State of Wisconsin Wis. Statutes s.16.75 DOA-3070 (R08/2003) BIDS MUST BE SEALED AND ADDRESSED TO: AGENCY ADDRESS: Remove from bidder list for this commodity/service. (Return this page only.) Bid envelope must be sealed and plainly marked in lower corner with due date and Request for Bid # JL-5178A. Late bids will be rejected. Bids MUST be date and time stamped by the soliciting purchasing office on or before the date and time that the bid is due. Bids dated and time stamped in another office will be rejected. Receipt of a bid by the mail system does not constitute receipt of a bid by the purchasing office. Any bid which is inadvertently opened as a result of not being properly and clearly marked is subject to rejection. Bids must be submitted separately, i.e., not included with sample packages or other bids. Bid openings are public unless otherwise specified. Records will be available for public inspection after issuance of the notice of intent to award or the award of the contract. Bidder should contact person named below for an appointment to view the bid record. Bids shall be firm for acceptance for sixty (60) days from date of bid opening, unless otherwise noted. The attached terms and conditions apply to any subsequent award. JEFF LASEE/PURCHASING SERVICES DEPARTMENT OF CORRECTIONS 3099 E WASHINGTON AVENUE P.O. BOX 7991 MADISON WI 53707 7991 REQUEST FOR BID Bids MUST be in this office no later than THIS IS NOT AN ORDER BIDDER (Name and Address) May 14, 2015 2:00 PM CT Name (Contact for further information) Jeff LaSee Phone Date 608-240-5535 April 30, 2015 Quote Price and Delivery FOB Destination Item No. Quantity and Unit Fax bids are not accepted Price Per Unit Total Description The Department of Corrections, Bureau of Finance and Administrative Services is requesting bids for three (3) commercial, flight style dishwashers, per attached terms, conditions, and specifications. Bid prices must include all packing, freight, labor, and insurance cost. See itemized cost sheet (attached). Before submitting this bid be sure to include all requirements listed in Section 2.4 and 9. Payment Terms Net 30 Delivery Time: per specifications We claim minority bidder preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to State of Wisconsin CERTIFIED Minority-Owned Businesses. Bidder must be certified by the Wisconsin Department of Administration Minority Business Certification Program. If you have questions concerning the certification process, contact the Wisconsin Department of Administration, 101 E. Wilson St., Madison, Wisconsin 53703, (608) 267-9550. Does not apply to printing bids. We claim disabled veteran-owned business preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to State of Wisconsin CERTIFIED Disabled Veteran-Owned Businesses. Bidder must be certified by the Wisconsin Department of Administration Disabled Veteran-Owned Certification Program. If you have questions concerning the certification process, contact the Wisconsin Department of Administration, 101 E. Wilson St., 6th Floor, Madison, Wisconsin 53703, (608) 267-9550. Does not apply to printing bids. We are a work center certified under Wis. Stats. s. 16.752 employing persons with severe disabilities. Questions concerning the certification process should be addressed to the Work Center Program, State Bureau of Procurement, 6th Floor, 101 E. Wilson St., Madison, Wisconsin 53702, (608) 266-2605. Wis. Stats. s. 16.754 directs the state to purchase materials which are manufactured to the greatest extent in the United States when all other factors are substantially equal. Materials covered in our bid were manufactured in whole or in substantial part within the United States, or the majority of the component parts thereof were manufactured in whole or in substantial part in the United States. Yes No Unknown In signing this bid we also certify that we have not, either directly or indirectly, entered into any agreement or participated in any collusion or otherwise taken any action in restraint of free competition; that no attempt has been made to induce any other person or firm to submit or not to submit a bid; that this bid has been independently arrived at without collusion with any other bidder, competitor or potential competitor; that this bid has not been knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the above statement is accurate under penalty of perjury. We will comply with all terms, conditions and specifications required by the state in this Request for Bid and all terms of our bid. Name of Authorized Company Representative (Type or Print) Title Signature of Above Date Phone ( ) Fax ( ) Federal Employer Identification No. This form can be made available in accessible formats upon request to qualified individuals with disabilities. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 STATE OF WISCONSIN REQUEST FOR BID (RFB) # JL-5178A FOR: Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF TABLE OF CONTENTS DEFINITIONS 1.0 INTRODUCTION, PURPOSE, AND SCOPE 2.0 BID PROCEDURE 3.0 BID ACCEPTANCE, EVALUATION AND AWARD 4.0 TECHNICAL REQUIREMENTS 5.0 PERFORMANCE REQUIREMENTS 6.0 PRICING 7.0 SUPPORT REQUIREMENTS 8.0 STANDARD TERMS AND CONDITIONS 9.0 REQUIRED FORMS AND ATTACHMENTS ATTACHMENTS Cost Price Sheets Cost Sheet for WSPF Cost Sheet for REECC Cost Sheet for MSDF RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 DEFINITIONS: The following definitions are used throughout the bid: ARO: After Receipt of Order BCE: Bureau of Correctional Enterprises BSL: Badger State Logistics Bidder: Firm submitting a bid in response to this Request for Bid Contractor: Successful vendor awarded the contract DAI: Division of Adult Institutions, administration of all state correctional incarceration facilities except those Juvenile facilities operated by Division of Juvenile Corrections – headquartered at DOC Central Offices, 3099 E Washington Ave., Madison, WI DCC: Division of Community Corrections, supervises offenders outside secure facilities DJC: Division of Juvenile Corrections, operates the two correctional ‘schools’ – headquartered at DOC Central Offices, 3099 E Washington Ave., Madison, WI DOA: Department of Administration has statutory authority [WI Stats. Chapter 16] to define, regulate and delegate all aspects of procurement of commodities and services for state agencies. DOC: Department of Corrections, also referred to as the department or the DOC – headquartered at DOC Central Offices, 3099 E Washington Ave., Madison, WI MBE: Minority Business Enterprise Offender: Person under the custody or supervision of the Wisconsin Department of Corrections P-Card: Procurement Card (State credit card) Purchasing: Department of Corrections’ Purchasing Services Section RFB: Request for Bid State: State of Wisconsin Vendor: Firm submitting a bid in response to this Request for Bid WCCS: Wisconsin Correctional Center System, a system of small minimum security centers located around the state which offer work-release options to offenders to prepare them for release WWCS: Wisconsin Women’s Correctional System Must: Requirement is mandatory Shall: Requirement is mandatory Should: Desired but not mandatory RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF 1.0 Due Date: May 14, 2015 INTRODUCTION, PURPOSE, AND SCOPE 1.1 PURPOSE OF THIS REQUEST FOR BID The Department of Corrections, hereinafter referred to as the "DOC", through its Purchasing Services Section, hereinafter referred to as "Purchasing," on behalf of the Division of Adult Institutions hereinafter referred to as “DAI” DAI requests bids for the purchase of two commercial flight-style dishwashers Other State agencies may use the resulting contract, if agreeable to both the DOC and the vendor, to obtain the benefits of volume purchases and/or reduction in administrative expenses. The scope of this bid is to provide one commercial flight-style dishwasher to Wisconsin Secure Program Facility (WSPF) at 1101 Morrison Drive, Boscobel, WI 53805-0900, another commercial flight-style dishwasher to Robert E. Ellsworth Correctional Center (REECC) at 21425-A Spring Street, Union Grove, WI 53182-9408, and another commercial flight-style dishwasher to Milwaukee Secure Detention Facility (MSDF) at 1015 North 10th Street, Milwaukee, WI 53205-0740. The Cost Information Sheet attached to the bid document may specify a certain model or brand for items that are being replaced from a previous competitive bid process. These models or brands are being requested due to several other similar pieces of equipment at those institutions and to reduce employee training time, share equipment parts, carry fewer parts, fit to a specific space and use of a single, consistent maintenance contract for service. Items that are shown to be equivalent will also be considered. 1.2 CONTRACT TERM This is a one-time purchase for the commercial dishwashers, but service may be performed by the winning bidder through the initial warranty period. Required service after the warranty period may be at the discretion of WSPF, REECC, or MSDF or maybe contracted through a separate bid process. 1.3 EXECUTED CONTRACT TO CONSTITUTE ENTIRE AGREEMENT In the event of contract award, the contents of this RFB (including all attachments), RFB addenda and revisions, and the bid of the successful bidder, and additional terms agreed to, in writing, by the DOC and the contractor shall become part of the contract. Failure of the successful bidder to accept these as a contractual agreement may result in a cancellation of award. The following priority for contract documents will be used if there are conflicts or disputes. Standard Terms and Conditions (Form DOA-3054); Official State of Wisconsin Purchase Order Bidder’s written bid document State of Wisconsin Request for Bid, including any amendments; Other exhibits/attachments Successful Bidder(s) should retain a copy of this DOC Request for Bid document and their own response to the RFB solicitation, as it becomes part of the awarded contract. 1.4 CANCELLATION AND TERMINATION This Contract may be terminated for the following conditions: 1.4.1 The DOC may terminate the Contract at any time, with or without cause and without penalty by delivering thirty (30) days written notice to the Contractor. 1.4.2 The DOC has a Vendor Performance Evaluation process for soliciting feed-back from contract users about vendor performance and compliance with contract specifications. Vendor noncompliance with the terms, conditions or specifications that is persistent and/or significantly impacts the quality and performance provided pursuant to the contract may be considered breach of contract. Negative Vendor Performance Evaluation Surveys may result in non-renewal or termination of contract. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF 1.5 Due Date: May 14, 2015 1.4.3 If at any time the Contractor performance threatens the health and/or safety of the DOC, the DOC has the right to cancel and terminate the Contract without notice. 1.4.4 Failure to maintain the required Certificates of Insurance, Permits and Licenses shall be cause for Contract termination. If the Contractor fails to maintain and keep in force the insurance as provided in #23 of the Standard Terms and Conditions, the DOC has the right to cancel and terminate the Contract without notice. 1.4.5 If at any time a petition in bankruptcy shall be filed against the Contractor and such petition is not dismissed within 90 calendar days, or if a receiver or trustee of Contractor's property is appointed and such appointment is not vacated within 90 calendar days, the DOC has the right, in addition to any other rights of whatsoever nature that it may have at law or inequity, to terminate the Contract by giving 10 calendar days notice in writing of such termination. 1.4.6 Failure of the DOC to comply with contract terms, conditions or specifications shall provide the sole cause for which the Contractor is entitled to terminate the contract. The Contractor shall notify the Department in writing within thirty (30) days after the Contractor becomes aware of the alleged noncompliance with a complete description of the same. If the DOC does not, within forty-five (45) days after its receipt of the Contractor’s notice, either (1) effect a cure or (2) if the noncompliance is not one that can reasonably be cured within forty-five (45) days, develop a plan to cure the noncompliance and diligently proceed according to that plan until a cure is effected, then the Contractor may terminate the Contract for cause by written notice to the DOC. The Contractor may not terminate the Contract without cause unless express written consent to do so is provided by the DOC. VENDORNET REGISTRATION Department of Administration and State Bureau of Procurement policies no longer require maintenance of bidder’s lists or individual notification of vendors on bidders’ lists. In addition, there is no requirement to post solicitations for bids/proposals in the Legal Notices of the Official State Newspaper. Vendors who fail to register with VendorNet or who register or change/add commodity codes after the posting of a solicitation may not receive notification of procurement solicitations including amendments or cancellations. The State of Wisconsin’s purchasing information and vendor notification service is available to all businesses and organizations that want to sell to the state. Anyone may access VendorNet on the Internet at http://vendornet.state.wi.us to get information on state purchasing practices and policies, commodities and services that the state buys, and tips on selling to the state. Vendors may use the same Web site address for inclusion on the bidders list for commodities and services that the organization wants to sell to the state. A subscription with notification guarantees the organization will receive an e-mail message each time a state agency, including any campus of the University of Wisconsin System, posts a request for bid or a request for proposal in their designated commodity/service area(s) with an estimated value over $25,000. Organizations without Internet access receive paper copies in the mail. Increasingly, state agencies also are using VendorNet to post simplified bids valued at $25,000 or less. Vendors also receive e-mail notices of these simplified bid opportunities. To obtain information on the state’s bidder registration, visit the VendorNet Web site at http://vendornet.state.wi.us or call the VendorNet Information Center (1-800-482-7813). In the Madison area, call 608-264-7898. Make sure to select all the appropriate NIGP (Commodity) Codes. Bid lists are generated by NIGP codes. Consider using a generic email address that is accessed or delivered to multiple recipients (example: [email protected]). This will insure that the bid notice is received. 2.0 BID PROCEDURES AND INSTRUCTIONS RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 2.1 REASONABLE ACCOMMODATIONS The DOC will provide reasonable accommodations, including the provision of informational material in an alternative format, for qualified individuals with disabilities upon request. If accommodations at a bid opening/vendor conference are needed, contact Jeff LaSee via telephone at 608-240-5535 or email at [email protected] 2.2 BID SUBMITTAL Bidders must submit an original, marked as such, and 2 copies of all materials required (see section 2.4 and 9) for acceptance of their bid. Receipt of a bid by the State mail system does not constitute receipt of a bid by the Purchasing Services Section, for purposes of this RFB. Use one of the options below for return of the bid. The Bid(s) must be received at the Purchasing Services Section, at the office listed below, no later than May 14, 2015 2:00 PM Central Time. Any bids received after that time and date will be rejected. USPS ADDRESS JEFF LASEE/ PURCHASING SERVICES DEPARTMENT OF CORRECTIONS PO BOX 7991 MADISON WI 53707 7991 COMMON CARRIER ADDRESS JEFF LASEE/PURCHASING SERVICE DEPARTMENT OF CORRECTIONS 3099 EAST WASHINGTON AVE MADISON WI 53704 4338 FAXING: Faxed bids are NOT accepted. E-MAILING: Emailed bids are NOT accepted. All bids must be packaged, sealed, and show the following information on the outside of the package: Vendor’s Name and Address Request for Bid Title Request for Bid Number Bid Due Date 2.3 CALENDAR OF EVENTS Listed below are important dates and times by which actions related to this Request for Bid (RFB) must be completed. In the event that the State finds it necessary to change any of these dates and times it will do so by issuing an amendment to this RFB, unless the event is listed as estimated or approximate DATE April 27, 2015 May 5-7, 2015 May 14, 2015 May 15, 2015 2.4 EVENT RFB posting date Site Visits at WSPF, REECC, and MSDF Bids due from vendors Estimated award date FORMAT OF BID Responses to this RFB must comply with the following format requirements (reference Section 8): 2.4.1 SIGNED REQUEST FOR BID FORM DOA-3070– Cover sheet of this RFB Include here the signed Request for Bid form included with the bid and those certifications required for submittal of a bid. Bids submitted in response to this RFB must be signed by the person in the vendor's organization who is responsible for the decision as to the prices being offered in the bid or by a person who has been authorized in writing to act as agent for the person responsible for the decision on prices. 2.4.2 COST SUBMITTAL INFORMATION Bidders must fully complete the attached itemized cost sheet(s), including a total cost per unit for each item. Cost must include packing, freight, labor, and insurance. All costs to furnish the product(s) included in the bid, in accordance with the terms and conditions of this RFB, must be included. Bidders may submit bids for one (1) or both facilities. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 ADDITIONAL ITEMS Additional manufacturers related products may be added to this Contract at the discretion of Purchasing. Prices and discounts shall be in line with the Contract prices and discounts for like products currently included in the Contract. 2.4.3 VENDOR INFORMATION DOA-3477 Provide proper contact information as requested on the form. 2.4.4 DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION DOA-3027 Information submitted as part of the bid document which is proprietary and confidential in nature and which qualifies as a trade secret may be kept confidential under the Wisconsin Open Records Law – Section 19.36(5), Wis. Stats. Complete and sign the attached form. 2.4.5 WISCONSIN’S COOPERATIVE PURCHASING SERVICE DOA-3333 Vendors are encouraged to extend the contract resulting from this RFB to local governments in Wisconsin. Indicate your willingness to allow Wisconsin municipalities to participate in this contract by completing Form DOA-3333, Wisconsin’s Cooperative Purchasing. 2.4.6 VENDOR REFERENCE DOA-3478 Complete the Vendor Reference form with four vendors that your company has done business with providing product/ services. Include the company name, address, contact person and telephone number along with a brief description of the product. 2.4.7 ADDITIONAL INFORMATION A Certification of Site Visit form must be completed and submitted with all bids. It is understood that failure to attend the mandatory site visit will disqualify a bid. 2.4.8 STATE OF WISCONSIN TERMS AND CONDITIONS DOA-3054 The standard terms and conditions shall govern this RFB and subsequent award. Vendors must accept these terms and conditions or submit point-by-point exceptions along with proposed alternative or additional language for each point, including any vendor contracts. Submission of any standard vendor contracts as a substitute for language in the terms and conditions is not a sufficient response to this requirement and may result in rejection of the vendor's proposal. The State reserves the right to negotiate contractual terms and conditions other than those in the State of Wisconsin Contract when it is in the best interest of the State to do so. 2.5 MULTIPLE BIDS Multiple bids from a vendor will be permissible, however each bid must conform fully to the requirements for bid submission. Each such bid must be separately submitted and labeled as Bid #1, Bid #2, etc. on each page included in the response. Alternate acquisition plans do not constitute multiple bids. 2.6 INCURRING COSTS The State of Wisconsin is not liable for any cost incurred by a vendor in the process of responding to this RFB. 2.7 QUESTIONS, CLARIFICATIONS AND/OR REVISIONS THROUGH DESIGNATED CONTACT All communications and/or questions regarding this request must be written and submitted via e-mail, USPS mail or hand delivery to the Purchasing Services Section. If a Bidder discovers any significant ambiguity, error, conflict, discrepancy, omission, or other deficiency in this RFB, they have five (5) business days after the bid posting date to notify, in writing, the Purchasing Agent at the address shown below of such error and request clarification of the RFB document. All written questions will be responded to in writing and provided to all bidders. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 JEFF LASEE / PURCHASING SERVICES DEPARTMENT OF CORRECTIONS PO BOX 7991 MADISON WI 53707-7991 [email protected] From the date of release of this RFB through the entire RFB process, all contacts with the DOC regarding this RFB shall be made through the Purchasing Services Section. Violation of this condition may be considered sufficient cause for rejection of a bid, irrespective of any other considerations. In the event that it becomes necessary to provide additional clarifying data or information, or to revise any part of this RFB, amendment(s) will be posted on VendorNet. Each bid shall stipulate that it is predicated upon the terms and conditions of this RFB and any amendment(s) thereof. Alternately, questions may be asked at the site visit. 3.0 BID ACCEPTANCE, EVALUATION AND AWARD 3.1 BID OPENING Bids will be opened on the date and time indicated on the Request for Bid Form (DOA-3070) at 3099 East Washington Ave. Madison, WI 53704 Purchasing Services Section room. Names of the bidders shall be read aloud at that time. 3.2 BID ACCEPTANCE Bids which do not comply with instructions or are unable to comply with specifications contained in this RFB may be rejected by the State. The State retains the right to accept or reject any or all bids, or accept or reject any part of a bid deemed to be in the best interest of the State. The State shall be the sole judge as to compliance with the instructions contained in this RFB. 3.3 BID EVALUATION Bids will be evaluated by the DOC's purchasing agent and program manager to verify that they will meet all specified requirements in this RFB. This verification may include requesting reports on the vendor's financial stability, conducting demonstrations of the vendor's proposed products, and reviewing results of past awards to the vendor by the State of Wisconsin. FAILURE TO MEET A MANDATORY REQUIREMENT SHALL DISQUALIFY THE BID. However, if no bidder is able to comply with a given requirement, condition of bid or provide a specific item, Purchasing Services reserves the right to delete that requirement, condition of bid or item. 3.4 METHOD OF AWARD Award shall be made separately for each location on the basis of the lowest total cost from a responsive, responsible bidder meeting bid specifications and requirements, which is judged to be in the best interest of the DOC. The DOC reserves the right to accept or reject any and all bids in whole or in part. Bids that state the DOC shall guarantee a specific quantity or dollar amount will be disqualified. In the event of bidder error in calculation, unit price shall prevail in award. If a responsive, responsible State qualified work center meets the fair market price and other work center program criteria, the award will be made to the work center (Wisconsin State Statute 16.752). A demonstration may be required before bid award. The location will be determined at a later date. 3.5 MINORITY BUSINESS ENTERPRISE RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 Bids from certified Minority Business Enterprises (MBE) may be provided up to a five percent (5%) bid preference in accordance with Wis. Stats. s. 16.75(3m). MBE must be certified by the Department of Administration to be eligible for the preference. Indicate if applicable by checking the box on the front page, form DOA-3070 3.6 4.0 DISABLED VETERAN-OWNED BUSINESSES Bids from certified Disabled Veteran-Owned Business (DVB) may be provided up to a five percent (5%) bid preference in accordance with Wis. Stats. s. 16.75(3m). DVB must be certified the by the Department of Administration to be eligible for the preference. Indicate if applicable by checking the box on the front page, form DOA-3070. TECHNICAL REQUIREMENTS The following specifications are the minimum specifications of the product desired. If not bidding on all particulars as specified, the bidder may offer the product they believe to be an “equal” alternate product. Any alternate product(s) bid must be clearly identified by manufacturer and model or stock number with adequate detailed product information to establish equivalency. Failure to provide alternate product information in the bid response may result in disqualification of the bid. The DOC will be the sole judge of equivalency and acceptability. No revisions to this bid may be made unless in the form of an official addendum issued by the DOC, Purchasing Services Section. 4.1. 4.2 QUALIFICATIONS 4.1.1 Bidder must be in the business of providing commercial dishwashing products and must have done so for the past 3 years. Bidder shall submit documentation of being in the business of providing commercial dishwashers for the past 3 years. 4.1.2 Bidder must be an original manufacturer, authorized distributor, or dealer authorized by manufacturer with service and repair capabilities for the item. Bidder shall submit documentation of being an original manufacturer, authorized distributor, or dealer authorized by manufacturer. SITE VISITS Bidders are strongly encouraged to visit the job site prior to submitting a bid to assure themselves and program staff at WSPF, REECC, and MSDF that they fully understand all requirements of the project. Bidders are expected to make all field measurements necessary for establishing the exact locations and relationships needed for the installation of equipment in addition to asking questions about any aspect of delivery, installation, or performance that may be unclear to them. Failure to take field measurements or ask a question will in no way relieve the awarded bidder from the responsibility of providing, without additional costs to the Department, all necessary service that may be required to carry out the full scope of this contract. The site visit for WSPF, REECC, and MSDF can be done May 5, 6, or 7 between the hours of 10 AM and 3 PM. Bidders are to meet at the main entrance at each location. Call the contacts listed below at each location to schedule the site visit. Wisconsin Secure Program Facility (WSPF) 1101 Morrison Drive Boscobel, WI 53805 Contact: Sam Nelson Phone: 608-375-5656 Milwaukee Secure Detention Facility (MSDF) 1015 North 10th Street Milwaukee, WI 53205-0740 Contact: Pete Nondorf Phone: 414-212-4902 Robert E. Ellsworth Correctional Center (REECC) 21425-A Spring Street Union Grove, WI 53182-9408 Contact: Diane Burczyk Phone: 262-878-6032 RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 All site visit attendees must submit their full name and birth date at least 48 hours in advance of the scheduled site visits. Background checks are required for anyone entering into secure areas of each facility. No persons shall be allowed into the kitchen area without a completed background check. 4.3 SPECIFICATIONS 4.3.1 Work to be performed by WSPF, REECC, and MSDF Disconnect existing machines from all utilities prior to removal. Make sure all piping, traps, vents, and utilities are in good repair and accessible to the vendor. Clean and dry floors and provide sufficient access space to allow vendor to assemble/install dish machine. 4.3.2 Work to be performed by Vendor – using factory authorized personnel for all installation and assembly. Disassemble by bolt and remove existing equipment to a location dictated by WSPF, REECC, and MSDF. Assemble and fully install dish machine in designated space. Make all connections for water, steam, HVAC, and electrical to available/existing utilities in the installation area. Provide any modifications necessary in building to accommodate the new machines, i.e., electrical, water, drain, steam, ventilation including new duct risers, and condensate lines as required. Any modification or fabrication to the stainless steel, leading to or exiting the unit, is part of installation. Connection of the new booster heater is part of the installation and it must match the existing utility – steam or electric (make this determination at the mandatory site visit) Perform start up and testing of machine. Provide on-site training to staff for operation and maintenance of machine. Clean and remove all debris and scrap materials from institution at the end of each day during installation. Coordinate with institution personnel on timelines and hours of availability to complete installation, start up, and training. Provide two (2) copies of all operating, service, and parts manuals in a printed and bound format. Provide two (2) copies of all manuals on CD or DVD. 4.4 F.O.B. DESTINATION, FREIGHT PREPAID AND ALLOWED (vendor responsible for freight costs) Items are to be installed at Wisconsin Secure Program Facility (WSPF) at 1101 Morrison Drive, Boscobel, WI 53805-0900 or Robert E. Ellsworth Correctional Center (REECC) at 21425-A Spring Street, Union Grove, WI 53182-9408 or Milwaukee Secure Detention Facility (MSDF) at 1015 North 10th Street, Milwaukee, WI 53205-0740, F.O.B. DESTINATION FREIGHT PREPAID INCLUDED AND INSTALLED. Bid prices must include all packing, freight, insurance, set-up, instruction and operation/service/parts manual charges. Items must be set in place in an area designated by DOC personnel, demonstrated to be in operating condition, and approved by DOC personnel. The contractor is required to maintain insurance in compliance with “Standard Terms and Conditions 23.0 Insurance. Failure to bid FOB Destination Freight Prepaid Included and Installed in price may disqualify the bid. 4.5 ON SITE SERVICE In carrying out the scope of this Contract, the Contractor shall be required to perform services on DOC property. Bidders cost must include all transportation and insurance charges. The contract is required to maintain insurance in compliance with “Standard Terms and Conditions 23.0 Insurance. All vendor or approved subcontractor personnel must submit their full name and birth date at least 72 hours in advance of the scheduled installation. Background checks are required for anyone entering into secure areas of the facility. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF 4.6 Due Date: May 14, 2015 DOC DELIVERY REQUIREMENTS Delivery of orders may only be made to DOC Institutions Monday through Friday, during the hours of 8:00am to 2:30pm. No weekend or State holiday deliveries. Packing: Each package of goods shall be delivered in standard containers so constructed as to ensure acceptance by common or other carriers for safe transportation at the lowest rate to the point of destination. Preparation for Delivery – Commercial packages will be acceptable. Items shall be packed in substantial containers, so constructed as to ensure acceptance by common or other carriers for safe transportation, at lowest rate, to the point of delivery. If at all possible, packaging that can be returned or is recyclable or made from recycled materials should be used. The shipping containers shall be marked with the name of the material, size, type and quantity contained therein, name of contractor, and the purchase order number. Marking – Each carton/case must be clearly marked with the product, style number, product type, size and color. Delivery ticket will be in duplicate. All delivery tickets will be signed by DOC personnel who have checked order copy against delivery ticket. Delivering personnel will retain one copy of signed delivery ticket for billing purposes. MSDS – Material Safety Data sheets should be on the outside of the carton if required. 4.7 DOC DOCKING REQUIREMENTS Shipments delivered to DOC must be on four way entry pallets. Pallets must be in good condition, no broken boards or rails. Multiple packages may be banded or shrink-wrapped on a single pallet. Products must not exceed the pallet dimensions (40”x48”x60”H), with no overhang. All hazardous materials must be picked, packed, wrapped, labeled, sorted and shipped per all Federal and State regulations. To facilitate delivery, dock level trucks must be used. DOC will not accept damaged hazardous material. It is the contractor or freight company’s responsibility for Hazmat clean up. 4.8 SHIPMENTS, DUPLICATES AND OVER SHIPMENTS Upon notification by the DOC of a duplicate or over shipment, item must be removed at the contractor’s expense. If such goods are not removed within 30 days of written notification, the DOC reserves the right to dispose of them as its own property and shall not be held liable for the cost. 4.9 ITEM RETURN POLICY / DEFECTIVE PRODUCT Contractor should provide for return of items ordered in error for up to 30 calendar days from receipt with the DOC paying only the return shipping costs. The State of Wisconsin reserves the right to reject any shipments that it deems to be faulty. Such shipments shall be returned at the contractor(s) expense. The state will not be responsible for charges incurred as a result of the defective product. If the contractor(s) is then unable to furnish an acceptable product, the State of Wisconsin may elect to purchase from another vendor such quantities as may be needed to fulfill the immediate requirement(s). Any difference in costs between the contract price and the price of such shipment(s) from another vendor shall be deducted from any monies, which may be due to the contractor. 4.10 ORDERS Specific order(s), Contract blanket order(s), or Purchasing Card order(s) may be issued to the Contractor(s). 4.10.1 Purchase Order(s): issued as one-time orders. 4.10.2 Blanket Purchase Order(s): issued for a specified period of time, to allow departmental personnel to issue releases against the blanket purchase order(s) as needed. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 4.10.3 Purchasing Card order(s): issued as one-time order. 4.10.4 Purchase Orders may be sent by US mail, phone, fax, internet, etc. 4.11 RANDOM SAMPLING Upon delivery and before payment of the final invoice, any part of the final product may be pulled from the contractor’s delivery truck and inspected to assure the DOC that the specifications have been met in all respects. Failure to meet any specification will mean rejection of the entire order at no cost to the DOC. No changes in the specifications will be permitted without written authorization from Purchasing Services. 4.12 WARRANTY Bid must honor, at minimum, a two year standard warranty on items and/or parts purchased under this contract. Indicate warranty term on the Cost Sheet and enclose standard warranty documents with the bid. Vendors must furnish all warranty repairs or provide alternate source of local warranty repair at no extra cost to the State. 4.13 NEW PRODUCT All items bid shall be manufacturer’s current production products, unless otherwise specified. All equipment bid must be new, unless otherwise specified. 4.14 PRODUCT IDENTIFICATION Bid response must be clearly identified by manufacturer and catalog/model/stock number and/or appropriate identification as requested on the Cost Sheet. Adequate detailed specifications of the items offered bid must be included with the bid to insure that the item(s) being bid meets all specifications. 4.15 ALTERNATE PRODUCTS Bidder may offer an alternate manufacturer product believed to be an equal. Any alternate product(s) bid must be clearly identified by the manufacturer and catalog, model, or stock number. Adequate detailed specifications of the product offered must be included with the bid to establish equivalency and to insure that the product being bid meets all specifications. The DOC will be the sole judge of equivalency and acceptability. 4.16 MANUFACTURER TRAINED TECHNICIANS Contractor must use only manufacturer trained technicians for this contract. The service technician must be trained and have experience with the commercial dishwashers included in this bid. 4.17 ON SITE MAINTENANCE Contractor must perform all maintenance on site unless DOC has granted permission to remove equipment from site. 4.18 REPLACEMENT PARTS Contractor must have access to replacement parts within 24 hours to service all machines listed. 4.19 SERVICE CALLS Service calls received in A.M. must be acknowledged in P.M. of the same day and service calls received in P.M. must be acknowledged by noon the following work day and the machine(s) must be serviced within 48 hours of the initial call. The service representative shall leave with the ordering department a dated written report indicating the service performed. The report must be signed by the DOC employee in charge of the machine(s). The bid must include labor and travel time during stated service hours. DOC service hours shall be defined as 8:00 A.M. to 2:30 P.M., Monday through Friday, excluding state holiday and furlough days. 5.0 PERFORMANCE REQUIREMENTS 5.1 EQUIPMENT PERFORMANCE All proposed equipment must be capable of performing at an effectiveness level in accordance with manufacturer’s specifications. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 5.2 EQUIPMENT OPERATIONS All proposed equipment must be capable of performing all operations in accordance with manufacturer's advertised data sheets and technical publications. 5.3 TIMELINESS OF DELIVERY Delivery is desired as soon as possible after receipt of a purchase order. State on the Itemized Cost Sheets when delivery can be made. The contractor is required to notify the ordering department of any back order, discontinuation of item(s) or other delays in shipping within 3 working days of receipt of order or release order. 6.0 PRICING 6.1 7.0 FIRM PRICES Prices must remain firm for six (6) calendar months after the initial bid opening. Prices established may be lowered due to general market conditions. SUPPORT REQUIREMENTS 7.1 INVOICING / PAYMENT REQUIREMENTS 7.1.1 INVOICES FOR PURCHASE ORDERS Contractor must agree that all invoices and purchasing card charges shall reflect the prices and discounts established for the items on this contract for all orders placed by the DOC even though the contract number and/or correct prices may not be referenced on each order. The DOC must meet a statutory mandate to pay or reject invoices within 30 days of receipt by DOC Accounts Payable. Before payment is made, it also must verify that all invoiced charges are correct as per this Contract. Only properly submitted invoices will be officially processed for payment. Prompt payment requires that contractor invoices be clear and complete in conformity with the instructions below. All invoices must be itemized showing: Contractor name remit to address purchase order number release number if given date of order/release item manufacturer’s name or abbreviation (if applicable) complete item description including catalog, model and/or stock number(s) identical to those stated in bid prices per the Contract The original invoice and two copies must be sent to the DOC address listed on the Purchase Order. Final payment may not be made until the item is operating according to specifications and has been accepted by the DOC. 7.2 SUBCONTRACTING Any Contract resulting from this bid shall not be, in whole or in part, subcontracted, assigned, or otherwise transferred to any other Contractor without prior written approval by Purchasing Services. 7.2.1 The Contractor shall be directly responsible for any subcontractor’s performance and work quality when used by the Contractor to carry out the scope of the job. 7.2.2 Contractor must assure subcontractors abide by all terms and conditions under this Contract. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF 7.2.3 7.3 Due Date: May 14, 2015 If subcontractors are to be used, the Contractor must clearly explain their participation. PRIME CONTRACTOR: MINORITY BUSINESS SUBCONTACTORS AND DISABLED VETERAN-OWNED BUSINESS SUBCONTRACTORS The prime contractor will be responsible for contract performance when subcontractors are used. However, when subcontractors are used, they must abide by all terms and conditions of the contract. If subcontractors are to be used, the bidder must clearly explain their participation. The State of Wisconsin is committed to the promotion of minority business in the state's purchasing program and a goal of placing 5% of its total purchasing dollars with certified minority businesses. Authority for this program is found in ss. 15.107(2), 16.75(4), 16.75(5) and 560.036(2), Wisconsin Statutes. The contracting agency is committed to the promotion of minority business in the state's purchasing program. The State of Wisconsin policy provides that minority-owned and disabled business enterprises certified by the Wisconsin Department of Administration Minority Business Certification Program should have the maximum opportunity to participate in the performance of its contracts. The supplier/contractor is strongly urged to use due diligence to further this policy by awarding subcontracts to minority and disabled owned business enterprises or by using such enterprises to provide goods and services incidental to this agreement, with a goal of awarding at least 5% of the contract price to such enterprises. The supplier/contractor shall furnish appropriate quarterly information about its effort to achieve this goal, including the identities of such enterprises certified by the applicable State of Wisconsin Supplier Diversity Certification Program (https://wisdp.wi.gov/Home.aspx) and their contract amount. The Wisconsin Office of Business Development also certifies disabled veteran-owned business certification program and supplier/contractor should also include the identities of such businesses in their quarterly information. Quarterly reports shall be due fifteen (15) calendar days after the end of the quarter, 9/30, 12/31, 3/31 and 6/30. The form for submitting this information is available from the VendorNet Department of Administration Forms Page: http://vendornet.state.wi.us/vendornet/doaforms/doa-3234.doc . The report shall be submitted even if there is no activity. Submit to: e-mail: [email protected] post: MBE Purchasing Report PO BOX 7991 Madison, WI 53707-7991 The State reserves the right to request additional reports from the Contractor at no additional cost. Contractor shall use every effort to provide such reports in a reasonable timeframe, but no later than thirty (30) calendar days from the time the request was submitted. These reports shall be in a form approved in advance in writing by the State. A listing of certified minority businesses, as well as the services and commodities they provide, is available from the Department of Administration, Minority Business Program, (608) 267-3293. The listing is published on the Internet at: http://www.doa.state.wi.us/mbe/report2.asp?locid=0 . A directory of certified disabled veteran-owned business can be accessed via this website: http://commerce.wi.gov/BusinessDirectory/. Information about the Disabled Veteran-Owned Business Program is available from the Department of Administration, (608) 267-3293. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF 7.4 Due Date: May 14, 2015 AFFIRMATIVE ACTION All contracts of more than Fifty Thousand Dollars ($50,000) require the submission of a written affirmative action plan or request exemption. Contractors with an annual workforce of less than twenty-five employees are eligible for exemption. Within fifteen (15) days after the award of the contract, the written affirmative action plan, or statement requesting exception, shall be submitted to the Department’s Contract Compliance Office. Address plan to: AFFIRMATIVE ACTION MANAGER/ PURCHASING SERVICES DEPARTMENT OF CORRECTIONS 3099 E WASHINGTON AVE PO BOX 7991 MADISON WI 53707-7991. Contractors are encouraged to contact this office at, (608) 240-5571, for technical assistance on equal opportunity. "Affirmative Action Plan" is a written document that details an affirmative action program. Key parts of an affirmative action plan are: (1) a policy statement pledging nondiscrimination and affirmative action employment, (2) internal and external dissemination of the policy, (3) assignment of key employee as the equal opportunity officer, (4) a workforce analysis that identifies job classification where representation of women, minorities and the disabled is deficient, (5) goals and timetables that are specific and measurable and that are set to correct deficiencies and to reach a balance of work force, (6) revision of all employment practices to ensure that they do not have discriminatory effects, (7) establishment of internal monitoring and reporting systems to measure progress regularly. Failure to comply appropriately with these requirements can lead to bidder being banned from doing business with any agency of the State of Wisconsin. Additionally, failure to comply can result in termination of this contract, or withholding of payment. On the Vendor Information Sheet provide the requested information. For additional information see Section 19.0 of the Standard Terms and Conditions. 7.5 WISCONSIN SALES AND USE TAX REGISTRATION The State of Wisconsin shall not enter into a contract with a vendor, and reserves the right to cancel any existing contract if the vendor or contractor has not met or complied with the requirements of s. 77.66, Wis. Stats., and related statutes regarding certification for collection of sales and use tax. If you have not established a certification for Collection of Sale and Use Tax status with the Wisconsin Department of Revenue, the DOC and any other state agency can not issue any purchase orders to your firm. For additional information see http://www.dor.state.wi.us/html/vendlaw.html 7.6 TOBACCO-FREE ENVIRONMENT All DOC Institutions are Tobacco-Free. Contractors are not to possess or use any tobacco product inside an institution. 7.7 INSIDE FACILITY DELIVERY These products may be required to be delivered within the confines of a State of Wisconsin Correctional Facility to which access is tightly controlled. Delivery persons will need to be properly documented with approved identification: a valid Wisconsin or other State’s driver’s license. Vehicles will be subject to search upon entering and leaving said Facility. Vehicles containing weapons, drugs or drug paraphernalia, live animals, additional passengers, and/or any other restricted items will not be allowed to enter the facility. Possession of contraband may be reported to local law enforcement. All vehicles shall be thoroughly searched entering and leaving the institution to prevent introduction of contraband and the use of the vehicle as a means of escape by inmates. Vehicles leaving the institution shall have a designated position at which to stop before reaching the vehicle exit, so that the driver and passengers can be properly identified. All vehicles leaving the institution shall again be searched at the truck exit. Any vehicle that cannot be thoroughly searched must be held inside the institution through an official count. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 Trucks to be loaded inside the institution must be loaded under the supervision of a staff member. In maximum security institutions, trucks shall never be left unsupervised while inside the institution. In medium and minimum institutions, unattended trucks must be locked. The DOC will not be responsible for any additional delivery charges resulting from being denied entry by non-compliant delivery personnel. 7.8 ACCESS TO DOC INSTITUTIONS Execution of this contract requires access/entrance into DOC secure facilities. All contractor staff will be required to submit to a Criminal Background Check, which must be successfully completed prior to arrival. Although specific policies vary somewhat between facilities, the following will apply: All vehicles shall be thoroughly searched entering and leaving the institution to prevent introduction of contraband and the use of the vehicle as a means of escape by inmates. Within the fence, contraband items are prohibited in the vehicle as well as on the person. Contraband items include but are not limited to drugs, tobacco products, cell phones, adult or pornographic materials, explosives and weapons (including pocket knives and razor knives, unless a part of an inventoried tool box.) Tool boxes should be inventoried prior to arrival to facilitate security staff accounting. Items may be left with security, however illegal items may not be returned. Trucks to be loaded inside the institution must be loaded under the supervision of a staff member. In maximum security institutions, trucks shall never be left unsupervised while inside the institution. In medium and minimum institutions, unattended trucks must be locked. Vehicles leaving the institution shall have a designated position at which to stop before reaching the vehicle exit, so that the driver and passengers can be properly identified. All vehicles leaving the institution shall again be searched at the truck exit. Any vehicle that cannot be thoroughly searched must be held inside the institution through an official count. Contractor staff walking in may be required to pass through a metal detector and/or have all carry-in items x-rayed or searched. Fraternization with inmates is prohibited. Nothing is to be given to inmates (food, mail, money, newspapers or magazines, etc.) without authorization and nothing is to be received from inmates for removal or transport from the institution. 7.9 EMPLOYEE IDENTIFICATION All contractors’ employees, while working on DOC property, must wear a clearly displayed photo identification badge (provided by the Contractor at the Contractor’s cost) showing they are employees of the contractor. Badges must be available but will not be required to be worn when protective clothing and respiratory protection is required. 7.10 CONFIDENTIALITY The confidentiality of offender health information is protected by the federal Health Insurance Portability and Accountability Act (HIPAA) regulations (45 CFR, Parts 160 & 164), federal Alcohol and Other Drug Abuse Patient Information regulations (42 CFR Part 2), and by various Wisconsin laws governing the confidentiality of medical, mental health, developmental disability, and alcohol and drug information. In addition, the department considers all personally identifiable information relating to DOC employees or offenders to be confidential, and such data is not to be released unless approved by the DOC. 7.11 LIQUIDATED DAMAGES This shall be surety for fulfillment of the contract(s) including quality, performance and delivery under the terms of this Request for Bid. Liquidated damages shall consist of $100.00 per working day per line item for failure to deliver according to the vendor specified delivery schedule. Liquidated damages will be deducted from payments on the invoice covering the late shipments, if the invoice is of sufficient amount to cover the liquidated damages. If the invoice is not of a sufficient amount to cover the liquidated RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 damages on a particular shipment, the agency will request cancellation of the invoice and a credit to cover the balance. 7.12.1 CONTRACTOR APPEALS PROCESS In the event liquidated damages are assessed the contractor will be given an opportunity to appeal the damages by using the following process: A Cure Notice is sent by the Contract Manager Vendor respond’s to the Contract Manager’s Cure Notice letter. Contract Manager responds back to the vendor after consulting with the program staff. If vendor is not satisfied, the vendor appeals to the program Division Administrator. If the vendor is still not satisfied with the Division Administrator’s response, the vendor can appeal to the State Claims Board. DOC does not provide in-person hearings under Chapter 227 of the statutes in a contract dispute. 7.12 ENERGY STAR The State encourages the use of equipment which meets the Environmental Protection Agency (EPA) Energy Star requirements. The Energy Star Program is a voluntary agreement between an OEM and the EPA. It is not mandatory that every device offered meet Energy Star requirements but the bulk of the product line should be energy efficient. 7.13 EMPLOYMENT OF CURRENT OFFENDERS AND EMPLOYMENT AND RETENTION OF INDIVIDUALS ARRESTED, CHARGED OR CONVICTED OF CRIMINAL OFFENSE 7.13.1 Contractor shall not employ a person who is on probation, parole or an inmate who is supervised by Intensive Sanctions for any position where the primary duties and responsibilities involve the supervision or treatment of inmates, probationers or parolees or involve access to offenders' records or funds. 7.13.2 Contractor will implement policies and procedures to ensure that: Job applicants or current employees shall be dealt with as follows: 184.108.40.206 For a job applicant who has a pending criminal charge: Where the circumstances of said criminal charge substantially relate to the circumstances of a particular job or licensed activity, the applicant will not be hired for that job; 220.127.116.11 For a current employee who has a pending criminal charge: Where the circumstances of said criminal charge substantially relate to the circumstances of the job or licensed activity, the employee will not be continued in that particular job; 18.104.22.168 For a job applicant who is convicted of a criminal offense: Where the circumstances of said conviction of a criminal or other offense that substantially relates to the circumstances of a particular job or licensed activity, the applicant will not be hired for that job; and 22.214.171.124 For a current employee who is convicted of a criminal offense: Where the circumstances of said conviction of a criminal or other offense that substantially relates to the circumstances of the current job or licensed activity, the employee will not be retained in that particular job. Nothing in this contract prohibits the Contractor from reassigning or suspending the employee or, in the case of a conviction, terminating the employee. 7.13.3 In hiring and retention decisions, Contractor may consider records of pending criminal charges and convictions when it can be demonstrated that the circumstances of the offense substantially relate to the circumstances of the job or licensed activity. When determining whether the circumstances of a pending charge or conviction are substantially job related, Contractor should take into consideration elements related to the position, the offense, and the individual. RFB # JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 7.13.4 To make determinations on substantial relationships to the circumstances of the job, Contractor shall have written policies on how the applicant for employment and the employee will be reviewed. 7.14 FRATERNIZATION 7.14.1 Contractor agrees to have a written policy on fraternization that prohibits the forming of improper relationships between Contractor's employees and offenders. The policy must be substantially equivalent to the DOC policy as expressed in Executive Directive 16, May 1991 - Revised January 1997, Further Revised August 2004. A copy of Executive Directive 16 may be obtained from the Contract Administrator. 7.14.2 Contractor shall address at the minimum the policy required in Sub. A: definitions of employee, relationships and offender; a statement of prohibited relationships; duty of employee to inform Contractor of unplanned contacts with offenders; a statement that Contractor-directed contacts or those which are part of the employee's job duties are exempt from the policy; an exception procedure which may be carried out by the Executive Director or designee; and a standard employee statement indicating that each employee has read a copy of the Contractor's policy on fraternization. 7.14.3 Contractor shall also agree to have a written policy which prohibits Contractor’s employees from engaging in any sexual contact or sexual intercourse with offenders under the custody and control of the DOC. The policy must be substantially equivalent to the DOC’ policy as expressed in Executive Directive 16-A, August 2006. A copy of Executive Directive 16-A may also be obtained from the Contractor Administrator. 7.14.4 Contractor shall maintain a copy of the signed employee statement on fraternization and sexual contact in each employee's personnel file. 7.15 8.0 CONTRACTOR MAJOR STRUCTURAL CHANGE The Contractor is required to provide the Department of Corrections with a minimum of 90 days written advance notice of any planned or potential structural change (merger, buyout, acquisition, consolidation, etc.). Contract may not be automatically assigned to the new entity (since the underlying procurement may be affected). STANDARD TERMS AND CONDITIONS The Standard Terms and Conditions (DOA-3054) are by reference made a part of this RFB. The State of Wisconsin reserves the right to incorporate standard State contract provisions into any contract negotiated with any bid submitted responding to this RFB (Standard Terms and Conditions, DOA-3054). Failure of the successful bidder to accept these obligations in a contractual agreement may result in cancellation of the award. The Standard Terms and Conditions shall govern this RFB and subsequent contract. Wisconsin Department of Administration Chs. 16, 19, 51 DOA-3054 (R10/2005) Page 1 of 3 Standard Terms And Conditions (Request For Bids / Proposals) 1.0 2.0 3.0 SPECIFICATIONS: The specifications in this request are the minimum acceptable. When specific manufacturer and model numbers are used, they are to establish a design, type of construction, quality, functional capability and/or performance level desired. When alternates are bid/proposed, they must be identified by manufacturer, stock number, and such other information necessary to establish equivalency. The State of Wisconsin shall be the sole judge of equivalency. Bidders/proposers are cautioned to avoid bidding alternates to the specifications which may result in rejection of their bid/proposal. DEVIATIONS AND EXCEPTIONS: Deviations and exceptions from original text, terms, conditions, or specifications shall be described fully, on the bidder's/proposer's letterhead, signed, and attached to the request. In the absence of such statement, the bid/proposal shall be accepted as in strict compliance with all terms, conditions, and specifications and the bidders/proposers shall be held liable. QUALITY: Unless otherwise indicated in the request, all material shall be first quality. Items which are used, demonstrators, obsolete, seconds, or which have been discontinued are unacceptable without prior written approval by the State of Wisconsin. 4.0 QUANTITIES: The quantities shown on this request are based on estimated needs. The state reserves the right to increase or decrease quantities to meet actual needs. 5.0 DELIVERY: Deliveries shall be F.O.B. destination freight prepaid and included unless otherwise specified. 6.0 PRICING AND DISCOUNT: The State of Wisconsin qualifies for governmental discounts and its educational institutions also qualify for educational discounts. Unit prices shall reflect these discounts. 6.1 6.2 6.3 Unit prices shown on the bid/proposal or contract shall be the price per unit of sale (e.g., gal., cs., doz., ea.) as stated on the request or contract. For any given item, the quantity multiplied by the unit price shall establish the extended price, the unit price shall govern in the bid/proposal evaluation and contract administration. Prices established in continuing agreements and term contracts may be lowered due to general market conditions, but prices shall not be subject to increase for ninety (90) calendar days from the date of award. Any increase proposed shall be submitted to the contracting agency thirty (30) calendar days before the proposed effective date of the price increase, and shall be limited to fully documented cost increases to the contractor which are demonstrated to be industrywide. The conditions under which price increases may be granted shall be expressed in bid/proposal documents and contracts or agreements. In determination of award, discounts for early payment will only be considered when all other conditions are equal and when payment terms allow at least fifteen (15) days, providing the discount terms are deemed favorable. All payment terms must allow the option of net thirty (30). 7.0 UNFAIR SALES ACT: Prices quoted to the State of Wisconsin are not governed by the Unfair Sales Act. 8.0 ACCEPTANCE-REJECTION: The State of Wisconsin reserves the right to accept or reject any or all bids/proposals, to waive any technicality in any bid/proposal submitted, and to accept any part of a bid/proposal as deemed to be in the best interests of the State of Wisconsin. Bids/proposals MUST be date and time stamped by the soliciting purchasing office on or before the date and time that the bid/proposal is due. Bids/proposals date and time stamped in another office will be rejected. Receipt of a bid/proposal by the mail system does not constitute receipt of a bid/proposal by the purchasing office. 9.0 METHOD OF AWARD: Award shall be made to the lowest responsible, responsive bidder unless otherwise specified. 10.0 ORDERING: Purchase orders or releases via purchasing cards shall be placed directly to the contractor by an authorized agency. No other purchase orders are authorized. 11.0 PAYMENT TERMS AND INVOICING: The State of Wisconsin normally will pay properly submitted vendor invoices within thirty (30) days of receipt providing goods and/or services have been delivered, installed (if required), and accepted as specified. Invoices presented for payment must be submitted in accordance with instructions contained on the purchase order including reference to purchase order number and submittal to the correct address for processing. A good faith dispute creates an exception to prompt payment. 12.0 TAXES: The State of Wisconsin and its agencies are exempt from payment of all federal tax and Wisconsin state and local taxes on its purchases except Wisconsin excise taxes as described below. The State of Wisconsin, including all its agencies, is required to pay the Wisconsin excise or occupation tax on its purchase of beer, liquor, wine, cigarettes, tobacco products, motor vehicle fuel and general aviation fuel. However, it is exempt from payment of Wisconsin sales or use tax on its purchases. The State of Wisconsin may be subject to other states' taxes on its purchases in that state depending on the laws of that state. Contractors performing construction activities are required to pay state use tax on the cost of materials. 13.0 GUARANTEED DELIVERY: Failure of the contractor to adhere to delivery schedules as specified or to promptly replace rejected materials shall render the contractor liable for all costs in excess of the contract price when alternate procurement is necessary. Excess costs shall include the administrative costs. 14.0 ENTIRE AGREEMENT: These Standard Terms and Conditions shall apply to any contract or order awarded as a result of this request except where special requirements DOA-3054 Page 3 of 3 are stated elsewhere in the request; in such cases, the special requirements shall apply. Further, the written contract and/or order with referenced parts and attachments shall constitute the entire agreement and no other terms and conditions in any document, acceptance, or acknowledgment shall be effective or binding unless expressly agreed to in writing by the contracting authority. 15.0 16.0 17.0 18.0 19.0 APPLICABLE LAW AND COMPLIANCE: This contract shall be governed under the laws of the State of Wisconsin. The contractor shall at all times comply with and observe all federal and state laws, local laws, ordinances, and regulations which are in effect during the period of this contract and which in any manner affect the work or its conduct. The State of Wisconsin reserves the right to cancel this contract if the contractor fails to follow the requirements of s. 77.66, Wis. Stats., and related statutes regarding certification for collection of sales and use tax. The State of Wisconsin also reserves the right to cancel this contract with any federally debarred contractor or a contractor that is presently identified on the list of parties excluded from federal procurement and non-procurement contracts. ANTITRUST ASSIGNMENT: The contractor and the State of Wisconsin recognize that in actual economic practice, overcharges resulting from antitrust violations are in fact usually borne by the State of Wisconsin (purchaser). Therefore, the contractor hereby assigns to the State of Wisconsin any and all claims for such overcharges as to goods, materials or services purchased in connection with this contract. ASSIGNMENT: No right or duty in whole or in part of the contractor under this contract may be assigned or delegated without the prior written consent of the State of Wisconsin. WORK CENTER CRITERIA: A work center must be certified under s. 16.752, Wis. Stats., and must ensure that when engaged in the production of materials, supplies or equipment or the performance of contractual services, not less than seventy-five percent (75%) of the total hours of direct labor are performed by severely handicapped individuals. NONDISCRIMINATION / AFFIRMATIVE ACTION: In connection with the performance of work under this contract, the contractor agrees not to discriminate against any employee or applicant for employment because of age, race, religion, color, handicap, sex, physical condition, developmental disability as defined in s. 51.01(5), Wis. Stats., sexual orientation as defined in s. 111.32(13m), Wis. Stats., or national origin. This provision shall include, but not be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. Except with respect to sexual orientation, the contractor further agrees to take affirmative action to ensure equal employment opportunities. 19.1 Contracts estimated to be over twenty-five thousand dollars ($25,000) require the submission of a written affirmative action plan by the contractor. An exemption occurs from this requirement if the contractor has a workforce of less than twenty-five (25) employees. Within fifteen (15) working days after the contract is awarded, the contractor must submit the plan to the contracting state agency for approval. Instructions on preparing the plan and technical assistance regarding this clause are available from the contracting state agency. 19.2 The contractor agrees to post in conspicuous places, available for employees and applicants for employment, a notice to be provided by the contracting state agency that sets forth the provisions of the State of Wisconsin's nondiscrimination law. 19.3 Failure to comply with the conditions of this clause may result in the contractor's becoming declared an "ineligible" contractor, termination of the contract, or withholding of payment. 20.0 PATENT INFRINGEMENT: The contractor selling to the State of Wisconsin the articles described herein guarantees the articles were manufactured or produced in accordance with applicable federal labor laws. Further, that the sale or use of the articles described herein will not infringe any United States patent. The contractor covenants that it will at its own expense defend every suit which shall be brought against the State of Wisconsin (provided that such contractor is promptly notified of such suit, and all papers therein are delivered to it) for any alleged infringement of any patent by reason of the sale or use of such articles, and agrees that it will pay all costs, damages, and profits recoverable in any such suit. 21.0 SAFETY REQUIREMENTS: All materials, equipment, and supplies provided to the State of Wisconsin must comply fully with all safety requirements as set forth by the Wisconsin Administrative Code and all applicable OSHA Standards. 22.0 WARRANTY: Unless otherwise specifically stated by the bidder/proposer, equipment purchased as a result of this request shall be warranted against defects by the bidder/proposer for one (1) year from date of receipt. The equipment manufacturer's standard warranty shall apply as a minimum and must be honored by the contractor. 23.0 INSURANCE RESPONSIBILITY: The contractor performing services for the State of Wisconsin shall: 23.1 Maintain worker's compensation insurance as required by Wisconsin Statutes, for all employees engaged in the work. 23.2 Maintain commercial liability, bodily injury and property damage insurance against any claim(s) which might occur in carrying out this agreement/contract. Minimum coverage shall be one million dollars ($1,000,000) liability for bodily injury and property damage including products liability and completed operations. Provide motor vehicle insurance for all owned, non-owned and hired vehicles that are used in carrying out this contract. Minimum coverage shall be one million dollars ($1,000,000) per occurrence combined single limit for automobile liability and property damage. 23.3 The state reserves the right to require higher or lower limits where warranted. DOA-3054 Page 3 of 3 24.0 CANCELLATION: The State of Wisconsin reserves the right to cancel any contract in whole or in part without penalty due to nonappropriation of funds or for failure of the contractor to comply with terms, conditions, and specifications of this contract. 25.0 VENDOR TAX DELINQUENCY: Vendors who have a delinquent Wisconsin tax liability may have their payments offset by the State of Wisconsin. 26.0 29.0 RECYCLED MATERIALS: The State of Wisconsin is required to purchase products incorporating recycled materials whenever technically and economically feasible. Bidders are encouraged to bid products with recycled content which meet specifications. 30.0 MATERIAL SAFETY DATA SHEET: If any item(s) on an order(s) resulting from this award(s) is a hazardous chemical, as defined under 29CFR 1910.1200, provide one (1) copy of a Material Safety Data Sheet for each item with the shipped container(s) and one (1) copy with the invoice(s). 31.0 PROMOTIONAL ADVERTISING / NEWS RELEASES: Reference to or use of the State of Wisconsin, any of its departments, agencies or other subunits, or any state official or employee for commercial promotion is prohibited. News releases pertaining to this procurement shall not be made without prior approval of the State of Wisconsin. Release of broadcast e-mails pertaining to this procurement shall not be made without prior written authorization of the contracting agency. 32.0 HOLD HARMLESS: The contractor will indemnify and save harmless the State of Wisconsin and all of its officers, agents and employees from all suits, actions, or claims of any character brought for or on account of any injuries or damages received by any persons or property resulting from the operations of the contractor, or of any of its contractors, in prosecuting work under this agreement. 33.0 FOREIGN CORPORATION: A foreign corporation (any corporation other than a Wisconsin corporation) which becomes a party to this Agreement is required to conform to all the requirements of Chapter 180, Wis. Stats., relating to a foreign corporation and must possess a certificate of authority from the Wisconsin Department of Financial Institutions, unless the corporation is transacting business in interstate commerce or is otherwise exempt from the requirement of obtaining a certificate of authority. Any foreign corporation which desires to apply for a certificate of authority should contact the Department of Financial Institutions, Division of Corporation, P. O. Box 7846, Madison, WI 53707-7846; telephone (608) 261-7577. 34.0 WORK CENTER PROGRAM: The successful bidder/proposer shall agree to implement processes that allow the State agencies, including the University of Wisconsin System, to satisfy the State's obligation to purchase goods and services produced by work centers certified under the State Use Law, s.16.752, Wis. Stat. This shall result in requiring the successful bidder/proposer to include products provided by work centers in its catalog for State agencies and campuses or to block the sale of comparable items to State agencies and campuses. 35.0 FORCE MAJEURE: Neither party shall be in default by reason of any failure in performance of this Agreement in accordance with reasonable control and without fault or negligence on their part. Such causes may include, but are not restricted to, acts of nature or the public enemy, acts of the government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, freight embargoes and unusually severe weather, but in every case the failure to perform such must be beyond the reasonable control and without the fault or negligence of the party. PUBLIC RECORDS ACCESS: It is the intention of the state to maintain an open and public process in the solicitation, submission, review, and approval of procurement activities. Bid/proposal openings are public unless otherwise specified. Records may not be available for public inspection prior to issuance of the notice of intent to award or the award of the contract. 27.0 28.0 PROPRIETARY INFORMATION: Any restrictions on the use of data contained within a request, must be clearly stated in the bid/proposal itself. Proprietary information submitted in response to a request will be handled in accordance with applicable State of Wisconsin procurement regulations and the Wisconsin public records law. Proprietary restrictions normally are not accepted. However, when accepted, it is the vendor's responsibility to defend the determination in the event of an appeal or litigation. 27.1 Data contained in a bid/proposal, all documentation provided therein, and innovations developed as a result of the contracted commodities or services cannot be copyrighted or patented. All data, documentation, and innovations become the property of the State of Wisconsin. 27.2 Any material submitted by the vendor in response to this request that the vendor considers confidential and proprietary information and which qualifies as a trade secret, as provided in s. 19.36(5), Wis. Stats., or material which can be kept confidential under the Wisconsin public records law, must be identified on a Designation of Confidential and Proprietary Information form (DOA-3027). Bidders/proposers may request the form if it is not part of the Request for Bid/Request for Proposal package. Bid/proposal prices cannot be held confidential. DISCLOSURE: If a state public official (s. 19.42, Wis. Stats.), a member of a state public official's immediate family, or any organization in which a state public official or a member of the official's immediate family owns or controls a ten percent (10%) interest, is a party to this agreement, and if this agreement involves payment of more than three thousand dollars ($3,000) within a twelve (12) month period, this contract is voidable by the state unless appropriate disclosure is made according to s. 19.45(6), Wis. Stats., before signing the contract. Disclosure must be made to the State of Wisconsin Ethics Board, 44 East Mifflin Street, Suite 601, Madison, Wisconsin 53703 (Telephone 608-266-8123). State classified and former employees and certain University of Wisconsin faculty/staff are subject to separate disclosure requirements, s. 16.417, Wis. Stats. RFB # JL-5178 Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 8.1 SUBCONTRACTING Any Contract resulting from this bid shall not be, in whole or in part, subcontracted, assigned, or otherwise transferred to any other Contractor without prior written approval by Purchasing Services. 8.1.1 The Contractor shall be directly responsible for any subcontractor’s performance and work quality when used by the Contractor to carry out the scope of the job. 8.1.2 Contractor must assure subcontractors abide by all terms and conditions under this Contract. 8.1.3 If subcontractors are to be used, the Contractor must clearly explain their participation. 8.2 PRIME CONTRACTOR: MINORITY BUSINESS SUBCONTACTORS AND DISABLED VETERAN-OWNED BUSINESS SUBCONTRACTORS The prime contractor will be responsible for contract performance when subcontractors are used. However, when subcontractors are used, they must abide by all terms and conditions of the contract. If subcontractors are to be used, the bidder must clearly explain their participation. The State of Wisconsin is committed to the promotion of minority business in the state's purchasing program and a goal of placing 5% of its total purchasing dollars with certified minority businesses. Authority for this program is found in ss. 15.107(2), 16.75(4), 16.75(5) and 560.036(2), Wisconsin Statutes. The contracting agency is committed to the promotion of minority business in the state's purchasing program. The State of Wisconsin policy provides that minority-owned business enterprises certified by the Wisconsin Office of Business Development should have the maximum opportunity to participate in the performance of its contracts. The supplier/contractor is strongly urged to use due diligence to further this policy by awarding subcontracts to minority-owned business enterprises or by using such enterprises to provide goods and services incidental to this agreement, with a goal of awarding at least 5% of the contract price to such enterprises. The supplier/contractor shall furnish appropriate quarterly information about its effort to achieve this goal, including the identities of such enterprises certified by the Wisconsin Office of Business Development and their contract amount. The Wisconsin Office of Business Development also certifies disabled veteran-owned businesses and supplier/contractor should also include the identities of such businesses in their quarterly information. Quarterly reports shall be due fifteen (15) calendar days after the end of the quarter, 9/30, 12/31, 3/31 and 6/30. The form for submitting this information is available from the VendorNet Department of Administration Forms Page: http://vendornet.state.wi.us/vendornet/doaforms/doa-3234.doc . The report shall be submitted even if there is no activity. Submit to: e-mail: [email protected] post: MBE Purchasing Report PO BOX 7991 Madison, WI 53707-7991 The State reserves the right to request additional reports from the Contractor at no additional cost. Contractor shall use every effort to provide such reports in a reasonable timeframe, but no later than thirty (30) calendar days from the time the request was submitted. These reports shall be in a form approved in advance in writing by the State. RFB # JL-5178 Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Due Date: May 14, 2015 A listing of certified minority businesses, as well as the services and commodities they provide, is available from the Department of Administration, Minority Business Program, (608) 267-3293. The listing is published on the Internet at: http://www.doa.state.wi.us/mbe/report2.asp?locid=0 . A directory of certified disabled veteran-owned business can be accessed via this website: http://commerce.wi.gov/BusinessDirectory/. Information about the Disabled Veteran-Owned Business Program is available from the Department of Administration, (608) 267-3293. 9.0 REQUIRED FORMS AND ATTACHMENTS The following forms must be completed and submitted with the bid. FORMS: Request for Bid Form (DOA-3070) - cover sheet, first page of this RFB Vendor Information Form (DOA-3477) Designation of Confidential and Proprietary Information Form (DOA-3027) Wisconsin’s Cooperative Purchasing Service Form (DOA-3333) Vendor Reference Form (DOA-3478) REECC Cost Sheet WSPF Cost Sheet MSDF Cost Sheet ADDITIONAL REQUIRED INFORMATION: Two (2) copies of price list Copy of License(s) Proof of Insurance (The Contractor shall have added the “DOC” as an additional insured under the commercial general, automobile and Contractor’s liability policies on any insurance certificate provided.) STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF ENTERPRISE OPERATIONS BUREAU OF PROCUREMENT S. 16.765, WIS. STATS. Bid / Proposal # Commodity / Service DOA-3477 (R01/08) JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF Vendor Information 1. BIDDING / PROPOSING COMPANY NAME Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address 2. City State Zip + 4 Name the person to contact for questions concerning this bid / proposal. Name Title Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address 3. City State Zip + 4 Any vendor awarded over $25,000 on this contract must submit affirmative action information to the department. Please name the Personnel / Human Resource and Development or other person responsible for affirmative action in the company to contact about this plan. Name Title Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address 4. City State Zip + 4 Mailing address to which state purchase orders are mailed and person the department may contact concerning orders and billings. Name Title Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address City 5. State Zip + 4 CEO / President Name This document can be made available in accessible formats to qualified individuals with disabilities. STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF ENTERPRISE OPERATIONS DOA-3027 (R03/2013) S. 19.36(5), WIS. STATS RETURN FORM TO: STATE BUREAU OF PROCUREMENT 101 E. WILSON ST., 6TH FL P. O. BOX 7867 MADISON, WI 53707 DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION The attached material submitted in response to Bid/Proposal # includes proprietary and confidential information which qualifies as a trade secret, as provided in s. 19.36(5), Wis. Stats., or is otherwise material that can be kept confidential under the Wisconsin Open Records Law. As such, we ask that certain pages, as indicated below, of this bid/proposal response be treated as confidential material and not be released without our written approval. Prices always become public information when bids/proposals are opened, and therefore cannot be kept confidential. Other information cannot be kept confidential unless it is a trade secret. Trade secret is defined in s. 134.90(1)(c), Wis. Stats. as follows: "Trade secret" means information, including a formula, pattern, compilation, program, device, method, technique or process to which all of the following apply: 1. The information derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use. 2. The information is the subject of efforts to maintain its secrecy that are reasonable under the circumstances. We request that the following pages not be released. Section Page # Topic In the event the designation of confidentiality of this information is challenged, the undersigned hereby agrees to provide legal counsel or other necessary assistance to defend the designation of confidentiality and agrees to hold the state harmless for any costs or damages arising out of the state's agreeing to withhold the materials. Failure to include this form in the bid/proposal response may mean that all information provided as part of the bid/proposal response will be open to examination and copying. The state considers other markings of confidential in the bid/proposal document to be insufficient. The undersigned agrees to hold the state harmless for any damages arising out of the release of any materials unless they are specifically identified above. Company Name Authorized Representative Signature Authorized Representative Type or Print Date This document can be made available in alternate formats to individuals with disabilities upon request. Division of State Agency Services State Bureau of Procurement State of Wisconsin Department of Administration DOA-3333 (R03/2004) Vendor Agreement Wisconsin’s Cooperative Purchasing Service Wisconsin statutes (s. 16.73, Wis. Stats.) establish authority to allow Wisconsin municipalities to purchase from state contracts. Participating in the service gives vendors opportunities for additional sales without additional bidding. Municipalities use the service to expedite purchases. A "municipality" is defined as any county, city, village, town, school district, board of school directors, sewer district, drainage district, vocational, technical and adult education district, or any other public body having the authority to award public contracts (s. 16.70(8), Wis. Stats.). Federally recognized Indian tribes and bands in this state may participate in cooperative purchasing with the state or any municipality under ss. 66.0301(1) and (2), Wis.Stats. Interested municipalities: will contact the contractor directly to place orders referencing the state agency contract number; and are responsible for receipt, acceptance, inspection of commodities directly from the contractor, and making payment directly to the contractor. The State of Wisconsin is not a party to these purchases or any dispute arising from these purchases and is not liable for delivery or payment of any of these purchases. The State of Wisconsin will determine the contractor’s participation by checking a box below. MANDATORY: Bidders/Proposers must agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities. Vendors should note any special conditions below. OPTIONAL: Bidders/Proposers may or may not agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities. A vendor’s decision on participating in this service has no effect on awarding this contract. A vendor in the service may specify minimum order sizes by volume or dollar amount, additional charges beyond normal delivery areas, or other minimal changes for municipalities. Vendor: please check one of the following boxes in response. I Agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities with any special conditions noted below. I Do Not Agree to furnish the commodities or services to Wisconsin municipalities. Special Conditions (if applicable): Signature Date (mm/dd/ccyy) Name (Type or Print) Title Company Telephone ( Address (Street) City Commodity/Service Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF State ) ZIP + 4 Request for Bid/Proposal Number JL-5178A This form can be made available in accessible formats upon request to qualified individuals with disabilities. STATE OF WISCONSIN Bid / Proposal # DOA-3478 (R12/96) JL-5178A Commercial Flight-Style Dishwashers for WSPF, REECC, and MSDF VENDOR REFERENCE FOR VENDOR: Provide company name, address, contact person, telephone number, and appropriate information on the product(s) and/or service(s) previously provided with requirements similar to those included in this solicitation document. If vendor is proposing any arrangement involving a third party, the named references should also be involved in a similar arrangement. Company Name Address (include Zip + 4) Contact Person Phone No. Product(s) and/or Service(s) Used Company Name Address (include Zip + 4) Contact Person Phone No. Product(s) and/or Service(s) Used Company Name Address (include Zip + 4) Contact Person Phone No Product(s) and/or Service(s) Used Company Name Address (include Zip + 4) Contact Person Phone No. Product(s) and/or Service(s) Used This document can be made available in accessible formats to qualified individuals with disabilities.
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