TERM: July 1, 2018 through June 30, 2019

TITLE: ENGINEERING PRINTS

Federal Highway Administration (DOT)

PROGRAM 617-S

BASIS OF

ITEM NO. DESCRIPTION AWARD UNIT RATE COST UNIT RATE COST

I. DUPLICATING/COPYING, PACKING & DISTRIBUTION:

(a) 11 x 17" (White Bond, 20-pound)..............per sheet 8,107 0.18 1,459.26 0.45 3,648.15

(b) 11 x 17" (Mylar Film, 4 Mil).......................per sheet 820 2.00 1,640.00 1.83 1,500.60

(c) 24 x 36" (White Bond, 20 pound)..............per sheet 331 0.80 264.80 2.10 695.10

(d) 24 x 36" (Mylar Film, 4 Mil).......................per sheet 198 4.00 792.00 5.50 1,089.00

II. ADDITIONAL OPERATIONS:

(a) Sets with thickness up to and including 3/4":

Two or four wire stitches............................per set 122 2.00 244.00 1.05 128.10

(b) Sets with thickness over 3/4": Two or three

metallic screw posts, including cost of drilling 

and screw posts.........................................per set 11 5.00 55.00 10.00 110.00

CONRACTOR SUBTOTALS $4,455.06 $7,170.95

DISCOUNT 1.00% $44.55 2.00% $143.42

DISCOUNTED TOTALS $4,410.51 $7,027.53

AWARDED

EXTENSIVELY

REVISED

SPECIFICATION

GRAY GRAPHICS REPROGRAPHICS PRODUCTS GRP. CURRENT CONTRACTOR

Capitol Heights, MD Laurel, MD Ridgways LLC/ARC

Page 1 of 1
Program 617-S Page 1 of 12

Specifications by RRS

Reviewed by MRN

U.S. GOVERNMENT PUBLISHING OFFICE

Washington, DC

GENERAL TERMS, CONDITIONS, AND SPECIFICATIONS

For the Procurement of 

Engineering Prints

as requisitioned from the U.S. Government Publishing Office (GPO) by the

Department of Transportation/

Federal Highway Administration

Single Award

TERM OF CONTRACT: The term of this contract is for the period beginning July 1, 2018 and ending June 30, 2019,

plus up to four (4) optional 12-month extension periods that may be added in accordance with the “OPTION TO 

EXTEND THE TERM OF THE CONTRACT” clause in SECTION 1 of this contract. 

BID OPENING: Bids shall be publicly opened at 11:00 a.m., prevailing Washington, DC time, on June 20, 2018.

BID SUBMISSION: Submit bid in pre-addressed envelope furnished with solicitation or send to: U.S. Government 

Publishing Office, Bid Section, Room C-848, Stop: CSPS, 732 North Capitol Street, NW, Washington, DC 20401. 

Facsimile bids in response to this solicitation are permitted. Facsimile bids may be submitted directly to the GPO Bid 

Section, Fax No. (202) 512-1782. The program number and bid opening date must be specified with the bid. Refer to 

Facsimile Bids in Solicitation Provisions of GPO Contract Terms, GPO Publication 310.2, as revised January 2018. 

Hand delivered bids are to be taken to: GPO Bookstore, 710 North Capitol Street, NW, Washington, DC, between the 

hours of 8:00 a.m. and 4:00 p.m., prevailing Washington, DC time, Monday through Friday. Follow the instructions in 

the bid submission/opening area. If further instruction or assistance is required, call (202) 512-0526.

BIDDERS, PLEASE NOTE: These specifications have been extensively revised; therefore, all bidders are cautioned 

to familiarize themselves with all provisions of these specifications before bidding. 

GPO has issued a new GPO Publication 310.2, GPO Contract Terms – Solicitation Provisions, Supplemental 

Specifications, and Contract Clauses (Rev. 1-18). Prospective bidders should carefully read this publication as the 

applicable terms within become an integral part of this contract. The document is posted at https://www.gpo.gov/howto-work-with-us/vendors/forms-and-standards along with a list of major revisions.

The GPO 910 “BID” Form is no longer required. Bidders are to fill out, sign/initial, as applicable, all pages of 

“SECTION 4. – SCHEDULE OF PRICES”.

Abstracts of contract prices are available at https://www.gpo.gov/how-to-work-with-us/vendors/contract-pricing. 

For information of a technical nature, contact Rebecca Swan at rswan@gpo.gov or (202) 512-1239.
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617-S (6/19)

SECTION 1. - GENERAL TERMS AND CONDITIONS

GPO CONTRACT TERMS: Any contract which results from this Invitation for Bid will be subject to the applicable 

provisions, clauses, and supplemental specifications of GPO Contract Terms (GPO Publication 310.2, effective 

December 1, 1987 (Rev. 1-18)) and GPO Contract Terms, Quality Assurance through Attributes Program for Printing 

and Binding (GPO Publication 310.1, effective May 1979 (Rev. 8-02)).

GPO Contract Terms (GPO Publication 310.2) – https://www.gpo.gov/docs/default-source/forms-and-standards-filesfor-vendors/contractterms2018.pdf. 

GPO QATAP (GPO Publication 310.1) – https://www.gpo.gov/docs/default-source/forms-and-standards-files-forvendors/qatap.pdf. 

SUBCONTRACTING: Subcontracting is NOT allowed.

QUALITY ASSURANCE LEVELS AND STANDARDS: The following levels and standards shall apply to these 

specifications:

Product Quality Levels:

(a) Printing (page related) Attributes – Level IV.

(b) Finishing (item related) Attributes – Level IV.

Inspection Levels (from ANSI/ASQC Z1.4):

(a) Non-destructive Tests - General Inspection Level I.

(b) Destructive Tests - Special Inspection Level S-2.

Specified Standards: The specified standards for the attributes requiring them shall be:

Attribute Specified Standard

P-7. Type Quality and Uniformity Electronic Media/Average Type Dimension in Publication/

Furnished copy

OPTION TO EXTEND THE TERM OF THE CONTRACT: The Government has the option to extend the term of 

this contract for a period of 12 months by written notice to the contractor not later than 30 days before the contract 

expires. If the Government exercises this option, the extended contract shall be considered to include this clause, 

except, the total duration of the contract may not exceed five (5) years as a result of, and including, any extension(s) 

added under this clause. Further extension may be negotiated under the “EXTENSION OF CONTRACT TERM”

clause. See also “ECONOMIC PRICE ADJUSTMENT” for authorized pricing adjustment(s).

EXTENSION OF CONTRACT TERM: At the request of the Government, the term of any contract resulting from 

this solicitation may be extended for such period of time as may be mutually agreeable to the GPO and the contractor.
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617-S (6/19)

ECONOMIC PRICE ADJUSTMENT: The pricing under this contract shall be adjusted in accordance with this 

clause, provided that in no event will any pricing adjustment be made that would exceed the maximum permissible 

under any law in effect at the time of the adjustment. There will be no adjustment for orders placed during the first 

period specified below. Pricing will thereafter be eligible for adjustment during the second and any succeeding 

performance period(s). For each performance period after the first, a percentage figure will be calculated as described 

below and that figure will be the economic price adjustment for that entire next period. Pricing adjustments under this 

clause are not applicable to reimbursable postage or transportation costs, or to paper, if paper prices are subject to 

adjustment by separate clause elsewhere in this contract.

For the purpose of this clause, performance under this contract will be divided into successive periods. The first period 

will extend from July 1, 2018 to June 30, 2019, and the second and any succeeding period(s) will extend for 12 months 

from the end of the last preceding period, except that the length of the final period may vary. The first day of the second 

and any succeeding period(s) will be the effective date of the economic price adjustment for that period.

Pricing adjustments in accordance with this clause will be based on changes in the seasonally adjusted "Consumer Price 

Index For All Urban Consumers - Commodities Less Food" (Index) published monthly in the CPI Detailed Report by 

the U.S. Department of Labor, Bureau of Labor Statistics.

The economic price adjustment will be the percentage difference between Index averages as specified in this paragraph. 

An index called the variable index will be calculated by averaging the monthly Indexes from the 12-month interval 

ending three (3) months prior to the beginning of the period being considered for adjustment. This average is then 

compared to the average of the monthly Indexes for the 12-month interval ending March 31, 2018, called the base 

index. The percentage change (plus or minus) of the variable index from the base index will be the economic price 

adjustment for the period being considered for adjustment.

The Government will notify the contractor by contract modification specifying the percentage increase or decrease to be 

applied to invoices for orders placed during the period indicated. The contractor shall apply the percentage increase or 

decrease against the total price of the invoice less reimbursable postage or transportation costs and separately adjusted 

paper prices. Payment discounts shall be applied after the invoice price is adjusted.

PROTECTION OF PROCUREMENT INFORMATION: During the performance of this contract, protected 

information related to future procurements of the U.S. Department of Transportation will be reproduced. By law, this 

information must be protected from release to the general public.

The contractor must follow appropriate safeguards to ensure the protection of the data, to include keeping a written 

record of the contractor personnel that will handle this data. Such safeguards shall ensure that only Governmental and 

contractor parties, which have an established need-to-know, will have access in order to perform work under this 

contract, and then only under conditions which assure that the information is properly protected. Access by anyone else 

in not permitted. In addition, any and all issue or release of such information beyond such necessary parties, whether or 

not ordered through an administrative or judicial tribunal shall be brought to the immediate attention of the Contracting 

Officer.

The U.S. Department of Transportation reserves the right to audit contractor facilities for compliance with the above 

restrictions.

SECURITY WARNING: The contractor shall take all necessary precautions to ensure against loss of forms or other 

reproducible at any time prior to delivery by him/her to a transportation agent or delivery to destination. Proper control 

and handling must be maintained at all times to prevent any information or materials required to produce the product 

ordered under these specifications from falling into unauthorized hands. Unless otherwise indicated herein, all extra 

copies, materials, waste, etc., must be destroyed.
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617-S (6/19)

PREAWARD SURVEY: In order to determine the responsibility of the contractor, the Government reserves the right 

to conduct an on-site preaward survey at the contractor’s facility or to require other evidence of technical, production, 

managerial, financial, and similar abilities to perform, prior to the award of a contract.

ASSIGNMENT OF JACKETS, PURCHASE AND PRINT ORDERS: A GPO jacket number will be assigned and 

a purchase order issued to the contractor to cover work performed. The purchase order will be supplemented by an 

individual print order for teach job placed with the contractor. The print order, when issued, will indicate the quantity to 

be produced and any other information pertinent to the particular order.

ORDERING: Items to be furnished under the contract shall be ordered by the issuance of print orders by the 

Government. Orders may be issued under the contract from July 1, 2018 through June 30, 2019, plus for such 

additional period(s) as the contract is extended. All print orders issued hereunder are subject to the terms and conditions 

of the contract. The contract shall control in the event of conflict with any print order. A print order shall be “issued,”

upon notification by the Government for purposes of the contract when it is electronically transmitted or otherwise 

physically furnished to the contractor in conformance with the schedule. 

REQUIREMENTS: This is a requirements contract for the items and for the period specified herein. 

Shipment/delivery of items or performance of work shall be made only as authorized by orders issued in accordance 

with the clause entitled “ORDERING.” The quantities of items specified herein are estimates only, and are not 

purchased hereby. Except as may be otherwise provided in this contract, if the Government’s requirements for the items 

set forth herein do not result in orders in the amounts or quantities described as “estimated,” it shall not constitute the 

basis for an equitable price adjustment under this contract.

Except as otherwise provided in this contract, the Government shall order from the contractor all the items set forth 

which are required to be purchased by the Government activity identified on page 1.

The Government shall not be required to purchase from the contractor, requirements in excess of the limit on total 

orders under this contract, if any.

Orders issued during the effective period of this contract and not completed within that time shall be completed by the 

contractor within the time specified in the order, and the rights and obligations of the contractor and the Government 

respecting those orders shall be governed by the terms of this contract to the same extent as if completed during the 

effective period of this contract.

If shipment/delivery of any quantity of an item covered by the contract is required by reason of urgency prior to the 

earliest date that shipment/delivery may be specified under this contract, and if the contractor will not accept an order 

providing for the accelerated shipment/delivery, the Government may procure this requirement from another source.

The Government may issue orders which provide for shipment/delivery to or performance at multiple destinations.

Subject to any limitations elsewhere in this contract, the contractor shall furnish to the Government all items set forth 

herein which are called for by print orders issued in accordance with the “ORDERING” clause of this contract.

PAYMENT: Submitting invoices for payment via the GPO fax gateway (if no samples are required) utilizing the GPO 

barcode coversheet program application is the most efficient method of invoicing. Instruction for using this method can 

be found at the following web address: http://winapps.access.gpo.gov/fms/vouchers/barcode/instructions.html.

Invoices may also be mailed to: U.S. Government Publishing Office, Office of Financial Management, Attn: 

Comptroller, Stop: FMCE, Washington, DC 20401.

For more information about the billing process refer to the General Information of the Office of Finance web page 

located at https://www.gpo.gov/how-to-work-with-use/vendors/how-to-get-paid. 

Contractor’s billing invoice must be itemized in accordance with the line items in the “SCHEDULE OF PRICES.”
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617-S (6/19)

SECTION 2. – SPECIFICATIONS

SCOPE: These specifications cover the production of engineering prints requiring such operations as electronic 

prepress, enlargements/reductions, duplicating/copying, binding, packing, and distribution.

TITLE: Engineering Prints.

FREQUENCY OF ORDERS: Approximately 15 to 40 orders per year.

NOTE: Multiple orders may be placed on the same day requiring the same schedule.

QUANTITY: Approximately 1 to 35 sets per order. 

NUMBER OF SHEETS: Approximately 3 to 300 sheets per set per order. (An occasional order will be more for than 

300 sheets.)

TRIM SIZES: 11 x 17” and 24 x 36”.

GOVERNMENT TO FURNISH:

 Platform: Windows 10.

Storage Media: FTP.

 Software: Adobe Acrobat.

All software upgrades (for specified applications) which may occur during the term of the contract 

must be supported by the contractor. 

 Fonts: All printer and screen fonts will be furnished/embedded, as applicable. 

The contractor is cautioned that furnished fonts are the property of the Government and/or its 

originator. All furnished fonts are to be eliminated from the contractor’s archive immediately after 

completion of the contract.

 Additional 

 Information: Files will be furnished in PDF format. 

Electronic media will include all illustrations and graphics furnished in place. 

Electronic files will be furnished via FTP for the majority of orders placed. On occasion, engineering prints on Vellum, 

Bond, or translucent plastic sheets or translucent sepia print sheets may be furnished.

Identification markings such as register marks, commercial identification marks of any kind, etc., except GPO imprint, 

form number, and revision date, carried in the electronic files or furnished copy, must not print on finished product. 

CONTRACTOR TO FURNISH: All materials and operations, other than those listed under “GOVERNMENT TO 

FURNISH,” necessary to produce the products in accordance with these specifications.

The contractor must be able to accept files electronically via a contractor-hosted FTP server. Appropriate log-on 

instructions and protocol must be provided at time of award. The contractor must provide necessary security for the 

FTP, which at a minimum, must have a unique user ID and password.
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617-S (6/19)

ELECTRONIC PREPRESS: Prior to image processing, the contractor shall perform a basic check (preflight) of the 

furnished media and publishing files to assure correct output of the required production image. Any errors, media 

damage, or data corruption that might interfere with proper file image processing must be reported to the ordering 

agency. 

The contractor shall create or alter any necessary trapping, set proper screen angles and screen frequency, and define 

file output selection for the imaging device being utilized. Furnished files must be imaged as necessary to meet the 

assigned quality level. 

When required by the Government, the contractor shall make minor revisions to the electronic file, which may include 

color corrections to digital furnished images. It is anticipated that the Government will make all major revisions. 

Prior to making revisions, the contractor shall copy the furnished files and make all changes to the copy. 

Upon completion of each order, the contractor must furnish final production native application files (digital 

deliverables) with the furnished material. The digital deliverables must be an exact representation of the final printed 

product and shall be returned on the same type of storage media as was originally furnished. The Government will not 

accept as digital deliverables, PostScript files, Adobe Acrobat Portable Document Format (PDF) files, or any 

proprietary file formats other than those supplied, unless specified by the Government. (The Government will accept 

PDF files as digital deliverables when furnished by the Government.)

NOTE: Contractor must be able to enlarge 11 x 17” sized plans to 24 x 36” sized plans and reduce 24 x 36” sized 

plans down to 11 x 17” sized plans.

STOCK/PAPER: The specifications of all paper furnished must be in accordance with those listed herein or listed for 

the corresponding JCP Code numbers in the “Government Paper Specification Standards No. 12” dated March 2011.

Government Paper Specification Standards No. 12 – http://www.gpo.gov/pdfs/customers/sfas/vol12/vol_12.pdf.

All paper used in each set must be of a uniform shade. 

White Bond, basis weight: 20 pounds per 500 sheets, 17 x 22”, equal to JCP Code G10. 

Double Matte Engineering Mylar Film (4 Mil).

NOTE: The majority of orders will require the White Bond stock. 

DUPLICATING/COPYING:

For the purposes of this contract, duplicating/copying shall be defined as the reproduction of furnished material by 

means of equipment employing the lithographic process and/or copier-duplicating machines employing electrostatic, 

thermal, or other copying processes.

Reproduce prints face only in black ink.

MARGINS: Margins will be as indicated on the print order, furnished electronic file, or furnished copy.

BINDING: Collate engineering prints into sets, trim four sides, and bind as follows:

Sets with a thickness up to and including 3/4”, bind as follows: 

11 x 17” – Side-stitch with two wire stitches on left binding edge.
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617-S (6/19)

24 x 36” – Side stitch with four wire stitches on the left binding edge.

Sets with a thickness over 3/4”, bind as follows:

11 x 17” – Drill two 1/4” diameter holes centered on the 11” side, 8” center to center. Center of holes to be 3/8” from 

left binding edge; bind with two non-rust, metallic screw posts of suitable capacity. 

24 x 36” – Drill three 1/4” diameter holes, centered on the 24” side, 8” center to center. Center of holes to be 3/8” from 

left binding edge; bind with three non-rust, metallic screw posts of suitable capacity. 

PACKING:

For 11 x 17” engineering prints, pack suitable in cartons not to exceed 45 pounds when fully packed. All shipments 

which fill less than a shipping container must be packaged with materials of sufficient strength and durability and in 

such a manner which will guarantee that the product will not be damaged and the package will not open nor split during 

delivery process.

For 24 x 36” engineering prints, roll individually using kraft paper. 

LABELING AND MARKING (Package and/or Container Label):

Contractor to download the “Labeling and Marking Specifications” form (GPO Form 905, Rev. 7-15) from GPO.gov, 

fill in appropriate blanks, and attach to shipping containers.

DISTRIBUTION: Deliver f.o.b. destination to: Federal Highway Administration, 21400 Ridgetop Circle, Sterling, VA

20166.

Inside delivery to room number specified is required.

Deliveries must be made between the hours of 9:00 a.m. and 4:00 p.m. 

Upon completion of each order, contractor must notify the ordering agency (on the same day the order delivers) via 

email to the address indicated on the print order. The subject line of the email shall be “Distribution Notice for Program 

617-S, Print Order XXXXX, Jacket Number XXX-XXX.” The notice must provide all applicable tracking numbers, 

delivery method, and title of product. Contractor must be able to provide copies of all delivery receipts upon agency 

request.

Upon completion of each order, all furnished material (including digital deliverables, if applicable) must be returned to: 

Federal Highway Administration, Room 100, 21400 Ridgetop Circle, Sterling, VA 20166.

All expenses incidental to picking up and returning materials (if applicable) and furnishing sample copies must be 

borne by the contractor.

SCHEDULE: Adherence to this schedule must be maintained. Contractor must not start production of any job prior to 

receipt of the individual print order (GPO Form 2511).

When applicable, print order and furnished material must be picked up from: Federal Highway Administration, Room 

100, 21400 Ridgetop Circle, Sterling, VA 20166.

No definite schedule for pickup of material/placement of orders can be predetermined.

The following schedules begin the workday after notification of the availability of print order and furnished material; 

the workday after notification will be the first workday of the schedule.
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617-S (6/19)

• Contractor must complete production and distribution within three (3) workdays of notification of the 

availability of print order and furnished material.

The ship/deliver date indicated on the print order is the date products ordered for delivery f.o.b. destination must be 

delivered to the destination specified.

Unscheduled material such as shipping documents, receipts or instructions, delivery lists, labels, etc., will be furnished 

with each order or shortly thereafter. In the event such information is not received in due time, the contractor will not be 

relieved of any responsibility in meeting the shipping schedule because of a failure to request such information.

For compliance reporting purposes, the contractor must notify the U.S. Government Publishing Office of the date of 

shipment or delivery, as applicable. Upon completion of each order, contractor must contact the Shared Support 

Services Compliance Section via email at compliance@gpo.gov, via telephone at (202) 512-0520, or via facsimile at 

(202) 512-1364. Personnel receiving the email, call, or facsimile will be unable to respond to questions of a technical 

nature or to transfer any inquiries.
Engineering Prints Page 9 of 12

617-S (6/19)

SECTION 3. - DETERMINATION OF AWARD

The Government will determine the lowest bid by applying the prices offered in the “SCHEDULE OF PRICES” to the 

following units of production which are the estimated requirements to produce one (1) year’s production under this 

contract. These units do not constitute, nor are they to be construed as, a guarantee of the volume of work which may be 

ordered for a like period of time.

The following item designations correspond to those listed in the “SCHEDULE OF PRICES.”

I. (a) 8,107

(b) 820

(c) 331

(d) 198

II. (a) 122

(b) 11
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617-S (6/19)

THIS PAGE IS INTENTIONALLY BLANK.
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617-S (6/19)

SECTION 4. - SCHEDULE OF PRICES

Bids offered are f.o.b. destination.

Prices must include the cost of all required materials and operations for each item listed in accordance with these 

specifications. 

Bidder must make an entry in each of the spaces provided. Bids submitted with any obliteration, revision, or alteration 

of the order and manner of submitting bids, may be declared non-responsive.

An entry of NC (No Charge) shall be entered if bidder intends to furnish individual items at no charge to the 

Government.

Bids submitted with NB (No Bid), NA (Not Applicable), or blank spaces for an item may be declared non-responsive.

The Contracting Officer reserves the right to reject any offer that contains prices for individual items of production 

(whether or not such items are included in the DETERMINATION OF AWARD) that are inconsistent or unrealistic in 

regard to other prices in the same offer or to GPO prices for the same operation if such action would be in the best 

interest of the Government.

All invoices submitted to the GPO shall be based on the most economical method of production.

Contractor’s billing invoices must be itemized in accordance with the line items in the “SCHEDULE OF PRICES.”

I. DUPLICATING/COPYING, PACKING, AND DISTRIBUTION: Prices offered shall include the cost of all 

required materials and operations necessary (including paper) for the duplicating/copying, packing, and distribution

of the product listed in accordance with these specifications.

NOTE: Prices offered must include the cost of enlargement or reduction, as required.

(a) 11 x 17” (White Bond, 20-pound)....................................................................per sheet......$___________

(b) 11 x 17” (Mylar Film, 4 Mil)............................................................................per sheet......$___________

(c) 24 x 36” (White Bond, 20 pound) ....................................................................per sheet......$___________

(d) 24 x 36” (Mylar Film, 4 Mil)............................................................................per sheet......$___________

II. ADDITIONAL OPERATIONS: 

(a) Sets with thickness up to and including 3/4”:

Two or four wire stitches......................................................................................per set......$___________

(b) Sets with thickness over 3/4”:

Two or three metallic screw posts,

including cost of drilling and screw posts.............................................................per set......$___________

 ________________

 (Initials)
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617-S (6/19)

SHIPMENT(S): Shipments will be made from: City ___________________________, State ________________

The city(ies) indicated above will be used for evaluation of transportation charges when shipment f.o.b. contractor’s 

city is specified. If no shipping point is indicated above, it will be deemed that the bidder has selected the city and state

shown below in the address block, and the bid will be evaluated and the contract awarded on that basis. If shipment is 

not made from evaluation point, the contractor will be responsible for any additional shipping costs incurred.

DISCOUNTS: Discounts are offered for payment as follows: ____________ Percent, ____________ calendar days.

See Article 12 “Discounts” of Solicitations Provisions in GPO Contract Terms (Publication 310.2).

AMENDMENT(S): Bidder hereby acknowledges amendment(s) number(ed) _____________________________

BID ACCEPTANCE PERIOD: In compliance with the above, the undersigned agree, if this bid is accepted within 

_____________ calendar days (60 calendar days unless a different period is inserted by the bidder) from the date for 

receipt of bids, to furnish the specified items at the price set opposite each item, delivered at the designated point(s), in 

exact accordance with specifications.

NOTE: Failure to provide a 60-day bid acceptance period may result in expiration of the bid prior to award. 

BIDDER’S NAME AND SIGNATURE: Unless specific written exception is taken, the bidder, by signing and 

submitting a bid, agrees with and accepts responsibility for all certifications and representations as required by the 

solicitation and GPO Contract Terms – Publication 310.2. When responding by fax or mail, fill out and return one copy 

of all pages in “SECTION 4. – SCHEDULE OF PRICES,” including initialing/signing where indicated. 

Failure to sign the signature block below may result in the bid being declared non-responsive.

Bidder_______________________________________________________________________________________

 (Contractor’s Name) (GPO Contractor’s Code)

____________________________________________________________________________________________

 (Street Address)

____________________________________________________________________________________________

 (City – State – Zip Code)

By___________________________________________________________________________________________

 (Printed Name, Signature, and Title of Person Authorized to Sign this Bid) (Date)

___________________________________________________________________________________________

 (Person to be Contacted) (Telephone Number) (Email Address)

*******************************************************************************************

THIS SECTION FOR GPO USE ONLY

Certified by: __________ Date: __________ Contracting Officer: __________ Date: __________

*******************************************************************************************