Appendix H
BID PROPOSAL FORM
TO:John Nolan, Jr., DPW/Chief of Special Projects
Department of Public Works
165 Capitol Avenue Rm. 445
Hartford, CT 06106
FOR:Air Conditioning Upgrade
Chief Medical Examiner's Office
Farmington, CT
Project: BI- ME-014
DATE:______
FROM:______
______
______
______
In compliance with the Instructions to Bidders & Conditions of Bid; and subject to all conditions thereof, the undersigned offers and agrees to furnish the labor and materials and to complete work called for by the project’s plans and specifications within the allotted time ( 100 ) calendar days) for the Lump Sum of:
______DOLLARS ($______).
The General Contractor on this project will be required to perform not less than ( 50% ) of the completed dollar value of the work with its own forces.
I (we), the undersigned, hereby declare that I am (we are) the only person(s) interested in this proposal: That it is made without any connection with any other person making any bid for the same work: that no person acting for, or employed by, the State of Connecticut is directly or indirectly interested in this proposal, or in any contract which may be made under it, or in expected profits to arise therefrom; that this proposal is made without directly or indirectly influencing or attempting to influence any other person or corporation to bid or to refrain from bidding or to influence the amount of the bid of any other person or corporation: that this proposal is made in good faith without collusion or connection with any
other person bidding for the same work; and that this proposal is made with distinct reference and relation to the plans and specifications prepared for this contract.
I (we) further declare that in regard to the conditions affecting the work to be done
and the labor and materials needed, this proposal is based solely on my (our) own investigation and research and not in reliance upon any representations of any employee, officer or agent of the State.
Contractor Owner/Officer ______Date: ______
Title ______
Address ______
City, State Zip ______
(AFFIX CORPORATE SEAL)
*** END OF SECTION - BID FORM ***
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