date: march 16, 2015 subject: paper boxes for ... service department darin crawford, food service...
TRANSCRIPT
Food Service Department Darin Crawford, Food Service Director
DATE: March 16, 2015
SUBJECT: PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
NOTICE TO VENDORS
Cypress-Fairbanks Independent School District invites your firm to submit a proposal for PAPER BOXES
FOR FOOD SERVICE. Attached are the conditions, requirements, and specifications for this contract.
Sealed proposals for PAPER BOXES FOR FOOD SERVICE CONTRACT NO. 15-02-4418-IB are to be
addressed to Ms. Kristine Johnston, Director of Purchasing, Cypress-Fairbanks Independent School District, and
delivered to Windfern Administrative Annex, 12510 Windfern Road, Houston, Texas 77064-3108, until
1:00 P.M. on Monday, March 30, 2015 at which time they will be publicly opened and read. Additional bid
forms and/or questions are handled by the Buyer for Food Service, Chelsea Aitken, at 281-517-6552.
Proposal envelope should be plainly marked:
SEALED PROPOSAL: PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
DO NOT OPEN UNTIL 1:00 P.M., MONDAY, MARCH 30, 2015
Any proposal received later than the specified time, whether delivered in person or by mail shall be
disqualified.
The District reserves the right to reject any and/or all bids, to accept any proposal deemed most
advantageous to the Cypress-Fairbanks Independent School District, and to waive any informalities in
the bidding process.
Sincerely,
Darin Crawford
Food Service Director
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 2 of 14
GENERAL CONDITIONS
1.0 SCOPE OF PROPOSAL:
1.1 It is in the intention of Cypress-Fairbanks Independent School District (CFISD and/or
the District) to purchase:
Item: PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
1.2 This proposal is in twelve (12) parts: Notice to Vendors, General Conditions, Proposal
Authorization Form, Felony Conviction Notice, Compliance with the Clean Air and
Clean Water Act, U.S. Department of Agriculture, Certification Regarding Lobbying,
Disclosure of Lobbying Activities, Instructions for Completion of SF-LLL,
Specification Sheet, Food Service Department Bid Form, and the No Proposal
Notification Form.
1.3 Contract Period: April 1, 2015 – April 30, 2015
2.0 APPLICABILITY: These conditions are applicable and form a part of the contract documents
and a part of the terms of each purchase order for items included in the specifications and
proposal form issued herewith.
3.0 SPECIFICATIONS: The use of manufacturer's specifications (Design Guide) by the District
is to be considered informative giving the bidder information as to the exact quality and value
requirement. The bidder shall note in writing any deviations from specifications and shall
submit those changed specifications as an alternate.
Buy American Provision
Schools and institutions participating in the NSLP and SBP are required by law to use CN
funds, to the maximum extent practicable, to buy domestic commodities or products for meals
served under these programs. A “domestic commodity or product” is defined as one that is
either produced in the U.S. or processed in the U.S. substantially using agricultural
commodities that are produced in the U.S. The term “substantially” means that over 51 percent
of the final processed product consists of agricultural commodities that were grown
domestically.
4.0 EVALUATION: In evaluating qualified proposals, the following considerations will be taken
into account for award recommendations:
4.1 the purchase price;
4.2 the reputation of the vendor and of the vendor's goods or services;
4.3 the quality of the vendor's goods or services;
4.4 the extent to which the goods or services meet the needs of the District;
4.5 the vendor's past relationship with the District;
4.6 the long-term cost to the District to acquire the vendor's goods or services;
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 3 of 14
GENERAL CONDITIONS (continued)
4.0 EVALUATION (continued)
4.7 for a contract for goods and services, other than goods and services related to
telecommunications and information services, building construction and
maintenance, or instructional materials, whether the vendor or the vendor's ultimate
parent company or majority owner: (A) has its principal place of business in this
state; or (B) employs at least 500 persons in this state;
4.8 any other relevant factor specifically listed in the request for bid or proposal.
5.0 APPROPRIATED FUNDS: The purchase, which arises from this solicitation, is
contingent upon the availability of appropriated funds. CFISD shall have the right to cancel
this contract at the end of the then current fiscal period if funds are not allotted for the next
fiscal year to continue this contract. If funds are withdrawn or do not become available,
CFISD can cancel the service contract by giving the vendor written notice of its intention to
cancel not less than thirty (30) days prior to the end of the term year without penalty. Upon
cancellation of the contract, CFISD shall not be responsible for any payment of any
services that are received or that occur after the end of the current fiscal year contract
period.
6.0 WARRANTY CONDITIONS: Supplies shall carry the manufacturer’s maximum standard
warranty.
7.0 TERMS OF PAYMENT: The Cypress-Fairbanks Independent School District policy is to
honor an early payment discount whenever possible. All invoices should specify discount terms
and conditions to insure the earliest possible payment. Otherwise, funds for completed
contracts concerning this proposal will be available within forty-five (45) days of delivery
and acceptance by the District.
8.0 FACSIMILE PROPOSALS: Cypress-Fairbanks Independent School District does not accept
receipt of faxed proposals. The attached Proposal Acknowledgment Form in a sealed envelope
is the only acceptable form of proposal submittal.
9.0 NO PROPOSAL RESPONSE: A vendor choosing not to submit a proposal should return the
No Proposal Notification Form. Failure to respond by submitting a proposal response or a
No Proposal Notification form may remove your name from the District vendor list.
10.0 CONFLICT OF INTEREST QUESTIONNAIRE: This document and instructions are located
on-line at https://app.cfisd.net/ciq/index.aspx. All vendors are required to file an updated
Conflict of Interest Questionnaire annually.
11.0 TEXAS PUBLIC INFORMATION ACT (TPIA): Contractor acknowledges that the Cypress-
Fairbanks Independent School District (CFISD) is subject to the Texas Public Information Act
(TPIA). As such, upon receipt of a request under the TPIA, CFISD is required to comply with
the requirements of the TPIA.
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 4 of 14
GENERAL CONDITIONS (continued)
11.0 TEXAS PUBLIC INFORMATION ACT (TPIA) (continued)
For purposes of the TPIA, “public information” is defined as information that is written,
produced, collected, assembled, or maintained under a law or ordinance or in connection with
the transaction of official business:
11.1 by CFISD; or
11.2 for CFISD and CFISD
11.2.1 owns the information; or
11.2.2 has a right of access to the information; or
11.2.3 spends or contributes public money for the purpose of writing, producing,
collecting, assembling, or maintaining the information; or
11.3 by an individual officer or employee of CFISD in the officer’s or employee’s
official capacity and the information pertains to official business of the
CFISD.
Contractor is expected to fully cooperate with the CFISD in responding to public information
requests. This includes, but is not limited to, providing the CFISD with requested
documentation. In the event that the request involves documentation that Contractor has clearly
marked as confidential and/or proprietary, CFISD will provide Contractor with the required
notices under the TPIA. Contractor acknowledges that it has the responsibility to brief the
Attorney General's Office on why the documents identified as confidential and/or proprietary
fall within an exception to public disclosure.
12.0 REQUIRED SIGNATURE PAGES: Vendors choosing to reply to this proposal are required
to complete the following signature pages per manufacturer or distributor:
Proposal Authorization Form
Felony Conviction Notice
Compliance with Clean Air and Clean Water Act
U.S. Department of Agriculture
Certification Regarding Lobbying
Disclosure of Lobbying Activities
“The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers,
employees, and applicants for employment on the basis of race, color, national origin, age, disability,
sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or
parental status, sexual orientation, or all or part of an individual's income is derived from any public
assistance program, or protected genetic information in employment or in any program or activity
conducted or funded by the Department. (Not all prohibited basis will apply to all programs and/or
employment activities.)”
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program
Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html,
or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter
containing all of the information requested in the form. Send your completed complaint form or letter
to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400
Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 5 of 14
PROPOSAL AUTHORIZATION FORM
PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
Having carefully examined the Proposal Notice, General Conditions, and Proposal Authorization Form, the undersigned
hereby proposes and agrees to furnish goods and/or services in strict compliance with the specifications and conditions at
the prices quoted. The bidder affirms that to the best of his knowledge the proposal has been arrived at independently and
is submitted without collusion with anyone to obtain information or gain any favoritism that would in any way limit
competition or give them an unfair advantage over other vendors in the award of this proposal. The bidder certifies that
neither it nor any of its principals has been proposed for debarment, debarred or suspended by a federal agency.
I affirm that, to the best of my knowledge, the company I represent meets Equal Employment Opportunity Commission
standards and American Disability Act standards in employment practices.
Please indicate with a check the type of company you represent: __ Broker __ Other __ Distributor
Vendor Name (not broker): ____________________________________________________________________
Broker Name (if appropriate): ____________________________________________________________________
Address: ____________________________________________________________________
City, State, Zip: ____________________________________________________________________
Phone Number & Ext.: ____________________________________________________________________
Fax Number: ____________________________________________________________________
Send Purchase Order To: ____________________________________________________________________
Address: ____________________________________________________________________
City, State, Zip: ____________________________________________________________________
Phone Number: ____________________________________________________________________
Fax Number: ____________________________________________________________________
Email Address: ___________________________________________________________________
Send Payment To/Invoice From: ____________________________________________________________________
(Name that will appear on invoice)
Address: ____________________________________________________________________
City, State, Zip: ____________________________________________________________________
Phone Number: ____________________________________________________________________
Fax Number: _____________________________________________________________________
Email Address: (required) ____________________________________________________________________
Signature of Bidder: ____________________________________________________________________
Printed Signature: ____________________________________________________________________
Position with Company: ____________________________________________________________________
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 6 of 14
FELONY CONVICTION NOTICE
PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
State of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History,
Subsection (a), states, “A person or business entity that enters into a contract with a school district
must give advance notice to the district if the person or an owner or operator of the business entity has
been convicted of a felony. The notice must include a general description of the conduct resulting in
the conviction of a felony.”
Subsection (b) states, “A school district may terminate a contract with a person or business entity if the
district determines that the person or business entity failed to give notice as required by Subsection (a)
or misrepresented the conduct resulting in the conviction. The district must compensate the person or
business entity for services performed before the termination of the contract.”
This Notice is not required of a Publicly Held Corporation.
I, the undersigned agent for the firm named below, certify that the information concerning notification
of felony convictions has been reviewed by me and the following information furnished is true to the
best of my knowledge.
Firm Name:_________________________________________________________________________
Authorized Company Official’s Name
(Printed):___________________________________________________________________________
A. My firm is a publicly held corporation; therefore, this reporting requirement is not applicable.
Signature of Company
Official:______________________________________________________________________
B. My firm is not owned or operated by anyone who has been convicted of a felony.
Signature of Company
Official:______________________________________________________________________
C. My firm is owned or operated by the following individual(s) who has/have been convicted of a
felony:
Name of
Individual(s):_________________________________________________________________
Details of
conviction(s):_________________________________________________________________
Signature of Company
Official:____________________________________________________________________________
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 7 of 14
COMPLIANCE WITH THE CLEAN AIR AND CLEAN WATER ACT
PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
“I, the vendor, am in compliance with all applicable standards, orders or regulations issued pursuant to
the Clean Air Act of 1970, as amended (42 U.S.C. 1857 Ch), Section 508 of the Clean Water Act, as
amended (33 U.S.C. 1368), Executive Order 117389 and Environmental Protection Agency
Regulation, 40 CFR Part 15 as required under OMB Circular A-102, Attachment O, Paragraph 14(1)
regarding reporting violations to the grantor agency, and to the United States Environmental Protection
Agency Assistant Administrator for the Enforcement.”
Firm Name: ___________________________________________________________________
Signature of Company Official: ____________________________________________________
Position with Company: _________________________________________________________
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 8 of 14
U.S. Department of Agriculture
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion –
Lower Tier Covered Transactions
This certification is required by the regulations implementing Executive Order 12549, Debarment
and Suspension, 7 CFR Part 3017, Section 3017.510, Participant’s responsibilities. The regulations
were published as Part IV of the January 30, 1989, Federal Register (pages 4722-4733). Copies of
the regulations may be obtained by contacting the Department of Agriculture agency with which
this transaction originated.
(Before completing certification, read the instructions below.)
1. By signing and dating the certification statement, the bidder certifies that neither it nor any of
its principals (e.g. key employees) has been proposed for debarment, debarred or suspended
by a federal agency on the date signed.
2. The prospective bidder shall provide immediate written notice to the person to which this
proposal is submitted if at any time the prospective bidder learns that its certification was
erroneous when submitted or has become erroneous by reason of changed circumstances.
3. Federal and State penalties exist for vendors and districts that knowingly enter into
contracts with suspended / debarment persons.
(1) The prospective lower tier participant certifies, by submission of this proposal, that neither
it nor its principals is presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements
in this certification, such prospective participant shall attach an explanation to this
proposal.
Organization Name RP / Award Number or Project Name
Name and title of Authorized Representative
Signature Date
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 9 of 14
Certification Regarding Lobbying
Applicable to Grants, Subgrants, Cooperative Agreements, and Contracts Exceeding
$100,000.00 in Federal Funds
Submission of this certification is a prerequisite for making or entering into this transaction and is
imposed by section 1352, Title 31, U.S. Code. This certification is a material representation of fact
upon which reliance was placed when this transaction was made or entered into. Any person who
fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00
and not more than $100,000.00 for each such failure.
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the award of a Federal contract,
the making of a Federal grant, the making of a Federal loan, the entering into a cooperative
agreement, and the extension continuation, renewal, amendment, or modification of a
Federal contract, grant, loan or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influence or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer of employee of Congress, or an employee of a Member of
Congress in connection with this Federal grant or cooperative agreement, the undersigned
shall complete and submit Standard Form –LLL, “disclosure Form to Report Lobbying,” in
accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all covered subawards exceeding $100,000.00 in Federal funds at all
appropriate tiers and that all subrecipients shall certify and disclose accordingly.
Name of Organization
Address of Organization
Name / Title of Submitting Official
Signature Date
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 10 of 14
Disclosure of Lobbying Activities Approved by OMB 038-0046
Complete this form to disclose lobbying activities pursuant to 31
U.S.C>. 1352 (See next page for public burden disclosure.)
1. Type of Federal Action:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
2. Status of Federal Action:
a. bid / offer/ application
b. initial award
c. post award
3. Report Type
a. initial filing
b. material change
For Material Change Only:
Year
Quarter
date of last report
4. Name and Address of Reporting Entity:
Prime
Subawardee
Tier if known:
5. If Reporting in No. 4 Subawardee, Enter Name and Address of Prime:
Address of Prime
Congressional District, if known :
6. Federal Department / Agency: 7. Federal Program Name / Description:
CFDA Number, if applicable
8. Federal Action Number, if known: 9. Award Amount, if known:
$
10. a. Name and Address of Lobbying Entity:
(if individual, last name, first name, MI ):
b. Individuals Performing Services
(including address if different from No 10a (last name, first name, MI):
11. Amount of Payment (check all that apply):
$ actual
planned
13. Type of Payment (check all that apply):
a. retainer
b. one-time free
c. commission
d. contingent fee
e. deferred
f. other; specify
12. Form of Payment (check all that apply):
a. cash
b. in-kind; specify:
nature
value
14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s) contacted
for Payment Indicated in Item 11:
(Attach Continuation Sheets SF-LLL-A if necessary)
15. Continuation Sheet(s) SF-LLL-A if necessary) Yes no
16. Information required through this form is authorized by article 31 U.S.C. section 1352. This disclosure of lobbying activities is a maternal
representation of fact upon which reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required
pursuant to 31 U.S.C. 1353. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who
fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.
Signature Print Name
Title Telephone Number:
Date
Federal Use Only:
Authorized for Local Reproduction Standard Form -LLL
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 11 of 14
Instructions for Completion of SF-LLL, Disclosure of Lobbying Activities
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient at the
initiation or receipt of a covered Federal action, or a material change to a previous filling, pursuant to title 31 U.S.C.
section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for
influencing or attempting to influence an officer or employee of any agency; a Member of Congress, an officer or
employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use the
SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that
apply for both the initial filing and the material change report. Refer to the implementing guidance published by the
Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and / or has been secured
to influence the outcome of a covered Federal Action.
2. Identify the status of the covered Federal Action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change
to the information previously reported, enter the year and quarter in which the change occurred. Enter the
date of the last previously submitted report by this reporting entity for this covered Federal Action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be,
a prime or subaward recipient. Identify the tier of the subawardee, e.g. the first subawardee of the prime is
the 1st
tier. Subawards include but are not limited to subcontracts, subgrants, and contract awards under
grants.
5. If the organization filing the report in item 4 checks “Subawardee” then enter the full name, address,
city, state and zip code of the prime Federal recipient. Include Congressional District, if known.
6. Enter the name of the Federal Agency making the award or loan commitment. Include at least one
organizational level below agency name, if known. For example, Department of Transportation, United
States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and
loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in
item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement
number, contract, grant, or loan award number, the application proposal control number assigned by the
Federal agency). Include prefixes, e.g.,” RFP-DE-90-001.”
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,
enter the Federal amount of the award / loan commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code for the lobbying entity engaged by the
reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of
the individual(s) performing services, and include full addresses if different from 10(a). Enter Last
Name, First Name and Middle Initial (MI).
11. Enter the amount compensation paid or reasonably expected to be paid by the reporting entity (item 4) to
the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made
(planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of
payment made or planned to be made.
12. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
13. Provide a specific and detailed description of the services that the lobbyist has performed, or will be
expected to perform, and the date(s) of any services rendered. Include all preparatory and related activity,
not just time spent in actual contact with Federal officials. Identify the Federal official(s) or employee(s)
contacted or the officer(s), or Member(s) of Congress that were contacted.
14. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached. 15. The certifying official shall sign and date the form, print his/her name, title and telephone number.
Public reporting burden for this collection of information is estimated to average 30 minutes per response,
including time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding the burden
estimate or any other aspect of this collection of information including suggestions for reducing this burden, to the
Office of Management and Budget, Paperwork Reduction Projects (0348-0046), Washington, D.C. 20503
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 12 of 14
SPECIFICATION SHEET
PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
Specification: Box, Paper, Printed – 4 15/16 x 2 7/8 x 1 3/4
Manufacturer: Core Packaging Manufacturer #: 2457
1. Custom printed paper box for serving chicken bites
2. Dimensions – 4 15/16 x 2 7/8 x 1 3/4
3. Custom print logo to include 3 colors plus coating
4. Style: TT/AB
5. Material: 16 pt SBS
6. Packed 400 per case
7. Maximum 14 day lead time for delivery
8. Bulk order of 1800 cases needed two weeks from award date
9. Sample required for alternate
Include specification sheet.
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 13 of 14
Cypress-Fairbanks Independent School District
Food Service Department Bid Form
April 1, 2015 – April 30, 2015
Subject: PAPER BOXES FOR FOOD SERVICE
Contract Number: 15-02-4418-IB
Category: Paper for Food Service
Item# Unit Estimated Quantity Item Manufacturer Manuf. # Price per Unit Delivery Information
1 CS 1800 Box, Paper, Printed – 4 15/16 x 2 7/8 x 1 3/4
Paper Boxes for Food Service, Contract #15-02-4418-IB, Page 14 of 14
NO PROPOSAL NOTIFICATION
PAPER BOXES FOR FOOD SERVICE
CONTRACT NO. 15-02-4418-IB
Please complete this page only if submitting a no proposal response and return prior to the
proposal opening date.
Check below:
1. We have chosen not to submit a proposal for the reason listed below but wish to remain on
the vendor list for this proposal in the future.
_______________________________________________________________________
_______________________________________________________________________
2. The products/services we represent should be listed in another category.
(Specify)________________________________________________________________
3. We wish to be removed from the vendor list for the reason listed below.
_______________________________________________________________________
_______________________________________________________________________
Company Name: ____________________________________________________________
Attention: ____________________________________________________________
Bid Mailing
Address: ____________________________________________________________
City: _______________________________ State: ______ Zip: _______
Purchase Order
Mailing Address: ____________________________________________________________
City: ______________________________ State: ______ Zip: _______
Phone Number: ( ) Fax Number: ( ) _________________
Email Address: ____________________________________________________________
Website Address: ____________________________________________________________
Typed Name and
Title: ____________________________________________________________
Signature: _________________________________________ Date: ____________
Mail to: Ms. Kristine Johnston Director of Purchasing, Cypress-Fairbanks Independent School District,
Windfern Administrative Annex, 12510 Windfern Road, Houston, TX 77064.
Failure to return this No Proposal Notification or an actual proposal response may result in the removal
of your company name from the vendor list.