Contract Award Notification - Attachment No. 2

79004Moving ServicesPage 1

ATTACHMENT NO. 2

SAMPLE PROJECT DEFINITION

PROJECT DEFINITION

FOR

MOVING SERVICES

Utilizing OGS Proposal No. S960206

<FACILITY NAME>

<Date of Issue>

Prepared by:<Agency Name & Unit>

TABLE OF CONTENTS

PAGE NO.

1.Agency Contact...... 4

2.Present Location...... 4

3.New Location...... 4

4.Description of Furniture and/or Equipment to be moved...... 4

5.Pertinent Details...... 4

6.Key Events / Dates...... 4

7.Facility Site Visit Verification Form ...... 5

8.Bid Proposal Form ...... 6

Appendices:

Note:All appendices in original IFB Proposal No. S960206 and resulting contract are applicable to this Project Definition. These include Appendix A, General Conditions, Insurance Requirements, M/WBE goals, MacBride Principles and Prevailing Wage Rates.

Note: All italics require that the user agency make a decision to retain the text as is, delete the text or modify it by substituting the agency’s name or information. This note should be deleted prior to bidding.

1.AGENCY CONTACT

<Name & telephone number of agency contact>

2.PRESENT LOCATION

<Address of building & floor(s) where office(s) is/are located>

3.NEW LOCATION

<Address of building & floor(s) where office(s) is/are moving to>

4.DESCRIPTION OF FURNITURE AND/OR EQUIPMENT TO BE MOVED

<List quantity and size of furniture and/or equipment>

5.PERTINENT DETAILS

<List any details that may effect the move such as expected delays, unusual circumstances or special equipment that may be required>

6.KEY EVENTS / DATES:

EventDateTime

Site Visit______

Submission of Bids ______

Move ______

FACILITY SITE VISIT

VERIFICATION FORM

I, ______, representing

(name)

______by personal examination of

(company name)

the specification and review of the actual work to be performed at the

______

(facility name and address)

on ______, at, ______,

(day and date)(time)

met with the Facility Manager or designated representative to comply with the site visit verification requirement as stated in the Project Definition.

______,______

(company representative signature)(date)

FOR THE AGENCY USE ONLY

Verification of site visit confirmed by Agency Representative.

Print Name: ______

Title: ______

Signature: ______

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Contract Award Notification - Attachment No. 2

CONTRACT NO.______

(To be completed by Agency)

NYS Agency

Address

City, State, Zip Code

BID PROPOSAL FORM

NOTE:Bid Proposal Form must be completed and signed in triplicate herein.

Gentlemen:

______agrees to provide all necessary Moving Services in accordance with OGS Proposal No. S960206 and this project definition for the not to exceed price bid below. If the actual move is accomplished in less time and or with fewer employees / trucks than provided for in the bid the final charges to the agency, for all items affected, MUST be adjusted downward to reflect the actual hours and or employees / trucks. However, if the actual move requires more time and or more employees / trucks than provided for in the bid the final charges MAY NOT be adjust upward. That is, item hour, item rate and number of employee / truck charges CAN NOT exceed those provided in response to the Project Definition. The only exceptions where additional charges would be allowed are: acts of God, building equipment malfunction, or Police Department, Fire Company blocking access to or egress from a building where a move is taking place. All such charges MUST be fully documented as to occurrence, location, time and duration. Also it is ABSOLUTELY NECESSARY that every attempt be made to notify the agency representative of the problem during the actual occurrence. No charges will be allowed for traffic delays that do not directly block access to the building. The Contractor further certifies that these prices do not exceed his/her bid in the initial OGS Proposal No. S960206 and resultant contract.

Medium loading capacity van / truck shall mean any van with a box length of under 24 feet.

Large loading capacity van / truck shall mean any van with a box length of 24 feet or more.

The word truck shall be interchangeable with van for the purposes of this offering.

BIDDERS MUST CHECK THE APPROPRIATE BRACKET BELOW.

Does your bid comply with the New York State Department of Labor Prevailing Wage and all other Labor Department Requirements? [ ] [ ]

Yes No

79004Moving ServicesPage 1

Contract Award Notification - Attachment No. 2

1. Hourly Rate for Each Employee $ ______x ____ Employees x ____ Hrs. = $______

2. Hourly Rate for a Truck Driver $ ______x ____ Drivers x ____ Hrs. = $______

3. Hourly Rate for a Supervisor $ ______x ____ Supervisors x ____ Hrs. = $______

4. Hourly Rate for One Truck (Medium Capacity) * $ ______x ____ Trucks x ____ Hrs. = $______

5. Hourly Rate for One Truck (Large Capacity) * $ ______x ____ Trucks x ____ Hrs. = $______

* Item 4 & 5 Should Not Include Driver’s Hourly Rate

Miscellaneous Labor Hourly Rate $ ______x ____ Hrs. = $ ______

(forservices such as removing and installing shelves etc.)

Overnight Storage of Furniture / Equipment Med. $ ______x ____ Trucks x ____ Nights = $______

on Truck Per Night: Large $ ______x ____ Trucks x ____ Nights = $______

RATE CHARGES FOR BOXES & CARTONS:

PerNumber

Size Unit of Units

1.5 cubic foot Box $ ______x ____ Boxes = $______

3.0 cubic foot Box $ ______x ____ Boxes = $______

4.5 cubic foot Box $ ______x ____ Boxes = $______

5.2 cubic foot Box $ ______x ____ Boxes = $______

6.0 cubic foot Box $ ______x ____ Boxes = $______

Disk Pack or Glass Pack $ ______x ____ Packs = $______

Legal Tote $ ______x ____ Totes = $______

Mirror Carton $ ______x ____ Cartons = $______

Tote Carton $ ______x ____ Cartons = $______

Typewriter Carton $ ______x ____ Cartons = $______

Other Boxes or Cartons (Specify size) ______$ ______x ____ Boxes = $______

TOTAL COST OF MOVE $ ______

79004Moving ServicesPage 1

Contract Award Notification - Attachment No. 2

CONTRACT NO.______

(To be completed by Agency)

AGENCY CERTIFICATION (In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.)

AGENCY SIGNATURE CONTRACTOR'S SIGNATURE

______

DATED ______

PRINT NAME

TITLE

Reviewed by Agency______

COMPANY

ADDRESS

CITYSTATE/ZIP

TELEPHONE NUMBER

FEDERAL I.D. NUMBER

DATE

NEW YORK STATENEW YORK STATE

ATTORNEY GENERAL'S SIGNATURE COMPTROLLER'S SIGNATURE

DATED DATED

CORPORATE ACKNOWLEDGMENT

STATE OF 

:SS.:

COUNTY OF

On the day ofin the year 19 before me personally came , to me known, who, being by me duly sworn did depose and say that _he resides in

; that _he is the of the , the corporation described in and which executed the above instrument; and that _he signed his/her name thereto by order of the Board of Directors of said corporation.

Notary Public

Is your firm registered with the NYS Department of State?Yes No

If NO, and offered a contract within NYS, are you willing

to register with the Department of State?Yes No

PARTNERSHIP ACKNOWLEDGMENT

STATE OF 

:SS.:

COUNTY OF

On this day ofin the year 19 before me personally came

to me known and known to me to be the person who executed the above instrument, who, being duly sworn by me, did for himself/herself depose and say that _he is a member of the firm of consisting of himself/herself and , and that _he executed the foregoing instrument in the firm name of , and that _he had authority to sign same, and _he did duly acknowledge to me that _he executed the same as the act and deed of said firm of , for uses and purposes mentioned therein.

Notary Public

INDIVIDUAL ACKNOWLEDGMENT

STATE OF 

:SS.:

COUNTY OF

On the day ofin the year 19 before me personally came , to me known to be the same person described in and who executed the within instrument and he/she duly acknowledged to me that he/she executed the same.

Notary Public

COMPANYNAME

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