The
following
documentation
is
an
electronically
‐
submitted
vendor
response
to
an
advertised
solicitation
from
the
West Virginia Purchasing
Bulletin
within
the
Vendor
Self
‐
Service
portal
at
wvOASIS.gov
.
As
part
of
the
State
of
West
Virginia’s
procurement
process,
and
to
maintain
the
transparency
of
the
bid
‐
opening
process,
this
documentation
submitted
online
is
publicly
posted
by
the
West
Virginia
Purchasing
Division
at
WVPurchasing.gov
with
any
other
vendor
responses
to
this
solicitation
submitted
to
the
Purchasing
Division
in
hard
copy
format.
Date Printed: Sep 17, 2020 Page: 1 FORM ID: WV-PRC-SR-001 2020/05 Department of Administration
Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130
State of West Virginia Solicitation Response
Proc Folder: 772030
Solicitation Description: ADDENDUM No 1. Dell 5424 Ruggedized laptops or Equal Proc Type: Central Purchase Order
Solicitation Closes Solicitation Response Version
2020-09-17 13:30 SR 0803 ESR09172000000002263 1
VENDOR VS0000020628 Axelliant LLC
Solicitation Number: CRFQ 0803 DOT2100000020
Total Bid: 177800 Response Date: 2020-09-17 Response Time: 12:40:26
Comments:
FOR INFORMATION CONTACT THE BUYER John W Estep
(304) 558-7839 john.w.estep@wv.gov
Vendor
Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation
Date Printed: Sep 17, 2020 Page: 2 FORM ID: WV-PRC-SR-001 2020/05 Line Comm Ln Desc Qty Unit Issue Unit Price Ln Total Or Contract Amount 1 Ruggedized Dell Latitude 5424 laptop or
equivalent
70.00000 EA 2540.000000 177800.00
Comm Code Manufacturer Specification Model #
43210000
Commodity Line Comments: Please note that the acceptable mode of payment is Net 30 and we are not accepting payment in arrears at this
time. Also review the specifications prior to ordering as the CTO laptops are non returnable and non-cancellable. 2.Per our config team, DDR4 is not available through CTO for this model. And DDR4 and SDRAM are the same. Extended Description:
Date Printed: Sep 11, 2020 Page:1 FORM ID: WV-PRC-CRFQ-002 2020/05 Department of Administration
Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130
State of West Virginia Centralized Request for Quote
Office Equip.
3URF)ROGHU 5HDVRQIRU0RGLILFDWLRQ
'RF'HVFULSWLRQ $''(1'801R'HOO5XJJHGL]HGODSWRSVRU(TXDO ADDENDUM NO.1
Addendum No.1 issued to publish and distribute the attached information to the Vendor Community
3URF7\SH &HQWUDO3XUFKDVH2UGHU
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2020-09-11 &5)4'27
%,'5(&(,9,1*/2&$7,21 %,'&/(5.
DEPARTMENT OF ADMINISTRATION PURCHASING DIVISION
2019 WASHINGTON ST E
CHARLESTON WV 25305 US
9(1'25
Vendor Customer Code: Vendor Name :
Address : Street : City :
State : Country : Zip :
Principal Contact :
Vendor Contact Phone: Extension:
)25,1)250$7,21&217$&77+(%8<(5 -RKQ:(VWHS MRKQZHVWHS#ZYJRY 9HQGRU 6LJQDWXUH;)(,1'$7( $OORIIHUVVXEMHFWWRDOOWHUPVDQGFRQGLWLRQVFRQWDLQHGLQWKLVVROLFLWDWLRQ VS0000020628 Axelliant LLC
21250 Hawthorne BLVD, Suite 500, Torrance, CA, 90503
Torrance
CA US 90503
424 535-1018
9/16/2020 84-2165924
Date Printed: Sep 11, 2020 Page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
/LQH &RPP/Q'HVF 4W\ 8QLW,VVXH 8QLW3ULFH 7RWDO3ULFH
1 Ruggedized Dell Latitude 5424 laptop or
equivalent 70.00000 EA
&RPP&RGH 0DQXIDFWXUHU 6SHFLILFDWLRQ 0RGHO
([WHQGHG'HVFULSWLRQ
5XJJHGL]HG'HOO/DWLWXGHODSWRSRUHTXLYDOHQW
6&+('8/(2)(9(176
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Dell As per specifications mentioned Dell Latitude 5424 in Bid document
Document Phase Document Description Page
3
DOT2100000020 Final ADDENDUM No 1. Dell 5424
$2,540.00
$177,800.00
Notes:
1 - Please note that the acceptable mode of payment is Net 30 and we are not accepting payment in arrears at this time.
2 - Please review the detailed specifications sheet prior to purchase as the CTO products are non-retunable and non-cancellable.
3 - See link for reference. (Page 9) For the Camera,Mic, and Privacy shutter, please see page 6.
https://topics-cdn.dell.com/pdf/latitude-14-5424-laptop_owners-manual5_en-us.pdf
Ali Abrar
Manager Public Sector Sales
21250 Hawthorne BLVD, Suite 500, Torrance, CA, 90503 424 535-1018/ 310-375-8493
bidteam@axelliant.com
Axelliant LLC
Shahzad Munawwar - Chief Operating Officer
9/16/2020
VS0000020628 Axelliant LLC
21250 Hawthorne BLVD, Suite 500, Torrance, CA, 90503
Torrance
CA US 90503
424 535-1018
Dell As per specifications mentioned
in Bid document Dell Latitude 5424
$2,540.00
$177,800.00
1.
See link for reference. (Page 9) For the Camera,Mic, and Privacy shutter, please see page 6.
https://topics-cdn.dell.com/pdf/latitude-14-5424-laptop_owners-manual5_en-us.pdf
Axelliant LLC
West Virginia Ethics Commission
Disclosure of Interested Parties to Contracts
Pursuant to W. Va. Code § 6D-1-2, a state agency may not enter into a contract, or a series of related
contracts, that has/have an actual or estimated value of $1 million or more until the business entity submits to the contracting state agency a Disclosure of Interested Parties to the applicable contract. In addition, the business entity awarded a contract is obligated to submit a supplemental Disclosure of Interested Parties reflecting any new or differing interested parties to the contract within 30 days following the completion or termination of the applicable contract.
For purposes of complying with these requirements, the following definitions apply:
"Business entity"means any entity recognized by law through which business is conducted, including a
sole proprietorship, partnership or corporation, but does not include publicly traded companies listed on a national or international stock exchange.
"Interested party"or “Interested parties”means:
(1) A business entity performing work or service pursuant to, or in furtherance of, the applicable contract, including specifically sub-contractors;
(2) the person(s) who have an ownership interest equal to or greater than 25% in the business entity performing work or service pursuant to, or in furtherance of, the applicable contract. (This subdivision does not apply to a publicly traded company); and
(3) the person or business entity, if any, that served as a compensated broker or intermediary to actively facilitate the applicable contract or negotiated the terms of the applicable contract with the state agency. (This subdivision does not apply to persons or business entities performing legal services related to the negotiation or drafting of the applicable contract.)
“State agency"means a board, commission, office, department or other agency in the executive, judicial
or legislative branch of state government, including publicly funded institutions of higher education: Provided, that for purposes of W. Va. Code § 6D-1-2, the West Virginia Investment Management Board shall not be deemed a state agency nor subject to the requirements of that provision.
The contracting business entity must complete this form and submit it to the contracting state agency prior to contract award and to complete another form within 30 days of contract completion or termination.
This form was created by the State of West Virginia Ethics Commission, 210 Brooks Street, Suite 300, Charleston, WV 25301-1804. Telephone: (304)558-0664; fax: (304)558-2169; e-mail: ethics@wv.gov; website: www.ethics.wv.gov.
West Virginia Ethics Commission
Disclosure of Interested Parties to Contracts
(Required by W. Va. Code§ 6D-1-2)
Name of Contracting Business Entity:____________________Address: _________________________________
_________________________________
Name of Authorized Agent: ____________________________ Address:_________________________________
Contract Number: __________________________ Contract Description: ____________________________
Governmental agency awarding contract: ☐
☐ Check here if this is a Supplemental Disclosure
List the Names of Interested Parties to the contract which are known or reasonably anticipated by the contracting business entity for each category below(attach additional pages if necessary):
1. Subcontractors or other entities performing work or service under the Contract
□
Check here if none, otherwise list entity/individual names below.2. Any person or entity who owns 25% or more of contracting entity (not applicable to publicly traded entities)
□
Check here if none, otherwise list entity/individual names below.3. Any person or entity that facilitated, or negotiated the terms of, the applicable contract (excluding legal services related to the negotiation or drafting of the applicable contract)
□
Check here if none, otherwise list entity/individual names below.
Signature: ________ Date Signed: ______________________________
Notary Verification
State of _____________________________________, County of _________________________________________: I, _______________________________________________________, the authorized agent of the contracting business entity listed above, being duly sworn, acknowledge that the Disclosure herein is being made under oath and under the penalty of perjury.
Taken, sworn to and subscribed before me this ______________ day of _______________________, _____. ________________________________________________________ Notary Public’s Signature
To be completed by State Agency:
Date Received by State Agency: _________________________________ Date submitted to Ethics Commission: _____________________________ Governmental agency submitting Disclosure: ________________________
Revised June 8, 2018
Axelliant LLC
21250 Hawthorne BLVD, Suite 500,
Torrance, CA, 90503
Ali Abrar
Dell 5424 Ruggedized laptops
DIVISION OF HIGHWAYS
9/16/2020
CA
Los Angeles
Shahzad Munawwar
17 September 2020
21250 Hawthorne BLVD, Suite 500, Torrance, CA, 90503
✔
✔
Module Description Product Code Sku ID Dell Latitude 5424 Dell Latitude 5424 Rugged, CTO GZR1A9L [210-AQPY] 1
Processor 8th Gen Intel® Core™ i5-8350U Processor (Quad Core, 6M Cache, 1.7GHz,15W, vPro) GFBY60R [379-BDHC] 146 Operating System Windows 10 Pro 64bit English, French, Spanish GF48XA1 [619-AHKN] 11 Microsoft Office No Microsoft Office License Included-30 day Trial Offer Only GC7OFJV [658-BCSB] 1002
[634-BLUF] [814-8756] Base and Graphics Intel® Core™ i5-8350U Processor Base with Integrated Intel UHD 620 Graphics GBGF479 [338-BPVI] 149 Systems Management No Out-of-Band Systems Management - vPro Disabled GRQX26P [631-ABWH] 49
Memory 16GB, 2x8GB, 2666MHz DDR4 Non-ECC GWL629D [370-AEVG] 3 Secondary Hard Drive No Additional Hard Drive GNTOSJ7 [401-AADF] 637
Hard Drive 2.5" 1TB 7200RPM SATA Hard Drive GBUTKI7 [400-BBIU] 8 LCD 14" FHD WVA (1920 x 1080) Anti-Glare Non-Touch, Outdoor-Readable Screen GQ7JP51 [391-BDXN] 760
Security Options No Security Options G98LKW2 [346-BEVG] 55
[389-DOPO] [580-ABYR] Driver Intel® Dual Band Wireless AC 8265 (802.11ac) 2x2 + Bluetooth 4.2 Driver GNSFQ3J [555-BEPE] 7
[555-BDGD] [575-BBYW] Mobile Broadband No Mobile Broadband Card GLAU7Q1 [362-BBBB] 114
Primary Battery 3 Cell 51Whr ExpressCharge Capable Battery GFDTJ5M [451-BCHG] 112 Power Supply 90W Rugged AC Adapter, 7.4mm Elbow Barrel GXQ6M2N [492-BCNQ] 1015 Security Software No Security Software G85SQRI [650-AAAM] 1014 Operating System Recovery Options OS-Windows Media Not Included GLA9OQ1 [620-AALW] 200013
Cable E5 US Power Cord GVGQ43T [537-BBBD] 20
Setup and Features Guide 5424 Setup and Features Guide G6R13K7 [340-CHMZ] 60 Accessories Factory Installed Rigid handle for the tied sku GX931ZA [540-BCIH] 473 Canada Ship Options US No Canada Ship Charge USNONE [332-1286] 111
Second Battery Dummy Airbay Cover GFLEPJ1 [325-BDEH] 113
Documentation/Disks Safety/Environment and Regulatory Guide (English/Spanish) GEPGU1O [340-AGIN] 21
Label Regulatory Label included GO637JX [389-BEYY] 676
[340-AJPV] [640-BBRP] [658-BCUV] [328-BCXL] [340-CKTD] Processor Branding Intel® Core™ i5 Processor Label GUVDRL7 [389-BLSV] 749
TAA No TAA NOTAA [340-ACQQ] 97
Optical Software PowerDVD Software not included GI5LS2C [632-BBBJ] 597 Diagnostic CD / Diskette No Resource Media G5KFAU6 [430-XXYG] 50
ENERGY STAR Not ENERGY STAR Qualified GH9T8PU [387-BBCE] 122
Transportation from ODM to region Standard Shipment GF6RVZ0 [800-BBGF] 200080 Support Tech Sheet and Powercord No UPC Label GJTP346 [389-BDCE] 292
Serial Port No Additional IO Ports GUX5DZL [590-TEYX] 698
Third Hard Drive No Additional Hard Drive GNTOSJ7 [401-AADF] 54 Hard Drive Cables and Brackets Spinning Hard Drive Brackets, 5424 GZ7VKOL [590-TEYZ] 705
CD ROM/DVD ROM No Optical Disk Drive GBO36AH [429-AAYP] 16
GPS Solutions (Tied) No Option Included GKGSY4C [340-ACQQ] 1409
Camera RGB Camera GW8U47H [319-BBFN] 379
Network Card No PCMCIA Card or ExpressCard Reader GZFQX2J [590-TEZB] 13
Windows AutoPilot No Windows AutoPilot GYEO2AP [340-CKSZ] 291
[808-6782] [808-6784] [808-6805] [808-6810] [975-3461] [989-3449]
Accidental Damage Accidental Damage Service, 4 Years AD4 [973-9200] 33
Complete Speifications
Dell Endpoint Security Additional Offers Absolute Resilience (Prem), 5 Years APRE5 200283
Keyboard Sealed Internal RGB Backlit English Keyboard G5GS3BX 4
Wireless Intel® Dual Band Wireless AC 8265 (802.11ac) 2x2 + Bluetooth 4.2 G1QMEO2 19
Hardware Support Services 4 Years ProSupport with Next Business Day Onsite Service PN4 29 Non-Microsoft Application Software Dell Applications for Windows 10 G5FK0CU 1003
STATE OF WEST VIRGINIA
Purchasing Division
PURCHASING AFFIDAVIT
CONSTRUCTION CONTRACTS: Under W. Va. Code § 5-22-1(i), the contracting public entity shall not award a construction contract to any bidder that is known to be in default on any monetary obligation owed to the state or a political subdivision of the state, including, but not limited to, obligations related to payroll taxes, property taxes, sales and use taxes, fire service fees, or other fines or fees.
ALL CONTRACTS: Under W. Va. Code §5A-3-10a, no contract or renewal of any contract may be awarded by the state or any of its political subdivisions to any vendor or prospective vendor when the vendor or prospective vendor or a related party to the vendor or prospective vendor is a debtor and: (1) the debt owed is an amount greater than one thousand dollars in the aggregate; or (2) the debtor is in employer default.
EXCEPTION: The prohibition listed above does not apply where a vendor has contested any tax administered pursuant to chapter eleven of the W. Va. Code, workers’ compensation premium, permit fee or environmental fee or assessment and the matter has not become final or where the vendor has entered into a payment plan or agreement and the vendor is not in default of any of the provisions of such plan or agreement.
DEFINITIONS:
“Debt”means any assessment, premium, penalty, fine, tax or other amount of money owed to the state or any of its political subdivisions because of a judgment, fine, permit violation, license assessment, defaulted workers’ compensation premium, penalty or other assessment presently delinquent or due and required to be paid to the state or any of its political subdivisions, including any interest or additional penalties accrued thereon.
“Employer default”means having an outstanding balance or liability to the old fund or to the uninsured employers' fund or being
in policy default, as defined in W. Va. Code § 23-2c-2, failure to maintain mandatory workers' compensation coverage, or failure to fully meet its obligations as a workers' compensation self-insured employer. An employer is not in employer default if it has entered into a repayment agreement with the Insurance Commissioner and remains in compliance with the obligations under the
repayment agreement.
“Related party”means a party, whether an individual, corporation, partnership, association, limited liability company or any other form or business association or other entity whatsoever, related to any vendor by blood, marriage, ownership or contract through which the party has a relationship of ownership or other interest with the vendor so that the party will actually or by effect receive or control a portion of the benefit, profit or other consideration from performance of a vendor contract with the party receiving an amount that meets or exceed five percent of the total contract amount.
AFFIRMATION: By signing this form, the vendor’s authorized signer affirms and acknowledges under penalty of law for false swearing (W. Va. Code§61-5-3) that: (1) for construction contracts, the vendor is not in default on
any monetary obligation owed to the state or a political subdivision of the state, and (2) for all other contracts, that neither vendor nor any related party owe a debt as defined above and that neither vendor nor any related party are in employer default as defined above, unless the debt or employer default is permitted under the exception above.
WITNESS THE FOLLOWING SIGNATURE:
Vendor’s Name: ___________________________________________________________________________________
Authorized Signature: ______________________________________________ Date: ___________________________ State of _____________________________
County of ______________________, to-wit:
Taken, subscribed, and sworn to before me this ___ day of ____________________________, 20___. My Commission expires ______________________________, 20___.
AFFIX SEAL HERE NOTARY PUBLIC____________________________________
Purchasing Affidavit (Revised 01/19/2018)