Appendix A to RFP PB 18-5 - Proposal Response Form.pdf

APPENDIX “A”

COMMON USE AIRPORT LOUNGE CONCESSION AGREEMENT

PALM BEACH INTERNATIONAL AIPORT

(RFP NO. PB 18-5)

PROPOSAL RESPONSE FORM

RFP NO. PB 18-5 Page 1 of 3

1. Privilege Fee - Percentage of Annual Gross Revenues, excluding Alcohol Sales

______________% of annual Gross Revenues, excluding alcohol sales (shall not be less than 10%)

2. Privilege Fee - Percentage of Annual Gross Revenues for Alcohol Sales

______________% of annual Gross Revenues for alcohol sales (shall not be less than 15%)

3. Proposed Airport Concession Business Disadvantage Enterprise (ACDBE) Participation (%)

The minimum ACDBE goal for this Concession is fifteen percent (15%). In the event Proposer determines that Proposer will be unable to achieve the minimum ACDBE goal of fifteen percent (15%), Proposer must complete ACDBE Schedule 3, Demonstration of Good Faith Efforts (Appendix “C”), and provide written documentation evidencing good faith efforts to achieve the ACDBE goal with its proposal.

Proposer commits to a minimum of _________ % ACDBE participation.

Note: All amounts should be stated in number format (e.g.: 10% of annual Gross Revenues; 15% ACDBE participation).

RFP NO. PB 18-5 Page 2 of 3

By signing this Proposal Response Form, the proposer warrants and represents to County that the following statements are true and correct:

a. This proposal is current, accurate and complete, and is presented to the County for the performance of the

Concession Agreement in accordance with the requirements stated in the RFP.

b. This proposal is submitted without prior understanding, agreement, or connection with any corporation, firm or person submitting a proposal for the same service and is, in all respects, fair and without collusion or fraud.

c. Proposer has the financial ability to fully perform the terms and conditions as specified in the RFP and

Concession Agreement.

d. Proposer has received and reviewed all Amendments to the RFP.

e. Proposer understands that the County has no obligation whatsoever to accept any proposed exceptions.

f. Proposer understands that proposer may not propose any exceptions to the minimum RFP requirements

(see Section 3 of RFP) and failure to satisfy the minimum requirements will result in the proposal being deemed non-responsive.

g. Proposer understands that failure to submit this Proposal Response Form will be cause for immediate rejection of its entire proposal.

**The signature page that follows must be completed by an Authorized Person (see Section 1.8 of RFP)**

RFP NO. PB 18-5 Page 3 of 3

Type or print proposer’s contact information below:

NAME:___________________________________________________________________________________

TITLE:___________________________________________________________________________________

COMPANY NAME:_________________________________________________________________________

ADDRESS:_______________________________________________________________________________

CITY/STATE/ZIP:__________________________________________________________________________

TELEPHONE NO.:_______________ FAX NO.:_______________ E-MAIL ADDRESS:__________________

SIGNATURE:______________________________________________________________________________

***You must affix a corporate seal or have the signature on this Proposal Response Form notarized.***

(Corp. Seal)

Or

BEFORE me the undersigned authority on this day of , 20 personally appeared _ , who is personally known to me or who has produced _____ as identification and who did not take an oath.

STATE OF ___________________ ___________________________________

(Signature of Notary)

COUNTY OF__________________

(Notary’s Printed Name)

My Commission Expires: _____________