1-Cover Sheet 33-217.pdf

Form 33.217 (7/20) Page 1 of 2

DALLAS AREA RAPID TRANSIT

AWARD/CONTRACT FORM

1. SOLICITATION NO: 2. CONTRACT NO.: 3. EFFECTIVE DATE:

S-2082249 C-2082249-01 SEE BLOCK 17

4. CONTRACT SPECIALIST:

NAME: Audrey Hayes TELEPHONE NO.:

FAX NO.:

214-749-3485 214-749-3666

E-MAIL: Ahayes1@dart.org

5. SUBMIT TO: 6. DELIVERY TERMS:

DART VIA BONFIRE ONLINESUPPLIER

PORTAL. HARD COPIES SHALL NOT BE

ACCEPTED.

AS SPECIFIE IN EXHIBIT D

7. DISCOUNTS FOR PROMPT PAYMENT:

_____%, ____ Calendar Days

Mark for Attention of: (See Block 4 above)

8. CONTRACTOR NAME & ADDRESS: 9. REMITTANCE ADDRESS: (If different from Item 8)

Alstom Transport USA, INC.

1251 Waterfront PL Pittsburgh, PA 15222

TELEPHONE: 800-245-0696 FAX: 412-655-6900

E-MAIL: Michael.mihal@alstomgroup.com

10. D/MWBE: The D/MWBE participation for this contract is as follows based on: Percentage of the total contract amount, or Other __________________________

% DBE % MBE % WBE % MBE/WBE

11. FIRM OFFER PERIOD: Offers submitted shall remain firm for a period of 180 calendar days from the date specified in Block 13.

12. This Award/Contract consists of this DART Form 33.217 and the exhibits designated with a symbol on Page 2 of this form.

CONTRACT EXECUTION

CAUTION: A false statement in any offer (bid or proposal) submitted to DART may be a criminal offense in violation of Section 37.10 of the Texas Penal Code.

13. _X_ NEGOTIATED AGREEMENT: (The Contractor is required to sign below and return the original document and one (1) copy to the Contracting Officer within ten (10) calendar days of receipt.)

The Contractor agrees to furnish and deliver all items and/or to perform all the services set forth or otherwise identified below, and on any continuation sheets, for the consideration stated herein. The rights and obligations of the parties to this contract shall be subject to and governed by the following documents: (a) this Award/Contract, (b) the solicitation, if any, and (c) such provisions, representations, certifications, and specifications, as are attached or incorporated by reference herein.

SIGNATURE OF CONTRACTOR:

Name/Title: ____________________________________ Signature: __________________________ Date: ____/____/____

14. __ AWARD: (Contractor is not required to sign) The Offer submitted in response to the Solicitation identified in Block 1 above, including the additions or changes made by you, is hereby accepted as to the items listed below and on any continuation sheets. This award consummates the contract which consists of the following documents: (a) the Authority's solicitation and your offer, and (b) this Award/Contract. No further contractual document is necessary.

15. ACCEPTED AS TO: 16. TOTAL AMOUNT OF AWARD:

17. SIGNATURE OF CONTRACTING OFFICER:

Typed Name:

Signature: _________________________ Date: ____/____/___ mailto:Ahayes1@dart.org

Form 33.217 (07/20) Page 2 of 2

DALLAS AREA RAPID TRANSIT

AWARD/CONTRACT FORM

18. CONTENTS

NAME FORM DESCRIPTION FORM NO.

Cover Sheet Award/Contract Form 33.217

Schedule Schedule 33.202A

Exhibit A Representations and Certifications 33.204

Exhibit B Special Solicitation Instructions and Conditions 33.B

Attachment 1 Schedule of Subcontractor(s)/Subconsultant(s) None

Exhibit C Solicitation Instructions and Conditions 33.205L

Exhibit D Special Provisions 33.D

Exhibit F General Provisions 33.301

Exhibit G Minority and Woman Owned Business Enterprise Provisions 33.213

Attachment 1 Intent to Perform as a Subcontractor None

Attachment 2 Sample Vendor Payment Report None

Exhibit I Specifications 33.I

Exhibit L Business Questionnaire 33.253-PF

Exhibit V Employee Information Report 33.254

FORM DESCRIPTION