INFORMAL SOLICITATION REQUEST FOR BILLBOARD ADVERTISEMENT Announcement Date: Thursday, November 17, 2016 The Public Utilities Commission of Nevada (“PUCN”) is seeking proposals from qualified vendors for billboard placement in the Reno area. These billboards will promote the 811 Call Before You Dig program during the month of April 2017, which is National Safe Digging Month. Attached to this Informal Solicitation is the PUCN’s Scope of Work. Also attached to this Informal Solicitation is the State of Nevada’s standard Contract for Services of Independent Contractor form. Please give special consideration to Attachment BB, Insurance Schedule, as this identifies the insurance limits the contracted vendor will be expected to maintain for the life of the contract. Attachment CC Pipeline and Hazardous Materials Safety Administration (“PHMSA”) Assurance Clause and Attachment DD PHMSA Pertinent Non-Discrimination Authorities Clause are included as clauses subject to the Acts and the Regulations made in connection with the PHMSA State Damage Prevention Grant. It is anticipated the billboard campaign will commence April 1, 2017, but the contract anticipated start date will be March 15, 2017, to allow time to set up the billboard, subject to the Board of Examiners’ approval and the awarded advertising agency providing: Certificate of Insurance – Certificate must name the PUCN as the certificate holder. Refer to the Contract for Services of Independent Contractor form, Attachment BB Insurance Schedule. State of Nevada Business License – For more information and to register, please visit the Secretary of State’s webpage at . Vendor’s response shall include, at a minimum, the following: Company background, qualifications, and references (minimum of 5 years in business) Financial stability of the company The geographic regions in which services will be provided Contact person, position title, mailing address, email address, telephone and fax number for service inquiries Cost
Independent Contractor’s Signature Date Independent Contractor’s Title Signature Date Title Signature Date Title Signature Date Title APPROVED BY BOARD OF EXAMINERS Signature – Board of Examiners On: Date Approved as to form by: On: Deputy Attorney General for Attorney General Date ATTACHMENT AA INFORMAL SOLICITATION INFORMAL SOLICITATION REQUEST FOR BILLBOARD ADVERTISEMENT Announcement Date: Thursday, November 17, 2016
with limits of liability not less than those stated below. An excess liability policy or umbrella liability policy may be used to meet the minimum liability requirements provided that the coverage is written on a “following form” basis. 1. Commercial General Liability – Occurrence Form Policy shall include bodily injury, property damage and broad form contractual liability coverage. General Aggregate $2,000,000 Products – Completed Operations Aggregate $1,000,000 Personal and Advertising Injury $1,000,000 Each Occurrence $1,000,000 a. The policy shall be endorsed to include the following additional language: "The State of shall be named as an additional insured with respect to liability arising out of the activities performed by, or on behalf of the Contractor". 2. Automobile Liability Bodily Injury and Property Damage for any owned, hired, and non-owned vehicles used in the performance of this Contract. Combined Single Limit (CSL) $1,000,000 The policy shall be endorsed to include the following additional insured language: "The State of shall be named as an additional insured with respect to liability arising out of the activities performed by, or on behalf of the Contractor, including automobiles owned, leased, hired or borrowed by the Contractor". 3. Worker's Compensation and Employers' Liability Workers' Compensation Statutory Employers' Liability Each Accident $100,000 Disease – Each Employee $100,000 Disease – Policy Limit $500,000 a. Policy shall contain a waiver of subrogation against the State of . b. This requirement shall not apply when a contractor or subcontractor is exempt under N.R.S., AND when such contractor or subcontractor executes the appropriate sole proprietor waiver form. B. ADDITIONAL INSURANCE REQUIREMENTS: The policies shall include, or be endorsed to include, the following provisions: 1. On insurance policies where the State of is named as an additional insured, the State of shall be an additional insured to the full limits of liability purchased by the