WIBRCT26SB Attachment B- Price Form.docx
DOCX document 22 KB Posted
- Attached to
- WIBRCT26SB - Project to Install Floor and Wall Coatings at the Salisbury Maintenance Shop's Brine Room
- Solicitation number
- BPM053873
- Issued by
- Wicomico County, Maryland
About this file
This is a Price Form for an Invitation for Bids issued by the State of Maryland for WIBRCT26SB, a project to install floor and wall coatings at the Salisbury Maintenance Shop's Brine Room. The form establishes the pricing structure for bidders to submit their cost proposals for the coating installation work. Bidders are required to provide line-item pricing for labor, materials, equipment, and other direct costs associated with completing the floor and wall coating project at the specified location. The form serves as the standardized template through which all potential contractors must present their financial proposals, ensuring consistency and comparability across all submitted bids for evaluation purposes.
The Price Form requires bidders to itemize all costs in designated sections, allowing the State of Maryland to conduct a transparent and equitable cost comparison among competing proposals. By utilizing this structured pricing format, the procurement process maintains uniformity in how costs are presented and facilitates the evaluation committee's ability to assess value and reasonableness of pricing across all responsive bids submitted for the Salisbury Maintenance Shop coating installation project.
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Other files
| File | Type | Posted |
|---|---|---|
| WIBRCT26AB - Category II Procurement Invitation For Bid Template.docx | DOCX document |
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Text version
PRICE FORM
CONTRACT BID FORM & SBR AFFIDAVIT– ATTACHMENT-B
(Category II Small Procurements)
This form is to be completed in its entirety, is not to be altered in any way and is to contain only the price or prices stipulated on the form.
SHA IFB No.: WIBRCT26SB
| Column A |
| Column B |
Item / Description
Total Bid Amount
WIBRCT26SB – Wall and Floor Coating Project at the Salisbury Shop Brine equipment room (Lump Sum)
NOTE:
MDOT SHA, is exempt from Maryland Sales and Use Taxes by Exemption Certificate Number 3000256-3 and from Federal Excise Taxes by Exemption Number 52-73-0358K. Do not include sales tax in bid prices.
For the Contractor:
Company Name & Address
City State Zip
Phone _____________________ Fax ______________________Email _____________________________________
Representing the above Company _______________________________
SIGNATURE
Print Name & Title
SOCIAL SECURITY NO. OR
FEDERAL TAX ID NO. _________________________ DATE: ___________________
Maryland Department of Transportation
SMALL BUSINESS CONTRACT AFFIDAVIT
********** PROVIDING FALSE INFORMATION **********
Anyone providing false information to the State of Maryland in connection with obtaining or attempting to obtain a contract under Small Business Reserve or Preference procurement may be subject to the following:
1. A determination by a Procurement Officer that a bidder/offeror is not responsible;
2. A determination that a contract entered into is void or voidable under § 11-204 of the State Finance and Procurement Article of the Annotated Code of Maryland;
3. Suspension and debarment under Title 16 of the State Finance and Procurement Article;
4. Criminal prosecution for procurement fraud (§ 11-205.1 of the State Finance and Procurement Article), perjury, or other crimes; and
5. Other actions permitted by law.
********** FAILURE TO MEET MINIMUM QUALIFICATIONS **********
Any Bidder or potential bidder failing to meet the qualifications of a "small business" specified in § 14-501(c) of the State Finance and Procurement Article will be ineligible to participate in a procurement designated for a Small Business Reserve under § 14-504 or Small Business Preference under § 14-206 - 207. Any person or company bidding on Small Business Reserve or Preference procurement and not qualifying as a small business under § 14-501(c) will have its bid or offer rejected on the ground that the bidder is not responsible.
I AFFIRM THAT:
| To the best of my knowledge, information, and belief, as of the date of submission of this Bid/Proposal, | ||
| (name of firm) meets the qualifications for certification as a Small Business in Maryland. I further affirm that, if for any reason during the term of the contract | (name of firm) no longer meets the qualifications of certification as a Small Business in Maryland, I will notify the Procurement Officer within 30 days. I agree that a failure to so notify the Procurement Officer of this change in circumstances may result in this contract being terminated for default. |
I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.
SMALL BUSINESS QUALIFICATION NUMBER ___________________
Date of Most Recent Qualification__________________________________
DATE:_____________
BY:_____________________________________________________________
Signature (Authorized Representative and Affidavit)
File details come from the government source that posted it. Updated .