Omnia Partners Contract - Humanscale — Sunnyvale City Council, December 9, 2025 (part 2 of 2)

Version April 12, 2022
DOC #4, continued
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant to N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract.

Part I – Vendor Information
Vendor Name:

Address:

City: State: Zip:

The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form.
_______________________ _______________________ ________________________ Signature Printed Name Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $300 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit.

F Check here if disclosure is provided in electronic form Contributor Name Recipient Name Date Dollar Amount
$
F Check here if the information is continued on subsequent page(s) Humanscale Corporation
220 Circle Drive North
Piscataway NJ 08854
_______________
___
_
_
Signature
Katie Miglin Sr. Contract Administrator, Gov't Specialist N/A
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DOC #4, continued

List of Agencies with Elected Officials Required for Political Contribution Disclosure N.J.S.A. 19:44A-20.26

County Name:

State: Governor, and Legislative Leadership Committees
Legislative District #s:

State Senator and two members of the General Assembly per district.

County:

Freeholders County Clerk Sheriff
{County Executive} Surrogate

Municipalities (Mayor and members of governing body, regardless of title):

USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD

FROM THE PAY TO PLAY SECTION OF THE DLGS WEBSITE A
COUNTY-BASED, CUSTOMIZABLE FORM.

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Version April 12, 2022
DOC #6

Certification of Non-Involvement in Prohibited Activities in Iran

Pursuant to N.J.S.A. 52:32-58, Offerors must certify that neither the Offeror, nor any of its parents, subsidiaries, and/or affiliates (as defined in N.J.S.A. 52:32 – 56(e) (3)), is listed on the Department of the Treasury’s List of Persons or Entities Engaging in Prohibited Investment Activities in Iran and that neither is involved in any of the investment activities set forth in N.J.S.A. 52:32 – 56(f).

Offerors wishing to do business in New Jersey through this contract must fill out the Certification of Non-Involvement in Prohibited Activities in Iran here:
http://www.state.nj.us/humanservices/dfd/info/standard/fdc/disclosure_investmentact.pdf.

Offerors should submit the above form completed with their proposal.

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DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN FORM

STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY - DIVISION OF PURCHASE AND PROPERTY 33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW JERSEY 08625-0230 DPP Rev. 2.1.2021
BID SOLICITATION # AND TITLE:

VENDOR/BIDDER NAME:

Pursuant to N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4) any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must certify that neither the person nor entity, nor any of its parents, subsidiaries, or affiliates, is identified on the New Jersey Department of the Treasury’s Chapter 25 List as a person or entity engaged in investment activities in Iran. The Chapter 25 list is found on the Division’s website at https://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf. Vendors/Bidders must review this list prior to completing the below certification. If the Director of the Division of Purchase and Property finds a person or entity to be in violation of the law, s/he shall take action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.

CHECK THE APPROPRIATE BOX
I certify, pursuant to N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4), that neither the Vendor/Bidder listed above nor any of its parents, subsidiaries, or affiliates is listed on the New Jersey Department of the Treasury’s Chapter 25 List of entities determined to be engaged in prohibited activities in Iran.

OR
I am unable to certify as above because the Vendor/Bidder and/or one or more of its parents, subsidiaries, or affiliates is listed on the New Jersey Department of the Treasury’s Chapter 25 List. I will provide a detailed, accurate and precise description of the activities of the Vendor/Bidder, or one of its parents, subsidiaries or affiliates, has engaged in regarding investment activities in Iran by completing the information requested below.

Entity Engaged in Investment Activities
Relationship to Vendor/ Bidder
Description of Activities
Duration of Engagement
Anticipated Cessation Date
Attach Additional Sheets If Necessary.

CERTIFICATION
I, the undersigned, certify that I am authorized to execute this certification on behalf of the Vendor/Bidder, that the foregoing information and any attachments hereto, to the best of my knowledge are true and complete. I acknowledge that the State of New Jersey is relying on the information contained herein, and that the Vendor/Bidder is under a continuing obligation from the date of this certification through the completion of any contract(s) with the State to notify the State in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification. If I do so, I will be subject to criminal prosecution under the law, and it will constitute a material breach of my agreement(s) with the State, permitting the State to declare any contract(s) resulting from this certification void and unenforceable.

Signature Date
Print Name and Title
Signature
Humanscale Corporation
✔
Katie Miglin | Sr. Contract Administrator, Gov't Specialist RFP #22-10
6/22/2022
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Version April 12, 2022
DOC #7

NEW JERSEY BUSINESS REGISTRATION CERTIFICATE
(N.J.S.A. 52:32-44)

Offerors wishing to do business in New Jersey must submit their State Division of Revenue issued Business Registration Certificate with their proposal here. Failure to do so will disqualify the Offeror from offering products or services in New Jersey through any resulting contract.

https://www.njportal.com/DOR/BusinessRegistration/

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STATE OF NEW JERSEY

BUSINESS REGISTRATION CERTIFICATE
Taxpayer Name: HUMANSCALE CORPORATION
Trade Name:

Address: 11 EAST 26TH ST 8TH FL
NEW YORK, NY 10010-1425
Certificate Number: 0948392
Effective Date: November 07, 2002
Date of Issuance: January 19, 2022
For Office Use Only:
20220119154957369
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DOC #8

EEOAA EVIDENCE
Equal Employment Opportunity/Affirmative Action
Goods, Professional Services & General Service Projects EEO/AA Evidence
Vendors are required to submit evidence of compliance with N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 in order to be considered a responsible vendor.

One of the following must be included with submission:
x Copy of Letter of Federal Approval
x Certificate of Employee Information Report
x Fully Executed Form AA302
x Fully Executed EEO-1 Report
See the guidelines at:
https://www.state.nj.us/treasury/contract_compliance/documents/pdf/guidelines/pa.pdf for further information.

I certify that my bid package includes the required evidence per the above list and State website.

Name: ______________________________ Title: _____________________ Signature: ___________________________ Date: _____________________ Katie Miglin Sr. Contract Administrator, Gov't Specialist _________________ 6/22/2022
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Version April 12, 2022

CERTIFICATION
I, the undersigned, certify that I am authorized to execute this certification on behalf of the Vendor/Bidder, that the foregoing information and any attachments hereto, to the best of my knowledge are true and complete. I acknowledge that the State of New Jersey is relying on the information contained herein, and that the Vendor/Bidder is under a continuing obligation from the date of this certification through the completion of any contract(s) with the State to notify the State in writing of any changes to the information contained herein; that I am awar e that it is a criminal offense to make a false statement or misrepresentation in this certification. If I do so, I will be subject to criminal prosecution under the law, and it will constitute a material breach of my agreement(s) with the State, permitting the State to declare any contract(s) resulting from this certification to be void and unenforceable.

DOC #9

MACBRIDE-PRINCIPLES

MACBRIDE PRINCIPALS FORM
_____________________
VENDOR’S/BIDDER’S REQUIREMENT

TO PROVIDE A CERTIFICATION IN COMPLIANCE WITH THE MACBRIDE PRINCIPALS AND NORTHERN IRELAND ACT OF 1989
Pursuant to Public Law 1995, c. 134, a responsible Vendor/Bidder selected, after public bidding, by the Director of the Division of Purchase and Property, pursuant to N.J.S.A. 52:34-12, must complete the certification below by checking one of the two options listed below and signing where indicated. If a Vendor/Bidder that would otherwise be awarded a purchase, contract or agreement does not complete the certification, then the Director may determine, in accordance with applicable law and rules, that it is in the best interest of the State to award the purchase, contract or agreement to another Vendor/Bidder that has completed the certification and has submitted a bid within five (5) percent of the most advantageous bid. If the Director finds contractors to be in violation of the principals that are the subject of this law, he/she shall take such action as may be appropriate and provide d by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.

I, the undersigned, on behalf the Vendor/Bidder, certify pursuant to N.J.S.A. 52:34-12.2 that:

CHECK THE APPROPRIATE BOX
The Vendor/Bidder has no business operations in Northern Ireland; or OR
The Vendor/Bidder will take lawful steps in good faith to conduct any business operations it has in Northern Irelan d in accordance with the MacBride principals of nondiscrimination in employment as set forth in section 2 of P.L. 1987, c. 177 (N.J.S.A. 52:18A-89.5) and in conformance with the United Kingdom’s Fair Employment (Northern Ireland) Act of 1989, and permit independent monitoring of its compliance with those principals.

Signature Date
Print Name and Title

STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY

DIVISION OF PURCHASE AND PROPERTY
33 WEST STATE STREET, P.O. BOX 230
TRENTON, NEW JERSEY 08625-0230
BID SOLICITATION #: VENDOR/BIDDER:RFP #22-10 Humanscale Corporation X
Signature
6/22/2022
Katie Miglin | Sr. Contract Administrator, Gov't Specialist Attachment 5

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Tab 4 – Qualifications and Experience
c) Qualification and Experience
i. Provide a brief history of the Offeror, including year it was established and corporate office location.

As the pioneer and leader of office ergonomics, Humanscale makes products that allow workstations to adapt to the user, not the other way around.

Founded in 1983 by CEO Bob King with a focus on high-performance tools that support a healthy, more active way of working, Humanscale is now the global ergonomics leader with a reputation for designing intuitive products which improve the comfort and health of office workers.

The company, headquartered in New York, made its first mark as a workplace ergonomics pioneer in the 1990s with the introduction of revolutionary articulating keyboard systems. Humanscale solidified its status as a true market leader with the introduction of the Freedom chair in 1999, created by renowned ergonomics designer Niels Diffrient. The innovative executive task chair broke new ground by combining unprecedented functionality with minimal manual controls. Humanscale followed suit with a series of Diffrient seating designs including Liberty, Diffrient World, and Smart chairs. ii. Describe Offeror’s reputation in the marketplace.

As the global leader in the design and manufacturing of Ergonomic Office Furniture & Technology Product Solutions, Humanscale’s products are created to maximize comfort and minimize long-term health risks for desk and computer bound workers.

Humanscale’s mission is to provide products with aesthetic design, quality and ergonomic integrity that are easy to use which are designed to improve the health, efficiency, and quality of work life.

Humanscale is committed to going beyond sustainability – to aim for an overall net positive impact on the earth. This goal has led us to innovate in our operations and work for stronger sustainability standards throughout the manufacturing industry.

Humanscale holds 60% of all Healthy Product Declarations in our entire furniture industry which proves that all the ingredients, which our products are made of, do not include any Red Listed Chemicals.
• Living Product Challenge Certified Products – the most rigorous standard for sustainable manufacturing
• 1st Ergonomic Chairs to use discarded fishing nets to develop innovative solutions to prevent Ocean Plastic Pollution
• Net Positive Products and a Net Positive Organization • Material Transparency - Declare La bels & Health Product Declarations • Reduced Gas Emissions
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• Level® 3 Certification
• Healthier Hospitals Initiative (HHI) for use of healthy materials We also have one of the largest sales teams in the industry who call on and educate customers in ergonomics which helps grow business for us both. In addition, the Humanscale Consulting Division, consisting of over 30 certified ergonomists, are available for consultation, individual evaluation and train the trainer ergonomic seminars.

Humanscale also developed a proprietary, cloud based ergonomic diagnostic tool that can in a matter of minutes provide work setting changes to eliminate potential muscular skeletal injuries and improve the overall health and wellness of any Omnia Partners Member’s workstation.
iii. Describe Offeror’s reputation of products and services in the marketplace.

Humanscale products are very well known in the marketplace as a result of our sustainable, high-performance ergonomic products for the workplace. Our award- winning solutions improve the health, efficiency, and quality of work life.

Uncompromising performance-centric design in its purest form is at the heart of every Humanscale solution. Each of our ergonomic products is designed for maximum comfort, a long serviceable life, and a minimal environmental footprint. Our simple designs have intuitive features and fewer manual controls, making them easier to use and without sacrificing a stylish aesthetic. As the global leader in ergonomics, Humanscale has pioneered workplace design that promotes healthy movement. Our ergonomics team is involved in product design from the conception stage to ensure each creation supports the user’s posture and encourages more physical activity. iv. Describe the experience and qualification of key employees.

Humanscale has a dedicated Government Team that will be focused on sales and service across both the US and Canada. In the US there are 10 dedicated Government Sales Specialists located in strategic markets. Each specialist will be trained on all facets of the Sourcewell contract and member agencies to provide sales and service on a direct basis within their respective regions of the county. In addition, each specialist will provide localized sales support and training to the other 200+ Humanscale sellers located throughout the U.S. and Canada. We have seventeen showrooms located in major markets across the US and Canada. In addition, we have sales representatives and technical product specialists in located throughout the US and Canada. We work extensively with over 300 dealers
throughout North America.

The overall leadership and management of the Omnia Partners agreement will be provided by Pat Mulvena, National Director of Government Sales, Tom Rennie, Government Sales Manager – Western Region, Brad Miller, Government District Manager for the DC, Maryland, Virginia & Southeast Region, and Katie Miglin, Government Contract Specialist. Pat will work closely with Omnia Partners leadership.

Pat, tom and Brad will create the annual strategic business plan to programmatically achieve sales growth targets and improved service coverage across the US and Canada.

The annual plan will have region by region member coverage and marketing plans plus detailed metrics, measured monthly, to ensure full participation by our entire sales force.

Katie will be responsible for contract management including monthly and quarterly reports and audits to ensure 100% accuracy in our Omnia Partners sales reports.

Katie will also make sure agreed to contract discounting is applied to all product sales to Attachment 5

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member agencies ensuring the leveraged benefit of the Omnia Partners agreement is realized by every member, large and small. Katie will also make sure any new products are added to the contract through the appropriate contractual process as soon as possible to deliver the greatest value possible to each member agency.

Pat Mulvena, Tom Rennie, and Brad Miller will oversee and support Government Sales Specialist team members and the Commercial Sales Team members throughout North America. Pat, Tom and Brad will ensure that the Humanscale sales team is engaged with every Omnia Partners member agency along with active, hands on, sales support and training. Through our customized CRM portal, we will track and measure activity to ensure proper and complete coverage of all members. This will include delivering appropriate ergonomic consultative evaluations and education along with applying our vast portfolio of product solutions ensuring agency members realize the health and wellness benefits of Humanscale products.
v. Describe Offeror’s experience working with the government sector.

Humanscale has extensive experience working in the government. We continually grow our knowledge and understanding to help shape and support the success of the government business. We hold a federal government contract as well as various state and educational contracts.
vi. Describe past litigation, bankruptcy, reorganization, state investigations of entity or current officers and directors.

H u m a n s c a l e h a s n o c u r r e n t o r p a s t l i tigation that would interfere with the performance of this contract. Also, there has been no reorganization, state investigations of the company or personnel.
vii. Provide a minimum of 5 customer references relating to the products and services within this RFP. Include entity name, contact name and title, contact phone and email, city, state, years serviced, description of services and annual volume.

Humanscale’s public agency sales with State, County, City governments and education customers in calendar year 2021 were $30,997,666.

County of Los Angeles
Internal Services Department
Yancy Duckworth
Purchasing & Contracts
1100 N Eastern Avenue, Los Angeles, CA 90063
323-267-2208
[email protected]
x 2021 Revenue: $860,767
x Scope of Work: Provided Seating, Height Adjustable Tables, Monitor Arms, Keyboard Trays, Lighting and other Ergonomic Tools on various projects with different departments throughout the county over the last 10 years County of Orange
Social Services Agency
Juanita Trejo-Middleton
Safety & Training Officer
500 N. State College Blvd, Orange, CA 92868
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714-541-7775
[email protected]
x 2021 Revenue: $297,369
x Scope of Work: Provided Seating, Height Adjustable Tables, Monitor Arms, Keyboard Trays, and other Ergonomic Tools on various SSA locations within the county over the last 7 years
County of Riverside
Department of Public Social Services (DPSS)
Bryson Arnold
Facilities Planning Supervisor
731 Palmyrita Avenue, Riverside, CA 92507
(951) 358-3271 (Desk)
[email protected]
x 2021 Revenue: $700,015
x Scope of Work: Provided Seating, Height Adjustable Tables, Monitor Arms, Keyboard Trays, Lighting and other Ergonomic Tools on various projects such as Lake Elsinore and Coachella over the last 10 years
Tarrant County College District
Real Estate & Facilities
Gena Bartlett
Interior Design-Project Manager
5450 N. Riverside Drive, Fort Worth, TX 76137
817-515-6092
[email protected]
x 2021 Revenue: $151,119
x Scope of Work: Provided Seating, Height Adjustable Tables, Monitor Arms, Keyboard Trays and other Ergonomic Tools on various projects over the last 5 years Johnson County
Facilities Management
Lydia Travis
Project Manager
111 S. Cherry Street, Suite 2100, Olathe, KS 66061
913-715-1151
[email protected]
x 2021 Revenue: $67,366
x Scope of Work: Provided Height Adjustable Tables, Monitor Arms, Keyboard Trays and other Ergonomic Tools on various projects over the last 5 years viii. If Offeror anticipates Participating Public Agencies will sign a service agreement, Offeror must include their company’s standard service agreement with their RFP response.

When we enter into any agreement with an agency, they will send us a copy of their contract to sign.
ix. Provide any additional information relevant to this section.

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NET POSITIVE: LESS BAD IS NOT GOOD ENOUGH
As a global company, our approach focuses not only on minimizing our negative impacts but working to produce significant positive contributions.

For us, becoming Net Positive means incorporating manufacturing into our environmental and social solutions. It means finding ways to go beyond reducing our consumption—to give back, replenish, and continue making a positive environmental and social impact on the world.

Pioneers in Material Transparency
Our published and third-party audited ingredient lists
show customers exactly what is in the products they’re
getting and allow buyers to make more informed choices.

Design with Healthy Materials
Humanscale has removed virtually all Red List chemicals commonly used in the industry from our products.

Sustainable Operations
Facilities in Piscataway (main plant) and Fresno have
achieved TRUE Zero Waste Gold certification. Solar array provides 85% of the power needed for all production in
Piscataway facility. Rainwater capture systems provide all water needed for our production globally. Waste diversion rate is greater than 90% globally.

Social – Supply Chain
Humanscale audits all of our major suppliers for
environmental and social impacts including child labor, forced labor, and community impacts. For key suppliers, we conduct third-party, on-site audits.

SAVING THE PLANET, ONE PRODUCT AT A TIME
First published by the International Living Future Institute (ILFI) in 2015, the Living Product Challenge(LPC) is the most rigorous test of sustainability, requiring manufacturers to give back more to the planet than they use.

Humanscale is proud to be the first manufacturer in any industry to achieve the entire Living Product Challenge, offering our customers the opportunity to make a positive impact by simply buying our products. Currently, 26 of our products are climate, water, and energy positive – leaving the planet measurably better off every time they’re made.

They are the designs of the future; products with a net positive impact.

Products Certified by Living Product Challenge
SUSTAINABILITY: MAKING A POSITIVE IMPACT
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OUR CUSTOMERS MAKE IMPACTS
In addition to purchasing products that leave the world better off, customers can work with Humanscale to dispose of products in the most responsible way possible. Rather than sending them to landfills, we make it easier for our customers to repurpose their products with our BEAM
program.

CERTIFICATION
Humanscale products maintain a host of environmental certifications and can contribute towards valuable LEED credits. Click
here to view
certification details.

FROM OFFICE TO OCEAN: RECLAIMING OCEAN PLASTIC

WWF PARTNERSHIP
We actively contribute to an organization that prioritizes the preservation of ecosystems – the World Wildlife Fund. Humanscale has partnered with WWF and the Cambodian government to preserve an important ecosystem of 1 .5 million acres in the eastern plains of Cambodia that historically has been devastated by illegal logging and hunting.

Examples of our commitment to
net positive products, Smart Ocean
and Liberty Ocean chairs
incorporate almost 2 pounds of
reclaimed ocean fishing nets per
chair. Path chairs incorporate 9.5
pounds of ocean plastic each.

Widely regarded as the most
harmful type of ocean plastic,
discarded fishing nets “ghost
fish” for years, damaging
delicate ecosystems and the
marine life that inhabit them.

As the first chairs ever made from recycled fishing nets, our Path, Smart Ocean, and Liberty Ocean chairs not only help clean up our oceans, but also reflect our commitment to creating an overall positive impact on the Earth.

SUSTAINABILITY: MAKING A POSITIVE IMPACT
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By demanding sustainable products
and practices, you have the power
to make positive change the world.

SUSTAINABILITY: MAKING A POSITIVE IMPACT
AAnnuall Report
Corporate Social Responsibility
Descriptions
Humanscale’s Initiatives
Policies
Design for Environment
Durability and Upgradeability
ILFII Website
Humanscale Product Case Studies
Produc tt Certificates
View published product ecolabels and
certifications and see which
Humanscale products contribute to the
achievement of specific established
standards.
LEED
WELL
Living Building
BIFMA level®
Declare
Indoor Advantage Gold
Resources & Links
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2 1 – PIONEER IN

ERGONOMICS
At our core, we are human
centric, not product centric.

Humanscale’s ergonomic work
tools, including the first ever
self-reclining chair, support the
human body and focus on
function before all else.
2 – SUSTAINABILITY

IS OUR MANTRA
At Humanscale, we focus not
only on reducing our negative
environmental impact, but also
on making an overall net
Positive impact. We are the
first manufacturer to complete
the rigorous Living Product
Challenge. We have also
become the clear leader in
material transparency by
publishing more than half of the
Health Product Declarations
and Declare labels that exist in
the entire furniture industry.
3 – DESIGN

PHILOSOPHY
At Humanscale, our design
philosophy is “function
first,” followed by the form
of a product – the opposite
of how our competitors
think. Thus, the form that
flows out of function
becomes honest, timeless
and as relevant in New
York as it is in Singapore
or London.
4 – MANUFACTURER AND

SERVICE PROVIDER
While other products may be
created with ergonomic
principles, Humanscale is the
only manufacturer with an
ergonomic consulting group.

We are able to consult with any
new occupiers on how their
space can ergonomically adapt
to them.

THE HUMANSCALE DIFFERENCE
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3 1998 Niels’ partnership with
Humanscale began with the
development of the
Freedom chair.

With a career spanning more than
50 years, award-winning designer
Niels Diffrient revolutionized the
world of design by focusing on the
human experience.

Niels Diffrient
1928-2013

NIELS DIFFRIENT
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4 A GLOBAL FOOTPRINT

OFFICES/SHOWROOMS MANUFACTURING

ATLANTA

BANGALORE

BEIJING
BOSTON

BUENOS AIRES

CAPE TOWN

CHICAGO

CINCINNATI
DALLAS
DENVER
DUBAI
DUBLIN

HONG KONG

HOUSTON

JOHANNESBURG

KANSAS CITY
LONDON

LOS ANGELES

MALAYSIA
MILAN

MICHIGAN

MEXICO CITY

NEW YORK
(HEADQUARTERS)

NUREMBERG
PARIS

PHILADELPHIA
PRAGUE

SEATTLE

SAN DIEGO

SAN FRANCISCO

SAO PAULO

SHANGHAI

SINGAPORE

STOCKHOLM

TORONTO
WARSAW
WASHINGTON, D.C.

DUBLIN, IRELAND

FRESNO, USA

NOGALES, MEXICO

PISCATAWAY, USA
4 of Material Sourced from
Recycled Sources

PRODUCTS
Products Sold
Offices/Showrooms
in 18 Countries

LOCATIONS
Manufacturing Facilities

SUPPLIERS
Suppliers Worldwide
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5 5
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6 6

SUSTAINABLE OPERATIONS
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7 7
Jane Abernethy
Chief Sustainability Officer
What if your furniture had an
Ingredient label? Ours do.

We include at least 99% of our ingredients in
Health Product Declarations and Declare labels,
so we — and you — know exactly what you are
getting. To date, Humanscale has published more
hpd’s than any other manufacturer in our industry.

LEADER IN MATERIAL

TRANSPARENCY
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8 SMART OCEAN
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9 9
Humanscale joined
global corporations Dell,
General Motors, Interface,
Trek, and Van de Sant to
create Next Wave Plastics–
a collaboration established
to keep plastic out of
the ocean.

NEXT WAVE INITIATIVE
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10 Niels Diffrient
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11 HUMANSCALE

CONSULTING
Our core offerings include:
• Outsourced Program Management
• Online Consultations & Virtual Assessments
• Online Self-Assessment Software
• Certification Programs in Office Ergonomics
• Design Services
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12 Attachment 5

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Awards
Humanscale is honored to have recieved over 200 global design awards for our products. 2022 | Path
MetropolisLikes at
NeoCon
2022 | Path
NYCxDESIGN Award
Winner - Contract
Seating
2022 | Liberty Ocean
NYCxDESIGN Award
Finalist -
Environmental Impact
2022 | Path
MetropolisLikes at
NYCxDesign
2022 | Path
iF Design Award
2021 | Freedom Chair
Best of the Year
2021 | Liberty Ocean
Best of Year:

Environmental Impact
2020 | Design with the
Environment in Mind
World Changing Ideas:

Honorable Mention
2019 | Nova Task Light
IF Design Excellence
2018 | Smart Ocean
Best of Year (Finalist -
Furniture: Task
Seating)
2018 | M/Connect 2
Product of the Year –
Lighting & Technology
Accessories
2018 | Smart Ocean
Product of the Year –
Task Furniture
2018 | QuickStand Eco
Best of Year (Finalist -
Furniture: Task
Seating)
2018 | CSO Jane
Abernethy
Women in
Sustainability
Leadership Awards
2018 | Humanscale
Innovation by Design
Awards (Honorable
Mention -
Health&Wellness)
2018 | Freedom
Headrest
Innovation by Design
Awards (Honorable
Mention - Timeless
Design)
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2018 | QuickStand Eco
Interior Design HiP
Awards 2018 Winner
2018 | Monitor Arms
Best of NeoCon, Silver
2018 | CSO Jane
Abernethy
Interior Design HiP
Awards 2018 Winner
2018 | Smart Ocean
#MetropolisLikes
Awards, Winner
2018 | Nova
Best of NeoCon, Silver
2017 | Infinity
Best of NeoCon, Silver
2017 | Humanscale
International Living
Future Institute,
Manufacturer
Visionary Award,
Winner
2017 | Infinity
#MetropolisLikes
Awards, Winner
2017 | Infinity
Red Dot Design
Awards 2017, Winner
2016 | Quickstand Lite
Mixology North – Mix
Interior Awards 2016,
Product of the Year
2016 | Horizon Colors
Interior Design Best of
Year Awards 2016,
Best of Year
2016 | Vessel
Architect’s Newspaper
Best of Design Awards
2016, Honorable
Mention
2016 | OfficeIQ
IoT Breakthrough
Awards 2016, Winner
2016 | QuickStand Lite
Architectural Record
Awards 2016, Product
of the Year
2016 | Trea
Architectural Record
Awards 2016, Product
of the Year
2016 | Vessel
Architectural Products
Product Innovation
Awards 2016, Winner
2016 | Quickstand Lite
#MetropolisLikes
Awards, Winner
2016 | QuickStand Lite
Best of NeoCon, Gold
2016 | Bob King
Interior Design HiP
Awards 2016, Winner
2016 | MedLink
Interior Design HiP
Awards 2016, Honoree
Attachment 5

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2016 | Trea
Interior Design HiP
Awards 2016, Honoree
2016 | QuickStand Lite
NYCxDesign Awards –
Interior Design 2016,
Honoree
2016 | Pinstripe Textile
Architizer A+ Awards
2016, Special Mention
2016 | Quickstand Lite
Red Dot Design
Awards 2016, Best of
the Best
2015 | QuickStand
Interior Design Best of
Year, Best in 10
2015 | Infinity
Best of NeoCon, Silver
2015 | Occasional
Best of NeoCon, Silver
2015 | Ballo
Red Dot Design
Awards 2015,
Honorable Mention
2015 | QuickStand
Red Dot Design
Awards 2015,
Honorable Mention
2015 | Trea
Red Dot Design
Awards 2015, Best of
the Best
2014 | Element Disc
Architects Choice
Award 2014, Best
Interior Design Product
2014 | Ballo
Interior Design HiP
Awards 2014, Winner
2014 | Trea
Spark Design Awards
2014, Gold
2014 | QuickStand
Spark Design Awards
2014, Silver
2014 | Ballo
Spark Design Awards
2014, Bronze
2014 | QuickStand
Interior Design HiP
Awards 2014, Honoree
2013 | Diffrient World
Mixology North - Mix
Interior Awards 2013,
Winner
2013 | Element Disc
Mixology North - Mix
Interior Awards 2013,
Winner
2013 | T7
Spark Design Awards,
Silver
2013 | Float
Architects Choice
Award 2013, Winner
Attachment 5

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2013 | Diffrient Smart
Interior Design Best of
Year Awards 2013,
Honoree
2013 | Element Disc
PIN UP Design
Awards, Silver
2013 | Diffrient World
PIN UP Design
Awards, Special Prize
2013 | Float
Bureaux Expo, Les
Trophées de
l‘Innovation 2013
2013 | V6
Appliance DESIGN's
Annual Excellence in
Design, Silver
2013 | T7
Best of NeoCon, Gold
2013 | Diffrient Smart
International Design
Excellence Awards,
Finalist
2013 | Element Disc
International Design
Excellence Awards,
Finalist
2013 | Element Disc
Appliance DESIGN's
Annual Excellence in
Design, Gold
2013 | T7
Red Dot Design
Award, Winner
2012 | Diffrient Smart
iF Product Design
Award 2013, Gold
Winner
2012 | Float
iF Product Design
Award 2013, Winner
2012 | V6
Interior Design Best of
Year Awards 2012,
Honoree
2012 | Diffrient World
GIO Design Awards,
Winner
2012 | Horizon
PIN UP Design
Awards, Bronze
2012 | V6
Nightingale Awards
2012, Gold
2012 | V6
Nightingale Awards
2012, Gold
2012 | Element Disc
Spark Design Awards,
Bronze
2012 | Diffrient Smart
Spark Design Awards,
Silver
2012 | Element Disc
Architects Choice
Award 2012, Highly
Commended
Attachment 5

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2012 | Mode
IIDEX/NeoCon
Canada Innovations
Awards, Silver
2012 | M/Flex
IIDEX/NeoCon
Canada Innovations
Awards, Silver
2012 | Element Disc
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2012 | Diffrient Smart
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2012 | Zon Max
Housewares
Executive's Innovation
Award, 1st Place
2012 | Horizon
International Design
Excellence Awards,
Gold
2012 | Element Disc
Buildings Product
Innovations Awards,
Grand Winner
2012 | Zon Max
Buildings Product
Innovations Awards,
Merit Winner
2012 | Mode
Buildings Product
Innovations Awards,
Grand Winner
2012 | Horizon
Appliance DESIGN's
Annual Excellence in
Design, Gold
2012 | T7

HEALTHCARE
DESIGN: Most
Innovative Product
Designers
2012 | Horizon
Next Generation
Luminaires, Winner
2012 | Horizon
IHA Innovation Award,
Winner
2011 | Horizon
Interiors & Sources'
Readers' Choice Best
Products, Winner
2011 | Horizon
GIO Design Awards,
Winner
2011 | Zon
GIO Design Awards,
Winner
2011 | Freedom
FIRA Ergonomics
Excellence Award,
Winner
2011 | M8
FIRA Ergonomics
Excellence Award,
Winner
2011 | M2
FIRA Ergonomics
Excellence Award,
Winner
2011 | Liberty
FIRA Ergonomics
Excellence Award,
Winner
Attachment 5

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2011 | Trea
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2011 | Element Vision
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2011 | Float
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2011 | Element Vision
Innovative Green
Design Awards,
Winner
2011 | Trea
Buildings Product
Innovations Awards,
Merit Winner
2011 | Horizon
Best of NeoCon, Silver
2011 | Zon
International Design
Award, Second Prize
2011 | Float
Best of NeoCon, Silver
2011 | Float
Buildings Product
Innovations Awards,
Merit Winner
2011 | Horizon
International Design
Award, First Prize
2011 | Element
Classic/790
Appliance DESIGN's
Annual Excellence in
Design Awards, Silver
2011 | Zon
Appliance DESIGN's
Annual Excellence in
Design Awards,
Bronze
2011 | Horizon
Red Dot Design Award
Winner
2010 | Horizon
Interior Design Best of
Year Award, Merit
Award
2010 | Para/Flex
Interior Design Best of
Year Award, Merit
Award
2010 | Tolomeo LED
Interiors & Sources'
Readers' Choice Best
Products, Winner
2010 | Horizon
FX International
Interior Design Award,
Winner
2010 | Horizon
Spark Design Award,
Gold
2010 | Para/Flex
Spark Design Award,
Gold
2010 | Horizon
Best of NeoCon East
Peoples' Choice
Award
Attachment 5

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2010 | M8
GIO Design Awards,
Winner
2010 | Switch Mouse
GIO Design Awards,
Winner
2010 | Element
Classic/790
GIO Design Awards,
Winner
2010 | M2
GIO Design Awards,
Winner
2010 | Horizon
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2010 | Zon
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2010 | M8
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2010 | Element
Benelux Office
Products Awards,
Winner
2010 | Diffrient World
HD Boutique Best of
Boutique Awards,
Honorable Mention
2010 | Horizon
HD Boutique Best of
Boutique Awards,
Winner
2010 | M2
International Design
Excellence Awards,
Finalist
2010 | Zon
Best of NeoCon 2010,
Gold Winner
2010 | Element Vision
Best of NeoCon 2010,
Silver Winner
2010 | M8
Buildings Product
Innovations Awards,
Citation of Excellence
2010 | Element Vision
Buildings Product
Innovations Awards,
Citation of Excellence
2010 | Para/Flex
Buildings Product
Innovations Awards,
Grand Prize
2010 | Horizon
Buildings Product
Innovations Awards,
Citation of Excellence
2010 | M2
I.D. Annual Design
Review, Honorable
Mention
2010 | Element
790/Classic
Appliance DESIGN's
Gold Award in
Lighting, 2010
2010 | Element
790/Classic
2010 Lighting Design
Awards Finalist,
Interior Luminaires
Category
Attachment 5

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2010 | Diffrient World
Red Dot: Best of the
Best Award 2010
2009 | M2
Best of NeoCon, Gold
2009 | M2
Best of NeoCon, Gold
2009 | Element
790/Classic
Best of NeoCon, Gold
2009 | Diffrient World
Buildings Magazine
Innovations Awards,
Citation of Excellence
2009 | Zon
Buildings Magazine
Innovations Awards,
Grand Prize
2009 | Diffrient World
IIDEX/NeoCon
Canada Innovations
Awards, Gold
Element 790/Classic
2009 |
/userFiles/images/about_humanscale/awards/iidex_2
Element 790/Classic
2009 | V7
IIDEX/NeoCon
Canada Innovations
Awards, Gold
2009 | M2
Buildings Magazine
Innovations Awards,
Grand Prize
2009 | M2
Buildings Magazine
Innovations Awards,
Grand Prize
2009 | L6 Notebook
IIDEX/NeoCon
Canada Innovations
Award Bronze, 2009
2009 | M2
IIDEX/NeoCon
Canada Innovations
Award Bronze, 2009
2009 | M2
Spark Design Awards,
Bronze
2009 | Element
790/Classic
Buildings Magazine
Innovations Awards,
Citation of Excellence
2009 | M2
Design Center
Stuttgart International
Design Awards, Focus
in Silver
2009 | Diffrient Work
Light
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2009 | Element
790/Classic
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2009 | M2
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2009 | Freedom
Headrest
ComfortSeating
Awards, Best Product
for Environmental
Sustainability
Attachment 5

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2009 | Liberty
ComfortSeating
Awards, Best Seat
2009 | M2
Mixology, Winner
2009 | 6G
Buildings Magazine
Innovations Awards,
Citation of Excellence
2009 | Diffrient World
Chicago Athenaeum
Museum of
Architecture Good
Design Award
2009 | 6G
IIDEX/NeoCon
Canada Innovations
Awards, Silver
2009 | Diffrient Work
Light
iF product design
award 2009
2009 | Diffrient World
FX International
Interior Design Awards
Winner
2008 | NeatLinks
Buildings Magazine
Innovations Awards,
Grand Prize
2008 | Diffrient Work
Light
Buildings Magazine
Innovations Awards,
Citation of Excellence
2008 | NeatLinks
IIDEX/NeoCon
Canada Innovations
Awards, Bronze
2008 | Diffrient Work
Light
Buildings Magazine
Top 100 Products,
Editor's Choice
2008 | Switch Mouse
iF Product Design
Award
2008 | CPU600
Green Dot Awards,
Honorable Mention
2008 | Liberty Side
Green Dot Awards,
Honorable Mention
2008 | Switch Mouse
CES Innovations
Awards, Honoree
2008 | V7
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2008 | Cinto
Design Center
Stuttgart International
Design Awards, Focus
in Silver
2008 | V7
International Design
Awards, Second Place
2008 | Access Rail
Green Dot Awards,
Honorable Mention
2008 | Diffrient Work
Light
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
Attachment 5

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2008 | V7
Interior Design Best of
Year Award, Merit
Award
2007 | T5
International Design
Awards, First Prize
2007 | Switch Mouse
Buildings Magazine
Innovations Awards,
Grand Prize
2007 | Switch Mouse
Best of NeoCon, Gold
2007 | T5
International Design
Awards, First Category
Winner
2007 | Cinto
Good Design Japan
Awards, Product
Design
2007 | Switch Mouse
Good Design Japan,
Product Award
2007 | Para/Flex
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2007 | CPU600
IIDEX/NeoCon
Canada Innovations
Awards, Gold
2007 | Switch Mouse
Good Design Japan,
Product Award
2007 | Cinto
International Design
Awards, First Prize
2007 | Cinto
International Design
Awards, Product
Design of the Year
2007 | T5
Appliance DESIGN's
Annual Excellence in
Design, Bronze
2007 | Cinto
Buildings Magazine
Top 100 Products,
Editor's Choicespan
2007 | Cinto
International Design
Awards, First Category
Winner
2007 | Switch Mouse
Appliance DESIGN's
Annual Excellence in
Design, Gold
2007 | Switch Mouse
Chicago Athenaeum
Museum of
Architecture Good
2007 | Switch Mouse
Mixology, Winner
2006 | Access Rail
Best of NeoCon, Gold
2006 | CPU600
Attachment 5

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Architecture Good
Design Award, Good
Design Award
Buildings Magazine
Innovations Awards,
Citation of Excellence
2006 | Liberty Side
IIDEX/NeoCon
Canada Innovations
Awards, Silver, 2006
2006 | Cinto
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2006 | Cinto
IIDEX/NeoCon
Canada Innovations
Awards, Silver
2005 | FM500
Buildings Magazine
Innovations Awards,
Grand Prize
2005 | 5G
Buildings Magazine
Innovations Awards,
Citation of Excellence,
2005
2005 | Liberty Side
Best of Neocon, Gold
2005 | Liberty Side
Buildings Magazine
Top 100 Products,
Editor's Choice
2005 | 5G
IIDEX/NeoCon
Canada Innovations
Awards, Silver
2005 | Liberty Side
Buildings Magazine
Innovations Awards,
Citation of Excellence
2005 | Liberty
Design Center
Stuttgart International
Design Awards, Focus
in Silver
2005 | FM500
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2005 | Liberty Side
I.D. Annual Design
Review 2005
2005 | Cinto
IIDEX/NeoCon
Canada Innovations
Awards, Silver
2004 | Liberty
Best of NeoCon, Gold
2004 | 6G
Buildings Magazine
Innovations Awards,
Citation of Excellence,
2004
2004 | Liberty
IIDEX/NeoCon
Canada Innovations
Awards, Silver, 2004
Attachment 5

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2004 | M7
FIRA Ergonomics
Excellence 2004
2004 | Liberty Side
Architectural Record,
Best Products
2004 | L2
NECE Attendees'
Choice Award
2004 | Liberty Side
Buildings Magazine
Top 100 Products,
Editor's Choice
2004 | Liberty
Chicago Athenaeum
Museum of
Architecture Good
Design Award, Good
Design Award
2004 | Freedom
FIRA Ergonomics
Excellence 2004
Attachment 5

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Tab 5 – Value Add
Humanscale Ergonomic Consulting
Humanscale's Award Winning Ergonomic Consulting Programs and Services will help enable you and your organization to provide your office with a healthy and safe workstations. Our research-based training and assessment programs improve worker comfort while lowering injury risks and associated costs. Humanscale Consulting assists organizations with the development, implementation, and management of cost-effective ergonomics programs.

Humanscale ergonomic consulting improves employee well-being through healthy ergonomics programs. Our services include both virtual and onsite risk assessment, help with LEED requirements, and comprehensive ergonomic training.
x Ergo IQ – Ergonomics Software, Innovative cloud-based platform, designed to streamline the process of optimizing employee health and wellness
x Program Development, Implementation& Management
x Onsite & Virtual Assessments
x Ergonomics Training & Certification
x Work From Home Ergonomics
x Workplace Design Consulting Ergonomics
Humanscale’s team of board-certified ergonomists have implemented formal ergonomics programs for clients ranging in size from large Fortune 500 companies, to mid-size government agencies and municipalities, to small privately held firms.

Humanscale Design Services Program
Humanscale Design Services are able to provide layout and space planning assistance for your custom projects. Delivering a full Humanscale product solution, CAD (.dwg) floor plans, product suggestions, custom renderings, and a
ready to order .sif file (bill of materials) for your convenience. x Custom Project Renderings
x Dealer Specification Tools; CAP 2020, Project Matrix & CET Designer x Autocad, Revit, Cap 20/20, Cet Designer & Project Matrix x AutoCAD and Revit Symbol Creation
x Expert Product & Design Software Knowledge
x Project-Specific, Ready to Order .Sif Files
x Layouts and Space Planning
Attachment 5

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Appendix C

ADDITIONAL REQUIRED DOCUMENTS
DOC #1 Acknowledgment and Acceptance of Region 4 ESC’s Open Records Policy DOC #2 Antitrust Certification Statements (Tex. Government Code § 2155.005) DOC #3 Implementation of House Bill 1295 Certificate of Interested Parties (Form 1295) DOC #4 Texas Government Code 2270 Verification Form
Attachment 5

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Appendix C, Doc #1

ACKNOWLEDGMENT AND ACCEPTANCE
OF REGION 4 ESC’s OPEN RECORDS POLICY

OPEN RECORDS POLICY
All proposals, information and documents submitted are subject to the Public Information Act requirements governed by the State of Texas once a Contract(s) is executed. If an Offeror believes its response, or parts of its response , may be exempted from disclosure, the Offeror must specify page-by-page and line-by-line the parts of the response, which it believes, are exempt and include detailed reasons to substantiate the exemption. Price is not confidential and will not be withheld. Any unmarked information will be considered public information and released, if requested under the Public Information Act.

The determination of whether information is confidential and not subject to disclosure is the duty of the Office of Attorney General (OAG). Region 4 ESC must provide the OAG sufficient information to render an opinion and therefore, vague and general claims to confidentiality by the Offeror are not acceptable. Region 4 ESC must comply with the opinions of the OAG. Region 4 ESC assumes no responsibility for asserting legal arguments on behalf of any Offeror. Offeror is advised to consult with their legal counsel concerning disclosure issues resulting from this procurement process and to take precautions to safeguard trade secrets and other proprietary information.

Signature below certifies complete acceptance of Region 4 ESC’s Open Records Policy, except as noted below (additional pages may be attached, if necessary).

Check one of the following responses to the Acknowledgment and Acceptance of Region 4 ESC’s Open Records Policy below:

We acknowledge Region 4 ESC’s Open Records Policy and declare that no information submitted with this proposal, or any part of our proposal, is exempt from disclosure under the Public Information Act.

We declare the following information to be a trade secret or proprietary and exempt from disclosure under the Public Information Act.
(Note: Offeror must specify page-by-page and line-by-line the parts of the response, which it believes, are exempt. In addition, Offeror must include detailed reasons to substantiate the exemption(s). Price is not confident and will not be withheld. All information believed to be a trade secret or proprietary must be listed. It is further understood that failure to identify such information, in strict accordance with the instructions, will result in that information being considered public information and released, if requested under the Public Information Act.) Date Authorized Signature & Title
6/24/2022
Authorized Signature
Sr. Contract Administrator
Gov't Specialist
Attachment 5

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Appendix C, Doc #2

ANTITRUST CERTIFICATION STATEMENTS
(Tex. Government Code § 2155.005)
Attorney General Form
I affirm under penalty of perjury of the laws of the State of Texas that:

1. I am duly authorized to execute this Contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual (Company) listed below;

2. In connection with this proposal, neither I nor any representative of the Company has violated any provision of the Texas Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter 15;

3. In connection with this proposal, neither I nor any representative of the Company has violated any federal antitrust law; and

4. Neither I nor any representative of the Compan y has directly or indirectly communicated any of the contents of this proposal to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Company.

Company Contact
Signature
Printed Name
Address Position with Company
Official
Authorizing
Proposal
Signature
Phone
Printed Name
Fax
Position with Company
Humanscale Corporation
220 Circle Drive North
Piscataway, NJ 08854
732-537-2944
Signature
Katie Miglin
Sr. Contract Administrator, Gov't Specialist
Signature
Katie Miglin
Sr. Contract Administrator, Gov't Specialist
Attachment 5

Page 152 of 168 ends

Appendix C, DOC # 3
Implementation of House Bill 1295
Certificate of Interested Parties (Form 1295):

In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that a governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits a disclosure of interested parties to the governmental entity or state agency at the time the business entity submits the signed contract to the governmental entity or state agency. The law applies only to a contract of a governmental entity or state agency that either (1) requires an action or vote by the governing body of the entity or agency bef ore the contract may be signed or (2) has a value of at least $1 million. The disclosure requirement applies to a contract entered into on or after January 1, 2016.

The Texas Ethics Commission was required to adopt rules necessary to implement that law, prescribe the disclosure of interested parties form, and post a copy of the form on the commission’s website. The commission adopted the Certificate of Interested Parties form (Form 1295) on October 5, 2015. The commissi on also adopted new rules (Chapter 46) on November 30, 2015, to implement the law. The commission does not have any additional authority to enforce or interpret House Bill 1295.

Filing Process:

Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract.

The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business.

A certificate will stay in the pending state until it is acknowledged by the governmental agency.

Only acknowledged certificates are posted to the commission’s website.

Electronic Filing Application:
https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm Frequently Asked Questions:
https://www.ethics.state.tx.us/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: https://www.ethics.state.tx.us/data/filinginfo/1295Changes.pdf Attachment 5

Page 153 of 168 ends

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Attachment 5

Page 154 of 168 ends

Appendix C, DOC # 4
Texas Government Code 2270 Verification Form
House Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract.

Furthermore, Senate Bill 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller.

I, ___________________________________________________, as an authorized representative of
_____________________________________________________________, a contractor engaged by
Insert Name of Company
Region 4 Education Service Center, 7145 West Tidwell Road, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the future.

Also, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at https://comptroller.texas.gov/purchasing/docs/foreign-terrorist.pdf.

I further affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one (1) business day and we understand that our company's failure to affirm and comply with the requirements of Texas Government Code 2270 et seq. shall be grounds for immediate contract termination without penalty to the above-named Texas governmental entity.

I swear and affirm that the above is true and correct.
______________________________________________ ________________ Signature of Named Authorized Company Representative Date Katie Miglin
Humanscale Corporation
_________________
Signature of Named
6/24/2022
Attachment 5

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7145 West Tidwell Road ~ Houston, Texas 77092
(713)-462-7708
www.esc4.net

NOTICE TO OFFEROR
ADDENDUM NO. 1
Solicitation Number 22-10
Request for Proposal (“RFP”)
by
Region 4 Education Service Center (“ESC”)
for
Ergonomic Workplace Solutions
NEW SUBMITTAL DEADLINE: Wednesday, July 6, 2022, 10:00 AM CENTRAL TIME
This Addendum No. 1 amends the Request for Proposals (RFP) for Ergonomic Workplace Solutions (“Addendum”). To the extent of any discrepancy between the original RFP and this Addendum, this Addendum shall prevail.

Region 4 Education Service Center (“Region 4 ESC”) requests proposals from qualified suppliers with the intent to enter into a Contract for Ergonomic Workplace Solutions.

Addendum No. 1 is hereby issued as follows:

1. New Submittal Deadline: The submittal deadline for this RFP is hereby changed from Tuesday, June 28, 2022 @ 2:00 PM Central Time and extended as indicated below and above:
x Wednesday, July 6, 2022 @ 10:00 AM Central Time
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RECEIPT OF ADDENDUM NO. 1 ACKNOWLEDGEMENT
Offeror shall acknowledge this addendum by signing below and include in their proposal response.

Company Name ______________________________________
Contact Person _______________________________________
Signature ____________________________________________
Date ________________________________________________
Crystal Wallace
Region 4 Education Service Center
Business Operations Specialist
Humanscale Corporation
Katie Miglin
erson ___________
_______________
7/5/2022
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Request for Contract Update
Pursuant to the terms of contract number________________ for _________________________ Contractor must notify and receive approval from Region 4 ESC when there is an update in the contract. No request will be officially approved without the prior authorization of Region 4 ESC. Region 4 ESC reserves the right to accept or reject any request.
hereby provides notice of the following update on
(Contractor)
this date .

Instructions: Contractor must check all that may apply and shall provide supporting documentation. Requests received without supporting documentation will be returned. This form is not intended for use if there is a material change in operations, such as assignment, bankruptcy, change of ownership, merger, etc. Material changes must be submitted on a “Notice of Material Change to Vendor Contract” form.

Authorized Distributors/Dealers
Addition
Deletion
Supporting Documentation

Products/Services
New Addition
Update Only
Supporting Documentation

States/Territories
Supporting Documentation

Price Update
Supporting Documentation

Discontinued Products/Services
Supporting Documentation

Other
Supporting Documentation
Notes: Contractor may include other notes regarding the contract update here: (attach another page if necessary).

Submitted By:

Title:

Approved by Email: Date

Denied by Email: Date
Email Address:
5HTXHVWWRXSGDWHWR'LVFRXQW6KHHW3ULFH*XLGH6HSWHPEHU R2210-02 Humanscale Corporation
Humanscale Corporation
10/3/2023
X
X
Katie Miglin
Sr. Contract Administrator, Gov't Specialist
[email protected]
X
X
Adding a new eFloat table line and removing older eFloat GO 1.0.

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Contact Information:

Pat Mulvena Katie Miglin
Director of Government Sales Sr. Contract Administrator, Government Specialist Humanscale Humanscale
Cell: (302) 544-0554 Office: (732) 537-2944 ext. 1109 [email protected] [email protected]
Contract Number: R221002 FOB Point: Destination
Awarded Date: 1/1/2023 Continental U.S. and Canada
Expiration Date: 12/31/2027 including Hawaii & Alaska
Category Region 4 ESC - Ergonomic Workplace Solutions Freight Charges Apply: No Price Guides: U.S. Price Guide - September 2022 Small Order Handling Fee: No Payment Terms: Net 30 Days Surcharges: No
Terms & Conditions: See Price Guide Installation Included: No Membership Fees: Free Competitive Bid: Yes
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$50,000 55%
$50,001-$100,000 56%
$100,001-$200,000 57%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$25,000 49%
$25,001-$75,000 52%
$75,001-$200,000 55%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$50,000 62%
$50,001-$100,000 64%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$50,000 61%
$50,001-$100,000 63%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$50,000 59%
$50,001-$150,000 61%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$50,000 45%
$50,001-$100,000 48%
$100,001-$200,000 50%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$150,000 52%
$150,001-$250,000 54%
$250,001-$500,000 56%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$150,000 61%
$150,001-$250,000 63%
$250,001-$500,000 65%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-$150,000 59%
$150,001-$300,000 61%
$300,001-$500,000 63%
Volume (Based on List Price) Region 4 ESC / OMNIA Partners Discount $1-up 40%
• OMNIA Partners is free with no ob ligation to purchase. Complete the brief New Membership Registration: New Member Registration • OMNIA Partners Contract is fo r members of all Government agencies (State, County & City), Education (Public & Private), Tribal Nations, and Nonprofit Organizations. • All new products developed and introduced by Humanscale will be offered at the contract discounting within the above product categories.

Region 4 ESC Cooperative
Contract
Seating (Ergonomic Task Chairs, Conference Chairs, Stools & Guest Chairs): Freedom, Liberty, Smart, Diffrient World, Path, Liberty Side, & Occasional Chairs Side Seating (Multipurpose Seating): Cinto, Trea, and Ballo | Seating (Executive Boardroom Chairs): Summa Ergonomic Workstation Tools: Keyboard Tray Systems & Accessories, Monitor Arms, Technology (Docking/Power Stations) and CPU Holders Desk Shields / Separation Panels: Screens & Modesty Panels Lighting & Ergonomic Accessories: Task Lighting, Personal LED Desk Lamps, and Ergonomic Accessories Cable Management: Neat Suite Collection - NeatLinks, NeatLinks Slim, NeatTech, NeatUp, NeatCharge (Wireless Charging) & NeatHu b (Power Modules) Height Adjustable Sit/Stand Solutions: QuickStand Eco (Desktop Converter), Float Mini (Compact Counterbalance), & eFloat GO 2.0 Table Bases (Electric) Height Adjustable Worktable: Float Table (Counterbalance), QuickStand Products (Desktop Converter), Monarch Mat | Worksurface Tops: for All Table Bases Height Adjustable Worktable (Electric): eFloat Lite and eFloat Flex Table Bases Height Adjustable Worktable (Electric): eFloat Next Table Bases • This contract pricing is for OMNIA Partners members and our dealer network utilizing the Humanscale OMNIA Partners Contract. • The Humanscale OMNIA Partners Contra ct is open to all of Humanscale's Contract Dealer Distribution Network. • Design Services can be included of negotiated fees & rate s, based per project, by the Humanscale Authorized Dealer. • All quotes, purchase orders and invoices must have Humansca le's OMNIA Partners contract number and full end user name. • Delivery and Installation can be included with negotiated labor rates, based per project, by the Humanscale Authorized Dealer. • Placement of product and disposal of packaging material is th e responsibility of the institution/entity or servicing authorized dealer.

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Contact Information:

SERVICE OFFERINGS IN OFFICE ERGONOMICS SKU MSRP
Region 4 ESC / OMNIA Partners
Member Cost
ergoIQ FIT ONLINE SELF-ASSESSMENT (Minimum 100) CONS102 $35 / self-assessment 32.00 ergoIQ LIVE - Online Consultation CONS167 $200 $180
WORK@HOME LIVE WEBINAR SERIES: Up to 50 Attendees CONS176 $800 / session $720 / session VIRTUAL & ONSITE ERGONOMIC ASSESSMENT PROGRAM: Basic* CONS52 $265 $238 VIRTUAL & ONSITE ERGONOMIC ASSESSMENT PROGRAM: Standard* CONS04 $395 $355 VIRTUAL & ONSITE ERGONOMIC ASSESSMENT PROGRAM: Advanced* CONS25 $650 $585 ERGONOMICS 101 TRAINING CONS126 $800 $720
CLEAN SWEEP GROUP TRAINING & ASSESSMENT PROGRAM: Basic CONS34 $1,800 / day $1,620 / day CLEAN SWEEP GROUP TRAINING & ASSESSMENT PROGRAM: Standard CONS28 $2,625 / day $2,362 / day CLEAN SWEEP GROUP TRAINING & ASSESSMENT PROGRAM: Advanced CONS29 $3,500 / day $3,150 / day POST INSTALLATION TRAINING CONS39 $1,800 / day $1,620 / day WORKPLACE DESIGN CONSULTING CONS07 $1,800 / day $1,620 / day DESIGNING HEALTHY WORK ENVIRONMENTS PRESENTATION CONS21 $1,000 $900 ERGONOMIC PROGRAM DEVELOPMENT WORKSHOP CONS05 $2,700 $2,430 CERTIFICATION PROGRAM IN OFFICE ERGONOMICS: 1-5 Attendees CONS68 $3,600 $3,240 CERTIFICATION PROGRAM IN OFFICE ERGONOMICS: Addt'l Attendee CONS179 $595 $535 CERTIFICATION PROGRAM IN OFFICE ERGONOMICS: COEE Exam CONS30 $125 $113 CERTIFICATION PROGRAM IN OFFICE ERGONOMICS: Coursebooks CONS74 $35 $32 For inquires please contact the following: [email protected] • OMNIA Partners is free with no obligation to purchase. Complete the brief New Membership Registration: New Member Registration • All quotes, purchase orders and invoices must have Humans cale's OMNIA Partners contract number and full end user name. • Delivery and Installation can be included with negotiated labor rates, based per project, by the Humanscale Authorized Dealer. • Placement of product and disposal of packaging material is the responsibility of the institution/entity or servicing authori zed dealer. *Travel fee of $125/hour invoiced in 15-minute increments for site visits requiring less than 3 individual assessments.

Humanscale Consulting Services & Ergonomics Software:
• OMNIA Partners Contract is for members of all Government agencies (State, County & City), Education (Public & Private), Tribal Nations, and Nonprofit Organizations. • All new products developed and introduced by Humanscale will be offered at the contract discounting within the above product categories. • This contract pricing is for OMNIA Partners members and our dealer network utilizing the Humanscale OMNIA Partners Contract. • The Humanscale OMNIA Partners Contract is open to all of Humanscale's Contract Dealer Distribution Network.

Detailed "Humanscale Consulting - Region 4 ESC / Omnia Partners Program Offerings" available upon request.

Basic assessments are conducted virtually in situations wh ere fewer than 3 are required • Design Services can be included of negotiated fees & rates, based per project, by the Humanscale Authorized Dealer.

Region 4 ESC / OMNIA Partners
National Cooperative Contract

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hereby provides notice of the following update on
(Contractor)

this date .

Authorized Distributors/Dealers
Addition
Deletion
Supporting Documentation

Products/Services
New Addition
Update Only
Supporting Documentation

States/Territories
Supporting Documentation

Price Update
Supporting Documentation

Discontinued Products/Services
Supporting Documentation

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