Required Bid Documents.pdf

Curry County Administrative Complex Bid No. 2025/26-01 Chip Seal and Overlay of Roads for Curry County Road Department Page 14 Commodity Class #91395

BID FORM 1

QUOTATION SHEET

Curry County reserves the right to award a contract to the lowest bidder of Bid Form 1 and a separate contract to the lowest bidder of Bid Form 2, if low bidder is different for each bid form.

CHIP SEAL

Bid 1-mile (5280 feet) X 24 feet wide

Utilizing 260 tons of rock per mile (if requested)

Application of AEP or PEP on ¾” fractured Aggregate will be bid at .45 gallons per

SY

Application of HFE90 or HFE100P on ½” fractured Aggregate will be at.40 gallons per SY

County Wide Locations as Per Bid Specifications

1. ¾” rock with AEP, 1/2” rock with HFE90 $_____________/Lump Sum

2. ¾” rock with PEP, 1/2” rock with HFE100P $____________/Lump Sum

3. County Supplied ¾” rock with AEP, County Supplied rock with HFE90 $_____________/Lump Sum

4. County Supplied ¾” rock with PEP, County Supplied rock with HFE100P $_____________/Lump Sum

(NOTE: Do not include gross receipts tax in the prices quoted above.)

Signed_______________________________________________________________

Printed/type written name_________________________________________________

Title _________________________________________________________________

Firm _________________________________________________________________

Address ______________________________________________________________

Phone ______________________________ Fax _____________________________

Email ______________________________ Date ______________________________

Page 15 Commodity Class #91395

BID FORM 2

QUOTATION SHEET

Curry County reserves the right to award a contract to the lowest bidder of Bid Form 1 and a separate contract to the lowest bidder of Bid Form 2, if low bidder is different for each bid form.

OVERLAY

Bid 1-mile (5280 feet) X 24 feet wide

Utilizing 260 tons of rock per mile (if requested)

Application of HFE90 or HFE100P on ½” fractured Aggregate will be at.40 gallons per SY

County Wide Locations as Per Bid Specifications

5. Overlay Project 1/2” rock with HFE90 $_____________/Lump Sum

6. Overlay Project 1/2” rock with HFE100P $____________/Lump Sum

7. Overlay Project County Supplied rock with HFE90 $_____________/Lump

Sum

8. Overlay Project County Supplied rock with HFE100P $_____________/Lump

Sum

(NOTE: Do not include gross receipts tax in the prices quoted above.)

Signed_______________________________________________________________

Printed/type written name_________________________________________________

Title _________________________________________________________________

Firm _________________________________________________________________

Address ______________________________________________________________

Phone ______________________________ Fax _____________________________

Email ______________________________ Date ______________________________

Page 16 Commodity Class #91395

BID FORM 3

CAMPAIGN CONTRIBUTION DISCLOSURE FORM

Pursuant to the Procurement Code, Sections 13-1-28, et seq., NMSA 1978 and NMSA

1978, § 13-1-191.1 (2006), as amended by Laws of 2007, Chapter 234, any prospective contractor seeking to enter into a contract with any state agency or local public body for professional services, a design and build project delivery system, or the design and installation of measures the primary purpose of which is to conserve natural resources must file this form with that state agency or local public body. This form must be filed even if the contract qualifies as a small purchase or a sole source contract. The prospective contractor must disclose whether they, a family member or a representative of the prospective contractor has made a campaign contribution to an applicable public official of the state or a local public body during the two years prior to the date on which the contractor submits a proposal or, in the case of a sole source or small purchase contract, the two years prior to the date the contractor signs the contract, if the aggregate total of contributions given by the prospective contractor, a family member or a representative of the prospective contractor to the public official exceeds two hundred and fifty dollars ($250) over the two year period.

Furthermore, the state agency or local public body may cancel a solicitation or proposed award for a proposed contract pursuant to Section 13-1-181 NMSA 1978 or a contract that is executed may be ratified or terminated pursuant to Section 13-1-182 NMSA 1978 of the

Procurement Code if: 1) a prospective contractor, a family member of the prospective contractor, or a representative of the prospective contractor gives a campaign contribution or other thing of value to an applicable public official or the applicable public official’s employees during the pendency of the procurement process or 2) a prospective contractor fails to submit a fully completed disclosure statement pursuant to the law.

The state agency or local public body that procures the services or items of tangible personal property shall indicate on the form the name or names of every applicable public official, if any, for which disclosure is required by a prospective contractor.

THIS FORM MUST BE INCLUDED IN THE REQUEST FOR PROPOSALS AND

MUST BE FILED BY ANY PROSPECTIVE CONTRACTOR WHETHER OR NOT

THEY, THEIR FAMILY MEMBER, OR THEIR REPRESENTATIVE HAS MADE

ANY CONTRIBUTIONS SUBJECT TO DISCLOSURE.

The following definitions apply:

“Applicable public official” means a person elected to an office or a person appointed to complete a term of an elected office, who has the authority to award or influence the award of the contract for which the prospective contractor is submitting a competitive sealed proposal or who has the authority to negotiate a sole source or small purchase contract that may be awarded without submission of a sealed competitive proposal.

“Campaign Contribution” means a gift, subscription, loan, advance or deposit of money or other thing of value, including the estimated value of an in-kind contribution, Page 17 Commodity Class #91395 that is made to or received by an applicable public official or any person authorized to raise, collect or expend contributions on that official’s behalf for the purpose of electing the official to statewide or local office. “Campaign

Contribution” includes the payment of a debt incurred in an election campaign, but does not include the value of services provided without compensation or unreimbursed travel or other personal expenses of individuals who volunteer a portion or all of their time on behalf of a candidate or political committee, nor does it include the administrative or solicitation expenses of a political committee that are paid by an organization that sponsors the committee.

“Family member” means spouse, father, mother, child, father-in-law, mother-in-law, daughter-in-law or son-in-law of (a) a prospective contractor, if the prospective contractor is a natural person; or (b) an owner of a prospective contractor.

“Pendency of the procurement process” means the time period commencing with the public notice of the request for proposals and ending with the award of the contract or the cancellation of the request for proposals.

“Prospective contractor” means a person or business that is subject to the competitive sealed proposal process set forth in the Procurement Code or is not required to submit a competitive sealed proposal because that person or business qualifies for a sole source or a small purchase contract.

“Representative of a prospective contractor” means an officer or director of a corporation, a member or manager of a limited liability corporation, a partner of a partnership or a trustee of a trust of the prospective contractor.

Name(s) of Applicable Public Official(s) if any: Fidel Madrid, Dusty Leatherwood, Brad

Bender, Kyle Cain, Seth Martin, Anastasia Hogland, Sam Kelley, Ben McDaniel, Michael

Brockett, Hollie Barnett.

DISCLOSURE OF CONTRIBUTIONS BY PROSPECTIVE CONTRACTOR:

Contribution Made By: __________________________________________

Relation to Prospective Contractor:

Date Contribution(s) Made: __________________________________________

Amount(s) of Contribution(s)________________________________________

Nature of Contribution(s)___________________________________________

Purpose of Contribution(s)__________________________________________

Page 18 Commodity Class #91395

(Attach extra pages if necessary)

Signature Date

Title (position)

--OR—

NO CONTRIBUTIONS IN THE AGGREGATE TOTAL OVER TWO HUNDRED

FIFTY DOLLARS ($250) WERE MADE to an applicable public official by me, a family member or representative.

Signature Date

Title (Position)

Page 19 Commodity Class #91395

BID FORM #4

RESIDENT/VETERANS PREFERENCE CERTIFICATION FORM

(NAME OF CONTRACTOR) hereby certifies the following in regard to application of the resident veterans’ preference to this procurement:

Please check one box only

Resident Veterans:

I declare under penalty of perjury that my business prior year revenue starting January

1 ending December 31 is less than $3M allowing me the 10% preference discount on this bid or proposal. I understand that knowingly giving false or misleading information about this fact constitutes a crime

Resident Businesses:

I declare under penalty of perjury that my business is a New Mexico resident business allowing me the 8% preference discount on this bid or proposal. I understand that knowingly giving false or misleading information about this fact constitutes a crime.

“I agree to submit a report, or reports, to the State Purchasing Division of the General

Services Department declaring under penalty of perjury that during the last calendar year starting January 1 and ending on December 31, the following to be true and accurate:

“In conjunction with this procurement and the requirements of this business’ application for a Resident Veteran Business Preference/Resident Veteran Contractor Preference under

Sections 13-1-21 or 13-1-22 NMSA 1978, when awarded a contract which was on the basis of having such veteran’s preference, I agree to report to the State’s Division of the

General Services Department the awarded amount involved. I will indicate in the report the awarded amount as a purchase from a public body or as a public works contract from a public body as the case may be.

“I understand that knowingly giving false or misleading information on this report constitutes a crime.”

I declare under penalty of perjury that this statement is true to the best of my knowledge. I understand that giving false or misleading statements about material fact regarding this matter constitutes a crime.

Native American

Under the law, Native American-owned companies will receive either an 8% or 10% equivalent based on whether they are also a veteran-owned business. I understand that knowingly giving false or misleading information about this fact constitutes a crime.

The representations made in checking the boxes constitutes a material representation by the business that is subject to protect and may result in denial of an award or un-award of the procurement involved if the statements are proven to be incorrect.

A valid New Mexico Resident Business, New Mexico Veteran’s Resident Business or

Native American Certificate must be provided in order to receive preference.

I do not claim New Mexico Resident Business, New Mexico Veteran’s Resident

Business or Native American preference on this bid.

Page 20 Commodity Class #91395

(Signature of Business Representative) * (Date)

*Must be an authorized signatory for the Business.