ITB_24-012_-_Forms_-_230825.docx

76 KB Posted

Attached to
Off the Lot Vehicles
Solicitation number
24-012
Issued by
Charles County, Maryland

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Written by GovTribe AI ·

This document is a forms package for Invitation to Bid (ITB) 24-012 issued by Charles County, Maryland, for the procurement of off-the-lot vehicles on an as-needed basis. The forms package includes five experience forms requiring bidders to document previously completed projects of similar nature and scope, with notation that "completed" means accepted and final payment issued by the owner. Bidders lacking sufficient specific experience may be deemed non-responsible and excluded from consideration. The solicitation requires bidders to submit detailed project information including original project amounts, percentage of project responsibility, change order amounts, project timelines, project locations, and descriptions of work performed. The package also includes forms for identifying intended sub-contractors and their percentage of participation, with checkboxes for minority firm classification and identification of minority class status.

The forms package additionally requires submission of an MBE Utilization Affidavit addressing whether the bidder is a certified Minority Business Enterprise through the State of Maryland, federal 8-A registration, or Charles County local government certification, and whether minority business enterprises will provide services or supplies to the contract. A Non-Collusion Affidavit must be completed and notarized, wherein the bidder affirms under penalty of perjury that no collusion, bribery, or unfair advantage-seeking has occurred in preparing the bid response. All forms must be completed in their entirety; incomplete submissions or references such as "See Attached" may result in bids being deemed non-responsive. Letters of reference are desirable but not required.

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File Type Posted
Off_the_Lot_Vehicles_(Addendum_#4_Revision).pdf PDF
ITB_24-012_-_Solicitaton_Document_-_Final_230829.pdf PDF
ITB_24-012_-_Bid_Form_-_230829.docx DOCX document
ITB_24-012_-_Delivery_Time_Form_-_230825.docx DOCX document
ITB_24-012_-_Dealer_Warranty_Form_-_230825.docx DOCX document

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ITB 24-012 – FORMS – 230825.docx Off the Lot Vehicles ITB #24-012

EXPERIENCE FORM #1

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:

Bidder/Offeror/Quoter must provide the number of projects successfully completed in the time period specified in the Solicitation Document(s), similar in nature and scope to the work required in the solicitation. “Completed” means accepted and final payment issued by the Owner. Firms which, in the sole opinion of the County, lack sufficient specific experience, may be deemed non-responsible, and will not be considered for this project. Incomplete forms or statements such as “See Attached” may be deemed non-responsive. This form may be duplicated if additional space is required. Letters of testament are desirable, but not required.

Reference #:
1

Company/Firm Name:

Address:
Phone:
Fax:
Email:
Contact Person:
Contact Person Title:
Project Name:
Original Project $ Amount
Responsible for
% of the project
$ Amount of all Change Orders
Project Begin Date
Final Project $ Amount
Original Project End Date
# of days project was extended
Why project was extended
Location work was provided (specify City, State):

Describe the work provided and explain how it relates to the work solicited:

EXPERIENCE FORM #2

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:

Bidder/Offeror/Quoter must provide the number of projects successfully completed in the time period specified in the Solicitation Document(s), similar in nature and scope to the work required in the solicitation. “Completed” means accepted and final payment issued by the Owner. Firms which, in the sole opinion of the County, lack sufficient specific experience, may be deemed non-responsible, and will not be considered for this project. Incomplete forms or statements such as “See Attached” may be deemed non-responsive. This form may be duplicated if additional space is required. Letters of testament are desirable, but not required.

Reference #:
2

Company/Firm Name:

Address:
Phone:
Fax:
Email:
Contact Person:
Contact Person Title:
Project Name:
Original Project $ Amount
Responsible for
% of the project
$ Amount of all Change Orders
Project Begin Date
Final Project $ Amount
Original Project End Date
# of days project was extended
Why project was extended
Location work was provided (specify City, State):

Describe the work provided and explain how it relates to the work solicited:

EXPERIENCE FORM #3

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:

Bidder/Offeror/Quoter must provide the number of projects successfully completed in the time period specified in the Solicitation Document(s), similar in nature and scope to the work required in the solicitation. “Completed” means accepted and final payment issued by the Owner. Firms which, in the sole opinion of the County, lack sufficient specific experience, may be deemed non-responsible, and will not be considered for this project. Incomplete forms or statements such as “See Attached” may be deemed non-responsive. This form may be duplicated if additional space is required. Letters of testament are desirable, but not required.

Reference #:
3

Company/Firm Name:

Address:
Phone:
Fax:
Email:
Contact Person:
Contact Person Title:
Project Name:
Original Project $ Amount
Responsible for
% of the project
$ Amount of all Change Orders
Project Begin Date
Final Project $ Amount
Original Project End Date
# of days project was extended
Why project was extended
Location work was provided (specify City, State):

Describe the work provided and explain how it relates to the work solicited:

EXPERIENCE FORM #4

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:

Bidder/Offeror/Quoter must provide the number of projects successfully completed in the time period specified in the Solicitation Document(s), similar in nature and scope to the work required in the solicitation. “Completed” means accepted and final payment issued by the Owner. Firms which, in the sole opinion of the County, lack sufficient specific experience, may be deemed non-responsible, and will not be considered for this project. Incomplete forms or statements such as “See Attached” may be deemed non-responsive. This form may be duplicated if additional space is required. Letters of testament are desirable, but not required.

Reference #:
4

Company/Firm Name:

Address:
Phone:
Fax:
Email:
Contact Person:
Contact Person Title:
Project Name:
Original Project $ Amount
Responsible for
% of the project
$ Amount of all Change Orders
Project Begin Date
Final Project $ Amount
Original Project End Date
# of days project was extended
Why project was extended
Location work was provided (specify City, State):

Describe the work provided and explain how it relates to the work solicited:

EXPERIENCE FORM #5

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:

Bidder/Offeror/Quoter must provide the number of projects successfully completed in the time period specified in the Solicitation Document(s), similar in nature and scope to the work required in the solicitation. “Completed” means accepted and final payment issued by the Owner. Firms which, in the sole opinion of the County, lack sufficient specific experience, may be deemed non-responsible, and will not be considered for this project. Incomplete forms or statements such as “See Attached” may be deemed non-responsive. This form may be duplicated if additional space is required. Letters of testament are desirable, but not required.

Reference #:
5

Company/Firm Name:

Address:
Phone:
Fax:
Email:
Contact Person:
Contact Person Title:
Project Name:
Original Project $ Amount
Responsible for
% of the project
$ Amount of all Change Orders
Project Begin Date
Final Project $ Amount
Original Project End Date
# of days project was extended
Why project was extended
Location work was provided (specify City, State):

Describe the work provided and explain how it relates to the work solicited:

INTENDED SUB-CONTRACTORS FORM

***Note N/A if Not Applicable. This form may be duplicated if additional space is required***

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:
Sub #:
Company/Firm Name:
Percentage of Participation:

Minority Firm |_|

Minority Class:
Non-Minority Firm |_|
Address:
Products/Services:
Sub #:
Company/Firm Name:
Percentage of Participation:

Minority Firm |_|

Minority Class:
Non-Minority Firm |_|
Address:
Products/Services:
Sub #:
Company/Firm Name:
Percentage of Participation:

Minority Firm |_|

Minority Class:
Non-Minority Firm |_|
Address:
Products/Services:
Sub #:
Company/Firm Name:
Percentage of Participation:

Minority Firm |_|

Minority Class:
Non-Minority Firm |_|
Address:
Products/Services:

The undersigned certifies the accuracy of the content provided on the Proposed Sub-Contractors Form:

Signature:

Date:
Name & Title:

MBE UTILIZATION AFFIDAVIT FORM

***Note N/A if Not Applicable. ***

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:

Provide the following information about your firm:

1.
Certified Minority Business Enterprise?
Yes |_|

No |_|

a.
Certified by: State of Maryland?
Yes |_|

No |_|

b.
Federal 8-A Registration?
Yes |_|

No |_|

c.
Charles County Local Government?
Yes |_|

No |_|

d.
Other (please list)

Principle Owner’s Minority Class (please check):

African American |_|
Asian American |_|
Women |_|

Hispanic American |_|

Native American |_|
Other (please list):
2.
If the response to Question 1 is no, have Minority Business Enterprises provided services, or supplied any items associated with your response to this Request for Quotes, Request for Proposals, or Invitation to Bid? Yes |_| No |_|

NOTE: If the response to Question 2 is yes, please include a list of all MBE subcontractors, names and addresses, the nature of the services or supplies being furnished, percentage of the overall contract amount and complete the remainder of this form. If the response to Question 2 is no, please provide signature and title at bottom of form.

Total Bid/Proposal/Quote:
$
Total Minority Business Enterprise Bid/Proposal Cost/Value/Amount:
$
Percent of Total Minority Business Enterprise Contract:
%

The undersigned certifies the accuracy of the content provided on the MBE Utilization Affidavit Form:

Signature:

Date:
Name & Title:

NON-COLLUSION AFFIDAVIT FORM

Solicitation #:
24-012
Solicitation Name:
Off the Lot Vehicles
Bidder/Offeror/Quoter:

I do solemnly declare and affirm, under the penalties of perjury, the following:

1. That neither I, nor the best of my knowledge, information and belief, the Bidder/Offeror/Quoter, nor any officer, director, partner, member, associate or employee of the Bidder/Offeror/Quoter, nor any person in his behalf, has in any way agreed, connived or colluded with any one for and on behalf of the Bidder/Offeror/Quoter, to obtain information that would give the Bidder/Offeror/Quoter an unfair advantage over others, nor gain any favoritism in the award of this contract, nor in any way to produce a deceptive show of competition in the matter of bidding or award of this contract.

2. That neither I, nor the best of my knowledge, information and belief, the Bidder/Offeror/Quoter, nor any officer, director, partner, member, associate of the Bidder/Offeror/Quoter, nor any of its employees directly involved in obtaining contracts with the State of Maryland or any County or any subdivision of the State has been convicted of bribery, attempted bribery or conspiracy to bribe under the laws of any State or Federal Government of acts or omissions committed after July 1, 1977, except as noted below: All pursuant to Article 78A, Section 16D of the Annotated Code of Maryland.

Signature

Name and Title of Signer

Company

Date

Subscribed to and sworn to before me, a Notary Public of the

(state/district & county/city: e.g., Maryland, Charles County)

(date: e.g., January 1, 2022) first written above.

Notary Public My Commission Expire

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