HomeMy WebLinkAboutRFPREQUEST FOR PROPOSAL FOR:
FY2018 Phelps Youth Pavilion Indoor Playscape Project
City of Waterloo, Cultural & Arts Commission
Waterloo, Iowa
CONTACT PERSON:
Angi Reid, Education Coordinator
Culture & Arts (319) 291-4490
angi.reid(a�waterloo-ia.org
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TABLE OF CONTENTS
Notice to Bidders
Instruction to Bidders
General Conditions
Bid Specifications
Bid Form
Bid Bond
Non -collusion Affidavit of Prime Bidder
Non -collusion Affidavit of Subcontractor
Equal opportunity Clause
Added Attachments:
Section 3 Clause Packet
Playground Location and Dimensions Photo/Drawing
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CITY OF WATERLOO, IOWA
WATERLOO CULTURAL & ARTS COMMISSION
NOTICE OF PUBLIC HEARING
On Proposed Specifications and the
NOTICE TO BIDDERS
FY2018 PHELPS YOUTH PAVILION PLAYSCAPE PROJECT
NON -MANDATORY PRE-BID CONFERENCE
10:00 am, December 29 at Waterloo Center for the Arts, 225 Commercial Street, Waterloo, Iowa 50701
RECEIVING OF BIDS
Sealed proposals will be received by the City Clerk of the City of Waterloo, Iowa, at the Clerk's office in City
Hall, Waterloo, Iowa, on January 4, 2018 until 1:00 p.m., for the FY2018 PHELPS YOUTH PAVILION
PLAYSCAPE PROJECT.
OPENING OF BIDS
All proposals received for FY2018 PHELPS YOUTH PAVILION PLAYSCAPE PROJECT will be opened in the
First Floor Conference Room in City Hall, Waterloo, Iowa on Thursday, January 4, 2018 until 1:00 p.m., and
the proposals will be referred to the Waterloo Cultural & Arts Commission for recommendation of award.
PUBLIC HEARING
Notice is hereby given that the Waterloo City Council will conduct a public hearing on the proposed
Specifications and Form of Contract for the FY2018 PHELPS YOUTH PAVILION PLAYSCAPE PROJECT at
5:30 p.m. on Monday, January 8, 2017. The hearing will be held in the Council Chambers in Waterloo City
Hall. The contract documents are on file in the City Clerk's office, 715 Mulberry St. and the Waterloo Center for
the Arts, 225 Commercial Street, Waterloo, Iowa, for public examination. Any person interested may file written
objection with the City Clerk before the date set for the hearing or appear and make objection at the meeting.
SCOPE OF WORK
The Contractor shall provide labor as specified and all materials necessary for the FY2018 PHELPS YOUTH
PAVILION PLAYSCAPE PROJECT in accordance with these plans and specifications.
CONTRACT PERIOD
The work shall be completed no later than April 1, 2018.
PROPOSALS SUBMITTED
All bids must be submitted on forms supplied by the Waterloo Cultural & Arts Commission.
BID SECURITY REQUIRED
All bids must be accompanied, in a separate envelope, by a certified or cashier's check drawn on an Iowa bank
chartered under the laws of the United States, or a certified share draft drawn on a Credit Union in Iowa
chartered under the laws of the United States, or a bid bond payable to the City of Waterloo, Iowa, in the sum
of not less than five percent (5%) of the bid submitted, which certified check, certified share draft, or bid bond
will be held as security that the Bidder will enter into a Contract for the construction work and will furnish the
required bonds, and in case the successful bidder shall fail or refuse to enter into the Contract and furnish the
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required bonds, the bid security may be retained by said City as agreed liquidated damages. If Bid Bond is
used, it must be signed by both the bidder and the surety or the surety's agent. Signature of surety's agent
must be supported by accompanying Power of Attorney.
CONTRACT AWARD
The City shall award the Contract to the responsible Bidder(s) whose bid, conforming to the Specifications, is
most advantageous to the City and the Waterloo Cultural & Arts Commission; price and other factors
considered. The intention is not to award the contract at the time of bid opening, but to award the contract after
review of bids and bidder information by the City and Waterloo Cultural & Arts Commission such that the award
is made within thirty (30) days after bid opening.
The City reserves the right to waive any and all parts of a specific bid.
BOND
The successful Bidder shall furnish a Performance and Payment Bond, within ten (10) days after notification of
acceptance of the bid, in an amount equal to one hundred percent (100%) of the contract price. The Bond is to
be issued by a responsible surety approved by the City Council and shall guarantee the faithful performance of
the contract and the terms and conditions therein contained and shall guarantee the prompt payment of all
materials and labor and protect and save harmless the City from claims of any kind caused by the operation of
the Contractor.
AFFIRMATIVE ACTION PROGRAM
The successful Bidder and any subcontractors will be required to execute and have approved an Affirmative
Action Program or Update before beginning work on the project, if they have been awarded an aggregate of
$10,000 in City projects during the current calendar year.
METHOD OF PAYMENT TO CONTRACTOR
The Contractor will be paid against monthly estimates of the work completed and work approved by the Culture
& Arts staff. Final payment will be made thirty one (31) days after completion of the work and acceptance by
the Waterloo Culture & Arts staff. Before final payment is made for said work, vouchers showing that all
subcontractors and workmen and all persons furnishing materials have been fully paid for such materials and
labor will be required.
Published pursuant to the provision of Division VI of Chapter 384 the City Code of Iowa and upon order of the
City Council of said Waterloo, Iowa, on the day of , 2017.
City of Waterloo, Iowa,
Kelley Felchle, City Clerk
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CITY OF WATERLOO, IOWA
Waterloo Culture & Arts Commission
INSTRUCTION TO BIDDERS
I. EXPLANATIONS TO BIDDERS
Any explanation desired by a bidder regarding the meaning or interpretation of the Notice to Bidders,
Plans, Specifications, etc., must be requested in writing and with sufficient time allowed for a reply to
reach bidders before submission of their bids. Any interpretation made will be in the form of an
amendment of the Notice to Bidders, Plans, Specifications, etc., and will be furnished to all
prospective bidders. Its receipt by the bidder must be acknowledged in the space provided on the
Proposal Form or by letter or telegram received before the time set for opening of bids. Oral
explanations or instructions given before the award of the contract will not be binding.
II. PROPOSALS SUBMITTED
All bids must be submitted on forms supplied by the Culture & Arts Commission. Before
submitting a bid, each bidder shall carefully examine the drawings (if any), read the specifications and
all other contract documents and visit the site of the work. Each bidder shall be fully informed, prior to
the bidding, as to all existing conditions and limitations under which the work is to be performed and
shall include in this bid a sum to cover the cost of all items necessary to perform the work as set forth
in the contract documents. No allowance will be made to any bidder because of lack of such
examination or knowledge. The submission of a bid shall be construed as conclusive evidence that
the bidder has made such examination.
The bidder's attention is directed to the fact that all applicable state laws, municipal ordinances and
the rules and regulations of all authorities having jurisdiction over the project shall apply to the
Contract throughout and they shall be deemed to be included in the Contract the same as though
herein written out in full.
III. LATE BIDS AND MODIFICATIONS OR WITHDRAWALS
Bids and modifications or withdrawals thereof received at the office designated in the Notice to
Bidders after the exact time set for closing of bids will not be considered. However, a modification
which is received from an otherwise successful bidder, and which makes the terms of the bid more
favorable to the City, will be considered at any time it is received and may thereafter be accepted.
Bids may be withdrawn by written or telegraphic request received from bidders prior to the time set for
closing of bids.
IV. PUBLIC OPENING OF BIDS
Bids will be publicly opened at the specified time and place for opening in the Notice to Bidders. Their
content will be made public for the information of bidders and others interested who may be present
either in person or by representative.
V. COLLUSIVE AGREEMENTS
A. Each bidder submitting a bid shall execute and include with the bid, a Non -Collusion
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Affidavit in the form herein provided, to the effect that he has not colluded with any other person, firm,
or corporation in regard to any bid submitted.
B. Each bidder submitting a bid shall have each proposed subcontractor, if any, execute and include
with the bid, a Non -Collusion Affidavit in the form herein provided, to the effect that he has not
colluded with any other person, firm, or corporation in regard to any bid submitted. Before executing
any subcontract, the successful bidder shall submit the name of any proposed subcontractor for
approval by the City.
VI. EMPLOYMENT AND BUSINESS OPPORTUNITY (SECTION 3/ HUD ACT OF 1968)
To the greatest extent feasible, suppliers, subcontractors, and low income workers owning
businesses or living in the Waterloo area must be given priority in supplying materials, bidding for
subcontract work, or applying for employment by the contractor on this project. Opportunities for
training and for employment arising in connection with this project shall to the greatest extent feasible
be made available to lower income persons residing in the project area. The Contract area is the City
of Waterloo.
The City of Waterloo will require the contractor to document his efforts in securing lower income
workers living in the project area and in purchasing supplies from, and awarding subcontracts to,
businesses owned by persons residing in the project area. See Section 3 Clause attachment for
more information.
VII. STATEMENT OF BIDDER'S QUALIFICATIONS
Each Bidder shall, upon request of the Waterloo Culture & Arts, submit on the form furnished a
statement of the Bidder's qualifications, his/her experience record in completing the type of project
proposed, and equipment available for the work contemplated; and when requested, a detailed
financial statement. The Waterloo Culture & Arts shall have the right to take such steps as it deems
necessary to determine the ability of the Bidder to perform obligations under the Contract; and the
Bidder shall furnish the Waterloo Culture & Arts all such information and data for this purpose as it
may request. The right is reserved to reject any bid where an investigation of the available evidence
or information does not satisfy Culture & Arts that the Bidder is qualified to carry out properly the
terms of the Contract.
XIII. EXECUTION OF AGREEMENT, BOND, AND CERTIFICATE OF INSURANCE
A. Subsequent to the award and within ten (10) days after the prescribed forms are presented for
signature, the successful bidder shall execute and deliver to the City, an agreement in the form
included in the contract documents in such number of copies as the City, may require.
B. Having satisfied all conditions of award as set forth elsewhere in these documents, the successful
bidder shall, within the period specified in paragraph "A" above, furnish a surety bond in a penal sum
not less than the amount of the contract as awarded, as security for the faithful performance of the
contract and the terms and conditions therein contained and shall guarantee the prompt payment of
all persons, firms, or corporations to whom the contractor may become legally indebted for labor,
materials, tools, equipment, or services of any nature including utility and transportation services,
employed or used by him/her in performing the work. The bond shall protect and save harmless the
City and Waterloo Culture & Arts from claims and damages of any kind caused by the operations of
the contractor and shall also guarantee the maintenance of the contract improvements for the period
stated in the Notice of Hearing from and after completion of said improvements and their acceptance
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by the City and Culture & Arts. Such bond shall be in the same form as that included in the contract
documents and shall bear the same date as, or a date subsequent to that of the agreement. The
current Power of Attorney for the person who signs for any surety company shall be attached to such
bond.
C. The successful bidder shall, within the period specified in paragraph "A" above, furnish a certificate
of insurance for approval in amounts of not less than the amounts specified in the General
Conditions. The certificate of insurance shall be furnished in such number of copies as the City of
Waterloo may require. The City of Waterloo shall be named as an "Additional Named Insured." The
contractor shall similarly submit his subcontractor's certificates of insurance in the amounts for
approval before each commences work. The contractor shall carry or require that there be Worker's
Compensation insurance for all his employees and those of his subcontractors engaged in work at
the site, in accordance with State Worker's Compensation Laws.
D. The failure of the successful bidder to execute such agreement and to supply the required bond or
bonds within ten (10) days after the prescribed forms are presented for signature, or within such
extended period as the City, may grant, based upon reasons determined sufficient by the City, may
either award the contract to the next lowest responsible bidder or re -advertise for bids, and may
charge against the bidder the difference between the amount of the bid and the amount for which a
contract for the work is subsequently executed, irrespective of whether the amount thus due exceeds
the amount of the bid guaranty. If a more favorable bid is received by re -advertising, the defaulting
bidder shall have no claim against the City or Waterloo Culture & Arts for a refund.
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CITY OF WATERLOO, IOWA
Waterloo Culture & Arts
GENERAL CONDITIONS
Definitions
Whenever used in any of the Contract Documents, these terms shall be defined as follows:
Contract - means the Contract or Agreement executed by and between the City
Of Waterloo and the Contractor.
Owner or Local Public Agency (LPA) - means the Waterloo Culture & Arts.
Contractor - means the person, firm or corporation entering into the Contract with
The City of Waterloo, to construct and install the improvements described in the
Specifications and shown on the Plans or Drawings.
Contract Documents - means and shall include the following: Executed Contract
Or Agreement, Addenda (if any), Invitation for Bids, Instructions to Bidders, Signed
Copy of Bid, General Conditions, Special Conditions, Specifications, and Plans or
Drawings.
Superintendence by Contractor
Except where the Contractor is an individual and gives personal superintendence to the work, the
Contractor shall provide a competent superintendent, satisfactory to Culture & Arts/City of Waterloo,
on the work site at all times during working hours with full authority of the Contractor. The Contractor
shall also provide an adequate staff to properly coordinate and expedite the work.
The Contractor shall lay out and be responsible for all work executed under this Contract. The
Contractor shall verify all figures and elevations before proceeding with the work and will be held
responsible for any error resulting from failure to do so.
Other Contracts
The City of Waterloo may award or may have awarded other Contracts for additional work, and the
Contractor shall cooperate fully with other Contractors, by scheduling work under this Contract with
that to be performed under other Contracts as may be directed by Waterloo Culture & Arts/City of
Waterloo. The Contractor shall not commit or permit any act which will interfere with the performance
of work by any other Contractor as scheduled.
Fitting and Coordination of the Work
The Contractor shall be responsible for the proper fitting of all work and for the coordination of the
operations of all Subcontractors engaged upon this Contract. The Contractor shall be prepared to
guarantee to each Subcontractor the locations and measurements which they may require for the
fitting of their work to all surrounding work.
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Care of Work
The Contractor shall be responsible for all damages to person or property that occur as a result of
negligence in connection with the execution of work and shall be reasonable for the proper care and
protection of all materials delivered and work performed until completion and final acceptance by the
Waterloo Cultural & Arts Commission.
The Contractor shall provide sufficient security, both day and night, including weekends and holidays,
from the time the work is commenced until final completion and acceptance, except when work being
performed does not require protection. The Contractor shall be responsible for any loss of work,
materials, equipment or time due to acts of any person on the project site. Therefore it is the
responsibility of the Contractor to determine when security is needed.
The Contractor shall avoid damage to existing sidewalks, streets, curbs, pavements, structures, and
utilities except those which are to be replaced or removed. Any damage caused by the Contractor's
operation shall be completely repaired at no expense to the Owner.
General Requirements
The Contractor shall be responsible for being informed as to all existing conditions and limitations
under which the work is to be performed. No extra allowance will be made because of lack of such
examination or knowledge.
Permits and Codes
The Contractor shall secure from the appropriate departments of the local government, at no charge,
the required building, electrical, plumbing and heating permits.
The Contractor shall give all notices required by, and comply with all applicable municipal and state
laws, ordinances and codes.
Liability Insurance
The Contractor shall carry liability insurance which shall save the City harmless and protect the public
and any person from injury sustained by the reason of the prosecution of the work or the handling or
storing of materials therefore, and said Contractor shall also carry insurance which shall meet the
requirements of the Iowa Worker's Compensation Law.
Before the work shall be started on this contract, the Contractor shall furnish the City Clerk/Finance
Manager with proper affidavit or affidavits executed by representatives of duly qualified insurance
companies, evidencing that said insurance company or companies have issued liability insurance
policies, effective during the life of the contract, or for a period of at least ten (10) days following the
filing of written notice of cancellation, protecting the public and any person from injuries or damages
sustained by reason of carrying on the work involved in the contract. The affidavit shall specifically
evidence the following forms of insurance protection:
a. Public liability insurance covering all operations performed by persons directly employed by the
Contractor.
b. Public liability insurance covering all operations performed by any subcontractor to whom a
portion of the work may have been assigned.
c. Public liability insurance covering all work upon the project performed by any independent
contractor working under the direction of either the principal contractor or a subcontractor.
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d. Motor vehicle bodily injury liability insurance and property damage liability insurance on all
motor vehicles employed on the work, whether owned by the contractor or by other persons, firms, or
corporations.
e. The minimum protection shall be as follows:
Comprehensive General Liability
Insurance Bodily Injury (including wrongful death)
Aggregate, Products and Completed Operations
Property Damage
Comp. Auto Bodily Injury
Property Damage
$2,000,000.00 per person
$2,000,000.00
$2,000,000.00 per accident
$2,000,000.00 per person
$2,000,000.00 per occurrence
The Contractor shall have the City of Waterloo, Iowa, named as an "Additional Named Insured" in the
amount of $2,000,000.00 liability for bodily injury (including wrongful death) and property damage. A
certificate or a policy, if requested, shall be filed with the Owner.
The City Of Waterloo is Tax Exempt.
All certificates and/or policies of insurance furnished by the Contractor to be filed with the City
Clerk/Finance Manager shall include the name and address of the agency issuing the same. It shall
be required that the City Clerk/Finance Manager be notified by registered mail of the cancellation or
expiration of the above insurance.
Removal of Debris, Cleaning, Etc.
The Contractor shall periodically, or as directed during the progress of the work, remove and legally
dispose of all surplus excavated material and debris, and keep the project area reasonably clean.
Upon completion of the work the Contractor shall remove all temporary construction facilities, debris
and unused materials provided for the work and put the whole site of the work in a neat and clean
condition.
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CITY OF WATERLOO
CULTURAL & ARTS COMMISSION
FY2018 PHELPS YOUTH PAVILION INDOOR PLAYSCAPE PROJECT
SPECIFICATIONS
The Contractor shall perform all work required and furnish all labor, materials, equipment, tools,
transportation and supplies necessary to complete the work at the Phelps Youth Pavilion, located at
225 Commercial Street, in accordance with International Building Code and any applicable code and
local ordinances
Should any misunderstanding arise as to the intent or meaning of the plans or specifications, the
decision of the City shall be final and conclusive.
SCOPE OF WORK:
Estimated cost should not exceed $75,000.00, which includes 1) a custom designed play area,
delivery and installed by representative from manufacturer. This is to be put in an indoor space, and
must fit within that space and reflect a maximum capacity of 90 people.
The Waterloo Center for the Arts is open to new designs and styles of play systems. We
encourage all vendors to submit up to 3 different designs. The play area shall require the following:
The play system shall include but not be limited to:
A custom configured, contained play structure that fits the height, width and length required to
efficiently use the space and capacity needs of the Phelps Youth Pavilion
Specifically the play system should:
• One (1) 2-12 year old custom soft contained play structure to fit approximately a 35' x 39'
footprint. See attached drawing/photo.
• Attached, free standing or wall -mount shoe storage for thirty (30) pair of shoes.
• All required signage pertaining to play area.
• All required safety surface for each play area.
• Delivery, installation by certified installer and written post installation inspection.
• Presentation binder/folder and 3D renderings to submit to selection committee
• Engineering submittals for all equipment, structures and surfacing
• Open visible site lines throughout the structure
• Have easy access entries and climbs for caregiver/support or maintenance staff
• Have an ADA accessible route.
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• In addition the PlayScape structure should encourage active play, gross motor skills, balance
and cognitive development.
Structures and surfacing to comply with current:
1) CPSC Guidelines
2) ASTM Requirements
3) ADA Guidelines
4) IPEMA Certified
Existing Play Area Dimensions:
Current play area dimensions are 35' wide x 39' long with a ceiling height measuring 23'. Area
is divided by a pillar as seen in plans/photo.
Clean -Up:
Contractor responsible for all clean-up related to the safety surface installation. All refuse must
be removed for jobsite. City of Waterloo is responsible for play system clean-up.
Guarantee:
The Contractor shall guarantee all material and equipment furnished and installed by him for a
period of one year after final acceptance by the Cultural & Arts Commission. Should any
defects arise as the result of defective materials or workmanship in the play system or safety
surface within the guarantee period, the Contractor shall replace and repair at no cost to the
City.
START DATE
Work must commence within 45 days of signed contract or time determined by Contractor and
Culture & Arts Commission.
COMPLETION DATE
All work shall be completed by April 1, 2018
ALL WORK TO MEET ALL CITY OF WATERLOO BUILDING CODES.
The City of Waterloo reserves the right to reject any and/or all bids.
The Contractor is responsible for obtaining permits and the performance of all work according to the
City of Waterloo Codes. Permits will be at no charge.
If you have any questions, please contact Angi Reid, Education Coordinator, at 291-4490.
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BIDDER:
CITY OF WATERLOO, IOWA
WATERLOO CULTURAL & ARTS COMMISSION
BID FORM
For
FY2018 PHELPS YOUTH PAVILION INDOOR PLAYSCAPE PROJECT
ADDRESS:
COMPANY NAME
PHONE: (
1. The undersigned, being a Corporation existing under the laws of the State of , a
Partnership consisting of the following partners:
having been familiarized with the existing conditions on the project area affecting the cost of the work,
and with all the Contract Documents now on file in the offices of the City Clerk, City Hall, Waterloo,
Iowa, and the Waterloo Culture & Arts, 225 Commercial Street, Waterloo, Iowa, hereby proposes to
furnish all supervision, technical personnel, labor, materials, machinery, tools, equipment, and
services, including utility and transportation services required to complete the proposed FY2018
PHELPS YOUTH PAVILION INDOOR PLAYSCAPE PROJECT in accordance with the contract
documents and for the total price for work in place for the following amount:
dollars ($
2. 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 acceptance of this Bid is mailed or delivered to the
undersigned within thirty (30) days after Bid Opening, of at any time thereafter before this bid is
withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and
furnish the required bond and certificate of insurance within ten (10) days after the agreement is
presented for signature, and start work within ten (10) days after "Notice to Proceed" is issued.
3. Security in the sum of dollars ($
In the form of , is submitted herewith in accordance with
NOTICE TO BIDDERS.
4 Attached is a Non -Collusion Affidavit of Prime Contractor.
5. The Bidder is prepared to submit a financial and experience statement upon request.
6. The Prime Contractor and Subcontractor(s), which have performed an aggregate of $10,000.00 in
work for the City in the current calendar year, are prepared to submit an AAP or Update and an EOC,
within ten (10) days of notification that the bid submitted is lowest and acceptable.
7. The Bidder has received the following Addendum or Addenda:
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Addendum No.
Date: / /
/ /
/ /
8. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are marked
"none" or "NA".
9. The bidder has attached all applicable forms.
10. The owner reserves the right to select alternatives, delete line items, and/or to reduce quantities
prior to the Award of Contract due to budgetary limitations.
CONTACT PERSON:
PHONE:
SIGNED:
Please Print
DATE: / /
NOTICE OF PUBLIC HEARING page 1 of 1
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we,
as Principal and
As Surety are held and firmly bound unto the City of Waterloo, Iowa, hereinafter called "OWNER". In the penal
sum
dollars
($ ) 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 day of , 20, for
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 day of , A.D. 20
(Seal)
Principal
(Title)
Witness
(Seal)
Surety
By
By
Witness Attorney -In -Fact
NOTICE OF PUBLIC HEARING page 1 of 1
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of )
County of )
, being first duly sworn, deposes and says that:
1. He is (Owner), (Partner), (Officer), (Representative), 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.
Signature Title
Subscribed and sworn to before me this
Day of , 20_.
Signature Title
My commission expires
NOTICE OF PUBLIC HEARING page 1 of 1
COLLUSION AFFIDAVIT OF SUBCONTRACTOR
State of )
County of )
, being first duly sworn, deposes and says that:
1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) of
hereinafter referred to as the "Subcontractor";
2. He is fully informed respecting the preparation and contents of the subcontractor's proposal
submitted by the subcontractor to , contract
pertaining to the FY2018 PHELPS YOUTH PAVILION INDOOR PLAYSCAPE PROJECT in Waterloo,
Black Hawk County, Iowa;
3. Such subcontractor's proposal is genuine and is not a collusive or sham proposal;
4. Neither the subcontractor nor any of its officers, partners, owners, agents, representatives,
employees, or parties in interest, including this affiant, has in any way colluded, conspired,
connived or agreed, directly or indirectly, with any other bidder, firm or person to submit a
collusive or sham proposal in connection with such contract or to refrain from submitting a
proposal in connection with such contract, or has in any manner, directly or indirectly, sought by
unlawful agreement or connivance with any other bidder, firm or person to fix the price or prices in
said subcontractor's proposal, or to fix any overhead, profit or cost element of the price of prices in
said subcontractor's proposal, or to secure through collusion, conspiracy, connivance or unlawful
agreement any advantage against the City of Waterloo, Iowa, or any person interested in the
proposed Contract;
5. The price or prices quoted in the subcontractor's proposal are fair and proper and are not tainted
by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or any of
its agents, representatives, owners, employees, or parties in interest, including this affiant.
Signature Title
Subscribed and sworn to before me this
Day of , 20_.
Signature Title
My commission expires
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EQUAL OPPORTUNITY CLAUSE
(As provided in Executive Order No. 11246)
All contractors, subcontractors, vendors and suppliers of goods and services doing business with the
City and value of said business equals or exceeds ten thousand dollars ($10,000.00) annually agree
as follows:
1. The contractor, subcontractor, vendor and supplier of goods and services will not discriminate
against any employee or applicant for employment because of race, color, creed, sex, national
origin, economic status, age, mental or physical handicap, political opinions or affiliations. The
contractor, subcontractor, vendor and supplier will develop an Affirmative Action program to
ensure that applicants are employed and that employees are treated during employment without
regard to their race, creed, color, sex, national origin, religion, economic status, age, mental or
physical disability, political opinions or affiliations. Such actions shall include but not be limited to
the following:
a. Employment
b. Upgrading
c. Demotion or Transfer
d. Recruitment and Advertising
e. Layoff or Termination
f. Rates of Pay or Other Forms of Compensation
g. Selection for Training Including Apprenticeship.
2. The contractor, subcontractor, vendor and supplier of goods and services will, in all solicitations or
advertisements for employees, state that all qualified applicants will receive consideration for
employment without regard to race, creed, color, sex, national origin, religion, economic status,
age, mental or physical disabilities, political opinion or affiliations.
3. The contractor, subcontractor, vendor and supplier or his/her collective bargaining representative
will send to each labor union or representative of workers which he/she has a collective bargaining
agreement or other contract or understanding, a notice advising said labor union or workers'
representative of the contractor's commitment under this section.
4. The contractor, subcontractor, vendor and supplier of goods and services will comply with all
published rules, regulations, directives, and order of the City of Waterloo Affirmative Action
Program Contract Compliance Provisions.
5. The contractor, subcontractor vendor and supplier of goods and services will furnish and file
compliance reports within such time and upon such forms as provided by the Affirmative Action
Officer. Said forms will elicit information as to the policies, procedures, patterns, and practices of
each subcontractor as well as the contractor himself/herself and said subcontractor, vendor and
supplier will permit access to his/her employment books, records and accounts to the City's
Affirmative Action Officer, for the purpose of investigation to ascertain compliance with this
contract and with rules and regulations of the City's Affirmative Action Program — Contract
Compliance Provisions relative to Resolution No. 24664.
6. In the event of the contractor's non-compliance with the non-discrimination clauses of this contract
or with any of such rules, regulations and orders, this contract may be canceled, terminated or
suspended in whole or in part and the contractor may be declared ineligible for further contracts in
accordance with procedures authorized by the City Council.
NOTICE OF PUBLIC HEARING page 1 of 1
7. The contractor, subcontractor, vendor and supplier of goods and services will include, or
incorporate by reference, the provisions of the non-discrimination clause in every contract,
subcontract or purchase order unless exempted by the rules, regulations or orders of the City's
Affirmative Action Program, and will provide in every subcontract, or purchase order that said
provisions will be binding upon each contractor, subcontractor, or supplier.
8. We, the undersigned, recognize that we are morally and legally committed to non-discrimination in
employment. Any person who applies for employment with our company will not be discriminated
against because of race, creed, color, sex, national origin, economic status, age, mental or
physical disabilities.
Signed:
Appropriate Official
Title
Date
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