Form_21126D.pdf
PDF 111 KB Posted
- Attached to
- BID-PW - Folwell Safe Routes to School
- Solicitation number
- 0000004339
- Issued by
- Hennepin County, Minnesota
About this file
This is a proposal form (Form 21126D) issued by the State of Minnesota for the South-Folwell Safe Routes to School project. The form serves as the standard bidding document for state and local construction or infrastructure projects in Minnesota. Bidders are required to complete this form as part of their proposal submission, acknowledging acceptance of all project requirements including specifications, plans, addenda, and amendments. The form requires bidders to declare receipt and consideration of all addenda issued during the bidding process and to execute the proposal in accordance with Section 1206 of the Specifications.
The proposal requires submission of a proposal guaranty in the form of either a certified check or bond as specified in Section 1208 of the Specifications, and all bidders must sign a Non-Collusion Affidavit as part of their submission. Bidders may execute the proposal as individuals, partnerships, or corporations, with specific signature requirements outlined for corporate entities including designated officers (President, Vice-President, Secretary, and Treasurer). All signatures must comply with Section 1206 of the Specifications. The form does not specify pricing, contract term, or award information, as these details would be contained in the associated project specifications and bidding documents for the Safe Routes to School initiative.
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Text version
Form 21126D (FF Rev. 1-09) State Project No.
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 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.)
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