IFB Solicitation - PR ST ER PRMNT RPR (6).pdf

Contract No.

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHWAY ADMINISTRATION

CONTRACTOR:

ADDRESS:

EASTERN FEDERAL LANDS HIGHWAY DIVISION

PR ER PRMNT RPR(6)

Puerto Rico Highway and Transportation Authority

Signs and Safety Repairs in PR-1, PR-2 and PR-3

ER-9999(286), ER-9999(284), ER-9999(283)

SOLICITATION

IFB No. 693C73-21-B-000006

This Contract Cites

PRHT A's Standard Specifications for Road and Bridge Construction Manual

STATE Puerto Rico

COUNTY Various Municipalities

AGENCY Puerto Rico Highway and Transportation Authority

TYPE OF IMPROVEMENT

The project consists ofrepairing signs and guardrails damaged by Hurricanes Irma and Maria on PR-1, PR-2 and PR-3 and other miscellaneous work. The work includes traffic sign assemblies (small signs, ground mounted, overhead mounted), new guardrails, end-terminals, bridge transition upgrades, new transition modules, traffic signs and guardrails demolition and removal, temporary traffic control, and other miscellaneous work.

Project Length Totals

312.86 0.00

For Parking Areas, Lane Miles is calculated as SQFT/1 lft (nominal) lane

Parking Roadway / Parking Area / Other Stations / SQFT Linear Route Lane

Schedule Area Feet Miles Miles

A □ PR-2 Unit 1 0.0 To 16.50 54,120 10.25 0.00

A □ PR-2 Unit2 16.50 To 88.00 234,538 44.42 0.00

A □ PR-2 Unit3 100.00 To 195.55 301,017 57.01 0.00

A □ PR-2 Unit4 195.55 To 230.30 113,995 21.59 0.00

B □ PR-3 Unit 1 0.0 To 52.02 170,669 32.32 0.00

B □ PR-3 Unit 2 52.02 To 111.55 195,308 36.99 0.00

B □ PR-3 Unit 3 111.55 To 161.15 162,730 30.82 0.00

C □ PR-1 0.0 To 128.10 419,549 79.46 0.00

TABLE OF CONTENTS

Page

Notice to Bidders 1 through 2

Checklist for Bid Submission 1 through 2

*SF-1442 Solicitation, Offer, and Award 1 through 6

Bid Schedule Instructions 1 through 3

*Bid Schedule B-1 through B-8

*SF-24 Bid Bond C-1 through C-2

FEDERAL ACQUISITION REGULATION & TRANSPORTATION ACQUISITION

REGULATION SOLICITATION PROVISIONS & CONTRACT CLAUSES

Index to Federal and Transportation Acquisition Regulations 1 through 7

Representations and Certifications (SAMs online) D-1 through D-2

Instructions to Bidders E-1

*Socioeconomic Program Requirements F-1 through F-4

Minimum Wage Schedule F-5 through F-11

*General Contract Requirements G-1 through G-9

Construction Contract Requirements H-1 through H-5

Special Contract Requirements J-1 through J-266

Section K K-1 through K-3

SPECIFICATIONS On CD

PRHTA’s Standard Specifications for Road and Bridge Construction Manual 1 through 1158

DTOP’s Manual de Senales de Transito (MST) 1 through 174

PRHTA’s Standard Drawings 1 through 206

Plans_Sch A_PR-2 Unit 1 1 through 29

Plans_Sch A_PR-2 Unit 2 1 through 81

Plans_Sch A_PR-2 Unit 3 1 through 83

Plans_Sch A_PR-2 Unit 4 1 through 39

Plans_Sch B_PR-3 Unit 1 1 through 137

Plans_Sch B_PR-3 Unit 2 1 through 131

Plans_Sch B_PR-3 Unit 3 1 through 119

TABLE OF CONTENTS

Plans_Sch C_PR-1 1 through 346

Certification_No Presence of Asbestos_PR3 1 page

Letter_Procedure to Deliver Salvageable Materials 1 through 2

NEPA_OGPE_PR-1 1 through 3

NEPA-PR-1 1 through 191

NEPA_PR-1_Archeological Monitoring 1 through 370

NEPA_PR-2 1 through 58

NEPA_PR-3 1 through 346

Report_Asbestos Containing Material Survey_PR-3 1 through 24

Report_Asbestos Containing Material Survey_PR-1 1 through 18

Report_Lead Based Paint Survey_PR-3 1 through 47

Report_Lead-Asbestos_PR-2 1 through 58

Report_Limited Lead Paint Survey_PR-1 1 through 27

* Bidder’s Qualifications Form 1 through 7

* Federal Contractor Veterans’ Employment Report VETS-4212 1 through 5

*BOLD FACED ITEMS ARE TO BE INCLUDED WITH THE BID SUBMITTAL PACKAGE

NOTICE TO BIDDERS

CONTRACT FORMAT:

Bidders should note that the format of this contract is in accordance with Federal Acquisition Regulations (FAR), promulgated by the General Services Administration (GSA), effective April 1, 1984, including all applicable revisions. Applicable FAR provisions and clauses are incorporated in this contract by reference or full text as indicated in the INDEX before the D-pages in this booklet.

FAR provisions and clauses incorporated by reference can be accessed on the Internet website at https://www.acquisition.gov/. Bidders are encouraged to review the documents thoroughly before submitting a bid.

PROPOSAL BOOKLET AND OFFER SUBMITTAL:

It is the responsibility of the Bidder to verify that this proposal is complete as listed in the Table of Contents. The Bidder is responsible for submitting all required forms and documents with the bid.

Bidders should use the Checklist for Bid Submission included in this booklet to check that their bids are complete.

CONSTRUCTION CONTRACTS:

Additional guidance is given in FAR Subpart 35.005 where the majority of the project work is complex and specialized such as restoration work, bridge painting, and proprietary construction techniques (i.e. proprietary Cintec arch strengthening.) There are exceptions and they will be reviewed on a case-by-case basis.

HAZARDOUS MATERIALS IDENTIFICATION AND MATERIAL SAFETY DATA:

As required by FAR Clause 52.223-3, Hazardous Materials Identification and Safety Data, the apparent low Bidder must submit prior to award a Material Safety Data Sheet (MSDSs) for all hazardous materials that the Bidder identifies in paragraph (b) of this clause in Section G of this booklet. Failure to submit MSDSs may render the Bidder ineligible for award of contract. The apparent low Bidder should submit their MSDSs within two weeks after bid opening.

INTERNET BASED DATA BASES - REQUIRED INPUT:

According to FAR Subpart 4.1102 contractors are required to be registered in the System for Award Management (SAM) at the time a bid is submitted. Access the following web site to register: https://www.sam.gov/.

According to FAR Subpart 4.1201 contractors are required to complete electronic annual representations and certifications in SAM accessed via https://www.sam.gov/ as a part of required registration.

According to FAR Subpart 22.1302 (b) federal contractors and sub-contractors MUST complete the required annual Vets-4212 Form in order to be eligible for a contract award. It can be completed on-line at http://www.dol.gov/vets/vets4212.htm. The annual filing period for Form VETS-4212 is August 1 through September 30. Reports filed before August 1 will be treated as part of the previous year's filing cycle. Federal contractors and subcontractors who are required to file a form VETS-4212 can submit their forms electronically by using either the VETS-4212 Reporting Application or batch filing process, or by using the paper form by email or U.S. mail. It is recommended that you file your form electronically at https://vets4212.dol.gov/vets4212. Please visit http://www.dol.gov/vets/vets4212.htm for more information on the reporting process.

PAYMENT:

Bidders are advised to review the Standard Specifications for Construction of Roads and Bridges on Federal Highway Projects (FP), subsection 109.05, concerning direct and indirect payment included under a pay item in the bid schedule.

https://www.sam.gov/ https://www.sam.gov/ http://www.dol.gov/vets/vets4212.htm https://vets4212.dol.gov/vets4212 http://www.dol.gov/vets/vets4212.htm

NOTICE TO BIDDERS

PROGRESS PAYMENTS:

ALL payments will be made via Electronic Funds Transfer (EFT) as such; the payment information in SAM must be accurate in order for contractors' invoices to be considered proper invoices for the purpose of prompt payment under DOT contracts. Contractors must input and maintain (update as necessary) their EFT information in the SAM database. Bidders are advised that under FAR Clause 52.232-5, Payments Under Fixed Price Construction Contracts, upon request, progress payments will include premiums paid by the Contractor to obtain performance and payment bonds as required under this contract. These payments shall not be made in addition to the contract price. As specified in the FP, “Section 151 - MOBILIZATION", payments for performance and payment bond premiums shall be included in mobilization.

WELFARE-TO-WORK INITIATIVE:

The President’s Welfare Reform Bill was initiated to assist welfare recipients and hopefully aid welfare recipients to find gainful employment. In support of this bill, Contractors are encouraged to hire welfare recipients whenever possible and to use welfare recipients in performance of duties on Government contracts.

INCREASING SEAT BELT USE IN THE UNITED STATES:

The President’s Executive Order 13043 dated April 16, 1997, was issued to increase the use of seat belts in the United States. In support of this Order, contractors and subcontractors are encouraged to adopt and enforce on-the-job seat belt policies for their employees when operating company-owned, rented, or personally owned vehicles.

OBTAINING BID DOCUMENTS:

Invitation For Bid (IFB) documents will not be mailed. All solicitation documents are available for direct download from the Contract Opportunities website: https://beta.sam.gov/. Contractors are encouraged to register on the website (for this specific project) in order to receive automatic notifications when a document is added or updated for this specific project. All questions about this construction project must be emailed to the following address:

eflhd.contracts@dot.gov.

THE CONTRACTOR IS SOLELY RESPONSIBLE FOR MONITORING THE WEB PAGES

NOTED ABOVE FOR ALL CHANGES TO THE SOLICITATION AND ACTING ON

THOSE CHANGES.

PLEASE NOTE: For security reasons, individuals requiring access to all government buildings must present a valid photo ID and be escorted to their destination by a Government employee. All visitors attending bid openings are urged to arrive at least 1 hour prior to a scheduled bid opening. All visitors must sign in at the main entrance of the Quantum Park facility and wait to be escorted by a Government employee to Eastern Federal Lands Highway Division (EFLHD) in Suite 200. Visitors must then register with the EFLHD Receptionist. A Government employee will collect all bids. Prior to the bid opening, a Government employee will escort all bidders to the bid opening. Unescorted visitors will be denied entry and no exceptions will be made.

https://beta.sam.gov/ mailto:eflhd.contracts@dot.gov

CHECKLIST FOR BID SUBMISSION

The following is a checklist of items included in the proposal/bid package that are required to be completed and returned (or filled in on-line) to the address in Block 7 of the Standard Form 1442, Solicitation, Offer, and Award (page 1). This checklist is for informational purposes only and is not required to be filled out by the bidder. Failure to submit a complete bid may be cause to reject your bid.

1. Bid Envelope:

a. Addressed as shown in Block 7 of SF-1442

b. In the lower left corner, indicate the following: Solicitation No., Project Name & Number, and mail to Suite E2-3-300, ATTENTION: ACQUISITIONS. If bids are hand-delivered, bring them to the main entrance of Quantum Park, and ask for the Federal Highway Administration (EFLHD) Receptionist to be contacted and an EFLHD representative will come to collect the bid.

2. Standard Form 1442: Solicitation, Offer and Award

a. Block 14: Name and Address of Bidder.

b. Block 15: Telephone Number of Bidder.

c. Block 16: Remittance Address if different from Block 14.

d. Block 19: All Amendments Acknowledged, with dates of Amendments.

e. Block 20: Bid is signed and dated.

3. Bid Schedule - (Pages B-1 through B-8)

a. Unit bid price and bid amount provided for each pay item in numbers.

b. Corrections initialed.

4. Standard Form 24, Bid Bond (Pages C-1 through C-2) (Required if bid guarantee is bid bond)

a. Date executed

b. Legal name and address of bidder.

c. Type of organization.

d. State of incorporation (if applicable).

e. Name and business address of Treasury approved surety.

f. Penal sum of bond (not less than 20% of bid total).

g. Bid identification.

h. Signature of Bidder

i. Seal, if corporation

j. Signature of Surety

k. Seal, if corporation

BIDS RECEIVED WITHOUT A VALID BID BOND WILL BE REJECTED.

5. Power of Attorney.

a. Dated on or before execution date of bond

b. Power has original signature of surety, or is embossed with surety's seal in the certification section

BIDS RECEIVED WITHOUT A VALID POWER OF ATTORNEY WILL BE REJECTED.

CHECKLIST FOR BID SUBMISSION

6. Bidder's Qualifications form (provided separately as part of the Bid Documents Package).

Form completed, signed and submitted with bid

7. System for Award Management (SAM): The contractor is currently registered in the System For Award Management (SAM) database at https://www.sam.gov/ at the time the bid is submitted. If the contractor elects to not have its active SAM registration viewable by the public, then the contractor must submit a copy with the bid.

8. Online Representations and Certifications Application: The contractor's Representations and Certifications have been input online via the electronic database at https://www.sam.gov/.

9. VETS – 4212 Reporting: The contractor has completed the annual reporting requirement online at http://www.dol.gov/vets/vets4212.htm.

The annual filing period for Form VETS-4212 is August 1 through September 30. Reports filed before August 1 will be treated as part of the previous year's filing cycle. Federal contractors and subcontractors who are required to file a form VETS-4212 can submit their forms electronically by using either the VETS- 4212 Reporting Application or batch filing process, or by using the paper form by email or U.S. mail. It is recommended that you file your form electronically at https://vets4212.dol.gov/vets4212. Please visit http://www.dol.gov/vets/vets4212.htm for more information on the reporting process.

NOTE: THE CONTRACTOR IS FULLY RESPONSIBLE TO VERIFY THAT ALL

DATA IN THE ABOVE DATABASES IS CORRECT EACH TIME A BID PACKAGE IS

SUBMITTED. FAILURE TO PROPERLY INPUT AND/OR UPDATE YOUR DATA

PRIOR TO BID SUBMISSION MAY CAUSE THE BID TO BE REJECTED.

https://www.sam.gov/ https://www.sam.gov/SAM/ http://www.dol.gov/vets/vets4212.htm https://vets4212.dol.gov/vets4212

SOLICITATION, OFFER,

AND AWARD

2. TYPE OF SOLICITATION

6. PROJECT NO. 4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.

PAGE OF PAGES

7. ISSUED BY CODE 8. ADDRESS OFFER TO

SOLICITATION

(Construction, Alteration, or Repair)

1. SOLICITATION NO. 3. DATE ISSUED

IMPORTANT -- The "offer" section on the reverse must be fully completed by offeror.

9.

INFORMATION

a. NAME

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."

CALL:

FOR

SEALED BID (IFB)

NEGOTIATED (RFP)

693C73

FEDERAL HIGHWAY ADMINISTRATION

EASTERN FEDERAL LANDS HIGHWAY DIVISION

QUANTUM PARK, 22001 LOUDOUN COUNTY PKWY

SUITE E2-3-300

ATTN: ACQUISITIONS

ASHBURN VA 20147

See Block 7

YULIYA KENT

b. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)

EFLHD.Contracts@dot.gov

See Block 10 x

11/24/2020

693C7321B000006

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying no., date)

This Invitation for Bids is for the Signs and Safety Repairs Project in PR-1, PR-2, and PR-3, Project No. PR ST ER PRMNT RPR (6), located in multiple municipalities in

Puerto Rico in strict accordance with the Solicitation/Contract instructions, notices, clauses, provisions, items listed below, and for the quantities of work actually performed at the unit prices as bid in the Bid Schedule, including all applicable Federal, State, and local taxes.

PRHTAs Standard Specifications for Road and Bridge Construction Manual, pages 1 through 1158.

Bid Schedule, Section B - pages B-1 through B-8.

Special Contract Requirements, Section J - pages J-1 through J-266.

DTOPs Manual de Senales de Transito (MST), pages 1 through 174.

PRHTAs Standard Drawings, pages 1 through 206.

Plans_Sch A_PR-2 Unit 1, Sheets 1 through 29.

Plans_Sch A_PR-2 Unit 2, Sheets 1 through 81.

Plans_Sch A_PR-2 Unit 3, Sheets 1 through 83.

Plans_Sch A_PR-2 Unit 4, Sheets 1 through 39.

Plans_Sch B_PR-3 Unit 1, Sheets 1 through 137.

Plans_Sch B_PR-3 Unit 2, Sheets 1 through 131.

11. The Contractor shall begin performance

12a. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

award, notice to proceed. The performance period is mandatory negotiable. (See ________________________________________________.)

13. ADDITIONAL SOLICITATION REQUIREMENTS:

a. Sealed offers in original and is not required.is, b. An offer guarantee

c. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

(date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

d. Offers providing less than

12b. CALENDAR DAYSYES NO

(If "YES", indicate within how many calendar days after award in Item 12b.)

10 1210 calendar days and complete it within ________________ ________________ calendar days after receiving

Continuation Sheet, Block 11

12/29/2020

NSN 7540-01-155-3212

x x x x copies to perform the work required are due at the place specified in Item 8 by _____________ ___________________ (hour) local time calendar days for Government acceptance after the date offers are due will not be considered and will be rejected . _________________

STANDARD FORM 1442 (Rev. 4-85)

Prescribed by GSA

FAR(48 CFR) 53.236-1(d)

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Federal Highway Administration Eastern Federal Lands Highway Division ATTN: Construction Branch Quantum Park 22001 Loudoun County Parkway Suite E2-2-200 Ashburn, VA 20147

Federal Highway Administration Eastern Federal Lands Highway Division A/P Branch, AMZ-150 P.O. Box 25710 or E-MAIL

9-AMC-AMZ-EFLINVOICES@FAA.GOV

Oklahoma City, OK 73125

EFLHD-CO

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ITEM NO.

(A)

SUPPLIES/SERVICES

(B)

QUANTITY

(C)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

NAME OF OFFEROR OR CONTRACTOR

3 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

693C7321B000006

Plans_Sch B_PR-3 Unit 3, Sheets 1 through 119.

Plans_Sch C_PR-1, Sheets 1 through 346.

Certification_No Presence of Asbestos_PR3, 1 page.

Letter_Procedure to Deliver Salvageable

Materials, pages 1 through 2.

NEPA_OGPE_PR-1, pages 1 through 3.

NEPA-PR-1, pages 1 through 191.

NEPA_PR-1_Archeological Monitoring, pages 1 through 370.

NEPA_PR-2, pages 1 through 58.

NEPA_PR-3, pages 1 through 346.

Report_Asbestos Containing Material Survey_PR-3, pages 1 through 24.

Report_Asbestos Containing Material Survey_PR-1, pages 1 through 18.

Report_Lead Based Paint Survey_PR-3, pages 1 through 47.

Report_Lead-Asbestos_PR-2, pages 1 through 58.

Report_Limited Lead Paint Survey_PR-1, pages 1 through 27.

00001 Schedule A (Base Contract) - The project consists of repairing signs and guardrails damaged by

Hurricanes Irma and Maria on PR-1, PR-2 and PR-3 and other miscellaneous work. The work includes traffic sign assemblies (small signs, ground mounted, overhead mounted), new guardrails, end-terminals, bridge transition upgrades, new transition modules, traffic signs and guardrails demolition and removal, temporary traffic control, and other miscellaneous work.

00002 Schedule B (Government Option 1)

00003 Schedule C (Government Option 2)

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

CONTINUATION OF SF 1442

Block 2:

This project is RESTRICTED - Bids will be accepted from all eligible Small Business concerns.

This procurement falls under North American Industry Classification System (NAICS) code 237310 - Highway, Street, and Bridge Construction (see FAR Subpart 19.10)

Facsimile and electronic bids will not be accepted.

PHYSICAL DATA AVAILABLE FOR REVIEW

1. Manual on Uniform Traffic Control Devices for Streets and Highways, 2009 Edition, published by the Federal Highway Administration. http://mutcd.fhwa.dot.gov.

2. PRHTA’s Standard Specifications for Road and Bridge Construction Manual

3. DTOP’s Manual de Senales de Transito (MST)

4. PRHTA’s Standard Drawings

5. Plans_Sch A_PR-2 Unit 1

6. Plans_Sch A_PR-2 Unit 2

7. Plans_Sch A_PR-2 Unit 3

8. Plans_Sch A_PR-2 Unit 4

9. Plans_Sch B_PR-3 Unit 1

10. Plans_Sch B_PR-3 Unit 2

11. Plans_Sch B_PR-3 Unit 3

12. Plans_Sch C_PR-1

13. Certification_No Presence of Asbestos_PR3

14. Letter_Procedure to Deliver Salvageable Materials

15. NEPA_OGPE_PR-1

16. NEPA-PR-1

17. NEPA_PR-1_Archeological Monitoring

18. NEPA_PR-2

19. NEPA_PR-3

20. Report_Asbestos Containing Material Survey_PR-3

21. Report_Asbestos Containing Material Survey_PR-1

22. Report_Lead Based Paint Survey_PR-3

23. Report_Lead-Asbestos_PR-2

24. Report_Limited Lead Paint Survey_PR-1

Block 9:

A Government representative will not be available to show the project to prospective bidders.

Please e-mail all questions concerning this construction project to the following e-mail address eflhd.contracts@dot.gov. Interested parties must provide the Solicitation Number and the relevant project name with all requests and questions.

∗Block 11:

Maximum Time Allowed if Schedules A + B + C are Awarded at the Same Time:

If the Government awards the contract as Schedules A + B + C, the performance period to complete all contract work will be 1210 calendar days.

If Schedules A, B, and C are not awarded at the same time, Maximum Time Allowed for completion of each award configuration is as follows:

If the Government awards the contract as Schedules A + B, the performance period to complete all contract work will be 1060 calendar days.

If the Government awards the contract as Schedules A + C, the performance period to complete all contract work will be 870 calendar days.

If the Government awards the contract as Schedule A only, the performance period to complete all Schedule A work will be 870 calendar days and will start on the effective date of Schedule A’s Notice to Proceed.

If Schedule B (Government Option 1) is exercised after the award of the original contract, the performance period to complete all Schedule B work will be 1060 calendar days and will start on the effective date of Schedule B’s Notice to Proceed.

If Schedule C (Government Option 2) is exercised after the award of the original contract, the performance period to complete all Schedule C work will be 550 calendar days and will start on the effective date of Schedule C’s Notice to Proceed.

See Completion of Work section of the B-Pages – Bid Schedule Instructions for further information. The completion time for the contract is not to exceed the maximum time above.

Work restrictions can be found in SCR Sections 108 and 156.

Notice to Proceed will be issued within 30 days following receipt of acceptable performance and payment bonds. (Actual Notice to Proceed date will be 10 days from issuance or the date specified in the Notice.)

Block 12A:

Furnish performance and payment bonds in accordance with FAR Clause 52.228-15.

Block 13:

A bid guarantee in the amount of not less than 20 percent of the bid price or $3 million, whichever is less, is required with this bid. If the bidder fails to provide the required bid guarantee, such failure may require rejection of the bid. Reference FAR Provision 52.228-1, Bid Guarantee.

Block 17:

Amounts should be completed as follows:

Schedule A (Base Contract) - $ Schedule B (Government Option 1) - $ Schedule C (Government Option 2) - $

Other:

The estimated price is expected to fall within the price range of greater than $10,000,000.

Responsibility of bidders shall be evaluated in accordance with the information provided on the Bidder's Qualification Form, which can be downloaded from the Contract Opportunities website located at http://beta.SAM.gov. Puerto Rico Highway and Transportation Authority’s Standard Specifications for Road and Bridge Construction Manual can be downloaded at the ACT (Autoridad de Carreteras y Transportación) web site. ACT web site is https://act.dtop.pr.gov/manual-de-especificaciones-estandares-para-la-construccion-de-carreteras-y-puentes/ http://beta.sam.gov/ https://act.dtop.pr.gov/manual-de-especificaciones-estandares-para-la-construccion-de-carreteras-y-puentes/ https://act.dtop.pr.gov/manual-de-especificaciones-estandares-para-la-construccion-de-carreteras-y-puentes/

BID SCHEDULE INSTRUCTIONS

PROJECT: PR ST ER PRMNT RPR(6)

BIDDERS PLEASE NOTE: Before preparing the bid, carefully read the Instructions to Bidders. While preparing the bid, comply with the following:

COMPLETING THE BID SCHEDULE

Complete the Bid Schedule(s) by handwriting in ink or typing. Specify a Unit Bid Price, in figures with cents to only two decimal places, for each pay item in the Unit Bid Price column for which a quantity is given. Do not enter or tender a Unit Bid Price for any pay item for which no estimated quantity appears in the Bid Schedule. Determine the products of the respective unit prices and quantities, and show them, in figures, in the Amount Bid column. If a Unit Bid Price and Amount Bid have been inserted by the Government for a pay item, do not change the Unit Bid Price and Amount Bid for the pay item. Determine the Bid Total for each specific individual Schedule of Work by adding the amounts of the listed items, and show in the block provided for that individual Schedule of Work. In case of multiplication errors, the Amount Bid for the item will be based on the Unit Bid Price.

To be eligible for award, bidders must submit prices for each pay item.

Review Subsection 109.05 of the Special Contract Requirements (SCR) regarding scope of payment for direct and indirect payment work.

Fill in the Bid Total(s) for each individual Schedule of Work as directed on the Bid Summary page. Fill in the Evaluation Total Price of Project in the space provided on the Bid Summary page.

The amount in Block 17 of the SF 1442 should be completed as follows:

Schedule A - $ .

Schedule B - $ .

Schedule C - $ .

SCHEDULES OF WORK

The Bid Schedule is comprised of the following separate schedules and options of work:

Schedule A (Base Contract) - Pages B-1 thru B-3 Schedule B (Government Option 1) - Pages B-4 thru B-5 Schedule C (Government Option 2) - Pages B-6 thru B-7

The Government will award the project as a Base Contract (Schedule A) with the option to award Schedules B and C (Government Option 1 and 2); see FAR Clauses 52.217-4 and 52.217-5.

The purpose of the multiple schedules and options is to give the Government maximum flexibility in completing the project in a timely manner and at a cost-effective price, by proper utilization of programmed funds and upon receipt of any additional funds required to award the contract. If complete funding is in place at the time of award of Schedule A (Base Contract), the Government may award Schedules B or C (Government Options 1 or 2) at that time. If additional funding is required for the award of Schedules B or C (Government Options 1 or 2), and is received after the award of Schedule A (Base Contract), the Government has the right to exercise Schedules B or C (Government Options 1 or 2) at the unit prices bid according to the following schedule:

Schedule B (Government Option 1): No later than 365 calendar days after the Notice To Proceed for Schedule A (Base Contract).

Schedule C (Government Option 2): No later than 365 calendar days after the Notice To Proceed for Schedule A (Base Contract).

COMPLETION OF WORK

The Government has estimated the number of calendar days necessary to complete all contract work from the effective date of the Notice to Proceed to contract completion for the various contract award scenarios. The maximum number of calendar days allowed (i.e., the contact performance period) is shown in Block 11 of the SF-1442 and described below.

If the Government awards the contract as Schedules A + B + C, the performance period to complete all contract work will be 1210 calendar days.

If the Government awards the contract as Schedules A + B, the performance period to complete all contract work will be 1060 calendar days.

If the Government awards the contract as Schedules A + C, the performance period to complete all contract work will be 870 calendar days.

If the Government awards the contract as Schedule A only, the performance period to complete all Schedule A work will be 870 calendar days and will start on the effective date of Schedule A’s Notice to Proceed.

If Schedule B (Government Option 1) is exercised after the award of the original contract, the performance period to complete all Schedule B work will be 1060 calendar days and will start on the effective date of Schedule B’s Notice to Proceed.

If Schedule C (Government Option 2) is exercised after the award of the original contract, the performance period to complete all Schedule C work will be 550 calendar days and will start on the effective date of Schedule C’s Notice to Proceed.

In developing a construction schedule to determine the number of calendar days, the

Government considered and included the work limitations shown in Sections 108 and 156 of the SCR’s and the plans. Specific work limitations may be (but are not limited to): National legal and local holidays, weekends, rush hours, night work, specified no work periods, work or traffic control phasing, etc. The Government also considered those work items that are weather sensitive and when those work items will be performed. Specific work items may include (but not limited to): those that require a minimum ambient air temperature (asphalt paving and surface treatment, pavement striping, stone masonry, etc); those that require maintaining a minimum surface temperature (concrete pavement, structural concrete, painting, etc); and those that have specific planting seasons (turf establishment, sod, trees, plants, etc). The Government also considered time required for preparing material and drawing submittals, and the allowable Government review times for those submittals (Subsection 104.03 of the SCR’s).

Bidders are to assume that the award of the contract and approval of the Contractor’s Performance and Payment Bonds (see Block 12a of the SF-1442 and FAR Clause 52.228-15) may result in the start of construction activities to be February 2021. See Subsection 108.01 of the SCR’s for additional details.

BASIS FOR AWARD

The contract will be awarded to the responsive, responsible bidder with the lowest Evaluation Total Price of Project, which is defined as:

Schedule A (Base Contract) Bid Total + Schedule B (Government Option 1) Bid Total + Schedule C (Government Option 2) Bid Total.

B - 0

Bidder/Offeror please note: Before preparing the bid, carefully read the Solicitation Provisions. Insert a unit bid price, in figures, for each pay item for which a quantity appears in the bid schedule. Multiply the unit price by the quantity for each pay item and show the amount bid. Should any mathematical check made by the Government show a mistake in the amount bid, the corrected unit price extension shall govern. When the word "LPSM" (Lump Sum) appears as a unit bid price, insert an amount for each lump sum pay item. When a sum based on a fixed rate appears for any pay item in the amount bid column, include the Government inserted amount bid for the item in the total bid amount. Total all of the amounts bid for each pay item and show the total bid amount.

Bid Schedule

Project No: PR ST ER PRMNT RPR(6) Project Name: Signs and Safety Repairs in PR-1, PR-2 and PR-3

B I D S C H E D U L E Schedule A

Project No: PR ST ER PRMNT RPR(6)

Name: Sign and Safety Repairs on PR-2

Item No. Quantity Unit Unit Price Amount

15001-0000 Line A0020 ALL LPSM $

15100-1000 Line A0040 ALL LPSM $

15102-0000 Line A0060 1 CTSM $

15401-0000 Line A0080 ALL LPSM $

15501-0000 Line A0100 ALL LPSM $

60600-1000 Line A0120 7,700 M $ $

60600-2000 Line A0140 500 M $ $

60600-4000 Line A0160 8,200 M $ $

60604-3000 Line A0180 12 Each $ $

60605-3000 Line A0200 1 Each $ $

61101-0000 Line A0220 1 Each $ $

61310-1000 Line A0240 8,560 SQFT $ $

61310-2000 Line A0260 9,340 SQFT $ $

61310-3000 Line A0280 1,740 SQFT $ $

61310-4000 Line A0300 2,500 SQFT $ $

61310-5000 Line A0320 1,750 SQFT $ $

61310-7000 Line A0340 1,340 SQFT $ $

61310-9000 Line A0360 145 SQFT $ $

61311-0000 Line A0380 360 SQFT $ $

Schedule Total: ________________________

Submitted by: _________________________

Traffic Sign Assembly, Code E

Traffic Sign Assembly, Code G

Traffic Sign Assembly, Code K

Construction Survey and Staking

Mobilization

Reimbursement for Municipal Tax Payments

Contractor Testing

Construction Schedule

W-Beam Guardrail, Single Face

Traffic Sign Assembly, Code O

Traffic Sign Assembly, Code B

Traffic Sign Assembly, Code C

Traffic Sign Assembly, Code D

W-Beam Guardrail, Double Face

Removal, Storage and Delivery of Existing Guardrail

Thrie-Beam Transition, Type I

Crashworthy End Terminal, Type 1, TL-3

Field Office

Traffic Sign Assembly, Code A

430,000.00

B-1

Project No: PR ST ER PRMNT RPR(6)

Name: Sign and Safety Repairs on PR-2

Item No. Quantity Unit Unit Price Amount

61311-1000 Line A0400 1,710 SQFT $ $

61311-2000 Line A0420 6,200 SQFT $ $

61311-3000 Line A0440 135 SQFT $ $

61311-6000 Line A0460 1,360 SQFT $ $

61311-7000 Line A0480 875 SQFT $ $

61311-8000 Line A0500 3,540 SQFT $ $

61312-0000 Line A0520 160 SQFT $ $

61312-1000 Line A0540 180 SQFT $ $

62100-1000 Line A0560 85 Each $ $

62100-2000 Line A0580 415 Each $ $

62101-1000 Line A0600 35 Each $ $

63800-1000 Line A0620 ALL LPSM $

66100-1000 Line A0640 8 Each $ $

91001-3000 Line A0660 9 Each $ $

91001-6000 Line A0680 3 Each $ $

91102-9000 Line A0700 ALL LPSM $

91103-0000 Line A0720 ALL LPSM $

91300-5000 Line A0740 2,100 Each $ $

91300-6000 Line A0760 105 Each $ $

Removal of Existing Traffic Signs (Ground Mounted)

Removal of Existing Traffic Signs (Breakaway)

Transiton Module to Concrete Parapet

Special Item No. 17

Special Item No. 42

Kilometer Marker

Hectometer Marker

Object Markers

Traffic Sign Assembly, Code S

Traffic Sign Assembly, Code W

Traffic Sign Assembly, Code X

Maintenance of Traffic

Project Funding Sign

Bridge Transition Upgrade

Traffic Sign Assembly, Code P

Traffic Sign Assembly, Code R

Traffic Sign Assembly, Code Y

Traffic Sign Assembly, Code BB

Traffic Sign Assembly, Code CC

B-2

Project No: PR ST ER PRMNT RPR(6)

Name: Sign and Safety Repairs on PR-2

Item No. Quantity Unit Unit Price Amount

91300-7000 Line A0780 26 Each $ $

93101-1000 Line A0800 610 M $ $

93101-3000 Line A0820 7 SQM $ $

93501-0000 Line A0840 20 Each $ $

Removal of Existing Traffic Signs (Overhead)

Removal and Disposal of Lead Based Paint (Painted Guardrail)

Removal and Disposal of Lead Based Paint (Painted Concrete Structure)

Locate Utility, Test Pit

B-3

Schedule B

Project No: PR ST ER PRMNT RPR(6)

Name: Sign and Safety Repairs on PR-3

Item No. Quantity Unit Unit Price Amount

15001-0000 Line B0020 ALL LPSM $

15100-1000 Line B0040 ALL LPSM $

15102-0000 Line B0060 1 CTSM $

15401-0000 Line B0080 ALL LPSM $

15501-0000 Line B0100 ALL LPSM $

60600-1000 Line B0120 18,520 M $ $

60600-2000 Line B0140 180 M $ $

60600-4000 Line B0160 18,700 M $ $

60604-3000 Line B0180 41 Each $ $

60604-3100 Line B0200 11 Each $ $

61101-0000 Line B0220 1 Each $ $

61310-1000 Line B0240 5,200 SQFT $ $

61310-2000 Line B0260 4,600 SQFT $ $

61310-3000 Line B0280 2,600 SQFT $ $

61310-4000 Line B0300 2,405 SQFT $ $

61310-5000 Line B0320 800 SQFT $ $

61311-2000 Line B0340 1,050 SQFT $ $

61311-7000 Line B0360 290 SQFT $ $

61311-8000 Line B0380 770 SQFT $ $

Construction Survey and Staking

Mobilization

Reimbursement for Municipal Tax Payments

Contractor Testing

Construction Schedule

W-Beam Guardrail, Single Face

Traffic Sign Assembly, Code Y

Traffic Sign Assembly, Code B

Traffic Sign Assembly, Code C

Traffic Sign Assembly, Code D

W-Beam Guardrail, Double Face

Removal, Storage and Delivery of Existing Guardrail

Thrie-Beam Transition, Type I

Thrie-Beam Transition, Type II

Field Office

Traffic Sign Assembly, Code A

Traffic Sign Assembly, Code E

Traffic Sign Assembly, Code R

Traffic Sign Assembly, Code X

Schedule Total: ________________________

Submitted by: _________________________

442,000.00

B-4

Schedule B

Project No: PR ST ER PRMNT RPR(6)

Name: Sign and Safety Repairs on PR-3

Item No. Quantity Unit Unit Price Amount

61312-2000 Line B0400 3,600 SQFT $ $

61312-3000 Line B0420 910 SQFT $ $

62100-1000 Line B0440 140 Each $ $

62100-2000 Line B0460 710 Each $ $

62101-1000 Line B0480 108 Each $ $

63800-1000 Line B0500 ALL LPSM $

66100-1000 Line B0520 6 Each $ $

91001-3000 Line B0540 42 Each $ $

91001-5000 Line B0560 1 Each $ $

91001-5100 Line B0580 9 Each $ $

91300-5000 Line B0600 2,208 Each $ $

91300-6000 Line B0620 627 Each $ $

91300-7000 Line B0640 88 Each $ $

93101-1000 Line B0660 1,380 M $ $

93101-2000 Line B0680 165 SQM $ $

93501-0000 Line B0700 20 Each $ $

Removal of Existing Traffic Signs (Breakaway)

Removal of Existing Traffic Signs (Overhead)

Removal and Disposal of Lead Based Paint (Painted Guardrail)

Traffic Sign Assembly, Code GG

Traffic Sign Assembly, Code HH

Maintenance of Traffic

Project Funding Sign

Bridge Transition Upgrade

New Transition Module (More than 45mph)

New Transition Module (Less than 45mph)

Removal of Existing Traffic Signs (Ground Mounted)

Kilometer Marker

Hectometer Marker

Object Markers

Removal and Disposal of Lead Based Paint (Painted Concrete Barrier)

B-5

Schedule C

Project No: PR ST ER PRMNT RPR(6)

Item No. Quantity Unit Unit Price Amount

15001-0000 Line C0020 ALL LPSM $

15100-1000 Line C0040 ALL LPSM $

15102-0000 Line C0060 1 CTSM $

15401-0000 Line C0080 ALL LPSM $

15401-1000 Line C0100 ALL LPSM $

15501-0000 Line C0120 ALL LPSM $

60600-1000 Line C0140 4,800 M $ $

60600-4000 Line C0160 4,800 M $ $

60600-5000 Line C0180 12 Each $ $

60604-3100 Line C0200 8 Each $ $

61101-0000 Line C0220 1 Each $ $

61310-1000 Line C0240 3,620 SQFT $ $

61310-2000 Line C0260 1,875 SQFT $ $

61310-3000 Line C0280 1,340 SQFT $ $

61310-4000 Line C0300 955 SQFT $ $

61310-5000 Line C0320 610 SQFT $ $

61310-6000 Line C0340 95 SQFT $ $

61310-7000 Line C0360 45 SQFT $ $

61310-8000 Line C0380 150 SQFT $ $

Construction Survey and Staking

Mobilization

Reimbursement for Municipal Tax Payments

Contractor Testing

Cultural Resource Protection and Monitoring

Construction Schedule

Traffic Sign Assembly, Code H

Traffic Sign Assembly, Code B

Traffic Sign Assembly, Code C

Traffic Sign Assembly, Code D

W-Beam Guardrail, Single Face

Removal, Storage and Delivery of Existing Guardrail

New Crashworthy End Terminal Type II, TL-2

Thrie-Beam Transition, Type II

Field Office

Traffic Sign Assembly, Code A

Traffic Sign Assembly, Code E

Traffic Sign Assembly, Code F

Traffic Sign Assembly, Code G

Submitted by: __________________________

Name: Sign and Safety Repairs on PR-1 Schedule Total: _________________________

145,000.00

B-6

Schedule C

Project No: PR ST ER PRMNT RPR(6)

Item No. Quantity Unit Unit Price Amount

Name: Sign and Safety Repairs on PR-1

61311-0000 Line C0400 60 SQFT $ $

61311-2000 Line C0420 770 SQFT $ $

61311-7000 Line C0440 415 SQFT $ $

61312-2000 Line C0460 915 SQFT $ $

61312-3000 Line C0480 645 SQFT $ $

62100-1000 Line C0500 115 Each $ $

62100-2000 Line C0520 560 Each $ $

62101-1000 Line C0540 160 Each $ $

63800-1000 Line C0560 ALL LPSM $

66100-1000 Line C0580 2 Each $ $

91001-3000 Line C0600 8 Each $ $

91300-5000 Line C0620 950 Each $ $

91300-6000 Line C0640 10 Each $ $

91300-7000 Line C0660 9 Each $ $

93101-1000 Line C0680 30 M $ $

93101-2000 Line C0700 29 SQM $ $

93501-0000 Line C0720 20 Each $ $

Removal of Existing Traffic Signs (Ground Mounted)

Removal of Existing Traffic Signs (Breakaway)

Removal of Existing Traffic Signs (Overhead)

Traffic Sign Assembly, Code O

Traffic Sign Assembly, Code R

Kilometer Marker

Hectometer Marker

Object Markers

Maintenance of Traffic

Project Funding Sign

Bridge Transition Upgrade

Traffic Sign Assembly, Code X

Traffic Sign Assembly, Code GG

Traffic Sign Assembly, Code HH

Removal and Disposal of Lead Based Paint (Painted Guardrail)

Removal and Disposal of Lead Based Paint (Painted Concrete Barrier)

B-7

B - 8

BID SUMMARY

Project PR ST ER PRMNT RPR(6)

(1) Schedule A (Base Contract) Bid Total (from Page B-1) = (1) $____________________

(2) Schedule B (Government Option 1) Bid Total (from Page B-4) = (2) $____________________

(3) Schedule C (Government Option 2) Bid Total (from Page B-6) = (3) $____________________

Total Price of Project (for evaluation purposes only)

EVALUATION TOTAL PRICE OF PROJECT = (1) + (2) + (3) $____________________

Maximum Time Allowed for the Contract if all schedules are Awarded at the Same Time

If the Government awards the contract as Schedules A + B + C, the performance period to complete all contract work will be 1210 calendar days.

If Schedules A, B, and C are not awarded at the same time, Maximum Time Allowed for completion of each award configuration is as follows:

If the Government awards the contract as Schedules A + B, the performance period to complete all contract work will be 1060 calendar days.

If the Government awards the contract as Schedules A + C, the performance period to complete all contract work will be 870 calendar days.

If the Government awards the contract as Schedule A only, the performance period to complete all Schedule A work will be 870 calendar days and will start on the effective date of Schedule A’s Notice to Proceed.

If Schedule B (Government Option 1) is exercised after the award of the original contract, the performance period to complete all Schedule B work will be 1060 calendar days and will start on the effective date of Schedule B’s Notice to Proceed.

If Schedule C (Government Option 2) is exercised after the award of the original contract, the performance period to complete all Schedule C work will be 550 calendar days and will start on the effective date of Schedule C’s Notice to Proceed.

BID BOND

(See instructions on reverse)

OMB Control Number: 9000-0045 Expiration Date: 8/31/2022

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT

OF BID

PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION(S) THOUSAND(S) HUNDRED(S) CENTS

BID IDENTIFICATION

BID DATE INVITATION NUMBER

PRINCIPAL

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1. 2.

2.

3.

3.

(Seal) (Seal) (Seal) Corporate Seal

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

NAME(S)

(Typed)

1.

1.

2.

2.

(Seal) (Seal)

CORPORATE SURETY(IES)

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 24 (REV. 8/2016)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

FOR (Construction, Supplies or Services)

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

DATE BOND EXECUTED (Must not be later than bid opening date)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

JOINT VENTURE

OTHER (Specify)

PARTNERSHIPINDIVIDUAL

CORPORATION

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond.

The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

Corporate Seal

LIABILITY LIMIT ($)STATE OF INCORPORATION

2.

2.

1.

1.NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

STANDARD FORM 24 (REV. 8/2016) BACK

D-1

FEDERAL ACQUISITION REGULATION AND TRANSPORTATION

ACQUISITION PROVISIONS

(Updated through FAC 2021-02)

REPRESENTATIONS AND CERTIFICATIONS

Annual Representations and Certifications. Prospective contractors shall complete electronic annual representations and certifications on-line at this web address:

http://www.sam.gov (See Far 4.1201) the System for Award Management (SAM) database (see FAR 4.1102).

Vets4212 Form must also be filled-in online at http://www.dol.gov/vets/vets4212.htm…