SCHEDULE B QUOTATION RFQ Title: Lane Paving RFQ No: 1220-040-2012-043 CONTRACTOR Legal Name: ___________________________________________________________________ Address: ___________________________________________________________________ Phone: ___________________________________________________________________ Fax: ___________________________________________________________________ Email: ___________________________________________________________________ CITY OF SURREY City Representative: Address: Fax: Email for PDF Files: Kam Grewal, CMA,BBA, Corporate Audit Manager, Acting Purchasing and Accounts Payable Manager City of Surrey, City Operations Works Yard, Purchasing Section, 1 st Floor 6645-148 Street, Surrey, B.C. Canada V3S 3C7 604-599-0956 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. 3. I/We have reviewed the RFQ Attachment 1 – Draft Agreement. If requested by the City, I/we would be prepared to enter into the Sample 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: ______________________________________; RFQ No. 1220-040-2012-043 23 (e) If the Contractor's Goods and Services are subject ___________________________________________; to HST, the Contractor's HST Number is (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 Contract 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. 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. 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) RFQ No. 1220-040-2012-043 24 Fees and Payments – Schdule of Quantities and Unit Prices including Quantity Ranges for Unit Prices 8. The Contractor offers to supply to the City of Surrey the Goods and Services for the prices plus applicable taxes as follows: 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 Ship Via: Table 1 Item 1.1 Hot-Mix Pavement (Permanent) Final Lift of Asphalt with granular preparation – Upper Coarse #2 Laneway Paving Location From West 155A St 155A St 10375 West 149A St 149A St 10297 South 111 Ave 111 Ave 14708 North 113 Ave 136A St 11321 112 Ave 136 St (West) East 137A St 102 Ave (south) East 137A St (50mm) To L (m) Total (m2) W (m) 90 4.2 375 215 4.3 925 30.8 3.4 105 11385 138 3.1 430 11169 11061 230 3.4 780 13760 1380 91 4 365 101A Ave (south) 13760 13806 113 4.2 475 East 133A St 133A St (south) 10284 13408 80 4.2 340 West 130 St 107A Ave (south) 12934 12976 113 3 340 West 125A St 97 Ave 12445 12545 210 3.5 735 East 134St 95 Ave 9579 9520 146 3.3 480 West 134 St 93A Ave 9365 9395 70 3.7 260 West125 St 92 Ave 9229 9289 126 3.5 440 West132 St 132 St (south) 13062 13032 80 4 320 East 132 St 100 Ave (south) 13226 13286 95 3.7 350 North 103A Ave 132 St 13173 13121 130 3.5 455 Park Dr (North) 143A St 11086 14362 79 4.1 325 TOTAL (m2): 10363 7500 CURRENCY: Canadian Subtotal: $ HST (12%): $ TOTAL PRICE: $ Item 1.2 Hot-Mix Pavement (Permanent) Final Lift of Asphalt with granular preparation – Upper Coarse#2 Laneway Paving Location From (60mm) To East 128 St 76 Ave 7595 7551 East 122 St 80 Ave 12232 West 120A St 76A Ave 7645 103 Ave 148A St 103 Ave East off BOLIVAR TOTAL (m2): 3870 CURRENCY: Canadian RFQ No. 1220-040-2012-043 L (m) W (m) Total (m2) 120 5 600 12239 75 4 2075 7605 315 4 300 10282 10252 78.9 3.7 290 148A St 10288 10258 95 4 380 112 Ave (south) 13378 13418 3.1 225 72.6 Subtotal: $ HST (12%): $ TOTAL PRICE: $ 25 Table 2 DESCRIPTION 2.1 Granular Base (if required) UNIT UNIT PRICE tonnes $ ___________ ea $ ___________ sq. m $ ___________ 2.2 Replace & Adjust Manhole/Catchbasin Cover (where req’d) 2.3 Driveway Tie ins (if required) Note: All unit price estimates shall be based on the range of units accomplished per visit. A “Visit” is defined under SSP 7 in Schedule A. Force Account Labour and Equipment Rates: 9. Contractors should complete the following tables setting out the all-inclusive hourly rates including overhead and profit for approved extras/credits for all applicable categories of labour (use the spaces provided and/or attach additional pages, if necessary): Table 1 – Schedule of Labour Rates: Labour Category Straight Time/hr (Plus GST) Overtime Rate/hr (Plus GST) .1 Superintendent $ $ .2 Foreman $ $ .3 Journeyman $ $ .4 Apprentice $ $ .5 Skilled Labourer $ $ .5 $ $ .6 $ $ .7 $ $ Table 2 – Schedule of Equipment Rates: No. Equipment Description Hourly Rate $ $ RFQ No. 1220-040-2012-043 26 Time Schedule: 10. Contractors 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 SCHEDULE 1 2 3 4 5 6 7 8 9 10 Key Personnel & Sub-contractors: 11. 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): Name: Name: Years of Experience: Years of Experience: Responsibility: Responsibility: Name: Name: Years of Experience: Years of Experience: Responsibility: Responsibility: Name: Name: Years of Experience: Years of Experience: Responsibility: Responsibility: RFQ No. 1220-040-2012-043 27 12. 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 AND SERVICES SUB-CONTRACTORS & MATERIAL SUPPLIERS NAMES YEARS OF WORKING WITH CONTRACTOR TELEPHONE NUMBER AND EMAIL Experience and References: 13. Contractor's relevant experience and qualifications in delivering Goods and Services similar to those required by the Sample Agreement (use the spaces provided and/or attach additional pages, if necessary): 14. Contractor's 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: 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. 16. Contractor to describe their sustainability initiatives relating to environmental impacts, the environmental attributes (green) of their Goods and Services, anticipated objectives (eg. carbon neutral by 2014), information pertaining to their environmental policies, programs, and practices. Contractor to confirm that they comply with any applicable objectives. This Quotation is executed by the Contractor this _______ day of _______________, 2012. 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) RFQ No. 1220-040-2012-043 28