RFQ_BPM006341_Buds_Bulk_Ice_Service_Inc_Required_Documents.pdf

THE STATE OF ARIZONA

GAME AND FISH DEPARTMENT

5OOO W CAREFREE HIGHWAY

Phoenix, AZ 85086-5000

(602) 942-3000 .WWW.AZGFD.GOV

REQUEST FOR QUOTE

BPM006341

REQUIRED FORMS

Offerors shall electronically complete and submit the following documents in the Arizona Procurement

Portal ("APP") for this solicitation. Failure to include all of the items may result in a bid being rejected.

Offerors may submit additional documents at their discretion.

Contents Offeror's Check List

Offer and Acceptance Form

Designation of Confidential, Trade Secret & Proprietary Infonnation

R2-7- 1 03. Confi dential Information

Boycott of Israel Disclosure

Forced Labor of Ethnic Uyghurs Ban

AZ Baseline Infi'astructure Security Controls

Subcontractors

References

Pricing Proposal

J l0

1l l2

8PM006341 Required Forms Updated 5-77-2024

OFFEROR'S CHECK LIST (for Offeror's use only.) This is the only document does not have to be returned.

Arizona Game and Fish Department Purchasing Office

5000 We$ Carefree Highway Phoenix, Arizona 85086

Pase 2 of 12

DOCUMENT SUBMITTED*

lf you have been notified that an amendment has been issued, you must re-open your offer in APP, make any required modifications, if any, and re-submit your offer. lf you do not do this you have not submitted an offer in the Arizona Procurement Portal and your offer will be considered as non-responsive.

n yes, Vrun E ruo, Offer and Acceptance (Complete the top half of page 3, sign and upload into your offer in APP.)

"Designation of Confidential, Trade Secret & Proprietary lnformation" form (Page 4). lnformation considered to be confidential, trade secret or proprietary should be attached as a separate document checked "confidential" in the Attachments tab of your offer in APP. Confidential documents must include a statement as to why the information is confidential.

Vves, I ruo, Pricing has been entered in Arizona Procurement Portal "items" tab.

-,Mves l-l ruo

Boycott of lsrael Disclosure MYes E r.ro

Forced Labor of Ethnic Uyghurs Ban (ves E uo

Subcontractors MYES L_l rrro

AZ Baseline lnfrastructure Security Controls fi ves n r.ro

References pves fl ruo

Pricing Proposal if requested Mves Ll No

* Ensure ltems above have been completed, scanned (preferably as one pdf file unless your offer contains confidential information-(see above) and uploaded into the "Attachments" tab of vour bid in APP.

(ves E ruo

BPM006341 Required Forms Updated 5-77-2024

I !l:r:i t

OFFER AND ACCEPTANCE

BPM006341

Arizona Game and Fish Department Purchasing Office

5000 West Carefree Highway Phoenix, Arizona 85086

Paee 3 of 12

PO Box 6010 Tiffany Delehoy, Secretary/Treasurer

OFFER

TO THE STATE OF ARIZONA:

The ,Undersigned hereby offers and agrees to furnish the material, service or construction in compliance with all terms, cond.itions, specifications and amendmehts in the Solicitation and any written exceptions tn ihe off;i. Sig;ature also certifie!

Small Business status (See certification #5 below).

otferor company name Signature of person authorized to sign Offer

Address

Phoenix, AZ 85005

Printed name and title

602-268-4773 CitylStatelZlP Telephone Number tdelehoy@theicewagon. com Contact Email Address x

CERTIFICATION: By signature in the above, Offeror certifies that:

f it will not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, [Arizona] State Executive Order 2009-9 or A.R.S. SS 41-1461 through 1465;

2. it has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penalties under law;

3. it complies with A.R.S. 5 41-3532 when offering electronics or information technology products, services, or maintenance; and

4. it is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.

5. ltisxxx /lsnot-asmall businesswithlessthanl00employeesorhasgrossrevenuesof54millionorless.

ACCEPTANCE OF OFFER: State hereby accepts the Offer identified by the date and number at the top of this form (the Accepted Offer). Offeror is now bound (as Contractor) to carry out the Work under the attached Contract, of which the Accepted Offer forms a part. Contractor is cautioned not to commence any billable work or to provide any material or perform any service under the Contract until Contractor receives the applicable Purchase Order or written notice to proceed from Procurement Officer.

The Contract number is:

The Contract effective date is:

State of Arizona Awarded this day of

8PM006341 Required Forms Updated 5-t7-2024

Kristen Micurescu, as Branch Chief and not personally

8PM006341

Arizona Game and Fish Deparhnent Purchasing Office

5000 We$ Carefree Highway Phoenix, Arizona 85086

Pase 4 of 12

All materials submitted as part of a response to a solicitation are subject to Arizona public records law a will be disclosed if there is an appropriate public records request at the time of or after the award of tire contr.act. Recognizing there may be materials included in a solicitation response that is proprietary or a trade secret, a process is set out in A.A.C. R2-1-103 that will allow qualif ing materials to be designated as confidential and excluded fi'om disclosure. For purposes of this process the definition of "trade secret" will be the same as that set out in A.A.c. R2-1-10 I (50).

This form nrust be conlpleted and returned with the response to the solicitation and any supporting infonlation to assist the State in making its deterntination as to whether any of the materials submitted as palt of the solicitation response should be designated confidential because the nraterial is proprietary or a trade secret and therefore not subject to disciosure.

All offerors must select one of the following:

XXXX

. My response does not contain proprietary or trade secret inforntation. I understand that my entire response will become public record in accordance with A.A.C .R2-7-C317.

My response does contain trade secret information because it contains infornration that:

l. Is a formula, pattern, compilation, program, device, method, technique or process, AND

2. Derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use; AND

3. Is the subject of efforts by myself or my organization that are reasonable under the circumstances to maintain its secrecy.

Please note that failure to attach an explanation may result in a determination that the information does not meet the statutory trade secret definition. All information that does not meet the definition of trade secret as defined by A.A.C. RZ-7-101(50) will become public in accordance with A.A.C. R2-7-C317. The State reserves the right t-o make its own determination of Proposer's trade secret materials through a written determination in accordance with A.A.C. R2-7-103.

If the State agrees with the proposer's designation of trade secret or confidentiality and the determination is challenged, the undersigned hereby agrees to cooperate and support the defense of the determination with all interested pu,iie., including legal counsel or other necessary assistance.

By submitting this response, proposer agrees that the entire offer, including confidential, trade secret and proprietary information may be shared with an evaluation committee and technical advisors during the evaluation process. Proposer agrees to indemniff and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State's withholding of information based upon reliance on the above representations, including the payment of all costs and attorney fees incured by the State in defending such an action.

Bud's Bulk lce Service, lnc. dba The lce Wagon ?f14"ry- Do/a/o*.

Signature of Ferson Authorized t"o Sign

Tiffany Delehoy Company Name

PO Box 6010 Add ress

Phoenix, AZ 85005 Printed Name

Secretary/Treasurer City zip

BPM006341

Arizona Garne and Fish Department Purchasing Office

5000 West Carefree Highway Phoenix, Arizona 85086

Paee 5 of 12

A.

R2-7-l 03. Confidential Information

If a person wants to assert that a person's ofleq specification, or protest contains a trade secret or other proprietaly information, a person shall include with the submission a statement supporting this assertion. A person shall clearly designate any trade secret and other proprietary information, using the tenn "confidential". Contract terms and conditions, pricing, and infbrmation generally avaitable to the public are not considered confidential information under this Section.

Until a final determination is made under subsection (C), an agency chief procurement officer shall not disclose information designated as confidential under subsection (A) except to those individuals deemed by an agency chief procurement officer to have a legitimate state interest.

Upon receipt of a submission, an agency chief procurement officer shall rnake one of the fbllowing written deternr inations:

I . The designated infonnation is confidential and the agency chief procurement officer shall not disclose the information except to those individuals deemed by the agency chief procurement officer to have a legitimate state interest;

2. The designated information is not confidential; or

3. Additional information is required before a final confidentiality determination can be made.

If an agency chief procurement officer determines that information submitted is not confidential, a person who made the submission shall be notified in writing. The notice shall include a tinre period for requesting a review of the determination by the state procuretnent administrator.

An agency chief procurement officer may release information designated as confidential under subsection

(A) if:

1. A request for review is not received by the state procurement adrninistrator within the tirne period specified in the notice; or

2. The state procut'ement administrator, after review, makes a written deterrnination that the designated information is not confidential

B.

C.

D.

E.

Participation in Boycott of Israel

Arizona Garre and Fish Departntent Purchasing Office

5000 West Carefree Highway Phoenix, Arizona 85086

Pase 6 of 12

14<>y t:<>t t cb{ Z sy'a*A ?} isclosu re

Please note that if anv of the following apply to this Solicitation, Contract, or Contractor, then the Offeror glgl! select the "Exempt Solicitation, Contract, or Contractor" option below:

o The Solicitation or Contract has an estimated value of less than Sf OO,OOO;

. Contractor is a sole proprietorship;

. Contractor has fewer than ten (10) employees; and/or

. Contractor is a non-profit organization.

Pursuant to A.R'S. 5 35-393.01, public entities are prohibited from entering into contracts "unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of goods or services from lsrael,"

Under A.R.S. S 35-393:

1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with entities doing business in lsrael or in territories controlled by lsrael, if those actions are taken either:

(a) Based in part on the fact that the entity does business in lsrael or in territories controlled by lsrael.

(b) ln a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.

2. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

5. "Public entity": {a) Means this State, a political subrjivision of this State or an agency, boarcl, commission or clepartmerrt of this State or a political subdivision of this State. (b) lncludes the universities urrder the jurisdictir:n 6f the Arizopa board o{ regepts and comrnurrity college districts as defined in seEtign_-15:1401.

The certification below does q[ include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuanttothat section. See A.R.S. 5 35-393.03.

ln compliance with A.R.S. 5 35-393 et seq., all offerors must select one of the following:

f the Company submitting this Offer does not participate in, and agrees not to participate in during the term of the contract, a boycott of lsrael in accordance with A.R.S. S 35-393 et seq. I understand that my entire response will become a public record in accordance with A,A.C. R2-7-C317.

E TheCompanysubmittingthisOfferdoesparticipateinaboycottof lsrael asdescribedinA.R.S.S35-393etseq.

Z Exempt Solicitation, Contract, or Contractor.

lndicate which of the following statements applies to this Contract:

xtr Solicitation or Contract has an estimated value of less than S100,000;

. Contractor is a sole proprietorship;

. Contractor has fewer than ten (10) employees; and/or . Contractor is a non-profit organization.

Bud's Bulk lce Service, lnc. dba The lce Wagon

PO Box 6010 Address

Phoenix AZ 85005 City State Zip

Printed name and title

Tiffany Delehoy, Secretary/Treasu rer

602-268-4773

8PM006341 Requlred Forms Updated 5-77-2024 SPO Form Boycott of lsrael Disclosure Revision No. 1 | Revised 09-22

Forced Labor of Ethnic Uyghurs Ban

Arizona Game and Fish Departnrent Purchasing Office

5000 We$ Carefree Highway Phoenix, Arizona 85086

PaseT of12

X,; t 1 ;{ t3 1,.1'1,;.:t'ly ty t <t { ?rltlta*t { i l.i I n r lr l.:; } I ; r l

Please note that if anv of the following apply to the Contractor, then the Offeror g[4[t select the "Exempt Contractor" option below:

. Contractor is a sole proprietorship;

. Contractor has fewer than ten (10) employees; OR o Contractor is a non-profit organization.

Pursuant to A.R'S. S 35-394, the State of Arizona prohibits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company does not use the forced labor, or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China.

Under A.R.S. S 35-394:

1. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, Iimited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

2. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

ln compliance with A.R.S. 55 35-394 et seq., all offerors must select one of the following:

Z TheCompanysubmittingthisOfferdoesnotuse,andagreesnottouseduringthetermofthecontract,anyofthefollowing:

o Forced Iabor of ethnic Uyghurs in the people's Republic of China;

o Any goods or services produced by the forced labor of ethnic Uyghurs in the People's Republic of China; or o Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People's Republic of China.

tr The Company submitting this Offer gbes participate in use of Forced Uyghurs Labor as described in A.R.S. 5 35-394.

tr Exempt Contractor lndicate which of the following statements applies to the Contractor (may be more than one):

E Contractor is a sole proprietorship;

E Contractor has fewer than ten (10) employees; and/or

I Contractor is a non-profit organization.

Bud's Bulk lce Service, lnc. dba The lce Wagon

PO Box 6010 Tiffany Delehoy, Secretary/Treasurer ture of persoiauthorized to sign

Phoenix AZ 85005

Prlnted name and title tdelehoy@theicewagon. com 602-268-47 7 3

City, State, ZIP Contact email address Contact phone number

8PM006341 Required Forms Updated 5-17-2024 SPO Form No. 205

Address

AZ Baseline Infrastructure Security Controls

Arizona Game and Fish Departnrent Purchasing Office

5000 West Carefree Highway Phoenix, Arizona 85086

Pase 8 of 12

11;l;{ ;as*}.'atxfii:: oraztt'myL.Eyli:{.t,*:i"'*.

!i+:;q:,#i"Et:,:y {":,*Ltt.rqzlru

Contractor shall follow the State of Arizona's Data security policy standard (currently $tql.e .ol-V-D..+J*$ecfU:itiiSl,Ud.4td SStZ0)and Addendunl B to the Special Ternts and Conditions, titled Warranties and Requirenrents Related to Arizona Information Technology Statewide Policies, Standards, and Pt'ocedures when storing, processing, or transrnitting State Data.

Contractot'acknowledges and agt'ees that only National Institute of Standards and Technology (N.lSII5P800-53 SrcUUly ang tlrllagy C.pntt"qls will be accepted for evaluation. No other fbrrns of CSF witl be accepted including ISO/IEC, SOC 2/3 l.eports, or.other fbrrns of sel f'-attestati ons.

The State Data classification:

NIST I.ow Inrpact: If a Contractor may process, transnrit, or store Public State Data (as per Srateivide In r i&lllicy Llll1.-0 Data Classification) and/ot nretadata, or as directed by the State Chief Privacy Officer (Arizona Department of Homeland Security, Goverttance, Risk, and Conrpliance tealr), then the Coutlactor shall follow the NIST Low Intpact security controls.

NIST Moderate Lnpact: If a Contractol'may process, transmit, or store Confidential State Data (as per Statervide In{brn:atiouseeirrily Policf P8 1 l!. Data Classification) and/or tnetadata during its work under the Contract, or as directed by the State Chief Privacy Officer (Arizona Depaltment of Horneland Security, Governarrce, Risk, and Conrpliance tearn), then the Contractor shall cornplete NIST Moderate Irnpact security controls.

Pursuant to State Dzrta Classifi ):-B&Ll0 and the above Data classification, Contractor will have access to the followins tyne of Data as part of its work under the Contract:

E Low Irnpact Data (AZRAMP 125 INIST Low Impact)

X Moderate Impact Data (AZRAMP 325 INIST Moder.ate Impact)

For this Offer to he considered. the Offeror shall lhllorv the Infrastructure Secrrrity Controls and acknowlerlge its agreernent below.

A) If the Offeror has achieved AZRAMP, FedRAMP, or StateRAMP Authorization, check the box below, subnrit certification inforrnation, arrd sign the signatute sectiorr.

AZRAMP Authorized

FedRAMP Authorized

StateRAMP Authorized

B) If the Offeror has not achieved AZRAMB FedRAMP, or StateRAMP Authorization, complete the steps below, and sign the signatule section.

Step Bl: Solicitation Prequalification Stase

Submit a completed Arizona Baseline Infi'astructure Security Controls Plerequisite (35 questions) assessment spreadsheet l'}rtRetlujsitc (.15 qnestiorrs} (Attacltment - Prerequisite Assessmenl of Arizona Boseline Infrastructure Security Controls).

tr tr tr

BPM006341 Required Forms Updated 5-77-2024 SPO Form No. 205

AZ Baseline lnfrastructure Security Controls

Arizona Ganre and Fish Department Purchasing Office

5000 West Carefree Highway Phoenix, Arizona 85086

Pase 9 of 12

Step 82: Solicitation Proposal Stage: In ordel to be susceptible for Contract Award, Offerors shall have AZRAMp 325 Moclerate Security Controls Certification, FedRamp Authorization, or StateRAMP NIST Moderate Impact Authorization (authorized or provisional) security status.

B2.l All Offers Shall subrnit AZRAMP 325 Moderate Security Controls Certification in their Offers confinning that Offeror has AZRAMP 325 Moderate Security Controls Certification, FedRAMP Authorization, or StateRAMP NIST Modet'ate Impact Ar.rthorization (authorized or provisional) securify status.

B2,2 If offeror does not have AZRAMP 325 Modelate Security Corrtrols Certification, FedRAMP Authorization, or StateRAMP NIST Moderate Impact Authorization (Authorized or provisional) security status, the Offelor shall cotnplete the AZRarnp 325 Moderate Irnpact Control spreadsheet titled "Arizona Infi'astructure Security Controls 20 l7 (Excel)," and fitl out column's from I to N and submit to State Chief Privacy Officer (Enterprise Security, Privacy & Risk Compliance team) .lJ-Bl::tU),:i-lktb*1,1. Supporting documentation required for the AZRanrp assessment are colttractor IT System Security Plan (SSP) or Written Information Security Program (WISP) to obtain AZRarnp Moderate (respond to Colunrrr F controls and control enhancements), or contact the State Chief Privacy Officer (Enterprise Security, Privacy & Risk Conrpliance teanr) with questions via!i)_\{!11-11fl\,}-|l.}7, ,a:}--r".

Step 83: Contract Management Stagel State is moving toward requiring Contractors to be StateRamp certified. Once that move has become official, Contractors will be required to:

83.l Register with StateRAMP (membership link: lllrJlilitls-[j]terruB.!l{r) within forty-five (45) days of notification. Supply StateRAMP rnernbership number to State Chief Privacy O{ficer (Enterprise Security, Privacy & Risk Cornpliance team) via {j1g51;"it/#fi}l},;:,ty.

AND

83.2 Within one (l) year of notification, awarded contractor shall obtain StateRAMP NIST Moderate Impact Authot'ization (authorized ot provisional) security status, or corrtact the State Chief Privacy Officer

!?:::;,1;:::i:curity, Privacy & Risk compliance teani) via l'.tt\{'rlttrl}}{>tlf;,.s;v for an extension to the

7;l/a#-/Y) .f- /f' Slgnature of person authorlzed to sign

Tiffany Delehoy Secretary/Treasurer

Bud's Bulk lce Service, lnc. dba The lce Wagon

Company Name

July 9,2024 Printed name and title tdelehoy@theicewagon. com

Date

602-268-4773

Contact email address Contact phone number

NA

8PM006341 Required Forms Updated 5-L7-2024

NA

SPO Form No. 205

StateRAMP Number FedRAMP Number

Subcontractors

Arizona Game and Fish Departrnent Purchasing Office

5000 West Carefree Highway

Phoenix. Arizona 85086

Paee 10 of 12

!) ukl * q t tt,,'roz'*1 4l g { } e"fl

Bidder shall identify all proposed subcontractors/material suppliers that will be utilized to perform any portion of the Specifications. Additional Subcontractor(s) not listed below or on a supplemental page must receive written approval from AGFD before utilization.

Name of Subcontractor

NA

City, State

Number of years in business

Type of business (LLC, Corporation, Sole Proprietor, etc.)

AZ Conlractor's I icense number

Service to be provided

Name of Subcontractor

NA

Cify, State

Number of years in business

Type of business (LLC, Corporation, Sole Proprietor, etc.)

AZ Contractor's I icen se number

Service to be provided

8PM006341 Required Forms Updated 5/1.7/2024

References

Arizona Game and Fish Departrnent Purchasing Office

5000 West Carefi'ee Highway

Three (3) professional shall be listed below States are preferred.

material andlor service t], t tl' +: r 4:'x t,;: r^: ti references who have received services sirnilar to the Specilications of this Solicitation References fi'orn AGFD are IteI to be included. References fi'orn the western United The contact person shill be someone who has responsibility for the operation of the and shall be aware that they are being used as a reference.

1) Company:

Core Ready Mix

Contact Namp:

Tymer

Phone:

602-670-4093

Email:

tymer@corereadymix.com

Description of services provided:

Bagged lce Delivery

2) Company:

AvantiWindows

Contact Name:

Charlie Phone:

602-644-0645 Email:

NA

Description of services provided:

Bagged lce Delivery

3) Company:

Acco Engineered Systems

Contact Name:

Many Soghomomian

Phone:

623-201 -081 0

Email:

msog homomian@accoes.com Description of services provided:

Bagged lce Delivery

8PM006341 Required Forms Updated 5/77/2024

Reference 1

Reference 2

Reference 3

Pricing Proposal

Arizona Game and Fish Department Purchasing Office

5000 West Carefree Highway

Phoenix, Arizona 85086

Pase 12 of 12

Pri*ing Pr*posal

Enter pricing in the Arizona Procurement Portal (APP) on the items tab, "Unit Price" field.

Please do not just upload an attachment with pricing. You must enter at least one price on the items tab in APP in order for a contractto be created upon solicitation award.

8PM006341 Required Forms Updated 5/77 12024