3. Exhibit B. 25-4958CP-RMMA_ITB Compnay Bid Sheet Submission.docx

COMPANY BID SHEET SUBMITTAL

Bidder Information

Company Name: ________________________________________ EIN: __________________

Active Unique Entity Identification (UEI) Number: __________________________________________

Company Name as filed with the Secretary of State, if corporate entity: _____________________________________ (Colorado Secretary of State Website, for reference purposes, is http://www.sos.state.co.us/ )

Phone Number: _________________________

Company Address: ________________________ ________________________________________

Authorized Signature: ______________________________________________________________

Printed Name and Title:___ __________________________________________________________

E-mail Address: _________________________________________________________________

Date: _______________

Pre-Bid Conference Information Indicate the name of the individual who attended the pre-bid conference:

Email Address:__________________________________________

Base Bid

Bidding $ _____________ Total amount not to exceed for all labor, equipment and materials required for the goods and/or services as specified herein.

Authorized Representative Refer to page 5 of the sample contract.

Indicate the name of the Authorized Representative who will be assigned to this project:

Phone Number: _________________________ Email Address:__________________________________________

Performance Period

All on-site project work shall be completed before October 1, 2025. If work is not completed within these dates, Contractor shall provide temporary heat at no cost to the County; provided that this provision does not limit any remedy available to the County under the Contract Documents..

Key Notices Refer to pages 16-17 of the sample contract.

Indicate the name and title of the individual who will receive Key Notices__________________________________

Company E-mail Address_______________________________________________________________________

Mailing Address_______________________________________________________________________________

Telephone Number_____________________________________________________________________________

Authorized Signatory for Contract

Name and Title of Authorized Signatory: ________________________________________________________

The County accepts the signatures on contracts from the following individuals:

A. Corporation (For-Profit or Non-Profit) – President or Vice President

B. Limited Liability Company (LLC) - Manager or Member*

C. General Partnership, Limited Partnership (LP), Limited Liability Partnership (LLP), Limited Liability Limited Partnership (LLLP) - General Partner*

*Note: If the organization falls into categories B or C, you are required to provide a copy of the front page, signature page and the section of the Operating Agreement, or Partnership Agreement that defines who in the organization has contract signature authority.

Basis of Award

Any subsequent award will be made to the responsive and responsible bidder that offers the Best Value to the County based upon, but not limited to, any combination of the Base Bid amount and Bid Alternate, the proposed Performance Period, and information contained in the Qualifications Questionnaire.

Price and Payment Refer to page 8-9 of the sample contract.

Insurance & Other Questions The successful Contractor shall be required to furnish the County with certificates of insurance for the insurance types and limits as detailed on the attached insurance exhibit prior to performing any activity on this project. Jefferson County, Colorado shall be the Certificate Holder and shall be named as Additional Insured. All subcontractors must meet the same insurance requirements unless a deviation has been approved.

Indicate your ability to comply with the following requirements:

a. Your firm agrees to meet all insurance requirements. If no, provide details on Exceptions sheet.

Yes No

b. The County shall be added as an Additional Insured to all liability policies:

Yes No

c. Your property and liability insurance company is licensed to do business in Colorado:

Yes No

d. Indicate the name of your property and liability insurance company here:

Name: ________________________________________________________

e. Your property and liability insurance company has an AM Best rating of not less than A- and/or VII:

Yes No

Are you or your firm currently debarred or have any exclusions from receiving federal funds according to the System for Award Management (SAM) at https://sam.gov/search/?index=_all&page=1&pageSize=25&sort=modifiedDate&sfm%5Bstatus%5D%5Bis_active%5D=true&sfm%5Bstatus%5D%5Bis_inactive%5D=null

Do you have an Active SAM.gov registration? The award will be contingent upon the vendor having an active registration, a UEI number, and no applicable exclusions on SAM.gov https://sam.gov/search/?index=_all&page=1&pageSize=25&sort=modifiedDate&sfm%5Bstatus%5D%5Bis_active%5D=true&sfm%5Bstatus%5D%5Bis_inactive%5D=null

Yes No

Cooperative Purchasing Jefferson County encourages cooperative purchasing in an effort to assist other agencies to reduce their cost of bidding and to make better use of taxpayer dollars through volume purchasing. Please indicate if you agree to extend the prices and terms of the resulting award to other local government agencies in the event they would have need for your product/services:

Yes No

Payment and Performance Bond If the Contract Price exceeds the sum of Fifty Thousand Dollars ($50,000), prior to commencing work, the Contractor shall furnish, at the Contractor’s expense, a separate performance bond and a labor and materials bond, for an amount not less than 100% of the Contract Price. The bonds shall be issued by a qualified corporate surety licensed to transact business in Colorado. If at any time during performance of the Work the surety on the bonds shall be disqualified from doing business in Colorado, or shall become insolvent or otherwise impaired, the Contractor shall furnish bonds from an alternate surety acceptable to the County. The bonds shall remain in effect until completion of all warranty and guaranty work, and shall be delivered to the County prior to the commencement of the Work. The Contractor shall secure an increase in the bonds in an amount equal to the cost of any additional work authorized pursuant to a duly executed change order or contract amendment.

Submittal Checklist The following documents are to be returned with your bid. Nonresponsive or incomplete submittals may be deemed cause for rejection.

Place a check (√) against each document submitted.

1. Submit the following copies of all information requested herein, including all attachments, unless otherwise indicated:

2. This completed and signed Company Bid Sheet Submission.

3. The completed and signed Qualifications Questionnaire (QQ).

4. Attachments for the following items referenced on the QQ:

#6. References

#9. Details on liquidated damages and/or disputes (if applicable)

#13. List of subcontractors (if applicable).

#14. Resumes

#15. Details on lawsuits (if applicable)

#16. Details on charges filed (if applicable)

5. Authorized Signatory pages, if applicable (Refer to Authorized Signatory Section for details)

6. Exceptions sheet, if applicable.

7. W-9 for firm submitting the bid.

8. Proposed Schedule.

9. Acknowledgement of Receipt of Addenda below, if applicable.

Note: Be advised that the successful firm, if a corporate entity, will be required to provide evidence of current good standing with the Colorado Secretary of State after acceptance of bid.

Exceptions Are there any exceptions taken to any of the terms, conditions, or specifications of these bid documents or contract?

If there are exceptions taken to any of the terms, conditions, or specifications of these bid documents, they must be clearly stated on a separate sheet of paper, attached to this bid sheet, and returned to Jefferson County. (Reference General Information Item 11.)

Acknowledgment of Receipt of Addenda Your acknowledgment of any addendum issued for this Invitation shall be noted by signing below. This will serve as your acknowledgement that these clarifications/revisions have been taken into consideration during the preparation of your bid.

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________