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

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0109 Doc. Ref#: RFP-04 Page 1 of 6 RFP Title: Commercial Kitchen & Laundry Equipment 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. #: 26-0109 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 Identify the types of commercial facilities served (e.g., municipal, institutional, correctional, healthcare, commercial kitchens, housing facilities), with emphasis on public-sector or multi-site environments.

RFP Ref. #: 26-0109 Doc. Ref#: RFP-04 Page 3 of 6

8.0 Does your firm replace and/or repair equipment?

Yes_______ No_____ Please explain whether yes or no.

9.0 Does your firm offer a discount for replacement parts?

Yes_______ No________ If yes, what would the discount be for the following:

Refrigerators and Freezers Washers and Dryers Ovens Dishwashers

10.0 Does your firm charge a separate diagnostic (inspection) fee?

Yes_______ No________ If yes, is this fee:

Waived if repair is performed Applied toward repair costs Always charged

11.0 Explain your firm’s equipment disposal process.

RFP Ref. #: 26-0109 Doc. Ref#: RFP-04 Page 4 of 6

12.0 Describe your firm’s experience providing inspection, diagnostic, repair, and preventive maintenance services for commercial washers, dryers, dishwashers, refrigerators, and freezers (including walk-in units). Include the number of years your firm has provided these services.

13.0 Describe your standard process for conducting inspections and diagnostic testing for appliances, including how mechanical, electrical, electronic, hydraulic, and refrigeration issues are identified.

14.0 Describe your firm’s capability to repair or replace the following systems and components (as applicable):

a. Mechanical and drive systems

b. Electrical and electronic controls

c. Heating and temperature control systems

d. Refrigeration systems (including refrigerant handling)

e. Water supply, circulation, and drainage systems

f. Airflow, venting, and exhaust systems

g. Door assemblies, gaskets, seals, and related components

RFP Ref. #: 26-0109 Doc. Ref#: RFP-04 Page 5 of 6

15.0 Describe how replacement parts are sourced, verified for compatibility, and confirmed to be commercial-grade.

16.0 Describe your approach to providing bi-annual preventive maintenance services for City-owned appliances.

17.0 Describe your process for identifying additional repair needs during preventive maintenance and providing written cost estimates for City approval prior to performing work.

18.0 Explain how your firm ensures compliance with applicable local codes, electrical regulations, safety standards, and manufacturer specifications.

RFP Ref. #: 26-0109 Doc. Ref#: RFP-04 Page 6 of 6

19.0 Based on the representative equipment lists provided in Section 4.0, describe your firm’s experience servicing similar brands, models, or types of commercial appliances.

20.0 Identify any limitations, exclusions, or special considerations related to the equipment types listed.

21.0 Describe the warranty provided on parts and labor, including duration and coverage.