DCR-870 - BIDDER RESPONSE FORM.pdf
PDF 675 KB Posted
- Solicitation number
- BD-22-1020-DCRCU-DC250-70215
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Bidder Response Form related to a Request for Response (RFR) issued by the Massachusetts Department of Conservation and Recreation (DCR) for Lifeguard Training & Certification Services and Aquatic Facility Rentals. The RFR seeks to establish a Master Service Agreement with qualified vendors to provide lifeguard training, certification, and aquatic facility rental services to support DCR's seasonal lifeguard employment needs. Vendors must indicate their ability to provide services such as lifeguard certification, waterfront training, CPR/first aid, and lifeguard instructor certification. Vendors must also provide details on their training facilities, qualified staff, and pricing for common training/certification courses. For the aquatic facility rental portion, vendors must provide location details, hours of operation, and rental rates for their available pool facilities.
The RFR has an initial response deadline of March 11, 2022 at 2:00 PM EST. Vendors must submit copies of their lifeguard instructor certifications and complete additional required forms such as the Prompt Payment Discount and Environmentally Preferable Products/Practices forms. The resulting Master Service Agreement will have an initial term, with options to renew at the discretion of DCR.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| eppform~5.docx | DOCX document | |
| w-9 form march 2020.pdf | ||
| COMMBUYS create-a-quote-v1~4.docx | DOCX document | |
| promptpaydiscountform.docx | DOCX document | |
| DCR870 Lifeguard Training and Certification Services and Aquatic Facility Rentals RFR.docx | DOCX document | |
| AMENDED DCR870 Lifeguard Training and Certification Services and Aquatic Facility Rentals RFR.docx | DOCX document | |
| Standard Contract Form Instructions and Contractor Certifications 7-1-20.pdf |
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Text version
BIDDER RESPONSE FORM
DCR-870 Lifeguard Training & Certification Services and Aquatic Facility Rentals
THE INITIAL DEADLINE FOR SUBMITTING PROPOSALS IS FRIDAY, MARCH 11, 2022 AT 2:00 PM (EST)
INSTRUCTIONS: Please complete this form electronically by typing directly into the boxes and clicking on the appropriate 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.
Organization/Company Name:
Mailing Address:
(Street Address)
(City/Town) (State) (Zip Code)
Point of Contact Name:
Phone Number:
Email Address:
Please specify the number of years your organization/company has been in business:
CONTRACT CATEGORY 1: LIFEGUARD TRAINING & CERTIFICATION SERVICES
Please complete the following areas if your organization/company is bidding on this contract category. If your organization/company is only bidding on Contract Category 2 (for Aquatic Facility Rentals) please skip to page 4.
Ability to Provide Lifeguard Training & Certification Services: Please specify which of the below areas of training/certification your organization/company is able to provide:
Lifeguard Certification & Re-Certification (American Red Cross certification or equivalent)
Waterfront Trainings (such as Waterfront Skills, Waterfront Skills Renewal, Waterfront Lifeguard Certification)
CPR, First Aid, & AED Trainings & Certification (American Red Cross or equivalent)
Lifeguard Instructor Certification (American Red Cross or equivalent)
Water Safety Instructor (WSI) Certification (American Red Cross or equivalent)
Stop the Bleed or FAST (First Aid Severe Trauma) Training
Experience Providing Similar Services: Please use the space below to describe your organization/company’s experience providing training/certification services of a similar/equivalent nature to those outlined in Category 1 (Lifeguard Training & Certification Services) of the RFR.
Suitability of Training Facilities: Please use the space below to describe your organization/company’s training facilities including swimming pool(s) and ancillary training/classroom space(s). When describing your swimming pool, please be sure to include features such as size, depth, number of lanes, capacity, etc. When describing training/classroom space, please be sure to include size and capacity limitations.
Provision of Qualified Staff: Please use the spaces below to list all relevant staff at your organization/company with the necessary qualifications to perform the services outlined in Category 1 (Lifeguard Training & Certification Services) of the RFR. Please use the space provided to describe their education, experience, qualifications, and any relevant certifications that they possess. (NOTE: ALL CATEGORY 1 VENDORS ARE REQUIRED TO SUBMIT COPIES OF THEIR LIFEGUARD INSTRUCTOR CERTIFICATIONS ISSUED BY THE AMERICAN RED CROSS – OR EQUIVALENT – FOR STAFF
INVOLVED IN PROVIDING TRAINING AND CERTIFICATION SERVICES)
Staff Person 1:
Name: Title/Position:
Education, Experience, Qualifications & Relevant Certifications:
Staff Person 2 (if applicable):
Name: Title/Position:
Education, Experience, Qualifications & Relevant Certifications:
Staff Person 3 (if applicable):
Name: Title/Position:
Education, Experience, Qualifications & Relevant Certifications:
Pricing for Most Common Training/Certification Courses: Please use the spaces below to provide your organization/company’s current pricing for these most common training/certification courses sought by DCR. Please enter PER STUDENT pricing into the grey boxes. If your organization/company does not offer a particular training/certification course, please leave that box blank.
PER
STUDENT
COST
TRAINING/CERTIFICAITON
Lifeguard Certification with CPR, AED, & First Aid
Lifeguard Certification with CPR, AED, First Aid, & Waterfront Skills
Waterfront Skills Certification
Lifeguard Re-Certification
CPR Re-Certification
Waterfront Skills Re-Certification
Water Safety Instructor (WSI) Certification
Lifeguard Instructor Certification
Lifeguard Instructor Re-Certification
Stop the Bleed or FAST (First Aid Severe Trauma) Certification $
CONTRACT CATEGORY 2: AQUATIC FACILITY RENTALS
Please complete the following areas if your organization/company allows for rental of its aquatic facilities and you willing to bid on this contract category. If your organization/company is not bidding on this category, please skip to page 6.
Location Information/Details, Hours of Operation, & Rental Rate: Please use the spaces below to provide location information and details for your each aquatic facility available for rental. Also, please provide hours of operations for each location and the hourly rental rate.
LOCATION 1:
HOURS OF OPERATION
If closed on a particular day of the week, do not check the box and do not enter opening/closing times.
Location/Site Name: OPENING
TIME
CLOSING
TIME
Street Address: Sunday: AM PM to AM
PM
City: Monday: AM PM to AM
PM
# of Pool Lanes: Tuesday: AM PM to AM
PM
Pool Depth Details: Wednesday: AM PM to AM
PM
Does this location have classroom space? YES Thursday: AM PM to AM
PM
NO Friday: AM PM to AM
PM
Classroom Space Capacity: Saturday: AM PM to AM
PM
(NUMBER OF PEOPLE)
Hourly Rate for Pool Rental: $ Check this box if this rate is for the entire swimming pool Check this box if this rate is for one lane only
Please use the space below to provide any other pertinent or relevant information regarding this location:
LOCATION 2 (if applicable):
HOURS OF OPERATION
If closed on a particular day of the week, do not check the box and do not enter opening/closing times.
Location/Site Name: OPENING
TIME
PM
City: Monday: AM PM to AM
PM
# of Pool Lanes: Tuesday: AM PM to AM
PM
Pool Depth Details: Wednesday: AM PM to AM
PM
Does this location have classroom space? YES Thursday: AM PM to AM
PM
NO Friday: AM PM to AM
PM
Classroom Space Capacity: Saturday: AM PM to AM
PM
(NUMBER OF PEOPLE)
Hourly Rate for Pool Rental: $ Check this box if this rate is for the entire swimming pool
Please use the space below to provide any other pertinent or relevant information regarding this location:
LOCATION 3 (if applicable):
HOURS OF OPERATION
If closed on a particular day of the week, do not check the box and do not enter opening/closing times.
Location/Site Name: OPENING
TIME
PM
City: Monday: AM PM to AM
PM
# of Pool Lanes: Tuesday: AM PM to AM
PM
Pool Depth Details: Wednesday: AM PM to AM
PM
Does this location have classroom space? YES Thursday: AM PM to AM
PM
NO Friday: AM PM to AM
PM
Classroom Space Capacity: Saturday: AM PM to AM
PM
(NUMBER OF PEOPLE)
Hourly Rate for Pool Rental: $ Check this box if this rate is for the entire swimming pool
Please use the space below to provide any other pertinent or relevant information regarding this location:
LOCATION 4 (if applicable):
HOURS OF OPERATION
If closed on a particular day of the week, do not check the box and do not enter opening/closing times.
Location/Site Name: OPENING
TIME
PM
City: Monday: AM PM to AM
PM
# of Pool Lanes: Tuesday: AM PM to AM
PM
Pool Depth Details: Wednesday: AM PM to AM
PM
Does this location have classroom space? YES Thursday: AM PM to AM
PM
NO Friday: AM PM to AM
PM
Classroom Space Capacity: Saturday: AM PM to AM
PM
(NUMBER OF PEOPLE)
Hourly Rate for Pool Rental: $ Check this box if this rate is for the entire swimming pool
Please use the space below to provide any other pertinent or relevant information regarding this location:
CONTINUE ON NEXT PAGE
OTHER REQUIRED FORMS & MATERIALS:
Bidders must also submit the following forms & materials:
• Copies of Lifeguard Instructor Certifications – if bidding on Contract Category 1
• Prompt Payment Discount (PPD) Form – see Attachments Tab of the CommBuys bid solicitation
• Environmentally Preferable Products/Practices (EPP) Form – see Attachments Tab of the CommBuys bid solicitation
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 Street Address City/Town State Zip Code
| OrganizationCompany Name: |
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| Please specify the number of years your organizationcompany has been in business: |
| Lifeguard Certification ReCertification American Red Cross certification: Off |
| Waterfront Trainings such as Waterfront Skills Waterfront Skills Renewal Waterfront Lifeguard Certification: Off |
| Adult Child First Aid Training Standard First Aid provided by the American Red Cross or equivalent: Off |
| CPR AED Trainings Certification: Off |
| Lifeguard Instructor Certification American Red Cross or equivalent: Off |
| Waterfront Safety Instructor WSI Certification American Red Cross or equivalent: Off |
| Lifeguard Training Certification Services of the RFR: |
| space please be sure to include size and capacity limitations: |
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| Check this box if this rate is for the entire swimming pool: Off |
| Check this box if this rate is for one lane only: Off |
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| LocationSite Name_2: |
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| Check this box if this rate is for the entire swimming pool_2: Off |
| Check this box if this rate is for one lane only_2: Off |
| Please use the space below to provide any other pertinent or relevant information regarding this location_2: |
| undefined_32: Off |
| Sunday_3: Off |
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| Check this box if this rate is for the entire swimming pool_3: Off |
| Check this box if this rate is for one lane only_3: Off |
| Please use the space below to provide any other pertinent or relevant information regarding this location_3: |
| undefined_41: Off |
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| Check this box if this rate is for the entire swimming pool_4: Off |
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