/
Location
Project Designation

QUOTATION FORM

Name of Bidder
Street Address
City & State
Telephone / Fax
E-Mail Address
Contact Name
Date

Project Designation

Location

Pre-bid meeting time: Date, time Bid Due Date: Due Date

Pre-bid meeting location: Meeting building, room # Bid Due Time: Due Time

RFQ #:

Bids must be submitted via e-mail to the addresses shown below utilizing the electronic Microsoft Word file bid form provided by DaimlerChrysler Purchasing.

Attention: Buyer

DaimlerChrysler

Telephone: (248) 512-xxxx

Attention: Ms. Karen S. Burkmyre

(Cross reference copy)

Quotations must be sent to Chrysler Purchasing by the bid due date and time. All bids, including “no quotes,” must be returned via e-mail. DaimlerChrysler reserves the option to submit the quotation to Value Analysis for review.

Bids sent after the published bid closing will not be considered. It is the responsibility of the bidder to notify the buyer if e-mail transmission problems arise which preclude the bid from being sent prior to bid closing. The buyer can be contacted at the number shown above if required.

1. LUMP SUM PRICE

The undersigned bidder, having examined the documents including the following addenda:

ADDENDUM NO. / DATED
ADDENDUM NO. / DATED
ADDENDUM NO. / DATED

and having visited the site and become familiar with all conditions and requirements under which the proposed work will be performed, including local conditions likely to be encountered affecting the cost of the work, does hereby propose to perform everything required and to furnish all labor, materials, and equipment needed to perform the work at the Plant name, & location, for DaimlerChrysler Corporation, for the lump sum price of:

LUMP SUM PRICE

Dollars $

The undersigned agrees that the above-quoted price is predicated on performing the work required in accordance with the Bidding Documents without exception or substitution.

The undersigned agrees that the lump sum price includes all applicable freight and other miscellaneous charges and complete cost of revisions in accordance with addenda issued during the bidding period.

The bidder has has not included proposed substitutions which are detailed in an attached letter on the bidder’s company letterhead.

The undersigned bidder affirms that the lump sum price quoted above (does/does not) include all sales and/or use taxes. The amounts included are as follows (if not applicable enter "NONE"):

Federal Sales Tax ( or GST if Canadian ) / $
Excise Taxes / $
State Sales Taxes (or PST if Canadian) / $
Other Applicable Taxes: / $

2. ACCOUNTING BREAKDOWN

Successful bidder shall be required to provide an item-by-item allocation of the proposed lump sum amount stated above. Unit prices shall include labor, material, profit, overhead, taxes, and all costs related to the described item.

3. UNIT PRICES

If there are no Unit Prices, keep the article heading and paragraph heading, delete the following text with table and insert the phrase None Requested

It is understood and agreed by the undersigned that DaimlerChrysler reserves the right to reject any or all of the following unit prices which DaimlerChrysler may consider excessive or unreasonable or to accept, by including the same in the Contract as unit prices applicable in the event of additions to or deductions from the work to be performed under the Contract, any or all unit prices which DaimlerChrysler considers fair and reasonable.

Unit prices listed below must be filled in:

Item / Unit / Unit Price
1.  / $
2.  / $
3.  / $

4. PROJECT ALTERNATES

DaimlerChrysler Mandatory Alternates

If there are no Mandatory Alternates, keep the article heading and paragraph heading, delete the following text with table and insert the phrase None Requested

The undersigned bidder proposes to perform the work required by the Bidding Documents as revised by each of the alternates defined. The proposed price given for each alternate is independent of all other alternates and is the amount to be added to or deducted from the lump sum proposal if DaimlerChrysler decides to accept the alternate and incorporate it into the Scope of Work. The bidder understands that DaimlerChrysler may accept or reject any or all of the specified alternates solely at its discretion.

Alt. No. Description / Add / Deduct
1. 
2. 

Supplier Voluntary Alternates

Supplier generated voluntary alternates are encouraged and may be included with the contractor’s proposal. Base bid must be in accordance with the bid documents. Voluntary alternates are to be identified separately by number and by dollar value.

Alt. No. / Description / Deduct
1. 
2. 

5. CHANGES

The undersigned acknowledges that DaimlerChrysler may elect to perform changes in the work either on a firm proposal or a cost-plus-fee basis in accordance with the DaimlerChrysler General Terms and Conditions for Construction Contracts. In the event the work is to be performed on a cost plus basis, the undersigned will perform, or cause to be performed by his subcontractors, such work at direct cost, plus the percentages entered by the undersigned below.

For additions to Contract performed by Contractor'sownforces, direct cost plus
(Nottoexceed12.5%) / percent
For additions to Contract performed by subcontractor, subcontractor cost to Contractor plus (Nottoexceed7.5%) / percent

The undersigned affirms that on change proposals covering increases in the amount of the Contract, the percentages inserted above will be applied to the net increase.

6. TIME OF COMPLETION

The undersigned agrees that, if awarded the Contract for this work, they will:

Commence work within / calendar days of receipt of Purchase Order.
Submit initial shop drawings within / calendar days of receipt of Purchase Order.
Complete shop drawing submittal within / calendar days of receipt of Purchase Order.
Complete project scope work within / calendar days of receipt of Purchase Order.

The undersigned affirms that the above-proposed durations take into account the schedule constraints as identified on the drawings and in the specifications, resulting in the earliest possible completion date. BIDDER SHALL ATTACH A SUMMARY BAR CHART SCHEDULE WHICH ILLUSTRATES BIDDER’S PLAN AS OF BIDDING TIME FOR EXECUTING THE WORK WITHIN THE CONSTRAINTS IDENTIFIED IN THE BIDDING DOCUMENTS.

The undersigned agrees that the above-proposed dates and the lump sum price of this bid includes overtime work necessary to meet the above dates and to avoid major interferences with concurrent construction or related operations.

7. FIELD ORGANIZATION

The undersigned agrees, within three workdays after notification by DaimlerChrysler, to furnish for approval the names, qualifications, experience and positions of the key personnel who will be assigned the work, complete with an organization chart of responsibility.

8. SUBCONTRACTORS

The undersigned shall submit the attached subcontractor list within 24 hours of the bid due date and time. The list shall identify the major subcontractors and suppliers which will be engaged to perform work indicated therein.

The undersigned further affirms that he will not change proposed subcontractors after the date of bid without the prior consent of DaimlerChrysler Purchasing

9. UTILIZATION OF SPECIAL SUPPLIERS AND CONTRACTORS

Bidders are required to include minority business enterprise (MBE) participation totaling a minimum of <XX>% of the total bid (base bid, alternates and options) and to state the percentage of base bid and monetary amount allocated to each firm. Identify as joint venture, subcontractor/subsupplier, or material supplier as listed under column "type." Attach an additional schedule, if needed.

Minority Firm Name / Type / Percentage / Amount
Total:

Bidder must submit herewith a valid certificate from a regional council of the National Minority Supplier Development Council (NMSDC) for each proposed MBE joint venture, subcontractor or material supplier. Submittal of certification with the quotation is a requirement for consideration of award.

Suppliers are encouraged to utilize the DaimlerChrysler Extended Enterprise ™ website at https://extranet.daimlerchrysler.com. Through the special supplier relations page located on this site, suppliers may review requirements and qualifications, input data, and find assistance in locating certified MBE companies.

10. INSURANCE

The undersigned affirms that the premiums for all insurance required under the conditions of the Contract Documents are included in the lump sum price.

11. PERMITS, FEES AND LICENSES

The undersigned has included in the bid the cost of permits, fees, and licenses required by authorities having jurisdiction and as required by the Contract Documents.

12. SAFETY STATISTICS

The undersigned bidder certifies that the following information provided is accurate and current, effective the day of the bid.

Bidder’s Workers’ Compensation Experience Modification Rate (EMR) at date of bid is

Bidder's OSHA Form 200 recordable incidents rates for the last calendar year, per 200,000

man-hours, for the following categories are:

1. Total cases:
2. Lost workday cases:
3. Non-fatal cases without lost workdays:
4. Lost workdays:

Proposed subcontractors are expected to maintain an EMR of 1.0 or less. Subcontractors which have an EMR greater than 1.0 shall be required to submit a corrective action plan which describes company actions taken to reduce their EMR (safety policy, safety incentives, disciplinary actions, tool box talks, etc.).

13. REGULATED MATERIAL COMPLIANCE – CLAUSE 408

In order to comply with DaimlerChrysler corporate standards with regard to potentially hazardous materials, approval is required from DaimlerChrysler Environmental & Energy Affairs and Industrial Hygiene & Toxicology prior to bringing any toxic substance on DaimlerChrysler property.

Instructions for the application & requesting of non-production restricted part numbers for certain non-production material can be found in the DaimlerChrysler Manufacturing Technical Instruction ETI-101. Manufacturing Technical Instruction ETI-102 establishes guidelines for the specification, purchase and use of these materials. Manufacturing Technical Specification ETI-103 contains the "Supplier Regulated Substance Certification Report" which is used to indicate compliance to ETI-102 and identify the use of any regulated and restricted substances listed in ETI-102.

All work performed must be in accordance with ETI-102 and ETI-103. Any questions relating to these two documents should be addressed to DaimlerChrysler Environmental & Energy Affairs and Industrial Hygiene & Toxicology (248) 576-7366 or by visiting the Chrysler Group web site at, https://extranet.daimlerchrysler.com/restricted/purchasing/terms/index.html.

14. LEGAL STATUS OF BIDDER

The undersigned does hereby declare that the bidder has the following legal status:

(NOTE: Fill out the applicable legal status, and strike out the other two.)

1. A corporation organized and existing under the laws of
the State of / for
whom, / , whose
signature is affixed hereto, is duly authorized to execute contracts.
2. A partnership, all the partners of which, with addresses, are:

3. An individual, whose signature is affixed hereto.

15. CHRYSLER'S RIGHT TO REJECT BIDS

Chrysler reserves the right to reject any or all quotations.

16. OFFER PERIOD

The undersigned affirms that the prices proposed herein shall remain firm and irrevocable for a period of not less than thirty (30) days from the date hereof.

17. HOURLY LABOR RATE COMPUTATION

The undersigned shall submit the attached hourly labor rate computation list within 24 hours of the bid due date and time. The list shall identify each trade and labor rate computation for said trade which will be engaged to perform work indicated therein. Hourly labor rate computation sheets shall be filled in for each trade designation.

18. NAME AND ADDRESS OF BIDDER

This bid is submitted in the name of:

Firm Name:
Business Address:
City, State:
By:
(SIGNATURE)
Title
Signed this / day of / , 20


Supplier/Subcontractor List

(Reference Bid Form Item No. 8)

Subcontractor Name & Address / Contract Amount / General Description Subcontractor's Responsibilities


Facilities & Material Purchasing

Hourly Labor Rate Computation

(Reference Bid Form Item No. 17)

Date:
Supplier:
Location (City, State):
Union (Local):
Facility:
Trade:

National Maintenance Agreement? Yes No

Contract Period: / From: / To:
WAGES / Straight Time / Time and One Half / Double Time
1. Base Wage
2. Vacation & Holiday
3. Base Wage Total (Lines 1 + 2)
FRINGES / Straight Time / Time and One Half / Double Time
4. Health & Welfare
5. Pension
6. Apprenticeship Fund
7. Industrial Adv. Fund
8. Travel
9. SUB
10. Building Trades Fund
11. Dues
12. Other 1
13. Other 2
14. Fringe Total (Lines 4 to 13)
15. Gross Wage Total
(Lines 3+14) / * / *
BURDEN / Straight Time / Time and One Half / Double Time
16. FICA
17. Federal Unemployment
18. State Unemployment
19. State Business Tax
20. Workers’ Comp. Ins.
21. Public Liability Ins.
22. Public Property Ins.
23. Other 3
24. Burden Total (Lines 16 to 23)
25. Consumables / Sm. Tools
26. Burden & Tools (Lines 24+25)
27. Total Wage (Lines 15+26)
28. OH & P (% of line 15 only)
Total Billing Rate (Lines 27+28)

* straight time only

Page 13 of 13

Revision Date: 7/02 Project & Bid Package

File name: 00300bidmasterquotationform.doc