Vendor_Information_Request_Form.pdf

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Attached to
Torrance Refinery Water Recycling Plant Microfiltration Feasibility Study
Solicitation number
RFP-TH-0117
Issued by
Los Angeles County, California

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Written by GovTribe AI ·

This is a Vendor Information Request Form from West Basin Municipal Water District, located in Los Angeles County, California, associated with the Torrance Refinery Water Recycling Plant Microfiltration Feasibility Study procurement. The project requires professional engineering services to conduct a comprehensive feasibility study evaluating replacement options for the district's existing microfiltration system, which has deteriorated since its 1999 installation. The consultant must evaluate a minimum of five alternatives and deliver a feasibility study with preliminary design criteria, hydraulic analysis, environmental assessments, regulatory compliance reviews, cost estimates, and life cycle analyses. A pre-proposal meeting is scheduled for February 17, 2026, with written questions due by February 19, 2026, and proposals required by 2:00 PM on February 26, 2026. Contract award notification is expected by March 9, 2026. The consultant must attend kick-off and biweekly progress meetings and deliver a final presentation upon study completion.

Compensation will be structured on a time-and-material basis with rates and not-to-exceed amounts determined upon contract execution, with invoices submitted monthly in arrears and payment issued within Net 30 days. West Basin's Small and Local Business Enterprise program offers evaluation incentives including three additional scoring points for SBE or LBE prime consultants (six points if both apply) or one point if subcontractors receive at least 30 percent of contract compensation, with price proposals reduced by 3 percent (or 6 percent if both designations apply) during evaluation. The consultant must obtain and maintain comprehensive insurance coverage including $2,000,000 Commercial General Liability, $2,000,000 Business Automobile Liability, Workers' Compensation with $1,000,000 Employer's Liability coverage, and $2,000,000 Professional Liability with West Basin named as additional insured. No incumbent vendor is identified for this new engagement. Proposals must remain valid for a minimum of 90 days from submission, and compliance with California prevailing wage requirements applies to subconsultants providing labor on classified tasks.

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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:
Yes:
No:
Same:
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:
Yes 3:
No 3:
Yes 4:
No 4:
Print Name 1:
Yes 1:
No 1:
Yes 2:
No 2:
Date1_af_date:

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