REQUEST FOR PROPOSALS For the Installation and Maintenance of a Backup and Disaster Recovery System

REQUEST FOR PROPOSALS For the Installation and Maintenance of a Backup and Disaster Recovery System Issued by: The City of Sandusky, Ohio Issued: October 16, 2013 Contact Person: Donald Rumbutis City of Sandusky IT Department 222 Meigs Street Sandusky, OH 44870 Phone: (419) 627-5828 EMAIL: drumbutis@ci.sandusky.oh.us Proposals Due: vember 4, 2013 at 2:00 p.m. The City of Sandusky reserves the right to reject any or all Proposals, to waive informalities, or to accept any Proposal which it deems most favorable to the City of Sandusky Page 1 of 21

Table of Contents Description Page Section I. tice to Proposers 3 Section II. Specific Timeline 4 Section III. Instruction to Proposers 4 Section IV. Communications and Questions Concerning Proposal 5 Section V. Scope of Service and Specifications 6 Section VI. Proposal Submittal and Format 7 Section VII. Interpretation 8 Section VIII. Proposal Evaluation Criteria 9 Section IX. Key Elements of a Proposer's Proposal Concerning Qualifications and Experience to be Furnished to the City 11 Proposer's Questionnaire 13 Waiver and Release Form 16 Disclosure of Personal Property Taxes 17 Exhibit A 19 Ohio Revised Code SECTION 9.24 Unresolved Finding of Recovery Issued by The Auditor of The State of Ohio 20 n-collusion Affidavit 21 Page 2 of 21

SECTION I. NOTICE TO PROPOSERS LEGAL NOTICE REQUEST FOR PROPOSALS Sealed proposals will be received by the City of Sandusky in the IT Department, 222 Meigs Street, Sandusky, OH 44870 UNTIL Monday, vember 4, 2013 at 2:00 P.M. (EST) to install and maintain a Backup and Disaster Recovery System for three (3) Computer Servers, for the City of Sandusky. The City of Sandusky intends to execute a Purchase Agreement with a responsible bidder who, in the sole discretion of the City, proposes the lowest and best bid. All proposals shall be submitted in a sealed envelope clearly labeled Backup and Disaster Recovery for The City of Sandusky. The name and address of Proposer shall also appear on the outside of the envelope. The Request for Proposals (RFP) will be available for pick up at the Customer Accounting Office, located at 222 Meigs Street, Sandusky, OH 44870 on October 16, 2013 and shall also be available to download on the City of Sandusky s website at www.ci.sandusky.oh.us. Sealed Proposals will be received by the City of Sandusky, at the City of Sandusky IT Department and shall be addressed to the Donald Rumbutis, IT Department, 222 Meigs Street Sandusky, Ohio 44870. Proposals shall be delivered NO LATER THAN Monday, vember 4, 2013 at 2:00 P.M. (EST). All Proposals must be received on time and in full compliance with the instructions contained in the RFP. The City of Sandusky reserves the right to reject any or all proposals, to waive informalities, to accept any Proposal which it deems most favorable to the City of Sandusky and to withdraw this solicitation at any time. Approved for publication By: CITY OF SANDUSKY, OHIO Donald Rumbutis, IT Department DATES OF PUBLICATION: October 16, 2013 and October 23, 2013 Page 3 of 21

SECTION II. SPECIFIC TIMELINE October 16 and October 23, 2013 Legal notice published in the Sandusky Register that the City of Sandusky is accepting Proposals for the installation of a Backup and Disaster Recovery system at the Sandusky City Building and the IT Department facilities and the Request for Proposals packets are available. Monday, October 28, 2013, 2:00 P.M. (EST) Mandatory Pre-Proposal Meeting to be held in the classroom at the Sandusky Police Department, 222 Meigs Street, Sandusky, Ohio 44870. Wednesday, October 30, 2013 at 5:00 P.M. (EST) The last day to submit questions and clarifications regarding this Request for Proposals. Friday. vember 1, 2013 at 3:00 P.M. (EST) Questions and clarification regarding this Request for Proposals shall be answered. Monday, vember 4, 2013 at 2:00 P.M. (EST) Deadline for submission of Proposals to the City of Sandusky. Friday, vember 15, 2013 Latest anticipated date that the City of Sandusky shall notify Proposers of the intent to enter into a contract. SECTION III. INSTRUCTIONS TO PROPOSERS This Request for Proposals is being issued by the City of Sandusky. Primary contact for all communications regarding this Request for Proposals shall be Donald Rumbutis, IT Department, 419-627-5828. All private, for-profit, non-profit and public entities shall be eligible to submit Proposals for this work. A notice regarding this Request for Proposals shall be published as a legal notice in the Sandusky Register. This Request for Proposals shall be available for pick up on October 16, 2013 at the Customer Accounting Office, City of Sandusky, 222 Meigs Street, Sandusky, Ohio 44870 and shall be available to download from the City of Sandusky s website at www.ci.sandusky.oh.us. Sealed Proposals will be received by the City of Sandusky at the IT Department and shall be addressed to Donald Rumbutis, IT Department, 222 Meigs Street Sandusky, Ohio 44870, until Monday, vember 4, 2013 at 2:00 p.m. Any Proposal received after that date and time shall be considered non-responsive and shall be returned to the respondent unopened. Proposer bears total responsibility for ensuring their Proposal is complete and arrives on time. Proposals received by fax or email will not be considered. Proposers shall comply with each and every requirement of this RFP to be considered responsive. In order to be considered responsive, all Proposers shall complete and submit with their Proposal the Proposer Questionnaire, Waiver and Release Form, Disclosure of Personal Property Taxes, Unresolved Finding of Recovery Issued by the Auditor of the State of Ohio and the n-collusion Affidavit, attached on pages 13 21 of this Request for Proposals. Page 4 of 21

A selection committee will review and evaluate each Proposal. The City of Sandusky intends to execute a Purchase Agreement with a responsible Proposer who, in the sole discretion of the City, submits the lowest and best bid. The City of Sandusky reserves the right to reject any or all Proposals, to waive informalities, to accept any Proposal which it deems most favorable to the City of Sandusky and to withdraw this solicitation at any time. SECTION IV. COMMUNICATIONS AND QUESTIONS CONCERNING PROPOSALS 1) Mandatory Pre-Proposal Meeting and Walk-Through A mandatory Pre-Proposal Meeting shall be held on Monday, October 28, 2013 at 2:00 P.M. (EST) in the classroom at the Sandusky Police located at 222 Meigs Street, Sandusky, Ohio 44870. The mandatory Pre-Proposal Meeting shall be for the purpose of viewing and discussing installation locations and for clarification and/or correction of the Request for Proposals, including any revisions, and to assure understanding of and responsiveness to the requirements, terms and conditions, and specifications of the Request for Proposals. A walk-through of the facilities will follow the mandatory Pre- Proposal Meeting. A limit of two representatives per company will be able to attend the walk-through in order to keep interruptions of daily operations to a minimum. All Proposers shall be afforded fair and equal treatment and any questions, clarifications or amendments to this Request for Proposals resulting from the mandatory Pre-Proposal Meeting shall be distributed to those entities in attendance at such meeting. Responses to oral inquiries at the mandatory Pre-Proposal Meeting shall be based on the information provided in the Request for Proposals. All statements made in writing, including responses to the mandatory Pre-Proposal Meeting shall supersede any oral statements. 2) Questions, Amendments, and Clarifications Questions or clarifications regarding the RFP shall be directed in writing, or by email or to: Donald Rumbutis IT Department 222 Meigs Street Sandusky, OH 44870 Phone: (419) 627-5828 EMAIL: drumbutis@ci.sandusky.oh.us The final date and time for inquires regarding the Request for Proposals shall be Wednesday, October 30, 2013 at 5:00 P.M. (EST). Answers to questions and clarifications shall be distributed on Friday, vember 1, 2013 at 3:00 p.m. to all entities that were in attendance at the mandatory Pre-Proposal meeting. Donald Rumbutis, IT Department, is the contact person at the City for questions regarding this Request for Proposals. The City shall not be responsible in any manner for verbal answers or instructions regarding this Request for Proposals. Page 5 of 21

If it becomes evident that the Request for Proposals must be amended, the City of Sandusky will issue a formal written amendment to all known prospective Proposers. The Request for Proposals, and any addendums and amendments issued by the City, and the Proposals, with incident and accompanying Proposal Submittal Forms submitted by the Proposer, shall constitute the entire agreement between the City and the successful Proposer. There shall be no verbal agreements. 3) Withdrawal of Proposal Sealed proposals may be withdrawn prior to the opening of the proposals in person by a Proposer or his/her authorized representative, by signing a receipt for the proposal. SECTION V. SCOPE OF SERVICES AND SPECIFICATIONS. 1) Statement of Purpose The City of Sandusky seeks to enter into a contract with a qualified Proposer to provide and install a backup and disaster recovery solution for three (3) servers, which includes but is not limited to providing the hardware, labor, material and equipment for the installation of the backup and disaster recovery system in specific locations in order to provide comprehensive data protection. The servers are located at the Sandusky Police Department, City of Sandusky IT Department and the Sandusky Fire Department. The Police Department and IT Department servers are located at 222 Meigs Street, Sandusky, OH, the Fire Department Server is located at 600 W Water Street, Sandusky, OH 44870. All servers are connected via a 1 Gb fiber connection. The Sandusky City Building, the Sandusky Police Department and the Sandusky Fire Department facilities are generally open to the public Monday through Friday from 8:00 a.m. until 5:00 p.m. The City of Sandusky has issued this RFP to define the minimum service requirements; solicit proposals; detail proposal requirements; and outline the City s process for evaluating proposals and selecting the successful Proposer. Through this RFP, the City seeks to buy the best services and equipment at the most favorable, competitive prices and to give qualified businesses an equal opportunity to do business with the City of Sandusky. 2) Scope of Work The Proposer shall provide a comprehensive backup and disaster recovery system for the three (3) servers. The Proposal shall include all equipment, installation, training and maintenance to provide a high quality, fully operational backup and disaster recovery system that shall include, but may not be limited to the following: a) The Proposer shall collect whatever information needed to determine the amount of backup disk space needed to adequately backup the systems in the event of a disaster and/or basic backup operations. The total amount of space available on the 3 servers is as follows 1) FIRE DEPARTMENT = 1.5 TB Page 6 of 21

2) POLICE DEPARTMENT = 2.0 TB 3) IT DEPARTMENT = 4.0 TB b) The system shall have the ability to recover from a local device located on the City of Sandusky s local network. c) The system shall have off-site (meaning not located in the general geographic area) which is sometimes called Cloud Backup d) The system shall have the ability to backup data on an hourly basis. e) In the event that a server does go down, then the system should seamlessly (or near seamlessly) take over on a temporary basis until the server is back on-line and or replaced. In the event of a catastrophic disaster, the system shall provide the ability to run each individual server, in a virtual environment via the Internet. f) One (1) year warranty on all parts and labor, a one (1) year maintenance agreement, and technical support on all hardware for a period of at least one (1) year that will commence at the completion of installation and training and shall include over-the-phone and site visits as needed at no additional charge. Proposer shall also include a fixed yearly cost quote for extended hardware warranty, maintenance and technical support with an option to renew annually for an additional four (4) years. g) The proposal shall include the yearly cost for off-site storage for a fixed amount of data, and the cost of any additional storage should it occur. h) The proposal shall include reporting on the backup status on a daily basis. i) The Proposal shall have a method to ensure that the backup data can be tested for accuracy and completeness by the City of Sandusky at a minimum, on a yearly basis. 3) Background Check Successful Proposer shall be required to submit for security approval a current BCI and FBI Criminal Background check for each employee or contractor that will require access to the Backup and Disaster Recovery System. SECTION VI. PROPOSAL SUBMITTAL AND FORMAT The Request for Proposals (RFP) will be available for pick up at the City of Sandusky, Customer Accounting Office, 222 Meigs Street, Sandusky, Ohio 44870 on Wednesday, October 16, June 24, 2013 and shall also be available for download on the City of Sandusky s website at www.ci.sandusky.oh.us. Sealed Proposals will be received by the City of Sandusky in the IT Department and shall be addressed to the Donald Rumbutis, IT Department, 222 Meigs Street Sandusky, Ohio 44870, until Monday, vember 4, 2013 at 2:00 p.m. when all proposals shall be opened and made public. The public opening is for informational purposes only and is not to be construed as an acceptance or rejection of any proposal. Proposals submitted will be evaluated as indicated in Section VIII. proposal shall be considered if it arrives after the time set for opening as determined by the employee of the City designated to open the proposals. Page 7 of 21

The City of Sandusky reserves the right to reject any or all proposals, to waive informalities, to accept any proposal which it deems most favorable to the City of Sandusky and to withdraw this solicitation at any time. Proposer bears total responsibility for ensuring their proposal is complete and arrives on time. Proposals received by fax or email will not be considered. Proposer shall comply with each and every requirement of this Request for Proposals to be considered responsive. All original signatures shall be in BLUE OR BLACK ink. If space provided is insufficient for response, attach additional sheets to the forms, clearly referencing such sheets back to specific points addressed in the forms. This Request for Proposals by the City does not constitute an offer by the City and, likewise, proposals made by interested Proposers to the City are not acceptances. After negotiation of a mutually satisfactory final form of contract between the City and a Proposer, approval of such contract by the City Commission of the City of Sandusky and full execution thereof, the parties will then be legally bound in accordance with the terms and provisions of the contract. Selection of one or more Proposers for the purpose of entering into preliminary negotiations does not obligate the City to enter into a contract. Any costs incurred by interested Proposers in preparing responses to the City's Request for Proposals and in carrying out negotiations with the City are the sole responsibility of the Proposer and not the City. The City reserves the right to request such additional and supplemental information from interested Proposers as the City believes is necessary and appropriate to accomplish the City's objectives. In order to be considered responsive, Proposer shall complete and submit with their proposal the Proposer Questionnaire, Waiver and Release Form, Disclosure of Personal Property Taxes, Unresolved Finding of Recovery Issued by the Auditor of the State of Ohio and the n-collusion Affidavit, attached on pages 13 21 of this Request for Proposals. The City of Sandusky reserves the right to reject, in whole or in part, any and all proposals where the City in its sole discretion, taking into consideration the results of the evaluation process, has determined that award of a contract would not be in the best interest of the City. SECTION VII. INTERPRETATION If any Proposer finds any perceived ambiguity, conflict, error, omission or discrepancy between any of the documents contained in this Request for Proposals, the Proposer shall submit a written request no later than ten (10) days prior to vember 4, 2013. Requests should be directed to: Donald Rumbutis IT Department 222 Meigs Street Sandusky, OH 44870 Page 8 of 21

Phone: (419) 627-5828 EMAIL: drumbutis@ci.sandusky.oh.us If Donald Rumbutis determines an interpretation or clarification is warranted, Donald Rumbutis shall issue an addendum and provide a copy to each Proposer of record. Any interpretation or clarification of the documents contained in this Request for Proposals made by any person other than Donald Rumbutis, or in any manner other than a written addendum, shall not be binding and the Proposer shall not rely upon any such interpretation or clarification. If any addendum is issued within 96 hours prior to the published time for the opening of the Request for Proposals, excluding Saturdays, Sundays and legal Holidays, the opening of the Request for Proposals shall automatically be extended one (1) week, with no further advertising required. SECTION VIII. PROPOSAL EVALUATION CRITERIA A Selection Committee intends to review the proposals received by the City. The City reserves the right to make such follow-up requests for additional and supplemental information as the City determines necessary and intends to select one or more Proposers for the purposes of preliminary negotiations. The City intends that such preliminary negotiations will be focused on the ability of the City and any such Proposer to negotiate a mutually satisfactory form of contract for the installation of a Backup and Disaster Recovery System for the City of Sandusky. If a proposed final form of a contract is negotiated it would then be submitted to the Sandusky City Commission for its approval. Based upon the City's review of the information contained in the proposals and such additional and supplemental information as the City may request, the City intends to select one or more Proposers for the purpose of entering into preliminary negotiations. Based upon such preliminary negotiations, the City intends to select a Proposer to negotiate a mutually satisfactory form of contract. Such Proposer selections will be based on the City's sole determination which will include consideration of the following Evaluation Criteria: Page 9 of 21

EVALUATION CRITERIA EVALUATION FACTORS MAX POINTS SCORE QUALITY LEVEL TOTAL SCORE Understanding (Proposer has demonstrated a thorough understanding of the scope of the project and their role and responsibilities in performing the services required. 20 Experience (Experience of the Proposer with installing and implementing Backup and Disater Recovery systems and previous performance record.) 20 System Design (Ability to meet the City s objectives.) 20 Service Plan (Proposer has created a comprehensive plan that includes system design, employee training, warranties, maintenance, and technical support.) 20 Quality of Equipment (Use of familiar brand names, terms of warranty and service.) 20 User Friendly (Ease of use to recover data, and implimentation of disaster recovery proceedure, and training, etc.) 20 Proposer s Financial Capacity 20 Cost (Proposed cost appears complete, realistic, and economically viable.) 20 Presentation and Proposal (Proposal is organized and responsive to all areas contained in the RFP; Proposer exhibited confidence and knowledge regarding the proposed Backup and Disaster Recovery system.) 10 TOTAL TOTAL POSSIBLE POINTS 170 40 210 Page 10 of 21

Quality level shall be based upon the following scoring method: Quality Level Excellent Points 5 Description Meets all requirements; reflects significant enhancements or strengths as compared to minimum levels of acceptability; no offsetting weaknesses. Very Good 4 Meets all requirements; reflects some enhancements or strengths; few if any offsetting weaknesses. Good 3 Meets all requirements; strengths and weaknesses, if any tend to offset each other equally. Fair 2 May contain significant weaknesses only partially offset by less pronounced strengths; should meet all minimum requirements, but some areas of doubt may exist. Poor 1 Serious doubt exists about ability to meet minimum needs, but may be sufficient; significant weaknesses without offsetting strengths. Deficient 0 Will not meet minimum needs SECTION IX. KEY ELEMENTS OF A PROPOSER'S PROPOSAL CONCERNING QUALIFICATIONS AND EXPERIENCE TO BE FURNISHED TO THE CITY (A) An interested Proposer should supply such necessary site plan, floor plan, renderings, other illustrative materials, the necessary materials and such narrative as is useful to describe the proposed installation and implementation of the Backup and Disaster Recovery System. Proposers is are encouraged to use their imagination, creativity, and business and marketing judgment to make specific recommendations to the City for the successful design and implementation in addition to providing specific steps to be taken to accomplish the installation and implementation. Proposer shall provide an itemized breakdown of all costs. (B) The City requests that interested Proposers provide information to the City concerning the Proposer, its qualifications and experience, references (including names and telephone numbers), and experience in comparable projects. Information is also Page 11 of 21

requested concerning the Proposer's management team and proposed manager of that team and the principals of the Proposer including background and biographical. (C) The City requests information from each interested Proposer concerning the Proposer's financial capacity including the most recent financial statements for the Proposer. (D) The City will seek to maintain confidentiality among each interested Proposer with respect to the information received from each interested Proposer. As in the case with other Ohio cities, the City is subject to Ohio's Public Records Law. Accordingly each interested Proposer should operate under the assumption that written information provided to the City will be a public record available for inspection upon request by members of the general public. Page 12 of 21

CITY OF SANDUSKY, OHIO PROPOSER'S QUESTIONNAIRE In additional to responding to the requests for information set out in Section IX. of the Request for Proposals, each interested Proposer shall also provide the following specific information with respect to the Proposer, its qualifications and financial responsibility. 1. (A) Name of Proposer: (B) Address of Proposer: (C) Name, address and telephone number of contact person: 2. Describe the Proposer's form of business organization (corporation, partnership, etc.): 3. If the Proposer is a subsidiary of or affiliated with any other corporation or business entity, please list each such other business entity by firm name and address, and specify its relationship to the Proposer: 4. Has the Proposer or (if any) its parent or affiliated company been adjudged bankrupt, either voluntary or involuntary, or filed bankruptcy proceedings, within the past ten (10) years? If the answer is yes, please provide and attach history and explanatory information. Page 13 of 21

5. Has any officer, director or principal of the Proposer or of its parent or affiliated company been indicted for or convicted of any felony? If the answer is yes, please provide and attach explanatory information, including the charge, place, court, date, and action taken and attach any explanation appropriate. 6. State whether the Proposer or its parent or affiliated company has within the last ten (10) years engaged in litigation concerning a business or management contract. If yes, please provide and attach explanatory information. 7. Does any member of the City Commission of the City of Sandusky, or any other officer or employee of the City of Sandusky, have any direct or indirect personal interest in the Proposer, or in its parent or affiliated company? If yes, please provide and attach explanatory information. 8. Is any former officer or employee of the City of Sandusky employed by the Proposer or by its parent or affiliated company? If yes, please provide information concerning such former officer or employee, date of employment and responsibility within the company. 9. Does the Proposer or its parent or affiliated company owe: (a) Any delinquent taxes to the State of Ohio, a State agency, or any political division of the State? (b) Any moneys to the State or any State agency for the administration or enforcement of the environmental laws of the State? (c) Any other moneys to the State, a State agency or any political subdivision of the State those are delinquent? Page 14 of 21

(d) Any delinquent taxes for which the Proposer or its property, or its parent or affiliated company or its property, are the subject of any existing tax lien? As to any of the above which are answered yes, please provide and attach details and explanatory information to this questionnaire. 10. Has the Proposer or its parent or affiliated company, or any officer, director or principal thereof: (a) Been indicted for or convicted of or enjoined from any violation of State or Federal securities law? (b) Been a party to any consent order or entry with respect to an alleged State or Federal securities law violation? As to any of the above which are answered yes, please provide and attach explanatory information to the questionnaire. CERTIFICATION The undersigned hereby certifies that the Proposer's Questionnaire and any attached explanatory information is true and correct to the best of my (our) knowledge and belief. Proposer: By: Title: Address: City, State: Telephone.: Fax.: Page 15 of 21

WAIVER AND RELEASE FORM In consideration of the review by the City of Sandusky, Ohio, of a contract proposal and bid submitted by the undersigned, and as a condition precedent thereto, the undersigned does hereby authorize and direct the release to administrative officers of the City any and all information related to the current obligations of the undersigned to the City, including, but not by way of limitation, obligations under the City's income tax, hereby waiving any privilege, statutory or otherwise, as to the same, and releasing the City of Sandusky, Ohio, its officers, agents, and employees from any liability in relation thereto. Signature Sworn to and subscribed before me a tary Public by this day of, 2013. My commission expires: tary Public SEAL: Page 16 of 21

DISCLOSURE OF PERSONAL PROPERTY TAXES Ohio Revised Code 5719.042 requires a taxing district's fiscal officer to obtain a statement from each successful bidder on any contract let by competitive bidding that the contractor has not been charged, as of the time the bid was submitted, with any delinquent personal property taxes on the general tax list of personal property of any county in which the taxing district has territory or that such person was charged with delinquent personal property taxes on any such tax list, in which case the statement shall also set forth the amount of such due and unpaid delinquent taxes. After the award by a taxing district of any contract let by competitive bid and prior to the time the contract is entered into, the person making a bid shall submit to the district's fiscal officer a statement affirmed under oath that the person with whom the contract is to be made was not charged at the time the bid was submitted with any delinquent personal property taxes on the general tax list of personal property of any county in which the taxing district has territory or that such person was charged with delinquent personal property taxes on any such tax list, in which case the statement shall also set forth the amount of such due and unpaid delinquent taxes and any due and unpaid penalties and interest thereon. If the statement indicates that the taxpayer was charged with any such taxes, a copy of the statement shall be transmitted by the fiscal officer to the county treasurer within thirty days of the date it is submitted. A copy of the statement shall also be incorporated into the contract, and no payment shall be made with respect to any contract to which this section applies unless such statement has been so incorporated as a part thereof. Page 17 of 21

DISCLOSURE OF PERSONAL PROPERTY TAXES STATE OF OHIO ) ) SS: COUNTY OF ) The undersigned being first duly cautioned and sworn says that he is the of Name Company Name (if applicable) who made a bid for an improvement project or for the purchase of services and supplies for the City of Sandusky, Ohio, involving the competitive bid process; That Affiant says that he is familiar with Section 5719.042 of the Ohio Revised Code and that he submits to the City of Sandusky Finance Director as the Taxing District Fiscal Officer this statement affirmed under oath that as the person with whom the bid was submitted that the contractor has not been charged, as of the time the bid was submitted, with any delinquent personal property taxes on the general tax list of personal property of any county in which the taxing district shown as the City of Sandusky has territory or that such person was charged with delinquent personal property taxes on any such tax list; (Strike out if not applicable) This statement sets forth in full, the amount of such due and unpaid delinquent taxes and any due and unpaid delinquent taxes and any due and unpaid penalties and interest thereon as specified by Section 5719.042 by Exhibit "A" which is attached hereto and made a part hereof this Affidavit as if fully rewritten and is incorporated by reference; The Affiant says that if this statement indicates that the taxpayer was charged with any such taxes, a copy of the statement shall, with the permission of the taxpayer, which is hereby given, be transmitted by the Finance Director of the City of Sandusky to the County Treasurer within thirty (30) days of the date this statement is submitted. Affiant further says that a copy of the statement shall also be incorporated into the contract with the City of Sandusky and agrees that no payment shall be made with respect to any contract to which Section 5719.042 Revised Code applies unless such statement has been so incorporated as a part thereof. Affiant Signature Sworn to and subscribed before me a tary Public by this day of 2013. My commission expires: tary Public SEAL: Page 18 of 21

EXHIBIT A At the time I submitted my bid I was charged with delinquent personal property taxes, penalties and interest as follows: $ Delinquent Taxes $ Penalties $ Interest Name Company Signature Page 19 of 21

OHIO REVISED CODE SECTION 9.24 NO UNRESOLVED FINDING OF RECOVERY ISSUED BY THE AUDITOR OF THE STATE OF OHIO The UNDERSIGNED PROPOSER/CONTRACTOR certifies, to the best of his or her knowledge and belief, pursuant to Ohio Revised Code Section 9.24, there is no unresolved finding of recovery issued by the auditor of the State of Ohio pending against it. Date: Signature: Company Name (if applicable): Title: Page 20 of 21

NON-COLLUSION AFFIDAVIT STATE OF OHIO ) ) SS: COUNTY OF ). being first duly sworn, deposes and says that he is (Sole owner, a partner, president, secretary, etc.) of, the party making the foregoing proposal; that such proposal is genuine and not collusive or sham; that said proposer is not financially interested in, or otherwise affiliated in a business way with any other proposer on the same contract; that said proposer has not colluded, conspired, connived, or agreed, directly or indirectly, with any proposer or person, to put in a sham proposal, or that such other person shall refrain from submitting a proposal, and has not in any manner, directly or indirectly sought by agreement or collusion, or communication on conference, with any person, to fix the proposal price of affiant or any other proposer, or to fix and overhead, profit or cost elements of said proposal price, or that of any other proposer, or to secure an advantage against the City, or any person or persons interested in the proposed contract and that all statements contained in said proposal are true; and further, that such proposer has not, directly or indirectly submitted said proposal, or the contents thereof, or divulged information or data relative thereto to any association or to any member or agent thereof., Affiant Sworn to and subscribed before me a tary Public by this day of, 2013. My commission expires: tary Public Signature SEAL: Page 21 of 21