4-RFP 3928 EXHIBITS.pdf

RFP #3928

RFP #3928 PRICE FORM

PROPOSER BUSINESS NAME _

Item

Description

Price

1. One (1) Medium Voltage Soft Starter $ _____

2. Delivery, Installation & Start Up $ _____

3. Training for six Employees $ __________

4. Tariffs (if applicable) $ __________

5. Project Total $ __________

6. Additional Warranty (Optional) $ __________

Total Time to Complete _________ Days

All prices proposed shall be all-inclusive and final. Pricing must account for and include all costs necessary to perform the work as specified in the scope of services, including but not limited to:

labor, materials, equipment, transportation, overhead, profit, insurance, applicable sales and use taxes, tariffs, licenses, permits, travel, incidentals, and any other cost or fee reasonably expected to be incurred in fulfilling the contract requirements.

Should a proposer fail to incorporate any cost that would reasonably be expected as part of the work outlined in the existing scope, Eastern Municipal Water District (EMWD) shall not be responsible for additional compensation. The proposer shall bear the full cost of such omissions and will be required to complete the work at no additional charge to EMWD.

EMWD encourages and will give consideration to early payment discounts during proposal evaluation. If a discount is offered, the terms must be clearly stated as follows: ___% discount if paid in full within ___ days.

By submitting a proposal, the undersigned Proposer certifies that this proposal is genuine and not made in the interest of or on behalf of any undisclosed person, firm, or corporation and is not submitted in collusion with any other party. The Proposer further certifies that they have fully read and understood all proposal documents and agree to comply with all specifications, terms, conditions, unit pricing, and delivery requirements unless clearly stated otherwise in the “exceptions” section of the proposal.

Name of Offeror (Firm):

Title:

Authorized Signature:

Date:

Printed/Typed Name:

Mailing Address:

Phone:

City, State, Zip:

Fax:

E-Mail

PROPOSER’S BUSINESS INFORMATION

Busi

Legal Business ness Information

Street Address Suite #

City State ZIP Code

Contact: Title:

Phone: Email

Length of time in business:

Length of time at current location:

Federal Tax No.

Names and titles of officers of the Business:

Is your firm incorporated? No Yes

Name and remittance address that will appear on invoices:

Is your firm a sole proprietorship doing business under a different name?

No Yes

If yes, please indicate sole proprietorship name and the name you are doing business under:

California State Contractor’s License No.:

Department of Industrial Relations Registration No.:

BUSINESS REFERENCES

Business References

Proposer Business Name:

for

Date:

Proposer shall provide a minimum of 3 Customer References with 3 or more years’ experience with the Proposer. Preferred references should be similar in size, scope, and complexity (to the contract requirements).

Reference 1

Firm:

Address: Contact:

Project

Approx. Cost:

Contact email:

Description:

Project Date: To:

Reference 2

Reference 3

LIST OF SUBCONTRACTORS (IF APPLICABLE)

Subcontractor #1 Information Legal Business

Street Address Suite #

City State ZIP Code

California State Contractor’s License No.:

Department of Industrial Relations Registration No.

Subcontract Description:

ADDITIONS, DELETIONS AND/OR EXCEPTIONS

Please state any and all Additions, Deletions and Exceptions that you are taking to any portion of this proposal. If not addressed below, then Eastern Municipal Water District assumes that the vendor will adhere to all terms and conditions listed.

District will issue an Agreement in its standard form to the successful firm(s) for the services contemplated herein; a copy of which is attached hereto and incorporated herein. Any deletion, exception, or modification taken to District contract terms and conditions will be evaluated, in addition to the specified criteria; and may, itself, result in non-acceptance by the District. Any request for deletion, exception, or modification, if so taken, must be submitted at the time of proposal. Any asserted trade secrets or other proprietary information must be identified on this exhibit with specific page references within the proposal and/or supplemental information.

QUALIFICATIONS AND EXPERIENCE

PROCESS TO COMPLETE WORK

TIMEFRAME TO COMPLETE WORK

INSURANCE AFFIDAVIT

I, (Proposer/Company) have reviewed the Insurance Requirements in its entirety and agree to furnish all insurance policies with designated limits, along with full endorsements, and waiver of subrogation, as stated in this Request for Proposal for the full term of the agreement.

I hereby agree to provide copies of insurance certificates, endorsements, and waiver of subrogation within fourteen (14) calendar days of the District’s notification of recommendation of award.

I understand and confirm that our firm is able to provide and maintain the coverage as specified.

Failure to maintain said coverage shall be sufficient cause for contract termination and shall result in termination of the awarded contract.

I understand that by signing this document, I (Proposer/Company) agree to all terms and conditions as stated in the Insurance Requirements.

☐ Check here if you DO NOT accept terms and conditions as stated in the Insurance Requirements. Detail all Exceptions in, Additions, Deletions and/or Exceptions Form.

Authorized Representative’s Signature Name Authorized Representative’s Printed Name

Company Name Date

Mailing Address Telephone

City, State, Zip Code Email

CONTRACTOR’S CAL/OSHA COMPLIANCE HISTORY AND SIC CODE

(This document is to be submitted with the proposal package) (rev. 10/08/18)

Contractor’s Standard Industry Code:

Contractor’s Name:

California State Contractor’s License #:

Contact Person:

Phone No:

Please answer the following questions:

1. Has the contractor been cited by Cal/OSHA or any regulatory agency for a violation related to safety or environmental issues within the past seven (7) years?

2. Within the past ten (10) years has the contractor had a serious incident or fatality on a job site?

* If yes to # 1 or #2, please provide information specific to the incident(s) and action(s) taken to ensure that there is not a repeat violation, or incident(s) (attach additional sheets if needed)

Contractor’s Representative signature:

FOR EMWD USE ONLY: Purchasing to forward to Risk Management for review

(Risk Management)

Approved: No Yes

Reviewed by (Risk Management)

(signature required)

RFP #3928 Page 12 of 12

SUBMITTAL CHECK-OFF LIST

Item Required Submittals Checklist Check

Off

RFP Price Form

Proposer’s Business Information

Proposer’s Business References

List of Subcontractors (if applicable)

Additions, Deletions, and/or Exceptions

Qualifications and Experience

Process to Complete Work

Timeframe to Complete the Work

MVSS Specification Sheet

Isolation Switch Diagram

Insurance Affidavit

CAL/OSHA Compliance History

Other items as applicable

SUBMITTAL CHECK-OFF LIST