BID FORM / MAILING ADDRESS:
MISSOURI DEPARTMENT OF TRANSPORTATION
GENERAL SERVICES, P.O. BOX 270
JEFFERSON CITY, MO 65102
REQUEST NO. / 3-170105TV
DATE / December 14, 2016
SEALED BIDS, SUBJECT TO THE ATTACHED CONDITIONS WILL BE RECEIVED AT THIS OFFICE UNTIL / BIDS TO BE BASED F.O.B. MISSOURI DEPARTMENT OF TRANSPORTATION
Submit net bid as cash discount stipulations will not be considered
1:00 pm., Local Time, January 5, 2017 / Various End User Delivery Locations
AND THEN PUBLICLY OPENED AND READ FOR FURNISHING THE FOLLOWING EQUIPMENT.
DEFINITE DELIVERY DATE SHOULD BE SHOWN. THE BIDDER MUST SIGN AND RETURN BEFORE DATE AND TIME SET FOR OPENING.
BUYER: / Tom Veasman
BUYER EMAIL: / BUYER TELEPHONE: / 573-522-4404
MEDIUM DUTY VEHICLES
This Request For Bid seeks bids from qualified organizations to provide vehicles in accordance with the following
pages. MoDOT will receive bids at the following mailing address: P.O. Box 270, Jefferson City, MO 65102-0270,
or hand-delivered in a sealed envelope to the following physical address: General Services Procurement at 830 MoDOT
Drive, Jefferson City, MO 65109 until 1:00 p.m., January 5, 2017. Bid forms and information may be obtained by
contacting Tom Veasman at 573-522-4404, , or electronically download them at:
http://www.modot.org/business/surplus/Fleet%20Buyers%20Web%20Page/LightDutyTrucks.htm
(SEE ATTACHED FOR TERMS, CONDITIONS, AND INSTRUCTIONS)
In compliance with the above Request For Bid, and subject to all conditions thereof, the undersigned bidder agrees to furnish and deliver any or all the items on which prices were bid within the timeframe specified herein, after receipt of formal purchase order.
Date: / Firm Name:
Telephone No.: / Address:
Fax No.:
Federal I.D. No. / By (Signature):
Email Address: ______ / Type/Print Name
Title:
Is your firm MBE certified? / Yes / No / Is your firm WBE certified? / Yes / No
Form E-103 (Rev. 11-04)

RFB 3-170105TV Snow Removal Equipment Options

These items may be bid directly by the supplier.

Electric/Hydraulic Plows

Item A – 7’ 6” Electric/Hydraulic Front End Snow Plow EACH $______

Minimum 12 gauge construction

In cab command with on/off switch

Light Kit

Note: Compatible with Items 1, 2 & 3

Item B – 8’ Electric/Hydraulic Front End Snow Plow EACH $______

Minimum 12 gauge construction

In cab command with on/off switch

Light Kit

Note: Compatible with Items 1, 2 & 3

Item C – 8’ 6” Electric/Hydraulic Front End Snow Plow EACH $______

Minimum 12 gauge construction

In cab command with on/off switch

Light Kit

Note: Compatible with Items 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 & 15

Hydraulic Plows

Item D – 8’6” Hydraulic Front End Snow Plow EACH $______

Minimum 12 gauge construction

In cab command

Quick couplers for all hose connections

Light Kit

Note: Central Hydraulics option needed for this item

Note: Compatible with Items 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 & 15

Item E – 9’ Hydraulic Front End Snow Plow EACH $______

Minimum 12 gauge construction

In cab command

Quick couplers for all hose connections

Light Kit

Note: Central Hydraulics option needed for this item

Note: Compatible with Items 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 & 15

Stainless Steel Salt Spreader

Item F – 9’ Stainless Steel Salt Spreader (3.5 cubic yard capacity) Electric power EACH $______

Note: Compatible with Items 7, 8, 9, 10, 11, 12, 13, 14 & 15

Hydraulic power EACH $______

Gas engine power EACH $______

Item G – 10’ Stainless Steel Salt Spreader (4.5 cubic yard capacity) Electric power EACH $______

Note: Compatible with Items 12 and 15

Hydraulic power EACH $______

Gas engine power EACH $______

Please indicate below the percent (%) discount off Manufacturer’s Suggested Retail Prices (MSRP) for all plow/spreader/bed items, options or accessories available in your data book or pricing guides that were not specifically included in this bid.

% discount off MSRP for all Data Book or Pricing Guide Options: - % Discount ______

Delivery will be made approximately ______days after receipt of order.

Body Equipment Supplier Information

For each Body Company Supplier that is included in Bid Items 1 - 15, please complete below the location of the service center(s), company contact information and any available MSRP discount % for the purchase of any additional equipment options or accessories for the equipment that is to be provided.

Body Company______

Service Location(s)______

Contact Name______Contact Number______

Supplier Offered Discount off MSRP Data Book or Pricing Guide Options - % Discount ______

Body Company______

Service Location(s)______

Contact Name______Contact Number______

Supplier Offered Discount off MSRP Data Book or Pricing Guide Options - % Discount ______

5. VENDOR INFORMATION & PREFERENCE CERTIFICATION FORM

Vendor Information

All bidders must furnish ALL applicable information requested below

Vendor Name/Mailing Address:
Email Address: / Vendor Contact Information (including area codes):
Phone #:
Cellular #:
Fax #:
Printed Name of Responsible Officer or Employee: / Signature:
For Corporations - State in which incorporated: / For Others - State of domicile:
If the address listed in the Vendor Name/Mailing Address block above is not located in the State of Missouri, list the address of Missouri offices or places of business:
If additional space is required, please attach an additional sheet and identify it as Addresses of Missouri Offices or Places of Business.
M/WBE INFORMATION: List all certified Minority or Women Business Enterprises (M/WBE) utilized in the fulfillment of this bid. Include percentages for subcontractors and identify the M/WBE certifying agency:
M/WBE Name / Percentage of Contract / M/WBE Certifying Agency
If additional space is required, please attach an additional sheet and identify it as M/WBE Information


6. NOTICE OF COOPERATIVE PURCHASING

MoDOT is interested in assisting Missouri governmental entities, etc. in purchasing equipment, various materials, and supplies that meet the MISSOURI DEPARTMENT OF Transportation specifications.

Each bidder is asked to indicate below whether they would be willing to offer medium duty vehicles listed in the attached “Request for Bid” for sale to these local political entities at the same bid price offered to MoDOT.

It is understood MoDOT will not issue purchase orders, accept delivery nor make payment for these items ordered by any of these agencies. It is further understood the price is based on the medium duty vehicle meeting MoDOT specifications. Any added options, deletions, or extra freight costs would be negotiated between the local agency and the successful vendor.

Indicate below whether your company is willing to offer such cooperative purchasing for Missouri counties, cities or other political entities.

YES ______NO ______

If the price varies throughout the state on MoDOT bids because of different delivery destinations, please indicate the price F.O.B. your location that would be offered as described.

F.O.B. Location ______

Indicate the deadline date that orders will be accepted. ______

COMPANY NAME ______

ADDRESS ______

E-MAIL ______

PHONE NUMBER ______

SIGNATURE ______

TITLE ______

DATE ______

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