10_BidForm_CJAG_Perimeter_Fence_rem_rep.docx

Standard Requirements Sealed bids will be received by The Adjutant General’s Department, at 2825 W. Dublin Granville Rd. Room W224, Columbus, OH 43235 or email bids as pdf. attachments to __________ for:

Project (3916441) Perimeter Fence Replacement at

Camp Ravenna Joint Military Training Center 8451 State Route 5 Ravenna, OH 44266 for the

Adjutant General’s Department

The time for Contract Completion is 270 consecutive days from the Notice to Proceed.

Having read and examined the proposed Contract Documents prepared by the Adjutant General’s Department for the above-referenced Project and the following Addenda:

Addendum Number Date Received

The undersigned Bidder proposes to perform all Work for the applicable Contract in accordance with the proposed Contract Documents, for the following sum(s):

Bid Package 101 – GENERAL CONTRACT

BASE BID, - Work begins at approximately Southern, Latitude & Longitude 41.162900, -81.097756 at the area known as the “Dormitory Road Gate”. The work will continue approximately 6,175 lineal feet following the existing perimeter road to the west. Replacement of existing 24 foot gate at the end of Dormitory Road and the existing 24 foot gate at Greenleaf in kind is part of the work. Replacement of Greenleaf Road gate will conclude the Base Bid work.

ALL LABOR AND MATERIALS, for the sum of $

Sum in words:

and ______ /100 dollars.

Alternate 1, Work begins at the end of Base Bid work at the replaced Greenleaf road gate. Works will continue west for approximately 1,000 lf. (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 2, Work begins at the end of Alternate 1 work and continue west for approximately 1,000 lf. (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 3, Work begins at the end of Alternate 2 work and continues west for approximately 1,004 lf where is joins the existing fence installed for the Hinkley Creek crossing. Replacement of 20 foot gate at approximately Lat. 41.16336933 Long. -81.12866028 in kind is part of the work. (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 4, Work begins at the end of the existing fence installed for the Hinkley Creek crossing and continues west for approximately 1,070 lf (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 5, Work begins at the end of Alternate 4 and continues south for approximately 178 lf and turns west for 850 lf for a total of 1,028 lf (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 6, Work begins at the end of Alternate 5 and continues west for approximately 1,000 lf. (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 7 Work begins at the end of Alternate 6 and continues west for approximately 1,000 lf. (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 8, Work begins at the end of Alternate 7 and continues west for approximately 1,104 lf (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 9, Work begins at the end of Alternate 8 and continues north for approximately 1,254 lf (Circle appropriate choice below and insert amount)

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 10, Work begins at the end of Alternate 9 and continues west for approximately 1,000 lf. Replacement of 20 gate on rollers at Rock Springs Road/SR 80 is part of the work

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 11, Work begins at the end of Alternate 10 and continues west for approximately 1,280 lf. Approximately 280 lf is existing fence segregating an existing pipe that will remain. Approximately 1,000 lf of remove and replaced fence will tie into the ends of the existing fence

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 12, Work begins at the end of Alternate 11 and continues west for approximately 1,000l

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 13, Work begins at the end of Alternate 12 and continues west for approximately 1,000lf. A Portion of the Work in this section is in a Wetlands. The approximately length of the wetlands is 350 lf. Disturbance of the wetland shall be kept to a minimum with the use of mats and other devices that will prevent rutting. The area shall be restored at the conclusion of the work

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 14, Work begins at the end of Alternate 13 and continues west for approximately 1,000lf

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

Alternate 15, Work begins at the end of Alternate 14 and continues west for approximately 1,000lf

If Alternate is accepted, ADD TO / DEDUCT FROM Base Bid: $

Sum in words: and ______ /100 dollars.

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BIDDER AFFIRMATION AND DISCLOSURE

Bidder acknowledges that by signing the Bid Form on the Bidder Signature and Information page, that it affirms, understands, and will abide by the requirements of Executive Order 2011-12K. If awarded a Contract, the Bidder will become the Contractor and affirms that both the Contractor and its Subcontractors shall perform no services requested under this Contract outside of the United States.

The Bidder shall provide the locations where services under this Contract will be performed in the spaces provided below or by attachment. Failure to provide this information as part of its Bid may cause the Bidder to be deemed non-responsive and no further consideration will be given to its Bid. If the Bidder will not be using Subcontractors, indicate “Not Applicable” in the appropriate spaces.

1. Principal business location of Contractor:

Address City, State, Zip

2. Location where services will be performed by Contractor:

Address City, State, Zip

Locations where services will be performed by Subcontractors, if known at time of Bid Opening:

Address City, State, Zip

Address City, State, Zip

Address City, State, Zip

3. Location where state data will be stored, accessed, tested, maintained, or backed-up, by Contractor:

Address City, State, Zip

Locations where state data will be stored, accessed, tested, maintained, or backed-up by Subcontractors, if known at time of Bid Opening:

Address City, State, Zip

Address City, State, Zip

Address City, State, Zip

BIDDER'S CERTIFICATIONS

The Bidder hereby acknowledges that the following representations in this Bid are material and not mere recitals:

1. The Bidder has read and understands the proposed Contract Documents and agrees to comply with all requirements of the proposed Contract Documents, regardless of whether the Bidder has actual knowledge of the requirements and regardless of any statement or omission made by the Bidder, which might indicate a contrary intention.

2. The Bidder represents that the Bid is based upon the Basis of Design and Acceptable Components specified by the proposed Contract Documents.

3. The Bidder has visited the Site, become familiar with local conditions, and has correlated personal observations about the requirements of the proposed Contract Documents. The Bidder has no outstanding questions regarding the interpretation or clarification of the proposed Contract Documents.

4. The Bidder understands that the execution of the Project will require sequential, coordinated, and interrelated operations, which may involve interference, disruption, hindrance, or delay in the progress of the Bidder's Work. The Bidder agrees that the Contract Sum, as amended from time to time, shall cover all amounts due from the State resulting from interference, disruption, hindrance, or delay that is not caused by the State or its agents and employees. The Bidder agrees that any such interference, disruption, hindrance, or delay is within the contemplation of the Bidder and the State and that the Contractor’s sole remedy from the State for any such interference, disruption, hindrance, or delay shall be an extension of time in accordance with the proposed Contract Documents.

5. During the performance of the Contract, the Bidder agrees to comply with Ohio Administrative Code (“OAC”) Chapters 123:2-3 through 123:2-9 and agrees to incorporate the monthly reporting provisions of OAC Section 123:2-9-01 into all subcontracts on the Project, regardless of tier. The Bidder understands the State’s Equal Opportunity Coordinator or the Contracting Authority may conduct pre-award and post-award compliance reviews to determine if the Bidder maintains nondiscriminatory employment practices, maintains an affirmative action program, and is exerting good faith efforts to accomplish the goals of the affirmative action program. For a full statement of the rules regarding Equal Employment Opportunity in the Construction Industry, see OAC Chapters 123:2-1 through 123:2-9.

6. The Bidder and each Person signing on behalf of the Bidder certifies, under penalty of perjury, that to the best of the undersigned's knowledge and belief: (a) the Base Bid, any Unit Prices, and any Alternate bid in the 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 Base Bid, Unit Prices or Alternate bid with any other Bidder; (b) unless otherwise required by law, the Base Bid, any Unit Prices and any Alternate bid in the Bid have not been knowingly disclosed by the Bidder and shall not knowingly be disclosed by the Bidder prior to the bid opening, directly or indirectly, to any other Bidder who would have any interest in the Base Bid, Unit Prices or Alternate bid; (c) no attempt has been made or shall be made by the Bidder to induce any other Person to submit or not to submit a Bid for the purpose of restricting competition.

7. The Bidder understands that the Contract is subject to all the provisions, duties, obligations, remedies and penalties of Ohio Revised Code Chapter 4115 and that the Bidder shall pay any wage increase in the locality during the term of the Contract.

8. The Bidder shall execute the Agreement with the Contracting Authority, if a Contract is awarded on the basis of this Bid, and if the Bidder does not execute the Agreement for any reason, other than as authorized by law, the Bidder and the Bidder's Surety are liable to the State as provided in Article 5 of the Instructions to Bidders.

9. The Bidder certifies that the upon the award of a Contract, as the Contractor it shall make a good faith effort to ensure that all of the Contractor’s employees, while working on the Site, shall not purchase, transfer, use, or possess illegal drugs or alcohol or abuse prescription drugs in any way.

10. The Bidder acknowledges that it read all of the Instructions to Bidders, and in particular, Section 2.10 - Submittals With Bid Form, and by submitting its Bid certifies that it has read the Instructions to Bidders and it understands and agrees to the terms and conditions stated in them.

11. The Bidder agrees to furnish any information requested by the Contracting Authority or Architect/Engineer to evaluate the responsibility of the Bidder.

12. The Bidder agrees to furnish the submittals required by Section 6.1 of the Instructions to Bidders for execution of the Agreement within 10 days of the date of the Notice of Intent to Award.

13. When the Bidder is a corporation, partnership or sole proprietorship, an officer, partner or principal of the Bidder, as applicable, shall print or type the legal name of the Bidder on the line provided, and sign the Bid Form.

14. Bidder acknowledges that by signing the Bid Form on the following Bidder Signature and Information page that it is signing the actual Bid and when submitted as a part of its bid package, shall serve as the Bidder’s authorization for the further consideration and activity in the bidding and contract process.

15. All signatures must be original.

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BIDDER SIGNATURE AND INFORMATION

Bidder’s Authorized Signature:

Please print or type the following:

Name of Bidder’s Authorized Signatory Title:

Company Name:

Mailing Address:

Telephone Number:

Facsimile Number:

E-Mail Address:

Where Incorporated:

Federal Tax Identification Number:

Date enrolled in an OBWC-approved DFSP (month/date/year): _______ / _______ / Contact person for Contract processing:

President’s or Chief Executive Officer’s Name / Title:

END OF DOCUMENT