5. Base Bid-25-15499R-FM.docx

BID SHEET

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: _________________________ Fax 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 Please provide 3 separate bids with the groupings stated below.

Please note:

Group #1 contains units 9B,10B,11B,12B Group #2 contains units 5B,6B,7B,8B Group #3 contains units 1B,2B,3B,4B

Group #1 (Units 9B,10B,11B,12B) Bidding $ _________________ Total amount not to exceed for all labor, equipment and materials required for the goods and/or services as specified herein.

Group #1 & 2 (Units 9B,10B,11B,12B,5B,6B,7B,8B) Bidding $ _________________ Total amount not to exceed for all labor, equipment and materials required for the goods and/or services as specified herein.

Group #1, 2 & 3 (Units 9B,10B,11B,12B,5B,6B,7B,8B,1B,2B,3B,4B) Bidding $ _________________ Total amount not to exceed for all labor, equipment and materials required for the goods and/or services as specified herein.

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

Phone Number: _________________________ Email Address:__________________________________________

Performance Period

Contractor shall complete the Work within _____ (___) calendar days after receipt of the Notice to Proceed (the "Start Date"). The Performance Period shall include all time from the Start Date to Substantial Completion, including any equipment lead time and installation time.

Key Notices 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 The County will award to the lowest, responsive and responsible bidder. The County reserves the right to award per tier to the lowest, most responsive and responsible bidder.

Price and Payment The County shall pay the Vendor the agreed upon price within thirty (30) days of receipt of invoice, or acceptance of goods, whichever is later.

Define any prompt payment discount terms: _________________________________________

Payment Method The County shall pay the Contractor the agreed upon price within thirty (30) days of satisfactory completion and approval of the Work by the County Representative. If the Work exceeds thirty (30) days, the Contractor may submit applications for payment monthly based upon work completed and approved by the County. The County shall make payment to the Contractor within thirty (30) days of receipt and approval of monthly invoices.

Payment If your firm accepts credit cards, Jefferson County reserves the right to obtain the specified goods or services with this form of payment.

What forms of credit cards does your company accept? (check all that apply)

MasterCard Visa American Express Other _____________________

If there is an additional charge/fee to pay with a credit card, please indicate it here: _________________________

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

Provide a response to the following:

Has your firm filed for bankruptcy or corporate protection under applicable federal or state laws in the last seven (7) years?

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

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

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:

ONE (1) electronic copy submitted on the Rocky Mountain E-Purchasing System at www.RockyMountainBidSystem.com

2. This completed and signed Bid Sheet.

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

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

#6. References (3 total required)

#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. 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?

Yes No

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: ______________________________

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________ Bid Title: Parfet Building RTU Replacement 2025 Bid Number: 25-15499R-FM