Exhibits C thru F.pdf

EXHIBIT C

COST PROPOSAL FORM

Item No. Description

Loss Charge

Per Item

Unit Cost Weekly Rental

*How Weekly Rental

Invoiced

1. 100% cotton woven pants, weekly rental

2. 100% cotton short sleeve shirt, weekly rental

3. 100% cotton long sleeve shirt, weekly rental

4. Hazard rating category 2 flame resistant coveralls, weekly rental

5. Shop towels – 12-in x12-in (maintain 800 count) n/a see Item No. 17

6. 3 x 10-ft mats, brown, weekly rental

7. 4 x 6-ft mat, rubber base, nylon-top, blue or brown, weekly rental

8. 3 x 5-ft mat, blue or brown, weekly rental

9. 3 x 5-ft mat, scraper (rubber) weekly rental

10. 2 x 3-ft mat, anti-fatigue (rubber) weekly rental

No. Other Charges Unit Cost 11 Emblem prep charge per shirt or coverall. Subject to Note “c.” below.

12. Name badge sewn on shirt or coverall. Subject to Note “c.” below.

13. Company logo sewn on for shirt or coverall. Subject to Note “c.” below.

14.

Charge for take in or let out of waist size by tailoring. Subject to Note “c.” below.

15. Inseam hem per pant or coverall. Subject to Note “c.” below.

16.

Shop towel maintenance fee in lieu of shop towel loss charges – (Maximum shop towel maintenance fee shall be $11 per week).

No. Additional Items for Optional Purchase Unit Cost

17. Soiled laundry bin, 150 lb. capacity (purchase option)

* For the “How Invoiced” column, on each line, write “A” if invoiced by quantity delivered weekly or “B” if invoiced by full inventory, to indicate how each item will be billed on the weekly invoice.

Continued on following page

EXHIBIT C

COST PROPOSAL FORM

Cost Proposal Form Notes:

a. All transportation, fuel, and delivery costs shall be included in the unit weekly rental prices above.

b. Contractor may add a flat rate fuel surcharge of $6 each to the Escondido and Kearny

Mesa locations weekly invoices when the most recent weekly average for California diesel fuel (on highway) ultra-low sulfur price exceeds $4.25 per gallon as published by the U.S.

Energy Information Administration at http://www.eia.gov/petroleum/gasdiesel/.

Contractor is solely responsible for adding the fuel surcharge. Fuel surcharges may not be added retroactively to paid or delivered invoices. Water Authority may deduct fuel surcharges for weeks when the most recent weekly average has dropped below $4.26 per gallon.

c. Items 11-15 shall be free for employees in the following instances: 1) at contract startup,

2) for new employees, and 3) for normal wear and tear (not caused by employee) replacement. Items 11-15 shall be chargeable for damage replacement or lost items caused by Water Authority, or size changes for employees who are not new.

d. For Items 12 and 13, printed name and company logo badges are preferred. If proposer only provides embroidered name and company logo badges, please clearly indicate on Exhibit D.

e. Special size, stockroom, or any other fees or charges will not be allowed.

f. Contractor is solely responsible for providing timely, accurate invoices per the contract terms. Invoices with inaccurate pricing or that are otherwise not per contract terms shall not be paid until revised to contract terms and pricing.

g. If the option to extend the contract term for thirty-six (36) additional months is exercised, the cost per item for all Cost Proposal Form Items will be adjusted, based on the Consumer Price Index for the San Diego area, all urban consumers, base: 1982-84=100, not seasonally adjusted (CPI-U), or 3 percent, whichever is less. The adjustment will be based on the most recent published over-the-year percent change (published annually in February). If the over-the-year percent change is less than zero, no adjustment shall be made to the Contractor’s rates. Rate increases shall not change the maximum contract amount.

http://www.eia.gov/petroleum/gasdiesel/

EXHIBIT D

EXCEPTIONS/ALTERNATIVES TO SCOPE OF WORK OR SPECIFICATIONS

Clearly identify and explain any exceptions/alternatives in your proposed services to the scope of work or specifications in Exhibit A, below, with pricing. Note that exceptions or alternatives will be scored in the evaluation criteria based on appropriateness of addition/deletion. If you have no exceptions or alternatives to Exhibit A, write, “none” and submit with your proposal.

Failure to complete this form and clearly identify any deviations from Exhibit A will result in Water Authority expectation that Contractor can meet all requirements in Exhibit A.

EXHIBIT E

SCOOP SCHEDULE A-1: DESIGNATION OF ALL SUBCONTRACTORS (NEW CONTRACT)

scoop

INSTRUCTIONS: Enter the information requested below for each subcontractor, vendor, supplier, trucker, or service provider who will perform work or labor or render service to the Contractor, or who will furnish materials, products or equipment to the Contractor. Use additional pages of this form if needed.

Contractor Name: Project: Date Completed:

Contractor Representative: Phone: Email:

Subcontractors on this contract? YES NO If YES, complete table below.

Specific Work to be Done Check “YES” to all applicable. Total Amount Committed

% of Total

Contract

List any certifications

Subcontractor Name Address listed is HQ?

Street Address Second-tier sub?

City, State, Zip Small Business?

Contact Person Minority-Owned?

Phone Woman-Owned?

Email Veteran-Owned?

Subcontractor Name Address listed is HQ?

Street Address Second-tier sub?

City, State, Zip Small Business?

Contact Person Minority-Owned?

Phone Woman-Owned?

Email Veteran-Owned?

Subcontractor Name Address listed is HQ?

Street Address Second-tier sub?

City, State, Zip Small Business?

Contact Person Minority-Owned?

Phone Woman-Owned?

Email Veteran-Owned?

Subcontractor Name Address listed is HQ?

Street Address Second-tier sub?

City, State, Zip Small Business?

Contact Person Minority-Owned?

Phone Woman-Owned?

Email Veteran-Owned?

TOTAL DOLLAR AMOUNT COMMITTED TO SMALL CONTRACTORS:

TOTAL DOLLAR AMOUNT COMMITTED TO ALL SUBCONTRACTORS:

EXHIBIT F

PROPOSER QUESTIONNAIRE

1. By checking the “yes” box below, I warrant that (enter name of proposing firm) will assign one Account Manager for Water Authority’s account serving two locations:

Yes No

2. List the location and number of employees of each plant that will service the Water Authority’s two locations. Clearly indicate if the two Water Authority locations will not be serviced by the same plant.

3. List the current percent capacity at which each plant listed in Question 2 is currently operating.

4. What percent of capacity would gaining this account likely add to each plant listed in Question

2 above?

5. List the quantity of route drivers that are employed by your firm to service routes in San Diego County, as well as the current ratio of customers per route driver in San Diego County.

6. By checking the “yes” box below, I warrant that _______________________ (enter name of proposing firm) can provide brown nylon mats to the Water Authority’s Kearny Mesa Office.

Yes No

7. I have reviewed the contract terms and conditions in Exhibit A, Sample Contract, with appropriate approval/legal review parties in my firm and we find the contract terms and conditions acceptable as written.

Yes No . If no, please explain any requested deviations/alterations to the contract terms and conditions here: