Attachment_J_12_-_BID-OFFER_FORM.pdf

Attachment J.12

OFFER FORM

BID/OFFER FORM

DCSC-18-RP-0023

Moultrie Courthouse C Street Addition Phase 2A Furniture

SUBMITTED BY DATE ________________

District of Columbia Courts Capital Projects and Facilities Management Division 616 H Street, NW; 6th Floor, Suite 622 Washington, DC 20001

Attention: Kiana Green

We the undersigned have carefully examined the RFP, and all solicitation materials prepared by the Owner do hereby propose to provide furnishings for the above referenced project in accordance with the Solicitation DCSC-18-RP-0023.

1. ACKNOWLEDGMENT OF AMENDMENTS

The Bid/Offeror acknowledges receipt of Amendments to the solicitation and related documents numbered and dated as follows:

AMENDMENT NO. DATE

2. UNIT PRICES

We agree that the unit prices as listed herein will apply in the event that changes involving additions to or deductions from the Work to be performed under the Contract are authorized by a written order from the Owner to the Contractor, in accordance with the provisions of the General Conditions, and that the unit prices are based on providing all Work complete in place in accordance with the applicable requirements of the Contract Documents, including all of the Contractor's and Subcontractors' complete costs, expenses, overhead and profit.

We understand that the Owner reserves the right to accept or reject any or all of the unit prices prior to the execution of the Contract.

3. ACCEPTANCE OF PROPOSAL

We agree that this Bid/Offer may be held by the Owner for a period not exceeding one hundred twenty (120) calendar days from date stated for the receipt of Bid/Offers.

OFFER FORM

If written notice of the acceptance of this Bid/Offer is mailed or delivered to the undersigned within the time noted above, after the date of the opening of Bid/Offers, or at any time thereafter before this Bid/Offer is withdrawn, the undersigned agrees to execute and deliver a Contract in the form specified in accordance with the Bid/Offer as accepted within five (5) days of contract award.

It is understood and agreed that the DC Courts reserves the right to award the Contract in the best interests of the DC Courts, to reject any or all Bid/Offers, to waive any informalities in soliciting, and to hold all Bid/Offers for the period noted above.

4. BUY AMERICAN CERTIFICATION

The Offeror hereby certifies that each end product is a domestic end product (as defined in Clause 29 of the District of Columbia Standard Contract Provisions for use with District of Columbia

Government Supply and Services Contracts, “Buy American Act”), and that components of unknown origin are considered to have been mined, produced, or manufactured outside the United States.

If there are products that are not a domestic end product of the United States, then the Offeror must provide a listing of those products, per the outline below:

NON USA END PRODUCTS COUNTRY OR ORIGIN QTY

5. OFFICERS NOT TO BENEFIT CERTIFICATION

Each Bidder/Offeror shall check one of the following:

(__) (a) No person listed in Article 21 District of Columbia Courts General Provisions will benefit from this contract.

(__) (b) The following person(s) listed in Article 21 of the District of Columbia Courts General Provisions may benefit from this contract. For each person listed, attach the written documentation required by Article 21 of the District of Columbia Courts General Provisions.

6. CERTIFICATION OF INDEPENDENT PRICE DETERMINATION

(a) Each signature on the Bid/Offer is considered to be a certification by the signatory that:

1. The prices in this Bid/Offer have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any Bidder/Offeror or competitor relating to the following:

i. Those prices,

ii. The intention to submit an Bid/Offer, or

iii. The methods or factors used to calculate the prices in this Bid/Offer;

2. The prices in this Bid/Offer have not been and will not be knowingly disclosed by the Bidder/Offeror, directly or indirectly, to any other Bidder/Offeror or competitor before Bid/Offer opening unless otherwise required by law; and

3. No attempt has been made or will be made by the Bidder/Offeror to induce any other concern to submit or not to submit a Bid/Offer for the purpose of restricting

OFFER FORM

competition.

(b) Each signature on the Bid/Offer is considered to be a certification by the signatory that the signatory;

1. Is the person in the Bidder/Offeror’s organization responsible for determining the prices being offered in this Bid/Offer, and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) above;

or

2. As follows:

i. Has been authorized, in writing, to act as agent for the following principles in certifying that those principals have not participated, and Will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) above: _____________________________________ (Insert full name or person(s) in the organization responsible for determining the prices offered in this Bid/Offer and the title of his or her position in the Bidder/Offeror's organization)

ii. As an authorized agent, does certify that the principals named in subdivision (b)(2)(i) above have not participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) above; and

iii. As an agent, has not participated, and will not participate, in any action contrary to subparagraphs (a) (1) through (a) (3) above.

(c) If Bidder/Offeror deleted or modified subparagraph (a) (2) above, the Bidder/Offeror must furnish with its Bid/Offer a signed statement setting forth in detail the circumstances of the disclosure.

7. PAYMENT IDENTIFICATION NUMBER

The Owner utilizes an automated vendor database. All firms are required to submit their Federal Tax Identification Number. Individuals must submit their social security numbers.

Federal Tax Identification Number: ____________________________________________ Or

Social Security Number: ____________________________________________________

Legal Name of Entity Assigned this Number: ____________________________________

Street Address and/or Mailing Address: _________________________________________

City, State, and Zip Code: ____________________________________________________

Type of Business: __________________________________________________________

Telephone Number: _________________________________________________________

PAYMENTS UNDER TERMS OF ANY CONTRACT RESULTING FROM THIS

SOLICITATION WILL BE HELD IN ABEYANCE PENDING RECEIPT OF A VALID

FEDERAL TAX IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER.

OFFER FORM

8. SIGNATURE OF BIDDER/OFFEROR

Bidder/Offeror: ______________________________________________________ (Firm Name)

By: _____________________________________________________________

Title: _____________________________________________________________

(Business Address)

State of Incorporation: _________________________________________________

Names and Addresses of Officers:

President: ________________________________________________________

(Business Address)

Secretary: ________________________________________________________

(Business Address)

Treasurer: ________________________________________________________

(Business Address)

Date: ________________________________________________________

END OF DOCUMENT