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CITY! FWATERLOO
CITY CLERKS OFFICE
JUN 1 2017 M ti:2 } :16
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FORM OF BID OR PROPOSAL
FY 2017 SALVAGED ASPHALT CRUSHING
CONTRACT NO 17-001
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1. The undersigned, being a Corporation existing under the laws of the State of
, a Partnership consisting of the following partners:
,/A -
having familiarized (himself) (themselves) (itself) with the existing conditions on
the project area affecting the cost of the work, and with all the contract
documents listed in the Table of Contents and Addenda (if any), as prepared by
the Public Works Director of the City of Waterloo now on file in the office of the
City Clerk/Auditor, City Hall, Waterloo, Iowa hereby proposes to furnish all
supervision, technical personnel, labor, materials, machinery, tools,
appurtenances, equipment and services, including utility and transportation
services required to construct and complete this FY 2017 SALVAGED ASPHALT
CRUSHING, Contract No. 17-001 , all in accordance with the above -listed
documents and for the unit prices for work in place for the following items and
quantities:
Item No.
Description
Unit
Est Qty
Unit Bid Price
Total Bid Price
1.
Asphalt Crushing
Ton
25,000
$ 3 °81
$ '77/ ooc on
2.
Mobilization
LS
1
$ 21 ioo
$ 7, .Z do "–
Zoo —
2. It is understood that the quantities set forth are approximate only and subject to
variation and that the unit bid price for the work done shall govern in the actual
payment to Contractor.
3. In submitting this bid, the bidder understands that the right is reserved by the
City of Waterloo, Iowa, to reject any or all bids. If written notice of the
acceptance of this bid mailed, emailed or delivered to the undersigned within
thirty (30) days after the opening thereof, or 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is withdrawn, the undersigned agrees to execute and deliver an agreement in the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 the insurance
within ten (10) days after this agreement is presented to him for signature, and
start work within fifteen (15) days after "Notice to Proceed" is issued.
cOA4. Security in the sum of Dollars
($ STh ) in the form of !2/4 et, he(
is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS.
/5
Attached hereto is a Non -Collusion Affidavit of Prime Contractor.
1/6. Attached hereto is a Resident Bidder Certification.
7. The bidder is prepared to submit a financial and experience statement upon
request.
8. The Prime Contractor and Subcontractor(s) which have performed an aggregate
of $10,000.00 in work for the City in the current calendar year, are prepared to
submit an AAP or Update and an EOC, within ten (10) days of notification that
the bid submitted is lowest and acceptable.
9. The bidder has received the following Addendum or Addenda:
Addendum No:
Date
Date
Date
10. The bidder has filled in all blanks on this proposal. Those blanks not applicable
are marked "none" or N/A.
11. The bidder has attached all applicable forms.
12.The Owner reserves the right to select alternates, delete line items, and/or
reduce quantities prior to the award of a contract due to budgetary limitations.
BY:
� e
(Ne of Bid)
Official Address (Including Zip Code)
10 cf ghc2h44,4 fl
(Date)
Title: Ail T -ear_-
I.R.S. No:
la bei(, CA- S`666`9
1/2 - 0'12 (€S`y
NON -COLLUSION AFFIDAVIT OF -CONTRACTOR
State of ,amu 1„/4
ss:
County of /Michael
Srz Kdi. )
/ r ri chac / 0 _ k -fre rfc:h , being first duly sworn, deposes and says
that:
1. He is (Owner, Partner, Officer Representative, or Agent) , of
Pr —re r$ fr amirxc-farf Tnc,
hereinafterreferred to as the contractor;"
2. He is fully informed respecting the preparation and contents of the9contractor's
proposal submitted by the.econtractor to Co 4y u -P Laic r/oa
contract pertaining to the
FY? 'I7.fc/j>.ge/j .42,40- Cre-- /4 ,ti, project in
1,...r4 4c Plop J rA
(City or County and State)
3. Such subcontractor's proposal is genuine and is not a collusive or sham proposal;
4. Neither the subcontractor 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 proposal in connection with such contract or to
refrain from submitting a proposal in connection with such contract, or has in any manner,
directly or indirectly, sought by unlawful agreement or connivance with any other bidder,
firm or person to fix the price or prices in said subcontractor's proposal, or to fix any
overhead, profit or cost element of the price of prices in said subcontractor's proposal, or
to secure through 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 subcontractor's proposal 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. —^
(Signed)
AS (1 - Weak
Title
ft--
Subscribed and sworn to before me this 3 / day of V
2017 .
TERESA VANSICKLE
K Commission Number 778806
My Commisalon Expires
June 7, 2019
My commission expires Jun _ 1 120t9
LD J_moo 1 Secv c-I-ar
Title
CONTRACT NO:
PROJECT NAME:
DATE OF LETTING:
RESIDENT BIDDER CERTIFICATION
17-0o
30/7
To be a qualified resident bidder, the bidder shall be a person or
entity authorized to transact business in this state and having a
business for at least three years prior to the date of the first
advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
This qualification as resident bidder shall be maintained by the contractor and his
subcontractors at the work site until this project is completed.
I hereby certify that I am a resident bidder as defined above.
COMPANY NAME? ertom, 6o-draloyr . 4t C_
CORPORATE OFFICER
TITLE A rte. Yr
DATE gyp -y/7
Prime Contractor Name:
MBE/WBE BUSINESS ENTERPRISE
f_11 PI.E-BID CONTACT INFORMATION FORM
ef 'rlon trim -kr _tic- Project: fr.-no/7-Gino/eel °'h', Letting Date:
6/V/7
NO MBE/WBE SUBCONTRACTORS: If you are NOT using any MBE/WBE subcontractors to complete this project, sign below. Attach a brief *
explanation as to why subcontracting was not feasible with this project. If any MBE/WBE subcontractors will be used, please use the bottom
portion of this form.
Contractor Signature:
Title: /(f /✓ea r
Date:
6%7/77
SUBCONTRACTORS APPLICABLE: You are required, in order for your bid to be considered responsive, to provide the information on this form
showing ALL of your MBE/WBE subcontractor contacts made for your bid submission. This information is subject to verification. Any questions
should be directed to Contract Compliance Office 319-291-9145.
You are required, in order for your bid to be considered responsive, to provide the information on this Form showing your MBE/WBE Business
Enterprise contacts made prior to your bid submission. This information is subject to verifications and confirmation..
If you are unable to identify MBE/WBE firms to perform portions of the work, please contact Perry Goodman, Contract Compliance Officer, for
assistance at (319) 291-9145.
In the event it is determined that the MBENVBE Business Enterprise goals are not met, then before awarding the contract the City of Waterloo will
make a determination as to whether or not the apparent successful low bidder made good faith efforts to meet the goals.
TABLE OF INFORMATION SHOWING BIDDER'S PRE-BID
MBE/WBE BUSINESS ENTERPRISE CONTACTS
Quotes Received Quotation used in bid
MBE/WBE Dates Dates Dollar Amount Proposed to
Subcontractors Contacted Yes/No Contacted Yes/No be Subcontracted
(Form CCO-4) Rev. 06-20-02
`�C l l rJfpengi-Th a/f knrki
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Peterson Contractors, Inc.
as Principal, and Travelers Casualty and Surety Company of America
as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum ---Five Percent of the Bid Submitted ---
Dollars ($ ---5%--- ) lawful money of the United States, for the payment
of which sum will and truly be made, we bind ourselves, our heirs, executors, administrators, and
successors, jointly and severally, firmly by these presents. The condition of this obligation is such that
whereas the Principal has submitted the accompanying bid dated the 1St day of June
2017 _., for
FY 2017 Salvaged Asphalt Crushing, Waterloo, IA, Contract No. 17-001
NOW, THEREFORE,
(a) If said Bid shall be rejected, or in the alternate,
(b) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the form specified
and shall furnish a bond for his faithful performance of said contract, and for the payment of all persons
performing labor or furnishing materials in connection therewith, and shall in all other respects perform the
agreement created by the acceptance of said Bid,
Then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly
understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event,
exceed the penal amount of this obligation as herein stated.
By virtue of statutory authority, the full amount of this bid bond shall be forfeited to the Owner in liquidation of
damages sustained in the event that the Principal fails to execute the contract and provide the bond as
provided in the specifications or by law.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond
shall be in no way, impaired or affected by any extension of the time within which the Owner may accept
such Bid or execute such contract; and said Surety does hereby waive notice of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety, have hereunto set their hands and seals, and such
of them as aro corporations, have caused their corporate seals to be hereto affixed and these presents to be
signed by their proper officers this 26th day of May , AD, . 2017 ,
:sy
Travelers ' t and Sure; Com'an ofAmerlc Seal)
A nley-in-fact Anne Crowner
Peterson Contractors, Inc.
Principal
Witness Dione R. You g
(Seal)
(Title)
TRAVELERS J
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
Attorney -In -Fact No. 231471
POWER OF ATTORNEY
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
Surety Bond No. or Project Description: Principal: Peterson Contractors, Inc.
Bid Bond Obligee: City of Waterloo
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian
Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of
America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and
Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance
Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the
Companies do hereby make, constitute and appoint Craig E. Hansen, Jay D. Freiermuth, Brian M. Deimerly, Cindy Bennett, Anne Crowner,
Tim McCulloh, Stacy Venn, Shirley S. Bartenhagen, and Dione R. Young of the City of West Des Moines State of Iowa, their true and lawful
Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds,
recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing
the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 24th day of
October, 2016.
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St, Paul Guardian Insurance Company
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
State of Connecticut
City of Hartford ss.
By:
Robert L. Raney, Senior Vice President
On this the 24th day of October, 2016, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President
of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and
Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company,
Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2021.
Marie C. Tetreault, Notary Public