CONSOLIDATED SCHOOL DISTRICT 158 ADDENDUM NO. 2 TO THE SPECIFICATIONS FOR FURNITURE BID # /19/14

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1 To All Bidders: Following is Addendum No. 2 for the Bid Specifications for Furniture Bid # for Consolidated School District 158. This Addendum includes a revised bid form which is to be utilized for delivery of a complete bid. The due date for bids to be received remains the same3:00 p.m. prevailing time, on June 2, We look forward to seeing you at the bid opening. Sincerely, Douglas Renkosik Director of Operations and Maintenance Addendum No Bidders are asked to provide a base bid to include 100 student desks and 100 student chairs as specified in the bid specification 2. Bidders are asked to provide an alternate bid to include 150 student desks and 150 student chairs as specified in the bid specification 3. Attached is a part of this Addendum is a revised bid form. Page 1 of 8

2 Bid Form Page 1 of 7 BID FORM TO: SCHOOL DISTRICT # Academic Drive Algonquin, IL D.H.R. # FROM: (Company Name) FOR: Furniture Bid # BASE BID A All specified Columbia Furniture Including 100 desks, 100 chairs, delivery, set-up, and clean-up Manufacturer and model of equipment included in bid price are: Student desks Student chairs BASE BID B All specified Stevens utility cabinets Including 10 utility cabinets, delivery, set-up, and clean-up Manufacturer and model of equipment included in bid price are: Utility Cabinet COMBINED BID A all specified furniture in Base Bid A and Base Bid B Including delivery, set-up, and clean-up ALTERNATE BID A All specified Columbia Furniture Including 150 desks, 150 chairs, delivery, set-up, and clean-up Manufacturer and model of equipment included in bid price are: $ Student desks Student chairs COMBINED BID B all specified furniture in Alternate Bid A and Base Bid B Including delivery, set-up, and clean-up $ Bidder agrees to complete work within weeks after contract is awarded Optional Performance and payment Bonds cost: Base Bid A Base Bid B Combined Bid A Alternate Bid A Combined Bid B Addendum(s) No(s) thru have been received and are duly noted Page 2 of 8

3 Bid Form Page 2 of 7 BID FORM(continued) If Bidder Product deviates from specifications in any manner, the Bidder must spell out specific deviations on attachment to bid. I have carefully examined the instructions and specifications and have examined the site where the work is to take place. If awarded a contract within sixty (60) days, I agree to furnish all labor and materials required to complete the work described in these documents in accordance with the terms that have been outlined. Company Name By (Sign Name) Address Title City, State Zip Code ( ) ( ) Telephone No. Fax No. Page 3 of 8

4 Bid Form Page 3 of 7 CERTIFICATE OF ELIGIBILITY TO BID (contractor), pursuant to Section 33E-11 of the Illinois Criminal Code of 1961 as amended, hereby certifies that neither (he, she, it) nor any of (his, her, its) partners, officers, or owners of (his, her, its) business has been convicted in the past five (5) years of the offense of bidrigging under Section 33E-3 of the Illinois Criminal Code of 1961 as amended and that neither (he, she, it) nor any of (his, her, its) partners, officers or owners of (his, her, its) business has ever been convicted of the offense of bid-rotating under Section 33E-4 of the Illinois Criminal Code of 1961 as amended. Date Name of Contractor/Company Street Address City, State, Zip Title of Officer Name of Officer (Please Print) Signature of Officer Page 4 of 8

5 Bid Form Page 4 of 7 Certificate of Compliance To the Illinois Department of Human Rights Regulations For this bid to receive consideration by the Board of Education of School District #158, Huntley, Illinois, the following certificate must be signed by an official of your company and returned with your bid. This is to certify that our company is in compliance with the provisions of the Illinois Department of Human Rights Regulations. Signed : By: Title: Signature Printed Name Date: Page 5 of 8

6 Bid Form Page 5 of 7 Certificate of Compliance with the Illinois Prevailing Wage Law TO: Mr. Doug Renkosik Director of Operations and Maintenance SCHOOL DISTRICT 158 Dear Mr. Renkosik, This letter is to certify that Name of Company is in compliance with Chapter 48 and all amendments pertaining to the payment of prevailing wages (as established by the Department of Labor) to all laborers, workers and mechanics performing work under this contract. Official Address: City, State County Date Signature Title Telephone Number (with area code) Sworn and subscribed on the day of, 20, before me, notary public, appointed in County for the State of IL Signature of Notary Name Typed or Printed (seal) My commission expires: Month Day Year City of Residence County Page 6 of 8

7 . CONSOLIDATED SCHOOL DISTRICT 158 Bid Form Page 6 of 7 CONSOLIDATED SCHOOL DISTRICT 158 HOLD HARMLESS AGREEMENT By signing this Hold Harmless Agreement, the bidder certifies that to the fullest extent permitted by law, the bidder agrees to defend, pay in behalf of, and hold harmless Consolidated School District 158 and its elected and appointed officials, employees and volunteers and others working in behalf of Consolidated School District 158; against any and all claims, demands, suits, loss, including all costs connected therewith, for any damages which may be asserted, claimed or recovered against of from Consolidated School District 158, its elected and appointed officials, employees, volunteers and others working in behalf of Consolidated School District 158, by reason of personal injury, including bodily injury and death; and/or property damage, including loss of use thereof, which arises out of or is in any way connected or associated with this contract. Company Name By (Sign Name) Address Title Sworn and subscribed on the day of, 2010, before me, notary public, appointed in County for the State of IL Signature of Notary Name Typed or Printed (seal) My commission expires: Month Day Year City of Residence County Page 7 of 8

8 Bid Form Page 7 of 7 Name of Contractor (Bidder) REFERENCE SHEET Please submit the names of the last five projects done for four or five different School Districts, Colleges or Companies for whom you have done similar work in the last four years. 1. Name Telephone 2. Name Telephone 3. Name Telephone 4. Name Telephone 5. Name Telephone Page 8 of 8