RFP Addendum Documents.pdf

Manchester Community Schools Brandon Woods, President

Dr. Brad Bezeau, Superintendent Ryan Novess, Vice President

Board of Education Sandra Wiitala, Secretary

710 Main Street Corey Horky, Treasurer

Manchester, MI 48158 Rebecca Harvey, Trustee

(734) 428-9711 Michael Tindall, Trustee Jeff White, Trustee

BID PROPOSAL FORM Company Name__________________________

The undersigned certifies that the bid contained meets or exceeds the attached specifications. Project will be awarded to 1 contractor.

To provide labor, materials, and equipment for as specified/where specified:

Labor $_____________________

Materials $_____________________

Equipment $_____________________

Architect $_____________________

Total Bid $_____________________

Acknowledge receipt of Addendums: _____________________________________________

Can you complete this project in the time line specified? _Yes _No

Please state your warranty: ______________________________________________________

State any prompt payment terms: __________% ___________days.

Do you conduct background checks on your employees? _Yes _No

Bid Bond Included? _Yes _No

Familial Relationship affidavit included? _Yes _No

Iran Linked Business Affidavit included? _Yes _No

Are you on the Excluded Parties List, which excludes you from receiving Federal Contracts or certain sub contracts, pursuant to the provisions of 31 U.S.C. 6101, note E.O. 12549, E.O. 12689, 48 C.F.R. 9.404?

_Yes _No _Unknown

Provide your DUNS number, if you have one: ____________________________

Local (District) Vendor or Taxpayer?

_Yes _No _Unknown (Documentation, if necessary, will be obtained after the bid opening.)

Do you have employees that live within the District? _Yes _No _Unknown (For informational purposes only.)

At least 3 references with contact person:

Company: _____________________ Contact: ____________________ Phone: _____________

BID PROPOSAL FORM continued

My signature certifies that the Proposal as submitted complies with all of the terms and conditions set forth in the Request for Proposal unless specifically enumerated as an exception as part of our Proposal.

COMPANY NAME: ____________________________________________________________

ADDRESS: ___________________________________________________________________

AUTHORIZED SIGNATURE: ____________________________________________________

AUTHORIZED NAME (please print): ______________________________________________

TITLE: ________________________________________________ DATE: ________________

PHONE #: ________________________________ FAX #: _____________________________

E-MAIL: _____________________________________________________________________

CONSTRUCTION BID DISCLOSURE STATEMENT – FAMILIAL RELATIONSHIP

Pursuant to MCL 380.1267, a sworn and notarized statement disclosing any familial relationship that exists between the owner or any employee of the bidder and any member of the School District Board or the School

District Superintendent must be accompanied with the bid. Bids without this disclosure statement will not be accepted.

The members of the School District Board are: Ryan Novess, Brandon Woods, Corey Horky, Michael Tindall, Rebecca Harvey, Sandra Wiitala, and Jeff White.

The School District Superintendent is: Brad Bezeau PhD.

The Following are the familial relationships:

There are none.

STATE OF MICHIGAN )

COUNTY OF_____________)

The undersigned, authorized representative of bidder (insert name) __________________ does hereby acknowledge that bidder has read the foregoing disclosure statement and the statements herein contained are true.

Signature of Bidder Representative

Print Name

Title

Subscribed and sworn to before me this _____day of ___________________, ________.

Notary Public, ______________County, Michigan

My commission expires: ____/____/________

AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012

The undersigned, the owner or authorized officer of the below named contractor (the “Contractor”), pursuant to the compliance certification requirement provided in the School District name (the “School District”) Request For

Proposals For (the “RFP”), hereby certifies, represents and warrants that the Contractor (including its officers, directors and employees) is not an “Iran linked business” within the meaning of the Iran Economic Sanctions Act, Michigan Public Act No. 517 of 2012 (the “Act”), and that in the event Contractor is awarded a contract as a result of the aforementioned RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing the Work or any services under the contract.

The Contractor further acknowledges that any person who is found to have submitted a false certification is responsible for a civil penalty of not more than $250,000.00 or 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the School District’s investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on a request for proposal for three (3) years from the date the it is determined that the person has submitted the false certification.

CONTRACTOR:

Name of Contractor

By:

Its:

Date:

STATE OF )

COUNTY OF ____________ )

This instrument was acknowledged before me on the _____ day of ____________, 20___, by

, Notary Public

______________ County, __________

My Commission Expires:___________

Acting in the County of :___________