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

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Attached to
RFP Conservation Plumbing Fixtures
Solicitation number
26-0331
Issued by
Tarrant County, Texas

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This is an Authorized Signature and Questionnaire form (RFP-04) for the City of Fort Worth, Texas, Purchasing Division, for RFP Reference 26-0331 concerning Conservation Plumbing Fixtures. The City of Fort Worth seeks proposals from vendors to supply conservation plumbing fixtures, including water-efficient toilets, showerheads, pressure-reducing valves, expansion tanks, and miscellaneous plumbing repair parts on an "as needed" basis for the Water Department. The RFP requires vendors to submit a binding proposal with complete documentation, and the form requests comprehensive information regarding the vendor's authorized representative, contact persons, business history, and compliance with solicitation requirements. Vendors must affirm receipt and understanding of all RFP documents and agree to furnish items and services at quoted prices and terms specified in the solicitation.

The questionnaire addresses critical operational and service delivery requirements, including vendor experience supplying similar products to municipalities, warehouse facilities and inventory management capabilities, quality control and inspection processes, ability to maintain sufficient local inventory with replenishment lead times, maximum toilet supply volume within 30 days, procedures for notifying the City of stock shortages or delays, methods for preventing unauthorized product distribution, processes for identifying equivalent products when requested items are unavailable, and capability to attend City outreach events and classes. Vendors must also indicate willingness to participate in cooperative purchasing arrangements, provide prompt payment discount terms, identify any proprietary information in their proposals, reference at least two government agency customers, and confirm ability to pick up City-furnished supplies from designated locations. The form requires vendors to disclose any ongoing litigation or criminal investigations involving the business or its principals, demonstrate experience with the SmartRepair program for residential leak repairs, and describe warranty claim handling processes.

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Other files

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

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CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0331 Doc. Ref#: RFP-04 Page 1 of 6 RFP Title: Conservation Plumbing Fixtures

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. #: 26-0331 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 Please identify at least two government agencies or comparable customers for whom you currently or previously supplied similar products and services.

RFP Ref. #: 26-0331 Doc. Ref#: RFP-04 Page 3 of 6

8.0 Describe your experience with providing plumbing fixtures, plumbing parts and related services to municipalities similar to the City of Fort Worth.

9.0 What is your standard process for notifying the City when an item is out of stock, on special order, or delayed in transit?

10.0 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__

11.0 How do you monitor inventory levels and anticipate potential shortages?

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

RFP Ref. #: 26-0331 Doc. Ref#: RFP-04 Page 4 of 6

13.0 Describe your warehouse facilities and your ability to maintain sufficient inventory and backstock of water-efficient toilets, showerheads, plumbing parts, pressure-reducing valves, expansion tanks, and other required products. Attach anything that may assist your answer.

14.0 Please identify the Fort Worth location(s) where eligible program participants can pick up fewer than ten toilets.

15.0 How will you prevent unauthorized individuals from receiving City-funded products?

16.0 When a requested product is unavailable, how will you identify and propose an equivalent product?

17.0 Describe your process for monitoring manufacturer price changes and providing updated manufacturer-published price lists to the City.

RFP Ref. #: 26-0331 Doc. Ref#: RFP-04 Page 5 of 6

18.0 Describe your quality control and inspection process.

19. Confirm your ability to pick up any City-furnished plumbing supplies from a designated supplier location provided by the City.

20.0 How do you handle large or unusually high-volume orders?

21.0 Describe your ability to attend and operate informational tables at City classes, community events, and other outreach activities.

22.0 Describe your ability to supply miscellaneous plumbing repair parts for residential leak repairs under the SmartRepair program.

RFP Ref. #: 26-0331 Doc. Ref#: RFP-04 Page 6 of 6

23.0 Describe your process for handling warranty claims for products supplied under this contract.

24.0 What is the maximum volume of toilets your company could supply within a 30-day period under this contract?

25.0 What quantity of each major product category can you maintain in local inventory, and what are your typical replenishment lead times?

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:
whom you currently or previously supplied similar products and services:
and related services to municipalities similar to the City of Fort Worth 1:
and related services to municipalities similar to the City of Fort Worth 2:
and related services to municipalities similar to the City of Fort Worth 3:
and related services to municipalities similar to the City of Fort Worth 4:
and related services to municipalities similar to the City of Fort Worth 5:
of stock on special order or delayed in transit 1:
of stock on special order or delayed in transit 2:
of stock on special order or delayed in transit 3:
of stock on special order or delayed in transit 4:
of stock on special order or delayed in transit 5:
110 How do you monitor inventory levels and anticipate potential shortages 1:
110 How do you monitor inventory levels and anticipate potential shortages 2:
110 How do you monitor inventory levels and anticipate potential shortages 3:
110 How do you monitor inventory levels and anticipate potential shortages 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:
120 Did you make any changes to RFP03Drafts Vendor Service Agreements 5:
anything that may assist your answer 1:
anything that may assist your answer 2:
anything that may assist your answer 3:
anything that may assist your answer 4:
can pick up fewer than ten toilets 1:
can pick up fewer than ten toilets 2:
1:
2:
products 1:
products 2:
products 3:
propose an equivalent product 1:
propose an equivalent product 2:
propose an equivalent product 3:
providing updated manufacturerpublished price lists to the City 1:
providing updated manufacturerpublished price lists to the City 2:
1_2:
2_2:
180 Describe your quality control and inspection process 1:
180 Describe your quality control and inspection process 2:
designated supplier location provided by the City 2:
designated supplier location provided by the City 3:
designated supplier location provided by the City 4:
designated supplier location provided by the City 5:
200 How do you handle large or unusually highvolume orders 1:
200 How do you handle large or unusually highvolume orders 2:
200 How do you handle large or unusually highvolume orders 3:
classes community events and other outreach activities 1:
classes community events and other outreach activities 2:
classes community events and other outreach activities 3:
residential leak repairs under the SmartRepair program 1:
residential leak repairs under the SmartRepair program 2:
residential leak repairs under the SmartRepair program 3:
residential leak repairs under the SmartRepair program 4:
under this contract 1:
under this contract 2:
under this contract 3:
under this contract 4:
30day period under this contract 1:
30day period under this contract 2:
30day period under this contract 3:
30day period under this contract 4:
30day period under this contract 5:
inventory and what are your typical replenishment lead times 1:
inventory and what are your typical replenishment lead times 2:
inventory and what are your typical replenishment lead times 3:
inventory and what are your typical replenishment lead times 4:
inventory and what are your typical replenishment lead times 5:

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