3-Documentd to be Submitted with Bid.pdf

BID BOND

KNOW ALL MEN BY THESE PRESENTS, THAT WE _____________________

(CONTRACTOR)

(hereinafter called the Principal) as Principal, and _________________ a _________________

(BONDING COMPANY)

corporation authorized to transact business in PENNSYLVANIA, and having its principal office at: _____________

(CITY AND STATE)

(hereinafter called the Surety) as Surety, are held and firmly bound unto the (“Obligee”) as Obligee, in the sum of ___________________________________________ Dollars ($___________________), representing 10% of the project bid, lawful money of the United States of America; for payment of which we bind ourselves, and each of our respective heirs, legal representatives, successors and assigns jointly and severally, by these presents.

WITNESS our hands and seals this ____________ day of ________________________, 20________.

WHEREAS, said Principal is herewith submitting to the Obligee a proposal to perform the following:

GOVERNMENT PARKING DECK - SOIL ANCHOR REPAIRS

401 WEST HAMILTON STREET

ALLENTOWN, PA 18102

pursuant to plans, specifications and other contract documents incorporated into said Proposal by reference;

and it is a condition of the Obligee's receipt and consideration of said proposal that the Proposal be accompanied by bid security to be held by the Obligee on terms embodied herein.

THEREFORE, the condition of this obligation is such that if said Principal shall, upon the request of Obligee five (5) days prior to the award of the contract, furnish prior to the award of the contract executed performance and payment bonds dated the date set for the award of the contract in the required forms, and upon Obligee's acceptance of his proposal and award of contract to him, enter into such contract, and furnish insurance certificates and other bonds in all respects as required by said contract documents, within ten (10) business days after notice to him of such award, then this obligation shall be void; but, otherwise, it shall remain in full force, and the Principal and Surety will pay to the Obligee the full amount of this Bid Bond as liquidated damages incurred by the Obligee by reason of the default of the Principal.

IN WITNESS WHEREOF THE Principal and Surety, intending to be legally bound, have executed this bond the day and year aforementioned.

ATTEST: ______________________________

Corporation - Contractor

______________________________ ______________________________ (SEAL)

Witness President

______________________________ ______________________________ (SEAL)

Witness Individual Contractor

______________________________ BY____________________________ (SEAL)

______________________________ ______________________________ (SEAL)

______________________________ ______________________________ (SEAL)

______________________________ ______________________________ (SEAL)

Witnesses Partners

Surety Company

Witness Attorney-in-Fact

CONSENT OF SURETY

KNOW ALL MEN BY THESE PRESENTS, that for and in consideration of the sum of One Dollar ($1.00) and other valuable consideration paid by the Contractor, the receipt of which is hereby acknowledged, _______________________ (Name of Surety), a corporation organized and existing under the laws of the State of _____________ (State of Incorporation), and licensed to do business in the Commonwealth of Pennsylvania, consents and agrees that if the Contract for the GOVERNMENT PARKING DECK - SOIL ANCHOR

REPAIRS located in the City of Allentown, PA is awarded to __________________________ (Name of

Bidder), the undersigned Corporation shall execute the Bond or Bonds required by the Contract Documents and will become Surety in the full amounts set forth in the Contract Documents for the faithful performance of all obligations of the Bidder.

IN WITNESS WHEREOF, said Surety has caused this Consent to be signed and attested by a duly authorized officer and its corporate seal to be affixed hereto this ____ day of_______________, 20____.

BY: ____________________________

NAME: __________________________

Attorney-in-Fact

IMPORTANT - A valid and effective Power of Attorney authorizing the Attorney-in-Fact to execute the Consent of Surety on behalf of the Surety for the full amount of the Bid Price must accompany the Consent of Surety.

BIDDER QUALIFICATION FORM

Name of Bidder: ________________________________________________

Address: _______________________________________________________

Phone Date__________________________________

Date of Incorporation:

State of Incorporation:

Officers and Directors:

Principals, Partners or Shareholders:

Note: Bidder may attach additional sheets as necessary.

1. How many years has your organization been in business as a contractor? __________________________

2. How many years has your organization been engaged in construction work of the type proposed under this

Contract? _____

3. How many years has your organization been in business under your present name? __________________

4. Have you ever failed to complete any work awarded to you? ____________________________________

If so, where and why? __________________________________________________________________

5. Has any officer or partner of your organization ever failed to complete a contract handled in his own name?

6. Have any liens or lawsuits of any kind been filed against any of your contracts? Yes_______ No_______

Give full details. _______________________________________________________________________

7. List surety companies, which have previously bonded the Bidder (give name, address, and amount of bond) ________________________________________________________________________________

List all uncompleted contracts currently held by the Bidder, including those for which a Notice to Proceed has been issued, contracts are executed, or a Notice of Award is pending. State the name of the project, the contract amount, percent complete, the contract start, and completion dates and any claims filed by subcontractors or suppliers. __________________________________________________________________

8. State all equipment owned by you for use in this contract. ______________________________________

9. State the percentage of work normally performed with your own forces and the portions of the work included in the proposed Contract that will be performed with your own forces.

10. The Bidder shall state below, or on attached sheets, at least three (3) projects the Bidder has completed which are similar to this Project. The information provided by the Bidder shall include the name of the Project, description of the Project, and dollar value of work completed. This information will be considered by the

Owner to judge the Bidder’s experience, skill and business standing. _________________________________

11. Provide the name, address and phone number for references for the three (3) Projects listed above.

Additional references or other information to evaluate the bidder’s qualification may be requested by the

Owner or its representatives.

Name and Address Telephone Number

13. Provide the following:

a. Bonding Company:

b. Bonding Agent: Phone Number:

c. Insurance Company:

d. Insurance Agency: Phone Number:

e. Bank (including name and contact):

f. Credit References (major material supplier):

14. Provide a copy of a recent financial statement as prepared by your auditor.

SUBCONTRACTORS IDENTIFICATION FORM

Bidders on projects concerning the construction, alteration or repair of any public improvement projects shall provide the name or names of all subcontractors to whom the bidder will subcontract the furnishing of plumbing and gas fitting, steam and hot water heating and ventilating apparatus, electrical work, structural steel and ornamental iron work, or other work each of which subcontractors shall be qualified in accordance with these specifications. Subcontractors must be PennDOT prequalified as contractors as specified in Section 102.01 of Publication 408, latest edition.

Nature of Work to be Completed by Subcontractor

1) _____________:

2) _____________:

3) ______________:

4) ______________:

5) Specify Other Work:

The Owner requires evidence of performance security to be submitted simultaneously with the list of the subcontractors. Evidence of performance security may be supplied by the bidder on behalf of himself and any or all subcontractors, or by each respective subcontractor, or by any combination thereof, which results in evidence of performance security equaling, but in no event exceeding, the total amount bid.

Whenever a bid sets forth more than one subcontractor for any of the specialty trade categories specified hereinabove in this section, the bidder shall submit to the Owner this certificate signed by the bidder listing each subcontractor named in the bid for that category. The certificate shall set forth the scope of work agreed to be awarded to each subcontractor should the bidder be awarded the contract. The certificate shall be submitted to the Owner simultaneously with the list of the subcontractors. The certificate may take the form of a single certificate listing all subcontractors or, alternatively, a separate certificate may be submitted for each subcontractor. If a bidder does not submit a certificate or certificates to the Owner as part of the Bid Proposal, the bid shall be disqualified as non-conforming.

Signature of Bidder’s Authorized Representative: ______________________________________

Title: _________________________________

Date: __________________________________

INSTRUCTIONS FOR NON-COLLUSION AFFIDAVIT

1. This Non-collusion Affidavit is material to any contract awarded pursuant to this bid. According to the Pennsylvania Antibid-Rigging Act, 73 P.S., §1611 et seq., Governmental agencies may require

Non-collusion Affidavits to be submitted together with bids.

2. This Non-collusion Affidavit must be executed by the member, officer, or employee of the bidder who makes the final decision on prices and the amount quoted in the bid.

3. Bid rigging and other efforts to restrain competition and the making of false sworn statements in connection with the submission of bids are unlawful and may be subject to criminal prosecution.

The person who signs the Affidavit should examine it carefully before signing and assure himself or herself that each statement is true and accurate, making diligent inquiry, as necessary, of all other persons employed by or associated with the bidder with responsibilities for the preparations, approval or submission of the bid.

4. In the case of a bid submitted by a joint venture, each party to the venture must be identified in the bid documents, and an Affidavit must be submitted separately on behalf of each party.

5. The term “complementary bid" as used in the Affidavit has the meaning commonly associated with that term in the bidding process and includes the knowing submission of bids higher than the bid of another firm, any intentionally high or noncompetitive bid, and any other form of bid submitted for the purpose of giving a false appearance of competition.

6. Failure to file an Affidavit in compliance with these instructions will result in disqualification of the bid.

NON-COLLUSION AFFIDAVIT

State of ____________________________________

County of __________________________________

I state that I am ________________________ of ___________________________________

(Title) (Name of Firm) and that I am authorized to make this affidavit on behalf of my firm, and its directors, and officers. I am the person responsible in my firm for the price(s) and the amount of this bid.

I state that:

(1) The price(s) and amount(s) of this bid have been arrived at independently and without consultation, communication or agreement with any other contractor, bidder or potential bidder.

(2) Neither the price(s) nor the amount(s) of this bid, and neither the approximate price(s) nor approximate amount(s) of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder, and they will not be disclosed before bid opening.

(3) No attempt has been made or will be made to induce any firm or person to refrain from bidding on this contract, or to submit a bid higher than this bid, or to submit any intentionally high or noncompetitive bid or other form of complementary bid.

(4) The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary of other noncompetitive bid.

(5) ___________________________________________________, its affiliates, subsidiaries, (Name of Firm) officers, directors and employees are not currently under investigation by any governmental agency and have not in the last four years been convicted or found liable for any act prohibited by State or federal law in any jurisdiction, involving conspiracy or collusion with respect to bidding on any contract, except as follows:

I state that _________________________________________ understands and acknowledges that the above

(Name of Firm) representations are material and important and will be relied on by the Owner in awarding the contract(s) for which this bid is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from the Owner of the true facts relating to the submission of bids for this contract.

SWORN TO AND SUBSCRIBED

BEFORE ME THIS _______ DAY OF ____________________, 20_____

Signature

Notary Public Title

My Commission expires ____________________________

BIDDER CORPORATE RESOLUTION

(EVIDENCE OF AUTHORITY TO BIND BIDDER WHERE BIDDER IS A

CORPORATION OR PARTNERSHIP)

RESOLVED, that the following named Officers or Partners:

Be and hereby are authorized and empowered to sign and submit to the _________________________ the attached Bid and other Bid Submission Documents and further that said Officers or Partners are authorized to execute the Contract and any other agreement or bond or statement necessary to fulfill the obligations required by the Contract Documents incurred by the acceptance of the Allentown

Parking Authority of the Bid.

I hereby certify that the above constitutes a true copy of a Resolution or Partnership Agreement passed and approved by the Board of Directors or Partners at a meeting held on the _________ day of _____________, 20___.

Signature of Bidder’s Authorized Representative: _______________________________________

Title: ________________________________________________________

Date: ________________________________________________________

Attested By:

Title: __________________________

Date: __________________________

(ACKNOWLEDGMENT OF CORPORATION)

STATE OF ___________________)

) SS:

COUNTY OF _________________ )

I certify that on day of , 20___, _______________________ acknowledged under oath, to my satisfaction, that:

a) This person is the secretary of

, the corporation described in the foregoing documents;

b) This person is the attesting witness to the signing of said documents by the proper corporate officer who is the President of the Corporation;

c) The documents were signed and delivered by the Corporation as its voluntary act duly authorized by a proper corporation resolution;

d) This person knows the proper seal of the corporation which was affixed to said documents; and

e) This person signed this proof to attest to the truth of these facts.

Signed and sworn to before me on , 20__

Notary Public

(ACKNOWLEDGMENT OF PARTNERSHIP)

STATE OF )

) SS:

COUNTY OF )

I certify that on this day of ,20__ , before me personally came and appeared to me known and known to be one of the members of the Partnership of described in and who executed the foregoing instrument, and he acknowledged to me that he executed the same as and for the act and deed of said firm. Signed and sworn to before me on , 20__

Signed and sworn to before me on , 20__

Notary Public

INSURANCE CERTIFICATES

Project: _______________________________________________________________________________

Contract No.: __________________________________________________________________________

Name of Bidder: ________________________________________________________________________

Address: ______________________________________________________________________________

The Bidder is required to attach hereto certificate(s) of Insurance establishing insurance coverage of the type and amount required by the Contract Documents and of the Supplementary Specifications.

The insurance certificate(s) must be submitted with the Bid Form in accordance with the procedure set forth by the Contract Documents.

STATEMENT OF OWNERSHIP

Prior to performing the Work or furnishing any materials or supplies and prior to the receipt of the Bid

Proposal or accompanying the Bid Proposal of said corporation or partnership, there is submitted a

Statement setting forth the name and addresses of all stockholders in the corporation or partnership who own ten (10%) percent or more of its stock of any class, or of all individual partners in the partnership who own a ten (10%) percent or greater interest therein.

If additional space is necessary, attach a separate sheet. If there are no partners with ten (10%) percent or more interest in your company enter "None" below.

Full Corporate Name or Partnership Name of Bidder:

Shareholders or Partners or Corporations with 10% interest or greater:

1. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

2. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

3. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

4. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

5. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

6. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

7. Name______________________________________________ Percentage _____%

Address____________________________________________________

City __________________ State ____ Zip _________

8. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

9. Name______________________________________________ Percentage _____%

Address________________________________________________________

City __________________ State ____ Zip _________

10. Name______________________________________________ Percentage _____%

Address_________________________________________________________________

City __________________ State ____ Zip _________

Signature of Bidder’s Authorized Representative:

Title: ________________________________

Date: ________________________________

EQUIPMENT CERTIFICATION

INSTRUCTIONS FOR COMPLETING THE EQUIPMENT CERTIFICATION

If the Bidder owns, leases or controls all the necessary equipment required to complete the Project, the Bidder shall complete Part 1.

If the Bidder does not own, lease or control all of the equipment necessary to complete the Project, the Bidder shall complete Part 2.

PART 1

"This is to certify that I, the Bidder, signing and submitting the attached Bid Proposal and other Contract

Documents, own, lease or control all of the necessary equipment required to complete the Work shown and described in the Contract Documents, Drawings and Specifications."

Signature of Bidder’s Authorized Representative:

Title:

Date:

PART 2

"This is to certify that I, the undersigned, own or control the equipment required to complete the Project noted below and definitely grant or will grant the Bidder the control of said equipment during such time as may be required for that portion of the Work described in the Contract Documents, Drawings and

Specifications for which said equipment is necessary."

By: ___________________________________

DATE Name: _________________________________

Title: __________________________________

Company Name: _________________________

Company Address: _______________________

LIST OF EQUIPMENT

(Attach additional sheets if necessary)

VERIFICATION OF CONTRACTOR ELIGIBILITY

CONTRACTOR CERTIFICATION

I hereby certify that I/we am/are not currently under suspension or debarment by the Commonwealth of

Pennsylvania, any other state, or the federal government.

In the event I/we am/are found ineligible after an award of Contract, said Contract shall be terminated and the matter will be referred to the Department of Labor for its action.

If I/we enter into subcontracts or employ under this Contract any subcontractors or individuals who are currently suspended or debarred by the Commonwealth or federal government or who become suspended or debarred by the

Commonwealth or federal government during the term of this Contract or any extension or renewals thereof, the

Owner and/or the Commonwealth shall have the right to require the termination of such subcontracts or employment at no cost to the Owner or the Commonwealth.

The Contractor agrees to reimburse the Commonwealth and/or the Owner for the reasonable costs of investigation incurred by the Office of the Inspector General for investigations of the Contractor's compliance with the terms of this Contract or any other Contract between the Contractor and the Commonwealth which result in the suspension or debarment of the Contractor. Such costs shall include, but not be limited to, salaries of investigators, including overtime; travel and lodging expenses; and expert witness and documentary fees. The Contractor shall not be responsible for investigative costs for investigations, which do not result in the Contractor's suspension or debarment.

CONTRACTOR SIGNATURE NAME OF FIRM DATE

SUBCONTRACTOR SIGNATURE NAME OF FIRM DATE

The contractor may obtain the current list of contractors suspended or debarred by the Commonwealth of

Pennsylvania by contacting:

Department of General Services

Office of Chief Counsel

603 North Office Building

Harrisburg, PA 17125

Telephone No. (717) 783-6472

FAX No. (717) 787-9138

The contractor may determine whether contractors have been debarred or suspended by the federal government by contacting the County’s community development office where the Work is to be performed.

If any contractor cannot so certify, the contractor must submit along with the Bid Proposal a written explanation of why such certification cannot be made.

If the Commonwealth or federal government at any time within the last ten (10) years has debarred any contractor, the contractor must submit along with the bid/proposal a written history containing a full and complete description of events underlying any debarments.

COMMONWEALTH OF PENNSYLVANIA

PUBLIC WORKS EMPLOYMENT VERIFICATION

FORM

Date

Business or Organization Name (Employer)

Address _____________________________________________________________________________

City _______________________________, State______________________ Zip Code _______________

Contractor Subcontractor ( s e l e c t o n e )

Contracting Public Body

Contract/Project No

Project Description

Project Location

As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of the above date, our company is in compliance with the Public Works Employment Verification Act (‘the

Act’) through utilization of the federal E‐Verify Program (EVP) operated by the United States

Department of Homeland Security. To the best of my/our knowledge, all employees hired post January 1, 2013 are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.

I, _, authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

Authorized Representative

Signature