LNAA-CO-26-001 Part VII, Bid Book.pdf

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Parking Garage Development & Elevated Pedestrian Walkway
Solicitation number
Not on record
Issued by
Lehigh County, Allentown City, Pennsylvania

About this file

This is a Bid Book (Part VII) issued by the Lehigh-Northampton Airport Authority for the LNAA-CO-26-001 Parking Garage/Walkway Program at Lehigh Valley International Airport in Allentown, Pennsylvania. The project is a multi-prime construction initiative with separate bid packages for General Contractor, Pre-cast Concrete Contractor, Electrical Contractor, Mechanical Contractor, and Plumbing Contractor positions. A mandatory pre-bid meeting is required on August 4, 2026, at 1:00 p.m. at the Airport Authority Boardroom, with at least one company representative required to attend in-person to be eligible for proposal submission. Sealed proposals must be submitted by 4:00 p.m. on September 10, 2026, via PennBid, with public opening occurring the same date and time at the Boardroom. The General Contractor, Electrical Contractor, Mechanical Contractor, and Plumbing Contractor positions allow 735 consecutive calendar days from the Construction Notice to Proceed for project completion, while the Pre-cast Concrete Contractor has 500 consecutive calendar days. All bid prices must remain firm for 120 calendar days from the bid opening date, and contract award is expected within 120 calendar days of bid opening, with formal contract execution required within 10 calendar days of written notice of award.

Bidders must submit bid security bonds equal to 10 percent of their total base bid, with successful bidders required to provide performance and payment bonds equal to 100 percent of the contract amount. Liquidated damages are set at $4,500 per consecutive calendar day or part thereof for failure to meet project completion deadlines. Bidders are required to submit comprehensive documentation including affirmations regarding collusion and bribery convictions, contractor certification of eligibility, subcontractor lists, bidder and subcontractor utilization summary forms, and small business participation utilization plans with letters of intent. The Authority requires all bidders to identify their Pennsylvania Construction Firm License number, Federal Employer Identification Number or Social Security Number, and must comply with Title VI of the Civil Rights Act of 1964 and Title 49 Code of Federal Regulations nondiscrimination provisions. Prevailing wage rates apply to this project. All bids must be accompanied by a detailed Schedule of Values and must include all unit prices, add or deduct alternatives, and self-performance percentages as specified in Section GI-1.05.14 of the General Information document.

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Other files

File Type Posted
LNAA-CO-26-001 Package A Parking Garage Development Technical Specifications.pdf PDF
LNAA-CO-26-001 Part IV, Wage Rates.pdf PDF
LNAA-CO-26-001 Package A Parking Garage Development Geotechnical Report.pdf PDF
LNAA-CO-26-001 Package A Parking Garage Development Construction Plans.pdf PDF
LNAA-CO-26-001 Part V, Airport Authority Documents.pdf PDF
Contractors Qualification Cert. - GENERAL BIDDERS ONLY.pdf PDF
Contractors Qualification Cert. - MECHANICAL BIDDERS ONLY.pdf PDF
LNAA-CO-26-001 Package B Elevated Pedestrian Walkway Technical Specifications.pdf PDF
LNAA-CO-26-001 Package B Elevated Pedestrian Walkway Construction Plans.pdf PDF
Legal Advertisment.pdf PDF
Contractors Qualification Cert. - PRECAST BIDDERS ONLY.pdf PDF
LNAA-CO-26-001 Part II, General Provisions.pdf PDF
LNAA-CO-26-001 Part III, General Specifications.pdf PDF
LNAA-CO-26-001 Part VI, Agreement.pdf PDF
LNAA-CO-26-001 Package B Elevated Pedestrian Walkway Geotechnical Report.pdf PDF
Contractors Qualification Cert. - PLUMBING BIDDERS ONLY.pdf PDF
LNAA-CO-26-001 Part I, General Information.pdf PDF
Contractors Qualification Cert. - ELECTRICAL BIDDERS ONLY.pdf PDF
1-PCAAdvertisement.pdf PDF
2-PCA - BidBook.pdf PDF
4-LNAA - ABE - PCA Schedule of Values - Locked.xlsx XLSX spreadsheet
3-PCAFrontEndProvisionsTechnicalSpecifications.pdf PDF
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PART VII: BID BOOK

LNAA-CO-26-001

PARKING GARAGE / WALKWAY PROGRAM

ALL ENCLOSED FORMS MUST BE COMPLETED

AND SUBMITTED WITH THE BID PROPOSAL

LEHIGH-NORTHAMPTON AIRPORT AUTHORITY

LEHIGH VALLEY INTERNATIONAL AIRPORT

4TH Edition July 2026

LEHIGH VALLEY INTERNATIONAL AIRPORT LNAA-CO-26-001

PARKING GARAGE / WALKWAY PROGRAM ISSUED FOR BID

JULY 21, 2026

BID BOOK BID FORMS – BF.2

THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK

BID BOOK BID FORMS – BF.3

Contents

Signature to Bids ..................................................................................... BF.5 thru BF.14 Affirmation Regarding Collusion ..............................................................................BF.15 Affirmation Regarding Bribery Convictions ..............................................................BF.16 Contractor’s Certification of Eligibility.......................................................................BF.17 Bidder’s List Collection Form ...................................................................................BF.18 Subcontractor’s List Collection Form ..................................................... BF.19 thru BF.20 Bidder & Subcontractor Utilization Summary Form ............................... BF.21 thru BF.22 Small Business Participation Utilization Plan ...........................................................BF.23 Small Business Participation Letter of Intent Form ..................................................BF.24 Contractor’s Qualification Statement & Certification (Under Separate Cover) ......................................................................................................... BF.25 thru BF.34

BID BOOK BID FORMS – BF.4

THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK

(This form must be completed and submitted with the Bid Proposal.)

BID BOOK BID FORMS – BF.5

SIGNATURE TO BIDS

NOTE: Bidders shall use this page as a cover page when submitting his/her bid.

Each bid must show the full business address and telephone number of the Bidder and be signed by the person legally authorized to sign contracts. All correspondence concerning the bid and contract, including Notice of Award, copy of contract and purchase order, will be provided via electronic correspondence to the authorized individual shown on the bid forms, in the absence of written instructions from the Bidder to the contrary. Bids by partnerships must be signed in the partnership name by one of the members of the partnership or by an authorized representative, followed by the signature and designation of the person signing, who shall also state the names of the individuals composing the partnership. Bids by corporations must be signed with the name of the corporation, followed by the signature and designation of the officer having authority to sign. When requested, satisfactory evidence of authority of the officer signing on behalf of the corporation shall be furnished. Anyone signing the bid as agent shall file satisfactory evidence of his/her authority to do so.

All documents, materials, or data developed as a result of this contract are the Authority’s property. The Authority has the right to use and reproduce any documents, materials, and data, including confidential information, used in or developed as a result of this contract.

The Authority may use this information for its own purposes or use it for reporting to Federal agencies. The Bidder warrants that it has title to or right of use of all documents, materials, or data used or developed in connection with this contract. The Bidder must keep confidential all documents, materials, and data prepared or developed by the Bidder or supplied by the Authority. All erasures and/or changes shall be initialed by the individual making modifications to the proposal.

BIDDER MUST SIGN THE APPLICABLE PAGES, RELATED TO THE

TRADE/CONTRACT BEING BID ON, WITHIN THE BID BOOK AND UPLOAD THE

COMPLETED FORMS TO PENNBID WITH THE BID SUBMISSION. FAILURE TO

PROVIDE THESE DOCUMENTS CAN RESULT IN A NON-RESPONSIVE BID.

By signing where indicated on these forms, Bidder does hereby attest that he/she has fully read and understands the general conditions and instructions, specifications, and any other bid documents herein contained, and will furnish and deliver all labor and materials in accordance with the specifications for the price as listed on the proposal form.

BID BOOK BID FORMS – BF.6

Bidder acknowledges receipt of Contract Materials by initialing the following:

Technical Provisions, Part I, General Information _____

Technical Provisions, Part II, General Provisions _____

Technical Provisions, Part III, General Specifications for Overall Program _____

Technical Provisions, Part IV, Wage Rates _____

Technical Provisions, Part V, Airport Authority Documents _____

Technical Provisions, Part VI, Agreement _____

Technical Provisions, Part VII, Bid Book _____

Contractor’s Qualification Statement & Certification _____

Bid Tabulation Form _____

Construction Plans for Package A, Parking Garage Development _____

Technical Specifications for Package A, Parking Garage Development _____

Geotechnical Report for Package A, Parking Garage Development _____

Construction Plans for Package B, Elevated Pedestrian Walkway _____

Technical Specifications for Package B, Elevated Pedestrian Walkway _____

Geotechnical Report for Package B, Elevated Pedestrian Walkway _____

Bidder acknowledges receipt of Addenda by initialing the following:

Addendum No. 1 _____ Addendum No. 2 _____ Addendum No. 3 _____

Addendum No. 4 _____ Addendum No. 5 _____ Addendum No. 6 _____

BID BOOK BID FORMS – BF.7

BIDDER INFORMATION

Company Name*:

Contact Name:

Title:

Address:

E-Mail Address:

*Insert corporation, partnership or individual as applicable.

Gentlemen/Ladies:

The Bidder, in compliance with the Invitation for Bids has examined the plans and specifications with related documents and the size of the proposed work, and being familiar with all of the conditions surrounding the construction of the proposed project including the availability of materials and labor, hereby proposes to furnish all labor, materials, equipment, plant and services, and to construct the project in accordance with the Contract Documents and Addenda within the time set forth therein, and at the total sum base bid stated below. These prices are to cover all expenses incurred in performing the work required under the Contract Documents, of which this proposal is a part.

The Bidder intends for the following bid to be submitted for the following contract within the overall multi-prime project:

General Contractor _____ Pre-cast Concrete Contractor _____

Electrical Contractor _____ Mechanical Contractor _____

Plumbing Contractor _____

Each bidder must choose one of the above contractor fields, and then complete the corresponding bid total items from the following sheets. The total sum should be the combination of items as applicable.

BID BOOK BID FORMS – BF.8

1. GENERAL CONTRACTOR:

A. TOTAL SUM BASE BID

To furnish labor, materials, equipment, plant and services necessary to properly complete the work required under the TOTAL SUM BASE BID, based on the unit prices set forth in the required Schedule of Values (attached by reference) in strict accordance with the aforesaid documents. Any add or deduct alternatives should only be shown on the Schedule of Values and not included in the total sum below.

Dollars $

(Written) (Figures)

(Amount shall be shown in both words and figures. In case of discrepancy, the amount shown in words will govern.)

It is understood that the bid price will be firm for a time period of one hundred twenty (120) calendar days from the bid opening date and that if the undersigned is notified of acceptance of this proposal within this time period, the firm shall complete the total work within a maximum seven hundred th i r ty - f ive

(735) consecutive calendar days from the date of "Construction Notice to Proceed" for construction and to complete the work in accordance with the provisions of the Contract Documents. If this work is not completed within the time period specified, the Contractor will be liable for liquidated damages of four thousand five hundred ($4,500.00) dollars per consecutive calendar day or part thereof will be applied as identified in Section GI-1.05.11.

BID BOOK BID FORMS – BF.9

2. PRECAST CONCRETE CONTRACTOR:

A. TOTAL SUM BASE BID

To furnish labor, materials, equipment, plant and services necessary to properly complete the work required under the TOTAL SUM BASE BID, based on the unit prices set forth in the required Schedule of Values (attached by reference) in strict accordance with the aforesaid documents. Any add or deduct alternatives should only be shown on the Schedule of Values and not included in the total sum below.

Dollars $

(Written) (Figures)

(Amount shall be shown in both words and figures. In case of discrepancy, the amount shown in words will govern.)

It is understood that the bid price will be firm for a time period of one hundred twenty (120) calendar days from the bid opening date and that if the undersigned is notified of acceptance of this proposal within this time period, the firm shall complete the total work within a maximum f ive hundred (500) consecutive calendar days from the date of "Construction Notice to Proceed" for construction and to complete the work in accordance with the provisions of the Contract Documents. If this work is not completed within the time period specified, the Contractor will be liable for liquidated damages of four thousand five hundred ($4,500.00) dollars per consecutive calendar day or part thereof will be applied as identified in Section GI-1.05.11.

BID BOOK BID FORMS – BF.10

3. ELECTRICAL CONTRACTOR:

A. TOTAL SUM BASE BID

To furnish labor, materials, equipment, plant and services necessary to properly complete the work required under the TOTAL SUM BASE BID, based on the unit prices set forth in the required Schedule of Values (attached by reference) in strict accordance with the aforesaid documents. Any add or deduct alternatives should only be shown on the Schedule of Values and not included in the total sum below.

Dollars $

(Written) (Figures)

(Amount shall be shown in both words and figures. In case of discrepancy, the amount shown in words will govern.)

It is understood that the bid price will be firm for a time period of one hundred twenty (120) calendar days from the bid opening date and that if the undersigned is notified of acceptance of this proposal within this time period, the firm shall complete the total work within a maximum seven hundred th i r ty - f ive

(735) consecutive calendar days from the date of "Construction Notice to Proceed" for construction and to complete the work in accordance with the provisions of the Contract Documents. If this work is not completed within the time period specified, the Contractor will be liable for liquidated damages of four

BID BOOK BID FORMS – BF.11

4. MECHANICAL CONTRACTOR:

A. TOTAL SUM BASE BID

To furnish labor, materials, equipment, plant and services necessary to properly complete the work required under the TOTAL SUM BASE BID, based on the unit prices set forth in the required Schedule of Values (attached by reference) in strict accordance with the aforesaid documents. Any add or deduct alternatives should only be shown on the Schedule of Values and not included in the total sum below.

Dollars $

(Written) (Figures)

(Amount shall be shown in both words and figures. In case of discrepancy, the amount shown in words will govern.)

It is understood that the bid price will be firm for a time period of one hundred twenty (120) calendar days from the bid opening date and that if the undersigned is notified of acceptance of this proposal within this time period, the firm shall complete the total work within a maximum seven hundred th i r ty - f ive

(735) consecutive calendar days from the date of "Construction Notice to Proceed" for construction and to complete the work in accordance with the provisions of the Contract Documents. If this work is not completed within the time period specified, the Contractor will be liable for liquidated damages of four

BID BOOK BID FORMS – BF.12

5. PLUMBING CONTRACTOR:

A. TOTAL SUM BASE BID

To furnish labor, materials, equipment, plant and services necessary to properly complete the work required under the TOTAL SUM BASE BID, based on the unit prices set forth in the required Schedule of Values (attached by reference) in strict accordance with the aforesaid documents. Any add or deduct alternatives should only be shown on the Schedule of Values and not included in the total sum below.

Dollars $

(Written) (Figures)

(Amount shall be shown in both words and figures. In case of discrepancy, the amount shown in words will govern.)

It is understood that the bid price will be firm for a time period of one hundred twenty (120) calendar days from the bid opening date and that if the undersigned is notified of acceptance of this proposal within this time period, the firm shall complete the total work within a maximum seven hundred th i r ty - f ive

(735) consecutive calendar days from the date of "Construction Notice to Proceed" for construction and to complete the work in accordance with the provisions of the Contract Documents. If this work is not completed within the time period specified, the Contractor will be liable for liquidated damages of four

BID BOOK BID FORMS – BF.13

6. ALL BIDDERS:

A. SUBCONTRACTORS:

All Bidders shall submit their list of subcontractors list as part of their bid packet.

No change or deviation from this list shall be allowed except as determined by the Owner or the Owner's Representative.

B. AWARD: Award of the bid can be made by the Owner to the responsive, responsible low bidder based on the Total Sum Bid.

C. BIDDER'S STATE OF PENNSYLVANIA REGISTRATION NUMBER:

Construction Firm License No. Date Issued Place of Issuance

Federal Employer Identification Number (FEIN) or Social Security No. if no FEIN

Bid Security Bonds shall be submitted with each proposal in the amount of ten percent (10%) of the Total Base Bid. Originals will be provided by the lowest responsive bidder upon notice of award.

If no bid has been accepted within one hundred twenty (120) calendar days after the bid opening, then any bond may be returned upon demand of the bidder.

Upon receipt of written notice of the acceptance of this bid, bidder will execute the formal contract within ten (10) calendar days. The Bid Security attached, in the sum of:

Dollars $

(Written) (Figures) is to become the property of the Owner in the event the Contract and Bond are not executed within the time above set forth, as liquidated damages for the delay and additional expense to the Owner caused thereby.

Failure to properly and completely fill in all blanks may be cause for rejection of this proposal. All alternates and unit prices called for in the Contract Documents must be submitted herewith.

BID BOOK BID FORMS – BF.14

I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE

PENALTIES OF PERJURY THAT THE CONTENTS OF THE

AFFIDAVITS AND BID SUBMISSION DOCUMENTS ARE TRUE AND

CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION AND

BELIEF AND THAT I AM THE DULY AUTHORIZED REPRESENTATIVE

OF THE BELOW BUSINESS AND THAT I POSSESS THE LEGAL

AUTHORITY TO MAKE THE AFFIDAVITS ON BEHALF OF MYSELF

AND THE BUSINESS FOR WHICH I AM ACTING.

BY:

(Signature of Authorized Representative and Affiant)

(Name & Title Printed)

(Business Address)

(Phone Number) (Fax Number)

(Federal Employer Identification Number)

(SEAL) If bid is by corporation.

BID BOOK BID FORMS – BF.15

AFFIRMATION REGARDING COLLUSION

I AFFIRM THAT:

Neither I nor, to the best of my knowledge, information, and belief, the below stated business has:

(a) Agreed, conspired, connived, or colluded to produce a deceptive show of competition in the compilation of the accompanying bid or offer that is being submitted;

(b) In any manner, directly or indirectly, entered into any agreement of any kind to fix the bid price or price proposal of the Bidder or Offeror or of any competitor, or otherwise taken any action in restraint of free competitive bidding in connection with the contract for which the accompanying bid or offer is submitted.

That the information above is true and complete to the best of my knowledge.

Printed Name and Title

Signature Date

BID BOOK BID FORMS – BF.16

AFFIRMATION REGARDING BRIBERY CONVICTIONS

I FURTHER AFFIRM:

Neither I nor, to the best of my knowledge, information, and belief, the below-named business, nor any of its officers, directors, partners, or any of its employees directly involved in obtaining or performing contracts with public bodies has been convicted of, or has pleaded nolo contendere to a charge of, bribery, attempted bribery, or conspiracy to bribe in violation of Pennsylvania law, or of the law of any other State or federal law, except as follows (indicate the reasons why the affirmation cannot be given and list any conviction, plea, or imposition of probation before judgment with the date, court, official or administrative body, the sentence or disposition, the name(s) of person(s) involved, and their current positions and responsibilities with the business).

Bidder’s Company/Firm:

Address:

Authorized Signature:

Name & Title Printed:

Telephone & Fax Number: /

E-Mail Address:

Date:

Federal Employer’s Identification No.:

BID BOOK BID FORMS – BF.17

CONTRACTOR'S CERTIFICATION OF ELIGIBILITY

The bidder/offeror certifies, by submission of this proposal or acceptance of this contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

The bidder/offers or further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the bidder/offer/contractor or any lower tier participant is unable to certify to this statement, it shall attach an explanation to this solicitation/proposal.

That the information above is true and complete to the best of my knowledge.

Printed Name and Title

Signature Date

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

The full names and residences of all persons interested in this proposal as principals are as follows:

BID BOOK BID FORMS – BF.18

BIDDER’S LIST COLLECTION FORM

LNAA is required by CFR Title 49, Subtitle A, Part 26, subpart A, § 26.11(c) to collect bidders list information from all bidders at the time of bid submittal. The data must be collected for all firms who bid as prime contractors or subcontractors. Please list yourself (bidder) and all firms that provided a quote (successfully or not).

As such, it is the responsibility of the bidder to complete the following information as a condition of submitting a proposal for this project. The sponsor will consider incomplete information to be an irregular proposal.

Airport Name: Lehigh Valley International Airport Bid Date:

AIP No.:

Project Name: Parking Garage / Walkway Program

Bidder’s Information

Bidders Name:

Firm Address, Zip Code, Phone No.

DBE/ SBE, or Non-DBE

Status

NAICS Code(s) of Scope(s) Bid Age of Firm

Annual Gross Receipts

DBE

SBE

Less than 1 year

3 years

4-7 years

8-10 years

More than 10 years

Less than $1 million

$1-3 million

$3-6 million

$6-10 million

Over $10 million

BID BOOK BID FORMS – BF.19

SUBCONTRACTOR’S LIST COLLECTION FORM

LNAA is required by CFR Title 49, Subtitle A, Part 26, subpart A, § 26.11(c) to collect bidders list information from all bidders at the time of bid submittal. The data must be collected for all firms who bid as prime contractors or subcontractors. Please list yourself (bidder) and all firms that provided a quote (successfully or not).

As such, it is the responsibility of the bidder to complete the following information as a condition of submitting a proposal for this project. The sponsor will consider incomplete information to be an irregular proposal.

Airport Name: Lehigh Valley International Airport Bid Date:

AIP No.:

Project Name: Parking Garage / Walkway Program

Subcontractor’s Information

Bidders Name:

Status

NAICS Code(s) of Scope(s) Bid Age of Firm

Annual Gross Receipts

DBE

BID BOOK BID FORMS – BF.20

Status

NAICS Code(s) of Scope(s) Bid Age of Firm

Annual Gross Receipts

DBE

Status

NAICS Code(s) of Scope(s) Bid Age of Firm

Annual Gross Receipts

DBE

(Copy this form and submit with your original proposal if more space is needed.)

BID BOOK BID FORMS – BF.21

BIDDER & SUBCONTRACTOR UTILIZATION SUMMARY FORM

As outlined in the bid documents and Contract Summary, the Owner requires the Bidder to provide their project utilization summary of all work to be self-performed and / or designated to the identified subcontractors (listed on the bidder and subcontractor collection forms included in this

Bid Book). The project utilization percentage (%) should be based on the estimated contract value of each contractor’s estimated work in relation to the total sum Base Bid value submitted by the

Bidder. For this project, a bidder’s self-performance goal is as requested in Section GI-

1.05.14. The Owner will consider incomplete information to be a non-responsive bid.

Airport Name: Lehigh Valley International Airport

AIP No.:

Project Name: Parking Garage / Walkway Program

Bidder / Prime Contractor Utilization Summary

Firm Name Estimated Contract

Value Contract %

Subcontractor’s Utilization Summary

Estimated Contract

Value

(based on value)

BID BOOK BID FORMS – BF.22

Estimated Contract

Value

(Copy this form and submit with your original proposal if more space is needed.)

BID BOOK BID FORMS – BF.23

SMALL BUSINESS PARTICIPATION UTILIZATION PLAN

Contractor must submit this form and attach one letter of intent (see next page) for each small business subcontractor, supplier or manufacturer that you are committed to utilizing on this project.

LNAA encourages participation of all small businesses in the performance of this project.

AIRPORT NAME: Lehigh Valley International Airport

PROJECT NAME: Parking Garage / Walkway Program

NAME OF BIDDERS FIRM:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

PRINTED NAME OF SIGNER:

EMAIL ADDRESS:

TOTAL BID AMOUNT:

SMALL BUSINESS UTILIZATION SUMMARY

Small Business Firm Scope of Work Amount

SMALL BUSINESS PARTICIPATION: $

Affirmation:

The undersigned hereby assures that the information included herein is true and correct, and that the Small Business firm(s) listed on the attached Letter of Intent Forms have agreed to perform a commercially useful function in the work items noted for each firm.

By:

Signature of Bidder’s Representative Title

BID BOOK BID FORMS – BF.24

SMALL BUSINESS PARTICIPATION LETTER OF INTENT FORM

Submit one letter of intent for each small business subcontractor, supplier or manufacturer if the Contractor is completing the Small Business Participation Plan Form on the following page.

AIRPORT NAME: Lehigh Valley International Airport

PROJECT NAME: Parking Garage / Walkway Program

NAME OF BIDDERS FIRM:

CITY: STATE: ZIP CODE:

NAME OF SMALL BUSINESS:

CITY: STATE: ZIP CODE:

CONTACT PERSON:

EMAIL ADDRESS:

PROOF ATTACHED OF SMALL BUSINESS ELIGIBILITY

_____ Certification Included: _______________________________________ Or

_____ Verification of Gross Revenue form

CLASSIFICATION (Check one):

___ PRIME CONSULTANT ___ SUBCONSULTANT ___ JOINT VENTURE

___ PRIME CONTRACTOR ___ SUBCONTRACTOR ___ MANUFACTURER

___ BROKER ___ SUPPLIER/DEALER ___ SUPPLIER/DISTRIBUTOR

DESCRIPTION OF WORK ITEMS TO BE PERFORMED:

NAICS Scope of Work to be performed Dollar Value

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