RFP for On-Call Debris Removal final draft.docx

Contra Costa County

REQUEST FOR PROPOSAL (RFP)

FOR

ON-CALL DEBRIS REMOVAL SERVICES

SOLICITATION: RFP_F-CONTR-0000000060

Release Date: April 24, 2025 Proposal Due Date: May 15, 2025

NO LATER THAN 3:00 P.M. PDT

Contact: Carolyn Halstenson, Buyer II

CONTRA COSTA COUNTY

PURCHASING SERVICES

40 MUIR ROAD 2ND FLOOR

MARTINEZ, CALIFORNIA 94553.

General Information:

The Contra Costa County Public Works Department (“County”) is soliciting proposals for on-call debris removal services. These services will be required at various County and Contra Costa County Flood Control and Water Conservation District (“District”) rights-of-way and properties. The County intends to award at least two (2) contracts to qualified and experienced vendors (“Vendor”).

Proposal Submission:

Proposal Submission:

Proposals will not be accepted after the date and time stated above. Incomplete proposals that do not conform to the requirements specified herein will not be considered. Issuance of the RFP does not oblige the County to award a contract, nor is the County liable for any costs incurred by the Vendor in the preparation and submittal of proposals for the subject work. The County retains the right to award all or parts of the contract to several Vendors, to not select any Vendors, and/or to re-solicit proposals. The act of submitting a proposal is a declaration that the Vendor has read the RFP and understands all the requirements and conditions.

Questions:

All questions regarding the proposal will be accepted through the BidNet Direct site only. The deadline for submitting questions for this RFP is on or before May 9, 2025, no later than 3:00 PM PDT. All questions will be answered and disseminated to those registered on the BidNet Direct website. Contact customer service if you need technical assistance with any part of the bid process: support@bidnet.com or call (800) 835-4603.

Pre-Proposal Conference:

This RFP is not subject to a pre-proposal conference.

Table of Contents Page

· Exhibit D – Anti-Collusion Statement

· Exhibit E – CCC Business Opportunity Registration

Section I: Introduction

A. Purpose The County is soliciting proposals from qualified and experienced Vendors to provide on-call debris removal services to remove debris that may consist of hazardous materials, such as biohazards (e.g., human waste), and garbage and general debris (e.g., material used as temporary shelters). Vendor(s) will provide services at various County and District rights-of-way and properties, as detailed in this RFP under Section IV, “Scope of Work.”

The County intends to award at least two (2) contracts to Vendors who can demonstrate that they can comply with County standards to provide the most effective and highest quality services.

B. Background The County maintains over 650 miles of roads, 79 miles of creeks and channels, and 29 detention basins and dams throughout Contra Costa County. Debris removal work is performed along various County roads, and County- and District-owned properties to mitigate safety and health hazards. The County intends to use the on-call debris removal services contract(s) to assist County staff with this work.

C. Period of Agreement The contract term will be three (3) years with an option of extending for two (2) additional years. The total potential contract term will be five (5) years.

D. Calendar of Events

E. Addenda Knowledge All Vendors shall acknowledge receipt of any addenda to this RFP event by returning a signed hard copy with the proposal. Failure to acknowledge receipt of any addenda may render the proposal to be non-responsive. Changes to this RFP event shall be issued only by the County. See Attachment A.

Section II: Requirements and Qualifications

To be considered, Vendors must meet the following minimum qualifications:

A. The Vendor(s) shall have all the permits, licenses, and professional credentials required to provide the Services requested in this RFP.

B. The Vendor(s) shall have the commercial liability insurance policy that conforms to County requirements specified in this RFP, Section IV, Scope of Work, Part O, Commercial General Liability Insurance.

C. The Vendor(s) shall have a minimum of five years in providing services similar to the Services requested in this RFP.

D. The Vendor(s) shall have certified and experienced personnel who are trained to handle numerous types of debris, including but not limited to, debris that may consist of hazardous materials, such as biohazards (e.g., human waste), and garbage and general debris (e.g., material used as temporary shelters).

E. The Vendor(s) shall provide all labor, equipment, and materials required to provide the Services requested in this RFP.

Section III: Instructions to Responders

All proposals shall include the following information, organized in separate sections. The proposal shall be clear and concise.

A. Format Vendors shall submit proposals that are concise, and that specifically respond to the specifications posted in this RFP. Each Vendor shall include the following in their proposal:

a. Cover Letter – Signed by an authorized company representative

b. Executive Summary

c. Proposal – Within a maximum of 15 pages, no smaller than 12-point font. Describe your company’s specific capabilities, experience, approach, and proposed methodologies that demonstrate a clear understanding of Section IV, “Scope of Work,” and the nature of the work to be performed.

d. Statement of Experience – See Exhibit A

e. Price Proposal – See Exhibit B

f. Customer References – See Exhibit C

g. Anti-Collusion Statement – See Exhibit D

h. Contra Costa County Business Opportunity Registration Form – See Exhibit E

i. Addenda Acknowledgement – See Attachment A

j. Staffing Plan – Show the anticipated staffing for the duration of the contract. List the staff who will be performing, or overseeing the performance of, the services, and indicate the training and experience that qualifies them to perform, or oversee the performance of, the services.

k. Federal, State, and Local certifications, registrations, permits and licenses

l. Certificate of Insurance with Endorsement Letter

m. List of equipment

n. W9

B. Proposal Submission

a. Response to this RFP MUST be submitted electronically through the BidNet Direct website – NO EXCEPTIONS

b. Late submittals WILL NOT be accepted – NO EXCEPTIONS

c. Hard copy paper submittals WILL NOT be accepted – NO EXCEPTIONS

C. Customer References Vendors shall provide a minimum of three (3) references. Include the name of the customer, description of services provided, date(s) of services, and contract amount. The services shall be similar to the services requested in this RFP. See Exhibit C.

D. Licenses and Permits Vendor shall possess all licenses, certifications, registrations, and permits required by the State of California and the County of Contra Costa to perform the services requested in this RFP. Such licenses and permits are to be submitted to the County with the proposal or prior to the contract signing date.

E. Proposal Expenses Vendor shall be fully responsible for all costs incurred in the development and submission of a proposal in response to this RFP.

F. Proposer Responsibility The bidder assumes sole responsibility for the complete effort required in submitting a proposal in response to this RFP. No special consideration will be given after proposals are opened because of a proposer’s failure to be knowledgeable as to all of the requirements of this RFP.

G. Interpretation Should any discrepancies, omissions, or doubt as to their meaning be found in the RFP specifications or requirements, the respondent shall notify the County in writing through the BidNet Direct website. The County will send written instructions or addenda to all participants in the RFP process. The County shall not be responsible for oral interpretations.

H. Reservations The County reserves the right to do the following at any time and for its own convenience, at its sole discretion:

· To reject any and all proposals without indicating any reasons for such rejection.

· Terminate this RFP and issue a new RFP anytime thereafter.

· Extend any or all deadlines specified in the RFP, including deadlines for accepting proposals by issuing an Addendum at any time prior to the deadline for receipt of responses to the RFP.

· Procure any services specified in the RFP by other means.

· Disqualify any Vendor on the basis of any real or perceived conflict of interest or evidence of collusion that is disclosed by the proposal or other data available to the County. Such disqualification is at the sole discretion of the County.

· Reject the proposal of any Vendor that is in breach of or in default under any other agreement with the County.

· Reject any Vendor deemed by the County to be non-responsive, unreliable, unqualified, or non-responsible.

I. Truth and Accuracy of Representation False, misleading, incomplete, or deceptively unresponsive statements in connection with a proposal shall be sufficient cause for rejection of the proposal.

J. Sub-Contract and Assignment The contract binds the heirs, successors, assigns and representatives of the Vendor. Prior written consent of the County, subject to any required State or Federal approval, is required before the Vendor may enter into subcontracts for any work contemplated under the contract, or before the Vendor may assign the contract or monies due or to become due, by operation of law or otherwise.

K. Addenda No one is authorized to amend any of these documents in any respect by an oral statement or to make any representation or interpretation in conflict with their provisions. Any changes to these documents shall be issued in writing via Addenda to be posted on BidNet Direct website.

L. Addenda Acknowledgement All addenda shall include an acknowledgement of receipt that must be returned. The addenda must be signed and attached to the final response. Failure to attach any addendum may result in the rejection of the response. See Attachment A.

M. Non-Collusion By submitting a signed proposal, the Vendor certifies that there has been no collusion with any other Vendor. Reasonable grounds for believing Vendor has an interest in more than one proposal will result in rejection of all proposals in which the Vendor has an interest. Any party to collusion may not be considered in future proposals for the same or similar work. See Exhibit D attached.

Section IV: Scope of Work

A. General Services Vendor shall provide on-call debris removal services at various County and District rights-of-way and properties at the request of County staff; the Vendor shall be available twenty-four (24) hours a day, seven (7) days a week. The work shall include, but is not limited to, removal of debris that may consist of hazardous materials, such as biohazards (e.g., human waste), and garbage and general debris (e.g., material used as temporary shelters) within County-maintained roads and properties, as well as District facilities (“Services”).

Vendor shall furnish all technical and professional services, including labor, material, equipment, protective clothing and gear, tools, transportation, and supervision, necessary to provide the Services requested in this RFP. The Vendor shall be thoroughly trained, experienced, and prepared to handle all types of debris, including but not limited to, debris that may consist of hazardous materials, such as biohazards (e.g., human waste), and garbage and general debris (e.g., material used as temporary shelters). The Vendor will perform Services on an as-needed basis, as established by the Task Order Authorization process. The Task Order Authorization process is described in Section C, “Task Order Authorization Process,” of this section.

B. Emergency Services and Urgent Task Order Requests If the County determines, in its sole discretion, that a condition relating to County and/or District property exists that may pose an immediate risk to safety, health, life, property or the environment (“Emergency Situation”), the County’s Authorized Representative, or designee, shall notify the Vendor of the Emergency Situation. The County may require the Vendor to provide debris removal services immediately, without following the Task Order Authorization Process. The Vendor shall have three (3) hours to initiate action to respond to the Emergency Situation. If Vendor cannot take action to respond to the Emergency Situation within three (3) hours, the County may take other actions to respond to the Emergency Situation, including engaging the services of others, and Vendor shall reimburse the County for the cost of the debris removal services, plus twenty percent (20%) for County administrative costs.

If the Emergency Situation was caused by Vendor’s error or omissions, the County has the immediate right to complete the work required to mitigate or eliminate the Emergency Situation to its satisfaction and deduct the amount necessary to recover the County’s costs for that work from any monies owed to Vendor.

C. Task Order Authorization Process The Authorized Representative for the County shall authorize any work to be performed by the Vendor under the contract. All work performed under the contract shall be authorized according to the procedures set forth below:

i. Task Order Authorization. The Task Order Authorization process requires a formal, written Task Order Authorization in the form of Attachment C, signed by both an Authorized Representative for the County and the Vendor, for execution by the Vendor.

ii. The Authorized Representative for the County shall initiate the performance of work by issuing an unsigned Task Order Authorization to the Vendor for review and reference.

iii. Once the Authorized Representative for the County and Vendor agree to a final scope of work, schedule, and cost breakdown (with payment limit that does not cause the total payments under the contract to exceed the on-call maximum amount), the Vendor shall submit a signed copy of the Task Order Authorization and a cost estimate, by fax or email (PDF file), to the Authorized Representative for the County for approval.

iv. Upon receipt and approval of the Vendor-signed Task Order Authorization, the Authorized Representative for the County will sign the Task Order Authorization and provide a fully executed copy to the Vendor

v. Work performed by the Vendor that is not authorized according to the procedures specified in this Task Order Authorization Process will be considered to be outside the scope of the Contract. The Vendor shall not be compensated for performing any work outside the scope of the Contract.

vi. Work provided under the Contract may involve some items listed on the Price Proposal and other items that are not listed. Prices for labor, equipment, transportation, and materials, and services that are not listed in the Price Proposal shall be included in the Task Order Authorization and cost estimate and will be subject to the approval of the County’s Authorized Representative.

D. Performance Standards The Vendor shall perform debris removal services with the care and skill ordinarily used by members of the subject profession practicing under similar circumstances at the same time and in the same locality.

E. Bio-hazard Handling The Vendor shall have staff who are trained and certified in the handling and disposal of bio-hazardous materials. The vendor shall submit to the County copies of any applicable training records, certifications, and licenses required to perform. These training records, certifications, and licenses shall be submitted with the proposal or prior to the contract signing date.

F. Disposal of Materials The Vendor shall properly dispose of all debris according to all applicable laws and standards.

G. Unsatisfactory Work If the County deems the Vendor’s work to be unsatisfactory, the County’s Authorized Representative will immediately notify the Vendor. Upon being notified of unsatisfactory performance, the Vendor will have two (2) hours after receiving the notice to determine the proper corrective actions to take, to communicate the corrective action plan to the County, and to initiate the corrective actions, at no additional cost to the County. In the event the Vendor does not complete the corrective action plan, the County has the right to immediately complete the work to its satisfaction. The Vendor will be liable for all costs, including County employees’ cost, which shall be charged at a rate equal to the County employees’ hourly rate for total compensation, plus twenty percent (20%) for County administrative costs. Additionally, County may engage outside vendors, and the contracted Vendor will be liable for all of the outside vendor(s)’ costs at the rate charged to the County, plus twenty percent (20%) for County administrative costs.

H. Reporting Problems The Vendor shall report any property or equipment found not to be in serviceable or operating condition, or any damage, vandalism, graffiti, etc., to the County’s Authorized Representative, or designee, by the end of the workday following discovery of said damages.

I. Employee Training To ensure competent and safe performance of the work under the contract, the Vendor shall provide appropriate training to employees prior to the beginning of Services under the contract. The Vendor shall provide, when submitting names of employees, documentation of type and amount of training received by each employee including any OSHA required training. The Vendor shall furnish said documentation upon request by the County.

J. Work Requirement Each of Vendor’s employees that perform work under the contract shall be legally entitled to work in the United States. The Vendor shall provide to County documentation to confirm any employees’ entitlement to work in the United States upon request by County.

K. Language Skills All employees and representatives of the Vendor must be proficient in the English language, to be able to read and understand manufacturer instructions, safety materials, etc., as well as converse intelligibly with County regarding the Services to be performed under the contract.

L. Consistent Key Personnel The Vendor agrees that, once assigned to work under the contract, key personnel (Supervisors / Project Managers) shall not be removed or replaced without written notice to the County, unless the County requests removal for unsatisfactory performance or the personnel are replaced.

M. Replacement of Key Personnel If key personnel (Supervisors / Project Managers) are not available for work under the contract for a continuous period exceeding thirty (30) calendar days or are expected to devote substantially less effort to the work than initially anticipated, the Vendor shall immediately replace such personnel with personnel of substantially equal ability and qualifications.

N. Vendor’s Supervisors / Project Managers The Vendor’s Supervisor / Project Manager is responsible for the conduct and performance of the Vendor’s employees, and compliance with the following rules:

a) No loud or boisterous conduct will be permitted (including radios).

b) Only personnel employed by the Vendor shall be allowed on the job site.

c) Licenses: The Vendor shall possess and maintain all applicable licenses required to perform work under the contract. The Vendor shall also obtain and maintain a County Business License. The Vendor shall maintain and keep current licenses with copies provided to the County.

O. Insurance Requirements During the entire term of this Contract and any extension or modification thereof, the Vendor shall keep in effect insurance policies meeting the following insurance requirements unless otherwise expressed in the Special Conditions:

i. Commercial General Liability Insurance. For all Vendors where the total payment limit of the contract is $500,000 or less, the Vendor will provide commercial general liability insurance, including coverage for business losses and for owned and non-owned automobiles, with a minimum combined single limit coverage of $500,000 for all damages, including consequential damages, due to bodily injury, sickness or disease, or death to any person or damage to or destruction of property, including the loss of use thereof, arising from each occurrence. Such insurance must be endorsed to include County and its officers and employees as additional insureds as to all services performed by the Vendor under this Contract. Said policies must constitute primary insurance as to County, the state and federal governments, and their officers, agents, and employees, so that other insurance policies held by them or their self-insurance program(s) will not be required to contribute to any loss covered under the Vendor’s insurance policy or policies. The Vendor must provide the County with a copy of the endorsement making the County an additional insured on all commercial general liability policies as required herein no later than the effective date of this Contract. For all contracts where the total payment limit is greater than $500,000, the aforementioned insurance coverage to be provided by the Vendor must have a minimum combined single limit coverage of $1,000,000.

ii. Workers' Compensation. The Vendor must provide workers' compensation insurance coverage for its employees.

iii. Certificate of Insurance. The Vendor must provide County with (a) certificate(s) of insurance evidencing liability and worker's compensation insurance as required herein no later than the effective date of this Contract. If the Vendor should renew the insurance policy(ies) or acquire either a new insurance policy(ies) or amend the coverage afforded through an endorsement to the policy at any time during the term of this Contract, then the Vendor must provide (a) current certificate(s) of insurance.

iv. Additional Insurance Provisions. No later than five days after Vendor’s receipt of: (i) a notice of cancellation, a notice of an intention to cancel, or a notice of a lapse in any of the Vendor’s insurance coverage required by this Contract; or (ii) a notice of a material change to Vendor’s insurance coverage required by this Contract, the Vendor will provide Department a copy of such notice of cancellation, notice of intention to cancel, notice of lapse of coverage, or notice of material change. The Vendor’s failure to provide Department the notice as required by the preceding sentence is a default under this Contract.

ADDITIONAL VENDOR RESPONSIBILITIES.

A. Prevailing Wages. The Vendor shall pay its employees and any subcontractors prevailing wage as required under the California Labor Code.

B. California Labor Code. California Labor Code Section 1771.1(a) is hereby incorporated into the Contract as if fully set forth herein. Subject to the limited exceptions for bid purposes under Labor Code Section 1771.1(a), no vendor or subcontractor may be listed on a bid proposal for a public works project unless currently registered and qualified with the Department of Industrial Relations pursuant to Labor Code section 1725.5, and no Vendor or subcontractor may be awarded a contract for public work on a public works project (awarded on or after April 1, 2015) unless registered with the Department of Industrial Relations pursuant to Labor Code section 1725.5. The project is subject to compliance monitoring and enforcement by the Department of Industrial Relations.

C. Certified Payroll. The Vendor shall provide to County certified payroll records as required by the California Labor Code along with invoices for services provided under the contract.

Section V: Evaluation and Selection Process

A. Selection Process All proposals received will be evaluated by an RFP review committee. The following criteria, in no particular order, will be used to determine which Vendor(s) best meets the needs of the County. Proposals will be evaluated based on the following criteria:

1. Project understanding, methodology, and approach

2. Qualification of key personnel, including, but not limited to:

· Experience and track record

· Capacity to perform the requested services

· Equipment and staffing availability

3. Relevant experience/past performance

4. Price proposal

5. Staffing and list of equipment and parts

6. Customer references

B. Best and Final Offer (BAFO) The County, at its sole discretion, may request Best and Final Offer (BAFO) from the finalists.

C. Award Agreement Upon completion of the review period, the County shall notify the Vendor(s) who will be considered for further evaluation and negotiation. Any delay caused by Vendor's failure to respond to directions from the County may lead to a rejection of the proposal.

If the County determines, after further evaluation and negotiation, to award the contract, a contract shall be sent to the successful Vendor(s) for the Vendor's signature. No proposal shall be binding upon the County until after the contract is signed by duly authorized representatives of the Vendor(s) and the County.

D. Proposals are Public Records California Government Code Section 6250, the Public Records Act, defines a public record as any writing containing information relating to the conduct of the public’s business prepared, owned, used or retained by any state or local agency regardless of physical form or characteristics. The Public Records Act provides that public records shall be disclosed upon request and that any resident has a right to inspect any public record, unless the document is exempted from disclosure.

Unless otherwise compelled by a court order, the County will not disclose any proposal while the County conducts its deliberative process in accordance with the procedures identified in this RFP. However, after the County either awards an agreement to the successful Vendor(s), or rejects all proposals, the County shall consider each proposal subject to the public disclosure requirements of the California Public Records Act. Each Vendor is hereby informed that, upon submittal of its proposal to the County in accordance with this RFP, the proposal becomes the property of Contra Costa County.

E. Protest Procedures

1. Protest Policy Any Vendor who is aggrieved in connection with the solicitation or award of a contract may protest to the Purchasing Agent or Designee. The protest shall be submitted in writing to the Purchasing Agent or Designee, within five (5) business days after such aggrieved person or company knows or should have known of the facts given rise thereto. Failure to submit a timely protest shall bar consideration of a protest.

2. Grounds for Protest The protest shall state all grounds claimed for the protest and include supporting documentation. Failure to clearly state the grounds for the protest and provide supporting documentation shall be deemed a waiver of all protest rights.

3. Protest Procedures In the event a dispute arises concerning the proposal process prior to the award of the contract, the party wishing for a resolution of the dispute shall submit a request in writing to the Purchasing Services Manager in care of:

Cindy Shehorn, Purchasing Services Manager Contra Costa County Public Works Department 40 Muir Road, 2nd Floor Martinez CA, 94553

Section VI – Billing and Invoicing

A. Payment Terms Vendors shall submit a correct and complete invoice(s) to the County after the County accepted the deliverables.

B. Payment Rates See Exhibit B for the Proposal Price line items. In addition to the rates requested on Exhibit B, Vendors may attach their rate sheet for associated services. Exhibit B must still be completed in its entirety. The County reserves the right to accept or deny rates other than those requested in Exhibit B.

C. Pricing Hourly rates listed in Exhibit B Proposal Price are to remain firm fixed for the first (12) twelve months of the contract.

Exhibit A – Statement of Experience

Exhibit - A SECTION A____________________________________________________________________________ Business Name: __________________________________________ Phone #: _____________________ Address: _____________________________________________________________________________ City: ________________________________________________ State: __________ ZIP: _____________ Federal Tax ID: ____________________________ Business License _______________________________ Business Status:

_____Non-Profit Corporation _____Corporation State of Incorporation: _____________________ _____General Partnership _____Limited Partnership _____Sole Proprietorship Other: __________________________ Name and title of an Officer or owner authorized to sign this proposal and any contract with the County that may result.

Name: __________________________________________________ Title: ________________________

SECTION B____________________________________________________________________________ Number of years in business under present business name: ____________________________________ Other Business Name(s): ________________________________________________________________ Number of years under prior name if any: ___________________________________________________

SECTION C____________________________________________________________________________ Number of years of experience in providing required, equivalent, or related projects: _______________

SECTION D____________________________________________________________________________ Similar services/projects completed during the last five years?

Period Services $ Amount Paid Location Agency Name 1 - __________________________________________________________________________________ 2 - __________________________________________________________________________________ 3 - __________________________________________________________________________________ 4 - __________________________________________________________________________________ 5 - __________________________________________________________________________________

SECTION E____________________________________________________________________________ Have you, or your agency failed or refused to complete a contract? _____ YES ______ No If yes, explain: _________________________________________________________________________

SECTION F____________________________________________________________________________ Is your firm authorized to do business in the State of California? _____Yes ________No

SECTION G____________________________________________________________________________ Is your firm a State of California registered small business? ______Yes ______No

SECTION H____________________________________________________________________________ Is your firm local Business? ______Yes ______No

SECTION I_____________________________________________________________________________ Explain any litigation similar to the services requested by this proposal involving you, or your agency, or any principal officer(s) thereof:

SECTION J___________________________________________________________________________ Has your company filed any written declaration for bankruptcy protection, a potential merger or acquisition, office closure, pending lawsuits, financial loss that might affect your ability to perform under the contract? _________ Yes ________ No (if yes, please explain): _______________________

SECTION K____________________________________________________________________________ License Provisions Has your company changed names or license numbers in the past 10 years? If so, please state reason for change. Yes_____ No____

Reason ________________________________

SECTION L____________________________________________________________________________ List the names and titles of the key personnel who would be assigned to the Project.

SECTION M____________________________________________________________________________ List all required business and professional licenses that pertain to this Project:

License Number Type Expiration Date

SECTION N____________________________________________________________________________ Do you and your agency agree to provide additional information as required by the County to make an informed determination of qualifications? ______ Yes _____ No

By signing this Statement of Experience, you are certifying that all information provided on this form and contained within your proposal are true, and you acknowledge that if the proposal contains any false statements, the County may declare any contract or agreement made as a result of the proposal to be void.

Signature: ________________________________________________ Date: ______________________

Authorized Name: ____________________________________Title: _____________________________

Exhibit B – Price Proposal

I have read, understood, and agreed to the terms and conditions of all contents of this RFP. The undersigned agrees to furnish the service stipulated in the RFP as stated.

Exhibit C: Customer References

Exhibit – C

Government Agency:

Contact Person:

Address:

Tel. Number:

City, State, Zip:

Email Address:

Services Provided / Date(s) of Service:

Government Agency:

Contact Person:

Address:

Tel. Number:

City, State, Zip:

Email Address:

Services Provided / Date(s) of Service:

Government Agency:

Contact Person:

Address:

Tel. Number:

City, State, Zip:

Email Address:

Services Provided / Date(s) of Service:

Firm Name: _____________________________________________________________

Authorized Name: _______________________________ Title: ___________________

Authorized Signature: ____________________________ Date: __________________

Exhibit D: Anti-Collusion Statement

Exhibit - D

By signing this form, the Vendor agrees that this quote is made without any other understanding, agreement, or connection with any person, corporation, or firm submitting a quote for the same purpose and that the quote is in all respects fair and without collusion or fraud, IT IS AGREED BY THE UNDERSIGNED VENDOR, THAT THE SIGNING AND DELIVERY OF THE QUOTE REPRESENTS THE VENDORS'S ACCEPTANCE OF THE TERMS AND CONDITIONS OF THE FORGOING SPECIFICATIONS AND PROVISIONS, AND IF AWARDED, THIS CONTRACT WILL REPRESENT THE AGREEMENT BETWEEN THE VENDOR AND THE COUNTY.

NAME OF FIRM: ______________________________________________________________

[Sign in ink in the space provided below]

SIGNED BY: __________________________________________________________________

TITLE: ______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY & STATE: ________________________________________________________________

TELEPHONE: ________________________________________________________________________

Exhibit E: CCC Business Opportunities Registration

Place Holder

See Attached

Attachment A: Addenda Acknowledgement

TO BE RETURNED WITH REQUEST FOR BID

RFP No.: _____________ Title: ________________________________________________

ADDENDUM ACKNOWLEDGEMENT (Please initial for addendums received)

Company Name: _____________________________________________________________

Contact Name: _______________________________________________________________

Email Address: ____________________________________________ Phone No.: _________

Address: ____________________________________________________________________

Authorized Signature: _________________________________________________________

Date: _______________________________________________________________________

Attachment B: CCC General Conditions

Place Holder

See Attached

ATTACHMENT CSAMPLE

Task Order AUTHORIZATION On-Call Services Contract Number: __________________

Pursuant to Section 10-1.02, “Order of Work,” of the special provisions for the 2025 On-Call Debris Removal Services Contract(s) for Various Road and Flood Control Maintenance Work between Contra Costa County (County), on behalf of its Public Works Department, and __________________________________ (Contractor), County issues this request for services as described below:

TASK ORDER No.: __

PROJECT NAME:

PROJECT NUMBER: ______

LOCATION: _____

I. BACKGROUND:

(Brief project description by County)

II. TASK DESCRIPTION:

Commencement: Contractor shall begin Task Order work promptly (but no later than days) following County’s Authorization.

III. DEADLINE FOR COMPLETION OF TASK SERVICES AND DELIVERABLES:

A. County shall notify Contractor within _____(__) days prior to required task order work and provide project location map.

B. Contractor shall coordinate all communication and deliverables with County Authorized Representative: .

C. Contractor shall complete all task work and submit all deliverables;

ATTACHMENT C

Task Order AUTHORIZATION On-Call Services Contract Number: __________________

TASK ORDER No.: (Proj. Name/WO) IV. SCOPE OF SERVICES FOR TASK ORDER No. _____

A. TASK DESCRIPTION

Contractor shall conduct task order work as follows;

1) 2) 3)

B. OTHER REQUIREMENTSSAMPLE

1) _____________________________

2) _____________________________ V. COST ESTIMATE FOR TASK ORDER No. :

Please submit a quote for the services requested of you

VI. AUTHORIZED SIGNATURES:

COUNTY

By:

Director, or designee

Print Name and Title

Date:

CONTRACTOR

By:

Authorized Representative

Print Name and Title (Position(s)s authorized to sign Task Orders)

Date:

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