RFQ_Mary Jane Thurston Concrete Abutment and Sidewalk to connect Kayak Launch Dock_standard Affirmation.pdf

Rev. 6/3/22

Needed Service or Supply: 9’x6’x7’ concrete abutment and sidewalk to connect kayak launch dock

Ordering Location and Address: Mary Jane Thurston State Park 1466 state route 65 McClure, OH 43534

Project Background: We are installing a new kayak launch ramp, and it needs a concrete abutment to anchor the docks to land. Size will need to be approximately 9’x6’x7’ with steel reinforcement, and dock anchors will be poured in place. A new sidewalk connecting the existing is needed as well.

Specifications/Scope of Work: Contractor will need to make a site visit and speak with Park Manager Jeremy Babcock for specific job instructions before bidding.

Product specifications:

• 9’x6’x7’ concrete abutment with steel reinforcement, and 2 dock anchors poured integrally into the concrete.

• Backfill the newly poured abutment wall with 57’s.

• Adjoining sidewalk 10’x10’4” level with existing concrete.

Service Requirements

• Vendor to provide all material except dock anchors for project

• All permits/inspections will be responsibility of vendor

Completion Deadline: May 1, 2025

Site Visit & Point of Contact

Prior to submitting a bid response, offerors are encouraged to visit the Mary Jane Thurston State Park office or call (419)261-0191 and speak with park manager Jeremy Babcock.

Once a contract is awarded, failure of the bidder to have requested a site visit to become familiar with the facility and requirements of the bid will be insufficient reason to support any request to be released from the contract.

Project Award

For bids involving service projects on DNR property, the lowest apparent bidder will be required to provide 2 examples of similar completed projects including photos. Provide the person’s name, organization name, phone number and email address for each project example. In addition, the bidder must complete a pre-award meeting with appropriate DNR staff to ensure that the materials and scope are mutually understood.

Evaluation. The contract will be awarded to the lowest responsive and responsible bidder as determined by the State.

Contract Award. The contract will be awarded to the lowest responsive and responsible bidder by low lot total. Low lot total will be determined by multiplying the unit cost by the estimated usage listed in the bid and then adding each of the totals together to arrive at a total for all items. Failure to bid all items may result in the bidder being deemed not responsive.

Bill to information: (OSS requirement)

Origin-DNR-461

All invoices must be submitted DIRECTLY to Ohio Shared Services (OSS).

-EMAIL the invoice to: invoices@ohio.gov -FAX the invoice to: 1-614-485-1039 -MAIL the invoice to: Ohio Shared Services, PO Box 182880, Columbus, Ohio 43218-2880

In order to process your invoice, please make sure all the required information listed below is on your invoice before submitting it to OSS or they will be returned for not being a proper invoice.

1. Must include the Purchase Order (PO) number assigned and Origin Number listed above

2. Supplier full name as it appears on your PO

3. The Ship to and/or service facility name and full address

4. Unique invoice number

5. Date of service or date work was completed.

6. Complete itemization of services performed, materials or goods supplied and/or labor furnished

7. Line charge(s). If parts are included, please break out lines with product and charges separately.

8. No State of Ohio sales tax

9. Remit to address must match our records for payment

10. This PO is only valid for the goods and/or services received through June 30, 20XX.

11. Any goods/services received after June 30, 20XX will require a new PO.

For the purchase of services use the following statement:

The awarded supplier will be required to sign an Addendum to Bid Quote or Personal Services Agreement. Example attached.

mailto:invoices@ohio.gov

AFFIRMATION AND DISCLOSURE FORM

Rev. 3/22 Page 1 of 2

Contractor affirms that Contractor has read and understands the applicable Executive Orders regarding the prohibitions of performance of offshore services, locating State data offshore in any way, or purchasing from Russian institutions or companies.

Contractor shall provide all the name(s) and location(s) where services under this Contract will be performed and where data is located in the spaces provided below or by attachment. Failure to provide this information may result in no award. If the Contractor will not be using subcontractors, indicate “Not

Applicable” in the appropriate spaces.

1. Principal location of business of Contractor:

(Address) (City, State, Zip)

Name/Principal location of business of subcontractor(s):

(Name) (Address, City, State, Zip)

2. Location where services will be performed by Contractor:

Name/Location where services will be performed by subcontractor(s):

Rev. 3/22 Page 2 of 2

3. Location where state data will be located, by Contractor:

Name/Location(s) where state data will be located by subcontractor(s):

Contractor affirms, understands, and agrees that Contractor and its subcontractors are under a duty to disclose to the State any change or shift in location of services performed by Contractor or its subcontractors before, during and after execution of any contract with the State. Contractor agrees it shall so notify the

State immediately of any such change or shift in location of its services. The State has the right to immediately terminate the contract, unless a duly signed waiver from the State has been attained to perform the services outside the United States.

On behalf of the Contractor, I acknowledge that I am duly authorized to execute this Affirmation and

Disclosure Form and have read and understand that this form is a part of any Contract that Contractor may enter into with the State and is incorporated therein.

By:

Contractor

Print Name:

Title:

Date: