000040 _ Form of Proposal.pdf

Renovations For Jefferson County Administration Building

SECTION B, Page 1

SECTION 000040 - FORM OF PROPOSAL

DATE _________________

INSERT NAME AND ADDRESS

RE: NAME Renovations For Jefferson County Administration Building ADDRESS Millen, Georgia

Ladies and Gentlemen:

B-01 Having carefully examined the specifications entitled, “Renovations For Jefferson County Administration Building”, and the drawings similarly entitled, numbered, all dated ______________, and addendum (a) Nos._____ , as well as the premises and conditions affecting the work, the undersigned proposes to furnish all services, labor and materials called for by them for the entire work, in accordance with said documents for the sum of:

__________________________________________________DOLLARS ($________________)

which sum is hereafter called the “BASE BID”.

B-02. The undersigned further proposes that should any of the following alternates or unit prices be accepted and is incorporated in the contract, the Base Bid may be altered, if elected by the Owner, as follows:

Alternate No. 1: Refer to Specification Section 012300 - Alternates: Add/Deduct the sum of ____________________________________________________________Dollars ($______________________)

Alternate No. 2: Refer to Specification Section 012300 - Alternates: Add/Deduct the sum of ____________________________________________________________Dollars ($______________________)

Alternate No. 3: Refer to Specification Section 012300 – Alternates: Add/Deduct the sum of ____________________________________________________________Dollars ($______________________)

Alternate No. 4: Refer to Specification Section 012300 – Alternates: Add/Deduct the sum of ____________________________________________________________Dollars ($______________________)

B-03 a) If rock, boulders, weathered shale or other unsuitable materials as defined in the General Conditions is encountered by the contractor during the general overall grading operation , the Owner will pay the contractor $ per cubic yard for the removal and disposal of said materials off site.

b) If rock, boulders, weathered shale or other unsuitable materials as defined in the General Conditions is encountered by the contractor during the trench excavation, the Owner will pay the contractor $ per cubic yard for the removal and disposal of said materials off site.

c) The quantity of rock, boulders, weathered shale or other unsuitable materials as defined in the General

Conditions will be as computed by the architect on the basis of measurements taken by the architect— excavation of said unsuitable materials is to be carried out only when authorized by the architect.

d) Rock payment lines are limited to the following:

1. Two feet outside concrete work for which forms are required, except footings.

SECTION B, Page 2

2. One foot outside perimeter of footings

3. In pipe trenches, 6 inches below invert elevation of pipe and 2 feet wider than inside diameter of pipe, but not less than 3 feet minimum trench width.

4. Outside dimensions of concrete work where no forms are required.

5. Under slabs on grade, 6 inches below bottom of concrete slab.

B-04 For and in consideration of the sum of $1.00, the receipt of which is hereby acknowledged, the undersigned agrees that this proposal may not be revoked or withdrawn after the time set for the opening of bids but shall remain open for acceptance for a period of thirty-five (35) days following such time

B-05 The undersigned agrees to commence actual physical work on the site with an equal force and equipment within ten (10) days after the notice-to proceed by the owner and to Substantially Complete All Work by __________________. There are no liquidated damages.

B-06 Enclosed herewith is a bid bond in the amount of ___________________________________________________Dollars ($________________) being not less than 5% of the Base Bid.

The undersigned agrees that the above stated amount is the proper measure of liquidated damages which the Owner will sustain by the failure of the undersigned to execute the contract and to furnish the performance bond and the payment bond in case this proposal is accepted and further agrees to the following:

B-07 If this proposal is accepted within thirty-five (35) days after the date set for the opening of bids and undersigned fails to execute the contract within ten (10) days after written notification of such acceptance or if he fails to furnish both a performance bond and a payment bond, the obligation of the bid bond will remain in full force and effect and the money payable thereon shall be paid into the funds of the Owner as liquidated damages for such failure; otherwise the obligation of the bond will be null and void.

B-08 The following subcontractors are listed for approval by the Owner and Architect.

1.Sitework_______________________________________________________

2. Electrical______________________________________________________

3. HVAC________________________________________________________

4. Plumbing__________________________________________________

5. Roofing_______________________________________________________

B-09 The bidder submits the following statement of bidder’s qualifications: (see next page)

B-10 The bidder submits the attached E-Verify Contractor Affidavit.

Certified Checks Not Acceptable

SECTION B, Page 3

STATEMENT OF BIDDER’S QUALIFICATIONS

To accompany bids submitted for Renovation For Jefferson County Administration Building

Name of Bidder _________________________________________________________

Business Address _______________________________________________________

Phone Number _________________________ Fax Number _____________________

When Organized _______________________________________________________

Where Incorporated _____________________________________________________

Type of Business: General Contractor __________________________________

Subcontractor ______________________________________

Other ____________________________________________

Credit Available for this Contract $_______________________________________*_

Contracts now in Hand $ _______________________________________________*_

*Within ten calendar days after bid date and prior to the award of the construction contract the contractor must furnish

Owner a current audited financial statement.

Plan of Organization (Proprietorship, Partnership, Corporation)

The Bidder has never refused to sign a contract at the original bid.

(True _____) (False ______)

The Bidder has never declared in default on a contract.

(True _____) (False ______)

By signing this document, I (the bidder) certify that construction, under this company’s name, is my primary means of business and employment.

Remarks: ____________________________________________________________

(The above statements must be subscribed and sworn to before a Notary Public).

Date __________________________________________

Firm Name _____________________________________

By ____________________________________________

Title ___________________________________________

(Notary Public)

SECTION B, Page 4

Respectfully submitted, Name ________________________________________________

Address ______________________________________________

By ___________________________________________________

Title __________________________________________________

The full names and addresses of persons and firms interested in the foregoing bids as principals are as follows:

The legal name of the bidder is:

SECTION B, Page 5

Contractor Affidavit under O.C.G.A. § 13-10-91 (b) (1)

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10- 91, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of Jefferson County, Georgia has registered with, is authorized to use and uses the federal work authorization to use and uses federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91. Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13-10-91 (b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

Federal Work Authorization User Identification Number

Date of Authorization

Name of Contractor

Name of Project

Jefferson County, Georgia, Louisville, Georgia Name of Public Employer

I hereby declare under penalty that the foregoing is true and correct.

Executed on , 20 in (city), (state).

Signature of Authorized Officer or Agent

Printed Name and Title of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME

ON THIS THE DAY OF , 20 .

NOTARY PUBLIC

My Commission Expires: