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HomeMy WebLinkAboutBid Response Form 54.0 BID RESPONSE FORM 4.1. Certification Statement (Page 1 of 3) Please quote on this form(s) net prices for the item(s) listed. Return signed original and retain a copy for your files. Prices should include all costs, including transportation to destination. The City reserves the right to accept or reject all or any part of this bid. Prices should be firm for a minimum of 120 days following the time set for opening of the bids. In the event of errors in extension of totals, the unit prices shall govern. in determining the quoted prices. We (I) certify that we have read your Invitation for Bids, completed the necessary documents, and propose to furnish and deliver, F.O.B. DESTINATION, the items or services specified herein. The undersigned hereby certifies that neither the contractual party nor any of its principal owners or personnel have been convicted of any of the violations, or debarred or suspended as set in section 18-107 or Ordinance No. 12271. All exceptions to this bid have been documented in the section below (refer to paragraph and section). EXCEPTIONS: _T Payment Terms: 2%j 0 days_ Net 30 days _— Delivery of equipment will be made within HS calendar days after receipt of purchase order. Installation of equipment will be made within 5 .calendar days after receipt of purchase order. We (I) certify that any and all information contained in this bid is true; and we (I) further certify that this bid is made without prior understanding, _agreement, or connection with any corporation, firm, or person submitting a bid for the same materials, supplies, equipment or service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all terms and conditions of this IFB and certify that I am authorized to sign this bid for the bidder. Please print the following and sign your name::� NAME QF BIDDER: STBL.Q E �' L�.' 05 C C. ADDRESS: sta. L 1 CIN R] h TATE� �(a_ZIP,33.a a PHONE: 9.Sq - 9Ll6- g 9,5-S FAX: 25-f £ ( fez? EMAIL: ,5c , sl k-e.I (fie E SIGNED BY: TITLE: __ BEEPER: DATE: dir.cr- Lig e'e) FAILURE TO COMPLETE. SIGN. AND RETURN THIS FORM SHALL DISQUALIFY THIS BID, City of Miami Page 27 Bid No. 05-06-035A Bid Response Form - Certification Statement (Page 2 of 3) CERTIFICATE OF AUTHORITY (IF CORPORATION) I HEREBY CERTIFY that at a meeting of the Board of Directors of S +' ..r 1` , a corporation organi ed and existing under the laws of the State of _F'Lc�Q►Od , held on the j day of�a6, a resolution was duly passed and adopted authorizing (Name)�''cr m.L{� 4:4_,AAAAas (Title) .P of the corporation to execute bids on behalf of the corporation and providing that his/her execution thereof, attested by the secretary of the corporation, shall be the official act and deed of the corporation. I further certify that said resolution remains in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this, day of _At Lsr-_ 20D 7_, Secretary: wA Print: Alum ,1_251, 4 CERTIFICATE OF AUTHORITY (IF PARTNERSHIP) I HEREBY CERTJFY that at a meeting of the Board of Directors of �� , a partnership organized and existing under the laws of the State of _ , held on the ___day of , a resolution was duly passed and adopted authorizin (Name) as (Title) r of the to execute id on behalf of the partnership and provides that his/her execution thereof, attested by a pa r, shall be the official act and deed of the partnership. I further certify that said partnership agrement'remains in full force and effect. IN WITNESS WHEREOF -, -I have reunto set my hand this day of 20 Partner: Print: CERTIFICATE OF AUTHORITY (IF JOINT VENTURE) Joint venturers must submit a joint venture agreement indicating that the person signing this bid is authorized to sign bid documents on behalf of the jeint venture.. If there is no joint venture agreement each member of the joint ventur= ust - ign the bid and submit the appropriate Certificate of Authority (corporate, partnership, . i dual). City of Miami Page 28 Bid No. 05.06-035A Bid Response Form - Certification Statement (Page 3 of 3) CERTIFICATE OF AUTHORITY (IF INDIVIDUAL) I HEREBY CERTIFY that, I (Name) , individually and doing business as (dlb/a) (If Applicable) have executed and am bound by the terms of the bid to which this attestation is attached. IN WITNESS WHEREOF, I have hereunto my hand this , day of , 20 Signed: Print: STATE OF ) SS: COUNTY OF ) The foregoing instrument was acknowledged before me this day of 20 by , who is personally known to me or who has produced as identification and who (did / did not) take an oath. SIGNATURE OF NOTARY PUBLIC STATE OF FLORIDA PRINTED, STAMPED OR TYPED NAME OF NOTARY PUBLIC City of Miami Bid No. 05-06-035A Page 29 A. B. C. D. 4.2. BID FORM 4.2.1. POLICE EQUIPMENT PURCHASE: (Equipment only and includes all standard components regularly supplied with the component, i.e. mounting brackets, hardware, etc.) Bld price quoted will be for an estimated total of 166 vehicles, based on the vehicle Make and Model to be outfitted. 1. LED Llghtbar: Same as or equal to Code 3, Mfg. Model 2147A-MPD2. B. C. D. Description Crown Victoria Chevy Impala Dodge Charger Dodge Magnum st. Qty. tj/M Unit Price 165 ea $ 71 15 ,c O 165 ea $'gS.oc 165 ea $ 8.4.5.oci 165 ea $ g ws: c Extended Price Manufacturer/Model No. $.13 5 i�' iA- $ C,.S ryi 1 A $15�5 C. S rr1 I A - Can you offer a better standard warranty that exceeds two (2) years? E. Please indicate number of years of standard warranty: NO (Circle one) c years 2. LightlSlren controller: Same as or equal to Code 3, Mfg. Model 3892L6 or the Whelen, 295HFSA6. Controller shall include integrated siren and Tight controller with a three (3) level slide switch and PA capabilities. A. B. C. D. Description Crown Victoria Chevy impala Dodge Charger Dodge Magnum Est. Qtv. UN Unit Price 165 ea $ ja71 E64 165 ea $n7I .t.,`( 165 ea $,K7J .0 4 165 ea $, 7i aO'i Can you offer a better standard warranty that exceeds two (2) years?10-- "al E. Please indicate number of years of standard warranty: Manufacturer/Model No. is cS H P t NO (Circle one) 5 years 3, Speaker: Same as or equal to Code 3 Mfg, Model CV214 Whelen Eng., Model SA314 for vehicle specified. Description Est. Qtv. UIM Unit Pric Crown Victoria 165 ea $ G Chevy Impala 165 ea $ Dodge Charger 165 ea $, Dodge Magnum 165 ea $, Extended P iqe $ $. .a.,1 Ma ufacturer/MQdel No. s•A-3, U A31 y Can you offer a better standard warranty that exceeds two (2) years?Z9 NO (Circle one) 43 years E. Please indicate number of years of standard warranty: 4. 4-Corner Strobe Package: Same as or equal to each Whelen 90 watt power supply (CSP690) and four (4) Whelen clear strobes (S30HACP). Package pricing includes one (1) power supply and four (4) clear strobes per vehicle. A. B. C. D. Description Est. Qtv. Crown Victoria 165 Chevy Impala ' 165 Dodge Charger 165 Dodge Magnum 165 UIM Unit Price Extended Pry ea $ t `1 •_f� $ i,`Wdj2 .� ea $±6' $`t ea $ 17 $� DQ,�• ea $ 174' .)• IG $ Q 511.1,1 Can you offer a better standard warranty that exceeds two (2) years? YES E. Please indicate number of, years of standard warranty: City of Miami Bld No. 05-06-035A Page 30 Manufacturer/Model No. 5 6 9 6e rr '56Cg‹'rc3.ke (Circle one) years 5. Deck Light Package: (Items Only) Same as or equal to Whelen Dash King (DKRSR and DKRSB) or Whelen Talon TLNCV5RB. Package pricing includes one (1) DKRSR and one (1) each DKRSB Pi -per vehicle or (1) Whelen Talon TLNCV5RB. . cis: 8 r1Lou-) F lt. Th ° �' �o A. yr B. �l[ C. Description Est. Qtv. UWM Unit Price Crown Victoria 165 ea $lat.Z4 Chevy impala 165 ea $1 I3 .-] 4-1 Dodge Charger 165 ea $ f 13 , 7 'I Dodge Magnum 165 ea $ r r 3 . % N Extended Price $ 1$767, i $ ! ir7d 7. l $ 19767.1 $ 1 89767•1 Manufacturer/Model NO M 1� Can you offer a better standard warranty that exceeds two (2) years? YES (Circle one) I_ years E. Please indicate number of years of standard warranty: 1Q. 6. Prisoner Partition: Same as or equal to Troy Products TP-3US-F (75% Lexan /25% mesh) to include 2-PAR-28- driver advantage mounting hardware and 2-PAR-25- lower extension panels (kick plates) for vehicle specified. Description $ f 't Est. Qty. U/M Un't Price Extndeed Price Manufac, ur !Model No. A. Crown Victoria 165 ea $ �L-Z[ P `0G i B. Chevy Impala 165 ea $ 7 $ 6171/5 hF1-nG 1-- � C. Dodge Charger 165 ea $ y h $ A- D. Dodge Magnum 165 ea $ ,v A $ /�'� Can you offer a better standard warranty that exceeds two (2) years. NO (Circle one) gyears E. Please indicate number of years of standard warranty: 7. Prisoner Transport Seat: Same as or equal to Pro -Gird, Part # S6001 to fit specified vehicle. Manufacturer/Model No. Sj j< U(i I/5 cv1 a NO (Circle one) 5 y rS A. B. C. D. Description Crown Victoria Chevy impala Dodge Charger Dodge Magnum Est. Qtv. % UNM Unit Price 165 ea $ 165 ea $ N ,4- 165 ea $ 4' 4 165 ea $ M Extended Price $310to $ N/t• $/GA Can you offer a better standard warranty that exceeds two (2) year E. Please indicate number of years of standard warranty: 5-A A CROu, AJ V I C G G14MuER (11 A-C �u►"I TOTAL ITEMS 4.2.1. (1-7 T� Wrt (r PatcG t. (0s' I $y .F /65 n,At-- Art 4-Ad City of Miami Page 31 Bid No. 05-06-035A 4iii9h25v pI'rzr 4.2.2. POLICE EQUIPMENT INSTALLATION: (Bidder shall submit pricing for installation only, city supplied equipment components. Installation prices shall include all requirements listed in the bid specifications.) Bid price quoted wilt be for a total of 165 vehicles, based on the vehicle Make and Model to be outfitted. 1. Installation of the Tight bar, siren and speaker per specifications 3.1.1.1., 3.1.1.2., & 3.1.1.3. Description Est. Qtv. U/M Unit Price Extended Pjica A. Crown Victoria 165 ea $ $ B. Chevy Impala 165 ea $ $_ 3 C. Dodge Charger 165 ea $_ $.• D. Dodge Magnum 165 ea $.3 ,2. 5 r $11.6aC- Can you offer a longer labor warranty that exceeds one (1) year? YES I((Circle one) E. Please indicate number of years of labor warranty: I years 2. Installation of four -corner strobe package per specification 3.1.2. Description Est. Qtv. U/M Unit Price Extended Price A. Crown Victoria 165 ea $_ L $ -• k B. Chevy Impala 165 ea $ i 51 $ C. Dodge Charger 165 ea $.i 76 $ . : 4*50 D. Dodge Magnum 165 ea $j_7 0 $ Can you offer a longer labor warranty that exceeds one (1) year? YES t0(Gircle one) E. Please indicate number of years of labor warranty: -•=4 1 years 3. Installation of rear deck light package as per specification 3,1.3, Description Est. Qty. U/M Unit Pica Extended Price A. Crown Victoria 165 ea $_ yg $ ; • I B. Chevy Impala 165 ea $.L'- $_ 7-0 C. Dodge Charger 165 ea $ $ = -f D. Dodge Magnum 165 ea $ $ r a 5C Can you offer a longer labor warranty that exceeds one (1) year? YES GP (Circle one) E. Please indicate number of years of labor warranty: 1 years 4. Installation of prisoner partition as per specification 3.1.4 Description Est. Qtv. U/M Unit Price Extended rice A. Crown Victoria 165 ea $ t B. Chevy Impala 165 ea $7O $ IS 50 $ 1 i55G_ C. Dodge Charger 165 ea $.. .Q__ D. Dodge Magnum 165 ea $ 71 Can you offer a longer labor warranty that exceeds one (1) year? YES (Circle one) E. Please indicate number of years of labor warranty: years City of Miami Bid No. 05-08-035A Page 32 5. Installation of prisoner seat as per specification 3.1.5. Description Est. Qtv. U/M Unit Price Ext �ee d Price A. Crown Victoria 165 ea $_ ii 5 - $7_ B. Chevy impala 165 ea $_ `"��j ._ C. Dodge Charger 165 ea $__.N 5 _ $_ D. Dodge Magnum 165 ea $_45 Can you offer a longer labor warranty that exceeds one (1) year? YES t9 (Circle one) E. Please indicate number of years of labor warranty: years 6. Installation of complete emergency equipment package to include Tight bar, siren, speaker, four - corner strobe package, deck lights, prisoner partition and prisoner seat (turn -key) as per specification 3.1.1. through 3.1.5. A. B. C. D. Description Crown Victoria Chevy Impala Dodge Charger Dodge Magnum Est. Qtv. U/M Unit Price 165 ea $ 165 ea $_L� 165 ea $7_1_ Exte i ez5 Can you offer a longer labor warranty that exceeds one (1) year? YES E. Please indicate number of years of labor warranty: __— f- years TOTAL ITEMS 4.2.2. (1.6 rded Price Manufacturer/Model No. 5r`Pd S ES—R 5 reqe..16 -tZ ^vs -0.5 (Circle one) 4.2.3. Police Vehicle Equipment Discount Off Catalog: (Bidders need not bid on all equipment catalogues, but MUST submit current catalogue list prices for those bid.) % Discount Evaluation Cost*Total Cost Discount Itern Whelan Catalog (ex. 25%,$100-$25475.00) Federal Signal Catalog Code 3 Public Safety Equipment Troy Industries Catalog Adamson Industries Catalog A. B. C. D. E. F. Ray Alien Manufacturing Company Catalog G. Havis-Shields Manufacturing Company Catalog H. Radiotronics Inc. Catalog (561-746-0935) * For Evaluation Purposes Only City of Miami Bid No. 05-06-035A X $ 100 $�____ X $ 100 $ �� x $ 100 $ X $ 100 $ x $100 $/'A- _ X $100 $_N x $100 $ X $100 $ eK Total Amount (A H): ' $ Page 33 4.2.4. Labor Rate: (Bidder shall indicate a "per hour" shop labor rate for miscellaneous individual repairs and/or installation of police vehicle equipment components purchased from catalogue and applicable offered discount percentages.) item Hourly Rate A. Labor Rate Per Hour for Misc. individual Repairs and/or installation of equiipme purchased under catalog(s) 9 $ B. Warranty on work performed: �_1_ yrs TOTAL ALL ITEMS (4.2.1 — 4.2.4.) Per Section 3.2.1, Location of Facility: it a (Street Address) (City) 9�,ao 114 Air.) FL 336.46 (State) (Zip) 4.3.1. FIRE/RESCUE EQUIPMENT PURCHASE: (Equipment only and includes all standard components regularly supplied with the component, i.e. mounting brackets, hardware, etc.) Bid price quoted will be for an estimated total of 303 vehicles, based on the vehicle Make and Model to be outfitted. Items will be installed for Fire -Rescue emergency response vehicles (subject to change): Durango, Tahoe, Blazer, Stratus, Cherokee, Van 1. LED Lightbar: Same as or equal to Whelan Talon Super -LED Red (TLN1-R) Description �m A. Dodge Durango 303 ea $.' LI 5 $9Stip3S G 5 I A- B. Chevy Tahoe 303 ea $ gLI S" $-&tea � �, 5 'gm . C. Chevy Blazer 303 ea $_� $s D. Dodge Stratus 303 ea $ $off E. Jeep Cherokee 303 ea $ - N . $- 5 . $ I F. Van (TBD) 303 ea $ $ . 35 . Est. Qty. U/M Unit Price Extended Price Manufacturer/Model No. Can you offer a better standard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: NO (Circle one) years 2. Same as or equal to Whalen Low Profile Headliner Mount Bracket (TLNBKTI) Extended Price $ tQGr3`s $igra -1 $ 9 A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. 303 303 303 303 303 303 U/M Unit Pri ea $ ea $a.30 ea$G.36 ea $ ea $‘;,__ ea $4'•>4., Can you offer a better standard warranty that exceeds two (2) yea G. Please indicate number of years of standard warranty: City of Miami Bid No. 05.06-095A Page 34 M turar odet o, l'c1 NO (Circle one) years 3. Same as or equal to Whelen Talon Dual Super -LED Red/Red (TLN2-RR) for vehicle specified. UIM Price Extended Price Manufacturer/Model No. ea $ i _e $ .2_54. �_ l ti aR ea Unit $ i fist ' "� __1` ea $_ L t $- 5� ea $_1, `i `( $aF.G ,P _nAti i ea $W.V $.1kG LJV�.2 ea $_ ! '"l• $ l f A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Esl Qtv. 303 303 303 303 303 303 Can you offer a better standard warranty that exceeds two (2) years? 'la. G. Please indicate number of years of standard warranty: 4. Same as or equal to Whalen Talon Dual Super -LED RedlRed (TLN2-RR) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. 303 303 303 303 303 303 U/M Unit Price ea $_I _`i ea Lig ea $_�21-1.:.Y ea $_I ea $`i'D T Extended Price $.'6666 $..6o .5)4 „CA $Ez_ Can you offer a better standard warranty that exceeds two .ears? G. Please indicate number of years of standard warranty: NO (Circle one) years Manufacturer/Model No. i ter ti aL.� d1� NO (Circle one) x 5. Same as or equal to Whelan Low Profile Mounting Bracket For TLN2 only (TLNBKT2)4 Extended Price Manufacturer/ odel No. L1v1.0 ib _ 1- . b'L�' J<` 16 i2 Uet_2 $ a 14 N ,$ tGT� $ .cte _ L rL) Ly Kr?, years Description Est. Qtv. UIM Unit Price A. Dodge Durango 303 ea $... Z 6 B. Chevy Tahoe 303 ea $_ C. Chevy Blazer 303 ea $, D. Dodge Stratus 303 ea $ E. Jeep Cherokee 303 ea $ F. Van (TBD) 303 ea $ a. -""`Can you offer a better'StiVidt3Yt! Wgrranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: Same as or equal to Whelen 400 Series Single Level Linear -LED Super -LED SERIES LED R) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. UIM Unit Price 303 ea $_g" •tea. 303 ea $' 303 ea $AO' 303 ea $ 'o. 2 303 ea $ 56.5 a 303 ea $ S?G Extended Price $ ., 5_ $. 13 •54 $_ `� - $ 7.,z Can you offer a better standard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: City of Miami 13Id No. 05-06-035A Page 35 NO (Circle one) years Red w/CIr Lens (400 ManufacturerModel No, lZ r•yttri 12 IL� ` W D rKElritiV r- - .Grp v GiC 1-1 c6,111 LA 4- ►A rz-rr 1 i.as - Ltar2 t emakifr NO (Circle one) years 7. Same as or equal to Whalen grille master black housing wl swivel bracket (4EGRILB) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qty. UIM Usit Price 303 ea $ go •,5P, 303 ea $ Sic) •51, 303 ea $.4raze5,2, 303 ea $ t} S�al 303 ea $ 60 303 ea $ fire'D..„, Extended Price Manufacturerl(1►todel No, $ 7.56 $ �'•• s6 _.� $e'"7' r9•S6(3 $A, 1•13 1aX n 5 Z- Can you offer a better standard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: NO (Circle one) years B. Same as or equal to Whalen 60-watt Undercover Strobe Package wl 2-15', 2-30' Cables (S660CCCCSP) Description Est. Qtv, U/E.01 Unit Price Extended erica Manufacturer/Model No. A. Dodge Durango 303 ea $ G • 35 $ 732 05-_ r, A-c5ccc. >47) B. Chevy Tahoe 303 ea $ 3' $ H 7,L bf C. Chevy Blazer 303 ea $ 1 (- •23 $ 14 7.17i1.GY D. Dodge Stratus 303 ea $ t 4.35 $ 7374•06— E. Jeep Cherokee 303 ea $ t 64 .ems' $ Y 737 `� 05- F. Van (TBD) 303 ea $1 5 $ 7 't Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: 9. Same as or equal to Whalen Headlight Flasher (UHF2150A) 10. A. B. C. D. E. F. esc Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) 303 ea $ 1 $ 303 ea $ 147 .0 & $ 303 ea $ 0 $ 303 ea $ $ 303 ea $ $ 303 ea $ [9 •4h $ Can you offer a better standard warranty that exceeds two (2) years? YES G. A. B. C. D. E. F. Please indicate number of years of standard warranty: Circle one) Years. .ar a u i'_ p t Same as or equal to Whalen Watt Speaker wl #SABKT9 mounting bracket (SA314P) Description Est. Qtv. U/M Unit Price Extended Price_ Manufacturer/Motel No. Dodge Durango 303 ea $ 1 G,Gli $. '1,0'4 Chevy Tahoe 303 ea $ W 6 -6' $ `tgG01- Chevy Blazer 303 ea $ ` $ 'f3`4 Dodge Stratus 303 ea $..._1 - •C • $ 04 Jeep Cherokee 303 ea $ ' • $N•' Van (TBD) 303 ea $ '?'6• �' $ v `i Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: City of Miami Pane 36 aid No. 05-06-035A NO (Circle one) Syears 11. Same as or equal to Star Control — Unistar Command Center (LCS88000NTOLER) Extended Price Manufacturer/Model No. $_103222 1-C 5 _ $44.677 7 �___ $( 77j - C - $ /,5 Z27-.1614 $ (0157 77 _ �. $'f3a A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est, Qtv. 303 303 303 303 303 303 U/M Unit Price ea .$ ea $ ea ea $ ea $� ea $,. Can you offer a better standard warranty that exceeds two (2) years? YES G. Please indicate number of years of standard warranty: 12. Same as or equal to Headlight Flasher (Wig -wag) Description A. Dodge Durango B.O1 Chevy Tahoe C. Chevy Blazer DJJ gpodge Stratus E. Jeep Cherokee F. Van (TBD) Est. Qtv. U/M Unit Price 303 ea $ . 'q . 53' 303 ea $ 7 VO 303 ea $_ '3 v 40 303 ea $.4V.V 303 ea $ � 303 ea $-- ' (Circle one) years Extended Price ManufacturAr/Model No. �� a $ f �?1 Y.Lir3pFlssar'J acetrnpot-06÷ .50tifito-ef $�Cz4�• JL $-,lL .t .. �1"P P P SQ ✓� d a V $ 'a 4,PP P Can you offer a better standard warranty that exceeds two (2) years? YES G. Please Indicate number of years of standard warranty: TOTAL ITEMS 4.3.1. (1-12 (Circle one) years 5,0%) Tav 4.3.2. FIRE/RESCUE EQUIPMENT INSTALLATION: (Bidder shall submit pricing for installation only, city supplied equipment components. Installation prices shall include all requirements listed in the City of Miami Bid No. 05-06-035A Page 37 bid specifications.) Bid price quoted will be for a total of 303 vehicles, based on the vehicle Make and Model to be outfitted. 1. LED Lightbar: Same as or equal to Whelan Talon Super -LED Red (TLN1-R) Description Est. Qty. U/M Unit Price Extended Price A. Dodge Durango 303 $.�3 s-A B. Chevy Tahoe 303 $33� C. Chevy Blazer 303 • `L $ �HL3 D. Dodge Stratus 303 _$`_ $ 5 3' E. Jeep Cherokee 303 • `�. $__ j33.5"1) F. Van (TBD) 303 $41j.33• )-A' ea $_ ea $_ ea $_ ea $ ea $ ea $ Can you offer a better standard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: O (Circle one) years 2. Same as or equal to Whalen Low Profile Headliner Mount Bracket (TLNBKTI ) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv, 303 303 303 303 303 303 U/M Unit Price ea $_Zrda ea $ ea $ ea ea $ • a ea $ Extended Price $A l- $ Q-A 11• Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: NO (Circle one) years 3. Same as or equal to Whalen Talon Dual Super -LED Red/Red (TLN2-RR) for vehicle specified. A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv, UWM Unit Price Extended Price, 303 ea $ 6'44 $5CceX '5•2. 303 ea $Jii $0'6G'' 303 ea $JfiY $544 06 • S; 303 ea $ t 1( $ 66 •5 2 303 ea $_t L $ j �Gp6'SA 303 ea $_f `" .`4 •$4( $- G '3-01.r Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: 4. Same as or equal to Whelan Talon Dual Super -LED RedlRed (TLN2-RR) City of Miami Bid No. 05-06-035A Page 38 NO (Circle one) years A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qty. 303 303 303 303 303 303 U/M Una Price Extended Price ea $_4_3A.Y $ Goa ea $&:'$ $ ea $ 1274_644„ $ SG Can you offer a better standard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: NO (Circle one) years 5. Same as or equal to Whelen Low Profile Mounting Bracket For TLN2 only (TLNBKT2) Description Est. Qty. A. Dodge Durango 303 B. Chevy Tahoe 303 C. Chevy Blazer 303 D. Dodge Stratus 303 E. Jeep Cherokee 303 F. Van (TBD) 303 U/M Unit Price ea $____74A.0 ea $_Z _ ea ea $ ea $ - ea $� Extended Price $ a 'Z $_AdLi•� $�l Can you offer a better standard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: t NO (Circle one) 3 _ years 6.-4 Same as or equal to Whelen 400 Series Single Level Linear -LED Super -LED Red wlClr Lens (400 SERIES LED R) A. B. C. D. E. F. Description Est. Qtv. Dodge Durango 303 Chevy Tahoe 303 Chevy Blazer 303 Dodge Stratus 303 Jeep Cherokee 303 Van (TBD) 303 U/M Unit Price ea $ SC) ��. ea $ LT:A ea$"a ea $YG'S ea $, ea$•� Extended Price Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: 7. Same as or equal to Whelen grille master black housing w/ swivel bracket A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Exten ed • rice $ 7 $- $ $A�r 7.2-4 Ign1.9__ICA Est. Qty. U/M Unit Price 303 ea $ : D • 303 ea $ 'AM ` 303 ea $ .•6 -.-.), 303 ea $ t' TA. 303 ea $ .f.� Ya, 303 ea $ liI . Can you offer a better standard warranty that exceeds two (2) year G. Please indicate number of years of standard warranty; NO (Circle one) 5 years (4EGRILB) o76QZ61Z NO (Circle one) 8. Same as or equal to Whalen 60-watt Undercover Strobe Package w/ 2-15', 2-30' Cables (S660CCCCSP) Description Est, Qtv. I,J/M Unit Price City of Miami Bid No. 05-06-035A Extended Price Page 39 years A. B. C. D. E. F. Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) 303 303 303 303 303 303 ea $t51 ea $_i_.h•3 ea $l5T- 2 ea $ 1 f:,45 ea $1 ea $,i5 $'17 3.74'GS ids $ 77' 05 $vZi.Z.I'°5 $_ O sir Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: 9. Same as or equal to Whelan Headlight Flasher (UHF2150A) A. B. c. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. 303 303 303 303 303 303 U/M Unit Price ea $, ' :.1 ea$ t1 _! ea $_ . YG ea $ -T.:_i4_ ea $ :O.:16 ea $ ._qZ2 Exten ' ed Price M r S $_7 ircle one) years ET3 PFI5.56-P -r1 iiMPcs4-off;' Er Op .-n 1 TPp Qo-n T PP - p Can you offer a better standard warranty that exceeds two (2) years? YES c (Circle one) G. Please indicate number of years of standard warranty: 4_ years 10. Same as or equal to Whelen Watt Speaker w/ #SABKT9 mounting bracket (SA314P) A. . C. D. E. F. description Dodge Durango --4Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. UWM Unit Price, 303 ea $� 303 ea $ 6 303 , ea $ 303 ea $ 303 ea 303 ea $ Exte dell Price $ ''`! Gq 94_7( $ `(•c Gan you offer a better standard warranty that exceeds two (2) years?)E-S) NO (Circle one) G. Please indicate number of years of standard warranty: 3._ years 11. Same as or equal to Star Control - Unistar Command Center (LCSBBOCONTOLER) Description Est. Qtv. U/M Unit Price Extended Price A. Dodge Durango 303 ea $_55 4 _ $ �r7 77 B. Chevy Tahoe 303 ea $ j,►5 �._ f : 77 C. Chevy Blazer 303 ea 1.32_.i . _ __ $.-�6 97' D. Dodge Stratus 303 ea $ - -?T E. Jeep Cherokee 303 ea $$ -�/--�F. Van (TBD) 303 ea $ S le5' S7 7 ' 2 Can you offer a better standard warranty that exceeds two (2) years? YES J� Cif one) G. Please indicate number of years of standard warranty: City of Miami Bid No. 05-06.035A Page 40 __ years 12. Same as or equal to Headlight Flasher (Wig -wag) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qty. 303 303 303 303 303 303 UIM Unit Price ea $ 5 . 45 ea $ 9 ea $4 ea $_2_G ea $ 93' `(Q Extended Price $J..6 s $_ $ $ G• Can you offer a better standard warranty that exceeds two (2) years? YES G. Please indicate number of years of standard warranty: TOTAL ALL ITEMS 4.3.2. (1 — 12) $ �=rH 1PI tc c P(bc-p L r'ni'oa -P Circle one) yea 39--20) 3.3. Fire/Rescue Vehicle Equipment Discount Off Catalog: (Bidders need not bid on all equipment catalogues, but MUST submit current catalogue list prices for those bid.) Discount ilem A. B. C. D. E. F. G. H. Whalen Catalog (ex. Federal Signal Catalog Code 3 Public Safety Equipment Troy Industries Catalog Adamson Industries Catalog Ray Allen Manufacturing Company Catalog Havis-Shields Manufacturing Company Catalog Radiotronics inc. Catalog (561-746-0935) * For Evaluation Purposes Only 25 %, $100-$25-$75.00) % Discount Evaluation Cost"TataaI Cost _ % X $ 100 $ 1"J r� X $100 $ �/✓ __ % X $100 $ ..e.--A . ' % X $ 100 $__ 14_ /I4 % X $100 $_ / _% x $100 $_ 4_ 4 % X $ 100 $_4 _ ` % x $100 $ //I4. $14 Total Amount (A-H): $ . 4.3.4. Labor Rate: (Bidder shall indicate a "per hour" shop labor rate for miscellaneous indi ual repairs and/or installation of police vehicle equipment components purchased from catalogue and applicable offered discount percentages.) Item Hourly Rate A. Labor Rate Per Hour for Misc. Individual Repairs and/or Installation of equipment hased under catalog(s) $_ �T^� B. Warranty on work performed: TOTAL ALL ITEMS (4.3.1—4.3.4.) _ __ years Per Section 3.2.1, Location of Facility: fi J 0 i)E f j`G, d J-�•' 34 66 (eet Address) (City) ( ate) (Zip) City of Miami Page 41 Bid No. 05-05-035A 7. Same as or equal to Whalen grille master black housing wf swivel bracket (4EGRILB) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qty. UIM Unit Price 303 ea $,.d '5), 303 ea $,..g.a;a, 303 ea $ c '5, 303 ea $ 6Zj ;s'a, 303 ea $—Q= 303 ea $ ge) •.}a, Ex $4311 •56—__._l. ended Price Ma ufacturer odel No. 7.565,6 g.144°6"K4 Can you offer a betterstandard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: • 5'6 NO (Circle one),_. years B. Same as or equal to Whelen 60-watt Undercover Strobe Package w/ 2.15', 2-30' Cables (S66OCCCCSP) Description Est. Qtv. U/M Unit Price Extended Price Manufacturer/Model No. A. Dodge Durango 303 ea $ i4 6.35 $ H 731 i c 66 . >4) B. Chevy Tahoe 303 ea $_-LAG �" $ HZ L dr-- C. Chevy Blazer 303 ea $ 1 `j 6 .2) $ 73 74 . 5 6'G� Cc-CSD. Dodge Stratus 303 ea $ 1. `� 3 $ � E. Jeep Cherokee 303 ea $ t_ 5 .1s- $. y ),3 ? `1 F. Van (TBD) 303 ea $ l f - $ 2 `I Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: 9. Same as or equal to Whelan Headlight Flasher (UHF2150A) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. U/M Unit Prlc 303 ea $ 1' $ 303 ea $ $ 303 ea $ $ 303 ea $ $ 303 ea $ $ 303 ea $ & 'Ltd $ (iFr'r-� -- P eTPPcc% —P v 1r. Can you offer a better standard warranty that exceeds two (2) years? YES ` NOiircle one) ___1 years G. Please indicate number of years of standard warranty: 10. Same as or equal to Whelan Watt Speaker wl #SABKT9 mounting bracket (SA314P) Description Est. Qtv. U/M Unit Price Extended Price Manufacturer/Mo el No. A. Dodge Durango 303 ea $.�e.Gv4 $ ei,att B. Chevy Tahoe 303 ea $ 9 6 -6S' $ q`� 0 A-- lr C. Chevy Blazer 303 ea $. $ c$ D. Dodge Stratus 303 ea $,,/ 04 E. Jeep Cherokee 303 ea $ 04 F. Van (TBD) 303 ea $ 'IS. _____‘4,eyi Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: City of Miami Pape 36 Bid No. 45-06.035A NO (Circle one) 3 years 11. Same as or equal to Star Control — Unistar Command Center (LCS88000NTOLER) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qty. UJM Unit Price 303 ea $ 303 ea $ 303 ea $ 303 ea $ 303 ea $ 303 ea Extended Price $ lor777 $Lar_277 $ (G$777 Can you offer a better standard warranty that exceeds two (2) years? YES G. Please indicate number of years of standard warranty: 12. Same as or equal to Headlight Flasher (Wig -wag) Description A. Dodge Durango B.07 Chevy Tahoe C. Chevy Blazer D. aPodge Stratus E. Jeep Cherokee F. Van (TBD) Est. Qty. 303 303 303 303 303 303 U/M Unit Price ea $._ S . 9r5 ea $ . S ea $_ 3 . yd ea $g3 • g0 ea $•Lig_ ea ManufacturerlModel No. S� L—rc Edo -� c�r f2 (Circle one) years Extended Price Manafanturer/Model No. 0 $ r e�Y• r--+r; ter Is- sa Ff $ '7096 a rPPan - P So ✓r, fl a k. rhoc p Can you offer a better standard warranty that exceeds two (2) years? YES �O ,(Circle one) G. Please indicate number a�`years of standard warranty: `` _J years TOTAL ITEMS 4:3.1. (1-12 �l .al 415, qY24¼' 4.3.2. FIRE/RESCUE EQUIPMENT INSTALLATION: (Bidder shall submit pricing for installation only, city supplied equipment components. Installation prices shall include all requirements listed in the City of Miami Page 37 Bid No. 05-06-035A bid specifications.) Bid price quoted will be for a total of 303 vehicles, based on the vehicle Make and Model to be outfitted. 1. LED Lightbar: Same as or equal to Whalen Talon Super -LED Red (TLN1-R) Description Est. Qtv. U/M Unit Price Extended Priced $SHL34-' Y $ 6�•Sol) A. Dodge Durango B. Chevy Tahoe C. Chevy Blazer D. Dodge Stratus E. Jeep Cherokee F....._._ Van (TBD) --.. . 303 303 303 303 303 303 ea $_ ea $ ea $ ea $ ea $_ ea. $_ Can you offer a better standard warranty that exceeds two (2) years? G. Please indicate number of years of standard warranty: NO (Circle one) years 2. Same as or equal to Whelen Low Profile Headliner Mount Bracket (TLNBKTI) Description Est. Qtv. UIM Unit Price Extended Price A. Dodge Durango 303 ea $_� B. Chevy Tahoe 303 ea $_ $- t1 ' C. Chevy Blazer 303 ea $ $_-a.asii`� D. Dodge Stratus 303 ea $_2,_ - $ _ E. Jeep Cherokee 303303 ea $ea .. $a,a IAF. Van (TBD) Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: . �r NO (Circle one) years 3. Same as or equal to\lllhelen Talon Dual Super -LED Red/Red (TLN2-RR) for vehicle specified. Extended Price. $1 c '.5 . $404:56 • Sa, $5 Caa6.5 � A. B. C. D. E. F. Description Est. Qty. UIM Un'tPrice Dodge Durango 303 ea $_ Chevy Tahoe 303 ea $y Chevy Blazer 303 ea $.1.n.In Dodge Stratus 303 ea $ 11t( Jeep Cherokee 303 ea $ 171-:'-4 Van (TBD) 303 ea $1g,g Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: 4. Same as or equal to Whelan Talon Dual Super -LED RedlRed (TLN2-RR) City of Miami Bld No. 05•06.035A Page 38 NO (Circle one) years A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. 303 303 303 303 303 303 U/M Unit Price Extended Price ea $ = `I $S.65 'S'- �. ea $_1:5 ea $ $_�•� $ ea $, K.Y$ ea $...-4- `f ea $ / $._414 Gan you offer a better standard warranty that exceeds twa (2) years? G. Please indicate number of years of standard warranty: NO (Circle one) 5— years 5. Same as or equal to Whelen Low Profile Mounting Bracket For TLN2 only (TLNBKT2) Extended Price Description Est. Qtv. U/M Unit Price A. Dodge Durango 303 ea $__7'. 4 $_cUIL1 B. Chevy Tahoe 303 ea $ 7 • C)1 $_aau-- C. Chevy Blazer 303 ea $_--X2;26_ $_.6a-11" D. Dodge Stratus 303 ea $ -3es Loaii., E. Jeep Cherokee 303 ea $_ $_ F. Van (TBD) 303 ea $.Z., $' 1 Can you offer a better standard warranty that exceeds two (2) years?ES NO (Circle one) 3 years G. Please indicate number of years of standard warranty: 6. Same as or equal to Whelen 400 Series Single Le ei Linear -LED Super -LED Red w!Clr Lens (400 SERIES LED R) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. U/M Unit Price 303 ea $ `b__ 303 �, ea $ 303 ea $ 303 ea $ G -, 303 ea $ 303 ea $ Extended Price 9$4 3 E2 . c $ 7.5-4 754 yj t $ a_ 7'5-6 Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: _ years 7. Same as or equal to Whelen grille master black housing w/ swivel bracket (4EGRILB) Description Est. Qtv. U/M Unit Price Extended Pic 14 07��Z6� A. Dodge Durango 303 ea $ y ` • $ 7.56 B. Chevy Tahoe 303 ea $ 'AO $$�'�3.7 r5 C. Chevy Blazer 303 ea $ . 3 G D. Dodge Stratus 303 ea $ SO • 7d 1 �7 trC 6 E. Jeep Cherokee 303 ea $ a $ F. Van (TBD) 303 ea $ $s�.'1 L?. ✓� Can you offer a better standard warranty that exceeds twa (2) year G. Please indicate number of years of standard warranty: NO (Circle one) NO (Circle one) 8. Same as or equal to Whelen 60-watt Undercover Strobe Package w! 2-15', 2-30' Cables (S660CCCCSP) Description Est. Qty, JM Unit Price page Extended Price City of Miami 39 Bid No. 05-06-035A years A. B. C. D. E. F. Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Can you offer a better standard warranty that exceeds two (2) years G. Please indicate number of years of standard warranty: 9. Same as or equal to Whelen Headlight Flasher (UHF2150A) Description ........ _ ._. _ . .r ^ Est. Qty. U/M Unit Puce A. Dodg e rango 303 ea $ 1 •' $ B. Chevy Tahoe 303 ea $_ 7 • 6z C. Chevy Blazer 303 ea $,_ .!ic D. Dodge Stratus 303 ea $ E. Jeep Cherokee 303 ea $ F. Van (TBD) 303 ea $ 'S(2 Can you offer a better standard warranty that exceeds two (2) years? YES G. Please indicate number of years of standard warranty: 303 ea $ t 54 ',,,_,.3 5 s LZ 3.71 303 ea $J,5(z, $ 137+� 303 ea $J5C-L1 $_ _'737j,OS 303 ea $ 1 f64 5 $_. ? .Z.Y •41-5 303 ea $L , $.423Iq . G5- 303 ea $1 56.35 $ ti 7,3 70/ .o S-- VL•J ircle one) years E TBPPi5sc-P rpp<Xs-P ET PP( -! (;;I (Circle one) years 10. Same as or equal to Whelen Watt Speaker w1 #SABKT9 mounting bracket (SA314P) A. B. C, D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qtv. 303 303 303 303 303 303 U/M Unit Price,. ea$• ea$ •ci� ea $ erg $ ea' $ ea $ Extended Price • O $ �Y a� $�y q Can you offer a better standard warranty that exceeds two (2) years?NO (Circle one) 3 years G. Please indicate number of years of standard warranty: 11. Same as or equal to Star Control — Unistar Command Center (LCSB8000NTOLER) Description Est. Qty. U/M Unit Price Extended Price A. Dodge Durango 303 ea $_.35.3 $... Z.77 B. Chevy Tahoe 303 ea $ 5 $ (6 '7.77 C. Chevy Blazer 303 ea $ $1 097. 77 D. Dodge Stratus 303 ea $ $.„Lolf 7. 77 E. Jeep Cherokee 303 ea $ $LO� F. Van (TBD) 303 ea $ $'611.Z ` Can you offer a better standard warranty that exceeds two (2) years? YES G. Please indicate number of years of standard warranty: City of Miami Page 4e Bid No. 05.06-035A 12. Same as or equal to Headlight Flasher (Wig -wag) A. B. C. D. E. F. Description Dodge Durango Chevy Tahoe Chevy Blazer Dodge Stratus Jeep Cherokee Van (TBD) Est. Qty. U/M Unit Price 303 ea $ 59. 45 303 ea $97.D O 303 ea $ • q 0 303 ea $ 303 ea $ 6 303 ea $93• Extended Price LLIP41 -4,Lf $ $ o. F r3P,.r$S° P LT-H1r)iPatoc L (PPC 0 —P Can you offer a better standard warranty that exceeds two (2) years? YES (Circle one) G. Please indicate number of years of standard warranty: _...�._...._ yea TOTAL ALL ITEMS 4.3.2. (1 --12) $ 4G,6.9a 3.3. Fire/Rescue Vehicle Equipment Discount Off Catalog: (Bidders need not bid on all equipment catalogues, but MUST submit current catalogue list prices for those bid.) Discount Item A. Whelan Catalog B. Federal Signal Catalog C. Code 3 Public Safety Equipment D. Troy Industries Catalog E. Adamson Industries Catalog F. Ray Allen Manufacturing Company Catalog G. Havis-Shields Manufacturing Company Catalog H. Radiotronics Inc. Catalog (561-746-0935) * For Evaluation Purposes Only (ex. 25%,$100-$25=$75.00) Total Amount (A-H): % Discount Evaluation Cost*Total Cost _,% X $ 100 $ L� _ /(-9/0 X $ 100 $ % X $ 100 $!��� x $ 100 X X $ 100 $—— /11)1 % X $ 100 /U4 % X $ 100 $ /1-4$ 10_ - 4.3.4. Labor Rate: (Bidder shall indicate a "per hour" shop labor rate for miscellaneous indlual repairs and/or installation of police vehicle equipment components purchased from catalogue and applicable offered discount percentages.) Item Hourly Rate A. Labor Rate Per Hour for Misc. Individual Repairs and/or Installation of equipment hased under catalog(s) $ . B. Warranty on work performed: TOTAL ALL ITEMS (4.3.1 — 4.3.4.) Per Section 3.2.1, Location of Facility: a 5 IX( E (Street Address) (City) City of Miami Page 41 Bid No. 05-06-035A _,l __ years w4.5%30 orgydarg rL-33o6c TOTAL ALL ITEMS (4.2.1 — 4.2.4.and 4.3.1 — 4.3.4.) Bidders service/eauibment Installation must be located withJn Miami -Da Bidder: 42.C} 1),5 Authorized Signature: Date: f Title: 9 -PP Ty) EV5P,Cia_ Broward Counties FAILURE TO COMPLETE. SIGN AND RETURN THIS FORM SHALL DISQUALIFY THIS BID. City of Miami Page 42 Bid No. 05-06-035A 4.3. Qualification Statement (Page 1of 2) 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: ci noE5——vs �C COMPANY OFFICERS: r� n 1ticioCf President 1.‘" cf �%l.o l Vice President 3 t 2O C� atTreasurer 1 4 rr " ' Q 1 Secretary `I f � J 1 t�l/� ' ..)4 COMPANY OWNERSHIP: " LICENSES: 1. County or Municipal Occupational License No. 0 7—C1e) 3 k46-51 0 7- GaD3q 6 53- (attach copy with bid) 2. Occupational License Classification R e c c. ` I A-o-c.) Suc.:, 3. Occupational License Expiration Date: 5 toei-- 3 0 .-a.0007 4. Metro -Dade County Certificate of Competency No. (attached copy if requested in Bid or RFP) ` � �� 5. Social Security or Federal I.D. No. 9C--) — (2 7 '7 9c % of ownership of ownership % of ownership % of ownership .a! EXPERIENCE: b. Number of Years your organization has been in business. S',5-yr5 7. Number of Years experience BIDDER/PROPOSER (person, principal Lfirm, owner) has had in operation of the type required by the specifications of the Bid or RFP: S " •) yr5 $, Number of Years experience BIDDER/PROPOSER (fine, corporation, proprietorship) has had in operation of the type required by the specifications of the Bid or RFP: ' . • r., City of Miami Bid No. 05.0E-035A Page 43 Bid Response Form — Qualification Statement (Page 2 of 2) 9. Experience Record: List references who may be contacted to ascertain information o toast that present nt contracts, work, jobs, that BIDDER/PROPOSER has performed of a type by specifications of the City's Bid or RFP with whom you have done business with in the past three (3) years: DESCRIPTION OF CONTRACT AGENCY/FIRM NAME/ADDRESS � V L JOcr� CONTACT PERSON: AGENCY/FIRM NAME/ADDRESS DATE OF CONTRACT PHONE NO.: ' t/L/ 7263 DATE OF CONTRACT DESCRIPTI N OF CONTRACT CY L cJt- W 9.5 CONTACT PERSON: AGENCY/FIRM NAME/ADDRESS DATE OF CONTRACT CONTACT PERSON: AGENCY/FIRM NAME/ADDRESS CONTACT PERSON: FAILURE TO FULLY C L TE City of Miami Bid No. 05-06-035A DATE OF CONTRACT RET PHONE DESCRIPTION OF CONTRACT ,� 1 cQ 1 I PHONE NO.: DESCRIPTION OF CONTRACT PHONE NO.: .53'6" MAY DI _ U LI 0 ' BI Pays 44 4.4. MINORITY/WOMEN BUSINESS AFFAIRS REGISTRATION AFFIDAVIT Please Check One Box Only [ ] Hispanic [ ] Female [ ]Black [ ]Nat Applicable If business is not 51% minority/female owned , affidavit does not apply. If 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 rms and meet the fifty-one percent (51%) ownership and management requirement for minority/women r�-' trat on status and will abide by all of the policies and regulations governing the City of Miami Minority omen Business Enterprise Procedures; 2) that if at any time information submitted by the and igned, applicant in his/her Bidder Application should prove to be false, inaccurate, or misleading, applica 's name will be struck from the City of Miami's Master Bidder list with no further consideration given tthis applicant; 3) that the City of Miami maintains the right, 'ght through award of bid/contract, to revoke the award, should it be found that false, inaccurate or misleadin: information or a change in the original information have occurred; 4) to notify the City of Miami within management or status as an on Application, and that the City of M with the City null and void and cea owned businesses; 5) that the City of Miami has a ri ght t di gently verify all information submitted by applicant in his/her thirty (3 `) days of any change in the firm's ownership, control, minori /women business concern as firm's registration u• a finding to the contrary, may render to include that firm in its registered list of minority and women - Bidder Application to monitor the status of the Minority/Women Business Enterprise, once registered; 6) that the City of Miami may share a firm's registration information concerning of accessingminority/women nty/ orm to their and its capability with other municipal or state agencies for the sole purpose- .rl procurement opportunities, unless otherwise specified by the firm in writing. I (We) certify under the penalties of perjury that the information contained in any and all application documents submitted to the City of Miami is correct as per Ordinance No. 10062 asamended. Firm Name: (If signing as a corporate officer, kindly affix corporate seal) Q (Name, Title & Date) (Name, This application must be signed by at least one general partner of a partnership or the proprietor of a sole proprietorship or all partners of a joint venture. NOTARIZATION COUNTY, SS COUNTY OF DADE That• acknowledged the foregoing instrument as his/her act and deed. That he/she has produced Date: • pers ' nally appeared before me and as identification. NOTARY PUBLIC: My Commission Expires: FAILURE T 1 COMPLETE _ IGN AND ' RN T 1 _ FO ' MAY DIS • U IFY THIS BID. Page 45 City of Miami Bid No. 05-06-035A 4.5. SAMPLE OF AFFIRMATIVE ACTION POLICY for EQUAL EMPLOYMENT OPPORTUNITY AFFIRMATIVE ACTION/ EQUAL EMPLOYMENT OPPORTUNITY - POLICY STATEMENT It is the policy of (Company Name) 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, Oneof the management duties of all principals at (Company Name) 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. (Company Name) 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 secondary duty for any individual, despite the full support of management. And so, to monitor our efforts, (Company Name) has assigned one of its principals as the Affirmative Action Director to monitor all activities of this program. y��Ss ii oyv12r l � i4q Employees may contact (Name of assigned prmrclpal) at {telephone number) regarding this Affirmative Action Policy, DATE: A P\e, O6 (SIGNATURE/TITLE): FAILURE TO COMPLETE. SIGN. AND RETURN THIS FORM MAY DISOUALIFY TIHIS BID. City of Miami Bid No. 05-06-035A Page 46 4,6. OFFICE LOCATION AFFIDAVIT Please type or print clearly. This Affidavit must be completed In full, signed and notarize NLY if your office Is located within the corporate limits of the City of Miami. Legal Name of Finn: Entity Type: (check one box only) [] Partnership E] Sole Proprietorship corporation Corporation Doc. No: Date l stabiished: Occupational License No: . Date of Issuance: :Office Location of bidderlprhpa'ser. ; x• . } :'+ PRESENT.. Street Address: City: State: How long at this location: PREVIOUS Street Address: City: State How long at this location: According to Ordinance No. 12271 (Section 18-85): The City Commission may offer to a responsible and responsive local 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 f 101 ) in excess of the lowest other responsible and responsive bidder. The Intention of this section Is to benefit local bona fide bidders/proposers to promote economic development within the corporate limits of the City of Miami. I (we) certify, under penalty of perjury, that the office location of our firm has not been established with the sole purpose of obtaining the .. i advantage granted bona fide local bidders/proposers by this section. ill; 1 Authorize Signature Print Name Title Authorize Signature Print Name Title (Must be signed by the corporate secretary of a Corporation or one general partner of a partnership or the proprietor of a sole proprietorship or all partners of a joint venture.) STATE OF FLORIDA, COUNTY OF DADE ()Personally known to me; or Subscribed and Sworn before me that this is a true statement this day of 199; l] Produced identification: Notary Public, State of Florida My Commission expires Printed name of Notary Public Please submit with your bid copies of Occupational License, professional andlor 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 of the flrm's office. City of Miami Bid No. 05-06-035A Page 47 4.7. STATEMENT OF NO BID NOTE: 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. Failure to submit a response after three (3) tines without a sufficient justification of "No Bid" will be cause for removal from the vendor/bidder's list. Office of the City Clerk 3500 Pan American Drive Miami, FL 33131-5504 We,the undersigned, have declined the s bmii -a idon your Bid No. GS-O6 O35X for EMERGENCY VEHICLE � EQUIPMENT -CITYWIDE reasons: Specifications too "tight", i.e., geared toward one brand or manufacturer only (explain below). Insufficient time to respond to the Invitation for Bids 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 requirements. ,Specifications are unclear (explain below). We are unable to meet insurance requirements. Remove us from your bidders' list for this commodity ors ice Other (specify below). Remas: We understand that if this statement is not completed and returned, our company may be deleted from the City of Miami bidders' list for 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. 05-06-035A Papa 48 4.8. STATEMENT OF INTENT TO COMPLY WITH ORDINANCE NO. 10032 Bidder certifies that (s)he has read and understood the provisions of City of Miami Ordinance No. 10032, pertaining to the implementation of a "First Source Hiring Agreement". Bidder will complete and submit the following questions as part of the TB. Evaluation of bidder's responsiveness to Ordinance No. 10032 may be a consideration in the award of a contract. Violations of this Ordinance may be considered cause for annulment of a contract between the successful bidder and the City of Miami. A. Do you expect to create new positions in your company in the event your company was awarded this contract by the City? Yes No B. In the event y1�ur answer to Question "A" is yes, how many new positions would you create to perform this work? C. Please list below the title, rate of pay, summary of duties, number of positions, and expected length or duration of all new positions which might be created as a result of this award of contract. EXPECTED • LENGTH OR 1) J--eiS7 .4 1 c4"- 1 S IZ ` 4'ch S Pee-rne.,,,,e 1r 2) 1 et,5-t-er az\ bus 1 Pf 3) 4) 5) 6) 7) 8) (Use additional sheets if necessary) COMPANY NAME: SfYO i E5r`e` U 5 -TA) SIGNATURE/TITLE: DATE: FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY THIS BID. City of Miami Page 49 Bid No. 05-06-035A 5.0 BID RESPONSE CHECK LIST This checklist is provided to help you conform to all requirements stipulated in this IFB. 1. Bid Certification Form (Form 4.1.) This form must be completed and signed to validate your bid 2. Bid Form- (Form 4.2.) This form must be completed and signed by bidder 3. 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 Ct r Ordinance No. 12271, states that the City Commission may offisir to a responsible and responsive bidder, who maintains a Local Offpe, 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 fe/01) in exc'ess '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. 8. Statement of Compliance with Ordinance 10032 (Form 4.8.) This form must be completed and signed by bidder 9. Bid Bond (Form 4.9) 10. Copy of Occupational License Copy to be included with Bid. 11. Catalogues Failure to provide catalogues with bid may deem bid non -responsive. City of Miami Bid No. 05-06-035A Required to be Submitted with Bid Yes ® No ❑ Yes ® No ❑ Yes El No Yes ® No ❑ Yes ®No ❑ Yes ® No ❑ Yes ®No❑ Yes ®No❑ Yes ❑ No Eg Yes ® No ❑ Yes ® No ❑ TO BE SUBMITTED AS PART OF YOUR BID RESPONSE. Page 50