Request for Proposals - Desert Sands Unified School District

Transcription

DESERT SANDS UNIFIED SCHOOL DISTRICT
PURCHASING SERVICES
E-RATE YEAR 18 (2015/2016)
Request for Proposals
PROPOSAL DEADLINE DATE
January 21, 2015 by 2:00 p.m.
Desert Sands Unified School District
47-950 Dune Palms Road • La Quinta, California 92253 • (760) 771-8567 • FAX: (760) 771-8574
E-RATE YEAR 18 (2015/2016)
NOTICE TO PROPOSERS
Notice is hereby given that the Board of Education of Desert Sands Unified School District of
Riverside County, California invites and will receive sealed proposals for E-Rate Year 18 on or
before 2:00 p.m. on January 21, 2015 in the Purchasing Department of Desert Sands Unified School
District, 47-950 Dune Palms Road, La Quinta, California 92253.
Proposers may not withdraw bids for a period of sixty (60) days after the date set for opening of bids.
Proposals shall be made on forms prepared by the Desert Sands Unified School District. Bid forms,
specifications and further information may be obtained from the website link: www.dsusd.us/Erate.
The District reserves the right to accept or reject any or all proposals, or any combination of proposals
and to waive any irregularities or informalities which may be legally waived.
DESERT SANDS UNIFIED SCHOOL DISTRICT
______________________________________
Nancy Lavrusky
Director of Purchasing Services
E-Rate YEAR 18 (2015/2016), Page 2
E-RATE YEAR 18 (2015/2016)
REQUIREMENTS
The Desert Sands Unified School District (DSUSD) is pleased to issue this Request for Proposals (RFP)
for upcoming “YEAR 18” round of E-Rate. Unless extended by an amendment to the RFP, the due date
and time for the receipt of proposals is on or before January 21, 2015 at 2:00 p.m. PST, at the
Purchasing Department of the Desert Sands Unified School District.
Proposals shall be made on forms prepared by the Desert Sands Unified School District. Bid forms,
specifications and further information may be obtained from the website link: www.dsusd.us/Erate.
Please submit one (1) proposal, plus complete copy on DVD/CD/flash drive. Receipt of proposals
is required on or before January 21, 2015 at 2:00 p.m. Proposals must arrive in the Purchasing
Department, 47-950 Dune Palms Road, La Quinta, CA 92253, by the proposal deadline.
Proposers are solely responsible for ensuring their RFP is received by the Purchasing Department in
accordance with the proposal requirements, before the RFP submittal deadline, and at the place
specified.
The Desert Sands Unified School District shall not be responsible for any delays in mail or by common
carriers, or by transmission errors or delays, or mistaken delivery. Delivery of proposal shall be made at
the office specified in the RFP. Deliveries made before the Date & Time Due, but to the wrong
department will be considered non-responsive, unless re-delivery is made to the office specified before
the date & time due as specified in the Notice to Proposers.
These projects and services depend on partial funding from the E-rate program.
For the purposes of this proposal, Service Providers are referred to as Service Provider, Offeror,
Proposer or contractor. The District is referred to as District.
A. Proposal can be submitted within the 28-day posting period, but are not required until the 29th
day.
B. The District expects each Service Provider to make themselves thoroughly familiar with any
rules or regulations regarding the E-rate program.
C. The Service Provider is responsible for providing a valid SPIN (Service Provider Identification
Number) and FCC Registration Number (FRN) at the time the proposal is submitted. Any
potential service provider found to be in Red-Light Status will be disqualified from participation
in the bidding process and will be considered non-responsive.
D. All Service Providers will be responsible for procuring the discounted amount from the SLD.
E-Rate YEAR 18 (2015/2016), Page 3
E. The Service Provider will be required to send copies of all forms and invoices submitted to SLD
prior to invoicing the SLD to the District for our records.
F. The District may use this proposal to issue purchase orders and pay for items on a purchase order
that are not eligible for E-Rate discounts. The District will use District funds for these purchases.
G. Prices must be held firm for the duration of the E-Rate YEAR 18 fiscal year ending September
30, 2015 or until all work associated with the project(s) are complete (including any SLD
approved extensions.)
H. The District reserves the right to deny any or all proposals associated with this RFP, even with
SLD funding approval. The District reserves the right to accept the pricing proposal solely
dependent upon SLD approval.
I. In addition, the District reserves the right to fund, (proceed with project or purchase) or not to
fund regardless of E-Rate approval.
J. All contracts entered into as a result of this RFP will be contingent upon the specific funding of
the FRN at the percentage rate submitted.
K. The maximum percentage the District will be liable for is the pre-discount amount minus the
funded amount as shown on the form 471 Block 5. The Service Provider will be responsible for
invoicing the Schools and Libraries Division for the funded amount.
L. No billing or work can take place before July 1, 2015 for submission to the SLD for
reimbursement.
M. No change orders will be allowed for the work resulting from this posting.
N. The Service Provider will be required to send copies of all forms and invoices submitted to SLD
prior to invoicing the SLD to the District for our records. Within ten (10) days of award, Service
Provider will provide District with bill and materials suitable for SLD Item 21. Approval for any
deviation from Item 21 must be obtained from District. Schedule of values and invoices for each
site must match Item 21 or subsequent service substitutions.
O. In the event of questions during the E-Rate audit process, the successful Service Provider is
expected to reply within three (3) days to questions associated with their proposal.
P. All work is subject to the 100% approval of the project or purchase by the FCC under the E-rate
discount program of the Telecommunications Act of 1996.
INSTRUCTIONS AND CONDITIONS
A. DEFINITIONS:
1. As used herein, “RFP” means this Request for Proposal..
2. As used herein, “District” or “DSUSD” means the Desert Sands Unified School District
3. As used herein, “Offeror” means the Firm or Contractor submitting a Proposal.
E-Rate YEAR 18 (2015/2016), Page 4
4. As used herein, “Offer” means the Proposal.
5. As used herein, “Contract” means an associated Agreement with the District.
6. As used herein, “Contractor” means the firm or Contractor that is awarded the contract
with the District
PREPARATION OF PROPOSALS
CONTENTS OF PROPOSAL
OFFERORS must submit one (1) paper proposal, in addition to a complete copy on DVD/CD/flash
drive. All proposals shall address the following items in the order listed below. The proposal is to
demonstrate the qualifications, competence and capacity of the firm as well as specify the model and
make of all equipment being proposed:
COVER LETTER – Stating 1) the validity of the firm and irrevocable proposal/offer being valid for
sixty days after RFP closing date, 2) work will be completed on or before the Districts required
completion date (if work is to be completed prior to Districts requirement, it must state so in the letter),
and 3) other appropriate items. The proposal must bear the signature of a person duly authorized to sign
the proposal on behalf of the Offeror, and reference this RFP and accept its terms and conditions or
clearly and conspicuously indicate any exceptions.
DESCRIPTION OF FIRM - This section should provide a brief description of the firm and statement of
interest and qualifications for providing the requested equipment and services; include information
regarding the size, location, nature of work performed, and years in business, and approach that will be
used in meeting the needs of the District.
CAPACITY & METHODOLOGY - Use this section to address the ability of the firm to undertake and
accomplish the required scope of work for which you are requesting consideration.
PAST PERFORMANCE – Description of past performances of similar service and related experience.
In addition, the firm shall provide information on the circumstances and status of any disciplinary action
taken or pending against the firm during the past three (3) years with state regulatory bodies or
professional organizations. The firm will list the most relevant and significant engagements performed
in the last three (3) years that are similar to the size of engagement described in this request for
proposal. These engagements should be ranked on the basis of project size. The firm will indicate the
scope of work, date, and the name and telephone number of the principal client contact.
CUSTOMER SERVICE TO DSUSD COMMITMENT – Describe how the firm will provide service
and fulfill the requirements and expectations of the District. Provide a description of how services will
be performed by Offeror.
Firm Financial Statement.
Offerors shall execute and submit with any proposal/offer, the attachment 1 “Firm Proposal/Offer
Form.”
E-Rate YEAR 18 (2015/2016), Page 5
Each Offeror must answer the questions in Attachment two of the RFP entitled: “Information Required
of Offeror.” Note: Questions may be answered in other sections of the proposal if clearly and
conspicuously identified.
Offerors shall execute and submit with any proposal/offer, the attachment 3 “Non-collusion Affidavit
Form.”
Each Offeror must propose a Schedule of Fees and Charges (pricing) including the following
information:
A. Equipment
1. Hardware and software
2. Manufacturer, make, and model
B. Labor
1. Detailed breakdown of hours and manpower to be used
C. Miscellaneous
1. Warranties
2. Any other expenses deemed necessary by Offeror
One (1) paper copy of the proposal and a complete on a DVD/CD or flash drive shall be sealed together
and submitted by no later than the closing date and time. Proposals shall be delivered to the attention of:
Nancy Lavrusky, Purchasing Director, Desert Sands Unified School District. It is the sole responsibility
of the firm submitting the proposal to ensure that it is actually received by the District prior to the
deadline time and due date and at the proper location.
Unless this RFP is extended by a written amendment, proposals received after the due date and time,
will not be considered.
Proposals shall be completed in all respects as required by the instructions herein. A proposal may be
rejected if it is conditional or incomplete, or if it contains alterations of form or other irregularities of
any kind. A proposal will be rejected if, in the opinion of the DISTRICT, the information contained
therein was intended to mislead the DISTRICT in the evaluation of the proposal.
The proposal submitted must not contain erasure, interlineations, or other corrections unless each
correction is clearly and conspicuously authenticated by signing in the margin immediately opposite the
correction the name of the person signing the proposal. An Offeror will be bound by the terms and
conditions of the proposal, notwithstanding the fact that errors may be or are contained therein.
However, if material errors are actually discovered in a proposal, the DISTRICT will notify the Offeror
that the proposal, as submitted, appears to contain errors and require the Offeror to correct the errors.
The DISTRICT requests that Offerors provide a best and final offer.
The DISTRICT may reject any or all proposals, and may waive informalities and minor irregularities in
proposals received.
All proposals and materials submitted in response to this RFP shall become the property of the District
and shall be considered a part of the Public Record.
E-Rate YEAR 18 (2015/2016), Page 6
After acceptance of the proposal by the District, a contract between the successful firm and the District
will be executed and will consist of the terms and conditions of this RFP and the Statement of Work and
Supplemental Terms and Conditions.
EXPLANATIONS TO OFFERORS
If an Offeror desires an explanation or clarification of any kind regarding this RFP, the Offeror must
make a written request for such explanation. All requests for information should be made in writing via
e-mail to Dr. George Araya at [email protected].
AMENDMENTS
Offerors are advised that the District reserves the right to amend this RFP at any time. Amendments will
be done formally by providing written amendments to all potential Offerors known to have received a
copy of the RFP. If in the sole and absolute discretion of the District, the change is of such a nature that
additional time is required for Offeror to prepare proposals, the District will change the due date
deadline and notify all known Offerors in writing of the revised deadline due date. All addendums will
be posted on the District web site www.dsusd.us/Erate.
Offerors must acknowledge receipt of any and all RFP amendments.
Failure to acknowledge in writing the receipt of any amendments may result in proposal rejection.
VALIDITY OF FIRM PROPOSAL/OFFER
Each proposal/offer must be a firm irrevocable offer, and remain open and valid for sixty (60) days after
RFP closing date.
SUBMITTING PROPOSALS
Telegraphic or facsimile offers or electronic offers and modifications will NOT be considered.
MODIFICATION OR WITHDRAWL OF PROPOSAL
An Offeror may modify or withdraw a proposal after submission by written notice of withdrawal and resubmission provided that the proposal withdrawal is prior to the due date deadline specified for
submission of proposals.
LATE PROPOSALS
No proposal or proposal modification received after the due date deadline will be considered.
PROPOSAL EVALUATION
It is anticipated that a contract will be made with the Offeror whose proposal is determined to be in the
overall best interest of the District by applying the evaluation criteria established in this RFP.
A District Proposal Evaluation Committee will determine which, if any, proposal is in the District’s
overall best interest to accept. The committee members will utilize a scale of 100 points to score the
proposals on the criteria identified. During the evaluation, the District may request proposal
E-Rate YEAR 18 (2015/2016), Page 7
clarifications, explanations and answers from an Offeror. The District may request an Offeror
presentation and interview.
Scoring Scale:
Selection Critera
Prices/Charges
Industry Experience
Qualifications
Job Default
Prior Experience with DSUSD
Overall Ranking
Weight*
26%
15%
15%
20%
24%
100%
Evaluation Criteria: Offerors are advised that all proposals will be evaluated to determine which
proposal is the overall best interest to the District. Accordingly, evaluation will include but not be
limited to the following criteria:
Qualification: To be considered, each of the following items is required: (1) the Offeror is an authorized
manufacturer’s representative (2) the firm has no conflict of interest with regard to any other work
performed by the firm for the District; (3) the firm has a SPIN number on file with the SLD; and (4) the
firm submits a demonstrable record of quality work.
Past Performance: Experience and expertise of the firm in providing similar equipment and services to
other public entities, especially a school district, and including the firm’s experience and performance in
Desert Sands Unified School District.
Current capacity and likelihood of the firm to accomplish the services herein for the duration of the time
frame specified; which includes working during holidays, weekends, swing shifts, evening times, etc.
Equipment meets or exceeds Districts specifications included.
Completeness and clarity of proposal content.
Fees and overall cost to District.
AGREEMENT REQUIREMENTS
The firm selected will also be required to promptly enter into an Agreement with the District. Particular
attention should be paid to the following:
INSURANCE - The District requires that its must provide comprehensive liability, automobile liability
and worker’s compensation insurance coverage per local, state, and federal limits with the District listed
as additional insured. This insurance is to be paid by the Contractor.
FINGERPRINTING AND CRIMINAL BACKGROUND INVESTIGATIONS - The firm must execute
a Certification by Contractor, Criminal Records Check district form prior to the performance of any
work.
E-Rate YEAR 18 (2015/2016), Page 8
COMPENSATION AND PAYMENT - The agreement will be for a fixed amount and will be paid for
when work is completed. All invoices must be fully supported and detailed and reflect any actual time
spent, equipment and material used, and units of work provided/completed.
PAYMENT TERMS
Payment will be made by the SLD and on a Net 30 day term by the District after all work is complete by
the Contractor and accepted by the District. A final punch list may be required to be completed by
Contractor prior to final acceptance of work.
SCHEDULE/WORK PRIORITIES
Work is to commence on or after July 1, 2015 upon proposal acceptance by the District.
DELIVERY REQUIREMENTS
Switches and routers to be provided for the period July 1, 2015 through June 30, 2016.
DRUG AND ALCOHOL FREE WORKPLACE
The Service Provider hereby certifies, under penalty of perjury, under the laws of the State of California
that under the contract he will comply with the requirements of the Drug-Free Workplace Act of 1988
(Government Code Section 8350 et. seq.). Therefore, the work site shall be kept drug and alcohol free at
all times.
TOBACCO-FREE WORKPLACE
The Service Provider hereby agrees, under the contract, he will comply with the Desert Sands Unified Board
of Education’s Policy about the health hazards associated with tobacco products, including the breathing of
second hand smoke and desires to provide a healthy environment for students and staff.” Therefore, the work
site shall be kept tobacco free and smoke-free at all times.
E-Rate YEAR 18 (2015/2016), Page 9
E-RATE YEAR 18 (2015/2016)
Specifications:
This RFP is part of our development for the Desert Sands Unified School District Private Cloud. We
began the process of informally evaluating several technologies toward the DSUSD Private Cloud
during the 2010-2011 school year. This RFP is part of the future technologies that our district will
implement in the next five (5) years.
In this RFP we have included components that are both eligible and ineligible under the E-rate program.
The majority of the components are not eligible and the components that qualify for discount under the
e-rate guidelines will be indicated below.
Trade Names and Alternatives:
For convenience in designation on the plans or in the specifications, certain articles or materials to be
incorporated in the work may be designated under a trade name or in the name of a manufacturer and his
catalogue information. The use of an alternative article or material which is of equal quality and of the
required characteristics for the purpose intended will be permitted, subject to the following
requirements: The burden of proof as to the quality and suitability of alternatives shall be upon the
Service Provider and he shall furnish all information necessary as required by the District. The District
shall be the sole judge as to the quality and suitability of alternative articles or materials and his decision
shall be final. Whenever the specifications permit the substitution of a similar or equivalent material or
article, no tests or action relating to the approval of such substitute material will be made until the
request for substitution is made in writing by the Service Provider, enclosed in the sealed bid packet,
and accompanied by complete data as to the equality of the material or article proposed.
The Desert Sands Unified equipment is CISCO, however any equivalent or better may be considered as
long as RFP specifications are met.
Notes:
LAN STANDARDS = All school site receive exact the same LAN standards. For example, all
elementary schools will receive same amount of IDF’s, connectors, etc.
CONNECTORS = Connectors have the same count when IDF count varies.
MAINT = In cases where amount do not match the hardware, maintain the requested amounts
independent of hardware matching.
INSTALLATION = All cables will be provided and all structured cabling / fiber runs will be in place.
WIRELESS: Wireless Configurations are PER SCHOOL SITE. Each site gets a wireless controller,
Access Points, and the seat count in controller to manage just the APs for that particular site.
E-Rate YEAR 18 (2015/2016), Page 10
Devices for the following Elementary schools:
Adams Elementary
Item Name
Access Points
AIR-CAP3702I-A-K9
CON-SNT-3702IA
AIR-AP-BRACKET-1
SWAP3700-RCOVRYK9
AIR-AP-T-RAIL-R
Description
Quantity
802.11ac Ctrlr AP 4x4:3SS w/CleanAir; Int Ant; A
Reg Domain
SMARTNET 8X5XNBD 802.11ac Ctrlr AP 4x
802.11n AP Low Profile Mounting Bracket (Default)
Cisco 3700 Series IOS WIRELESS LAN
RECOVERY
Ceiling Grid Clip for Aironet APs - Recessed Mount
(Default)
30
30
30
30
30
SubTotal
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
Quantity
Catalyst 2960-X 24 GigE PoE 370W 2 x 10G
SFP+ LAN Base
15A AC Pwr Cord left-angle (United States)
(bundle option)
Catalyst 2960-X FlexStack Plus Stacking Module
Cisco FlexStack 50cm stacking cable
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 11
1
1
1
1
SubTotal
2
2
2
2
SubTotal
Unit
Price
Extended
Price
Dr. Carreon Elementary
Item Name
Access Points
AIR-CAP3702I-A-K9
CON-SNT-3702IA
AIR-AP-BRACKET-1
SWAP3700-RCOVRYK9
AIR-AP-T-RAIL-R
Description
Quantity
Reg Domain
RECOVERY
(Default)
30
30
30
30
30
SubTotal
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
Quantity
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 12
2
2
2
2
SubTotal
5
5
5
5
SubTotal
Unit
Price
Extended
Price
Carrillo Ranch Elementary
Item Name
Access Points
AIR-CAP3702I-A-K9
CON-SNT-3702IA
AIR-AP-BRACKET-1
SWAP3700-RCOVRYK9
AIR-AP-T-RAIL-R
Description
Quantity
Reg Domain
RECOVERY
(Default)
30
30
30
30
30
SubTotal
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
Quantity
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 13
3
3
3
3
SubTotal
5
5
5
5
SubTotal
Unit
Price
Extended
Price
Carter Elementary
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Quantity
Nexus 7004 Bundle (Chassis 1xSUP2) No Power
Supplies
SMARTNET 8X5XNBD Nexus 7004 Bundle (C
Cisco NX-OS Release 6.2(2a) for SUP2 Nexus
7000
AC POWER CORD NORTH AMERICA (110V)
Nexus 7000 - 3.0KW AC Power Supply Module
(Cable Included)
Nexus 7000 LAN Enterprise License (L3 protocols)
Nexus 7000 - Supervisor 2 Includes External 8GB
USB Flash
Nexus 7K USB Flash Memory - 8GB (Log Flash)
1
1
2
2
1
1
1
SubTotal
Wireless
Controller
AIR-CT5508-50-K9
SWC5500K9-76
AIR-PWR-CORD-NA
PI-MSE-PRMO-INSRT
LIC-CT5508-BASE
LIC-CT5508-50
5508 Series Controller for up to 50 APs
Cisco Unified Wireless Controller SW Release 7.6
AIR Line Cord North America
Insert Packout - PI-MSE
Base Software License
50 AP Base license
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 14
1
1
1
1
1
1
SubTotal
Quantity
1
1
1
1
SubTotal
9
9
9
9
SubTotal
Unit
Price
Extended
Price
Earhart Elementary
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Quantity
Supplies
7000
(Cable Included)
USB Flash
1
1
1
2
2
1
1
1
SubTotal
Wireless
Controller
AIR-CT5508-50-K9
SWC5500K9-76
AIR-PWR-CORDNA
PI-MSE-PRMOINSRT
LIC-CT5508-BASE
LIC-CT5508-50
1
1
1
50 AP Base license
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
1
1
1
SubTotal
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 15
Quantity
16
16
16
16
SubTotal
3
3
3
3
SubTotal
Unit
Price
Extended
Price
Ford Elementary
Item Name
10 Gig Switch
N7K-C7004-S2
Description
Quantity
1
N7K-USB-8GB
Supplies
7000
(Cable Included)
USB Flash
Wireless
Controller
AIR-CT5508-50-K9
SWC5500K9-76
AIR-PWR-CORD-NA
PI-MSE-PRMO-INSRT
LIC-CT5508-BASE
LIC-CT5508-50
50 AP Base license
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 16
1
1
2
2
1
1
1
SubTotal
1
1
1
1
1
1
SubTotal
Quantity
1
1
1
1
SubTotal
7
7
7
7
SubTotal
Unit
Price
Extended
Price
Franklin Elementary
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Quantity
Unit
Price
Extended
Price
Unit
Price
Extended
Price
2
2
2
2
SubTotal
7
7
7
7
SubTotal
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
Johnson Elementary
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 17
Quantity
2
2
2
2
SubTotal
7
7
7
7
SubTotal
Lincoln Elementary
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Quantity
Unit
Price
Extended
Price
Unit
Price
Extended
Price
2
2
2
2
SubTotal
7
7
7
7
SubTotal
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
Madison Elementary
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 18
Quantity
2
2
2
2
SubTotal
7
7
7
7
SubTotal
Monroe Elementary
Item Name
10 Gig Switch
N7K-C7004-S2
Description
N7K-USB-8GB
Supplies
7000
(Cable Included)
USB Flash
Wireless Controller
AIR-CT5508-50-K9
SWC5500K9-76
AIR-PWR-CORD-NA
PI-MSE-PRMO-INSRT
LIC-CT5508-BASE
LIC-CT5508-50
50 AP Base license
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 19
Quantity
1
1
1
2
2
1
1
1
SubTotal
1
1
1
1
1
1
SubTotal
Quantity
3
3
3
3
SubTotal
2
2
2
2
SubTotal
Unit
Price
Extended
Price
Reagan Elementary
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Quantity
1
1
1
2
2
1
1
1
SubTotal
Wireless Controller
AIR-CT5508-50-K9
SWC5500K9-76
AIR-PWR-CORD-NA
PI-MSE-PRMO-INSRT
LIC-CT5508-BASE
LIC-CT5508-50
50 AP Base license
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 20
1
1
1
1
1
1
SubTotal
Quantity
1
1
1
1
SubTotal
8
8
8
8
SubTotal
Unit
Price
Extended
Price
Truman Elementary
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Quantity
1
1
1
2
2
1
1
1
SubTotal
Wireless Controller
AIR-CT5508-50-K9
SWC5500K9-76
AIR-PWR-CORD-NA
PI-MSE-PRMO-INSRT
LIC-CT5508-BASE
LIC-CT5508-50
50 AP Base license
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 21
1
1
1
1
1
1
SubTotal
Quantity
1
1
1
1
SubTotal
1
1
1
1
SubTotal
Unit
Price
Extended
Price
Devices for the following Middle schools:
Desert Ridge Middle
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
Quantity
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 22
5
5
5
5
SubTotal
15
15
15
15
SubTotal
Unit
Price
Extended
Price
Glenn Middle
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 23
Quantity
1
1
1
2
2
1
1
1
SubTotal
Quantity
23
23
23
23
SubTotal
8
8
8
8
SubTotal
Unit
Price
Extended
Price
Indio Middle
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
Quantity
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 24
1
1
1
1
SubTotal
13
13
13
13
SubTotal
Unit
Price
Extended
Price
La Quinta Middle
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Quantity
1
1
1
2
2
1
1
1
SubTotal
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 25
Quantity
6
6
6
6
SubTotal
4
4
4
4
SubTotal
Unit
Price
Extended
Price
Paige Middle
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Quantity
1
1
1
2
2
1
1
1
SubTotal
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 26
Quantity
15
15
15
15
SubTotal
4
4
4
4
SubTotal
Unit
Price
Extended
Price
Palm Desert Middle
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 27
Quantity
1
1
1
2
2
1
1
1
SubTotal
Quantity
20
20
20
20
SubTotal
9
9
9
9
SubTotal
Unit
Price
Extended
Price
Devices for the following High schools:
Amistad High
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Quantity
Unit
Price
Extended
Price
Unit
Price
Extended
Price
1
1
1
1
SubTotal
4
4
4
4
SubTotal
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
Summit High
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 28
Quantity
1
1
1
1
SubTotal
3
3
3
3
SubTotal
Indio High
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Quantity
Nexus 7004 Bundle (Chassis 1xSUP2) No Power Supplies
Cisco NX-OS Release 6.2(2a) for SUP2 Nexus 7000
Nexus 7000 - 3.0KW AC Power Supply Module (Cable
Included)
Nexus 7000 - Supervisor 2 Includes External 8GB USB
Flash
1
1
1
2
2
Item Name
Access Points
Description
AIR-CAP3702I-A-K9
802.11ac Ctrlr AP 4x4:3SS w/CleanAir; Int Ant; A Reg
Domain
CON-SNT-3702IA
AIR-AP-BRACKET-1
SWAP3700-RCOVRY-K9 Cisco 3700 Series IOS WIRELESS LAN RECOVERY
AIR-AP-T-RAIL-R
(Default)
1
1
1
SubTotal
Quantity
50
50
50
50
50
SubTotal
Wireless Controller
AIR-CT5508-50-K9
SWC5500K9-76
AIR-PWR-CORD-NA
PI-MSE-PRMO-INSRT
LIC-CT5508-BASE
LIC-CT5508-50
50 AP Base license
Item Name
Switches
Description
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Catalyst 2960-X 24 GigE PoE 370W 2 x 10G SFP+ LAN
Base
15A AC Pwr Cord left-angle (United States) (bundle option)
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Catalyst 2960-X 48 GigE PoE 740W 2 x 10G SFP+ LAN
Base
15A AC Pwr Cord left-angle (United States) (bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 29
1
1
1
1
1
1
SubTotal
Quantity
9
9
9
9
SubTotal
24
24
24
24
SubTotal
Unit
Price
Extended
Price
La Quinta High
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 30
Quantity
1
1
1
2
2
1
1
1
SubTotal
Quantity
33
33
33
33
SubTotal
25
25
25
25
SubTotal
Unit
Price
Extended
Price
Palm Desert High
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Item Name
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
Description
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
Quantity
1
1
1
2
2
1
1
1
SubTotal
Quantity
15
15
15
15
SubTotal
22
22
22
22
SubTotal
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 31
Unit
Price
Extended
Price
Shadow Hills High
Item Name
10 Gig Switch
N7K-C7004-S2
CON-SNT-N7K4S2
N7KS2K9-622A
CAB-7513AC
N7K-AC-3KW
N7K-LAN1K9
N7K-SUP2
N7K-USB-8GB
Description
Supplies
7000
(Cable Included)
USB Flash
Item Name
Description
Quantity
1
1
1
2
2
1
1
1
SubTotal
Quantity
Switches
WS-C2960X-24PD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
WS-C2960X-48FPD-L
CAB-AC15A-90L-US
C2960X-STACK
CAB-STK-E-0.5M
SFP+ LAN Base
(bundle option)
SFP+ LAN Base
(bundle option)
4
4
4
4
SubTotal
24
24
24
24
SubTotal
Sub-TOTAL W/O TAX:
Tax
Labor
TOTAL
E-Rate YEAR 18 (2015/2016), Page 32
Unit
Price
Extended
Price
ATTACHMENT 1
FIRM PROPOSAL / OFFER FORM
This Proposal/Offer Form must be duly executed and submitted with any proposal/offer to DSUSD.
The Offeror hereby agrees that its proposal/offer is subject to all RFP provisions, terms and conditions,
attachments, exhibits, amendments and other applicable materials which are attached or incorporated by
reference. Offeror hereby agrees to promptly enter into an agreement in substantial accordance with such
RFP provisions, terms and conditions, and secure a performance bond within five (5) days of the Districts
intent to award the contract.
The Offeror hereby agrees that its attached proposal/offer of which this is part, is a firm and irrevocable offer
and valid for acceptance by DSUSD for the period sixty (60) days after closing. The Offeror hereby agrees
that if its proposal/offer is accepted by DSUSD that it shall provide all of the equipment and services in
accordance with the RFP, as it may be amended.
Total Cash Purchase Price (Not To Exceed) In Words and in Numbers
______________________________________________________________________
______________________________________________________________________
($_______________________________________)
Name of Person Duly Authorized to Execute this Proposal/Offer: __________________
Duly Authorized Signature: ________________________________________________
Title: _________________________________________________________________
Date of this Proposal/Offer: _______________________________________________
Offeror Name: __________________________________________________________
Offeror Address: ________________________________________________________
Offeror Telephone: ______________________________________________________
Offeror Facsimile: _______________________________________________________
E-Rate YEAR 18 (2015/2016), Page 33
ATTACHMENT 2
INFORMATION REQUIRED OF PROPOSER
The Service Provider shall furnish all the following information accurately and completely. Failure to
comply with this requirement will render the bid informal and may cause its rejection. Additional sheets may
be attached if necessary. "You" or "your" as used herein refers to the Service Provider's firm and any of its
owner, officers, directors, shareholders, parties or principals.
District has discretion to request additional information depending on the Project.
Firm name and address:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Telephone:_____________________
Type of firm: (check one)
Individual _____ Partnership ______ Corporation ______
License No. Class:
Name of license holder ____________________________________________________
Have you or any of your principals ever been licensed under a different name or different license
number? (Response must include information pertaining to principals’ association outside of the firm
bidding this Project). ____________ If Yes, give name and license number.
Names and titles of all principals of the firm:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Person who inspected work site for your firm:
Name and Title: ___________________________________________
Date of Inspection: ______________________
How many years of experience has your firm had in school related work?
E-Rate YEAR 18 (2015/2016), Page 34
(A.) as a general Contractor? ____________________
(B.) as a subContractor? ________________________
Has your firm or any of its principals defaulted so as to cause a loss to a surety? Response must include
information pertaining to principals’ association outside of the firm bidding this Project. ________
If the answer is "Yes," give dates, names and address of surety and details.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Have you or any of your principals been assessed damages for any project in the past three years? Response
must include information pertaining to principals’ association outside of the firm bidding this Project.
________ If Yes, explain:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Have you or any of your principals been in litigation or arbitration or dispute of any kind on a question or
questions relating to a public construction project during the past three years? Response must include
information pertaining to principals’ association outside of the firm bidding this Project. _______ If Yes,
provide name of public agency and details of the dispute.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Have you or any of your principals ever failed to complete a project in the last three years? Response must
include information pertaining to principals’ association outside of the firm bidding this Project. ______
If so, give owner's name and details:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Do you now or have you ever had any direct or indirect business, financial or other connection with any
official, employee or consultant of the District? _____ If so, please elaborate.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
E-Rate YEAR 18 (2015/2016), Page 35
List of References - Projects of similar nature preferably in a school/community college/university within the
last three (3) years. DISTRICT has discretion to require more than three references.
1. Name : _________________________________________________________________
Address and Telephone: ___________________________________________________
________________________________________________________________________
Contact Person: __________________________________________________________
Type of Construction Project: _______________________________________________
Dates of commencement and completion of Construction Project:
_______________________________________________________________________
Contract Amount: ________________________________________________________
Public Agency Inspector: __________________________________________________
Address and Telephone: ____________________________________________________
2. Name : _________________________________________________________________
________________________________________________________________________
Contact Person: __________________________________________________________
_______________________________________________________________________
Contract Amount: ________________________________________________________
Public Agency Inspector: _________________________________________________
3. Name : _________________________________________________________________
________________________________________________________________________
E-Rate YEAR 18 (2015/2016), Page 36
Contact Person: __________________________________________________________
_______________________________________________________________________
Contract Amount: ________________________________________________________
Public Agency Inspector: __________________________________________________
Address and Telephone: ____________________________________________________
I certify and declare under penalty of perjury under the laws of the State of California that the foregoing
Information Required of Service Provider pages 1 through 7 is true and correct.
Executed this ____ day of ____________, 20____, at ________________________,
State of ___________,
_________________City, _____________________ County
_____________________________________________
Signature
_____________________________________________
Print Name
_____________________________________________
Title
E-Rate YEAR 18 (2015/2016), Page 37
CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION (Contractor)
The undersigned does hereby certify to the governing board of the DESERT SANDS UNIFIED
SCHOOL DISTRICT ("District") as follows:
1. That I am a representative of ____________________________ ("Contractor”) currently under
contract ("Contract") with the District; that I am familiar with the facts herein certified and am
authorized and qualified to execute this certificate on behalf of the Contractor.
2. That Contractor has complied with the fingerprinting and a criminal background Investigation
requirements of California Education Code section 45125.1 and 45125.2 with respect to all
Contractor's employees and subContractors who may have contact with District pupils in the
course of providing services pursuant to the Contract, and that the California Department of
Justice has determined that none of Contractor's employees (or employees of any
subContractors of Contractor) has been convicted of a felony, as that term is defined in
Education Code section 45122.1.
3. That a complete and accurate list of Contractor's and subContractors employees who may come
in contact with District pupils during the course and scope of the Contract is attached hereto.
Dated: ________________________________
________________________________
Contractor
By: _________________________
Time: _______________________
E-Rate YEAR 18 (2015/2016), Page 38
NON-COLLUSION AFFIDAVIT
(To Be Executed by Service Provider, Notarized and Submitted with Bid)
E-RATE YEAR 18 (2015/2016)
I, _______________________________, declare that I am the ___________________________________
(Name)
(Title)
of _____________________________________, the party making the attached bid; that the bid is not
(Name of Service Provider)
made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization or corporation;
that the bid is genuine and not collusive or sham; that the Service Provider has not directly or indirectly induced or solicited any
other Service Provider to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed
with any Service Provider or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the Service Provider
has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price
of the Service Provider of any other Service Provider, or to fix overhead, profit, or cost element of the bid price, or of that of any
other Service Provider, or to secure any advantage against the public body awarding the contract of anyone interested in the
proposed contract; that all statements contained in the bid are true, and further, that the Service Provider has not, directly or
indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data
relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid
depository, or to any member of agent thereof to effectuate a collusive or sham bid.
I certify under penalty of perjury under the laws of the State of ____________________ that the foregoing is true and correct.
_________________________________
Signature
Executed this ______ day of __________, 2015, at _______________________. ____________________
(Date)
(Month)
(City)
(State)
AFFIDAVIT MUST BE NOTARIZED
Subscribed and sworn to before me this the
_______ day of _____________, 20__.
_________________________________________
Signature of Notary Public
NOTARY SEAL
of _____________________ County
State of _________________
My Commission Expires: ____________________
Requires
NOTARY SEAL
Procedures Section 2105.5
STATUTORY REFERENCE:
Public Contract Code Section 7106/Code of Civil
To be completed and returned with your Bid Response

Request for Proposals - Desert Sands Unified School District

Transcription

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