SCHEDULE B - QUOTATION RFQ Title: DUCT CLEANING SERVICES – CITY WIDE RFQ No: 1220-040-2014-057 CONTRACTOR Legal Name: Address: Phone: Fax: Email: CITY OF SURREY City Representative: Richard D. Oppelt, Purchasing Manager Address: Surrey City Hall Finance & Technology Department – Purchasing Section Reception Counter – 5th Floor West 13450 - 104 Avenue Surrey, B.C., Canada, V3T 1V8 E-mail for PDF Files: purchasing@surrey.ca 1. If this Quotation is accepted by the City, a contract will be created as described in: (a) the Agreement; (b) the RFQ; and (c) other terms, if any, that are agreed to by the parties in writing. 2. Capitalized terms used and not defined in this Quotation will have the meanings given to them in the Agreement and RFQ. Except as specifically modified by this Quotation, all terms, conditions, representations, warranties and covenants as set out in the Agreement and RFQ will remain in full force and effect. Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 Page 96 of 103 3. I/We have reviewed the RFQ Attachment 1 – Draft Agreement. If requested by the City, I/we would be prepared to enter into that Agreement, amended by the following departures (list, if any): Section 4. Requested Departure(s) / Alternative(s) The City requires that the successful Contractor have the following in place before providing the Goods and 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 Contractor qualified coordinator is Name: _________________________ and Contact Number: __________________________; (c) Insurance coverage for the amounts required in the Agreement 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 see Standard Certificate of Insurance; (d) City of Surrey business license Number: ________________________________ (e) If the Contractor's Goods and Services are subject to GST, the Contractor's GST Number is _____________________________________; and (f) If the Contractor is a company, the company name indicated above is registered with the Registrar of Companies in the Province of British Columbia, Canada, Incorporation Number ______________________________________________. As of the date of this Quotation, we advise that we have the ability to meet all of the above requirements except as follows (list, if any): Requested Departure(s) / Alternative(s) 5. The Contractor acknowledges that the departures it has requested in Sections 3 and 4 of this Quotation 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. Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 Page 97 of 103 SECTION B-1 Changes and Additions to Specifications and Scope: 6. In addition to the warranties provided in the Agreement, this Quotation includes the following warranties: 7. I/We have reviewed the RFQ Attachment 1, Schedule A – Specifications of Goods and Scope of Services. If requested by the City, I/we would be prepared to meet those requirements, amended by the following departures and additions (list, if any): Requested Departure(s) / Alternative(s) / Addition(s) Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 Page 98 of 103 SECTION B-2 Fees and Payments 8. The Contractor offers to supply to the City of Surrey the Goods and Services for the prices plus applicable taxes as follows: 8.1 FEES Ship Via: F.O.B. Payment Terms: Destination 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. Freight Prepaid Site Number Year Facility Address Price Anticipated Facilities to be completed in 2014 1 2 2014 Fire Hall #2 2014 Guildford RCMP 13079 – 104th Ave 10395 – 148th $ $ 3 4 5 6 7 8 9 10 11 12 13 14 15 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 10588 – 160th Ave 13458 – 107A Ave 6090-176th Street 6090 – 176th St 5642 – 176A Ave 17572 – 57th Ave 14901 – 64th Ave 14923 – 64th Ave 8767 – 132 Street 14586 – 108th Ave 9049 – 152 Street 15996 – 84th Ave 13750 – 88th Ave $ $ $ $ $ $ $ $ $ $ $ $ $ 16 2014 13717 – 71st Ave $ 17 18 19 20 2014 2014 2014 2014 $ $ $ $ 21 2014 Whalley RCMP 22 2014 Fire Hall #12 13795 – 70th Ave 13775 – 70th Ave 12854 -17th Ave 2199 – 148th Street 10720 – King George Blvd 2610 – 128th Street Fraser Heights Recreation Centre Chuck Bailey Recreation Centre Cloverdale Arena Cloverdale Curling Club Cloverdale library Fire Hall #8 Fire Hall #9 Fire Training Centre Fire Hall #1 Fire Hall #4 Fire Hall #6 Fleetwood Recreation Centre Surrey Art Centre Newton Recreation Arena & Community Centre Newton Library Newton Seniors Ocean Park Library South Surrey Ice Arena Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 $ $ Page 99 of 103 Anticipated Facilities to be completed in 2015 23 24 25 26 27 28 29 30 31 32 33 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 Guildford Library Guildford Recreation Centre Surrey Museum Fire Hall #15 Strawberry Hill Library Fire Hall #18 RCMP Headquarters South Surrey Recreation Centre Semiahmoo Library & RCMP Fire Hall #10 Fire Hall #17 15105 – 105th Ave 15105 – 105th Ave 17710 – 56A Aven 18915 – 64th Ave 7399 - 122 Street 8091 – 164th Ave 14355 – 57th Ave 14601 – 20th Ave 1815 – 152nd Street 7278 – 132 Street 15329 – 32 Ave $ $ $ $ $ $ $ $ $ $ $ Anticipated Facilities to be completed in 2016 34 2016 City Centre Library 35 36 37 38 39 40 41 2016 2016 2016 2016 2016 2016 2016 Bridgeview Community Centre Don Christian Rec Centre Cloverdale Recreation Centre 1912 Archives Fire Hall #11 Hemlock Works Yard Sunnyside Community Centre 42 2016 Surrey Animal Care Centre 43 2016 Kensington Prairie Rec Centre 10350 University Drive 11475 – 126A Street 6620 – 184th Street 6188 – 176th Street 17671 – 56th Ave 12855 – 60th Ave 9353 – 160th Street 1845 – 154th Street 17910 Colebrook Road 16824 – 32nd Ave $ $ $ $ $ $ $ $ $ $ Additional Services – if needed Additional Services – Indoor Pools to be done at scheduled facility shut down 44 2014 South Surrey Indoor Pool 14655 – 17th Ave 45 2015 Surrey Sports and Leisure Complex 16555 Fraser Highway 46 2015 Newton Wave Pool 13730 – 72nd Ave $ $ $ Canadian Funds SUB. TOTAL: $ GST (5%): $ TOTAL QUOTATION PRICE: $ Discount if awarded all sites (1 – 46): _________________ Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 Page 100 of 103 SECTION B-3 Time Schedule: 9. Contractors should provide an estimated schedule, with major item descriptions and times indicating a commitment to provide the Goods and perform the Services within the time specified (use the spaces provided and/or attach additional pages, if necessary). ACTIVITY MILESTONE DATES __________________________________ SCHEDULE 1 2 3 4 5 6 7 8 9 10 N/A SECTION B-4 Key Personnel & Sub-Contractors: 10. Contractor 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: Project Name: Responsibility: 11. Contractor should provide the following information on the background and experience of all sub-contractors and material suppliers 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 Sub-Contractors & Material Suppliers Names Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 Years Of Working With Contractor Telephone Number And Email Page 101 of 103 SECTION B-5 Experience and References: 12. Contractor's relevant experience and qualifications in delivering Goods and Services similar to those required by the Agreement (use the spaces provided and/or attach additional pages, if necessary): 13. Contractor's relevant references (name and telephone number) (use the spaces provided and/or attach additional pages, if necessary). The City's preference is to have a minimum of three references. Previous clients of the Contractor may be contacted at the City’s discretion. 14. Contractor is to describe their sustainability initiatives relating to environmental impacts, the environmental attributes (Green) of their Goods and Services, any anticipated objectives (e.g. carbon neutral by 2014) and provide information pertaining to their environmental policies, programs and practices. The Contractor is to show how they currently comply with any of these applicable Green objectives. Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 Page 102 of 103 15. I/We the undersigned duly authorized representatives of the Contractor, having received and carefully reviewed the RFQ and the Agreement, submit this Quotation in response to the RFQ. This Quotation is offered by the Contractor this _______ day of _______________, 201_. CONTRACTOR I/We have the authority to bind the Contractor ________________________________________ (Legal Name of Contractor) _________________________________________ ________________________________________ (Signature of Authorized Signatory) (Signature of Authorized Signatory) _________________________________________ ________________________________________ (Print Name and Position of Authorized Signatory) (Print Name and Position of Authorized Signatory) This Quotation is accepted by the City this _______ day of _______________, 201_. CITY OF SURREY ________________________________________ (Signature of Authorized Signatory) ________________________________________ (Signature of Purchasing Representative _________________________________________ ________________________________________ (Print Name and Position of Authorized Signatory) (Print Name of Purchasing Representative) _________________________________________ (Signature of Authorized Signatory) _________________________________________ (Print Name and Position of Authorized Signatory) Duct Cleaning Services – City Wide RFQ #1220-040-2014-057 Page 103 of 103