11-RFP-03-Authorized Signature and Questionnaire.pdf

303 KB Posted

Attached to
RFP Chemical Tank
Solicitation number
26-0187
Issued by
Tarrant County, Texas

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This is an Authorized Signature and Questionnaire form for RFP 26-0187 issued by the City of Fort Worth Purchasing Division for chemical tanks to be supplied to the Water Department on an as-needed basis. The RFP seeks proposals for chemical storage tanks in materials including XLPE, FRP, and HDPE. Bidders must submit complete documentation including technical responses, service agreements, and answers to a comprehensive 23-question questionnaire that evaluates vendor qualifications, manufacturing capabilities, and product specifications. Required information includes company experience with water and wastewater treatment facilities, manufacturing processes, factory testing procedures, warranty terms, lead times, tank capacity ranges, and life expectancy in North Texas outdoor environments. Vendors must also confirm they have reviewed exhibits A, B, and C, the approved or equal manufacturer list, and the draft vendor service agreements, and must disclose any proposed modifications to those agreements.

The form requires vendors to provide standard prompt payment discount terms and to declare whether their business or principals are involved in any litigation adverse to the City or under criminal investigation. Vendors must confirm willingness to extend all contract terms, conditions, specifications, and pricing to other governmental entities participating in cooperative purchasing arrangements. Prospective bidders are required to submit sample renderings, technical drawings, or shop drawings of representative tanks and must disclose any major tank failures in the past five years along with corrective actions taken. The questionnaire also requests disclosure of proprietary information that bidders wish to protect from public disclosure, with specific pages and sections clearly identified.

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8-Exhibit B.pdf PDF
12-RFP-02-Scope of Services.pdf PDF
2-RFP-06-Small Business Utilization Form V1.docx DOCX document
4-RFP-07-Deviations.xlsx XLSX spreadsheet
5-RFP-09-Discount Calculator.xlsx XLSX spreadsheet
3-RFP-01-Instruction to Proposers.pdf PDF
7-RFP-04-Draft Vendor Service Agreement.pdf PDF
9-Exhibit A.pdf PDF
6-RFP-08-Reference Sheet.pdf PDF
1-RFP-05-Forms.pdf PDF
10-Exhibit C.pdf PDF
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CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0187 Doc. Ref#: RFP-04 Page 1 of 5 RFP Title: Chemical Tanks

City of Fort Worth Bidder/Supplier ID:____________________________________ Legal Name of Proposer:

D/B/A Name of Proposer:

Federal Id Number (TIN):______________________________________________ Address:

Name of the Authorized Representative: __________________________________ Title: _____________________________________________________________ The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFP and agrees to be bound by the terms therein.

The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFP.

Signature of the Authorized Representative: _____________________________ Email: Phone:

Name of Contact Person - 1:

Title of Contact Person - 1:

Email: Phone:

Name of Contact Person - 2:

Title of Contact Person - 2:

Email: Phone:

Name of Contact Person - 3:

Title of Contact Person - 3:

Email: Phone:

RFP Ref. #: 26-0187 Doc. Ref#: RFP-04 Page 2 of 5

Please answer each question below thoroughly. Responses to the questions will be used to assess the Proposal’s responsiveness. Bidders may use a separate sheet if needed, as long as each answer is labeled with the corresponding question number.

1.0 Length of time in business: _______________________________________

2.0 Is your business or any of its principals currently involved in litigation adverse to the City? Yes_______ No________

3.0 Is your business or any of its principals under criminal investigation?

Yes_______ No________ Have you answered Yes to either Question 1 or 2 above? Please provide the details outlining the situation on a separate document with the submission of this form.

4.0 Cooperative Purchasing - Should other governmental entities decide to participate in this contract, would you, the Vendor, agree that all terms, conditions, specifications, and pricing would apply?

Yes_______ No________

5.0 Prompt Payment Discount Terms: ____ Percent _______ Days (i.e. 3% Net 15, etc.)

6.0 Proprietary Information - If a Bidder believes certain information in their proposal is proprietary and wishes to prevent its disclosure, they must clearly identify those pages and information in the chart below, for more information, see RFP-01, Section 15.4.

Pages with information believed to be Proprietary

Please indicate if only specific sections on the page are believed to be Proprietary

7.0 How many years has your company been supplying chemical storage tanks?

RFP Ref. #: 26-0187 Doc. Ref#: RFP-04 Page 3 of 5 RFP Title: Chemical Tanks

8.0 Describe your experience with water and wastewater treatment facilities similar to the City of Fort Worth.

9.0 Confirm which tank materials you can supply: XLPE, FRP, HDPE (select all that apply)

10.0 A proposal may be deemed to be non-responsive and may be disqualified, at the City’s discretion, if the Proposal fails to include all requested documents.

Are all required documents, response forms, and technical response documents attached to your submission? Yes__ No__

11.0 What is the life expectancy of your tanks in outdoor environments in North Texas?

12.0 Did you make any changes to RFP-04-Drafts Vendor Service Agreements?

RFP Ref. #: 26-0187 Doc. Ref#: RFP-04 Page 4 of 5

13.0 Do you perform factory testing (e.g., leak testing, inspection reports)?

14.0 Describe your tank manufacturing processes (e.g., filament wound, hand lay-up, seamless molded)

15.0 How do you ensure long-term compatibility with aggressive chemicals?

16.0 What is your standard and maximum tank capacity range?

17.0 Provide typical lead times for standard vs custom tanks

RFP Ref. #: 26-0187 Doc. Ref#: RFP-04 Page 5 of 5 RFP Title: Chemical Tanks

18. Describe your standard warranty terms for tanks and accessories.

19.0 What is your process for handling defective or non-compliant tanks?

20.0 Were you able to view exhibits A, B, and C? Yes or No

21.0 Have you had any major tank failures in the past 5 years? If yes, explain corrective actions.

22.0 Are you able to provide a sample rendering, technical drawing, or shop drawing of a representative tank? If so, include it with your proposal submission.

23.0 Please acknowledge that you saw the approved or equal manufacturer list.

Yes___ No___

City of Fort Worth BidderSupplier ID:
Legal Name of Proposer:
DBA Name of Proposer:
Federal Id Number TIN:
Address:
Name of the Authorized Representative:
Title:
Email:
Phone:
Name of Contact Person 1:
Title of Contact Person 1:
Email_2:
Phone_2:
Name of Contact Person 2:
Title of Contact Person 2:
Email_3:
Phone_3:
Name of Contact Person 3:
Title of Contact Person 3:
Email_4:
Phone_4:
Length of time in business:
adverse to the City Yes:
No:
Yes:
No_2:
Yes_2:
No_3:
Prompt Payment Discount Terms:
Percent:
70 How many years has your company been supplying chemical storage tanks:
to the City of Fort Worth 1:
to the City of Fort Worth 2:
to the City of Fort Worth 3:
to the City of Fort Worth 4:
to the City of Fort Worth 5:
that apply 1:
that apply 2:
that apply 3:
that apply 4:
that apply 5:
Texas 1:
Texas 2:
Texas 3:
Texas 4:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 1:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 2:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 3:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 4:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 5:
130 Do you perform factory testing eg leak testing inspection reports 1:
130 Do you perform factory testing eg leak testing inspection reports 2:
130 Do you perform factory testing eg leak testing inspection reports 3:
130 Do you perform factory testing eg leak testing inspection reports 4:
130 Do you perform factory testing eg leak testing inspection reports 5:
130 Do you perform factory testing eg leak testing inspection reports 6:
1:
2:
up seamless molded 1:
up seamless molded 2:
up seamless molded 3:
150 How do you ensure longterm compatibility with aggressive chemicals 1:
150 How do you ensure longterm compatibility with aggressive chemicals 2:
150 How do you ensure longterm compatibility with aggressive chemicals 3:
160 What is your standard and maximum tank capacity range 1:
160 What is your standard and maximum tank capacity range 2:
1_2:
2_2:
170 Provide typical lead times for standard vs custom tanks 1:
170 Provide typical lead times for standard vs custom tanks 2:
18 Describe your standard warranty terms for tanks and accessories 1:
18 Describe your standard warranty terms for tanks and accessories 2:
18 Describe your standard warranty terms for tanks and accessories 3:
18 Describe your standard warranty terms for tanks and accessories 4:
18 Describe your standard warranty terms for tanks and accessories 5:
190 What is your process for handling defective or noncompliant tanks 1:
190 What is your process for handling defective or noncompliant tanks 2:
190 What is your process for handling defective or noncompliant tanks 3:
200 Were you able to view exhibits A B and C Yes or No 1:
200 Were you able to view exhibits A B and C Yes or No 2:
200 Were you able to view exhibits A B and C Yes or No 3:
corrective actions 1:
corrective actions 2:
corrective actions 3:
representative tank If so include it with your proposal submission 1:
representative tank If so include it with your proposal submission 2:
representative tank If so include it with your proposal submission 3:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off

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