Free Sample Safety Glasses Proposal Forms - DOC

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Free Sample Safety Glasses Proposal Forms document sample

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scope of work template
							State of Wisconsin
Wis. Statutes s.16.75
DOA-3070 (R08/2003)
BIDS MUST BE SEALED AND ADDRESSED TO:                                                                     Remove from bidder list for this commodity/service. (Return this page only.)
AGENCY ADDRESS:                                                                                        Bid envelope must be sealed and plainly marked in lower corner with due date and Request for Bid
                                                                                                       #27841 PA. Late bids will be rejected. Bids MUST be date and time stamped by the soliciting
Department of Administration                                                                           purchasing office on or before the date and time that the bid is due. Bids dated and time stamped in
Bureau of Procurement                                                                                  another office will be rejected. Receipt of a bid by the mail system does not constitute receipt of a
                         th                                                                            bid by the purchasing office. Any bid which is inadvertently opened as a result of not being properly
101 East Wilson Street, 6 Floor                                                                        and clearly marked is subject to rejection. Bids must be submitted separately, i.e., not included with
P.0. Box 7867                                                                                          sample packages or other bids. Bid openings are public unless otherwise specified. Records will
Madison, WI 53707-7867                                                                                 be available for public inspection after issuance of the notice of intent to award or the award of the
                                                                                                       contract. Bidder should contact person named below for an appointment to view the bid record.
                                                                                                       Bids shall be firm for acceptance for sixty (60) days from date of bid opening, unless otherwise
                         REQUEST FOR BID                                                               noted. The attached terms and conditions apply to any subsequent award.

                            THIS IS NOT AN ORDER                                                       Bids MUST be in this office no later than
BIDDER (Name and Address)                                                                                        November 3, 2006 2:00 P.M. CT
                                                                                                       Name (Contact for further information)

                                                                                                       Peter Ansay
                                                                                                       Phone                                                              Date

                                                                                                                 608-266-0462                                                    October 09, 2006

                                                                                                       Quote Price and Delivery FOB

                                                                                                                 Any Wisconsin Destination
                                                                                                                   Fax bids are accepted                              Fax bids are not accepted
   Item              Quantity                                                                                                                                  Price
                                                                                       Description
    No.              and Unit                                                                                                                                 Per Unit                  Total


                                          Prescription Safety Glasses for State of Wisconsin Agencies.




Payment Terms                                                                                         Delivery Time
    We claim minority bidder preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to CERTIFIED Minority Business Enterprises. Bidder must be
    certified by the Wisconsin Department of Commerce. If you have questions concerning the certification process, contact the Wisconsin Department of Commerce, 5th Floor, 201 W. Washington
    Ave., Madison, Wisconsin 53702, (608) 267-9550. Does Not Apply to Printing Bids.
    We are a work center certified under Wis. Stats. s. 16.752 employing persons with severe disabilities. Questions concerning the certification process should be addressed to the Work Center
    Program, State Bureau of Procurement, 6th Floor, 101 E. Wilson St., Madison, Wisconsin 53702, (608) 266-2605.
Wis. Stats. s. 16.754 directs the state to purchase materials which are manufactured to the greatest extent in the United States when all other factors are substantially equal. Materials covered in our
bid were manufactured in whole or in substantial part within the United States, or the majority of the component parts thereof were manufactured in whole or in substantial part in the United States.
          Yes              No             Unknown
In signing this bid we also certify that we have not, either directly or indirectly, entered into any agreement or participated in any collusion or otherwise taken any action in restraint of free competition;
that no attempt has been made to induce any other person or firm to submit or not to submit a bid; that this bid has been independently arrived at without collusion with any other bidder, competitor or
potential competitor; that this bid has not been knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the above statement is accurate under penalty of perjury.
We will comply with all terms, conditions and specifications required by the state in this Request for Bid and all terms of our bid.
Name of Authorized Company Representative (Type or Print)                          Title
                                                                                                                                                     Phone       (          )
                                                                                                                                                     Fax         (          )
Signature of Above                                                                 Date                              e-mail.



                                  This form can be made available in accessible formats upon request to qualified individuals with disabilities.
                      STATE OF WISCONSIN

               REQUEST FOR BIDS (RFB) # 27841 PA

                  FOR: Prescription Safety Glasses


TABLE OF CONTENTS


1.0   INTRODUCTION AND PURPOSE

2.0   BID PROCEDURE AND INSTRUCTIONS

3.0   BID ACCEPTANCE, EVALUATION AND AWARD

4.0   TECHNICAL REQUIREMENTS

5.0   PERFORMANCE REQUIREMENTS

6.0   ADMINISTRATIVE SUPPORT REQUIREMENTS

7.0   COST INFORMATION
      - BID FORM 1 (BF1)
      - BID FORM 2 (BF2)
      - BID FORM 3 (BF3)

8.0   REQUIRED FORMS
      - REQUEST FOR BID FORM (#3070) (BID COVER PAGE)
      - VENDOR INFORMATION FORM (#3477)
      - BID CHECKLIST & OTHER REQUIRED ADDITIONAL INFORMATION (#3477A)
      - VENDOR REFERENCE FORM (#3478)
      - CONRACT FORM (2 COPIES) (#3049)
      - DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION (#3027)
      - WISCONSIN COOPERATIVE PURCHASING AGREEMENT (#3333)

9.0   TERMS AND CONDITIONS
      - SPECIAL TERMS AND CONDITIONS
      - STANDARD TERMS AND CONDITIONS

APPENDIX 1
1.0   INTRODUCTION AND PURPOSE:

      1.1   PURPOSE OF THE REQUEST FOR BID: The purpose of this document is to provide interested
            parties with information to enable them to prepare and submit a bid for supplying State of
            Wisconsin state agencies and Institutions with Prescription Safety Glasses.

            The State as represented by its Department of Administration intends to use the results of this
            process to award a contract for Prescription Safety Glasses.

      1.2   REASONABLE ACCOMMODATIONS: The Department will provide reasonable
            accommodations, including the provision of informational material in an alternative format, for
            qualified individuals with disabilities upon request. If you think you need accommodations at a bid
            opening, contact Peter Ansay at 608-266-0462 (voice) or 608-267-0600 (FAX).

      1.3   SCOPE: The Department of Administration, State Bureau of Procurement (DOA/SBOP) intends
            to utilize this bid to purchase prescription safety glasses on an as needed basis for all State of
            Wisconsin agencies through either agency dispensing or retail outlets. Wherein this request for
            bid (RFB), a reference is made to the State of Wisconsin, it is intended to refer to all state
            agencies and Institutions and the University of Wisconsin System Campuses. The policy for
            supplying prescription safety glasses to employees is determined by each ordering agency based
            on the respective agencies interpretation of the State of Wisconsin collective bargaining
            agreements. Each agency may set limits on what they will provide and pay for in regards to
            prescription eyewear. Agencies participating in this contract will include: Department of
            Corrections, Department of Transportation, Department of Health and Family Services, University
            of Wisconsin System, and the remaining agencies. Any contract resulting from this request for
            bid (RFB) will establish uniform pricing to include but not limited to the following categories:
            Lenses, Frames, Coatings, Misc. add-ons and Accessories. To adequately protect employees and
            to conform to OSHA and ANSI standards all safety glasses ordered on the resulting contract will
            come with either permanently attached or detachable side-shields.

            Sales Volume: The estimated sales volume per year is approximately $300,000.

            No guarantee can be made on the amount of purchases to be made during the forthcoming
            contract period. The successful contractor will be responsible for the furnishing of any and all
            quantities in any and all sizes required.

      1.4   OVERVIEW OF PROCURING AGENCY: The Department of Administration performs
            administrative and executive functions for the State of Wisconsin. The Department of
            Administration, State Bureau of Procurement (DOA/SBOP) will administer the contract resulting
            from this RFB. The contractor and the respective ordering agencies will work together to resolve
            any problems and issues related to the purchase of goods such as ordering, delivery, or return.
            The contractor shall communicate or meet with the designated ordering agency representative, as
            requested, to resolve problems. Any problems that cannot be resolved between the ordering
            agency representative and the contractor will be referred to the Bureau Contract Administrator.
            The Contract Administrator will inform the contractor in writing of the unresolved issues and the
            contractor will respond with proposed corrective actions within ten (10) business days of receipt of
            this letter. Either the Bureau or the contractor may request meetings to address unresolved
            contract issues.

      1.5   CONTRACT LENGTH AND EXTENSIONS: The contract effective date shall be on or around
            December 1, 2006. The contract term will be for two (2) years, with options to extend the contract
            for three additional one (1) year terms. These are not automatic extensions. Contracts will be
            reviewed by the Bureau before a decision to renew is made. Any extension(s) must be authorized
            by mutual written agreement of the contractor and the Bureau.

      1.6   METHOD OF AWARD: One award will be made to the lowest responsive responsible bidder for
            all items on Section I on BF1 & Section 2 on BF2. These forms are located in Section 7.
            Bid prices in Section III on BF3 are subject to negotiation with the low bidder.
      1.7   CANCELLATION AND TERMINATION: The State reserves the right to cancel the resulting
            contract/agreement, for any reason, by giving written notice to contractor of such cancellation and
            specifying the effective date thereof, at least ten (10) business days before the effective date of
            such cancellation. Contractor shall, in the event of such cancellation, be entitled to receive
            compensation for any work accepted hereunder in accordance with the State's order(s).
            Contractor may also be compensated for partially completed work in the event of such
            cancellation. The compensation for such partially completed work shall be no more than the
            percentage of completion of each work effort, as determined within the sole discretion of the
            State, times the corresponding payment for completion of such work as set forth in the State's
            order(s).

            Upon cancellation, termination or other expiration of the resulting contract/agreement, each party
            shall forthwith return to the other all papers, materials, and other properties of the other held by
            each for purposes of execution of the contract/agreement. In addition, each party will assist the
            other party in the orderly termination of this contract/agreement and the transfer of all aspects
            hereof, tangible or intangible, as may be necessary for the orderly, non-disruptive business
            continuation of each party.

      1.8   VENDORNET REGISTRATION: Only vendors registered with the State of Wisconsin’s
            VendorNet will receive future official notice for this service/commodity. The State of Wisconsin’s
            purchasing information and vendor notification service is available to all businesses and
            organizations that want to sell to the state. Anyone may access VendorNet on the Internet at
            http://vendornet.state.wi.us to get information on state purchasing practices and policies, goods
            and services that the state buys, and tips on selling to the state. Vendors may use the same Web
            site address for inclusion on the bidders list for goods and services that the organization wants to
            sell to the state. A subscription with notification guarantees the organization will receive an e-mail
            message each time a state agency, including any campus of the University of Wisconsin System,
            posts a request for bid or a request for proposal in their designated commodity/service area(s)
            with an estimated value over $25,000. Organizations without Internet access receive paper
            copies in the mail. Increasingly, state agencies also are using VendorNet to post simplified bids
            valued at $25,000 or less. Vendors also may receive e-mail notices of these simplified bid
            opportunities.

2.0   BID PROCEDURES AND INSTRUCTIONS:

      2.1   METHOD OF BID: Vendor must submit an original, marked as such, and one copy of all
            materials required for acceptance of their bid by the deadline shown on the Request for Bid form
            to:
            USPS ADDRESS                                       COMMON CARRIER ADDRESS
            Peter Ansay                                        Peter Ansay
            State Bureau of Procurement                        State Bureau of Procurement
                                                                                        th
            P.O. Box 7867                                      101 East Wilson Street, 6 Floor
            Madison, WI 53707-7867                             Madison, WI 53702
                                                               (608)-266-0462

            Bids must be received and time-stamped by the State Bureau of Procurement above prior to the
            stated opening time. Bids not so stamped will be considered late. Receipt of a bid by the State
            mail system does not constitute receipt of a bid by the State Bureau of Procurement, for purposes
            of this request for bids.

            All bids must be packaged, sealed, and show the following information on the outside of the
            package:

            Vendor's Name and Address:
            Request for Bid Title:                    Prescription Safety Glasses for State of Wisconsin
            Request for Bid Number:                   27841 PA
            Bid Due Date and Time:                    November 3, 2006 2:00pm CT
      When sending the bid via express or overnight mail, complete the information requested on the
      outside of the overnight envelope. Bureau personnel will open and time stamp the internal
      envelope. The Bureau is not responsible for improperly labeled bids. Vendors risk rejection of
      improperly labeled bids.

2.2   FAX BIDS: Fax bids are not accepted.

2.3   CALENDAR OF EVENTS: Listed below are important dates and times by which actions related to
      this Request for Bid (RFB) must be completed. In the event that the State finds it necessary to
      change any of these dates and times it will do so by issuing a supplement to this RFB.

      DATE                                             EVENT

      October 9, 2006                                  Date of issue of the RFB.
      October 19, 2006                                 Last day for submitting written inquires.
      October 25, 2006                                 Answers to questions posted on Vendornet
      November 3, 2006                                 Bids due from vendors.
      December 1, 2006 (est)                           Contact Start Date

2.4   FORMAT OF BID: Vendors responding to this RFB must comply with the following format
      requirements:

      a)      Signed request for bid sheet (DOA Form 3070 – Bid Cover Page): Bids submitted in
      response to this RFB must be signed by the person in the vendor's organization who is
      responsible for the decision as to the prices being offered in the bid or by a person who has been
      authorized in writing to act as agent for the person responsible for the decision on prices.

      By submitting a signed bid, the vendor's signatories certify that in connection with this
      procurement: (a) the vendor's organization or an agent of the vendor's organization has arrived at
      the prices in its bid without consultation, communication or agreement with any other respondent
      or with any competitor for the purpose of restricting competition, (b) the prices quoted in the bid
      have not been knowingly disclosed by the vendor's organization or by any agent of the vendor's
      organization and will not be knowingly disclosed by same, directly or indirectly, to any other
      respondent or to any competitor, and (c) no attempt has been made or will be made by the
      vendor's organization or by any agent of the vendor's organization to induce any other person or
      firm to submit or not to submit a bid for the purpose of restricting competition.

      (b)     State of Wisconsin Terms and Conditions: These standard and supplemental terms and
      conditions shall govern this proposal and subsequent award. Vendors must accept these terms
      and conditions or submit point-by-point exceptions along with proposed alternative or
      additional language for each point, including any vendor contracts. Submission of any
      standard vendor contracts as a substitute for language in the terms and conditions is not a
      sufficient response to this requirement and may result in rejection of the vendor's
      proposal. The State reserves the right to negotiate contractual terms and conditions other than
      those in the State of Wisconsin Contract when it is in the best interest of the State to do so.

      (c)     Required Forms: Vendor must completely fill out and sign all required forms listed in
      Section 8.0 of this bid document.

      (d)     Cost Information: Provide cost information on the cost sheets included in Section 7.0 of
      this RFB. All costs for furnishing the product(s) and/or service(s) included in the bid in
      accordance with the terms and conditions in this RFB must be included.

2.5   MULTIPLE BIDS: Multiple bids from a vendor will be permissible; however each bid must
      conform fully to the requirements for bid submission. Each such bid must be separately
      submitted and labeled as Bid #1, Bid #2, etc. on each page included in the response. Alternate
      acquisition plans do not constitute multiple bids.

2.6   INCURRING COSTS: The State of Wisconsin is not liable for any cost incurred by a vendor in the
      process of responding to this RFB.
      2.7   QUESTIONS: Any questions concerning this RFB must be submitted in writing (via E-mail or
            faxed document) on or before the end of day October 19, 2006 to:

            FAX: 608-267-0600        EMAIL: peter.ansay@wisconsin.gov

            All questions must be in writing (DO NOT CALL WITH QUESTIONS) and the answers will be
            posted on Vendornet October 25, 2006 by the end of the day.

            Vendors are expected to raise any questions, exceptions, or additions they have concerning the
            RFB document or the attached State of Wisconsin Contract at this point in the RFB process. If a
            vendor discovers any significant ambiguity, error, conflict, discrepancy, omission, or other
            deficiency in this RFB, the vendor should immediately notify the above named individual, in
            writing, of such error and request modification or clarification of the RFB document.

            In the event that it becomes necessary to provide additional clarifying data or information, or to
            revise any part of this RFB, supplements or revisions will be posted on VendorNet.

            From the date of release of this RFB, until a Letter of Intent is issued, all contacts with Department
            of Administration Personnel regarding this RFB shall be made through the Procurement Manager,
                                                                                    th
            Peter Ansay. All contacts shall be made in writing by the October 19 deadline. Phone calls will
            not be acknowledged. Violation of this condition may be considered sufficient cause for rejection
            of a proposal, irrespective of any other considerations.

            Each bid shall stipulate that it is predicated upon the terms and conditions of this RFB and any
            supplements or revisions thereof.

      2.8   NEWS RELEASES: News releases pertaining to the RFB or to the acceptance, rejection, or
            evaluation of bids shall not be made without the prior written approval of the State.

3.0   BID ACCEPTANCE, EVALUATION AND AWARD:

      3.1   BID OPENING: Bids will be opened on November 3, 2006 at 101 E. WILSON ST., 6th floor, room
            6D. Names of the vendors will be read aloud at that time.

      3.2   BID ACCEPTANCE: Bids which do not comply with instructions or are unable to comply with
            specifications contained in this RFB may be rejected by the State. The State may request reports
            on a vendor's financial stability and if financial stability is not substantiated may reject a vendor's
            bid. The State retains the right to accept or reject any or all bids, or accept or reject any part of a
            bid deemed to be in the best interest of the State. The State shall be the sole judge as to
            compliance with the instructions contained in this RFB.

      3.3   BID EVALUATION: Bids will be evaluated by the Bureau of Procurement to verify that they will
            meet all specified requirements in this RFB. This verification may include requesting reports on
            the vendor's financial stability, conducting demonstrations of the vendor's proposed products(s)
            and/or service(s), and reviewing results of past awards to the vendor by the State of Wisconsin.

            Bids from certified Minority Business Enterprises may be provided up to a five percent (5%) bid
            preference in accordance with Wis. Stats. s. 16.75(3m).

      3.4   NOTIFICATION OF INTENT TO AWARD: Any vendor who responds to this RFB, with a bid, will
            be notified in writing of the State's intent to award the contract(s) as a result of this RFB. After
            notification of the intent to award is made, and under the supervision of agency staff, copies of
            bids will be available for public inspection 8:30 a.m. to 4:30 p.m. at 101 E. Wilson St., 6th floor,
            Madison WI. Vendors should schedule reviews with Peter Ansay at 608-266-0462 to ensure that
            space is available for the review.
4.0   TECHNICAL REQUIREMENTS:

      4.1   SAFETY STANDARDS

            All safety prescription eyewear (lenses, frames, and side-shields) must satisfy requirements of
            Wisconsin Code COMM 32.50 and the latest OSHA and ANSI standards (29 CFR and ANSI
            Z80.1 and Z87.1-2003). All lenses and frames are to be marked permanently to identify them as
            safety eyewear. Special consideration should be made to OSHA regulation 1910.133(2).

      4.2   APPROVED BRANDS

            Aearo AO Safety and Titmus are approved brands and frame numbers are indicated on the bid
            form for reference only. Vendor may offer an alternate brand but samples will be required for
            evaluation if low bid after bid opening.

      4.3   SIDE SHIELDS:

            All Prescription safety glasses will come with either permanently attached or detachable side
            shields.

            Ordering agencies may require side shields to be permanently attached. (See section 5.5 for
            order form requirements)

      4.4   MISCELLANEOUS SPECIFICATIONS

            Glasses/Lenses should be inspected with at least a 40 watt light, increased wattage is
            encouraged.

            Physical appearance of lenses should be free of aberrations within a 20 mm radius from the major
            reference point or optical center.

            Lenses should be tight in frame so as they will not fall out or be turned by regular cleaning.

            Frames should be in proper alignment.

            Temple tips should be adjusted in such a way to not make contact with the back surface of the
            lens.

            Frames are to be available in all colors, eye sizes (including child sizes for small individuals),
            bridge sizes and temple lengths as available from manufacturers.

      4.5   PACKAGING AND EYEGLASS CASE

            Each prescription must be individually boxed and “bubble” wrapped. Included with each
            prescription shall be an eyeglass case with a non-metallic clip.

5.0   PERFORMANCE REQUIREMENTS:

      5.1   VENDOR QUALIFICATIONS:

            Because of the widespread distribution of product throughout the state, vendors must meet the
            following criteria:

               Vendor must currently be in business, supplying similar goods and services to customers
                similar to the State of Wisconsin for a minimum period of one (1) year. Only give references
                that meet this requirement on Vendor Reference Form (#3478) in Section 8 of required forms.
               Vendor must have ample dispensing centers that have full safety frame sets, at locations
                identified in Appendix 1. As required in Section 6.5.
               Vendor must be capable of supplying the entire state.
5.2   RETURNS:

      Prescription errors by doctors are to be returned and replaced at no charge if returned within 60
      days.

5.3   CONTRACT PRICE INCREASES:

      The prices shall not be subject to increase for a period of one (1) year from the date of contract
      award.

      Any proposed price increases shall be submitted in writing to the State thirty (30) calendar days
      before the proposed effective date of increase. Requested increases shall be limited to direct
      cost increases to the contractor, which are demonstrated to be industry wide. Full documentation
      of such increases shall be submitted with any request for increase. The State may accept,
      negotiate, or reject any requested price increases.

      Should the State reject the request for increase, the contractor may elect to cancel the contract,
      provided they notify the State in writing 120 days prior to the cancellation date.

      Should the contractor’s cost decrease during the term of the contract, the contractor shall
      immediately notify the State. Such cost decreases shall become effective to the State the same
      date the decrease is effective to the contractor, however, contractor will not be responsible for
      refunding price differences until new pricing is posted to the contract by the contract manager.

5.4   PLACEMENT OF ORDERS

      Model 1 Agency Dispensing:

      Where an individual requires eye protection, the individual will bring a prescription to the ordering
      agency, the agency will fill out a customized Prescription Eyewear order form (as described in 5.5
      of Performance requirements) supplied by the contractor. The agency will submit the order form
      to the contractor and the contractor will in turn fill the order then ship and invoice the glasses to
      the ordering agency.

      Model 2 External Dispensing:

      Where an individual requires eye protection, the individual will receive a customized order form
      from the ordering agency. The individual will take the order form and his/her prescription to a
      qualified dispenser supplied by the contractor. The dispenser will help the individual select the
      proper safety glasses and fill out the order form. The dispenser will have the option to 1.) submit
      the order form to the contractor or 2.) at the request of the agency have the individual take the
      order form back to his/her agency and the agency will submit the order form to the contractor.
      The contractor will complete the order then ship the glasses to the dispenser, and pay the
      dispensing fee to the dispenser (see section 5.8). The contractor will then invoice the ordering
      agency, including the dispensing fee. The individual will return to the dispenser for final fitting of
      his/her safety glasses.

      Vendor should have the capability to store information on each Agencies policy on what they will
      pay for and provide to employees.

5.5   ORDER FORMS

      Order forms must be available electronically and in printed format at the request of the ordering
      agencies. The State would like full catalog availability, but individual agencies may restrict some
      of the choices available or require certain items (ie: permanently attached side shields). The
      electronic version should be customized by the contractor to allow for these restrictions or
      requirements. The order form should include:

              Ordering Agency/ Account Number
              Bill to
              Ship to
               Payment information (Credit card, PO, etc)
               Vision type: Single, Bifocal, Trifocal, Occupational, Progressive, etc
               Prescription Information
               Frame type
               Misc. Options: Tint, Coating, Scratch Resistance, etc
               Dispensing fee if other than agency dispensing (see section 5.4)
               Special Instructions
               Customized pricing section that shows cost and also allows the employee to self pay any
               additional amount if necessary

5.6    MINIMUM ORDERS

       No minimum order size.

5.7    SHIPPING TERMS

       All orders shall be F.O.B. destination freight prepaid and included in the prices.

5.8    PAYMENT TO DISPENSING CENTERS

       Under section 5.4, Model 2: External Dispensing, the dispensing fee will be charged and included
       on the invoice to the ordering agency but be paid to the dispensing center by the contractor.

       The dispensing fee is to be the same for all dispensers. The dispensing fee should not exceed
       $20.

5.9    DELIVERY

       Must be within eight (8) business days ARO.

       The contractor must inform the ordering agency when a delivery will be delayed past the delivery
       schedule of eight (8) business days ARO and specify an estimated delivery date.

       If the ordering agency considers the delivery period excessive, the order may be cancelled and
       purchased from another source.

5.10   DEFECTIVE PRODUCT:

       The State of Wisconsin reserves the right to reject any shipments that it deems to be faulty. Such
       shipments shall be returned at the contractor’s expense. The state will not be responsible for
       charges incurred as a result of the defective product. If the contractor is then unable to furnish an
       acceptable product, the State of Wisconsin may elect to purchase from another vendor such
       quantities as may be needed to fulfill the immediate requirement(s). Any difference in costs
       between the contract price and the price of such shipments(s) from another vendor shall be
       deducted from any monies which may be due to the contractor.

5.11   INVOICING:

       Contractor must agree that all invoices and purchasing card charges shall reflect the prices
       established for the items on this contract for all orders placed by State Agencies even though the
       contract number and/or correct prices may not be referenced on each order.
       State agencies must meet a statutory mandate to pay or reject invoices within 30 days of receipt.
       Before payment is made, the agency must verify that all invoiced charges are correct as per this
       contract. Only properly submitted invoices will be officially processed for payment. Prompt
       payment requires that your invoices be clear and complete in conformity with the instructions
       below. All invoices must be itemized showing:
        Employee Name
        Order Number
        Order Date
        Shipping Date
        Ship to Address
        Bill to Address
                Type of Lens & Lens material
                Frame Style, Color, Size
                Prescription
                Dispensing Fee (if applicable see section 5.8)

      5.12   COOPERATIVE PURCHASING AGREEMENT

             The vendor must agree to provide these services to Wisconsin municipalities including local
             health departments and tribal clinics under the terms and conditions of this contract. Agreement
             should be indicated using the Vendor Agreement -- Wisconsin's Cooperative Purchasing Service
             Form (Form #3333) attached under Section 8.0 Required Forms of this bid.

      5.13   PURCHASING CARD

             The State of Wisconsin has implemented an US Bank/VISA Purchasing Card program to reduce
             the volume of purchase orders issued and supplier invoices that must be processed. While some
             agencies will continue to use purchase orders with this contract, many will use the Purchasing
             Card. Vendor must complete the relevant sections of the Bid Checklist & Other Required
             Additional Information Form (Form 3477A) (Section 8.0 – Required Forms) regarding acceptance
             of credit cards.

             If your company already accepts VISA, you may not need to do anything more. If you do not
             accept VISA, contact your local banking institution to be set up as a merchant, or contact the
             State’s Purchasing Card Coordinator, Cheryl Edgington, at 608/267-6922.

             It is desired that all contractors agree to use the State Purchase Card (P-Card) system.

             Bid requirement for contractors using the State P-Card System:

             Package labels and packing slips for purchasing card orders must indicate “Paid” or “Credit Card
             Order” or other language to identify that no payment is due.

             Contractors are not allowed to charge additional costs for use of the purchasing card.

6.0   ADMINISTRATIVE SUPPORT REQUIREMENTS:

      6.1    VENDOR CONTACTS

             Vendor must clearly designate a person to provide on-going communication, coordinate servicing,
             answer questions and expedite deliveries. Indicate the names, addresses and phone numbers on
             Vendor Information Form (Form 3477) attached under section 8.0 indicating contact persons for:
              Affirmative Action Program (if contract is over $25,000)
              Ordering/Expediting
              Instruction and Set-Up
              Invoice Information
              Contract Renewal/Cancellation Contract Problems
              Returns/Order Errors
              Customer Service

      6.2    RECORDKEEPING AND RECORD RETENTION:

             The contractor shall establish and maintain adequate records of all expenditures incurred under
             the contract in accordance with generally accepted accounting principles.

             Duly authorized representatives of the state and the Wisconsin Legislative Audit Bureau shall
             have the right to audit, review, examine, copy, and transcribe any pertinent records or documents
             relating to any contract resulting from this RFB. The contractor shall retain all documents
             associated with this contract for a period of not less than four (4) years after final payment is
             made. The State of Wisconsin reserves the right to inspect any facilities used in support of this
             contract.
      The contractor shall supply, at the minimum, quarterly product sales reports as requested by the
      procuring agency (SBOP) regarding such items as product ordered, quantity ordered and shipped,
      quantities of items on backorder, and net price, with totals for each reporting period. These
      reports must contain the contract number, ordering agency and address, and
      department/campus/agency name. Reporting capabilities must produce the following reporting
      levels:

         State of Wisconsin – all agencies combined
         By agency/campus/department
         By ordering agency location
         By all municipalities combined

      The State Bureau of Procurement will approve the format. Contractor must provide these reports
      within fifteen (15) business days of state’s request. The Bureau or a designated ordering agency
      representative may request reports.

      Reporting periods and due dates will be determined by the Bureau. Failure to submit these reports
      on a timely basis can be construed as noncompliance with the terms of the contract.

6.3   FRAMES, WALL CHARTS, & CATALOGS/BROCHURES

      When requested by ordering agencies, the contractor will be required to furnish up to 250 copies
      of frame catalogs/brochures, at no cost, showing the frame styles and listing colors and sizes
      available and 250 copies of standard tint wall charts for glass, plastic, and polycarbonate lenses.

      The frame catalogs, brochures and tint charts should be available in electronic form also.

      The contractor will be required to furnish full frame set samples, at no cost, to major users of the
      contract (Agencies placing 50+ orders annually), and kept supplied with new models as they
      become available.

      The contractor will be required to ship the above items direct to requesting agencies.

6.4   UPDATED FRAMES

      Annually, the contractor must evaluate the current styles of frames on contract, and update the
      frames with more stylish frames, if available. The new frames must be approved by the State
      Bureau of Procurement. The new frames must be provided at contract prices. There must be at
      least the minimum number of frames available in the various categories (Basic thru Titanium) as
      were available initially on the contract.

6.5   DISPENSING CENTERS

      Upon notification of an award, the contractor must furnish the State Bureau of Procurement a
      listing of names and addresses of dispensing centers that have full safety frame sets, at locations
      identified on the attached Appendix I. Additional locations may be added during the contract
      period.

      The dispensing locations are to be updated regularly by the contractor. At a minimum they should
      be checked on an annual basis. Notifications of changes will be submitted to the State Bureau of
      Procurement.

      Failure to ensure annual update of dispensing locations or maintaining required dispensing
      locations will be considered failure to meet contract terms and conditions.
7.0   COST INFORMATION

      7.1   Pricing.

            Vendor must fully complete the following cost sheets. All bids must be submitted on the attached
            Bid Price Sheets or in the same format. Bids failing to meet this requirement may be rejected.

            7.1.1      Bid Form 1: BF1 Safety Glass Frames

            7.1.2      Bid Form 2: BF2 Lenses (To be priced per pair of lenses)

            7.1.3      Bid Form 3: BF3 Coatings and Miscellaneous Items
(Form BF1)
Section I

                                          Safety Glass Frames

       Est. Annual                                                                       Unit      Total
Item   Quantity           Description &Ref. No.                          Alt. No’s.      Price     Price

1.     4500 pr       Basic Plastic Frames (w/o spring hinges),                          ________ $_________
                     Falcon, Black Hawk, F9900, F9800, F4000, F5000

2.      150 pr       Fashion Plastic Frames (w/o spring hinges),                        ________ $_________
                     Eagle, F6000

3.      140 pr       High Fashion Plastic (w/o spring hinges)                           ________ $_________
                     C4600, EC100

4.      20 pr        High Fashion Plastic Frames with spring hinges                     ________ $_________
                     C470, EC450

5.      340 pr       Standard Metal Frames (w/o spring hinges)                          ________ $_________
                     FC701, FC707

6.      260 pr       Standard Metal Frame with spring hinges                            ________ $_________
                     DP720, 780, 740, 730

7.      380 pr       Fashion Metal Frame with spring hinges                             ________ $_________
                     PC 250/SW, Steel 400, Steel 300, Steel 200, Steel 100
                     PC 264, YP15, YP20

8.      830 pr       High Fashion Metal Frame with spring hinges                        ________ $_________
                     EX 275S, TR301S, TR302S, Attitude 2, Attitude 1,
                     Urban 1, Urban 2, Urban 3, CC27

9.          220 pr   Corrosion Resistant Frames, Titanium and/or Stainless Steel
                     with spring hinges                                                 ________ $_________
                     XSS1001, SW03, SW02, EXT10, DT-4, DT-3,
                     EXT 5, DT-2, DT-1

10.         60 pr    High Fashion Titanium frames with spring hinges                    ________$__________
                     Urban T5, Urban T4, EXTS3, EXTS2, EXTS1

                                                                      Total Section I        $_____________
(Form BF2)
Section II

                                                   Lenses

Lens to include all spheres, cylinders, prism powers, oversize lens (except cataracts)

       Est. Annual                                                                        Unit        Total
Item    Quantity                         Description                                      Price       Price

1.           30 ea.    Plano Lens                                                        ________ $_________

2.                     Single Vision
         400 ea.               Glass, Plastic                                            ________ $_________
        3600 ea.               Polycarbonate                                             ________ $_________

3.                     Bifocals Including: Round, Flat Top 25 and 28 mm,
                       Full line and 8x35 mm
          400 ea.                      Glass and Plastic                                 ________ $_________
         1800 ea.                      Polycarbonate                                     ________ $_________

4.                     Trifocals Including: 7x25 and 7x28 mm,
                       Full line and 8x35 mm
         80 ea.                 Glass and Plastic                                        ________ $_________
         90 ea.                 Polycarbonate                                            ________ $_________

5.                     Double Segment Including: Flat Top 25 and 28
         4 ea.                Glass and Plastic                                          ________ $_________
         6 ea.                Polycarbonate                                              ________ $_________

6.      950 ea.        Progressive Lens – Indicate Brand(s)_____________________ ________ $_________


                                                              Total Section II                    $____________


                                                              Total Sections I and II             $
(Form BF3)
Section III

                                      Coatings and Miscellaneous Items

               Add-on costs for the following:

        Item                Description                                                          Price

        1.     Abrasive Coating-Plastic (both sides)                                         $ _________

        2.     Ultraviolet Coating-Plastic and Glass                                         $ _________

        3.     Other Coatings – All Lenses
                      Anti-Reflective Coating                                                $ _________
                      Video Terminal Coating                                                 $ _________

        4.     Tints-Solid and Gradient                                                      $ _________

        5.     Photo chromatic Lens                                                          $ _________

        6.     Polarized Lens                                                                $ _________

        7.     Transitions Lens                                                              $ _________

        8.     Permanent Side Shields                                                        $ _________

        9.     Detachable Side Shields                                                       $ _________

        10.    Silicon Nose Pads                                                             $ _________

        11.    Dispensing Fee                                                                $ _________

        12.    Goggles
                      Eye Protection                             Cat. No. ____________       $ _________
                      Goggles Chemical                           Cat. No. ____________       $ _________
                      Goggles Ant-Fog                            Cat. No. ____________       $ _________

        13.    Visitor Specs                                     Cat. No. ____________       $ _________

        14.    Stylish Plano wrap around safety glasses          Cat. No. _____________      $ _________
               (Comparable to: AOSafety #11640)

        15.    Percentage of full frame price for:
                   A Frame front only                                          ___________% of frame price
                   B. Pair of temples                                          ___________% of frame price
                       (Including spring temples and cable temples)

        16.    Percentage off catalog items not listed on these bid sheets:    ___________% off of catalog
8.0   REQUIRED FORMS

      The following forms must be completed and submitted with the bid in accordance with the instructions
      given in Section 2.4. Blank forms are attached.

         Completed Request for Bid Form (#3070) (Bid Cover Page)
         Vendor Information Form (including email address) (#3477)
         Bid Checklist & Other Required Additional Information Form (#3477A)
         Vendor Reference Form (#3478)
         Two (2) Signed State Contracts (#3049)
         Designation of Confidential and Proprietary Information (#3027)
         Wisconsin Cooperative Purchase Agreement (#3333)
         Bid Forms (#BF1, BF2, BF3) (in Section 7)
         Catalog and Wall chart of Brand Bidding

      All vendors must complete the attached Bid Price Sheets (#BF1, BF2, BF3) in Section 7. All bids must be
      submitted on the attached Bid Price Sheets or in the same format. Bids failing to meet this requirement
      may be rejected.
STATE OF WISCONSIN                                                            Bid / Proposal #    27841 PA
DOA-3477 (R05/98)
                                                                         Commodity / Service      PRESCRIPTION SAFETY GLASSES
VENDOR INFORMATION
1.   BIDDING / PROPOSING COMPANY NAME

     FEIN

     Phone     (        )                                           Toll Free Phone       (       )

     FAX       (        )                                           E-Mail Address

     Address

     City                                                           State               Zip + 4

2.   Name the person to contact for questions concerning this bid / proposal.

     Name                                                             Title

     Phone     (        )                                             Toll Free Phone         (       )

     FAX       (        )                                             E-Mail Address

     Address

     City                                                           State               Zip + 4

3.   Any vendor awarded over $25,000 on this contract must submit affirmative action information to the
     department. Please name the Personnel / Human Resource and Development or other person responsible
     for affirmative action in the company to contact about this plan.

     Name                                                             Title

     Phone     (        )                                             Toll Free Phone         (       )

     FAX       (        )                                             E-Mail Address

     Address

     City                                                           State               Zip + 4

4.   Mailing address to which state purchase orders are mailed and person the department may contact
     concerning orders and billings.

     Name                                                             Title

     Phone     (        )                                             Toll Free Phone         (       )

     FAX       (        )                                             E-Mail Address

     Address

     City                                                           State               Zip + 4


5.   CEO / President Name

                   This document can be made available in accessible formats to qualified individuals with disabilities.
(Form 3477A)
                        Bid Checklist and Other Required Additional Information

1.      Bidding Brand – (Approved brands are Titmus and Aearo AO). Other brands will require samples for
        evaluation after bid opening if low bid.

        _____ Titmus

        _____ Aearo AO Safety

        _____ Other (indicate brand)____________________ If requested, samples will be available


2.      Address of laboratory where actual work will be performed:




3.      Normal Delivery ____________ ARO

4.      Does your company accept the Purchasing Card? Yes ______ No ______

5.      Does your company agree to replace doctor errors at no charge if returned within 60 days?
               Yes_____ No _____ Attach a copy of your return goods policy.

6.      We have completed the following forms and have included them with our submission:
        (each form must be marked with an X)

        ______ Request for Bid (Form #3070) (Bid Cover Page)

        ______ Vendor Information (Form #3477)

        ______ Bid Checklist & Other Required Information (Form #3477A)

        ______ Vendor Reference (Form # 3478)

        ______ Contract Form 2 Copies (Form # 3049)

        ______ Designation of Confidential and Proprietary Information (Form #3027)

        ______ Vendor Agreement/Cooperative Purchasing Service (Form # 3333)

        ______ Bid Form (Form # BF1, BF2, BF3)

        ______ Catalog and Wall Chart of Brand Bidding



Company                                             Phone

Signature                                           Fax

Title
STATE OF WISCONSIN                                                         Bid / Proposal #   27841 PA
DOA-3478 (R12/96)



                                                     VENDOR REFERENCE



FOR VENDOR:

Provide company name, address, contact person, telephone number, and appropriate information on the
product(s) and/or service(s) used for four (4) or more installations with requirements similar to those included in this
solicitation document. If vendor is proposing any arrangement involving a third party, the named references should
also be involved in a similar arrangement.

Company Name

Address (include Zip + 4)

Contact Person                                                                Phone No.

Product(s) and/or Service(s) Used




Company Name

Address (include Zip + 4)

Contact Person                                                                Phone No.

Product(s) and/or Service(s) Used




Company Name

Address (include Zip + 4)

Contact Person                                                                Phone No

Product(s) and/or Service(s) Used




Company Name

Address (include Zip + 4)

Contact Person                                                                Phone No.

Product(s) and/or Service(s) Used




This document can be made available in accessible formats to qualified individuals with disabilities.
State of Wisconsin                                                                                          State Bureau of Procurement
                                                                                                                                   th
Department of Administration                                                                              101 East Wilson Street, 6 Floor
DOA-3049 (R01/2000)                                                                                                       P. O. Box 7867
S. 51.01(5) Wis. Stats.; s. 111.32(13m) Wis. Stats.                                                            Madison, WI 53707-7867



                                                                Contract

Commodity or Service: Prescription Safety Glasses                        Request for Bid/Proposal No:        27841 PA


Contract Period:                                                         Contract No: 15-62526-601


         1. This contract is entered into by and between the State of Wisconsin, Department of Administration, and the contractor
whose name, address, and principal officer appears below;

            2. Whereby the State Bureau of Procurement, Department of Administration, agrees to direct the purchase and the
contractor agrees to supply the contract requirements cited above in accordance with the terms and conditions of the request for bid
cited above, and in accordance with the contractor's bid submitted on this request for bid; which request for bid is hereby made a part
of this contract;

            3. In connection with the performance of work under this contract, the contractor agrees not to discriminate against any
employee or applicant for employment because of age, race, religion, color, handicap, sex, physical condition, developmental
disability as defined in s.51.01(5), Wis. Stats., sexual orientation as defined in s.111.32(13m), Wis. Stats., or national origin. This
provision shall include, but not be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship.
Except with respect to sexual orientation, the contractor further agrees to take affirmative action to ensure equal employment
opportunities. The contractor agrees to post in conspicuous places, available for employees and applicants for employment, notices
to be provided by the contracting officer setting forth the provisions of the nondiscrimination clause.

           4. Contracts estimated to be over twenty-five thousand dollars ($25,000) require the submission of a written affirmative
action plan. Contractors with an annual work force of less than twenty-five (25) employees are exempted from this requirement.

Within fifteen (15) working days after the award of the contract, the plan shall be submitted for approval to the contracting agency.
Technical assistance regarding this clause is provided by the Wisconsin Office of Contract Compliance, Department of Administration,
P.O. Box 7867, Madison, WI 53707-7867, (608) 266-5462.

For         State of Wisconsin                                               To be Completed by Contractor
            Department of Administration
            State Bureau of Procurement                                      For
                                                                                                         Company Name

By         Peter S. Ansay
                                       Name                                                             Company Address


                                     Signature                                                           City, State, ZIP

Title      Procurement Manager                                               By
                                                                                                              Name

Phone      (608) 266-0462
                                                                                                            Signature

Date                                                                         Title
                                   (mm/dd/ccyy)
Witnesses                                                                    Date
                                                                                                          (mm/dd/ccyy)
                                                                             Witnesses




                    This document can be made available in accessible formats to qualified individuals with disabilities.
State of Wisconsin                                                                                          State Bureau of Procurement
                                                                                                                                   th
Department of Administration                                                                              101 East Wilson Street, 6 Floor
DOA-3049 (R01/2000)                                                                                                       P. O. Box 7867
S. 51.01(5) Wis. Stats.; s. 111.32(13m) Wis. Stats.                                                            Madison, WI 53707-7867



                                                                Contract

Commodity or Service: Prescription Safety Glasses                        Request for Bid/Proposal No:        27841 PA


Contract Period:                                                         Contract No: 15-62526-601


         1. This contract is entered into by and between the State of Wisconsin, Department of Administration, and the contractor
whose name, address, and principal officer appears below;

            2. Whereby the State Bureau of Procurement, Department of Administration, agrees to direct the purchase and the
contractor agrees to supply the contract requirements cited above in accordance with the terms and conditions of the request for bid
cited above, and in accordance with the contractor's bid submitted on this request for bid; which request for bid is hereby made a part
of this contract;

            3. In connection with the performance of work under this contract, the contractor agrees not to discriminate against any
employee or applicant for employment because of age, race, religion, color, handicap, sex, physical condition, developmental
disability as defined in s.51.01(5), Wis. Stats., sexual orientation as defined in s.111.32(13m), Wis. Stats., or national origin. This
provision shall include, but not be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship.
Except with respect to sexual orientation, the contractor further agrees to take affirmative action to ensure equal employment
opportunities. The contractor agrees to post in conspicuous places, available for employees and applicants for employment, notices
to be provided by the contracting officer setting forth the provisions of the nondiscrimination clause.

           4. Contracts estimated to be over twenty-five thousand dollars ($25,000) require the submission of a written affirmative
action plan. Contractors with an annual work force of less than twenty-five (25) employees are exempted from this requirement.

Within fifteen (15) working days after the award of the contract, the plan shall be submitted for approval to the contracting agency.
Technical assistance regarding this clause is provided by the Wisconsin Office of Contract Compliance, Department of Administration,
P.O. Box 7867, Madison, WI 53707-7867, (608) 266-5462.

For         State of Wisconsin                                               To be Completed by Contractor
            Department of Administration
            State Bureau of Procurement                                      For
                                                                                                         Company Name

By         Peter S. Ansay
                                       Name                                                             Company Address


                                     Signature                                                           City, State, ZIP

Title      Procurement Manager                                               By
                                                                                                              Name

Phone      (608) 266-0462
                                                                                                            Signature

Date                                                                         Title
                                   (mm/dd/ccyy)
Witnesses                                                                    Date
                                                                                                          (mm/dd/ccyy)
                                                                             Witnesses




                    This document can be made available in accessible formats to qualified individuals with disabilities.
STATE OF WISCONSIN
DOA-3027 (R01/98)



                    DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION


The attached material submitted in response to Bid/Proposal #          27841 PA                    includes proprietary
and confidential information which qualifies as a trade secret, as provided in s. 19.36(5), Wis. Stats., or is otherwise
material that can be kept confidential under the Wisconsin Open Records Law. As such, we ask that certain pages, as
indicated below, of this bid/proposal response be treated as confidential material and not be released without our
written approval.

Prices always become public information when bids/proposals are opened, and therefore cannot be
kept confidential.

Other information cannot be kept confidential unless it is a trade secret. Trade secret is defined in s. 134.90(1)(c),
Wis. Stats. as follows: "Trade secret" means information, including a formula, pattern, compilation, program, device,
method, technique or process to which all of the following apply:
 1. The information derives independent economic value, actual or potential, from not being generally known to, and
     not being readily ascertainable by proper means by, other persons who can obtain economic value from its
     disclosure or use.
 2. The information is the subject of efforts to maintain its secrecy that are reasonable under the circumstances.

We request that the following pages not be released

Section                                         Page #              Topic

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________


IN THE EVENT THE DESIGNATION OF CONFIDENTIALITY OF THIS INFORMATION IS CHALLENGED, THE
UNDERSIGNED HEREBY AGREES TO PROVIDE LEGAL COUNSEL OR OTHER NECESSARY ASSISTANCE TO
DEFEND THE DESIGNATION OF CONFIDENTIALITY AND AGREES TO HOLD THE STATE HARMLESS FOR ANY
COSTS OR DAMAGES ARISING OUT OF THE STATE'S AGREEING TO WITHHOLD THE MATERIALS.

Failure to include this form in the bid/proposal response may mean that all information provided as part of the bid/proposal
response will be open to examination and copying. The state considers other markings of confidential in the bid/proposal
document to be insufficient. The undersigned agrees to hold the state harmless for any damages arising out of the release of any
materials unless they are specifically identified above.


                                    Company Name               ___________________________________________


                          Authorized Representative            ___________________________________________
                                                                                     Signature


                          Authorized Representative            ___________________________________________
                                                                                    Type or Print


                                                Date           ___________________________________________
State of Wisconsin                                                                                  Division of State Agency Services
Department of Administration                                                                             State Bureau of Procurement
DOA-3333 (R03/2004)




                                                   Vendor Agreement
                                      Wisconsin’s Cooperative Purchasing Service

Wisconsin statutes (s. 16.73, Wis. Stats.) establish authority to allow Wisconsin municipalities to purchase from state contracts.
Participating in the service gives vendors opportunities for additional sales without additional bidding. Municipalities use the
service to expedite purchases. A "municipality" is defined as any county, city, village, town, school district, board of school
directors, sewer district, drainage district, vocational, technical and adult education district, or any other public body having the
authority to award public contracts (s. 16.70(8), Wis. Stats.). Federally recognized Indian tribes and bands in this state may
participate in cooperative purchasing with the state or any municipality under ss. 66.0301(1) and (2), Wis.Stats.

Interested municipalities:

 will contact the contractor directly to place orders referencing the state agency contract number; and

 are responsible for receipt, acceptance, inspection of commodities directly from the contractor, and making payment directly
   to the contractor.

The State of Wisconsin is not a party to these purchases or any dispute arising from these purchases and is not liable for
delivery or payment of any of these purchases.

The State of Wisconsin will determine the contractor’s participation by checking a box below.

        MANDATORY: Bidders/Proposers must agree to furnish the commodities or services of this bid/proposal to Wisconsin
         municipalities. Vendors should note any special conditions below.

        OPTIONAL: Bidders/Proposers may or may not agree to furnish the commodities or services of this bid/proposal to
         Wisconsin municipalities. A vendor’s decision on participating in this service has no effect on awarding this contract.

        A vendor in the service may specify minimum order sizes by volume or dollar amount, additional charges beyond normal
        delivery areas, or other minimal changes for municipalities.

        Vendor: please check one of the following boxes in response.

                   I Agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities with any special
                   conditions noted below.

                   I Do Not Agree to furnish the commodities or services to Wisconsin municipalities.

Special Conditions (if applicable):




Signature                                                                              Date (mm/dd/ccyy)


Name (Type or Print)                                                                   Title


Company                                                                                Telephone

                                                                                       (       )
Address (Street)                                   City                                State       ZIP + 4


Commodity/Service                                                                      Request for Bid/Proposal Number

       Prescription Safety Glasses                                                             27841 PA
This form can be made available in accessible formats upon request to qualified individuals with disabilities.
9.0   TERMS AND CONDITIONS

       The State of Wisconsin reserves the right to incorporate standard State contract provisions into any contract
       negotiated with any bid submitted responding to this RFB (Standard Terms and Conditions (DOA-3054)).
       Failure of the successful vendor to accept these obligations in a contractual agreement may result in cancellation
       of the award.

       SPECIAL TERMS AND CONDITIONS

       9.1     PRIME CONTRACTOR AND MINORITY BUSINESS SUBCONTRACTORS

               The prime contractor will be responsible for contract performance when subcontractors are used.
               However, when subcontractors are used, they must abide by all terms and conditions of the contract. If
               subcontractors are to be used, the proposer must clearly explain their participation.

               The State of Wisconsin is committed to the promotion of minority business in the state’s purchasing
               program and a goal of placing five (5) percent of its total purchasing dollars with certified minority
               businesses. Authority for this program is found in Wisconsin Statutes 15.107(2), 16.75(4), and 16.75(5)
               and 560.036(2). The Department of Administration is committed to the promotion of minority business
               in the department’s purchasing program.

               The State of Wisconsin’s policy provides that minority owned business enterprises certified by the
               Wisconsin Department of Commerce, Bureau of Minority Development should have the maximum
               opportunity to participate in the performance of its contracts. The awarded vendor is strongly urged to
               use due diligence to further this policy by awarding subcontracts to minority owned business enterprises,
               or by using such enterprises to provide goods and services incidental to this requested service or contract,
               with a goal of awarding at least 5% of the award amount of this request for bid/proposal to such
               enterprises.

               Upon request the contractor shall furnish a subcontracting plan of action indicating appropriate
               information about its effort to achieve this goal, including identities of such enterprises certified by the
               Wisconsin Department of Commerce and their subcontract amount. The Department of Administration
               will require from the contractor a quarterly report of amounts spent with certified minority business
               enterprises.

               A listing of certified minority businesses, as well as the services and commodities they provide, is
               available from the Department of Administration, Office of Minority Business Program, (608) 267-7806.
               The list is published on the Internet at: http://www.doa.state.wi.us/dsas/mbe.htm

       9.2     SALES AND USE TAX

               The State of Wisconsin shall not enter into a contract with a vendor, and reserves the right to cancel any
               existing contract, if the vendor or contractor has not met or complied with requirements of S. 77.66, Wis.
               Stats. and related statutes regarding certification for collection of sales and use tax.
Wisconsin Department of Administration
DOA-3054 (R10/2005)
Ch. 16, 19, 51, Wis. Stats.
Page 1 of 3
                                                 Standard Terms And Conditions
                                                  (Request For Bids / Proposals)

1.0    SPECIFICATIONS: The specifications in this request are                              are deemed favorable. All payment terms must allow
       the minimum acceptable. When specific manufacturer and                              the option of net thirty (30).
       model numbers are used, they are to establish a design,
       type of construction, quality, functional capability and/or           7.0    UNFAIR SALES ACT: Prices quoted to the State of
       performance level desired.           When alternates are                     Wisconsin are not governed by the Unfair Sales Act.
       bid/proposed, they must be identified by manufacturer, stock
       number, and such other information necessary to establish             8.0    ACCEPTANCE-REJECTION:            The State of Wisconsin
       equivalency. The State of Wisconsin shall be the sole judge                  reserves the right to accept or reject any or all
       of equivalency. Bidders/proposers are cautioned to avoid                     bids/proposals, to waive any technicality in any bid/proposal
       bidding alternates to the specifications which may result in                 submitted, and to accept any part of a bid/proposal as
       rejection of their bid/proposal.                                             deemed to be in the best interests of the State of
                                                                                    Wisconsin.
2.0    DEVIATIONS AND EXCEPTIONS: Deviations and excep-
       tions from original text, terms, conditions, or specifications               Bids/proposals MUST be date and time stamped by the
       shall be described fully, on the bidder's/proposer's letter-                 soliciting purchasing office on or before the date and time
       head, signed, and attached to the request. In the absence                    that the bid/proposal is due. Bids/proposals date and time
       of such statement, the bid/proposal shall be accepted as in                  stamped in another office will be rejected. Receipt of a
       strict compliance with all terms, conditions, and specifica-                 bid/proposal by the mail system does not constitute receipt
       tions and the bidders/proposers shall be held liable.                        of a bid/proposal by the purchasing office.

3.0    QUALITY: Unless otherwise indicated in the request, all               9.0    METHOD OF AWARD: Award shall be made to the lowest
       material shall be first quality. Items which are used,                       responsible, responsive bidder unless otherwise specified.
       demonstrators, obsolete, seconds, or which have been
       discontinued are unacceptable without prior written approval          10.0   ORDERING: Purchase orders or releases via purchasing
       by the State of Wisconsin.                                                   cards shall be placed directly to the contractor by an
                                                                                    authorized agency.    No other purchase orders are
4.0    QUANTITIES: The quantities shown on this request are                         authorized.
       based on estimated needs. The state reserves the right to
       increase or decrease quantities to meet actual needs.                 11.0   PAYMENT TERMS AND INVOICING:                  The State of
                                                                                    Wisconsin normally will pay properly submitted vendor
5.0    DELIVERY: Deliveries shall be F.O.B. destination freight                     invoices within thirty (30) days of receipt providing goods
       prepaid and included unless otherwise specified.                             and/or services have been delivered, installed (if required),
                                                                                    and accepted as specified.
6.0    PRICING AND DISCOUNT: The State of Wisconsin quali-
       fies for governmental discounts and its educational institu-                 Invoices presented for payment must be submitted in
       tions also qualify for educational discounts. Unit prices shall              accordance with instructions contained on the purchase
       reflect these discounts.                                                     order including reference to purchase order number and
                                                                                    submittal to the correct address for processing.
       6.1     Unit prices shown on the bid/proposal or contract
               shall be the price per unit of sale (e.g., gal., cs., doz.,          A good faith dispute creates an exception to prompt
               ea.) as stated on the request or contract. For any                   payment.
               given item, the quantity multiplied by the unit price
               shall establish the extended price, the unit price shall      12.0   TAXES: The State of Wisconsin and its agencies are
               govern in the bid/proposal evaluation and contract                   exempt from payment of all federal tax and Wisconsin state
               administration.                                                      and local taxes on its purchases except Wisconsin excise
                                                                                    taxes as described below.
       6.2     Prices established in continuing agreements and
               term contracts may be lowered due to general market                  The State of Wisconsin, including all its agencies, is
               conditions, but prices shall not be subject to increase              required to pay the Wisconsin excise or occupation tax on
               for ninety (90) calendar days from the date of award.                its purchase of beer, liquor, wine, cigarettes, tobacco
               Any increase proposed shall be submitted to the                      products, motor vehicle fuel and general aviation fuel.
               contracting agency thirty (30) calendar days before                  However, it is exempt from payment of Wisconsin sales or
               the proposed effective date of the price increase, and               use tax on its purchases. The State of Wisconsin may be
               shall be limited to fully documented cost increases to               subject to other states' taxes on its purchases in that state
               the contractor which are demonstrated to be indus-                   depending on the laws of that state. Contractors perform-
               trywide. The conditions under which price increases                  ing construction activities are required to pay state use tax
               may be granted shall be expressed in bid/proposal                    on the cost of materials.
               documents and contracts or agreements.
                                                                             13.0   GUARANTEED DELIVERY: Failure of the contractor to
       6.3     In determination of award, discounts for early                       adhere to delivery schedules as specified or to promptly
               payment will only be considered when all other con-                  replace rejected materials shall render the contractor liable
               ditions are equal and when payment terms allow at                    for all costs in excess of the contract price when alternate
               least fifteen (15) days, providing the discount terms                procurement is necessary. Excess costs shall include the
                                                                                    administrative costs.
DOA-3054
Page 3 of 3


14.0   ENTIRE AGREEMENT:             These Standard Terms and                         awarded, the contractor must submit the plan to the
       Conditions shall apply to any contract or order awarded as                     contracting state agency for approval. Instructions
       a result of this request except where special requirements                     on preparing the plan and technical assistance
       are stated elsewhere in the request; in such cases, the                        regarding this clause are available from the
       special requirements shall apply. Further, the written                         contracting state agency.
       contract and/or order with referenced parts and attach-
       ments shall constitute the entire agreement and no other                19.2   The contractor agrees to post in conspicuous places,
       terms and conditions in any document, acceptance, or                           available for employees and applicants for employ-
       acknowledgment shall be effective or binding unless                            ment, a notice to be provided by the contracting state
       expressly agreed to in writing by the contracting authority.                   agency that sets forth the provisions of the State of
                                                                                      Wisconsin's nondiscrimination law.
15.0   APPLICABLE LAW: This contract shall be governed under
       the laws of the State of Wisconsin. The contractor shall at             19.3   Failure to comply with the conditions of this clause
       all times comply with and observe all federal and state                        may result in the contractor's becoming declared an
       laws, local laws, ordinances, and regulations which are in                     "ineligible" contractor, termination of the contract, or
       effect during the period of this contract and which in any                     withholding of payment.
       manner affect the work or its conduct. The State of
       Wisconsin reserves the right to cancel this contract if the      20.0   PATENT INFRINGEMENT: The contractor selling to the
       contractor fails to follow the requirements of s. 77.66, Wis.           State of Wisconsin the articles described herein guarantees
       Stats., and related statutes regarding certification for                the articles were manufactured or produced in accordance
       collection of sales and use tax. The State of Wisconsin                 with applicable federal labor laws. Further, that the sale or
       also reserves the right to cancel this contract with any                use of the articles described herein will not infringe any
       federally debarred contractor or a contractor that is                   United States patent. The contractor covenants that it will
       presently identified on the list of parties excluded from               at its own expense defend every suit which shall be brought
       federal procurement and non-procurement contracts.                      against the State of Wisconsin (provided that such
                                                                               contractor is promptly notified of such suit, and all papers
16.0   ANTITRUST ASSIGNMENT: The contractor and the State                      therein are delivered to it) for any alleged infringement of
       of Wisconsin recognize that in actual economic practice,                any patent by reason of the sale or use of such articles, and
       overcharges resulting from antitrust violations are in fact             agrees that it will pay all costs, damages, and profits recov-
       usually borne by the State of Wisconsin (purchaser).                    erable in any such suit.
       Therefore, the contractor hereby assigns to the State of
       Wisconsin any and all claims for such overcharges as to          21.0   SAFETY REQUIREMENTS: All materials, equipment, and
       goods, materials or services purchased in connection with               supplies provided to the State of Wisconsin must comply
       this contract.                                                          fully with all safety requirements as set forth by the
                                                                               Wisconsin Administrative Code and all applicable OSHA
17.0   ASSIGNMENT: No right or duty in whole or in part of the                 Standards.
       contractor under this contract may be assigned or dele-
       gated without the prior written consent of the State of          22.0   WARRANTY: Unless otherwise specifically stated by the
       Wisconsin.                                                              bidder/proposer, equipment purchased as a result of this
                                                                               request shall be warranted against defects by the
18.0   WORK CENTER CRITERIA: A work center must be certi-                      bidder/proposer for one (1) year from date of receipt. The
       fied under s. 16.752, Wis. Stats., and must ensure that                 equipment manufacturer's standard warranty shall apply as
       when engaged in the production of materials, supplies or                a minimum and must be honored by the contractor.
       equipment or the performance of contractual services, not
       less than seventy-five percent (75%) of the total hours of       23.0   INSURANCE RESPONSIBILITY: The contractor perform-
       direct labor are performed by severely handicapped                      ing services for the State of Wisconsin shall:
       individuals.
                                                                               23.1   Maintain worker's compensation insurance as
19.0   NONDISCRIMINATION / AFFIRMATIVE ACTION: In                                     required by Wisconsin Statutes, for all employees
       connection with the performance of work under this                             engaged in the work.
       contract, the contractor agrees not to discriminate against
       any employee or applicant for employment because of age,                23.2   Maintain commercial liability, bodily injury and prop-
       race, religion, color, handicap, sex, physical condition,                      erty damage insurance against any claim(s) which
       developmental disability as defined in s. 51.01(5), Wis.                       might occur in carrying out this agreement/contract.
       Stats., sexual orientation as defined in s. 111.32(13m), Wis.                  Minimum coverage shall be one million dollars
       Stats., or national origin. This provision shall include, but                  ($1,000,000) liability for bodily injury and property
       not be limited to, the following: employment, upgrading,                       damage including products liability and completed
       demotion or transfer; recruitment or recruitment advertising;                  operations. Provide motor vehicle insurance for all
       layoff or termination; rates of pay or other forms of                          owned, non-owned and hired vehicles that are used
       compensation; and selection for training, including appren-                    in carrying out this contract. Minimum coverage shall
       ticeship. Except with respect to sexual orientation, the                       be one million dollars ($1,000,000) per occurrence
       contractor further agrees to take affirmative action to                        combined single limit for automobile liability and
       ensure equal employment opportunities.                                         property damage.

       19.1   Contracts estimated to be over twenty-five thousand              23.3   The state reserves the right to require higher or lower
              dollars ($25,000) require the submission of a written                   limits where warranted.
              affirmative action plan by the contractor. An exemp-
              tion occurs from this requirement if the contractor has
              a workforce of less than twenty-five (25) employees.
              Within fifteen (15) working days after the contract is
24.0   CANCELLATION: The State of Wisconsin reserves the                        Bidders are encouraged to bid products with recycled
       right to cancel any contract in whole or in part without                 content which meet specifications.
       penalty due to nonappropriation of funds or for failure of the
       contractor to comply with terms, conditions, and specifica-       30.0   MATERIAL SAFETY DATA SHEET: If any item(s) on an
       tions of this contract.                                                  order(s) resulting from this award(s) is a hazardous chemi-
25.0   VENDOR TAX DELINQUENCY: Vendors who have a                               cal, as defined under 29CFR 1910.1200, provide one (1)
       delinquent Wisconsin tax liability may have their payments               copy of a Material Safety Data Sheet for each item with the
       offset by the State of Wisconsin.                                        shipped container(s) and one (1) copy with the invoice(s).

26.0   PUBLIC RECORDS ACCESS: It is the intention of the                 31.0   PROMOTIONAL ADVERTISING / NEWS RELEASES:
       state to maintain an open and public process in the solicita-            Reference to or use of the State of Wisconsin, any of its
       tion, submission, review, and approval of procurement                    departments, agencies or other sub-units, or any state offi-
       activities.                                                              cial or employee for commercial promotion is prohibited.
                                                                                News releases pertaining to this procurement shall not be
       Bid/proposal openings are public unless otherwise speci-                 made without prior approval of the State of Wisconsin.
       fied. Records may not be available for public inspection                 Release of broadcast e-mails pertaining to this procurement
       prior to issuance of the notice of intent to award or the                shall not be made without prior written authorization of the
       award of the contract.                                                   contracting agency.

27.0   PROPRIETARY INFORMATION: Any restrictions on the                  32.0   HOLD HARMLESS: The contractor will indemnify and
       use of data contained within a request, must be clearly                  save harmless the State of Wisconsin and all of its officers,
       stated in the bid/proposal itself. Proprietary information               agents and employees from all suits, actions, or claims of
       submitted in response to a request will be handled in                    any character brought for or on account of any injuries or
       accordance with applicable State of Wisconsin                            damages received by any persons or property resulting
       procurement regulations and the Wisconsin public records                 from the operations of the contractor, or of any of its
       law. Proprietary restrictions normally are not accepted.                 contractors, in prosecuting work under this agreement.
       However, when accepted, it is the vendor's responsibility to
       defend the determination in the event of an appeal or             33.0   FOREIGN CORPORATION: A foreign corporation (any
       litigation.                                                              corporation other than a Wisconsin corporation) which
                                                                                becomes a party to this Agreement is required to conform
       27.1   Data contained in a bid/proposal, all documentation               to all the requirements of Chapter 180, Wis. Stats., relating
              provided therein, and innovations developed as a                  to a foreign corporation and must possess a certificate of
              result of the contracted commodities or services                  authority from the Wisconsin Department of Financial
              cannot be copyrighted or patented. All data, docu-                Institutions, unless the corporation is transacting business
              mentation, and innovations become the property of                 in interstate commerce or is otherwise exempt from the
              the State of Wisconsin.                                           requirement of obtaining a certificate of authority. Any
                                                                                foreign corporation which desires to apply for a certificate of
       27.2   Any material submitted by the vendor in response to               authority should contact the Department of Financial
              this request that the vendor considers confidential               Institutions, Division of Corporation, P. O. Box 7846,
              and proprietary information and which qualifies as a              Madison, WI 53707-7846; telephone (608) 267-7577.
              trade secret, as provided in s. 19.36(5), Wis. Stats.,
              or material which can be kept confidential under the       34.0   WORK CENTER PROGRAM:                       The successful
              Wisconsin public records law, must be identified on a             bidder/proposer shall agree to implement processes that
              Designation of Confidential and Proprietary Informa-              allow the State agencies, including the University of
              tion form (DOA-3027).        Bidders/proposers may                Wisconsin System, to satisfy the State's obligation to
              request the form if it is not part of the Request for             purchase goods and services produced by work centers
              Bid/Request for Proposal package. Bid/proposal                    certified under the State Use Law, s.16.752, Wis. Stat.
              prices cannot be held confidential.                               This shall result in requiring the successful bidder/proposer
                                                                                to include products provided by work centers in its catalog
28.0   DISCLOSURE: If a state public official (s. 19.42, Wis.                   for State agencies and campuses or to block the sale of
       Stats.), a member of a state public official's immediate                 comparable items to State agencies and campuses.
       family, or any organization in which a state public official or
       a member of the official's immediate family owns or controls      35.0   FORCE MAJEURE: Neither party shall be in default by
       a ten percent (10%) interest, is a party to this agreement,              reason of any failure in performance of this Agreement in
       and if this agreement involves payment of more than three                accordance with reasonable control and without fault or
       thousand dollars ($3,000) within a twelve (12) month                     negligence on their part. Such causes may include, but are
       period, this contract is voidable by the state unless appro-             not restricted to, acts of nature or the public enemy, acts of
       priate disclosure is made according to s. 19.45(6), Wis.                 the government in either its sovereign or contractual
       Stats., before signing the contract. Disclosure must be                  capacity, fires, floods, epidemics, quarantine restrictions,
       made to the State of Wisconsin Ethics Board, 44 East                     strikes, freight embargoes and unusually severe weather,
       Mifflin Street, Suite 601, Madison, Wisconsin 53703                      but in every case the failure to perform such must be
       (Telephone 608-266-8123).                                                beyond the reasonable control and without the fault or
                                                                                negligence of the party.
       State classified and former employees and certain
       University of Wisconsin faculty/staff are subject to separate
       disclosure requirements, s. 16.417, Wis. Stats.

29.0   RECYCLED MATERIALS: The State of Wisconsin is
       required to purchase products incorporating recycled mate-
       rials whenever technically and economically feasible.
                                                      APPENDIX 1

As indicated in Section 6.5 of Administrative Support Requirements, the contractor will be required to supply the State
Bureau of Procurement a listing of dispensing centers with complete frame sets, located in or within the immediate
graphical areas identified. Metropolitan areas will require multiple fitting centers. The following is a listing of
cities/villages that will require full sets of frames at the locations listed. Additional locations may be required during
contract period.



 Amery                    Fredonia                 Milwaukee                 Racine
 Antigo                   Franklin                 Minocqua                  Rhinelander
 Ashland                  Green Bay                Monroe                    Rice Lake
 Arcadia                  Howards Grove            Mosinee                   Richland Center
 Baraboo                  Holman                   Neenah                    River Falls
 Barron                   Jefferson                Neilsville                Schofield
 Beaver Dam               Kenosha                  Nekoosa                   Sheboygan
 Berlin                   LaCrosse                 New Berlin                Sparta
 Boscobel                 Ladysmith                New Richmond              Spooner
 Black River Falls        Lancaster                Oconomowoc                Spring Green
 Chilton                  Madison                  Oconto                    Stevens Point
 Chippewa Falls           Manitowoc                Oregon                    Stoughton
 Clintonville             Marinette                Oshkosh                   Sun Prairie
 Cudahy                   Marshfield               Phillips                  Superior
 Cumberland               Mauston                  Platteville               Tomah
 Darlington               Mayville                 Plymouth                  Tomahawk
 Dodgeville               Medford                  Portage                   Turtle Lake
 Eau Claire               Menomonie                Port Washington           Wausau
 Fennimore                Merrill                  Prairie du Chien          Whitewater
 Fond Du Lac              Mineral Point            Prairie Du Sac            Wisconsin Dells
                                                                             Wisconsin Rapids

						
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