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Page 1: Information Technology Department - Calexico Unified … · Web view5 printed, bound copies of RFP’s including all required documents must be received by 12:01 PM local time (PST)

INFORMATION TECHNOLOGY DEPARTMENT

DATE: 12/13/2006

FROM: ROBERT SIMON

RE: YEAR 10 (2007) REQUEST OF PROPOSALERATE NEEDS FOR CALEXICO UNIFIED SCHOOL DISTRICT

The Calexico Unified School District is requesting proposals for Year 10 (2007) E-Rate program.

Instructions to Bidders

1. Award of this proposal is contingent upon the approval of funding from the Schools and Libraries Universal Service Administrative Company. The successful bidder agrees to bill and receive a portion of the payment for the provisions of goods and services described herein directly from the Universal Service Administrative Company (“USAC”), and/or the Schools and Libraries Division (“SLD”). Calexico Unified School District and the successful bidder will act in a reasonable manner and comply with any Schools and Libraries Universal Service Fund Program requirements. Contract will take effect on July 1, 2007, and continue through September 30, 2008. Should an extension be permitted by the Schools and Libraries Service Administrative Company the contract will be extended accordingly.

2. If a contract(s) is/are to be awarded as a result of this Request for Proposals, it shall be awarded to the bidder who is responsible and whose proposal provides the best potential value to the Calexico Unified School District. Responsible means the capability in all respects to perform fully the contract requirements and the integrity and reliability to assure performance of the contract obligations.

3. 5 printed, bound copies of RFP’s including all required documents must be received by 12:01 PM local time (PST) on Monday, January 10, 2007. Proposals received after this time and date will NOT be accepted for the bid process and returned to the vendor. Bidders are solely responsible for ensuring timely receipt of their proposal. In addition, an electronic copy (on CD) of all required documents must also be included in the bidder’s responses and submitted at the same time as the printed responses. Electronic copies must be submitted in PDF format. Responses to this RFP’ will not be submitted via email or fax.

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4. Send proposals and electronic copies in a sealed envelope via postal service, FedEx, etc. to:

Calexico Unified School DistrictErate Proposal - 2007Attention: Robert Simon901 Andrade Ave.Calexico, CA 92231

5. All received RFP’s will be opened at 12:01 PM local time (PST) on Wednesday, January 10, 2007 in the IT Department conference room, Calexico Unified School District, 901 Andrade Ave., Calexico, CA. 92231.

6. Bidders may not amend their proposal after the closing date and time, unless as a result of negotiations commenced by Calexico Unified School District, but may withdraw their proposal at any time.

7. Bidders may withdraw their RFP prior to the bid opening date.

8. All questions or inquiries concerning this Request for Proposals must be submitted to Robert Simon, CUSD IT Coordinator:

[email protected]

760-768-3888 x3017

9. Bidders may respond to all or any section(s) of this RFP.

10. A detailed quotation must be provided by the bidder for each section of the RFP the bidder chooses to respond to. All quotations must be labeled to show the section(s) of the RFP that the quotation corresponds to. Bidders must also fill in the total amounts on this RFP for each section and submit this RFP with their proposal.

11. Calexico’s sales tax is 7.75%.

12. Bidders must complete all forms that are part of this RFP. CUSD will not accept bids unless these forms are completely filled out.

13. The Board of Education of the Calexico Unified School District reserves the right to accept or reject any and all proposals, to negotiate with any or all responsible bidders, and to waive any irregularities or informalities in this RFP.

14. Cisco Certified Partners, with at least a minimum of CCDA and CCNA, are required for all Cisco related labor. Proposals for Cisco related items must include evidence of this certification.

15. NEC certified dealers are required for all NEC related items in this RFP. Proposals for NEC related items must include evidence of this certification.

16. Microsoft certification with a minimum of MCSE is required for all items relating to server maintenance and service installations. Proposals for Microsoft server related items must include evidence of this certification.

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17. Any amendments or clarifications of this RFP will be posted to the E-rate section of the Calexico Unified School District web site (same section where this RFP was posted).

18. CUSD has the right to purchase items and services over and above the quantities specified in this RFP.

19. All equipment and material must be new. Used, refurbished or repurposed equipment or material shall not be acceptable.

20. The Calexico Unified School District reserves the right to award one or more sections of this RPP to one or more vendors.

21. Protests must be submitted in writing to the Assistant Superintendent of Administrative Services and will be addressed on an individual basis in a timely manner.

22. A contract with the selected vendor(s) and CUSD will be executed by both parties once it is awarded by the CUSD Board of Education.

If agreement on the terms and conditions that are acceptable to CUSD cannot be achieved by that timeframe, the district reserves the right to continue negotiations or to award the proposal to another vendor and begin negotiations with that vendor.

23. List of documents to be completed and submitted to CUSD with this RFP:

a. Erate Certificationb. Referencesc. Designation of Subcontractorsd. Workers’ Compensation Certificatione. Noncollusion Affidavitf. Erate Service Provider Contact Informationg. This RFP with bidder’s responsesh. Itemized and detailed quotations and labeled according to instructions. i. 5 bound printed copies of RFP’s and electronic copy (on CD in PDF format)

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Evaluation Factors for Award

1. Any award to be made pursuant to this RFP will be based upon the proposal with appropriate consideration given to operational, technical, cost and management requirements.

2. Evaluations of offers will be based upon the vendor’s responsiveness to the RFP and the total price quoted for all the items covered by the RFP.

3. The following elements will be the primary considerations in evaluating all submitted proposals and in the selection of a Vendor:

a. 40% - Vendor’s cost, including unit prices, labor rates, travel/trip charges, etc.b. 10% - Proposal preparation, thoroughness and responsiveness to this request for proposal.c. 20% - Vendor’s experience, CUSD’s prior experience with vendor (if any), overall

installation and integration capabilities based upon performance record and availability of sufficient high quality vendor personnel with the required skills and experience for the specific approach.

d. 15% - Client references and/or citations from prior installations where equal services have been provided for projects of similar size and scope.

e. 15% - The extent to which the vendor’s proposed solution fulfills CUSD’s stated requirements as set out in this RFP.

4. CUSD may, at their discretion and without explanation to the prospective vendor’s, at any time chose to discontinue this RFP without obligation to such prospective vendors.

District E-Rate Contact:

Robert SimonTechnology CoordinatorCalexico Unified School [email protected]

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Telecom Services

1. CUSD will continue to use cell phone services with 2-way communication features for 150 cell phones.

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Section 1 - Basic Maintenance – Repair and Upkeep of Eligible Network Hardware

SMARTNET 8X5XNBD for following eligible hardware:

Hardware Description

Hardware Part Number

SmartNet Quantity

Unit Price (without tax)

Extension (without tax)

1 Cisco 3750-48 power over Ethernet switch

WS-C3750-48PS-S

69

2 Cisco 3750G-12 with enhanced image switch

WS-C3750G-12S-E

4

3 Cisco 1000Base SX Multimode SFP GBIC

GLC-SX-MM 110

4 Cisco SX GBIC’s WS-G5484 555 Cisco 1000Base

LX/LH SFP GBICGLC-LH-SM for 3750G-12 switches

2

6 Cisco 3550-12 switch WS-C3550-12G

11

7 Cisco 3550-24 switch WS-C3550-24G

48

8 Cisco 3524 switch WS-C3524-XL-EN

80

9 Cisco 6509 Switch CON-SNT-PKG17 **

1

10 Cisco 7206 Router CON-SNT-PKG14 **

1

11 Cisco 7206 VXR Router

CON-SNT-PKG15 **

1

12 Cisco PIX Firewall 525U

PIX-525-FO-GE-BUN

1

13 Cisco Aeronet model 1232 wireless access point

AIR-AP-1232-AG-K9

210

14 Cisco Aeronet model 1231 wireless access point

AIR-AP-1231-AG-K9

24

** = or equivalent Cisco SmartNet Contract

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BID AMOUNT FOR ALL ITEMS above (itemize each) Parts and warranty $___________________Tax (7.75%) if any $___________________ Shipping $___________________Total $___________________

For all items in Section 1 – Basic Maintenance – Repair and Upkeep of Eligible Network Hardware

1. Write in the totals above.2. Attached an itemized, detailed quotation for all items. 3. Label the quotation Section 1 – Basic Maintenance – Repair and Upkeep of Eligible Network

Hardware4. Provide a separate quotation for any items that are not fundable according to Year 10 SLD

guidelines.

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Section 2 - Basic Maintenance – Repair and Upkeep of Eligible Telephone Hardware

Vendors are requested to bid only on the SmartNet part of each sub-section . A detailed parts list of the telephone system is included in this section for your convenience.

SMARTNET 8X5XNBD for following eligible hardware:

Part Number Description Quantity Price - Vendor fills in only SmartNet sections (without tax)

CALLMANAGER-4.1-Subscriber

CallManager 4.1 Top Level Part Number

1

IPCX-40-CM-BUNDLE

5 Seat IPCCX STD CCM Bundle - AVAILABLE ONLY WITH CCM

1

UNITYV4-CM-PROMO

15 Unity VM Users, 15 Unity Inbox Users and 4 sessions

1

CAB-AC Power Cord,110V 2CM4.1-K9-7835 SW CallMgr 4.1, MCS-7835 1CON-SAU-CM4-7835 SW APP SUPP + UPGR CallMgr

4.X - MCS-78351

MCS-7835-I1-IPC1 HW Only MCS-7835-I1 with 2048MB RAM and Two 72GB SCSI HD

1

SMARTNET 8X5XNBD 1

SW-CCM-UL-7912 Cisco Call Manager License 170

SW-CCM-UL-7960 Cisco Call Manager License 30

Part Number Description Quantity

CALLMANAGER-4.1-Publisher

CallManager 4.1 Top Level Part Number

1

IPCX-40-CM-BUNDLE

5 Seat IPCCX STD CCM Bundle - AVAILABLE ONLY WITH CCM

1

UNITYV4-CM-PROMO

15 Unity VM Users, 15 Unity Inbox Users and 4 sessions

1

CAB-AC Power Cord,110V 2CM4.1-K9-7835 SW CallMgr 4.1, MCS-7835 1CON-SAU-CM4-7835 SW APP SUPP + UPGR CallMgr

4.X - MCS-78351

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MCS-7835-I1-IPC1 HW Only MCS-7835-I1 with 2048MB RAM and Two 72GB SCSI HD

1

SMARTNET 8X5XNBD 1

Part Number Description QuantityCISCO2821-SEC/K9 2821 Security Bundle,Adv

Security,64F/256D4

FL-SRST-MEDIUM Feat Lic Survivable Remote Site Telephony up to 48 phones

4

MEM2800-256D-INC 256MB DDR DRAM Memory factory default for the Cisco 2800

4

MEM2800-64CF-INC 64MB CF default for Cisco 2800 Series

4

NM-28/38BLNK-PANEL

Cisco 2800 and 3800 Series Blank network module panel

8

PVDM2-32 32-Channel Packet Voice/Fax DSP Module

4

PWR-2821-51-AC Cisco 2821/51 AC power supply 4ROUTER-SDM Device manager for routers 4S28NUASK9B-12403 Cisco 2800 ASK9-AISK9 FEAT

SET FACTORY UPG FOR BUNDLES

4

WIC-BLANK-PANEL Blank WAN Interface Card Panel 8

C2821SEC/K9-U-SRST

2821 Sec Bundle upgrade, PVDM2-32,FL-SRST-48,Adv. IP Serv.

4

CAB-AC Power Cord,110V 4CON-SNT-C2821SEC SMARTNET 8X5XNBD 2821

Security Bundle4

PVDM2-8 8-Channel Packet Voice/Fax DSP Module

4

VIC2-4FXO Four-port Voice Interface Card - FXO (Universal)

4

VWIC-1MFT-T1 1-Port RJ-48 Multiflex Trunk - T1 4Part Number Description Quantity

SW-IPCOMM-E1 Cisco IP Communicator - Communications Client

4

SW-CCM-UL-IPCOMM-E

Single CallManager Unit License for IP Communicator

4

Part Number Description Quantity

UNITY-BUNDLE Unity Bundle 1UNITY-MSG-STR5.5 Unity Message Store 5.5 1

CON-SNT-MCS7835E SMARTNET 8X5XNBD MCS 7835-IBM; rack;

1

MCS-7835-H1-ECS1 MCS 7835-HP; rack; 2GB; RAID 1; Win2K

1

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UNITY-4.0 Unity 4.0 1UNITY-D/120U-LS D/120JCT Universal PCI rev 2 -

US/CANADA1

UNITY-DS-ENG Unity Data Store - in English 1UNITY-EXCHANGE Unity for Exchange 1

UNITY-IP Unity for CallManager, IP Only Integrations

1

UNITY-MS-ENG Unity Message Store in English. Not required for Domino.

1

UNITY-PWR-US Power Cord - US, Can, Mex, PR, Phil, Ven, Tai, Col, Ecu

1

UNITY-UM-USR-E One Unity UM for Exchange User 200

UNITY-WIN2K-ENG Cisco Unity Operating System 2000 - English

1

UNITY40-SVRLIC-32 Unity server license for VM or UM. Incl 32 sessions. No TTS.

1

Part Number Description Quantity

VG224 24 Port Voice over IP analog phone gateway

1

MEM-224-1X128D-U 128MB DRAM Memory for VG224 (Factory Upgrade)

1

MEM-224-1X64F-U 64MB Flash Memory for VG224 (Factory Upgrade)

1

CAB-AC Power Cord,110V 1CON-SNT-VG224 SMARTNET 8X5XNBD 24

Port Voice over I1

SVGVGK9-12402T Cisco VG200 Series IP SUBSET/IPSEC 64 BIT/VOICE

1

Part Number Description Quantity

VG248 48 Port Voice over IP analog phone gateway

1

SW-VG-DIAG Diag Software 1SW-VG248 System SW for VG248 1CAB-AC Power Cord,110V 1CON-SNT-VG248 SMARTNET 8x5xNBD Svc,

VG248 Analog Phn Gtwy1

Part Number Description QuantityWS-SVC-CMM COMMUNICATION MEDIA

MODULE1

S6CMMVGMS-12308XY

VOICEGATEWAY/MEDIASERVICES VOICE/MGCP/H.323/MEDIASERVICES

1

WS-SVC-CMM-6T1 6-PORT T1 INTERFACE PORT ADAPTER

1

WS-SVC-CMM-ACT Adhoc Conferencing and Transcoding PA

1

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SMARTNET 8X5XNBD 1

BID AMOUNT FOR ALL ITEMS above (itemize each) Parts and warranty $___________________Tax (7.75%) if any $___________________ Shipping $___________________Total $___________________

1. Write in the totals above.2. Attach an itemized, detailed quotation for all items.3. Label the quotation Section 2 – Basic Maintenance – Repair and Upkeep of Eligible

Telephone Hardware 4. Provide a separate quotation for any items on the above hardware list and/or on the

amended hardware (if any) that are not fundable according to Year 10 SLD guidelines.

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Section 3- Basic Maintenance – Repair and Upkeep of Eligible Hardware - Warranty Compaq/HP Equipment

HP CarePack 8X5XNBD for the following eligible hardware:

Hardware Description

Hardware Part Number

CarePack Quantity

Unit Price Extension

1 Compaq Servers –terminal services

DL-360G2 45

2 Compaq Servers – terminal services

DL-380 2

3 Compaq Server- email

HP Proliant DL-380

1

4 Tape Backup System

HP Storage Works MSL 5000

1

BID AMOUNT FOR ITEMS above (itemize each) Parts and Warranty $ ___________________Tax (7.75%) $ ___________________ Shipping $__________________Total $ ___________________

For all items in Section 3 – Warranty – Compaq/HP Equipment

a. Write in the totals above.b. Attached a detailed and itemized quotation for all items.c. Label the quotation Section 3 - Basic Maintenance – Repair and Upkeep of Eligible

Hardware - Warranty Compaq/HP Equipmentd. Provide a separate quotation for any items that are not fundable according to Year

10 SLD guidelines.

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Section 4 - Basic Maintenance and Technical Support for Telephone System (referring to Section 2 in this RFP) as specified by the SLD rules for the current funding year (2007 – Year 10)

Cisco Certified Partners with at least a minimum of CCDA and CCNA are required.

The goal is for the vendor to provide maintenance and support of the telephone system described in Sections 2 of this RFP with at least these requirements:

1. Keep newly installed equipment in good and operating condition during standard business office hours (8:00 – 4:30 pm in the normal business work day).

2. Major interruptions of services or emergencies are to be responded onsite within 4 hours of notification.

3. All other service interruption within 24 hour notification.

4. Optionally, vendors may propose to include telephone sets as part of the support and maintenance package.

5. Meeting all of these conditions, there will not be any extra charges by the vendor to CUSD other the fees paid by CUSD for the maintenance agreement.

6. Maintain integration with the new system into the existing NEC system ensuring interoperability between the current (NEC) and new phone system.

BID AMOUNT FOR SECTION 4Labor $____________________Total $ ___________________

For all items in Section 4 – Basic Maintenance and Technical Support for Telephone System

1. Write in the totals above.2. Attached a detailed quotation for all items. 3. Label the quotation Section 4 – Basic Maintenance and Technical Support Telephone

System.4. Provide a separate quotation for any items that are not fundable according to Year 10

SLD guidelines.

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Calexico Unified School DistrictE-Rate Program Year 10 (2007)

E-Rate Certification

I, ___________________________, certify that________________________________, (print or type name) (company name)is a service provider as defined by the E-Rate Program and has not been suspended or disbarred from participating by the Federal Communications Commission. Our SPIN # is _____________________, and we have operated under this SPIN for ________years. (number)

I also certify to the acceptance of the following:

1. All information necessary to respond to any SLD request for information such as PIA (Program Integrity Assurance), Item 25 Selective Review, Audit performed by the FCC, the SLD, or their designated authority, will be furnished completely and in a timely manner sufficient to meet any response deadlines;

2. In the event an appeal is necessary, all information necessary to complete the appeal will be furnished completely and in a timely manner to the Calexico Unified School District, it’s attorney(s) or authorized agent;

3. Any contract awarded for E-Rate Program Year 10 is contingent upon the receipt of a Funding Commitment Decision Letter (FCDL) from the SLD that awards the requested discounts in full. In the event of a partial funding or no funding is granted, the District reserves the right to cancel the contract in whole or in part;

4. The District will be invoiced for only the matching funds portion and it is our responsibility, as the E-Rate Service Provider, to invoice the SLD for the remaining “non-discount” portion;

In the event the Calexico Unified School District wishes to perform a SPIN change, permission will be granted within the contract terms, provided 14 days prior written notice is given.

____________________________________ ___________________ (original signature in blue ink) (today’s date)

____________________________________ (print or type name)

____________________________________ (title)

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Calexico Unified School DistrictE-Rate Program Year 10 (2007)

References

Please provide a minimum of 3 professional references, specifically related to your past performance of projects of similar size and scope with other public school district in California. The Calexico Unified School District requests that these references be directly related to work performed within the guidelines of the E-Rate program.

Name of Client __________________________________Type (School District, etc.)_________________________Contact Person’s Name ____________________________Contact Person’s Title _____________________________Contact Person’s Phone ____________________________Contact Person’s Email ____________________________Total Project Cost_________________________________Description of Work Performed________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name of Client __________________________________Type (School District, etc.)_________________________Contact Person’s Name ____________________________Contact Person’s Title _____________________________Contact Person’s Phone ____________________________Contact Person’s Email ____________________________Total Project Cost_________________________________Description of Work Performed________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name of Client __________________________________Type (School District, etc.)_________________________Contact Person’s Name ____________________________Contact Person’s Title _____________________________Contact Person’s Phone ____________________________Contact Person’s Email ____________________________Total Project Cost_________________________________Description of Work Performed________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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Name of Client __________________________________Type (School District, etc.)_________________________Contact Person’s Name ____________________________Contact Person’s Title _____________________________Contact Person’s Phone ____________________________Contact Person’s Email ____________________________Total Project Cost_________________________________Description of Work Performed________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name of Client __________________________________Type (School District, etc.)_________________________Contact Person’s Name ____________________________Contact Person’s Title _____________________________Contact Person’s Phone ____________________________Contact Person’s Email ____________________________Total Project Cost_________________________________Description of Work Performed

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Calexico Unified School DistrictE-Rate Program Year 10 (2007)

Designation of Subcontractors

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

Description or Portion of Work_____________________________________________________Name of Designated Subcontractor__________________________________________________Location and Place of Business______________________________________________________License Number_________________________________________________________________

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VENDOR’S CERTIFICATE REGARDINGWORKERS’ COMPENSATION

REQUEST FOR PROPOSAL – CUSD ERATE 2007CALEXICO UNIFIED SCHOOL DISTRICT

BASIC MAINTENANCE

Labor Code section 3700 in relevant part provides:

Every employer except the State shall secure the payment of compensation in one or more of the following ways:

(a) By being insured against liability to pay compensation in one or more insurers duly authorized to write compensation insurance in this State.

(b) By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to his employees.

I am aware of the provisions of section 3700 of the Labor Code which require every employer to be insured against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract.

Signature__________________________________

Date______________________________________

Name_____________________________________

Title______________________________________

Company__________________________________

(In accordance with article 5 (commencing at section 1860), chapter 1, part 7, division 2 of the Labor Code, the above certificate must be signed and filed with the awarding body prior to performing any work under this contract.)

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NONCOLLUSION AFFIDAVIT

REQUEST FOR PROPOSAL – CUSD ERATE 2007CALEXICO UNIFIED SCHOOL DISTRICT

INTERNAL CONNECTIONS

State of California ))ss.

County of )

___________________________________(Name) , being first duly sworn, deposes and says that he is

_________________________(title) of the___________________________________________________(Name) party making

the attached bid; that the bid is not made in the interest of, or on behalf of, any undisclosed person,

partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or

sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or

sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or

anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any

manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the

bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or

of that of any other bidder, or to secure any advantage against the public body awarding the contract of

anyone interested in the proposed contract; that all statements contained in the bid are true; and, further,

that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or

the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to

any corporation, partnership, company, association, organization, bid depository, or to any member or

agent thereof to effectuate a collusive or sham bid.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed this day of_______________________, 20_______at__________________________________, California.

Date:_______________________________Signature of Bidder

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Erate Service Provider Contact Information

Vendor must provide the following information:

Person authorized to negotiate and sign the terms and conditions of any agreement between vendor and CUSD.

Name: ________________________________________

Title__________________________________________:Company:______________________________________

Address:_______________________________________

City, State, Zip code:___________________________________________

Phone:________________________________________

Fax:__________________________________________

Email:_________________________________________

Include other important contact information below.

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