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

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0222 Doc. Ref#: RFP-04 Page 1 of 5 RFP Title: Aluminum, Iron, Rebar, and Steel

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. #: 26-0222 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 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 Provide your company’s legal name, headquarters address, and primary contact information.

RFP Ref. #: 26-0222 Doc. Ref#: RFP-04 Page 3 of 5

8.0 Have you ever had a contract terminated for cause?

Yes__ No__ If yes, please explain.

9.0 Have you been involved in any litigation related to contract performance in the last five years? Yes__ No__ If yes, please explain.

10.0 How many years has your company been in business?

11.0 How many years has your company been selling steel, aluminum, iron, and rebar supplies?

12.0 Is your company certified as a Small Business Enterprise (SBE) or will you be working with a Small Business? Yes__ No__

13.0 Provide the contact information of the account manager who would be assigned to the City.

14.0 What is your standard response time for quotes and inquires?

15.0 Identify all business locations within 25 miles of Fort Worth, TX. Use additional sheets if necessary.

RFP Ref. #: 26-0222 Doc. Ref#: RFP-04 Page 4 of 5

16.0 Identify locations the City may pick up products from. Use additional sheets if necessary.

17.0 What percentage of the items bid on are typically kept in stock?

18.0 What are your standard delivery times for stocked items?

19.0 What are your typical lead times for non-stocked items?

20.0 Do you offer same-day or emergency delivery? Yes__ No__

If yes, explain any limitations.

21.0 Do you offer free delivery above a minimum order amount? Yes__ No__ If yes, explain any limitations.

RFP Ref. #: 26-0222 Doc. Ref#: RFP-04 Page 5 of 5

23.0 Are there minimum order quantities for custom cuts or specialty materials?

Yes__ No__ If yes, specify the threshold.

24.0 Can you accommodate deliveries between 8:00 A.M. and 5:00 P.M.?

Yes__ No__ If no, please explain.

25.0 Describe your experience serving cities, countries, school districts, or public entities.