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- CC-7 - Attachment 1 - 7/15/2014
' (�TQANF�(iN(i1 NE'1ypR146f'AG� OG 1977 January 28, 2014 Page 11 City of Costa Mesa Purchasing 77 Fair Drive Costa Mesa, CA 92628-1200 Dear Purchasing Department Our initial involvement in this project began in March of 201.3 when Lt Bryan Glass responded to a mailing we did to a group of police agencies in Southern California. Lt. Glass originally met with Scott Olpin and Sarah Sherter to discuss this project. After this meeting Olpin Group prepared preliminary drawings for the project and submitted them to the Police Department. We also meet with U. Glass at the Chino Hills Sheriff Department to see Tiffin lockers installed outside at a police facility. The attached proposal document is based on these initial meetings with the Police Department and the experience Olpin Group has in dealing with locker applications. Over the last 8 years, Olpin Group has designed and installed various types of lockers for a variety of private and public agencies. We have a vast experience in the design, manufacturing, and installation of lockers for various military applications as well. Olpin Group is a full service company that can start with a base storage requirement, be it files, books, weapons, artifacts, arts, and etc., and design the proper storage. Then Olpin Group will select the appropriate vendor and order the material and install the equipment. We currently offer these services from our office on Main Street in Yorba Linda. In March, 2014 we will be moiling to our new facility in Anaheim. In our proposal we will meet the requirements of the RFP, however we will be suggesting some deviations from the RFP. The deviations are based on our experience and what we think will be the best solutions for the end user. The pricing in this proposal is valid until May 1, 2014. After May 1, 2014 the price may change due to an increase in the cost of steel. Attached is a copy of Tiffin's Limited Warranty. This is a limited warranty against defects in material or workmanship for a period of 5 years. Olpin Group will cover the labor cost of the warranty for a period of two years. Thank you the opportunity to provide this proposal. If you have any questions, or if you'd like additional information, please contact our office. 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com 63}[GANf7•SNR.'fH�'NSJFtK(;I TCS Chris Johnson CFO. Current Address of Operation 4481 Main St. Yorba Linda, CA 9292881 OG 1977 January 28, 2014 Page 12 March Address of Operation 3520 E. Enterprise Dr. Anaheim CA 92807 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com araanoa�ziNa;na�N�osiKs�mCE._ Olpin Group's passion is organizing the workspace. We truly believe in partnership and collaboration, which is why we partner with clients to design, reconfigure and optimize the workspace. We carefully consider your workplace and workflow, you needs, your wants and especially, your ideas. Some of the best ideas come from the people who work every day in the space we organize. Of course, even the final system is never quite final. It's designed to be flexible so that it can change as your needs change. SCOTT OLPIN — 25 Years Industry experience. Managing Principal with overall responsibility to manage the Project Team. CHRIS JOHNSON - 30 years Industry experience. Managing Partner with responsibilities to oversee design and implementation of the Project, including managing our Manufacturer partners, Project Manager, Project Coordinator and Installation Manager. SARAH SHERTER —16 years of experience as a Project Manager, interior designer and planning and 1326 sales with a specialty in FF&E. Responsible for managing an account for the County of Riverside with furniture design and planning service for 5 years with projects up to 260,000 square feet. Overseeing furniture, shelving and interior finish manufacturer consultants, creating and managing budgets, specifications, bid packages and furniture layout designs up to $1.5 million. Also worked as a field Project Manager overseeing the scheduling, delivery and install for $1.7 million of library furniture and fixtures for the City of West Hollywood. Has worked designing, specifying and providing other services with furniture and fixtures for major fast food chains, Lexus dealerships, government and corporate buildings. Has a BA in Interior Design from the Interior Design Institute in Corona Del Mar. CA FRANK HERRERA —15 years Industry experience. Operations Manager. Responsible for ensuring that installation is completed based on Manufacturer's requirements and that all dimensions and field conditions are verified and confirmed and production drawings are complete and accurate. Also responsible for seismic anchoring and installation schedule. MARIA DELVAUX —10 years Industry experience. Project Coordinator. Tracks all shipments, schedules deliveries, and arranges jobsite clearance for crews and deliveries. Responsible for placing Purchase Orders and checking acknowledgements, coordinates job site security clearance and Certificates of Insurance. 4881 Main Street Yorba Linda CA 92886 • Phone: 714.970.2299 • Fax: 714-970-7572 Background & Project Summary Initial Contact In March, 2013 we were contacted by Lt. Glass with a requirement for new duty lockers for the Costa Mesa Police Department. There was a meeting at the Costa Mesa Police Department with Lt. Glass, Scott Olpin and Sarah Sheter to discuss the requirements of the lockers that Lt. Glass felt was needed. At this meeting we were shown the location of the current lockers. Measurements were taken at this time and a suggested layout of lockers was prepared by Olpin Group. The design of the project is to use lockers built by Tiffin Metal Products of Tiffin, Ohio. We have previously used their lockers for other public agent projects (see attached project list). Product & Installation Review We met Lt. Glass at the Chino Hills police station to review Tiffin Lockers built for the Chino Hills Police Department. These lockers were installed in an alcove outside of the building in the parking lot, similar to the outside covered area at the Costa Mesa Police Department. We also delivered a sample locker we had used in the Camp Pendleton Area 40 Fire Department. While this locker did not fit the requirement of the Costa Mesa Department, it did demonstrate the high quality of Tiffin Lockers. Proposal & Drawings In May and July, 2013 we presented a proposal to the Costa Mesa Police Department for the locker. Our proposal included layout drawings. The new RFQ has been slightly modified from the original locker layout used in our original proposal. We have not presented an additional proposal with these changes while waiting for the final RFQ. Previously Installation of Lockers We do not use Tiffin Lockers in every locker applications, Tiffin Lockers are used in applications storing heavy duty equipment, expensive equipment, or items requiring extreme security. Over the past 6 years, Olpin Group has installed a variety of locker projects. These projects have varied from the simple school type lockers to wire lockers used at many of the local military bases in California. We have also installed over 4,000 specialty weapon lockers for military bases and police facilities. 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com OHQY�N 121AlCj Tkg W9RKS3� AGS Partial list of lockers at military bases, schools and industrial offices: Special Boat Team 12 BEQ PKG 4 Jurupa Evidence Experian Qualcomm Herbalife Area 41 Emergency Waldorf School Special wire lockers for Navy Seals Wire lockers for living units — Marines Riverside Sheriff Department* Wood Lockers Standard metal lockers — locker room Standard metal lockers — locker room Tiffin lockers for Fire Department* Special Trespa lockers USC Standard metal lockers Sacramento National Guard Wire equipment lockers USC Norris Cancer Center — metal lockers VA Med Ctr Police LB Police duty lockers / hand gun lockers* Partial list of installation of weapon lockers P173 - 29 Palms 1$t Tanks - 29 Palms 3— 1 1th Marines - 29 Palms 3rd LAR - 29 Palms 1St MLG Camp Pendleton MARSOC Camp Pendleton FLOC Camp Pendleton 681.,590 25,960 280,000 3,500 14,700 5,525 81,268 73,657 16,330 178,937 7,928 41,700 $ 305,286 $ 188,012 $ 271,319 $ 454,594 $1,146,200 $ 756,493 $ 65,000 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com -------------------------------- CNiGMJIZ4hiiil Ht S'JpF2iGEil .LICE' Requirements Proposal OG 1977 January 28, 2014 Page 13 • Qty 37 — 2 tier duty lockers for a total of 74 Openings Locker exterior dimensions — 24" W x 24" D X 86" H (with 2" base) Opening interior dimensions — 24" W x 24" D x 42" H • 18 gauge or 16 gauge steel Powder coating or weather resistant coating 1 fixed mid-level shelf in each opening • Capacity to hang rain gear and/or jacket • Combination lock for each opening with master key/code access - • Electrical capacity in each opening to charge up to four separate devices • Initial locker prototype, to specifications, provided upon mass production of lockers Removal and disposal of existing lockers and installation of new units Lockers Proposal Olpin Group is proposing the use of Tiffin Lockers which are manufactured in Tiffin, Ohio. The lockers outside dimensions with meet the exterior dimensions of the RFP, however we will not meet the interior dimensions, since the exterior and interior dimensions are the same dimension. Each individual locker will be 24" W x 24" D x 84" H, with two openings on each locker. In each opening there is a self/compartment which is 16" W x 20" D x 18" H. There is also a 4 plex outlet inside each opening along with a hanging bar. Each locker will have a 2" base. Along with the lockers are 3 single depth end panels, 1 panel for the back to back units. There will be additional top filler strips. The Plug and Play Modular electrical components are included with the lockers. These Plug and Play Modular components will terminate into a single point entry for each row. The power source for this plug and play unit will be supplied by the City. Olpin Group will be responsible for providing detailed drawings to the City for the placement of the power source for each row of lockers. 18 Gauge vs 16 Gauge We are required to provide pricing for both 18 gauge lockers and 16 gauge lockers. We want the City to understand the construction of the Tiffin Locker. 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com �F[C�N11$ifdOTl�E'WORKOPACP OG 1977 January 28, 2014 Page 14 Tiffin 18 nausae locker 18 Gauge Components Door — Top — Side — Shelf/compartment 16 Gauge Components Bottom/floor — Back - Base — Side channels If you look at the construction and the layout of the lockers, the only exposed 18 gauge surfaces are the tops and the doors. At the end on each row you have an additional end panel which adds a clear finish to the ends of the lockers. The side of one locker is against the side of the next locker. The back is 16 gauge in our 18 gauge locker. The only 18 gauge exposure is the door the top. At 84" H not too many people can see the top. We feel the 18 gauge is the most cost effective choice. Table Proposal We are also proposing a Tiffin stainless steel work table. This work table has a stainless steel top with powder coated metal legs. The table is 48" W x 36" x 36" H. The table will have 2 static locking casters, and 2 swivel locking casters. Investment" ** Based on Flat Tops — see pricing for Slope Top 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com 18 Gauge 16 Gauge 36 Two Tier Lockers $49,860.00 $62,322.00 1 Two Tier Prototype $ 1,795.00 $ 2,245.00 1 Stainless Steel Table $ 1,250.00 $ 1,250.00 Installation -New Lockers $ 4,650.00 $ 4,650.00 Removal — Old Lockers $ 2,800.00 $ 2,800.00 8% Sales Tax $ 4,232.40 $ 5,265.36 Freight $ 2,960.00 2,960.00 TOTAL $67,547.40 $81,492.36 ** Based on Flat Tops — see pricing for Slope Top 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com 5. Proposers are encouraged to provide additional innovative and/or creative approaches for providing the service that will maximize efficient, cost- effective operations or increased performance capabilities. In addition, the City will consider proposals that offer alternative service delivery means and methods for the services desired. PRICING PROPOSAL FORM OUTDOOR DUTY LOCKERS Provide an all-inclusive price to do the entire project in accordance with the City's current requirements, as set forth in section 3 Scope of Work. Also provide your firm's proposed Staffing Plan on a separate sheet of paper. Proposer should use a separate form to state pricing for any added value. Pricing shall remain firm for a minimum of two (2) years. Any and all requests for pricing adjustments for follow-on contract renewal periods shall be provided no later than sixty (64) days prior to the end of the contract period. Any such proposed price adjustments shall not exceed The Bureau of Labor Statistics Consumer Price Index (CPI) data for Los Angles -Riverside -Orange County, CA, All Items, Not Seasonally Adjusted, "annualized change. comparing the original proposal month and the same month in the subsequent year. (This information may be found on the U.S. Department of Labor's website at www.bls.gov.) 19 Iokv14- 1 CAU At'. Price for complete project (excluding Sales Tax) $ �2,M.70 11�,2z�,00 Sales Tax (current rate is 8%) $ Total Price for complete project $ - 101 MI 111111111 PRICING PROPOSAL FORM OUTDOOR DUTY LOCKERS Provide an all-inclusive price to do the entire project in accordance with the City's current requirements, as set forth in section 3 Scope of Work. Also provide your firm's proposed Staffing Plan on a separate sheet of paper. Proposer should use a separate form to state pricing for any added value. Pricing shall remain firm for a minimum of two (2) years. Any and all requests for pricing adjustments for follow-on contract renewal periods shall be provided no later than sixty (64) days prior to the end of the contract period. Any such proposed price adjustments shall not exceed The Bureau of Labor Statistics Consumer Price Index (CPI) data for Los Angles -Riverside -Orange County, CA, All Items, Not Seasonally Adjusted, "annualized change. comparing the original proposal month and the same month in the subsequent year. (This information may be found on the U.S. Department of Labor's website at www.bls.gov.) 19 Iokv14- 1 CAU At'. Price for complete project (excluding Sales Tax) $ �2,M.70 11�,2z�,00 Sales Tax (current rate is 8%) $ Total Price for complete project $ ADD ANY ADDITIONAL COST PROPOSAL SHEETS HERE 4 All otherprovisions of the invitation of this proposal shall remain in their entirety. Vendors hereby acknowledge receipt and understanding of the above Amendment. Complete and submit this Amendment with yourproposal. —now1,16 I-mt4 Signature Date e P64 AA VsO t-,/ Typed Name and Title Company Name �ma Ltw-a, Ci - Address FLAT TOP 16 Gauge Steel 18 Gauge Steel Price for complete project $ $ (excluding Sales Tax)�� 3 i y, j o -T le! Z2"l�od Sales Tax (current rate is 8%) $ 4(b$ 232, � 5, a.(fs,3h Total Price for complete project $ (�I r STET. �d $ q41, qq2.36 SLOPE TOP 16 Gauge Steel 18 Gauge Steel Price for complete project Sales $$ A A gs..60 -1,11g0�,p0 (excluding Tax) Sales Tax (current rate is 8%) $ q 0 30(`fsb $ Sk 3SqA Total Price for complete project $ .fig, ss i,�n $ g 91NO I. �4 ADD ANY ADDITIONAL COST PROPOSAL SHEETS HERE All otherprovisions of the invitation of this proposal shall remain in their entirety. Vendors hereby acknowledge receipt and understanding of the above Amendment. Complete and submit this Amendment with yourproposal 40(mG Signature DateOIL Company Name ego Typed Name and Title 48e1 wtaW,54 o (4,4 (A.- Addr'ess UiipANIZiN(3 7HG K'OHK63:AC;� Installation Schedule Week 1 Receive order from City of Costa Mesa Week 2 Production drawing Delivered to City of Costa Mesa * Review installation schedule with Costa Mesa Police Dept Week 3 Production drawing signed by the City and returned to Olpin Group Weeks 4 —10 Production of lockers at Tiffin & shipping Weeks 11 —12 Critical Weeks Anticipate arrival of the lockers at Costa Mesa We will know when they leave the factory and a probably delivery date. We will provide 24 hour notice prior to delivery. *Unload equipment from the lockers 5 days prior to delivery of lockers Removal of current lockers (2 day) *Check electrical and make corrections as required Arrival of lockers Installation of lockers (4 days) Signed off of project *Responsible of Costa Mesa Staff Key Personnel Sarah Shelter — Sales Person/Project Manager — Response for the total project Maria Delaux — Project Coordinator — Coordinates all inside tasks related to the project Dallas Campbell — Chief Designer- Responsible for drawings & interfaces with factory Frank Hererra — Installation Manager— On site responsibility for the installation Installation Crew — Selection of Crew will be based on Installation calendar Donald Anderson Juan Jimenez Ray Jimenez Ray Jimenez Jr. Mike Vinci Enrique Salazar 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com Financial Information Olpin Group 17-911 1 '--�-Ccd I MIN M� Attached is our 2013 Year End financial statement. We do not have an audited financial statement. Each month we receive a financial statement prepared by: Steve Keener, CPA Business Financial Solutions 1240 N Van Buren St, Ste 102 Anaheim CA 92807 (714) 315-8511 Each year our tax returns and K1 s are prepared by: Brian Donally, CPA White Nelson & Co, LLP 2875 Michelle Dr, Ste 300 Irvine CA 92606 4881 Main Street, Yorba Linda CA 92886 — Telephone: 714-970-2299 — Fax: 714-970-7572 www.olpingroup.com 19:57 AM 01108114 Accrual Basis Olpin Group Profit & Loss January through December 2013 Page 1 11:57 AM 01/08114 Accrual Basis Olpin Group Profit & Loss January through December 2013 rage z 19:57 AM 01/08/14 Accrual Basis Olpin Group Profit & Loss January through December 2013 Page 3 15 JAN 2014 1 EQUIPMENT PLAN I OUTDOOR LOCKER AREA Quote #: OG1977 This drawing contains proprietary and confidential information. Duplication, reproduction, or use of the document or its content in any form other than as expressly permitted by the Olpin Group is strictly prohibited. NOTES OLPIN GROUP DUTY LOCKERS (74) Duty Lockers 24"x 24"x 41" - Stacked (2) high on 2" Base (84" height overall) Locking Doors (1) Shelf (1) 4-plex Outlet (1) Clothing Rod Each locker to hold (1) Rifle, (2) Duty Bags, (1) Helmet, (1) Charger for comm. devices (1) Work Table w/ Casters Colors: COSTA MESA PD 15 ]AN 2014 ELEVATIONS OUTDOOR LOCKER AREA SCALE: 1/2"=l' Quote #: OG1977 COSTA MESA PD A � 03 A`� o0 CERTIFICATE 4F LIABILITY INSURANCE ov28/2014 f' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS. CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCERANDREA STATE FARM INSURANCE AGENT: DALE MADSEN a4815 MAIN STREET YORSA LINDA, CA 92886 N M A�lC N o Ext : 714-777-7000 C Nq : 714-693-1621 A DD RlLESs, ANDREA.GAGE.QDEO@STATEFARM.COM PRODUCER A1868 INSURER(S) AFFORDING COVERAGE NAIC # INSURED OLPIN GROUP, INC. 4881 MAIN STREET YORBA LINDA, CA 92886 LICENSE# 863368 INSURER A: State Farm General Insurance Company 25151 INSURERS: State Farm Fire and Casualty Company 25143 INSURER C: State Farm Mutual Automobile Insurance Company 25178 INSURER D, INSURER E: INSURER P: COVERAGES CERTIFICATE NUMBER_ REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR LTR rypE OF INSURANCE POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MWDDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X HIRED AUTO 92 -BR -T323-8 08101/2013 0810112014 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ FYI El MEQ EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; X POLICY SENT- Loc PRODUCTS - COMP/OP AGG $ 4,000,000 BUSINESS PROP $ 16,100 C AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 363 9648 -F16 -75C 1211612013 0611612014 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ❑ ❑ BODILY INJURY {Per person} $ BODILY INJURY (Per acddenl) $ PROPERTY DAMAGE $ (Per accident) $ A X UMBRELLA LIAS EXCESS LIAS X OCCUR CLAIMS -MADE ❑ ❑ 92 -BE -U513-5 01/2612014 0112612015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ 10,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFF[CERIMEMBER EXCLUDED? FY (Mandatory in NH} ryes,descriheun er NIA ❑ 92 -MW -A243-2 03101!2013 03!0112014 X WCYTA IU, OETRH E.L. EACH ACCIDENT $ 1,000,000 E•L• DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 141, Additional Remarks Schedule, it more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED DALE MADSEN ©1988- 2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 1001486 132849.4 02-11-2010 SentineleLocker Manufacturer's Limited Warranty Tiffin Metal Products Co. (TMP Co.) thanks you for your purchase of Sentinel® Lockers, which are backed up under the terms of this Limited Warranty. 6 -YEAR LIMITED WARRANTY: TMP Co. warrants its lockers against defects in materials or workmanship for a period of five (5) years. The warranty period begins on the date installation of the lockers is completed, but in no event later than 90 days from the date of the original purchase from TMP Co. This Limited Warranty is assignable by the original purchaser of the lockers to the owner of the facilities in which the lockers are installed. In its sole discretion, TMP Co. will repair or replace any lockers that become defective through normal use during the warranty period. TMP Co. reserves the right to substitute similar lockers or replacement parts if the original lockers or parts are no longer available. In the first year of the Limited Warranty period, labor is included as a covered cost. After the first year of the Limited Warranty, all field and installation labor costs incurred by TMP Co. will be charged at the then prevailing rate. TMP Co. reserves the right to reasonable field access to inspect and/or repair any lockers alleged to be defective. This Limited Warranty does not cover damage due to acts of God, improper installation or maintenance, misuse or abuse of the lockers in the field, or field modifications to any part of the lockers. THIS LIMITED WARRAN'T'Y AND THE REMEDIES HEREIN ARE EXCLUSIVE AND TMP CO. MAKES NO OTHER WARRANTY, EITHER EXPRESSED OR IMPLIED, REGARDING THE LOCKERS, OR THEIR SELECTION AND APPLICATION, INCLUDING BUT NOT LIMITED TO COMPLIANCE WITH LAWS AND REGULATIONS, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. LIMITATION OF LIABILITY: Repair or replacement of any deflective lockers, or refund of the purchase price of the lockers in the event that TMP Co., in its sole discretion, determines that repair or replacement is not feasible, is the exclusive remedy available under this Limited Warranty. Any liability of TMP Co. under this Limited Warranty shall not exceed the purchase price for the affected lockers. IN NO EVENT WILL TMP CO. BE LIABLE FOR SPECIAL, PUNITIVE, INCIDENTAL, CONSEQUENTIAL OR LIQUIDATED DAMAGES, OR FOR ANY DELAYS IN THE PERFORMANCE OF THIS WARRANTY DUE TO CIRCUMSTANCES BEYOND THE REASONABLE CONTROL OF TMP CO. If any provision of this Limited Warranty is determined to be invalid, illegal or otherwise unenforceable for any reason, it will be deemed amended the minimum amount necessary to permit its enforcement. 450 Wall Street Tiffin, OH 44883 Ph: 419-447-8414 Fax: 419-447-5175 24 EX PARTE COMMUNICATIONS CERTIFICATION Please indicate by signing below one of the following two statements. Only sign one statement. I certify that Proposer and Proposer's representatives have not had any communication with a City Councilmember concerning the Outdoor Duty Lockers RFP at any time after December 20, 2013 r certify that Proposer or Proposer's representatives have communicated after December 20, 2013 with a City Councilmember concerning the Outdoor Duty Lockers RFP. A copy of all such communications is attached to this form for public distribution. 28 DISQUALIFICATION QUESTIONNAIRE The Contractor shall complete the following questionnaire: Has the Contractor, any officer of the Contractor, or any employee of the Contractor who has proprietary interest in the Contractor, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or safety regulation? Yes No If the answer is yes, explain the circu �1 TYPE OF APPLICANT: REQUEST FOR PROPOSAL VENDOR APPLICATION FORM X NEW ❑ CURRENT VENDOR Legal Contractual Name of Corporation: 01 y 1 h �, fo LQ, I tiIc Contact Person for Agreement: OGS Set) Z4S 1 a 6 Y1-� Corporate Mailing Address: y -S IS I Gr 1 r\ City, State and Zip Code: U- bc, L. i rk& c A ct o� 6 L E -Mail Address: _5C.t� C� 11 G }ca D , &0 m Phone; 1`i- �l 7tU' ���' 1 Fax: I1L{ - q 7Q - 757a Contact Person for Proposals: Gl rGi 1 s h c' yY 'fi t�_ r Title: Gi E-MailAddress: Business Telephon Business Fax: 71 H - `I 70 - 7.5 7 Is your business: (check one) ❑ NON PROFIT CORPORATION FOR PROFIT CORPORATION Is your business: (check one) CORPORATION ❑ LIMITED LIABILITY PARTNERSHIP ❑ INDIVIDUAL ❑ SOLE PROPRIETORSHIP ❑ PARTNERSHIP ❑ UNINCORPORATED ASSOCIATION �tS X10 wt cont 1i (�C�° l 11� AIN i�GtvCr1� , a 01 q 11Gi111�'. 111 '� v� 07 " 1(p r L6 z Names & Titles of Corporate Board Members (Also list Names & Titles of persons with written authorization/resolution to sign contracts) Names Title Phone C fit' a' SaJA C i .k n Pf-cs'l ei-o 7 141 - 9 7U � �1 ChY1 fia �1�'n �[i�lll5t7i� r -D 7M- g70--?3cicf Federal Tax Identification Number: City of Costa Mesa Business License Number: cc) `7 ! y - c 7 0 0(a-cil ';. o -- l ? CC33q �S (If none, you must obtain a Costa Mesa Business License upon award of contract.) City of Costa Mesa Business License Expiration Date: