For_Information_Only_-_SAMPLE_of_Special_Provisions_Forms.docx

DOCX document 32 KB Posted

Attached to
Railroad Boring Services Briarwood Road State and local contract opportunity
Solicitation number
2026-RFB-008
Issued by
Hampton County, South Carolina

About this file

This file contains sample special provisions forms for the Greenwood Metropolitan District in South Carolina related to the Railroad Bore - Briarwood Road Project (2026-RFB-008, CSX# 1061258). The document provides templates for standard contract administration instruments including the Notice of Award, Notice to Proceed, Change Order Agreement, and Application for Payment. The project involves railroad boring services on Briarwood Road, with responses due prior to 4:00 pm on Tuesday, October 27, 2026, through the District's eProcurement Portal. The Notice of Award form indicates that the selected bidder must execute a written contract and deliver performance and payment bonds along with certificates of insurance within ten calendar days of award, with failure to comply resulting in potential forfeiture of the bid bond.

The file establishes key procedural requirements for contract management, including a 10% retainage on all progress payments and provisions for tracking original contract value, net change orders, and current contract value. The Application for Payment form requires contractors to certify that no outstanding claims exist against the owner except those specifically documented, and to demonstrate that previous progress payments have been fully applied to discharge all obligations including material purchases and subcontractor payments. All forms require signatures from the contractor, the engineer (identified as Kevin Anderson, PE - Engineering Director), and the Greenwood Metropolitan District owner, establishing a three-party approval structure for project administration and payment processing.

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Text version

NOTICE OF AWARD

To: _______________________________________

Project Description: Railroad Bore – Briarwood Road Project 2026-RFB-008 (CSX# 1061258)

The OWNER has considered your BID submitted on ______________ for the above-described WORK in response to its Advertisement for Bids and Information for Bidders.

The OWNER has approved your BID in the amount of $_______________________________ for award for the above-described WORK pending and conditioned upon the following:

1. Execution of a written contract by both parties and delivery of the executed Contract to the Contractor after approval and certification by the OWNER’s legal counsel;

2. Delivery of the Contractor’s Performance Bond, the Payment Bond and the required Certificates of Insurance within ten (10) calendar days from the date of this Notice.

3. Obtaining any and all required regulatory agency approvals.

This Notice of Award is not a Contract.

If you fail to execute said Agreement and to furnish said Bonds and Certificates of Insurance within ten (10) calendar days from the date of this Notice, said OWNER may elect to consider all your rights arising out of the OWNER’S acceptance of your BID as abandoned and as a forfeiture of your BID BOND. The OWNER may also pursue all other rights it may have under law.

You are required to return an acknowledged copy of this Notice of Award to the OWNER.

DATED THIS ___________________ DAY OF ____________________, 20____.

GREENWOOD METROPOLITAN DISTRICT (OWNER)

By:______________________________________ Title:____________________________________

ACCEPTANCE OF NOTICE

Receipt of the above Notice of Award is hereby acknowledged by ___________________, this _______ day of ____________________, 20____.

By:

Title:

NOTICE TO PROCEED

To: _______________________________________

Project Description: Railroad Bore – Briarwood Road Project 2026-RFB-008 (CSX# 1061258)

You are hereby notified to commence Work in accordance with the Agreement dated _______________, 20____ on or before_______________, 20____, and you are to complete the Work by ____________________________.

GREENWOOD METROPOLITAN DISTRICT (OWNER)

By:____________________________ Title:__________________________

ACCEPTANCE OF NOTICE

Receipt of the above Notice to Proceed is hereby acknowledged by ___________________, this _______ day of ____________________, 20____.

By:

Title:

CHANGE ORDER AGREEMENT

Date:______________________________

GREENWOOD METROPOLITAN DISTRICT (OWNER)Change Order No.
Project Description:Railroad Bore – Briarwood Road Project 2026-RFB-008 (CSX# 1061258)

The following changes are made to the Contract Documents:

(Attach any drawings or other documentation necessary to explain or demonstrate this change.)

Original CONTRACT PRICE: $ Current CONTRACT PRICE as adjusted by previous CHANGE ORDERS:

The CONTRACT PRICE due to this CHANGE ORDER will be (increased) (decreased) by:

The new CONTRACT PRICE including this CHANGE ORDER will be:

The CONTRACT TIME will be (increased) (decreased) by _______ calendar days due to this CHANGE ORDER. The date of completion of all work will be ________________, 20___.

THE CONTRACTOR AFFIRMS, REPRESENTS AND WARRANTS AS OF THIS DATE THAT THERE ARE NO OTHER OUTSTANDING CHANGE ORDERS REQUIRED BY THE CONTRACTOR, OR OUTSTANDING CLAIMS FOR ANY ADDITIONAL MONEY OR COSTS, INCLUDING IMPACT COSTS OR DAMAGES OR CLAIMS FOR TIME EXTENSION, OR CLAIMS OF ANY OTHER KIND OR NATURE AGAINST THE OWNER, EXCEPT THE FOLLOWING: (Describe separately here any such claim, state the total dollar amount and/or time extension sought per claim alleged to be due from the Owner, and the status of the claim as of this date.)

Requested by:

Recommended by:

(Engineer’s Signature and Title)

AGREED: OWNER AGREED: CONTRACTOR

By: By:

Date: Date:

APPLICATION FOR PAYMENT

OWNER: GREENWOOD METROPOLITAN DISTRICT

CONTRACTOR:

ENGINEER: KEVIN ANDERSON, PE – ENGINEERING DIRECTOR

NAME OF PROJECT: Railroad Bore – Briarwood Road Project 2026-RFB-008 (CSX# 1061258)

APPLICATION FOR PAYMENT NO.:

CONSTRUCTION PERIOD: FROM: TO:

SUMMARY OF WORK

Original Contract Value: $

Net Change Orders to Date: $

Current Contract Value: $

Total Contract Work Performed to Date: $

Materials Stored on Jobsite $

Subtotal to date: $

Less 10% Retainage $

Subtotal: $

Less Previous Payments: $

Amount Due This Application for Payment $

THE CONTRACTOR BY PRESENTING THIS PAY ESTIMATE STATES, REPRESENTS AND WARRANTS THAT AS OF THE DATE OF THIS REQUEST THERE ARE NO OUTSTANDING CLAIMS ON HIS BEHALF AGAINST THE OWNER FOR ANY ADDITIONAL MONEY, COSTS OR DAMAGES, (INCLUDING IMPACT COSTS OR DAMAGES), OR CLAIMS ARISING FROM DELAY OR FROM THE DENIAL OR THE GRANTING OF TIME EXTENSIONS, OR FROM CLAIMS OF ANY OTHER KIND OR NATURE EXCEPT FOR THE FOLLOWING: (DESCRIBE HERE THE NATURE OF ANY SUCH CLAIMS, THE DATE EACH CLAIM AROSE, THE DATE NOTICE WAS GIVEN PURSUANT TO THE GENERAL CONDITIONS, THE EXACT AND TOTAL DOLLAR AMOUNT CLAIMED, AND THE STATUS OF EACH CLAIM AS OF THIS DATE:

The Contractor has attached a Schedule of Values showing all Bid Items included in the BID. The Schedule of Values includes the quantity, location of work performed, and value of work completed for each Bid Item since the previous pay application and the quantity and value of work completed to date for each Bid Item. An itemized spreadsheet is provided with the Application for Payment detailing and documenting the specific location of all work performed since the previous Application for Payment.

In addition, by submitting and signing this Application for Payment, the Contractor certifies that progress payments previously received from the OWNER on account of the work for the PROJECT have been applied by the Contractor to discharge in full all of the Contractor’s obligations incurred in connection with the work covered by all prior Applications for Payment, including full payment of materials purchased and full payment to subcontractors.

SUBMITTED RECOMMENDED FOR APPROVAL

CONTRACTOR: ENGINEER: GMD ENGINEERING DIRECTOR

By: By:

Date: Date:

APPROVED

OWNER: GREENWOOD METROPOLITAN DISTRICT

By:

Date:

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