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ATTACHMENT A

VIEWS: 6 PAGES: 6

  • pg 1
									ATTACHMENT A COVER PAGE

VENDOR BID RESPONSE *********************************************
INVITATION FOR BID MULTNOMAH COUNTY, OREGON

BID NO. B09-9842 FOR
Appliance Refrigerator or Clothes Washer Replacement On a Requirements Basis Kenneth Scholes, Senior Procurement Analyst Phone 503 988-5111, Ext. 24986 kenneth.g.scholes@co.multnomah.or.us ******************************************
CENTRAL PROCUREMENT AND CONTRACT ADMINISTRATION 501 SE HAWTHORNE, SUITE 400 PORTLAND, OR 97214 PHONE: (503) 988-5111 FAX: (503) 988-3252

*****************************************
BID CLOSING: Tuesday, May 5, 2009 at 2:00 PM
BID OPENING AND READING ON THE SAME DAY at 2:15 PM
**********************************************

Electronic copies of this BID and attachments, if any, may be available from the Multnomah County Central Procurement & Contract Administration website at http://www.multcopurch.org All BID documents shall be submitted in hard copy. Electronic or e-mailed submissions shall be rejected.

VENDOR NAME VENDOR ADDRESS

ATTACHMENT B BIDDING PAGES

Item

Description

0 Miscellaneous Material – Percent Markup 1 Hourly Rate Refrigerator Replacement 2 3 4 14.0 Cubic Foot Energy Star Refrigerator 14.0 Cubic Foot Non-Energy Star Refrigerator with energy usage equivalent to an energy star approved refrigerator of the same size. 14.5 Cubic Foot Energy Star Refrigerator (apartment sized)

Unit (1 ea) % Hour $ $ $

Labor

Material

Total

% $ $ $ $ $ $ $ $ $ $

5

14.5 Cubic Foot Non-Energy Star Refrigerator (apartment sized) with energy usage equivalent to an energy star approved refrigerator of the same size. 15.0 Cubic Foot Energy Star Refrigerator 15.0 Cubic Foot Non-Energy Star Refrigerator with energy usage equivalent to an energy star approved refrigerator of the same size. 18.0 Cubic Foot Energy Star Refrigerator 18.0 Cubic Foot Non-Energy Star Refrigerator with energy usage equivalent to an energy star approved refrigerator of the same size. 18.2 Cubic Foot Energy Star Refrigerator (Handicap accessible)

$

$

$

$

6 7 8 9

$ $ $ $

$ $ $ $

$ $ $ $

$ $ $ $

10

$

$

$

$

11

18.2 Cubic Foot Non-Energy Star Refrigerator (Handicap accessible) with energy usage equivalent to an energy star approved refrigerator of the same size. 20.0 Cubic Foot Energy Star Refrigerator 20.0 Cubic Foot Non-Energy Star Refrigerator with energy usage equivalent to an energy star approved refrigerator of the same size. 23.0 Cubic Foot Energy Star Refrigerator 23.0 Cubic Foot Non-Energy Star Refrigerator with energy usage equivalent to an energy star approved refrigerator of the same size. 18.0 Cubic Foot Energy Star Refrigerator/Freezer

$

$

$

$

12 13 14 15 16

$ $ $ $ $

$ $ $ $ $

$ $ $ $ $

$ $ $ $ $

18.0 Cubic Foot Non-Energy Star Refrigerator/Freezer Combination with energy usage equivalent to an energy star approved refrigerator of the same size. 18 Removal and disposal (of secondary refrigerator/s Installing 10 Or More 15.0 Cubic Foot Refrigerators in Multifamily Building 19 15.0 Cubic Foot Energy Star Refrigerator (10 or more refrigerators in Multifamily Buildings) Bid per one

17

$

$

$

$

Hour

$

$

$

$

$

$

Item

Description

20

15.0 Cubic Foot Non-Energy Star Refrigerator with energy usage equivalent to an energy star approved refrigerator of the same size.

Unit (1 ea) $

Labor

Material

Total

$

$

$

Clothes Washer 21 Energy Star Front Load Clothes Washer

ATTACHMENT C
OFFEROR REPRESENTATIONS AND CERTIFICATIONS
FAILURE OF THE OFFEROR TO COMPLETE AND SIGN THIS FORM MAY RESULT IN REJECTION OF THE SUBMITTED OFFER The undersigned, having full knowledge of the specifications for the goods or services specified herein, offers and agrees that this offer shall be irrevocable for at least 30 calendar days after the date offers are due, and if accepted, to furnish any and/or all goods or services as described herein at the prices offered and within the time specified. OFFEROR NAME: ADDRESS: TELEPHONE NUMBER: TAXPAYER ID NUMBER: BUSINESS DESIGNATION:  Non-Profit  Corporation  Government ____FAX NUMBER: WEB SITE: DATE/STATE OF INCORPORATION:  Sole Proprietor  Partnership  Other  S Corporation

OFFEROR IS REGISTERED TO DO BUSINESS IN OREGON ____ YES ____ NO If answer is NO, the undersigned agrees to become registered in Oregon prior to contracting. Visit http://www.filinginoregon.com/ MWESB CERTIFICATION: Number ____ Minority Owned  Woman Owned  Emerging, Small  N/A NO YES Expiration Date

OFFEROR IS EEO CERTIFIED (through the City of Portland, OR): ASSURANCES - The Offeror attests that: 1. 2. 3.

The person signing this offer has the authority to submit an offer and to represent Offeror in all phases of this procurement process; The information provided herein is true and accurate; The Offeror is a resident proposer, as described in ORS 279A.120, of the State of ______________, (insert State) and has not discriminated against any minority, women, or emerging small business enterprises in obtaining any required subcontracts, in accordance with ORS 279A.110. "Resident bidder" means a bidder that has paid unemployment taxes or income taxes in this state during the 12 calendar months immediately preceding submission of the bid, has a business address in this state and has stated in the bid whether the bidder is a "resi dent bidder". ORS 279A.120 (1) (b)

4. 5.

Any false statement may disqualify this offer from further consideration or be cause of contract termination; The Offeror will notify the Department Contracts Officer within 30 days of any change in the information provided on this form.

CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS The Offeror certifies to the best of its knowledge and belief that neither it nor any of its principals: 1. 2. Are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from submitting bids or proposals by any federal, state or local entity, department or agency; Have within a five-year period preceding the date of this certification been convicted of fraud or any other criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) contract, embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; Are presently indicted for or otherwise criminally charged with commission of any of the offenses enumerated in paragraph 2. of t his certification; Have, within a five-year period preceding the date of this certification had a judgment entered against contrac tor or its principals arising out of the performance of a public or private contract; Have pending in any state or federal court any litigation in which there is a claim against contractor or any of its principals arising out of the performance of a public or private contract; and Have within a five-year period preceding the date of this certification had one or more public contracts (federal, state, or local) terminated f or any reason related to contract performance.

3. 4. 5. 6.

Where Offeror is unable to certify to any of the statements in this certification, Offeror shall attach an explanation to their offer. The inability to certify to all of the statements shall not necessarily preclude Offeror from award of a contract under this procurement. SIGNATURE OF AUTHORIZED PERSON Signature Print Name & Title Contact Person for this procurement: Phone Email Date

ATTACHMENT D
BIDDER’S SIGNATURE PAGE Bid Number: B09-9842, for supply and delivery of Appliance, Refrigerator or Clothes Washer Replacement On a Requirements Basis. By signature below, the Bidder certifies that the specifications, general provisions and the attached Contract Terms and Conditions have been carefully examined. If the bid is accepted, Bidder agrees to contract with Multnomah County to furnish the item(s) and/or services in the manner and time herein prescribed and according to all the requirements set forth. The Bidder hereby certifies that Bidder: 1) Has not discriminated against minority, women, or emerging small business enterprises in obtaining any required subcontracts in accordance with ORS 279.111. 2) Is a Resident Bidder, Non-Resident Bidder, as defined in ORS 279.029, of the State of Oregon.

ORS 279.029 (2) states "In determining the lowest responsible bidder, a public contracting agency shall, for the purpose of a warding the contract, add a percent increase on the bid of a nonresident bidder equal to the percent, if any, of the preference given to that bidder in the state in which the bidder resides." A 'Resident bidder' means a bidder that has paid unemployment taxes or income taxes in this state during the 12 calendar mont hs immediately preceding submission of the bid, has a business address in this state and has stated in the bid whether the bidder is a resident bidder. (ORS 279.029 (6) (b)) A 'Non-resident bidder' means a bidder who is not a 'Resident bidder' as defined above. (ORS 279.029 (6) (c))

The Bidder may withdraw a bid at any time prior to the bid opening by providing written request to the Central Procurement and Contract Administration Manager. However, all bids shall be irrevocable for thirty (30) calendar days from the day of the bid opening.

Terms of payment are EEO Certified: No

_____% Yes

________. _______________

Expiration date:

Company Name (Type or Print) Address

Signature Type or Print Name Title

Telephone: Fax: Taxpayer ID
FAILURE TO SIGN AND SUBMIT THIS FORM MAY BE CAUSE FOR BID REJECTION

ATTACHMENT E SUBSTITUTION REQUEST FORM Bid # B09-9842 Appliance, Refrigerator and Clothes Washer Replacement on a Requirements Basis
Work Item number_____________________________________________________________ Specified product______________________________________________________________ Proposed product _____________________________________________________________ Manufacturer_________________________________________________________________ Model number________________________________________________________________ Attached data includes product description, specifications, drawings, photographs, and any other relevant data for evaluation of the request; applicable portions of the data are clearly identified. ************************************************************************ The Undersigned certifies:  Proposed substitution has been fully investigated and determined to be equal or superior in all respects to specified product.  Same warranty will be furnished for proposed substitution as for specified product.  Same maintenance service and source of replacement parts, as applicable, is available.  Proposed substitution does not affect dimensions and functional clearances. Submitted by _________________________________________________________________ Signed by ____________________________________________________________________ Firm: _______________________________________________________________________ Address: ____________________________________________________________________ Telephone: __________________________________________________________________ Date: _______________________________________________________________________

Multnomah County Review and Action Substitution approved Substitution rejected. Reason(s)_______________________________________________ ____________________________________________________________________________

Signed by ___________________________________ Date __________________________

Name ______________________________________________________________________

Title _______________________________________________________________________


								
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