DOGAT30SBR PRICE FORM.docx
DOCX document 21 KB Posted
- Solicitation number
- BPM058001
- Issued by
- Dorchester County, Maryland
About this file
This is a price form for Invitation for Bid (IFB) DOGAT30SBR issued by the Maryland Department of Transportation (MDOT) State Highway Administration (SHA) for Gate Operator Maintenance and Repair services in Dorchester County. The contract requires bidders to provide pricing for four line items: quarterly gate preventative maintenance inspections (12 per year), repair labor at straight time hourly rates for technicians performing gate repairs and maintenance (60 hours estimated), trip fees or charges for repair calls (6 per year), and repair parts and materials based on manufacturer's suggested retail price (MSRP) capped at $3,000 per occurrence. Bidders must complete the price form in its entirety without alteration and submit only the stipulated pricing information.
This procurement is designated as a Small Business Reserve contract, requiring all bidders to meet Maryland's small business certification qualifications under State Finance and Procurement Article 14-501(c). Bidders must affirm their small business status under penalty of perjury and notify the procurement officer within 30 days if their status changes during contract performance, with failure to do so resulting in contract termination. Bids should not include Maryland sales and use taxes or federal excise taxes, as SHA holds exemption certificates for both. The total bid amount is the sum of all pricing columns, and bidders must provide company information, authorized representative signature, federal tax identification number, and contact details.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| DOGAT30SBR_Final_Gate_IFB.docx | DOCX document | |
| Attachment 1 - No Bid_Vendor Feedback Form.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PRICE FORM– ATTACHMENT-B
This form and Small Business Contract Affidavit is to be completed in its entirety, is not to be altered in any way and is to contain only the price or prices stipulated on the form.
Bidders Price Form (DOGAT30SBR)
| Column A |
| Column B |
| Column C |
| Column D |
| Item |
| Estimated Quantity |
| Vendor’s Bid Per Unit |
| Total Cost ($) |
| Item 1) Quarterly Gate Preventative Maintenance Inspection. |
| 12/EA |
| $__________EA |
| $__________ |
Item 2) Repair Labor (Straight Time) Routine Hourly Rate -per technician for gate repairs, maintenance, installation, etc.
| 60/HR |
| $___________HR |
| $_________ |
| Item 3) Trip Fee/Charge for Repair |
| 6/EA |
| $____________EA |
| $__________ |
| Item 4) Repair Parts& Materials (MSRP) |
| 1/EA |
| Do Not Alter |
| $3,000.00 |
| TOTAL BID AMOUNT (Sum of Column D) |
| $____________ |
For the Contractor:
Company Name & Address
City State Zip
Representing the above Company _______________________________
SIGNATURE
Print Name & Title
SOCIAL SECURITY NO. OR
FEDERAL TAX ID NO. _________________________ DATE: ___________________
Phone number_____________________________ Email____________________________
NOTE:
a) Quantities are estimated and used for bid evaluation only. They may not represent the actual quantities experienced once the contract is awarded.
b) SHA, is exempt from Maryland Sales and Use Taxes by Exemption Certificate Number 3000256-3 and from Federal Excise Taxes by Exemption Number 52-73-0358K. Do not include tax in bid prices
Maryland Department of Transportation
SMALL BUSINESS CONTRACT AFFIDAVIT
********** PROVIDING FALSE INFORMATION **********
Anyone providing false information to the State of Maryland in connection with obtaining or attempting to obtain a contract under Small Business Reserve or Preference procurement may be subject to the following:
1. A determination by a Procurement Officer that a bidder/offeror is not responsible;
2. A determination that a contract entered into is void or voidable under § 11-204 of the State Finance and Procurement Article of the Annotated Code of Maryland;
3. Suspension and debarment under Title 16 of the State Finance and Procurement Article;
4. Criminal prosecution for procurement fraud (§ 11-205.1 of the State Finance and Procurement Article), perjury, or other crimes; and
5. Other actions permitted by law.
********** FAILURE TO MEET MINIMUM QUALIFICATIONS **********
Any Bidder or potential bidder failing to meet the qualifications of a "small business" specified in § 14-501(c) of the State Finance and Procurement Article will be ineligible to participate in a procurement designated for a Small Business Reserve under § 14-504 or Small Business Preference under § 14-206 - 207. Any person or company bidding on Small Business Reserve or Preference procurement and not qualifying as a small business under § 14-501(c) will have its bid or offer rejected on the ground that the bidder is not responsible.
I AFFIRM THAT:
| To the best of my knowledge, information, and belief, as of the date of submission of this Bid/Proposal, | ||
| (name of firm) meets the qualifications for certification as a Small Business in Maryland. I further affirm that, if for any reason during the term of the contract | (name of firm) no longer meets the qualifications of certification as a Small Business in Maryland, I will notify the Procurement Officer within 30 days. I agree that a failure to so notify the Procurement Officer of this change in circumstances may result in this contract being terminated for default. |
I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.
SMALL BUSINESS QUALIFICATION NUMBER ___________________
Date of Most Recent Qualification__________________________________
DATE:_____________
BY:_____________________________________________________________
Signature (Authorized Representative and Affidavit)
File details come from the government source that posted it. Updated .