Loading...
HomeMy WebLinkAboutbid form00400. BID Fes; (Page lof 5) Submitted; City of Miami, Florida Office of the City Clerk City Hall, 1't Floor 3500 Pan .American Drive Miami, Florida 33133-5504 or - Date The undersigned, as Bidder, hereby declares that the only persons interested in this bild as principal are named herein, and that no person other than herein mentioned has ally interest In this bid or in the Contract to be entered into; that this bid is made without connection with any other person, firm, or parties making a bid; and that it is, in all respects, made fairly and in good faith without collusion or fraud. The Bidder further declares that it has examined the site of the Work and informed its4 If fully of all conditions pertaining to the place where the Work is to be` done; that it hays examined the Contract Documents and ail addenda thereto furnished before the opening of the bids, as acknowledged below; and that it has satisfied itself about the Work to be performed; and that itrhas submitted the required Bid Guaranty; and all other required information with the bid; and that this bid is submitted voluntarily and willingly.:, The Bidder agrees, if this bid is accepted, to contract with the City, a political subdivision of the State of Florida, pursuant to the terms and conditions of the Contract Documenim and to furnish all necessary materials, equipment, machinery, tools, apparatus, means of transportation; and all labor necessary to construct` and complete within the tine limits specified the Work covered by the Contract Documents for the Project entitled Bid No; -04-05-011 Title: ALLAPATTAH STREET IMPROVEMENTS, B-40702 The Bidder also agrees to furnish_the required Performance Bond and Payment Bond or alternative form of security, if permitted by the City, each for not less than the total bid price plus alternates, if any, and to furnish the required Certificate(s) of Insurance. The undersigned further agrees that the bid guaranty accompanying the bid shall be forfeited if Bidder fails to execute said Contract, or fails to furnish the require Performance Bond and Payment=Bond or fails to furnish the required Certificate(s) cf Insurance within fifteen (15) calendar days after being notified of the award of the Contract: In the event of arithmetical errors; the Bidder agrees that these errors are errors which may be corrected by the City. In the event of a discrepancy between the price bid i figures and the price bid in words, the price in words shall govern. Bidder agrees that any unit price listed in the bid is to be multiplied by the stated quantity requirements in order to arrive . at the total. City of Miami 22 Bid No. 04-05-011 00400. BID BID FDRM: (Page 2 of 5) Our LUMP SUM BID AND ALTERNATE includes the total cost for the work specified !n this bid, consisting of furnishing all materials, labor, equipment, supervisiol, mobilization, overhead & profit required for the ALLAPATTAH STRET )MPRQVEMENTS. B-40702 in accordance with the Bid Specifications. Base BIdll arnp Sum: , Written. Amount NOTE: Determination of award of this Contract will be based on the lowe$ t responsive . and . responsible bidder's LUMP SUM BID PLUS THE ` ADI ALTERNATE (GRAND TOTAL). Odd A1t4rna#e: Lump Sum: GRAND TOTAL (Base Bid -plus: Add Alternate) Written Amount )I.1 be•(DO Written Amount FIRM'S NAME (Print or Type): kev P ss SIGNATURE: .Q.1. TITLEIPRINTED NAME: ca Tra. s re) ADDRESS: $ a 1:c TELEPHONE NUMBER:3bS-gzcr lr k4 City of Miami 23 t 2.7 % FAX: 30s'( fg -ram? Bid No. 04-05-011 00400. B1 D, FORM: (Page 3 of 5) Directions Complete Part I or Part 11, whichever applies, Part I: Listed below are the dates of issue for each Addendum received in connectlain with this Bid: Addendum No. 1, Dated 12 l 1-3 ) o y Addendum No. 2, Dated i o 5 Addendum No. 3, Dated Addendum No.:4, Dated Part 11:. No addendurn was received in connection with this Bid. Attached is a Bid Bond [v], Cash4 ], Money Order [ ], Unconditional/irrevocable Letter' of Credit [ ], Treasurer's Check.[ ], Bank Draft [ ], Cashier's Check [ ], Bid Bord Voucher [ ], or. Certified Check [ ] No. Bank if for the sum rcaen . a'" 1-0441 Dollars ($ _ 5 7 a ); The Bidder shall acknowledge this bid by signing arid -completing the -spaces prQvld below. Name of Bidder: rA.4.kro City/State/Zip: 5661 _ , 1'F I 534 c, Telephone No.: 3 D S- k $ Social Security No. or Federal Dun and ( Bradstreet No.: (if applicable) If a partnership, names and addresses of partners: City of Ml.ml 24 Bld No. 0405-011 if f 0d400. BID FORM: (Page 4 of 5) CERTIFICATE OF AUTHORITY (IF CORPORATION) HEREBY CERTIFY that at a meeting of the Board of Directors ;of- r^e'rc 7(�pas rr� a corpora en organized and 'existing under the IT s of the State of 'i=tor:��. , held on thetX. day of �3���w�t, resolution was d ly passed and adopted authorizing (Name)', t o A, 'Cra. (Title) P• s t •���t; of the corporation to execute bids on behalf of the corporation and providing that his/her execution thereof, attested by the secretary of the corporation, shall be the official' act and deed of the corporation. I further certify that said resolution remains In full force and effect, - IN WITNESS VVHEREOF I have hereunto set my hand this day of••I ,20! Secretary. Print: 4:4•Ve d " .two S CERTIFICATE OF AUTHORITY (IF PARTNERSHIP) HEREBY CERTIFY that at a meeting of the Board of Directors of , a partnership organized and existing under the laves of the State of , held on the _day of , _ a resolution was duly pass and adopted authorizing (Name) as (Title) of the execute bids on behalf of the partnership and provides that his/her execution thereof, attested bye partner, shall be the official act and deed of the partnership. I further certify that said partnership agreement remains in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this , day of Partner: Print: CERTIFICATE OF AUTHORITY (IF JOINT VENTURE) Joint venturers must submit a joint venture agreement indicating that the person signing this bid is authorized to sign bid documents on' behalf of the joint .venture, if there is no joint venture agreement each member of the Joint venture must sign the bid and submit the appropriate Certificate of Authorliiy (corporate, partnership, or individual). r CERTIFICATE OF AUTHORITY (IF INDIVIDUAL) HEREBY CERTIFY that, I (Name) • • , individually and doing business as (d/b/a) - (If Applicable) have executed and -am bound by the terms of the bid to which this attestation Is attached. IN WITNESS WHEREOF, I have hereunto set my hand this , day of 20 Signed: Print: City of Miami 25 Bid No. 04.05.011 0d400, Bhp FORM: (Page 5 of 5) NOTARIZATION STATE OF _ ? (o )SS: COUNTY OF 'Dere- • ). : -1 7 • The foregoing instrument was Acknowledged before me this day of 20 , by 1 eu .c. (\t ` r--s t ? who is personally knnw�„ to rn r wh his produced as identification and who (did / did not) take an oath. Wei hitt SI N T' f,,y:- STATE 0 = l n, PRINTED, STAMPED OR TYPED NAME. OF NOTARY PUBLIC City of Miami 26 Bid No. 0446.011