WasherDryerRFQ2010.doc

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ATTERBURY JOB CORPS CENTER

ADAMS AND ASSOCIATES, INC.

Invitation to Bid

PURCHASE OF WASHERS AND DRYERS

RFQ 2010 – WASHERS AND DRYERS

March 22, 2010

Bids will be accepted until:

3:00 P.M. CST on Friday, April 2, 2010

RFQ Timeline

March 22, 2010 Advertise

April 2, 2010 Due Date

April 7, 2010 Request for Approval from Corporate Office and Department of Labor

May 1, 2010 Anticipated Services Start Date

Note: This request for information does not commit the Government to pay any costs incurred in the preparation of submission of this quotation or to contract for supplies or services. Any representatives and/or certifications attached to the Request for Quotation (RFQ) must be completed by the quoter.

All bids must be delivered via, email, fax or mailed to:

Atterbury Job Corps Center

Attn: Procurement Office

RFQ 2010 WASHERS AND DRYERS

P.O. Box 187

Edinburgh, IN 46124

Phone Number: 812-314-6021

Fax Number: 812-314-6290 email: gushwa.patty@jobcorps.org ****ALL QUESTIONS OR REQUEST FOR CLARIFICATION PERTAINING TO RFQ MUST BE SUBMITTED VIA EMAIL TO: gushwa.patty@jobcorps.org, FOR RESPONSE. NO TELEPHONE CALLS WILL BE ACCEPTED OR RETURNED.**** Scope of Work

Washer and Dryer Replacement for the Dormitory’s

Atterbury Job Corps Center is seeking quotes to replace thirty-eight (38) washers and fifty-eight (58) dryers for our dormitories. We are seeking energy efficient commercial heavy duty equipment. The Center will retain all old units, they will not be used as trade-ins. The bid should include as separate line items delivery, installation, removal of existing units to storage warehouse on Center and availability.

All bids are due April 2, 2010 by 3:00 p.m. CST (no exceptions). Delivery address:

Atterbury Job Corps Center or fax to: 812-314-6290

1025 A Hospital Road email to: gushwa.patty@jobcorps.org

P O Box 187

Edinburgh, Indiana 46124

The vendor is to provide written warranty for the above products at completion of job.

The contractor shall obtain and maintain insurance as follows:

· Workman’s Compensation, Employers Liability Insurance

· Comprehensive General Liability ($1,000,000 per occurrence)

· Comprehensive Automobile Liability (1,000,000/combined single limit)

· Fire Legal Liability ($500,000 per occurrence)

The washer and dryer bids must meet the minimum requirements listed below:

Washers:

· Equal to or better than Maytag Model # MAH22PR

· Front Loading Horizontal Axis Units

· Use approximately 13.1 gallon of water (or less)

· Energy Star Qualified Washer

· 5 Year Warranty on All Parts

· Extra-Large 6.7 cu. Ft. Capacity

· Premium Porcelain-Enamel Top with Backsplash

· Four Roller Suspension with Permanently Lubricated Bearings

· Blower Guard

· Electric

Dryers:

· Equal to or better than Maytag Model # MDE22PR

· Commercial Super-Capacity (6.7 Cu Ft)

· Energy Efficient

· Electric

All washers and dryers will be installed on ground floor in six (6) different buildings and old units removed to warehouse for storage. Warehouse is also one level.

RFQ FORM

BID SHEET RFQ 2010 WASHERS AND DRYERS

Atterbury Job Corps Center

OFFER OF

Doing business under the laws of the State of:

as:

TO: Adams and Associates, Inc. (Adams) d.b.a. Atterbury Job Corps Center.

In compliance with the Bid Provision, Scope of Work, Terms and Conditions, and other specifications contained in this bid package, the undersigned hereby proposes to provide washers and dryers for Adams at the Atterbury Job Corps Center in Edinburgh, Indiana.

BID PRICE

The prices contained herein represents currently established prices and are no higher than would be quoted to any other customer, either commercial and/or agencies of the United

States Government, for similar services.

Per Unit Cost
Total

Washer (38)

Dryer (58)

Shipping
N/A
Installation
N/A

The above listed unit pricing includes necessary labor, materials, equipment, transportation, and supervision required to accomplish the Scope of Work. Any additional charges for services or product that are not included in the above items shall be listed below:

Respectfully submitted:

Signature:

Business Address:

Printed Name:

Title:

Date:

Phone #: __________________________________ Fax #:

Email: ___________________________________

INVITATION TO BID (Bid Provisions)

PURCHASE OF WASHERS AND DRYERS

RFQ 2010 WASHERS AND DRYERS

RESPONSE TO SOLICITATION

To be considered for award of the Purchase Order, the response to this solicitation shall include the following:

- Completed "Bid Sheet".

- List of References.

- Valid license to do business in the State of Indiana.

- Current Certificate of Liability Insurance, naming Adams and Associates and Atterbury Job Corps Center as additional insured.

- Signed Waiver of Workmen’s Compensation form.

- Completed Vendor Questionnaire. If vendor checks Small Disadvantaged Business/8(a) or HUBZone Small Business, SBA Certification must be included.

- Completed W-9 form.

- Signed Authority to Commit form.

SELECTION OF CONTRACTOR

In addition to the submitted bid, selection of the provider shall be based on the following criteria:

- Experience in providing quality service and follow up on products.

- Previous experience in residential settings such as schools, colleges, institutions, military or correctional institution.

- Approval of purchase by Office of Job Corps, Region V, United States Department of Labor/ETA.

- Any package received without above stated documents or unsigned documents will not be considered for review.

BID PROVISIONS

The following bid provisions shall apply. Failure to carefully read all instructions and specifications will be at bidder's risk.

- This "Invitation to Bid" shall be considered part of the Bid Form, and the provisions and conditions herein outlined shall be in effect for the duration of any purchase agreement entered into by Adams and the vendor.

- All prices and notations must be in ink or typewritten. No erasures permitted. Errors may be crossed out and corrections printed in ink or typewritten adjacent and must be initialed in ink by person signing bid.

- Price Warranty: The prices quoted herein represents currently established prices and are no higher than would be quoted to any other customer either industrial and/or agencies or the United States Government for similar services.

- The bidder shall list on a separate sheet of paper any exceptions to the conditions of this bid. This sheet shall be labeled "Exceptions to Bid Conditions", and shall be attached to the Bid Form. If no exceptions are stated, it shall be understood that all general and specific conditions will be complied with without exception.

- Adams reserves the right to accept and/or reject any or all bids or waive any formality connected with the bids. Adams may accept any item or group of items, or overall low bid. Lowest item or overall bid does not constitute bid award. Adams shall be the sole judge of which bid is the lowest best and its determination and finding on such decision shall be final.

- No additional charge for delivery, drayage, express, parcel post, packing, cartage, insurance, license fees, permits, costs of bonds or for any other purpose will be paid by Adams unless specifically included in the bid and accepted by Adams.

In the event that a Purchase Order is awarded in response to the RFQ, the above Scope of Work, provisions and set forth terms and conditions shall be incorporated in their entirety into that purchase order and become an integral part of that purchase agreement when the purchase agreement is accepted by the contractor, either by acknowledgement or commencement of performance.

Any questions or request for clarification must be submitted via email to: gushwa.patty@jobcorps.org

I. OBLIGATIONS OF THE VENDOR

In the performance of the above, the vendor:

A. Acknowledges and agrees to comply with all U.S. Department of Labor, Job Corps (USDOL) guidelines and requirements currently in effect for Job Corps operations and with those that may become effective in the future.

B. The vendor agrees to maintain worker’s compensation insurance coverage according to the State statutory limit. The vendor further agrees to add the Company as an Additional Insured, with a provision for 30 days’ notice to the Company of any pending cancellation, in any such policies, and to provide certificates of insurance verifying such coverage, Additional Insured and notice of cancellation requirements to the Company within 30 days after executing this purchase agreement.

C. Agrees to indemnify and hold harmless the Company, the Center and the USDOL, its directors, officers, employees, students and/or agents, from any and all judgments, actions, orders, awards, liability, costs and/or expenses, including settlement costs, court costs, attorney fees and/or claims due to damage to property or bodily injury, including death, regardless of the outcome of such claim or action, arising out of or in the course of performance of work under this Subcontract, unless such damage or injury was caused by the intentional acts or negligence of the Center or Company. The Subcontractor further agrees to defend any and all claims against the Company, the Center and the USDOL or any of its employees or students by any employee of the Subcontractor or anyone for whose acts or omissions the Subcontractor may be responsible.

D. Agrees to make no public statements regarding his or her activities under this purchase agreement, or to disclose any information regarding Job Corps students or Job Corps activities without prior written approval of the Center Director or his/her designated representative. Unauthorized release of student records is a federal crime punishable by fine and/or imprisonment.

E. Certifies his or her intent to comply with all equal employment opportunity practices and affirmative action policies as required by law and agrees not to discriminate against any student, employee and/or contractor because of race, religion, color, gender, age or national origin.

I. Shall provide current copies of all professional licenses, certifications and professional liability insurance documents required by the Center.

II. COMPENSATION AND PAYMENT

A. As the sole and entire compensation under or in relation to this Purchase Agreement the Center shall pay the vendor after competition of all scheduled purchases and installation and after the Facility Maintenance Manager signs off on job as complete. The maximum compensation under this Subcontract shall not exceed the amount bid by vendor.

B. During the term of this agreement, payment adjustments will not be considered without review of the work performed or unless the scope of effort required is significantly changed. All such changes in either the rate or the scope of work shall be authorized only by written Amendment signed by all parties to this Purchase Agreement: the Center Director, the Company and the Professional.

C. The vendor will submit an invoice at the end completion of the agreed upon products and services. The Center agrees to remit payment to the vendor within 30 days of receipt of an approved, accurate invoice with applicable attachments. For audit purposes, the vendor will be required to sign in and out, indicating hours worked on Center, on a daily log maintained at the front gate.

D. DISPUTES: To ensure rapid and economical resolution of any and all disputes directly or indirectly arising out of or in any way connected with this Subcontract, the Company and the Vendor each agree that any and all disputes, whether of law or of any nature whatsoever, shall be resolved by final and binding arbitration held in the State of Nevada under the then existing American Arbitration Association (“AAA”) arbitration procedures, except insofar as they are inconsistent w the procedures set forth in Attachment A The Company and the Vendor each acknowledge and agree that any and all rights they may otherwise have to resolve such Arbitral Claims by jury trial, by a court, or in any forum other than the AAA are hereby expressly waived. Each party shall bear its own attorneys’ fees and costs that are incurred because of any such dispute or arbitration or other proceeding.

E. ENFORCEABILITY: In the event any term or provision hereof is held to be invalid or unenforceable by final judgment of any court of competent jurisdiction, such term or provision shall thereupon be severed from this Subcontract and the remainder of the terms and provisions hereof shall remain in full force and effect.

F. ETHICS AND BUSINESS GUIDELINES: The Vendors agrees to follow the Company Code of Ethics and Business Conduct Guidelines. Violation of the Code or Guidelines may result in immediate suspension or termination of this Subcontract.

G. NO ACTS AGAINST GOODWILL: The parties agree that they will not say or do anything intended to harm the goodwill, business or professional reputation of the Company and/or the Vendor. The Company and/or the Vendor may, in addition to other available remedies, seek injunctive relief to enforce this provision.

In the event that a Purchase Order is awarded in response to the RFQ, the Purchase Order will be subject to approval and funding provided by the USDOL and may be extended by mutual agreement of all parties, subject to continued approval and funding by the USDOL.

ATTACHMENT A

ARBITRATION PROCEDURE

1.

The Parties agree that any dispute that arises in connection with this Agreement or the termination of this Agreement that cannot be resolved by discussions with Company management shall be resolved by binding arbitration held in Nevada in the manner described below.

2.

A Party intending to seek resolution of any dispute under the Agreement by arbitration shall provide a written demand for arbitration to the other Party, which demand shall contain a brief statement of the issues to be resolved.

3.

The arbitration shall be conducted by the American Arbitration Association (“AAA”). At the request of either Party, arbitration proceedings will be conducted in the utmost secrecy and in such case, all documents, testimony, and records shall be received, heard, and maintained by the arbitrator in secrecy under seal, available for inspection only by the Parties to the arbitration, their respective attorneys, and their respective expert consultants, or witnesses who shall agree, in advance and in writing, to receive all such information confidentially and to maintain such information in secrecy, and make no use of such information except for the purposes of the arbitration, unless compelled by legal process.

4.

The arbitrator is required to disclose any circumstances that might preclude the arbitrator from rendering an objective and impartial determination.

5.

The Party demanding arbitration shall promptly request that AAA conduct a scheduling conference within fifteen (15) days of the date of that Party’s written demand for arbitration or on the first available date thereafter on the arbitrator’s calendar. The arbitration hearing shall be held within thirty (30) days after the scheduling conference or on the first available date thereafter on the arbitrator’s calendar. Nothing in this paragraph shall prevent a Party from at any time seeking temporary equitable relief, from AAA or any court of competent jurisdiction, to prevent irreparable harm pending the resolution of the arbitration.

6.

Discovery shall be conducted as follows: (a) prior to the arbitration any Party may make a written demand for lists of the witnesses to be called and the documents to be introduced at the hearing: (b) the lists must be served within fifteen days of the date of receipt of the demand, or one day prior to the arbitration, whichever is earlier: and (c) each Party may take no more than two depositions (pursuant to the procedures of Nevada law) with a maximum of five hours of examination time per deposition, and no other form of pre-arbitration discovery shall be permitted.

7.

It is the intent of the Parties that the Federal Arbitration Act (“FAA”) shall apply to the enforcement of this provision unless it is held inapplicable by a court with jurisdiction over the dispute, in which event Nevada law with regard to arbitration shall apply.

8.

The arbitrator shall apply Nevada law, and shall be able to decree any and all relief of an equitable nature, including but not limited to such relief as a temporary restraining order, a preliminary injunction, a permanent injunction, or repletion of company property. The arbitrator shall also be able to award reasonable and appropriate damages.

ATTACHMENT B APPLICABLE FAR CONTRACT CLAUSES 52.252-2 – Clauses Incorporated by Reference (Feb-1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. The full text of a clause may be found at

ATTACHMENT B APPLICABLE FAR CONTRACT CLAUSES 52.252-2 – Clauses Incorporated by Reference (Feb-1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. The full text of a clause may be found at http://www.arnet.gov/far.

Federal Acquisition Regulation (48 CFR Chapter 1) Clauses

CLAUSE
TITLE
52.219-8
Utilization of Small Business Concerns
52.228-5
Insurance-Work on a Government Installation
52.202-1
Definitions
52.219-9 52.219-14
Small Business Subcontracting Plan/Alternate II (Oct-01) Limitations on Subcontracting
52.228-7 52.228-8
Insurance-Liability to Third Persons Liability and Insurance-Leased Motor Vehicles
52.203-3
Gratuities
52.219-16
Liquidated Damages-Subcontracting Plan
52.230-2
Cost Accounting Standards
52.203-5 52.203-6
Covenant Against Contingent Fees Restrictions on Subcontractors Sales to the Government
52.222-1 52.222-2
Notice to the Government of Labor Disputes Payment for Overtime Premiums
52.230-3 52.230-6
Disclosure and Consistency of Cost Accounting Practices Administration of Cost Accounting Standards
52.203-7
Anti-Kickback Procedures
52.222-3
Convict Labor
52.232-9
Limitation on Withholding of Payments
52.203-8
Cancellation, Rescission, and Recovery of Funds for illegal or Improper Activity
52.222-4
Contract Work Hours and Safety Standards Act-Overtime Compensation
52.232-17
Interest
52.232-18
Availability of Funds
52.203-10 52.203-11
Price or Fee Adjustment for Illegal or Improper Activity Certification and Disclosure Regarding Payments to influence Certain Federal Transaction
52.222-6 52.222-10 52.222-11
Davis-Bacon Act Compliance with Copeland Act Requirements Subcontracts (Labor Standards)
52.232-22 52.232-23 52.232-25
Limitation of Funds Assignment of Claims Prompt Payment/Alternate I (Feb-02)
52.203-12
Limitation on Payments to Influence Certain Federal Transactions
52.222-13 52.222-21
Compliance with Davis-Bacon and Related Act Regulations Prohibition of Segregated Facilities
52.232-33
Payment by Electronic Funds Transfer-Central Contractor Registration
52.203-13
Contractor Code of Business Ethics and Conduct
52.222-26
Equal Opportunity
52.233-1
Disputes/Alternate I (Dec-91)
52.203-14 52.204-2
Display of Hotline Poster(s) Security Requirements
52.222-35
Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans
52.233-3 52.233-4
Protest after Award/Alternate I (Jun-85) Applicable Law for Breach of Contract Claim
52.204-4 52.204-7 52.204-9 52.207-3
Printed or Copied Double-Sided on Recycled Paper Central Contractor Registration Personal Identity Verification of Contractor Personnel Right of First Refusal of Employment
52.222-36 52.222-37
Affirmative Action for Workers with Disabilities Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans
52.237-2 52.237-3 52.237-7
Protection of Government Buildings, Equipment, and Vegetation Continuity of Services Indemnification and Medical Liability Insurance (Enter dollar threshold for each health service)
52.209-6
Protecting the Government’s Interest when Subcontracting with Contractor’s Debarred, Suspended, or Proposed for Debarment
52.222-41 52.222-50
Service Contract Act of 1965, as Amended Combating Trafficking in Persons
52.242-1 52.242-2
Notice of Intent to Disallow Costs Production Progress Reports
52.211-15
Materials Requirement
52.223-1
Biobased Product Certification
52.242-3
Penalties for Unallowable Costs
52.215-2 52.215-8 52.215-10
Audit and Records-Negotiation/Alternate II (Apr-98) Order of Precedence-Uniform Contract Data Price Reduction for Defective Cost or Pricing Data
52.223-2 52.223-3
Affirmative Procurement of Biobased Products Hazardous Material Identification and Material Safety Data/Alternate I (Jul-95)
52.242-4 52.242-13 52.243-2
Certification of Indirect Costs Bankruptcy Changes-Cost Reimbursement/Alternate I
52.215-11 52.215-12
Price Reduction for Defective Cost or Pricing Data-Modifications Subcontractor Cost or Pricing Data
52.223-5
Pollution Prevention and Right-to Know Information
52.244-2 52.244-5
Subcontracts/Alternate I (Professional Health Services) Competition in Subcontracting
52.215-13 52.215-14
Subcontractor Cost or Pricing Data-Modifications Integrity of Unit Prices
52.223-6 52.223-10
Drug-Free Workplace Waste reduction Program
52.244-6 52.245-1
Subcontracts for Commercial Items Government Property
52.215-15
Pension Adjustment and Asset Reversions
52.223-12
Refrigeration Equipment and Air Conditioners
52.245-2
Government Property (Fixed-Price Contracts)
52.215-17
Waiver of Facilities Capital Cost of Money
52.223-14
Toxic Chemical Release Reporting
52.246-5
Inspection of Services – Cost Reimbursement
52.215-18
Reversion or Adjustment of Plans for Post Retirement Benefits (PRB) Other than Pensions
52.223-15 52.223-16
Energy Efficiency in Energy-Consuming Products IEEE 1680 Standard for the Environmental
52.246-25 52.247-63
Limitation of Liability-Services Preference for U.S. Flag Air Carriers
52.215-19 52.215-21
Notification of Ownership Changes Requirements for Cost or Pricing Data or Pricing Data or Information Other Than Cost or Pricing Data-Modifications/Alternate IV (Oct-97)
52.223-17 52.224-1 52.224-2
Affirmative Procurement of EPA-designated Items in Service and Construction Privacy Act Notification Privacy Act
52.247-64 52.248-1 52.249-6
Preference for Privately Owned U.S. Flag Commercial Vessels Value Engineering Termination (Cost Reimbursement)
52.225-1
Buy American Act-Supplies
52.249-14
Excusable Days
52.216-7
Allowable Cost and Payment
52.225-13
Restrictions on Certain Foreign Purchases
52.251-1
Government Supply Sources
52.216-10 52.217-8
Incentive Fee Option To Extend Services (30 days)
52.227-1 52.227-2
Authorization and Consent Notice and Assistance Regarding Patent and Copyright Infringement
52.251-2 52.253-1
Interagency Fleet Management System Vehicles & Related Services Computer Generated Forms
52.217-9
Option to Extend the Term of the Contract (a) 30-days; 60 days. (c) 5 years.
52.227-14
Rights in Data-General

VENDOR QUESTIONNAIRE

FROM:

Date: _________________

Adams and Associates, Inc.

Purchasing Department

Edinburgh, 46124

812-314-6021 (voice)

812-314-6290 (fax)

ATTN:

To whom it may concern:

Completion of this form and W-9 is required in order for your business to receive full payment for goods and services. If you are a small business, please read the attached small business certification and check the appropriate designation(s) below.

Type of Service Provided: _______________________________________________________

Company Name: ______________________________________________________________

Street Address: _______________________________________________________________

City:

_____________________________ State & Zip: ___________________________

Remittance Address (if different): _______________________________________________

City:

__________________________ State & Zip: ______________________

Telephone #: _________________________ Fax #: _________________________

Email address for quote request and PO’s: __________________________________________

Sales Rep: ___________________________________________________________________

Check all Categories that Apply:

FORMCHECKBOX

1. Small Business

FORMCHECKBOX

2. Small Disadvantaged Business/8(a) (8(a) must be SBA Certified)*

FORMCHECKBOX

3. Women Owned Small Business

FORMCHECKBOX

4. HUBZone Small Business (Must be SBA Certified)*

FORMCHECKBOX

5. Veteran Owned Small Business

FORMCHECKBOX

6. Service-Disabled Veteran Owned Small Business

FORMCHECKBOX

7. Historically Black College/University or Minority Institution

FORMCHECKBOX

8. Large Business

FORMCHECKBOX

9. Government

FORMCHECKBOX

10. Non-Profit

*Primary NAICS Code (for SBA Certified business): _________________________

Signature and Title of Individual Completing Form

Date

**ALL COMPLETED DOCUMENTS ARE TO BE FAXED TO 812-314-6290 OR EMAILED TO: Gushwa.patty@jobcorps.org

SMALL AND SMALL DISADVANTAGED BUSINESS CERTIFICATION

Adams and Associates, Inc. participates in the Government’s Small and Small Disadvantaged Business programs. This requires written certification from our suppliers and contractors as to their business status. Please furnish the information requested below.

1.0 Small Business – An enterprise independently owned and operated, not dominant in its field and meets employment and/or sales standards developed by the Small Business Administration. See 13 CFR 121.201

1.a Small Disadvantaged Business / 8(a) – a Small Business Concern owned and controlled by socially and economically disadvantaged individuals; and

(1) Which is at least 51% owned by one or more socially and economically disadvantaged individuals; or in the case of any publicly owned business, at least 51% of the stock of which is owned by one or more socially and economically disadvantaged individuals and

(2) Whose management of daily operations is controlled by one or more such individuals. The contractor shall presume Black Americans, Hispanic Americans, Native Americans (such as American Indians, Eskimos, Aleuts and Native Hawaiians), Asian-Pacific Americans and other minorities or any other individual found to be disadvantaged by the Administration pursuant to Section 8 (a) of the Small Business Act and

(3) If the Vendor is an 8 (a) business, it is certified by the SBA as a Small Disadvantaged Business. If not an 8 (a) business, the Vendor may self-certify as a Small Disadvantaged Business if the above criteria is met.

1.b Women-Owned Business Concern – A business that is at least 51% owned by a woman or women who also control and operate it. Control in this context means exercising the power to make policy decisions. Operate in this context means being actively involved in the day-to-day management.

1.c HUBZone Small Business Concern – A business that is located in historically underutilized business zones, in an effort to increase employment opportunities, investment and economic development in those areas as determined by the Small Business Administration’s (SBA) List of Qualified HUBZone Small Business Concerns.

1.d Veteran-Owned Small Business Concern – A business that is at least 51% owned by one or more veterans; or in the case of any publicly owned business, at least 51 % of the stock of which is owned and controlled by one or more veterans and the management and daily business operations of which are controlled by one or more veterans.

1.e Service Disabled Veteran-Owned Small Business - A business that is at least 51% owned by one or more service disabled veterans; or in the case of any publicly owned business, at least 51 % of the stock of which is owned and controlled by one or more service disabled veterans and the management and daily business operations of which are controlled by one or more service disabled veterans. Service disabled veteran means a veteran as defined in 38 U.S.C. 101(2) with a disability that is service connected as defined in 13 U.S.C 101(16).

Notice: In accordance with U.S.C. 645(d)., any person who misrepresents a firm’s proper size classification shall (1) be punished by imposition of a fine, imprisonment, or both; (2) be subject to administrative remedies; and (3) be ineligible for participation in programs conducted under the authority of the Small Business Act.

If you have difficulty determining your size status, you may contact the Small Business Administration at 1-800-U-ASK-SBA OR 202-205-6618. You may also access the SBA website at www.sba.gov/size or you may contact the SBA Government Contracting Office at 817-684-5301. (Rev. 8/2008)

Atterbury/IndyPendence Job Corps Center

Adams Associates, Inc.

1025 A Hospital Road

P. O. Box 187

Edinburgh, IN 46124 Reference:

IndyPendence Job Corps Center

1025 A Hospital Road

222 East Ohio Street

Indianapolis IN

Please note in your files that only four (4) people at Atterbury Job Corps Center and/or IndyPendence Job Corps Center have the authority to commit funds on behalf of AJCC or IJCC. They are: Patty Gushwa, Purchasing Agent, Karla Chester, Purchasing Assistant, Paula Coffer, F&A Director and Charles Singleteary, Center Director. All purchases require a Purchase Order for approval.

If you send someone on center or deliver goods to center at the request of anyone else Atterbury Job Corps Center will not be responsible for payment.

All invoices are to be billed as noted below:

Attn: Finance

Payment will not be made if bill to address is different than noted above. Payment terms are NET 30 DAYS.

Should you have questions or need additional information please call me at 812-314-6021.

Please sign and return via fax (812) 314-6290 that you have received and acknowledge.

Thank you, Patty Gushwa

Purchasing Agent

Company Name (Please Print)

Authorized Signature

Printed Name Date

ATTERBURY JOB CORPS CENTER

INDYPENDENCE JOB CORPS CENTER

Waiver of Claims for Worker’s Compensation Benefits Contractor, _________________________________________, understands and acknowledges that Contractor is not an employee of Center and therefore Contractor shall have no right to and hereby waives any right to claim worker’s compensation insurance benefits that Center may provide to its employees, officers, or other contractors. This waiver shall be made a part of the Subcontracting Agreement between Contractor and Center dated ____________________.

CONTRACTOR

Signature: ________________________________ Date: ____________________

Print Name: ______________________________

Title: ____________________________________ Form

NOTE:

This certification is valid unless you notify us of any changes. It is your responsibility to notify us if your size or ownership status changes. If 8(a) or HUBZone Small Business is checked, SBA Certification must be included.

_1050919043

File details come from the government source that posted it. Updated .