1-MSC_055pricing.pdf

Vendor Name:

TRIP Facility Street Address: 26914 Eckel Rd

Street Address (cont'd):

TRIP Facility City/State/Zip:

Billing Address:

Billing Address (cont'd):

Billing City/State/Zip:

24-Hour Dispatch Phone:

Name/Title/Phone/Email:

Name/Title/Phone/Email:

Name/Title/Phone/Email:

Name/Title/Phone/Email:

Name/Title/Phone/Email:

TRIP Zones:

Successful TRIP:

Cancelled TRIP:

Unsuccessul TRIP:

yes yes

Invitation No. 055-25 Towing and Recovery Incentive Payment (TRIP) Program

YOU MUST COMPLETE A SEPARATE TAB FOR EACH FACILITY YOU PLAN TO PROVIDE SERVICES OUT OF. EACH TAB MUST BE FILLED

OUT IN ITS ENTIRETY. THESE MUST BE INCLUDED IN YOUR EMAILED BID PACKAGE.

FACILITY #1

Contact Information

Moon's Service Center LLC

Perrysburg, OH 43551

2025 Victory Lane

Bowling Green, Ohio 43402

Key Personnel

Matt Moon, Owner, 419-409-1785, mattmoon@wrighttireandauto.com

Meredith Moon, Owner, 419-409-1157, mmoon@orstowingandrecovery.com

TRIP Zones

For the TRIP facility location entered above, indicate below the TRIP Zones for which you intend to provide services.

1B, 2A and 2B

Incentive Payment

$2,499.00 (TRIP event declared by TMC; vendor meets all requirements)

$600.00 (TRIP event declared and subsequently cancelled by TMC prior to working at scene)

$0.00 (TRIP event declared by TMC; vendor fails to meet one or more requirements)

Company Qualifications

Has your company been in the heavy duty towing and recovery business for a minimum of ten years? (Yes or No):

If you answered "No" above, explain below why you believe you have the expertise to participate in the TRIP program:

At the TRIP facility location entered above, does your company have two 35-ton hydraulic wreckers, each with a minimum of two 35,000 pound winches? (Yes or No):

If you answered "No" above, explain below what equipment you have and how you intend to accomplish the needed work:

yes yes yes yes yes yes yes yes yes

At the TRIP facility location entered above, does your company have a skid loader with at least the following attachements:

broom, grapple bucket, forks? (Yes or No):

If you answered "No" above, explain below what equipment you have and how you intend to accomplish the needed work:

At the TRIP facility location entered above, does your company have a fuel transfer system to effectively remove a minimum of

300 gallons of diesel fuel? (Yes or No):

If you answered "No" above, explain below what equipment you have and how you intend to accomplish the needed work:

At the TRIP facility location entered above, does your company have a support truck or trailer with all necessary equipment to effectively move wreckage and clear the roadway? (Yes or No):

If you answered "No" above, explain below what equipment you have and how you intend to accomplish the needed work:

Have your employees completed the Ohio Traffic Incident Management (OTIM) training program? (Yes or No):

If your employees have not completed the OTIM training, and your company is awarded a contract through this invitation, will this training be scheduled within the first three months after contract execution?

(Yes or No or N/A):

If you answered "No" to any of the six questions immediately above, explain below:

Does your company meet all applicable registration requirements as described in the Invitation (see Section 5 of the Invitation)?

(Yes or No):

Does your company maintain the required minimum automobile liability insurance as described in the Invitation (see Section 5 of the Invitation)? (Yes or No):

Do your drivers have commercial driver's licences? (Yes or No):

Does your company provide workers' compensation to all employees as required by the Ohio BWC? (Yes or No):