Attachments_A__C__D__E__F__G___H.pdf

ATTACHMENT A

OFFER AND ACCEPTANCE FORM

The undersigned, as bidder, declares that we have received and examined the documents entitled “ADVS-Sierra Vista-Southern Arizona Veterans' Memorial Cemetery Expansion Agency” and will contract with the Owner, on the form of Agreement provided herewith, to do everything required for the fulfillment of the construction of the ADVS-Sierra Vista-Southern Arizona Veterans' Memorial Cemetery Expansion Agency at the prices and on the terms and conditions herein contained.

We agree that the following forms are included herein as our submittal:

Section

ATTACHMENT A

ATTACHMENT B

ATTACHMENT C

ATTACHMENT D

ATTACHMENT E

ATTACHMENT F

ATTACHMENT G

ATTACHMENT H

Title Offer and Acceptance Form Bid Schedule (Reviewed and submitted via APP Items Tab) Arizona Statutory Bid Bond Bidder’s Statement of Qualifications Hazard Communication Program Israel Boycott Form Ethnic Uyghurs Ban

VA40-0895-12

We acknowledge that Solicitation Amendment numbers through have been received and have been examined as part of the Contract Documents.

We certify:

1. Our proposal is genuine, and not sham or collusive, nor made in the interest or behalf of any undisclosed person, organization, or corporation, and that we have not directly or indirectly induced or solicited any other bidder to put in a sham bid, or directly or indirectly inducted or solicited any other potential bidder to refrain from bidding, and that we have not in any manner sought by collusion to secure an advantage over any other bidder;

2. We will not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, [Arizona] State Executive Order 2009- 9 or A.R.S. §§ 41−1461 through 1465;

Solicitation No. BPM006982 Project Name: ADVS-Sierra Vista-Southern Arizona

Veterans' Memorial Cemetery Expansion Agency Project No. PCS-25-061

Arizona Department of Administration

General Services Division

1400 W Washington St., Suite B200

Phoenix, AZ 85007

3. Have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer.

Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penalties under law;

4. We will comply with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance; and

5. We are not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.

The bidder agrees that this Bid shall be good and may not be withdrawn for a period of _______ calendar days after the scheduled closing time for receiving Bids.

Upon receipt of written notice of the acceptance of this bid, Bidder shall execute the formal Agreement (sample attached) within 10 days and deliver a Performance Bond, Payment Bond, and Certificates of Insurance as required.

We hereby declare that we have visited the site and have carefully examined the Contract Documents relating to the work covered by the above bid or bids.

Enclosed herewith is a certified or cashier's check or bid bond, payable to “ADOA- General Services Division,” in the amount of ten percent (10%) of the total bid. This check or bond is submitted as a guarantee that we will enter into an Agreement, and furnish the required bonds in the event a contract is awarded us. The bid security attached, without endorsement, is to become the property of the State, in the event the Agreement and Bonds are not executed within the time set forth, as liquidated damages for delay and additional work caused thereby.

We understand that the State reserves the right to reject any and/or all bids, or to waive any informalities in any bid, deemed by them to be for the best interests of the State.

Dated in this day of , Respectfully Submitted By:

By:

Title:

Name of Firm:

Address:

Phone:

Email Address:

Seal - If bid by a Corporation:

Federal Tax ID No.:

ACCEPTANCE OF OFFER (to be signed upon Award):

State hereby accepts the initial Offer, Revised Offer, or Best and Final Offer which was dated ________ (the Accepted Offer). Offeror is now bound (as Contractor) to carry out the Work under the Agreement, of which the Accepted Offer forms a part. Contractor is cautioned not to commence any billable work or to provide any material or perform any service under the Contract until Contractor receives the applicable Order or written notice to proceed from Procurement Officer.

By:

Name:

Title:

Date:

State’s Contract Number:

** END OF SECTION **

ATTACHMENT C

ARIZONA STATUTORY BID BOND

PURSUANT TO TITLES 28, 34 AND 41, ARIZONA REVISED STATUTES

(Penalty of this bond must not be less than 10% of the bid amount)

KNOW ALL MEN BY THESE PRESENTS:

That, (hereinafter "Principal"), as Principal, and , (hereinafter "Surety"), a corporation organized and existing under the laws of the State of , with its principal offices in the City of , holding a certificate of authority to transact surety business in Arizona issued by the Director of the Department of Insurance pursuant to Title 20, Chapter 2, Article 1, as Surety, are held and firmly bound unto the State of Arizona, (hereinafter "Obligee"), as Obligee, in the amount of Ten Percent (10%) of the amount of the bid of Principal, submitted by Principal to the Obligee for the work described below, for the payment of which sum, the Principal and Surety bind themselves, and their heirs, administrators, successors and assigns, jointly and severally, firmly by these presents.

WHEREAS, the Principal has submitted a bid for

Project Name, Project Number

NOW, THEREFORE, if the Obligee shall accept the proposal of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of the proposal and give the bonds and certificates of insurance as specified in the standard specifications with good and sufficient surety for the faithful performance of the contract and for the prompt payment of labor and materials furnished in the prosecution of the contract, or in the event of the failure of the Principal to enter into the contract and give the bonds and certificates of insurance, if the Principal pays to the Obligee the difference not to exceed the penalty of the bond between the amount specified in the proposal and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by the proposal then this obligation is void.

Otherwise it remains in full force and effect provided, however, that this bond is executed pursuant to the provisions of Section 34-201, Arizona Revised Statutes, and all liabilities on this bond shall be determined in accordance with the provisions of that section to the extent as if it were copied at length herein.

Solicitation No. BPM006982 Project Name: ADVS-Sierra Vista-Southern Arizona

Veterans' Memorial Cemetery Expansion Agency Project No. PCS-25-061

Arizona Department of Administration

General Services Division 1400 W Washington St., Suite B200

Witness our hands this day of , .

PRINCIPAL SEAL SURETY SEAL

By: By:

Attorney-in-Fact

Its:

Agency of Record

Agency Address

ATTACHMENT D

BIDDER'S STATEMENT OF QUALIFICATIONS

The Undersigned certifies the truth and correctness of all statements and of all answers to questions made hereinafter.

COMPANY NAME:

PRINCIPAL OFFICE ADDRESS:

BRANCH OFFICE ADDRESS:

1. How many years has your organization been in business as a Contractor?

2. How many years has your organization been in business under its present business name?

3. If a Corporation, answer the following:

Date of Incorporation:

State of Incorporation:

President:

Vice President(s):

Secretary:

Treasurer:

4. If a Partnership, answer the following:

Date of organization:

Type of Partnership:

(General/Limited/Assoc.)

Name and Address of all partners.

5. If other than a Corporation or Partnership, describe Organization and name Principals:

Solicitation No. BPM006982 Project Name: ADVS-Sierra Vista-Southern Arizona

Veterans' Memorial Cemetery Expansion Agency Project No. PCS-25-061

Arizona Department of Administration

General Services Division 1400 W Washington St., Suite B200

6. What percent of the work do you normally perform with your own forces?

List trades and percents:

7. Have you ever failed to complete any work awarded to you? If so, indicate when, where and why:

8. Has any Officer or Partner of your Organization ever been an Officer or Partner of another Organization that failed to complete a construction contract? If so, state circumstances:

9. List major construction projects your Organization has under contract on this date:

Project Name Name, Email

Address & Telephone Number of Owner

Project Location

Contract Amount

Contract Date

Percent Complete

Scheduled Completion

10. List similar construction projects your Organization has completed in the past five years:

Project Name

Name, Email Address & Telephone Number of

Owner

Project Location

Contract Amount

Date Awarded

Date Completed

Percent with Own

Forces

11. List the construction experience of the principal individuals in your Organization:

Individual's Name

Construction Experience -

Years

Within Your Organization

Present Position & Years

Experience Dollar Volume Responsibility

Previous Position &

Years Experience

12. List states and categories in which your Organization is legally qualified to do business:

13. List all Arizona Contractor licenses currently held by your Organization; the status of each license; and provide a photocopy of each license with your bid proposal.

License Class / # Status 1.

2.

3.

4.

Please attach a list of additional Arizona Contractor licenses, if any.

14. Bank References:

15. Trade References:

16. Name of Bonding and Insurance Companies and Name and Address of Agents: Maximum Bonding Capacity

17. The Undersigned agrees to furnish, upon request by the Owner, within seven days after the Bid Opening, a current Statement of Financial Conditions, including Contractor's latest regular dated financial statement or balance sheet which must contain the following items:

Current Assets: (Cash, joint venture accounts, accounts receivable, notes receivable, accrued interest on notes, deposits, and materials and prepaid expenses), net fixed assets and other assets.

Current Liabilities: (Accounts payable, notes payable, accrued interest on notes, provision for income taxes, advances received from owners, accrued salaries, accrued payroll taxes), other liabilities, and capital (capital stock, authorized and outstanding shares par values, earned surplus).

Date of statement or balance sheet:

Name of firm preparing statement:

By:

(Agent and Capacity)

18. List of Subcontractors. The following is a breakdown of all subcontractors anticipated to be used for completing this project and their approximate percentage of work to be performed.

The Bidder certifies that all Subcontractors listed are eligible to perform Work on public projects.

Subcontractor Description of Work % of Total Project

Total % of all Subcontractor's work on project

Total % for Prime Contractor

19. Dated at this day of , Name of Organization:

By:

Title:

ATTACHMENT E

SECTION 00450

HAZARD COMMUNICATION PROGRAM

HAZARD COMMUNICATION PROGRAM FOR

(Name of Company) The purpose of this program is to ensure that potential hazards and hazard control measures for chemicals used by this company are understood by company employees.

The written program is available for employee review at any time. It is located

A copy of the program will be provided to any employee or employee representative, upon request.

CONTAINER LABELING:

will verify that all containers received for use by this company will: (name/title of individual)

* be clearly labeled as to the contents, matching identification on MSDS;

* note the appropriate hazard warnings;

* List the name and address of the manufacturer.

No containers will be released for use until the above data is verified.

MATERIAL SAFETY DATA SHEETS:

Copies of MSDS's for all hazardous chemicals to which employees may be exposed will be kept will be responsible for ensuring that: (name/title of individual)

* MSDS's for the new chemicals are available;

* MSDS's will be available for review to all employees during each work shift;

* Copies will be available on request.

Solicitation No. BPM006982 Project Name: ADVS-Sierra Vista-Southern

Arizona Veterans' Memorial Cemetery Expansion Agency Project No. PCS-25-061

Arizona Department of Administration

General Services Division

1400 W Washington St., Suite B200

EMPLOYEE TRAINING AND INFORMATION:

Each employee will be provided the following information and training before working in areas where hazardous chemicals exist. In addition, if a new hazardous material is introduced into the workplace, affected employees will be given new information and training concerning that material.

A. Minimum Information Provided:

(1) All operations and locations in the work area where hazardous chemicals are present.

GENERAL INDUSTRY

A. Minimum Information Provided:

(1) The location and availability of the written hazard communication program, including list(s) of hazardous chemicals used and related material safety data sheets;

(2) The method the company will use to inform employees of potential hazards of non-routine tasks (jobs that are not routine for an individual because of infrequency, location or type.)

B. Minimum Training Provided:

(1) Methods and observations used to detect the presence or release of a hazardous chemical in the work area (such as company monitoring programs, continuous monitoring device, visual appearance, odor or to other characteristics of hazardous chemicals;

(2) The physical and health hazards of chemicals in the assigned work area;

(3) The measures to take to protect against such hazards, including specific company procedures concerning work practices, emergencies and care and use of protective equipment.

(4) Details of the company hazard communication program, including explanation of the labeling system, the material safety data sheets, and how to obtain and use the appropriate hazard information.

(OPTIONAL) Upon completion of the training, each employee will sign a form acknowledging receipt of the written hazard communication program and related training.

HAZARDOUS NON-ROUTINE TASKS: (If applicable.)

If company employees are required to do hazardous non-routine tasks, such as welding in confined spaces, or cleaning of tanks, the employer must address how the employees doing the work will be informed about the specific hazards to which they will be exposed, what personal protective equipment will be provided and who will be responsible to oversee the operation or operations. If the company does not have any hazardous non-routine tasks, line through this section and state "NO HAZARDOUS NON- ROUTINE TASKS".

CHEMICALS IN UNLABELED PIPES: (If applicable.)

If the company has chemicals in unlabeled pipes, the company must inform the employees of the hazards associated with those chemicals.

If the company does not have any chemicals in unlabeled pipes, line through this section and state "NO CHEMICALS IN UNLABELED

PIPES".

INFORMING CONTRACTORS:

Providing contractors and their employees with the following information is the responsibility of .

(Name/title of individual)

(1) Hazardous chemicals to which they may be exposed while on the job site;

(2) Measures the employees may take to lessen the possibility of exposure;

(3) Steps the company has taken to lessen the risks;

(4) Where the MSDS's are for chemicals to which they may be exposed;

(5) Procedures to follow if they are exposed.

CONTRACTORS INFORMING EMPLOYERS:

Contractors entering this workplace with hazardous materials will supply this employer with MSDS's covering those particular products the contractor may expose this company's employees to while working at this site.

LIST OF HAZARDOUS CHEMICALS IN THIS WORKPLACE

CONTRACTOR:

By:

Name:

Title:

Address:

END OF SECTION

ATTACHMENT F

Boycott of Israel Disclosure

Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall select the “Exempt Solicitation, Contract, or Contractor” option below:

• The Solicitation or Contract has an estimated value of less than $100,000;

• Contractor is a sole proprietorship;

• Contractor has fewer than ten (10) employees; OR

• Contractor is a non-profit organization.

Pursuant to A.R.S. §35-393.01, public entities are prohibited from entering into contracts “unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of goods or services from Israel.”

Under A.R.S. §35-393:

1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with entities doing business in Israel or in territories controlled by Israel, if those actions are taken either:

(a) Based in part on the fact that the entity does business in Israel or in territories controlled by Israel.

(b) In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.

2. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

3. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuant to that section. See A.R.S. §35-393.03.

In compliance with A.R.S. §§35-393 et seq ., all offerors must select one of the following:

The Company submitting this Offer does not participate in, and agrees not to participate in during the term of the contract, a boycott of Israel in accordance with A.R.S.

§§35-393 et seq . I understand that my entire response will become public record in accordance with

ATTACHMENT F

Solicitation No. BPM006982 Project Name: ADVS-Sierra Vista-Southern

Arizona Veterans' Memorial Cemetery Expansion Agency Project No. PCS-25-061

Arizona Department of Administration

General Services Division

1400 W Washington Street Suite B200

ATTACHMENT F

A.A.C. R2-7-C317.

The Company submitting this Offer does participate in a boycott of Israel as described in A.R.S. §§35-393 et seq.

Exempt Solicitation, Contract, or Contractor.

Indicate which of the following statements applies to this Contract:

Solicitation or Contract has an estimated value of less than $100,000;

Contractor is a sole proprietorship;

Contractor has fewer than ten (10) employees; and/or Contractor is a non-profit organization.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

Solicitation No. BPM006982 Project Name: ADVS-Sierra Vista-Southern Arizona

Veterans' Memorial Cemetery Expansion Agency Project No. PCS-25-061

Arizona Department of Administration

General Services Division 1400 W. Washington St., Ste. B200

Phoenix, AZ 85007

ATTACHMENT G

Forced Labor of Ethnic Uyghurs Ban

Please note that if any of the following apply to the Contractor, then the Offeror shall select the “Exempt Contractor” option below:

● Contractor is a sole proprietorship;

● Contractor has fewer than ten (10) employees; OR

● Contractor is a non-profit organization.

Pursuant to A.R.S. § 35-394, the State of Arizona prohibits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company does not use the forced labor, or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China.

Under A.R.S. § 35-394:

1. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

2. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

In compliance with A.R.S. §§ 35-394 et seq., all offerors must select one of the following:

☐ The Company submitting this Offer does not use, and agrees not to use during the term of the contract, any of the following:

● Forced labor of ethnic Uyghurs in the People’s Republic of China;

● Any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China;

or

● Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China.

☐ The Company submitting this Offer does participate in use of Forced Uyghurs Labor as described in

A.R.S. § 35-394.

☐ Exempt Contractor Indicate which of the following statements applies to the Contractor (may be more than one):

☐ Contractor is a sole proprietorship;

☐ Contractor has fewer than ten (10) employees; and/or ☐ Contractor is a non-profit organization.

Solicitation No. BPM00XXXX Project Name: XXX

Agency Project No. PCS-XX-XXX

Arizona Department of Administration

General Services Division 1400 W. Washington St., Ste. B200

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY

EXCLUSION - LOWER TIER COVERED TRANSACTIONS (Contractor)

AUTHORITY: This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, Title 2 Part 180, Participants' Responsibilities. The regulations were published as Part VII of the May 26, 1988, Federal Register (pages 19160 - 19211). Copies of the regulations may be obtained by contacting the person to whom this proposal is submitted.

VA FORM

JUL 2009 40-0895-12 Adobe LiveCycle Designer 7.1

NAME AND ADDRESS OF COMPANY: PROJECT FAI (Federal Application Identifier) NO.

SIGNATURE OF LOWER TIER PARTICIPANT DATE SIGNED (mm/dd/yyyy)

NAME OF LOWER TIER PARTICIPANT TITLE OF LOWER TIER PARTICIPANT

CERTIFICATION: The authorized representative certifies, by submission of this form, that neither the representative nor principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

INSTRUCTIONS:

1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below.

2. The certification in this clause is a material representation of act upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

3. The prospective lower tier participant shall provide immediate written notice to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

4. The terms "covered transaction," "participant," "person," "primary covered transaction," "principle," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to whom this proposal is submitted for assistance in obtaining a copy of those regulations.

5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

6. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower Tier Covered Transactions," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.

7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List.

8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

ATTACHMENT H - VA40-0895-12