DCR 825 - BIDDER RESPONSE FORM.docx

BIDDER RESPONSE FORM

DCR-825 WATEFRONT & POOL EQUIPMENT & SUPPLIES AND

MAINTENANCE & REPAIR SERVICES

THE INITIAL DEADLINE FOR SUBMITTING PROPOSALS IS August 7, 2020 AT 11:59 PM (EST)

INSTRUCTIONS: Please complete this form electronically by typing directly into the GREY boxes. Be sure to read the instructions for each section carefully and thoroughly. Responses found to be incomplete may be disqualified or excluded from evaluation.

Bidder/Company Name:

Mailing Address:

(Street Address)

(City/Town)

(State)

(Zip Code)

Point of Contact Name:

Phone Number:

Email Address:

Number of Years in Business: Please check the box that applies to your company (to check of a box, double-click on the box, then select “Checked” and click “Okay”):

Contract Categories You Willing be Bidding On: This contract will have two contract categories: Category 1 (Purchase of Aquatic Equipment & Supplies) and Category 2 (Maintenance & Repair Services). Prospective bidders may bid on both contract categories or just one category. Please specify which of the contract categories your company will be bidding on (to check of a box, double-click on the box, then select “Checked” and click “Okay”):

Business References: Please provide three (3) business references that can substantiate your company’s ability/qualifications and experience providing products and services of similar scope. Reference may be an individual, a private entity/company, or public agency.

REFERENCE 1:

Reference Person’s Name:

Company/Organization Name:

Company/Organization Address:

Reference Phone Number:

Email Address:

Please use the space below to describe the specific services provided to this individual, agency, or entity/company and the dates of service. Provide as much detail as possible:

REFERENCE 2:

Reference Person’s Name:

Company/Organization Name:

Company/Organization Address:

Reference Phone Number:

Email Address:

Please use the space below to describe the specific services provided to this individual, agency, or entity/company and the dates of service. Provide as much detail as possible:

REFERENCE 3:

Reference Person’s Name:

Company/Organization Name:

Company/Organization Address:

Reference Phone Number:

Email Address:

Please use the space below to describe the specific services provided to this individual, agency, or entity/company and the dates of service. Provide as much detail as possible:

CATEGORY 1: PURCHASE OF AQUATIC EQUIPMENT & SUPPLIES

Please complete this section if you are bidding on this category.

If you are not bidding on this category please skip to Page 4 for Category 2.

Range of Available Products: In the space below, please provide a website address where your company’s product line can be viewed. If your company does not have this information available online, please submit a catalog with your bid response.

Enter website address here:

Experience & Capacity to Provide Contract Products: Please describe your company’s experience and capacity to provide the equipment and supplies outlined in Category 1 of the RFR (see Section 3.1 of the RFR). Please include any relevant past experiences, certifications, qualifications, or any other relevant information that demonstrate your company’s ability to provide the types of products sought by DCR under this category.

Pricing for Commonly Purchased Equipment & Supplies: Please use the spaces below to provide your company’s current pricing for some of the products that are commonly purchased by DCR. Please enter prices into the grey boxes. If your company does not offer a particular item please leave that item blank.

CATEGORY 2: MAINTENANCE & REPAIR SERVICES

Please complete this section if you are bidding on this category.

If you are not bidding on this category please skip to Page 5 to complete this Form.

Experience & Capacity to Provide Contract Services: Please describe your company’s experience and capacity to provide the maintenance and repair services outlined in Category 2 of the RFR (see Section 3.2 of the RFR). Please include any relevant past experiences, certifications, qualifications, or any other relevant information that demonstrate your company’s ability to provide the services sought by DCR under this category.

Level of Service: Please indicate which days of the week your company is able to provide services. Also, please indicate if your company is available to provide emergency service on holidays (to check of a box, double-click on the box, then select “Checked” and click “Okay”):

Geographic Service Areas: Please indicate which Massachusetts counties your company is able to provide service (to check of a box, double-click on the box, then select “Checked” and click “Okay”):

If your company is not able to service the entire Commonwealth of Massachusetts, please indicate which counties you are able to provide service. A map of Massachusetts counties is provided on the last page of this Bidder Response Form.

Hourly Labor Rate: Please use the space below to provide your company’s current hourly labor rate for one of your technicians or staff to provide maintenance/repair services:

Other Required Forms: Bidders must also submit the following required forms. These forms can be found in the Attachments Tab of the CommBuys bid solicitation:

· Prompt Payment Discount (PPD) Form

· Supplier Diversity Plan (SDP) Commitment Form #1

· Environmentally Preferable Products/Practices (EPP) Form

Affirmation: By entering my name and information below, I hereby affirm that I have read, agree to, and will abide by (if awarded a contract) all of the terms and conditions outlined in the Request for Responses (RFR) associated with this procurement and that the information provided in this Bidder Response Form is accurate and truthful.

Name

Title

Date

Company Name

Email Address

Phone Number

Company Address

City/Town

State

Zip Code

(Scroll to next page for a map of Massachusetts counties) image1.png image2.png