SECTION 00 4116
BID FORM
The Bid Form must be submitted online through the State’s IMPACS Electronic Procurement
System.
RFB #950200-01
BID FORM for CONSTRUCTION CONTRACT
for
Mount Pleasant Correctional Facility
1200 E Washington Street, Mt Pleasant, Iowa
Project 9502.00
Iowa Department of Administrative Services
Hoover State Office Building, Level 3
1305 East Walnut Street
Des Moines, Iowa 50319-0105
The following information is to be completed and submitted with your bid..
1. Bid Form - Completed and Signed (to be uploaded with bid submission)
2. Non Discrimination Clause Information
3. Contractor Targeted Small Business Enterprise Pre-Bid Contract Information
4. Bid Security – 5% of total Bid amount (to be uploaded with bid submission)
Authorized Representative:
The undersigned Bidder, in response to your Request for Bid for construction of the above project, having
examined the Drawings, Specifications, and other Bidding Documents dated January 27th, 2026, and
Addenda issued and acknowledged below as received and being familiar with all the conditions
surrounding the construction of the proposed project including the availability of materials and labor,
hereby proposes to furnish all labor, materials, equipment and supplies to perform all work to construct the
project in strict accordance with the proposed Contract Documents, within the time and at the prices stated
below. Prices are to cover all expenses incurred in performing the work required under the proposed
Contract Documents, of which this bid is a part.
Bidder acknowledges receipt of the following Addenda which are a part of the Bidding Documents and for
which any effect on cost of the Work is included in the bid amounts indicated:
Number ________ ________ ________ ________ ________
Dated
________ ________ ________ ________ ________
Note that the State of Iowa is exempt from State and Local sales and use taxes (including local option
and school option) for this project. Taxes on construction materials shall NOT be included in the bid
amounts.
PROJECT 9502.00
BID FORM
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Amounts shall be indicated in both words and figures. In case of discrepancy, the amount indicated in
words shall govern.
BID PACKAGES:
BP 01
Description: All material, labor, and equipment associated with all work shown on the contract documents
complete, including the plans and specifications. Base bid to include welded stainless steel piping for
domestic hot water and hot water recirculation main piping, grooved stainless steel piping for domestic
cold water main piping, and threaded stainless steel for new branch piping up to the new branch ball
valve (bronze bodied). All piping shall be insulated using fiberglass insulation with all service jacket and
PVC fitting covers.
Bidder proposes and agrees to perform all work as described in the Construction Documents for the sum
of:
($___________________________).
Dollars
ALTERNATES:
ALT 01
Description: Contractor shall use colorless PEX-a piping with cold expansion fittings and insulated with
elastomeric foam insulation for all domestic hot water and hot water recirculation piping and domestic
cold-water branches up to the new branch ball valve (bronze bodied). Domestic cold water mains shall be
grooved stainless steel piping insulated with fiberglass insulation with all service jacket and PVC fitting
covers. The use of PEX piping will necessitate an increase in hot water recirculation piping from 1.25" to
2.5" and from 2" to 3". See alternate drawings within the construction documents for PEX necessitated
piping changes.
Bidder proposes and agrees to perform all work as described in the Construction Documents for the sum
of:
($___________________________).
Dollars
ALT 02
Description: Piping materials and scope of work are as specified in the Base Bid. All piping outside of the
tunnel shall be insulated using fiberglass insulation with all service jacket and PVC fitting covers, and
piping within the tunnel shall be insulated using elastomeric foam insulation.
Bidder proposes and agrees to perform all work as described in the Construction Documents for the sum
of:
($___________________________).
Dollars
PROJECT 9502.00
BID FORM
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Bidder hereby certifies that:
1. This bid is genuine and is not made in the interest of or on behalf of any undisclosed person, firm
or corporation;
2. Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham
bid; Bidder has not solicited or induced any person, firm or corporation to refrain from bidding;
and Bidder has not sought by collusion to obtain any advantage over any other bidder or over the
Owner.
3. Bidder hereby certifies that the Bidder is registered with the Iowa Labor Commissioner as a
Contractor as required by Chapter 91C, Code of Iowa.
4. Bidder agrees to comply with all Federal and State Affirmative Action/Equal Employment
Opportunity requirements concerning fair employment and will not discriminate between or
among them by reason of race, color, religion, sex, national origin or physical handicap.
5. All construction under this Contract shall conform to the requirements of the Iowa State Building
Code.
6. Bidder agrees that this bid shall remain valid and shall not be withdrawn for a period of thirty (30)
calendar days after the date for receipt of bids.
7. Bidder agrees that if written notice of acceptance of this bid is mailed, emailed, or delivered to the
undersigned within thirty (30) days after the date in which bids are due, or at any time thereafter
before it is withdrawn, the undersigned will sign and return the Contract Agreement, prepared in
accord with the Bidding Documents and this bid as accepted; and will also provide proof of
insurance coverage and required surety bonds.
8. Bidder understands that the Owner reserves the right to reject any and all bids, and to waive
irregularities or informalities and enter into a contract for the work, as the Owner deems to be in
the best interest of the State.
9. Bidder understands that the Owner reserves the right to accept any, or no, Alternate Bid, if
requested, and that the Alternate Bids may be considered in any order or combination, and the
low Bidder shall be determined on the basis of the sum of the base bid and any Alternate(s)
accepted.
Subcontractors:
The Trade Contractor must identify all Subcontractors and Suppliers within 48 hours of the published date
and time for which bids must be submitted, in accordance with Iowa Code Section 8A311, as amended by
House File 646 in 2011. Subcontractors and suppliers may not be changed without the approval of the
Owner. Requests for changing a Subcontractor or supplier must identify the reason for the proposed
change, the name of the new Subcontractor or supplier, and the change in the subcontractor or supplier
price as a result of the change. Any reduction in subcontractor or supplier price as a result of the change,
if the change is approved by the Owner, shall be deducted from the Trade Contract Price via a deductive
Change Order. Any such changes, if approved by the Owner, which result in an increase in the Trade
Contract Price shall be borne by the Trade Contractor.
Enforcement of Reciprocal Resident Bidder Preference, per Iowa Code 73A.21.
All bidders shall either check the box next to “Resident Bidder” or check the box next to
“Nonresident Bidder” and by doing so and signing thereafter certifies and attests to the same. All
information requested must be provided. Seek out the advice of an attorney if you have questions.
“Resident Bidder” means a person or entity authorized to transact business in of the State of Iowa
and having a place of business for transacting business within the State of Iowa at which it is conducting
and has conducted business for at least three years prior to the date of the first advertisement for the
public improvement. Note, however, that if a nonresident bidder’s state or foreign country has a more
stringent definition of a resident bidder, the more stringent definition is applicable as to bidders from that
state or foreign country.
Resident Bidder
PROJECT 9502.00
BID FORM
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Name of Resident Bidder: ___________________________
By: _____________________________________
Authorized Agent and Signatory of Resident Bidder
OR:
Nonresident Bidder
Name of Nonresident Bidder: ___________________________
Name of State or Foreign Country of Nonresident Bidder: ___________________________
Particularly identify and describe any preference, labor preference, or any other type of preferential
treatment, in effect in the nonresident bidder’s state or foreign country at the time of this bid:
____________________________________________________________________________________
____________________________________________________________________________________
___________________________________________
NOTICE: Nonresident Bidders domiciled in a state or country with a resident labor force preference shall
make and keep, for a period of not less than three years, accurate records of all workers employed on the
public improvement. The records shall include each worker’s name, address, telephone number when
available, social security number, trade classification, and the starting ending time of employment.
By: ________________________________________
Authorized Agent and Signatory of Nonresident Bidder
REQUIRED: Bid Form shall be signed by an officer of the company with authority to bind in a
contract. Notice of acceptance of this bid, or request for additional information by the Department of
Administrative Services, may be addressed to the undersigned at the address set forth below:
Legal Name of Firm: ____________________________________________________________
Date: _________________________________________________
Signature of Bidder: ____________________________________________________
Title: ______________________________________________________
Typed Name of Signatory: _____________________________________________________
Email: _______________________________________
Business Address:
_____________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Telephone Number: ____________________ Fax Number: ____________________
Federal Tax Identification Number: ____________________
Iowa Contractor Registration Number: _________________________
Bidder Safety Manager Name:_______________________________
PROJECT 9502.00
BID FORM
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For an out-of-state Bidder, Bidder certifies that the Resident Preference given by the State or
Foreign Country of Bidder’s residence, _________________________, is _______ %.
END OF SECTION
PROJECT 9502.00
BID FORM
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This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.