BID SHEET - 25-15864AP-RB.docx

BID SHEET

Bidder Information

Company Name: ________________________________________ EIN: __________________

Company Name as filed with the Secretary of State, if corporate entity: _____________________________________ (Colorado Secretary of State Website, for reference purposes, is http://www.sos.state.co.us/ )

Phone Number: _________________________ Fax Number: ____________________________

Company Address: ________________________________________

Authorized Signature: ______________________________________________________________

Printed Name and Title: __________________________________________________________

E-mail Address: _________________________________________________________________

Date: _______________

Base Bid

Below are the 2026 Pavement Striping & Marking quantities:

Water-Based Paint Pavement Marking (Yellow/White) Estimated total quantity to bid is: 17,000 gallons Bid $____________________per gallon

Epoxy Paint Pavement Marking (Yellow/White) Estimated quantity is: 950 gallons Bid $_____________________per gallon

Preformed Thermoplastic Pavement Marking Install (Word Symbols) SF, Estimated quantity is: 700 square feet Bid $________________per square foot to Install

Preformed Thermoplastic Pavement Marking Install (X-Walk and Stop Bar) SF, Estimated quantity is: 5400 square feet Bid $_____________per square foot to Install

Preformed Thermoplastic Pavement Marking Removal (Word Symbols, X-Walk, Stop Bar) SF, Estimated quantity is: 300 square feet Bid $________________per square foot for Removal

Paint Stripe Removal Operations.

Cost per linear foot Bid $________ per linear foot for Removal

Authorized Representative

Indicate the name of the Authorized Representative who will be assigned to this project:

Name: _________________________________________

Phone Number: _______________________ Email Address: ______________________________________

Authorized Signatory for Contract

Name and Title of Authorized Signatory: ________________________________________________________

A. Corporation (For-Profit or Non-Profit) – President or Vice President

B. Limited Liability Company (LLC) - Manager or Member*

C. General Partnership, Limited Partnership (LP), Limited Liability Partnership (LLP), Limited Liability Limited Partnership (LLLP) - General Partner*

*Note: If the organization falls into categories B or C, you are required to provide a copy of the front page, signature page and the section of the Operating Agreement, or Partnership Agreement that defines who in the organization has contract signature authority.

Insurance The successful Contractor shall be required to furnish the County with certificates of insurance for the insurance types and limits as detailed on the attached insurance exhibit prior to performing any activity on this project. Jefferson County, Colorado shall be the Certificate Holder and shall be named as Additional Insured. All subcontractors must meet the same insurance requirements unless a deviation has been approved.

Indicate your ability to comply with the following requirements:

a. The County shall be added as an Additional Insured to all liability policies:

Yes No

b. Your property and liability insurance company is licensed to do business in Colorado:

Yes No

c. Indicate the name of your property and liability insurance company here:

Name: ________________________________________________________

d. Your property and liability insurance company has an AM Best rating of not less than B+ and/or VII:

Yes No

Provide a response to the following:

Has your firm filed for bankruptcy or corporate protection under applicable federal or state laws in the last seven (7) years?

Yes No

Labor and Performance Bonds Prior to performing any activity on this project, the successful Contractor shall be required to furnish, at their expense, a Labor and Material Bond and a separate Performance Bond in an amount equal to 100% of the proposed contract amount as guarantee for the performance of the Work. The bonds shall be issued by a qualified corporate surety licensed to transact business in Colorado. The bonds shall remain in effect until completion of the Work, including completion of all warranty and guaranty work.

Price and Payment Refer to page 3 of the sample contract.

Exceptions Are there any exceptions taken to any of the terms, conditions, or specifications of these bid documents or contract?

Yes No

If there are exceptions taken to any of the terms, conditions, or specifications of these bid documents, they must be clearly stated on a separate sheet of paper, attached to this bid sheet, and returned to Jefferson County. (Reference General Information Item 11.)

Performance Period

Refer to section 3, Term and Period of Performance, of the sample contract.

Key Notices

Indicate the name and title of the individual who will receive Key Notices__________________________________

Company E-mail Address_______________________________________________________________________

Mailing Address_______________________________________________________________________________

Telephone Number_____________________________________________________________________________

Cooperative Purchasing Jefferson County encourages cooperative purchasing in an effort to assist other agencies to reduce their cost of bidding and to make better use of taxpayer dollars through volume purchasing. Please indicate if you agree to extend the prices and terms of the resulting award to other local government agencies in the event they would have need for your product/services: (_)Yes (_) No.

Basis of Award

The County will award to the lowest, responsive and responsible bidder. The County reserves the right to award per item to the lowest, most responsive and responsible bidder.

Submittal Checklist The following documents are to be returned with your bid. Nonresponsive or incomplete submittals may be deemed cause for rejection.

Place a check (√) against each document submitted

2. Completed and signed Bid Sheet

3. The completed and signed Qualifications Questionnaire (QQ) and attachments for the following items referenced on the QQ:

#10. List (if applicable) of all government agencies in the last two (2) years where liquidated damages were or may be assessed.

#12. List of subcontractors (if applicable).

#13. Resumes of the principal members of your organization who will be involved with this project.

#14. Details (if applicable) of any lawsuits pending against your company.

#15. Details (if applicable) of charges against your firm with the office of contract compliance, the equal opportunity commission, or civil rights commission.

4. Exceptions sheet, if applicable.

5. Submit a certificate of insurance evidencing the required coverage types and limits specified herein. Please note: it is not necessary that this certificate reflect Jefferson County as an additional insured at this time.

6. Complete the Acknowledgement oaf Receipt of Addenda below, if applicable.

7. W-9 for Firm submitting the bid

8. Project List

Note: Be advised that the successful firm, if a corporate entity, will be required to provide evidence of current good standing with the Colorado Secretary of State after acceptance of bid.

Acknowledgment of Receipt of Addenda Your acknowledgment of any addendum issued for this Invitation shall be noted by signing below. This will serve as your acknowledgement that these clarifications/revisions have been taken into consideration during the preparation of your bid.

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________

Addendum Number: ____ Date: ______ Acknowledged by: ______________________________