2-Bid Forms.docx
DOCX document 59 KB Posted
- Attached to
- Yard Waste Removal - One Time
- Solicitation number
- IFB4353-12/25
- Issued by
- Clark County, Jefferson City, Missouri
About this file
This is a bid forms document for the City of Jefferson, Missouri Public Works Department's one-time yard waste removal project at 708 Ellis Boulevard. The solicitation requests qualified individuals or firms to remove and dispose of yard waste from the City's collection site. The work is structured as a lump sum pricing arrangement with bidders required to submit pricing on Attachment A, the pricing form. Bidders may submit hard-copy bids using the provided form and should clearly identify any subcontractors intended for use on the project.
Bidders must provide pricing for the complete removal of yard waste and may offer a discount for prompt payment on invoices, though this discount will not be evaluated during bid scoring. Pricing must remain firm for a specified number of days prior to award. For services exceeding $5,000, bidders must complete an Affidavit of Compliance with Section 285.525-285.550 RSMo certifying participation in a federal work authorization program and confirming that no unauthorized aliens are employed. All subcontractors must provide written sworn affidavits confirming compliance with work authorization requirements. Bidders are required to submit references detailing prior similar work and may provide a method of performance statement outlining their execution plan for the project.
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| File | Type | Posted |
|---|---|---|
| 1-IFB4353- Yard Waste Removal - One Time.pdf |
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Text version
ATTACHMENT A – PRICING FORM
(Only use this form if submitting a hard-copy bid)
| Item Number |
| Description |
| Unit of Measure |
| Pricing |
| 1. |
| Removal of Yard Waste |
| Lump Sum |
TOTAL
Discount for prompt payment on invoices only ___%___ days. Discount will not be evaluated on bid.
The prices contained in this bid are firm for _____ days prior to award.
SUBCONTRACTORS
All subcontractors shall be listed if the bidding intends to use subcontractors.
I/We the undersigned do hereby certify that the information presented in this proposal is true and accurate and agree to provide the specified products and services at the price and time stated if awarded the bid. I/We also certify that I am a duly authorized representative of the business entity below and that I possess the legal authority to sign on behalf of the business for which I am acting.
Name of Company
Agent & Title
Address
Telephone
Email Address
Signature & Date
Form of Business: __ Sole Proprietorship __ Partnership __Corporation __ Limited Liability Corporation
ATTACHMENT B – METHOD OF PERFORMANCE
Offeror may use this form, or any format desired, to present a written plan for performing the requirements specified in the request.
ATTACHMENT C - REFERENCES
Name of Firm ________________________________ Address ____________________________________ Contact Person __________________________________ Telephone No. ________________________ Date of Services _________________________ Number of Personnel _________________________ Description of Services: ___________________________________________________________________ _______________________________________________________________________________________ Project Responsibilities: ___________________________________________________________________
Contact Person __________________________________ Telephone No. ________________________ Date of Services _________________________ Number of Personnel _________________________ Description of Services: ___________________________________________________________________ _______________________________________________________________________________________
Date of Services _________________________ Number of Personnel _________________________ Description of Services: ___________________________________________________________________ _______________________________________________________________________________________
Date of Services _________________________ Number of Personnel _________________________ Description of Services: ___________________________________________________________________ _______________________________________________________________________________________
ATTACHMENT D
Affidavit of Compliance with Section 285.525-285.550 RSMo For All Services in Excess of $5,000.00
| State of ________________________ | ) | |
| ) ss | ||
| County of ______________________ | ) |
I, __________________________, am an authorized agent of _________________________ (Bidder). This business is enrolled and participates in a federal work authorization program for all employees working in connection with services provided to the City of Jefferson. This business does not knowingly employ any person that is an unauthorized alien in connection with the services being provided. Documentation of participation in a federal work authorization program (signature page of the MOU with Homeland Security) is attached to this affidavit.
| Furthermore, all subcontractors working on this contract shall affirmatively state in writing in their contracts that they are not in violation of Section 285.530.1 RSMo, shall not thereafter be in violation and submit a sworn affidavit under penalty of perjury that all employees are lawfully present in the United States. | __________________________________________ | ||
| Affiant | Date |
Subscribed and sworn to before me this _______ day of ___________, ______.
| ____________________________________ |
| Notary Public |
My commission expires: ___________________
If bidder is an individual and does not have any employees of any sort, complete this section.
I, the undersigned, being at least eighteen years of age, swear upon my oath that I am either a United States citizen or am classified by the United States government as being lawfully admitted for permanent residence.
| _______________________________ | __________________________________________ | |
| Date | Signature |
Subscribed and sworn to before me this _______ day of ___________, ______.
| ____________________________________ |
| Notary Public |
My commission expires: ___________________
Sample E-Verify Memo of Understanding – MOU Electronic Signature Page
Company ID Number: XXXXXXX
Approved by:
Employer Your Company Name
Name (Please Type or Print) John Doe Title
Signature
Electronically Signed
Date
05/27/2019
Department of Homeland Security – Verification Division
Name (Please Type or Print) USCIS Verification Division
Title
Signature
Electronically Signed
Date
05/27/2019 image1.png
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