2-02 Required Form-Proposer Information Form.pdf
PDF 119 KB Posted
- Attached to
- Parking Lot Resurfacing & Striping Services
- Solicitation number
- RFP #13-12-26
- Issued by
- Bell County, Texas
About this file
This is a Proposer Information Form for RFP #13-12-26 issued by the City of Temple, Texas, for parking lot resurfacing and striping services. The City seeks qualified vendors to establish an annual contract for parking lot maintenance at various City facilities including municipal buildings, parks, libraries, fire stations, and athletic complexes on an as-needed basis. Parking lot sizes vary depending on location. The form requires proposers to provide company information, confirm receipt of any addenda issued through the Bonfire e-procurement portal, authorize credit checks for financial responsibility determination, identify authorized personnel for contract representations, and confirm ability to execute the attached Short Form Construction Contract and comply with specified insurance requirements.
Proposers must acknowledge receipt of all addenda, authorize the City to conduct credit investigations, and take no exceptions to RFP terms unless explicitly stated in the designated section. The form incorporates federal compliance requirements applicable based on contract value thresholds, including Davis-Bacon Act compliance for prime construction contracts exceeding $2,000, Equal Employment Opportunity requirements for federally assisted construction contracts, Contract Work Hours and Safety Standards Act compliance for contracts exceeding $100,000, Byrd Anti-Lobbying Amendment certifications for awards exceeding $100,000, and Clean Air Act and Federal Water Pollution Control Act compliance for contracts exceeding $150,000. All contractors must comply with federal, state, and local laws, regulations, and ordinances, and certify compliance with applicable provisions including debarment and suspension requirements per Executive Orders 12549 and 12689.
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Text version
RFP #13-12-26 Parking Lot Resurfacing and Striping Services 19
FORM 5.1. - PROPOSER INFORMATION FORM
1. Company Information
Company Name: ________________________________________________________
Business Address: ______________________________________________________
Remit-to Address, if different: ______________________________________________
Tax Identification Number: _________________________________________________
Contact Person: ________________________________________________________
Phone: _______________________________________________________________
Email: ________________________________________________________________
2. Addenda Our company has reviewed and formally acknowledges receipt of all addenda, if any, provided in the Bonfire e-procurement portal. Please record the number of addenda acknowledged here:
____________ (number of addenda acknowledged)
3. Credit Check Authorization The City is required to determine whether a proposer who may be awarded a contract is financially responsible. The City may run a credit check on the potential contractor before award of the contract. By signing this Proposer Information Form, I hereby authorize the City of Temple, credit bureau, or other investigative agency employed by the City of Temple to investigate my credit history and financial responsibility.
4. Authorized Personnel State your firms’ personnel authorized to give representations regarding your proposal or resulting contract, if any:
Name Phone Number Email Address
RFP #13-12-26 Parking Lot Resurfacing and Striping Services 20
5. Agreement
The successful proposer shall be able to execute the attached Short Form Construction Contract and be able to comply with the insurance requirements as stated within the contract. Please confirm your ability to execute this contract.
____________ (initial to confirm)
6. Exceptions Taken by Proposer State exceptions taken to any of the terms of this RFP, if any.
7. Authorization
Authorized Signature: ____________________________________________________
Print Name: ____________________________________________________________
Title: ___________________________________ Date: _______________________
| b. Termination for Cause or Convenience for Contracts Exceeding $10,000 |
| For any City purchases or contracts in excess of $10,000 made using federal funds, Contractor agrees that the following terms and conditions shall apply: |
| c. Equal Employment Opportunity |
| Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), in a... |
| d. Davis-Bacon Act |
| Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime construction contracts in excess of $2,000, Contractor shall comply with the Davis-Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as supplemente... |
| The City must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. Contractor agrees that for any purchase to which this requirement applies, the award is conditioned upon Contractor’s accep... |
| Contractor further agrees that it shall comply with the Copeland “Anti-Kickback” Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work Financed in Who... |
| e. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708) |
| Where applicable, all contracts awarded by the City in excess of $100,000 that involve the employment of mechanics or laborers, Contractor agrees to comply with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5... |
| f. Rights to Inventions Made Under a Contract or Agreement |
| If the Federal award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business company or nonprofit organization regarding the substitution of parties, a... |
| g. Clean Air Act and Federal Water Pollution Control Act |
| Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. Where applicable, all contracts awarded by the City in excess of $150,000, Contractor agrees to comply with all applicable standards, ... |
| h. Debarment and Suspension |
| Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2... |
| i. Byrd Anti-Lobbying Amendment |
| Byrd Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pa... |
| Contractor agrees to comply with all federal, state, and local laws, rules, regulations, and ordinances, as applicable. It is further acknowledged that Contractor certifies compliance with all provisions, laws, acts, regulations, etc. as specifically ... |
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