BIDDER QUALIFICATION FORM

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1 COMPLETE USING TYPEWRITER OR BALL-POINT PEN ONLY. THE SCHOOL BOARD OF MIAMI-DADE COUNTY, FLORIDA SCHOOL BOARD ADMINISTRATION BUILDING 1450 Northeast Second Avenue Miami, Florida Direct all inquiries to the Bureau of Procurement and Materials Management. Buyer Named: Linda Leasburg-Kramer Phone: TDD Phone: (305) BIDDER QUALIFICATION FORM Bid No: 147-CC01 Bid Title: PRESSURIZED WET CHEMICAL FIRE EXTINGUISHERS BIDS WILL BE ACCEPTED UNTIL 2:00 P.M. ON September 25, 2003 IN ROOM 351, SCHOOL BOARD ADMINISTRATION BUILDING, 1450 NE 2ND AVENUE, MIAMI, FL , AT WHICH TIME THEY WILL BE PUBLICLY OPENED. BIDS MAY NOT BE WITHDRAWN FOR 90 DAYS AFTER OPENING. (REFER TO INSTRUCTIONS TO BIDDERS, para. IV.B.) THE SUBMISSION OF THE BID BY THE VENDOR, ACCEPTANCE AND AWARD OF THE BID BY THE SCHOOL BOARD OF MIAMI-DADE COUNTY, FLORIDA, AND SUBSEQUENT PURCHASE ORDERS ISSUED AGAINST SAID AWARD SHALL CONSTITUTE A BINDING, ENFORCEABLE CONTRACT. UNLESS OTHERWISE STIPULATED IN THE BID DOCUMENTS, NO OTHER CONTRACT DOCUMENTS SHALL BE ISSUED. I. II. A. B. BIDDER CERTIFICATION AND IDENTIFICATION. (SEE INSTRUCTIONS TO BIDDERS, para. 1.A.2.) I certify that this bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a bid for the same materials, supplies, or equipment, and is in all respects fair and without collusion or fraud. I agree to abide by all conditions of this bid; and I certify that I am authorized to sign this bid for the bidder. Vendor certifies that it satisfies all necessary legal requirements as an entity to do business with the School Board of Miami-Dade County, Florida. INDEMNIFICATION The Bidder shall hold harmless, indemnify and defend the indemnities (as hereinafter defined) against any claim, action, loss, damage, injury, liability, cost or expense of whatsoever kind or nature including, but not by way of limitation, attorney sfees and court costs arising out of bodily injury to persons including death, or damage to tangible property arising out of or incidental to the performance of this Contract (including goods and services provided thereto) by or on behalf of the Bidder, whether or not due to or caused in part by the negligence or other culpability of the indemnity, excluding only the. sole negligence or culpability of the indemnity. The following shall be deemed to be indemnities: The School Board of Miami-Dade County, Florida and its members, officers and employees. III. PERFORMANCE SECURITY. Refer to INSTRUCTIONS TO BIDDERS, para 1.A.1., and VI., and check (x) below: WHEN PERFORMANCE SECURITY IS REQUIRED I WILL FURNISH A: Performance Bond Check (Cashier s check, Certified, or Equal) PLEASE TYPE OR PRINT BELOW LEGAL NAME OF VENDOR: MAILING ADDRESS: CITY, STATE, ZIP CODE: TELEPHONE NUMBER: BY: SIGNATURE (ORIGINAL) OF AUTHORIZED REPRESENTATIVE: NAME (TYPED) OF AUTHORIZED REPRESENTATIVE: FAX #: TITLE: DATE: FM-3191 Rev. (12-02)

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6 Bid Number: Bid Title: Assigned Buyer: 147-CC01 PRESSURIZED WET CHEMICAL FIRE EXTINGUISHERS Linda Leasburg-Kramer Special Conditions PURPOSE 1B The purpose of this bid is to establish a contract, at firm unit prices, for the purchase of estimated requirements for the items listed. The term of the bid shall be for eighteen months from the date of award, and may by mutual agreement between Miami-Dade County Public Schools (M-DCPS) and the awardee(s), be extended for three (3) additional one year periods, and if needed, 90 days beyond the expiration date of the current contract period. Procurement Management Services, may if considering to extend, request a letter of intent to extend from the awardee, prior to the end of the current contract period. The successful bidder will be notified when the recommendation has been acted upon by the Board. All prices shall be firm for the term of the contract. The successful bidder agrees to this condition by signing its bid. - CONE OF SILENCE A Cone Of Silence is applicable to this competitive solicitation. Any inquiry, clarification or information regarding this bid must be requested in writing by FAX or to: Ms. Linda Leasburg-Kramer, Buyer Procurement Management Fax # lleasburg-kramer@sbab.dade.k12.fl.us A copy of this written request must be sent simultaneouslyto: Ileana Martinez, School Board Clerk Miami-Dade County Public Schools 1450 N.E. 2nd Avenue, Room 268B Miami, Florida Fax # martinez@dadeschools.net

7 Bid Number: Bid Title: Assigned Buyer: 147-CC01 PRESSURIZED WET CHEMICAL FIRE EXTINGUISHERS Linda Leasburg-Kramer Special Conditions PRICES Prices shall be FOB delivered and shall remain firm through the term of the contract. - DELIVERIES Delivery shall be made as soon as possible, but not later than 30 days after receipt of the purchase order. Packing slips must accompany shipment to the destination, and shall include the following information: Purchase order number, date of order, complete listing of items being delivered. Deliveries unless otherwise specified on the purchase order, shall be made to: The School Board of Miami-Dade County, Florida Maintenance Operations NW 28th Avenue Miami, Florida (305) SAMPLES Samples may be requested after bid opening. Vendor(s) will be notified in writing or by fax if samples are required for bid evaluation. - TECHNICAL SPECIFICATIONS Vendor must submit technical specifications for fire extinguishers per the attached specifications. All specifications will be reviewed by Maintenance Operations. Technical specifications must be submitted with bid proposal documents or not later than five (5) business days after request from Procurement Management Services. Non-compliance with this condition may cause the item not to be considered for award. - ESTIMATED QUANTITIES The estimated quantities provided in the bid proposal are for bidder sguidance only. No guarantee is expressed or implied, as to quantities that will be used during the contract period. The School Board of Miami-Dade County, Florida is

8 Bid Number: Bid Title: Assigned Buyer: 147-CC01 PRESSURIZED WET CHEMICAL FIRE EXTINGUISHERS Linda Leasburg-Kramer Special Conditions not obligated to place an order for any given amount, subsequent to the award of this bid. Estimates are based upon M-DCPS sactual needs and usage during a previous contractual period, and include an additional ten percent to cover unanticipated increases in requirements RANDOM SAMPLING Random sampling will be done periodically, on shipments of fire extinguishers to insure that the extinguishers meet all MDCPS specifications. Vendor will be responsible for replacement of complete shipments, if specifications have not been met. - WARRANTY The warranty for equipment, after delivery and acceptance by the school or department, shall be for six years or manufacturer s warranty, whichever is greater. The successful vendor will be responsible for repairing each unit during the warranty period, at no cost to the Board. Vendor agrees to repair and return equipment within five (5) days from receipt of request or provide a temporary replacement. - VENDOR INFORMATION SHEET All bidders are requested to complete the attached Vendor Information Sheet. In order to conduct new business under this bid, M-DCPS requires that the vendor(s) have a current vendor application on file. The information on both documents must be consistent. Failure to comply with this condition may cause the vendor(s) not be awarded any new buisness. Vendor applications can be downloaded at - OCCUPATIONAL LICENSE Any person, firm, corporation or joint venture, with a business location in Miami-Dade County, Florida, which is submitting a bid, shall meet the County s Occupational License Tax requirements in accordance with Chapter 8A, Article IX of the Code of Miami-Dade County, Florida. Bidders with a location outside Miami-Dade County shall meet their local Occupational Tax requirements. A copy of the license is requested to be submitted with the Bid

9 Bid Number: Bid Title: Assigned Buyer: 147-CC01 PRESSURIZED WET CHEMICAL FIRE EXTINGUISHERS Linda Leasburg-Kramer Special Conditions Proposal. If the Bidder has already complied with this requirement, a new copy is not required while the license is valid and in effect. It is the Bidder s responsibilityto resubmit a copy of a new license after expiration or termination of the current license. Non-compliance with this condition may cause the bid not to be considered for award ERASURES OR CORRECTIONS When filling out the Bid Proposal Form, bidders are required to use a typewriter or complete bid proposal in ink. 1. Use of pencil is prohibited. 2. Do not erase or use correction fluid to correct an error. 3. All changes must be crossed out and initialed in ink. Those bids for individual items that do not comply with items 1, 2 and 3 above will be considered non-responsive for that item(s).

10 Vendor Information Sheet 1A. Or 1B. Federal Employer Identification Number Owner's Social Security Number Name of Firm, Individual(s), Partners or Corporation Street Address 2. Telephone/Fax/Contact Person Telephone number Fax number Contact Person City State Zip Code address 3. Ownership Disclosure If the contract or business transaction is with a corporation, partnership, sole proprietorship,or joint venture, the full legal name and business address shall be provided for the chief officer, director, or owner who holds, directly or indirectly the majority of the stock or ownership. If the contract or business transaction is with a trust, the full legal name and address shall be provided for each trustee and each beneficiary. Post Office addresses are not acceptable. Name Title Address Gender Raceethnicity Stock Ownership NOTE: The information provided by the vendor on this form should be consistent with that provided on the "Vendor's Application". All vendors must have a current vendor's application on file with M-DCPS, and have provided information and/or be familiar with M-DCPS' policy regarding the following: (a) Employment Disclosure, (b) Drug Free Workplace, (c) Family Leave Policy, (d) Code of Business Ethics, (e) Conflict of Interest, (f) Perception, (g) Gratuities, and (h) Business Meals. Failure to provide M-DCPS a current vendor application may cause the vendor not to be awarded any new business with M-DCPS. Vendor applications can be downloaded at:

11 The School Board of Miami-Dade County, Fl. Bid # 147-CC01 PRESSURIZED WET CHEMICAL FIRE EXTINGUISHERS Page 1 of 1 Name Of Bidder: Bid #: 147-CC01 Title: PRESSURIZED WET CHEMICAL FIRE EXTINGUISHERS Buyer Name: Linda Leasburg-Kramer Important Bid Notes Description Of Item Quantity Unit Price Per Unit Manufacturer & Model # OR Brand & Product # Pressurized Wet Chemical Fire Extinguishers - Items 1 through 3 will be awarded as a Total Low 1 - Extinguisher, UL rating, K wet pressurized, metal valve head assembly and squeeze handle, no extension wands, minimum 6 year warranty, 2.5 gallon capacity with bracket, property decal and use placard. 385 Ea 2 - Refill, wet chemical agent, 2.5 gallon, must be refill agent for item bid on line 1 15 Ea 3 - Additional use placard, as specified in 2.8 in attached Specifications. 50 Ea

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13 1.0 SCOPE AND CLASSIFICATION Miami-Dade County Public Schools Bid 147-CC01 Fire Extinguishers Pressurized Wet Chemical Specifications 1.1 Scope: This specification covers requirements for filled, pressurized wet chemical type fire extinguishers. Extinguishers shall be capable of safe refill for a minimum of six years. 1.2 Classification and Size: The fire extinguisher shall be classified according to the following Underwriters Laboratories, Inc. (UL) Rating: 2.0 REQUIREMENTS CLASS A AND K FIRES (FOR USE ON FIRES OCCURRING ON COMMERCIAL COOKING EQUIPMENT) with a K UL Rating, 2.5 gallon minimum, 6 year minimum warranty 2.1 All extinguishers shall comply with the rules and regulations of the State of Florida Fire Marshal s Office. 2.2 All extinguishers shall be listed by UL and shall have an appropriate UL label and manufacturers serial number. 2.3 Mounting Provisions: Fire extinguishers shall be supplied with a wall (hangar) bracket. 2.4 Handle: Discharge squeeze handle(s) in assembly shall be fixed and shall assure no turning or rotary movement of the handle. 2.5 Hose and Nozzle (grip) shall be without extension application wand. 2.6 Technical Documentation for Bid Evaluation: Manufacturer s specification sheet(s) or technical publications(s) are acceptable to demonstrate compliance with the following requirements: Manufacturer s name Extinguisher UL rating Model Number Capacity Mounting bracket model number Use Placard Warranty Product must meet or exceed all specifications. 2.7 Additional Decaling: All extinguishers shall be provided with an additional decal on the back of the extinguishers. The decal shall be destructible

14 vinyl with permanent adhesive. The artwork of the decal shall be as follows: PROPERTY OF MIAMI-DADE COUNTY PUBLIC SCHOOLS Conviction of theft or vandalizing a fire extinguisher Constitutes a felony and is punishable by a term of Imprisonment not exceeding 5 years and/or a fine of $ In accordance with Florida Statutes and If found call (305) , Miami-Dade County Public Schools central switchboard. 2.8 Use Placard: All extinguishers shall be provided with a use placard. The placard shall be red phenolic background with white engraved lettering measuring 1 for WARNING and ½ for remaining verbiage. The following verbiage shall be included: WARNING: In case of appliance fire, under exhaust hood, use this fire extinguisher after fire suppression system has been activated. 2.9 Provide a copy of a clean, current and readable Material Safety Data Sheet (MSDS) with each extinguisher. 3.0 SAMPLING AND INSPECTION 3.1 Bid Samples: Bidders shall submit to the address listed below one fully charged fire extinguisher as requested after bid opening: Deliver To: Materials Control 7040 West Flagler Street Miami, FL Attn: Bob Munro Phone: (786) Random Samples: Extinguishers delivered under this bid will be selected at random, for inspection, and if the item shipped is not in compliance with award specifications, the vendor will be responsible for pick up and

15 re-delivery of correct extinguishers. Shipments of substitute items may result in default as defined in Instructions To Bidders. 4.0 PREPARATION FOR DELIVERY 4.1 Each extinguisher delivered shall be new and fully charged. 4.2 Packing: Unless otherwise specified, the subject commodity shall be packed in substantial commercial containers of the type, size and kind commonly used for the purpose, so constructed as to ensure acceptance and safe delivery to the point of destination called for in the purchase order. 4.3 Marking: Unless otherwise specified, shipping containers shall be marked with the name of material, class and quantity contained therein, name of contractor, and purchase order number.

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