00310 Bid Proposal Form.pdf

BID FORM

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BID PROPOSAL FORM – BENDLE MIDDLE SCHOOL / HIGH SCHOOL PAVING REPLACEMENT

NAME OF

BIDDER_________________________________________________________________________

To: Bendle Public Schools

PROPOSAL FOR: Bendle Middle School / High School Paving Replacement

The Fixed Subcontract Price set forth below includes all local, state and federal taxes that may be due or charged by reason of performance of this Subcontract; licenses, royalty payments, fees, costs, overhead, profit, labor, materials, insurance, payment and performance bonds (as required by and noted herein by the Contractor) and includes any and all costs and expenses incurred in connection with the completion of the Work. No additional amounts shall be paid to Subcontractor other than the Fixed Subcontract Price, unless a written Change Order executed by an authorized representative of Contractor has been issued.

1) ADDENDA - The undersigned acknowledges:

Addendum Number______ Dated___________ Addendum Number_____ Dated___________

Addendum Number______ Dated___________ Addendum Number_____ Dated___________

2) BASE BID (Bendle Middle School Paving Replacement): the undersigned agrees to the performance of the Work as stated for the Base Bid Sum of_____________________________________Dollars ($______________________).

3) ADD ALTERNATE (Bendle Middle School Paving Replacement Eastern Lot): the undersigned agrees to the performance of the Work as stated for the Add Alternate

4) BASE BID (Bendle High School Paving Replacement): the undersigned agrees to the performance of the Work as stated for the Base Bid Sum

5) TIME, START DATE AND COMPLETION (NO LATER THAN) –

Project can begin any day after May 15, 2019.

Project to be completed and ready for use by August 15, 2019.

6) WITHDRAWAL OF BID - The undersigned agrees that this bid may not be withdrawn for a period of sixty (60) days after the opening date for receipt thereof. The undersigned further agrees that in the event a biddable addendum is issued to reduce the construction cost to be within budget, this bid may not be withdrawn for seventy-five (75) days after the date of opening bids for this Addendum.

7) CHANGES TO THE WORK

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For any additional work performed by the Contractor, the undersigned agrees that the charges shall be the actual cost of all labor and materials (less any discounts) plus a maximum fee of _____________ percent (______%) for overhead and profit.

The undersigned agrees that the labor rate includes all cost of insurance, taxes, bond, payroll taxes, and labor multiplier (general conditions).

8) BID SECURITY - Accompanying this Proposal is a Bid Bond in the amount of

__________________________________________Dollars ($____________________) which represents five percent (5%) of the Base Bid Sum amount which, it is agreed, shall be retained as liquidated damages by the Owner if the undersigned fails to execute the Agreement or furnish Bonds or Certificate of Insurance as specified within ten (10) days after notification of the award of Contract.

9) REJECTION OF BID - The undersigned understands that the Owner reserves the right to reject any or all bids and to waive any informalities in the bid or the bid process.

10) LEGAL STATUS OF BIDDER - The undersigned does hereby declare that the Bidder has the following legal status:

A. A Corporation organized and existing under the laws of the State of

______________________ for whom, ______________________________________________, whose signature is affixed hereto is duly authorized to execute contracts.

B. A Partnership, all the partners of which, with addresses are:

C. An individual, whose signature is affixed hereto.

FIRM NAME AND ADDRESS OF BIDDERS - This bid is submitted in the name of:

FIRM NAME

BUSINESS ADDRESS

TELEPHONE NUMBER

SIGNED BY TITLE

(Signature)

SIGNED AND SEALED THIS __________________DAY OF _______________, 2015.

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FAMILIAL DISCLOSURE AFFIDAVIT

All Bids shall be accompanied by a sworn statement disclosing any familial relationship that exists between the owner(s) or any employee of the bidder and any member of the Board of Education of the District, the Superintendent of the District and/or any Bendle Public Schools Administrator.

The undersigned, owner or authorized officer of (the bidder/contractor), pursuant to the familial disclosure requirement provided in the Bendle Public School District Request for Proposals, hereby represent and warrant, except as provided below, that no familial relationships exist between the bidder/contractor or any employee of the bidder/contractor, and any member of the Bendle Public School District’s Board of Education, the Superintendent and/or any Bendle Public Schools Administrator.

The following are the bidder’s familial relationship(s) with the Bendle

Public School District: Bidder/Contractor Employee Name Related to:

Relationship

1.

2.

(Attach additional pages if necessary to disclose all familial relationships.)

There is no familial relationship that exists between the bidder/contractor and/or any employee of the bidder and any member of the Bendle Public School District’s Board of Education, Superintendent, and/or staff member.

Bidder:

(Company Name)

By:

(Signature) (Title)

This instrument was acknowledged before me, a Notary Public, in and for

County, on this day of _, 20 .

(Notary Public Signature)

SS:

My Commission expires:

Acting in the County of:

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AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012

The undersigned, the owner or authorized officer of the below named contractor (the “Contractor”), pursuant to the compliance certification requirement provided in the Bendle Public Schools’ (the “School District”) Bendle High School Sidewalk Addition (the “RFP”), hereby certifies, represents and warrants that the Contractor (including its officers, directors and employees) is not an “Iran linked business” within the meaning of the Iran Economic Sanctions Act, Michigan Public Act No. 517 of 2012 (the “Act”), and that in the event Contractor is awarded a contract as a result of the aforementioned RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing the Work or any services under the contract.

The Contractor further acknowledges that any person who is found to have submitted a false certification is responsible for a civil penalty of not more than $250,000.00 or 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the School District’s investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on a request for proposal for three (3) years from the date the it is determined that the person has submitted the false certification.

Bidder:

(Company Name)

By:

(Signature) (Title)

This instrument was acknowledged before me, a Notary Public, in and for

County, on this day of _, 20 .

(Notary Public Signature)

SS:

My Commission expires:

Acting in the County of:

END OF SECTION