20-GW8141.RFB.03.16.20.docx

University of Wisconsin – River Falls

REQUEST FOR BID

THIS IS NOT AN ORDER

AGENT: Greg Wertheimer

Questions regarding this bid – see Section 3.1

For Submittal of Bid Instructions – see Section #1.

OFFICIAL SEALED

CONTRACT NUMBER: 20-GW8141

ISSUE DATE: 03/16/20

DUE DATE: 04/02/20 2:00 PM CDT

If NO BID (check here) and return.

Bid prices and terms shall be firm for sixty (60) days from the date of bid opening, unless otherwise specified in this Request for Bid by the UW-River Falls Purchasing Services.

Unless otherwise noted, public openings will be on the date and time specified. Award(s), if any, will be made as soon thereafter as possible.

The bid abstract will be on file and is open to public inspection only after award determination has been made.

MICROFRIDGES FOR UWRF RESIDENCE HALLS AND APARTMENTS

For a five (5) year contract term from date of award.

In signing this bid, we have read and fully understand and agree to all terms, conditions and specifications and acknowledge that the UW-River Falls Purchasing Services bid document on file shall be the controlling document for any resulting contract. We certify that we have not, either directly or indirectly, entered into any contract or participated in any collusion or otherwise taken any action in restraint of free competition; that no attempt has been made to induce any other person or firm to submit or not to submit a bid; that this bid has been independently arrived at without collusion with any other bidder, competitor or potential competitor; that this bid has not been knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the stated statement is accurate under penalty of perjury. I certify that the information I have provided in this bid is true and I understand that any false, misleading or missing information may disqualify the bid.

By submitting a bid, the bidder certifies that no relationship exists between the bidder and the University that interferes with fair competition or is a Conflict of Interest, and no relationship exists between such bidder and another person or firm that constitutes a Conflict of Interest. Further, bidder certifies that no employee of the University whose duties relate to this request for bid assisted the bidder in preparing the bid in any way other than in his or her official capacity and scope of employment.

The Bidder certifies by submission of the bid that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.

COMPANY NAME:

COMPANY STREET ADDRESS:

COMPANY CITY, STATE & ZIP:

SIGNATURE: DATE :

TYPE OR PRINT NAME:

TITLE:

TELEPHONE NUMBER: ( ) FAX NUMBER: ( )

EMAIL ADDRESS:

FEIN NUMBER: DUNS #:

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

TABLE OF CONTENTS

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

INTRODUCTION

SECTION #1: SUBMITTAL INSTRUCTIONS

BIDS MUST BE DELIVERED TO:

UWRF Purchasing Services, 410 S 3rd Street, Suite 08, River Falls WI 54022.

NUMBER OF COPIES TO BE SUBMITTED:

Two (2) hard copies of the completed bids, including the signed original, may be mailed, delivered by Bidder, or by a third-party/courier service in a sealed envelope or package with the RFB number on the outside. Bids must be received and date/time stamped prior to 2:00 p.m. CDT on the stated bid due date. Bids not so date/time stamped shall be considered late. Late bids shall be rejected.

RETAIN A COPY OF YOUR BID RESPONSE FOR YOUR FILES

If hand delivering to Purchasing Services, please come to the ground Floor Reception Desk in Suite 8 for assistance.

Bids may be dropped off at Purchasing Services, 410 S 3rd Street, Suite 08, River Falls, 54022, between the hours of 7:00 AM and 4:00 PM prior to the due date and time.

If e-mailing, the University will accept completed bids [e-mailed to bids@uwrf.edu], provided they are date/time stamped prior to 2:00 p.m. CDT on the stated bid due date. [AND

Submitting a bid to any other e-mail address than bids@uwrf.edu does not constitute receipt of a valid bid by Purchasing Services. Proof of transmission doesn't constitute proof of receipt. E-mail submissions must be a scanned copy of the document with ACTUAL signatures and initials.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

VENDOR NOTE: FOR THE PURPOSES OF THE RETURN ADDRESS LABEL, IF THE ADDRESS IS THE SAME AS YOU LISTED ON THE REQUEST FOR BID FORM – YOU DO NOT NEED TO FILL OUT THE RETURN ADDRESS LABEL.

RETURN ADDRESS LABEL:

Below is a label that can be taped to the outside of your sealed bid response. If returning your bid response by mail or in person, please fill out the information and tape to the outside of your bid package.

OFFICIAL SEALED BID

NUMBER: 20-GW8141

DUE DATE: 04/02/20 TIME: 2:00 PM CDT

SHIP FROM:

VENDOR NAME HERE: ______________________________________

ADDRESS: ________________________________________________

SHIP TO:

UNIVERSITY OF WISCONSIN-RIVER FALLS

PURCHASING SERVICES

410 S 3rd Street, Suite 8, RIVER FALLS, WI 54022

1.1 BID RESPONSE REQUIREMENTS:

In order for your bid to be considered, the following forms/information must be completed and submitted as part of your bid response. Failure to provide these forms/information with your bid submittal may disqualify your bid.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

SECTION #2: GENERAL INFORMATION

Conditions of bid which include the word “must” or “shall” describe a mandatory requirement. All specifications are defined as mandatory minimum requirements unless otherwise stated. If no bidder is able to comply with a given specification, condition of bid or provide a specific item/service on the Itemized Bid List, Purchasing reserves the right to delete that specification, condition of bid or item without having to complete the bid process again. FAILURE TO MEET A MANDATORY REQUIREMENT SHALL DISQUALIFY YOUR BID. This contract bid document and the awarded bidder’s (Contractor’s) response information shall become the Contract.

All University of Wisconsin-River Falls departments must be eligible to purchase from this contract.

Scope:

See Specifications (Section 6 and Attachment B) and/or Itemized Bid List (Attachment C) for the minimum acceptable specifications for items desired. The estimated item quantities identified on the Itemized Bid List are for bid purposes only. The University does not guarantee to purchase any specific quantity or dollar amount. This Contract must not be construed as mandatory upon any University campus, State agency or municipality. The University reserves the right to issue separate bids when deemed in the best interest of the University.

Purchasing means the Purchasing Services Department in the Division of Business and Finance responsible for the procurement of goods and services on UW-River Falls campus, located at 410 S 3RD St, River Falls, WI 53715.

2.3.1 Register for a bidders list for commodities/services that the vendor wants to sell to the state.

2.3.2 Receive an automatic e-mail notification each time a state agency, including the University of Wisconsin System campuses, posts a Request for Bid (RFB) or a Request for Proposal (RFP) with an estimated value over $50,000 in their designated commodity/service area(s).

2.3.3 Receive an e-mail notification of addendums/amendments relative to the RFB or RFP.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

2.4.1 Specific order(s): issued as one-time orders.

2.4.2 Contract blanket order(s): issued for a specified period of time, to allow departmental personnel to issue releases against the Contract blanket order(s) as needed.

2.4.3 Purchasing Card order(s): issued as one-time order(s).

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

The State of Wisconsin policy provides that Wisconsin Certified minority-owned business enterprises should have the maximum opportunity to participate in the performance of its contracts. The supplier/contractor is strongly urged to use due diligence to further this policy by awarding subcontracts to minority-owned business enterprises or by using such enterprises to provide goods and services incidental to this agreement, with a goal of awarding at least 5% of the contract price to such enterprises.

The supplier/contractor shall furnish information at least once per year, in the format specified by the University, about its purchases (including dollar amounts) from Wisconsin certified MBEs, and additional efforts made to achieve this goal.

A listing of certified minority businesses, as well as the services and commodities they provide, is available from the Department of Administration, Office of the Minority Business Program, 608/267-7806. To view all MBE firms go to https://wisdp.wi.gov/search.aspx select the MBE box and click search.

The State of Wisconsin policy provides that Woman-Owned Businesses certified by the Wisconsin Department of Commerce should have the maximum opportunity to participate in the performance of its contracts. The supplier/contractor is strongly urged to use due diligence to further this policy by awarding subcontracts to Woman-Owned Businesses or by using such businesses to provide goods and services incidental to this agreement.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

SECTION #3: RFB PROCESS INSTRUCTIONS

3.1 Clarifications and/or Revisions through Designated Contact:

All communications and/or questions in regard to this request must be in writing and must reference the bid number. Bidders are encouraged e-mail written questions to the Agent. Verbal questions, when permitted, must be directed to the Agent.

If a Bidder discovers any significant ambiguity, error, conflict, discrepancy, omission or other deficiency in this RFB, they have five (5) business days after the bid issue date and time to notify, in writing, the Agent at the address shown below of such error and request modification or clarification of the RFB document.

ADMINISTRATIVE: Greg Wertheimer UW-River Falls Purchasing 410 S 3rd Street River Falls, WI 54022 E-mail: gregory.wertheimer@uwrf.edu

PHONE 715-425-3232

If a Bidder fails to notify the Purchasing Office of an error in the RFB document which is known to the Bidder, or which should have reasonably been known to the Bidder, then the Bidder shall submit a bid response at the Bidder’s risk and if awarded a contract, shall not be entitled to additional compensation or delivery or installation time by reason of the error or its later correction.

In the event that it becomes necessary to provide additional clarifying data or information, or to revise any part of this RFB, supplements or revisions will be posted on VendorNet.

Any contact with University employees concerning this RFB are prohibited, except as authorized by the RFB manager during the period from date of release of the RFB until the notice of award is released. Contacting anyone other than the Designated Contact(s) above may disqualify your RFB.

3.2 Applicable Dates:

Date

March 16th, 2020

March 23rd, 2020

April 2nd, 2020 -- 2:00 PM CDT

Date of Award

Event

Date of Issue of the RFB

Written questions due

RFB Due Date (Local River Falls Time)

Contract Term Begins

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

3.5 Proprietary Information:

Any information contained in the Bidder’s response that is proprietary must be detailed separately on form DOA-3027. Marking of the entire response as proprietary will neither be accepted nor honored. The University cannot guarantee that all such material noted remains confidential, particularly if it becomes a significant consideration in contract award. Information will only be kept confidential to the extent allowed by State of Wisconsin Public Disclosure Law (refer to Standard Terms and Conditions, Section 27.0). A copy of the form needed to designate portions of your submission as proprietary can be found at: http://vendornet.state.wi.us/vendornet/doaforms/doa-3027.doc

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

SECTION #4: BIDDER QUALIFICATIONS

To be eligible for a Contract award, you must be qualified and able to provide the following as required or your bid will be disqualified (respond on "Bidder Response Sheet".)

4.2 Bidder Experience:

Bidder company or its principals must be in the business of providing appliances item/service and must have done so for the past Three (3) years.

4.6 Debarment

Federal Executive Order (E.O.) 12549 “Debarment“ requires that all contractors receiving individual awards, using federal funds, and all subrecipients certify that the organization and its principals are not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from doing business with the Federal Government. By signing this document you certify that your organization and its principals are not debarred. Failure to comply or attempts to edit this language may disqualify your bid. Information on debarment is available at the following websites: www.sam.gov and https://acquisition.gov/far/index.html see section 52.209-6.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

SECTION #5: PERFORMANCE AND CONTRACT REQUIREMENTS

5.1.2 Price increase requests proposed after the initial Contract term, along with an updated Price List, must be received by Purchasing in writing 60 calendar days prior to the effective date of proposed increase for acceptance or rejection. Proposed price increases are limited to fully documented cost increases submitted with the request. If Purchasing deems cost increases are not acceptable, it reserves the right to rebid the contract in whole or part or to negotiate price increase requests with the Contractor. An acceptance of the price list change will be in the form of an amendment to the contract or a letter to the Contractor.

5.1.3 Price increases must be labeled with the contract number and should be submitted in the same format as the original Itemized Bid List. Any price increase requested that is not submitted in the proper format may be rejected.

5.1.4 Contractor should promptly notify Purchasing of discontinued items.

If bidding other than F.O.B. Destination, as stated, F.O.B. point and shipping charges must be identified on the Itemized Bid List. This additional cost will be added to the bid total and will serve as the basis for determining the award.

Failure to bid FOB DESTINATION delivery charges and risk of loss borne by the Contractor in bid price or discount may disqualify your bid.

-AND/OR-

5.2 F.O.B.: All deliveries shall be FOB Destination and Installed. Delivery and installation charges and risk of loss shall be borne by the Contractor.

Items are to be installed at various locations, F.O.B. DESTINATION INSTALLED. Bid prices must include all packing, freight, insurance, set-up, instruction and operation manual charges, excluding any import/export costs. Items must be set in place connected to utilities as applicable, installed in the area designated by University personnel, demonstrated to be in operating condition, and approved by University personnel. All debris must be removed from the University premises and properly disposed of by the Contractor. Upon installation, all operating instructions and operating and maintenance manuals must be furnished to University personnel as identified.

Failure to bid FOB DESTINATION INSTALLED, delivery and installation charges and risk of loss borne by the Contractor in price may disqualify your bid.

-AND/OR-

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

The Contractor is required to notify the ordering department of any back order, discontinuation of item(s) or other delays in shipping within 24 hours of receipt of order or release against existing order(s).

The University must meet a statutory mandate to pay or reject invoices within 30 days of receipt of properly submitted invoices by University Accounts Payable. Before payment is made, Accounts Payable must verify that all invoiced charges are correct per this Contract. Only properly submitted invoices will be officially processed for payment. The Prompt Payment Policy requires that your invoices be clear and complete and in conformity with the list below and must be itemized showing:

· Contractor name

· remit to address

· purchase order number

· release number if given

· date of order/release

· item manufacturer’s name or abbreviation (if applicable)

· complete item description including catalog, model and/or stock number(s) identical to those stated in bid

· prices per the Contract

At the discretion of Purchasing, invoices not reflecting the correct discount or net prices may be short paid or disputed.

The original invoice must be sent to UWRF Accounts Payable, 410 S 3rd Street, Suite 220, River Falls, WI 54022 unless the customer identifies and establishes a different bill-to location.

Purchasing Card:

Order confirmation shall contain the same detail as listed in Section 5.6.1 and should be sent to the address given at the time of the order is placed.

Any fees charged for use of the University’s purchasing card program are not allowed.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

The Contractor shall add: “The Board of Regents of the University of Wisconsin System, its officers, employees” and agents as an ‘additional insured’ under the commercial general and automobile liability policies. The certificate holder shall be listed as the University of Wisconsin-System Administration or System campus for their respective purchases.

5.10.2 The Contractor shall be directly responsible for any subcontractor's performance and work quality when used by the Contractor to carry out the scope of the job. University reserves the right to assess Contractor damages in excess of the contract amount for Subcontractor’s failure to perform or inability to complete required project milestones.

5.10.3 Subcontractors must abide by all terms and conditions under this Contract.

5.10.4 If Subcontractors are to be used, the Contractor must clearly explain their participation, deliverables, and project milestones prior to commencing work.

· date of order/release

· item manufacturer’s name or abbreviation (if applicable)

· complete item description including catalog, model and/or stock number(s) identical to those stated in bid

· prices per the Contract

5.12.2 Shall either party fail to perform under the terms of this Contract; the aggrieved party may notify the other party in writing of such failure and demand that the same be remedied within five (5) calendar days. Should the defaulting party fail to remedy the same within said period, the other party shall then have the right to terminate this Contract immediately. Performance failure can be defined as but not limited to: failure to deliver on time or failure to provide any of the Terms, Conditions or Specifications.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

5.12.3 If at any time the Contractor performance threatens the health and/or safety of the University, its staff, students or others who may be on campus, the University has the right to cancel and terminate the Contract without notice.

5.12.4 Failure to maintain the required Certificates of Insurance, Permits and Licenses shall be cause for Contract termination. If the Contractor fails to maintain and keep in force the insurance as provided in Standard Terms and Conditions, Section 23.0, the University has the right to cancel and terminate the Contract without notice.

5.12.5 If at any time a petition in bankruptcy shall be filed against the Contractor and such petition is not dismissed within 90 calendar days, or if a receiver or trustee of Contractor's property is appointed and such appointment is not vacated within 90 calendar days, the University has the right, in addition to any other rights of whatsoever nature that it may have at law or in equity, to terminate this contract by giving 10 calendar days notice in writing of such termination.

5.12.6 All notices of performance failure must be submitted in writing to Purchasing Services, 410 S 3rd Street, River Falls, WI 54022. Purchasing shall be final authority for all performance failure determinations not resolved through the ordering department.

The University shall have the right to audit, review, examine, copy, and transcribe any pertinent records or documents held by the Contractor related to this contract. The Contractor shall retain all applicable documents for a period of not less than five years after the final contract payment is made. The University reserves the right to inspect any facilities used to support this Contract.

5.14 Entire Contract

A contract will be awarded based on the criteria established in this Request for Bid, including attachments and any amendments issued. The RFB, the bid response, and written communications incorporated into the contract constitute the entire contract between the parties. The hierarchy of documents in descending order for resolution is as follows:

Any other terms and conditions provided by the Bidder with the bid or for future transactions against this contract, including but not limited to click on agreements accepted by the Customer; shrink wrapped agreements; or terms submitted with quotations, order acknowledgements, or invoices; will be considered null and void and will not be enforceable by the Contractor unless agreed to in a written amendment signed by the University Purchasing Department. Any exceptions to this RFB should be submitted with your response and alternative language proposed. Deviations and exceptions from original text, terms, conditions, or specifications shall be described fully, on the bidder's/proposer's letterhead, signed, and attached to the bid response as an attachment. Each deviation and exception must be identified by the section, page and paragraph to which it applies. In the absence of such statement, the bid/proposal shall be accepted as in strict compliance with all terms, conditions, and specifications and the bidder/proposer shall be held liable. A Word copy of this exceptions document must be submitted with your electronic bid response.

Submitting a standard Bidder contract or term and condition as a complete substitute or alternative for the language in this solicitation will not be accepted and may result in rejection of the bid.

The University reserves the right to negotiate contractual terms and conditions or reject the Bidder‘s response and proceed to the next qualified bidder.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

SECTION #6 SPECIFICATIONS

SPECIFICATIONS OF ITEMS TO BE PROVIDED:

See Specifications (Section 6 and Attachment B) and/or Itemized Bid List (Attachment C) for the minimum acceptable specifications for items desired.

UW Specifications may not be revised without an official written amendment issued by Purchasing.

6.1 Specifications:

Specific manufacturer(s) and/or catalog/model/stock numbers are provided to establish the design, type of construction, quality, functional capability and performance level desired. Adequate detailed specifications of the items being offered or bid must be included with your bid. The bidder may offer alternate items believed to be an equal. Any alternate items bid must be clearly identified by manufacturer, catalog, model or stock number. Detailed specifications (including brochures, operating manuals, maintenance manuals or other written materials) of any alternate items offered must be included with your bid to establish equivalency. The University will be the sole judge of equivalent acceptability between Bidders responses.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

ATTACHMENT A: BIDDER RESPONSE SHEET

NOTE: This form must be returned with your bid response. Numbers for each question below refer to the corresponding section of this document that explains the requirement. Bidder may attach additional relevant information to their bid response; identify sections to which information applies.

YES NO

SUBMITTAL INSTRUCTIONS

Have you included two (2) complete sets of your bid? |_| |_| (only one (1) copy required if e-mailing)

1.1 Have you completed and returned all forms required? |_| |_|

4.4 Have you provided a client list? (see Attachment E) |_| |_|

5.1.2 Do you agree with process and timeframe identified for accepting price increases? |_| |_|

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

YES NO

-AND/OR-

-AND/OR-

5.2 Are you bidding all prices On Site Service? (Be sure to read Section 5.2 carefully) |_| |_|

5.3 State delivery time ____ days After Receipt of Order (ARO).

5.4 Do you agree with return policy? If not, state your return policy in detail. |_| |_|

5.8 Do you agree to terms regarding duplicates and overshipments? |_| |_|

“The Board of Regents of the University of Wisconsin System, its officers, employees and agents” are added as an ‘additional insured’ under the commercial general and automobile liability policies on any insurance certificate provided.

5.10 Do you agree to subcontracting terms and conditions? |_| |_|

5.11 Can you report on items purchased on this contract if requested? |_| |_|

5.14 Have you documented exceptions in the format requested? |_| |_|

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

YES NO

6.1 Are you bidding items as specified on the Itemized Bid List? |_| |_|

If “NO”, include information on alternates as required in Section 6.1 with your bid response.

Warranty term: __________________

6.3 Will you agree to have all employees wear appropriate identification? |_| |_|

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

ATTACHMENT B: SPECIFICATIONS

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WI 54022

Refrigerator and Microwave Bid Information

· 5 year contract from date of award

· Looking to buy approximately 1300 fridges and microwaves over the course of the 5 years.

· Quantity is estimate only. No volume is guaranteed

· 1 year parts and labor; 5 years major components minimum warranty

· Bracket to attach the microwave to the fridge

· Cost for delivery and install into individual rooms w/removal of packaging

· AND/OR

· Cost for delivery to each residence hall entrance

· Removal and disposal of the old refrigerators and microwaves

Minimum Fridge specifications Color: Black Size: 4.0-5.0 cu ft Energy star rated Adjustable leveling legs Reversible door hinges Interior light Adjustable temperature Separate top freezer compartment w/full door Adjustable shelves Manual defrost

Minimum Microwave specifications Color: Black Size: 0.7 cu ft 700 watts Removable glass carousel LED timer display and clock Pre-programmed cooking settings

RIVER FALLS, WISCONSIN 54022

ATTACHMENT C: ITEMIZED BID LIST

Costs which are not specifically identified below will not be compensated under any Contract awarded pursuant to this RFB.

ITEM

TOTAL

250 ea

Microfridge 2 door Refrigerator/Freezer Unit, w/ microwave

Model 3.15m6-7Al or equivalent Delivered and installed w/removal of existing unit. All packaging materials removed

BIDDING MANUFACTURER:__________________________

BIDDING MODEL NO.: ______________________________

250 ea

Microfridge 2 door Refrigerator/Freezer Unit, w/ microwave

Model 3.15m6-7Al or equivalent Delivered and installed without removal of existing unit. All packaging materials removed

Model 3.15m6-7Al or equivalent Delivered to residence hall lobby w/removal of existing unit. No Install

Model 3.15m6-7Al or equivalent Delivered to residence hall lobby without removal of existing unit. No Install

The quantities listed below are estimated annual quantities and are for bid purposes only. The University does not guarantee to purchase any specific quantity or dollar amount. Purchases will be placed on an as needed basis throughout each year of the contract. The University will be the sole judge of equivalency.

UNIVERSITY OF WISCONSIN CONTRACT NO.: 20-GW8141

RIVER FALLS, WISCONSIN 54022

ATTACHMENT D – VENDOR INFORMATION FORM

VENDOR NOTE: BOTH PAGES OF THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID RESPONSE.

1. Company and Contact Information

Company Name:

Company Website

Contact for questions regarding this Bid Name:

Telephone:

Fax

Email

Contract Renewals / Problems Name:

Telephone:

Fax

Email

Sales Representative Name:

Telephone:

Fax

Email

Ordering / Expediting Name:

Telephone:

Fax

Email

Returns Name:

Telephone:

Fax

Email

Invoice Information Name:

Telephone:

Fax

Email

Affirmative Action (see Section 17 in Standard Terms and Conditions)

Name:

Address:

City/State/Zip:

Telephone:

Fax

Email

Supplier Diversity Reporting (see Section 2.9) Name:

Address:

City/State/Zip:

Telephone:

Fax

Email

VENDOR INFORMATION FORM CONT.

3. Pursuant to Public Law 95-507, indicate which of the following classifications apply to your organization. All vendors are considered Large Business unless otherwise indicated (see website: www.sba.gov/). (Check √ all that apply.)

4. AMERICAN MADE: Wisconsin Statutes S. 16.754, directs the state to purchase materials which are manufactured to the greatest extent in the United States when all other factors are substantially equal. “Substantially equal” means when bids are tied or proposal scores are equal. Indicate whether the material covered in your bid/proposal were manufactured in whole or in substantial part within the United States, or the majority of the component parts thereof were manufactured in whole or in substantial part in the United States.

____________ YES ____________ NO ____________ UNKNOWN

5. RECYCLED PRODUCTS/PACKAGING/DISPOSAL TECHNIQUES: The University is committed to promote environmentally sound procurement, usage and disposal methods which are in compliance with State of Wisconsin County, and Municipal regulations. Currently the University has a recycling program for starch and Styrofoam packing peanuts. The University’s preference is to receive starch peanuts whenever possible. The Contractor shall not use INSTAPAK (or similar), Vermiculite or mix starch and Styrofoam peanuts under any circumstances. Each product shall be separately pre-packed in accordance with commercially accepted methods. Small products may be packaged in protective envelopes (Mail-Lite or Bubble-Jet packs).

ATTACHMENT E - CLIENT REFERENCE LIST

Bidder Name:____________________________________________________________________________________ The Bidder must provide a minimum of three (3) business references.

1. Reference Name: _____________________________________________ Contact: ___________________________ Address: _____________________________________________________________________________________________ Phone #: ( ) ____________________ E-mail address_______________________________________________________ Fax/Internet address:____________________________________________________________________________________ Description and date(s) of commodities and services provided: __________________________________________________

2. Reference Name: _____________________________________________ Contact: ___________________________ Address:…