20-00631-00-BT_BLR_12230.pdf

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S:\Gen\Document Services\Forms Support\AEM Forms\DOTLOGO2.bmp Local Public Agency Proposal Bid Bond Page of BLR 12230 (Rev. 01/19/23) Page of BLR 12230 (Rev. 01/19/23) BLR 12230 (Rev. 01/19/23) as PRINCIPAL, and severally and firmly bound unto the above Local Public Agency (hereafter referred to as "LPA") in the penal sum of 5% of the total bid price, or for the amount specified in the proposal documents in effect on the date of invitation for bids, whichever is the lesser sum. We bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly pay to the LPA this sum under the conditions of this instrument.

WHEREAS THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH that, the said PRINCIPAL is submitting a written proposal to the LPA acting through its awarding authority for the construction of the work designated as the above section.

THEREFORE if the proposal is accepted and a contract awarded to the PRINCIPAL by the LPA for the above designated section and the PRINCIPAL shall within fifteen (15) days after award enter into a formal contract, furnish surety guaranteeing the faithful performance of the work, and furnish evidence of the required insurance coverage, all as provided in the "Standard Specifications for Road and Bridge Construction" and applicable Supplemental Specifications, then this obligation shall become void; otherwise it shall remain in full force and effect.

IN THE EVENT the LPA determines the PRINCIPAL has failed to enter into a formal contract in compliance with any requirements set forth in the preceding paragraph, then the LPA acting through its awarding authority shall immediately be entitled to recover the full penal sum set out above, together with all court costs, all attorney fees, and any other expense of recovery.

IN TESTIMONY WHEREOF, the said PRINCIPAL and the said SURETY have caused this instrument to be signed by their respective officers this of Principal By:

By:

(If Principal is a joint venture of two or more contractors, the company names, and authorized signatures of each contractor must be affixed.)

Surety , a Notary Public in and for said county do hereby certify that who are each personally known to me to be the same persons whose names are subscribed to the foregoing instrument on behalf of PRINCIPAL and SURETY, appeared before me this day in person and acknowledged respectively, that they signed and delivered said instruments as their free and voluntary act for the uses and purposes therein set forth.

Given under my hand and notarial seal this day of (SEAL, if required by the LPA) By:

ELECTRONIC BID BOND

The Principal may submit an electronic bid bond, in lieu of completing the above section of the Proposal Bid Bond Form. By providing an electronic bid bond ID code and signing below, the Principal is ensuring the identified electronic bid bond has been executed and the Principal and Surety are firmly bound unto the LPA under the conditions of the bid bond as shown above. (If PRINCIPAL is a joint venture of two or more contractors, an electronic bid bond ID code, company/Bidder name title and date must be affixed for each contractor in the venture.)

Instructions for BLR 12230 Note: The instructions should not be included when the form is submitted.

This form shall be used if the Local Public Agency (LPA) allows a bid bond as a Proposal Guaranty for all bid submissions on Motor Fuel Tax (MFT) or State funded contracts, deliver/install proposals and material proposals. See the Bureau of Local Roads and Streets Manual (BLRS) Chapter 12 for more information.

When filling out this form electronically, once a field is initially completed, fields requiring the same information will be auto-populated.

Local Public Agency Insert the name of the LPA soliciting bids for the project.

County Insert the name of the County in which the LPA is located.

Section Number Insert the section number assigned to this project without dashes.

Principal Name and Address Insert the names(s) and address(es) of the principal(s) of the company submitting the bid.

Surety Name and Address Insert the name and address of the surety company providing the bid bond Day Insert the day of the month.

Month and Year Insert the month and year.

Company Name Insert the company's name that is submitting the bid.

By: The authorized company officer shall sign and date here and insert their title.

Company Name Insert the other company's name if bidder is a joint venture.

By: If the bid is a joint venture, the authorized company officer of the joint bidder will sign here, and insert their title.

Name of Surety Insert the name of the surety company providing the bid bond. This must be completed by the surety.

By: (Attorney-in-fact) The attorney-in-fact shall sign and date here. This must be completed by the surety.

State of Insert the name of the state where the signer(s) personally appeared before the notary public.

County of Insert the name of the county where the signer(s) personally appeared before the notary public.

Name of Notary Public Insert the name of notary public. Insert the names of the individuals signing on behalf of the principal and surety.

Day Insert the day of the month the notary public signed and sealed this document.

Month and Year Insert the month and year the notary public signed and sealed this document.

Commission Expires Insert the date the notary public's commission expires. This is to be completed by the notary public.

Notary Public The notary public must sign here and place their seal.

Electronic Bid Bond Check the designated box if an electronic bid bond is allowed by the LPA awarding authority. The awarding authority is responsible for checking the box.

Electronic Bid Bond ID Code Insert the electronic bid bond identification number for IDOT's approved surety company list.

Company/Bidder Name Insert the company/bidder name (multiple names if a joint venture).

Signature and Title The authorized company officer(s) must sign and date here, and insert his/her title(s). (Multiple signatures are required if a joint venture.)

A minimum of four (4) signed originals must be submitted to the Regional Engineer's District office.

Following the Regional Engineer's approval, distribution will be as follows:

Local Public Agency Clerk (2) Engineer (Municipal, Consultant or County) District File 11.0.0.20130303.1.892433.887364 Local Public Agency Proposal Bid Bond

BLR 12230