QQ65916 Bid_Submission_Form.pdf

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BID SUBMISSION FORM

Site Work and Restoration

Business Identification

BUSINESS NAME:

ADDRESS:

CONTACT PERSON:

TITLE:

TELEPHONE NO.:

EMAIL ADDRESS:

REMITTANCE ADDRESS:

PROMPT PAYMENT DISCOUNT: ___% FOR PAYMENT WITHIN____ DAYS; NET___DAYS

BUSINESS ORGANIZED UNDER THE STATE LAWS OF:

PRINCIPAL BUSINESS LOCATION:

STATE CORPORATION COMMISSION IDENTIFICATION

NO.:

Business Classifications

Corporation Partnership Sole Proprietor Minority Owned Small Business Non-Profit Woman Owned

Ownership Disclosure

Names and address of all persons having an ownership interest of 5% or more in the business:

1.

2.

3.

Qualifications and References

Type of work performed by this business:

Number of years this business has been in operation:

Number of employees: Full time: Part Time:

Business License: Type: Issued:

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Contractor’s License: Type: Class:

Issued: Expires:

List at least three state, county, or federal agencies or commercial references that the business contracted with in the past two years for a comparable procurement (include contacts and telephone numbers):

A)

B)

C)

Has the business ever defaulted or failed to complete any public body contract:

No:

Yes- Explain:

Is the entity or any of its principals currently debarred, disqualified or suspended from submitting responses to the City, or any other state, local or federal entities?

No:

Yes:

TRADE SECRETS OR PROPRIETARY INFORMATION:

Trade secrets or proprietary information submitted by the Bidder in connection with a procurement transaction shall not be subject to public disclosure under the Virginia Freedom of Information Act. However, the Bidder must identify the data and materials that need such protection prior to the submission of such data and material, and state the reasons why protection is necessary. Please mark one:

[ ] Yes, the Bid I have submitted does contain trade secrets and/or proprietary information.

[ ] No, the Bid I have submitted does not contain any trade secrets and/or proprietary information.

If Yes, Bidder must clearly identify below the exact data or other materials to be protected and list all applicable page numbers of the Bid containing such data or materials:

NOTE: If the Bidder fails to identify the data or other materials to be protected and fails to state the reasons why such protection is necessary in the space provided above, then the Bidder has not invoked protection accordingly, effectively making the Bid open for public inspection consistent with applicable law.

E THE SPECIFIC REASON(S) WHY PROTECTION IS NECESSARY:

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Conflict of Interests

This solicitation is subject to the provisions of Section 2.2-3100 et. Seq., Virginia Code Annotated, the State and Local Government Conflict of Interests Act. The business is aware of information bearing on the existence of any potential organizational conflict of interest.

YES

NO

Collusion:

I certify that this bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a bid for the same goods and services and is in all respects fair and without collusion or fraud. I understand collusive bidding is a violation of the State and Federal law and may result in fines, prison sentences, and civil damage awards.

YES

NO

ADDENDUM RECEIVED:

The undersigned warrants that it has received the following Addendum/Addenda for the Solicitation (Show date of Addendum).

AMENDMENT NO. DATE INITIAL

[Add more as needed]

Addenda issued during the bidding period will be incorporated into the Contract Documents.

Authorized Signature

By signing this quote Business certifies, acknowledges, understands, and agrees to be bound by the conditions set forth in this Solicitation.

Authorized Signature*: Date:

Name (Printed): Title:

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Email Address: Telephone Number:

*signature above affirms that bidder can complete the project within 30 calendar days from the notice to proceed to substantial completion.

TIME LIMIT FOR PROJECT:

30 Calendar Days

MEASURED FROM THE NOTICE TO PROCEED TO SUBSTANTIAL COMPLETION

The Contractor shall achieve Substantial Completion on or before the Contract Completion Date. Unless otherwise specified, the Contractor shall achieve Final Completion within thirty (30) Days after the Contract Completion Date.

SUBMITTALS (scan and attach to eVA bid submission)

• Bid Form – Exhibit A

• Bid Submission Form

• Class A Contractor’s License

• Project superintendent resume (ref. para 6, Qualification of Bidders):

A resume of the bidder’s proposed project superintendent/manager who will be directly involved in the execution of the project showing experience on at least three (3) projects of similar scope and size for which the individual had responsibilities either with the bidder or with another company, and which have been completed within the past five (5) years. Include location, cost, date completed, owner’s name and address.

MEASUREMENT AND PAYMENT

For all Items - Unit and Lump Sum prices for each item shall be full compensation for overhead and profit, insurance, bonds, all labor, mobilization and demobilization, surveying, equipment, materials, tools, testing, and all incidentals necessary for a complete and operational facility.

Unit Prices

Demolition of Existing Masonry Pier and Foundation (101) - will be measured and paid for at the contract unit price per each. the price shall include the removal and disposal of the masonry pier and foundation located between the two gates of the existing main entrance to the parking lot.

Demolition of Existing Gates (104) - will be measured and paid for at the contract unit price per each for demolishing and removing three gates and control boxes and related conduits. The existing gate post at the south gate is to be cut off as close to existing grade as practicable and the remaining pipe filled with concrete.

Mill & Overlay (201) – will be measured and paid for at the contract unit price per square yard and include providing tack coat and finished pavement within the areas shown on the drawings where test holes have demonstrated adequate asphalt pavement remains to fully support the final pavement depth.

Pavement Patch (202) - will be measured and paid for at the contract unit price per square yard and include providing temporary pavement and subgrade for the Fencing and Gates Contractor when so ordered and as

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Full Depth Pavement (203) - will be measured and paid for at the contract unit price per square yard and includes providing 21A backfill and compaction to the excavations resulting from the demolition of the masonry pier and foundation and the curb and gutter island located at the existing main entrance to parking.

Provide full courses of paving and stone as specified on the drawings. In areas where test holes do not demonstrate adequate remaining pavement depth, full depth pavement will be provided and will include necessary excavation and disposal, and backfill to the depth of bedding and paving required.

Masonry Pier Construction (204) - will be measured and paid for at the contract unit price per each and will include the reinforced concrete foundation for two piers and construction of four masonry piers including brick, block, concrete, rebar, and mortar.

Coordination Events to Support Gate Installation (206) - will be measured and paid for at the contract unit price per each event and will include mobilization and demobilization for the Work to be performed as requested by the Fencing and Gates Contractor. Excavation, backfill, and asphalt shall be paid under other items.

Test Holes (207) - will be measured and paid for at the contract unit price per each and will include the test hole and related written documentation.

Limb Up Trees (208) - will be measured and paid for at the contract unit price per each tree limbed and will include cutting and patching up to ten small limbs per tree to facilitate site distance for security objectives.

Lump Sum Items

Demolition of Curb & Gutter Landscape Island (102) – will be measured and paid for at the contract lump sum price and will include removal and disposal of the curb and soil to the depth necessary to provide adequate pavement section depth for full depth pavement.

Demolition of Existing Utility Box (103) - will be measured and paid for at the contract lump sum price and include removal and disposal of utility box and related conduit in the area to be paved as shown on the drawings.

Erosion and Sedimentation Controls (205) - will be measured and paid as a lump sum and shall include all labor, equipment and material to install, maintain, remove and dispose of required materials satisfying Virginia DEQ regarding runoff protection and final restoration.

Remainder of Work to Complete Project (301) – will be measured and paid as a lump sum to provide all additional or remaining materials, supplies, and incidentals, including the As-Built Survey, for a complete and operable restoration as intended. Contractor shall list Work activities for the remainder of work as part of the Schedule of Values for Project 3.