ResponseForm A~1.pdf

RESPONSE FORM A

27-DOC-1000-ISS

BEFORE SUBMITTING THIS AND ALL OTHER FORMS ASSOCIATED WITH THIS SOLICITATION, ALL BIDDERS ARE ADVISED TO

CHECK THE SOLICITATION RECORD ON WWW.COMMBUYS.COM FOR THE FINAL VERSIONS OF ALL FORMS.

ALL BIDDERS MUST COMPLETE AND RETURN THIS ATTACHMENT WITH THEIR RESPONSE IN ORDER TO BE

CONSIDERED RESPONSIVE. COMPLETING EVERY SECTION OF THIS DOCUMENT FULLY IS MANDATORY UNLESS

INSTRUCTIONS FOR SPECIFIC QUESTIONS STATE OTHERWISE.

SECTION 1. CONTACT INFORMATION & REFERENCES

Company Information

Company Legal Name**

Company DBA**

Street Address**

City / Town**

State**

Zip Code**

EIN / Tax ID Number**

Email

Phone Number

Fax Number

Website

** This information should mirror bidder company W9

Small Business Certified

YES NO

Contract Manager

Contact Name

Title

Phone number

Email

Required REFERENCE 1 REFERENCE 2 REFERENCE 3

Contact Name

Email

Phone Number

Address

Date of Service

Services Provided

Please see Appendix A and Section 3 of RFR for reference requirements.

Additionally, bidder must provide letters of recommendation from the listed references.

http://www.commbuys.com/

Section 3. Checklist of Required Documentation Omission of required information or documentation may be grounds for Bidder disqualification.

Required Document Instructions

(attachment name on COMMBUYS)

Mark with “X” if completed and submitted

Response Form A REQUIRED – Must Complete and Return with Bid This document

Attachment A REQUIRED – Must Complete and Return with Bid Attachment A (attachment A.doc)

Staffing / Dispatch Plan REQUIRED – Must Create and Return with Bid Bidder must create and provide document

Resume REQUIRED – Must Create and Return with Bid Bidder must create and provide document

Certification / License REQUIRED – Must Provide and Return with Bid Bidder must upload valid (unexpired) copy

Detailed Reference Letters REQUIRED – Must Provide and Return with Bid Bidder must obtain and provide document

Section 4. Prompt Payment Discount (PPD) Prompt Payment Discounts (PPD). All contractors/vendors doing business with the Commonwealth must provide a Prompt Payment Discount (PPD) for receiving early payments unless the Contractor / vendor can provide compelling proof that providing a prompt pay discount would be unduly burdensome. Will your company provide a Prompt Payment Discount?

If yes please define a % next to each day. If no please define why below

a. 10 days ____________

b. 15 days ____________

c. 20 days ____________

d. 30 days ____________

Section 5. Company Information

1. Please list assigned technicians, years of experience and certifications with integrated security systems: MUST PROVIDE RESUME FOR ALL TECHNICIANS LISTED BELOW:

Technician Name Years of

Experience

License /

Certification

Yes No

2. Please define VMware software capability and years of experience:

3. Please define GE and Emerson Programmable Logic capability and years of experience:

4. Please define Cimplicity software capability and years of experience:

5. Please define CCTV systems capability and years of experience:

6. Please define Database administration capability and years of experience:

7. Please define Intercom systems capability and years of experience:

8. Please define Duress alarm systems & Senstar capability and years of experience:

9. Please define DeTekion Security Systems and Perimeter detection touch screen and CPU maintenance capability and years of experience:

10. Please define Integrated system programming capability and years of experience:

Section 6. Environmentally Preferable Products / Practices

In line with the Commonwealth’s efforts to promote products and practices which reduce our impact on the environment and human health, Bidders are encouraged to provide information regarding their environmentally preferable/sustainable business practices as they relate to this contract wherever possible.

Bidders who can demonstrate such initiatives (referencing, but not limited to, the items listed below) will be eligible to receive evaluation points. In order to receive evaluation points, Bidders must complete this form and submit it with their RFR Response.

Bidders MUST submit appropriate documentation to support the items for which the Bidder indicated a “Yes” (and/or include information in the box following each question).

1. Packaging:

Has your company implemented any of the following environmental initiatives?

a. Use of corrugated materials that exceeds the required minimum of 35% post-consumer recycled content

b. Use of other packaging materials that contain recycled content and are recyclable in most local programs

c. Promote waste prevention and source reduction by reducing the extent of the packaging and/or offering packaging take-back services, or shipping carton return

d. Reduces or eliminates materials which have been bleached with chlorine or chlorine derivatives

e. Eliminates any packaging that may contain polyvinyl chloride (PVC), or polystyrene or heavy metals

____ Yes _____ No_____ N/A

2. Business Practices / Operations / Manufacturing Does the bidder engage in practices that serve to reduce or minimize an impact to the environment, including, but not necessarily limited to, the following items?

a. Recycle materials in the warehouse or other operations

b. Use of alternative fuel vehicles or vehicles equipped with diesel emission control devices for delivery or transportation purposes

c. Use of energy efficient office equipment or signage or the incorporation of green building design elements

d. Use of recycled paper (that meets federal specifications) in their marketing and/or resource materials

e. Other sustainable initiative

____ Yes _____ No_____ N/A

3. Training and Education Does the bidder conduct/offer a program to train or inform customers of the environmental benefits of the products to be offered under this contract, and/or does the bidder conduct environmental training of its own staff?

____ Yes _____ No_____ N/A

4. Certifications Has the bidder or any of its manufacturers and/or subcontractors obtained any of the following product/industry certifications?

a. ISO 14000 or adopted some other equivalent environmental management system

b. Other industry environmental standards (where applicable), such as the CERES principles, LEED Certification, C2C

Protocol, Responsible Care Codes of Practice or other similar standards

c. Third Party product certifications such as Green Seal, Scientific Certification Systems, Smartwood, etc.

____ Yes _____ No_____ N/A