Bid Request Form
| | [pic] |Project No. | | |
| |BID REQUEST FORM/ | | | |
| |A201 REQUEST FORM | | | |
| |_______Sheltered Market Eligible | | | |
| | |Date | | |
| | |Requisition No. | | |
| | | | | |
| |
|TO BE COMPLETED BY DESIGNER and sent in MS Word Format to State Project Manager (who sends to OSP) |
|Project Name | | |
|Consultant Name | |Email | | |
|Firm | |Date | | |
|Firm Address | | |
|State Project Manager | |Email | | |
|Agency | |Facility | | |
|Project Address | |Bldg ID Number | | |
|Construction area (sqft) | | | |
|Tentative bid opening | |(submit form minimum of 4 weeks prior to requested date) |
|Tentative substantial completion date | | |
|Estimated construction cost: (Divisions may be combined on small projects with approval of State PM) |
| |Division 1 |General Requirements |$ | | |
| |Division 2 |Existing Conditions |$ | | |
| |Division 3 |Concrete |$ | | |
| |Division 4 |Masonry |$ | | |
| |Division 5 |Metals |$ | | |
| |Division 6 |Wood, Plastics & Composites |$ | | |
| |Division 7 |Thermal & Moisture Protection |$ | | |
| |Division 8 |Openings /Doors,Windows,etc. |$ | | |
| |Division 9 |Finishes |$ | | |
| |Division 10 |Specialties |$ | | |
| |Division 11 |Equipment |$ | | |
| |Division 12 |Furnishings |$ | | |
| |Division 13 |Special Construction |$ | | |
| |Division 14 |Conveying Equipment |$ | | |
| |Division 22, 23, 25 |Plumbing, Mechanical, Automation |$ | | |
| |Division 21 |Fire Protection |$ | | |
| |Division 26, 27 |Electrical and Communications |$ | | |
| |Division 27 |Audio amplification with induction systems |$ | | |
| |Division 28 |Electronic Safety and Security |$ | | |
| |Division 31/32 |Earthwork / Exterior Improvements |$ | | |
| |Division 33 |Utilities |$ | | |
| |Other : Div. ________ |_________________________ |$ | | |
| | |OH&P, Bond, Insurance, contingency |$ | | |
| | | TOTAL |$ | | |
|Design/engineering work: _____ to be done thru Contractor _____ none |
|Building Construction type (per IBC) |____________ Occupancy Type ________ | |
|Sprinklers for affected construction area: | |existing | |added in project | |none |
|Number of stories | |Fire Protection ________ Central _______ Local _______ none _____ |
|*Project is funded partly or entirely by Omnibus Capital Investment Bill, 2014 Minn. Laws: YES NO (American Steel) |
|*Project is funded partly or entirely by Fund 5400 or 2001 and work will span multiple fiscal years (Multi FY Contract needed) YES NO |
|*Project is funded partly or entirely by state bond funds or general fund-financed projects in capital invest bills: YES NO (Jobs Reporting) |
|*Project includes constructing or renovating a public gathering space YES NO {audio amplification w-induction systems per ANSI Standard) |
|TO BE COMPLETED BY OSP and returned to State Project Manager |
|M/E Bid Date (If applicable) | |Prime Bid Date | | |
|Pre-bid Date __________________ Diskette, Project Manual & Drawings to OSP by Date ______________________ | |
|_____ |Over $50,000 Preference__ |_____ |Over $150,000 Preference & Subposting |
|_____ |Over $500,000 TG/ED/VO Goals |_____ |Over $500,000 TG/ED/VO Goals & Subposting |
|_____ Sheltered Market TG/ED/VO subcontracting goal (Division 00):_____% Completed by: |
|TO BE COMPLETED BY RISK MANAGEMENT and returned to State Project Manager |
|Builder’s Risk provided by | |State (Use By Owner Paragraph) | |Contractor (Use By Contractor Paragraph) |
|Cost of builder’s risk premium if provided by state |$ | | |
| | |Builders Risk not necessary for this project | |Other Applicable Insurance | | |
|Pollution Liability ________ CA9948 Endorsement________MCS 90 Endorsement __________ |
|Professional Liability Design Errors & Omission ________Aircraft ______Watercraft ______ Completed by: |
|A201 |Special Instructions: | | |
|PM’s email a copy of this document to Contract Drafting after the insurance requirement has been established. Please allow 2 days for processing. |
c: Alex Kocina and Acquisition Management Specialist – Office of State Procurement
Marlys Williamson– Risk Management
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- annual credit report request form pdf
- dhs hearing request form michigan
- credit report request form pdf
- medical records request form pdf
- equifax annual credit report request form pdf
- idr plan request form 2019
- nycha transfer request form pdf
- mandatory forbearance request form 2019
- supply request form pdf
- office supply request form pdf
- supply request form army
- office supply request form template