Keystone Consulting & Associates, LLC 34 Brown Street 570-251-8315/570-251-8915 Fax Honesdale, PA 18431 [email protected] Bid Proposal Form Project: Athens Township Elderly Care Project By: Senior Health Care Center, LLC c/o Senior Health Care Solutions, LLC 401 Moltke Street, Suite 100 Scranton, PA 18505 Consultant: Keystone Consulting & Associates Project #1217 Bidder Identification: Company Name:____________________________________________________ Address:___________________________________________________________ Email:_____________________________________________________________ Authorized Company Representative:____________________________________ I. Separate Base Bid: Lump sum cost for the following work: A. Sitework @........................................... $______________ B. Long Term Care Nursing Home Building @..... $______________ -50 Bed/31,315 SF C. Personal Care Building @................................. $______________ -74 Bed/35,420 SF D. Detached Laundry Building @.......................... $______________ Separate Specified Bid Alternates: SA-1: Lump sum add cost to sitework base bid to supply and install the additional driveway pole lights and related electrical work as illustrated on Plan Sheet #CS-7 @................................................ +$____________ SB-1: Lump sum add cost to nursing home building base bid to change (35) resident bathroom toilets to include bed pan rinsing type per Item #15-A(20) on Page 41 of the Outline Specs @.................. Athens Township Elderly Care Projects Page 2 of 13 +$_____________ Bid Proposal Form SB-2: Lump sum add cost to nursing home building base bid to upgrade the nurse call system to a (2) way voice system per Item #16(10) on Page (50) of the Outline Specs @.................................................... +$_____________ SB-3: Lump sum add cost to nursing home building base bid to provide a 100% performance and labor and material payment bond @................................... +$_____________ SB-4 Lump sum add cost to nursing home building base bid to provide full Builders Risk "Insurance" -Based on the base bid building value @............ +$_____________ SB-5 Lump sum add cost to nursing home building base bid to pay complete cost of the Athens Township zoning and building permit fees and all inspection fees. Township Zoning Officer Contact: -Edmund Reid – 570-888-2325 Township Sewer Authority Contact: -Valorie Huckabee – 570-888-2815 Township 3rd Party Engineer Athens Township Elderly Care Projects Page 3 of 13 Bid Proposal Form -William (Skip) Schneider – 570-963-0313 Township 3rd Party Building Code Official -Frank Tourscher – 570-928-9208 Lump sum add cost @....................................... +$_____________ SB-6 Lump sum add cost to nursing home building base bid to incorporate all of Owner's food service Contractor's costs for supply and installation of the following kitchen food service equipment/work. Complete #96 cook line exhaust hood/exhaust system/assembly Complete dish washer steam hood exhaust system/assembly Complete #96 exhaust hood ducted makeup air system/assembly #96 exhaust and makeup air system normal and emergency control panel assembly Complete walk-in refrigerator and freezer boxes *All as designed – supplied – installed, etc. by Atlantic Equipment Services. -Contact: Craig Roadarmel – 570-271-1401 Athens Township Elderly Care Projects Page 4 of 13 Bid Proposal Form Lump sum add cost @....................................... +$_____________ SB-7 Lump sum add cost to nursing home building base bid to receive, inventory, unpack and fully install Owner's supplied: Window "Plantation Style" blinds Window drapery Cubical curtains Shower curtains Lump sum add cost @......................................... +$_____________ SC-1: Lump sum add cost to personal care building base bid to upgrade the resident call system to a (2) way voice system per Item #16(10) on Page 50 of the Outline Specs @................................................ +$_____________ SC-2: Lump sum add cost to personal care building base bid to provide a 100% performance and labor and material payment bond @.................................... +$____________ SC-3 Lump sum add cost to personal care building base bid to provide full Builders Risk "Insurance" Athens Township Elderly Care Projects Page 5 of 13 Bid Proposal Form -Based on the base bid building value @............ +$____________ SC-4 Lump sum add cost to personal care building base bid to pay complete cost of the Athens Township zoning and building permit fees and all inspection fees. Township Zoning Officer Contact: -Edmund Reid – 570-888-2325 Township Sewer Authority Contact: -Valorie Huckabee – 570-888-2815 Township 3rd Party Engineer -William (Skip) Schneider – 570-963-0313 Township 3rd Party Building Code Official -Frank Tourscher – 570-928-9208 Lump sum add cost @....................................... +$_____________ SC-5 Lump sum add cost to personal care building base bid to incorporate all of Owner's food service Contractor's cost for supply and installation of the Athens Township Elderly Care Projects Page 6 of 13 Bid Proposal Form following kitchen food service equipment/work. Complete #96 cook line exhaust hood/exhaust system/assembly Complete dish washer steam hood exhaust system/assembly Complete #96 exhaust hood ducted makeup air system/assembly. #96 exhaust and makeup air system normal and emergency control panel assembly Complete walk-in refrigerator and freezer boxes. *All as designed – supplied – installed, etc. by Atlantic Equipment Services. -Contact: Craig Roadarmal – 570-271-1401 Lump sum add cost @....................................... +$_____________ SC-6 Lump sum add cost to nursing home building base bid to receive, inventory, unpack and fully install Owner's supplied: Window "Plantation Style" blinds Window drapery Cubical curtains Shower curtains Athens Township Elderly Care Projects Page 7 of 13 Bid Proposal Form Lump sum add cost @......................................... +$_____________ SD-1 Lump sum add cost to detached laundry building base bid to provide full Builders Risk "Insurance" -Based on the base bid building value @............ +$_____________ SD-2 Lump sum add cost to detached laundry building base bid to pay complete cost of the Athens Township zoning and building permit fees and all inspection fees. Township Zoning Officer Contact: -Edmund Reid – 570-888-2325 Township Sewer Authority Contact: -Valorie Huckabee – 570-888-2815 Township 3rd Party Engineer -William (Skip) Schneider – 570-963-0313 Township 3rd Party Building Code Official -Frank Tourscher – 570-928-9208 Lump sum add cost @....................................... II. +$_____________ Combined projects base bid lump sum cost for completion of all project Athens Township Elderly Care Projects Page 8 of 13 Bid Proposal Form work as a single project. Sitework And Long Term Care Nursing Home Building And Personal Care Building And Detached Laundry Building @.................................................................... $______________ .. Combined Projects Specified Bid Alternates: S-1 Lump sum add cost to sitework base bid to supply and install the additional driveway pole lights and related electrical work as illustrated on Plan Sheet #CS-7 @.......……………………….. S-2 +$_____________ Lump sum add cost to base bid to upgrade nursing home nurse call system and personal care home resident call system to a (2) way voice system @............. S-3 +$_____________ Lump sum add cost to base bid to provide a 100% Athens Township Elderly Care Projects Page 9 of 13 Bid Proposal Form performance and labor and material bond @......... +$_____________ S-4 Lump sum add cost to the "Combined Buildings" base bid to provide full Builders Risk "Insurance" -Based on the combined building base bid value @ +$_____________ S-5 Lump sum add cost to the "Combined Buildings" base bid to pay complete cost of the Athens Township zoning and building permit fees and all inspection fees. Township Zoning Officer Contact: -Edmund Reid – 570-888-2325 Township Sewer Authority Contact: -Valorie Huckabee – 570-888-2815 Township 3rd Party Engineer -William (Skip) Schneider – 570-963-0313 Township 3rd Party Building Code Official -Frank Tourscher – 570-928-9208 Lump sum add cost @....................................... S-6 +$_____________ Lump sum add cost to the "Combined Buildings" base bid to incorporate all of Owner's food service Athens Township Elderly Care Projects Page 10 of 13 Bid Proposal Form Contractor's cost for supply and installation of the following kitchen food service equipment/work. Complete #96 cook line exhaust hood/exhaust system/assembly Complete dish washer steam hood exhaust system/assembly Complete #96 exhaust hood ducted makeup air system/assembly. #96 exhaust and makeup air system normal and emergency control panel assembly Complete walk-in refrigerator and freezer boxes. *All as designed – supplied – installed, etc. by Atlantic Equipment Services. -Contact: Craig Roadarmal – 570-271-1401 Lump sum add cost @....................................... S-7 +$_____________ Lump sum add cost to the "Combined Buildings" base bid to receive, inventory, unpack and fully install Owner's supplied: Window "Plantation Style" blinds Window drapery Cubical curtains Shower curtains Athens Township Elderly Care Projects Page 11 of 13 Bid Proposal Form Lump sum add cost @......................................... III. +$_____________ All bids shall include the following specified cost allowances as part and part of each of the above specified bid amounts. A. $10,000.00 for "Facility Sign" as illustrated on Detail E/C-12 of site plan. -Which would include U/G electric supply from 1st (nearest) Keefer Lane (driveway) pole light B. $20,000.00 for nursing home front entry driveway center of circle landscaped water feature. -Which would include U/G electric and water supply from the building C: $20,000.00 for personal care home front entry/front lawn area landscaped water feature. -Which would include U/G electric and water supply from the building D. $20,000.00 for additional decorative landscaping E. $7,500.00 for nursing home lobby double sided natural gas direct vented fireplace unit and millwork/casework surround. -This allowance same and separate for each side; $15,000 total. F. All scheduled "material cost allowances" as listed in each building outline specifications for: Athens Township Elderly Care Projects Page 12 of 13 Bid Proposal Form o Carpet and base o Wall, floor tile, base and trim tile o Vinyl wall coverings o Solid surface millwork/vanity tops G. All scheduled material cost allowance for "decorative light fixtures" as scheduled in each building light fixture schedule -All uses of such "allowances" will be by Owner's selections. *All such allowances will be required to be carried as separate line items on the pre approved schedule of values breakdown of (4) separate payment applications presented as a required bid attachment to each of the (4) base bids. IV: Bid exclusions/clarifications: -All bid exclusions and/or clarifications shall be presented as a required bid attachment; written on contractor's letterhead. End of Bid Form Athens Township Elderly Care Projects Page 13 of 13 Bid Proposal Form
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