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Home My WebLink AboutB & B Lawn Care\f -N\- Co' nu\ 4\\( cA _..)(3\s\k,u— NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State ofALL/1 ) County of /4 1)"4/V ) o , being first duly sworn, deposes and says that: 1. He is (Owner), (Partner), Offic ' , (Representative), or (Agent) of i.?d 26 ry r re , 7° the Bidder that has submitted the attached Bid; 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 agents, representatives, owners, employees, or parties in interest, including this affiant. jSignti7t 6 G isle S&YK Ytbed' aqui. swonvto-ine/th&- 1___ dayofc✓° `' , 201 LEON V. MOSLEY COMMISSION NO. 715229 MY COMMISSION EXPIRES BIDDER: CITY OF WATERLOO, IOWA WASTE MANAGEMENT SERVICES BID FORM for 2017 LIFT STATTfIONS MOWING 0/ COMPANY NAME ADDRESS: ,T1\ CCAtnLL c . PHONE: (-D 9 ) t;714-(1/1:7/- \ 1. The undersigned, being a Corporation existing under the laws of the State of 7,4 or a limited liability company existing under the laws of the State of , or a Partnership consisting of the following partners: -X-)S 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: 1 VL \\.kkikat QJ' Black Hawk- Storm Garden Black Hawk- Holding Pond Tower Park Cedar Terrace Virginia Douglas Con -Agra Airline Cattle Congress- Sanitary Lagoon dollars ($ S18 ,X) ) 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 dollars ($ 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 QMVoii.SAsn3 }IV L'(u fq9 dollars ($ ,S 00) in the form of O ',Caa\ C - cek , is submitted herewith in accordance with NOTICE TO BIDDERS. 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 Page2of3 8. The Bidder has received the following Addendum or Addenda: Addendum No. 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: (04' O .-5Tinr. nal, F \t, fall) 'Irk. v- C-.)0 rG-`# nlocoec -4%').1 1 5bb.a�,'('7 c.ev? g I cC)S p VA i (NA., 1 t.. \-r, r—ne tr4 Av.k?t Sh An -Ott -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: 9('P_501 A 4 DATE: L /00/,23) 7 BID FORM Page 3 of 3 eAo�, oUr!P..! 0C1MENi HA9 A saw"coKK 101665267 CHECK NO �K. THE: ::::: 5 ART�F1CY91541 920 p AMOUNT *15500.00 40:9Waterloo,.1A 50704 ian" P.O. Boz 6000, V o,.IA. 507048 - C credit trawl 800.235.3228 • ONE THOUSAND FIVE HUNDRED AND .00 DOLLARS PAY THE SUM OF CITY OF WATERLOO 7p THE ORDER OF B & B LAWN CARE INC. ien9 20054 L LIto 1400 L00493 5 20 AUTHORIZED SIGNATURE