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Home My WebLink AboutJBL Rentals, LLCJfL fie/1710115 LLC 31`.1%1;e1S me Ave "oSNff , '/4 s'obC5 r r BL s(,) -r'nr ecio LYfSuf( S -er viGr C F2io AN0 elp et9D CITY OF WATERLOO, IOWA WATERLOO LEISURE SERVICES COMMISSION BID FORM for 2018 SPRING STUMP REMOVAL PROJECT BIDDER: J L Ren -kis LC, COMPANY NAME ADDRESS: 3\ \H V3 ‘Ae\ Stceet r)\ -v e PHONE: ( ) L\ JU 5 0Ct 1. The undersigned, being a Corporation existing under the laws of the State of Ib ___ , a Partnership consisting of the following partners: \'t Re i\ s L l (.; C\f\A -4n a C` \�y V-0/1) 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 Leisure Services Commission, 1101 Campbell Ave., 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 2018 SPRING STUMP REMOVAL PROJECT, in accordance with the contract documents and for the lump sum price for the removal of the 687 stumps along City owned rights-of- way, parks & golf courses as listed in the attached documents for the following amount: TOTAL BID PRICE: dile \unc\tdcan A -Lb thousand Dollars ($ I(\Z (1(lC ) 2. In submitting this bid, the Bidder understands that the City reserves the right 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or delivered to the undersigned within thirty (30) days after Bid Opening, of at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of insurance within ten (10)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 1VC 'f hni & nA (JhQ, hi r)r!wc! dollars ($ 5j, 1()() ) in the form of Clef ¥ filo (' `l9 (�c , 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. BID FORM page 1 of 2 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: Addendum No. Date: / / / / / / 8. The Bidder shall list the MBE/WBE subcontractors, amount of subcontracts and bid items listed on the City of Waterloo Minority and /or Women Business Pre-bid Contract Information Form submitted with this Bid Form. 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 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 9. The Bidder shall list all equipment available for this project: car Si)rilPrrnc-K S1(' CI \c, do ys -,0( 600 -\ art cX 10. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA". 11. The bidder has attached all applicable forms. 12. 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. SIGNED: >G�Lz OlA/rIe- Name and Title DATE: BID FORM page 2 of 2 NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of I <l)Ck, ) ) County of al c_ic 11ocuK .t r f i € - C J {3L Reri ktic , being first duly sworn, deposes and says that: 1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) of )13._ gen to (.S 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. `17--(24 Signature Title ..szi EE §II QM MAfTi.AND kmmi Number 801035 4 Y i S t mian Expires Swb-scray &amuLsworvvta-r-o o-rr& uncit - -- ' of " b , 2018. /14— WP`r13. rttte, My e pCre 1- - )-() NON -COLLUSION AFFIDAVIT OF SUBCONTRACTOR State of b ) County of U\ G G / ) t ,Cc/el lP that: , being first duly sworn, deposes and says 1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) of _161 hereinafter referred to as the "Subcontractor"; 2. He is fully informed respecting the preparation an ont n o he su c rf or's proposal submitted by the subcontractor to / SSS / et /C � r`*� 1 , contract pertaining to the 2018 SPRING STUMP REMOVAL PROJECT in Water oo, 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. ide(/#7,- Signa .i e Se. r. *„"r <� ° -'^ , e ` o "0W� HEATHER STAID COMMISSION NO. 758517 zEMMISSj�Qtc Ejac ES 4 til ri['4. Title .5A -scribed/ cmcl, worn/to-War@ me,thfik day of __-Mee..4-e t , 2018. e p Cites,?rte_C3f• 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. EQUAL OPPORTUNITY CLAUSE PAGE 1 OF 2 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. 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 /6 Date EQUAL OPPORTUNITY CLAUSE PAGE 2 OF 2 1114 110644! M 3662560 THIS DOCUMENT HAS AN ARTIFICIAL WAIERM ARK PRINTED ON THE BACK, THE FRONT OF THE DOCUMENT IIAS A MICRO -PRINT SIGNATURE LINE. ABSENCE OF THESE I,EATURES WILL INDICATE A COPY. NOTICE TO CUSTOMERS THE PURCHASE OF AN INDEMNITY BOND MAY BE REQUIRED BEFORE ANY OFFICIAL/TELLER'S CHECK OF THIS BANK WILL BE REPLACED IN THE EVENT IT IS LOST, MISPLACED OR STOLEN. REMITTER JBL RENTIaLS L.L:: PAY TO THE ORDER OF 0739 MidWestOne 10352232 Lank® 49-55/1031 PO Box 1700, Iowa City, IA 52244-1700 DATE Febru.a.ry w , 2018 a 5.I?I4t.ti1(;,1 CITY OF taWTERLOO e EX TLYP.5,10000L 00 TE DRAWER: MIDWEST ONE BANK TELLER'S CHECK C4,.? , q ISSUED BY: MONEYGRAM PAYMENT SYSTEMS, INC. P.O. BOX 9476, MINNEAPOLIS, MN 55480 DRAWEE: BOKF, NA EUFAULA, OK I,. �: L 0 3 LOOS 0 5 5 L': 0 L 6 0 0 L 0 0' 8 8 0 30 II L 0 3 5 2 2 3 2