Proposal_Submission_Pkg.pdf

KATMAI NATIONAL PARK & PRESERVE

P16PS00287

Replace Floating Bridge and Access Trail With Elevated Bridge and

Walkway

KATM-148250

REQUEST FOR PROPOSAL

(RFP)

Proposal Submission Package

NATIONAL PARK SERVICE

DENVER SERVICE CENTER

INSTRUCTIONS: The following forms should be used to prepare proposals for the subject solicitation as applicable. Do Not send these forms separately or in advance of proposals.

Must be returned with the Prime Contractor’s proposal.

For Technical Volume I:

1. Experience Questionnaire

2. Subcontractor Reference

3. Key Personnel Qualifications

4. Proposed Equals

5. Hazardous Materials Identification Listing

6. Past Performance Questionnaire

For Business & Price Volume II:

7. SF 24 Bid Bond

8. General References

9. Small Business Participation Plan Subcontractor Calculations

10. Subcontracting Plan Form

11. Contract Price Schedule

Experience Questionnaire READ CAREFULLY: The purpose of this form is for the offeror to list projects performed that are similar to the work described in this solicitation. Provide a maximum of ten projects. Use this form to address your familiarity with the Statement of Work and with the evalution criteria described in the solicitation. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their experience may be considered by others to be less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s experience.

NAME OF CONTRACTOR/OFFEROR:

# PROJECT NAME:

Project Location:

Name of Owner:

Address of Owner:

Telephone Number:

Project Value:

Dates of Construction:

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK

PERFORMANCE REMARKS

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK (continuation)

PERFORMANCE REMARKS (continuation)

Subcontractor Reference READ CAREFULLY: The purpose of this form is for the offeror to list certain subcontractors identified in the Instructions, Conditions, and Notices to Offerors (Section L) who are considered critical to the successful accomplishment of the project. Use as many sheets as necessary. These subcontractor references should include additional relevant projects similar to the work described in the plans and specifications. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

SUB CONTRACTOR (PROPOSED):

ADDRESS:

TELEPHONE NUMBER: ( )

# PROJECT

NAME:

Name of Owner:

Location:

Prime Contractor Telephone Number:

Subcontract $ Value:

Dates of Construction:

Reference Name and Telephone Number: ( ) .

Dates of Construction:

DESCRIPTION & SCOPE OF WORK

SPECIFIC AREAS OF EXPERIENCE (SEE INSTRUCTIONS FOR THE SUBMISSION OF OFFERS AND OTHER

INFORMATION – CAPABILITY CRITERIA):

DESCRIPTION & SCOPE OF WORK {continuation}

SPECIFIC AREAS OF EXPERIENCE (SEE INSTRUCTIONS FOR THE SUBMISSION OF OFFERS AND OTHER INFORMATION – CAPABILITY CRITERIA) {continuation}:

Key Personnel Qualifications READ CAREFULLY: The purpose of this form is for the Offeror to list the qualifications of all key personnel as described in the Instructions, Conditions, and Notices to Offerors (Section L). Use additional sheets as needed.

Experience and qualifications include those job-related training courses; certificates and licenses; honors; performance awards; and specialty skills that are relevant to the proposed project. Provide dates, but do not send documents.

Provide the state in which registration or license is held and the registration or license number. Fill in the information by typing or printing legibly.

NAME OF CONTRACTOR/OFFEROR:

PERSONNEL INFORMATION:

Name:

Job Title:

Years of Experience With This Firm: Years of Experience With Other Firms:

EDUCATION AND PROFESSIONAL REGISTRATION:

Top Educational Level Obtained: Year:

Area of Specialization:

Professional Registrations:

Area of Specialization:

EXPERIENCE AND QUALIFICATIONS

PROPOSED EQUALS

In accordance with provision 52.211-06, the following products are being proposed as equals.

Provide all attachments required by the provision, as applicable. Use additional sheets of paper as necessary.

Section No.

Paragraph No. Product/Model No. Proposed Product/Model

No.

A. By submitting the proposed equal, the contractor certifies that it:

1. Has investigated the proposed item and determined that it is equal or superior in all respects to that specified.

2. Will provide, as a minimum, the same warranties for the proposed item as for the item specified.

3. Has determined that the proposed item is compatible with interfacing items.

4. Will coordinate the installation of an approved item and make all changes required in other elements of the work because of the substitution.

5. Waives all claims for additional expenses that may be incurred as a result of the substitution.

B. The Contractor is encouraged to submit for approval products that exceed accessibility standards, are sustainable and/or made from recycled or environmentally responsible material.

Every effort will be made to approve these materials.

HAZARDOUS MATERIALS IDENTIFICATION LISTING

In accordance with Clause 52.223-3, Hazardous Material Identification and Material Safety Data, of the Contract, contractor is required to identify any hazardous materials that will be delivered under this contract.

List below all known hazardous materials to be used in performance of the work and submit with the proposal/bid. If material components are unknown at the time of submission, respond with a statement to that effect.

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections I and II and transmit questionnaire to reference listed in Section II Reference to complete Sections III and IV and transmit back to Contracting Officer (see contact information at bottom of form)

I. CONTRACT IDENTIFICATION

CONTRACTOR NAME: CONTRACT NO:

CONTRACTOR ADDRESS:

CONTRACT TYPE:

[ ] FIRM-FIXED-PRICE

[ ] COST REIMBURSEMENT

[ ] OTHER____________________________

[ ] ACTIVE [ ] COMPLETED

[ ] ROUTINE [ ] COMPLEX

DATES OF PERFORMANCE: AWARD AMOUNT $___________________

TOTAL WITH MODS $___________________

PROJECT DESCRIPTION:

II. AGENCY (CUSTOMER) IDENTIFICATION

AGENCY/CLIENT (CUSTOMER) NAME:

TITLE/PHONE:

III. PAST PERFORMANCE RATING

Rating Scale: E = Excellent. Considerably surpassed requirements/expectations.

G = Good. Surpassed requirements/expectations.

S = Satisfactory. Met requirements/expectations

M = Marginal. Met some requirements/expectations

U = Unsatisfactory. Did not meet requirements/expectations

1. QUALITY: (Circle applicable rating)

a. Conformance with contract requirements E G S M U

b. Quality of workmanship (including subcontractors) E G S M U

c. General oversight by project manager and superintendent E G S M U

d. Coordination with and control of subcontractors E G S M U

e. Compliance with Davis-Bacon wage rate and labor usage requirements

E G S M U

f. Avoidance of accidents/safety violations E G S M U

g. Ability to work in remote locations, if applicable E G S M U

2. TIMELINESS:

a. Adherence to project delivery schedules E G S M U

b. Submission of change proposals E G S M U

c. Response to technical direction and change orders E G S M U

d. Response to correction of identified problems E G S M U

e. Submission of timely/accurate/complete billings E G S M U

f. Ability to meet project schedule milestones E G S M U

g. Submission of materials/other submittals E G S M U

3. BUSINESS RELATIONS:

a. Flexibility and cooperativeness in resolving problems E G S M U

b. Tenacity and innovativeness in resolving problems E G S M U

National Park Service/ Denver Service Center Contact Information:

Contracting Officer: Sally McMahon Contract Specialist: Evelyn Tate

MAILING ADDRESS: National Park Service / Denver Service Center (DSC-CS) ATTN: Contracting Officer

12795 West Alameda Parkway Lakewood, CO 80228

c. Relationships with subcontractors, including prompt payment E G S M U

d. Relationships with owner’s representative E G S M U

e. End user was satisfied with services performed E G S M U

IV. COMMENTS

Provide any additional comments for items in Section III

Item No. Comment

POC SIGNATURE/DATE:

Please provide contact information where you may be reached during normal business hours:

General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.

NAME OF CONTRACTOR/OFFEROR:

SURETY

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

CORPORATE BANK

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

CORPORATE BANK

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

INSURANCE COMPANY

Address:

Name of Agent:

Telephone Number:

Types of Policies:

SUBCONTRACTOR

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Address:

Name of Contact:

Telephone Number:

Address:

Name of Contact:

Telephone Number:

MATERIAL SUPPLIER

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL SUPPLIER

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL SUPPLIER

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

SMALL, HUBZONE SMALL, SMALL DISADVANTAGED, WOMEN-OWNED

VETERAN-OWNED SMALL BUSINESS SUBCONTRACTING PLAN

April 2010

DATE___________

CONTRACTOR: _________________________________________________________________________________________

ADDRESS: _____________________________________________________________________________________________

SOLICITATION OR CONTRACT NUMBER: ___________________________________________________________________

ITEM/SERVICE: _________________________________________________________________________________________

The following, together with any attachments, is hereby submitted as a Subcontracting Plan to satisfy the applicable requirements of Public Law 95-507 as implemented by OFPP Policy Letter 80-2.

The National Park Service (NPS) subcontracting goals for the participation of small business; small disadvantaged business and small women-owned business at a minimum are as follows: All Small Business Concerns – 19.5%; Small Disadvantaged Business Concerns – 3%; Small Women-Owned Business Concerns – 5%; Hubzone Small Business Concerns – 3%; Veteran-Owned Small Business Concerns – 3%; Service-Disabled Veteran Owned Business Concerns

– 3%; 8(a) Concerns – 2.5%.

If your firm indicates in Item No. 1 below a lesser percentage than the subcontracting goals of the NPS, specify in the space provided the reason(s) your firm cannot meet these goals. ___________________________________________________

1. (a) The following percentage goals (expressed in terms of a percentage of total planned subcontracting dollars) are applicable to the contract cited above or to the contract awarded under the solicitation cited.

(i) Small Business Concerns: _______% of total planned subcontracting dollars under this contract will go to subcontractors who are small business concerns.

(ii) HUBZone Small Business Concerns: _______% of total planned subcontracting dollars under this contract will go to subcontractors who are HUBZone small business concerns. This percentage is included in the percentage under 1(a)(i) above, as a subset.

(iii) Small Disadvantaged Business Concerns: _____% of total planned subcontracting dollars under this contract will go to subcontractors who are small business concerns owned and controlled by socially and economically disadvantaged individuals. This percentage is included in the percentage shown under 1.(a)(i), above, as a subset.

(iv) Women-Owned Small Business Concerns: _____% of total planned subcontracting dollars under this contract will go to subcontractors who are women-owned small business concerns. This percentage is included in the percentage shown under 1.(a)(i), above, as a subset.

(v) Veteran-Owned Small Business Concerns: _____% of total planned subcontracting dollars under this contract will go to subcontractors who are veteran-owned small business concerns. This percentage is included in the percentage shown under 1.(a)(i), above, as a subset.

(vi) Service-Disabled Veteran-Owned Small Business Concerns: _____% of total planned subcontracting dollars under this contract will go to subcontractors who are service-disabled veteran-owned small business concerns. This percentage is included in the percentage shown under 1(a)(i) above, as a subset.

(vii) 8(a) Small Business Concerns: _____% of total planned subcontracting dollars under this contract will go to subcontractors who are certified 8(a) small business concerns. This percentage is included in the percentage shown under 1(a)(i) above, as a subset.

(b) The following dollar values correspond to the percentage goals shown in (a) above.

(i) Total dollars planned to be subcontracted to small business concerns: $____________________.

(ii) Total dollars planned to be subcontracted to HUBZone small business concerns: $________________.

This dollar amount is included in the amount shown under 1.(b)(I), above as a subset.

(iii) Total dollars planned to be subcontracted to small disadvantaged business concerns:

$____________________. This dollar amount is included in the amount shown under 1.(b)(i), above, as a

(iv) Total dollar planned to be subcontracted to women-owned small business concerns:

$_____________________. This dollar amount is included in the amount shown under 1.(b)(i), above, as a subset.

(v) Total dollar planned to be subcontracted to veteran-owned small business concerns:

$_____________________. This dollar amount is included in the amount shown under 1.(b)(i), above, as a subset.

(vi) Total dollar planned to be subcontracted to service-disabled veteran-owned small business concerns:

$________________. This dollar amount is included in the amount shown under 1(b)(i) above, as a

(vii) Total dollar planned to be subcontracted to 8(a) small business concerns: $________________. This dollar amount is included in the amount shown under 1(b)(i) above, as a subset.

(c) The total estimated dollar value of all planned subcontracting (to all types of business concerns) under this contract is $________________.

(d) The following principal products and/or services will be subcontracted under this contract, and the distribution among small business, HUBZone small business, small disadvantaged business concerns, women-owned small business and veteran-owned small business concerns is as follows:

(Products/services planned to be subcontracted to small business concerns are identified by *; to HUBZone small business concerns; by **; to small disadvantaged business concerns by ***; to women-owned small business concerns by **** and to veteran-owned small business concerns *****.)

(e) The following method was used in developing subcontract goals (i.e., statement explaining how the product and service areas to be subcontracted were established, how the areas to be subcontracted to HUBZone small, small disadvantaged, small women-owned business and small veteran-owned business concerns' capabilities were determined, to include identification of source lists utilized in making those determinations).

(f) Indirect and overhead costs (check one below):

[ ] have been [ ] have not been included in the goals specified in 1(a) and 1(b).

(g) If "have been" is checked, explain the method used in determining the proportionate share of indirect and overhead cost to be allocated as subcontracts to small business concerns, HUBZone small business, small disadvantaged business, small women-owned business and veteran-owned business concerns.

2. The following individual will administer the subcontracting program:

Name: _________________________________________________________________________________________________

Address & Telephone: ____________________________________________________________________________________

Titles: _________________________________________________________________________________________________

This individual's specific duties, as they relate to the firm's subcontracting program, are as follows:

General overall responsibility for this company's Small Business Program, the development, preparation, and execution of individual subcontracting plans and for monitoring performance relative to contractual subcontracting requirements contained in this plan, including, but not limited to:

(a) Developing and maintaining bidders lists of small, HUBZone small, small disadvantaged, women-owned small and veteran-owned small business concerns for all possible sources.

(b) Ensuring that procurement packages are structured to permit small, HUBZone small, small disadvantaged, women-owned small and veteran-owned small business concerns to participate to the maximum extent possible.

(c) Assuring inclusion of small, HUBZone small, small disadvantaged, women-owned small and veteran-owned small business concerns in all solicitations for products or services that they are capable of providing.

(d) Reviewing solicitations to remove statements, clauses, etc, which may tend to restrict or prohibit small business, HUBZone small, small disadvantaged, women-owned small and veteran-owned small business participation.

(e) Ensuring periodic rotation of potential subcontractors on bidders' lists.

(f) Ensuring that the bid proposal review board documents its reasons for not selecting low bids submitted by small, HUBZone small, small disadvantaged, women-owned small and veteran-owned small business concerns.

(g) Ensuring the establishment and maintenance of records of solicitations and subcontract award activity.

(h) Attending or arranging for attendance of company counselors at Business Opportunity Workshops, Minority Business Enterprise Seminars, Trade Fairs, etc.

(i) Conducting or arranging for conduct of motivational training for purchasing personnel pursuant to the intent of P.L. 95-507.

(j) Monitoring attainment of proposed goals.

(k) Preparing and submitting periodic subcontracting reports required.

(l) Coordinating contractor's activities during the conduct of compliance reviews by Federal agencies.

(m) Coordinating the conduct of contractor's activities involving its small, HUBZone small, small disadvantaged, women-owned small and veteran-owned small business subcontracting program.

(n) To help new suppliers the following duties are added (or deleted) to those specified above:

3. The following efforts will be taken to assure that small, HUBZone small, small disadvantaged business concerns, women-owned small business concerns and veteran-owned small business concerns will have an equitable opportunity to compete for subcontracts:

(a) Outreach efforts will be made as follows:

(i) contacts with minority, women-owned and small business trade associations,

(ii) contacts with business development organizations;

(iii) attendance at small, women-owned small business and minority business procurement conferences and trade fairs;

(iv) sources will be requested from SBA's PRO-Net system.

(b) The following internal efforts will be made to guide and encourage buyers:

(i) workshops, seminars, and training programs will be conducted;

(ii) activities will be monitored to evaluate compliance with this subcontracting plan.

(c) Small, HUBZone small, small disadvantaged, women-owned and veteran-owned small business concern source lists, guides, and other data identifying small and small disadvantaged, women-owned and veteran-owned small business concerns will be maintained and utilized by buyers in soliciting subcontracts.

(d) Additions to (or deletions from) the above listed efforts are as follows:

4. The bidder (contractor) agrees that the clause entitled Small, HUBZone Small, Small Disadvantaged, Women-Owned Small and Veteran-Owned Small Business Subcontracting Plan (FAR 52.219.9) will be included in all subcontracts which offer further subcontracting opportunities, and all subcontractors except small business concerns who receive subcontracts in excess of $500,000 will be required to adopt and comply with a subcontracting plan similar to this one.

Such plans will be reviewed by comparing them with the provisions of Public Law 95-507, and assuring that all minimum requirements of an acceptable subcontracting plan have been satisfied. The acceptability of percentage goals shall be determined on a case-by-case basis depending on the supplies/services involved, the availability of potential small, HUBZone small, women-owned small business, small disadvantaged, and veteran-owned small business subcontractors and prior experience. Once approved and implemented, plans will be monitored through the submission of periodic reports, and/or, as time and availability of funds permit, periodic visits to subcontractors' facilities to review applicable records and subcontracting program progress.

5. The bidder (contractor) agrees to submit such periodic reports and cooperate in any studies or surveys as may be required by the contracting agency or the SBA in order to determine the extent of compliance by the bidder with the subcontracting plan and with the clause entitled Small Business Subcontracting Plan (FAR 52.219.9) contained in the contract.

6. The bidder (contractor) agrees that he will maintain at least the following types of records to document compliance with this subcontracting plan:

(a) Small, HUBZone small, small disadvantaged, women-owned, veteran-owned small business concern source lists, guides, and other data identifying SB/SDBA vendors.

(b) Organizations contacted for small, HUBZone small, small disadvantaged, women-owned and veteran-owned small business sources.

(c) On a contract-by-contract basis, records on all subcontract solicitations over $100,000, indicating on each solicitation

(1) whether small business concerns were solicited, and if not, why not; (2) whether HUBZone small, small disadvantaged, women-owned and veteran-owned small business concerns were solicited, and if not, why not; and (3) reasons for the failure of solicited small, HUBZone small, small disadvantaged, women-owned or veteran-owned small business concerns to receive the subcontract award.

(d) Records to support other outreach efforts: Contacts with Minority and Small Business Trade Associations, etc.

Attendance at small, women-owned small business and minority business procurement conferences and trade fairs.

(e) Records to support internal activities to guide and encourage buyers; workshops, seminars, training programs, etc;

monitoring activities to evaluate compliance.

(f) On a contract-by-contract basis, records to support subcontract award data to include name and address of subcontractor.

(g) Records to be maintained in addition to the above are as follows:

Signed:_______________________________________________________________

Typed name:__________________________________________________________

Title:_________________________________________________________________

Date:_________________________________________________________________

Plan accepted by: ______________________________________________________ Contracting Officer

Date:_________________________________________________________________

CONTRACT PRICE SCHEDULE

SOLICITATION NUMBER: P16PS00287

PARK - PMIS: KATMAI NATIONAL PARK AND PRESERVE - KATM 148250

DEVELOPED AREA: BROOKS CAMP

PROJECT TITLE: REPLACE FLOATING BRIDGE AND ACCESS TRAIL AT BROOKS CAMP WITH ELEVATED WALKWAY

Notice: Refer to FAR Clause 52.217-5, Evaluation of Options, as prescribed in FAR 17. Offerors are required to submit, a minimum, an offer that conforms to the solicitation documents with pricing for Base line items and all option line items. Failure to do so may render the proposal unacceptable. On lump-sum line items, provide the total price only. For all unit-priced line items, provide the unit price and the extended total price. If no specific line item exists for a portion of the work, include the costs in a related item. In case of error in calculation of extended prices, the unit price governs. In case of error in summation, the total of the corrected amounts govern. Round totals and extended prices to whole dollars. The Government reserves the right to award any or no options at or after the time of award.

At the option of the Government, the period for exercise of options at the proposed prices shall extend 60 calendar days from the date of award. Pricing will be evaluated based on what is determined to be the best value to the Government. Options may be exercised in any combination, order, or grouping deemed in the judgment of the Contracting Officer to offer the best value to the Government.

CONTRACT

LINE ITEM

NUMBER

(CLIN)

CONTRACT LINE ITEM (CLI) TITLE QUANTITY UNIT OF

MEASURE

UNIT PRICE TOTAL PRICE

10 Base Bid Item 1 - North Boardwalk, Bridge, South Viewing Platform and Ramp

1 Lump Sum

20 Base Bid Item 2 - Piles for CLIN 10 4720 LF

30 Base Bid Item 3 - Power Distribution

1 Lump Sum

40 Base Bid Item 4 - Septic Pump Out System

1 Lump Sum

TOTAL BASE PRICE (Contract Line Item Numbers 10 through 40) ------------------------------------

50 Option Bid Item 1 - North Viewing Platform and Rehabilitation of Existing Platform

1 Lump Sum

60 Option Bid Item 2 - Piles for CLIN 50 350 LF

70 Option Bid Item 3 - Housing Loop Utility Improvements

1 Lump Sum

TOTAL PROPOSED PRICE - BASE PLUS ALL OPTIONS (Contract Line Item Numbers 10 through 70) ---------

All measurement and payment information is included in the project specifications, Section 01 27 00 - Definition of Contract Line Items.

CONTRACT PRICE SCHEDULE

SOLICITATION NUMBER: P16PS00287

PARK - PMIS: KATMAI NATIONAL PARK AND PRESERVE - KATM 148250

DEVELOPED AREA: BROOKS CAMP

PROJECT TITLE: REPLACE FLOATING BRIDGE AND ACCESS TRAIL AT BROOKS CAMP WITH ELEVATED WALKWAY

Notice: Refer to FAR Clause 52.217-5, Evaluation of Options, as prescribed in FAR 17. Offerors are required to submit, a minimum, an offer that conforms to the solicitation documents with pricing for Base line items and all option line items. Failure to do so may render the proposal unacceptable. On lump-sum line items, provide the total price only. For all unit-priced line items, provide the unit price and the extended total price. If no specific line item exists for a portion of the work, include the costs in a related item. In case of error in calculation of extended prices, the unit price governs. In case of error in summation, the total of the corrected amounts govern. Round totals and extended prices to whole dollars. The Government reserves the right to award any or no options at or after the time of award.

At the option of the Government, the period for exercise of options at the proposed prices shall extend 60 calendar days from the date of award. Pricing will be evaluated based on what is determined to be the best value to the Government. Options may be exercised in any combination, order, or grouping deemed in the judgment of the Contracting Officer to offer the best value to the Government.

CONTRACT

LINE ITEM

NUMBER

(CLIN)

CONTRACT LINE ITEM (CLI) TITLE QUANTITY UNIT OF

MEASURE

UNIT PRICE TOTAL PRICE

10 Base Bid Item 1 - North Boardwalk, Bridge, South Viewing Platform and Ramp

1 Lump Sum

20 Base Bid Item 2 - Piles for CLIN 10 4720 LF

30 Base Bid Item 3 - Power Distribution

1 Lump Sum

40 Base Bid Item 4 - Septic Pump Out System

1 Lump Sum

TOTAL BASE PRICE (Contract Line Item Numbers 10 through 40) ------------------------------------

50 Option Bid Item 1 - North Viewing Platform and Rehabilitation of Existing Platform

1 Lump Sum

60 Option Bid Item 2 - Piles for CLIN 50 350 LF

70 Option Bid Item 3 - Housing Loop Utility Improvements

1 Lump Sum

TOTAL PROPOSED PRICE - BASE PLUS ALL OPTIONS (Contract Line Item Numbers 10 through 70) ---------

All measurement and payment information is included in the project specifications, Section 01 27 00 - Definition of Contract Line Items.

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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., 67$1'$5'�)250�����5(9���������%$&.

1$0(� $''5(66

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(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 limitation listed therein. where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designed "SURETY(IES)" on the face of the form, insert only the letter identification of the sureties.

(b) Where 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."

INSERT OFFEROR'S

COMPANY NAME:

SUBCONTRACTED SUPPLIES AND/OR SERVICES

NOTE 1: List the type of supplies and/or services to be subcontracted, estimated dollars, and the corresponding socio-economic status of the businesses

NOTE 2: If supplies or services are projected to be subcontracted to small, small disadvantaged, women-owned, service disabled veteran owned, hubzone, or veteran owned small businesses, but large businesses are subsequently substituted, the contracting officer shall be provided with timely written notification.

Mark the appropriate socio-economic category of the subcontractor Small Business (SB) concern.

SB = Small Business, SDB = Small Disadvantaged SB, HZSB = HubZone SB, SDVO = Service-Disabled Veteran Owned SB, WOSB = Woman Owned SB LEVEL OF COMMITMENT TO USE SMALL BUSINESS CONCERNS

SUBCONTRACTOR NAME

Socio-

Economic Status

Description of Supplies/Service Subcontracted

Total Estimated

Subcontract Value

SB

Estimated

Subcontract Value

SDB

Estimated

Subcontract Value

HZSB

Estimated

Subcontract Value

SDVO

Estimated

Subcontract Value

WOSB

Estimated

Subcontract Value

Explain and provide supporting documentation regarding the level of commitments to use SB concerns (for example, what types of committments, if any, are in place for this specific acquisition as a prime and/or written contract, verbal, enforceable, non-enforceable, joint venturing, mentor-protege, etc.

ABC Company (SAMPLE) $ 1,000.00

1,000.00

Total Subcontracted Value $1,000.00 $1,000.00 $0.00 $0.00 $0.00 $0.00 Total Contract Value $

10,000,000.00 $10,000,000.00 $10,000,000.00 $10,000,000.00 $10,000,000.00 $10,000,000.00 $10,000,000.00

Subcontracted Value Percent 0.01% 0.01% 0.00% 0.00% 0.00% 0.00%