ITB - Fluid Delivery System.pdf
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- Attached to
- ITB - Fluid Delivery System
- Solicitation number
- 100661
- Issued by
- Knox County, Tennessee
About this file
The document is an Invitation to Bid (ITB) issued by the City of Knoxville Purchasing Division for a Fluid Delivery System to be procured for the city's three Fleet Services maintenance shops. The City is seeking to purchase one new, unused, turn-key ready Fluid Delivery System for inventory control, similar to a Balcrank NEX-U, with bids to be received until 11:00:00 a.m. Eastern Time on May 2, 2025. The system will control the dispensing and recording of non-fuel, bulk fluids in maintenance bays, designed to improve efficiency and provide editable fluid management reports. The successful bidder will be responsible for installation, support, and training of City personnel, with on-site service to come from a local representative.
The bid requires detailed specifications for fluid delivery across three shop locations: Heavy Equipment Shop, Fire Shop, and Light Equipment Shop, each with specific fluid types and reel configurations. The City strongly encourages the use of Diversity Business Enterprises (DBEs) and has fiscal year 2025 goals of 4.3% minority-owned businesses, 10.3% woman-owned businesses, and 34.8% small businesses. Bidders must complete a comprehensive specification table indicating whether they meet each requirement, and may be deemed non-responsive if the table is not fully completed. The procurement includes provisions for local service, warranty, and comprehensive documentation, with all freight, delivery, and assembly charges to be included in the bid price.
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City of Knoxville Purchasing Division Invitation to Bid
ITB - Fluid Delivery System
Sealed bids, invited by the City of Knoxville, will be received by the Purchasing Division of the City of Knoxville, in Room 667- 674, City County Building; 400 Main Street; Knoxville, Tennessee, until 11:00:00 a.m. (Eastern Time) on May 2, 2025 at which time they will be opened and publicly read aloud and a contract awarded as soon thereafter as practicable for various Fluid Delivery System.
The bid opening may be viewed virtually on Zoom through this link:
City of Knoxville Purchasing is inviting you to a scheduled Zoom meeting.
Topic: ITB - Fluid Delivery System Time: May 2, 2025 11:00 AM Eastern Time (US and Canada) Join Zoom Meeting https://us02web.zoom.us/j/89638618990?pwd=ZXioaQmPIpOfFKVZmlzuKcERLfbGHL.1
Meeting ID: 896 3861 8990 Passcode: 344589
One tap mobile
+13092053325,,89638618990#,,,,*344589# US
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Find your local number: https://us02web.zoom.us/u/kewnZIwBnb
Scope of Work:
The City of Knoxville is seeking to purchase one (1) new, unused, turn-key ready Fluid Delivery System for inventory control, similar to a Balcrank NEX-U, for the three (3) Fleet Services maintenance shops detailed below in the specification. Any brand being specified must be equal to or better than the brand listed & must meet the minimum specification.
This system shall control the dispensing and recording of non-fuel, bulk fluids dispensed in the Fleet Services maintenance bays. The system shall be designed to improve the efficiency and control of fluid dispensing and provide editable standard and custom fluid management reports. The bidder will be responsible for the installation, support, and training of City of Knoxville personnel on the features and functions described. The on-site service and support shall come from a local representative, not a third-party provider.
All necessary equipment shall be furnished and delivered new, complete and ready for use. All parts not specifically mentioned but which are standard and/or necessary for the complete unit shall be supplied and installed by the vendor even though such work or material is not specifically outlined and shall conform in strength, quality of material, and workmanship to the best practice known in the industry.
Specifications:
Successful bidder shall be approved by the product manufacturer to install the specified fluid delivery system.
The bidder must respond to each item listed in the specification in the space provided, indicating whether they meet or do not meet specification, and describe/clarify the proposed item or any deviation to the item. These pages are to be included in the Bid Response. Bidder may be deemed non-responsive if the minimum specification table is not completely filled
2 | P a g e out and included with Bid Submission Forms. All deviations to the specification must be addressed here, please use additional pages if necessary.
Minimum Specifications: (All standard equipment is expected to be included unless specifically noted otherwise)
Item # Description Meet Spec?
Y/N Comments
Shop Locations:
1.1
Heavy Equipment Shop:
1400 Loraine St.
Knoxville, TN 37921 Things to note about this location:
• The fluids are located in a pump room just outside the shop.
• Inside the shop there are three (3) banks with four (4) reels, totaling 12 hoses.
1. Hydraulic Fluid
2. 15w40 engine oil
3. 75W90 gear lube
4. Antifreeze
1.2
Fire Shop:
1410 Loraine St.
Knoxville, TN 37921 Things to note about this location:
• The fluids are located in a pump room just outside the shop.
• Inside the shop there are two (2) banks with four (4) reels, totaling 8 hoses.
1. Hydraulic Fluid
2. 15w40 engine oil
3. 75W90 gear lube
4. Antifreeze
• The Fire Shop also has a single tank & reel that supplies
ATF.
1.3
Light Equipment Shop:
3409 Vice Mayor Jack Sharp Rd Knoxville, TN 37914 Things to note about this location:
• The fluids are located just outside behind the shop.
• Inside the shop there are two (2) banks with six (6) reels, totaling 12 hoses.
1. 5W20 Motor Oil
2. 5W30 Motor Oil
3. 0W20 Motor Oil
4. Mercon LV ATF
5. ATF+4 (for Dodge)
6. ATF Universal Synthetic
Minimum Specification:
2.1 The fluid delivery system shall be able to track and dispense fluids accurately from live data.
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2.2
Access keypad:
• Before allowing system access or dispensing fluid(s) the system must require a user number & a job number.
• User number and job number must allow at least 10 characters each.
• Display - 6” full color display, minimum
2.3
System must have the ability to save transactions in either Excel or CSV format allowing the department to upload data to their fleet software. Each transaction must automatically record:
1. Date/Time of transaction
2. User number that was manually entered
3. Job number that was manually entered
4. Reel number
5. Product type
6. Quantity dispensed
2.4
Please state what size power source is needed for the system being bid. Please note that the City will be responsible for installing the electrical and data lines necessary to each hose reel bank.
2.5
Any activation fees and/or subscriptions needed for full use of the system shall be paid for by the awarded bidder for a minimum of one (1) year. The City must be able to continue usage after the initial one (1) year period.
2.6 Any misc. fittings, clamps, supplies needed for the installation of the system are the responsibility of the bidder.
Delivery & Documentation:
3.1 Warranty:
Please state what warranty is offered for components and installation.
3.2
The successful bidder must have a local service center and be able to maintain and/or have access to a parts inventory within 50 miles. Parts inventory must be sufficient in size and variety to service the City of Knoxville’s needs & fleet size.
3.3 Factory direct deliveries are NOT acceptable.
Equipment shall be serviced, inspected, and delivered from the successful bidder’s nearest service facility as soon as possible.
3.4 Operator’s manuals, parts manuals, service manuals, and any training videos (if available) must be delivered with equipment.
3.5 A factory-direct representative shall conduct on-site training covering proper operation and maintenance of the machine.
3.6 Bidder must be an authorized distributor for parts, service, and warranty.
3.7 All freight, delivery, assembly charges must be included in bid price.
3.8
Delivery & Contact Information:
Schedule delivery with Jeff Johnston - (865) 951-3620 Fleet Services Heavy Shop 1400 Loraine Street Knoxville, TN 37921
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Delivery Instructions:
Delivery will be to:
Fleet Services Heavy Shop 1400 Loraine Street Knoxville, TN 37921
Price is to include all charges, FOB Destination to the Fleet Services Heavy Shop. No after hour, holiday or weekend deliveries will be accepted.
Bid Submission Requirements:
Bidders must furnish the following information in writing with their submission:
1. Bid Form showing bidder’s name, address, quoted price, business license number, date of expiration of business license. A copy of the bidder’s current business license may be submitted in lieu of providing the license expiration date.
2. Submission Affidavits and Certifications
3. Warranty Information
Instructions and Conditions:
1. Sealed bids will be received by the Purchasing Division of the City of Knoxville in Room 667-674, City/County Building;
400 Main Street; Knoxville, Tennessee 37902 until May 2, 2025, at 11:00:00 a.m., at which time they will be publicly opened and read aloud and the contract awarded as soon as practicable. No bid will be received or accepted after the above-specified time for the opening of bids. Bids that arrive late due to the fault of U. S. Postal Service, United Parcel Service, FEDEX, any delivery/courier service, or any other carrier of any sort are still considered late and shall not be accepted by the City. Such bids shall remain unopened and will be returned to the submitting entity upon request.
2. The City of Knoxville reserves the right to reject any or all bids, to accept or reject any items thereon, to waive technicalities or informalities, to split orders if in the best interest of the City, to evaluate bids by various criteria, and to accept any bid which, in its opinion, may be for the best interest of the City.
3. Declarative Statements: Any statement or words (e.g.: must, shall, will) are declarative statements and the vendor must comply with the condition. Failure to comply with any such condition may result in their bid being non-responsive and disqualified.
4. No interpretation of the meaning of the plans, specifications, or other pre-bid documents will be made to any bidder orally. Each request for such interpretation should be in writing addressed to Suzanne Daws, Procurement Specialist for the City of Knoxville, 400 Main Street, Room 667, Knoxville, TN 37902, or emailed to sdaws@knoxvilletn.gov. To be given consideration, such requests/questions must be received at least five (5) business days prior to the date fixed for the opening of bids. Any and all such interpretations and any supplemental instructions will be in the form of written addenda to the specifications which, if issued, will be posted to the City's website at www.knoxvilletn.gov/bids. Submitting organizations are strongly encouraged to view this website often to see if addenda are posted. Failure of any bidder to receive such addendum or interpretation shall not relieve such Bidder from any obligation under his bid as submitted. All addenda so issued shall become part of the Contract Documents.
5. Inclement Weather: During periods of inclement weather, the Purchasing Division will enact the following procedures with regard to solicitations and weather delays:
• If City offices are closed due to inclement weather on the date that bids/proposals/qualifications/letters of interest are due into the Purchasing Office, all solicitations due that same day will be moved to the next operational business day.
• The City of Knoxville shall not be liable for any commercial carrier’s decision regarding deliveries during inclement weather.
6. Submission Information: Prior to submitting their bids, bidders are to be registered with the Purchasing Division through the City of Knoxville’s online vendor registration system. Instructions for registering on-line are available at
5 | P a g e www.knoxvilletn.gov/purchasing. Bid submissions from un-registered bidders may be rejected. Bids may be submitted electronically through the City’s Procurement website or by hard copy, delivered to the Purchasing Division. Only one submission is required.
7. Hard Copy Submission Instructions:
Each bid delivered via hardcopy must be submitted in a sealed envelope, addressed to the Purchasing Division; City of Knoxville; City/County Building; 400 Main Street, Room 667-674; Knoxville, Tennessee, 37902. Each sealed envelope containing a bid must be plainly marked on the outside as: “ITB - Fluid Delivery System.”
8. Electronic Submission Instructions:
Electronic submissions must be submitted online through the City’s Procurement website. DO NOT EMAIL YOUR SUBMISSION. If submitting electronically, a paper bid is not required.
All proposers/bidders must register as a vendor in order to submit an electronic file.
Step One: Register as a City of Knoxville vendor (Vendors are encouraged to complete this step now to ensure seamless submission process prior to deadline.)
To register as a vendor:
• Visit the website at www.knoxvilletn.gov/purchasing
• Click the “Vendor Registration” link
• Click the link titled “Click here to register as a City of Knoxville Vendor”
• Follow the prompts to complete online registration. There is no cost to register as a vendor with the City of
Knoxville.
o Note: An account activation email will be emailed to you and may be sent to your spam or junk folder.
DO NOT WAIT UNTIL SUBMISSION DEADLINE TO REGISTER AS A VENDOR. The electronic submission link will be disabled at 11:00:00 a.m. Eastern time. Vendors will not have the ability to submit any electronic files once the deadline has passed and the City will accept no late submissions.
Step Two: Submit all materials electronically as one (1) file to City’s Procurement website PRIOR to 11:00:00 a.m.
(Eastern Time) on the submission due date.
To submit electronic file:
• Visit the City’s solicitation website at https://www.bidnetdirect.com/tennessee/cityofknoxville
• Select “ITB - Fluid Delivery System”
• Click “Place Bid” (located in the blue bar at top of screen)
• Follow the prompts to upload and submit electronic file o The City prefers only one (1) bid file per submission. Files MUST use the following naming convention, listing the firm’s name followed by the title of the project. Example: “ABC Company – ITB
- Fluid Delivery System.pdf.” Should you need to merge multiple documents into one PDF please utilize Google to download a free software intended for merging pdf documents.
9. All bids must be made on the Bid Form supplied with the contract documents, and no interlineations, excisions, or special conditions shall be made or included in the Bid Evaluation Sheet by the Bidder. Any bid on which there is an alteration of or departure from the Bid Form may be considered irregular and may be rejected. All bids must be signed in full by the Bidder or Bidders in their business name or style when submitted and must show his or their complete address.
10. All bids must be signed with the firm name and by a responsible officer or employee. Obligations assumed by such signature must be fulfilled.
11. Bidders shall verify bids before submission, as bids cannot be withdrawn or corrected after being opened. Bids will be evaluated by unit price.
12. No bidder may withdraw his bid for a period of 60 days after the actual date of the opening thereof.
13. Prices are considered FOB Knoxville unless otherwise stated in the Invitation to Bid.
14. Taxes & Surcharges: If federal excise tax applies, show amount of same and deduct. The City is exempt from
Tennessee sales tax. All charges must be listed on the bid form, unless otherwise stated. Additional charges, http://www.knoxvilletn.gov/purchasing http://www.knoxvilletn.gov/purchasing
6 | P a g e including but not limited to fuel surcharges, are NOT payable and will be deducted from any invoices received. The City of Knoxville is not subject to federal or state taxes.
15. Payment for completed services delivered to and accepted by the City shall be at the contract price.
16. Time of delivery is part of the consideration and must be stated in definite terms; time of delivery is guaranteed by the bidder and must be adhered to upon award. If time varies on different items, the bidder shall so state.
17. Safety and Protection: The Contractor(s) shall be solely and completely responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the work to be performed. Furthermore, the Contractor is solely responsible for the training of all of their employees on all safety issues and for assuring compliance as required by the Occupational Safety and Health Act (OSHA), the Environmental Protection Agency (EPA), and any other Regulatory Agency for the service.
The Contractor(s) shall take all necessary precautions for the safety of, and shall provide the necessary protection to prevent injury to, all employees on the work site and other persons, including but not limited to, the general public who may be affected thereby. All work is to be done as required as by TOSHA, OSHA, EPA, and AHERA.
Contractor(s) shall be required to furnish their employees with the proper personal protective clothing and equipment. Contractor(s) shall also be required to dispose of this clothing and equipment in compliance with all regulatory requirements.
Vendor will ensure that its employees observe and exercise all necessary caution and discretion so as to avoid injury to person or damage to property of any and all kinds. All buildings, appurtenances and furnishings shall be protected by the vendor from damage, which might be done or caused by works performed under this contract. Such damages to the foregoing shall be repaired and/or replaced by approved methods so as to restore the damaged areas to their original condition at the expense of the vendor.
18. EEO/AA: The City of Knoxville is an EEO/AA/Title VI/Section 504/ADA/ADEA Employer.
A. Bidders must comply with the President's Executive Orders No. 11246 and 11375 which prohibit discrimination in employment regarding race, color, religion, sex or national origin. Bidders must not maintain or provide for their employees any facilities that are segregated on the basis of race, color, religion or national origin. Bidders must also comply with Title VI of the Civil Rights Act of 1964, Copeland Anti-Kick Back Act, the Contract Work Hours and Safety Standard Act, Section 402 of the Vietnam Veterans Adjustment Act of 1974 and Section 503 of the Rehabilitation Act of 1973, all of which are herein incorporated by reference.
B. All bidders must comply with Title VI of the Civil Rights Act of 1964, as codified in 42 U.S.C. 2000d. The successful bidder must follow Title VI guidelines in all areas including hiring practices, open facilities, insurance, and wages. The City of Knoxville reserves the right to review all compliance records by a contract compliance officer designated by the City.
C. With regard to the services performed under this Agreement, the Contractor will comply with all applicable requirements of the Americans with Disabilities Act, 42 U.S.C. § 12101, et seq. ("ADA"). The Contractor agrees that it will defend, indemnify and hold the City harmless against any and all claims, demands, suits or causes of action which arise out of any negligent and/or intentional act or omission by the Contractor, its employees, agents or representatives that violates the ADA. The Contractor agrees that the City will not be responsible for any cost or expenses arising from the Contractor’s failure to comply with the ADA.
19. Included in the Invitation to Bid is an affidavit that the undersigned has not entered into any collusion with any person in respect to this bid. The bidder is required to submit this affidavit with the submission. Also included is the Diversity Business Enterprise Subcontractor/Consultant Statement form. Submissions must indicate on the enclosed form whether or not the bidder intends to use subcontractors and/or suppliers from one of the defined groups.
Bidders are advised that the City tracks use of such use, but it does not influence or affect evaluation or award.
20. NO CONTACT POLICY: After the posting of this solicitation to the Purchasing Division's website, any contact initiated by any bidder with any City of Knoxville representative concerning this Invitation to Bid is strictly prohibited, unless such contact is made with the Purchasing Division representative listed herein or with said representative's authorization. Any unauthorized contact may cause the disqualification of the bidder from this procurement transaction.
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21. In compliance with Tennessee state law, bids must be accompanied by a certification attesting that, to the best of the bidder's knowledge, the bidder does not engage in investment activities in Iran. The Iran Divestment Act of 2014 Certification of Noninclusion form may be found in this solicitation document.
22. Attention of all bidders is directed to the set off provision contained in Article II, Section 24-33, entitled, "Debts owed by persons receiving payments other than salary", and Section 2-1049 entitled "Receipt of benefits from City contracts by council members, employees, and officers of the City" of the Code of the City of Knoxville.
23. Cooperative Procurement with Other Jurisdictions: Other federal, state, county, and local government entities may utilize the terms and conditions established by the Contract if agreeable to all parties. The City does not accept any responsibility or involvement in the purchase orders or contracts issued by other public agencies.
24. Licenses: Before a Purchase Order is issued, the submitting entity, if selected, must provide the City Purchasing Division with a copy of its valid business license or with an affidavit explaining why it is exempt from the business licensure requirements of the city or county in which it is headquartered. If a contract is signed, the contractor’s business license shall be kept current throughout the duration of the contract, and the contractor shall inform the City of changes in its business name or location.
25. Governing Law and Venue: Any Agreement to purchase resulting from this Invitation to Bid shall be governed by and construed in accordance with the substantive laws of the State of Tennessee and its conflict of laws provisions.
Venue for any action arising between the City and the Vendor from the Agreement shall lie in Knox County, Tennessee.
26. By execution and delivery of a bid submission, the bidder agrees that any additional terms and conditions, whether submitted to the City purposely or inadvertently, shall have no force or effect.
27. Indemnification and Hold Harmless: This indemnification clause will not be altered in any way. Failure to agree with this indemnification clause may result in the City moving to the next responsible responsive bidder.
By acceptance and delivery of the Purchase Order resulting from the award of this Invitation to Bid, the Vendor agrees to the following:
Contractor shall defend, indemnify and hold harmless the City, its officers, employees and agents from any and all liabilities which may accrue against the City, its officers, employees and agents or any third party for any and all lawsuits, claims, demands, losses or damages alleged to have arisen from an act or omission of Contractor in performance of this Agreement or from Contractor's failure to perform this Agreement using ordinary care and skill, except where such injury, damage, or loss was caused by the sole negligence of the City, its agents or employees.
Contractor shall save, indemnify and hold the City harmless from the cost of the defense of any claim, demand, suit or cause of action made or brought against the City alleging liability referenced above, including, but not limited to, costs, fees, attorney fees, and other expenses of any kind whatsoever arising in connection with the defense of the City; and Contractor shall assume and take over the defense of the City in any such claim, demand, suit, or cause of action upon written notice and demand for same by the City. Contractor will have the right to defend the City with counsel of its choice that is satisfactory to the City, and the City will provide reasonable cooperation in the defense as Contractor may request. Contractor will not consent to the entry of any judgment or enter into any settlement with respect to an indemnified claim without the prior written consent of the City, such consent not to be unreasonably withheld or delayed. The City shall have the right to participate in the defense against the indemnified claims with counsel of its choice at its own expense.
Contractor shall save, indemnify and hold City harmless and pay judgments that shall be rendered in any such actions, suits, claims or demands against City alleging liability referenced above.
The indemnification and hold harmless provisions of this Agreement shall survive termination of the Agreement.
28. By submitting a response to this solicitation, the submitting entity agrees to all terms and conditions established in this ITB, including its contract requirements, if applicable. Additionally, the submitting entity certifies receipt of, and compliance with, all submission affidavits and certifications.
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Diversity Business Enterprise (DBE) Program:
The City of Knoxville strongly encourages prime contractors to employ diverse businesses in the fulfillment of contracts/projects for the City of Knoxville.
The City of Knoxville’s Fiscal Year 2025 goal is to conduct 4.3% of its business with minority-owned businesses, 10.3% of its business with woman-owned businesses, and 34.8% with small businesses.
While the City cannot engage (pursuant to state law) in preferential bidding practices, the City does strongly encourage prime contractors to seek out and hire diverse businesses in order to help the City meet its goals as stated above. As such, the City encourages prime contractors to seek out and consider competitive sub-bids and quotations from diverse businesses.
For DBE tracking purposes, the City requests that prime contractors, who are bidding, proposing, or submitting statements of qualifications, report whether or not they plan to employ DBE’s as sub-contractors or consultants. With that in mind, please fill out, sign, and submit (with your bid/proposal) the Subcontractor/Consultant statement included in the submission forms based on the following definitions:
Diversity Business Enterprise (DBE’s) are minority-owned (MBE), women-owned (WBE), service-disabled veteran-owned (SDVBE), and small businesses (SBE), who are impeded from normal entry into the economic mainstream because of past practices of discrimination based on race or ethnic background. These persons must own at least 51% of the entity and operate or control the business daily.
Minority: A person who is a citizen or lawful admitted permanent resident of the United States and who is a member of one
(1) of the following groups:
a. African American: persons having origins in any of the Black racial groups of Africa;
b. Hispanic American: persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race;
c. Native American: persons who have origin in any of the original peoples of North America;
d. Asian American: persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands.
Minority Business Enterprise (MBE) is a continuing, independent, for-profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more minority individuals.
Woman Business Enterprise (WBE) is a continuing, independent, for-profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more women.
Service-Disabled Veteran Owned Business Enterprise (SDVBE) is a continuing, independent, for profit business that performs a commercially useful function, owned by any person who served honorably on active duty in the armed forces of the United States with at least a twenty percent (20%) disability that is service connected, meaning such disability was incurred or aggravated in the line of duty in the active military, naval or air service, and is at least fifty-one percent (51%) owned and controlled by one (1) or more service disabled veteran.
Small Business Enterprise (SBE) is a continuing, independent, for-profit business which performs a commercially useful function and has total gross receipts of not more than ten million dollars ($10,000,000) average over a three-year period or employs no more than ninety-nine (99) persons on a full-time basis.
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Persons with Disabilities Business Enterprise (PDBE) is business owned by a person with a disability that is a continuing, independent, for-profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more persons with a disability; or, in the case of any publicly owned business, at least fifty-one percent (51%) of the stock of which is owned and controlled by one or more persons with a disability and whose management and daily business operations are under the control of one or more persons with a disability. “Person with a disability” means an individual who meets at least one of the following: (A) Has been diagnosed as having a physical or mental disability resulting in marked and severe functional limitations that is expected to last no less than 12 months; (B) Is eligible to receive social security disability insurance (SSDI); or (C) Is eligible to received supplemental security income (SSI) and has a disability as defined in (A) above.
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Bid Form
To: City of Knoxville Purchasing Department City/County Building Suite 667-674 400 Main Street Knoxville, TN 37902
Having carefully examined the specifications entitled “ITB - Fluid Delivery System” to open on May 2, 2025, at 11:00:00 a.m. Eastern Time and the other Contract Documents and addenda, we hereby propose to furnish the goods, and delivery as described herein for the following sum:
BID: Total charge (includes shipping): ___________________________________________________________________
GUARANTEE of delivery no later than: ___________________ after awarded. ________________ (Bidder must initial)
Firm Name: ________________________________________________________________________________________
Official Address: ____________________________________________________________________________________
DUNS #: ___________________________________________________________________________________________
Business License Expiration Date: ______________________________________________________________________
By: ________________________________________________ Name: ________________________________________ Signature Printed
Date: _____________________________________________________________________________________________
Title: _____________________________________________________________________________________________
Email: ____________________________________________________________________________________________
Phone: ____________________________________________________________________________________________
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Submission Affidavits and Certifications
We _______________________________________________________________________________________________
(Bidder/Proposer Company Name) do certify that on the
(Solicitation Title/Project Name) we are in receipt of the following checked items and do hereby certify or affirm as follows:
SUBCONTRACTOR/CONSULTANT STATEMENT
Please select one:
Option A: Intent to subcontract using Diverse Businesses A Diversity business will be employed as subcontractor(s), vendor(s), supplier(s), or professional service(s). The estimated percentage of the amount that we plan to pay is:
Total Estimated Percentage of Subcontractor Service:
Diversity Business Enterprise Utilization
Description of Work/Project Percentage Diverse Classification (MBE, WBE, SBE, SDVBE, PDBE) Name of Diverse Business
Option B: Intent to perform work “without” using Diverse Businesses We hereby certify that it is our intent to perform 100% of the work required for the contract, work will be completed without subcontracting, or we plan to subcontract with non-diverse companies.
Option C: Intent to self-perform work as a Diversity Business Enterprise We intend to self-perform 100% of the work required for the contract as a Diversity Business Enterprise.
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NON-COLLUSION AFFIDAVIT
(1) Submitted proposal is genuine and is not a collusive or sham proposal;
(2) Neither the said firm nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this signatory, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other vendor, firm or person to submit collusive or sham proposal in connection with the contract or agreement for which the attached proposal has been submitted or to refrain from making a proposal in connection with such contract or agreement, or collusion or communication or conference with any other firm, or, to fix any overhead, profit, or cost element of the proposed price or the proposed price of any other firm, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of Knoxville or any person interested in the proposed contract or agreement; and
(3) The scope of service outlined in the proposal is fair and proper and is not tainted by collusion, conspiracy, connivance, or unlawful agreement on the part of the firm or any of its agents, representatives, owners, employees, or parties including this signatory.
NO CONTACT/NO ADVOCACY AFFIDAVIT
1. NO CONTACT POLICY: After the posting of this solicitation to the Purchasing Division's website, any contact initiated by any proposer with any City of Knoxville representative concerning this proposal is strictly prohibited, unless such contact is made with the Purchasing Agent (Penny Owens) or the listed point of contact. Any unauthorized contact may cause the disqualification of the proposer from this procurement transaction
2. NO ADVOCATING POLICY: To ensure the integrity of the review and evaluation process, companies and/or individuals submitting proposals for any part of this project, as well as those persons and/or companies representing such proposers, may not lobby or advocate to the City of Knoxville staff including, but not limited to, members of City Council, Office of the Mayor, Fleet Operations Services, or any other City staff.
Any company and/or individual who does not comply with the above stated “No Contact” and “No advocating” policies may be subject to having their proposal rejected from consideration.
IRAN DIVESTMENT ACT
CERTIFICATION OF NONINCLUSION
Pursuant to the Iran Divestment Act, Tenn. Code Ann. § 12-12-106 requires the State of Tennessee Chief Procurement Officer to publish, using creditable information freely available to the public, a list of persons it determines engage in investment activities in Iran, as described in § 12-12-105. Inclusion on this list makes a person ineligible to contract with the state of Tennessee; if a person ceases its engagement in investment activities in Iran, it may be removed from the list. A list of entities ineligible to contract in the State of Tennessee Department of General Services or any political subdivision of the State may be found here:
https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/public-information-library/iran-divestment-act-list-of-entities-10.15.24.pdf
By submission of this form, the proposer certifies that the above-named firm, under penalty of perjury to the best of its knowledge and belief, and any proposed suppliers are not on the list created pursuant to § 12-12-106.
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Notarization of Affidavits Notarization is required (no exception) of the Drug-Free Workplace Affidavit, when applicable. While the other affidavits and submission forms do not require notarization, any Bidder/Proposer is certifying receipt and acknowledgement of each clause in the Submission Affidavits and Certifications section above by submitting a bid/proposal.
State of ____________________________________________ County of ______________________________________
Proposer’s Name: ___________________________________________________________________________________
Being duly sworn, deposes, and says that:
They are a principal officer of ________________________________ , the firm submitting the attached proposal, their title being ____________________________________________________ , and has authority to affirm and/or certify the listed declarations.
Signed
Title
Subscribed and sworn to before me this _________ day of _________________________, 20_______.
NOTARY PUBLIC My Commission expires
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