Tier 1 Final Bid Package 12 03 12-1.pdf

Tier 1 Small Business Bid Form Page 1 of 8 11/5/12

SMALL BUSINESS

TIER 1

BID PACKAGE

Contract No. SB-6100027939

Bid Index

Responsiveness Checklist

General Information

Certification and Bid Signature

Note: Please read all pages of this Bid Package. The Responsiveness Checklist is provided for your convenience and should not be returned as part of the bid. All other pages shall be completed and properly signed and sealed by Bidder in the appropriate place before being returned on or before the bid due date and time established in the Notice to Bidders. If the Bidder wishes to have a copy of their Package, make the copy before submitting the bid. The Commonwealth will not provide Bidder with a copy.

Tier 1 Small Business Bid Form Page 2 of 8 11/5/12

Responsiveness Checklist

This checklist is only provided as a courtesy to assist bidders in submitting a responsive bid. Compliance with the checklist does not guarantee a responsive bid. The checklist should not be returned with the bid since it will not be used to review the bid package.

Yes No

Bidder has obtained a Vendor Number from DGS

Bidder has been properly self-certified as a Tier 1 Small Business

Bidder appears on DGS’ list of Qualified Tier 1 Small Businesses

Small Business Certification ID correctly filled in on Page 1

Small Business is properly certified for trade (Gen/HVAC/Plumb/Elect.) being bid

All Bulletins that were issued are acknowledged on Page 1

Bid Price – words match numbers; if not, words control

Insurance Certificate included with bid, showing acceptable insurance is in place

Non-Collusion Affidavit and Bid Signature Page is completely filled in

Non-Collusion Affidavit and Bid Signature Page is signed by authorized person

Non-Collusion Affidavit and Bid Signature Page is properly notarized

Tier 1 Small Business Bid Form Page 3 of 8 11/5/12

Tier 1 Small Business

Bid Package for the

General and Electrical Construction on

Department of Labor and Industry Project Number

SB-6100027939

Project Title: UCBR Reading State Office Building Renovation

Small Business Construction Bidder:

Name: ____________________________________________________________

Address: ____________________________________________________________

Email : __________________________ Phone ( ) ________________

Federal ID: __________________________ Vendor ID:______________________

DGS Small Business Certification: ________________________

BULLETINS ACKNOWLEDGED: Bidder acknowledges receipt of the following

Bulletins and agrees the bid price incorporates these bulletins.

Bulletin # _____ Issue Date: __________ Bulletin # _____ Issue Date: ________

Bulletin # _____ Issue Date: __________ Bulletin # _____ Issue Date: ________

Do Not Write In This Space Date: ____________________ Bid Opening Witness: _____________ Legal Review By: ________________

Tier 1 Small Business Bid Form Page 4 of 8 11/5/12

Certification and Bid Signature

In conformity with the Scope of Work set forth in the Notice to Bidders prepared for this Project and after review of the Work and all of the contract documents which are made a part hereof as if fully set forth, Bidder, by signing on the signature page (following the Non- Collusion Affidavit) and submitting its bid understands, represents, acknowledges and certifies that:

1. Bidder will sign the work order issued by the Funding Agency within three (3) days after receipt of the Notice of Award; and

2. Bidder agrees that they will not submit a Bid on a Tier 1 Small Business project while Bidder has an open Work Order(s) with any Agency until that open Work Order(s) has had a Final Inspection; and

3. Bidder will furnish and deliver all materials, water, tools, equipment, light, power, tests and transportation and secure all permits and licenses and to do and self-perform 100% of the scope of work (with employees on its payroll) for all labor, supervision and all means of construction, pay all fees and do all incidental work and execute, construct and finish in an expeditious, substantial and workmanlike manner in accordance with the contract documents to the satisfaction of the Funding Agency for the bid price; and

4. Bidder agrees to complete the Work set forth in the Work Order documents within the Work Order duration set forth on Page 1 of the Bid Package; and

5. Bidder agrees that time is of the essence. If the Work is not completed within the Work Order duration or any extension of that time, the Small Business Contractor agrees that they may be entered into the Contractor Responsibility Program and DGS’ Performance Evaluation database and may be considered in determining responsibility for future Work Orders; and

6. Bidder agrees that Funding Agency reserves the right to reject this and any or all Bids, or any part thereof or to waive technicalities required for the best interests of the Commonwealth; and

7. Bidder understands and acknowledges that all information provided by, and representations made by, the Bidder in the bid are material and will be relied upon by the Funding Agency in issuing the Work Order. Any misstatement shall be treated as fraudulent concealment of the true facts relating to the submission of this bid. A misrepresentation shall be punishable under the Crimes Code (18 Pa. C.S. 4904); and

8. The price(s) and amount of this bid have been arrived at independently and without consultation, communication or agreement with any other Bidder or potential Bidder; and

9. Neither the price(s) nor the amount of the bid, and neither the approximate price(s) nor the approximate amount of this bid, have been disclosed to any other firm or person who is a Bidder or potential Bidder, and they will not be disclosed on or before bid date and that no attempt has been made or will be made to induce any firm or person to refrain

Tier 1 Small Business Bid Form Page 5 of 8 11/5/12 from submitting a bid on this contract, or to submit a bid higher than this bid, or to submit any intentionally high or noncompetitive bid or other form of complementary bid; and.

10. The bid is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary or other noncompetitive bid; and

11. To the best knowledge of the person signing the bid, the Bidder, its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency and have not in the last three (3) years been convicted or found liable for any act prohibited by State or Federal law in any jurisdiction, involving conspiracy or collusion with respect to bidding or proposing on any public contract, except as disclosed by the Bidder in its bid; and.

12. To the best of the knowledge of the person signing the bid for the Bidder and except as otherwise disclosed by the Bidder in its bid, the Bidder has no outstanding, delinquent obligations to the Commonwealth including, but not limited to, any state tax liability not being contested on appeal or other obligation of the Bidder that is owed to the Commonwealth; and.

13. The Bidder is not currently under suspension or debarment by the Commonwealth, or any other state, or the federal government; and

14. The Bidder has not, under separate contract with the Funding Agency, made any recommendations to the Issuing Office concerning the need for the services described in the bid or the specifications for the services described in the bid; and

15. Bidder, by submitting its bid, authorizes all Commonwealth agencies to release to the Commonwealth information related to liabilities to the Commonwealth including, but not limited to, taxes, unemployment compensation, and workers’ compensation liabilities;

and

16. Until the awarded Bidder receives a Work Order from the Funding Agency there is no legal and valid obligation, in law or in equity, and the Bidder should not begin to perform Work; and

17. Bidder agrees that they have familiarized themselves with the following Commonwealth of Pennsylvania contract provisions and will comply with them in submitting the bid and in performing the Work Order:

o Nondiscrimination/Sexual Harassment Clause o Tax Liability Certification o Americans Disabilities Act o Contractor Integrity Provisions o Contractor Responsibility Provisions o Environmental Statement o Compliance with State and Federal Statutes, Rules and Regulations o Non-Collusion Affidavit

Tier 1 Small Business Bid Form Page 6 of 8 11/5/12

BID

_________________________________________ Dollars and________ Cents (Written words)

(Numbers)

Below attach a breakdown of Costs for this project by Section as noted in the

Building Specifications.

Tier 1 Small Business Bid Form Page 7 of 8 11/5/12

NON-COLLUSION AFFIDAVIT

State of ________________________:

County of ______________________: s.s.

I state that I am the ______________________________________________________ (Title) of

____________________________________________________________ (Name of Bidder) and that I am authorized to make this affidavit on behalf of my firm, and its owners, directors, and officers. I am the person responsible in my firm for the prices(s) and the amount of this bid.

I state that:

1. The price(s) and amount of this bid have been arrived at independently and without consultation, communication or agreement with any other contractor, Bidder or potential Bidder.

2. Neither the price(s) nor the amount of this bid, and neither the approximate price(s) nor approximate amount of this bid, have been disclosed to any other firm or person who is a Bidder or potential Bidder, and they will not be disclosed before the bid submission date.

3. No attempt has been made or will be made to induce any firm or person to refrain from proposing on this contract, or to submit a bid higher than this bid, or to submit any intentionally high or noncompetitive bid or other form of complementary bid.

4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary or other noncompetitive bid.

5. My firm, its affiliates, subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency and have not in the last three years been convicted or found liable for any act prohibited by state or federal law in any jurisdiction, involving conspiracy or collusion with respect to proposing and/or bidding on any public contract, except as follows:

[SIGNATURE PAGE FOR THIS BID IMMEDIATELY FOLLOWS]

Tier 1 Small Business Bid Form Page 8 of 8 11/5/12

I state that _____________________________________________________________________

(Name of Bidder) submits this Bid and understands and acknowledges that the above representations are material and important, and will be relied upon by the Funding Agency in awarding the contract(s) for which this bid is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from the

Commonwealth of Pennsylvania of the true facts relating to the submission of this bid.

BIDDER IS AN INDIVIDUAL:

Witness: By:

Individual Date

BIDDER IS A PARTNERSHIP:

Witness: By:

Contractor – General Partner Date

BIDDER IS A LIMITED LIABILITY COMPANY:

Attest: By:

Secretary President Date

OR

BIDDER IS A CORPORATION:

Attest: By:

Secretary President Date

SWORN TO AND SUBSCRIBED BEFORE ME THIS ____ DAY OF _____________, 20____.

___________________________________ My Commission Expires_______________ Notary Public