ATTACHMENT A

SUBMISSION CHECKLIST

This form is designed to ensure that respondents include all components necessary to evaluate their response.

Bidders must fill out forms A-G and return it with their response. Additional Bidder documentation may also be submitted in support of the bid. Bidder may use their own forms or other formats, but all must be named and labeled as described below and uploaded in the same order.

Mandatory Attachments

I have completed and included in my response, the following Attachments:

Certification/License

I have read the entire contents of the SRB-AERIAL-SPRAY-FY27 and understand that I am obligated to comply with all terms, conditions and requirements of this RFR.

Authorized Signature:

Date:

Print Name:

Title:

ATTACHMENT B

BIDDER INFORMATION

All Bidders must complete and return this Attachment with their response.

Legal Name:

d/b/a

Company Address:

Main Phone:

Main Fax:

Website:

Contract Manager & Title:

Email:

Phone:

Additional Contact:

Email:

Phone:

Services Provided:

a. Fixed or Rotary Wing

b. Helicopter

a. Truck Mounted

b. Backpack spray

ATTACHMENT C

BUSINESS REFERENCE FORM

Bidder must provide three (3) business references.

Reference 1:

Reference Business Name:

Address, City, ST, Zip:

Contact Person:

Email

Description & Date(s) of Services Provided:

Reference 2:

Reference Business Name:

Address, City, ST, Zip:

Contact Person:

Email

Description & Date(s) of Services Provided:

Reference 3:

Reference Business Name:

Address, City, ST, Zip:

Contact Person:

Email

Description & Date(s) of Services Provided:

References will be contacted to confirm the bidder’s abilities and qualifications as stated in the bidder’s response. The department may deem the bidder’s response unresponsive if a reference is not obtainable from a listed reference after reasonable attempts

ATTACHMENT D

STATEMENT OF QUALIFICATIONS

This statement is to certify that _______________________________(Company Name) has been in the business of ______________________________________ (Service(s) provided) for a period of _______ years.

We _____ have or _____ do not have the ability to perform the type, magnitude and quality of work within the scope of RFR for the services we offer. (Comment below)

The company ____ has or ____ has not been involved in any bankruptcy proceedings within the last five years.

(If the company has been involved in bankruptcy proceedings, please give a detailed description below.)

This company ___ has ____ has not undergone a name change within the last five years. (If the company name has changed, please provide a detailed description below.)

Contractor Ability/Description:

Bankruptcy proceedings:

Name change information:

I certify to the best of my knowledge that all information above is true and correct.

ATTACHMENT E

PRICING/COST

(Emergency Purchase) Discount Final Price

*you may submit backup documentation that more accurately reflect any potential charges for requested projects, including Cost/Acre, min/max charges, travel ranges, etc.

ATTACHMENT F

VENDOR INFORMATION

ATTACHMENT G

SUPPLIER DIVERISTY PROGRAM PLAN

SEE COMMBUYS BID ATTACHMENT

FOR OFFICIAL COMMONWEALTH FORM TO COMPLETE AND UPLOAD

ATTACHMENT H

PROMPT PAY DISCOUNT FORM

SEE COMMBUYS BID ATTACHMENT

FOR OFFICIAL COMMONWEALTH FORM TO COMPLETE AND UPLOAD

ATTACHMENT I

LIST OF EQUIPMENT TO BE USED

Bidder must list the type, quantity, total carrying capacity, effective swath, and working speed of each aircraft or truck fleet (as applicable) to be used on a contract resulting from this RFR.

ATTACHMENT J

VERIFICATION OF INSURANCE CERTIFICATE

UPLOAD A COPY OF YOUR CERTIFICATE

ATTACHMENT L

COPY OF CURRENT OF VALID MASSACHUSETTS PESTICIDE CERTIFICATE/LICENSE

UPLOAD A COPY OF YOUR CERTIFICATE/LICENSE