Construction Services

STATE OF MISSOURI
Bid Time: 1:30 PM
Bid Date: _____________
All bid documents shall be emailed to FMDCBids@oa.mo.gov
SECTION 004113 - BID FORM
1.0 BID
A. From: ________________________________________________________________________
(Bidder's Company Name)
Sole Proprietorship/General Partnership LLC Limited Partnership Corporation Joint Venture
Address:___________________________________________________________________________________
City, State, Zip ______________________________________________________________________________
Phone: ________________________ Email: ______________________________________________________
Federal ID Number: _________________________ Missouri Business Charter Number:____________________
Contact Name: _______________________________Contact email: ____________________________________
The contractor must maintain a physical presence (Not P.O. Box) within the geographical area covered by this
Contract:
Physical Office Address:______________________________________________________________________
City, State, Zip _____________________________________________________________________________
herein after called the "Bidder".
B. To: Director, Division of Facilities Management, Design and Construction
Room 730, Harry S Truman State Office Building
301 West High Street
Jefferson City, Missouri 65101
herein after called the "Owner."
C. For: Construction Services
Central Region
D. Project Number: IDIQMCA-6008
E. Documents: The undersigned, having examined and being familiar with the local conditions
affecting the work and with the complete set of contract documents, including the
Invitation For Bid, Instructions To Bidders, Statement of Bidders Qualifications,
General Conditions, Supplement to General Conditions, and the technical
specifications, including: addenda number _______ through _______ hereby
proposes to perform the Work for the following:
F. Bid Amount:
The bidder must state a firm, fixed percent of net cost the bidder shall charge in addition
to the bidder's net cost for providing materials and supplies in accordance with the
requirements stated herein .
_____________percent of net cost of materials and supplies.
SECTION 004113 - BID FORM 1
11/2025

The bidder must state a firm, fixed percent of net cost the bidder shall charge in addition
to the bidder's net cost for providing equipment and tools in accordance with the
requirements stated herein.
_____________percent of net cost of equipment and tools.
The bidder must state a firm, fixed percent of net cost the bidder shall charge in addition
to the bidder's net cost for providing subcontractor material, supplies, equipment, and
tool costs only for those labor rates that are not included in the SECTION 004322 -
UNIT PRICES. This rate will be used in lieu of the rates listed in Article 4.1 of the
General Conditions (Section 007213)
percent of net cost for subcontractors.
The bidder must indicate below the maximum percentage of price increase or decrease
applicable to labor rates for the extension period. This increase or decrease shall be
applied to the labor rates in effect for the original year.
Extension period: _______________% maximum increase
OR
_______________% maximum decrease
2.0 CONTRACT COMPLETION TIME
A. The Bidder agrees the contract shall be in effect for a period of one year from issuance date of the Notice to
Proceed. A one-year option period will be available for exercise at the Owner's sole discretion.
3.0 ATTACHMENTS TO BID
004322 Unit Prices --- Please utilize the fillable Excel worksheet posted to the solicitation on our
website. Requested cells are colored orange; no other cells are editable.
004338 MBE/WBE/SDVE Joint Venture Form
004340 SDVE Business Form
004541 Affidavit of Work Authorization
004545 Anti-Discrimination Against Israel Act Certification form
4.0 BIDDER'S CERTIFICATIONS
By signing and submitting this bid form, the Bidder certifies as follows:
A. No Undisclosed Interests or Associations, Collusion, or Solicitation of Other Bidders
1. This bid is genuine and is not made in the interest of or on behalf of any undisclosed person, firm, or
corporation, and is not submitted in conformity with any agreement or rules of any group, association or
corporation.
2. The Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham
proposal.
3. The Bidder has not solicited or induced any person, firm or corporation to refrain from submitting a bid.
4. The Bidder has not sought by collusion or otherwise to obtain any advantage over any other bidder or over
the Owner.
B. Accuracy of Contract Documents
The Bidder has based this bid upon an official/complete set of contract documents, either obtained from the
Owner or from a secondary source known to the Bidder to have provided a complete and accurate set of contract
documents. If the Bidder received the contract documents from such a secondary source, any errors or omissions
SECTION 004113 - BID FORM 2
11/2025

in the contract documents shall be interpreted and construed in favor of the Owner and against the Bidder. This
bid is based upon the conditions within Article 1.2 of the General Conditions.
C. Non-Discrimination
The Bidder will not discriminate against any employee or applicant for employment because of race, creed, color
or national origin in the performance of the Work.
D. Prevailing Wage
MISSOURI PREVAILING WAGE LAW (Sections 290.210 to 290.340, RSMo): The Contractor shall pay
not less than the specified hourly rate of wages, as set out in the wage order attached to and made part of the
specifications for work under this contract, to all workers performing work under the contract, in accordance
with sections 290.210 to 290.340, RSMo. The Contractor shall forfeit a penalty to the Owner of one hundred
dollars per day (or portion of a day) for each worker that is paid less than the specified rates for any work done
under the contract by the Contractor or by any subcontractor, in accordance with section 290.250, RSMo.
E. Transient Employers
The Bidder will comply with the provisions of Sections 285.230-234, RSMo, regarding transient employers.
F. Federal Work Authorization Program
The Bidder has enrolled and is participating in, and will continue to participate in, a federal work authorization
program in accordance with Sections 285.525 and 285.530, RSMo for the duration of any contract awarded
because of this bid.
G. Illegal Immigration Reform and Immigrant Responsibility Act (IIRIRA)
1. If awarded contract for this project, the Bidder/Contractor shall only utilize personnel authorized to work in
the United States in accordance with applicable federal, state and local laws. This includes, but is not limited
to, the Illegal Immigration Reform and Immigrant Responsibility Act (IIRIRA) and INA Section 274A.
2. If found to be in violation of this requirement or any applicable laws, and if the State of Missouri has
reasonable cause to believe that the Contractor has knowingly employed individuals who are not eligible to
work in the United States, the state shall have the right to cancel the contract immediately without penalty
or recourse and suspend or debar the contractor from doing business with the state.
3. The Contractor agrees to cooperate fully with any audit or investigation from federal, state or local law
enforcement agencies.
H. Anti-Discrimination Against Israel Act
1. If the awarded Contractor meets the definition of a company as defined in section 34.600, RSMo, and has
ten or more employees, the Contractor shall not engage in a boycott of goods or services from the State of
Israel; from companies doing business in or with Israel or authorized by, licensed by, or organized under
the laws of the State of Israel; or from persons or entities doing business in the State of Israel as defined in
section 34.600, RSMo.
2. If, at any time during the life of the contract, Contractor meets the definition of a company as defined in
section 34.600, RSMo, and the company's employees increases to ten or more OR the contractor's business
status changes to become a company as defined in section 34.600, RSMo, and the company has ten or more
employees, then the Contractor shall submit to the Division of Facilities Management, Design and
Construction a completed Box C of the exhibit titled "Anti-Discrimination Against Israel Act Certification,
and shall comply with the requirements of Box C.
SECTION 004113 - BID FORM 3
11/2025

5.0 SIGNATURES
FOR SOLE PROPRIETORSHIPS/GENERAL PARTNERSHIPS ONLY
________________________________ Name each general partner: ___________________________________
Sole Proprietor's Name (printed)
___________________________________
___________________________________
Today's Date: _______________
___________________________________
I, ______________________, being the sole proprietor/general partner of (name of business)
____________________________ (and if the name of said business is other than my legal name, having filed a
Registration of Fictitious Name with the Missouri Secretary of State in order to allow me to use such name in
connection with my business, as provided by Section 417.200, RSMo, et seq.), do hereby submit this bid and agree to be
bound unto the State of Missouri as herein provided (if a general partnership, all partners must sign below).
Signature: ___________________________________ Signature: _____________________________________
Signature: ___________________________________ Signature: _____________________________________
FOR LIMITED LIABILITY COMPANIES ONLY
_______________________________________________ today's date _______State(s) of organization: ______________
Manager's (or Managing Member's) Name (printed)
I, _____________________________, being the Manager (or Managing Member) of (full legal name of limited
liability company from Articles of Organization) ___________________________________, and being duly
authorized to act as herein provided on behalf of said limited liability company, do hereby submit this bid on behalf of
said limited liability company and agree that said limited liability company shall be bound unto the State of Missouri as
herein provided.
Signature: _________________________________
FOR LIMITED PARTNERSHIPS/LIMITED LIABILITY PARTNERSHIPS/LIMITED LIABILITY LIMITED
PARTNERSHIPS ONLY
________________________________________ today's date: __________State(s) of organization: _______________
General/Managing Partner's Name (printed)
I, _____________________________, being the General Partner/Managing Partner of (full legal name of limited
partnership/limited liability partnership/limited liability limited partnership from partnership agreement or Certificate of
Limited Partnership) ______________________________, and being duly authorized to act as herein provided on
behalf of said limited partnership/limited liability partnership/limited liability limited partnership, do hereby submit this
bid on behalf of said limited partnership/limited liability partnership/limited liability limited partnership and agree that
said limited partnership/limited liability partnership/limited liability limited partnership shall be bound unto the State of
Missouri as herein provided.
Signature:_________________________________
SECTION 004113 - BID FORM 4
11/2025

FOR CORPORATIONS ONLY
____________________________ ____________________________ _________________________
President's Name (printed) Secretary's Name (printed) Today's date
State(s) of incorporation: ____________________________________________
I, _____________________________, being the (officer or title) ________________________ of (full legal name of
corporation, from Articles of Incorporation) ________________________________________, and being duly
authorized by the Board of Directors of said corporation to act as herein provided on behalf of said corporation, do
hereby submit this bid on behalf of said corporation and agree that said corporation shall be bound unto the State of
Missouri as herein provided.
Signature: __________________________________ Attested by:____________________________________
President Corporate Secretary
The President should sign as the bidder. If the signator is other than the corporate president, the bidder must provide satisfactory evidence
that the signator has the legal authority to bind the corporation.
FOR ASSOCIATIONS/JOINT VENTURES
If multiple business entities/individuals are bidding collectively as an association or joint venture, each business
entity/individual bidding as part of the association or joint venture shall sign this bid in the above sections relevant to
the form that such business entity or individual does business, and the bidder shall duplicate the necessary number of
signature pages so that all members of the association or joint venture shall sign this bid. If a name is adopted for use
by the association or joint venture, the association or joint venture shall file a Registration of Fictitious Name with the
Missouri Secretary of State in order to use such name in connection with the association or joint venture, as provided by
Section 417.200, RSMo, et seq.
SECTION 004113 - BID FORM 5
11/2025

SECTION 004338 - MBE/WBE/SDVE ELIGIBILITY DETERMINATION FORM FOR JOINT
VENTURES
Project Name: Project No.:
If bidder is a joint venture, this form shall be completed and submitted with the bid submittal to the Missouri State Division of
Facilities Management, Design and Construction.
1. Joint Venture Firm: ____________________________________________________________________________
(Name)
____________________________________________________________________________
(Address) (City, State, Zip Code)
____________________________________________________________________________
(Phone Number) (Fax Number)
2. In order to be counted toward project MBE/WBE/SDVE goals, the MBE/WBE/SDVE partner(s) must be currently certified by a
State of Missouri public entity or have proof of SDVE eligibility. Identify the firms which comprise the joint venture and include
a copy of the certification of each MBE/WBE/SDVE firm included in the joint venture.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
(a) Describe the role of each MBE, WBE, or SDVE firm in the joint venture:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
(b) Briefly describe the experience and business qualifications of each non-MBE/WBE/SDVE co-venturer:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. What is the claimed percentage of MBE/WBE/SDVE ownership in the joint venture?
__________________________________________________
4. Ownership of joint venture. Attach a copy of the joint venture agreement. (The following need not be filled in if
described in the joint venture agreement)
(a) Description of profit and loss sharing:
_____________________________________________________________________________________________
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
SECTION 004338 - MBE/WBE/SDVE ELIGIBILITY DETERMINATION FORM FOR JOINT VENTURES
07/16 Page 1 of 3

(b) Description of capital contributions, including equipment:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
(c) Description of other applicable ownership interests:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
6. Control of, and participation in, this contract. Identify by name, race, sex, and "firm" those individuals (and their
titles) who are responsible for day-to-day management and policy decision making including, but not limited to, those
with prime responsibility for:
Financial Decisions Management Decisions Estimating Marketing Sales
Hiring (of management) Firing (of management) Purchase of major items or supplies
Name Race Sex Firm & Title Responsibility Management Decisions
NOTE: If after filing this information and before the completion of the joint venture's work on the contract covered by this
regulation, there is any significant change in the information submitted, the joint venture must inform the Commissioner,
either directly or if the joint venture is a subcontractor through the prime contractor.
AFFIDAVIT
"The undersigned swear that the foregoing statements are correct and include all material and information necessary to
identify and explain the terms and operation of our joint venture and the intended participation by each joint
venturer in the undertaking. Further, the undersigned covenant and agree to provide the Commissioner, Office of
Administration, current, complete and accurate information regarding actual joint venture work and the payment
therefore and any proposed changes in any of the joint venture arrangements and to permit the audit and
examination of the books, records, and files of the joint venture, or those of each joint venturer relevant to the joint
venture, by authorized representatives of the Commissioner of the Office of Administration. Any material
misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under
Federal or State laws concerning false statements."
Name of Firm: ___________________________________ Name of Firm: ______________________________________
Signature: ___________________________________ Signature: ______________________________________
Name: ___________________________________ Name: ______________________________________
Title: ___________________________________ Title: ______________________________________
Date: ___________________________________ Date: ______________________________________
SECTION 004338 - MBE/WBE/SDVE ELIGIBILITY DETERMINATION FORM FOR JOINT VENTURES
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Date: ___________________________________________
State of: ___________________________________________
County of: ___________________________________________
On this ______________________________ day of ______________________________, 20____, before me appeared
(name) ________________________________________ to me personally known, who, being duly sworn, did execute the foregoing
affidavit, and did state that he or she was properly authorized by (name of firm) ___________________________________________
to execute the affidavit and did so as his or her own free act and deed.
Notary Public: ______________________________________________ (seal)
My commission expires: ______________________________________
Date: ___________________________________________
State of: ___________________________________________
County of: ___________________________________________
On this ______________________________ day of ______________________________, 20____, before me appeared
(name) ________________________________________ to me personally known, who, being duly sworn, did execute the foregoing
affidavit, and did state that he or she was properly authorized by (name of firm) ___________________________________________
to execute the affidavit and did so as his or her own free act and deed.
Notary Public: ______________________________________________ (seal)
My commission expires: ____________________________________
SECTION 004338 - MBE/WBE ELIGIBILITY DETERMINATION FORM FOR JOINT VENTURES
07/16 Page 3 of 3

MISSOURI SERVICE-DISABLED VETERAN BUSINESS PREFERENCE FORM
Pursuant to section 34.074, RSMo, a service-disabled veteran business doing business as Missouri firm, corporation, or
individual, or that maintains a Missouri office or place of business, shall receive a three-point bonus preference in the
contract award process. The bonus preference will be calculated and applied by reducing the bid amount(s) of the eligible
service-disabled veteran business by three percent of the apparent low responsive bidder's bid. This reduction is for
evaluation purposes only, and will have no impact on the actual amount(s) of the bid or the amount(s) of any contract
awarded. In order to be eligible for the service-disabled veteran business preference, the bidder must complete and submit
this form with its bid.
Definitions (as provided by Section 34.074, RSMo):
Service-Disabled Veteran: any individual who is disabled as certified by the appropriate federal agency responsible for the
administration of veterans' affairs.
Service-Disabled Veteran Business: a business concern:
a. not less than fifty-one (51) percent of which is owned by one or more service-disabled veterans or, in the case
of any publicly owned business, not less than fifty-one (51) percent of the stock of which is owned by one or
more service-disabled veterans; and
b. the management and daily business operations of which are controlled by one or more service-disabled
veterans.
In order to receive the preference described above, the bidder must either be registered with the Office of Administration,
Division of Purchasing or the Department of Veterans Affairs (VA) or provide a copy of the bidder's discharge papers (DD
Form 214, Certificate of Release from Active Duty). For ease of evaluation, it is preferred that proof of registration with
Division of Purchasing or the VA be provided with this form. Discharge papers are not required if registered with Division
of Purchasing or the VA.
By signing below, I certify that I meet the definitions of a service-disabled veteran and a service-disabled veteran business,
as defined in Section 34.074, RSMo, and that I am either doing business as a Missouri firm, corporation, or individual; or
maintain Missouri offices or places of business at the location(s) listed below.
________________________________________ ___________________________________________
Service-Disabled Veteran's Name Service-Disabled Veteran Business Name
(Please Print)
___________________________________________ ___________________________________________
Service-Disabled Veteran's Signature
___________________________________________
___________________________________________
Missouri Address of Service-Disabled Veteran Business
SECTION 004340 - SDVE BUSINESS FORM Page 1 of 1
10/21/19

SECTION 004541 - AFFIDAVIT OF WORK AUTHORIZATION
STATE OF _____________ )
)
COUNTY OF ___________ )
On this ______________ day of ______________________________, 20________, before me appeared
____________________________________________ (Contractor representative), personally known to me or proved to me
on the basis of satisfactory evidence to be a person whose name is subscribed to this affidavit, who being by me duly
sworn, deposed as follows:
My name is ___________________________________________ (Contractor representative), and I am of sound
mind, capable of making this affidavit, and personally certify the facts herein stated, as required by Section 285.530, RSMo,
to enter into any contract agreement with the state to perform any job, task, employment, labor, personal services, or any other
activity for which compensation is provided, expected, or due, including but not limited to all activities conducted by business
entities:
I am the ____________________________ of _________________________________________, and I am duly
title business name
authorized, directed, and/or empowered to act officially and properly on behalf of this business entity.
I hereby affirm and warrant that the aforementioned business entity is enrolled in a federal work authorization
program operated by the United States Department of Homeland Security to verify information of newly hired employees,
and the aforementioned business entity shall participate in said program with respect to all employees working in connection
with the contracted services related to _____________________________________ with the Office of Administration,
Project Number
Division of Facilities Management, Design and Construction (FMDC). I have attached documentation to this affidavit to
evidence enrollment/participation by the aforementioned business entity in a federal work authorization program, as required
by Section 285.530, RSMo.
In addition, I hereby affirm and warrant that the aforementioned business entity does not and shall not knowingly
employ, in connection to work under the within state contract agreement with FMDC, an alien who does not have the legal
right or authorization under federal law to work in the United States, as defined in 8 U.S.C. 1324a(h)(3).
I am aware and recognize that, unless certain contract and affidavit conditions are satisfied pursuant to Section
285.530, RSMo, the aforementioned business entity may be held liable under Section 285.525 through 285.559, RSMo, for
subcontractors that knowingly employ or continue to employ any unauthorized alien to work within the state of Missouri.
I acknowledge that I am signing this affidavit as a free act and deed of the aforementioned business entity and not
under duress.
__________________________________
Affiant Signature
Subscribed and sworn to before me this ______ day of ___________________, 20 ____.
___________________________________
Notary Public
My commission expires:
SECTION 004541 - AFFIDAVIT OF WORK AUTHORIZATION Page 1 of 1
01/19