REQUEST FOR PROPOSALS
CITY OF PIEDMONT
5.0 PROPOSAL FORMS
The City will receive written and sealed proposals to furnish all labor and equipment to provide the services as required in the Collection Services Agreement. Forms A through M-6 on the following pages are the required forms that must be completed as part of the Proposal. The forms are set up with expandable in text boxes to allow Proposes to input their information directly into Forms A – M6. Questions that are not applicable should be included and marked “Not Applicable.”
The purpose of the forms contained herein is not intended in any way to limit the type, quality or quantity of data and information supplied by the Proposer. Required Forms not completed in full may result in disqualification.
Page 51 of 88
REQUEST FOR PROPOSALS
CITY OF PIEDMONT
This page intentionally left blank.
Form ACOMMUNICATION PROTOCOL
City of Piedmont pledge is for the procurement process for garbage collection, disposal and recycling services to be open, objective, carefully monitored, and understandable to all. The following rules will be adhered to and enforced.Until the Piedmont City Council awards the contract, all contact between participants and the City of Piedmont shall be through be in writing, either by mail or facsimile to:
Richard Tagore-Erwin
Piedmont Procurement Manager
R3 Consulting Group
4811 Chippendale Drive, Suite 708
Sacramento, Ca 95841
Facsimile: (916) 331-9600
E-mail:
Any attempt to contact or interact with any elected or appointed official for the purpose of influencing the selection process will be grounds for disqualification from the selection process.
All communications between the City of Piedmont and a participant, along with the related responses, will be transmitted simultaneously to all participants.
Any participant who fails to recognize or utilize this process of communication will be notified of its violation and may be subject to disqualification from the selection process at the sole discretion of the City of Piedmont.
All participants must acknowledge and sign this statement as part of the RFP process. All participants must provide a signed ORIGINAL of this statement by the close of the MANDATORY pre-proposal meeting. Participants that do not provide this signed statement will be disqualified from this procurement process.
On behalf of my company/agency, I understand and accept the rules established in this statement.
Company Name:
(Print or Type)
Representative: Title:
(Print or Type)
Signature ______Date:
(Sign in Ink)
This page intentionally left blank.
Form BPROPOSER’S STATEMENT OF ORGANIZATION
/1. Full Name of Business Concern (Proposer):
Principal Business Address:
2. Principal Contact Person(s):
Name: Phone Number:
3. Form of Business Concern:
Corporation Partnership Joint Venture Other
4 Provide names of partners or offices as appropriate and indicate if the individual has the authority to sign in name of proposer. Provide proof of the ability of the individuals so named to legally bind the Proposer.
Name Address Title
5. If a corporation, in what state incorporated:
Date Incorporated:
Month Day Year
6. If a Joint Venture or Partnership, date of Agreement:
7. List all subcontractors participating in this Agreement:
Name Address
a)
b)
c)
d)
8. Outline specific areas of responsibility for each firm listed in Question 7.
a)
b)
c)
d)
9. Identify the provisions of any agreement between parties which assigns legal or financial liabilities or responsibilities:
10. If responding firm(s) are a partially or fully-owned subsidiary of another firm, or share common ownership with another firm, please identify the firms and relationships.
Form CCERTIFICATION OF NON-GRATUITIES
TO: THE CITY OF PIEDMONTCERTIFICATION
This is a written certification, signed under penalty of perjury, stating that no persons acting on behalf of has paid, or offered or attempted to pay, any elected or appointed official, officer or employee of City any compensation or consideration, in any form whatsoever, in connection with obtaining or entering into this Agreement.
Name Title
______
Signature Date
This page intentionally left blank.
Form DContainer Specifications
City of Piedmont, CA1. Material to be Collected. / Garbage
Recyclables
Organic Waste
“Kitchen” Food Waste Pail
2. Manufacturer……………………………..…..
3. Material of Construction
4. Recycled Content (percentage)……..……
5. Manufacturing Method (rotational molding, injection molding, other.) ……..……..……..
Container Size / Organic Waste Pail / 20 gal / 32 gal / 45 gal / 64 gal / 96 gal
6. Color
7. Durability (in service years)
8. Cost of Each Container
9. Dimensions of Each Container
(Length x Width x Height)
10. Wheel Size (carts only)
11. Manufacturer’s warranty (10-year minimum for carts)
This page intentionally left blank.
Form EVehicle Specifications
City of Piedmont, CA(Complete 1 form for each vehicle.) /
1. Material to be Collected / Garbage / Recyclables / Organic Waste
2. Manufacturer and Model…………………….
a. Cab and Chassis……………………………
b. Body………………………………………….
c. Engine……………………………………….
d. Transmission………………………………..
3. Cab and Chassis:
a. Cab Height …………………………………. / inches
b. Number of Axles …………………………...
c. Overall Length With Body Mounted ……... / inches
4. Body:
a. Type of Body………………………………..
b. Rated Capacity…………………………….. / cu. yd.
c. Practical or Net Capacity………………….. / cu. yd.
d. No. of collection Compartments………… / cu. yd.
e. Net Capacity of Each Compartment …….. / cu. yd.
f. Overall Body Length...... / inches
g. Body Height ……………………………….. / inches
h. Body Width .………………………………... / inches
i. Loading Height Above Ground…………… / Minimum / inches
………….... / Maximum / inches
5. Weight…………… / GVW / lbs. / Tare / lbs.
6. Will the vehicles be owned, leased, or other?......
7. Purchase cost of each vehicle…………….. / $
8. Fuel type……………………………………...
9. Fuel usage…………………………………….. / mpg
10. Emissions rating
a. CO…………………………………………… / g/bhp/hr
b. HC (total hydrocarbons)…………………… / g/bhp/hr
c. NOx……………………………………………………………………. / g/bhp/hr
d. Particulate Matter………………………….. / g/bhp/hr
11. Safety Features……………………………….
12. Color…………………………………………….
13. GPS Monitoring and Tracking Features
14. Use a separate page(s) to discuss advantages of this vehicle in terms of a) past experience; b) efficiency; c) ease of operations; d) cost of operations; and e) clean air standards.
Form FDISPOSAL FACILITY
(Provide One Per Facility Site)1. Name of Disposal Facility…………………
2. Location of Disposal Facility……………...
3. Proposer’s role in the Disposal Facility….
4. Other contracting parties………………….
5. Name, telephone number and address of Disposal Facility owner……………………
…………………..
…………………..
6. Types of materials accepted…………..…
………………
………………
7. Quantity of materials permitted by material type (tpd and tpy)…………….....
………………..
………………..
8. CIWMB Permit Type and Number……….
9. Local Land-use Permit Number………….
10. Per ton disposal fee (by material type)…. / $
.... / $
This page intentionally left blank.
Form GRECYCLABLES PROCESSING FACILITY
(Provide One Per Facility Site)1. Name of Processing Facility………………..
2. Location of Processing Facility……………..
3. Proposer’s role in the Processing Facility…
4. Other contracting parties……………………
5. Name, telephone number and address of Processing Facility owner…………………..
…………………..
…………………..
6. Types of materials accepted………………..
………………...
………………...
7. Quantity of materials permitted by material type (tpd and tpy)…………………………….
..……………………………
…………………………......
8. CIWMB Permit Type and Number………….
9. Local Land-use Permit Number…………….
10. Per ton processing fee (by material type)… / $
.... / $
This page intentionally left blank.
Form HORGANIC WASTE PROCESSING FACILITY
(Provide One Per Facility Site)1. Name of Organic Waste Facility………….
2. Location of Organic Waste Facility………
3. Proposer’s role in the Organic Waste Facility……………………………………….
4. Other contracting parties…………………..
5. Name, telephone number and address of Green Waste Facility owner……………….
………………..
………………..
6. Types of materials accepted……………….
………………..
………………..
7. Quantity of materials permitted by material type (tpd and tpy)……………………………
…………………………….
8. CIWMB Permit Type and Number…………
9. Local Land-use Permit Number…………...
10. Per ton processing fee (by material type).. / $
… / $
This page intentionally left blank.
Form ITRANSFER STATION FACILITY
(Provide One Per Facility Site)1. Name of Transfer Station Facility…………
2. Location of Transfer Station Facility………
3. Proposer’s role in the Transfer Station Facility………………………………………..
4. Other contracting parties…………………..
5. Name, telephone number and address of Transfer Station Facility owner…………….
……………..
……………..
6. Types of materials accepted………………
……………….
……………….
7. Quantity of materials permitted by material type (tpd and tpy)…………………
…………………
8. CIWMB Permit Type and Number
9. Local Land-use Permit Number
10. Per ton transfer fee (by material type)….. / $
….. / $
This page intentionally left blank.
Form JNON-COLLUSION AFFIDAVIT OF PROPOSER
State of County of, being duly sworn, deposes and says that:
1. He/She is of the Proposer that has submitted the attached proposal;
2. He/She is fully informed respecting the preparation and contents of the attached proposal and of all pertinent circumstances respecting such proposal;
3. Such proposal is genuine and is not a collusive or sham proposal;
4. Neither said proposer nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, connived, or agreed, directly or indirectly, with any other proposer, firm or person to submit a collusive or sham proposal in connection with the Agreement for which the attached proposal has been submitted or to refrain from proposing in connection with such Agreement, or has in any manner, directly or indirectly, sought by agreement or collision or communication or conference with any other proposer, firm, or person to fix the price or prices in the attached RFP, or of any other proposer, or to fix any overhead, profit or cost component of the proposal or the response of any other proposer, or to secure through any collusion, connivance, or unlawful agreement any advantage against The City of Piedmont, CA or any person interested in the proposed Agreement; and
5. The rate proposal in the attached RFP are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the proposer or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.
(Signed) (Title)
Subscribed and sworn to before me thisday of , 2007
My Commission Expires:
Notary Public, State of California
This page intentionally left blank.
Form KPERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: that as Principal, hereinafter called Contractor, and, as Surety, hereinafter called Surety, are held firmly bound unto City of Piedmont, CA as Obligee, hereinafter called the City, in the amount of for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.WHEREAS, Contractor has by written agreement dated ,2007, entered into a contract with the City for providing collection Services in accordance with RFP specifications and Agreement of the City, which Agreement is by reference made a part hereof, and is hereinafter referred to as the Agreement.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform said Agreement, then this obligation shall be null and void; otherwise it shall remain in full force and effect.
The Surety hereby waives notice of any alteration or extension of time made by the City.
Whenever Contractor shall be, and declared by the City to be in default under the Agreement, the City having performed the City's obligations thereunder, the Surety may promptly remedy the default, or shall promptly perform one of the following:
1. Complete the Agreement in accordance with its terms and conditions.
2. Obtain a bid or bids for completing the Agreement in accordance with the terms and conditions, and upon determination by the Surety of the lowest and most responsible bidder, or if the City elects, upon determination by the City and the Surety jointly of the lowest and most responsible bidder, arrange for a contract between such bidder and the City, and make available as work progresses (even though there should be a default or a succession of default under the contract or contracts of completion arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the contract price; but not exceeding, including costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof. The term "balance of the contract price," as used in this paragraph, shall mean the total amount payable by the City to Contractor under the Agreement and any amendments thereto, less the amount properly paid by the City to Contractor.
Any suit under this bond must be instituted before the expiration date of the Agreement or if extended for an additional term by the City, the expiration of the extended term.
No right of action shall accrue on this bond to or for the use of any person or corporation other than the City named herein or the executor, administrator or successors of the City.
As part of this obligation secured hereby and in addition to the face amount specified therefor, there shall be included costs and reasonable expenses and fees, including attorneys fees incurred by the City in successfully enforcing such obligation all to be taxed as costs and included in any judgment rendered.
Signed and sealed this day of ,2007.
______
(Principal) (Seal) (Title)
______
(Witness)
______
Surety (Seal) (Witness)
(Name of Insurer)
By:______
(Attorney-in-Fact)
This page intentionally left blank.
Form LEXCEPTIONS TO CONTRACT
Proposers are to prepare the Cost Proposal Forms based on the program specifications set forth in the RFP documents without considering any exceptions that may be set forth on this form. In the event the Proposer takes exception to the RFP specifications they may set forth those exceptions in the following manner.§ The exceptions are to be presented on a separate paper titled, “Form Exceptions to Agreement”.
§ Each exception must be presented separately by stating: the specific exception, the page and line numbers of the exception, the suggested changes to the program related to the exception, the suggested changes in the Agreement language related to the exception, the manner in which the proposed change would benefit the City, the customers or both, and the specific dollar change in each of the various service rates, as proposed by the Proposer in this RFP, that would take place if the exception was accepted by the City.
§ The exceptions must be followed with the following language without exception.
§ “Except as set forth above, Proposer is in complete agreement with the proposed terms, conditions and business arrangements described in the RFP including the attached Agreement. The Proposer assumes the risk of all conditions foreseen or unforeseen and agrees to provide the services set forth in the Agreement under whatever circumstances may develop other than as herein provided.”
§ The form must be signed by an individual authorized to commit the proposer’s firm to the Agreement in the manner set forth below.
Signature ______Name (typed)
Title Date
Please note that if exceptions are taken, all required information as set forth above must be submitted. Exceptions taken without providing the required information will not be considered.
This page intentionally left blank.