City of Phoenix. A Municipal Corporation Xxxxxxx Xxxxxx, City Manager Director or delegate: Title: Department: Attest: this day of 2023 City Clerk Approved as to form this 19th day of January 2017. This document has been approved as to form by the City Attorney and is on file with the City Clerk. It need not be submitted to the City Attorney for approval unless the form document is altered. EMERGENCY 24-HOUR SERVICE CONTACT (please complete and return with the submittal) Contact Name: Telephone Number: Alternate Contact: Telephone Number: CERTIFICATION OF RECYLCED PRODUCTS (please complete, sign, and return with the submittal) It is hereby certified that the products offered in solicitation number contain no less than ten percent (10%) post-consumer recycled material. Post-consumer waste materials are defined as only those materials that come from products generated by a consumer that have served their intended end- uses and have been separated or diverted from solid waste for the purpose of collection, recycling and disposition. Scrap generated as part of the manufacturing process and routinely used by the manufacturer to make additional products does not qualify as post-consumer recycled material. The City will be the sole judge of the suitability of any recycled products offered, and whether or not the price preference should apply. It is further certified that the following post-consumer recycled materials are used in the product and in the percentage content indicated. List Post-Consumer Recycled Material(s) Used (Example: milk jugs, newspaper, etc.): Total content percentage (please enter percent of total post-consumer recycled material used to manufacture the product.) %. Sources of Recyled Material Contact Name Address Phone Number Certified by (Bidder) Printed Name and Title Signature BUY AMERICA CERTIFICATION CERTIFICATE OF COMPLIANCE The Contractor hereby certifies that it will comply with the requirements of 49 U.S.C. Section 5323(j)(2)(C), Section 165(b)(3) of the Surface Transportation Assistance Act of 1982, as amended, and the regulations of 49 C.F.R. 661.11: Signature Date Company Name Title OR CERTIFICATE OF NON-COMPLIANCE The Contractor hereby certifies that it cannot comply with the requirements of 49 U.S.C. Section 5323(j)(2)(C) and Section 165(b)(3) of the Surface Transportation Assistance Act of 1982, as amended, but may qualify for an exception to the requirements consistent with 49 U.S.C. Sections 5323(j)(2)(B) or (j)(2)(D), Sections 165(b)(2) or (...
City of Phoenix. The Undersigned hereby offers and agrees to furnish the material and or service(s) in compliance with all terms, conditions, specifications, and addenda issued as a result of a solicitation. Arizona Sales Tax No. Use Tax No. for Out-of-State Suppliers City of Phoenix Sales Tax No. Arizona Corporation Commission File No. Taxpayer’s Federal Identification No.: If recommended for contract award, Offeror agrees to provide its federal taxpayer identification number or as applicable its social security number to the City of Phoenix for the purposes of reporting to appropriate taxing authorities, monies paid by the City of Phoenix under the awarded contract. If the Offeror provides its social security number, the City will only share this number with appropriate state and federal officials. This submission is mandatory under 26 U.S.C. § 6041A. Enter City’s Registration System ID Number Located at City’s eProcurement website (see SECTION 2 – INSTRUCTIONS - CITY’S REGISTRATION) Offeror has read, understands, and will fully and faithfully comply with this solicitation, its attachments and any referenced documents. Offeror certifies that the prices offered were independently developed without consultation with any other Offeror or potential Offerors. Authorized Signature Print Name and Title (President, Manager, Member) Date Offeror Legal Name and Company Type (LLC, Inc., Sole Proprietor) Name of Company: Address: Authorized Signature: Print Name and Title: PLACE OF BUSINESS (please complete and return with the submittal) Bidder’s place of business will be an award factor in order to minimize the City’s transportation and handling costs. If additional service locations are available or if different from the address in the Offer Section, enter below: YEARS IN BUSINESS AND REFERENCES (please complete and return with the submittal) Contractor certifies that they have provided listed in this solicitation for a period of year(s). Contractor shall furnish the names, addresses, and telephone numbers of a minimum of three firms or government organizations for which the Contractor is currently furnishing or has furnished, the goods or services. Name of Company: Name of Contact: Email Address: Phone Number: Name of Company: Name of Contact: Email Address: Phone Number: Name of Company: Name of Contact: Email Address:
City of Phoenix. XXXXXXXX, City Council Chair Date ATTEST: XXXXXXXX, City Clerk Date The foregoing IGA between the City of Phoenix and The Arizona Board of Regents, University of Arizona has been approved as to content and is hereby recommended by the undersigned. Xxxxx Xxxxx, Director (Acting) Date Street Transportation Department ATTORNEY CERTIFICATION The foregoing IGA by and between the City of Phoenix and the Arizona Board of Regents, University of Arizona has been reviewed pursuant to A.R.S. § 11-952 by the undersigned who has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona to the City of Phoenix. XXXXXXXXX, City Attorney Date ARIZONA BOARD OF REGENTS, UNIVERSITY OF ARIZONA: Name: Date Title: Contract & Research Support Program ATTORNEY CERTIFICATION The foregoing IGA by and between the City of Phoenix and the University of Arizona has been reviewed pursuant to A.R.S. § 11-952 by the undersigned who has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona to Arizona Board of Regents on behalf of the University of Arizona. Name: Date Title:
City of Phoenix. Maintenance Agreement The following table identifies the ADOT commitments stated in the pertinent Third-Party Agreement listed above. Developer is responsible for performing and complying with all obligations of ADOT under such Third-Party Agreement, except those obligations that are specifically identified below as being retained by ADOT. ADOT CAR No. IGA/JPA 15-0005211-I Third-Party Agreement Description Intergovernmental Agreement between ADOT and City of Phoenix concerning ADOT abandonment and City maintenance of designated cross streets following final acceptance of the Project Description of ADOT-Retained Obligations III.1 a. Be generally responsible for facilities within the State’s access control limits as shown in Exhibit A, (other than those areas identified in Exhibit A as being the City’s responsibility), including the construction, reconstruction, major rehabilitation and/or betterments, of the roadways, curbs, gutters, sidewalks, medians, channelization, drainage facilities (except where responsibility is defined by separate Agreement), guardrails, barriers, crash attenuation devices, walls, chain-link fencing, bridge structures (including pedestrian bridges, overpasses and wildlife crossings), drainage, tunnels, and other roadway-related facilities (excluding special traffic signals, wrought iron fencing, certain drainage facilities and special materials requested by the City). Delegated to Developer to the extent set forth in the Contract Documents. III.1 b. Be responsible for major resurfacing, rehabilitation, and roadway reconstruction treatments including the construction and replacement of all Portland Cement Concrete Pavement (PCCP) roadway surfaces and all asphalt concrete roadway surfaces requiring such activities found within the City’s areas of responsibility located within State rights-of-way, in excess of 100 square feet in size for paving and in excess of 50 linear feet in length per repair for curb, gutter and sidewalk. None retained; all delegated to Developer. III.1 c. Be responsible for maintenance of all storm drain siphons within State highway rights-of-way, of which the State is the primary user. None retained; all delegated to Developer.
City of Phoenix. Maintenance Agreement The following table identifies the ADOT commitments stated in the pertinent Third-Party Agreement listed above. Developer is responsible for performing and complying with all obligations of ADOT under such Third-Party Agreement, except those obligations that are specifically identified below as being retained by ADOT. ADOT CAR No. IGA/JPA 15-0005211-I Third-Party Agreement Description Intergovernmental Agreement between ADOT and City of Phoenix concerning ADOT abandonment and City maintenance of designated cross streets following final acceptance of the Project Description of ADOT-Retained Obligations III.1 d. Participate with the City in ongoing monthly landscape meetings to review water usage and integrate the Developer into these meetings to make informed decisions and recommendations. ADOT retains this obligation, except to the extent of Developer obligations set forth in the Contract Documents.
City of Phoenix. Maintenance Agreement The following table identifies the ADOT commitments stated in the pertinent Third-Party Agreement listed above. Developer is responsible for performing and complying with all obligations of ADOT under such Third-Party Agreement, except those obligations that are specifically identified below as being retained by ADOT. ADOT CAR No. IGA/JPA 15-0005211-I Third-Party Agreement Description Intergovernmental Agreement between ADOT and City of Phoenix concerning ADOT abandonment and City maintenance of designated cross streets following final acceptance of the Project Description of ADOT-Retained Obligations III.1
City of Phoenix. Maintenance Agreement The following table identifies the ADOT commitments stated in the pertinent Third-Party Agreement listed above. Developer is responsible for performing and complying with all obligations of ADOT under such Third-Party Agreement, except those obligations that are specifically identified below as being retained by ADOT. ADOT CAR No. IGA/JPA 15-0005211-I Third-Party Agreement Description Intergovernmental Agreement between ADOT and City of Phoenix concerning ADOT abandonment and City maintenance of designated cross streets following final acceptance of the Project Description of ADOT-Retained Obligations III.1 q. Review recommendations from the City for future installations, removals, significant modifications, additions or betterments of Electrical Facilities governed by this Agreement and shown in Exhibit B, which will require a State approved “Non-Blanket Permit” and will be done at the City’s expense. ADOT retains this obligation, except to the extent of Developer obligations set forth in the Contract Documents. III.1 r. Comply with the 2009 Manual on Uniform Traffic Control Devices (MUTCD) (or the latest edition as published by the Federal Highway Administration (FHWA)) and the current Arizona Supplement, as per Arizona Revised Statues § 28- 641, when performing any work under this agreement. Traffic Control plans will be reviewed and/or approved by and through the Arizona Department of Transportation (ADOT), Phoenix Maintenance District Permits. None retained; all delegated to Developer.
City of Phoenix. Pedestrian Crossing The following table identifies the ADOT commitments stated in the pertinent Third-Party Agreement listed above. Developer is responsible for performing and complying with all obligations of ADOT under such Third-Party Agreement, except those obligations that are specifically identified below as being the obligations of ADOT.
City of Phoenix. Buyer Contact: Xxxx Xxxxxx Telephone: 000-000-0000 E-mail: xxxx.xxxxxx@xxxxxxx.xxx THIS IS A REVISED VERSION OF THE ORIGINAL CONTRACT This includes the original items and items affected by the change. See line item text for changes. Contract text: In accordance with the specifications and provisions under IFB15-188 Variable Frequency Drives (horsepower, ratings, model designations and configurations)(VFDs) - Requirements Contract Item Description 1 Toshiba-Low Voltage - Parts 40% Product Category: 559350000 Product Category Text: Drive Motors/Access Unit Price: ***Item Changed*** 2 Do Not Use Product Category: 559350000 Product Category Text: Drive Motors/Access Unit Price: 4 Do Not Use Product Category: 559350000 Product Category Text: Drive Motors/Access Unit Price: 6 Yaskawa Electric - Low Voltage - Parts Product Category: 559350000 Product Category Text: Drive Motors/Access Unit Price: 8 Teco Westinghouse Labor - Shop Rate(Low Product Category: 929610000 Product Category Text: Motor,Electrc,Repair Supplier Part No. IFB15-188-8 Unit Price: 100.00 Supplier Text: Teco Westinghouse Labor - Shop Rate(Low Voltage) The Contractor is now bound to sell the materials or services listed in the attached contract, including all terms, conditions, specifications, addenda, amendments, etc. and Contractor's Offer as accepted by the City. This contract shall henceforth be referred to as the number above. Contractor has been cautioned not to commence any billable work or provide any service or material under this contract until Contractor receives a purchase order. Have questions about doing business with the City of Phoenix? Visit our Procurement website at xxx.xxxxxxx.xxx/xxxxxxx/xxxxxxxxxxx For specific information regarding contract opportunities with the City of Phoenix, please visit our Open Solicitations website at xxx.xxxxxxx.xxx/xxxxxxxxxxxxx VENDOR NO. 3074885 XXXXXX ELECTRICAL, INC 0000 XXXXXXX XXX XXXXX XX 00000-0000 CITY OF PHOENIX CONTRACT - REVISED Contract Title: Variable Frequency Drives Smart No. PHX-16-D-ZGEN-84-000380-P006 Contract No. 4701002237 Page 2 / 6 Item Description 9 Toshiba Labor-OnSite StandardI(Med Volt) Product Category: 929610000 Product Category Text: Motor,Electrc,Repair Supplier Part No. IFB15-188-9 Unit Price: 200.00 10 Toshiba Labor - OnSite After( Med Volt) Product Category: 929610000 Product Category Text: Motor,Electrc,Repair Supplier Part No. IFB15-188-10 Unit Price: 300.00 11 Toshiba Labor - OnSite Emerg-(Med Volt) Product Cat...
City of Phoenix. Val Vista WTP Mesa, Arizona* Electrical Design, Construction, and SCADA Integration of effluent turbidity monitoring system (Modicon 984-785, Wonderware InTouch) Clean Energy Corporation California* Assessed SCADA needs and made recommendations on current system. Developed tools to allow rapid development and deployment of new business units. (Visual Studio, C#, SQL Server, Wonderware System Platform) *This project experience was gained while Xxxx was with a previous employer. This was not a Vertech project. XXXX XXXXXXXXXX INTEGRATION MANAGER, CYBER SECURITY SPECIALIST Education: Bachelor of Science, Computer Science Arizona State University - 2003
