AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 · Contract Number Page of Pages 1 I 1 2. AmendmenUModification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption tDIQ General Construction and Design GF-2019-R-0076-Amend-003 See Box 16 Below Build Contractors 6. Issued By· Codel 7. Administered By (If other than line 6) Capital Procurement Division University of the District or Columbia Office of Strategic Sourcing & Procurement 4200 Connecticut Avenue, NW, Room C/04 4200 Connecticut Avenue, NW Building 38 Building 39 Suite 200C Washington, DC 20008 Washington, DC 20008 8. Name and Address or Contractor (No. Street, city, country, state and ZIP Code) (X) 9A. Amendment or Solicitation No. ,__ GF-2019-R-0076 9B. Dated (See Item 11) September 20, 2019 10A. Modification or ContracUOrder No. 10B. Dated (See Item 13) Codel I Facilitvl 11 . THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS , [LlThe above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt or bids l,2Ll is extended. LJis not extended. Offers must acknowledge receipt or this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items Band 15, and returning __ 3_copy of the amendment: (b) By acknowledging receipt or this amendment on each copy of the offer submitted; or (c) By separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue or this amendment you desire to change an offer already submitted, such change may be made by letter or rax, provided each letter or telegram makes reference to the solicitation and this amendment. and is received prior to the opening hour and date specified. 12. Accounting and Appropriation Data (If Required) I 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14 A. This change order is issued pursuant to: (Specify Authority) The changes set forth In Item 14 are made In the contracUorder no. in item 10A. B. The above numbered contracUorder is modified to renecl the administrative changes (such as changes in paying office, appropriation date, etc.) set forth in item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601.2. C. This supplemental agreement is entered into pursuant to authority of : D. Other (Specify type of modification and authority) E. IMPORTANT: Contractor LJis not, L! j ls required to sign this document and return 5 copy to the Issuing office. 14 Description of amendmenUmodification (Organized by UCF Section headings, induding sol citation/contract subject matter where feasible ) RFP No. GF-2019-R-0076 is hereby amended as follows: 1) The proposal due date remains October I I, 2019 not later than 2:00 P .M. 2) Answers to questions received are attached. 3. No additional questions will be entertained. ALL OTHER TERMS AND CONDI TIONS REMAIN UNCHANGED Except as provided herein, all terms and conditions of the document rererenced In Item (9A or 10A) remain unchan ed and in full force and effect 15A. Name and Tille of Signer (Type or print) 16A. Name or Contracting Officer ddie Whitaker .15B Name of Contractor 1 15C. Date Signed (Signature of peBOn authorized to sign)
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1· Contract Number Page of Pages
1 I 1 2. AmendmenUModification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption
tDIQ General Construction and Design GF-2019-R-0076-Amend-003 See Box 16 Below Build Contractors 6. Issued By· Codel 7. Administered By (If other than line 6)
Capital Procurement Division University of the District or Columbia Office of Strategic Sourcing & Procurement
4200 Connecticut Avenue, NW, Room C/04 4200 Connecticut Avenue, NW Building 38 Building 39 Suite 200C Washington, DC 20008 Washington, DC 20008
8. Name and Address or Contractor (No. Street, city, country, state and ZIP Code) (X) 9A. Amendment or Solicitation No. ,__ GF-2019-R-0076 9B. Dated (See Item 11) September 20, 2019 10A. Modification or ContracUOrder No.
10B. Dated (See Item 13)
Codel I Facilitvl 11 . THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
,[LlThe above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt or bids l,2Llis extended.LJis not extended. Offers must acknowledge receipt or this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items Band 15, and returning __ 3_copy of the amendment: (b) By acknowledging receipt or this amendment on each copy of the offer submitted; or (c) By separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue or this amendment you desire to change an offer already submitted, such change may be made by letter or rax, provided each letter or telegram makes reference to the solicitation and this amendment. and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Required) I
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14
A. This change order is issued pursuant to: (Specify Authority) The changes set forth In Item 14 are made In the contracUorder no. in item 10A. B. The above numbered contracUorder is modified to renecl the administrative changes (such as changes in paying office, appropriation date, etc.) set forth in item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601 .2. C. This supplemental agreement is entered into pursuant to authority of:
D. Other (Specify type of modification and authority)
E. IMPORTANT: Contractor LJis not, L! j ls required to sign this document and return 5 copy to the Issuing office.
14 Description of amendmenUmodification (Organized by UCF Section headings, induding sol citation/contract subject matter where feasible )
RFP No. GF-2019-R-0076 is hereby amended as follows:
1) The proposal due date remains October I I, 2019 not later than 2:00 P .M. 2) Answers to questions received are attached.
3. No additional questions will be entertained.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED
Except as provided herein, all terms and conditions of the document rererenced In Item (9A or 10A) remain unchan ed and in full force and effect 15A. Name and Tille of Signer (Type or print) 16A. Name or Contracting Officer
ddie Whitaker .15B Name of Contractor 115C. Date Signed
(Signature of peBOn authorized to sign)
U NIVERSITY1(1~1 D ISTRICT OF
COLUMBIA ---18SI
Office of Strategic Sourcing and Procurement
ANSWERS TO QUESTIONS ON GF-2019-0076 IDIQ GENERAL CONTRACTORS
1. QUESTION
Is a subcontracting plan required with the submission at this time, or is a plan only required by those who are approved for the IDIQ at the time of a task order bid?
ANSWER
A subcontracting plan is required by those who are approved for the IDIQ at the time of a task order bid.
2. QUESTION
Could you also confirm that general contractors who do not self-perform any work are permitted to submit for this on ca ll contract? Therefore, the pricing schedule would only show costs for items #35-37, as all other items would be bid out to subcontracting firms at the time of a TO request.
ANSWER
The prime (general) contractor shall perform at least 50% of the work for each Task Order valued at $250,000.00 or more and subcontract at least 35% of the work to DC Department of Small Local Business Development (0SLBD) certified small business.
3. QUESTION
Would it be possible to arrange for a second pre•bid conference that we can attend?
ASWER
Yes, a second walk through is scheduled for Monday, October 7, 2019 at 1:00 p.m.
-l20l) Conncct1cut Avenue NW. Bldg. 39 2.J floor. Washington, DC 20008 J 202.274.5181 I udc.edu
4. QUESTION
Please advise if attendance at the first conference is mandatory for bidders.
ANSWER
Attendance at the first pre-proposal conference is not mandatory for bidders (offerers).
5. QUESTION
As stated in the RFP, page 6 indicates the bridging documents - drawing, specifications and equipment are available for download. Please provide the link so we can download such documents.
ANSWER
Page six of the solicitation makes no reference to bridging documents, i.e. drawings, specifications, etc. referenced in the question above.
6. QUESTION
Is there a bid bond document requirement for this solicitation? If so, please provide us with the bid bond form?
ANSWER
As specified on page 1 section 14(b) of the solicitation bid bonds are required. However, bonds are not due with bid but with each Task Order Proposal following contract award. Bid, performance, and payment bond forms are attached
7. QUESTION
Please confirm the 75•page limit are not includes required forms (such as 21 pages -First source form, 11 pages - of Offerer Certification forms, 7 pages - Bond capacity and Bond letter ... etc.}
ANSWER
The 75-page limit does not include required forms identified in the solicitation.
2 11' ,I ' I.'
8. QUESTION
Please confirm only Bonding Capacity Letter is required but not a bid bond. Is there any specific form for the bonding capacity letter?
ANSWER
Bid, performance, and payment bonds ARE required prior to issuance of a Task Order for $100,000.00 or more, but not with the initial submission of the proposal for consideration of contract award ..
9. QUESTION
Section LS.1.2.1 Past Performance Form -please confirm the evaluation for apply for a firm/bidder and is not for key personnel individually. Please confirm bidder still need to provide addition letter of recommendation at Section M3.1.2 Key Personnel for each resume (This will increase number of pages and over the 75 pages limit for technical part)
ANSWER
Past Performance Evaluation form pertains to the proposed contracting company. Letter(s) of recommendation will be considered in the technical evaluation of past pe rforma nee.
10. QUESTION
Is this Davis Bacon Wage Scale? Could you please provide Davis Bacon Wage rate?
ANSWER
Wage Determination DC20190002 dated 08/30/2019 is attached.
31 p ,I~•~•
11. QUESTION
SBE Subcontractor plan: this is a unit price proposal for a design team with hourly rate, can this form be waived until UDC award a specific project? Please advise
ANSWER
The contractor shall provide a subcontracting plan, which complies with the requirements of the solicitation, for each Task Order prior to award of the Task Order.
12. QUESTION
Could you please provide bid form?
ANSWER
The bid form is attached.
13. QUESTION
Management Plan Section M3.1.3 item (iv) state "describe two key challenges inherent in a project" - please clarify, since this proposal is a unit price but not a project - how would you like us to response?
ANSWER
The information required pertains to challenges in performing past contracts for the same or similar requirement as that in the solicitation.
14. QUESTION
If possible, could you please give us more time to provide our best proposal to UDC? Thank you.
ANSWER
The proposal due date and time remains October 11, 2019 not later than 2:00 p.m.
41 p I ~ t.
5 I ,. , : <
ATTACHMENT J.2
U.S. DEPARTMENT OF LABOR WAGE DETERMINATIONS NO. DC20190002
DATED 09/30/2019
"General Decision Number: DC20190002 08/30/2019
Superseded General Decision Number: DC20180002
State: District of Columbia
Construction Type: Building
County: District of Columbia Statewide.
BUILDING CONSTRUCTION PROJECTS (does not include single family
homes or apartments up to and including 4 stories ).
Note: Under Executive Order (EO) 13658, an hourly minimum wage
of $10.60 for calendar year 2019 applies to all contracts
subject to the Davis-Bacon Act for which the contract i s
awarded (and any solicitation was issued) on or after January
1, 2015. If this contract is covered by the EO, the contractor
must pay all workers in any classification li sted on this wage
determination at least $10.60 per hour (or the applicable wage
rate listed on this wage determination, if it is higher) for
all hours spent performing on the contract in calendar year
2019. If this contract i s covered by the EO and a
classification considered necess ary for performance of work on
the contract does not appear on thi s wage determination, the
contractor must pay workers in that clas sification at least the
wage rate determined through the conformance process set forth
in 29 CFR 5.S(a)(l)(ii) (or the EO minimum wage rate,if it is
higher than the conformed wage rate). The EO minimum wage rate
will be adjusted annually. Please note that this EO applies to
the above-mentioned types of contracts entered into by the
federal government that are subject to the Davis-Bacon Act
itself, but it does not apply to contracts subject only to the
Davis-Bacon Related Acts, including those set forth at 29 CFR
S.l(a)(2)-(60). Additional information on contractor
requirements and worker protections under the EO is available
Chief Procurement Officer & Director University of the District of Columbia Office of Strategic Sourcing & Procurement 4200 Connecticut Avenue, NW Bldg. 39 Suite 200C Washington, DC 20008
Reference: Request for Proposals No. GF-2019-R-0076 for "Indefinite Delivery Indefinite Quantity General Construction & Design Build
Dear Mrs. Harris:
On behalf of [insert name of offeror], I am pleased to submit this proposal in response to the University of the District of Columbia's Request for Proposal (RFP) No. GF-2019-R-0076 to provide "Indefinite Delivery/Indefinite Quantity General Construction & Design Build services" for the University of the District of Columbia. I certify herewith that the Offeror has reviewed the RFP and the attachments thereto, any addenda thereto, and has conducted due diligence and analysis the Offeror, in its sole judgment, has deemed necessary in order to submit its Proposal in response to the RFP. The Offeror's Proposal is as follows (brief description):
Authorized Signature Title
ATTACHMENT J.12
BOND FORMS
BID, PERFORMANCE AND PAYMENT
BID BOND Date Bond Excculed (Musi be s.iinc or later than dale ofConlracO
(CONSTRUCTION} (Sec Instructions on Re\'erse)
PRINCIPAL ( Legal Name and Address) TYPE OF ORGANIZATION ("x "J
□ INDIVIDUAL 0 PARTNERSIIII'
□ JOINT VENTURE 0 CORPORATION
ST A TE OF INCORPORATION
SURETY (IES) (Naine(s) and Adt!ress(cs) PENAL SUM OF BOND
MILLION(S) I THOUSAND(S) HUNDRED(S) I CENTS
CONTRACT DATE CONTRACT NUMBER
KNOW ALL MEN BY THESE PRESENTS. That we, the Principal and Surety(ies) hereto are finnly bounds to the District of Columbia Government, a municipal corporation, hereinafter called the District, in the above penal sum for the payment of which we bind ourselves, our heirs, executors, and successors, bind ourselves in such sum "jointly" and "severally" only for the purpose of allowing a joint action or actions against any or all of us, and for all other purposes each Surety binds itself, jointly and severally with the Principal, for the payment of such sum only as is set forth opposite the name of such Surety, but if no limit of liability is indicated, the limit of liability shall be the full amount of the penal sum.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal entered into the Contract identified above.
NOW THEREFORE, if the Principal shall well and truly perform and fulfill all undertakings, covenants, terms and condition, and agreements of the Contract during the original term of the Contract and any extension thereof that may be granted by the District with or without notice to the Surety, and during the life of guaranty required under the Contract, and shall also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and agreements of any duly authorized modifications of the Contract that may hereafter be made, notice of which modifications to the Surety being hereby waived, and shall save harmless and indemnify the District from any and all claims, delays, suits, costs, charges, damages, counsel fees, judgments and decrees to which the District may be subjected at any time on account of any infringement by the Principal of letters, patents, or copyrights, unless otherwise specifically stipulated in the Contract or on account of any injury to persons or damage to property or premises that occur as a result of any act or omission of Principal in connection with the prosecution of the work under the Contract and shall pay the same, then the above obligation shall be void; otherwise to remain in full force and virtue.
IN WITNESS WEHREOF, the Principal and Surety(ies) have executed this performance bond and have affixed their seals on the date set forth above.
PRINCIPAL
I. Sigm11ure I. Attest
(Seal)
Name & Title (typed) Name & Title (typed) Corporate Seal
2 . Signature 2. Attest
(Seal) Corporate Name & Title (typed) Seal
Fonn No. DC ~6-10-7
SURETY (JES)
I. Name & Address (l)l'ed) Stale of Inc. Liability Limil
Signalun: of A1torney-in-Fac1 Anesi (Signature) Corpor:llc
Seal
Name & Address (l)'J"'d) Name & Address (lypcd)
I. Name & Address (typed) Stale of Inc. Liability Limil
Signature of Anorncy-in,Facl Anesi (Sii;nature) C'orpornlc
Seal
Name & Address (typed) Name & Address (lypcd)
BOND PREMIUM Ra1c l'er Thousand Total Pmmum Name & Address of Aycncy or Agent Rcccivini; Commission
Appro\'cd Dy·
Ma[i'. A. Harris Contracting Officer
INSTRUCTIONS
I. The full legal name and business address of the Principal shall be inserted in the space designated "Principal" on the face of this form. The bond shall be signed by the authorized person signing the Contract. When such person signing is other than the President or Vice-President of a corporation, evidence of authority shall be furnished. Such evidence shall be in the form of either an Extract of Minutes of a meeting of the Board of Directors, or Extract of Bylaws, certified by the Corporate Secretary, or Assistant Secretary and with Corporate Seal affixed thereto.
2. Corporations executing the bond as sureties shall be among those appearing on the U.S. Treasury Department's list of approved sureties and shall be acting within the limitations set forth therein, and shall also be licensed by the Insurance Administration, Department of Consumer and Regulatory Affairs, to do business in the District of Columbia. The surety shall ( 1) insert on the bond form the name and addresses of the agency receiving the commission; and (2) attach an adequate Power-of-Attorney for each representative signing the bond.
3. Corporations executing the bond shall affix their Corporate Seals. Individuals shall sign full first name, middle initial and last name opposite the word "seal"; two witnesses shall sign and include their addresses, under the word "witness". If executed in Maine or New Hampshire, an adhesive seal shall be affixed.
4. The name of each person signing this performance bond shall be typed in the space provided.
R"'· July 1986 '
PERFORMANCE BOND Dale Bond Executed (Musi be same or later than dale ofC"on1rac1)
(CONSTRUCTION) (Sec Instructions on Rc,·crn,)
PRINCIPAL (Lc~al Name and Addn:ssl TYPE OF ORGANIZATION ( .. x")
□ INDIVIDUAL 0 PARTNERSIIIP
□ JOINT VENTURE 0 C"ORl'ORA TION
ST A TE OF INCORl'ORA TION
SURETY (IES) (Namc(s) and Addrcss(csl PENAL SUM OF BOND
MILLION(S} I THOUSAND(S) HUNDRED(S) I CENTS
CONTRACT DA TE CONTRACT NUMBER
KNOW ALL MEN BY THESE PRESENTS. That we, the Principal and Surety(ies) hereto are finnly bounds to the District of Columbia Government, a municipal corporation, hereinafter called the District, in the above penal sum for the payment of which we bind ourselves, our heirs, executors, and successors, bind ourselves in such sum "jointly" and "severally" only for the purpose of allowing a joint action or actions against any or all of us, and for all other purposes each Surety binds itself, jointly and severally with the Principal, for the payment of such sum only as is set forth opposite the name of such Surely, but if no limit of liability is indicated, the limit of liability shall be the full amount of the penal sum.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal entered into the Contract identified above.
NOW THEREFORE, if the Principal shall well and truly perform and fulfill all undertakings, covenants, terms and condition, and agreements of the Contract during the original tenn of the Contract and any extension thereof that may be granted by the District with or without notice to the Surety, and during the life of guaranty required under the Contract, and shall also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and agreements of any duly authorized modifications of the Contract that may hereafter be made, notice of which modifications to the Surety being hereby waived, and shall save harmless and indemnify the District from any and all claims, delays, suits, costs, charges, damages, counsel fees, judgments and decrees to which the District may be subjected at any time on account of any infringement by the Principal of letters, patents, or copyrights, unless otherwise specifically stipulated in the Contract or on account of any injury to persons or damage lo property or premises that occur as a result of any act or omission of Principal in connection with the prosecution of the work under the Contract and shall pay the same, then the above obligation shall be void; otherwise to remain in full force and virtue.
IN WITNESS WEHREOF, the Principal and Surety(ies) have executed this performance bond and have affixed their seals on the date set forth above.
PRINCIPAL
I. Signature I . Attest
(S1..-al)
Name & Title {typed) Name & Title (typed) Corporate Seal
2. Signature 2. Attc..-sl
(Seal) Corporate Name & Title (cypcd) Sc-JI
Form No. DC i~B-7
SURETY (IES)
I. Name & Address (typed) State of Inc Liability Limit
Signature of A11omcy, in-Fac1 Anesi (Signature) Corporate
Seal
Name & Addn:ss (typed) Name & Address (lypcdJ
I Name & Addn:ss (lypcd) State of Inc. Liabilily Limil
Si~nalun: of Anomcy in-Fact Anesi (Sign,11un:) Corpor.110
Seal
Name & Addn:ss (lypcd) Name & Address (lypcd)
BOND PREMIUM
Rate l'er TI1ousand Total Premium Name & Address of Agency or Agenl Rccci\'ing Commission
Appr01·cd By
Ma~ A. Harris Contracting Officer
INSTRUCTIONS
I. The full legal name and business address of the Principal shall be inserted in the space designated "Principal" on the face of this fonn. The bond shall be signed by the authorized person signing the Contract. When such person signing is other than the President or Vice-President of a corporation, evidence of authority shall be furnished. Such evidence shall be in the fonn of either an Extract of Minutes of a meeting of the Board of Directors, or Extract of Bylaws, certified by the Corporate Secretary, or Assistant Secretary and with Corporate Seal affixed thereto.
2. Corporations executing the bond as sureties shall be among those appearing on the U.S. Treasury Department's list of approved sureties and shall be acting within the limitations set forth therein, and shall also be licensed by the Insurance Administration, Department of Consumer and Regulatory Affairs, to do business in the District of Columbia. The surety shall (I) insert on the bond fonn the name and addresses of the agency receiving the commission; and (2) attach an adequate Power-of-Attorney for each representative signing the bond.
3. Corporations executing the bond shall affix their Corporate Seals. Individuals shall sign full first name, middle initial and last name opposite the word "seal"; two witnesses shall sign and include their addresses, under the word "witness". If executed in Maine or New Hampshire, an adhesive seal shall be affixed.
4. The name of each person signing this performance bond shall be typed in the space provided.
Re,· Jul) 1986
PAYMENT BOND Dale Bond Exccu1cd (Mus1 be same or lo1cr than dale of Contrac1J
(CONSTRUCTION) (See lnslruclions on Reverse)
PRINCIPAL ( Lei;al Name and Address) TYPE OF ORGANIZATION ("x")
□ INDIVIDUAL □ rARTNERSI Ill'
□ JOINT VENTURE □ CORPORATION
ST A TE OF INCORPORATION
SURETY (IES) (Name(s) and Addrm(es) PENAL SUM OF BOND
MILLION(S) I THOUSAND(S) HUNDRED(S) I CENTS
CONTRACT DA TE CONTRACT NUMBER
KNOW ALL MEN BY THESE PRESENTS. That we, the Principal and Surety(ies) hereto are finnly bounds to the District of Columbia Government, a municipal corporation, hereinafter called the District, in the above penal sum for the payment of which we bind ourselves, our heirs, executors, and successors, bind ourselves in such sum "jointly" and "severally" only for the purpose of allowing a joint action or actions against any or all of us, and for all other purposes each Surety binds itself, jointly and severally with the Principal, for the payment of such sum only as is set forth opposite the name of such Surety, but if no limit of liability is indicated, the limit of liability shall be the full amount of the penal sum.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal entered into the Contract identified above.
NOW THEREFORE, if the Principal shall well and truly perform and fulfill all undertakings, covenants, tenns and condition, and agreements of the Contract during the original term of the Contract and any extension thereof that may be granted by the District with or without notice to the Surety, and during the life of guaranty required under the Contract, and shall also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and agreements of any duly authorized modifications of the Contract that may hereafter be made, notice of which modifications to the Surety being hereby waived, and shall save harmless and indemnify the District from any and all claims, delays, suits, costs, charges, damages, counsel fees, judgments and decrees to which the District may be subjected at any time on account of any infringement by the Principal of letters, patents, or copyrights, unless otherwise specifically stipulated in the Contract or on account of any injury to persons or damage to property or premises that occur as a result of any act or omission of Principal in connection with the prosecution of the work under the Contract and shall pay the same, then the above obligation shall be void; otherwise to remain in full force and virtue.
rN WITNESS WEHREOF, the Principal and Surety (ies) have executed this payment bond and have affixed their seals on the date set forth above.
PRINCIPAL I. Signature I. Allest
(Seal)
Name & Title (typed) Name & Title (typed) Corporate Seal
2. Signature 2. Attest
!S1..-al) Corporate Name & Title (typed) Seal
Fann No. DC =6--10-8
SURETY(IES)
I , Name & Addn:ss {1ypcdl S1a1e or Inc Liahili1y Um,1
Sognatun: or Anomc)•m•Fac1 Anesi (Sii;nalun:) Corporate
Seal
Name & Addn:ss ltypcd) Name & Address {lyped)
1. Name & Addn:ss (1ypcd) Stale of Inc Liabohty L1m11
S1i;na1ure of Altomey-in-Facl Anesi (Signature) ColJlorate
Seal
Name & Addn:ss (lypcdl Name & Address (typcdl
BOND PREMIUM Rate rer Timusand Total l'remiu111 Na111c & Addn:ss of Agency or Agent Rcccl\·mi; Comm,ssmn
Appro\'cd By
Mam: A. Harris Contracting Officer
INSTRUCTIONS
I. The full legal name and business address of the Principal shall be inserted in the space designated "Principal" on the face of this form. The bond shall be signed by the authorized person signing the Contract. When such person signing is other than the President or Vice-President of a corporation, evidence of authority shall be furnished. Such evidence shall be in the fonn of either an Extract of Minutes of a meeting of the Board of Directors, or Extract of Bylaws, certified by the Corporate Secretary, or Assistant Secretary and with Corporate Seal affixed thereto.
2. Corporations executing the bond as sureties shall be among those appearing on the U.S. Treasury Department's list of approved sureties and shall be acting within the limitations set forth therein, and shall also be licensed by the Insurance Administration, Department of Consumer and Regulatory Affairs, to do business in the District of Columbia. The surety shall (I) insert on the bond form the name and addresses of the agency receiving the commission; and (2) attach an adequate Power-of-Auorney for each representative signing the bond.
3. Corporations executing the bond shall affix their Corporate Seals. Individuals shall sign full first name, middle initial and last name opposite the word "seal"; two witnesses shall sign and include their addresses, under the word "witness". If executed in Maine or New Hampshire, an adhesive seal shall be affLxed.
4. The name of each person signing this payment bond shall be typed in the space provided.