FOR: NEW MECHANICAL FRONT WHEEL DRIVE BACKHOE LOADER ...€¦ · NEW MECHANICAL FRONT WHEEL DRIVE...

INVITATION FOR BID FOR:

NEW MECHANICAL FRONT WHEEL DRIVE BACKHOE LOADER

Due Date: Friday, June 10, 2016, 2:00 p.m. (local time) Release Date: Monday, May 9, 2016 Released By: Owen Hartnett, Procurement Coordinator

Email Address: [email protected] Vendor’s Name:

GENERAL INFORMATION

Below is a checklist provided to assist you. Please note that these instructions may not contain all applicable requirements. Careful reading of this request is critical. Failure to follow these instructions, or those printed throughout this form, may lead to the rejection of your bid. It is not necessary to return this page with your response.

A. _______ In order to receive an Award, you must complete the Survey A and B forms; therefore, if you are a new vendor you will need to complete the Survey A and B forms prior to an award.

B. _______ Type or print legibly in black ink, all requested information, including prices and extensions, as well as the correct vendor information. Clearly detail in writing, any deviation from, or exception taken, to the stated specifications. The Specifications and Compliance form must be completed and returned or the bid may be found non-responsive.

C.

_______

The Indianapolis Airport Authority will only accept signed bids. The bid may be rejected if it contains any alternations or erasures that are not initialed by the signer of the bid. The Non-Collusion Certification is included and must be signed and returned with your bid. When you sign the Signature Page, you are agreeing to the general conditions, specifications, certifications, and other documents of this package. The bid may be rejected if it is returned without the appropriate forms signed (i.e. Business Diversity Plans, Pricing Response Form, Non-Collusion Certification, etc.). Facsimile bids are NOT ACCEPTABLE AT THIS TIME.

D. _______ Do not add, delete, or modify, any contractual terms and conditions. Terms of the award will be those listed in this package.

E. F.

_______ _______

If you are not willing to accept a split award (partial order), your request must include the statement “Bidding all or none.” The Indianapolis Airport Authority reserves the right to accept or reject any or all bids, or any part thereof, and to award the items separately, all to one vendor or to make a multiple-award. ITEMS NOT BID – If a vendor does not desire to submit a bid for an item, you should indicate “NO BID” in the unit column for that item. All inquiries, questions, and requests for information regarding this Invitation to Bid must be submitted in writing to: Email: [email protected] Or if e-mail is not an option for your company then mail to the following address: IFB- NEW MECHANICAL FRONT WHEEL DRIVE BACKHOE LOADER Indianapolis Airport Authority

Attn: Owen Hartnett 7800 Col. H. Weir Cook Memorial Dr. Indianapolis, IN 46241

No later than Friday, May 20, 2016 at 2:00p.m. (Local Time). The Authority reserves the right to judge whether any questions should be answered. If responses are provided, the responses will be written. Copies of the written responses will be issued via Addendum and will be available on the Indianapolis Airport website on Tuesday, May 24, 2016. No negotiations, decisions or

actions shall be initiated by any Respondent as a result of any verbal discussion with any representative of the Authority or with any Authority employee.

G. _______

The bid must be received and clocked in by or prior to the Due Date and Time indicated above. Each bid must be submitted in a separate envelope. LATE BIDS WILL NOT BE ACCEPTED AND WILL BE RETURNED UNOPENED. The envelope must clearly indicate the following information:

1. The notation “IFB” 2. The Description: NEW MECHANICAL FRONT WHEEL DRIVE BACKHOE LOADER 3. The Due Date and Time

H. _______ A certified check will not be required for this IFB.

I. _______ All mailed proposals must be received at the below address by Friday, June 10, 2016 at 2:00p.m.

(local time) and all hand delivered proposals must be received at Guest Services (Level 3 of Terminal) which is located also at the below address. All bids must be addressed to: Indianapolis Airport Authority Attn: Owen Hartnett, Procurement Coordinator 7800 Col. H. Weir Cook Memorial Dr. Indianapolis, IN 46241 Bids will be opened shortly after 2:00pm (local time) June 10, 2016 at the below address: Indianapolis International Airport Conference Room Board Room, Level 4, 11T.413A 7800 Col. H. Weir Cook Memorial Drive Indianapolis, IN 46241 IT IS THE RESPONSIBILITY OF THE VENDOR TO MAKE SURE THAT BID RESPONSES ARE RECEIVED BY THE PROCUREMENT DIVISION ON OR BEFORE THE DESIGNATED DATE AND TIME. IN ORDER TO PROTECT THE INTEGRITY OF THE BID PROCESS, FAILURE TO PROPERLY IDENTIFY YOUR BID ACCORDING TO THE ABOVE INSTRUCTIONS MAY RESULT IN AN AUTOMATIC DISQUALIFICATION FROM CONSIDERATION. For notifications on new opportunities listed on our Web site and to learn other relevant business information about the IAA, connect with us on Twitter (www.twitter.com/IAA_business) and Facebook: (www.facebook.com/IndianapolisAirportAuthority). Notice: Please be advised that individuals interested in receiving information about potential business opportunities with the Indianapolis Airport Authority (“IAA”) regarding employment opportunities, bid packages, solicitations and all other opportunities related to public procurement, should refer to IAA's social media pages solely as a supplement to, and not as a substitute for, the IAA’s official procurement site, which is www.indianapolisairport.com.

PRICING RESPONSE FORM

RESPONSE TO: Invitation For BidIssued by Indianapolis Airport Authority

Remit to: Indianapolis Airport AuthorityOwen Hartnett, Procurement Coordinator7800 Col. H. Weir Cook Memorial Dr.Indianapolis, IN 46241

Vendor Name:

Address:

Line Quantity Model Quoted Extended Cost

1 1

Title of Representative:

The Indianapolis Airport Authority reserves the right to accept or reject, in whole or in part, the foregoing bid.

NAME OF BID: NEW MECHANICAL FRONT WHEEL DRIVE BACKHOE LOADER - IFB

Due Date: Friday June 10, 2016, 2:00p.m. (local time)

Please Follow Instructions Included In Solicitation Package

**NOTICE: All prices are assumed valid for Ninety (90) days from Bid opening date unless otherwise noted. When a bid is submitted, the Vendor is agreeing to meet or exceed specifications , unless noted in the quote submitted.

Representative Signature certifies no bid on this request has been submitted by Officers, representatives or an affiliate of this firm under another name. Further, we have read and agree to the specifications, Scope of Work, terms and conditions for this request unless noted in the quote submitted.

To be valid, all bids must be signed manually.

A NEW MECHANICAL FRONT WHEEL DRIVE (MFWD) JOHN DEERE 710L BACKHOE LOADER (OR EQUIVALENT) HAVING A CAB WITH A/C AND HEAT

Description

Typed Name of Representative:

Signature:

(2016) BACKHOE LOADER

A NEW MECHANICAL FRONT WHEEL DRIVE (MFWD) JOHN DEERE 710L BACKHOE LOADER (OR

EQUIVALENT) HAVING A CAB WITH A/C AND HEAT

SPECIFICATIONS AND COMPLIANCE FORM

DESIGNED TO

PROCURE ONE (1) NEW MECHANICAL FRONT WHEEL DRIVE (MFWD) JOHN DEERE 710L BACKHOE LOADER (OR EQUIVALENT) HAVING A CAB

WITH A/C AND HEAT

FOR THE

INDIANAPOLIS INTERNATIONAL AIRPORT

Indianapolis Airport Authority’s Minimum Specifications and Compliance Form for a New Mechanical Front

Wheel Drive (MFWD) John Deere 710L Backhoe Loader (or Equivalent)

IFB (2016) Backhoe Loader Specifications and Compliance Form John Deere 710L (or equivalent) Page 2 of 26 Project I-16-033-3192

This specifications and compliance form contemplates the furnishing and delivery of one (1) new Environmental Protection Agency (EPA) final Tier 4 compliant backhoe loader. Specifications are for a new mechanical front wheel drive (MFWD), John Deere 710L EPA final Tier 4 compliant backhoe loader (or equivalent) having a cab with A/C and heat and indicate in general the type, size, and quality desired. Only bids submitted with this Specifications and Compliance Form completed and returned will be accepted. Equipment specifically mentioned by name is used to establish the minimum standards of quality and performance. Equipment not herein mentioned but possessing the same degree of quality or greater and capable of producing the same results as those specified, will be considered. If an exception to an item is made with this belief then substantiation should be provided in the comments. The Indianapolis Airport Authority reserves the right to make the final determination of quality and performance. The Indianapolis Airport Authority reserves the right to reject or to accept none, all, or part of any bid submitted; to waive technicalities in any or all bids; and to accept the most advantageous bid as to price, quality, and adaptability for the work performed. These specifications require the doing of all things necessary or proper for, or incidental to the furnishing of said unit.

01: COMPLIANCE

Item Item Description Compliance

01:001 Bids for the new John Deere 710L backhoe loader (or equivalent) will not be accepted on any forms but those supplied by the Indianapolis Airport Authority (Authority) or as required to be compliant with any item.

No Yes

Comments:

01:002 If any part of an item is not in compliance then that item must be marked “No” and an exception to that item is taken. An explanation can be provided in the comments. No Yes

Comments:

01:003

An additional comments section is provided at the end of this form if more space is needed to complete any comment. Entries in the additional comment section should follow the order of the specifications and compliance form and be labeled with the original section title, number, and page of the item (e.g. 01: Compliance, Item 01:003, Page 1: Note additional comments for that item).

No Yes

Comments:

01:004 If the backhoe is not compliant with any item marked "Yes" for compliance then Bidder understands and accepts Bidder will be responsible at Bidder’s expense to make any and all changes necessary to make backhoe compliant.

No Yes

Comments:

01:005

If an item seems to have exclusionary specifications of another item then the item providing the Authority with the higher quality or greater performance will be provided unless directed otherwise by addendum. Bidder would then note in the comments of the item excluded what item caused it to be excluded and why using the original section title and number of the item (e.g. 01: Compliance, Item 01:005: Note why item is exclusionary), excluded item would then be marked “No”, non-compliant.

No Yes

Comments:





01:006 The Authority reserves the right to make the final determination of quality, performance, and exclusion. No Yes

Comments:

01:007 The Authority reserves the right to reject or to accept none, all, or part, of any bid submitted; to waive technicalities in any or all bids; and to accept the most advantageous bid as to price, quality, and adaptability, for the work performed.

No Yes

Comments:

01:008 These specifications require the doing of all things necessary, or proper for, or incidental to, the furnishing of said unit complete and fully functional even if an item is omitted. No Yes

Comments:

01:009 Any bid submitted must be valid for 90 days from the date of bid opening. No Yes

Comments:

01:010

It is the Authority’s intent to purchase high quality commercial application equipment at the lowest cost available. Therefore, in the Authority’s desire to choose the lowest responsive and responsible bid, price will not be the overriding factor used to evaluate any bids submitted although price will be an essential element.

No Yes

Comments:

01:011 The headings and section titles of this specifications and compliance form are inserted only as a matter of reference and in no way define, limit, or describe the scope or intent of any provision hereof.

No Yes

Comments:

02: GENERAL


02:001 All parts and components of this unit shall be new and of the size, material, and strength to sustain the maximum load limits and severe operating conditions encountered in commercial and off-road operations, while resulting in minimum wear and failure.

No Yes

Comments:

02:002 No experimental or untried equipment, unit/model, or component may be proposed or utilized in the final unit bid. No Yes

Comments:

02:003 All materials, parts, and components used shall be heavy duty and manufactured and/or treated to resist rust, corrosion, and wear. No Yes

Comments:





02:004 This backhoe will be driven on highways and other public roadways. This backhoe shall comply with all applicable federal, state, and local quality and safety standards. No Yes

Comments:

02:005 All electrical wiring shall be either harness, cable, split loomed, or shrink wrapped, and shall be watertight and weatherproof. All junction boxes shall be watertight and weatherproof. Wiring shall be secured every 18 inches by means of clips and/or hangers.

No Yes

Comments:

02:006 All electrical wiring shall be color-coded; wire numbered, matching drawing schematics and terminal strip; and labeled what it is used for every three inches. No Yes

Comments:

02:007

All items of design and equipment not listed in these specifications, but involved in carrying out their intent, are required to be furnished by the Bidder, the same as if these items were specifically mentioned and described in these specifications. This includes but is not limited to software.

No Yes

Comments:

02:008 The unit must be fully assembled and tested for full functionality prior to delivery by the manufacturer’s qualified representative. If any component of the unit is found to be incomplete, missing, or NOT fully functional then unit will not be delivered.

No Yes

Comments:

02:009 Proof of tests by an operational and component check list with date performed and signature of tester(s) is required with the delivery of the unit. No Yes

Comments:

02:010

The backhoe with attachments and all components will be delivered to the Authority, at 2000 South Banner Avenue, Indianapolis, IN 46241 fully functional and ready to operate within 120 days of the award of bid. (If an exception is made a delivery date must be provided in the comments. Exceptions beyond 30 December of the current year may not be accepted.)

No Yes

Comments:

02:011

The successful Bidder shall pay liquidated damages to the Authority in the amount of $200 per day beyond the 30th day and $500 per day beyond the 90th day from the stated delivery date that delivery of the new John Deere 710L backhoe loader (or equivalent) with attachments and all components fully functional and ready to operate is not made. Liquidated damages are understood and accepted. NO EXCEPTIONS ALLOWED.

No Yes

Comments:





02:012

In lieu of liquidated damages the Bidder at no expense to the Authority may provide a temporary substitute backhoe capable of providing at least the same degree of functionality as, and until delivery of the unit ordered. Any liquidated damages accrued prior to delivery of or after pick up of the temporary substitute backhoe must still be paid to the Authority. NO EXCEPTIONS ALLOWED.

No Yes

Comments:

02:013 Any outstanding balance of liquidated damages owed at the sole discretion of the Authority may be deducted from any payment. No Yes

Comments:

02:014

Payment will occur after the Authority has had time to inspect the backhoe for compliance with the specifications and compliance form and any discrepancies have been corrected. Inspection will not start until delivery of complete backhoe and all components. While the Authority will try to keep the process as short as possible the Bidder is strongly encouraged to allow adequate time for this at times lengthy process. Payment will be net 30 days from date of confirmation of compliance with the specifications and compliance form.

No Yes

Comments:

03: BACKHOE CHASSIS


03:001 Backhoe supplier shall supply a statement on their company letterhead. The statement shall contain an affirmation that the backhoe meets all functionality and capacity requirements. No Yes

Comments:

03:002

The backhoe proposed in this bid must be a new John Deere 710L or equivalent of the manufacturer’s latest model and design. State the manufacturer, year, model, and any of the model’s descriptive qualifiers, (e.g. Case/2015/590SN, New Holland/2017/ B110C, JCB/2016/4CX-17 Super, Caterpillar/2015/450F, or John Deere/2016/710L).

No Yes

Comments:

03:003 The backhoe proposed in this bid must have been manufactured in the USA and programmed with English as the primary language. No Yes

Comments:

03:004 The engine shall be certified to be compliant with the most current EPA emission standards and requirements, EPA Final Tier 4/EU Stage IV. State certified compliance level. No Yes

Comments:

03:005 The backhoe to have a premium cab with right-hand console. No Yes

Comments:





03:006 Backhoe shall have three cup/beverage holders in the cab, one cup/beverage holder in the right-hand console and additional cup/beverage holders on the left-hand storage console. No Yes

Comments:

03:007 Cab to have automatic temperature controls. No Yes

Comments:

03:008 Cab to have an overhead storage bin. No Yes

Comments:

03:009 Cab to have an overhead reading light. No Yes

Comments:

03:010 Cab to have a coat hook. No Yes

Comments:

03:011 Cab to have an interior rearview mirror. No Yes

Comments:

03:012 The backhoe must be equipped with left-hand and right-hand wide angle heated mirrors electrically adjustable and telescopic. No Yes

Comments:

03:013 The backhoe must be equipped with an air suspended seat with seat belt. No Yes

Comments:

03:014 Seat belt shall be a minimum of 3 inches and retractable. No Yes

Comments:

03:015 Access to the cab shall be from left side and right side wide, rigid, protected, self-cleaning, and slip-resistant steps. No Yes

Comments:

03:016 Slip-resistant steps and ergonomically located handholds shall conform to SAE J185. No Yes

Comments:

03:017 The backhoe to have panorama left-hand and right-hand doors. No Yes

Comments:

03:018 The backhoe to have a panorama windshield. No Yes

Comments:




Item Item Description Compliance 03:019 Cab to be equipped with front sun visor. No Yes

Comments:

03:020 Cab to be equipped with front and rear windshield washers and wipers. No Yes

Comments:

03:021 Cab to be equipped with rear window defrost to provide visibility quickly and simply by removing the condensation from the rear window. No Yes

Comments:

03:022 The backhoe proposed in this bid must have a steel and poly roof with headliner. No Yes

Comments:

03:023

The backhoe proposed in this bid must be equipped with manufacturer’s base lighting package and any premium light package manufacturer offers. If premium light package is intended by the manufacturer solely as a substitution of instead of an addition to the base lighting package doing so is acceptable.

No Yes

Comments:

03:024 Roof light package to include 4 front roof mounted adjustable driving/work lights. No Yes

Comments:

03:025 Roof light package to include 4 rear roof mounted adjustable work lights. No Yes

Comments:

03:026 Roof light package to include 2 side roof mounted adjustable docking/work lights. No Yes

Comments:

03:027 The lights shall be adjustable and the bulbs shall be no less than 32,500 candlepower each. No Yes

Comments:

03:028 Roof light package to include 1 beacon light. No Yes

Comments:

03:029 Light package to include two front and two rear turn signal/flashing lights. No Yes

Comments:

03:030 Light package to include two rear stop/tail lights. No Yes

Comments:

03:031 Light package to include two rear/forward facing reflectors. No Yes

Comments:





03:032 Backhoe to be JDLink Ultimate or equivalent capable including integrated cab wiring harness, antennae, modular telematics gateway, 3 year JDLink Ultimate Service package or equivalent.

No Yes

Comments:

03:033 Backhoe to have an AM/FM stereo radio with weather band and standard features including speakers and external antenna. No Yes

Comments:

03:034 The backhoe proposed in this bid must have a mechanical front wheel drive (MFWD) axle. No Yes

Comments:

03:035 The backhoe to have right-hand and left-hand 1-piece rear fenders. No Yes

Comments:

03:036 The backhoe proposed in this bid must be equipped with a at minimum 3-function electrical independent control valve loader ready package. No Yes

Comments:

03:037 Loader package to include a 3-function electronic joystick. No Yes

Comments:

03:038 Loader package to include a hood guard. No Yes

Comments:

03:039 Backhoe to have a tool box on the left side. No Yes

Comments:

03:040 Backhoe to be equipped with a cold start package. No Yes

Comments:

03:041 Cold start package to include an electrical cable for 110V socket. No Yes

Comments:

03:042 Cold start package to include an engine block heater, 110V. No Yes

Comments:

03:043 The backhoe fuel tank shall be located under the right-hand side of the cab beside the diesel exhaust fluid (DEF) tank. No Yes

Comments:





03:044 The tanks shall have separate color coded filler caps for each product, diesel fuel color coded green, and DEF color coded blue. No Yes

Comments:

03:045 The tanks shall be conveniently located to allow refilling of either tank comfortably from ground level. No Yes

Comments:

03:046 The single molded combination tank shall have a diesel fuel tank with a minimum capacity of 49 gallons (185.5 L) and a DEF tank with a minimum capacity of 4.3 gallons (16.3 L). State tank capacities.

No Yes

Comments:

03:047 The backhoe to have a 12 volt electrical system. No Yes

Comments:

03:048 The backhoe to be equipped with a 120 amp alternator. No Yes

Comments:

03:049 The backhoe to be equipped with two maintenance free 174 ah batteries with a combined 1900 CCA and a 360 minimum rated reserve. No Yes

Comments:

03:050 The backhoe to be equipped with battery boost terminals located on the right-hand side of the backhoe. No Yes

Comments:

03:051 The backhoe to be equipped with a battery circuit breaker to protect the battery from damage and to avoid a discharged battery from leaving monitors or radios switched on. No Yes

Comments:

03:052 The battery isolator switch for the battery circuit breaker shall be integrated into the ignition circuit. No Yes

Comments:

03:053 The backhoe shall be equipped with a 1,400 pound (635 kg) front counterweight. No Yes

Comments:

03:054 The backhoe shall be equipped with a backup alarm that sounds whenever the transmission is placed into reverse. No Yes

Comments:





03:055

The backhoe engine shall be a PowerTech PSS or equivalent, 4 Cylinder, 276 cu in. (4.5 L) displacement developing up to 148 hp (110kW) with dual series turbocharger with fixed geometry first stage-variable geometry second stage, air-to-air aftercooling and cooled exhaust gas recirculation to conform to ISO 9249.

No Yes

Comments:

03:056 The backhoe shall have tilt steering column. No Yes

Comments:

03:057 The unit shall be equipped with a hazard switch. No Yes

Comments:

03:058 Unit shall have high output, fresh air type heater/defroster/air conditioner. No Yes

Comments:

03:059 All lighting shall be 12 volts. No Yes

Comments:

03:060 Instrumentation shall be centered and grouped in a logical manner to provide precise and clear information quickly. No Yes

Comments:

03:061 Display to be easily read during full day light and night time operation. No Yes

Comments:

03:062 An hour meter that registers time only when the engine is running must be part of the display and easily accessible by the driver or mounted to the steering column. No Yes

Comments:

03:063 Included in display will be icon warning lights notifying driver of various operating conditions. No Yes

Comments:

03:064 Backhoe shall be equipped with an under hood muffler. No Yes

Comments:

03:065 Hydraulics maximum operating pressure shall be at least 3,625 psi (24,993 kPa). No Yes

Comments:

03:066 Final drive shall be inboard planetary three pinion type. No Yes

Comments:




Item Item Description Compliance 03:067 Differential controls shall be electrohydraulic. No Yes

Comments:

03:068 Rear differential lock shall be capable of being engaged on-the-go. No Yes

Comments:

03:069 Backhoe shall have wet-disk hydraulic power brakes. No Yes

Comments:

03:070 Backhoe shall have a wheelbase of 100 inches (2.55 m). No Yes

Comments:

03:071 Front tread range shall be 90.0 inches (2.29 m). No Yes

Comments:

03:072 MFWD axle clearance shall be no less than 14.0 inches (356 mm). No Yes

Comments:

03:073 Backhoe shall have a four cylinder, series (twin) turbocharged, isolation mounted diesel engine. No Yes

Comments:

03:074 Engine shall have an individually replaceable, wet-sleeve cylinder liner design to dissipate heat for reduced ring wear and oil breakdown. No Yes

Comments:

03:075 Engine displacement shall be no less than 4.5 liters (276 cu. in.) No Yes

Comments:

03:076 Engine rated net peak power (ISO9249) shall be no less than 148 hp (110 kW) @ 2,244 RPM. No Yes

Comments:

03:077 Engine shall develop at least a 20% torque rise and should have at least 420 lb-ft (570 Nm) net torque at 1400 RPM. No Yes

Comments:

03:078 All daily check points shall be accessible from the right side of the engine and shall be done from ground level. No Yes

Comments:





03:079 Engine shall have a serpentine belt with automatic belt tensioner reducing required maintenance. No Yes

Comments:

03:080 Engine fan shall have a fan guard. No Yes

Comments:

03:081 Under-hood engine air cleaner shall be dry type, dual element with evacuator valve, restriction sensor and in-cab restriction warning light. No Yes

Comments:

03:082 The backhoe shall have a one-piece tilt hood for easy engine access without having to remove engine side shields. No Yes

Comments:

03:083 The backhoe shall have an under hood after treatment with curved-end exhaust stack. No Yes

Comments:

03:084 Engine shall have no more than 10-micron rated primary fuel filter with water separator. No Yes

Comments:

03:085 Engine coolant shall be rated to -40 degrees F (-40 C). No Yes

Comments:

03:086 The backhoe shall be equipped with an oil-to-water engine oil cooler. No Yes

Comments:

03:087 Unit shall have a coolant recovery tank. No Yes

Comments:

03:088 Unit shall have an electronically-controlled, variable rate suction-type fan with guard for reduced hp draw, reduced fuel consumption and quieter operation. No Yes

Comments:

03:089 Foldout, hinged cooling system will allow for efficient clean out. No Yes

Comments:

03:090 Fluid levels should be easily checked by sight gauges, dipsticks or overflow tank. No Yes

Comments:

03:091 The transmission shall be hydraulically actuated powershift with torque converter; four forward, three reverse speeds without mechanical synchronizers. No Yes

Comments:





03:092 The mechanical-front wheel-drive (MFWD) axle has a limited-slip differential for improved traction. No Yes

Comments:

03:093 The front axle is sealed to protect against contamination. No Yes

Comments:

03:094 The driveshaft will be painted for protection. No Yes

Comments:

03:095 The hydraulic wet-disc clutch engaged MFWD with electric on/off control can be engaged on the fly during operation. No Yes

Comments:

03:096 The engine and transmission shall be isolation mounted to the mainframe to minimize shock load stress. No Yes

Comments:

03:097 The hydraulic wet-disc clutch-engaged rear axle differential lock with electric on/off control can be engaged on the fly during operation. No Yes

Comments:

03:098 The single electric Transmission Control Lever will have gear selection fully integrated in the lever as well as forward, neutral and reverse (FNR power shuttle). No Yes

Comments:

03:099 Transmission oil cooler shall be provided as standard equipment. No Yes

Comments:

03:100 The backhoe shall have hydrostatic power steering with emergency manual mode. No Yes

Comments:

03:101 The machine will have an electronic dial throttle that will allow the operator to road the machine on cruise control. Upon engagement of the brake pedal, the engine RPMs return to idle.

No Yes

Comments:

03:102 The front axle shall a have remote grease bank for easy access. No Yes

Comments:

03:103 The rear axle bearings shall be self-lubricating and shall not need to be greased. No Yes

Comments:





03:104 The service brakes shall be inboard, wet-multiple disk, self-adjusting and self-equalizing and hydraulically actuated for a long and trouble-free life, sealed from water, mud, and dust contamination.

No Yes

Comments:

03:105 The parking brake shall be independent of service brakes, spring applied, hydraulically released, wet multi-disk, sealed from water, mud and dust contamination, and when applied cannot be driven through.

No Yes

Comments:

03:106 The backhoe shall come equipped with 21L-28 R4 18PR Galaxy EZ Rider tubeless rear tires and 15-19.5 R4 12PR Galaxy Marathoner for 4WD front tires or equivalent. No Yes

Comments:

03:107 Hydraulic cooler will have an independent reservoir for continuous running of attachments at high ambient outside air temperatures. No Yes

Comments:

03:108 The hydraulic fittings shall have "O"-ring face seal connectors to secure a tight, leak-free seal. No Yes

Comments:

03:109 The hydraulic filter shall be no more than 6 micron and will be vertically mounted, spin on design for ease of installation and leak-free replacement. No Yes

Comments:

03:110 An automatic bucket return-to-dig control will be standard. No Yes

Comments:

03:111 Hydraulic pump shall be 52 GPM (197L/min.) at 2,200 RPM at 3,625 psi (24 993 kPa) axial piston pump, pressure compensating, load sensing. No Yes

Comments:

03:112 The machine shall have blade type, multi-fused circuits. No Yes

Comments:

03:113 The starter shall have a bypass start safety cover. No Yes

Comments:

03:114 Cab will be pre-wired and labeled for the radios in section 04: RADIO EQUIPMENT. No Yes

Comments:

03:115 A storage compartment for the operator manual will be provided in the cab. No Yes

Comments:




Item Item Description Compliance 03:116 The cab shall have at a minimum two 12 volt power outlets. No Yes

Comments:

03:117 Unit shall be equipped with illuminated electronic gauges with audible warning for engine coolant temperature, oil temperature and fuel level. No Yes

Comments:

03:118 The monitoring system shall have audible and visual warnings for: engine air restriction, low alternator voltage, engine oil temperature and pressure, hydraulic filter restriction, parking brake on/off, seat belt and low brake pressure.

No Yes

Comments:

03:119 The keyless start will have an electric fuel shut-off and ability to have auto shutdown setup in monitor. No Yes

Comments:

03:120 The monitor will have a multi-language (English, French and Spanish) digital monitor for diagnostics (including diagnostic messages and fault code readings), calibrations, and machine information.

No Yes

Comments:

03:121 The backhoe shall have a digital display for: engine RPM, engine hours, and system voltage. No Yes

Comments:

03:122 Machine manufacturer will provide a factory installed onboard security system for total machine integration. No Yes

Comments:

03:123 Security system will have the ability to accommodate no less than ten operator codes. No Yes

Comments:

03:124 The foot throttle shall be suspended. No Yes

Comments:

03:125 Stabilizer controls shall be easy to reach from both the backhoe and loader seat position. No Yes

Comments:

03:126 The machine cab’s air conditioner will be factory installed. No Yes

Comments:

03:127 Engine hood, toolbox, hydraulic reservoir, and fuel filler shall be lockable. No Yes

Comments:




Item Item Description Compliance 03:128 The tilt hood shall have two service positions for easy operation. No Yes

Comments:

03:129 An easy to read periodic maintenance and grease chart shall be easily accessible on the machine. No Yes

Comments:

03:130 Operating weight shall be no less than 25,588 lbs (11 607 kg) without optional equipment. No Yes

Comments:

03:131 The mainframe shall be a one-piece unitized construction for maximum strength. No Yes

Comments:

03:132 Unit shall have a minimum of four built-in vehicle tie downs, a minimum of two in the front and a minimum of two in the rear for safe transport between jobs. No Yes

Comments:

03:133 The side plate thickness on the loader boom, backhoe boom, and mainframe shall be no less than 4.5 mil. No Yes

Comments:

03:134 Machine shall be equipped with an exterior mounted, ground level accessed, and lockable storage compartment. No Yes

Comments:

03:135 The unit shall have in-line diagnostic oil and fluid sampling ports for engine oil, engine coolant, hydraulic oil, and transmission oil. No Yes

Comments:

03:136 The unit’s backhoe shall be equipped with a hydraulic quick coupler and an extendible dipperstick. No Yes

Comments:

03:137 The backhoe with unextend dipperstick shall have a digging depth of at least 17 feet 3 inches (5.25 m) with a 2 foot flat bottom. No Yes

Comments:

03:138 The extendible dipperstick shall extend no less than 4 foot 6 inches (1.37 m). No Yes

Comments:

03:139 Digging depth with extendible dipperstick extended shall be no less than 21 foot 8 inches (6.62 m). No Yes

Comments:





03:140 Machine shall be equipped with a lift mode to increase craning capacity on boom and dipperstick by a minimum of 10 percent. No Yes

Comments:

03:141 The lift capacity at ground level with extendible dipperstick shall be no less than 2807 lbs (1273 kg) for normal lift and 3212 lbs (1457 kg) for lift mode. No Yes

Comments:

03:142 The lift capacity at full height with extendible dipperstick shall be no less than 3857 lbs (1750 kg) for normal lift and 4273 lbs (1978 kg) for lift mode. No Yes

Comments:

03:143 The digging force with extendible backhoe bucket cylinder shall be at least 17,622 lbs (78.4 kN). No Yes

Comments:

03:144 The swing lock pin shall be stored in the operator's station. No Yes

Comments:

03:145 The stabilizer valve will be two directional. No Yes

Comments:

03:146 The stabilizer shall have reversible pads. No Yes

Comments:

03:147 The backhoe boom design shall be a curved design. No Yes

Comments:

03:148 The backhoe boom shall be an hourglass shape for maximum strength and optimized visibility to the work tool. No Yes

Comments:

03:149 The backhoe shall be equipped with a rubber bumper/mechanical linkage (non-cabled) style boom locks to keep the backhoe from vibrating on the swing frame. No Yes

Comments:

03:150 The swing casting shall have dual yokes: on top and on the bottom. No Yes

Comments:

03:151 The backhoe shall be equipped with pilot controls. No Yes

Comments:





03:152 The backhoe shall be equipped with auxiliary hydraulics with flow control valve for one-way flow and plumbing to the end of the dipperstick. No Yes

Comments:

03:153 The unit shall come with a quick coupler backhoe bucket 18 inches (457 mm) heavy-duty 7.5 cu. ft. (2.12 cubic mm). No Yes

Comments:


Comments:


Comments:

03:156 The unit’s loader shall be equipped with a hydraulic quick coupler with a heavy duty multipurpose bucket. No Yes

Comments:

03:157 The multipurpose bucket shall have a bolt on cutting edge. No Yes

Comments:

03:158 The multipurpose bucket shall have 2 hooks mounted to the top of the bucket for lifting, 1 on the left side top and 1 on the right side top. Hook openings to face rearward and be capable of holding 3/8 inch link chain securely.

No Yes

Comments:

03:159 Loader lift capacity with 1.31 cu yd (1.0 cubic m) heavy duty multipurpose bucket at full height shall be at least 7,588 lbs (3441 kg). No Yes

Comments:

03:160 Loader dump clearance with bucket at 45 degrees shall be no less than 8 foot 10 inches (2.69 m). No Yes

Comments:

03:161 Loader digging depth below ground with 1.31 cu yd (1.0 cubic m) heavy duty multipurpose bucket level shall be no less than 7.4 in. (186.9 mm). No Yes

Comments:

03:162 Bucket breakout force shall be no less than 10,600 lbs (47.2 kN). No Yes

Comments:




Item Item Description Compliance 03:163 The loader shall have hydraulic self-leveling and bucket-level indicator. No Yes

Comments:

03:164 The loader shall have divergent loader arms for excellent visibility to the bucket. No Yes

Comments:

03:165 For truck loading, the loader arms will have a curved-highknee design for loading into the center of the truck bed. No Yes

Comments:

03:166 The loader control will be single-lever with electric clutch cutoff switch, auxiliary hydraulics control, and intermittent MFWD on/off. No Yes

Comments:

03:167 The loader shall have a non-removable, hinged loader boom service lock. No Yes

Comments:

03:168 The loader shall have quick coupler forks with a 60 inch carriage and 2.25 inch x 6 inch x 48 inch tines. No Yes

Comments:

03:169 Backhoe shall have an Indeco HP 1800 ABF hydraulic breaker (or equivalent) attachment. No Yes

Comments:

03:170 Breaker’s excavator weight shall be 22,100 pounds minimum to 44,000 pounds maximum. No Yes

Comments:

03:171 Breaker’s operating weight shall be 1,880 pounds. No Yes

Comments:

03:172 Tool diameter for the breaker shall be 4.3 inches. No Yes

Comments:

03:173 Pressure adjusted to the backhoe shall be 2,700 psi. No Yes

Comments:

03:174 Back-pressure at the breaker shall be 145 psi. No Yes

Comments:

03:175 Break energy class shall be 1,800 lb ft. No Yes

Comments:




Item Item Description Compliance 03:176 Breaker shall deliver 420 blows per minute (bpm) minimum to 1,000 bpm maximum. No Yes

Comments:

03:177 Breaker shall be equipped with an automatic centralized greasing kit and all components. No Yes

Comments:

03:178 Breaker shall be equipped with a foldable mounting bracket. No Yes

Comments:

03:179 Breaker foldable mounting bracket shall be compatible with the backhoe quick coupler. No Yes

Comments:

03:180 The breaker will come with a set of standard tools. No Yes

Comments:

03:181 The set of standard tools shall include at a minimum a chisel tool, an asphalt cutter, a pile driver, and a pyramidal point. State tools to be supplied. No Yes

Comments:

03:182 All components required to operate the breaker and listed accessories and tools shall be installed to include but not be limited to pins, bushings, hoses, and pumps. No Yes

Comments:

03:183 Breaker shall be installed, pressure checked, and flow tested. No Yes

Comments:

03:184 Backhoe shall have a NPK C-6C hydraulic compactor/driver (or equivalent) attachment. No Yes

Comments:

03:185 Impulse force of the compactor/driver shall be 16,000 lb ft. No Yes

Comments:

03:186 The compactor/driver shall have 2,200 cycles per minute. No Yes

Comments:

03:187 The compactor/driver’s standard oil flow required shall be no more than 33 gpm. No Yes

Comments:

03:188 Operating pressure with standard hydraulic motor shall be 1,800-2,300 psi for the compactor/driver. No Yes

Comments:




Item Item Description Compliance 03:189 The compactor/driver’s relief pressure setting shall be 2,600 psi. No Yes

Comments:

03:190 Compactor/driver shall be equipped with the swivel feature. No Yes

Comments:

03:191 Compactor/driver’s weight with swivel top bracket shall be no more than 1,715 pounds. No Yes

Comments:

03:192 Base plate dimensions of the compactor/driver shall be 29 inches x 40 inches. No Yes

Comments:

03:193 Compactor/driver’s area of compaction shall be 8.1 square feet. No Yes

Comments:

03:194 Compactor/driver’s base height shall be a nominal 40 inches, base width shall be a nominal 29 inches, and length shall be a nominal 61 inches. No Yes

Comments:

03:195 Compactor/driver shall have a double back fill configuration. No Yes

Comments:

03:196 Compactor/driver’s mounting bracket shall be compatible with the backhoe quick coupler. No Yes

Comments:

03:197 All components required to operate the compactor/driver and listed accessories and tools shall be installed to include but not be limited to pins, bushings, hoses, and pumps. No Yes

Comments:

03:198

All replacement components/parts shall be warehoused in the USA and capable of being delivered within 24 hours. State parts, location of nearest warehouse(s) where parts will have to come from, and delivery times. Use ADDITIONAL COMMENTS section if needed.

No Yes

Comments:

03:199 Complete operations, maintenance, and parts manuals shall be provided as detailed in the TRAINING AND MANUALS section. No Yes

Comments:

04: RADIO EQUIPMENT

It is the intent of these specifications to describe in general the radio equipment required and to assist the bidder by providing a ready contact for the radio equipment.





04:001

Vehicle to have one (1) radio communications headset and harness built to Authority specifications. Head set to have push to talk connections for the radios below. All cable and connections to be shielded. Head set and harness to be configured so they can be exchanged with current vehicles’ head sets and harnesses without additional adapters. Contact: Sue Michels, Emergency Radio Service, Inc. (317) 248-9400.

No Yes

Comments:

04:002

Vehicle to have one (1) Motorola XPR 5550 Mobile Radio (AAM28QNN9KA1AN) with software programming (QA1839BC/XR70), quarter wave antenna (model HAE-4003-A), microphone, and all other appropriate hardware. Frequencies are to be programmed to Authority specifications. Contact: Sue Michels, Emergency Radio Service, Inc. (317) 248-9400.

No Yes

Comments:

04:003

Vehicle to have one (1) Icom model IC-A120-OPC-871 Air Band Transceiver with antenna, microphone, and all other appropriate hardware. Frequencies are to be programmed to Authority specifications. Contact: Roger Love, J&K Communications, Incorporated (317) 271-2050.

No Yes

Comments:

04:004 All assembly parts and accessories needed for proper radio, head set, and harness installation and operation shall be included. Installation shall be in the vehicle’s cab in locations to be determined by the Authority prior to installation.

No Yes

Comments:

04:005 Installation shall be such that power to the radios will turn off and on with the ignition system. No Yes

Comments:

04:006 NO SUBSTITUTES FOR THESE RADIOS WILL BE ACCEPTED. No Yes

Comments:

05: TRAINING AND MANUALS

When our operators and mechanics are thoroughly trained and knowledgeable about the unit, we get better performance and a lower cost per operating hour, and you get a more satisfied customer.


05:001 Upon delivery Bidder shall provide a minimum of two days (a full 16 hours) of training at the delivery location and annually as needed thereafter. No Yes

Comments:

05:002 Equipment training shall cover start up, routine maintenance services, diagnostics and troubleshooting, safe and efficient operation, daily maintenance checks, storage, and overall system familiarity.

No Yes

Comments:





05:003

The successful bidder shall provide the following product support information: two complete sets of manuals (operators, parts, and service) including schematics, CAD drawing, and desktop published photos for each component of the backhoe. One set shall be CD Rom version, and one set shall be standard hard copy.

No Yes

Comments:

05:004 If online parts catalog and ordering is available then it must be provided for the life of the equipment with no additional cost to the Authority. No Yes

Comments:

06: MISCELLANEOUS AND WARRANTIES


06:001 All keys shall be provided in duplicate. No Yes

Comments:

06:002 A complete list of all replaceable filters cross referenced to Fleet Guard must be provided at or before delivery of the unit. No Yes

Comments:

06:003 Bidder must provide a list with current pricing of recommended stock items and quantity for components and parts frequently replaced at or before delivery of the unit. No Yes

Comments:

06:004

A complete list of prices for all the individual attachments (e.g. buckets, breaker) mentioned in this specifications and compliance form including those not purchased at this time must be provided at or before delivery of the unit. Bidder may include pricing for additional attachments Bidder feels may be of benefit to the Authority as long as additional items are separated from the required items.

No Yes

Comments:

06:005 Only components or systems with a minimum guarantee, against defects in material and workmanship, of one year may be bid with this backhoe. No Yes

Comments:

06:006 All batteries shall have no less than a 12 month simple FREE replacement warranty. State warranty period. No Yes

Comments:

06:007 Tires shall be guaranteed against defects in material and workmanship for no less than 12 months. State warranty period. No Yes

Comments:





06:008 The backhoe itself shall be guaranteed against defects in material and workmanship for a minimum period of two full years unlimited hours. State warranty period. No Yes

Comments:

06:009 The backhoe and any of its components or systems with an original manufacturer’s standard warranty lasting longer than the minimum required will carry the original manufacturer’s standard warranty.

No Yes

Comments:

07: DEDUCT AMOUNTS

Although all components listed in this Specifications and Compliance form are items needed there are also budgetary considerations we must take into account. This section is for components that have been identified as not restricting the functionality and safety of the basic equipment while trying to meet those criteria.


07:001

Deductions are for specific components all other components and functionality will remain unchanged if selected. All items of design and equipment not listed in these specifications, but involved in carrying out their intent, are required to be furnished by the bidder, the same as if these items were specifically mentioned and described in these specifications. Vehicle shall meet or exceed all minimum requirements for the backhoe to fully meet functionality and capacities of the unit.

No Yes

Comments:

07:002 Deduction if one or more of the quick coupler backhoe bucket attachments are not purchased at this time. State deduct amount(s). If amounts differ list amounts in order of bucket size, smallest to largest (18 inches/24 inches/36 inches).

No Yes

Comments:

07:003 Deduction if backhoe shall be hydraulic breaker ready but the actual Indeco HP 1800 ABF hydraulic breaker (or equivalent) attachment is not purchased at this time. State deduct amount.

No Yes

Comments:

07:004 Deduction if backhoe shall be hydraulic compactor/driver ready but the actual NPK C-6C hydraulic compactor/driver (or equivalent) attachment is not purchased at this time. State deduct amount.

No Yes

Comments:

07:005 Deduction if section 04: RADIO EQUIPMENT is deleted and provided by the Authority instead. State deduct amount. No Yes

Comments:

07:006 Deduction if any if online parts catalog and ordering is not provided. State deduct amount. No Yes

Comments:




ADDITIONAL COMMENTS

It is the intent of this section to provide additional space to make comments. Entries in this section should follow the order of the specifications and compliance form and be labeled with the original section title, number, and page of the item (e.g. 01: Compliance, Item 01:003, Page 1: Additional comments). If additional space is needed the last page may be duplicated as required.

Type here if you have additional comments.

INDIANAPOLIS AIRPORT AUTHORITY BUSINESS DIVERSITY PLANS The contract goal for Indianapolis Airport Authority (Authority) solicitations is 15% Minority participation, 10% Women participation, and 3% Veteran participation, unless otherwise set out in a solicitation. It is the intent of the Authority to meet or exceed the above mentioned MBE/WBE/VBE goals. A responding vendor must submit, with its quote/bid/response, an Affidavit of Business Diversity Utilization Plan (Schedule A and C) or a Diversity Program Waiver (Schedule B). The Schedule A must show that there are Minority Business Enterprises (MBE), Women Business Enterprises (WBE) and/or that are Veteran Business Enterprises (VBE) certified by either State of Indiana, the City of Indianapolis, or Mid-States Minority Supplier Development Council participating in the proposed contract. If participation is met through the use of vendors who supply products and/or services directly to the Vendor (Subcontractor), the Vendor must provide a description of the products and/or services along with the cost to provide, that are directly related to this quote/bid/proposal. If used as a supplier, only 60% of the value of the supplies can be counted toward achieving the MBE/WBE/VBE goal. The Authority reserves the right to verify all information included on the MBE/WBE/VBE Subcontractor Commitment Form. Vendors must ensure that the proposed subcontractors meet the following criteria:

• Must be certified with the State of Indiana, the City of Indianapolis, or Mid-States Minority Supplier Development Council.

• Each firm may only serve as one classification – MBE, WBE, or VBE • A Vendor who is a MBE, WBE, or VBE must meet subcontractor goals by using other firms certified

by either State of Indiana, the City of Indianapolis, or Mid-States Minority Supplier Development Council.

• Must serve a commercially useful function. The firm must serve a value-added purpose on the engagement.

• Must provide goods or service only in the industry area for which it is certified as listed in the directory of the State of Indiana, the City of Indianapolis, or Mid-States Minority Supplier Development Council

• Must be used to provide the goods or services specific to the contract. • If used as a supplier, only 60% of the value of the supplies can be counted toward achieving the

MBE/WBE/VBE goal. Schedule B: Application for Business Diversity Program Waiver is submitted when a vendor is unable to meet the established goals. In such a case, the vendor must submit with the Application for Waiver all documentation showing their good faith efforts to include MBE, WBE and VBE firms. Vendors are encouraged to contact and work with the IAA Supplier Diversity Department, (317) 487-5374, to develop subcontractor involvement to meet established goals. SCHEDULE C: MBE/WBE/VBE Statement of Intent to Perform Work A signed Schedule C from the MBE, WBE and/or VBE must be submitted prior to award of the contract. Each Schedule C shall state and will serve as acknowledgement from the subcontractor MBE, WBE and/or VBE of its subcontract amount and a description of products and/or services to be provided on the project. By submission of the quote/bid/proposal, the Vendor acknowledges and agrees to be bound by the regulatory processes involving the IAA’s MBE/WBE/VBE Program. Questions involving the regulations governing the MBE/WBE/VBE Subcontractor Schedules should be directed to:

IAA Supplier Diversity Department (317) 487-5374

[email protected]

mailto:[email protected]

Indianapolis Airport Authority

Schedule A: Affidavit of Supplier Diversity Utilization Plan

Prime Contractor/Bidder Name, Address, Telephone: Project Name: Project Number:

Total Bid Dollar Amount: First Submission:

Revised Submission:

Affidavit of _________________________________________________. I do hereby certify that on the_______________________________________________ (Project Name), Project Number_____________, Amount of Bid $_____________________, I will expend a minimum of ________% of the total dollar amount of the contract with certified minority owned business enterprises (MBEs), a minimum of ________% of the total dollar amount of the contract with certified woman owned business enterprises (WBEs), and a minimum of ________% of the total dollar amount of the contract with certified veteran owned business enterprises (VBEs). Project work will be contracted to the firms listed below.

Name and Phone Number MBE/WBE/VBE? *Category Work Description Dollar Value

*MBE/WBE/VBE Categories: Female (F), African American (B), Hispanic (H), Asian American (A), American Indian (I). Pursuant to the requirements of the Indianapolis Airport Authority Supplier Diversity Program, the undersigned will enter into a formal agreement with MBEs, WBEs and VBEs for work listed in this schedule conditional upon execution of a contract with the Owner. Failure to fulfill this commitment may constitute a breach of contract. The Undersigned hereby certifies that he or she has read the terms of this commitment and is authorized to bind the bidder to the commitment herein set forth. Signature of Authorized Officer: Printed Name of Authorized Officer: Title:

Date:

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

Indianapolis Airport Authority Schedule B: Application for Supplier Diversity Program Waiver

Bidder/Prime Contractor Name, Address, Telephone: Project Name: Project Number:

Total Bid Dollar Amount:

MBE/WBE/VBE Targets for this contract: _____%MBE _____%WBE _____%VBE Percentages achieved to date: _____%MBE _____%WBE _____%VBE Requesting a waiver of: _____%MBE _____%WBE _____%VBE I have contacted the IAA Manager for assistance _______yes _______no Number of MBE firms contacted: _________ (Attach list of names) Number of WBE firms contacted: _________ (Attach list of names) Number of VBE firms contacted: _________ (Attach list of names)

Attach documentation of your good faith efforts to secure, contact, and negotiate with MBEs, WBEs and VBE’s, including:

1. The reasons your company is unable to secure sufficient MBE/WBE/VBE participation to meet the stated goals.

2. The efforts made by your company to select portions of the contract to be performed by MBEs, WBEs and VBEs.

3. For each MBE, WBE or VBE that placed a bid that you consider to be unacceptable, a statement that explains the basis for that conclusion.

I hereby certify that ____________________________________, as bidder/prime contractor bidding on the above named project; we have made good faith efforts as described in the attached documents to include MBE/WBE/VBE companies in this project. Despite these efforts, we are unable to meet the stated goals or targets and are therefore requesting a waiver as described above. Signature of Authorized Officer: Printed Name of Authorized Officer: Title:

Date:

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

Indianapolis Airport Authority Schedule C: MBE/WBE/VBE Statement of Intent to Perform Work

MBE/WBE/VBE Name, Address, Telephone: Prime Contractor Name, Address, Telephone: Project Name:

Project Number:

Total Bid Dollar Amount:

MBE/WBE/VBE Dollar Amount:

MBE/WBE/VBE % of Total Bid Amount:

The above named MBE/WBE/VBE will perform as a subcontractor, subconsultant, or material supplier for

the above described project. The undersigned intends to perform work in connection with the above

referenced project as (check one):

Sole Proprietor____ Partnership____ Corporation____ Limited Liability Company____ Joint Venture____ Other________________

The above named certified MBE/WBE/VBE is (check all that apply): Woman owned____ African American____ Hispanic____ Asian American____ American Indian____

The MBE/WBE/VBE status of the undersigned is confirmed by the attached letter of certification. The undersigned is prepared to provide the following described services or supply the following described goods in connection with the above-named project:

Sub-contracting levels (if not applicable, enter zero): ________% of the dollar value of this MBE/WBE/VBE subcontract will be sublet to non- MBE/WBE/VBE contractors. ________% of the dollar value of this MBE/WBE/VBE subcontract will be sublet to MBE/WBE/VBE contractors.

The undersigned subcontractor will enter into a contract with ________________________ for the work/service described above upon the prime contractor’s execution of a contract with the Owner. Signature of Authorized MBE/WBE/VBE Officer: Printed Name of Authorized MBE/WBE/VBE Officer: Title:

Date:

I, the above bidder/prime contractor, agree to the terms and conditions stated above. Signature of Authorized Bidder/Prime Contractor Officer: Printed Name of Authorized Bidder/Prime Contractor Officer: Title:

Date:

NON-COLLUSION CERTIFICATION

This is to certify that the Respondent being duly affirmed under oath says, that he or she is the contracting party or a duly authorized representative or agent for the Respondent; that he or she has not, nor has any other employee of the company represented by him or her, directly or indirectly, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he or she has not received or paid, any sum of money or other consideration for the execution of the attached contract other than that which appears upon the face of the contract.

SIGNATURE

This is to certify that the Respondent or any person authorized on behalf of the Respondent has examined, understands and agrees to the specifications, including General and Special conditions set forth in this document. RESPONDENT ___________________________________________________ FEDERAL ID NUMBER ____________________________________________________ (Circle to indicate if your FIN is a TIN or SSN) ADDRESS _______________________________________________________________ CITY ________________________ STATE____________ ZIP CODE _______________ TYPE OF BUSINESS (i.e. Corporate, Sole Proprietor, LLC, etc.) ________________________________________________________________________ TELEPONE NUMBER (____) _____________ FAX NUMBER (____) ______________ E-MAIL ADDRESS: _______________________________________________________ If awarded a contract, the Respondent will provide supplies, equipment, and/or services in accordance with the general conditions, specifications, certifications, and other documents contained within this solicitation. I, _______________________________, the undersigned _______________________ (Signature of Officer) (Print Office Held) of the above named bidder under penalties of perjury this _________day of ____________, 20____, certify that I hold the aforementioned Office in the above Bidder company and that the representations are true and accurate.

TERMS AND CONDITIONS

1. ACKNOWLEDGEMENT: This Agreement contains the complete and final Agreement between the Indianapolis Airport Authority (IAA) and the Vendor/Contractor and no other Agreement in any way modifying any of said Terms and Conditions will be binding upon the IAA or the Vendor/Contractor unless made in writing and signed by the IAA’s and the Vendor/Contractor’s authorized representatives.

2. PRICING: Unit price must be entered and extended, and the total price of the solicitation must be shown. If there is an error between the unit price and total

price, the unit price shall prevail. Awarded Prices: Prices listed for each item are firm and cannot be changed. Any revision in price may be rejected at the discretion of the IAA, and may result in cancellation of the Purchase Order without recourse on the part of the awarded Vendor/Contractor.

3. OPEN COMPETITION: The specifications contained herein are intended to be nonrestrictive. Although at times brand names and model numbers may be

used, they are merely intended to be guidelines to establish criteria and quality for competitive bidding. Alternate quotes/bids will be evaluated and may be acceptable as long as they can be verified as equal to or better than specified as determined by the IAA. All offerors bidding alternate products are requested to submit detailed specifications with their solicitation. Any Specifications, drawings, notes, instructions, engineering notices or technical data referred to in the Solicitation/Purchase Order shall be deemed to be incorporated herein by reference as if fully set forth.

4. TERMINATION FOR CONVENIENCE: This Agreement may be terminated, in whole or in part, by the IAA whenever, for any reason, the IAA determines that

such termination is in the best interest of the IAA. Termination shall be affected by delivery to the Vendor/Contractor of a Termination Notice at least thirty (30) days prior to the termination effective date, specifying the extent to which performance of services under which such termination becomes effective. The Vendor/Contractor shall be compensated for performance prior to the notice date of termination but in no case, shall total payment made to the Vendor/Contractor exceed the original Agreement price due on Agreement. No price increases shall be allowed on individual line items if canceled only in part prior to the original termination date.

5. INSURANCE: If this Agreement provides for work to be performed by the Vendor/Contractor on property owned or controlled by the IAA, or on property of

others named herein, the Vendor/Contractor shall be responsible for providing all necessary unemployment, professional liability and workers’ compensation insurance for the Vendor/Contractor’s employees and liability and property/casualty insurance, as required by the IAA. Upon request, Vendor/Contractor shall furnish a written Certificate of Insurance specifying the name of the Insurer, the policy, the expiration date and coverage acceptable to the IAA.

6. F.O.B. Destination: IAA solicitations are considered to be submitted on a delivered basis; therefore all solicitations will be considered to be made on the basis

of all shipping charges prepaid and allowed. If transportation charges are NOT allowed, the Vendor/Contractor must so state and show such charges in the solicitation response. The shipment must be prepaid and transportation charges added to the invoice. The IAA will pay for such transportation charges only on the basis of the lower price, whether it is the price shown in the solicitation response or the charges shown on the prepaid freight bill. THE IAA DOES NOT HAVE FACILITIES FOR COLLECT SHIPMENTS; THEREFORE, COLLECT SHIPMENTS WILL NOT BE ACCEPTED.

7. DELIVERY: Delivery must be made at date/time agreed upon. If any indicated or actual delays arise, the using agency must be notified immediately by the

Vendor/Contractor, in writing, with the cause for such delay stated. If any goods are not delivered within the time specified on the Purchase Order, or within a reasonable time not exceeding 30 days after receipt of a Purchase Order if no time is specified, the using agency may refuse to accept such goods, and this Agreement may be cancelled. Each package shall be numbered and labeled with the IAA’s Purchase Order number, contents, and weight, and shall contain an itemized packing slip and be properly packaged for shipment.

8. QUANTITY: Goods shipped in excess of quantity designated in the Purchase Order may be returned at the Vendor/Contractor’s expense.

9. COMPLIANCE WITH SPECIFICATIONS: The goods and/or services shall conform strictly to the specifications, drawings, or samples specified or furnished in

connection with the bid/quote, all of which are incorporated herein. The Vendor/Contractor warrants all goods and/or services delivered to be free from defects of material or workmanship. This warranty shall survive any inspection, delivery, acceptance, or payment by the IAA of the goods and/or services. Inspections shall be on the IAA’s premises unless otherwise specified. The IAA shall have the right to reject and return, at the Contractor’s expense, or to require at the Contractor’s expense, the correction or replacement of materials, workmanship, or services which are defective or that do not conform to the requirements of the Purchase Order.

10. TITLE: Title to all drawings, blueprints, dies, patterns, tools and all other property prepared or constructed by Vendor/Contractor at Vendor/Contractor’s plant

or elsewhere or ordered for use in connection with the order to the extent that IAA has made payment, therefore, or has furnished to Vendor/Contractor at no charge, shall vest in and be the property of the IAA and shall be identified as such; and Vendor/Contractor assumes all liability for loss or failure to deliver such property to the IAA.

11. WARRANTY: Contractor will furnish all parts and maintenance at no charge for a period of at least 90 days or the manufacturer’s stated warranty, whichever

is longer, provided that such maintenance and parts are not required because of an accident, neglect, misuse, or force majeure event. Contractor shall be responsible for removal and/or disposal of all replaced parts. Prior to the expiration of the warranty period, whenever equipment is shipped for a mechanical replacement purpose, the Contractor shall bear all cost of such shipment, including, but not limited to, cost of packaging, transportation, rigging drayage, and insurance. All replacements shall be covered by a new warranty.

12. INTELLECTUAL PROPERTY DEFENSE: The Contractor shall, at its own expense, defend, indemnify, and hold harmless, the IAA with respect to any claims that

the goods and/or services furnished under this Agreement violates any third party intellectual property rights including, but not limited to, patents, copyrights, trademarks and trade secrets.

13. PAYMENTS: All payments shall be made in arrears in conformance with IAA fiscal policies and procedures. No payments will be made in advance of receipt

of the goods or services that are the subject of this Agreement except as permitted by IC 4-13-2-20.

14. COMPLIANCE WITH LAWS: The Vendor/Contractor agrees to comply with all applicable federal, state, and local laws, rules, regulations, or ordinances, and all provisions required thereby to be included herein are hereby incorporated by reference. The enactment of any state or federal statute or the promulgation of regulations thereunder after execution of this Agreement shall be reviewed by the IAA and the Vendor/Contractor to determine whether the provisions of this Agreement require formal modification.

15. NONDISCRIMINATION: Pursuant to IC 22-9-1-10 and Civil Rights Act of 1964, the Vendor/Contractor and its Agents, if any, shall not discriminate against any

employee or applicant for employment, to be employed in the performance of this Agreement, with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, because of race, religion, sex, disability, national origin, ancestry, or status as a veteran. The Vendor/Contractor, and its subcontractor(s), if any, shall comply with all applicable affirmative action reporting requirements. Breach of this covenant may be regarded as a material breach of this Agreement. The Vendor/Contractor shall comply with Section 202 of Executive Order 11246, as amended, 41 CFR 60-250, and 41 CFR 60-741, as amended.

16. TAXES: Prices listed on an invoice submitted by the Vendor/Contractor for payment is not to include any tax for which the IAA is exempt. The IAA will furnish

a tax exempt certificate, if requested by the Contractor. The IAA will not be responsible for any taxes levied on the Vendor/Contractor as a result of this Agreement.

17. FORCE MAJEURE: In the event that either party is unable to perform any of its obligations under this Agreement, or to enjoy any of its benefits, because of

natural disaster or decrees of governmental bodies not the fault of the affected party (“Force Majeure Event”), the party who has been so affected shall immediately give notice to the other party and shall do everything possible to resume performance. Upon receipt of such notice, all obligations under this

Agreement shall be immediately suspended. If the period of nonperformance exceeds thirty (30) days from the receipt of notice of the Force Majeure Event, the party whose ability to perform has not been so affected may, by giving written notice, terminate this Agreement.

18. GOVERNING LAWS: This Agreement shall be construed in accordance with and governed by the laws of the State of Indiana and suit, if any, must be brought

in the State of Indiana.

7800 Col. H. Weir Cook Memorial Dr. Indianapolis, IN 46241 www.indianapolisairport.com 317.487.5329 office 317.487.5006 fax

***ACTION REQUIRED***

Attn: Accounts Receivable Department

Suppliers of the Indianapolis Airport Authority are required to complete the enclosed Survey A and Survey B. The Indianapolis Airport Authority will not be able to make purchases or pay any outstanding invoices from your company until the surveys are completed. Please email the completed surveys to [email protected] (preferred method). If email is not an option for your company, the completed surveys can be faxed to Owen Hartnett at 317-487-5006 or mailed to: Owen Hartnett Procurement Department Indianapolis Airport Authority 7800 Col. H. Weir Cook Memorial Drive Indianapolis IN 46241 Included for your reference is information about the Indianapolis Airport Authority. In the future, if the information submitted by your company changes (i.e. new company name, remittance address, ownership, certification, etc.) please email [email protected]. We will request a new Supplier Survey A and B to be completed to update our records. If you have any questions, please call Owen Hartnett at 317-487-5329. Thank you, Owen Hartnett Procurement Coordinator Enclosures



SUPPLIER SURVEY A Prepared for Indianapolis Airport Authority

Organization Name: _________________________________________________________________________ Mailing Street Address: ______________________________________________________________________ City: _________________________________ State: _______________Zip:________________ Location of Corporate Headquarters City: __________________________ State: ____ Zip: _______ Remittance Address (if different than Mailing Address above) Organization Name or Factor/Special Payee: _________________________________ Remittance Address: ________________________________________________________________________ City: ________________________________ State:_______________ Zip: ________________ Category of goods and/or services your organization supplies: ___________________________________________________ (See next page for a listing of category options) Organization Phone Number: (____)_______________________ Fax Number: (____)_______________________ Website Address: ______________________________________________ Ownership of your organization: A. Ethnicity and Gender – CHECK ALL THAT APPLY- See next page for definitions

___Woman Owned ___Asian American Owned ___African American Owned ___Hispanic Owned ___Native American or Alaskan Owned ___Other Owned (as described per definition #5 on the next page)

B. Type(s) of certification – CHECK ALL THAT APPLY - See next page for definitions ___MBE - Minority Business Enterprise ___VBE - Veteran Business Enterprise ___WBE - Woman Business Enterprise ___SBE - Small Business Enterprise ___DBE - Disadvantaged Business Enterprise Diverse Vendor Certification(s) and Membership(s) awarded to your organization – CHECK ALL THAT APPLY AND ENTER CERTIFICATION DATES FOR CITY AND STATE. SEND CERTIFICATIONS WITH COMPLETED FORM. ___City of Indianapolis Diverse Vendor Certification→ Start Date: ___/___/_____ End Date: ___/___/____ ___State of Indiana Diverse Vendor Certification → Start Date: ___/___/_____ End Date: ___/___/____ ___IMDSC – Indiana Minority Supplier Development Council ___HUsB – Historically Underutilized Small Businesses ___NAWBO – National Association of Woman Business Owners ___Other(s) please list: ____________________________________

If we have any questions about this completed survey, we should contact the following person at your organization: Name: ___________________________________ Title: ____________________________________ Phone Number: (____)______________________ ****Don’t forget Survey A and Survey B (W9 enclosed) must be completed and returned to the Indianpolis Airport Authority (IAA) before any payments can be made. In the future, if any of the information submitted changes contact IAA immediately. IAA will require a new supplier survey A and B to be completed in order to update our records.****

Email to [email protected] Form Updated: 04/22/2013

DEFINITIONS “Ethnicity” refers to individuals or groups who are citizens or lawful permanent residents of the United States and are of one or more of the following: 1. African-American (a person with origins in any of the black racial groups of Africa) 2. Asian-American (a person with the origins in any of the original peoples of the Far East, Southeast Asia,

the Indian Subcontinent or the Pacific Islands) 3. Hispanic (a person of Spanish culture with origins in Mexico, South or Central America, or Puerto Rico, or

Cuba or other Spanish origin, regardless of race) 4. Native-American or Alaskan Native 5. Members of other groups, or other individuals, found to be economically and socially disadvantaged by

the Small Business Administration under section 8(a) of the Small Business Act, as amended (15U.S.C 637(a))

“MBE - Minority Business Enterprise” is a sole proprietorship, partnership, corporation or joint venture of which a minimum of 51% is owned by one or more minorities. In the case of a proprietorship or partnership, the minority owner/s must be engaged in the daily management control and operation of the business concern. In the case of a corporation, minority stockholders must be in control of the management and daily business operations, and a majority of the directors must be of the following minority groups: African-American, Asian-American, Hispanic, Native American, Alaskan Native or members of other minority groups. “WBE - Woman Business Enterprise” is a sole proprietorship, partnership, corporation or joint venture of which women own a minimum of 51%. In the case of a proprietorship or partnership, the daily management and operation of the business concern is controlled by least one of the women who own the business. In the case of a corporation, women stockholders must be in control of the management and daily business operations, and a majority of the directors must be women. “DBE - Disadvantaged Business Enterprise” is a sole proprietorship, partnership, corporation or joint venture of which a person that is socially and economically disadvantaged owns a minimum of 51%. In the case of a proprietorship or partnership, the daily management and operation of the business concern is controlled by at least one of the socially and economically disadvantaged individuals who own the business. In the case of a corporation, socially and economically disadvantaged stockholders must be in control of the management and daily business operations, and a majority of the directors must be socially and economically disadvantaged. “VBE – Veteran Business Enterprise”: To be counted as a VBE with the Indianapolis Airport Authority firm must: Be registered with the U.S. Department of Veteran Affairs and Firm must submit letter from the US Department of Veteran Affairs to verify VA classification to the City of Indianapolis Department of Minority Business Development. Eligible Firms are: (a) Service Disabled Veteran and/or A Veteran; (b) A Small Business Concern; and (c) A Veteran-Owned Business or a (d) Service Disabled Veteran – Owned Business

(a) Service Disabled Veteran: A veteran who possesses a disability rating letter issued by the Department of Veterans Affairs, establishing a service-connected rating between 0 and 100% or a disability determination from the Department of Defense. The term ''service-connected'' means, with respect to disability or death, that such disability was incurred or aggravated, or that the death resulted from a disability incurred or aggravated, in line of duty in the active military, naval, or air service. [Title 38 Section 101 (16)]

(b) Small Business Concern: See SBA guidelines The term ''small business concern owned and controlled by veterans'' is defined as ''(A) not less than 51 percent of which is owned by one or more veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and (B) the management and daily business operations of which are controlled by one or more veterans.'' (A firm’s gross receipts must not exceed the industry size limits for the business.) [Title 15 Section 632(a)]

(c) Veteran-owned Business: Not less than 51% of which is owned by one or more veterans, or in the case of any publicly owned business, not less than 51% of the stock of which is owned by one or more veterans; and the management and daily business operations of which are controlled by one or more veterans The term ''veteran'' means a person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable. [Title 38 Section 101 (2)]

(d) Service Disabled Veteran-Owned Business: Not less than 51% of which is owned by one or more service-disabled veterans, or in the case of any publicly owned business, not less than 51% of the stock of which is owned by one or more service-disabled veterans; and the management and daily business operations of which are controlled by one or more service-disabled veterans, or in the case of a veteran with a permanent and severe disability, a spouse or permanent caregiver of such veteran.

“SBE – Small Business Enterprise” See SBA guidelines

CATEGORIES OF GOODS AND SERVICES

Advertising Fencing Lumber Safety supplies/services

Aggregates Filters Mechanical/electrical Security

Alarm systems Fire extinguisher supply Office supplies/equipment Sewer inspection

Architecture Firearms/ammunition Paint and wall coverings Signs

Audio/visual equipment First aid supplies/equipment Pavement/grounds material Snow and ice supplies/service

Awards/engraving Floor covering Pest control Specialty items

Baggage conveyor Fuel - gasoline/oil/diesel Photographer Staffing agencies

Building materials General contractor Plumbing supplies/services Subscription

Carpet cleaning Glass supplies/repairs Printing Telecommunications

Catering services/food Government/State Professional service categories: 1. Business Develop/Marketing Tools

Chemicals Graphic design 2. Construction Services Training

Communications equipment Hotels/lodging 3. Engineering/Environment Trash removal/equipment

Computer hard/software HVAC- supplies/repairs 4. Finance/Accounting/Banking Travel agency

Concrete Insurance 5. Information Technology Trucking/transport

Conference Fee/Registration Interpreter 6. Legal Uniforms

Courier services Investment company 7. Real Estate Utilities

Door supplies/repairs Janitorial service/supply 8. Other Vehicle dealership

Electrical supplies Job Agency Professional organization Vehicle parts

Elevator/escalator Landscaping/mowing Recruitment Vehicle repair service

Entertainers Laundry Rentals/leasing Water conditioner/treatment

Erosion control Licenses Reporting Window cleaning

Excavation Lighting Roof supplies/repairs

Form W-9(Rev. December 2011)Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

Give Form to the requester. Do not send to the IRS.

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Name (as shown on your income tax return)

Business name/disregarded entity name, if different from above

Check appropriate box for federal tax classification:

Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ▶

Other (see instructions) ▶

Exempt payee

Address (number, street, and apt. or suite no.)

City, state, and ZIP code

Requester’s name and address (optional)

List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.

Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.

Social security number

– –

Employer identification number

–

Part II CertificationUnder penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

3. I am a U.S. citizen or other U.S. person (defined below).

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4.

Sign Here

Signature of U.S. person ▶ Date ▶

General InstructionsSection references are to the Internal Revenue Code unless otherwise noted.

Purpose of FormA person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA.

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners’ share of effectively connected income.

Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien,

• A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States,

• An estate (other than a foreign estate), or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners’ share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income.

Cat. No. 10231X Form W-9 (Rev. 12-2011)

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E-mail to [email protected]

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SURVEY B

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Form W-9 (Rev. 12-2011) Page 2

The person who gives Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States is in the following cases:

• The U.S. owner of a disregarded entity and not the entity,

• The U.S. grantor or other owner of a grantor trust and not the trust, and

• The U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

Foreign person. If you are a foreign person, do not use Form W-9. Instead, use the appropriate Form W-8 (see Publication 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items:

1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

2. The treaty article addressing the income.

3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.

4. The type and amount of income that qualifies for the exemption from tax.

5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity not subject to backup withholding, give the requester the appropriate completed Form W-8.

What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS a percentage of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

1. You do not furnish your TIN to the requester,

2. You do not certify your TIN when required (see the Part II instructions on page 3 for details),

3. The IRS tells the requester that you furnished an incorrect TIN,

4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or

5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

Certain payees and payments are exempt from backup withholding. See the instructions below and the separate Instructions for the Requester of Form W-9.

Also see Special rules for partnerships on page 1.

Updating Your InformationYou must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies.

PenaltiesFailure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

Specific InstructionsNameIf you are an individual, you must generally enter the name shown on your income tax return. However, if you have changed your last name, for instance, due to marriage without informing the Social Security Administration of the name change, enter your first name, the last name shown on your social security card, and your new last name.

If the account is in joint names, list first, and then circle, the name of the person or entity whose number you entered in Part I of the form.

Sole proprietor. Enter your individual name as shown on your income tax return on the “Name” line. You may enter your business, trade, or “doing business as (DBA)” name on the “Business name/disregarded entity name” line.

Partnership, C Corporation, or S Corporation. Enter the entity's name on the “Name” line and any business, trade, or “doing business as (DBA) name” on the “Business name/disregarded entity name” line.

Disregarded entity. Enter the owner's name on the “Name” line. The name of the entity entered on the “Name” line should never be a disregarded entity. The name on the “Name” line must be the name shown on the income tax return on which the income will be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a domestic owner, the domestic owner's name is required to be provided on the “Name” line. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on the “Business name/disregarded entity name” line. If the owner of the disregarded entity is a foreign person, you must complete an appropriate Form W-8.

Note. Check the appropriate box for the federal tax classification of the person whose name is entered on the “Name” line (Individual/sole proprietor, Partnership, C Corporation, S Corporation, Trust/estate).

Limited Liability Company (LLC). If the person identified on the “Name” line is an LLC, check the “Limited liability company” box only and enter the appropriate code for the tax classification in the space provided. If you are an LLC that is treated as a partnership for federal tax purposes, enter “P” for partnership. If you are an LLC that has filed a Form 8832 or a Form 2553 to be taxed as a corporation, enter “C” for C corporation or “S” for S corporation. If you are an LLC that is disregarded as an entity separate from its owner under Regulation section 301.7701-3 (except for employment and excise tax), do not check the LLC box unless the owner of the LLC (required to be identified on the “Name” line) is another LLC that is not disregarded for federal tax purposes. If the LLC is disregarded as an entity separate from its owner, enter the appropriate tax classification of the owner identified on the “Name” line.

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Other entities. Enter your business name as shown on required federal tax documents on the “Name” line. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on the “Business name/disregarded entity name” line.

Exempt Payee If you are exempt from backup withholding, enter your name as described above and check the appropriate box for your status, then check the “Exempt payee” box in the line following the “Business name/disregarded entity name,” sign and date the form.

Generally, individuals (including sole proprietors) are not exempt from backup withholding. Corporations are exempt from backup withholding for certain payments, such as interest and dividends.

Note. If you are exempt from backup withholding, you should still complete this form to avoid possible erroneous backup withholding.

The following payees are exempt from backup withholding:

1. An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2),

2. The United States or any of its agencies or instrumentalities,

3. A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities,

4. A foreign government or any of its political subdivisions, agencies, or instrumentalities, or

5. An international organization or any of its agencies or instrumentalities.

Other payees that may be exempt from backup withholding include:

6. A corporation,

7. A foreign central bank of issue,

8. A dealer in securities or commodities required to register in the United States, the District of Columbia, or a possession of the United States,

9. A futures commission merchant registered with the Commodity Futures Trading Commission,

10. A real estate investment trust,

11. An entity registered at all times during the tax year under the Investment Company Act of 1940,

12. A common trust fund operated by a bank under section 584(a),

13. A financial institution,

14. A middleman known in the investment community as a nominee or custodian, or

15. A trust exempt from tax under section 664 or described in section 4947.

The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 15.

IF the payment is for . . . THEN the payment is exempt for . . .

Interest and dividend payments All exempt payees except for 9

Broker transactions Exempt payees 1 through 5 and 7 through 13. Also, C corporations.

Barter exchange transactions and patronage dividends

Exempt payees 1 through 5

Payments over $600 required to be reported and direct sales over $5,000 1

Generally, exempt payees 1 through 7 2

1 See Form 1099-MISC, Miscellaneous Income, and its instructions.2 However, the following payments made to a corporation and reportable on Form

1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney, and payments for services paid by a federal executive agency.

Part I. Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. However, the IRS prefers that you use your SSN.

If you are a single-member LLC that is disregarded as an entity separate from its owner (see Limited Liability Company (LLC) on page 2), enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.

Note. See the chart on page 4 for further clarification of name and TIN combinations.

How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local Social Security Administration office or get this form online at www.ssa.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/businesses and clicking on Employer Identification Number (EIN) under Starting a Business. You can get Forms W-7 and SS-4 from the IRS by visiting IRS.gov or by calling 1-800-TAX-FORM (1-800-829-3676).

If you are asked to complete Form W-9 but do not have a TIN, write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

Note. Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.

Caution: A disregarded domestic entity that has a foreign owner must use the appropriate Form W-8.

Part II. CertificationTo establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, below, and items 4 and 5 on page 4 indicate otherwise.

For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on the “Name” line must sign. Exempt payees, see Exempt Payee on page 3.

Signature requirements. Complete the certification as indicated in items 1 through 3, below, and items 4 and 5 on page 4.

1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.

2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.

3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.


4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

What Name and Number To Give the RequesterFor this type of account: Give name and SSN of:

1. Individual The individual2. Two or more individuals (joint

account)The actual owner of the account or, if combined funds, the first individual on the account 1

3. Custodian account of a minor (Uniform Gift to Minors Act)

The minor 2

4. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law

The grantor-trustee 1

The actual owner 1

5. Sole proprietorship or disregarded entity owned by an individual

The owner 3

6. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulation section 1.671-4(b)(2)(i)(A))

The grantor*

For this type of account: Give name and EIN of:

7. Disregarded entity not owned by an individual

The owner

8. A valid trust, estate, or pension trust Legal entity 4

9. Corporation or LLC electing corporate status on Form 8832 or Form 2553

The corporation

10. Association, club, religious, charitable, educational, or other tax-exempt organization

The organization

11. Partnership or multi-member LLC The partnership12. A broker or registered nominee The broker or nominee

13. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments

The public entity

14. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulation section 1.671-4(b)(2)(i)(B))

The trust

1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.

2 Circle the minor’s name and furnish the minor’s SSN.

3 You must show your individual name and you may also enter your business or “DBA” name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.

4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships on page 1.

*Note. Grantor also must provide a Form W-9 to trustee of trust.

Note. If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

Secure Your Tax Records from Identity TheftIdentity theft occurs when someone uses your personal information such as your name, social security number (SSN), or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

To reduce your risk:

• Protect your SSN,

• Ensure your employer is protecting your SSN, and

• Be careful when choosing a tax preparer.

If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.

If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

For more information, see Publication 4535, Identity Theft Prevention and Victim Assistance.

Victims of identity theft who are experiencing economic harm or a system problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.

Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.

The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.

If you receive an unsolicited email claiming to be from the IRS, forward this message to [email protected]. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at: [email protected] or contact them at www.ftc.gov/idtheft or 1-877-IDTHEFT (1-877-438-4338).

Visit IRS.gov to learn more about identity theft and how to reduce your risk.

Privacy Act NoticeSection 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

Information Sheet

For

Indianapolis Airport Authority 7800 Col. H. Weir Cook Memorial Drive

Indianapolis, Indiana 46241-4941

Phone Number: 317.487.9594 Fax Number: 317.487.5006

Tax Information

Taxpayer ID: 35-1065397

Indiana Sales Tax Information

Exemption Number: 0101743807-001

Addresses:

Billing Address: Attn: Accounts Payable Indianapolis Airport Authority 7800 Col H. Weir Cook Memorial Drive Indianapolis, IN 46241-4941

Delivery Address: Attn: Receiving Department Indianapolis Airport Authority 2000 South Banner Avenue Indianapolis, IN 46241

Contacts: Stacy Stevenson – Accounts Payable [email protected]

Holli Harrington – Supplier Diversity Director Email [email protected] Website supplierdiversity.ind.com

Additional Information:

Payment Terms: Net 30 Purchase Order Number: Required on all Invoices and Packing Slips

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