ESBD_400501_1741205729442_Attachment A - Respondent Bid Form and Checklist fillable.pdf

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Respondent Bid Form and Checklist

IFB 809-25-0007

Infrared Electrical Systems Survey

This form must be complete, signed, and submitted with the Respondent's bid. Failure to submit this completed form will result in disqualification of the bid.

Firm Name (Legal Name):

DBA Name, if applicable:

Contact Person’s Name and Title (Firm’s Legal Representative)

Address:

Phone Number:

Email Address:

Federal Employer Identification Number (FEIN):

Is your company a certified Historically Underutilized Business (HUB) with the State of Texas Comptroller’s Office? Yes___ No___

Bid Pricing

LUMP SUM BID PRICING FOR EACH SPB PROPERTY LISTED IN THE SCOPE TO FURNISH ALL

LABOR, MATERIALS, EQUIPMENT, SUPERVISION, AND EVERYTHING NECESSARY TO PROVIDE

THE SERVICES DESCRIBED IN THIS INVITATION FOR BID. PRICES ARE FIRM FOR THE DURATION

OF THE PERFORMANCE OF SERVICES. THE STATE PRESERVATION BOARD (SPB) IS SOLICITING

A BID FOR THE FOLLOWING LOCATIONS:

• Capitol and Capitol Extension

• Capitol Visitor Center

• Visitors Parking Garage

• Texas State Cemetery

• Governor’s Mansion

• Sam Houston Building State Office Building

• John H. Reagan State Office Building

• Robert E. Johnson Legislative Office Building

• Bullock Texas State History Museum

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Having carefully examined the invitation for bids (IFB) for Infrared Electrical Systems Survey the undersigned proposes to provide the requested services for the sum of:

LUMP SUM BID – All Properties LUMP SUM PRICE/DAYS

All Material and Labors per IFB $

CALENDAR DAYS TO COMPLETE

Total Lump Sum Bid Written in Words:

I, the undersigned, am the above referenced company’s representative, and I am authorized to submit this response and sign future contract documents. By signing below I also acknowledge and accept all addenda to this RFP posted with the solicitation on Electronic State Business Daily

(ESBD).

Authorized Signature Date

Checklist: Required Bid Content

Each item listed below must be included with the proposal submission. Proposals that are missing an item or items may be disqualified.

1. Complete and signed Respondent Bid Form with Bid Pricing

2. Complete and signed HUB Subcontracting Plan (Attachment B)

3. Company Profile

4. References with Corresponding Projects

5. Proposed Project Schedule

6. Proof of thermographer training

7. Copy of respondent’s Safety Manual Table of Contents

8. Equipment calibration statements

9. Sample Report

10. Copy of Certificate of Insurance