Attachment A - LSS - Coloma BO.docx

STATE OF MICHIGAN

DEPARTMENT OF TRANSPORTATION

LANSING

MAINTENANCE, REPAIR & OPERATIONS (MRO)

Southwest Region State Trunkline Sweeping Request for Proposal No. 240000000652

Coloma Business Office

LOCATION SPECIFICATION SHEET (LSS)

PART I – PLACE OF SERVICES REQUESTED

PROCUREMENT CONTACT INFORMATION

LOCATION INFORMATION

4:30 PM

ESTIMATE OF AREA TO BE SERVICED:

(IF APPLICABLE)

N/A

[EXAMPLE: 5:30 A.M. TO 5:30 P.M.]

Determined by PM

PART II – SCHEDULE B – PRICING SUMMARY

1. The Contractor must provide a pricing schedule for the proposed Contract Activities using Microsoft Excel spreadsheet. The pricing schedule should be submitted in a modifiable format (e.g. Microsoft Word or Excel); however, you may also submit an additional pricing schedule in a non-modifiable format (e.g., PDF). Failure to complete the pricing schedule as requested may result in disqualification of your proposal.

2. Price proposals must include all costs, including but not limited to, any one-time or set-up charges, fees, and potential costs that Contractor may charge the State (e.g., shipping and handling, per piece pricing, and palletizing).

3. The Contractor is encouraged to offer quick payment terms. The number of days must not include processing time for payment to be received by the Contractor's financial institution.

Quick payment terms: % discount off invoice if paid within days after receipt of invoice.

4. By submitting its proposal, the Contractor certifies that the prices were arrived at independently, and without consultation, communication, or agreement with any other Contractor.

CYCLE

PER YEAR

TOTAL

CYCLES

ANNUAL

COST

($000)

TOTAL

COST

5 YEARS

($000)

Curb Sweeping – Coloma Business Office: Berrien & Van Buren Counties

153.044

TOTAL

Listed quantities and cycles are estimates from previous activities. Actual work performed will be decided by the Program Manager or his/her designee. The State is not obligated to purchase in any listed quantity or cycle.

CYCLE

(1)

TOTAL

ANNUAL

COST

($000)

TOTAL

COST

5 YEARS

($000)

BERRIEN COUNTY

Berrien: Indiana State line east to Van Buren Co. Various locations.

Includes barrier wall, bridges over under I-94

Berrien: I-94 north to Van Buren Co. Line.

Includes bridges over under

Berrien: Indiana State line east to Cass Co. line. Include Three Oaks and Galien.

VAN BUREN COUNTY

Van Buren/: Various – Cass Co. line north to Allegan Co. Includes Lawton Paw Paw and Gobles

Van Buren: Berrien County Line/48th Ave north to I-196 Interchange includes Village of Covert.

Listed quantities and cycles are estimates from previous activities. Actual work performed will be decided by the Program Manager or his/her designee. The State is not obligated to purchase in any listed quantity or cycle.

PART III EQUIPMENT

Bidder Instructions: Provide a complete list of all the equipment you will utilize to manage the scope of work for this contract location. List should include all equipment to be used during services and any other function(s) needed to perform this service. Also indicate whether the equipment is owned or rented. (Expand the table if necessary or submit separate table of equipment/supplies with proposal).

Equipment failure WILL NOT constitute an acceptable reason for deviating from the activities and or progress schedule for this contract. Adjustments to providing this service, including any weather-related deviations, must be approved by the Program Manager or designated representative.

EQUIPMENT & SUPPLIES LIST FORMAT

BIDDER NAME: LOCATION: COLOMA/SOUTHWEST REGION

EQUIPMENT

MODEL

MANUFACTURER

OWNED

OR

RENTED

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

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