ELEVATOR PREVENTIVE MAINTENANCE AND REPAIR AGREEMENT

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ELEVATOR PREVENTIVE MAINTENANCE AND REPAIR AGREEMENT Powered By Docstoc
					                                                 Section 00300
                                    Bid Summary Form
                                17660 The Bridge Renovation

PROJECT NO: 17660                                              Date:
     DELIVER BID TO:
     Facilities Planning and Development Division
     Parkland Health and Hospital System
     2222 Medical District Drive, Ste. 115
     Dallas, TX 75235
     Attn: Ana Quintanilla
     #17660 – The Bridge Renovation

BID FROM:
A1. Company Name:
A2. Street Address:
A3. City, State, Zip Code
A4. Company Contact:
A5. Phone Number:
A6. Fax Number:
A7. Email Address:
A8. Tax ID Number

A9. Type of Business (fill in information that best describes the business entity providing the bid.)
Sole Proprietorship         Owner’s Name:
                            Type:
Partnership
                            Partner’s Names

                            Type:
                            State of Incorporation:
Corporation
                            Registered Agent:
                            File Number
Other                       Describe:

A10. Minority Business Status / Good Faith Commitment
Please indicate “Yes” or “No”. Is the Business a Minority-Owned or Woman-
Owned Business Enterprise (MWBE)?

A13. If the Company is a MWBE, what type is it? (i.e. Hispanic, Black, Asian,
American Indian, Woman-owned (white or other)-
A14. For Non-MWBE businesses, if awarded the contract, what percent of the
work is the business willing to commit in “Good Faith” to MWBE suppliers or
subcontractors? (“Good Faith” is described in IFB Section 00100).

                                     Section 00300-17660 The Bridge Renovation
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                                                                 Proposed         Bid
                                                               Sub-Contractor   Amount
    DIVISION 1 – GENERAL REQUIREMENTS


    DIVISION 2 – SITEWORK (DEMOLITION)


                        Division 6 – Millwork


            Division 8 - Doors and Windows


Division 9 – Partitions, Ceilings, and Flooring


  Division 15 – Plumbing, HVAC, and Fire
                 Protection

Division 16 – Electrical, Voice/Data Wire, Fire
                                        Alarm


                        Division 28 - Security




                   Overhead and Profit


                                     Sub-Total
                                      Bid Bond
             Payment and Performance Bond


                             GRAND TOTAL


                               Section 00300-17660 The Bridge Renovation
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Project Completion: Contractor will begin work within __5_____________ calendar days of receipt of a
formal written notice to proceed with the work. Please attach detailed schedule that shows number of work days
per phase of construction.

Representations and Certifications of the Bidder
By signature hereon, Bidder acknowledges, on its own behalf and on behalf of any parent or subordinate
organization and all proposed associates or subcontractors, the following:
1. Bidder accepts without reservation or limitation as lawful and binding the bid submission requirements and
rules and the procurement procedures, processes, and specifications identified in this Invitation for Bid (IFB),
including any IFB amendment or addendum, and all attachments, appendices, or exhibits to this IFB.
2. Bidder accepts without reservation or limitation as lawful and binding the District’s methodology, criteria, and
process for evaluating bids and for determining the selection of the successful bidder.
3. Bidder accepts without reservation or limitation as lawful and binding the District’s sole, unrestricted right to
withdraw or cancel the IFB at any time prior to, or after receipt of bids.
4. Bidder accepts without reservation or limitation as lawful and binding the District’s sole, unrestricted right to
reject any or all proposals submitted in response to this IFB including those which meet the minimum bid
requirements.
5.   Bidder warrants that Bidder has examined and is familiar with the IFB and its terms and conditions.
6. Bidder warrants that Bidder has visited the Property and conducted due diligence on the property satisfactory
to the Bidder in making this bid.
7. Bidder acknowledges and agrees that Bidder shall bear, as its sole risk and responsibility, any and all costs
that arise from the Bidder's bid preparation.
8. Bidder warrants that authorized principal(s) of the Bidder will be made available to meet with the District staff
and others immediately following the bid opening or at a later date for purpose of evaluating and determining the
acceptability of the Bid.
9. Bidder certifies that neither the Bidder nor the firm, corporation, partnership or institution represented by the
Bidder, or anyone acting for such firm, corporation, partnership, or institution has given, or intends to give at any
time hereafter, any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor or
service to a public servant in connection with the submitted Bid.
10. Bidder warrants that it has the necessary experience, knowledge, abilities, skills, and resources to satisfactorily
finance and complete this sales transaction.
11. Bidder warrants that all statements, information and representations prepared and submitted in response to
this IFB are current, complete, true and accurate. Bidder acknowledges that the District will rely on such
statements, information and representations in qualifying the Bid. If selected by the District as the successful
Bidder, Bidder will notify the District immediately of any material change in any matter with regard to which Bidder
has made a statement or representation or provided information.
12. Bidder certifies that the individual signing this document and the documents made part of the IFB is
authorized to sign such documents on behalf of the company and to bind the company in this sale.
13. Bidder certifies that no relationship, whether by relative, business associate, capital funding agreement or by
any other such kinship exist between Bidder and an employee of District, or Bidder has not been an employee of
the District within the immediate twelve (12) months prior to this Bid. All such disclosures will be subject to
administrative review and approval prior to the District entering into any sales agreement with Bidder.




                                        Section 00300-17660 The Bridge Renovation
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14. BIDDER AGREES TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE DALLAS COUNTY HOSPITAL DISTRICT (INCLUDING PARKLAND
HEALTH & HOSPITAL SYSTEM, ALL OF ITS OFFICERS, AGENTS AND EMPLOYEES FROM AND AGAINST ALL CLAIMS, ACTIONS, SUITS,
DEMANDS, PROCEEDINGS, COSTS, DAMAGES, AND LIABILITIES, ARISING OUT OF, CONNECTED WITH, OR RESULTING FROM ANY ACTS OR
OMISSIONS OF BIDDER OR ANY AGENT, EMPLOYEE, SUBCONTRACTOR, OR SUPPLIER OF BIDDER IN THE EXECUTION OR PERFORMANCE OF
ANY AGREEMENTS OR OTHER CONTRACTUAL ARRANGEMENTS WHICH MAY RESULT FROM THE SUBMISSION OF THE BID.
15. Where more than one entity intends to legally form joint ventures, partnerships, or limited liability
corporations for the resultant sales agreement, the Bidder asserts the percentage ownership of each entity is
provided along with the Bid under the signatures of the duly authorized representatives of each firm that intends
to be an owner of the newly formed entity.
16. Bidder acknowledges that a contract for sale based on this IFB requires the approval of the Dallas County
Hospital District Board of Managers, Dallas County Commissioners, and Dallas City Council, and will not be
executed without the prior approval of the Dallas County Hospital District Board of Managers, Dallas County
Commissioners, and Dallas City Council.
17. Bidder acknowledges that the District is a political subdivision of the State of Texas and as such is subject to
the Texas Public Information Act and no disclosure made pursuant to such law shall be a violation of any
obligations of the District. Information submitted to the District in response to the IFB is subject to public
disclosure under the Texas Public Information Act, Texas Government Code, Chapter 552, unless a Bidder can
demonstrate that the identified part or parts of the proposal falls within one or more of the exceptions to required
public disclosure listed in the Public Information Act. If a Bidder believes that certain information in the proposal
is exempt from required public disclosure under the Public Information Act, the Bidder must specify the
information and the exception(s) that it believes apply, with specific detailed reasons. The District will disregard
blanket statements regarding the confidentiality of proposals and such statements will be deemed null and void.

18. By signature hereon, Bidder acknowledges ___ (0), ___ (1), ___ (2), ___ (3), ___ (4), or ___ (5) addenda to
    this IFB. (check all that apply.)



Firm Name


Signature of Officer


Title of Officer


Street Address, City, State & Zip

                                                                         *Seal (If Bidder is a Corporation)
Phone Number
                                                   END OF BID FORM




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