Solicitation for Construction 71-FA-8.2 Bid Form Solicitation No. CWU-94-B Page 1 of 4

STATE SYSTEM OF HIGHER EDUCATION

COMMONWEALTH OF PENNSYLVANIA

BID FORM

Note: The Bid Form pricing information is included with the Bidding Documents for Reference.

Bidders shall complete the attached manual bid form and electronic bid form within PennBid

(“Prepare Your Submission” tab), inclusive of all pricing items and required supporting documents as identified. The manual bid form pricing submission information shall take precedent.

BID FOR:

Solicitation No. CWU-94-B

Title of Project Haas Roof Replacement Stage & North Side

Location Commonwealth University – Bloomsburg Campus, Bloomsburg, PA 17815

BID FROM:

Firm Name

Federal ID No.

Address

Telephone

Fax

E-mail

Name of Contact for this Bid

The Bidder agrees to perform the work specified in the Contract Documents, under the terms and conditions specified in the Contract Documents, without exceptions or substitutions, and under any required additional certifications and conditions attached hereto, for the prices proposed on this Bid Form.

The Bidder additionally certifies that requirements in the Instructions to Bidders are met.

The Bidder acknowledges the Addenda hereinafter enumerated, which have been issued during the period of bidding, and agrees that contents of said Addenda shall become incorporated into the Contract.

Addenda No. Date Issued

Solicitation No. CWU-94-B Page 2 of 4

GENERAL CONSTRUCTION BASE BIDS

CWU-94-B.1: Haas Roof Replacement Stage & North Side

BASE BID No. 1 – General Construction

All work complete as shown on the drawings and described in the specifications, for the sum of:

Dollars $

(WRITTEN) (FIGURES)

BASE BID No. 2 – General Construction

All the work indicated in Base Bid No. 1 except for the following changes: Replace (2) two Roof Hatches with new in leu of repainting hatches in Base Bid 1 as shown on the drawings and described in the specifications, for the sum of:

Dollars $

(WRITTEN) (FIGURES)

Solicitation No. CWU-94-B Page 3 of 4

BIDDER'S BUSINESS CERTIFICATION

TYPE OF BUSINESS (check one of the three options below, and circle the correct entries within)

The Bidder is a Pennsylvania Corporation, LP, LLP, or LLC (circle one), organized and existing under the laws of Pennsylvania, and so is authorized to do business in Pennsylvania by the

Pennsylvania Business Corporation Law of 1988, as amended.

The Bidder is a Foreign Corporation, LP, LLP, or LLC (circle one), organized and existing under the laws of the state of (enter the name of the state), and has or has not (circle one) been granted a certificate of authority, or is or is not (circle one) registered, to do business in

Pennsylvania as required by the Pennsylvania Business Corporation Law of 1988, as amended.

The Bidder is an Individual, Proprietorship, Partnership, or other (circle one), trading under a fictitious or assumed name, and has or has not (circle one) registered under the Pennsylvania Fictitious

Names Act of 1982, as amended.

RESIDENCY (complete one of the two options below)

Does your firm have a street address in Pennsylvania at which it was transacting business when the Notice to Contractors for this contract was issued?

If "Yes", insert the address, or insert "same as address on page 1."

If "No," insert the address of the office responsible for this bid, or insert "same as address on page 1."

(In either case, provide a street address in lieu of a post office box.)

Solicitation No. CWU-94-B Page 4 of 4

BID SIGNATURE PAGE

CERTIFICATIONS

The person(s) signing below certifies that:

− he/she(they) is(are) authorized to represent the Bidder and bind the Bidder to this bid, − and, the information contained in or with this bid is true and correct, and that this information is material and important and will be relied upon by the System in awarding the contract for which this bid is submitted.

If the Bidder is an Individual, Proprietorship, or Partnership:

(one signature and one witness signature required)

(Signature) (Witness)

(Date)

If the Bidder is a Corporation, LP, LLP, or LLC:

(two signatures required)

(President/Vice President) (Secretary/Treasurer)

(Date)

(CORPORATE SEAL)

STATE SYSTEM OF HIGHER EDUCATION