CITY OF GALESBURG. PURCHASING 55 W Tompkins St Galesburg, IL Phone: (309)

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CITY OF GALESBURG PURCHASING 55 W Tompkins St Galesburg, IL 61401 Phone: (309) 345-3678 INVITATION FOR BIDS For the purchase of (1) one new refuse collection truck to be utilized by the Parks

An advertisement for sealed bids on the above was published in the Galesburg Register-Mail on October 02, 2013 As stated in such notice, bids will be received until 11:00 a.m., local time, October 23, 2013 and, at that time, publicly opened and read aloud in the Basement Conference Room, located in City Hall.

1 CITY OF GALESBURG PURCHASING 55 W Tompkins St Galesburg, IL Phone: (309) INVITATION FOR BIDS For the purchase of (1) one new refuse collection truck to be utilized by the Parks Division Instructions to Bidders 1. An advertisement for sealed bids on the above was published in the Galesburg Register-Mail on October 02, 2013 As stated in such notice, bids will be received until 11:00 a.m., local time, October 23, 2013 and, at that time, publicly opened and read aloud in the Basement Conference Room, located in City Hall. 2. The person, firm or corporation making a bid shall submit it in a sealed envelope to the Purchasing Agent or his duly designated representative on or before the hour and the day stated above. The notation "Bid on (1) one refuse collection truck for Parks Division shall appear on the outside of the sealed envelope. The bidder shall also include their Company name and address on the outside of the submitted envelope. 3. The bidder shall insert the price, and supply all the information as indicated on the Bid Form. The prices inserted shall be net and shall be the full cost for the items specified, including all factors whatsoever. 4. No charge will be allowed for taxes from which the City of Galesburg is exempt: the Illinois Retailer s Occupation Tax, the Service Occupation Tax, the Service Use Tax, the Use Tax, Federal Excise and Transportation Tax. 5. Each bidder shall affirm that no official or employee of the City of Galesburg is directly or indirectly interested in this bid for any reason of personal gain. 6. Delivery of the goods and/or services shall be as stated in the bid documents. 7. No bid may be changed or withdrawn after the time of the bid opening. Any modifications or withdrawals requested before this time shall be acceptable only when such request is made in writing and agreed to by the Purchasing Agent.

2 8. The City of Galesburg reserves the right to reject any and all bids and to waive any informalities or technicalities in the bidding. Any bid submitted will be binding for (60) sixty days after the date of the bid opening. 9. The City has adopted an Equal Employment Opportunity Clause, which is incorporated into all specifications, purchase orders, and contracts, whereby a vendor agrees not to discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, or ancestry. A copy of this clause may be obtained at the City Clerk s Office, City Hall, Galesburg, Illinois. 10. The City of Galesburg has adopted an Affirmative Action Program. All formal sealed bids must be accompanied by a properly prepared Certificate of Compliance Form, whereby the vendor certifies the number of employees he has in each class of employment, and that affirmative action has been taken to ensure equality of opportunity in all aspects of employment. 11. Bidder certifies that all laws of the State of Illinois and ordinances of the City of Galesburg in effect at the date of bidding shall be observed by him. Evidence of any violation during the term of the agreement shall be considered sufficient reason to discontinue purchases by the City from that supplier. 12. These instructions are to be considered an integral part of any bid. Dated: October 2, 2013 Kraig Boynton Purchasing Agent

3 CITY OF GALESBURG, ILLINOIS Specifications for (1) one new rear loading refuse collection truck to be utilized by the Parks Division GENERAL: This bid is for the purchase of (1) one new rear loading refuse collection truck to be utilized by the Parks Division. The new unit will replace unit #503, a 1997 Ford F350 diesel with HaulAll non-compacting trash body. The truck shall be a new model and shall closely meet or exceed the following below listed specifications. Applicable literature shall be supplied by vendor when submitting bid. Vendors are required to review the detailed specifications and check yes or no as to whether the offer submitted will meet the requirements stated. The vendor should address any discrepancies by attaching a letter with their bid detailing the discrepancy. Should the awarded vendor not be able to supply the vehicle as stated in the timeframe stated, the City reserves the right to discontinue the purchase at no cost to the City and recommend that the City Council ban the vendor from any future procurements with the City. Change orders will not be issued for vendor errors. All standard equipment and accessories, whether or not specified, shall be provided unless overwritten by the detailed specifications. All manufacturer s window stickers and paperwork shall accompany the delivery of the vehicle. Questions concerning the detailed specifications or to inspect the trade-in should be directed to Mr. Myron Miller, Central Garage Supt. at (309) during normal business hours. DETAILED: CHASSIS 4 x 2 SD REGULAR CAB 189 WHEEL BASE/108 CAB TO AXLE MINIMUM VEHICLE SNAPSHOT ENGINE: 6.7L MINIMUM SPECS DIESEL TRANSMISSION: TORQSHIFT 6-SPEED AUTO W/OD REAR AXLE RATION: LIMITED SLIP W/4.88 GVWR: 19,500 LBS MIN. 200 AMPS EXTRA HEAVY DUTY ALTERNATOR EMISSIONS 50 STATE EMISSIONS SYSTEM WHEELS & TIRES TIRES: 225/70R X 19.5G BSW TRACTION INCLUDES 4 TRACTION TIRES ON THE REAR AND 2 ALL-SEASON TIRES ON THE FRONT. SPARE WILL BE FULL SIZE ALL SEASON BSW WHEELS: 19.5 ARGENT PAINTED STEEL (6) SEATS & SEAT TRIM HD VINYL 40/20/40 SPLIT BENCH SEAT YES NO

4 OTHER OPTIONS YES NO ENGINE BLOCK HEATER TRANSMISSION POWER TAKE OFF PROVISION 28 GALLON MID-SHIP FUEL TANK AM/FM RADIO PAINT COLOR: WHITE ADJUSTABLE EXTERIOR MIRRORS HIGH VISIBILITY (CAMPER STYLE) WARRANTY BASIC 3 YEARS/36,000 MILES POWERTRAIN 6 YEARS/60000 MILES MANUALS TWO (2) SERVICE MANUALS (DISCS) TWO (2) PARTS MANUALS TWO (2) OWNERS MANUALS REFUSE BODY 8 CUBIC YARD REAR LOADING REFUSE COLLECTION BODY SHALL BE CURVED-SHELL DESIGN THE BODY, ROOF, SIDES AND FLOOR SHALL BE OF A CURFED SHELL DESIGN CONSTRUCTED OF 11- GAUGE 50,000 PSI MIN. YIELD SHEET STEEL WITH NO REINFORCEMENTS. THE BODY SHALL BE CURVED SHELL DESIGN WITH A REAR LOADING HOPPER AND SHALL HAVE A CAPACITY OF 8 CUBIC YARDS, AN OVERALL WIDTH OF 83, AN OVERALL LENGTH OF 182 AND SHALL NOT WEIGH IN EXCESS OF 5,820 LBS. THE EJECTOR PANEL SHALL BE POWERED BY A 2-STAGE TELESCOPIC 3.5 BORE, HYDRAULIC CYLINDER ON 8 & 10 YARD MACHINES, FOR RAPID AND EFFICIENT UNLOADING. THE EJECTOR PANEL SHALL BE GUIDED BY A CENTRALLY LOCATED 5 X 19LB/FT WIDE FLANGE BEAM THAT IS MOUNTED LONGITUDINALLY TO A CURVED FLOOR SURFACE COMPACTOR BODIES. INCORPORATING A TROUGH FLOOR DESIGN IS UNACCEPTABLE. THE EJECTOR PANEL SHALL HAVE (4).5 X 2 X 32 SLIDE BEARINGS WHICH SHALL BE MADE OF UHMW POLYETHYLENE TO PROVIDE LONG LIFE WITH MINIMAL MAINTENANCE AND (1).5 X 5 X 32 TOP SLIDING BEARING THE FACE OF THE EJECTOR PANEL SHALL BE SMOOTH TO PROVIDE A PACKING SURFACE THAT WILL RESULT IN DENSE REFUSE PACKING A HEAVY DUTY, WATERPROOF AND CHEMICALLY INERT EXTRUDED NEOPRENE SEAL SHALL BE INCORPORATED BETWEEN THE TAILGATE AND BODY TO ENSURE A WATERTIGHT SEAL THAT WILL WITHSTAND THE CHEMISTRY OF COMMON REFUSE AND THE TEMPERATURE EXURSIONS TO WHICH IT IS EXPOSED. THE SEAL SHALL HAVE A HOLLOW CROSS SECTION TO RESIST WEAR WHILE PROVIDING A WATERTIGHT SEAL WHEN UNDER COMPRESSION. THE SEALL SHALL EXTEND 12 UP THE SIDES FOR NO LEAKAGE. ALL WELDING SHALL BE ACCOMPLISHED UNDER AN INERT GAS TO ENSURE GOOD WELD PENETRATION AND STRONG, CLEAN BONDS. THE BODY SHALL BE PREPARED WITH A PHOSPHATE WASH PRE-COATING ETCH COVERED WITH AN AUTOMOTIVE PHENOLIC PRIME COAT WITH A DUPONT IMRON FINISH COAT OF POLYURETHANE HIGH SOLIDS. ENAMEL OR ACRYLIC PAINT WILL NOT BE ACCEPTABLE. BODY HEIGHT ABOVE TRUCK FRAME SHALL NOT EXCEED 62 PACKER BODY/TAILGATE COMBINATION SHALL MEET ALL ANSI Z245.1 SAFETY STANDARDS AS STANDARD EQUIPMENT

5 TAILGATE YES NO THE TAILGATE SHALL INCORPORATE THE ROTATIONAL PIVOTING BACK-HOE PACKING METHOD AND SHALL INCLUDE TWO DOUBLE-ACTING, SINGLE STAGE 3.5 BORE HYDRAULIC CARRIAGE CYLINDERS WITH A STROKE OF 20. THE UPPER TALGATE SIDES SHALL BE CONSTRUCTED OF 11-GUAGE GR 50. THE PACKING PANEL SHALL ROTATE ON 1 ½ SPHERICAL BEARINGS FOR LONG LIFE. THE PACKING PANEL SHALL NOT SLIDE ON TRACKS NOR REQUIRE WEAR BLOCKS TWO DOUBLE-ACTING, SINGLE STAGE 3.5 BORE HYDRAULIC CYLINDERS WITH A STROKE OF 10 SHALL POWER THE PIVOTING SWEEP PANEL TO ENSURE ADEQUATE SWEEP FORCE TO OVERCOME DIFFICULT, BULKY REFUSE. THE SWEEP PANEL SHALL ROTATE ON 1 ½ SPHERICAL BEARINGS FOR LONG LIFE. THE PACKING PANEL SHALL NOT SLIDE ON TRACKS NOR REQUIRE WEAR BLOCKS. TWO DOUBLE-ACTING, SINGLE STAGE 3.5 BORE HYDRAULIC CYLINDERS WITH A STROKE OF 10 SHALL POWER THE PIVOTING SWEEP PANEL TO ENSURE ADEQUATE SWEEP FORCE TO OVERCOE DIFFICULT, BULKY REFUSE. THE SWEEP PANEL SHALL ROTATE THROUGH AN ARC OF OVER 100 DEGREES TO ENSURE COMPLETE HOPPER CLEARANCE. THE PACKING PANEL SHALL ROTATE THROUGH AN ARC OF 45 DEGREES TO ENSURE COMPLETE HOPPER CHEARLANCE. THE PACKING PANEL/SWEEP PANEL COMBINATION SHALL BE PROVIDED WITH STEEL TENSION BUSHINGS. THE TAILGATE, WHEN OPENED OR CLOSED, SHALL LATCH AND UNLATCH AUTOMATICALLY. IT SHALL BE RAISED AND LOWERED BY TWO 3 BORES, DOUBLE-ACTING HYDRAULIC CYLINDERS INCORPORATING AN AUTOMATIC FLUID CONTROL VALVE TO PREVENT PRECIPITOUS TALGATE DESCENT IN THE EVENT OF A BROKEN HYDRAULIC LINE. HOPPER THE LOW HOPPER SIDES SHALL BE CONSTRUCTED OF 11GA GR50 THE HOPPER BOTTOM SHALL BE CONSTRUCTED OF 3/16 100,000 MIN. YIELD STEEL PLATE. THE HOPPER BOTTOM SHALL NOT HAVE OR REQUIRE REINFORCEMENTS. THE HOPPER IN THE TAILGATE SHALL BE 1.0 CUBIC YARD VOLUMETRIC AND SHALL BE 70 WIDE AND SHALL PROVIDE A 6 SAFETY GAP BETWEEN THE HOPPER LOADING LIP AND THE SWEEP PANEL WHEN THE SWEEP PANEL IS UP AND THE CARRIAGE IS DOWN. THE HOPPER SHALL BE EQUIPPED WITH A 1.25 DIA. DRAIN PLUG THAT WILL RETAIN LIQUID REFUSE WHEN CLOSED BUT WICH SHALL BE CAPABLE OF OPENING TO DRAIN/FLUSH-OUT WATER. HYDRAULIC SYSTEM A HEAVY-DUTY POWER TAKE-OFF, OPERATED BY A CONTROL FROM THE CAB OF THE TRUCK AND PROPERLY SELECTED TO PRODUCE ADEQUATE HYDRAULIC PUMP SPEED, SHALL BE BOLTED TO THE TRANSMISSION OF THE TRUCK. TO ELIMINATE THE NEED FOR U-JOINT AND SEPARATE DRIVE SHAFTS, A BALANCED VALVE TYPE HYDRAULIC PUMP SHALL BE BOLTED DIRECTLY TO THE POWER TAKE-OFF THE POWER TAKE-OFF/PUMP COMBINATION SHALL PRODUCE 22 GPM FLOW AND COMPLETE A PACKING CYCLE IN SECONDS WITH A MINIMUM OF ATTENDING ENGINE NOISE. HYDRAULIC FLUID SHALL BE CONTAINED IN AN EASILY ACCESSIBLE 20-GALLON WELDED STEEL RESERVOIR MOUNTED INSIDE THE BODY AND EQUIPPED WITH A SIGHT GAUGE FLUID LEVEL INDICATOR. A TEN-MICRON REPLACEABLE ELEMENT (SPIN-ON) FILTER SHALL BE INCORPORATED IN THE HYDRAULIC RETURN LINE AT THE RESERVOIR TO TRAP CONTAMINANTS IN THE FLUID CIRCULATING THROUGH THE SYSTEM. HYDRAULIC FLUID UNDER PRESSURE SHALL BE CONDUCTED TO OTHER COMPONENTS IN THE SYSTEM THROUGH STEEL HYDRAULIC TUBING OR STEEL WIRE BRAID REINFORCED RUBBER HYDRAULIC HOSE. THE RUBBER HYDRAULIC HOSE SHALL HAVE AN ULTIMATE BURST PRESSURE OF AT LEAST FOUR (4) TIMES NORMAL SYSTEM OPERATING PRESSURE HEAVY-DUTY HYDRAULIC CYLINDERS SHALL BE EQUIPPED WITH LONG LIFE POLYURETHANE SEALS THROUGHOUT.

6 HYDRAULIC SYSTEM (CONTINUED) YES NO PISTON RODS SHALL BE MADE OF HEAVY CHROME-PLATED ALLOY STEEL. HARDENED BALL BUSHINGS SHALL BE INCORPORATED ON THE ROD ENDS OF EACH PACK CYLINDER TO ACCOMMODATE BENDING STRESSES THAT CAN BE IMPOSED UPON A CYLINDER WHEN PACKING REFUSE THAT PRODUCES ASYMMETRIC LOADS ON THE SYSTEM. A FULL FLOW TYPE SHUT-OFF VALVE SHALL BE INSTALLED BETWEEN THE HYDRAULIC RESERVOIR AND THE PUMP. THE HYDRAULIC PACKING SYSTEM PRESSURE SHALL BE 2700 PSI AND SHALL BE EQUIPPED WITH A SYSTEM RELIEF VALVE PREVENTING THE PRESSURE FROM EXCEEDING THIS LIMIT. ALL CYLINDERS SHALL INCORPORATE REINFORCED NYLON WEAR-RINGS ON THE PISTON AND ROD TO PREVENT METAL-TO-METAL CONTACT. ALL CYLINDER PISTON SEALS SHALL BE REINFORCED TEFLON. AN O-RING SHALL BE USED TO PRE- LOAD THE SEAL. ALL CYLINDER ROD SEALS SHALL BE A TWO-PIECE STANDARD DESIGN WITH AN EXCLUDER TO PROVIDE POSITIVE PROTECTION FROM CONTAMINATES AND MUST SEAL EFFECTIVELY FROM ZERO TO MAXIMUM PRESSURE. A HYDRAULIC VALVE ARRANGEMENT, AUTO BACK-PACK ACTUATED BY THE FORCES IMPOSED UPON THE EJECTOR PANEL SHALL AUTOMATICALLY CONTROL THE FORWARD MOTION OF THE EJECTOR PANEL TO PRODUCE DENSE PACKING OF THE REFUSE. CONTROLS THE PACKING CONTROL SHALL BE A SINGLE HYDRAULIC VALVE ASSEMBLY SHALL BE LOCATED ON THE RIGHT HAND SIDE OF THE TAILGATE AND SHALL CONTROL ALL THE FUNCTIONS OF THE PACKER. IT WILL MEET ALL ANSI Z245.1 SAFETY STANDARDS. THE CYCLE CAN BE STOPPED OR REVERSED AT ANYTIME. THE TAILGATE LIFT AND EJECTION PANEL HYDRAULIC CONTROLS SHALL BE OPERATED BY A 2 SPOOL VALVE ACTIVATED FROM THE FRONT LEFT HAND SIDE OF THE BODY. AN AUTOMATIC ENGINE ACCELERATOR SWITCH SHALL BE PROVIDED ON THE PACKING PANEL CONTROLS. LIGHTS STANDARD LIGHTS SHALL BE SUPPLIED IN ACCORDANCE WITH FMVSS#108. THE UPPER LIGHT BAR SHALL CONTAIN (2) OF EACH 4 DIAMETER STOP/TAIL/TURN/REVERSE LIGHTS, 2 DIAMETER CLEARANCE AND SIDE MARKER LIGHTS. THE LOWER LIGHT BAR SHALL CONTAIN TWO OF EACH 4 DIAMETER STOP, TAIL, AND TURN. ALL LIGHTS SHALL HAVE FLEXIBLE GASKET MOUNTINGS, BE SEALED AND HAVE LEXAN COVERS. PAINT THE ENTIRE UNIT SHALL BE PROPERLY CLEANED OF ALL DIRT, GREASE AND WELD SLAG PRIOR TO PAINTING. THE COMPLETE UNIT SHALL BE PAINTED WITH TWO- (2) COATS OF DUPONT IMRON 5000 HIGH SOLIDS TO A MINIMUM THICKNESS OF 4 MILS. ENAMEL OR ACRYLIC PAINT WILL NOT BE ACCEPTABLE. ELECTRICAL SYSTEM THE BODY SHALL BE EQUIPPED WITH APPROVED CLEARANCE, WARNING, TAIL, LICENSE, STOP AND TURN SIGNAL LIGHTS COMPLYING WITH ANSI AN ELECTRICAL CONSOLE SHALL BE LOCATED INSIDE THE CAB OF THE TRUCK WITHIN VIEW AND EASY REACH OF THE DRIVER. THIS CONTROL CONSOLE SHALL INCORPORATE A SYSTEM "ON-OFF" SWITCH, A SYSTEM ON INDICATOR LAMP (GREEN), A SUPPLY LINE FUSE AND THE DRIVER ALERT BUZZER. A RED WARNING LIGHT WILL BE PROVIDED TO INDICATE WHEN THE TAILGATE IS OPEN / CLOSED. THE DRIVER ALERT BUZZER SHALL BE OPERATED BY A SWITCH LOCATED IN THE VICINITY THE PANEL CONTROL HANDLES ON THE TAILGATE. THE ENTIRE WIRING SYSTEM SHALL BE COLOR CODED TO ALLOW EASY CIRCUIT IDENTIFICATION. AN EXTERNAL AUDIO BACK-UP ALARM SHALL AUTOMATICALLY ACTIVATE WHEN THE TRUCK TRANSMISSION IS SHIFTED TO REVERSE, OR THE TAILGATE IS OPEN.

7 MISCELLANEOUS TO BE INCLUDED YES NO SIDE ACCESS DOOR (LEFT HAND SIDE OF BODY) STROBE LIGHTS MUD FLAPS, ANTI-SAIL BROOM/SHOVEL HOLDER

8 CITY OF GALESBURG, ILLINOIS BID FORM Name of Bidder Business Address Phone No. Fax No. Address: The Bidder above mentioned declares and certifies: First - Second - Third - Fourth - Fifth - That this bid is made without any previous understanding, agreement or connection with any other person, firm or corporation making a bid for the same purpose; and, is in all respects, fair and without collusion or fraud. That no officer, employee or person whose salary is payable in whole or in part from the City of Galesburg is directly or indirectly interested in this bid or in any portion of the profits thereof. That said bidder has carefully examined the Instructions to Bidders and the Specifications: and will, if successful in this bid, furnish and deliver at the prices bid within the time stated, the goods or services for which this bid is made. That the prices quoted herein are net and exclusive of all taxes from which the City of Galesburg is exempt. That the cost of the goods or services that meets the requirements as set forth in the Instruction to Bidders and the Specifications aforementioned is: If new: Cost for new truck with equipment as specified $ Less Trade-in: $ Net Cost to City $ Year, Make, and Model: Delivery Lead Time:

9 *Applicable brochure information should be submitted with bid. Sixth - Seventh - That said bidder has executed the Certificate of Compliance, and has submitted herewith. That the complete guarantee and warranties offered are: Eighth - That complete literature and specifications, where applicable, for the goods or services are attached herewith. Person, Firm, or Corporation Authorized signature and title Printed Name of Individual

10 RETURN WITH BID TO THE CITY OF GALESBURG, ILLINOIS CERTIFICATE OF COMPLIANCE EMPLOY- MENT SUPER- VISORY SALES OFFICE SKILLED SEMI- SKILLED NON- SKILLED WHITE BLACK OTHER MALE FEMALE (PLEASE FILL IN THE NUMBER OF EMPLOYEES IN EACH CLASS) 1. THE CONTRACTOR OF COMPANY WILL NOT DISCRIMINATE AGAINST ANY EMPLOYEES OR APPLICANT FOR EMPLOYMENT BECAUSE OF RACE, CREED, COLOR, SEX, AGE, NATIONAL ORIGIN, HANDICAPPING CONDITION UNRELATED TO ABILITY TO PERFORM THE JOB; AND, WILL TAKE AFFIRMATIVE ACTION TO ENSURE THAT APPLICANTS ARE EMPLOYED WITHOUT REGARD TO THEIR RACE, CREED, COLOR, SEX, AGE, HANDICAPOR NATIONAL ORIGIN. SUCH ACTION SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING: EMPLOYMENT, UPGRADING, DEMOTION OR TRANSFER, RECRUITMENT OR RECRUITMENT ADVERTISING, LAYOFF OR TERMINATION, RATES OF PAY OR OTHER COMPENSATION, AND SELECTION FOR TRAINING, INCLUDING APPRENTICESHIP. THE CONTRACTOR OR COMPANY AGREES TO POST, IN CONSPICUOUS PLACES, AVAILABLE TO EMPLOYEES AND APPLICANTS FOR EMPLOYMENT, NOTICES SETTING FORTH THE PROVISIONS OF THIS NON-DISCRIMINATION CLAUSE. 2. THE CONTRACTOR OR COMPANY WILL, IN ALL SOLICITATIONS OR ADVERTISEMENTS FOR EMPLOYEES OR ON THEIR BEHALF, STATE THAT ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, CREED, COLOR, SEX, AGE, HANDICAPPING CONDITION UNRELATED TO ABILITY OR NATIONAL ORIGIN. THE SAME SHALL HOLD TRUE WHEN RECRUITMENT SOURCES ARE USED TO SECURE APPLICANTS. 3. THE CONTRACTOR OR COMPANY AGREES TO NOTIFY ALL OF ITS SUBCONTRACTORS OF THEIR OBLIGATION TO COMPLY WITH THE NON- DISCRIMINATION POLICY. 4. IN THE EVENT OF THE CONTRACTOR'S OR COMPANY'S NON-COMPLIANCE WITH THE NON-DISCRIMINATION CLAUSES OF THE CONTRACT OR PURCHASE OR WITH ANY OF SUCH RULES, REGULATIONS OR ORDERS, THE CONTRACT OR PURCHASE MAY BE CANCELLED, TERMINATED OR SUSPENDED IN WHOLE OR IN PART AND THE CONTRACTOR OR COMPANY MAY BE DECLARED INELIGIBLE FOR FURTHER CITY CONTRACTS OR PURCHASES IN ACCORDANCE WITH THE AFFIRMATIVE ACTION PROGRAM ADOPTED BY THE GALESBURG CITY COUNCIL AT THEIR MEETING ON AUGUST 6, BY: BIDDER

11 THIS FORM IS BASED ON IRS REQUIREMENTS FOR THE SAME ESSENTIAL INFORMATION AS A W-9 RETURN TO: CITY OF GALESBURG OR FAX TO: ATTN: A/P 55 W TOMPKINS ST GALESBURG, IL The following information is needed to complete your vendor file and to comply with IRS requirements. Please fill out this form as completely as possible to ensure proper payment to you. Please return completed form as soon as possible to the City of Galesburg at the above address or fax number. Please call with any questions. BUSINESS NAME: INDIVIDUAL NAME: (for Sole Proprietors as appears on Social Security Card) BUSINESS ADDRESS: CITY, STATE, ZIP: YOUR TAXPAYER IDENTIFICATION NUMBER: (FEIN or business tax ID No.) OR, YOUR SOCIAL SECURITY NUMBER: (If using SSN, enter the name on the card above as Individual Name) PLEASE CHECK APPROPRIATE BOX Individual/Sole Proprietor Corporation Partnership Other YOUR COMPANY PROVIDES: Legal Services Services Materials Other ARE YOU SUBJECT TO BACKUP WITHHOLDING? Yes No PERSON TO CONTACT: PHONE NUMBER: UNDER PENALTY OF PERJURY, I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS CORRECT AND COMPLETE. Signature Date Title FOR OFFICE USE ONLY: ENTERED INTO THE SYSTEM VENDOR NUMBER:

CITY OF GALESBURG. PURCHASING 55 W Tompkins St Galesburg, IL Phone: (309) INVITATION FOR BIDS

CITY OF GALESBURG. PURCHASING 55 W Tompkins St Galesburg, IL Phone: (309) INVITATION FOR BIDS CITY OF GALESBURG PURCHASING 55 W Tompkins St Galesburg, IL 61401 Phone: (309) 345-3678 INVITATION FOR BIDS For the purchase of One new Heavy Duty Utility Vehicle with Cargo Box for use at Bunker Links