**[EVALUATION OF BID(S)]{.underline}**

***\[Required for documenting the evaluation of bid(s) received and
establishing price reasonableness of the acceptable low bid. See ADIP
No. 85-2***

**NOTE: Use DOT Form 4220.1 for documenting the DETERMINATION OF
PROSPECTIVE CONTRACTOR RESPONSIBILITY, i.e., Reference checks and
Financial Statement analysis.\]**

SOLICITATION
NO.\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_NO.
OF AMENDMENTS\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PROJECT
TITLE\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

GOVERNMENT
ESTIMATE\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ NO. OF
INVITATIONS ISSUED\_\_\_\_\_\_\_\_\_\_\_\_

BID OPENING
DATE/TIME\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ SF
1409/OF 1419

> Distribution Within DTS-85\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> *(Insert Date)*

NO. OF BIDS RECEIVED\_\_\_\_\_\_\_\_\_\_\_\_\_;PER FAR 14.408-1(b), IF
LESS THAN THREE BIDS RECEIVED, ATTACH DOCUMENTATION OF ACTION TO
INCREASE FUTURE COMPETITIONS.

RANGE OF BIDS
RECEIVED\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

# COMPLIANCE WITH FAR 14.103-2(a) THRU (c) IS HEREBY DOCUMENTED

BIDS WERE SOLICITED AS REQUIRED BY FAR 14.2:
YES\_\_\_\_\_\_NO\_\_\_\_(EXPLANATION ATTACHED)

BIDS WERE SUBMITTED AS REQUIRED BY FAR 14.3:
YES\_\_\_\_\_\_NO\_\_\_\_(EXPLANATION ATTACHED)

MET THE REQUIREMENTS OF FAR 1.602-1(b) & PART 6:
YES\_\_\_\_\_\_NO\_\_\_\_(EXPLANATION ATTACHED)

THE ACCEPTED LOW BID SUBMITTED BY :

*[(Insert company name)]{.underline}*

\(1\) IS \_\_\_\_\_\_\_THE LOWEST BID RECEIVED, OR (2)
\_\_\_\_\_\_\_\_SEE THE LIST OF ALL LOWER BIDS ON THE REVERSE OF THIS
FORM INCLUDING A BRIEF DESCRIPTION OF THE REASON FOR THE REJECTION AND A
REFERENCE TO THE D&F JUSTIFYING THE REJECTION.

ACCEPTED LOW BIDDER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

AMOUNT OF BID:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

ALL DOCUMENTS ACKNOWLEDGED:
N/A\_\_\_\_\_YES\_\_\_\_\_NO\_\_\_\_(EXPLANATION ATTACHED)

BID GUARANTEE ACCEPTABLE & SURETY

LISTED IN TREASURY CIRCLUAR 570:
N/A\_\_\_\_\_YES\_\_\_\_\_NO\_\_\_\_(EXPLANATION ATTACHED)

PROSPECTIVE CONTRACTOR IS REGISTERED IN THE CCR DATABASE
\_\_\_\_\_\_\_\_YES \[ If not registered see FAR 4.1103.\]

COMMENTS:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

# DOCUMENTATION NEEDED TO SUPPORT FINDING OF PRICE REASONABLENESS

REVIEW OF GOVERNMENT ESTIMATE REQUESTED N/A\_\_\_\_\_\_\_YES\_\_\_\_\_\_

IF YES, RESPONSE RECEIVED AND FILED UNDER TAB NO.\_\_\_\_\_\_\_\_

BID CONFIRMATION REQUESTED N/A\_\_\_\_\_\_\_YES\_\_\_\_\_\_

IF YES, RESPONSE RECEIVED AND FILED UNDER TAB NO.\_\_\_\_\_\_\_\_

BASED ON THE INFROMATION IDENTIFIED HEREIN, A DETERMINATION OF PRICE
REASONABLENESS AS REQUIRED BY FAR 14.408-2 IS MADE AS
FOLLOWS:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PREPARED
BY:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
CONCURRED
BY:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

CONTRACT SPECIALIST CONTRACTING OFFICER