(b) Page 2 of 6. PARENT COMPANY AND EMPLOYER IDENTIFICATION NUMBER Each bidder shall furnish the following information by filling in the appropriate blocks: (a) Is the bidder owned or controlled by a parent company as described below? Yes No. (For the purpose of this bid, a parent company is defined as one which either owns or controls the activities and basic business policies of the bidder. To own another company means the parent company must own at least a majority (more than 50 percent) of the voting rights in that company. To control another company, such ownership is not required; if another company is able to formulate, determine, or veto basic business policy decisions of the bidder, such other company is considered the parent company of the bidder. This control may be exercised through the use of dominant minority voting rights, use of proxy roting, contractual arrangements, or otherwise.) (b) If the answer to (a) above is "Yes," bidder shall insert in the space below the name and main office address of the parent company. NAME OF PARENT COMPANY MAIN OFFICE ADDRESS (No., Street, City, State, and ZIP Code) (c) Bidder shall insert in the applicable space below, if he has no parent company, his own Employer's Identification Number (E.I. No.) (Federal Social Security Number used on Employer's Quarterly Federal Tax Return, U.S. Treasury Department Form 941), or, if he has a parent company, the E.I. No. of his parent company. EMPLOYER IDENTIFICATION NUMBER OF PARENT COMPANY BIDDER 7. CERTIFICATION OF NONSEGREGATED FACILITIES (Applicable to (1) contracts, (2) subcontracts, and (3) agreements with applicants who are themselves performing federally assisted construction contracts, exceeding $10,000 which are one from the provisions of the Equal Opportunity clause.) By the submission of this bid, the bidder, offeror, applicant, o scontractor certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. He certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The bidder, offeror, applicano ubcontractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contracts used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, or national origin, because of habit, local custom, or otherwise. He further agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause; that he will retain such certifications in his files; and that he will forward the following notice to such proposed subcontractors (except where the proposed subcontractors have submitted identical certifications for specific time periods): NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENT FOR CERTIFICATIONS OF NONSEGREGATED FACILITIES A Certification of Nonsegregated Facilities must be submitted prior to the award of a subcontract exceeding $10,000 which is not exempt from the provisions of the Equal Opportunity clause. The certification may be submitted either for each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually, or annually). NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001. REVERSE OF STANDARD FORM 19-B, OCTOBER 1969 [35 F.R. 6478, Apr. 23, 1970] US GOVERNMENT PRINTING OFFICE 1969 OF-390-456 (13-KI § 1-16.901-21 Standard Form 21: Bid Form (Construction Contract). (a) Page 1 of Standard Form 21. In compliance with the above-dated invitation for bids, the undersigned hereby proposes to perform all work for SPECIMEN in strict accordance with the General Provisions Standard Form 23-A), Labor Standards Provisions Applicable to Contracts in Excess of $2 and conditions, for the following amount(s) tandard Form 19-A), specifications, schedules, drawings, (b) Page 2 of Standard Form 21. The undersigned agrees that, upon written acceptance of this bid, mailed or otherwise furnished within calendar days ( calendar days unless a different period be inserted by the bidder) after the date of opening of bids, he will within calendar days (unless a longer period is allowed) after receipt of the prescribed forms, execute Standard Form 23, Construction Contract, and give performance and payment bonds on Government standard forms with good and sufficient surety. The undersigned agrees, if awarded the contract, to commence the work within calendar days after the date of receipt of notice to proceed, and to complete the work within calendar days after the date of receipt of notice to proceed. RECEIPT OF AMENDMENTS: The undersigned acknowledges receipt of the following amendments of the invitation for bids, drawings, and/or apecifications, etc. (Give number and date of each): SPECIMEN The representations and certifications on the accompanying STANDARD FORM 19-B are made a part of this bid. DIRECTIONS FOR SUBMITTING BIDS: Envelopes containing bids, guarantee, etc., must be sealed, marked, and addressed as follows: CAUTION-Bids should not be qualified by exceptions to the bidding conditions. ☆U.S. GOVERNMENT PRINTING OFFICE; 1985-0-205-147 815-F 131 F.R. 5884, Apr. 16, 1966]. § 1-16.901-22 Standard Form 22: Instructions to Bidders (Construction Contract). (a) Page 1 of Standard Form 22. STANDARD FORM 22 OCTOBER 1969 EDITION GENERAL SERVICES ADMINISTRATION FED, PROC. REG. (41 CFR) 1-16.401 INSTRUCTIONS TO BIDDERS (CONSTRUCTION CONTRACT) 1. Explanations to Bidders. Any explanation desired by a bidder regarding the meaning or interpretation of the invitation for bids, drawings, specifications, etc., must be requested in writing and with sufficient time allowed for a reply to reach bidders before the submission of their bids. Any interpretation made will be in the form of an amendment of the invitation for bids, drawings, specifications, etc., and will be furnished to all prospective bidders. Its receipt by the bidder must be acknowledged in the space provided on the Bid Form (Standard Form 21) or by letter or telegram received before the time set for opening of bids. Oral explanations or instructions given before the award of the contract will not be binding. 2. Conditions Affecting the Work. Bidders should visit the site and take such other steps as may be reasonably necessary to ascertain the nature and logation of the work, and the general and local conditions wid can affect the work or the cost thereof Failure so will not relieve bidders from responsibility for estimating properly the difficulty ar os of successfully performing the work. The Govement will assume no responsibility for any understanding or representations concerning conditions made by any of its officers or agents prior to the execution of the contract, unless included in the invitation for bids, the specifications, or related documents. 3. Bidder's Qualifications. Before a bid is considered for award, the bidder may be requested by the Government to submit a statement regarding his previous experience in performing comparable work, his business and technical organization, financial resources, and plant available to be used in performing the work. 4. Bid Guarantee. Where a bid guarantee is required by the invitation for bids, failure to furnish a bid guarantee in the proper form and amount, by the time set for opening of bids, may be cause for rejection of the bid. A bid guarantee shall be in the form of a firm commitment, such as a bid bond, postal money order, certified check, cashier's check, irrevocable letter of credit or, in accordance with Treasury Department regulations, cer tain bonds or notes of the United States. Bid guarantees, other than bid bonds, will be returned (a) to unsuccessful bidders as soon as practicable after the opening of bids, and (b) to the successful bidder upon execution of such further contractual documents and bonds as may be required by the bid as accepted. If the successful bidder, upon acceptance of his bid by the Government within the period specified therein for acceptance (sixty days if no period is specified) fails to execute such further contractual documents, if any, and give such bond(s) as may be required by the terms of the bid as accepted within the time specified (ten days if no period is specified) after receipt of the forms by him, his contract may be terminated for default. In such event he shall be liable for any cost of procuring the work which exceeds the amount of his bid, and the bid guaranshall be avalable toward offsetting such difference. ME Preparation of Bids. (a) Bids shall be submitted on the forms furnished, or copies thereof, and must be manually signed. If erasures or other changes appear on the forms, each erasure or change must be initialed by the person signing the bid. Unless specifically authorized in the invitation for bids, telegraphic bids will not be considered. (b) The bid form may provide for submission of a price or prices for one or more items, which may be lump sum bids, alternate prices, scheduled items resulting in a bid on unit of construction or a combination thereof, etc. Where the bid form explicitly requires that the bidder bid on all items, failure to do so will disqualify the bid. When submission of a price on all items is not required, bidders should insert the words "no bid" in the space provided for any item on which no price is submitted. (c) Unless called for, alternate bids will not be considered. (d) Modifications of bids already submitted will be considered if received at the office designated in the invitation for bids by the time set for opening of bids. Telegraphic modifications will be considered, but should not reveal the amount of the original or revised bid. 22-105 |