Attachment 3_Offeror Information and Pricing Form_RFP 25-002.pdf

OFFEROR INFORMATION AND PRICING FORM

TO: PRINCETON UNIVERSITY

PRINCETON PLASMA PHYSICS LABORATORY

ATTENTION: PPPL PROCUREMENT

SUBJECT: REQUEST FOR PROPOSAL (RFP) 25-002 CODE INSPECTION SERVICES Attachment 1 Code Inspection Services CAT: Exempt per QAPD B.5 UNIQUE IDENTIFIER: FAC-010010.3.4

OFFEROR NAME:

BUSINESS ADDRESS:

The Offeror proposes to provide the services required by PPPL Request for Proposals 25-002.

The proposed rates for these services are included in this Proposal.

PART I

OFFEROR LABOR RATES

Fully Burdened Rate: Costs include but are not limited to payroll taxes, pension costs, health insurance, dental insurance, and any other benefits provided to subcontractors’ personnel. (pricing should NOT include Travel)

Fully Burdened Charge Out Rates: Rate Per hour Rate Per hour Rate Per hour

Labor Category Descriptions Base - 3 years Optional Year 1 Optional Year 2

Building Inspector $ - $ - $ -

Electrical Inspector $ - $ - $ -

Plumbing Inspector $ - $ - $ -

Fire Sprinkler Inspector $ - $ - $ -

Mechanical Inspector $ - $ - $ -

Elevator Inspector $ - $ - $ -

Note: Fully Burdened Rate: Costs include but are not limited to payroll taxes, pension costs, health insurance, dental insurance, and any other benefits provided to subcontractors’ personnel.

PART II: TRAVEL- Travel will be estimated for all requests using the Subcontractor Guideline for Travel Policy. All travel will be in accordance with PPPL’s General Guidelines for Subcontractor Travel.

NONE Required at this time.

PART III: ADDITIONAL PRICING:

Please indicate any additional costs that would be charged to PPPL:

PART IV: ACCEPTANCE OF SAMPLE TERMS AND CONDITIONS.

1. Please initial the applicable statement below in the space provided (initial one statement only):

I hereby affirm that I have reviewed the terms and conditions set forth in the Sample Subcontract Agreement contained in Section II of the Subject RFP and will accept the terms and conditions set forth therein without exception if a Subcontract is awarded to my firm.

Or

I have reviewed the terms and conditions set forth in the Sample Subcontract Agreement contained in Section II of the Subject RFP. In the event that my firm is selected for award of a Subcontract, I request that the exceptions and/or proposed revisions set forth in the attached sheet(s) be considered by PPPL. I understand that my proposal may be considered to be non-responsive depending on the extent and nature of the proposed exceptions/revisions and my firm’s willingness to discuss or negotiate these proposed exceptions/revisions with PPPL

2. ________ I affirm that I have registered on Princeton Prime. Princeton Supplier Portal

3. We acknowledge receipt of the following Amendments (if applicable):

Amendment Number Date of Amendment

4. The following individual(s) are authorized to conduct discussions and provide information related to this proposal on behalf of the Offeror:

https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=Princeton

NAME: NAME:

TITLE: TITLE:

PHONE: PHONE

FAX: FAX:

EMAIL: EMAIL:

5. GSA CONTRACT: SUPPLIER’S QUOTE IS BASED ON THE GSA CONTRACT NO.

__________________________. PRICES QUOTED ARE NET OF GSA DISCOUNTS AND THE

TERMS AND CONDITIONS OF THIS GSA CONTRACT WILL APPLY IN LIEU OF PPPL’S TERMS AND

CONDITIONS IF SUPPLIER IS AWARDED AN ORDER.

6. PRICE DISCOUNTS: PRINCETON UNIVERSITY IS AN ACCREDITED INSTITUTION OF HIGHER

LEARNING IN THE STATE OF NEW JERSEY AND MANAGES AND OPERATES PPPL UNDER PRIME

CONTRACT DE-AC02-09CH11466 WITH THE US DEPARTMENT OF ENERGY. BASED ON THIS DUAL

STATUS, PPPL MAY QUALIFY FOR ACADEMIC AND/OR FEDERAL GOVERNMENT PRICES/DISCOUNTS.

SUPPLIER SHALL QUOTE BASED ON THE MOST FAVORABLE DISCOUNT PROGRAM AVAILABLE TO

PPPL. THE UNDERSIGNED HEREBY CERTIFIES THAT THE QUOTED PRICES ARE NOT IN EXCESS OF PRICES CHARGED TO ANY OTHER SIMILAR CUSTOMER FOR SAME OR SIMILAR ITEMS/QUANTITIES.

By submission of this signed Offeror Information and Pricing Form, the undersigned hereby certifies that the information provided is current, accurate, and complete as of the date submitted.

The Offeror agrees that this proposal will remain valid for 90 days from the closing date specified for this RFP.

Signature of Authorized Individual

Typed Name

Title

Date

AFFIX

CORPORATE

SEAL