Attachment A Bidder Response Form~12.docx

Fuel System Maintenance and Services and Fuel Tank Cleaning Attachment A: Bidder Response Form

1. Bidder Information Company Legal Name

Company Legal Address

Company Federal Tax ID/EIN

Contract Manager Email and Phone Number

Customer Service Email and Phone Number

2. Company Experience As per section 2.1 of the RFR, describe your company’s experience providing fuel system maintenance parts and services and tank cleaning, highlighting experience pertinent to the RFR. Please identify and describe any additional available services your company can provide that align with the scope of this RFR, including any associated costs of these services.

3. Years in the Industry of Bid As per section 2.1.1 of the RFR, Bidders must have been in the business of providing the materials and services of similar scope of this RFR for at least the most recent year prior to the RFR submission deadline. Provide the number of years in this industry below.

4. Bankruptcy, litigation and contract defaults As per section 2.2.1 of the RFR, list any bankruptcies, litigations or contract defaults involving your company within the last 5 (five) years below. If none, enter “none”.

5. Geographic Service and Delivery Areas As per section 3.5 of the RFR, bidders should indicate each of the MassDOT districts that they can service under this contract. A full list of each city and town located within each District can be found here: https://www.mass.gov/info-details/find-your-highway-district-office

District 1

District 2

District 3

District 4

District 5

District 6

6. Customer Service Please describe your organization's approach to customer service as it relates to this RFR. Include typical response times for handling maintenance requests, service calls, and pricing inquiries. Explain how your team prioritizes and manages incoming communications to ensure timely support to ensure reliability and continuity of operations.

7. Deliveries & Return Policy Describe your company’s delivery policies, covering standard shipping timelines, available delivery methods, and how you manage and communicate delays, or partial shipments. Additionally, please provide information on your return policy.

8. Emergency Response Capabilities Please describe your company’s emergency response capabilities, including available resources, response times, communication protocols, and past experience managing urgent or unforeseen situations.

9. Pricing: Trip Charges Describe your method for calculating trip charges (flat rate, mileage, or other). Include details on your standard rates, as well as your on-call and emergency response rates.

10. Tank Cleaning

10,000 Gallons

6,000 Gallons

1,000 Gallons

600 Gallons

300 Gallons

Please provide any additional details related to tank cleaning, including miscellaneous charges, special conditions, or exceptions not captured in the table above.

11. Preventative Maintenance Tank Additives The diesel tank additive pricing below shall , Disperse diesel fuel contaminants, remove water and slime, provide maximum long-term storage stability – keep fuel fresh, prevent premature fuel-filter plugging, protect against fuel tank corrosion, biocide to remove residual water and contaminants during microbial contamination clean-ups, shall be effective in all diesel fuels, including Ultra Low Sulfur Diesel (ULSD), biodiesel and biodiesel blends.

for 1 Gallon: $ for 2.5 Gallons: $ for 5.5 Gallons: $

MassDOT Fuel System Maintenance and Services and Fuel Tank Cleaning Attachment A: Bidder Response Form image1.jpeg