DCR 868 - BIDDER RESPONSE FORM.docx

BIDDER RESPONSE FORM

DCR-868 MOBILE SODA BLASTING SERVICES

THE INITIAL DEADLINE FOR SUBMITTING PROPOSALS IS FEBRUARY 11, 2022 AT 2:00 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”):

Geographic Service Areas: Please indicate which Massachusetts counties your company is able to provide service. A map showing Massachusetts counties can be found on the last page of this document (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.

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”):

Experience & Capacity to Provide Contract Services: Please describe your company’s experience and capacity to provide the services outlined in Section 8 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 procurement.

Equipment Specifications: Please provide specifications and any informational details regarding the relevant soda blasting equipment, apparatuses, and media used by your company. Please be sure to describe how your equipment, apparatuses, and media meet the specifications outlined in Section 8 of the RFR; specifically:

· Equipment/Apparatuses must be mobile and portable statewide

· Use of compressed air to deliver a soda-based media (i.e. sodium bicarbonate)

· Ability to strip paint and debris from surfaces without damaging department assets

· Ability to connect to a water supply where available or providing a mobile supply of water (if needed)

· Use of soda-based media that is non-toxic, water soluble, and environmentally sensitive (i.e. approved as a USDA A1 cleaner)

Hourly Labor Rate: Please use the space below to provide your company’s current hourly labor rates

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:

· Massachusetts W-9 Form

· Prompt Payment Discount (PPD) Form

· 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

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