RFP 47PD5326R0039 EQPMBA-26-0299 USMS Egress Modifications Bismarck 3409747.pdf

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"General Decision Number: ND20260012 05/18/2026

State: North Dakota

Construction Types: Building

Counties: North Dakota Counties of Burleigh

Modification Number Publication Date 1 01/30/2026 2 05/18/2026

BOIL0647-006 01/01/2025

Rates Fringes

BOILERMAKER.........................................$ 48.00 31.14

ELEC0714-013 06/30/2025

ELECTRICIAN.........................................$ 40.94 18.22

IRON0512-006 05/01/2022

IRONWORKER, STRUCTURAL..............................$ 35.95 33.11

PLUM0300-017 06/01/2025

PLUMBER.............................................$ 40.53 20.60

PLUM0300-020 06/02/2025

PIPEFITTER..........................................$ 43.94 20.46

SFND0669-002 04/01/2025

SPRINKLER FITTER (FIRE SPRINKLERS)..................$ 41.64 24.58

SHEE9010-001 06/02/2025

SHEET METAL WORKER (HVAC DUCT INSTALLATION ONLY)....$ 33.64 23.60

SUND2012-001 08/18/2014

TRUCK DRIVER: DUMP TRUCK...........................$ 19.81 5.42

SHEET METAL WORKER, EXCLUDES HVAC DUCT INSTALLATION.$ 24.14 0.00

ROOFER..............................................$ 17.17 2.66

PAINTER (BRUSH AND ROLLER)..........................$ 21.86 8.41

6/16/26, 10:37 AM SAM.gov https://sam.gov/wage-determination/ND20260012/2 1/4

OPERATOR: LOADER...................................$ 25.98 0.00

OPERATOR: FORKLIFT.................................$ 23.06 15.47

OPERATOR: CRANE....................................$ 26.18 9.39

OPERATOR: BACKHOE/EXCAVATOR/TRACKHOE...............$ 23.06 4.00

LABORER: MASON TENDER - CEMENT/CONCRETE............$ 14.23 4.50

LABORER: MASON TENDER - BRICK......................$ 15.32 0.00

LABORER: COMMON OR GENERAL.........................$ 13.64 0.00

INSULATOR - MECHANICAL (DUCT, PIPE & MECHANICAL

SYSTEM INSULATION)..................................$ 16.73 2.94

HVAC MECHANIC (INSTALLATION OF HVAC UNIT ONLY)......$ 24.46 5.47

CEMENT MASON/CONCRETE FINISHER......................$ 17.73 4.24

CARPENTER...........................................$ 15.78 0.00

BRICKLAYER..........................................$ 24.46 13.96

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year.

Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at https://www.dol.gov/agencies/whd/government-contracts.

Note: Executive Order 13658 generally applies to contracts subject to the Davis-Bacon Act that were awarded on or between January 1, 2015 and January 29, 2022, and that have not been renewed or extended on or after January 30, 2022. Executive Order 13658 does not apply to contracts subject only to the Davis-Bacon Related Acts regardless of when they were awarded. If a contract is subject to Executive Order 13658, the contractor must pay all covered workers at least $13.65 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract from May 11, 2026, through December 31, 2026. The applicable Executive Order minimum wage rate will be adjusted annually.

Additional information on contractor requirements and worker protections under Executive Order 13658 is available at www.dol.gov/whd/govcontracts.

Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (iii)).

The body of each wage determination lists the classifications and wage rates that have been found to be prevailing for the type(s) of construction and geographic area covered by the wage determination. The classifications are listed in alphabetical order under rate identifiers indicating whether the particular rate is a union rate (current union negotiated rate), a survey rate, a weighted union average rate, a state adopted rate, or a supplemental classification rate.

https://sam.gov/wage-determination/ND20260012/2 2/4

Union Rate Identifiers

A four-letter identifier beginning with characters other than �SU�, �UAVG�, �SA�, or �SC� denotes that a union rate was prevailing for that classification in the survey. Example:

PLUM0198-005 07/01/2024. PLUM is an identifier of the union whose collectively bargained rate prevailed in the survey for this classification, which in this example would be Plumbers.

0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. The date, 07/01/2024 in the example, is the effective date of the most current negotiated rate.

Union prevailing wage rates are updated to reflect all changes over time that are reported to WHD in the rates in the collective bargaining agreement (CBA) governing the classification.

Union Average Rate Identifiers

The UAVG identifier indicates that no single rate prevailed for those classifications, but that 100% of the data reported for the classifications reflected union rates. EXAMPLE:

UAVG-OH-0010 01/01/2024. UAVG indicates that the rate is a weighted union average rate. OH indicates the State of Ohio.

The next number, 0010 in the example, is an internal number used in producing the wage determination. The date, 01/01/2024 in the example, indicates the date the wage determination was updated to reflect the most current union average rate.

A UAVG rate will be updated once a year, usually in January, to reflect a weighted average of the current rates in the collective bargaining agreements on which the rate is based.

Survey Rate Identifiers

The �SU� identifier indicates that either a single non-union rate prevailed (as defined in 29 CFR 1.2) for this classification in the survey or that the rate was derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As a weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SUFL2022-007 6/27/2024. SU indicates the rate is a single non-union prevailing rate or a weighted average of survey data for that classification. FL indicates the State of Florida. 2022 is the year of the survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. The date, 6/27/2024 in the example, indicates the survey completion date for the classifications and rates under that identifier.

�SU� wage rates typically remain in effect until a new survey is conducted. However, the Wage and Hour Division (WHD) has the discretion to update such rates under 29 CFR 1.6(c)(1).

State Adopted Rate Identifiers

The �SA� identifier indicates that the classifications and prevailing wage rates set by a state (or local) government were adopted under 29 C.F.R 1.3(g)-(h). Example: SAME2023-007 01/03/2024. SA reflects that the rates are state adopted. ME https://sam.gov/wage-determination/ND20260012/2 3/4 refers to the State of Maine. 2023 is the year during which the state completed the survey on which the listed classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination.

The date, 01/03/2024 in the example, reflects the date on which the classifications and rates under the �SA� identifier took effect under state law in the state from which the rates were adopted.

WAGE DETERMINATION APPEALS PROCESS

1) Has there been an initial decision in the matter? This can be:

a) a survey underlying a wage determination

b) an existing published wage determination

c) an initial WHD letter setting forth a position on a wage determination matter

d) an initial conformance (additional classification and rate) determination On survey related matters, initial contact, including requests for summaries of surveys, should be directed to the WHD Branch of Wage Surveys. Requests can be submitted via email to davisbaconinfo@dol.gov or by mail to:

Branch of Wage Surveys Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210 Regarding any other wage determination matter such as conformance decisions, requests for initial decisions should be directed to the WHD Branch of Construction Wage Determinations.

Requests can be submitted via email to BCWD-Office@dol.gov or by mail to:

Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

2) If an initial decision has been issued, then any interested party (those affected by the action) that disagrees with the decision can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7).

Requests for review and reconsideration can be submitted via email to dba.reconsideration@dol.gov or by mail to:

Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210 The request should be accompanied by a full statement of the interested party's position and any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue.

3) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to:

Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210.

END OF GENERAL DECISION

https://sam.gov/wage-determination/ND20260012/2 4/4

52.211‐6 Brand Name or Equal.

As prescribed in 11.107(a), insert the following provision:

Brand Name or Equal (Aug 1999)

(a) If an item in this solicitation is identified as “brand name or equal,” the purchase description reflects the characteristics and level of quality that will satisfy the Government’s needs. The salient physical, functional, or performance characteristics that “equal” products must meet are specified in the solicitation.

(b) To be considered for award, offers of “equal” products, including “equal” products of the brand name manufacturer, must—

(1) Meet the salient physical, functional, or performance characteristic specified in this solicitation;

(2) Clearly identify the item by—

(i) Brand name, if any; and

(ii) Make or model number;

(3) Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and

(4) Clearly describe any modifications the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modifications.

(c) The Contracting Officer will evaluate “equal” products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the Contracting Officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer.

(d) Unless the offeror clearly indicates in its offer that the product being offered is an “equal” product, the offeror shall provide the brand name product referenced in the solicitation.

(End of provision)

CONTRACTOR'S QUALIFICATIONS AND FINANCIAL INFORMATION OMB Control Number: 3090-0007 Expiration Date: 11/30/2027

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0007. We estimate that it will take 1.5 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

SECTION I - GENERAL INFORMATION

1A. NAME

1B. STREET ADDRESS

1C. CITY 1D. STATE 1E. ZIP CODE

2. TYPE OF ORGANIZATION (Check one)

A. SOLE PROPRIETORSHIP

B. GENERAL PARTNERSHIP

C. LIMITED PARTNERSHIP

D. CORPORATION

E. SUBCHAPTER S CORPORATION

I. OTHER (Specify below)

3. TAXPAYER ID NUMBER 4. DATE ORGANIZATION ESTABLISHED 5. STATE OF INCORPORATION

6. TRADE STYLE NAME (Provide a copy of filing) 7. KIND OF PRODUCT OR SERVICE PROVIDED

8. FORMER BUSINESS NAME

D. RETAILER

E. OTHER (Specify) B. FIFO

A. LIFO C. AVERAGE COST

D. OTHER (Specify)

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS

NAME

10. INVENTORY VALUATION METHOD

9. KIND OF BUSINESS

A. MANUFACTURER

B. CONTRACTOR

C. WHOLESALER

TITLE

(If partner, state G(General) or L(Limited) in column)

ACTUAL TITLE G OR L

PERCENT

BUSINESS OWNED

12. PARENT COMPANY (If applicable)

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED

INFORMATION IN SECTION VIII, REMARKS YES NO

A. NAME

B. CITY C. STATE

A. HAVE YOU, OR ANY OF YOUR AFFILIATES EVER FILED FOR BANKRUPTCY?

B. DO YOU HAVE ANY JUDGMENTS, LIENS, OR PENDING SUITS?

C. DO YOU HAVE ANY CONTINGENT LIABILITIES?

D. HAVE YOU OR ANY OF YOUR AFFILIATES DISCONTINUED BUSINESS

OPERATIONS WITH OUTSTANDING DEBTS?

SECTION II - GOVERNMENT FINANCIAL AID AND INDEBTEDNESS

14A. ARE YOU DELINQUENT ON ANY FEDERAL DEBT (OMB CIRCULAR A-129)

(If "Yes", provide detailed information, Section VIII, Remarks)

14B. DO YOU OWE THE

GOVERNMENT

FOR ANY

CONTRACT OR

OTHER CLAIMS?

YES NO

IF "YES", COMPLETE THE ITEMS BELOW

AGENCY CLAIM AMOUNT PAYMENT MATURITY BALANCE

15A. AGENCY INVOLVED WITH DELINQUENCY 15B. AMOUNT OF DELINQUENCY ($)

16. ARE YOU

CURRENTLY

RECEIVING

GOVERNMENT

FINANCING?

YES

NO (Go to Section III )

17. COMPLETE ITEMS BELOW IF APPLICABLE

A. INDUSTRIAL REVENUE BONDS

B. GUARANTEED LOANS

C. ADVANCED PAYMENTS

D. PROGRESS PAYMENTS

AUTHORIZED ($) IN USE ($) GOVERNMENT AGENCY INVOLVED

E. OTHER (Specify)

GENERAL SERVICES ADMINISTRATION GSA 527 (REV. 10/2021)

F. LIMITED LIABILITY COMPANY

G. JOINT VENTURE

H. TRUST

TYPE OF FINANCING

GSA 527 (REV. 10/2021) PAGE 2

SECTION III - FINANCIAL STATEMENTS

Prepared Financial Statements with notes may be provided in lieu of completing Section III

When financial statements are prepared or certified by independent accountants and transcribed to this form, please furnish the name and address of accountant of accounting firm.

18. ARE YOU THE INCUMBENT CONTRACTOR FOR THIS SOLICITATION?

NO

19A. NAME

19B. STREET ADDRESS

19C. CITY 19D. STATE 19E. ZIP CODE

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S,

PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE

LISTED FIGURES ARE:

ACTUAL

IN THOUSANDS

IN MILLIONS

U.S. DOLLARS

FOREIGN CURRENCY (Specify)

21. BALANCE SHEET AS OF (Month, Day, Year) 22. FISCAL YEAR ENDS (Month, Day, Year) 23. PREPARED STATEMENTS

YES

ARE ATTACHED

24. ASSETS 25. LIABILITIES AND NET WORTH

A. Current Assets A. Current Liabilities

Cash Short Term cash investments Accounts receivable, less allowance for doubtful accounts of $ Inventories Other current assets (Itemize below)

Total Current Assets

B. Property, Plant and Equipment

Accounts payable Notes payable (current) Current portion of long term debt Accrued expenses Accrued taxes on income/excess profits Other current liabilities (Itemize below)

Total Current Liabilities

B. Other Liabilities

Land Buildings and equipment Leasehold improvements Less accumulated depreciation and amortization

Total Property, Plant and Equipment C. Other Assets

Investments in and advance to affiliated company Goodwill, less amortization Due from officer, employee Other (Itemize below)

Total Other Assets

D. TOTAL ASSETS

Mortgages Bonds Deferred income taxes Other long term debt

Total Other Liabilities

Total Liabilities

C. Minority Interest in Subsidiary D. Net Worth

Preferred stock Common stock Additional paid-in capital Retained earnings/owner's equity Less, Treasury stock

Total Net Worth

E. TOTAL LIABILITIES AND NET WORTH

SECTION IV - INCOME STATEMENT

26. FROM (Month, Day, Year) 27. TO (Month, Day, Year)

A. Net Sales

28. INCOME

Cost and Expenses Cost of Goods Sold Depreciation and Amortization

Selling, General, and Admin. Expenses Interest Expense Other Expenses (Itemize below)

Minority Interest in Earnings of Subsidiaries

Total Costs and Expenses

Earnings Before Taxes Taxes on Income Income Before Extraordinary Items Extraordinary Gains (Losses) Net of Taxes

NET INCOME (LOSS)

ZIP CODE

Yes No

A.

B.

C.

CITY STATE ZIP CODE

AREA CODE NUMBER

AREA CODE NUMBER EXTENSION

STREET ADDRESS

37. Maximum Amount Authorized ($)

38. Amount Outstanding ($)

39. Loans Secured by Company's Assets - Real and Personal Property

BANK 1 BANK 2

SECTION V - BANKING AND FINANCE COMPANY INFORMATION

(Please attach a separate sheet using this format for any additional banks.)

ITEM

29. Name of Bank

30. Contact Person

31. Phone Number

32. Fax Number

33. Address

34. Amount Owing ($)

35. Term Loans

36. Line of Credit

D.

SECURED PARTY NAME CONTACT NAME

STREET ADDRESS CITY STATE ZIP CODE

SECURING ASSETS MATURITY DATE MONTHLY PAYMENT ($)

40. ARE ANY OF THE ASSETS SHOWN ON THE BALANCE SHEET

PLEDGED OR MORTGAGED, EXCEPT AS STATED ABOVE?

41B. TOTAL

LIABILITY ($)

41A. IF CONTRACTOR IS A PARTNERSHIP OR SOLE PROPIERTORSHIP,

ARE THE INDIVIDUAL LIABILITIES OF THE PROPIETOR(S) FOR

FEDERAL AND STATE INCOME AND/OR EXCESS PROFIT TAXES

INCLUDED ON THE BALANCE SHEET?

42. ARE YOU NOW IN OR PENDING DEFAULT ON ANY OBLIGATIONS, I.E., BANKS, FINANCIAL INSTITUTIONS, SUPPLIERS, OTHER?

NO YES (Explain in Section VII, Remarks)

NO YES (Provide detailed information in Section VII, Remarks)

GSA 527 (REV. 10/2021) PAGE 3

CITY STATE

SECTION VI - PRINCIPAL MERCHANDISE OR RAW MATERIAL SUPPLIER INFORMATION

(Please attach separate sheet(s) using this format for additional suppliers.)

43. PAST DUE ACCOUNTS PAYABLE ($)

ITEM 44. SUPPLIER 1 45. SUPPLIER 2

STATECITY ZIP CODE

ITEM 46. SUPPLIER 3 47. SUPPLIER 4

A. Name of Supplier B. Contact Person

C. Telephone

D. Fax

E. Address

F. Amount Now Owing ($) G. High Credit ($)

A. Name of Supplier B. Contact Person

F. Amount Now Owing ($) G. High Credit ($)

SECTION VII - CONSTRUCTION/SERVICE CONTRACTS INFORMATION (Public Buildings Service Contracts Only)

CONTRACTS IN FORCE

GSA 527 (REV. 10/2021) PAGE 4

ITEM 48. CONTRACT 1 49. CONTRACT 2

A. Location B. Owner's Name

C. Address

D. Type of Work E. Contract Amount ($) F. Percent Completed G. Estimated Completion Date

F. Percent Completed

50. CONTRACT 3 51. CONTRACT 4

CITY STATE ZIP CODECITY STATE ZIP CODE

GSA 527 (REV. 10/2021) PAGE 5

D. Telephone

E. Type of Work F. Contract Amount ($) G. Amount Sublet ($)

ITEM 58. JOB 3 59. JOB 4

B. Contact's Name

ITEM 60. JOB 5 61. JOB 6

ITEM 52. CONTRACT 5 53. CONTRACT 6

F. Percent Completed

F. Percent Completed

54. CONTRACT 7 55. CONTRACT 8

LARGEST JOBS YOU HAVE COMPLETED IN THE LAST FIVE YEARS

ITEM 56. JOB 1 57. JOB 2

CERTIFICATION

For the purpose of establishing financial responsibility with, or procuring credit from the U.S. General Services Administration, we furnish the above as a true and correct statement of our financial condition and further certify that all other statements are true and correct. There has been no material change in the applicant's financial condition since the date of the above statement. We agree to notify you immediately in writing of any materially unfavorable change in our financial condition. In the absence of such notice or of a new and full financial statement, this is to be considered as a continuing statement.

NAME OF BUSINESS BY (Signature of Authorized Official)

NAME OF AUTHORIZED OFFICIAL (Type or print)

TITLE OF AUTHORIZED OFFICIAL (Type or print)

DATE

GSA 527 (REV. 10/2021) PAGE 6

NUMBER

64. PRESENT AMOUNT OF BONDING

COVERAGE ($)

65. HAS YOUR APPLICATION FOR SURETY

BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in

Remarks)

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A

FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR

SUPPLIERS? (If Yes, please provide detailed information in Remarks)

YES NO YES NO

SECTION VIII - REMARKS

REMARKS (Cite those sections of the form relating to your remarks. If additional space is required, attach additional sheet(s).)

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS

ITEM 62. SURETY COMPANY 1 63. SURETY COMPANY 2

A. Company Name

AREA CODE

Barbara Williams

GSA 527 - Contractor's Qualifications and Financial Information

CONTRACTOR'S QUALIFICATIONS AND FINANCIAL INFORMATION

OMB Control Number: 3090-0007 Expiration Date: 11/30/2027

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0007. We estimate that it will take 1.5 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

SECTION I - GENERAL INFORMATION

1A. NAME

1B. STREET ADDRESS

1C. CITY

1D. STATE

1E. ZIP CODE

2. TYPE OF ORGANIZATION (Check one)

A. SOLE PROPRIETORSHIP

B. GENERAL PARTNERSHIP

C. LIMITED PARTNERSHIP

D. CORPORATION

E. SUBCHAPTER S CORPORATION

I. OTHER (Specify below)

3. TAXPAYER ID NUMBER

4. DATE ORGANIZATION ESTABLISHED

5. STATE OF INCORPORATION

6. TRADE STYLE NAME (Provide a copy of filing)

7. KIND OF PRODUCT OR SERVICE PROVIDED

8. FORMER BUSINESS NAME

D. RETAILER

E. OTHER (Specify)

B. FIFO

A. LIFO

C. AVERAGE COST

D. OTHER (Specify)

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS

NAME

10. INVENTORY VALUATION METHOD

9. KIND OF BUSINESS

A. MANUFACTURER

B. CONTRACTOR

C. WHOLESALER

TITLE

(If partner, state G(General) or L(Limited) in column)

ACTUAL TITLE

G OR L

PERCENT

BUSINESS OWNED

12. PARENT COMPANY (If applicable)

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED

INFORMATION IN SECTION VIII, REMARKS

YES

NO

A. NAME

B. CITY

C. STATE

A. HAVE YOU, OR ANY OF YOUR AFFILIATES EVER FILED FOR BANKRUPTCY?

B. DO YOU HAVE ANY JUDGMENTS, LIENS, OR PENDING SUITS?

C. DO YOU HAVE ANY CONTINGENT LIABILITIES?

D. HAVE YOU OR ANY OF YOUR AFFILIATES DISCONTINUED BUSINESS OPERATIONS WITH OUTSTANDING DEBTS?

SECTION II - GOVERNMENT FINANCIAL AID AND INDEBTEDNESS

14A. ARE YOU DELINQUENT ON ANY FEDERAL DEBT (OMB CIRCULAR A-129)(If "Yes", provide detailed information, Section VIII, Remarks)

14B. DO YOU OWE THE

GOVERNMENT

FOR ANY CONTRACT OR OTHER CLAIMS?

YES

NO

IF "YES", COMPLETE THE ITEMS BELOW

AGENCY

CLAIM AMOUNT

PAYMENT

MATURITY

BALANCE

15A. AGENCY INVOLVED WITH DELINQUENCY

15B. AMOUNT OF DELINQUENCY ($)

16. ARE YOU CURRENTLY

RECEIVING

GOVERNMENT

FINANCING?

YES

NO

YES

NO (Go to Section III )

17. COMPLETE ITEMS BELOW IF APPLICABLE

A. INDUSTRIAL REVENUE BONDS

B. GUARANTEED LOANS

C. ADVANCED PAYMENTS

D. PROGRESS PAYMENTS

AUTHORIZED ($)

IN USE ($)

GOVERNMENT AGENCY INVOLVED

E. OTHER (Specify)

GENERAL SERVICES ADMINISTRATION

GSA 527 (REV. 10/2021)

F. LIMITED LIABILITY COMPANY

G. JOINT VENTURE

H. TRUST

TYPE OF FINANCING

GSA 527 (REV. 10/2021) PAGE 2

SECTION III - FINANCIAL STATEMENTS

Prepared Financial Statements with notes may be provided in lieu of completing Section III

When financial statements are prepared or certified by independent accountants and transcribed to this form, please furnish the name and address of accountant of accounting firm.

18. ARE YOU THE INCUMBENT CONTRACTOR FOR THIS SOLICITATION?

NO

19A. NAME

19B. STREET ADDRESS

19C. CITY

19D. STATE

19E. ZIP CODE

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S, PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE

LISTED FIGURES ARE:

ACTUAL

IN THOUSANDS

IN MILLIONS

U.S. DOLLARS

FOREIGN CURRENCY (Specify)

21. BALANCE SHEET AS OF (Month, Day, Year)

22. FISCAL YEAR ENDS (Month, Day, Year)

23. PREPARED STATEMENTS

YES

ARE ATTACHED

24. ASSETS

25. LIABILITIES AND NET WORTH

A. Current Assets

A. Current Liabilities

Cash

Short Term cash investments

Accounts receivable, less allowance for doubtful accounts of $

Inventories

Other current assets (Itemize below)

Total Current Assets

B. Property, Plant and Equipment

Accounts payable

Notes payable (current)

Current portion of long term debt

Accrued expenses

Accrued taxes on income/excess profits

Other current liabilities (Itemize below)

Total Current Liabilities

B. Other Liabilities

Land

Buildings and equipment

Leasehold improvements

Less accumulated depreciation and amortization

Total Property, Plant and Equipment

C. Other Assets

Investments in and advance to affiliated company

Goodwill, less amortization

Due from officer, employee

Other (Itemize below)

Total Other Assets

D. TOTAL ASSETS

Mortgages

Bonds

Deferred income taxes

Other long term debt

Total Other Liabilities

Total Liabilities

C. Minority Interest in Subsidiary

D. Net Worth

Preferred stock

Common stock

Additional paid-in capital

Retained earnings/owner's equity

Less, Treasury stock

Total Net Worth

E. TOTAL LIABILITIES AND NET WORTH

SECTION IV - INCOME STATEMENT

26. FROM (Month, Day, Year)

27. TO (Month, Day, Year)

A. Net Sales

28. INCOME

Cost and Expenses

Cost of Goods Sold

Depreciation and Amortization

Selling, General, and Admin. Expenses

Interest Expense

Other Expenses (Itemize below)

Minority Interest in Earnings of Subsidiaries

Total Costs and Expenses

Earnings Before Taxes

Taxes on Income

Income Before Extraordinary Items

Extraordinary Gains (Losses) Net of Taxes

NET INCOME (LOSS)

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Image of a triangle pointing to field 41B: Total Liability.

ZIP CODE

Yes

No

Yes

No

A.

B.

C.

CITY

STATE

ZIP CODE

Yes

No

Yes

No

AREA CODE

NUMBER

AREA CODE

NUMBER

EXTENSION

AREA CODE

NUMBER

STREET ADDRESS

37. Maximum Amount

Authorized ($)

38. Amount

Outstanding ($)

39. Loans Secured by Company's Assets - Real and Personal Property

BANK 1

BANK 2

SECTION V - BANKING AND FINANCE COMPANY INFORMATION

(Please attach a separate sheet using this format for any additional banks.)

ITEM

29. Name of Bank

30. Contact Person

31. Phone Number

32. Fax Number

33. Address

34. Amount Owing ($)

35. Term Loans

36. Line of Credit

D.

SECURED PARTY NAME

CONTACT NAME

STREET ADDRESS

CITY

STATE

ZIP CODE

SECURING ASSETS

MATURITY DATE

MONTHLY PAYMENT ($)

SECURED PARTY NAME

CONTACT NAME

STREET ADDRESS

CITY

STATE

ZIP CODE

SECURING ASSETS

MATURITY DATE

MONTHLY PAYMENT ($)

SECURED PARTY NAME

CONTACT NAME

STREET ADDRESS

CITY

STATE

ZIP CODE

SECURING ASSETS

MATURITY DATE

MONTHLY PAYMENT ($)

SECURED PARTY NAME

CONTACT NAME

STREET ADDRESS

CITY

STATE

ZIP CODE

SECURING ASSETS

MATURITY DATE

MONTHLY PAYMENT ($)

40. ARE ANY OF THE ASSETS SHOWN ON THE BALANCE SHEET

PLEDGED OR MORTGAGED, EXCEPT AS STATED ABOVE?

41B. TOTAL

LIABILITY ($)

41A. IF CONTRACTOR IS A PARTNERSHIP OR SOLE PROPIERTORSHIP,

ARE THE INDIVIDUAL LIABILITIES OF THE PROPIETOR(S) FOR

FEDERAL AND STATE INCOME AND/OR EXCESS PROFIT TAXES

INCLUDED ON THE BALANCE SHEET?

YES

NO

42. ARE YOU NOW IN OR PENDING DEFAULT ON ANY OBLIGATIONS, I.E., BANKS, FINANCIAL INSTITUTIONS, SUPPLIERS, OTHER?

NO

YES (Explain in Section VII, Remarks)

NO

YES (Provide detailed information in Section VII, Remarks)

GSA 527 (REV. 10/2021) PAGE 3

AREA CODE

NUMBER

EXTENSION

STREET ADDRESS

CITY

STATE

SECTION VI - PRINCIPAL MERCHANDISE OR RAW MATERIAL SUPPLIER INFORMATION

(Please attach separate sheet(s) using this format for additional suppliers.)

43. PAST DUE ACCOUNTS PAYABLE ($)

ITEM

44. SUPPLIER 1

45. SUPPLIER 2

AREA CODE

NUMBER

EXTENSION

AREA CODE

NUMBER

STREET ADDRESS

STATE

CITY

ZIP CODE

ITEM

46. SUPPLIER 3

47. SUPPLIER 4

A. Name of Supplier

B. Contact Person

C. Telephone

D. Fax

E. Address

F. Amount Now

Owing ($)

G. High Credit ($)

A. Name of Supplier

B. Contact Person

C. Telephone

D. Fax

E. Address

F. Amount Now

Owing ($)

G. High Credit ($)

AREA CODE

NUMBER

EXTENSION

AREA CODE

NUMBER

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

AREA CODE

NUMBER

AREA CODE

NUMBER

EXTENSION

AREA CODE

NUMBER

STREET ADDRESS

CITY

STATE

ZIP CODE

SECTION VII - CONSTRUCTION/SERVICE CONTRACTS INFORMATION (Public Buildings Service Contracts Only)

CONTRACTS IN FORCE

STREET ADDRESS

CITY

STATE

ZIP CODE

GSA 527 (REV. 10/2021) PAGE 4

ITEM

48. CONTRACT 1

49. CONTRACT 2

A. Location

B. Owner's Name

C. Address

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

STREET ADDRESS

CITY

STATE

ZIP CODE

STREET ADDRESS

CITY

STATE

ZIP CODE

ITEM

A. Location

B. Owner's Name

C. Address

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

50. CONTRACT 3

51. CONTRACT 4

STREET ADDRESS

CITY

STATE

ZIP CODE

CITY

STATE

ZIP CODE

STREET ADDRESS

GSA 527 (REV. 10/2021) PAGE 5

C. Address

D. Telephone

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

ITEM

58. JOB 3

59. JOB 4

A. Location

B. Contact's Name

C. Address

D. Telephone

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

ITEM

60. JOB 5

61. JOB 6

A. Location

B. Contact's Name

C. Address

D. Telephone

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

ITEM

52. CONTRACT 5

53. CONTRACT 6

A. Location

B. Owner's Name

C. Address

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

STREET ADDRESS

CITY

STATE

ZIP CODE

STREET ADDRESS

CITY

STATE

ZIP CODE

ITEM

A. Location

B. Owner's Name

C. Address

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated

Completion Date

54. CONTRACT 7

55. CONTRACT 8

STREET ADDRESS

CITY

STATE

ZIP CODE

STREET ADDRESS

CITY

STATE

ZIP CODE

LARGEST JOBS YOU HAVE COMPLETED IN THE LAST FIVE YEARS

ITEM

56. JOB 1

57. JOB 2

A. Location

B. Contact's Name

CERTIFICATION

For the purpose of establishing financial responsibility with, or procuring credit from the U.S. General Services Administration, we furnish the above as a true and correct statement of our financial condition and further certify that all other statements are true and correct. There has been no material change in the applicant's financial condition since the date of the above statement. We agree to notify you immediately in writing of any materially unfavorable change in our financial condition. In the absence of such notice or of a new and full financial statement, this is to be considered as a continuing statement.

NAME OF BUSINESS

BY (Signature of Authorized Official)

NAME OF AUTHORIZED OFFICIAL (Type or print)

TITLE OF AUTHORIZED OFFICIAL (Type or print)

DATE

GSA 527 (REV. 10/2021) PAGE 6

NUMBER

STREET ADDRESS

CITY

STATE

ZIP CODE

AREA CODE

NUMBER

EXTENSION

AREA CODE

NUMBER

STREET ADDRESS

CITY

STATE

ZIP CODE

64. PRESENT AMOUNT OF BONDING

COVERAGE ($)

65. HAS YOUR APPLICATION FOR SURETY

BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in Remarks)

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A

FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR

SUPPLIERS? (If Yes, please provide detailed information in Remarks)

YES

NO

YES

NO

SECTION VIII - REMARKS

REMARKS (Cite those sections of the form relating to your remarks. If additional space is required, attach additional sheet(s).)

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS

ITEM

62. SURETY COMPANY 1

63. SURETY COMPANY 2

A. Company Name

B. Contact's Name

C. Telephone

D. Fax

E. Address

AREA CODE

NUMBER

EXTENSION

AREA CODE

1A. NAME:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. E. Address. 62. SURETY COMPANY 1. STREET ADDRESS.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. E. Address. 62. SURETY COMPANY 1. CITY.:

3. TAXPAYER ID NUMBER:

6. TRADE STYLE NAME (Provide a copy of filing):

8. FORMER BUSINESS NAME:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. NAME. LINE 1 of 5.:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. TITLE (If partner, state G (General) or L(Limited) in column). ACTUAL TITLE.:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. TITLE (If partner, state G (General) or L(Limited) in column). G OR L.:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. PERCENT BUSINESS OWNED.:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. NAME. LINE 2 of 5.:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. NAME. LINE 3 of 5.:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. NAME. LINE 4 of 5.:

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS. NAME. LINE 5 of 5.:

12. PARENT COMPANY (If applicable). A. NAME.:

12. PARENT COMPANY (If applicable). B. CITY.:

14B. IF "YES", COMPLETE THE ITEMS BELOW. AGENCY.:

15A. AGENCY INVOLVED WITH DELINQUENCY:

9. KIND OF BUSINESS. E. OTHER (Specify).:

12. PARENT COMPANY (If applicable). C. STATE.:

5. STATE OF INCORPORATION:

2. TYPE OF ORGANIZATION (Check one). I. OTHER (Specify below).:

10. INVENTORY VALUATION METHOD. D. OTHER (Specify).:

7. KIND OF PRODUCT OR SERVICE PROVIDED:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. E. Address. 62. SURETY COMPANY 1. STATE.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. E. Address. 62. SURETY COMPANY 1. ZIP CODE.:

9. KIND OF BUSINESS. A. MANUFACTURER.: 0

9. KIND OF BUSINESS. B. CONTRACTOR.: 0

9. KIND OF BUSINESS. C. WHOLESALER.: 0

9. KIND OF BUSINESS. D. RETAILER.: 0

9. KIND OF BUSINESS. E. OTHER (Specify).: 0

2. TYPE OF ORGANIZATION (Check one). A. SOLE PROPRIETORSHIP. : 0

2. TYPE OF ORGANIZATION (Check one). B. GENERAL PARTNERSHIP.: 0

2. TYPE OF ORGANIZATION (Check one). C. LIMITED PARTNERSHIP.: 0

2. TYPE OF ORGANIZATION (Check one). D. CORPORATION.: 0

2. TYPE OF ORGANIZATION (Check one). E. SUBCHAPTER S CORPORATION.: 0

10. INVENTORY VALUATION METHOD. A. LIFO.: 0

10. INVENTORY VALUATION METHOD. B. FIFO.: 0

10. INVENTORY VALUATION METHOD. C. AVERAGE COST.: 0

10. INVENTORY VALUATION METHOD. D. OTHER (Specify).: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. A. HAVE YOU, OR ANY OF YOUR AFFILIATES EVER FILED FOR BANKRUPTCY? YES.: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. A. HAVE YOU, OR ANY OF YOUR AFFILIATES EVER FILED FOR BANKRUPTCY? NO.: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. B. DO YOU HAVE ANY JUDGMENTS, LIENS, OR PENDING SUITS? YES.: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. B. DO YOU HAVE ANY JUDGMENTS, LIENS, OR PENDING SUITS? NO.: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. C. DO YOU HAVE ANY CONTINGENT LIABILITIES? YES.: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. C. DO YOU HAVE ANY CONTINGENT LIABILITIES? NO.: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. D. HAVE YOU OR ANY OF YOUR AFFILIATES DISCONTINUED BUSINESS OPERATIONS WITH OUTSTANDING DEBTS? YES.: 0

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED INFORMATION IN SECTION 8, REMARKS. D. HAVE YOU OR ANY OF YOUR AFFILIATES DISCONTINUED BUSINESS OPERATIONS WITH OUTSTANDING DEBTS? NO: 0

65. HAS YOUR APPLICATION FOR SURETY BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in Remarks). YES.: 0

65. HAS YOUR APPLICATION FOR SURETY BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in Remarks). YES.: 0

65. HAS YOUR APPLICATION FOR SURETY BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in Remarks). YES.: 0

65. HAS YOUR APPLICATION FOR SURETY BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in Remarks). NO.: 0

65. HAS YOUR APPLICATION FOR SURETY BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in Remarks). NO.: 0

65. HAS YOUR APPLICATION FOR SURETY BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in Remarks). NO.: 0

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR SUPPLIERS? (If Yes, please provide detailed information in Remarks). YES.: 0

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR SUPPLIERS? (If Yes, please provide detailed information in Remarks). YES.: 0

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR SUPPLIERS? (If Yes, please provide detailed information in Remarks). NO.: 0

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR SUPPLIERS? (If Yes, please provide detailed information in Remarks). NO.: 0

16. ARE YOU CURRENTLY RECEIVING GOVERNMENT FINANCING? YES.: 0

16. ARE YOU CURRENTLY RECEIVING GOVERNMENT FINANCING? NO (Go to Section 3).: 0

2. TYPE OF ORGANIZATION (Check one). F. LIMITED LIABILITY COMPANY.: 0

2. TYPE OF ORGANIZATION (Check one). G. JOINT VENTURE.: 0

2. TYPE OF ORGANIZATION (Check one). H. TRUST.: 0

2. TYPE OF ORGANIZATION (Check one). I. OTHER (Specify below).: 0

4. DATE ORGANIZATION ESTABLISHED. Enter 2 digit month, 2 digit day and 4 digit year.:

14B. IF "YES", COMPLETE THE ITEMS BELOW. CLAIM AMOUNT.:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. A. INDUSTRIAL REVENUE BONDS. AUTHORIZED ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. E. OTHER (Specify). IN USE ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. E. OTHER (Specify). GOVERNMENT AGENCY INVOLVED.:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. D. PROGRESS PAYMENTS. IN USE ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. C. ADVANCED PAYMENTS. IN USE ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. B. GUARANTEED LOANS. IN USE ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. A. INDUSTRIAL REVENUE BONDS. IN USE ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. B. GUARANTEED LOANS. AUTHORIZED ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. C. ADVANCED PAYMENTS. AUTHORIZED ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. D. PROGRESS PAYMENTS. AUTHORIZED ($).:

17. COMPLETE ITEMS BELOW IF APPLICABLE. TYPE OF FINANCING. E. OTHER (Specify). AUTHORIZED ($).:

14B. IF "YES", COMPLETE THE ITEMS BELOW. PAYMENT.:

14B. IF "YES", COMPLETE THE ITEMS BELOW. MATURITY.:

15B. AMOUNT OF DELINQUENCY ($):

14B. IF "YES", COMPLETE THE ITEMS BELOW. BALANCE.:

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S, PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE LISTED FIGURES ARE ACTUAL.: 0

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S, PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE LISTED FIGURES ARE IN THOUSANDS.: 0

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S, PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE LISTED FIGURES ARE IN MILLIONS.: 0

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S, PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE LISTED FIGURES ARE IN U.S. DOLLARS.: 0

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S, PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE LISTED FIGURES ARE IN FOREIGN CURRENCY (Specify).: 0

19A. NAME:

19B. STREET ADDRESS:

19C. CITY:

24. ASSETS. C. Other Assets. Other (Itemize). Line 3 of 3.:

28. INCOME. A. Net Sales. Other Expenses (Itemize). Line 2 of 2.:

19D. STATE:

19E. ZIP CODE:

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S, PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE LISTED FIGURES ARE IN FOREIGN CURRENCY (Specify).:

23. PREPARED STATEMENTS ARE ATTACHED.: 0

22. FISCAL YEAR ENDS (Month, Day, Year). Enter 2 digit month, 2 digit day and 4 digit year.:

21. BALANCE SHEET AS OF (Month, Day, Year). Enter 2 digit month, 2 digit day and 4 digit year.:

26. FROM (Month, Day, Year). Enter 2 digit month, 2 digit day and 4 digit year.:

27. TO (Month, Day, Year). Enter 2 digit month, 2 digit day and 4 digit year.:

24. ASSETS. A. Current Assets. Cash.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Other current liabilities (Itemize). Line 1 of 2.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Total Current Liabilities.:

25. LIABILITIES AND NET WORTH. B. Other Liabilities. Mortgages.:

25. LIABILITIES AND NET WORTH. B. Other Liabilities. Bonds.:

25. LIABILITIES AND NET WORTH. B. Other Liabilities. Deferred income taxes.:

25. LIABILITIES AND NET WORTH. B. Other Liabilities. Other long term debt.:

25. LIABILITIES AND NET WORTH. B. Other Liabilities. Total Other Liabilities.:

25. LIABILITIES AND NET WORTH. Total Liabilities.:

25. LIABILITIES AND NET WORTH. C. Minority Interest in Subsidiary.:

25. LIABILITIES AND NET WORTH. D. Net Worth. Preferred Stock.:

25. LIABILITIES AND NET WORTH. D. Net Worth. Common Stock.:

25. LIABILITIES AND NET WORTH. D. Net Worth. Additional paid-in capital.:

25. LIABILITIES AND NET WORTH. D. Net Worth. Retained earnings/owner's equity.:

25. LIABILITIES AND NET WORTH. D. Net Worth. Less, Treasury stock.:

25. LIABILITIES AND NET WORTH. D. Net Worth. Total Net Worth.:

25. LIABILITIES AND NET WORTH. E. TOTAL LIABILITIES AND NET WORTH.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Other current liabilities.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Other current liabilities.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Accrued taxes on income/excess profits.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Accrued expenses.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Notes payable (current).:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Current portion of long term debt.:

25. LIABILITIES AND NET WORTH. A. Current Liabilities. Accounts payable.:

24. ASSETS. A. Current Assets. Short Term cash investments.:

24. ASSETS. A. Current Assets. Accounts receivable, less allowance for doubtful accounts of $:

24. ASSETS. A. Current Assets. Inventories.:

24. ASSETS. A. Current Assets. Other current assets.:

24. ASSETS. A. Current Assets. Other current assets.:

24. ASSETS. A. Current Assets. Total Current Assets.:

24. ASSETS. B. Property, Plant and Equipment. Land.:

24. ASSETS. B. Property, Plant and Equipment. Buildings and Equipment.:

24. ASSETS. B. Property, Plant and Equipment. Leasehold improvements.:

24. ASSETS. B. Property, Plant and Equipment. Less accumulated depreciation and amortization.:

24. ASSETS. C. Other Assets. Investments in and advance to affiliated company.:

24. ASSETS. C. Other Assets. Goodwill, less amortization.:

24. ASSETS. C. Other Assets. Due from officer, employee.:

24. ASSETS. C. Other Assets. Other.:

24. ASSETS. C. Other Assets. Other.:

24. ASSETS. C. Other Assets. Other.:

24. ASSETS. C. Other Assets. Total Other Assets.:

28. INCOME. A. Net Sales. Cost and Expenses. Cost of Goods Sold.:

28. INCOME. A. Net Sales. Minority Interest in Earnings of Subsidiaries.:

28. INCOME. Earnings Before Taxes.:

28. INCOME. Taxes on Income.:

28. INCOME. Income Before Extraordinary Items.:

28. INCOME. Extraordinary Gains (Losses) Net of Taxes.:

28. INCOME. NET INCOME (LOSS).:

28. INCOME. A. Net Sales. Total Cost and Expenses.:

28. INCOME. A. Net Sales. Cost and Expenses. Depreciation and Amortization.:

28. INCOME. A. Net Sales. Selling, General, and Admin. Expenses.:

28. INCOME. A. Net Sales. Interest Expense.:

28. INCOME. A. Net Sales. Other Expenses. :

28. INCOME. A. Net Sales. Other Expenses. :

24. ASSETS. D. TOTAL ASSETS.:

24. ASSETS. B. Property, Plant and Equipment. Total Property, Plant and Equipment.:

28. INCOME. A. Net Sales. :

29. Name of Bank. Bank 2.:

ITEM. B. Contact Person. 44. SUPPLIER 1.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. C. Telephone. 62. SURETY COMPANY 1. AREA CODE:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. C. Telephone. 62. SURETY COMPANY 1. NUMBER.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. C. Telephone. 63. SURETY COMPANY 2. EXTENSION.:

39. Loans Secured by Company's Assets - Real and Personal Property. D. SECURED PARTY NAME.:

39. Loans Secured by Company's Assets - Real and Personal Property. D. CONTACT NAME.:

39. Loans Secured by Company's Assets - Real and Personal Property. C. SECURING ASSETS.:

39. Loans Secured by Company's Assets - Real and Personal Property. A. MONTHLY PAYMENT ($).:

39. Loans Secured by Company's Assets - Real and Personal Property. A. MATURITY DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

41B. TOTAL LIABILITY ($):

34. Amount Owing ($). Bank 2.:

37. Maximum Amount Authorized ($). Bank 2.:

38. Amount Outstanding ($). Bank 2.:

35. Term Loans. Bank 1. Yes.: 0

36. Line of Credit. Bank 2. No.: 0

36. Line of Credit. Bank 2. Yes.: 0

35. Term Loans. Bank 2. No.: 0

35. Term Loans. Bank 2. Yes.: 0

35. Term Loans. Bank 1. No.: 0

36. Line of Credit. Bank 1. Yes.: 0

36. Line of Credit. Bank 1. No.: 0

40. ARE ANY OF THE ASSETS SHOWN ON THE BALANCE SHEET PLEDGED OR MORTGAGED, EXCEPT AS STATED ABOVE? NO.: 0

41A. IF CONTRACTOR IS A PARTNERSHIP OR SOLE PROPIERTORSHIP, ARE THE INDIVIDUAL LIABILITIES OF THE PROPIETOR(S) FOR FEDERAL AND STATE INCOME AND/OR EXCESS PROFIT TAXES INCLUDED ON THE BALANCE SHEET? YES.: 0

41A. IF CONTRACTOR IS A PARTNERSHIP OR SOLE PROPIERTORSHIP, ARE THE INDIVIDUAL LIABILITIES OF THE PROPIETOR(S) FOR FEDERAL AND STATE INCOME AND/OR EXCESS PROFIT TAXES INCLUDED ON THE BALANCE SHEET? NO.: 0

40. ARE ANY OF THE ASSETS SHOWN ON THE BALANCE SHEET PLEDGED OR MORTGAGED, EXCEPT AS STATED ABOVE? YES (Explain in Section 8, Remarks).: 0

42. ARE YOU NOW IN OR PENDING DEFAULT ON ANY OBLIGATIONS, I.E., BANKS, FINANCIAL INSTITUTIONS, SUPPLIERS, OTHER? NO.: 0

42. ARE YOU NOW IN OR PENDING DEFAULT ON ANY OBLIGATIONS, I.E., BANKS, FINANCIAL INSTITUTIONS, SUPPLIERS, OTHER? YES (Provide detailed information in Section 8, Remarks).: 0

ITEM. A. Name of Supplier. 45. SUPPLIER 2.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. D. Fax. 62. SURETY COMPANY 1. NUMBER.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. D. Fax. 62. SURETY COMPANY 1. AREA CODE.:

ITEM. F. Amount Now Owing ($). 44. SUPPLIER 1.:

ITEM. G. High Credit ($). 44. SUPPLIER 1.:

CONTRACTS IN FORCE. ITEM. E. Contract Amount ($). 53. CONTRACT 6. :

CONTRACTS IN FORCE. ITEM. A. Location. 55. CONTRACT 8.:

CONTRACTS IN FORCE. ITEM. B. Owner's Name. 53. CONTRACT 6.:

CONTRACTS IN FORCE. ITEM. D. Type of Work. 53. CONTRACT 6. :

CONTRACTS IN FORCE. ITEM. F. Percent Completed. 53. CONTRACT 6.:

CONTRACTS IN FORCE. ITEM. G. Estimated Completion Date. 52. CONTRACT 5. Enter 2 digit month, 2 digit day and 4 digit year.:

43. PAST DUE ACCOUNTS PAYABLE ($):

LARGEST JOBS YOU HAVE COMPLETED IN THE LAST FIVE YEARS. ITEM. G. Amount Sublet ($). 60. JOB 5.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. B. Contact's Name. 62. SURETY COMPANY 1.:

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS. ITEM. A. Company Name. 63. SURETY COMPANY 2.:

NAME OF BUSINESS:

NAME OF AUTHORIZED OFFICIAL (Type or print):

TITLE OF AUTHORIZED OFFICIAL (Type or print):

REMARKS (Cite those sections of the form relating to your remarks. If additional space is required, attach additional sheet(s).):

64. PRESENT AMOUNT OF BONDING COVERAGE ($):

Date of Signature. Enter 2 digit month, 2 digit day and 4 digit year.:

BY (Signature of Authorized Official):

(See ).

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair) IMPORTANT - The "offer" section on the reverse must be fully completed by offeror.

9. FOR INFORMATION

CALL:

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

SOLICITATION

1. SOLICITATION NUMBER

5. REQUISITION/PURCHASE REQUEST NUMBER

CODE

6. PROJECT NUMBER

8. ADDRESS OFFER TO

4. CONTRACT NUMBER

7. ISSUED BY

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying number, date)

11. The contractor shall begin performance within

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

(If "YES", indicate within how many calendar days after award in Item 12b.)

13. ADDITIONAL SOLICITATION REQUIREMENTS:

a. Sealed offers in original and

b. An offer guarantee

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

STANDARD FORM 1442 (REV. 8/2014)

Prescribed by GSA - FAR (48 CFR) 53.236-1(d) calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

is, is not required.

local time containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

(date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes copies to perform the work required are due at the place specified in Item 8 by (hour) award, notice to proceed. This performance period is mandatory negotiable.

calendar days and complete it within calendar days after receiving

a. NAME b. TELEPHONE NUMBER (Include area code) (NO COLLECT CALLS)

12b. CALENDAR DAYS

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED PAGE OF PAGES

47PD5326R0039

PBS Office of Acquisition Management/Acquisition Project Delivery Contracting Division West/Contracting Branch C 1800 F Street NW Washington , DC 20405 USA

EQPMBA-26-0299 ND0037ZZ USMS Egress Modifications Bismarck 3409747

EQPMBA-26-0299

PQCC

Ayrius Bennett (817) 247-6134

EQPMBA-26-0299

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