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subbid Form for Filed Sub-Bid 00 41 16-1 MSBA Accelerated Repair Program RK Finn/Ryan Road and Leeds Elementary Schools Northampton, Massachusetts SECTION 00 41 16 FORM OF SUB CONTRACTOR BID To all General Bidders Except those Excluded: A. The undersigned proposes to furnish all labor and materials required for completing, in accordance with the hereinafter described plans, specifications and addenda, all the work specified in Section No. _____________ of the specifications and in any plans specified in such section, prepared by Raymond Design Associates, Inc., Architects for: A.1 Roof Replacement at the RK Finn/Ryan Road School, Northampton, Massachusetts, for the proposed contract sum of ________________________________________________dollars ($_____________________________). A.2 Roof Replacement at the Leeds Elementary School, Leeds, Massachusetts, for the proposed contract sum of _______________________________________________________dollars ($_____________________________). A.3 Roof Replacement at the RK Finn/Ryan Road School and the Leeds Elementary Schools, Northampton, Massachusetts for the ‘Combined Total Contract Price’ of _______________________________________________________dollars ($______________________________). Alternate No 1: Add $_____(n/a)_____ Deduct $__________________ NOTE: General Bidders will carry the ‘Combined Total Contract Price’ for both schools, as written in Item A.3 above in their bids, including Alternate(s) if chosen by the City of Northampton. Form for Filed Sub-Bid 00 41 16-2 B. This sub-bid includes addenda numbered ____________ C. This sub-bid __ may be used by any general bidder except: _________________________________________________ _________________________________________________ __ may only be used by the following general bidders: _________________________________________________ _________________________________________________ [To exclude general bidders, insert “X” in one box only and fill in blank following that box. Do not answer C if no general bidders are excluded.] D. NOTE: Section 01 27 00 Schedule of Unit Prices MUST be completed and included with this Bid Form. E. The undersigned agrees that, if s/he is selected as a sub-bidder, s/he will, within 5 days, Saturdays, Sundays and legal holidays excluded, after presentation of a subcontract by the general bidder selected as the general contractor, execute with such general bidder a subcontract in accordance with the terms of this sub-bid, and contingent upon the execution of the general contract, and, if requested so to do in the general bid by the general bidder, who shall pay the premiums therefor, or if prequalification is required pursuant to section 44D 3/4, furnish a performance and payment bond of a surety company qualified to do business under the laws of the commonwealth and satisfactory to the awarding authority, in the full sum of the subcontract price. F. The names of all persons, firms and corporations furnishing to the undersigned labor or labor and materials for the class or classes or part thereof of work for which the provisions of the section of the specifications for this sub-trade require a listing in this paragraph, including the undersigned if customarily furnished by persons on his/her own payroll and in the absence of a contrary provision in the specifications, the name of each such class of work or part thereto and the bid price for such class of work or part thereof are: Name Class of Work Bid price ______________________________ _____________________________ ____________ ______________________________ _____________________________ ____________ ______________________________ _____________________________ ____________ [Do not give bid price for any class or part thereof furnished by undersigned.] G. The undersigned agrees that the above list of bids to the undersigned represents bona fide bids based on the hereinbefore described plans, specifications and addenda and that, if the undersigned is awarded the contract, they will be used for the work indicated at the amounts stated, if satisfactory to the awarding authority. H. The undersigned further agrees to be bound to the general contractor by the terms of the hereinbefore described plans, specifications, including all general conditions stated therein, and addenda, and to assume toward him/her all the obligations and responsibilities that s/he, by those documents, assumes toward the owner. Form for Filed Sub-Bid 00 41 16-3 I. The undersigned offers the following information as evidence of his qualifications to perform the work as bid upon according to all the requirements of the plans and specifications: 1. Have been in business under present business name ____________ years. 2. Ever failed to complete any work awarded? __________ 3. List one or more recent buildings with names of the general contractor and architect on which you served as a sub-contractor for work of similar character as required for the above- named building. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 4. Bank reference _______________________________________________________ J. The undersigned hereby certifies that s/he is able to furnish labor that can work in harmony with all other elements of labor employed or to be employed on the work; that all employees to be employed at the worksite will have successfully completed a course in construction safety and health approved by the United States Occupational Safety and Health Administration that is at least 10 hours in duration at the time the employee begins work and who shall furnish documentation of successful completion of said course with the first certified payroll report for each employee; and that s/he will comply fully with all laws and regulations applicable to awards of subcontracts subject to section 44F. The undersigned further certifies under penalties of perjury that this sub-bid is in all respects bona fide, fair and made without collusion or fraud with any other person. As used in this subsection the word “person” shall mean any natural person, joint venture, partnership, corporation or other business or legal entity. The undersigned further certifies under penalty of perjury that the said undersigned is not presently debarred from doing public construction work in the commonwealth under the provisions of section twenty-nine F of chapter twenty-nine, or any other applicable debarment provisions of any other chapter of the General Laws or any rule or regulation promulgated there under. Date ______________ ____________________________________ (Name of Sub-bidder) By ________________________________ (Title and Name of Person Signing Bid) ____________________________________ (Business Address) ____________________________________ __________________________________ (City and State) Signature