BID FORMS 25-0002.pdf

IFB 5 2

ATTACHMENT A - BID FORMS

In compliance with this Invitation Bid, Addenda and to all the Terms and Conditions imposed therein and hereby incorporated by reference, the authorized undersigned offers and agrees to furnish the goods/services at the price(s) indicated on the Bid Form, in accordance with this Signed Bid Form.

The Signee of this Bid Form must be an authorized Officer of the Company.

(Please include any documentation of authority. For example, resolution of the board of directors, articles of incorporation, etc.)

Name and Address of Firm:

___________________________________________ Date:

___________________________________________ By:

(Signature in Ink)

___________________________________________ Name:

(Please Print)

_________________________Zip Code: _________ Title:

EIN:_______________________________________ E-mail:

Phone: ( ) Fax: ( )

If Corporation or LLC, list State of Incorporation or Corporation:

Contractor License Number:

Commonwealth of Virginia State Corporation Commission Number:

(ATTACH A COPY OF YOUR STATE CORPORATION COMMISSION CERTIFICATE AND A LIST OF OFFICERS)

Unique Entity Identifier (UEI#) - D-U-N-S Number:

The named party hereby submits a bid in response to this City of Galax IFB to furnish construction as described in the Specification and bid form to this IFB. The entire Bid form, including Response Statement, Substitute W-9, license certifications, and any supplemental materials required to be provided by the bidder pursuant to the terms and conditions of the IFB, constitute the entire bid submission.

The party hereby certifies that such bid is genuine and not collusive or sham; that said bidder has not colluded, conspired, connived or agreed, directly or indirectly, with any bidder or person, to put in a sham bid or to refrain from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion or communication or conference, with any person to fix the bid price or affiant o any bidder, or to fix any overhead, profit or cost element of said bid price, or of that of any other bidder, or to secure any advantage against City of Galax or any person interested in the proposed contract.

The party submitting the forgoing bid acknowledges the provisions, terms and conditions of this IFB including all attachments and addenda, and agrees to be bound by those provisions, terms and conditions. Further, the party certifies that all information submitted in response to this IFB is correct and true.

Receipt of the following Addenda are acknowledged:

Addendum No. dated Addendum No. dated

Addendum No. dated Addendum No. dated

Addendum No. dated Addendum No. dated

(RETURN THIS FORM)

ATTACHMENT A - BID

FORMS PRICING SCHEDULE

Bidder agrees to provide equipment and perform and complete all of the work indicated in IFB #25-0002, Section IV – Scope of Work, for a Total Bid Price of:

TOTAL BID PRICE: $

Provide listing of any special equipment needed in order to deliver the equipment as specified, i.e. ramp or lift:

Sign below to confirm accuracy of Bid Form and conformity with provisions of IFB #25-0002.

Name of Firm:

Signature:

(RETURN THIS FORM)

Timeframe for completion, including lead time for materials:

ATTACHMENT A - BID FORMS

RESPONSE STATEMENT

This Response Form is to be completed by the Bidder to more specifically describe and define the proposed services. Any deviations from the IFB specifications shall be stated on this form or attached to this form.

Sign below to confirm accuracy of Bid Form and conformity with provisions of IFB #25-0002 and all the conditions imposed herein.

Name of Firm:

Signature:

(RETURN THIS FORM)

Item Description

Library Facilities Roofing

Deviations from IFB Specifications