MBFIFB265324Final1.pdf

MANDATORY BID FORM

Bidders must download the Mandatory Bid Form in its entirety (open, save, or print documents(s) on their own computer system), enter pricing where indicated, complete any other required information, sign all appropriate forms, and attach (upload) the completed Mandatory Bid Form to their HIePRO online bid submission.

Failure to complete this Mandatory Bid Form in its entirety, including pricing, product identification, certifications, and acknowledgements, may result in the bid being deemed non-responsive.

BID CHECKLIST

THE FOLLOWING ITEM IN THIS TABLE MUST BE ADDRESSED AND THE

COMPLETED BID CHECKLIST SHALL BE UPLOADED WITH THE BIDDERS

HIEPRO SUBMISSION.

REQUIREMENT

DESCRIPTION

ACTION REQUIRED COMPLETE

Notice to Bidders Read and understood

Bid Requirements Read and understood

Technical Specifications Read and understood

General and Special Provisions Read and understood

Bid Checklist Complete, sign and attach to HIePRO

Bid Price List Complete, sign, and attach to HIePRO*

Bid Signature Page Complete, sign, and attach to HIePRO

Business Classification Statement

Complete, sign, and attach to HIePRO

* The University is not responsible for any errors in bid calculations or extensions not attributed to a system error.

IFB NO. 26-5324

1. PRICING SCHEDULE (MANDATORY – ALL ITEMS REQUIRED)

Item No.

Description Quantity Unit Price

Extended Price ($)

1 Twin XL Mattress – Furnish, Deliver, Install, and Dispose

2 Twin Mattress – Furnish, Deliver, Install, and Dispose

TOTAL AGGREGATE PRICE

PRICES FOR ALL ITEMS SHALL INCLUDE COST OF TRANSPORTATION,

DELIVERY FEES (IF ANY), LABOR, OVERHEAD, AND ALL APPLICABLE

TAXES. PRICE SHALL BE F.O.B. DESTINATION. Destination means that the Contractor is responsible for all transportation, handling, insurance, and associated delivery charges until the goods are received and accepted by the University. No additional freight, handling, or delivery costs shall be paid. Prices shall also include all applicable taxes, including the Hawaiʻi General Excise Tax (GET), so that bid prices reflect the total cost to the University.

Pricing Certification

Prices shall be firm fixed and include all costs, including:

Furnishing

Delivery (all islands/locations listed)

Inside placement (including stairs/no elevator conditions)

Installation

Removal and disposal of existing mattresses

No additional charges shall be permitted.

Award Basis: Total Aggregate Price (All Line Items) Failure to bid all items shall result in rejection as non-responsive

THE TOTAL BID AMOUNT ABOVE SHALL BE ENTERED INTO HIEPRO.

THE TOTAL BID AMOUNT ENTERED INTO HIEPRO MUST BE IDENTICAL TO

THE NUMBER SHOWN ABOVE.

2. DELIVERY COMMITMENT (MANDATORY)

The Bidder agrees to complete all work within:

Requirement Yes/No

120 calendar days from Notice to Proceed

Failure to agree may result in the bid being deemed non-responsive.

3. PRODUCT IDENTIFICATION (MANDATORY)

Item No. Manufacturer Model

Number Product Name

Country of Origin

4. TECHNICAL COMPLIANCE CERTIFICATION (MANDATORY)

The Bidder certifies that the products offered meet or exceed ALL IFB technical specifications, including:

Material & Construction

Hospital-grade, breathable nylon (or equivalent) with urethane backing Fluid-proof and breathable

Antimicrobial, antifungal, stain-resistant Moisture barrier against fluids

Environmental Performance

Resistant to mold, mildew, and fungal growth Suitable for high-humidity environments (Hilo conditions)

Structural Performance

Core resists compression fatigue and deformation Seams sealed and moisture-resistant

Dimensions

Twin: 36" x 75" x minimum 6.5" Twin XL: 36" x 80" x minimum 6.5"

5. WARRANTY CERTIFICATION (MANDATORY)

The Bidder certifies compliance with IFB warranty requirements:

Requirement Yes/No

Minimum 5-year warranty provided

Non-prorated for first 3 years

Covers defects in materials and workmanship

Covers moisture barrier failure

Covers structural degradation and compression failure

Warranty documentation will be provided at delivery

Optional Extended Warranty (if offered at no additional cost):

Years: ______

6. DEVIATIONS (MANDATORY DISCLOSURE)

☐ No deviations ☐ Deviations are listed below (attach additional pages if needed)

Section Description of Deviation

Failure to disclose deviations may result in rejection of the bid as non-responsive.

7. DELIVERY & INSTALLATION CERTIFICATION (MANDATORY)

The Bidder certifies that they will:

Requirement Yes/No

Provide inside delivery (not curbside)

Deliver to all floors, including buildings without elevators

Provide all labor, equipment, and supervision Remove packaging and debris

Remove and properly dispose of existing mattresses off-site

Repair any damage caused during delivery

REMITTANCE ADDRESS

In the event that the undersigned is awarded this contract and its remittance address differs from the address shown above, please indicate remittance address below:

Street Address or P. O. Box

City State Zip Code

(IF BY INDIVIDUAL) NAME (Signature) TYPED NAME

D.B.A.

FEDERAL TAXPAYER

IDENTIFICATION NUMBER

ADDRESS

CITY STATE ZIP CODE

EMAIL ADDRESS TELEPHONE NUMBER FAX NUMBER

(IF BY PARTNERSHIP) OFFICIAL/LEGAL NAME OF FIRM

FEDERAL TAXPAYER NAME (Signature) TYPED NAME

IDENTIFICATION NUMBER

PARTNER

EMAIL ADDRESS ADDRESS

CITY STATE ZIP CODE

TELEPHONE NUMBER FAX NUMBER

(IF BY CORPORATION) OFFICIAL/LEGAL NAME OF COMPANY

FEDERAL TAXPAYER

IDENTIFICATION NUMBER

*OFFICER (Signature) TYPED NAME

EMAIL ADDRESS TITLE

ADDRESS OF COMPANY

CITY STATE ZIP CODE

TELEPHONE NUMBER FAX NUMBER

(SEAL)

IF LICENSED OR INCORPORATED TO DO BUSINESS WITHIN THE STATE OF HAWAII AND SUBJECT TO THE PROVISIONS OF THE HAWAII GENERAL EXCISE TAX LAWS, INDICATE GENERAL EXCISE TAX LICENSE NUMBER

*For Corporations include evidence of the authority of this officer to submit a bid on behalf of the corporation, giving also, the address and names and addresses of the other officers.

NOTE: FILL IN ALL BLANK SPACES WITH INFORMATION ASKED FOR OR BID MAY BE INVALIDATED.

BUSINESS CLASSIFICATION CERTIFICATION STATEMENT

CONTRACTORS: Please complete the information below. Terms used are taken from the U.S. Small Business Administration (SBA) Rules and Regulations (https://www.sba.gov/) and the U.S. Code of Federal Regulations (CFR). The term “controlled” refers to the management and daily operation of the business concern.

The company identified below (check all that apply):

1. IS NOT a small business concern as defined in the regulations (If you checked here, STOP. GO TO CERTIFICATION BELOW.)

IS a small business concern, defined as one that is independently owned and operated, is organized for profit, is not dominant in its field, meets the SBA size standard eligibility (see reverse side of this form for examples of size standards), is registered and has its status represented in the U.S. Government’s System for Award Management (SAM) database. See http://www.sba.gov/content/what-sbas-definition-small-business-concern.

2. IS a small disadvantaged business concern of which at least 51% is unconditionally and directly owned and controlled by one or more socially disadvantaged and economically disadvantaged persons who are U.S. citizens. See 13 CFR 124.105 for exceptions.

3. IS a women-owned small business concern of which at least 51% is unconditionally and directly owned and controlled by one or more women who are U.S. citizens. See 13 CFR 127.

4. IS a HUBZone small business concern that meets the certification eligibility requirements set by the U.S. SBA. See 13 CFR 126.

5. IS a veteran-owned small business concern of which at least at least 51% is unconditionally and directly owned by one or more veterans or service-disabled veterans.

See 38 CFR 74.

6. IS a service-disabled veteran-owned small business concern of which at least 51% is unconditionally and directly owned by one or more service-disabled veterans. In the case of any publicly owned business, not less than 51% of the stock of which is owned by one or more service-disabled veterans. The management and daily business operations of which are controlled by one or more service-disabled veterans, or in the case of a veteran with a permanent and severe disability, a spouse or permanent caregiver of such veteran. See 13 CFR 125.11 et al.

CERTIFICATION

I hereby certify the information supplied herein to be true and correct. (Any misrepresentation shall be subject to the provisions stated in item B on the next page.)

Company Name:

Signature of Company Officer

Company Address: Print Name:

Title:

Date:

Type of Goods/Services:

North American Industry Classification System (NAICS) Code:

https://www.sba.gov/ http://www.sba.gov/content/what-sbas-definition-small-business-concern

A. A small business concern is one that is independently owned and operated, is organized for profit, is not dominant in its field, has a place of business in the U.S., and operates primarily within the U.S. or makes a significant contribution to the U.S. economy. Size standard eligibility is based on the average number of employees for the preceding 12 months or on sales volume averaged over a 3-year period. See 13 CFR

121.201 for size standards identified by NAICS codes. The size standards for a few industries are shown below and are subject to change at any time.

1. SPECIALTY TRADE CONTRACTORS – “Small” if average annual receipts for preceding 3 years do not exceed $15 million.

2. CONSTRUCTION, GENERAL CONTRACTORS – “Small” if average annual receipts for preceding 3 years do not exceed $36.5 million.

3. MANUFACTURING – “Small” if 500 employees or less, except for some specific products which will increase the complement of employees to 750 or 1,000.

4. TRANSPORTATION – “Small” if average annual receipts for preceding 3 years do not exceed the amount shown for specific services.

$27.5 million – general freight trucking, local.

5. WHOLESALE TRADE, DURABLE AND NON-DURABLE GOODS – “Small” if 100 employees or less.

6. RETAIL TRADE – “Small” if average annual receipts for preceding 3 years do not exceed the amount shown for specific products.

$7.5 million – hardware stores.

7. SERVICES – “Small” if average annual receipts for preceding 3 years do not exceed the amount shown for specific services:

a) $27.5 million – computer systems design services, custom computer programming services $20.5 million – security guards and patrol services

b) $18 million – janitorial services

c) $38.5 million – passenger car rental

d) $32.5 million – office machinery and equipment rental & leasing

e) $7.5 million – general automotive repair

Annual receipts of a concern which has been in business for less than 3 complete fiscal years means the total receipts for the period the concern has been in business divided by the number of weeks in business, multiplied by 52. See 13 CFR 121.104.

B. Notice. Under 15 U.S.C. 645(d), any person who misrepresents a firm’s status as a small business concern, a qualified HUBZone small business concern, a small business concern owned and controlled by socially and economically disadvantaged individuals, or a small business concern owned and controlled by women in order to obtain a contract to be awarded under the preference programs established pursuant to 15 U.S.C. sections 637(a), 637(d), 638, 644, or 657(a), shall:

1. Be punished by imposition of fine, imprisonment, or both;

2. Be subject to administrative remedies including suspension and debarment; and

3. Be ineligible for participation in a program conducted under the authority of the Small Business

Investment Act of 1958.