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BIDDER:
CITY OF WATERLOO, IOWA
Planning AND ZONING DEPARTMENT
BID FORM
for
2018 MOWINGS
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COMPANY NAME
ADDRESS: Iacai Ge .kr-
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PHONE: ( 319 ) 0)341- 9.(31/D
1. The undersigned, being a Corporation existing under the laws of the State of 7,4 , or a limited liability company
exiss ng under the laws of the State of 211 , or a Partnership consisting of the following partners:
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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, 715 Mulberry Street, Waterloo, Iowa, and the
Planning and Zoning Department, 715 Mulberry 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 MOWINGS, in accordance with the contract documents and for the unit price
in place for the following amount:
OPTION A: Provide all specified as needed mowing and trimming services for city owned lots under 1 acre:
Price per lot less than one acre.
Price Per Occurrence:
7S% -7
Ain, Agar S u en //✓Uv dollars ($ ft / )
OPTION B: Provide all specified as needed mowing and trimming services on lots 1 acre or more.
Price per acre for lots one acre or more.
Price Per Occurrence: /] m
g' C3 Stdwn• �'n,eL__ dollars ($ 576')
2. In submitting this bid, the Bidder understands that the City reserves the right to reject any or all bids and to award one
or more contracts for a single Option, all Options together, or any combination of Options. 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before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and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 ctva.... Z✓L%lrwdedollars ($ I,Sto•i t
in the form of C, r -k ir3 C\I•LC.\L , 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:
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:
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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:
W.rn
Name andd Tide
\21-Q-S,cyC3 DATE: S i_77) 18
State of
,Lyif
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
County of SOC )
gkerA- .Uotas
, being first duly sworn, deposes and says that:
1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) of c23e t 70. , 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, film 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
indn ectly, 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 fail and proper and are not tainted by any collusion, conspiracy,
connivance or unlawful a eement on the part of the Bidder or any of its agents, r epresentatives, owners, employees,
or parties in fir,i ;,-` uding this affiant
gts, IA L__Se
Signature Title
Subscribed and sworn to before me this
_30 day of %Vttit , 2018.
Signature
keoJioic k 3otart
Title
My commission expires 0/t3)ir
SAWRA J FO
Commission No