2-RFP-04-Authorized Signature and Questionnaire.pdf

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0250 Doc. Ref#: RFP-04 Page 1 of 5

RFP Title: Irrigation and Grounds Maintenance – Services and Repairs

City of Fort Worth Bidder/Supplier ID:____________________________________

Legal Name of Proposer:

D/B/A Name of Proposer:

Federal Id Number (TIN):______________________________________________

Address:

Name of the Authorized Representative: __________________________________

Title: _____________________________________________________________

The undersigned, by his/her signature, represents that he/she is submitting a binding

Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFP and agrees to be bound by the terms therein.

The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFP.

Signature of the Authorized Representative: _____________________________

Email: Phone:

Name of Contact Person - 1:

Title of Contact Person - 1:

Email: Phone:

Name of Contact Person - 2:

Title of Contact Person - 2:

Email: Phone:

Name of Contact Person - 3:

Title of Contact Person - 3:

Email: Phone:

RFP Ref. #: 26-0250 Doc. Ref#: RFP-04 Page 2 of 5

Please answer each question below thoroughly. Responses to the questions will be used to assess the Proposal’s responsiveness. Bidders may use a separate sheet if needed, as long as each answer is labeled with the corresponding question number.

1.0 Length of time in business: _______________________________________

2.0 Is your business or any of its principals currently involved in litigation adverse to the City? Yes No

3.0 Is your business or any of its principals under criminal investigation?

Yes No

Have you answered “Yes” to either Question 1 or 2 above? Please provide the details outlining the situation in a separate document with the submission of this form.

4.0 Cooperative Purchasing - Should other governmental entities decide to participate in this contract, would you, the Vendor, agree that all terms, conditions, specifications, and pricing would apply?

Yes No

5.0 Prompt Payment Discount Terms: ____ Percent _______ Days (i.e. 3% Net

15, etc.)

6.0 Proprietary Information - If a Bidder believes certain information in their proposal is proprietary and wishes to prevent its disclosure, they must clearly identify those pages and information in the chart below, for more information see RFP-01, Section 15.4.

Pages with information believed to be

Proprietary

Please indicate if only specific sections on the page are believed to be Proprietary

7.0 Has your company ever failed to complete a contract, been terminated for default, or had liquidated damages assessed? If yes, explain.

Yes No

RFP Ref. #: 26-0250 Doc. Ref#: RFP-04 Page 3 of 5

8.0 How many years has your firm been in the business of providing the categories your firm is submitting a proposal for?

9.0 What is the physical address of your facility (or the location that will be servicing this agreement)?

10.0 What are your firm’s standard business hours and days?

11.0 What is your firm’s standard response time to client…

11.1 Emails?

11.2 Phone calls?

11.3 Quote requests?

12.0 Are your firm’s technicians licensed and certified for irrigation services as required under 30 TAC Chapter 344?

Yes ☐ No ☐

13.0 Does your firm’s chemical technician(s) hold a properly endorsed TAD license?

Yes ☐ No ☐

14.0 Can your firm maintain, diagnose, troubleshoot, repair, and replace all systems listed in the categories you are bidding on?

Yes ☐ No ☐

15.0 Is your firm able to provide scheduled service dates within three (3) business days of receiving a service request?

Yes ☐ No ☐

RFP Ref. #: 26-0250 Doc. Ref#: RFP-04 Page 4 of 5

16.0 Is your firm able to produce written service reports that provide the details listed in RFP-02-Scope of Services?

Yes ☐ No ☐

17.0 Does your firm provide warranty on workmanship for repairs and installations?

17.1 Please describe the length and coverage of your firm’s warranty.

18.0 Can your firm service all of the City locations listed in Exhibit A?

19.0 Please describe your firm’s quality control processes and how compliance with manufacturer guidelines is ensured.

20.0 Does your company have experience filling contracts of similar volume to the projections for this bid? If so, please share this experience below. If not, please share how you will meet the estimated volume set forth in the bid.

Response may be used to help score RFP-02 Sec. 6.2.

RFP Ref. #: 26-0250 Doc. Ref#: RFP-04 Page 5 of 5

21.0 Please describe your approach to customer service, responsiveness, issue resolution, and communication during the contract period. Proposer may use a separate sheet if needed, as long as each answer is labeled with the corresponding question number. Response may be used to help score RFP-

02 Sec. 6.3.

22.0 Please describe how your firm ensures adequate supply of parts and materials to perform services and repairs. Response may be used to help score RFP-02 Sec. 6.3.