ESBD_544698_1785454681326_Attachment A - Respondent Bid Form.pdf

Attachment A

Respondent Bid Form

IFB 809-26-0013

Texas Capitol and Extension Interior Painting Services

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

Respondent Information

Respondent (Legal Entity) Name:

DBA Name, if applicable:

Federal Employer Tax Identification Number (EIN):

Contact person name and title regarding Respondent’s response to the IFB:

Address:

Phone Number:

Email Address:

Is your company a certified VetHUB with the State of Texas by the CPA?

Yes No

Bid Hourly Rates

Please supply painting foreman and journeyman painter rates during normal business hours (defined as Monday-Friday, 7:30AM-4:30PM) and after normal business hours. Hourly rates are to furnish all required labor, materials, equipment, supervision, and everything necessary to provide the services described in this Invitation for Bid.

POSITION HOURS RATE

Painting Foreman Normal Business Hours $ /per hour AFTER Normal Business Hours $ /per hour

Journeyman Painter Normal Business Hours $ /per hour AFTER Normal Business Hours $ /per hour

Respondent confirms that they will provide seven (7) qualified employees to complete the work (one painting foreman and 6 journeyman painters): Yes

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 IFB posted with the solicitation on Electronic State Business Daily (ESBD).

Authorized Signature Date

Printed Name and Title

Proposed Project Foreman

Respondent must provide the name, phone number, email address, and years of experience of the proposed project foreman.

Proposed Foreman Name:

Email Address:

Phone Number:

Years of Experience in Commercial Painting:

Years of Experience in Commercial Painting Supervision:

Firm References and Corresponding Projects

Respondent must provide information for three (3) references and corresponding projects where services comparable in size and scope to this IFB have been performed by the firm within the last two (2) years. Complete all fields below.

Reference 1

Company Name:

Reference Contact Name:

Reference Title:

Project Name and Location:

Project Dates: From (Month/Year): to (Month/Year):

Description of Project Services and Scope:

Reference 2

Reference Contact Name:

Reference Title:

Project Name and Location:

Reference 3

Address:

Reference Contact Name:

Reference Title:

Phone Number:

Email Address:

Project Name and Location:

Copy of Respondent’s W-9

Provided by respondent. Attach a copy of the firm’s W-9 to the bid submission.