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City of Douglas Fuel Bid FY2016 Page 1 of 6 BID PROPOSAL AND SPECIFICATIONS FUEL FOR THE CITY OF DOUGLAS FISCAL YEAR 2016 CITY OF DOUGLAS PUBLIC WORKS DEPARTMENT 420 WEST GRANT DOUGLAS, WY 82633-2153 (307) 358-9750 ---PAGE BREAK--- City of Douglas Fuel Bid FY2016 Page 2 of 6 NOTICE TO BIDDERS: The City of Douglas is a Municipal Corporation and is not subject to Federal Fuel Taxes. The City of Douglas will execute the appropriate documents necessary for the City of Douglas to obtain State of Wyoming tax refunds for fuel sales to the City. Bids should be submitted reflecting the bid price excluding Federal fuel taxes and the successful bidder will be responsible for making application for Federal Tax refunds. PUBLIC NOTICE/CALL FOR BIDS Sealed bids for BULK FUEL for FY2016 will be received in the office of the City Clerk until 2:30 p.m., Wednesday, September 23rd, 2015, and read immediately thereafter in the Council Chambers at City Hall, 101 N. 4th St., Douglas, WY. Approved specifications and form of contract documents may be obtained at the Public Works Dept., 420 W. Grant Street; or by calling [PHONE REDACTED]; or at www.cityofdouglas.org/bids. . Mail submitted bids to the City of Douglas, Attn: City Clerk, P.O. Box 1030, Douglas, WY 82633, or deliver to the City Clerk at 101 N.4th Street. The City reserves the right to reject any and all bids. Karen Rimmer, City Clerk Published: September 9th & 16th, 2015 ---PAGE BREAK--- City of Douglas Fuel Bid FY2016 Page 3 of 6 FUEL BID SPECFICATIONS AND BID FORM CITY OF DOUGLAS PUBLIC WORKS DEPARTMENT To: Public Works Department 420 West Grant Douglas, WY 82633-2153 We, submit the bid price per gallon. (Corporate name of Firm) For the following to be used in City owned vehicles, beginni ng on or about October 1, 2015 , and ending June 30, 2016. 1. Rack Price Per Gallon 2. Bidders’ Mark Up Per Gallon Subtotal Bid Per Gallon State Total Bid Tax Regular $ $ $ $ Premium/NL $ $ $ $ Clear Premium/Diesel $ $ $ $ Dyed Premium/Diesel $ $ $ $ Price Adjustments: The price per gallon shall be figured as follows: 1. The bidders’ cost per gallon ( bidders’ actual cost from his supplier) shall be shown in the column 2. The bidders’ markup ( which shall include profit, overhead, labor, freight, etc.) must be shown in column 3. Bidders’ markup is not adjustable and shall remain firm for the contract period. 4. The bidders’ cost per gallon (Rack or terminal price) quoted on the proposal is subject to changes by bidders ’ supplier and will be increased and decreased in an amount equal to such changes. 5. It will be required of the successful bidder that he or his suppliers of fuel furnish to the City of Douglas, Wyoming, a written notice of the date and the amount of such changes. 6. The written notice shall be submitted within three days of the date the price change goes into affect. This notice must include the date, amount, old price, and new price. ---PAGE BREAK--- City of Douglas Fuel Bid FY2016 Page 4 of 6 Specifications: Bidders’ cost per ga llon shall be figured as of September 1 st, 2015 . Bidders’ must furnish with their bid a letter from their supplier indicating bidders’ cost per gallon as of September 1st, 2015. All fuel furnished shall be a regular product of a recognized and approved refinery and shall be the same product normally supplied for retail sale to the general public. Attached to these specifications is a copy of the amendment to the Wyoming Gasoline Tax Law. Certification of compliance to minimum octane ratings shall be supplied with the bid for regular and premium fuel. Area of Delivery: Fuel furnishe d shall b e delivered to 710 E. Richards S treet, the Public Works Annexation building in Douglas, Wyoming , and to t he Douglas Landfill , 874 Olds Road, Douglas, Wyoming. All deliveries will require a two day notice. The above bid is submitted in exact conformity with your specifications as furnished by the City of Douglas. If awarded a contract, we agree to abide by all the laws, rules and regulations as required by the State of Wyoming Date: Signed: Company: Address: Telephone: ---PAGE BREAK--- City of Douglas Fuel Bid FY2016 Page 5 of 6 NON-COLLUSION AFFIDAVIT STATE OF WYOMING ) ) ss. COUNTY OF ) , being first duly sworn, in his oath says that the bid above submitted is a genuine and not a sham or collusive bid or made in the interest or on behalf of any person not therein named; and he further says that the said bidder has not directly or indirectly induced or solicited any bidder on the above work or supplies to put in a sham bid, or any other person or corporation to refrain from bidding; and that said bidder has not in any manner sought by collusion to secure to self an advantage over any other bidder or bidders. FUEL SUPPLIER: SIGNATURE: PRINT NAME: On personally appeared before me, who is personally known, and is the signer of the above document, and he/she acknowledged that he/she signed it for the purposes therein expressed. (Seal) Notary Public My Commission Expires: ---PAGE BREAK--- City of Douglas Fuel Bid FY2016 Page 6 of 6 BIDDER SIGNATURE SHEET IF BIDDER IS: AN INDIVIDUAL By: doing business as: (Name) Address: Phone: A PARTNERSHIP By: (seal) (Firm Name) (General Partner) Business Address: Phone: A CORPORATION By: of (Corporation Name) (State of Incorporation) By: (Signature) (Title) ATTEST: (Corporate Seal) Business Address: Phone: A JOINT VENTURE By: Address: By: Address: (Each member of the joint venture must sign; attach additional sheet if necessary.)