SCHEDULE C - APPLICATION
Title:SUPPLY, DELIVERY, INSTALLATION, AND MAKE FULLY OPERATIONAL
OF NEW FITNESS EQUIPMENT
RFA for SOA No.:1220-060-2014-001
APPLICANTCITY OF SURREY
Legal Name:______City’s Representative: Acting Purchasing & AP Manager.
Address:______Address: 6645 – 148 St., Surrey, BC V3S 3C7
Phone:______Phone: 604-590-7274
Fax: ______Fax: 604-599-0956
Email:______Email for PDF Files:
1.NATURE OF A STANDING OFFER AGREEMENT
It is understood and agreed by the Applicant that should an Application be selected by the City, it will result in a standing offer only and the Goods and Services will be ordered by the City solely on an “as and when required” basis. The aggregate value of Goods and Services which may be ordered is conditional upon the needs of the City. No compensation will be accrued, owed or paid to any Applicant in the event that the Goods and Services are not ordered. If a standing offer is executed by the City, at the sole option of the City, the City may place a purchase order (the “Order”), for Goods and Services specified in the Order. The parties agree that the City may not place any orders for Goods and Services with the Applicant for the duration of the agreement as set out in Schedule C Section 14. The parties agree that the City may purchase identical or similar Goods and Services from any other source.
For the following, use the spaces provided and/or attach additional pages as necessary.
- The Applicant offers to supply to the City of Surrey the Goods and Services for the prices plus applicable taxes as follows:
F.O.B.
Destination
Freight Prepaid / Payment Terms:A cash discount of ____% will be allowed if invoices are paid within ___ days, or the ___ day of the month following, or net 30 days, on a best effort basis. / Ship Via:
Line Item / Equipment Requested / Make/Model
Manufacturer / Lead Time / Warranty
(STATE) / Anticipated
Quantity / Unit of
Measure / Unit Price / Installation
Cost / Total
(Excl. PST + GST)
TABLE A / CARDIO
A1 / Treadmills / 12 / Each / $ / $ / $
A2 / Treadmills (4 with full hand rails) / 4 / Each / $ / $ / $
A3 / Ellipticals / 8 / Each / $ / $ / $
A4 / Ellipticals - octane lateral X / 2 / Each / $ / $ / $
A5 / Ellipticals- recumbent / 4 / Each / $ / $ / $
A6 / Upright Bikes / 6 / Each / $ / $ / $
A7 / Recumbent Bikes (step Thru) / 5 / Each / $ / $ / $
A8 / Rowers / 2 / Each / $ / $ / $
A9 / AMTs / 2 / Each / $ / $ / $
A10 / Steppers / 2 / Each / $ / $ / $
A11 / Step Mill / 1 / Each / $ / $ / $
A12 / Arm Ergometer / 1 / Each / $ / $ / $
A13 / Spin Bikes / 2 / Each / $ / $ / $
SUBTOTAL
(excluding PST and GST)
TABLE B / SELECTORIZED EQUIPMENT / CABLE EQUIPMENT
B1 / 8 stack multi station cable cross- Lat, seated row- dual cable, reg cable, hi low pulley x 2 / 1 / Each / $ / $ / $
B2 / Chin Dip / assist / 1 / Each / $ / $ / $
B3 / Chess Press unilateral / 1 / Each / $ / $ / $
B4 / Rear Fly or Pec Fly / 1 / Each / $ / $ / $
B5 / Seated hamstring curl unilateral (seated hamstring curl & leg extension) / 1 / Each / $ / $ / $
B6 / Leg Press / 1 / Each / $ / $ / $
B7 / Dual Cable cross / 3 / Each / $ / $ / $
B8 / Utility Rack for attachments / 2 / Each / $ / $ / $
B9 / Functional Training Unit / 1 / Each / $ / $ / $
SUBTOTAL
(excluding PST and GST)
TABLE C / LIGHTER SELECTORIZED EQUIPMENT
C1 / Chest Press / 1 / Each / $ / $ / $
C2 / Chest Fly / rear delt / 1 / Each / $ / $ / $
C3 / Leg Press / 1 / Each / $ / $ / $
C4 / Mid back row unilateral / 1 / Each / $ / $ / $
C5 / Hi Pull / Lat Pull / 1 / Each / $ / $ / $
C6 / Leg Curl / 1 / Each / $ / $ / $
SUBTOTAL
(excluding PST and GST)
TABLE D / FREE WEIGHTS AND BENCHES
D2 / Adjustable Benches (flat -incline) / 8 / Each / $ / $ / $
D3 / Set of urethane dumbbells 5-25 lbs. (2.5 increments) + 30lb / 2 / Set / $ / $ / $
D4 / Dumbbell Racks for 5-25 + 30 rack / 2 / Each / $ / $ / $
D5 / Set of urethane dumbbells 5-75 lbs. (5 lb. increments) / 2 / Set / $ / $ / $
D6 / Dumbbell Racks for 5-75 lbs. / 2 / Each / $ / $ / $
D7 / Easy Curl Bars (barbell set fixed + rack 15-110) / 1 / Set / $ / $ / $
D8 / Preacher Curl Bench / 1 / Each / $ / $ / $
D9 / Barbell set (20-110) + Rack (Straight Bars) / 1 / Each / $ / $ / $
SUBTOTAL
(excluding PST and GST)
TABLE E / FUNCTIONAL EQUPMENT
E1 / Plyo Boxes (5 set of adjustable) / 1 / Set / $ / $ / $
E2 / TRX s / 21 / Set / $ / $ / $
E3 / Resistance Bands / 10 / Each / $ / $ / $
E4 / Balance Boards / 3 / Each / $ / $ / $
E5 / Skipping Ropes / 3 / Each / $ / $ / $
E6 / Exercise Balls (various sizes) / 10 / Each / $ / $ / $
E7 / Rack for exercise balls / 1 / Each / $ / $ / $
E8 / Medicine Balls + rack / 1 / Each / $ / $ / $
E9 / Foam Rollers? / 2 / Set / $ / $ / $
E10 / Bosu Balls / 3 / Each / $ / $ / $
E11 / Agility Ladder / 1 / Each / $ / $ / $
E12 / Mats- (stretching) / 6 / Each / $ / $ / $
F13 / 1 set of Body Bars / 0 / Each / $ / $ / $
SUBTOTAL
(excluding PST and GST)
TABLE F / FITNESS STUDIO
F1 / Yoga Mats / 40 / Each / $ / $ / $
F2 / Yoga Blocks / 40 / Each / $ / $ / $
F3 / Yoga Straps / 40 / Each / $ / $ / $
F4 / Yoga bolsters / 20 / Each / $ / $ / $
F5 / Steps + Risers (4 risers per step) / 20 / Set / $ / $ / $
F6 / Exercise Balls (55cm) / 15 / Each / $ / $ / $
F7 / Exercise Balls ( 65cm) / 15 / Each / $ / $ / $
F8 / Exercise Balls (75cm) / 10 / Each / $ / $ / $
F9 / Resistance Bands (various resistances) / 40 / Each / $ / $ / $
F10 / Exercise Ball Rack / 1 / Each / $ / $ / $
F11 / Weighted Bars (3 lbs.) / 10 / Each / $ / $ / $
F12 / Weighted Bars (6 lbs.) / 10 / Each / $ / $ / $
F13 / Weighted Bars (9 lbs.) / 10 / Each / $ / $ / $
F14 / Weighed Bars (12 lbs.) / 10 / Each / $ / $ / $
F15 / Weighted Bar Rack / 1 / Each / $ / $ / $
F16 / Jellybells Weights 2.5-15 lbs. / 2 / Set / $ / $ / $
F17 / Jellybell racks with casters / 2 / Each / $ / $ / $
F18 / Skipping Ropes / 40 / Each / $ / $ / $
F19 / Clocks with Second Hands / 2 / Each / $ / $ / $
F20 / Digital Interval Timers / 2 / Each / $ / $ / $
SUBTOTAL
(excluding PST and GST)
PRICE SUMMARY
A / TABLE A: / CARDIO / $______
B / TABLE B: / SELECTORIZED EQUIPMENT / CABLE EQUPMENT / $______
C / TABLE C: / LIGHTER SELECTORIZED EQUIPMENT / $______
D / TABLE D: / FREE WEIGHTS AND BENCHES / $______
E / TABLE E: / FUNCTIONAL EQUIPMENT / $______
F / TABLE F: / FITNESS STUDIO / $______
G / Subtotal (A+B+C+D+E+F) / $______
H / Delivery and and Installation Cost, If Applicable / $______
I / Plus PST (7%) / $______
J / Plus GST (5%) / $______
K / Total Application Price
Including Installation, PST+GST (G+H+I+J) / $______
List of Separate Prices:
The following is a list of Separate Price(s) and forms part of this RFA for SOA, upon the acceptance of any or all of the Separate Price(s). The Separate Prices are an addition or a deduction to the Total Application Price and do not include taxes. DO NOT state a revised Total Application Price.
Provide Separate Price for Extended Warranty options (length of warranty and pricing)
OPTION 1______$ []
OPTION 2______$ []
OPTION 3______$ []
If the prices shown above are only open to a particular date, please indicate the date: ______
Force Account Labour and Equipment Rates:
Applicants should complete the following tables setting out the all-inclusive hourly rates including overhead and profit for approved extras/credits and non-warranty maintenance and service for all applicable categories of labour (use the spaces provided and/or attach additional pages, if necessary):
Table 1 – Schedule of Labour Rates:
Please use the space below to provide labour categories and their hourly cost that are not already listed.
Labour Category / Straight Time/hr (Plus GST) / Overtime Rate/hr (Plus GST).1 Certified Technician / $ / $
.2 Apprentice / $ / $
.3 Helper / $ / $
.4 / $ / $
.5 / $ / $
.5 / $ / $
.6 / $ / $
.7 / $ / $
Table 2 – Schedule of Equipment Rates:
No. / Equipment Description / Hourly Rate$
$
3.If this Application is accepted by the City, a contract will be created as described in:
(a)the Agreement;
(b)this RFA for SOA; and
(c)other terms, if any, that are agreed to by the parties in writing.
4.Capitalized terms used and not defined in this Application will have the meanings given to them in the Agreement and RFA for SOA. Except as specifically modified by this Application, all terms, conditions, representations, warranties and covenants as set out in the Agreement and RFA for SOA will remain in full force and effect.
5.Experience and References
Applicants shall be competent and capable of delivery, supply and installation of the new equipment and performing the services requested. Contracts indicated below should be of a similar size and scope preferably with other public entities.
6.Equipment:
(i)Provide detailed information to demonstrate that the Fitness Equipment proposed is commercial grade quality strength, cardio and movement equipment. It is the Applicants responsibility to provide evidence that substantiates that the product they are proposing under each category meets or exceed the commercial grade quality standard.
(ii)Fitness Equipment proposed shall be suitable for an aquatic environment and must be adaptable for all users with emphasis on options that accommodate people over 300lbs, elderly and people with mobility issues.
Have you included information on the suitability of the equipment as part the submission?
_____Yes _____No
(iii)Applicants are to include with their response a letter issued by the manufacturer of the product(s) they are proposing, certifying that the Applicant is fully authorized to sell, service and provide warranty support for the proposed Fitness Equipment;
Have you included the letter issued by the manufacturer of the equipment(s) proposed? _____Yes _____No
(iv)All costs associated with Equipment are to be submitted on [Schedule C, Section 2].
(v)Describe all environmental “Green” certification, innovations in manufacturing, and any other benefits that contribute to the overall best value of the equipment proposed. (Provide any available information regarding the origin of the equipment and if recycled materials were used in the manufacturing process.)
- Training:
(i)Provide a description of the procedure for training the end user in a newly acquired Fitness Equipment operation, including maintenance training.
(ii)Outline concise description of proposed City Staff training on equipment care and use including daily maintenance checks & cleaning instructions.
(iii)Provide information if City Staff can perform preventative maintenance device without voiding the warranty and information how training would be provided.
8.Applicant should provide information on the background and experience of all key personnel proposed to provide the Goods and Services (use the spaces provided and/or attach additional pages, if necessary):
Key Personnel
Name:______
Experience:
Dates:
Project Name:
Responsibility:
9.Buy Back
At the end of the purchased equipment’s life cycle, the City may replace the equipment. Provide information on your company’s buy-back program and the value that the City would receive on further replacement purchases.
10.Equipment Durability and Lifespan – Only commercial grade quality equipment designed for steady use on a daily basis is suited for our environment. Provide your equipment durability and lifespan details.
11.Parts Service and Support - Applicants should include a listing of their parts depot locations throughout British Columbia. Include name of the distributor, if not your own location and provide the address and contact information.
12.Functionality – Equipment to be biomechanically sound, adaptable to diverse customer base (experience, body size, training and rehab needs). Please advise how your solutions match these requirements.
13.Warranty:
(i)For each Fitness Equipment proposed, include details of any warranty offered. This information should include length of warranty, various types of warranty, including parts and service covered.
(ii)Applicants to state when warranty does not apply or becomes void on each piece of Fitness Equipment.
Preventative Maintenance Provided by the Applicant During Warranty Period:
(i)Provide information on what is included in a Preventative Maintenance Service.
______
______
(ii)All costs associated with Preventative Maintenance.During the warranty period, it is theresponsibility of the Applicant.
______
______
14.Allowance for Re-orders:
(i)Upon successful completion of this initial project, the City may be interested in purchasing additional Fitness Equipment for various facilities. For future orders and budgetary purposes the City would like a commitment of firm pricing for three (3) years.
Can you guarantee pricing for three years through December 31, 2016? _____Yes _____No
(ii)If you cannot guarantee pricing for three years, can you specify a period of time for guaranteed prices?. _____Yes _____number of years. _____No
(iii)If you cannot guarantee pricing, provide a maximum percentage increase per year. ____%.
15.Comment on the following topics related to the equipment.
(a)Trends
(b)Technology (Network capabilities – Bluetooth, Wi-Fi, Television/Cable, etc.)
(c)Aesthetics (Exclusive of Console viewing/Television)
(d)Maintenance(Automatic alerts to change worn parts or for preventative maintenance)
16.I/We have reviewed the Agreement. If requested by the City, I/we would be prepared to enter into an Agreement, amended by the following departures (list, if any):
SectionDeparture / Alternative
17.The City of Surrey requires that the successful Applicant have the following in place before commencing the Services:
(a)Workers’ Compensation Board coverage in good standing and further, if an “Owner Operator” is involved, personal operator protection (P.O.P.) will be provided,
Workers' Compensation Registration Number ______;
(b)Prime Applicant qualified coordinator is Name: ______and Contact Number: ______.
(c)Insurance coverage for the amounts required in the proposed Contract as a minimum, naming the City as additional insured and generally in compliance with the City’s sample insurance certificate form (available on the City's web site at (search "Insurance Certificates") titled City of Surrey Certificate of Insurance Standard Form);
d)City of Surrey business license;
e)If the Applicant’s Goods and Services are subject to GST, the Applicant’s GST number is ______; and,
f)If the Applicant is a company, the company name indicated above is registered with the Registrar of Companies in the Province of British Columbia, Canada, Incorporation Number ______.
As of the date of this submission, we advise that we have the ability to meet all of the above requirements except as follows (list, if any):
SectionRequested Departure(s) / Alternative(s)
18.I/We offer the following alternates to improve the Services described in the RFA for SOA (list, if any):
SectionRequested Departure(s) / Alternative(s)
19.The Applicant acknowledges that the departures it has requested in Sections 16,17, and 18 of this Application will not form part of the Agreement unless and until the City agrees to them in writing by initialing or otherwise specifically consenting in writing to be bound by any of them.
20.I/We the undersigned duly authorized representatives of the Applicant, having received and carefully reviewed the RFA for SOA and the Agreement, submit this Application in response to the RFA for SOA
This Application is offered by the Applicant this ______day of ______, 2014.
APPLICANT
I/We have the authority to bind the Applicant.
______(Legal Name of Applicant)
______
(Signature of Authorized Signatory)
______
(Print Name and Position of Authorized Signatory) / ______
(Signature of Authorized Signatory)
______
(Print Name and Position of Authorized Signatory)
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001PAGE 1 OF 51