1 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 BID FORM BID 682 The undersigned hereby proposes and agrees to furnish any and all required material, tools, transportation, necessary for the Purchase of Custodial Supplies for Fiscal Year 2011-2012 for San Joaquin Delta Community College, complete in every respect, all in conformity with the specifications and instruction to bidders herein. Sales Tax will be added to the final bid tabulation. Bids must be submitted in one (1) original and one (1) identical copy. 1. 2. 3. 4. 5. Prices shall be FOB Destination or for the service rendered. Contract is for one year. The contract may be extended for one additional year at the discretion of the District. A yearly purchase order will be issued for the items awarded to the successful vendor(s). Bidder shall honor bid prices for the contract period and shall be based on the quantities specified. Alternate or equal items must be listed in the blank space provided in the bid form. Bid must be accompanied with descriptive specifications and literature for alternate items. Bid prices must be provided on this Bid Form. ITEM COMMODITY GROUP Company MFG Part # PRODUCT DESCRIPTION Description of unit measure Unit of measure Approx # Per year CS 1250 case 135 1005 SCOTT® High Capacity Hard Roll Towels 01005, 1 Case = 6 Roll, 1 Roll = 1000 Feet,1 Case = 6000 Feet 1-3/4" CORE - per technical specs provided in the bid documents 6 ROLL/CASE Livi 21246 Standard Roll Toilet SHEET SIZE: 4.1in X 4.0in 80 rolls of 605 sheets per case 80/case Central 67805 Scott 100% RF JRT JR. Bathroom Tissue, 2 ply 3.55 x 1000' 12 rolls per case 12 ROLLS/CASE CS 850 01 - PAPER PRODUCTS/DISPENSE R Central Central-760 Natural, 1-ply, multifold paper towels 9.00 in. x 9.5 in. 12/250 CS 175 01 - PAPER PRODUCTS/DISPENSE R Sac-Val Sac-Val 4500 Standard TOILET SEAT COVER 1/2 FOLD cs 125 1 01 - PAPER PRODUCTS/DISPENSE R Clean Source 2 01 - PAPER PRODUCTS/DISPENSE R JC Paper 3 01 - PAPER PRODUCTS/DISPENSE R 4 5 1 20/250 --5000 PER CASE Proposed Company P/N Unit Price 2 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP 6 01 - PAPER PRODUCTS/DISPENSE R 7 02 - VACUUMS & PARTS 8 02 – VACUUMS & PARTS 9 02 - VACUUMS & PARTS 10 Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year DISPENSERS, TOILET TISSUE, Kimberly Clark D2 Jrt® Jr Tissue Dispenser With Stub Roll 1 PER CS CS 49 WINDSOR SENSOR "S" 12 INCH UPRIGHT VACUUM MODEL SRS12 INCLUDESON BOARD CREVICE AND UPHOLSTERY TOOLS. NO SUBSTITUTE 1/EA EA 3 101550 ProTeam TailVac w/ #101336 Heavy-Duty Kit B, 1 1/2" hose 1/EA EA 2 Sac-Val W-VP6 WINDSOR VAC PAC 6QT 1/EA EA 10 02 - VACUUMS & PARTS JC Paper 68066 HOSE ASSEMBLY FOR WINDSOR VAC PAC MODEL VP6 NO SUBSTITUTE 1/EA EA 18 11 02 - VACUUMS & PARTS Sac-Val 2443 WAND, DOUBLE CURVE 2PC. ALUM. FOR WINDSOR VAC PAC MODEL VP6 EA PKS 12 12 02 - VACUUMS & PARTS Hillyard 68058 WINDSOR STRAP ASSYEMBLY FOR VP6 VACUUM CLEANER 1/EA EA 12 13 02 - VACUUMS & PARTS Central Central Proteam VACUUM BAG, PAPER FOR JAVELIN 28 10/PKG PKS 5 Randik 9078 Sac-Val 2 Proposed Company P/N Unit Price 3 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year CS 24 BOX 2 14 02 - VACUUMS & PARTS Hillyard W-5300 VACUUM BAG, WINDSOR VACPAC FILTERS (VP6) 10/PK 20 PKS/CS 15 02 - VACUUMS & PARTS Sac-Val WIN02003 BRISTLE SHOD DRY TOOL FOR WINDSOR VP6 VAC PAC EACH 16 03 - GARBAGE CANS/WASTEBASKETS Central 4444GY CONTAINER, 44 GALLON CONTINENTAL GARBAGE EA EA 20 17 03 - GARBAGE CANS/WASTEBASKETS JC Nelson CN2818 WASTEBASKETS 14-3/8"L X 10-1/4"W X 15"H PACK OF 12 COLOR: BLACK NO SUBSTITUTE PACK OF 12 COLOR: BLACK NO SUBSTITUTE CS 10 18 03 - GARBAGE CANS/WASTEBASKETS Clean Source #463566 Rigid Liner 241/2 ga. Gray pack of 4 pak 2 19 04 MOPS/BUCKET/HANDLE S Central 918432 Staples MOP HEADS, 32OZ COTTON STRING 12EA/CS CS 61 20 04 MOPS/BUCKET/HANDLE S JC Paper RCP7577-88YEL RUBBERMAID WAVEBRAKE MOPPING SYSTEM - MOP BUCKET & WRINGER SYSTEM, 35 QUART CAPACITY. COLOR YELLOW NO SUBSTITUTE EA EA 8 21 04 MOPS/BUCKET/HANDLE S Randik OCEDAR 6514 MOP HANDLES WITH SPRING GRIP 12EA/CS EA 45 3 Proposed Company P/N Unit Price 4 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 BID FORM Unit of measure Approx # Per year EA EA 24 A211-06 Web Foot® Shrinkless® Wet Mop 6/pack pks 4 60" TAPERED WOOD HANDLE EA EA 8 GOJ856502 Soap Refill, Cxtm Or Cxitm, 1500 ml, Green Seal Certified 2/Carton CS 100 JC Paper ku102 SKY ANTMICROBIAL LOTION SOAP 1000ML 8/1200ML CS 80 05 - DETERGENT, SOAP AND DISPENSERS Central 9990 Kimberly Clark N-SIGHT* SANITOUCH* Hard Roll Towel Dispenser 1/case ea 50 05 - DETERGENT, SOAP AND DISPENSERS Sac-Val 3/CTN CTN 35 GOJ516503 FMX Green Seal Hand Wash Refill Unscented FMX Dispenser 1250ml Bottle GOJ 516503 GOJ516503 GO-JO INDUSTRIES 05 - DETERGENT, SOAP AND DISPENSERS Clean Source EX3882 PINK LOTION LIQUID HAND SOAP BULK 1 GA. BOTTLE 4-1GAL PER CS CS 40 ITEM COMMODITY GROUP Company 22 04 MOPS/BUCKET/HANDLE S Sac-Val Carlisle-369595 RUBBERMAID HANDLE, INVADER, ALUM 60" SIDE GATE ANTIMICROBIAL WET MOP HANDLE 23 04MOPS/BUCKET/HANDLE S Central A211-06 24 04 MOPS/BUCKET/HANDLE S central 25 05 - DETERGENT, SOAP AND DISPENSERS Central 26 05 - DETERGENT, SOAP AND DISPENSERS 27 28 29 BID 682 MFG Part # PRODUCT DESCRIPTION Description of unit measure PM-60TH 4 Proposed Company P/N Unit Price 5 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company 30 05 - DETERGENT, SOAP AND DISPENSERS JC Nelson 31 05 - DETERGENT, SOAP AND DISPENSERS Sac-Val 32 05 - DETERGENT, SOAP AND DISPENSERS 33 MFG Part # BID FORM BID 682 Description of unit measure PRODUCT DESCRIPTION Unit of measure Approx # Per year BORAXO BRAND PINK POWDERED HAND SOAP EA box 30 Gojo 7255 GOJO7255 1GG92, HAND SOAP WITH PUMICE FOR MEDIUM SOIL, E4, QUICK ACTING HAND CLEANER WITH SCRUBBIING PARTICLES PKG OF 4 CS 3 Sac-Val GOJO 515006 GOJO FMX-12 Soap Dispenser-FMX-12 Dispenser, 1250 ml Capacity, Dove Gray,GOJ515006,GOJ 515006 EA EA 40 06 - CLEANING AGENTS Central 208-01 PURE CLEAN CARPET CLEANER NO SUBSTITUTES 4/CS CS 66 34 06 - CLEANING AGENTS Central CE-00103 CENTRAL 2000 GLASS CLEANER RTU 4/case case 30 35 06 - CLEANING AGENTS JC Nelson 4334107 SprayPAK® Chewing Gum Remover (freezing action) by Chase 6OZ 12/CS GUM REMOVER CS 13 36 06 - CLEANING AGENTS Central 180630 WHITE BOARD CLEANER EXPO FOR DRY ERASE SURFACES #81800 4-1GA/CS CS 4 37 07 - SPRAY BOTTLE/SPRAY HEAD Clean Source IMP6900 TRIGGER SPRAYER FOR PLASTIC BOTTLES EA EA 250 38 07 - SPRAY BOTTLE/SPRAY HEAD Clean Source DR24E PLASTIC BOTTLES 24 OZ. EA EA 250 D-02403 SAC VAL 5 Proposed Company P/N Unit Price 6 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 39 08 - WINDOW/FLOOR SQUEEGEE Central GC400 SQUEEGES, UNGER 16 INCH BRASS CHANNEL EA EA 20 40 08 - WINDOW/FLOOR SQUEEGEE Central GC300 SQUEEGES, UNGER 12 INCH BRASS CHANNEL EA EA 20 41 08 - WINDOW/FLOOR SQUEEGEE Randik OCEDAR 96824S FLOOR SQUEEGEE, STRAIGHT, 24" 1/EA EA 6 42 08 - WINDOW/FLOOR SQUEEGEE Clean Source GSOO UNGER PRO BRASS SQUEEGE HANDLES EA EA 10 43 09 - RUBBER GLOVES JC Nelson BAY 102 EMS PWD FREE LATEX EXAM MED GLOVES 15mil 50/BOX CS 29 44 09 - RUBBER GLOVES JC Nelson BAY 103 EMS PWD FREE LATAX EXAM LARGE GLOVES 15mil 50/BOX CS 17 45 09 - RUBBER GLOVES JC Nelson BAY 104 EMS PWD FREE LATAX EXAM X-LARGE GLOVES 15mil 50/BOX CS 5 46 09 - RUBBER GLOVES JC Nelson BAY 101 EMS PWD FREE LATEX EXAM SMALL GLOVES 15mil 50/BOX CS 1 47 11 - POLISH Randik 433-4111 STAINLESS STEEL AEROSOL Q&C CLEANER 12 PER CASE CS 10 6 Proposed Company P/N Unit Price 7 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 48 11 - POLISH Randik SPRAYPAK 4334109 TOTAL 3-IN-1 FURNITURE POLISH 20 oz. 12 PER CASE CS 3 49 12 - SANITARY NAPKIN RECEPTACLES Clean Source 400015 NATURALLE: TAMPONS 500 PER CS CS 4 50 12 - SANITARY NAPKIN RECEPTACLES Randik HS260/KL/260 KRAFT WAXED PAPER LINERS FOR SANITARY NAPKIN DISPOSAL 500 CASE CS 8 51 12 - SANITARY NAPKIN RECEPTACLES Central Guards/R4Modess MAXI PADS SIZE NO. 4 FOR VENDING MACHINES 250 PER/CS CS 4 52 13 - FLOOR MACHINE PADS central 3M#117hp STRIPPING PAD, HI PRO 7300, 17 INCH 5/CASE CS 3 53 13 - FLOOR MACHINE PADS Central CMC20403 CONTINENTAL BUFFING PAD, 20INCH HOG HAIR 5/CASE CS 5 54 13 - FLOOR MACHINE PADS Sac-Val Americo-400120 STRIPPING PAD, 20 INCH BLACK 5/CASE CS 5 55 13 - FLOOR MACHINE PADS JC Nelson ACS SCRUBBLE LIGHT DUTY SCOUR PAD WHITE 6X9 20EA/CASE CS 10 56 13 - FLOOR MACHINE PADS JC Paper flt14blu CONTINENTAL BLUE CLEANING PADS 5300, 14 INCH 5/CASE CS 3 7 Proposed Company P/N Unit Price 8 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company 57 14 FLOOR BRUSH/HANDLES Central 58 15 - BROOMS / BRUSHES / PADS Hillyard 59 15 - BROOMS / BRUSHES / PADS 60 MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 60" METAL THREADED WOOD BROOM HANDLE EA EA 62 #74 SCRUBBING SPONGES MEDIUM DUTY 3M SCOTCH-BRITE GREEN/YELLOW NO SUBSTITUTE 20EA/CS CS 14 Randik OCEDAR-96724 FLOOR SWEEP COARSE/HEAVY, BLACK TAMPICO 24" EA EA 16 15 - BROOMS / BRUSHES / PADS Central 3M6473 3M DOODLE PAD HOLDER EA EA 19 61 15 - BROOMS / BRUSHES / PADS Sac-Val 36219224 FLOOR SWEEP MEDIUM, FULLER COMMERCIAL BLACK TAMPICO 24" 1/EA EA 16 62 15 - BROOMS / BRUSHES / PADS Randik 59033 Scotch-Brite Purple Scour Pad No. 2020 24 pads/case case 6 63 15 - BROOMS / BRUSHES / PADS Central Central LOBBY DUST PAN BROOMS 6 PER BOX BX 6 64 15 - BROOMS / BRUSHES / PADS Hillyard Impact GROUT LINE BRUSHES HANDLE STYLE 1/EA EA 15 PM-60MTH 8 Proposed Company P/N Unit Price 9 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 65 15 - BROOMS / BRUSHES / PADS Clean Source 30220 TOILET BOWL MOP #204 EA EA 140 66 15 - BROOMS / BRUSHES / PADS Randik OCEDAR-96161 Fiberglass Dust Mop Handle. Universal clip/snap head will fit most all dust mop frames. EA EA 14 67 15 - BROOMS / BRUSHES / PADS Sac-Val Carisle 15z GROUT BRUSHES 8 1/2" LONG EA EA 35 68 15 - BROOMS / BRUSHES / PADS Sac-Val RUB200500 LOBBY DUSTPAN BLACK CARLISLE 12 INCH DOU-PAN 6 PER CASE CS 7 69 17 - MISCELLANEOUS Hillyard 534-10 BAR MOPS (RAGS) 10# BOX 100% COTTON White Terrycloth 10 lb. carton 10 lb. BOXES 50 70 17 - MISCELLANEOUS JC Paper MIDCO2319 CHALK OFF CLOTH 18 INCHES X 24 INCHES 144 PER CASE CS 4 71 17 - MISCELLANEOUS Clean Source Continental 174BL Rubbermaid #6172 Janitor Cart / Cleaning Trolley. EA EA 7 72 17 - MISCELLANEOUS Central FG9T7200 9T72 High Capacity Cleaning Cart EA EA 3 73 17 - MISCELLANEOUS Clean Source Continental 3175 Brute Rim Caddy EA EA 15 9 Proposed Company P/N Unit Price 10 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 74 17 - MISCELLANEOUS Clean Source 1444600r Opti-loc Tele-pole 18' sections EA EA 10 75 17 - MISCELLANEOUS Randik Chase-5158 Chase DUST MOP TREATMENT 20oz can 12/CASE 20 OZ. BX 10 76 17 - MISCELLANEOUS Clean Source 480218 Unger Opti-Loc Extension Pole with 3-1/2" nylon locking collar. Opti-Loc Aluminum Extension Pole, 30-ft., Three Sections, Silver/Green. EA EA 5 77 17 - MISCELLANEOUS Sac-Val FP-3404 CARLISLE Webster Duster HEAD ONLY EA each 30 78 17 - MISCELLANEOUS Sac-Val RCP 9511 RUBBERMAID® MOBILE BARRIER NO SUBSTITUTE EA EA 1 9S01 RUBBERMAID POP-UP SAFETY CONES 30" WITH MULTI-LINGUAL "CAUTION" IMPRINT AND WET FLOOR SYMBOL NO SUBSTITUTE EA EA 10 Expo Washable Eraser for Dry-Erase Boards Soft Pile, 5-1/8w x 1-1/4h 1/EA EA 100 ROUND DOLLY, FITS 20", 32", 44" AND 55 GAL CANS will fit most all Brute/Huskee cans EA EA 10 79 17 - MISCELLANEOUS Hillyard 80 17 - MISCELLANEOUS Sac-Val SAN81505 81 17 - MISCELLANEOUS Central C-3255-P 10 Proposed Company P/N Unit Price 11 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 82 17 - MISCELLANEOUS Randik RLF1972 "LAGASSE" PUMP SPRAYER STANDARD 2 GAL EA 10 83 17 - MISCELLANEOUS Sac-Val RM-6158 Rubbermaid replacement vinal bag for #6172 Janitor Cart EA EA 11 84 17 - MISCELLANEOUS Sac-Val RCP-9S16 Rubbermaid (RCP 9S16 YEL) - Site Safety Hanging Sign EA EA 12 85 17 - MISCELLANEOUS Sac-Val ezreacher GRAPPLER Nifty Nabber, 18" Reach, Rubber Fingers, Ergonomic Handle EA EA 24 86 17 - MISCELLANEOUS Central AB/SC100 DUSTER, OSTRICH FEATHER 28" OVERALL LENGTH EA EA 30 87 17 - MISCELLANEOUS Sac-Val RUB6112-78YW RUBBERMAID FLOOR SIGNS "CLOSED" NO SUBSTITUTE EA EA 18 88 17 - MISCELLANEOUS JC Paper MAS00941 Big Foot No-Slip Rubber Doorstop, 2-1/4"x43/4"x1-1/8", Gray EA EA 50 89 17 - MISCELLANEOUS Clean Source 480290 UNGER AquaDozer Heavy Duty Floor Squeegee FLOOR SQUEEGEE 36" HEAVY EA EA 8 90 17 - MISCELLANEOUS Clean Source 3045sx/120610 Lambswool Duster, 35in, Extends to 48in EA EA 35 11 Proposed Company P/N Unit Price 12 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP BID FORM BID 682 Description of unit measure Company MFG Part # PRODUCT DESCRIPTION RUB6112-77YW RUBBERMAID FLOOR SIGNS "CAUTION WET FLOOR" NO SUBSTITUTE "UNITED STATIONERS" QRT314005 ALPHASITE CHALK QUARTET PREMIUM IVORY NO POWDER 3/8" DIAMETER Unit of measure Approx # Per year EA EA 18 12 BX/CS CS 88 EA EA 3 EA 5 PKS 2 PKS 48 EA 8 CS 1 91 17 - MISCELLANEOUS Sac-Val 92 17 - MISCELLANEOUS JC Paper 93 17 - MISCELLANEOUS Hillyard H99215 FOAM GUN FOR HILLYARD PRODUCTS SUBSTITUTES 94 17 - MISCELLANEOUS Clean Source 461380 CADDY BAGS FOR 32, 40, AND 55 GAL CONTAINERS EA 95 17 - MISCELLANEOUS Randik 940 NORTON FABRICUT SCREENS, 180 GRIT SCREEN 25/PK 96 17 - MISCELLANEOUS Central 28-500 STANLEY 28-500 Retractable Razor Blade Scraper, 3-3/4"L 97 17 - MISCELLANEOUS Sac-Val Q701 Q701 ACME to Quick Connect Adapter 98 17 - MISCELLANEOUS Central UNGMDSC SCRAPER, 6"" MEDIUM DUTY1/EA UNGMDSC BY UNGER 12 NO EA Proposed Company P/N Unit Price 13 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM COMMODITY GROUP Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 99 17 - MISCELLANEOUS Central MDSBO 6INCH REPLACEMENT BLADES BY UNGER EA EA 1 100 18 - CAN LINERS JC Nelson METRO 38X58 38X58 Extra Heavy Duty Black Can Liner 2 Mil (REP-38582blk) 100/CS CS 600 101 18 - CAN LINERS Central 24X23 BLACK 7 GALLON CAN LINER .45 MIL (REP-2423) 500/CS CS 140 102 10 - FLOOR CLEANER / WAX / CARPET CHEMICALS Buckeye CS 30 10 - FLOOR CLEANER / WAX / CARPET CHEMICALS Buckeye CS 30 10 - FLOOR CLEANER / WAX / CARPET CHEMICALS Buckeye CS 10 103 104 BUCKEYE JUGGERNAUT FLOOR STRIPPER hd ultimate 4 x 1 gallon per case 4 gal/case BUCKEYE PROCLAIM WAX/SEALER FLOOR FINISH (4-1GAL. PER CS) 4 gal/case BUCKEYE CASTLEGUARD WAX (4-1GAL PER CS) 4 gal/case PRE-APPROVED HILLYARD PRODUCTS-NO SUBSTITUTIONS ON PRODUCTS 105 106 107 06 - CLEANING AGENTS 06 - CLEANING AGENTS 06 - CLEANING AGENTS Hillyard HIL0017406 HILLYARD #174 CITRIC SHOWER FOAM 1 gal, 4gal/CS GAL 40 Hillyard HIL0012506 HILLYARD #125 EXTRA STRENGTH CSP CLEANER 1 gal, 4gal/CS GAL 40 Hillyard HIL0016706 HILLYARD Q.T. DISINFECTANT CLEANER 1 gal, 4gal/CS GAL 40 13 Proposed Company P/N Unit Price 14 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 ITEM 108 109 110 111 112 113 114 COMMODITY GROUP 06 - CLEANING AGENTS 06 - CLEANING AGENTS 06 - CLEANING AGENTS 06 - CLEANING AGENTS 06 - CLEANING AGENTS 06 - CLEANING AGENTS 06 - CLEANING AGENTS Company MFG Part # BID FORM PRODUCT DESCRIPTION BID 682 Description of unit measure Unit of measure Approx # Per year 1 gal, 4gal/CS GAL 100 1 gal, 4gal/CS GAL 40 1/2 GAL 1/2ga; 10 1/2ga; 15 HIL0070422 HILLYARD: ARSENAL #16 RE-JUV-NAL DISINFECTANT/CLEANER 1GA HILLYARD:#125 SUPROX RESTROOM CLEANER (Floor Machine) C2/3 SUPROX GENERAL PURPOSE CLEANER Hillyard H-70522 C2/3 RE-JUV-NAL DISINFECTANT 1/2 GAL Hillyard HIL0082006 HILLYARD: ARSENAL #20 SPRAY CLEAN HD 1 gal, 4gal/CS GAL 20 HIL0083306 Hillyard ARSENAL #33 SUPROX 1 gal, 4gal/CS GAL 130 HIL29907 URINAL SCREENS Evergreen (Green) 12/case 6 cs/carton CTN 14 Hillyard HIL0081606 Hillyard HIL0010506 Hillyard Hillyard Hillyard Proposed Company P/N Unit Price LOW BIDDER SHOULD UNDERSTAND THAT THE COLLEGE MAY AWARD OR REJECT ALL OR ANY PORTION OF THE ABOVE MENTIONED WORK BASED ON THE ABOVE BREAKDOWN ACCORDING TO FUNDS AVAILABLE. The undersigned acknowledges receipt of Addendum(s) as noted below, which are hereby incorporated in this proposal as part of the contract documents. Addendum No. _____________________Date: _________________, 2011 Addendum No. _____________________Date: _________________, 2011 Addendum No._____________________ Date: _________________, 2011 All associated shipping costs, licenses and permit fees, trade-in allowances and educational discounts, if any, are included in the above bid. California Sales Tax will be added to the final bid tabulation. 14 15 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 BID FORM BID 682 In submitting this Bid it is understood that the right is reserved by the San Joaquin Delta Community College Board of Trustees to waive any informalities and irregularities in any and all Bids. ______________________________________________________ Name of Supplier ______________________________________ Authorized By (Signature) ______________________________________________________ Print Name ______________________________________ Title ______________________________________________________ Mailing Address ______________________________________ Federal Employer Identification Number (FEIN) ______________________________________________________ City, State & Zip Code (____)_________________________________ Telephone Number (____)_________________________________________________ FAX Number ______________________________________ E-mail address Date __________________, 2011 Contact Information for individual assigned to the District’s account to release orders or for any shipment or invoice related questions. ____________________________________ Name of Vendor’s Representative ___________________________________ email address ______________________________ Phone Number ________________________________ Fax Number Note to Bidders: The District may reject any bid not listing both a state license number and a classification. No bid shall be valid unless signed by or on behalf of the bidder by an authorized individual. If the bidder is an individual, it shall be signed by the individual. If the bidder is a partnership, the name of the partnership shall be given, and it shall be signed by one of the partners. If the bidder is a Corporation, the name of the corporation shall be given, and it shall be signed by a properly authorized officer or officers. 15 16 SAN JOAQUIN DELTA COMMUNITY COLLEGE PURCHASE OF CUSTODIAL SUPPLIES FOR FY 2011-2012 BID FORM NONCOLLUSION AFFIDAVIT DESCRIPTION GENERAL: This Noncollusion Affidavit shall be executed by the Bidder and shall be submitted with this Bid Form. NONCOLLUSION AFFIDAVIT FORM STATE OF CALIFORNIA ) ) ss. County of _____________ ) __________________________, being first duly sworn, deposes and says that he or she is __________________ of ___________________________________ ______________ the party making the foregoing bid that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding, that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. I certify (or declare) under penalty of perjury that the foregoing is true and correct. _____________________________________________________________ Date Signature of Bidder END OF PROPOSAL BID FORM 16 BID 682