6-Bidders Document Checklist.pdf

Bidder Document Checklist

This checklist is a guide to help ensure that all documents are submitted. Please note: This checklist is not exhaustive, and bidders are responsible for meeting all bid requirements, including those not listed here. Only original documents are accepted; faxed or emailed submissions will not be considered. It is not necessary to return the checklist with your bid. A complete bid package includes the following fully completed and signed documents:

☐ Certification of Bid (Attachment B)

☐ Certification of Debarment and Suspension (Attachment D)

☐ Certification of Lobbying/Disclosure of Lobbying Activities (Attachment E)

☐ Non-Collusion Declaration (Attachment F)

☐ Buy American Statement (Attachment G)

☐ Buy American Waiver Statement (Attachment H)

☐ Recall Procedures and Two Contacts (Attachment I)

☐ Vendor Questionnaire (Attachment J)

**Not included in this packet but needs to be submitted in the Required Information Section in Bonfire.

☐ Nutrition Labels, Crediting Information, Formulation Statements

☐ Cost Sheet

Note: Failure to include any of the above documents fully completed and signed may result in your bid being classified as non-responsive.

THE FOLLOWING DOCUMENTS MUST

BE SUBMITTED WITH

BID

Granite School District Attachment B Purchasing Department

CERTIFICATION OF BID

We have read the GSD Invitation for Bid for Granite School District’s and fully understand its intent. We certify that we have adequate personnel and resources to fulfill the bid requirements. We further understand that our ability to meet the criteria and provide the required services shall be judged solely by GSD.

We further certify that, since the receipt of this IFB, no contact, discussion, or negotiations have been made nor will be made regarding this IFB with any GSD employee or Board member other than the listed contact people in the IFB. We understand that any such contact could disqualify this bid.

We further certify that we are properly licensed to conduct business within the scope of this IFB in the State of Utah.

We certify that all attachments and addenda contained herein shall be considered part of the entire IFB response and that the complete document submitted shall be considered a legally binding document.

Vendor agrees that submission of their bid constitutes acceptance of the solicitation contents, terms and conditions and will comply with all listed Federal Requirements.

Finally, by signing this document, we certify that if awarded the contract we will perform the contract in accordance with the GSD Terms and Conditions and by the procedures further listed in this IFB, unless negotiated with the Procurement Officer.

Submitted by:

Vendor Name

Authorized Signature

Name and Title

Date

By signing this form, you are verifying that your company meets the requirements stated above.

Attachment D

DEBARMENT AND SUSPENSION CERTIFICATION

U. S. DEPARTMENT OF AGRICULTURE

Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion Lower Tier Covered Transactions

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR Part 3017, Section 3017.510, Participants’ responsibilities. The regulations were published as Part IV of the January 30, 1989, Federal Register pages 4722-4733). Copies of the regulations may be obtained by contacting the Department of Agriculture agency with which this transaction originated.

(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)

(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

(2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

Organization Name PR/Award Number

Printed Name of authorized representative Title

Signature Date

INSTRUCTIONS FOR CERTIFICATION

1. By signing and submitting this form, the prospective lower tier participant (one whose contract for goods or services exceeds the Federal procurement small purchase threshold fixed at $100,000) is providing the certification set out on the reverse side in accordance with these instructions.

2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

4. The terms “covered transaction,” “debarred,” “suspended,” “ineligible,” “lower tier covered transaction,”

“participant,” “person,” “primary covered transaction,” “principal,” “proposal,” and “voluntarily excluded,” as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations.

5. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

6. The prospective lower tier participant further agrees by submitting this form that it will include this clause titled “Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion — Lower Tier Covered Transactions,” without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.

7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Non-procurement List.

8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

CERTIFICATION REGARDING LOBBYING Attachment E

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents of all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub- recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, United States Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Organization:

Street address:

City, State, Zip:

CERTIFIED BY:(type or print)

TITLE:

(signature) (date)

Disclosure of Lobbying Activities

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure)

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

1. Type of Federal Action:

a. contract

b. grant

c. cooperative agreement

d. loan

e. loan guarantee

f. loan insurance

2. Status of Federal Action:

a. bid/offer/application

b. initial award

c. post-award

3. Report Type:

a. initial filing

b. material change

For material change only:

Year quarter Date of last report

4. Name and Address of Reporting Entity:

Prime Subawardee

Tier , if Known:

Congressional District, if known:

5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:

Congressional District, if known:

6. Federal Department/Agency: 7. Federal Program Name/Description:

CFDA Number, if applicable:

8. Federal Action Number, if known: 9. Award Amount, if known:

10. a. Name and Address of Lobbying Registrant

(if individual, last name, first name, MI):

b. Individuals Performing Services (including address if different from No. 10a)

(last name, first name, MI):

11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Signature:

Print Name:

Title:

Telephone No.: Date: _

Federal Use Only

Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97)

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, State, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.

5. If the organization filing the report in item 4 checks “Subawardee,” then enter the full name, address, city, State, and zip code of the prime Federal recipient. Include Congressional District, if known.

6. Enter the name of the federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.

7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full

Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.

8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1

(e.g., Request for Proposal (RFP) number; Invitations for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Included prefixes, e.g., “RFP-DE-90-001.”

9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.

10. (a) Enter the full name, address, city, State, and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action.

(b) Enter the full names of the individual(s) performing services and include full address if different from 10(a). Enter Last Name, First Name, and Middle Initial (MI).

11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.

According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project

NON-COLLUSION DECLARATION TO BE Attachment F

EXECUTED BY BIDDER AND SUBMITTED WITH BID

The undersigned declares:

I am ______________________________________________________________________ (insert name) the _______________________________________________________________________ (insert proper title such as “sole owner” “partner,” “president,” “secretary”) of _______________________________________________________________________________ (insert name of bidder or company).

The party making the foregoing bid/proposal submitted herewith to the Granite School District declares:

That all statements of fact in such bid/proposal are true;

That such bid/proposal was not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation;

That the bid is genuine and not collusive or sham;

That the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a false or sham bid, or that anyone shall refrain from bidding;

That the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder;

That the bidder has not, directly or indirectly, submitted his or her price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury of the laws of the State of Utah that the above information is correct.

_____________________________________________________(Signature)

__________________(Date)

Attachment G

Child Nutrition Services Certification for “Buy American” Provision

The District participates in the National School Lunch program and School Breakfast program and is required to use the nonprofit food service funds, to the maximum extent practical, to buy domestic commodities or products for Program meals. A “domestic commodity or product” is defined as one that is either produced in the U.S. or is processed in the U.S. substantially using agricultural commodities that are produced in the U.S. as provided in 7 CFR Part 210.21(d).

I certify that the following item(s) are produced and processed in the U.S. and contains over 51% of its agricultural food components, by weight or volume, from the U.S.

Note: a manufacture certification on company letterhead may be substituted for this form if the exact same language listed above is used.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

We certify that our ________________________________have at least _______% US content.

By signing this certification, the Bidder is acknowledging the Buy American requirements.

Company: ________________________________________

Print Name: _______________________________________ Title: _____________________________

Signature: ________________________________________ Date: _____________________________

Child Nutrition Services

“Buy American” Waiver Exception List

This documentation is required for all food items that are not produced and processed in the U.S. with at least 51% of its agricultural food components, by weight or volume, from the U.S. The Buy American regulations states:

The “Buy American” provisions of Public Law (p.L.)105-336 under the Richard B. Russell National School Lunch Act allows for an exception when the recipient agency “GSD” determines that the following instances apply to non-domestic produced products:

a. Recipients have unusual or ethnic food preferences which can only be met through purchases of products not produced in the U.S.;

b. The product is not produced or manufactured in the U.S. in sufficient and reasonably available quantities of a satisfactory quality;

c. The cost of the U.S. produced food products is significantly higher than foreign products.

Item Description

Domestic Price

Non-Domestic Price

Reason for Waiver

Sample: Pineapple

$59.95 $29.95 US Pineapple is significantly higher in cost (more than 10%)

(Copy, complete and sign for additional line items)

Every effort shall be made to follow the Buy American provision required by the National School Lunch Act to include domestically grown products in school food programs. By signing this certification, the Vendor acknowledges that the reasons for the waiver(s) are accurate.

Company: ________________________________________

Print Name: _______________________________________ Title: _____________________________

Signature: ________________________________________ Date: ____________________________

Attachment H

Attachment I

PRODUCT RECALL INFORMATION

To ensure the safety of our students, Vendor must communicate all product recall information in a timely manner and plan pick up and reimbursement, if necessary. Provide information on your company’s policies and procedures for handling recalled product. You must include contact information for at least 2 people.

Name Email Phone

1.____________________________ ______________________________ ______________________

2. ____________________________ ______________________________ ______________________

Please include your detailed product recall procedures:

Attachment J

VENDOR QUESTIONNAIRE

Company Name: ___________________________________________________________

No bids shall receive consideration by GSD unless they include responses to every question below. Prospective vendors should respond in detail to each of the following questions. Additional pages may be used as needed for thorough, yet concise, responses.

1. Do you require a minimum number of cases, pounds, or value for deliveries?

Yes: _______ No _______ If YES, please state your minimum delivery amounts (dollar amount, cases, pounds).

2. What is your procedure for notifying customers of shortages and/or substitutions?

3. What is your company’s average “fill rate” to your customers? ______________________

4. What is the lead time you require for orders to ensure a 95% fill rate? ________________

5. How many years has your company been in the K-12 food service business? ___________

6. Has your firm defaulted or been replaced at the will of a district during the school year within the last 2 years? If yes, explain.

7. Please describe the reports that you make available to your customers (e.g. monthly usage, data analysis, business intelligence, etc.) How are customers able to access these reports?

8. Provide the primary contact person’s information that GSD will be communicating with regarding this

IFB and for duration of the contract (if awarded). Contact information must include a telephone number and an email address.

9. Contact Name:______________________________________________________________________

10. Contact Phone Number: ______________________________________________________________

11. Contact Email Address: _______________________________________________________________