Attachment B - Bid Documents.pdf

RFB 785 2400000113

OFFICIAL BID DOCUMENT

FOR

AIR MONITORING SHELTERS

ENERGY & ENVIRONMENT CABINET

DEPARTMENT OF ENVIRONMENTAL PROTECTION

DIVISION OF AIR QUALITY (DAQ)

This Official Bid Document consisting of pages 1 through 8, shall be used in submitting a bid document for the work. Copies will be furnished upon request by the authority issuing the Contract Documents.

THIS BID DOCUMENT SUBMITTED BY________________________________________________________________________

(Name and Address of Bidder)

DATE:_________________________________________ TELEPHONE:________________________________________________

GENTLEMEN:

This Bidder, in compliance with your Request for Bid No. RFB 785 2400000113, and having carefully examined the Drawings and complete Contract Documents as defined in Article 1 of the General Conditions as well as the Specifications for the work as prepared by Energy and Environment Cabinet; hereby proposes to furnish all labor, materials, supplies and services required to perform the specifics of the Contract Documents, within the time set forth therein and for the stated Lump Sum Bid Amount.

The Bidder hereby acknowledges receipt of the following Addenda:

ADDENDUM NO._____________ DATED______________ ADDENDUM NO._____________ DATED______________

(IF NONE HAVE BEEN ISSUED AND RECEIVED, INSERT THE WORD NONE.)

FOR

AIR MONITORING SHELTERS

ENERGY & ENVIRONMENT CABINET

DEPARTMENT OF ENVIRONMENTAL PROTECTION

DIVISION OF AIR QUALITY (DAQ)

NOTE FOR BID SCHEDULE:

A. No bid will be considered unless all items in the Bid Schedule are priced, and only one contract will be awarded.

B. The bid will be awarded in the aggregate total of the Bid Schedule.

C. Unit Prices shall include the furnishing of labor, materials complete and in place, overhead profit, insurance, etc., to cover the furnished work of the several classifications listed and shall be based on the same type and/or similar work included in the contract specifications.

D. The Unit Price shall govern. The Owner will make corrections in extensions and additions. Unit Prices do not change during the time of this contract. Any additions or deductions for estimated quantities are paid on unit price bid.

E. The total bid amount is only used for determining the low bidder. The contract will reflect the unit prices.

ITEM NO. ITEM DESCRIPTION UNIT PRICE

1. Shelter #1 – Buckner, KY

2. Shelter #2 – Lexington, KY

3. Shelter #3 – Nature Center (Union, KY)

Total Bid

NOTE: THE AUTHENTICATION OF BID AND STATEMENT OF NON-COLLUSION AND NON-CONFLICT OF INTEREST

PAGE MUST BE PROPERLY EXECUTED FOR THE BID TO BE VALID.

AUTHENTICATION OF BID AND STATEMENT OF NON-COLLUSION AND NON-CONFLICT OF INTEREST

I, HEREBY CERTIFY:

1. That I am the bidder (if the bidder is an individual), a partner in the bidder (if the bidder is a partnership), or an officer and employee of the bidding corporation having authority to sign on it’s behalf (if the bidder is a corporation);

2. That the submitted bid or bids covering Division of Engineering and Contract Administration Request for Bid No. RFB-30-23 have been arrived at by the bidder independently and have been submitted without collusion with, and without any agreement, understanding or planned common course of action with any other contractor, vendor of materials, supplies, equipment or services described in the Request for Bid, designed to limit independent bidding or competition; as prohibited by provision

KRS 45A.325;

3. That the contents of the bid or bids have not been communicated by the bidder or its employees or agents to any person not an employee or agent of the bidder, its surety on any bond furnished with the bid or bids and will not be communicated to any such person prior to the official opening of the bid or bids.

4. That the bidder is legally entitled to enter into the contract with the Commonwealth of Kentucky and is not in violation of any prohibited conflict of interest, including those prohibited by the provisions of KRS 164.390; and 45A.330 to 45A.340 and 45A.455;

5. This offer is for thirty (30) calendar days from the date this bid is opened. In submitting the above it is expressly agreed that upon proper acceptance by the Division of Engineering and Contract Administration of any or all items bid above, a contract shall thereby be created with respect to the items accepted;

6. That I have fully informed myself regarding and affirm the accuracy of all statements made in this Official Bid Document including Bid Amount.

7. Unless otherwise exempted by KRS 45.590, the bidder intends to comply in full with all requirements of the Kentucky Civil

Rights Act and to submit data required by the Kentucky Equal Employment Act upon being designated the successful bidder.

8. That the bidder, if awarded a contract, would not be in violation of the Executive Branch Code of Ethics established by KRS

11A.001 through KRS 11A.990.

9. That the bidder is not debarred from doing business with federal agencies and that, if debarred during the life of the contract, the bidder will notify the Commonwealth buyer of record within seventy-two (72) hours of the federal debarment.

READ CAREFULLY – SIGN IN SPACE BELOW – FAILURE TO SIGN INVALIDATES BID

SIGNED BY:________________________________________ FIRM:______________________________________________

PRINT NAME:______________________________________ ADDRESS:__________________________________________

TITLE:_____________________________________________ ____________________________________________________

CITY STATE ZIP CODE

DATE:______________________________________________

TELEPHONE NO:___________________________________

FEDERAL ID. NO. OR SOCIAL SECURITY NO. EMAIL: ____________________________________________

*Disadvantaged Contractors, check type of certification:

WBE MBE DBE SERVICE-DISABLED VETERAN

*Disadvantaged Contractors attach a copy of certification.

OFFICIAL BID DOCUMENT – SUBMITTAL DATA

THE FOLLOWING ITEMS ARE HEREWITH ENCLOSED AS REQUIRED:

� Sworn Required Affidavit For Bidders, Offerors And Contractors � Sworn Affidavit for Claiming Resident Bidder Status � Vendor Report of Prior Violations of KRS Chapters, 136, 139, 141, 337, 338, 341 and 342.

� Bidder’s Qualifications.

COMMONWEALTH OF KENTUCKY

FINANCE AND ADMINISTRATION CABINET

SWORN STATEMENT REGARDING CAMPAIGN FINANCE LAWS

PURSUANT TO KRS 45A.110 AND KRS 45A.115

The following form (page 5) relative to Campaign Finance Laws shall be completed in total, notarized and returned with your bid.

Responsibility of a bidder or offeror for a contract award shall not be made until the bidder or offeror provides this sworn statement.

REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS CLAIMING RESIDENT BIDDER STATUS

FOR BIDS AND CONTRACTS IN GENERAL:

The bidder or offeror hereby swears and affirms under penalty of perjury that, in accordance with KRS 45A.494(2), the entity bidding is an individual, partnership, association, corporation, or other business entity that, on the date the contract is first advertised or announced as available for bidding:

1. Is authorized to transact business in the Commonwealth;

2. Has for one year prior to and through the date of advertisement

a. Filed Kentucky income taxes;

b. Made payments to the Kentucky unemployment insurance fund established in KRS 341.49; and

c. Maintained a Kentucky workers’ compensation policy in effect.

The BIDDING AGENCY reserves the right to request documentation supporting a bidder’s claim of resident bidder status. Failure to provide such documentation upon request shall result in disqualification of the bidder or contract termination.

Signature Printed Name

Title Date

Company Name

Address

Subscribed and sworn to before me by (Affiant) (Title) of this _____day of ____________,20___.

(Company Name)

Notary Public

[seal of notary] My commission expires:

VENDOR REPORT OF PRIOR VIOLATIONS

ON CONSTRUCTION SEALED BIDS

This form is applicable to all sealed bids for construction projects issued by the Finance and Administration Cabinet, Division of Engineering and Contract Administration (DECA) in accordance with KRS 45A.080.

The Prime Bidder on any construction sealed bid shall provide the required information attached, for the Prime Bidder, as an attachment to the bid.

The information required is specifically - any violations issued within the last five (5) calendar years of the following:

1. Violations of KRS Chapter 136 (Corporation and Utility Taxes);

1. Violations of KRS Chapter 139 (Sales and Use Taxes);

2. Violations of KRS Chapter 141 (Income Taxes);

3. Violations of KRS Chapter 337 (Wages and Hours);

4. Violations of KRS Chapter 338 (Occupational Safety and Health of Employees);

5. Violations of KRS Chapter 341 (Unemployment Insurance);

6. Violations of KRS Chapter 342 (Workers Compensation); and

7. Violations of Occupational Safety and Health Laws in any other states and at the federal level.

If there are no violations for a particular category, vendor should attach a statement to that effect.

If there are violations for a particular category, the vendor should list them and provide the following information for each: the date of the violation, a short description of the violation (including statutory citation), the name of the governmental enforcement agency involved, and the amount of any penalties imposed as a result of the final determination.

Please note that this information may be provided to other governmental agencies, such as the Kentucky Labor Cabinet, as part of the bid process. DECA reserves the unqualified right to disqualify any vendors from participating further in this bid process.

In addition, the successful prime bidder and subcontractors shall remain in continuous compliance with KRS 45A.485 during the life of any contract awarded, and shall notify DECA of any new final determinations of violations in any of the above-mentioned categories, which occur after contract award, and during the life of any contract awarded. Failure to comply with these requirements may result in the bidder and subcontractors being disqualified from participating in future bid opportunities for the Commonwealth.

COMPANY NAME: ____________________________________________

TAX PAYER ID #: ____________________________________________

THIS VENDOR VIOLATION FORM MAY BE SENT TO THE LABOR CABINET FOR VERIFICATION. PLEASE MAKE SURE ALL YOUR VIOLATIONS ISSUED WITHIN THE LAST FIVE (5) YEARS ARE LISTED. IF YOU LIST “NONE” BUT THE LABOR CABINET’S RECORDS SHOW OTHERWISE, YOUR BID MAY BE REJECTED. FOR A LIST OF YOUR VENDOR

VIOLATIONS, YOU CAN FAX OR EMAIL THE LABOR CABINET WITH YOUR REQUEST.

FAX NUMBER IS (502) 696-1984 OR EMAIL: wages@ky.gov .

Violation Category Date Description Govt. Enforcement

Agency Amount of Penalties mailto:labor.wages@ky.gov

BIDDER’S QUALIFICATIONS

The Bidder’s Qualifications are required by the owner to be submitted as set forth herewith:

1. This firm is a Corp.________, Partnership________, or Proprietorship________.

2. A permanent place of business is maintained at:

STREET CITY STATE ZIP CODE

TELEPHONE NUMBER

3. The following construction plant and equipment will be made available for use on this contract:

4. In the event the contract is awarded the undersigned, surety bonds will be furnished by:

5. Experience of Contractor on other similar work:

6. We now have the following jobs under contract and bonded:

JOB TOTAL CONTRACT PERCENT COMPLETED

SIGNED BY:________________________________________