HIePRO Construction Offer Form YCA.doc

Q21001725 YCA HILO Tree and Vegetation Removal Adjutant General

State Department of Defense

3949 Diamond Head Road

Honolulu, Hawaii 96816-4495 Dear Sir:

The undersigned has carefully read and understands the terms and conditions specified in the Specifications, and all documents attached hereto, and hereby submits the following offer to perform the work specified herein, all in accordance with the true intent and meaning thereof. The undersigned further understands and agrees that by submitting this offer, 1) he/she is declaring his/her offer is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) he/she is certifying that the price(s) submitted was (were) independently arrived at without collusion.

The undersigned represents:

(Check √ one only)

· A Hawaii business incorporated or organized under the laws of the State of Hawaii; OR

· A Compliant Non-Hawaii business not incorporated or organized under the laws of the State of Hawaii. Business shall be registered prior to award at the State of Hawaii Department of Commerce and Consumer Affairs Business Registration Division to do business in the State of Hawaii. State of incorporation: _________________________

Offeror is:

( Sole Proprietor ( Partnership ( Corporation ( Joint Venture

( Other

Federal I.D. No.:

Hawaii General Excise Tax License I.D. No.:

Payment address (other than street address below):

City, State, Zip Code:

Business address (street address):

City, State, Zip Code:

Respectfully submitted:

(x)

Authorized (Original) Signature (*1) Date:

Telephone No.:

Name and Title (Please Type or Print)

Exact Legal Name of Company (Offeror) (*2) Fax No.:

(*2) If Offeror is a “dba” or a “division” of a corporation, furnish the exact legal name of the corporation under which the awarded contract will be executed:

E-mail Address:

(*1) Original signature in ink. If unsigned or the affixed signature is a facsimile or a photocopy, the offer shall be automatically rejected unless accompanied by other material, containing an original signature, indicating the Offeror’s intent to be bound.

The undersigned has carefully examined the attached plans and specifications and hereby proposes to furnish at his own expense all labor, materials, tools and equipment necessary to construct all work as shown and called for, in strict accordance with the specifications, schedules and drawings pertaining thereto, all for the LUMP SUM of:

DOLLARS ($ ).

(Including the cost of delivery, unloading, freight charges, all applicable taxes, and other cost involved) and will fully complete all the work under this contract within 30 consecutive calendar days from the date of commencement specified by the written order of the Adjutant General including the date of said order.

TAX CLEARANCES FROM THE STATE DIRECTOR OF TAXATION AND INTERNAL REVENUE SERVICE

Contractors are required to provide a state and federal tax clearance as a prerequisite to entering into a public contract of $2,500 or more. To meet this requirement, all bidders shall submit valid tax clearances with their bid proposals when the bid is $2,500 or more.

Failure to submit the required tax clearance may be sufficient grounds for the State to refuse to receive or consider the prospective bidder’s proposal.

In accordance with Act 190 Amendment to HRS 103D-310(c), required as a prerequisite to entering into a contract, the contractor shall register on the Hawaii Compliance Express web site for all tax clearances by going to http://vendors.ehawaii.gov and registering there.

A Certificate of Vendor Compliance generated from this website should be included with their bid proposal. A Compliant status is required prior to awarding the contract.

Enclosed herewith as required by law:

Surety Bond

Certificate of Deposit

Certified Check

Cashier’s Check

Share Certificate

Legal Tender

(Cross Out Those Not Applicable)

DOLLARS ($ _________ ).

*Signature

Title

Name of Company

Address

Telephone

Date

HAWAII GENERAL EXCISE TAX

I.D. NO.

LICENSE CLASSIFICATION

AND/OR SUBCLASSIFICATION NO.

(CORPORATE SEAL)

*Please attach to this page evidence of the authority of this officer to submit bids on behalf of the Company, and also the names and residence addresses of all officers of the Company.

NOTE: Fill in all blank spaces with the information asked for or bid may be invalidated. PROPOSAL PAGES MUST BE INTACT; MISSING PAGES MAY INVALIDATE YOUR BID.

OFFER FORM

OF-1

OFFER FORM

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