Attachment B. Price Form (Required).pdf
PDF 78 KB Posted
- Solicitation number
- BPM054688
- Issued by
- Cecil County, Robinwood CDP, Maryland
About this file
This is a Price Form for a state and local contract opportunity issued by the Maryland State Highway Administration (SHA) for the installation of a new 42,000 BTU three-zone mini split system at the SHA Sylmar Satellite Facility located at 909 Telegraph Road, Rising Sun, Maryland 21911. The project requires installation of a Mitsubishi HyperHeat M-Series H2i MXZ-SM42NLHZ outdoor condenser with Mitsubishi MSZ-GX indoor units configured for three zones: a 9,000 BTU unit in the office, a 9,000 BTU unit in the meeting room, and a 24,000 BTU unit in the loader bay. The scope includes removal of an existing through-wall air conditioning unit in the meeting room and preparation of wood and drywall surfaces to close and seal the exterior wall opening. The contract is designated as CEMINI26SB and contains a single line item for a lump sum payment to complete the installation. Bidders must be licensed HVAC companies with three references demonstrating experience in ductless mini split installations, and may subcontract the electrical work to another small business if desired.
The Price Form requires bidders to enter their bid price in Column C, with the total cost automatically calculating in Column D. SHA will issue only one lump sum purchase order payment, requiring bidders to incorporate all costs—including electrical work, permits, and labor—into their single bid price. All electrical work must be performed by a licensed electrician, and bidders are responsible for pulling electrical permits and factoring permit costs into their lump sum bid. Substitute equipment models and brands of comparable quality are permitted with pre-approval from SHA. The installation address and site photos are provided to assist bidders in developing accurate proposals. Bidders must complete the form with company information, federal employer identification number, vendor eMMA number, and authorization signature.
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Text version
Price Form - CEMINI26SB
Column A Column B Column C Column D
Total Cost ($)
(Column B x C)
Lump sum payment to install a 3-head dustless minisplit. Reference unit is
Mitsubishi M-Series H2i MXZ-
SM42NLHZ outdoor condenser
Mitsubishi MSZ-GX indoor units, or equivalent approved by the engineer.
1 $ -
Note: Enter your bid on column C. Column D will calculate automatically
Note: This will be the only line item(s) on SHA's purchase order and your invoice.
Please include all your costs into this price.
Signature of Authorized Representative:
Date:
Printed Name and Title:
Telephone:
Email address:
Bidder Company Name:
Bidder Company Address:
Location(s) from which goods/services will be provided/performed (City/State):
EIN (Federal Employer Identification
Number XX-XXXXXXX):
Vendor's eMMA # (starts with SUP)
Quantity Unit Price
TOTAL BID AMOUNT (Sum of Column D items)
Item / Description
File details come from the government source that posted it. Updated .