1-Forms to be Submitted with Bid.pdf

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Attached to
Mill Street Outfall Replacement
Solicitation number
Not on record
Issued by
Lancaster County, Pennsylvania

About this file

This file contains the required forms to be submitted with bids for the Mill Street Outfall Replacement project by Columbia Borough, Lancaster County, Pennsylvania. The forms include a Bid Bond, a Non-Collusion Affidavit of Prime Bidder, and a Commonwealth of Pennsylvania Public Works Employment Verification Form. Sealed bids for this project will be received online via the PennBid Program until 10:00 AM on Wednesday, July 8, 2026, with public opening and reading of bids occurring electronically at the same time and date. The contract duration for this project is forty-five (45) calendar days. Each bidder must submit a bid bond from an acceptable surety or a certified check payable to Columbia Borough in the amount of 5% of the maximum bid. All bidders must demonstrate their qualifications to perform the work and comply with the Pennsylvania Prevailing Wage Act.

The Non-Collusion Affidavit requires bidders to certify under penalty of perjury that bid prices have been arrived at independently without collusion, consultation, or agreement with other bidders, and that prices have not been disclosed to competitors prior to bid opening. The Public Works Employment Verification Form requires contractors and subcontractors to confirm enrollment and compliance with the federal E-Verify Program as mandated by Pennsylvania's Public Works Employment Verification Act, with verification of employment eligibility required for all new hires within five business days of hire and documentation maintained for audit purposes. Columbia Borough reserves the right to accept any bid or reject any or all bids, with contract awards to be made at a regularly scheduled borough council meeting.

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BB-1

BID BOND

KNOW ALL MEN BY THESE PRESENTS that we, (hereinafter called the “Principal”) as Principal, and a corporation authorized to transact business in Pennsylvania, and having its principal office at

(hereinafter called the “Surety”) as surety, are held and firmly bound unto

(hereinafter called the “Obligee”) as Obligee, in the sum of

DOLLARS ($ ),

lawful money of the United States of America; for the payment of which we bind ourselves, and each of our respective heirs, legal representatives, successors, and assigns, jointly and severally, by these presents, on this day of , 20 .

WITNESSETH THAT:

WHEREAS, said principal is herewith submitting to the Obligee a proposal to perform the contract work for the Obligee’s, proposed pursuant to plans, specifications and other Contract Documents incorporated into said proposal by reference; and it is a condition of the Obligee’s receipt and consideration of said proposal that the proposal be accompanied by bid security to be held by the Obligee on terms embodied herein.

THEREFORE, the condition of this obligation is that if said principal shall furnish a performance bond, payment bond, and insurance certificates to the Obligee upon the Obligee’s delivery to the principal of fifteen days notice of intention to accept his proposal and to make a formal award of contract to him, and shall enter into such contract in all respects as required by said Contract Documents, then this obligation shall be void; but otherwise it shall remain in full force, and the principal and surety will pay to the Obligee the difference between the amount of the Principal’s accepted bid(s) and any higher amount for which the

Obligee may contract for the required work, plus any advertising, architect’s, legal and other expenses

BB-2

incurred by the Obligee by reason of the default; provided, however, that the obligations of the Surety hereunder shall not exceed the amount of this bond together with the interest.

IN WITNESS WHEREOF, the Principal and Surety, intending to be legally bound, have executed this bond the day and year aforementioned.

(Individual Principal)

(SEAL)

Witness: (Signature of Individual)

Trading and doing business as

(Partnership Principal)

(SEAL)

(Name of Partnership)

Witness:

By:

(SEAL) (Partner)

BB-3

(Corporation Principal)

(Name of Corporation)

ATTEST:

Title or (if appropriate)

*By:

(Authorized Representative)

Witness or Attest:

*Attach appropriate proof, dated as of the same date as the Bond, evidencing authority to execute in behalf of the Corporation.

(Corporation Surety)

Witness or Attest:

**By:

Title

(CORPORATE SEAL)

**Attach an appropriate power of attorney, dated as of the same date as the Bond, evidencing the authority of the Attorney-In-Fact to act in behalf of the Corporation.

N:\Admins\2-Project Execution\Specifications\Bid Bond (complete).docx

NON-COLLUSION AFFIDAVIT

OF PRIME BIDDER

State of:

SS:

County of:

Before me personally appeared the undersigned , who, on oath says that he/she has submitted to the a bid and offer to do the following work under contract as set-up in the plans and specifications attached hereto.

a. By submission of this bid, each bidder and each person signing on behalf of any bidder, certifies, and in the ease of a joint bid, each party thereto certifies as to its own organization under penalty of perjury, that, to the best of his knowledge and belief;

1. The prices in this bid have been arrived at independently, without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competition;

2. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder, and will not be knowingly disclosed by the bidder prior to the opening, directly or indirectly, to any other bidder or to any competitor; and

3. No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation, to submit or not to submit a bid for the purposes of restricting competition.

Signed:

Title:

Sworn to and subscribed before me the undersigned notary public this day of , _______.

(Seal)

Notary Public

My Commission Expires:

N:\Admins\2-Project Execution\Specifications\Non-Collusion Affidavit of Prime Bidder.docx

Street Address 2

City State Zip Code

Doing Business As:

(if different from Legal Name)

Commonwealth of Pennsylvania Public Works Employment Verification Form

Complete and return the form to the contracting Public Body prior to the award of the contract.

Company Legal Name: ___________________________________________________________

Mailing Address: ______________________________________________________

Check one: Contractor Subcontractor

Contracting Public Body: _________________________________________________________

Contract/Project Number: ________________________________________________________

Project Description: _____________________________________________________________

Project Location: _______________________________________________________________

Date Enrolled in E-Verify (MM/DD/YYYY): ___________________________________________ As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of today’s date, __________________________, our company is in compliance with the Public Works Employment Verification Act (‘the Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. To the best of my/our knowledge, all employees hired are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.

I,____________________________________________, authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

Authorized Representative Signature Date of Signature

Printed Name: _________________________________________________________________

Phone Number: ______________________ Email: ____________________________________

Street Address 1

Company Legal Name:
Doing Business As:
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
Contractor: Off
Subcontractor: Off
Contracting Public Body:
ContractProject Number:
Project Description:
Project Location:
MM/DD/YYYY:
Today's Date:
Name of Authorized Representative:
Printed Name:
Phone Number:
Email:

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