Final_RFB_605_1900000040_1_SO_FORM.PDF

Document ID: RFB 605 1900000040 Page: 1 of 4

Commonwealth of Kentucky

SOLICITATION

Addenda: No Addenda #:

TITLE: Mat Service for District 10

Date Issued:

7/23/18 Record Date:

2018-07-23

Solicitation Closes Date:

8/7/18 Time:

10:00

Solicitation No:

RFB 605 1900000040

Online Bidding Prohibited: Yes

For Information Call:

Sheila Durham 502-782-3975

Bid Receiving Location:

KYTC Division of Purchases Bid Clerk 200 Mero Street 4th Floor Frankfort KY 40622

Vendor Customer Number:

Vendor Name:

Phone Number:

Fax Number:

Email Address:

Ordering

Address:

City, State, Zip:

Contact Name:

Contact Email:

Payment

Address:

City, State, Zip:

Contact Name:

Contact Email:

Ownership Type

__ Sole Proprietorship __ Partnership __ Corporation __ Other_________________________

SIGNATURE OF AUTHORIZED AGENT IS REQUIRED UNLESS RESPONSE

IS SUBMITTED ELECTRONICALLY. FAILURE TO SIGN SHALL RENDER

THE BID INVALID.

Signature X_________________________________________ FEIN#____________________ Date____________

All offers subject to all terms and conditions contained in this solicitation.

Document ID: RFB 605 1900000040 Page: 2 of 4

Line Items

Commodity Group: Default Commodity Group

Line CL Description Quantity UOM Unit Cost Line Total or Contract Amnt

1 4 ft x 6 ft Grey Mats 130.00000 EA

Comm Code Comm Description Manufacturer Model # Manuf Part #

98338 Janitorial Equipment Rental or Lease

Extended Description Delivery location and estimated needs as follows:

Five (5) 4 ft x 6 ft Grey Mats. Service required every other week.

Jackson District Office 473 Highway 15 South Jackson, KY 41339

See Section 1.00 for specifications.

2 3 ft x 10 ft Grey Mats 78.00000 EA

Extended Description Delivery location and estimated needs as follows:

Three (3) 3 ft x 10 ft Grey Mats. Service required every other week.

Jackson District Office 473 Highway 15 South Jackson, KY 41339

See Section 1.00 for specifications.

3 Replacement for 4 x 6 Mat 1.00000 EA

Extended Description Replacement cost for 4 x 6 Mat.

Vendor shall enter unit price for the cost of replacing mat if damaged, destroyed, or stolen from a KYTC facility. See Section 1.00 for specifications.

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4 Replacement for 3 x 10 Mat 1.00000 EA

Extended Description Replacement cost for 3 x 10 Mat.

Vendor shall enter unit price for the cost of replacing mat if damaged, destroyed, or stolen from a KYTC facility. See Section 1.00 for specifications.

Shipping Information KYTC District 10 - Jackson District Office

473 Highway 15 South

Jackson KY 41339

Billing Information KYTC District 10 - Jackson District Office

473 Highway 15 South PO Box 621 Jackson KY 41339

Document ID: RFB 605 1900000040 Page: 4 of 4

Submission Checklist

The following items will be required to be submitted with bid:

Item

PRICE

Vendors can use this website to view bid opportunities for the Commonwealth. Vendors with an account can update their company information (addresses, contact persons, etc.) and sign up to receive email notifications of bid opportunities. New to VSS – vendors will be able to download and print copies of contracts and view payment history. All Vendors must login to activate their account and to select the commodity code(s) associated with your business in order to receive future email notifications.

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1900000040 Mat Service for District 10 of 29 https://emars311.ky.gov mailto:Finance.CRCGroup@ky.gov http://finance.ky.gov/services/policies

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1900000040 Mat Service for District 10 of 29

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Document Description Page 8 mailto:sheila.durham@ky.gov

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Document Description Page 11 http://www.lrc.ky.gov/KRS/014A09/010.PDF http://www.lrc.ky.gov/KRS/014A09/030.PDF https://secure.kentucky.gov/sos/ftbr/welcome.aspx

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Document Description Page 13 mailto:sheila.durham@ky.gov

Document Description Page 14 https://emars311.ky.gov

Document Description Page 15 http://www.merriam-webster.com/dictionary/seal

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Document Description Page 18 http://finance.ky.gov/services/policies

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ATTACHMENT A

ANNUAL AFFIDAVIT FOR BIDDERS, OFFERORS, AND CONTRACTORS

FOR OFFICIAL USE ONLY:

Dates will be completed by Purchasing Staff Maximum Length One-Year

Affidavit Effective Date: ___________________

Affidavit Expiration Date: __________________

REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS

FOR BIDS AND CONTRACTS IN GENERAL:

I. Each bidder or offeror swears and affirms under penalty of perjury, that to the best of their knowledge:

a. In accordance with KRS 45A.110 and KRS 45A.115, neither the bidder or offeror as defined in KRS 45A.070(6), nor the entity which he/she represents, has knowingly violated any provisions of the campaign finance laws of the Commonwealth of Kentucky; and the award of a contract to the bidder or offeror or the entity which he/she represents will not violate any provisions of the campaign finance laws of the Commonwealth.

b. The bidder or offeror swears and affirms under penalty of perjury that, to the extent required by Kentucky law, the entity bidding, and all subcontractors therein, are aware of the requirements and penalties outlined in KRS 45A.485; have properly disclosed all information required by this statute; and will continue to comply with such requirements for the duration of any contract awarded.

c. The bidder or offeror swears and affirms under penalty of perjury that, to the extent required by Kentucky law, the entity bidding, and its affiliates, are duly registered with the Kentucky Department of Revenue to collect and remit the sales and use tax imposed by KRS Chapter 139, and will remain registered for the duration of any contract awarded.

d. The bidder or offeror swears and affirms under penalty of perjury that the entity bidding is not delinquent on any state taxes or fees owed to the Commonwealth of Kentucky and will remain in good standing for the duration of any contract awarded.

e. The bidder or offeror swears and affirms that the entity bidding, and all subcontractors therein, have not violated any of the prohibitions set forth in KRS 11A.236 during the previous ten (10) year, and further pledge to abide by the restrictions set forth in such statute for the duration of the contract awarded.

FOR “NON-BID” CONTRACTS (I.E. SOLE-SOURCE; NOT-PRACTICAL OR FEASIBLE TO

BID; OR EMERGENCY CONTRACTS, ETC):

II. Each contractor further swears and affirms under penalty of perjury, that to the best of their knowledge:

Document Description Page 22 http://www.lrc.state.ky.us/KRS/045A00/110.PDF http://www.lrc.state.ky.us/KRS/045A00/115.PDF http://www.lrc.state.ky.us/KRS/045A00/070.PDF http://www.lrc.state.ky.us/KRS/045A00/485.PDF http://www.lrc.ky.gov/KRS/139-00/CHAPTER.HTM

a. In accordance with KRS 121.056, and if this is a non-bid contract, neither the contractor, nor any member of his/her immediate family having an interest of 10% or more in any business entity involved in the performance of any contract awarded, have contributed more than the amount specified in KRS 121.150 to the campaign of the gubernatorial slate elected in the election last preceding the date of contract award.

b. In accordance with KRS 121.330(1) and (2), and if this is a non-bid contract, neither the contractor, nor officers or employees of the contractor or any entity affiliated with the contractor, nor the spouses of officers or employees of the contractor or any entity affiliated with the contractor, have knowingly contributed more than $5,000 in aggregate to the campaign of a candidate elected in the election last preceding the date of contract award that has jurisdiction over this contract award.

c. In accordance with KRS 121.330(3) and (4), and if this is a non-bid contract, to the best of his/her knowledge, neither the contractor, nor any member of his/her immediate family, his/her employer, or his/her employees, or any entity affiliated with any of these entities or individuals, have directly solicited contributions in excess of $30,000 in the aggregate for the campaign of a candidate elected in the election last preceding the date of contract award that has jurisdiction over this contract.

As a duly authorized representative for the bidder, offeror, or contractor, I have fully informed myself regarding the accuracy of all statements made in this affidavit, and acknowledge that the Commonwealth is reasonably relying upon these statements, in making a decision for contract award and any failure to accurately disclose such information may result in contract termination, repayment of funds and other available remedies under law. If the bidder bidder, offeror, or contractor becomes non-compliant with any statement during the affidavit effective period, I will notify the Finance and Administration Cabinet, Office of Procurement Services immediately. I understand that the Commonwealth retains the right to request an updated affidavit at any time.

Signature Printed Name

Title Date

Company Name

Address

Commonwealth of Kentucky Vendor Code (if known)

Subscribed and sworn to before me by (Affiant) (Title) of this _____day of ____________,20___.

(Company Name)

Document Description Page 23 http://www.lrc.ky.gov/KRS/121-00/056.PDF http://www.lrc.ky.gov/KRS/121-00/150.PDF http://www.lrc.ky.gov/KRS/121-00/330.PDF http://www.lrc.ky.gov/KRS/121-00/330.PDF

Notary Public [seal of notary] My commission expires:

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Attachment D

REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND

CONTRACTORS CLAIMING RESIDENT BIDDER STATUS

The bidder or offeror hereby swears and affirms under penalty of perjury that, in accordance with KRS 45A.494(2), the entity bidding is an individual, partnership, association, corporation, or other business entity that, on the date the contract is first advertised or announced as available for bidding:

1. Is authorized to transact business in the Commonwealth;

2. Has for one year prior to and through the date of advertisement

a. Filed Kentucky income taxes;

b. Made payments to the Kentucky unemployment insurance fund established in KRS 341.49; and

c. Maintained a Kentucky workers’ compensation policy in effect.

The BIDDING AGENCY reserves the right to request documentation supporting a bidder’s claim of resident bidder status. Failure to provide such documentation upon request shall result in disqualification of the bidder or contract termination.

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Attachment E

REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS

CLAIMING QUALIFIED BIDDER STATUS

I. The bidder or offeror swears and affirms under penalty of perjury that the entity bidding, and all subcontractors therein, meets the requirements to be considered a “qualified bidder” in accordance with 200 KAR 5:410(3); and will continue to comply with such requirements for the duration of any contract awarded.

Please identify below the particular “qualified bidder” status claimed by the bidding entity.

________ A nonprofit corporation that furthers the purposes of KRS Chapter 163

_______ Per KRS 45A.465(3), a "Qualified nonprofit agency for individuals with severe disabilities" means an organization that:

(a) Is organized and operated in the interest of individuals with severe disabilities; and

(b) Complies with any applicable occupational health and safety law of the United States and the Commonwealth; and

(c) In the manufacture or provision of products or services listed or purchased under KRS 45A.470, during the fiscal year employs individuals with severe disabilities for not less than seventy-five percent (75%) of the man hours of direct labor required for the manufacture or provision of the products or services; and

(d) Is registered and in good standing as a nonprofit organization with the Secretary of State.

The BIDDING AGENCY reserves the right to request documentation supporting a bidder’s claim of qualified bidder status. Failure to provide such documentation upon request may result in disqualification of the bidder or contract termination.

Document Description Page 28 http://www.lrc.state.ky.us/kar/200/005/410reg.htm http://www.lrc.state.ky.us/kar/200/005/410reg.htm