VOL1.PDF

THIS PROJECT IS ADVERTISED ON AN UNRESTRICTED BASIS

VOLUME 1 OF 6

SOLICITATION NO: W9127820R0104

CADD NO: MEF20004

SPECIFICATIONS

FOR

FTEV153009 SOF AMU

AND

WEAPONS HANGAR FACILITY

HURLBURT FIELD, FLORIDA

(OKALOOSA COUNTY)

“GOOD ENGINEERING RESULTS IN A BETTER ENVIRONMENT”

U.S. ARMY ENGINEER DISTRICT, MOBILE

109 St. Joseph St

Mobile, Alabama 36602

FTEV153009 SOF AMU AND WEAPONS HANGAR FACILITY W9127820R0104

HURLBURT FIELD, FLORIDA MEF20004

CHECKLIST FOR PREPARATION OF OFFERS

Before sending your offer, review it for the following documents--without these, your offer could be rejected.

If you have questions, confusion, or doubts, contact the Project Office of the Corps of Engineers.

This checklist is designed for your convenience to assist you in completing your offer. Its completion does not guarantee that your offer will be acceptable. A complete and acceptable offer is solely the responsibility of the Contractor.

1. Your attention is directed to the following clause:

Section 00 45 00, FAR Clause 52.204-7, “System for Award Management”. LACK OF REGISTRATION IN THE SAM DATABASE WILL RENDER BIDDER INELIGIBLE FOR AWARD. Information on how to register and the time it takes is detailed in the clause.

2. Standard Form 1442 Titled “SOLICITATION, OFFER AND AWARD”

a. Is it signed in Block 20B? Yes (Y)___Not Applicable(NA) ___

b. Have you verified with the Project Office that you have received all Amendments? Have you acknowledged all Amendments using block 19? Y__ NA__

c. Is the complete, correct address of the company printed in Block 14? (ALSO INCLUDE YOUR TIN, DUNS, AND CAGE NUMBERS IN THIS BLOCK) Y__ NA__

d. Are the correct phone numbers, and fax numbers including country codes, included in Block 15? Y__ NA__

e. Is the mailing address of the company is different from the address in Block 14, is the mailing address written in Block 16? (ALSO INCLUDE YOUR EMAIL ADDRESS IN THIS BLOCK) Y__ NA__

f. If you are a Partnership or Joint Venture, have all partners or joint ventures signed in Block 20; or has authority properly been delegated pursuant to the Joint Venture Agreement? Y__ NA__

g. . If you are a Joint Venture have you submitted your Joint Venture Agreement? Y__ NA__ h.. Is the time you are allowing for acceptance of the offer, the same or longer than the time set out in block 13?.

Y__ NA__

3. Representations, Certifications, and Other Statements of the Offeror

Are all of the clauses in this section completed and signed in the appropriate places and returned attached to the offer? Y__ NA__

4. The Bidding Schedule

a. Is it completely filled out? Y__ NA__

b. It may not be altered either as to quantities or as to items offered. Y__ NA__

c. There can be no language of limitation either as to quantities or as to items offered. Y__ NA__

d. If you corrected your numbers, have you initialed these corrections? Y__ NA__

e. If the bidding schedule has been changed by Amendment, is the bidding schedule that you are submitting from the most recent amendment ? Y__ NA__

f. Do prices for each bid item include all costs, mark-ups and taxes (if any taxes are imposed)? Y__ NA__

g. Is the cost of obtaining your bid and performance guarantee included in the total bid price specified on the bid schedule? Y__ NA__

h. In preparing your bid, remember the Corps does not make advanced payments on its contracts Y__ NA__

5. Bid Guarantees

Did you attach a Bid Guarantee Y__ NA_ If you are using a Bid Guarantee, does the Guarantee comply with the requirements set out in Section 00 21 16?

Y__ NA__

Remember insurance policies are not acceptable Y_ If you are using a Letter of Credit, does it contain the exact language set out in section 00 70 00? Y__ NA Is the amount of the Bid Guarantee/Letter of Credit equal to the amount required in section 00 21 16? Y__ NA__?

Is the time period of the Bid Guarantee/Letter of Credit equal to or greater than the period set out in block 13 of the

1442? Y__ NA__

Is there a Power of Attorney or other document attached that establishes the authority of the surety to sign the Bid Guarantee or Letter of Credit? Y__ NA__

6. Technical Documents that Pertain to Evaluation Factors, Award will be based on the specific factors set out in Section 00 12 00, “EVALUATION CRITERIA AND BASIS OF AWARD”.

a. Have you responded to all the evaluation factors (if required by the solicitation)? Y__ NA__

b. Is a summary of the experience and special qualifications of your Administration staff included (if required by the solicitation)? Y__ NA__

c. Is a quality control plan included (if required by the solicitation)? Y__ NA__

d. Are time tables and schedules included (if required by the solicitation)? Y__ NA__

e. Is a current audit of your company’s financial status included or a certificate attached to a past audit stating the financial status has not changed since the time of the past audit (if required by the solicitation)? Y__ NA__

f. Is a list of the contracts you are currently working on attached (if required by the solicitation)? Y__ NA__

g. Have you included a list of the names and phone numbers of references for whom you have done past contracts (if required by the solicitation)? Y__ NA__

All your documents must be in English

Table of Contents Page 1

TABLE OF CONTENTS

VOLUME 1 OF 6

CHECKLIST FOR PREPARATION OF OFFERS

BIDDING REQUIREMENTS

STANDARD FORM 1442 - SOLICITATION, OFFER, AND AWARD

BIDDING SCHEDULE

EXPLANATION OF BID ITEMS

STANDARD FORM 24 - BID BOND

STANDARD FORM 28 - AFFIDAVIT OF INDIVIDUAL SURETY

STANDARD FORM LLL - DISCLOSURE OF LOBBYING ACTIVITIES

SMALL BUSINESS SUBCONTRACTING PLAN TEMPLATE

00 11 00 PROPOSAL SUBMISSION REQUIREMENTS AND INSTRUCTIONS

00 12 00 EVALUATION CRITERIA AND BASIS OF AWARD

00 21 16 INSTRUCTIONS TO PROPOSERS

00 45 00 REPRESENTATIONS AND CERTIFICATIONS

00 70 00 CONDITIONS OF THE CONTRACT

SPECIFICATIONS

DIVISION 01 - GENERAL REQUIREMENTS

01 00 00 ADDITIONAL SPECIAL CONTRACT REQUIREMENTS

PROJECT SIGNS

DD FORM 1354

DD FORM 1354 CHECKLIST

WAGE RATES (BUILDING)

WAGE RATES (HEAVY)

01 00 01 GENERAL CONTRACT REQUIREMENTS

CESAM FORM 1151

01 32 01.00 10 PROJECT SCHEDULE

01 33 00 SUBMITTAL PROCEDURES

SUBMITTAL REGISTER

FORM 4025

01 33 29 SUSTAINABILITY REPORTING

AIR FORCE SUSTAINABILITY REQUIREMENTS SCORESHEET

GUIDING PRINCIPLES ASSESSMENT

01 35 26 GOVERNMENTAL SAFETY REQUIREMENTS

01 42 00 SOURCES FOR REFERENCE PUBLICATIONS

01 45 00.00 10 QUALITY CONTROL

01 45 00.15 10 RESIDENT MANAGEMENT SYSTEM CONTRACTOR MODE (RMS CM)

SAM FORM 696

01 45 35 SPECIAL INSPECTIONS

STATEMENT OF SPECIAL INSPECTIONS

SCHEDULE OF SPECIAL INSPECTIONS

01 57 19 TEMPORARY ENVIRONMENTAL CONTROLS – HURLBURT STANDARD

01 74 19 CONSTRUCTION AND DEMOLITION WASTE MANAGEMENT

01 78 23 OPERATION AND MAINTENANCE DATA

01 91 00.15 TOTAL BUILDING COMMISSIONING

DIVISION 02 - EXISTING CONDITIONS

02 41 00 DEMOLITION

02 61 13 EXCAVATION AND HANDLING OF CONTAMINATED MATERIAL

Table of Contents Page 2

DIVISION 02 - EXISTING CONDITIONS (CONTINUED)

02 81 00 TRANSPORTATION AND DISPOSAL OF HAZARDOUS MATERIALS

02 82 00 ASBESTOS REMEDIATION

02 83 00 LEAD REMEDIATION

02 84 16 HANDLING OF LIGHTING BALLASTS AND LAMPS CONTAINING PCBs

AND MERCURY

DIVISION 03 - CONCRETE

03 11 13.00 10 STRUCTURAL CAST-IN-PLACE CONCRETE FORMING

03 15 00.00 10 CONCRETE ACCESSORIES

03 20 00.00 10 CONCRETE REINFORCING

03 30 00.00 10 CAST-IN-PLACE CONCRETE

03 35 00.00 10 CONCRETE FINISHING

03 39 00.00 10 CONCRETE CURING

03 42 13.00 10 PLANT-PRECAST CONCRETE PRODUCTS FOR BELOW GRADE CONSTRUCTION

DIVISION 04 – MASONRY

04 20 00 UNIT MASONRY

VOLUME 2 OF 6

DIVISION 05 - METALS

05 05 23.16 STRUCTURAL WELDING

05 12 00 STRUCTURAL STEEL

05 21 00 STEEL JOIST FRAMING

05 30 00 STEEL DECKS

05 40 00 COLD-FORMED METAL FRAMING

05 50 13 MISCELLANEOUS METAL FABRICATIONS

05 51 33 METAL LADDERS

05 52 00 METAL RAILINGS

DIVISION 06 - WOOD, PLASTICS, AND COMPOSITES

06 10 00 ROUGH CARPENTRY

06 41 16.00 10 PLASTIC-LAMINATE-CLAD ARCHITECTURAL CABINETS

06 61 16 SOLID SURFACING FABRICATIONS

DIVISION 07 - THERMAL AND MOISTURE PROTECTION

07 05 23 PRESSURE TESTING AN AIR BARRIER SYSTEM FOR AIR TIGHTNESS

07 11 13 BITUMINOUS DAMPPROOFING

07 21 13 BOARD AND BLOCK INSULATION

07 21 16 MINERAL FIBER BLANKET INSULATION

07 22 00 ROOF AND DECK INSULATION

07 27 10.00 10 BUILDING AIR BARRIER SYSTEM

07 27 19.01 SELF-ADHERING AIR BARRIERS

07 27 26 FLUID-APPLIED MEMBRANE AIR BARRIERS

07 27 36 SPRAY FOAM AIR BARRIERS

07 42 13 METAL WALL PANELS

07 42 63 FABRICATED WALL PANEL ASSEMBLIES

Table of Contents Page 3

DIVISION 07 - THERMAL AND MOISTURE PROTECTION (CONTINUED)

07 60 00 FLASHING AND SHEET METAL

07 61 14.00 20 STEEL STANDING SEAM ROOFING

07 84 00 FIRESTOPPING

07 92 00 JOINT SEALANTS

DIVISION 08 - OPENINGS

08 11 13 STEEL DOORS AND FRAMES

08 14 00 WOOD DOORS

08 31 00 ACCESS DOORS AND PANELS

08 33 13 COILING COUNTER DOORS

08 34 16.10 STEEL SLIDING HANGAR DOORS

08 34 19.10 20 ROLLING SERVICE DOORS

08 41 13 ALUMINUM-FRAMED ENTRANCES AND STOREFRONTS

08 51 13 ALUMINUM WINDOWS

08 51 23 STEEL WINDOWS

08 60 45 TRANSLUCENT PANELS

08 71 00 DOOR HARDWARE

08 81 00 GLAZING

08 91 00 METAL WALL LOUVERS

DIVISION 09 - FINISHES

09 06 00 SCHEDULES FOR FINISHES

09 22 00 SUPPORTS FOR PLASTER AND GYPSUM BOARD

09 29 00 GYPSUM BOARD

09 30 10 CERAMIC, QUARRY, AND GLASS TILING

09 51 00 ACOUSTICAL CEILINGS

09 65 00 RESILIENT FLOORING

09 67 23.15 FUEL RESISTIVE RESINOUS FLOORING, 3-COAT SYSTEM

09 67 23.16 FUEL RESISTIVE RESINOUS FLOORING, 5-COAT SYSTEM

09 68 00 CARPETING

09 90 00 PAINTS AND COATINGS

09 97 13.27 EXTERIOR COATING OF STEEL STRUCTURES

DIVISION 10 - SPECIALTIES

10 11 00 VISUAL DISPLAY UNITS

10 14 00.10 EXTERIOR SIGNAGE

10 14 00.20 INTERIOR SIGNAGE

10 21 13 TOILET COMPARTMENTS

10 22 13 WIRE MESH PARTITIONS

10 22 19 DEMOUNTABLE AND MOVABLE PARTITIONS

10 26 00 WALL AND DOOR PROTECTION

10 28 13 TOILET ACCESSORIES

10 51 13 METAL LOCKERS

DIVISION 11 - EQUIPMENT

11 01 50 FALL PROTECTION SYSTEMS

Table of Contents Page 4

VOLUME 3 OF 6

DIVISION 12 - FURNISHINGS

12 21 00 WINDOW BLINDS

12 48 13 ENTRANCE FLOOR MATS AND FRAMES

12 50 00.13 10 FURNITURE AND FURNITURE INSTALLATION

FFE ATTACHMENT

12 59 00 SYSTEMS FURNITURE

DIVISION 13 - SPECIAL CONSTRUCTION

13 48 00 BRACING FOR MISCELLANEOUS EQUIPMENT

DIVISION 21 - FIRE SUPPRESSION

21 13 13.00 10 WET PIPE SPRINKLER SYSTEM, FIRE PROTECTION

21 13 17.00 10 DRY PIPE SPRINKLER SYSTEM, FIRE PROTECTION

21 13 25.00 10 HIGH EXPANSION FOAM (HI EX HEF) FIRE PROTECTION SYSTEM

21 30 00 FIRE PUMPS

DIVISION 22 - PLUMBING

22 00 00 PLUMBING, GENERAL PURPOSE

DIVISION 23 - HEATING, VENTILATING, AND AIR CONDITIONING (HVAC)

23 00 00 AIR SUPPLY, DISTRIBUTION, VENTILATION, AND EXHAUST SYSTEMS

23 05 48.19 BRACING FOR HVAC

23 05 93 TESTING, ADJUSTING, AND BALANCING FOR HVAC

23 07 00 THERMAL INSULATION FOR MECHANICAL SYSTEMS

23 09 00 INSTRUMENTATION AND CONTROL FOR HVAC

23 09 13 INSTRUMENTATION AND CONTROL DEVICES FOR HVAC

23 09 23.02 BACNET DIRECT DIGITAL CONTROL FOR HVAC AND OTHER BUILDING

CONTROL SYSTEMS

23 11 25 FACILITY GAS PIPING

23 54 16.00 10 HEATING SYSTEM; GAS-FIRED HEATERS

23 64 10 WATER CHILLERS, VAPOR COMPRESSION TYPE

23 64 26 CHILLED WATER PIPING SYSTEMS

23 81 00 DECENTRALIZED UNITARY HVAC EQUIPMENT

23 82 46.00 40 ELECTRIC UNIT HEATERS

DIVISION 25 - INTEGRATED AUTOMATION

25 05 11.01 CYBERSECURITY FOR FACILITY-RELATED CONTROL SYSTEMS ENERGY

MANAGEMENT CONTROL SYSTEM (EMCS) BUILDING LEVEL ONLY

25 05 11.02 CYBERSECURITY FOR FACILITY-RELATED CONTROL SYSTEMS FIRE

ALARM REPORTING SYSTEM/MASS NOTIFICATION SYSTEM BUILDING

LEVEL ONLY

25 10 10 UTILITY MONITORING AND CONTROL SYSTEM (UMCS) FRONT END AND

INTEGRATION

Table of Contents Page 5

VOLUME 4 OF 6

DIVISION 26 - ELECTRICAL

26 00 00.00 20 BASIC ELECTRICAL MATERIALS AND METHODS

26 12 19.10 THREE-PHASE PAD-MOUNTED TRANSFORMERS

26 20 00 INTERIOR DISTRIBUTION SYSTEM

26 24 13 SWITCHBOARDS

26 28 01.00 10 COORDINATED POWER SYSTEM PROTECTION

26 29 23 VARIABLE FREQUENCY DRIVE SYSTEMS UNDER 600 VOLTS

26 35 43 400-HERTZ (HZ) SOLID STATE FREQUENCY CONVERTER

26 41 00 LIGHTNING PROTECTION SYSTEM

26 42 14.00 10 CATHODIC PROTECTION SYSTEM (SACRIFICIAL ANODE)

26 51 00 INTERIOR LIGHTING

26 56 00 EXTERIOR LIGHTING

DIVISION 27 - COMMUNICATIONS

27 10 00 BUILDING TELECOMMUNICATIONS CABLING SYSTEM

27 51 16 PUBLIC ADDRESS SYSTEMS

DIVISION 28 - ELECTRONIC SAFETY AND SECURITY

28 31 76 INTERIOR FIRE ALARM AND MASS NOTIFICATION SYSTEM

DIVISION 31 - EARTHWORK

31 00 00 EARTHWORK

31 11 00 CLEARING AND GRUBBING

31 31 16.13 CHEMICAL TERMITE CONTROL

DIVISION 32 - EXTERIOR IMPROVEMENTS

32 01 16.71 COLD MILLING ASPHALT PAVING

32 01 19 FIELD MOLDED SEALANTS FOR SEALING JOINTS IN RIGID

PAVEMENTS

32 11 23 GRADED CRUSHED AGGREGATE AND AGGREGATE BASE COURSES

32 12 13 BITUMINOUS TACK AND PRIME COATS

32 12 15.13 ASPHALT PAVING FOR AIRFIELDS

32 12 16 HOT-MIX ASPHALT (HMA) FOR ROADS

32 13 13.06 PORTLAND CEMENT CONCRETE PAVEMENT FOR ROADS AND SITE

FACILITIES

32 13 14.13 CONCRETE PAVING FOR AIRFIELDS AND OTHER HEAVY DUTY PAVEMENTS

32 13 73 COMPRESSION JOINT SEALS FOR CONCRETE PAVEMENTS

32 16 19 CONCRETE CURBS, GUTTERS AND SIDEWALKS

32 17 23 PAVEMENT MARKINGS

32 31 13.53 HIGH-SECURITY CHAIN LINK FENCES AND GATES

32 92 23 SODDING

DIVISION 33 - UTILITIES

33 11 00 WATER UTILITY DISTRIBUTION PIPING

33 30 00 SANITARY SEWERAGE

33 32 16 PACKAGED UTILITY WASTEWATER PUMPING STATIONS

33 34 00 FORCE MAINS AND INVERTED SIPHONS; SEWER

33 40 00 STORM DRAINAGE UTILITIES

33 51 15 NATURAL-GAS / LIQUID PETROLEUM GAS DISTRIBUTION

Table of Contents Page 6

DIVISION 33 – UTILITIES (CONTINUED)

33 71 02 UNDERGROUND ELECTRICAL DISTRIBUTION

33 82 00 TELECOMMUNICATIONS OUTSIDE PLANT (OSP)

DIVISION 34 – TRANSPORTATION

34 73 13 MOORING AND GROUNDING POINTS FOR AIRCRAFT

DIVISION 41 – MATERIAL PROCESSING AND HANDLING EQUIPMENT

41 22 13.14 BRIDGE CRANES, OVERHEAD ELECTRIC, TOP RUNNING

41 22 13.15 BRIDGE CRANES, OVERHEAD ELECTRIC, UNDER RUNNING

VOLUME 5 OF 6

APPENDICES

APPENDIX A DRAFT SWPPP

APPENDIX B HAZARDOUS MATERIALS REPORTS

APPENDIX C EGLIN BORROW PIT GEOTECHNICAL DATA

VOLUME 6 OF 6

APPENDICES (CONTINUED)

APPENDIX D HAZARDOUS WASTE MANAGEMENT PLAN

APPENDIX E CAPA ERP

APPENDIX F AS-BUILTS OF DEMO BUILDINGS (PROVIDED ELECTRONICALLY ONLY)

APPENDIX G GEOTECHNICAL BORING LOGS

APPENDIX H HURLBURT ACM REPORT

APPENIDX I HURLBURT FIELD LEAD XRF AND CHIP SAMPLE REPORT

--End of Project Table of Contents--

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration, or Repair)

1. SOLICITATION NO.

W9127820R0104

2. TYPE OF

SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

6 NOV 2020

PAGES OF PAGES

IMPORTANT - The "offer" section on the reverse must be fully completed by offeror.

4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.

6. PROJECT NO.

MEF20004

7. ISSUED BY CODE CT 8. ADDRESS OFFER TO

U.S. ARMY ENGINEER DISTRICT, MOBILE

CONTRACTING DIVISION (CESAM-CT)

109 SAINT JOSEPH STREET

MOBILE, AL 36628-0001

SAME AS BLOCK 7

9. FOR INFORMATION

CALL : Eli Couch Kyle Rodgers

A. NAME

Elisha.N.Couch@usace.army.mil Kyle.M.Rodgers@usace.army.mil

B. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)

(251) 690-3354

(251) 690-3356

SOLICITATION

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

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying no., date):

FTEV153009 SOF AMU AND WEAPONS HANGAR FACILITY, HURLBURT FIELD, FLORIDA

* See Section 01 00 00, Paragraph “COMMENCEMENT, PROSECUTION AND COMPLETION OF WORK”.

**Block 13A. : Refer to Section 00 11 00 for the number of copies to submit with the original offer.

11. The Contractor shall begin performance within _8___ calendar days and complete it within __*__ calendar days after receiving award, notice to proceed.

This performance period is mandatory, negotiable. (See _ __ .)

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

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

YES NO

12B. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and ___**___ copies to perform the work required are due at the place specified in Item 8 by _1400_ (hour) local time 21 DEC 2020 (date). If this is a sealed bid solicitation, offers must be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is, is not required.

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 __120__ calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

NSN 7540-01-155-3212 1442-101

STANDARD FORM 1442(REV. 4-85)

Prescribed by GSA FAR(48 CFR) 53.236-1(e)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NO. (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14)

CODE FACILITY CODE

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing within _________ calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation - give number and date of each)

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

20B. SIGNATURE 20C. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT

23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

10 U.S.C. 2304(c) ( ) 41 U.S.C. 253(c) ( )

26. ADMINISTERED BY CODE 27. PAYMENT WILL BE MADE BY

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (contractor is required to sign this document and return _______ copies to issuing office.) Contractor agrees to furnish and deliver all items or perform all work, requisitions identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award,

(b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award. No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED

TO SIGN (Type or print)

31A. NAME OF CONTRACTING OFFICER (Type or print)

30B. SIGNATURE

30C. DATE 31B. UNITED STATES OF AMERICA

BY

31C. AWARD

DATE

STANDARD FORM 1442 BACK (REV. 4-85)

Bid Schedule page - 1

BIDDING SCHEDULE

BIDDING SCHEDULE A (with Concrete GSE Pavement)

BIDDER'S NAME:______________________________________________________________

Item Estimated Unit Estimated No. Description Quantity Unit Price Amount___

Base Bid:

1. Construct SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar 1 Job XXX ___________

2. Construct All Site Work Improvements and Utilities for SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar (unless listed separately) 1 Job XXX ___________

3. Okaloosa Gas District (Privatized Natural Gas Utility) Meter and Installation Fee 1 Job XXX $ 12,000.00

Total Base Bid ____________

Bid Option No. 1

4. Aircraft Parking Apron 1 Job XXX ___________

Bid Option No. 2

5. 5 Coat Epoxy Coating Floor Finish in Hangar Bay 1 Job XXX ___________

Bid Option No. 3

6. Insulated Translucent Wall Panel on CTK Lean-to 1 Job XXX ___________

Bid Schedule page - 2

Item Estimated Unit Estimated No. Description Quantity Unit Price Amount___

Bid Option No. 4

7. POV Parking 1 Job XXX ___________

Bid Option No. 5

8. Patio Canopy 1 Job XXX ___________

Bid Option No. 6

9. Furniture, Fixtures, & Equipment (CID) Package for SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar 1 Job XXX ___________

Total Base Bid Plus Bid Options 1 - 6 ___________

OFFEROR ELECTS TO WAIVE THE PRICE EVALUATION PREFERENCE

FOR HUBZONE SMALL BUSINESS CONCERNS: ( )NO ( )YES

(SEE BID SCHEDULE NOTE NO. 6 and 7)

Bid Schedule page - 3

NOTES FOR BIDDING SCHEDULE A

NOTE NO. 1. To better facilitate the receipt and proposal process, all modifications to proposals are to be submitted on copies of the latest bid schedules as published in the solicitation or the latest amendment thereto.

In lieu of indicating additions/deductions to bid items, all bidders should state their revised prices for each item. The company name should be indicated on the face of the bidding schedule to preclude being misplaced.

NOTE NO. 2. Bidders must insert a price on all numbered items of the Bidding Schedule. Failure to do so will disqualify the bid.

NOTE NO. 3. If a modification to a bid is submitted and provides for a job adjustment to the total estimated cost, the application of the job adjustment to each unit price and/or job price, in the bid schedule must be stated or, if it is not stated, the bidder agrees that the job adjustment shall be applied on a pro rata basis to every bid item in the bid schedule.

NOTE NO. 4. CONDITIONS GOVERNING EVALUATION OF BIDS AND AWARD OF CONTRACTS.

There are two bid schedules for the construction of this project – Bidding Schedule A and Bidding Schedule B. Refer to Section 00 12 00 Paragraph 5.1 for Bidding Schedule preference. Bidders are to provide bids for each bidding schedule. The government will evaluate all bids and make an award in accordance with the source selection criteria established in this solicitation Section 00 12 00: EVALUATION CRITERIA AND BASIS OF AWARD.

A firm fixed priced contract award will be made on only one of the bid schedules. Award will be made on the Base Bid and selected Options, in accordance with the paragraph entitled Evaluation of Options (JUL 1990) in Section 00 21 16: INSTRUCTIONS TO PROPOSERS.

The Government may require the delivery of the numbered line items, identified in the schedule as option items, in the quantity and at the price stated in the schedule. Subject to the availability of funds, the Contracting Officer may exercise Bid Options No. 1–5 by written notice to the Contractor within 180 days of Notice to Proceed, and Bid Option No. 6 by written notice to the Contractor within 720 days of Notice to Proceed.

NOTE NO. 5. The programmed amount (PA) for this project is $72,923,000.00.

Please note that the PA includes costs for Government supervision and overhead and amounts set aside by the Government for contingencies.

NOTE NO. 6. IMPORTANT NOTICE: FAR Clause 52.219-4, relating to a 10% price evaluation preference for HUB ZONE small business concerns, is included in and made a part of this RFP.

NOTE NO. 7. This procurement is not restricted to Hubzone Small Business Concerns. However, offerors certifying as a Hubzone Small Business Concern must be certified by the SBA on or prior to date set for receipt of offers.

END OF BIDDING SCHEDULE A

Bid Schedule page - 4

BIDDING SCHEDULE B (with Asphalt GSE Pavement)

Item Estimated Unit Estimated No. Description Quantity Unit Price Amount___

Base Bid:

1. Construct SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar 1 Job XXX ___________

2. Construct All Site Work Improvements and Utilities for SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar (unless listed separately) 1 Job XXX ___________

3. Okaloosa Gas District (Privatized Natural Gas Utility) Meter and Installation Fee 1 Job XXX $ 12,000.00

Total Base Bid ____________

Bid Option No. 1

4. Aircraft Parking Apron 1 Job XXX ___________

Bid Option No. 2

5. 5 Coat Epoxy Coating Floor Finish in Hangar Bay 1 Job XXX ___________

Bid Option No. 3

6. Insulated Translucent Wall Panel on CTK Lean-to 1 Job XXX ___________

Bid Schedule page - 5

Item Estimated Unit Estimated No. Description Quantity Unit Price Amount___

Bid Option No. 4

7. POV Parking 1 Job XXX ___________

Bid Option No. 5

8. Patio Canopy 1 Job XXX ___________

Bid Option No. 6

9. Furniture, Fixtures, & Equipment (CID) Package for SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar 1 Job XXX ___________

Total Base Bid Plus Bid Options 1 - 6 ___________

OFFEROR ELECTS TO WAIVE THE PRICE EVALUATION PREFERENCE

FOR HUBZONE SMALL BUSINESS CONCERNS: ( )NO ( )YES

(SEE BID SCHEDULE NOTE NO. 6 and 7)

Bid Schedule page - 6

NOTES FOR BIDDING SCHEDULE B

NOTE NO. 1. To better facilitate the receipt and proposal process, all modifications to proposals are to be submitted on copies of the latest bid schedules as published in the solicitation or the latest amendment thereto.

In lieu of indicating additions/deductions to bid items, all bidders should state their revised prices for each item. The company name should be indicated on the face of the bidding schedule to preclude being misplaced.

NOTE NO. 2. Bidders must insert a price on all numbered items of the Bidding Schedule. Failure to do so will disqualify the bid.

NOTE NO. 3. If a modification to a bid is submitted and provides for a job adjustment to the total estimated cost, the application of the job adjustment to each unit price and/or job price, in the bid schedule must be stated or, if it is not stated, the bidder agrees that the job adjustment shall be applied on a pro rata basis to every bid item in the bid schedule.

NOTE NO. 4. CONDITIONS GOVERNING EVALUATION OF BIDS AND AWARD OF CONTRACTS.

There are two bid schedules for the construction of this project – Bidding Schedule A and Bidding Schedule B. Refer to Section 00 12 00 Paragraph 5.1 for Bidding Schedule preference. Bidders are to provide bids for each bidding schedule. The government will evaluate all bids and make an award in accordance with the source selection criteria established in this solicitation Section 00 12 00: EVALUATION CRITERIA AND BASIS OF AWARD.

A firm fixed priced contract award will be made on only one of the bid schedules. Award will be made on the Base Bid and selected Options, in accordance with the paragraph entitled Evaluation of Options (JUL 1990) in Section 00 21 16: INSTRUCTIONS TO PROPOSERS.

The Government may require the delivery of the numbered line items, identified in the schedule as option items, in the quantity and at the price stated in the schedule. Subject to the availability of funds, the Contracting Officer may exercise Bid Options No. 1–5 by written notice to the Contractor within 180 days of Notice to Proceed, and Bid Option No. 6 by written notice to the Contractor within 720 days of Notice to Proceed.

NOTE NO. 5. The programmed amount (PA) for this project is $72,923,000.00.

Please note that the PA includes costs for Government supervision and overhead and amounts set aside by the Government for contingencies.

NOTE NO. 6. IMPORTANT NOTICE: FAR Clause 52.219-4, relating to a 10% price evaluation preference for HUB ZONE small business concerns, is included in and made a part of this RFP.

NOTE NO. 7. This procurement is not restricted to Hubzone Small Business Concerns. However, offerors certifying as a Hubzone Small Business Concern must be certified by the SBA on or prior to date set for receipt of offers.

END OF BIDDING SCHEDULE B

END OF BIDDING SCHEDULE

Explanation of Bid Items page - 1

EXPLANATION OF BID ITEMS

BIDDDING SCHEDULE A

GENERAL:

This section comprises an explanation of the bid items identified in the Bidding Schedule. This section is a general scope of work for the bid items described in the Bidding Schedule and is not intended to be all encompassing in the description. All work specified herein shall be accomplished in accordance with the procedures prescribed in the technical provisions of the specifications and the plans/details as shown on the contract drawings. The contractor shall bid each type of work under the applicable bid item. Measurement for payment will not be made. Payment described for the various bid items will be full compensation for all labor, materials, and equipment required to complete the work.

Compensation for any item of work described in the contract but not listed in the bid schedule shall be included in the payment for the item of work to which it is made subsidiary.

BASE BID

1. Payment under Bid Item No. 1 " Construct SOF Aircraft Maintenance Unit (AMU)and Weapons Hangar" shall constitute full compensation for furnishing and installation of all materials, plant, tools, labor costs, and other associated incidentals necessary to complete the construction of the Facility, as required by the contract document drawings and specifications to a point 5 feet outside the overall building footprint.

2. Payment under Bid Item No. 2 "Construct All Site Work Improvements and Utilities for SOF Aircraft Maintenance Unit (AMU)and Weapons Hangar (unless listed separately)" shall constitute full compensation for furnishing and installation of all materials, plant, tools, labor costs, and other associated incidentals necessary to complete the construction of the work beyond the 5 foot building lines of the facility. Work includes, but not limited to, sitework as required by the contract document drawings and specifications, clearing, grubbing, and grading the site, hauling fill material, the installation of exterior utilities, pavements, sod, site improvements, equipment enclosure, and demolition of existing site improvements. Including GSE concrete pavements as noted in the drawings.

3. Payment under Bid Item No. 3 “Okaloosa Gas (Privatized Gas Utility) Meter and Connection Fee” shall constitute full compensation for a set $12,000 payment to Okaloosa Gas District for the Privatized Gas Utility Company (Okaloosa Gas District) to install ground site gas infrastructure and provide the meter for the SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar. Okaloosa Gas District will install all natural gas piping to the meter within five (5) feet of the building.

Contractor is responsible for natural gas meter and line installation from 5 feet out from the building. All erosion control measures and finish grading of the site impacted by utility installation will be completed by the Contractor.

BID OPTIONS

4. Payment under Bid Item No. 4 (Bid Option No. 1) – “Aircraft Parking Apron” shall constitute full compensation for the work associated with the procurement and installation of the aircraft parking apron including muck removal, grading, backfill, concrete pavement, base, asphalt shoulders, and striping, in accordance with requirements of the solicitation documents and criteria drawings.

Explanation of Bid Items page - 2

5. Payment under Bid Item No. 5 (Bid Option No. 2) – “5 Coat Epoxy Coating Floor Finish in Hangar Bay” shall constitute full compensation for the work associated with the procurement and installation of the approximately 1/4inch thick five-coat flooring system consisting of primer, epoxy mortar, grout coat, and two urethane topcoats, in accordance with requirements of the solicitation documents and criteria drawings.

6. Payment under Bid Item No. 6 (Bid Option No. 3) – “Insulated Translucent Wall Panel on CTK Lean-To” shall constitute full compensation for the work associated with the procurement and installation of white, 2 ¾ inch by 12 inch by 24 inch insulated translucent wall panels arranged in a Shoji grid pattern, in accordance with requirements of the solicitation documents and criteria drawings.

7. Payment under Bid Item No. 7 (Bid Option No. 4) – “POV Parking” shall constitute full compensation for the work associated with the procurement and installation of the additional POV Parking including finish grading, aggregate base course, asphalt pavement, curb & gutter, and striping, in accordance with requirements of solicitation documents and criteria drawings.

8. Payment under Bid Item No. 8 (Bid Option No. 5) – “Patio Canopy” shall constitute full compensation for the work associated with the procurement and installation of exterior sunshade structure on west of Auditorium (216) and Multi- Purpose(217) including (but not limited to) standing seam metal roof system over galvanized metal decking, painted steel structure, metal soffit panel, and lighting in accordance with requirements of the solicitation documents and criteria drawings.

9. Payment under Bid Item No. 9 (Bid Option No. 6) – “Furniture, Fixtures, & Equipment (CID) Package for SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar” shall constitute full compensation for the work associated with the procurement and installation of the Furniture, Fixtures, & Equipment (CID) Package for the facility, in accordance with requirements of the solicitation documents and criteria drawings.

BIDDING SCHEDULE B

GENERAL:

This section comprises an explanation of the bid items identified in the Bidding Schedule. This section is a general scope of work for the bid items described in the Bidding Schedule and is not intended to be all encompassing in the description. All work specified herein shall be accomplished in accordance with the procedures prescribed in the technical provisions of the specifications and the plans/details as shown on the contract drawings. The contractor shall bid each type of work under the applicable bid item. Measurement for payment will not be made. Payment described for the various bid items will be full compensation for all labor, materials, and equipment required to complete the work.

Compensation for any item of work described in the contract but not listed in the bid schedule shall be included in the payment for the item of work to which it is made subsidiary.

Explanation of Bid Items page - 3

BASE BID

1. Payment under Bid Item No. 1 " Construct SOF Aircraft Maintenance Unit (AMU)and Weapons Hangar" shall constitute full compensation for furnishing and installation of all materials, plant, tools, labor costs, and other associated incidentals necessary to complete the construction of the Facility, as required by the contract document drawings and specifications to a point 5 feet outside the overall building footprint.

2. Payment under Bid Item No. 2 "Construct All Site Work Improvements and Utilities for SOF Aircraft Maintenance Unit (AMU)and Weapons Hangar (unless listed separately)" shall constitute full compensation for furnishing and installation of all materials, plant, tools, labor costs, and other associated incidentals necessary to complete the construction of the work beyond the 5 foot building lines of the facility. Work includes, but not limited to, sitework as required by the contract document drawings and specifications, clearing, grubbing, and grading the site, hauling fill material, the installation of exterior utilities, pavements, sod, site improvements, equipment enclosure, and demolition of existing site improvements. Including GSE asphalt pavements as noted in the drawings.

3. Payment under Bid Item No. 3 “Okaloosa Gas (Privatized Gas Utility) Meter and Connection Fee” shall constitute full compensation for a set $12,000 payment to Okaloosa Gas District for the Privatized Gas Utility Company (Okaloosa Gas District) to install ground site gas infrastructure and provide the meter for the SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar. Okaloosa Gas District will install all natural gas piping to the meter within five (5) feet of the building.

Contractor is responsible for natural gas meter and line installation from 5 feet out from the building. All erosion control measures and finish grading of the site impacted by utility installation will be completed by the Contractor.

BID OPTIONS

4. Payment under Bid Item No. 4 (Bid Option No. 1) – “Aircraft Parking Apron” shall constitute full compensation for the work associated with the procurement and installation of the aircraft parking apron including muck removal, grading, backfill, concrete pavement, base, asphalt shoulders, and striping, in accordance with requirements of the solicitation documents and criteria drawings.

5. Payment under Bid Item No. 5 (Bid Option No. 2) – “5 Coat Epoxy Coating Floor Finish in Hangar Bay” shall constitute full compensation for the work associated with the procurement and installation of the approximately 1/4inch thick five-coat flooring system consisting of primer, epoxy mortar, grout coat, and two urethane topcoats, in accordance with requirements of the solicitation documents and criteria drawings.

6. Payment under Bid Item No. 6 (Bid Option No. 3) – “Insulated Translucent Wall Panel on CTK Lean-To” shall constitute full compensation for the work associated with the procurement and installation of white, 2 ¾ inch by 12 inch by 24 inch insulated translucent wall panels arranged in a Shoji grid pattern, in accordance with requirements of the solicitation documents and criteria drawings.

7. Payment under Bid Item No. 7 (Bid Option No. 4) – “POV Parking” shall constitute full compensation for the work associated with the procurement and installation of the additional POV Parking including finish grading, aggregate base course, asphalt pavement, curb & gutter, and striping, in accordance with requirements of solicitation documents and criteria drawings.

Explanation of Bid Items page - 4

8. Payment under Bid Item No. 8 (Bid Option No. 5) – “Patio Canopy” shall constitute full compensation for the work associated with the procurement and installation of exterior sunshade structure on west of Auditorium (216) and Multi- Purpose(217) including (but not limited to) standing seam metal roof system over galvanized metal decking, painted steel structure, metal soffit panel, and lighting in accordance with requirements of the solicitation documents and criteria drawings.

9. Payment under Bid Item No. 9 (Bid Option No. 6) – “Furniture, Fixtures, & Equipment (CID) Package for SOF Aircraft Maintenance Unit (AMU) and Weapons Hangar” shall constitute full compensation for the work associated with the procurement and installation of the Furniture, Fixtures, & Equipment (CID) Package for the facility, in accordance with requirements of the solicitation documents and criteria drawings.

END OF EXPLANATION OF BID ITEMS

BID BOND

(See instructions on reverse)

OMB Control Number: 9000-0045 Expiration Date: 8/31/2022

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT

OF BID

PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION(S) THOUSAND(S) HUNDRED(S) CENTS

BID IDENTIFICATION

BID DATE INVITATION NUMBER

PRINCIPAL

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1. 2.

2.

3.

3.

(Seal) (Seal) (Seal) Corporate Seal

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

NAME(S)

(Typed)

1.

1.

2.

2.

(Seal) (Seal)

CORPORATE SURETY(IES)

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 24 (REV. 8/2016)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

FOR (Construction, Supplies or Services)

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

DATE BOND EXECUTED (Must not be later than bid opening date)

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 9000-0045. We estimate that it will take 1 hour 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: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

JOINT VENTURE

OTHER (Specify)

PARTNERSHIPINDIVIDUAL

CORPORATION

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond.

The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

Corporate Seal

LIABILITY LIMIT ($)STATE OF INCORPORATION

2.

2.

1.

1.NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

STANDARD FORM 24 (REV. 8/2016) BACK

AFFIDAVIT OF INDIVIDUAL SURETY

(See instructions on reverse)

STATE OF

COUNTY OF

SS.

I, the undersigned, being duly sworn, depose and say that I am: (1) the surety to the attached bond(s); (2) a citizen of the United States; and of full age and legally competent. I also depose and say that, concerning any stocks or bonds included in the assets listed below, that there are no restrictions on the resale of these securities pursuant to the registration provisions of Section 5 of the Securities Act of 1933. I recognize that statements contained herein concern a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious or fraudulent statement may render the maker subject to prosecution under Title 18, United States Code Sections 1001 and 494. This affidavit is made to induce the United States of America to accept me as surety on the attached bond.

1. NAME (First, Middle, Last) (Type or Print) 2. HOME ADDRESS (Number, Street, City, State, ZIP Code)

3. TYPE AND DURATION OF OCCUPATION 4. NAME AND ADDRESS OF EMPLOYER (If Self-employed, so State)

5. NAME AND ADDRESS OF INDIVIDUAL SURETY BROKER USED

(Number, Street, City, State, ZIP Code)

6. TELEPHONE NUMBER

HOME -

BUSINESS -

7. THE FOLLOWING IS A TRUE REPRESENTATION OF THE ASSETS I HAVE PLEDGED TO THE UNITED STATES IN SUPPORT OF THE ATTACHED BOND:

(a) Real estate (Include a legal description, street address and other identifying description; the market value; attach supporting certified documents including recorded lien; evidence of title and the current tax assessment of the property. For market value approach, also provide a current appraisal.)

(b) Assets other than real estate (describe the assets, the details of the escrow account, and attach certified evidence thereof).

8. IDENTIFY ALL MORTGAGES, LIENS, JUDGEMENTS, OR ANY OTHER ENCUMBRANCES INVOLVING SUBJECT ASSETS INCLUDING REAL ESTATE TAXES DUE AND

PAYABLE.

9. IDENTIFY ALL BONDS, INCLUDING BID GUARANTEES, FOR WHICH THE SUBJECT ASSETS HAVE BEEN PLEDGED WITHIN 3 YEARS PRIOR TO THE DATE OF

EXECUTION OF THIS AFFIDAVIT.

DOCUMENTATION OF THE PLEDGED ASSET MUST BE ATTACHED.

10. SIGNATURE 11. BOND AND CONTRACT TO WHICH THIS AFFIDAVIT RELATES (Where Appropriate)

12. SUBSCRIBED AND SWORN TO BEFORE ME AS FOLLOWS:

a. DATE OATH ADMINISTERED

MONTH DAY YEAR

b. CITY AND STATE (Or other jurisdiction)

Official Sealc. NAME AND TITLE OF OFFICIAL ADMINISTERING OATH

(Type or print)

d. SIGNATURE e. MY COMMISSION

EXPIRES

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 28 (REV. 6/2003)

Prescribed by GSA-FAR (48 CFR) 53.228(e)

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 9000-0001.

We estimate that it will take 0.3 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: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

OMB Control Number: 9000-0001 Expiration Date: 2/28/2021

INSTRUCTIONS

1. Individual sureties on bonds executed in connection with Government contracts must complete and submit this form with the bond. (See 48 CFR 28.203, 53.228(e).) The surety must have the completed form notarized.

2. No corporation, partnership, or other unincorporated association or firm, as such, is acceptable as an individual surety. Likewise, members of a partnership are not acceptable as sureties on bonds that a partnership or an association, or any co-partner or member thereof, is the principal obligor. However, stockholders of corporate principals are acceptable provided (a) their qualifications are independent of their stockholdings or financial interest therein, and (b) that the fact is expressed in the affidavit of justification. An individual surety will not include any financial interest in assets connected with the principal on the bond that this affidavit supports.

3. United States citizenship is a requirement for individual sureties for contracts and bonds when the contract is awarded in the United States. However, when the Contracting Officer is located in an outlying area or a foreign country, the individual surety is only required to be a permanent resident of the area or country in which the contracting officer is located.

4. All signatures of the affidavit submitted must be originals. Affidavits bearing reproduced signatures are not acceptable. An authorized person must sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of a firm, partnership, or joint venture, or an officer of the corporation involved.

STANDARD FORM 28 (REV. 6/2003) BACK

DISCLOSURE OF LOBBYING ACTIVITIES

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352

(See reverse for public burden disclosure.)

1. Type of Federal Action:

a.

b.

c.

d.

e.

f.

contract grant cooperative agreement loan loan guarantee loan insurance

2. Status of Federal…