SCHD - 3 - Bid Forms - draft 2.docx

BID FORMS AND REQUIRED ATTACHMENTS

South County Health District Dental Clinic Remodel Project 340 West Highway 203, Union, Oregon Business Oregon Special Public Works Fund Project No. C26011

Contents. This packet contains the forms that accompany the Invitation to Bid: (1) Bid Form, including the base bid and additive alternates; (2) Bid Security Form (Bid Bond); (3) First-Tier Subcontractor Disclosure Form; (4) Resident Bidder Certification; and (5) Addenda Acknowledgment. Each bidder must complete and submit every applicable form. Bracketed items are placeholders to complete before publication.

1. Bid Form Dental Clinic Remodel Project, South County Health District To: South County Health District (SCHD), 142 E Dearborn St, Union, Oregon 97883.

From (Bidder):

Bidder legal name: ________________________________________________ Business address: __________________________________________________ CCB license number: __________________________ The CCB license must be current and valid at the time this bid is submitted.

The undersigned Bidder, having carefully examined the Invitation to Bid, the plans and specifications prepared by Associated Design and Engineering Services, all addenda, and the site and conditions of the work, offers to furnish all labor, materials, equipment, and services required to complete the Dental Clinic Remodel Project in accordance with the contract documents, for the prices stated below.

1.1 Base Bid

For all work shown and specified as the base scope (the interior clinic buildout and all work not listed as an alternate below):

1.2 Additive Alternates

Each additive alternate is priced separately. SCHD may award the base bid alone or the base bid plus one or more additive alternates. For the purpose of determining the lowest bid, SCHD will add to the base bid the additive alternates it selects, in the predetermined order stated in Section 1.3. State the amount to add to the base bid if the alternate is accepted.

1.3 Order of Selection of Alternates

If SCHD awards one or more additive alternates, SCHD will select them in the following predetermined order for the purpose of determining the lowest responsible bidder: Alternate No. 1 (exterior painting), then Alternate No. 2 (parking lot resurfacing). SCHD will determine before award how many alternates it will accept based on available funds, and will identify the low bidder based on the base bid plus the accepted alternates.

1.4 Bidder Acknowledgments and Certifications

By signing below, the Bidder certifies:

a. Prevailing wage. “Contractor agrees to be bound by and will comply with the provisions of ORS 279C.838 or 279C.840.”

b. Bid firm. This bid is irrevocable for 30 days after bid closing.

c. Bonds and insurance. If awarded, the Bidder will execute the contract and furnish the required performance bond and payment bond, each in the full contract price, and proof of insurance, within the time required.

d. Addenda. The Bidder acknowledges receipt of Addenda numbered ____ through ____ (see the Addenda Acknowledgment).

e. Independent bid. This bid is made without any connection with any person making another bid for the same work and is in all respects fair and without collusion or fraud.

f. Accompanying forms. This bid is accompanied by the required bid security, and the Bidder will submit the First-Tier Subcontractor Disclosure Form as required within two working hours after bid closing.

Signature: ____________________________________________________ Printed name: ______________________________________ Title: ____________________________________________ Date: ______________________________

2. Bid Security Form (Bid Bond) The Bidder must submit bid security with its bid in an amount equal to ten percent (10%) of the total bid, consisting of the base bid together with all additive alternates. The Bidder may provide bid security as a surety bond (this form), an irrevocable letter of credit issued by an insured institution as defined in ORS 706.008, a cashier’s check, or a certified check.

KNOW ALL PERSONS BY THESE PRESENTS,

that we, ______________________________ (Principal), and ____________________________ (Surety), a surety company authorized to do business in Oregon, are firmly bound to South County Health District (Obligee) in the penal sum of ten percent (10%) of the total amount of the Principal’s bid, for the payment of which we bind ourselves, our heirs, successors, and assigns.

THE CONDITION of this obligation is such that the Principal has submitted a bid to the Obligee for the Dental Clinic Remodel Project. If the Obligee accepts the Principal’s bid and the Principal executes the contract and furnishes the required performance bond, payment bond, and proof of insurance within the time required, then this obligation is void. Otherwise the Principal and Surety will pay the Obligee the difference, not to exceed the penal sum above, between the amount of the Principal’s bid and the amount for which the Obligee in good faith contracts with another party to perform the work, as liquidated damages and not as a penalty.

Signed and sealed this ____________ day of [month], [year].

Principal By: ____________________________ Title

Surety By: ____________________________ Attorney-in-Fact

3. First-Tier Subcontractor Disclosure Form Project: Dental Clinic Remodel Project, South County Health District.

Bid closing date and time: Tuesday, September 22, 2026, 3:00 p.m. Pacific Time.

This project exceeds $100,000. Under ORS 279C.370, the Bidder must submit this form either with its bid or within two working hours after the bid closing time. A bid for which this disclosure is not submitted by that deadline is nonresponsive and will not be considered for award.

List each first-tier subcontractor that will furnish labor, or labor and materials, on a subcontract with a value equal to or greater than: (a) 5% of the total contract price, but at least $15,000; or (b) $350,000, regardless of percentage. If no subcontractor meets these thresholds, write “NONE” below.

Bidder: ______________________________________________ Signature: ____________________________________________________ Printed name: ______________________________________

4. Resident Bidder Certification Under ORS 279A.120, each Bidder must identify whether it is a resident bidder or a nonresident bidder. A “resident bidder” is a bidder that has paid unemployment taxes or income taxes in Oregon during the twelve calendar months immediately preceding submission of the bid, has an Oregon business address, and states in its bid that it qualifies as a resident bidder.

The Bidder certifies that it is (check one):

[ ] A RESIDENT BIDDER as defined in ORS 279A.120.

[ ] A NONRESIDENT BIDDER.

If a nonresident bidder, state the Bidder’s principal place of business (state): ____________________ For a nonresident bidder, SCHD will add to the bid, for evaluation purposes only, a percentage equal to the preference the Bidder’s home state gives its own resident bidders, based on the list published by the Oregon Department of Administrative Services.

Bidder: ______________________________________________ Signature: ____________________________________________________ Printed name: ______________________________________

5. Addenda Acknowledgment The Bidder acknowledges receipt of the following addenda to the Invitation to Bid and has incorporated them into its bid. Failure to acknowledge a material addendum may render the bid nonresponsive.

If no addenda were issued, write “NONE”: ________________________ Bidder: ______________________________________________ Signature: ____________________________________________________ Printed name: ______________________________________