RFP 2012 027 Fire Safety System Services Schedule CF orm of Proposal 1 by d6m7Ysw

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									                                              SCHEDULE C – FORM OF PROPOSAL

RFP Project Title:                   Fire & Safety System Services


RFP Reference No.:                   1220-030-2012-027


Name of Proponent:


Contact Person and Title:


Business Address:


Telephone:


Fax:


E-Mail Address:


TO:
City Representative:          Kam Grewal, CMA,BBA, Internal Audit Manager, Acting Purchasing and Accounts Payable Manager
                                                                                                 st
Address:                      City of Surrey, City Operations Works Yard, Purchasing Section, 1 Floor
                              6645-148 Street, Surrey, B.C. Canada V3S 3C7
Telephone:                    604-590-7274


Dear Sir:


1.0         I/We, the undersigned duly authorized representative of the Proponent, having received and carefully reviewed all of the
            Proposal documents, including the RFP and any issued addenda posted on the City Website and BC Bid Website, and having
            full knowledge of the Site, and having fully informed ourselves as to the intent, difficulties, facilities and local conditions
            attendant to performing the Services, submit this Proposal in response to the RFP.


2.0         I/We confirm that the following schedules are attached to and form a part of this Proposal:


            Schedule C-1 – Statement of Departures;
            Schedule C-2 – Proponent’s Experience, Reputation and Resources;
            Schedule C-3 – Proponent’s Technical Proposal (Services);
            Schedule C-4 – Proponent's Technical Proposal (Schedule); and
            Schedule C-5 – Proponent’s Financial Proposal.


3.0         I/We confirm that this proposal is accurate and true to best of my/our knowledge.




RFP #1220-030-2012-027                                                                                                   Page 36 of 52
4.0     I/We confirm that, if I/we am/are awarded the agreement, I/we will at all times be the “prime contractor” as provided by the
        Worker's Compensation Act (British Columbia) with respect to the Services. I/we further confirm that if I/we become aware
        that another contractor at the place(s) of the Services has been designated as the “prime contractor”, I/we will notify the City
        immediately, and I/we will indemnify and hold the City harmless against any claims, demands, losses, damages, costs,
        liabilities or expenses suffered by the City in connection with any failure to so notify the City.


This Proposal is submitted this _____________________ day of _________________________, 20__.


I/We have the authority to bind the Proponent.


_______________________________________                 _______________________________________
(Name of Proponent)                                     (Name of Proponent)


_______________________________________                 _______________________________________
(Signature of Authorized Signatory)                     (Signature of Authorized Signatory)


_______________________________________                 _______________________________________
(Print Name and Position of Authorized                  (Print Name and Position of Authorized
Signatory)                                              Signatory)




RFP #1220-030-2012-027                                                                                               Page 37 of 52
                                     SCHEDULE C-1 - STATEMENT OF DEPARTURES

1.      I/We have reviewed the proposed Contract attached to the RFP as Schedule “B”. If requested by the City, I/we would be
        prepared to enter into that Contract, amended by the following departures (list, if any):


        Section                      Requested Departure(s) / Alternative(s)




2.      The City of Surrey requires that the successful Proponent 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 Contractor 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 Website
                   Standard Certificate of Insurance;
        d)         City of Surrey business license;
        e)         If the Proponent's Goods and Services are subject to HST, the Proponent's HST Number is
                   ____________________________________; and
        f)         If the Proponent 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 Proposal, we advise that we have the ability to meet all of the above requirements except as follows
        (list, if any):


        Section                      Requested Departure(s) / Alternative(s)




3.      I/We offer the following alternates to improve the Services described in the RFP (list, if any):


        Section                      Requested Departure(s) / Alternative(s)




4.      The Proponent acknowledges that the departures it has requested in Sections 1, 2 and 3 of this Schedule C-1 will not form
        part of the Contract unless and until the City agrees to them in writing by initialling or otherwise specifically consenting in
        writing to be bound by any of them.




RFP #1220-030-2012-027                                                                                                    Page 38 of 52
                 SCHEDULE C-2 - PROPONENT’S EXPERIENCE, REPUTATION AND RESOURCES

        Proponents should provide information on the following (use the spaces provided and/or attach additional pages, if necessary):


        (i)       Location of branches, background, stability, structure of the Proponent;


        (ii)      Proponent’s relevant experience and qualifications in delivering Services similar to those required by the RFP;


        (iii)     Proponent’s demonstrated ability to provide the Services;


        (iv)      Proponent’s equipment servicing resources, capability and capacity, as relevant;


        (v)       Proponent’s references (name and telephone number). The City's preference is to have a minimum of three
                  references;


        (vi)      Proponent’s financial strength (with evidence such as financial statements, bank references);


        (vii)     Describe the features of your services that give you a competitive advantage;


        (viii)    List the levels of certification of personnel that will be performing the Services;




RFP #1220-030-2012-027                                                                                                Page 39 of 52
(ix)    Proponents should provide information on the background and experience of all key personnel proposed to undertake the
        Services (use the spaces provided and/or attach additional pages, if necessary):


Key Personnel


Name:


Experience:


        Dates:
        Project Name:
        Responsibility:


                          _______________________________________________________________________



        Dates:
        Project Name:
        Responsibility:


                          _______________________________________________________________________



        Dates:
        Project Name:
        Responsibility:


                          _______________________________________________________________________




RFP #1220-030-2012-027                                                                                          Page 40 of 52
(x)     Proponents should provide the following information on the background and experience of all sub-contractors proposed to
        undertake a portion of the Services (use the spaces provided and/or attach additional pages, if necessary):



       DESCRIPTION OF SERVICES              SUB-CONTRACTORS NAME                 YEARS OF         TELEPHONE NUMBER
                                                                                 WORKING                AND EMAIL
                                                                                   WITH
                                                                              CONTRACTOR




RFP #1220-030-2012-027                                                                                                Page 41 of 52
                    SCHEDULE C-3 - PROPONENT’S TECHNICAL PROPOSAL (SERVICES)

        Proponents should provide the following (use the spaces provided and/or attach additional pages, if necessary):


        (i)      a narrative that illustrates an understanding of the City’s requirements and Services;


        (ii)     a description of the general approach and methodology that the Proponent would take in performing the Services
                 including specifications and requirements;


        (iii)    a narrative that illustrates how the Proponent will complete the scope of Services, manage the Services, and
                 accomplish required objectives within the City’s schedule; and


        (iv)     a description of the standards to be met by the Proponent in providing the Services.




RFP #1220-030-2012-027                                                                                              Page 42 of 52
                         SCHEDULE C-4 - PROPONENT’S TECHNICAL PROPOSAL (SCHEDULE)

        Proponents should provide an estimated schedule, with major item descriptions and time indicating a commitment to perform
        the Contract within the time specified (use the spaces provided and/or attach additional pages, if necessary).



MILESTONE DATES __________________________________



                         ACTIVITY                                                  SCHEDULE
                                                        1      2      3      4      5      6       7      8      9         10




RFP #1220-030-2012-027                                                                                                   Page 43 of 52
                               SCHEDULE C-5 - PROPONENT’S FINANCIAL PROPOSAL

Indicate the Proponent’s proposed fee (excluding HST), and the basis of calculation (use the spaces provided and/or attach additional
pages, if necessary) as follows (as applicable):

Schedule of Rates:

TABLE A-1: PROPONENTS SHOULD PROVIDE PRICING FOR ANNUAL SERVICES FOR FIRE ALARM SYSTEMS, FIRE
SPRINKLERS, STANDPIPE SYSTEMS,               DUCT DETECTORS, ELEVATOR FIRE ALARM PROTECTION TESTING, AND ANY
OTHER REGULATED FIRE PREVENTION SYSTEM AS DESCRIBED IN SCHEDULE A - SECTION (A):

                                                                                          Service    Services      Annual Service
 Item    Building                                                                                    per Year      Price excluding
                                                                                                                       HST ($)
 1       Guildford Library, 15105 105 Ave                                                 Annual          1
 2       Guildford Recreation Centre, 15105 105 Ave                                       Annual          1
         Cloverdale Fairgrounds - Products Building/Alice McKay, 6050-176th               Annual
 3                                                                                                        1
         Street
 4       Cloverdale Fairgrounds - Shannon Hall, 6050 176 St                               Annual          1
 5       Cloverdale Fairgrounds - Shop, 6050-176th Street                                 Annual          1
 6       Cloverdale Fairgrounds - Showbarn, 6050-176th Street                             Annual          1
 7       Cloverdale Fairgrounds - Stetson Bowl, 6050-176th Street                         Annual          1
         Cloverdale Fairgrounds - Washroom/First Aid Building, 6050-176th                 Annual
 8                                                                                                        1
         Street
 9       Meridian Centre, 2040 150 St                                                     Annual          1
 10      Strawberry Hill Library, 7399 122 St                                             Annual          1
 11      Cloverdale Fairgrounds - Agriplex Building, 6050 176 St                          Annual          1
 12      Clayton Community Hall, 18513 70 Ave                                             Annual          1
 13      Cloverdale Recreation Centre,                                                    Annual          1
 14      Cloverdale Library, 5642 176A St                                                 Annual          1
 15      Cloverdale Mini Rec Centre, 17636 58 Ave                                         Annual          1
 16      Cloverdale RCMP Community Policing Office, 5730-176 "A" Street                   Annual          1
 17      Sunnyside Community Hall / Washrooms, 1845 154 St                                Annual          1
 18      South Surrey Recreation Centre, 14601 20 Ave                                     Annual          1
 19      Chuck Bailey Recreation Centre, 13458 - 107A Avenue                              Annual          1
 20      Bear Creek Pavilion, 13750 88 Ave                                                Annual          1
 21      Bear Creek Park Fieldhouse, 13750 88 Ave                                         Annual          1
 22      Elgin Community Hall, 14250 Crescent Rd                                          Annual          1
 23      Hemlock Works Yard, 9353 160 St                                                  Annual          1
 24      Newton Seniors Centre, 13775 70 Ave                                              Annual          1
 25      Beecher Place, 12160 Beecher St                                                  Annual          1
 26      South Surrey Indoor Pool, 14655 17 Ave                                           Annual          1
 27      Cloverdale Storage Facility, 5642 176A St                                        Annual          1
 28      Port Kells Community Hall, 18918 88 Ave                                          Annual          1
 29      Port Kells Library, 18885 88 Ave                                                 Annual          1
 30      Ocean Park Library, 12854 17 Ave                                                 Annual          1
 31      Guildford RCMP Sub-Station, 10395 148 St                                         Annual          1
 32      North Surrey Recreation Centre, 10275 City Parkway                               Annual          1
 33      Newton Library, 13795 70 Ave                                                     Annual          1
 34      1912 Hall - Museum Archives Building, 17651 56 Ave                               Annual          1
 35      Fraser Heights Recreation Centre, 10588 160 St                                   Annual          1
 36      Newton Community Centre/Arena, 7120-136B Street                                  Annual          1
 37      Kwomais Point - Sanford Hall, 1379 128th St                                      Annual          1

RFP #1220-030-2012-027                                                                                               Page 44 of 52
                                                                            Service   Services   Annual Service
 Item   Building                                                                      per Year   Price excluding
                                                                                                     HST ($)
 38     Kwomais Point Lodge, 1371 128th St                                  Annual       1
 39     Bridgeview Community Hall, 11475 126A St                            Annual       1
 40     Newton Wave Pool, 13730 72 Ave                                      Annual       1
 41     Elgin Centre, 3530 144 St                                           Annual       1
 42     Fire Hall # 12, 2610 128 St                                         Annual       1
 43     Stewart Farm Bunkhouse - Elgin Heritage Park, 13723 Crescent Road   Annual       1
        Stewart Farm - Caretaker Building - Elgin Heritage Park, 13723      Annual
 44                                                                                      1
        Crescent Road
        Stewart Farm - Hadden Boat Building- Elgin Heritage Park, 13723     Annual
 45                                                                                      1
        Crescent Road
 46     Stewart Farm House, Elgin Heritage Park, 13723 Crescent Rd          Annual       1
        Stewart Hall (old Weaving Centre), Elgin Heritage Park, 13723       Annual
 47                                                                                      1
        Crescent Rd
        Stewart Farm - Sea Scouts Boathouse, Ward's Marina, 13723           Annual
 48                                                                                      1
        Crescent Rd
 49     Cloverdale Ice Arena, 6090 176 St                                   Annual       1
 50     Cloverdale Curling Rink, 6150 176 St                                Annual       1
 51     South Surrey Ice Arena, 2199 148 St                                 Annual       1
 52     City Hall, 14245 56 Ave                                             Annual       1
 53     Surrey Arts Centre, 13750 88 Ave                                    Annual       1
 54     Fire Hall # 9, 14901 64 Ave                                         Annual       1
 55     Fire Training Centre, 14923 64 Ave                                  Annual       1
 56     City Hall North Annex - Formerly BHU, 14255-56th Avenue             Annual       1
 57     Pondside Cafe, 14320 57 Ave                                         Annual       1
 58     Fire Hall # 2, 13072 104 Ave                                        Annual       1
 59     Fire Hall # 3, 11659 96 Ave                                         Annual       1
 60     Fire Hall # 4, 14586 108 Ave                                        Annual       1
 61     Fire Hall # 5, 10042 176 St                                         Annual       1
 62     Fire Hall # 6, 9049 152 St                                          Annual       1
 63     Fire Hall # 7, 18922 88 Ave                                         Annual       1
 64     Fire Hall # 15, 18915 64 Ave                                        Annual       1
 65     Fire Hall # 18, 8091 164 St                                         Annual       1
 66     Fire Hall # 11, 12855 60 Ave                                        Annual       1
 67     Fire Hall # 13, 15155 18 Ave                                        Annual       1
 68     Fire Hall # 14, 2016 176 St                                         Annual       1
 69     Fire Hall # 17, 15329 32 Ave                                        Annual       1
 70     Newton Athletic Pavilion, 7365 128 St                               Annual       1
 71     Cloverdale Ball Park Fieldhouse, 17333 61a Ave                      Annual       1
 72     Newton Community Policing Station District #3, 7235-137th Street    Annual       1
 73     Fire Hall # 1, 8767 132 St                                          Annual       1
 74     Fire Hall # 10 - New, 7278 132 St                                   Annual       1
 75     City Centre CRU's - Community Rec. Office, 10277 City Parkway       Annual       1
 76     Engineering Works Yard, 6645 148 St                                 Annual       1
 77     Facilities Trailer - Main Works Yard Site, 6645-148th Street        Annual       1
 78     Parks Worksyard Building, 14645 66 Ave                              Annual       1
 79     Parks Worksyard Trailer, 14645 66 Ave                               Annual       1
 80     Pumps and Controls trailer (former Info Management Trailer)         Annual       1
 81     Traffic Trailer /Eng - Sanitary Sewer Site, 6645 148 St             Annual       1
 82     Water Engineering Trailer, 6645 – 148 Street                        Annual       1
 83     Surrey Sports & Leisure Complex, 16555 Fraser Hwy                   Annual       1
 84     Newton Cultural Centre (formerly FH #10), 13530 72 Ave              Annual       1
 85     Fire Hall # 8, 17572 57 Ave                                         Annual       1
RFP #1220-030-2012-027                                                                            Page 45 of 52
                                                                            Service     Services   Annual Service
 Item   Building                                                                        per Year   Price excluding
                                                                                                       HST ($)
 86    RCMP Headquarters, 14355 57 Ave                                      Annual         1
 87    Semiahmoo Library/RCMP, 1815 152 St                                  Annual         1
 88    Fleetwood Community Centre/Library, 15996 84 Ave                     Annual         1
 89    Surrey Museum, 17710 56A Avenue                                      Annual         1
 90    City Centre Library, 10350 University Drive                          Annual         1
 91    Cloverdale Athletic Park Pavilion, 16900 64 Ave.                     Annual         1
       Cloverdale Seniors Centre 2005 - Old Surrey Museum, 6022-176th       Annual
 92                                                                                        1
       Street
 93    Don Christian Recreation Centre (Old Clov Rec), 6220 184 St          Annual         1
       Former SD #36 HR Trailer - (Media & Eng) 14245 - 56th Ave Surrey,    Annual
 94                                                                                        1
       B.C.
 95    Former SD Trailer Storage - 14245 - 56th Avenue Surrey, B.C.         Annual          1
 96    RCMP - Surrey City Centre, 10720 King George Blvd.                   Annual          1
 97    Risk Management Trailer - City Hall Site, 14193-56th Avenue          Annual          1
 98    Surrey Civic Centre (City Hall) 13450 - 104th Avenue, Surrey, B.C.   Annual          1
 99    Surrey Nature Centre - Administration Building, 14255 96 Ave         Annual          1
 100 Surrey Nature Centre - Classroom Building, 14255 96 Ave                Annual          1
 101 Surrey Nature Centre - East Cape Cod Building, 14255 96 Ave            Annual          1
 102 Surrey Nature Centre - West Cape Cod Building, 14255 96 Ave            Annual          1
 Note: Overheads, General Conditions and Profit are to be                              Subtotal:   $
 included in the above amounts.                                                       HST (12%):   $
                                                                       TOTAL ANNUAL PRICE:         $
 CURRENCY: Canadian




RFP #1220-030-2012-027                                                                                 Page 46 of 52
TABLE A-2: PROPONENTS SHOULD PROVIDE PRICE PER FIRE EXTINGUISHER FOR FIRE EXTINGUISHER SUPPLY AND
INSTALLATION. THIS WORK IS ON A DEMAND BASIS AND IS TYPICALLY TO BE COMPLETED DURING ANNUAL SERVICING
OF BUILDINGS LISTED IN TABLE A-1:


 Labour & Parts/Materials:
 To supply and install (including labour and parts/materials) fire extinguishers (list fire extinguisher type/capacity):
                                                                                                Price per Fire Extinguisher
     Item #               Item Description (fire extinguisher type/capacity)
                                                                                                      (excluding HST)

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________

                                                                                                         $ _________
 Note: Overheads, General Conditions and Profit are to be included in the above amounts.


 CURRENCY: Canadian




RFP #1220-030-2012-027                                                                                                     Page 47 of 52
TABLE A-3: PROPONENTS SHOULD PROVIDE PRICING PER FIRE EXTINGUISHER FOR TESTING OF FIRE EXTINGUISHERS,
NUMBERING OF FIRE EXTINGUISHERS WITH UNIQUE ID DECALS/LABELS, TAKING INVENTORY OF TYPE, CAPACITY, AND
LOCATION OF FIRE EXTINGUISHERS AND PROVIDING WRITTEN INVENTORIES TO THE CITY. THIS WORK IS ON A DEMAND
BASIS AND IS TYPICALLY TO BE COMPLETED DURING ANNUAL SERVICING OF BUILDINGS LISTED IN TABLE A-1:


 Item                                                                             Price per Fire Extinguisher
                                  Item Description
  #                                                                                    (excluding HST)


        To test, inspect, number, and inventory fire extinguishers and provide
  1                                                                                        $ _________
        reports as applicable (including labour and parts/materials)


 Note: Overheads, General Conditions and Profit are to be included in the above amounts.


 CURRENCY: Canadian




TABLE A-4: PROPONENTS SHOULD PROVIDE PRICING PER EMERGENCY LIGHT FOR SERVICES FOR TESTING AND
INSPECTING EMERGENCY LIGHTING. THIS WORK IS ON A DEMAND BASIS AND IS TYPICALLY TO BE COMPLETED DURING
ANNUAL SERVICING OF BUILDINGS LISTED IN TABLE A-1:


 Item                                                                             Price per Emergency Light
                                  Item Description
  #                                                                                    (excluding HST)


        To test and inspect emergency lighting and provide reports as
  1                                                                                        $ _________
        applicable (including labour and parts/materials)


 Note: Overheads, General Conditions and Profit are to be included in the above amounts.


 CURRENCY: Canadian




RFP #1220-030-2012-027                                                                                    Page 48 of 52
TABLE A-5: PROPONENTS SHOULD PROVIDE HOURLY RATES FOR ON CALL SERVICES FOR FIRE ALARM SYSTEMS, FIRE
SPRINKLERS, STANDPIPE SYSTEMS, AND OTHER REGULATED FIRE PREVENTION SYSTEMS:


F.O.B.: Destination, Freight Prepaid

Item                                                                                                        Hourly rate (excluding
                                                  Item Name
 #                                                                                                                    HST)

         Labour:
         Regular Time
 1
         Monday – Friday 7:30AM – 5:00PM
         Response within 2 hours
         Labour:
         Overtime Hours
 2       Monday – Friday 5:00PM – 7:30AM, all day Saturday, all day Sunday, all Statutory
         holidays
         Response time within 2 hours


 3       Charge for travel time/vehicle


         Materials:
         Proponent should state the mark up, as a percentage, on materials purchased from
         outside sources:

                     Contractor’s Invoice Plus

 4             i)      under $ _________                                                                    _________ %

               ii)     over $ _________                                                                     _________ %


         Note: Original invoices for all parts and materials shall be made available to the
         Department Representative or designate upon request.

         Materials:
 5       Proponent should state any further discount, as a percentage, for materials purchased directly from the Proponent:
         _____%

Note: Overheads, General Conditions and Profit are to be included in the above amounts.
1)     The labour rates include all labour, supervision, tools, equipment, transportation, permits and licenses, and management to
       inspect, test, maintain, repair and make alterations.
2)     Material acquisition, handling and delivery, or for movement of contractor owned or rental equipment, hauling of excess
       and/or scrap material for disposal is not chargeable directly but is overhead and the cost shall be included in the hourly rate.
3)     All unscheduled materials and parts shall not be included in the labour rates above.


CURRENCY: Canadian




RFP #1220-030-2012-027                                                                                                    Page 49 of 52
TABLE B: SERVICES FOR KITCHEN FIRE SUPPRESSION SYSTEM – INSPECTION & CERTIFICATION REPORT AS
DESCRIBED IN SCHEDULE A, SECTION (B)

                                                                                    Service       Services                       Annual Price
                                                                                                                Service
 Site                                     System                        Hood                      per year                      excluding HST
            Name              Address                      Model                                                Price ($)
 No.                                       Make                         Type                         (a)                              ($)
                                                                                                                   (b)
                                                                                                                                   (a) x (b)
        Occasions at      14320 - 57                   WHDR          Garland -
  1                                      Kidde                                    Semi-annual         2
        the Pond          Ave                          400M          Air Filter
                                                       2.5 Gal
        Stetson Bowl      6050 - 176     Range
  2                                                    (old style    Air          Semi-annual         2
        Stadium           St             Guard
                                                       valve)
                          6050 - 176     Range         2.5
  3     Agriplex                                                     Air          Semi-annual         2
                          St             Guard         Gallons
                          6050 - 176                   WHDR
  4     Shannon Hall                     Kidde                       Air          Semi-annual         2
                          St                           400S
        Newton Senior     13775 - 70                   WDHR
  5                                      Kidde                       Air          Semi-annual         2
        Centre            Ave                          260
        Bridgeview        11475 -        Range         2.5
  6                                                                  Air          Semi-annual         2
        Community Ctr     126A St        Guard         Gallons
        Cloverdale        6150 - 176     Range         4 Gal (Old
  7                                                                  Air Filter   Semi-annual         2
        Curling Rink      St             Guard         Neck)

 Note: Overheads, General Conditions and Profit are to be included in the                                       Subtotal:
 above amounts.                                                                                               HST (12%):
 CURRENCY: Canadian                                                                              TOTAL ANNUAL PRICE:




TABLE C: SERVICES FOR FIRE PUMPS - INSPECTION & CERTIFICATION REPORT AS DESCRIBED IN
SCHEDULE A - SECTION (C)

                                                                                  Services per                                Annual Price
 Site                                                                                               Service Price ($)
                       Name                      Address            Service           year                                  excluding HST ($)
 No.                                                                                                      (b)
                                                                                       (a)                                       (a) x (b)

  1     South Surrey Recreation Centre    14601 – 20 Ave       Annual                  1


 Note: Overheads, General Conditions and Profit are to be                                                  Subtotal:    $
 included in the above amounts.                                                                           HST (12%):    $
 CURRENCY: Canadian                                                                        TOTAL ANNUAL PRICE:          $




RFP #1220-030-2012-027                                                                                                        Page 50 of 52
TABLE D: SERVICES FOR BACKFLOW PREVENTERS – ANNUAL INSPECTION & CERTIFICATION REPORT AS DESCRIBED IN
SCHEDULE A - SECTION (D)
                                                                                                                           Annual
                                                                                                                        Service Price
      Building          Address    Location                     Manufacture   Model        Serial         Size/Type
                                                                                                                         excluding
                                                                                                                          HST ($)
      Chuck Bailey      13458 –    Northwest Sidewalk           FEBCO         856          N0705010220    8”,DCDA
 1    Recreation        107A
      Centre            Ave        Northwest Sidewalk           FEBCO         805YB        H018994        ¾”, DCDA
                        10277
      City Centre                  Bottom of Escalaters, Left
 2                      City                                    AMES          2000SS       2L11597        4”, DCVA
      CRU’s                        door
                        Parkway
                                   South Mechanical Rm          WATTS         009M2Qt      11866          1.5”, RPBA
                        14255 –    Sprinkler Rm                 CONBRACO      4DCDA        NCT01          4”, DCDA
 3    City Hall
                        56 Ave     Sprinkler Rm                 CONBRACO      ½”DC         YA894          ½”, DCVA
                                   W Wing TelcomRm115           WILKINS       975XL        1311459        2”, RPBA
      Cloverdale                   Water Entry Room             WILKINS       950XL        3176239        ¾”, DCDA
                        6188 –
 4    Rec Centre                   Ground Flr Storage105        WILKINS       975XL        3231657        2”, RPBA
                        176 St
      (Multipurpose)               Water Entry Room             WILKINS       350ADA       V23831         4”, DCDA
                        14901 –
 5    Fire Hall #9                 Sprinkler Storage Rom        CONBRACO      4DC          NA920          4”, DCVA
                        64 Ave
                        7278 –     Basement Mech Room           WILKINS       950XL        2550851        ¾”, DCDA
 6    Fire Hall #10
                        132 St     Basement Mech Room           WILKINS       350DA        V11631         6”, DCVA
      Fire Training     14923 –
 7                                 Sprinkler Room               AMES          2000SS       2A00324        3”, DCVA
      Centre            64 Ave
      Fleetwood
                        15996 –
 8    Community                    Janitors Rm E Hallway        CONBRACO      6DC          N V 293        6”, DCVA
                        84 Ave
      Centre/ Library
      Fraser Heights    10588 –    Outside Wtr Chamber W        WILKINS       350DA        N20335         6”, DCDA
 9
      Rec Centre        160 St     Outside Wtr Chamber W        WILKINS       950XL        2043838        ¾”, DCVA
      Guildford Rec     15105 –
 10                                Main Floor Mech Rm 146       WATTS         774          101369         6”, DCVA
      Centre            105 Ave
      Newton
                        7120 –
 11   Community                    Compressor Room              WATTS         709          131765         3”, DCVA
                        136B St
      Centre/Arena
      Newton Wave       13730 –
 12                                Rec Ctr Storage Rm 2         WATTS         757DC        J.6.1695       4”, DCVA
      Pool              72 Ave
      RCMP              14355 –
 13                                Basement Mech Rm             WILKINS       350A         23682          6”, DCVA
      Headquarters      57 Ave
      Semiahmoo         1815 –
 14                                Sprinkler Room               WILKINS       375          L01622         6”, RPA
      Library/RCMP      152 St
      South Surrey      2199 –
 15                                Boiler Rm NE Corner          WATTS         709          135076         3”, DCVA
      Ice Arena         148 St
                                   5 Exit Hallways              WATTS         09M2QT       38167          1 ¼”,RPBA
      South Surrey      14601 –
 16                                Pit Traffic Circle front     CONBACO       DCDA         NAK56          6”, DCDA
      Rec Centre        20 Ave
                                   Traffic Circle Main Ent      CPMBRACP      40-200-TKS   UD588          ½”, DCDA
                        13723
      Stewart Farm
 17                     Crescent   Washroom, Sprinkler          AMES          2000SS       5335/20NO705   3”, DCVA
      House
                        Rd
      Strawberry Hill   7399 –
 18                                Mechanical Room Exterior     AMES          2000SS       2A00339        3”DCVA
      Library           122 St
      Surrey Arts       13750 –
 19                                Downstairs Mech              WATTS         709          180618         4”, DCVA
      Centre            88 Ave
      Surrey            17710 –    Valve Rm1.10 S Wall          WATTS         007QT        50093          ½”, DCVA
 20
      Museum            56A Ave    Valve Rm 1.10S Wall          WATTS         709          138856         4”, DCVA
      Surrey Sports                Mech Rm SW Arena             APOLLO        4SG-600      6372           4”, DCVA
                        17710 –
 21   & Leisure                    Mech Rm SW Arena             APOLLO        ½”DC         143419         ½”, DCDA
                        56A Ave
      Complex                      Pool Lower Mech Rm           WATTS         709          176859         4”, DCVA
      Surrey Animal     6706 –     Rear Cat Room                WATTS         009QT        A32749         ½”, RPBA
 22
      Control           152nd      Dog Isolation Area           WATTS         009M3        A51272         ¾”, RPBA

 Note: Overheads, General Conditions and Profit are to be                                                  Subtotal:    $
 included in the above amounts.                                                                           HST (12%):    $
 CURRENCY: Canadian                                                                         TOTAL ANNUAL PRICE:         $

RFP #1220-030-2012-027                                                                                                 Page 51 of 52
Additional Expenses:

The proposed Contract attached as Schedule "B" to the RFP provides that expenses are to be included within the fee, other than the
expenses listed in the Contract as disbursements. Details of disbursements are to be shown in the chart above. Please indicate any
expenses that would be payable in addition to the proposed fee and proposed disbursements set out above:




Payment Terms:

A cash discount of _______% will be allowed if account is paid within _____ days, or the_________ day of the month following, or net
30 days, on a best effort basis.




RFP #1220-030-2012-027                                                                                              Page 52 of 52

								
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