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Home My WebLink AboutHauptly Construction Co.CITY OF WATERLOO, IOWA WASTE MANAGEMENT SERVICES BID FORM for 2017 LIFT STATIONS MOWING BIDDER: i K o 'J z r 7 /A COMPANY NAME ADDRESS: Jo /--g;,S`46 t1 'Cth v- 0 c) &/0 G1 s: tet c h o a, c 3:6 co A 00 7 0.7 PHONE: (' / 'j ) cS •3o - %O 6-7 6,6 H 0 in( vi yJ 1. The undersigned, being a Corporation existing under the laws of the State of , or a limited liability company existing under the laws of the State of /74. , or a Partnership consisting of the following partners: /1" -- having been familiarized with the existing conditions on the project area affecting the cost of the work, and with all the Contract Documents now on file in the offices of the City Clerk, City Hall, 715 Mulberry Street, Waterloo, Iowa, Waterloo Waste Management, 3505 Easton Avenue, Waterloo, Iowa hereby proposes to furnish all supervision, technical personnel, labor, materials, machinery, tools, equipment, and services, including utility and transportation services required to complete the proposed LIFT STATIONS MOWING, in accordance with the contract documents and for the unit price in place for the following amount: OPTION A: provide all specified mowing & trimming services for bi-weekly lift stations: LS -420 LS -309 LS -421 LS -304 LS -302 LS -314 LS -322 LS -324 LS -316 LS -312 LS -325 739 Black Hawk Rd 1220 Black Hawk Rd 1528 Black Hawk Rd 4001 Kimball Ave 889 Belle St 1055 Virginia St 220 Douglas St 2534 W. Airline Ave 2212 W. Airline Ave 220 Ansborough Ave 2749 Independence Ave Price Per Occurrence: } — k 1A. LJ rRc0 t Black Hawk- Storm Garden Black Hawk- Holding Pond Tower Park Cedar Terrace Virginia Douglas Con -Agra Airline Cattle Congress- Sanitary Lagoon dollars ($ J73T? ) BID FORM Page 1 of 3 OPTION B: provide all specified mowing & trimming services for monthly lift stations: LS -301 LS -303 LS -311 LS -305 LS -427 LS -318 LS -403 LS -404 LS -429 LS -431 LS -423 LS -425 3931 Texas St 3500 E. Shaulis Rd 242 N. Hackett Rd 3750 Sergeant Rd 100 Rainbow Dr 450 W. Arlington St 836 Logan Ave 1365 Logan Ave 251 Fletcher Ave 425 Blackhawk Rd 1306 Campbell Ave 251 Cedar Bend St Price Per Occurrence: Hawkeye Triangle N. Hackett 63 South Cattle Congress- Storm David Quincy- Storm WCF&N- Storm Fletcher -University- Storm Blackhawk-Downing- Storm Hollywood -Campbell- Storm Cedar Bend- Storm �I iL r r �( (� LtiPrR f7 bik dollars ($ i 9 C ) 2. It is understood that the quantities set forth are approximate only and subject to variation and that the unit price for the work done shall govern the actual payment to the Contractor. 3. In submitting this bid, the Bidder understands that the City reserves the right to reject any or all bids and to award one or more contracts for a single Option, all Options together, or any combination of Options. If written notice of acceptance of this Bid is mailed or delivered to the undersigned within thirty (30) days after Bid Opening, of at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of insurance within ten (10) days after the agreement is presented for signature, and start work within ten (10) days after "Notice to Proceed" is issued. 4. Security in the sum of -Ce H - A tote /jre/ dollars ($ /5.--°d • ) in the form of re Ffi I Q_ (I\ It e o ' , is submitted herewith in accordance with NOTICE TO BIbDERS. 5. Attached is a Non -Collusion Affidavit of Prime Contractor. 6. The Bidder is prepared to submit a financial and experience statement upon request. 7. The Prime Contractor and Subcontractor(s), which have performed an aggregate of $10,000.00 in work for the City in the current calendar year, are prepared to submit an AAP or Update and an EOC, within ten (10) days of notification that the bid submitted is lowest and acceptable. BID FORM Page 2 of 3 8. The Bidder has received the following Addendum or Addenda: Addendum No. f1/,4 Date: / / / / / / 9. The Bidder shall list the MBE/WBE subcontractors, amount of subcontracts and bid items listed on the City of Waterloo Minority and /or Women Business Pre-bid Contract Information Form submitted with this Bid Form. The apparent low bidder shall submit a list of all other subcontractor(s) to be used on this project to the City of Waterloo by 5:00 p.m. the business day following the day bids on this project are due along with the Non- collusion Affidavits of ALL Subcontractor(s). The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer cannot be changed except for the following reasons. 1. The City of Waterloo does not approve the subcontractors. 2. The subcontractors submit in writing that they cannot fulfill their subcontracts 10. The Bidder shall List all equipment available for this project: 7, 7,)— ro-%)-- nAot �w — v In" ln" v j rt-ki b 'v O.0 L,, t ,t- v w c. -Vv. - if, 1 a r--.. p UAs_ L1 a t v 11. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA". 12. The bidder has attached all applicable forms. 13. The owner reserves the right to select alternatives, delete line items, and/or to reduce quantities prior to the Award of Contract due to budgetary limitations. SIGNED: itt � _ CjlGt c9i<c 722-‘-- Name 2P--Name and Title DATE: 3 / 1 7 / ,)O I.7 BID FORM Page 3 of 3 EQUAL OPPORTUNITY CLAUSE (As provided in Executive Order No. 11246) All contractors, subcontractors, vendors and suppliers of goods and services doing business with the City and value of said business equals or exceeds ten thousand dollars ($10,000.00) annually agree as follows: 1. The contractor, subcontractor, vendor and supplier of goods and services will not discriminate against any employee or applicant for employment because of race, color, creed, sex, national origin, economic status, age, mental or physical handicap, political opinions or affiliations. The contractor, subcontractor, vendor and supplier will develop an Affirmative Action program to ensure that applicants are employed and that employees are treated during employment without regard to their race, creed, color, sex, national origin, religion, economic status, age, mental or physical disability, political opinions or affiliations. Such actions shall include but not be limited to the following: a. Employment b. Upgrading c. Demotion or Transfer d. Recruitment and Advertising e. Layoff or Termination f. Rates of Pay or Other Forms of Compensation g. Selection for Training Including Apprenticeship. 2. The contractor, subcontractor, vendor and supplier of goods and services will, in all solicitations or advertisements for employees, state that all qualified applicants will receive consideration for employment without regard to race, creed, color, sex, national origin, religion, economic status, age, mental or physical disabilities, political opinion or affiliations. 3. The contractor, subcontractor, vendor and supplier or his/her collective bargaining representative will send to each labor union or representative of workers which he/she has a collective bargaining agreement or other contract or understanding, a notice advising said labor union or workers' representative of the contractor's commitment under this section. 4. The contractor, subcontractor, vendor and supplier of goods and services will comply with all published rules, regulations, directives, and order of the City of Waterloo Affirmative Action Program Contract Compliance Provisions. 5. The contractor, subcontractor vendor and supplier of goods and services will furnish and file compliance reports within such time and upon such forms as provided by the Affirmative Action Officer. Said forms will elicit information as to the policies, procedures, patterns, and practices of each subcontractor as well as the contractor himself/herself and said subcontractor, vendor and supplier will permit access to his/her employment books, records and accounts to the City's Affirmative Action Officer, for the purpose of investigation to ascertain compliance with this contract and with rules and regulations of the City's Affirmative Action Program — Contract Compliance Provisions relative to Resolution No. 24664. EQUAL OPPORTUNITY CLAUSE PAGE I OF 2 6. In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules, regulations and orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further contracts in accordance with procedures authorized by the City Council. 7. The contractor, subcontractor, vendor and supplier of goods and services will include, or incorporate by reference, the provisions of the non-discrimination clause in every contract, subcontract or purchase order unless exempted by the rules, regulations or orders of the City's Affirmative Action Program, and will provide in every subcontract, or purchase order that said provisions will be binding upon each contractor, subcontractor, or supplier. 8. We, the undersigned, recognize that we are morally and legally committed to non- discrimination in employment. Any person who applies for employment with our company will not be discriminated against because of race, creed, color, sex, national origin, economic status, age, mental or physical disabilities. Signed: v �" ` C 741 4,67 Appropriate/Officidl Title 17- )017 Date EQUAL OPPORTUNITY CLAUSE PAGE 2 OF 2 NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of 0 C/A- County of 1k f14- )) , being first duly sworn, deposes and says that: 1. He i weer , (Partner), (Officer), (Representative), or (Agent) offay-T. Azt �'� the Bidder that has submitted the attached Bid; (° k S u_ {_ "Co 2. He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; 3. Such Bid is genuine and is not a collusive or sham Bid; 4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or, to fix any overhead, profit or cost element of the bid price or the bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of Waterloo, Iowa, or any person interested in the Proposed Contract; and 5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its ents, representatives, owners, employees, or parties in interest, including this' affiant. Signature Title SSe FIRST SECURITY 3600 LAFAYETTE ALTATE BANK EVANSDALE, IA 50707 www.fssbonline.com PAY TO THE ORDER OF Remitter IQ UNITED BANKERS' BANK 11/4.01-0 Suite 1500 • 1650 W. 82nd St. • Bloomington, MN 55431 Mar 2, 2017 53746 17-132/910 $1,500.00 **Pay Exactly**One Thousand Five Hundred and 00/100***************************** City of Waterloo Robert C Hauptly Robert C Hauptly 111053?1,60 1:09LOO L3221:250L24So "-- VOID 6 MONTHS AFTER DATE OF ISSUE THORIZED SIGNATU •E Robert C Hauptly City of Waterloo 53746 Mar 2, 2017 $1,500.00 **Pay Exactly**One Thousand Five Hundred and 00/100***************************** Memo: Robert C.Hauptly _cf i LI— LA- (JI .LLL.(1, 'me', (34