Solicitation R6-5-08-43 Packet to Submit.pdf

OMB APPROVAL NO. 2700-0042

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

1. SOLICITATION NO.

R6-5-08-43

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

7/01/2008

PAGE OF PAGES

IMPORTANT - The “offer” section on the reverse must be fully completed by offeror.

4. CONTRACT NO.

5. REQUISITION/PURCHASE REQUEST NO.

6. PROJECT NO.

7. ISSUED BY CODE 8. ADDRESS OFFER TO

Mt Baker-Snoqualmie National Forest 2930 Wetmore Avenue Suite 3A Everett, WA 98201

Contracting Officer Mt Baker-Snoqualmie National Forest 2930 Wetmore Avenue Suite 3A Everett, WA 98201

9. FOR INFORMATION

CALL:

A. NAME

Bonnie Childs

B. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)

(425) 786-6053

SOLICITATION

NOTE: In sealed bid solicitations “offer” and “offeror” mean “bid” and “bidder.”

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying no., date):

Morovitz Roads Erosion Control (Phase 2) – Mt Baker Ranger District

Price Range: The Government's estimate is between $250,000 and $500,000

Technical Contact: Mike Howard (360) 856-5700 x-313

11. The Contractor shall begin performance within 7 calendar days and complete it within 365 calendar days after receiving award, notice to proceed. This performance period is mandatory, negotiable. (See .)

12A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If “YES,” indicate within how many calendar days after award in Item 12B.)

YES NO

12B. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and 0 copies to perform the work required are due at the place specified in Item 8 by 3 pm (hour) local time 7/30/08 (date). If this is a sealed bid solicitation, offers must be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror’s name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is, is not required. 20%

C. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than 60 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

NSN 7540-01-155-3212 1442-101 STANDARD FORM 1442 (REV. 4-85)

Computer Generated Prescribed by GSA FAR (48 CFR) 53.236-1(e)

OFFER (Must be fully completed by offeror)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code)

15. TELEPHONE NO. (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14)

CODE FACILITY CODE

17. The offeror agrees to perform the work at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government within calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in Item 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

20B. SIGNATURE

20C. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT

23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( )

26. ADMINISTERED BY CODE 27. PAYMENT WILL BE MADE BY

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return ____ copies to issuing office.) Contractor agrees to furnish and deliver all items or perform all work, requirements identified on this form and any continuation sheets for the consideration stated in this contract.

The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications or incorporated by reference in or attached to this contract.

29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award. No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED

TO SIGN (Type or print)

31A. NAME OF CONTRACTING OFFICER (Type or print)

30B. SIGNATURE

30C. DATE

31B. UNITED STATES OF AMERICA

BY

31C. AWARD DATE

Computer Generated STANDARD FORM 1442 BACK

(REV. 4-85)

PART I—THE SCHEDULE

SECTION B--SUPPLIES OR SERVICES AND PRICES/COSTS

SCHEDULE OF ITEMS

MOROVITZ ROAD EROSION CONTROL- PHASE 2

Mt Baker Ranger District

Whatcom County, Washington

ITEM NO. DESCRIPTION OF WORK PAY UNIT ESTIMATED

QUANTITY

UNIT

PRICE BID PRICE

15101 MOBILIZATION LUMP SUM 1 $ $

20301A REMOVAL OF CULVERT (15”

TO 36”’) EACH 82 $ $

20301B REMOVAL OF CULVERT (48"

TO 60"') EACH 1 $ $

20301C REMOVAL OF CULVERT (84" X

108" ELLIPTICAL) EACH 1 $ $

20301D REMOVAL OF LARGE

DIAMETER LOGS (24” & 48”) EACH 2 $ $

20301E REMOVAL OF ROAD CLOSURE

DEVICE EACH 1 $ $

20304 REMOVAL OF CONCRETE

PAVED WATERWAY LUMP SUM 1 $ $

20404 UNCLASSIFIED BORROW,

COMPACTION METHOD C,

FINISH METHOD A

*CUBIC

YARD 345 $ $

20411 EMBANKMENT

CONSTRUCTION,

COMPACTION METHOD C,

FINISH METHOD A

YARD 260 $ $

20415 UNSUITABLE EXCAVATION *CUBIC

YARD 1100 $ $

20419A DRAINAGE EXCAVATION, TYPE

ROADWAY DITCH FOOT 50 $ $

20419B DRAINAGE EXCAVATION, TYPE

OUTLET/LEADOFF DITCH FOOT 240 $ $

20420B DRAINAGE EXCAVATION, TYPE

DRIVEABLE ROLLING ROCKED

DIP

EACH 52 $ $

20476 ROCK EXCAVATION,

MECHANICAL METHOD

YARD 400 $ $

20806 STRUCTURE EXCAVATION

(FOR PRECAST CONCRETE

BRIDGE SILLS)

LUMP SUM 1 $ $

20950 PIPE BEDDING MATERIAL *CUBIC

YARD 301 $ $

23050A ROADSIDE BRUSHING

(NORMAL) MILE 4.79 $ $

23050B ROADSIDE BRUSHING

(MINIMAL TO PROVIDE

EQUIPMENT ACCESS)

MILE 2.78 $ $

25101A PLACED RIPRAP, CLASS 4,

METHOD A

YARD 262 $ $

25101B PLACED RIPRAP, CLASS 7,

METHOD A

YARD 183 $ $

30322 ROAD RECONDITIONING,

COMPACTION METHOD A MILE 4.79 $ $

32232 HAUL AND PLACE STOCKPILED

AGGREGATE (GOVERNMENT

SOURCE), COMPACTION

METHOD A

YARD 645 $ $

57190 GOVERNMENT FURNISHED

PRE-FABRICATED BRIDGE

SUPERSTRUCTURE -

TRANSPORT AND INSTALL

LUMP SUM 1 $ $

60209 PIPE ELBOW, TURNER TYPE EACH 10 $ $

60273 ANCHOR ASSEMBLY EACH 10 $ $

60274A 18-INCH POLYETHYLENE

OUTLET PIPE FOOT 92 $ $

60274B 24-INCH POLYETHYLENE

OUTLET PIPE FOOT 50 $ $

60275A 18-INCH POLYETHYLENE PIPE

WITH SMOOTH WALL

INTERIOR AND ANNULAR

EXTERIOR, COMPACTION

METHOD B

FOOT 1242 $ $

60275B 24-INCH POLYETHYLENE PIPE

INTERIOR AND ANNULAR

EXTERIOR, COMPACTION

FOOT 1114 $ $

60275C 36-INCH POLYETHYLENE PIPE

INTERIOR AND ANNULAR

EXTERIOR, COMPACTION

FOOT 434 $ $

60275D 48-INCH POLYETHYLENE PIPE

INTERIOR AND ANNULAR

EXTERIOR, COMPACTION

FOOT 100 $ $

62201A EXCAVATOR, MINIMUM

HORSE POWER 100, BUCKET

3/4 CY, AND 20 FT REACH

HOUR 20 $ $

62201B LARGE DUMP TRUCK (10-12

CY) HOUR 10 $ $

62201C SMALL TRACTOR CRAWLER,

JOHN DEER 550 (OR

EQUIVALENT)

HOUR 10 $ $

63390A INSTALL TYPE 3 OBJECT

MARKERS FOR BRIDGE

(INCLUDES POSTS)

EACH 4 $ $

63390B INSTALL "ONE LANE BRIDGE"

SIGN (INCLUDES POST) EACH 2 $ $

65002 ROAD CLOSURE DEVICE, TYPE

EARTH MOUND & BARRIER

ROCKS

EACH 2 $ $

*CONTRACT

TOTAL PRICE - ----> $____________

NOTE: Award will be made in accordance with Title II of Public Law 106-393. See L.3 and Section M for the technical proposal requirements and the evaluation factors. Offers must show the benefits to WHATCOM County. Offerors shall complete the attached FORM A (or an equivalent) and submit it with the pricing proposal.

PART IV--REPRESENTATIONS AND INSTRUCTIONS

SECTION K--REPRESENTATIONS, CERTIFICATIONS, AND

OTHER STATEMENTS OF OFFERORS OR RESPONDENTS

NOTE: Offerors should address questions concerning VETS-100 reporting and reporting requirements to the Office of Veterans Employment and Training Services offices at the following address:

U. S. Department of Labor VETS-100 Reporting 4200 Forbes Blvd., Suite 202 Lanham, MD 20703 Telephone: (301) 306-6752

Website: www.vets100.cudenver.edu Reporting Questions: HelpDesk@vets100.com

Reporting Verification: Verify@vets100.com

K.1 AGAR 452.219-70 SIZE STANDARD AND NAICS CODE INFORMATION (JAN 2005)

The North American Industrial classification System Code(s) and business size standard(s) describing the products and/or services to be acquired under this solicitation are listed below:

Contract line item(s): All --NAICS Code 237310 --Size Standard $ 31.0 million

The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

K.2 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2006)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 237310.

(2) The small business size standard is $31.0 million.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the clause at 52.204-7, Central Contractor Registration, is included in this solicitation, paragraph

(c) of this provision applies.

(2) If the clause at 52.204-7 is not included in this solicitation, and the offeror is currently registered in CCR, and has completed the ORCA electronically, the offeror may choose to use paragraph (c) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (c) applies.

[ ] (ii) Paragraph (c) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) The offeror has completed the annual representations and certifications electronically via the Online Representations and Certifications Application (ORCA) website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR Clause # Title Date Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.

K.3 FAR 52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION

(June 2007)

(a) Definitions. As used in this clause— Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (c) of this clause.

(b) If the Contractor represented that it was a small business concern prior to award of this contract, the Contractor shall rerepresent its size status according to paragraph (e) of this clause or, if applicable, paragraph (g) of this clause, upon the occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts—

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the exercise date specified in the contract for any option thereafter.

(c) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code assigned to this contract. The small business size standard corresponding to this NAICS code can be found at http://www.sba.gov/services/contractingopportunities/sizestandardstopics/.

(d) The small business size standard for a Contractor providing a product which it does not manufacture itself, for a contract other than a construction or service contract, is 500 employees.

(e) Except as provided in paragraph (g) of this clause, the Contractor shall make the rerepresentation required by paragraph (b) of this clause by validating or updating all its representations in the Online Representations and Certifications Application and its data in the Central Contractor Registration, as necessary, to ensure they reflect current status. The Contractor shall notify the contracting office by e-mail, or otherwise in writing, that the data have been validated or updated, and provide the date of the validation or update.

(f) If the Contractor represented that it was other than a small business concern prior to award of this contract, the Contractor may, but is not required to, take the actions required by paragraphs (e) or (g) of this clause.

(g) If the Contractor does not have representations and certifications in ORCA, or does not have a representation in ORCA for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it ( ) is, ( ) is not a small business concern under NAICS Code ______________ assigned to contract number ______________.

[Contractor to sign and date and insert authorized signer’s name and title].

K.4 52.223-13 CERTIFICATION OF TOXIC CHEMICAL RELEASE REPORTING (Aug 2003)

(a) Executive Order 13148, of April 21, 2000, Greening the Government through Leadership in Environmental Management, requires submission of this certification as a prerequisite for contract award.

(b) By signing this offer, the offeror certifies that—

(1) As the owner or operator of facilities that will be used in the performance of this contract that are subject to the filing and reporting requirements described in section 313 of the Emergency Planning and Community Right-to-Know Act of 1986 (EPCRA) (42 U.S.C. 11023) and section 6607 of the Pollution Prevention Act of 1990 (PPA) (42 U.S.C. 13106), the offeror will file and continue to file for such facilities for the life of the contract the Toxic Chemical Release Inventory Form (Form R) as described in sections 313(a) and (g) of EPCRA and section 6607 of PPA; or

(2) None of its owned or operated facilities to be used in the performance of this contract is subject to the Form R filing and reporting requirements because each such facility is exempt for at least one of the following reasons: [Check each block that is applicable.]

[ ] (i) The facility does not manufacture, process, or otherwise use any toxic chemicals listed in 40 CFR 372.65;

[ ] (ii) The facility does not have 10 or more full-time employees as specified in section 313(b)(1)(A) of EPCRA, 42 U.S.C. 11023(b)(1)(A);

[ ] (iii) The facility does not meet the reporting thresholds of toxic chemicals established under section 313(f) of EPCRA, 42 U.S.C. 11023(f) (including the alternate thresholds at 40 CFR 372.27, provided an appropriate certification form has been filed with EPA);

[ ] (iv) The facility does not fall within the following Standard Industrial Classification (SIC) codes or their corresponding North American Industry Classification System sectors:

(A) Major group code 10 (except 1011, 1081, and 1094.

(B) Major group code 12 (except 1241).

(C) Major group codes 20 through 39.

(D) Industry code 4911, 4931, or 4939 (limited to facilities that combust coal and/or oil for the purpose of generating power for distribution in commerce).

(E) Industry code 4953 (limited to facilities regulated under the Resource Conservation and Recovery Act, Subtitle C (42 U.S.C. 6921, et seq.), or 5169, or 5171, or 7389 (limited to facilities primarily engaged in solvent recovery services on a contract or fee basis); or

[ ] (v) The facility is not located in the United States or its outlying areas.

K.5 FAR 52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (MAY 2004)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 237310

(2) The small business size standard is $31.0 million. ].

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b) Representations. (1) The offeror represents as part of its offer that it [ ] is, [ ] is not a small business concern.

(2) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents, for general statistical purposes, that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents as part of its offer that it [ ] is, [ ] is not a women owned small business concern.

(4) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents as part of its offer that it [ ] is, [ ] is not a veteran owned small business concern.

(5) [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (b)(4) of this provision.]

The offeror represents as part of its offer that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(6) [Complete only if the offeror represented itself as a small business concern in paragraph (b)(1) of this provision.]

The offeror represents, as part of its offer, that – (i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (b)(6)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture:________]. Each HUBZone small business concern participating in the joint venture shall submit a response signed copy of the HUBZone representation.

(c) Definitions. As used in this provision—

"Service-disabled veteran-owned small business concern"—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (a) of this provision.

"Veteran-owned small business concern" means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

"Women-owned small business concern" means a small business concern—

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

(d) Notice. (1) If this solicitation is for supplies and has been set aside, in whole or in part, for small business concerns, then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished.

(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small, HUBZone small, small disadvantaged, or women-owned small business concern in order to obtain a contract to be awarded under the preference programs established pursuant to section 8(a), 8(d), 9, or 15 of the Small

Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall—

(i) Be punished by imposition of fine, imprisonment, or both;

(ii) Be subject to administrative remedies, including suspension and debarment; and

(iii) Be ineligible for participation in programs conducted under the authority of the Act.

DUNS Number: ________________________________

Contractors must have a DUNS number. If the offeror does not, one may be obtained by calling Dun and Bradstreet at 1-866-705-5711 or visit their website at http://www.dnb.com

FORM A

This form is an example format for laying out information on community benefits as required in the technical proposal.

Offerors are not required to use this format but may use whatever approach they feel will best communicate the information.

SOLICITATION NO: RFP R6-5-08-41 – LOOMIS NOOKSACK ROAD EROSION CONTROL- PHASE 1

BIDDER: ________________________________________________________

ADDRESS: _______________________________________________________

PHONE NO:

E-MAIL ADDRESS:

COUNTY:

Proposed Benefits to County: WHATCOM COUNTY

Proposed Supply/Materials

Proposed Source/Supplier Est.

Cost

Est.

State Sales Tax

Proposed Total Workforce on Contract Workers Who Reside in WHATCOM County Number of Estimated Work Days

Est. Wages & Benefits (per Day)

Total # of Workers & Duties

Number of Estimated Work Days

Est. Wages & Benefits (per Day)

Total # of Workers and Duties

NOTE: If you use this form, you need to submit enough pages to cover all the information specified in Section L. Unless you have very little experience, you will need more than one sheet to cover all the work to be reported.

PAST AND CURRENT CONTRACT INFORMATION Page _____ of _____ Pages (For the past two years)

OFFEROR'S NAME

CUSTOMER NAME CONTRACT NO. BRIEF DESCRIPTION PRIMARY CONTACT INFORMATION

NAME:

VOICE PHONE #:

CUSTOMER ADDRESS

FAX PHONE #:

CONTRACT VALUE COMPLETION DATE OR SECONDARY CONTACT INFO.

% COMPLETE IF

ONGOING

NAME:

VOICE PHONE #:

FAX PHONE #:

CUSTOMER NAME CONTRACT NO. BRIEF DESCRIPTION PRIMARY CONTACT INFORMATION

VOICE PHONE #:

CUSTOMER ADDRESS

FAX PHONE #:

CONTRACT VALUE COMPLETION DATE OR SECONDARY CONTACT INFO.

% COMPLETE IF

ONGOING

VOICE PHONE #:

FAX PHONE #:

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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'$5'�)250�����5(9���������%$&.

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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."