2022-17 Bid Form.pdf

CareOregon Bid Form

CAREOREGON

CONSTRUCTION CONTRACT BID FORM

RFQ #: 2022-17

PROJECT: CareOregon Satellite Office T.I.

BID CLOSING: June 28, 2022. 2:00 PM, Pacific Time

FROM: __________________________________________________________________

Bidder’s Name (must be full legal name, not ABN/DBA)

TO: CareOregon Procurement & Contract Services – Procurement@careoregon.org

1. Bidder is (check one of the following and insert information requested):

An individual; or A partnership registered under the laws of the State of ________________; or A corporation organized under the laws of the State of _________________’ or A limited liability corporation organized under the laws of the State of ______________.

and authorized to do business in the State of Oregon hereby proposes to furnish all material and labor and perform all Work hereinafter indicated for the above project in strict accordance with the Contract Documents for the Basic Bid as follows:

_______________________________________________Dollars ($_________________) and the Undersigned agrees to be bound by the following documents:

• Request for Quotes #2022-17 (“RFQ”)

• Modified ConsensusDocs 200 Standard Contract and General Conditions Between Owner and

Contractor (“GCs”)

• CareOregon Satellite Office T.I. Bid Set 5/27/2022 (10 pages)

• ADDENDA numbered _______ through_______, inclusive (fill in blanks)

2. The Undersigned proposes to add to or deduct from the Base Bid indicated above the items of work relating to the following Alternate(s) as designated in the Specifications: N/A

3. The Undersigned proposes to add to or deduct from the Base Bid indicated above the items or work relating to the following Unit Price(s) as designated in the Specifications, for which any adjustments in the Contract amount will be made in accordance with the GCs: N/A

4. The work shall be completed within the Key Dates stipulated and specified in the RFQ.

5. The Undersigned certifies that: (i) This Bid has been arrived at independently and is being submitted without collusion with and without any agreement, understanding, or planned common course of action with any other vendor of materials, supplies, equipment or services described in the invitation to bid designed to limit independent bidding or competition; and (ii) the contents of the Bid have not been communicated by the Undersigned or its employees or agents to any person not an employee or agent of the Undersigned or its surety on any Bond furnished with the Bid and will not be communicated to such person prior to the official opening of the Bid.

6. The undersigned HAS, HAS NOT (check one) paid unemployment or income taxes in Oregon within the past 12 months and DOES, DOES NOT (check one) a business address in Oregon. The mailto:Procurement@careoregon.org

CareOregon Bid Form Page 2 undersigned acknowledges that, if the selected bidder, that the undersigned will have to pay all applicable taxes and register to do business in the State of Oregon before executing the Contract Form.

7. Contractor's CCB registration number is ____________________________. As a condition to submitting a bid, a Contractor must be registered with the Oregon Construction Contractors Board in accordance with ORS 701.035 to 701.055, and disclose the registration number. Failure to register and disclose the number will make the bid unresponsive and it will be rejected, unless contrary to federal law.

8. The undersigned certifies that all subcontractors who will perform construction work as described in ORS

701.005(2) are registered with the Construction Contractors Board in accordance with ORS 701.035 to

701.055 at the time the subcontractor(s) made a bid to work under the contract.

9. The successful Bidder hereby certifies that, in compliance with the Worker's Compensation Law of the

State of Oregon, its Worker's Compensation Insurance provider is ______________________________, Policy No. , and that Contractor shall submit Certificates of Insurance as required.

10. Contractor’s Key Individuals for this project (supply information as applicable):

Project Executive:__________________________, Cell Phone: ____________________, Project Manager: __________________________, Cell Phone: ____________________, Job Superintendent: ________________________, Cell Phone: ____________________, Project Engineer: __________________________, Cell Phone: ____________________.

11. The Undersigned certifies that it has not discriminated against minority, women, or emerging small businesses in obtaining any subcontracts for this project.

By signature below, Contractor agrees to be bound by this Bid.

Name of Firm: ___________________________________________________

Address: ________________________________________________________

Telephone Number: _______________________________________________

Email: __________________________________________________________

Minority (MBE), Women (WBE), Service-Disabled Veteran (SDV), and Emerging Small Business (ESB): Certified by the State of Oregon (provide certification number as applicable):

MBE WBE SDV ESB

Self-identified (check as applicable):

MBE WBE SDV ESB

Signature: 1) ________________________________________________ Sole Individual

2)_________________________________________________ Partner

3)_________________________________________________ Authorized Officer or Employee of Corporation

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