IFB-Plumbing (WOPLUMB24).doc

STATE HIGHWAY ADMINISTRATION

Invitation for Bids (IFB)

Contracts Less Than $50,000

PROJECT:

Plumbing Services –Worcester County

MDOT/SHA Locations

CONTRACT NO.

WOPLUMB24

ADVERTISEMENT DATE:

May 30 ,2024

BID DUE DATE / TIME:

June 19th, 2024 – 1:30 PM

BID LOCATION:

MDOT/SHA

Snow Hill Maintenance Shop

5603 Market Street

Snow Hill, MD 21863

I. SMALL BUSINESS RESERVE PROCUREMENT

This is a Small Business Reserve Procurement for which award will be limited to Certified Small Business vendors. Only vendors that meet the statutory requirements set forth in State Finance and Procurement Article Subsections 14-501 – 14-505, Annotated Code of Maryland, and who are registered with the Department of General Services Small Business Reserve Program are eligible for award of a contract.

Refer to Attachment No. II for further information regarding this program.

II. SUMMARY STATEMENT

The MDOT/State Highway Administration is soliciting bids for a Contractor to provide plumbing services at the Snow Hill Maintenance Shop and all other MDOT/SHA properties located in Worcester County.

III. ISSUING OFFICE and PROCUREMENT OFFICER Maryland Department of Transportation (MDOT) State Highway Administration (SHA) Snow Hill Maintenance Shop

5603 Market Street Snow Hill, MD 21863 The sole point of contact for purposes of this IFB is the Procurement Officer, Tony Turner. The Procurement Officer may be contacted at telephone number 410-632-0511 between 7:00 A.M. and 3:30 P.M. or by FAX 410-632-0643. NOTE: The vendor is solely responsible for ensuring any information sent to the Procurement Officer by FAX has been received by the Procurement Officer.

IV. BID DUE DATE

The Bids must be received by the Procurement Officer’s designee Charles Larimore at the MDOT/SHA offices located at 5603 Market Street, Snow Hill, MD 21863 on or before 1:30 PM on June 19, 2024 local eastern time.

Vendors are responsible for assuring that their bids are delivered to the specified location before the deadline for receipt of bids, including those delivered by U.S. Postal Service.

Charles Larimore

MDOT/SHA

5603 Market Street Snow Hill, MD 21863 Oral, mailgram or E-mail bids will not be accepted.

Bids, requests for withdraws, and modifications not received by the time and at the place indicated are late and may only be considered in accordance with COMAR 21.05.02.10.

PRE BID MEETING

No Pre-Bid meeting will be held on this IFB.

V. DURATION OF BID OFFER

Prices submitted in response to this solicitation are irrevocable for ninety (90) days following the due date. The Procurement Officer may, however, request vendors to extend the time during which the State may accept their bids. Once a bid is accepted, all prices, terms, and conditions shall remain unchanged throughout the contract period.

VI. PROCUREMENT METHOD

This solicitation shall be conducted in accordance with COMAR 21.05.07 – Small Procurement Regulations ($50,000 or Less).

VII. TERMS and CONDITIONS A. Termination for Nonappropriation. If funds are not appropriated or otherwise made available to support continuation in any fiscal year succeeding the first fiscal year, this Contract shall be terminated automatically as of the beginning of the fiscal year for which funds are not available. The Contractor may not recover anticipatory profits or costs incurred after termination.

B. Maryland Law Prevails. The law of Maryland shall govern the interpretation and enforcement of this Contract.

C. Disputes. Disputes arising under this Contract shall be governed by State Finance and Procurement Article, Title 15, Subtitle 2, Part III, Annotated Code of Maryland, and by COMAR 21.10 Administrative and Civil Remedies. Pending resolution of a dispute, the Contractor shall continue to perform this Contract, as directed by the Procurement Officer.

D. Changes. This contract may be amended only with the written consent of both parties. Amendments may not change significantly the scope of the Contract (including the Contract price).

E. Termination for Default. If the Contractor does not fulfill obligations under this Contract or violates any provision of this Contract, the State may terminate the Contract by giving the Contractor written notice of termination. Termination under this paragraph does not relieve the Contractor from liability for any damages caused to the State. Termination hereunder, including the determination of the rights and obligations of the parties, shall be governed by the provisions of COMAR 21.07.01.11B.

F. Nondiscrimination. The Contractor shall comply with the nondiscrimination provisions of federal and Maryland law.

G. Anti-Bribery. The Contractor certifies that, to the Contractor's best knowledge, neither the Contractor; nor (if the Contractor is a corporation or partnership) any of its officers, directors, or partners; nor any employee of the Contractor who is directly involved in obtaining contracts with the State or with any county, city, or other subdivision of the State, has been convicted of bribery, attempted bribery, or conspiracy to bribe under the laws of any state or of the United States.

H. Termination for Convenience. The State may terminate this Contract, in whole or in part, without showing cause upon prior written notice to the Contractor specifying the extent and the effective date of the termination. The State shall pay all reasonable costs associated with this Contract that the Contractor has incurred up to the date of termination and all reasonable costs associated with termination of the Contract. However, the Contractor may not be reimbursed for any anticipatory profits which have not been earned up to the date of termination. Termination hereunder, including the determination of the rights and obligations of the parties, shall be governed by the provisions of COMAR 21.07.01.12A(2).

VIII. SCOPE OF CONTRACTOR SERVICES

This specification describes the requirements to provide plumbing repairs, installation, maintenance, and plumbing related remodeling services on an as-needed basis at the locations specified in the Invitation for Bid (IFB). The contract with the successful bidder will be written as Not to Exceed the bid amount offered or 36 months, whichever is achieved first. This contract is expected to begin July 10th , 2024. This proposal will establish hourly rates, and material mark-up percentages. Quantities listed are estimated and are only given for the purpose of bid evaluation. They do not indicate the actual amount which will be spent, since such expenditures will depend upon actual requirements which develop during the contract period. This contract does not obligate the State of Maryland to pay for any minimum or maximum quantities.

Plumbing services include, but are not limited to, the repairs and maintenance of all plumbing systems associated within office buildings, rest areas, bridge houses, or other State Highway Administration owned buildings and facilities in Worcester County. Plumbing services include, but are not limited to, emergency response, possible design, installation, maintenance, reconditioning, troubleshooting, or repair that may be required by the State Highway Administration. The Contractor will be expected to perform the required plumbing services from verbal requests (instructions/description) or specific drawings or blueprints.

In general, the work involved will include, but is not limited to, installation, repairs or modification to water, sewer and drain lines; cleaning and unstopping of drains and sewer lines from 1" to 6"; installation, repairs or modification on a variety of bathrooms, kitchens, and lab fixtures including sinks, showers, toilets, urinals, hot water heaters, well pumps, holding tanks, dishwashers and drains; installation and repairs to gas pipes, pipe insulation, and heat tape; and the installation and testing of backflow preventers. This is not an all-inclusive list. Other types of specialized plumbing repairs and services may be required.

For the purposes of this contract, the following shall mean:

· SHA – State Highway Administration

· CM – Contract Manager

· AR – Authorized Representative

The State Highway Administration is exempt from Maryland Sales and Use Taxes by

Exemption Certificate Number 3000256-3 and from Federal Excise Taxes by Exemption

Number 52-73-0358K. Do not include tax

NOTICE TO CONTRACTORS

REQUEST FOR INFORMATION. Any information regarding the requirements or the interpretation of any provision of the Contract Documents shall be requested, in writing, and delivered prior to June 12th , 2024. Responses to questions or inquiries having any material effect on the bids shall be made by written addenda sent to all prospective bidders. The Administration will not respond to telephone requests for information concerning this invitation for bids that would materially affect the bid.

Written requests for information or questions shall be addressed to:

Charles Larimore 5603 Market Street Snow Hill, MD 21863 410-632-0511 Each request for information or questions shall include the Contract number and the name and address of the originator.

CONTRACT MANAGER (CM)

The Contract Manager for this contract shall be Tony Turner. They can be contacted at 410-632-0511. The Contract Manager may appoint other authorized representatives to call in service requests to the awarded vendor upon contract award.

A. VENDOR QUALIFICATIONS:

· Vendor shall maintain a current State of Maryland Master Plumbers License.

· Vendor shall have been in the commercial plumbing business for a minimum of Three (3) years, and have available for service calls sufficient licensed plumbers to respond. Vendor shall provide documentation of license for plumbers when requested by State Highway Administration and will only be allowed to bill for the correct license classifications.

· Vendor shall submit three (3) references with the bid, the name, address, telephone number and point-of-contact of at least three firms, for which the bidder provided commercial plumbing services within the preceding 24 months. References may be checked prior to award. Any negative responses received may result in disqualification of the bid.

· Liability insurances as detailed in section IX.

B. SERVICE REQUIREMENTS:

· Vendor shall furnish all labor, supervision, miscellaneous parts, normal plumbing related equipment, normal plumbing tools (including drain clearing tools such as 100’ Snake), transportation, and generally accepted methods of communication for worked performed under the Contract.

· Vendor shall provide qualified plumbers to perform various duties as directed by the SHA authorized representative. The vendor shall provide "not to exceed' estimates on all work (verbal for work under $500, written for $500 and above).

· All work shall be approved by the MDOT/SHA authorized representative prior to any work being performed. All work shall be performed according to the standards of the plumbing industry and to the complete satisfaction of the SHA. The Vendor shall work until each job is completed and when necessary; respond to multiple requests for services at the same time. MDOT/SHA can perform on-site inspections at any time during the work.

· All work shall conform to Federal, State, county and local codes, rules and regulations.

· The Vendor shall be responsible for obtaining all necessary permits before work is started. The Vendor is also responsible for contacting and obtaining utility markings from Miss Utility if applicable.

· Contractor must meet all Federal EPA, OSHA, and MDE guidelines in the performance of work and proper handling and disposal of waste and or contaminated materials. The MDOT/SHA will not receive any materials, products, or chemicals which may be hazardous to an employee’s health unless accompanied by a Material Safety Data Sheet when received.

· The Vendor shall maintain a stocked service truck with materials, tools, ladders, and equipment, to provide plumbing services as described in the “scope of contracting services”.

· Vendor shall provide drain/sewer line cleaning service to be paid at the same hourly rate as an authorized service call.

· All work preformed under this contract shall be done in accordance with the Maryland Department of Transportations, State Highway Administration’s Specifications entitled, “Standard Specifications for Construction and Materials” dated October 2001 revisions thereof, or additions thereto, Maryland Department of Transportation General Conditions for Maintenance Contracts, and the Special Provisions included in this IFB. In case of discrepancy between the Special Provisions and all other provisions contained in the contract, the procurement officer will be the sole authority as to the proper procedure to follow.

· A normal work crew will consist of one plumbing technician. On complicated work assignments or as required, additional plumbing technicians may be used, if pre-approved by the MDOT/SHA authorized representative. A licensed commercial journeyman/master plumber shall be required to be on-site at all times either performing or overseeing the work. The State reserves the right to require the vendor to have a secondary plumbing technician on all assigned tasks.

· The Vendor may be required to do emergency repairs at times other than normal working hours. The Vendor shall be in a position to be available on a twenty-four (24) hour basis for such emergency work 365 days per year. The Vendor shall supply a monitored 24-hour a day phone number(s) to contact for service.

Location of work shall include but not limited to:

· Snow Hill SHA Facility – 5603 Market Street, Snow Hill Maryland

· Worcester Visitors Center – Route 13 – Pocomoke, Maryland

· Ocean City & Pocomoke Bridge Tender Houses

· Berlin Satellite Shop Buildings

· Other sites as designated in Worcester County

· Regular service shall be made available between the hours of 7:30 AM. - 4:30 PM, Monday through Friday, excluding State recognized holidays. All work requested outside of these times shall be considered EMERGENCY after hour service and shall be charged at overtime rates not to exceed one and half times the routine hourly rate as specified in the bid. The State recognized holidays are New Year’s Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving Day, Christmas Day

· State Highway Administration authorized representative shall notify the Contractor of the type of service call at the time of call in. The Vendor shall respond to routine service calls within forty-eight (48) hours after notification. The Vendor shall be able to physically respond to the MDOT/SHA facility for emergency service calls within two (2) hours after notification.

C. WORK SCHEDULING, RATES & PROCEDURES:

· Man-hours paid under this contract shall be only for productive hours at the job site. Time spent for idle time, breaks and lunch is not directly chargeable but is overhead and shall be included in the hourly rate bid for basic labor.

· The vendor shall bid a trip charge for responding to the locations indicated, (one charge maximum per day per repair or service call). With the MDOT/SHA approval, the vendor will be allowed to recoup time spent for material and supply acquisition if they need to travel to supply house for non-stock or specialty items. The vendor shall use the most cost-effective method for travelling and acquiring goods for MDOT/SHA.

· All parts/materials used by the contractor shall be billed to MDOT/SHA at retail or msrp prices. MDOT/SHA has the option to purchase directly any individual part/material for the service/repair that exceeds $300.00 in cost. Payments shall not be made for any parts/material that are not detailed on the invoice with information such as description, manufacturer, part number and price of item.

· Any specialized equipment which is rented by the Vendor for use on a project and is intended to be billed, as a direct charge must be identified on the initial “not to exceed cost estimate” and shall be charge to MDOT/ SHA at actual rental cost.

· No work shall be permitted on Saturdays, Sundays or Holidays without the permission of the MDOT/SHA authorized representative.

· No minimum show-up time shall be paid under this contract.

· The plumber shall contact the MDOT/SHA authorized representative upon all arrival and departure times of on-site work performed. The plumber shall prepare a service ticket indicating date, location, arrival time, name of plumber performing work, a brief description of service to be performed and list any parts or materials used for the job on the service ticket. Note: No lunch time shall be included on the service ticket

· Upon completion of the work, the plumber shall record the finished time, sign the ticket to indicate the work is complete and obtain the SHA authorized representative signature on the service ticket for verification. A copy of the service ticket shall be given to the MDOT/SHA representative. MDOT/SHA shall provide a list of contact names and phone numbers for reporting in and out times on jobs upon award of this contract or for each service request as scheduled.

· The Vendor shall keep the premises free from accumulation of waste materials or rubbish caused by his operations at all times. The Vendor shall leave the work area clean and free of materials, debris, and vendor equipment to the satisfaction of the authorized SHA authorized representative. Vendor shall be responsible for removal and disposal of all debris and defective materials removed in performance of the service and in strict accordance with all applicable regulations, codes, laws, and ordinances. If area is not cleaned by the Contractor upon completion, the sum of $50.00 per hour needed to clean the area shall be deducted from the Contractor’s invoice, not as a penalty but as liquidated damages.

· Parts furnished under the contract shall be the latest improved models in current production, as offered to commercial trade, and shall be of quality material. Manufacturer’s warranties shall apply to new material/parts provided. Vendor shall provide the MDOT/SHA authorized representative with all manufacturers' warranty documents upon completion of installation and prior to leaving the job site.

· The vendor shall guarantee all work included in the “Contract” against any defects in workmanship; and shall satisfactorily correct, at no cost to MDOT/SHA any such defect that may become apparent within a period of one year after completion of work. The warranty period shall commence upon date of acceptance by SHA.

· No sub-contractors shall be permitted to work under this contract without the consent of MDOT/SHA Contract Manager.

D. UNSATISFACTORY WORK:

· In the event the work performance of the Contractor is unsatisfactory, the Contractor will be notified by MDOT/SHA Contract Manager and be given seven calendar days to correct the work. There will be no cost to MDOT/SHA for re-works.

E. PAYMENT:

· Authorize service call labor and parts/material shall be paid as bid on the Invitation for Bids. Invoice terms shall be net 30 days upon receipt of completed invoice.

· Invoices shall contain details of services performed and number of man hours by date for each category of labor, and copies of invoices for any materials and rental equipment furnished, and copies of applicable service orders. Labor hours, parts/materials, and equipment rentals shall be paid as bid in the Invitation for Bids. Invoices held for verification, missing information, or returned for corrective re-submittal shall not be subject to late fees.

Sample/Example Invoice Details

Labor

$50.00

$50.00

Total Labor/ Trip Charge

$1,400.00

Materials

Sink Model Moen 123456

$400.00

PVC Trap and Fittings

$20.00

Total Materials

$420.00

Total Invoiced Amount

$1,820.00

· Invoice for service / repairs shall be submitted within 30 calendar days from the date of service. Any work performed at the end of June shall be submitted no later than July 5 to comply with MDOT/SHA's Fiscal Year end requirements

· Invoice must contain the complete company name, address, telephone number, contact person, F.E.I.N. (Federal Employment Identification Number), and MDOT/SHA contract number for this contract and a unique invoice number. Failure to do so may result in delay of payment.

· Invoice shall itemize date and location of services, work time with the labor rates, parts/ material charges and equipment rental fees if applicable. Also attached shall be copies of applicable service tickets included in the invoice.

· Invoices will contain sub totals for different category of charges and show a total invoice cost.

· Invoices shall be sent to the following address:

MDOT/SHA

Snow Hill Maintenance Shop

P.O. Box 268

Snow Hill, MD 21863 Attention: Charles Larimore

· If the vendor accepts VISA, MDOT/SHA may elect to pay for services via the states purchasing card for any repair or service costing $5,000 or less.

F. BASIS OF AWARD:

· The unit prices quoted is required for establishing a unit cost for each service and providing a grand total for the purpose of evaluating bids. The award will be based upon the lowest Grand Total Bid and be awarded to the lowest responsive and responsible bidder for the services required in the amount not to exceed $50,000.00. If all bids on this procurement exceed $50,000.00, this procurement will be cancelled and re-advertised in the future.

IX. LIABILITY:

The Contractor must be covered by a sufficient amount of liability insurance. The Contractor shall provide this Administration with proof of liability insurance and coverage before the contract is awarded as follows:

A. The Contractor or Vendor shall maintain insurance issued by companies licensed and authorized to do business in the State of Maryland, and acceptable to the State Highway Administration (SHA).

1. Comprehensive General Liability Broad Form, combined single limit of one million dollars and no cents ($1,000,000.00).

2. Worker’s Compensation/Employee Liability To comply with statutory coverage in the State of Maryland, all States’ liability and Employer’s Liability (Coverage “B”) with the limit of one million dollars and no cents ($1,000,000.00).

B. Said certificate shall verify that the MDOT/SHA has been named an additional insured to the Contractor’s or Vendor’s above policies, that the insurer, at its own expense, will defend all parties insured, and that coverage is extended to cover all contractual obligations of the Contractor or Vendor contained in this contract.

C. Should the Contractor or Vendor subcontract any part of the service to be provided under this agreement, the subcontractor shall be required by the Contractor or Vendor to provide insurance as described above.

If, at any time, the required insurance is cancelled, terminated, or modified so that coverage is not in full force and effect, the State Highway Administration may terminate the contract for cause, or obtain additional coverage equal to that required – the cost of which shall be borne by the Contractor or Vendor.

D. A Certificate of Insurance meeting the above requirements shall be provided to State Highway Administration prior to “contract award”.

X. BID CONTENT

The bidder shall submit an original Contract Bid Form for this Project. The bid shall be submitted on Attachment No. I. Attachment No. I is not to be altered in any way and is to contain only the price or prices stipulated on the form.

Bid submissions must be:

· Submitted in a sealed envelope marked "SEALED BID."

· Addressed to: Tony Turner, Procurement Officer

MDOT/SHA

Snow Hill Maintenance Shop

5603 Market Street Snow Hill, MD 21863

· Clearly marked with the full name and address of the bidder.

· Clearly marked with the contents of the envelope (i.e., "Bid Submission - Contract No. WOPLUMB24” XI. OPENING of BIDS Bids will be opened publicly in accordance with the provisions in COMAR 21.05.02.11 on the date and time specified in Section IV of this IFB.

XII. DURATION / TERM OF THE CONTRACT/PROJECT

The duration / term of the contract is 36 months or total payments of the successful bid amount, whichever comes first.

XIII. ATTACHMENTS

Contract Bid Form -- Attachment No. I (required with bid submittal) Notice to bidders – Small Business Reserve Procurement Attachment No. II

Small Business Contract Affidavit – Attachment No. III (required with bid submittal) ATTACHMENT I - BID FORM- PAGE 1 of 2

INVITATION FOR BID # WOPLUMB24

SMALL BUSINESS RESERVE PROCUREMENT

This form is to be completed in its entirety and unaltered.

(See Note a) Vendor’s Bid per Unit Total Cost ($)

(Column B x C)

Daily Trip Charge

PARTS/MATERIALS

At MSRP retail price Do not alter

$2500.00

TOTAL BID AMOUNT (Sum of Column D)

NOTE:

a) Quantities are estimated and used for bid evaluation only. They may not represent the actual quantities experienced once the contract is awarded. Hourly and material quantities listed in this bid package are estimated and are not to be construed as fixed for this contract. This contract does not obligate the State of Maryland to pay for any minimum or maximum quantities.

ATTACHMENT I – BID FORM – PAGE 2 of 2

INVITATION FOR BID # WOPLUMB24

SMALL BUSINESS RESERVE PROCUREMENT

This form must be completed in its entirety and unaltered.

REFERENCES: Give names and locations of three (3) places at which your organization has provided similar plumbing services in the preceding 24 months with the date work first commenced. Provide contact names and phone numbers.

ORGANIZATION NAME &

ADDRESS

1.

2.

3.

For the Contractor:

Company Name & Address

City State Zip

Phone _____________________ Fax ______________________Email ____________________

Representing the above Company _______________________________

SIGNATURE

Print Name & Title

SOCIAL SECURITY NO. OR

FEDERAL TAX ID NO. _________________________ DATE: ___________________

ATTACHMENT II

NOTICE TO BIDDERS

SMALL BUSINESS RESERVE PROCUREMENT

This is a Small Business Reserve Procurement for which award will be limited to Certified Small Business vendors. Only businesses that meet the statutory requirements set forth in State Finance and Procurement Article, (( 14-501 - 14-505, Annotated Code of Maryland, and who are registered with the Department of General Services Small Business Reserve Program are eligible for award of a contract.

For the purposes of a Small Business Reserve Procurement, a small business is a business, other than a broker, that meets the following criteria as amended October 1, 2008:

The business is independently owned and operated;

ADVANCE \d4 The business is not a subsidiary of another business;

ADVANCE \d4 The business is not dominant in its field of operation;

ADVANCE \d4 The wholesale operations of the business did not employ more than 50 persons, and the gross sales of the business did not exceed an average of $4,000,000 in its most recently completed 3 fiscal years;*

ADVANCE \d4( The retail operations of the business did not employ more than 25 persons, and the gross sales of the business did not exceed an average of $3,000,000 in its most recently completed 3 fiscal years;*

ADVANCE \d4( The manufacturing operations of the business did not employ more than 100 persons, and the gross sales of the business did not exceed an average of $2,000,000 in its most recently completed 3 fiscal years;*

ADVANCE \d4( The service operations of the business did not employ more than 100 persons, and the gross sales of the business did not exceed an average of $10,000,000 in its most recently completed 3 fiscal years;* and

ADVANCE \d4( The construction operations of the business did not employ more than 50 persons, and the gross sales of the business did not exceed an average of $7,000,000 in its most recently completed 3 fiscal years.*

ADVANCE \d4( The architectural and engineering operations of the business did not employ more than 100 persons, and the gross sales of the business did not exceed an average of $4,500,000 in its most recently completed 3 fiscal years*.

* If a business has not existed for three years, the gross sales average shall be the average for each year or part of a year during which the business has been in existence.

Further information on the certification process is available at www.dgs.state.md.us and click on the Small Business Reserve hyperlink.

ATTACHMENT III

Maryland Department of Transportation

Small Business CONTRACT AFFIDAVIT

********** PROVIDING FALSE INFORMATION **********

Anyone providing false information to the State of Maryland in connection with obtaining or attempting to obtain a contract under Small Business Reserve or Preference procurement may be subject to the following:

1. A determination by a Procurement Officer that a bidder/offeror is not responsible;

2. A determination that a contract entered into is void or voidable under § 11-204 of the State Finance and Procurement Article of the Annotated Code of Maryland;

3. Suspension and debarment under Title 16 of the State Finance and Procurement Article;

4. Criminal prosecution for procurement fraud (§ 11-205.1 of the State Finance and Procurement Article), perjury, or other crimes; and

5. Other actions permitted by law.

********** FAILURE TO MEET MINIMUM QUALIFICATIONS **********

Any Bidder or potential bidder failing to meet the qualifications of a "small business" specified in § 14-501(c) of the State Finance and Procurement Article will be ineligible to participate in a procurement designated for a Small Business Reserve under § 14-504 or Small Business Preference under § 14-206 - 207. Any person or company bidding on Small Business Reserve or Preference procurement and not qualifying as a small business under § 14-501(c) will have its bid or offer rejected on the ground that the bidder is not responsible.

I AFFIRM THAT:

To the best of my knowledge, information, and belief, as of the date of submission of this Bid/Proposal, (name of firm) meets the qualifications for certification as a Small Business in Maryland. I further affirm that, if for any reason during the term of the contract

(name of firm) no longer meets the qualifications of certification as a Small Business in Maryland, I will notify the Procurement Officer within 30 days. I agree that a failure to so notify the Procurement Officer of this change in circumstances may result in this contract being terminated for default.

I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.

Small Business Qualification Number ___________________

Date of Most Recent Qualification__________________________________

DATE:_____________

BY:_____________________________________________________________

Signature (Authorized Representative and Affidavit)