WITRCF27SB Attachment B- Price Form.docx
DOCX document 23 KB Posted
- Attached to
- WITRCF27SB - Tractor Mowing In Wicomico County
- Solicitation number
- BPM059170
- Issued by
- Wicomico County, Maryland
About this file
This is a price form and small business affidavit for Invitation for Bid (IFB) No. WITRCF27SB issued by the Maryland Department of Transportation State Highway Administration (MDOT SHA) for flail tractor mowing services in Wicomico County. The contract encompasses six separate mowing cycles across different highway segments: US Route 50 Ocean Gateway (Nanticoke River Bridge to Wicomico Bridge on bypass), US Route 50 Business & Bypass split to American Legion Road, US Route 50 Business to the end of US Route 50 Flyover Bypass Bridge, US Route 50 Business at Salisbury Parkway (east main to bypass), US Route 50 Ocean Gateway East (bypass to Worcester Line), and US Route 13 Bypass (Salisbury Boulevard to Somerset County Line). Each line item specifies one cycle of mowing services. Bids are due on October 21, 2026, at 2:00 p.m. local time.
The price form requires vendors to submit unit pricing per cycle and calculate total costs for each line item, with the sum of all costs constituting the total bid amount. MDOT SHA is exempt from Maryland Sales and Use Taxes and Federal Excise Taxes, and bidders must not include sales tax in their pricing. This procurement is designated as a Small Business Reserve or Preference opportunity, requiring bidders to affirm their qualification as a small business under Maryland State Finance and Procurement Article § 14-501(c). Bidders must provide their small business qualification number and the date of most recent qualification, and must notify the procurement officer within 30 days if their small business status changes during contract performance to avoid contract termination for default. Failure to provide truthful information regarding small business status may result in bid rejection, contract voidability, suspension and debarment, or criminal prosecution.
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Other files
| File | Type | Posted |
|---|---|---|
| WITRCF27SB- IFB Template.docx | DOCX document | |
| Attachment 1 - No Bid_Vendor Feedback Form.pdf |
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Text version
PRICE FORM
CONTRACT BID FORM & SBR AFFIDAVIT– ATTACHMENT-B
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.: WITRCF27SB
| Column A |
| Column B |
| Column C |
| Column D |
| ITEM |
| QUANTITY |
| Vendor bid / Per unit |
| Column B &C |
Total Cost $
| Line 1- US50 Ocean Gateway – Nanticoke River Bridge to Wicomico Bridge on bypass |
| 1 cycle |
| $ _____________ |
| $ ____________ |
| Line 2- US50BU & Bypass Split to American Legion Rd |
| 1 cycle |
| $ _____________ |
| $ ____________ |
| Line 3- US50BU to End of US50 Flyover Bypass Bridge |
| 1 cycle |
| $ _____________ |
| $ ____________ |
| Line 4- US50BU Salisbury PKWY (east main to bypass) |
| 1 cycle |
| $ _____________ |
| $ ____________ |
| Line 5- US50 Ocean Gateway East (bypass to Worcester Line) |
| 1 cycle |
| $ _____________ |
| $ ____________ |
| Line 6- US13 Bypass (Salisbury Blvd to Somerset County Line) |
| 1 cycle |
| $ _____________ |
| $ ____________ |
| TOTAL BID AMOUNT (Sum Column D)--------> |
| $ ____________ |
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.
Bid Due Date and Time : 10/21/2026 2:00 pm Local Time
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)
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