I. ATTACHMENT 1, PROPOSAL FORMS Attachment 1, Part 1...

Attachment 1, Part 1 Proposal Acknowledgement Letter

I. ATTACHMENT 1, PROPOSAL FORMSAttachment 1, Part 1 Proposal Acknowledgement Letter

City and County of Denver Denver International Airport

Proposer: ___________________________________________________ Date: _________________________

Kim Day, Chief Executive Officer Administration Office Building (AOB) Denver International Airport 8500 Pena Boulevard Denver, Colorado 80249-6340

In response to the Request for Proposal (RFP) dated October 24, 2019, for RFP No. 201952018, the undersigned hereby declares that he/she has carefully read and examined the proposal documents and hereby proposes to perform and complete the work as required in the Scope of Work. Attached hereto are the completed responses to Attachments 2, 3, 4 and 5 of the Proposal Forms.

The undersigned agrees that this proposal constitutes a valid offer to negotiate a Contract with the City and County of Denver (City) to perform the work described in the proposal documents.

After final agreement on the terms of the Contract has been reached, the undersigned agrees to execute the Contract, which will be prepared by the City, in a timely manner.

The undersigned acknowledges receipt and consideration of the following proposal documents:

Proposal Acknowledgment Letter, Proposer Information Form, Diversity and Inclusiveness, ACDBE and M/WBE Forms, W-9, Percentage Fee Rate, Capital Investments and Funding, Funding Source Letter, Financial Pro Forma, Disclosure of Legal and Administrative Proceedings and Financial Condition Form and Attachments, Concessions Handbook, Proposal Surety, Certificate of Good Standing and Sample Agreement.

The undersigned acknowledges receipt and consideration of the following addenda to the proposal documents:

Addenda Numbers: __________________________________________________________________________

The undersigned certifies that he/she has examined and is fully familiar with the proposal documents and has satisfied him/herself with respect to any questions regarding the RFP which could in any way affect the undersigned’s understanding of the Scope of Work or any estimate of the cost thereof.

Signature: ________________________________________________________________________________

Type or print name: ______________________________________________________________________

Proposer’s Business Address: _______________________________________________________________

E-mail address: __________________________________________________________________________

Attachment 1, Part 2 Proposer Information Form


GENERAL INFORMATION

The proposer hereby certifies all statements and all answers to questions herein are true and correct to the best of their knowledge and belief. All information requested in this information form must be furnished by the proposer and must be submitted with the Proposal. Statements must be complete, accurate and in the form requested. Additional sheets may be attached if required. If additional sheets are required, identify all responses according to the corresponding number below. Write “N/A” where not applicable.

For each question requiring a separate attachment sheet, restate the paragraph number, and restate the corresponding question.

NAME OF ENTITY PROPOSING: __________________________________________________________________

1. BUSINESS CERTIFICATION

Indicate below if the proposer is certified by the City and County of Denver as an Airport Concession Disadvantaged Business Enterprise (ACDBE), Disadvantage Business Enterprise (DBE), Emerging Business Enterprise, Minority and or Woman Enterprise (M/WBE), Small Business Enterprise and/or as a Small Business Enterprise Concessionaire. Please attach a copy of your Certification.

Not certified Yes – ACDBE Yes – DBE Yes – EBE Yes – M/WBE

Yes – SBE Yes – SBEC

2. OWNERSHIP INTEREST AND DISCLOSURE INCLUDING CHART OF OWNERSHIP

The information disclosed below will be utilized to determine the entities documented in any final executed agreement(s) and used to calculate Concentration of Ownership.

For corporations, partnerships, and limited liability companies, provide the name and address of each shareholder, member, or partner of the proposed concession that holds any interest.

COMPANY NAME OWNER NAME ADDRESS OWNERSHIP INT

ACDBE CERTIFIED (Y/N)

The City requests the following information from all proposers: copies of joint venture agreements, shared ownership agreements, shared finance agreements, management contracts between joint venture partners or shareholders, responsibilities of each individual or entity identified above (including but not limited to management, day to day operations, recruiting, hiring and training of staff), distribution of profit, and capital contributions, Articles of Incorporation, Organization, Registration with the Colorado Secretary of State showing the trade names registered and the entity being in good standing and State filings.


3. STATE OF INCORPORATION OR ORGANIZATION

Please provide the proposer’s state and date of incorporation or organization and the state and date of incorporation or organization for each entity comprising the proposing entity.

Proposer or Organization State of Incorporation

Proposers Date of Incorporation In Good Standing with the State of Colorado (Y/N)

4. TAX IDENTIFICATION NUMBER

Please state the proposer’s federal taxpayer identification number: _____________________________________

5. SURETY INFORMATION

Has the proposer, any entity comprising the proposer, or any legal person comprising the proposer ever had a bond or surety cancelled or forfeited? No Yes

If yes, state the following information.

Reason for such cancellation or forfeiture: ______________________________________________________________________________________________________________________________________________________________________________________

6. DISSOLUTION, INSOLVENCY, OR BANKRUPTCY INFORMATION

Has the proposer, any entity comprising the proposer, or any legal person comprising the proposer ever (i) made an assignment for the benefit of creditors, (ii) had a receiver, liquidator or trustee of your property, (iii) had a petition filed by you or against you for bankruptcy or reorganization pursuant to the federal Bankruptcy Code or any similar state or federal statute, or (iv) been adjudicated as bankrupt or insolvent? No Yes

If yes, give details, including date, court jurisdiction, amount of liabilities, and amount of assets and current status. ___________________________________________________________________________________________________________________________________________________________________________________

Name of the Bonding Company Date Amount of Bond


7. DISCLOSURE OF DEBARMENT PROCEEDINGS, TERMINALS OR DEFAULTS, CONVICTIONS, AND PAYMENT

DELINQUENCIES

Has the proposer, any entity comprising the proposer, or any of its principals, parent companies, subsidiaries or related companies ever been debarred or suspended from bidding or proposing? No Yes

If yes, include a statement of any proceedings which prohibited or limited the proposer from bidding or proposing with any federal, state, or local government entity. Include a brief description of the reasons for such action having been taken, the effective dates thereof, and the governmental agency involved.

______________________________________________________________________________________________________________________________________________________________________________________

Has the proposer, any entity comprising the proposer, or any of its principals, parent companies, subsidiaries or related companies been terminated for cause or declared in default under any lease, agreement, loan, or other contractual obligation within the past five (5) years, without the termination or default being withdrawn or resolved in favor of the proposer? No Yes

If yes, include a brief statement identifying the contract in question and the parties to the contract, and a brief description of the default or termination.

______________________________________________________________________________________________________________________________________________________________________________________

Has the proposer, any entity comprising the proposer, or any of its principals, parent companies, subsidiaries or related companies been convicted of a bid or proposal related crime or violation, or been convicted of any felony in any jurisdiction within the last five (5) years? No Yes

If yes, provide the names of the individuals, charges for which the individual was convicted, and the court of jurisdiction.

______________________________________________________________________________________________________________________________________________________________________________________

Is the proposer, any entity comprising the proposer, or any of its principals, parent companies, subsidiaries or related companies presently delinquent or in arrears in payments of rent or any debt incurred under any lease, agreement, loan, or other contractual obligation with City or any other landlord or creditor? No Yes

If yes, fully describe each delinquency or arrearage, including the contract in question, the parties to the contract and any legal or administrative proceedings a creditor has commenced to collect the delinquency, or the proposer has commenced to dispute the delinquency or arrearage under the provisions of the contract.

______________________________________________________________________________________________________________________________________________________________________________________

8. DELINQUENT TAXES

Is the proposer, any entity comprising the proposer, or any legal person comprising the proposer delinquent in the payment of any city, state, or federal taxes? No Yes


If yes, fully describe each such obligation along with any agreed upon plan of payment with the respective taxing authority.

______________________________________________________________________________________________________________________________________________________________________________________

9. BRAND PORTFOLIO AFFIDAVIT

City reserves the right to grant to others the right to operate and sell specialty merchandise and/or goods and/or services at other locations within Denver International Airport (DEN). As such, City requires several assurances from proposers. In addition, Proposers must understand concessions at DEN operate on a non-exclusive revocable basis including any “brand” offered.

Disclose all exclusive arrangements between you and any third party providing for rights and privileges to operate particular brands at U.S. Airports. Attach a separate page to this form if necessary.

______________________________________________________________________________________________________________________________________________________________________________________

Do any of the above relationships restrict or prohibit any other person, firm, or corporation from conducting any business or concession, or selling, offering for sale or furnishing any commodity, article, facility or services in other locations at DEN? No Yes

If yes, describe the terms that restrict or prohibit and attach copies of the pertinent provisions of those agreements.

______________________________________________________________________________________________________________________________________________________________________________________

Do you agree to take all necessary and appropriate measures to permit and allow others to use the particular brands you listed above or entering into direct negotiations with City for this or any other opportunity at DEN?

No Yes

If awarded this opportunity, will you agree to take no action, now or in the future, impairing the agreements of existing operators who presently may be utilizing any of the brands you listed above? No Yes

10. POLITICAL CONTRIBUTIONS AND/OR DONATIONS DISCLOSURE CERTIFICATE

The disclosures in this Certificate pertain to the person(s) or business entity(s) seeking award of this opportunity as well as the following individuals: the person’s spouse; any officer, director, or principal of the business entity(s) or his or her spouse; or any shareholder who owns or controls five percent or more of the stock in the business entity(s) or his or her spouse (“relevant persons”).

Contractor/Lessee/Concessionaire Information:

Name:______________________________________________________________________________________

Address:____________________________________________________________________________________ Phone: _____________________________________________________________________________________

Revised - Attachment 1, Part 2 Proposer Information Form

Title and brief description of Contract/Lease/Concession Opportunity with reference number, if available:

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Political Contributions. Within the last five (5) years has any relevant person made any political contribution or contribution in-kind to any current City and County of Denver elected official? NO YES

If yes, provide the following:

Name of Contributor Elected Officer to whom contribution was made

Date of Contribution

Amount of Contribution

Solicited Donations to Charitable Organizations. Within the last five (5) years, has any relevant person made any donation or donations in an aggregate amount of one thousand dollars ($1,000.00) or more to any charitable organization, having been personally and directly solicited to do so by any current City and County of Denver elected official? NO YES


Name of Donor Elected Officer who solicited donation

Date of Contribution

Amount of Donation

Purpose of Donation

Donations to the City and County of Denver. Within the last five (5) years, has any relevant person made any donation or donations in an aggregate amount of one thousand dollars ($1,000.00) to the City and County of Denver itself or any of the city’s departments, agencies or programs regardless of whether or not the donation was personally or directly solicited by any current City and County of Denver elected official? NO YES



Name of Donor Date of Donation Amount of Donation

Purpose and Recipient of Donation

On behalf of the Person or Business awarded the contract, lease or concession set forth above, I hereby certify that the foregoing information is correct and complete and filed in accordance with requirements of Sec. 20-69 of the Denver Revised Municipal Code

11. PROPOSER’S REPRESENTATIONS

You, as the Proposer understand, agree, and warrant:

A. You have carefully read and fully understands the information provided by City to serve as the basis forsubmission of this proposal.

B. Proposer has the capability to successfully undertake and complete the responsibilities and obligationsof its proposal and any subsequent agreement(s) therefrom.

C. The surety required for the Proposal Surety is attached hereto.

D. Proposer agrees it’s Proposal Surety will be returned after ninety (90) days if proposer is not selected, or(ii) after a final executed agreement(s) with the successful proposer has been executed by all Citysignatories, or (iii) after all proposals have been rejected, whichever event occurs later in time. If thisproposal is accepted by City and proposer fails to execute a final agreement(s) within fourteen (14) daysof receipt, proposer’s Proposal Surety shall be forfeited and retained by City, unless the CEO, in her solediscretion, extends the date for execution of the agreement(s), or elects to proceed otherwise asdeemed to be in the best interest of the City.

E. All information contained in this proposal is true and correct to the best of proposer’s knowledge. Ifother than a sole proprietor, the proposer whose signature is on the RFP document must be a legalentity of the partnership, corporation, or joint venture and is authorized to sign on behalf of said body.

F. Proposer did not, in any way, collude, conspire, or agree directly or indirectly, with any person, firm,corporation or other proposer in regard to the amount, terms, or conditions of this proposal.

G. Proposer did not receive unauthorized information from and/or had unauthorized contact with: City,RFP Evaluation Panel, Aviation staff, City Legal Counsel, and/or Aviation architects and engineers duringthe proposal period except as provided for in this RFP document, addenda thereto, or the pre-proposalmeeting.

H. By submission of this proposal, proposer acknowledges City has the right to make any inquiry it deemsappropriate to substantiate or supplement information supplied by proposer, and proposer herebygrants City permission to make said inquiries and covenants to provide any and all requesteddocumentation in a timely manner.

REVISED 1 - Attachment 1, Part 2 Proposer Information Form

I. For purposes of this section, “Proposer” means any and all individuals and legal entities within theproposing group for the purpose of submitting this proposal to the City.

Please select whether or not you would like your proposal documents returned upon completion of the RFP process. All successful proposals become the property of the City and County of Denver.

No; it is not necessary to return the proposal documents; please destroy them.

Yes; return the proposal documents to the name and address listed below:

Company Name: __________________________________________________________

Proposer’s Name: _________________________________________________________

Proposer’s Address: _______________________________________________________

NAME OF AT LEAST ONE (1) PROPOSING ENTITY THAT ATTENDED THE MANDATORY PRE-PROPOSAL

CONFERENCE:

___________________________________________________________________________________________

Attachment 1, Part 3 Diversity and Inclusiveness

Attachment 1, Part 3 Diversity and Inclusiveness in City Solicitations

In order for the City or the City Agency to consider a bid/proposal, Proposers must complete the on-line Diversity and Inclusiveness in City Solicitations Form – then print the completed form and include the scan copy as part of Proposer’s bid/proposal documents. A proposal or response to a solicitation by a Proposer that does not include this completed form shall be deemed non-responsive.

Click on the following link to access the on-line form:

https://fs7.formsite.com/CCDenver/form161/index.html

Using the form found in link above, please state whether you have a Diversity and Inclusiveness program for employment and retention, procurement and supply chain activities or customer service, and provide the additional information requested on the form. The information provided on the Diversity and Inclusiveness in City Solicitations Form will provide an opportunity for City Proposers to describe their own diversity and inclusiveness practices. Proposers are not expected to conduct intrusive examinations of their employees, managers or business partners in order to describe diversity and inclusiveness measures. Rather, the City simply seeks a description of the Proposer's current practices, if any. Diversity and Inclusiveness information provided by City Proposers in response to City solicitations for services or goods will be collated, analyzed and made available in reports consistent with City Executive Order No. 101. However, no personally identifiable information provided by or obtained from Proposers will be in such reports.

Insert the completed hard copy of the Diversity and Inclusiveness in City Solicitations Form immediately following this page.



Attachment 1, Part 4 ACDBE and M/WBE Forms

Attachment 1, Part 4 ACDBE and M/WBE Forms

ACDBE and M/WBE FORMS

The ACDBE and M/WBE forms which apply to this agreement are contained in the pages immediately following this page.

These pages are not included in the page numbering of this RFP document.

DENVER INTERNATIONAL AIRPORT DEN COMMERCE HUB

ACDBE COMMITMENT FORM

Proposal for: ,

SECTION A – PROPOSER INFORMATION

Name of Firm:

Address:

City: State: Zip:

Contact Person: Telephone:

Email:

Is your firm ACDBE Certified: Yes, If Certified, Attach Certification Letter No

SECTION B – ACDBE COMMITMENT

The ACDBE goal on this concession is %.

NOTE: DEN will only credit ACDBE participation that is certified as such by the DEN Commerce Hub or the Colorado Department of Transportation.

1. The undersigned proposer/concessionaire has satisfied the ACDBE concessionrequirements in the following manner (please check the appropriate space).

The proposer is committed to a minimum of _________% ACDBE goal utilization on this concession contract which meets or exceeds the ACDBE goal on this concession opportunity. The amount and type of participation proposed will become a firm commitment in the Lease Agreement.

The proposer, unable to meet the ACDBE goal, is committed to a minimum of __________% ACDBE utilization on this concession contract and submits its documentation demonstrating good faith efforts.

The proposer is unable to meet the ACDBE goal and submits documentation demonstrating good faith efforts.

2. Identify ACDBE sub-concessionaire, ACDBE joint venture partner, ACDBE equitypartnership or other legal ACDBE business arrangement that meets ACDBE goal andeligibility standards in 49 CFR Part 23.

Name of Concession OpportunityConcession Type

Revised

Name & Address of ACDBE Firm Role of ACDBE % Level of Participation

(Use Additional Sheets if Necessary)

ACDBE UTILIZATION – VENDOR/SUPPLIERS OPPORTUNITIES

NOTE: An ACDBE Letter of Intent must be submitted for all ACDBE suppliers listed below. Attach copy of the ACDBE Certification Letter for all ACDBEs, regardless of participation type. Complete only if suppliers will be used to meet any portion of the ACDBE goal

List all actual and anticipated major vendors/suppliers; include both ACDBE and non-ACDBE, to be utilized on the concession (use additional sheets if necessary). Examples: Janitorial services, accounting services, HR services, etc.

NOTE: DEN will only credit ACDBE participation that is certified as such by the DEN Commerce Hub or the Colorado Department of Transportation.

Name and Address of Company Business Area Work to be Performed or

Goods/Services to be provided

Estimated Amount ($)

ACDBE LOI & Cert

Letter Attached

Y N

Use Additional Sheets if Necessary)

SECTION C – GOOD FAITH EFFORTS NOTE: Complete only if the ACDBE goal was not achieved.

The following items are minimally considered as good faith efforts and demonstrate specific initiatives made in attempting to achieve the concession specific ACDBE goal. Proposers are not limited to these particular areas and may include other efforts deemed appropriate. Please feel free to elaborate on any question below.

GOOD FAITH EFFORT QUESTIONS Y N 1. If applicable, did you attend pre-proposal conference?2. Did your firm request and obtain a copy of the certified ACDBE firms?3. Were ACDBE firms contacted or solicited for concession participation?4. Provide listing of solicited ACDBE firms with whom contact was made?

Please identify name of company, contact person, date, phone number and brieflydescribe nature of solicitation. (Include as an Attachment)

5. Was direct contact made with the DEN Commerce Hub office?If yes, please identify date/person contacted and assistance sought. (Include as an

Attachment)6. Identify all ACDBE support agencies/associations contacted for ACDBE assistance or

solicitation (Minority Chambers of Commerce, purchasing councils, contractor groups,etc.). (Please attach copies of solicitation letters of assistance and/or describe, as anAttachment to this section, the personal contact made)

7. Were concession-related opportunities to this project advertised in minority/womennewspapers and trade journals? (If yes, please include a copy of the advertisementor detail the name of the publication(s), date of advertisement and describe thesolicitation)

8. Were copies of concession RFP furnished to any ACDBEs?9. Identify efforts made to assist interested ACDBEs in obtaining bonding, insurance, or

line of credit. (Please detail any assistance that was provided or if they were referred,to whom)

10. Discuss efforts made to define additional elements of the work proposed to beperformed by ACDBEs in order to increase the likelihood of achieving the ACDBE goal.

11. List, as an Attachment, all ACDBE negotiations and/or bids received but rejected.Identify company name, contact person, telephone number, date, trade area and thereason for rejecting the proposal or bid.

12. Discuss any other effort(s) aimed at involving ACDBEs (Include as an Attachment):(a) Identify any specific efforts to divide work, in accordance with normal industry

practices, to allow maximum ACBE participation.(b) Discuss joint ventures initiatives, requesting second-tier ACDBE subcontracting,

etc., if any.(c) List all other good faith efforts employed, please elaborate.(d) Discuss types of participation considered. If any methods were not pursued,

please provide the rationale behind this decision.

SECTION D - AFFIRMATION

I HEREBY AFFIRM THAT THE ABOVE INFORMATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I FURTHER UNDERSTAND AND AGREE THAT, THIS DOCUMENT SHALL BE ATTACHED THERTO AND BECOME A BINDING PART OF THE CONCESSION CONTRACT.

NAME AND TITLE OF AUTHORIZED OFFICIAL:

SIGNATURE:

DATE:

For Questions or to Return Documents: Denver International AirportATTN: Mark WhiteDEN Commerce HubAirport Office Building | 9th Floor8500 Peña Boulevard | Denver, CO 80249-6340

303-342-2185 | [email protected]

mailto: [email protected]

Name of Concession/vendor firm: _____________________________________________________________

Address: __________________________________________________________________________________

City: ____________________________ State: ___________________ Zip: _________________________

Telephone: ____________________________ E-mail address: ______________________________________

Name of ACDBE Firm: _______________________________________________________________________

Address: __________________________________________________________________________________

City: ____________________________ State: ___________________ Zip: __________________________

Telephone: ____________________________ E-mail address: ______________________________________

Description of Goods and Services or work to be performed by ACDBE firm:

The Concessionaire is committed to utilizing the above named ACDBE for the goods and services or work described above. The estimated dollar value of this work is $ _____________________.

AFFIRMATION:

The above-named ACDBE firm affirms that it will perform the portion of the contract for the estimated dollar value as stated above.

By: _________________________________ _ Concessionaire Signature Title Date

By:__________________________________________________________________________________ ACDBE Signature Title Date

For Questions or to Return Documents: Denver International Airport ATTN: Mark White DEN Commerce Hub Airport Office Building | 9th Floor 8500 Peña Boulevard | Denver, CO 80249-6340 303-342-2185 | [email protected]

Revised

ACDBE Letter of Intent

ACDBE JOINT VENTURE ELIGIBILITY FORM

Denver International Airport Division Commerce Hub

8500 Pena Boulevard, AOB 9th Floor Denver, CO 80249

Phone: (303) 342-2185 Fax: (303) 342-2355

Joint Venture means an association of two (2) or more business enterprises to constitute a single business enterprise to operate a concessions contract on City property for which purpose they combine their property, capital, efforts, skills and knowledge, and in which each joint venturer is responsible for a distinct, clearly defined portion of the work of the contract, performs a commercially useful function, and whose share in the capital contribution, control, management responsibilities, risks and profits of the joint venture are equal to its ownership interest. Joint ventures must have an agreement in writing specifying the terms and conditions of the relationships between the joint venturers and their relationship and responsibility to the contract. The DEN Commerce Hub requires the following information be provided from participants of a prospective joint venture, to assist DEN in evaluating the proposed joint venture. This Joint Venture Eligibility form and the Joint Venture Affidavit apply if ACDBEs participate in this joint venture. Please return this form, the Joint Venture Affidavit, a copy of your Joint Venture Agreement and any other documentation stated as required by DEN in the RFP, mandatory pre-proposal meeting and/or other correspondence relating to the opportunity for which the Joint Venture will be submitted to: DEN Commerce Hub, 8500 Pena Blvd, AOB 9th Floor, Denver, CO 80249, by the proposal deadline stated in the RFP. If you have questions regarding this process, please contact the DEN Commerce Hub at 303-342-2185.

Joint Venture Information

Name: Contact Person:

Address: City: State: Zip:

Email Address: Phone: Joint Venture Participants



Email Address: Phone:

% Ownership: ACDBE Certifying Entity: ACDBE Certification Date:

Type of Work for which Certification was granted:











JOINT VENTURE ELIGIBILITY FORM

General information

ACDBE Initial Capital Contributions: $ %

Future capital contributions (explain requirements) (attach additional sheets if necessary):

Source of Funds for the ACDBE Capital Contributions:

Describe the portion of the work or elements of the business controlled by the ACDBE or DBE (attach additional sheets if necessary):

Describe the portion of the work or elements of the business controlled by non- ACDBE or DBE: (attach additional sheets if necessary)

Describe there roles and responsibilities of each joint venture participant with respect to managing the joint venture (use additional sheets if necessary):

a. ACDBE joint venture participant:

b. Non-ACDBE joint venture participant:

Describe the roles and responsibilities of each joint venture participant with respect to operation of the joint venture (use additional sheets if necessary):

a. ACDBE joint venture participant:

b. Non-ACDBE joint venture participant:

Which firm will be responsible for accounting functions relative to the joint venture’s business?

Explain what authority each party will have to commit or obligate the other to insurance and bonding companies, financing institutions, suppliers, subcontractors, and/or other parties?

JOINT VENTURE ELIGIBILITY FORM

General Information

Please provide information relating to the approximate number of management, administrative, support and non-management employees that will be required to operate the business and indicate whether they will be employees of the ACDBE, non- ACDBE or joint venture:

Non-ACDBE/DBE ACDBE Joint Venture

Management

Administrative

Support

Hourly Employees

Please provide the name of the person who will be responsible for hiring employees for the Joint Venture.

Who will they be employed by?

Are any of the proposed joint venture employees currently employees of any of the joint venture partners?

Yes (√)

No (√)

If yes, please list the number and positions and indicate which firm currently employs the individual(s), (use additional sheets if necessary) Number of employees

Position Employed By

Attached a copy of the proposed joint venture agreement, promissory note and/or loan agreement (if applicable), and any and all written agreements between the joint venture partners.

List all other business relationships between the joint venture participants, including other joint venture agreements in which the parties are jointly involved.

**If there are any significant changes in or pertaining to this submittal, the joint venture members must immediately notify the DEN Commerce Hub.**

COMP-FRM-015 Rev. 07/2013

Denver International Airport Commerce Hub

8500 Pena Blvd, AOB 9th Floor Denver, CO 80249

JOINT VENTURE AFFIDAVIT Phone: (303) 342-2185 Fax : (303) 342-2355

“The Undersigned swears that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the Undersigned covenant and agree to provide the City current, complete, and accurate information regarding actual joint venture work and the payment thereof and any proposed changes in any of the joint venture arrangements and to permit the audit and examination of the books, records, and files of the joint venture, by authorized representatives of the City or Federal funding agency, if applicable. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initialing action under Federal or State laws concerning false statements”.

Name of Firm:

Print Name: Title

Signature: Date:

Notary Public County of State of My Commission Expires: Subscribed and sworn before me this

day of , 20Notary Seal

Notary Signature:

Address:

Name of Firm:

Print Name: Title

Signature: Date:


day of , 20

Notary Seal Notary Signature:

Address:

Name of Firm:

Print Name: Title

Signature: Date:


day of , 20 Notary Seal

Notary Signature:

Address:

COMP-FRM-016

JV NAME: REVIEWER: Mark White

JOINT VENTURE PRE-SUBMITTAL ELIGIBILITY CHECKLIST

JOINT VENTURE: “association of an ACDBE firm and one or more other firms to carry out a single, for-profit business enterprise, for which the parties combine their property, capital, efforts, skills and knowledge, and in which the ACDBE is responsible for a distinct, clearly defined portion of the work of the contract and whose shares in the capital contribution, control, management, risks, and profits of the joint venture are commensurate with its ownership interest.”

Please indicate in which section of your Operating or Joint Venture agreement that we can find the following information: GENERAL CHECKLIST OF REQUIREMENTS

Question(s) (Y/N/NA) Referencing section or document • Comprised of two or more firms? (DEN automatically

considers 2 or more firms with at least 1 ACDBE a JV)

• Is at least one firm certified as ACDBE in related NAICS codes? • Are the roles of each JV member clearly defined? • Is the ACDBE firm certified in the state of Colorado? • Identification of the participants and ACDBE?

TERM OF THE JOINT VENTURE AGREEMENT

Question(s) (Y/N/NA) Referencing section or document • How often can the terms be changed? (sections, clauses, etc) • Events/condition joint venture can be dissolved/terminated • Distribution of assets of joint venture after termination

Transfer of Interests • Are the terms of transfer of interest specified in JV?

Capital contributed by each party (cash, financing, etc) • Contributions from all owners • Loan terms and Conditions • Are the capital contributions by each participant specified?

Control: Execution/governance of work/decisions • Voting Rights • Voting process on major decisions

Assets • Distribution of assets

Risks/Loss • Distribution of risks and profits

MWBE COMMITMENT FORM

DENVER INTERNATIONAL AIRPORT CITY AND COUNTY OF DENVER DIVISION OF SMALL BUSINESS OPPORTUNITY

SECTION A – PROPOSER INFORMATION

Name of Firm: _______________________________________________________

Address: ____________________________________________________________

City: __________________________________ State: _________ Zip: __________

Contact Person: ____________________________ Telephone: _______________

Email: ______________________________________________________________

SECTION B – MWBE COMMITEMENT

The MWBE goal on the build out for this concession is ______ %.

***NOTE: DSBO will only credit MWBE participation that is certified as such by the City and County of Denver, Division of Small Business Opportunity (DSBO).***

The undersigned proposer/concessionaire confirms awareness of the MWBE goal for the build out of this concession(s) and commits to the utilization of appropriately certified firms to meet the goal.

By: ____________________________________________________________________ Proposer Signature Title

____________________________________________________________________ Proposing Entity

Attachment 1, Part 5 W-9

Attachment 1, Part 5 W-9

FORM W-9

Please complete the Request for Taxpayer Identification Number and Certification (FORM W-9) and submit with your proposal.

These pages are not included in the page numbering of this RFP document.

Form W-9(Rev. October 2018)Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

Go to www.irs.gov/FormW9 for instructions and the latest information.

Give Form to the

requester. Do not

send to the IRS.

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1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor or single-member LLC

C Corporation S Corporation Partnership Trust/estate

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)

Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Other (see instructions)

4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

Exempt payee code (if any)

Exemption from FATCA reporting

code (if any)

(Applies to accounts maintained outside the U.S.)

5 Address (number, street, and apt. or suite no.) See instructions.

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number

– –

orEmployer identification number

–

Part II Certification

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here

Signature of

U.S. person Date

General InstructionsSection references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

Purpose of FormAn individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

• Form 1099-INT (interest earned or paid)

• Form 1099-DIV (dividends, including those from stocks or mutual funds)

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)

• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)

• Form 1099-S (proceeds from real estate transactions)

• Form 1099-K (merchant card and third party network transactions)

• Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)

• Form 1099-C (canceled debt)

• Form 1099-A (acquisition or abandonment of secured property)

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Cat. No. 10231X Form W-9 (Rev. 10-2018)

Form W-9 (Rev. 10-2018) Page 2

By signing the filled-out form, you:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and

4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information.

Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are

considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien;

• A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;

• An estate (other than a foreign estate); or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income.

In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States.

• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;

• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and

• In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign

Entities).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.

1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

2. The treaty article addressing the income.3. The article number (or location) in the tax treaty that contains the

saving clause and its exceptions.4. The type and amount of income that qualifies for the exemption

from tax.5. Sufficient facts to justify the exemption from tax under the terms of

the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.

Backup WithholdingWhat is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

1. You do not furnish your TIN to the requester,

2. You do not certify your TIN when required (see the instructions for Part II for details),

3. The IRS tells the requester that you furnished an incorrect TIN,

4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or

5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information.

Also see Special rules for partnerships, earlier.

What is FATCA Reporting?The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.

Updating Your InformationYou must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.

PenaltiesFailure to furnish TIN. If you fail to furnish your correct TIN to a

requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.


Criminal penalty for falsifying information. Willfully falsifying

certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

Specific Instructions

Line 1

You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.

If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.

a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.

Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.

b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2.

c. Partnership, LLC that is not a single-member LLC, C

corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2.

d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.

e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.

Line 2

If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.

Line 3

Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3.

IF the entity/person on line 1 is

a(n) . . .

THEN check the box for . . .

• Corporation Corporation

• Individual • Sole proprietorship, or • Single-member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes.

Individual/sole proprietor or single-member LLC

• LLC treated as a partnership for U.S. federal tax purposes, • LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or • LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes.

Limited liability company and enter the appropriate tax classification. (P= Partnership; C= C corporation; or S= S corporation)

• Partnership Partnership

• Trust/estate Trust/estate

Line 4, Exemptions

If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.

Exempt payee code.

• Generally, individuals (including sole proprietors) are not exempt from backup withholding.

• Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.

• Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions.

• Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4.

1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2)

2—The United States or any of its agencies or instrumentalities

3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

4—A foreign government or any of its political subdivisions, agencies, or instrumentalities

5—A corporation

6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession

7—A futures commission merchant registered with the Commodity Futures Trading Commission

8—A real estate investment trust

9—An entity registered at all times during the tax year under the Investment Company Act of 1940

10—A common trust fund operated by a bank under section 584(a)

11—A financial institution

12—A middleman known in the investment community as a nominee or custodian

13—A trust exempt from tax under section 664 or described in section 4947


The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

IF the payment is for . . . THEN the payment is exempt

for . . .

Interest and dividend payments All exempt payees except for 7

Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.

Barter exchange transactions and patronage dividends

Exempt payees 1 through 4

Payments over $600 required to be reported and direct sales over $5,0001

Generally, exempt payees 1 through 52

Payments made in settlement of payment card or third party network transactions

Exempt payees 1 through 4

1 See Form 1099-MISC, Miscellaneous Income, and its instructions.2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup

withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.

Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.

A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)

B—The United States or any of its agencies or instrumentalities

C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)

E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)

F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state

G—A real estate investment trust

H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940

I—A common trust fund as defined in section 584(a)

J—A bank as defined in section 581

K—A broker

L—A trust exempt from tax under section 664 or described in section 4947(a)(1)

M—A tax exempt trust under a section 403(b) plan or section 457(g) plan

Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.

Line 5

Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.

Line 6

Enter your city, state, and ZIP code.

Part I. Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN.

If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.

Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations.

How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification

Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days.

If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.

Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

Part II. CertificationTo establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.

For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.

Signature requirements. Complete the certification as indicated in items 1 through 5 below.


1. Interest, dividend, and barter exchange accounts opened

before 1984 and broker accounts considered active during 1983.

You must give your correct TIN, but you do not have to sign the certification.

2. Interest, dividend, broker, and barter exchange accounts

opened after 1983 and broker accounts considered inactive during

1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.

3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.

4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

5. Mortgage interest paid by you, acquisition or abandonment of

secured property, cancellation of debt, qualified tuition program

payments (under section 529), ABLE accounts (under section 529A),

IRA, Coverdell ESA, Archer MSA or HSA contributions or

distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

What Name and Number To Give the RequesterFor this type of account: Give name and SSN of:

1. Individual The individual

2. Two or more individuals (joint account) other than an account maintained by an FFI

The actual owner of the account or, if combined funds, the first individual on

the account1

3. Two or more U.S. persons (joint account maintained by an FFI)

Each holder of the account

4. Custodial account of a minor (Uniform Gift to Minors Act)

The minor2

5. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law

The grantor-trustee1

The actual owner1

6. Sole proprietorship or disregarded entity owned by an individual

The owner3

7. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))

The grantor*

For this type of account: Give name and EIN of:

8. Disregarded entity not owned by an individual

The owner

9. A valid trust, estate, or pension trust Legal entity4

10. Corporation or LLC electing corporate status on Form 8832 or Form 2553

The corporation

11. Association, club, religious, charitable, educational, or other tax-exempt organization

The organization

12. Partnership or multi-member LLC The partnership

13. A broker or registered nominee The broker or nominee

For this type of account: Give name and EIN of:

14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments

The public entity

15. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B))

The trust

1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.2 Circle the minor’s name and furnish the minor’s SSN.3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier.

*Note: The grantor also must provide a Form W-9 to trustee of trust.

Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

Secure Your Tax Records From Identity TheftIdentity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

To reduce your risk:

• Protect your SSN,

• Ensure your employer is protecting your SSN, and

• Be careful when choosing a tax preparer.

If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.

If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

For more information, see Pub. 5027, Identity Theft Information for Taxpayers.

Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.

Protect yourself from suspicious emails or phishing schemes.

Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.


The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.

If you receive an unsolicited email claiming to be from the IRS, forward this message to [email protected]. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at [email protected] or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027.

Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.

Privacy Act NoticeSection 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

Attachment 1, Part 6 Percentage Fee Rate

Attachment 1, Part 6 Percentage Fee Rate

Name of proposer: ____________________________________________________________________________

1. PERCENTAGE FEE RATE

The Percentage Fee Rate below will be used as the multiplier against the proposer’s Gross Receipts, as defined in any final agreement(s), to calculate the Percentage Fee.

The Minimum Annual Guarantee ("MAG") and the Percentage Fee makes up the Privilege Fee due as compensation under the Agreement. The MAG is the minimum amount of compensation due to the City payable every month during the Term of the Agreement. For the first year of the Agreement, to calculate the MAG the City will apply the proposed Percentage Fee Rate to 85% of the projected first year Gross Receipts. For further details, please refer to Section 5 of the Sample Agreement posted at: http://business.flydenver.com/bizops/proprfp.asp

See the following example: Projected Annual Sales: $5,000,000 X 85% = $4,250,000 85% Projected Sales: $4,250,000 X 12% (Percentage Fee) = $510,000 MAG

Upon final acceptance of the Percentage Fee Rate by City, the Rate will be incorporated into the executed agreement(s).

Percentage Fee Rate (in numerals) %

Percentage Fee Rate (written) percent

MAG (in numbers) $

MAG (written)

Printed Name and Title: ___________________________________________________________________

Signature: ______________________________________________________________________________

Date: __________________________________________________________________________________

City will not renegotiate Percentage Fee Rates. City is under no obligation to accept the highest rate proposed.

2. CONDITIONS OF PROPOSAL SUBMITTALSubmittal of this proposal constitutes a firm offer to City and may be accepted by the City at any time within180 days from proposal due date. City, with proposer’s approval, may extend this offer after theaforementioned date.

http://business.flydenver.com/bizops/proprfp.asp

http://business.flydenver.com/bizops/proprfp.asp

Revised - Page 13 Attachment 1, Part 7 Capital Investment and Funding

Attachment 1, Part 7 Capital Investments and Funding

Name of Proposer: ____________________________________________________________________________

Use a separate form for each location and a separate form aggregating the investment for this opportunity. Provide the initial capital investment and sources of funds the proposer intends to invest in each location and the package as a whole, if applicable.

Note: Upon final acceptance of proposer’s Capital Investment by City, the total capital investment amount will be incorporated into any executed agreement. City’s Standard Agreement provides for any deficit between actual and proposed capital investment being paid to City.

CAPITAL INVESTMENT PLAN

Package Square Footage (sq. ft) ____________ sq. ft

I. INITIAL CAPITAL INVESTMENT

Architectural and Engineering Fees $ Leasehold Improvements $ Furnishing, Fixtures and Equipment $ Franchise Fees $ Other (specify) $ TOTAL INITIAL INVESTMENT $

II. CAPITAL FUND SOURCES – specify debt or equity

$ $ $ $ $ $

TOTAL FUNDING SOURCES $

III. OTHER STARTUP COSTS

Initial Inventory $ Working Capital $ TOTAL OTHER STARTUP COSTS $

Attachment 1, Part 8 Funding Source Letter

Attachment 1, Part 8 Funding Source Letter

(ON BANK LETTERHEAD)

[Proposer Name] [Street Address] [City, ST ZIP Code] [Date]

[Recipient Name] [Title] [Company Name] [Street Address] [City, ST ZIP Code]

Dear [Recipient Name]:

This letter will confirm the [Enter Financial Institution] is able to, and has agreed to provide [Enter Borrower and Proposer Name (if different)] with a [Enter All Applicable: Loan or Line of Credit or Available Funding Existing Line of Credit] in the amount of [Enter CapX Amount from RFP] to be used to fund the necessary capital investment for the opportunity described in [Enter RFP NO.] at the Denver International Airport (“DEN”) known as [Enter Concessions Package Name]. The funding of this loan or line of credit is subject to [Enter Proposer Name] receiving a successful award of [Enter RFP No.] and is also subject to the execution of all necessary Department of Aviation and/or [Enter Financial Institution] documentation.

If you have any questions concerning this letter, or if we can be of further service to you, please call us at, [Enter Undersigned Contact Information], and I will be happy to assist you.

Thank you for considering Proposer [Company Name] as a future DEN concessionaire. We look forward to successful completion of this transaction.

Sincerely,

[Your Name]

[Title]

Attachment 1, Part 9 Financial Pro Forma

Attachment 1, Part 9 Financial Pro Forma

FINANCIAL PRO FORMA

The Financial Pro Form is located at the following link:

http://business.flydenver.com/bizops/documents/proForma_2.xlsx

The Financial Pro Forma must be submitted in a Excel format and submitted for each location.



Attachment 1, Part 10 Disclosure of Legal and Administrative Proceedings and Financial Condition

Attachment 1, Part 10 Disclosure of Legal and Administrative Proceedings and Financial Condition

City and County of Denver Denver International Airport

(Please use this form)

If no disclosure required in accordance with 1-13, please sign affirmation statement.

The undersign affirms that __________________________________(Proposer) has not been involved in any legal or administrative proceedings which involve a claim in excess of Fifty Thousand Dollars ($50,000.00); has not filed bankruptcy within the last ten (10) years; has not been debarred or suspended from bidding/proposing on any Federal, State or local government procurements; and neither the Proposer nor its key employees have been convicted of a bid/proposal-related crime, violation or felony in the last five (5) years.

Signature: _____________________________________ Title: __________________________________

Print Name: ___________________________________________________________________________

Date: _________________________________________

If disclosure is required in accordance with 1-13, please use the following space to provide information. If additional space is needed, please attach additional pages.

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

If the Proposer is a legal entity within the prosing group, the Proposer must submit the following documents:

Three (3) years of Financial Statements, Balance Sheets, Statement of Income, Statement of Cash Flow, Changes in Financial position and a Bank Reference.

If the Proposer is an individual submitting a proposal the following documents must be submitted:

Recent Federal Income Tax Returns for the past three (3) years, Personal Financial Statement and a Bank Reference.

I. ATTACHMENT 1, PROPOSAL FORMS Attachment 1, Part 1...

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