Addendum 1 Attachment 1 Offer and Bid Form REVISED.pdf

NOTE TO BIDDERS:

Bidders are responsible for ensuring that all required forms and supporting documentation are completed and submitted with its Bid. Failure to submit all required documents may result in the Bid being determined non-responsive.

The following documents shall be uploaded as an attachment(s) on HIePRO before the bid closing:

1. Completed Offer and Bid Form (Pages 1 thru 6)

2. Proof of insurance (COI)

3. Copies of all applicable contractor licenses

4. Copy of bid security

ATTACHMENT 1 – OFFER AND BID FORM REVISED

Honuakaha Hot Water Return Systems Modification

IFB HCDA CIP-2026-03 Page 1 of 5

HONUAKAHA HOT WATER RETURN SYSTEMS MODIFICATIONS

LOCATED AT 545 QUEEN STREET, HONOLULU, HAWAI‘I

IFB HCDA CIP-2026-03

Hawaii Community Development Authority

547 Queen Street

Honolulu, Hawaii 96813

The undersigned has carefully read and understands the terms and conditions specified in the

Invitation for Bids attached hereto and hereby submits the following Bid to perform the work specified herein, all in accordance with the true intent and meaning thereof. The undersigned further understands and agrees that by submitting this quote, 1) he/she is declaring his/her Bid is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) he/she is certifying that the price(s) submitted was (were) independently arrived at without collusion.

The undersigned represents: (Check one only)

A Hawaii business incorporated or organized under the laws of the State of Hawaii.

A Compliant Non-Hawaii business not incorporated or organized under the laws of the

State of Hawaii, but registered at the State of Hawaii, Department of Commerce and

Consumer Affairs Business Registration Division to do business in the state of Hawaii.

State of Incorporation:

Offeror is: Sole Proprietor Partnership Corporation Joint Venture Other :

Federal I.D. No.: _________________ Hawaii General Excise Tax License I.D. No.:

Payment address (other than street address below):

City, State, Zip Code:

Business address (street address):

City, State, Zip Code:

Respectfully submitted on , 2026

Phone No.: By:

Authorized Original Signature

Email:

Printed name and title

** Exact Legal Name of Company (“Bidder”):

**If Bidder shown above is a "dba" or a "division" of a corporation, furnish the exact legal name of the corporation under which the awarded contract will be executed:

IFB HCDA CIP-2026-03 Page 2 of 5

Bidder Shall Provide the Following Information:

1. Permanent Oahu Office Location (Address):

2. Office Number: Email Address:

3. Point of Contact:

Primary

Name & Title:

Telephone Number: Cell Number:

Email Address:

Secondary

Name & Title:

Telephone Number: Cell Number:

Email Address:

4. Years of Experience (must have a minimum of five (5) consecutive years):

5. List of current license(s): License License No.

Bidder:

Name of Company

IFB HCDA CIP-2026-03 Page 3 of 5

Insurance Requirements

Insurance Type Carrier Policy No.

Commercial General Liability

Automobile Liability

Workman’s Compensation

Temporary Disability

Prepaid Health Care

Unemployment Insurance State of Hawaii Labor No.:

If you are not required to have one or more of the above coverages, please explain below:

Company and/or Governmental Agency References

List a minimum of three (3) companies and/or government agencies to which Bidder has provided or is currently providing similar services as listed in this IFB. Do not list the HCDA as a reference. The HCDA reserves the right to contact these references to ascertain the quality and timeliness of services provided.

Name of Site /Company/ Agency Name & Title of Contact Person Telephone No.

Check if

Currently

Providing Services To

1.

2.

3.

4.

5.

6.

Bidder:______________________________________________

Name of Company

IFB HCDA CIP-2026-03 Page 4 of 5

BID FORM

Bidders shall complete all portions of this Bid Form. Failure to provide a Base Bid and all requested

Unit Prices may render the Bid non-responsive.

PART A: BASE BID

The undersigned Bidder agrees to furnish all labor, materials, equipment, supervision, permits, testing, startup, restoration, commissioning, closeout documents, applicable taxes (including the

Hawaii General Excise Tax), and all other labor, materials, services, equipment, and incidentals necessary to complete the Honuakaha Hot Water Return System Modifications in accordance with the Invitation for Bids, Drawings, Specifications, Addenda, and all Contract Documents.

* The Base Bid above shall be the amount entered into HIePRO.

PART B: UNIT PRICES (FOR CHANGE ORDERS ONLY)

The Unit Prices listed below are for use in negotiating approved change orders and will not be used in determining the lowest responsive bidder. The Unit Prices shall remain valid for the duration of the Contract unless otherwise approved by HCDA.

PART C: ACKNOWLEDGEMENTS

The Bidder acknowledges that it has examined the site, reviewed the Drawings, Specifications, Addenda, and all Contract Documents, has verified existing field conditions to the extent reasonably observable, and that the Lump Sum Base Bid includes all labor, materials, equipment, supervision, permits, taxes, overhead, profit, incidentals, and all work necessary to complete the Project.

Bidder:

Authorized Signature:

Printed Name/Title:

Date:

Item

No.

Bid Item Amount

1 Base Bid (Lump Sum) $

2 Building Permit Issuance Fee (fixed-fee) $ 982.00

TOTAL BASE BID (Add items 1 and 2) *$

Item

No.

Description

Unit

Unit Price

1 1 ¼” Type L Copper Pipe (installed) Per LF $

2 Concrete Core Drill Each $

3 Wall/Ceiling Repair Per SF $

4 Journeyman Plumber Per Hour $

5 Apprentice Per Hour $

IFB HCDA CIP-2026-03 Page 5 of 5

WAGE CERTIFICATE

FOR SERVICE CONTRACTS

Subject: IFB No.: HCDA CIP-2026-03

Title of IFB: Honuakaha Hot Water Return Systems Modification

Located at 545 Queen Street, Honolulu, Hawai‘i

Pursuant to Section 103-55, Hawaii Revised Statutes (HRS), I hereby certify that if awarded the contract in excess of $25,000, the services to be performed will be performed under the following conditions:

1. All applicable laws of the federal and state governments relating to workers' compensation, unemployment compensation, payment of wages, and safety will be fully complied with;

and

2. The services to be rendered shall be performed by employees paid at wages or salaries not less than the wages paid to public officers and employees for similar work, with the exception of professional, managerial, supervisory, and clerical personnel who are not covered by Section 103-55, HRS.

3. Chapter 104 HRS Wates and Hours of Employees on Public Works Law, applies to every public works construction project over $2,000.

I understand that failure to comply with the above conditions during the period of the contract shall result in cancellation of the contract, unless such noncompliance is corrected within a reasonable period as determined by the procurement officer. Payment in the final settlement of the contract or the release of bonds, if applicable, or both shall not be made unless the procurement officer has determined that the noncompliance has been corrected; and

I further understand that all payments required by Federal and State laws to be made by employers for the benefit of their employees are to be paid in addition to the base wage required by section 103-55, HRS.

Bidder

Authorized Signature:

Printed Name/Title:

Date: