Ch_149_FORM_FOR_SUB_BID_MIL_Chicopee2011_Electrical.doc

COMMONWEALTH OF MASSACHUSETTS

MILITARY DIVISION FORM FOR SUB-BID

CHICOPEE ARMORY RENOVATIONS PN985010

ELECTRICAL WORK SUB-BID

To all General Bidders except those excluded:

A. The undersigned proposes to furnish all labor and materials required for completing, in accordance with the hereinafter described Plans, Specifications and addenda, all the work specified in Section No. 26 00 01 of the Specifications and in any Plans specified in such section, prepared by: SMRT Inc., One Dundee Park Suite 4 Andover, MA 01810, phone 978.474.1721 fax 978.474.1742 for the Electrical work filed sub-bid portion of General Contracting for internal renovations, minor building envelope repair, hazardous materials abatement, modular vault construction, including the following sub-bids: electrical, HVAC, masonry, plumbing, resilient flooring, roofing and flashing, and metal windows. It is expected that Section E (sub-sub-contract) work may include the category low voltage wiring (telephone and data cabling).

At the Chicopee Armory in Chicopee, Massachusetts, for the Contract sum of:

________________________________________Dollars $________________________

ALTERNATES

For Alternate No. 2: Add $_______________ Subtract $________________

(Door and Window Replacement-electric window operators)

For Alternate No. 4. Add $_______________ Subtract $________________

(Boiler Plant Replacement)

UNIT PRICES

N/A for Electrical Sub-Bid B. This sub-bid includes addenda numbered _______________________________.

C. This sub-bid

May be used by any general bidder except: _______________________

May only be used by the following general bidders: ________________

(To exclude general bidders, insert “X” in one box only and fill in blank following that box. Do not answer C if no general bidders are excluded.)

Name of Sub – Bidder ________________________________________________________

D. The undersigned agrees that, if he is selected as a sub-bidder, he will, within 5 (five) days, Saturdays, Sundays, and legal holidays excluded, after presentation of a subcontract by the general bidder selected as the general contractor, execute with such general bidder a subcontract in accordance with the terms of this sub-bid, and contingent upon the execution of the general contract, and, if requested so to do in the general bid by such general bidder, who shall pay the premiums therefore, or if prequalification is required pursuant to section 44D3/4, furnish a performance and payment bond of a surety company qualified to do business under the laws of the commonwealth and satisfactory to the awarding authority in the full sum of the subcontract price.

E. The names of all persons, firms and corporations furnishing to the undersigned labor or labor and materials for the class or classes or part thereof of work for which the provisions of the section of the specifications for this sub-trade require a listing in this paragraph, including the undersigned if customarily furnished by persons on his own payroll and in the absence of a contrary provision in the specifications, the name of each such class of work or part thereto and the bid price for such class of work or part thereof are:

NAME

CLASS OF WORK

BID PRICE

Low Voltage Wiring

(Do not give bid price for any class or part thereof furnished by undersigned).

F. The undersigned agrees that the above list of bids to the undersigned represents bona fide bids based on the herein before described Plans, Specifications and addenda and that, if the undersigned is awarded the contract, they will be used for the work indicated at the amounts stated, if satisfactory to the awarding authority.

G. The undersigned further agrees to be bound to the general Contractor by the terms of the herein before describe plans, specifications, including all general conditions stated therein, and addenda, and to assume toward him all the obligations and responsibilities that he, by those documents, assumes toward the owner.

H. The undersigned offers the following information as evidence of his qualifications to perform the work as bid upon according to all the requirements of the plans and specifications:

1. Have been in business under present business name ________ years.

2. Ever failed to complete any work awarded? ___________________.

3. List one or more recent buildings with names of the general contractor and Architect (Designer) on which you served as a subcontractor for work of similar character as required for the above named building.

Building

Architect

General Contractor Amount of

(Designer)

Contract

(a) _____________________ ___________________ _______________ ___________

(b) _____________________ ___________________ _______________ ___________

(c) _____________________ ___________________ _______________ ___________

4. Bank reference __________________________________________________.

I. The undersigned hereby certifies that he is able to furnish labor that can work in harmony with all other elements of labor employed or to be employed on the work; that all employees to be employed at the worksite will have successfully completed a course in construction safety and health approved by the United States Occupational Safety and Health Administration that is at least 10 hours in duration at the time of the employee begins work and who shall furnish documentation of successful completion of said course with the first certified payroll report for each employee; and that he will comply fully with all laws and regulations applicable to awards of subcontracts subject to section 44F (forty-four F) of Chapter 149 of the General Laws The undersigned further certifies under penalties of perjury that his sub-bid is in all respects bona fide, fair and made without collusion or fraud with any other person. As used in this subsection the work “person” shall mean any natural person, joint venture, partnership, corporation or other business or legal entity.

The undersigned further certifies under penalties of perjury that the said undersigned is not presently debarred from doing public construction work in the commonwealth under the provisions of section twenty-nine F of chapter twenty-nine, or any other applicable debarment provisions of any other chapter of the General Laws or any rule or regulation promulgated thereunder.

Date: ______________________________

(Name of Sub-Bidder)

By: _______________________________

(Title and Name of Person Signing)

(Business Street Address)

(Business City, State, Zip)

(Business Telephone No.)

(Business email) Page 1 of 3 Commonwealth Of Massachusetts Military Division Form for Sub-Bid MIL-PN985010-IFB-N16-SUBS Electrical