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

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0335 Doc. Ref#: RFP-04 Page 1 of 6

RFP Title: Odor 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. #: 26-0335 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

RFP Ref. #: 26-0335 Doc. Ref#: RFP-04 Page 3 of 6

7.0 How will your treatment approach differ among M00292, M00253, M00280, and M00338A based on pipe diameter, length, flow rate, wastewater composition, and existing infrastructure?

8.0 Describe your proposed overall approach to controlling hydrogen sulfide

(H₂S), wastewater odors, and corrosion across the identified wastewater collection system segments.

9.0 How will you ensure the treatment program meets the City's vapor H₂S target of 25 ppm and dissolved sulfide target of no greater than 0.5 mg/L?

10.0 How will you evaluate the effectiveness of the City's existing biocatalyst liquid, and when would you recommend an alternative or supplemental treatment?

RFP Ref. #: 26-0335 Doc. Ref#: RFP-04 Page 4 of 6

11.0 How will you establish baseline H₂S levels before treatment begins and verify treatment effectiveness afterward?

12.0 What monitoring equipment and sampling methods will you provide, and how will you ensure the accuracy and reliability of the data?

13.0 How will you adjust chemical feed rates based on wastewater flow, sulfide concentrations, industrial contributions, and seasonal variations?

14.0 How many qualified technicians do you have available to support the City's service locations?

RFP Ref. #: 26-0335 Doc. Ref#: RFP-04 Page 5 of 6

15.0 How many qualified personnel are available to support this contract, including chemical delivery, system monitoring, equipment maintenance, and emergency response?

16.0 How will you prevent chemical shortages and ensure timely deliveries, including during emergencies and supply disruptions?

17.0 What safety procedures and spill response plans will you implement, and who will be responsible for cleanup costs resulting from vendor-caused spills or equipment failures?

18.0 Will monthly and quarterly recommendations include estimated implementation costs, anticipated chemical savings, and expected performance improvements?

19.0 How will you accommodate limited space, restricted access, and chemical delivery constraints at M00280 and M00338A?

RFP Ref. #: 26-0335 Doc. Ref#: RFP-04 Page 6 of 6

20.0 What is your process for commissioning, testing, and documenting the performance of newly installed turnkey systems?

21.0 What measures will you take to prevent cross-contamination, incompatible chemical mixing, spills, and unintentional overdosing?