To all Bidders on the Project Titled: ADDENDUM NO. 2 December 10, 2015 Bid# CL16-HT-0037 Emergency Generator Pre-Purchase UNIVERSITY OF MASSACHUSETTS Lowell Purchasing Department Wannalancit Business Center 600 Suffolk Street, Rm 415 Lowell, MA 01854 Reference Contract Documents (drawings and specifications) dated: 11/30/15 The attention of bidders submitting proposals for the above subject project is called to the following addendum to the specifications and drawings. The items set forth herein, whether of omission, addition, substitution, or clarifications are all to be included in and form part of the proposal submitted. THE NUMBER OF THIS ADDENDUM (2) MUST BE ENTERED IN THE APPROPRIATE SPACE B PROVIDED AFTER THE WORD NUMBERS OF THE CONTRACT FORM ENTITLED FORM FOR GENERAL BID, AND IN SPACE B OF THE FORM FOR SUB-BID. Clarifications: Attached are documents to be included with CL16-HT-0037 Bid Package. Attachments: Company Information and Signature Required form Certificate of Non Collusion form Statement of State Tax Compliance form Business Reference form Bid Form (Attachment A) All other of the portions of the Contract Documents remain unchanged. Please be reminded to acknowledge this Addendum on the bid forms. --End of Addendum No.2
Company information and signature required Company Name: Company Address: Tel. # Fax # Are you Woman Owned Business Minority Owned Business Individual/Sole Proprietorship Partnership Government Non-profit Organization Corporation Disadvantaged Business Other (specify) Tax I.D./ FEIN # - - or S.S.N.# (if individual) - -. Signature of owner or authorized officer*: Please print name: Title: Date submitted: / / *must be signed in ink Page 5 of 9
CERTIFICATE OF NON COLLUSION The undersigned certifies under penalties of perjury that this Bid or Proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word person shall mean any natural person, business, partnership, corporation, union, committee, club or other organization, entity or group of individuals. Contracting Party / Company Name Authorized Signature (must be in ink and signed by the person submitting the bid) Title Date UMASS Lowell $25K-$100K CERTIFICATE OF NON COLLUSION 5/2006 Page 1 of 1
STATEMENT OF STATE TAX COMPLIANCE Pursuant to M.G.L. Chapter 62C, 49A as amended by Chapter 233 of the Acts of 1983, Section 36, I Name and Title authorized signatory for Contracting Party / Company Name whose principal place of business at Street Address City/Town State Zip Code do hereby certify under the pains of penalties of perjury that Company Name has complied with all laws of the Commonwealth relating to taxes. Contracting Party Social Security or Federal I.D. Number Authorized Signature (must be in ink) Date STATEMENT OF STATE TAX COMPLIANCE Page 1 of 1
Business Reference Form Company Name: 1. Reference Name: Contact Person: Address: Tel Number: Description and Dates of Services Provided: 2. Reference Name: Contact Person: Address: Tel Number: Description and Dates Services Provided: 3. Reference Name: Contact Person: Address: Tel Number: Description and Dates of Services Provided: Must list all jobs performed in a similar scope in the past 3 years. References will be contacted to confirm Bidder s abilities, qualifications and performance. The University may deem the Bidder s response unresponsive if a reference is not obtainable from listed reference after reasonable attempts. CL16-HT-0037 Pre-Purchase Emergency Generator Page 6
ATTACHMENT A BID FORM BID # CL16-HT-0037 UNIVERSITY OF MASSACHUSETTS LOWELL Pricing: Emergency Generator System with accessories $ $ TOTAL PRICE $ *Total Price must include the delivery and warranty as stated in the bid* The Bid includes Addenda numbered In addition to the bid amounts stated above, we agree to abide by all the terms and conditions set out in the Bid. Vendor Address The awarding Contractor must agree to comply with all applicable Prevailing Wage Rates. By signing this form, the Contractor agrees to pay the applicable Prevailing Wage Rate. CL16-HT-0037 Pre-Purchase Emergency Generator Page 7