FHPS - HS TV Removal RFP APP A.xlsx

XLSX spreadsheet 56 KB Posted Feb 9, 2019

Attached to: Request for High School TV Removal
Solicitation number: RFP-FHP-190000001038-1
Issued by: Kent County, Michigan

About this file

Written by GovTribe AI · Feb 27, 2025

This is an RFP appendix document from Forest Hills Public Schools (FHPS) for TV removal services at multiple school locations. The project involves the removal of TVs from four school buildings: Central High School (73 TVs), Eastern High School (47 TVs), Eastern Middle School (48 TVs), and Northern High School (69 TVs), for a total of 237 TVs. The document consists of required forms that must be submitted with proposals, including a Proposal Summary, Familial Disclosure Affidavit, Iran Economic Sanctions Act Compliance form, Comply Exception form, Vendor Questionnaire, and Cost Form.

The pricing structure requires vendors to break down costs by materials and labor for each school location, with a performance bond requirement calculated as a percentage of the project cost. Unit costs for TV removal must be provided with identical add/deduct costs. The RFP requires a bid bond, without which responses will be rejected. Vendors must confirm their ability to meet disposal requirements outlined in section 2.3 of the RFP and complete the work within the timeframe specified in section 2.1.1, though specific dates are not provided in this appendix.

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File	Type	Posted
FHPS - HS TV Removal RFP APP B.pdf	PDF	Feb 9, 2019
FHPS - HS TV Removal RFP APP C.pdf	PDF	Feb 9, 2019
FHPS - HS TV Removal RFP.pdf	PDF	Feb 9, 2019

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Contents

APPENDIX A

Must be submitted in Microsoft Excel format

Contents

Instructions: The RFP forms section contains the following documents that MUST to submitted with your RFP response.

REQUIRED FORMS:

The following forms MUST be submitted as a part of your RFP Response

CONTENTS:

Proposal Summary

Familial Disclosure Affidavit

Iran Economic Sanctions Act

Comply Exception

Vendor Questionnaire

Cost Form

Site Information

Your bid response must include a completed copy of each form above, in the order listed above. An electronic copy of these forms in a Microsoft Excel (.xls) format must also be submitted. Failure to submit each of the above forms may be cause for rejection of the bid response.

&"Arial,Regular"&10&K000000Appendix A

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

Proposal Summary Proposal Summary

* * * Notice to vendors: Please place in front of bid packet as first page * * *

Company Name

Proposal Preparer

Phone Number

Fax Number

E-mail Address

Proposal Summary - Base Bid for Initial Purchase Quantities
Total Base Bid Cost for TV Removal
Acknowledgment of Addenda Received
Addendum Number	Dated	Initials

Other Acknowledgments

On this ______________day of ________________, 20____, the undersigned declares that he/she has carefully examined the Instructions/Conditions for this Bid and will honor all purchase orders, prices and specifications set forth in the Request for Proposal.

The undersigned understands that the Forest Hills Public Schools reserves the right to accept or reject in whole or in part any and all Proposals, to waive informalities and irregularities therein, to award the Contract to other than the lowest bidder, and to award the Contract to one (1) or more Vendors in the Forest Hills Public Schools' sole and absolute discretion. If award is made to our firm based upon our Proposal, we agree to enter into the attached form of Contract with the Forest Hills Public Schools to furnish the proposed solution and/or services in strict accordance with the Request For Proposals, the Contract and our Proposal.

My signature certifies that the Proposal as submitted complies with all terms and conditions as set forth in the Request For Proposals, unless specifically enumerated as an exception as part of our Proposal. I hereby certify that I am authorized to sign as a Representative for the firm.

VENDOR HEREBY SUBMITS THIS PROPOSAL PRICING FORM IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF THE RFP.

Name of Company

Authorized Signature

Printed / Typed Name of Authorized Signer

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

Familial Disclosure Affidavit Familial Disclosure Affidavit

THE AFFIDAVIT SET FORTH BELOW MUST BE EXECUTED ON BEHALF OF

THE VENDOR AND FURNISHED WITH EVERY BID

FAMILIAL DISCLOSURE AFFIDAVIT

State of

County of

Tax ID Number

The undersigned, the owner or authorized officer of ___________________________ (the "Vendor"), pursuant to the familial disclosure requirement provided in the Forest Hills Public Schools' Request for Proposal for High School TV Removal, hereby represents and warrants that, except as provided below, no familial relationships exist between the owner or any employee of the Vendor and any member of the Board of Education of the School District or the Superintendent of the School District. A list of the School District's Board of Education members and its Superintendent may be found at the Forest Hills Public Schools website.

List any Familial Relationships (If "no exceptions", please state)

Vendor:

By:

Its:

SWORN TO and subscribed before me, a Notary Public, in and for the above named State and County this day of ________, ___________.

(Notary Public)

_________________ County, _________

My Commission Expires:

Acting in the County of:

&"Arial,Regular"&10&K000000Appendix A

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

Iran Economic Sanctions Act Iran Economic Sanctions Act

The Board of Education will not accept this bid without this completed, signed and notarized form

AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012

The undersigned, the owner or authorized officer of the below-named contractor (the “Contractor”), pursuant to the compliance certification requirement provided in the Forest Hills Public Schools (the “School District”) Request For Proposal for a TV Removal Systems (the “RFP”), hereby certifies, represents and warrants that the Contractor (including its officers, directors and employees) is not an “Iran linked business” within the meaning of the Iran Economic Sanctions Act, Michigan Public Act No. 517 of 2012 (the “Act”), and that in the event Contractor is awarded a contract as a result of the aforementioned RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing any services under the contract.

The Contractor further acknowledges that any person who is found to have submitted a false certification is responsible for a civil penalty of not more than $250,000.00 or 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the School District’s investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on a request for proposal for three (3) years from the date it is determined that the person has submitted the false certification.

CONTRACTOR:

	Name of Contractor
By:
Its:
Date:

STATE OF	)
	)	ss.
COUNTY OF	)

This instrument was acknowledged before me on the ____ day of __________, 20___, by _______________________.

	, Notary Public
	County,
My Commission Expires:
Acting in the County of:

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

Comply Exception Comply Exception

The Vendor must clearly indicate whether you either comply or take an exception to any of the sections in this RFP, including all Appendices. A completed form MUST be submitted with every response.

Please indicate any sections below that you do not comply with and please state your exception and a reason. Do not respond in this section to equipment specifications that you take exception to - respond to that in the Technical Specs tab.

Section # RFP Item Exception / Reason

By signing below, you indicate the you fully comply with the RFP, including all parts (RFP, Attachments, Contract), except as noted above. We agree that if award is made to our firm based upon our Proposal, we agree to enter into the Contract included in the RFP and furnish the Services in strict accordance with this Request for Proposal, the Contract and our Proposal.

Signature:

Printed Name:

Title

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

Vendor Questionnaire

Vendor Questionnaire
Company Name
Contact Name
Address
City, State, Zip
Phone
Fax
Web Address
Project Contact: (if different from above)	(Name)
	(Phone)
	(Email)
Contracting Classification: (General, Sub, Supplier)
Primary Services provided by your firm:
Other Services:

(Attach a sheet if necessary)

Business Structure: (Corp., Partnership, Sole Proprietor Other)
Number of years in business as the company named above:
I acknowledge that the original hardcopy bid submitted is identical to the electronic bid as requested in the RFP section 1.3.
Work Force:
Administrative
Field (Avg.)
Other
Company's largest single contract:
Annual Gross Revenue for last three (3) years:
2015
2016
2017
Bonding Limits:
Single Project
Aggregate
Contact who can verify limits
Address
Insurance limits:	Attach current certificate(s) copies showing limits you carry.

Geographical area of operations for your firm:

Estimated number of staff assigned to THIS project

Identify key staff here, indicating how many years they have been with your organization

Provide name of the project manager assigned to this project

Provide resumes and/or background for key staff

Signature:
Printed name:
Date:
Title:
Please provide the following references with services similar to that which has been proposed. Please use additional sheets if necessary. Reference must be within the last twelve (12) months
District / Company Name:
Address:
Contact Name:
Phone Number:
E-mail:
Description:
Date of Installation:
Environment:	Example: Describe work performed and scale (qty) of engagement
District / Company Name:
Address:
Contact Name:
Phone Number:
E-mail:
Description:
Date of Installation:
Environment:	Example: Describe work performed and scale (qty) of engagement
District / Company Name:
Address:
Contact Name:
Phone Number:
E-mail:
Description:
Date of Installation:
Environment:	Example: Describe work performed and scale (qty) of engagement
Additional RFP Confirmations & Questions
Are you utilizing Subcontractors for this project?
Please provide 3 references where you have worked with this subcontractor in a similar capacity in the past 2 years (Client name, contact, scope of work).
Please indicate what value-add items your proposal includes
Please indicate any assumptions you made in your proposal.
Please confirm that you have included all required solution components for the quantities listed in this appendix and if your proposal does not include enough you will include these at no additional charge.
Please confirm that you understand the requirements for the disposal of existing equipment per section 2.3 of the RFP.
Please confirm that you can complete the work in the timeframe outlined in section 2.1.1 of the RFP
Please confirm that you included a project plan to include an installation schedule as outlined in section 1.7.3 of the RFP.

&"Arial,Regular"&10&K000000Appendix A

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

Cost Form

IMPORTANT NOTE

RESPONSES SUBMITTED WITHOUT A BID BOND / CHECK WILL BE REJECTED AND NOT CONSIDERED FURTHER TV Removal Materials Labor Total (B*C)

Base Bid

Central High School

Northern High School

Eastern High School

Eastern Middle School

Other Costs

<<Please add additional rows, if necessary>>

Total Base Bid:

Performance Bond

Performance Bond as % of project cost / $1000; used for add/deducts; If based on a sliding scale, please clearly state the costs.

Unit Costs (add/deduct cost must be the same)

Removal of TVs (as described in Section 2 of RFP)

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

Site Information

Site Information
Building	Building Address	TV Removal
Central High School	5901 Hall Street SE, Grand Rapids, MI 49546-3849	73
Eastern High School	2200 Pettis NE, Ada, MI 49301-9266	47
Eastern Middle School	2200 Pettis NE, Ada, MI 49301-9266	48
Northern High School	3801 Leonard Street NE, Grand Rapids, MI 49525-3372	69

&"Arial,Regular"&10&K000000Appendix A

	&"Arial,Bold"&10FOREST HILLS PUBLIC SCHOOLS
High School TV Removal RFP	&"Arial,Regular"&10&A

&"Lato,Regular"&8Prepared by: Plante Moran &"Arial,Regular"&8Page &P

File details come from the government source that posted it. Updated Feb 27, 2025.