Taunton PS Food Serv Equip Maintenace and Repairs 2026 2027.pdf

John J. Cabral

Superintendent of Schools

Christopher Baratta

Assistant Superintendent for

Curriculum & Instruction

Brenda Moynihan

Assistant Superintendent for

Finance & Operation

TAUNTON PUBLIC SCHOOLS

215 Harris Street, Taunton, Massachusetts 02780

Tel (508) 821-1201 Fax (508) 821-1177

Stephanie Hoye

Director of Student Services

& Transportation

Amy Moynihan

Director of Special Education

Shannon Turner

Director of Human Resources

Academic excellence for every student, in every classroom, in every school

Taunton Public Schools Food Services Department is accepting sealed bid proposals on the request to purchase:

CAFETERIA BID:

FOOD SERVICE EQUIPMENT MAINTENANCE &

REPAIRS

for the Taunton Public Schools, 215 Harris Street, Taunton, Massachusetts 02780. These bids must be received at the Office of the Superintendent of Schools, accompanied by a certified check, cashier's check, money order or bid bond in the amount of one hundred ($100.00) dollars payable to the “City of Taunton”, on/or before Wednesday, May 20, 2026, until 11:00 a.m. The bids will be publicly opened and read by the Finance and Law Subcommittee of the School Committee of the City of

Taunton, Massachusetts at the May 20, 2026, scheduled meeting. The starting time to be announced in the official posting notice.

Enclosed is the bid specification package for your needs in preparing the bid proposal.

Please do not hesitate to contact me at (508) 821-1235, for further assistance.

Respectfully, Assistant Superintendent for Finance & Operations

Enclosure

Invitation to Bid

Taunton Public Schools

Office of Assistant Superintendent of Finance & Operations

215 Harris Street

Taunton, MA 02780

STANDARD INSTRUCTIONS TO BIDDERS

This section contains instructions regarding the preparation and submission of bids, proposals, or quotations. The District reserves the right to reject any or all bids and to waive any informalities or irregularities in any bid or the bidding.

1. BIDDER’S RESPONSIBILITIES Read and understand the Bid, and all attachments. Seek clarifications if necessary. Become familiar with, and abide by, applicable federal laws, state and local statutes, regulations, and ordinances. Visit delivery and service locations as required. Become familiar with and verify any environmental factors that may impact current or future pricing.

2. QUESTIONS & INQUIRIES All questions related to the Bid, shall be directed to Glen Motta, Director of Food Services (gmotta@tauntonschools.org). Inquiries shall be in writing and shall reference the appropriate section and paragraph number. Questions received less than five (5) calendar days prior to bid opening may not be considered. The District's response to questions is only binding if set forth in written addenda issued by the District. Oral interpretations have no legal effect.

3. PREPARATION OF BID Due Date and Time: Original, signed, sealed bids must be received at the specified location on or before the specified date and time. Late bids will be returned unopened.

Format: Bids shall be submitted on the forms provided in the Bid, which may be copied. Bids must be typewritten or in ink and signed in ink by the contractor’s authorized representative. Incomplete bids will be rejected unless the omissions do not materially affect the bid. Faxed bids will not be accepted. Prices: Bidders shall extend unit pricing as required. In the event of an error in the extension of prices, the unit price shall prevail. Bid prices shall include all associated costs and remain firm for ninety calendar days after bid opening date. Bid prices shall not include sales tax.

Identification: Bid(s) must be submitted in a sealed envelope, addressed as shown below:

Bidders Return Address: Ms. Brenda Moynihan, Assistant Superintendent of Finance

& Operations

Taunton Public Schools

Due Date: MAY 20, 2026 215 Harris Street

Time: 11 AM Taunton, MA 02780

Type of Bid: Equipment Maintenance & Repairs

All bid sheets must be complete. Bidder’s company name must appear on all pages containing bid information.

4. WITHDRAWAL OR MODIFICATION OF BID

Prior to submittal: Bid changes or modifications shall be initialed in ink by a contractor’s representative.

After submittal: At any time prior to the date and time set for opening, the bidder may, modify or withdraw the bid by giving written notice to the District prior to bid opening.

After bid opening: No bid shall be altered or amended. The Superintendent or designee may allow a bid to be withdrawn if the bidder demonstrates that they miscalculated bid prices. A low bidder, who claims error and fails to enter into a contract with the district, shall be prohibited from bidding on the same commodity or service if the requirement is subsequently rebid by the district.

Negligence in preparing a bid does not give a bidder the right to withdraw their bid after opening.

5. BID OPENING: Bids are read aloud at the time of the bid opening. The reading does not determine award of the contract. All bids submitted become the property of the District and are a matter of public record.

6. AWARD: The District reserves the right to reject any or all bids, to make an award to other than the low bidder, to reject a bid which is in any way incomplete or irregular, and to waive bidding informalities and irregularities. In making a decision to award a contract for the bid items, the

District may consider any and all factors and information which have a bearing on the decision to select a bidder and which may legally be considered by the District. Awards will be made within 30 days of bid opening.

7. CONTRACT FORMATION: Your bid response to the Bid, is an offer to contract with the

District. A bid response becomes a contract when officially accepted in writing by the District.

8. DISQUALIFICATION OF BIDDERS: The District may, at its discretion and in addition to any other right to reject bids that are available to the District under these bid documents or applicable law, determine that a bidder is not responsible and reject its bid for any of the following reasons:

● More than one bid is submitted by the same bidder under the same or different names.

● Evidence of collusion with any other bidder or bidders. Participants in such collusion shall be disqualified from submitting further bids.

● A bidder is not qualified to perform the contract.

● Any bidder who has demonstrated poor performance during a current or previous agreement with the Taunton Public Schools may be considered a non-responsible bidder and their bid may be rejected. The Taunton Public Schools reserves the right to exercise this option as is deemed proper and/or necessary

● If a bidder has previously defaulted in the performance of a written public contract, or has been convicted of a crime arising from a previous public contract.

● Any other inability, financial or otherwise, to perform the contract.

● For any other reasons deemed proper as determined from a pre-award survey of bidder’s capability to perform.

● Any bid submitted by a bidder who is not registered or licensed as may be required by the laws of the Commonwealth of Massachusetts.

9. CODE OF CONDUCT: Taunton Public Schools Code of Conduct: No employee, officer or agent of Taunton Public Schools shall participate in the selection or in the award or administration of a contract supported by program funds if a conflict of interest, real or apparent, would be involved.

Conflicts of interest arise when one of the following has a financial or other interest in the firm selected for the award:

a. The employee, officer or agent;

b. Any member of the immediate family;

c. His or her partner;

d. An organization which employs or is about to employ one of the above.

Taunton Public Schools employees, officers or agents shall neither solicit nor accept gratuities, favors, or anything of monetary value from contractors, potential contractors, or parties to sub-agreements.

10. DUTY TO EXAMINE: It is the responsibility of each bidder to examine the entire solicitation, seek clarification in writing, and check its offer for accuracy before submitting the offer. Lack of care in preparing an offer shall not be grounds for withdrawing the offer after the offer due date and time not shall it give rise to any contract claim.

11. EXCEPTIONS TO TERMS AND CONDITIONS: A bid that takes exception to a material requirement of any part of this solicitation, including a material term and condition, shall be rejected.

12. SPECIAL TERMS AND CONDITIONS

a. Packaging: Specifications: Unless otherwise specified, goods are to be packaged in cartons and cases. Labeling: Individual cases and packaging for “processed and prepared products” shall be labeled with an expiration date. Nutritional information is required on each carton/package for prepared salads.

b. Unit Price Bid: It is understood that all quantities specified in these bid documents are estimates only based on information currently available. The District does not guarantee the purchase of any minimum or maximum quantities of any bid item. It shall be the privilege of the District to alter quantities as it determines appropriate to fit its needs and ordering preferences. If the quantities are decreased, payment will be made on actual quantities at the bid unit price. The undersigned bidder shall make no claims for anticipated profits or additional compensation for any decrease in the quantities. It is expressly understood and agreed that the District may purchase any number of items from the bidder at the bid unit price. The District reserves the right to split awards by item in securing the best advantage for the District, providing quality of the product is maintained.

c. All Charges Included in Price Unless: The District specifies otherwise in writing, the bid shall include all costs of services to the District(s), if any, should that bid be accepted. All prices must be quoted F.O.B. and be delivered to the locations indicated. The bidder shall also assume all responsibility for making all necessary adjustments with freight companies or in replacing any equipment damaged in transit to the satisfaction of the District.

d. Contract Term: The term of this contract shall begin on July 1, 2026 and will end on June 30, 2027, subject to earlier termination and renewal as provided for elsewhere in this contract.

e. Renewal Option: At the option of the District, this contract may be renewed for two consecutive renewal periods of one (1) year each. Each one-year renewal period would begin July 1 and continue through July 30 of each fiscal year.

YEAR 2 RENEWAL OPTION: If the District decides to exercise this renewal option, the

Contractor will be notified in writing no later than May 15, 2027. Contract term will be July 1, 2027 through June 30, 2028.

YEAR 3 RENEWAL OPTION: If the District decides to exercise this renewal option, the

Contractor will be notified in writing no later than May 15, 2028 Contract term will be July 1, 2028 through June 30, 2029.

13. EVIDENCE OF INSURANCE

a. The successful bidder, at its expense, shall carry and maintain in full force at all times during the term of the contract resulting from this IFB the following insurance:

Coverage Limits of Liability

Workman’s Compensation Statutory

General Liability/Property Damage $500,000 each occurrence $1,000,000 aggregate

Personal Injury $500,000 each occurrence $1,000,000 aggregate

Automobile Liability/Property Damage $500,000 each occurrence

Bodily Injury $500,000 each occurrence $1,000,000 aggregate

b) Prior to commencement of performance of this Agreement, Contractor shall furnish to the Taunton Public Schools a certificate of liability insurance evidencing all required coverage in at least the limits required herein, naming the Taunton Public Schools its elected officials, agents, and employees as additional insured under the Comprehensive General Liability coverage, and providing that no policies may be cancelled without ten (10) days advance written notice to the Taunton Public Schools. Such certificate shall be issued to: Taunton Public Schools, Food Service Department.

c) Said policies shall remain in full force and effect until the expiration of the terms of the contract or until completion of all duties to be performed hereunder by the Contractor, whichever shall occur later.

ALL CONTRACTORS AWARDED A CONTRACT MUST PROVIDE THE TAUNTON

PUBLIC SCHOOLS WRITTEN CONFIRMATION OF ITS FULL COMPLIANCE WITH

M.G.L. CHAPTER 71, SECTION 38R, WHICH REQUIRES CORI CHECKS FOR ALL

SCHOOL EMPLOYEES AND VOLUNTEERS, AS WELL AS ANY AND ALL

CONTRACTORS OF ANY KIND, OR LABORERS WHO PERFORM WORK ON SCHOOL

GROUNDS, AND WHO MAY HAVE DIRECT AND UNMONITORED CONTACT WITH

CHILDREN.

14. SPECIFICATIONS: Each bid shall be in accordance with the bid specifications and contract documents contained herein.

Scope of Bid: Scope of Bid: It is the intent of the District to enter into a contract with the successful bidder, to maintain kitchen equipment as required for a minimum period of one (1) year, up to a maximum of three years.

Scope of Work: The undersigned proposes to furnish all labor, materials, tools equipment, transportation and supervision required to perform work. Regardless of awarded Pricing Agreement, Taunton Public Schools reserves the right to bid any item(s) separately whenever it may be in the best interest to do so.

All repairs that will cost more than half of the value of the equipment will need prior approval.

The following personnel are the authorized contacts for purpose of this contract:

● Glen Motta, Director of Food Services and Purchasing

● Andrew Beuttler, Assistant Food Service Director

● Stacey Torres/Lauren Carroll, Office Staff

The selected contractor must be able to perform the following tasks and must have at least five (5) years of experience in related Kitchen Equipment Repairs and Service:

Repair burners, ovens, warmers, microwaves, ovens, blenders, mixing equipment, refrigerators, freezers, kettles, rangers, walk‐in coolers, walk‐in freezers, convection ovens, gas/electric skillets, steamers, sink disposals, etc.

Must be able to test and trouble shoot all kitchen equipment and all brands.

Must have experience with electrical wiring.

The contractor must be able to order parts, including keys, and replace the same without causing food spoilage.

Must properly insulate all exposed pipes on which work was performed.

Must be able to free drain lines.

Must be able to re‐program equipment operated by digital controllers.

When required must be able to completely replace old and outdated equipment.

Must be LICENSED to perform required work. The Bidder must include with the bid response a copy of his/her Professional License.

All repairs and maintenance are to be performed according to the manufacturer’s recommendations.

Must clean coils, vents, fans, door hinges, handles, etc. while working on units.

Must be able to perform Preventive Maintenance (PM), if so required by the School District.

Will take measures to protect existing property from damage and will repair promptly any such damages.

● Contractor is responsible for meeting all codes and regulations for work performed within the school district.

● Develop a list of equipment and record all repairs/servicing during the contract year and submit to Taunton Food Service Office by June 30th of contract year.

The contractor is required to sign in and out when responding to service calls. A log will be available in the Principals Office for this purpose.

15. Termination for Breach: In the event that any of the provisions of this contract are violated by the successful Bidder or the Bidder fails to deliver goods as specified, the District may serve written notice upon the Vendor of their intention to terminate such contract. Such notice to contain the reason for such intention to terminate the contract, and unless within ten (10) days after the serving of such notice upon the Vendor such violation shall cease and satisfactory arrangement for correction be made, the contract shall upon expiration of said ten (10) days, cease and terminate. In the event of such termination, the District shall immediately serve the notice thereof upon the

Vendor and the District may declare the Vendor in default, and procure all materials involved in the contract from other sources and the Vendor shall be liable to the District for any excess cost occasioned the District thereby.

16. Termination for Convenience of City: The City may terminate this Agreement at any time by giving written notice to the Contractor of such termination and specifying the effective date of such termination. If the Agreement is terminated by the City as provided herein, the Contractor will be paid an amount which bears the same ratio to the total compensation as the services actually performed actually bear to the total services of the Contractor covered by this Agreement, less payments of compensation previously made.

17. Buy American: By submitting and signing the proposal/bid, the bidder acknowledges and certifies that his/her company complies with the Buy American provision that the food delivered is of domestic origin or the product is substantially produced in the United States. For these purposes, substantially means over 51% of the final processed food is from U.S. produced products.

Exceptions to the Buy American provision should be used as a last resort; however, an alternative or exception may be approved upon request. To be considered for the alternative or exception the request must be submitted in writing to a designated official, a minimum of 3 days in advance of delivery. If the bidder is unable to certify compliance with the Buy American Provision, the request must include the Alternative substitute (s) that are domestic and meet the required specifications:

Price of domestic alternate substitution and Availability of domestic alternative substitute in relation to the quantity ordered. The request must also include a Reason for exceptions: limited/lack of availability or price (include price of domestic and non- domestic product).

18. Equal Employment Opportunity: Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 60–

1.3 must include the equal opportunity clause provided under 41 CFR 60–1.4(b), in accordance with

Executive Order 11246, “Equal Employment Opportunity” (30 FR 12319, 12935, 3 CFR Part, 1964–1965 Comp., p. 339), as amended by Executive Order 11375, “Amending Executive Order

11246 Relating to Equal Employment Opportunity,” and implementing regulations at 41 CFR part

60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.

19. Contract Work Hours and Safety Standards Act: Where applicable, all contracts awarded by the non-Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by

Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence.

20. Debarment and Suspension (Executive Orders 12549 and 12689): A contract award (see 2

CFR 180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989

Comp., p. 235), “Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.

21. Byrd Anti-Lobbying Amendment: Contractors that apply or bid for an award exceeding

$100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any

Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award.

22. Bid Evaluation Criteria: The Taunton Public Schools shall use the following criteria in the awarding of bids:

https://www.govinfo.gov/link/uscode/40/3702 https://www.govinfo.gov/link/uscode/40/3704 https://www.ecfr.gov/current/title-29/part-5 https://www.govinfo.gov/link/uscode/40/3702 https://www.govinfo.gov/link/uscode/40/3704 https://www.ecfr.gov/current/title-2/section-180.220 https://www.ecfr.gov/current/title-2/section-180.220 https://www.ecfr.gov/current/title-2/part-180 https://www.govinfo.gov/link/uscode/31/1352

When purchases are made through competitive bidding, the contract shall be given to the lowest responsible bidder. Vendors, taking into consideration the quality of the articles proposed to be supplied, their conformity with specification, the purposes for which required, and the times of delivery; provided that whenever there is reason to believe that the lowest responsible bid is not the best possible price obtainable, all bids may be rejected and the School Committee may call for new bids. Each bid, with the name of the bidder, shall be entered on record, and each record, with the successful bidder and the bid indicated, shall after letting of the contract, be opened to public inspection. In determining "lowest responsible bidder" in addition to price, the following elements will be given consideration:

a. The ability, capacity, and skill of the bidder to perform the contract or provide the service.

b. The character, integrity, reputation, judgment, experience, and efficiency of the bidder.

c. Whether the bidder can perform the contract within the specified time.

d. The quality of performance of the bidder on previous contracts or services.

e. References: Bidder must submit a complete list of all similar contracts within the past two years with the contact names and phone numbers of those customers. The jurisdiction may reject a bid on the basis of one or more references reporting poor past performance by bidder, including that of the district.

f. Servicing resources, capability, and capacity including, the sourcing of fresh produce from growers, farmers and/or packers located in the New England Area.

g. Such other information as may be secured having a bearing on the decision to award contract.

BID DEPOSIT

Each bid must be accompanied by a bid deposit in the form of a bid bond, or certified check, or a treasurer’s or cashier’s check issued by a responsible bank or trust company. The check must be made payable to “Bidder (insert bidder’s name) OR the City of Taunton.” A bid bond shall be (a) in a form satisfactory to the City of Taunton (b) with a surety company qualified to do business in the

Commonwealth of Massachusetts and satisfactory to the City of Taunton; and (c) conditioned upon the faithful performance by the principal of the agreements contained in the bid. The bid deposit shall be in the amount of $100.00.

District Information

Taunton Public Schools Administration Offices 215 Harris Street Taunton, MA 02780

Taunton Public Schools Food Service Department 50 Williams Street Taunton, MA 02780

Contact Person for Orders: Glen Motta Director or Food Services & Purchasing

(508) 821-1178 gmotta@tauntonpublicschools.org

Contact for Billing: Lauren Carroll Administrative Secretary

(508) 844-5859 lcarroll@tauntonpublicschools.org

Total Enrollment: 8241

Ave. Number of Lunches: 5740/day

Ave. Number of Breakfasts: 3230/day

School Information

School Address Hours of Operation Taunton High School 50 Williams Street 5:30am-1:30pm Parker Middle School 60 Williams Street 6:00am-1:00pm Martin Middle School 131 Caswell Street 6:00am-1:00pm Friedman Middle School 500 Norton Avenue 5:45am-12:45pm Chamberlain Elementary 480 Norton Avenue 6:30am-1:30pm Bennett Elementary 47 N. Walker Street 7:00am-2:00pm East Taunton Elementary 58R Stevens Street 7:15am-2:15pm Elizabeth Pole Elementary 215 Harris Street 6:30am-1:30pm Galligan Elementary 15 Sheridan Street 6:30am-1:30pm Mulcahey Elementary 28 Clifford Street 7:15am-2:15pm mailto:gmotta@tauntonpublicschools.org mailto:lcarroll@tauntonpublicschools.org

WEEKLY PAYROLL RECORDS REPORT & STATEMENT OF COMPLIANCE:

In accordance with Massachusetts General Law c. 149, §27B, a true and accurate record must be kept of all persons employed on the public works project for which the enclosed rates have been provided, Every contractor or subcontractor is required to keep these records and preserve them for a period of three years from the date of completion of the contract. In addition, every contractor and subcontractor is required to submit, a copy of his or her payroll records with their invoice to the

TPS Food Service Office. Once collected, the awarding authority is also required to preserve those reports for three years.

A. The undersigned proposes to furnish all labor, materials, tools, equipment, transportation and supervision required to perform all work.

MAINTENANCE & REPAIR NPS – FOOD SERVICE COMMERCIAL

EQUIPMENT

B. This quote includes addenda number(s) ______, _____, _____, _____.

C. The contract price is:

(Vendors must quote on all line items, including the fees for Freon and Equipment Disposal)

Labor/Hour: $__________

Overtime Labor Charge: $__________

Number of Persons sent to Site: $__________

Material Mark Up %: $__________

Other Fees: $____ ______

Minimum Hourly Charge: $__________

List of schools THS, Friedman Martin, Parker, Bennett, ETE, Chamberlain, Pole, Mulcahey & Galligan

Signature: __________________________________

Title: ______________________________________

Company: ________________________________________________________

Address: _________________________________________________________ City, State, Zip: ____________________________________________________

Telephone: ____________________________ Fax: _____________________

Email: _____________________________________________

24/7 Contact Info: _________________________________________________

CORI CHECK VERIFICATION

TO ALL CONTRACTORS ALL CONTRACTORS AWARDED A CONTRACT MUST

PROVIDE THE TAUNTON PUBLIC SCHHOL A WRITTEN COMFIRMATION OF ITS

FULL COMPLIANCE WITH M.G.L. CHAPTER 71, SECTOR 38R, WHICH REQUIRES CORI

CHECKS FOR ALLSCHOOL EMPLOYEES AND VOLUNTEERS, AS WELL AS ANY AND

ALL CONTRACTORS OF ANY KIND, OR LABORERES WHO PERFORM WORK ON

SCHOOL GROUNDS, AND WHO MAY HAVE DIRECT AND UNMONITORED

CONTACT WITH CHILDREN.

PLEASE SIGN BELOW TO INDICATE THAT THE ABOVE MASSACHUSETTS

GENERAL LAW HAS BEEN ADDRESSED BY YOUR COMPANY.

COMPANY: _________________________________________________________________

NAME: _____________________________________________________________________

ADDRESS: __________________________________________________________________

SIGNATURE: ________________________________________________________________

DATE: ______________________________________________________________________

PRINT NAME: _______________________________________________________________

TITLE: ______________________________________________________________________

NOTE: Failure to submit any of the required documents, in this or in other sections, with your bid response package may cause the disqualification of your proposal.

CERTIFICATION FORM - TAXES

I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all state taxes required under law.

Signature of Individual or Corporate Name (Mandatory)

By: Corporate Officer (Mandatory, if applicable)

**Social Security No. (Voluntary) or Federal Identification Number

*Approval of a contract or other agreement will not be granted unless this certification clause is signed by the applicant.

**Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Providers who fail to correct their non-filing or delinquency will not have a contract or other agreement issued, renewed, or extended. This request is made under the authority of Mass. G.L.C. 62C s. 49A.

NON-COLLUSION AFFIDAVIT

The undersigned bidder or agent, being duly sworn on oath, says that they have not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding.

They further say that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee gift, commission or thing of value on account of such sale.

OATH AND AFFIRMATION

I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND

INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE

TRUE AND CORRECT.

Dated this ___ day of ____________________, ________

Name of Organization

Printed Name and Printed Title of Person Signing

Signature

ACKNOWLEDGEMENT

STATE OF: _______________________ COUNTY OF: _____________________

Before me, a Notary Public, personally appeared the above named and swore that the statements contained in the foregoing document are true and correct.

Subscribed and sworn to me this _______ day of _____________, _______.

Notary Public Signature

My Commission Expires: ________________________________________