FROM loi. W,UL. ST MAIL TO: MONTGOMERY COUNTY CONTROLLER 425 SWEDE STREET ONE MONTGOMERY PLAZA, SUITE 508 P.O. BOX 311 NORRISTOWN, PA 19401 PRQPQSALON SPECIFICATION NO.
k V SPECIFICATIONS FOR HVAC, BOILER, STEAM SYSTEM & PNEUMATIC SYSTEM MAINTENANCE Montgomery County Commissioners Court House Norristown, Pennsylvania Joshua D Shapiro, Chair Leslie S Richards, Vice-Chair Bruce L Castor, Jr., Commissioner Chief Operating Officer/Chief Clerk Lauren M Lambrugo Solicitor Raymond McGarry Controller Stewart J Greenleaf, Jr. Purchasing Department Joseph Coco, Director 610-278-3037 Parkhouse Providence Pointe Melanie McGarry, RJM, NHA, Administrator 610-948-8800 Official correspondence will be addressed to: Company: Contact: Title: pf Address: /Q/ g. Al/ic. STT S*f / 7E~" / Telephone: Fax: (Z/ E-mail Address: Federal ID No. lk ~rt fe THcSTU ST/^ <<;/Z.ouP Opening Date: November 1, 2012 Specification #107699-6 189-KW/rn
#107699-6189-KW/rn PROPOSAL FORM Submitted By Date (Contractor's Name) To: Commissioners of Montgomery County Court House Norristown, Pennsylvania Gentlemen: This proposal is submitted in accordance with your advertisement inviting proposals to be received for the project identified as: Heating, ventilating and air conditioning (HVAC), boiler & steam system maintenance at Parkhouse Providence Pointe, 1600 Black Rock Road, Royersford, PA 19468, for a period of one (1) year, beginning with the issuance of a County Purchase Order, Having carefully examined the "Advertisement for Bids," "Bidding Instructions," "Scope of the Work," etc., hereinafter referred to as "Specifications," together with all addenda, errata, bulletins applying thereto, and being familiar with the various conditions affecting the work, the undersigned hereby agrees to furnish all materials perform all labor, and do all else necessary to complete the work in strict accordance with the specifications as follows: Schedule I - Preventative Maintenance A. Price Per Month $ S.7^/ ^ x 12 month = S Schedule II - General Repairs, Alterations and Modifications - 0^ B. Hourly Rate $ _ g "" _ x 600 estimated hours = $ < ~j f OOP ESTIMATED TOTAL LUMP SUM PRICE S }l~ y &7l~ (*) (Lines A & B) (*) Basis for 5% Bid Bond or Certified Check, if required Additional Rates: Overtime Rate $_ ^7-"7 Holiday Rate $ Parts Percentage mark-up from invoicing _ ^" % (7)
Prompt Payment Discount Terms ACH (automatic Clearing House) payments are not requested In case this proposal is accepted, the undersigned is hereby bound to enter into contract within ten (10) days after receipt of notice of acceptance of the above, in accordance with the specifications. (7-1)
SIGNATURE PAGE In case this proposal is accepted, the undersigned is hereby bound to commence and complete all of the work included under his contract in such time and such manner as designated for the various items he has contracted to supply. In submitting this proposal, it is understood that the unrestricted right is reserved by the County to reject any and all proposals or parts thereof, or to waive any informalities or technicalities in said proposals, and it is agreed that this proposal may not be withdrawn for a period of at least sixty (60) days from date of opening thereof. The undersigned hereby certifies that this proposal is genuine, and not a sham or collusive, or made in the interest or in behalf of any person, firm or corporation not herein named; that the undersigned has not directly or indirectly induced or solicited any bidder to refrain from bidding, and that the undersigned has not, in any manner, sought by collusion to secure for himself an advantage over any other bidder. FIRM NAME "T^ST/J^ /?f GZ- >WJ >J C*U- SIGNATURE. S7fiJ&. PRINT/TYPE SIGNATURE frl JCtfa&l. TITLE /fztfrr-6ig- of" Bn j^ev\ OFFICIAL ADDRESS /P I ~- /tfti-l. ST. S*4 / T ~ /I- TAX IDENTIFICATION NUMBER Bidder will state below whether the bid is by an individual, partnershipclj-^qor corporation. i f. i ** V- 1 Bidder will state below the name of the Bonding Company to be used in case of award, and name and address of local agent thereof. _,.,yv^ BONDING COMPANY, ' >ca^eue NAME OF AGENT CIQ. ADDRESS 7^g - S. Accompanying this proposal is: "^ Certified Check Bid Bond In the amount of S ^ \i i' based on a total lump sum bid of S // 7 J * *' ^ ADDENDA: Bidder agrees that the following Addenda(s) issued during the bid period have been received and considered in preparing this Proposal; and, agrees that failure to acknowledge such Addenda(s) may be a basis for rejection of bid. Addenda No. Date Addenda No Date Rev. 11/08 BID MUST BE SIGNED FOR CONS1 DERATION ABSOLUTE ADHERENCE TO PROPOSAL FORM CLAUSE IS REQUIRED (7-2)
AUTHORIZATION FOR RELEASE OF CREDIT INFORMATION I hereby authorize the County of Montgomery to verify and further investigate any of the information hereby provided. I understand and agree that the County may conduct credit checks and review with federal, state and local public sources to obtain such verification and to obtain further information, and that any sources named herein may be contacted in order to obtain verification and further information I certify that all information provided is true, correct and complete to the best of my knowledge and belief. Signature / Date '/<* Name Title Company/Agency Name Address Social Security Number or Tax Id Number
NONCOLLUSION AFFIDAVIT I hereby affirm that T"k<5T//u (Name of Bidder) has ( ) has not (^oeen convicted or found liable for any act prohibited by Federal or State law in any jurisdiction involving conspiracy or collusion with respect to bidding on any public contract within the last three years. NAME OF BIDDER By: (Signature) V ^^ (Title) > The bidder's statement on this Affidavit that (he) (she) (it) has been convicted or found liable for any act prohibited by Federal or State law in any jurisdiction involving conspiracy or collusion with respect to bidding on any public contract within the last three years does not prohibit the County of Montgomery from accepting a bid from or awarding a contract to that person, but it may be grounds for administrative suspension or debarment in the discretion of the County under the rules and regulations adopted by County Ordinance No. 99-1. VERIFICATION y, verify that the statements made in the (Name of Affiant) foregoing Noncollusion Affidavit are true and correct to the best of my knowledge or information and belief. I understand that false statements herein are made subject to the penalties of 1 8 PA C.S. 4904 relating to unsworn falsification to authorities. Date: // / * //-? 03-17-99
MONTGOMERY COUNTY BOARD OF COMMISSIONERS JOSHUA D. SHAPIRO, CHAIR LESLIES. RICHARDS, VICECHAIR BRUCE L. CASTOR. JR. PURCHASING DEPARTMENT MONTGOMERY COUNTY COURTHOUSE PO Box 311 NORRISTOWN, PA 19401-0311 610-278-3037 FAX: 610-278-3086 TDD: 610-631-1211 WWW.MONTCOPA.ORC ADDENDUM #1 HVAC, BOILER, STEAM SYSTEM & PNEUMATIC SYSTEM MAINTENANCE Specification Number: #107699-6189-KW/rn Opening Date: November 1, 2012 Bidder's Please Note: (Pages 6-S6, 6-S7), Air Handlers - 8. Check all air filters one per month. Change to read: 8. Change all air filters once per month This Addendum shall be attached to and made a part of the Specifications and shall be signed below and returned intact with the submitted Proposal. COUNTY OF MONTGOMERY Joseph Coco Joseph Coco Director of Purchasing October 26. 2012 Company Name: Acknowledged by:
MONTGOMERY COUNTY BOARD OF COMMISSIONERS JOSHUA D. SHAPIRO, CHAIR LESLIE S. RICHARDS, VICE CHAIR BRUCE L. CASTOR, JR. PURCHASING DEPARTMENT MONTGOMbRV COUNTY COURTHOUSE: PO BOX 31 1 NORRISTOWN, PA 1 94O4-O311 61O-278-3O37 FAX: 61&27S-3O86 TDD: 61 O-631-1 211 WWW MONTCOPA.ORG ADDENDUM#2 HVAC, BOILER, STEAM SYSTEM & PNEUMATIC SYSTEM MAINTENANCE Specification Number: # 107699-6189-KW/rn Opening Date: November 1, 2012 Bidder's Please Note: The due date for the above Specification shall be extended ONE WEEK. The revised Opening Date shall be November 8, 2012. This Addendum shall be attached to and made a part of the Specifications and shall be signed below and returned intact with the submitted Proposal. COUNTY OF MONTGOMERY October 3 1.20 12 Joseph Coco Joseph Coco Director of Purchasing Company Name: Acknowledged by:. svc
This is to certify that prabcandidate 5 r ^ 5JD 0 C 0 FH u is awarded this Certificate of Completion signifying that the aforementioned has successfully achieved a baseline level of proficiency, having completed all of die training and testing requirements for Niagara4* Framework Certification. 0 U 12/9/2011 TRiDiUM.- DATE Authentic if holographic seal is affixed abort.
This is to certify that Robert f. (gomertnger CANDIDATE Tustin Energy Solutions COMPANY NAME 5 Q So is awarded this Certificate of Completion signifying that the aforementioned has successfully completed all of the requirements of the Niagara AX Certification Program and is entitled to all the rights and privileges associated with this achievement and full recognition of same. TRiDJU 05/21/2010 AUTHORIZED SIGNATURE DATE
This is to certify that uons CANDIDATE &JD 0 is awarded this Certificate of Completion signifying that the aforementioned has successfully achieved a baseline level of proficiency, having completed all of the training and testing requirements for s s bo TRiDjUM @iagara G 0 Niagara^ Framework Certificatioa 05/13/2011 DATE Authentic if holographic seal is affixed above.
This is to certify that. <graf Cggersi CANDIDATE s O co COMPANY NAME is awarded this Certificate of Completion signifying that the aforementioned has successfully completed all of the requirements of the Niagara AX Certification Program and is entided to all the rights and privileges associated with this achievement and full recognition of same. TRiDJU AUTHORIZED SIGNATURE DATE 23, 2008
This is to certify that tcfeforb CANDIDATE JJlechanctal S bp O v- C O COMPANY NAME is awarded this Certificate of Completion signifying that the aforementioned has successfully completed all of the requirements of the Niagara AX Certification Program and is entitled to all the rights and privileges associated with this achievement and full recognition of same. TRDIU AUTHORIZED SIGNATURE DATE
Tllis is to certify that CANDIDATE Conforti 6 ct COMPANY NAME s 0 is awarded this Certificate of Completion signifying that the aforementioned lias successfully completed all of the requirements of the Niagara AX Certification Program and is entitled to all the rights and privileges associated with this achievement and full recognition of same. O u U TRiDJUM,;;.'. ;> AUTHORIZED SIGNATURE DATE»eptembet 15, 2006
BIDDERS CHECKLIST Sealed Bids must be received by the County Controller, 5th floor, Suite 508, One Montgomery Plaza, Swede and Airy Streets, Norristown, PA, no later than 10:30 O'clock A.M., Prevailing time on the date specified in the copy of advertisement attached within the specifications. Bidders please note: This checklist is provided as a reminder to include, at a minimum, all signatures and required information as indicated below. Bid bonds and all signatures must be originals. No copies will be accepted. Please check the specifications carefully to insure that additional requirements and/or signatures in addition to those listed below are included with your bid submittal: Copy of Cover Page with all requested information Bid signed (Signature Page) Non-collusion signed (two places) Bid Bond signed and witnessed by surety and bidder with Power of Attorney attached. Statement of bidders qualifications completely filled out. (If called for in specifications). All addenda's indicated as being received (Signature Page). Authorization for Release of Credit Information The Lead buyer for this project is Keith Wood Please contact him/her at 610-278-3037 with any questions you may have.