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.

Google Online Preview   Download