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Home My WebLink AboutBaker Concrete & Excavating1161112116 X..011.-1.Conewete az Excavating PO Box 277 2203 Bast Bwµa, Avo. Wavily, Jowa 50672 BID SECURITY FOR: F.Y. 2018 WATERLOO BOATHOUSE ENHANCEMENTS; CONTRACT NO. 940 CITY OF WATERLOO 715 MULBERRY STREET WATERLOO, IA 50703 IGKEICOrita`ete & f coavatirig PO $ox 277 2203 east Breater Av& Wav¢r¢y. Jocva 30677 BID PROPOSAL FOR: F.Y. 2018 WATERLOO BOATHOUSE ENHANCEMENTS; CONTRACT NO, 940 CITY OF WATERLOO 715 MULBERRY STREET WATERLOO, IA 50703 91 FORM OF BID OR PROPOSAL F.Y. 2018 WATERLOO BOATHOUSE ENHANCEMENTS CONTRACT NO. 940 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 =tea , a Partnership consisting of the following partners: .a« C C )ct + Exc.,vod; , 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 Wayne Claassen Engineering & Surveying, Inc. now on file in the office of the City Clerk, 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 F.Y. 2018 WATERLOO BOATHOUSE ENHANCEMENTS, Contract No. 940, all in accordance with the above -listed documents and for the unit prices for work in place for the following items and quantities: BASE BID BID ITEM DESCRIPTION BASE BID UNIT EST. QTY. UNIT BID PRICE TOTAL BID PRICE 001 MOBILIZATION L.S. 1 $ 15, oO• oo $ 15, 000. 0 002 TOPSOIL STRIP, SALVAGE, STOCKPILE AND RESPREAD C.Y. 587 $ 2. 5 . oo $ 1 61, I,15 , oo 003 CLASS 10 EXCAVATION C.Y. 2,797 $ 11- o o $ 3 S,13 6 k , 00 004 TOPSOIL, FURNISH, SPREAD, IN-PLACE C.Y. 100 $ 3 0. 00 $ , 6`)° . op 005 REVETMENT, CLASS "E" RIP -RAP TON 950 $ z-1-5° $ 2Ioi l2S .00 006 GEOSYNTHETIC S.Y. 7,731 $ 3 . o o $ Z 3 , 113.0 0 007 SEED, FERTILIZE AND MULCH (IDOT RURAL MIX) ACRES 0.92 $ y? So. oo $ 31 t o . ao 008 SILT FENCE (EROSION CONTROL FENCING) L.F. 530 $ 3 -5-I 85 o $ ,5 n FORM OF BID CONTRACT NO. 940 Page 1 of 6 BID ITEM DESCRIPTION BASE BID UNIT EST. QTY. UNIT BID PRICE TOTAL BID PRICE 009 STRAW FILLED WATTLE, 9" DIA. L.F. 90 $ ? • oo $ -1 2.0.0o 010 WOOD EXCELSIOR MAT FOR SLOPE PROTECTION (EC -103) SQUARES 160 $ Z c , 00 $ ,2---°c"°° 011 TRAFFIC CONTROL L.S. 1 $ 7So, oo $ 7So. 00 012 SWPPP COMPLIANCE L.S. 1 $ S, IS 0.00 $ S, 1 So, 00 013 MAINTENANCE BOND, 2 -YEAR L.S,1 $ 13, 000.oa $ 1 3, bov .00 101 REMOVALS, STORM SEWER CULVERTS L.F. 280 $ 1 •Ob $ Z., S 20. o o 102 REMOVALS, ELECTRIC POLES EACH 6 $ `ion. oo $ 2,400. 00 103 REMOVALS, TREES EACH 4 $ (o 00. oo $ 2,1460. 06 104 REMOVALS, TREE STUMPS EACH 1 $ 300. 00 $ 3e40, oo 105 DOCK NO. 1 (TIMBER WALL AND DOCK NEAR BOAT HOUSE, COMPLETE) L.S. 1 $ y, 000 . oo $ 4 , 000. 00 106 DOCK NO. 2 (STEEL WOOD, AND CONCRETE STRUCTURE NEAR BOAT RAMP, COMPLETE) L.S. 1 $ y,S°°•oa $ '-I S 00 .00 107 DOCK NO. 3 (WOOD STRUCTURE ADJOINING BOAT RAMP, COMPLETE L.S. 1 $ !, 3 oo , oo I $ 1,30u. oo 108 REMOVALS, P.C. CONCRETE SLOPE PROTECTION S.Y. 458 $ c) • 00 $ `ill 2.2, o 0 109 REMOVALS, GUARDRAIL AND POSTS L.F. 130 $ I o . 0 0 $ (,300,o0 110 REMOVALS, MISC. L.S. 1 $ 1,100. on $ 1;10C, . 00 201 SUBDRAIN, 6" DIA., IN POROUS BACKFILL, COMPLETE L.F. 204 $ IS . op $ 3, o Go, 00 202 30" DIA. INFILTRATION AUGER HOLE, 10' DRILL DEPTH EACH 18 $ 4°O• uc� $ 7,Z 0° . o) 203 1.5" CLEAN STONE TONS 60 $ 3S - °' $ Z, 1 O0 . bD 301 SUBBASE, MODIFIED, 12" COMPACTED THICKNESS (UNDER HMA PAVING) S.Y. 7,731 $ 12-40 $ `iS, ' q. -10 302 PAVEMENT, HMA, 3,000,000 ESAL, BASE COURSE, M " MIX, 3" THICK S.Y. 7,161 $ 13, 7 S" `� 8 �I to3. 7 S $ , 303 PAVEMENT, HMA 3,000,000 ESAL, INTERMEDIATE COURSE, 1/2" MIX, 1.5" THICK S.Y. 7,161 $ -7•z° $ 51.5C1.2.0 304 PAVEMENT, HMA 3,000,000 ESAL, SURFACE COURSE, Y2" MIX, 1.5" THICK S.Y. 7,161 $ ? • S °$ Co , 8c8 • So 305 CURB AND GUTTER, P.C. CONCRETE, 7" THICK, 24" WIDE, IDOT CLASS C-4 L.F. 606 Z $ 9 •oo $ 11-1,5L14.00 306 SUBBASE, MODIFIED, 4" COMPACTED THICKNESS (UNDER RECREATIONAL TRAIL) S.Y. 1,007 $ S. i S $ S Z £C 6.7 S FORM OF BID Addendum No 1 CONTRACT NO. 940 Page 2of6 BID ITEM DESCRIPTION BASE BID UNIT EST. QTY. UNIT BID PRICE TOTAL BID PRICE 307 RECREATIONAL TRAIL, PAVEMENT, PC CONCRETE, 5-INCH THICK, IDOT CLASS C-4 S.Y. 915 $ • uo $ 3 2, 9 0{a, po 308 SUBBASE, MODIFIED, 4" COMPACTED THICKNESS (UNDER SIDEWALK) S.Y. 350 $ 5. Z S l S 31.50 $ , 309 SIDEWALK, PAVEMENT, PC CONCRETE, 5-INCH THICK, IDOT CLASS C-4 S.Y. 290 $ LIC • oo $ 13, oSo. of 310 8'X36' PC CONCRETE LANDING, COMPLETE AS PER PLAN L.S. 1 7 po , on $ (0, /00 , o0 $ 401 BOLLARDS, COMPLETE EACH 8 $ Z'S-o, $ 2_,2 go . bo 402 ELECTRICAL AND LIGHTING, COMPLETE L.S. 1 $ I fo, Ow • o0 $ Ho, 500,0D 403 SIGNAGE, COMPLETE L.S. 1 $ (D00.0 o $ (Doo ,o 0 404 PAVEMENT MARKINGS, COMPLETE L.S. 1 $ 'i 000, oo $ 1,000 ,00 405 STEEL BEAM GUARDRAIL END TERMINAL, BA-205, COMPLETE EACH 2 $ Z�Soo •Oo $ S o00. o0 I 406 406 Guardrail, Steel 'W' Beam, Posts and Connectors, Complete L.F. 50 $ 80 00 $ �! 0 00 , 00 500 PAVEMENT REMOVAL ON RIVERSIDE OF BOAT HOUSE S.Y. 45 1 Z $ vD $ S y o . o0 501 4" CONCRETE PAD FOR BIKE RACKS S.Y. 13 $ (..S• 00 $ g 19'00 502 6" CONCRETE PATIO WITH INTEGRAL GRADE BEAM C.Y. 45 $ 3 00 . oo $ 131 Soo .00 503 POURED-IN-PLACE INTEGRAL COLORED CONCRETE, GRAY IN COLOR S.F. 120 $ 2t.•0° $ Z, `loo • oo 504 POURED-IN-PLACE INTEGRAL COLORED CONCRETE, TAN IN COLOR S.F. 400 15 . °° $$ , o00 , L00 505 4-SEAT PLEXUS BENCH, AS PER PLAN EACH 2 $ k-1 S S a . oo $ 9,10o . oo 506 SCARBOROUGH TRASH RECEPTACLE, AS PER PLAN EACH 2 $ 2'S. oo $ 4.5' on . OD 507 BIKE RACK, AS PER PLAN EACH 6 $ 'Act. • Oa $ 2116° .6° 508 SWAMP WHITE OAK (2" CAL. B&B) EACH 3 $ S-5.0. ao $ I, 6 S o , oo 509 BALD CYPRESS (2" CAL. B&B) EACH 3 $ Sz S, oo $ kiS sI'S, 00 510 HARDWOOD MULCH FOR TREE PLANTINGS C.Y. 6 $ `\S. ob $ S 7 0, oa 511 TOPSOIL AMENDMENT FOR TREE PLANTINGS C.Y. 8 $ (IC , oo $ q Zo. 0 D TOTAL BASE BID $ C.,--13( I Lig .t o FORM OF BID Addendum No 1 CONTRACT NO. 940 Page 3 of 6 ALTERNATE `A' BID BID ITEM DESCRIPTION BASE BID UNIT EST. QTY. UNIT BID PRICE TOTAL BID PRICE A-003. CLASS 10 EXCAVATION -ENTRANCE ROAD C.Y. 310 $ 3 • 00 $ Ito 3o. oa A-111. ASPHALTIC CEMENT CONCRETE PAVEMENT REMOVAL -ENTRANCE ROAD S.Y. 1,176 $ (,9- Q D $ —i, o 56. oo A-301. SUBBASE, MODIFIED, 6" COMPACTED THICKNESS, (UNDER HMA) -ENTRANCE ROAD S.Y. 1,395 $ 7 •''O $ 1,1 (0S -op A-302. PAVEMENT, HMA, 3,000,000 ESAL, BASE COURSE, 3/a" MIX, 3" THICK -ENTRANCE ROAD S.Y. 1,176 $ I .--7s-- $ t b, no o . op A-303. PAVEMENT, HMA, 3,000,000 ESAL, INTERMEDIATE COURSE, 1/2" MIX, 1.5" THICK -ENTRANCE ROAD S.Y. 1,176 $ %.2-0 $ , 9 6 7. Zo A-304. PAVEMENT, HMA, 3,000,000 ESAL, SURFACE COURSE, 1/2" MIX, 1.5" THICK -ENTRANCE ROAD S.Y. 1,176 $ ? -S a $ 9191(= . oa TOTAL ALTERNATE `A' BID $ SS, L1 'Lao TOTAL BASE BID + ALTERNATE 'A' BID $ 69 g,(,,S3 3 0 ALTERNATE `B' BID BID ITEM DESCRIPTION BASE BID UNIT EST. QTY. UNIT BID PRICE TOTAL BID PRICE B-402. ELECTRICAL AND LIGHTING, COMPLETE L.S. 1 $ k2, Ooo.00 $ 92 .000 • 00 TOTAL ALTERNATE `B' BID $ 4:12 c000.00 TOTAL BASE BID + ALTERNATE 'A' BID 4 - ALTERNATE `B' BID ALTERNATE $ -i q o1 ‘33,30 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 FORM OF BID CONTRACT NO. 940 Page 4 of 6 this bid is mailed, telegraphed, 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 the agreement is presented to him for signature, and start work within ten (10) days after "Notice to Proceed" is issued. Security in the sum of %.d Dollars ($ s°% ) in the form of E: 4 is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS, 5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor. 6. Attached hereto is a Resident Bidder Certification ( ( ), or Non -Resident Bidder Certification ( ). (Mark one.) 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. z 3 10. The bidder shall list the MBE/WBE subcontractor(s), amount of subcontracts and bid items on the City of Waterloo Minority and/or Women Business Pre-bid Contact Information Form submitted with this Form of Bid or Proposal. The apparent low Bidder shall submit a list of all other Subcontractor(s) to be used on this Project to the City of Waterloo by 5:00 p.m. the business day following the day Bids on this Project are due along with the Non -Collusion Affidavits of All Subcontractor(s). The Contractor shall submit information on subcontractors on "SUBCONTRACTOR REQUEST AND APPROVAL" Form to be provided by City prior to approval of contract. The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer cannot be changed except for the following reasons: 1) The City of Waterloo does not approve the subcontractors. 2) The subcontractors submit in writing that they cannot fulfill their subcontracts. FORM OF BID CONTRACT NO. 940 Page 5 of 6 11. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA". 12. The bidder has attached all applicable forms. 13. The Owner reserves the right to select alternates, delete line items, and/or to reduce quantities prior to the award of a contract due to budgetary limitations. (Name of Bidder) BY: (--6.--- °j'""-- Title (Date) v•-cs; d a.",+ Official Address: (Including Zip Code): zzo3 G ZotiVUsr AUG- UJave,—t1, TA Svfol1 I.R.S. No. '-12.- 1Sa-oi9Z FORM OF BID CONTRACT NO. 940 Page 6 of 6 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Baker Enterprises, Inc. as Principal, and North American Specialty Insurance Company 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 21st day of September 2017 , for F.Y. 2018 Waterloo Boathouse Enhancements, Waterloo, IA; Contract No. 940 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 are corporations, have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers this 19th day of September , A.D, ness Witness Stacy By Baker Enterprises, Inc. Principal North can Specialty urety 2017 , ace Compan\eat) Attor y -in Dione R. Young (Seat) (Title) SWISS RE CORPORATE SOLUTIONS NOR'I'FI AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL, INSURANCE COMPANY WES'I'PORT INSURANCE CORPORATION GENERAL POWER OR ATTORNEY KNOW ALL MIN BY THESE PRESENTS. THAT North American Specialty Insurance Company. a corporation duly organized and existing under laws of the Slate or New 1 lampshire, and having its principal orrice in the City of Overland Park, Koons and Washington Internolional Insurance Company 0 corporation organized and existing under the laws or the State of New 1 lantpshi re and having its principal office in the City or Overland Park, Kansas, and Westport Insurance Corporation, organized under the lows of the State of Missouri. and having its principal office in the City or Overland Park. Kansas each does hereby make, 001151inlle and oppoini JAY 1). IREIERMl7H I, CRAIG E. IIANSEN, BRIAN 81, OPIMIiRLY, SHIRLEY S. BNt1'ENII ACiEN. CINDY BLrNN'li'I I ANNE CItOAVNFR. 'DM xlcCL LLOH„ S'I ACY VENN. [MONE R. YOUNG, and AVENDY ANN 0,8508 IOIN I IN Olt SEVERALLY Its true and lawful Attorneys) -in -Pact, 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 0 bond on behalf of Inch of said Companies, as surety. on 0011iracts or suretyship as are or may he required or permitted by law, regulation. contract 00 otherwise, provided that no bond or undertaking or contractor 81,01)11liip 080011led under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE MILLION (S125,000,000.00) DOLLARS 'Ellis Powe' of Attorney is graved and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board, of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24, 2000 and Westport Insurance Corporation by written congeal of its Executive Committee dated July IS, 201 I. "RESOLVED. that any two of the President, any Senior Vice President. any Vice President, any Assistant Vicc President, the Secretary or any Assistant Secretary be, and each or any 00 1110111 hereby is authorized to execute 0 Prayer 00 Attorney qualifying the attorney canted in the given Power of Attorney to execute on beh010of the Company bonds, undertakings and all contracts of surety, and that each or any or them hereby is authorized to attest to the execution 011 011y 811011 Power of Attorney and to attach therein the scol of the Company; and it is FURTHER RESOLVED, that the signature of such oflicers and the seal of the Company may he .ICli80(1 to any such Power of Attorney or to any certificate relating thereto by facsimile. and any such Power of Attorney 00 certificate bearing such facsimile signatures 00 facsimile seal shall be binding upon the Company when so of fixed and in the future with regard to any bond undertaking or contract of surety to which itis attached" By Sles'el P.. mIcrsoll, 1,1iar l Sea 11. Vire Siec I)) tve cc I't olden) nrAA1,1111 ,•tan L a 01 Nora, l mry lent 1.1'\\'rslls l Int )Ila V 11 Set. I 11 t.1.1.11111.E.1111111 1 I ill C( V \lu,i Vier l,otlu,115,Ili A , Apo,:IIs L,.r ce (I,P; .4' Senior Vico I'reaaent of 1y1.01p011 Imamate (lrtporunon IN WITNESS WHEREOF, North American Specially Insurance Company, Washivalon International 1nsurtmc0 Company and Westport Insurance Corporation have caused (heir official seals to be hereunto affixed. and these presents to be signed by their authorized officers this this 17 day or August , 20 17 . State of Illinois North American Specially Insurance Company Washington International Insurance Company Westport Insurance Corporation County of Cook ss: On this 17 day of August . 20 17 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 Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice )'resident of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me. )vho being by me duly sworn. acknowledged that they signed the above Power or AItorney as officers of and ac1(00"Icdged said instrument to he the Voluntary act and decd of (heir respective companies. et.M.vr.n,..a-vv't OFFICIAL SEAL td KENNY NOTARY PUBLIC, STATE Of ILLINOIS MY COMMISSION EXPIRES 12/04/2017 I. Jeffrey Goldberg . the duly elected Vice President and Assistant Secretary of Nath .American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corpoatian do hereby certify that due above and foregoing is 0 true and correct cop)' of 0 Power of Attorney given by said North American Specially Insurance Company, Washington International Insurance Company rand Westport Insurance Corporation which is still in lull force and effect. IN WITNESS VVI IEREOP, 1 have set my hand and affixed the seals of the Companies thisl9th day of September , 2017 M. Kenny, Notary Public a 1 ,c ec en amaw ca..nn..,. NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of "itI Gva' County of &e _ ) $€i4' 13CGk(/L , being first duly sworn, deposes and says that: 1. He is (Owner, Partner, Officer, Representative, or Agent) , of gat" ehlgil5" , the Bidder that has submitted the attached Bid; dbitt Baker einettyr, k 2. He is fully informed respecting the preparation and contents of the attached Bid and of all *Wait pertinent circumstances respecting such Bid; )ss 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) Phesiden./— Title yeAr.40ibed and sworn to before me this a day of i/1! 2017. MaAv4k4 evada-s-) My commission expires /jt Title MBE/WBE BUSINESS ENTERPRISE PRE-BID CONTACT INFORMATION FORM Prime Contractor Name: 1&.k Exc„�kM Project: Cr. -1. f'io. 9' -to Letting Date: `1121111 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. r ., Contractor Signature: Title: Pr-tS�Gkwt Date: '1!2.1111 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 319-291-4429. 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 Louis Starks, Contract Compliance Officer, for assistance at (319) 291-4429. In the event it is determined that the MBE/WBE 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 Subcontractors Dates Contacted Yes/No Dates Contacted Yes/No Dollar Amount Proposed to be Subcontracted 6.":c1L Cons-k-,-...c-4:nt‘ gltyll-1 `if 1`1((7 b.l. Ca. -F. G111'4117 — °IlIgi17 Titdf A..i.-S1.-1 `‘1I411-7 vc� X30, oc-lS_oo (Form 000-4) Rev. 06-20-02