6-RFP-04-Authorized Signature and Questionnaire.pdf
PDF 132 KB Posted
- Attached to
- RFP Protective Footwear
- Solicitation number
- 26-0305
- Issued by
- Tarrant County, Texas
About this file
This is an Authorized Signature and Questionnaire document for the City of Fort Worth Purchasing Division's Request for Proposals (RFP) 26-0305 for Protective Footwear to serve the City's departments on an "as needed" basis. The document requires bidders to provide company information including legal name, Federal ID number, business address, and authorized representative details. Bidders must confirm they have read the entire RFP document packet and agree to be bound by all terms, conditions, and specifications. Key requirements assessed through the questionnaire include the vendor's length of time in business, ability to provide initial fitting and measuring sessions for personnel, capacity to meet specified delivery requirements, possession of a permanent business address within 25 miles of City Hall, availability of all required footwear categories, and provision of at least a one-year guarantee on protective footwear products.
The questionnaire addresses additional critical qualifications including the vendor's ability to provide mobile unit or mobile shoe services with trained personnel for sizing at all locations, willingness to participate in cooperative purchasing agreements with other governmental entities, and the specific brands offered. Bidders must also disclose any current litigation adverse to the City, criminal investigations involving the business or its principals, and identify any proprietary information included in their proposals. The document requests prompt payment discount terms and requires vendors to confirm compliance with specifications outlined in RFP-02-Scope of Services sections 3.3, 4.4, and 9.0 regarding fitting sessions, footwear categories, and delivery requirements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 5-RFP-02-Scope of Services.pdf | ||
| 7-RFP-08-Reference Sheet.pdf | ||
| 4-RFP-03-Draft Vendor Service Agreement.pdf | ||
| 2-RFP-06-Small Business Utilization Form V1.docx | DOCX document | |
| 3-RFP-01-Instruction to Proposers.pdf | ||
| 1-RFP-05-Forms.pdf |
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Text version
CITY OF FORT WORTH - PURCHASING DIVISION
AUTHORIZED SIGNATURE AND QUESTIONNAIRE
RFP Ref. #: 26-0305 Doc. Ref#: RFP-04 Page 1 of 3 RFP Title: Protective Footwear
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. #: 26-0305 Doc. Ref#: RFP-04 Page 2 of 3
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 Can your company provides a mobile unit or mobile shoe services equipped with trained personnel to size individuals for all locations?
Yes _______ No ______ If no please explain why? ________________________________________
RFP Ref. #: 26-0305 Doc. Ref#: RFP-04 Page 3 of 3
8.0 Is your company able to provide an initial fitting and measuring session to determine the accurate size of the desired footwear for City personnel as listed in section 3.3 of RFP-02-Scope of Services?
Yes _____ No ______
9.0 Is your company able to meet the delivery requirements stated in section 9.0 of RFP-02-Scope of Services?
Yes ______ No ______
10.0 Does your company have and operate a full time, permanent business address located within 25 mils of the City Hall with ability to be reached by email and telephone?
Yes ______ No ______
11.0 Is your company able to guarantee their Protective Footwear for no less than one year?
Yes ______ No ______ If no what guarantee is your company able to offer?
12.0 Does your company offer all categories of footwear listed in section 4.4 of RFP-02-Scope of Services?
Yes ______ No ______ If no please list the categories your company does offer?
13.0 Please list some of the brands your company offers?
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