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AECOM - Runway 12/30 Pavement Joint Repair-7/17/2017
CONTRACT FOR IMPROVEMENTS TO THE WATERLOO REGIONAL AIRPORT CONSISTING OF RUNWAY 12/30 PAVEMENT JOINT REPAIR PAVEMENT MARKING RUNWAY 12/30, RUNWAY 18/36 AND TAXIWAYS BID PACKAGE #2 AT THE WATERLOO REGIONAL AIRPORT WATERLOO, IOWA FAA AIP PROJECT NO. 3-19-0094-045 THIS AGREEMENT, made and entered into this day of , 2017, by and between the Waterloo Regional Airport for the City of Waterloo, Black Hawk County, Iowa, he einaf r referred to as the "Owner" and (a corporation organized and existing under the laws of the State of ), (a partnership consisting of ) (an individual trading as ) of , in the State of , hereinafter referred to as the "Contractor." WITNESSETH: That the Contractor for and in consideration of ($ ), based on the unit bid prices payable as set forth in the Specifications constituting a part of this Contract, hereby agrees to construct in accordance with the Plans, Specifications and Special Provisions therefore, and in the location designated on the Plans, the various items of work awarded said Contractor on the day of , 2017, as follows, being numbered as shown in schedule of prices bid in the attached Proposal which is a part of this Contract. Said Specifications and Plans are hereby made a part of and the basis of this Agreement and a true copy of said Plans and Specifications is now with the Waterloo Regional Airport in the office of the Director of Aviation, Waterloo, Iowa, under date of , 2017. 1. That in consideration of the foregoing, the Owner hereby agrees to pay the Contractor promptly and according to the requirements of the Specifications, the amounts set forth, subject to the conditions as set forth in the Specifications. 2. That it is understood that the parties named herein are the only persons interested in this Contract and principals. 3. That the Contractor has examined the site of the proposed work, Plans, Specifications, Special Provisions and Contract Documents in order that he might become familiar with the character, quality and quantity of the work to be performed, the materials to be furnished and the requirements of the Specifications, Special Provisions and Contract Documents. 4. It is hereby further agreed that any reference herein to the "Contract" shall include all "Contract Documents" as the same are listed and described in Paragraph 1.02 of the Special Provisions, Waterloo Regional Airport, FAA Project No. 3-19-0094-45 and said "Contract Documents" are hereby made a part of this agreement as fully as if set out at length herein, and that this contract is limited to the items in the proposal as signed by the "Contractor" and included in the "Contract Documents." 5. That in the event any surety upon any bond furnished in connection with this Contract becomes unacceptable to the Owner, or if any such surety shall fail to furnish reports as to his financial condition from time to time as requested by the Owner, the Contractor agrees to furnish promptly such additional security as may be required from time to time to protect the interests of the Owner or of persons supplying labor or materials in the prosecution of the work contemplated by the Contract. FAA AIP #3-19-0094-045 C-1 Waterloo Regional Airport AECOM Project # 60537973-BP2 Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways 6. That the Contractor shall not commence any work to be performed under this Contract until he has obtained from responsible insurance companies, all insurance required, as set forth in the General Provisions and that the Contractor shall maintain this insurance in full force and effect until the work to be performed under this Contract has been accepted by the Owner. 7. That the Contractor shall not start working on any alterations requiring a supplemental agreement until the agreement setting forth the adjusted price shall be executed by the Owner and the Contractor. 8. That the Contractor, at all times, shall observe and comply with all federal, state, territory or possession and local laws, codes, ordinances and regulations in any manner affecting the conduct of the work, and the Contractor and his surety shall indemnify and save harmless the Owner and all his officers, Engineer, agents and servants against claims or liability arising from or based on the violation of any such law, ordinance, deregulation, order or decree, whether by himself or his employees. 9. That it is further understood and agreed by the parties to this Contract that the above work shall be commenced within 10 days after "Notice to Proceed" is issued and shall be completed according to the terms of the entire contract within ninety (90) calendar days and that the time of commencing and completion of said work is the essence of this Contract. Work within the Runway 12/30 closure area shall be completed according to the terms of the entire contract within thirty (30) calendar days. 10. The Contractor and Owner understand and agree that time is of essence for completion of the Work and that the Owner will suffer additional expense and financial loss if said work is not completed within the authorized Contract Time. Furthermore, the Contractor and Owner recognize and understand the difficulty, delay, and expense in establishing the exact amount of actual financial loss and additional expense. Accordingly, in place of requiring such proof, the Contractor expressly agrees to pay the Owner as liquidated damages the non -penal sum of$500.00 per day for each calendar day required in excess of the authorized Contract Time for the overall contract. Accordingly, in place of requiring such proof, the Contractor expressly agrees to pay the Owner as liquidated damages the non -penal sum of $1,000.00 per day for each calendar day required in excess of the authorized Contract Time for the closure of Runway 12/30. Furthermore, the Contractor understands and agrees that: a. the Owner has the right to deduct from any moneys due the Contractor, the amount of said liquidated damages; b. the Owner has the right to recover the amount of said liquidated damages from the Contractor, Surety, or both. 11. The Contractor understands and agrees that all certifications made by the Contractor within the Proposal shall apply under this Agreement as if fully rewritten herein. The Contractor further certifies the following: a. Certification of Eligibility (29 CFR Part 5.5) (1) By Entering into this contract, the Contractor certifies that neither he or she nor any person or firm who has an interest in the Contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of Section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1); (2) No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of Section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1); (3) The penalty for making false statements is prescribed in the U.S. Criminal Code 18 U.S.C. b. Certification of Non -Segregated Facilities (41 CFR Part 60-1.8) The federally -assisted construction Contractor, certifies that it does not maintain or provide, for its employees, any segregated facilities at any of its establishments and that it does not permit its employees to perform their FAA Al? #3-19-0094-045 AECOM Project # 60537973-BP2 C-2 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways services at any location, under its control, where segregated facilities are maintained. The Bidder certifies that it will not maintain or provide, for its employees, segregated facilities at any of its establishments and that it will not permit its employees to perform their services at any location under its control where segregated facilities are maintained. The Bidder agrees that a breach of this certification is a violation of the Equal Opportunity Clause, which is to be incorporated in the contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms, and washrooms, restaurants and other eating areas, timeclocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated on the basis of race, color, religion, or national origin because of habit, local custom, or any other reason. The Bidder agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity Clause and that it will retain such certifications in its files. 12. It is further understood that any action in court against the Contractor or sureties on his bond because of damage to property or individuals by said Contractor or his workmen, or because of the violation of any provisions of the Specifications, or on account of the failure of said Contractor to fully comply with these provisions, shall be brought in the District Court of the State of Iowa in and for Black Hawk County. 13. Second Party shall maintain all work done hereunder in good order for a period of 12 months from and after the date it is accepted by the Waterloo Regional Airport, City of Waterloo, Iowa, which maintenance shall be without expense to First Party or the abutting property. In the event of the failure or default of Second Party to remedy any or all defects appearing in said work within a period of 12 months from the date of its acceptance by said Board and after having been given ten (10) days' notice so to do by registered letter deposited in the United States Post Office in said City, addressed to said Contractor at the address herein given, then First Party may proceed to remedy such defects and the cost and expenses thereof may be recovered from said Second Party and the sureties on its bond by action brought in any court of competent jurisdiction, but such suit may be brought in the District Court of Black Hawk County, Iowa. FAA AIP #3-19-0094-045 AECOM Project # 60537973-BP2 C-3 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways IN WITNESS WHEREOF, the parties ereto have set their hands for the purpose herein expressed to this and three other instruments of like tenor, as of the I day of, 2017. ATTEST: KE:89 )1" -- Witness Witnes By CITY OF WATERLOO Mayor CONTRACTOR ASPRO, INC. PRESIDENT Firm Name Signature Title P.O. BOX 2620; WATERLOO, IA 50704 Business Address FAA ALP #3-19-0094-045 AECOM Project # 60537973-BP2 C-4 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways Bond No. 2259928 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That we Aspro, Inc. as PRINCIPAL, also referred to as CONTRACTOR, and North American Specialty Insurance Company as SURETY, are held and firmly bound unto Waterloo Regional Airport, 2790 Livingston Lane, Waterloo, Iowa 50703 as OWNER, in the full sum of Five Hundred Seventy Five Thousand Eight Hundred Fifty Nine & 36/100 ($ 575,859.35 ) for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, by these presents. WHEREAS, the above -bound Principal has entered into a contract with the OWNER dated the day of ..2017 to Runway 12/30 Pavement Joint Repair, Pavement Marking Runway 12/30, Runway 18/36 and Taxnvays, Bid Package #2, including pavement repairs Runway 12/3Q crack sealing on Runway 12/30 between Taxiway C and the Runway 12 pavement end, pavement marking in the areas shown on the plans and all other incidental work associated with this project. This work and all other incidentals shall be performed as shown on the Drawings and described in the Specifications. NOW, THEREFORE, the conditions of this obligation are such that if the above -bound PRINCIPAL shall faithfully and fully comply with the terms and conditions of said contract, including, but not limited to, any obligations created byway of warranties and/or guarantees for workmanship and materials which warranty and/or guarantee may extend for a period of time beyond completion of said contract and such alternations or additions as may be made therein or in the plans and specifications, and shall indemnify and save the OWNER harmless against any claims for using any form of material, process, composition or anything which is patented, and likewise indemnify and save the OWNER harmless against all claims for damages by reason or any default or negligence, want of skill or care on the part of said PRINCIPAL or Agents in and about the performance of said contract, and shall comply with all laws pertaining to said work, and shall comply with and perform any and all warranties and/or guarantees provided for in said contact, then this obligation shall be void; otherwise of full force and effect. PROVIDED, further than upon either the default of the PRINCIPAL, or the failure of the said PRINCIPAL to promptly and efficiently prosecute said Work, in any respect, in accordance with the Contract Documents, the above bound SURETY shalleither remedy thedefault of the PRINCIPAL or shall take charge of said Work and complete the Contract at his own expense, pursuant to its terms, receiving, however, any balance of the funds in the hands of said OWNER due under said contract. It shall be the duty of the SURETY to give an unequivocal notice in writing to the OWNER within ten (10) days after receipt of a declaration of default of the SURETY'S election either to remedy the default or defaults promptly or to perform the contract promptly, time being of the essence. In said notice of election, the SURETY shall indicate the date on which theremedy or performance will commence, and it shall be the duty of the SURETY to give prompt notice in writing to the OWNER immediately upon completion of (a) the remedy and/or correction of each default, (b) the remedy and/or correction of each item of condemned work, (c) the furnishings of each omitted item of work, and (d) the perfonnance of the contract. The SURETY shall not asset solvency of its PRINCIPAL as justification for its failure to promptly remedy the default or defaults or perform the contract. In the event said PRINCIPAL shall fail or delay the prosecution and completion of said Work and said SURETY shall also fail to act promptly as hereinabove provided, then the OWNER shall cause ten (10) days notice of such failure to be given, both to said PRINCIPAL and SURETY, and at the expiration of said ten (10) days, if said PRINCIPAL or SURETY do not proceed promptly to execute said Contract, the OWNER shall have the authority to cause said Work to be done and when the same is completed and the cost thereof estimated, the said PRINCIPAL and SURETY shall and hereby agree to pay any excess in the cost of said Work above the agreed price to be paid under said Contract. Upon completion of said Contract pursuant to its terms, if any funds remain due on said Contract, the same shall be paid to said PRINCIPAL and SURETY. FAA AIP #3-19-0094-045 AECOM Project # 60537973-BP2 C-5 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways The said PRINCIPAL and SURETY further agree as part of this obligation to pay all such damages of anykind to person or property that may result from a failure in any respect to perform and complete said Contract including, but not limited to, all repair and replacement costs necessary to rectify construction error, architectural and engineering costs and fees, all (but not limited to) consultant fees, all testing and laboratory fees, and all legal fees and litigation costs incurred by the OWNER. The decision of the OWNER, upon any disputed question connected with the execution of said Contract, or any failure or. delay in the prosecution of the Work by said PRINCIPAL or SURETY, shall be final and conclusive. The: SURETY agrees that, other than as is provided in this bond, it may not demand of the OWNER the OWNER shall (a) perforin any thing or act, (b) give any notice, (c) furnish any clerical assistance, (d) render any service, (3) furnish any papers or documents, or (f) take any other action of any nature or description which is not required of the OWNER to be done under the contract documents.. IN WITNESS WHEREOF, the SURETY and PRINCIPAL have executed this instruwnentunder their several seals this day of 2017, the name and corporate seal of each corporate party being hereto affixedand these presents dulysignedby its undersigned representative, pursuant to authority of its governing body. In the Presence of: Witness Witness V indy Bennett PRINCIPAL: Aspro, Inc. By: SURETY: Nort 4;/erica /=• �zzi it gw - "1117ne Crowner, Attorney-in-fact ecialty Insurance Company NOTE: (a) Where the Perfonnance Bond is executed by a attorney-in-fact, there shall be attached to each copy of the Bond a certified copy of Power of Attorney properly executed and dated._ (b) Each copy of the Bond shall be countersigned by an authorized agent of the bonding company licensed to do business in the State of Iowa. The title of the person countersigning the Bond shall appear after his or her signature. (c) The seal of the bonding company shall be attached to each copy of the bond. (d) The Contractor's signature on the bond shall correspond with the signature in the contract. (e) The bond shall be accompanied by a corporate resolution (which may be combined with the corporate. resolution granting the signing officer authority to execute contracts) granting the corporate officer who executes the Bond the authority to do so. (f) Surety companies executing bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the State of Iowa. FAA AIP #3-19-0094-045 AECOM Project # 60537973-BP2 C-6 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways Bond No. 2259928 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That we, Aspro, Inc. , asPRiNeePAL,also referred to as CONTRACTOR, and_ North American Specialty Insurance Com, as. SURETY, are held and firmly bound unto Waterloo Regional Airport, 2790 Livingston Lane, Waterloo, Iowa 50703 as OWNER, in the full sum of Five Hundred Seventy Five Thousand Eight Hundred Fifty Nine & 35/100 ($ 575,859.35 ), for the use and protection of said OWNER and all subcontractors and all persons supplying labor, materials,machinery and equipment for the performance of the work provided for in the contract hereinafter referred to,for the payment of which, well andtruly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, by these presents. WHEREAS, the above -bound Principal has entered into a contract with the OWNER dated the day of ,2017, to Runway 12/30 Pavement Joint Repair, Pavement Marking Runway 12/30, Runway 18/36 and Taxiways, Bid Package #2, including pavement repairs Runway 12/30, crack sealing on Runway 12/30 between Taxiway C and the Runway 12 pavement end, pavement marking in the areas shown on the plans and all other incidental work associated with this project. This work and all other incidentals shall be performed as shown on the Drawings and described in the Specifications. NOW, THEREFORE, the condition of this obligation is such that if the. above -bound PRINCIPAL shall promptly make payment to all claimants as hereinafter defined, for all labor and materials supplied in the prosecution of the work provided for in said Contract, then this obligation shall be void; otherwise,it shall remain in full force and effect, subject, however, to the following conditions: 1. The. said SURETY to this bond, for value received, hereby stipulates and agrees that no change or changes, extension offline or extensions of time, alteration of alterations or addition or additions to the terms of the contract or to the work to be performed thereunder, or the specifications or drawings accompanying same shall in any wise affect its obligation on this bond, and it does hereby waive notice of any such change or changes, extension of time or extensions of time, alteration or alterations or addition or additions to the terms of the contract or to the work or to the specifications or drawings. 2 A claimant is defined as any subcontractor andany person supplying labor, materials, machinery, or equipment in the prosecution of the work provided for in said contract. Signed and sealed this day -of , 2017. IN THE PRESENCE OF: Witness Witness v Cindy Bennett PRINCIPAL: Aspro, Inc. By. /� fG� � , f/J SURETY: America Specialty Insurance Company Anne Crowner, Attorney-in-fact NOTE: (a) Where the Payment Bond is executed by an attorney-in-fact, there shall be attached to each copy of the Bond a certified copy of Power of Attorney properly executed and dated. FAA AIP #3-19-0094-045 AECOM Project # 60537973-BP2 C-7 Waterloo Regional Airport Runway 12/30. Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways (b) (c) Each copy of the Bond shall be countersigned by an authorized agent of the bonding company licensed to do business in the State of Iowa. The title of the person countersigning the Bond shall appear after his or her signature. The seal of the bonding company shall be attached to each copy of the bond. (d) The Contractor's signature on the bond shall correspond with the signature in the contract. (e) The bond shall be accompanied by a corporate resolution (which may be combined with the corporate resolution granting the signing officer authority to execute contracts) granting the corporate officer who executes the Bond the authority to do so. (f) Surety companies executing bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the State of Iowa. FAA AIP 83-19-0094-045 AECOM Project # 60537973-BP2 C-8 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: JAY D. FREIERMUTII, CRAIG E. HANSEN, BRIAN M. DEIMERLY, SHIRLEY S. BART'ENIIAGEN, CINDY BENNETT, ANNE CROWNER, TIM McCULLOH, STACY VENN, LACEY CRAMBLIT and DIONE R. YOUNG JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9th of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of thein hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." .4011114111110 y :oaPort�..o SEAL :n_ c .Ay�1fl 1973 y,:0 ; oz ��� III \Nda By t� Stereo P. P. Anderson, Senior Vice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company Alichael A. Ito, error ne ns ento as mglon nlet nu lmm nsnrInce ompany & Senior Vice President of North American Specially Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 8111 day of September , 2015 . State of Illinois County of Cook ss: North American Specialty Insurance Company Washington International Insurance Company On this 8th day of September 20 15 , before me, a Notary Public personally appeared Steven P. Anderson Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY NOTARY PUBLIC, STATE OF ILLINOIS MY COMMISSION EXPIRES 1210412017 A' - .Ie._ M. Kenny, Notary Public 1, Jeffrey Goldberg , the duly elected Assistant Secre ary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true a nd correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in fidl force and effect. IN WITNESS WHEREOF, I have set any hand and affixed the seals of the Companies this day of , 2017 Jeffrey Goldberg. Vice President &Assistant Secretary or Vyushingloti I,temadonai huurance Company & Noah America Specialty Insurance Company 'A o� CERTIFICATE OF LIABILITY INSURANCE 7/24�20��0VYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 4200 Corporate Drive Ste 160 West Des Moines IA 50266 CONTACT Elisabeth Jackson PHONE 515-309-6200 FAX (Am Na FxIr (A/C NO 515-309-6225 aooaess. elisabethjackson@ajg.com INSURER(S) AFFORDING COVERAGE NAIC S INSURER A :Employers Mutual Casualty Company 21415 INSURED Aspro, Inc. Milt Dakovich P.O. Box 2620 Waterloo IA 50704 INSURERB:EMCASCOInsuranceCompany 21407 INSURER C: 12/1/2017 INSURER D: $1,000,000 $100,000 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 140069632 • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AWL INSD WEIR WVD POLICY NUMBER POLICY EFF (MMIDDWYYY) POLICY EXP (MM/DD/VYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY Y 9D61383 12/1/2016 12/1/2017 EACH OCCURRENCE $1,000,000 $100,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) X Contractual Liab MED EXP (Any one person) $5,000 X XCU Included PERSONAL& ADV INJURY $1,000,000 GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 Emp Benefits $1,000,000 B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED HIRED AUTOS X SCHEDULED NON -OWNED AUTOS 9E81363 12/1/2016 12/1/2017 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 9J81383 12/1/2016 12/1/2017 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENT ON$ 10,000 $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N NIA 9M81363 12/1/2016 12/1/2017 x STATUTE OTH- ER E.L. EACH ACCIDENT 5500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT 5500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requl ed) RE: FM AIP Project #3-19-0094-045 / AECOM ID #60537973. City of Waterloo, The Waterloo Regional Airport and AECOM Technical Services, Inc., are included as additional insured with respects to General Liability (CG74820108) with regards to work performed by the named insured. CERTIFICATE HOLDER CANCE Waterloo Regional Airport for The City of Waterloo 2790 Livingston Ln. Waterloo IA 50703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT "1" The PROPOSAL FORM FOR IMPROVEMENTS TO THE WATERLOO REGIONAL AIRPORT CONSISTING OF RUNWAY 12/30 PAVEMENT JOINT REPAIR PAVEMENT MARKING RUNWAY 12/30, RUNWAY 18/36 AND TAXIWAYS BID PACKAGE #2 AT THE WATERLOO REGIONAL AIRPORT WATERLOO, IOWA FAA AIP PROJECT NO. 3-19-0094-045 Waterloo Regional Airport 2790 Livingston Lane Waterloo, IA 50703 Gentlemen: 1. The undersigned hereby certifies that he has examined the Form of Contract, Plans, and Specifications for the Construction of Improvements to the Waterloo Regional Airport to Runway 12/30 Pavement Joint Repair, Pavement Marking Runway 12/30, Runway 18/36 and Taxiways, Bid Package #2, at the Waterloo Regional Airport, Waterloo, Iowa, FAA AIP Project No. 3-19-0094-45, and has examined the site of the work and is familiar with local conditions pertaining to the work. 2. The extent of the work involved is to Runway 12/30 Pavement Joint Repair, Pavement Marking Runway 12/30, Runway 18/36 and Taxiways, Bid Package #2, including pavement repairs Runways 12/30, crack sealing on Runway 12/30 between Taxiway C and the Runway 12 pavement end, pavement marking in the areas shown on the plans and all other incidental work associated with this project. This work and all other incidentals shall be performed as shown on the Drawings and described in the Specifications. 3. The undersigned, in compliance with your Invitation for Bids dated /114 V / 7 ), VA hereby proposes to do the work called for in said Contract and Specifications and shown on said Plans and Addendum Nos. B (64.9/ 7. ) and to furnish all materials, tools, labor and all appliances and appurtenances necessary for the said worat the following rates and prices: ITEMIZED PROPOSAL WATERLOO REGIONAL AIRPORT WATERLOO, IOWA PROJECT: RUNWAY 12/30 PAVEMENT JOINT REPAIR PAVEMENT MARKING RUNWAY 12/30, RUNWAY 18/36 AND TAXIWAYS BID PACKAGE #2 FAA AIP PROJECT NO. 3-19-0094-045 ITEM NO, SPEC. NO. DESCRIPTION UNIT ESTIMATED QUANTITY UNIT BID PRICE TOTAL BID PRICE 1 GP 105 MOBILIZATION AND DEMOBILIZATION LS 1 2 GP 50-06 CONSTRUCTION SURVEY LS 3 PLANS CONSTRUCTION BARRICADES LS I 4 P -I01-5.1 PAVEMENT REMOVAL - RUNWAY 12-30 SY 500 5 P-101-5.2 JOINT AND CRACK REPAIR LF 50,100 FAA AM #3-19-0094-045 AECOM Project #60537973-BP2 P-1 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways ITEM NO. NO. DESCRIPTION UNIT ESTIMATED QUANTITY UNIT BID PRICE TOTAL BID PRICE 6 P-101-55 COLD MILLING, 3 INCHES - RUNWAY 12-30 SY 500 7 P-152-4.1 UNCLASSIFIED EXCAVATION - RUNWAY 12-30 CY 250 8 P-208-5.1 AGGREGATE BASE COURSE CY 250 9 P-401 HOT MIX ASPHALT SURFACE COURSE TON 325 10 P-501-8.1 12.0 -INCH PORTLAND CEMENT CONCRETE PAVEMENT - RUNWAY 12-30 SY 335 11 - P-620-5.1-4 TEMPORARY RUNWAY AND TAXIWAY MARKING - RUNWAY 12-30 SF 1,350 12 P-621-5.1 GROOVING SY 870 TOTAL (BASE BID) Add Alternate Bid No. 1 - Runway 12/30 Joint and Crack Repair 1 P-620-5.1-1 RUNWAY AND TAXIWAY MARKING - RUNWAY 12/30 SF 35,200 2 P-620-5.1-2 REFLECTIVE MEDIA (TYPE I, GRADATION A) - RUNWAY 12-30 LB 2,800 3 P-620-5.1-1 RUNWAY AND TAXIWAY MARKING- TAXIWAY A (NON-AIP) SF 6,833 4 P-620-5.1-2 TAXIWAY REFLECTIVE MEDIA (TYPE I, GRADATION A) - TAXIWAY A (NON -ALP) LB 225 5 P-620-5.1-5 PAVEMENT MARKING REMOVAL - TAXIWAY A (NON-AIP) SF 540 TOTAL (ADD ALTERNATE NO. 1) Add Alternate Bid No. 2 - Runway 12/30 Joint and Crack Repair 1 P-101-5.2 JOINT AND CRACK REPAIR - STA 24+00 TO STA 31+00 LF 7,800 TOTAL (ADD ALTERNATE NO. 2) Add Alternate Bid No. 3 - Runway 18/36, Taxiways and Apron Pavement Marking 1 P -620-5.1-I RUNWAY AND TAXIWAY MARKING SF 112,183 2 P-620-5.1-2 TAXIWAY REFLECTIVE MEDIA (TYPE I, GRADATION A) LE 4,819 TOTAL (ADD ALTERNATE NO. 3) TOTAL INCLUDING ADD ALTERNATES 575 $ 59, 35 4. It is the Ah -port's intention to evaluate bids reviewing both the Base Bid and Add Alternate Bids. The Airport has limited funds available and will award only what funding allows. The Airport reserves the right to award the contract based on the Base Bid only or the Base Bid plus any and all Add Alternate Bid Options. 5. The undersigned understands that the above quantities of work to be done are approximate only and are intended principally to serve as a guide in evaluating the bids. All quantities are subject to increase or decrease and are to be performed at the unit prices stipulated herein. 6. It is understood that the schedule of minimum wage rates, as established by the Secretary of Labor and included in the Specifications, are to govern on this project, and the undersigned certifies that he has examined this schedule of wage rates and that the prices bid are based on such established wage rates. 7. The bidder shall make good faith efforts, as defined in Appendix A of49 CFR Part 26, Regulations of the Office of the Secretary of Transportation, to subcontract 7.33 percent (7.33%) of the dollar value of the prime contract to FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-2 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways ITEMIZED PROPOSAL WATERLOO REGIONAL AIRPORT WATERLOO, IOWA PROJECT: RUNWAY 12/30 PAVEMENT JOINT REPAIR PAVEMENT MARKING RUNWAY 12/30, RUNWAY 18/36 AND TAXIWAYS BID PACKAGE #2 FAA AIP PROJECT NO. 3-19-0094-045 ITEM NO. DESCRIPTION UNIT ESTIMATED UNIT QUANTITY BID PRICE TOTAL BID PRICE 1 MOBILIZATION AND DEMOBILIZATION LS 1.00 $143,000.00 $143,000.00 2 CONSTRUCTION SURVEY LS 1.00 $6,400.00 $6,400.00 3 CONSTRUCTION BARRICADES LS 1.00 $50,000.00 $50,000.00 4 PAVEMENT REMOVAL - RUNWAY 12-30 SY 500.00 $15.00 $7,500.00 5 JOINT AND CRACK REPAIR LF 50100.00 $2.42 $121,242.00 6 COLD MILLING, 3" - RUNWAY 12-30 SY 500.00 $30.00 $15,000.00 7 UNCLASSIFIED EXCAVATION -12-30 CY 250.00 $15.00 $3,750.00 8 AGGREGATE BASE COURSE CY 250.00 $90.00 $22,500.00 9 HOT MIX ASPHALT SURFACE COURSE TON 325.00 $94.75 $30,793.75 10 12" PCC PAVEMENT - RUNWAY 12-30 SY 335.00 $100.00 $33,500.00 11 TEMP RW & TW MARKING - RW 12-30 SF 1350.00 $1.50 $2,025.00 12 GROOVING SY 870.00 $10.00 $8,700.00 TOTAL (BASE BID) $444,410.75 Add Alternate Bid No. 1 - Runway 12/30 1 RW AND TW MARKING - RUNWAY 12-30 SF 35200.00 $0.75 $26,400.00 2 REFLECTIVE MEDIA - RUNWAY 12-30 LB 2800.00 $0.55 $1,540.00 3 RW AND TW MARKING - TAXIWAY A SF 6833.00 $0.80 $5,466.40 4 REFLECTIVE MEDIA - TAXIWAY A LB 225.00 $0.55 $123.75 5 PAVEMENT MARKING REM - TAXIWAY A SF 540.00 $5.00 $2,700.00 TOTAL (ADD ALTERNATE 1) $36,230.15 Add Alternate Bid No. 2 - Runway 12/30 Joint and Crack Repair 1 JOINT AND CRACK REPAIR LF 7800.00 $2.55 $19,890.00 TOTAL (ADD ALTERNATE 2) $19,890.00 Add Alternate Bid No. 3 - Runway 18/36, Taxiways and Apron Pavement Marking 1 RUNWAY AND TAXIWAY MARKING SF 112183.00 $0.65 $72,918.95 2 TAXIWAY REFLECTIVE MEDIA LB 4819.00 $0.50 $2,409.50 TOTAL ( ADD ALTERNATE 3) $75,328.45 TOTAL INCLUDING ADD ALTERNATES $575,859.35 Aspro, Inc. 4' . Pre tdent 6/22/17 3613 Texas St. PO Box 2620 Waterloo, IA 50704 small business concerns owned and controlled by socially and economically disadvantaged individuals (DBE). Individuals who are rebuttably presumed to be socially and economically disadvantaged include women, Blacks, Hispanics, Native Americans, Asian -Pacific Americans, and Asian -Indian Americans. The apparent successful competitor will be required to submit information concerning the DBEs that will participate in the contract. The information will include the name and address of each DBE, a description of the work to be performed by each named firm, and the dollar value of the contract. If the bidder fails to achieve the contract goal stated herein, it will be required to provide documentation demonstrating that it made good faith efforts in attempting to do so. In the event that the apparent successful competitor for this solicitation qualified as a DBE, the contract goal shall be deemed to have been met. A bid that fails to meet these requirements will be considered nonresponsive. 8. The undersigned certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The undersigned certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The undersigned agrees that a breach of this certification is a violation of the equal opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, timeclocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, or national origin, because of habit, local custom, or any other reason. The undersigned agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the equal opportunity clause, and that he will retain such certifications in his files. 9. The undersigned agrees, upon written notice of the acceptance of this bid, within sixty (60) days after the opening of the bids, that he will execute the Contract in accordance with the bid as accepted and give Contract (Performance and Payment) bond on attached forms within fifteen (15) days after the prescribed forms are presented for signature. 10. The undersigned understands, award of contract is contingent upon receipt of project funding from the Federal Aviation Administration. If funding is not received, bid bonds will be returned to all bidders and the project will be postponed. 11. The undersigned further agrees that if awarded the Contract, he will commence the work within ten (10) calendar days after the receipt of a "Notice to Proceed" and that he will substantially complete all work according to the terms of the entire contract within ninety (90) calendar days from the date established in the Notice to Proceed. An extension of time may be allowed when extra or additional work is ordered by the Engineer. 12. The undersigned agrees that within 30 days after award of this contract, the Contractor/Subcontractor shall file a compliance report (Standard Form 100) if s/he has not submitted a complete compliance report within 12 months proceeding the date of award. This report is required if the Contractor/Subcontractor meets all of the following conditions: a. Contractors/Subcontractors are not exempt based on 41 CFR 60-1,5. b. Has 50 or more employees. c. Is a prime contractor or first tier subcontractor. d. There is a contract, subcontract, or purchase order amounting to $50,000 or more. 13. To satisfy Clear Air and Water Pollution Control Requirements on all Construction Contracts and Subcontracts exceeding $100,000.00 Contractors and Subcontractors agree: FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-3 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways a. That any facility to be used in the performance of the Contract or to benefit from the Contract is not listed on the Environmental Protection Agency (EPA) List of Violating Facilities. b. To comply with all the requirements of Section 306 of the Clean Air Act (42 USC 1857(h)), and Section 508 of the Clean Water Act (33 USC 1368), Executive Order 11738, and Environmental Protection Regulations (40 CFR Part (15)). c. That as a condition for award of a Contract he shall notify the awarding official of the receipt of any communication from EPA indicating that a facility to be utilized for performance of or benefit from the Contract is under consideration to be listed on the EPA List of Violating Facilities. d. To include or cause to be included in any Contract or Subcontract which exceeds $100,000.00 the aforementioned criteria and requirements. 14. The contractor, by submission of this offer and/or execution of a contract, certifies that it: a. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U S firms published by the Office of the United States trade Representative (USTR); b. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; c. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract shall be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract at no cost to the Government. Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor shall provide immediate written notice to the sponsor if the contractor learns that its certification or that ofa subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract or subcontract for default at no cost to the Government. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-4 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001. 15. The bidder/offeror certifies, by submission of this proposal or acceptance of this contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the bidder/offer/contractor or any lower tier participant is unable to certify this statement, it shall attach an explanation to this solicitation/proposal. 16. As an evidence of good faith in submitting this Proposal, the undersigned encloses bid security in the amount of five (5) percent of the bid which, in case he refuses or fails to accept an award and to enter into a Contract and file the required bonds within the prescribed time, shall be forfeited to the Waterloo Regional Airport as liquidated damages. 17. By entering into this contract, the contractor certifies that neither it (nor he or she) nor any person or firm who has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). 18. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). 19. The undersigned hereby declares that the only parties interested in this Proposal are named herein, that this Proposal is made without collusion with any other person, fum or corporation, that no member of the Council, Waterloo Regional Airport or agent of the City of Waterloo, Iowa, is directly or indirectly financially interested in this bid. 20. In submitting this bid, it is understood that the right to reject any and all bids has been reserved and that this bid may not be withdrawn for a period of sixty (60) days from the opening thereof. 21. Contractor certifies that all employees employed by Contractor or any subcontractor working on behalf of the Contractor are in compliance with the Immigration Reform Control Act of 1986 (IRCA) and indemnifies the Owner and holds harmless Owner for any violations of IRCA as a result of the Contractor's employees or his subcontractor's employees working on behalf of the Contractor on the Owner's project. 22. The undersigned certifies, to the best of his or her knowledge and belief, that: a. No Federal appropriated funds shall be paid, by or on behalf of the Contractor, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a member of Congress in Congress in connection with the making of any Federal grant and the amendment or modification of any Federal grant. b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant, the Contractor shall complete and submit Standard Form -LLL, "Disclosure of Lobby Activities", in accordance with its instructions. c. The Undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $200,000 for each such failure. FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-5 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways 23. BUY AMERICAN CERTIFICATE (Title 49 U.S.C. Chapter 501) As a condition of bid responsiveness, the bidder must how it intend to comply with the Buy American preferences established under Title 49 U.S.C. Section 50101. Bidder must complete the attached Buy American certification. If the bidder requests a permissible waiver to the Buy America requirements, the Bidder identified as with the successful bid must submit a formal waiver request and component cost calculation within the prescribed time identified on the Buy America certification. 24. Drug Free Work Place, Act of 1988. a. By submission of this offer, the offeror, if other than an individual, who is making an offer that equals or exceeds $25,000, certifies and agrees that with respect to all employees of the offeror to be employed under a contract resulting from this solicitation, it will --no later than 30 calendar days after contract award (unless a longer period is agreed to in writing, for contracts of 30 calendar days or more performance duration;) or as soon as possible for contracts of less than 30 calendar days performance duration, but in any case, by a date prior to when performance is expected to be completed -- (1) Publish a statement notifying such employees that the unlawful manufacturer, distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition; (2) Establish an on going drug-free awareness program to inform such employees about -- (a) The dangers of drug abuse in the workplace; (b) The Contractor's policy of maintaining a drug-free workplace; (c) Any available drug counseling, rehabilitation, and employee assistance programs; and (d) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; Provide all employees engaged in performance of the contract with a copy of the statement required by subparagraph a.(1) of this provision; (4) Notify such employees in writing in the statement required by subparagraph a.(1) of this provision that, as a condition of continued employment on the contract resulting from this solicitation, the employee will -- (3) (5) (a) Abide by the terms of the statement; and (b) Notify the employer in writing of the employee's conviction under a criminal drug statute for a violation occurring in the workplace no later than 5 calendar days after such conviction; Notify the Contracting Officer in writing within 10 calendar days after receiving notice under subdivision a.(4) (b) of this provision, from an employee or otherwise receiving actual notice of such conviction. The notice shall include the position title of the employee; and (6) Within 30 calendar days after receiving notice under subdivision a.(4)(b) of this provision ofa conviction, take one of the following actions with respect to any employee who is convicted ofa drug abuse violation occurring in the workplace; (a) Take appropriate personnel action against such employee, up to and including termination; or (b) Require such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency. Make a good faith effort to maintain a drug-free workplace through implementation of subparagraphs a.(1) through a.(6) of this provision. (7) FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-6 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways b. By submission of its offer, the offeror, if an individual who is making an offer of any dollar value, certifies and agrees that other offeror will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in the performance of the contract resulting from this solicitation. c. Failure of the offeror to provide the certification required by paragraphs a. or b. of this provision, renders the offeror unqualified and ineligible for award. [See FAR 9.104-1(g) and 19.602-1a.(2)(a)]. d. In addition to other remedies available to the Government, the certification in paragraphs a. or b. of this provision concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under title 18, United States Code, Section 1001. 25. Attachment to This Bid. The following documents are attached to and made a part of this Bid: a. Bid Guaranty in the form of BID BOND b. Non -Collusion Affidavit of Prime Bidder. c. Statement of Intent —Non -Discrimination and Equal Opportunity Statement. d. Buy American Certification Statement. e. Bidder's Information Sheet. f. Synopsis of Experience Record. (IDOT Certification may be substituted.) g. Completed DBE forms "Utilization Statement" and "Letter of Intent." 26. The Bidder shall indicate whether the bid is submitted by a/an: ❑ Individual, Sole Proprietorship ❑ Partnership IN Corporation ❑ Joint -venture: all parties must join -in and execute all documents ❑ Other Respectfully submitted, By7 27 /r UPRESIDENT Signature ASPRO, INC. Title PO BOX 2620 Address WATERLOO, IA 50704 (Include Zip Code) 319-232-6537 Telephone No. FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-7 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of IOWA County of BLACK HAWK )ss MILT DAKOVICH being first duly sworn, deposes and says that: (1) He is ASPRO, INC. (9waer,Partner, Officer,, Representative, or -Agent) , the Bidder that has submitted the attached Bid: of (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. (Signed) ✓ 1 f ' 1� " 7 / Title PRESIDENT Subscribed and sworn to before me this 22 day of JUNE 2017. Title OFFICE MANAGER My Commission Expires 1 "' eJ -AC\ , 2fE7. FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-9 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways NON -COLLUSION AFFIDAVIT OF SUBCONTRACTOR (To Be Submitted After Bid But Prior to Award) State of -1-c' 1-4/4 )ss County of uSC:c� Tr ) iVox , --)a-r-s r being fust duly sworn, deposes and says that: (I) He is (Owner, Partner, Blear Representative, or Agent) of ILLOWA INVESTMENT 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 W 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 orunlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. Subscribed and sworn to before me this A(8* day of V tii.t 2017. My Commission Expires 10-5-11 2017. , Title V . J4d, )6°e`1V-7— Ea DENISE SCHWIEN 1Commission Number 736981 My Commission Expires ow October 5, 2017 FAA MP11349-0094-045 AECOM Project 860537973-13P2 P-10 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways NON -COLLUSION AFFIDAVIT OF SUBCONTRACPORt (To Be Submitted After Bid But Prior to Award) , State of —1-0t41----• ) )ss 'County aria ijZvK ) • r4t a cer- being first duty sworn, deposes and says that (1) lie la (Owner, Partner Officer epresentative. or Agent) • of CEDAR FALLS CONSTRUCTION CO; , the Bidder that bas submitted the attached Bid: (2) Ile 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 rnamrer, 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 pries or the bld 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. Subscribed and sworn to before me this mark day of Skye (3 e -e. r*'r.c.pc V Title , 2017. My Commission Expires 4,, 'nA-2 " 't RACHEL PILCHER I"a1•rimer oo� Mowat ••• MARCH 2z2me .�n (Signed)RQ ' Title r dam.-cf FAA ABP 83.19-0094-045 ABCOM Project 860537973-BP2 P-10 Waterloo Regional Airport Runway 12/30 Pavement Ioltt Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways NON -COLLUSION AFFIDAVIT OF SUBCONTRACTOR (To Be Submitted After Bid But Prior to Award) State of rV t^ % ) )ss Counw of -?3 k9 Ir /$!Ails ) (I) He is MANATT'S, INC. being first duly sworn, deposes and says that: (Owner, Partner, Oti-icer epresentative )or Agent) of 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, Subscribed and swom to before me aw this c) 1. day of , 2017. t CS Title (Signed)76, Title AAa\' My Commission Expires ,.2017: FAA AIP #3-19-0094-045 ABCOM Project #60537973-8112 P-10 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways NON -COLLUSION AFFR)AVTT OF SUBCONTRACTOR (To Be Submitted After Bid But Prior to Award) State of --� f1 ) )ss County of �2 ) L l+�wa sQ.sl7n er' , being fust duly sworn, deposes and says that: (1) He is (Owns, Fabler, Or`iiceri ccoresentati)or Anal) of' PETERSON CONTRACTORS , INC. , the Bidder that has submitted the attached B14: (2) Re is thlly 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 shim 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, Linn 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 indireotiy, 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 bld or ofany other Bidder, or, to fix any ovethad, 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 hi the proposed Contract; and (5) The price or prices quoted in the attached bid aro fair and proper and are not tainted by any collusion, conspiracy, connivance orunlawin] agreement on the part ofthe Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this atfant. (Signejd ) Title PJW'ur'A ltrArnAa Subscribed end sworn to before me Otis a>?7�'dayof akfl.. ,2017. Title Noteatj My Commission Expires to - 41- /t ,see. 4ammo turestnou Mp December 21, X01; , FAA AWP #3.19.0094.045 ABCOM Project #60537973-BP2 P•10 Waterloo Regional Airport Runway t2/30 Pavement Joint Repair Pavement Making Runway 12/30, Runway 18/36 and Taxiways To Aapro, Ihc. Page 1 of 1 2017-07-12 19:05:06 (GMT) N'ON•COLLUSIQN AFFIDAYP2OFS JBCONTRACI'Qf (To Bo Submitted After Bid But Prior. to Award). Stateef ! )ss County of ! y(� ' ... .w.,) 1 31 93 960328 From: Vaugn Miller , being fast dulysworn, deposes and says that: (1) Ho 1A�%...-(t13 1i JQwgyr Pa t ler, Officer. Represent/give, or Agept) of s•" _. '..� _ _ c' �?� -.'?:, the Bidder that FcrssulinincrititeutthahedIit (2) He. is fully infitrmedregion' rngthepaeparaller andeontentsoftheattachedbidandvfellpertinentcircurnstances respecting such bid; (3) .Such bid is genuine and is nota collusive or sham bid; (4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, inoluding this affiant, hos Many way colluded, conspired, connived or ag sed, directly. or indirectly, with any other Bidet, firm or person to submit n collusive or sham bid in connection with the Cbptract for which the attached bid has been submitted or 10 refrain from bidding in connection with such Contract, or has .in any manner, directly or indit'ectly,.sought.byagrsetnentorcollusion orcommunication oxconferencewithanyotherRidder,C¢morpersontofix the price or prices in the attached bid or of any other.ISiddor, or, to tix.any oyerftead, profit orcost element of the bid price or die bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City at Waterloo, Iowa, or any person interested in tthe proposed Contract; and (5) The price or price: quoted in the atuenied bid are fair and proper and ere nottainlod by any asllttsion, conspiracy, connivance or unlawful agrconxent on the part of the Bidder or trey of its agents, represnntadyea, owners, employees, or parties in interest, including this•affiant, (Signed) Lei.,x„U =fit/4 President Subscribed acrd sworn to beforenta the, /211" day Of bei,J , 2017, r My.Commission Expires / ,!._..___./{,/i �Vt2-(}}/ ,pfa`+t, CQNNit JANE VON8883GLE i �y% Oommisslon Numbei778476 �1 My Commission Expires 70WP May2d,2019 FAA AfP N3-19.0094-045 AECOM Prujeet ilo$0537977-BPI Watedoo Regional Airport Reemrshuci 9.hxiwny C STATEMENT OF INTENT NONDISCRIMINATION AND EQUAL OPPORTUNITY STATEMENT The Contractor does hereby certify to the Waterloo Regional Airport, that no person shall, in any way, be favored or discriminated against because of his race, political or religious opinions and affiliations, national origins, sex, age, sexual orientation, gender identity, disability, color, creed, marital status, employee union or association membership or office herein. If selected as the successful bidder, this contractor hereby agrees to file either a nondiscrimination and equal opportunity statement and/or an Affirmative Action Program. Improvements to the Waterloo Regional Airport consisting of Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways ASPRO, INC. COMPANY MILT DAKOVICH /74 MILT DAKOVICH� EXECUTIVE OFFICER 1 FIRMATIVE ACTION OFFICER ADDRESS OF THE AFFIRMATIVE ACTION OFFICER P.O. BOX 2620 WATERLOO, IA 50704 PHONE NUMBER 319-232-6537 FAA AIP 03-19.0094-045 AECOM Project #60537973-BP2 P-11 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways BIDDER'S INFORMATION SHEET A. BIDDERS CAPACITY: (Check One) 1. Individual ❑ 2. Co -Partnership 0 3. Corporation II B. (IF ITEM 2 IS CHECKED, COMPLETE THE FOLLOWING) State of Names and Addresses of Partners 1. 2. 3. 4. 5. C. (IF ITEM 3 IS CHECKED, COMPLETE THE FOLLOWING) State of Incorporation IOWA Names and Addresses of Officers: President Secretary Treasurer MILT DAKOVICH PO BOX 2620; WATERLOO, IA 50704 MILT DAKOVICH PO BOX 2620; WATERLOO, IA 50704 LARRY CLARK PO BOX 2620; WATERLOO, IA 50704 FAA ALP #3-19-0094-045 AECOM Project #60537973-BP2 P -I2 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways SYNOPSIS OF EXPERIENCE RECORD (This synopsis must accompany Proposal Form.) Name of Bidder ASPRO, INC. Business Address PO BOX 2620; WATERLOO, IA 50704 Individual ( ) Partnership ( ) Corporation ) (Check One.) Construction successfully completed within past five years similar in size, scope, and difficulty of construction to the work bid upon. Name of Owner Name of Location of Amount of Project Project Contract l ASPRO, INC. IS PREQUALIFIED WITH THE IOWA 2 DEPARTMENT OF TRANSPORTATION FOR THE 3 WORK TYPE INVOLVED IN THIS PROJECT. 4 5 Number of Contract Days Actual Number of Days to Allowed for Above Projects Complete above Project 2 3 4 (Signed) t / 7)(- 40;1 ASPRO, INC. Name of Company (By) MILT DAKOVICH (TITLE) PRESIDENT Date JUNE 22, 2017 FAA AIP #3-I9-0094-045 AECOM Project #60537973-BP2 P-13 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways UTILIZATION STATEMENT Disadvantage Business Enterprise The undersigned bidder/offeror has satisfied the requirements of the bid specification in the following manner. (Please mark the appropriate box) The bidder/offeror is committed to a minimum of 9, 0 3 % DBE utilization on this contract. ❑ The bidder/offeror, while unable to meet the DBE goal of %, hereby commits to a minimum of % DBE utilization on this contract and also submits documentation, as an attachment demonstrating good faith efforts (GFE). The undersigned hereby further assures that the information included herein is true and correct, and that the DBE fimr(s) listed herein have agreed to perform a commercially useful function in the work items noted for each firm. The undersigned further understands that no changes to this statement maybe made without prior approval from the Civil Right Staff of the Federal Aviation Administration. ASPRO, INC. Bidde's/Offerors Firm Name /97 / c,7c 7/ Signe Signa JUNE 22, 2017 Date DBE UTILIZATION SUMMARY Contract Amount DBE Amount Contract Percentase DBE Prime Contractor $x 1.00 = $ DBE Subcontractor $ rl 0 .:)' , 0 0 x 1.00 = $ S7, 1 % $". 00 DBE Supplier $ x 0.60 = $ DBE Manufacturer $ x 1.00 = $ 9,03 % Total Amount DBE $52,/ 0). $, 0° 9, 03 DBE Goal $r h,o,y9 Z33 % Note: If the total proposed DBE participation is less than the established DBE goal, Bidder must provide written documentation of the good faith efforts as required by 49 CFR Part 26. FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-14 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways PROPOSAL ATTACHMENT: PART F—ADDITIONAL REQUIREMENTS ITEM 3 —DBE FORMS LETTER OF INTENT Disadvantage Business Enterprise (This page shall he suhmlhed/br each DBEfirm) Bidder/Offer Name:/'SP i 0 r DBE Firm: Address: /w ,(i ax ,)'b -ds City: PV `re/Z[orl Slate:-Ztl':q Zip: 507r%k DBE Firm: Advanced Traffic Control, Inc. Address: PO Box 8958 City. Cedar Rapids state: Iowa Zip: 52408 DBE Contact Person: Name: Vauqn Miller Phone: 3191396-5269 DBE Certifying Agency: • Classification: BID Iowa Department of Transportation Expiration Date: 12/31/17 (renewal) Each DBE Finn .shall suhmil evidence (such as aphotocopy) of their certification status, El Prime Contactor ElSubcontractor 0 Manufacturer ['Supplier ❑Joint Venture \Yorkitem(s) . to be performed by DBE Description of Work item Quantity Total 3 Construction Barricades Lump Sum $50,000.00 11 if remporaej Runway and Taxiway Marking 1,350 SF $2,025.00 The bidder/offeror is con milted to utilizing the above•natned DBE firm for the work described above. The estima ed participation is as follows: DBE contract amount:$ 5; t' )' 5, 0 d Percent of total contract: % '0 3 % AFFIRMATION: The above-named DBE tine affirms that it will perform the portion of the contract for the estimated dollar value as stated above. By: (Signature) ' Note In the event the bidder/offeror does not receive award of the prime contract, any and all representations in this Letter of Intent and Affirmation shall be null and void. DBE Iowa Department of Transportation Date Certified: December 31, 2013 Certificate No. 1113343 Disadvantaged Business Enterprise Certification This Certifies That Advanced Traffic Control, Inc. Has met the requirements under the rules promulgated by the U.S. Department of Transportation pursuant to 49 Code of Federal Regulations, Part 26, and is eligible to participate as a Disadvantaged Business Enterprise in the Iowa Department of Transportation DBE Program Todd A. Sadler, Director, Office of Employee Services This certification may be revoked by the department upon finding of ineligibility and said company is subject to exnminatioo at any time and maybe minded to supply additional information for review notwithstanding the issuance of this certificate. BUY AMERICAN CERTIFICATION FORM FOR MANUFACTURED PRODUCTS (Non -building projects such as airfield/roadway construction, equipment acquisition, etc.) As a matter of bid responsiveness, the Bidder or Offeror must complete, sign, date, and submit this certification statement with their proposal. The Bidder or Offeror must indicate how they intend to comply with 49 USC § 50101 by selecting one on the following certification statements. These statements are mutually exclusive. Bidder must select one or the other (not both) by inserting a checkmark (✓) or the letter "X". El The Bidder or Offeror hereby certifies that it will comply with 49 USC § 50101 by: a) Only installing steel and manufactured products produced in the United States, or; b) Installing manufactured products for which the FAA has issued a waiver as indicated by inclusion on the current FAA Nationwide Buy American Waivers Issued listing, or; c) Installing products listed as an Excepted Article, Material or Supply in Federal Acquisition Regulation Subpart 25.108. By selecting this certification statement, the Bidder or Offeror agrees: 1. To provide to the Owner evidence that documents the source and origin of the steel and manufactured product. 2. To faithfully comply with providing US domestic product. 3. To furnish US domestic product for any waiver request that the FAA rejects. 4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified. ❑ The Bidder or Offeror hereby certifies it cannot comply with the 100% Buy American Preferences of 49 USC § 50101(a) but may qualify for either a Type 3 or Type 4 waiver under 49 USC § 50101(b). By selecting this certification statement, the apparent Bidder or Offeror with the apparent low bid agrees: 1. To the submit to the Owner within 15 calendar days of the bid opening, a formal waiver request and required documentation that support the type of waiver being requested. 2. That failure to submit the required documentation within the specified timeframe is cause for a non-responsive determination may result in rejection of the proposal. 3. To faithfully comply with providing US domestic products at or above the approved US domestic content percentage as approved by the FAA. 4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified. Required Documentation Type 3 Waiver - The cost of the item components and subcomponents produced in the United States is more that 60% of the cost of all components and subcomponents of the "item". The required documentation for a type 3 waiver is: a) Listing of all product components and subcomponents that are not comprised of 100% US domestic content (Excludes products listed on the FAA Nationwide Buy American Waivers Issued listing and products excluded by Federal Acquisition Regulation Subpart 25.108; products of unknown origin must be considered as non- domestic products in their entirety). b) Cost of non-domestic components and subcomponents, excluding labor costs associated with final assembly at place of manufacture. FAA MP #3-19-0094-045 AECOM Project #60537973-BP2 P-16 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways c) Percentage of non-domestic component and subcomponent cost as compared to total "item" component and subcomponent costs, excluding labor costs associated with final assembly at place of manufacture. Type 4 Waiver — Total cost of project using US domestic source product exceeds the total project cost using non-domestic product by 25%. The required documentation for a type 4 of waiver is: a) Detailed cost information for total project using US domestic product. b) Detailed cost information for total project using non-domestic product. False Statements: Per 49 USC § 47126, this certification concerns a matter within the jurisdiction of the Federal Aviation Administration and the making of a false, fictitious or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code. JUNE 22, 2017 / ?"�ft/b1,(25 Date Signatu' ASPRO, INC. PRESIDENT Company Name Title FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P- I7 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways Buy America Waiver Request Title 49 U.S.0 Section 50101 (b) For Airfield Development Projects funded under the Airport Improvement Program (Revised 4/19/2010) Instructions for Permissible Waivers Section 50101(6)(11 Waiver: The bidder may not request a waiver based upon the best interests of the public. The FAA Office of Airports publishes such waivers at: http://www.faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls Section 50101(6)(2) Waiver: The bidder may not request a waiver based upon insufficient supply of U.S. manufactured. The FAA Office of Airports publishes such waivers at: http://www.faa.gov/airports/aip/procuremenvfederal_connact_provisions/media/buy_american_waiver. xls Section 50101(6)(3) Waiver: The bidder may request a waiver if 60% or more of the components are produced in the United States and final assembly occurs in the U.S. Bidder is hereby advised that the Owner's approval with the bidder's waiver request is contingent upon FAA approval. 1. "Equipment" in Section 50101 shall mean the following: a) Individual type "L" items (Airfield Lighting Equipment) as listed in FAA Advisory Circular 150/5345-53. b) Individual bid items as established within FAA Advisory Circular 150/5370-10. The bid item application may not be applied for the type "L" items listed in AC 150/5345-53. c) A waiver request may only address one specific equipment item. Submit separate requests for each equipment item for which a waiver. d) Items listed under the Nationwide Waiver do not require further review. Please refer to the following webpage: http://www.faa.gov/airports/aip/procurement federal_contmet_provisions/media/buy_americaa_waivecxls 2. The bidder must base the U.S. percentage upon the value that results from completing a component cost calculation table similar to the attached format. Bidder shall avoid mere pro forma efforts to establish the waiver request percentage. The Bidder must submit the component cost calculation table as an attachment to the waiver request. 3. Components/subcomponents are the material and products composing the "equipment". 4. The final assembly of the AIP-funded "equipment" must be within the USA (Section 50101(6)(3)(B)). Final assembly is the substantial transformation of the components and subcomponents into the end product. 5. All steel used in the "Equipment" must be produced in the United States. 6. The Buy American requirements apply to all tier contractors and subcontractors. All contractors/subcontractors are required to provide appropriate documentation that indicates origin of manufacturer and percentage of domestic made product. 7. The bidder is hereby advised there is no implied or expressed guarantee that a requested waiver will be issued by the Federal Aviation Administration (FAA). Less than 60% USA component/subcomponent proposed for this facility CANNOT he waived. Products made with foreign steel are not eligible for a waiver. 8. ]forth America Free Trade Act (NAFTA): Free Trade Agreements such as NAFTA do not apply to the AIP. Products and material made in Canada or Mexico must be considered as foreign made products. 9. Preparation of a Component Cost Calculation Table is not necessary for equipment listed on the FAA national listing: http://www.faa.gov/airports/aip/procurement/federal_contract_rrovisions/media/buy_american_waiverxls. Bidder however shall submit a listing of any equipment it proposes to install on the project that is included on the National Buy American conformance list. Instructions for Section 50101061(4) Waiver: 1. The bidder may request a waiver if application of Buy America preferences results in a 25% cost increase in the overall project. This waiver is rarely applicable. Consult the Owner before making this request. FAA AIP #3-19-0094-045 AECOM Project #60537973-BP2 P-18 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways ii d u a c L v 0. U PO en N > ti a 31 to P i 1 O rn Po 0 ^o eta F d E a N�1 . W4+Cv is, le O yEC" ;, q S yd hs 8 y /^i b+ p — 2 o Qj p 4 c; t, 1 d et 0 %q 2 O O '.'� p. C 4 rK Po m F o `i i d 0 �i E v E �' s o 0 0v y s. P v_5 ,t d N E *C a s v o ,: s rn 0 so v 'd y a C d, — a+ .� g y c `'g At O E-io ..-q. o ria F Q °' Q ° -z s M H V Zivd z M1 U d C z d �b q r2,o E a �\ Fly p E0 E M E m a v ^ gg ,60 O E U b U o- vt u'g b k V (—b) t n 'o o a g e a 1 a$ d Y a L5 •E I halE F, `.5 o C [y o c u b a V ���y ti E e O N b } V 4 0 c. b O V b 'bl o d 5 Ed `, h s o a a < E b v Y� b F u ,+.,o wA Cost of USA Manufactured Components/Subcomponents Cost of Foreign Manufactured Components/Subcomponents I Country of Origin Name of Manufacturer try Component/Subcomponents. V Y N d 0 y r, u o C ca no d E V 0' .O h7 0 .0 W C N 'O I. 0 0 '1 u E E Y. 0 U U `, pc te c G0l N a 0 c Is W '= 0 0 0 W O n U rn 0 u 4.4 0 g p, o w w 0 ae➢ w 0d 1- 0 Place of Final Assembly: L i G Certification Si w 0 A EL. ac.0< �a 0 O 0 <10 +a E ,� 4 a, \• 4 a `j -4, i' d3-1 ll Buy America Conformance Listing Title 49 U.S.0 Section 50101 (b) For Airfield Development Projects funded under the Airport Improvement Program • Preparation of a Component Cost Calculation Table is not necessaryfor equipment listed on the FAA nationallisting: http:/Rmvw.faa.gov/airports/nip/procurement/rederol contract provisions/rnedialbnv american iraiversls • Bidder shall submit a listing of equipment it proposes to install on the project that is incheded on the current National Buy American conformance list ,:'Narue orJ''Iauufacturer Product Number. r= NONE Certification Signature: Bidder hereby certifies that the above listed equipment, which we propose for installation on the subject project, are on the current National Buy America Conformance list as established at: bitp://www.faa.gov/airports/aip/procurement/federal contract provisions/media/buy american waiver.xls I hereby certify the above information is accurate and complete. ASPRO, INC. 06/22/17 Bidder's Firm f\' me /i/ n Signa jure Date FAA AIP 113-19-0094-045 AECOM Project It 60537973-BP2 P-20 Waterloo Regional Airport Runway 12/30 Pavement Joint Repair Pavement Marking Runway 12/30, Runway 18/36 and Taxiways