NEJC DQ-19008 PW Hall Window Replacement.pdf

NEJC DQ-19007 Phillips Whyman Hall Window Replacement

DOCUMENTED QUOTE

Date: April 8, 2019 Bid Number: NEJC DQ‐19008 PW Hall Window Replacement

Return all Bids to:

Northeastern Junior College

Purchasing Office 100 College Avenue Sterling, CO 80751

Purchasing Agent:

Martha Gareis 970‐521‐6662

Bid Due Date: May 2, 2019

Bid Due Time: 4:00 p.m.

Quotes properly marked as to Quote No., and Date will be accepted via fax at (970) 522-4945 or by mail to Northeastern Junior College, Purchasing Department, WH 104, 100 College Ave, Sterling, CO 80751 on or before the submission deadline of 05/02/2019 @ 4:00 PM. Email will also be accepted at martha.gareis@njc.edu

MAILING NOTE: FAX NOTE: EXPRESS MAIL:

Northeastern Jr College Northeastern Jr College Northeastern Jr College Purchasing Office Purchasing Office Purchasing Office 100 College Ave Fax #: (970)522-4945 100 College Ave Sterling, CO 80751 Quote #: NEJC DQ-19008 Sterling, CO 80751 Quote #: NEJC DQ-19008 Quote #: NEJC DQ-19008

Please Note: Express Mail is only delivered in the afternoons.

NORTHEASTERN JUNIOR COLLEGE (NJC) IS SOLICITING BIDS FOR PHILLIPS WHYMAN HALL

WINDOW REPLACEMENT – SOUTH WING ONLY

Project Start Date Monday, June 17th, 2019 Project Completion Date Thursday, July 2nd, 2019

Pre-Bid Walk Through Tuesday, April 17th, 2019, and 9 a.m. in Phillips Whyman Hall All Questions Due Tuesday, April 23rd, 2019, by 4:00 p.m.

I. General Information

1. Awarded vendor will contact the department prior to delivery to make arrangements for installation.

2. Pricing to remain firm for 90 days.

3. A Purchase Order or Contract will be issued to the awarded Contractor. Contractor should review the PO Terms and Conditions attached to this bid.

4. Payments will be made in full after the service has been received and accepted by Northeastern Junior College.

NET: 45 days.

5. This solicitation is published using the State of Colorado eProcurement website known as ColoradoVSS. Vendors are encouraged to register on ColoradoVSS in order to download solicitation documents and information including any amendments or modifications. During the solicitation process for this Documented Quote, all official communication with vendors will be via notices on ColoradoVSS. It is incumbent upon Vendors to monitor the ColoradoVSS carefully and regularly for any such postings. Vendors must be registered on ColoradoVSS to be considered responsive at the time of award of the response. ColoradoVSS and its registration information may found here: http://www.colorado.gov/VSS.

6. Bids must be in accordance with specifications set forth and subject to conditions herein and/or attached. All respondents are responsible for checking the ColoradoVSS system for award; no other notification will be provided.

II. General Conditions:

1. NJC is required to have a W‐9 on file for every company it does business with. Complete the W‐9 provided as Attachment A.

2. Reciprocity is mandated by statute. CRS 8‐18‐101 states, “When a contract for commodities or services is to be awarded to a bidder, a resident bidder…shall be allowed a preference against a nonresident bidder equal to the preference given or required by the state in which the nonresident bidder is a resident.”

3. In accordance with Procurement Code, CRS 24‐103‐207.5 titled Purchasing Preference for Environmentally Preferable Products; bidders responding to this solicitation may seek to qualify for the preference and governmental bodies conducting this solicitation shall award a contract to a bidder who offers environmentally preferable products subject to the conditions in the Code and Procurement Rules.

4. A Certificate of Insurance that meets the State requirements must be on file in the College's Purchasing Office prior to the commencement of work. These requirements are included in this bid.

5. The Bidder promises, in submitting his Bid, that if issued an award, he will, within the prescribed time, execute the required Agreement, furnish the required Performance Bond, Labor and Material Payment Bond, Insurance Policy and Certificates of Insurance, or forfeit his Bid Guaranty as Liquidated Damages.

6. Availability of Funds: Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. In the event funds are not appropriated, any resulting contract will become null and void, without penalty to the State of Colorado.

7. A Contractor that operates as a sole proprietor hereby swears or affirms under penalty of perjury that the Contractor (i) is a citizen of the United States or otherwise lawfully present in the United States pursuant to federal law, (ii) shall comply with the provisions of CRS 24‐76.5‐101 et seq, and (iii) shall produce one of the forms of identification required by CRS 24‐76.5‐103 prior to the effective date of this Contract. Except where exempted by federal law and except as provided in CRS 24‐76.5‐103(3), a Contractor that receives federal or state funds under this contract must confirm that any individual natural person eighteen years of age or older is lawfully present in the United States pursuant to CRS 24‐76.5‐103(4) if such individual applies for public benefits provided under this contract. Attachment B

8. Contract performance outside of the United States or Colorado, 24‐102‐206. Prior to contracting or as a requirement for the solicitation of any contract from the State for services, as appropriate, any prospective vendor shall disclose in a statement of work where services will be performed under the contract, including subcontracts, and whether any services under the contract or subcontracts are anticipated to be performed outside of the United States or the State. If the prospective vendor anticipates services under the contract or any subcontracts will be performed outside the United States or the State, the vendor shall provide in its statement of work a provision setting forth why it is necessary or advantageous to go outside the United States or the State to perform the contract or any subcontracts. Attachment C

9. ILLEGAL ALIENS–PUBLIC CONTRACTS FOR SERVICES. CRS 8‐17.5‐101 and 24‐76.5‐101. The Contractor certifies that the Contractor shall comply with the provisions of CRS 8‐17.5‐101 et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work under this contract or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this contract. The Contractor represents, warrants, and agrees that it

(i) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (ii) otherwise will comply with the requirements of CRS 8‐17.5‐102(2)(b). The Contractor shall comply with all reasonable requests made in the course of an investigation under CRS 8‐17.5‐102 by the Colorado Department of Labor and Employment. If the Contractor fails to comply with any requirement of this provision or CRS 8‐17.5‐ 101 et seq., the State may terminate this contract for breach and the Contractor shall be liable for actual and consequential damages to the State. Attachment D

10. PERA. NJC is a Colorado PERA affiliated employer. Pursuant to Colorado SB06‐235 and C.R.S. 24‐51‐1101(2), NJC is requiring the vendor to notify NJC’s Purchasing Office within fifteen (15) calendar days from the date of the contract if the services provided are being or are to be performed by a PERA retiree. Attachment E

11. Bidders must be able to demonstrate the ability to perform according to the terms of this bid. Bidders will be required to have experience in providing this type of service to organizations of similar size and complexity. NJC may require additional information of the apparent successful bidder to determine their ability to perform. This information may include, but is not limited to, previous experience of company; years in business; quality and condition of equipment; and financial condition.

12. NJC reserves the right to reject all bids and re‐solicit at any time prior to contract start date. NJC reserves the right to cancel this bid in its entirety at any time without penalty NJC also reserves the right to reject any or all bids in part or in whole and to waive technicalities as allowed in the Procurement Rules. NJC reserves the right to make multiple awards from the bid if in the best interest of the State.

13. In the event that NJC receives a single bid to its solicitation, the NJC reserves the right to turn the single received bid into a negotiated procurement.

14. NJC may reject any bid that is unbalanced if it is in the best interest of the State to do so. A bid will be considered unbalanced when, in the opinion of the Purchasing Manager, the bid allocates a disproportionate share of costs to the price of one or more bid items and reduces the costs to the price of another bid item or items, and if there is a reasonable possibility that the bid will not result in the lowest overall cost to NJC.

15. Quantities ‐ NJC reserves the right to adjust quantities stated in this solicitation. Available funding versus prices bid may affect actual quantities ordered. NJC may choose to increase or decrease quantities stated in the documents depending on the circumstance. NJC is not obligated to place any order for a given amount subsequent to the award of this solicitation. NJC may use any stated estimated quantities in the award evaluation process. Estimated quantities do not contemplate or include possible additional quantities that may be ordered by other entities utilizing this contract. In no event shall NJC be liable for payments in excess of the amount due for quantities of goods or services actually ordered. NJC reserves the right to purchase additional goods and services at the same bid prices or lower within a reasonable period of time following award.

16. Licenses and Permits – The contractor and any sub‐contractors performing work on this project must be licensed to perform such work in the City of Sterling and Logan County Colorado. The contractor shall provide all required permits. Copies of all permits with approval signatures shall be submitted to Northeastern Junior College, Purchasing Office, Sterling, CO, 80751 prior to start date.

17. MWBE ‐ It is the State’s goal to achieve maximum participation of minorities and women owned businesses in the procurement process. Accordingly, minority and women owned business enterprises are to be utilized whenever possible.

18. SDVOSB ‐ In accordance with House Bill 14‐1224, NJC reports on contracts with Service Disabled Veteran Owned Small Businesses (SDVOSB). Bidders who qualify as SDVOSB are requested to submit proof of certification with their response.

19. Environmentally Preferable Products ‐ In accordance with Procurement Code, CRS 24‐103‐207.5 titled ‐ Purchasing Preference for Environmentally Preferable Products; bidders responding to this solicitation may seek to qualify for the preference and governmental bodies conducting this solicitation shall award a contract to a bidder who offers environmentally preferable products subject to the conditions in the Code and Procurement Rules.

20. This DQ does not obligate NJC to pay any costs incurred in the preparation or the submission of such bids, or to purchase or contract for materials or services from such bids if not in the best interest of the State of Colorado and NJC.

21. In the event any item to be sold or delivered hereunder is covered by any patent, copyright, trademark, or application therefore, the seller will indemnify and hold harmless the State of Colorado and NJC from any and all loss, costs, expenses, and legal fees on account of any claims, legal actions, or judgments on account of manufacturer, sale, or use of such item in violation, infringement or the lack of rights, under such patent copyright, trademark, or application.

22. INDEMNIFICATION. The vendor shall indemnify, save and hold harmless the State, NJC, its employees and agents, against any and all claims, damages, liability, and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the contractor, its employees, agents, subcontractor, or assignees pursuant to the terms of the contract.

23. The quoted price shall be exclusive of any Federal or State Taxes from which NJC is exempt.

24. Bids will be evaluated on vendor’s responsiveness to NJC’s needs and completeness of response requirements as outlined. Cost will be the main factor used in evaluating bids. Evaluation may also take into account payment terms, projected delivery dates, and any other pertinent factors.

25. Bidders guarantee to NJC that they understand and agree to the terms and conditions of the bid; guarantee a continuing supply and consistent quality of the service offered; and that they will not default from performance by virtue of a mistake or misunderstanding.

26. Successful bidder(s) shall comply with the requirements of the bid. If a bidder fails to perform, NJC reserves the right to take remedial action including cancellation of the contract (with a 30 day written notice) for cause (default). Cause is defined as failure to meet requirements of the written specifications and conditions, or correct deficiencies upon receipt of notice. Failure to maintain satisfactory performance after notice will be sufficient cause for immediate cancellation of the contract. In the event of default, NJC may make an award to the next lowest bidder or to re‐bid at its discretion.

26. Bonds and Insurance. The contractor shall procure at its own expense and maintain in force during the term of the contract and all extensions thereof, the following bonds and insurance:

a. The contractor shall provide certificates showing insurance coverage required by the contract to the State within 7 business days of the effective date of the contract, but in no event later than the commencement of the services or delivery of the goods under the contract. No later than 15 days prior to the expiration date of any such coverage, the contractor shall deliver the State certificates of insurance evidencing renewals thereof. At any time during the term of the contract, the State may request in writing, and the contractor shall thereupon within 10 days supply to the State, evidence satisfactory to the State of compliance with the provisions of this section. All policies evidencing the insurance coverage’s required hereunder shall be issued by insurance companies satisfactory to the State.

(1) Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of contractor's employees acting within the course and scope of their employment.

(2) Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows:

(a) $1,000,000 each occurrence;

(b) $1,000,000 general aggregate;

(c) $1,000,000 products and completed operations aggregate; and

(d) $50,000 any one fire.

If any aggregate limit is reduced below $1,000,000 because of claims made or paid, the contractor shall immediately obtain additional insurance to restore the full aggregate limit and furnish to the State a certificate or other document satisfactory to the State showing compliance with this provision.

(3) Automobile Liability Insurance covering any auto (including owned, hired and non‐owned autos) with a minimum limit of $1,000,000 each accident combined single limit.

b. The State of Colorado shall be named as additional insured on the Commercial General Liability (leases and construction contracts will require the additional insured coverage for completed operations on endorsements CG 2010 11/85, CG 2037, or equivalent). Coverage required of the contract will be primary over any insurance or self‐insurance program carried by the State of Colorado.

c. The Insurance shall include provisions preventing cancellation or non‐renewal without at least 30 days prior notice to the State by certified mail within seven days.

d. The contractor will require all insurance policies in any way related to the contract and secured and maintained by the contractor to include clauses stating that each carrier will waive all rights of recovery, under subrogation or otherwise, against the State of Colorado, its agencies, institutions, organizations, officers, agents, employees and volunteers.

III. Bid Instructions

1. All questions regarding this bid must be directed to the NJC Purchasing Agent identified on the first page.

2. Bid must include all shipping, handling and delivery charges to NJC, 100 College Avenue, Sterling, CO 80751 and be

FOB Destination. No additional charges for packing, drayage, or any other purpose will be allowed

3. All bids must be submitted on the bid form provided; no substitute forms will be accepted. Bid form must be signed in ink by an individual with express authority to bind company.

4. Multiple bids will not be accepted. Each vendor is to submit one best offer bid.

5. Each vendor shall furnish the information required; the unit price for each item bid must be shown; a total for each item bid must be entered; in case of error in extension, unit price prevails.

6. It is understood and agreed that the delivery date and/or date of installation after receipt of a contract/purchase order is the seller’s best offer. In its acceptance of any bid, NJC is relying on the promised delivery date and/or installation as material and basic to its acceptance, unless otherwise indicated. In the event of seller’s failure to deliver as and when promised, NJC reserves the right to cancel its acceptance order, or any part thereof, and seller agrees that NJC may return all or part of any shipment so made and may charge seller with any loss or expense sustained as a result of such failure to deliver as promised, not as a penalty but as liquidated damages.

7. Where brand name/model number is specified, bid only this brand/model number. No equivalents will be accepted as equipment. Furnished equipment must be able to function with the equipment and/or software already in use.

8. All prices and notations shall be printed in ink or type written on the bid documents. Illegible bids or writing shall be deemed non‐responsive and will not be evaluated. A bid with missing or inconsistent information may be considered non‐responsive and may not be evaluated. Do not qualify your bid nor alter the bid format. NJC will be the sole judge in determining the acceptability of an offer.

IV. Bid Schedule Bid Posting 04/08/2019

Site Walk Through 04/17/2019 at 9:00 a.m. in PW Hall

Last Day for Questions 04/23/2019 by 4:00 p.m. Questions will not be accepted after this date. All questions and answers will be posted on ColoradoVSS on 4/24/19 by 4:00 p.m.

Responses to Questions 04/24/2019 by 4:00 p.m.

Bids Due 05/02/2019 by 4:00 p.m.

V. Schedule of Completion:

A start and completion date will be mutually agreed upon by both parties with an approximate start date of June 17, 2019 and a no later than completion date of July 2, 2019. The work schedule must be coordinated and approved with the Physical Plant Director.

VI. Contractors:

Contractor will comply with all current building codes.

Disposal of waste is the responsibility of the Contractor. Contract is responsible for providing their own dumpsters.

Contractor shall perform daily clean up and removal of construction debris and will perform a final cleaning of all surfaces prior to acceptance of work.

Contractor shall tape/fence off work area and provide proper signage as need to direct foot traffic to maximize the safety of college employees and students.

Do not include overtime costs in your quote. Contractor will have 24 hour access, if needed.

The Principal Representative has determined that the entire project shall be substantially completed within 16 calendar days from the start date. The project shall be finally complete, including the delivery of any or all guarantees and warranties, the submittal of sales and use tax payment forms, the completion of the final punch list and the calling for final inspection, within 5 calendar days, if applicable, from the date of completion.

VII. Sub‐Contractors:

Contractor must provide the Purchasing Office with a list of sub‐contractors, if applicable, prior to commencing work.

VIII. Acceptance:

The NJC Physical Plant Director will inspect work site(s) for acceptance upon completion of each project.

IX. General Considerations:

Each Bid shall be submitted on the required Bid Form and must be accompanied by a Bid Bond on State Buildings Programs Bid Bond Form Sc‐6.14 in an amount not less than 5% of the total Bid. The Bid Bond may also be (1) a cashier's check or (2) a certified check made payable to the Treasurer of the State of Colorado in an amount not less than 5% of the total Bid. The Bid Bond is submitted as a guaranty that the Bid will be maintained in full force and effect for a period of thirty (30) days after the opening of the Bids for the project. (Form on Page 14)

The Bidder promises, in submitting his Bid, that if issued a PO, he will, within the prescribed time, execute the required PO and furnish the required Performance Bond, Labor and Material Payment Bond, Insurance Policy and Certificates of Insurance, or forfeit his Bid Guaranty as Liquidated Damages.

For State Public Works, not less than eighty percent (80%) of the labor employed on such projects shall consist of Colorado labor. Colorado labor means any person who is a resident of the state of Colorado at the time of employment.

Bid Preference shall be applied per Procurement Rule R24‐111‐102‐02(c). A comparable percentage disadvantage will be applied to the bid of Nonresident bidders from a state that provides a percentage bidding preference to bidders from that state. Additional information may be obtained from the Department of Personnel and Administration’s (DPA) web site.

Contractor must provide a written statement of work to the state agency if it anticipates subcontracting any services outside the United States or Colorado. The written statement is a requirement of the bid or proposal submittal and must include the types of services that will be performed, the location, and the reason why it is necessary or advantageous to do so. Per Procurement Rules R24‐102‐206‐01 and R24‐102‐206‐02.

X. Service Specifications and Scope of Work

Furnish all labor, materials, equipment, implements, parts and supplies necessary for window replacement as defined in PW Hall Window Specs (attachment to bid).

The work includes replacing approximately 20 windows. Windows are various sizes and configurations (Refer to Drawings).

Work done by Asbestos Abatement Company to include: All windows will be removed as facility components and asbestos containing materials shall remain intact with the removed windows. Frames and caulking shall be removed in a manner that does not render the caulking compound friable (i.e. no mechanical means). Removal includes all window components, leaving the rough window opening ready to accept replacement window frames. Temporary framing/OSB sheathing shall be provided to after window removal to ensure building security and weather enclosure.

The work includes the replacement of Fifteen (15) transite panels (195 SF). Panels are various sizes and configurations (Refer to Drawings).

Work done by Asbestos Abatement Company to include: Panels shall be removed as facility components and asbestos containing materials shall remain intact. Removal includes all window components, leaving the rough window opening ready to accept replacement window frames.

Temporary framing/OSB sheathing shall be provided to after window removal to ensure building security and weather enclosure. NOTE – coordinate periodic visual inspections with Owner’s Representative, Owner’s Representative cannot guarantee inspections can be scheduled after immediately after transite panel removal and prior to temporary framing/sheathing installation.

It is the service provider’s responsibility to use precautions when setting up ladders, scaffolding or lifts as to not damage the landscaping, window, sidewalks or floors, etc.

Any damage to NJC building or property caused by the Service Provider must be reported immediately and/or within one (1) hour to the Physical Plant Director.

The Service Provider, at no additional cost, shall repair furnishings, facilities or other property of NJC damaged during the course of the provided services. Determination of the need for and extent of any repair work is at the sole discretion of the Physical Plant Director.

The Service Provider shall at times provide adequate supervision of employees to ensure complete and satisfactory performance of all work in accordance with the terms of the contract. The Service Provider will have a responsible supervisor on the job at all times when the work of the contract is being carried out.

All work will be performed according to OSHA standards.

Warranty: Minimum 1 Year on Labor, Manufacturer’s Warranty on Equipment/Materials

NEJC DQ‐19008, DUE: 5/2/2019, 4:00pm MDT

attached window specs (travel costs, hotels, meals, and mileage should be included in cost)

Additional Charges (please detail)

GRAND TOTAL

Items that Must Be Included with Bid:

1. Completed W‐9 form attached to this bid

2. Bid bond is required over $50,000 Form SPB‐6.14

3. Vendor Response Sheet

4. Vendor Disclosure Statement

5. Certification and Affidavit Illegal Alien Form

6. PERA Questionnaire

********THE FOLLOWING MUST BE COMPLETED AND INCLUDED WITH BID********

Vendor Name

Vendor Address

Vendor Phone / Fax

E‐Mail Address

Printed Name, Title

Signature

Contact Name, if different

Contact Phone/Email

Assured Delivery Date

Payment Terms FOB Destination / Net 45

Using the Federal Government definition, does your company qualify as:

A Small Business Yes____ No____ A Woman Owned Business Yes____ No____

A Minority Business Yes____ No____ If Yes, State Ethnicity

A Service Disabled Veteran Owned Small Business (SDVOSB) (If yes, provide certification)

Yes____ No____

Federal ID Number

Are you a member of the ColoradoVSS System? Yes____ No____ VSS# ______________________

Attachment A

Form W-9

Substitute Form

State of Colorado 8-2007

Request for Taxpayer Identification Number and Certification

Give form to the requester. Do not send to the IRS.

P ri nt o r T yp e

S ee

S pe ci fi c In st ru ct io ns o n pa ge

Name

Business name, if different from above

Check appropriate box:

Individual/ Sole Proprietor Corporation Partnership Other

Exempt from backup withholding

Address (number, street, and apt. or suite no.) Requester:

City, state, and ZIP code.

List Account number(s) here (optional)

Phone Number:

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN) However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.

Social Security number

Note: If the account is in more than one name, see the chart on page 3 for guidelines on whose number to enter.

Employer identification number

Part II Certification

Minority and Women-owned Businesses (M/WBEs) Self Certification (Please check all boxes that apply)

In an effort to track levels of participation by women and minorities doing business with the State of Colorado, the following information is requested. Please indicate the appropriate category of ownership for your company. “Owned” in this context means a business that is at least 51 percent owned by an individual(s) who also control(s) and operate(s) it. “Control” in this context means exercising the power to make policy decisions. “Operate” means actively involved in the day-to-day management. If you business is jointly owned by both men and women or is a large publicly held corporation, please check the box labeled “Not Applicable.”

Gender Information:

□ Female-Owned □ Male-Owned □ Not Applicable

Owner Ethnicity Information

□ African American □ Asian/Pacific American □ White (non-Hispanic) □ Not Applicable

□ Hispanic American □ Native American □ Other: _____________________________

Small Business Information

Small Business (a business that is organized for profit, is independently owned and operated, and has 25 or fewer full time equivalent employees.)

□ Yes □ No

Sign Here

Signature of U.S. person ► Date ►

As required by C.R.S. 24‐76.5‐103

FOR SOLE PROPRIETOR’S ONLY (see paragraph II, 7)

PLEASE PLACE AN ENLARGED COPY OF ONE OF THE FOLLOWING IN THIS SPACE:

A United States military card or a military dependents identification card; or

A United States Coast Guard Merchant Mariner Card; or

A Native American Tribal Document

Place Notary Stamp or Seal above

Attachment C

(For Use with Service Contracts)

VENDOR DISCLOSURE STATEMENT

Contract Performance Outside the United States or Colorado

Colorado Revised Statute 24‐102‐206

To the extent the vendor has not disclosed the following information in the Statement of Work, this form shall be completed and returned to the contracting agency. This applies to all state contracts and solicitation for services executed after August 3, 2007.

Vendor Name: _____________________________________

Are any services under the contract or any subcontracts anticipated to be performed outside the United States or Colorado?

Yes � No �

If “Yes”, please complete the following three questions:

1. Where will the services be performed under the contract, including any subcontracts? (List country(ies) and/or state(s).)

2. What is the total percentage of contract performance outside US or Colorado?

3. Explain why it is necessary or advantageous to go outside of the United States or the State of Colorado to perform the contract or any subcontracts.

Not required for contracts to which the State is a party under:

Medicare

The “Colorado Medical Assistance Act”, Articles 4 to 6 of Title 25.5 CRS

The “Children/s Basic Health Plan Act”, Article 8 of Title 25.5, CRS

The “Colorado Indigent Care Program”, Part I of Article 4 of Title 25.5, CRS

Attachment D

(Ref paragraph II, 9)

The Vendor, whose name and signature appear below, certifies and agrees as follows:

___ I am a Permanent Resident of the United States, or

___ I am lawfully present in the United States pursuant to Federal law.

CERTIFIED and AGREED to this ______ day of _________________, 20___.

VENDOR:

Address:

BY: _______________________________________ __________________________

Signature of Authorized Representative Title

Attachment E

NEJC DQ-19008 Phillips Whyman Hall Window Replacement