SCHEDULE B – QUOTATION RFQ Title: Commercial Dumpster Services – Various Civic Facilities RFQ No: 1220-040-2014-036 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. Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Page 28 of 37 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. Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Page 29 of 37 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) Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Page 30 of 37 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: CITY OF SURREY - CIVIC FACILITIES Loc # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Address CITY CENTRE CITY RENTAL UNITS CLOVERDALE ARENA DON CHRISTIAN RECREATION CENTRE ELGIN CENTRE ELGIN HALL FIRE HALL #8 FIRE HALL #1 FIRE HALL #11 FIRE HALL #12 FIRE HALL#13 / SEMIAHMOO LIBRARY FIREHALL #15 FIRE HALL #17 FIRE HALL #18 FIRE HALL # 2 FIRE HALL #3 FIRE HALL #4 FIRE HALL #6 FIRE HALL #7 FIRE HALL #9 FLEETWOOD LIBRARY (Dumpster Rental and Waste Removal Services) Pickup Address2 Type Bin Size Days 10720 KING GEORGE HWY FE 3yd Sun Wed 10277 135 STREET FE 4yd Mon 6090 176TH STREET FE 6yd Mon 6220 184TH STREET FE 4yd Tue 3530 144TH STREET FE 3yd Thu 14250 CRESCENT ROAD FE 4yd Thu 17572 57TH AVENUE FE 3yd Tue 8767 132ND STREET FE 6yd Thu 12863 60TH AVENUE FE 3yd Thu 2610 128TH STREET FE 3yd Thu 15155 18th AVE FE 6yd Sat 18915 64th AVENUE FE 3yd Tue Fri 15329 32ND AVENUE FE 4yd Wed 8091 164TH STREET FE 4yd Sat 13079 104TH AVENUE FE 3yd Wed 11659 96TH AVENUE FE 3yd Thu 14586 108TH AVE FE 3yd Sat 9049 152ND STREET FE 3yd Sat 18922 88TH AVENUE FE 3yd Mon 14901 64TH AVENUE FE 3yd Tue 15996 84TH AVENUE FE 6yd Wed Sat Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Price Code Twice a week Once a week Once a week Once a week Once a week Once a week Once a week Once a week Once a week Once a week Once a week Twice a week Once a week Once a week Once a week Once a week Once a week Once a week Once a week Once a week Twice a week Page 31 of 37 Monthly Price Extra Price FRASER HEIGHTS RECREATION 22 CENTRE GUILDFORD PUBLIC LIBRARY / 23 RECREATION CE 24 NEWTON RCMP 25 NEWTON LIBRARY 26 NEWTON SENIORS 10588 160TH STREET FE 4yd Tue Thu Twice a week 15105 105TH AVENUE 7235 137TH ST 13795 70TH AVENUE 13775 70TH AVENUE FE FE FE FE 6yd 3yd 3yd 3yd 13730 72ND AVENUE 12854 17TH AVENUE 18885 88TH AVENUE 2199 148TH STREET 14655 17TH AVENUE 14601 20TH AVENUE 7399 122ND STREET FE FE FE FE FE FE FE 3yd 3yd 3yd 4yd 4yd 6yd 3yd 34 SURREY ARTS CENTRE 13750 88TH AVENUE FE 3yd 35 SURREY CIVIC RESTAURANT SURREY LEARNING & DISCOVERY 36 MUSEUM 37 SURREY CITY HALL 14327 56TH AVENUE FE 6yd Tue Fri Tue Thu Mon Thu Mon Wed Fri Mon Mon Mon Fri Mon Fri Fri Tue Mon Wed Fri Mon Wed Fri Twice a week Once a week Once a week Twice a week Three times a week Once a week Bi-Weekly Twice a week Twice a week Once a week Once a week Three times a week Three times a week 17710 56A AVENUE 14245 56TH AVENUE FE FE 4yd 6yd 38 SURREY RCMP 14355 57TH AVENUE FE 6yd 39 SSLC 40 FIRE HALL #10 16529 FRASER HIGHWAY 7278 132ND STREET FE FE 6yd 4yd 41 LEISURE AQUATICS 42 LEISURE AQUATICS *CDBD* 43 GUILDFORD RCMP 16555 FRASER HWY 16555 FRASER HWY 10395 148TH STREET FE -CBFE 4yd 4yd 4yd Tue Sat Fri Mon Wed Fri Mon Wed Fri Tue Mon Wed Fri Sun Fri Twice a week Bi-Weekly Three times a week Three times a week Once a week Three times a week Bi-Weekly Once a week 27 28 29 30 31 32 33 NEWTON WAVE POOL OCEAN PARK LIBRARY PORT KELLS LIBRARY SOUTH SURREY ARENA SOUTH SURREY POOL SOUTH SURREY RECREATION CENTRE STRAWBERRY HILL LIBRARY Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Page 32 of 37 44 CLAYTON COMMUNITY HALL 18513 70TH AVENUE FE 3yd Wed Bi-Weekly 45 46 47 48 49 50 NEWTON ARENA CHUCK BAILEY Kwomais Lodge/Hodge KENSINGTON PRAIRIE REC CENTER Fire Hall #14 CLOVERDALE REC CENTER 7120 136B STREET 13458 107A AVENUE 1367 128TH STREET 16824 32ND AVE 2016 176TH STREET 6188 176TH STREET FE FE FE FE FE FE 4yd 4yd 3yd 4yd 3yd 3yd 51 52 53 54 NORTH SURREY ARENA FIRE HALL #5 SURREY NATURE CENTRE BRIDGEVIEW COMMUNITY HALL 10275 135TH STREET 10042 176TH STREET 14255 96TH AVENUE 11475 126TH STREET 17944 COLEBROOK ROAD 14245 56TH AVENUE**CDBD** FE FE FE FE 4yd 4yd 3yd 4yd Thu Thu Thu Tue Tue Fri Mon Fri Mon Wed Fri Thu Wed Tue Once a week Once a week Once a week Once a week Twice a week Twice a week Three times a week Once a week Bi-Weekly Once a week FE 3yd Tue Fri Twice a week -CB- 8yd Compac tor 55 SURREY ANIMAL CENTRE CITY OF SURREY - CORPORATE 56 FACILITIES SURREY CITY HALL (NEW)/ CITY 57 CENTRE LIBRARY 13450 - 104TH Ave CURRENCY: Canadian On Demand on Demand Subtotal: $ GST 5%: $ TOTAL QUOTATION Note: Overheads, General Conditions and Profit are to be included in the above PRICE: amounts. $ The City reserves the right to add or delete sites as necessary. 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. Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Page 33 of 37 FOR ADDITIONAL SERVICES COST FOR EXTRA CONTAINERS AND PICK-UPS AS NEEDED [SPECIAL EVENT/SHORT TERM CONTAINERS] Dumpster Size (Cubic Yard) # of containers 2 3 4 6 1 1 1 1 The price includes all labour, material, equipment delivery and removal & disposal fees. Price per pickup $ $ $ $ ROLL-OFF CONTAINER SERVICES [EMPTIED UPON REQUEST] Cost Per Day Cost Per Week Cost Per Month Additional Charges Delivery: $ Flat Fee for 40 cu. yard roll-off container: Flat Fee for 30 cu. yard roll-off container: $ $ $ Removal: $ Delivery: $ $ $ $ Removal: $ Delivery: $ Flat Fee for 20 cu yard roll-off container: $ $ $ Removal: $ Delivery: $ Flat Fee for 15 cu yard roll-off container: $ $ $ Removal: $ Delivery: $ Flat Fee for 10 cu. yard roll-off container: $ $ $ Removal: $ Cost Per Tonne [Disposal Fee]: Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 $ Page 34 of 37 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, how long will it take to mobilize (use the spaces provided and/or attach additional pages, if necessary). MILESTONE DATES __________________________________ ACTIVITY 1 2 3 SCHEDULE 5 6 7 4 8 9 10 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 Years Of Working With Contractor Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Telephone Number And Email Page 35 of 37 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 to describe their sustainability initiatives relating to the environmental impacts. The environmental attributes (green) of their Goods and Services. Anticipated objectives (e.g. carbon neutral by 2014). Information pertaining to their environmental policies, programs and practices. Confirm that the Contractor complies with any applicable objective. Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Page 36 of 37 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) Commercial Dumpster Services - Various Civic Facilities RFQ #1220-040-2014-036 Page 37 of 37