Attention: Ellen Painter/Dale Lemasters

BIDDER:

SUBCONTRACTS PROPOSAL FORM

Attention: Ellen Painter/Dale LeMasters Jacobs Field Services North America, Inc. c/o Merck Sharp & Dohme Corp. HPV-TR-01 2778 South Eastside Highway Elkton, VA 22827 540-298-4136 [email protected] [email protected]

Subject: Merck Sharp & Dohme Corp. MK-1293 Project – Elkton, VA Request for Proposal No: 63PZ0244-4007B Package Title: MK-1293 Mechanical Piping WS-62 Package Bids Due: Monday, March 9, 2015 at 2:00 P.M. Sealed Bid Gentlemen:

Having visited the site and having a full understanding of the Bid Documents, the undersigned, upon written notice of award of Subcontract, agrees to provide all engineering and design services, labor, material, tools, construction equipment, supervision, plant, facilities, services, safety provisions, bonds and to pay all permit costs, taxes, fees and other costs necessary or required in the Subcontract Documents to accomplish in a safe, timely and workmanlike manner, the Work as described in the Subcontract Documents for the following Lump Sum Price: ______($______).

We acknowledge receipt of the following Supplements to the Request for Proposal and have included the costs associated therewith in our Lump Sum Price and in all other prices set forth in this Proposal. If none, state NONE below.

Supplement No. Dated

1. BASE BID BREAKDOWN:

The price breakdown of Bidder’s Lump Sum Price is submitted as Exhibit “A”, Attachment D-3 hereto, which shall be incorporated as the Schedule of Values in any Subcontract resulting from this Proposal.

2. Labor and Material Payment and Performance Bonds:

a. Should the Subcontractor be required to furnish a Labor and Material Payment and Performance Bond for the faithful performance of the Subcontract, the Subcontractor shall be reimbursed for these bonds at the following prices:  Cost for Bonds $  Name of Surety

Rev. 01/30/2013 – Merck Elkton Projects Page 1 of 4 3. Lower Tier Subcontractors

a. Jacobs Field Services North America, Inc. and Merck, Sharp & Dohme Corp. want to encourage its primary Subcontractors to make good faith efforts to provide opportunities to diversity Subcontractors/Suppliers when executing any phase of an impending Subcontract Agreement. We are committed to being proactive in monitoring and enhancing our relationships with diversity Subcontractors/Suppliers. Minority participation is a consideration for contract award. Please note below and include as Exhibit “C” those companies that qualify as a diversity Subcontractor/Supplier. (Please see Section Ten C (10. c).

Diversity Package Subcontractor/Supplier Name Package Value Diversity Status

4. Option Pricing:

5. Extra or Changed Work:

a. Unit Prices -

Should the Subcontractor be required and receive approval to perform Extra or Changed Work on the basis of Unit Prices, the Lump Sum Price shall be adjusted in accordance with the rates shown in Exhibit “A”, Attachment D-3 to the Proposal Form attached hereto.

b. Cost plus Rates -

Should the Subcontractor be required and receive approval to perform Extra or Changed Work on a Cost Plus Basis, the Subcontractor will be reimbursed at the following rates:

1. Direct Labor furnished by the Subcontractor or subcontractor in accordance with the provisions of Exhibit “A”, Attachment D-1, attached hereto.

2. The net invoice cost of Materials purchased by the Subcontractor for the work plus 10% thereof, plus taxes and freight charges at cost.

Rev. 01/30/2013 – Merck Elkton Projects Page 2 of 4 3. The actual cost of Subcontractor’s subcontracts, including subcontractor’s labor, not to exceed the hourly rates established in Exhibit “A”, Attachment D-1, plus 5% for Subcontractor’s overhead and profit.

4. Rental rates for Subcontractor-owned equipment are to be in accordance with Subcontractor’s rental cost schedule attached hereto as Exhibit A, Attachment D-2, but not in excess of local prevailing rates.

5. Rental rates for third party leased or rented equipment are to be at net invoice cost but not in excess of local prevailing rates.

6. Schedule:

The Bidder has included all costs in its proposal necessary to perform the Work in accordance with the Milestone Schedule, Attachment E-1.

7. Alternate Bids:

8. Technical Exceptions:

Any exceptions to the technical documents shall be listed below. If no exceptions are taken state “NONE”.

9. Commercial Exceptions:

Any exceptions to the commercial documents shall be listed below. If no exceptions are taken state “NONE”.

10. Documents required with Proposal:

The following documents are attached hereto: a. Proposed Pricing Attachments labeled as Exhibit “A”. Attachment “D-1”: Schedule of Subcontractor Labor Rates Attachment “D-2”: Schedule of Subcontractor Equipment Rates Attachment “D-3”: Schedule of Values and Add/Deduct Rates b. A CPM Schedule fully man-loaded by craft labeled as Exhibit “B”. c. Proposed Subcontractors/Suppliers List, Value of Subcontract and Diversity Classification if applicable, labeled as Exhibit “C”. d. Resumes of key project personnel labeled as Exhibit “D”. e. A Quality Control Manual labeled as Exhibit “E”. f. A Safety Manual labeled as Exhibit “F” g. A current Certificate of Insurance labeled as Exhibit “G”. h. A Project Organization Chart labeled as Exhibit “H”. i. A description of Field Test Procedures (if applicable) labeled as Exhibit “I”. j. A description of Project Control Capabilities labeled as Exhibit “J”. k. A description of Bidders Current Work Load labeled at Exhibit “K”.

This offer shall continue for a period of ninety (90) days from the Bid Due Date.

Rev. 01/30/2013 – Merck Elkton Projects Page 3 of 4 The Bidder is incorporated under the laws of the State of

Dated Bidder:

By: Signed

Printed

Address:

Telephone:

Facsimile:

Email: ______

Rev. 01/30/2013 – Merck Elkton Projects Page 4 of 4