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25789 N Ave
Grundy Center, IA 50638
ao Pa-oPosa-l-
CoivraA-cr Mo. 117
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Biza ME, No, i arratitcrimaivr
WA-trogt-ov rA
13
Apron, Concrete, 48"
EACH
6
$ ji g e,o.av
$ io, 0 c' • ea
14
Erosion Stone
TON
20.0
$ 55.E
$ ii/t'c".4o
15
Furnish and Spread Topsoil, 6"
CY
80
$ as -,oz)
$ a oso, tx)
16
Seeding & Fertilizing, Urban
ACRE
0.66
$ 3,0/0. a)
$ 0,6-14. eco
17
Seeding & Fertilizing, Rural
ACRE
0,42
$ 3 oc25, ca
$ 6,776, So
18
Rolled Erosion Control Product,
RECP
SY
311.7
$ 0.15-
$ 857. /6
19
Silt Fence, Install
LF
410
$ x.75
$ t, Ia7, 64)
20
Silt Fence, Remove
LF
410
$ f, ,Pc
$ 54.7, 5e)
21
Construction Entrance
LS
1
$ !,`too•aC'
$ 1, 90o.cso
TOTAL BID
$ (oq1 `MD,10
2. It is understood that the quantities set forth are approximate only and subject to
variation and that the unit bid price for the work done shall govern in the actual
payment to Contractor.
3. In submitting this bid, the bidder understands that the right is reserved by the City
of Waterloo, Iowa, to reject any or all bids. If written notice of the acceptance of
this bid 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withdrawn, the undersigned agrees to execute and deliver an agreement in the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
Dollars ($ 5 70 ) in the form of
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 ( X ), or Non -Resident
Bidder Certification ( ). (Mark one.)
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 $10,000.00 in work for the City in the current calendar year, are prepared to
submit an AAP or Update and an EOC, within ten (10) days of notification that the
bid submitted is lowest and acceptable.
FORM OF BID
CONTRACT NO. 917 Page 2 of 3
9. The bidder has received the following Addendum or Addenda:
Addendum No. NA Date
10. The bidder shall list the MBE/WBE subcontractor(s), amount of subcontracts and
bid items on the City of Waterloo Minority and/or Women Business Pre-bid
Contact Information Form submitted with this Form of Bid or Proposal. The
apparent low Bidder shall submit a list of all other Subcontractor(s) to be used on
this Project to the City of Waterloo by 5:00 p.m. the business day following the day
Bids on this Project are due along with the Non -Collusion Affidavits of AH
Subcontractor(s).
The Contractor shall submit information on subcontractors on
"SUBCONTRACTOR REQUEST AND APPROVAL" Form to be provided by City
prior to approval of contract.
The subcontractors listed on this proposal and/or submitted to the Contract
Compliance Officer cannot be changed except for the following reasons:
1) The City of Waterloo does not approve the subcontractors.
2) The subcontractors submit in writing that they cannot fulfill their
subcontracts.
11. The bidder has filled in all blanks on this proposal. Those blanks not applicable
are marked "none" or "NA".
12. The bidder has attached all applicable forms.
13. The Owner reserves the right to select alternates, delete line items, and/or to
reduce quantities prior to the award of a contract due to budgetary limitations.
&tail wt CASA/6
(Name of Bidder)
9�s,/ .
(Date)
Title Pus
Official Address: (Including Zip Code):
257ss1 N. �.t
lMtwoy Ces.r=e-i TA 5063$
I.R.S. No. a7-3o7avg3
FORM OF BID
CONTRACT NO. 917 Page 3 of 3
RESIDENT/NON-RESIDENT BIDDER
RESIDENT BIDDER:
In accordance with Section 73A.21 of the Iowa Code, all non -federal -aid public
improvement projects, which include road construction, shall be performed by a
qualified resident bidder. The resident bidder has been further defined as follows:
Resident Bidder:
A person or entity authorized to transact business in this state and
having a business for at least three years prior to the date of the
first advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
The contractor shall provide the City with a certification that he is a qualified
resident bidder according to the above definition. The Certification shall be
submitted with the contractor's bid. A copy of the form of "Resident Bidder
Certification" is included in the Contract Documents. If it is determined that the
contractor does not meet this qualification after he begins work, a shutdown
notice shall be issued and the voiding of the contract shall begin unless the
contractor becomes qualified.
NON-RESIDENT BIDDER:
The contractor shall provide the City with a certification that he is a non-resident
bidder according to the above definition. The Certification shall be submitted with
the contractor's bid. A copy of the form of "Non -Resident Bidder Certification" is
included in the Contract Documents.
DJG
01/02/12
CONTRACT NO:
PROJECT NAME:
DATE OF LETTING:
RESIDENT BIDDER CERTIFICATION
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FV010w7 Slr.2G(wtwt 4 %ryq-L t. 8=co&,z Alo. / PaPactwaNr
To be a qualified resident bidder, the bidder shall be a person or
entity authorized to transact business in this state and having a
business for at least three years prior to the date of the first
advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
This qualification as resident bidder shall be maintained by the contractor and his
subcontractors at the work site until this project is completed.
I hereby certify that I am a resident bidder as defined above.
COMPANY NAME l3ou4-0ff &wind,'MI6 LLC.
CORPORATE OFFICER
TITLE Run.
DATE
14.4K% kTM+-ww is
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of TIM M )
)ss
County of 6(tutVDy )
Luwt kmft-wit z , being first duly sworn, deposes and says that:
1 He is (Owner Partner Officer epresentative or Agent) of
(.�odooes CowrR.hcrsist,i z-bC., the Bidder tFat 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.
(Signed)
Subscribed and sworn to before me this
ac10150i l' 2010
My commission expires 9-026
Title
-20/7
4 f'1 ! 1. day of
ca
Title
H t
COMMISSION NUMSER789849
MY COMMISSION EXPIRES:
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Prime Contractor Res
Form CCO-4A Rev. 07-08-02
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Boulder Contracting, LLC
as Principal, and Nationwide Mutual 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 Amount Bid
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 8thday of September
, 2016 , for FY 2017 Sergeant Road Trail Bride No. 1 Replacement
NOW, THEREFORE,
(a) If said Bid shall be rejected, or in the alternate,
(b) if sald 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 farce 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 faits 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 lime 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 Surely, 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 8th day of September , A.D. 2016
Boulder Contracting, LLC
W ness
Witness
By
Principal
Pzr;c.
Nationwide Mutual Insurance Com �nxseal)
Surety
W19 Ur)(\,(). (, -) By j‘
ttomey-in-fact
Nancy D. Baltutat, Attorney -in -Fact
(Seal)
(Title)
KNOW ALL MEN BY THESE PRESENTS THAT
Nationwide Mutual Insurance Company, an Ohio corporation
Farmland Mutual Insurance Company, an Iowa corporation
Nationwide Agribusiness Insurance Company, an Iowa corporation
Power of Attorney
AMCO Insurance Company, an Iowa corporation
Allied Property and Casualty Insurance Company, an Iowa corporation
Depositors Insurance Company, an Iowa corporation
hereinafter referred to severally as the "Company" and collectively as the "Companies,' each does hereby make, constitute and appoint:
GREG T. LAMAIR
PATRICK K DUFF
CHRISTOPHER R. SEIBERLING
MARK E. KEAIRNES NANCY D. RALT'UTAT
JEFFREY R. RAKER 3111 SHAFFER
JOSEPH IRVIN SCHMIT
WEST DES MOINES IA
each in their individual capacity, its true and lawful attorney -In -fact, with full power and authority to sign, seal, and execute on its behalf any and all bonds and undertakings,
and other obligatory instruments of similar nature, in penalties not exceeding the sum of
THREE MILLION AND NO/100 DOLLARS $ 3,000,000.00
and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and all acts of said
Attorney pursuant to the authority given are hereby ratified and confirmed.
This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company:
"RESOLVED, that the president, or any vice president be, and each hereby Is, authorized and empowered to appoint attorneys -In -fact of the Company, and to authorize
them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of
indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature that the business of
the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall
In no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company."
"RESOLVED FURTHER, that such attorneys -in -fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company
subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be
necessary for the validity of any such documents."
This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company.
Execution of Instruments. Any vicepresident, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved
documents, instruments, contracts, or other papers In connection with the operation of the business of the company in addition to the chairman of the board, the chief
executive officer, president,treasureror secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document,
contract, instrument, or other papers of the Company.
IN WITNESS WHEREOF, the Company has caused this Instrument to be sealed and duly attested by the signature of Its officer the
13" day of February 2014.
4 4,4144 i�' �'• `0't�. Terrance Williams, President and Chief Operating Officer of Nationwide Agribusiness Insurance Company
and Farmland Mutual Insurance Company; and Vice President of Nationwide Mutual Insurance Company,
AMCO Insurance Company, Allied Property and Casualty Insurance Company, and Depositors Insurance
Company
of At
/.SEAL!, /,SEAL,0
44 4k1 tie \i►``►
ACKNOWLEDGMENT
ss etii.. �'',14 STATE OF IOWA, COUNTY OF POLK: ss
Y "'" 0/ ~ Gy '? $ On this 13th day of February 2014 before me came the above-named officer for the Companies aforesaid, to
',SEAL) 0 ` / me personally known to be the officer, described in and who executed the precedinginstrument, and he
/.i. /SEAL, I P v
\. '� �'�� .,+ acknowledged the execution of the same, and being by me duly sworn, deposes and says, that he is the officer
4 i V`4 w � of the. Companies aforesaid, that the seals affixed hereto are the corporate seals of said Companies, and the
said corporate seals and his signature were duly affixed and subscribed to said instrument by the authority and
�,�� w,\q direction of said Companies.
4 -w;uvw L' d-1,7
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d otrirm
a.00 Sandy Alitz
'I 0 i } uakei Notarial Seal- r wa
15
/,SEAL $ / SEAL ® Cmm�ussinn Number 152785 Notary Public
+'' iS $44 ,w.y My Commission Expires March,?4,2017
+.+ 4tRr� My Commission Expires
CERTIFICATE March 24, 2017
I, Robert W Horner III, Secretary of the Companies, do he eby certify that the foregoing Is a full, t ue and correct copy of the original power of attorney issued by the
Company; that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked
or amended in any manner; that said Terrance Williams was on the date of the execution of the foregoing power of attorney the duly elected officer of the Companies, and
the corporate seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; andthe foregoing power of
attorney is still In full force and effect.
IN WITNESS WHEREOF, I have hereunto subscribed my name as Secretary, and affixed the corporate seals of said Companies this 8th day
of September , 20 16 -
This Power of Attorney Expires 12/10/16
13DJ 1(03-14) (10
01779
z2% -l -w
Secretary