Form_21126D-18th_Ave_S_bridge.pdf
PDF 125 KB Posted
- Solicitation number
- 0000004250
- Issued by
- Hennepin County, Minnesota
About this file
This is a proposal form (Form 21126D) issued by the City of Minneapolis for the 18th Ave S. bridge over Midtown Greenway Bridge Reconstruction project (State Project No. 141-425-008). The project requires bidders to provide all materials, labor, equipment, and incidentals necessary for the bridge reconstruction in accordance with the provided specifications, event line items, and supplemental documents. The form serves as the formal bid submission document for the Public Works department project and requires bidders to acknowledge receipt of all project requirements, addenda, amendments, plans, standard specifications, and supplemental specifications as binding components of the bid and contract.
The proposal requires submission of a proposal guaranty in the form of a certified check or bond equal to at least 5% of the total bid amount, payable to the City of Minneapolis Treasurer, as mandated by Section 1208 of the Specifications. Bidders must meet a minimum Disadvantaged Business Enterprise (DBE) goal percentage, which must be specified in the proposal submission. All bidders are required to execute a Non-Collusion Affidavit and acknowledge receipt of all addenda issued for the project. The proposal must be executed according to Section 1206 of the Specifications and signed by authorized representatives, including individual owners, partners, or corporate officers (president, vice-president, secretary, and treasurer) with corresponding business addresses.
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Text version
Form 21126D (FF Rev. 1-09) State Project No. 141-425-008
GRAND TOTAL $
The undersigned hereby acknowledges that all requirements included in the proposal, addenda, amendments, plans, standard specifications, and supplemental specifications are a part of this bid and contract.
Signed:______________________________________________
PROPOSAL GUARANTY required by 1208 of the Specifications: "A (certified check) (bond), prepared as required by 1208 of the Specifications and payable to the City of Minneapolis Treasurer, in an amount equal to at least 5% of the total amount of the bid is submitted herewith as a proposal guaranty.
DISADVANTAGED BUSINESS ENTERPRISE CERTIFICATION: Our firm will meet a minimum goal of ___ % of this contract to Disadvantaged Business Enterprises. A bidder who fails to indicate a specific goal above must fulfill the total goals indicated in the proposal.
NON-COLLUSION AFFIDAVIT: A Non-Collusion Affidavit is found in this proposal which must be signed by each bidder.
RECEIPT OF ADDENDA as required by 1210 of the Specifications:
The undersigned hereby acknowledges receipt of and has considered:
Addendum No. Dated Addendum No. Dated ________
Addendum No. Dated Addendum No. Dated ________
Signed:______________________________________________
EXECUTION OF PROPOSAL as required by 1206 of the Specifications:
This proposal dated the day of , 20
Signed: , P.O. Address as an individual.
Signed: , P.O. Address as an individual.
doing business under the name and style of
Signed: , for a partnership.
NAME BUSINESS ADDRESS
Signed: , for a corporation, incorporated under the laws of the State of Minnesota
Name of President Business Address
Name of Vice-President Business
Address____________________________
Name of Secretary Business Address___________________________
Name of Treasurer Business Address___________________________
(NOTE: Signatures shall comply with 1206 of the Specifications.)Draft - For Review Ref.Page 189 of 412 7/16/25
141- 597-003
File details come from the government source that posted it. Updated .