Bidding Registration Form

BIDDER REGISTRATION AND AGREEMENT

This Bidding Registration and General Business Agreement (the Agreement) is entered into between Bidder Name: and Issuing Entity: .

WHEREAS

WHEREAS, Issuing Entity solicits bids, registrations, and qualifications from contractors and suppliers for projects and procurement opportunities identified by Issuing Entity; and

WHEREAS, Bidder desires to register to receive bid opportunities and to represent that it possesses the requisite qualifications, licenses, insurance and certifications to perform the types of work or supply the items identified herein; and

WHEREAS, Issuing Entity requires registration information and certain certifications from Bidder and requests that Bidder agree to the terms set forth in this Agreement as a condition of registration and prequalification.

REGISTRATION INFORMATION

BUSINESS INFORMATION & QUALIFICATIONS

Corporation LLC Partnership Sole Proprietor

General Construction Electrical Plumbing Site Work Roads & Bridges Materials / Supply

MBE WBE DBE SBE

SCOPE OF WORK

Bidder registers to perform or supply the following categories and types of work or materials and agrees such registration is subject to Issuing Entity bid documents and specific contract requirements. Describe primary services, specialties, and limitations:

PAYMENT TERMS

Contract Amount (as applicable to individual awarded contracts): $

Late Payment Fee: on overdue amounts. Payment terms for awarded contracts shall be as set forth in the applicable contract documents unless otherwise agreed in writing.

TERM AND TERMINATION

Registration Effective Date: — Registration Expiration Date:

Either party may terminate this Agreement for convenience upon providing written notice to the other party at least days prior to the effective termination date. Termination shall not affect obligations accrued prior to termination.

CONFIDENTIALITY

Each party shall keep confidential all non-public information and documentation disclosed by the other party in connection with registration, bid materials, pricing, and contract performance. Confidential information shall not include information that is publicly available through no fault of the receiving party, rightfully received from a third party without restriction, or independently developed. Receiving party shall use at least the same degree of care to protect Confidential Information as it uses to protect its own similar confidential information, but in no event less than reasonable care. Disclosure required by law is permitted only after notice to the disclosing party and where allowed, reasonable assistance in seeking protective measures.

GOVERNING LAW

This Agreement, any registrations and any disputes arising hereunder shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law doctrines.

ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior and contemporaneous understandings, proposals or agreements, whether written or oral. Any amendment or waiver must be in writing and signed by both parties.

ACKNOWLEDGEMENTS AND CERTIFICATIONS

By submitting this registration, Bidder certifies under penalty of perjury that the information provided herein is true and accurate to the best of Bidder's knowledge, that Bidder is not debarred or suspended from bidding on public contracts, and that Bidder will notify Issuing Entity promptly of any material changes to the information supplied. Bidder further certifies it will comply with all applicable laws, licensing, bonding and insurance requirements for any work for which it is selected.

Debarment / Suspension: Has Bidder or any principal of the Bidder been debarred, suspended, or otherwise prohibited from contracting with any public entity? No Yes — If yes, provide details:

Certificate of Insurance Copy of License W-9 or Tax Form References/Project List

MISCELLANEOUS PROVISIONS

Assignment: Bidder shall not assign its rights or delegate its obligations under this Agreement without the prior written consent of Issuing Entity. Any attempted assignment without such consent shall be void.

Severability: If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Remedies: The remedies provided in this Agreement are cumulative and in addition to any other remedies available at law or equity.

SIGNATURE AND AUTHORIZATION

The undersigned represents and warrants that he or she is authorized to execute this registration and Agreement on behalf of the party indicated and that the information provided is true and complete.

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