SCHEDULE B - QUOTATION
RFQ Title:
Preventive Elevator & Platform Wheelchair Lift Maintenance Services
RFQ No:
1220-040-2012-017
CONTRACTOR
Legal Name: ___________________________________________________________________
Address:
___________________________________________________________________
Phone:
___________________________________________________________________
Fax:
___________________________________________________________________
Email:
___________________________________________________________________
CITY OF SURREY
City Representative:
Address:
Telephone:
Fax:
Email for PDF Files:
Kam Grewal, CMA,BBA, Internal Audit Manager, Acting Purchasing and Accounts Payable
Manager
City of Surrey, City Operations Works Yard, Purchasing Section, 1st Floor
6645-148 Street, Surrey, B.C. Canada V3S 3C7
604-590-7274
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.
RFQ #1220-040-2012-017
Page 24 of 32
3.
I/We have reviewed the RFQ Attachment 1 - Agreement. If requested by the City, I/we would be prepared to
enter into the 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 HST,
the Contractor's HST 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.
RFQ #1220-040-2012-017
Page 25 of 32
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)
RFQ #1220-040-2012-017
Page 26 of 32
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:
Table A:
To provide regular monthly maintenance on various elevating devices at various City sites, all in
accordance with the specifications/requirements as outlined herein:
F.O.B.
Destination
Freight Prepaid
#
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.
Locations
Unit#
Stops
Service
# of Months
(a)
Monthly Price ($)
(b)
Annual Amount
($)
(a) x (b)
Elevators
1
Guildford Recreation Centre
19447
2
Monthly
12
2
Surrey City Hall Tower
2699
4
Monthly
12
3
Surrey City Hall (West Wing)
22733
3
Monthly
12
4
Newton Athletic Pavilion
11828
2
Monthly
12
5
RCMP HQ (North)
11899
3
Monthly
12
6
RCMP HQ (South)
11890
3
Monthly
12
7
Beecher Place
8756
2
Monthly
12
8
Surrey Archives
13719
2
Monthly
12
9
Cloverdale Curling Rink
8095
2
Monthly
12
10
Cloverdale Library
11233
2
Monthly
12
11
Guildford Library
7648
3
Monthly
12
12
North Surrey Rec Centre
11501
2
Monthly
12
13
Surrey Art Centre
20207
3
Monthly
12
14
Semiahmoo Library
21089
4
Monthly
12
15
Surrey Museum
22034
2
Monthly
12
16
Surrey Museum (Freight)
22033
3
Monthly
12
17
Surrey Sports & Leisure Arena
21905
2
Monthly
12
18
Surrey Sports & Leisure Pool
18436
2
Monthly
12
19
South Surrey Rec Ctr
22458
2
Monthly
12
20
Cloverdale Rec Ctr
26443
2
Monthly
12
21
Chuck Bailey Rec Centre
2
Monthly
12
22
Chuck Bailey Rec Centre
2
Monthly
12
23
City Centre Library
6
Monthly
12
24
City Centre Library
4
Monthly
12
25
City Centre Library
4
Monthly
12
26
Fraser Heights Rec Centre
2
Monthly
12
Sites below will have staggered start dates, currently under warranty
Platform Wheelchair and Lifts
27
Fleetwood Rec Centre
28
Kensington Prairie
15664
2
Monthly
12
1
Monthly
12
CURRENCY: Canadian
Note: Overheads, General Conditions and Profit are to be included in the
above amounts.
RFQ #1220-040-2012-017
Subtotal:
HST (12%):
TOTAL:
Page 27 of 32
Table B:
These rates (excluding HST) are only for unscheduled work and shall be invoiced at the respective rates
below.
F.O.B. Destination, Freight Prepaid
Hourly Labour Rates For Work And Repairs Not Included In Monthly Maintenance Work
Item #
1
Description
Regular Business Hours – MONDAY TO FRIDAY, 7:00 A.M. TO 6:00 P.M.
(includes emergency service requests)
Hourly rate
(excluding HST)
$ _________/hour
Mechanic and Helper Team
2
After Hours, WEEKENDS & HOLIDAYS
(includes emergency service requests)
$ _________/hour
Mechanic and Helper Team
3
Minimum Service Call Charge (if any)
$ _________
Parts & Materials Mark-ups For Work and Repairs Not Included In Monthly Maintenance Work
Contractor should state the mark up, as a percentage, on materials
purchased from outside sources:
Contractor’s Invoice Plus
4
i)
under $ _________
_________ %
ii)
over $ _________
_________ %
Note: Original invoices for all parts and materials shall be made
available to the Department Representative or designate upon
request.
Parts & Materials:
5
Contractor should state any further discount, as a percentage, for parts and materials purchased
directly from the Contractor: ________%
Rates shall be only for productive hours at the job site. Time spent for transportation of workers, material
acquisition, handling and delivery, or for movement of contractor owned or rental equipment, hauling of excess
and/or scrap material for disposal is not chargeable directly but is overhead and the cost shall be included in the
hourly rate.
CURRENCY: Canadian
Note: Overheads, General Conditions and Profit are to be included in the above amounts.
RFQ #1220-040-2012-017
Page 28 of 32
SECTION B-3
Contractor’s Resources, Capability, and Capacity
9.
Contractors should provide information on the following (use the spaces provided and/or attach additional pages, if
necessary):
(i)
regarding responsibilities of the Contractor, provide information as to equipment servicing resources,
capability and capacity to complete the scope of Services, manage the Services, and accomplish required
objectives within the City’s monthly schedule;
(ii)
a description of the general approach and methodology that the Contractor would take in performing the
Services including specifications and requirements; and
(iii)
a description of the standards to be met by the Contractor in providing the Services.
Contractor’s Quality Control Program
10.
Does your firm have a written quality control program?
YES
NO
If “Yes” is checked, Contractor shall attach evidence of an active quality control program to this form.
If “No” is checked, please submit any printed matter which typifies instruction and/or a statement as to how quality
control is accomplished.
Outline any specific, formal training initiatives that your company employs to keep staff current with workplace and
market developments.
__________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________________________________________________
What procedures (please provide examples) does your company have in place to measure performance on the
basis of customer satisfaction?
__________________________________________________________________________________________
__________________________________________________________________________________________
___________________________________________________________________________________
Provide details of the overall strength, type and quality of external and internal training.
__________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________________________________________________
Provide any information about your firm that further demonstrates proficiency or excellence. This would include
details surrounding employee performance monitoring and performance improvements (Service Level
Agreements), depth of training programs, recognition and leadership awards, etc. Attach up to two pages.
Contractor’s Occupational Health And Safety Program
11.
The quality of the Contractor’s in-house program to manage safety, productivity, and environmental performance
will be considered in evaluating Contractors. The commitment of the Contractor’s management & owners to
those programs is an important factor & should be evident by their actions.
The Contractor, in addition to the following, is to provide evidence of adherence to quality principles, through
presentation of in-house training programs provided, certificate of awards received, etc.
Does your firm have a written safety program in place that meets the requirements of the W.C.B of B.C.?
YES
NO
RFQ #1220-040-2012-017
Page 29 of 32
If “Yes” is checked, please submit a copy of your program.
If “No” is checked, please submit any printed matter which typifies safety instruction and/or a statement as to how
safety training is accomplished.
Do you have a safety and health orientation program for new employees?
YES
NO
If yes, briefly explain what the program covers.
__________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________________________________________________
Do you conduct project safety inspections?
If yes, who conducts this inspection (title)
YES
NO
___________________________________
And how often? ______________________________
Are all employees trained in the work practices needed to safely perform his/her job?
YES
NO
SECTION B-4
Key Personnel & Sub-Contractors:
12.
Contractor should provide information on the background and experience of all key personnel proposed to provide
the Goods and Services and all supporting Certificates and/or Licenses as requested in the RFQ (use the spaces
provided and/or attach additional pages, if necessary):
Key Personnel
Name:
Experience:
________________________________________________________________
Dates:
Project Name:
Responsibility:
Qualifications & Related Trade Certifications [attach copies]:
13.
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
RFQ #1220-040-2012-017
SUB-CONTRACTORS &
MATERIAL SUPPLIERS
NAMES
YEARS OF
WORKING
WITH
CONTRACTOR
TELEPHONE NUMBER
AND EMAIL
Page 30 of 32
SECTION B-5
Experience and References:
14.
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):
15.
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:
16.
Contractor to describe their sustainability initiative relating to environmental impacts, the environmental attributes
of their Goods and Services, anticipated objectives (eg. Carbron Neutral by 2014), and information pertaining to
their environmental policies, programs, and practices.
RFQ #1220-040-2012-017
Page 31 of 32
17.
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 executed by the Contractor this _______ day of _______________, 20__.
________________________________________
(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 #1220-040-2012-017
Page 32 of 32