FAC104 Bidder Response Form Reopening.docx

Reopening FAC104 Bidder Response Form The following information is mandatory for this RFR. Failure to provide the requested information may be cause for the bid to be deemed as non-responsive and may result in disqualification. Please note all boxes will expand to accommodate answers.

Once completed, save the Word file (do not convert to PDF must be submitted as a Word file) with the following name “Company Name_FAC104_Bidder Response Form" for submission.

1. Bidder General Information

Use this column for response

Legal Company Name

Address (Street, City, State, Zip)

Main Phone Number

Fax Number

Website

Number of Years in Business, including the year the business was established

2. Designated Contract Manager

Use this column for response

Name, Title

Phone Number

Fax Number

Email

Brief statement of experience, including role as it applies to any contract(s) issued from similar solicitations.

5. State of Emergency Contact

Use this column for response

Contact Name

Phone Number

3. Additional Locations List any additional company locations in New England.

4. Industry Experience Provide a brief summary of your company’s experience in the industry. Experience should be related to the category(s) being bid on FAC104 and a description of bidder's current business in Massachusetts.

6. Categories Specify the Categories that your company is bidding on:

1) Nursery Products

3) Compost and Mulch

4) Soil Aggregate Products

14) Related Specialty EPP Products

7. Service Area Specify the County/ Counties that your company wishes to service. Bidders who provide Statewide Service will be given additional evaluation points. Link to county breakdown for reference.

Statewide (desirable)

Barnstable

Berkshire

Bristol

Dukes

Essex

Franklin

Hampden

Hampshire

Middlesex

Nantucket

Norfolk

Plymouth

Suffolk

Worcester

8. Emergency Preparedness: COOP Plan Indicate whether there is a written Continuity of Operations Plan (COOP) that describes how the company will continue to do business in case of an emergency (see RFR Section 3.6). This information will not be considered in the evaluation of the response.

Please indicate Category with an “x”

Yes

No

9. Take-back and Recycling Services Indicate whether your company offers take-back and recycling services and provide a brief overview of the program. If charges are associated with any of the services please indicate below.

10. Training and Compliance Please provide an overview of the training and compliance capabilities that your company offers Eligible Entities as they relate to the category(s) your company is bidding on, including any training on environmentally preferable options.

11. Subcontractors Please provide the company name(s) of any subcontractors that your company will be using under the contract.

12. Litigation, Penalties, Pending Actions, Enforcement Actions, or Bankruptcy Bidder shall submit a description of any and all investigations, indictments or pending litigation by any federal, state or local jurisdiction relating to the bidder, any officer, director, partner or member thereof, any affiliate or any related company within the last five years. A list of all criminal convictions within the last five years relating to the bidder, any officer, director, partner or member thereof, any affiliate or any related entity. A list of all civil penalties, judgments, consent decrees and other sanctions within the last five years, as a result of any violation of any law, rule, regulation or ordinance in connection with its business activities relating to the bidder, any officer, director, partner or member thereof, any affiliate or any related entity. A list of all actions occurring within the last five years which have resulted in revocation or suspension of any permit or authority to do business in any jurisdiction relating to the submitting entity, any officer, director, partner or member thereof, any affiliate or any related entity. A list of all actions occurring within the last five years that have resulted in the barring from public bidding relating to the bidder, an officer, director, partner or member thereof, any affiliate or any related entity. A list of all pending actions and enforcement actions, including OSHA violations. A list of all bankruptcy and other similar proceedings within the past five years relating to the bidder, any officer, director, partner or member thereof, any affiliate or any related entity.

Defaults Bidder shall provide a description, in detail, of any situation in which the bidder’s firm (either alone or as part of a joint venture), or a subsidiary of the bidder’s firm, defaulted or was deemed to be in noncompliance of any contractual obligations, explaining the situation, its outcome and all other relevant facts associated with the event described. Please also provide the name, title and telephone number of the principal manager of the contract user who asserted the event of default or noncompliance.

Other Adverse Situations Bidder shall provide a description of any present facts known to the bidder that might reasonably be expected to affect adversely either its ability to perform any aspect of the agreement or the viability of any affiliated entity that might reasonably be expected to supply financial support.

Describe any Litigation, Penalties or Bankruptcy within the last 5 years:

Describe any Defaults within the last 5 years:

Describe any other Adverse Conditions:

Describe any actions, pending actions, enforcement actions, or violations:

13. Insurance Requirements Bidders must carry Liability [General and Auto], Property, Personal Injury, and Worker’s Compensation. Bidders must indicate below their insurance limitations in the table below. Bidder’s insurance limits must meet requirements as stated in Section 3.7 of the RFR. The SSST reserves the right to request a copy of insurance at any time.

General Liability

Auto

Property

Personal Injury

Worker’s Compensation

14. Response to the below is mandatory for bidding on Category 1 – Nursery Products: Neonicotinoids Does your company, suppliers, and/or subcontractors currently use Neonicotinoids? ___Yes ___No If yes, please provide your company’s plan to phase out the use of Neonicotinoids within a year if awarded Category 1 in the box below.

This question is no longer applicable to the FAC104 Bid.

15. Commodity Specifications:

All commodity specifications can be found in Sections 6 and 7 of this RFR. Please acknowledge that you have read the commodity specifications listed. Failure to comply with any specification or requirement of this RFR for awarded category(s) after contract award may result in termination of an awarded contract.

Signed electronically:

Authorized officer name:

Title:

Date:

Certification

I, ___________________________________, agree to all terms, conditions and requirements stated in this RFR. I realize failure to comply with any requirement of this RFR after contract award may result in termination of an awarded contract.

Signed electronically Authorized officer name:

Title:

Date:

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