Exhibit 4 - Proposal Bond.pdf

BID FORM

To: MAILING ADDRESS: PHYSICAL ADDRESS:

Missouri Department of Transportation

P. O. Box 270 Jefferson City, MO 65102 Attn: Michael Yoder

Missouri Department of Transportation General Services Division 830 MoDOT Drive Jefferson City, MO 65109

1. The undersigned, having examined the proposed Contract Documents titled MODOT-FY25-0175-SL -

SE Poplar Bluff Building Rehabilitation RFP having visited the site and examined the conditions affecting the work, hereby proposes and agrees to furnish all labor, materials, equipment and everything which may be necessary or incidental thereto, as proposed by said Contract Documents, all to the satisfaction of the General Services-Facility Operations Supervisor or designated representative of the Missouri Department of Transportation and the Missouri Highway and Transportation Commission, for the stipulated sum of:

DOLLARS

2. The undersigned, acknowledges having examined and being familiar with the contract documents including the drawings, the Instructions to Bidders, General Conditions, Supplementary Conditions, and the body of technical specifications.

3. The undersigned acknowledges receipt of Addenda number through inclusive.

4. Enclosed with this bid is bid security in the amount of not less than 5% of the bidder's proposed Contract

Sum, the amount being DOLLARS

IF AN INDIVIDUAL

Name of individual Residence address

Social Security Number Telephone Number

Firm Name, If Any

Address for communications Signature

IF A PARTNERSHIP

(State Name and Residence Address of All Partners)

Name of Partnership

Partner Residence Address

Partner Residence Address

Federal Tax I.D. Number

Address for Communications Signature of Either Partner

Telephone Number

IF A CORPORATION

Incorporated under the laws of the

Name of Corporation State of

Corporate License No.

Name and Title of Officer (If a corporation organized in a state other than

Missouri, attach Certificate of Authority to do business in the State of Missouri.)

Signature of officer

Federal Tax I.D. Number

(ATTEST)

Address for Communications

Telephone Number (SEAL) Secretary

(Each bidder must complete the Bid Form by signing in the proper signature line above and by supplying the required information called for in connection with the signature. The information called for is necessary in the proper preparation of the contract and performance bond.)

00430

SUBCONTRACTOR LISTING

1. For portions of Work equaling or exceeding 10% of the total proposed Contract Sum, the undersigned proposes to use the following subcontractors. Except as otherwise approved by the Owner, the undersigned proposes to perform all other portions of the Work with his own forces.

2. Portion of the Work: Subcontractor name and address:

USE ADDITIONAL SHEETS

BIDDER

: IF REQUIRED

PROVIDE SIGNATURE

IDENTICAL TO THAT

SHOWN ON THE BID FORM by

PROPOSAL BOND

KNOW ALL MEN BY THESE PRESENTS, that we , as Principal, and , as Surety, are held firmly bound unto the State of Missouri (acting by and through the Missouri Highway and

Transportation Commission) in the penal sum of

Dollars

($ ), to be paid to the State of Missouri, or the Missouri Highway and Transportation

Commission, to be credited to the State Road Fund and Principal and Surety binding themselves, their heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

Sealed with our seals and dated this day of , 20

THE CONDITION OF THIS OBLIGATION is such that:

WHEREAS, the Principal is submitting herewith a bid to the Missouri Highways and Transportation Commission for furnishing the MODOT-FY25-0175-SL - SE Poplar Bluff Building Rehabilitation RFP as set out in the proposal to which this bond is attached.

NOW THEREFORE, if the Missouri Highways and Transportation Commission shall accept the bid of the Principal and if said Principal shall properly execute and deliver to the Missouri Highways and Transportation Commission the contract and contract bond in compliance with the requirements of the proposal, the specifications and the provisions of law, to the satisfaction of the Highways and Transportation Commission, then this obligation shall be void and of no effect, otherwise to remain in full force and effect.

In the event the said Principal shall, in the judgment of the Missouri Highways and Transportation Commission, fail to comply with any requirement as set forth in the preceding paragraph, then the State of Missouri acting through the Missouri Highways and Transportation Commission shall immediately and forthwith be entitled to recover the full penal sum above set out, together with court costs, attorney’s fees and any other expense of recovery.

Principal Surety

By Attorney in Fact (SEAL)

Attest: (CORPORATE SEAL)

Corporate Secretary

Note: This bond must be executed by the Principal and by a Corporate Surety authorized to conduct surety business in the State of Missouri.