ENGINEERING & PROPERTY MANAGEMENT / FORM 1 – EXECUTION OF PROPOSAL
FORM 1 – EXECUTION OF PROPOSAL
The person executing the Proposal, on behalf of the Company, being duly sworn, solemnly swears (or affirms) that neither he, nor any official, agent or employee of the Company has entered into any agreement, participated in any collusion, or otherwise taken any action which is in restraint of full and open competition in connection with any proposal or contract, that the Company has not been convicted of violating North Carolina General Statute 133-24 within the last three years, and that the Company intends to do the work with its own bona fide employees or subcontractors and is not proposing for the benefit of another company.
Submission of a response to this RFP constitutes certification that the Company and all proposed team members are not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this Project by any State or Federal department or agency. Submission is also agreement that the City will be notified of any change in this status.
NC General Statute 133-32 and City Policy prohibit any gift from anyone with a contract with the City, or from any person seeking to do business with the City. By execution of this Proposal, you attest, for your organization and its employees or agents, that you are not aware that any such gift has been offered, accepted, or promised by any employees of your organization.
The information contained in this Proposal, including its forms and other documents, delivered or to be delivered to the City, is true, accurate, and complete. This Proposal includes all information necessary to ensure that the statements therein do not in whole or in part mislead the City as to any material facts.
Type of Company:
(check 1 box) / Sole Proprietor Partnership Joint Venture Limited Liability Company Corporation ______(identify the State of incorporation)
(if joint venture, complete this “Proposal Submission” sheet for each joint venture company and identify the “Name of Joint Venture” on each sheet)
NAME OF JOINT VENTURE: ______
City of Charlotte Vendor Number:
Is your firm able to meet the 2-hour request for snow/ice requirement referenced in Exhibit A – Scopes of Work, Section 3. Snow and Ice Removal: Yes No
ACKNOWLEDGEMENT OF ADDENDA:
The undersigned acknowledges receipt of the following addenda:
No: / Date: / No: / Date: / No: / Date:Company Legal Name:
Mailing Address:
City/State/Zip:
Phone: / Email:
Signature of Authorized Representative (or Designee)
(Print Name)
(Title)
Date
Proposal is valid for one-hundred-eighty (180) days from the Proposal due date
.
RFP NUMBER: 2017-328 / PAGE 1 OF 77RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 2 – SUBCONTRACTOR / SUPPLIER UTILIZATION COMMITMENT
FORM 2 – SUBCONTRACTOR / SUPPLIER UTILIZATION COMMITMENT
DO NOT LEAVE THIS FORM BLANK. USE “N/A” IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.
RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018COMPANY NAME:
Identify outreach efforts that were employed by the firm to maximize inclusion of SBEs to be submitted with the firm’s proposal (attached additional sheets if needed):
Identify outreach efforts that will be employed by the firm to maximize inclusion during the contract period of the Project (attach additional sheets if needed):
List below all SBEs that you intend to use on this contract.
Sub Vendor Name / Description of work / materials / City Vendor # / Total Projected Utilization ($)Total SBE Utilization / % / $
Total Contract Amount / $
RFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 3 – COMMERCIAL NON-DISCRIMINATION CERTIFICATION
FORM 3 – COMMERCIAL NON-DISCRIMINATION CERTIFICATION
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
The undersigned Company hereby certifies and agrees that the following information is correct:
- In preparing the proposal, the Company has considered all proposals submitted from qualified, potential subcontractors and suppliers and has not engaged in discrimination as defined in Section 2.
- For purposes of this certification discrimination means discrimination in the solicitation, selection, or treatment of any subcontractor, vendor or supplier on the basis of race, ethnicity, gender, age, or disability or any otherwise unlawful form of discrimination. Without limiting the foregoing, discrimination also includes retaliating against any person or other entity for reporting any incident of discrimination.
- Without limiting any other remedies that the City may have for a false certification, it is understood and agreed that, if this certification is false, such false certification will constitute grounds for the City to reject the proposal submitted with this certification and terminate any contract awarded based on such proposal. It shall also constitute a violation of the City’s Commercial Non-Discrimination Ordinance and shall subject the Company to any remedies allowed thereunder, including possible disqualification from participating in City contracts for up to two years.
- As a condition of contracting with the City, the Company agrees to promptly provide to the City all information and documentation that may be requested by the City from time to time regarding the solicitation and selection of subcontractors in connection with this contract. Failure to maintain or failure to provide such information shall constitute grounds for the City to reject the proposal submitted by the Bidder and terminate any contract awarded on such proposal. It shall also constitute a violation of the City’s Commercial Non-Discrimination Ordinance and shall subject the Company to any remedies allowed thereunder.
- As part of its proposal, the Company shall provide to the City a list of all instances within the past ten years where a complaint was filed or pending against the Company in a legal or administrative proceeding alleging that the Company discriminated against its subcontractors, vendors or suppliers, and a description of the status or resolution of that complaint, including any remedial action taken.
- As a condition of submitting a proposal to the City, the Company agrees to comply with the City’s Commercial Non-Discrimination Policy as described in Section 2, Article V of the Charlotte City Code, and consents to be bound by the award of any arbitration conducted thereunder.
Signature of Authorized Representative (or Designee)
(Print Name)
(Title)
Date
RFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 4 – KEY PERSONNEL AND OTHER RESOURCES
FORM 4 – KEY PERSONNEL AND OTHER RESOURCES
(make copies and attach additional sheets as necessary for each project)
(IDENTIFY PROJECT TEAM FOR EACH INDIVIDUAL PROJECT ONLY IF THEY DIFFER)
Page 1 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME:
List the Project Manager and the Site Superintendent who will be assigned to this Project. Provide the information required for each.
KEY PERSONNEL 1 / KEY PERSONNEL 2Name
Professional Certifications/Licenses
(include Certification/License #)
Proposed Role/Function for Projects / Company Project Manager / Site Superintendent
Office Location (City, State)
Number of Years with Company
Number of Years of Relevant Experience
Availability to provide Services for this Project
Describe Relevant Experience, include list of Projects where the Key Personnel was responsible for the same role/function.
FORM 4 – KEY PERSONNEL AND OTHER RESOURCES
(make copies and attach additional sheets as necessary for each project)
(IDENTIFY PROJECT TEAM FOR EACH INDIVIDUAL PROJECT ONLY IF THEY DIFFER)
Page 2 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME:
(IDENTIFY PROJECT TEAM FOR EACH INDIVIDUAL PROJECT ONLY IF THEY DIFFER)
List the full names of all employees (except Project Manager and Site Superintendent) whom you intend to assign to this Project. Describe their specific role/responsibility and availability for this Project. DO NOT LEAVE THIS FORM BLANK. USE “N/A” IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.
EMPLOYEE NAME / PROJECT ROLE/RESPONSIBILITY / AVAILABILITY / EDUCATION / EXPERIENCERFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 4 – KEY PERSONNEL AND OTHER RESOURCES
FORM 4 – KEY PERSONNEL AND OTHER RESOURCES
(make copies and attach additional sheets as necessary for each project)
`(IDENTIFY PROJECT TEAM FOR EACH INDIVIDUAL PROJECT ONLY IF THEY DIFFER)
Page 3 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME:
(IDENTIFY PROJECT TEAM FOR EACH INDIVIDUAL PROJECT ONLY IF THEY DIFFER)
List the legal names of all Subcontractors whom you intend to use on this Project. Provide their specific role/responsibility and contact information. DO NOT LEAVE THIS FORM BLANK. USE “N/A” IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.
SUBCONTRACTOR NAME / PROJECT ROLE/RESPONSIBILITY / CONTACT PERSON & PHONE # / ADDRESS/CITY/STATERFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 5 – EQUIPMENT
FORM 5 – EQUIPMENT
(make copies and attach additional sheets as necessary)
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
List all equipment you intend to use for this project. Include Equipment Type, Brand, Model number and Serial Number, indicating whether the equipment is owned by your company or to be leased. DO NOT LEAVE THIS FORM BLANK. USE “N/A” IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.
Equipment Type / Brand / Model / Serial Number / Own or Lease?□ Own
□ Will Lease
□ Own
□ Will Lease
□ Own
□ Will Lease
□ Own
□ Will Lease
□ Own
□ Will Lease
□ Own
□ Will Lease
□ Own
□ Will Lease
□ Own
□ Will Lease
RFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 6 – PROJECT REFERENCES
FORM 6 – PROJECT REFERENCES
(make copies and attach additional sheets as necessary)
Page 1 of 2
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
List no more than six (6) projects performed and completed in the past five (5) years by your company that are similar in size and scope to thisProject.DO NOT LEAVE THIS FORM BLANK. USE “N/A” IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.
Project Name / Owner NameAddress / Phone / Contract Amount / Contract Start Date /
Contract End Date / Project Scope/Description
FORM 6 – PROJECT REFERENCES
(make copies and attach additional sheets as necessary)
Page 2 of 2
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
List no more than six (6) projects your company currently has in progress that are similar in size and scope to this Project. DO NOT LEAVE THIS FORM BLANK. USE “N/A” IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.
Project Name / Owner NameAddress / Phone / Contract Amount / Contract Start Date /
Contract End Date / Project Scope/Description
RFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE LOCATION OF THE PROJECT / PROJECT PROVISIONS
ENGINEERING & PROPERTY MANAGEMENT / LOCATION OF THE PROJECT -DISTRICT MEDIAN MAINTENANCE
FORM 7 – COMPANY EMPLOYEE’S LICENSING AND CERTIFICATIONS
Page 1 of 2
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
The Company must have a full-time employee with each of the following license/ certification listed below. The license/ certification does not need to be held by the same individual.
1. / North Carolina Landscape Contractors’ Licensing BoardNAME OF LICENSE/REGISTRATION/CERTIFICATION
Name of Individual:
Working Title with Company:
License #:
Effective Date / Expiration Date:
2. / North Carolina Department of Agriculture Pesticide Board – Turf and Ornamentals (Category –L)
NAME OF LICENSE/REGISTRATION/CERTIFICATION
Name of Individual:
Working Title with Company:
License #:
Effective Date / Expiration Date:
3. / North Carolina Department of Agriculture – Aquatics (Category - A)
NAME OF LICENSE/REGISTRATION/CERTIFICATION
Name of Individual:
Working Title with Company:
License #:
Effective Date / Expiration Date:
FORM 7 – COMPANY EMPLOYEE’S LICENSING AND CERTIFICATIONS
Page 2 of 2
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
4. / North Carolina Department of Agriculture – Right-of-Way (Category - H)
NAME OF LICENSE/REGISTRATION/CERTIFICATION
Name of Individual:
Working Title with Company:
License #:
Effective Date / Expiration Date:
5. / North Carolina Irrigation Contractors’ Licensing Board
NAME OF LICENSE/REGISTRATION/CERTIFICATION
Name of Individual:
Working Title with Company:
License #:
Effective Date / Expiration Date:
(Remainder of this page left blank intentionally)
RFP NUMBER: 2017-328 / PAGE 1 OF 77RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 8A –ITEMIZED PROPOSAL
Form 8A – Itemized Proposal - CATS BLE LRT (North)
(You may propose on one or both projects.)
Page 1 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME: / CATS BLUE LINE EXTENSION (NORTH)
YEAR 1 / YEAR 2 / YEAR 3
ITEM
NO. / DESCRIPTION / QTY / UNIT / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE)
1 / Old Concord Rd Run (North Tryon LRT medians from Old Concord Road to Arrowhead Drive) / 52 / WK
2 / Tom Hunter Station (Tom Hunter Station platform, Bike Rack parcels, TPSS parcel at corner of Heathway Dr. and N Tryon St., and North Tryon LRT medians from Arrowhead Drive to Sandy Avenue) / 52 / WK
3 / University City Blvd Station (University City Blvd Station platform and North Tryon LRT medians from Sandy Avenue to University Pointe Blvd / Shopping Center Drive) / 52 / WK
Form 8A – Itemized Proposal - CATS BLE LRT (North)
(You may propose on one or both projects.)
Page 2 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME: / CATS BLUE LINE EXTENSION (NORTH)
YEAR 1 / YEAR 2 / YEAR 3
ITEM
NO. / DESCRIPTION / QTY / UNIT / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE)
4 / University City Boulevard Parking Deck 7205 N Tryon Street (University City Boulevard Parking Deck property) / 52 / WK
5 / McCullough Station (McCullough Drive Station platform and North Tryon LRT medians from University Pointe Blvd / Shopping Center Drive to East WT Harris Blvd) / 52 / WK
6 / JW Clay Parking Deck and Station
9331 JW Clay Boulevard
(JW Clay Parking Deck, Station platform, Pedestrian bridge access parcel, North Tryon LRT medians from East WT Harris Blvd to Barton Creek Drive, and LRT Tunnel frontage) / 52 / WK
Form 8A – Itemized Proposal - CATS BLE LRT (North)
(You may propose on one or both projects.)
Page 3 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME: / CATS BLUE LINE EXTENSION (NORTH)
YEAR 1 / YEAR 2 / YEAR 3
7 / UNCC Station (UNCC Station platform and LRT Electrical Maintenance Service area) / 52 / WK
SUBTOTAL / SUBTOTAL / SUBTOTAL
15.0%
CONTINGENCY / 15.0%
CONTINGENCY / 15.0%
CONTINGENCY
TOTAL
YEAR - 1 / TOTAL
YEAR – 2 / TOTAL
YEAR - 3
PROPOSAL TOTAL [3 (THREE) YEARS]
RFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS GROUNDS MAINTENANCE – FY2018
CITY OF CHARLOTTE / REQUIRED FORM
ENGINEERING & PROPERTY MANAGEMENT / FORM 8B –ITEMIZED PROPOSAL
Form 8B – Itemized Proposal- CATS BLE LRT (South)
(You may propose on one or both projects.)
Page 1 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME: / CATS BLUE LINE EXTENSION (SOUTH)
YEAR 1 / YEAR 2 / YEAR 3
ITEM
NO. / DESCRIPTION / QTY / UNIT / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE)
1 / Old Concord Park and Ride
(4931 Orchid Bridge Road (Old Concord Road Park and Ride lot properties) / 52 / WK
2 / Sugar Creek Road Run
(From, but not including, Old Concord Road Park and Ride lot to Sugar Creek Road) / 52 / WK
3 / Sugar Creek Station and Parking Deck (Sugar Creek Station and Parking Deck property and from Sugar Creek Road to East Craighead Road) / 52 / WK
4 / 36th Street Run
(From East Craighead Road to East 36th Street) / 52 / WK
RFP NUMBER: 2017-328 / PAGE 1 OF 77
RFP NAME: CATS BLE GROUNDS MAINTENANCE – FY2018
City of Charlotte
Engineering & Property Management / ATTACHMENT 5 – PICTURES/MAPS
Form 8B – Itemized Proposal - CATS BLE LRT (South)
(You may propose on one or both projects.)
Page 2 of 3
COMPANY NAME:RFP NAME: / CHARLOTTE AREA TRANSIT SYSTEM (CATS) BLE GROUNDS MAINTENANCE - FY2018
RFP NUMBER: / 2017-328
PROJECT NAME: / CATS BLUE LINE EXTENSION (SOUTH)
YEAR 1 / YEAR 2 / YEAR 3
ITEM
NO. / DESCRIPTION / QTY / UNIT / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE) / UNIT
PRICE / AMOUNT
(QTY X UNIT PRICE)
5 / 36th Street Station
(36th Street Platform and from East 36th Street to Matheson Avenue) / 52 / WK
6 / 25th Street Station
(25th Street Platform and from Matheson Avenue to East 25th Street) / 52 / WK
7 / North Yard
2423 N Brevard Street (North Yard properties to Matheson Avenue) / 52 / WK
8 / Parkwood Station
Raleigh Street (Parkwood Station and from East 25th Street to east 18th Street) / 52 / WK
9 / 12th Street Run
(From East 18th Street to East 12th Street) / 52 / WK
Form 8B – Itemized Proposal - CATS BLE LRT (SOUTH)