IFB 24033 Bid Submission Form.docx

DOCX document 30 KB Posted

Attached to
Police Station Security Fencing
Solicitation number
52963
Issued by
Fairfax County, Falls Church City, Virginia

About this file

This document is a Bid Submission Form for IFB 24033, a state and local contract opportunity issued by Fairfax County and the City of Falls Church, Virginia. The contract requires the provision of fencing and two electronic speed gates to enhance the security of the City police station. The project has a time limit of 120 calendar days from the Notice to Proceed to Substantial Completion, with an additional 45 days for Final Completion. Bidders must submit their qualifications, including their contractor's license, project references, and the resume of the proposed project superintendent. The bid form covers unit prices for chain link fence and fence removal, as well as lump sum items for an allowance, erosion and sedimentation controls, and the remainder of the work to complete the project. Pricing for the speed gates is also included as a lump sum item. A pre-bid conference is scheduled for January 17, 2024, at 1:00 pm at 3730 Blenheim Blvd, Fairfax, VA.

The bid submission form requires bidders to provide information on their business, including ownership disclosure, business classifications, and any potential conflicts of interest or collusion. Bidders must also acknowledge the receipt of any addenda issued during the bidding period. The successful bidder will be required to provide insurance, bonds, and all labor, equipment, materials, and incidentals necessary for a complete and operational facility.

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BID SUBMISSION FORM

Business Identification

BUSINESS NAME:

ADDRESS:

CONTACT PERSON:

TITLE:

TELEPHONE NO.:

EMAIL ADDRESS:

REMITTANCE ADDRESS:

PROMPT PAYMENT DISCOUNT:
___% FOR PAYMENT WITHIN____ DAYS; NET___DAYS

BUSINESS ORGANIZED UNDER THE STATE LAWS OF:

PRINCIPAL BUSINESS LOCATION:

STATE CORPORATION COMMISSION IDENTIFICATION NO.:

DUNS NUMBER:

Business Classifications Corporation

Partnership

Sole Proprietor

Minority Owned

Small Business

Non Profit

Woman Owned

Ownership Disclosure Names and address of all persons having an ownership interest of 5% or more in the business:

1.

2.

3.

Qualifications and References Type of work performed by this business:

Number of years this business has been in operation:

Number of employees:
Full time:
Part Time:
Business License:
Type:
Issued:
Contractor’s License:
Type:
Class:
1.
Issued:
Expires:
List at least three state, county, or federal agencies or commercial references that the business contracted with in the past two years for a comparable procurement (include contacts and telephone numbers):
A)

B)

C)

Has the business ever defaulted or failed to complete any public body contract:
No:

Yes- Explain:

Is the entity or any of its principals currently debarred, disqualified or suspended from submitting responses to the City, or any other state, local or federal entities?
No:

Yes:

TRADE SECRETS OR PROPRIETARY INFORMATION:

Trade secrets or proprietary information submitted by the Bidder in connection with a procurement transaction shall not be subject to public disclosure under the Virginia Freedom of Information Act. However, the Bidder must identify the data and materials that need such protection prior to the submission of such data and material, and state the reasons why protection is necessary. Please mark one:

[ ] Yes, the Bid I have submitted does contain trade secrets and/or proprietary information.

[ ] No, the Bid I have submitted does not contain any trade secrets and/or proprietary information.

If Yes, Bidder must clearly identify below the exact data or other materials to be protected and list all applicable page numbers of the Bid containing such data or materials:STATE THE SPECIFIC REASON(S) WHY PROTECTION IS NECESSARY:

Use additional attachments if necessary

NOTE: If the Bidder fails to identify the data or other materials to be protected and fails to state the reasons why such protection is necessary in the space provided above, then the Bidder has not invoked protection accordingly, effectively making the Bid open for public inspection consistent with applicable law.

Conflict of Interests

This solicitation is subject to the provisions of Section 2.2-3100 et. Seq., Virginia Code Annotated, the State and Local Government Conflict of Interests Act. The business is aware of information bearing on the existence of any potential organizational conflict of interest.
YES

NO

Collusion:

I certify that this bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a bid for the same goods and services and is in all respects fair and without collusion or fraud. I understand collusive bidding is a violation of the State and Federal law and may result in fines, prison sentences, and civil damage awards.
YES

NO

ADDENDUM RECEIVED:

The undersigned warrants that it has received the following Addendum/Addenda for the Solicitation (Show date of Addendum).

AMENDMENT NO.
DATE
INITIAL

[Add more as needed]

Addenda issued during the bidding period will be incorporated into the Contract Documents.

Authorized Signature By signing this quote Business certifies, acknowledges, understands, and agrees to be bound by the conditions set forth in this Solicitation.

Authorized Signature:
Date:
Name (Printed):
Title:
Email Address:
Telephone Number:

TIME LIMIT FOR PROJECT:

120 Calendar Days

MEASURED FROM THE NOTICE TO PROCEED TO SUBSTANTIAL COMPLETION

The Contractor shall achieve Substantial Completion on or before the Contract Completion Date. Unless otherwise specified, the Contractor shall achieve Final Completion within forty-five (45) Days after the Contract Completion Date.

SUBMITTALS (scan and attach to eVA bid submission)

· Exhibit A Bid Form Bid Submission Form

· Class A Contractor’s License

· References (ref. para 6, Qualifications of Bidders)

· Project superintendent/manager resume (ref. para 6, Qualification of Bidders):

A resume of the bidder’s proposed project superintendent/manager who will be directly involved in the execution of the project showing experience on at least three (3) projects of similar scope and size for which the individual had responsibilities either with the bidder or with another company, and which have been completed within the past five (5) years. Include location, cost, date completed, owner’s name and address.

MEASUREMENT AND PAYMENT

For all Items - Unit and Lump Sum prices for each item shall be full compensation for overhead and profit, insurance, bonds, all labor, mobilization and demobilization, surveying, equipment, materials, tools, testing, and all incidentals necessary for a complete and operational facility.

Unit Prices

Chain Link Fence (203) - will be measured and paid for at the contract unit price per linear foot from center of each connection and based upon the actual length of fence excluding the width of the speed gates. the price shall include pavement saw cuts, excavation of any and all encountered material of whatever nature; dewatering; bedding, reinforced concrete, disposing of unsuitable material; and backfill.

Fence Removal (101) - will be measured and paid for at the contract unit price per linear feet for all existing materials and structures so designated for removal and will include demolition, disposal, and restoration.

Lump Sum Items

Allowance (204) – The Gate Foundation Modifications and other excavations will be paid as an allowance if such foundation depth, materials and unexpected rock is encountered. Such a differing condition will be paid as negotiated using actual costs to support the required foundation support.

Erosion and Sedimentation Controls (102) - will be measured and paid as a lump sum and shall include all labor, equipment and material to install, maintain, remove and dispose of required protection and final restoration.

Remainder of Work to Complete Project (301) – will be measured and paid as a lump sum to provide all additional or remaining materials, supplies, and incidentals, including the As-Built Survey, for a complete and operable facility as intended.

Speed Gates (201 and 202) - will be measured and paid for at the contract lump sum price and shall be full compensation for all materials, labor, tools, equipment and accessories noted on the drawings to complete the foundation and installation suitable for a complete and operable facility.

IFB 24033 Page 2

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