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

170 KB Posted

Attached to
RFP Turnkey Emergency Bypass
Solicitation number
26-0069
Issued by
Tarrant County, Texas

About this file

Written by GovTribe AI ·

This is an Authorized Signature and Questionnaire form for the City of Fort Worth Purchasing Division's RFP 26-0069 for Turnkey Emergency Bypass services required by the Water Department on an "as needed" basis. The solicitation seeks qualified vendors capable of providing comprehensive emergency bypass pumping systems, including design, installation, maintenance, and site restoration services. Vendors must demonstrate at least five years of relevant experience and the ability to respond to emergency service requests within four hours. The RFP requires submission of all requested documents, technical responses, and executed vendor service agreements without modifications. Key evaluation criteria include the vendor's experience with similar municipal projects, warranty coverage and repair processes, 24/7/365 service availability, maintenance program documentation, spill response and site restoration procedures, and details on three recent large-scale emergency bypass projects including pipe sizes, flow rates, duration, and challenges encountered.

The questionnaire addresses critical operational requirements including prompt payment discount terms, cooperative purchasing agreement participation, backorder and substitution handling procedures, and the vendor's labor and staffing model. Vendors must disclose any third-party labor utilization and provide details on qualifications, certifications, performance management, and compliance monitoring for subcontracted personnel. The form requires disclosure of all current and previous municipal contracts related to the scope of services and mandates that vendors certify receipt and understanding of all RFP documents. Vendors must also declare any litigation, criminal investigations, or proprietary information requiring confidential handling. The questionnaire emphasizes the City's requirement that vendors document and report maintenance activities according to specified procedures and maintain transparent communication with City officials throughout bypass operations.

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Other files

File Type Posted
3-RFP-01-Instruction to Proposers.pdf PDF
1-RFP-05-Forms.pdf PDF
7-RFP-08-Reference Sheet.pdf PDF
9-RFP-09-Discount and Markup Calculator.xlsx XLSX spreadsheet
8-RFP-07-Deviations.xlsx XLSX spreadsheet
2-RFP-06-Small Business Utilization Form V1.docx DOCX document
4-RFP-03-Draft Vendor Services Agreement.pdf PDF
5-RFP-02-Scope of Services.pdf PDF

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CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0069 Doc. Ref#: RFP-04 Page 1 of 6 RFP Title: Turnkey Emergency Bypass

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. #: 26-0069 Doc. Ref#: RFP-04 Page 2 of 6

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 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________

5.0 Prompt Payment Discount Terms: ____ Percent _______ 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.

Pages with information believed to be Proprietary

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

7.0 Does your firm have at least five years of experience?

RFP Ref. #: 26-0069 Doc. Ref#: RFP-04 Page 3 of 6

8.0 Are you able to respond to an emergency service within 4 hours?

9.0 How does your firm handle backorders, discontinued items, substitutions, and warranty claims?

10.0 Provide an overview of your warranty services, including coverage length, repair processes, and on-site response times.

11.0 A proposal may be deemed to be non-responsive and may be disqualified, at the City’s discretion, if the Proposal fails to include all requested documents.

Are all required documents, response forms, and technical response documents attached to your submission? Yes__ No__

12.0 Did you make any changes to RFP-03-Drafts Vendor Service Agreements?

RFP Ref. #: 26-0069 Doc. Ref#: RFP-04 Page 4 of 6

13.0 If your company provides or subcontracts services, do you transfer or honor the manufacturer’s warranty on parts? If your company does not provide maintenance and repair services, write N/A.

14.0 Are your services available 24 hours a day, 365 days a year?

15. Please list all cities, counties, or other municipalities your company has or currently holds a contract with as it relates to this solicitation’s scope of service.

16.0 Describe your process for developing a bypass pumping system design based on City-provided flow data, manhole information, and pipe characteristics.

17.0 Describe your process for developing a bypass pumping system design based on City-provided flow data, manhole information, and pipe characteristics.

RFP Ref. #: 26-0069 Doc. Ref#: RFP-04 Page 5 of 6

18.0 Describe your maintenance program for pumps and engines during active bypass operations.

19.0 Explain how maintenance activities are documented and reported to the City.

20.0 Explain your spill response, cleanup, disinfection, and site restoration procedures, including response timelines.

21.0 Please provide details for your three most recent large-scale emergency bypass pumping projects. For each, include:

•Location and client

RFP Ref. #: 26-0069 Doc. Ref#: RFP-04 Page 6 of 6

• Pipe size(s) and estimated flow rates

• Duration of the bypass operation

• Any notable challenges encountered and how they were addressed

22.0 Labor and Staffing Model

Do you utilize third-party labor for any portion of your bypass pumping operations, including system build-out, pump watch, or monitoring? Yes__ No__ If yes, please describe the following:

• Which functions involve third-party personnel

• The qualifications, certifications, and experience requirements for those personnel

• How performance, compliance, and safety are measured and managed

• Whether third-party staff work under your direct supervision and standard operating procedures

City of Fort Worth BidderSupplier ID:
Legal Name of Proposer:
DBA Name of Proposer:
Federal Id Number TIN:
Address:
Name of the Authorized Representative:
Title:
Email:
Phone:
Name of Contact Person 1:
Title of Contact Person 1:
Email_2:
Phone_2:
Name of Contact Person 2:
Title of Contact Person 2:
Email_3:
Phone_3:
Name of Contact Person 3:
Title of Contact Person 3:
Email_4:
Phone_4:
Length of time in business:
adverse to the City Yes:
No:
Yes:
No_2:
Yes_2:
No_3:
Prompt Payment Discount Terms:
Percent:
70 Does your firm have at least five years of experience:
80 Are you able to respond to an emergency service within 4 hours 1:
80 Are you able to respond to an emergency service within 4 hours 2:
80 Are you able to respond to an emergency service within 4 hours 3:
80 Are you able to respond to an emergency service within 4 hours 4:
80 Are you able to respond to an emergency service within 4 hours 5:
80 Are you able to respond to an emergency service within 4 hours 6:
warranty claims 1:
warranty claims 2:
warranty claims 3:
warranty claims 4:
warranty claims 5:
warranty claims 6:
repair processes and onsite response times 1:
repair processes and onsite response times 2:
repair processes and onsite response times 3:
repair processes and onsite response times 4:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 1:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 2:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 3:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 4:
maintenance and repair services write NA 1:
maintenance and repair services write NA 2:
maintenance and repair services write NA 3:
maintenance and repair services write NA 4:
maintenance and repair services write NA 5:
maintenance and repair services write NA 6:
140 Are your services available 24 hours a day 365 days a year 1:
140 Are your services available 24 hours a day 365 days a year 2:
currently holds a contract with as it relates to this solicitations scope of service 1:
currently holds a contract with as it relates to this solicitations scope of service 2:
currently holds a contract with as it relates to this solicitations scope of service 3:
currently holds a contract with as it relates to this solicitations scope of service 4:
currently holds a contract with as it relates to this solicitations scope of service 5:
on Cityprovided flow data manhole information and pipe characteristics 1:
on Cityprovided flow data manhole information and pipe characteristics 2:
on Cityprovided flow data manhole information and pipe characteristics 3:
on Cityprovided flow data manhole information and pipe characteristics 4:
on Cityprovided flow data manhole information and pipe characteristics 5:
on Cityprovided flow data manhole information and pipe characteristics:
1:
2:
3:
4:
5:
bypass operations 1:
bypass operations 2:
bypass operations 3:
bypass operations 4:
bypass operations 5:
bypass operations 6:
190 Explain how maintenance activities are documented and reported to the City 1:
190 Explain how maintenance activities are documented and reported to the City 2:
190 Explain how maintenance activities are documented and reported to the City 3:
190 Explain how maintenance activities are documented and reported to the City 4:
190 Explain how maintenance activities are documented and reported to the City 5:
190 Explain how maintenance activities are documented and reported to the City 6:
procedures including response timelines 1:
procedures including response timelines 2:
procedures including response timelines 3:
procedures including response timelines 4:
procedures including response timelines 5:
procedures including response timelines 6:
Any notable challenges encountered and how they were addressed 1:
Any notable challenges encountered and how they were addressed 2:
Any notable challenges encountered and how they were addressed 3:
Any notable challenges encountered and how they were addressed 4:
Any notable challenges encountered and how they were addressed 5:
Any notable challenges encountered and how they were addressed 6:
1_2:
2_2:
3_2:
operating procedures 1:
operating procedures 2:
operating procedures 3:
operating procedures 4:
operating procedures 5:
operating procedures 6:

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