Q 24-220 Sewing Machine Repair.pdf

Sachem Central School District Administrative Offices

Purchasing Office 51 School Street

Lake Ronkonkoma, NY 11779

REQUEST FOR QUOTE

Q 24-220 Sewing Machine Repair

Date of Opening: March 14, 2024 Time: 10:00 am

School Purchasing Agent: Catherine Nocco, CPPB Phone: 631-471-1330 Email: cnocco@sachem.edu

Vendor Name:___________________________

Vendor Name:____________________________ Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

NOTICE TO VENDORS

Quotes will be received at the Sachem Central School District Administrative Offices Purchasing Office, 51 School Street Lake Ronkonkoma, New York at 10:00 a.m. prevailing time on March 14, 2024 for the following:

Q 24-220 Sewing Machine Repair

In the event that the Sachem Purchasing Office is closed the day of the Quote Opening, the quote(s) will be opened the next day that the Sachem Purchasing Office is open.

Quote responses can be submitted via email to cnocco@sachem.edu, nmerkle@sachem.edu and ahull@sachem.edu (Please e-mail to all addresses). Anyone wishing to drop off their quote response may do so in the Purchasing mailbox located in the front vestibule of the Sachem Administrative Offices, 51 School Street, Lake Ronkonkoma, NY 11779. If quote response will be shipped and/or mailed, vendors are strongly advised to ship quote responses via US Mail, Fed-Ex, UPS and/or any authorized carrier that is able to officially track proposer’s quote packet. It is further advised that arrangements be made for quote responses to be delivered prior to the quote opening date to avoid any issues with delivery delays on the date of opening.

Specifications and quote forms are available for download through the Empire State Purchasing Group:

www.bidnetdirect.com/new-york Telephone #: 800-835-4603

Copies of documents obtained from sources other than the Empire State Purchasing Group, or the Sachem Purchasing Office are not considered official copies. Only those vendors who obtain documents from either the Sachem Purchasing Office or the Empire State Purchasing Group are guaranteed to receive addendum information, if such information is issued. If you have obtained this document from a source other than the Sachem Purchasing Office or the Empire State Purchasing Group, the District will not guarantee the integrity of the document.

Inquiries regarding specifications can be addressed by contacting the Purchasing Office via email to:

cnocco@sachem.edu

All Quote Proposal Forms should be completed as requested. Quote Proposals must be received with the following information clearly marked on the outside of the envelope or in the “subject” of the e-mail.:

QUOTE #, TITLE, DATE OF OPENING and VENDOR NAME

For your convenience, we have provided labels to be used when returning quotes. All required information provided by vendors must be legible. Illegible or vague quotes may be rejected.

PLEASE DO NOT SUBMIT A QUOTE UNLESS THE DEADLINES STATED CAN BE MET WITH ABSOLUTE CERTAINTY.

Please read the attached material carefully before submitting price quotes and verify that all pricing is correct. By submitting a quote response, vendor represents that they have read all of the Quote Documents and will provide items/services in accordance with the terms and conditions and at the prices stated in vendor’s response for the entire contract period.

Any modifications or changes made to this quote are in direct violation of the terms and conditions contained herein.

All quotes are subject to termination at the time of discovery of any unauthorized modifications. Should said discovery be after award date, the District reserves the right to cancel the award upon written notice to the vendor.

Quantities listed in the quote specifications are estimated quantities only. There is no guarantee that the District will purchase any/all of the items listed. The District reserves the right to purchase product at the quoted price at any time during the contract period.

mailto:cnocco@sachem.edu mailto:nmerkle@sachem.edu mailto:ahull@sachem.edu http://www.bidnetdirect.com/new-york mailto:cnocco@sachem.edu

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

INFORMATION AND INSTRUCTIONS FOR VENDORS

1. RECEIPT OF QUOTES

a. Quote Proposals shall be received by 10:00 a.m. March 14, 2024 at the Sachem Central School District

Administrative Offices, Purchasing Office, 51 School Street, Lake Ronkonkoma, NY 11779. In the event the Sachem Purchasing Office is closed the day of the Quote Opening, the quote(s) will be opened the next day that the Sachem Purchasing Office is open.

b. This quote document describes the conditions and specifications that must be met by any person or firm receiving an award as a result of this quote. All vendors must be prepared to comply with all instructions, conditions, stipulations, specifications and regulations included in this document and any and all addenda issued prior to the opening of quotes.

c. All Quote Proposal Forms should be completed as requested. Quote Proposals must be received in sealed envelopes with the following information clearly marked on the outside or in “subject” of e-mail:

QUOTE #, TITLE, DATE OF OPENING and VENDOR NAME

Labels have been provided herein for your convenience when returning quotes.

d. If responding to multiple quote requests, ALL QUOTE PROPOSALS MUST BE MAILED IN SEPARATE

ENVELOPES WITH THE ABOVE INFORMATION CLEARLY MARKED ON THE OUTSIDE OR SENT IN SEPARATE E-

MAILS WITH THE ABOVE INFORMATION IN THE SUBJECT LINE.

e. Each vendor is requested to read the attached material carefully before submitting your quote and verify that all pricing is correct. By submitting a quote response, vendor represents that they have read all of the Quote Documents and will provide items/services in accordance with the terms and conditions and at the prices stated in vendor’s quote response for the entire contract period. Failure to fulfill any requirements of the Quote Documents may result in being considered non-responsive.

f. The awarded Quote will be utilized at the discretion of the District. Consequently, there is no guarantee that the specified minimum amount of materials, supplies, labor or equipment will be purchased. Conversely, the quantities purchased may exceed the estimated quantities listed within this Quote Proposal.

g. Quotes stipulating minimum order requirements will not be considered.

h. No contract becomes binding until the necessary funds have been approved for the fiscal year during which the contract is in effect.

i. All required information provided by vendors must be legible. All quotes submitted must be either typed or written legibly in ink. Illegible or vague quotes may be rejected at the discretion of the District.

2. HOW TO COMPLETE FORMS

a. The Vendor shall make no changes to the forms. Quoted prices and all required information shall be typewritten, printed or written legibly in ink. Quotes written in pencil will not be considered. Illegible or vague quotes may be rejected at the discretion of the District. The name of the individual authorized to sign on behalf of the Vendor shall also be typed or printed next to or under the signature, together with his/her title or designation. Failure to properly complete the quote documents and/or provide all required information may result in the quote being disqualified as non-responsive. The Vendor understands and acknowledges that, upon award, all prices, terms and conditions as represented in this quote and all addenda thereto shall be incorporated by reference into the awarded contract. It is the responsibility of the Vendor to return all required pages of this contract.

Q 24-220 Sewing Machine Repair

b. The forms listed below must be completed and included with each Quote response:

a. Vendor Reference Form

b. Affidavit of Compliance

c. Iran Divestment Act Compliance

d. Contractor Notification Form

e. Quote Proposal Forms

f. Statement of Vendor Qualifications (when applicable)

g. Site Visit Form (when applicable)

h. Prevailing Wage Rate Acknowledgement (when applicable)

i. Vendor Price List Report (when applicable)

j. Addenda (when applicable)

c. Additional forms may be required for this Quote. It is the responsibility of the vendor to return all required pages of this contract.

d. Pricing - All pricing must include shipping, handling, freight & inside delivery. THERE SHALL BE NO CHARGES

IN EXCESS OF THOSE QUOTED, INCLUDING FUEL SURCHARGES.

e. Vendors are to pay particular attention to the way each item is requested to be priced.

Example: Price $______/each /lot /ounce /case /per hour.

Varying from the requested price breakdown may cause that item to be deemed non-responsive.

f. Services rendered and/or materials provided must be as per the enclosed quote specifications. All invoices submitted must reflect pricing as per the enclosed quote proposal pages in order for payment to be rendered (i.e. Hourly rate, initial price, discount, final price, etc.)

g. “No Quote” –vendor not wishing to submit pricing on an item and/or service must clearly indicate “No Quote” for that item and/or service.

h. “No Charge” Item –vendor desiring to submit “no charge” on an item and/or service must clearly indicate such by either writing “No Charge” or indicating 0 dollars.

i. “No Discount” item – vendor offering no discount off list price must clearly indicate zero percent (0%) as discount offered.

j. Price lines should not be left blank. Incomplete quote responses may be rejected, in whole or in part, at the discretion of the District. All pricing and any additional information must appear on pricing lines provided. The District will not accept any arrows or ditto marks.

k. NO ITEMS ARE TO BE SHIPPED OR DELIVERED UNTIL RECEIPT OF AN AUTHORIZED PURCHASE ORDER FROM

SACHEM CENTRAL SCHOOL DISTRICT.

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

SPECIFICATIONS

Purpose:

It is the intent of the District to obtain a qualified contractor to perform inspection, preventative maintenance and repair of sewing machines located throughout the District.

This document describes the conditions and specifications that must be met by any person or firm receiving a contract as a result of this bid. All bidders must be prepared to comply with all instructions, conditions, stipulations, specifications and regulations included in this document and any and all addenda issued prior to the opening of bids.

Contract Period: July 1, 2024 through June 30, 2025 The District shall have the right to renew the term of this agreement for up to two (2) additional one-year periods upon approval by the Board of Education for each renewal term. Vendor will be responsible for supplying all items on this bid at the price quoted at any time during the entire contract period.

Scope of Work: This “all parts and labor” contract shall be as follows:

1. Rates shall not be subject to increase for the duration of the contract period, including renewals.

2. Response time for initial call from the District shall be within (2) business days, during normal business hours.

3. “All parts” replacement and/or repair; shall be covered under this contract. Repairs exceeding $100.00 shall be charged according to the current manufacturer’s price list and shall be completed with prior written authorization of designated district personnel only.

There shall be no charges in excess of those quoted.

4. “All labor” shall mean unlimited service calls as well as any/all repair, cleaning and routine preventative maintenance for all machines included in this contract. Preventative maintenance calls shall be not less than once yearly, per machine, more frequently if deemed necessary, and shall be at the convenience of the user. Preventative maintenance shall include, but not be limited to, cleaning of machines in order to keep them in good working order. All machines shall be left in good working order at the expiration of this contract.

Preventative maintenance shall include:

- Inspection

- Cleaning

- Adjustment

- Replacement of broken/missing parts

5. Repairs shall be performed “on-site” when at all possible. Should a machine require “in-shop” repair; a

“loaner” must be supplied, for the duration of the repair.

Q 24-220 Sewing Machine Repair

6. The contractor must have the capability to service all machines presently owned by the district. Service technicians should be factory-trained on all presently owned machines as listed on the attached sheets.

The school district reserves the right to review said credentials. In addition, the school district reserves the right to inspect the repair facilities of the contractor, for the purpose of determining the contractor’s ability to perform this contract.

7. Sewing machines and models to be included in this contract shall include, but not be limited to the following:

Model Estimated Quantity Brother NX-200 180 Brother Pacesetter PS-2200 4 Singer 2

8. The school district reserves the right to adjust this contract as follows:

a. Addition of new machines, at the expiration of the warranty, at the quoted unit cost of similar machines.

b. Deletion of presently owned machines, at the discretion of the District.

9. This contract may be cancelled with 30 days written notification by the district, in the event that the terms and conditions are not met by the contractor in a satisfactory manner. This determination shall be made by an authorized representative of the district. All charges in excess of this contract agreement, incurred by the district to fulfill the remaining portion of said contract, shall be borne by the contractor.

10. The Sachem School District reserves the right to cancel said contract, without termination charges, should appropriate and adequate funding be lacking.

11. Reference attachment must be submitted with the quote.

12. Machines are located at:

Sachem High School North 212 Smith Rd.

Lake Ronkonkoma, NY 11779

Sachem High School East 177 Granny Rd.

Farmingville, NY 11738

Sagamore Middle School 57 Division St.

Holtsville, NY 11741

Seneca Middle School 850 Main St.

Holbrook, NY 11741

Samoset Middle School 51 School St.

Q 24-220 Sewing Machine Repair

Parts and Supplies:

This contract may be utilized for the purchase of parts in connection with repairs performed by vendor.

This quote shall establish a discount from the manufacturer’s list price for all parts used by vendor within the stated contract period. This discount shall be for parts purchased at the time vendor performs repair.

This discount shall be a percentage off the manufacturer’s list price. Discount Structure will be firm for the contract period. When invoicing the district, vendor must include manufacturer price, percentage discount and final discounted price on all invoices. Manufacturer list price pages to be supplied upon request.

No increases in the prices charged will be permitted for the full term of this contract.

All prices shall include freight and inside delivery. There shall be no additional shipping/freight and/or delivery charges.

Service Tickets - an original service ticket is to be supplied to the District Representative, after each scheduled inspection/service call identifying all work performed and any recommendations. Service ticket must show labor and parts used. Service ticket must indicate date, time in & time out for each service call.

The signature of the building Representative must appear on the ticket.

Contractor Qualifications – Contractor must be trained and qualified to perform work on equipment covered under this contract. Subcontracting work is not permitted.

Contractor must be insured as indicated herein. Insurance certificate must be provided prior to performance of work.

Repair Estimates – Estimates for all repairs / repairs in excess of $100.00 must be submitted and approved by the District Representative prior to the start of work.

Parts Replacement – The contractor shall, with the approval of the District Representative, replace worn and/or damaged parts as per the specification. All parts shall be new and equal to or better than the original equipment and compatible with the equipment presently located in the buildings.

No obsolete materials will be allowed. Rebuilt parts may be used only with the prior approval of the appropriate District Representative. The District reserves the right to furnish parts and materials if they deem it to be in their best interest.

Award Award (s) will be made to the lowest responsible proposer as will best promote the public interest. If quote security is required, awards will be made to the lowest responsible vendor furnishing the required security as will best promote the public interest.

The Board of Education reserves the right before making an award to conduct investigations as to whether or not the items, qualifications or facilities offered by the vendor meet the requirements set forth in the Quote Proposal and Specifications and are sufficient to insure the proper performance of the contract. The Board of Education reserves the right to request additional information from the vendor for this purpose.

Q 24-220 Sewing Machine Repair

Insurance Requirements Certificates of Insurance are required as per the attached General Terms and Conditions and must be filed with the Business office within ten (10) days after receipt of award notification. Insurance information must be provided prior to the commencement of work.

Pricing All pricing must include shipping, handling, freight & inside delivery. THERE SHALL BE NO CHARGES IN

EXCESS OF THOSE QUOTED, INCLUDING FUEL SURCHARGES.

No increases in the prices charged will be permitted for the full term of this contract.

Services rendered and/or materials provided must be as per the enclosed quote specifications. All invoices submitted must reflect pricing as per the enclosed quote proposal pages in order for payment to be rendered (i.e. Hourly rate, initial price, discount, final price, etc.)

This quote will be awarded either in whole or in part, whichever is in the best interest of the District.

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

QUOTE PROPOSAL FORM

Quote # and Title: Q 24-220 Sewing Machine Repair

Time: 10:00 am Contract Period: July 1, 2024 through June 30, 2025 The District shall have the right to renew the term of this agreement for up to two (2) additional one-year periods upon approval by the Board of Education for each renewal term. Vendor will be responsible for supplying all items on this bid at the price quoted at any time during the entire contract period.

Company Name: ___________________________________________________

Address: ___________________________________________________

Telephone Number: ___________________________________________________

Federal Employer Id #: ___________________________________________________

Company Representative: ___________________________________________________

Title: ___________________________________________________

Email Address - Company Representative: ___________________________________________________

Email Address – Purchase Orders: ___________________________________________________

THE VENDOR WHOSE SIGNATURE APPEARS ON THIS QUOTE PROPOSAL FORM DECLARES AND CERTIFIES THAT:

1. Vendor is of lawful age and the only one interested in this quote, and that no one other than said vendor has any interest herein;

2. No member of the Board of Education of Sachem Central School District nor any officer or employee or person whose salary is payable in whole or in part from the treasury of said Board of Education is directly or indirectly interested in this proposal or in the supplies, materials, equipment, work or services to which it related, or in any portion of the profits thereof;

3. Vendor has carefully examined the General Instructions and Specifications prepared under the direction of the Board of Education, and will, if successful in this quote proposal, furnish and deliver at the prices submitted and within the time stated, all the materials, supplies, apparatus, goods, wares and merchandise, services or labor for which this quote proposal is made in accordance with the terms and conditions of the specifications;

4. Vendor is in compliance with the requirements of Section 201-G of the NYS labor law regarding sexual harassment.

5. Vendor has examined, understands and agrees to the terms and conditions of the agreement as set forth in the quote specifications.

6. Vendor has submitted accurate pricing for required items and/or services.

By submitting a quote response, the undersigned, as a duly authorized representative of the vendor, represents that they have read all Quote Documents and will provide items and/or services in accordance with the terms and conditions and at the prices stated in vendor’s response for the entire contract period.

Company Representative: __________________________________________________________

Signature: __________________________________________________________

Title: __________________________________________________________

Sworn to before me this _______day of ________________, 20___

NOTARY PUBLIC

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

QUOTE PROPOSAL FORM

Quote # and Title: Q 24-220 Sewing Machine Repair

Time: 10:00 am Contract Period: July 1, 2024 through June 30, 2025 The District shall have the right to renew the term of this agreement for up to two (2) additional one-year periods upon approval by the Board of Education for each renewal term. Vendor will be responsible for supplying all items on this bid at the price quoted at any time during the entire contract period.

Quotes stipulating minimum order requirements will not be considered. There shall be no charges in excess of those quoted. No contract becomes binding until the necessary funds have been approved for the fiscal year during which the contract is in effect.

Price lines should not be left blank. Incomplete quote responses may be rejected, in whole or in part, at the discretion of the District.

a. “No Quote” –contractor not wishing to quote on an item and/or service must clearly indicate “No Quote” for that item and/or service.

b. “No Charge” Item –contractor desiring to quote “no charge” on an item and/or service must clearly indicate such by either writing “No Charge” or indicating 0 dollars.

c. “No Discount” item – contractor offering no discount off list price must clearly indicate zero percent (0%) as discount offered.

d. All quotes & invoices must reflect: -- prices and discounts according to quote;

-- hourly rates being charged; and -- total number of man hours utilized.

e. ALL PRICING AND ANY ADDITIONAL INFORMATION MUST APPEAR ON PRICING LINES PROVIDED. THE

DISTRICT WILL NOT ACCEPT ANY ARROWS OR DITTO MARKS.

Part A. Preventative Maintenance

$ per machine $ for all machines

$ / machine

$ / 186 machines

Part B. Repair of Sewing Machines not associated with Preventative Maintenance

Hourly Labor Cost For Repair Discount Off List Price For Parts*

$ / hour

% discount off of list price

*List Price sheets must be submitted upon request.

Quotes stipulating minimum order requirements will not be considered. There shall be no charges in excess of those quoted.

No contract becomes binding until the necessary funds have been approved for the fiscal year during which the contract is in effect.

Authorized Signature: ___________________________________________________ Print Name: ___________________________________________________ Title: ___________________________________________________

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

CONTRACTOR NOTIFICATION FORM

Please take notice that asbestos exists in various locations in school district facilities.

Exposure to asbestos fibers can be hazardous to your health, and therefore, precautions must be taken to prevent the disturbance of asbestos-containing building materials.

Information on specific locations where asbestos containing building materials exists is available for each building at the Facilities Office. Areas containing asbestos materials are conspicuously labeled.

Please proceed with caution.

I hereby acknowledge this notification regarding the locations of asbestos containing building materials in the building/buildings in which I am to perform work.

All workers in my employ (if applicable) will also be informed of this notification and will take adequate measures to prevent disturbance of asbestos fibers to the extent possible.

All workers in my employ are trained in asbestos awareness.

Contractor will indemnify and save the school district harmless from any and all claims of loss or damage, including reasonable attorney fees, which the school district may sustain by reason of the injury to any person through the negligent act or acts of the contractor, its sub-contractors, employees or agents in the performance of said contract.

(Printed Name of Contractor Representative)

(Signature) (Date)

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

VENDOR REFERENCE FORM

**REFERENCES MUST BE COMPANIES OTHER THAN SACHEM*

Company Name: ___________________________________________

Address: ___________________________________________

Contact Person: ___________________________________________

Telephone: ( ) ___________________________________________

Email: ___________________________________________

Dates of Contract(s) ___________________________________________

Contact Person: ___________________________________________

Telephone: ( ) ___________________________________________

Contact Person: ___________________________________________

Telephone: ( ) ___________________________________________

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

NON-COLLUSIVE QUOTE PROPOSAL CERTIFICATION

Firm Name _________________________________________________________________________ Business Address _______________________________________Telephone Number ( ) ___________________ I. General Quote Certification The vendor certifies that he will furnish, at the prices herein quoted, the materials, equipment and/or services as proposed on this quote.

II. Non-Collusive Quote Certification

1. The undersigned (does) (do) declare the (he has) (they have) examined the Notice to Vendors, Specifications, and Information for Vendors (all of which are acknowledged as being part of the Contract), as well as all laws, ordinances, and regulations governing the work and (he proposes) (they propose) to provide all materials, labor and related items necessary for the satisfactory completion of the work strictly in accordance with the documents listed above under the head of Section 103-d of the General Municipal Law as follows:

Statement of non-collusion in bids and proposals to political subdivision of the state. Every bid or proposal hereafter made to a political subdivision of the state or any public department, agency or official thereof where competitive bidding is required by statute, rule, regulation, or local law, for work or services performed or to be performed or goods sold or to be sold, shall contain the following statement subscribed by the vendor and affirmed by such vendor as true under the penalties of perjury: Non-collusive bidding certification.

(a) By submission of this quote, each vendor and each person signing on behalf of any vendor certifies, and in the case of a joint quote each party thereto certifies as to its own organization, under penalty of perjury, that to the best of knowledge and belief:

(1) The prices in this quote have been arrived at independently without collusion, consultation, communication or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other vendor or with any competitor;

(2) Unless otherwise required by law, the prices which have been quoted in this quote have not been knowingly disclosed by the vendor and will not knowingly be disclosed by the vendor prior to opening, directly or indirectly, to any other vendor or to any competitor; and

(3) No attempt has been made or will be made by the vendor to induce any other person, partnership or corporation to submit or not to submit a quote for the purpose of restricting competition.”

(b) A quote shall not be considered for award nor shall any award be made when (a) (1) (2) and (3) above have not been complied with; provided: however, that if in any case the vendor cannot make the foregoing certification, the vendor shall so state and shall furnish with the quote a signed statement which sets forth in detail the reasons therefore. Where (a) (1) (2) and (3) above have not been complied with, the quote shall not be considered for award nor shall any award be made unless the head of the purchasing unit of the political subdivision, public department, agency or official thereof to which the quote is made, or his designee, determines that such disclosure was not made for the purpose of restricting competition.

The fact that a vendor (a) has published price lists, rates, or tariffs covering items being procured, (b) has informed prospective customers of proposed or pending publication of new or revised price lists for such items, or (c) has sold the same items to other customers at the same prices being quoted, does not constitute, without more, a disclosure within the meaning subparagraph one (a).

2. Any bid or proposal hereafter made to any political subdivision of the state or any public department, agency or official thereof by a corporate vendor for work or services performed or to be performed or goods sold or to be sold, where competitive bidding is required by statute, rule, regulation, or local law, and where such bid or quote proposal contains the certification referred to in subdivision one of the section, shall be deemed to have been authorized by the board of directors of the vendor, and such authorization shall be deemed to include the signing and submission of the bid or quote and the inclusion therein of the certificate as to non-collusion as the act and deed of the corporation.

3. The successful vendor shall agree to defend, indemnify and hold harmless the Sachem Central School District, its Board of Education, the Board’s agents, officers, trustees, attorneys and employees, all in their individual and corporate capacities, for all loss, costs, damage and expense, including but not limited to attorney’s fees, arising out of or resulting from the performance of the Agreement. In addition, an applicable Insurance Endorsement, naming the District as an additional insured, with no responsibility to the District for payment of premium, shall be submitted by the successful vendor, to the District’s Business Office, within ten (10) days after the award of the quote to the successful vendor.

Signature (Authorized) _________________________________Title _________________________

Please Print Name ________________________________________

Sworn to before me this ______________ Day of _____________, 20___

Notary Public

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

AFFIDAVIT OF COMPLIANCE

STATE OF_______________

COUNTY OF_____________

___________________________________________, being duly sworn, deposes and says:

1) That (s)he is an officer or representative of ___________________________________ and that (s)he has the authority to sign this affidavit.

2) This affidavit is offered as an inducement to the Sachem School District to award to _________________________________________________such purchase contracts for goods or services as directed by the Board of Education, in accordance with New York State law and with District policy.

3) That no Officer, Employee or Stockholder of the above referenced vendor is an Employee, in any position, Administrator or Board Member at the Sachem Central School District other than as disclosed below.

4) That no Officer, Employee or Stockholder of the above-referenced vendor is related to an employee in any position, administrator or Board Member, at the Sachem Central School District other than as disclosed below:

Vendor: List Officer, Employee or Stockholder’s Name

Position with Vendor Sachem Employee, Administrator or Board Member Name

Relationship between parties

Signed Date

Sworn to before me this ______________ Day of _____________, 20___

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

SEXUAL HARASSMENT PREVENTION CERTIFICATION FORM

By submission of this quote, the person signing on behalf of the vendor certifies, under penalty of perjury, that: the vendor has and has implemented a written policy addressing sexual harassment prevention in the workplace; the vendor provides annual sexual harassment prevention training to all of its employees; and that the principal(s) and all employees of the vendor have completed the sexual harassment prevention training in the last twelve (12) months. Such policy shall, at a minimum, meet the requirements of Section 201-g of the Labor Law.

Vendor Name: _______________________________________________________________________

Vendor Address: _____________________________________________________________________

Print Name and Title: _________________________________________________________________

Signature:____________________________________________________________________________

Date: _____________________

Sworn to before me this ________ day of ________________, 20____

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

IRAN DIVESTMENT ACT COMPLIANCE

FORM 1 - CERTIFICATION OF COMPLIANCE WITH THE IRAN DIVESTMENT ACT

As a result of the Iran Divestment Act of 2012 (the “Act”), Chapter 1 of the 2012 Laws of New York, a new provision has been added to State Finance Law (SFL) § 165-a and New York General Municipal Law § 103-g, both effective April 12, 2012. Under the Act, the Commissioner of the Office of General Services (OGS) will be developing a list of “persons” who are engaged in “investment activities in Iran” (both are defined terms in the law) (the “Prohibited Entities List").

Pursuant to SFL § 165-a(3)(b), the initial list is expected to be issued no later than 120 days after the Act’s effective date at which time it will be posted on the OGS website.

By submitting a quote in response to this solicitation or by assuming the responsibility of a Contract awarded hereunder, each Vendor/Contractor, any person signing on behalf of any Vendor/Contractor and any assignee or subcontractor and, in the case of a joint quote, each party thereto, certifies, under penalty of perjury, that once the Prohibited Entities List is posted on the OGS website, that to the best of its knowledge and belief, that each Vendor/Contractor and any subcontractor or assignee is not identified on the Prohibited Entities List created pursuant to SFL § 165-a(3)(b).

Additionally, Vendor/Contractor is advised that once the Prohibited Entities List is posted on the OGS Website, any Vendor/Contractor seeking to renew or extend a Contract or assume the responsibility of a Contract awarded in response to this solicitation must certify at the time the Contract is renewed, extended or assigned that it is not included on the Prohibited Entities List.

During the term of the Contract, should the School District receive information that a Vendor/Contractor is in violation of the above-referenced certification, the School District will offer the person or entity an opportunity to respond. If the person or entity fails to demonstrate that he/she/it has ceased engagement in the investment which is in violation of the Act within 90 days after the determination of such violation, then the School District shall take such action as may be appropriate including, but not limited to, imposing sanctions, seeking compliance, recovering damages or declaring the Vendor/Contractor in default. The School District reserves the right to reject any quote or request for assignment for a Vendor/Contractor that appears on the Prohibited Entities List prior to the award of a contract and to pursue a responsibility review with respect to any Vendor/Contractor that is awarded a contract and subsequently appears on the Prohibited Entities List.

I, ___________________________________________, being duly sworn, deposes and says that he/she is the ___________________________ of the ______________________________________ Corporation and that neither the Vendor/ Contractor nor any proposed subcontractor is identified on the Prohibited Entities List.

SIGNED

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

IRAN DIVESTMENT ACT COMPLIANCE

FORM 2 - DECLARATION OF VENDOR’S INABILITY TO PROVIDE CERTIFICATION OF COMPLIANCE

WITH THE IRAN DIVESTMENT ACT

Vendors shall complete this form if they cannot certify that the vendor /contractor or any proposed subcontractor is not identified on the Prohibited Entities List. The District reserves the right to undertake any investigation into the information provided herein or to request additional information from the vendor.

Name of the Vendor: ______________________________________________________________

Address of Vendor: ______________________________________________________________

Has vendor been involved in investment activities in Iran?

Describe the type of activities including but not limited to the amounts and the nature of the investments (e.g. banking, energy, real estate)

If so, when did the first investment activity occur?

Have the investment activities ended?

If so, what was the date of the last investment activity?

If not, have the investment activities increased or expanded since April 12, 2012?

Has the vendor adopted, publicized, or implemented a formal plan to cease the investment activities in Iran and to refrain from engaging in any new investments in Iran?

If so, provide the date of the adoption of the plan by the vendor and proof of the adopted resolution, if any and a copy of the formal plan.

In detail, state the reasons why the vendor cannot provide the Certification of Compliance with the Iran Divestment Act below (additional pages may be attached):

I, ______________________________ being duly sworn, deposes and says that he/she is the ____________________ of the __________________________________ Corporation and the foregoing is true and accurate.

SIGNED

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

QUOTE PROPOSAL CHECKLIST

The forms listed below must be completed and included with Quote response on flash drive and hard copy as applicable:

1. QUOTE PROPOSAL FORMS – Fill in all required vendor information, signatures and notaries.

2. VENDOR PRICE LIST FORM – Submit as per instructions in “How to Complete Forms”.

N/A

3. CONTRACTOR NOTIFICATION FORM – Print name, sign, date as required.

Fill in Vendor name on bottom of page.

4. VENDOR REFERENCE FORM – references must be other than Sachem. Fill in Vendor name bottom of page.

5. NON-COLLUSIVE CERTIFICATION – Fill in all requested vendor info on top and bottom of page.

6. AFFIDAVIT OF COMPLIANCE – Fill in all required vendor info, sign in INK (no pencil permitted), signature must be notarized.

7. SEXUAL HARASSMENT PREVENTION CERTIFICATION FORM – Fill in all required vendor info, sign in INK (no pencil permitted), signature must be notarized.

8. IRAN DIVESTMENT ACT COMPLIANCE FORMS -Fill in Form 1 if certifying compliance. Fill in Form 2 if non-compliant. Chosen form must be filled out completely, signed in ink and notarized.

9. STATEMENT OF VENDOR’S QUALIFICATIONS – All questions must be answered. Statement must be signed, name printed, date and vendor name filled in on bottom of page.

10. ELECTRONIC COPY (FLASH DRIVE) – Included with quote response

11. ADDENDA (when applicable – indicate receipt of addenda as requested on form)

12. ADDITIONAL FORMS (if included and required) Additional forms may be included and required for this quote. It is the responsibility of the Vendor to return all required pages of this contract.

13. QUOTE PROPOSAL CHECKLIST – fill in vendor name on bottom of form

14. NO QUOTE RESPONSE FORM – fill out and return if not submitting a quote.

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

“NO QUOTE” RESPONSE FORM

Quote #: Q 24-220

Title: Sewing Machine Repair

Time: 10:00 AM

Vendor Name: _______________________________

TO ALL VENDORS:

In an effort to best serve the taxpayer, Sachem Central School District requests that a no quote response be returned with an explanation for the vendor’s decision not to submit a quote proposal. Therefore, please provide information below.

We have elected not to submit a quote due to the following reason(s): (Please check all that apply)

Do not offer this product/service __________ Unable to meet specifications __________ Unable to meet service requirements __________ Workload does not allow us to quote __________ Specifications unclear or too restrictive __________ Insufficient time to respond __________ Other (Please specify):

We have not submitted a quote in response to this solicitation. However, we wish to remain on the vendor list for future solicitations. Yes ______ No ______

Failure to submit either a quote proposal or a “no quote” response form may result in your company name being removed from our active vendor list.

We appreciate your cooperation and value your comments.

Catherine Nocco, CPPB School Purchasing Agent

Authorized Signature: _____________________________________________

Please print name & Title: __________________________________________

Date: ______________

Q 24-220 Sewing Machine Repair Date of Opening: March 14, 2024

ENVELOPE LABELS:

For your convenience, we have provided labels to be used when returning quotes.

ADDRESS LABEL:

Administrative Offices Purchasing Office

51 School St.

QUOTE LABEL TO BE PLACED ON LOWER LEFT CORNER OF OUTSIDE ENVELOPE:

VENDOR NAME: ________________________

QUOTE ENCLOSED – DATED MATERIAL

QUOTE #: Q 24-220 Sewing Machine Repair

DATE OF OPENING: MARCH 14, 2024

TIME: 10:00 A.M.