreboards, CQntract service/repair&installation Athletic,P E &Gymnasium Contract#• 502-16 Supplies,Equip.Heavy Duty Effective Date: 04101/2016 Exercise Equip&Acc JXJ Expiration Date: 03/3112019 Payment Terms: Net 30 days Delivery Days: 90 Shipping Terms: Pre-paid and added to invoice Freight Terms: FOB Destination Ship Via: Common Carrier Additional Resources Region Served: All Texas Regions States Served: Arizona,Texas Quote Reference Number: 502-16 Return Policy: 48 hours after delivery or install to notify of defect or returns Contract Documents EDGAR Notice: Click to view EDGAR Notice Proposal Documents: Click to view BuyBoard Proposal Documents Regulatory Notice: Click to view Bonding Regulatory Notice Proposal Files: Click to view Vendor Proposal Files Documents Contact us 800-695-2919 haps:''fapp.buyboard.col-nlSearch/Index?SearchTerm=&Vendorld=2718&DiscountProductI.., 9/6/2017 &UBoard caairerafive Purchasing P.Q.Bax 400 Austin, TX 78767-0400 800.695.2919/ 512.467.0222/ fax:800.211.6454 Duyhoard.com March 7, 2017 Sent via Email to:paul@marathonfitness.com Paul Croegaert Team Marathon Fitness PO Box 17705 Sugar Land TX 77496 Re: Athletic, P.E., &Gymnasium Supplies, Equipment, Heavy Duty Exercise Equipment, &Accessories BuyBoard Contract 502-16 The Local Government Purchasing Cooperative (BuyBoard) awarded your company Athletic, P.E., & Gymnasium Supplies, Equipment, Heavy Duty Exercise Equipment, & Accessories, RFP 502-16, effective April 1, 2016 through March 31, 2017, with two possible one-year renewals. At this time, we are renewing your contract through March 31, 2018. All discounts, terms, and conditions of your proposal contract will remain the same. If you agree to this renewal, there is nothing you need to do. However, if you do not agree to this renewal, you must notify me immediately via email at connie.burkett(cDtasb.org. Reminder: Once a BuyBoard contract is awarded, vendors must generate a minimum of$15,000 annually or they may not be offered a contract renewal. Evaluations will be made annually, prior to the expiration date of the contract term, and the BuyBoard reserves the right to discontinue the vendor's contract at that time. Additionally, receipt of a purchase order directly from a Cooperative member is not within the guidelines of the Cooperative. Accepting orders directly from a member entity may result in a violation of the State of Texas competitive bid statutes, and could cause cancellation of this proposal award. Therefore, all orders must be processed through the Cooperative in order to comply with the contract. We request your assistance in immediately forwarding any orders received directly from member entities. Purchase orders may be sent to us either by fax (800-211- 5454) or by email (info@buyboard.com). If by chance an order sent directly to you has been unintentionally processed, please forward it to the Cooperative and note it as RECORD ONLY to prevent duplication. If you have questions or comments concerning this renewal, please contact me as soon as possible at con nie.burkett(cDtasb.org. We appreciate your interest in The Local Government Purchasing Cooperative. Sincerely, J/�,-&" U0,0 ..Q" Connie W Burkett Contract Administrator — f'�► The Local Government Purchasing Cooperative is endorsed by the Texas Association of School Boards ; !! � Texas Municipal League:Texas Association of Counties,and the Texas Association of School Administrators so Ord Cooperativa Purchasing P.O.Box 406 AUS1117, TX 70767-0400 800.695.2919 1512.467.0222/Fax:8110.211.5454 boyhoard.com January 11,2016 Sent Via E-mail: pawl@marathonfitness.com Paul Croegaert Team Marathon Fitness PO Box 17705 Sugar Land,TX 77496 Re: Notice of The Local Government Purchasing Cooperative Award Proposal Name and Number:Athletic,P.E.and Gymnasium Supplies, Equipment,Heavy Duty Exercise Equipment and Accessories No. 502-16 Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a BuyBoard@ contract based on the above-referenced Proposal. The contract is effective 4/1/2016 through 3/31/2017, with two possible one-year renewals. The contract documents are those identified in Section 3 of the General Terms and Conditions of the specifications, To view the Items your company has been awarded, please review the proposal tabulation No. 502-16 on the following web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold through the BuyBoard contract. In addition,on this website you will find the membership list which will provide you with the names of all entities with membership In our purchasing cooperative. Enclosed with this letter you will find the following documents: • Vendor Quick Reference Sheet • Electronic Catalog Format Instructions • Vendor Billing Procedures You are advised that receipt of a purchase order directly from a Cooperative member is not within the guidelines of the Cooperative, Accepting purchase orders directly from Cooperative members may result In a violation of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard contract. Therefore, all purchase orders must be processed through the BuyBoard in order to comply. Please forward by fax (1-600- 211-5454) any order received directly from a Cooperative member. If you inadvertently process a purchase order sent directly to you by a Cooperative member, please fax the order to the above number and note it as RECORD ONLY to prevent duplication. Per proposal specifications,awarded vendors will have 30 days or sooner to submit their electronic catalog including pricing, If the electronic data is not provided within 30 days or sooner of notice of award, we reserve the right to inactivate any company's award Information from the BuyBoard until such time the electronic data is received. On behalf of the Texas Association of School Boards, we appreciate your Interest In the Cooperative and we are, looking forward to your participation in the program. If you have any questions, please contact BljyBoard Procurement;Staff at 800-695-2919. Sincerely, r� Arturo Salinas BuyBoard Procurement Director v.}2.15 r� +►�» The Local Govcrnrnent Purshashc0 Covperath c s endorsed by lira Texas Assoc:iatiorr of School Boards, -Yy� `I11'7 i. .� Teras Alunldgil Lear to,l&as Assccialion of Courfles,and IN texas Association of School Adntinisltators 9W,90ard J Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 PH: 800-695-2919 ' FAX: 800-211-5454•www.vendor.buyboard.com PROPOSER'S AGREEMENT AND SIGNATURE Proposal Name: Athletic, P.E. and Gymnasium Proposal timing Date and Time: Supplies, Equipment, Heavy Duty Exercise October 7, 2015 at 2:00 PM Equipment and Accessories Location of Proposal Opening: Texas Association of School Boards, Inc. BuyBoard Department Proposal Number: 502-16 12007 Research Blvd, Austin,TX 78759 Anticipated ,00neratiVe Board Meeting Date: Contract Time Period:April 1, 2016 through January 2016 March 31, 2017 with two(2) possible one-year renewals. Team Marathon Fitness, Inc. Name of Proposing Company Date PO Bax 17705 Street Address Signature of Authorized Compan Official Sugar Land,TX 77496 Paul Croegaert City,State, Zip Printed Name of Authorized Company Official (281)565-2307 Vice President Telephone Number of Authorized Company Official Position or Title of Authorized Company Official (832)201-0650 68-0544664 Fax Number of Authorized Company Official Federal ID Number The proposing company ("you"or"your' hereby acknowledges and agrees as follows: I. You have carefully examined and understand all Cooperative information and documentation associated with this Proposal Invitation, including the Instructions, General Terms and Conditions, Attachments/Forms, Item Specifications, and Line Items (collectively"Requirements'7; 2. By your response ("Proposal") to this Proposal Invitation, you propose to supply the products or services submitted at the prices quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or exceptions are noted in the Proposal; 3. Any and all deviations and exceptions to the Requirements have een noted in your Proposal and no others will be claimed; FORM A—PAGE 1 COMM.U.31.15 6evaporative Purc6 -Ing 12007 Research Boulevard •Ausdn,Texas 78759-2439 PH: 800-695-2919 ' FAX: 800-211-5454•www.vendor.buyboard.com 4. If the Cooperative accepts any part of your Proposal and awards you a contract, you will furnish all awarded products or services at the prices quoted and in strict compliance with the Requirements (unless specific exceptions are noted in the Proposal), including without limitation the Requirements related to: a. conducting business with Cooperative members, including offering pricing to members that is the best you offer compared to similar customers; b. payment of a service fee in the amount specified and as provided for in this Proposal Invitation; c. the passible award of a piggy-back contract by another governmental entity, in which event you will offer the awarded goods and services in accordance with the Requirements; and d. submitting price sheets or catalogs in the proper format for posting on the BuyBoard as a prerequisite to activation of your contract; S. You have clearly identified any information in your Proposal that you believe to be confidential or proprietary or that you do not consider to be public information subject to public disclosure under a Texas Public Information Act request or similar public information law; 6. The individual signing this Agreement Is duly authorized to enter into the contractual relationship represented by this Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a Form) is authorized and has the requisite knowledge to provide the information and make the representations and certifications required in the Requirements; 7. You have carefully reviewed your Proposal, and certify that all information provided is true, complete and accurate, and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and 8. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, may disqualify you from consideration for a contract award under this Proposal Invitation or result in termination of an award or any other remedy or action provided for In the General Terms and Conditions or by law. 4 FORM A—PAGE 2 COMMY.3.31.15 DuCooperativa Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 PH: 800-695-2919 . FAX:800-211-5454 'www.vendar.buyboard.com VENDOR PURCHASE ORDER, REQUEST FOR QUOTES, AND INVOICE RECEIPT OPTIONS Company: Team Marathon Fitness, Inc. General Contact Name: Paul Croegaert Purchase Orders: Purchase orders from Cooperative members will be available through the Intemet or by facsimile. Option 1: Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to vendors that choose this option to assist them with retrieving their orders. O tan : Fax. Vendors need a designated fax line available at all times to receive purchase orders. Please choose only one f ll of the following options for receipt of purchase orders and provide the requested information: ® I will use the INTERNET to receive purchase orders. E-mail Address: paul@marathonfitness.com Internet Contact: Paul Croegaert phone: (281)565-2307 Alternate E-mail Address: christa@marathonfitness.com Alternate Intemet Contact: Qhdsta Davis Phone:(281)565-2307 ❑ I will receive purchase orders via FAX. Fax Number: Fax Contact: phone: Regu!-=q for Quotes CRE ): Cooperative members wIll send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs: E-mail Address: paul@marathonfitness.com Alternate E-mail Address: chdsta@marathonfitness.com Inn-m: Your company will be billed monthly for the service fee due under a contract awarded under this Proposal Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee invoices and related communications: Mailing address: P.O.Box 17705 Department: City: Sugar land State: TX Zip Code:. 7749 Contact Name: Paul Croegaert Phone: (281)565-2307 Fax: (832)201-0650 E-mail Address: paul2marathonfitness.com Alternative E-mail Address: finance4marathonfitness.com FORM B COMM.U.31.15 I • 9780ard Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 PH:800-595-2919• FAX: 800-211-5454,www.vendor.buyboard.com FELONY CONVICTION DISCLOSURE AND DEBARMENT CERTIFICATION FELONY CONVICTION DISCLOSURE Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor)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 has been convicted of a felony. The notice must Include a general description of the conduct resulting in the conviction of a felony." Section 44.034 further states in Subsection(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." Please check Irn one of the f slowing: ❑ My company is a publicly-held corporation. (Advance notice requirement does not apply to publIcfy-held corporation.) ® My company is not owned or operated by anyone who has been convicted of a felony. ❑ My company is owned/operated by the following individual(s)who has/have been convicted o a felony: Name of Felon(s): Details of Conviction(s): By signature below,I certify that the above information is true,complete and accurate and that I am authorized by my company to make this certification. Team Marathon Fitness, Inc. Company Name 01�6� Paul Croegaert Signature of Authorized Co parry Official Printed Name DEBARMENT CERTIFICATION Neither my company nor an owner or principal of my company has 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. By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification. Team Marathon Fitness, Inc. Company Name Paul Croegaert Signature of Authorized Comp y Offiiclai Printed Name FORM C COMM.v.3.31.15 PFlarde W Co aperafte Purchasing 12007 Research Boulevard•Ausdn,Texas 78759-2439 PH:800-695-2919 . FAX: 800-211-5454•www.vendor.buyboard.com RESIDENT/NONRESIDENT CERTIFICATION Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who are not Texas residents. Under the statute, a "resident" proposer is a person whose principal place of business is in Texas, including a person whose ultimate parent company or majority owner has its principal place of business in Texas. A "nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a "resident" proposer or a "nonresident" proposer under these definitions. Please_check y)one of the following. certify that my company is a Resident Proposer. ❑ I certify that my company is a Nonresident Proposer. If your company is a Nonresident Proposer, you must provide the following information for your resident state(the state in which your company's principal place of business is located): Team Marathon Fitness, Inc. P.O. Box 17705 Company Name Address Sugar Land TX 77496 City State Zip Code A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers whose resident state is the same as yours by a prescribed amount or percentage to r rely a comparable contract? ❑ Yes No B. What is the prescribed amount or percentage? $ or % VENDOR EMPLOYMENT CERTIFICATION Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's ultimate parent or majority owner (i) has Its principal place of business in Texas; or(ii)employs at least 500 people in Texas. If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas, does your company, ultimate parent company, or majority owner employ at least 500 people in Texas? Please check(36 one of the following. ❑ Yes Q No By signature below, I certify that the information in Sections 1 (Resldent/Nonresfdent Cert&ation)and 2 (Vendor Employment Certiflcadon)above Is true, complete and accurate and that I am authorized by my company to make this certification. Team Marathon Fitness, Inc. Company Name Paul Croegaert Signature of Authoriz&Company Official Printed Name FORM D COMM.v.3.31.15 s ard 11L. Coaperative Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 PH: 800-595-2919 ' FAX: 800-211-5454•www.vendor.buyboard.com HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business Enterprise or "MWBE" and all referred to in this form as a "HUB"} is encouraged to indicate its HUB certification status when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that properly indicate and document their HUB certification on this form. Please check(3/) all that apply ® I certify that my company has been certified as a HUB in the following categories: ❑ Minority Owned Business © Women Owned Business ❑ Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §161(2),who has a service-connected disability as defined by U.S.C.§ 161(16),and who has a disability rating of 20%or more as determined by the U. S. Department of Veterans Affairs or Department of Defense) Certification Number: Name of Certifying Agency: or4 PT Ror r-_P-_ �� �'uc t�t c ❑ My company has NOT been certified as a HUB. By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification. Team Marathon Fitness, Inc. Company Name Signature of Authorized Co any Official Paul Croeaaert Printed dame FORM E COMM.v.3.31.15 /'A flJl ,�"'r'y\,.� 1 g., ! GLENN HEGAH TEXAS COMPTROLLER OF PUBLIC ACCOUNTS The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas,which includes certifying minority and woman-owned businesses as HUBs and is designed to facilitate the participation of minority and woman-owned businesses in state agency procurement opportunities. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at http://www.window.state.tx.us/procurement//cmbilhubonly.html. Provided that your company continues to meet HUB eligibility requirements, the enclosed HUB certificate is valid for flour years. You must notify the HUB Program in writing of any changes affecting your company's compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business.Note:Any changes made to your company's information may require the NUB Program to re-evaluate your company's eligibility. Please reference the enclosed pamphlet for additional resources, such as the state's Centralized Master Bidders List(CMBL), that can increase your chance of doing business with the state. Thank you for your participation in the HUB Program! If you have any questions, you may contact a HUB Program representative at 512-463-5872 or toll-free in Texas at 1-888-863-5881. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1680544664400 6,1t� HUB EileNendor Number: 51892 Approval Date: 29-QCT-2013 Scheduled Expiration Date: 29-QCT-2017 st.c.�.t#praodre�tiyr t�rad�eutiOEewt tib ttopraia The Texas Comptroller of Public Accounts (CPA), hereby certifies that TEAM MARATHON FITNESS, INC. has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be recognized as a HUB. This certificate printed 18-SEP-2015, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information (i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business' application for registration/certification as a HUB, you must immediately (within 30 days of such changes) notify the HUB Program in writing.The CPA reserves the right to conduct a compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of ineligibility. Paul Gibson,Statewide NUB Program Manager Texas Procurement and Support Services Note. In order for State agencies and InslituGons of higher education(universities)to be credited for utilizing this business as a HUB,they must award payment under the CerlificateNID Number idenUfled above.Agencies and universities are encouraged to validate NUB certification prior to issuing a notice of award by accessing the Internet (http://www.window.state.tx.us/procurement/cmbl/cmblhub.html)or by contacting the HUB Program at 1-88&863-5681 or512-463-5872. acv.nilas DU78oard Cooperative Purchasing 12007 Research Boulevard•Austin,Texas 78759-2439 PH:800-695-2919• FAX: 800-211-5454'www.vendor.buyboard.com AFFIRMATION REGARDING CONSTRUCTION RELATED GOODS AND SERVICES A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As explained in the BuyBoard Construction Related Goods and Services Advisory for Texas Members {"Advisory'l, Texas law prohibits the procurement of architecture or engineering services through a purchasing cooperative. This BuyBoard contract does not include such services. Architecture or engineering services must be procured by a Cooperative member separately, in accordance with the Professional Services Procurement Act (Chapter 2254 of the Texas Government Code)and other applicable law and local policy. The Advisory, attached to this Form F, provides an overview of certain legal requirements that are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services, including those for projects that may Involve or require architecture, engineering or independent testing services. By signature below, the undersigned affirms that Proposer has read and understands the Advisory attached to this Form F and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase order for construction-related goods or services,whichever comes first. Team Marathon Fitness, Inc. Company Name Paul Croe9 cert Signature of Authoriz Company Official Printed Name /0/s--/- Date FORM F-PAGE Z COMM.v.3.31.15 DuCapperativeftWwOng 12007 Research Boulevard ,Austin,Texas 78759-2439 PH: 800-595-2919 ' FAX: 800-211-5454 'www.vendor.buyboard.com DEVIATION AND COMPLIANCE SIGNATURE FORM If your company intends to deviate from the General Terms and Conditions, Item Specifications or other requirements associated with this Proposal Invitation, you must list all such deviations on this form, and provide complete and detailed information regarding the deviations on this form, an attachment to this form, or elsewhere in your Proposal. (If you do not provide the information on or as an attachment to this form, the information must be clearly identified in your Proposal.) The Cooperative will consider any deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted deviation. In the absence of any deviation identified and described in accordance with the above, your company must fully comply with the General Terms and Conditions, Item Specifications and all other requirements associated with this Proposal Invitation if awarded a contract under this Proposal Invitation. No; Deviations ❑ YeS; Deviations List and fully explain any deviations you are submitting: PLEASE PROVIDE THE FOLLOWING INFORMATION: 1. Shipping Ilia: [� Common Carrier ® Company Truck repaid and Add to Invoice [ff Other: 2. Payment Terms: a Net 30 days ❑ 1% in 10/Net 30 days ❑ Other: 3. Number of Days for Delivery: f ARO V 1 ei 5 4. Vendor Reference/Quote Number: S State your return policy: } t _ � 4 �Y C:Y t'rl"3 -�- . �e' 6. Are electronic payments acceptable? ZYes ❑ No Team Marathon Fitness, Inc. Compan Name Paul Croegaert Signature of Authorized Co` pang Official Printed Name FORM G COMMN 3.31.15 Cooperative Purchasing 12007 Research Boulevard 'Austin,Texas 78759-2439 PH: 800-695-2919 ' FAX: 800-211-5454 .www.vendor.buyboard.com DEALERSITYp LISTINGS If you have more than one location that will service a contract awarded under this Proposal Invitation, please list each location below. If additional sheets are required, please duplicate this form as necessary. Company Name VrC) r F-)C)u Address City state Zip Phone Number Fax Number Contact Person Company Name Address City state Zip Phone Number Fax Number Contact Person FORM H COMM,V.3.31.15 • ard Cooperative Purchasing 12007 Research Boulevard a Austin,Texas 78759-2439 PH: 800-695-2919 1 FAX: 800-211-5454•www•vendor.buyboard.com T XAs REGIONAL .�„I,►ERVICE DESIGNATION ........ .. .......... Unless you designate otherwise on this form, you agree to service members of �3 The Local Government Purchasing Cooperative statewide! The Cooperative (referred to as "Texas Cooperative"in this Form I and Form J, State Service Designation)offers vendors the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas Cooperative members statewide, you mpst indicate the specific regions you will service on this form. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas),you must so indicate on this form. Regional Education Service Centers I will service Texas Cooperative members statewide. will not service Texas ' •" Cooperative members statewide. I will only �--�•.�M-1�- .. service members in the 41 --,�r;, .- regions checked below: I s ..• Region Headquarters - --��..� ' , h-:• �t.�` __ ; ❑ 1 Edinburg l�M iw•at i.a .•. M� � ' 2 Corpus Christi M . • ❑ 3 Victoria 4 Houston `� -'? '�_ _ ,� ,� �,.. �;3i' (❑ 5 Beaumont _� n s ❑ 6 Huntsville '� .s..zs+ �.. ...< .., w•,aq.r rte. :u9 .v�•,i I ' -, � ❑ 7 Kilgore •'-- R• , ;`�`J - ' } ❑ 8 Mount Pleasant ...,; .. ,,,,... r J2�� ' Wichita Falls �• F ` ���y ❑ 10 Richardson �•} '-�:f� , ' ` " � '� ❑ 11 Fort Worth 12 Waco ❑ 13 Austin ,�}, �. �.. ❑ 14 Abilene ❑ 15 San Angelo 1' 16 Amarillo ❑ 17 Lubbock Team Marathon Fitness, Inc. ❑ i8 Midland _. _w_....-.�,....�,..�.W..-...............�...µ�...-...._.._..�._..�.�......�...._....�.....�.. Compan19 EI Paso ," me C3 ❑ 20 San Antonio Signature of Authorized Com any Official Paul Croegaert l❑ I will not service members Printed Name of the Texas Cooperative. FORM I COMM.U.31.15 �1 Cooperative Parch ming 12007 Research Boulevard •Austin,Texas 78759-2439 PH: 800-695-2919 • FAX:800-211-5454•www.vendor.buyboard.com STATE SERVICE DESIGNATION The Cooperative offers vendors the opportunity to service other governmental entities in the United States, including intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete this form if you plan to service the entire United States, or will service only the specific states Indicated. (Note. If you plan to service Texas Cooperative members, be sure that you complete Form I, Texas Reglonal Service Designation j ❑ I will service all states in the United States. will not service all states in the United States. I will service only the states checked below: ❑ Alabama ❑ Alaska ❑ Nebraska EZ Arizona ❑ Nevada ❑ Arkansas ❑ New Hampshire ❑ California (Public Contract Code 20118&20652) ❑ New Jersey ❑ Colorado ❑ New Mexico ❑ Connecticut ❑ New York ❑ Delaware ❑ North Carolina ❑ District of Columbia ❑ North Dakota ❑ Florida ❑ Ohio ❑ Georgia ❑Oklahoma ❑ Hawaii ❑Oregon ❑ Idaho ❑ Pennsylvania ❑ Illinois ❑ Rhode Island ❑ Indiana ❑South Carolina ❑ Iowa ❑ South Dakota ❑ Kansas ❑ Tennessee ❑ Kentucky Texas ❑ Louisiana ❑ Utah ❑ Maine ❑Vermont ❑ Maryland ❑Virginia ❑ Massachusetts ❑Washington ❑ Michigan ❑ West Virginia ❑ Minnesota ❑Wisconsin ❑ Mississippi ❑Wyoming ❑ Missouri ❑ Montana This form will be used to ensure that you can service other governmental entities throughout the United States as indicated. Your signature below confirms that you understand your service commitments during the term of a contract awarded under this proposal. Team Marathon Fitness, Inc. Company Name Paul Croegaert Signa re of Authorized Company Official Printed Name FORM 3 COMM.V.3.31.15 AP �1 VRA ar Cooperative Purchasing 12007 Research Boulevard •Aus19n,Texas 78759-2439 PH:800-695-2919• FAX:800-211-5454 'www.vendar.buyboard.com NATIONAL PURCHASING COOPERATIVE VENDOR AWARD AGREEMENT In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states you have indicated on Form 1,State Service Designation, in your Proposal. By signing this form, Proposer(referred to in this Agreement as"Vendor")agrees as follows: 1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative') awards Vendor a contract under this Proposal Invitation ("Underlying Award'J, the National Purchasing Cooperative("National Cooperative') may - but is not required to -"piggy-back"on or re-award all or a portion of that Underlying Award ("Piggy-Back Award"}. By signing this National Cooperative Vendor Award Agreement("Agreement"),Vendor accepts and agrees to be bound by any such Piggy-Back Award as provided for herein. 2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator ("BuyBoard Administrator'l will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the effective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action Is required of Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are agreed to by Its BuyBoard Administrator in writing. 3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e., lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award. 4. Vendor hereby agrees and confirms that it will serve those states it has designated on Form J (State Service Designation Form) of this Proposal Invitation. Any changes to the states designated on Form J must be approved in writing by the BuyBoard Administrator. 5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to National Cooperative on such schedule as it specifies (which shall not be more often than monthly). Further, upon request,Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative members for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National Cooperative members in order to verify the accuracy of service fees. FORM K--PAGE 1 COMM.V.3.31.15 &--UBoard Cooperative Purchaging 12007 Research Boulevard°Austin,Texas 78759-2439 PH:800-695-2919 - FAX: 800-211-5454•www.vendor.buyboard.com 5. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to National Cooperative; and, conversely, the rights and responsibilities that would ordinarily Inure to Vendor in the Underlying Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the only parties to this Agreement, and that nothing in this Agreement has application to other third parties, Including the Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of this Agreement shall control, and then only to the extent necessary to reconcile the conflict. 7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue for any dispute shall Ile In the federal district court of Alexandria,Virginia. 8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-Back Award and the BuyBoard Administrator notifies Vendor In writing of such Piggy-Back Award as provided for herein. WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter Into this Agreement. Team Marathon Fitness, Inc. 502-16 Name.of Vendor Proposal Invitation Number Paul Croegaert Signature of Authorized Company Official Printed Name of Authorized Company Official O Date FORM K—FACE 2 C®MPIN.3.31.15 AF ard Gooperative Purchasing 12007 Research Boulevard I Austin,Texas 78759.2439 PH: 800-695-2919 ` FAX: 800-211-5454'www.vendor.buyboard.com FEDERAL AND STATEIPURCHASING COOPERATIVE DISCOUNT COMPARISON FORM The Cooperative strives to provide its members with the best services and products at the best prices available. The Cooperative determines whether prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with prices/discounts you offer federal and state entities and other interlocal purchasing cooperatives (collectively referred to as"purchasing cooperative"in this form). Please respond to the following questions. 1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or market price during the previous 12-month period or the last fiscal year: $ t 1 5_00 r OV-0 . U a (The period of the 12 month period is t o / o q Z/S"). In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the sales of the item(s). 2. Based on your written discounting policies are the discounts you offer the Cooperative equal to or better than the best price you offer other purchasing cooperatives acquiring the same items regardless of quantity or terms andcon Kions? YES NO❑ 3. Based on your written discounting policies, provide the information requested below for other purchasing cooperatives, either in the chart below or in an equivalent format. Rows should be added to accommodate as many purchasing cooperatives as required. PURCHASING GROUP DISCOUNT(%) QUANTITY/VOLUME FOB TERM 1. Federal General Services Adm. 2. T-PASS 3. U.S. Communities Purchasing Alliance 4. The Cooperative Purchasing Network 5. Houston-Galveston Area Council 6. Other O`MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS. CURRENT BUYBOARD VENDORS If you are a current BuyBoard vendor, indicate the discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between your current and proposed discounts. / Current Discount(0/o): 1?6' f50,9fD Proposed Discount(°Aa}� j ��o /� Explanation: By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to make this certification. Team Marathon Fitness, Inc. Company Name l�d-7 Paul Croegaert f Signature of Authorized CQP'pany Official Printed Name FORM 1. OMM.V.3.31.15 loarde) Cooperative Purchasing 12007 Research Boulevard • Austin,Texas 78759-2439 PH: 800-695-2919 • FAX: 800-211-5454•www.vendor.buyboard.com REFERENCES PRICE DISCUUNT INFORMATION AND MARKETING STRATEGY PART I: For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. Provide the information requested below, including the existing price/discounts you offer each customer. The Cooperative determines whether prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts you offer other governmental customers. Attach additional pages if necessary. Quantity/ Entity Name Contact Phone# Discount Volume FOB Terra 1 City of Cedar Park Tim Dean (512)401-5506 $135,000 2 City of Coppell Laci McKinny (972)_462-5138 $50,000 Pre-paid &Add 3. Baylor University Clint Patterson (254) 710-1561 $90,000 Pre-paid &Add 4, City of Denton Megan Thomas (940)349-7752 $63,000 S. City of Missouri Shane Mize (281)403-8639 $150,000 Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give better discounts(lower prices)than indicated? YES® NO❑ If YES, please explain: Single Order in Excess of$100,000 - PART XI: For your Proposal to be considered, you must submit the MARKETING RATEGY you will use if the Cooperative accepts all or part of your Proposal. ( _mk Ho'W you will inftlally Infra(# Cooperative Members of your BuyBoald contract and/low you will cdr?tinue to support the BuyBoard for the duration of the contract period.) Attach additional pages if necessary. *See Attached* By signature below, I certify that the above is true and correct and that I am authorized by my company to make this certification. Team Marathon Fitness, Inc. Compa ame Signatur4 of Authorized Company (ficial Paul Croegaert Printed Name FORM M COMM.V.3.31,15 f t y, FORM 1111/Part If Marketing Responsibilities Fitness Center Specialists Marathon Fitness is a proud member of the Texas Park and Recreation Association, and participates in almost every regional convention by sponsorship and booths to display equipment. • Marathon Fitness has 8 outside employees(not W9) in safes based in the cities of Houston, Dallas, Fort Worth,San Antonio,Austin,and Midland for personalized service in the selection of products,application expertise after the sale,as well as space planning services which are free of charge.These are done in both 3D and in 2D to help clients and reduce cost of architect expenses. • Marathon Fitness has 24 outside service employees to offer 24-48 response time when repairs are needed,as well as to help clients with ongoing Preventative Maintenance. By doing so we help with customer retention in the fitness center. * Marathon Fitness offers 10, 15 and 20%buyback programs for PRECJR Brand cardio to assist clients with reducing the replacement cost of the equipment. By doing so future replacement costs are extremely predictable to clients. • Marathon Fitness hosts 4-5 regional training events for product applications in Houston,Austin, and Dallas so that customers get the most up to date product information to accurately and safely apply their purchases in their respective gyms. These are at no cost and Marathon Fitness has a full time Education Coordinator and Strength and Conditioning Director(National Strength and Conditioning Association Certified) as well as National Academy of Sports Medicine Certified. • Marathon Fitness offers service or quote request responses with 24 hours or less,as our entire sales team is equipped with broadband internet cards, laptops and cloud based quote program for immediate response. • Marathon Fitness customer service department is the largest in Texas in commercial exercise and fitness with 7 dedicated phone lines(toll free) answered by live customer service reps(no voicemail)from 7:30 a.m.to 5:00 p.m.CST Monday through Friday. 800.391.9490. +► Marathon Fitness delivery,service and installation employees work are OSHA approved safety program,and the company carries a $5 million comprehensive A+rated insurance through Travelers Insurance. • Marathon Fitness stocks over$125,000 in common cardio parts for Precor brand cardio and strength, as well as over$1 million in new finished cardio and strength goods to offer 2-7 day turn around on most orders. &UHoard Cooperative Purchasing 12007 Research Boulevard 9 Austin,Texas 78759-2439 PM: 800-695-2919 •FAX: 800-211-5454•www.vendor.buyboard.com CONFIDENTIAL/PROPRIETARY„INFORMATION FORM A. Public Disclosure Laws All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this Proposal Invitation may be subject to the disclosure requirements of the Texas Public Information Act (Texas Govemment Code chapter 552.001, et. seq.) or similar disclosure law. Proposer must clearly Identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly Identify the information, the Cooperative shall have no obligation to seek protection of such information from public disclosure should a member of the public or other third party request access to the information under the Texas Public Information Act or similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has identified in this form as proprietary or confidential. Does your Pro sal (including forms, documentation, or other materials submitted with the Proposal) contain information ich Vendor considers proprietary or confidential? P NCI, I certify that none of the Information included with this Proposal is considered confidential or proprietary. YES,I certify that this Proposal contains Information considered confidential or proprietary and all such information is specifically Identified on this form. If you responded "YES", you must identify below the specific information you consider confidential or proprietary. Ust each page number, form number, or other information sufficient to make the information readily Identifiable. The Cooperative and Its Administrator will not be responsible for a Proposer's failure to clearly Identify information considered confidential or proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and Its Administrator will disclose information when required by law, even if such information has been identified herein as information the vendor considers confidential or proprietary. Confidential/Proprietary Information: (A=&additional sheets if needed.) FORM N-PAGE i C®MM.U.31.15 Cooperative Purchasing 12007 Research Boulevard 'Austin,Texas 78759-2439 PH: 800-695-2919• FAX: 800-211-5454•www.vendor.buyboard.com B,Copyright Informatiion Does your Proposal (including fon-ns, documentation, or other materials submitted with the Proposal) contain copyright information? Please check(Mone of the fQ1loydom 0140, Proposal(Including forms,documentation,or other materials submitted with the Proposal)does not contain copyright Information. YES, Proposal(including forms,documentation,or other materials submitted with the Proposal)does contain copyright information. If you responded"YES", Identify below the specific documents or pages containing copyright information. Copyright Information: (Attach add/tional sheds if needed) C.Consent a ntia! Pro rleta Co ht Inf-M]afign t o Bu0pard Members BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential, proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be responsible for the use or distribution of information by BuyBoard members or any other party. By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by my company to make this certification and all consents and agreements contained herein. Team Marathon Fines% Inc. COMMme Signature of Authorized Uh6npany Official Paul Croegaert Printed Name /o/ EY Date FORM N--PAGE 2 COMM.U.31.15 D9780ard Cooperative Purchasing 12007 Research Boulevard •Austin,Texas 78759-2439 PH: 800-695-2919° FAX:800-211-5454•www.vendor.buyboard.com VENDOR BUSINESS NAME FORM By submitting a Proposal, Proposer Is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and accurately provide the information requested below or your Proposal may be deemed non-responsive. Name of Proposing Company: Team Marathon Fitness Inc. (Ust the LWd name of the company seeking to contract w/th the Cooperative. Do Aff list an assumed name, dba, aka, etc here Such Information maybe provided below If you are submitting a,joint proposal with another endiy to provide Me same proposed goods or services, each subduing enaty should complete a separate vendor Information form. Separately operating legal business entities, every Ifaf fated entities,whlch propose to provide goods orsen4ws separately must submit their own Proposals.) Please check(ill one of the following; Type of Business: Individual/Sole Proprietor Corporation X Limited Liability Company Partnership Other If other, identify State of Incorporation(If applicable): Texas Federal Employer Identification Number: 68-Q544684 (Vendor must include a completed W-9 form with their pnoposa/J List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note. ifditterent than the Name of Pmpasing Company listed above, onry valid trade names(dba, aka, etc)of the Proposlrrg Company may be used and a copy of Wur Assumed Name C vVficate(s),If applicable,must be attached.) mjq_fi/� FORM 0 C®MMN.3.31.15 Ir � 1 10ardcooperative Purcasing 12007 Research Boulevard •Austin,Texas 78759-2439 PH: 800-695-2919 • FAX: 800-211-5454 •www.vendor.buyboard.com FORMS CHECKLIST (Please check(,/)the following) [� Completed: Proposer's Agreement and Signature(Form A) Completed: Vendor Purchase Order, Request for Quotes,and Invoice Receipt Options (Form B) [►� Completed: Felony Conviction Disclosure and Debarment Certification(Form C) (y Completed: Resident/Nonresident Certification (Form D) Completed: Historically Underutilized Business(HUB) Certification(Form E) [✓� Completed: Affirmation Regarding Construction Related Goods and Services(Form F) Completed: Deviation/Compliance Signature Form (Form G) Completed: Dealership Listings (Form H) Completed: Texas Regional Service Designation (Form Y) Er Completed: State Service Designation (Form J) iCompieted: National Purchasing Cooperative Vendor Award Agreement(Form K) [� Completed: Federal and State/Purchasing Cooperative Discount Comparison Form(Form Q Completed: References, Price/Discount Information,and Marketing Strategy(Form M) Q� Completed: Confidential/Proprietary Information Form(Form N) [� Completed: Vendor Business Name Form (Form 4) Q� Completed: Forms Checklist(Form P) Completed: Proposal Specification Form with Catalogs/Pricelists and Evaluation Items (Form Q) *43t slaw-,I'c s s;must be subs-tl�ted with proposal respcar�s�or rl;sponse��1I�'not be rnnsid d.: COWV.3.31J5 FORM P W: ,Boardw TEAM MARATHON FITNESS, INC Proposal No. 502-16-Athletic, PE and Gymnasium Equipment and Supplies and Heavy Duty Exercise Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'.) State percent(%)of item Discount off State Name of No. Short Description Full Description Catalog/Pricelist1 Catalog/Pricelist' Exceptions Section IZ:Commercial Grade/Heayy Dunt Exercise Equipment Discount ala Off PRECOR ( ) discount(lo) Off Catalog/Pricelist for All Commercial Grade Catalog/Pricelist for Treadmills. Please state the discount(%)off catalog/pricelist. 30 % 7 All Commercial Catalog/Pricelist MUST be included or proposal will not be Grade Treadmills considered. Discount(°vo) Off PRECOR/KE{SER Catalog/pricelist for Discount(ala) Off Latalog/Pricelist for All Commercial Grade 8 All Commercial Exercise Bicycles. Please state the discount(la) off 30/23 oto Grade Exercise catalog/pricelist, catalog/€pricelist MUST be included or proposal will not be considered. Bicycles Discount(ala) Off Discount(°lo) Off Catalog/Pricelist for All Commercial Grade r PRECOR Catalog/Pncellst forQ Elliptical Cross-Trainers. Please state the discount(/©)off 3 % 9 All Commercial Grade Elliptical catalog/pricelist. Catalog/Pricelist MUST be included or proposal will not be considered. Cross-Trainers Discount(%)Off Discount(ala)Off Catalog/Pricelist for All Commercial Grade PRECOR 10 Catalog/Pricelist for Stair Climbers. Please state the discount(%)off �� % All Commercial catalog/pricelist. catalog/Pricelist MUST be included or proposal Grade Stair Climbers will not be considered. Discount(%) Off HOIST/PRECOR Catalog/Pricelist for Discount(%)Off Catalog/Pricelist for All Commercial Grade 25/22 All Commercial Selectorized Strength Training Equipment.Please state °lo Grade Selectorized the discount(%)off catalog/pricelist. catalog/Pricelist MUST be Strength Training included or proposal will not be considered. Equipment PROPOSAL NOTE 1.Catalogs/Pr{celists are required to be submitted with Proposal Page 2 of 6 FORM o h;V&ard" TEAM MARATHON FITNESS, INC Proposal No. 502-16-Athletic, PE and Gymnasium Equipment and Supplies and Heavy Duty Exercise Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'.) State Percent(%)of Item Discount off State Name of No. Short Description Full Description Catalog/Pricelist' Catalog/Pricelist'. Exceptions Discount(%)Off Catalog/Pricelist for Discount(%) off Catalog/Pricelist for All Commercial Grade 12 All Commercial Computerized Strength Training Equipment.Please state Grade Computerized the discount(%) off catalog/pricelist. catalog/Pricelist MUST be Strength Training included or proposal will not be considered. Equipment Discount(9/6) Off HOIST/PRECOR Catalog/Pricelist for Discount(%) Off Catalog/Pricelist for All Commercial Grade 25/22 13 All Commercial Plate Loaded Strength Training Equipmment.Please state % Grade Plate Loaded the discount(%) off catalog/pricelist. Catalog/Pricelist MUST be Strength Training included or proposal will not be considered. Equipmment UMAXITROY Discount(%)Off Discount(%)Off Catalog/Pricelist for All Commercial Grade 25/20 14 Catalog/Pricelist for ::Free Weights. Please state the discount(%)off % All Commercial catalog/pricelist. catalog/Pricelist MUST be included or proposal Grade Free Weights will not be considered. Discount(%) Off ESCAPE Catalog/Pricelist for Discount(%)Off Catalog/Pricelist for All Other Commercial 15 All Other Grade Equipment and Accessories.Please state the 20 % Commercial Grade discount(%)off catalog/pricelist. catalog/Pricelist MUST be Equipment and included or proposal will not be considered. Accessories PROPOSAL NOTE FORM 0 1.Catalogs/Pricelists are required to be submitted with Proposal Page 3 of 6 Board' TEAM MARATHON FITNESS, INC Proposal No.502-16-Athletic, PE and Gymnasium Equipment and Supplies and Heavy Duty Exercise Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'.) State Percent(olo)of Discount off State lame of Item Exc bions No. '-Short Description Furl Descriptlog CatalagjPricelist' Catalog/Pticellxst` . Discount(%)Off Discount{%)Off Catalog/Pricelist for All Outdoor ESCAPE Catalog/Pricelist for 16 A!!Outdoor Commercial Grade Exercise Equipment. Please state the % Commercial Grade discount(%) off catalog/pricelist. Catalog/Pricelist MUST be included or proposal will not be considered. Exercise Equipment Discount(%)Off Discount(%) Off Catalog/Pricelist for Rental of All Types Catalog/Pricel ist for Rental of All Types Commercial Grade Exercise Equipment p alp 17 of Commercial (Indoor/Outdoor). Please state the discount(/o)off Grade Exercise catalog/pricelist. catalog/Pricelist MUST be included or proposal will not be considered. Equipment Section.III: Gymnasium and Outdoor Field Equipment and Supplies Discount(%)Off Discount(%) Off Catalog/Pricelist for Gymnasium Spectator Catalog/Pricelist for Seating and Accessories(all types including but not 18 Gymnasium limited to fixed,telescoping,portable,etc.).Please state °/p Spectator Seating the discount(%)off catalog/pricelist. catalog/Pricelist MUST be and Accessories included or proposal will not be considered. Discount(%)Off Discount(p/o)Off Catalog/Pricelist for Basketball Backstops, Catalog/Pricelist for Backboards,Goals and Accessories(ail types including 19 Basketball but not limited to wall mount,ceiling mount,folding, % Backstops, stationary,etc.) . Please state the discount(%)off Backboards, Goals catalog/pricelist. catalog/Pricelist MUST be included or proposal and Accessories will not be considered. Discount(p/a)Off Discount(p/o)Off Catalog/Pricelist for Gymnasium Divider Catalog/Pricel ist for Curtains and Accessories(all types including but not 20 Gymnasium Divider limited to motorized, manual,etc.).Please state the % Curtains and discount(%)off catalog/pricelist. Catalog/Pricelist MUST be Accessories included or proposal will not be considered. PROPOSAL.NOTE 1.Catalogs/Pricelists are required to be submitted with Proposal Page 4 of b FORM o k-&VBoardo TEAM MARATHON FITNESS, INC Proposal No. 502-16-Athletic, PE and Gymnasium Equipment and Supplies and Heavy Duty Exercise Equipment (Catalogs/Pricelists must be submitted with Proposal or Proposal will not be considered'.) State.Percent(°!a)of Item Discount off State Name of No. i Short Description Full Description Catalog/Ptic elist' Catalog/Pricelisti Exceptions Discount(%) Off Discount(%)Off Catalog/Pricelist for Repair Parts(for all 26 Catalog/Pricelist for types of gymansiurn equipment). Please state the discount Repair Parts (off°) off catalog/prlcelist. Catalog/Priceiist MUST be included or proposal will not be considered. Discount(%)Off Catalog/Pricelist for Discount(%) Off Catalog/Pricel ist for OutdoorSportsBarrier 2? Outdoor Sports Netting Products. Please state the discount(!a)off % Battler Netting catalog/pricelist. Catalog/Pricelist MUST be included or proposal Productswill not be considered. Discount(%) Off Catalog/Pricelist for All Other Discount(%)Off Catalog/Pricelist for All Other Gymnasium 28 Gymnasium and and Outdoor Field Equipment and Accessories.Please Outdoor Field state the discount(10)off catalog/pricelist. Catalog/Pricelist Equipment andMUST be included or proposal will not be considered. Detailed Exceptions to : ot.,to Exceed Hourly_ Information on' Hourly Labor Labor Rate Labor Rate= Hourly Labor Rate Rate gNon V; Hort Not to Exceed DOES NOT VARIES BY Hourly Labor Rate Hourly tabor Rate for Installation/Repair of AthleticINCLUDE MILEAGE 29 for Equipment--State the Not to Exceed hourly labor rate for $60 /Hour APPLICABLE Installation/Repair Installation/Repair of Athletic Equipment. TRIP CHARGE of Athletic Equipment Not to Exceed Hourly Labor Rate Hourly tabor Rate for Installation/Repair of Gymnasium 30 for stallation/Repair Equipment--State the Not to Exceed hourly labor rate for $ /Hour In InGymnasium Installation/Repair of Gymnasium Equipment. Equipment PROPOSAL NOTE 1.Catalogs/Pricelists are required to be submitted with Proposal Page 6 of 6 FORM O Debarred Vendor List Pagel of 2 COMPTRQLLER.TEXAS.GOV Glenn Hegar Texas Comptroller of Public Accounts Purchasing Debarred Vendor List The following venders shown below are debarred from doing business with the State of Texas, effective from the date of debarment for the length of time indicated. Whether they are listed below or not, the debarred vendors include the vendors' successors in interest as defined in Rule §20.102(b) (4). 'vendor ID Number Vendor Name/Address Date of Debarment Length of Debarment 1562456928900 Smith Housewares and Re November 12, 2014 5 Years staurant Supplies 500 Erie Blvd. Syracuse, NY 13202 1 743261 31 5000 Walker's Electric Company August 28, 2012 5 Years 1520 Park St Beaumont TX 77701 Also: Walkers Electric Company Calvin G.Walker Stacy Walker 1272447273800 Walker Electric Compan August 28, 2012 5 Years y, LLC 1520 Park St. Beaumont TX 77701-5527 Also: Walkers Electric Company Calvin G.Walker Stacy Walker 1760677671800 Texas Code Blue October 24, 2016 5 Years 5550 Eastex Fwy, Suite#L Beaumont, TX 77708-5300 Download Debarred Vendor List [comptroller.texas.gov/purchasing/docs/debarred-vendor-Iist.pdf, Federal Exclusion https:-,/comptroller.texas.gov.'purchasing`prograrns vertdor-performance-tricking/debarred-vendors.php 9.-19'2017 Debarred Vendor List Page 2 of 2 Agencies and Texas Smartbuy members may wish to check the list of vendors excluded from doing business on the federal level. The System for Award Management, or SAM, can be used as a resource for purchasing entities. According to Statewide Procurement Division rules, other debarment activities from other entities may be considered as possible indicators of vendor responsibility. Vendor Information on Payments The Search State Payments Issued application provides vendors with payment details. They can also sign up in the application for Advance Payment Notification. Texas Government Code §2155.077 Texas Administrative Code: 34 TAC §20.101, §20.102, §20.105, §20.106 and §20.107. h up s:'"c omptro I I er.texas.gov:pUrchas in g'pro grams/ven dor-pe r-Forni anc e-t rack i ng'debarred-vendors.php 9.119/2017 Search Results 3 System for Award Management Page I of 1 [� Usemame Password 7 1 Log In FQr-mt UsQmame? FrgQPassword? 2iesgn A I]t Search Results Current Search Terms: team* marathon* fitness* ,i Notice:This printed document represents only the At page of your SAM search results.More results may be avaliable,To I)rint your comdete search results, an download the PDF ang print It. Glossary No records found for current search. 12Mb Results Entity Exclusion Swrch Filters By Record Status By Record Type Search Records FAPIIS,c ov Data Access Disclaimers GSA.gov/IAE Check Status Accessibility GSA.gov About Privacy Policy USA,gov Help IBM vi P.2-20170623-1606 WWW? This is a U,S,General Services Administration Federal Government comuter system that iS°FC)R OFFICIAL USE ONLY.`This system is subject to monitoring,Indivsduats found performing unauthorized ar[r Stiff ale•ub)ect to drsop`mwy action:nc'ti ng cr minai Prosecution https:S`,'ww,vv.sam.gov portal/SAM/?navigationalstate=JBPNS_rOOABXdcACJgYXZlieC5... 9/19 2017 ROUND ROCK TEXAS PURCHASING OMSIOH Award Recommendation To: E.E. (Ric) Bowden, CPPB, CTCM Contract Management City of Round Rock From: Reggie Davidson Recreation Manager Parks and Recreation Date: September 15, 2017 Re: Clay Madsen Recreation Center New—Strength Equipment Procurement— BuyBoard Cooperative Contract No. 502-16 This award recommendation is for the City of Round Rock - Parks and Recreation Department's request for the purchase of new strength equipment for the Clay Madsen Recreation Center in accordance with the BuyBoard Cooperative Contract No. 502-16 with Team Marathon Fitness for$58,771.02. Team Marathon Fitness is under contract with BuyBoard to supply these products statewide as a result of competitive bidding process. Awarded Vendor: Team Marathon Fitness P.O. Box 17705 Sugarland, Texas 77496 Approvals: Printed Name: Rick Atkins Parks and Recreation Director, Parks and Recreation Date: 1 Pur hasing Manag r eview Printed Name: Teresa Reddy Purchasing Manager, Finance Date: ` 'Page, 1 1 No Text CERTIFICATE OF INTERESTED PARTIES FORM1295 10f1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2017-263011 Team Marathon Fitness, Inc. Sugar Land,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 09/20/2017 being filed. City of Round Rock Texas-Clay Madsen Recreation Center Date Acknowledged: 10/03/2017 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. Clay Madsen Recreation Center Fitness Equipment, install and service 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said this the day of , 20 ,to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337