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CITY OF CHARLOTTEENGINEERING & PROPERTY MANAGEMENT

REQUIRED FORMS

RFP 2018 370‐ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES ‐

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FORM 1 – EXECUTION OF PROPOSALThe person executing the Proposal, on behalf of the Company, being duly sworn, solemnly swears (or affirms) that neither he, nor any official, agent or employee of the Company has entered into any agreement, participated in any collusion, or otherwise taken any action which is in restraint of full and open competition in connection with any proposal or contract, that the Company has not been convicted of violating North Carolina General Statute 133 24 within the last three years, and that the‐ Company intends to do the work with its own bona fide employees or subcontractors and is not proposing for the benefit of another company.

Submission of a response to this RFP constitutes certification that the Company and all proposed team members are not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this Project by any State or Federal department or agency. Submission is also agreement that the City will be notified of any change in this status.

NC General Statute 133 32‐ and City Policy prohibit any gift from anyone with a contract with the City, or from any person seeking to do business with the City. By execution of this Proposal, you attest, for your organization and its employees or agents, that you are not aware that any such gift has been offered, accepted, or promised by any employees of your organization.

The information contained in this Proposal, including its forms and other documents, delivered or to be delivered to the City, is true, accurate, and complete. This Proposal includes all information necessary to ensure that the statements therein do not in whole or in part mislead the City as to any material facts.

Type of Company:(check 1 box) Sole Proprietor Partnership Joint Venture

Corporation (identify the State of incorporation)

(if joint venture, complete this “Proposal Submission” sheet for each joint venture company and identify the “Name of Joint Venture” on each sheet)

NAME OF JOINT VENTURE:

City of Charlotte Vendor Number:

Is your firm able to meet the 24 hour‐ “on call” emergency coverage requirement referenced in Exhibit A and B – Scopes of Work, Section 3. Scope of Work: On Call Installation and Repair ‐Services: Yes No

Is your firm able to meet the maximum 1 hour request for “on call” emergency coverage ‐requirement referenced in Exhibit A and B – Scopes of Work, Section 3. Scope of Work: On‐Call Installation and Repair Services: Yes No

ACKNOWLEDGEMENT OF ADDENDA:The undersigned acknowledges receipt of the following addenda:

No: Date: No: Date: No: Date:

Company Legal Name:Mailing Address: City/State/Zip:Telephone: Email: Printed Name:

Title: Signature: Date:

Proposal is valid for one hundred eighty (180) days from the Proposal due date.‐ ‐


REQUIRED FORMS


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COMPANY NAME:

FORM 2 – SERVICE PROVIDER (S/P) QUESTIONNAIREPage 1 of 2

RFP NAME: ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES‐ FY2019RFP NUMBER: 2018 370‐

Service Providers should complete and submit the form below as part of their Proposal:

1. When was your company established? How many years have you been in business providing doors, locks, and hardware installation & repair?

Year established:

Number of years providing doors, locks, and hardware installation & repair :

2. How many qualified company employees are available to provide the services?

Number of employees:

3. How long have your employees worked for you?

How many employees have been with your company for less than 3 years?

How many employees have been with your company formore than 3 years?

4. Are you able to provide on call services 24 hours a‐ day, 7 days a week and be at a project site within 2 hours for emergency calls?

Yes.

No.


REQUIRED FORMS


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COMPANY NAME:

FORM 2 – SERVICE PROVIDER (S/P) QUESTIONNAIREPage 2 of 2


5. Does your company have the capability to self ‐perform all the Services? What percentage of the work/which tasks would you subcontract?

Yes.

No. What areas would you need to subcontract?

6. Has the company or any employee or agent/ subcontractor had a felony conviction within the past 15 years?

No.

Yes. Explain:

7. Have you been involved in any litigation in the past 5 years?

No.

Yes. Explain:

8. Are you willing to submit all proposed personnel that will be performing on site a City Facility for a strict CMPD background check?

Yes.

No.

9. List 5 references on Form 6 for services performed by your company and proposed subcontractors that were similar in nature to the scope of services under this RFP.

Provide Information on Form 6

10. Do you have the ability to purchase Schlage restricted keyway cylinders and key blanks?

Yes.

No.


REQUIRED FORMS


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FORM 3 – SUBCONTRACTOR / SUPPLIER UTILIZATION PARTICIPATION PLAN

Project Name: ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES FY2019‐Company Name:

Identify outreach efforts that were employed by the firm to maximize inclusion of M/WSBEs to be submitted with the firm’s proposal (attach additional sheets if needed):

Identify outreach efforts that will be employed by the firm to maximize inclusion during the contract period of the Project (attach additional sheets if needed):

List below all M/W/SBEs that you intend to use on this contract.

Subcontractor Name Description of work / materials

Indicate either “M”, “S”,

and/or “W”

City Vendor #

Projected Utilization ($)

Total MBE Utilization %

Total WBE Utilization %

Total SBE Utilization %

Aggregate M/W/SBE Utilization % $

Total Contract Amount $


REQUIRED FORMS


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FORM 4 – COMMERCIAL NON DISCRIMINATION CERTIFICATION‐

COMPANY NAME:

RFP NAME: ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES FY2019 ‐RFP NUMBER: 2018 370‐

The undersigned Company hereby certifies and agrees that the following information is correct:

1. In preparing the proposal, the Company has considered all proposals submitted from qualified, potential subcontractors and suppliers and has not engaged in discrimination as defined in Section 2.

2. For purposes of this Section, discrimination means discrimination in the solicitation, selection, or treatment of any subcontractor, vendor or supplier on the basis of race, ethnicity, gender, age or disability or any otherwise unlawful form of discrimination. Without limiting the foregoing, discrimination also includes retaliating against any person or other entity for reporting any incident of discrimination.

3. Without limiting any other remedies that the City may have for a false certification, it is understood and agreed that, if this certification is false, such false certification will constitute grounds for the City to reject the proposal submitted with this certification and terminate any contract awarded based on such proposal. It shall also constitute a violation of the City’s Commercial Non Discrimination‐ Ordinance and shall subject the Company to any remedies allowed thereunder, including possible disqualification from participating in City contracts for up to two years.

4. As a condition of contracting with the City, the Company agrees to promptly provide to the City all information and documentation that may be requested by the City from time to time regarding the solicitation and selection of subcontractors in connection with this contract. Failure to maintain or failure to provide such information shall constitute grounds for the City to reject the proposal submitted by the Bidder and terminate any contract awarded on such proposal. It shall also constitute a violation of the City’s Commercial Non Discrimination Ordinance and shall subject the Company to any remedies allowed‐ thereunder.

5. As part of its bid or proposal, the Bidder or Proposer shall provide to the City a list of all instances within the past ten years where a complaint was filed or pending against Bidder or Proposer in a legal or administrative proceeding alleging that Bidder or Proposer discriminated against its subcontractors, vendors or suppliers, and a description of the status or resolution of that complaint, including any remedial action taken.

6. As a condition of submitting a proposal to the City, the Company agrees to comply with the City’s Commercial Non Discrimination Policy as described in Section 2, Article V of the Charlotte City Code, and‐ consents to be bound by the award of any arbitration conducted thereunder

Signature of Authorized Representative (or Designee)

(Print Name)

(Title)

Date

CITY OF CHARLOTTEENGINEERING & PROPERTY

REQUIRED

RFP 2018‐ 3ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES ‐

COMPANY NAME:

FORM 5 – PERSONNEL AND OTHER RESOURCES (KEY TEAM MEMBERS)(ATTACH ADDITIONAL SHEETS AS NECESSARY)

Page 1 of 3


List the full names of all KEY TEAM MEMBERS whom you intend to assign to this Project. Describe their specific role/responsibility and availability for this Project. DO NOT LEAVE THIS FORM BLANK. USE ‘N/A’ IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.

KEY TEAM MEMBERS Key Team Member 1 Key Team Member 2

Name

Professional Certifications/Licenses/Factory Training (if applicable)(include Certification/License #)

Proposed Role/Function for Project Project Manager Foreman

Office Location (City, State)

Number of Years with Company

Number of Years of Relevant Experience

Availability to provide Services for this Project

Describe Relevant Experience, include list of Projects where the Key Personnel was responsible for the same role/function.


REQUIRED


COMPANY NAME:

FORM 5 – PERSONNEL AND OTHER RESOURCES (EMPLOYEES)(ATTACH ADDITIONAL SHEETS AS NECESSARY)

Page 2 of 3


List the full names of all EMPLOYEES (except Project Manager and Foreman) whom you intend to assign to this Project. Describe their specific role/responsibility and availability for this Project. DO NOT LEAVE THIS FORM BLANK. USE ‘N/A’ IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.

Employee Name Project Role/Responsibility Availability Education / Experience


REQUIRED


COMPANY NAME:

FORM 5 – PERSONNEL AND OTHER RESOURCES (SUBCONTRACTORS)(ATTACH ADDITIONAL SHEETS AS NECESSARY)

Page 3 of 3


List the legal names of all SUBCONTRACTORS whom you intend to use on this Project. Provide their specific role/responsibility and contact information. DO NOT LEAVE THIS FORM BLANK. USE ‘N/A’ IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.

Subcontractor Name Project Role/Responsibility Contact Person & Phone # Address/City/State


REQUIRED


COMPANY NAME:

FORM 6 – PROJECT REFERENCES(MAKE COPIES AND ATTACH ADDITIONAL SHEETS AS NECESSARY)


List no more than six (6) projects performed and completed in the past five (5) years by your company that are similar in size and scope to this Project. DO NOT LEAVE THIS FORM BLANK. USE ‘N/A’ IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.

Project Name Owner Name Address / Phone Contract Amount Contract Start Date /

Contract End Date Project Scope/Description


REQUIRED


COMPANY NAME:

FORM 6 – PROJECT REFERENCES(MAKE COPIES AND ATTACH ADDITIONAL SHEETS AS NECESSARY)

Page 2 of 2


List no more than six (6) projects your company currently has in progress that are similar in size and scope to this Project. DO NOT LEAVE THIS FORM BLANK. USE ‘N/A’ IN EACH OF THE SECTIONS BELOW AND THE TABLE IF THEY ARE NOT APPLICABLE.

Project Name Owner Name Address / Phone Contract Amount Contract Start Date /

Contract End Date Project Scope/Description

CITY OF CHARLOTTE REQUIRED FORMSENGINEERING & PROPERTY MANAGEMENT

FORM 7 – HOURLY RATES PRICING

COMPANY NAME:

RFP NAME: ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES‐ FY2019

RFP NUMBER: 2018 370‐

PROPOSED HOURLY RATES

Regular Business HoursAfter Hours/

Weekend/Holiday Emergency Service Trip charge*

Foreman

Technician

*Trip charge refers to the service charge to show up at the project location. No additional cost should be included.

RFP 2018 370‐ 39ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES FY2019‐

CITY OF CHARLOTTE REQUIRED FORMSENGINEERING & PROPERTY MANAGEMENT

FORM 8 – MATERIALS PRICING

Service Providers shall provide pricing based on the requirements and terms set forth in this RFP. Pricing must be all inclusive and cover every aspect of the ‐Project. Service Providers shall include any pricing that may be required to perform services (fill in additional blanks as needed).

ITEM# DESCRIPTION MANUFACTURER

Minimum %below List Price

1 3 0 X 7 0 X 5 5/8 Hollow Metal KD Frame‐ ‐2 3 0 X 7 0 Hollow Metal Door, 18 gauge, Mortise And Hinge Prep‐ ‐ ‐3 3 0 X 7 0 Unfinished Birch Door‐ ‐4 Continuous Hinge, 83", Standard Duty5 4.5 X 4.5 BB SS NRP Hinges (Pack Of 3) Hagar or approved equal6 Cylindrical Entry Lock, Grade 1 Schlage, Sargent, Corbin Russwin, Yale, or approved equal7 Cylindrical Storeroom Lock, Grade 1 Schlage, Sargent, Corbin Russwin, Yale, or approved equal8 Mortise Entry Lock Schlage, Sargent, Corbin Russwin, Yale, or approved equal9 Mortise Storeroom Lock Schlage, Sargent, Corbin Russwin, Yale, or approved equal

11Mortise Passage Lock (mortise locks to include standard trim, no cylinder) Schlage, Sargent, Corbin Russwin, Yale, or approved equal

12 Heavy Duty Door Closer LCN or approved equal13 Medium Duty Door Closer LCN or approved equal14 Light Duty Door Closer LCN or approved equal15 Push Button Electronic Lock Kaba Ilco, Schlage, or approved equal16 Mortised Electric Strike Adams Rite, HES or approved equivalent17 Surface Mount Electric Strike Adams Rite, HES or approved equivalent18 36" Rim Exit Device Von Duprin or approved equal19 36" External Vertical Rod Exit Device Von Duprin or approved equal20 Mortise Cylinder Schlage or approved equal21 IC Core Rim Cylinder Schlage or approved equal22 Key in Knob Cylinder Schlage or approved equal

RFP 2018 370‐ 40ON CALL DOORS, LOCKS, AND HARDWARE INSTALLATION & REPAIR SERVICES FY2019‐

microsoft word - 2018-370 doors_locks_hardware install fy19 … · web viewcity of...

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