SCHEDULE C - APPLICATION
Title:
SUPPLY, DELIVERY, INSTALLATION, AND MAKE FULLY OPERATIONAL
OF NEW FITNESS EQUIPMENT
RFA for SOA No.:
1220-060-2014-001
APPLICANT
CITY OF SURREY
Legal Name: ________________________________________
City’s Representative: Acting Purchasing & AP Manager.
Address: ___________________________________________
Address: 6645 – 148 St., Surrey, BC V3S 3C7
Phone: ____________________________________________
Phone: 604-590-7274
Fax: ______________________________________________
Fax:
Email: _____________________________________________
Email for PDF Files: purchasing@surrey.ca
1.
604-599-0956
NATURE OF A STANDING OFFER AGREEMENT
It is understood and agreed by the Applicant that should an 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 a purchase order (the
“Order”), for Goods and Services specified in the Order. The parties agree that the City may not place any orders for
Goods and Services with the Applicant for the duration of the agreement as set out in Schedule C Section 14. The
parties agree that the City may purchase identical or similar Goods and Services from any other source.
For the following, use the spaces provided and/or attach additional pages as necessary.
2.
The Applicant offers to supply to the City of Surrey the Goods and Services for the prices plus applicable taxes as
follows:
F.O.B.
Destination
Payment Terms:
Ship Via:
Freight Prepaid
days, or the ___ day of the month following, or net 30 days, on a best
A cash discount of ____% will be allowed if invoices are paid within ___
effort basis.
Line Item
Equipment Requested
TABLE A
CARDIO
A1
A2
Treadmills
Treadmills (4 with full
hand rails)
A3
Make/Model
Manufacturer
Lead
Time
Warranty
(STATE)
Anticipated
Quantity
Unit of
Measure
Unit
Price
Installation
Cost
Total
(Excl. PST +
GST)
12
Each
$
$
$
4
Each
$
$
$
Ellipticals
8
Each
$
$
$
A4
Ellipticals - octane lateral X
2
Each
$
$
$
A5
Ellipticals- recumbent
4
Each
$
$
$
A6
6
Each
$
$
$
A7
Upright Bikes
Recumbent Bikes (step
Thru)
5
Each
$
$
$
A8
Rowers
2
Each
$
$
$
A9
AMTs
2
Each
$
$
$
A10
Steppers
2
Each
$
$
$
A11
Step Mill
1
Each
$
$
$
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
PAGE 43 OF 51
A12
Arm Ergometer
1
Each
A13
Spin Bikes
2
Each
$
$
$
$
B1
SELECTORIZED EQUIPMENT / CABLE
EQUIPMENT
8 stack multi station cable
cross- Lat, seated rowdual cable, reg cable, hi
low pulley x 2
1
Each
$
$
$
B2
Chin Dip / assist
1
Each
$
$
$
B3
Chess Press unilateral
1
Each
$
$
$
B4
1
Each
$
$
$
B5
Rear Fly or Pec Fly
Seated hamstring curl
unilateral (seated
hamstring curl & leg
extension)
1
Each
$
$
$
B6
Leg Press
1
Each
$
$
$
B7
3
Each
$
$
$
B8
Dual Cable cross
Utility Rack for
attachments
2
Each
$
$
$
B9
Functional Training Unit
1
Each
$
$
TABLE C
LIGHTER SELECTORIZED
EQUIPMENT
C1
Chest Press
1
Each
$
$
$
C2
Chest Fly / rear delt
1
Each
$
$
$
C3
Leg Press
1
Each
$
$
$
C4
Mid back row unilateral
1
Each
$
$
$
C5
Hi Pull / Lat Pull
1
Each
$
$
$
C6
Leg Curl
1
Each
$
$
TABLE B
TABLE D
D2
D3
D4
FREE WEIGHTS AND
BENCHES
Adjustable Benches (flat incline)
Set of urethane dumbbells
5-25 lbs. (2.5 increments)
+ 30lb
Dumbbell Racks for 5-25 +
30 rack
$
$
SUBTOTAL
(excluding PST and GST)
$
SUBTOTAL
(excluding PST and GST)
$
SUBTOTAL
(excluding PST and GST)
8
Each
$
$
$
2
Set
$
$
$
2
Each
$
$
$
2
Set
$
$
$
D6
Set of urethane dumbbells
5-75 lbs. (5 lb. increments)
Dumbbell Racks for 5-75
lbs.
2
Each
$
$
$
D7
Easy Curl Bars (barbell set
fixed + rack 15-110)
1
Set
$
$
$
D8
Preacher Curl Bench
1
Each
$
$
$
D9
Barbell set (20-110) + Rack
(Straight Bars)
1
Each
$
$
FUNCTIONAL EQUPMENT
Plyo Boxes (5 set of
adjustable)
1
$
$
D5
TABLE E
E1
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
$
SUBTOTAL
(excluding PST and GST)
Set
$
PAGE 44 OF 51
E2
TRX s
21
Set
$
$
$
E3
Resistance Bands
10
Each
$
$
$
E4
Balance Boards
3
Each
$
$
$
E5
3
Each
$
$
$
E6
Skipping Ropes
Exercise Balls (various
sizes)
10
Each
$
$
$
E7
Rack for exercise balls
1
Each
$
$
$
E8
Medicine Balls + rack
1
Each
$
$
$
E9
Foam Rollers?
2
Set
$
$
$
E10
Bosu Balls
3
Each
$
$
$
E11
Agility Ladder
1
Each
$
$
$
E12
Mats- (stretching)
6
Each
$
$
$
F13
1 set of Body Bars
0
Each
$
$
TABLE F
FITNESS STUDIO
F1
Yoga Mats
40
Each
$
$
$
F2
Yoga Blocks
40
Each
$
$
$
F3
Yoga Straps
40
Each
$
$
$
F4
20
Each
$
$
$
F5
Yoga bolsters
Steps + Risers (4 risers per
step)
20
Set
$
$
$
F6
Exercise Balls (55cm)
15
Each
$
$
$
F7
Exercise Balls ( 65cm)
15
Each
$
$
$
F8
Exercise Balls (75cm)
10
Each
$
$
$
F9
Resistance Bands (various
resistances)
40
Each
$
$
$
F10
Exercise Ball Rack
1
Each
$
$
$
F11
Weighted Bars (3 lbs.)
10
Each
$
$
$
F12
Weighted Bars (6 lbs.)
10
Each
$
$
$
F13
Weighted Bars (9 lbs.)
10
Each
$
$
$
F14
Weighed Bars (12 lbs.)
10
Each
$
$
$
F15
1
Each
$
$
$
F16
Weighted Bar Rack
Jellybells Weights 2.5-15
lbs.
2
Set
$
$
$
F17
Jellybell racks with casters
2
Each
$
$
$
F18
Skipping Ropes
40
Each
$
$
$
F19
Clocks with Second Hands
2
Each
$
$
$
F20
Digital Interval Timers
2
Each
$
$
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
$
SUBTOTAL
(excluding PST and GST)
$
SUBTOTAL
(excluding PST and GST)
PAGE 45 OF 51
PRICE SUMMARY
A
B
C
D
E
F
TABLE A:
TABLE B:
TABLE C:
TABLE D:
TABLE E:
TABLE F:
CARDIO
SELECTORIZED EQUIPMENT / CABLE EQUPMENT
LIGHTER SELECTORIZED EQUIPMENT
FREE WEIGHTS AND BENCHES
FUNCTIONAL EQUIPMENT
FITNESS STUDIO
G
H
I
J
$___________
$___________
$___________
$___________
$___________
$___________
Subtotal (A+B+C+D+E+F)
Delivery and and Installation Cost, If Applicable
Plus PST (7%)
Plus GST (5%)
K
$___________
$___________
$___________
$___________
Total Application Price
Including Installation, PST+GST (G+H+I+J) $___________
List of Separate Prices:
The following is a list of Separate Price(s) and forms part of this RFA for SOA, upon the acceptance of any or all of the
Separate Price(s). The Separate Prices are an addition or a deduction to the Total Application Price and do not include
taxes. DO NOT state a revised Total Application Price.
Provide Separate Price for Extended Warranty options (length of warranty and pricing)
OPTION 1______________________________________
$[
]
OPTION 2______________________________________
$[
]
OPTION 3______________________________________
$[
]
If the prices shown above are only open to a particular date, please indicate the date: ___________________
Force Account Labour and Equipment Rates:
Applicants should complete the following tables setting out the all-inclusive hourly rates including overhead and profit for
approved extras/credits and non-warranty maintenance and service for all applicable categories of labour (use the spaces
provided and/or attach additional pages, if necessary):
Table 1 – Schedule of Labour Rates:
Please use the space below to provide labour categories and their hourly cost that are not already listed.
Labour Category
Straight Time/hr (Plus GST)
Overtime Rate/hr (Plus GST)
.1 Certified Technician
$
$
.2 Apprentice
$
$
.3 Helper
$
$
.4
$
$
.5
$
$
.5
$
$
.6
$
$
.7
$
$
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
PAGE 46 OF 51
Table 2 – Schedule of Equipment Rates:
No.
Equipment Description
Hourly Rate
$
$
3.
4.
If this Application is accepted by the City, a contract will be created as described in:
(a)
the Agreement;
(b)
this RFA for SOA; and
(c)
other terms, if any, that are agreed to by the parties in writing.
Capitalized terms used and not defined in this Application will have the meanings given to them in the Agreement and RFA
for SOA.
Except as specifically modified by this Application, all terms, conditions, representations, warranties and
covenants as set out in the Agreement and RFA for SOA will remain in full force and effect.
5.
Experience and References
Applicants shall be competent and capable of delivery, supply and installation of the new equipment and performing the
services requested. Contracts indicated below should be of a similar size and scope preferably with other public entities.
Experience and Reference 1
Supply Contract Description
Start and Completion Date:
Approximate Value:
Firm Name:
Reference Contact:
Telephone:
E-mail:
Comments
Experience and Reference 2
Supply Contract Description
Start and Completion Date:
Approximate Value:
Firm Name:
Reference Contact:
Telephone:
E-mail:
Comments
Experience and Reference 3
Supply Contract Description
Start and Completion Date:
Approximate Value:
Firm Name:
Reference Contact:
Telephone:
E-mail:
Comments
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
PAGE 47 OF 51
6.
Equipment:
(i)
Provide detailed information to demonstrate that the Fitness Equipment proposed is commercial grade
quality strength, cardio and movement equipment. It is the Applicants responsibility to provide evidence that
substantiates that the product they are proposing under each category meets or exceed the commercial
grade quality standard.
(ii)
Fitness Equipment proposed shall be suitable for an aquatic environment and must be adaptable for all
users with emphasis on options that accommodate people over 300lbs, elderly and people with mobility
issues.
Have you included information on the suitability of the equipment as part the submission?
_____Yes _____No
(iii)
Applicants are to include with their response a letter issued by the manufacturer of the product(s) they are
proposing, certifying that the Applicant is fully authorized to sell, service and provide warranty support for
the proposed Fitness Equipment;
Have you included the letter issued by the manufacturer of the equipment(s) proposed? _____Yes _____No
(iv)
All costs associated with Equipment are to be submitted on [Schedule C, Section 2].
(v)
Describe all environmental “Green” certification, innovations in manufacturing, and any other benefits that
contribute to the overall best value of the equipment proposed. (Provide any available information regarding
the origin of the equipment and if recycled materials were used in the manufacturing process.)
7.
Training:
(i)
Provide a description of the procedure for training the end user in a newly acquired Fitness Equipment
operation, including maintenance training.
(ii)
Outline concise description of proposed City Staff training on equipment care and use including daily
maintenance checks & cleaning instructions.
(iii)
Provide information if City Staff can perform preventative maintenance device without voiding the warranty
and information how training would be provided.
8.
Applicant should provide information on the background and experience of all key personnel proposed to provide the
Goods and Services (use the spaces provided and/or attach additional pages, if necessary):
Key Personnel
Name:
______________________________________________________________________
Experience:
Dates:
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
PAGE 48 OF 51
Project Name:
Responsibility:
9.
Buy Back
At the end of the purchased equipment’s life cycle, the City may replace the equipment. Provide information on your
company’s buy-back program and the value that the City would receive on further replacement purchases.
10. Equipment Durability and Lifespan – Only commercial grade quality equipment designed for steady use on a daily
basis is suited for our environment. Provide your equipment durability and lifespan details.
11. Parts Service and Support - Applicants should include a listing of their parts depot locations throughout British
Columbia. Include name of the distributor, if not your own location and provide the address and contact information.
12. Functionality – Equipment to be biomechanically sound, adaptable to diverse customer base (experience, body
size, training and rehab needs). Please advise how your solutions match these requirements.
13.
Warranty:
(i)
For each Fitness Equipment proposed, include details of any warranty offered. This information should
include length of warranty, various types of warranty, including parts and service covered.
(ii)
Applicants to state when warranty does not apply or becomes void on each piece of Fitness Equipment.
Preventative Maintenance Provided by the Applicant During Warranty Period:
(i)
Provide information on what is included in a Preventative Maintenance Service.
_________________________________________________________________________________________
_________________________________________________________________________________________
(ii)
All costs associated with Preventative Maintenance. During the warranty period, it is the responsibility of the
Applicant.
________________________________________________________________________________________
________________________________________________________________________________________
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
PAGE 49 OF 51
14.
Allowance for Re-orders:
(i)
Upon successful completion of this initial project, the City may be interested in purchasing additional Fitness
Equipment for various facilities. For future orders and budgetary purposes the City would like a commitment
of firm pricing for three (3) years.
Can you guarantee pricing for three years through December 31, 2016? _____Yes _____No
(ii)
If you cannot guarantee pricing for three years, can you specify a period of time for guaranteed prices?.
_____Yes _____number of years. _____No
(iii)
If you cannot guarantee pricing, provide a maximum percentage increase per year. ____%.
15. Comment on the following topics related to the equipment.
16.
(a)
Trends
(b)
Technology
(Network capabilities – Bluetooth, Wi-Fi, Television/Cable, etc.)
(c)
Aesthetics
(Exclusive of Console viewing/Television)
(d)
Maintenance
(Automatic alerts to change worn parts or for preventative maintenance)
I/We have reviewed the Agreement. If requested by the City, I/we would be prepared to enter into an Agreement,
amended by the following departures (list, if any):
Section
17.
Departure / Alternative
The City of Surrey requires that the successful Applicant have the following in place before commencing the
Services:
(a)
Workers’ Compensation Board coverage in good standing and further, if an “Owner Operator” is involved,
personal operator protection (P.O.P.) will be provided,
Workers' Compensation Registration Number ___________________________;
(b)
Prime Applicant qualified coordinator is Name:
___________________ and Contact Number:
________________________.
(c)
Insurance coverage for the amounts required in the proposed Contract 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 web site at www.surrey.ca (search "Insurance Certificates") titled City of Surrey Certificate of
Insurance Standard Form);
d)
City of Surrey business license;
e)
If the Applicant’s Goods and Services are subject to GST, the Applicant’s GST number is
_________________________________; and,
f)
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 ___________________.
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
PAGE 50 OF 51
As of the date of this submission, we advise that we have the ability to meet all of the above requirements except as
follows (list, if any):
Section
18.
Requested Departure(s) / Alternative(s)
I/We offer the following alternates to improve the Services described in the RFA for SOA (list, if any):
Section
Requested Departure(s) / Alternative(s)
19. The Applicant acknowledges that the departures it has requested in Sections 16,17, and 18 of this Application will not form
part of the Agreement unless and until the City agrees to them in writing by initialing or otherwise specifically consenting in
writing to be bound by any of them.
20. I/We the undersigned duly authorized representatives of the Applicant, having received and carefully reviewed the
RFA for SOA and the Agreement, submit this Application in response to the RFA for SOA
This Application is offered by the Applicant this ___________ day of ___________________, 2014.
APPLICANT
I/We have the authority to bind the Applicant.
____________________________________________
(Legal Name of Applicant)
____________________________________________
(Signature of Authorized Signatory)
__________________________________________
(Signature of Authorized Signatory)
____________________________________________
(Print Name and Position of Authorized Signatory)
__________________________________________
(Print Name and Position of Authorized Signatory)
Request for Standing Offer (Goods and Services) No. 1220-060-2014-001
PAGE 51 OF 51