CM07-Bid_Response_Form.pdf

BID RESPONSE FORM CM-07

INSTRUCTIONS:

This bid must bear the signature of the bidder. If the Bidder is:

⚫a partnership, the bid must be signed by a partner designated as such;

•a corporation, joint venture, or trust the bid must be signed by a duly authorized officer or agent of such corporation, trust or joint venture; or

⚫an individual doing business under a name other than his own name the bid must so state, giving the address of the individual.

Bidder's Name (Full legal name of Bidder)

Place of Business (Street)

Place of Business (City, State, Zip Code)

Bidder's Contact Name

Bidder's Contact Phone

To the Official, acting in the name and on behalf of the City of Boston

SUMMARY OF SUPPLIES/SERVICES SUBJЕСТ ТО BID

The undersigned proposes to furnish the specified supplies or services and to perform all work required for:

Official will describe here services or supplies to be procured prior to issue of Invitation For Bids; to be identical with Purchase Description and Specifications.

in accordance with the terms of the accompanying Advertisement, Purchase Description and Specifications and other contract documents, with special reference to the Invitation For Bids, the terms of which are incorporated herein, all of which have been provided by the City.

NOTICE TO BIDDER

Catalogs or brochures will not be accepted as sole compliance with this requirement unless they also include complete technical information.

DOCUMENTS INCLUDED

In addition to this Bid Response Form, this bid includes the following documents supplied by the Bidder (List

Below):

OSTON CITY of BOST

Published May 2025

BID RESPONSE FORM

PRICE BID

The total bid price for this contract is (in words & figures; may attach separate schedule.):

CM-07

In response to the Price Requirements in the Purchase Description and Specifications, the price components of the bid price are:

Complete as required in Price Requirements: e.g., rates, price changes, first fiscal year, total contract period, etc. May attach separaterate schedule.

The names and address of all persons interested in this bid as principals other than the undersigned are:

REFERENCES

NOTICE TO BIDDER

Failure to provide the following information, if required in the Purchase Description and Specifications, will result in a non-responsive bid.

List three or more contracts on which you served as contractor or have provided supplies or services, as the case may be, within the past two (2) years (unless a lesser or greater period is specified by the Official) for work of similar character as required in the Purchase Description and Specifications in this Invitation For Bids.

Reference 1

Scope of Contract

Company or Entity

Contact Name and Phone Number

Amount of Contract

Reference 2

Scope of Contract

Company or Entity

OSTON CITY of BOST N

BID RESPONSE FORM

Contact Name and Phone Number

Amount of Contract

Reference 3

Scope of Contract

Company or Entity

Contact Name and Phone Number

Amount of Contract

Bank References

Name of Bank Phone Number

CM-07

LEGAL FORM OF BUSINESS ENTITY

The Bidder is a/an Individual

Partnership

Limited Liability Partnership (LLP)

Corporation

Limited Liability Company (LLC)

Joint Venture

Trust

Other (written description):

If the Bidder is a Partnership, state name and address of all general and limited partners:

Legal form of Business

Entity

Names and Addresses of

General and Limited

Partners

OSTON CITY of BOST 3

If the Bidder is a Corporation, state the following:

Corporation is incorporated in the State of

President is

Treasurer is

Place of business is

If the Bidder is a Joint Venture, state the name and business address of each person, firm or company that is party to the joint venture:

State of Incorporation

Name of President

Name of Treasurer

Business Address (Street, City, State, & Zip Code)

Names and Addresses of all Parties to the Joint

Venture

A copy of the joint venture agreement is on file at

Location of Joint Venture

Agreement and will be delivered to the Official on request.

If Bidder is a Trust, state the name and address of all Trustees:

A copy of the trust document(s) are on file at

Names and Addresses of all Trustees

Location of Trust

Documents and will be delivered to the Official on request.

If the business is conducted under any title other than the real name of the owner, state the time when, and place where, the certificate required by General Laws, Chapter 110, §5 was filed:

State, time, and place where certificate filed

OSTON CITY of BOSL 4

The Taxpayer Identification Number* of the bidder (the number used on the Employer's Quarterly Federal Tax Return, U.S.

Treasury Department Form 941) is

*If individual, use Social Security Number

Bidder Taxpayer

Identification Number

Bidder Individual Social

Security Number

Number of Years in Business Under Present Name

Ever failed to complete any work awarded?

If answer is yes, state circumstances:

City of Boston Ordinance, Chapter IV, § 4-8 requires City Contractors to safeguard unprotected pedestrians, cyclists, and motorcyclists by installing side under-ride guards, convex blind spot mirrors, cross-over mirrors, and appropriate warning signage on all large vehicles used within the City of Boston in connection with a City Contract. Large vehicles are those with a gross weight exceeding 10,000 lbs., a trailer with an unladen mass exceeding 10,000 lbs., or a semi-trailer with a gross weight exceeding 26,000 lbs. Contractors are required to have such large vehicles inspected by the City prior to starting work on a City of Boston Contract. Additional details may be found at boston.gov/procurement.

The undersigned certifies under penalties of perjury that this bid or proposal has been made an submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word

"person" shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity or group of individuals.

Bidder

Signature

Title

Business Address (Street)

Business Address (City, State, Zip Code)

APPROVED AS TO FORM BY CORPORATION COUNSEL APRIL, 2025

THIS FORM IS VOID AND WITHOUT LEGAL EFFECT IF ALTERED IN ANY WAY

OSTON CITY of BOSI