Attachment 1-Bid Response Form.pdf

ATTACHMENT 1 – BID RESPONSE FORM: REQUIRED DOCUMENTS CHECKLIST

This document is being provided as a guide to assist in the completion and submission of your bid.

Failure to complete this Bid Response Form (Attachment 1), to provide all required CORI release forms, to provide a complete Driver/Vehicle Excel Spreadsheet (Attachment 2) and/or all required documents listed in Section 10 of the RFR (also found in section 13 of the Bid Response Form) will result in the bid being rejected as incomplete.

Alpha-numeric labeling will correlate with the Bid Response form sections, beginning on page 7

1. General Business Documents: This section is designed to identify your company’s official business name as well as any DBA you may be operating under. You are required to identify all current business and storage locations and indicate whether they are owned or under a lease contract. In this section, you must identify the current and direct contact information of an officer, owner or designated representative who can be used as a point of contact throughout the bid process. You should also indicate your USDOT/FMCSA issued number.

*NOTE: When uploading this document to a zip file or on CommBuys, please name this entire document, “BID RESPONSE FORM”

2. Corporate Officers/Company Officials/Owners: This section shall identify all persons who can identify as a corporate officer, partner or sole owner. Attach additional list if necessary.

3. Insurance Requirements: All of the listed types of insurance and liabilities must be provided with the minimum limits. The insurance company shall create an ACORD Certificate certifying each required schedule of limits.

*Note: If On-Hook liability is included in Garage-Keeper’s Liability, insurance company must make note of such inclusion and the limits of that coverage for the minimum amount required. *NOTE: When uploading this document to a zip file or on CommBuys, please name this file, “CERTIFICATE OF INSURANCE”

4. Category I Bid Zone Requests: You must indicate the Barracks Area as well as the Zone you intend to bid, in the order of your preference. For Example: A1/Zone A, A2/Zone B… The Massachusetts State Police will make every effort to assign each bid zone by preference. Bid only for areas that you can respond to within the established response times as listed in the RFR. Consider whether you plan on bidding for multiple troops when submitting your bids, as you may bid for more zones than you can cover, but all awards will be determined by the number of complete driver and vehicle packets verified in Phase I and Phase III of the bid process.

5. Category II Bid Zone Requests: You must indicate the Barracks Area as well as the Zone you intend to bid, in the order of your preference. For Example: A1/Zone A, A2/Zone B… The Massachusetts State Police will make every effort to assign each bid zone by preference. Bid only for areas that you can respond to within the established response times as listed in the RFR. Consider whether you plan on bidding for multiple troops when submitting your bids, as you may be awarded multiple zones with one complete fleet of required Category II vehicles, equipment and trained operators. All awards will be determined by the number of complete driver and vehicle packets verified in Phase I and Phase III of the bid process.

6. USDOT Operating Authority: Please identify how you have registered your USDOT Operating Authority with the FMCSA. All bidders are required to have either INTER or INTRA-state operating authority.

7. Hazardous Waste Generator Permit Identification: All tow companies are required to register with the Massachusetts Department of Environmental Protection Mass DEP. A copy of the Mass DEP Tow Policy can be downloaded from, https://www.mass.gov/doc/towing-company-management-of-fuel-oil-contaminated-debris-from-vehicle-accidents/download Once you have registered with the Mass DEP for your Hazardous Waste Generator Permit ID, please document the assigned ID# in this section. To register for your Hazardous Waste Generator Permit ID, follow this link, https://www.mass.gov/doc/instructions-how-to-apply-for-an-epa-hazardous-waste-id. NOTE: Due upon award.

8. Business Hours: Please fill in the hours that you are open for general business and return of vehicles and property. The hours you declare must meet the minimum hours as outlined in section 1.3.6 Return of Vehicles/Property.

https://www.mass.gov/doc/towing-company-management-of-fuel-oil-contaminated-debris-from-vehicle-accidents/download https://www.mass.gov/doc/towing-company-management-of-fuel-oil-contaminated-debris-from-vehicle-accidents/download https://www.mass.gov/doc/instructions-how-to-apply-for-an-epa-hazardous-waste-id https://www.mass.gov/doc/instructions-how-to-apply-for-an-epa-hazardous-waste-id

9. General Business Documents: Specific Documents: Pages 2 and 3 of the Bid Response Form outline all the documents you are required to produce for Phase I.

a. Section 1.2.4: Proof of Roadside Payment – Ability to process credit/debit cards. Please provide a contract with a credit card processing company or a statement that explains how your company will process credit/debit cards for services roadside. Due upon award. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Roadside Payments”

b. Section 1.2.13: Department of Public Utilities (DPU) Involuntary Tow Certificate. Each tow service provider who performs involuntary tow services within Massachusetts, must be certified by the Department of Public Utilities. If you cannot locate your involuntary tow certificate, please email your request directly to the DPU at the following email address: DPU.Transportation@mass.gov *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Involuntary Tow Certificate”

c. Section 1.2.13: RMV Section 5 Repair Certificate of Registration: Each bidder must be registered as a repairman as designated by the Registry of Motor Vehicles. Please provide a copy of your current RMV Section 5 Repair Plate Receipt which indicates the number of repair plates that is issued to your company.

*NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Repair Plate Receipt”

d. Section 1.2.17: MA Business License: All tow service providers shall show proof of registration with the MA Secretary of State. A copy of your proof of registration can be downloaded from:

https://www.sec.state.ma.us/cor/coridx.htm. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Secretary of State Registration”

e. Section 1.2.17: Proof of Ownership Business Facility: Provide sufficient documentation to establish proof of ownership of your business facility. This may be in the form of deeds, city or town assessor documents or other proof of ownership of the property. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Proof of Ownership Business”

f. Section 1.2.17: Proof of Ownership Storage Facility: Provide sufficient documentation to establish proof of ownership of your storage facility(ies). This may be in the form of deeds, city or town assessor documents or other proof of ownership of the property. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Proof of Ownership Storage”

g. Section 1.2.17: Lease Agreement Business Facility: Provide a current, dated lease agreement for any business facility used but that you do not own. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Proof of Lease Business”

h. Section 1.2.17: Lease Agreement Storage Facility: Provide a current, dated lease agreement for any storage facility used but that you do not own. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Proof of Lease Storage”

i. Section 1.3.5: Lease Agreement: Shared Storage Facility with another Tow Service Provider: If you lease property from another tow service provider, provide a current, dated lease agreement between both providers. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Proof of Lease Shared Storage”

j. Section 1.2.18: Standard Operating Plan for handling of Hazardous Materials: This document is not a form provided by Mass DEP, rather is a company-generated statement describing your internal policy on the handling and disposal of hazardous waste. Refer to the Mass DEP Tow Policy for applicability to all tow service providers. https://www.mass.gov/doc/towing-company-management-of-fuel-oil-contaminated-debris-from-vehicle-accidents/download *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “HazMat SOP”

k. Section 2.1.5: Criminal Offender Record Information (CORI) Acknowledgement Form for each company owner/principal/partner. Every corporate officer, owner, and/or principal must sign and date within twelve

(12) months a two-page, completed CORI Acknowledgement form downloaded from:

https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf This form, in its entirety, is required to progress through the bid phases and must be downloaded from the provided website. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “CORI Owners” mailto:DPU.Transportation@mass.gov https://www.sec.state.ma.us/cor/coridx.htm https://www.mass.gov/doc/towing-company-management-of-fuel-oil-contaminated-debris-from-vehicle-accidents/download https://www.mass.gov/doc/towing-company-management-of-fuel-oil-contaminated-debris-from-vehicle-accidents/download https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf

l. Unified Carrier Registration (UCR): For INTER-state motor carriers only. Provide proof that your UCR Status is valid for current year. You can access your account at:

https://safer.fmcsa.dot.gov/UCRQueryForm.aspx *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “CORI Owners”

m. Unified Carrier Registration (UCR): For INTER-state motor carriers only. Provide proof that your UCR Status is valid for current year. You can access your account at:

https://safer.fmcsa.dot.gov/UCRQueryForm.aspx *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “CORI Owners”

n. **Complete List of Vehicles/Drivers: Each bidder will be required to populate an attached excel spreadsheet in its entirety. (Attachment 2) The bidder will declare all specifications and uses for each vehicle and required piece of equipment. This form is considered mandatory and must be completed to continue with the bid process. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Driver Vehicle List” and ensure it is uploaded on the provided spreadsheet in the excel format.

o. **Complete List of Drivers/Employees: Each bidder will be required to populate an attached excel spreadsheet in its entirety. (Attachment 2) *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Driver Vehicle List” and ensure it is uploaded on the provided spreadsheet in the excel format.

** NOTE: Sections “n” and “o” shall be submitted on one Excel spreadsheet. The provided spreadsheet has a “Driver Checklist” tab and a “Vehicle Checklist” tab at the bottom.

10. Driver Checklist: Category I: Every document requested is required, in the requested order and the checklist must be used as a cover sheet for each driver intended for use on MSP calls for service. Please use the provided checklist to create a packet for each Category I driver, to include each of the following documents.

*NOTE: When uploading this document to a zip file or on CommBuys, please include all documents in one attachment and name this document, “Category I Driver xx ” with the xx replaced by the driver’s last name.

a. Criminal Offender Record Information (CORI) Acknowledgement Form. This form is mandatory and failure to provide this 2-page form in its entirety will result in the bid submission being rejected as incomplete.

Please download the fillable form from https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf

b. Photocopy of driver’s license: Please include a legible photocopy of both front and back of the driver’s license and include a copy in each driver packet.

c. Certified copy of driving record: This requirement is only necessary if the driver has a license from a state other than Massachusetts. Drivers with a MA license do not need to submit a driving record.

d. Valid medical certificate/Skills Performance Evaluation (SPE): All drivers are required to have a medical certificate signed with an expiration date issued by an authority authorized by the FMCSA National Registry of Certified Medical Examiners.

e. Intrastate Medical Waiver (If Applicable): For drivers who are issued this waiver, please include a copy.

f. Tow Operator Training Certificates: Each tow operator is required to complete tow training by an approved tow training program listed in Appendix 4 of this RFR. Enclose a copy of the driver’s completion certificate with an expiration date. Refer to section 2.1.3 Note B which outlines specifics for requesting a waiver (See section i).

https://safer.fmcsa.dot.gov/UCRQueryForm.aspx

g. Traffic Incident Management Training Certificate (TIM Training): Each driver shall complete TIM Training and bidder shall submit a copy of the certificate of completion. Bidder shall mark on Excel Spreadsheet date of training. NOTE: Due upon award.

h. Identification Badge: Each driver shall have an identification badge, issued by the tow training company or the TSP that has at a minimum their photograph, name and training identification number. Employees performing services under an approved training waiver, shall conspicuously display an identification supplied by the TSP that will include, at a minimum, the employees photo and name. NOTE: Due upon award.

i. Training waiver: If driver has had no formal, approved training, you must submit a copy of the Waiver request from CommBuys Attachment 4. Driver must have 8 hours of supervised on-the-job training by a trainer who possess valid and approved training. The driver must have also completed 5 supervised loads/off-loads by a trained supervisor. Bidder must submit this waiver with each driver packet as required and submit for approval. If the driver has expired tow training and training is not available prior to bid submission, submit the Training Waiver Request form along with a copy of his/her expired training certificate.

11. Driver Checklist: Category II: Every document requested is required, in the requested order and the checklist must be used as a cover sheet for each driver intended for use on MSP calls for service. Please use the provided checklist to create a packet for each Category II driver, to include each of the following documents.

*NOTE: When uploading this document to a zip file or on CommBuys, please include all documents in one attachment and name this document, “Category I Driver xx” with the xx replaced by the driver’s last name.

a. Criminal Offender Record Information (CORI) Acknowledgement Form. This form is mandatory and failure to provide this 2-page form in its entirety will result in the bid submission being rejected as incomplete.

Please download the fillable form from https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf Ensure that both pages are completed and signed within 12 months of bid submission.

b. Photocopy of driver’s license: Please include a legible photocopy of both front and back of the driver’s license and include a copy in each driver packet.

c. Certified copy of driving record: This requirement is only necessary if the driver has a license from a state other than Massachusetts. Drivers with a MA license do not need to submit a driving record.

d. Valid medical certificate/Skills Performance Evaluation (SPE): All drivers are required to have a medical certificate signed with an expiration date issued by an authority authorized by the FMCSA National Registry of Certified Medical Examiners.

e. Intrastate Medical Waiver (If Applicable): For drivers who are issued this waiver, please include a copy.

f. Tow Operator Training Certificates: Each tow operator is required to complete tow training by an approved tow training program listed in Appendix 4 of this RFR. Enclose a copy of the driver’s completion certificate with an expiration date. If training is not available, you must complete a Training Waiver Request found in Appendix 4 or downloaded from CommBuys, Attachment 4.

g. Training waiver: If driver has had no formal, approved training, you must submit a copy of the Waiver request from CommBuys Attachment 4. Driver must have 8 hours of supervised on-the-job training by a trainer who possess valid and approved training. The driver must have also completed 5 supervised loads/off-loads by a trained supervisor. Bidder must submit this waiver with each driver packet as required and submit for approval. If the driver has expired tow training and training is not available prior to bid submission, submit the Training Waiver Request form along with a copy of his/her expired training certificate.

h. Traffic Incident Management Training Certificate (TIM Training): Each driver shall complete TIM Training and bidder shall submit a copy of the certificate of completion. Bidder shall mark on Excel Spreadsheet date of training. NOTE: Due upon award.

i. Identification Badge: Each driver shall have an identification badge, issued by the tow training company or the TSP that has at a minimum their photograph, name and training identification number. Employees performing services under an approved training waiver, shall conspicuously display an identification supplied by the TSP that will include, at a minimum, the employees photo and name. NOTE: Due upon award.

j. Proof of enrollment with a CDL Drug & Alcohol Testing program: You must submit proof that all drivers who operate CDL vehicles are enrolled in a random drug and alcohol testing program as outlined by the FMCSA/USDOT. Such proof of enrollment would be a contract with a consortium with the driver’s name highlighted.

k. Valid Hoisting License: For each operator of regulated equipment, a valid license with proper class reflecting the specific machinery operated as issued by the Massachusetts Office of Public Safety and Inspections (OPSI). A copy of both the front and back of this license must be submitted. Not all Category II drivers require this license, only those who will operate machinery. If training is not available, you must complete a Training Waiver Request downloaded from CommBuys, Attachment 4.

l. Rotator Operator Certification: Each driver who will operate a Rotator Style recovery vehicle shall have proper training and a certificate issued with an expiration date. This training may be satisfied by a valid hoisting license with a minimum class of 1B as issued by OPSI. Include both sides of the hoisting license to meet this requirement. If training is not available, you must complete a Training Waiver Request downloaded from CommBuys, Attachment 4.

m. Occupational Safety and Health Administration (OSHA) 10-hour General Industry Course: This training is required for each Category II tow operator. Please include a copy of the identification card or certificate of completion for every driver. If training is not available, you must complete a Training Waiver Request downloaded from CommBuys, Attachment 4.

n. Hazardous Waste Operations and Emergency Response (HAZWOPER): A minimum of one employee from the company shall be trained HAZWOPER 40-hour certification with hands-on training. This supervisor training shall be verified by providing a valid certificate dated within 12 months or a valid 8-hour HAZWOPER refresher course dated within 12 months. There will be no training waiver requests granted for this training.

12. Vehicle Information: All vehicle specifications must be provided on an Excel spreadsheet as provided in Attachment 4. Each vehicle intended for use must be on the spreadsheet with as much information completed as possible. No supporting documentation will be required, so each entry should be as complete as possible to ensure compliance. All vehicles shall be declared as Category I or Category II and must include the Vehicle Identification Number (VIN) and GVWR for credit. Additional required recovery equipment as outlined in section 3.2.3 shall also be included on the spreadsheet with as much information as possible to earn credit.

a. Additional Required Equipment Category I: Certification that additional required equipment is available for each vehicle/equipment intended for use at MSP calls for service as outlined in Appendix 9. Marking “YES” in the column “CATEGORY I

ADDITIONAL EQUIPMENT LIST APPENDIX 9” of the excel spreadsheet shall satisfy this requirement for each Category I vehicle.

b. Additional Required Equipment Category II: Certification that additional required equipment is available for each vehicle/equipment intended for use at MSP calls for service as outlined in Appendix 10. Marking “YES” in the column “CATEGORY II

ADDITIONAL EQUIPMENT LIST APPENDIX 10” of the excel spreadsheet shall satisfy this requirement for each Category II vehicle.

c. Additional Recovery Equipment Category II: Certification that additional required recovery equipment is available for each recovery vehicle intended for use at MSP calls for service as outlined in Appendix 11.

Marking “YES” in the column “CATEGORY II RECOVERY EQUIPMENT LIST APPENDIX 11” shall satisfy this requirement for each Category II recovery vehicle.

13. Additional Submission Response Documents: Each of these documents are required and failure to provide these shall result in the bid being rejected as incomplete.

a. Emergency Response Plans/ Preparedness: Refer to section 3.5.5 for specific instructions. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Emergency Response Preparedness”

b. Statement of Qualification: Provide a summary of your ability to perform as outlined in Section 7A of the RFR.

*NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Statement of Qualification”

c. Financial Stability: Bidder must provide a Certificate of Good Standing from the MA Department of Revenue and a Bank letter attesting to credit worthiness. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Financial Stability”

d. Required Commonwealth Forms as outlined in Section 10. Each of the forms, A-E must be submitted in order, as listed. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Required Commonwealth Forms”

e. Submit statement acknowledging that MSP will be the priority for all service calls. *NOTE: When uploading this document to a zip file or on CommBuys, please name this document, “Statement of Priority”

f. Clearly mark printed submissions as “Wet Ink Signature” or “Copy”

This Section Intentionally Left Blank

1. General Business Documents – Complete All Sections Refer to Instructions for guidance

Business Name: DBA:

Business Address: Owned: Leased:

Storage Address: Owned: Leased:

Phone Number: Email: USDOT #:

2. Corporate Officers/Company Officials/Owners

President: Vice President:

Secretary: Treasurer:

Owner: Partner:

3. Insurance Requirements – Include all required insurance on an ACORD Certificate Section 1.5.1

On-Hook $100,000 Min. (Must be clearly marked if included in Garage Keeper’s Policy)

Category II Only: General Liability $1,000,000 minimum

Garage Keeper’s Minimum $100,000 Worker’s Compensation – Per Statute

Category I Only: General Liability $750,000 Minimum

4. CATEGORY I: Tow Zone Bids: In Order of Preference (Attach Additional Sheet if Necessary) Example: A1/Zone A

1ST Choice Barracks/Zone: 4th Choice Barracks/Zone:

2nd Choice Barracks/Zone: 5th Choice Barracks/Zone:

3rd Choice Barracks/Zone: 6th Choice Barracks/Zone:

5. CATEGORY II: Tow Zone Bids: In Order of Preference (Attach Additional Sheet if Necessary) Example: A2/Zone B

1ST Choice Barracks/Zone: 4th Choice Barracks/Zone:

2nd Choice Barracks/Zone: 5th Choice Barracks/Zone:

3rd Choice Barracks/Zone: 6th Choice Barracks/Zone:

6. USDOT Operating Authority: Section 1.2.14

☐ Interstate ☐ Intrastate (MA Only) ☐ Hazardous Materials ☐ MCS-90 filed (Interstate Only)

7. Hazardous Waste Generator Permit Identification: Section 1.2.18

Hazardous Waste Generator Permit Identification:

8. Business Hours: Indicate your specific hours of operation for the following services:

Business Hours:

Section 1.3.6

Return of Vehicles/Property

Towing Hours:

Section 1.2.3

Hours of Service

9. General Business Documents Continued– Complete All Sections Attach all documents in the order requested

DOCUMENTS REQUIRED RESOURCES

a.

Section 1.2.4: Proof of Roadside Payment – Ability to process credit/debit cards

Certification of acceptance of credit/debit cards roadside.

Contract with credit/debit card processing agency b.

Section 1.2.13: Department of Public Utilities (DPU) Involuntary Tow Certificate

To Request a Copy Send an Email to:

DPU.Transportation@mass.gov c.

Section 1.2.13: RMV Section 5 Repair Certificate of Registration Classification as a Repairman – Minimum 2 Repair Plates per Zone Awarded

Copy of RMV Repair plate receipt with number of plates issued.

To Obtain Repair Plates: https://www.mass.gov/doc/application-for-repair-registration/download d.

Section 1.2.17: MA Business License – Registration with Secretary of State Please List All Owners/Officers/Principals in section above https://www.sec.state.ma.us/cor/coridx.htm e.

Section 1.2.17: Proof of Ownership: Business Facility for each place of business

Deed, City/Town Land Records f.

Section 1.2.17: Proof of Ownership: Storage Facility for each storage facility used

Deed, City/Town Land Records g.

Section 1.2.17: Lease Agreement: Business Facility for each place of business

Current Lease Agreement if business property is not owned h.

Section 1.2.17: Lease Agreement: Storage Facility for each storage facility used

Current Lease Agreement if storage property is not owned i.

Section 1.3.5: Lease Agreement: Shared Storage Facility with another Tow Service Provider

Current Lease Agreement with another tow service provider j.

Section 1.2.18: Standard Operating Plan for handling of Hazardous Materials

Company-generated policy that explains the handling and disposal of hazardous waster k.

Section 2.1.5: Criminal Offender Record Information (CORI) Acknowledgement Form for each company owner/principal/partner.

Download from link provided for correct form Must be signed and dated within previous 12 months https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI %20acknowledgment%20form_0.pdf mailto:DPU.Transportation@mass.gov https://www.mass.gov/doc/application-for-repair-registration/download https://www.mass.gov/doc/application-for-repair-registration/download https://www.sec.state.ma.us/cor/coridx.htm

9. General Business Documents Continued – Complete All Sections Attach all documents in the order requested

DOCUMENTS REQUIRED RESOURCES

l.

Section 1.2.14: ** INTER-state USDOT Carriers only: Proof of Current UCR status https://safer.fmcsa.dot.gov/UCRQueryForm.aspx m.

Complete List of Vehicles: Including at a Minimum:

VIN, Company #, GVWR, Make, Model, Year, Registration, Winch Rating (WLL), Number of Winches, Crew/Extended Cab, Truck Type, Vehicle Category and GPS enabled status

Complete Provided Excel Spreadsheet n.

Complete List of Drivers/Employees: Including at a minimum: Name, Date of Birth, License Number, License State, Date of Hire, Years’ Experience in Towing, Category of Towing, and Hoisting License Class (if applicable)

Complete Provided Excel Spreadsheet

This Section Intentionally Left Blank https://safer.fmcsa.dot.gov/UCRQueryForm.aspx

10. Driver Checklist Category I – Create a Packet for Each Driver to Include All of the Following:

Provide all documents in the order requested

DRIVER INFORMATION

USE THIS CHECKLIST AS A COVER SHEET FOR PACKET:

Driver Name:

DOCUMENTS REQUIRED RESOURCES

a.

Criminal Offender Record Information (CORI) Acknowledgement Form for each employee intended for use at MSP calls for service.

Download from link provided for correct form Must be signed and dated within previous 12 months https://www.mass.gov/files/documents/2017/09/19/CRA%20 CORI%20acknowledgment%20form_0.pdf b.

Photocopy of Driver’s License c.

Certified Copy of Driving Record** **Out of State Licensed Drivers ONLY d.

Valid Medical Certificate/Skills Performance Evaluation (SPE) for each driver: Issued by an authority authorized by the FMCSA National Registry of Certified Medical Examiners

− https://www.fmcsa.dot.gov/national-registry-certified-medical-examiners-search

− https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/ docs/regulations/medical/63066/medicalexaminersc ertificatemcsa587611302021.pdf e.

Intrastate Medical Waiver (If Applicable) https://search.mass.gov/?q=cdl%2Bmedical%2Bwaiver f.

Tow Operator Training Certificates (For each employee who will operate towing equipment at MSP calls)

** Refer to section 2.1.3 of the RFR **

Approved programs are listed in Appendix 4. Please provide Certificate of Completion ** If intending to apply for the waiver as listed in RFR Section 2.1.3, please complete Attachment 4 training waiver request g.

Traffic Incident Management Training Certificate (TIM Training) Free/online course for response to highway crashes https://www.nhi.fhwa.dot.gov/course-search?tab=0&key=133126A&sf=0&course_no=133126A ** Upon Award of Contract and prior to performing any MSP calls for service.

h.

Identification Badge: Minimum Information: Photograph, Name and Training ID#. No training ID# required for those working under approved waiver.

Issued by approved training programs ** Refer to waiver in RFR for training Section 2.1.4 i.

Training Waiver Request:

Complete and submit Training Waiver found in Attachment 4

☐ Driver has no previous training

☐ Driver has expired approved training

☐ Training Waiver Request Attached https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf https://www.fmcsa.dot.gov/national-registry-certified-medical-examiners-search https://www.fmcsa.dot.gov/national-registry-certified-medical-examiners-search https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/63066/medicalexaminerscertificatemcsa587611302021.pdf https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/63066/medicalexaminerscertificatemcsa587611302021.pdf https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/63066/medicalexaminerscertificatemcsa587611302021.pdf https://search.mass.gov/?q=cdl%2Bmedical%2Bwaiver https://www.nhi.fhwa.dot.gov/course-search?tab=0&key=133126A&sf=0&course_no=133126A

11. Driver Checklist Category II – Create a Packet for Each Driver to Include All of the Following:

Provide all documents in the order requested

DRIVER INFORMATION

USE THIS CHECKLIST AS A COVER SHEET FOR PACKET:

Driver Name:

DOCUMENTS REQUIRED RESOURCES

a.

Criminal Offender Record Information (CORI) Acknowledgement Form for each employee intended for use at MSP calls for service.

Download from link provided for correct form.

Must be signed and dated within previous 12 months https://www.mass.gov/files/documents/2017/09/19/CRA%2 0CORI%20acknowledgment%20form_0.pdf b.

Photocopy of Driver’s License c.

Certified Copy of Driving Record** **Out of State Licensed Drivers ONLY d.

Valid Medical Certificate/Skills Performance Evaluation (SPE) for each driver: Issued by an authority authorized by the FMCSA National Registry of Certified Medical Examiners https://www.fmcsa.dot.gov/national-registry-certified-medical-examiners-search https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/re gulations/medical/63066/medicalexaminerscertificatemcsa5 87611302021.pdf e.

Intrastate Medical Waiver (If Applicable) https://search.mass.gov/?q=cdl%2Bmedical%2Bwaiver f.

Tow Operator Training Certificates (For each employee who will operate towing/recovery equipment at MSP calls)

Approved programs are listed in Attachment 3. Please provide Certificate of Completion with Expiration Date g.

Training Waiver Request:

Complete and submit Training Waiver found in Attachment 4

☐ Driver has no previous training

☐ Driver has expired approved training

☐ Training Waiver Request Attached h.

Traffic Incident Management Training Certificate (TIM Training) Free/online course for response to highway crashes https://www.nhi.fhwa.dot.gov/course-search?tab=0&key=133126A&sf=0&course_no=133126A i.

Identification Badge: Minimum Information: Photograph, Name and Training ID#. No training ID# required for those working under approved waiver.

Issued by approved training programs ** Refer to waiver in RFR for training Section 2.1.4 j.

Proof of enrollment with a CDL Drug & Alcohol Testing program in compliance with FMCSA/USDOT regulations.

**For Operators of Equipment Requiring CDL Licenses ONLY

Contract with Drug & Alcohol Testing Consortium.

Quarterly report or contract listing enrolled drivers and number of tests completed in past 12 months/quarter.

https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf https://www.mass.gov/files/documents/2017/09/19/CRA%20CORI%20acknowledgment%20form_0.pdf https://www.fmcsa.dot.gov/national-registry-certified-medical-examiners-search https://www.fmcsa.dot.gov/national-registry-certified-medical-examiners-search https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/63066/medicalexaminerscertificatemcsa587611302021.pdf https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/63066/medicalexaminerscertificatemcsa587611302021.pdf https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/63066/medicalexaminerscertificatemcsa587611302021.pdf https://search.mass.gov/?q=cdl%2Bmedical%2Bwaiver

11. Driver Checklist Category II - Continued

DOCUMENTS REQUIRED RESOURCES

k.

Valid Hoisting License for each operator of regulated equipment.

Class should reflect specific machinery operated and issued by the Massachusetts Office of Public Safety and Inspections (OPSI)

Provide copy of front and back of current hoisting license https://www.mass.gov/hoisting l.

Rotator Operator Certification for each operator of rotator recovery vehicles for each operator intended for use at MSP calls for service

Certificate of Completion with Expiration Date OR valid hoisting license minimum class 1B.

m.

Occupational Safety and Health Administration (OSHA) 10-hour General Industry Course for each operator intended for use at MSP calls for service https://www.osha.gov/dte/outreach/ n.

** Hazardous Waste Operations and Emergency Response (HAZWOPER) 40-Hour certification with hands-on within past 12 months or 8 hour refresher completed within past 12 months in accordance with OSHA HAZWOPER requirements.

https://www.osha.gov/SLTC/emergencypreparedness/hazw oper/

** ONE SUPERVISOR ONLY

12. VEHICLE INFORMATION

All vehicles intended for use on MSP Calls shall be listed on the provided Excel Spreadsheet

DOCUMENTS REQUIRED RESOURCES

a.

Category I Additional Equipment Certification that additional required equipment is available for vehicles/equipment intended for use at MSP calls for service as outlined in Attachment 9

Appendix ** for EACH Category I vehicle intended for use on MSP calls for service.

Mark “YES” if complete on provided Driver/Vehicle Excel Spreadsheet b.

Category II Additional Equipment Certification that additional required equipment is available for vehicles/equipment intended for use at MSP calls for service as outlined in Attachment 10

Appendix ** for EACH Category Ii vehicle intended for use on MSP calls for service.

Mark “YES” if complete on provided Driver/Vehicle Excel Spreadsheet c.

Category II Recovery Equipment Certification that additional required equipment is available for vehicles/equipment intended for use at MSP calls for service as outlined in Attachment 11

Appendix ** for EACH Category Ii vehicle intended for use on MSP calls for service.

Mark “YES” if complete on provided Driver/Vehicle Excel Spreadsheet https://www.mass.gov/hoisting https://www.osha.gov/dte/outreach/ https://www.osha.gov/SLTC/emergencypreparedness/hazwoper/ https://www.osha.gov/SLTC/emergencypreparedness/hazwoper/

13. Additional Submission Response Documents

a. Section 3.5.6: Emergency Response Plans/ Preparedness b.

Section 7.A: Statement of Qualification Provide summary of Bidder’s ability to perform.

c.

Section 9.1: Financial Stability Provide:

1. Certificate of Good Standing: https://www.mass.gov/how-to/request-a-certificate-of-good-standing-tax-compliance-or-a-corporate-tax-lien-waiver

2. Bank letter attesting to credit worthiness (have you filed bankruptcy in the last 7 years?)

d.

Section 10: Required Commonwealth Forms A. Request for Taxpayer Identification Number &

Certification (W9) B. Contractor Authorized Signatory Listing C. Business Reference Form or three (3) Letters of

Reference

Complete/sign Commonwealth forms. Upload to COMMBUYS, and provide original “wet ink” signatures on all forms with exception of reference form e.

Section 10. 1: Submit statement acknowledging that MSP will be the priority for all service calls.

f.

Clearly mark printed submissions as:

• Original/Wet Ink Signature, and

• Copy

Above documents are mandatory for this RFR. Failure to provide these documents will be cause for the bid to be deemed as non-responsive and will result in disqualification. Documents must be uploaded to COMMBUYS, as well as submitted in a three ring binder with original signatures on required Commonwealth forms. Please use corresponding RFR section# when labeling your copies.

Please sign and print name of authorized individual below, attesting that you have read all requirements within the Request for Response, and all information provided is accurate.

Print Name Company

Signature Date https://www.mass.gov/how-to/request-a-certificate-of-good-standing-tax-compliance-or-a-corporate-tax-lien-waiver https://www.mass.gov/how-to/request-a-certificate-of-good-standing-tax-compliance-or-a-corporate-tax-lien-waiver https://www.mass.gov/how-to/request-a-certificate-of-good-standing-tax-compliance-or-a-corporate-tax-lien-waiver

12. VEHICLE INFORMATION