BID_FORM_for_FY27_-_FY29.docx

BIDDER’S BID PAGES SECTION III

BID FORM

City Council/City Manager Name of Company ______________________________ City of Palo Alto Palo Alto, California

In response to this Request for Quotation (RFQ), the undersigned, as Bidder, declares that the only persons or parties interested in this Bid as principals are those named herein; that this Bid is made without collusion with any other person, firm or corporation; that the Bidder has carefully examined the location of the proposed work and the plans and specifications herein referred to; and that the Bidder proposes and agrees, if this Bid is accepted, to contract with the City of Palo Alto (City), to provide all necessary materials, equipment, tools, apparatus, and other means of transport services, and to do all the Work and comply with all the specified requirements in this RFQ, in the manner herein prescribed and for the prices stated in the following Bid:

Project Title: Purchase and Delivery of Bulk 12.5% Sodium Hypochlorite Solution and 14.5% Muriatic Acid, (RFQ) Number 185494

A. General Requirements:

· Delivery of bulk 12.5% Sodium Hypochlorite will be scheduled and/or as needed to the Palo Alto Rinconada Swimming Pools at 777 Embarcadero Road, Palo Alto. Usage is estimated at 300 to 700 gallons per week.

· Delivery of bulk 14.5% Muriatic Acid will be scheduled and/or as needed to the Palo Alto Rinconada Swimming Pools at 777 Embarcadero Road, Palo Alto. Usage is estimated at 100 to 200 gallons per week

· Interested suppliers are encouraged to inspect the location and the access to the delivery point as access is limited. The City’s Noise Ordinance and Truck Route Map and Regulations are attached, as observation of these ordinances are strictly enforced.

1St Year – July 1, 2026 – June 30, 2027

(EACH BID ITEM SHALL INCLUDE ALL APPLICABLE TAXES, PROFIT, INSURANCE, BONDS, AND OTHER OVERHEAD)

Price per gallon shall be all inclusive and include Regulatory Compliance, fuel surcharge, delivery fee, California Mill tax, & California Pesticide Assessment fees or any other tax or fee that might apply.

Price per gallon shall be all inclusive and include Regulatory Compliance, fuel surcharge, delivery fee, California Mill tax, & California Pesticide Assessment fees or any other tax or fee that might apply.

Base Bid Total (item 001 - 003)

(Total in words: ______________________________________________________)

2ND Year – July 1, 2027 – June 30, 2028

(EACH BID ITEM SHALL INCLUDE ALL APPLICABLE TAXES, PROFIT, INSURANCE, BONDS, AND OTHER OVERHEAD)

Price per gallon shall be all inclusive and include Regulatory Compliance, fuel surcharge, delivery fee, California Mill tax, & California Pesticide Assessment fees or any other tax or fee that might apply.

Price per gallon shall be all inclusive and include Regulatory Compliance, fuel surcharge, delivery fee, California Mill tax, & California Pesticide Assessment fees or any other tax or fee that might apply.

3RD Year – July 1, 2028 – June 30, 2029

(EACH BID ITEM SHALL INCLUDE ALL APPLICABLE TAXES, PROFIT, INSURANCE, BONDS, AND OTHER OVERHEAD)

Price per gallon shall be all inclusive and include Regulatory Compliance, fuel surcharge, delivery fee, California Mill tax, & California Pesticide Assessment fees or any other tax or fee that might apply.

Price per gallon shall be all inclusive and include Regulatory Compliance, fuel surcharge, delivery fee, California Mill tax, & California Pesticide Assessment fees or any other tax or fee that might apply.

Grand Total for all three years

Total in Words

B. Lowest Responsible and Responsive Bidder The lowest bid shall be determined based on the Grand Total for all three years.

C. Quantities:

Material quantities as specified are approximate based on previous years usage, and no guarantee is implied that the exact amount will be purchased.

D. Addenda

During the Bid process there may be changes to the Contract Documents, which would require an issuance of an addendum or addenda. City disclaims any and all liability for loss, or damage to any Bidder who does not receive any addendum issued by City in connection with this RFQ. Any Bidder in submitting a Bid is deemed to waive any and all claims and demands Bidder may have against City on account of the failure of delivery of any such addendum to Bidder. Any and all addenda issued by City shall be deemed included in this RFQ, and the provisions and instructions therein contained shall be incorporated to any Bid submitted by Bidder.

To assure that all Bidders have received each addendum, the following acknowledgment and sign-off is required. Failure to acknowledge receipt of an addendum/addenda may be considered an irregularity in the Bid:

Or, □ _____ No Addendum/Addenda Were Received (check and initial).

E. The Bidder represents that it has not retained a person to solicit or secure a City contract (upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee) except for retention of bona fide employee or bona fide established commercial selling agencies for the purpose of securing business.

F. Bidder's Representations and Warranties. The Bidder represents and warrants:

1. That any information submitted by the Bidder prior to the award of Contract, or thereafter, upon request, whether or not submitted under a continuing obligation by the terms of the Contract to do so, is true and correct at the time such information is submitted or made available to the City;

2. That the Bidder has not colluded, conspired, or agreed, directly or indirectly, with any person in regard to the terms and conditions of the Bidder's Bid, except as may be permitted by this Invitation for Bids;

3. That the Bidder has the power and authority to enter into this Contract with the City, that the individual(s) executing this Contract are duly authorized to do so by appropriate resolution (if applicable), and that this Contract shall be executed, delivered and performed pursuant to the power and authority conferred upon the person or persons authorized to bind the Bidder;

4. That the Bidder has not attempted to exert undue influence with the Purchasing Manager or Project Manager or any other person who has directly participated in the decision to award the Contract to the Bidder;

5. That the Bidder has furnished and will furnish true and accurate statements, records, reports, resolutions, certifications, and other written information as may be requested of the Bidder by the City during the term of this Contract;

6. That the Bidder and all its subcontractors performing work on this Project are duly licensed as a contractor with the State of California as required by California Business & Professions Code Section 7028, as amended;

7. That the Bidder has fully examined and inspected the Project site and has full knowledge of the physical conditions of the Project site; and,

G. By submitting a Bid, the Bidder acknowledges that it has received the Instructions to Bidders and agrees to its terms and to the terms of all other Contract Documents.

Firm: ____________________________________________________________________________

Signature*: ________________________________

Name: ________________________________

* The signatory represents and warrants that he or she has the legal capacity and authority to bind the Bidder.