SCHEDULE C APPLICATION FOR A
STANDING OFFER AGREEMENT
Request For Standing Offer Title: SEWAGE PUMP STATION – ELECTRICAL PUMP, MOTORS
AND MECHANICAL EQUIPMENT MAINTENANCE AND REPAIR
Request For Standing Offer No.:
1220-060-2013-002
APPLICANT:
CITY OF SURREY:
Legal Name: _________________________________
Address:
_________________________________
_________________________________
_________________________________
Kam Grewal, CMA, BBA, Corporate Audit Manager
Acting Purchasing & Accounts Payable Manager
City of Surrey, City Operations Works Yard
Purchasing Section, 1st Floor
Address: 6645 – 148th Street, Surrey, BC V3S 3C7
Phone:
Fax:
E-mail:
_________________________________
_________________________________
_________________________________
Phone:
604-590-7274
Fax:
604-599-0956
E-mail for PDF Files: purchasing@surrey.ca
1.
It is understood and agreed by the Applicant that should this Application be selected by the City, it will
result in a Standing Offer only and the Goods and Services will be ordered by the City solely on an
"as and when required" basis. The aggregate value of Goods and Services which may be ordered is
conditional upon the needs of the City. No compensation will be accrued, owed or paid to any
Applicant in the event that the Goods and Services are not ordered. If a Standing Offer is executed
by the City, at the sole option of the City, the City may place an Order, a sample of which is attached
as Schedule D, for Goods and Services specified in the Order and the Applicant agrees to provide
those Goods and Services. The parties agree that the City may not place any Order for Goods and
Services with the Applicant for the duration of the term of the Standing Offer. The parties agree that
the City may purchase identical or similar Goods and Services from any other source.
2.
The Applicant offers to supply to the City of Surrey the Goods and Services for the prices plus
applicable taxes as follows:
The Applicant should provide detailed pricing in the form set out below and may add additional lines
to describe any other costs the Applicant would expect to recover from the City with respect to the
provision of the Goods and Services as set out in Schedule A – SPECIFICATIONS OF GOODS AND
SCOPE OF SERVICES.
The City is looking to establish baseline pricing to be used in the evaluation process and as budget
information on future projects arising out of this RFASOA.
A.
Labour Rates (Regular Business Hours):
The Applicant should provide an all-inclusive pricing. Labour rates range for regular business
hours:
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REGULAR BUSINESS HOURS
PERSONNEL HOURLY RATES:
Millwrights (Tradesperson)
Total Number of Staff Employed
Technicians
Total Number of Staff Employed
Helpers
Total Number of Staff Employed
¹Hourly Rate ¹Daily Rate
¹Weekly Rate
$__________ $__________ $__________
__________________
$__________ $__________ $__________
__________________
$__________ $__________ $__________
__________________
OTHER (PLEASE STATE):
______________
Total Number of Staff Employed
______________
Total Number of Staff Employed
$__________ $__________ $__________
__________________
$__________ $__________ $__________
__________________
B. AFTER HOURS RATES:
The fixed hourly charge that will be imposed by the Contractor for responding to an after regular
working hours and emergency call out is as follows:
Hourly Rates
Millwrights (Tradesperson)
$__________
Technicians
$__________
Helpers
$__________
OTHER (PLEASE STATE):
_______________
$__________
_______________
$__________
After Hours rates apply at what time:
Between ______________________ hrs. & _____________________ hrs. Monday to Friday
And Between __________________ hrs. & ______________________ hrs. Weekends and Holidays
C. EMERGENCY CALL-OUT RATE:
The rate for emergency call out is $ _________________________________ / hr.
The Minimum charge for an emergency call out is $ _________________________________.
Trip Charge for an emergency call out is $ ________________________________________
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CHARGE OUT TIME IS TO BE MEASURED FROM ARRIVAL AT JOBSITE TO
COMPLETION OF WORK AT JOBSITE.
D. MATERIAL PRICE CHANGES:
Describe how changes in materials prices happen, and time frame for new prices to be applied:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Percent of mark up on repair parts including overhead and profit is ___%.
Percent discount on equipment purchase is ___% (Equipment pre-approved by the City).
Sub-Contractor mark-up percentage is ____________ %.
Payment Terms: A cash discount of ____% will be allowed if invoices are paid within ___ days, or
the ___ day of the month following, or net 30 days, on a best effort basis.
3.
If this offer is accepted by the City, such offer and acceptance will create a contract as described in:
(a) the Request;
(b) the specifications set out above and in Schedule A of the Request;
(c) the General Terms and Conditions;
(d) this Application;
(e) an Order (if any); and
(f) other terms, if any, that are agreed to by the parties in writing.
4.
Capitalized terms used and not defined in this Application will have the meanings given to them in the
Standing Offer.
Except as specifically modified by this Application, all terms, conditions,
representations, warranties and covenants as set out in the Standing Offer will remain in full force and
effect.
5.
In addition to the warranties provided in the General Terms and Conditions this offer includes the
following warranties:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
6.
Applicant's relevant experience and qualifications in delivering Goods and Services similar to those
required by the Request (use the spaces provided and/or attach additional pages, if necessary):
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Additional Information:
Please state how many employees you have in your company: __________
Please state the combined experience of your employees: ______________
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Please state years your company has been in business: __________
Are you able to provide reporting to the City?
Yes _________ No ________
If yes, please state what you can report and in what format would the reporting be delivered to
the City?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
is there anything else about your company’s experience whether directly or indirectly relevant that
you believe would be useful background information if you were to be advanced.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Technical Capacity and Capability:
Applicants equipment servicing resources, capability and capacity, as relevant.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
7.
Applicant's references (name and telephone number) (use the spaces provided and/or attach
additional pages, if necessary). For each reference listed, provide a brief description of the service(s)
provided and relevance to the City’s requirements. The City's preference is to have a minimum of
three references:
REFERENCE #1:
Customer Reference Name:
Contact Name:
Title:
Phone:
Email address:
Project Name and Description
Year of Project Implementation:
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REFERENCE #2:
Customer Reference Name:
Contact Name:
Title:
Phone:
Email address:
Project Name and Description
Year of Project Implementation:
REFERENCE #3:
Customer Reference Name:
Contact Name:
Title:
Phone:
Email address:
Project Name and Description
Year of Project Implementation:
8.
Applicant should provide information on the background and experience of all key personnel
proposed to provide the Services (use the spaces provided and/or attach additional pages, if
necessary):
Key Personnel
Name:
Experience:
Dates:
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Project Name:
Responsibility:
9.
Applicant should provide the following information on the background and experience of all subApplicants proposed to undertake a portion of the Goods and Services (use the spaces
provided and/or attach additional pages, if necessary):
Description Of Goods &
Services
10.
Sub-Contractor’s Name
Years Of
Working With
Applicant
Telephone Number
And Email
I/We have reviewed the proposed Standing Offer Agreement attached to this RFASOA as Schedule
B. If requested by the City, I/we would be prepared to enter into an agreement that incorporates the
General Terms and Conditions of the Standing Offer Agreement, amended by the following
departures (list, if any):
Section
Requested Departure / Alternative(s)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
11.
The City of Surrey requires that the successful Applicant have the following in place before
providing the Goods and Services:
a)
b)
c)
d)
e)
f)
Workers’ Compensation Board coverage in good standing and further, if an “Owner Operator”
is involved, personal operator protection (P.O.P.) will be provided,
Worker’s Compensation Registration Number _____________________________________;
Prime Contractor qualified coordinator is Name :________________ and Contact Number:
________________________________;
Insurance coverage for the amounts required in the Standing Offer as a minimum, naming the
City as additional insured and generally in compliance with the City’s sample insurance
certificate form available on the City's Website Standard Certificate of Insurance;
City of Surrey business license;
If the Applicant’s Goods and Services are subject to GST, the Applicant’s GST Number is
_______________; and
If the Applicant is a company, the company name indicated above is registered with the
Registrar of companies in the Province of British Columbia, Canada, Incorporation Number
________________________________.
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As of the date of this Application, we advise that we have the ability to meet all of the above
requirements except as follows (list, if any):
Section
Requested Departure / Alternative(s)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Ideally a single point of contact to respond quickly to requests and issues. Applicant should have an
individual(s) who are accountable for customer service. Please identify that individual(s).
Emergency/After Hours
Contact Person/s
Phone No./s
NOTE: A 24 hour phone number must be provided during and after regular business hours.
Vacation & Illness
Services must be provided during regular working hours on a continuous basis.
State how this requirement will be accomplished.
12.
The Applicant acknowledges that the departures it has requested in Sections 10 and 11 of this
Application will not form part of the Agreement unless and until the City agrees to them in writing by
initialling or otherwise specifically consenting in writing to be bound by any of them.
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13.
I/We the undersigned duly authorized representatives of the Applicant, having received and carefully
reviewed the Request including without limitation the General Terms and Conditions, submit this
Application in response to the Request.
This Application is offered by the applicant this _____ day of _______________, 2013.
APPLICANT
I/We have the authority to sign on behalf of the applicant.
________________________________________
(Legal Name of Applicant)
________________________________________ _______________________________________
(Signature of Authorized Signatory)
(Signature of Authorized Signatory)
____________________________________
(Print Name and Position of Authorized Signatory)
RFASOA 1220-060-2013-002
________________________________________
(Print Name and Position of Authorized Signatory)
Page 34 of 36
ORDER
STANDING OFFER AGREEMENT
SCHEDULE D
Order Date: _________________________________________________
City of Surrey P.O. #:
__________________
Standing Offer Agreement No.: _______________ (the 'Standing Offer")
CONTRACTOR
Legal Name:
Address:
Phone:
Email:
CITY OF SURREY
City’s Representative:
Address:
Phone:
Email:
In consideration of the mutual covenants contained herein, the parties agree as follows:
1.
Ordering of Goods and Services. The City orders and the Contractor agrees to provide the Goods and Services described as follows in accordance with the terms and
conditions of the Standing Offer and this Order:
Project Location: _____________________________
Payment Terms:
Work Order # _ _ _ _ _ _ _ _ _ _
A cash discount of ____% will be allowed if invoices are paid within ___ days, or the ___ day
of the month following, or net 30 days, on a best effort basis.
General Ledger # _ _ _ - _ _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _
PROJECT DESCRIPTION:
______________________________________________________
______________________________________________________
______________________________________________________
LABOUR:
1. Millwrights (Tradesperson)
2. Technicians
3. _______________________________
4. _______________________________
5. _______________________________
MATERIALS:
____________________________
__________________________________________________
# of Hours,
or # of Days,
or # of
Weeks.
B
Initial Term September 1, 2013 to
August 30, 2014
Personnel Hourly Rates
Hourly
C
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$_________
$_________
$_________
$_________
$_________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$_________
$_________
$_________
$_________
$__________
$__________
$__________
$__________
# of Persons/
Equipment
A
Total Amount
[A x B x C)
__________________________________________________
CURRENCY: Canadian $
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Subtotal:
$
GST (5%):
$
PST (7%):
$
TOTAL:
$
2.
Time. The Contractor will commence the goods and Services on ___________________________, and will complete the Goods and Services
on or before _________________________, or in accordance with the attached time schedule.
3.
Interpretation. Capitalized terms used and not defined in this Order will have the meanings given to them in the Standing Offer. Except as
specifically modified by this Order, all terms, conditions, representations, warranties and covenants as set out in the Standing Offer will remain
in full force and effect. In the event of any conflict or inconsistency between the provisions of this Order and the provisions of the Standing
Offer, the provisions of this Order will govern.
4.
Miscellaneous. This Order may be executed in one or more counterparts, in original or telecopied form, each of which shall be deemed to be
an original and which taken together will be deemed to constitute one and the same document.
THIS ORDER is executed by the Contractor this ___________ day of ___________________, 201_.
I/We have the authority to bind the Contractor.
CONTRACTOR
by its authorized signatory(ies):
___________________________________________
(Signature of Authorized Signatory)
_______________________________________
(Signature of Authorized Signatory)
___________________________________________
(Print Name and Position of Authorized Signatory)
___________________________________________
(Print Name and Position of Authorized Signatory)
THIS ORDER is executed by the City of Surrey this _________ day of _________________, 201_.
CITY OF SURREY
by its authorized signatory:
___________________________________________
(Signature of Authorized Signatory)
___________________________________________
(Print Name and Position of Authorized Signatory)
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