ATTENTION ALL SUCCESSFUL BIDDERS
RETURN THE ENCLOSED PROPOSAL IN A
SEALED ENVELOPE TO:
JACK C. COLLAR,
PURCHASING MANAGER
ROOM 830 * 716 RICHARD ARRINGTON JR
BLVD NORTH
BIRMINGHAM, AL 35203
YOU MUST MARK ON THE ENVELOPE:
SEALED BID # 283-04
“SEWAGE GRINDER-MUFFIN MONSTER”
RETURN BY 5:00 P.M. ON
AUGUST 16, 2004
For questions concerning this ITB
Contact: Don Dennis, Principal Buyer
Phone: (205) 325-5384
Email: dennisd@jccal.org
No faxed or email responses will be accepted
PURCHASING ASSOCIATION OF CENTRAL ALABAMA
TO ALL SUCCESSFUL BIDDERS:
The attached Request for Proposal presents a cooperative proposal for the Purchasing Association of Central Alabama (PACA) members below:
Abernant Fire Department
Adamsville
Bessemer
Bessemer Board of Education
Bessemer State Technical College
Bibb County Firefighters Assoc
Birmingham-Jefferson Civic Center
Birmingham Library System
Blount County Board of Education
Brighton
Brookside
Cahaba Heights Fire Department
Cahaba Valley Fire & Rescue
Cain Creek Fire Department
Calera
Calera Water Board
Cedar Grove Fire Department
Center Point
Center Point Fire District
Chelsea
Chilton County Board of Education
Chilton/Shelby Mental Health Board
Columbiana
Concord Fire Department
Copeland Ferry Fire Department
County 17 Fire Department
Eastern Valley Volunteer Fire Dept
Eoline Fire Department
Fairfield
Fairfield Board of Education
Forestdale Fire Department
Four Mile Fire Department
Fultondale
Gardendale
Graysville
Greenpond Fire Department
Hay Valley Fire Department
Helena
Homewood
Hoover
Hoover Board of Education
Hueytown
Irondale
Jefferson County Board of Education
Jefferson County Commission
Jefferson County Fire Districts
Jefferson County Health Department
Jefferson County Housing Authority
Jefferson County Library Coop
Jefferson State Community College
Kimberly
Kingdom Fire Department
Lakeview Fire Department
Lakeview, Town of
Lawley Fire Department
Leeds
Lipscomb
McAdory Fire Department #1
McAdory Fire Department #2
McCalla Area Fire District
Middle Alabama Area Agency on Aging
Midfield
Midfield Board of Education
Minor Heights Fire Department
Moody Fire Department
Morris
Mountain Brook
Mountain Brook Board of Education
Mulga
Mulga Fire Department
North Johns
Oneonta City Board of Education
Palmerdale Fire Department
Pelham
Pell City Fire Department
Pleasant Grove
Riverside Fire Department
Rocky Ridge Fire/Rescue
Romulus Volunteer Fire Department
Saragossa Volunteer Fire Department
Shannon Fire Department
Shelby County Board of Education
Shelby County Commission
Shelby County Fire & EMS
Shelby County Work Release
Shelco Fire & EMS District
St. Clair County Fire & EMS
Storm Water Management Authority
Sylvan Springs
Tarrant
Tarrant City Board of Education
Trafford
Trussville Volunteer Fire Department
Tuscaloosa County Board of Education
Tuscaloosa County Commission
Tuscaloosa County Firefighters Assn
Tuscaloosa County Housing Authority
Vestavia Hills
Vestavia Hills Board of Education
Virginia Mines Volunteer Fire Dept
Walker County Firefighters Assn
Warrior
Warrior River Fire & Rescue Service
West Shelby Fire & Rescue
Westover Volunteer Fire & Rescue
Other government entities and all school systems within Jefferson County and counties adjoining thereto may elect
to participate in this cooperative bid. Vendors must agree that if any additional government entity does join the
Association, vendors shall honor prices on this Invitation to Bid for those additional entities that may join the
Association.
Commodity:
“SEWAGE GRINDER-MUFFIN MONSTER”
Bid #:
283-04
Principal Buyer: DON DENNIS
Telephone:
(205) 325-5384
The proposal award will be made by the Jefferson County Commission on behalf of the Association in accordance
with the provision of the intergovernmental agreement between the Jefferson County Commission and the members
of the Association. Each participating governmental entity of the Association will be responsible for issuing its own
purchase orders, delivery instructions, invoicing, insurance requirements, and issue its own tax exemption certificate
as required by vendors.
This cover letter is considered an integral part of this Request for Proposal document and shall be included by
reference into any contract.
Acknowledged by
_______________________________________________
Vendor Name
__________________________________________
Authorized Signature/Title
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 2
INVITATION TO BID
Sealed bids marked "SEWAGE GRINDER (MACHO MONSTER GRINDER)" will be
received by the Purchasing Manager, Room 830 * 716 Richard Arrington Jr Blvd N,
Birmingham, Alabama.
Bids will be accepted until 5:00 P.M. central time (standard or daylight savings time, as
applicable) on August 16, 2004. Bids submitted after this date and time will not be considered.
Bids will be publicly opened at 2:00 P.M. on August 17, 2004.
CONDITIONS:
Equipment bid must be new, never used, complete and ready to operate. Successful bidder must
be an authorized Sales and Service Representative for the equipment being offered.
PERMITS, CODES & REGULATIONS: All equipment, construction, and installation will
comply with City, County, State and Federal Codes and Regulations. Successful bidder will
obtain and pay for all permits necessary, notify proper authoritites for inspections and furnish
any certificates required for the work.
F.O.B. Destination via best way.
DELIVERY:
Will be to:
JEFFERSON COUNTY ENVIRONMENTAL SERVICES
SEPTAGE TANK RECEIVING STATION
1290 OAK GROVE ROAD
BIRMINGHAM, AL 35209
ATTN: CLYDE OSBORNE
CONTINUED ON SHEET 3
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 3
INVITATION TO BID
TAX: Jefferson County is exempt from all tax. Provided however, bidder shall be responsible
for payment of all sales, use, lease, ad valorem and any other tax that may be levied or assessed
by reason of this transaction.
If mutually agreed upon within twelve (24) months from bid opening date, this bid may be used
as the basis for additional purchases.
Successful bidder agrees that Jefferson County will be charged no more for item(s) bid than the
State of Alabama, and that in the event of a price reduction, the County will receive the benefit
of such reduction on any undelivered portion of contract.
WARRANTY: Equipment furnished will be serviced by Jefferson County in accordance with
manufacturer's recommendations, and shall carry the warranty offered with this equipment.
GUARANTEE: Bidder certifies by bidding, that he is fully aware of the conditions of service
and purpose for which item(s) included in this bid are to be purchased, and that his offering will
meet these requirements of service and purpose to the satisfaction of the Jefferson County
Commission and its agent.
GENERAL: Jefferson County expressly reserves the right to reject any or all bids, or parts of
bids, and to make the award on merit and/or features of design and quality, delivery, and
availability of parts and service as the best interest of the County appears.
TERMINATION OF CONTRACT: This contract may be terminated by the County with a
thirty(30) day written notice to the other party regardless of reason. Any violation of this
agreement shall constitute a breach and default of this agreement. Upon such breach, the County
shall have the right to immediately terminate the contract and withhold further payments. Such
termination shall not relieve the contractor of any liability to the County for damages sustained
by virtue of a breach by the contractor.
CONTINUED ON SHEET 4
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 4
INVITATION TO BID
SPECIFICATIONS:
One (1) – Model 40001-0032-DI, In-Channel Macho Monster, or approved equal, constructed of
ductile iron, complete with a 10 HP, 460 volt, 3-phase, 60 Hz, TEFC motor with a 43:1 reducer.
Cutters are 11-tooth cam and have a 1:1 helical stack. Tungsten carbide insert design seals are
used in a unit. A Model 42026 4-angle channel mounting frame to be provided. Note: The
existing PC2200 controller can be used with this unit. Successful bidder to provide the necessary
electrical components to handle the 10 HP motor.
PART 1 – GENERAL
1.1
SUMMARY
A. This section of the specification describes the sewage grinder. The equipment shall
be installed and in compliance with OSHA, local, state and federal codes and
regulations.
1.2
REFERENCES
A. Grinder shall, as applicable, meet the requirements of the following industry
standards:
1. American Society for Testing and Materials (ASTM) A 36: Standard
Specification for Carbon Steel Plate
2. American Society for Testing and Materials (ASTM) A 536-84: Standard
Specification for Ferritic Ductile Iron Castings
3. American Society for Testing and Materials (ASTM) A 48-83: Standard
Specification for Grey Iron Casting
4. American Iron and Steel Institute (AISI) 304 Stainless Steel
5. American Iron and Steel Institute (AISI) 4130 Heat Treated Alloy Steel
6. American Iron and Steel Institute (AISI) 4140 Heat Treated Hexagon Steel
7. Rockwell C
1.3
SUBMITTALS
A. Shop Drawing
1. Successful bidder shall submit five (5) sets of shop drawings. Shop drawings
shall include equipment descriptions, specifications, dimensional and
assembly drawings, parts lists, and job specific drawings.
CONTINUED ON SHEET 5
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 5
INVITATION TO BID
PART 1 – GENERAL SPECIFICATIONS (CONTINUED):
1.3 SUBMITTALS (CONTINUED)
B. Closeout Submittals
1. Successful bidder shall submit five (5) sets of Operation and Maintenance
manuals. The manuals shall include equipment descriptions, operating
instructions, drawings, troubleshooting techniques, a recommended
maintenance schedule, and the recommended lubricants.
1.4 QUALITY ASSURANCE
A. Qualifications
1. Qualified successful bidders shall have a minimum five (5) years experience
at manufacturing, support systems, two-shafted grinding equipment and
motor controls with a minimum of 200 installations with similar equipment.
Successful bidder shall provide a list with at least six names and dates of
installations for verification by the Engineer or Owner’s Representative.
B.
Regulatory Requirements: Motor controllers shall, as applicable, meet the
requirements of the following regulatory agencies:
1.
2.
3.
National Electrical Manufacturer’s Association (NEMA) Standards
National Electrical Code (NEC)
Underwriters Laboratory (UL and CUL)
1.5 DELIVERY, STORAGE AND HANDLING
A. The equipment shall be packaged in containers constructed for normal
shipping, handling and storage.
B.
The containers shall provide adequate protection for the equipment in a dry
indoor environment between +40 degrees F (4.5 degrees C) and +100 degrees F
(=37.8 degrees C) until time for installation.
CONTINUED ON SHEET 6
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 6
INVITATION TO BID
PART 1 – GENERAL SPECIFICATIONS (CONTINUED):
1.6 IDENTIFICATION
A. Each unit of equipment shall be identified with a corrosion resistant nameplate,
securely affixed in a conspicuous place. Nameplate information shall include
equipment model number, serial number, successful bidder’s name, and location.
PART 2 – PRODUCTS
2.1 MANUFACTURERS
A. Grinder shall be in compliance with these specifications and plans and shall be
supplied by one of the following manufacturers:
1. JWC Environmental: Macho Monster model No. 40002-0032-DI.
B.
The manufacturer must certify that the unit can be returned for maintenance to the
factory or a local repair facility. The certification shall include a statement that there
will be no charge for repair labor.
2.2 SUPPORT SYSTEM(S) FOR IN-CHANNEL GRINDER(S)
A. GENERAL
1. A grinder support frame with adjustable mounting brackets shall be provided
for a 24 inch wide and a 39 inch deep channel.
B. COMPONENTS
1. The support frame and additional supports shall be of welded square tube,
angle, and plate construction. The construction material shall be A-36 steel.
2.3 GRINDER
A. GENERAL
1. The grinder shall include cutters, spacers, shafts, bearings and seals, side
rails, end housings, covers, reducer, and motor.
CONTINUED ON SHEET 7
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 7
INVITATION TO BID
PART 2 – PRODUCTS SPECIFICATIONS (CONTINUED):
2.3 GRINDER (CONTINUED)
A. GENERAL
2. The grinder shall be of two-shaft design and be capable of continuous
operation, processing wet or dry. Bar screens or single-shaft devices utilizing
a single rotating cutter bar with stationary cutters shall not be acceptable.
Grinders designed with cutter and spacer cartridges rather than individual
cutters and spacers, shall not be acceptable.
3. Two-shaft design shall consist of two parallel shafts alternately stacked with
individual intermeshing cutters and spacers positioned on the shaft to form a
helical pattern. The two shafts shall counter-rotate with the driven shaft
operating at approximately two-thirds (2/3) the speed of the drive shaft.
B. COMPONENTS
1. Individual Cutters and Spacers
a. The cutting chamber shall be a nominal height of 32 inches.
b. Individual cutters and spacers shall be 4130 heat treated alloy steel,
surface ground for uniformity and through-hardened to a minimum
45-50 Rockwell C.
c. The inside configuration of both the individual cutters and the
individual spacers shall be hexagonal so as to fit the shafts with a
total clearance not to exceed 0.015 inch (0.38 mm) across the flats
to assure positive drive, minimize wear on the cutters, and increase
the compressive strength of the spacers.
d. Cutter configuration shall consist of 11 tooth cam cutters. To
maintain particle size, the height of the tooth shall not exceed ¾
inch (19mm) above the root diameter. Cutter to cutter root diameter
overlap shall be not less than 1/16 inch (1.6 mm) or greater than ¼
inch (6 mm) to maintain the best possible cutting efficiency while
incurring the least amount of frictional losses.
e. The cutters shall exert a minimum force at the tooth tip of 1,299
lbs/hp (7.748 N/k W) during momentary load peaks.
CONTINUED ON SHEET 8
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 8
INVITATION TO BID
PART 2 – PRODUCTS SPECIFICATIONS (CONTINUED):
2.4 GRINDER (CONTINUED)
2.
Shafts
a.
b.
3.
Grinder drive and driven shafts shall be made of 4140 heat treated
hexagon steel with a tensile strength rating of not less than 149,000
psi (1,027 kPa).
Each hexagonal shaft shall measure a nominal 2-1/2 inches (64 mm)
across parallel surfaces.
Shaft Bearings and Seals
a. The radial and axial loads of the cutter shafts shall be borne by
sealed, oversized, deep-groove ball bearings at each end.
b. The bearings shall be protected by a combination of a replaceable
and independent tortuous path device and mechanical seals.
c. Face materials shall be of tungsten carbide to tungsten carbide.
d. O-rings shall be made of Buna-N elastomers.
e. Products requiring continuous or occasional lubrication of flushing
shall not be accepted.
f. The mechanical seal shall be rated at 60 psi (413 kPa) continuous
duty by the seal successful bidder.
g. The bearings shall be housed in replaceable cartridge that supports
and aligns the bearings and seals, as well as protects the shafts and
end housings. The seal elements shall be independent of the stack
height, therefore cutter stack tightness shall not affect seal
performance. The seal elements shall maintain their factory set
preload independent of the cutter stack tightness.
h. Seals shall meet required pressure rating regardless of cutter stack
fit. The seal cartridge shall provide seal protection against axial
loading on shafts and bearings during shaft deflection.
i. Each seal element shall be positively locked to its corresponding
rotating or static cartridge element. This positive lock on the seal
elements is critical to long seal life in applications where grit or
other abrasive materials are present.
CONTINUED ON SHEET 9
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 9
INVITATION TO BID
PART 2 – PRODUCTS SPECIFICATIONS (CONTINUED):
2.3 GRINDER (CONTINUED)
4. Hi-Flow Side Rails
a. The inside profile of the cutter side rails shall be concave to follow
the radial arc of the cutters.
b. Clearance between the major diameter of the cutters and the
concave arc of the side rails shall not exceed 3/8 inch (10mm).
c. The high flow side rails shall have evenly-spaced slots that increase
flow and decrease head loss.
d. The side rails shall be cast of A 536-84 ductile iron.
5.
End Housings and Covers
a. Grinder end housings shall be of cast A 48-83 grey iron with a castin-place flow deflector, designed to protect the bushings while
guiding particles directly into the cutting chamber.
b. Top covers shall be A 536-84 ductile iron and bottom covers shall
be 1015 Carbon Steel.
6.
Reducer
a. The speed reducer shall be a grease-filled planetary-type of reducer
with a 500% shock load capacity. The reduction ratio shall be 43:1.
b. The input shaft of the reducer shall be directly coupled to the motor
using a three-piece coupling, and the output shaft of the reducer
shall be directly coupled with the grinder using a two-piece
coupling.
7.
Motor
a.
b.
8.
The motor shall be 10 hp (7.46 kW), TEFC, 1,760 rpm, 230/460
volt, 3 phase, 60 Hz.
Motor service factor shall be 1.15, the efficiency factor not less than
85% at full load and the power factor not less than 80% at full load.
Required Running Torque per Horsepower (kW):
a. At Momentary Load Peaks: 4,871 in-lbs/hp (738 Nm/kW)
CONTINUED ON PAGE 10
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 10
INVITATION TO BID
PART 2 – PRODUCTS SPECIFICATIONS (CONTINUED):
2.5 MOTOR CONTROLLER
A. The existing controller shall be modified by the manufacturer to operate the
new grinder.
2.6 SOURCE QUALITY CONTROL
A. Each grinder and controller shall be factory tested to ensure satisfactory
operation.
2.7 SPARE PARTS
A. The successful bidder shall maintain a complete inventory of spare parts within 250
miles of the plant site.
B. The successful bidder shall provide an exchange program so that a replacement
cutter cartridge assembly can be at the plant site prior to removing an operating unit
from service.
C. The successful bidder shall provide the service of rebuilding a unit for only the cost
of the parts supplied.
D. If the successful bidder does not comply with paragraphs A, B, and/or C above, the
successful bidder shall furnish a complete unit for spare.
PART 3 – EXECUTION
3.1 INSTALLATION
A. Grinder(s) and motor controller(s) shall be installed (by Jefferson County) in
accordance with successful bidder’s installation instructions, and in compliance
with all OSHA, local, state, and federal codes and regulations.
3.2 FIELD QUALITY CONTROL
A. Successful bidder shall provide the services of a factory-trained representative to
check the installation and to start-up each grinder and controller. The factory
representative shall have complete knowledge of proper installation, operation,
and maintenance of equipment supplied. Representative shall inspect the final
installation and supervise a start-up test of the equipment.
CONTINUED ON SHEET 11
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 11
INVITATION TO BID
GENERAL: The Jefferson County Commission expressly reserves the right to reject any or all
bids, or parts of bids, and to make the award or awards as the best interest of the County appears.
Name of Your Manufacturer & Product Number(s)____________________________________
(Attach two (2) copies of your Manufacturer's Catalog Sheets)
Attach a letter stating differences between County specifications and specifications of item(s)
offered.
Delivery is guaranteed not later than _______ days after order date.
Attach a copy of your complete warranty, which shall become a part of your bid.
Bidder agrees that he will deliver any items awarded to him, that such items will be
manufactured to quoted specifications, that prices billed will be no higher than those quoted
herein and that delivery will be made within the time specified herein or within a reasonable
time, if not so specified. Bidder hereby guarantees delivery of all items awarded to him
hereunder, without any qualification or limitation whatsoever. In making this guarantee, bidder
confirms that he has secured the subject items or has obtained guarantee of their availability
sufficient to his satisfaction.
Bidder further agrees that in the event bidder fails to deliver any items awarded to him in
accordance herewith for any reason whatsoever, Jefferson County may, at its option, accept the
next lowest and best bid for such items, or rebid such items, or obtain substitute items elsewhere.
Such substitutes may include later year models, where current year models are not reasonably
available. Bidder agrees to pay Jefferson County the difference between the bidder's bid for such
items and the cost to Jefferson County to obtain the items elsewhere, if greater, and other
incidental and consequential damages. Jefferson County may elect not to effect such cover, and
may enforce all remedies authorized by law.
CONTINUED ON SHEET 12
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 12
BID
(Bidder must use this form)
Fill in all spaces.
A bid bond or cashier's check in the amount of 5% of bid will be required for any bid
exceeding $10,000.00.
DESCRIPTION
Model 40001-0032-DI
Macho Monster, or equal
QUANTITY
1
PRICE
$_______________
CONTINUED ON SHEET 13
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5381
PRINCIPAL BUYER: DON DENNIS
JULY 29, 2004
BID NO: 283-04
SHEET NO: 13
INVITATION TO BID
The Jefferson County Commission, or it's Agent, shall have the right to waive any informality or irregularity. Under
certain limited conditions, the Purchasing Department may apply a local preference option in determining the low
bid for purchases of personal property.
All provisions of this Invitation are accepted by bidder as part of any contract or purchase resulting therefrom.
Please specify terms of payment below; otherwise, the terms will be 2% 10th Prox.
Date: _______Company Name: ________________________________Web Address:__________________
Terms:_______Address:________________________________________City:______________
County: _______________ State: _____ Zip: ____________Phone: (_____) ___________________
If Jefferson County Business Licenses were issued to your company for the past twelve (12) months, please list
numbers: _____________________________________________.
Vendor's Federal I.D. Number: ____________________________
I certify that ___________________________ has ___ has not ___ been in operation for one year at
(Company Name)
(Check one)
location(s) zoned for the type of business conducted by my company at the address stated above.
______________________________
(Authorized Signature)
______________________________
(Print Name)
______________________________
(E-Mail Address)
Toll Free Phone: _____________________________Fax Number: _________________________________
Return original bid in sealed envelope. Authorized signature of bidder must be in ink.
Bids received in our office after the specified date and hour will not be considered.
INDICATE THE FOLLOWING ADDRESSES IF DIFFERENT FROM ABOVE:
1. BID AWARD NOTICE ADDRESS
2. PURCHASE ORDER ADDRESS
3. REMITTANCE ADDRESS (AND NAME IF DIFFERENT THAN ABOVE)