3-03 Required Form-Proposer Questionnaire Form.pdf
PDF 176 KB Posted
- Attached to
- Onsite Fuel Services
- Solicitation number
- RFP #13-01-27
- Issued by
- Bastrop County, Texas
About this file
This is a Proposer Questionnaire Form for RFP #13-01-27 Onsite Fuel Services issued by a Texas municipality seeking to establish an annual services agreement for the purchase and delivery of onsite fuel on an as-needed basis. The RFP requires proposers to provide information across four key evaluation categories: experience and qualifications, technical capacity and service plan, safety and compliance, and reliability and responsiveness. Proposers must demonstrate their capability to deliver fuel within a specified timeframe of notification, identify their principal delivery location, and describe their temperature adjustment methods for fuel products. The questionnaire also requires submission of sample invoices with OPIS reports for 500-gallon quantities of unleaded gasoline, Grade 2-0 diesel, and Texas Dyed Diesel, along with typical analysis sheets based on actual test results for each fuel type.
The questionnaire emphasizes critical operational and safety requirements, including detailed information on spill containment policies and emergency response procedures that prioritize the City's service needs. Proposers must also provide municipal and corporate references with contact information. The RFP is subject to various federal compliance requirements applicable based on contract value thresholds, including Davis-Bacon Act provisions for construction contracts exceeding $2,000, Contract Work Hours and Safety Standards Act compliance for contracts over $100,000, and environmental compliance under the Clean Air Act and Federal Water Pollution Control Act for contracts exceeding $150,000. Additionally, proposals exceeding $100,000 require Byrd Anti-Lobbying Amendment certification, and all vendors must certify non-debarment status and compliance with federal, state, and local laws and regulations.
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Text version
RFP #13-01-27 Onsite Fuel Services 21
FORM 5.2. – PROPOSER QUESTIONNAIRE FORM
Proposers may use a separate attachment to respond to questions below.
EXPERIENCE AND QUALIFICATIONS
1. Provide a list of municipality or corporate references including contact name, email address, and phone number.
TECHNICAL CAPACITY AND SERVICE PLAN
2. State length of time necessary to deliver fuel once notified by the City that a delivery is needed. The fuel shall be ordered on an as-needed basis:
3. Principle location from which fuel will be delivered from:
4. Describe your company’s method(s) for making adjustment(s) for fuel temperatures:
5. Attach a sample invoice with supporting OPIS report(s) for 500 gallons each of unleaded, grade 2-0 diesel and Texas Dyed Diesel delivered on May 15, 2026.
6. Attach a typical analysis sheet for each type of fuel, based on actual test results, showing the properties of the fuels.
RFP #13-01-27 Onsite Fuel Services 22
SAFETY, COMPLIANCE, AND ENVIRONMENTAL FACTORS
7. Provide your company’s spill containment policy.
RELIABILITY AND RESPONSIVENESS
8. Provide your company’s emergency response policy and how you will prioritize the
City’s agreement over others.
| b. Termination for Cause or Convenience for Contracts Exceeding $10,000 |
| c. Equal Employment Opportunity |
| Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), in a... |
| d. Davis-Bacon Act as amended (40 U.S.C. 3141-3148) |
| When required by Federal program legislation, all prime construction contracts in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, “L... |
| The City must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. Vendor agrees that for any purchase to which this requirement applies, the award is conditioned upon Vendor’s acceptance of... |
| Vendor further agrees that it shall comply with the Copeland “Anti-Kickback” Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work Financed in Whole o... |
| e. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708) |
| Where applicable, all contracts awarded by the City in excess of $100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). U... |
| f. Rights to Inventions Made Under a Contract or Agreement |
| If the Federal award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assi... |
| g. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. |
| Where applicable, all contracts awarded by the City in excess of $150,000, Vendor agrees to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control... |
| h. Debarment and Suspension (Executive Orders 12549 and 12689) |
| A contract award (see 2 CFR 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 19... |
| i. Byrd Anti-Lobbying Amendment (31 U.S.C. 1352) |
| Vendors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or att... |
| Vendor agrees to comply with all federal, state, and local laws, rules, regulations and ordinances, as applicable. It is further acknowledged that vendor certifies compliance with all provisions, laws, acts, regulations, etc. as specifically noted above. |
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