Form_21126D.pdf
PDF 53 KB Posted
- Solicitation number
- 0000004222
- Issued by
- Hennepin County, Minnesota
About this file
This is a proposal form (Form 21126D) for a public works project in Minnesota, specifically for the upgrade of traffic management systems, intelligent transportation systems (ITS), closed-circuit television (CCTV), and fiber optic cable infrastructure managed by the City of Minneapolis. The form serves as the binding proposal document that bidders must complete and submit, requiring acknowledgment that all project requirements, addenda, amendments, plans, standard specifications, and supplemental specifications are incorporated into the bid and contract. Bidders must execute the proposal according to specification section 1206, with signature requirements varying based on business entity type, including individual, partnership, or corporate structures with designated officer signatures.
The proposal requires a proposal guaranty in the form of a certified check or bond equal to at least 5 percent of the total bid amount, payable to the Minneapolis Treasurer, as mandated by specification section 1208. Bidders must complete and sign a non-collusion affidavit and acknowledge receipt of all addenda issued for the project, documenting addendum numbers and dates on the form. The form requires bidders to provide their business name, address, and appropriate entity documentation before submission of the grand total bid amount, establishing the legal and financial commitments necessary for contract award and execution.
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Text version
Form 21126D (FF Rev. 1-09) State Project No. 141-030-060_____________
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 Minneapolis Treasurer, in an amount equal to at least 5% of the total amount of the bid is submitted herewith as a proposal guaranty.
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.)
File details come from the government source that posted it. Updated .