IFB D26 020 Additional Offeror Pages.pdf

FURNISH TOTAL MAINTENANCE OF FIRE PROTECTION EQUIPMENT (FPE) AT VARIOUS

HAWAII STATE DEPARTMENT OF EDUCATION SCHOOLS AND OFFICES

ON THE ISLAND OF OAHU LEEWARD DISTRICT

IFB D26-020

IFB D26-020 OF-1

OFFER PAGE OF-1

Exact Legal Name of Offeror, including

“dba” or “division” of a corporation (furnish the exact legal name of the entity under which an awarded contract, if any, will be executed):

Address:

Principal Place of Business

(may not be a P.O. Box):

Mailing Address (only if different):

Payment Address (only if different)

Offeror’s Primary Contact Person:

Name

Title

Telephone Number Fax Number

Email Address

Federal Tax Identification Number:

State of Hawaii General Excise Tax License Number:

Type of Business Entity (check one):

Sole Proprietor Partnership Corporation Joint Venture Limited Liability Company Other

Names of all Offeror’s parent, affiliate and subsidiary organizations:

Offeror is either:

A Hawaii business incorporated or organized under the laws of the State of Hawaii; OR

A Compliant Non-Hawaii business incorporated or organized under the laws of the State of on (date) _____________, and, if applicable, registered with the State of Hawaii Department of Commerce and Consumer Affairs Business Registration Division to do business in the State of Hawaii.

The undersigned has carefully read and understands the terms and conditions specified herein and hereby submits the following offer to provide the goods and/or perform the work specified herein, all in accordance with the true intent and meaning thereof, and further that the Offeror shall comply with all terms, conditions and requirements of the solicitation. The undersigned further understands and agrees that by submitting this offer, 1) the undersigned is declaring the undersigned’s offer is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) the undersigned is certifying that the price(s) submitted was (were) independently arrived at without collusion.

Authorized (Original in ink) Signature Name (printed)

Title Date

Wage Certificate (Rev. 01.05.2022)

WAGE CERTIFICATE

Subject:

Project Number IFB D26-020

Project Description Furnish Total Maintenance of Fire Protection Equipment (FPE) at Various Hawaii State Department of Education Schools and Offices on the Island of Oahu Leeward District

Pursuant to §103-55, HRS, I hereby certify that, if awarded a contract in excess of $25,000.00, the services to be performed will be performed in accordance with the following conditions:

1. The services to be rendered shall be performed by employees paid at wages or salaries not less than wages paid to the public officers and employees for similar work, if similar positions are listed in the classification plan of the public sector.

Services Performed by Laborers and Mechanics:

The Contractor or the Contractor’s subcontractor shall give a copy of the rates of wages to each laborer and mechanic employed under the contract by the Contractor at the time each laborer and mechanic is employed; provided that the Contractor does not have to provide the Contractor’s employees the wage rate schedules where there is a collective bargaining agreement.

2. All applicable laws of the Federal and State governments relating to workers’ compensation, unemployment compensation, payment of wages, and safety will be fully complied with.

Contractor shall be obliged to notify its employees performing work under this contract of the provisions of §103-55, HRS, and the current wage rate for public employees performing similar work. The Contractor may meet this obligation by posting a notice to this effect in the Contractor’s place of business accessible to all employees, or the contractor may include such notice with each paycheck or pay envelope furnished to the employee.

I understand that, in addition to the base wages required by §103-55, HRS, all payments required by Federal and State laws that employers must make for the benefit of their employees shall be paid.

Offeror

Signature

Title

Date

Offeror:

EXHIBIT A

IFB D26-020 EX A-1

OFFEROR INFORMATION

Offeror shall provide the Exhibit A, including attachments if applicable, within three (3) business days from STATE’s request.

A. EXPERIENCE

The Offeror or an officer and/or owner of the Offeror shall have a minimum of five (5) consecutive years of experience (immediately prior to the bid opening date) in the field of maintenance and testing of the specified FPE. If Offeror is owned by a parent company in which the parent company has the required five (5) years of experience, the Offeror shall also qualify for the experience required pending verification. All Offerors must be able to produce documented maintenance and repair experience to substantiate their claim of experience.

Number of Consecutive Years of Experience in Maintaining FPE YEARS

LICENSE

Prior to Contract execution and throughout the contract period, Offeror and the personnel assigned to service FPE must have current licenses issued by the Fire Prevention Bureau (FPB), Fire Department, County of Honolulu at the time of bid submittal. These licenses must be kept in force during the duration of this Contract and for any extension(s) that may be agreed upon.

Offeror shall provide all necessary documentation (e.g. copy of license) to substantiate compliance with this requirement.

Name of Licensed Individual

Years of Experience

YEARS

Years with Current Company

License Number

License Attached ☐ YES

Name of Licensed Individual

Years of Experience

Years with Current Company

License Number

License Attached ☐ YES

IFB D26-020 EX A-2

OFFICE LOCATION AND SERVICE FACILITY

Offeror shall have a permanent office and service facility on the island of Oahu from where business is conducted and from where the company is accessible to telephone calls for complaints or requests that need immediate attention. An answering service is not acceptable. Office and service facility shall include warehousing of spare parts and materials required for the maintenance and repair of the specified FPE listed and from where personnel are dispatched to perform the work specified in this Contract.

Offeror shall be capable of maintaining Fire Protection Equipment for the STATE. Therefore, at the time of bidding and during the contract period, Offeror shall maintain a Hawaii-based office and business capability of its own.

OAHU (LEEWARD DISTRICT)

Name of Company

Office Street Address

Office Telephone and Fax Number

Service Facility Street Address

Service Facility Telephone and Fax Number

POINT OF CONTACT

Offeror shall designate at least one (1) employee as the STATE point of contact (POC) for this Contract. This individual shall be based on Oahu and available during regular business hours, Monday through Friday excluding holidays, and shall be capable of answering questions, resolving problems, and providing sales, ordering, and follow-up assistance.

POC Based on Oahu

YES

Point of Contact (POC) Name

POC Telephone Number

POC Email Address

REFERENCES

Offeror shall list at least three (3) companies or government agencies to whom Offeror has or is performing maintenance services of FPE on a regular basis. Services shall be similar in nature and volume to the services specified in this bid in order to qualify Offeror to perform the project. The STATE reserves the right to contact the references listed to inquire about Offeror’s past and/or current performance.

1. Company or Government Agency

Address

IFB D26-020 EX A-3

Contact Name

Telephone Number

Email Address

Dates of Service

2. Company or Government Agency

3. Company or Government Agency