Vendor_Information_Request_Form_.pdf

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Attached to
Instructor Services for West Basin Education Programs
Solicitation number
RFP-GR-0130
Issued by
Los Angeles County, California

About this file

This is a Vendor Information Request Form from West Basin Municipal Water District related to the procurement of instructor services for West Basin education programs. The District is seeking qualified respondents to provide comprehensive instructor services supporting education programs at the Edward C. Little Water Recycling Facility in El Segundo, California. The scope of services includes conducting school tours three to four times weekly during the academic school year (September through June) with up to two staff members per session; providing ad hoc public tours at a maximum of 24 sessions annually with up to two staff members per session; and delivering art lesson classroom sessions from January through March with a maximum of 24 sessions and up to three staff members per date. Respondents must submit proposals electronically through the OpenGov procurement portal by May 12, 2026, at 2:00 p.m. Short-listed respondents will participate in interviews or presentations scheduled for the weeks of May 25th and June 1st, 2026, with notice of recommended award anticipated for the week of June 8th, 2026, and Board of Directors recommendation on June 22, 2026. The contract term is two years, from July 1, 2026, to June 30, 2028.

Cost proposals must incorporate project administration, participation data collection and reporting, program planning, employee benefits and salaries, travel time, and vehicle and fuel costs. Compensation will be provided on a time-and-material basis at rates to be specified in the executed agreement's Exhibit B, with payment terms of Net 30 days. The District encourages Small Business Enterprise (SBE) and Local Business Enterprise (LBE) participation, offering three additional evaluation points for SBE or LBE prime consultants (six points if both designations apply) and one point for SBE or LBE subconsultants representing at least 30 percent of total compensation. All selected respondents must procure and maintain comprehensive insurance coverage including Commercial General Liability of $2,000,000 per occurrence, Business Automobile Liability of $2,000,000 per accident, Workers' Compensation with statutory limits of $1,000,000, and Sexual Abuse and Molestation coverage of $1,000,000, with the District named as an additional insured. Respondents must comply with California prevailing wage laws and Labor Code requirements, including certified payroll reporting. No incumbent vendors are identified, and proposals must remain valid for a minimum of 90 days from the submission deadline.

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Text version

VENDOR INFORMATION REQUEST - West Basin Municipal Water District

Yes No

Yes No

Yes No

Entered By: Date: Yes No W-9 Received: Yes No

Email:

Title:

Address 2 (suite, unit, etc.):

Vendor Number:

Verified

SBE & LBE:

FOR PURCHASING ONLY

Email:

List the representative(s) from your organization that would like to receive a copy of the executed agreement:

Title: Print Name:

Print Name:

Email:

COMPANY INFORMATION

Complete Legal Name:

Address 1: Contact Phone:

Which Public Agency are you Certified With?

Certification Number:

Are you a Certified Small Business Enterprise (SBE)? If yes, Small Business certification must be submitted.

ACCOUNTS RECEIVABLE (remittance name and address)

City/State/Zip:

Contact Fax:

Remittance name: Contact Name:

Are you a Local Business Enterprise (LBE)?

If yes, please provide a copy of your business license.

Business License Number:

Address - Same as above

Address 1: Contact Phone:

ADDITIONAL INFORMATION

CONTRACTS/AGREEMENTS INFORMATION

Payment Discounts:

(West Basin terms: Net 30) Contact Email:

List the representative(s) from your organization that will be signing the agreement and attach proof of signature authority. Documentation should state that the representative has the authority to execute contracts—examples of proof: Articles of Incorporation, corporate resolution, written consent, etc.

Title: Print Name:

Title: Print Name:

Email:

Print Name:

Length of time at this address? Contact Email:

By signing, you authorize West Basin to verify the information stated on this form. Signature:

If applicable, do your company's products comply with the Build America, Buy America (BABA) Act?

(Product components are 65% domestically sourced.)

Address 2: Contact Fax:

City/State/Zip:

Title:

1-22-2026

Complete Legal Name:
Length of time at this address:
Business License Number:
Remittance name:
Entered By:
Title:
Certification Number:
Which Public Agency are you Certified With:
Address 1:
Address 2:
Contact Fax:
Contact Phone:
City/State/Zip:
Contact Email:
Contact Name:
Print Name:
Email:
Vendor Number:
Payment Discounts: [NET 30 Days]
Contact Fax 2:
Address 3:
Address 4:
Contact Phone 2:
Contact Email 2:
City/State/Zip Code:
Title 1:
Title 2:
Title 3:
Title 4:
Print Name 2:
Print Name 3:
Print Name 4:
Email 2:
Email 3:
Email 4:
Print Name 1:
Date1_af_date:
Check Box8: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
Check Box12: Off
Check Box13: Off
Check Box14: Off

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