RFQ_BID_FORM-GOODS_194595.docx
DOCX document 35 KB Posted
- Attached to
- INDUSTRIAL & SPECIALTY GASES AND CYLINDER RENTAL
- Solicitation number
- RFQ194595
- Issued by
- Santa Clara County, California
About this file
This document is a Bid Form for a Request for Quotes (RFQ) issued by the City of Palo Alto's Purchasing and Contract Administration on behalf of the Public Works Department's Regional Water Quality Control Plant Division. The RFQ (Number RFQ194595) solicits quotes for Industrial & Specialty Gases and Cylinder Rental, with a contract duration of three consecutive 12-month periods, totaling a maximum of 48 months. The bid includes two detailed schedules (Schedule A and Schedule B) covering various specialty gases such as Liquid Argon, Compressed Argon, Helium, Nitrogen, Compressed Air, Oxygen, Acetylene, and mixed gas cylinders, along with associated delivery charges, hazardous material fees, and cylinder rental rates.
The pricing structure allows bidders to quote unit prices for individual gas cylinders and associated services, with a 9.13% sales tax applied to taxable items. Payment terms are set at Net 30 days, and the City requires firm pricing for the initial contract period, with optional price increase provisions for the second and third contract years (not to exceed the percentage noted in the bid form). Delivery terms are F.O.B. Palo Alto with freight prepaid, and the quantities specified are approximate with no guaranteed purchase volume. The bid form requires complete submission of all line items, with potential rejection for incomplete responses, and mandates that bidders certify the bid is made without collusion and that the signatory has legal authority to bind the bidding company.
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Text version
BID FORM
Name of Company ______________________________
Title: ______________________________, Request for Quotes (RFQ) Number ______________
Complete, sign and submit the following Bid Form with your electronic quotation. Failure to complete and/or submit these forms may cause rejection of your quotation. All quotations must be submitted for each line item identified on this form.
A. Bid Schedule: WQCP LAB
| Item |
| Qty |
| Unit |
| Vol |
| Description / Part# |
| Unit Price |
| Taxable Yes or No |
| Extension |
Cyl and/or 265 L
Liquid Argon, 99.999% UHP Grade *P/N
230 L $ 265 L $
| 2 |
| 6 |
| Cyl |
| 300 cf |
| Gas Argon, UHP 99.999% |
*P/N
| 3 |
| 6 |
| Cyl |
| 300 cf |
| Helium UHP, 99.999% |
*P/N
| 4 |
| 2 |
| Cyl |
| 300 |
cf Compressed Nitrogen *P/N
DELIVERY AND RENTAL RATES
| 5 |
| 16 |
| Ea |
| ****** |
| Delivery Charge, per delivery |
| $ |
| 6 |
| 16 |
| Ea |
| ****** |
| Haz Mat fee, per delivery |
| $ |
Ea
| Liquid Cylinder rental Specify: | Monthly |
| Daily |
Ea
| Compressed Cylinder rental Specify: | Monthly |
| Daily |
| 16 |
| Ea |
| ****** |
| Fuel/Power Surcharge |
| $ |
| Subtotal (Taxable items |
| $ |
| 9.13% Sales Tax |
| $ |
Subtotal (Non-taxable items)
A: Bid Schedule Total Cost including sales tax: (Total in words)
| Item |
| Qty |
| Unit |
| Vol |
| Description / Part# |
| Unit Price |
| Taxable Yes or No |
| Extension |
| 1 |
| 2 |
| Cyl |
| 255 cf |
| Compressed Air |
*P/N
| 2 |
| 1 |
| Cyl |
| 281 cf |
| Compressed Nitrogen |
*P/N
| 3 |
| 1 |
| Cyl |
| 125 cf |
| Compressed Argon |
*P/N
Cyl
356 cf Helium/Argon/CO2 *P/N
| 5 |
| 4 |
| Cyl |
| 155 cf |
| Compressed Oxygen |
*P/N
| 6 |
| 6 |
| Cyl |
| 125 cf |
| Acetylene |
*P/N
| 7 |
| 1 |
| Cyl |
| 43 cf |
| 75Argon/25C02 |
*P/N
| 8 |
| 1 |
| Cyl |
| 336 cf |
| Argon |
*P/N
| 9 |
| 4 |
| Cyl |
| 356 cf |
| 75Argon/25C02 |
*P/N
DELIVERY AND RENTAL RATES
| 10 |
| 24 |
| Ea |
| ******** |
| Delivery Charge, per delivery |
| $ |
| 11 |
| 24 |
| Ea |
| ******** |
| Haz Mat fee, per delivery Fuel |
| $ |
Ea
Compressed Cylinder rental Specify: Monthly Daily
| 13 |
| 24 |
| Ea |
| ******** |
| Fuel/Power Surcharge |
| $ |
Subtotal (Taxable items)
| 9.13% Sales Tax |
| $ |
Subtotal (Non-taxable items)
| B: Bid Schedule Total Cost including sales tax: (Total in words) |
| $ |
B. Bid Schedule B: WQCP Maintenance
Total WQCP LAB – Schedule A: $ Total WQCP MAINTENANCE – Schedule B: $
Bid Grand Total: $ ___________________
Prices quoted above shall remain firm for the initial period and shall include all applicable taxes, regulatory fees, and all transportation and delivery charges as necessary to perform the requirements of this RFQ. Pricing shall also include an allowance for fuel price increase during the contract period. Requests for price adjustments during the initial contract period will not be allowed.
Note: If any price increase is anticipated during the second and third year of this contract, note it in the space provided below. If no price increase is anticipated, enter “0.”
A. Estimated price increase for the following contract period (Period for 2nd Contract Year; from 07/01/2026 through 06/30/2027):
_______________% (Blank equals zero)
B. Estimated price increase for the following contract period (Period for 3rd Contract Year; from 07/01/2027 through 06/30/2028):
______________% (Blank equals zero)
C. QUANTITIES: Quantities as specified are approximate and no guarantee is implied that the exact amount will be purchased.
D. DELIVERY: Delivery terms shall be F.O.B. Palo Alto, Freight Prepaid in accordance with the attached terms and conditions
E. PAYMENT TERMS: City of Palo Alto’s Payment terms for this contract will be: N30
F. Bidder’s Designated Contact Person:
| Name: | ______________________________________________________________________ |
| Title: | ______________________________________________________________________ |
| Phone: | ______________________________________________________________________ |
| Email: | ______________________________________________________________________ |
G. In response to this Request for Quotation (RFQ), the undersigned, as Bidder, declares that the only persons or parties interested in this Bid as principals are those named herein; that this Bid is made without collusion with any other person, firm or corporation; that the Bidder has carefully examined the specifications herein referred to; and the Bidder proposes and agrees, if this Bid is accepted, that the Bidder will contract with the City of Palo Alto (City), to provide all necessary materials, and furnish the specified requirements in this RFQ, in the manner herein prescribed and at the prices stated in the Bid.
Firm: ____________________________________________________________________________
Signature*: ________________________________
Name: ________________________________
* The signatory represents and warrants that he or she has the legal capacity and authority to bind the Bidder.
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