6982AF19B000020_.pdf

INVITATION FOR BID

SOLICITATION NUMBER: 6982AF19B000020

SOLICITATION TYPE: FULL AND OPEN COMPETITION (UNRESTRICTED)

PROJECT NUMBER: HI ERFO FTNP HAVO 10(4)

PROJECT NAME: CRATER RIM DRIVE SEISMIC SPOT REPAIRS

BID OPENING DATE:

See Page A-1, Item 13A

This solicitation cites Standard Specifications for Construction of Roads and Bridges on

Federal Highway Projects, FP-14 US Customary Units

ISSUING OFFICE:

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 360

LAKEWOOD, CO 80228

Web site: http://www.fbo.gov E-mail: CFLContracts@dot.gov

PROJECT CRATER RIM DRIVE SEISMIC SPOT

REPAIRS

LOCATION HAWAI’I VOLCANOES NATIONAL PARK

COUNTY HAWAI’I

STATE HAWAI’I

LENGTH SCHEDULE A: 0.54 MILES

OPTION X: VARIES

OPTION Y: 0.15 MILES

OPTION Z: TRAFFIC DETECTION

SYSTEM

TYPE OF IMPROVEMENT ROAD, TRAIL REPAIRS, AND

SAFETY IMPROVMENTS

TABLE OF CONTENTS

Notice to Bidders ............................................................................................................. A-i

Solicitation, Offer, and Award ........................................................................................ A-1

Basis for Award and Bid Schedule ................................................................................ A-5

Solicitation Provisions .....................................................................................................B-7

Contract Clauses ..............................................................................................................C-1

Construction Wage Rate Requirement............................................................................ D-1

Division 100 ..................................................................................................................... E-1 Division 150 ................................................................................................................... E-28 Division 200 ................................................................................................................... E-43 Division 300 ................................................................................................................... E-49 Division 400 ................................................................................................................... E-50 Division 500 ................................................................................................................... E-52 Division 600 ................................................................................................................. ..E-59 Division 700 ................................................................................................................. ..E-89

APPENDICES

Appendix A ............ Hawaii Volcanoes National Park Technical Rope Use Protocols 2017

Appendix B .................................................. Small Business Subcontracting Plan Template

Appendix C ...............................................................................HAVO Invasive Pest SOP’s

Appendix D ................................................................ HAVO Green Waste Disposal SOP’s

SPECIAL CONTRACT REQUIREMENTS (SCRs)

The following Special Contract Requirements amend and supplement the Standard Specification for Construction of Roads and Bridges on Federal Highway Projects

NOTICE TO BIDDERS

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PROJECT OVERVIEW

This project is located in Hawaii Volcanoes National Park, Hawaii County, Hawaii. The general scope of improvements is construction of approximately 12 sites damaged in a 2018 period of increased volcanic activity and frequent earthquakes. The general scope of improvements is construction of approximately 15 miles of a new multi-use trail described as follows:

• Approximately 12 Seismic Damage spot repairs.

• 1 single span pedestrian bridge approximately 26-30 feet long by 5 feet wide.

• Approximately 3,600 feet of Guardrail removal and replacement

• Approximately 1 location of rock scaling on Chain of Craters Road

• Removal of the existing park traffic counter and installation of a new traffic counter and induction loops at the Park Entrance Station.

• Repair of 1 historic stone masonry guardwall on Crater Rim Drive.

The proposed construction work includes repair of seismic damage through installation of compacted riprap fill and special rock embankment to plug voids. Following repair of the void subgrade the project will include linear grading, aggregate base, asphalt concrete pavement, and pavement markings to restore the roadway to pre earthquake conditions.

I. PRE-BID INFORMATION

ELECTRONIC BIDS WILL NOT BE ACCEPTED. Submit a printed copy of your bid to the address listed on the SF-1442 (Page A-1, Item 8). Submit the following documents with your Bid Package–

• SF-1442, Solicitation, Offer & Award, Pages A-1 and A-2

• Bid Schedule including Buy American Act & Hazardous Materials, pages A-6 through A-15 and pages A-21 and A-22.

• Bid Guarantee (see FAR Clause 52.228-1), Pages B-1 and B-2. Bid bonds must be originals with original signatures and corporate seals. Photocopies and Faxed copies are NOT acceptable and will make your bid non-responsive.

• Completed the VETS-4212 declaration, Page A-iii; Bidders’ Information, Pages B-3 through B-6.

• Annual Representations and Certifications (FAR Provision 52.204-8) and Certification Regarding Responsibility Matters (FAR Provision 52.209-5).

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HUBZone small business concerns electing to waive the evaluation preference, complete 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns, Section C.

Completed an applicable Authority to Bind certificate, pages A-16 through A-20 Bidders should retain all other pages for their information. Bids should be submitted in a sealed envelope and include the Contractor’s Name, Solicitation Number and the Project Number/Name.

It is the responsibility of the bidder to verify that this solicitation document, including the plans, are complete as listed in the table of contents and the index to sheets. Plan sheets can be found at http://www.fbo.gov and viewed by individual sections, downloaded by individual sections, or the entire plan set downloaded in a zip file. Physical data relevant to this solicitation may also be viewed or downloaded at the above site.

This solicitation and subsequent contract are governed by the Federal Acquisition Regulations (FAR), agency supplemental regulations, and the Standard Specifications for Construction of Roads and Bridges on Federal Highway Projects, FP-14.

The FP-14 was utilized for the design of this project. Paper copies of the FP-14 will not be provided to bidders or the awarded Prime Contractor. The FP-14 is available electronically at https://flh.fhwa.dot.gov/resources/specs/ and a copy is uploaded with this solicitation. A single paper copy can be obtained from the Research & Technology Distribution Center (RTPDC) by email report.center@dot.gov .

Applicable FAR provisions and clauses in this IFB are incorporated by reference or full text. FAR provisions and clauses incorporated by reference can be accessed on the Internet at http://farsite.hill.af.mil/vffara.htm.

Notice of SAM Registration – you must be registered in the System for Award Management (SAM) prior to submission of a bid in response to this solicitation. Failure to register prior to submission of a bid may require award to the next successful registered offeror. See FAR Subpart

4.1102. Register online at www.sam.gov.

Representations and Certifications – This solicitation is issued under NAICS 237310 – Highway, Street & Bridge Construction with a small business size standard of $39.5 million. If your average annual gross receipts for the past 3 years are above $39.5 million, you are a large business for this solicitation. If they are below $39.5 million you are a small business. Please complete the certification listed in paragraph (b) of FAR Provision 52.204-8 Annual Representation and Certifications. The System for Award Management (SAM) is the Official U.S. Government system that consolidated the capabilities of CCR/FedReg, ORCA, and EPLS. Please include NAICS 237310 in SAM. Before submitting bids, please ensure you have completed your annual representations and certifications electronically at the SAM website at www.sam.gov.

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Vets-4212 Reporting: - The Contractor must complete the report if required. See reporting requirements at: www.dol.gov/vets/programs/fcp/main.htm.

My firm had a qualifying Federal Contract in 2019 and has complied with the reporting requirements.

My firm did not have a qualifying Federal Contract in 2019 and is therefore exempt from the reporting requirements

This Solicitation Contains a Price Evaluation Factor - The Government will apply a factor of 10% to an apparent low bid submitted by a large business when we also receive a bid from a certified HUBZone small business concern (SBC). The 10% factor does not apply to apparent low bids submitted by small businesses. See FAR Clause 52.219-4 Notice of price evaluation preference for HUBZone small business concerns.

In the event this full and open competition results in a contract award to a qualified HUBZone SBC after a price evaluation preference, FAR Clause 52.236-1, Performance of Work by the Contractor does not apply.

A qualified HUBZone SBC receiving a contract under this solicitation for general construction must:

(i) At least 15 percent of the cost of contract performance to be incurred for personnel will be spent on the prime contractor’s employees;

Bid Guarantee – Follow the requirements of FAR Clause 52.228-1 Bid Guarantee and Subpart

102.03 of the FP-14. Bid bonds must be originals and have original signatures and corporate seals.

Photocopied and faxed copies of bonds will be rejected and cause your bid to be non-responsive.

ATTENTION: Minority, Women-owned, and Disadvantaged Business Enterprises (DBEs). The Department of Transportation (DOT), offers working capital financing and bonding assistance for transportation related contracts. DOT's Bonding Assistance Program (BAP) offers bid, performance and payment bonds on contracts up to $1,000,000. DOT's Short-Term Lending Program (STLP) offers lines of credit to finance accounts receivable. Maximum line of credit is $500,000 with interest at the prime rate. For further information, call (800) 532-1169. Internet address:

http://osdbuweb.dot.gov.

Accuracy and Completeness of Bid- The Contractor is fully responsible to verify that all data is correct when an offer is submitted. Failure to properly update your data may cause the offer to be rejected.

Request for Technical Information – Questions relative to the plans and SCRs for this solicitation will only be accepted in writing (see Item 9 on Page A-3).

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TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE

ACCEPTED AFTER 4 P.M. ON OCTOBER 30, 2019.

Questions can be submitted to CFLContracts@dot.gov. Questions and answers will be posted at http://www.fbo.gov

Modifications to Bids - Bids may be modified or withdrawn by regular mail, electronic commerce (email) or facsimile, if such notice is received prior to the time specified for receipt of bids. The Government will not be responsible for ANY failure attributable to the transmission or receipt of electronic commerce (email) or facsimile data.

For all modifications, we STRONGLY ENCOURAGE you to resubmit the entire bid schedule with a unit price and amount for every bid item, and a Schedule Total. See FAR Provision 52.214-5, Submission of Bids. Modifications which make the bid ambiguous, indefinite, or uncertain as to any essential requirement of the contract will cause the bid to be rejected as nonresponsive.

FAX Number to submit modifications to bids for this project is (720) 963-3360

Email Address to submit modifications to bids for this project is cflcontracts@dot.gov

NOTICE: NON-MANDATORY PRE-BID SITE VISIT

This pre-bid meeting notice is being given to solicit contractor interest and to orient contractors with the project site prior to the bid opening. Representatives from the Federal Highway Administration (FHWA) will conduct a meeting and site visit on Tuesday, October 22, 2019 from 8:00 a.m. to approximately 5:00 p.m.

Interested parties will meet at the Hawaii Volcanoes National Park Visitor's Center Parking Lot at 8:00 a.m.

Each Bidder will provide their own transportation to review the project sites.

Notice: Consolidate staff to one vehicle per bidder.

The agenda, sign-in sheet, any questions answered and other information from the pre-bid meeting will be posted to www.fbo.gov shortly after.

If you would like to attend the pre-bid meeting, please email CFLContracts@dot.gov by Friday, October 18, 2019.

ATTENDANCE AT THE PROJECT PRE-BID MEETING IS NOT MANDATORY TO

BID THE PROJECT.

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II. POST AWARD INFORMATION

CFLHD will no longer be providing paper copies of the conformed contract to the Awarded Prime Contractor.

Subcontracting - FAR Clause 52.219-8, Utilization of Small Business Concerns states that Prime Contractors afford small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns the maximum practicable opportunity to participate in performing contracts let by any Federal agency.

FAR Clause 52.219-9, Small Business Subcontracting Plan, Alternate I, requires that the large business concern who is the successful low bidder on a Federal project with an anticipated award amount exceeding $1.5 million, is required to submit a subcontracting plan prior to contract award.

The subcontracting plan expresses goals in terms of percentages of total planned subcontracting dollars for the use of small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business, and women-owned small business concerns as subcontractors. If the apparent successful low bidder fails to submit an acceptable subcontracting plan acceptable to the CO within 7 days of bid opening, that bidder may be ineligible for award of the contract.

Prime Contractors, who are large businesses, are encouraged to post sources sought notices at the Small Business Administration’s Subcontracting Network (SUB-NET) http://web.sba.gov/subnet/ so that small businesses can identify opportunities in their areas of expertise. The use of SUB-Net fulfills the requirements set forth in Federal Acquisition Regulation (FAR) 5.206, Notice of Subcontracting Opportunities, for contractors and subcontractors to post notices and thereby increase competition for subcontracts.

A list of currently known business concerns owned and controlled by socially and economically disadvantaged individuals and/or women-owned small business concerns that have indicated an interest in participating in highway construction is available at http://www.sam.gov.

See Appendix B for Sample Small Business Subcontracting Plan.

NOTE:

Consider the following FHWA small business goals in development of Subcontracting plans and efforts:

FHWA Small Business Subcontracting Goals (As of FY 2019) Business Size Goal (%)

SB 48.5%

SDB 5.0%

HUBZone 3.0%

WOSB 5.0%

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SDVOSB 3.0%

Insurance requirements - See Subsection 107.05 of the FP-14.

EEBACS - Contractors shall use the Government’s web-based system, Engineer’s Estimating, Bidding, Award, and Construction System (EEBACS), to prepare all “Inspector’s Daily Record of Construction Operations” (Contractors Daily Reports) and measurement notes (pay notes).

The Contractor shall be required to attend a training session on the use of EEBACS. The training session will require up to 4 hours. No more than 3 Contractor staff may attend the training unless approved by the CO. The Contractor shall be responsible for training additional staff.

The Contractor shall be required to submit a user account form to gain access to the EEBACS system. See Subsection 108.01.

A user guide, “EEBACS for Construction Contractors”, is available. An electronic version can be found at http://flh.fhwa.dot.gov/resources/pse/estimate/guide.htm

Hawaii requires a General Excise and Use Tax (GET) license. Contractors are responsible to understand the tax laws associated with Hawaii GET.

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

6982AF19B000020

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

10/16/19

PAGE OF

PAGES

IMPORTANT - THE "OFFER SECTION ON THE REVERSE MUST BE FULLY COMPLETED BY OFFEROR.

4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.

HFLCEO190290PR

6. PROJECT NO.

HI ERFO FTNP HAVO 10(4)

7. ISSUED BY:

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS DIVISION

12300 WEST DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CODE: 69050001 8. ADDRESS OFFER TO:

Sheri Walsh, Contract Specialist Federal Highway Administration Central Federal Lands Division Office 12300 W. Dakota Avenue Lakewood, CO 80228

9. FOR INFORMATION CALL

SEE PAGE A-3

A. NAME:

SEE PAGE A-3

B. TELEPHONE NO. (Include area code)

SEE PAGE A-3

SOLICITATION

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS:

ROADWAY CONSTRUCTION PROJECT IN STRICT ACCORDANCE WITH:

1. FEDERAL ACQUISITION AND TRANSPORATION ACQUISITION REGULATIONS (FAR & TAR)

2. DEPARTMENT OF LABOR, CONSTRUCTION WAGE RATE REQUIREMENT RATES

3. SPECIAL CONTRACT REQUIREMENTS

4. PLANS

5. BID SCHEDULE

6. STANDARD SPECIFICATIONS FOR CONSTRUCTION OF ROADS AND BRIDGES ON FEDERAL HIGHWAY

PROJECTS, FP-14, U.S. CUSTOMARY UNITS

7. SUBCONTRACTING PLAN (IF APPLICABLE)

See Subsection 104.04 of the FP-14 for governing order of precedence

11. The Contractor shall begin performance within 10 calendar days and complete it within * calendar days after receiving award notice to proceed. The performance period is mandatory negotiable. *Refer to Subsection 108.01 as amended in the Special Contract Requirements.

12A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES," indicate within how many calendar days after award in Item 12B.) YES NO

12B. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and 0 copies to perform the work required are due at the place specified in Item 8. by 2:00 p.m. (hour) local time on 11/15/19 (date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is is not required.

C. All offers are subject to the (1) work requirements and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than 60 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

NSN 7540-01-155-3212 1442-102 STANDARD FORM 1442 (REV. 4-85)

Prescribed by GSA

FAR (48 CFR) 53-236-1(e)

X

X

X

X

X

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GPO: 1985 0 - 469-796 STANDARD FORM 1442 PAGE 2 (REV. 4-85)

OFFEROR (Must be fully completed by offeror)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NO. (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14)

DUNS NO.

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing with calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in Item 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.)

AMOUNTS SEE INDIVIDUAL BID SCHEDULE(S)

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation - give number and date of each)

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED

TO SIGN OFFER (Type or print)

20B. SIGNATURE 20C. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 27

(4 copies unless otherwise specified)

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

□ 15 U.S.C. 637( ) □ 41 U.S.C. 253(c)( )

26. ADMINISTERED BY CODE: 27. PAYMENT WILL BE MADE BY

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return copies to issuing office.)

Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by

(a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.

No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON

AUTHORIZED TO SIGN (Type or print)

31A. NAME OF CONTRACTING OFFICER (Type or print)

SHERI T. WALSH

30B. SIGNATURE 30C. DATE 31B. UNITED STATES OF AMERICA

BY

31C. AWARD

DATE

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Item 8: LOCATION OF PUBLIC BID OPENING: Offers must be received by designated date and time as stated in Item 13A.

Item 9: FOR GENERAL INFORMATION: E-mail us at CFLContracts@dot.gov.

FOR TECHNICAL INFORMATION (plans and specifications): Questions must be submitted in writing by e-mail at CFLContracts@dot.gov .

Item 11: COMPLETION DATE: Work shall be completed on or before the date specified in Subsection 108.01 of the SCRs.

Item 12A: PERFORMANCE AND PAYMENT BONDS: See FAR Clause 52.228-15 Performance and Payment Bonds-Construction (Clauses begin on Page C-1) and Subsection 102.06 of the FP-14.

Item 13B: BID BOND AMOUNT: See FAR Provision 52.228-1 Bid Guarantee (Provisions begin on Page B-1) and Subsection 102.03 Bid Guarantee of the FP-

14. All bid guarantees must have original signatures with original corporate seals.

Item 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO

ACKNOWLEDGE AMENDMENTS, IN ITEM 19 OF THE SF-1442, BY THE

DESIGNATED DATE AND HOUR SPECIFIED IN THE SOLICITATION MAY

RESULT IN REJECTION OF YOUR BID. If amendments are issued, they will be posted to www.fbo.gov.

Item 24: SUBMITTING INVOICES: See Subsection 109.08 Progress Payments of the

FP-14.

ESTIMATED

PRICE: The price range of the project work is between $3 million and $5 million.

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Bid Schedule Instructions

BIDDERS, PLEASE NOTE: This Bid Proposal is comprised of one schedule and three options.

Before preparing the bid, carefully read the Solicitation Provisions and the following:

• Insert a numeric unit bid price for each pay item for which a quantity appears in the bid schedule. Unit bid prices should be quoted no more precisely than the nearest cent (2 decimal places). Unit bid prices quoted more precisely will be rounded up to the nearest cent by the Government

• Multiply the unit price by the quantity for each pay item and show the amount bid.

When the words “Lump Sum” appear as a unit bid price, insert an amount for each lump sum pay item.

• Total all amounts bid for each pay item and show the Construction Cost Total on the space provided on the last page of each schedule or option.

• Also show the Construction Cost Total for each schedule/option as well as the combined Total of each Schedule and the Options in the spaces provided on the Bid Summary page.

A+B Bidding

• When completing the bid schedules, provide the number of calendar days necessary to complete all contract work from the Notice to Proceed until the day of final construction completion, both dates included. The total number of calendar days bid will become the basis for determining the fixed contract completion date (see Subsection 108.01). It is against this date that liquidated damages would be assessed according to Subsection 108.04. The number of calendar days bid must fall within these ranges:

Minimum Calendar Days Maximum Calendar Days Schedule A 120 180 Option X 0 (Concurrent) 0 (Concurrent) Option Y 0 (Concurrent) 0 (Concurrent) Option Z 0 (Concurrent) 0 (Concurrent)

• Multiply the number of days bid by the Road User/Administrative Cost of $3,500.00 per day to determine the Road User/Administrative Cost Subtotal (Part B) for each schedule.

• Add the Construction Cost Subtotal (Part A) to the Road User/Administrative Cost Subtotal (Part B) to determine each schedule’s Project Total (Part A+B). See bid schedule.

NOTE: If the amount bid for a pay item is inconsistent with the product of the unit price provided by the bidder and the quantity provided by the Government, the unit price will govern and the Government will determine a corrected amount bid for the pay item by multiplying the unit price by the quantity.

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Basis for Award

To be eligible for award of contract, the offeror shall submit prices for each item in Bid Schedule A, Option X, Option Y, and Option Z. Accordingly, award of contract, if made, will be made to the lowest responsive, responsible bidder, if funds are available.

Per FAR provision 52.217-5, Evaluation of Options (JULY 1990), the Government will evaluate offers for award purposes by adding the total price for all options to the total price for Schedule A (Part A+B).

Evaluation of options will not obligate the Government to exercise the option(s). If the determination is made to exercise any of the Options, the Contracting Officer will provide the contractor with written notice no later than 60 days after contract award, per FAR clause 52.217-7, Option for Increased Quantity- Separately Priced Line Item (MAR 1989).

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Bidder/Offeror please note: Before preparing the bid, carefully read the Solicitation Provisions. Insert a unit bid price, in figures, for each pay item for which a quantity appears in the bid schedule. Multiply the unit price by the quantity for each pay item and show the amount bid. Should any mathematical check made by the Government show a mistake in the amount bid, the corrected unit price extension shall govern. When the word "LPSM" (Lump Sum) appears as a unit bid price, insert an amount for each lump sum pay item. When a sum based on a fixed rate appears for any pay item in the amount bid column, include the Government inserted amount bid for the item in the total bid amount. Total all of the amounts bid for each pay item and show the total bid amount.

Bid Schedule

Project No:HI FTNP HAVO 10(4)

Project Name:Crater Rim Dr Seismic Spot Repairs

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Contract Quantity Pay Items

20801-0000 STRUCTURE EXCAVATION

20803-0000 STRUCTURAL BACKFILL

55201-0100 STRUCTURAL CONCRETE, CLASS A

55401-2000 REINFORCING STEEL, EPOXY COATED

55502-0000 STRUCTURAL STEEL, FURNISHED, FABRICATED, AND ERECTED

55601-0900 BRIDGE RAILING, STEEL (PEDESTRIAN)

55601-0900 BRIDGE RAILING, STEEL (PEDESTRIAN APPROACHES)

56401-1000 BEARING DEVICE, ELASTOMERIC

58405-1000 FIBERGLASS REINFORCED PLASTIC, GRATING (1-1/2" DEEP PANELS)

Item No. Pay Item No. Description Quantity Unit Unit Price Amount

A0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

A0040 15201-0000 CONSTRUCTION SURVEY AND STAKING

ALL LPSM $___LPSM_____ $____________

A0060 15214-1000 SURVEY AND STAKING, BRIDGE

ALL LPSM $___LPSM_____ $____________

A0080 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

A0100 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

A0120 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

A0140 15701-0000 SOIL EROSION CONTROL

ALL LPSM $___LPSM_____ $____________

A0160 15701-0000 SOIL EROSION CONTROL (SEDIMENT CONTROL)

ALL LPSM $___LPSM_____ $____________

A0180 15701-0000 SOIL EROSION CONTROL (NON-STORMWATER CONTROL)

ALL LPSM $___LPSM_____ $____________

A0200 15720-0000 STORM WATER POLLUTION PREVENTION PLAN

ALL LPSM $___LPSM_____ $____________

Bid Schedule Schedule:A Schedule Type:Base

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A0220 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

A0240 20202-0000 SELECTIVE CLEARING

690 SQYD $____________ $____________

A0260 20302-0150 REMOVAL OF BRIDGE RAILING

80 LNFT $____________ $____________

A0280 20303-1600 REMOVAL OF PAVEMENT, ASPHALT

610 SQYD $____________ $____________

A0300 20410-0000 SELECT BORROW

360 CUYD $____________ $____________

A0320 20801-0000 STRUCTURE EXCAVATION

20 CUYD $____________ $____________

A0340 20803-0000 STRUCTURAL BACKFILL

16 CUYD $____________ $____________

A0360 25105-0100 KEYED RIPRAP, METHOD A, CLASS 1

837 CUYD $____________ $____________

A0380 25201-0000 SPECIAL ROCK EMBANKMENT

335 CUYD $____________ $____________

A0400 30202-2000 ROADWAY AGGREGATE, METHOD 2

5 TON $____________ $____________

A0420 30303-1000 ROADBED RECONDITIONING

24 SQYD $____________ $____________

A0440 30402-1000 FULL DEPTH RECLAMATION, METHOD 1

5,250 SQYD $____________ $____________

A0460 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1

940 TON $____________ $____________

A0480 41801-1000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 1

572 SQYD $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

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A0500 55201-0100 STRUCTURAL CONCRETE, CLASS A

8 CUYD $____________ $____________

A0520 55401-2000 REINFORCING STEEL, EPOXY COATED

700 LB $____________ $____________

A0540 55502-0000 STRUCTURAL STEEL, FURNISHED, FABRICATED, AND ERECTED

2,400 LB $____________ $____________

A0560 55601-0900 BRIDGE RAILING, STEEL (PEDESTRIAN)

48 LNFT $____________ $____________

A0580 55601-0900 BRIDGE RAILING, STEEL (PEDESTRIAN APPROACHES)

20 LNFT $____________ $____________

A0600 56401-1000 BEARING DEVICE, ELASTOMERIC

4 EACH $____________ $____________

A0620 58405-1000 FIBERGLASS REINFORCED PLASTIC, GRATING (1-1/2" DEEP PANELS)

123 SQFT $____________ $____________

A0640 61708-1000 REMOVE AND RESET, GUARDRAIL

25 LNFT $____________ $____________

A0660 61901-3400 FENCE, COMBINATION WIRE

90 LNFT $____________ $____________

A0680 61921-1000 REMOVE AND RESET FENCE

100 LNFT $____________ $____________

A0700 62201-0200 DUMP TRUCK, 8 CUBIC YARD MINIMUM CAPACITY

40 HOUR $____________ $____________

A0720 62201-0350 BACKHOE

40 HOUR $____________ $____________

A0740 62201-0900 WHEEL LOADER, 2 CUBIC YARD MINIMUM RATED CAPACITY

20 HOUR $____________ $____________

A0760 62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

20 HOUR $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

A - 10

A0780 62201-3000 HYDRAULIC EXCAVATOR

10 HOUR $____________ $____________

A0800 62301-0000 GENERAL LABOR

212 HOUR $____________ $____________

A0820 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

10 HOUR $____________ $____________

A0840 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

10 HOUR $____________ $____________

A0860 63401-1500 PAVEMENT MARKINGS, TYPE H, SOLID

720 LNFT $____________ $____________

A0880 63406-0000 RAISED PAVEMENT MARKER

6 EACH $____________ $____________

A0900 63501-0000 TEMPORARY TRAFFIC CONTROL

ALL LPSM $___LPSM_____ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:A Schedule Type:Base

A - 11

Item No. Pay Item No. Description Quantity Unit Unit Price Amount

X0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

X0040 15701-0000 SOIL EROSION CONTROL (NON-STORMWATER CONTROL)

ALL LPSM $___LPSM_____ $____________

X0060 15701-0000 SOIL EROSION CONTROL (SEDIMENT CONTROL)

ALL LPSM $___LPSM_____ $____________

X0080 15701-0000 SOIL EROSION CONTROL

ALL LPSM $___LPSM_____ $____________

X0100 15720-0000 STORM WATER POLLUTION PREVENTION PLAN

ALL LPSM $___LPSM_____ $____________

X0120 20302-1200 REMOVAL OF GUARDRAIL

3,725 LNFT $____________ $____________

X0140 20303-1600 REMOVAL OF PAVEMENT, ASPHALT

40 SQYD $____________ $____________

X0160 20410-0000 SELECT BORROW

1 CUYD $____________ $____________

X0180 25105-0100 KEYED RIPRAP, METHOD A, CLASS 1

10 CUYD $____________ $____________

X0200 41401-3000 CRACKS, CLEANING AND FILLING

120 LNFT $____________ $____________

X0220 41801-1000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 1

1 SQYD $____________ $____________

X0240 50202-0000 SEALING JOINTS AND CRACKS

120 LNFT $____________ $____________

X0260 61501-0100 SIDEWALK, CONCRETE

35 SQYD $____________ $____________

X0280 61701-4550 GUARDRAIL SYSTEM MGS, TYPE 2, CLASS A WOOD POSTS

3,575.0 LNFT $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

A - 12

X0300 61702-1500 TERMINAL SECTION, TYPE MGS TANGENT

4 EACH $____________ $____________

X0320 61702-1700 TERMINAL SECTION, TYPE MGS-BAT

6 EACH $____________ $____________

X0340 62001-0000 STONE MASONRY

50 CUYD $____________ $____________

X0360 62030-0000 REPOINT STONE MASONRY

500 LNFT $____________ $____________

X0380 62302-0100 SPECIAL LABOR, SLOPE SCALING

40 HOUR $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:X Schedule Type:Options

A - 13

Y0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

Y0040 15701-0000 SOIL EROSION CONTROL (NON-STORMWATER CONTROL)

ALL LPSM $___LPSM_____ $____________

Y0060 15701-0000 SOIL EROSION CONTROL (SEDIMENT CONTROL)

ALL LPSM $___LPSM_____ $____________

Y0080 15701-0000 SOIL EROSION CONTROL

ALL LPSM $___LPSM_____ $____________

Y0100 15720-0000 STORM WATER POLLUTION PREVENTION PLAN

ALL LPSM $___LPSM_____ $____________

Y0120 20202-0000 SELECTIVE CLEARING

20 SQYD $____________ $____________

Y0140 20410-0000 SELECT BORROW

40 CUYD $____________ $____________

Y0160 25105-0100 KEYED RIPRAP, METHOD A, CLASS 1

50 CUYD $____________ $____________

Y0180 30402-1000 FULL DEPTH RECLAMATION, METHOD 1

1,640 SQYD $____________ $____________

Y0200 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1

350 TON $____________ $____________

Y0220 61901-3400 FENCE, COMBINATION WIRE

265 LNFT $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:Y Schedule Type:Options

A - 14

Z1160 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

Z1161 63602-6000 SYSTEM INSTALLATION, TRAFFIC DETECTOR SYSTEM

1 EACH $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:Z Schedule Type:Options

B i

Part B

Number of Calendar Days*(Min 120 - Max

180)

Road User/Administrative Cost Amount Bid (No. of Caledar Days x $3,500.00)

$3,500.00

*The number of calendar days includes the day the Notice to Proceed is issued, the day of acceptance, all weekends, holidays, periods of inclement weather, and all other days during which work may or may not be performed. No additional calendar days will be included for

Options awarded under this Contract.

Total for Schedule A (A+B) (A-10)

Submitted By:

Bid Total

Schedule Z - Options (A - 14)

Bid Total

Schedule Y - Options (A - 13)

Bid Total

Schedule X - Options (A - 12)

Total - Schedule A+ Option X+Option Y+Option Z

Sum of Bid Totals

Part B Total - Sched. A Only Sum Road User/Administrative Costs

Part A Total - Sch A+X+Y+Z

Bid Total

Bid Schedule Summary

Schedule A, Option X, Option Y, Option Z

Schedule A

Part A

Schedule A - Base (A - 10)

Bid Total

A - 15

INSTRUCTIONS: When the offeror/principal is a corporation, include this certification with your offer/bid.

certification with your offer/bid.

Corporate Certificate

I, (name), certify that I am the

(title), of the corporation named as the

Offeror/Principal herein;

that (name), who signed this offer and/or bid bond on behalf of (company name) is

(title) of this corporation;

that the offer was duly signed for and on behalf of said corporation by authority and scope of its governing body, and within the scope of its corporate powers.

(signature) Affix Corporate Seal

(title)

A-16

INSTRUCTIONS: When the offeror/principal is a limited liability corporation, include this certification with your offer/bid.

certification with your offer/bid.

Limited Liability Certificate

I, (name), certify that I am the

(title), of the limited liability company named as the Offeror/Principal herein;

that (name), who signed this offer and/or bid bond on behalf of (company name) is

(title) of this company;

that the offer was duly signed for and on behalf of said company by authority and scope of its governing body, and within the scope of its powers.

(signature) Affix Company Seal (as applicable)

(title)

A-17

INSTRUCTIONS: When the offeror/principal is a partnership, include this certification with your offer/bid.

Authority to Bind Partnership

This certifies that the names and signatures of all partners are listed below, and that the person signing the proposal has the authority to actually bind the partnership pursuant to its partnership agreement. Each of the partners individually has full authority to enter into and execute contractual instruments on behalf of said partnership, except as follows:

(State “None” or describe limitations, if any)

This authority shall remain in full force and effect until such time as the revocation of authority by any cause whatsoever has been furnished in writing to and acknowledge by the Contracting

Officer.

(Include names and signatures of all partners)

A-18

INSTRUCTIONS: When the offeror/principal is a joint venture, include this certification

Authority to Bind Joint Venture

This certifies that the person signing the proposal has the authority to actually bind the joint venture pursuant to its joint venture agreement, and that each of the named persons listed below individually has full authority to enter into and execute contractual instruments on behalf of said joint venture, except as follows:

(State “None” or describe limitations, if any)

This authority shall remain in full force and effect until such time as the revocation of authority by any cause whatsoever has been furnished in writing to and acknowledge by the Contracting

Officer.

(Include names and signatures of all applicable individuals)

A-19

INSTRUCTIONS: When the offeror/principal is a sole proprietorship, include this certification with your offer/bid.

Sole Proprietorship Requirement

An Offeror/Principal that is a sole proprietorship must submit an offer/bid and a bond signed by the sole proprietor, or by one duly authorized to sign for the sole proprietor. If the signature is by someone other than the sole proprietor, a copy of the power of attorney authorizing the individual to sign must be provided with the offer/bid.

A-20

BUY AMERICAN ACT- CONSTRUCTION MATERIALS

It is understood and agreed that the materials and components listed in Subparts 25.1 and 25.2 of the FAR are a part of this contract and are deemed to be Domestic Construction Material for the purposes of this contract.

NOTE TO CONTRACTOR:

The following information and any applicable supporting data is required for evaluation of requests under FAR Clause 52.225-9 Paragraph (c) & (d) and FAR Provision 52.225-10 Paragraph (b).

Material and/or Component

Construction Material Description Unit of Measure Quantity *Cost Delivered to Job Site

Foreign Construction Material

Comparable Domestic Material

Material and/or Component

Construction Material Description Unit of Measure Quantity *Cost Delivered to Job Site

Foreign Construction Material

Comparable Domestic Material

[* Include all delivery costs to the construction site and any applicable duty (whether or not a duty-free entry certificate is issued).] [Please include name, address, telephone number and contact for suppliers surveyed. Attach copy of response; if oral, attach summary. Include all applicable supporting information.]

A-21

HAZARDOUS MATERIALS

As required by FAR Clause 52.223-3, Hazardous Materials Identification and Safety Data - Alternate I, the apparent low bidder must submit prior to award a Material Safety Data Sheet (MSDS) for all hazardous materials that the bidder identifies in paragraph (b) of the FAR clause and defined under the latest version of Federal Standard No. 313.

Hazardous Material Identification Number

USE OF RECOVERED MATERIALS ON FEDERAL LANDS HIGHWAY PROJECTS

Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (RCRA) of 1976, as amended (42 U.S.C. 6901 et seq.), requires Federal, State, and local procuring agencies using appropriated Federal funds to purchase items composed of the highest percentage of recovered materials practical. Use of recovered materials is strongly encouraged on Federal Lands Highway Projects. Highway construction items covered by the Environmental Protection Agency’s Comprehensive Guidelines for Procurement of Products Containing Recovered Materials include fly ash, ground granulated blast furnace slag, traffic barricades, traffic cones, hydraulic mulch and compost for mulch.

Use of fly ash and ground granulated blast furnace slag and construction materials containing fly ash and ground granulated blast furnace slag on Federal Lands Highway Projects:

It is the policy of the United States Government that fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag shall have maximum practicable opportunity for incorporation into its construction projects.

The Contractor agrees to investigate the use of fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag to the fullest extent consistent with the efficient performance of this contract. Both the contractor and the subcontractors are urged to seek out suppliers of fly ash and ground granulated blast furnace slag, cement and concrete containing fly ash and ground granulated blast furnace slag and to solicit bids for these materials.

Names of firms that supply fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag are available from the American Coal Ash Association and the National Slag Association.

A-22

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (REV. 8/2016)

Previous edition is NOT usable Prescribed by GSA - FAR (48 CFR) 53.228(a)

BID BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must not be later than bid opening date) OMB Control Number: 9000-0045

Expiration Date: 8/31/2022

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F

Street, NW, Washington, DC 20405.

SURETY(IES) (Name and business address)

PENAL SUM OF BOND BID IDENTIFICATION

PERCENT

OF BID

PRICE

AMOUNT NOT TO EXCEED BID DATE

INVITATION NUMBER: 6982AF19B000020

MILLION(S) THOUSAND(S) HUNDRED(S) CENTS

FOR (Construction, Supplies or Services)

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

PRINCIPAL

SIGNATURE(S)

1.

(Seal)

2.

(Seal)

3.

(Seal) Corporate

Seal

NAME(S) &

TITLE(S)

(Typed)

1. 2. 3.

INDIVIDUALSURETY(IES)

SIGNATURE(S)

1.

(Seal) 2.

(Seal)

NAME(S)

(Typed)

1. 2.

CORPORATE SURETY(IES)

S U

R E

T Y

A

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL PARTNERSHIP JOINT VENTURE

CORPORATION OTHER (Specify)

STATE OF INCORPORATION

B-1

STANDARD FORM 24 (REV. 8/2016) BACK

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

S U

R E

T Y

B

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

C

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

D

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

E

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T

F

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T

G

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

B-2

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

BIDDER'S INFORMATION

INSTRUCTIONS: Answer all questions on this form inserting "none" or "not applicable" where appropriate. If more space is required attach additional sheets. Return the signed, dated and completed form with the bid to the address shown in the invitation for bids on or before the time set for bid opening. The prospective bidder shall provide any additional information requested by the Government during evaluation of the bids.

If the prospective bidder is a joint venture or general partnership, a separate Bidder's Qualifications form shall be provided individually for each joint venture participant or partner.

1. Name and address of business:

Name DUNS Number (See FAR Provision 52.204-6)*

Street Home Office Congressional District (Insert District #) *

City State Zip Code

* Necessary for Government reporting purposes only

To obtain a Dun & Street number, call

County 800-333-0505.

Telephone Number (Include Area Code)

Fax Number (Include Area Code) E-mail address

2. a. Type of organization (check appropriate box):

If a Foreign entity:

Individual…