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HomeMy WebLinkAboutPlumb Tech Inc.326? W A/RL/NE Hf27Y,. WATERLOO /A 507031 Ph (319) 233-5616 • plumbtecptincus • Fax 0191233-5737 Bid Proposal for the 2018 Waste Water Management Admin HVAC Cooling System c -A uMQ mriammimim 3261 W. AIRLINE HWY WATERLOO IA 50703 Bid Security for the 2018 Waste Water Management Admin HVAC Cooling System FORM OF BID OR PROPOSAL CITY OF WATERLOO, IOWA WASTE WATER TREATMENT PLANT 2018 WASTE MANAGEMENT ADMIN HVAC COOLING SYSTEM CONTRACT NO. 957 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 Iowa a Partnership consisting of the following partners: Brett. Behrends, Zach Behrends, & Travis Behrends 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 Kapaun Consulting Engineers, P.C. 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 City of Waterloo, lowa Waste Water Treatment Plant - 2018 Waste Management Admin HVAC Cooling System, Contract No. 957, all in accordance with the above -listed documents and for the unit prices for work in place for the following items and quantities: WATERLOO WASTE WATER TREATMENT PLANT 2018 WASTE MANAGEMENT ADMIN HVAC COOLING SYSTEM CONTRACT NO. 957 ®ID 17ER6 0E.9GRIPi14N _ - UNIT .' EST. QTY,'. UNIT MD pftiCE:.. TOTAL am PRICE 1 BASE BID: WATERLOO WASTE WATER TREATMENT PLANT - 2018 WASTE MANAGEMENT ADMIN HVAC COOLING SYSTEM $ 193,850.00 2 ADD ALTERNATE NO. 1 WATERLOO WASTE WATER TREATMENT PLANT - 2018 WASTE MANAGEMENT ADMIN HVAC COOLING SYSTEM $ 96,130.00 3 4 $ TOTAL B D $ 289,980.00 FORM OF BID CONTRACT NO. 957 Page 1 of 3 2. Not used. 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to the undersigned within thirty (30) days after the opening thereof, or at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of the insurance within ten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. 4. Security in the sum of One Thousand Five Hundred Dollars ($ 1,500.00 ) in the form of Bid Bond 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.) 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 DOC, 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. #1___ Date April 30, 2018, #2 May 2, 2018 #3 May 11, 2018 10. The bidder shall list the MBE/VVBE 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. FORM OF BID CONTRACT NO. 957 Page 2 of 3 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. Plumb Tech Inc., Brett Behrends May 17, 2018 (Name of Bidder) (Date) BY: 6 ct _ ir�e,�,. =Lc� Title Vice President Official Address: (Including Zip Code): 3261 W. Airline Hwy. Waterloo, Iowa 50703 I.R.S. No. 42-1420820 FORM OF BID CONTRACT NO. 957 Page 3 of 3 MBENVBE BUSINESS ENTERPRISE • PRE-BID CONTACT INFORMATION FORM Prime Contractor Name: Plumb Tech Inc. Project: 2018 Waste Water Management Admin HVAC Cooling System NO MBEIWBE 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. Letting Date May 17, 2018 Contractor Signature: Title: Vice President Date: May 17, 2018 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 Cornpliance 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 MBEIWBE 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 Rudy Jones, Contract Compliance Officer, for assistance at (319) 291-4429. In the event it is determined that the MBEIWBE 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 MBEIWBE BUSINESS ENTERPRISE CONTACTS MBE/WBE Subcontractors None Dates Contacted Quotes Received Quotation used in bid Yes/No Dates Contacted Yes/No Dollar Amount Proposed to be Subcontracted (Form CCO-4) Rev. 06-20-02 EQUAL OPPORTUNITY CLAUSE (As provided in Executive Order No. 11246) AN 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 contractors, 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 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. 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. 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. EQUAL OPPORTUNITY CLAUSE PAGE 1 OE 2 PAGES f; 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 contractor, 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. 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 rontractor,. 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) B (c (Appropriate Official) EQUAL OPPORTUNITY CLAUSE Vice President (Title) May 17th, 2018 (Date) PAGE 2 OF 2 PAGES Revised February 2003 CONTRACTOR'S OR SUBCONTRACTOR'S AFFIRMATIVE ACTION PROGRAM Check box that applies to party completing program. ( x ) General Contractor ( ) Subcontractor Section A to be completed by GENERAL CONTRACTORS only: A. Name of Company Plumb Tech Inc. Address of Company 3261 W. Airline Hwy. Zip 50703 Telephone Number ( 319 ) 233-5616 Federal ID Number (if no Federal ID Number, Owner/President's Social Security Number) 42-1420820 Name of Equal Employment Officer Zach Behrends Name of Project 2018 Waste Water Admin HVAC Cooling System Project Contract Number Estimated Construction Work Dates June 1, 2018 / August 3, 2018 Start Finish Section B to be completed by SUBCONTRACTORS only: Name of General or Prime Contractor Name of Subcontractor Subcontractor's Address Zip Subcontractor's Telephone Number ( )._ Subcontractor's Federal ID Number (if no Federal ID Number Owner/President's Social Security Number) Name of Equal Employment Officer C. Remainder of program to be completed by party completing program, either Prime or Subcontractor. -he Owners and/or Principals of your company. Ethnic Name Address Position Sex Origin Zach Behrends 1097 248th St. Shell Rock IA 50670 President ..Male Caucasian Brett Behrends 1311 Gavin Dr. Waverly, IA 50677 Vice President Male Caucasian Travis Behrends 3 8 2 2. Other Areas of Interest: .r• JA5OB47 q cretacy _. _. - ._Male.. rnucasian If your company has branches or subsidiaries, or if your company is a branch or subsidiary of a parent organization, give the following information: Type of Name Address Affiliation Degree II. EMPLOYER'S POLICY (Please read carefully.) A. We, the undersigned, recognize that we are morally and legally committed to nondiscrimination in employment. Any person who applies for employment with our company will not be discriminated against because of race, color, creed, sex, national origin, economic status, age, mental or physical handicap. B. The employment policies and practices of the undersigned are to recruit and hire employees without discrimination, and to treat them equally with respect to compensation and opportunities for advancement, including training, upgrading, promotion, and transfer. However, we realize the inequities associated with employment training, upgrading, contracting and subcontracting for minorities and women and we will direct our efforts to correcting any deficiencies to the maximum extent possible. The same will be required of our SUBCONTRACTORS and suppliers. C. We submit this program to assure compliance with Executive Order 11246, as amended, and other subsequent orders that may pertain to equal employment opportunity and merit employment policies, fully -2 E. realizing hat our qualification and/or merit system should be evaluated and revised, if necessary. We agree to put forth the maximum effort to achieve full employment and utilization of capabilities and productivity of all our citizens without regard to race, creed, color, sex, national origin, economic status, age, and mental or physical handicap. Plumb Tech Inc. will give training (Name of Company) and employment opportunities to local residents of Waterloo, Iowa, to the greatest extent feasible. III. AFFIRMATIVE ACTION A. Plumb Tech Inc. recognizes that the (Name of Company) effective application of a policy of merit employment involves more than just a policy statement, and Plumb Tech Inc. (Name of Company) will, therefore, re-evaluate our Affirmative Action Program to ensure that equal employment opportunities are available on the basis of individual merit, and to actively encourage minorities, women and local residents to seek employment with our company on this basis. Plumb Tech Inc. will undertake the (Name of Company) following six (6) steps to improve our Affirmative Action Program: 1. Minority Recruitment and Employment; 2. Local Recruitment and Employment; 3. Disabled Veteran and Vietnam Era Veteran Recruitment and Employment; 4. Handicapped Recruitment and Employment; 5, Female Recruitment and Employment; and 6. Training, Upgrading and Promotional Opportunities. Plumb Tech Inc. will take (Name of Company) whatever steps are necessary to ensure that our total work force has adequate minority, female, and local representation. We will utilize the following methods in our recruitment attempts: 1. Local advertising media (newspapers, radio, TV); 2. Community organizations (churches, clubs, schools); 3. Public and private institutions in the area (UNI, Hawkeye Community College); 4. Job Service of Iowa; and 5. Other. -3 - D Plumb Tech Inc. will seek qualified minority, (Name of Company female, and local group applicants for all job categories and will make asserted efforts to increase minority, female and group representation in occupations at the higher levels or skill and responsibility. E. All sources of employment used shall be aware that we are an Equal Employment Opportunity Employer. Labor organizations representing our employees will be notified of our Equal Employment Opportunity Policy and Affirmative Action Program. F, Training, upgrading, promotion and transfer activities at all levels will be monitored to ensure that full consideration has been given to qualified minority, female, and local group employees. G, Plumb Tech Inc. will encourage other (Name of Company) companies with whom we are associated and/or do business, to do the same and we will assist them in their efforts. Plumb Tech Inc. has taken the following (Name of Company) Affirmative Action to ensure that minority, female, local contractors and/or suppliers were provided opportunities to negotiate and/or bid on this project: (if none, write "NONE") None None As a result of the above efforts, we have involved minority, female, and local contractors and/or suppliers in the following areas of subcontracting: (if none, write "NONE") 1, None None Plumb Tech Inc. will require approved (Name of Company) Affirmative Action Programs from all nonexempt contractors who propose to work on this project and will take whatever steps are necessary to ensure that non -minority contractors have adequate representation of minority, female and local persons in their total work force. K. In further accordance with rules and guide Ines issued pursuant to Executive Order 11246 as amended, we establish the goals for our company: based on parity percentages supplied by the City, and we realize these goals will be reviewed on an annual basis. L. Plumb Tech Inc. will keep records of (Name of Company) specific actions relative to recruitment, employment, training, upgrading and promotion and will provide the City of Waterloo with any information relative to same, including activities of our SUBCONTRACTORS and suppliers as necessary or when requested. M. Parity figures for companies located in Waterloo are as follows: N. Minority Parity = .08 (8%) Plumb Tech Inc. (Name of Company) Employment Goals: Affirmative Action The definition of Affirmative Action Goals is as follows: Goals may not . be rigid and inflexible quotas which must be met, but must be targets reasonably attainable by means of applying eve .00d faith effort to make all aspects of the entire Affirmative Action Program work." For the year 201 8 , please submit percentage targets for employing minorities and women. If you already have reached your target for hiring minorities and women, please submit that percentage. *Goals for Minorities: 8 Goals for Women: 8.58 °k *Your affirmative action goals should be between 1% and 10% or more for minorities and 1% and 5% or more for women. Please be advised that the goals or targets are purely your estimation of how many women and minorities your company can reasonably expect to hire in 201 8 . Note, that none of the goals are rigid or inflexible. They are targets that your company calculates as reasonably attainable. This will help the City in its monitoring procedures as required by City of Waterloo Resolution No. 1984-142(4). -5 CONTRACTOR'S TOTAL WORK FORCE (WATERLOO) NAME AND ADDRESS JOB CATEGORY RACE SEX M HOURLY WAGE Brett Behrends 1311 Gavin Dr. Waverly, IA 5067 Official/Manager Caucasian Salary Zach Behrends 1097 248th St. Shell Rock, IA 50670 -- - Official/Manager Caucasian M Salary Travis Behrends 1308 275th St. Janesville, IA 50647 Official/Manager Caucasian M Salary Glenn Behrends 217 Oakwood Cr. Waverly, IA 50677 Official/Manager Caucasiar M --- Salary -- Lucas Bond 1624 240th St. Waverly, IA 50677 Skilled Craft Worker Caucasian M $30.75 Trevor Byram 1331 170th St. Waverly, IA 50677 Apprentice Caucasia M $13.50 Brady Dolan 403 Terrace Dr. Independence, IA 50644 Apprentice Caucasian M $14.00 Scott Fischels 644 3rd St. Jesup, IA 50648 - Skilled Craft Worker Caucasian M $29.00 Matt Fordyce 32864 190th St. Clarsville, IA50619 Skilled Craft Worker Caucasian M $22.50 Josh Garcia 29789 Horseshoe Pl., New Hartford IA 50660. Apprentice Skilled Craft Worker Skilled Craft Worker Caucasian. -- Caucasian Caucasian M - - M _ M $16.00 - $20.50 $30.75 $13.50 Kevin Groomes 702 State St. Apt. #2. Cedar Falls IA 50613_,-- John Habinck 1268 St. Andrews Ave. Waterloo, IA 50701 Nick Hanson 206 Pine St. Janesville, IA 50647 Apprentice Caucasiar M Heather Huffman 24622 110th St. Parkersburg, IA 50665 Office/Clerical Caucasian F $18.50 Laina Hunt 27503290th St. Parkersburg, IA 50665 Office/Clerical Caucasian F $19.50 RayKelsey1041 Longfellow Ave. Waterloo IA, 50703 Skilled Craft Worker Caucasian M $19.50 _..... Jeff Kimble 419 Birch St. Janesville, IA 50647 Skilled Craft Worker Caucasiar M $22.00 Alen Kovac 627 Baltimore St., Waterloo, IA 50702 Apprentice Bosnian M $18.50 Jason Krejchi 1127 Evans Rd. Evansdale, IA 5070-. Apprentice Caucasian M $16.25 Davor Maric 2322 2nd St. Gilbertville, IA 50634 Skilled Craft Worker Bosnian M $30.00 Chad Morris 1561 Willow Rd. Fairbank, IA 50629 Skilled Craft Worker Caucasian M $25.00 Andy Mullnix 3026 Valley High Dr. Cedar Falls, IA 50613 Skilled Craft Worker - - Caucasian - - M -- $21.00 Dan Osborn 7143 W. Bennington Rd. Cedar Falls, IA 50613 Skilled Craft Worker Caucasian M $29.50 Darwin Osborn 901 E. 1st St. Sumner, IA 50674 Skilled Craft Worker Caucasian M $22.50 INDICATE: DISABLED VETERAN: DV VIETNAM ERA VETERAN VV HANDICAPPED: H 6 CONTRACTOR'S TOTAL WORK FORCE (WATERLOO) NAME AND ADDRESS JOB CATEGORY RACE SEX HOURLY WAGE Andrew Pothast 602 S. Prairie St. - :. kJA5r. r Apprentice Caucasian M $13.50 Luke Rannells 1500 W. 5th St. Cedar Falls, IA 50613 Apprentice Caucasian M $15.75 Chris Schmitt 606 30th SL SE Waverly, IA 50677 Skilled Craft Worker Caucasian M $22.00 Zach Shields 927 Western Ave. Cedar Falls, IA 5061.3 Apprenitce Caucasian M $14.25 Nick Stueben 523 Magnolia Pkwy. Waterloo, IA 50701 Skilled Craft Worker Caucasian M -- - $25.00 Andy Tambornino 120 Sutton Ave. Elk Run Heights, IA 50707 Apprentice Caucasian M $14.25 Jessi Trueg 323 Carroll Blvd. Dunkerton, _.. IA 50626., Office/Clerical Caucasian F $21.50 Taron Trueg 2531 Benson Shady Grove Ave. Jesup, IA 50648 Apprentice Caucasian M $13.75 - - Jason Welsh 1100 Boudand Ave. Waterloo, IA 50702 Skilled Craft Worker Caucasian M $20.25 Brandon Wetter 1401 W. 11th St. Waterloo IA50702 Skilled Craft Worker _. Caucasian M $21.00 Kent Zingg 1117 Kimball Ave. Waterloo, IA 50702 Apprentice Caucasian ` M $17.00 INDICATE: DISABLED VETERAN: DV VIETNAM ERA VETERAN: VV HANDICAPPED: H 6 We hereby certify that we are in compliance with all City and Federal Affirmative Action Regulations and agree to accept all liability for failure to comply. Respectfully submitted, By: By: City of Waterloo Affirmative Action Officer Approved Disapproved Reason: By: Date: 7 Company Executive May 17, 2018 Date Equal Employment Opportunity Officer May 17, 2018 Date STATEMENT OF BIDDER'S_.0 IALIFICATIONS_ (To be submitted by the Bidder only upon the specific request of the City of Waterloo, Iowa.) All questions must be answered and the date given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information he desires. ***SEE ATTACHED FOR ANSWERS*** 1. Name of bidder. 2. Permanent main office address. 3, When organized. 4. If a corporation, when incorporated. 5. How many years have you been engaged in the contracting business under your present firm or trade name? 6. Contracts on hand: (Schedule these, showing amount of each contract and the appropriate anticipated dates of completion.) 7. General character of work performed by your company. 8. Have you ever failed to complete any work awarded to you? If so, where and why? 9. Have you ever defaulted on a contract? If so, where and why? 10. List the more important projects recently completed by your company, stating the approximate cost for each, and the month and year completed. 11: List your rnajor equipment available for this contract. 12. Experience in construction work similar in importance to this project. 13, Background and experience of the principal members of your organization, including the officers. 14. Credit available: $ 15. Give bank reference: STATEMENT OF BIDDER'S QUALIFICATIONS PAGE 1 OF 2 PAGES 3261 W AIRLINE HWY. WATERLOO /A 50703 Ph (319) 233-5616 • plumbtech@ptinc.us • Fax (319) 233-5737 Statement of Bidder's Qualifications For The City of Waterloo, Iowa Waste Water Treatment Plant 2018 Waste Management Admin HVAC Cooling System 1. Plumb Tech Inc. 2. 3261 W. Airline Hwy. Waterloo, Iowa 50703 3. 1994 4. July 1St, 1996 5. 24 Years 6. Current Project Contract Amount Completion Date Buchanan County Health $3,113,624.08 June 2018 East Buchanan H.S. $897,358.87 August 2018 Orchard Hill Elementary $2,215,808.00 August 2019 CF Public Safety Bldg. $1,089,850.00 May 2019 Schumacher Elevator $724,770.00 March 2019 7. Mechanical Contractor: Plumbing, gas, med gas, air, and hydronic piping. Heating, cooling, and ventilation systems as well as custom metal fabrication. 8. No 9. No 10. Past Project Contract Amount Completion Date West Central School $1,300,000.00 April 2016 Waverly Vet Post $550,000.00 October 2016 Nazareth Lutheran $400,000.00 January 2017 Martin Brothers $650,000.00 February 2017 Single Speed $950,000.00 July 2017 11. Excavator, ACLU 12. Most all of the work we complete is typical to this project. 13. All officers have worked in the trade growing up, over 50 years combined experience. 14. $500,000.00 15.1 St National Bank of Cedar Falls, 602 Main St. Cedar Falls, IA 50613 Contact: Dan Lynch Phone: 319-266-2000 16: Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the City of Waterloo, Iowa? Yes 17. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any information requested by the City of Waterloo, Iowa, in verification of the recitals comprising this Statement of Bidder's Qualifications. Dated at (,(fcu+e.r./oo) . /obuo, -, this /-7422 day of Ma./ - - - -, 2018 . State of _ Iowa ) ss: County of __ .Black Hawk Plumb Tech Inc., Brett Behrends (Name of Bidder) By: - - -J Title: Vice President Brett Behrends , being duly sworn deposes and says that he iS Vice President . of Plumb Tech Inc (Name of Organization) and that the answers to the foregoing questions and ail statements therein contained are true and correct. Subscribed and sworn to before me this /nay - , 201_ JESSICA L TRUE D A, COMMISSION NO.786483 * MY COMMISSION EXPIRES 'ors" OCTOBER 7, 2020 My commission expires day of 4lotary Public Ociob-e - .7__ _, a0QO STATEMENT OF BIDDER'S QUALIFICATIONS PAGE 2 OF 2 PAGES State of ._. Iowa NON -COLLUSION AFFIDAVIT OF PRIME BIDDER County of Black Hawk Brett Behrends )ss being first duly sworn, deposes and says that: 1. He is (owner, Partner, Officer, Representative, or Agent)_ , of __ Plumb Tech Inc. 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. (Signed) _Vice President Title Subscribed and sworn to before me this /_7'"' day of /2"/ Ct. / , 201 g. My commission expires 0c4017-er 74h JESSICA L TRUEG COMMISSION NO. 786483 MY COMMISSION EXPIRES OCTOBER 7, 2020 ({/ce_YJ'IC ',ct e ✓ Title Worksheet: Authorization to Transact Business worksheei ;'1ay he used o r 1p complete fart A of the icsld(n' Bidder : talus firm If at Fast eec of the folk) describes your 's ;, you are ai h -r€zed to transact t business In Iowa_ L4 Yes ❑ No [] Yes Cjs] No ❑ Yes []XNo ® Yes 0 No O Yes ()1 No Yes ❑X No O Yes ❑X No D Yes ® No O Yes ® No • Yes ® No Q Yes ❑X No 0 My business is currently registered as a contractor with the Iowa Division of Labor. My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes, My business is a general partnership or joint venture. More than 50 percent of the general partners or joint venture parties are residents of Iowa for Iowa income tax purposes. My business is an active corporation with the Iowa Secretary of State and has paid all fees required by the Secretary of State, has filed its most recent biennial report, and has not filed articles of dissolution, My business is a corporation whose articles of incorporation are filed in a state other than Iowa, the corporation has received a certificate of authority from the Iowa secretary of state, has filed its most recent biennial report with the secretary of state, and has neither received a certificate of withdrawal from the secretary of state nor had its authority revoked. My business is a limited liability partnership which has filed a statement of qualification in this state and the statement has not been canceled. My business is a limited liability partnership which has filed a statement of qualification in a state other than Iowa, has filed a statement of foreign qualification in Iowa and a statement of cancellation has not been filed. My business is a limited partnership or limited liability limited partnership which has filed a certificate of limited partnership in this state, and has not filed a statement of termination. My business is a limited partnership ora limited liability limited partnership whose certificate of limited partnership is filed in a state other than Iowa, the limited partnership or limited liability limited partnership has received notification from the Iowa secretary of state that the application for certificate of authority hal been approved aria no notice of cancellation has been filed by the limited partnership or the limited liability limited partnership. My business is a limited liability company whose certificate of organization is filed in Iowa and has not filed a statement of termination. My business is a limited liability company whose certificate of organization is filed in a state other than Iowa, has received a certificate of authority to transact business in Iowa and the certificate has not been revoked or canceled. 309-6001 (09-15) Bidder Status Form To be completed by all bidders Please answer "Yes" or "No' tor each of the following; • Yes No Q Yes ❑ No ❑x Yes ❑No a Yes ❑ No J Yes No Part it My company is authorized to transact business in Iowa. (To help you dolerrnine if your company is authorized, please review trio worksheet on the next page), My company has an office to transact business in Iowa, My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail. My company has been conducting business in Iowa for at least 3 years prior to the first request for bids on this project. My company is not a subsidiary of another business entity or my company is a subsidiary of another business entity that would qualify as a resident bidder in Iowa. If you answered "Yes" for each question above, your company qualifies as a resident bidder. Please complete Parts i3 and D of this form. If you answered "No" to one or more questions above, your company is a nonresident bidder- Please complete Parts C and D of this form. To be completed by resident bidders Part B My company has maintained offices in Iowa during the past 3 years at the following addresses: Dates: 09 / 01 / 2009 to 05 / 17 / 2018 Address: 3261 W. Airline Hwy, City, State, Zip: Dates: / / to / / Address: City, State, Zip: Waterloo, Iowa 50703. Dates: / -- /__--- to /- —1 Address:: - You may attach additional sheet(s) if needed. City, State, Zip:. To be completed by non-resident bidders Part C 1. Name of home state or foreign country reported to the Iowa Secretary of State: 2. Does your company's home state or foreign country offer preferences to resident bidders, resident labor force preferences or any other type of preference to bidders or laborers? 3. If you answered "Yes" to question 2, identify each preference offered by your company's home state or foreign country and the appropriate legal citation. El Yes ❑ No You may attach additional sheet(s) if needed.. To be completed by all bidders Part D I certify that the statements made on this document are true and complete to the best of my knowledge and I know that my failure to provide accurate and truthful information may be a reason to reject my bid. Firm Name: Plumb Tech Inc. Signature: Date: May 17th, 2018 You must submit the completed form to the governmental body requesting bids per 875 Iowa Administrative Code Chapter 156. This form has been approved by the Iowa Labor Commissioner. 309-6001 (09-15) INFORMATION NEEDED FOR IOWA CONSTRLCTION SALES TAX EXEMPTION CER CONTRACTOR NA E: Plumb Tech Inc. ADDRESS: 3261 W. Airline Hwy. IFICATE WaterlooIA 50703 (Check One) PRIME _ X SUBCONTRACTOR FEDERAL ID#: 42-1420820 PROJECT NAME: 2018 Waste Management Admin HVAC Cooling System PROJECT CONTRACT NO.: DESCRIPTION OF WORK: ❑ Brickwork ❑ Carpentry ❑ Concrete ❑ Drywall -Plaster -Insulation ❑ Electrical ❑ Excavation/Grading ❑ Flooring ❑ Heavy Construction I� Heating -Ventilating -Air Cond O Landscaping O Painting O Paving O Plumbing O Roofing -Siding -Sheet Metal ❑ Windows O Wrecking -Demolition ❑ Other (Please specify) BID BOND Plumb Tech, Inc. KNOW ALL MEN BY THESE ?RESEW S, that we, as Principal, and Merchants Bonding Company (Mutual) — as Surety are held and firmly bound unto the CITY OF WATERLOO_, lows, hereinafter called "OWNER." In the penal sum One Thousand Five Hundred and 00/100 Dollars ($1,500.00 ) 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 _ 17th day of May ,2018 ,for 2018 Waste Management Administration_HVAC Cooling System 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 17th, day of May , A.D. 201,8_.. Witness Witne Plumb Tech, Inc. Principal By (Seal) (Title) Merchants Bonding Company ((;‘ItiyFual) Surety By_ Attorney-in-fact Janet Willard MERCHANTS Bond #: 328756 BONDING COMPANY POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Janet Willard their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnify and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 17th day of May , 2018 . .,••• •...... itP tiy'rJr• ij "4!.y. • •: ; VAP 99�.2�; MERCHANTS NATIONAL BONDING, INC. . ct :Z: •z: C:3: 2003 10 : y; 1933 : c. .• .... ....�?� •• � :b�k •' C, • • c• STATE OF IOWA ............. ••'•'•'•• COUNTY OF DALLAS ss. On this this 17th day of May 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. MERCHANTS BONDING COMPANY (MUTUAL) By President z IA( di ALICIAK.GRAM Commission Number 767430 My Commission Expires April 1, 2020 (33 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 17th day of May , 2018 . ::�P��P...........• ....<.• O*OtNP004". �,`g r4�t1g:•. . : �f; r 9q. •y< : h/.C� . s/ `✓ � • =2r= _p_ oto: :$1°1 ^'' -0- m; • L�?.�aln v'. 2003 :;� • y:, 1933 C: Secretary POA 0018 (3/17)