RFQ22001114_Jul_28_25_solicitation_doc.pdf

Solicitation Number: RFQ22001114

Lighting project Zambrano Hospital and DEM Marine Base

Request for Quotation (RFQ)

State of Rhode Island

March 11, 2022 - April 19, 2022

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General Header Information

RFQ22001114

No. RFQ22001114 Title: Lighting project Zambrano Hospital and DEM Marine Base Start Date: March 11, 2022 at 11:00:00 AM EST End Date: April 19, 2022 at 2:00:00 PM EDT Vendor Q&A Start Date: March 11, 2022 at 11:15:00 AM EST Vendor Q&A End Date: March 29, 2022 at 4:00:00 PM EDT Estimated Total Value:

Who can respond to this bid? : All Vendors Description: To provide a turnkey installation of 180 fixtures to be installed at The

Zambarano Hospital Campus including the Zambarano Hospital Power Plant, Pascoag, Rhode Island and replacing existing lighting fixtures with LED fixtures at DEM Marine Base located at 150 Fowler Ave North Kingstown, RI. The building comprises 2 floors and is approximately 5,000 square feet.

Delivery Terms: Free On Board Destination Payment Terms: Vendor Specified Contact Information: State of Rhode Island

Katherine Missell One Capitol Hill 2nd Floor Providence RI, 02908 United States Tel: (401) 574-8114 Fax:

katherine.missell@purchasing.ri.gov

Contact Details: If you have any questions, please contact:

Katherine Missell One Capitol Hill 2nd Floor Providence RI, 02908 United States Tel: (401) 574-8114 Fax:

katherine.missell@purchasing.ri.gov

Selected Categories:

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Header Custom Fields:

RFQ22001114

General Solicitation Requirements

Pre-Bid Conference

PRE-BID/ PROPOSAL CONFERENCE: YES

Non-Mandatory Pre Bid Conference This is a non mandatory pre bid conference.

Pre Bid Conference Details There will be two prebids one for each location:

March 23 at 10:00 AM Zambarano Hospital,2090 Wallum Lake Rd, Pascoag, RI 02859 (at the

Ambulance entrance)

March 24 at Noon DEM Marine 150 Fowler Ave North Kingston, RI 02852

OSP Vendor Instructions •Vendors must register in Ocean State Procures™ at www.ridop.ri.gov/vendor-registration/ to be able to submit solictation responses and receive any potential solicitation award.

•Vendor "How to Register" in Ocean State Procures™ instruction and registration link can be found at https://www.ridop.ri.gov/osp/osp-vendor-registration.php.

•Vendor “How to Bid” in Ocean State Procures™ instruction can be found at https://www.ridop.ri.gov/bidboard/how-to-bid.php.

•Solicitation responses must be submitted in Ocean State Procures™. Any solicitation responses emailed, mailed, faxed, hand-delivered or mis-directed to other State locations shall not be accepted.

Contract Term The initial contract period will be approximately May1, 2022-April 30, 2023 •Start of construction: __30 days after purchase order issuance____

•Substantial completion: ___10 months from start of construction______

•Final completion: ___12 months from start of construction_____ http://www.ridop.ri.gov/vendor-registration/ https://www.ridop.ri.gov/osp/osp-vendor-registration.php https://www.ridop.ri.gov/bidboard/how-to-bid.php

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Solicitation Requirements:

RFQ22001114

General Requirements

Questions Questions concerning this solicitation must be submitted to the Division of

Purchases’ eProcurement website, Ocean State Procures™, no later than the date and time indicated on the 'Overview' tab of this solicitation. Questions should be submitted in the 'Q&A Center', accessed via the 'Collaboration' tab of this solicitation.

Submit each question individually with no attachments. Attachments shall not be acknowledged. No other contact with State parties is permitted.

Answers to questions received, if any, shall be posted on the solicitation record within Ocean State Procures™, as an addendum to this solicitation. It is the responsibility of all interested parties to monitor Ocean State Procures™ for any procurement related postings such as addenda.

Vendor Registration Status in OSP and Potential Award If your vendor registration in OSP is in a “pending” status and your organization receives notice of tentative selection for a potential contract or purchase order award; you must log into your OSP account and complete your registration to include your W-9 upload and other requirements as defined in the award’s Tentative Letter of Selection. Your registration will then be reviewed by the state’s Supplier Coordinator to transition your registration from “pending” to “approved” status if all qualifications are met. Further instruction for an “approved” account can be found atOSP Quick

Start Guide (ri.gov)

Insurance Requirements https://ridop.ri.gov/sites/g/files/xkgbur616/files/documents/vendor-self-registration-quick-start-guide.pdf https://ridop.ri.gov/sites/g/files/xkgbur616/files/documents/vendor-self-registration-quick-start-guide.pdf

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In accordance with this solicitation, or as outlined in Section 13.19 of the General Conditions of

Purchase, found at https://rules.sos.ri.gov/regulations/part/220-30-00-13 and General Conditions -

Addendum A found at https://www.ridop.ri.gov/documents/general-conditions-addendum-a.pdf, the following insurance coverage shall be required of the awarded vendor(s) (marked with an "X"):

General Requirements:

a) [ x ] Liability - combined single limit of $1,000,000 per occurrence, $1,000,000 general aggregate and $1,000,000 products/completed operations aggregate.

b) [ x ] Workers compensation - $100,000 each accident, $100,000 disease or policy limit and

$100,000 each employee.

c) [ x ] Automobile liability - $1,000,000 each occurrence combined single limit.

d) [ ] Crime - $500,000 per occurrence or 50% of contract amount, whichever is greater.

Professional Services:

e) [ ] Professional liability (“errors and omissions”) - $2,000,000 per occurrence, $2,000,000 annual aggregate.

f) [ ] Environmental/Pollution Liability when past, present or future hazard is possible -

$1,000,000 per occurrence and $2,000,000 aggregate.

g) [ ] Working with Children, Elderly or Disabled Persons – Physical Abuse and Molestation

Liability Insurance - $1 Million per occurrence.

Information Technology and/or Cyber/Privacy:

h) [ ] Technology Errors and Omissions - Combined single limit per occurrence shall not be less than $5,000,000. Annual aggregate limit shall not be less than $5,000,000.

i) [ ] Information Technology Cyber/Privacy – minimum limits of $5,000,000 per occurrence and

$5,000,000 annual aggregate. If Contract Party provides:

1) [ ] key back office services Contract Party shall have a minimum limit of $10,000,000 per occurrence and $10,000,000 annual aggregate;

2) [ ] if Contract Party has access to Protected Health Information as defined in HIPAA and its implementing regulations, Personal Information as defined in in R.I. Gen. Laws § 11-49.3-1, et seq., or as otherwise defined in the Contract (together Confidential Information”), Contract Party shall have as a minimum the per occurrence, per annual aggregate, the total rounded product of projected number of persons data multiplied by $25 per person breach response expense per occurrence; but no less than $5,000,000 per occurrence, per annual aggregate; or,

3) [ ] if the Contract Party provides or has access to mission critical services, network architecture and/or the totality of confidential data $20,000,000 per occurrence and in the annual aggregate.

https://rules.sos.ri.gov/regulations/part/220-30-00-13 https://www.ridop.ri.gov/documents/general-conditions-addendum-a.pdf

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Other:

Specify insurance type and minimum coverage required, (e.g. builder’s risk insurance, vessel operation (marine or aircraft):

j) [ ] Other - Specify insurance type and minimum coverage required

Late Bids Vendors must submit proposals in response to this solicitation electronically in Ocean State

Procures™ before the date and time listed on the “Overview” tab. Ocean State Procures™ will accept no submissions after the date/time listed in the “Overview” tab. Proposals must be uploaded to Ocean State Procures™ at https://webprocure.perfect.com/login on this solicitation utilizing the submission system as indicated above.

NOTE: Proposals misdirected to other State locations or those not presented to the Division of

Purchases in Ocean State Procures™ by the scheduled due date and time shall be determined to be late and shall not be accepted. Proposals mailed, hand-delivered, faxed or emailed to the

Division of Purchases shall not be accepted. The official time clock is online in Ocean State

Procures™. Vendors are solely responsible for having proper internet connectivity, browser compatibility, and/or a functioning computer system for use of Ocean State Procures™.

Confidential Documents The Ocean State Procures system allows Vendors to designate attachments as being ”confidential” at the time of upload. Vendors are advised that upon submission of documents marked as confidential , the Vendor must also upload a redacted copy of the same documents which are suitable for public disclosure. Failure to upload a redacted copy, or submission of documents which are so excessively redacted as to thwart public disclosure requirements, may result in the

Vendor’s proposal being deemed non-responsive to the solicitation in accordance with 220-RICR-

30-00-13(C)(6).

General Requirements Acknowledgement

Acknowledge you have read all the requirements by selecting yes/no Vendor Solicitation Contact Company Street Address City, State & Zip Code Contact Email phone (include extension) Bid Clauses/Requirements

Affirmative Action https://webprocure.perfect.com/Login

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10. By submission of proposals in response to this RFP solicitation vendors agree to comply with

R. I. General Laws § 28-5.1-10 which mandates that vendors/subcontractors doing business with the State of Rhode Island exercise the same commitment to equal opportunity as prevails under

Federal contracts controlled by Federal Executive Orders 11246, 11625 and 11375.

Vendors are required to ensure that they, and any subcontractors awarded a subcontract under this solicitation, undertake or continue programs to ensure that minority group members, women, veterans, and persons with disabilities are afforded equal employment opportunities without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, or disability.

Vendors and subcontractors who do more than $10,000 in government business in one year are prohibited from engaging in employment discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, or disability, and are required to submit an “Affirmative Action Policy Statement.”

Vendors with 50 or more employees and $50,000 or more in government contracts must prepare a written “Affirmative Action Plan” prior to issuance of a purchase order/contract.

a. For these purposes, equal opportunity shall apply in the areas of recruitment, employment, job assignment, promotion, upgrading, demotion, transfer, layoff, termination, and rates of pay or other forms of compensation.

b. Vendors further agree, where applicable, to complete the “Contract Compliance Report”

(http://odeo.ri.gov/documents/odeo-eeo-contract-compliance-report.pdf), as well as the “Certificate of Compliance” (http://odeo.ri.gov/documents/odeo-eeo-certificate-of-compliance.pdf), and submit both documents, along with their Affirmative Action Plan or an Affirmative Action Policy Statement, prior to issuance of a purchase order/contract.

For further information, contact the Rhode Island Equal Employment Opportunity Office, at 222-

3090 or via e-mail at ODEO.EOO@doa.ri.gov.

AIA Required Document(s) http://odeo.ri.gov/documents/odeo-eeo-contract-compliance-report.pdf http://odeo.ri.gov/documents/odeo-eeo-certificate-of-compliance.pdf mailto:ODEO.EOO@doa.ri.gov

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In accordance with this solicitation, the following AIA contract document(s) approved by the

Department of Administration Legal Services shall be required of the awarded vendor(s) (marked with an “X”):

[ ] AIA A101-2017 Standard Form of Agreement Between Owner and Contractor with State of

Rhode Island.

[ x ] AIA A104-2017 Standard Abbreviated Form of Agreement Between Owner and Contractor with State of Rhode Island.

[ ] AIA B101-2017 Standard Form of Agreement Between Owner and Design Agent with State of

Rhode Island. .

[ ] AIA B102-2017 Standard Form of Agreement Between Owner and Design Agent without a

Predefined Scope of Design Agent’s Services with State of Rhode Island.

[ ] AIA B104-2017 Standard Abbreviated Form of Agreement Between Owner and Design Agent with State of Rhode Island.

[ ] AIA C172-2014 Standard Form of Agreement Between Owner and Program Manager for use on a Single Project with State of Rhode Island.

[ ] AIA A201-2007 General Conditions of the Contract for Construction with State of Rhode

Island.

[ ] Other - Specify required AIA contract document

These documents are available through AIA’s Documents on Demand here: Custom Rhode Island

AIA Documents on Demand

The Rhode Island Guide and additional information is avaiable here: Custom Rhode Island AIA

Documents On Demand | Rhode Island Division of Purchases (ri.gov)

AIA Contract For Public Works projects as specified, the selected Vendor must submit a fully executed Rhode

Island custom AIA contract. If awarded the contract, Vendor shall be required to obtain the specified AIA Documents from https://documentsondemand.aia.org/?filter=Rhode. Design Agents must obtain and utilize the Custom Rhode Island AIA Documents G701-2017, AIA G714-2017, AIA

G802-2017, which can also be located at https://documentsondemand.aia.org/?filter=Rhode. Full instructions will be included in the Tentative Selection Letter

Award https://documentsondemand.aia.org/?filter=Rhode https://documentsondemand.aia.org/?filter=Rhode https://ridop.ri.gov/vendor-resources/public-works-aia-custom-state-rhode-island-documents https://ridop.ri.gov/vendor-resources/public-works-aia-custom-state-rhode-island-documents https://documentsondemand.aia.org/?filter=Rhode https://documentsondemand.aia.org/?filter=Rhode

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The State, at its sole discretion, reserves the right to make one or multiple awards for this solicitation and/or to reject any or all bids.

Bid Opening Notice to Bidders: Please be advised that the bid results relative to the within solicitation are preliminary. All bid submissions shall be evaluated by the Division of Purchases and the Agency to determine whether they are responsive to the solicitation and whether the vendor is responsible in accordance with the “State Purchases Act”, R. I. Gen. Laws § 37-2-1, et seq. and the Procurement

Regulations.

Costs No costs other than for parts and labor required to perform the work described in the solicitation, shall be authorized. Thus, out of pocket expenses such as travel costs, meals, mileage, portal-to-portal charges, etc. shall not be allowed.

Inspection Requirements Vendors are responsible for inspection of equipment and/or location, taking measurements* as necessary, and making themselves aware of the total requirement before submitting a bid.

*Measurements provided with any bid are for reference purposes only and are not guaranteed to be completely accurate.

Minority Business Enterprise Participation In accordance with RI Gen. Law § 37-14.1-1, it is the policy of the State of Rhode Island to support the fullest possible participation of firms owned and controlled by minorities (MBEs) and women

(WBEs). Pursuant to §§ 37-14.1-2 and 37-14.1-6, MBEs and WBEs shall be included in all state purchasing, including, but not limited to, the procurement of goods, services, construction projects, or contracts funded in whole or in part with state funds, or funds which, in accordance with a federal grant or otherwise, the state expends or administers. MBEs and WBEs shall be awarded a minimum of ten percent (10%) of the dollar value of the entire procurement or project. Vendors should be aware that each time an award is issued off this Master Price Agreement, an MBE

Utilization Plan shall be submitted to the Office of Diversity, Equity and Opportunity for review and approval. Please note that MBE participation credit shall only be granted for firms duly certified as

MBEs and WBEs by the State of Rhode Island, Department of Administration, Office of Diversity, Equity and Opportunity, MBE Compliance Office (MBECO). The current directory of firms certified as MBEs or WBEs may be accessed at http://odeo.ri.gov/offices/mbeco/mbe-wbe.php or by contacting Elvys Ruiz at the MBECO at 401-574-8253 or via email at elvys.ruiz@doa.ri.gov.

Purchase Agreement Bid http://odeo.ri.gov/offices/mbeco/mbe-wbe.php

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A. Bidding (a) A single price shall be quoted for each item for which a price is solicited. The vendor’s quoted price shall be the maximum in effect during the agreement period. Any price decline at the manufacturer's level shall be reflected in a reduction of the agreement price to the

State. (b) Quantities stated in this solicitation, if any, are estimated only. The agreement shall cover the actual quantities ordered during the contract term. Deliveries will be billed at the single, firm, awarded unit price quoted regardless of the quantities ordered. (c) Bid price is net F.O.B.

destination and shall include inside delivery at no extra cost. (d) Bids for single items and/or a small percentage of total items listed, may, at the State's sole option, be rejected as being non-responsive to the intent of this solicitation.

B. Ordering (a) The user agency(s) will submit individual orders for the various items and various quantities as may be required during the agreement period. (b) Exception - Regardless of any agreement resulting from this solicitation, the State reserves the right to solicit prices separately for any extra-large orders for delivery to specific destinations.

Public Works Forms, Requirements and Clauses

Contractors Registration When preparing bid documents, vendors must comply with R. I. Gen.Laws § 5-65-23 which requires inclusion on the bid form of the vendors applicable license number.

In accordance with R. I. Gen. Laws § 5-65-23 the vendors must have and maintain a valid certificate of registration issued by the Rhode Island Contractors’ Registration Board throughout the term of the contract awarded pursuant to this solicitation and ensure that its subcontractors, unless exempt from registration, also obtain and maintain valid certificates of registration.

Base Bid Terms The bidder must submit a Base Bid Price to perform all of the work specified in the solicitation, including the cost of the bonds and any allowances and addenda.

Unit Prices The Bidder shall submit any predetermined Unit Prices as identified in the solicitation as the basis for any change orders approved in advance by the State. Unit Prices shall include all costs, including labor, materials, services, regulatory compliance, overhead, and profit.

Prevailing Wage Requirements (37-13-1 ET SEQ.)

This form MUST be completed and submitted at the time of bidding and is available on the

Department of Labor and Training's Website: https://dlt.ri.gov under Forms on the header tab then; Workforce Regulation and Safety; Prevailing Wage; Forms

Make sure to Upload this form to to the "Attach Documents" section of your bid response in

OSP

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TITLE 37 Public Property and Works CHAPTER 37-13 Labor and Payment of Debts by Contractors SECTION 37-13-5 http://webserver.rilin.state.ri.us/Statutes/TITLE37/37-13/37-13-5.HTM http://webserver.rilin.state.ri.us/Statutes/TITLE37/37-13/37-13-5.HTM

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Questionnaire:

RFQ22001114

Vendor Certification Form Description: Vendors must respond to every statement. Vendors must provide all relevant information.

Bid proposals submitted without a complete response may be deemed nonresponsive.

Certifications 2. The Vendor possesses all licenses and anyone who will perform any work will possess all licenses required by applicable federal, state, and local law necessary to perform the requirements of any contract awarded pursuant to this solicitation and will maintain all required licenses during the term of any contract awarded pursuant to this solicitation. In the event that any required license shall lapse or be restricted or suspended, the Vendor shall immediately notify the State Purchasing Agent in writing. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 3. The Vendor will maintain all required insurance during the term of any contract pursuant to this solicitation. In the event that any required insurance shall lapse or be canceled, the Vendor will immediately notify the State Purchasing Agent in writing.

If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 4. The Vendor understands that falsification of any information in this bid proposal or failure to notify the State Purchasing Agent of any changes in any disclosures or certifications in this Vendor Certification may be grounds for suspension, debarment, and/or prosecution for fraud. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

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Certifications 5. The Vendor has not paid and will not pay any bonus, commission, fee, gratuity, or other remuneration to any employee or official of the State of Rhode Island or any subdivision of the State of Rhode Island or other governmental authority for the purpose of obtaining an award of a contract pursuant to this solicitation. The Vendor further certifies that no bonus, commission, fee, gratuity, or other remuneration has been or will be received from any third party or paid to any third party contingent on the award of a contract pursuant to this solicitation. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 6. This bid proposal is not a collusive bid proposal.

Neither the Vendor, nor any of its owners, stockholders, members, partners, principals, directors, managers, officers, employees, or agents has in any way colluded, conspired, or agreed, directly or indirectly, with any other vendor or person to submit a collusive bid proposal in response to the solicitation or to refrain from submitting a bid proposal in response to the solicitation, or has in any manner, directly or indirectly, sought by agreement or collusion or other communication with any other vendor or person to fix the price or prices in the bid proposal or the bid proposal of any other vendor, or to fix any overhead, profit, or cost component of the bid price in the bid proposal or the bid proposal of any other vendor, or to secure through any collusion, conspiracy, or unlawful agreement any advantage against the State of Rhode Island or any person with an interest in the contract awarded pursuant to this solicitation. The bid price in the bid proposal is fair and proper and is not tainted by any collusion, conspiracy, or unlawful agreement on the part of the Vendor, its owners, stockholders, members, partners, principals, directors, managers, officers, employees, or agents. If “No,” provide details below in Certifications #12.

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Certifications 7. The Vendor: (i) is not identified on the General Treasurer’s list created pursuant to R.I. Gen. Laws § 37-2.5-3 as a person or entity engaging in investment activities in Iran described in § 37-2.5-2(b). If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Acknowledgement 2. Name and Date - Enter name of vendor representative submitting this form with date.

Type TEXT Is Required Y

Certifications 8. The Vendor will comply with all of the laws that are incorporated into and/or applicable to any contract with the State of Rhode Island. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 9. Vendor certifies that it is not currently engaged in and shall not during the duration of the contract (if awarded) engage in the boycott of any person, firm, or entity based in or doing business with any jurisdiction with whom the State of Rhode Island can enjoy open trade. Nor shall vendor participate in the boycott of any public agencies, entities, or instrumentalities of any jurisdiction with whom the State of Rhode Island can enjoy open trade. For the purposes of this certification "jurisdiction with whom the State of Rhode Island can enjoy open trade" means national governments who are members of the World Trade Organization. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 10. Vendor has complied with and, if awarded a contract with the State of Rhode Island shall promptly comply with, the reporting requirements of the “Reporting of Political Contributions by State Vendors Act”, R. I. Gen. Laws § 17-27-1, et seq. If “No,” provide details below in Certifications #12.

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Is Required Y

Certifications 11. Vendor has read and accepts the State of Rhode Island’s General Conditions of Purchase which shall be the contractual terms and conditions between the parties upon issuance of a Purchase Order by the Division of Purchases. The State’s General Conditions of Purchase can be found at https://rules.sos.ri.gov/regulations/part/220-30-00-13 and addenda can be found at https://ridop.ri.gov/rules-regulations/.) If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 12. Certifications Details - If a "No" was provided in Certifications 1-11, provide details here (attach document if additional space needed) - OR - Type "N/A" if all responses were "Yes".

Type TEXT Is Required Y

Acknowledgement 1. Submission by the Vendor of a bid proposal pursuant to this solicitation constitutes an offer to contract with the State of Rhode Island through the Division of Purchases on the terms and conditions contained in this solicitation and the bid proposal. The Vendor certifies that: (1) the Vendor has reviewed this solicitation and agrees to comply with its terms and conditions; (2) the bid proposal is based on this solicitation; and (3) the information submitted in the bid proposal (including this Vendor Certification Cover Form) is accurate and complete. The Vendor acknowledges that the terms and conditions of this solicitation and the bid proposal will be incorporated into any contract awarded to the Vendor pursuant to this solicitation and the bid proposal. The person signing below represents, under penalty of perjury, that he or she is fully informed regarding the preparation and contents of this bid proposal and has been duly authorized to execute and submit this bid proposal on behalf of the Vendor.

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Disclosures 1. State whether the Vendor, or any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor or any parent, subsidiary, or affiliate has been subject to suspension or debarment by any federal, state, or municipal governmental authority, or the subject of criminal prosecution, or convicted of a criminal offense within the previous 5 years. If “Yes,” provide details below in Disclosures #5.

Type YES/NO Is Required Y

Disclosures 2. State whether the Vendor, or any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor or any parent, subsidiary, or affiliate has had any contracts with a federal, state, or municipal governmental authority terminated for any reason within the previous 5 years. If “Yes,” provide details below in Disclosures #5.

Type YES/NO Is Required Y

Disclosures 3. State whether the Vendor, or any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor or any parent, subsidiary, or affiliate has been fined more than $5000 for violation(s) of any Rhode Island environmental law(s) by the Rhode Island Department of Environmental Management within the previous 5 years. If “Yes,” provide details below in Disclosures #5.

Type YES/NO Is Required Y

Disclosures 4. State whether any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor is serving or has served within the past two calendar years as either an appointed or elected official of any state governmental authority or quasi-public corporation, including without limitation, any entity created as a legislative body or public or state agency by the general assembly or constitution of this state. If “Yes,” provide details below in Disclosures #5.

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Is Required Y

Disclosures 5. Disclosure Details - If a "Yes" was provided in Disclosures 1-4, provide details here (attach document if additional space needed) - OR - Type "N/A" if all responses were "No".

Type TEXT Is Required Y

Ownership Disclosure 1. If the Vendor is publicly held, the Vendor may provide owner information about only those stockholders, members, partners, or other owners that hold at least 10% of the record or beneficial equity interests of the Vendor; otherwise, complete ownership disclosure is required. List each officer, director, manager, stockholder, member, partner, or other owner or principle of the Vendor, and each intermediate parent company and the ultimate parent company of the Vendor. For each individual, provide his or her name, business address, principal occupation, position with the Vendor, and the percentage of ownership, if any, he or she holds in the Vendor, and each intermediate parent company and the ultimate parent company of the Vendor (attach document if additional space needed).

Type TEXT Is Required Y

Certifications 1. The Vendor will immediately disclose, in writing, to the State Purchasing Agent any potential conflict of interest which may occur during the term of any contract awarded pursuant to this solicitation. If “No,” provide details below in Certifications #12.

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Documents:

RFQ22001114 attachments.zip

RFQ22001114 Scope of Work Template.docx

RFQ220001114 sign in sheet.pdf

QA-RFQ22001114 final.xlsx

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Item Specifications

No. Item Alternative Supplier Part No Mfr.

Name

Mfr. No Del

Date

Unit Unit Bid Qty. Total

1 BASE BID each 1.00

Additional Item Fields

1. Liquidated Damages(required):$100 per day

Item Specification for BASE BID

Description: Zambarano Hospital Campus, Pascoag Rhode Island lighting retrofit and DEM Marine Base Lighting Retrofit (including labor and materials)

Allow Vendor to Enter Negative Value : No

Exclude Line Item from Bid Total : No

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