REQUEST FOR PROPOSALS Managed Print Services

Transcription

1 REQUEST FOR PROPOSALS Managed Print Services Issued by: The City of Sandusky, Ohio Issued: March 19, 2014 Contact Person: Donald Rumbutis City of Sandusky IT Department 222 Meigs Street Sandusky, OH Phone: (419) Proposals Due: April 7, 2014 at 2:00 p.m. The City of Sandusky reserves the right to reject any or all Proposals, to waive informalities, or to accept any Proposal which it deems most favorable to the City of Sandusky Page 1 of 21

2 Table of Contents Description Page Section I. tice to Proposers 3 Section II. Specific Timeline 4 Section III. Instruction to Proposers 4 Section IV. Communications and Questions Concerning Proposal 5 Section V. Scope of Service and Specifications 6 Section VI. Proposal Submittal and Format 8 Section VII. Interpretation 9 Section VIII. Proposal Evaluation Criteria 10 Section IX. Key Elements of a Proposer's Proposal Concerning Qualifications and Experience to be Furnished to the City 12 Proposer's Questionnaire 13 Waiver and Release Form 16 Disclosure of Personal Property Taxes 17 Exhibit A 19 Ohio Revised Code SECTION 9.24 Unresolved Finding of Recovery Issued by The Auditor of The State of Ohio 20 n-collusion Affidavit 21 Page 2 of 21

3 SECTION I. NOTICE TO PROPOSERS LEGAL NOTICE REQUEST FOR PROPOSALS Sealed proposals will be received by the City of Sandusky in the IT Department, 222 Meigs Street, Sandusky, OH UNTIL Monday, April 7, 2014 at 2:00 P.M. (EST) to install and maintain a Managed Print Service for the printers listed in Section V, Paragraph 3, for the City of Sandusky. The City of Sandusky intends to execute a Purchase Agreement with a responsible bidder who, in the sole discretion of the City, proposes the lowest and best bid. All proposals shall be submitted in a sealed envelope clearly labeled Managed Print Services for The City of Sandusky. The name and address of Proposer shall also appear on the outside of the envelope. The Request for Proposals (RFP) will be available for pick up at the City Manager s Office, located at 222 Meigs Street, Sandusky, OH on March 19, 2014 and shall also be available to download on the City of Sandusky s website at Sealed Proposals will be received by the City of Sandusky, at the City of Sandusky IT Department and shall be addressed to the Donald Rumbutis, IT Department, 222 Meigs Street Sandusky, Ohio Proposals shall be delivered NO LATER THAN Monday, April 7, 2014 at 2:00 P.M. (EST). All Proposals must be received on time and in full compliance with the instructions contained in the RFP. The City of Sandusky reserves the right to reject any or all proposals, to waive informalities, to accept any Proposal which it deems most favorable to the City of Sandusky and to withdraw this solicitation at any time. Approved for publication By: CITY OF SANDUSKY, OHIO Donald Rumbutis, IT Department DATES OF PUBLICATION: March 19, 2014 and March 26, 2014 Page 3 of 21

4 SECTION II. SPECIFIC TIMELINE March 19 and March 26, 2014 Legal notice published in the Sandusky Register that the City of Sandusky is accepting Proposals for the installation of a Managed Print Services at the Sandusky City Building and the IT Department facilities and the Request for Proposals packets are available. Monday, March 31, 2014, 1:00 P.M. (EST) Mandatory Pre-Proposal Meeting to be held in the First Floor Conference room at the City of Sandusky, 222 Meigs Street, Sandusky, Ohio Wednesday, April 2, 2014 at 5:00 P.M. (EST) The last day to submit questions and clarifications regarding this Request for Proposals. Friday. April 4, 2014 at 3:00 P.M. (EST) Questions and clarification regarding this Request for Proposals shall be answered. Monday, April 7, 2014 at 2:00 P.M. (EST) Deadline for submission of Proposals to the City of Sandusky. Monday, April 21, 2014 Latest anticipated date that the City of Sandusky shall notify Proposers of the intent to enter into a contract. SECTION III. INSTRUCTIONS TO PROPOSERS This Request for Proposals is being issued by the City of Sandusky. Primary contact for all communications regarding this Request for Proposals shall be Donald Rumbutis, IT Department, All private, for-profit, non-profit and public entities shall be eligible to submit Proposals for this work. A notice regarding this Request for Proposals shall be published as a legal notice in the Sandusky Register. This Request for Proposals shall be available for pick up on March 19, 2014 at the City Manager s Office, City of Sandusky, 222 Meigs Street, Sandusky, Ohio and shall be available to download from the City of Sandusky s website at Sealed Proposals will be received by the City of Sandusky at the IT Department and shall be addressed to Donald Rumbutis, IT Department, 222 Meigs Street Sandusky, Ohio 44870, until Monday, April 7, 2014 at 2:00 p.m. Any Proposal received after that date and time shall be considered non-responsive and shall be returned to the respondent unopened. Proposer bears total responsibility for ensuring their Proposal is complete and arrives on time. Proposals received by fax or will not be considered. Proposers shall comply with each and every requirement of this RFP to be considered responsive. In order to be considered responsive, all Proposers shall complete and submit with their Proposal the Proposer Questionnaire, Waiver and Release Form, Disclosure of Personal Property Taxes, Unresolved Finding of Recovery Issued by the Auditor of the State of Ohio and the n-collusion Affidavit, attached on pages of this Request for Proposals. Page 4 of 21

5 A selection committee will review and evaluate each Proposal. The City of Sandusky intends to execute a Purchase Agreement with a responsible Proposer who, in the sole discretion of the City, submits the lowest and best bid. The City of Sandusky reserves the right to reject any or all Proposals, to waive informalities, to accept any Proposal which it deems most favorable to the City of Sandusky and to withdraw this solicitation at any time. SECTION IV. COMMUNICATIONS AND QUESTIONS CONCERNING PROPOSALS 1) Mandatory Pre-Proposal Meeting A mandatory Pre-Proposal Meeting shall be held on Monday, March 31, 2014 at 1:00 P.M. (EST) in the first floor conference room at the City of Sandusky located at 222 Meigs Street, Sandusky, Ohio The mandatory Pre-Proposal Meeting shall be for the purpose of viewing and discussing installation locations and for clarification and/or correction of the Request for Proposals, including any revisions, and to assure understanding of and responsiveness to the requirements, terms and conditions, and specifications of the Request for Proposals. A limit of two representatives per company will be able to attend. All Proposers shall be afforded fair and equal treatment and any questions, clarifications or amendments to this Request for Proposals resulting from the mandatory Pre-Proposal Meeting shall be distributed to those entities in attendance at such meeting. Responses to oral inquiries at the mandatory Pre-Proposal Meeting shall be based on the information provided in the Request for Proposals. All statements made in writing, including responses to the mandatory Pre-Proposal Meeting shall supersede any oral statements. 2) Questions, Amendments, and Clarifications Questions or clarifications regarding the RFP shall be directed in writing, or by or to: Donald Rumbutis IT Department 222 Meigs Street Sandusky, OH Phone: (419) drumbutis@ci.sandusky.oh.us The final date and time for inquiries regarding the Request for Proposals shall be Wednesday, April 2, 2014 at 5:00 P.M. (EST). Answers to questions and clarifications shall be distributed on Friday, April 4, 2014 at 3:00 p.m. to all entities that were in attendance at the mandatory Pre-Proposal meeting. Donald Rumbutis, IT Department, is the contact person at the City for questions regarding this Request for Proposals. The City shall not be responsible in any manner for verbal answers or instructions regarding this Request for Proposals. Page 5 of 21

6 If it becomes evident that the Request for Proposals must be amended, the City of Sandusky will issue a formal written amendment to all known prospective Proposers. The Request for Proposals, and any addendums and amendments issued by the City, and the Proposals, with incident and accompanying Proposal Submittal Forms submitted by the Proposer, shall constitute the entire agreement between the City and the successful Proposer. There shall be no verbal agreements. 3) Withdrawal of Proposal Sealed proposals may be withdrawn prior to the opening of the proposals in person by a Proposer or his/her authorized representative, by signing a receipt for the proposal. SECTION V. SCOPE OF SERVICES AND SPECIFICATIONS. 1) Statement of Purpose The City of Sandusky seeks to enter into a contract with a qualified Proposer to provide Managed Print Services for the devices mentioned in section V, paragraph 3, which includes but is not limited to providing the hardware, labor, material and equipment for the installation of the Managed Print Services in the specific locations. All City facilities are generally open to the public Monday through Friday from 8:00 a.m. until 4:00 p.m. The City of Sandusky has issued this RFP to define the minimum service requirements; solicit proposals; detail proposal requirements; and outline the City s process for evaluating proposals and selecting the successful Proposer. Through this RFP, the City seeks to buy the best services and equipment at the most favorable, competitive prices and to give qualified businesses an equal opportunity to do business with the City of Sandusky. 2) Scope of Work The Proposer shall provide a comprehensive Managed Print Services plan. The Proposal shall include all equipment, installation, training and maintenance to provide a high quality, fully operational Managed Print Services that shall include, but may not be limited to the following: a) The make, model, location and page counts for each device in this proposal is located on page 7 & 8 (Section V, Paragraph 3). This is a 15 day page count. b) The City is looking for a way to cut printing costs, while not sacrificing productivity on behalf of the employees. c) The Proposer can submit a maximum of 3 proposals which may accomplish the goals of the City. d) There is a main focus on the 2 main copiers in the City Building, and the Fire Department (Station #1). These 2 locations should be under some sort of contract or Page 6 of 21

7 maintenance agreement. Proposer s are encouraged to think out-of-the-box to provide the City options for their printing needs, while being fiscally responsible. 3) Printer Information ** 15 DAY PAY COUNT ** TOTAL Location Make Model NOTES B & W Color BIWW Distribution - Maintenance HP Officejet Pro BIWW Distribution - Maintenance Ricoh MP 2000 Copier Only 55 BIWW Plant - Control Room HP Deskjet C3180 SCADA ONLY BIWW Plant - Control Room Ricoh MP BIWW Plant - Doug Keller HP Officejet Pro 8600 Plus BIWW Plant - JR Best HP Officejet Pro 8600 Plus 3 3 BIWW Plant - Lab HP Deskjet 5550 SCADA ONLY BIWW Plant - Maintenance HP Photosmart 7510 Does t Split B&W vs Color 40 0 CB - Building Department HP P CB - Code Enforcement HP Deskjet 990cxi Will be pulled from Service CB - Code Enforcement Ricoh MP 201 Fax Copy Print 1,575 CB - Commission Office HP Laserjet 100 MFP M175nw CB - Community Development HP Officejet Pro 8600 Plus ESTIMATE CB - Community Development HP Laserjet 4050n 229 CB - Copy Room Ricoh ,311 CB - Copy Room Ricoh 3235c 2,190 2,910 CB - Engineering HP Designjet 1050c Plotter CB - Engineering HP Laserjet x 17, Envelopes 700 CB - Engineering HP Officejet 4315 Fax Seldom Used Fax CB - Finance HP Laserjet 4100 dtn 7,401 CB - Finance Ricoh 1515 mf Fax 967 CB - Finance Income Tax HP Laserjet CB - Human Resources Ricoh MP 161 Fax 446 CB - Human Resources - Leslie HP Officejet Pro CB - Human Resources - Nicholson HP Officejet Pro CB - IT Department HP Laserjet CB - Law HP Color Laserjet CP4025 DO NOT CHANGE 2, CB - Law Ricoh MP 171 Fax 823 CB - Managers Office Brother MFC-8460N Fax 68 CB - Managers Office HP Laserjer 4050n 350 CB - Prosecutors Office Ricoh MP 161 Printer / Fax 1,648 CB - Recreation HP Officejet Pro Cemetery - Office Canon IC MF4350d Fax Copy, ESTIMATE 200 Cemetery - Office HP Deskjet 1220c Color, ESTIMATE Fire #1 Panasonic Workio 190 Copier, ESTIMATE 300 Fire #1 - Mulvin Konica-Minolta MajicColor Fire #1 - Paul Ricci HP Deskjet 6122 ESTIMATE Fire #1 - Report Room Canon MF 5770 Fax Printer, ESTIMATE 1,000 Fire #1 - Rudy Ruiz HP Deskjet 6988 ESTIMATE Fire #3 Brother HL Fire #7 HP Laserjet 5040n 83 Greenhouse HP Officejet 970cxi t Used, Ink Greenhouse HP Officejet Pro 8500 Does t Split B&W vs Color 56 Paper District Marina HP Officejet 6100 ESTIMATE Summer Only Police - Detective Bureau HP Laserjet 8150n 1,234 Police - Detective Bureau Sharp AR-M 205 Copier Police - Drug Unit HP Color Laserjet 3600n Does t Split B&W vs Color 203 Police - Evidence HP Laserjet 4 plus ESTIMATE 1,000 Police - IT HP Laserjet P3005n 161 Police - Office In Charge HP Laserjet 8150n 2,695 Police - Patrol HP Laserjet 8150n 4,258 Police - Records HP Laserjet 4050n 1,952 Police - Records Ricoh 2020 D Fax Copier Printer 2,505 Sandusky Transit Konica-Minolta MagiColor 1650EN Service Center - Art Straub HP Deskjet 1000 Color, ESTIMATE Service Center - Construction Maint HP Deskjet 6122 Does t Split B&W vs Color 51 Service Center - Fleet Ricoh C2050 Under Lease Until 4/ Service Center - Horticulture HP Deskjet 6940 Does t Split B&W vs Color 41 Page 7 of 21

8 Service Center - Traffic HP Laserjet 4050n BAD NETWORK CARD 116 Service Center - Traffic Ricoh 1515 mf 191 Sewer Maintenance - Office HP Color Laserjet CP Sewer Maintenance - Office HP Officejet Pro 8600 Plus Sewer Plant - Control Room HP Laserjet 1018 ESTIMATE 250 Sewer Plant - Control Room HP Laserjet 5100TN SCADA Sewer Plant - Control Room Ricoh 2020D Copier 251 Sewer Plant - Dawn Meyers Epson WF-2540 ESTIMATE Sewer Plant - Jeff Meinert Brother MFC-J67100DW 11 x 17 - Color, ESTIMATE Sewer Plant - Lab Lexmark Prevalent Pro75 ESTIMATE Sewer Plant - Office Ricoh MP 2000 Fax Copier Printer 456 Shelby Street Ramp HP Laserjet P1102w ESTIMATE Summer Only 200 4) Background Check Successful Proposer shall be required to submit for security approval a current BCI and FBI Criminal Background check for each employee or contractor that will require access to the Managed Print Services. 5) Proof of Insurability Comprehensive public liability insurance against any liability for injury or death to persons and/or damage to property occurring in, on or about the premises in the amount of $1,000,000 (combined single limit bodily injury and property damage). Policy shall list the City of Sandusky as an insured. Successful respondent shall hold the City of Sandusky harmless against damage done to the equipment, premises, or any municipal facilities due to the operation of the facility or acts of the operator s agents or employees. SECTION VI. PROPOSAL SUBMITTAL AND FORMAT The Request for Proposals (RFP) will be available for pick up at the City of Sandusky, City Manager s Office, 222 Meigs Street, Sandusky, Ohio on Wednesday, March 19, 2014 and shall also be available for download on the City of Sandusky s website at Sealed Proposals will be received by the City of Sandusky in the IT Department and shall be addressed to the Donald Rumbutis, IT Department, 222 Meigs Street Sandusky, Ohio 44870, until Monday, April 7, 2014 at 2:00 p.m. after which all proposals shall be opened. This opening is for informational purposes only. Proposals submitted will be evaluated as indicated in Section VIII. proposal shall be considered if it arrives after the time set for opening as determined by the employee of the City designated to open the proposals. The City of Sandusky reserves the right to reject any or all proposals, to waive informalities, to accept any proposal which it deems most favorable to the City of Sandusky and to withdraw this solicitation at any time. Proposer bears total responsibility for ensuring their proposal is complete and arrives on time. Proposals received by fax or will not be considered. Page 8 of 21

9 Proposer shall comply with each and every requirement of this Request for Proposals to be considered responsive. All original signatures shall be in BLUE OR BLACK ink. If space provided is insufficient for response, attach additional sheets to the forms, clearly referencing such sheets back to specific points addressed in the forms. This Request for Proposals by the City does not constitute an offer by the City and, likewise, proposals made by interested Proposers to the City are not acceptances. After negotiation of a mutually satisfactory final form of contract between the City and a Proposer, approval of such contract by the City Commission of the City of Sandusky and full execution thereof, the parties will then be legally bound in accordance with the terms and provisions of the contract. Selection of one or more Proposers for the purpose of entering into preliminary negotiations does not obligate the City to enter into a contract. Any costs incurred by interested Proposers in preparing responses to the City's Request for Proposals and in carrying out negotiations with the City are the sole responsibility of the Proposer and not the City. The City reserves the right to request such additional and supplemental information from interested Proposers as the City believes is necessary and appropriate to accomplish the City's objectives. In order to be considered responsive, Proposer shall complete and submit with their proposal the Proposer Questionnaire, Waiver and Release Form, Disclosure of Personal Property Taxes, Unresolved Finding of Recovery Issued by the Auditor of the State of Ohio and the n-collusion Affidavit, attached on pages of this Request for Proposals. The City of Sandusky reserves the right to reject, in whole or in part, any and all proposals where the City in its sole discretion, taking into consideration the results of the evaluation process, has determined that award of a contract would not be in the best interest of the City. SECTION VII. INTERPRETATION If any Proposer finds any perceived ambiguity, conflict, error, omission or discrepancy between any of the documents contained in this Request for Proposals, the Proposer shall submit a written request no later than ten (10) days prior to April 7, Requests should be directed to: Donald Rumbutis IT Department 222 Meigs Street Sandusky, OH Phone: (419) drumbutis@ci.sandusky.oh.us If Donald Rumbutis determines an interpretation or clarification is warranted, Donald Rumbutis shall issue an addendum and provide a copy to each Proposer of record. Any interpretation or clarification of the documents contained in this Request for Proposals made by any person other than Donald Rumbutis, or in any manner other than Page 9 of 21

10 a written addendum, shall not be binding and the Proposer shall not rely upon any such interpretation or clarification. If any addendum is issued within 96 hours prior to the published time for the opening of the Request for Proposals, excluding Saturdays, Sundays and legal Holidays, the opening of the Request for Proposals shall automatically be extended one (1) week, with no further advertising required. SECTION VIII. PROPOSAL EVALUATION CRITERIA A Selection Committee intends to review the proposals received by the City. The City reserves the right to make such follow-up requests for additional and supplemental information as the City determines necessary and intends to select one or more Proposers for the purposes of preliminary negotiations. The City intends that such preliminary negotiations will be focused on the ability of the City and any such Proposer to negotiate a mutually satisfactory form of contract for the installation of a Managed Print Services for the City of Sandusky. If a proposed final form of a contract is negotiated it would then be submitted to the Sandusky City Commission for its approval. Based upon the City's review of the information contained in the proposals and such additional and supplemental information as the City may request, the City intends to select one or more Proposers for the purpose of entering into preliminary negotiations. Based upon such preliminary negotiations, the City intends to select a Proposer to negotiate a mutually satisfactory form of contract. Such Proposer selections will be based on the City's sole determination which will include consideration of the following Evaluation Criteria: Page 10 of 21

11 EVALUATION CRITERIA EVALUATION FACTORS MAX POINTS SCORE Understanding (Proposer has demonstrated a thorough understanding of the scope of the project and their role and responsibilities in performing the services required. 20 Experience (Experience of the Proposer with installing and implementing Backup and Disater Recovery systems and previous performance record.) 20 System Design (Ability to meet the City s objectives.) 20 Service Plan (Proposer has created a comprehensive plan that includes system design, employee training, warranties, maintenance, and technical support.) 20 Quality of Equipment (Use of familiar brand names, terms of warranty and service.) 20 User Friendly (Ease of use to recover data, and implimentation of disaster recovery proceedure, and training, etc.) 20 Proposer s Financial Capacity 20 Cost (Proposed cost appears complete, realistic, and economically viable.) 20 Presentation and Proposal (Proposal is organized and responsive to all areas contained in the RFP; Proposer exhibited confidence and knowledge regarding the proposed Managed Print Services.) 10 TOTAL Page 11 of 21

12 SECTION IX. KEY ELEMENTS OF A PROPOSER'S PROPOSAL CONCERNING QUALIFICATIONS AND EXPERIENCE TO BE FURNISHED TO THE CITY (A) An interested Proposer should supply such necessary site plan, floor plan, renderings, other illustrative materials, the necessary materials and such narrative as is useful to describe the proposed installation and implementation of the Managed Print Services. Proposers is are encouraged to use their imagination, creativity, and business and marketing judgment to make specific recommendations to the City for the successful design and implementation in addition to providing specific steps to be taken to accomplish the installation and implementation. Proposer shall provide an itemized breakdown of all costs. (B) The City requests that interested Proposers provide information to the City concerning the Proposer, its qualifications and experience, references (including names and telephone numbers), and experience in comparable projects. Information is also requested concerning the Proposer's management team and proposed manager of that team and the principals of the Proposer including background and biographical. (C) The City requests information from each interested Proposer concerning the Proposer's financial capacity including the most recent financial statements for the Proposer. (D) The City will seek to maintain confidentiality among each interested Proposer with respect to the information received from each interested Proposer. As in the case with other Ohio cities, the City is subject to Ohio's Public Records Law. Accordingly each interested Proposer should operate under the assumption that written information provided to the City will be a public record available for inspection upon request by members of the general public. Page 12 of 21

13 CITY OF SANDUSKY, OHIO PROPOSER'S QUESTIONNAIRE In additional to responding to the requests for information set out in Section IX. of the Request for Proposals, each interested Proposer shall also provide the following specific information with respect to the Proposer, its qualifications and financial responsibility. 1. (A) Name of Proposer: (B) Address of Proposer: (C) Name, address and telephone number of contact person: 2. Describe the Proposer's form of business organization (corporation, partnership, etc.): 3. If the Proposer is a subsidiary of or affiliated with any other corporation or business entity, please list each such other business entity by firm name and address, and specify its relationship to the Proposer: 4. Has the Proposer or (if any) its parent or affiliated company been adjudged bankrupt, either voluntary or involuntary, or filed bankruptcy proceedings, within the past ten (10) years? If the answer is yes, please provide and attach history and explanatory information. Page 13 of 21

14 5. Has any officer, director or principal of the Proposer or of its parent or affiliated company been indicted for or convicted of any felony? If the answer is yes, please provide and attach explanatory information, including the charge, place, court, date, and action taken and attach any explanation appropriate. 6. State whether the Proposer or its parent or affiliated company has within the last ten (10) years engaged in litigation concerning a business or management contract. If yes, please provide and attach explanatory information. 7. Does any member of the City Commission of the City of Sandusky, or any other officer or employee of the City of Sandusky, have any direct or indirect personal interest in the Proposer, or in its parent or affiliated company? If yes, please provide and attach explanatory information. 8. Is any former officer or employee of the City of Sandusky employed by the Proposer or by its parent or affiliated company? If yes, please provide information concerning such former officer or employee, date of employment and responsibility within the company. 9. Does the Proposer or its parent or affiliated company owe: (a) Any delinquent taxes to the State of Ohio, a State agency, or any political division of the State? (b) Any moneys to the State or any State agency for the administration or enforcement of the environmental laws of the State? (c) Any other moneys to the State, a State agency or any political subdivision of the State those are delinquent? Page 14 of 21

15 (d) Any delinquent taxes for which the Proposer or its property, or its parent or affiliated company or its property, are the subject of any existing tax lien? As to any of the above which are answered yes, please provide and attach details and explanatory information to this questionnaire. 10. Has the Proposer or its parent or affiliated company, or any officer, director or principal thereof: (a) Been indicted for or convicted of or enjoined from any violation of State or Federal securities law? (b) Been a party to any consent order or entry with respect to an alleged State or Federal securities law violation? As to any of the above which are answered yes, please provide and attach explanatory information to the questionnaire. CERTIFICATION The undersigned hereby certifies that the Proposer's Questionnaire and any attached explanatory information is true and correct to the best of my (our) knowledge and belief. Proposer: By: Title: Address: City, State: Telephone.: Fax.: Page 15 of 21

16 WAIVER AND RELEASE FORM In consideration of the review by the City of Sandusky, Ohio, of a contract proposal and bid submitted by the undersigned, and as a condition precedent thereto, the undersigned does hereby authorize and direct the release to administrative officers of the City any and all information related to the current obligations of the undersigned to the City, including, but not by way of limitation, obligations under the City's income tax, hereby waiving any privilege, statutory or otherwise, as to the same, and releasing the City of Sandusky, Ohio, its officers, agents, and employees from any liability in relation thereto. Signature Sworn to and subscribed before me a tary Public by this day of, My commission expires: tary Public SEAL: Page 16 of 21

17 DISCLOSURE OF PERSONAL PROPERTY TAXES Ohio Revised Code requires a taxing district's fiscal officer to obtain a statement from each successful bidder on any contract let by competitive bidding that the contractor has not been charged, as of the time the bid was submitted, with any delinquent personal property taxes on the general tax list of personal property of any county in which the taxing district has territory or that such person was charged with delinquent personal property taxes on any such tax list, in which case the statement shall also set forth the amount of such due and unpaid delinquent taxes. After the award by a taxing district of any contract let by competitive bid and prior to the time the contract is entered into, the person making a bid shall submit to the district's fiscal officer a statement affirmed under oath that the person with whom the contract is to be made was not charged at the time the bid was submitted with any delinquent personal property taxes on the general tax list of personal property of any county in which the taxing district has territory or that such person was charged with delinquent personal property taxes on any such tax list, in which case the statement shall also set forth the amount of such due and unpaid delinquent taxes and any due and unpaid penalties and interest thereon. If the statement indicates that the taxpayer was charged with any such taxes, a copy of the statement shall be transmitted by the fiscal officer to the county treasurer within thirty days of the date it is submitted. A copy of the statement shall also be incorporated into the contract, and no payment shall be made with respect to any contract to which this section applies unless such statement has been so incorporated as a part thereof. Page 17 of 21

18 DISCLOSURE OF PERSONAL PROPERTY TAXES STATE OF OHIO ) ) SS: COUNTY OF ) The undersigned being first duly cautioned and sworn says that he is the Name of Company Name (if applicable) who made a bid for an improvement project or for the purchase of services and supplies for the City of Sandusky, Ohio, involving the competitive bid process; That Affiant says that he is familiar with Section of the Ohio Revised Code and that he submits to the City of Sandusky Finance Director as the Taxing District Fiscal Officer this statement affirmed under oath that as the person with whom the bid was submitted that the contractor has not been charged, as of the time the bid was submitted, with any delinquent personal property taxes on the general tax list of personal property of any county in which the taxing district shown as the City of Sandusky has territory or that such person was charged with delinquent personal property taxes on any such tax list; (Strike out if not applicable) This statement sets forth in full, the amount of such due and unpaid delinquent taxes and any due and unpaid delinquent taxes and any due and unpaid penalties and interest thereon as specified by Section by Exhibit "A" which is attached hereto and made a part hereof this Affidavit as if fully rewritten and is incorporated by reference; The Affiant says that if this statement indicates that the taxpayer was charged with any such taxes, a copy of the statement shall, with the permission of the taxpayer, which is hereby given, be transmitted by the Finance Director of the City of Sandusky to the County Treasurer within thirty (30) days of the date this statement is submitted. Affiant further says that a copy of the statement shall also be incorporated into the contract with the City of Sandusky and agrees that no payment shall be made with respect to any contract to which Section Revised Code applies unless such statement has been so incorporated as a part thereof. Affiant Signature Sworn to and subscribed before me a tary Public by this day of My commission expires: tary Public SEAL: Page 18 of 21

19 EXHIBIT A At the time I submitted my bid I was charged with delinquent personal property taxes, penalties and interest as follows: $ Delinquent Taxes $ Penalties $ Interest Name Company Signature Page 19 of 21

20 OHIO REVISED CODE SECTION 9.24 NO UNRESOLVED FINDING OF RECOVERY ISSUED BY THE AUDITOR OF THE STATE OF OHIO The UNDERSIGNED PROPOSER/CONTRACTOR certifies, to the best of his or her knowledge and belief, pursuant to Ohio Revised Code Section 9.24, there is no unresolved finding of recovery issued by the auditor of the State of Ohio pending against it. Date: Signature: Company Name (if applicable): Title: Page 20 of 21

21 NON-COLLUSION AFFIDAVIT STATE OF OHIO ) ) SS: COUNTY OF ). being first duly sworn, deposes and says that he is (Sole owner, a partner, president, secretary, etc.) of, the party making the foregoing proposal; that such proposal is genuine and not collusive or sham; that said proposer is not financially interested in, or otherwise affiliated in a business way with any other proposer on the same contract; that said proposer has not colluded, conspired, connived, or agreed, directly or indirectly, with any proposer or person, to put in a sham proposal, or that such other person shall refrain from submitting a proposal, and has not in any manner, directly or indirectly sought by agreement or collusion, or communication on conference, with any person, to fix the proposal price of affiant or any other proposer, or to fix and overhead, profit or cost elements of said proposal price, or that of any other proposer, or to secure an advantage against the City, or any person or persons interested in the proposed contract and that all statements contained in said proposal are true; and further, that such proposer has not, directly or indirectly submitted said proposal, or the contents thereof, or divulged information or data relative thereto to any association or to any member or agent thereof., Affiant Sworn to and subscribed before me a tary Public by this day of, My commission expires: tary Public Signature SEAL: Page 21 of 21