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FCL-9 ADDENDUM to BIDRev . 05/07Jennifer K. KelleyUNIVERSITY OF CONNECTICUT HEALTH CENTERFACILITY CONTRACTS & LEASES263 Farmington Avenue, MC4039Farmington, CT 06032Bid Number4-0053Bid Due Date:June 3, 2009Senior Purchasing Officer860-679-1988Telephone NumberBid: 4-0053Addendum Number: 2Title: Clean & Service BoilersFor: The University of Connecticut Health CenterBidders Note:Please utilize the following information in formulating your response.Q: May we have the bid results from the previous contract?A: This contract was last bid in 2007. The low bid prices from Blake Equipment are as follows:1) Clean Cleaver Brooks Steam Boilers in L-Building Penthouse:Model CB200-150: 1,575.00Model CB189-600: 2,415.002) Clean Cleaver Brooks Boilers (all Model CB200-600) in the basement of theAcademic Research Building (ARB): 2,835.00 each3) Labor Rates: Regular Time: 90.00/hourOvertime: 135.00/hourMaterials:List less 10%The boilers in Building #1 and the MARB have not been on maintenance contract in the past.They have been added to the contact for the first time this year.All other terms & conditions remain unchangedEnd of AddendumThis Addendum must be Signed & Returned with your bid.Authorized Signature of BidderCompany NameApprovedJennifer K. KelleyPurchasing Services Officer(Original signature on file in Facility Contract & Leases)Dated Issued: May 27, 2009

UCHC-9 Rev. 05/07Previous Rev. 01/07Jennifer K. KelleyUNIVERSITY OF CONNECTICUT HEALTH CENTERFACILITY CONTRACTS & LEASES263 Farmington Avenue, MC4039Farmington, CT 06032Bid Number4-0053Bid Due Date:June 3, 2009Senior Purchasing Officer860-679-1988Telephone NumberBid: 4-0053Addendum Number: 1Title: Clean & Service BoilersFor: The University of Connecticut Health CenterBidders Note:Please incorporate the following change into the specs for this bid.On page 1 of the Proposal Schedule (page 5 of the bid package), the quantities on items 4a and 4b areincorrect. Quantities should read “2 each” of the Lattner Steam Boilers and “2 each” of the HB SmithModel 28A Hot Water Boilers, not 4 each of both as it reads now.All other terms & conditions remain unchangedEnd of AddendumThis Addendum must be Signed & Returned with your bid.Authorized Signature of BidderCompany NameApprovedJennifer K. KelleyPurchasing Services Officer(Original signature on file in Facility Contract & Leases)Dated Issued: May 27, 2009

INVITATION TO BIDSTATE OF CONNECTICUTFCL-1 Rev. 5/07Previous Rev. 12/06Jennifer K. KelleyPurchasing Services OfficerUNIVERSITY OF CONNECTICUT HEALTH CENTERFACILITY CONTRACTS & LEASES263 Farmington Avenue, MC4039Farmington, CT 06032860-679-1988jkk1011@adp.uchc.eduEmail addressAcknowledgment: Receipt of Bid DocumentsFAX to 860-284-5872Bid NumberBid Due DateDue Date Time4-0053June 3, 20092:30 PMBid Title:Clean and Service BoilersPLEASE RETURN THIS ACKNOWLEDGEMENT AS SOON AS POSSIBLE, SO YOUR COMPANYCAN BE ADDED TO THE BIDDERS’ LIST FOR THIS PROJECT AND BE SURE TO RECEIVE ANYADDENDA OR OTHER INFORMATION REGARDING THE BID.Please check one of the following boxes:Print or type the following information:Company name:Address:City or Town:Phone:Fax:Received by:email:Submitting proposalNOT submitting proposal

BIDDER’S CHECKLISTFCL-2 Rev. 5/07State of ConnecticutUniversity of Connecticut Health CenterBID NUMBER:4-0053BIDDER’S CHECKLISTREAD CAREFULLYIT IS SUGGESTED THAT YOU REVIEW AND CHECK OFF EACH ACTION AS YOU COMPLETE IT.1.2.3.4.5.6.7.8.9.10.11.Complete and return “Acknowledgement: Receipt of Bid Documents” (Form FCL-1)The Proposal (FCL-3, FCL-5) must be signed by a duly authorized representative of the company. UnsignedProposals will automatically be rejected.The Proposal Schedule (FCL-4) must be included with your Proposal and contain the following:a. VENDORS NAME MUST BE IN THE UPPER RIGHT CORNER OF ALL PROPOSALSCHEDULE PAGES.b. The Proposal prices you have offered have been reviewed and verified.c. The price extensions and totals have been checked. (In case of discrepancy between unit prices andtotal prices, the unit price will govern the Proposal evaluation).d. Any errors, alterations, corrections or erasures to unit prices, total prices, etc. must be initialed bythe person who signs the proposal or his designee. Such changes made and not initialed meanautomatic rejection of proposal.e. The payment terms are Net 30 Days (You may offer cash discounts for prompt payment). CashDiscounts for Net Terms less than 30 days may be considered when evaluating Proposal pricing.Exception: State of CT Small Business Set-Aside bids payment terms shall be in accordance withCGS 4a-60j.f. The delivery information block has been completed. Be specific: In most cases, “as ordered” or “asrequired” is not complete information.Any technical or descriptive literature, drawing or Proposal samples that are required have been includedwith the Proposal.Applicable Vendor Affidavits (see accompanying table) must be signed, notarized (where applicable), andreturned with Proposal. Failure to do so may result in Proposal rejection.If required the amount of Proposal surety has been checked and the surety has been included.Form FCL-5 (CHRO Compliance) must be completed entirely regardless of the number of employees (even ifthe company is family owned and/or operated) and must be submitted with each Proposal.Non-compliance may result in Proposal rejection.Any addenda (FCL-9, FCL-10) to the bid have been signed and included.MAKE SURE TO INCLUDE THE ORIGINAL PROPOSAL SCHEDULE (FCL-4) ALONG WITH ONECOPY (unless more copies are requested within the bid specifications).The bid number on the pre-addressed mailing label or on your hand marked return envelope exactly matchesthe bid number inside the envelope.The pre-addressed mailing label has been used on your Proposal envelope or the Proposal envelope hasbeen addressed as follows:4-0053SEALED BID NO:NOT TO BE OPENED UNTIL:June 3, 2009 at 2:30 PMMAIL PROPOSAL TO:University of Connecticut Health Center263 Farmington Avenue MC 4039Farmington, CT 06030-403912.13.Hand-delivered Proposals are to be presented at University of Connecticut Health Center, FacilityContracts & Leases, 3rd Floor, 16 Munson Road, Farmington, CT 06032.The Proposal is to be mailed or hand-delivered in-time to be received no later than the designated openingdate and time. Late Proposals are not accepted under any circumstances. Please allow enough time ifmailing in your Proposal.THIS FORM IS NOT TO BE RETURNED WITH YOUR PROPOSAL

INVITATION TO BIDSTATE OF CONNECTICUTFCL-3 Rev. 8/07Previous Rev. 5/07UNIVERSITY OF CONNECTICUT HEALTH CENTERJennifer K. KelleyBid Number:4-0053FACILITY CONTRACTS & LEASESPurchasing Services Officer263 Farmington Avenue, MC 4039Farmington, CT 06032Read & CompleteCarefully860-679-1988Telephone NumberPage 1 of 2BID NO:BID DUE DATE:BID DUETIME:BID SURETY:DATE ISSUED:4-0053June 3, 20092:30 PMSee Proposal ScheduleMay 18, 2009DESCRIPTION:FOR: UConnClean and Service BoilersHealth CenterTERM OF CONTRACT:July 1, 2009 through June 30, 2014 (Five years)Invitation to Bid: Pursuant to the provisions of Section 10a-151b of the General Statutes of Connecticut as amended, sealed proposals willbe received by the Purchasing Department of the University of Connecticut Health Center, at the address above for furnishing thecommodities and/or services.NOTE: Bidder means Individual/Sole Proprietor, Partnership or Corporation NameIMPORTANT: ALL pages of this form, Sections 1 through 2 must be completed, signed and returned by the bidder as part of thebid package. Failure to submit all pages of this form may constitute grounds for rejection of your bid.SECTION 1 of 2: BIDDER INFORMATIONCOMPLETE BIDDER LEGAL BUSINESS NAME:TAXPAYER ID # (TIN):SSNFEINW R ITE /T YP E SSN/FEIN N UMBER A BOVEAFFIRMATION OF BIDDERThe above named bidder fully acknowledges and agrees with all the terms and conditions contained within the entire Invitation to Bid (Bid)document. Including but not limited to: Form UCHC-3 (HIPAA), the accompanying Bid proposal schedule, specifications, requirementsand/or scope, and Bid Standard Terms and Conditions (Form UCHC-7). Further, if the above named bidder is awarded a contract for the goodsand/or services contained within this Bid, the bidder’s signature on Form UCHC-3 shall bind the bidder to all of the terms and conditionsincluding but not limited to the aforementioned documents, including the bidder’s formal response, which in total become the contract.That should any part of this proposal be accepted in writing by Director of Purchasing within ninety (90) calendar days from the date of Bidopening, unless an earlier date for acceptance is specified by bidder in proposal schedule, said bidder will furnish and deliver the commoditiesand/or services to the state agency or agencies named, for which this proposal is made, in the quantities and at the prices bid, and in compliancewith the provisions set forth in the terms and conditions of Forms UCHC-7, the proposal schedule and commodity specification Form UCHC-4.Should award of any part of this proposal be delayed beyond the period of ninety (90) days or an earlier date specified by bidder in proposalschedule, such award shall be conditioned upon bidder’s acceptance.Written signature of Person Authorized to sign on behalf of the above named Bidder:Date ExecutedSIGN HEREType or Print Name of Authorized PersonTitle of Authorized PersonIs your business currently a DAS Certified Small Business Enterprise?If you are a State Employee, indicate your position, agency, and agency address:YES (Attach a copy of Certificate)NO

INVITATION TO BIDSTATE OF CONNECTICUTFCL-3 Rev. 8/07Previous Rev. 5/07THIS FORM ANDREQUIRED PROPOSALUNIVERSITY OF CONNECTICUT HEALTH CENTERSCHEDULE FORMSJennifer K. KelleyFACILITY CONTRACTS & LEASESMUST BE RETURNEDPurchasing Officer263 Farmington Avenue, MC 4039Farmington, CT 06032Read & CompleteCarefully860-679-1988Telephone NumberPage 2 of 2BID NO: 4-0053SECTION 1of 2 –BIDDER INFORMATION (Continued)Remittance AddressBidder’s Address(Same as Bidder Address)No. and StreetCity, State , ZipCodeContact PersonWeb AddressTelephone NumberCell NumberFax NumberBusiness ual/sole proprietorshipState Organized in:TYPE OF CORPORATION:Note: If Individual/Sole Proprietor, Individual’s Name (As Owner) Must Appear in the Legal Business Name Block above.Business type:A. sales of commoditiesb. medical servicesc. attorney feesd. rental of property(real estate & equipment)E. other (describe in detail)Under this TIN, what is the primary type of business you provide the state? (enter letter from above)Under this TIN, what other types of business might you provide the state? (enter letter from above)For Purchase Order Distribution: 1) Check only one box below 2) Input e-mail address or Fax # (if checked)E-mailFaxUSPS MailName:E-Mail Address:Telephone Number:For Invitation to Bid (Bid) Distribution: 1) Check only one box below 2) Input e-mail address or Fax # (if checked)E-mailFaxUSPS MailAdd further Business Address, E-mail & Contact Information below if required