6-RFP-04-Authorized Signature and Questionnaire.docx

CITY OF FORT WORTH - PURCHASING DIVISION AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Title: Field Damage Repair 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:

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.

Have you answered Yes to either Question 1 or 2 above? Please provide the details outlining the situation on 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________

7.0 Describe your company's experience providing plumbing, electrical, and remodeling services for municipal or commercial facilities.

8.0 Does your company possess all applicable licenses, certifications, and permits required to perform the services outlined in this bid?

9.0 How many qualified employees do you currently have available to perform the required services?

10.0 Describe your experience performing water, sewer, and gas line repairs, leak detection, plumbing fixture installations, and maintenance of domestic and sanitary systems.

11.0 Explain your process for receiving service requests, preparing itemized estimates for labor, materials, and equipment rental, obtaining written authorization, and documenting completed work.

12.0 Explain how your company will maintain at least two qualified employees available 24 hours a day, 365 days a year, and meet the required one-hour emergency response and two-hour onsite arrival times for plumbing services.

13.0 Describe your procedures for prioritizing emergency service requests, coordinating with City crews, and providing before-and-after photographs of completed work.

14.0 Describe your experience performing electrical installations, repairs, and maintenance, including lighting, controls, motors, hazardous or confined environments, and coordination with other trades.

15.0 Explain how your company ensures electrical work complies with the National Electrical Code (NEC/NFPA 70), applicable industry standards, and requirements for verifying field conditions and proper equipment placement.

16.0 Describe your experience providing remodeling services, including carpentry, drywall, framing, concrete, paving, masonry, painting, and surface preparation.

17.0 Describe your company's safety program, including employee training, background checks, hazardous material handling, waste disposal, site cleanup, and procedures for protecting City property and the public.

18.0 Explain your quality assurance procedures for ensuring that materials are new and compliant with applicable standards, work meets City requirements, and all jobsite areas are restored to their original condition or better

19.0 Describe your process for addressing defective materials, workmanship issues, and property damage, including compliance with manufacturer warranties, the one-year labor warranty, and the City's requirements for timely corrective action.

Legal Name of Proposer:

Proposer must provide information for at least three (3) recent customers who received services similar to those required in this RFP.

1. Company’s Name:

2. Company’s Name:

3. Company’s Name:

image1.jpeg