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Home My WebLink About20163556.tiffCan-rok TD 4Nq(da BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Inmate Supplies DEPARTMENT: Weld County Sheriffs Office DATE: 02/10/21 PERSON REQUESTING: Lieutenant Matt Elbe Brief description of the problem/issue: The Weld County Sheriffs Office has a contract with Bob Barker Company (#2016-3556) for inmate supplies. This contract establishes pricing for basic supplies such as; mattresses, sheets, blankets, clothing, hygiene items, etc. Being a wholesale provider of items, Bob Barker Company has been an advantageous partner to minimize costs while providing a high quality product to ensure we meet our constitutional and statutory obligations regarding providing essentials for the inmate population. This contract is due for an extension document for 2021. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The Board may choose to deny this extension and the Sheriffs Office would go out to bid for another provider (which we will be doing by the end of 2021 due to the term of the Original Agreement) or may choose to approve this extension to continue the partnership with Bob Barker Company to provide inmate supplies. Recommendation: It is recommended that the Board approves this request for an extension for 2021. There are no issues with the vendor and the working relationship is positive while meeting the needs of the inmate population. This contract has been reviewed and approved by Bob Choate. Approve Recommendation Perry L. Buck Mike Freeman Scott K. James, Pro-tem Steve Moreno, Chair Lori Saine 44- ejbosen-t- aiat� c5Di a Schedule Work Session Other/Comments: c` 0/06.r.a&N) o�p-.49 l S00031 CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY SHERIFF'S OFFICE AND BOB BARKER COMPANY This Agreement Extension/Renewal ("Renewal"), made and entered into as nd day of February, 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Sheriff's Office, hereinafter referred to as the "Department", and Bob Barker Company, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2016-3556, approved on January 23rd, 2017. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement ended on December 31St, 2019. • The parties agree to extend the Original Agreement for an additional twelve-month period, which will begin January 1St 2021, and will end on December 31St, 2021. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents, which shall be effective upon the expiration of the current term of the Original Agreement: • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. CONTRACTOR: Tabitha Hartley Printed Name Signature BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair ATTEST: Weld BY: FEB 2 2 2021 dalfeti ..:rd;&k, erk to the Board Deputy Clerk /. the oard Contract Forrn New Contract Request Entity Information Entity Name* BOB BARKER COMPANY INC Entity ID* (300©0571 Contract Name* Contract ID 2021 EXTENSION FOR BOB BARKER INMATE SUPPLY 4454 CONTRACT Contract Status CTB REVIEW Contract Description* NEEDS TO GO OUT FOR BID IN FALL OF 2021 Contract Description 2 Contract Type* CONTRACT Amount* S80,000.00 Renevrable * YES Automatic Renewal Grant Department SHERIFF Department Email CM -Sheriff Lweidgov.corn Department H Email CM -Sheriff- Does Contract require Purchasing Dept to be includ DeptHeadgweldgov.com NO Contract Lead* MELBE ❑ New Entity? Parent Contract ID 953 Requires Board Approval YES Contract Lead Email Department Project # melbe@co.weld.co.us;skohl grafPweldg©v.com Requested BDCC Agenda Date* 02,22,= 2021 Due Date 02/18/2021 Will a work session with BOCC be required?* NO County Attorney GENERAL COUNTY A I I ORNEY EMAIL County Attorney Email CM- COUNTYA I I ORNEYgWELDG OV.COM If this is a renewal enter previous Contract ID tf this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Ma On Base Contract Dates Effective Date rvices Agreement Number should be left blank if those contracts are not in Review Date* 09;01,2121 Renewal Date* 12/3112021 Termination Notice Period Committed Delivery Date Expiration Date Contact Information Contact Info Contact Name Purchasing Purchasing Approval Process Department Head D©NNIE PATCH DH Approved Date 02/1712021 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 02;22,'2021 Originator SKaHLGRAF Contact Type Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 02;'17{2021 Tyler Ref # AG 022221 Legal Counsel BOB CHOATE Legal Counsel Approved Date 02'18,'2021 WELD COUNTY AGREEMENT FOR SERVICES BETWEEN WELD COUNTY & Bob Barker Company Inmate Supplies THIS AGREEMENT is made and entered into this 13th day of December, 2016, by and between the County of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County Commissioners, whose address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County." and Bob Barker Company, whose address is 134 N. Main St.. Fuguay-Varina. NC 27526, hereinafter referred to as "Contractor". WHEREAS, County requires an independent contractor to perform the services required by County and set forth in Exhibit A — Request for Bid, B160001 71. inmate Supplies Services. WHEREAS, Contractor is willing to perform and has the specific ability to perform the required Services at or below the cost set forth in Exhibit B — Request for Bid Response, B16000171. Bob Barker Company. WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time. skill, expertise, and experience necessary to provide the equipment, materials and services as set forth below; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibits A — Request for Bid. B16000171, Inmate Supplies Services and B — Request for Bid Response, 816000171, Bob Barker Company, each of which forms an integral part of this Agreement. Exhibits A and B are specifically incorporated herein by this reference. County and Contractor acknowledge and agree that this Agreement, including specifically Exhibits A and B, define the performance obligations of Contractor and Contractor's willingness and ability to meet those requirements. Exhibit A consists of County's Request for Bid (RFB) as set forth in "Bid Package No. B 16000171 ". The RFP contains all of the specific requirements of County. Exhibit B consists of Contractor's Response to County's Request for Bid. The Response confirms Contractor's obligations under this Agreement. 2. Service or Work. Contractor agrees to procure the materials, equipment and/or products necessary for the Project and agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the Project described in Exhibit A which is attached hereto and incorporated herein by reference. Contractor shall further be responsible for the timely completion, and acknowledges that a failure to comply with the standards and requirements of bJ,\),„),,3\4c)40,__ C:c ; O454-4 So /,O23- /7 aolG7-3551 �oo�� Exhibits A and B within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Agreement. 3. Term. The term of this Agreement begins upon the date of the execution of this Agreement by County, and shall continue through and until Contractor's completion of the responsibilities described in Exhibits A. Both of the parties to this Agreement understand and agree that the laws of the State of Colorado prohibit County from entering into Agreements which bind County for periods longer than one year. Therefore, within the thirty (30) days preceding the anniversary date of this Agreement. County shall notify Contractor if it wishes to renew this Contract. 4. Termination. County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. Upon termination, County shall take possession of all materials, equipment, tools and facilities owned by County which Contractor is using, by whatever method it deems expedient; and, Contractor shall deliver to County all drawings, drafts or other documents it has completed or partially completed under this Agreement, together with all other items, materials and documents which have been paid for by County, and these items, materials and documents shall be the property of County. Upon termination of this Agreement by County, Contractor shall have no claim of any kind whatsoever against the County by reason of such termination or by reason of any act incidental thereto, except for compensation for work satisfactorily performed and/or materials described herein properly delivered. 5. Extension or Modification. Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services. 6. Compensation/Contract Amount. Upon Contractor's successful completion of the Project, and County's acceptance of the same. County agrees to pay an amount not to exceed the Contractor's proposed purchase price per unit and/or case. which is the bid set forth in Exhibit B. Contractor acknowledges no payment in excess of that amount will be made by County unless a "change order" authorizing such additional payment has been specifically approved by Weld County, or by formal resolution of the Weld County Board of County Commissioners, as required pursuant to the Weld County Code. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Notwithstanding anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement after, nor shall any payments be made to Contractor in respect of any period after December 31 of any year, without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25. title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X. Sec. 20) 7. Independent Contractor. Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this Project without County's prior written consent, which may be withheld in County's sole discretion. 9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. 10. Confidentiality. Confidential financial information of Contractor should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL.." However, Contractor is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq.. with regard to public records. and cannot guarantee the confidentiality of all documents. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contractor agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this agreement. 11. Warranty_ Contractor warrants that the services performed under this Agreement will be performed in a manner consistent with the standards governing such services and the provisions of this Agreement. Contractor further represents and warrants that all services shall be performed by qualified personnel in a professional and workmanlike manner, consistent with industry standards, and that all services will conform to applicable specifications. In addition to the foregoing warranties, Contractor is aware that all work performed on this Project pursuant to this Agreement is subject to a one year warranty period during which Contractor must correct any failures or deficiencies. This warranty shall commence on the date of County's final inspection and acceptance of the Project. 12. Acceptance of Services Not a Waiver. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor. Acceptance by the County of, or payment for, the services completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance and Indemnification. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations. goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The insurance coverage's specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. The County in no way warrants that the minimum limits contained herein are sufficient to protect the Contractor from liabilities that might arise out of the performance of the work under this Contract by the Contractor, its agents, representatives, employees, or subcontractors. The The Contractor stipulates that it has met the insurance requirements identified herein. The Contractor shall be responsible for the professional quality, technical accuracy, and quantity of all services provided, the timely delivery of said services, and the coordination of all services rendered by the Contractor and shall, without additional compensation, promptly remedy and correct any errors. omissions, or other deficiencies. INDEMNITY: The Contractor shall defend, indemnity and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or claims of any type or character arising out of the work done in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers' compensation law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, law or court decree. The Contractor shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement. This paragraph shall survive expiration or termination hereof. Types of Insurance: The Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of the Contractor's employees acting within the course and scope of their employment. Policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contractor or subcontractor is exempt under Colorado Workers' Compensation Act.. AND when such Contractor or subcontractor executes the appropriate sole proprietor waiver form. Commercial General Liability Insurance with the minimum limits as follows: $1,000,000 each occurrence: $1.000,000 general aggregate; $1,000.000 Personal Advertising injury $5,000 Medical payment one person Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $ I ,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned, hired, and non -owned vehicles used in the performance of this Contract. Contractors/Contract Professionals shall secure and deliver to the County at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator. covering all operations hereunder set forth in the related Bid or Request for Proposal. Proof of Insurance: County reserves the right to require the Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. Subcontractors: All subcontractors, subcontractors, independent Contractors, sub - vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverage's required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent Contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent Contractors, sub -vendors suppliers or other entities upon request by the County. 14. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. Any attempts by Contractor to assign or transfer its rights hereunder without such prior approval by County shall, at the option of County, automatically terminate this Agreement and all rights of Contractor hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. 15. Examination of Records. To the extent required by law, the Contractor agrees that an duly authorized representative of County, including the County Auditor, shall have access to and the right to examine and audit any books, documents, papers and records of Contractor, involving all matters and/or transactions related to this Agreement. The Contractor agrees to maintain these documents for three years from the date of the last payment received. 16. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 17. Notices. County may designate, prior to commencement of work, its project representative (-County Representative") who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to County Representative. The County Representative for purposes of this Agreement is hereby identified as, Detentions Lieutenant Brandon Cody, or his designee. All notices or other communications (including annual maintenance made by one party to the other concerning the terms and conditions of this contract shall be deemed delivered under the following circumstances: (a) personal service by a reputable courier service requiring signature for receipt; or (b) five (5) days following delivery to the United States Postal Service, postage prepaid addressed to a party at the address set forth in this contract; or (c) electronic transmission via email at the address set forth below, where a receipt or acknowledgment is required by the sending party: Either party may change its notice address(es) by written notice to the other. Notification Information: Contractor: Attn.: Senior Address: Address: E-mail: Facsimile: County: Name: Position: Address: Address: E-mail: Bob Barker Company Contract Specialist April Paszkiewicz 134 N. Main Street Fuguay-Varina. NC 27526 aprilpaszkiewicz@bobbarker.com 800-322-7537 Brandon Cody Detentions Lieutenant 2110 "O" St. Greeley, CO 80631 bcody@co.weld.co.us 18. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. 19. Dion -Exclusive Agreement. This Agreement is nonexclusive and County may engage or use other Contractors or persons to perform services of the same or similar nature. 20. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 21. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 22. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24- 50-507. The signatories to this Agreement state that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. 23. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 24. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied. of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 25. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement. shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 26. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County. Colorado or its designee. 27. Choice of Law/Jurisdiction. Colorado law. and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties. Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 28. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies. warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and County within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring an new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents. and not altered or falsified the identification documents for such employees. Contractor shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee. and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated. Contractor shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen ( l 8) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law. (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits A and B, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. December,- , 20 i IN WITNESS WHEREOF. the parties hereto have signed this Agreement thisW t •day of CONTRACTOR: Bo By: Name: Ai4,1 j TogiZicitiNiCZ. Title: gr. . cbrAreci- SPCA 4 t3�' b Barkte o • 4cta--44AA.3'0.-\. Date 12�3c�IV WELD COtdDI e „�,/ .� ATTEST' Cj,'LZ7Zs/�J G- .J�C�LO BOARD OF COUNTY COMMISSIONERS Weld you , Clerk to the Bo. rd WELD COUNTY, COLORADO BY: Deputy CIk o the Boar Julie A. Cozad, Chair, JAN 2 3 2417 0.2/4 - EXHIBIT A REQUEST FOR BID WELD COUNTY, COLORADO 1150 O STREET GREELFY, CO 80631 DATE: October 10, 2016 BID NUMBER: B15001_71 nib nu ti 1 DESCRIPTION: Inmate Supplies DEPARTMENT: Sheriff Office BID OPENING DATE: November 16, 2016 C 4:00 PM 1. NOTICE TO BIDDERS: The Board of County Commissioners of Weld County, Colorado, by and through its Director of General Services (collectively referred to herein as, ''Weld County"), wishes to purchase the following: INMATE SUPPLIES Bids will be received at the Office of the Weld County Purchasing Department in the Weld County Administrative Building, 1150 O Street Room #107 Greeley CO 80631 until: 4:00 PM on November 16, 2016 (Weld County Purchasing Time Clockl PAGES 1 - 9 OF THIS REQUEST FOR BIDS CONTAIN GENERAL INFORMATION FOR THE REQUEST NUMBER REFERRED TO ABOVE. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE FOR EVERY PURCHASE. BID SPECIFICS FOLLOW PAGE 9. 2. INVITATION TO BID: Weld County requests bids for the above -listed merchandise, equipment, and/or services. Said merchandise and/or equipment shall be delivered to the location(s) specified herein Bids shall include any and all charges for freight, delivery, containers, packaging, less all taxes and discounts, and shall, in every way, be the total net price which the bidder will expect the Weld County to pay if awarded the bid. You can find bid information on the Weld County Purchasing website at http://www.co,weld.co,us/Departments/Purchasinq/index.html located under Current Request for Bids. Weld County Government Is a member of the Rocky Mountain E -Purchasing System. The Rocky Mountain E -Purchasing System (BidNet0) is an on-line notification system that is being utilized by multiple governmental entities. Participating entities post their bids, quotes, proposals, addendums, and awards on this one centralized system. Bid Delivery to Weld Country — 3 methods: 1. Email. Emailed bids are preferred Bids may be emailed to: bids @ w e I d g o v . c o m . Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid An email confirmation will be sent when we receive your bid/proposal. If more than one copy of the bid is requested, you must submitlmail hard copies of the bid proposal. 2. Facsimile. Bids may be faxed to 970-336-7226 attention "Purchasing". The vendor must include the following statement on the facsimile: °I hereby waive my right to a sealed bid. If more than one copy of the bid is requested, you must submitlmail hard copies of the bid proposal. as us - 35514- 3. Mail or Hand Delivery. Mailed (or hand delivered) bids should be sent in a sealed envelope with the bid title and bid number on it. Please address to: Weld County Purchasing Department, 1150 O Street, Room #107 Greeley, CO 80631. Please call Purchasing at 970-336-7225 if you have any questions. 3. INSTRUCTIONS TO BIDDERS: INTRODUCTORY INFORMATION Bids shall be typewritten or written in ink on forms prepared by the Weld County Purchasing Department. Each bid must give the full business address of bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the members of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in the matter. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested by the Weld County Director of General Services, satisfactory evidence of the authority of the officer signing on behalf of a corporation shall be furnished. A power of attorney must accompany the signature of anyone not otherwise authorized to bind the Bidder. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. All blank spaces in the bid forms shall be suitably filled in. Bidders are required to use the Proposal Forms which are included in this package and on the basis indicated in the Bid Forms. The Bid Proposal must be filled out completely, in detail, and signed by the Bidder. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Purchasing Department on or prior to the time indicated in Section 1, entitled, "Notice to Bidders." Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Weld County Director of General Services for the premature opening of a bid not properly addressed and identified. Bids may be withdrawn upon written request to and approval of the Weld County Director of General Services; said request being received from the withdrawing bidder prior to the time fixed for award. Negligence on the part of a bidder in preparing the bid confers no right for the withdrawal of the bid after it has been awarded. Bidders are expected to examine the conditions, specifications, and all instructions contained herein, failure to do so will be at the bidders' risk. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that Weld County will give preference to suppliers from the State of Colorado, in accordance with C.R.S. § 30-11-110 (when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County). Weld County reserves the right to reject any and all bids, to waive any informality in the bids, to award the bid to multiple vendors, and to accept the bid that, in the opinion of the Board of County Commissioners, is to the best interests of Weld County. The bid(s) may be awarded to more than one vendor. In submitting the bid, the bidder agrees that the signed bid submitted, all of the documents of the Request for Bid contained herein (including, but not limited to the product specifications and scope of services), the formal acceptance of the bid by Weld County, and signature of the Chair of the Board of County Commissioners, together constitutes a contract, with the contract date being the date of signature by the Chair of the Board of County Commissioners. BID REQUEST #B1600171 Page 2 4. SUCCESSFUL BIDDER HIRING PRACTICES - ILLEGAL ALIENS Successful bidder certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Successful bidder will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Successful bidder shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Successful bidder that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Successful bidder shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Successful bidder obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Successful bidder shall notify the subcontractor and County within three (3) days that Successful bidder has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Successful bidder shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Successful bidder shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Successful bidder participates in the State of Colorado program, Successful bidder shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Successful bidder has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Successful bidder shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Successful bidder fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Successful bidder shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Successful bidder receives federal or state funds under the contract, Successful bidder must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Successful bidder operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 5. GENERAL PROVISIONS A. Fund Availability: Financial obligations of Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Confidential Information: Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., with regard to public records, and cannot guarantee the confidentiality of all documents. C. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. BID REQUEST #61600171 Page 3 D. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. E. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and state laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. F. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney's Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. I. Disadvantaged Business Enterprises: Weld County assures that disadvantaged business enterprises will be afforded full opportunity to submit bids in response to all invitations and will not be discriminated against on the grounds of race, color, national origin, sex, age, or disability in consideration for an award. J. Procurement and Performance: The successful bidder agrees to procure the materials, equipment and/or products necessary for the project and agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the project. The successful bidder shall further be responsible for the timely completion, and acknowledges that a failure to comply with the standards and requirements outlined in the Bid within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Agreement. K. Term: The term of this Agreement begins upon the date of the execution of this Agreement by County, and shall continue through and until successful bidder's completion of the responsibilities described in the Bid. BID REQUEST #61600171 Page 4 L. Termination: County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. M. Extension or Modification: Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by the successful bidder shall be the basis for additional compensation unless and until the successful bidder has obtained written authorization and acknowledgement by County for such additional services. Accordingly, no claim that the County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder. N. Subcontractors: The successful bidder acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of the successful bidder. The successful bidder shall not enter into any subcontractor agreements for the completion of this Project without County's prior written consent, which may be withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the subject Project during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the Project. The successful bidder shall require each subcontractor, as approved by County and to the extent of the Services to be performed by the subcontractor, to be bound to the successful bidder by the terms of this Agreement, and to assume toward the successful bidder all the obligations and responsibilities which the successful bidder, by this Agreement, assumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by the successful bidder and the successful bidder shall cooperate in such process. The successful bidder shall be responsible for the acts and omissions of its agents, employees and subcontractors. O. Warranty: The bidder warrants that the goods to be supplied shall be merchantable, of good quality, and free from defects, whether patent or latent. The goods shall be sufficient for the purpose intended and conform to the minimum specifications herein. The successful bidder shall warrant that he has title to the goods supplied and that the goods are free and clear of all liens, encumbrances, and security interests. Bidder shall submit with their bids the following information pertaining to the equipment upon which the bids are submitted: 1. Detailed equipment specifications to include the warranty. 2. Descriptive literature. P. Non -Assignment: The successful bidder may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. Any attempts by the successful bidder to assign or transfer its rights hereunder without such prior approval by County shall, at the option of County, automatically terminate this Agreement and all rights of the successful bidder hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. Q. Interruptions: Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. R. Non -Exclusive Agreement: This Agreement is nonexclusive and County may engage or use other contractors or persons to perform services of the same or similar nature. BID REQUEST #B1600171 Page 5 S. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement agree that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. County has no interest and shall not acquire any interest direct or indirect, that would in any manner or degree interfere with the performance of the successful bidder's services and the successful bidder shall not employ any person having such known interests. During the term of this Agreement, the successful bidder shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the successful bidder to ensure compliance with this provision may result, in County's sole discretion, in immediate termination of this Agreement. No employee of the successful bidder nor any member of the successful bidder's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises the successful bidder's operations, or authorizes funding to the successful bidder. T. Severability: If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. U. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra- judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. V. Board of County Commissioners of Weld County Approval: This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. W. Compensation Amount: Upon the successful bidder's successful completion of the service, and County's acceptance of the same, County agrees to pay an amount no greater than the amount of the accepted bid. The successful bidder acknowledges no payment in excess of that amount will be made by County unless a "change order" authorizing such additional payment has been specifically approved by the County's delegated employee, or by formal resolution of the Weld County Board of County Commissioners, as required pursuant to the Weld County Code. X. Taxes: County will not withhold any taxes from monies paid to the successful bidder hereunder and the successful bidder agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Contractor shall not be entitled to bill at overtime and/or double time rates for work done outside of normal business hours unless specifically authorized in writing by County. 6. INSURANCE REQUIREMENTS General Requirements: Successful bidders must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Successful bidders shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VII I or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Successful bidder. Successful bidder shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Successful bidder to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. BID REQUEST #B1600171 Page 6 The insurance coverage's specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Successful bidder. The County in no way warrants that the minimum limits contained herein are sufficient to protect the Successful bidder from liabilities that might arise out of the performance of the work under this Contract by the Successful bidder, its agents, representatives, employees, or subcontractors. The successful bidder shall assess its own risks and if it deems appropriate and/or prudent, maintain higher limits and/or broader coverages. The successful bidder is not relieved of any liability or other obligations assumed or pursuant to the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types. The successful bidder shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Any modification to these requirements must be made in writing by Weld County. The successful bidder stipulates that it has met the insurance requirements identified herein. The successful bidder shall be responsible for the professional quality, technical accuracy, and quantity of all materials and services provided, the timely delivery of said services, and the coordination of all services rendered by the successful bidder and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. INDEMNITY: The successful bidder shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or claims of any type or character arising out of the work done in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers' compensation law or arising out of the failure of the successful bidder to conform to any statutes, ordinances, regulation, law or court decree. The successful bidder shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement, or on account of or in consequence of neglect of The successful bidder in its methods or procedures; or in its provisions of the materials required herein, or from any claims or amounts arising or recovered under the Worker's Compensation Act, or other law, ordinance, order, or decree. This paragraph shall survive expiration or termination hereof. It is agreed that the successful bidder will be responsible for primary loss investigation, defense and judgment costs where this contract of indemnity applies. In consideration of the award of this contract, the successful bidder agrees to waive all rights of subrogation against the County its associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents, and volunteers for losses arising from the work performed by the successful bidder for the County. A failure to comply with this provision shall result in County's right to immediately terminate this Agreement. Types of Insurance: The successful bidder shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of the successful bidder's employees acting within the course and scope of their employment. Policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a successful bidder or subcontractor is exempt under Colorado Workers' Compensation Act., AND when such successful bidder or subcontractor executes the appropriate sole proprietor waiver form. Commercial General Liability Insurance for bodily injury, property damage, and liability assumed under an insured contract, and defense costs, with the minimum limits must be as follows: $1,000,000 each occurrence; $1,000,000 general aggregate; $1,000,000 products and completed operations aggregate; $1,000,000 Personal Advertising injury BID REQUEST #61600171 Page 7 Successful bidders shall secure and deliver to the County at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the Request for Bid. Proof of Insurance: County reserves the right to require the successful bidder to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Successful bidder's insurer shall name County as an additional insured. Waiver of Subrogation: For all coverages, Successful bidder's insurer shall waive subrogation rights against County. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverage's required of Successful bidder. Successful bidder shall include ail such subcontractors, independent contractors, sub - vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Successful bidder agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. The terms of this Agreement are contained in the terms recited in this Request for Bid and in the Response to the Bid each of which forms an integral part of this Agreement. Those documents are specifically incorporated herein by this reference. BID SPECIFICATIONS: A. Overview: Through this Request for Bid (RFP), the Weld County Sheriff's Office, hereinafter referred to as the County, respectfully requests proposals from responsible and qualified firms for a fully operational, flexible, secure and reliable inmate supplies. The provision of inmate supplies and the quality and reliability of service are a high priority. Firms who submit a response to this RFP shall be responsible to submit technical and service solutions based on their programs that meet or exceed the goals and objectives herein. The initial agreement, issued as a result of this RFP, will be for a period of thirty six (36) months, beginning January 1, 2017 to and including December 31, 2019. The County shall have an option to renew the agreement for two (2) additional periods of one (1) year each, with the same terms and conditions. Each option is to be exercised no later than sixty (60) days prior to January 31, 2019, and January 31, 2020. This agreement and/or any extension to the original period of a subject agreement shall be contingent upon the County's satisfaction with all products and services received during the preceding agreement period. B. Introductory Information: The Weld County North Jail Complex is located in the city of Greeley, Colorado within the I-25 corridor between Denver CO. and Cheyenne, WY. The North Jail Complex is a direct supervision county jail; meaning deputies are posted within each housing unit to directly supervise and interact with inmates. The North Jail Complex holds only secure, adult offenders and a small number of juvenile offenders whose cases have been transferred to adult court, i.e. direct file juveniles. BID REQUEST #B1600171 Page 8 The Weld County North Jail Complex (NJC) initially opened in 1997 and has 23 housing units with a current designed capacity of 779 general population beds. The peak census at the North Jail occurred on November 28, 2006 with 697 offenders. The average daily secure jail population during the 12 month period prior to July 31, 2016 was 602 and trending higher. The mission of the Weld County North Jail Complex is to "...accept and lawfully hold prisoners in a safe, humane, wholesome environment that returns people to the community better, or no worse, than they arrived." C. Time Requirements: Tentative Bid Calendar: October 12, 2016 November 9, 2016 @ 5:OOPM November 11, 2016 November 16, 2016 @ 4:OOPM November 17-23, 2016 December 5, 2016 January 1, 2017 Request for Bid distributed Due Date for RFP Questions Distribution of Responses to RFP Questions Request for Bid due date Committee Review Bid Award Contract Start Date The Weld County Sheriff's Office reserves the right to change the schedule of events, as it deems necessary. In the event of a major date change, all known participants will be notified. D. Project Information: Site Name, Address & Telephone Weld County North Jail Complex 2110 "O" Street Greeley, CO 80631 970-415-4015 *The current Inmate Supplies provider is Bob Barker Company. E. Pricing: Unit price must include shipping and be delivered within three weeks of order. F. Quantity: Please use quantities indicated on below tables. Current Weld County Jail average adult population is 608. Please indicate if there is a price break if certain quantity is purchased. G. Samples: The vendor must be willing to supply samples as a part of this bid process. Additionally, it may be necessary for the successful vendor to supply samples during the course of the contract for evaluation by the County. H. Bid Evaluation: A committee will review all bids. The committee will consider both price and product quality in its evaluation. The committee will select the products which provide the best value to the County. BID REQUEST#B1600171 Page 9 EXI I[[3I'l' B Bob Barker Company, Inc. I. Attached list of product for pricing: Uniforms 2017 unit price must include shipping and be delivered within three weeks of order SIZE/UNIT UNIT COST EACH � * COST PER DOZEN OR ALTERNATIVE QUANTITY (PLEASE (IDENTIFY) � lead time -61( ho �;IQ(,��" Sh`1Y-t5 = 8- l0 wetIzs Orange Uniform Shirt small 13,1g 4 3.7$ Sold, in ease. au 4Z medium 22• Iii IF tA9 large A ii .16 $ 24• AO 1 Ct4 XL $4..15 i24 -9.a i CAP 2XL k4 1s- A ill TO 1 CU 650/0 polyester/35% cotton, V neck, five thread true safety stitch, no pockets T ``��Jcc A ` D•- .-rVN` - SiZi 3XL • 1S ��+ }. `� 0 C ('p 4XL A i+. toq i 28, I+ / Ctp 5XL Ay. loci 4 i $ .T-1- 1c.,6 6XL $ 4 • 1Q9 A ZS - ii+ jets 7XL *5•5 i 5.51 173.5,-1-- /Gin 8XL S ,33 •ri+ /CAP Orange Pant small A, S U5 i let• SO D2 medium 15 ,11 107.33 pZ large 4 5.U5 5.10 XL 1"/"D E?- (Q7• W Z 2XL I s.t6 1 (07 Z g0 A 65% cotton/35% polyester, five thread true safety stitch, no pockets � T - S l Z� 3XL i 5, los 6/7-sv pz 4XL 1 a los- (,27•8D jTZ 5XL 15 • 6,6 1 (Q7.80 PZ 15; (4,5 i ("�. Ddb D� sxL 1ri.4`f 1 iq5•8s* D2 8XL 47.11 i3,7g 3 8.1$ 1 g5;15 D2_ Itadshme on b` U. -e,= nav \I n0- pocie} Blue Uniform Shirt S h 1 Y•f5 = small 422•trg /cLe medium f 27- tee Ye& large 44.'6 1 y.15 .i zz-V in / el. XL 4 x•610 1 CEO 65% polyester/35% cotton, 8- 10 wetks V neck, five thread true safety stitch, no pockets --j-T I `J 4 Nsiv 1 D --c5k2_e_. 2XL 3 L.I • i5 4 2if • 9O /Go 3XL 4,15 4 Zri. 671) AGO 4XL e4• utt L4 2r - /-F/Gip 5XL pi.kq 49.. vi 4zr.iF- /C(p 6XL ns . 1 `f / 61,( - 4- IU l ut = note Blue Pant small 4 54,6 A L7. DSO medium $ 516 tp 1•21) large 5,10s-1 (e7 -K XL 3 5.Lp5 Sr V2I,SO 65')/0 polyester/35% cotton, tri-stitch, five thread true safety stitch, no pockets -T-N 1 - 5`17 2XL 3 5•ios- A 1127-W 3XL 15•tos A 0 ,31) 4XL A 5•(cs- t(e? ' c9) 5XL $ 545- i la • SO 6XL s 5. 66- SO, DSO BID REQUEST #B1600171 Page 10 Bob Barker Company, Inc. Shoes 2017 Unit price must include shipping and be delivered within three weeks of order SIZE/UNIT UNIT COST EACH r,aushlon insoles" molke, S OtSCXiOirAn f6Y 255NV, We have 0.. more_ economical nhoe 1f 3 -GO Blue Canvas Deck Shoe YWdRd (ts"") 9 3 q7 durable canvas, deck step-ins, double layer 7 10 oz canvas, vulcanized rubber soles, full cushion insoles, reinforced stress at heel and toe 5 6 13 (Al 45311 4,3.9"1 55 N - 5\ ze_. *na size 1? *(s+1es 3-N) 3( no Si? -e-5 t no si 2e- 11 � SlitS 62-15/149 Shower Shoe autoclavable, non-skid cushioned sole 13B 53•8s tzln OYan9- w hi 4-e, also cwai 1 at9 7 8 12 431-7 13 14 15 .4 3 • `i-7 � 3•� X3.61"1 d 3.11 16 ,*"..2 .617 17 5 6 A 1 31 7 4 1- 31 8 9 $. 1.31 1.31 10 1,31 11 12 13 14 S 1.31 A 1.31 White Trustee Shoe low top, three velcro closures, double -lined canvas uppers, non-metal loopholes, padded collar; reinforced rubber top cap, full cushion insoles, vulcanized rubber soles g51f - Size 15 $ 1 31 16 4 (•3 17 5 6 7 8 $ 5-r15 -1 ,5.75 5 5.`1S 5.15 9 5.75 10 4 5 75 11 5. q6 12 5.1s- 13 4 5;75 14 4 5'15 15 16 4 575 515 17 515 (44.00 LA, D0 S (.4.4 co 4 61,,0 1 lialae) tpq • 0(S COST PER DOZEN OR ALTERNATIVE QUANTITY (PLEASE IDENTIFY) 41-V7 Litt k• It7.114 �1 1-e 4 07- w� 1P-1 1 iA1 >Z Hob U 4i 72 10-4 p2 y� �N W1 1.114 tn- ` 1 Li uf DZ 415 7 Z D7. V2_�►5�2 U 15 2 Z7L ,$ 15.72 '1,-2- S 15.7 2 VL 15.12- VZ. AZ 4 15:72 177- $ A> 1 .72 U Z A (5:72- rn UR DO 1)Z (pa.00 P 4 CA.00 p2 - loci• ov PZ- oo `p2- AZ D2 P -2-- D2_ U� T? (v 9 ,W P -2 - (pa oz. BID REQUEST *B1600' 71 Page 11 Bob Barker Company, Inc. no 612.4 (lo or 11* ai-us x-15 Orange EVA Clogs 5 * ` iio sold to dounsj.462.81 171- 7 't Li. e+D f. 62. .810 DZ 8 +x•40 2,a) D2. 9 ii -4'o � 52- b"0 DZ 10 1+40 $ 2.Fit) p D2 non-metal rivet to connect heel strap, non- marking, water resistant, defined outsole ridges for surface -gripping traction, vented EA -op--51ze= ore2n9v Q,�oi labLe i h_ black, navt./ + kaki 11 �>7Z 0� 12 i+4D $ 52-&I) t7Z 13 9.444 4 SJZ •if'D D2. 14 440 52." T;( 15 1 16 q•'AD 4 52.6 D2 17 $ i.Lfp s$ 52.80 P7 Bedding 2017 Unit price must include shipping and be delivered within three weeks of order UNIT COST EACH COST PER DOZEN OR ALTERNATIVE QUANTITY (PLEASE IDENTIFY) Pillow A Nip 5(p i li• Z1+ $ 7q. s'I oz !! 1 20" x 26", micro -guard, 1.2 lbs. each, flame resistant, waterproof, Bio-Pruf, does not need to be laundered Pillow cases S 0• Lee n 5oict in 4 q. go IDT ttrin,Q •{� 42"x34", cotton/polyester blend 1'M34— Sheets -pi wec15hee-t — •FS3D70L- ill•liq said iv,- 4 Zei•gtP 1D2 $5424. & 30"x75"x4 white, cotton/polyester blend Blankets CZ W D g o G 7 " Irak/ Y 5 • 1.1. LP 4814 D 1 G 15 66" x 90", poly/acrylic/cotton blend, flame resistant (meets ASTM 4151 flammability standards), hemmed (all 4 sides), 100% recycled material, machine wash, cold/tumble low dry Mattresses SSPNI SD?5 I+ 451.9°‘ O l tp• (,r 8 /DT. 30"x75"x4", 100% sealed seams, concealed breathable vent, two layers vinyl laminate, flame resistant Towels S 1.612- sot( in i ii. • oil -1 nz dAzn5 24"x48", white, 100% cotton terry 51-8 BID REQUEST #B1600171 Page 12 Bob Barker Company, Inc. Undergarments 2017 Unit price must include shipping and be delivered within three weeks of order Size/Unit UNIT COST EACH COST PER DOZEN OR ALTERNATIVE QUANTITY (PLEASE IDENTIFY) 1,, /fin 5rott t " XI— _ Zi.T's " S 1 Z, -J Znu_ ` n = torts - 5 1 Z -C 8 X L_- = t,P 38 ' SX L- T-shirts small ,i1 . �5 4 1'1 • ` o /c7- medium 41.45 A 1.45 1'7.'�{'D • /02. large � I'?.1-IQ /p2 x� i 1. �� 31 1?' LID j � A1.15 Z0 4 23- Ito 11)2_Ovk 3XL Zt. .40' 2 100% cotton, crew neck, no pockets' 4XL 2.29 4 2'1•4iL/1?Z._ 5XL 42.50 42,75 4 30 .00 11)Z 6XL .# 33.00 (D2, 7XL $ 2 Ft° tf 3+{ • ; i ID2- 8XL 4 3.32 4 Vt • VA- i Di Boxers small 4_0 .c1'15 *it.% Ini b►d in d0 medium 4O.9115 # 0.cros— i 11.10 I+ -7z large 411 •'70_i DZ XL 4 0.4i5 An .-To 1r Z 2XL 4 0 Avis kit. -to I OZ 60% cotton/40% polyester, elastic waistbands, fly fronts x id Fi E- 51-g- 3XL 4 D. cell- #11- ?O I(72 - 4XL d 1.5-D eV 18 00 Ice 5XL 4 1.50 lg 00 /f7L 6XL t -501$. 00 102 7XL 4 1,50 4 1g-00 /D2. 8XL 4, 1.50 4 1g• or) /Ls- White Sock 4 °'31 Pr' ll � �} • Ip$ p t Z X010 ld IV.S ° 80 /o cotton/20 /o polyester, crew Irmo- - 11J Orange Sock 40.4'15/pr 511 d 'in i§.(101O1 dpm15 80% cotton/20% polyester, crew 170o- 0 Sports Bras 32 *l.4 I 416.9 21 DAL sold ivl Ckti 34 4 1.41 A lla -9it Df . 36 $1 q i � �� Z� nZ 38 4 I.41 4 tte -9zlpZ 65% cotton/30% polyester/5% spandex, no metal hooks, wide non slip straps F13AS P LS (size) 40 4 1.41 tiU •R2(DZ 42 4 Ill 114.42 Un- 44 4 Hi * na .41 _ 46 A. 1.41 3 09 .in/ p7 rr 48 A 1..41 ilia 42/Dz. r Panties 6 3 O•kti 4.17 -tor tqz 7 4 O. ki4 f T 4g /in 8 ¢ 0- GA A_ VA 477 -- 9 �•�4 0't°`+ ` 7• �� X02 60% cotton/40% polyester, elastic waist, double panel crotch al O S - Si ZI, 1� VA /02_ 1#0.621, i 0.09 0 In /oz 12 ...f T RZ I Di - -1613 13 -V 6. tste 1O7-- 17.92- - 5 BID REQUEST #B1600171 Page 13 Bob Barker Company, Inc. Miscellaneous Items 2017 Unit price must include shipping and be delivered within three weeks of order UNIT COST EACH COST PER DOZEN OR ALTERNATIVE QUANTITY (PLEASE IDENTIFY) Suicide Blanket 5r35' -i-13.0 green, 650 -denier polyester AV.3T7 I 8 2b 41 -1'D -Z 54"x80", Sherwood Suicide gown 505 chest 44" to 56", 650 -denier green i r1r, 1 r-1 1 i-Qr 2 11 14 lin— p(� J velcro fastening pieces, polyester, Sherwood Shampoo �v 2 oz, clear G' 1-5 2- , Aiv i 0' 2711 4 2u) .so /G9 IP Tooth Sponge no water needed Dp O.0'e j( $ 1-1.3 •0O1 G S00 Disposable, pre-soaked, Hair Pick PI CY--5 @?ov 1 Q. 09 I 5b IcA "n i ► :081 In c ozen5 5", black, plastic Foot Powder f p� Tolnaftate 1% f 1 4 0 i 0. 1.02 12ct� ir7 ti f C anti -fungal, active ingredient Golf Pencils GP- . _ 10 .o26 i 3. 1pO C)1144C)1144J ' Erasers resistant 1:7Mi u, Nit i 20- I iQ ! C I L4 100% latex -free, smudge Laundry Baskets 111141'.. blue, plas? $ .50 Skl . .tri 4102A/ °fit b2 Aoz�r�s 10.88"x22.5"x16.47", Soap unwrapped, face & body 0.502 u1 � � . 04 � ,{-L O b0 ! C 1000 I / Deodorant 10160 Q i 0.19 i Ti •gi-i I c pI tp 1.5 oz. roll-on Lotion Y()Q1-11p 40 • lei 42-1.10 I C u o 4 oz. hand & body Storage Tote top closure me ( to 2,-+ A G 0 oo 4- c1 1, • DO !r Pz_ 16"x24"x12"mesh, velcro BID REQUEST #61600171 Page 14 SIGNATURE E-MAIL DATE The undersigned, by his or her signature, hereby acknowledges and represents that: 1. The bid proposed herein meets all of the conditions, specifications and special provisions set forth in the request for bid for Request No. #61600171. 2. The quotations set forth herein are exclusive of any federal excise taxes and all other state and local taxes. 3. He or she is authorized to bind the below -named bidder for the amount shown on the accompanying bid sheets. 4. The signed bid submitted, all of the documents of the Request for Bid contained herein (including, but not limited to the product specifications and scope of services), the formal acceptance of the bid by Weld County, and signature of the Chair of the Board of County Commissioners, together constitutes a contract, with the contract date being the date of signature by the Chair of the Board of County Commissioners. 5. Weld County reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid that, in the opinion of the Board of County Commissioners, is to the best interests of Weld County. The bid(s) may be awarded to more than one vendor. FIRM T3ob bar 1z-e-ir. Cntnpany BUSINESS ADDRESS 134 N (UIQi n (Si • CITY, STATE, ZIP CODE ,rrkr,,c Va6 Y1gU AC- 2 752 IS TELEPHONE NO 800 33q . q gso FAX a'00 322- 7,3r% TAX ID # 5(p- /5680&2 -- PRINTED NAME AND TITLE VI) TQS G1c-i tkA.J I CZ f f�Y alai -O(4 Spio6 ica I 0A-!, 61,ui' hid hD C -es p ionb barks -r COmv I1) IL+- 1 **THE SUCCESSFUL BIDDER SHALL PROVIDE A W-9 IF NOT ALREADY ON FILE'* WELD COUNTY IS EXEMPT FROM COLORADO SALES TAXES. THE CERTIFICATE OF EXEMPTION NUMBER IS #98-03551-0000. PLEASE ONLY RETURN PAGES 10-15. YOU DO NOT NEED TO SEND BACK PAGES 1 - 9. ATTEST: BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board WELD COUNTY, COLORADO BY: Deputy Clerk to the Board Mike Freeman, Chair APPROVED AS TO SUBSTANCE: Elected Official or Department Head Director of General Services BID REQUEST #B1600171 Page 15 Cathy Zinn Uniforms Manufacturing, Inc. I Sales www.umidirect.com cathy.z@umidirect.com P: 480-368-9316 *115 F:480-368-8556 I. Can you supply any history or bid tab showing who was awarded, when and at what price? The current vendor is I3ob Barker Company, Inc. The bid price is proprietary information. 2. Are samples required with the bid? If bids are close then samples may be requested to determine quality of product to. 3. Do all items in a category have to be bid to be considered? Yes i( CAM urrta t "MAI MI;4O dats 46" Mutat raw run. it isl III -a' loot no, site nAns woutat 004-disreat us. 4. Will you be awarding by category, item or all or none? All or none 5. Do you have past quantities? Quantities are based on the average daily population (ADP) of the jail. 2014: 603.8 / 2015: 616.7 / 2016 to date: 688 At time of incarceration, an inmate is given a blush mesh tote consisting of: 1 Hygiene cup w/lid, comb, toothbrush, tooth paste, soap & deodorant, 2 sets of a jail uniform (scrub top and bottom, white t -shirts, boxers*, socks, deck shoes and canvas shoes, 1 pillow w/case, 1 mattress sheet, 2 blankets *Female inmates did not get boxers and receive undergarments upon arrival to a housing unit. All items mentioned in the above question are consistent with the descriptions and specifications of I: Attached list of product for pricing beginning on page 10 of the RFP. 6. Will you be ordering on an as needed basis? Yes ea red ( d�J /l/P4R, Robert Grubman Goaltex Corp 146 Split Rock Rd Syosset NY 11791 516-682-5775 Tel 516-682-5718 Fax http://www.goaltex.com http://www.prisonshoes.com FEIN# 11-3166415 DUNS# 808233274 "Supporting America's Criminal Justice System since 1993" 1. Can we quote pricing for dozen's only or must we provide per pair pricing as well to be considered? As stated in the RFP on page 11, "unit cost each" and "cost per dozen or alternative quantity (please identify)" is required. 2. For the following items: blue canvas deck shoes, shower shoes & white trustee shoe, What is the current award price estimated annual usage estimated # of times/yr agency orders? YTD for 2016, 5,226 pairs of blue canvas deck shoes have been purchased based on our average daily population. The previous awarded bid price is proprietary information. Maegan Eisenman Bid Manager ICS Jail Supplies, Inc. Supplying Jails Since 1985! Waco, Texas 76702 800-524-5427 254-751-0299 fax Bids@icswaco.com Visit us on the web - www.icswaco.com GSA Contract #GS -07F -0552U TXMAS Contract #12-84060 DUNS Contract #14-816-1193 1. Can you please provide me with the previous contract price and awarded vendors for the above mentioned solicitation? The current vendor is Bob Barker Company, Inc. The bid price is proprietary information 2. Can you please specify was size is to be bid on page 14, item "Soap". 1.25" x 2.25' ?eat.rel*. Form W-9 (Rev. August 2013) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. N N ce Name (as shown on your income tax return Bob Barker Company Business name/disregarded entity name, if different from above Check appropriate box for federal tax classification: ❑ Individual/sole proprietor ❑ C Corporation ❑✓ S Corporation ❑ Partnership ❑ Trust/estate ❑ Limited liability company. Enter the lax classification (C=C corporation, S=S corporation, P=partnership) ► ❑ Other (see instructions) ► Exemptions (see instructions): Exempt payee code (if any) Exemption from FATCA reporting code (lf any) Address (number, street, and apt. or suite no.) 134 N Main Street City, state, and ZIP code Fuquay-Varina, NC 27526 List account number(s) here (optional) Requester's name and address (optional) UM Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part t instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Social security number Employer Identification number 5 6 1 5 5 8 0 6 2 Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return, For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Signature of U.S. person ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. The IRS has created a page on IRS.gov for information about Form W-9, at www.irs.gov/w9. Information about any future developments affecting Form W-9 (such as legislation enacted after we release it) will be posted on that page. Purpose of Form A person who is required to file an information return with the IRS nest obtain your correct taxpayer identification number (TIN) to report, for example, Income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Fonn W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership Income from a U.S. trade or business is not subject to the Date ► withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting. Is correct. Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An Individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United Stales or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United Slates are generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United Stales, provide Form W-9 to the partnership to estabtish your U.S. status and avoid section 1446 withholding on your share of partnership income. Cat. No. 10231X Form W-9 (Rev. 8-2013) Form W-9 (Rev. 8-2013) page 2 In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States: • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity, • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust, and • in the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust. Foreign person. II you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Publication 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien Individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five Items: 1, The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the Income. 3. The article number (or location) In the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty alows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United Slates exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Articie 20 to continue to apply even after the Chinese student becomes a resident alien of the United States, A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the Information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS a percentage of such payments. This is called "backup withholding." Payments that may be subject to backup withholding include interest, lax -exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester, 2. You do not certify your TIN when required (see the Part II instructions on page 3 for detaas), 3. The IRS teas the requester that you furnished an incorrect TIN, 4. The IRS tells you that you are subject to backup withholding because you did not report as your interest and dividends on your tax return (for reportable interest and dividends only), or 5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable Interest and dividend accounts opened after 1983 only). Certain payees and payments are exempt from backup withholding. See Exempt payee code on page 3 and the separate Instructions for the Requester of Form W-9 for more information. Also see Special rules for partnerships on page 1. What is FATCA reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code on page 3 and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee If you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are lax exempt. In addition, you must fumish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TiNs in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Name If you are an Individual, you must generally enter the name shown on your income tax return. However, if you have changed your last name, for instance, due to marriage without Informing the Social Security Administration of the name change, enter your first name, the last name shown on your social security card, and your new last name. If the account is in joint names, fist first, and then circle, the name of the person or entity whose number you entered in Part I of the form. Sole proprietor. Enter your individual name as shown on your income tax return on the "Name" line. You may enter your business, trade, or "doing business as (DBA)" name on the "Business name/disregarded entity name" line. Partnership, C Corporation, or S Corporation. Enter the entity's name on the "Name" line and any business, trade, or "doing business as (DBA) name" on the "Business name/disregarded entity name" line. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a "disregarded entity." See Regulation section 301.7701-2(c)(2)(iii). Enter the owner's name on the "Name" line. The name of the entity entered on the "Name" line should never be a disregarded entity. The name on the "Name" line must be the name shown on the Income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on the "Name" line. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on the "Business name/disregarded entity name" line. if the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. Note. Check the appropriate box for the U.S. federal tax classification of the person whose name is entered on the "Name" line (Individual/sole proprietor, Partnership, C Corporation, S Corporation, Trust/estate). Limited Liability Company (LLC). If the person identified on the "Name" line is an LLC, check the "Limited liability company" box only and enter the appropriate code for the U.S, federal tax classification in the space provided. If you are an LLC that is treated as a partnership for U.S. federal tax purposes, enter "P" for partnership, If you are an LLC that has filed a Form 8832 or a Form 2553 to be taxed as a corporation, enter "C" for C corporation or "S" for S corporation, as appropriate. If you are an LLC that is disregarded as an entity separate from its owner under Regulation section 301.7701-3 (except for employment and excise tax), do not check the LLC box unless the owner of the LLC (required to be identified on the "Name" line) is another LLC that is not disregarded for U.S. federal tax purposes. If the LLC is disregarded as an entity separate from its owner, enter the appropriate tax classification of the owner identified on the "Name" line. Other entitles. Enter your business name as shown on required U.S. federal tax documents on the "Name" line. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on the "Business name/disregarded entity name" line. Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the Exemptions box, any code(s) that may apply to you. See Exempt payee code and Exemption from FATCA reporting code on page 3. Form W-9 (Rev. 8-2013) Page 3 Exempt payee code. Generally, individuals (including sole proprietors) are not exempt from backup withholding. Corporations are exempt from backup withholding for certain payments. such as interest and dividends. Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. Note. If you are exempt from backup withholding, you should still complete this form to avoid possible erroneous backup withholding. The following codes identify payees that are exempt from backup withholding: 1 —An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) it the account satisfies the requirements of section 4010)(2) 2 —The United States or any of its agencies or instrumentalities 3—A slate, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities 5—A corporation 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a possession of the United States 7—A futures commission merchant registered with the Commodity Futures Trading Commission 8—A real estate investment trust 9 —An entity registered at all times during the tax year under the Investment Company Act of 1940 10—A common trust fund operated by a bank under section 584(a) 11—A financial Institution 12—A middleman known in the Investment community as a nominee or custodian 13—A trust exempt from tax under section 664 or described in section 4947 The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above. 1 through 13. IF the payment is for ... THEN the payment Is exempt for ... Interest and dividend payments All exempt payees except for 7 Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Barter exchange transactions and patronage dividends Exempt payees 1 through 4 Payments over $600 required to be reported and direct sales over $5.0001 Generally, exempt payees 1 through 52 Payments made in settlement of payment card or third party network transactions Exempt payees 1 through 4 'See Form 1099-MISC, Miscellaneous Income, and its instructions. 'However. the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney, and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United Slates by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A —An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37) B —The United States or any of its agencies or instrumentalities C —A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities D —A corporation the stock of which is regularly traded on one or more established securities markets, as deserted in Reg. section 1.1472-1(c)(1)(i) E —A corporation that is a member of the same expanded affiliated group as a corporation described in Reg. section 1.1472-1(c)(1)(i) F —A dealer in securities, commodities, or derivative financial Instruments (including notional principal contracts, futures, lanyards, and options) that is registered as such under the laws of the United States or any state G —A real estate investment trust H —A regulated investment company as defined in section 851 or an entity registered at all limes during the lax year under the Investment Company Act of 1940 I —A common trust fund as defined in section 584(a) J —A bank as defined in section 581 K —A broker L —A trust exempt from lax under section 664 or described in section 4947(a)(1) M —A lax exempt bust under a section 403(b) plan or section 457(g) plan Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to gel a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. However, the IRS prefers that you use your SSN. If you are a single -member LLC that is disregarded as an entity separate from its owner (see Limited Liability Company (LLC) on page 2), enter the owner's SSN (or EIN, if the owner has one). Do not enter the disregarded entity's EIN. If the LLC is classified as a corporation or partnership, enter the entity's EIN. Note. See the chart on page 4 for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS -5, Application for a Social Security Card, from your local Social Security Administration office or get this form online at www.ssa.gov. You may also gel this form by calling 1-800-772-1213. Use Form W-7. Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS -4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/businesses and clicking on Employer Identification Number (EIN) under Starting a Business. You can get Forms W-7 and SS -4 from the IRS by visiting IRS.gov or by calling 1 -800 - TAX -FORM (1-800-829-3676). 11 you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write "Applied For' in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60 -day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note. Entering "Applied For" means that you have already applied for a TIN or that you intend to apply for one soon. Caution: Adisregarded U.S. entity that has a foreign owner must use the appropriate Form W-8. Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if items 1, 4, or 5 below indicate otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on the "Name" line must sign. Exempt payees, see Exempt payee code earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1884 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made In settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (Including payments to corporations). 5. Mortgage Interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. Form W-9 (Rev 8-2013) Page 4 What Name and Number To Give the Requester For thls type of account: Give name and SSN of: 1. Individual 2. Two or more individuals (joint account) 3. Custodian account of a minor (Uniform Gilt to Minors Act) 4. a. The usual revocable savings trust (grantor Is also trustee) b. So-called trust account that is not a legal or valid trust under state law 5. Sole proprietorship or disregarded entity owned by an Individual 6. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulation section 1.671-4(6)(2)8)(A)) The individual The actual owner of the account or, if combined funds, the first individual on the account The minor' The grantor -trustee The actual owner The owner' The grantor' For thls type of account: Give name and EIN of: 7. Disregarded entity not owned by an individual 8. A valid trust, estate, or pension trust 9. Corporation or LLC electing corporate status on Form 8832 or Form 2553 10. Association, club, religious, charitable, educational, or other tax-exempt organization 11. Partnership or multi -member LLC 12. A broker or registered nominee 13. Account with the Department of Agriculture in the name of a public entity (such as a slate or local government, school district, or prison) that receives agricultural program payments 14. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulation section 1.671-4(b)(2)(NEN The owner Legal entity' The corporation The organization The partnership The broker or nominee The public: entity The trust Ust first and circle the name of the person whose number you furnish II only one person on a pint account has an SSN, that person's number must be furnished. v Clrc le the minor's name and furnish the minor's SSN. s you must show your individual name and you may also enter your business or "DBA" name on the"Business name/disregarded entity" name tine. You may use either your SSN or EIN (i1 you have one), but the IRS encourages you to use your SSN. ''Ust first and circle the name of the trust, estate, or pension oust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself Is not designated In the account line.) Also see Special rules for partnerships on page 1. 'Note. Grantor also must provide a Form W-9 to trustee of trust. Note. If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records from Identity Theft Identity theft occurs when someone uses your personal Information such as your name, social security number (SSN), or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a Lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. For more information, see Publication 4535, Identity Theft Prevention and Victim Assistance. Victims of identity theft who are experiencing economic harm or a system problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll -free case intake line at I -877-777-4778 or TTY/TDD 1-800-829-4059. Protect yourself from suspicious emalls or phlshing schemes. Phishing Is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed Information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishingairs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration at 1-800-366-4484. You can forward suspicious emaits to the Federal Trade Commission at: spameuce.gov or contact them at www.ftc.govhdthelt or 1-877- IDTHEFT (1-877-438-4338). Visit IRS.gov to learn more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid: the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS. reporting the above information. Routine uses of this information Include giving It to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions far use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and stale agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information. BOBBA-2 OP ID: RE .•-•••._.. 11,--S CERTIFICATE OF LIABILITY INSURANCE DATE(MSuoomnl 12h712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Senn Dunn - Raleigh 4700 Falls of Neuae Rd St 190 Raleigh, NC 27809.2521 L. Rivers Lee CPCU, CIC NaC NTAhCT a: L. Rivers Lee CPCU, CIC PHONE 918-719-8670 FAx LAIC•NaEXW I wlc,No); 919-719.9571 MML nooness: dee@senndunn,com INSURER(S) AFFORDING COVERAGE NAICp INSURER a :Great Northern Ins. Company 2 20281 INSURERC:Chubb National Insurance Co. 10052 INSURER D:Ohl o Casualty Company 24074 _INSURER E : INSURER F: COVERAGES Y•Cerr,cv. A Tr' L REVISIONB THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, _ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL AIMCSQBR -P5LCIFEPAI TR TYPE OP IN INSD WVD POLICY NUMBER POLICY EXP A X COMMERCIAL GENERAL JMMIDDIYYYYI IMMIDO/YMI LIMITS LIABILITY CLAIMS X I EACH OCCURRENCE S 1,000,000 X -MADE Slop Gap $1M OCCUR 3596.17.36 12/31/2015 12/31/2016 paEMISEB (Ee RENTED E 300,000 ALL MONOPOLISTIC STATES X Per Proper Loc MED EXP (Ant one parson) - S 70,000 GENT, PERSONAL AADVINJURY S 1,000,000 AGGREGATE LIMIT APPLIES j C PER'. GENERAL AGGREGATE S 2,000,000 P POLICY JEGT LOC PRODUCTS. COMP/OP AGO $ 2,000,000 OTHER: Emp Ben. S 1,000,000 B AUTOMOBILE X LIABILITY COMBINED SINGLE LIMIT aacudentl $ 1,000,000 — ANY AUTO ALL OWNED _ SCHEDULED 7358.88.89 12/31/2014 12/31/2015 BODILY INJURY (Per person) S A AUTOS A AUTOS NONOWNED BODILY INJURY (Per accident) S —. HIRED AUTOS AUTOS PROPERTY DAMAGE at accident) S S D X UMBRELLA LIAB EXCESS DAB X — OCCUR EACH OCCURRENCE S 15,000,000 CLAIMS -MADE 00056406231 12131/2015 12/31/2016 I X I 0 AGGREGATE S 15,000,000 DED RETENTION S a C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X SEATUTE I ERH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A 7174.50-59 12/31/2015 12/3112016 E.L. EACH ACCIDENT S 500,000 (Mandatory In NH) II yes, desedbe under E.L. DISEASE EA EMPLOYEE S 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 8 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarhe Schedule, may be attached II mo a space le required) CERTIFICATE NM GFR _-..__.. Will be titled according to award SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE oast )11r. ACORD 25 (2014/01) © 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Minutes of Special Meeting of the Board of Directors for Bob Barker Company, Inc. A SPECIAL MEETING of the board of directors of Bob Barker Company, Inc was held on July 27, 2016 in the Blue Ridge Room at Bob Barker Co, Inc headquarters, at 134 N. Main Street, Fuquay Varina, North Carolina. The Following directors were present and participated in the meeting: Robert J Barker, Sr. Robert J Barker, Jr. John Kasberger Gabe Cipau Patricia M. Barker Nancy B. Johns Dave Colburn George Snead Robert J Barker, Sr., Chairman of the Board, chaired the meeting and Patricia M. Barker, Executive Vice President of the Corporation, acted as Secretary of the meeting. The chairman announced that a quorum of directors was present and that the meeting, having been duly convened, was ready to proceed with its business. The Secretary presented a waiver of notice of the meeting, signed by all of the directors and was directed to file the waiver of notice with the minutes of the meeting. After full discussion of the affairs of the company, the following resolution was introduced for consideration and adoption by the directors: RESOLVED, that the Board of Directors hereby grants signatory authority to enter bids obligating the company in agreements to furnish produceand services at agreed prices and conditions. Angela DeBoeser Amber Garis April Paszkiewicz Bettina Morgan Dale Griffith Denine McCullers Erika Flynn Katy Anderson Kevin Donovan Nenna Mann Robert J. Barker, Sr. Robert J. Barker, Jr. Robin Finn Ryan Pretko Shannon Pilkington Talia Rosario _ / Ord/.`c� The resolution was unanitdously approved. "There being no further business before the meeting, on motion duly made, seconded and carried, it was adjoumed. Robert J Barker r. Chairman of the Board of Directors atricia M. Barker Secretary of the Board of Directors Form � V (Rev. August 2013) Department of the Treast. y Internar Reverwe Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Name (es shown on your income lax reliant) Bob Barker Company eusinoss mime/disregarded entity name, if (referent from above Check appropriate box for federal tax classification: ❑ Individual/solo proprietor ❑ C Corporation © S Corporation U Partnership ❑ Trust/estate Limited liability company. Enter the tax classification (C=C corporaton, S=S corporation, Pepartnerchlp) ► ❑ Other (see instructions) ► Exemptions (see hstrucllons): Exempt payee cede (If any) Exemption from FATCA importing code le any) Address (number, street, and apt. ar suite no.) 134 N Main Street City, slate, and 21P code Fuquay-Varina, NC -27526 List account nember(s)here (optional) Offai Taxpayer Identification Number ;TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the'Nemo" line to avoid backup withholding. For Individuals, (his is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer Identification number;ON). If you do no( have a number, see Now to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Requester's name and address (optional) Social Security number `Employer Identification number Y 1 5 6 - 1 5 5 8 0 6 2 Part II Certification Under penalties of perjury, I certify that: I. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), end 2. I am not subject to backup withholding because: (a) I am exempt from bactcup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. person (defined below), and 4, I he HO CA coda(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest pald, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3, Sign Tsignature of Hereus. person P. General Instructions Secl'.on references are to the Internal Revenue Code Jeless atria -wise noted. Future developments, The IRS has created a page on IRS.gov for information about Form W-9, at www.+rs.gov/w9, information about any future developments affecting Form W-9 (such as legislation enacted after we release It) will be posted on that page. Purpose of Form Pe1447O-mal A poison who la required l0 file an information return wee. the IRS must obtain your correct taxpayer klenulicellon number (TIN) to report, for example, leonine pall to you, payments made to you In setttemenl of payment card and Ihirc party network transactions, real estate transacliona; mortgage interest yo.i paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an ERA. Use Fornt W-9 only it you are a U.S. persnn (Including a resident alien), to provide your correct TIN to the person requesting t (the requester) and, when applicable, 10: ' Certify that the TIN you are gluing is correct (or you are wailing for a number to be Issued), 2. Certify that you are not suhlect to backup withholding, or 3. Claim exemption from backup withholding If you are a U.S. exempt payee. If applicable, you are also certifying that es a U.S, person, your allcoaole share of any partneranlp income from a U.S. trade or business s not subject to the Date ► ��1��It►� withholding lax on forelgh partners' share of effectively conneeton Inc erne, and 4. Certify that FATCA code(s) entered on this form (II any) Indicating that you are exempt from the FATCA reporting, is correct. Note. If you ere a U.S. person and a requester gives yot, a term other than Form W-9 to request your T)N, you must use the requester's form if 1 is suoslantlely slm!lar to thls Form W-9. Definition of a U.S. person. For federal lax purposes, ycu are considered a U.S person it you are: • An Indlvlduat who is a U.S. cttlzen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United Stales or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as delined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduce a trade or business In the United Slates are generally required to pay a witnholoing tax under section 1440 on any foreign partners' share of effectively connected taxable Income from such business. Furthor, In certain cases where a Form W-9 tuts not been received, the rules under section 1446 require a partnership to presume Mel a partner Is a loreign person, and pay the section 1446 withholding lex Tnerelore. If you ere a U.S. person that Is a partner in a partnership conducting a !fade or business ,n the United States, provide Form W-9 to the partnership to establish your I1.S. slahat end avoid section 1 446 withholding nn your share of partnership income. Cal. NO. 1IMIX Form W-9 (Rev. a-2013) Form W-9 (Rev. 8-2013) Page 2 in the cases below, the following person must give Form W-0 to the oartrersnip for purposes of establishing Ite U.S. status and avoiding withholding on its allocable snare of net Income from the partnersnip conducting a trade or business in the United Slates: • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity, • In line case of a grantor trusl with a U.S. grantor or other G.S. owner, generally the U.S. grantor or other U.S. owner of tho grantor trust ano not tna trust, and • to the case of a U.S. trust tomer than a grantor trust), the U S. trust (other than a grantor trust) and not tee bareficierles of the trust. Foreign person, If you ere a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Publication 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident ellen who becomes a resident alien. Generally, only a nonresident aNen individual may -tee the teems of a lax treaty to reduce or elinerale U.S. tax on certain types of Income. However, niceties treaties contnln a provision known as a "saving clause." Exceptions specified In the saving (refuse may permit an exemption from lax to continue for certakl types of income evon after the payee has otherwise become a U.S. resident alien for lax purposes. if you are a J.G. resldert alien who Is retying on an ex iiptlon conlaleed In the saving clause of a :ax tritely to dale, an exemption from U.S. lex on certain types of income, you must attach a elatement lo Form W-9 that specifies the following five items: 1. The treaty country. GarenPly, this must be the same treaty udder which you claimed exemption from tax es a ronreskdenl alien. 2. The treaty artier addressing the income. 3, The article number (or locatfon) ]n the tax Beaty :hot containe the satiety clause and its exceptions. 4. The type and amount o1 income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from lax under the terns of the treaty article. Example. Article 20 of the U.S.-China Income tax treaty allows an exemption from tax for scholarship Ircome received by a Chinese student temporarily present In the United Stales. Under U.S. raw, this student will become a resident alien our tax purposes rl tee or her slay 1n the United Slates exceeds 5 calendar years. However, paragraph 2 of Me first Protocol to the U S -Chlmr treaty (dated April 30, 1984) allows note proveskrts of Artide 20 to continue to apply oven after the Chinese student becomes a resident alien of the United Stales. A Chinese student who qualifies fa this exception (under paragraph 2 0l the first protocol) end is retying of this exception to claim an exemption from tax on his or her scholarship or IesowsNp income would attach to Form W-9 a statement that includes the information described above to support that exemption, if you are 3 nonresident allen or a foreign antler, give the requester the appropriate completed Form W-8 or Form 8233. What is oaokup withholding? Persona making ceealn payments to you must under certain conditions withhold and pay to the IRS a percentage of such payments. This is called "backup withholding." Payments that may he sublet:I to backup withholding include interest, lax -exempt interest. dividends, broker and Darter exchange transactions, rents, royalties, nonemployee oav, payments made In settlement of payment card and third party network transactions. and certain payments from fishing boat operators. Heel estate transactions. are not cubject le backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable Interest and dlvkkrds on your tax return. Payments you receive will be subject to backup withholding if: I. You do nol furnish your rIN to the requester, 2. You do nol certify your TIN when required (see the Part II instructions on page 3 for details), 3. The IRS faits the requester tnat you furnished an incorrect fIN. 4. Tne IRS tells you that you are subject to backup wdhholdtng because you did not report all your Interest and dividends on your lax return (for reportabs Interest and dividends only), or S. You do not certify to tine requester that you are not subject to backup withholding under 4 above (for reportable interest and dlvtdeno =cremtq ripened after 1983 only), Certain payees and payments are exempt from backup withholding. Soe Exempt payee code on page 3 and the separate Insteicilens for the Requester o' Form W-9 for mere information. Also see Special rules Mr partnerships on page 1. What is FATCA reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign firwnctel institution to report all Wilted Statee account holders that era specified United States persons. Certakt payees cue exempt hem FATCA reporting See Exemption from FArcA reporting code ort Pogo 3 and :no Instruclions for Me Requester of Form W-9 for more information. Updating Your Information You muse provide updated information to any person to whom you claimed to be en exempt payee if you are no longer an exempt payee and anticipate receiviny reportable payments In the future from this person. For example, you may need In provide updated dated Information f you ere a C roporalkon thal elects to he an S corporation, or if you no longer are tax exempt. in addition, you must furnish a now Form W-9 if the name or TIN charges for ilia accou•I, for example. I' Ire grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fall tc furnish your correct TIN to a regt.ester, you aro subject to a penalty of $50 for each such failure unless your failures due to reasonable cause and not to willful neglect Civil penalty for false Information with respect to withholding. II you make a false statement with no reasonable (meet teat results in no backup withnolding, you are subject to a $500 penally. Criminal penalty for falsifying information. Wil.luly falsifying certificallons or affirmations may subject you to Demirel penalties Including fines andrro Imprisonment. Misuse of TfNs. If :nit requester dlscfoses or uses T1Ns in violation of '000131 .aw, the requester may be subject to civil and crlmiral penalties. Specific instructions Name n you are an Indlvroom. you must gom Bally enter the name shown on your income lax return. Howavnr, II you have changer] your last name, for instance. due to merearee without informing the Social Security Administration of the name change, enter your first name: the Iona nettle shown on your social security card, and your new lest name. II iha account is ie joint names. Hsi fret, end than circle, the name of the person or entity whose lumber you entered in Part I of the form. Sole proprietor. Enter your individual name as shown on your income tax return on the "Name" line. Your may enter your business, trade. or "doing business as (DB.Ar eame on the "Business name/disregarded entity name" lino. Partnerahip, C Corporation, or S Corporation. Enter the entity's name on he "Name" Ilne and any business. trade, or "doing busiess as (DBA) nerrce on the "Business name/disregarded entity mane" line. Dlsregnrded entity, For U.S. (ederal tax purposes. an entity that is disregarded as an entity separate from its owner is healed as a "eisregarded entity." See Reyulalkm section 301.7701-2(0(248. Filler the owner's name on the 'Name' line. The name of the entity entered on the "Name" line should never be a disregarded entity. The name on the "Name" line must be the name shown on the income tax return on which Ma !mono should be reported. For example, 8 a tamer LLC that Is treated as a disregarded entity ler V.S. federal tax purposes has a stogie owner that is a U.S. person, the U.S. owner's name Is required Id be provkied on the "Name" One, 11 the dkect Owner of the entity Is also a disregarded entity, enter the first owner That is not disregarded for federal fax purposes. Enter the disregarded entity's name on the "Business nerne/disreganded unlily name" Ono. If the owrxr of the disregarded entity is a (deign person, the owner must complete an appropriate Form W-8 leakiest of a Form W-9. Title le the case oven rl the foreign person has a U.S. TIN. Note. Check the appropriate box lor :ne U.S. federal tax classification of the person whose name is entered on the 'Name" rine (Indkk]ual/sole proprietor. .erinership, C Corporation- S Corporntlen, TrusJestate), Limited Liability Company (LLC). II the persurn identified on one "Nemo" Fine is an LLC. check the "Limited liability atimpany" hoe only and enter the :p prnpriate nude for the U.S, federal lax ciessdkation In the apace provided. II you aro en LLC that is (reeled as a partnership to U S. federal tax purposes, enter •p" for partnership. If you are an LLC that has fNad a Form 883e Of a From 2553 to be taxed as a Oaporalfon, enter "C" for C corporallon or "S" for S corporation, as appropriate. It you are an LLC that is disregarded as an entity sepitrale horn Ifs owner under Regulation section 301 7701.3 (except for employment and excise taxi. do not check the L.I G box times the owner of the LLC (required to Ire xlenlilied on the 'Nemo' fine) Is anaemic LLC that is not disregarded for U.S. federal our purposes. if the LLC is disregarded as on entity separate from its owner, enter the appropriate tax classnicallon of the owner Identified on the "Name" line. Other entitles. Enter your business rams as shown on required U.S. federal tax documents on the "Name" line. This name should match live name shown on the charter or other legal document creating the entity Yeti may enter any business, trade, or UBA name on 'he "Business name/disregarded entity Immo" llre. Exemptions if you are exempt from backup wlleholding and/or FATCA reporting, enter In the Exemptions box, any code(s) that may apply to you. See Exempt payee code and f:xempliun ern FATCA fepurferl/ cod0 on page 3. Forrrh W-9 (Rev 6-20131 Page 3 Exempt payee 60116. Generally, redividirafs eneto 111 a wee proprietors) .6o nut exempt from backup withholding. Corporations are exempt from backup withholding for certain payments, such as nterest ano dividends. Corporations are not exempt from backup withholding for payments mode on settlement of payment card or INA party network transactions Note. •1 you are exempt from backup withholding, you should shit complete thts form to avold possible erroneous backup wlteho(di.ng, The following codes identify payees tree are exempt from Backup wknhording: 1 —An orgaeizatIon exempt Irian tax under encllon 5G1(ae any IRA. or a custodial account under section 403(b)(7) If the account satisfies the reguiremerls of section 401(1)(2) 2— the United States or any of its agencies or Instrumentalities 3—A slate, the District of Columbia, a possession of the United Slates, or any of their poetical subdMsions or Instrumentalities 4—A foreign government or any of its politica+ subdivisions, agencies or Instrumentalities 5—A corporattor 6—A dealer in securities or commodities required to register in the United Stales, the District of Columbia, or a possession of the United Stales 7—A 'inures commission merchart registered with the Commodty Futures Trading Commission 6—A real estate investment trust 9 —An enller registered al all timres duping the lax year under the Investment Company Act of 1940 10- -A common trust fund operated by a bank under section 581(3) 11—A gnanclel Institution 12—A middleman known in the investment convnueity as a nominee or custodian 13—A crust exempt from tax under seelion 664 or descrlbed in section 494 r The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees 9sted above, 1 througn 13. IF the payment Is for , .. THEN the payment Is exempt for . .. Interest and dividend paymerls All exempt payees except for 7 Broker transactions Exempt payees 1 :hrough 4 and 6 through 11 and all C corporations. S cwporallons must not enter an exempt payee code because they are exempt only for sales of roncovered sacuelties acquired prior ee 2012. Seder exchange transactions end patronage dividends Exempt payees 1 through 4 Payments over $6C0 required to be reported and direct sales over $5,000. Generally, exempt payees I through 5' Payments made it settlement of payment card or third pally network ransacilens Exempt payees 1 through it ' See Form 10!39-MISC, Miscellaneous Income, and Its Instructions, 'However, the following payments made to a corporation and reportable on Form 1099-MfSC are not exempt From backup witheredng: medical end health care payments, attorneys' fees, gross proceeds pate to an attorney, and payments for services paid by a Federal executive agency. Exemption from FATCA repoHing code, 1 h hallowing codes klentily payees that are exempt from reporting under FATCA. These codes apply to persons eubmlitbg this form foe anneals i.aintulried outside of the United Stales by certain Immo enencial institutions. Therefore, it you aro only submitting this form for an account you hold in the United Slates. you may leave this field blank. Consult with the person requesting this form if you are uncertain If the finaroinl institution la subject to these regvlements. A —An organization exempt Front lax under section Wien or any individual retirement plan as defined In section 7701(037) 13 —The Unked Slates or any of ,Is agencies or instrumentalities C —A state, the District of Columbia, a possession Of the United States, or any of their political subdivisions or instrumentalities D —A corporation the stop r of which Is regufarty traded on one or more established securities markets, as described In Reg. section 1.1472-1(c)(IM E —A corporation that Is a member of the same expanded affiliated Tomo as a corporation described in Reg. section 1.1472-1(0)(1111) F —A dealer in securities, commodities, or derivative financial Instruments (Including notional principal contracts, futures, forwards, and options) rhat is registered as such under the laws of the United Slates or ary state 0 —A real estate investment trust if —A regulated inverslmert compary as defined in section 851 or an entity registered at elf limes during the tax yore under the Investment Cemoany Act of 194e 1—A couenon :rust fund as defined h1 seetton 584(e) J —A bank as defined m section 58i K —A broker L —A trust exempt from lax urder section 664 or described r section 4947(x)(1) M —A tax exempt trust under a section 403(b) plan or section 457(g) plan Part I, Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box, It you are a resident alien end you do not nave and are not eligible to gel an SSN, your TIN is your IRS Individual taxpayer identification number (ITIN1. Enter it in the social security ra,moer box. If you do not have an !TIN, see How to gar a 17N below. ,f yo;, are a sole proprietor end you have an EIN, you rrny enter either yourSSN or EIN, I lowever, the IRS prefers that you use your SSN. if you are a ei ngio-nnember LLC that is disregarded as an entity separate from its owner (see 16pr(led HabiG7y Company (LLC) on page 2), enter the owner's SSN (or E:N, II the owner has one). Do not enter the disregarded entity's EIN. II the LLC s classified as n corporation of partnership, enter the entity's EIN Note. See the chart oil page 4 for further clarifications of lama and TIN combrnallons. How to gel a TIN. If you do not have a TIN, app, -v for one Immediately. To apply for an SSN, get Form SS -5, Application for a Social Security Card. Iron your local Social Security Administration office or yet this form online at www.see.gov. You may also gel this form by calling I-900.772.1213. Use Form W-7, Application for IRS Individual Taxpayer identification Number, to apply for an ITIN, or Form SS -4, Application for Employer Idereillcauon Number, to apply for an EIN. You can apply for an EIN aline by eimessing the IRS websile at www u s.gov(buslnesses and clicking on Employer identification Number lE1N) under ;1:(11110 a &1361635. You can get Forms W-7 and SS -4 from the IRS by vlsitem IRS,gov or by calling 1 -800 - TAX -FORM (1-900-829-3676). fl you are asked to complete Form W-9 but do not have o TIN, apply for a TIN and meW "Applied For` in the space for the TIN, sign and flute the lorm, and give 11 to the requester. For Interest and dividend payments, and certain payments made with respect to readily Variable mshurnents, generally you will Have 00 days to gel a TIN and gave it to the requester before you are subteen to backup withhoMing on payments. The 60 -day rule dues not apply to other types of payments. You will be aubtert to hackup witxiokeng on an such payments until you provldo yew TIN to the requester Note. Entering "Applied For" means that you nave already applied for a TIN or that you intend to apply for one soon. Caul ton: A disregarded U.S. entity that has a foreign owner must LSO the appropriate Form W-8. Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alten, sign Form W-9 You may be requested to sign by the withholding agent even If Items 1, 4, or 5 below Indicate othnrwlse, For a Joint account. only the person whose TIN is shown In Part I should sign (when required). In the case of s disregarded eellty, the person identllied on the "Name" line must sign. Exempt payees, see Exempt payee cede reedier. Signature requirements. Complete :ha certification es Indicated in Items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1964 and broker accounts considered active during 1983. You mint give your correct TIN, but you do not hove to sign the cerlticatlon, 2. Interest, dividend, broker, and barter exchange accounts opened after 19&7 and broker eccounte considered inactive during 1989. You must sign the certification or backup wilhhokeng will apply. If you are 6661667 10 backup wilhtold ne and you .ro merely providing your correct l IN to the requester, you must cross our item J. In the certification before signing the form. 3, Real estate transactions. You must sign the certification You :nay cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been retitled that you have previously given en incorrect TIN. "Other payments' include payments mace In the course at the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (Including payments IQ eurporalions), payments In a nonemployee for services, payments made In settlement of payment card and third party aotwork transactions, payments to certain 'letting boat crew members aril fishermen, and gross proceeds pall to attorneys (Including peym ants to corporations). 5, Mortgage Interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program naymente (under section 529), IRA, Coverdett ESA, Archer MSA or HSA contributions or distributions, and penslon distributions. You r-ust give your correct TIN, but you a0 not have to sign the certification. Form W-9 tRev. 8.2013) Page 4 What Name and Number To Give the Requester For this type o1 account: Give name and SSN of: 1- ndivldual 2. Two or more inoividuals (joint account) 3. Custodian account of a minor (Uniform Gift to Minors Ad) 4. a. The usual revocable savings oval (grantor Is also trustee) h. So-called trust account that is not a legal or valid trust under state law 5. Soto proprietorship or disregarded entity owned by an Individual 6. Grantor must filing under Optional Form 1099 Filing Medved 1 (see Regulation section 1.671-4(b)(2XMAl) The individual The actual owner of the account or, If combined funds, the Oral Individual on the account ' The minor' Tho grantor-In,stea' The actual owner' The owner ' The grantor' For thls type o1 account: Ofve name and EIN of: 7. Disregarded entity not owned by an individual 8. A vard trust, estate, or persica. trust 9. Corporation or L:C Mooting corporate status on. Form 9832 or Form 2553 10, Association, club, religious, charitable, educational, Cr other tax-exempt organizattor 11 Partnership or mufti -member LLC 12. A broker or registered nominee 13. Account with the Department of Agriculture 'n the name of a public entity (such as a stale or local government, school district, or prison) that receives agricultural program payments 14. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (tree Regulation section 1.671.4(b)f2H♦)(B)) This owner Legal entity' The corporation The organization Tile partnership The broker or nominee The public. entity The trust 'List Nal and circle the name of :he person whose numoar you furreah. it only ana parson on a join eccuutt hes an SSN. chat persons number must be furnished. 'CIC:e the minor's name and 'urNsh the minor's SSN. You must :raw your sxll victual laws end you mey aleo enter your business ar `DUN' name on the •'Ousloess nemevdisregatded entity' name line- You may use axhar yoty SSN ter eiN 7f you have one), but the INS encourages you to use your SSN. J Llsl fMsl ecd circle the name of the,nsl, estate, er pension trust. (Do rot furnsh the mot the personal feet esertative ar Innis° unless the legal entity Itself is not designated :n lute ocuounl tad., Ma sae Special odes /or perineraheps on page 1. Note. Grantor also must ptovala a Form ',Abe to trustee of trust. Note. II no name Is ofrcteC when more than one name is listed, tho number well be conslcered to be that of toe first name listed. Secure Your Tax Records from Identity Theft Iden:lly theft occurs when someone uses your personal information such as your name. social security number (SSN), or other Identifying Information, without your permission, to commit laud or other crimes. An identity thief may use your SSN to gel a lob or may file a lax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer Is protecting your SSN, and • Be oareful when choosing a lax preparer. II your lax records are affected by identity theft and you receve a not ce from tha iRS, respond right away to the name and phone number printed on the IRS notice or letter. 'f your tax records are not currently afected by identity theft but you think you are al risk due to a lost or stolen purse or waNet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. For more information, see Publication 4535, Identity Than Prevention and Victim Agate lance. Victims of %holey theft who are experiencing economic harm or a system prodem, or are seeking help in resoNing tax problems that nave not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS} assistance. You can reach TAS by calllrg the TAS toil -free case intake line at 1.877.777-4'78 or Tryroo 1.800-829-4059. Protect yourself from suspicious smalls or phishing aehemas. Phishing is the creation and use of email and webslles designed to mimic legitimate buslness smalls and websiles. The most common act is sending an email to a user falsely claiming to be an established reg)timate enterprise in an attempt to scam the user Into surrendering private information that will be used for identity theft. The IRS does not Initiate contacts with taxpayers via emits. Also, the IRS does not request personal detailed information through small or ask taxpayers for the PIN ,numbers. passwords, or similar secret access information for their credit card, bark, or other financial accounts. It you receive an unsolicited email claiming to ba'ro'n the IRS, forward Ihls message to phishinatIcs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration al 1-800-386-4484. You can forward suspicious emalls to the Federal Trade Commission at: spam®uce.gov or contact them at www.ffagovlidtheft or 1-877- IDTHEFT (1-B77438-4338). Visit IRS.gov to knam more shout humility theft and how to reduce your risk. Privacy Act Notice Section 6108 of but Internal Hevonue Gods requires you to provide your correct TIN to persons (including fedora! agenclas) who are required to file information returns with the IRS to report interest. dividends, or certain other Income paid to you; mortgage Interest you pald; the acquisition or abandonment of securod property: the Cancellation of debt; or contributions you made to an IRA, Archer MSA, or NSA. The person collecting this form uses the information on the form to ale information returns with the IFi i, reporting the aaove Information. Routine uses of this information Include giving it to the Department of justice for civil arid criminal litigation and to cities, stales, the District of Columbia, and U.S. commonweallhs and possessions for use in administering theh laws. The information also may be disclosed to other countries UMW a treaty, to federal and slate agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to he a tax return, Under section 3406, payers must generally withhold a percentarte of taxable Interest, dividend, and certain other payine'4s to a payee who does not give a TIN to the payer. Certain penalties may also apply for prov d ng false or fraudulent loformatlor. AC©JFrJP- CERTIFICATE OF LIABILITY INSURANCE BOBBA-2 OP ID: RE DATE IMMIDIXTYYY) 12/17/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Senn Dunn - Raleigh 4700 Falls of Nouse Rd, St 190 Raleigh, NC 27609.2521 L. Rivers Lee CPCU, CIC INSURED Bob Barker Company Inc Jan Johnson 134 N Main Street Fuquay Varina, NC 27626 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE REEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXC_USIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INV - gliSr IOBR "'- LTV TYPE OF INSURANCE - ---—VOl:1LV eFF--WIMP - _ ASO_WVD POLICY NUMBER IMMIDOlYYYYI IMAVOO/YYYYi LIMITS CONTACT NAME: L. Rivers Lee CPCU, CIC PHONE E 919.719-9670 1 -MAIL°`E'�OL 819-719.9fi71 I �Arc� J: ADORE= riee senndunn.com INSURER(s) AFFORDING COVERAGE INSURER A: Great Northern ins, Company INSURER a:Federal Insurance Company INSURER C: Chubb National Insurance Co. INSURER D,OhIo Casualty Company _ INSURER E INSURER F NAIC W 20303 20281 10052 _ 24074 A C J CLAIMS•MADE X OCCUR X Stop Gap $1M jPer Proj/Per Loc Gem. ADOREOA re LIMIT APPLIES PER: 71 POLICY JECT LJ '_ac OTHER: AUTOMOBILE LIABILITY _X ANY AUTO ALL OWNED AUTOS X HIRED AUTOS SCHEDULED AUTOS NON•OWNEO AUTOS UMBRELLA LIAR X Excess LIAR ~_ DED 1 X RETENTION f 3595-17-38 ALL MONOPOLISTIC STATES 7358-60.69 12/31/2015 12131/2014 12/31/2015 REVISION NUMBER: EACH rmaca OCCURRENCE a— s 1,000,000 12/31/2016 PREMISES tEq�ocare,>ce1 s 300,000 MED EXP (An Y one person) s 10,000 PERSONAL 6 ADV INJURY f _ 1,000,000 GENERAL AGGREGATE f 2,000,000 `PRODUCTS -COMPIOPAGG S 2,000,000 Emp Ben. 1,000,000 I SINGLE LIMIT f oBU BODILY INJURY (Per person) S 1,000,000 BODILY INJURY (Per ecddent) f PROPERTYDAMFdr s er Qafden ). _ 5 OCCUR CLAIMS•MAGE 0 amnions COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Yr! N OPFICER/MEMBER EXCLUDED9 I I N I A (Mandatory 1n NII) It yes deer:dee under DESCRIPTION OF OPERATIONS below UUO56406231 7174.50.59 12/31/2016 12131/2015 12/31/2016 12/31/2016 EACH OCCURRENCE i 15,000,000 AGGREGATE s 15,000,000 X P7A T 1 OTFI- qn E.L. EACH ACCIDENT f 500,000 E.L. DISEASE. EA EMPLOYEES _ _ 500,000, E.L. DISEASE • POLICY LIMIT S 500,000 f DESCRIPTION OF OPERATIONS! LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space le required) CERTIFICATE HOLDER I Will be titled according to award CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0a. 'Map_ © 1988-2014 ACORO CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD X COMMERCIAL GENERAL LIABILITY NM EAS:i CCOLIbriaN' cots/ SIEVE REAMS TO: FROM: DATE: SUBJECT: Board of County Commissioners Lieutenant Brandon Cody November 22, 2016 Inmate Supplies Services Bid #B16000171 Bids from ACME Supply CO LTD, Amercare Products, Bob Barker Company, CHARM-TEX, Goaltex, HR Cotton USA, OD Taragin & Bros., LLC, Pacific Link, Tabb Textiles CO, TumKey Corrections and Victory Supply were received and opened on November 16, 2016. Each of the bids were reviewed and evaluated by Detention Division Lieutenants Brandon Cody, Todd Deutsch and Detention Division Captain Roger Ainsworth. As a result of the review and ability of a vendor to "outfit" an inmate upon incarceration, it was determined that Bob Barker Company' was the lowest bid as a result of the requested information from vendors. As a result of the findings, it is my recommendation that the Inmate Supplies Services contract be awarded to Bob Barker Company. Respectfully Submitted, Brandon Cody Detentions Lieutenant WCO247 Weld County Sheriff Office Southwest Substation 4209 WCR 24 1/2 Longmont, Colorado 80504 (720) 652-2415 Fax (720) 652-4217 Headquarters 1950 O Street Greeley, Colorado 80631 (970)356-4015 Fax (970)304-6467 Toll Free (800)436-9276 www,weldsheriff.com to2DiG2 - 355 Lc 51::tooq Southeast Substation 2950 9"' Street Fort Lupton, Colorado 80621 (303) 857-2465 Fax (303) 637-2422 Page I 1 cot, VNEnv covbaTN1 STEVE REAMS TO: FROM: DATE: SUBJECT: Trevor Jiricek Lieutenant Brandon Cody 11/22/2016 Inmate Supplies 4316000171 As of 11/22/2016, the population of the Weld County Jail is 698: 592 males; 106 females. 1. Vendors capable of being able to *outfit an inmate: BOB BARKER CHARM-TEX VICTORY TURNKEY $113.68 males/ $115.87 females $120.78 males / $122.87 females $125.66 males / $127.22 females $239.50 males / $236.10 females $67,298.56 / $12,282.22 $71,501.76 / $13,024.22 $74,390.72 / $13,485.32 $141,784 / $25,026.60 6.24%/6.04% 10.53% / 9.79% 110.6% / 103.7% 2. Vendors unable and/or chose not to bid on items able to *outfit an inmate: ACME, AMERCARE, GOALTEX, HR COTTON, OD TARAGIN & BROS, PACIFIC LINK, TABB TEXTILE *Items that were considered to outfit an inmate from arrest to being placed in a housing unit. Necessary items for inmates to have be placed in general population include: mesh tote, 2 blankets, 1 bed sheet, 1 pillow sheet, 1 towel, 1 pillow, 2 orange tops, 2 orange pants, 1 pair of shower shoes, 1 pair of deck canvas shoes, 2 white t -shirts, 2 white boxers (for males), 2 bras and panties (for females), 2 pair of orange socks and a mattress. It should be noted that Bob Barker Company has been our vendor for inmate supplies for a substantial amount of time and have always excellent customer service and turnaround time. Considering the totality of the above information, I recommend that Bob Barker Company be awarded inmate Supplies Bid #B16000171. Southwest Substation 4209 WCR 24 1/2 Longmont, Colorado 80504 (720) 652-2415 Fax (720) 652-4217 Headquarters 1950 0 Street Greeley, Colorado 80631 (970)356-4015 Fax (970)304-6467 Toll Free (800)436-9276 www.weldsheriff.com Southeast Substation 2950 9m Street Fort Lupton, Colorado 80621 (303) 857-2465 Fax (303) 637-2422 Page I 1 cc G z TO OUTFIT AN WD C -+ 44 m o 4-1 L o La vi N c 4-0 C � 'a CU cn 4-1 r V) 0 M -0 0 � O � s N � a X N m * * V' h M r4 in oo Q1 O r-1 in el M N in M Oo O in M V e-/ in d' N 1p in 00 M Q1 in N N o r-i i!} e-i t7 el ih cT 00 N *4 c' M M in co UD N in N N el An rn.,‘ cn CO v VI- u� tai Lf� l f M C1 'o N 4" O 1n O N to L.4 ei N ih 1n N 4 r --I i/} 1n it N in Ln N lD in O 01 CO e-/ in O in to N iJl- O C N in O I� M </} tD kD 111 in O O M in ID N ei ih �1? 'Zr N O el t/} Y 8 o in 08�E888888880 M et VT o in o v} e-1 in 0 v} 0 in r 0 v} 0 VI- 0 -v} . 0 in 0 in 0 1.4 0 -4f)- 88it��8080Cn1180 O O in N in r O in el to In in. p in O i/). 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Ei cucu 3 O O c �o a Canvas Shoes WELD COUNTY PURCHASING 1150 O Street Room 107, Greeley CO 80631 E -Mail: mwalters(a�co.weld.co.us E-mail: reverettR�co.weld.co.us Phone: (970) 356-4000, Ext 4222 or 4223 Fax: (970)336-7226 DATE OF BID: NOVEMBER 16TH, 2016 REQUEST FOR: INMATE SUPPLIES DEPARTMENT: SHERIFF'S DEPT BID NO: #B16000171 PRESENT DATE: NOVEMBER 21sT 2016 APPROVAL DATE: DECEMBER 5TH, 2016 VENDORS OD TARAGIN & BROS, LLC 1400 Aliceanna St Baltimore MD 21231 HR COTTON USA 3105 Sweetwater Road, Ste 220 Lawrenceville GA 30044 PACIFIC LINK 570 Brook Street Garden City NY 11530 BOB BARKER COMPANY 134 N. Main St. Fuguay-Varina, NC 27526 CHARM-TEX 1618 Coney Island Ave Brooklyn NY 11230 TURNKEY CORRECTIONS DBA: TKC Supply & Amercian Institutional Supply 2801 Harvey St Hudson WI 54016 ACME SUPPLY CO LTD 10 Cedar Swamp Road, Ste 7 Glen Cove NY 11542 TABB TEXTILES CO 511 Pleasant Drive Opelika AL 36801 PHOENIX TRADING dba: Amercare Products Inc 17661 128th Place NE Woodinville WA 98072 GOALTEX CORP 146 Split Rock Rd Syosset NY 11791 VICTORY SUPPLY 7025 Industrial Park Rd. Mt. Pleasant TN 38474 **Contract beginning January 1, 2017 to December 31, 2019. Option to renew agreement for two (2) additional periods of one (1) year each, with the same terms and conditions upon the County's satisfaction with all products and services received during the preceding agreement period. Option is to be exercised no later than sixty (60) days prior to January 31, 2019 and January 31, 2020.** The bids are being reviewed by the Sheriffs Dept at this time. Tabulation to follow. 2016-3556 oD0D,57 Hello