ADDENDUM NO. 2 ITB-DOT-13/14-4015TB

1

FLORIDA DEPARTMENT OF TRANSPORTATION

ADDENDUM NO. 2 DATE: February 3, 2014 RE: ITB Number: ITB-DOT-13/14-4015TB Description: District Four Florida Department of Transportation (FDOT), Uniform Services. CHANGE: Revised Exhibit “C-1”, “C-2” and “C-3” – Bid Sheets T-Shirt requirements to include the following:

65% Poly/35% Cotton T-Shirt– (White) – (If Available)

T-Shirt– (Navy Blue, Light Blue-If Available) 100% Cotton

T-Shirt– (White) – (If Available) T-Shirt– (Navy Blue, Light Blue-If Available)

100% Polyester- New Item added to Bid Sheets T-Shirt– (White)

T-Shirt– (Navy Blue, Light Blue All other items and instructions remain the same.

Notice is hereby given of the following changes to the above-referenced ITB:

Vendors MUST acknowledge receipt of this Addendum by completing and returning to the Procurement Office, by no later than the time and date of the replies due date. Failure to do so may subject the vendor to disqualification.

Tanisha Boynton Procurement Agent

_____________________________________Vendor Name _____________________________________Vendor Address

_____________________________________

_____________________________________Submitted by Signature

_____________________________________Type/Print Name Failure to file a protest within the time prescribed in Section 120.57(3), Florida Statutes, shall constitute a waiver of proceedings under Chapter 120, Florida Statutes.

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet- (REVISED)

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Exhibit “C-1” Bid Sheet

BID NUMBER: ITB-DOT-13/14-4015TB Bid Title: DISTRICT FOUR, FLORIDA DEPARTMENT OF TRANSPORTATION (FDOT)

UNIFORM SERVICES

1. Location: FDOT - District Four Headquarters Facilities Department 3400 West Commercial Boulevard Ft. Lauderdale, Florida 33309 Total Estimated Number of Employees for the above location: 3 Number of Workdays per week: 5 day Note: Each employee will require One Shirt and One Pair of Pants/Shorts per workday for each approved employee requiring uniforms to perform their duties. Approximately Three (3) employees work at this specified location. All Three employees work a Five (5) day work schedule

2. Location: FDOT - District Four Headquarters Bridge Structures Department 3400 West Commercial Boulevard Ft. Lauderdale, Florida 33309 Total Estimated Number of Employees for the above location: 12 Number of Workdays per week: 4 day (12 employees) Note: Each employee will require One Shirt and One Pair of Pants/Shorts per workday for each approved employee requiring uniforms to perform their duties. Approximately Twelve (12) employees work at this specified location. All Twelve employees work a Four (4) day work schedule.

3. Location: FDOT - Broward Operations Center Warehouse Department 5548 NW 9th Avenue Ft. Lauderdale, Florida 33309 Total Estimated Number of Employees for the above location: 60 Number of Workdays per week: 4 day (50 employees) and 5 day (10 employees) Note: Each employee will require One Shirt and One Pair of Pants/Shorts per workday for each approved employee requiring uniforms to perform their duties. Approximately Sixty (60) employees work at this specified location. Fifty (50) employees work a Four (4) day work schedule and Ten (10) employees work a Five (5) day work schedule.

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet- (REVISED)

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BID AS SPECIFIED

GROUP I. DESCRIPTION: RENTAL AND CLEANING SERVICES FOR BASIC UNIFORMS (Per Piece)

65% Poly/35% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (White) Each X __1___ X $____________ = $____________ Shirt - Long Sleeve (Navy Blue, Light Blue) Each X __19__ X $____________ = $____________ Shirt – Short Sleeve (White) Each X __10__ X $____________ = $____________ Shirt – Short Sleeve (Navy Blue, Light Blue) Each X __19__ X $____________ = $____________ T-Shirt– (White) – (If Available) Each X __1___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue-If Available) Each X __1___ X $____________ = $____________ Pants – (Navy Blue) Each X __72__ X $____________ = $____________ Shorts – (Navy Blue) Each X __20__ X $____________ = $____________ Knit Shirt Each X __9___ X $____________ = $____________ (White – Range of 45-65% Poly/55-35% Cotton) Knit Shirt Each X __22__ X $____________ = $____________ (Navy Blue, Light Blue – Range of 45-65% Poly/55-35% Cotton)

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet- (REVISED)

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100% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (White) Each X __9___ X $____________ = $____________ Shirt - Long Sleeve (Navy Blue, Light Blue) Each X __35__ X $____________ = $____________ Shirt – Short Sleeve (White) Each X __9___ X $____________ = $____________ Shirt – Short Sleeve (Navy Blue, Light Blue) Each X __3___ X $____________ = $____________ T-Shirt– (White) – (If Available) Each X __9___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue-If Available) Each X __6___ X $____________ = $____________ Pants – (Navy Blue) Each X __41__ X $____________ = $____________ Shorts – (Navy Blue) Each X __1___ X $____________ = $____________ Knit Shirt (White) Each X __1___ X $____________ = $____________ Knit Shirt (Navy Blue, Light Blue) Each X __3___ X $____________ = $____________ 100% Polyester T-Shirt T-Shirt– (White) Each X __9___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue) Each X __6___ X $____________ = $____________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet- (REVISED)

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DESCRIPTION: RENTAL AND CLEANING FOR WELDER UNIFORMS (Per Piece)

100% Cotton Units Estimated Clothing Weekly Cost Estimated Weekly Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each X __2___ X $____________ = $____________

Pants – (Navy Blue) Each X __2___ X $____________ = $____________ GRAND TOTAL OF GROUP I. $__________________

GROUP II. DESCRIPTION: PURCHASE PRICE FOR NEW JACKETS:

Estimated Quantity Unit Price Estimated Total Price New Jackets with Long-Sleeved Liners: 30 X $_________ = $____________

New Jackets without Liners, but with provisions for long-sleeved Liners:

1 X $_________ = $____________

GRAND TOTAL OF GROUP II. $__________________

GROUP III. DESCRIPTION: PURCHASE COST OF NEW UNIFORMS (Per Piece):

Estimated Quantity 65% Poly/35% Cotton 100% Cotton

Shirt - Long Sleeve (White) 1 $_______________ Each $_______________ Each Shirt - Long Sleeve (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Shirt – Short Sleeve (White) 1 $_______________ Each $_______________ Each

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet- (REVISED)

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Shirt – Short Sleeve (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Knit Shirt– (White) 1 $_______________ Each $_______________ Each Knit Shirt– (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each T-Shirt– (White) 1 $_______________ Each $_______________ Each T-Shirt– (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Pants – (Navy Blue) 1 $_______________ Each $_______________ Each Shorts – (Navy Blue) 1 $_______________ Each $_______________ Each

100% Polyester T-Shirt T-Shirt– (White) 1 $_______________ Each T-Shirt– (Navy Blue, Light Blue) 1 $_______________ Each

GRAND TOTALS: $__________________ GRAND TOTALS: $__________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet- (REVISED)

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GROUP IV. DESCRIPTION: RENTAL AND CLEANING OF MATERNITY UNIFORMS:

65% Poly/35% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each __1___ X $____________ = $____________ Pants – (Navy Blue) Each __1___ X $____________ = $____________ 100% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each __1___ X $____________ = $____________ Pants – (Navy Blue) Each __1___ X $____________ = $____________

GRAND TOTAL OF GROUP IV. $__________________

GROUP V.

Description: Emblem/Garment Preparation Charges:

Units Estimated Quantity Estimated Cost

Name Emblem Embroidery Each 1 X $_______________ DOT Emblem for special embroidered emblem Each 1 X $_______________ Prep Charges Each 1 X $_______________ Uniform Color Change Charge (Shirt) Each 1 X $_______________

GRAND TOTOAL OF GROUP V. $__________________

GRAND TOTAL OF ALL GROUPS (I, II, III, IV and V): $___________________________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet- (REVISED)

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MFMP Transaction Fee: All payment(s) to the vendor resulting from this competitive solicitation WILL be subject to the 1% MFMP Transaction Fee in accordance with the attached Form PUR 1000 General Contract Condition #14.

NOTE: In submitting a response, the bidder acknowledges they have read and agree to the solicitation terms and conditions and their submission is made in conformance with those terms and conditions.

ACKNOWLEDGEMENT: I certify that I have read and agree to abide by all terms and conditions of this solicitation and that I am authorized to sign for the bidder. I certify that the response submitted is made in conformance with all requirements of the solicitation. Bidder: ______________________________________________ FEID#__________________________ Address:_______________________________________City, State, Zip:_________________________ , Phone: ___________________ Fax: _________________ E-mail: _____________________________, Authorized Signature:___________________________ Date: ____________________, Printed/Typed:___________________________________________Title:__________________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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Exhibit “C-2” Bid Sheet

BID NUMBER: ITB-DOT-13/14-4015TB Bid Title: DISTRICT FOUR, FLORIDA DEPARTMENT OF TRANSPORTATION (FDOT)

UNIFORM SERVICES

4. Location: Location: FDOT – West Palm Beach Operations Center 7900 Forest Hill Boulevard West Palm Beach, Florida 33413 Total Estimated Number of Employees for the above location: 36 Number of Workdays per week: 4 day

Note: Each employee will require One Shirt and One Pair of Pants/Shorts per workday for each approved employee requiring uniforms to perform their duties. Approximately Thirty-Six (36) employees work at this specified location. All Thirty-Six employees work a Four (4) day work schedule.

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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BID AS SPECIFIED

GROUP I. DESCRIPTION: RENTAL AND CLEANING SERVICES FOR BASIC UNIFORMS (Per Piece)

65% Poly/35% Cotton Units Estimated Clothing Weekly Cost Estimated Weekly Total Item(s) Per Week Per Item Shirt - Long Sleeve (White) Each X __1___ X $____________ = $____________ Shirt - Long Sleeve (Navy Blue, Light Blue) Each X __4___ X $____________ = $____________ Shirt – Short Sleeve (White) Each X __3___ X $____________ = $____________ Shirt – Short Sleeve (Navy Blue, Light Blue) Each X __13__ X $____________ = $____________ T-Shirt– (White) – (If Available) Each X __1___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue- If Available) Each X __1___ X $____________ = $____________ Pants – (Navy Blue) Each X __16__ X $____________ = $____________ Shorts – (Navy Blue) Each X __6___ X $____________ = $____________ Knit Shirt Each X __5___ X $____________ = $____________ (White – Range of 45-65% Poly/55-35% Cotton) Knit Shirt Each X __1___ X $____________ = $____________ (Navy Blue, Light Blue – Range of 45-65% Poly/55-35% Cotton)

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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100% Cotton Units Estimated Clothing Weekly Cost Estimated Weekly Total Item(s) Per Week Per Item Shirt - Long Sleeve (White) Each X __2___ X $____________ = $____________ Shirt - Long Sleeve (Navy Blue, Light Blue) Each X __6___ X $____________ = $____________ Shirt – Short Sleeve (White) Each X __4___ X $____________ = $____________ Shirt – Short Sleeve (Navy Blue, Light Blue) Each X __6___ X $____________ = $____________ T-Shirt– (White) – (If Available) Each X __5___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue-If Available) Each X __20___ X $____________ = $____________ Pants – (Navy Blue) Each X __20___ X $____________ = $____________ Shorts – (Navy Blue) Each X __1___ X $____________ = $____________ Knit Shirt (White) Each X __1___ X $____________ = $____________ Knit Shirt (Navy Blue, Light Blue) Each X __1___ X $____________ = $____________ 100% Polyester T-Shirt T-Shirt– (White) Each X __20__ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue) Each X __20__ X $____________ = $____________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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DESCRIPTION: RENTAL AND CLEANING FOR WELDER UNIFORMS (Per Piece)

100% Cotton Units Estimated Clothing Weekly Cost Estimated Weekly Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each X __2___ X $____________ = $____________

Pants – (Navy Blue) Each X __2___ X $____________ = $____________ GRAND TOTAL OF GROUP I. $__________________

GROUP II. DESCRIPTION: PURCHASE PRICE FOR NEW JACKETS:

Estimated Quantity Unit Price Estimated Total Price New Jackets with Long-Sleeved Liners: 36 X $_________ = $____________

New Jackets without Liners, but with provisions for long-sleeved Liners:

1 X $_________ = $____________

GRAND TOTAL OF GROUP II. $__________________

GROUP III. DESCRIPTION: PURCHASE COST OF NEW UNIFORMS (Per Piece):

Estimated Quantity 65% Poly/35% Cotton 100% Cotton

Shirt - Long Sleeve (White) 1 $_______________ Each $_______________ Each Shirt - Long Sleeve (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Shirt – Short Sleeve (White) 1 $_______________ Each $_______________ Each

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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Shirt – Short Sleeve (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Knit Shirt– (White) 1 $_______________ Each $_______________ Each Knit Shirt– (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each T-Shirt– (White) 1 $_______________ Each $_______________ Each T-Shirt– (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Pants – (Navy Blue) 1 $_______________ Each $_______________ Each Shorts – (Navy Blue) 1 $_______________ Each $_______________ Each 100% Polyester T-Shirt T-Shirt– (White) 1 $_______________ Each T-Shirt– (Navy Blue, Light Blue) 1 $_______________ Each

GRAND TOTALS: $__________________ GRAND TOTALS: $__________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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GROUP IV. DESCRIPTION: RENTAL AND CLEANING OF MATERNITY UNIFORMS:

65% Poly/35% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each __1___ X $____________ = $____________ Pants – (Navy Blue) Each __1___ X $____________ = $____________ 100% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each __1___ X $____________ = $____________ Pants – (Navy Blue) Each __1___ X $____________ = $____________

GRAND TOTAL OF GROUP IV. $__________________

GROUP V.

Description: Emblem/Garment Preparation Charges:

Units Estimated Quantity Estimated Cost

Name Emblem Embroidery Each 1 X $_______________ DOT Emblem for special embroidered emblem Each 1 X $_______________ Prep Charges Each 1 X $_______________ Uniform Color Change Charge (Shirt) Each 1 X $_______________

GRAND TOTOAL OF GROUP V. $__________________

GRAND TOTAL OF ALL GROUPS (I, II, III, IV and V): $___________________________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

Page C‐7 of C‐7 

 

MFMP Transaction Fee: All payment(s) to the vendor resulting from this competitive solicitation WILL be subject to the 1% MFMP Transaction Fee in accordance with the attached Form PUR 1000 General Contract Condition #14.

NOTE: In submitting a response, the bidder acknowledges they have read and agree to the solicitation terms and conditions and their submission is made in conformance with those terms and conditions.

ACKNOWLEDGEMENT: I certify that I have read and agree to abide by all terms and conditions of this solicitation and that I am authorized to sign for the bidder. I certify that the response submitted is made in conformance with all requirements of the solicitation. Bidder: ______________________________________________ FEID#__________________________ Address:_______________________________________City, State, Zip:_________________________ , Phone: ___________________ Fax: _________________ E-mail: _____________________________, Authorized Signature:___________________________ Date: ____________________, Printed/Typed:___________________________________________Title:__________________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

Page C‐1 of C‐7 

 

Exhibit “C-3” Bid Sheet

BID NUMBER: ITB-DOT-13/14-4015TB Bid Title: DISTRICT FOUR, FLORIDA DEPARTMENT OF TRANSPORTATION (FDOT)

UNIFORM SERVICES

4. Location: FDOT – Treasure Coast Operations Center 3601 Oleander Avenue Ft. Pierce, Florida 34982 Total Estimated Number of Employees for the above location: 32 Number of Workdays per week: 4 day

Note: Each employee will require One Shirt and One Pair of Pants/Shorts per workday for each approved employee requiring uniforms to perform their duties. Approximately Thirty-Two (32) employees work at this specified location. All Thirty-Two employees work a Four (4) day work schedule.

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

Page C‐2 of C‐7 

 

BID AS SPECIFIED

GROUP I. DESCRIPTION: RENTAL AND CLEANING SERVICES FOR BASIC UNIFORMS (Per Piece)

65% Poly/35% Cotton Units Estimated Clothing Weekly Cost Estimated Weekly Total Item(s) Per Week Per Item Shirt - Long Sleeve (White) Each X __12__ X $____________ = $____________ Shirt - Long Sleeve (Navy Blue, Light Blue) Each X __20__ X $____________ = $____________ Shirt – Short Sleeve (White) Each X __12__ X $____________ = $____________ Shirt – Short Sleeve (Navy Blue, Light Blue) Each X __15__ X $____________ = $____________ T-Shirt– (White) – (If Available) Each X __1___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue-If Available) Each X __1___ X $____________ = $____________ Pants – (Navy Blue) Each X __32__ X $____________ = $____________ Shorts – (Navy Blue) Each X __1___ X $____________ = $____________ Knit Shirt Each X __1___ X $____________ = $____________ (White – Range of 45-65% Poly/55-35% Cotton) Knit Shirt Each X __1___ X $____________ = $____________ (Navy Blue, Light Blue – Range of 45-65% Poly/55-35% Cotton)

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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100% Cotton Units Estimated Clothing Weekly Cost Estimated Weekly Total Item(s) Per Week Per Item Shirt - Long Sleeve (White) Each X __1___ X $____________ = $____________ Shirt - Long Sleeve (Navy Blue, Light Blue) Each X __2___ X $____________ = $____________ Shirt – Short Sleeve (White) Each X __1___ X $____________ = $____________ Shirt – Short Sleeve (Navy Blue, Light Blue) Each X __1___ X $____________ = $____________ T-Shirt– (White) If Available Each X __1___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue-If Available) Each X __1___ X $____________ = $____________ Pants – (Navy Blue) Each X __1___ X $____________ = $____________ Shorts – (Navy Blue) Each X __1___ X $____________ = $____________ Knit Shirt (White) Each X __1___ X $____________ = $____________ Knit Shirt (Navy Blue, Light Blue) Each X __1___ X $____________ = $____________ 100% Polyester T-Shirt T-Shirt– (White) If Available Each X __1___ X $____________ = $____________ T-Shirt– (Navy Blue, Light Blue-If Available) Each X __1___ X $____________ = $____________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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DESCRIPTION: RENTAL AND CLEANING FOR WELDER UNIFORMS (Per Piece)

100% Cotton Units Estimated Clothing Weekly Cost Estimated Weekly Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each X __2___ X $____________ = $____________

Pants – (Navy Blue) Each X __2___ X $____________ = $____________ GRAND TOTAL OF GROUP I. $__________________

GROUP II. DESCRIPTION: PURCHASE PRICE FOR NEW JACKETS:

Estimated Quantity Unit Price Estimated Total Price New Jackets with Long-Sleeved Liners: 32 X $_________ = $____________

New Jackets without Liners, but with provisions for long-sleeved Liners:

1 X $_________ = $____________

GRAND TOTAL OF GROUP II. $__________________

GROUP III. DESCRIPTION: PURCHASE COST OF NEW UNIFORMS (Per Piece):

Estimated Quantity 65% Poly/35% Cotton 100% Cotton

Shirt - Long Sleeve (White) 1 $_______________ Each $_______________ Each Shirt - Long Sleeve (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Shirt – Short Sleeve (White) 1 $_______________ Each $_______________ Each

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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Shirt – Short Sleeve (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Knit Shirt– (White) 1 $_______________ Each $_______________ Each Knit Shirt– (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each T-Shirt– (White) 1 $_______________ Each $_______________ Each T-Shirt– (Navy Blue, Light Blue) 1 $_______________ Each $_______________ Each Pants – (Navy Blue) 1 $_______________ Each $_______________ Each Shorts – (Navy Blue) 1 $_______________ Each $_______________ Each 100% Polyester T-Shirt T-Shirt– (White) 1 $_______________ Each T-Shirt– (Navy Blue, Light Blue) 1 $_______________ Each

GRAND TOTALS: $__________________ GRAND TOTALS: $__________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

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GROUP IV. DESCRIPTION: RENTAL AND CLEANING OF MATERNITY UNIFORMS:

65% Poly/35% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each __1___ X $____________ = $____________ Pants – (Navy Blue) Each __1___ X $____________ = $____________ 100% Cotton Units Estimated Clothing Weekly Cost Estimated Total Item(s) Per Week Per Item Shirt - Long Sleeve (Navy Blue) Each __1___ X $____________ = $____________ Pants – (Navy Blue) Each __1___ X $____________ = $____________

GRAND TOTAL OF GROUP IV. $__________________

GROUP V.

Description: Emblem/Garment Preparation Charges:

Units Estimated Quantity Estimated Cost

Name Emblem Embroidery Each 1 X $_______________ DOT Emblem for special embroidered emblem Each 1 X $_______________ Prep Charges Each 1 X $_______________ Uniform Color Change Charge (Shirt) Each 1 X $_______________

GRAND TOTOAL OF GROUP V. $__________________

GRAND TOTAL OF ALL GROUPS (I, II, III, IV and V): $___________________________________

ITB-DOT-13/14-4015TB Exhibit “C” – Bid Sheet (REVISED)

Page C‐7 of C‐7 

 

MFMP Transaction Fee: All payment(s) to the vendor resulting from this competitive solicitation WILL be subject to the 1% MFMP Transaction Fee in accordance with the attached Form PUR 1000 General Contract Condition #14.

NOTE: In submitting a response, the bidder acknowledges they have read and agree to the solicitation terms and conditions and their submission is made in conformance with those terms and conditions.

ACKNOWLEDGEMENT: I certify that I have read and agree to abide by all terms and conditions of this solicitation and that I am authorized to sign for the bidder. I certify that the response submitted is made in conformance with all requirements of the solicitation. Bidder: ______________________________________________ FEID#__________________________ Address:_______________________________________City, State, Zip:_________________________ , Phone: ___________________ Fax: _________________ E-mail: _____________________________, Authorized Signature:___________________________ Date: ____________________, Printed/Typed:___________________________________________Title:__________________________