2.Response Cover Sheet and Application.docx

DEPARTMENT OF MENTAL HEALTH

RFR RESPONSE COVER SHEET AND APPLICATION

RFR Number: 2025-LAUEQP

RFR Title: Request For Response for DMH Laundry Equipment Lease, Rentals, Service and Outright Purchases of Washers and Dryers Master Agreement

Bidder Information:

Name:

Address:

Tax Identification #: _________________________

Contact Person Name:

Contact Person Phone:

Contact Person Email:

Contact Person FAX:

SIGNATURE: (must be an individual authorized to negotiate for and execute the contract on behalf of the Bidder)

(Signature)

(Print Name)

(Title)

(Date)

Response Categories Check all that apply.

__ Equipment Lease and/or Purchase (to include service maintenance and repair)

__ Service Maintenance and/or Repair

Experience

___ Bidder has at least three (3) years of experience providing leasing, renting, servicing or outright purchase of washers and dryers to designated locations.

In the case of companies formed fewer than three (3) years prior to this date via merger, acquisition or some other means, the SST may consider the experience of all companies involved in the merger or acquisition.

___ Provide attachment describing details of exception to three-year requirement.

Equipment

Please list brands that you are certified to repair: ______________________________________________________

EQUIPMENT OUTRIGHT PURCHASE: Cost Plus _______% Markup Warranty: ______________________

REPLACEMENT PARTS: Cost Plus _______% Markup Warranty: ______________________

Service

LABOR $ Per hour per tech Normal Business Hours

RATES:

$ Per hour per tech Non-Business Hours

$ Per hour per tech Holidays

$ Per hour per tech Weekends

Please refer to the RFR for what is considered accepted hours for the above rates. Any exceptions must be approved by the RFR Procurement Team Leader before contract award.

WARRANTY:

Full warranty for parts and labor for a period of 3 years or manufacturer’s warranty, whichever is the greater. This period will begin on date of final acceptance signed off by the Department of Mental Health indicating that the equipment has been up and running in complete condition for a minimum of 30 days.

Application:

If bidders would like to add additional warranty terms to increase or add to the required warranty, enter that information here:

Please Enter the information below

LABOR WARRANTY:

RETURN POLICY:

Geographic coverage: Vendors are expected to collectively provide service to cover the entire State of Massachusetts and the islands. Each Bidder must indicate in their bid, the counties that their service will cover or alternatively if they will provide services to cover the entire State. Please click on the following link to see a list of cities and towns in each county: https://www.sec.state.ma.us/cis/cisctlist/ctlistcoun.htm.

Massachusetts Counties:

· Berkshire

· Hampshire

· Franklin

· Worcester

· Hampden

· Middlesex

· Essex

· Suffolk

· Norfolk

· Plymouth

· Bristol

· Barnstable

· Dukes

· Nantucket

Enter Geographic Coverage Area:

___ Statewide including the islands ___ The following specific regions: ______________________________________

___ Bidder Affirms the following regarding solvency and debarment:

Solvency Applicants must not be currently in bankruptcy or receivership or have been in bankruptcy and/or receivership within the last three (3) calendar years.

a. Applicants must have at least three (3) months of adequate reserves.

b. Applicants must have no outstanding liabilities to the Internal Revenue Service, the Massachusetts Department of Revenue. or any other government agencies.

c. Applicants must not be subject to any charges, complaints, or other claims now pending before any court, regulatory board, or government agency that could have an impact on their stability or ability to provide services under the RFR.

Debarment Applicants must not be subject to a federal or state debarment order. DMH cannot award a contract to a provider that is currently subject to a Massachusetts or federal debarment order.