IFB SA 25 01 Attachment C Offer Forms.pdf

FURNISHING MAINTENANCE SERVICE OF AIR-CONDITIONING UNITS

AT THE ALOHA STADIUM

FOR

STADIUM AUTHORITY

IFB-SA-25-01

ATTACHMENT C

OFFER FORMS

NOTE TO BIDDERS:

You will need to save the document to your computer, input your information directly on the document, print, and sign the first page.

Bidders are responsible for ensuring that all required forms are completed in their entirety when submitting their bid otherwise a bid submitted by a responsive and responsible Bidder may not receive the award.

The Completed Offer Forms, pages OF-1 through OF-8 are required and must be uploaded as an attachment(s) on HIePRO before the bid closing date.

FURNISHING MAINTENANCE SERVICE OF AIR-CONDITIONING UNITS

AT THE ALOHA STADIUM

FOR STADIUM AUTHORITY

DEPARTMENT OF BUSINESS, ECONOMIC DEVELOPMENT AND TOURISM

IFB-SA-25-01

Procurement Officer Stadium Authority State of Hawaii P.O. Box 30666 Honolulu, Hawaii 96820-0666

Dear Procurement Officer:

The procurement conducted for the specified goods and/or services is pursuant to Hawaii Revised Statues (HRS) Chapter 103D and its Hawaii Administrative Rules (HAR). The undersigned has carefully read and understands the terms and conditions specified in the Specifications and Special Provisions, General Provisions, dated 11/2016, or as amended, and the AG General Conditions, Form AG-008, as amended, and hereby submits the following offer to perform the work specified herein, all in accordance with the true intent and meaning thereof. The undersigned further understands and agrees that by submitting this offer, 1) Offeror is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) Offeror is certifying that the price(s) submitted was (were) independently arrived at without collusion.

Offeror is:

Sole Proprietor Partnership *Corporation Joint Venture Other *State of incorporation:

Hawaii General Excise Tax License I.D. No.

Federal I.D. No.

Payment address (other than street address below):

City, State, Zip Code:

Business address (street address):

City, State, Zip Code:

Respectfully submitted:

Date: (x) Authorized (Original) Signature Telephone No.:

Fax No.: Name and Title (Please Type or Print)

E-mail Address: ** Exact Legal Name of Company (Offeror)

**If Offeror is a “dba” or a “division” of a corporation, furnish the exact legal name of the corporation under which the awarded contract will be executed:

OFFER FORM OF-1 IFB-SA-25-01

BID QUOTATION:

The following bid is hereby submitted for Maintenance Service of Air-Conditioning Units at the Aloha Stadium as specified herein:

NOTE: To be considered for award, bidder must submit a bid including both Group A and Group B Services.

Group A – Bi-Monthly, Semi-Annual and Annual Maintenance Services

Group A

Bid Price Per Month*

No. of Months

Total Bid Price

Original Contract Period:

November 1, 2024 – October 31, 2025 x 6 =

1st Supplemental Year** November 1, 2025 – October 31, 2026 x 6 =

ESTIMATED TOTAL BID PRICE – GROUP A (2-YEAR PERIOD)

Group B - Estimated Extra Work Other Than Group A Services

Group B

Standard Hourly Rate**

Estimated Hours Per Yr.

Estimated Total Bid Price

Estimated Extra Work/Standard Service Hours/Yr. Original Contract Period*** x 200 =

Estimated Extra Work/Standard Service Hours/Yr. 1st Supplemental Year*** x 200 =

ESTIMATED TOTAL BID PRICE – GROUP B (2-YEAR PERIOD)

OFFER FORM OF-2 IFB-SA-25-01

HIePRO BID:

ESTIMATED TOTAL BID PRICE – GROUP A (2-YEAR PERIOD) *

ESTIMATED TOTAL BID PRICE – GROUP B (2-YEAR PERIOD) *

TOTAL HIePRO BID*

* Bid Price Per Month shall include all costs for labor, equipment, all applicable taxes (including the Hawaii General Excise Tax), and any costs incurred to provide goods and/or services as specified herein for bi-monthly, semi-annual and annual maintenance services per SPECIAL PROVISIONS page SP-5, Bid Quotation.

** The rates listed shall be used and applied to the appropriate contract period, if and when applicable.

*** Applicable labor rate that will be charged for extra work not covered under the scope of this solicitation per SPECIAL PROVISIONS page SP-5, Bid Quotation. This rate shall be the standard labor rate charged during the hours of 7:45 a.m. to 4:30 p.m. and is not an overtime rate.

The Stadium Authority reserves the right to reject any and all Bids.

OFFEROR:

(Company Name)

OFFER FORM OF-3 IFB-SA-25-01

QUALIFICATION FORM

The bidder and his personnel shall meet the Experience and Personnel Qualifications as indicated in SPECIAL PROVISIONS page SP-2, OFFEROR QUALIFICATIONS. Please complete this form as fully and explicitly as possible to facilitate our evaluation of your firm. Use additional sheets and substantiating documents when necessary.

Exact Legal Name of Air Conditioning Maintenance Contractor:

Business Location:

Street Address

City State Zip Code

Telephone Number: Fax Number:

E-mail address (if applicable):

Contractor’s License Number:

(C-52 License No.)

Contact Person Name:

Standby Contact Personnel for Emergency Service:

Phone Number for Emergency Service:

I. Contractor’s number of years of experience (immediately prior to bid opening date) in the field of air-conditioning maintenance service of air-conditioning systems:

Are services to be rendered by company employees similar or equal to public officers and employees listed in the attached employee classification descriptions?

Yes No

If yes, list positions:

II. List at least two (2) journeyman refrigeration mechanics that will be assigned to this contract to perform maintenance services of air conditioning systems. Each journeyman refrigeration mechanic shall have a minimum of five (5) years (immediately prior to the bid opening) experience in the field of air conditioning equipment maintenance service on similar types of equipment as indicated in the specifications.

OFFEROR

OFFER FORM OF-4 IFB-SA-25-01

1. Journeyman Refrigeration Mechanic’s Name:

a. Number of years of experience:

Minimum of five (5) years

b. Number of years with present company:

c. Submit on a separate sheet with appropriate offer Form pages, the title of and date course of studies completed along with a copy of certification and documentation substantiating journeyman refrigeration mechanic certification in the Plumbers-Fitters Local 675.

d. List five (5) accounts where this individual is maintaining, repairing and servicing the air-conditioning system (Dates, Buildings/Locations, Points of Contact, Telephone Number for each account):

Dates Building/Location Contact Person Phone

2. Journeyman Refrigeration Mechanic’s Name:

a. Number of years of experience:

Minimum of five (5) years

b. Number of years with present company:

c. Submit on a separate sheet with appropriate offer Form pages, the title of and date course of studies completed along with a copy of certification and documentation substantiating journeyman refrigeration mechanic certification in the Plumbers-Fitters Local 675.

d. List five (5) accounts where this individual is maintaining, repairing and servicing the air-conditioning system (Dates, Buildings/Locations, Points of Contact, Telephone Number for each account):

Dates Building/Location Contact Person Phone

OFFER FORM OF-5 IFB-SA-25-01

1. Are services to be rendered by company employees similar or equal to public officers and employees listed in the attached employee classification description?

Yes No

If yes, percentage of unit bid price per case for labor costs: %

2. Number of consecutive years of experience

3. Address of warehouse:

Telephone number:

Contact Person:

4. Contractor’s P.U.C./DCCA Certificate No.

5. Insurance coverage is carried by:

a. Commercial General Liability:

Hawaii No-Fault Automobile Insurance:

Fire, Theft, Vandalism and/or any other physical damage for a value of

$ coverage for the State’s property:

Insurance Co.:

Address:

General Agent’s Name:

Telephone No.:

Carrier Policy No. Agent/Phone

b. Worker’s Compensation

c. Temporary Disability

d. Prepaid Health Care Hawaii

e. Unemployment Insurance: State of Hawaii I.D. No.

6. Bidder shall list below business firms other than government agencies in the State of Hawaii for whom bidder has performed services or is currently providing services comparable to the service specified herein:

Firm/Agency Contact Person Telephone a.

b.

c.

OFFER FORM OF-6 IFB-SA-25-01

Subcontractor Information:

If subcontracting any of this work, the offeror shall provide name(s) of subcontractor(s), a description of the work to be subcontracted, and the subcontractor’s years of experience in performing the work to be subcontracted. (Submit information listed below for each subcontractor and attach additional sheets if necessary, with “IFB-SA-25-01” on the bottom, right-hand corner of each sheet):

1. Exact Legal Name of Air-Conditioning Subcontractor:

Work being performed:

Years of Experience:

Minimum of five (5) years Business Location:

Street Address

City State Zip Code Contact Person:

Telephone No.: Fax Number:

E-mail address:

Air-Conditioning Contractor’s License Number:

(C-52 License No.)

2. Exact Legal Name of Air-Conditioning Subcontractor:

Work being performed:

Years of Experience:

Minimum of five (5) years Business Location:

Street Address

City State Zip Code Contact Person:

Telephone No.: Fax Number:

E-mail address:

Air Conditioning Contractor’s License Number:

(C-52 License No.)

OFFER FORM OF-7 IFB-SA-25-01

WAGE CERTIFICATE

FOR SERVICE CONTRACTS

(See Special Provisions)

Subject: IFB No.: IFB-SA-25-01

Title of IFB: Maintenance Service of Air-Conditioning Units at the Aloha Stadium for Stadium Authority the Department of Business, Economic Development and Tourism

Pursuant to Section 103-55, Hawaii Revised Statutes (HRS), I hereby certify that if awarded the contract in excess of $25,000, the services to be performed will be performed under the following conditions:

1. The services to be rendered shall be performed by employees paid at wages or salaries not less than the wages paid to public officers and employees for similar work, and

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.

I understand that failure to comply with the above conditions during the period of the contract shall result in cancellation of the contract, unless such noncompliance is corrected within a reasonable period as determined by the procurement officer. Payment in the final settlement of the contract or the release of bonds, if applicable, or both shall not be made unless the procurement officer has determined that the noncompliance has been corrected; and

I further understand that all payments required by Federal and State laws to be made by employers for the benefit of their employees are to be paid in addition to the base wage required by section

103-55, HRS.

Offeror (Company Name):

Signature:

Print Name: _______________________________________________________

Title: ____________________

Date:

OFFER FORM OF-8 IFB-SA-25-01