The file's text, extracted by GovTribe without its formatting.
Summary
ATTACHMENT F - BID FORM
Janitorial Services at the MDOT MVA Westminster Branch
V-WES-20062-M
The Bid shall contain all price information in the format specified on these pages. Complete the Bid Form only as provided in the Bid Pricing Instructions. Do not amend, alter or leave blank any items on the Bid Form. If option years are included, Bidders must submit Bids for each option year. Failure to adhere to any of these instructions may result in the bid being determined non-responsive and rejected by the Administration.
| Firm Full Legal Name |
| Address |
| Telephone Number |
| Email Address |
| Federal Employer Identification Number |
| eMaryland Marketplace Number |
| Bidder's Contact Information |
| Name |
| Telephone Number |
| Email Adress |
| Is Company a certified “Maryland Department of Transportation (MDOT)” Minority Business Enterprise? | Yes | No |
| If Yes – Provide MDOT MBE certification number | | |
| Is Company qualified in the Small Business Reserve Program (SBR)? | Yes | No |
| If Yes – Provide SBR certification number | | |
| Is Company a certified Veteran-Owned Business Enterprise (VSBE)? | Yes | No |
| If Yes – Provide VSBE certification number | | |
WITNESS SIGNATURE
| CONTRACTOR SIGNATURE |
| PRINTED NAME |
| TITLE |
| DATE |
Pricing Sheet **Only edit cells with orange shading. Enter "0" for any price or quantity that has a zero dollar value.
| WORKSHEET A - YEARS 1-3 ALL INCLUSIVE BASE PRICE FOR DAILY, WEEKLY, AND MONTHLY TASKS ONLY (Sections 13.1, 13.2, 13.3) | | | | | | |
| Item | Description | Price Per Month | | Number of Months | | Total Annual Cost |
| 1 | Year 1 DAILY, WEEKLY, AND MONTHLY TASKS | | X | 12 | = | $ - 0 |
| 2 | Year 2 DAILY, WEEKLY, AND MONTHLY TASKS | | X | 12 | = | $ - 0 |
| 3 | Year 3 DAILY, WEEKLY, AND MONTHLY TASKS | | X | 12 | = | $ - 0 |
| TOTAL THREE (3) YEAR BASE BID AMOUNT | | | | | | $ - 0 |
| WORKSHEET B - OPTIONAL YEARS 4-5 ALL INCLUSIVE RENEWAL PRICE FOR DAILY, WEEKLY, AND MONTHLY TASKS ONLY (Sections 13.1, 13.2, 13.3) | | | | | | |
| Item | Description | Price Per Month | | Number of Months | | Total Annual Cost |
| 4 | Year 4 DAILY, WEEKLY, AND MONTHLY TASKS | | X | 12 | = | $ - 0 |
| 5 | Year 5 DAILY, WEEKLY, AND MONTHLY TASKS | | X | 12 | = | $ - 0 |
| TOTAL TWO (2) YEAR RENEWAL AMOUNT | | | | | | $ - 0 |
WORKSHEET C - YEARS 1-3 ALL INCLUSIVE BASE PRICE FOR QUARTERLY TASKS ONLY (SECTIONS 13.4)
| Year | Task | Price Per Task | | Times Per Year | | Total Annual Cost |
| 1 | High Dusting and Cleaning, Upholstery, Deep Cleaning of Ceramic and Quarry Tile and Grout | | X | 4 | = | $ - 0 |
| 2 | High Dusting and Cleaning, Upholstery, Deep Cleaning of Ceramic and Quarry Tile and Grout | | X | 4 | = | $ - 0 |
| 3 | High Dusting and Cleaning, Upholstery, Deep Cleaning of Ceramic and Quarry Tile and Grout | | X | 4 | = | $ - 0 |
| TOTAL THREE (3) YEAR BASE BID AMOUNT | | | | | | $ - 0 |
WORKSHEET D - OPTIONAL YEARS 4-5 ALL INCLUSIVE RENEWAL PRICE FOR QUARTERLY TASKS ONLY (SECTIONS 2.16)
| Year | Task | Price Per Task | | Times Per Year | | Total Annual Cost |
| 4 | High Dusting and Cleaning, Upholstery, Deep Cleaning of Ceramic and Quarry Tile and Grout | | X | 4 | = | $ - 0 |
| 5 | High Dusting and Cleaning, Upholstery, Deep Cleaning of Ceramic and Quarry Tile and Grout | | X | 4 | = | $ - 0 |
| TOTAL TWO (2) YEAR RENEWAL CONTRACT AMOUNT | | | | | | $ - 0 |
| WORKSHEET E - YEARS 1-3 ALL INCLUSIVE BASE PRICE FOR SEMI-ANNUAL TASKS ONLY (SECTIONS 13.5) | | | | | | |
| Year | Task | Price Per Task | | Times Per Year | | Total Annual Cost |
| 1 | Carpet Cleaning (Section 13.5.1) | | X | 2 | = | $ - 0 |
| Light Fixtures and Windows (Sections 13.5.2 and 13.5.3) | | X | 2 | = | $ - 0 |
| Stripping and Finishing Vinyl Floors (Section 13.5.4.1) | | X | 2 | = | $ - 0 |
| Scrub and Recoat of Vinyl Floors (Section 13.5.4.2) | | X | 2 | = | $ - 0 |
| 2 | Carpet Cleaning (Section 13.5.1) | X | 2 | = | $ - 0 |
| Light Fixtures and Windows (Sections 13.5.2 and 13.5.3) | X | 2 | = | $ - 0 |
| Stripping and Finishing Vinyl Floors (Section 13.5.4.1) | X | 2 | = | $ - 0 |
| Scrub and Recoat of Vinyl Floors (Section 13.5.4.2) | X | 2 | = | $ - 0 |
| 3 | Carpet Cleaning (Section 13.5.1) | X | 2 | = | $ - 0 |
| Light Fixtures and Windows (Sections 13.5.2 and 13.5.3) | X | 2 | = | $ - 0 |
| Stripping and Finishing Vinyl Floors (Section 13.5.4.1) | X | 2 | = | $ - 0 |
| Scrub and Recoat of Vinyl Floors (Section 13.5.4.2) | X | 2 | = | $ - 0 |
| TOTAL THREE (3) YEAR BASE BID AMOUNT | | | | | $ - 0 |
| WORKSHEET F - OPTIONAL YEARS 4-5 ALL INCLUSIVE RENEWAL PRICE FOR SEMI-ANNUAL TASKS ONLY (SECTIONS 2.17) | | | | | |
| Year | Task | Price per Task | | Times Per Year | | Total Annual Cost |
| 4 | Carpet Cleaning (Section 13.5.1) | | X | 2 | = | $ - 0 |
| Light Fixtures and Windows (Sections 13.5.2 and 13.5.3) | | X | 2 | = | $ - 0 |
| Stripping and Finishing Vinyl Floors (Section 13.5.4.1) | | X | 2 | = | $ - 0 |
| Scrub and Recoat of Vinyl Floors (Section 13.5.4.2) | | X | 2 | = | $ - 0 |
| 5 | Carpet Cleaning (Section 13.5.1) | X | 2 | = | $ - 0 |
| Light Fixtures and Windows (Sections 13.5.2 and 13.5.3) | X | 2 | = | $ - 0 |
| Stripping and Finishing Vinyl Floors (Section 13.5.4.1) | X | 2 | = | $ - 0 |
| Scrub and Recoat of Vinyl Floors (Section 13.5.4.2) | X | 2 | = | $ - 0 |
| TOTAL TWO (2) YEAR RENEWAL CONTRACT AMOUNT | | | | | $ - 0 |
| WORKSHEET G - TOTAL EVALUATED BID PRICE | | | |
| TOTAL BASE BID PRICE FROM WORKSHEET A | $ - 0 | TOTAL BASE BID PRICE YEARS 1-3 (This contract will be awarded to the responsible bidder who submits the lowest responsive Base Bid) | $ - 0 |
| TOTAL RENEWAL BID PRICE FROM WORKSHEET B | $ - 0 | | |
| TOTAL BASE BID PRICE FROM WORKSHEET C | $ - 0 | | |
| TOTAL RENEWAL BID PRICE FROM WORKSHEET D | $ - 0 | TOTAL RENEWAL PRICE YEARS 4-5 | $ - 0 |
| TOTAL BASE BID PRICE FROM WORKSHEET E | $ - 0 | | |
| TOTAL RENEWAL OPTION PRICE FROM WORKSHEET F | $ - 0 | | |
| $ - 0 | | |
| WORKSHEET H - HOURLY RATES | | |
| Year | On-Site Supervisor Rate Per Hour | Day Crew Janitorial Staff Rate Per Hour |
| 1 | $ | $ |
| 2 | $ | $ |
| 3 | $ | $ |
| 4 | $ | $ |
| 5 | $ | $ |
NOTE: Hourly Rates will not be evaluated as part of the Bidder's Bid. These rates are being obtained soley to assist in determining the imposition of reductions outlined in Section 2.19 Reductions