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BID BOND (See instruction on reverse) ‘onlainalimaaed OMB NO.: 9000-0045 Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other — of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, DC ‘PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION 7X” one) (] womuat (CJ Partnersnip (2) somr venture (J corporation STATE OF INCORPORATION SURETY(IES) (Name and business address) PENAL SUM OF BOND | BID IDENTIFICATION wee AMOUNT NOT TO EXCEED [BID DATE INVITATION NO. PRICE MILLION(S) THOUSAND(S) HUNDRED(S) = [CENTS EOR (Construction, Supplies,or Services) UBLIGATION: — We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally” as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum. CONDITIONS: The Principal has submitted the bid identified above. THEREFORE: The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid. Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government. Notice to the surety(ies) of extension(s) are waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid. WITNESS: The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date. PRINCIPAL FI z, 3 SIGNATURE(S) (Seal) (Seal) (Seal) Corporate NAME). 4: ay 2. 3. Seal TITLE(S) (Typed) INDIVIDUAL SURETY(IES) 2 SIGNATURE(S) (Seal) (Seal) NAME(S) 1. 2) (Typed) CORPORATE SURETY(IES) Nada & STATE OF INC. LIABILITY LIMIT ($) <| ADDRESS > ; 2. F |signaTurE(si| Corporate ma Seal 4 NAME(S) & |7. 2. TITLE(S) (Typed) AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (REV. 10-98) Previous edition is usable Prescribed by GSA - FAR (48 CFR) 53.228(a) NAME & STATE OF INC. LIABILITY LIMIT (3) | ADDRESS = 7, 2. iy |SIGNATURE(S) Corporate = Seal NAME(S) & |1. 2. yp a. STATE OF INC. LIABILITY LIMIT ($) ©| ADDRESS > 1. 2. F |SIGNATURE(S) Corporate S Seal | NAME(S) & 1. 2, yp NAME & STATE OF INC. LIABILITY LIMIT ($) ca| ADDRESS o . a I |SIGNATURE(S) Corporate Ss Seal | NAMES) & |7. - VI NAME & STATE OF INC. LIABILITY LIMIT ($) uw | ADDRESS a wy 2. 1 ISIGNATURE(S) Corporate oc Sea/ | NAME(S) & 1. 2. TERS) NAME & STATE OF INC. LIABILITY LIMIT ($) u.| ADDRESS > t. 2. {5 |SIGNATURE(S) Corporate 4 Seal Z| NAMES) & |1. 2 TITLES) NAME & STATE OF INC. LIABILITY LIMIT ($) «| ADDRESS Pe 7 2; f= ISIGNATURE(S) Corporate oa Seal 3| NAME(S) & |7, 2. TITLE(S) (Typed) INSTRUCTIONS 1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services. 2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved. 3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., (e.g., 20% of the bid price but the amount not to exceed dollars). 4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitation listed therein. where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designed "SURETY(IES)" on the face of the form, insert only the letter identification of the sureties. (b) Where individual sureties are involved, a completed Affidavit of Individual surety (Standard Form 28), for each individual surety, shall psc el the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capability. 5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal”; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals. 6. Type the name and title of each person signing this bond in the space provided. 7. Inits application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror." (REV. 10-98) DPP-NCA-52-75 REVISED: 3-18-08 GOVERNMENT OF THE VIRGIN ISLANDS DEPARTMENT OF PROPERTY AND PROCUREMENT NON-COLLUSION AFFIDAVIT de ebibet bie asbbsavin sie wie iaWUnn a emir mn UugM SU NET als LC MiNi, being duly sworn, deposes and says that — (1) He is [owner, partner, officer, representative, or agent] of ..................00000000... ivieruihivde staidapsnad ya nuaetamporeeninad KiawinidaeucuN bawebsee Coeedheed cigs the bidder that has submitted that attached bid: (2) He is duly informed respecting the preparation and contents of the attached bid and of all pertinent circumstances respecting such bid; (3) Such bid is genuine and is not a collusive or sham bid: (4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other bidder, firm or person to submit a collusive or sham bid in connection with the contract for which the attached bid has been submitted or to refrain from bidding in connection with such contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other bidder, firm or person to fix the price or prices in the attached bid or of any other bidder, or to fix any overhead, profit or cost element of the price or the bid price of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against The Government of the Virgin Islands or any person interested in the proposed contract; and (5) The price or prices quoted in the attached bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. Signature of Affidavit SUBSCRIBED AND SWORN to before me this............... jE ra Ne ie a Sa UE a lh ty Notary Public P & P-COS-13-73 APPROVED: 3-26-73 COMM. OF PROP. & PROC. REVISED 3-18-08 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES CONTRACTOR’S QUALIFICATION STATEMENT CONTRACTOR ADDRESS SHPO EE HERE HEHEHSOHOSEHEEE SHH EE OSES EE EEEEHESEOHEEEEOEEE OEE EEE EES EEEEEES DATE SOPOT SHH SET HEH SEHHHHT ESHEETS HEE EEEE EEE OEEEE HEHEHE EEHEEEEEEESESESEHO ESE EOESEOS TEL. NUMBER SOSH HOHS HEHEHE ETOH EEEESEEHESOEHEHEEHESEEETEEEEEET OEE SE EHEEEOERESSE CEL. NUMBER POSSE EHH HEHE EEE EEHHEHEHEEEEEHEEE HEHEHE EEEES ESET EEEE SEES ESSE SOSES P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 1. How many years experience in construction work has your organization had (a) As a General Construction Eu aii chat Dalat hal Mca te ede deal a Stoll De Edd Med iiy hy hints Sesto Ret IT ERR COE Te ee Ee Te Le NT TARP RRL SLID INR (b) As a Sub-Contractor bat aiDoaa nan lili lly alist Dy Rk dll th thet haibetate a hdeatn ea RAs bd ae RB eh DMA pe ae OP De IR RD a EEO CU OO 2. List the construction contracts your organization has under way on this date: Contract Amount Class of Work Percent Location Name of Owner Completed 3. List contracts your organization has completed in the past three years: Contract Amount Class of Work Completed Location Name of Owner P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 4. Have you ever failed to complete any work awarded to you? ............00cccccecceeec5 0. If so where and why? UR mCi beth nh dni ia ayaa a RT, oat ot DMO Ib ae on eo ST MN Ee Se Bane Gra WG PURE DUE Ry UpeauAN I DMM De TURIN CRI Perit Toad ety Cree AME Te hier MaIae RaMMDTS Mita AN ae OA ROO Me SEONG SLA IHIM NS Ka GH ha A Cim g SHIRL Wako alla herd! apa Rimage GN orks ay Hla ae La a gy EH DIR aa Rae ah ad Fahy ath di deh tan ot caton th antacid MBH ch Sahih Maly full dh bates MS MRI Vea CGY Oak MORALE UOC USGA LO) ems AALS NM ge 5. Has any officer or partner of your construction ever been an officer or parent of some other organization that failed to complete a construction contract? ............. If so, state name of individual, other organization and reason therefore Miran eI MET TET iD TOM RE RTT UT ON RAND SS RMS FORE Oe MS EMAC ONE HS daw ee Ma'e Cele kb wR d Mel Werb-b, 6 wcoo.e bike biplane bw wreie deh Raa nea han hn ea ta apt a MaMa ba Post ty aah ult ba iain Nicth Nadiad aha N sleds Sakic de eto deste ch Ho's Pate Tchad Keaedh Pe RA ee LADUE SMELL D AGT EE UDR ERI A Pape ee ae eee SM ee eT e RUE SRO REET OREO RN O TREY PO ERAT hE OB MN ERY We We aR ah OW dG Was x AAR He O Waie we alee eu oie ald Whe aa eae 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his B+ 1: Aaa SE NS SEL ARO aE EL CIBER EIR BEER If so, state name of individual, name of Owner and reason therefore CMR O RRO C eRe eee eee aeee Sewer eendeseaseeeesecere LOL SG LL ES EES HE SS OTE MSD Nee ORS AS a Re Re SEE RO Rie HO eh a eh ewe We AY ROO Ue Oe RS ijt ob bw ele np Wine aU eine ew imiailn wie a/elk ol'eace uk oie Wye dois’ klp lee TPE ay ore ee ee aE TS RRO MS GG GS OS BiG © WOOO GS baa LS hy Sib bok) OTR ae hie Wb 18 0B wrk 'Oe wi Bie a MOOR HA echs ob Wino eiele biwieweee aba vaws iniiaiadded) Het odin Mitra na dll’ Seren Mod Sales htt DM Sh aoa ete Ty th Mek de MU Ly th Hyde edt dn bak de Rotate tah pe FL SE RE ER ee Eee eT Te ip PL Oe RAD on aR aN apa A ALE P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 8. What is the construction experience of the principal individual of your organization? Years of Present Position Individual’s Name Construction Magnitude and Type In what Capacity or Office of Work Experience 9. In what manner have you inspected this proposed work? Explain in detail. cm ia a eR MR aC nai i ita dinia Shite eH Ack thei dial hd etnttal Gitte hades t KOM EL RRL LAI RTE CY Ce TR ACL Poe IER CLO GPR TTR eae Det AL Na IN Rin aR nM OR AA ee a . N19) 9100/9 OWE: 84/0/85 0'8.0'9' W066 D SKE SEO HW O04 Ce Sab 64 VR EONS Raw Boe Debleueb eo POD 9 0:48 0's 46 /0.6 06 be. 9/00/0606 6 a'K's0 60.6.6 b 00 6 Behe 10. Explain your plan or lay out for performing the proposed work. ee ee ee ae POY CSRS MIRE ARIAS Sem 0/6 8 OR e ee ba WW KR: 80 ae ot WB Oe ON Rie aim Oia h hike BLa. bale @ Sin ele Oh A blwicie PH RO meee were eee n eee es awseerserereens CUMOES OSH OCHO OOOOH SHS CCU SUR SON O Tb eWid eb eeSeoeeeveleeeeeee es SESH HOS 88 SIE R68 B 06h OL O'S NE OC 4 O16 08 be KS O16 O60 W004. a 08.0 6.06.00 Wb 6b a baa tee eee wee Cee eee meee er eene . PALA MURR eC he anita Atala Bi rah th he MA SRT DEN whe a De HR Dk nar ae MP TGs Or a LEAN BF UF CGE PA BRO Y ROL Bh eee ee ay a TOE BOE OP Eee BSS RO MTS ORS ARR Oe HEL ERS Ge Mieins a Ee we MAGA ® bie wh ag bie Wik CWOd Oh wlio dees RIA le hielo fois Nim Gisela G i ibe bldicie casas Be eee ee eS NR ST RS SRS RES Ra Eo AOS OSM Me RWS Ae e hE Ow Oban CUS 06 WAN bie, ow Fie We), e8 Bere WM Ih Wi aM Cae Pm WOrel ile a OMe Wee OE Ue edd Wow bak Ce as . Seis aioe Dap Reta inde A Roast lt ol Mol ahs he Det Naw te re Malt edt Se Lie MS eM ae SSE ee ar A De Oe UP Wy Moe eT ot aie Seg AAG WY MCE Up aoe Myo IB a MLD Og MOD aaah a a aha teh eek aii aR dirt aay fathead santa alba te Rt Lady AD CN UO a CR Ie gS, cig on gree pe Bee May a ADR SDN iy AGAR RCA UP Ae Pra hee nb a adie Si tat natalie th Soh died det Retina hd cde th ee aetna RARE fo ea eR OW I Rn eee Wie ae ee TY a hu ear ey end PUN Cran pce ton a Coed ME DAN Oe aR teense ed tee een eee PRP M Merde ehoreereeseseeesewereressesessoeess ee a ee ey FPO SwC meee eee sesernsanseene CLONES COWS 06S OG GS OHSS AEE OO EEE e' S'S ON CHEE CCM EM HOM 6M LEM HOM wore ke TO eee eee ewes a i ee ad ween eee . ed ay i P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 31/9. 90 OE O'9-0' 68/000) e/ 94 0 80.6.6. 6 © U'b'6 © 6's 0106.4:4)0 contives FT Ye eee NT ND eM TSN TENS Ae eA RRM RHEE SRM Ee SOW ER WH eee eT MSS Ul wattidial ag eiew eee kak CEL We MICE Ui SIC k Ae ee Rie an TER ee Oh ae MR ee OE RAE SAR e SSE AACE CETTE RHEE LENS HMM OA NRO WA w/e OW kia eels ileal gm eis lol elbinlecais 44 wich hiGW Lid esa eK Mine Maule i a es De ne eee aM LMS Le OSS EME Se ET EAS Maly Alaiy hi A eee a te OM SiMe wl eN yah @: waMiurraiy aie Dla dleiald GH AbMR UO iF Mow GSC Newel eed sina rasan pecan sah A Cha ete ahn tl Aba aaa ch Pahl Aaah abet Diode RAE i eel eR TL Re SR Oy INR ee wh UML ome MEAD ALI GG) MT RMN PRES RU eae CM RA BU me 13. If you intend to sublet the transportation or perform it through an agent, stat estimated amount of sub-contract or agent’s contract, and , if known, the name and address of sub-contract or agent, amount and type of his equipment and financial responsibility. oad ales baedae mle tulad atic Dan aN aca ead cea salts Mahe haa Sra lakh eR She CM RC CES Male w Saud oe IED bol iin Mas Tanne CLOVE ALI MORT AOE SCS RCO aR ORM eR Eo eee MM A NMA TOM AST AEN ERATE Ee OE LENORE S EMS OOS STN Y hid MaDe hw Me ey Ree Ute ah Mga Lave cui aM Atal hidiisalri: ie adi Rac tah inte nl Pll sie etal heh lilac livin al tat A oa Mh Cot Gah ST Ae Re A OR Ge Ge TPL OWE SND SiH Oe gH A OO EwO ARNOT NI COO 14. Do you intend to do grading and foundation work with your own forces? i 80, give type-Of mquiprintint Os De MBN i a is i ae a Ts Peet aa NR aE er ec TY Re OR #8 OR BAH a AM eh Be Oe wee Hm m8 NW IBIS OL MNL U OE Wel WR bo whe hh Sd gS OW eieiR RL e lA ew eR G Wis Wielavd werk elele beaeleuin wiew'e wie'G DOM PER ele ON OIE Ne Pea aa EN Te Se ANSE WA e WMA a NY WONG ewe Na Oe Rew US we Re AR eee CMO Dine eek eb ae Ob MIE kM E Seas EMM wie a be Ad wetw atlas adie 15. If you intend to sublet the grading and foundation work or perform it through sub-contract, give the name and address of sub-contractor, if known of his equipment and financial responsibility. DAs aD sila adi ict Datars ii tested head Chinn eh ust dn he Hap ibe hh ae ge Sil dict Lat ARDS ERIM May te EMG Rar hea Ce PRR ec Be we pe aA Tr IN ML Ca RA Nate NIP A Oe LE PR aL NL TP ee sae epee a Ma TRC CRIT DOT SR eR OM Mew Oe. Ne ESM Ne IG Hh S108 eS Mp M ew RN HWS ES A Wh Wie OM:d 68'S/8 bp tie'diw wih Ue aaa w M8 oO W wb awe Oh bG be Baie ee We tie wwe FE LEP SIE ER EO EWS me ORO Oe eee oN Od Wee ee. 88 40 We Reh Oe a em O TW MG Oe ale Mea ae ih, w Wlel'b bulb, BIN Mila 64a tp lbi he -acm pile olava'éWeled aac wie lala Wie bed acebib 216 wuleiak SHOPPE CHEST TOTES EEE OME ORES OOO ER OCH OOOO FREE OOOH OO Habe Ce eee P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 17. If so, state amount of sub-contract, and if known, the name and address of the sub-contractor, amount and type of his equipment and financial responsibility. PAG EET) RUN CR ME EMT A EE AES MEET RARE AE MARES Ob Mey ee gai sq LCId Was ER ULL RY wee w Valk? View HU a tae oo wile Ue eccce eels Toe ema Me Ge ME DR A Lt Renee MLE OMS CRIED MNS EMD a aNd CAMEO NUE kim BTA Mego Week gk ede ay ae Cea dM CEM eh eo dW orale ML WiG wma cord aia aie eR Tc Hn rh dR Le ae Wi Rascal baat naaly day heat ee DH AML A ore Rat aL ey Macy WaPRIy Me IN SHORE LNT RE A NURS Ae THER Lo OUD NMRA ERE ERO ERS ahah uinhaititeltote ented tb dh RRR eR eT EEE Re Gy wate REE ES SE MCAS Lee A SASH ARTE Hee eM aE e Sieh eam aE moe wb WN AG hb eRe sere telus Meee Laas euiby Mig Lun Ce unl See Eure Gy aU aah liege! TM ee ERLE MR LNT TE EERE eF MASS IANS Lee Om eS aL CRE A we Mehl Ob Opa e ee Simla'a wale bd Mlb a Pied bili wle Wie el Ald'g dala dacold bia aid cor biatch Ulu 19. What equipment do you own that is available for proposed work? Description, Condition Years of Quantity item Size, Capacity, Etc. Service Present Location