Attachment A Bid Forms.pdf

IFB-SA-24-03 SHIPPING CONTAINER RETAIL UNITS

FOR THE ALOHA STADIUM SWAP MEET & MARKETPLACE

STADIUM AUTHORITY

DEPARTMENT OF BUSINESS, ECONOMIC DEVELOPMENT AND TOURISM

ATTACHMENT A

BID FORMS

NOTE TO BIDDERS:

You will need to save the document on your computer, input your information directly on the document, print, and sign the first and last page.

Bidders are responsible for ensuring that all required forms are completed in their entirety when submitting their bid otherwise a bid submitted by a responsive and responsible Bidder may not receive the award.

The Completed Bid Forms, pages OF-1 through OF-4 are required and must be uploaded as an attachment(s) on HIePRO before the bid closing date.

SHIPPING CONTAINER RETAIL UNITS FOR THE ALOHA STADIUM SWAP MEET & MARKETPLACE

STADIUM AUTHORITY

DEPARTMENT OF BUSINESS AND ECONOMIC DEVELOPMENT AND TOURISM

IFB-SA-24-03

Procurement Officer Stadium Authority State of Hawaii P.O. Box 30666 Honolulu, Hawaii 96820

Dear Procurement Officer:

The procurement conducted for the specified goods and/or services is pursuant to Hawaii Revised Statues (HRS) Chapter 103D and its Hawaii Administrative Rules (HAR). The undersigned has carefully read and understands the terms and conditions specified in the Specifications and Special Provisions, General Provisions, dated 11/2016, or as amended, and the AG General Conditions, Form AG-008, as amended, and hereby submits the following offer 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 offer,

1) Offeror is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) Offeror is certifying that the price(s) submitted was (were) independently arrived at without collusion.

Offeror is:

Sole Proprietor Partnership *Corporation Joint Venture Other *State of incorporation:

Hawaii General Excise Tax License I.D. No.

Federal I.D. No.

Payment address (other than street address below):

City, State, Zip Code:

Business address (street address):

City, State, Zip Code:

Respectfully submitted:

Date: (x) Authorized (Original) Signature Telephone No.:

Fax No.: Name and Title (Please Type or Print)

E-mail Address: ** Exact Legal Name of Company (Offeror)

**If Offeror 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:

BID FORM OF-1 IFB-SA-24-03

BID QUOTATION:

The following bid is hereby submitted for Shipping Container Retail Units for the Aloha Stadium Swap Meet & Marketplace as specified herein:

Description

Price (each)

Quantity

Subtotal

7 (Seven) Shipping Container Retail Units for the Aloha Stadium Swap Meet & Marketplace

11 (Eleven) Shipping Container Retail Units for the Aloha Stadium Swap Meet & Marketplace

Freight and Delivery to Aloha Stadium 99-500 Salt Lake Boulevard Honolulu, HI 96701

SUBTOTAL

HAWAII GET 4.712%

TOTAL BID PRICE*

*This is the amount that should be entered on HIePRO. The total bid price shall be inclusive of all costs for labor, equipment, supplies, shipping, delivery, all applicable taxes (including the Hawaii General Excise Tax) and any costs incurred to provide goods and/or services as specified herein.

The Stadium Authority reserves the right to reject any and all Bids.

Bidder:

Name of Company

BID FORM OF-2 IFB-SA-24-03

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 goods and/or services as listed in this IFB. The State may contact all of the references listed to inquire about Bidder’s goods, services, performance, and degree of customer satisfaction.

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

Check if Currently Providing Services To

1.

2.

3.

4.

5.

Bidder:

Name of Company

BID FORM OF-3 IFB-SA-24-03

WAGE CERTIFICATE

FOR SERVICE CONTRACTS

(See Special Provisions)

Subject: IFB No.: IFB-SA-24-03

Title of IFB: Shipping Container Retail Units for the Aloha Stadium Swap Meet & Marketplace

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. 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, and

2. 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.

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.

Offeror (Company Name):

Signature:

Print Name: _______________________________________________________

Title: ____________________

Date:

BID FORM OF-4 IFB-SA-24-03