BID FORM
APPENDIX 3 – BID FORM – 200508Firm’s Name and AddressDate: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????FEIN: FORMTEXT ????? FORMTEXT ?????BID FORMThe County Commissioners of Charles County, MarylandCharles County Government Building200 Baltimore StreetLa Plata, Maryland 20646This bid is submitted in accordance with the County’s “Notice to Bidders” inviting bids to be received for the work outlined in the “Solicitation Document”, and the “Special Provisions” attached hereto for ITB No. 20-35, MATTAWOMAN WWTP FLOW EQUALIZATION BASIN.Having carefully examined the solicitation documents, the undersigned herein agrees to furnish all services as outlined in the solicitation documents in the “Special Provisions” as stated, for the following prices:A. BASE BIDITEM NO.DESCRIPTION OF ITEMSUNITTOTAL PRICEA-1Mattawoman Wastewater Treatment Plant Flow Equalization BasinLump Sum $ FORMTEXT ?????B. ALLOWANCE**ITEM NO.DESCRIPTION OF ITEMSUNITTOTAL PRICEB-1Supervisory Control and Data Acquisition (SCADA) SoftwareLump Sum $10,000.00C. CONTINGENCY ITEMS**ITEM NO.DESCRIPTION OF ITEMSUNITEST. QTY*UNIT PRICETOTAL PRICEC-1Additional Test Pit ExcavationCubic Yards25$ FORMTEXT ?????$ FORMTEXT ?????C-2Select BackfillCubic Yards3,900$ FORMTEXT ?????$ FORMTEXT ?????C-3Offsite Disposal of Unsuitable MaterialCubic Yards3,900$ FORMTEXT ?????$ FORMTEXT ?????C-4Stone BeddingCubic Yards200$ FORMTEXT ?????$ FORMTEXT ?????C-5Compacted Graded Aggregate Base (GAB)Cubic Yards85$ FORMTEXT ?????$ FORMTEXT ?????C-6Additional ExcavationCubic Yards3,900$ FORMTEXT ?????$ FORMTEXT ?????C-7Demolish and Replace Existing Bituminous Concrete PavingSquare Yards75$ FORMTEXT ?????$ FORMTEXT ?????C-8Furnish and Install Duct Bank with 4-inch ConduitLinear Feet750$ FORMTEXT ?????$ FORMTEXT ?????C-9Furnish and Install Duct Bank with 2-inch ConduitLinear Feet750$ FORMTEXT ?????$ FORMTEXT ?????C-10Furnish and Install Duct Bank with Additional 4-inch ConduitLinear Feet1,500$ FORMTEXT ?????$ FORMTEXT ?????C-11Furnish and Install ?” Type A ConduitLinear Feet750$ FORMTEXT ?????$ FORMTEXT ?????C-12Furnish and Install ?” Type A-1 ConduitLinear Feet350$ FORMTEXT ?????$ FORMTEXT ?????C-13Furnish and Install ?” Type E-1 ConduitLinear Feet750$ FORMTEXT ?????$ FORMTEXT ?????C-14Furnish and Install No. 14 AWG Type THHN/THWN-2 ConductorLinear Feet3,000$ FORMTEXT ?????$ FORMTEXT ?????C-15Furnish and Install No. 12 AWG Type THHN/THWN-2 ConductorLinear Feet1,500$ FORMTEXT ?????$ FORMTEXT ?????C-16Furnish and Install No. 10 AWG Type THHN/THWN-2 ConductorLinear Feet750$ FORMTEXT ?????$ FORMTEXT ?????C-17Furnish and Install No. 16 AWG TSP Instrumentation CableLinear Feet750$ FORMTEXT ?????$ FORMTEXT ?????C-18Furnish and Install 30A, 3P Non-Fused Disconnect Switches with NEMA 4X EnclosuresEach4$ FORMTEXT ?????$ FORMTEXT ?????TOTAL CONTINGENCY BID PRICE (ITEM C-1 THROUGH C-18)$ FORMTEXT ?????TOTAL BID PRICE (BASE BID + ALLOWANCE + CONTINGENCY ITEMS)$ FORMTEXT ?????*Quantities are estimates.**Allowance and contingency items may or may not be used. By submitting a bid in response to this solicitation, the bidder certifies that their firm is not debarred, suspended, or otherwise ineligible for participation in government procurement by the federal government, the State of Maryland, or any other state, county, or municipal government.The undersigned has caused this bid to be executed as of the day and year indicated above. FORMTEXT ?????(Printed Name)(Signature) FORMTEXT ????? FORMTEXT ?????(Title)(Email) FORMTEXT ????? FORMTEXT ?????(Phone)(Fax) ................
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