7-RFP-03-Authorized Signature and Questionnaire.pdf

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0296 Doc. Ref#: RFP-04 Page 1 of 3

RFP Title: Erosion Control

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. #: 26-0296 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 Describe your company’s ability to furnish and deliver the erosion control materials identified in the Scope of Services.

8.0 Describe your process for ensuring that products supplied to the City are new, unused current production, free from defects, and suitable for their

RFP Ref. #: 26-0296 Doc. Ref#: RFP-04 Page 3 of 3 intended purpose.

9.0 Describe your process for handling damaged, defective, or non-conforming products, including how and when such products will be replaced or otherwise remedied at the Vendor’s expense.

10.0 Describe your quality control process for ensuring that erosion control blankets, turf mats, scour protection materials, Erosion Eels™, wattles, hydro mulch, sediment control products, stormwater inlet protection products, and related accessories meet the City’s specifications.

11.0 Describe your delivery process and confirm your ability to deliver materials to the City’s designated locations during normal business hours of 8:00 a.m.

to 5:00 p.m. CST and within five (5) business days of receipt of a Purchase

Order.