Timeclock Repsonse sheets-FY18.doc

REQUEST FOR RESPONSE

RFR #14-DOC-TIMECLOCKOFFMAC

Response Sheet #1

TO BE RECEIVED NO LATER THAN August 18, 2017 at 2:00 PM

Date:

I am qualified to submit the following response to this RFR. I am interested in serving DOC Regions checked below. In addition I have read and understand all amendments, addenda and written answers to this procurement.

Company Name

Street Address Web Site Address

City

State

Zip Code

Telephone Number

Fax Number

Federal ID Number

E-mail Address

Account Manager

Phone Number of Account Manager

( PRINT or TYPE ) Name and Title of authorized person filling out this contract package

Signature Date

______________________________________________ and/or ____________________________

Company name of MWBE Subcontractor Company name of ancillary provider

Response Sheet #2

TO BE RECEIVED NO LATER THAN August 18, 2017 at 2:00 PM Company Name (Print/Type) Date

Print Individual’s Name Signature

Please tell us briefly what your company does:

REPLACEMENT PARTS:

Cost Plus _______% Markup Warranty: ______________________

LABOR

per hour per tech Normal Business Hours

RATES:

per hour per tech Non-Business Hours per hour per tech Holidays per hour per tech Weekends

Please refer to the RFR for what is considered accepted hours for the above rates. Any exceptions must be approved by the RFR Procurement Team Leader before contract award.

LABOR WARRANTY:

RETURN POLICY:

LIST ANY OTHER APPLICABLE CHARGES:

The Department of Correction will not process any payment for any hidden costs. The department is not responsible for and will not pay for any charges that are not accepted as part of this contract.

Response Sheet #3

TO BE RECEIVED NO LATER THAN August 18, 2017 at 2:00 PM

Company Name: _________________________________________________

Include the type of work that you do. List the types and makes of equipment Scope of Service you provide, service/repair. Attachments will be accepted. (ie: Time Clocks – Brand A, Brand B and Brand X).

Be sure to include all applicable training, experience, licensing, permits, Qualifications certifications, etc. (attachments will be accepted).

Contactor: Authorized Signature and Date Bidder’s Response Checklist

Bidder Name___________________________

Contractor Authorized Signature Verification

Standard Contract Form

Commonwealth Terms and Conditions

W-9 Form

Authorization for Electronic Payment Form

Supplier Diversity Plan (SDP) Form

PREA Acknowledgement

Environmentally Preferable Products Form

Prompt Payment Discount Form

Business Reference Form

Catalogue / Price List

Response Sheets (within RFR document)

Certificates of Insurance

Business Cards (Two of each)

Please telephone 508-4222-3390, if you require assistance, or have questions about, or have difficulty downloading these forms from www.Commbuys.com .

IMPORTANT NOTE: All forms must be original ink. Signatures must be “live” (not typed, printed or stamped) and in addition ALL dates must also be “live” (not typed, printed or stamped).

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