Generator Services Bidder Response Form.docx

Bid Number: BD-19-1025-DOCFS-1000E-39569

Generator Bidder Response Form Large Utility Grade Stationary Emergency Diesel Generators Response Form The following requested information is a mandatory requirement of the Request for Response (RFR). Failure to complete all sections of this form may be cause for the bid to be deemed as non-responsive and may result in disqualification.

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

General Information

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

Contract/ Project Manager This 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.

Name, Title

Phone Number (business hours)

Phone Number (non-business hours)

Fax Number

Email

Name, Title

Phone Number (business hours)

Phone Number (non-business hours)

Email

List additional company locations in New England.

Pricing Information All pricing information provided below is “ceiling not to exceed pricing”. *Please note that Eligible entities may and are encouraged to negotiate lower pricing with awarded Contractors when soliciting services/products under the contract.

Provide % Markup from Prevailing Wage

Hourly Rate $

Qualification Specifications and Required Documents with Bid Submission

Indicate with an X that the requested information is included in Bid submission

Bidder must provide a verification letter from the Secretary of State’s Corporation Division or by the city or town the company was established.

Bidder must submit OSHA 10 Certification card with Bid submission.

If applicable - If the Bidder is a participant of the Commonwealth’s Approved Apprentice Program Bidder must provide a copy of must provide a copy of the Apprentice Card.

Bidder must provide three (3) letters of reference from a government entity or from its largest customers in Massachusetts if available.

Bidder must submit a copy of their Comprehensive Commercial/Business Motor Vehicle Liability Insurance certificate.

Informational Purposes Only

While not required for this contract, does your company have any affiliations with unions?

While not required for this contract, is your company DCAMM certified?

While not required for this contract, does your company participate in the Small Business Purchasing Program (SBPP)?

While not required for this contract, is your company a Supplier Diversity Office (SDO) certified business? If Yes, Bidder must provide certification letter from Supplier Diversity Office with Bid submission.

While not required for this contract, is your company WBENC, NMSDC or City of Boston certified?

While not required for this contract, are you a veteran or service disabled veteran owned business?

Questionnaire Please proceed and complete the requested mandatory information listed below. Boxes may be expanded to fit your needs, or a separate attachment may be provided.

1. Generator Services – Please provide a list of available services that your company provides.

2. Geographic Service Area -Please provide the average response time to include emergencies.

3. Business Experience – Firm Profile - Describe experience and qualifications as it relates to generator/turbine services by your company. Also provide company’s experience as a provider for a similar governmental authority servicing commercial and if applicable, public sector accounts. Specifically detail who the services were provided for, length of time, and scope and volume of services provided. Utilize all space provided below and summarize the principal points of the Proposal.

4. OSHA Violations – Bidder must disclose any safety violations received within the last five (5) years. Bidder must provide explanation of circumstances and status.

5. Additional Licenses/Certifications – List any additional qualifying licenses not specified in the Qualification Specifications and Required Documents with Bid Submission section of this document and provide copies with your Bid Response.

6. Bond Agent – Name surety.