SCHEDULE C – FORM OF PROPOSAL
RFP Project Title:
Natural Gas Supply and Management Services
RFP Reference No.:
1220-030- 2012-042
Name of Proponent:
Contact Person and Title:
Business Address:
Telephone:
Fax:
E-Mail Address:
TO:
City Representative:
Kam Grewal, CMA, BBA, Corporate Audit Manager, Acting
Purchasing and Accounts Payable Manager
Address:
City of Surrey, City Operations Works Yard,
Purchasing Section, 1st Floor
6645-148 Street, Surrey, BC Canada V3S 3C7
604-590-7274
Telephone:
Dear Sir:
1.0
I/We, the undersigned duly authorized representative of the Proponent, having
received and carefully reviewed all of the Proposal documents, including the RFP and
any issued addenda, and having full knowledge of the Site, and having fully informed
ourselves as to the intent, difficulties, facilities and local conditions attendant to
performing the Services, submit this Proposal in response to the RFP.]
2.0
I/We confirm that the following schedules are attached to and form a part of this
Proposal:
Schedule C-1 – Statement of Departures;
Schedule C-2 – Proponent’s Experience, Reputation and Resources;
Schedule C-3 – Proponent’s Technical Proposal (Services);
Schedule C-4 – Proponent's Technical Proposal (Schedule) – not applicable; and
Schedule C-5 – Proponent’s Financial Proposal.
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3.0
I/We confirm that this proposal is accurate and true to best of my/our knowledge.
4.0
I/We confirm that, if I/we am/are awarded the agreement, I/we will at all times be the
“prime contractor” as provided by the Worker's Compensation Act (British Columbia) with
respect to the Services. I/we further confirm that if I/we become aware that another
contractor at the place(s) of the Services has been designated as the “prime contractor”,
I/we will notify the City immediately, and I/we will indemnify and hold the City harmless
against any claims, demands, losses, damages, costs, liabilities or expenses suffered by
the City in connection with any failure to so notify the City.
This Proposal is submitted this _____________________ day of _________________, 20__.
I/We have the authority to bind the Proponent.
_______________________________________
(Name of Proponent)
__________________________________
(Name of Proponent)
_______________________________________
(Signature of Authorized Signatory)
__________________________________
(Signature of Authorized Signatory)
_______________________________________
(Print Name and Position of Authorized
Signatory)
(Print Name and Position of Authorized
Signatory)
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SCHEDULE C-1 - STATEMENT OF DEPARTURES
1.
I/We have reviewed the proposed Contract attached to the RFP as Schedule “B”. If
requested by the City, I/we would be prepared to enter into that Contract, amended by
the following departures (list, if any):
Section
2.
Requested Departure(s) / Alternative(s)
The City of Surrey requires that the successful Proponent have the following in place
before commencing the 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,
Workers' Compensation Registration Number
_________________________________________;
Prime Contractor qualified coordinator is Name: __________________ and
Contact Number: ______________;
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 Website
Standard Certificate of Insurance;
City of Surrey business license;
If the Proponent's Goods and Services are subject to HST, the Proponent's HST
Number is ____________________________________; and
If the Proponent 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 Proposal, we advise that we have the ability to meet all of the
above requirements except as follows (list, if any):
Section
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Requested Departure(s) / Alternative(s)
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3.
I/We offer the following alternates to improve the Services described in the RFP (list, if
any):
Section
4.
Requested Departure(s) / Alternative(s)
The Proponent acknowledges that the departures it has requested in Sections 1, 2 and 3
of this Schedule C-1 will not form part of the Contract 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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SCHEDULE C-2 - PROPONENT’S EXPERIENCE, REPUTATION AND RESOURCES
Proponents should provide information on the following (use the spaces provided and/or
attach additional pages, if necessary):
(i)
Proponent’s background, stability and structure and the location of its branches;
(ii)
Proponent’s relevant natural gas brokering/management experience and
qualifications in delivering Services similar to those described in the RFP;
(iii)
Proponent’s business model and services offered, including how your company
sets rates and fees and how clients are protected from market fluctuation;
(iv)
List of key personnel that would be assigned to provide the Services, including
their experience, background, qualifications and respective job titles; single point
of contact for the City, if the Proponent is awarded this contract;
(v)
References from organizations for which your company has provided similar
Services for at least three (3) years. Please include the name of the company
and the specific contact name and information. The City’s preference is to have
a minimum of three (3) references from the public sector, preferably at the
municipal level; and
(vi)
Proponent’s financial strength (with evidence such as financial statements and
bank references).
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SCHEDULE C-3 - PROPONENT’S TECHNICAL PROPOSAL (SERVICES)
Proponents should provide the following (use the spaces provided and/or attach
additional pages, if necessary):
(i)
a narrative that illustrates an understanding of the City’s requirements;
(ii)
a description of the general approach and methodology that the Proponent would
take in performing the Services;
(iii)
a description of the proposed service levels the Proponent intends to meet
throughout the duration of the term; and
(iv)
a description of comprehensive market and client portfolio progress reports
available to clients of the Proponent. Please include samples.
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SCHEDULE C-4 - PROPONENT’S TECHNICAL PROPOSAL (SCHEDULE)
Proponents should provide an estimated schedule, with major item descriptions and time
indicating a commitment to perform the Contract within the time specified (use the
spaces provided and/or attach additional pages, if necessary).
MILESTONE DATES __________________________________
ACTIVITY
1
2
3
4
SCHEDULE (in weeks)
5
6
7
8
9
NOT APPLICABLE
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10
SCHEDULE C-5 - PROPONENT’S FINANCIAL PROPOSAL
Indicate the Proponent’s proposed fee structure (excluding HST) and the basis of calculation
(use the spaces provided and/or attach additional pages, if necessary) as follows (as
applicable):
Schedule of Rates - Services:
DESCRIPTION
PRICES
1) Per GJ cost of natural gas for a 1-year contract beginning
November 1, 2012
2) All applicable fees (e.g., management fees, transport rate fees,
penalty for breaking supply contract, etc.)
3) Other fees not stated above
Additional Expenses:
Please indicate any disbursements or other expenses that would be payable in addition to the
proposed fees set out above:
Payment Terms:
A cash discount of _______% will be allowed if account is paid within _____ days, or
the_________ day of the month following, or net 30 days, on a best effort basis.
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