DCR 971_Vendor Name_Bidder Response Form.docx

BIDDER RESPONSE FORM

MANDATORY SUBMISSION

Document Title: Wood Furnace-Stoves Sales, Service and Fuel Supply Agency Document Number: DCR 971

COMMBUYS BID #: BD-26-1020-DCRCU-DC250-122530

INSTRUCTIONS: Please complete this form electronically by typing directly into the boxes. Submission of a completed Bidder Response Form is MANDATORY. If additional space is needed to answer any of the questions included on this Bidder Response Form, you may attach additional pages to complete your responses. However, please start answering all questions directly on this Bidder Response Form and only attach additional pages if extra space is needed. Be sure to label any attachments accordingly to correspond to specific questions on this Bidder Response Form.

Bidder/Company Name:

(City/Town)

(State)

(Zip Code)

Point of Contact Name:

Phone Number:

Email Address:

Please specify the number of years your company has been in business:

Upload a price list as a bid attachment in COMMBUYS or indicate below how prospective buyers should obtain price quotes, i.e. web link, email, etc. If pricing is via the vendor’s website, please provide the link below; if pricing is via email, please provide the email address below.

Indicate any discount given to the Commonwealth off Manufacturer Suggested Retail Price or your standard pricing. (Eg. Percentage discount off MSRP, spend-dependent discount off standard pricing, etc.)

Please briefly describe the product(s) you offer.

Category of Service/Product |_| Category 1: Wood fueled heating systems – furnaces, stoves, and related equipment. Vendors capable of selling the systems as well as providing parts and services to wood fueled heating systems are sought.

|_| Category 2: Wood based fuels. Vendors capable of providing the fuel for systems such as those described above (chips, pellets, etc). Both bagged and bulk supply providers are sought.

Geographic Service Area Please check the county(s) where services/delivery will be offered, including the average response/delivery time.

Bidder Insurance Bidders awarded contracts pursuant to DCR 798 must have comprehensive general liability insurance, comprehensive business motor vehicle liability insurance, and worker’s compensation insurance. Bidders must submit certificates of insurance with their response that demonstrate that all of the above policies are in place. In addition, please provide the following information:

Per Incident Limit

Bidder Experience/Qualifications/Capacity:

Please describe your company’s experience and ability/capacity to provide the goods and services outlined in the RFR. Please include any specific capabilities or qualifications that demonstrate your company’s ability to fulfill the types of services sought by DCR in this RFR. In addition, please describe the skills and abilities of your staff that would ensure their ability to complete this work. DCR also encourages you to attach printed materials sheets regarding wood ships and/or pellets. (NOTE: There is no space limit to answer this question. The box below page will continue to expand as you type.)

Price/Rates - Service Please provide your company’s markup percentage rate for any indirect, overhead, profit, or administrative costs for the items/services listed below. If there is no markup, please indicate 0%

(if applicable)

· Standard Hourly field labor rate

· Emergency/ Off-hours rate

· Equipment rentals

· Subcontractor costs

· Materials

Regarding Wood fuel products (Category 2), provide pricing information as an attachment. Indicate whether prices are based on bulk delivery or bag.

Bidder Submission Checklist: Please remember to attach the following to the COMMBUYS bid.

· Completed Bidder Response Form (above)

· Prompt Payment Discount Form (PPD)

· Business Reference Form (include email addresses for references)

· Environmentally Preferable Products / Practices Form (EPP)

· Price list unless otherwise indicated on bidder response form

· Completed Massachusetts Substitute W-9 Form

· Contractor Authorized Signatory Listing (CASL) (Be sure an OFFICER of the company signs the bottom of the form)

· Authorization for Electronic Funds Transfer (EFT) image1.png