17-pr-dwt-29 sodium hydroxide rfp attachments · web viewall digital documents should be...

ATTACHMENT B: REQUIRED ELEMENTS OF VENDOR PROPOSALS

1. Introduction

Vendor’s proposal shall include the following filled-out and executed documents (in PDF format) and digital files (in MS Office format). Vendor shall not include copies of brochures or other company collateral or advertisement. Digital copies of such collateral may be included as part of Requirements Matrix (Attachment B) per Requirements Matrix instructions.

a. Cover Page/Table b. Executive Summary c. Index of Documentsd. Requirements Spreadsheet (and supporting digital files)e. Supply Security Strategyf. Contractor Safety Plang. Certifications and Acknowledgements

All documents shall be submitted in digital format and clearly labeled, no paper documents will be accepted. All digital documents should be submitted in native MS Office format (e.g., Word, Excel) unless otherwise noted. Signed documents and completed forms must be submitted in PDF format.

2. Proposal Contents

a. The Cover Page: Vendor shall complete the PROPOSER INFORMATION section of Attachment B-1a of this RFP and return it as cover page for Vendor’s response.

b. The Executive Summary: Vendors shall include a summary of their proposals in MS Word format. The Summary shall be limited to one 8½” x 11” page with 11-point typeface or larger. Summary contents and format are up to the Vendor, but should include:

i. Topics mentioned in Attachment A, Scope of Work, Section 1ii. Solution overview

iii. Requirements complianceiv. Pricing

c. The Index of Documents: Vendor shall include an index of all files and documents included in their proposal (Word format)

d. Requirements Spreadsheet: The spreadsheet “17-PR-DWT-29 sodium hydroxide RFP Attachment B.xlsx” contains three tabs: Contacts, Technical Acceptability, and Pricing Model.

i. Contacts: Vendors shall complete the table. Also, in a separate document using PowerPoint, pdf, or jpeg format, provide an organizational chart describing the business unit that manages your sodium hydroxide business.

ii. Technical Acceptability: This tab contains several questions that shall be answered with a “Y” for Yes or an “N” for No. Vendors may submit any clarifying comments in a separate document in Microsoft Word format. Combined, these comments must be no more than one page in length in 11-point font.

iii. Pricing Model: Instructions are included in the spreadsheet. Prices quoted shall include all costs required to perform the work or deliver the goods (e.g., freight, labor, materials, insurance, tools, equipment, shipping, handling, taxes, and fees). Any work items omitted from the price that are required to do the work or deliver the goods shall be deemed included in the quoted price and deliverable. In the event of errors in the extended price, unit price shall govern.

e. Supply Security Strategy: In MS Word format, use text and charts to describe your supply security strategy: how will you ensure uninterrupted supply of on-spec sodium hydroxide to DC Water? This document must be one page maximum in length in 11-point font. Among other things, use this document to:

i. State your sodium hydroxide throughput or capacityii. Name your sodium hydroxide sources and their manufacturing locations and capacities

iii. Name back-up sources of sodium hydroxide, along with their manufacturing locations and capacitiesiv. Identify primary and secondary inventory locations, and their storage capacitiesv. Describe how you would respond to a force majeure in your primary supply chain

Attach to the Supply Security Strategy the Product Routing Chart described in Attachment A, Section A.1.4.

f. Contractor Safety Plan: See Attachment C-6 to this RFP for DC Water’s safety requirements. All contractors are required to submit a formal site/contract specific safety plan indicating how they will ensure compliance with all Federal, State, local and DC Water Safety and Health Policies and Procedures. Attach the relevant Safety Data Sheet to the Contractor Safety Plan.

g. Product Quality Information: See Section A.2 of Attachment A for the required information.

h. Contractor Trucking Firms: See Attachment C-6 for the information required.

i. Certifications and Acknowledgements: Attachment B-1 includes documents for acknowledgements and certifications regarding various attachments to this RFP. Vendor is required to read the relevant attachments and acknowledge and/or agree to the terms by signing the forms in Attachment B-1 in the space provided. Vendor shall scan the signed forms and include them in the proposal in PDF format.

i. Attachment B-1b: Representations and Certifications. This document contains: Acknowledgement of Addenda; Prompt Payment Discount; Local/Small Business Enterprise Bid/Proposal; Walsh-Healey Contracts Act; Officers Not to Benefit; Certificate of Independent Price Determination; Type of Business Organization; Certification Regarding a Drug-Free Workplace; Tax Certification Affidavit

ii. Attachment B-1c: This document contains: Vendor Information Form Vendor W-9 Form

iii. Attachment B-1d: Refer to Attachment C-2 for information regarding the signature pages in this attachment. This document contains: Contractor’s Intent to Subcontract with Certified Local and Local Small Business Enterprises Certified Local and Local Small Business Enterprise Program Certification Statement

iv. Attachment B-1e (NOTE: ATTACHMENT B-1e NOT INCLUDED AS IT DOES NOT APPLY TO SODIUM HYDROXIDE RFP 17-PR-DWT-29): Disadvantaged Business Enterprise Program. Refer to Attachment C-3 for information regarding the signature pages in this attachment. This document contains: Contractors Intent to Subcontract with WBE/MBE WBE/MBE Intent to Subcontract EPA Form 6100 - 2 “Disadvantaged Business Enterprise Program DBE Subcontractor Participation

Form” EPA Form 6100-3 “Disadvantaged Business Enterprise Program DBE Subcontractor Performance

Form” EPA Form 6100-4 “Disadvantaged Business Enterprise Program DBE Subcontractor Utilization Form

v. Attachment B-1f: Equal Opportunity Packet. Refer to Attachment C-4 for information regarding the signature pages in this attachment. This document contains: Equal Employment Opportunity Policy Statement Assurance of Compliance with Employment Opportunity Requirements Equal Employment Opportunity Employer Information Report

vi. Attachment B-1g: Mid-Atlantic Purchasing Team Rider Clause: Vendors are to indicate the team members for which the terms, conditions, and pricing will apply, allowing for reasonable changes to the freight portion of product pricing.

ATTACHMENT B-1a: PROPOSAL COVER PAGE

Page of

1 1

Solicitation Number:

17-PR-DWT-29

For:

Supply and Delivery of S o d i u m H y d r o x i d e

E-MAIL Proposal To:

[email protected]

Date Issued:

April 01, 2017

Proposal D u e Date and Time:

May 10, 2017At 1 2:00 PM (Eastern Standard Time)

This proposal does not obligate any funds. The undersigned offers and agrees, if this proposal be accepted, to furnish items/services upon which prices are quoted at the price set opposite each item in the Schedule of Prices, delivered at designated points within the time specified. It is understood and agreed upon that, with respect to all items/services accepted by DC Water under "AWARD" below, this bid/offer, the Invitation For Bid, Addendums, and any Amendments thereto, will constitute a formal contract.

PROPOSER INFORMATION: Name and Title of Person Authorized to Sign Offer:Firm Name: (Type or Print)

Street: Signature:

(Seal)

Date:

City, State:

Zip Code: IMPRESS CORPORATE SEAL

Telephone: (Area Code)

Fax Number: (Area Code) (Corporate Secretary)(Seal)

(Attest)ContactEmail:

AWARD (TO BE COMPLETED BY DC WATER)

Contract Number: Award Amount:* $*If term contract, this amount is estimated.

ACCEPTED AS TO ITEM(S) AWARDED. THE FOLLOWING IS INCOPORATED BY REFERENCE.

DISTRICT OF COLUMBIA WATER AND SEWER AUTHORITY

BY:

CONTRACTING OFFICER

Award Date

ATTACHMENT B-1b: REPRESENTATIONS, CERTIFICATIONS, ACKNOWLEDGMENTS, AND AFFIDAVITS

THE PROPOSER/OFFEROR REPRESENTS AND CERTIFIES THAT (Check or complete all boxes or blocks).

1. ACKNOWLEDGMENT OF ADDENDA

The bidder/offeror acknowledges receipt of Addenda to the Invitation for Bids/Request for Proposals and related documents numbered and dated as follows:

ADDENDUM NO. DATE ADDENDUM NO. DATE

NOTE: Bidder/Offeror may acknowledge addendum here or on addendum or both.

FAILURE TO ACKNOWLEDGE RECEIPT MAY RENDER A BID NON-RESPONSIVE AND INELIGIBLE FOR AWARD.

2. DISCOUNT

The prompt payment discount in accordance with the DC Water General Provisions shall be _% for payment within days. However, prompt payment discounts shall not be considered in the evaluation of bids or proposals.

A. Any discounts offered will form a part of the award and will be taken by DC Water if payment is made within the discount period specified by the bidder/offeror.

B. In connection with any discount offered, time will be computed from the date of the delivery of the supplies to carriers when delivery and acceptance are at the point of origin, or from date of delivery at destinations when delivery, installation and acceptance are at that point, or from the date correct invoice or voucher is received in the office specified by DC Water, if the latter date is later than of delivery. Payment is deemed to be made for the purpose of earning discount on the date of mailing of check.

Representations and Certifications of 15

3. LOCAL/ SMALL BUSINESS ENTERPRISE BID/PROPOSAL:

If a bidder/offeror is a Certified Local/Small Business Enterprise as defined under DC Water’s Business Development Plan enter the number of such certificate, the certification type, and list the name of the applicable certification agency.

Certifying Agency/Authority:

Certification Type:

Certification Number:

Certification Date:

Expiration/Renewal Date:

4. WALSH-HEALEY PUBLIC CONTRACTS ACT (APR 1984):

If this contract is for the manufacture or furnishing of materials, supplies, articles or equipment in an amount that exceeds or may exceed $10,000, and are subject to the Walsh Healey Public Contracts Act, as amended (41 U.S.C. 35-45), the following terms and conditions apply:

(a) All representations and stipulations required by the Act and regulations issued by the Secretary of Labor (41 CFR Chapter 50) are incorporated by reference. These representations and stipulations are subject to all applicable rulings and interpretations of the Secretary of Labor that are now, or may hereafter, be in effect.

(b) All employees whose work relates, to this contract shall be paid not less than the minimum wage prescribed by regulations issued by the Secretary of Labor (41 CFR 50-202.2). Learners, student learners, apprentices, and handicapped workers may be employed at less than the prescribed minimum wage (see 41 CFR 50-202.3) to the same extent that such employment is permitted under Section 14 of the Fair Labor Standard Act (41 U.S.C. 40).

1)

Regular Dealer (check if applicable):

The Bidder/Offeror is a Regular Dealer pursuant to Part 2, (2.6) of the General Provisions.

The Bidder/Offeror is not a Regular Dealer pursuant to Part 2, (2.6) of the General Provisions.

2)

Manufacturer (check if applicable):


The Bidder/Offeror is a Manufacturer pursuant to Part 2, (2.6) of the General Provisions.

The Bidder/Offeror is not a Manufacturer pursuant to Part 2, (2.6) of the General Provisions.

5. OFFICERS NOT TO BENEFIT CERTIFICATION

5.1 OFFICERS NOT TO BENEFIT:

No member of or delegate to Congress, or Officer or employee of the Authority (DC Water) or the District of Columbia Government shall be admitted to any share or part of this contract or to any benefit that may arise therefrom, and any contract made by the Contracting Officer or any Authority or the District of Columbia Government employee authorized to execute contracts in which they or the employee of the Authority or the District of Columbia Government shall be personally interested shall be void, and no payment shall be made thereon by the Authority or the District of Columbia Government or any officer thereof, but this provision shall not be construed to extend to this contract if made with a corporation for its general benefit. However, should a Federal, District of Columbia or Authority employee submit a bid/proposal for his personal benefit, the Contracting Officer reserves the right to waive the aforementioned restriction; providing that said employee furnishes a Notarized Affidavit prior to the time set for opening of bids or Closing of proposals, setting forth intention to resign his Federal, District of Columbia or Authority (DC Water) employment in the event said employee shall be considered for an award of a contract. Failure to submit such Affidavit shall automatically render his bid/proposal nonresponsive and no further consideration shall be given thereto.

Check As Applicable:

No person subject to Part 8, (8.5) of the General Provisions will benefit from the Contract

The following persons will benefit from this Contract and the required affidavits are attached:

Name: Title:

Name: Title:

Name: Title:

Name Title:


:

6. CERTIFICATE OF INDEPENDENT PRICE DETERMINATION

(A) The offeror certifies that--

(1) The prices in this offer have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any other offeror or competitor relating to (i) those prices, (ii) the intention to submit an offer, or (iii) the methods or factors used to calculate the prices offered;

(2) The prices in this order have not been and will not be knowingly disclosed by the offeror, directly or indirectly, to any other offeror or competitor before bid opening unless otherwise required by law; and

(3) No attempt has been made or will be made by the offeror to induce any other concern to submit or not to submit an offer for the purpose of restricting competition.

(B) Each signature on the offer is considered to be a certification by the signatory that the signatory:

(1) Is the person in the offeror's organization responsible for determining the prices being offered in this offer, and that the signatory has not participated and will not participate in any action contrary to subparagraphs (A)(1) through (A)(3) above; or

(2) (I) Has been authorized, in writing, to act as agent for the following principals in certifying that those principals have not participated, and will not participate in any action contrary to subparagraphs(A)(1) through A)(3) above; or

(insert full name of person(s) in the organization responsible for determining the prices offered in this offer, and the title of his or her position in the offeror's organization); (ii)As an authorized agent, does certify that the principals named in subdivision (B)(2)(i)above have not participated, and will not participate, in any action contrary to subparagraphs (A)(1) through (A) (3) above; and(iii) As an agent, has not personally participated and will not participate, in any action contrary to subparagraphs (A)(1) through (A)(3) above.

(C) If the Bidder/Offeror deletes or modifies subparagraph (A)(2) above, the offeror must furnish with its offer a signed statement setting forth in detail the circumstances of the disclosure.

Date:


Offeror:

Title:

Signature:

7. TYPE OF BUSINESS ORGANIZATION (Check as Applicable):

Proposer/Offeror operates as:

____ an individual ____ a partnership

____ a non-profit organization ____ a corporation

Incorporated under the laws of _________________________.

8. CERTIFICATION REGARDING A DRUG-FREE WORKPLACE (JULY 1990)

A. Definitions (As used in this provision)

"Controlled substance" means a controlled substance in schedules I through V of section 202 of the Controlled Substances Act (21 U.S.C. 812) and as further defined in regulation at 21 CFR 1308.11 - 1308.15.

"Conviction" means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes.

"Criminal drug statute" means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, possession or use of any controlled substance.

"Drug-free work-place" means the site(s) for the performance of work done by the Contractor in connection with a specific contract at which employees of the Contractor are prohibited from engaging in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance.

"Employee" means an employee of a Contractor directly engaged in the performance of work under a Government contract. "Directly engaged" is defined to include all direct cost employees and any other Contractor employee who has other than a minimal impact or involvement in contract performance.

"Individual" means an offeror/contractor that has no more than one employee including the offeror/contractor.

B. By submission of its offer, the offeror, if other than an individual, who is making an offer that equals or exceeds $25,000, certifies and agrees, that with respect to all employees of the offeror to be employed under a contract resulting from this solicitation, it will, no later than 30 calendar days after


contract award (unless a longer period is greed to in writing), for contracts of 30 calendar days or more performance duration, or as soon as possible for contracts of less than 30 calendar days performance duration, but in any case, by a date prior to when performance is expected to be completed:

1) Publish a statement notifying such employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the Contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition;

2) Establish an ongoing drug-free awareness program to inform such employees about:

The dangers of drug abuse in the work-place;

The Contractor's policy of maintaining a drug-free work-place;

Any available counseling, rehabilitation, and employee assistance programs; and

The penalties that may be imposed upon employees for drug abuse violations occurring in the work-place.

3) Provide all employees engaged in performance of the contract with a copy of the statement required by subparagraph B.1. of this provision;

4) Notify such employees in writing in the statement required by subparagraph B.1. of this provision that, as a condition of continued employment on the contract resulting from this solicitation, the employee will:

Abide by the terms of the statement; and

Notify the employer in writing of the employee's conviction under a criminal drug statute for a violation occurring in the work-place no later than 5 calendar days after such conviction.

5) Notify the Contracting Officer in writing within 10 calendar days after receiving notice under section subdivision B.4.(ii) of this provision, from an employee or otherwise receiving actual notice of such conviction. The notice shall include the position title of the employee;

6) Within 30 calendar days after receiving notice under subdivision B.4. (ii) of this provision of a conviction, take one of the following actions with respect to any employee who is convicted of a drug abuse violation occurring in the work-place:

Take appropriate personnel action against such employee, up to and including termination; or

Require such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by Federal, State, or local health, law enforcement, or other appropriate agency.

7) Make a good faith effort to maintain a drug-free work-place through implementation of subparagraphs B.1 through B.6 of this provision.

C. By submission of its offer, the offeror, if an individual who is making an offer of any dollar value, certifies and agrees that the offeror will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in the performance of the contract resulting from this solicitation.


D. Failure of the offeror to provide the certification required by paragraphs (B) or (C) of this provision, renders the offeror unqualified and ineligible for award.

E. In addition to other remedies available to the Government, the certification in sections (B) or (C) of this provision concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001.

CONCURRENCE: (AUTHORIZED CONTRACTOR PERSONNEL)

Name: Date:

Title:

Signature:

9. TAX CERTIFICATION AFFIDAVIT

Date: _______________________

Name of Organization/Entity: ________________________________________________

Address: ________________________________________________

City: _________________________ State: _______________ Zip: _________

Principal Officers:

Name: ________________________________ Title: ________________________________

Name: ________________________________ Title: ________________________________

Name: ________________________________ Title: ________________________________

Name: ________________________________ Title: ________________________________

Business Telephone Number: ____________________________________________


Finance and Revenue Registration Number: ______________________________

Federal Identification Number: ______________________________

DUNS Number: ________________________ Contract Number: _______________________

Unemployment Insurance Account Number: ______________________________

I hereby certify that:

1. I have complied with the applicable tax filing and licensing requirements of the District of Columbia.

2. The following information is true and correct concerning tax compliance for the following taxes for the past five (5) years:

Current Not Current

Sales and Use ( ) ( )

Employer Withholding ( ) ( )

Hotel Occupancy ( ) ( )

Corporation Franchise ( ) ( )

Unincorporated Franchise ( ) ( )

Personal Property ( ) ( )

Professional License ( ) ( )

Arena/Public Safety fee ( ) ( )

Vendor Fee ( ) ( )

3. If not current, as checked in item 2, I am in compliance with a payment agreement with the Department of Finance and Revenue.

Yes No

Attach copy of the Agreement.

If outstanding liabilities exist and no agreement has been made, please attach a listing of all such liabilities.

DC Water is hereby authorized to verify the above information with appropriate Government authorities. Penalty for making false statements is a fine of not more than $1,000.00, imprisonment for not more than one year, or both, as prescribed in D.C. Code Sec. 22-2514. Penalty for false swearing is a


fine of not more than $2,500.00, imprisonment for not more than three (3) years, or both, as prescribed in D.C. Code sec. 22-2513.

Print Name Title

Signature of Person Authorized To Sign This Document

Notary: STATE CERTIFIED NOTARY PUBLIC, ss:

Subscribed and sworn before me this day of _____________________ Month and Year

________

Notary Public

My Commission Expires _______________

Revised 12 521


ATTACHMENT B-1d: CONTRACTOR’S INTENT TO SUBCONTRACT WITH CERTIFIED LOCAL and LOCAL SMALL BUSINESS ENTERPRISES

Non-certified prime contractors may obtain consideration for evaluation of preferences for subcontracting with certified local or local small business enterprises as described in Attachment D: “Certified Local/Small Business Enterprise Program for Goods and Services Contracts”, by completing this form for the qualifying subcontractor(s) with their response.

Solicitation Number: Project Name:

Name of Prime Bidder/ Proposer

If awarded this project, the Prime Contractor intends to use the following subcontractor(s):

Company Name Type of Work To Be Performed

Estimated Dollar Amount

Current Certification

Type (Local or Local Small)

Certification Number


CERTIFIED LOCAL and LOCAL SMALL BUSINESS ENTERPRISE PROGRAM CERTIFICATION STATEMENT

(To Be Filled Out for Each Certified Firm the Prime Contractor is Seeking Preference Points)

Solicitation Number:

Project Name:

Project Location:

Name of Prime:

Total Offer Price, $:

Name of Certified Subcontractor:

Address of Certified Subcontractor:

Address 1

Address 2

City State Zip

Name of Certified Subcontractor Representative Title

Contact Telephone: Contact Email:

Amount of Planned Subcontract $

Description of Work to Be Performed

Prime Contractor Signature Date Certified Subcontractor Signature Date