I. MINIMUM SPECIFICATIONS
Towing companies wishing to have their quotations considered for Winchendon Police Department public authority towing must comply with the following minimum qualifications. If the company meets all of these minimum qualifications, its quotation will be further considered in the evaluative specification listed in section II.
The Responsive Towing Company must:
1) Be licensed for public authority towing with the Massachusetts Department of Public Utilities
a. Are you licensed for public towing with Mass. DPU? Yes / No
2) Maintain a secure storage area in the Town of Winchendon
a. Do you have secure storage area in Winchendon? Yes / No
If Yes, list location: ___________________________________
3) Be capable of performing roadside repairs
a. Are you capable of performing roadside repairs? Yes / No
4) Be open Monday through Friday, during normal business hours.
a. Will you be open Monday through Friday normal business hours? Yes / No
5) Have ability to respond to requests for services within 20 minutes or in a reasonable amount of time as determined by the Chief of Police
a. Do you have the ability to respond as noted above? Yes / No
6) Adhere to all laws and regulations set forth by the Massachusetts Department of Public Utilities including but not limited to fees for services rendered.
a. Do you adhere to the above? Yes / No
7) Secure and maintain minimum required worker’s compensation, garage and automobile liability insurance as follows:
Worker’s Compensation Insurance
Garage liability $100,000 (direct primary)
Automobile liability $250,000/$500,000 (bodily injury)
$100,000 (property)
Or
$1,000,000 (combined single limit)
a. Do you agree do provide insurance as noted? Yes / No
Violations of any requirements by the towing company, its employees or agents acting on behalf of the company may result in termination of rights to perform public authority tows.
II. EVALUATIVE SPECIFICATIONS
1. Vehicles
How many vehicles is your company capable of towing simultaneously? _________
How many towing vehicles, by year, make, model and type do you lease or own? ___
List all of your company’s currently leased or owned tow vehicles
2.Communication Information
Are your vehicles equipped with a two-way radio? Yes No
How can your employees be communicated with? Cell Telephone Other No Comm.
Radio Call Letters/Numbers: ___________________________________________________
FCC License Number: ___________________________________________________
3.Registration Information
Repair Plates: _______________ _______________ _______________ _______________ _______________ _______________
D.O.T. Number: _______________ D.P.U. Number: _______________
4.Contact Information
Business Telephone number: _________________________________
24 Hour Contact Number: _________________________________
Cell Telephone Number: _________________________________
5.Storage Information
Indoor Storage
Number of Spaces: ______ Size of Spaces: _________ Heated: Yes No
Storage Rate per 24 Hour Storage: $_________________
Owner of Location: __________________________________________________________
Storage Address: ________________________________________________________
Outdoor Storage
Total Square Feet: _________ Number of Spaces: _______ Fence: Yes No
Paved Surface: Yes No Lighted Area: Yes No Height of Fence: _________
Owner of Location: _________________________________________________________
Storage Address: _________________________________________________________
6.Employees:
How many employees do you have available to perform public authority tows? ________
Do you have an on-site 24 hour employee: Yes No
If yes, name: ________________________________________________________________
List all employees that will be dealing with the public. (Use a separate sheet if needed)
Name: ____________________________________
Address: __________________________________
Date of Birth: ______________________________
Social Security: ____________________________
C.O.R.I. Check Acknowledgement attached: ____________________
Name: ____________________________________
Address: __________________________________
Date of Birth: ______________________________
Social Security: ____________________________
C.O.R.I. Check Acknowledgement attached: ____________________
Name: ____________________________________
Address: __________________________________
Date of Birth: ______________________________
Social Security: ____________________________
C.O.R.I. Check Acknowledgement attached:: ____________________
Name: ____________________________________
Address: __________________________________
Date of Birth: ______________________________
Social Security: ____________________________
C.O.R.I. Check Acknowledgement attached:: ____________________
To be filled out by each employee.
CORI CHECK ACKNOWLEDGMENT
I, _________________________ residing at: _____________________________________ in the Town/City of _________________________, acknowledge that a Criminal Offender Record Information (CORI) check will be performed as part of the public authority towing contracting process.
I further acknowledge that a refusal to allow the CORI check to be performed will cause my company’s/my employer’s company’s application to no longer be considered for public authority towing.
Signature: ____________________________________
Date: ____________________
CERTIFICATE OF NON-COLLUSION
I, the undersigned, do hereby certify under penalties of perjury that this proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club or other organization, entity or group of individuals.
_______________________________
Name/Title of person signing proposal
_______________________________
Contractor’s Name
ATTESTATION REGARDING STATE AND LOCAL TAXES
Pursuant to Massachusetts General Laws, Chapter 62C, Section 49A, the following must appear on all bid proposals.
I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all State tax returns and paid all State and Local taxes required under law.
Social Security Number or
Federal Identification Number
Signature of Individual or Corporate Name
Corporate Office (if applicable)
QUOTATION SIGNATURE PAGE
Owner/Applicant Signature: ______________________________________________
Date: _______________
Printed Name: ______________________________________________
Business Address: ______________________________________________
______________________________________________
