I. ATTACHMENT 2, PROPOSAL FORMS Attachment 2, …business.flydenver.com/bizpdf/DIAID_1998.pdf · I. ATTACHMENT 2, PROPOSAL FORMS Attachment 2, Part 1 Proposal Acknowledgement Letter

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Attachment 6, Mandatory RFP Questions

I. ATTACHMENT 2, PROPOSAL FORMS

Attachment 2, Part 1 Proposal Acknowledgement Letter

City and County of Denver

D E N V E R I N T E R N A T I O N A L A I R P O R T

Proposer: Date:

Jessica Encinias, Contract Administrator

Business Management Services

Administration Office Building (AOB)

Denver International Airport

8500 Pena Boulevard

Denver, Colorado 80249-6340

In response to the Request for Proposal (RFP) March 17, 2017 for RFP NO. 201732980, the undersigned

hereby declares that I have carefully read and examined the proposal documents and hereby propose to

perform and complete the work as required in the Scope of Work. Attached hereto are the completed

responses to Parts 2, 3, 4, 5 and 6 of the Proposal Forms.

I agree that this proposal constitutes a valid offer to negotiate an Agreement with the City and County of

Denver (City) to perform the work described in the proposal documents.

After final agreement on the terms of the Agreement has been reached I agree to execute the Agreement,

which will be prepared by the City, in a timely manner.

I acknowledge receipt and consideration of the following addenda to the proposal documents:

Addenda Numbers: _________________________________________________________________

I, the undersigned, certify that I have examined and am fully familiar with the proposal documents and

that I have satisfied myself with the respect to any questions I have regarding the RFP which could in any

way affect my understanding of the Scope of Work of my estimate of the cost thereof.

Signature: ________________________________________________________________________

Type or print name: _________________________________________________________________

Proposer’s Business Address: _________________________________________________________

E-mail address: ____________________________________________________________________

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Attachment 2, Part 2

Attachment 2, Part 2 Proposal Data Form

City and County of Denver

D E N V E R I N T E R N A T I O N A L A I R P O R T

(Please use this form)

Name Of Proposer: __________________________________________________________________

Address: __________________________________________________________________________

Phone: ____________________________________Fax_____________________________________

Email: ____________________________________________________________________________

Federal Identification Number: _________________________________________________________

Principal In Charge (Name & Title): ____________________________________________________

Equal Employment Opportunity Officer: _________________________________________________

Name(s) Of Professional And Public Liability Insurance Carrier(s):

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Parent Company Information (If Applicable)

Name of Company: __________________________________________________________________

Address: __________________________________________________________________________

Phone: Fax: _____________________________________

Contact Person: ____________________________________________________________________

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Submittal is for (check one):

Sole Proprietorship

Partnership

Corporation

If this is a corporation, then you are the (check one):

Subsidiary

Parent Company

Is this a joint venture?

YES

NO

If this is a joint venture, a certified copy of the Joint Venture Agreement must accompany this proposal.

Licenses to perform work (issuing authority, date and validity—please provide copies of all listed):

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

CERTIFICATION

The undersigned certifies that to the best of his/her knowledge, the information presented in this Proposal

Data form is a statement of fact and that the Proposer has the financial capability to perform the work

described in the Proposer’s documents.

Signature _________________________________ Title ___________________________________

Print Name ________________________________________________________________________

Date ______________________________________

Form W-9(Rev. December 2011)Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

Give Form to the requester. Do not send to the IRS.

Pri

nt o

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pe

See

Sp

ecifi

c In

stru

ctio

ns o

n p

age

2.

Name (as shown on your income tax return)

Business name/disregarded entity name, if different from above

Check appropriate box for federal tax classification:

Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ▶

Other (see instructions) ▶

Exempt payee

Address (number, street, and apt. or suite no.)

City, state, and ZIP code

Requester’s name and address (optional)

List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.

Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.

Social security number

– –

Employer identification number

–

Part II CertificationUnder penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal RevenueService (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I amno longer subject to backup withholding, and

3. I am a U.S. citizen or other U.S. person (defined below).

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4.

Sign Here

Signature of U.S. person ▶ Date ▶

General InstructionsSection references are to the Internal Revenue Code unless otherwise noted.

Purpose of FormA person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA.

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to:

1. Certify that the TIN you are giving is correct (or you are waiting for anumber to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exemptpayee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners’ share of effectively connected income.

Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien,

• A partnership, corporation, company, or association created ororganized in the United States or under the laws of the United States,

• An estate (other than a foreign estate), or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners’ share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income.

Cat. No. 10231X Form W-9 (Rev. 12-2011)

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Attachment 2, Part 4 References

Proposer shall furnish the names, addresses and telephone numbers of a minimum of three (3) firms or government organizations for which the proposer is currently furnishing or has, in the past, completed service for:

Company Name:

Address:

Reference

Telephone Number

Company Name:

Address:

Reference

Telephone Number

Company Name:

Address:

Reference

Telephone Number

Company Name:

Address:

Reference

Telephone Number

Bid/RFP No.: Procurement Title:

A. The Following Section Is To Be Completed by the Bidder/Proposer This Letter of Intent Must be Signed by the Bidder/Proposer and M/WBE.

Name of Bidder/Proposer: Self-Performing (Certified Vendor Only) Yes No

Phone:

Contact Person: Email: Fax:

Address: City: State: Zip:

B. The Following Section is To Be Completed by the M/WBE, at any Tier

This Letter of Intent Must be Signed by the M/WBE and Bidder/Proposer

Name of Certified Firm: Phone:

Contact Person: Email: Fax:

Address: City: State: Zip:

Please check the designation(s) which apply to the certified firm.

M/WBE ( ) SBE ( )

A Copy of the M/WBE Letter of Certification must be Attached

Identify the scope of the work to be performed or supply item that will be provided by the M/WBE. On unit price bids only, identify which bid line items the M/WBE scope of work or supply corresponds to.

Check one that applies to the M/WBE:

[ ] Subcontractor [ ] Supplier [ ] Distributor [ ] Broker

[ ] Packager [ ] Manufacturer [ ] Manufacturer’s Rep

Bidder/Proposer intends to utilize the aforementioned M/WBE for the Work/Material described above. The cost of the work/material and percentage of the total subcontractor M/WBE bid amount is:

$ %

Bidder/Proposer Signature: Date:

Title:

M/WBE or Self-Performing Firm’s Signature:

Date:

Title:

If the above named Bidder/Proposer is not determined to be the successful Bidder/Proposer, this Letter of Intent shall be null and void.

Office of Economic Development Division of Small Busines Opportunity DEN- Compliance Unit 8500 Pena Blvd., Suite 7810Denver, CO 80249 Phone: 303-342-2180

LETTER OF INTENT (LOI) PURCHASING / GOODS & SERVICES

FOR GOALS & INDEPENDENT PARTNERSHIPS

INSTRUCTIONS FOR COMPLETION & SUBMISSION:

All lines must be completed or marked N/A for Not Applicable

Submit the attached completed checklist with this letter

Submit a copy of the certified firm current certification letter

RFPs: LOIs must be submitted with Proposal.

Letter of Intent (LOI) Checklist All lines must be completed or marked N/A for Not Applicable

Submit the attached completed checklist with this letter.

Completed

Procurement Number & Project Name

Section A: Name of Bidder/Proposer, Contact Person, Address, City, State, Zip, Phone, Email

Section B: Name of Certified Firm, Contact Person, Address, City, State, Zip, Phone, Email

Designation checked for M/WBE or SBE

Indirect Utilization: Name of subcontractor/subconsultant, supplier or broker is indicated if using the participation of a 2

nd tier subcontractor/subconsultant, supplier or broker.

Scope of work performed or item supplied by M/WBE or SBE

Line items performed, if line-item bid.

Copy of M/WBE, or SBE Letter of Certification Attached

Designation checked for Subcontractor, Supplier, Distributor, Broker, Manufacturer, Manufacturer’s Representative, or Packager

If project is a hard bid…

Bidder has indicated dollar amount for value of work going to Subcontractor, Supplier, Distributor, Broker, Manufacturer, Manufacturer’s Representative, or Packager

Bidder has indicated percentage for value of work going to Subcontractor, Supplier, Distributor, Broker, Manufacturer, Manufacturer’s Representative, or Packager

If project is an RFP/RFQ…

Consultant has indicated percentage for value of work going to Subcontractor, Supplier, Distributor, Broker, Manufacturer, Manufacturer’s Representative, or Packager & contact name for M/WBE.

Fee amount if fee amount of work to be performed is requested.

Bidder/Proposer’s Signature, Title & Date

M/WBE Firm’s Signature, Title and Date

REMEMBERBidder/Proposer must include the LOI at within the Bid/Proposal when submitted to Purchasing.

The complete and accurate information that is required for the Letter of Intent is based on the following sections of the Ordinance: Section 28-126 through -137 and Section 28-151. Failure to complete this information on the Letter of Intent (LOI) may automatically deem a bid or proposal non-responsive.

COMMITMENT TO MWBE PARTICIPATION (Goods/Services)

Office of Economic Development Division of Small Business Opportunity

DEN-Compliance Unit 8500 Pena Blvd., Suite 7810

Denver, CO 80249 Phone: 303-342-2180

[email protected]

The undersigned has satisfied the MWBE participant requirements in the following manner (Please check the appropriate box):

The Bidder/Proposer is committed to the minimum _______% MWBE utilization on the project, and will

submit Letters of Intent (LOI) for each subcontractor/subconsultant listed in the Bid Forms as follows: Hard Bids: With the bid when due. Request for Proposals: With the proposal when due.

The Bidder/Proposer is unable to meet the project goal of % MWBE, but is committed to a

minimum of % MWBE utilization on the project. The Bidder/Proposer understands that they must

submit a detailed statement of their good faith effort under sealed bid procedures, as a matter of responsiveness, or with initial proposal as a matter of responsibility as in accordance with DRMC Section 28-128(a) of Ordinance 86 to the Division of Small Business Opportunity.

The Bidder/Proposer is a certified MWBE in good standing with the City and is committed to self-perform a

minimum of _______% of the work on the contract. The self-performing Bidder/Proposer understands that they must submit a Letter of Intent (LOI) for themselves within its bid or initial proposals as a matter of responsibility

as in accordance with DRMC Section 28-129(b) of Ordinance 86 to the Division of Small Business Opportunity.

Bidder/Proposer (Name of Firm):

Firm’s Representative (Please print):

Signature (Firm’s Representative):

Title:

Address:

City: State: Zip:

Phone: Fax: Email:

A copy of the MWBE Certification letter must be attached to each Letter of Intent (LOI).

List of Proposed MWBE Rev.071615JE

List of Proposed MWBE

Bidders, Subcontractors, Suppliers (Manufacturers) or

Brokers

Office of Economic Development Division of Small Business Opportunity

DEN- Compliance Unit8500 Pena Blvd. Suite 7810

Denver, CO 80249Phone: 303-342-2180

City and County of Denver Contract No.:________________________________________

The undersigned Bidder proposes to utilize the following MWBE for the project. All listed firms are CURRENTLY certified by the City and County of Denver. Only the level of MWBE participation listed at the bid opening will count toward satisfaction of the project goal. Only bona fide commisions may be counted for Brokers. MWBE prime bidders must detail their bid/proposal information below.

Prime Bidder

Business Name:

Address: Contact Person:

Type of Service: Dollar Amount: $: Percent of Project:

MWBE Prime Bidder

Business Name:

Address: Contact Person:

Type of Service: Dollar Amount: $: Percent of Project:

Subcontractors, Suppliers Manufacturers or Brokers (check one box)

Subcontractor Supplier Manufacturer Broker

Business Name:

Address: Type of Service:

Contact Person: Dollar Amount: $: Percent of Project:


Business Name:




Business Name:



List of Proposed MWBE Rev.071615JE

Subcontractors, Suppliers Manufacturers or Brokers (check one box)


Business Name:




Business Name:




Business Name:




Business Name:




Business Name:




Business Name:




Business Name:



4.2 Staffing Plan

4.2.1 Proposers shall complete the following table as part of their Proposals:

Custodial Staff Custodian 1 Custodian 2 Supervisor Total

SECTION 9: TOOLS AND EQUIPMENT CAPABILITY

9.1 Recommended Tools and Equipment List

9.1.1 Below is a list of equipment currently used in the areas covered by the Contract:

EQUIPMENT TYPE

EQUIPMENT DESCRIPTION / SPECIFICATIONS

TOTAL Qty.

Approved Alternate- Manufacturer

Approved Alternate- Model No.

Equipment Years In Service

TWO-WAY RADIOS

COMPATABLE WITH DEN SYSTEM.

HARRIS XG25 SCAN PORTABLE

RADIOS ARE HIGHLY RECOMMENDED

FOR USERS ON THE DEN SYSTEM

2

RADIO CHARGERS

RAPID CHARGE, 6 BATTERY CAPACITY

1

TENNANT 5700

F.A.S.T. FLOOR

SCRUBER

30 GAL., 32" SELF-PROPELLED FLOOR

SCRUBBER W/ F.A.S.T. SYSTEM

1

PDK PROPANE

BURNISHER

17 HP, 27” PAD

1

WET-DRY VACUUM

SELF-CONTAINED 15 GAL., W/SQUEEGEE

2

PRO-TEAM SUPER COACH –VAC BACKPACK

VACUUM CLEANER

12.5 QT. BAG, 11.2 AMP, W/TOOLS

1

EQUIPMENT TYPE


TOTAL Qty.




TENNANT 3120 UPRIGHT VACUUM

CLEANER

15" UPRIGHT W/ ON-BOARD TOOLS

1

14-GAUGE, 3-WIRE, 50' EXTENSION CORD

HEAVY-DUTY W/MOLDED PLUG

3

RUBBERMAID RESTROOM CLEANING

CART, #6173-GY

RESTROOM CLEANING CART – Must be

marked “Sterile Area ” and Public Area

1

RUBBERMAID BRUTE 44 GAL. BARREL,

#4444GY

MOBILE TRASH CONTAINER – Must be

marked “Sterile Area ” and Public Area

3

RUBBERMAID BRUTE DOLLY

#3255

CASTER BASE FOR BRUTE BARREL

3

RUBBERMAID MOP BUCKET #7570 WITH

MOP WRINGER#6127 COMBO

32 QT. MOP BUCKET W/DOWNWARD PRESS WRINGER

3

LAMBDA 5- CONE/CHAIN SIGN

SYSTEM

ENCLOSED BARRIER SYSTEM FOR

FLOOR WORK

2

RUBBERMAID 4- SIDED 37" WET FLOOR" SIGN

#RCPS114-77

EXTENDED VISIBILITY SIGN W/SIDE

STABILIZERS

10

EQUIPMENT TYPE


TOTAL Qty.




15' FIBERGLASS STEPLADDER

1

CARTS AND APPROPRIATE

WASTE COLLECTION CONTAINERS (See

Environmental Requirements)

12

TENNANT 2100 SERIES FLOOR

MACHINE

20" BUFFING/SCRUBBING MACHINE

1

TENNANT 1000 CARPET SPOTTER

2 GAL. XTRACTOR W/ ALL ACCESSORIES

1

TENNANT 1100

CARPET CLEANER

15 GAL., SELF-CONTAINED EXTRACTOR

W/ ALL ACCESSORIES

1

PUMP SPRAYER

STAINLESS STEEL, 6 GAL., CART- MOUNTED

1

GLS DRY CARPET CLEANER

DRY CARPET CLEANING SYSTEM

1

TENNANT 250 CARPET DRYER

3-SPEED ADJUSTABLE AIR MOVER

1

EQUIPMENT DESCRIPTION / SPECIFICATIONS TOTAL

1/2 TON FULL SIZE PICKUP TRUCK, LONG BED, CREWCAB 1

Miscellaneous Small Tools—In addition to the above listed items, the following items should be provided in sufficient amounts to be

accessible to all janitorial employees.

EQUIPMENT TYPE


36" HANDLE PLASTIC LOBBY DUSTPAN

SYNTHETIC LOBBY BROOM

24" PUSH BROOM

3M FLAT MOP SYSTEM

12" SYNTHETIC ANGLED BROOM

20 OZ. BLEND MOP W/ QUICK- CHANGE FIBERGLASS HANDLE

20 OZ. RAYON MOP W/ QUICK- CHANGE FIBERGLASS HANDLE

36" SYNTHETIC TACK MOP W/ FRAME AND HANDLE

RAPIDO FLAT DUST / WASH SYSTEM W/ ALUMINUM HANDLE

WALL WASHING KIT

STEEL WOOL

EQUIPMENT TYPE


PAD, BROWN

PAD, BLACK

PAD, WHITE

PAD SWIVEL HOLDER

PAD HANDBLOCK

36" THREADED WOOD POLE W/ METAL TIP

DISPOSABLE NITRILE GLOVES

NON-DISPOSABLE LATEX GLOVES

DUST / MIST MASKS

DISPOSABLE COVERALLS

CELLULOSE SPONGE W/GREEN SCRUB BACKING

PUTTY KNIFE

GROUT BRUSH

GONG BRUSH

WIRE BRUSH

5-GALLON PLASTIC BUCKET

RAZOR BLADE SCRAPER

EQUIPMENT TYPE


STOOL MOP W/HOLDER

SHOP TOWELS, COTTON, NON- DISPOSABLE TYPE

FIRST AID SUPPLIES

SAFETY GLASSES

SAFETY GOGGLES

SECTION 11: CONTRACT PRICING

11.1 Proposal Item 1—Airside Employee Parking Building

PROPOSAL ITEM #1

AIRSIDE EMPLOYEE PARKING BLDG

Pricing Per Month-

General Areas

Offices

Non-Public Restrooms

Glass Prayer Shelter

Sidewalks, Entry Areas, & Walk Ramps

Sub-Total

Documents

I. ATTACHMENT 2, PROPOSAL FORMS Attachment 2, …business.flydenver.com/bizpdf/DIAID_1998.pdf · I. ATTACHMENT 2, PROPOSAL FORMS Attachment 2, Part 1 Proposal Acknowledgement Letter