Attachment J.10 Contractors Price Schedule.pdf

Attachment J.10

Page 1 of 5 OFFER FORM

PROPOSAL/OFFER FORM

SOLICITATION NUMBER: DCSC-23-RFP-0166

SUBMITTED BY DATE ________________

District of Columbia Courts Capital Projects and Facilities Management Division 616 H Street, NW; 6th Floor, Suite 622 Washington, DC 20001

Attention: Mr. Geoff A. Mack

We the undersigned, having examined the RFP, and all solicitation materials prepared by the Owner do hereby propose to provide the services for the above referenced Project in accordance with the Solicitation package dated September 18, 2023.

1. ACKNOWLEDGMENT OF AMENDMENTS

The Bid/Offeror acknowledges receipt of Amendments to the solicitation and related documents numbered and dated as follows:

AMENDMENT NO. DATE

2. BASE OFFER

We propose to furnish and install the above referenced Work described in the Contract Documents, in accordance with the above described terms for the Project for the Stipulated Sum of:

(a) The estimated cost for the 24-month base period of the performance of the work required hereunder, exclusive of fee is $ . The fixed fee is _____. The estimated cost plus fixed fee is $ .

(b) The estimated cost for the 12-month option (1) period of the performance of the work required hereunder, exclusive of fee is $ . The fixed fee is $ . The estimated cost plus fixed fee is $ .

(c) The estimated cost for the 12-month option (2) period of the performance of the work required hereunder, exclusive of fee is $ . The fixed fee is $ . The estimated cost plus fixed fee is $ .

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(d) The estimated cost for the 12-month option(3) period of the performance of the work required hereunder, exclusive of fee is $ . The fixed fee is $ . The estimated cost plus fixed fee is $ .

Cost Element:

Base Period

(2 Years)

Option Period

(1)

Option Period

(2)

Option Period

(3)

Labor (Salary + Fringe) $ $ $ $

Subcontractors/Consultants

Other Direct Costs

Indirect Costs

Sub Total

Fixed Fee

Total Estimate Cost plus

Fee

Description Base Contract Rates %

Option Year 1 Rates %

Option Year 2 Rates %

Option Year 3 Rates %

Indirect

Fringe Benefits

Fee

The Attached Pricing breakdown Sheet details the offer (Attachment J.10 A) for Base years and Option Years.

3. TERM OF THE CONTRACT: The term of the contract will be two years (2) from date of award with three (1) option years.

4. CONTRACT TYPE: Cost Reimbursement Contract with a Fix Fee. The Contractor shall provide the deliverables or outputs described in Section C in accordance with description/Specifications/Work Statement found in Section C of the solicitation document.

5. COMMENCEMENT OF THE WORK

We agree to commence Work on or about____________.

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6. ACCEPTANCE OF PROPOSAL

We agree that this Bid/Offer may be held by the Owner for a period not exceeding one hundred twenty (120) calendar days from date stated for the receipt of Bid/Offers.

If written notice of the acceptance of this Bid/Offer is mailed or delivered to the undersigned within the time noted above, after the date of the opening of Bid/Offers, or at any time thereafter before this Bid/Offer is withdrawn, the undersigned agrees that he will execute and deliver a construction Contract in the form specified in accordance with the Bid/Offer as accepted within five (5) days of contract award.

It is understood and agreed that the DC Courts reserves the right to award the Contract in the best interests of the DC Courts, to reject any or all Bid/Offers, to waive any informalities in soliciting, and to hold all Bid/Offers for the period noted above.

9. BUY AMERICAN CERTIFICATION

The Bidder/Offeror hereby certifies that each end product, except the end products listed below, is a domestic end product (as defined in Article 26 of the District of Columbia Courts General Provisions), and that components of unknown origin are considered to have been mined, produced, or manufactured outside the United States.

10. OFFICERS NOT TO BENEFIT CERTIFICATION

Each Bidder/Offeror shall check one of the following:

(__) (a) No person listed in Article 21 District of Columbia Courts General Provisions will benefit from this contract.

(__) (b) The following person(s) listed in Article 21 of the District of Columbia Courts

General Provisions may benefit from this contract. For each person listed, attach the written documentation required by Article 21 of the District of Columbia Courts General Provisions.

11. CERTIFICATION OF INDEPENDENT PRICE DETERMINATION

(a) Each signature on the Bid/Offer is considered to be a certification by the signatory that:

1. The prices in this Bid/Offer have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any Bidder/Offeror or competitor relating to the following:

i. Those prices,

ii. The intention to submit an Bid/Offer, or

iii. The methods or factors used to calculate the prices in this Bid/Offer;

2. The prices in this Bid/Offer have not been and will not be knowingly disclosed by the Bidder/Offeror, directly or indirectly, to any other Bidder/Offeror or competitor before Bid/Offer opening unless otherwise required by law; and

3. No attempt has been made or will be made by the Bidder/Offeror to induce any other concern to submit or not to submit a Bid/Offer for the purpose of restricting competition.

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(b) Each signature on the Bid/Offer is considered to be a certification by the signatory that the signatory;

1. Is the person in the Bidder/Offeror’s organization responsible for determining the prices being offered in this Bid/Offer, and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) above; or

2. As follows:

i. Has been authorized, in writing, to act as agent for the following principles in certifying that those principals have not participated, and Will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) above: _____________________________________ (Insert full name or person(s) in the organization responsible for determining the prices offered in this Bid/Offer and the title of his or her position in the Bidder/Offeror's organization)

ii. As an authorized agent, does certify that the principals named in subdivision (b)(2)(i) above have not participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) above; and

iii. As an agent, has not participated, and will not participate, in any action contrary to subparagraphs (a) (1) through (a) (3) above.

(c) If Bidder/Offeror deleted or modified subparagraph (a) (2) above, the Bidder/Offeror must furnish with its Bid/Offer a signed statement setting forth in detail the circumstances of the disclosure.

12. PAYMENT IDENTIFICATION NUMBER

The Owner utilizes an automated vendor database. All firms are required to submit their Federal Tax Identification Number. Individuals must submit their social security numbers.

Federal Tax Identification Number: ____________________________________________

DUNS Number: ______________________________________________________ or Social Security Number: ____________________________________________________

Legal Name of Entity Assigned this Number: ____________________________________

Street Address and/or Mailing Address: _________________________________________

City, State, and Zip Code: ____________________________________________________

Type of Business: __________________________________________________________

Telephone Number: _________________________________________________________

PAYMENTS UNDER TERMS OF ANY CONTRACT RESULTING FROM THIS

SOLICITATION WILL BE HELD IN ABEYANCE PENDING RECEIPT OF A VALID

FEDERAL TAX IDENTIFICATION NUMBER.

13. SIGNATURE OF BIDDER/OFFEROR

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Bidder/Offeror: ______________________________________________________

(Firm Name)

By: _____________________________________________________________

Title: _____________________________________________________________

(Business Address)

State of Incorporation: _________________________________________________

Names and Addresses of Officers:

President: ________________________________________________________

(Business Address)