CITY OF HUTCHINSON BID FORM Page 1 of 4

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1 CITY OF HUTCHINSON BID FORM Page 1 of 4 Please quote your delivered prices to the City of Hutchinson on items or services listed below. Consult attached minimum and general specifications for requirements. This is not an order. BID NO BID SUBMITTAL DEADLINE: 10:00 A.M.CST on October 27, 2015 PUBLIC BID OPENING TIME: 1:30 P.M. CST on October 27, 2015 INSTRUCTIONS: THIS FORM MUST BE PROPERLY FILLED OUT AND RETURNED BY MAIL OR IN PERSON TO : The City Of Hutchinson, City Clerk s Office in the Finance Department, 125 East Avenue B, P.O. Box 1567, Hutchinson, Kansas RETURN PRIOR TO 10:00 A.M. CST on October 27, Bids are to be made on this SEALED BID FORM, sealed in an envelope clearly marked with the BID NUMBER stated at the upper left portion of this sheet (to avoid premature opening of the Bid), and returned to the City Clerk s Office (see above address). Failure to mark your Bid may cause your Bid to not be considered during official opening. Bids will be publicly opened and read at the above stated time in the Public Works Conference Room, 1500 South Plum, Hutchinson, Kansas. Bid not submitted pursuant to the conditions set out in this request may be rejected. All Bids received after the stated opening date and time will be returned unopened to the vendor. Vendors wishing to remain on the vendor list should return this bid with a bid or a written request to remain on the vendor list. Questions may be directed to: Marjorie K. Bryant, Purchasing Manager, City of Hutchinson (620) OR (620) The City of Hutchinson reserves the right to reject part or all of any bid and to waive formalities. All bids are subject to Purchasing Policies set by the City Council of Hutchinson. The City of Hutchinson reserves the right to divide purchases among venders to accomplish the best gross price and to make the final decision as to acceptability of quality and price. ITEM NO QUANTITY DESCRIPTION PRICE EXTENDED PRICE ALL ITEMS SHALL BE BID ON THE ATTACHED BID FORM SHEET. PLEASE NOTE: PLEASE PROVIDE ALL BID PRICES ON THE ATTACHED BID FORMS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. BY SUBMITTING AND SIGNING THIS FORM THE UNDERSIGNED AGREES TO FURNISH THE REQUESTED MATERIAL AT THE PRICES BID IN ACCORDANCE WITH THE CITY S REQUEST FOR BID FOR THE TIME PERIOD SPECIFIED (JANUARY 1, 2016 TO DECEMBER 31, 2016). THE BIDDER HEREBY CERTIFIES THAT NEITHER THE BIDDER NOR THE FIRM, CORPORATION, OR INSTITUTION REPRESENTED BY THE BIDDER, OR ANYONE ACTING FOR SUCH HAS VIOLATED STATE OR FEDERAL ANTITRUST LAWS, NOT COMMUNICATED DIRECTLY OR INDIRECTLY, THE BID MADE TO ANY COMPETITOR OR ANY OTHER PERSON ENGAGED IN SUCH LINE OF BUSINESS BRAND NAMES OF PRODUCTS HAVE BEEN INCLUDED TO CLARIFY PRODUCT, ALL ALTERNATIVES OR SUBSTITUTIONS MUST BE APPROVED BY THE CITY OF HUTCHINSON PRIOR TO ORDER (SAMPLES MAY BE REQUIRED TO OBTAIN APPROVAL). SUBSTITUTIONS IN BRAND NAME PRODUCTS SPECIFIED MAY BE BID IF CLEARLY MARKED ON THE BID SHEETS AND PRODUCT INFORMATION INDICATING EQUIVALENCE IS PROVIDED WITH BID, UNLESS NO SUBSTITUTE TO PRODUCT IS INDICATED. CITY OF HUTCHINSON WILL HAVE FINAL DETERMINATION IN ACCEPTABILITY OF ALL PRODUCTS. PLEASE COMPLETE THIS SHEET AND THE ATTACHED SHEET FOR COMPANY INFORMATION/NAME. IN SUBMITTING THE ABOVE, THE VENDOR EXPRESSLY AGREES THAT UPON PROPER ACCEPTANCE BY THE CITY OF HUTCHINSON, A CONTRACT SHALL THEREBY BE CREATED. THIS BID FORM MUST BE SIGNED! SIGNATURE ORDERING ADDRESS/CONTACT: BIDDER COMPANY NAME STREET ADDRESS CITY/STATE/ZIP TITLE REMITTANCE ADDRESS (IF DIFFERENT): REMITTANCE NAME REMITTANCE ADDRESS REMITTANCE CITY/STATE/ZIP TELEPHONE NUMBER ADDRESS FAX NUMBER

2 CITY OF HUTCHINSON - BID FORM Please quote your delivered prices to the City of Hutchinson on items or services listed below. Consult attached minimum and general specifications for requirements. This is not an order. NAME OF BIDDING COMPANY: ITEM NO. WRH Code DESCRIPTION BID PER SIZE B Battery, D Cell, Alkaline (Duracell Only) minimum 1 year Case exp. From purchase - No Substitutes, 72 per case B Battery, C Cell, Alkaline (Duracell Only) minimum 1 year Case exp. From purchase - No Substitutes, 72 per case B Battery, AA Cell, Alkaline, (Duracell Only) minimum 1 Case year exp. From purchase - No Substitutes, 144/cse B Battery, AAA Cell, Alkaline (Duracell Only) minimum 1 Under Case year exp. From purchase - No Substitutes, 72/case B Battery, 9 Volt, Industrial (Duracell Only) minimum 1 year Under exp. From purchase - No Substitutes B Battery, 9 Volt/Nickle Cadmium (Rechargeable) B Battery, 6 Volt, Duracell/Rayovac HD, Spring Type, 12/cs Under Case 8. ECR2025 Battery, ECR Watch/calculator 9. ECR2032 Battery, ECR Watch/Calculator Battery, 303/357,(76, LR44, SR44SW) minimum 1 year Under exp from purchase /390 Battery, 389/390, minimum 1 year exp. From purchase Battery, AA Cell /Nickle Metal Hydride, 2200 mah (Rechargeable) 13. 2CR5 Battery, 2CR5, minimum 1 year exp. From purchase Under 14. A23 Battery, A23BP Under 15. CR123 Battery, CR123A, Duracell ONLY min 1 yr exp. Under 16. CR2430 Battery, CR2430 Under 17. N Battery, N, minimum 1 year exp. From purchase Under Lamp, Quartz 1500W 240V Lamp, Metal Halide Ceramic 70/PAR30L/M/SP Under Lamp, Appliance 40A VCDA120 PK Under Lamp, 15W Brass Base 15 Watt, 15A15, Frost, 130V Under Lamp, 25W Brass Base, 25 Watt 130 V Under Lamp, 7.5W S-130 V CLR S11 Med Lamp 130 Volt Under Lamp, CR32DT/E/IN/835 Under

3 ITEM WRH DESCRIPTION BID PER NO. Code SIZE Lamp, 150W HPS/Med base C150S55MPH12PKPHIL B Lamp, 5C50S68/M PHIL High Pressure Sodium Under Lamp, 100W Quartz T4 Under Lamp, 150W High Pressure Sodium C150S55/Alto Under Lamp, MED HID Lamp, MP100 Under Lamp, Quartz, 130V, 250W 250Q/CL Lamp, 250W Clear Heat Lamp Food Under Lamp, 250W Red heat Lamp Under Lamp, 100W Mercury Vapor H38 R100 W Lamp, Compact Flour, 150W Med Base # Lamp, Metal HID 70 MH70/U/ED28/PS Lamp, Flour L13T2C4/35K Under Lamp, Metal HID Lamp 50W MHC50 Medium Base Under Lamp, 50R20 130V Med Base Under Lamp, Metal Halide 70W Med Base MHC70UM4K Lamp, Flour Compact CF15EL/R30/830/MED B Lamp, Flour Spiral 13W=60 W / 825 Med Base C Lamp, Flour Spiral 26W=100W Med Base Under Lamp, Metal Halide 320 MS320UPSPHI Under Lamp, Metal Halide E17 M175/C/U/MED/E Lamp, Metal Halide ED-17 MHC100/U/M/4K ALTO Under Lamp, Overhead FLX Lamp, Theater HPL 575/115X USHIO Under Lamp, Overhead FFJ Under Lamp, 7.5W Med Base Clear 130V Under Lamp, Exit 6W 120/130V Under Lamp, 15W Exit, 15T6/145 Volt Clear Lamp, Christmas Bulbs White 7C9W Under Lamp, Q75T4/G A DAMAR Under

4 ITEM NO. WRH Code DESCRIPTION BID PER SIZE Lamp, 25W, 130V Ext Med Base Under Lamp, 40W Frosted 130V Med Base Ext Serv 120 Under Lamp, 60W Frosted 130V MD Base Ext Serv Lamp, 75W Frosted 130V MD Base Under Lamp, 75W, Coated, 130V, MD Base, Work Light Under Lamp 100W Frosted 130V EXSV Med Base Under Lamp, 150W Frosted 130V Excel Med Base Lamp, M400/C/U/BT28 Frost Delmar Lamp, Metal Halide 250 W Lamp, 200W Frosted 130V Ext Med Base Under Lamp, LU400 CLR E18 MOG HPS Under Lamp, 300W Clear 130V EX SV Med Base Lamp, 300W Clear, 130V Mogul Base Under Lamp, Flood, 75W, 130V 75/PAR30S/HAL/WFL Lamp, 70W C70S62/ALTO Phillips Under Lamp, 500W /CLR PS35MOG Lamp, LU600 Watt, High Pressure Sodium-DAM5198B Lamp, LU100/MED B17MED HPS B Lamp, MH1500U for Ballfields Under Lamp, 120W Flood Under B Lamp, 250W High Pressure Sodium Lamp, LU70/MED CLR B17MED HPS LA Lamp, LU250 CLEAR E18 MOG B Lamp, 150W Flood Par 38, 130V EXSV Med # Under Lamp, Flour compact 13 W Phil /2P Under Lamp, 600W Ceramalux C600 S Watt Lamp, Electronic Energy Saving 15WT20 Rep 45WINCA Under Lamp, MVR400/HOR/BT28 MH Under Lamp, Flour F40CW Double Pin Under Lamp, Flour F840CS/6U Bent Dbl Pin Under

5 ITEM NO. WRH Code DESCRIPTION BID PER SIZE Lamp, Flour FB032/736/6 Octrn SYL Under Lamp, Flour T25/T8/TL Lamp, 400W Metalark RM400/U Lamp, MP100/C/U/Med Lamp, 150Watt, Metal Halide, Med/Clear MHC150/U/MP Under Lamp, Flour F96T12WCSS Lamp, GE F28W/2D835/4PBIAX Under Lamp, Flour F96T12-CW-HO Under SR Lamp, Flour F96T12WC OPLST SHAT-R-SLD Lamp, Flour F72/T12/CW/ALTO Under Lamp, Flour F96/TL735EA Plus USEAALTO Under Lamp, Flour, Self Ballasted, 26W PL-T 26W/35/4P Under Lamp, Flour F17T8TL Lamp, Metal Halide 1000W Under B Lamp, 1000W MH Frosted Phil MH1000/C/U Lamp, Metal Halide 400U Lamp, Flour Flood 23W=85W 12V 3156K Med Base Lamp, Metal Halide 175W MH175/U Lamp, Exit SYL40T6.5 Under Lamp, Flour 28W PL C15MM/ Lamp, MH400/U Under M99 Lamp, 300W Frost, 130V EX SV Med Base 300M99 Under PS3 Lamp, 300W 130V Mogel Base 300PS35 Under T65 Lamp, 25T V Clear Inter Lamp (Exit) Under 108. TL27W Lamp, Polorizing Bulb 27 Watt Under T3 Lamp, 500W Quartz Under Lamp, Flour F15T8CWALTO Under Lamp, Flour 4 T8 with shatter shield F32T8TL741 Under Lamp, Flour F032/741 Rapid Start Lamp, Flour F032/735 ECO Rapid Start OCTRON

6 ITEM NO. WRH Code DESCRIPTION BID PER SIZE Lamp, Flour FB031/835 Under Lamp, Flour F54T5/841/HO Lugs, Direct Bury Lugs/waterproof connectors Yellow, Under 50 volt Dryconn #90120 Only No substitutions M33 Electrical Tape, 3M Super 33+, ¾ x66 various colors Under (Brown, Orange, Green, Red, Yellow, White, Blue M33 Electrical Tape, 3M Super 33+, # ¾ x66 Under M88 Electrical Tape, 3M Super 88+, # ¾ x66 Under MDBY Direct Bury Splice Kit 3M DBRY6 no sub Under 121. PE45 Tracer Wire 12 Gauge Solid PE-45 Blue by Kris-Tech Under 500 feet per roll - or approved equal 122. Wire 10 Stranded Wire 500 s 10 Gauge Green, Black. Under Red. Blue, White, Yellow, Orange, Purple, Brown 123. Wire 12 Stranded Wire 500 s 12 Gauge Green, Black. Under Red. Blue, White, Yellow, Orange, Purple, Brown 124. Wire 14 Stranded Wire 500 s 14 Gauge Green, Black. Under Red. Blue, White, Yellow, Orange, Purple, Brown , Wire nuts 100 per box various as follows: Under 452, 454 # Yellow, # Red, # Blue, #30-072, Blue, # Orange 126. K4021C Photo Control 3 Color 120 V K4021C Under 127. K4121C Photo Control 3 Color 120 V K4121C Under 128. K4221C Photo Control 3 Color 120 V K4221C Under 129. K4236C Photo Control 3 Color V K4236C Under 130. LC4536C Photo Control, Locking V LC4536C Under 131. LC4535 Photo Control, Locking, - 480V LC4535 Under 132. LC4521C Photo Control, Twist Lock, 120 V LC4521C Under Box

7 CERTIFICATE OF NON-DISCRIMINATION The undersigned or hereby agrees to observe all the provisions of Chapter 3 of the Code of the City of Hutchinson, Kansas, 1988, and any subsequent amendments thereto and provisions of K.S.A and 1031, as amended, including subsection (a), paragraphs (1) through (5) inclusively of Section 1030, which reads as follows: (1) the or shall observe the provisions of the Kansas Act Against Discrimination and shall not discriminate against any person in the performance of work under the present because of race, religion, color, sex, disability, national origin or ancestry; (2) in all solicitations or advertisements for employees, the or shall include the phrase, "Equal Opportunity Employer," or a similar phrase to be approved by the Commission; (3) if the or fails to comply with the manner in which the or reports to the Commission in accordance with the provisions of K.S.A , and amendments thereto, the or shall be deemed to have breached the present and it may be canceled, terminated or suspended, in whole or in part, by the contracting agency; (4) if the or is found guilty of a violation of the Kansas Act Against Discrimination under a decision or order of the Commission which has become final, the or shall be deemed to have breached the present and it may be canceled, terminated or suspended, in whole or in part, by the contracting agency; and (5) the or shall include the provisions of subsections (a) 1 through 4 in every subcontract or purchase order so that such provisions will be binding upon such subcontractor or vendor. Signing of this certificate acknowledges inclusion of the same in the base before signing thereof and acceptance of the terms of this certificate. Date Name of or By Name and Title * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CERTIFICATION OF PAID PERSONAL AND REAL ESTATE TAXES In compliance with City of Hutchinson purchasing policies, the following certification on property owned within Reno County must be completed and returned with the quotations in accordance with the City's policy on delinquent property taxes. A. "The owner(s) or corporation hereby certifies that all personal and real estate taxes within Reno County are paid." B. "No property is owned by the owner(s) or corporation within Reno County." DATE: SIGNATURE: COMPANY: NAME OF SIGNEE: TELEPHONE NUMBER: TITLE OF SIGNEE: PLEASE NOTE: This form is to be attached to the proposal when the quotation is submitted.

8 MINIMUM SPECIFICATIONS 1. The City of Hutchinson is seeking Bids for certain material it wished to purchase ON AN AS NEEDED BASIS. NO QUANTITIES ARE GUARANTEED. 2. The vendor proposes to furnish the material called for in the specifications at the prices submitted within the attached form/list including all shipping and delivery charges on a per item price basis. NO ADDITIONAL FREIGHT CHARGES ARE ALLOWED AND MAY NOT BE ADDED TO ANY ORDER. No minimum orders will be acceptable. 3. The vendor shall carefully examined the specification and that he has fully investigated the conditions for furnishing materials in connection with this Bid request for Central Purchasing for the City of Hutchinson, Kansas and he further certifies that he is familiar with the type of work involved within the scope of the Bid. 4. It is understood that the quantities are on an as needed basis and that the supplier will be paid on the basis of his unit bid price only for the actual quantities delivered. Orders will be placed for as needed items by the City. ALL ORDERS SHALL BE DELIVERED WITHIN 10 DAYS OF PLACING THE ORDER. 5. The vendor is to provide bid prices will be expected to remain firm for the duration of the time period, January 1, 2016 to December 31, TERMS OF AGREEMENT AND CANCELLATION: An agreement will be entered with the successful bidder(s) for an original period of one (1) calendar year, beginning January 1, 2016 and ending December 31, 2016 and may be renewed thereafter for a period not to exceed December 31, 2017 with the agreement of both the City of Hutchinson and vendor. The fee for services shall remain firm for the entire contract period except through written petition to the Purchasing Manager of the City of Hutchinson stating reasoning for requesting the increase. This petition shall be reviewed and up to the discretion of the City for approval or disapproval. Should the petition be disapproved, termination of the contract may be initiated through the terms herein stated. This agreement may be terminated by the City upon seven (7) days written notice in the event of substantial failure by the or to perform in accordance with the terms or for failing to provide reasonable service according to prevailing standards of the industry in the area of the State and/or if the or failed to meet the provision of this agreement. Either party may terminate this agreement upon thirty (30) days written notice if the other party has not provided, in the option of the party, satisfactory compliance to the agreement, and only after written notice. Performance under this agreement is subject to strikes, lockouts, wars, acts of God and any condition beyond the or s control 6. The vendor hereby declares that the only parties interested in this proposal are named herein, that this proposal is made without collusion with any other person, firm or corporation, that no member of the Commission, officer or agent of the City of Hutchinson, Kansas is directly or indirectly financially interested in this bid. 7. In submitting this bid it is understood that the right to reject any and all bids and to waiver any irregularities has been reserved by the City of Hutchinson and that this bid shall be good and may not be withdrawn for a period of thirty (30) calendar days from the scheduled closing time for receiving bids. It is further understood that the City also reserves the right to award bid(s) on a per item low bid or whole package low bid, whichever incurs the lowest cost to the City as described within the General Conditions of this Bid Document.

9 REQUEST FOR BID GENERAL CONDITIONS The City of Hutchinson is seeking Bids for items specified in the enclosed which it wished to purchase. None of the attachments are intended to be restrictive but to act as a guide for those desiring to submit Bids. ALL BIDS SHALL BE GOOD FOR A PERIOD OF FORTY-FIVE DAYS FROM THE DATE QUOTES ARE OPENED. PRICE PROTECTION. The price stated in the Bid shall be firm and not subject to increase during the term of any contractual agreement arising between the City of Hutchinson and the vendor as a result of the Bid. Vendors shall provide firm prices less any federal excise tax. The City of Hutchinson is exempt from payment of sales tax. For further information contact the City Clerk's Office ( ). METHOD OF PAYMENT. Payment will be made within 30 days of date of delivery and satisfactory performance to the City of Hutchinson. AWARDING OF BID. The City reserves the right to accept or reject any or all bids, and any part of parts of any bid. Any bid which is incomplete, conditional, obscure, or which contains additions not called for, or irregularities of any kind, may be cause for rejection of the Bids. Bids must be properly submitted on the "Bid Form" (or appendixes which are a part of the form) supplied by the City. When called for, Bids must be itemized unit by unit in addition to a total net Bid. Bids will be awarded to the vendor(s) that supplies the lowest quote on each item (unit price); or as a whole package (the low quote to supply all of the items from a single or sole source vendor) whichever incurs the lowest coat and/or is most feasible to the City of Hutchinson. The City also reserves the right to waive minor deviations from the specifications and to select the material which the City deems to be acceptable for it's use. DELIVERY/DELIVERY DATES. Bids shall reflect delivery to the City of Hutchinson, Central Purchasing, 1500 South Plum, Hutchinson, Kansas within 10 days of order. Delivery of any and all items shall be made on a week day between the hours of 8:00 a.m. and 5:00 p.m. Order placement will be made on an as need basis in which the vendor will notified by the Purchasing Manager for quantity per item to be delivered. Items not meeting specifications an deemed to be unacceptable by the City shall be returned to the vendor. Three (3) copies of M.S.D.S. must accompany each chemical when delivered. Items received by the City of Hutchinson shall meet specifications and/or deemed to be acceptable by the City. Items not meeting specifications an deemed to be unacceptable by the City shall be returned to the vendor. The City of Hutchinson shall not be liable for any items during transit. NON-DISCRIMINATION. During the performance of this contract, the contractor/vendor will not discriminate against any employee or applicant for employment because of race, sex, religion, color, age, national origin, ancestry or physical handicap, unless based upon a bonafide occupational qualification. The contractor/vendor will take affirmative action to insure applicants are employed, and that employees are treated during employment without regard to their race, sex, religion, color, age, national origin, ancestry or physical handicap. PROPERTY TAX STATEMENT. The attached statement on property owned within the City of Hutchinson must be complete and returned with the Bid in accordance with the City's policy on delinquent property taxes. "The City reserves the right to reject all bids from bidders who are delinquent in personal or real estate property taxes to Reno County, Kansas." AWARDING OF BID. Whenever the City of Hutchinson lets Bids for goods or services, and the low Bid is submitted by a vendor domiciled outside of Reno County, a vendor domiciled inside Reno county may be deemed the preferred vendor and awarded the Bid if: 1. The quality, suitability, and usability of the goods or services are equal and fully comply with the minimum Bid specifications, and the vendor has the capability to adequately service the product. 2. The amount of the Bid of the vendor domiciled within Reno County is not more than 5% greater than the amount of the low Bid if the low Bid is under $10,000, or not more than 3% greater than the amount of the low Bid if the low Bid is greater than $10, The Bid does not pertain to new construction or involve State of Federal Funding. 4. The vendor domiciled within Reno County is willing to match the Bid price offered by the low vendor domiciled outside of Reno County within 24 hours of official notification. THE CITY OF HUTCHINSON RESERVES THE RIGHT TO REJECT PART OR ALL OF ANY BID AND TO WAIVE FORMALITIES. ALL BIDS ARE SUBJECT TO PURCHASING POLICIES SET BY THE CITY COUNCIL OF HUTCHINSON. THE CITY OF HUTCHINSON RESERVES THE RIGHT TO DIVIDE PURCHASES AMONG VENDERS TO ACCOMPLISH THE BEST GROSS PRICE AND TO MAKE THE FINAL DECISION AS TO ACCEPTABILITY OF QUALITY AND PRICE. ALL VENDORS DOING BUSINESS WITH THE CITY OF HUTCHNSON SHALL ABIDE BY ALL LOCAL, STATE AND FEDERAL LAWS.