CTR076254-_contractor_offer_04-01-25.pdf
PDF 6 MB Posted
- Attached to
- Master Agreement AZ|CTR076254
- Contract number
- CTR076254
- Issued by
- Arizona
About this file
This is a solicitation document (Solicitation # BPM006707) from the Arizona Game and Fish Department's Purchasing Office located in Phoenix, Arizona. The document contains required forms for a procurement process involving Payson Concrete and Materials Inc., a company based in Arizona. The solicitation includes various compliance forms such as references, subcontractor information, confidentiality designations, and disclosures related to boycotts and labor practices.
The solicitation covers the procurement of various aggregate and construction materials, with specific unit pricing for different types of materials such as aggregate base materials, concrete sand, gravel, rip rap, and recycled asphalt pavement. Pricing is per ton, with rates ranging from $41.43 to $90.59 per ton depending on the material type. Additional delivery charges are included, with a rate of $7.00 per mile for deliveries over 50 miles on improved roads and $135.00 per hour for deliveries on unimproved roads. The document includes a subcontractor listing for Roy Haught Excavating from Star Valley, Arizona, who will provide trucking and hauling services. The company has provided references from the Arizona Department of Transportation and Gila County Public Works to demonstrate previous similar service provisions.
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Text version
THE STATE OF ARZONA
GAME AND FISH DEPARTMENT
5OOO W. CAREFREE HTGHWAY
Phoenix, AZ 85086-5000
(602) I 42-30 00 . WWW.AZGFD. GOV
FORMAL SOLICITATION
REQUIRED FORMS
SOLICITATION # BPMOO67O7
The documents contained herein must be completed and submitted with your offer in the ArizonaProcurement Portal (APP). Other documents located in the Affachments tab of APP are incorporated herein by reference.
Contents:
Offeror's Check List 2
Offer and Acceptance Form 3
Designation of Confidential, Trade Secret & Proprietary lnformation 4
R2-7-103. Confidential Information 5
Boycott of Israel Disclosure 6
Forced Labor of Ethnic Uyghurs Ban 7
Subcontractors 8
References II - References 9
8PM006707
Required Forms Updated 5-11-2024 Page I of9
OFFEROR'S CHECK LIST
(for Offeror's use only.)
Arizona Game and Fish Department
Purchasing 0ffice 5000 West Carefree llighway
Phoenix, Arizona 85086
If you have been notified that an amendment has been issued, you must re-open your offer in APP, make any required modifications, if any, and re-submit your offer. Ifyou do not do this you have not submitted an offer in the Arizona Procurement Portal and your offer will be considered as non-responsive.
trNO EfA tr YES
Offer and Acceptance (Complete the top half of page 3, sign and upload into your offer in Arizona Procurement Portal.) nNo&ss "Designation of Confidential Trade Secret & Proprietary Information" form (Page 4). Information considered to be confidential, trade secret or proprietary should be attached as a separate document checked "confidential" in the Attachments tab of your offer Arizona Procurement Portal. Confidential documents must include a statement as to why the information is confi dential.
flNo{rss
Boycoff of Israel Disclosure trNOwiss Forced Labor of Ethnic Uyghurs Ban ftNou-ygs
Pricing has been entered in Arizona Procurement Portal's "items" tab. trNO{vns AZ Baseline Infrastructure Security Controls tr YES ffNo
Subcontractors flNodvps
References trNOffips Ensure Items above have been completed, scanned (preferably as one pdf file) and uploaded into your bid response in APP. N YES trNO
8PM006707
Required Forms Upilatcil 5-17 -2824 Page 2 of 9
DOCUMENT SUBMITTED*
OFFER AND ACCEPTANCE
8PM006707
Arizona Game and Fish Department
Purchasing Office 5000 West Carefree Highway
Phoenit Arizona 85086
OF'T'ER
TO THE STATE OF ARIZONA:
The Undersigned hereby offers and agrees to furnish the material, service or construction in compliance with all terms, conditions, specifications and amendments in the Solicitation and any written exceptions in the offer.
pa /S.sr,\ ao^<)teic- ar.6 1r4a-r er\c,-t! .=.lC- € D.tut-/Z Compan$ Name euthorizc( Signatuni f\ e 6 ot.. . tr a-z-\< @ 0c-y5.s.,r.f p:^ ql q .=, C-o 11r-
Email Print and
9Ao -1tq - A?3 I J - 3' Aoa{ Phone Date
By signature in the Offer section above, the OtJbror certilles:
1. TheOt-ferorshallnotdrscriminateagainstanyemployeeorapplicantfbremploymentinviolationoflrederalExecutiveOrderll246,StateExecutiveOrder2009-9 or A.R.S. $$ 41-1461 tlirough I465.
2. The Offsror has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future emplolment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. FailuIe to provide a valid sigrrature affirming the stipulations requked by this clause shall result in rejection ofthe offer. Signing the offer with a false statement shall void the offer, any resulting contract and may be subject 0o legal remedies provided by law
3. The Offemr certifies compliance with A.R.S.$41-3532 when offering electronics or information technolory products, services or maintenance.
The Offeror is not debarred fiom, or otherwise prohibited
ACCEPTANCE OF OFFER
irom participating in any contract awarded by any federal. state or local govemment
The Offer is herelry accepted.
The Contractor is now bound to sell the materials or services listed by the attached contract and based upon the solicitation, including all terms, conditions, specifications, amendments, etc., and the Contractor's Offer as accepted by the State.
This Contract shall henceforth be referred to as Contract No
The effective date ofthe Contmct is
The Contractor is cautioned not to cofirmence any billable work or to provide any material or service under this contract until Contractor receives purchase order, contact release document or Procurement's written notice to proceed.
STATE OF ARIZONA
AWARDED THIS )o
Kristen lVlicurescu, CPPB, as Branch Chief and not personally
8PM006707
Required Fonns Updated 5-17-202.4 day of
Page 3 of9
&trro d A,eodoll Grrm.)
Designation of Confidential, Trade Secret & Proprietary Information
Arizona Game and Fish Department
Purchasing Office 5000 West Carefree Highway
Phoenix, Arizona 85086
Designatiou of Conlidential, Trade Secret & Proprietary Information
All materials submitted as part of a response to a solicitation are subject to Arizona public records law a will be disclosed if there is an appropriate public records request at the time of or after the arrvard of the contract. Recognizing there may be materials included in a solicitation respnse that is proprietary or a trade secret, a process is set out in A.A.C. R2-7-103 that will allow qualifing materials to be designated as confidential and excluded from disclosure. For purposes ofthis process the definition of "trade secret" will be the same as that set out in A.A.C. R2-7-101(51).
This form must be completed and returned with the response to the solicitation and any supporting information to assist the State in making its determination as to whether any of the materials submitted as part of the solicitation response should be designated confidential because the material is proprietary or a trade secret and therefore not subject to disclosure.
AII offerors must seleet one of the following:
My response does not contain proprietary or trade secret information. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.
My response does contain trade secret information because it contains information that:
1. Is a formul4 pattern, compilation, program, deviceo method, technique or procoss, AIYD
2. Derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use; AllD
3. Is the subject of efforts by myself or my organization that are reasonable under the circumstances to maintain its secrecy.
Please note that failure to attach an explanation may result in a determination that the information does not meet the statutory trade secret dcfinition. All information that does not meet the definition of trade secret as defined by A.A.C. R2-7-101(51) wiU beeome public in accordanee with A.A.C. R2-7-C317. The State reser.yes the right to make its own determination of Proposer,s trade secret materials through a written determination in accordance with A.A.C. R2-7-103.
Ifthe State agrees with the proposer's designation oftrade secret or confldentiality and the determination is challenged, the undersigned hereby agrees to cooperate and support the defense ofthe determination with all interested parties, including legal counsel or other necessary assistance.
By submitting tlis response, propos€r agrees that the fntire offer, including confidential, trade secret and proprietary information may be shared with an evaluation committee and technica! advisors during the evaluation process. Proposer agrees to indemnify and hold the State, its agents and employees, harmless from airf claims or causes of action relating to the State's withholding of information based upon reliance on the above representations, inclilding the payment ofall costs and attorney fees incurred by the State in defending such an action.
O CoqC{{re Cx,AX fifi<l"tt 5 {^c- Company Name
A ets ovt " \c ez-K @ 0o-*< e 4 Q,anl*il (7'*) Email F:intNarfre ana firfiitG_ qe9^ q7q - aa3 \ Phone Date
BPM006707
Required Forms Updated 5-17-2024
_x_ wCo*CJcIc--. C-ottt-
3- 3- 21.
Designation of Confidential, Trade Secret & Propri etary Information
Arizona Game and Fish Department
Purchasing Office 5000 West Carefree Highway
Phoenix, Arizona 85086
2.
aJ
R2 -7 - 103 . Confi dential Information :
If a person wants to assert that a person's offer, specification, or protest contains a trade secret or other proprietary information, a person shall include with the submission a statement supporting this assertion.
A person shall clearly designate any trade secret and other proprietary information, using the term "confidential". Contract terms and conditions, pricing, and information generally available to the public are not considered confidential information under this Section.
Until a final determination is made under subsection (C), an agency chief procurement officer shall not disclose information designated as confidential under subsection (A) except to those individuals deemed by an agency chief procurement officer to have a legitimate state interest.
Upon receipt of a submission, an agency chiefprocurement officer shall make one ofthe following written determinations:
3.1. The designated information is confidential and the agency chief procurement officer shall not disclose the information except to those individuals deemed by the agency chief procurement officer to have a legitimate state interest;
3.2. The designated information is not confidential; or
3.3. Additional information is required before a final confidentiality determination can be made.
4. If an agency chiefprocurement officer determines that information submitted is not confidential, a person who made the submission shall be notified in writing. The notice shall include a time period for requesting a review of the determination by the state procurement administrator.
8PM006707
Required Forms A pdated 5 -17 -2O24
An agency chiefprocurement officer may release information designated as confidential under subsection
(A) if:
5.1 A request for review is not received by the state procurement administrator within the time period specified in the notice; or
5.2 The state procurement administrator, after review, makes a written determination that the designated information is not confidential.
a a a a
Participation in Boycott of Israel
Arizona Game and Fish Department
Purchasing Office 5000 West Carefree Highway
Phoenix, Arizona 85086
Bovcott of Israel Disclosure
Please note that if anv of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall select the
'(Exempt Solicitation, Contract, or Contractor" option below:
The Solicitation or Contract has an estimated value of less than $100,000;
Contractor is a sole proprietorship;
Contractor has fewer than ten (10) employees; and/or Contractor is a non-profit organization.
Pursuant to A.R.S. $ 35-393.01, public entities are prohibited from entering into contracts ohnless the conkact includes a written certification that the company is not currently engaged in, and agrees for the duration ofthe conhact to not engage in, a boycott of goods or services from Israel,"
Under A.R.S. $ 35-393:
l. "Boycott" means engagrng in a refusal to dea[, terminating business activities or pertbrming other aclions that are intended to limit commercial relations with entities doing business in Israel or in territories controlled by Israel. ifthose actions are taken either:
I .l . Based in part on the fact that the entity does business in Israel or in territories controlled by Israel.
1.2. ln a manner that discriminates on the basis ofnationalitv. national origin or religion and that is not based on a valid business reason.
company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or aftlliate, that engages in for-profit activity and that has ten or more flull-time employees.
l. "Publ ic entity". (a) Means this State, a political subdivision ofthis State or an agency, board, commissron or department of this State or a political subdivrsion of this State. (b) Includes the universitres under the jurisdiction of the Arizona board of regents and community college districts as defined in section 1 5- 1401.
The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuant to that section. See A.R.S. $ 35-393.03.
In compliance with A.R.S. $ 35-393 et seq., all offerors must seleet one of the following:
Y The Company submitting this Offer does not participate in, and agrees not to participate in during the term of the contract, ' a boycott of Israel in accordance with A.R.S. $ 35-393 et seq. I understand that my entire response will become a public record in accordance with A.A.C. R2-7-C317.
n The Company submitting this Offer does participate in a boycott of Israel as described in A.R.S. $ 35-393 et seq.
fl Exempt Solicitation, Contract, or Contrartor.
Indicate which of the following statements applies to this Conffact:
r Solicitation or Contract has an estimated value of less than $100,000;
r Contractor is a sole proprietorship;
r Conffactor has fewer than ten (10) employees; and/or r Conffactor is anon-profitorganization, PctYso,r Cov,cf{t:--a4} Nr(r<rlo.tJ ina. A^- d D.r. Art& CompanyName t3o vr . bec-|.-S P".vs o^ c-ot+c[ 6( t- %cL,' Email gaD- Ll7Ll- aa3 I
Phone Date
BPM{X}6707 Page 6 of 9 Required Forms updatcd 5-17-2024 SPO Form Boycott of Israel Disclosure Revision No. 1 | Revised {ts-22
YY 7Sl'...- --
TLo, - 0t [F',,,)
9 -r'eoz{
Forced Labor of Ethnic Uyghurs Ban
Arizona Game and Fish Department
Purchasing Office 5000 West Carefree Highway
Phoenix, Arizona 85086
Forced Labor of Ethnic Uyghurs Ban
Please note that if any of the following apply to the Contractor, then the Offeror shall select the "Exempt Contractoro' option below:
Contractor is a sole proprietorship;
Contractor has fewer than ten (10) employees; OR Contractor is a non-profit organization.
Pursuant to A.R.S. $ 35-394, the State of Arizona prohitrits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company does not use the forced labor, or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China.
Under A.R.S. $ 35-394:
1. "Company" means an orgamzation, association, corporation, parhrership, joint venture, limited par[rership, limited liability partnership, limited liability company or other entrty or business associatioq including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more firll-time employees.
"Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.
In compliance with A.RS. $$ 35-394 et seq., all offerors must select one of the following:
X The Company submitting this Offer does not use, and agrees not to use during the term of the contract, any of the following:
Forced labor of ethnic Uyghurs in the People's Republic of China;
Any goods or services produced by the forced labor of ethnic Uyghurs in the People's Republic of China;
0r Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People's Republic of China.
The Company submitting this Offer @ participate in use of Forced Uyghurs La.bor as described in A.R.S. $ 35- 394.
Exempt Contractor:
Indicate which of the following statements applies to the Contractor (may be more than one):
tr Contractor is a sole proprietorship;
tr Contractor has fewer than ten (10) employees; and/or tr Contractor is a non-profit organization.
Pqvso* (-o,xc-dc-a< a^} (h<Terl..15 ,r.. )Lt*_t: O DAa/il0 Company Name
{\etsb\ .b +v e |:cLvs "A c_ autfiorized SnaG-
C^u 0 Laae^u Cf"r.n Email Frffi qag- <+7't'&43\ Phone Date
Page 7 of 138PM006707 Required Forms updated 5-17-2024 SPO BorNo.205 a a o
I a o a
3')- a.oer{ u n
REFERBNCES
Department
Purchasing Office 5000 West Carefree Highway
Phoenix, Arizona 85086
REFERENCES
Three (3) professional references who have received services similar to the Specifications ofthis Solicitation shall be listed below. References from AZGFD are not to be included. References from the western United States are preferred. The contact person shill be someone who has responsibility for the operation of the material and/or service and shall be aware that they are being used as a reference.
BPM006707
Required Forms Updated 5-17-2024
1) Company: 57cd<- o F /lt'i zoaq baPr,.rrn*e^-T- o F -(fan5 porrc.r-',orr
Contact Name:
$to.cY LJre5rr e /- Phone:
5u:iaSyr€/^@ c-tJo t Go't Email:
Description of services provided:
5 u PP lY c'-,ra or r\au \ Yr\ cCcrla-t5 Fo {' siz{1<-q33te-3{l'e- pro)ocJS c\^L 1-\o-- a^.i1 f oo,& f*o-,ta16r,,ta.-. Le- + Co,t,5i-fOc-TJ.:r,1
2) Company:
6in Cou,tT/ Pubti v L,JorKS )lrlsrry uInre-r Contact Name:
7^O^ 4 6b- )Bc\ Phone:
l<ulrn 1-f@ 6ilqaoofffqz-, Jotl Email:
Description of services provided:
A 53 tcSa-t e- cr.^J t{oT rwlx p e.,d-ts<rs Fo{' (or"L co*STfi'tc-}l o ,'t cxv\J A.,rc..\^:i-r,^q\L e:- .
3) Company: Contact Name:
Phone: Email:
Description of services provided:
Page 9 of9
Reference 1
Reference 2
Reference 3 I
SUBCONTRACTORS
Department
Purchasing Office 5000 West Carefree Highway
Phoenix, Arizona 85086
SUBCONTRACTORS
Bidder shall identifu all proposed subcontractors/material suppliers that will be utilized to perform any portion of the Specifications. Additional Subcontracto(s) not listed below or on a supplemental page must receive written approval from AZGFD before utilization.
Name of Subcontractor lZ"Y !{augtt T F YcaV aT)^ I City, State S--t o'.{- V ct \te Y Az^
Number of years in business 35 Tyoe ofbusiness:
(LLC, Corporation, Sole Proprietor, etc.) Co{Po1frr. ot'\ AZ Contractor's license number &"c- +ql€ q A
Service to be provided
.l 'l 1'u c ta \v\- 1 / A4*uL t t'\3 ffi ffi
Name of Subcontractor
City, State
Number of years in business
Tvpe of business:
(LLC, Corporation, Sole Proprietor, etc.)
AZ Contr actor' s license number
Service to be provided
8PM006707
Required Forms Updated 5-11-2024
Page 8 of9
Product Name Unit Price per unit % discount off list price (0-100%) 3/4" Basalt Ton NIA Aggregate Base MaterialClass 1 Ton $41.43 Aggregate Base MaterialClass 2 Ton $41.43 lon N/A Course Ton N/A
Mineral Aggregate Specification #1 Ton N/A M ineral Aggregate Specification #2 Ton N/A Reclaimed ncrete I Ton N/A
Ton $46.40 Rip Rap-Type A (4 in to 8 in Ton $60.21 Rip Rap-Type B (1 ft. to 2 ft.1 Ton $68 50 Washed Concrete Sand Ton $47.51 Washed Mortar Sand Ton $51.93 Washed Gravel and other washed round aggregate Ton $51.93 nus son o n lon N/A o lon N/A
1"-1.5" screened and fractured rock 100% retained on the 1" Ton N/A Rip Rap 36"-48" Ton $90.59 1 US Ton N/A Basalt crusher fines% minus Ton N/A mile over 50 miles on roads Mile $7.00 Delivery charge per hour on unimproved roads Hr $135.00
Reclaimed/Recycled Asphalt Pavement (RAP
Product Name Unit Price per unit % discount off list price (0-100%)
3/4" Basalt Chips Ton N/A 0.00%
Aggregate Base Material Class 1 Ton $41.43 0.00%
Aggregate Base Material Class 2 Ton $41.43 0.00%
Bentonite Clay Ton N/A 0.00%
Class 6 Aggregate Base Course (ABC) Ton N/A 0.00%
Mineral Aggregate Specification #1 Ton N/A 0.00%
Mineral Aggregate Specification #2 Ton N/A 0.00%
Reclaimed Concrete Material (Crushed Concrete) Ton N/A 0.00%
Reclaimed/Recycled Asphalt Pavement (RAP) Ton $46.40 0.00%
Rip Rap-Type A (4 in to 8 in) Ton $60.21 0.00%
Rip Rap-Type B (1 ft. to 2 ft.) Ton $68.50 0.00%
Washed Concrete Sand Ton $47.51 0.00%
Washed Mortar Sand Ton $47.51 0.00%
Washed Gravel and other washed round aggregate Ton $51.93 0.00%
¼” Minus Madison Gold decomposed granite Ton N/A 0.00%
Topsoil Blend Ton N/A 0.00%
1"-1.5" screened and fractured rock 100% retained on the 1" Ton N/A 0.00%
Rip Rap 36"-48" Ton $90.59 0.00%
1/4" Minus basalt chips Ton N/A 0.00%
Basalt crusher fines ¼ minus Ton N/A 0.00%
Devlivery charge per mile over 50 miles on improved roads Mile $7.00
Delivery charge per hour on unimproved roads Hr $135.00
File details come from the government source that posted it. Updated .