8-IFB V3(1) SOA Form.pdf

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Attached to
Base Facility Pavement Repairs
Solicitation number
27-1-26000
Issued by
Madison County, Illinois

About this file

This is a Solicitation and Offer Form for the Madison County Mass Transit District (MCT) in Illinois for Base Facility Pavement Repairs, Bid No. 27-1-26000. The project consists of joint/crack sealing, pavement patching, and partial depth pavement patching at various locations throughout the fixed route bus parking lot for Building #2 at MCT's base facility located at 1 Transit Way, Pontoon Beach, Illinois. This is a locally funded project. Offers submitted shall remain firm for 90 calendar days from the final due date for bids.

The form establishes a 0% Disadvantaged Business Enterprise (DBE) goal for this project. Bidders must complete the solicitation form with their company information, including organization type, annual gross receipts, number of employees, years in business, SAM.gov unique entity ID, and DUNS number. Bidders must acknowledge receipt of any addenda to the solicitation and provide their total bid price using the Bid Price Form with electronic bid tables. The form requires signature by an authorized representative with title and date of submission.

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Text version

SOLICITATION AND OFFER FORM

SOLICITATION

1. Bid Title: 2. Bid No:

3. Firm Offer Period: Offers submitted shall remain firm for a period of calendar days from the final due date for bids.

4. NOTE: “Offer” and “offeror” mean “bid” and “bidder”.

5. MCT has established a % DBE goal for this project.

OFFER

(to be completed by Bidder)

6. Bidder/Contractor Name:

7. Mailing Address: 8. Telephone Number:

9. City - State - Zip 10. Fax Number:

11. Organization is: (check one) Corporation Sole Proprietorship Partnership Quasi-Public Agency

Public Agency Joint Venture

LLC

Other, specify ________

12. Bidder’s annual gross receipts:

Less than $500,000 $500,000 - $1,000,000 $1,000,000 – $2,000,000 $2,000,000 – $5,000,000 More than $5,000,000

13. Number of people employed on a regular basis:

14. Number of years in business

15. SAM.gov unique entity

ID

16. Dun and Bradstreet # (DUNS) 17. Reserved.

18. Bidder acknowledges receipt of the following addenda to the solicitation:

Addendum # and Date of Issue Addendum # and Date of Issue

19. The undersigned agrees, if this offer is accepted by the Madison County Mass Transit District, to furnish any or all items and provide the services upon which a price is offered, and to deliver the items, perform the services, and complete the work within the time specified.

20. Total Bid Price:

Do not enter price here.

Use the Bid Price Form (electronic bid table).

21. Name of authorized signer: (Type or print) 22. Title:

23. Bidders Signature: 24. Date:

1 Bid Title: Base Facility Pavement Repairs
2 Bid No: 27-1-26000
5 MCT has established a 0 DBE goal for this project: 0
6 BidderContractor Name:
7 Mailing Address:
8 Telephone Number:
9 City State Zip:
10 Fax Number:
13 Number of people employed on a regular basis:
14 Number of years in business:
15 SAMgov unique entity ID:
16 Dun and Bradstreet DUNS:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_2:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_3:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_4:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_5:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_6:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_7:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_8:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_9:
Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_10:
22 Name of authorized signer Type or print:
23 Title:
25 Date:
Other specify:
Check Box11-5: Off
Check Box11-6: Off
Check Box11-7: Off
Check Box11-8: Off
Check Box12-1: Off
Check Box12-2: Off
Check Box12-3: Off
Check Box12-4: Off
Check Box12-5: Off
Check Box11-1: Off
Check Box11-2: Off
Check Box11-3: Off
Check Box11-4: Off
3 Days for Validity: 90

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