2-Appendix A.pdf
PDF 108 KB Posted
- Solicitation number
- IFB 25/26-29
- Issued by
- Alameda County, California
About this file
This is a Bidder Qualification Form and appendix document for the Alameda County Water District's Invitation for Bid (IFB) No. 25/26-29 for the provision and delivery of water treatment chemicals, specifically Liquid Oxygen (LOX) and Carbon Dioxide (CO2), in California. To be considered responsive, bidders must demonstrate that their company is duly licensed to do business in California and has performed chemical delivery services of similar scope and size for a minimum of five years. Qualified contractors must submit three customer references from government or private industry for contracts of similar scope and size completed within the last five years. The District will contact these references to assess bidder responsibility.
The qualification form requires bidders to provide company name, business address, telephone number, email, official representative and title, and signature with date. Bidders must also supply a sales office address with contact names and telephone numbers, ordering information with business and after-hours contact numbers and contact persons, and 24-hour emergency chemical assistance contact information. This comprehensive contact and qualification information enables the District to evaluate bidder capability, reliability, and responsiveness throughout the contract term and during potential emergency situations requiring immediate chemical delivery support.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-IFB25-26 29 Water Treatment Chemicals.pdf | ||
| 3-Appendix B - Sample Agreement.docx | DOCX document |
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Text version
INVITATION FOR BID
APPENDIX A
FORMS
BIDDER QUALIFICATION FORM
This Statement is to accompany the bid submitted in response to Invitation for Bids No.
25/26-29 for the Provision and Delivery of Water Treatment Chemicals Liquid Oxygen and Carbon Dioxide.
I certify that the following information submitted is true and correct:
The company is duly licensed to do business in the state of California and has performed chemical delivery services of similar scope and size for a minimum of five (5) years.
1. NAME OF BIDDER: ___________________________________________
2. BUSINESS ADDRESS: ___________________________________________
3. TELEPHONE NO.: ___________________________________________
4. EMAIL: ___________________________________________
5. OFFICIAL REP. & TITLE: ___________________________________________
6. SIGNATURE: ___________________________________________
7. DATE: ___________________________________________
REFERENCES
In order to be considered responsive, provide three (3) customer (government or private industry) references for contracts of similar scope and size have been completed within the last five (5) years. These customers may be contacted by the District. Responses will be considered by the District in assessing Bidder responsibility.
1. Name:________________________________________________________
Address: ______________________________________________________
City, State, Zip: ________________________________________________
Telephone /Email: ______________________________________________
Contact Person: ________________________________________________
Duration of Contract:_____________________________________________
2. Name:________________________________________________________
Telephone /Email: ______________________________________________
Duration of Contract:_____________________________________________
3. Name:________________________________________________________
Telephone /Email: ______________________________________________
Duration of Contract:____________________________________________
BIDDER CONTACT INFORMATION FORM
SALES OFFICE
Address:
Contact Name (s):
Telephone No.:
Normal Business Hours:
ORDERING INFORMATION
Telephone Number(s) During Business Hours:
Telephone Number(s) After Business Hours:
Normal Business Hours:
Contact Person(s):
CHEMICAL EMERGENCY ASSISTANCE (24 HOURS / 7 DAYS A WEEK)
Telephone Number (s):
Contact Person (s):
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