2020 RFP Digester Cleaning.pdf

CITY OF SUN PRAIRIE

REQUEST FOR PROPOSALS

RFP #: 20-WW08

Title: North Digester Cleaning Project

Department: Wastewater

Due Date: April 23, 2020 2:00 PM CST

Table of Contents

I. NOTICE TO PROPOSERS………………………………………………………3

A. Summary………………………………………………………………………3 B. Important Dates……………………………………………………………….3 C. How to Submit a Proposal…………………………………………………….3 D. Contact Information…………………………………………………………..4 E. Inquiries, Clarification & Exceptions……………………………..….………4 F. Addenda………………………………………………………………………5 G. Bid Distribution Networks……………………………………………………5 H. Local Vendor Preference……………………………………………………...5 I. Oral Presentations/Site Visits/Meetings………………………………………6 J. Acceptance/Rejection/Withdrawal of Proposals…………………………….. 6 K. Public Records Notice………………………………………………………...6 L. Tax Exempt…………………………………………………………………...7 M. Cooperative Purchasing…….…………………………………………………7 N. Terms of Contract……………………………………….…………………….7 O. Cancellation/Termination of Contract…………………………………….…..8 P. Evaluation Process……………………………………………………………8

Q. Insurance and Indemnification……………………………..…………………8

II. DESCRIPTION OF RFP………………………………………………………

III. REQUIRED INFORMATION…………………………………….......…………..12

I. NOTICE TO PROPOSERS

A. Summary

The City of Sun Prairie department of Wastewater is soliciting proposals from qualified vendors for cleaning the north anaerobic digester. Vendors submitting proposals are required to read this Request for Proposals “RFP” in its entirety and follow the instructions contained herein.

B. Important Dates

Deliver proposals no later than the due time and date indicated below. The City will reject late proposals:

Issue Date: March 12, 2020 Questions Issue Date: March 26, 2020 Answers Posted Date: April 2, 2020 Due Date: April 23, 2020 2:00 PM CST

C. How to Submit a Proposal

Submit all required documentation in separate, sealed envelopes. Each envelope should be clearly marked as to the contents. Cost of project must be submitted separately.

Hardcopy proposals typed and securely bound on 8.5 by 11-inch paper, otherwise identical to the electronic version (if applicable).

Signature Affidavit (Form A): Three Copies Receipt of Forms (Form B): Three Copies Vendor Profile and Qualifications (Form C): Three Copies References (Form D): Three Copies Insurance and Indemnification (Form E): Three Copies

Cost Proposal (Form F): Three Copies Section III Required Information: Three Copies

All proposal costs are the expense of the proposer. The City will not consider illegible proposals.

Elaborate proposals beyond that sufficient to present a complete and effective proposal, are not necessary or desired.

Complete and return Forms A through F to City of Sun Prairie Clerk’s Office by April 23, 2020 2:00

PM CST.

All proposals must be clearly labeled:

Proposer’s Name and Address

Title: North Digester Cleaning Project Due: April 23, 2020 2:00 PM CST

All email correspondence must include RFP # in the subject line.

Delivery of hard copies to: City of Sun Prairie Clerk’s Office 300 East Main Street Sun Prairie, WI. 53590

Proposals must be delivered as instructed. Deliveries to other City departments and/or locations may result in disqualification.

Note: When mailing your response via a third party delivery service, the outside of the packaging MUST be clearly marked with the RFP name and number. This ensures that the bid can be delivered to the correct purchasing agent without having to open the bid.

D. Contact Information

The City of Sun Prairie Wastewater Treatment is the procuring agency:

Jeremy Cramer City of Sun Prairie Wastewater Treatment 300 East Main Street Sun Prairie, WI. 53590 Phone: (608) 825-0731 jcramer@cityofsunprairie.com

E. Inquiries, Clarification & Exceptions

Proposers are to raise any questions they have about the RFP document without delay. Direct all questions, in writing, to the department contact listed above in section D.

Proposers finding any significant ambiguity, error, conflict, discrepancy, omission, or other deficiency in this RFP document shall immediately notify the buyer and request clarification. In the event that it is necessary to provide additional clarification or revision to the RFP, the City will post addenda – see Addenda below. Proposers are strongly encouraged to check for addenda regularly.

Proposals should be as responsive as possible to the provisions stated herein. A prospective vendor may take “exception” to bid terms, conditions, specifications and dates stated within the bid package. However, the City of Sun Prairie reserves the right to disqualify any and all bids submitted which include exceptions, if deemed not in the City’s best interests.

F. Addenda

In the event that it is necessary to provide additional clarification or revision to the RFP, the City will post addenda to the same websites as the original distribution – see G below. It is the proposer’s responsibility to regularly monitor the websites for any such postings. Proposers must acknowledge the receipt of any addenda on Form B. Failure to retrieve addenda and include their provisions may result in disqualification.

G. Bid Distribution Networks

The City of Sun Prairie posts all Request for Proposals, addenda, tabulations, awards and related announcements on two distribution networks – VendorNet and DemandStar. The aforementioned documents are available exclusively from these websites. It is the proposer’s responsibility to regularly monitor the bid distribution network for any such postings. Proposer’s failure to retrieve such addenda and incorporate their appropriate provisions in their response may result in disqualification. Both sites offer free registration to City proposers.

State of Wisconsin VendorNet System: State of Wisconsin and local agencies bid network.

Registration is free. http://vendornet.state.wi.us/vendornet

DemandStar by Onvia: National bid network – Free subscription is available to access proposals from the City of Sun Prairie and other Wisconsin agencies participating in the Wisconsin Association of Public Purchasers (WAPP). A fee is required if subscribing to multiple agencies that are not included in WAPP.

Home Page: www.demandstar.com

To Register: www.onvia.com/WAPP

Bid Opportunities: http://www.cityofsunprairie.com/504/Bid-Opportunities

H. Local Vendor Preference

The City of Sun Prairie has included a local vendor preference granting a scoring preference to local suppliers. The “local area” is defined as a physical address within City of Sun Prairie.

Exemptions and limitations may apply. Due to state law, buy local preference may not apply to public works projects. Due to federal restrictions, federally funded programs are also exempt.

Exemptions will also be made for emergencies, sole source purchases, cooperative purchasing agreements and cases in which a local vendor is not qualified as determined by City staff. If it is determined by City staff that a vendor has misrepresented its local status, it will be ineligible to receive preference.

I. Oral Presentations/Site Visits/Meetings

Proposers may be asked to attend meetings, make oral presentations, inspect City locations or make their facilities available for a site inspection as part of this RFP process. Such presentations, meetings or site visits will be at the proposer’s expense.

J. Acceptance/Rejection/Withdrawal of Proposals

The City reserves the right to accept or reject any or all proposals submitted, in whole or in part, and to waive any informalities or technicalities, which at the City’s discretion is determined to be in the best interests of the City. Further, the City makes no representations that a contract will be awarded to any proposer responding to this request. The City expressly reserves the right to reject any and all proposals responding to this invitation without indicating any reasons for such rejection(s).

K. Public Records Notice

Proposers are hereby notified that all information submitted in response to this RFP may be made available for public inspection according to the Public Records Law of the State of Wisconsin or other applicable public record laws. Information qualifying as a “trade secret” – defined in State of Wisconsin Statues – may be held confidential.

Proposers shall separately and clearly identify all information they deem to be “trade secrets”, as defined in the State of Wisconsin Statutes. Do not duplicate or co-mingle information deemed confidential and sealed, elsewhere in your response.

S. 19.36(5)

(5) TRADE SECRETS. An authority may withhold access to any record or portion of a record containing information qualifying as a trade secret as defined in s. 134.90(1)(c).

s. 134.90(1)(c)

(c) “Trade secret” means information, including a formula, pattern, compilation, program, device, method, technique or process to which all of the following apply:

1. The information derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use.

2. The information is the subject of efforts to maintain its secrecy that are reasonable under the circumstances.

The City cannot ensure that information will not be subject to release if a request is made under applicable public records laws. The City cannot consider the following confidential: a bid in its entirety, price bid information, or the entire contents of any resulting contract. The City will not provide advance notice to proposers prior to release of any requested record.

To the extent permitted by such laws, it is the intention of the City to withhold the contents of proposals from public view – until such times as competitive or bargaining reasons no longer require non-disclosure, in the City’s opinion. At that time, all proposals will be available for review in accordance with such laws.

L. Tax Exempt

The City of Sun Prairie as a municipality is exempt from payment of federal excise taxes and State of Wisconsin taxes per Wisconsin statue 77.54(9a). Federal Tax ID #39-6006382. A completed Wisconsin Department of Revenue Form S-211 (R.2-00) can be found on the City website. Our tax-exempt number is ES 42322.

M. Cooperative Purchasing

Bidders may choose to extend prices offered on bids to other municipalities. Under Wisconsin Statutes, a municipality is defined as a county; city; village; town; school district; board of school directors; sewer district; drainage district; vocational, technical and adult education district; or any other public or quasi-public corporation, officer, board or other body having the authority to award public contracts. This is known as “cooperative” or “piggyback” purchasing, a practice common amongst units of government. The City is not responsible for any contract resulting from a cooperative purchase using this RFP as a basis; they are made solely between the bidders and third party unit of government.

N. Terms of Contract

1. Term of Contract – The term of the contract shall be for a 90-day period to commence on:

Notice To Proceed Date, ending on November 13, 2020.

2. Option to Extend – The City of Sun Prairie reserves the right to extend the contract for one (1) one additional year, upon the same or more favorable terms and conditions, and under mutual agreement of both parties.

3. Contract Extension Pricing – Contract prices on an extended contract will be adjusted (escalated or deescalated) based upon the average annual change in the Consumer Index for “All Items” published by the Bureau of Labor Statistics (BLS) (Table 1A. Consumer Price Index for All Urban Consumers (CPI-U): U.S. city average, by expenditure category and commodity and service group, Expenditure Category “All Items”). The CPI-U value is published by the BLS at its website: http://www.bls.gov/cpi/news.htm

The price for an option year shall be based upon the percent change in the CPI-U from the preceding year applied to the current contract year price to obtain the option year price.

The City of Sun Prairie reserves the right to discontinue the contract’s remaining option year and may elect to re-advertise the contract in whole or in part when changes in prices are not mutually acceptable between the contractor and the City.

Any and all changes to the contract terms and conditions shall be evidenced in writing by amending/modifying the contract.

4. Subcontracting Regulations – Successful vendor(s) will not be permitted to sublet, sell, transfer, assign or otherwise dispose of the contract or any portion therein, or its right, title or interest in, to any person, vendor or corporation.

O. Cancellation/Termination of Contract

The City of Sun Prairie may terminate the contract at any time at its sole discretion by delivering 30 days written notice to the contractor. Upon termination, the agency’s liability will be limited to the pro rata cost of the services performed as of the date of termination plus expenses incurred with the prior written approval of the agency. In the event that the contractor terminates the contract, for any reason whatsoever, it will refund to the agency within 30 days of said termination, all payments made hereunder by the agency to the contractor for work not completed or not accepted by the agency. Such termination will require written notice to that effect to be delivered by the contractor to the agency not less than 30 days prior to said termination.

P. Evaluation Process and Scoring

The RFP will be reviewed by the Evaluation Panel. A staff member from the Finance Department will oversee the evaluation process to ensure fairness within the process.

Each proposal will be evaluated as described below and assigned an overall score ranking.

Major Criteria Categories Point Weight Qualifications 20 Experience and Technical Competence 25 Proposed Method to Accomplish Work 15 Knowledge and Understanding of Biosolids Disposal 15 Project Organization and Key Personnel 15 Cost 10

TOTAL 100

Q. Insurance and Indemnification Requirements

Insurance coverage shall be in place prior to commencing work and shall remain in force until the entire project is completed or the length of time that is specified in the contract. See Form E for requirements.

II. DESCRIPTION OF RFP

Introduction and Background

The City of Sun Prairie Wastewater Plant (City) is a 4.4 mgd conventional activated sludge plant with biological phosphorus removal, primary and secondary clarification, grit removal, anaerobic sludge digestion, belt filter press dewatering, and ultraviolet disinfection of effluent. The City is seeking qualified contractors to perform cleaning of an anaerobic digester of all liquid, sludge, grit, grease and debris. This material is to be land applied at approved DNR site(s) per Wisconsin Administrative Code (Chapters 110 and 204). The Contractor is responsible for procuring the approved DNR sites as part of contract services and meeting all environmental laws which may apply.

The treatment plant utilizes two primary anaerobic digesters each with a capacity of around 260,000 gallons. Both digesters have floating covers with the north digester having a gas holding cover. The south digester was cleaned in 2016 and the north digester is scheduled to be cleaned in 2020. This is the first time that the digesters have been cleaned since being rehabbed in 2006.

Anaerobic Digesters

The general specifications for the Primary Digesters are as follows: interior diameter of 50 feet;

normal side wall height of liquid at 18 feet; total volume of approximately 260,000 gallons. Pertinent construction drawings for this digester are available on request.

The City’s wastewater treatment plant treats municipal wastewater collected in the service area. The digester treats sludge from the primary clarifiers, and thickened sludge from secondary clarifiers.

This digester has a floating cover and an operating volume of 260,000 gallons. The digester contents are mixed using chopper/mixing pumps with two sets of nozzles located inside of each digester.

The digester has sludge re-circulation pumps used in conjunction with heat exchangers. The heat exchangers are fed hot water using hot water circulating pumps. The sludge circulating pumps are set up to take sludge from the digesters and pump it through the heat exchangers.

Digester Environment

Until the digester is thoroughly cleaned and ventilated, there will be hazardous gas present. This is a combustible gas, composed principally of methane and could become combustible/explosive with a certain mixture of air. Other gases that could be present are hydrogen sulfide and low oxygen levels.

The Contractor must comply with all Wisconsin Department of Commerce, Rules of the Industrial Commission of Safety, and all applicable OSHA Standards safety requirements.

The following is a listing of potential digester contents that will need to be removed: hair/scum blanket, mixed digester sludge, plastics, grit, silt, sandy deposits, rags, and other residue normally remaining from digester operations. Please be aware that this is not a complete listing of the contents. The Contractor is responsible under this work to remove any materials contained in the digesters.

Activities of the Owner

The treatment plant’s operation strategy is to maintain the treatment processes in order to meet our Discharge Permit and to minimize impacts to the surrounding community. The City reserves the right to stop or postpone the work if odors become objectionable or if there are other adverse impacts on plant operations due to removal of digester contents, dewatering, discharge of return flow, material disposal or cleaning. No additional compensation will be paid to the Contractor because the City stops or postpones the work for these reasons.

Scope of Work

The Scope of Work shall include, but not necessarily be limited to the work described herein. The Contractor is encouraged to identify alternative approaches that would improve the efficiency and/or cost effectiveness of the project.

Services Provided by Owner at no Cost to Contractor

Most recent test results of digester biosolids that can be used to determine acres needed for land application of biosolids.

Provide non-potable water for cleaning purposes. City will maintain water pressure around 60 psi.

Services Provided by Contractor

Shall be licensed by the State of Wisconsin Department of Natural Resources (WDNR) for biosolids hauling and land application.

Shall be responsible for obtaining WDNR approved sites for biosolids land spreading.

Shall maintain accurate records related to amount of biosolids land applied.

Shall be responsible for all costs associated with soil testing. Soil testing shall be performed in accordance with UW Extension A2100 soil sample bulletin and WDNR Chapter NR 204.

Shall be responsible for keeping all roads clean of mud to avoid Township, City or resident complaints, and for public safety. Maintaining roads shall be considered incidental work related to this project.

Provide pumps and hoses to pump digested liquids, solids, water used for cleaning, and debris from the anaerobic digester to tanker trucks.

Provide trucks to haul grit, rags and other materials that not cannot be land applied to State of Wisconsin licensed landfill site.

Provide portable generator including any conductors, safety devices, circuit breakers, etc. for powering pumps, ventilation equipment and any other electrical equipment used for cleaning digester. Owner may consider working with the contractor to provide on-site power.

Thoroughly clean the digester domes, interior walls, interior piping and slab. Cleaning shall be such that digester sludge material and debris has been removed from structural and equipment surfaces in the digester. The interior will be inspected by the City and the Contractor before this work is deemed complete. Cleaning should not be so vigorous that protective coatings on the interior surfaces are damaged or removed. If there is evidence that the cleaning efforts are impacting the condition of the protective coatings, the Contractor shall consult with the City before proceeding.

Provide all miscellaneous tools and equipment including, but not limited to, ladders, ventilation equipment, lights, confined space entry safety equipment, confined space entry attendants, etc.

Provide crane or other equipment needed to lift and remove pumps or equipment used to clean digester.

Provide all consumables.

Remove and replacing any access hatches or manways that will be used for digester cleaning and inspection.

Provide continuous ventilation and hazardous gas monitoring as required by Wisconsin Department of Commerce, Rules of the Industrial Commission of Safety, and all applicable OSHA Standards safety requirements.

Operate all equipment, and take full responsibility for Contractor’s employees and any sub Contractor’s in terms of safety and confined space entry.

Work area shall be taped off with Contractor being responsible for ensuring a safe working environment within the taped off area.

Within fifteen (15) days of the completion of this project, Contractor shall provide the City with all information regarding land application including landowner information, location, soil testing, biosolids application rates, daily log sheets, nutrient calculations and any other information requested by the City that may be needed for completion of WDNR Annual Biosolids Application Reports.

If Contractor fails to perform its obligations, the City may terminate this contract upon ten (10) days written notice.

Requirements Prior to Mobilization

Provide City with names and addresses of approved WDNR sites where digester content will be land applied.

Provide City with written procedure for cleaning digester and time schedule for starting and completion of project.

Provide the City with spill containment plans for both on-site activities and hauling digester material to approved WDNR site(s). Spills of any nature caused by the Contractor shall be controlled and cleaned immediately.

Safety Considerations

The Contractor shall at all times maintain safe working conditions for his employees, and for the City’s treatment plant staff working in other areas of the treatment plant. The Contractor will be working in a CLASS 1, DIVISION 1, GROUP D HAZARDOUS AREA.

The Contractor shall at all times perform the necessary work in compliance with all local standards pertaining to work in confined spaces and all other applicable OSHA standards. In addition, all rules and precautions to prevent unsafe fire and explosive hazards will be strictly enforced. All applicable local ordinance, codes, rules and regulations shall also be followed.

Before any work is permitted in the digesters, provisions shall be made by the Contractor for emergency entry and exit.

During the Contractor’s cleaning process, the Contractor shall provide blower-induced ventilation of the digesters in sufficient quantity to meet applicable requirements. Blowers and gas monitoring must be in operation at all times that work is being performed in, on or around the digester.

Odor Control

Odor control will be a significant mutual concern of the City and the Contractor. In the event an odor problem arises as a result of the digester cleaning, the Contractor shall take all action necessary to abate odor at no additional cost to City. The Contractor shall conduct their work in a way as to minimize odors 24 hours a day while the cleaning work is underway. The City defines odor to be a problem when it is detectable outside the treatment plant fenced area.

The City reserves the right to stop or postpone the work if odors become objectionable.

Cost and Payment

Cost for cleaning the digester shall be lump sum cost based on digester liquid volume of 90,000 gallons. If rags and inorganic debris are found present, this material is not suitable for land application and will have to be hauled to an approved land fill. All costs associated with debris to be hauled and landfilled shall be Contractor’s responsibility. It is estimated that approximately 10 cubic yards of rags and inorganic debris may be present.

The Contractor shall invoice the City within thirty (30) days after work has been completed. The City will make payment within thirty (30) days of receipt of invoice.

Work Week

Work is to be performed Monday through Friday between the hours of 6 AM and 6 PM unless approved by the City. No work will be allowed on Saturdays unless approved by the City. No work shall be allowed on Sundays.

Cleanup

Before acceptance of this project, the Contractor shall clean the worksite and all grounds occupied by any temporary structures, equipment, materials or other areas used in connection with the work performed. These areas shall be left in a presentable condition equal to condition of site prior to start of work. All costs associated for the cleanup shall be Contractor’s responsibility.

Completion of Work

All work related to cleaning the digester shall be completed within 60 days from date of Notice To Proceed. Failure to complete this project within this time period, will result in daily forfeiture of $300/day. The City may extend completion date due to inclement weather conditions.

Reference Material

Plant operating data, facility information and existing record (as-built) drawing of City’s wastewater plant are available for review. Contact Jeremy Cramer, 608-825-0731 or email jcramer@cityofsunprairie.com.

III. REQUIRED INFORMATION

Proposal Format

Proposals are to be limited to 10 pages (may be double sided) including the signed cover letter, with information requested below. Proposals received not following the format specifications will be forfeit points, and may be disqualified and considered non-responsive at the City's discretion.

All proposals submitted in response to this request should include the following headings to assist evaluation. The proposal shall be concise, well organized and demonstrate the responder’s qualifications and experience applicable to the Project. Three copies shall be submitted with RFP.

Cover Letter

Provide a cover letter summarizing your proposal including a brief summary of your capabilities to deliver the services requested in a timely fashion and of the firm’s experience in this type of work.

Your Proposal must be signed.

Basic Qualifications of the Firm

Provide basic data relative to the firm’s size, history, personnel, equipment, and expertise in the service being requested. Include name, title, address, and telephone number of person to contact concerning the proposal.

Experience and Technical Competence

Provide a list of at least three past or ongoing projects that demonstrate successful and satisfactory completion of work of comparable size for which the proposed team provided similar services as those required by this RFP over the past 10 years. Include a brief description of the project, date initiated, date completed, cost, name of owner, and owner’s project manager with phone number.

Proposed Method to Accomplish the Work

Discuss approach to items identified in the Scope of Services. Include discussion on approach to maintain budget, and schedule.

Knowledge and Understanding of Biosolids Disposal Environment

Describe the firm’s knowledge and understanding of digester cleaning disposal environment. The “environment” includes, but is not limited to: Federal, State, County and local laws, statutes, codes, regulations, ordinances and rules.

Project Organization and Key Personnel

Describe proposed project organization, including identification and responsibilities of key personnel.

Key personnel identified in the proposal shall not be removed and/or substituted by Contractor or subs unless said named key personnel leave the employment of the Contractor or subs. Indicate role and responsibilities of Contractor and all subs. Identify current commitments, availability and location of all key personnel included in the proposal.

This form must be returned with your response.

In signing Proposals, we certify that we have not, either directly or indirectly, entered into any agreement 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 Proposals, that Proposals have been independently arrived at, without collusion with any other Proposers, competitor or potential competitor; that Proposals have not been knowingly disclosed prior to the opening of Proposals to any other Proposers or competitor;

that the above statement is accurate under penalty of perjury.

The undersigned, submitting this Proposal, herby agrees with all the terms, conditions, and specifications required by the City in this Request for Proposal, declares that the attached Proposal and pricing is in conformity therewith, and attests to the truthfulness of all submissions in response to this solicitation.

Proposers shall provide the information requested below. Include the legal name of the Proposers and signature of the person(s) legally authorized to bind the Proposers to a contract.

COMPANY NAME

SIGNATURE DATE

PRINT NAME OF PERSON SIGNING

J:/Finance/RFP/Form A Signature Affidavit.doc

Form A: Signature Affidavit

Proposers hereby acknowledge the receipt and/or submittal of the following forms:

Forms

Initial to Acknowledge

SUBMITTAL

Initial to Acknowledge

RECEIPT

Description of Services/Commodities N/A

Form A: Signature Affidavit

Form B: Receipt of Forms and Submittal Checklist

Form C: Vendor Profile

Form D: References

Form E: Insurance Requirements

Form F: Fee Proposal in separate sealed envelope

Appendix A: Standard Terms & Conditions N/A

Addendum #

Addendum #

Addendum #

VENDOR NAME

J:/Finance/RFP/Form B ReceiptofFormsandSubmittalChecklist.doc

Form B: Receipt of Forms and Submittal Checklist

COMPANY INFORMATION

Company Name (Make sure to use your complete, legal company name.)

FEIN (If FEIN is not applicable, SSN collected upon award.)

Contact Name (Able to answer questions about proposal.) Title

Telephone Number Fax Number

Email

Address City State Zip

ORDERS/BILLING CONTACT

Address where City purchase orders/contracts are to be mailed and person the department contacts concerning orders and billing.

Contact Title

Telephone Number Fax Number

Email

Address City State Zip

Form C: Vendor Profile/Qualifications

RFP #: 20—WW08

LOCAL VENDOR STATUS

The City of Sun Prairie has included a local vendor preference granting a scoring preference to local suppliers. Only suppliers within the City of Sun Prairie limits as of the bid’s due date will receive preference.

CHECK ONLY ONE:

� Yes, we are a local vendor.

� No, we are not a local vendor.

CORPORATION INFORMATION

If applicant is a corporation, please complete both columns:

Names of Corporate Officers Names of Corporate Directors

LICENSES AND PROFESSIONAL REGISTRATION

List names of each key person of the firm. If a requested service requires a licensed/registered practitioner, you will be required to provide a copy of such license/registration before work can begin.

Name

Capacity

(Owner, Partner, Etc.)

Current Licenses/Registrations (Include Certificate # if applicable)

License/Registration

Expiration Date

CONFLICT OF INTEREST

A conflict of interest may exist where an employee or close relative/family member has a connection to your business, and a third party may consider that this relationship may compromise the competitive process. Does any employee of your company have a possible conflict of interest with this process? Yes No If yes, please specify the following:

Employee Name: __________________________ Employee Phone Number: _______________

Employee’s Relationship: _________________________

PRIOR WORK

Has your organization ever performed work for the City of Sun Prairie? Yes No If yes, please specify scope of work:

WORK EXPERIENCE

List contracts for similar services or materials that have been completed within the last five years.

Project Location Type of Service Total Amount of Contract

Completion Date

Name/Phone of Owner or Other

References

KEY PROJECT PERSONNEL INFORMATION

Provide the requested information for key personnel who would be assigned to work on contracts awarded or who would, at a minimum, supervise such work.

Name and Title Primary Responsibilities

Years of Experience

Education (Degrees, Certificates)

Other Relevant Experience and/or

Qualifications

JUDGEMENTS AND CLAIMS

Are there any judgements, claims or suits pending our outstanding against you or your organization?

Yes No

If yes, please explain:

DISPUTES REGARDING LIENS

Has any owner or higher-tier contractor with whom you r business has had a contract ever disputed a claim of lien filed by you or your organization? Yes No

RECEIVERSHIP

Have you or your organization filed for bankruptcy, receivership, or reorganization within the last five years?

Yes No

LEGAL INFRACTIONS

Have you or your organization been cited and/or fined for failure to comply with federal or state regulations and/or statues in the past two years? Yes No

BONDING- Only if needed

Attach a letter from your surety company or its agent licensed to do business in Wisconsin verifying your organization’s capacity to provide adequate performance and payment bonds.

Have any funds been expanded by a surety company on your behalf? Yes No

List all of the surety companies that have provided bonds for your company for the past five years:

Information provided in this application may be audited by the City of Sun Prairie.

Provision of information on Form C does not relieve your company from providing the same or additional information as requested in a response to a request for proposal.

Submittal of Form C does not guarantee qualification. Qualification will be given only if your company meets all statutory, regulatory or City requirements, including those not listed on this application. Qualification does not guarantee your company any business.

Your company must update significant information changes in writing within 30 days.

Significant changes include, but are not limited to: change of legal status, TIN, ownership, name, address, as well as loss of licensure or registration, filing of bankruptcy, or suspension by any federal, state, or local government agency.

Failure to provide accurate and reliable information required by this form may, in accordance with any and all applicable laws, result in penalties including, but not limited to, suspension or debarment from doing business with the City of Sun Prairie and termination of contracts.

J:/Finance/RFP/Form C Vendor Profile/Qualifications.doc

Reference # 1 – Client Information Company Name

Contact Name

Address City State Zip

Telephone Number Fax Number

Email

Contract Period Year Completed Total Cost

Description of the Performed Work

Reference # 2 – Client Information

Contact Name

Address City State Zip

Telephone Number Fax Number

Email

Contract Period Year Completed Total Cost

Description of the Performed Work

Form D: References

Reference # 3 – Client Information

Contact Name

Address City State Zip

Telephone Number Fax Number

Email

Reference # 4 – Client Information

Contact Name

Address City State Zip

Telephone Number Fax Number

Email

Reference # 5 – Client Information

Contact Name

Address City State Zip

Telephone Number Fax Number

Email

Reference # 6 – Client Information

Contact Name

Address City State Zip

Telephone Number Fax Number

Email

J:/Finance/RFP/Form D References.doc

Insurance coverage shall be in place prior to commencing work and shall remain in force until the entire project is completed or the length of time that is specified in the contract.

INDEMNIFICATION – Non-Construction

To the fullest extent allowable by law, Contractor hereby indemnifies and shall defend and hold harmless City of Sun Prairie, its elected and appointed officials, officers, employees, or authorized representatives or volunteers and each of them from and against any and all suits, actions, legal or administrative proceedings, claims, demands, damages, liabilities, interest, attorneys’ fees, costs, and expenses of whatsoever kind or nature whether arising before, during, or after completion of the work hereunder and in any manner directly or indirectly caused, occasioned, or contributed to in whole or in part or claimed to be caused, occasioned, or contributed to in whole or in part, by reason of any act, omission, fault, or negligence, whether active or passive, of Contractor or of anyone acting under its direction or control or on its behalf in connection with or incident to the performance of this Agreement regardless if liability without fault is sought to be imposed on City of Sun Prairie. Contractor’s aforesaid indemnity and hold harmless agreement shall not be applicable to any liability caused by the sole fault, sole negligence, or willful misconduct of the City of Sun Prairie, or City of Sun Prairie’s representatives. This indemnity provision shall survive the termination or expiration of this Agreement.

In any and all claims against the City of Sun Prairie, or any of its directors, officers, employees, or authorized representatives or volunteers by an employee of the Contractor, any subcontractor, or anyone for whose acts any of them may be liable, the indemnification obligation under this paragraph shall not be limited in any way by any limitation on the amount or type of damages, compensation, or benefits payable by or for the Contractor or any subcontractor under Worker’s Compensation Acts, Disability Benefit Acts, or other employee benefit acts.

No provision of this Indemnification clause shall give rise to any duties not otherwise provided for by this Agreement or by operation of law. No provision of this Indemnity clause shall be construed to negate, abridge, or otherwise reduce and other right or obligation of indemnity that would otherwise exist as to the City of Sun Prairie under this or any other contract. This clause is to be read in conjunction with all other indemnity provisions contained in this Agreement. Any conflict or ambiguity arising between any indemnity provisions in this Agreement shall be construed in favor of indemnified parties except when such interpretation would violate the laws of the state in which the job site is located.

Contractor shall reimburse City of Sun Prairie, or any of its directors, officers, employees, or authorized representatives or volunteers, for any and all legal expenses and costs incurred by

Form E: Non-Construction Insurance and Indemnification Requirements each of them in connection therewith or in enforcing the indemnity herein provided. Contractor’s obligation to indemnify shall not be restricted to insurance proceeds, if any, received by the City of Sun Prairie, or any of its directors, officers, employees, or authorized representatives or volunteers.

INSURANCE REQUIREMENTS – Non-Construction

Unless otherwise specified in this Agreement, the Contractor shall, at its sole expense, maintain in effect at all times during the performance of the Work, insurance coverage with limits not less than those set forth below with insurers and under forms of policies set forth below.

Worker’s Compensation and Employers Liability Insurance – The Contractor shall cover or insure under the applicable Wisconsin labor laws relating to worker’s compensation insurance, all of their employees in accordance with the law in the State of Wisconsin. The Contractor/Consultant shall provide statutory covers for work related injuries and employer’s liability insurance with limits of $1,000,00 each accident, $1,000,000 disease policy limit, and $1,000,000 disease each employee.

Commercial General Liability and Automobile Liability Insurance – The Contractor/Consultant shall provide and maintain the following commercial general liability and automobile liability insurance:

Coverage – Coverage for commercial general liability and automobile liability insurance shall be at least as broad as the following:

1. Insurance Services Office (ISO) Commercial General Liability Coverage (Occurrence Form CG 0001)

2. Insurance Services Office (ISO) Business Auto Coverage (Form CA 0001), covering Symbol 1 (any vehicle).

Limits – The Contractor/Consultant shall maintain limits no less than the following:

1. General Liability – One million dollars ($1,000,000) per occurrence ($2,000,000 general aggregate if applicable) for bodily injury, personal injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to the project/location (with the ISO CG 2503, or ISO CG 2504 endorsement provided to the City of Sun Prairie) or the general aggregate including product-completed operations aggregate limit shall be twice the required occurrence limit.

2. Automobile Liability – One million dollars ($1,000,000) for bodily injury and property damage per occurrence limit covering all vehicles to be used in relationship to the Agreement.

3. Umbrella Liability – Five million dollars ($5,000,000) for bodily injury, personal injury and property damage per occurrence in excess of coverage carried for Employers’ Liability, Commercial General Liability and Automobile Liability as described above.

Required Provisions – The general liability and automotive liability policies are to contain or be endorsed to contain the following provisions:

1. The City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers are to be given additional insured status (via ISO endorsement CG 2010, CG 2033 for general liability coverage) as respects: liability arising out of activities performed by or on behalf of the Contractor(s); products and completed operations of the Contractor(s); premises occupied or used by the Contractor(s); and vehicles owned, leased, hired or borrowed by the Contractor(s).

2. The coverage shall contain no special limitations on the scope of protection afforded to the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers.

3. For any claims related to this project, the Contractor’s insurance shall be primary insurance as respects the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers. Any insurance, self-insurance, or other coverage maintained by the City of Sun Prairie, its directors, officers, employees, or authorized representatives or volunteers shall not contribute to it.

4. Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers.

5. The Contractor’s insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer’s liability.

6. Each insurance policy required by this agreement shall state, or be endorsed to state, that coverage shall not be canceled by the insurance carrier or the Contractor, except after sixty ((60) days) (10 days for non-payment of premium) prior written notice by U.S. mail has been given to the City of Sun Prairie.

7. Such liability insurance shall indemnify the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers against loss from liability imposed by law upon, or assumed under contract by, the Contractor for damages on account of such bodily injury (including death), property damage, personal injury, completed operations, and products liability.

8. The general liability policy shall cover bodily injury and property damage liability, owned and non-owned equipment, blanket contractual liability, completed operations liability with a minimum of a 24 month policy extension, explosion, collapse, underground excavation, and removal of lateral support, and shall not contain an exclusion for what is commonly referred to by the insurers as the “XCU” hazards. The automobile liability policy shall cover all owned, non-owned, and hired vehicles. All of the insurance shall be provided on policy forms and through companies satisfactory to the City of Sun Prairie, and shall have a minimum A.M. Best’s rating of A- VII.

Deductibles and Self-Insured Retentions – Any deductible or self-insured retention must be declared to and approved by the City of Sun Prairie. At the option of the City of Sun Prairie, its elected and appointed officials, officers, employees, or authorized representatives or volunteers, the insurer shall either reduce or eliminate such deductibles or self-insured retentions.

Evidences of Insurance – Prior to execution of the agreement, the Contractor shall file with the City of Sun Prairie, a certificate of insurance (Acord Form 25-S) signed by the insurer’s representative as well as endorsements evidencing the coverage required by this agreement. CG 20 10 11 85 covers all bases OR Form CG 20 10 07 04 for ongoing work exposure and Form CG 20 37 07 04 for products-completed operations exposure. Contractor will also provide form CG 28 04 10 93, Earlier Notice of Cancellation with 30 days’ notice.

Such evidence shall include an additional insured endorsement signed by the insurer’s representative. Such evidence shall also include confirmation that coverage includes or has been modified to include all required provisions 1-8.

Responsibility for Work – Until the completion and final acceptance by the City of Sun Prairie of all the work under and implied by this agreement, the work shall be under the Contractor’s responsibility care and control. The Contractor shall rebuild, repair, restore and make good all injuries, damages, re-erections, and repairs occasioned or rendered necessary by causes of any nature whatsoever.

Sub-Contractors – In the event that the Contractor employs other contractors (sub-contractors) as part of the work covered by this agreement, it shall be the Contractor’s responsibility to require and confirm that each sub-contractor meets the minimum insurance requirements specified above.

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Prepare the Fee Proposal to include the following:

1. All Inclusive – Covers all direct and indirect necessary expenses for each section.

2. Not to Exceed – The actual fees shall not exceed the amount specified on each line of the fee proposal.

2020 North Anaerobic Digester Cleaning

A. Lump sum cost for removal of 90,000 gallons of digester liquid.

Total Cost

B. Cost for removing and disposal at State licensed landfill of 10 cubic yards of rags and other debris from digester.

____________ $/cubic yard $_______________________ Unit Price Total Cost

3. Will Vendor accept credit card for payment with no additional fees?

________ Yes _______ No

4. Will Vendor accept payment via Electronic Funds Transfer (EFT)?

5. Will Vendor allow Piggybacking of this contract to other government agencies?

Form F: Fee Proposal

The above fees shall be compensation for all the services provided pursuant to this agreement. The cost for project deliverables shall be included as part of the costs above. This fee includes all necessary meetings with the City Council and such Committees, Boards, and Commissions as required. All costs incurred by the contractors and all sub-contractors are included herein.

Any additional services over and above the services described in this agreement shall be provided only when authorized in writing by the City’s designated representative.

For additional services, provide the hourly rate for all staff positions (ie – Engineer Technician, Project Engineer, etc.) that may be designated for this project and any overhead rates that would apply:

The undersigned, submitting this Proposal, herby agrees with all the terms, conditions, and specifications required by the City in this Request for Proposal, declares that the pricing is in conformity therewith, and attests to the truthfulness of all submissions in response to this solicitation.

Proposers shall provide the information requested below. Include the legal name of the Proposers and signature of the person(s) legally authorized to bind the Proposers to a contract.

COMPANY NAME

SIGNATURE DATE

PRINT NAME OF PERSON SIGNING

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