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

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0153 Doc. Ref#: RFP-04 Page 1 of 5

RFP Title: Video Games and Related Services

City of Fort Worth Bidder/Supplier ID:____________________________________

Legal Name of Proposer:

D/B/A Name of Proposer:

Federal Id Number (TIN):______________________________________________

Address:

Name of the Authorized Representative: __________________________________

Title: _____________________________________________________________

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

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

Signature of the Authorized Representative: _____________________________

Email: Phone:

Name of Contact Person - 1:

Title of Contact Person - 1:

Email: Phone:

Name of Contact Person - 2:

Title of Contact Person - 2:

Email: Phone:

Name of Contact Person - 3:

Title of Contact Person - 3:

Email: Phone:

RFP Ref. #: 26-0153 Doc. Ref#: RFP-04 Page 2 of 5

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

1.0 Length of time in business: _______________________________________

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

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

Yes No

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

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

Yes No

5.0 Prompt Payment Discount Terms: Percent at Days (i.e. 3% Net 15, etc.)

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

7.0 How many years has your firm been in the business of providing games and media to libraries and/or municipal markets?

Pages with information believed to be Proprietary

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

RFP Ref. #: 26-0153 Doc. Ref#: RFP-04 Page 3 of 5

8.0 Does your firm have experience with client accounts of similar volume and complexity as outlined in this bid?

Yes No

9.0 What are your standard business hours and days?

10.0 What is your firm’s standard response time to client -

10.1 Emails?

10.2 Phone calls?

11.0 Does your firm provide user accounts for database access?

12.0 Does your firm provide labeling/cataloging services?

Yes No

13.0 Does your firm provide database training?

13.1 What format is your training provided in?

13.2 Is training available on an as needed basis (on demand)?

14.0 Does your firm have the ability to assign ordering grids?

Yes No

14.1 Are the ordering grids able to handle multiple locations, funds, and collection codes?

RFP Ref. #: 26-0153 Doc. Ref#: RFP-04 Page 4 of 5

15.0 Does your firm provide an online pre-publication announcement list of upcoming popular releases?

Yes No

16.0 Does your firm’s database contain the ability to run account reports?

16.1 What types of reports are built into your database?

17.0 Does your firm offer a street-release-date program?

18.0 Does your firm’s database support EDI ordering and invoicing with Polaris?

Yes No

19.0 Does your firm’s database support on-order MARC (brief MARC) records be downloaded from your site for importing into Polaris?

Yes No

20.0 What order formats does your firm accept?

EDI Direct/website

Other:

21.0 How long does it take your firm to deliver an order (on average)?

22.0 What is your firm’s average processing time for labeling/cataloging items after an order is received?

23.0 Please describe your firm’s labeling process entails.

RFP Ref. #: 26-0153 Doc. Ref#: RFP-04 Page 5 of 5

24.0 Does your firm use packing slips? If yes, please attach sample slip to “Additional Requested Documents” with your proposal.

Yes No

25.0 Does your firm offer digital artwork (replacing package art with branded or printed labeling) services or add external labels?

26.0 How many user accounts will your firm provide for the City without additional cost to the City?

27.0 Please provide the trial database access information below. This will be used by the evaluation panel in scoring your firm’s proposal and failure to include this information may result in your proposal being deemed nonresponsive.

Website:

Username:

Password:

Length of trial access:

28.0 Please provide the name, contact, and any relevant information for the account representative that will be assigned to this agreement.

29.0 Does your firm offer any additional services related to this project? If yes, please describe the services and benefits of them below.