Attachment 1 Offer and Bid Form.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 7)

2. Proof of insurance (COI)

3. Copies of all applicable contractor licenses

4. Copy of bid security

ATTACHMENT 1 – OFFER AND BID FORM

Honuakaha Hot Water Return System Modification

IFB HCDA CIP-2026-04 Page 1 of 5

HONUAKAHA HOT WATER RETURN SYSTEM MODIFICATIONS

LOCATED AT 545 QUEEN STREET, HONOLULU, HAWAI‘I

IFB HCDA CIP-2026-04

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-2026-04 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-2026-04 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-2026-04 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 services and incidentals necessary to complete the Honuakaha Hot Water Return System Modifications in accordance with the

IFB and its attachments, exhibits, and addenda.

The Bidder shall provide a lump-sum price for each bid item listed below. Each bid item shall include all labor, materials, equipment, and associated costs necessary to complete the identified portion of the Work. Costs shall not be duplicated between bid items.

Bid Item 7 shall include all costs associated with the third-floor hot water return piping connection shown in the drawings, including associated piping, fittings, insulation, access openings, patching, and finish restoration. Costs included under Bid Item 7 shall not be duplicated under other bid items. System-wide testing and commissioning shall be included under Bid Item 6.

Bid Item 8 shall include mobilization, general conditions, site coordination, temporary protection, cleanup, and other work required for completion of the Project that is not included in the preceding bid items.

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

Item

No.

Bid Item Unit Amount

1 Plumbing/Piping, Valves, Fittings, and Associated Components LS $

2 Pipe Insulation and Jacketing LS $

3 Wall/Ceiling Openings and Patching LS $

4 Fire-Rated Access Panels (25 Units - Furnished and Installed) LS $

5 Painting and Finish Restoration LS $

6 Testing, Flushing, Disinfection, Balancing and Commissioning LS $

7 Third-Floor HWR Piping Connection and Associated Work LS $

8 Other Work Required to Complete the Project LS $

9 Building Permit Issuance Fee Fixed $ 982.00

TOTAL BASE BID (items 1 through 9) $

IFB HCDA CIP-2026-04 Page 5 of 5

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 reviewed the IFB, Drawings, Specifications, attachments, exhibits, and addenda, and has examined the site and existing conditions to the extent reasonably accessible and observable.

The Bidder further acknowledges that the Total Base Bid includes all labor, materials, equipment, supervision, permits, applicable taxes, overhead, profit, incidentals, and other costs necessary to complete the Project in accordance with the IFB and its attachments, exhibits, and addenda.

Bidder:

Authorized Signature:

Printed Name/Title:

Date:

Item

No.

Description

Unit

Unit Price

1 1 ¼-inch Type L Copper Pipe (Furnished and Installed) Per LF $

2 Wall/Ceiling Opening and Restoration Per SF $

3 Journeyman Plumber Per Hour $

4 Apprentice Plumber Per Hour $

IFB HCDA CIP-2026-04 Page 6 of 5

WAGE CERTIFICATE

FOR PUBLIC WORKS CONSTRUCTION CONTRACTS

Subject: IFB No.: HCDA CIP-2026-04

Title of IFB: Honuakaha Hot Water Return System Modification

Located at 545 Queen Street, Honolulu, Hawai‘i

Pursuant to Section 103-55.5, Hawaii Revised Statutes (HRS), the undersigned Bidder hereby certifies that, if awarded a contract for the construction of a public works project in excess of $2,000, subject to

Chapter 104, HRS, the Bidder intends to comply with the requirements of Chapter 104, HRS, including the following:

1. Individuals engaged in the performance of the Contract at the job site shall be paid not less than the prevailing wages determined by the Department of Labor and Industrial

Relations for the corresponding classifications of laborers and mechanics employed on public works projects.

2. Individuals engaged in the performance of the Contract at the job site shall be paid overtime compensation at one and one-half times the basic hourly rate plus fringe benefits for hours worked on Saturday, Sundays, or legal holidays of the State, or in excess of eight hours on any other day.

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

The Contractor shall also comply with all applicable federal and State laws relating to workers' compensation, unemployment compensation, payment of wages, and safety.

The Bidder shall consider the applicable prevailing wage rates and requirements of HRS Chapter 104 when preparing its bid. Prevailing wage rate information is available from the State of Hawaii

Department of Labor and Industrial Relations.

The Bidder shall submit a signed Wage Certificate pursuant to Section 103-55.5, HRS, as provided in the Offer and Bid Form.

The Contractor shall comply with the requirements of HRS Chapter 104 throughout the performance of the Contract.

Bidder

Authorized Signature:

Printed Name/Title:

Date: