Fillable Bid Form- Attitash Water Main Replacement Bid.pdf

MER-209/Contract No. 95 BID INDEX

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TOWN OF MERRIMAC, MASSACHUSETTS

BOARD OF SELECTMEN

CONTRACT NO. 95

ATTITASH AREA WATER MAIN

BID

INDEX

DESCRIPTION PAGE NUMBER

Conditions 00300-1

Bid Form 00300-2/7

Statement of Experience 00300-7/9

Signature Page 00300-10

Certificate as to Corporate Bidder 00300-11

Certificate of Foreign Corporation 00300-12

Contract Insurance Requirements 00300-13

Certificate of Non-Collusion, Certificate of Debarment, Tax

Compliance Certification 00300-14

OSHA Certification 00300-15

Bid Bond 00310-1/2

MER-209/Contract No. 95 BID

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BID

The undersigned as Bidder, declares that all persons or parties interested in this Bid as principals are named herein; that this Bid is made without collusion with any person, firm or corporation; that he has carefully examined the location of the proposed Work, read the Contract Documents, and that he proposes and agrees to contract with the Town of Merrimac in the form of a Contract to be deposited with the

Owner, to provide all necessary machinery, tools, apparatus and other means of construction, and to do all the work and furnish the materials and labor, specified in the Contract, in the manner and time therein prescribed, and according to the requirements of the OWNER, as therein set forth, and that he will take in full payment therefore, the amounts resulting from the unit and/or lump sum prices which he bids in the following tabulation, when multiplied by the quantities of Work actually accomplished.

The estimated quantities shown in the following tabulation are approximate and are given to provide a uniform basis for comparison of Bids. The OWNER does not expressly or by implication agree that the actual quantities of Work to be done will correspond thereto, and the OWNER reserves the right to increase or diminish the quantity of work, or to omit items of Work as required to keep the Work within the limits of available funds.

Bidder hereby agrees to commence Work under this Contract on or before the date specified in the Notice to Proceed and to complete the Project within the 90 consecutive calendar days, as indicated on the Notice to Proceed thereafter, unless an extension of time is granted. Bidder further agrees to pay as liquidated damages, the sum of $400.00 for each consecutive calendar day thereafter that such work is not completed, as provided in the Information for Bidders Section of this Contract.

Bidder acknowledges receipt of Addenda:

#1 #2 #3

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BID FORM

ITEM

NO. DESCRIPTION AMOUNT

1. For Mobilization, the lump sum price of

(Lump Sum Price in Words)

(Maximum Bid Price for this Item is 5% of the Total Bid)

2. For Additional Excavation, the unit price of

(Unit Price in Words) per cubic yard for an estimated quantity of

95 c.y. x $ = $

(Unit Price in Figures)

3. For Below Grade and Unsuitable Earth Excavation, the unit price of

5 c.y. x $ = $

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4. For Rock and Boulder Excavation, the unit price of

20 c.y. x $ = $

5. For Furnishing and Placing Ordinary Borrow, the unit price of per cubic yard, for an estimated quantity of

5 c.y. x $ = $

6. For Furnishing and Placing Processed Gravel, the unit price of

50 c.y. x $ = $

7. For Furnishing and Placing Crushed Stone, the unit price of

20 c.y. x $ = $

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8. For Furnishing and Placing 8-Inch CLDI Pipe, the unit price of per linear foot, for an estimated quantity of

18 l.f. x $ = $

9. For Furnishing and Placing 4-Inch CLDI Pipe, the unit price of

335 l.f. x $ = $

10. For Furnishing and Installing Fittings, the unit price of per pound, for an estimated quantity of

475 lbs. x $ = $

11. For Furnishing and Installing 8-Inch Gate Valve and Valve

Box, the unit price of per each, for an estimated quantity of

1 ea. x $ = $

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12. For Furnishing and Installing 4-Inch Tapping Sleeve, Gate Valve and Valve

Box, the unit price of

13. For Furnishing and Installing 2-Inch Corporation Stops the unit price of

14. For Furnishing and Installing 2-Inch Curb Stops and Valve Box the unit price of

15. For Furnishing and Installing 2-Inch Service Tubing, the unit price of

15 l.f. x $ = $

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16. For Furnishing and Installing Hydrant Assemblies, the unit price of

17. For Furnishing and Installing Cast-In-Place Concrete, the unit price of

3 c.y. x $ = $

18. For Furnishing and Installing 4-Inch Asphaltic Concrete Trench

Resurfacing, the unit price of per ton, for an estimated quantity of

55 tons x $ = $

19. For Furnishing and Installing Loam and Seed, the unit price of per square yard, for an estimated quantity of

70 s.y. x $ = $

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20. For Dust Control Treatment, the unit price of per one hundred (100) lbs. applied, for an estimated quantity of

3 cwt. x $ = $

BID TOTAL $

The undersigned as Bidder, hereby certifies that he will maintain records in reasonable detail, which accurately and fairly reflect the financial transactions and disposition of the Bidder, in accordance with M.G.L. Chapter 30, Section 39R.

STATEMENT OF EXPERIENCE: The undersigned as Bidder declares that he has successfully accomplished similar work in the following places:

1. Description of Project

(Include type of project, total value of Contract, date of completion, etc.)

Owner & Contact Person

(Names, Addresses, and Telephone Nos.)

Engineer & Contact Person

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2. Description of Project

(Names, Addresses and Telephone Nos.)

3. Description of Project

(Names, Addresses and Telephone Nos.)

NOTE: Bidders may attach supplementary information, if necessary, to indicate the experience, organization and equipment available to undertake the Work in the event of an award of the

Contract.

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The Bidder shall list below, the name/names of subcontractor, if other than Bidder, who shall perform work on the project. Upon request, the Bidder shall submit a list of experience for sub-contractor(s).

A.

B.

Each Bid shall be accompanied by a Bid Security in the amount of 5% of the Total Bid Price, and no Bidder may withdraw his Bid for a period of thirty (30) days after the date of Bid opening, excluding Saturdays, Sundays and holidays.

A Performance Bond and a Payment Bond, each in the amount of 100 percent of the Contract

Price, with a corporate surety approved by the OWNER, will be required for the faithful performance of the Contract.

BIDDER: The full name and residence of all persons and parties interested in this Bid as principals, is as follows:

This Bid must bear the written signature of the Bidder or his authorized agent. If the Bidder is a corporation or a partnership, the Bid must be signed by a duly authorized officer of such corporation or by a partner, and the title of such officer must be stated.

The undersigned as Bidder certifies under penalties of perjury that this Bid is in all respects bona fide, fair and made without collusion or fraud with any other person. As used in this paragraph the word "person" shall mean any natural person, joint venture, partnership, corporation or other business or legal entity.

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Pursuant to MGL 62C, Sec. 49A, I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all State Tax Returns and paid all State Taxes required under

Massachusetts General Laws.

BID OF: NAME

ADDRESS

LOCATION

TELEPHONE

E-MAIL ADDRESS

FAX

BY

TITLE

DATE

SEAL (If Bid is by a Corporation)

ATTEST

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CERTIFICATE AS TO CORPORATE BIDDER

I, certify that I am the of the corporation named as Bidder in the Bid included herein; that , who signed said Bid on behalf of the Bidder was then of said corporation;

that I know his signature; that his signature thereon is genuine and that said Bid was duly signed, sealed and executed for and in behalf of said corporation by authority of its governing body.

(Corporate Seal)

Secretary-Clerk

Dated:

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CERTIFICATE OF FOREIGN CORPORATION

If the Bidder is a foreign corporation, by affixing his or her signature, the Bidder certifies that the corporation is qualified under provision of MGL C181, Section 4 to do business in the Commonwealth of Massachusetts.

(Company Name)

(Signature/Title)

If awarded the Contract, the Contractor shall provide with his agreement package, a certificate from the Secretary of the Commonwealth of Massachusetts that the corporation is qualified under provisions of MGL c181, Section 4, to do business in the Commonwealth.

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CONTRACT INSURANCE REQUIREMENTS

The undersigned certifies that he/she is aware of the insurance requirements of this Contract and he/she is willing and able to furnish the required insurance forms as specified, and that this Bid is prepared on the basis of compliance with these requirements.

Signature of Individual Submitting Bid

Name of Business

Date

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CERTIFICATE OF NON-COLLUSION

The undersigned as Bidder certifies under penalties of perjury that this Bid has been made and submitted in good faith and without collusion or fraud with any other person. As used in this paragraph the word

"person" shall mean any natural person, business, joint ventures, partnership, corporation or other organization, entity or group of individuals.

Signature of individual submitting bid

CERTIFICATE OF DEBARMENT

The undersigned further certifies under penalty of perjury that the said undersigned is not presently debarred from doing public construction work in the commonwealth under the provisions of section twenty-nine F of chapter twenty-nine or any other applicable debarment provisions of any other chapter of the General Law or any rule or regulation promulgated thereunder M.G.L. c.149, ss. 44E(2) and 44F(2).

(Company Name)

(Signature/Title)

TAX COMPLIANCE CERTIFICATION

Pursuant to M.G.L. c62C, Section 49A, the undersigned hereby certifies under penalty of perjury has complied with all tax laws of the Commonwealth of

Massachusetts relating to taxes, reporting of employs and contractors, and withholding and remitting child support.

Signature of individual submitting bid

Social Security Number or Federal Tax

Identification Number

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OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION CERTIFICATION

The undersigned agrees that if he is selected as the contractor, he will comply with the provisions of M.G.L.

Chapter 30, Section 39S.

The undersigned certifies, under penalties of perjury, that he is able to furnish labor that can work in harmony with all other elements of labor employed or to be employed in the work; that all employees to be employed at the worksite will have successfully completed a course in construction safety and health approved by the United States Occupational Safety and Health Administration that is at least 10 hours in duration at the time the employee begins work and who shall furnish documentation of successful completion of said course with the first certified payroll report for each employee; and that all employees to be employed in the work subject to this bid have successfully completed a course in construction safety and health approved by the United States Occupational Safety and Health Administration that is at least 10 hours in duration.

Date _________________________

(Name of General Bidder)

By_____________________________

(Name of person Signing Bid and Title)

Signature is required

(Business Address)

(City and State)

(Telephone Number)

MER-209/Contract No. 95 BID BOND N 10/27/2016 00310-1

BID BOND

KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, as

Principal, and as Surety, are hereby held and firmly bound unto the Board of Selectmen, Town of Merrimac, Massachusetts as OWNER in the penal sum of for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors and assigns.

Signed, this day of , 20 .

The Condition of the above obligation is such that whereas the Principal has submitted to the Board of

Selectmen, Town of Merrimac, Massachusetts a certain Bid, attached hereto and hereby made a part hereof to enter into a Contract in writing, for the Attitash Area Water Main in Merrimac, Massachusetts.

NOW, THEREFORE,

(a) If said Bid shall be rejected, or

(b) If said Bid shall be accepted and the Principal shall execute and deliver a Contract in the

Form of Contract attached hereto (properly completed in accordance with said Bid) and shall furnish a Bond for his faithful performance of said Contract, and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created by the acceptance of said Bid, then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated.

The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its

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Bond shall be in no way impaired or affected by any extension of the time within which the OWNER may accept such Bid; and said Surety does hereby waive notice of any such extension.

IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hand and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above.

(L.S.)

Principal

Surety

By:

IMPORTANT - Surety companies executing Bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the state of Massachusetts.