1412188280 Appendix B - Response Forms.pdf

1412188280 (IFB) N03 Replacement Condenser Valve Purchase - Appendix B - Response Forms

Submit the Response an electronic pdf in accordance with the procedures in the solicitation

Company Name:

Company’s Address:

License Number:

Phone Number: FAX No: Email Address:

BID SECURITY REQUIREMENTS TERM OF CONTRACT

None required One Time Purchase Certified Check or Bond Five Percent (5%) Term - N/A

Other, Specify - Project Completion

SAMPLE REQUIREMENTS SECTION 255.05, FLORIDA STATUTES CONTRACT BOND

None required None required Samples required prior to Bid Opening Bond required 100% of Bid Award Samples may be required subsequent to

Bid Opening

QUANTITIES INSURANCE REQUIREMENTS

Quantities indicated are exacting Quantities indicated reflect the approximate quantities to be purchased Insurance required

Throughout the Contract period and are subject to fluctuation in accordance with actual requirements.

PAYMENT DISCOUNTS

1% 20, net 30 2% 10, net 30 Other None Offered

Item

No. ENTER YOUR BID FOR THE FOLLOWING DESCRIBED ARTICLES OR SERVICES: TOTAL BID PRICE

1 TOTAL BID PRICE FOR IFB 1412188280 $_______________

I have read and understood the Sunshine Law/Public Records clauses contained within this solicitation. I understand that in the absence of a redacted copy my proposal will be disclosed to the public “as-is”.

BIDDER CERTIFICATION

By submitting this Bid, the Bidder certifies that it has read and reviewed all of the documents pertaining to this Solicitation, that the person signing below is an authorized representative of the Bidding Company, that the Company is legally authorized to do business in the State of Florida, and that the Company maintains in active status an appropriate contractor’s license for the work (if applicable).

The Bidder also certifies that it complies with all sections (including but not limited to Conflict Of Interest and Ethics) of this Solicitation.

We have received addenda Handwritten Signature of Authorized Officer of Company or Agent Date

_______ through _______

Printed Name and Title

1412188280 (IFB) N03 Replacement Condenser Valve Purchase - Appendix B - Response Forms

THE MINIMUM QUALIFICATIONS SHALL BE SUBMITTED ON THIS FORM. IN ORDER TO BE CONSIDERED A

QUALIFIED BIDDER BY JEA YOU MUST MEET THE MINIMUM QUALIFICATIONS LISTED BELOW, AND BE

ABLE TO PROVIDE ALL THE SERVICES LISTED IN THIS SOLICITATION.

THE BIDDER MUST COMPLETE THE BIDDER INFORMATION SECTION BELOW AND PROVIDE ANY OTHER

INFORMATION OR REFERENCE REQUESTED. THE BIDDER MUST ALSO PROVIDE ANY ATTACHMENTS

REQUESTED WITH THIS MINIMUM QUALIFICATIONS FORM.

BIDDER INFORMATION

COMPANY NAME:

BUSINESS ADDRESS:

CITY, STATE, ZIP CODE:

TELEPHONE:

FAX:

E-MAIL:

PRINT NAME OF AUTHORIZED REPRESENTATIVE:

SIGNATURE OF AUTHORIZED REPRESENTATIVE:

NAME AND TITLE OF AUTHORIZED REPRESENTATIVE:

MINIMUM QUALIFICATIONS:

Respondent must meet the following Minimum Qualifications to be considered eligible to have its Response evaluated by JEA. Respondent must complete and submit the Minimum Qualification Form provided in this Solicitation.

Respondents that are working or have worked for JEA in the past 2 years involving similar work must submit JEA as a reference. JEA reserves the right to ask for additional back up documentation or reference projects to confirm the

Respondent meets the minimum requirements.

JEA may reject Responses from Respondents not meeting all of the following Minimum Qualifications:

I. Respondent must not be on the State of Florida Convicted Vendor List, State of Florida’s Suspended

Vendor List, the City of Jacksonville’s Disqualified Vendor List, have their bidding privileges actively suspended by JEA, been debarred by JEA, or have had a contract with JEA was terminated for default within the last two (2) years.

II. The Respondent shall comply with the technical and commercial specifications for this solicitation.