25-LPS-CC-01 Bid Form.docx

LAKEVIEW PUBLIC SCHOOLS REQUEST FOR BID

CHROMEBOOK COMPUTERS

ST. CLAIR SHORES, MICHIGAN W&H PROJECT No: 25-LPS-CC-01

FAMILIAL RELATIONSHIP

DISCLOSURE STATEMENT

Important: This disclosure statement must be included with your bid as required by state law (Public Act 232 of 2004).

The undersigned, the owner or authorized officer of ________________________ (the “Contractor”), pursuant to the familial disclosure requirement provided in the Lakeview Public Schools (the “School District”) Request For Bid hereby represents and warrants that, except as provided below, no familial relationships exist between the owner or any employee of the Contractor, and any member of the Board of Education of the School District or the Superintendent of the School District. A list of the School District’s Board of Education Members and its Superintendent may be found at http://www.lakeviewpublicschools.org.

List any Familial Relationships:

By:

(Signature)

Title:

(Type or Print)

Date:

Subscribed and Sworn to Before Me:

This day of

Michigan. My commission expires

Signature of Notary

IRAN ECONOMIC SANCTIONS ACT

DISCLOSURE STATEMENT

Important: This disclosure statement must be included with your bid as required by state law (Public Act 517 of 2012).

As required by Iran Economic Sanctions Act, Public Act 517 of 2012 (the “Act”), all bids shall be accompanied by a sworn and notarized statement certifying that the Contractor is not an “Iran linked business” within the meaning of the Act and that in the event Contractor is awarded a contract as a result of the aforementioned RFB, the Contractor will not become an “Iran linked business” at any time during the course of performing any services under the contract.

The Act defines an Iran Linked Business as an individual or any entity, including all successors, parent companies, subsidiaries and companies under common control, engaged in investment activities of $20,000,000.00 or more with the energy sector of Iran, including providing of products used to construct or maintain oil or liquefied natural gas pipelines.

The Contractor further acknowledges that any person who is found to have submitted a false certification is responsible for a civil penalty of not more than $250,000.00 or 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the School District’s investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on a Request for Bid for three (3) years from the date it is determined that the person has submitted the false certification.

By:

(Signature)

Title:

(Type or Print)

Date:

Subscribed and Sworn to Before Me:

This day of

Michigan. My commission expires

Signature of Notary

AFFIDAVIT OF COMPLIANCE – CRIMINAL BACKGROUND CHECKS

The undersigned, the owner or authorized officer of the below-named contractor (the “Contractor”), pursuant to the criminal background compliance certification requirements of Lakeview Public Schools (the “School District”) hereby represents and warrants that the Contractor has performed and/or will perform sufficient criminal background checks, including at a minimum, an Internet Criminal History Tool (“ICHAT”) check, for all of its owners, employees, agents, representatives, contractors and/or other personnel who will be on any School District premises to carry out the services contemplated by the Contract Documents. The Contractor further hereby certifies that no owner, employee, agent, representative, contractor and/or other personnel of the Contractor will be on any School District premises if they are a registered criminal sexual offender under the Sex Offenders Registration Act, Public Act 295 of 1994, or have been convicted of “Listed Offense” as defined under Section 722 of the Sex Offenders Registration Act, MCL 28.722.

The Contractor further acknowledges that if it is found to have submitted a false certification or otherwise fails to comply with the requirements of this certification, the School District may immediately terminate the Contract.

CONTRACTOR NAME:

By:

, Its:

Name

Position

Date:

STATE OF

)ss.

COUNTY OF

This instrument was acknowledged before me on the day of

, Notary Public

County, My commission Expires:

Acting in the County of:

BID FORMS

DATE:

CONTRACTOR'S NAME:

CONTRACTOR'S ADDRESS:

GENERAL:

Pursuant to and in compliance with the instructions in the Contract Documents, as defined in W&H Project No. 25-LPS-CC-01 in the Request for Bid, the undersigned proposes and agrees to furnish equipment, materials, and labor and perform all work necessary to complete the Chromebook Computers contract for Lakeview Public Schools (the “Owner”) in accordance with the plans and specifications prepared by Wright & Hunter, Inc. (the “Technology Designer”) and agrees to accept payment as herein provided.

BASE BID

Lump sum bid for all Chromebook Computers as specified in the RFB for Base Bid

Note: The amount shall be shown in both words and figures. In case of a discrepancy, the amount shown in words shall govern.

BONDS

The undersigned affirms that the cost of a Labor and Material Payment Bond and a Performance Bond are included in the base bid amount above.

Note: The amount shall be shown in both words and figures. In case of a discrepancy, the amount shown in words shall govern.

VOLUNTARY ALTERNATES

The following Voluntary Alternates are offered by the Contractor. The Contractor shall provide a complete description of each Voluntary Alternate and indicate the amount to be added to or deducted from the Base Bid should the Owner accept the Voluntary Alternate. Attach additional pages if required to explain each Voluntary Alternate.

Voluntary Alternate 1 (VA-1):

Voluntary Alternate 2 (VA-2):

Voluntary Alternate 3 (VA-3):

BASE BID BREAKDOWN

The Contractor shall provide the following breakdown of the base bid. Failure to list this information shall be cause for the bid to be considered unresponsive.

Bonds

COMPLIANCE

Failure to include in the Contractor's proposal all information requested in this RFB may be cause for rejection of the proposal. When responding to this RFB, please clearly state whether your firm complies with each section.

Yes or No?

Comments or Exceptions

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UNIT PRICES

The Contractor proposes unit prices in accordance with the following schedule. Said unit prices shall include charges for labor, material, equipment, testing, insurance, taxes, overhead and profit.

List labor as an individual line item. The BOM shall serve as the unit price for any addition or deduction. This bill of materials is mandatory, failure to provide may cause bid to be non-compliant.

Said unit prices shall be applicable to the pricing of additions to, or deletion from the scope of work indicated in the specifications. Unit prices may also be used to adjust a bid up or down for any additional or missing item(s) to ensure all Contractors are being evaluated on a comparable level.

TAXES

The Contractor shall include in his/her proposal and shall pay all applicable Federal, State and local taxes of whatever character and description. Lakeview Public Schools is a tax exempt entity.

ADDENDA

Addendum No.

Dated

Addendum No.

Dated

Addendum No.

Dated

Addendum No.

Dated

WITHDRAWAL OF BIDS

The undersigned agrees that his/her proposal shall not be withdrawn for a period of ninety (90) days after the date set for receipt of proposal.

COMMENTS:

SIGNATURE

Signed and sealed this day of

, 2025.

(Individual, Partnership, Corporation)

(Authorized Signature of Contractor)

(Business Address)

(Telephone Number)

INSTRUCTIONS: Submit one (1) original and two (2) printed hard copies Submit one (1) electronic soft copy