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AGENDA BILL CITY OF BREMERTON 4 G CITY COUNCIL SUBJECT: Study Session Date: October 23, 2024 WA State Department of Enterprise Services COUNCIL MEETING Date: November 6, 2024 Contract with Sealx LLC for Janitorial Department: PW&U Services Presenter: Matt Donleycott Phone: (360) 473-2316 SUMMARY: The janitorial contract is set to expire on December 31, 2024. The city is seeking to accept the Washington State DES contract #24723 for janitorial services to obtain best available pricing for these services. The DES contract is set to expire on March 11, 2027 with a possible 2 year extension. We are seeking a two year contract from January 1, 2025 to December 31, 2026. ATTACHMENTS: 1) DES Contract and pricing.; 2) Proposal and site-specific instructions 3) Exhibit F supply costs FISCAL IMPACTS (Include Budgeted Amount): Total annual cost $121,525.32 which will be included in the 2025 & 2026 budgets STUDY SESSION ACTION: x❑ Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the contract for City Facilities janitorial services with Sealx and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: X Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 11/09/2021 EstimateS E ,4. I- FOR: CITY OF BREMERTON SeaIX 3250 Airport Way S Ste 508 Matt Donleycott Seattle,WA 98134 360-233-6857. Jon levcott(c�ci.b re me rto n.wa.u s Estimate#920348 Created on October 01 2024 DES Contract#24723 City of Bremerton Monthly Rate BKAT Janitorial Services $535.17 Courts Janitorial Services $1,877.78 Fire Stations Janitorial Services $342.69 SOG Janitorial Services $563.33 Police Janitorial Services $4,225.00 PW&U and Fleet Janitorial Services $2,253.33 Olympus Utility Building Janitorial Services $329.81 SUBTOTAL $10,127.11 TOTAL $10,127.11 Thank you- SEALX CONTACT US 503.516.2550 sales@sealxpro.net Washington State Department of • Enterprise Services 1500 Jefferson Street SE, P.O. Box 41411 • Olympia,Washington 98504-1411 •(360)407-2213 DESCPRMHeaIHumServ@des.wa.gov Janitorial Services Master Contract Work Request #24723 Work Request Form: Type your agency/entity information below, fill out site visit/evaluation information, embed any special "Terms and Conditions," update prevailing wage boxes, and then fill out the janitorial work requirements below. Agency Name: City of Bremerton (Courts) Work Request Number: Agency#or ID: County: Kitsap Monthly Budget Amt. Contract Life: 2 yrs. Original Start Date: Building Type: Other Estimated Square Feet: 8000 #of Floors: LI Approved working hours Monday-Friday 6pm to lam Work to be performed at: Client Contract Administrator: Send billing information to: Street Address: 550 Park Ave. 100 Oyster Bay Ave. N. 100 Oyster Bay Ave. N. Page 1 Work Request Template July 2013 Street Address: City&Zip Bremerton WA 98337 Bremerton WA 98311 Bremerton WA 98311 Point of contact Christina Rauenhorst Matt Donleycott Facilities Dept. Phone: 360 473-5242 360 473-2316 360 473-2316 Fax: 360 473-5262 360 473-5360 360 473-5360 Email: a.us .us chris.mottner@ci.bremerton.wa.us Page 2 Work Request Template July 2013 I— Information for Vendors concerning Site Visit, Bid Submission and Evaluation weighting of weighting applied to evaluation Pricing 60% References: 30% Standardized Q&As: 10% categories: Bids must be submitted on or Mandatory Site Visit Date: Site Visit Time: before the date of»> RFQQ Bid Submissions(by Vendors) should be DESCPRMHeaIHumServ( des.wa.gov electronically sent to this email address»> Special Instructions, Conditions, Standard of Work Requirements and/or Floor Plans Vendors must submit a completed Wage Theft Certification at the time they submit their bid or the bid will be considered non-responsive. Facility Security. Apparent Successful Bidder employees may be required to pass background check documentation for any staff member or subcontractor who will be given access to the facility. Embed any documents containing specific terms,conditions, specifications,floor plans,and/or other instructions. »»»»»> Prevailing Wage Information: To be updated with any contract extension Click on link to identify proper prevailing wage»> L&I janitorial prevailing wages by job class by county *Note: The purchasing agency may update the Work Contract based on minimum wage increases and will update the Work Contract to reflect the LNI prevailing wage changes each applicable year. Supervisor Janitor Shampooer Waxer Window Washer Page 3 Work Request Template July 2013 NOTE: Janitorial work contracts are "performance based"contracts, and vendors must submit quotes that assure the ability to fully service all noted tasks in accordance with this agency's performance demands(which will be discussed at the site visit.) The amount of minutes bid by vendors will be calculated to measure reasonableness and quality assurance in accordance with RCW 39.26.160(2)(c)and the master contract 00508; janitorial service personnel are required to cumulatively work the amount of minutes submitted in the RFQQ and Work Contract. Cleaning Services task section instructions: These sections use drop down menus for choices. X is selected in each section in column B as a default as is a frequency of 1 Weekly. Deselect the X in the drop down menu if a section is unnecessary. If tasks are needed, select the X next to the task. You may also add tasks in the sections marked "Other." Select the frequency that the tasks needed. Please provide any "additional instructions" unique to your site in the area provided. Your accuracy will assist the vendors in providing the most responsive bid possible. Page 4 Work Request Template July 2013 Fli Dust, wipe, spot clean, and remove finger prints to include: (Daily 1 Weekly) I „„„ ,„„, ,„„, „„„ ,„„, ,„„, „„„ ,„„, ,„„, „„„ ,„„, ,„„, „„,,.....................................ill a) M Reception area tables,counters,chairs, and windows b) 0 Copy room counters&tables c) n Lunchroom counters and tables d) n General hallway and corridor walls e) El File cabinets - f) 1-1Glass doors g) M Elevator walls and hand rails h) QX Stairwell walls and hand rails i) n Spot clean all smudges,stains and spills as needed on any flooring or open surface j) n Remove cobwebs k) El spot clean all interior glass I) n Other m) 0 Other n) 0 Other Additional Instructions: Weekly 0000000 SMTWT F S ♦ Check box to activate section: 2 Additional Dust, wipe, spot clean and disinfect: (Daily 1 Weekly) a) I I Light switches b) 0 Door hands, c) E Vending machines d) n File cabinets e) OStair walls and hand rails Page 5 Work Request Template July 2013 f} =Elevator walls and hand rails g) []Other h} =Other I) =Other Additional instructions: Frequency: II x a Week Q0==00 SMTVVIFS Page 6 Work Request Template July 2013 ♦ Check box to activate section: x 3 Ants to include: Monthly 1 Annually)....Dust,..vu�pe° Spof clean and remove finer ..........................................................................................g..........p......................................................,, {,„........................................................................................................................... a) 0 Horizontal surfaces&moldings i b) n Horizontal &vertical blinds - c) 0 Picture Frames d) El Cloth panels e) n HVAC vents,grills,and recesses f) QX Ceiling vents, grills,and recesses g) OX Horizontal &vertical blinds - h) n Other i) 0 Other j) 0 Other k) n Other I) 0 Other Special instructions: Frequency: II x a Year X X X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 4 Clean 1 Wipe Chrome FixtureInclude: a) n Drinking Fountains b) n Elevators c) ®Faucets Page 7 Work Request Template July 2013 d) Q Other e) n Other f) Q Other g) Q Other Special instructions: Frequency: © IN R an Feb Mar x a Week X X X X X = = = = S M T F SAprMay Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 5 Empty Daily Tres ecycle bins from the following areas: .m1111 WI' WI' 1111111 ...... a) ®All rooms and open areas. b) n General open areas, hallways,and corridors c) El The following Conference Rooms: d) ®Dining/lunchroom areas e) In Kitchen areas f) 0 Reception Area g) n Replace trash liners whenever stained,soiled,torn,and/or removed. h) n Employee cubicle areas i) 0 Other j) El Other k) n Empty smaller trash/recycle items into large receptacles at specified location I) n On designated day(s),take large receptacles to the specified area. (Special instructions:Trash can liners shall be replaced whenever they become stained,soiled,or torn. I Page 8 Work Request Template July 2013 i Frequency: x a Week IX IX X X X S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: X 6 Entry way and Outside Clean-up: di a) 0 Sweep within 10 feet of each entrance. b} Q Sweep sidewalks along the front of building c} n Remove trash and debris from outside parking lot d) n Empty all entrance ash trays e} n Empty outside trash cans into proper receptacle as f) n Other g) 0 Other h) El Other i) 0 Other j} 0 Other Special Instructions: Frequency: ll x a Week X X X X X _ S M T W T F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 9 Work Request Template July 2013 ♦ Check box to activate section: 0 7 Day Porter Services Day Porter expected to work hours per d a) 0 Reposition all conference room and reception arcs chairs b) n Replace light bulbs&light tubes as needed c] 0 Stock,and monitor all janitorial cupplioo d) 0lirovidc additional Day Portcr Services as noted below in Special Instructions, e} n Day porter to also perform tacks noted in other paragraphs 1 subparagraphs as stated therein. f} 0 g) 0 h) n i} 0 j) i0 Special Instructions: Notice to Bidders: If Day Porter is to perform tasks noted under different paragraphs/subparagraphs,minutes for penning such tasks are part of the day-porter's established time and should not be added to respective sections unless bidder feels extra minutes Embed Document here are needed to complete the tasks. describing Day Porter Services if Applicable. S M T UV T F S Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 8 Additional General Miscellaneous Cleaning: a) n Reposition all conference room and reception area chairs b) 0 Replace light bulbs&light tubes as needed c) 0 Stock,and monitor all janitorial supplies d) n Other e) n Other f) n Other g) 0 Other Page 10 Work Request Template July 2013 h) I IOther i} El Other j} 0 Other Special Instructions: Frequency: II a Week , , S M T W T F S .Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Specific Rooms and Areas: Restrooms, Kitchen, & Other Select the X for the boxes of the cleaning tasks that apply, or type additional tasks in the sections marked"Other." X 19 General Restroom Cleaning and Disinfecting a) x Sanitize all toilets,urinals,wash basins,etc. b) x Sweep, dry mop andlor damp mop and disinfect floors c} i x Clean mirrors, mirror frames,faucets,exposed pipes,dispensers, hand driers,counters, and door handles d) [fill all paper towel dispensers,toilet paper dispensers,toilet seat cover dispensers, and soap dispensers. e) n Plunge andlor snake toilets as needed. f) n Other g) n Other h) 0 Other i} 0 Other j) n Floor cleaning for bathroom is included as part of general floor cleaning duties !Special Instructions: I Page 11 Work Request Template July 2013 Frequency: lil x a Week X X X X X : _ _ : : : : S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: Q 10 Additional Restroom Cleaning and Disinfecting: 1111 a) Oa n and disinfcct toilet stall doors and walls b} riacan and disinfect shower arcs and fixtures c) OOther d} Q Other e) n Othcr f} QOthor Special Instructions: S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 12 Work Request Template July 2013 '4 Check box to activate section: X 11 General Kitchen Cleaning: a) 0 Clean and disinfect all counters b) 0 Clean and disinfect outside of all cabinets c} []Clean and disinfect outside of all appliances d} []Clean and disinfect sink and fixtures e) []Clean and disinfect tables and counters in lunch room I eating area. f} []Dry mop 1 wet mop to remove all spills and stains on floor g) El Clean inside of following appliances: h} 0 Reposition kitchen furniture in an orderly manner i} O Other j} []Other Special Instructions: Frequency: ll x a Week X X X X X SM TWT F S "ay Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: 0 12 Additional Kitchen Cleaning: 1 a) 0aean inside of microwave(s) b) paean inside of rcfrigcrator(s) c) OOthcr d) 'QOthcr e) El Other f) IpOthcr g) 0Other h) []Other Page 13 Work Request Template July 2013 i] El Other j) []Other Special Instructions: SMTWT F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec = Page 14 Work Request Template July 2013 ♦ Check box to activate section: 13 Other Specific Rooms As Follows: a) QOther b) QOthcr c) nOthcr d) Q Othor e) Q Other f} n Other g) QOther h} QOthcr i} nOthcr j) QOthor Special Instructions: S M I W I F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Floor Care and Cleaning Services 4 Check box to activate section: Estix 14 Vacuum High Traffic Carpeted Areas to Include: (Daily/Weekly) square aefeeted# 7000 � p square feet:: a) 0 Reception Area b) n General open areas,hallways and corridors c) n The following Conference rooms: d} n Elevator Floor e) n Employee cubicle areas Page 15 Work Request Template July 2013 f} nAdditional Rooms&lor areas as noted in Special Instructions space below. g) n Spot clean all carpeted areas when needed h) Q Other i} Q Other i) n The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency II x a Week X X X X X S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: x 15 Vacuum Low Traffic Carpeted Areas to Include: Estimatedsqquueo are feet: a) I"Employee Cubicle Areas b) 7The following Conference rooms: c} n Private Offices d} nAdditional Rooms&/or areas as noted in Special Instructions space below. e} Q Other f) Q Other g) n Other h) n Other i) 0 Other j} n The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency: II x a Week X X X X X = SM TWT F S Page 16 Work Request Template July 2013 ♦ Check box to activate section: x 16 Clean resilient floors to include: (Daily/Weekly) Estimated#of sqquu are feet: 1,000 a) 0 Sweep floors b) ]Dry mop c) I1 Wet mop as needed d) n Other e) n Other f) 0 Other g) 0 Other h) n Other Special instructions: Surface cleaning as noted above should be done on all noncarpeted floors unless specified otherwise.Wet mop as needed Frequency 111 x a Week X X X X X SMIWT F S an Feb Mar Apr May Jun Jul Aug Sep Oct Novi Dec Page 17 Work Request Template July 2013 ♦ Check box to activate section: 17 Clean, Strip & Wax Resilient floors: (Monthly/Annually) a) El Strip old wax and remove stains and discolorations b) 0 Re wax the areas checked off and/or specified bdow. (Sec also special instructions for waxing requirements) c} nAI non carpeted floors d) Q Kitchon, Lunchroom aroa& e} 0 Restrooms f) n Print,Copy, Storage Rooms g} 0Stairs and Lending& h) 0 Entryways i} QCthcr j) Eothor Special instructions: X = Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 18 Shampoo Carpet As follows: a) 0Nl carpeted areas b) n Lobby/Reception arc c} Q NI opcn accez areas along hallways and corridors d) 0Conference Rooms e) n Private offices f) 0 Employee cubicle areas g) 0 Stairs and landing Page 18 Work Request Template July 2013 h) 0I Rugs I i] ]Other j) DOther Special instructions: Janitor to pre-vacuum all carpeted areas with an upright roller brush vacuum. Janitor to only use an approved hot water extraction process equipment. Janitor must perform cleaning early enough to allow for full drying prior to 8 00 a.m.the following work morning. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 19 Work Request Template July 2013 Window Washing ♦ Check box to activate section: Total # of Ave Sq. Estimated x 19 Clean inside of interior/exterior windows windows» Ft.»> Sq.Ft:» 0 a) n Other b) 0 Other c} 0 Other d) n Other e) n Other f) n Other g) n Other h) El Other Special instructions: Vendor to notify management of the exact date for the window cleaning two weeks beforehand--to allow employees to remove any items from window sills etc. Frequency: II x a Year X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 20 Clean (ground level) exterior windows u+nTotal# off Ave Estimated 0 ndows» I Ft.»>>> Sq.Ft.» a) 0 Other b) 0 Other c} n Other d) n Other e) n Other f) n Other g) Q Other Page 20 Work Request Template July 2013 h) n Other i) 0 Other j) 0 Other Special instructions: Frequency: © x a Year X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 21 Work Request Template July 2013 ♦ Check box to activate section: Total# o Ave Sq. Estimated x 21 Clean (non-ground level) exterior windows windows» Ft. >> Sq.Ft.» 0 a} n Other b} n Other c} n Other d} n Other e} 0 Other f} 0 Other Special instructions: Frequency: © x a Year X x Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 122 Clean additional interior windows: (Sizes to be determined at site visit) • a} n Entry way Windows b) n Private office windows c) 0 Conference room windows d} 0 Reception area windows e) n Other f} n Other g} n Other h) n Other i} 0 Other Page 22 Work Request Template July 2013 j) M Other Special instructions: Note,this task is for a full window cleaning. Spot wiping of smudges,fingerprints,etc.,should come under above sections 1-3 above.) Frequency: II x a Week XXX X X _ _ _ _ _ _ S M T W T F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 23 Work Request Template July 2013 Miscellaneous and Other Types of Cleaning ♦ Check box to activate section: 123 Other a) 0 Other b) n Other c) Other d) QOther e) nOthcr f) E Othor g) Other h) nOther i) Other j) pother Special instructions: S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Check box to activate section: a) OOthcr b) QOther c) nOthcr d) Q Othcr Page 24 Work Request Template July 2013 e) 0Other f) n Other g} El Other h) QOther i} nOthcr j) OOthor Special instructions: S M T W T F S 'in Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 25 Work Request Template July 2013 4 Check box to activate section: 5 Oth e a) nOthcr b) Q Othor c) Q Other d) n Other e) Q Other f) QOthcr g) nOthcr h) Q Othor i) Q Other j) I ]Other Special instructions: S M TINT F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 26 Other: a) 0Othcr b) 0Othcr c) OOther d) n Other e) Q Othcr f) 0Othcr g) nOthcr h) QOthcr Page 26 Work Request Template July 2013 i) Other j) nOther Special instructions: S M T UV T F S 'an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 27 Work Request Template July 2013 ♦ Check box to activate section: HEIM 111MI--= a) nOthcr b) QOthor c) Other d) [ ]Other e) Other f) QOther g) nothcr h) QOthor i) Q Other j) []Other Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec As Needed Cleaning: As needed cleaning should only be checked if the agency/entity can provide enough upfront information on each cleaning task for the vendor to calculate the proper amount of minutes to bid to perform the function. 28 Out of the ordinary cleanup following special event or office function or minor construction Page 28 Work Request Template July 2013 Q 29 Emergency water damage cleanup Page 29 Work Request Template July 2013 Q 30 Other(i.e.Chemical Spills) Q 31 Other(i.e. Biological Spills) I 32 Other(i.e. Bodily Fluids) Q 33 Other Page 30 Work Request Template July 2013 Q 34 Other Page 31 Work Request Template July 2013 Absent a compelling business reason State Agencies are to utilize state contract to purchase PAPER SUPPLIES x 35 Flat Monthly Fee to supply PAPER SUPPLIES (i.e.paper towels,toilet paper&covers)AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for PAPER SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Toilet Paper ❑ ❑ Paper Towels ❑ ❑ Toilet Seat Covers ❑ ❑ Other(please specify) ❑ ❑ 0 ❑ 0 Absent a compelling business reason State Agencies are to utilize state contract to purchase CLEANING SUPPLIES Ix 36 Fiat Monthly Fee to provide all necessary CLEANING SUPPLIES AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> $0.00 �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for CLEANING SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Light Bulbs L Deicer Liquid Soap Page 32 Work Request Template July 2013 Floor Care Products ❑x ❑x El Garbage Bags ❑ ❑ Glass Cleaner ❑x ❑x El Restroom Disinfectants&Cleaners ❑ ❑ El Trash Can Liners ❑ ❑ Other(please specify) ❑ ❑ El Page 33 Work Request Template July 2013 Washington State Department of • Enterprise Services 1500 Jefferson Street SE, P.O. Box 41411 • Olympia,Washington 98504-1411 •(360)407-2213 DESCPRMHeaIHumServ@des.wa.gov Janitorial Services Master Contract Work Request #24723 Work Request Form: Type your agency/entity information below, fill out site visit/evaluation information, embed any special "Terms and Conditions," update prevailing wage boxes, and then fill out the janitorial work requirements below. Agency Name: City of Bremerton (Police Operations) Work Request Number: Agency#or ID: County: Monthly Budget Amt. Contract Life: 2 yrs. Original Start Date: Building Type: Other Estimated Square Feet: 1900 #of Floors: Li Approved working hours TBD Work to be performed at: Client Contract Administrator: Send billing information to: Street Address: 3029 Olympus Drive 100 Oyster Bay Ave. N. 100 Oyster Bay Ave. N. Page 1 Work Request Template July 2013 Street Address: City&Zip Bremerton WA 98310 Bremerton WA 98311 Bremerton WA 98311 Point of contact Barbara Forbes Matt Donleycctt/Joe Stansbery Facilities Dept. Phone: 360 473-5227 360 473-2316 360 473-2316 Fax: 360 473-5787 360 473-5360 360 473-5360 Email: wa.us 1 .us chris.mottner@ci.bremerton.wa.us Page 2 Work Request Template July 2013 I— Information for Vendors concerning Site Visit, Bid Submission and Evaluation weighting of weighting applied to evaluation Pricing 60% References: 30% Standardized Q&As: 10% categories: Bids must be submitted on or Mandatory Site Visit Date: Site Visit Time: before the date of»> RFQQ Bid Submissions(by Vendors) should be DESCPRMHeaIHumServ( des.wa.gov electronically sent to this email address»> Special Instructions, Conditions, Standard of Work Requirements and/or Floor Plans Vendors must submit a completed Wage Theft Certification at the time they submit their bid or the bid will be considered non-responsive. Facility Security. Apparent Successful Bidder employees may be required to pass background check documentation for any staff member or subcontractor who will be given access to the facility. Embed any documents containing specific terms,conditions, specifications,floor plans,and/or other instructions. »»»»»> Prevailing Wage Information: To be updated with any contract extension Click on link to identify proper prevailing wage»> L&I janitorial prevailing wages by job class by county *Note: The purchasing agency may update the Work Contract based on minimum wage increases and will update the Work Contract to reflect the LNI prevailing wage changes each applicable year. Supervisor Janitor Shampooer Waxer Window Washer Page 3 Work Request Template July 2013 NOTE: Janitorial work contracts are "performance based"contracts, and vendors must submit quotes that assure the ability to fully service all noted tasks in accordance with this agency's performance demands(which will be discussed at the site visit.) The amount of minutes bid by vendors will be calculated to measure reasonableness and quality assurance in accordance with RCW 39.26.160(2)(c)and the master contract 00508; janitorial service personnel are required to cumulatively work the amount of minutes submitted in the RFQQ and Work Contract. Cleaning Services task section instructions: These sections use drop down menus for choices. X is selected in each section in column B as a default as is a frequency of 1 Weekly. Deselect the X in the drop down menu if a section is unnecessary. If tasks are needed, select the X next to the task. You may also add tasks in the sections marked "Other." Select the frequency that the tasks needed. Please provide any "additional instructions" unique to your site in the area provided. Your accuracy will assist the vendors in providing the most responsive bid possible. Page 4 Work Request Template July 2013 nhDust, wipe, spot clean, and remove finger prints to include: (Daily 1 Weekly) a) M Reception area tables,counters,chairs, and windows b) M Copy room counters&tables c) n Lunchroom counters and tables d) n General hallway and corridor walls e) n File cabinets f) n Glass doors g) 0 Elevator walls and hand rails h) 0 Stairwell walls and hand rails i) n Spot clean all smudges,stains and spills as needed on any flooring or open surface j) n Remove cobwebs k) n Other I) n Other m) 0 Other n) 0 Other Additional Instructions: U Weekly 0000000 SM T WT F S ♦ Check box to activate section: 2 Additional Dust, wipe, spot clean and disinfect: (Daily 1 Weekly) a) I I Light switches b) 0 Door hands, c) E Vending machines d) n File cabinets e) OStair walls and hand rails Page 5 Work Request Template July 2013 f} =Elevator walls and hand rails g) []Other h} =Other I) =Other Additional instructions: Frequency: II x a Week Q0==00 SMTVVIFS Page 6 Work Request Template July 2013 ♦ Check box to activate section: x 3 Ants to include: Monthly 1 Annually)....Dust,..vu�pe° Spof clean and remove finer ..........................................................................................g..........p......................................................,, {,„........................................................................................................................... a) 0 Horizontal surfaces&moldings i b) n Horizontal &vertical blinds - c) 0 Picture Frames d) El Cloth panels e) n HVAC vents,grills,and recesses f) QX Ceiling vents, grills,and recesses g) OX Horizontal &vertical blinds - h) n Other i) 0 Other j) 0 Other k) n Other I) 0 Other Special instructions: Frequency: II x a Year X X X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 4 Clean 1 Wipe Chrome FixtureInclude: a) n Drinking Fountains b) n Elevators c) ®Faucets Page 7 Work Request Template July 2013 d) Q Other e) I IOther f) Q Other g) 0 Other Special instructions: S M T w R F S Jan Feb Mar Apr MayJun . Frequency: ii x a Week X i i i i p Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x I. .. ..PtYPa... .ra.. . .e,c..lebinsfr om the following areas: .m1111 WI' WI' 1111111 a) n All rooms and open areas. b) n General open areas, hallways,and corridors c) 0 The following Conference Rooms: d) Q Dining/lunchroom areas e) n Kitchen areas f) n Reception Area g) n Replace trash liners whenever stained,soiled,torn,and/or removed. h) n Employee cubicle areas i) 0 Other j) El Other k) n Empty smaller trash/recycle items into large receptacles at specified location I) n On designated day(s),take large receptacles to the specified area. (Special instructions:Trash can liners shall be replaced whenever they become stained,soiled,or torn.Please include the garage area. I Page 8 Work Request Template July 2013 May M T W I F S Jan Feb Mar Apr... .................................. ............ .......... ......... Frequency: x a Week X p Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: X 6 Entry way and Outside Clean-up: di a) 0 Sweep within 10 feet of each entrance. b) 0 Sweep sidewalks along the front of building c} n Remove trash and debris from outside parking lot d) n Empty all entrance ash trays e) n Empty outside trash cans into proper receptacle as f) n Other g) 0 Other h) El Other i) 0 Other j) 0 Other Special Instructions: Frequency: II x a Week X = : : : : S M T W I F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 9 Work Request Template July 2013 ♦ Check box to activate section: 0 7 Day Porter Services Day Porter expected to work hours per d a) Q Reposition all conference room and reception arcs chairs b} n Replace light bulbs&light tubes as needed _ c) 0 Stock,and monitor all janitorial cupplioo d} 0lirovidc additional Day Porter Services as noted below in Special Instructions, e) n Day porter to also perform tacks noted in other paragraphs 1 subparagraphs as stated therein. f} 0 g) 0 h) n i} 0 j) 1E1 Special Instructions: Notice to Bidders: If Day Porter is to perform tasks noted under different paragraphs/subparagraphs,minutes for penning such tasks are part of the day-porter's established time and should not be added to respective sections unless bidder feels extra minutes Embed Document here are needed to complete the tasks. describing Day Porter Services if Applicable. S M T UV T F S Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 0 s Additional General Miscellaneous ____ n a) n position all conference room and reception area chairs b) Q place light bulbs&light tubes as needed _ c) 0 d} n e) 0I -ef I t f} eFF g) 7 1 Page 10 Work Request Template July 2013 h) 0 ]L H I) 0 ]LH 1) 0 Special Instructions: S M I W I F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec = Specific Rooms and Areas: Restrooms, Kitchen, & Other Select the X for the boxes of the cleaning tasks that apply, or type additional tasks in the sections marked"Other." x 19 General Restroom Cleaning and Disinfecting a) x Sanitize all toilets,urinals,wash basins,etc. b) x Sweep, dry mop andlor damp mop and disinfect floors c) i x Clean mirrors, mirror frames,faucets,exposed pipes,dispensers, hand driers,counters, and door handles d) [fill all paper towel dispensers,toilet paper dispensers,toilet seat cover dispensers, and soap dispensers. e) n Plunge andlor snake toilets as needed. f) n Other g) n Other h) 0 Other i) 0 Other j) n Floor cleaning for bathroom is included as part of general floor cleaning duties t !Special Instructions: I Page 11 Work Request Template July 2013 Frequency: II x a Week X S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: Q 10 Additional Restroom Cleaning and Disinfecting: 1111 a) Oa n and disinfect toilet stall doors and walls b} riacan and disinfect shower arcs and fixtures c) OOther d} Q Other e) n Othcr f} QOthor Special Instructions: S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 12 Work Request Template July 2013 '4 Check box to activate section: X 11 General Kitchen Cleaning: a) 0 Clean and disinfect all counters b) 0 Clean and disinfect outside of all cabinets c} []Clean and disinfect outside of all appliances d} []Clean and disinfect sink and fixtures e) []Clean and disinfect tables and counters in lunch room I eating area. f} []Dry mop 1 wet mop to remove all spills and stains on floor g) El Clean inside of following appliances: h} 0 reposition furniture in an orderly manner i} El Other j} []Other Special Instructions: Frequency: II x a Week X SM TINIF S r4ay Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: 0 12 Additional Kitchen Cleaning: 1 a) Qaean inside of microwave(s) b) paean inside of rcfrigcrator(s) c) OOthcr d) 'QOthcr e) El Other f) IpOthcr g) 0Other h) []Other Page 13 Work Request Template July 2013 i] El Other j) []Other Special Instructions: SMTWT F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec = Page 14 Work Request Template July 2013 ♦ Check box to activate section: 13 Other Specific Rooms As Follows: a) QOther b) QOthcr c) nOthcr d) Q Othor e) Q Other f} n Other g) QOther h} QOthcr i} nOthcr j) QOthor Special Instructions: S M I W I F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Floor Care and Cleaning Services 4 Check box to activate section: Estix 14 Vacuum High Traffic Carpeted Areas to Include: (Daily/Weekly) square aefeeted# ,zso � p square feet:: a) 0 Reception Area b) n General open areas,hallways and corridors c) n The following Conference rooms: d) n Elevator Floor e) n Employee cubicle areas Page 15 Work Request Template July 2013 f) I—I Additional Rooms 8Jor areas as noted in Special Instructions space below. .-- g) r7 Spot clean all carpeted areas when needed .-- h) El Other .-- i) El Other .-- i) r7 The above square footage is estimated, Vendors should confirm actual square footage at site visit. .-- Special instructions: Frequency II x a Week X S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec .-- .-- i - 4 Check box to activate section: 15 Vacuum Low Traffic Carpeted Areas to Include: a) riEmploycc Cubicle Areas b) p Thc following Confcrcncc rooms: .-- .-- c) 0 Private Mos d) [ ]Additional Rooms 8Jor areas as noted in Special Instructions space below. .- e) 0 Other f) p Other .- g) 1-10ther .-- h) pOthcr .-- .-- i) 0 Other .-- .-- j) ri Thc above square footage is estimated, Vendors should confirm actual square footage at site visit. .- .-- i . .-- Special instructions: & I SM IFS S Page 16 Work Request Template July 2013 4 Check box to activate section: x 16 Clean resilient floors to include: (Daily/Weekly) Estimated#of sqquu are feet: 700 a} 0 Sweep floors b} Dry mop c) I1 Wet mop as needed d} n Other e) n Other f} 0 Other g) El Other h} n Other Special instructions: Surface cleaning as noted above should be done on all noncarpeted floors unless specified otherwise. Frequency 111 x a Week X S M I W I F S an Feb Mar Apr May Jun Jul Aug Sep Oct Novi Dec Page 17 Work Request Template July 2013 ♦ Check box to activate section: 17 Clean, Strip & Wax Resilient floors: (Monthly/Annually) a) El Strip old wax and remove stains and discolorations b) 0 Re wax the areas checked off and/or specified bdow. (Sec also special instructions for waxing requirements) c) nAI non carpeted floors d) Q Kitchon, Lunchroom aroa& e) Q Restrooms f) n Print,Copy, Storage Rooms, g) 0Stairs and Lending& h) 0 Entryways i) 0Other j) EOthor Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 18 Shampoo Carpet As follows: a) 0Nl carpeted areas b) n Lobby/Reception arc c) Q NI opcn accez areas along hallways and corridors d) 0Conference Rooms e) n Private offices f) 0 Employee cubicle area:, g) 0 Stairs and landing Page 18 Work Request Template July 2013 h) 0I Rugs I i] ]Other j) DOther Special instructions: Janitor to pre-vacuum all carpeted areas with an upright roller brush vacuum. Janitor to only use an approved hot water extraction process equipment. Janitor must perform cleaning early enough to allow for full drying prior to 8 00 a.m.the following work morning. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 19 Work Request Template July 2013 Window Washing 4 Check box to activate section: 19 Clean inside of interior/exterior windows a} []Other b) Q Other c) =Othcr _ d) []Othcr e} Q Othor _ f) Q Other g) []Other _ h) QOther i ctc. n —1 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec = ♦ Check box to activate section: 20 Clean (ground level) exterior windows a) ❑Othcr _ b) QOthcr c) []Other d) Q Othcr _ e} Q Other f} n Other g} El Othcr Page 20 Work Request Template July 2013 h) =Other i) =Other j) Other Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 21 Work Request Template July 2013 ♦ Check box to activate section: 21 Clean (non-ground level) exterior windows a} nOthcr b} Q Othor c) Q Other d} n Other e) Q Other f} QOthcr Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 122 Clean additional interior windows: a} Q ws b) n c) 0 Conference room windows d} 0 Reception ar a window) e} []Other f} Q Other g} QOther h) []Other i} QOthcr Page 22 Work Request Template July 2013 j) �ther Special instructions: Note,this task is for a full window cleaning. Spot wiping of smudges,fingerprints,etc.,should come under above sections 1-3 above.) S M I UV I F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 23 Work Request Template July 2013 Miscellaneous and Other Types of Cleaning ♦ Check box to activate section: 123 Other a) 0 Other b) n Other c) Other d) QOther e) nOthcr f) E Othor g) Other h) nOther i) Other j) pother Special instructions: S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Check box to activate section: a) OOthcr b) QOther c) nOthcr d) Q Othcr Page 24 Work Request Template July 2013 e) 0Other f) n Other g} El Other h) QOther i} nOthcr j) OOthor Special instructions: S M T W T F S 'in Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 25 Work Request Template July 2013 4 Check box to activate section: 5 Oth e a) nOthcr b) Q Othor c) Q Other d) n Other e) Q Other f) QOthcr g) nOthcr h) Q Othor i) Q Other j) I ]Other Special instructions: S M TINT F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 26 Other: a) 0Othcr b) 0Othcr c) OOther d) n Other e) Q Othcr f) 0Othcr g) nOthcr h) QOthcr Page 26 Work Request Template July 2013 i) Other j) nOther Special instructions: S M T UV T F S 'an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 27 Work Request Template July 2013 ♦ Check box to activate section: HEIM 111MI--= a) nOthcr b) QOthor c) Other d) [ ]Other e) Other f) QOther g) nothcr h) QOthor i) Q Other j) []Other Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec As Needed Cleaning: As needed cleaning should only be checked if the agency/entity can provide enough upfront information on each cleaning task for the vendor to calculate the proper amount of minutes to bid to perform the function. 28 Out of the ordinary cleanup following special event or office function or minor construction Page 28 Work Request Template July 2013 Q 29 Emergency water damage cleanup Page 29 Work Request Template July 2013 Q 30 Other(i.e.Chemical Spills) Q 31 Other(i.e. Biological Spills) I 32 Other(i.e. Bodily Fluids) Q 33 Other Page 30 Work Request Template July 2013 Q 34 Other Page 31 Work Request Template July 2013 Absent a compelling business reason State Agencies are to utilize state contract to purchase PAPER SUPPLIES x 35 Flat Monthly Fee to supply PAPER SUPPLIES (i.e.paper towels,toilet paper&covers)AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for PAPER SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Toilet Paper ❑ ❑ Paper Towels ❑ ❑ Toilet Seat Covers ❑ ❑ Other(please specify) ❑ ❑ 0 ❑ 0 Absent a compelling business reason State Agencies are to utilize state contract to purchase CLEANING SUPPLIES Ix 36 Fiat Monthly Fee to provide all necessary CLEANING SUPPLIES AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> $0.00 �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for CLEANING SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Light Bulbs L Deicer Liquid Soap Page 32 Work Request Template July 2013 Floor Care Products ❑x ❑x El Garbage Bags ❑ ❑ Glass Cleaner ❑x ❑x El Restroom Disinfectants&Cleaners ❑ ❑ El Trash Can Liners ❑ ❑ Other(please specify) ❑ ❑ El Page 33 Work Request Template July 2013 es*Washington State Department of Enterprise Services 1500 Jefferson Street SE, P.O.Box 41411 • Olympia,Washington 98504-1411 •(360)407-2213 DESCPRMHeaIHumServtcdes.wa.gov Janitorial Services Master Contract Work Request #24723 IWork Request Form: Type your agency/entity information below, fill out site visit/evaluation information, embed any special "Terms and Conditions," update prevailing wage boxes, and then fill out the janitorial work requirements below. Agency Name City of Bremerton (Fire Station#1 Admin) Work Request Number: Agency#or ID: County: Kitsap Monthly Budget Amt. Contract Life: 2 yrs. Original Start Date: Building Type: Other Estimated Square Feet: 7300 #of Floors: ga Approved working hours Monday-Friday 9am to 4pm Work to be performed at: Client Contract Administrator: Send billing information to: Street Address: 911 Park Ave. 911 Park Ave. 100 Oyster Bay Ave.N. Street Address: City&Zip Bremerton WA 98337 Bremerton WA 98337 Bremerton WA 98311 Point of contact Sarah Tassano Sarah Tassano Facilities Dept. Phone: 360 473-5390 360 473-5390 360 473-2316 Fax: 360 473-5397 360 473-5397 360 473-5360 Email: a.us a.us chris.mottnerOci.bremerton.wa.us Page 1 Work Request Template July 2013 Information for Vendors concerning Site Visit, Bid Submission and Evaluation weighting % of weighting applied to evaluation Pricing 60% References: 30% Standardized Q&As: 10% categories: Bids must be submitted on or Mandatory Site Visit Date: Site Visit Time: before the date of»> RFQQ Bid Submissions(by Vendors) should be DESCPRMHealHumServ@des.wa.gov electronically sent to this email address >>> Special Instructions, Conditions, Standard of Work Requirements and/or Floor Plans Vendors must submit a completed Wage Theft Certification at the time they submit their bid or the bid will be considered non-responsive. Facility Security: Apparent Successful Bidder employees may be required to pass background check documentation for any staff member or subcontractor who will be given access to the facility. Embed any documents containing specific terms,conditions, specifications,floor plans, and/or other instructions. »»>>>»» I Prevailing Wage Information: To be updated with any contract extension Click on link to identify proper prevailing wage>>> L&I Janitorial prevailing wages by lob class by county *Note:The purchasing agency may update the Work Contract based on minimum wage increases and will update the Work Contract to reflect the LNI prevailing wage changes each applicable year. Supervisor Janitor Shampooer Waxer Window Washer NOTE: Janitorial work contracts are"performance based" contracts, and vendors must submit quotes that assure the ability to fully service all noted tasks in accordance with this agency's perfomtance demands (which will be discussed at the site visit.) The amount of minutes bid by vendors will be calculated to measure reasonableness and quality assurance in accordance with RCW 39.26.160(2)(c) and the master contract 00508; janitorial service personnel are required to cumulatively work the amount of minutes submitted in the RFQQ and Work Contract. Cleaning Services task section instructions: These sections use drop down menus for choices. X is selected in each section in column B as a default as is a frequency of 1 Weekly. Deselect the X in the drop down menu if a section is unnecessary. If tasks are needed, select the X next to the task. You may also add tasks in the sections marked "Other." Select the frequency that the tasks needed. Please provide any "additional instructions" unique to your site in the area provided. Your accuracy will assist the vendors in providing the most responsive bid possible. Page 2 Work Request Template July 2013 x 1 Dust, wipe, spot clean, and remove finger prints to include: (Daily I Weekly)4. a) El Reception area tables,counters,chairs,and windows b) El Copy room counters&tables c) 0 Lunchroom counters and tables d) 0 General hallway and corridor walls e) 0 File cabinets f) n Glass doors g) Q Elevator walls and hand rails h) Q Stairwell walls and hand rails i) n Spot clean all smudges,stains and spills as needed on any flooring or open surface j) 0 Remove cobwebs k) Q Other I) n Other m) Q Other n) Q Other Additional Instructions: Weekly DDODDOX 0 SMTWTF S ♦ Check box to activate section: x 2 Additional Dust, wipe, spot clean and disinfect: (Daily 1 Weekly) a) X❑Light switches b) n Door handles c) El Vending machines d) 0 File cabinets e) Q Stair walls and hand rails f) 0 Elevator walls and hand rails g) 0 Other h) n Other i) 0 Other Additional instructions: Frequency: II x a Week 00000®0 SMTWT F S Page 3 Work Request Template July 2013 ♦ Check box to activate section: x 3 Dust, wipe, spot clean and remove finger prints to include: (Monthly I Annually) a) X❑Horizontal surfaces&moldings b) El Horizontal&vertical blinds c) n Picture Frames d) Q Cloth panels e) Q'HVAC vents,grills,and recesses f) n Ceiling vents, grills,and recesses g) 0 Horizontal&vertical blinds h) Q Other i) n Other j) Q Other k) Q Other I) n Other Special instructions: Frequency: x aYear X X X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: X 4 Clean I Wipe Chrome Fixtures to Include: j a) ®Drinking Fountains b) 0 Elevators c) 1-1 Faucets d) Q Other e) Q Other f) n Other g) Q Other Special instructions: Frequency: II x a Week X SM TINT F S Page 5 Work Request Template July 2013 ♦ Check box to activate section: x 5 Empty Daily Trash I Recycle bins from the following areas: j a) El All rooms and open areas. b) n General open areas,hallways,and corridors c) 0 The following Conference Rooms: d) 0 Dining 1 lunchroom areas e) n Kitchen areas f) 0 Reception Area g) 0 Replace trash liners whenever stained,soiled,torn,and/or removed. h) n Employee cubicle areas i) Q Other j) Q Other k) 0 Empty smaller trash/recycle items into large receptacles at specified location I) El On designated day(s),take large receptacles to the specified area. Special instructions:Trash can liners shall be replaced whenever they become stained,soiled,or torn. Frequency: x a Week X SM TINT F S ♦ Check box to activate section: x 6 Entry way and Outside Clean-up: a) 0 Sweep within 10 feet of each entrance. b) n Sweep sidewalks along the front of building c) Q Remove trash and debris from outside parking lot d) Q Empty all entrance ash trays e) n Empty outside trash cans into proper receptacle as f) Q Other g) Q Other h) n Other i) Q Other j) Q Other Special Instructions: Frequency: II x a Week X S M T W T F S Page 6 Work Request Template July 2013 ♦ Check box to activate section: 0 7 Day Porter Services Day Porter expected to work hours per day a) 0 Reposition all conference room and reception ar a chair.) b) 0 Replace light bulbs&light tubes as nccdcd c) 0 Stock,and monitor all janitorial supplies, d) 0 Provide additional Day Portcr Services as noted below in Special Instructions e) 7Day porter to also perform tasks noted in othcr paragraphs/subparagraphs as stated thcrcin. f) g) 0 h) Q j) 0 Special Instructions: Notice to Bidders: If Day Porter is to perform tasks noted under different paragraphs/subparagraphs,minutes for perming such tasks are part of the day-porter's established time and should not be added to respective sections unless bidder feels extra minutes Embed Document here are needed to complete the tasks. des ribing Day Porter Services if Applicable. S M T UU T F S ♦ Check box to activate section: x8 Additional General Miscellaneous Cleaning: J a) 0 Reposition all conference room and reception area chairs b) 0 Replace light bulbs&light tubes as needed c) n Stock,and monitor all janitorial supplies d) Q Other e) Q Other f) n Other g) Q Other h) Q Other i) Q Other j) Q Other Special Instructions: Frequency: II a Week X SM T UU T F S Page 8 Work Request Template July 2013 Specific Rooms and Areas: Restrooms, Kitchen, & Other Select the X for the boxes of the cleaning tasks that apply, or type additional tasks in the sections marked "Other." x 9 General Restroom Cleaning and Disinfecting a) 0 Sanitize all toilets, urinals,wash basins,etc. b) El Sweep,dry mop and/or damp mop and disinfect floors c) []Clean mirrors, mirror frames,faucets,exposed pipes,dispensers, hand driers,counters,and door handles d) El fill all paper towel dispensers,toilet paper dispensers,toilet seat cover dispensers,and soap dispensers. e) El Plunge and/or snake toilets as needed. f) []Other g) El Other h) El Other i) OOther j) 0 Floor cleaning for bathroom is included as part of general floor cleaning duties Special Instructions: Frequency: II x a Week X SM TVVT F S ♦ Check box to activate section: 0110 Additional Restroom Cleaning and Disinfecting: a) OClean and di:. ct toilet stall doors and walls b) []Clan and disinfect shower areas and fixture: c) El Other d) El Other e) QOther f) QOthcr Special Instructions: SM TINT F S Page 9 Work Request Template July 2013 ♦ Check box to activate section: x111 General Kitchen Cleaning: a) 0 Clean and disinfect all counters b) 0 Clean and disinfect outside of all cabinets c) 0 Clean and disinfect outside of all appliances d) 0 Clean and disinfect sink and fixtures e) 0 Clean and disinfect tables and counters in lunch room/eating area. f) 0 Dry mop 1 wet mop to remove all spills and stains on floor g) El Clean inside of following appliances: h) 0 Other i) OOther j) 0 Other Special Instructions: Frequency: II x a Week X SM TWT F S ♦ Check box to activate section: 1112 Additional Kitchen Cleaning: a) []Clean inside of microwavc(s) b) Clean inside of rcfrigcrator(c) c) QOthcr d) []Other e) QOthcr f) El Other g) El Other h) QOthcr i) QOthcr I) 7Other Special Instructions: SM TWT F S Page 11 Work Request Template July 2013 ♦ Check box to activate section: F713 Other Specific Rooms As Follows: a) Othcr b) nOther c) Othcr d) Q Othcr e) OOthcr f) Othcr g) E Othcr h) Othcr i) Q Othcr j) El Othcr Special Instructions: SM TINT F S Floor Care and Cleaning Services ♦ Check box to activate section: x 14 Vacuum High Traffic Carpeted Areas to Include: (Daily/Weekly) Estimated#of 5000 square feet: a) 0 Reception Area b) n General open areas,hallways and corridors c) ElThe following Conference rooms: d) Q Elevator Floor e) n Employee cubicle areas f) ElAdditional Rooms&/or areas as noted in Special Instructions space below. g) Q Spot clean all carpeted areas when needed h) n Other i) Q Other i) 0 The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency: II x a Week X SM T W T F S Page 12 Work Request Template July 2013 ♦ Check box to activate section: x 15 Vacuum Low Traffic Carpeted Areas to Include: Estimated#of square feet: a) 0 Employee Cubicle Areas b) n The following Conference rooms: c) 0 Private Offices d) ElAdditional Rooms&!or areas as noted in Special Instructions space below. e) n Other f) 0 Other g) 0 Other h) n Other i) 0 Other j) ❑The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency: II x a Week X SM T UU T F S ♦ Check box to activate section: x 16 Clean resilient floors to include: (Daily/Weekly) Estimated#of square feet: 2,300 a) TI Sweep floors b) ©Dry mop c) ©Wet mop as needed d) n Other e) Q Other f) 0 Other g) n Other h) Q Other Special instructions: Surface cleaning as noted above should be done on all noncarpeted floors unless specified otherwise. Frequency: II x a Week X SM T UU T F S Page 13 Work Request Template July 2013 • Check box to activate section: 17 Clean, Strip &Wax Resilient floors: (Monthly/Annually) a) Trip old wax and remove stains and discolorations b) 11. c wax the areas checked off andlor specified below. (Sec also special instructions for waxing requirements) c) II non carpeted floors d) 1M •itchcn,Lunchroom areas e) Restrooms f) rint,Copy,Storage Rooms g) tairs and Landings h) Entryways i) •thcr j) •thcr Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec • Check box to activate section: 18 Shampoo Carpet As follows: a) O All carpeted areas b) Q Lobby/Reception area c) 7All open access areas along hallways and corridors d) 0 Conference Rooms e) 0 Private offices f) n Employee cubicle areas g) 0`tairs and landing h) El Rugs i) QOther j) Other Special instructions: Janitor to pre-vacuum all carpeted areas with an upright roller brush vacuum. Janitor to only use an approved hot water extraction process equipment. Janitor must perform cleaning early enough to allow for full drying prior to 8:00 a.m.the following work morning. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 15 Work Request Template July 2013 Window Washing ♦ Check box to activate section: 19 Clean inside of interiorlexterior windows a) OOthcr b) OOthcr c) OOther d) OOther e) OOther f) El Other g) OOthcr h) OOther s Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 120 Clean (ground level) exterior windows a) El Other b) Othcr c) OOther d) OOther e) QOther f) El Other g) nOther h) QOther I) QOther i) 1-11-44414 Special instructions: I I I I I I I - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 17 Work Request Template July 2013 ♦ Check box to activate section: 21 Clean (non-ground level) exterior windows a) OOthcr b) QOther c) OOther d) Q Other e) QOther f) father !Special instructions: I I Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: Ix 22 Clean additional interior windows: (Sizes to be determined at site visit) a) 0 Entry way Windows b) 0 Private office windows c) 0I Conference room windows I d) I Reception area windows e) 0 Other fl 0 Other g) 0 Other h) 0 Other i) 0I Other i) I (Other Special instructions: Note,this task is for a full window cleaning. Spot wiping of smudges,fingerprints,etc.,should come under above sections 1-3 above.) Frequency: II x a Week X SM TWT F S Page 19 Work Request Template July 2013 iscellaneous and Other Types of Cleaning • Check box to activate section: Other. _4111 a) ElOther b) ElOthcr c) ElOther d) ElOther e) ElOther f) ElOther g) El Other h) ElOthcr i) 0Other j) ElOther Special instructions: S M TWT F S Ai Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Check box to activate section: 24 Other: a) b) ElOther c) pOthcr d) pOthcr e) ElOther f) ElOthcr g) Other h) ElOther i) pOthcr j) ElOthcr Special instructions: S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 20 Work Request Template July 2013 ♦ Check box to activate section: 25 Other. a) Q b) Q c) Q d) Q e) Q fl 0 g) 0 h) 0 0 j) ❑' Special instructions: • S M T UV T F S N ....y y N Dec ♦ Check box to activate section: �26 Other. a) OOthcr b) OOthcr c) OOthcr d) OOthcr e) OOthcr fl El Other g) El Other h) OOthcr i) Q Othcr j) Other Special instructions: S M T UV T F S in Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 22 Work Request Template July 2013 • Check box to activate section: 7111111111M____G 27 a) El Other b) OOther c) OOther d) OOther e) OOther f) n Othcr g) El Other h) QOther i) i lOther j) Other Special instructions: i is a a a i S M T W R F Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec As Needed Cleaning: As needed cleaning should only be checked if the agency/entity can provide enough upfront information on each cleaning task for the vendor to calculate the proper amount of minutes to bid to perform the function. Q 28 Out of the ordinary cleanup following special event or office function or minor construction Q 29 Emergency water damage cleanup Page 23 Work Request Template July 2013 Q 30 Other(i.e.Chemical Spills) Q 31 Other(i.e.Biological Spills) Q 32 Other(i.e.Bodily Fluids) Q 33 Other Q 34 Other Page 25 Work Request Template July 2013 Absent a compelling business reason State Agencies are to utilize state contract to purchase PAPER SUPPLIES I x 35 Flat Monthly Fee to supply PAPER SUPPLIES(i.e.paper towels,toilet paper&covers)AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for PAPER SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Toilet Paper ❑X ❑X 11 Paper Towels ❑ ❑X 11 Toilet Seat Covers ❑ ❑X 11 Other(please specify) ❑ ❑X 11 Absent a compelling business reason State Agencies are to utilize state contract to purchase CLEANING SUPPLIES x 36 Flat Monthly Fee to provide all necessary CLEANING SUPPLIES AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> $0.00 �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for CLEANING SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Light Bulbs ❑X ❑X ❑ Deicer ❑X ❑X ❑ Liquid Soap ❑X ❑X ❑ Floor Care Products ❑X ❑X ❑ Garbage Bags ❑X ❑I ❑ (Glass Cleaner ❑X ❑X ❑ Restroom Disinfectants&Cleaners ❑ ❑ ❑ Trash Can Liners ❑X ❑X ❑ Other(please specify) ❑X ❑X ❑ ❑ ❑ ❑ ❑ ❑ ❑ Page 27 Work Request Template July 2013 Washington State Department of • Enterprise Services 1500 Jefferson Street SE, P.O. Box 41411 • Olympia,Washington 98504-1411 •(360)407-2213 DESCPRMHeaIHumServ@des.wa.gov Janitorial Services Master Contract Work Request #24723 Work Request Form: Type your agency/entity information below, fill out site visit/evaluation information, embed any special "Terms and Conditions," update prevailing wage boxes, and then fill out the janitorial work requirements below. Agency Name: City of Bremerton (Police Station) Work Request Number: Agency#or ID: County: Kitsap Monthly Budget Amt. Contract Life: 2 yrs. Original Start Date: Building Type: Other Estimated Square Feet: 18000 #of Floors: Cil Approved working hours Monday- Friday 730am to 500pm Work to be performed at: Client Contract Administrator: Send billing information to: Street Address: 1025 Burwell Street 100 Oyster Bay Ave. N. 100 Oyster Bay Ave. N. Page 1 Work Request Template July 2013 Street Address: City&Zip Bremerton WA 98312 Bremerton WA 98311 Bremerton WA 98311 Point of contact Barbara Forbes Matt Donleycott Facilities Dept. Phone: 360 473-5227 360 473-2316 360 473-2316 Fax: 360 473-5396 360 473-5360 360 473-5360 Email: us .us chris.mottner@ci.bremerton.wa.us Page 2 Work Request Template July 2013 I— Information for Vendors concerning Site Visit, Bid Submission and Evaluation weighting of weighting applied to evaluation Pricing 60% References: 30% Standardized Q&As: 10% categories: Bids must be submitted on or Mandatory Site Visit Date: Site Visit Time: before the date of»> RFQQ Bid Submissions(by Vendors) should be DESCPRMHeaIHumServ( des.wa.gov electronically sent to this email address»> Special Instructions, Conditions, Standard of Work Requirements and/or Floor Plans Vendors must submit a completed Wage Theft Certification at the time they submit their bid or the bid will be considered non-responsive. Facility Security. Apparent Successful Bidder employees may be required to pass background check documentation for any staff member or subcontractor who will be given access to the facility. Embed any documents containing specific terms,conditions, specifications,floor plans,and/or other instructions. »»»»»> Prevailing Wage Information: To be updated with any contract extension Click on link to identify proper prevailing wage»> L&I janitorial prevailing wages by job class by county *Note: The purchasing agency may update the Work Contract based on minimum wage increases and will update the Work Contract to reflect the LNI prevailing wage changes each applicable year. Supervisor Janitor Shampooer Waxer Window Washer Page 3 Work Request Template July 2013 NOTE: Janitorial work contracts are "performance based"contracts, and vendors must submit quotes that assure the ability to fully service all noted tasks in accordance with this agency's performance demands(which will be discussed at the site visit.) The amount of minutes bid by vendors will be calculated to measure reasonableness and quality assurance in accordance with RCW 39.26.160(2)(c)and the master contract 00508; janitorial service personnel are required to cumulatively work the amount of minutes submitted in the RFQQ and Work Contract. Cleaning Services task section instructions: These sections use drop down menus for choices. X is selected in each section in column B as a default as is a frequency of 1 Weekly. Deselect the X in the drop down menu if a section is unnecessary. If tasks are needed, select the X next to the task. You may also add tasks in the sections marked "Other." Select the frequency that the tasks needed. Please provide any "additional instructions" unique to your site in the area provided. Your accuracy will assist the vendors in providing the most responsive bid possible. Page 4 Work Request Template July 2013 Fli Dust, wipe, spot clean, and remove finger prints to include: (Daily 1 Weekly) I „„„ ,„„, ,„„, „„„ ,„„, ,„„, „„„ ,„„, ,„„, „„„ ,„„, ,„„, „„,,.....................................ill a) M Reception area tables,counters,chairs, and windows b) M Copy room counters&tables c) n Lunchroom counters and tables d) n General hallway and corridor walls e) El File cabinets - f) 1-1 Glassdoors g) M Elevator walls and hand rails h) QX Stairwell walls and hand rails i) n Spot clean all smudges,stains and spills as needed on any flooring or open surface j) n Remove cobwebs k) n interior glass I) n Other m) 0 Other n) 0 Other Additional Instructions: Weekly 0000000 SMTWT F S ♦ Check box to activate section: 2 Additional Dust, wipe, spot clean and disinfect: (Daily 1 Weekly) a) I I Light switches b) 0 Door hands, c) E Vending machines d) n File cabinets e) OStair walls and hand rails Page 5 Work Request Template July 2013 f} =Elevator walls and hand rails g) []Other h} =Other I) =Other Additional instructions: Frequency: II x a Week Q0==00 SMTVVIFS Page 6 Work Request Template July 2013 ♦ Check box to activate section: x 3 Ants to include: Monthly 1 Annually)....Dust,..vu�pe° Spof clean and remove finer ..........................................................................................g..........p......................................................,, {,„........................................................................................................................... a) 0 Horizontal surfaces&moldings i b) n Horizontal &vertical blinds - c) 0 Picture Frames d) El Cloth panels e) n HVAC vents,grills,and recesses f) QX Ceiling vents, grills,and recesses g) OX Horizontal &vertical blinds - h) n Other i) 0 Other j) 0 Other k) n Other I) 0 Other Special instructions: Frequency: II x a Year X X X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 4 Clean 1 Wipe Chrome FixtureInclude: a) n Drinking Fountains b) n Elevators c) ®Faucets Page 7 Work Request Template July 2013 d) Q Other e) n Other f) Q Other g) Q Other Special instructions: Frequency II x a Week X X X X X - - - = = = = S M TIIVR F S 1an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 5 EmI. ..PtYPa... .ra.. . .e,c..lebinsfrom the following areas: ...... a) Ill All rooms and open areas. b) n General open areas, hallways,and corridors c) El The following Conference Rooms: d) ®Dining/lunchroom areas e) In Kitchen areas f) 0 Reception Area g) n Replace trash liners whenever stained,soiled,torn,and/or removed. h) n Employee cubicle areas i) 0 Other j) El Other k) n Empty smaller trash/recycle items into large receptacles at specified location I) n On designated day(s),take large receptacles to the specified area. (Special instructions:Trash can liners shall be replaced whenever they become stained,soiled,or torn. Page 8 Work Request Template July 2013 i Frequency: x a Week IX IX X X X S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: X 6 Entry way and Outside Clean-up: Al a) 0 Sweep within 10 feet of each entrance. b} Q Sweep sidewalks along the front of building c} n Remove trash and debris from outside parking lot d} n Empty all entrance ash trays e} n Empty outside trash cans into proper receptacle as f} n Other g} El Other h} El Other i} El Other j} 0 Other Special Instructions: Frequency: II x a Week XXX X X _ S M T W T F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 9 Work Request Template July 2013 ♦ Check box to activate section: 0 7 Day Porter Services Day Porter expected to work hours per d a) 0 Reposition all conference room and reception arcs chairs b) n Replace light bulbs&light tubes as needed c] 0 Stock,and monitor all janitorial cupplioo d) 0lirovidc additional Day Portcr Services as noted below in Special Instructions, e} n Day porter to also perform tacks noted in other paragraphs 1 subparagraphs as stated therein. f} 0 g) 0 h) n i} 0 j) i0 Special Instructions: Notice to Bidders: If Day Porter is to perform tasks noted under different paragraphs/subparagraphs,minutes for penning such tasks are part of the day-porter's established time and should not be added to respective sections unless bidder feels extra minutes Embed Document here are needed to complete the tasks. describing Day Porter Services if Applicable. S M T UV T F S Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 8 Additional General Miscellaneous Cleaning: a) n Reposition all conference room and reception area chairs b) 0 Replace light bulbs&light tubes as needed c) 0 Stock,and monitor all janitorial supplies d) n Other e) n Other f) n Other g) 0 Other Page 10 Work Request Template July 2013 h) I !Other i} Q Other j} 0 Other i Special Instructions: Frequency II a Week X X X X X S M T W I F S .Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Specific Rooms and Areas: Restrooms, Kitchen, & Other Select the X for the boxes of the cleaning tasks that apply, or type additional tasks in the sections marked"Other." x 19 General Restroom Cleaning and Disinfecting a) x Sanitize all toilets,urinals,wash basins,etc. b) x Sweep, dry mop andlor damp mop and disinfect floors c} i x Clean mirrors, mirror frames,faucets,exposed pipes,dispensers, hand driers,counters, and door handles d) [fill all paper towel dispensers,toilet paper dispensers,toilet seat cover dispensers, and soap dispensers. e) n Plunge andlor snake toilets as needed. f) I !Other g) n Other h) 0 Other i} 0 Other j) n Floor cleaning for bathroom is included as part of general floor cleaning duties !special Instructions: please include mens and womens locker rooms I Page 11 Work Request Template July 2013 Frequency: x a Week X X X X X S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 10 Additional Restroom Cleaning and Disinfecting: 1111 a) 0 Clean and disinfect toilet stall doors and walls b} n Clean and disinfect shower areas and fixtures c} n Other d} n Other e) n Other f} 0 Other Special Instructions: Frequency: II x a Week X X X X X S M T W T F S Jul Aug Sep Oct Nov Dec Page 12 Work Request Template July 2013 '4 Check box to activate section: X 11 General Kitchen Cleaning: a) 0 Clean and disinfect all counters b) 0 Clean and disinfect outside of all cabinets c} []Clean and disinfect outside of all appliances d} []Clean and disinfect sink and fixtures e) []Clean and disinfect tables and counters in lunch room I eating area. f} []Dry mop 1 wet mop to remove all spills and stains on floor g) El Clean inside of following appliances: h} 0 Reposition kitchen furniture in an orderly manner i} O Other j} []Other Special Instructions: Frequency: II x a Week X X X X X SM TWT F S "ay Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: 0 12 Additional Kitchen Cleaning: 1 a) Qaean inside of microwave(s) b) paean inside of rcfrigcrator(s) c) OOthcr d) 'QOthcr e) El Other f) IpOthcr g) 0Other h) []Other Page 13 Work Request Template July 2013 i] El Other j) []Other Special Instructions: SMTWT F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec = Page 14 Work Request Template July 2013 ♦ Check box to activate section: 13 Other Specific Rooms As Follows: a) QOther b) QOthcr c) nOthcr d) Q Othor e) Q Other f} n Other g) QOther h} QOthcr i} nOthcr j) QOthor Special Instructions: S M I W I F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Floor Care and Cleaning Services 4 Check box to activate section: Estix 14 Vacuum High Traffic Carpeted Areas to Include: (Daily/Weekly) square aefeeted# 11800 � p square feet:: a) 0 Reception Area b) n General open areas,hallways and corridors c) n The following Conference rooms: d} n Elevator Floor e) n Employee cubicle areas Page 15 Work Request Template July 2013 f} nAdditional Rooms&lor areas as noted in Special Instructions space below. g) n Spot clean all carpeted areas when needed h) Q Other i} Q Other j} n The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency II x a Week X X S M T W T F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: x Low Traffic Carpeted Areas to Include: Estimatedq eo 5, Vacuum C11 square feet;., a) n Employee Cubicle Areas b) n The following Conference rooms: c) n Private Offices d} nAdditional Rooms&/or areas as noted in Special Instructions space below. e) Q Other f) Q Other g) n Other h) n Other i) 0 Other j} n The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions:offices are to be done only when door is open and there is no official buisness being conducted.When office is unavailable it can wait until next scheduled time. Frequency: © x a Week X X SM TWT F S Page 16 Work Request Template July 2013 4 Check box to activate section: x 16 Clean resilient floors to include: (Daily/Weekly) Estimated#of sqquu are feet: 5,200 a} 0 Sweep floors b} Dry mop c) I1 Wet mop as needed d} n Other e) n Other f} 0 Other g) El Other h} n Other Special instructions: Surface cleaning as noted above should be done on all noncarpeted floors unless specified otherwise.Wet mop 2x a week.Sweep stairs lx a week.To include mens and womens locker rooms Frequency: ll x a Week X X X X X ,., S M I W I F S an Feb MarApr MayJun Jul AugSep Oct Nov Dec Dec Page 17 Work Request Template July 2013 ♦ Check box to activate section: 17 Clean, Strip & Wax Resilient floors: (Monthly/Annually) a) El Strip old wax and remove stains and discolorations b) 0 Re wax the areas checked off and/or specified bdow. (Sec also special instructions for waxing requirements) c) nAI non carpeted floors d) Q Kitchon, Lunchroom aroa& e) Q Restrooms f) n Print,Copy, Storage Rooms, g) 0Stairs and Lending& h) 0 Entryways i) 0Other j) EOthor Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 18 Shampoo Carpet As follows: a) 0Nl carpeted areas b) n Lobby/Reception arc c) Q NI opcn accez areas along hallways and corridors d) 0Conference Rooms e) n Private offices f) 0 Employee cubicle area:, g) 0 Stairs and landing Page 18 Work Request Template July 2013 h) 0I Rugs I i] ]Other j) DOther Special instructions: Janitor to pre-vacuum all carpeted areas with an upright roller brush vacuum. Janitor to only use an approved hot water extraction process equipment. Janitor must perform cleaning early enough to allow for full drying prior to 8 00 a.m.the following work morning. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 19 Work Request Template July 2013 Window Washing ♦ Check box to activate section: Total # of Ave Sq. Estimated •• x 19 Clean inside of interior/exterior windows windows» 104 Ft.»> 11 Sq.Ft:» 1138 a) n Other b) 0 Other c} 0 Other d) n Other e) n Other f) n Other g) n Other h) 0 Other Special instructions: Vendor to notify management of the exact date for the window cleaning two weeks beforehand--to allow employees to remove any items from window sills etc. Frequency: © x a Year X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 20 Clean (ground level) exterior windows Total# o 55 Ave Sq. 10 Estimated •• 550 u+n ndows» Ft.»> Sq.Ft.» a) 0 Other b) 0 Other c) n Other d) n Other e) n Other f) n Other g) Q Other Page 20 Work Request Template July 2013 h) n Other i) 0 Other j) 0 Other Special instructions: Frequency: © x a Year X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 21 Work Request Template July 2013 ♦ Check box to activate section: Total# o Ave Sc. Estimated - x 21 Clean (non-ground level) exterior windows windows» 49 Ft » 12 5q.Ft.» 588 a) [ ]Other b) n Other c) n Other d} n Other e) 0 Other f} 0 Other Special instructions: Frequency: © x a Year X x Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 122 Clean additional interior windows: (Sizes to be determined at site visit) • a} n Entry way Windows b} n Private office windows c) 0 Conference room windows d} 0 Reception area windows e} El Other f) II�(Other g) I (Other h) n Other i} El Other Page 22 Work Request Template July 2013 j) M Other Special instructions: Note,this task is for a full window cleaning. Spot wiping of smudges,fingerprints,etc.,should come under above sections 1-3 above.) Frequency: x a Week X S M I UV I F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 23 Work Request Template July 2013 Miscellaneous and Other Types of Cleaning ♦ Check box to activate section: 123 Other a) 0 sweep stairs b) []Other c) Other d) QOther e) []Other f) E Othor g) Other h) []Other i) Other j) pother Special instructions: S M T W T F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Check box to activate section: a) 0wct mop all resilient floors b) Q Other c) n Other d) Othcr Page 24 Work Request Template July 2013 e) 0Other f) n Other g} El Other h) QOther i} nOthcr j) OOthor Special instructions: S M T W T F S 'in Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 25 Work Request Template July 2013 4 Check box to activate section: 5 Oth e a) nOthcr b) Q Othor c) Q Other d) n Other e) Q Other f) QOthcr g) nOthcr h) Q Othor i) Q Other j) I ]Other Special instructions: S M TINT F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 26 Other: a) 0Othcr b) 0Othcr c) OOther d) n Other e) Q Othcr f) 0Othcr g) nOthcr h) QOthcr Page 26 Work Request Template July 2013 i) Other j) nOther Special instructions: S M T UV T F S 'an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 27 Work Request Template July 2013 ♦ Check box to activate section: HEIM 111MI--= a) nOthcr b) QOthor c) Other d) [ ]Other e) Other f) QOther g) nothcr h) QOthor i) Q Other j) []Other Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec As Needed Cleaning: As needed cleaning should only be checked if the agency/entity can provide enough upfront information on each cleaning task for the vendor to calculate the proper amount of minutes to bid to perform the function. 28 Out of the ordinary cleanup following special event or office function or minor construction Page 28 Work Request Template July 2013 Q 29 Emergency water damage cleanup Page 29 Work Request Template July 2013 Q 30 Other(i.e.Chemical Spills) Q 31 Other(i.e. Biological Spills) I 32 Other(i.e. Bodily Fluids) Q 33 Other Page 30 Work Request Template July 2013 Q 34 Other Page 31 Work Request Template July 2013 Absent a compelling business reason State Agencies are to utilize state contract to purchase PAPER SUPPLIES x 35 Flat Monthly Fee to supply PAPER SUPPLIES (i.e.paper towels,toilet paper&covers)AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for PAPER SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Toilet Paper ❑ ❑ Paper Towels ❑ ❑ Toilet Seat Covers ❑ ❑ Other(please specify) ❑ ❑ 0 ❑ 0 Absent a compelling business reason State Agencies are to utilize state contract to purchase CLEANING SUPPLIES Ix 36 Fiat Monthly Fee to provide all necessary CLEANING SUPPLIES AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> $0.00 �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for CLEANING SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Light Bulbs L Deicer Liquid Soap Page 32 Work Request Template July 2013 Floor Care Products ❑x ❑x El Garbage Bags ❑ ❑ Glass Cleaner ❑x ❑x El Restroom Disinfectants&Cleaners ❑ ❑ El Trash Can Liners ❑ ❑ Other(please specify) ❑ ❑ El Page 33 Work Request Template July 2013 Washington State Department of • Enterprise Services 1500 Jefferson Street SE, P.O. Box 41411 • Olympia,Washington 98504-1411 •(360)407-2213 DESCPRMHeaIHumServ@des.wa.gov Janitorial Services Master Contract Work Request #24723 Work Request Form: Type your agency/entity information below, fill out site visit/evaluation information, embed any special "Terms and Conditions," update prevailing wage boxes, and then fill out the janitorial work requirements below. Agency Name: City of Bremerton BKAT Work Request Number: Agency#or ID: County: Kitsap Monthly Budget Amt. Contract Life: 2 yrs. Original Start Date: Building Type: Other Estimated Square Feet: 1800 #of Floors: 1.00 Approved working hours Friday after6pm, Sat/Sun anytime Work to be performed at: Client Contract Administrator: Send billing information to: Street Address: 7266 Tibardis Road 100 Oyster Bay Ave. N. 100 Oyster Bay Ave. N. Page 1 Work Request Template July 2013 Street Address: City&Zip Bremerton WA 98311 Bremerton WA 98311 Bremerton WA 98311 Point of contact Colleen Miko Matt Donleycott Facilities Dept. Phone: 360 473-5014 360 473-2316 360 473-2316 Fax: Email: ion.rauch@ci.bremerton.wa.us .us chris.mottner@ci.bremerton.wa.us Page 2 Work Request Template July 2013 I— Information for Vendors concerning Site Visit, Bid Submission and Evaluation weighting of weighting applied to evaluation Pricing 60% References: 30% Standardized Q&As: 10% categories: Bids must be submitted on or Mandatory Site Visit Date: Site Visit Time: before the date of»> RFQQ Bid Submissions(by Vendors) should be DESCPRMHeaIHumServ( des.wa.gov electronically sent to this email address»> Special Instructions, Conditions, Standard of Work Requirements and/or Floor Plans Vendors must submit a completed Wage Theft Certification at the time they submit their bid or the bid will be considered non-responsive. Facility Security. Apparent Successful Bidder employees may be required to pass background check documentation for any staff member or subcontractor who will be given access to the facility. Embed any documents containing specific terms,conditions, specifications,floor plans,and/or other instructions. »»»»»> Prevailing Wage Information: To be updated with any contract extension Click on link to identify proper prevailing wage»> L&I janitorial prevailing wages by job class by county *Note: The purchasing agency may update the Work Contract based on minimum wage increases and will update the Work Contract to reflect the LNI prevailing wage changes each applicable year. Supervisor Janitor Shampooer Waxer Window Washer Page 3 Work Request Template July 2013 NOTE: Janitorial work contracts are "performance based"contracts, and vendors must submit quotes that assure the ability to fully service all noted tasks in accordance with this agency's performance demands(which will be discussed at the site visit.) The amount of minutes bid by vendors will be calculated to measure reasonableness and quality assurance in accordance with RCW 39.26.160(2)(c)and the master contract 00508; janitorial service personnel are required to cumulatively work the amount of minutes submitted in the RFQQ and Work Contract. Cleaning Services task section instructions: These sections use drop down menus for choices. X is selected in each section in column B as a default as is a frequency of 1 Weekly. Deselect the X in the drop down menu if a section is unnecessary. If tasks are needed, select the X next to the task. You may also add tasks in the sections marked "Other." Select the frequency that the tasks needed. Please provide any "additional instructions" unique to your site in the area provided. Your accuracy will assist the vendors in providing the most responsive bid possible. Page 4 Work Request Template July 2013 nhDust, wipe, spot clean, and remove finger prints to include: (Daily 1 Weekly) a) M Reception area tables,counters,chairs, and windows b) M Copy room counters&tables c) n Lunchroom counters and tables d) n General hallway and corridor walls e) M File cabinets f) n Glass doors g) 0 Elevator walls and hand rails h) QX Stairwell walls and hand rails i) n Spot clean all smudges,stains and spills as needed on any flooring or open surface j) n Remove cobwebs k) n Other I) n Other m) 0 Other n) 0 Other Additional Instructions: U Weekly 0000000 SMTWR F S ♦ Check box to activate section: 2 Additional Dust, wipe, spot clean and disinfect: (Daily 1 Weekly) a) I I Light switches b) 0 Door hands, c) E Vending machines d) n File cabinets e) OStair walls and hand rails Page 5 Work Request Template July 2013 f} =Elevator walls and hand rails g) []Other h} =Other I) =Other Additional instructions: Frequency: II x a Week Q0==00 SMTUVRE S Page 6 Work Request Template July 2013 ♦ Check box to activate section: x 3 Ants to include: Monthly 1 Annually)....Dust,..vu�pe° Spof clean and remove finer ..........................................................................................g..........p......................................................,, {,„........................................................................................................................... a) 0 Horizontal surfaces&moldings i b) n Horizontal &vertical blinds - c) 0 Picture Frames d) El Cloth panels e) n HVAC vents,grills,and recesses f) QX Ceiling vents, grills,and recesses g) Ox Horizontal &vertical blinds - h) n Other i) 0 Other j) 0 Other k) n Other I) 0 Other Special instructions: Frequency: © x a Year X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 4 Clean 1 Wipe Chrome FixtureInclude: a) n Drinking Fountains b) n Elevators c) ®Faucets Page 7 Work Request Template July 2013 d) Q Other e) n Other f) Q Other g) Q Other Special instructions: Frequency: ii x a Week X S M T UV R F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 5 EmI. ..PtYPa... .ra.. . .e,c..lebinsfrom the following areas: .m1111 WI' WI' 1111111 a) nAl rooms and open areas. b) n General open areas, hallways,and corridors c) 0 The following Conference Rooms: d) Q Dining/lunchroom areas e) In Kitchen areas f) n Reception Area g) n Replace trash liners whenever stained,soiled,torn,and/or removed. h) n Employee cubicle areas i) 0 Other j) El Other k) n Empty smaller trash/recycle items into large receptacles at specified location I) n On designated day(s),take I arge receptacles to the specified area. (Special instructions:Trash can liners shall be replaced whenever they become stained,soiled,or torn. I Page 8 Work Request Template July 2013 i Frequency: x a Week X S M T W R F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: X 6 Entry way and Outside Clean-up: di a) 0 Sweep within 10 feet of each entrance. b} 0 Sweep sidewalks along the front of building c} n Remove trash and debris from outside parking lot d) n Empty all entrance ash trays e) n Empty outside trash cans into proper receptacle as f) n Other g) 0 Other h) El Other i) 0 Other j} 0 Other Special Instructions: Frequency: II x a Week X = S M I W R F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 9 Work Request Template July 2013 ♦ Check box to activate section: 0 7 Day Porter Services Day Porter expected to work hours per d a) 0 Reposition all conference room and reception arcs chairs b) n Replace light bulbs&light tubes as needed c] 0 Stock,and monitor all janitorial cupplioo d) 0lirovidc additional Day Portcr Services as noted below in Special Instructions, e} n Day porter to also perform tacks noted in other paragraphs 1 subparagraphs as stated therein. f} 0 g) 0 h) n i} 0 j) i0 Special Instructions: Notice to Bidders: If Day Porter is to perform tasks noted under different paragraphs/subparagraphs,minutes for penning such tasks are part of the day-porter's established time and should not be added to respective sections unless bidder feels extra minutes Embed Document here are needed to complete the tasks. describing Day Porter Services if Applicable. S M T UV R F S Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 8 Additional General Miscellaneous Cleaning: a) n Reposition all conference room and reception area chairs b) 0 Replace light bulbs&light tubes as needed c) 0 Stock,and monitor all janitorial supplies d) n Other e) n Other f) n Other g) 0 Other Page 10 Work Request Template July 2013 h) I IOther i} El Other j} 0 Other Special Instructions: Frequency II a Week X S M T W R F S .Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Specific Rooms and Areas: Restrooms, Kitchen, & Other Select the X for the boxes of the cleaning tasks that apply, or type additional tasks in the sections marked"Other." x 19 General Restroom Cleaning and Disinfecting a) x Sanitize all toilets,urinals,wash basins,etc. b) x Sweep, dry mop andlor damp mop and disinfect floors c} i x Clean mirrors, mirror frames,faucets,exposed pipes,dispensers, hand driers,counters, and door handles d) [fill all paper towel dispensers,toilet paper dispensers,toilet seat cover dispensers, and soap dispensers. e) n Plunge andlor snake toilets as needed. f) n Other g) n Other h) 0 Other i} 0 Other j) n Floor cleaning for bathroom is included as part of general floor cleaning duties t !Special Instructions: I Page 11 Work Request Template July 2013 Frequency: x a Week X _ S M T W R F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 10 Additional Restroom Cleaning and Disinfecting: 1111 a) 0 Clean and disinfect toilet stall doors and walls b) n Clean and disinfect shower areas and fixtures - c) n Other d) n Other e) n Other f) 0 Other Special Instructions: Frequency: II x a Week X S M T W R F S Jul Aug Sep Oct Nov Dec Page 12 Work Request Template July 2013 '4 Check box to activate section: X 11 General Kitchen Cleaning: a) 0 Clean and disinfect all counters b} 0 Clean and disinfect outside of all cabinets c} []Clean and disinfect outside of all appliances d} []Clean and disinfect sink and fixtures e} []Clean and disinfect tables and counters in lunch room I eating area. f} [ ]Dry mop 1 wet mop to remove all spills and stains on floor g} Q Clean inside of following appliances: h} 0 Other i} 0 Other i) []Other Special Instructions: Frequency: II x a Week X SMIIIVIR F S "ay Jun Jul Aug Sep Oct Nov Dec Check box to activate section: 0 12 Additional Kitchen Cleaning: 1 a) Qaean inside of microwave(s) b) paean inside of rcfrigcrator(s) c) OOthcr d) 'QOthcr e) El Other f) IpOthcr g) 0Other h) []Other Page 13 Work Request Template July 2013 i] El Other j) []Other Special Instructions: SMTWR F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec = Page 14 Work Request Template July 2013 ♦ Check box to activate section: 13 Other Specific Rooms As Follows: a) QOther b) QOthcr c) nOthcr d) Q Othor e) Q Other f} n Other g) QOther h} QOthcr i} nOthcr j) QOthor Special Instructions: S M T W R F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Floor Care and Cleaning Services 4 Check box to activate section: Estix 14 Vacuum High Traffic Carpeted Areas to Include: (Daily/Weekly) square aefeeted# 1500 � p square feet:: a) 0 Reception Area b) n General open areas,hallways and corridors c) 0 The following Conference rooms: d) 0 Elevator Floor e) n Employee cubicle areas Page 15 Work Request Template July 2013 f} nAdditional Rooms&lor areas as noted in Special Instructions space below. g) n Spot clean all carpeted areas when needed h) 0 Other I) El Other j} n The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency II x a Week X S M T W R F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 4 Check box to activate section: x Low Traffic Carpeted Areas to Include: Estimatedq eo 5, Vacuum C11 square feet;., a) n Employee Cubicle Areas b) n The following Conference rooms: c} n Private Offices d} nAdditional Rooms&for areas as noted in Special Instructions space below. e) 0 Other f) El Other g) n Other h) n Other i) 0 Other j} n The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency: II x a Week X = SM TWR F S Page 16 Work Request Template July 2013 4 Check box to activate section: x 16 Clean resilient floors to include: (Daily/Weekly) Estimated#of sqquu are feet: 300 a} 0 Sweep floors b} Dry mop c] TI Wet mop as needed d} n Other e} n Other f} 0 Other g} El Other h} n Other Special instructions: Surface cleaning as noted above should be done on all noncarpeted floors unless specified otherwise.Wet mop only needs to be done twice a year in April and October S M I UV R F S an Feb Mar Apr May Jun Jul Auge Oct Nov Dec Frequency x a Week X n., p y g p Dec Page 17 Work Request Template July 2013 ♦ Check box to activate section: Estimated#of x 17 Clean, Strip & Wax Resilient floors: (Monthly 1 Annually) square feet: 300 a) 0 Strip old wax and remove stains and discolorations b) 0 Re-wax the areas checked off and/or specified below. (See also special instructions for waxing requirements) c) n All non-carpeted floors d) n Kitchen, Lunchroom areas e) n Restrooms f) n Print,Copy, Storage Rooms g) 0 Stairs and Landings h) 0 Entryways i) O Other j) n Other Special instructions: Frequency: II x a Year X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 18 Shampoo Carpet As follows: Estimated#of [ square feet: 1500 a) n All carpeted areas b) n Lobby I Reception area c) 0 Al open access areas along hallways and corridors d) Q Conference Rooms e) n Private offices f) 0 Employee cubicle areas g) 0 Stairs and landing Page 18 Work Request Template July 2013 h) n Rugs i) n Other j) 0 Other Special instructions: Janitor to pre-vacuum all carpeted areas with an upright roller brush vacuum. Janitor to only use an approved hot water extraction process equipment. Janitor must perform cleaning early enough to allow for full drying prior to 8:00 a.m.the following work morning. Frequency: II x a Year X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 19 Work Request Template July 2013 Window Washing 4 Check box to activate section: 19 Clean inside of interior/exterior windows a) 1-1 Other b) OOther c} QOthcr d) nOthcr e) Q Othor f) Q Other g) []Other h) QOther i ctc. n —1 i Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec = ♦ Check box to activate section: x 20 Clean (ground level) exterior windows Total# off Ave Sq. Estimated 0 uOndows>> I Ft.»> Sq.Ft.» a) 0 Other b) 0 Other c) n Other d) n Other e) n Other f) n Other g) Q Other Page 20 Work Request Template July 2013 h) n Other i) 0 Other j) 0 Other Special instructions: Frequency: © x a Year X X Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 21 Work Request Template July 2013 ♦ Check box to activate section: 21 Clean (non-ground level) exterior windows a) QOthcr b) Q Othor c) Q Other d} I (Other e) OOther f} QOthcr Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: x 122 Clean additional interior windows: (Sizes to be determined at site visit) • a} n Entry way Windows b} n Private office windows c) 0 Conference room windows d} 0 Reception area windows e} El Other f) II�(Other g) I (Other h) n Other i} El Other Page 22 Work Request Template July 2013 j) M Other Special instructions: Note,this task is for a full window cleaning. Spot wiping of smudges,fingerprints,etc.,should come under above sections 1-3 above.) Frequency: x a Week X S M I UV R F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 23 Work Request Template July 2013 Miscellaneous and Other Types of Cleaning ♦ Check box to activate section: 123 Other a) 0 Other b) n Other c) Other d) QOther e) nOthcr f) E Othor g) Other h) nOther i) Other j) pother Special instructions: S M T W R F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Check box to activate section: a) OOthcr b) QOther c) nOthcr d) Q Othcr Page 24 Work Request Template July 2013 e) 0Other f) n Other g) Other h) QOther i} nOthcr j) OOthor Special instructions: S M T UU R F S an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 25 Work Request Template July 2013 4 Check box to activate section: 5 Oth e a) nOthcr b) OOthor c) OOther d) n Other e) OOther f) QOthcr g) nOthcr h) OOthor i) OOther I j) I ]Other Special instructions: S M T UV R F S Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 26 Other: a) 0Othcr b) 0Othcr c) OOther d) n Other e) Q Othcr f) 0Othcr g) nOthcr h) QOthcr Page 26 Work Request Template July 2013 i) Other j) nOther Special instructions: S M T UV R F S 'an Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 27 Work Request Template July 2013 ♦ Check box to activate section: HEIM 111MI--= a) nOthcr b) QOthor c) Other d) [ ]Other e) Other f) QOther g) nothcr h) QOthor i) Q Other j) []Other Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec As Needed Cleaning: As needed cleaning should only be checked if the agency/entity can provide enough upfront information on each cleaning task for the vendor to calculate the proper amount of minutes to bid to perform the function. 28 Out of the ordinary cleanup following special event or office function or minor construction Page 28 Work Request Template July 2013 Q 29 Emergency water damage cleanup Page 29 Work Request Template July 2013 Q 30 Other(i.e.Chemical Spills) Q 31 Other(i.e. Biological Spills) I 32 Other(i.e. Bodily Fluids) Q 33 Other Page 30 Work Request Template July 2013 Q 34 Other Page 31 Work Request Template July 2013 Absent a compelling business reason State Agencies are to utilize state contract to purchase PAPER SUPPLIES x 35 Flat Monthly Fee to supply PAPER SUPPLIES (i.e.paper towels,toilet paper&covers)AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for PAPER SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Toilet Paper ❑ ❑ Paper Towels ❑ ❑ Toilet Seat Covers ❑ ❑ Other(please specify) ❑ ❑ 0 ❑ 0 Absent a compelling business reason State Agencies are to utilize state contract to purchase CLEANING SUPPLIES Ix 36 Fiat Monthly Fee to provide all necessary CLEANING SUPPLIES AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> $0.00 �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for CLEANING SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Light Bulbs L Deicer Liquid Soap Page 32 Work Request Template July 2013 Floor Care Products ❑x ❑x El Garbage Bags ❑ ❑ Glass Cleaner ❑x ❑x El Restroom Disinfectants&Cleaners ❑ ❑ El Trash Can Liners ❑ ❑ Other(please specify) ❑ ❑ El Page 33 Work Request Template July 2013 Washington State Department of es* Enterprise Services 1500 Jefferson Street SE, P.O.Box 41411 • Olympia,Washington 98504-1411 •(360)407-2213 DESCPRMHeaIHumServtcdes.wa.gov Janitorial Services Master Contract Work Request #24723 Work Request Form: Type your agency/entity information below, fill out site visit/evaluation information, embed any special "Terms and Conditions," update prevailing wage boxes, and then fill out the janitorial work requirements below. 1 Agency Name City of Bremerton (PW&U Admin and Equipment Services Work Request Number: Agency#or ID: County: Kitsap Monthly Budget Amt. Contract Life: 2 yrs. Original Start Date: Building Type: Other Estimated Square Feet: 10000 #of Floors: Egl Approved working hours Monday-Friday 6pm to 7am Work to be performed at: Client Contract Administrator: Send billing information to: Street Address: 100 Oyster Bay Ave.N. 100 Oyster Bay Ave.N. 100 Oyter Bay Ave.N. Street Address: City&Zip Bremerton WA 98312 Bremerton WA 98312 Bremerton WA 98312 Point of contact Matt DonleycottfJoe Stansbery Matt Donleycott/Joe Stansbery Matt Donleycott/Joe Stansbery Phone: 360 473-2316 360 473-2316 360 473-2316 Fax: 360 473-2330 360 473-2330 360 473-2330 Email: a.us a.us s Page 1 Work Request Template July 2013 Information for Vendors concerning Site Visit, Bid Submission and Evaluation weighting % of weighting applied to evaluation Pricing 60% References: 30% Standardized Q&As: 10% categories: Bids must be submitted on or Mandatory Site Visit Date: Site Visit Time: before the date of»> RFQQ Bid Submissions(by Vendors) should be DESCPRMHealHumServ@des.wa.gov electronically sent to this email address >>> Special Instructions, Conditions, Standard of Work Requirements and/or Floor Plans Vendors must submit a completed Wage Theft Certification at the time they submit their bid or the bid will be considered non-responsive. Facility Security: Apparent Successful Bidder employees may be required to pass background check documentation for any staff member or subcontractor who will be given access to the facility. Embed any documents containing specific terms,conditions, specifications,floor plans, and/or other instructions. »»>>>»» I Prevailing Wage Information: To be updated with any contract extension Click on link to identify proper prevailing wage>>> L&I Janitorial prevailing wages by lob class by county *Note:The purchasing agency may update the Work Contract based on minimum wage increases and will update the Work Contract to reflect the LNI prevailing wage changes each applicable year. Supervisor Janitor Shampooer Waxer Window Washer NOTE: Janitorial work contracts are"performance based" contracts, and vendors must submit quotes that assure the ability to fully service all noted tasks in accordance with this agency's perfomtance demands (which will be discussed at the site visit.) The amount of minutes bid by vendors will be calculated to measure reasonableness and quality assurance in accordance with RCW 39.26.160(2)(c) and the master contract 00508; janitorial service personnel are required to cumulatively work the amount of minutes submitted in the RFQQ and Work Contract. Cleaning Services task section instructions: These sections use drop down menus for choices. X is selected in each section in column B as a default as is a frequency of 1 Weekly. Deselect the X in the drop down menu if a section is unnecessary. If tasks are needed, select the X next to the task. You may also add tasks in the sections marked "Other." Select the frequency that the tasks needed. Please provide any "additional instructions" unique to your site in the area provided. Your accuracy will assist the vendors in providing the most responsive bid possible. Page 2 Work Request Template July 2013 x 1 Dust, wipe, spot clean, and remove finger prints to include: (Daily I Weekly)4. a) El Reception area tables,counters,chairs,and windows b) El Copy room counters&tables c) 0 Lunchroom counters and tables d) El General hallway and corridor walls e) El File cabinets f) n Glass doors g) 0 entryway windows h) 0 Stairwell walls and hand rails i) n Spot clean all smudges,stains and spills as needed on any flooring or open surface j) 0 Remove cobwebs k) Q Other I) n Other m) Q Other n) Q Other Additional Instructions: Weekly iliui10 SMTWT F S ♦ Check box to activate section: J 2 Additional Dust, wipe, spot clean and disinfect: (Daily 1 Weekly) a) El Light cwitchc:, b) nDoor handle, c) ON/ending machines d) E File cabinets e) Stair wallc and hand raila f) 0;-lcvator walls and hand rails g) Q Other h) QOther i) El Other Additional instructions: Frequency: II x a Week 0000000 SMTWRE S Page 3 Work Request Template July 2013 ♦ Check box to activate section: 3 Dust, wipe, spot clean and remove finger prints to include: (Monthly I Annually) a) ❑Horizontal surfaces&moldings b) 0 Horizontal&vertical blinds c) n Picture Frame: d) OCloth panels e) 0 HVAC vents,grills,and rccesccs f) n Ceiling vents, grills,and rcccs..c= g) 0 Horizontal&vertical blinds h) QOther i) nOther j) El Other k) El Other I) Q Othcr Special instructions: Frequency: II x a Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: X 4 Clean I Wipe Chrome Fixtures to Include: j a) ®Drinking Fountains b) 0 Elevators c) 17 I Faucets d) Q Other e) Q Other f) n Other g) Q Other Special instructions: Frequency: II x a Week X X X X X S M T UV T F S Page 5 Work Request Template July 2013 ♦ Check box to activate section: x 5 Empty Daily Trash I Recycle bins from the following areas: j a) El All rooms and open areas. b) n General open areas,hallways,and corridors c) Q The following Conference Rooms: d) 0 Dining/lunchroom areas e) [ ]Kitchen areas f) Q Reception Area g) 0 Replace trash liners whenever stained,soiled,torn,and/or removed. h) n Employee cubicle areas i) Q Other j) Q Other k) 0 Empty smaller trash/recycle items into large receptacles at specified location I) El On designated day(s),take large receptacles to the specified area. Special instructions:Trash can liners shall be replaced whenever they become stained,soiled,or torn. Frequency: II x a Week X X X X X SM TINT F S i Check box to activate section: x 6 Entry way and Outside Clean-up: a) 0 Sweep within 10 feet of each entrance. b) n Sweep sidewalks along the front of building c) Q Remove trash and debris from outside parking lot d) Q Empty all entrance ash trays e) n Empty outside trash cans into proper receptacle as f) Q Other g) Q Other h) n Other i) Q Other j) Q Other Special Instructions: Frequency: II x a Week X X X X X SMTINTF S Page 6 Work Request Template July 2013 ♦ Check box to activate section: 0 7 Day Porter Services Day Porter expected to work hours per day a) 0 Reposition all conference room and reception ar a chair.) b) 0 Replace light bulbs&light tubes as nccdcd c) 0 Stock,and monitor all janitorial supplies, d) 0 Provide additional Day Portcr Services as noted below in Special Instructions e) 7Day porter to also perform tasks noted in othcr paragraphs/subparagraphs as stated thcrcin. f) g) 0 h) Q j) 0 Special Instructions: Notice to Bidders: If Day Porter is to perform tasks noted under different paragraphs/subparagraphs,minutes for perming such tasks are part of the day-porter's established time and should not be added to respective sections unless bidder feels extra minutes Embed Document here are needed to complete the tasks. des ribing Day Porter Services if Applicable. S M T UU R F S ♦ Check box to activate section: x8 Additional General Miscellaneous Cleaning: J a) 0 Reposition all conference room and reception area chairs b) 0 Replace light bulbs&light tubes as needed c) n Stock,and monitor all janitorial supplies d) Q Other e) Q Other f) n Other g) Q Other h) Q Other i) Q Other j) Q Other Special Instructions: Frequency: II a Week X S M T UU R F S Page 8 Work Request Template July 2013 Specific Rooms and Areas: Restrooms, Kitchen, & Other Select the X for the boxes of the cleaning tasks that apply, or type additional tasks in the sections marked "Other." x 9 General Restroom Cleaning and Disinfecting a) 0 Sanitize all toilets, urinals,wash basins,etc. b) El Sweep,dry mop and/or damp mop and disinfect floors c) 7Clean mirrors, mirror frames,faucets,exposed pipes,dispensers, hand driers,counters,and door handles d) El fill all paper towel dispensers,toilet paper dispensers,toilet seat cover dispensers,and soap dispensers. e) 0 Plunge and/or snake toilets as needed. f) n Other g) Q Other h) Q Other i) Q Other j) Q Floor cleaning for bathroom is included as part of general floor cleaning duties Special Instructions: Frequency: II x a Week X X X X X SM TVVT F S ♦ Check box to activate section: IX 110 Additional Restroom Cleaning and Disinfecting: a) 0 Clean and disinfect toilet stall doors and walls b) n Clean and disinfect shower areas and fixtures c) Q Other d) Q Other e) Q Other f) Q Other Special Instructions: Frequency: II x a Week X X X X X SM TVVIF S Page 9 Work Request Template July 2013 4 Check box to activate section: X 11 General Kitchen Cleaning: a) 0 Clean and disinfect all counters b) 0 Clean and disinfect outside of all cabinets c) Q Clean and disinfect outside of all appliances d) 0 Clean and disinfect sink and fixtures e) Q Clean and disinfect tables and counters in lunch room/eating area. f) 0 Dry mop 1 wet mop to remove all spills and stains on floor g) El Clean inside of following appliances: h) 0 Clean outside and fill soap dispensers i) 0 Clean outside and fill paper towel dispenser j) 0 Reposition kitchen furniture in an orderly manner Special Instructions: Frequency: II x a Week X X X X X SM TWT F S ♦ Check box to activate section: 1112 Additional Kitchen Cleaning: a) []Clean inside of microwave(s) b) Q Clean inside of refrigerator(s) c) QOthcr d) []Other e) El Other f) Q Other g) fl Other h) QOthcr i) QOthcr j) [Other Special Instructions: SM TWR F S Page 11 Work Request Template July 2013 ♦ Check box to activate section: F713 Other Specific Rooms As Follows: a) Othcr b) nOthcr c) Othcr d) OOther e) f Othcr f) Othcr g) E Othcr h) Othcr i) El Othcr j) El Othcr Special Instructions: SM T w R F S Floor Care and Cleaning Services ♦ Check box to activate section: x 14 Vacuum High Traffic Carpeted Areas to Include: (Daily/Weekly) Estimated#of 5350 square feet: a) 0 Reception Area b) n General open areas,hallways and corridors c) 0 The following Conference rooms: d) 0 Elevator Floor e) n Employee cubicle areas f) ElAdditional Rooms&!or areas as noted in Special Instructions space below. g) 0 Spot clean all carpeted areas when needed h) n Other i) 0 Other i) 0 The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency: II x a Week X SM T w R F S Page 12 Work Request Template July 2013 ♦ Check box to activate section: x 15 Vacuum Low Traffic Carpeted Areas to Include: Estimated#of square feet: a) 0 Employee Cubicle Areas b) n The following Conference rooms: c) 0 Private Offices d) ElAdditional Rooms&!or areas as noted in Special Instructions space below. e) n Other f) 0 Other g) 0 Other h) n Other i) 0 Other j) ❑The above square footage is estimated, Vendors should confirm actual square footage at site visit. Special instructions: Frequency: II x a Week X SM TINR F S ♦ Check box to activate section: x 16 Clean resilient floors to include: (Daily/Weekly) Estimated#of square feet: 5,650 a) n Sweep floors b) ©Dry mop c) ©Wet mop as needed d) n Other e) Q Other f) 0 Other g) n Other h) Q Other Special instructions: Surface cleaning as noted above should be done on all noncarpeted floors unless specified otherwise. Frequency: II x a Week X X X X X SM TINT F S Page 13 Work Request Template July 2013 • Check box to activate section: 17 Clean, Strip &Wax Resilient floors: (Monthly/Annually) a) Trip old wax and remove stains and discolorations b) 11. c wax the areas checked off andlor specified below. (Sec also special instructions for waxing requirements) c) II non carpeted floors d) 1M •itchcn,Lunchroom areas e) Restrooms f) rint,Copy,Storage Rooms g) tairs and Landings h) Entryways I) pstairs offices j) *thcr Special instructions: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec • Check box to activate section: 18 Shampoo Carpet As follows: a) O All carpeted areas b) Q Lobby/Reception area c) fAll open access areas along hallways and corridors d) 0 Conference Rooms e) 0 Private offices f) n Employee cubicle areas g) 0`tairs and landing h) El Rugs i) QOther j) El Other Special instructions: Janitor to pre-vacuum all carpeted areas with an upright roller brush vacuum. Janitor to only use an approved hot water extraction process equipment. Janitor must perform cleaning early enough to allow for full drying prior to 8:00 a.m.the following work morning. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 15 Work Request Template July 2013 Window Washing ♦ Check box to activate section: 19 Clean inside of interiorlexterior windows a) OOthcr b) OOthcr c) OOther d) OOther e) OOther f) El Other g) OOthcr h) OOther s Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: 120 Clean (ground level) exterior windows a) El Other b) Othcr c) OOther d) OOther e) QOther f) El Other g) nOther h) QOther I) QOther i) 1-11-44414 Special instructions: I I I I I I I - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 17 Work Request Template July 2013 ♦ Check box to activate section: 21 Clean (non-ground level) exterior windows a) Other b) father c) father d) f Other e) father f) El Other 'Special instructions: I I Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ♦ Check box to activate section: I-__122 Clean additional interior windows: a) 0 Entry way Win.ows b) 0 Private office windows c) QConference room windows d) ❑Reception indows e) QOther f) QOther g) father h) father i) QOther j) ❑Other Special instructions: Note,this task is for a full window cleaning. Spot wiping of smudges,fingerprints,etc.,should come under above sections 1-3 above.) S M T UV R F S Page 19 Work Request Template July 2013 iscellaneous and Other Types of Cleaning • Check box to activate section: Other. _4111 a) El Othcr b) ElOthcr c) El Othcr d) ElOthcr e) ElOthcr f) El Othcr g) Eothcr h) ElOther i) Othcr j) Eothcr Special instructions: S M T UV R F S =iii Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Check box to activate section: 24 Other: a) b) ElOther c) pOthcr d) pOthcr e) ElOthcr f) ElOthcr g) pOthcr h) ElOther i) pOthcr j) ElOthcr Special instructions: S M T UV R F S .rn Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 20 Work Request Template July 2013 ♦ Check box to activate section: 25 Other. a) Q b) Q c) Q d) Q e) Q fl 0 g) 0 h) 0 0 j) ❑' Special instructions: • S M T UV R F S N ....y y N Dec ♦ Check box to activate section: �26 Other. a) OOthcr b) OOthcr c) OOthcr d) OOthcr e) OOthcr fl El Other g) El Other h) OOthcr i) Q Othcr j) Other Special instructions: S M T UV R F S in Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 22 Work Request Template July 2013 • Check box to activate section: 7111111111M____G 27 a) El Other b) OOther c) OOther d) OOther e) OOther f) n Othcr g) El Other h) QOther i) i lOther j) Other Special instructions: i is a a a i S M T W R F Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec As Needed Cleaning: As needed cleaning should only be checked if the agency/entity can provide enough upfront information on each cleaning task for the vendor to calculate the proper amount of minutes to bid to perform the function. Q 28 Out of the ordinary cleanup following special event or office function or minor construction Q 29 Emergency water damage cleanup Page 23 Work Request Template July 2013 Q 30 Other(i.e.Chemical Spills) Q 31 Other(i.e.Biological Spills) Q 32 Other(i.e.Bodily Fluids) Q 33 Other Q 34 Other Page 25 Work Request Template July 2013 Absent a compelling business reason State Agencies are to utilize state contract to purchase PAPER SUPPLIES I x 35 Flat Monthly Fee to supply PAPER SUPPLIES(i.e.paper towels,toilet paper&covers)AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for PAPER SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Toilet Paper ❑X ❑X 11 Paper Towels ❑ ❑X 11 Toilet Seat Covers ❑ ❑X 11 Other(please specify) ❑ ❑X 11 Absent a compelling business reason State Agencies are to utilize state contract to purchase CLEANING SUPPLIES x 36 Flat Monthly Fee to provide all necessary CLEANING SUPPLIES AT VENDORS ACTUAL COST All monthly invoices must be accompanied with a cost break down and supporting documentation to validate vendors actual costs are accurately reflected Bidder to propose Monthly Flat Service Fee>>> $0.00 �<<<Bidder to identify(for market research purposes only)the estimated monthly costs the client should expect to budget for CLEANING SUPPLIES Environmentally Provided by Provided by Supply Preferred? Agency Vendor Light Bulbs ❑ ❑ ❑ Deicer ❑ ❑ ❑ Liquid Soap ❑X ❑X ❑ Floor Care Products ❑X ❑X ❑ Garbage Bags ❑X ❑I ❑ (Glass Cleaner ❑X ❑X ❑ Restroom Disinfectants&Cleaners ❑ ❑ ❑ Trash Can Liners ❑X ❑X ❑ Other(please specify) ❑X ❑X ❑ ❑ ❑ ❑ ❑ ❑ ❑ Page 27 Work Request Template July 2013 i EXHIBIT F SUPPLY COSTS The costs of paper supplies and cleaning supplies will be reimbursed by the City at actual costs as follows; The Vendor shall provide for the paper and cleaning supplies for all service locations as set forth in Exhibits A through F. Paper and cleaning supplies will be appropriate products for the service locations scope of work. The Vendor shall submit monthly invoices accompanied with a cost breakdown of products and supplies purchased per service location, and will provide supporting documentation to validate that the Vendor's actual costs are accurately reflected within the Vendor's invoices. The City shall promptly process invoiced payments as provided for in Section Ill. Compensation, of the Professional Services Agreement for Janitorial Services. PRICES FOR SERVICES Window Washing General Cleaning Services Services Floor Cleaning Services Prevailing Wage + Prevailing Wage + % Prevailing Wage + % Prevailing Wage: Prevailing Wage: Prevailing Wage: WindowCleaner(Non- County Janitor Shampooer and Waxer Scaffold and Scaffold) Adams 19.95% 27.95% 31.90% Asotin 19.95% 27.95% 31.90% Benton 19.95% 27.95% 31.90% Chelan 19.95% 27.95% 31.90% Clallam 19.95% 27.95% 31.90% Clark 23.95% 29.95% 31.90% Columbia 19.95% 27.95% 31.90% Cowlitz 19.95% 27.95% 31.90% Douglas 19.95% 27.95% 31.90% Ferry 19.95% 27.95% 31.90% Franklin 19.95% NA 31.90% Garfield 19.95% 27.95% 31.90% Grant 19.95% 27.95% 31.90% Grays Harbor 19.95% 27.95% 31.90% Island 19.95% 27.95% 31.90% Jefferson 19.95% 27.95% 31.90% King 23.95% 29.95% 32.90% Kitsap 19.95% NA NA Kittitas 19.95% 27.95% 31.90% Klickitat 19.95% 27.95% 31.90% Lewis 19.95% NA NA Lincoln 19.95% 27.95% 31.90% Mason 19.95% 27.95% NA Okanogan 19.95% 27.95% 31.90% Pacific 19.95% 27.95% 31.90% Pend Oreille 19.95% 27.95% 31.90% Pierce 21.95% NA 32.90% San Juan 19.95% 27.95% 31.90% Skagit 19.95% 27.95% 31.90% Skamania 19.95% 27.95% 31.90% Snohomish 19.95% 27.95% NA Spokane 21.95% 27.95% 31.90% Stevens 19.95% 27.95% 31.90% Thurston 19.95% 27.95% 31.90% Wahkiakum 19.95% 27.95% 31.90% Walla Walla 19.95% 27.95% 31.90% Whatcom 19.95% 27.95% 31.90% Whitman 19.95% 27.95% 31.90% Yakima 21.95% 31.95% 33.90%