ITB-PW-09-16 – Re-Bid Term Contract for Tires Required Submittal Packet 1. All addenda (signed and dated) 2. The following sixteen (16) pages (filled out completely) Please note: Only the above mentioned items need to be submitted. Please be sure to include the bid name and number, as well as your company’s name and address, on the outside envelope and please mark submittals as “original” and “copy”. Failure to provide all of the required submittals may result in the bid to be considered non-responsive.
Transcript
ITB-PW-09-16 – Re-Bid Term Contract for Tires
Required Submittal Packet
1. All addenda (signed and dated) 2. The following sixteen (16) pages (filled out completely)
Please note: Only the above mentioned items need to be submitted. Please be sure to include the bid name and number, as well as your company’s name and address, on the outside envelope and please mark submittals as “original” and “copy”. Failure to provide all of the required submittals may result in the bid to be considered non-responsive.
Submit Bid To: City of Palm Coast Purchasing & Contracts Management Division 160 Cypress Point Parkway, Suite B-106 Palm Coast, FL 32164
Location of Public Opening: City of Palm Coast Purchasing & Contracts Management Division 160 Cypress Point Parkway, Suite B-106 Palm Coast, FL 32164
Bidder’s Name:
Federal Employer ID Number or SS Number:
Address: City:
State:
Zip:
If returning as “No Submittal”, please return only this page and state why:
Type of Entity: (Circle one)
Corporation Partnership LLC
Proprietorship Joint Venture Other
Name (printed):
Title:
Date:
Incorporated in the State of:
Telephone Number:
Toll Free Telephone Number:
Fax Number:
X
Authorized Signature
The Applicant is expected to completely analyze the information contained in this Invitation to Bid as guidance for the preparation of the submittal. The Applicant’s submittal shall be sufficiently specific, detailed and compete to clearly and fully demonstrate the Applicant’s understanding of the proposed work requirements.
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
PROJECT: Term Contract for Tires CITY CONTRACT NO. ITB-PW-09-16 Name of Bidder: Mailing Address: Street Address: CITY/State/Zip: Phone Number: (_______) FAX Number: (________)
______________________________________(Company) quotes firm price, exclusive of all taxes, to furnish and deliver new tires in accordance with all specifications, terms, and conditions herein. Tire substitutions must be accompanied by detailed specifications. The City reserves the right to award by item, group or total. Quantities are estimates only for one twelve-month period to be used for the purpose of bid evaluation. Unless stated otherwise, all tires shall be Highway Tires.
52169 265/75R16 Michelin LTX M/S ORWL LRE 57246 265/70TR17 BFG Long TRL T/A ROWL 59257 235/70SR16 Michelin LTX M/S ORWL
40 59382 P255/70TR16 BFG Long TRL T/A ROWL 61345 P235/70TR16 BFG Long TRL T/A ROWL 62086 10R22.5 BFG ST230 LRG
40 62996 LT215/85R16 Uniroyal LAR CC ROWL 67244 P225/70S BFG Radial T/A RWL 68737 P225/75R15 Uniroyal LAR CC ROWL 69928 LT245/75R17 BFG Rug TRL T/A Rowl LRE 69FF Foam Fill 70051 P205/75R15 Michelin LTX M/S ORWL 97S 71166 P225/70R15 Uniroyal LAR CC ROWL 72786 LT235/75R15 Uniroyal LAR CC ROWL LRC
50 74917 P235/70R16 Uniroyal LAR CC ROWL 10 759315200 385/65R22.5 Goodyear G286 LRJ
PRICE 95283 11R22.5 Michelin XZE LRH 97124 11R22.5 Michelin XDE A/T LRH 98499 P225/60SR16 Michelin Symmetry WW APS201010 2010-10 Misc. Industrial TURF BACL Computer Balance Light Truck BAMH Blance LT 17.5-19.5 BASL Spin Balance Light Truck C014 11R22.5 Radial Casing C388A 11R22.5 Grade A Virgin Radial Casing C389A 12R22.5 Grade A Virgin Radial Casing C422A 11R24.5 Grade A Virgin Radial Casing C1511071 18X850-8 Carlisle Turf Saver 4P CA511100 23X950-12 Carlisle Turf Saver 2PR CA511116 20X1000-10 Carlisle turf Saver 4P CA511121 23X10.50-12 Carlisle turf Saver 4P NS-POLY POLY Fill 9x3.50-4 7LBS Each NU1000 1000-20 NUTECH Hwy SY 16PR PTS-NSFLP Misc Flaps PTS-NSMP Bolts PTS-NSMP Nuts PTS-NSTFO 11L-15 HK TL IND F3 10 PLY PTS-NSTFO 14.5/75-16.1 GY Labor 10 PLY PTS-NSTFO 16.9-24D HK IND R-4 TL PTS-NSTFO 16.9-30 Harvest King TT PTS-NSTFO 16.9-30C HK L/L R-1 PTS-NSTFO 16.9-30E Farm hand R1 PTS-NSTFO 16.9x30 Farm Hand R1 PTS-NSTFO 16.9x30 Farm Hand R-1 PTS-NSTFO 18.4X30/8 BKT R-1 PTS-NSTFO 18/850-10B Multi CS PTS-NSTFO 18x8.5-10 Field Trax CA5883U1
PTS-NSTFO 18x8.5-10 HD Field Trax CA5883U1
PTS-NSTFO 18x8.5-10 Multi C/S PTS-NSTFO 18x8.5-10 Multi Trac PTS-NSTFO 18x8.50-10 Multi Trac C/S PTS-NSTFO 18x8.50 Multi Trac #CA5743U1 PTS-NSTFO 18x8.50-10B Carlisle Field Trax
PTS-NSTFO 18x8.50-10HD Field Trax CA588301
PTS-NSTFO 18x850-10 HD F T PTS-NSTFO 18x850-10 HD Field Trax
PTS-NSTFO 18x850-10 HD Field Trax #CA588301
PTS-NSTFO 18x850-10 Multi C/S 500 PTS-NSTFO 18x850-10B Multi C/S 200 PTS-NSTFO 20x1200-10B Turf Trac
ITB-PW-09-16 – Re-Bid Term Contract for Tires
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Estimated Quantity Prod Code SIZE MFG UNIT
PRICE PTS-NSTFO 22.5x10.5-8 Turf Trac CA560385
50 PTS-NSTFO 22.5x10-8B Turf TracCA5753B7 PTS-NSTFO 23x10.5-12 Multi Trac CA574367
30 CA519400 205/75R15 Carlisle RAD TRL 6P CA519400 205/75D15 Carlisle RAD TRLR 6P CA588394 25x13-9 Carlisle H/D Field 7 Track ATV CM60 9.5-16.5 Power king Camp Hwy 8P DRT55R 205/75R15 Denman Rad TRLR 8P DTL05 700-12 Denman Ind Lug 12P DTL06 700-15 Denman Ind Lug 12P EXP-SHOP Inventory Shop Supplies EXP-XSHOP Sales Shop Supplies/Environmental
50 FL2475 24x7.7 TOTAL: $____________ Best Guaranteed Delivery Schedule _______________________________(Delivery may be a factor in award.) Bidder must make note of any exception taken to bid specifications and conditions on this form, using additional pages as required. Exceptions:
ITB-PW-09-16 – Re-Bid Term Contract for Tires
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ALL PRICES F.O.B. PALM COAST
Pursuant to and in compliance with the Invitation To Bid, Instructions to Bidders, and the other documents relating thereto, the undersigned Bidder, having familiarized themselves with the terms of the Contract Documents, local conditions affecting the performance of the Work, and the cost of the Work at the places where the Work is to be done, hereby proposes and agrees to deliver materials/services in a workmanlike manner and in strict conformity with Contract Documents, including Addenda Nos. _____________ through_____________, on file at the Purchasing and Contracts Management Division for the amount hereinafter set forth. The undersigned, as Bidder, declares that the only persons or parties interested in this bid as principals are those named herein; that this bid is made without collusion with any person, firm or corporation; and he proposes and agrees, if the bid is accepted, that he/she will execute an Agreement with the CITY in the form set forth in the Contract Documents; that he/she will furnish the Insurance Certificates. IN WITNESS WHEREOF, BIDDER has hereunto executed this FORM this _________ day of ______________, 20_____. ____________________________ (Name of BIDDER) ____________________________ Signature of person signing FORM) __________________________________ (Printed name of person signing FORM) __________________________________ (Title of person signing FORM)
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment A Conflict of Interest Statement
STATE OF FLORIDA ) ) ss CITY OF ____________________ ) Before me, the undersigned authority, personally appeared __________________________________________, who was duly sworn, deposes, and states: 1. I am the ___________________________ of __________________________________ with a local office in ______________________ and principal office in ________________________________. 2. The above named entity is submitting an Expression of Interest for the CITY of Palm Coast project described as ITB-PW-09-16 Re-Bid Term Contract for Tires 3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 4. The Affiant states that only one submittal for the above project is being submitted and that the above named entity has no financial interest in other entities submitting bids for the same project. 5. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive pricing in connection with the entity's submittal for the above project. This statement restricts the discussion of pricing data until the completion of negotiations and execution of the Agreement for this project. 6. Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from participating in contract lettings by any local, state, or federal agency. 7. Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. 8. I certify that no member of the entity's ownership, management, or staff has a vested interest in any aspect of or Department of the CITY of Palm Coast. 9. I certify that no member of the entity's ownership or management is presently applying for an employee position or actively seeking an elected position with the CITY of Palm Coast. 10. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will immediately notify the CITY of Palm Coast in writing. DATED this ___________________ day of ________________________________, 20______. _________________________________________________ Typed Name of Affiant ___________________________________________ Title Sworn to and subscribed before me this ___________ day of ______________________, 20______. Personally known_____________________________ __________________________________________ OR Produced identification______________________ Notary Public - State of ______________________ ___________________________________________ My commission expires_______________________ (Type of identification) __________________________________________ (Printed typed or stamped commissioned name of notary public)
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment B Compliance with the Public Records Law
Upon award recommendation or ten (10) days after opening, submittals become "public records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes. Bidders must invoke the exemptions to disclosure provided by law in the response to the solicitation, and must identify the data or other materials to be protected, and must state the reasons why such exclusion from public disclosure is necessary. The submission of a bid authorizes release of your firm’s credit data to the CITY of Palm Coast. If the company submits information exempt from public disclosure, the company must identify with specify which pages/paragraphs of their bid/bid package are exempt from the Public Records Act, identifying the specific exemption section that applies to each. The protected information must be submitted to the County in a separate envelope marked accordingly. By submitting a response to this solicitation, the company agrees to defend the CITY of Palm Coast in the event we are forced to litigate the public records status of the company’s documents. The City shall make final determinations as to Public Records Law Compliance. Company Name: _______________________________________________________ Authorized representative (printed): ________________________________________ Authorized representative (signature): ______________________________________ Date: ______________________________ Project Number: ITB-PW-09-12 Term Contract for Tires
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment C BIDDER'S CERTIFICATION
I have carefully examined the Invitation To Bid, Instructions to Bidders, General and/or Special
Conditions, Vendor's Notes, Specifications, proposed agreement and any other documents accompanying or made a part of these Bid Documents.
I hereby propose to furnish the goods or services specified in the Invitation To Bid at the prices, rates or discounts quoted in my bid. I agree that my submittal will remain firm for a period of up to one hundred twenty (120) days in order to allow the CITY adequate time to evaluate the bids.
I agree to abide by all conditions of this proposal and understand that a background investigation may be conducted by the Purchasing And Contracts Division prior to award.
I certify that all information contained in this bid is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this bid on behalf of the vendor/contractor as its act and deed and that the vendor/contractor is ready, willing and able to perform if awarded the contract.
I further certify, under oath, that this bid is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting a proposal for the same product or service; no officer, employee or agent of the CITY of Palm Coast or of any other Bidder interested in said proposal; and that the undersigned executed this Bidder's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. Name of Business
Sworn to and subscribed before me By: This day of Signature
20 Name & Title, Typed or Printed Signature of Notary
Notary Public, State of Mailing Address
Personally Known -OR- CITY, State, Zip Code Produced Identification ( ) Type: Telephone Number
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment D Drug-Free Work Place Form
The undersigned vendor in accordance with Section 287.087, Florida Statutes hereby certifies that _______________________ does: (Name of Business) 1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business’s
policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that
are proposed a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under proposal, the employee will propose by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contender to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee’s community, by any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment E AAMMEERRIICCAANNSS WWIITTHH DDIISSAABBIILLIITTIIEESS AACCTT
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment F Request for Taxpayer Identification Number and Certification
(W-9 Form)
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment G References
Proposer shall provide a minimum of three references, for which they are currently providing this type of service/commodity within the State of Florida. 1. Company Name Contact Name and Title Address
Phone Number FAX Number Duration of Contract or business relationship
2. Company Name
Contact Name and Title Address Phone Number FAX Number Duration of Contract or business relationship
3. Company Name
Contact Name and Title Address Phone Number FAX Number Duration of Contract or business relationship
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment H IDENTICAL TIE PROPOSALS
In accordance with Section 287.087, Florida State Statutes, preference shall be given to businesses with drug-free workplace programs. Whenever two or more proposals that are equal with respect to price, quality, and service, are received by the State or any political subdivision for the procurement of commodities or contractual services, a proposal received from a business that certifies that has completed a drug-free workplace program shall be given preference in the award process. Established procedure for processing tie proposals will be followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibitions. 2) Inform employees about the dangers of drug abuse in the workplace the business policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that be imposed upon employees for drug abuse violations. 3) Give each employee engaged in providing the commodities or contractual services that are under Proposal a copy of the statement 4) In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under Proposal, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to any violation of Florida Statutes or of any controlled substance law(s) of the United States or any state five (5) days after such conviction or plea. 5) Impose sanctions on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, any employee who is so convicted. 6) Make a good-faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
AUTHORIZED SIGNATURE COMPANY DATE
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
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Attachment I
Summary of Litigation and License Sanctions (if not applicable, please state so):
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID
