2A26-020B Fresh Produce for BOE Dining Services.pdf.crdownload

CITY OF

BRISTOL

INVITATION TO

BID

Please quote us your prices on the commodities or services listed below. All prices must be FOB Destination. You must show Unit Price, Amount and Total or bid may be rejected.

http://www.bristolct.gov/bids

Since the City of Bristol is exempt from the payment of Federal Excise Taxes and the Connecticut Sales Tax, do not include such taxes.

The City reserves the right to reject in whole or in part any or all bids submitted.

The attached standard terms and conditions shall become a part of any resultant contract award.

Vendor Name

Address

City

State ____

Zip

Telephone

THIS IS NOT AN ORDER. Fill in and return to the address below.

ISSUED BY:

City of Bristol, Connecticut

(Return Bid attention of)

Nancy P. Haynes

BID NUMBER

2A26-020B

ADDRESS

111 North Main Street

DATE ISSUED

November 4, 2025

Purchasing Department Bristol, CT 06010

DATE BID REQUIRED

November 24, 2025 11:00 am

SHIPPING ADDRESS (address for shipment of purchased materials)

Various locations

TELEPHONE NUMBER

(860) 584-6195

DATE MATERIAL REQUIRED

To be Completed by bidder

ITEM

NO.

DESCRIPTION UNIT QUANTITY

Unit Price

Amount

To be

QUOTE NO:

DATE SUBMITTED DELIVERY AS REQ’D. (Unless noted here) completed

SIGNED TITLE TELEPHONE NO. & EXTENSION CASH DISCOUNT PAYMENT TERMS

_______%______days, net 30 days by bidder

VENDOR FEIN/SSN ARE YOU INCORPORATED

YES [ ] NO [ ]

PURCHASE ORDER ADDRESS (If different from bidder’s address above

Annual agreement for provision of Fresh Produce for the Bristol Board of Education Dining Services, to be provided on an as needed basis for the period December 1, 2025 through June 30, 2026 (i.e. school year 2025-2026), per the requirements set forth in Attachment A and as specified below, with option to renew for an additional school year period, through 6/30/27 ,with mutual consent.

1. Fresh vegetables total per bid pricing sheet Attachment A $__________

2. Fresh fruit total per bid pricing sheet in Attachment A $__________

3. Eggs, total from bid pricing sheet in Attachment A $__________

Total All Items

The referenced quantities are based on historical consumption data for the Bristol Board of Education, closures of facilities for http://www.bristolct.gov/bids

CITY OF

BRISTOL

INVITATION TO

BID

Please quote us your prices on the commodities or services listed below. All prices must be FOB Destination. You must show Unit Price, Amount and Total or bid may be rejected.

http://www.bristolct.gov/bids

Since the City of Bristol is exempt from the payment of Federal Excise Taxes and the Connecticut Sales Tax, do not include such taxes.

The City reserves the right to reject in whole or in part any or all bids submitted.

The attached standard terms and conditions shall become a part of any resultant contract award.

Vendor Name

Address

City

State ____

Zip

Telephone

THIS IS NOT AN ORDER. Fill in and return to the address below.

ISSUED BY:

City of Bristol, Connecticut

(Return Bid attention of)

Nancy P. Haynes

BID NUMBER

2A26-020B

ADDRESS

111 North Main Street

DATE ISSUED

November 4, 2025

Purchasing Department Bristol, CT 06010

DATE BID REQUIRED

November 24, 2025 11:00 am

SHIPPING ADDRESS (address for shipment of purchased materials)

Various locations

TELEPHONE NUMBER

DATE MATERIAL REQUIRED

To be Completed by bidder

ITEM

NO.

DESCRIPTION UNIT QUANTITY

Unit Price

Amount

To be

QUOTE NO:

DATE SUBMITTED DELIVERY AS REQ’D. (Unless noted here) completed

SIGNED TITLE TELEPHONE NO. & EXTENSION CASH DISCOUNT PAYMENT TERMS

_______%______days, net 30 days by bidder

VENDOR FEIN/SSN ARE YOU INCORPORATED

YES [ ] NO [ ]

PURCHASE ORDER ADDRESS (If different from bidder’s address above national emergencies notwithstanding. Quantities listed above are estimated only; the City of Bristol does not commit to specific volumes.

Purchases will be made on an as-needed basis during the course of the school year, as necessary, to fulfill its operational requirements.

Please Note:

Proposals will be accepted via digital format by email or Purchasing@bristolct.gov , or delivered to the address noted above. Responses received after the required due date and time will not be considered for award.

mailto:Purchasing@bristolct.gov

RETURN THIS FORM IMMEDIATELY!

Note: Acknowledgments are requested!

purchasing@bristolct.gov

City of Bristol, Connecticut

Acknowledgment: Receipt of Bid Documents

Bid Number: 2A26-020B Title: FRESH PRODUCE FOR BOE DINING SERVICES

Please take a moment to acknowledge receipt of the attached bid documents. Your compliance with this request will help us to maintain proper bid follow-up procedures while ensuring that all vendors have the opportunity to bid.

Date Issued: November 4, 2025

Date received by your firm: ____/____/____

Do you plan to submit a bid? Yes_____ No_____

PRINT OR TYPE the following information:

Company name: _______________________________________________

Address: _______________________________________________

City or Town/Zip: _______________________________________________

Phone: _______________________________________________

Fax: _______________________________________________

Email: _______________________________________________

Received by: _______________________________________________ mailto:purchasing@bristolct.gov

City of Bristol CT Invitation to Bid 2A26-020B

Purchasing Dept Attachment A

BRISTOL BOARD OF EDUCATION

City of Bristol, CT

Invitation to Bid 2A26-020B

Attachment A – Specifications, requirements and Pricing

1. All items must be produced in the USA.

2. Pricing shall be as noted. Pricing for items may be updated via the Consumer Price Index (CPI-U for the categories “Fresh fruits and vegetables” and “Eggs”) on a monthly basis, based on the most recent published seasonally adjusted percent monthly change. The index is accessible via the following web link:

https://www.bls.gov/news.release/cpi.t02.htm

3. Bid price shall include all costs incidental to loading, delivering and inside delivery to school facility.

All labor, equipment, tools and accessories are to be furnished by the contractors.

4. Quantities shown in the bid requirements are based on historical and estimated requirements. It is understood and agreed that the contract shall cover actual requirements of the district whether more or less than the quantity shown.

5. Bidders may bid on one or all of the 3 groups. The City reserves the right to award the bid on the basis of item, group or total. Bidders are asked to bid on all items, and those items with estimated quantities will be used to evaluate bids for award.

6. Statements for the preceding month must be rendered in duplicate to the Food Service Director not later the fifth of the current month.

7. Arrangements for delivery will be made with each School Food Service Authority, and delivery will be on a weekly basis. The bidder is expected to use the form provided for submissions of this bid.

The bidder shall bid on all items.

REFERENCES FOR SIMILAR SCHOOLS/INSTITUTIONS

SCHOOL/COMPANY NAME/ADDRESS/PHONE NUMBER REPRESENTATIVE

1. _________________________________ _______________________

2. _________________________________ _______________________

3. _________________________________ _______________________

SCHOOL & DELIVERY INFORMATION

Name: Contact: Phone No Ext Delivery Times

BRISTOL CENTRAL HS Jennifer Pirog (860) 584 7735 611049 6:00am – 12:30pm

480 Wolcott Street

BRISTOL EASTERN HS Jeanette Cudo (860) 584-7876 621193 6:00am – 12:30pm

632 King Street

CHIPPENS HILL MS Ioanna Boniatis (860) 584-4846 6:00am – 12:30pm

532 Peacedale Street

NORTHEAST MS Tiffany Charette (860) 584-7839 521061 6:30am – 12:30pm

532 Stevens Street

GREENE-HILLS SCHOOL Jen Vanlew (860) 584-7822 501222 6:30am – 12:30pm

780 Pine Street

WEST BRISTOL SCHOOL Lisa Selvaggi (860) 584-7815 202134 6:30am – 12:30pm

50 Clark Avenue

Bid 2A26-020B

Fresh Produce for BOE Dining Services

Attachment A Detailed Bid Pricing

BCHS BEHS NEMS CHMS WB GH Est Qty UNIT Unit Price Ext

Broccoli - Florets 4 3lbs per case 8 2 2 2 14 Case $ $

Carrots - baby 20 lbs/case 8 2 2 2 2 16 Case $ $

Carrots - Sticks 50 2oz pkg/case 34 34 Case $ $

Celery - Sticks 4/5 lb case 8 2 2 12 Case $ $

Cucumbers 20 20 Case $ $

Cucumbers 502 498 808 560 732 3100 Each $ $

Lettuce - Iceberg Whole 84 2 22 4 4 116 Case $ $

Lettuce - Romaine 30 36 24 22 32 144 Case $ $

Lettuce - Shredded 20 lbs/case 44 54 10 38 28 32 206 Case $ $

Onions - Red 72 132 204 Lbs $ $

Onions - Spanish 44 44 Lbs $ $

Peppers - Green 8 8 Case $ $

Peppers - Green 226 216 288 180 298 1208 Lbs $ $

Peppers - Red 8 8 Case $ $

Peppers - Red 204 216 308 162 366 1256 Lbs $ $

Salad Mix 4 5 lb 2 8 28 2 40 Lbs $ $

Scallions 12 12 Each $ $

Tomatoes 6 x 6 box 10 4 2 2 2 20 Case $ $

Tomatoes - Grape 18 2 2 8 8 4 42 Case $ $

Broccoli - Bunch Lbs $

Carrots Lb $

Cauliflower by the bunch lb $

Celery - Head lb $

Mushrooms _med #10 lb $

Onions - White lb $

Zucchini lb $

VEGETABLES

Total of all extended prices for fresh vegeatbles, enter in Item # 1 on bid proposal page

Bid 2A26-020B

Fresh Produce for BOE Dining Services

Attachment A Detailed Bid Pricing

BCHS BEHS NEMS CHMS WB GH Est Qty UNIT Unit Price Ext

Apples - Sliced 100/2 oz per case 372 136 82 178 168 166 1102 Case $ $

Apples - Macintosh 24 12 4 6 4 50 Case $ $

Apples - Other 900 Lb $ $

Bananas 122 78 58 6 48 312 Case $ $

Bananas 464 16 650 1130 Bunch $ $

Cantelope 2 2 Case $ $

Grapes Red Seedless 4 4 Case $ $

Oranges 113ct/case 20 6 4 6 6 42 Case $ $

Pears 2 2 Case $ $

Pineapple Golden Ripe 2 2 Case $ $

Strawberries 2 2 Each $ $

Tangeloes 50 4oz 34 34 Case $ $

Waternelon Seedless 600 Each $ $

Nectarines Lb $

Peaches Lb $

BCHS BEHS NEMS CHMS WB GH Est Qty UNIT Unit Price Ext

Eggs 74 40 114 Dozen $ $

Eggs 15 dz/case Case $

FRUIT

Total of all extended prices for fresh fruit, enter in Item # 2 on bid proposal page

EGGS

Total of all extended prices for eggs, enter in Item # 3 on bid proposal page

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PUR-007 STANDARD BID

TERMS AND CONDITIONS

Rev. May 2022

City of Bristol Connecticut Telephone Number:

Purchasing Department 111 North Main Street

Bristol, CT 06010

Standard Bid and Contract Terms and Conditions

All Invitations For Bids issued by the City of Bristol (“City”) will bind Bidders to the terms and conditions listed below, unless specified otherwise in any individual Invitation For Bids.

The contractor agrees to comply with the statutes and regulations as they exist on the date of this contract and as they may be adopted or amended from time to time during the term of this contract and any amendments thereto.

Section I. Submission of Bids

1. Bids must be submitted on forms supplied by the City Purchasing Department. Telephone or facsimile bids will not be accepted in response to an Invitation For Bids.

2. Bidders shall bear any and all costs associated with response to this invitation to bid, including the costs for any presentation and/or demonstrations (if applicable).

3. The time and date bids are to be opened is given in each bid issued. Bids received after the specified time and date of bid opening given in each bid proposal shall not be considered. Each Invitation For Bids will designate acceptable methodology for delivery of a bid proposal, which may permit submission of a bid via digital format (e.g. email); the delivery format identified in the Invitation For Bids shall govern. If mailed or physically delivered bid responses are required, bid envelopes shall clearly indicate the bid number as well as the date and time of the opening of the bid. The name and address of the Bidder shall appear in the upper left hand corner of the envelope.

4. If it becomes necessary to revise any part of this request or if additional data is necessary to enable interpretation of provisions of this document, revisions or addenda will be provided to all prospective firms who receive this document; such revisions or addenda will additionally be posted on the following website:

5. This document may include an acknowledgement page; this page is to be returned to the Purchasing Department as soon as practical, to ensure proper notification of changes to the published documents. The City of Bristol does not assume responsibility for any vendor that does not receive revisions or addenda, where the vendor has not acknowledged receipt of any portion thereof.

6. Incomplete bid forms may result in the rejection of the bid. Amendments to bids received by the City after the time specified for opening of bids, shall not be considered. Bids shall be computer prepared, typewritten or handwritten in ink. All bids shall be signed by a person duly authorized to sign bids on behalf of the bidder.

Unsigned bids shall be rejected. Errors, alterations or corrections on both the original and copy of the proposal schedule to be returned must be initialed by the person signing the bid proposal or their authorized designee. In the event an authorized designee initials the correction, there must be written authorization from the person signing the bid proposal to the person initialing the erasure, alterations, or correction. Failure to do so shall result in rejection of bid for those items erased, altered or corrected and not initialed.

7. Conditional bids are subject to rejection in whole or in part. A conditional bid is defined as one which limits, modifies, expands or supplements any of the terms and conditions and/or specifications of the invitation for bids.

8. Alternate bids will not be considered, unless specifically authorized in the invitation to bid. An alternate bid is defined as one which is submitted in addition to the bidder’s primary response to the invitation for bids.

9. Prices should be extended in decimal, not fraction, to be net, and shall include transportation and delivery charges fully prepaid by the Contractor to the destination specified in the bid (FOB Destination).

Form PUR-007 Standard Bid Terms and Conditions Rev. May 2022

10. Pursuant to Chapter 219 Section 12-412 of the Connecticut General Statutes, municipalities are exempt from the payment of excise, transportation and sales taxes imposed by the Federal Government and/or the State.

Such taxes must not be included in bid prices.

11. By its submission the Bidder represents that the bid is not made in connection with any other Bidder submitting a bid for the same commodity or commodities and is in all respects fair and without collusion or fraud.

12. All bids will be opened and read publicly and upon award are subject to public inspection, subject to the provisions of Section 1-210 of the Connecticut General Statutes (Freedom of Information). Copies of information resulting from any bid opening are generally not available until a contract has been formally awarded.

Section II. Guaranty or Surety

13. The City requires that any awarded contractor providing materials, equipment or services to the City, must provide to the City a certificate of insurance (Acord or other approved format) naming the City of Bristol as additional insured on a primary, non-contributing basis, for the following:

General Liability insurance (including Completed Operations coverage) from all contractors doing business with the City, in the amounts of $1,000,000 (combined single limit) Bodily Injury-Property Damage Coverage per occurrence, and $2,000,000 aggregate coverage;

Where the use of a vehicle is used in the performance of this contract, Automobile Liability insurance in the amount of $1,000,000, with Property Damage and Bodily Injury coverage;

14. Additionally, for any contract for which labor is performed within the State of Connecticut, evidence of workers compensation as defined in the Connecticut General Statutes must be provided.

15. Said insurance shall be provided at the sole expense of the contractor with an insurance company which is licensed to do business in the State of Connecticut. Any subcontractor to a contracted firm shall be likewise covered, and shall furnish certificates of coverage acceptable to the City before starting work.

16. In the event that bid and/or performance bonds are specifically required within the specifications, said bonds must meet the following requirements:

Signing Authority:

Corporation - must be signed by an official of the corporation above their official title and the corporate seal must be affixed over the signature;

Firm or Partnership - must be signed by all the partners and indicate they are “doing business as”;

Individual - must be signed by the owner and indicated as “Owner”.

Surety Requirements

The surety company executing the bond or countersigning must be licensed in Connecticut, and the bond must be signed by an official of the surety company with the corporate seal affixed over their signature.

Signatures of two witnesses for both the principal and the surety must appear on the bond. Power of attorney for the official signing the bond for the surety company must be submitted with the bond.

Section III. Samples

17. Accepted bid samples do not supersede specifications for quality unless sample is superior in quality. All deliveries shall have at least the same quality as the accepted bid sample. Samples are furnished free of charge.

Samples may be held for comparison with deliveries.

Form PUR-007

Section IV. Award Considerations

18. It is the intent of the City of Bristol to make award to the lowest responsive and responsible qualified bidder (reference C.G.S 4a-59. The quality of the articles to be supplied, their conformity with the specifications, their suitability to the requirements of the City, and delivery terms will be taken into consideration in making award.

19. In the event of a discrepancy between the unit price and the extension, the unit price shall govern.

20. Cash discounts may be offered by bidder for prompt payment of invoices. Such discount will not be taken into consideration in determining the low bidder, but will be taken into consideration in awarding tie bids.

21. Any contract resulting from this solicitation shall be governed by the laws of the State of Connecticut.

22. Award will be based on quality of the articles or services to be supplied, their conformance with specifications, delivery terms, price, administrative costs, past performance, and financial responsibility. The Purchasing Department may correct inaccurate awards resulting from clerical or administrative errors.

23. Review of proposals may include assessment of proposer's financial capacity, and status of current and/or past taxes or liens due.

24. The City of Bristol reserves the right to accept or reject any and all bid responses, in whole or in part, to waive technical defects, irregularities and omissions if, in its judgement, the best interests of the City will be served.

Determination of the best interests of the City shall include consideration of active or pending civil litigation between the City and any firm (or its subcontractor or supplier) submitting a bid to the City.

25. The Purchasing Department may reject any bidder in default of any prior contract or guilty of misrepresentation or any bidder with a member of its firm in default or guilty of misrepresentation.

26. In the event that a local business submits a bid to the City that is within 4% of the lowest qualified bidder and is considered to be in compliance with the requirements set forth in the bid, the local business shall be allowed the opportunity to accept the award of the contract at the amount of the lower bid. Such practice shall apply to all City bids for all City departments, with the following exceptions:

1. Contracts exceeding $1,000,000.00.

2. Professional services, awarded on subjective and objective criteria in addition to cost.

3. Contracts using state, federal or other funds that have governing regulations disallowing such practice.

4. Contracts awarded on behalf of the Bristol Water Department as a separate enterprise fund.

Section V. Contract Considerations

27. Award of a contract is not an order to ship; materials may only be shipped upon receipt of a purchase order as issued by the Purchasing Agent.

28. Please note that any contract executed by the City of Bristol or the Board of Education is subject to the appropriation of funds on an annual basis.

29. The Contractor shall not assign or otherwise dispose of their contract or their right, title or interest, or their power to execute such contract to any other person, firm or corporation without the prior written consent of the Purchasing Department.

Form PUR-007

30. Bidders have ten days after notice of award to refuse acceptance of the award; after ten days, the award will be considered binding on the Contractor. If the Contractor refuses to accept the award within the ten day period, the award will be made to the next lowest responsible qualified bidder.

31. Failure of a Contractor to deliver commodities or perform services as specified will constitute authority to purchase said commodities or services on the open market. Contractor agrees to promptly reimburse the City for excess cost of these purchases. The purchases will be deducted from the contracted quantities.

32. The Contractor, in contracting for goods, services, materials, labor and the like with the City of Bristol and its respective officers, agents and servants, does hereby agree to indemnify, defend and save harmless from and against any and all claims, damages, losses, litigation expenses, counsel fees and compensation arising out of any injuries (including death) sustained by, or alleged to have been sustained by, the servants, employees or agents of the City of Bristol and its respective officers, agents and servants, or of the bidder or of any participant or spectator, and from injuries including death) sustained by, or alleged to have been sustained by, the public or any persons on or near the site or on any other person or damage to property, real or personal, including property of the City of Bristol and their respective officers, agents, and servants, caused in whole or in part by the acts or omission of the Bidder or any participant or spectator or anyone directly or indirectly employed or working for the bidder while engaged in the activity in the City of Bristol.

The City, as a sovereign government, cannot indemnify businesses or individuals.

33. Notwithstanding any provision or language in this contract to the contrary, the purchasing agent may terminate this contract whenever he/she determines in his/her sole discretion that such termination is in the best interests of the City. Any such termination shall be effected by delivery to the Contractor of a written notice of termination.

The notice of termination shall be sent by registered mail to the Contractor address furnished to the City for purposes of correspondence or by hand delivery. Upon receipt of such notice, the Contractor shall both immediately discontinue all services affected (unless the notice directs otherwise) and deliver to the City all data, drawings, specifications, reports, estimates, summaries, and such other information and materials as may have been accumulated by the Contractor in performing his duties under this contract, whether completed or in progress. All such documents, information, and materials shall become the property of the City. In the event of such termination, the Contractor shall be entitled to reasonable compensation as determined by the Office of Corporation Counsel for the City of Bristol, however, no compensation for lost profits shall be allowed.

34. The individual signing this submittal hereby declares that no person or persons other than members of his/her own organization are interested in this Project or in the contract proposed to be taken; that it is made without any connection with any other person or persons making a proposal for the same work and is in all respects fair and without collusion or fraud; that no person acting for or employed by the City of Bristol is directly or indirectly interested therein, or in the supplies or works to which it relates or will receive any part of the profit or any commission therefrom in any manner which is unethical or contrary to the best interests of the City of Bristol.

35. The Contractor shall not be liable for losses or delays in the fulfillment of the terms of the contract due to wars, acts of public enemies, strikes, fires, floods, acts of God or any other acts not within the control of or reasonably prevented by the Contractor. The Contractor will give written notice of the cause and probable duration of any such delay.

36. Contractors may not reference sales to the City for advertising and promotional purposes without the prior specific approval of the Purchasing Department.

Section VI. Delivery

37. All products and equipment delivered must be new, and shall include any and all manufacturer warranties, unless otherwise stated in the bid specifications.

Form PUR-007

38. Delivery will be onto the specified City loading docks (or other similar receiving locations) by the Contractor unless otherwise stated in the bid specifications.

39. All prices shall include transportation and delivery charges fully prepaid by the Contractor to the destination specified in the bid (FOB Destination).

Section VII. Payment Terms

40. Payment terms are net 30 days after receipt of goods or properly executed invoice, whichever is later, unless otherwise specified. A contractor may quote payment discount terms which may be considered in making the award. The discount period will be computed from the date delivery is accepted at destination, or from date correct invoice is received by the consignee, whichever is later.

41. Charges against a Contractor shall be deducted from current obligations. In the event that monies are due to the

City, money paid to the City by the Contractor shall be made payable to the Treasurer, City of Bristol.

Section VIII. Rights

42. Any and all data collected by the contractor relative to either the performance of services or delivery of materials shall remain the sole property of the City of Bristol. Such data includes historic usage of materials and services as collected by the contractor, as it relates to Bristol purchasing activity. The City has sole and exclusive right and title to all printed material produced for the City, whether acceptable or unacceptable, and the contractor shall not copyright any printed matter produced under the contract.

43. The Contractor assigns to the City all rights title and interests in and to all causes of action it may have under

Section 4 of the Clayton Act, 15 USC 15, or under Chapter 624 of the general statutes. This assignment occurs when the Contractor is awarded the contract.

44. Contractor agrees that it is in compliance with all applicable federal, state and local laws and regulations, including but not limited to Connecticut General Statutes Sections 4a-60 and 4a-60a, as well as the provisions of Title VI of the Civil Rights Act of 1964 and all amendments thereto. The Contractor also agrees that it will hold the City harmless and indemnify the City from any action which may arise out of any act by contractor concerning lack of compliance with these laws and regulations. All purchases will be in compliance with Section 22a-194 to Section 22a-194g of the Connecticut General Statutes related to product packaging.

45. This contract is subject to provisions of Executive Order No. Three of Governor Thomas J. Meskill promulgated June

16, 1971, the provisions of Executive Order No. Seventeen of Governor Thomas J. Meskill promulgated February 15, 1973 and section 16 of Public Act 91-58 nondiscrimination regarding gender orientation, and the provisions of Executive Order No. Sixteen of Governor John G. Rowland promulgated August 4, 1999 regarding Violence in the Workplace Prevention Policy.

46. The awarded firm will take affirmative action to ensure that all applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, gender, or national origin.

Non-Collusion Statement

PUR-006

February 2024

Non-Collusion Certification

The undersigned certifies under penalty of false statement that this proposal or contract has been made, submitted and executed in good faith and without collusion or fraud with any other person, and without any agreement designed to limit independent bidding or competition. As used in this certification, the word "person" shall mean any natural person, business, partnership, corporation, union, committee, club or other organization, entity or group of individuals.

I further certify that I have not provided or directed to be provided gifts, meals, or gratuities, as defined in Sec. 2-129(b) of the Bristol Code of Ordinances to any official or employee of the City of Bristol responsible for awarding or administering this bid or contract.

Please complete and sign

Legal Name of Bidder: _____________________________________

Business Address: _____________________________________

Name of Authorized Agent _______________ Title: _________________

Phone: _______________ Email: _________________

Signature: __________________________ Date: _________________