2-Bid Forms.docx
DOCX document 62 KB Posted
- Attached to
- Fire Museum Exterior Repairs
- Solicitation number
- IFB4372-04/26
- Issued by
- Clay County, Jefferson City, Missouri
About this file
This is a bid forms document for the Jefferson City Fire Department in Missouri soliciting exterior repairs at the Fire Museum located at 911 E. Miller Street, Jefferson City, Missouri. The project encompasses a base bid for exterior repairs on a lump sum basis, with additional line items for tuckpointing (per square foot of wall area or linear foot of joint), sealant replacement (per linear foot by joint type including window perimeter, tilt-up control joint, and coping joint), stone veneer (per square foot), and paint/coating work (per square foot by substrate type). Bidders must complete the pricing form, provide subcontractor information if applicable, certify that products and services meet specifications, and indicate the duration for which their bid remains firm.
The pricing forms require bidders to submit fixed prices for all specified items and indicate whether a prompt payment discount is available. Bidders must provide commercial references with contact information and service dates, certify compliance with federal work authorization requirements under Missouri Revised Statutes Section 285.525-285.550 (applicable for services exceeding $5,000), and submit an anti-collusion affidavit confirming no illegal agreements or affiliations with other bidders. All subcontractors must be identified and must provide written certification of lawful employment status. Bidders must specify their business structure (sole proprietorship, partnership, corporation, or limited liability corporation) and confirm whether items are manufactured or produced in the United States.
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| File | Type | Posted |
|---|---|---|
| 1-IFB4372 - Fire Museum Exterior Repairs.pdf |
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Text version
ATTACHMENT A- PRICING FORM
(Only use this form if submitting a hard copy bid) All bids must be as specified or equal. Bidder must complete, sign, and return this document stating the firm, fixed price for the period specified in the specifications.
| Item Description |
| Unit of Measure |
| Total Cost |
| Base Bid for Exterior Repairs of the Fire Museum |
| Lump Sum |
| Additional Tuckpointing |
| Per square foot of wall area or per linear foot of joint, specify basis |
| Additional Sealant Replacement |
| Per linear foot by joint type: window perimeter, tilt-up control joint, coping joint |
| Additional stone veneer |
| Per square foot |
| Additional paint/coating |
| Per square foot by substrate type |
Discount for prompt payment on invoices only ___%___ days. Discount will not be evaluated on bid.
This bid is firm for _________________days.
Are the items bid manufactured, or produced in the United States? YES______ NO________
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 AND TITLE _________________________________________________________
ADDRESS __________________________________________________________________
TELEPHONE ___________________ EMAIL ADDRESS ____________________________
SIGNATURE OF BIDDER _________________________________ DATE _______________
Form of Business: __ Sole Proprietorship __ Partnership __Corporation __ Limited Liability Corporation
ATTACHMENT B – BIDDER REFERENCES
Commercial:
Business Name:
Contact Person & Title:
Address:
Telephone and Email Address:
Dates of Service:
System Type:
Brief Description of Services:
Business Name:
Contact Person & Title:
Address:
Telephone and Email Address:
Dates of Service:
System Type:
Brief Description of Services:
Business Name:
Contact Person & Title:
Address:
Telephone and Email Address:
Dates of Service:
System Type:
Brief Description of Services:
Business Name:
Contact Person & Title:
Address:
Telephone and Email Address:
Dates of Service:
System Type:
Brief Description of Services:
ATTACHMENT C
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
ATTACHMENT D - ANTI-COLLUSION STATEMENT
STATE OF _____________________________)
COUNTY OF ___________________________)
___________________________________________________________________ being first duly sworn, deposes and says that he is ______________________________ of (Title of Person Signing)
_______________________________ that all statements made and facts set out in the bid for (Name of Bidder) the above project is true and correct; and that the bidder (the person, firm, association, or corporation making said bid) has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with such bid of any contract which results from its acceptance.
Affiant further certifies that bidder is not financially interested in, or financially affiliated with, any other bidder for the above project.
(BY) _____________________________________
(BY) _____________________________________
Sworn to before me this ________ day of ________________, 20___.
Notary Public
My commission expires: ____________________________________ image1.png
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