HomeMy WebLinkAboutBid Specifications4.2. BID FORM and SPECIFICATIONS
Unit Extended
Item No. Description: Est. Qty: UOM Price Amount:
1. Generator, as or equal to 2 Each $4L.}$4r1.Aa $ 7 7 2el • 9a
MQ Power, Inc., WhisperWatt 70,
Part No. DCA7OUSI
Manufacturer/Model^
No.. Cz,
Warranty
Period:--- c04 yylvN 1hS o -- "Zi Der, %'L R.r4
Number of calendar days required for delivery after receipt of P.O.: `70 days
Pate-(2-
2. Tandum Axle Trailer, as or equal to 2 Each $_a_ 2 ea $5i s%_er)
MQ Power, Inc. No. TRLR7OUS, electrigjrke. ..�
Includes hitch, safety chains, jack stand,
fenders and light. Highway legal to transport
above specified generators
ManufacturerlModel � f ,� �Q
No.: /�
Warranty
Period: t oQ VVICW1 1 uS
-"no Otzt,
Number of calendar days required for delivery after receipt of P.O.: 9a days
TOTAL FOR ITEMS 1-2:
$ 53 a66. qd
XAuthorized Sig
FAILURE TO COMPLETE, SIGN AND RETURN THIS FORM SHALL DEEM YOUR BID NON-
RESPONSIVE.
City of Miami Page 21
BId No. 05-06.028
4.3. Qualification Statement
INSTRUCTIONS:
This questionnaire is to be included with your bid. Do not leave any questions unanswered. When the question
does not apply, write the word(s) "None", or "Not Applicable", as appropriate. Please print.
COMPANY NAME:
COMPANY OOFFFFIICERS: \{
President 1�.�b rV
Secretary
COMPANY OWNERSHIP:
f 7� cat-fzl (ne t— r_,,( ,F-r ° �c•4-�--
Vice President
Trea rer
Q
LICENSES:
1. County or Municipal Occupational License No.
(attach copy with bid)
/d" % of ownership
% of ownership
% of ownership
% of ownership
2. Occupational License Classification 094 jT
3. Occupational License Expiration Date: I`�C'�U�
4. Metro -Dade County Certificate of Competency No. ' "//1—
(attached copy if requested in Bid or RFP) �
5. Social Security or Federal I.D. No. / j
028 171-E03
EXPERIENCE:
6. Number of Years your organization has been in business: 3c)
7. Number of Years experience BIDDER/PROPOSER (person, principal of firm, owner) has had in operation
of the type required by the specifications of the Bid or RFP: 9 Y._ .
8. Number of Years experience BIDDER/PROPOSER (firm, corporation, proprietorship) has had in
operation of the type required by the specifications of the Bid or RFP: . Y'r e .
City of Mlaml Page 22
Bid No. 05-06-028
Bid Response Form — Qualification Statement (Page 2 of 2)
9, Experience Record: List references who may be contacted to ascertain information on past and/or present
contracts, work, jobs, that BIDDER/PROPOSER has performed of a type similar to that required by
specifications of the City's Bid or RFP with whom you have done business with in the past three (3) years;
FIRM NAME/ADDRESS
DATE OF SALE DESCRIPTION OF SALE
CONTACT PERSON: PHONE NO.:
FIRM NAME/ADDRESS
DATE OF SALE DESCRIPTION OF SALE
CONTACT PERSON: PHONE NO.:
FIRM NAME/ADDRESS
DATE OF SALE DESCRIPTION OF SALE
CONTACT PERSON: PHONE NO.:
FIRM NAME/ADDRESS
DATE OF SALE DESCRIPTION OF SALE
CONTACT PERSON: PHONE NO.:
FAILURE TO FULLY COMPLETE, AND RETURN THIS FORM MAY DISOUALIFY YOUR BID.
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City of Miami
Bid No. 05-06-028
Page 23
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4.4. MINORITY/WOMEN BUSINESS AFFAIRS REGISTRATION AFFIDAVIT
Please Check One Box Only [ ] hispanic [ ] Female [ ] Black [ ] Not Applicable
If business is not 51% minority/female owned , affidavit does not apply. [f not applicable, notarization is not required.
I (We), the undersigned agree to the following conditions:
1) that we have read Section 2.25 of the General Terms and meet the fifty-one percent (51%) ownership and
management requirement for minority/women registration status and will abide by all of the policies and
regulations governing the City of Miami Minority and Women Business Enterprise Procedures;
2) that if at any time information submitted by the undersigned applicant in his/her Bidder Application should
prove to be false, inaccurate, or misleading, applicant's name will be struck from the City of Miami's
Master Bidder list with no further consideration given to this applicant;
3) that the City of Miami maintains the right, through award of bid/contract, to revoke the award, should it be
found that false, inaccurate or misleading information or a change in the original information have
occurred;
otify the City of Miami within thirty (30) days of any change in the firm's ownership, control,
mans• : • ent or status as an ongoing minority/wome business concern as indicated on the Bidder
Applicatio and that the City of Miami, upon a find' g to the contrary, may render a firm's registration
with the City 1 and void and cease to include t• •t firm in its registered list of minority and women -
owned businesses;
5) that the City of Miami ha a right to dili
Bidder Application to monitor Fe status of
6) that the City of Miami may share a
and its capability with other munici
procurement opportunities, unless
gely verify all information submitted by applicant in his/her
e Minority/Women Business Enterprise, once registered;
's registration information concerning its minority/women status
o tate agencies for the sole purpose of accessing the firm to their
erwise . ecified by the firm in writing.
I (We) certify under the penalties of p; jury that the info
submitted to the City of Miami is corr t as per Ordinance No.
ion contained in any and all application documents
1
2 as amended.
Firm Name:
(If signing as a corporate officer indly affix corporate seal)
(Name, Title • Date)
(Name, Title & Date)
This application must • e signed by at least one general partner of a partnership or the proprietor of a sole
proprietorship or all pa ners of a joint venture.
COUNTY, SS
COUNTY OF D ; DE
That:
NOTARIZATION
Date:
personally appeared before me and
acknowledges he foregoing instrument as his/her act and deed.
That he/she as produced as identification.
NOTARY PUBLIC:
My Commission Expires:
FAILURE TO COMPLETE, SIGN. AND RETURN THIS FORM MAY DISQUALIFY THIS IUD.
Clty of Miami
Bld No. 05-06-028
Page 24
4.5. SAMPLE OF AFFIRMATIVE ACTION POLICY for EQUAL EMPLOYMENT
OPPORTUNITY
AFFIRMATIVE ACTION/
EQUAL EMPLOYMENT OPPORTUNITY - POLICY STATEMENT
f1p Pay ��2r
It is the policy of (Cam -Nave) to base its hiring and promotions on merit, qualifications and competency and
that its personnel practices will not be influenced by an applicant's or employee's race, color, place of birth,
religion, national origin, sex, age, marital status, veteran and handicapped status.
M 0 Po
One of the management duties of ail principals at ( alma} -is to ensure that the following personnel
practices are being satisfied:
1. Take every necessary affirmative action to attract and retain qualified employees, regardless of race, color,
place of birth, religion, national origin, sex, age, marital status, veteran and handicapped status.
2. Maintain equitable principles in the recruitment, hiring, training, compensation and promotion of employees.
3. Monitor and review personnel practices to guarantee that equal opportunities are being provided to all
employees, regardless of race, color, place of birth, religion, national origin, sex, age, marital status, veteran
and handicapped status.
c' P•a.- u .r`.
{Qoinp mete) -is committed to take affirmative action and aggressively pursue activities that will serve to
enable all employees and applicants opportunities available throughout this organization.
Clearly, the above actions cannot be accomplished as a secisindary duty for any individual, despite the full support of
.. management. And so, to monitor our efforts, pau mej has assigned one of its principals as the
Affirmative Action Director to monitor all activities of this program.
Pi 4-4 SL_t %$an cfai-1.__
Employees may contact (Nana (tale regarding this Affirmative Action
Policy.
DATE: y/2t) ! B
X, (SIGNATURE/TITLE):
1
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY THIS BID.
City of Miami Page 25
Bld No. 05-06-028
4.6. OFFICE LOCATION AFFIDAVIT
Please type or print clearly. This Affidavit must be completed in full, signed and notarized ONLY if your office is located within the
corporate limits of the City of Miami.
Legal Name of Firm:
Entity Type: (check one box only) [] Partnership
[] Sole Proprietorship [] Corporation
Corporation Doc. No:
PRESENT
Street Address:
City:
PREVIOUS
Street Address:
City:
Date Established:
Office-Looatiot ofthehtdderlproposer
Occupational License No: Date of Issuance:
State: How lon : t this location:
State How long at this location:
According to Ordinance No. 71 (Section 18-85):
The City Commission may offer to a responsib and responsive loca • tdder, who maintains a Local Office, the opportunity of accepting a bid at
the low bid amount, if the original bid amount s itted by the Ial vendor is not more than ten percent (10%) in excess of the lowest other
responsible and responsive bidder.
The intention of this section is to benefit local bona fide • dderslproposers to promote economic development within the corporate limits
of the City of Miami,
I (we) certify, under penalty of perjury, that the of c location o 'ur firm has not been established with the sole purpose of obtaining the
advantage granted bona (idc local bidders/proposer:.y this section.
A horize Signature
Print
Title
Authorize Signature
Print Name
Title,
(Must be signed by the co • rate secretary of a Corporation or one general partner of a partnership or the proprietor o , sole proprietorship or all
partners of a joint venture
STATE OF FLO ' DA, COUNTY OF DADE
['Personally known to me; or
Subscribed and Swo before me that this is a true statement this day of 199 . [] Produced identification:
Notary Pu
c, State of Florida My Commission expires
Printed ame of Notary Public
Please sub with your bid copies of Occupational License, professional and/or trade License to verify local status. The City of Miami
also reserves the right to request a copy of the corporate charter, corporate income tax filing return and any other documents(s) to verify
the location oldie firm's office.
City of Miami
Bid No. 05-06-028
Page 26
4.7. STATEMENT OF NO BID
NOTE: If you do not intend to submit a bid on this commodity or service, please return this rm in the bid
envelope on or before bid opening. Failure to submit a response after three (3) t' es without a sufficient
justification of "No Bid" will be cause for removal from the vendor/bidder's l'
Office of the City Clerk
3500 Pan American Drive
Miami, FL 33131-5504
We, the undersigned, have declined to submit a bid on your Bid No. -06-028 for GENERATORS AND
ACCESSORIES for the following reasons:
Specifications too "tight", i.e., geared toward one br, d or manufacturer only (explain below).
Insufficient time to respond to the Invitation for B. s
We do not offer this product or service.
Our schedule would not permit us to perform
We are unable to meet specifications.
We are unable to meet bond requiremen
Specifications are unclear (explain be1, ).
We are unable to meet insurance re, . irements.
Remove us from your bidders' lis or this commodity or service.
Other (specify below).
Remarks:
We understand that if is statement is not completed and returned, our company may be deleted from the City of
Miami bidders' list f.r this commodity or service.
Company Name:
Signature:
Title:
Telephone:
Date:
A completed vendor application should be returned with this form if vendor has not previously submitted an
application and secured a vendor number from the City.
City of Miami
Bid No, 05-06-028
Page 27
5.0 BID RESPONSE CHECK LIST
This checklist is provided to help you conform to all requirements stipulated in this IFB.
1.
2.
3.
Bid Certification Form (Form 4.1.)
This form must be completed and signed to validate your bid
Bid Form- (Form 4.2.)
This form must be completed and signed by bidder
Bidder Qualification Statement (Form 4.3.)
This form should be completed in its entirety to verify the capability of
bidder to perform/deliver the services/goods specified in the IFB
4. Minority/Women Business Affairs Registration Affidavit, if
applicable (Form 4.4.)
Must be completed only if one or more of the owners in the business
enterprise is at least 51% owned by a Black, Hispanic or Female.
5. Affirmative Action Policy for Equal Employment Opportunity
(Form 4.5.)
Should be completed by Bidder.
6. Office Location Affidavit, if applicable (Form 4.6.)
Section 18-85 of City Ordinance No. 12271, states that the City
Commission may offer to a responsible and responsive bidder, who
maintains a Local Office, the opportunity of accepting a bid at the low
bid amount, if the original bid amount submitted by the local vendor is
not more than ten percent (10%) in excess of the lowest other
responsible and responsive bidder. (Must be signed and notarized by
the local bidder, only for use in attesting office location). The City
reserves the right to verify local status.
7. Statement of No Bid, only If applicable (Form 4.7.)
If you do not intend to submit a bid on this commodity or service,
please return this form in the bid envelope on or before bid opening. If
the "Statement of No Bid" form is not completed and returned, your
company may be deleted from the City of Miami bidder's list for this
commodity or service.
Required to be
Submitted with
Bid
Yes ® No ❑
Yes ® No ❑
Yes ® No ❑
Yes ® No ❑
Yes ® No ❑
Yes ® No ❑
Yes ® No ❑
TO BE SUBMITTED AS PART OF YOUR BID RESPONSE.
City of Miami Page 28
Bld No. 05-06-028