7-ITB-07-Questionnaire and Requirements (1) (1).pdf

CITY OF FORT WORTH - PURCHASING DIVISION

PROPRIETARY INFORMATION, QUALIFICATION

QUESTIONNAIRE, AND MANDATORY REQUIREMENTS

ITB Ref. #: 25-0209 Doc. Ref#: ITB-07 Page 1 of 5 ITB Title: Moving & Disposal of Gaming Machines

Legal Name of Bidder:

1.0 PROPRIETARY INFORMATION

i. All material submitted to the City becomes public property and is subject to the Texas Public Information Act upon receipt.

ii. If a Bidder does not desire information that it believes to be proprietary in the bid to be disclosed, the bidder must list each page number in the chart below and must clearly mark and identify each page by including the word “PROPRIETARY” in all caps and highlighted yellow on the bottom center of each page at the time of submittal. The City will, to the extent allowed by law, endeavor to protect such information from disclosure. The final decision as to the information that must be disclosed lies with the Texas Attorney General. Note: Pricing may not be marked proprietary and will be made publicly available in the form of a bid tab following evaluation of all bids. By submitting a response, Bidders agree that pricing is not proprietary and may be released.

iii. Failure to identify proprietary information, as required in 9.2, will result in all unmarked sections being deemed non-proprietary and available upon public request.

Pages with information believed to be Proprietary

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

2.0 BIDDER’S QUALIFICATION QUESTIONNAIRE

The information provided on this questionnaire and in the Bid submittal will be used to determine the responsiveness of the Bid. Please answer each question thoroughly. Answers may be provided on a separate sheet as long as each response is labeled according to the question.

QUESTIONNAIRE, AND MANDATORY REQUIREMENTS

ITB Ref. #: 25-0209 Doc. Ref#: ITB-07 Page 2 of 5

2.1 Will the agreement be available for Cooperative Agreement use?

Please refer to the Cooperative Purchasing clause in the “ITB-01 Instruction to Bidders” document.

Yes ☐ No ☐

2.2 Prompt Payment Discount Terms: ____ Percent _______ Days (i.e.

3% Net 15, etc.)

2.3 How long has your company been in business transporting and/or disposing of waste? _____________________________________

(Attach information that can be used to verify your years of experience.)

2.4 What is your company’s physical address(s)?

2.5 Please provide information on the following:

2.5.1 Number of personnel available to perform the requested

services and their roles.

2.5.2 Vehicles to be used, including make, model, year, and load capacities

2.5.3 All equipment available for the moving and/or disposal of gaming machines, including safety gear for employees.

QUESTIONNAIRE, AND MANDATORY REQUIREMENTS

ITB Ref. #: 25-0209 Doc. Ref#: ITB-07 Page 3 of 5

2.6 Is your company authorized to perform the requested services in compliance with all Texas Commission on Environmental Quality (TCEQ), Environmental Protection Agency (EPA), and any other applicable State, County, and Fort Worth requirements?

2.7 Please list all applicable permits, certifications, and licenses your company holds for the transport and/or disposal of general waste.

2.8 Please list all applicable permits, certifications, and licenses your company holds for the transport and/or disposal of hazardous materials.

2.9 If bidding for removal services, are you able to respond, mobilize, and be on site within 48 hours of a request to pick up and remove gaming machines from an offense site?

Yes ☐ No ☐ If no, within what time frame can you respond and have pick up scheduled? _________________________________________

2.10 Do you offer emergency or short-notice service (e.g., less than 24 hours)?

If yes, describe availability & additional fees ____________________

QUESTIONNAIRE, AND MANDATORY REQUIREMENTS

ITB Ref. #: 25-0209 Doc. Ref#: ITB-07 Page 4 of 5

2.11 What is the maximum number of machines (estimated at up to as much as 280 lbs. each) your company can handle in a single callout?__________________________________________________

2.12 If bidding disposal services, are you able to respond and schedule pick up from the Fort Worth Police storage site within 48 hours of a request for service?

Yes ☐ No ☐

2.12.1 If no, within what time frame can you respond and have pick up scheduled? ______________________________________

2.13 If using a subcontractor for disposal of waste services, please enter the name and location of the waste handling company you will be using.

2.14 Do you have an email address that is regularly monitored?

Email Address: __________________________________________

2.15 How often will emails be responded to? ___________________________

2.16 What are your business hours and days?

3.0 DOCUMENTS REQUIRED FOR BIDS TO BE CONSIDERED

RESPONSIVE

The following documents and information are required to be submitted to be considered responsive:

3.1 Completed ITB-02-CIQ Form

3.2 Completed ITB-03-Authorized Signature and Contact Details

3.3 Completed ITB-04-Reference Sheet

QUESTIONNAIRE, AND MANDATORY REQUIREMENTS

ITB Ref. #: 25-0209 Doc. Ref#: ITB-07 Page 5 of 5

3.4 Completed ITB-07-Questionnaire and Requirements

3.5 Completed ITB-08 Consideration of Local Bidder, if applicable.

3.6 Signed Addendum(s) acknowledging receipt. Note: If no addendum issued, please attach a page stating "No Addendum Issued"

3.7 Any Other Required Documents (i.e. licenses, permits, etc.)

3.8 Completed Bid Table (BT-05CK) Please refer to the instructions found on the Bid Table and in document ITB-06 Specifications, Section 7.0.

3.9 Completed Form W-9