REQUEST FOR UNSEALED PROPOSALS
Issue Date:
December 2, 2013
Unsealed RFP Number:
VCCS-ITS-13-040
Title:
HUMAN RESOURCES (HR) COMPENSATION REVIEW REQUEST e-FORM
Commodity Code:
20446 Imaging Systems, Microcomputer, Technology 20656 Imaging Systems, Mini & Main Frame Computers 91829 Computer Software Consulting 92000 Data Processing, Computer and Software Services
Issuing Agency:
Commonwealth of Virginia Virginia Community College System Purchasing Office - 16th Floor James Monroe Building 101 North 14th Street Richmond, VA 23219
Initial Period of Contract: Date of award through one (1) year, with option for one (1) additional one-year renewal or as negotiated. Informal Unsealed Proposals Due Date and Time: Unsealed Proposals for furnishing the goods/services described herein will be received until 3:00 P.M. (EST), Friday, December 13, 2013. Proposals must reach the issuing agency at the above address and department by the deadline stated in order to be considered. Proposals may be sent via fax to 804/819-4764 or electronically to
[email protected]. Pre-Proposal Conference: None QUESTIONS/INQUIRIES: All inquiries for information should be directed to Anthony E. Cannion, Assistant Director, Tel: (804) 819-4965 or via fax: 804-819-4764 or e-mail to
[email protected], referencing this solicitation by number and title, no later than 12:00 Noon (EST), Friday, December 6, 2013. In compliance with this request for proposals and to all the conditions imposed therein and hereby incorporated by reference, the undersigned offers and agrees to furnish the goods/services in accordance with the attached signed proposal or as mutually agreed upon by subsequent negotiation. Virginia Contractor License No.: _____
Class: _______
Specialty Codes: ________
Name and Address of Firm: ________________________________
Date: ____________________________
________________________________
By: ______________________________ Signature in Ink
________________________________ Name/Title: ______________________________ ________________________________
Telephone Number: ____________________
eVA Vendor ID or DUNS Number. _____________________ email: ______________________________ Note: This public body does not discriminate against faith-based organizations in accordance with the Code of Virginia, Section 2.2-4343.1 or against a bidder or Offeror because of race, religion, color, sex, national origin, age, disability, or any other basis prohibited by state law relating to discrimination in employment.
I. PURPOSE: The purpose of this Request for Proposals is to solicit informal unsealed proposals in order to establish a contract with a contractor having the qualifications and expertise to provide the necessary technical services to Virginia Community College System (VCCS) in the development of the Human Resources (HR) Compensation Review Request e-Form that will integrate with the ImageNow Document Management System. II. BACKGROUND: Virginia’s Community Colleges were created more than 40 years ago to address Virginia's unmet needs in higher education and workforce training. A. Demographics The Virginia Community College System (VCCS) is made up of twenty-three (23) community colleges across Virginia. The mission of each college is to address the unmet education and training needs of students, employers, and the community. The mission of Virginia’s Community Colleges (VCCS) is to “give everyone the opportunity to learn and develop the right skills so lives and communities are strengthened.” With twenty-three (23) colleges on forty (40) campuses located throughout the state, Virginia’s Community Colleges are committed to serving Virginia families, helping them acquire the knowledge and skills to seize the opportunities of today and tomorrow. Each year, our colleges serve over 280,000 students in credit courses, over 250,000 students in non-credit workforce training programs, and award over 18,000 degrees, diplomas, and certificates. An additional 32,000 high school juniors and seniors earn college credit while in high school through Virginia’s Community College dual enrollment courses. Each college, as well as the system office, has a non-profit educational foundation. B. Technology Standards
VCCS has as its Technology Standards some of the following goals:
Virginia’s Community Colleges will take steps to ensure that the administration of technology can be effective, efficient, and able to support the goals of Achieve 2015.
Virginia’s Community Colleges faculty and students will have access to electronic teaching, learning and student services resources and opportunities.
Virginia’s Community Colleges will provide a comprehensive suite of enterprise applications that are reliable, scalable, usable, functional, and support the administration, teaching, and learning needs of students and colleges. As part of the technology standards and goals, VCCS has deployed ImageNow to provide an enterprise solution for document management. The current version of ImageNow is 6.6.0.994. As part of the ImageNow deployment the E-forms module has been added as a capture strategy to enable the collection of information in electronic forms for additional processing and presentation to the user. III. STATEMENT OF NEEDS: A. The HR Compensation Review Request Form is an existing form that has been redeveloped using HTML. VCCS is seeking an experienced and qualified contractor with the expertise to provide conversion, formatting and editing requirements to the HR Compensation Review Request Form for use with the ImageNow E-Form module (copy of Form provided as Attachment A). Contractor shall:
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1. Convert HTML version of the HR Compensation Review Request Form to XSL and XML format for use with ImageNow E-Form module. 2. Incorporate formatting and editing requirements as outlined in the identified Sections of the Form: a. Section I - (Each field is required in this section). i. Dates are set to enforce proper formatting, but if the user tabs or clicks in the date field, a valid date must be entered. If the user is not prepared to enter a date then allow them to move forward and enter other information. If user clicks on Submit, there needs to be a valid date in the date fields in this Section. ii. Fund Source lists – More than one fund source can be selected; however, a single fund source can only be selected once when multiple fund sources are required. iii. The total of the percentages beside the fund sources MUST equal 100% when Submit is clicked. If not, the user will be prompted to correct before Submit is allowed. (Example Message: Total percentage does NOT equal 100%. Please correct and Submit again.) b. Section II i. Using the most recent salary and the requested salary, calculate the difference and the related percentage. c. Section III(a) i. Under Compensation Requested – Automatically calculate the amount of increase or decrease as well as the percentage. Place the value in the correct location. ii. Dates are set to enforce proper formatting, but if the user tabs or clicks in the date field, a valid date must be entered. If Temporary Pay is not checked, then the user does not need to enter anything in those fields. If Temporary Pay is checked and a user clicks on Submit, a valid date is required in the date fields in this section. d. Section III(b) i. The text is formatted to increase or decrease in width depending on the display settings of the end user or on the individual computer. ii. The top text box MUST have data entered in order for the form to be submitted. iii. If anything is checked or filled out in Section II under Exceptional Recruitment Only, the bottom text box MUST have data in it. e. When SAVE is clicked, the e-Form will be saved for the user to complete later. 3
f. Once the form is completed and SUBMIT is clicked, the form should automatically save into ImageNow, go directly into Workflow, and be converted to a TIFF. g. When CANCEL is clicked, it should clear all fields on the entire form. 3. Deliver all source code(s) to the VCCS upon completion of project or contract. 4. Contractor shall implement and test final work product in the VCCS’ ImageNow TEST environment; however, acceptance testing will be conducted by the VCCS end users. After completion of end user testing and with approval of the VCCS’ Information Technology Services (ITS) Office, the Contractor, with coordination and participation by the ITS Office, will be responsible for the migration of the e-Form from the TEST environment into the VCCS’ ImageNow PRODUCTION environment. 5. Contractor shall ensure that final work product: a. b. c. d. e.
f. g. h. i. j. k.
Converts the HTML document to XSL and XML. Enforce proper formatting of the dates while allowing some date fields to remain blank. Restricts submission of the form if mandatory fields are not completed. Removes or greys out items from drop down lists if items have already been selected in a previous drop down for funding source. Calculates percentages and ensures total(s) equals 100% before submitting the document. If not, an error message is displayed for user to correct the percentages. The form will not be submitted until the percentages are corrected. Adds calculations to currency and percentage fields and also determines which field to place the results in based on if it is a decrease in pay or an increase in pay for employee. Formats text fields to increase or decrease in width based on the display settings of the end users. Requires data be entered in specific sections of the form based on data having been entered in previous sections of the form. Once the form is completed and SUBMIT is clicked, the form should automatically save into ImageNow, go directly into Workflow, and be converted to a TIFF. When CANCEL is clicked, it should clear all fields on the entire form. When SAVE is clicked, it will save the e-form for the user to complete later.
B. Qualifications and Experience 1. The contractor shall have extensive knowledge and expertise in the development of e-forms and the conversion of HTML, XSL and XML files. 2. The contractor shall demonstrate sufficient expertise in ImageNow and the ability to manage, coordinate, develop and implement the project objectives outlined in the URFP. IV. PROPOSAL PREPARATION AND SUBMISSION INSTRUCTIONS A. GENERAL PROPOSAL INSTRUCTIONS: 4
A contractor will be selected to provide the described technical services based on their responses to this Unsealed Request for Proposal. Offerors are to adhere to the all proposal preparation requirements and proposal submission requirements. Proposals received that do not conform to preparation and submission requirements will be deemed non-responsive. 1. Proposal Submission: a Proposal shall be received via mail, delivery services, fax, or e-mail by 3:00 p.m. EST, Friday, December 13, 2013, in the Issuing Agency’s Office (Purchasing Office) utilizing the information specified in this Unsealed Request for Proposal on page 1. Pursuant to Virginia law, the only information that will be available at that time of proposals opening will be the names of the companies submitting proposals. Proposals will be available for public inspection only after the issuance of a Notice of Intent to Award, Notice of Award or University purchase order. Offerors are not required to be present for the opening. c. Offeror must submit one (1) redacted copy if invoking the protections of § 2.2-4342F of the Code of Virginia as in accordance section IV.A.2.a. of this URFP. 2. Proposal Preparation:
a. Ownership of all data, materials, and documentation originated and prepared for the VCCS pursuant to this solicitation shall belong exclusively to the VCCS and be subject to public inspection in accordance with the Virginia Freedom of Information Act. Trade secrets or proprietary information submitted by an Offeror shall not be subject to public disclosure under the Virginia Freedom of Information Act; however, the Offeror must invoke the protections of § 2.2-4342F of the Code of Virginia, in writing, either before or at the time the data or other material is submitted. The written notice must specifically identify the data or materials to be protected and state the reasons why protection is necessary. The proprietary or trade secret material submitted must be identified by some distinct method such as highlighting or underlining and must indicate only the specific words, figures, or paragraphs that constitute trade secret or proprietary information in the original signed proposal and paper copies. Additionally, the Offeror must submit a redacted copy of the proposal if invoking said protection. The classification of an entire proposal document, line item prices, and/or total proposal prices as proprietary or trade secrets is not acceptable and will result in rejection of the proposal. b. Proposals should be prepared simply and economically, providing a straightforward, concise description of capabilities to satisfy the requirements of the URFP. Emphasis should be placed on completeness and clarity of content.
c. Proposals should be organized in the order in which the requirements are presented in the URFP. All pages of the proposal should be numbered. Each paragraph in the proposal should reference the paragraph number of the corresponding section of the URFP. It is also helpful to cite the paragraph number, sub letter, and repeat the text of the requirement as it appears in the URFP. If a response covers more than one page, the paragraph number and sub letter should be repeated at the top of the next page. The proposal should contain a table of contents which cross-references the URFP requirements. Information which the Offeror desires to present that does not fall within any of the requirements of the URFP should be inserted at an appropriate place or be attached at the end of the proposal and designated as additional material. Proposals 5
that are not organized in this manner risk elimination from consideration if the evaluators are unable to find where the URFP requirements are specifically addressed. B. SPECIFIC PROPOSAL INSTRUCTIONS Proposals should be as thorough and detailed as possible so that the VCCS may properly evaluate your capabilities to provide the required services. Offerors are required to submit the following items as a complete proposal: a. The return of the Cover Sheet (page 1), Offeror Data Sheet (Attachment B), State Corporation Commission Form (Attachment C) and Addenda, if any, signed and filled out as required. b. A written narrative statement to include: i. Experience, Qualifications and Capabilities in providing the technical services described herein. ii. Names, qualifications and experience (especially in completing similar projects) of key personnel to be assigned to the project, to include resumes and any qualifying certification(s), if any. iii. Technical approach/methodology or specific plans for providing requested services. iv. List of past and present clients to whom similar services have been provided. Include contact information for four (4) clients/references (complete Attachment B). c. Proposed cost to provide requested services (complete Price Proposal Sheet that is included as Attachment D). V. EVALUATION AND AWARD CRITERIA A. Evaluation: Unsealed proposals received will be opened and may be evaluated and ranked by the issuing Procurement Officer or End User(s) in lieu of an evaluation committee. Proposals will be opened and may be evaluated upon receipt. The evaluation will be based upon the information provided in the proposal; additional information that may be requested for clarification or during negotiation; or information obtained from references and independent sources. Proposals will be evaluated on the offeror’s response to the evaluation criteria. Offerors will specifically address the criteria in their response. Offerors will describe any deviations or exceptions to the specifications or requirements. B. Evaluation Criteria: Unsealed proposals will be evaluated using the following criteria: Criteria
Point Value
Offeror’s experience, qualifications, and capabilities in providing requested services.
30
Methodology or specific plans to be used to perform services
20
Price
20
Certified DMBE Small Business (SWaM) or SWaM Utilization
20
References from other clients Total
10 ________ 100% 6
C. Award: Selection shall be made of the two offerors deemed to be fully qualified and best suited among those submitting proposals on the basis of the evaluation factors included in the Unsealed Request for Proposals, including price, if so stated in the Unsealed Request for Proposals. Negotiations shall be conducted with the offerors so selected. Price shall be considered, but need not be the sole determining factor. After negotiations have been conducted with each offeror so selected, the agency shall select the offeror which, in its opinion, has made the best proposal, and shall award the contract to that offeror. The Commonwealth may cancel this Unsealed Request for Proposals or reject proposals at any time prior to an award, and is not required to furnish a statement of the reasons why a particular proposal was not deemed to be the most advantageous (Code of Virginia, § 2.24359D). Should the Commonwealth determine in writing and in its sole discretion that only one offeror is fully qualified, or that one offeror is clearly more highly qualified than the others under consideration, a contract may be negotiated and awarded to that offeror. The award document will be a contract incorporating by reference all the requirements, terms and conditions of the solicitation and the contractor’s proposal as negotiated. VI. PRE-PROPOSAL CONFERENCE There will be no pre-proposal conference for this solicitation. VII. GENERAL TERMS AND CONDITIONS General Terms and Conditions (Section I) are incorporated by reference to DGS/DPS website: http://www.eva.state.va.us/library/files/APSPM/Appendix_B_Sect_I_APSPM.pdf VIII. SPECIAL TERMS AND CONDITIONS 1. AUDIT: The contractor shall retain all books, records, and other documents relative to this contract for five (5) years after final payment, or until audited by the Commonwealth of Virginia, whichever is sooner. The agency, its authorized agents, and/or state auditors shall have full access to and the right to examine any of said materials during said period. 2. CANCELLATION OF CONTRACT: The purchasing agency reserves the right to cancel and terminate any resulting contract, in part or in whole, without penalty, upon 60 days written notice to the contractor. In the event the initial contract period is for more than 12 months, the resulting contract may be terminated by either party, without penalty, after the initial 12 months of the contract period upon 60 days written notice to the other party. Any contract cancellation notice shall not relieve the contractor of the obligation to deliver and/or perform on all outstanding orders issued prior to the effective date of cancellation. 3. SUBCONTRACTS: No portion of the work shall be subcontracted without prior written consent of the purchasing agency. In the event that the contractor desires to subcontract some part of the work specified herein, the contractor shall furnish the purchasing agency the names, qualifications and experience of their proposed subcontractors. The contractor shall, however, remain fully liable and responsible for the work to be done by its subcontractor(s) and shall assure compliance with all requirements of the contract. 4. PRIME CONTRACTOR RESPONSIBILITIES: The contractor shall be responsible for completely supervising and directing the work under this contract and all subcontractors that the contractor may utilize. Subcontractors who perform work under this contract shall be responsible to the prime 7
contractor. The contractor agrees to be fully responsible for the acts and omissions of its subcontractors and of persons employed by them as the contractor is for the acts and omissions of his own employees. 5. eVA BUSINESS-TO-GOVERNMENT CONTRACTS AND ORDERS: It is anticipated that the contract will result in multiple purchase orders (i.e., one for each delivery requirement) with the eVA transaction fee specified below assessed for each order. a. For orders issued July 1, 2011 thru December 31, 2013, the Vendor Transaction Fee is: (i) DMBE-certified Small Businesses: 0.75%, capped at $500 per order. (ii) Businesses that are not DMBE-certified Small Businesses: 0.75%, capped at $1,500 per order. b. For orders issued January 1, 2014, and after, the Vendor Transaction Fee is: (i) DMBE-certified Small Businesses: 1%, capped at $500 per order. (ii) Businesses that are not DMBE-certified Small Businesses: 1%, capped at $1,500 per order. The specified vendor transaction fee will be invoiced by the Commonwealth of Virginia Department of General Services, approximately 30 days after the corresponding purchase order is issued and payable 30 days after the invoice date. Any adjustments (increases/decreases) will be handled through purchase order changes. The eVA Internet electronic procurement solution, website portal www.eva.virginia.gov, streamlines and automates government purchasing activities in the Commonwealth. The portal is the gateway for vendors to conduct business with state agencies and public bodies. Vendors desiring to provide goods and/or services to the Commonwealth shall participate in the eVA Internet e-procurement solution and agree to comply with the following: If this solicitation is for a term contract, failure to provide an electronic catalog (price list) or index page catalog for items awarded will be just cause for the Commonwealth to reject your bid/offer or terminate this contract for default. The format of this electronic catalog shall conform to the eVA Catalog Interchange Format (CIF) Specification that can be accessed and downloaded from www.eVA.virginia.gov. Contractors should email Catalog or Index Page information to
[email protected]. 6. RENEWAL OF CONTRACT: This contract may be renewed by the Commonwealth for one (1) successive one year period under the terms and conditions of the original contract except as stated in 1. and 2. below. Price increases may be negotiated only at the time of renewal. Written notice of the Commonwealth’s intention to renew shall be given approximately 90 days prior to the expiration date of each contract period. 1. If the Commonwealth elects to exercise the option to renew the contract for an additional one-year period, the contract price(s) for the additional one year shall not exceed the contract price(s) of the original contract increased/decreased by more than the percentage increase/decrease of the Services and Other Services category of the CPI-W section of the Consumer Price Index of the United States Bureau of Labor Statistics for the latest twelve months for which statistics are available. 2. If during any subsequent renewal periods, the Commonwealth elects to exercise the option to renew the contract, the contract price(s) for the subsequent renewal period shall not exceed the contract price(s) of the previous renewal period increased/decreased by more than the percentage increase/decrease of the Services and Other Services category of the CPI-W section of the Consumer Price Index of the United States Bureau of Labor Statistics for the latest twelve months for which statistics are available. 8
7. BID ACCEPTANCE PERIOD: Any bid in response to this solicitation shall be valid for ninety (90) days. At the end of the days the bid may be withdrawn at the written request of the bidder. If the bid is not withdrawn at that time it remains in effect until an award is made or the solicitation is canceled. 8. E-VERIFY PROGRAM: EFFECTIVE 12/1/13. Pursuant to Code of Virginia, §2.2-4308.2., any employer with more than an average of 50 employees for the previous 12 months entering into a contract in excess of $50,000 with any agency of the Commonwealth to perform work or provide services pursuant to such contract shall register and participate in the E-Verify program to verify information and work authorization of its newly hired employees performing work pursuant to such public contract. Any such employer who fails to comply with these provisions shall be debarred from contracting with any agency of the Commonwealth for a period up to one year. Such debarment shall cease upon the employer’s registration and participation in the E-Verify program. If requested, the employer shall present a copy of their Maintain Company page from E-Verify to prove that they are enrolled in EVerify. 9. STATE CORPORATION COMMISSION IDENTIFICATION NUMBER: Pursuant to Code of Virginia, §2.2-4311.2 subsection B, a bidder or Offeror organized or authorized to transact business in the Commonwealth pursuant to Title 13.1 or Title 50 is required to include in its bid or proposal the identification number issued to it by the State Corporation Commission (SCC). Any bidder or Offeror that is not required to be authorized to transact business in the Commonwealth as a foreign business entity under Title 13.1 or Title 50 or as otherwise required by law is required to include in its bid or proposal a statement describing why the bidder or Offeror is not required to be so authorized. Indicate the above information on the SCC Form provided. Contractor agrees that the process by which compliance with Titles 13.1 and 50 is checked during the solicitation stage (including without limitation the SCC Form provided) is streamlined and not definitive, and the Commonwealth’s use and acceptance of such form, or its acceptance of Contractor’s statement describing why the bidder or Offeror was not legally required to be authorized to transact business PIM 98-031 B-30 in the Commonwealth, shall not be conclusive of the issue and shall not be relied upon by the Contractor as demonstrating compliance. 10. CONFIDENTIALITY (Commonwealth): The Commonwealth agrees that neither it nor its employees, representatives, or agents shall knowingly divulge any proprietary information with respect to the operation of the software, the technology embodied therein, or any other trade secret or proprietary information related thereto, except as specifically authorized by the contractor in writing or as required by the Freedom of Information Act or similar law. It shall be the contractor’s responsibility to fully comply with § 2.2-4342F of the Code of Virginia. All trade secrets or proprietary information must be identified in writing or other tangible form and conspicuously labeled as “proprietary” either prior to or at the time of submission to the Commonwealth. 11. CONFIDENTIALITY (Contractor): The contractor assures that information and data obtained as to personal facts and circumstances related to patients or clients will be collected and held confidential, during and following the term of this agreement, and will not be divulged without the individual’s and the agency’s written consent. Any information to be disclosed, except to the agency, must be in summary, statistical, or other form which does not identify particular individuals. Contractors and their employees working on this project will be required to sign the Confidentiality statement in this solicitation. 12. FAILURE TO DELIVER: In the event the Contractor fails for any reason to deliver in a timely manner or according to Contract terms, the items/services as specified, VCCS may give Contractor oral or 9
written notice of such breach. Once notice by VCCS is sent or given, VCCS may immediately procure services from another source. In no event shall VCCS be held to pay Contractor any cost incurred by Contractor, including but not limited to ordering, developing, or delivering the service(s) which are subject of VCCS’s notice of breach. This remedy is in addition to and not in lieu of any other remedy the VCCS may have under an ensuing agreement and the laws of the Commonwealth of Virginia. 13. TERMINATION FOR CONVENIENCE: VCCS may terminate any ensuing agreement/contract whole or in part for convenience at any time by submitting to the Contractor in writing, sixty (60) days prior to the effective date of Termination. VCCS shall be obligated for all outstanding orders, according to the agreement/contract, subsequent to this Termination. VCCS shall not be obligated for any other costs in the event of Termination for convenience. 14. TRAVEL REIMBURSEMENTS: Shall be subject to the Commonwealth of Virginia’s per diem and travel rates (per CAPP Topics 20335 and 20336). Travel reimbursement will only be made to the Contractor for travel included in the scope of work and approved in advance by the ordering entity. Upon acceptance of the quote the ordering agency will issue an eVA purchase order for travel reimbursement. 15. INDEPENDENT CONTRACTOR: The contractor shall not be an employee of VCCS or any of its Colleges, but shall be an independent contractor. Nothing in an ensuing agreement/contract shall be construed as authority for the contractor to make commitments which shall bind VCCS or its Colleges or to otherwise act on Behalf of the VCCS, except as VCCS may expressly authorize in writing. IX. METHOD OF PAYMENT A. Payment by check will be made by the VCCS through its Accounts Payable Department after approval of completed services and after receipt of the Contractor’s invoice prepared in a format acceptable to the VCCS. Contractor must reference a valid purchase order number or contract number on all invoices. C. Contractor shall address all invoices to: Virginia Community College System Accounts Payable Department 101 North 14th Street, 16th floor Richmond, VA 23219 X. PRICING SCHEDULE Offerors are to submit a detailed cost for requested services. Proposed costs shall include all labor, materials, resources, services, travel, etc. to provide requested services. Offerors should differentiate all costs clearly so that they may be properly evaluated without interpretation. Attachment D – Price Proposal Sheet.
XI. ATTACHMENTS The following attachments must be completed and submitted as part of the proposal. 1. Attachment A – Compensation Review Request Form 1. Attachment B – Offeror (Vendor) Data Sheet 2. Attachment C – State Corporation Commission Form 3. Attachment D – Price Proposal Sheet
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ATTACHMENT A: COMPENSATION REVIEW REQUEST FORM
CompensationRevie wRequeste-Form.html
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ATTACHMENT B – Offeror (Vendor) Data Sheet Note: The following information is required as part of your response to this solicitation. Failure to complete and provide this sheet may result in finding your bid nonresponsive. (In the case of a two-step IFB, it may cause the proposal portion to be determined to be not acceptable.) 1.
Qualification: The vendor must have the capability and capacity in all respects to satisfy fully all of the contractual requirements.
2.
Vendor’s Primary Contact: Name: _________________________
3.
email: _____________________
Years in Business: Indicate the length of time you have been in business providing this type of good or service: __________ Years
4.
Phone: ____________
________ Months
Vendor Information: eVA Vendor ID or DUNS Number: ________________________________
5.
Indicate below a listing of at least four (4) current or recent accounts, either commercial or governmental, that your company is servicing, has serviced, or has provided similar goods. Include the length of service and the name, address, and telephone number of the point of contact. A.
Company:_________________________________Contact: ____________________________________ Phone:(_____)______________________________ email: ________________________________ Project:_____________________________________________________________________________ Dates of Service: _________________________________$ Value: _______________________
B.
Company________________________________ Contact: ____________________________________ Phone:(_____)___________________________ email: _________________________________ Project:______________________________________________________________________________ Dates of Service: _________________________________$ Value: ________________________
C.
Company:________________________________ Contact: ____________________________________ Phone:(_____)______________________________email: _________________________________ Project:______________________________________________________________________________ Dates of Service: _________________________________$ Value: ________________________
D.
Company:_________________________________Contact: ____________________________________ Phone:(_____)______________________________email: _________________________________ Project:______________________________________________________________________________ Dates of Service: _________________________________$ Value: _______________________
I certify the accuracy of this information. Signed: ____________________________________Title: ________________________________ Date: _______________
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ATTACHMENT C - State Corporation Commission Form Virginia State Corporation Commission (SCC) registration information. The bidder: is a corporation or other business entity with the following SCC identification number: ____________ -OR is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust -OR is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the bidder in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from bidder’s out-of-state location) -OR is an out-of-state business entity that is including with this bid an opinion of legal counsel which accurately and completely discloses the undersigned bidder’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of § 13.1-757 or other similar provisions in Titles 13.1 or 50 of the Code of Virginia. **NOTE** >> Check the following box if you have not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids (the Commonwealth reserves the right to determine in its sole discretion whether to allow such waiver): 13
ATTACHMENT D
PRICE PROPOSAL SHEET
A. Proposed price or fee structure for providing requested services:
$ _____________________
Detail hourly rates for staff and fees.
B. Other Cost (expenses, etc.). Describe in detail.
$ _____________________
TOTAL PROPOSED COST
$ _____________________
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