Request for Proposal for Computer Operated Towing Dispatch Center

CITY OF SAN DIEGO REQUEST FOR PROPOSAL

Proposal No. 9226-08-P-RFP

For further information concerning this proposal, please contact:

Patrick Kelleher/bl9, Principal Procurement Specialist

Phone: (619) 236-6214   Fax: (619) 533-3239   E-mail: PKelleher@sandiego.gov

RFP COVER PAGE

Company:

Federal Tax I.D. No.:

Street Address:

City: State: Zip Code:

Tel. No.: Fax No.:

E-Mail:

If your firm is not located in California, are you authorized to collect California sales tax? Yes No

If Yes, under what Permit #

City of San Diego Business Tax License #:

CHECKLIST

1) Proposal must be submitted on official City Proposal forms.

2) All information on this Request for Proposal cover page must be completed.

3) This cover page must be signed with an original signature.

4) Beginning January 1, 2008, all bidders must complete the Vendor Registration Form.

5) Proposal must be submitted on or before the exact closing date and time.

VII. FORMS

PROPOSER’S REFERENCES

Reference 1

Name of Organization or Municipality/State: Contact Name:

Address: Phone Number:

Fax Number: Population of Municipality:

Dollar Value of Contract: $ Contract Dates:

Description of Services Provided:

Reference 2

Name of Organization or Municipality/State: Contact Name:

Address: Phone Number:

Fax Number: Population of Municipality:

Dollar Value of Contract: $ Contract Dates:

Description of Services Provided:

Reference 3

Name of Organization or Municipality/State: Contact Name:

Address: Phone Number:

Fax Number: Population of Municipality:

Dollar Value of Contract: $ Contract Dates:

Description of Services Provided:

PROPOSER’S STATEMENT OF SUBCONTRACTORS

Subcontractor 1

Company Name: Contact Name:

Address: Phone Number:

Fax Number:

Percentage of dollars of the sub compared to total contract value:

What work will be assigned to this Subcontractor?

Subcontractor 2

Company Name: Contact Name:

Address: Phone Number:

Fax Number:

Percentage of dollars of the sub compared to total contract value:

What work will be assigned to this Subcontractor?

CONTRACTOR STANDARDS QUESTIONNAIRE

Project Title:

Legal Name: DBA:

Street Address:

City: State: Zip:

1. Has your firm changed its name in the past five years? Yes No

2. Has a firm owner, partner or officer operated a similar business in the past five years? Yes No

Business Organization/Structure

Corporation Date incorporated: State:

Limited Liability Company Date formed: State:

Partnership Date formed: State:

Sole Proprietorship Date started:

Joint Venture Date formed:

Financial Resources and Responsibility

1. Is your firm in preparation for, in the process of, or in negotiations toward being sold? Yes No

2. Has your firm been denied bonding in the past five years? Yes No

3. Has a bonding company made payments to satisfy claims against a bond issued on your firm's behalf? Yes No

Performance History

1. Has your firm defaulted on a contract with a government agency? Yes No

2. Has a government agency terminated your firm's contract prior to completion? Yes No

Compliance

1. Has your firm or any firm owner, partner or officer been found to have violated or been penalized for any law in performance of a contract? Yes No

2. Has your firm been debarred or determined to be non-responsible by a government agency? Yes No

Business Integrity

1. Has your firm been convicted of or found liable in a civil suit for making a false claim or material misrepresentation? Yes No

2. Has your firm or any executives/owners been convicted of a crime or found liable in a civil suit involving a government contract? Yes No

Type of submission: Initial submission Update of prior questionnaire

Print Name, Title:

Signature: Date:

VENDOR REGISTRATION

Vendor ID:

Firm Name:

Firm Address:

City: State: Zip:

Phone: Fax:

Taxpayer ID: Business License:

Website:

Contact Name:

Title:

Email:

Address to Which Bids Should Be Sent:

WORK FORCE REPORT

Name of Firm: Date:

Contractor type: Construction Vendor/Supplier Financial Institution Lessee/Lessor Consultant Grant Recipient Insurance Company Other

CEO Name:

EOO Name:

Authorized Signature: Print Name:

DRUG-FREE WORKPLACE CERTIFICATION

Bid Number:

Project Title:

Business Name:

Signed:

Printed Name:

Title:

Company Name:

Address:

Telephone: Fax: Date:

EXHIBIT A – MEMORANDUM OF AGREEMENT

Proposer: RFP No.:

Accepted and Agreed:

Approved by City Attorney:

By: