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HomeMy WebLinkAboutProposal Form City of Jeffersonville Ken Ellis Senior Center JEFF.022 April 2006 ~\ SECTION 00300 - PROPOSAL FORM NAME OF BIDDER: E H CONSTRUCTION, LLC CONSTRUCTION PACKAGE: All Work City of Jeffersonville Ken Ellis Senior Center 1425 Pennsylvania Avenue Jeffersonville, Indiana To: The Honorable Rob Waiz Mayor, City of Jeffersonville 501 East Court Avenue Jeffersonville, IN 47130 Gentlemen: The UNDERSIGNED, having carefully examined the site of the work and the documents for this project as prepared by The Estopinal Group LLC o(Jeffersonville, Indiana, hereby proposes to furnish all labor and material, supplies and services required for the project in.accordance therewith, within the time set forth therein and the price stated below. The Bidder hereby ackr:lOwledges receipt of the following addenda: Addendum No. 1 dated 5/03/C}..~dendum No. _dated r"! Addendum No. 2. dated 5/11/%dendum No. _dated Addendum No. dated Addendum No. .:--dated Insert in the above spaces the number and date of Addenda issued and received. If none has been issued and received, insert the word "NONE". Sn): The UNDERSIGNED,.:agrees to complete the work of the Contract as set forth in the Documents for the construction and renovation for the City of Jeffersonville, Ken Ellis Senior Center. FOR THE S}JM OF;" _ N~~~~OI'lO T~,N~~J-~~ (USE WORDS) . . . ~ . and U'lo CENTS ($ q 0 I, q1 ~.() 0 )" (USE FIGURES) *In the event of a conflict between the amount in writing and in the figures, the amount in writing shall prevail. Dollars A.LTERNATES 1. 2. 3. 4. NONE ADD/DEDUCT $ ADD/DEDUCT $ ADD/DEDUCT $ ADD/DEDUCT $ UNIT PRICES 1. Unit Price NO.1: NONE $ PROPOSAL FORM 00300-1 " (\ r\ r\ City of Jeffersonville Ken Ellis Senior Center TIME FOR COMPLETION The Undersigned agrees, if awarded the Contract, to complete the project on or before Contractor to insert date of completion. VOLUNTARY ALTERNATES 180 days JEFF.022 April 2006 In an effort to provide competitive pricing, the Bidders are encouraged to provide voluntary alternates for material and systems incorporated into the project. If voluntary alternates are selected by the Owner they will be incorporated into the Agreement. MATERIAL SUPPLIERS AND SUBCONTRACTORS Lists of work performed by Bidder's own forces, material suppliers and subcontractors proposed for use on this project are enclosed with this proposal. The lists may not be changed or modified without written authorization from the Owner. . " . TIME LIMIT FOR EXECUTION OF CONTRACT DOCUMENTS It is further agreed, that in the event this Proposal is accepted by the Owner and the undersigned shall fail to execute the Contract within ten (10) calendar days from the date of notlficatic;>n"of award of the Contract, the Owner may at his option, determine that the undersigned has abandoned the Contract, and thereupon the Proposal shall become null and void. . Bidder agrees that this bid shall be good and may not be withdrawn for a period of sixty (60) calendar days after the scheduled closing time for receiving bids. Bidder understands that the Owner reserves the right to reject any or all bids and to waive any informalities in the bidding. Respectfully submitted, BIDDER By Title Address 11 RR lo':_ RT.rrlo':T.TC-K ROAD (50Z) 957-7471 5/18/06 ~Hlo':PH1i:Rri~VTT.T.F., I{Y. 40165 Phone Date PROPOSAL FORM 00300-2 " City of Jeffersonville Ken Ellis Senior Center JEFF.022 April 2006 VOLUNTARY ALTERNATES r Bidder has proposed the following voluntary alternates for consideration on the Project. If voluntary alternates are incorporated into the Work, Contractor shall be responsible for materials, systems and the interface of all other project coordination. The Owner is under no obligation to accept voluntary alternates. SPECIFIED ITEM ALTERNATE ITEM AMOUNT (+/-) ~ )0 ~"V\.e(D ~cA~~~ d ~u.. ~':J=O -:J:.S 1C) ~ ~\ wA--'te4? ~ ;rev' -1'4- , ).0 /, 0T~~ 7~ Ilk \\h)tut1- A.po- '5"0'00- 8-0 r... \ i . ..: PROPOSAL FORM 00300-3 r, r\ f' City of Jeffersonville Ken Ellis Senior Center WORK TO BE PERFORMED BY BIDDER The following items of Work will be performed by the Bidder with his own forces: CONCRETE METAL STUDS DRYWALL CARPENTRY PROPOSAL FORM JEFF.022 April 2006 . 00300-4 r, r\ 0. City of Jeffersonville Ken Ellis Senior Center MATERIAL MANUFACTURERS PRODUCT MANUFACTURER PROPOSAL FORM JEFF .022 April 2006 . 00300-5 City of Jeffersonville Ken Ellis Senior Center JEFF .022 April 2006 r MATERIAL SUPPLIERS AND SUBCONTRACTORS LISTING MATERIAL/TRADE NAME $""ite ,^,D~CI (:tf~ I SPtf4;~~~ - W:\\~~-~. ~\e ~ pfh)~ Yl'<n~ .pA"~ (YlPrSO"'~ L'1"'S "'''')0-- $~ML- )+-e.eL Aa..c L-~..-r: . K .q.. :c. c (I\. S-rv~ ~ N*~I ~-e~1 Jtq.<-f .1-(c)!LI~LCMPpJ- ~~p~ S-W~ ~c-tt- ("~~ - )Te:e,J ~~ r\ p{}l)~) ~S-o:! WoW' ~ -e-M t- _ \I\. ~ )(0 ~(C=:-~ c~: c: '{;~(<- A Cllu... <1r (~L- C eo z1 '''''J Me.d-~~L PI __"'~ ~ f~-tcc~"~ ~(e-e:rt\A. ~ - H V 1\-<::.... -- ~ 611-1( )()~ ~ -- 4)e.~ L\A ---- ..1-:rN~sf.-.€ ~ - s:s -r R \v...~1M)~ - @/LtJIAJN Sf~e-L -n.-:r- 'S -tUNe. ol~ r ':1tV~e.(t. cr ~-:NS~ END OF SECTION 00300 PROPOSAL FORM 00300-6 City of Jeffersonville Ken Ellis Senior Center JEFF .022 April 2006 ..., -', if r>. SECTION 00450 - NON-COLLUSION AFFIDAVIT PART 1 - GENERAL 1.1 REQUIREMENTS A. Each bidder is required to submit thi~ properly executed Affidavit with their Bid Form. complete the following: Non-Collusion Affidavit The bidder, by its o.fficers and agents, representatives present at the time of filing this bid, being duly sworn. on their oaths say that neither they nor any ofthem have in any way, directly or indirectly, entered into an agreement or agreements with any other bidder, or with any public official. Whereby such affiant or affiants or either of them, has paid or is to pay to such bidder to public official, any sum of money. or has given or is to give such other bidder or public official anything of value whatsoever, or such affiant or affiants or either of them has not directly or indirectly entered into any agreement or agreements or arrangements with another bidder or bidders wtlich tends to .or does lessen or destroy free competition in the letting or the contract sought for by the attached bids; that no inducement of any form or character other than that which appears upon the face of the bids will be suggested. offered. paid or delivered to any person whomsoever to influence the acceptance of said bid or awarding of the contract; nor has this bidder any agreement or understanding of any kind whatsoever, with any other person whomsoever to pay, deliver to , or share with any other person in any way or manner. any of the proceeds or the contract sought by this bid. E H CONSTRUCTION. LLC (Bidder) r, (Corporate Seal) (Title) Subscribed and sworn to before me by this 18th day of MAY JAMES A.. HALL 2006 j~i~ ~j (Notary Public) - d (Notary Seal) My Commission Expires 4/02/2010 In and For BULLITT County. END OF SECTION 00450 00450-1 NON-COLLUSION AFFIDAVIT