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PROCUREMENT SPECIALIST: TAMRA TORRENCE
[email protected]
(559) 621-1153
Formal Request for Proposal
Requirements Contract for:
Radial Tire Leasing Services
RFP No. 12502217
Scheduled Bid Opening:
Tuesday, JUNE 17, 2025
Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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Ci ty of Fresno
Proposal Specifications
Table of Contents
I – INTRODUCTION ............................................................................................................ 3 Notice Inviting Proposals .................................................................................... ………..4 Instructions to Propers .................................................................................................... 6 II – PROPOSAL AND CONTRACT DOCUMENTS .......................................................... 11 Proposer’s Checklist ...................................................................................................... 12 Business License .......................................................................................................... 13 Cost Proposal ................................................................................................................ 14 Proposer’s Qualification Questionnaire ......................................................................... 15 References .................................................................................................................... 18 Acceptance of Indemnification & Insurance Requirements ........................................... 19 Disadvantage Business Enterprise (DBE) Listing .......................................................... 20 Debarment and Suspension Certification ...................................................................... 22 Non-Lobbying Certification ............................................................................................ 23 Tax Liability Certification ............................................................................................... 24 Buy America Certification .............................................................................................. 25 Conflict of Interest Certification ...................................................................................... 26 Signature Page .............................................................................................................. 27 Sample Certification ...................................................................................................... 29 Sample Service Contract ............................................................................................... 30 III – GENERAL CONDITIONS ........................................................................................ 33 Definitions...................................................................................................................... 34 Delivery of Services ....................................................................................................... 34 Termination for Convenience ........................................................................................ 34 P
recedence of Documents ............................................................................................ 35 Federal Immigration Reform and Control Act ................................................................ 35 Independent Contractors ............................................................................................... 36 M
aintenance of Records ............................................................................................... 37 Binding .......................................................................................................................... 38 IV – SPECIAL CONDITIONS ............................................................................................ 40 V – INSURANCE REQUIREMENTS ................................................................................. 51 V
I – FEDERAL CONDITIONS ........................................................................................... 55 VII – SCOPE OF WORK ................................................................................................... 68 ATT
ACHMENT
• Attachment 1- Cost Proposal (Excel)
Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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I – INTRODUCTION
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Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
NOTICE INVITING PROPOSALS
Electronic proposals will be received by the office of the Purchasing Manager of the City of Fresno, all in accordance with the Specifications for:
Request for Proposals Requirements Contract for Radial Tire Leasing Request for Proposals No. 12502217
The City of Fresno Department of Transportation/FAX (hereinafter “FAX”) is soliciting proposals from qualified contractors for transit radial tire leasing services. The Contract shall be in effect for three (3) years with two (2) one-year optional extensions from the date of the Notice to Proceed. The Contract may be extended in accordance with the provisions set forth in these Specifications.
The RFP
forms, Instructions t o P roposers, copies of pl ans and/or specifications m ay be obtained from the O ffice of t he Purchasing Manager ( phone 559 621-1332) via the C ity’s web site: http://www.fresno.gov, “Business”, “Doing Business”, “Bid Opportunities”.
Proposals must be submitted electronically via Planet Bids.
Proposals are to be submitted electronically using P lanet Bids prior to the opening at 3 p.m. on Tuesday, June 17, 2025, at which t ime they will be publicly opened and recorded. Join the bid opening meeting at https://fresno.zoomgov.com/ j/1619517892 or call (669) 254-5252, meeting ID 161 951 7892.
The City of Fresno hereby notifies all Proposers that no person shall be excluded from participation in, denied any benefits of, or otherwise discriminated against in connection with the award and performance of any contract on the basis of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation or on any other basis prohibited by law.
A
pre-proposal conference will be held at 10:00 a.m. on May 29, 2025. Join the meeting by going to https://fresno.zoomgov.com/j/1611511032 or call 1-669-254-5252 Meeting ID: 161 151 1032. Prospective Proposers are encouraged to attend since City Staff will be present to answer any questions regarding the Specifications.
Services of an interpreter and additional accommodations can be made available. Requests for accommodations should be made at least five working days but no later than 48 hours prior to the scheduled meeting/event. Please contact the Procurement S pecialist, Tamra Torrence, listed on the cover at 559-621-1153 or [email protected].
The awarded contract will be funded in part by grants from the Federal Transit Administration (FTA) of the United States Department of Transportation. The award of any contract is subject to the requirements of financial assistance contracts between the City of Fresno and the U.S. Department of Transportation.
Although there is no specific goal or requirement to use participation by Disadvantage d Business Enterprises (DBE) for this project, The City of Fresno highly encourages the participation of Disadvantaged Business Enterprises (DBE). The City of Fresno encourages Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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all prime Contractors to utilize qualified SBE (Small Business Enterprise) sub- Contractors on the City of Fresno projects and promotes the direct purchase of goods from qualified SBEs by utilizing SBE/DBE vendors when such vendors are available, and the price of the goods or services sought is reasonable.
T
he Contractor will be required to comply with all terms and conditions prescribed for third- party contracts by the U.S. Department of Transportation, Federal Transit Administration (FTA). If FTA requires any change to this Contract to comply with its requirements, both parties agree to amend the Contract as required by FTA. If such changes cause an increase or decrease in the work to be performed by the Contractor or the time for such performance, then the compensation to be paid the Contractor and time of performance will be equitably adjusted.
The City of Fresno reserves the right to reject any and all proposals at its sole discretion.
Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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INSTRUCTIONS TO PROPOSERS
General
No proposal will be considered for award unless it is submitted on the proposal forms furnished by the Purchasing Manager, completely filled out, properly signed by the Proposer and filed electronically via Planet Bids on or before the date and time specified in the Notice Inviting Proposals. The time clock in the Purchasing Division will be the official clock for documenting the time of filing.
The City will award a Contract or reject any or all proposals within the time stated in the Specifications, and no proposal may be withdrawn within that period of time. Any award of a Contract exceeding $100,000, shall be subject to the approval of the City Council.
The City reserves the right to reject any and all proposals.
Submittal of Proposal
Each Proposer shall carefully examine each and every term of this Request for Proposal s; and each Proposer shall judge all the circumstances and conditions affecting its proposal. Failure on the part of any Proposer to make such examination and to investigate thoroughly shall not be grounds for any declaration that the Proposer did not understand the conditions of this Request for Proposals.
The Proposer shall comply with any and all federal, state, or local laws, now in effect or hereafter promulgated, which apply to the services and products herein specified.
This solicitation for proposals does not commit the City of Fresno to enter into a Contract or to pay any costs incurred in the preparation of responses to the request. The City of Fresno reserves the right to accept or reject any proposals, and to negotiate with any qualified source, or to cancel in part or in its entirety this Request for Proposals. It may accept the proposal that it considers to be in the interest of the City of Fresno, with or without negotiation.
The City reserves the right to waive any informality or minor irregularity when it is in the best interest of the City to do so, to negotiate for the modification of any proposal with mutual consent of the Proposer, to re-advertise for proposals if desired, and to accept the proposal which in the judgment of the City, even though it does not offer the lowest cost, is nevertheless deemed to offer the best value for the public and City. Any proposal which is incomplete, conditional, obscure, or which contains irregularities of any kind, may be cause for rejection.
Americans with Disabilities Act
Accessibility Requirements: Supplier warrants that it complies with California and federal disabilities laws and regulations; and the Services will conform to the accessibility requirements of WCAG 2.0AA.
Supplier agrees to promptly respond to and resolve any complaint regarding ac cessibility of its Services. The City may require Proposer to comply with these accessibility requirements if they are awarded a contract.
Public Records
The proposals received shall become the property of the City of Fresno and are subject to public disclosure. Those parts of a proposal which are defined by the Proposer as business or trade secrets as that term is defined in California Civil Code, Section 3426.1, and are reasonably marked " Trade Secrets", "Confidential", or "Proprietary", and placed in a separate envelope shall only be disclosed to the public if such disclosure is required or permitted under the California Public Records Act or otherwise by law. Proposers who indiscriminately and without justification identify most, or all, of their Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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proposal as exempt from disclosure may not be considered for award.
Selection Process and Evaluation Criteria
Proposal Evaluation
The City will establish a selection committee to score proposals based on the evaluation criteria stated herein.
The Selection Committee will review and evaluate all proposals after formal receipt. To receive proper consideration, the proposal must meet the requirements of these Specifications. The evaluation process will provide credit only for those capabilities an d advantages which are clearly stated in the Proposer's written proposals. In other words, advantages which are not stated will not be considered in the evaluation process.
Proposers whose proposals include a failure to comply with or take exception to these Specifications may not be considered for award and dropped from the evaluation process.
The Selection Committee will evaluate the proposals on the following criteria (in order of relative importance):
a. Past Performance and Experience
Contractor’s experience and history in radial tire leasing services relevant to FAX’s needs.
Including direct experience on projects of similar size, scope, and complexity. This may include client references, thoroughness, or any awards or recognition received for past performance.
b. Price
The reasonableness and competitiveness of the total price for products and services rendered to FAX, the adequacy of source data and information provided to support cost quotes and figures, and the use of industry and government recognized measurements when compiling estimates.
c. Technical Approach and Reporting
Approach to quality and comprehensive inspections/testing plans, quality assurance procedures and response time capabilities and procedures. Proposers reporting approach, including documentation and data- tracking systems such as online report access capabi lity as well as data collection and presentation.
d. Knowledge and Approach of Required Regulations
Proposer’s demonstrates knowledge of all required regulations and approach to meet regulations. Team members /tire technicians have relevant certifications and training.
Certifications from recognized organizations demonstrating a commitment to staying up to date with regulations and industry standards. Drug and Alcohol Testing Program is FTA compliant.
The City reserves the right to accept or reject any or all proposals and may select, and negotiate with one or more Proposers concurrently, and enter into a Contract with such Proposer who is determined, by the City, to provide the services which are in th e interest of the City. The City may agree to such terms and conditions as it may determine to be in its interest.
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The Selection Committee reserves the right to request additional information from Proposers, to negotiate terms and conditions of the Contract, to visit sites, to request demonstrations or oral presentations, or ask Proposers to appear before the Selection Committee to clarify points of their proposal.
Any award shall be based on the criteria specified and made to the Proposer whose proposal is judged as providing the best value in meeting the interest of the City and the objectives of the project , in the City’s sole discretion.
The City reserves the right to make the selection of a Proposer based on any or all factors of value, whether quantitatively identifiable or not, including, but not limited to, the anticipated initiative and ability of the Proposer to perform the services set forth herein.
Time to Award/Reject
The Proposer agrees that the City may have ONE HUNDRED TWENTY (120) DAYS to accept or reject proposals. It is further understood that, if the Proposer to whom any award is made fails to enter into a Contract as provided in the Specifications, award may be made to another Proposer, who shall be bound to perform as if she/he had received the award in the first instance.
Contract Documents
The proposer shall submit the required contract documents in a form acceptable to the Purchasing Division 2101 G Street, Bldg. A, Fresno, CA 93706 within 15 calendar days (except in the event in the event federal funding is applicable to this Contract, then 10 working days) from the Notice of Award of proposal. Failure to provide said documents within the designated period shall be sufficient cause to award to the next proposer offering the next best value to the City.
Questions, Clarifications, and Concerns
The Specifications describing this project have been carefully prepared. Any questions or concerns relating to these Specifications shall be directed in writing to the Procurement S pecialist of the Purchasing Division (see cover page) and may be submitted electronically by utilizing the Question and Answers field on Planet Bids.
Questions will be accepted only up to ten (10) working days prior to the proposal date to allow the City, if necessary, to issue an addendum to all proposers stating revisions, deletions, or additions to be made to the Specifications as a result of any questions. If questions arise after the deadline, please contact the Procurement Specialist of the Purchasing Division, but the City will not guarantee a response.
The City will not be responsible for verbal responses made by parties other than the Purchasing Manager or designee.
Any questions concerning Disadvantaged Business Enterprise (DBE) issues shall be addressed to DBE Program staff at telephone No. (559) 621-1154 or email at [email protected].
Contacts with City Staff
Before an award is made, any contact with City staff, other than the Purchasing Manager or designee(s), without prior written authorization is strictly prohibited and may render the Proposer non- responsible.
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Regulated Communications in City Procurement Process Ordinance The Regulated Communications in City Procurement Process Ordinance (Article 6, Chapter 4 of the Fresno Municipal Code) became effective May 7, 2004. With certain specified exceptions, the Ordinance provides that no Respondent, Bidder, Proposer (as the cas e may be) shall initiate, engage in, or continue any communication to or with any City elected official concerning or touching upon any matter which is the subject of this competitive procurement process.
Any Respondent, Bidder, Proposer or elected official (as the case may be) who initiates, engages in, continues in, or receives any regulated communication shall file the written disclosure required by the Regulated Communications in City Procurement Process Ordinance.
Any Respondent, Bidder, or Proposer violating the Regulated Communications in City Procurement Process Ordinance may be disqualified from participating in this procurement process and/or determined to be non-responsible. Additionally, the City may set aside the award of a contract, prior to its execution, to a party found to have violated the Ordinance.
Note: The full text of Fresno Municipal Code, Chapter 4, Article 6 may be viewed on the City’s website at, http://www.fresno.gov “Departments”, “City Clerk,” and “Fresno Municipal Code and City Charter .” Or view the Fresno Municipal Code directly at:
https://library.municode.com/ca/fresno/codes/code_of_ordinances?nodeId=MUCOFR_CH4CIPUCOS A_ART6RECOELOFPRPR
Notification of Staff Determination
Any award of a Contract exceeding $100,000, shall be subject to the Staff Determination clause. Once the City has reviewed and evaluated the proposals received and has determined for award the responsible proposal that provides the best value to the City, that determination will be posted on the City's website http://www.fresno.gov, “Departments”, “General Services,” “Purchasing Division,” and “Anticipated Formal Bid Award.” It is the sole responsibility of interested Proposers to seek this information.
Proposers will be given an opportunity to submit, in writing, within 5 days to the Purchasing Manager any concerns with the RFP process or Staff Determination. Such writing will be taken under consideration by the City Manager and may be acted upon within 5 days. If no action is taken within such 5 days, then there shall be no change in Staff Determination. The exercise of Proposer of its right to submit its written concerns shall be a condition precedent to seeking judicial review of any award of a contract hereunder.
Award of a Contract for less than $10 0,000 is not subject to this Notification of Staff Determination provision.
Debarment
A Proposer may be debarred from bidding or proposing upon or being awarded any contract with the City, or from being a subcontractor or supplier at any tier upon such contract, in accordance with the procedures in Fresno Municipal Code Section 4- 104 adopted by Council on May 17, 2018. The initial period of any such debarment shall not be less than one year and may be permanent depending on Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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the violation. A Proposer may request a hearing, in accordance with Fresno Municipal Code Section 4- 104, upon receipt of a notice of proposed debarment from the City Manager or designee. A copy of the Ordinance may be obtained from the City Clerk’s Office, 2600 Fresno Street, Fresno, California 93721.
Outreach to Small Business Enterprises in Subcontracting The City of Fresno hereby notifies all Proposers that it is the City's policy to provide all small business enterprises, including minority, women, and disabled veteran business enterprises, equal access and opportunity for participation in the performance of all construction contracts, professional service contracts, procurement of supplies, equipment and other services. Therefore, the City requests that a Proposer who intends to subcontract a portion of the work seek out small business enterprises that are potential subcontractors, suppliers, or consultants, and actively solicit their interest, capability , and prices.
Addenda
The City makes a concentrated effort to ensure any addenda issued relating to these Specifications are distributed to all interested parties. It shall be the Proposer's responsibility to inquire as to whether any addenda to the Specifications have been issued. Upon issuance by the City, all addenda are part of the proposal. The signature page must be signed on all addenda.
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II – PROPOSAL AND CONTRACT DOCUMENTS
Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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Proposer's Name _____________________________
(Submit with Proposal)
CHE
CK LIST
Proposers are requested to submit this Checklist and the following information, providing the content in the sequence shown below. If the documentation provided is incomplete, the Proposer may be ineligible for award of a Contract.
RE
QUIRED
[X] 1. COVER LETTER
[X] 2. BUSINESS LICENSE INFORMATION, page 13
[X] 3. COST PROPOSAL, Attachment 1 (Excel spreadsheet)
[X] 4. PROPOSER QUALIFICATION QUESTIONNAIRE, page 15
[X] 5. REFERENCES, page 18
[X] 6. ACCEPTANCE OF INDEMNIFICATION & INSURANCE, page 19 [X] 7. DBE LISTING OF SUBCONTRACTORS, page 20
[X] 8. DEBARMENT AND SUSPENSION CERTIFICATION, page 22
[X] 9 . NONLOBBYING CERTIFICATION, page 23
[X] 10. TAX LIABILITY CERTIFICATION, page 24
[X] 11 . BUY AMERICA CERTIFICATION, page 25
[X] 12 . DISCLOSURE OF CONFLICT OF INTEREST, page 26
[X] 13. SIGNATURE PAGE, page 27
[_] 14. SAMPLE CERTIFICATION, page 29
[X] 15 . SAMPLE SERVICE CONTRACT, page 30
[_] 16 . PRE-PROPOSAL CONFERENCE (See pg. 4 for details) [X] 17. DRUG & ALCOHOL TESTING PROGRAM
A copy of your agency’s Drug and Alcohol program (see page 79) [X] 18. ADDENDA - Signature page of all Addenda issued [X] 19. OTHER REQUIRED DOCUMENTS:
a. ) Any applicable manufacturer’s Published Price List or website b.) The manufacturer’s descriptive literature and specifications or website c.) The manufacturer’s standard warranty
Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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Proposer's Name
(Submit with Proposal)
BUSINESS LOCATION AND LICENSE
BUSINESS LOCATION
The undersigned Proposer does not maintain a place of business in the City of Fresno.
The undersigned Proposer maintains a place of business in the City of Fresno at: , Fresno, CA
BUSINESS LICENSE
The undersigned Proposer has a current City of Fresno Business License and the number is .
If the successful Proposer does not have a City of Fresno Business License, he/she shall obtain such a license prior to the issuance of a Notice to Proceed for the Work and maintain in effect throughout the term of this Contract.
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COST PROPOSAL
Having carefully examined the Request for Proposals, attachments and related documents, the undersigned proposes and agrees to provide to the City of Fresno, in accordance with the Specifications annexed hereto and made a part thereof, the services contained in the Cost Proposal Excel Worksheet (Attachment 1) at the provided costs.
The amounts shall include any and all applicable taxes.
The quantities listed on the proposal page(s) are annual estimates. The actual requirements of the City may be more or less than the quantities specified and may vary from year to year. The City will report and pay for all vehicle tire miles actually operated during the term of the Contract.
The City will pay for loss and abuse of tires as stipulated per page 69, Section 10, Abuse of Tires.
The City reserves the right to reject any and all proposals.
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Proposer’s Name: _________________________
(Submit with Proposal)
PROPOSER QUALIFICATION QUESTIONNAIRE
The undersigned Proposer submits the following information in accordance with the proposal Specifications:
(Use additional sheets as needed.)
1. a. Business Name (If using more than one business name, please list all names.):
_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ b. Address: _____________________________________________________ Is your firm operating as a franchisee? Yes or No
If yes, list the franchiser, and number of years your business has been franchised:
_______________________________________________________________ _______________________________________________________________
2. Provide the names, titles, qualifications, years of experience, and years with your firm, for all key personnel in authority in your business, including the key personnel that will be involved in this project, and the extent to which they will be involved in the performance of this Contract.
_________________________________________________________________ _________________________________________________________________ _________________________________________________________________
3. How many years has your business been established? _____________________ How many years has your business been under your present name? ___________ How many years under former names? (List names and number of years) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
4. How many years has your business been providing services? ________________
5. Does your business operate contracts with other agencies/entities for similar services as requested by this RFP?
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
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Proposer's Name __________________________
(Submit with Proposal)
PROPOSER QUALIFICATION QUESTIONNAIRE (Continued)
6. What other types of services does your business provide? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
7. Do you have any affiliated companies? (If parent company, list subsidiaries and divisions. If subsidiary or division, name parent company, its principals, and their addresses):
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
8. Have there been any contract terminations for the services your firm performs before the fulfillment of the contract within the past three years? Yes or No
a. If so, list the date, client, and reason for termination below:
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
9. How much training and experience do your tire technicians have? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
10. Outline your support services including establishing direct lines of communication between City technical staff and the tire technician.
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
11. Provide past examples of corrective measures supplied for failure to meet minimum standards.
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
12. Explain how your company ensures full compliance with all required regulations. _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
13. Describe your company’s approach to ensuring quality and comprehensive tire inspections.
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Proposer's Name __________________________
(Submit with Proposal)
PROPOSER QUALIFICATION QUESTIONNAIRE (Continued)
14. Submit a comprehensive plan for addressing the requirements listed in the Scope of Work.
_____________________________________________________________________ _____________________________________________________________________
15. Provide an organization chart, indicating full-time personnel, job titles, locations, and whether each individual works out of an office or is in the field. _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
16. How does your company stay up to date with the latest industry trends and developments?
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
17. What differentiates your product or service from competitors, which attribute is most advantageous for FAX?
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
18. What is your company’s typical response times for resolutions to critical issues? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
19. Has your agency received any awards recognition, or commendations for past performance? Please share details.
_____________________________________________________________________ _____________________________________________________________________ Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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Proposer's Name ______________________________
(Submit with Proposal)
REFERENCES
Please list at least three references of similar size and type of services, including governmental agencies, if available.
1. AGENCY/COMPANY NAME:
ADDRESS:
CONTACT PERSON: PHONE NUMBER:
FAX NUMBER EMAIL
LENGTH OF CONTRACT: (YEARS)
TYPES OF SERVICES PROVIDED:
2. AGENCY/COMPANY NAME:
ADDRESS:
CONTACT PERSON: PHONE NUMBER:
FAX NUMBER EMAIL
LENGTH OF CONTRACT: (YEARS)
TYPES OF SERVICES PROVIDED:
3. AGENCY/COMPANY NAME:
ADDRESS:
CONTACT PERSON: PHONE NUMBER:
FAX NUMBER EMAIL
LENGTH OF CONTRACT: (YEARS)
TYPES OF SERVICES PROVIDED:
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Proposer's Name
(Submit with Proposal)
STATEMENT OF ACCEPTANCE OF THE INDEMNIFICATION
AND INSURANCE REQUIREMENTS
The Proposer shall sign below that the Proposer accepts in whole the Indemnification and Insurance Requirements set forth in these Specifications. If the Proposer takes exception to some portions, those portions shall be listed here below, and the Proposer shall sign that the Proposer accepts all portions of the requirements not listed.
Note: Any exceptions may cause a Proposer to not be awarded a contract.
ACCEPT
DO NOT ACCEPT
If "DO NOT ACCEPT" is checked, please list exceptions:
Signature of Authorized Person
_______________________________________
Type or Print Name of Authorized Person
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Proposer's Name _____________
(Submit with Proposal)
DISADVANTAGED BUSINESS ENTERPRISES (DBE) LISTING
Bidders are advised that, as required by federal law, the City is required to report to the Federal Transit Administration on DBE participation for all Federally aided contracts each year so the attainment efforts may be evaluated.
The proposal will be considered non-responsive if this form is not fully completed.
Complete all information below (whether DBE or not) and list all Subcontractor information including, without limitation, DBE’s that will perform any portion of the work or provide any products for this project, even if the dollar amount of the work the DBE will perform is less than one half (½) of one percent (1%) of the total bid amount.
Prime Contractor:
Name: _____________________________________________________________________________ Address: ___________________________________________________________________________ City: ________________________________ State: _______________Zip Code: __________________ Check one: ☐ DBE or ☐ Non-DBE DBE Cert Number: _____________________________________ Race of firm’s majority owner: ___________________________________________________________ Gender of firm’s majority owner: _________________________________________________________ NAICS code(s) (applicable to each scope of work the firm seeks to perform in its bid): ☐ Check if N/A Age of firm: _________________________________________________________________________ Annual Gross: ☐ less than $1 million ☐ $1-3 million ☐ $3-6 million ☐ $6-10 million ☐ over $10 million
Subcontractors: ☐ Check as N/A if a subcontractor(s) will not be used
Name:
Address:
City: State: Zip Code:
Check one: ☐ DBE or ☐ Non-DBE DBE Cert Number:
Race of firm’s majority owner:
Gender of firm’s majority owner:
NAICS code(s) (applicable to each scope of work the firm seeks to perform in its bid): ☐ Check if N/A
Age of firm: ________________________________________________________________________ Annual Gross: ☐ less than $1 million ☐ $1-3 million ☐ $3-6 million ☐ $6-10 million ☐ over $10 million Name:
Address:
City: State: Zip Code:
Check one: ☐ DBE or ☐ Non-DBE DBE Cert Number:
Race of firm’s majority owner:
Gender of firm’s majority owner:
NAICS code(s) (applicable to each scope of work the firm seeks to perform in its bid): ☐ Check if N/A
Age of firm: ________________________________________________________________________ Annual Gross: ☐ less than $1 million ☐ $1-3 million ☐ $3-6 million ☐ $6-10 million ☐ over $10 million Request for Proposals Requirements Contract for Radial Tire Leasing Services RFP No. 12502217
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Revised 10/16/24
Name:
Address:
City: State: Zip Code:
Check one: ☐ DBE or ☐ Non-DBE DBE Cert Number:
Race of firm’s majority owner:
Gender of firm’s majority owner:
NAICS code(s) (applicable to each scope of work the firm seeks to perform in its bid): ☐ Check if N/A
Age of firm: ________________________________________________________________________ Annual Gross: ☐ less than $1 million ☐ $1-3 million ☐ $3-6 million ☐ $6-10 million ☐ over $10 million
Name:
Address:
City: State: Zip Code:
Check one: ☐ DBE or ☐ Non-DBE DBE Cert Number:
Race of firm’s majority owner:
Gender of firm’s majority owner:
NAICS code(s) (applicable to each scope of work the firm seeks to perform in its bid): ☐ Check if N/A
Age of firm: ________________________________________________________________________ Annual Gross: ☐ less than $1 million ☐ $1-3 million ☐ $3-6 million ☐ $6-10 million ☐ over $10 million
Name:
Address:
City: State: Zip Code:
Check one: ☐ DBE or ☐ Non-DBE DBE Cert Number:
Race of firm’s majority owner:
Gender of firm’s majority owner:
NAICS code(s) (applicable to each scope of work the firm seeks to perform in its bid): ☐ Check if N/A
Age of firm: ________________________________________________________________________ Annual Gross: ☐ less than $1 million ☐ $1-3 million ☐ $3-6 million ☐ $6-10 million ☐ over $10 million
Name:
Address:
City: State: Zip Code:
Check one: ☐ DBE or ☐ Non-DBE DBE Cert Number:
Race of firm’s majority owner:
Gender of firm’s majority owner:
NAICS code(s) (applicable to each scope of work the firm seeks to perform in its bid): ☐ Check if N/A
Age of firm: ________________________________________________________________________ Annual Gross: ☐ less than $1 million ☐ $1-3 million ☐ $3-6 million ☐ $6-10 million ☐ over $10 million
NOTE: Use additional sheets if necessary Revised 10/16/24
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DEBARMENT AND SUSPENSION CERTIFICATION
Contractor and all subcontractors shall meet debarment, suspension, ineligibility, and voluntary exclusion requirements pursuant to Executive Order 12549. See Federal Requirements, of these Specifications. A list of excluded parties may be found at the following website:
https://sam.gov/content/home
Contractor shall return with its Proposal this form.
Note: Providing false information may result in criminal prosecution or administrative sanctions.
Date ____________________________________________________________ Signature______________________________________________________ Company Name_______________________________________________________ Title ___________________________________________________________
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NON-LOBBYING CERTIFICATION
LOBBY RESTRICTIONS
Certification for Contracts, Grants, Loans, and Cooperative Agreements (To be submitted with each bid or offer exceeding $100,000) The undersigned [Contractor] certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
__________________________ Signature of Contractor's Authorized Official __________________________ Name and Title of Contractor's Authorized Official __________________________ Date
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Federal Tax Liability and Recent Felony Convictions Certification
FTA Master Agreement Section 4(g)
The undersigned [Contractor] certifies, to the best of his or her knowledge and belief, that they and their organization:
1. Does not have any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority respons ible for collecting the tax liability; and
2. Was not convicted of felony criminal violation under any Federal law within the preceding 24 months.
The Contractor agrees to flow this requirement down to participants at all lower tiers, without regard to the value of any subagreement.
Date ___________________________________________________________
Signature_______________________________________________________
Company Name__________________________________________________
Title ___________________________________________________________
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BUY AMERICA CERTIFICATION
49 C.F.R. § 661.6, for the Procurement of Steel, Iron, or Manufactured Products
A bidder or offeror must submit the appropriate Buy America certification (below) with all bids or offers on FTA-funded contracts, except those subject to a general waiver. Bids or offers that are not accompanied by a completed Buy America certification must be rejected as nonresponsive.
Certificate of Compliance with 49 U.S.C. 5323(j)(1)
The bidder or offeror hereby certifies that it will comply with the requirements of 49 U.S.C. 5323(j)(1) and the applicable regulations in 49 C.F.R. part 661.
Date __________________________________________________________ Signature______________________________________________________ Company Name_________________________________________________ Title __________________________________________________________
OR
Certificate of Non-Compliance with 49 U.S.C. 5323(j)(1) The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C. 5323(j), but it may qualify for an exception to the requirement pursuant to 49 U.S.C. 5323(j)(2), as amended, and the applicable regulations in 49 C.F.R. § 661.7.
Date ________________________________________________________ Signature ____________________________________________________ Company Name _______________________________________________ Title _________________________________________________________
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DISCLOSURE OF CONFLICT OF INTEREST
YES* NO
1 Are you currently in litigation with the City of Fresno or any of its agents?
2 Do you represent any firm, organization, or person who is in litigation with the City of Fresno?
3 Do you currently represent or perform work for any clients who do business with the City of Fresno?
4 Are you or any of your principals, managers, or professionals, owners or investors in a business which does business with the City of Fresno, or in a business which is in litigation with the City of Fresno?
5 Are you or any of your principals, managers, or professionals, related by blood or marriage to any City of Fresno employee who has any significant role in the subject matter of this service?
6 Do you or any of your subcontractors have, or expect to have, any interest, direct or indirect, in any other contract in connection with this Project?
* If the answer to any question is yes, please explain in full below.
Explanation:
Signature
Date
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