BidAwardrev09.doc

BOSTON HOUSING AUTHORITY

52 CHAUNCY STREET

BOSTON, MA 02111

BID AND AWARD

(Materials and Supplies)

BHA Bid No. _______________

Bid Title:________________________________________________________________________________________ Opening Date: ________________________ Time: ________________________ ( Bid Deposit Required ( Bid Deposit Not Required

BID

The undersigned offers and agrees, if this bid be accepted within sixty (60) days from the date of bid opening, to furnish and deliver all items upon which prices are herein quoted in compliance with all terms, conditions and requirements specified in this bid solicitation. The undersigned certifies under penalties of perjury that this bid or proposal is in all respect bona fide, fair and without collusion or fraud with any other person. By executing this Contract, the Contractor under the pains and penalties of perjury, makes all certifications required by law and certifies that it shall comply with the following requirements: that the Contractor is qualified and shall at all times remain qualified to perform this Contract; that performance shall be timely and meet or exceed industry standards, including obtaining requisite licenses, permits and resources for performance; that the Contractor and its subcontractors are not currently debarred; that the Contractor has reviewed the General Conditions for Procurement Contracts (including hyperlinks), Special Conditions for Term Contracts, Bid Form and Technical Specifications, and Instructions to Bidders; that the terms of this Contract shall survive its termination for the purpose of resolving any claim, dispute or other Contract action, or for effectuating any and all representations, warranties and guarantees made or supplied by the Contractor or its subcontractors.; The Contractor further agrees that all terms governing performance of this Contract and doing business in Massachusetts are attached to this Contract or incorporated by reference herein, including the following requirements: all relevant Massachusetts state and federal laws, regulations, Executive Orders, treaties, the General Conditions for Procurement Contracts, Special Conditions for Term Contracts, Bid Form and Technical Specifications, and Instructions to Bidders, the Request for Proposals (RFP) or solicitation/Invitation for Bids, the Contractor’s response to the RFP or solicitation (if applicable), and any additional stipulated provisions. As used in this certification, the word "person" shall mean any natural person, joint venture, partnership, corporation, or other business or legal entity.

Authorized Signature Bidder’s Name

Printed Name, Title Address

City, State, Zip Code Date Phone Number Fax Number

Email Address Contract Manager

GENERAL INSTRUCTIONS

1. Sealed bids will be received by the Purchasing Department, Boston Housing Authority until the date and time specified above, at which time they will be publicly opened and read aloud. All interested parties are invited to be present.

2. It is bidder's sole responsibility to ensure timely delivery of the bid. Late bids will not be considered and will be returned unopened.

3. All bids shall be submitted in the envelope provided or in a sealed, opaque envelope bearing the bidder's return address, clearly marked with the words "Bid Documents" and designating the bid title, date, and time set for bid opening.

Instructions for completing the Bid and Award Contract Form:

Authorized Signature: Authorization Signature of Contracting Entity (Individual or Firm) as it appears on Contractor Authorized Signature Verification Form

Printed Name, Title: Name and Title of person signing the Contract.

Bidder’s name: Enter the full legal name of the Contractor's business as it appears on the Contractor's W-9 Form. If Contractor also has a “doing business as” name, both the legal name and the “d/b/a” name must appear in this section.

phone/fax/e-mail address: Identify the phone, fax number(s) and electronic mail (e-mail) address of the Contract Manager.

business mailing address: Enter the address (Street Address, City, State, and Zip code) where all correspondence to the Contract Manager must be sent. Unless otherwise specified in the Contract, legal notice sent or received by the Contractor’s Contract Manager (with confirmation of actual receipt) through the listed fax number(s) or electronic mail address will meet any requirements for written notice under the Contract.

contract manager: Identify the authorized Contract Manager who will be responsible for managing the Contract.

Notice

This procurement and the contract resulting from an award of this procurement are subject to the requirements contained in the following laws and/or regulations unless otherwise indicated: Chapter 30B of the Massachusetts General Laws and Title 24, Section 85.36 of the Code of Federal Regulations.

To Be Completed by BHA:

AWARD

Award Date:

Contract Term

Contract Amount:

From To

Accepted as to items numbered:

Boston Housing Authority

By: William E. McGonagle

Administrator

Contract No.

Any changes to the official printed language of this form shall be void. The official form or document of record shall be the form posted on Comm-Pass or COMMBUYS for the solicitation.

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