APP A Bid Form.pdf

APPENDIX A

BID FORM

Project Name: City of Newport Cathodic Protection Repair and Upgrades - 2026

City Project No.: 28-22037

Certification:

By signing this bid, the undersigned certifies that they have examined the site, reviewed all Contract Documents, and agree to perform the work in accordance with this Invitation to Bid and the City’s Public Improvement Contract (Appendix D).

Bidder Acknowledgements Item No.

Acknowledgement Requirement Initials

1 Receipt of Addenda Nos. ______________

I attended the mandatory site visit and have examined all project locations.

I have reviewed all Reference Documents listed in Section 3, including the Coffman CP Assessment and all technical memoranda.

I have reviewed the City’s Draft Public Improvement Contract (Appendix D) and agree to execute it without material change.

I acknowledge all required submittals identified in Section 5 (Scope of Work), including materials, equipment, testing documentation, and coordination requirements, and will provide all required documentation prior to beginning work.

I acknowledge that all shutdowns, tank drains, isolations, and outages require written City approval at least 14 days in advance.

I acknowledge that the Work must be supervised by a NACE/AMPP CP2 (or higher) technician; rectifier electrical work must be performed by an Oregon-licensed electrician, and that the company and lead personnel meet the qualification requirements of Section 6.

I acknowledge the three-month construction window and the hard completion deadline, subject to adjustment based on the actual Notice to Proceed issued by the City, or other delays approved in writing by the City as provided for in the Contract Documents.

Item No.

Acknowledgement Requirement Initials

I acknowledge this Project is subject to Oregon BOLI prevailing wage requirements and I will comply fully.

I certify that I have examined the site, reviewed all Contract Documents, and understand the Scope of Work.

11 a) Bidders shall indicate whether they are a resident bidder as defined under ORS 279A.120 and ORS 279A.125.

Schedule of Prices Contractor will complete all work for the following prices:

Item No.

Description of Work Unit Est.

Qty.

Unit Price Extended Price

Embarcadero / Yaquina Bay Crossing

LS 1 $ $

Siletz Raw Water Transmission Main

LS 1 $ $

3 NE 71st Street Reservoir LS 1 $ $

Total Base Bid (Items 1–3): LS 1 $ $

Total Base Bid in Words: $______________________________________________________

Exclusions The Bidder shall clearly list any exclusions, deviations, or exceptions to the Work or Bid Documents.

The City will consider a bid non-responsive if the Bidder lists exclusions that remove, limit, or contradict any requirements of the Invitation to Bid, Contract Documents, or Scope of Work.

Exclusions may only be used to identify clarifications or conditions that do not eliminate required work.

If a required item is not expressly excluded in this section, the Contractor shall be fully responsible for providing all labor, materials, equipment, testing, commissioning, and incidentals necessary to complete the Project as specified.

Exclusions (if any):

(Attach additional pages if necessary)

If no exclusions are listed above, check this box:

☐ No exclusions; bid is fully compliant

Initial: ______

Bidder Information:

Company: _______________________________

Address: _______________________________

Contact / Title: __________________________

Email / Phone: __________________________

Authorized Signature: __________________________

Printed Name / Title: __________________________

Date: __________________________