Provide Security Guard Services for Honolulu Community College

IFB NO. 27-6057
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MANDATORY BID FORM
Bidders must download The Mandatory Bid Form in its entirety (open, save, or print
documents(s) on their own computer system), enter pricing where indicated, complete any
other required information, sign all appropriate forms, and attach (upload) the completed
Mandatory Bid Form to their HIePRO online bid submission.
BID CHECKLIST
THE FOLLOWING ITEM IN THIS TABLE MUST BE ADDRESSED AND THE COMPLETED
BID CHECKLIST SHALL BE UPLOADED WITH THE BIDDERS HIEPRO SUBMISSION.
REQUIREMENT DESCRIPTION ACTION REQUIRED COMPLETE
Review Notice to Bidders Read and understood
Bid Requirements Read and understood
Technical Specifications Read and understood
Special Provisions Read and understood
Bid Checklist Complete and attach to HIePRO
Bid Price List Complete, sign, and attach to HIePRO*
Wage Certification Complete, sign, and attach to HIePRO
Information Required from Bidder Complete, sign, and attach to HIePRO
Business Classification Statement Complete, sign, and attach to HIePRO
Bid Signature Page Complete, sign, and attach to HIePRO
* The University is not responsible for any errors in bid calculations or extensions not attributed to
a system error
MANDATORY BID FORM

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BID PRICE LIST
Description Est. Man- Man-Hour Total Amount
Hours Rate
Security Officer I (BU 03,
SR-14), as per the 1,936 hours x $__________ = $________________
Technical Specifications.
Price shall be per man-hour net, including all insurance costs, equipment costs, uniform costs,
overhead, profit, any other direct or indirect costs, and all applicable taxes.
MANDATORY BID FORM

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WAGE CERTIFICATE
Description of Project: ___________________________________________________
__________________________________________________________________________
__________________________________________________________________________
(To be filled in by prospective bidder)
Pursuant to Section 103-55, HRS, I hereby certify that if awarded the contract in excess
of $25,000, the services to be performed will be performed under the following conditions:
1. The services to be rendered shall be performed by employees paid at wages or
salaries not less than wages paid to the public officers and employees for similar work, if
similar positions are listed in the classification plan of the public sector.
2. All applicable laws of the Federal and State governments relating to worker's
compensation, unemployment compensation, payment of wages, and safety will be fully
complied with.
I understand that all payments required by Federal and State laws to be made by
employers for the benefit of their employees are to be paid in addition to the base wages
required by Section 103 55, HRS.
Bidder: ______________________________
Signature: ____________________________
Title: ________________________________
Date: ________________________________
MANDATORY BID FORM

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INFORMATION REQUIRED FROM BIDDER
Bidder is required to furnish the following information as part of the bid submittal. The University
reserves the right to reject the bid submitted by any bidder who does not provide complete information,
whose performance on other jobs has been unsatisfactory, and who does not demonstrate that they
can comply with the terms and conditions of the bid. The bidder may be required to submit supporting
documentation within SEVEN (7) calendar days from the request of the University which indicates that
all of the minimum requirements listed below are met.
1. Place of Business in Hawai'i: __________________________________________
Name of Company
__________________________________________
Street Address
__________________________________________
City, State, and Zip
2. Bidder's Principal Location: __________________________________________
(if different from place of business) Street Address
__________________________________________
City, State, and Zip
3. Bidder is licensed to perform guard services in Hawai'i: ___Yes ___No
License No. _____________ (must be licensed at the time of bid submittal)
4. Number of years of experience in providing security guard services: __________
5. Has a minimum of FIVE (5) consecutive years of experience at institutions of higher education?
___Yes ___No
6. Number of guards regularly employed in Hawai'i by the bidder: ___________
7. References (Firms where guard services are/were provided)
Name of Firm Address Contact Person Phone Number
1.
2.
3.
_______________________________________ ____________________________________
PRINTED NAME OF COMPANY REPRESENTATIVE SIGNATURE OF COMPANY REPRESENTATIVE
_______________________________________ ____________________________________
TITLE OF COMPANY REPRESENTATIVE DATE
_______________________________________
CONTACT TELEPHONE NUMBER
MANDATORY BID FORM

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(IF BY INDIVIDUAL) NAME (Signature) TYPED NAME
D.B.A.
___________________________
FEDERAL TAXPAYER ADDRESS
IDENTIFICATION NUMBER
CITY STATE ZIP CODE
______________________________
EMAIL ADDRESS TELEPHONE NUMBER FAX NUMBER
(IF BY PARTNERSHIP) OFFICIAL/LEGAL NAME OF FIRM
___________________________
FEDERAL TAXPAYER NAME (Signature) TYPED NAME
IDENTIFICATION NUMBER
PARTNER
______________________________
EMAIL ADDRESS ADDRESS
CITY STATE ZIP CODE
TELEPHONE NUMBER FAX NUMBER
(IF BY CORPORATION) OFFICIAL/LEGAL NAME OF COMPANY
___________________________
FEDERAL TAXPAYER
IDENTIFICATION NUMBER
*OFFICER (Signature) TYPED NAME
______________________________
EMAIL ADDRESS TITLE
ADDRESS OF COMPANY
CITY STATE ZIP CODE
TELEPHONE NUMBER FAX NUMBER
(SEAL)
IF LICENSED OR INCORPORATED TO DO BUSINESS WITHIN THE STATE OF HAWAII AND SUBJECT TO THE
PROVISIONS OF THE HAWAII GENERAL EXCISE TAX LAWS, INDICATE GENERAL EXCISE TAX LICENSE NUMBER
__________________________.
*For Corporations include evidence of the authority of this officer to submit a bid on behalf of the corporation, giving also, the address and names
and addresses of the other officers.
NOTE: FILL IN ALL BLANK SPACES WITH INFORMATION ASKED FOR OR BID MAY BE INVALIDAT
MANDATORY BID FORM

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BUSINESS CLASSIFICATION CERTIFICATION STATEMENT
CONTRACTORS: Please complete the information below. Terms used are taken from the U.S. Small
Business Administration (SBA) Rules and Regulations (https://www.sba.gov/) and the U.S. Code of Federal
Regulations (CFR). The term "controlled" refers to the management and daily operation of the business concern.
The company identified below (check all that apply):
1. IS NOT a small business concern as defined in the regulations
(If you checked here, STOP. GO TO CERTIFICATION BELOW.)
IS a small business concern, defined as one that is independently owned and operated,
is organized for profit, is not dominant in its field, meets the SBA size standard eligibility
(see reverse side of this form for examples of size standards), is registered and has its
status represented in the U.S. Government's System for Award Management (SAM)
database. See http://www.sba.gov/content/what-sbas-definition-small-business-concern.
2. IS a small disadvantaged business concern of which at least 51% is unconditionally and
directly owned and controlled by one or more socially disadvantaged and economically
disadvantaged persons who are U.S. citizens. See 13 CFR 124.105 for exceptions.
3. IS a women-owned small business concern of which at least 51% is unconditionally and
directly owned and controlled by one or more women who are U.S. citizens. See 13 CFR
127.
4. IS a HUBZone small business concern that meets the certification eligibility
requirements set by the U.S. SBA. See 13 CFR 126.
5. IS a veteran-owned small business concern of which at least at least 51% is
unconditionally and directly owned by one or more veterans or service-disabled veterans.
See 38 CFR 74.
6. IS a service-disabled veteran-owned small business concern of which at least 51% is
unconditionally and directly owned by one or more service-disabled veterans. In the case
of any publicly owned business, not less than 51% of the stock of which is owned by one or
more service-disabled veterans. The management and daily business operations of which
are controlled by one or more service-disabled veterans, or in the case of a veteran with a
permanent and severe disability, a spouse or permanent caregiver of such veteran. See 13
CFR 125.11 et al.
CERTIFICATION
I hereby certify the information supplied herein to be true and correct. (Any misrepresentation shall be subject to
the provisions stated in item B on the next page.)
Company Name:
Signature of Company Officer
Company Address: Print Name:
Title:
Date:
Type of Goods/Services:
North American Industry Classification System (NAICS) Code:
MANDATORY BID FORM

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A. A small business concern is one that is independently owned and operated, is organized for profit, is not
dominant in its field, has a place of business in the U.S., and operates primarily within the U.S. or makes
a significant contribution to the U.S. economy. Size standard eligibility is based on the average number of
employees for the preceding 12 months or on sales volume averaged over a 3-year period. See 13 CFR
121.201 for size standards identified by NAICS codes. The size standards for a few industries are shown
below and are subject to change at any time.
1. SPECIALTY TRADE CONTRACTORS - "Small" if average annual receipts for preceding 3 years do
not exceed $15 million.
2. CONSTRUCTION, GENERAL CONTRACTORS - "Small" if average annual receipts for preceding 3
years do not exceed $36.5 million.
3. MANUFACTURING - "Small" if 500 employees or less, except for some specific products which will
increase the complement of employees to 750 or 1,000.
4. TRANSPORTATION - "Small" if average annual receipts for preceding 3 years do not exceed the
amount shown for specific services.
$27.5 million - general freight trucking, local.
5. WHOLESALE TRADE, DURABLE AND NON-DURABLE GOODS - "Small" if 100 employees or less.
6. RETAIL TRADE - "Small" if average annual receipts for preceding 3 years do not exceed the amount
shown for specific products.
$7.5 million - hardware stores.
7. SERVICES - "Small" if average annual receipts for preceding 3 years do not exceed the amount
shown for specific services:
a) $27.5 million - computer systems design services, custom computer programming services
$20.5 million - security guards and patrol services
b) $18 million - janitorial services
c) $38.5 million - passenger car rental
d) $32.5 million - office machinery and equipment rental & leasing
e) $7.5 million - general automotive repair
Annual receipts of a concern which has been in business for less than 3 complete fiscal years means the
total receipts for the period the concern has been in business divided by the number of weeks in
business, multiplied by 52. See 13 CFR 121.104.
B. Notice. Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small business
concern, a qualified HUBZone small business concern, a small business concern owned and controlled
by socially and economically disadvantaged individuals, or a small business concern owned and
controlled by women in order to obtain a contract to be awarded under the preference programs
established pursuant to 15 U.S.C. sections 637(a), 637(d), 638, 644, or 657(a), shall:
1. Be punished by imposition of fine, imprisonment, or both;
2. Be subject to administrative remedies including suspension and debarment; and
3. Be ineligible for participation in a program conducted under the authority of the Small Business
Investment Act of 1958.
MANDATORY BID FORM