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HomeMy WebLinkAbout07.BU- Public Works RESOLUTION (ID# 1862) DOC ID: 1862 B CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION Agreement/Contract From: Jim Smith M/CC Meeting Date: 06/18/2012 Prepared by: Chris Lopez, (909)384-5140 Dept: Public Works Ward(s): All Subject: Resolution of the Mayor and Common Council of the City of San Bernardino Authorizing the Execution of an Agreement and Issuance of an Annual Purchase Order with Two Single-Year Renewal Options to Poma Distributing Company, Inc. of Bloomington, CA for Automotive, Heavy Truck and Heavy Equipment Lubricants to be Utilized by the Public Works Department Fleet Division. Financial Impact: Requested budget for FY 12/13: $2,400,000 Account No. 635-400-0100-5113 Account Description: Motor Fuel and Lubricants Please note this balance does not indicate available funding. It does not include non-encumbered reccurring expenses or expenses incurred,but not yet processed. Motion: Adopt Resolution. Synopsis of Previous Council Action: None. Back round: On March 12, 2012, notices for Bid #RFQ F-12-13 (Lubricants) were sent to ten (10) vendors; the San Bernardino Area Chamber of Commerce, advertised on the City's Web Page and in the San Bernardino County Sun Newspaper. Four bids were received as follows; all bid items were added for a combined total dollar amount per units. Vendor Location Quote Poma Distributing Company,Inc. Bloomington $77.82 v Updated:6/13/2012 by Richard D.Luczak B i 1862 Alexis Oil Corona $89.37 Maxum Petroleum Long Beach $91.11 Goodspeed Distributing,Inc. Hesperia $92.91 Attached for your review is the bid summary for #RFQ F-12-13 (Lubricants). If this item is not approved, Fleet staff will be unable to provide required maintenance to the City's fleet and runs the risk of parking vehicles. City Attorney Review: Suanortina Documents: reso 1862 (PDF) RESOLUTION TEMPLATE 1 (DOC) agrmt 1862 (PDF) Specs (PDF) Bid Summary Sheet 2(XLS) CVendor List RFP F12-10 (PDF) Attachment 1 (PDF) C Updated:6/13/2012 by Richard D.Luczak B I RESOLUTION NO. 2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT 3 AND ISSUANCE OF AN ANNUAL PURCHASE ORDER WITH TWO SINGLE YEAR 4 RENEWAL OPTIONS TO POMA DISTRIBUTING COMPANY INC. OF BLOOMINGTON, CA.FOR AUTOMOTIVE,HEAVY TRUCK AND HEAVY 5 EQUIPMENT LUBRICANTS TO BE UTILIZED BY THE PUBLIC WORKS DEPARTMENT FLEET DIVISION. 6 7 WHEREAS,the City of San Bernardino has need for lubricants for automotive,heavy o a 8 truck and heavy equipment and Poma Distributing was the lowest responsive bidder to RFQ a 9 F-12-13. e 0 10 W BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE 11 CITY OF SAN BERNARDINO AS FOLLOWS: a Z 12 SECTION 1. That the City Manager of the City of San Bernardino is hereby E 13 authorized to execute on behalf of said City an Agreement between the City of San a (�` 14 Bernardino and Poma Distributing Company Inc., a copy of which is attached hereto, marked "'r 15 Exhibit"A"and incorporated herein by reference as fully as though set forth at length. e 16 .2 17 SECTION 2. That Poma Distributing Company Inc. provides lubricants for a 18 automotive, heavy truck and heavy equipment and was the lowest responsive bidder to RFQ 19 F-12-13. Pursuant to this determination, the Purchasing Manager is hereby authorized to m 20 issue an Annual Purchase Order, to Poma Distributing Company Inc., in an amount not to 21 E L exceed $110,000 beginning in Fiscal Year 2012/2013. m 22 a 23 SECTION 3. The Purchase Order shall reference this Resolution Number and shall 24 read, "Poma Distributing Company Inc., for lubricants, P.O. not to exceed $110,000", and 25 shall incorporate the terms and conditions of the Agreement. 26 /1/ 27 28 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY 1 OF SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT 2 AND ISSUANCE OF AN ANNUAL PURCHASE ORDER WITH TWO SINGLE YEAR RENEWAL OPTIONS TO POMA DISTRIBUTING COMPANY INC. OF 3 BLOOMINGTON,CA.FOR AUTOMOTIVE,HEAVY TRUCK AND HEAVY 4 EQUIPMENT LUBRICANTS TO BE UTILIZED BY THE PUBLIC WORKS DEPARTMENT FLEET DIVISION. 5 6 SECTION 4. The authorization to execute the above-referenced Agreement is o' 7 rescinded if it is not executed within sixty(60)days of the passage of this resolution. ; 8 E 9 ° 10 11 N 12 E 13 °a N ® 14 U/ 15 16 .g y 17 N 18 O 19 20 E 21 22 a 23 /// 24 /// 25 W 26 /u © 27 28 Packet Pg. 1495 I RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT 2 AND ISSUANCE OF AN ANNUAL PURCHASE ORDER WITH TWO SINGLE YEAR RENEWAL OPTIONS TO POMA DISTRIBUTING COMPANY INC. OF 3 BLOOMINGTON,CA. FOR AUTOMOTIVE, HEAVY TRUCK AND HEAVY 4 EQUIPMENT LUBRICANTS TO BE UTILIZED BY THE PUBLIC WORKS DEPARTMENT FLEET DIVISION. 5 6 1 HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and 7 Common Council of the City of San Bernardino at a meeting thereof, held on a 8 the day of 2012,by the following vote,to wit: a 9 Council Members: AYES NAYS ABSTAIN ABSENT E 0 U 10 MARQUEZ c 11 JENKINS a 12 o 13 VALDIVIA E0 IL 14 SHORETT — — 15 KELLEY W 16 JOHNSON `o - N 17 MCCAMMACK rc 18 19 Georgeann Hanna, City Clerk i 20 The foregoing resolution is hereby approved this day of 21 2012. i w 22 a 23 Patrick J. Morris,Mayor 24 Approved as to Form: City of San Bernardino 25 26 J 27 28 Packet Pg. 1496 7.Bll.b 1 VENDOR SERVICE AGREEMENT 2 This Vendor Service Agreement is entered into this 18th day of June 3 2012,by and between Poma Distributing Company Inc. ("VENDOR')and the City of San 4 Bernardino("CITY"or"San Bernardino'). 5 WITNESSETH: 6 7 WHEREAS,the Mayor and Common Council has determined that it is advantageous j a 8 and in the best interest of the CITY to contract for automotive,heavy truck and heavy T, a 9 equipment lubricants; and o 10 WHEREAS, the City of San Bernardino did solicit and accept quotes from available 5 11 vendors for automotive, heavy truck and heavy equipment lubricants. " 12 ° 13 NOW,THEREFORE, the parties hereto agree as follows: E 0 14 1. SCOPE OF SERVICES. 15 For the remuneration stipulated, San Bernardino hereby engages the services of 16 VENDOR to provide those products and services as set forth in this purchase agreement and .y 17 the Specification Response Form which is attached hereto as Exhibit 1 and incorporated by 18 this reference. 19 E 20 2. COMPENSATION AND EXPENSES. c m 21 a. For the services delineated above, the CITY, upon presentation of an invoice, shall E r u 22 pay the VENDOR up to the amount of$110,000.00 for automotive, heavy truck a and heavy equipment lubricants. 24 25 b. No other expenditures made by VENDOR shall be reimbursed by CITY, 26 3. TERM. 27 28 Exhibit"A" 1 PacketPg. 1497 L1 This Agreement will be effective on July 1, 2012 through June 30, 2013 with two (2) 2 one-year extensions at the City's option. Option year one, if exercised, shall be effective July 3 1, 2013 through June 30, 2014. Option year two, if exercised, shall be effective July 1, 2014 4 through June 30, 2015. Actual option year pricing shall be negotiated with VENDOR prior to 5 exercising any given option year. 6 7 This Agreement may be terminated at any time by thirty (30) days' written notice by p^ IL 8 either party. The terms of this Agreement shall remain in force unless mutually amended. m c n E 9 The duration of this Agreement may be extended with the written consent of both parties. 0 10 4. INDEMNITY. ` S 11 ° CITY agrees to indemnify and hold harmless VENDOR, its officers, agents and H 12 volunteers from any and all claims, actions, or losses, damages and/or liability resulting from c 13 14 CITY's negligent acts or omissions arising from the CITY's performance of its obligations N, 15 under the Agreement. c 16 VENDOR agrees to indemnify and hold hamiless the CITY, its officers, agents, and q d 17 volunteers from any and all claim, actions, or losses, damages and/or liability resulting from m 18 �, VENDOR's negligent acts or omissions arising from the VENDOR's performance of its 19 E 20 obligations under the Agreement. m m 21 In the event the CITY and/or the VENDOR is found to be comparatively at fault for E r v 22 any claim, action, loss, or damage which results from their respective obligations under the 23 Agreement, the CITY and/or VENDOR shall indemnify the other to the extent of this 24 comparative fault. 25 26 5. INSURANCE. 27 28 Exhibit"A" 2 PacketPg. 1498 i j 1 While not restricting or limiting the foregoing, during the term of this Agreement, i 2 VENDOR shall maintain in effect policies of comprehensive public, general and automobile 3 liability insurance, in the amount of $1,000,000.00 combined single limit, and statutory 4 worker's compensation coverage, and shall file copies of said policies with the CITY's Risk 5 6 Manager prior to undertaking any work under this Agreement. CITY shall be set forth as an 7 additional named insured in each policy of insurance provided hereunder. The Certificate of p a 8 Insurance furnished to the CITY shall require the insurer to notify CITY of any change or o 9 termination in the policy. r° 10 6. NON-DISCRIMINATION. c 11 In the performance of this A w p Agreement and in the hiring and recruitment of employees, 'c 12 VENDOR shall not engage in, nor permit its officers, employees or agents to engage in, o 13 a 14 discrimination in employment of persons because of their race, religion, color, national origin, 0 © 15 ancestry, age, mental or physical disability, medical conditions, marital status, sexual gender c 16 s or sexual orientation, or any other status protected by law, except as permitted pursuant to 2 17 Section 12940 of the California Government Code. 18 7. INDEPENDENT CONTRACTOR 19 i VENDOR shall perform work tasks provided by this Agreement, but for all intents and 20 21 purposes VENDOR shall be an independent contractor and not an agent or employee of the Ec 22 CITY. VENDOR shall secure, at its expense, and be responsible for any and all payment of a 23 Income Tax, Social Security, State Disability Insurance Compensation, Unemployment 24 25 Compensation, and other payroll deductions for VENDOR and its officers, agents, and 26 employees, and all business license, if any are required, in connection with the services to be 27 performed hereunder. 28 Exhibit"A" 3 Packet Pg. 1499 i 1 1 8. BUSINESS REGISTRATION CERTIFICATE AND OTHER 2 REQUIREMENTS. 3 VENDOR warrants that it possesses or shall obtain, and maintain a business 4 registration certificate pursuant to Chapter 5 of the Municipal Code, and any other licenses, 5 6 permits, qualifications, insurance and approval of whatever nature that are legally required of VENDOR to practice its business or profession. o CL c 8 „ a 9 9. NOTICES. o U 10 of Any notices to be given pursuant to this Agreement shall be deposited with the United 11 States Postal Service,postage prepaid and addressed as follows: a YJ 12 C ! E TO THE CITY: Public Works Director G 13 300 North"D"Street a 14 San Bernardino, CA 92418 N, Q Telephone: (909) 384-5140 15 _ TO THE VENDOR: Poma Distributing Company Inc. o 16 511 W. Slover Ave .2 17 Bloomington, CA 92316 Telephone: (909) 645-9052 N 18 Contact: Celia Lopez 10. ATTORNEYS' FEES 19 € In the event that litigation is brought 2Q g Bh by any party in connection with this Agreement, m c 21 the prevailing party shall be entitled to recover from the opposing party all costs and t v 22 expenses, including reasonable attorneys' fees, incurred by the prevailing party in the exercise 23 of any of its rights or remedies hereunder or the enforcement of any of the terms, conditions 24 25 or provisions hereof, The costs, salary and expenses of the City Attorney and members of his 26 office in enforcing this Agreement on behalf of the CITY shall be considered as "attorneys' 27 fees" for the purposes of this paragraph. \.r 28 Exhibit"A" 4 1 11. ASSIGNMENT. 2 VENDOR shall not voluntarily or by operation of law assign, transfer, sublet or 3 encumber all or any part of the VENDOR's interest in this Agreement without CITY'S prior 4 written consent. Any attempted assignment, transfer,subletting or encumbrance shall be void 5 6 and shall constitute a breach of this Agreement and cause for the termination of this Agreement. Regardless of CITY's consent, no subletting or assignment shall release p' a 8 VENDOR of VENDOR's obligation to perform all other obligations to be performed by o E 9 VENDOR hereunder for the term of this Agreement. C U 10 12. VENUE. ` 11 The parries hereto agree that all actions or proceedings arising in connection with this 12 ° Agreement shall be tried and litigated either in the State courts located in the County of San E 13 14 Bernardino, State of California or the U.S. District Court for the Central District of California, m 15 Riverside Division. The aforementioned choice of venue is intended by the parties to be the P C 16 mandatory and not permissive in nature. 2 17 13. GOVERNING LAW. m 18 m This Agreement shall be governed by the laws of the State of California. 19 E 20 14. SUCCESSORS AND ASSIGNS. m c 21 This Agreement shall be binding on and inure to the benefit of the parties to this E u 22 Agreement and their respective heirs,representatives, successors, and assigns. a 23 15. HEADINGS. 24 25 The subject headings of the sections of this Agreement are included for the purposes 26 of convenience only and shall not affect the construction or the interpretation of any of its 27 provisions. 28 �. Exhibit"A" 5 Packet Pg. 1501 ME C1 16. ENTIRE AGREEMENT; MODIFICATION. 2 This Agreement constitutes the entire agreement and the understanding between the 3 parties, and supersedes any prior agreements and understandings relating to the subject 4 manner of this Agreement. This Agreement may be modified or amended only by a written 5 6 instrument executed by all parties to this Agreement. 7 a 8 a 9 c U 10 11 a A 12 0 13 a0 14 15 16 `s 17 18 19 E w 20 21 E t 22 a 23 24 25 26 27 28 �.. Exhibit"A" 6 7.BU.lr 1 2 3 4 5 VENDOR SERVICE AGREEMENT 6 POMA DISTRIBUTING COMPANY INC. 7 a IN WITNESS THEREOF, the parties hereto have executed this Agreement on the day 8 and date set forth below. a 9 0 10 Dated: ,2012 VENDOR. c 11 By: a N 12 Its: ° 0 13 Dated 2012 CITY OF SAN BERNARDINO a 14 By: 15 Andrea Travis-Miller, City Manager 16 c N 17 Approved as to Form: 18 19 By: dL.l E 20 Tames an, City Attorney o c 21 E s U 22 Q 23 24 25 26 27 © 28 Exhibit"A" 7 PacketPg. 1503 j RFQ F-12-13 Lubricants City of San Bernardino II. TECHNICAL SPECIFICATIONS RFQ F-12-13 LUBRICANTS NOTICE: "SPECIAL INSTRUCTIONS TO THE BIDDER" i Services: ' Bidder shall complete right-hand column indicating brief reasoning for exceptions to requirements when not acceptable. State "Acceptable" if requirements are agreeable as set forth in left-hand column. o a T Equipment: a Bidder shall complete right-hand column indicating specific size and or o make and model of all components when not exactly as specified. State u "As Specified" if item is exactly as set forth in the left-hand column. E FAILURE TO COMPLETE RIGHT HAND COLUMN WILL INVALIDATE BID s R E O _ a REQURIEMENTS ACCEPTABLE/ AS SPECIFIED O GENERAL N The contractor shall provide Chevron premium engine oil, transmission oil, hydraulic oil as well as other grease and lubricants for gasoline, diesel and E alternative fuel vehicles such as liquid natural gas (LNG). a The Contractor must be able to repair transfer �S SEC e pumps and supply metering dispensers. Upon request, the Contractor must be able to make same day deliveries in case of emergency. Delivery location.' 182 S. Sierra Way, San Bernardino CA 92408. ` Due to the City budget process all prices must be Firm and Fixed. I. BULK PRODUCTS Page 9 of 25 Pa�ket�g;;i503 , PFQ F-12-13 Lubricants 1. SAE GRADE 15W/40 Fully qualified diesel and gasoline HD crankcase lubricants: API Service Classification CD-CDII-CE CF4 1SG-SH-ED, MIL Spec MIL-L2104F. Manufacturer Spec: Cumm NTC 400, Mach EO- K 12&EO-L, Ford ESE-M2C 153-E, GM 6094-M, Chrysler MS 6395-F, CAT TO-2, Allison C4 1C3. (Firm Fixed Price/Gallon) 2. SAE GRADE 15W/40 — NATURAL GAS ENGINE OIL (GEO) Must comply with Cummins Engineering Standard (CES) 20074 and Detroit Diesel Standard 7SE272- 9510. Maximum allowable sulfated ash content .6%. (Firm Fixed Price/Gallon) E 3. SAE GRADE 10W/30 SYNTHETIC BLEND t� aa U Fully qualified Passenger Car Motor Oil: API Service Classification SH-SG, EC-11, 1 LSAC. _ Manufacturer Performance Requirements: Ford ESE-M2C1S3-E, GM 6094-M. (Firm Fixed o Q Price/Gallon) 0 4. SAE GRADE 5W-20 SYNTHETIC BLEND Q Must provide optimum fuel economy and durability RS Sp(2rA \ performance. Must be specifically designed to meet \ the demanding requirements of newer Ford and Honda vehicles that specify 5W-20 oil. API Service Categories SL (SAE 5W-20), SJ. Energy Conserving for API SL (SAE 5W-20). ILSAC GF-3 E (SAE 5W-20). s Ford WSS-M2C 153-H (SAE 5W-20). Japanese (JASO)Valvetrain Wear. Chrysler MS 6395-H. a (Firm Fixed Price/Gallon) 5. DEXRON III — MERCON FLUID High performance multipurpose power pis SPec�\mod transmission fluid as approved under Dexron III and Mercon specifications. Manufacturer specification requirements: GM Dexron III, Ford Mercon, Daimlee-Benz, Allison CH Fluid, Voith DIWA transmission. (Finn Fixed Price/Gallon) 6, SYNTHETIC TRANSMISSION FLUID Page 10 of 25 -..Packet Pg'.1505 i RFQ F-12-13 Lubricants i Must meet the performance requirements of Allison TES-295 for severe duty and extended drain intervals. Must meet or 1 i exceed manufacturer's performance requirements for Allison C-4, Ford MERCON, General Motors DEXRON-III, Voith ZF (for extended drain intervals). Must meet the following qualifications: Allison C4 (C4-29993800) Ford MERCON (M000602) General Motors DEXRON-III (G-34090) Voith (G607) ZF (TE-ML 14B) (Firm Fixed Price/Gallon) o a 7. HYDRAULIC OIL AW ISO 68 a Anti-wear Hydraulic Oil AGMA Specification 2R&O- o type mineral oil meeting all major performance o s manufacturer requirements. (Firm Fixed s Price/Gallon) i n II. PACKAGE PRODUCTS N_ E 1. MULTI-PURPOSE E.PGR NLG1 2 E 400 LBS. Bbl and Y (120 lb.) drum. Multipurpose �r 0 EP lithium 12-hydroxysterate thickener, EP N additives, R&O inhibitors. Timken OK load, 401b. (Firm Fixed Price/Pound) N 2. PREMIMUM MULTI-PURPOSE E.P. GR NLG1 2 N Pail (35 lb.) Superior Multi-purpose EP lithium 12- i hydroxysterate thickener, EP and tackiness d additives, R&O inhibitors. Timken OK load 60 to 70 lbs. (Firm Fixed Price/Pound) a 3. ALL PURPOSE GL5 SAE 80W 190 or SAE 85W/140s 400 lb. Bbl and '/4 (1201b.) drum. Multipurpose Universal Gear Lubricant for use in spiral bevel and hypoid differentials, power dividers, and wet axle lubrication. MIL-L-2105D, API Service Classification GL-5. (Firm Fixed Price/Pound) 111, MANDATORY BID ITEMS The contractor shall provide pricing for all bid items on the attached materials list. All materials are ` Page 11 of 25 RFQ F-12-13 Lubricants mandatory bid. Bids containing incomplete mandatory bid item pricing may be considered non- responsive. IV. INVENTORY The contractor shall provide on-site inventory and replenish stock as needed and approved on a ('cS SQeG� t weekly basis. On-site inventory may be conducted Monday through Friday before 2:30 PM. There shall be no cost for inside inventory service. V. ANALYSIS SERVICES 0 a The contractor shall provide oil and fluid analysis services with a maximum a ten (10) day turn-around a using second-day deliver at the City's request E The Contractor shall provide a quote on providing analysis for heavy vehicles at each oil/fluid change. a Contractor shall provide list of items to be analyzed N with quote. Enter as additional costs on Price Form. o City personnel will draw down the sample, complete E the shipping paperwork and mail to Contractor. a N VI, MSDS SHEETS n The contractor shall provide MSDS sheets for all lubricants. as required. N c v E s U A Q Page 12 of 25 Packet Pg. 7507 RFQ F-12-13 Lubricants 1r.J PRICE FORM REQUEST FOR RFQ: RFQ F-12-13 DESCRIPTION OF RFQ: Lubricants BUSINESS NAME/ADDRESS: F)i11 R � 'S�C •�Cl�i flu l�C^i • �ry'_ �l tnr ,,� • CAP( q-- NAME p ^_ � AUTHORIZED REPRESENTATIVE ft � ggae A a E 0 U TELEPHONE: Rcn' tUS'CIQ�� EMAIL: –�-�`�` "�1 \b C.CF� C t)!fl i FAX: �q11Ol7fl3 — £ o a All pricing shall be firm and fixed including State Oil Recycling Tax, Motor Oil Fee, shipping and 8% California Sales Tax. N U Please provide detailed Firm Fixed Price cost information in the spaces provided below ar n any other incidental or additional costs required to complete the Technical Specificatic w requirements. E s NOTE: List prices on this sheet only. List unit prices for each or unit of measure plus U number of items in the case, box, etc. For example, if unit of measure is box, Box/100 a (units) Firm Item Lubricants Descriptions Quantityl Fixed Unit of Unit Measure Price 1 SAE Grade 15W/40 Gallon 2 SAE Grade 15W/40 Natural Gas Engine Oil (GEO) Gallon Page 16 of 25 Packet Pg. 1508 7.BU.c RFQ F-12-13 Lubricants 3 SAE Grade 10W/30 SYNTHEIC BLEND Gallon q3 4 SAE Grade 5W-20 SYNTHEIC BLEND Gallon I tP � 5 Dexon III —MERCON FLUID Gallon 6 Synthetic Transmission Fluid Gallon 53 7 Hydraulic Oil AW ISO 68 Gallon s Quantity/ Firm Item Package Products Unit of Fixed _ Measure U nit a Price c 1 Multi-Purpose E.PGR NLG1 2 Pound o (LB) 2 Premium Muli-Purpose E.P GR NLG1 2 Pound (LB) S6 a 3 All Purpose GL5 SAE 80W/90 or SAE 85W/140 Pound © LB m Other a 1 State Oil Recycling Tax 2 Motor Oil Fee D a 3 8 % Sales Tax c m s l u m ANNUAL PURCHASE ORDER Effective on or about July 1, 2012 through June 30, 2013, plus two (2) single year renewal options, for the City's full or partial requirements on an as needed basis, with no guaranteed usage. Option year one, if exercised shall be effective July 1, 2013 through June 30, 2014. Option year two, if exercised shall be effective July 1, 2014 through June 30, 2015. Page 17 of 25 7.BU.c RFQ F-12-13 Lubricants �✓ Are there any other additional or incidental costs that will be required by your firm i order to meet the requirements of the Technical Specifications? Yes / o (circle one). If you answered "Yes", please provide detail of said additional costs: Please indicate any elements of the Technical Specifications that cannot be met by your firm. Have you included in your Bid all informational items and forms as requested? es / °a No . (circle one). If you answered "No", please explain: a E 0 U m This offer shall remain firm for 120 days from RFQ close date. `- j � a Terms and conditions as set forth in this RFQ apply to this Bid. 5 v Cash discount allowable % days; unless otherwise stated, payment terms E are: Net thirty (30) days. a0 N In signing this Bid, Bidder(s)warrants that all certifications and documents requested herein are attached and properly completed and signed. d From time to time, the City may issue one or more addenda to this RFQ. Below, please w indicate all Addenda to this RFQ received by your firm, and the date said Addenda was/were received. E E U Verification of Addenda Received a Addenda No: 2 Received on: lb C� Addenda No: Received on: Addenda No: Received on: AUTHORIZED SIGNATURE: PRINT SIGNER'S NAME AND TITLE: DATE SIGNED: Page 18 of 25 Packet Pg:1510 zeu.c J RFQ F-12-13 Lubricants^n COMPANY NAME &ADDRESS: �f7{Y\� �tS�{ 'Pll YlG W. Z"o PHONEACq- �-P- I / FAX: ��O�I" ��Z7-- a '0061 EMAIL: Uo-n=c.. IF SUBMITTING A "NO BID", PLEASE STATE REASON (S) BELOW: a. a T C R a E 0 U m C a N_ N E 0 0. N b W Vl U d n N c m E r 0 m a Page 19 of 25 Packet hgr;;1591 R-FQ F-12-13 Lubricants V TO: THE COMMON COUNCIL, CITY OF SAN BERNARDINO In accordance with Title 23, United States Code, Section 112, the undersigned hereby states, under penalty of perjury: That he/she has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken action in restraint of free competitive Bid in connection with RFQ F-12-13. Business Name T+"- lq '-Ylm4q N - -SAL T Business Address_ 21 tL 441" ) - E %immi"A4m Signature of Bidder(s) (OA o Place ofResidence a N Subscribed and sworn before me this day of 20f y Notary Public in and for the County of State of California. I r v My commission expires f//��l i]w 91 r �r 1 , ?,1 E L 0 m Q EDRENA CAMPA Comm X1910995 ; NOTABY WBLIG-C Mmm11 SAN BERNARDINO COUNTY ' Comm.Exp.OCT.29,2014 V 'rez 30 0(3` Packet Pg. 7512 i T.BU.c CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT © STATE OF CALIIFOORNIA'Z, j COUNTYOF LI,)- IIG n m-ardi6b On A-Pri g before me, f�tY ev1GA Cf Vll ( 0�, r �� DATE n� INSERT NAME,TITLE OF OFFICER-E.G..,"JANE DOE,NOTA UBLIC personally appeared, ( ,.�:( (r who proved to me on the basis of satisfactory evidence to be the person(srwhose names p is/are subscribed to the within instrument and acknowledged to me that he/sheMerexecuted a. the same in his/herhhe*authorized ca aci a p ty(jes);and that by kig/her/tdefr signature(s)on m the instrument the persouK, or the entity upon behalf of which the persons) acted, executed the instrument. 0 U m C I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ^ WITNESS my hand and official seal. V EDRENA CAMPA V COMM.111910985 0 SAN BERNARDINO COUNTY � N Comm.Fiy.OCT.29,2014 SEAL) NOTARY PUBLIC SIONATURE w U Bl C. OPTIONAL INFORMATION U' THIS OPTIONAL INFORMATION SBCTION IS NUTREQUIRBO BY LAW BUT MAY BE BFNEFlCIALTO PBp50N5 RELYING ON THIS NOTARIZED DOCUMEI'1<, E E r TITLE OR TYPE OF DOCUMENT � m a DATEOFDDCUMENT NUMBER OF PAGES SIGNERS(S)OTHER THAN NAMED ABOVE SIGNER'S NAME SIGNER'S NAME RIOHTTHUMBPBWT RIGHTTMIMBPRINT To order supplies,Please comet McClom Insurance Srnices,Inc.BI(916)484 0604. 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Sixth Street Attn Celia Lopez Attn Maria Lopez San Bernardino,CA 92410 P O Box 479 2146 Cactus Av SBA.CHAMBER @VERIZON.NET Bloomington CA 92316 Bloomington CA 92316 CLOPEZ @POMACOS.COM MLOPEZ- CARSON@MAXUMPETROLEUM.COM O a Beck Oil Rosemead Oil Merit Oil c Attn John Crowley Attn Richard Schoensiegel Attn Perry Bitney o. 16640 D Street 1242 Los Nietos Rd P O Box 341 EE Victorville CA 92395 Santa Fe Springs CA 90670 Bloomington CA 92316 L) JOHNC @BECKONLINE.COM RICHARD @ROSEMEADOIL.COM PBITNEY @MERITOIL.COM m 3 N_ I E TL Inc Empire Oil Alexis Oil a° tt S i Chrs co ' alto Mike Rohrer Attn Mike Friedman Attn N l Ci Glider Circle � 3330 S Atlantic Blvd 3351 Riverside Av 219 G � :udahy CA 90201 Bloomington CA 92316 Corona CA 92880 =AX(909)279-0981 MICHAEL.FRIEDMAN @WNR.COM CHRIS @ALEXISOIL.COM c 0 Ln j d O N RE Goodspeed Bulk Lubricants LL Attn Mike Walker Attn: Kathy Adams a LL 1121 G Ave 12623 Muscatel St Hesperia CA 92345 Hesperia CA 92344-9370 MIKEW @GOODSPEEDNET.COM KATHYADAMS1 @HUGHES.NET `0 c w c E E z U N Notice Inviting Bids sent to the 4 above vendors RFQ F-12-13 Lubricants Bids Due:04/17/12 @ 3:00 p.m.