HomeMy WebLinkAboutBid Response Form 3State of Florida )
County of Dade ) SS.
City of Miami )
KNOWN ALL PERSONS BY THESE PRESENTS, that N / A
as Principal,
as Surety, are held and firmly bound unto the City of Miami, in the
penal sum of Dollars ($ ) lawful
money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs,
executors, administrators and successors, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the
accompanying bid, dated , 20 , for:
NOW THEREFORE:
(a) lithe principal shall not withdraw said bid within sixty (60) days after date of opening the same, and
shall within ten (10) days after the prescribed forms are presented to him for signature, enter into a
written contract with the City, in accordance with the bid as accepted, and give bond with good and
sufficient surety or sureties, as may be required, for the faithful performance and proper fulfillment of
such contract; or,
(b) In the event if the withdrawal of said bid within the period specified, or the failure to enter into such
contract and give such bond within the time specified, if the principal shall pay the City the difference
between the amount specified in said bid and the amount for which the City may procure the required
work and supplies, if the latter amount be in excess of the former, then the above obligation shall be
void and of no effect, otherwise to remain in full force and virtue.
City of Miami Page 44
Bid No. 04-05-104
Bid Response Form - Bid Bond Form (Page 2 of 3)
IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several
seals, this day of , A. D., 20 , the name and corporate seal of each party
being hereto affixed and these presents duly signed by its undersigned representative, pursuant. to authority of its
governing body.
WITNESS: (If Sole Ownership, PRINCIPAL:
Partnership, or Joint Venture,
two (2) Witnesses are required.
If Corporation, Secretary
only will attest and affix seal.) N / A
(Name of Firm)
Affix
Seal
(Signature of authorized officer)
(Title)
(Business Address)
City
State Zip
Surety:
(Corporate Surety)
Affix
Seal
Surety Secretary (Signature of Authorized Officer)
(Title)
(Business Address)
City
State Zip
(Name of Local Insurance Agency)
Address
Telephone Number
The rate of premium on this bond is per thousand.
Total amount of premium charges $
(The above must be filled in by
Corporate Surety)
City of Miami Page 45
Bid No. 04-05-104
Bid Response Form -- Bid Bond Form (Page 3 of 3)
CERTIFICATE AS TO CORPORATE PRINCIPAL
1, N / A certify that I am the Secretary of the Corporation named as
Principal in the within bond; that of said corporation; that I know his
signature, and the signature hereto is genuine; and that said bond was duly signed, sealed and attested for and in
behalf of said corporation by authority of its governing body.
STATE OF FLORIDA
COUNTY OF DADE
CITY OF MIAMI
SS
(Corporate Seal)
Before me, a Notary Public duly commissioned, qualified and personally appeared
to me well known, who being by me first duly
swom upon oath, says that he/she is the attorney -in -fact, for the
and that he/she has been authorized by to execute the foregoing bond on
behalf of the Contractor named therein in favor of the City of Miami, Florida.
Subscribed and sworn to before me this
INSTRUCTIONS: Bid Bonds
must be accompanied by
a Power of Attorney, in
compliance with
Instructions to Bidders
day of A. D., 20 .
Notary Public, State of Florida at Large
My Commission Expires:
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM SHALL DISQUALIFY THIS BID.
4.10. PERFORMANCE BOND REQUIREMENTS
City of Miami
Bid No. 04-05-104
Page 46