<p>Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>Attachment 5 Submission Form for Technical & Cost Proposal (Full Service)</p><p>A. Proposer’s name, address, telephone and fax numbers, email and federal tax identification number. </p><p>Firm (Legal Name):</p><p>Address:</p><p>Address Line 2:</p><p>City, State, Zip Code</p><p>Contact:</p><p>Title:</p><p>Phone Number:</p><p>Email Address:</p><p>Federal Tax ID Number: Web Site:</p><p>Hotel Check-in and Check-out Time Guest Room Reservation Cancellation Policy</p><p>Please indicate which date(s) you are offering for the program</p><p>Dates Yes No Preferred Dates: October 12 – 16, 2015 Option 2: September 7 – 11, 2015 Option 3: Aug. 31 – Sept. 4, 2015</p><p>Page 1 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>B. Estimated Meeting and Function Room Block: </p><p> Propose Meeting and Function Rooms schedule, including the date, time, and a description of the set is detailed below. Please add the Function room name, square footage, noting dimensions, any odd shapes, angles, pillars and other salient characteristics). Enter “n/a” for any items that are not applicable.  Please provide capacity chart and floor plan of space proposed.</p><p>Time Function Location Set Up Date Day 1 Date 1 5:00pm – 24 hr hold AV Storage N/A Date 2-5</p><p>Date 2-5 7 am – 24 hr hold Staff Office Rounds Date 2 -5 7 am – 24 hr hold AV Storage N/A Date 2 -5 7 am – 24 hr hold Faculty Office Rounds Date 2-5 7 am – 24 hr hold Hospitality Office Conference Date 2-5 7 am – 24 hr hold Registration 2-6ft tables or built-in Day 2 Date 2 7:00 – 8:00 am Breakfast Rounds Date 2 10:00 – 10:30 am AM Break Buffet Date 2 8 am – 24 hr. hold Breakout #1 Crescent Rounds Date 2 12:00 – 1:00 pm Lunch Rounds – no speaker Date 2 3:00 – 3:15 pm PM Break Buffet Date 2 3:00 pm – 24 hr hold General Session Room Set – Crescent rounds/Riser/ up Lectern Date 3 Date 3 7:00 – 8:30 am Breakfast Buffet/Rounds Date 3 24 hr. hold General Session Crescent Rounds</p><p>Date 3 10:00 – 10:30 am AM Break Buffet Date 3 12:00 pm Lunch Rounds –no speaker (separate space from General Session) Date 3 24 hrs. Breakout # 1 Crescent Rounds</p><p>Date 3 24 hrs Breakout # 2 Crescent Rounds</p><p>Page 2 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>Date 3 24 hrs Breakout # 3 Crescent Rounds</p><p>Date 3 24 hrs Breakout # 4 Crescent Rounds</p><p>Date 3 24 hrs Breakout # 5 Crescent Rounds</p><p>Date 3 24 hrs Breakout # 6 Crescent Rounds</p><p>Date 3 24 hrs Breakout # 7 Crescent Rounds</p><p>Date 3 24 hrs Breakout # 8 Crescent Rounds</p><p>Date 3 3:00 – 3:15 pm PM Break Buffet/Flow Date 4 Date 4 7:00 am – 8:30 am Breakfast Buffet/rounds</p><p>Date 4 10:00 – 10:30 am AM Break Buffet</p><p>Date 4 12:00 pm Lunch Rounds – no speaker</p><p>Date 4 24 hr. hold General Session Crescent Rounds</p><p>Date 4 24 hrs Breakout # 1 Crescent Rounds</p><p>Date 4 24 hrs Breakout # 2 Crescent Rounds</p><p>Date 4 24 hrs Breakout # 3 Crescent Rounds</p><p>Date 4 24 hrs Breakout # 4 Crescent Rounds</p><p>Date 4 24 hrs Breakout # 5 Crescent Rounds</p><p>Date 4 24 hrs Breakout # 6 Crescent Rounds</p><p>Date 4 24 hrs Breakout # 7 Classroom w/ Internet(must be able to fit 15 laptops with wireless service) Date 4 24 hrs Breakout # 8 Classroom w/ Internet(must be able to fit 15 laptops with wireless service) Date 4 3:00 – 3:15 pm PM Break Buffet</p><p>Date 5 7:00 8:30 am Breakfast Buffet/Rounds</p><p>Date 5 10:00 – 10:30 am AM Break Buffet</p><p>Date 5 11:30am – 1pm Staff Lunch Boxed Date 5 24 hrs – 5:00 pm Breakout # 1 Crescent Rounds</p><p>Date 5 24 hrs – 5:00 pm Breakout # 2 Crescent Rounds</p><p>Date 5 24 hrs – 5:00 pm Breakout # 3 Crescent Rounds</p><p>Page 3 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>Date 5 24 hrs – 5:00 pm Breakout # 4 Crescent Rounds</p><p>Date 5 24 hrs – 5:00 pm Breakout # 5 Crescent Rounds</p><p>Date 5 24 hrs – 5:00 pm Breakout # 6 Crescent Rounds</p><p>Are Meeting and Function Rooms compliant with American Disabilities Act (ADA)? Yes No</p><p>Can the Program use its own audio-visual equipment at no additional charge? Yes No</p><p>Please include an audio-visual price list sheet with this proposal for the Program.</p><p>C. Propose Meeting and Function Room Rates. Please note the maximum Meeting Room Rental as indicated on the RFP in Section 2.</p><p>Based Upon Percentage of Block Inclusive Meeting Room Rental Rates</p><p>If the total sleeping rooms occupied equals 80-100% of the total sleeping rooms blocked. Complimentary</p><p>If the total sleeping rooms occupied equals 70–79% of the total sleeping rooms blocked.</p><p>If the total sleeping rooms occupied equals 60–69% of the total sleeping rooms blocked.</p><p>If the total sleeping rooms occupied equals 59% or less of the total sleeping rooms blocked.</p><p>D. Propose Termination Fee and corresponding Effective Deadline Date. Please note the maximum Termination Fee as indicated on the RFP in Section 2:</p><p>Page 4 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>Inclusive Termination Item Termination Effective Deadline Date Fees Number</p><p> a. Effective on or before:</p><p> b. Effective on or before:</p><p> c. Effective on or before:</p><p> d. Effective on or after:</p><p>E. Propose Food and Beverage schedule, including specific menus provided for the unit price indicated on the Form for Submission of Cost Pricing. (Breakfast with protein, three course lunches, sweet/savory breaks).</p><p>Type of Group Meal Food and Beverage Menu Estimated Inclusive Price Number of per person Meals</p><p>Date 2 Breakfast Buffet 15</p><p>AM Break 15</p><p>Lunch 15</p><p>PM Break 30</p><p>Date 3 Breakfast Buffet 200</p><p>AM Break 200</p><p>Lunch 200</p><p>PM Break 200</p><p>Date 4 </p><p>Page 5 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>Type of Group Meal Food and Beverage Menu Estimated Inclusive Price Number of per person Meals</p><p>Breakfast Buffet 300</p><p>AM Break 300</p><p>Lunch 300</p><p>PM Break 300</p><p>Date 5 Breakfast Buffet 200</p><p>AM Break 200</p><p>Lunch (boxed) 10</p><p>F. Propose Sleeping Room schedule. Enter “n/a” for any items that are not applicable. </p><p>Confirm Confirm Confirm Date Type of Estimated number of daily room daily Sleeping Number of rooms able rate (w/o individual Room Sleeping to provide taxes & room rate Rooms surcharges) w/ surcharges and/or tax (if applicable Date 1 Single 15 Occupancy Page 6 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>Confirm Confirm Confirm Date Type of Estimated number of daily room daily Sleeping Number of rooms able rate (w/o individual Room Sleeping to provide taxes & room rate Rooms surcharges) w/ surcharges and/or tax (if applicable Date 2 Single 160 Occupancy Date 3 Single 260 Occupancy Date 4 Single 200 Occupancy Date 5 Check-out n/a 635</p><p>Are Sleeping rooms compliant with American Disabilities Act (ADA)? Yes No</p><p>Propose the cut-off date for reservations: ______</p><p>G. Check either “yes” or “no” beside each of the items listed below. If applicable, propose the rate(s) for tax and/or surcharge below:</p><p>Percentage Dollar Item Type Yes No Rate Amount Number a. Hotel/motel transient occupancy tax waiver (exemption certificate for state agencies) b. Occupancy Tax rate: $ c. Tourism, State Tax or Surcharge: $ d. Tourism, State Tax or Surcharge: $</p><p>H. Propose Parking price schedule, number of parking passes, discounted passes and parking rate inclusive of any service charges, gratuity, and/or sales tax. Enter “n/a” for any items that are not applicable. Page 7 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>Number of Valet Parking Rate Self Parking Oversize In/Out Privileges Parking Rate Complimentary Rate vehicles/SUV parking Complimentary parking Discounted Parking Group Rate Normal Hotel Parking Rate</p><p>I. Propose High speed internet connection pricing. </p><p> Please propose the lowest package cost you can provide for multiple connections during the conference daily or total (inclusive of tax/labor/gratuity fees):</p><p>Wired______Wireless ______</p><p> What are the daily charges for computer connection in guest rooms:______</p><p> What are the daily charges for an individual computer connected to in meeting rooms? </p><p>Wired______Wireless ______</p><p>J. Other Program Needs (identify if included in other proposed pricing):</p><p>Item Description Approved Alternative No. (please note if approved) 1. Complimentary Registration area telephone 2. (20) Complimentary easels 3. Complimentary 2 wired and 2 wireless internet connections for program Registration 4. Staff Office and AV storage area on total lock out – complimentary lock out and keys for staff 5. (8) Complimentary Parking for event staff 6. Complimentary room policy – please indicate how many booked rooms will earn 1 complimentary room. Additional concessions:</p><p>Page 8 of 9 Attachment 5 RFP Title: 19th Annual AB1058 Child Support Training Conference RFP Number: CRS AU 129</p><p>K. Propose options for transportation to the hotel on public transportation Discuss the various means of transportation to local airports. Discuss the approximate distance from major freeways.</p><p>OFFER PERIOD</p><p>A Proposer's submission is an irrevocable offer for ninety (90) days following the proposal due date. In the event a final contract has not been awarded within this ninety (90) day period, the Judicial Council of California reserves the right to negotiate extensions to this period.</p><p>L. Signature (must be completed by proposer): </p><p>SIGNED this ______day of ______, 20______. By: Signature Print Name Title:</p><p>The Judicial Council of California, Conference & Registration Services does not retain the services of third party or outsourced representation. All quoted rates are to be net, not commissionable. </p><p>Page 9 of 9</p>