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BID BOND
Boomerang Corp
KNOW ALL MEN BY THESE PRESENTS, that we, 12536 Buffalo Road Anamosa IA 52205
United Fire & Casualty Company
as Principal, and 118 Second Avenue SE PO Box 73909 Cedar Rapids IA 52407-3909
as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum Five Percent of Amount Bid (5%)
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 subml,Vd the accompanying bid Haled lho 26th day of
July , 20_, for F Y 2019 Brock 31°n Addition Sanitary Sewer Extension Contract
No. 9.54 City of Waterloo. Iowa
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 c�t�l�ed their corporate seals to be hereto affixed and these presents to be
signed by their proper officers this tl_ day of July A.D. 201 8
Boomerang Corp (Seal)
Prin 'pal
By
(Title)
Unit Fir & C u Ity mf(Seal
Witness t
MOIL k� By
Witness Attorney n-fac
Kassie Docker - Senior Account Manager Cassandra J. Daley Alcorn In F t
UNITED FIRE & CASUALTY COMPANY, CEDAR RAPIDS , IA Inquiries: Surety Department
UNITED FIRE & INDEMNITY COMPANY, WEBSTER, TX -118 Second Ave SE
Wgun + FINANCIAL PACIFIC INSURANCE COMPANY, ROCKLIN, CA Cedar Rapids, IA 52401
INSURANCE CERTIFIED COPY OF POWER OF ATTORNEY
(original on file at Home Office of Company — See Certification)
KNOW ALL PERSONS BY THESE PRESENTS, That United Fine & Casualty Company, a;corporation duly organized and existing lander the laws
of the State of Iowa; ]United Fire & hnde--mnuy Company, a corporation duly organized and existing; under the -laws of the State of Texas;, and
Financial Pacific Insurance Company, a ;corporation duly organized and existing under the laws of theme State of California (herein collectively called
the Companies), and havingtheircorporate headquarters it Cedar Rapids, State of Iowa, does drake, constitute and appoint `
TIMOTHY J . GASSMANN KEVIN S. MEASE , CASSANDRA J . DALEY , JENNIFER J . FREYMARK , TRACI A , LYONS , JOAN
BONEWITZ , MICHAEL BYL , LORI FRERICHS , KATIE MCGLAUN , EACH INDIVIDUALLY
their live and lawful Attomey(s)-inFact with power :and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds,
undertakings and other obligatory instruments of similar nature provided that no single obligation shall exceed $20 , 600 , 000 . 00
and to bind the Companies thereby as fully and to the 'same extentas if such instruments were signed by ttte duly mitlionzed officers of the Companies
and all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confirmed
The Authority hereby granted shall expire the 1st (ray of January , 2020 unless sooner revoked by United Fire & Casualty
Company, United Fire & Indemnity Company, and Financial Pacific Insurance Company.
This Power of Attorney is made mid executed pursuant to and by authority of the following bylaw duly adopted on May 15, 2013, by the Boards of
Dnectors of United hire & Casualty Company, United Fire & Indemnity Company, and Financial Pacific Insurance Company.
"Article VI — surety Bonds and Undertakings"
Section 2, Appointment of Attorney-in-Fact. "The President or any Vice President, or any other officer of the Companies
m n
may, fiotime to..tne, append by written
certificates attorneys-ui-fact to act in behalf of the Companies in the execution of policies of assurance, bonds, undertakingsand other obligatory htstmmmus:of like nature
'the signature of any officer authorized hereby, and the Corporate seal, may be affixed by facsimile to any power of attorney or special power of attorney or certification of
either authorized hereby; such signature and seal, when so used , being adopted by the Companies as the original signature of such officer and the original seal of the
Companies,: to be valid mid buiding upon the Companies with the same force and effect as though manually affixed. Such attorneys h fact, subject to the limitations set of
forth in their rospectivir Certificates of authority shall have fill pmt er to bind the Companies by their signature and execution of any such instruments and to attach the seal
the C� upmues thereto `tlhe President or any Vice President, the Board of Directors or any other officer of the Companies may at any time revoka all power mid authority
previously giver to any`3ltonney-m-fact.
IN WITNESS WHEREOF, the COMPANIES have each caused these presents to be signed by its
. airy ,.` - - -.E�c �Ns�gq�o,, vice president and its corporate seal to be hereto affixed this 1 st day of January , 2018
cp o + ,
9 $ ?a = m
_ _ UNITED FIRE & CASUALTY COMPANY
s i ; UNITED FIRE & INDEMNITY COMPANY
FINANCIAL PACIFIC INSURANCE COMPANY
aa oil 11 By
State of Iowa, County of Lain, ss Vice President
On 1st day of January , 2018, before me personally came Dennis J . Richmann
to me known, who being by me duly sworn, did depose and say; that he resides in Cedar Rapids, State of Iowa; that he is a Vice President of United Fire
& .Casualty _ Company, a >Vice President of United Fire & Indemnity, Company, and a Vice PresidentofFinamcial Pacific Insurance Company the
corporations described in and which executed the above instrument; that he knows the :seal of said corporations; that the seal affixed to the said
instrument is such corporate seal, that it was so affixed pursuant to authority given by the Board of Directors of said corporations and that he signed his
name thereto pursuant to like authority, and acknowledges same to be the act and deed of said;corporations
�04L Paul Waddell
Iowa Notarial Seal I f / ��,d�GK/.�(�{����
Commission number 713274 111///��� G j�iotaty Public
Wk My Commission Expires 10/26/2019
-. My commission expires 10/26/2019
I, Maly A. Bertsch, Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemnity Company, and Assistant
Secretary of Financial Pacific Insurance Company, do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and
the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE
HOME OFFICE OF SAID CORPORATIONS, and thatthe same are correct transcripts thereof, and of the whole of the said originals, mid that the said
Power of Attorney has not been revoked and is now in full force and effect.
In testiykvlcreof I hav he unto subscribed my name and affixed corporate seal of the said Corporations
this l" day of 120
11
ON Sy�� F C INSV�yq -
4YO4 ") p=`Qp,POggF1CR,
R RATF
$ iucv u o ` BY ` TL VSou i^""�
6 _
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UEOORk�
2 Assistant Secretary,
oloolon% "' ro°O OF&C & OF&I & FPIC
BPOA0045 122017
FORM OF BID OR PROPOSAL
F.Y. 2019 BROCK 3RD ADDITION SANITARY SEWER EXTENSION
CONTRACT NO. 954
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo , Iowa
Gentlemen:
13he undersigned , being a Corporation existing under the laws of the State of
fic tL a Partnership consisting of the following partners:
AIA I 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 Wayne Claassen Engineering &
Surveying , Inc. 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 F.Y. 2019 BROCK 3RD ADDITION
SANITARY SEWER EXTENSION , Contract No. 954, City of Waterloo, Iowa, all in
accordance with the above-listed documents and for the unit prices for work in place for
the following items and quantities:
F.Y. 2019 BROCK 3RD ADDITION SANITARY SEWER EXTENSION
CONTRACT NO . 954
BID DESCRIPTION UNIT EST. QTY. UNIT BID TOTAL BID PRICE
ITEM BASE BID PRICE
001 MOBILIZATION L.S. L.S. $ $ O
002 CLEARING AND GRUBBING L.S . L.S , $ Z0 $ O bw-
003 SEED AND FERTILIZE IDOT URBAN MIX ACRES 2,0 $ .�C7 $ 55(amoci
004 MULCH (IDOT URBAN MIX ACRES 2.0 $ 13 VCK) $ atacczo
005 9" DIA. STRAW FILLED WATTLES L.F. 450 $ licic $
006 SILT FENCE FOR EROSION CONTROL) L. F. 1 ,350 $ ffi . 617 $
007 TRAFFIC CONTROL L.S . L.S . $ 5bo-oo $ Oa-OO
000 MAINTENANCE BOND, 2-YEAR L.S. L.S. $
FORM OF BID CONTRACT NO . 954 Page 1 of 4
009 SWPPP COMPLIANCE L.S. L.S . $ ancano $ d u6,00
REMOVE AND REPLACE EXISTING 24" HDPE
010 DRIVEWAY CULVERT L. F. 124 $ q a $
011 CLASS A ROADSTONE TONS 40 $ OB
101 SANITARY SEWER MANHOLE, STANDARD EACH 05m)'(90,190 $
102 SANITARY SEWER, 8-INCH DIA, L.F. 1678.2 $( gip $ aaI12569000
SANITARY SEWER, CASED CROSSING OF
103 SERGEANT ROAD L.S. L.S . $ $ yon=xo
104 SANITARY SEWER, CROSSING OF MARTIN ROAD L.S. L.S . $ $ 3moodO0
105 16" DIA. WATER MAIN LOWERING L.S. L.S . $ $ 15isfin•e
106 SANITARY SEWER INSULATION L.F. 32 $ qI0450 $ OW60
TOTAL BASE BID
2. It is understood that the quantities set forth are approximate only and subject to
variation and that the unit bid price for the work done shall govern in the actual
payment to Contractor.
3. In submitting this bid , the bidder understands that the right is reserved by the City
of Waterloo, Iowa, to reject any or all bids. If written notice of the acceptance of
this bid is mailed, telegraphed , or delivered to the undersigned within thirty (30)
days after the opening thereof, or at any time thereafter before this bid is
withdrawn, the undersigned agrees to execute and deliver an agreement in the
prescribed form and furnish the required bond and certificate of the insurance
within ten (10) days after the agreement is presented to him for signature, and
start work within ten ( 10) days after "Notice to Proceed" is issued .
4. Sec it in th um of , we, Dollars ($_
��D 76 in the forrrl of t is submitted herewith in
accordance with the INSTRUCTIONS O BIDDERS .
5 . Attached hereto is a Non-Collusion Affidavit of Prime Contractor.
FORM OF BID CONTRACT NO. 954 Page 2 of 4
6. Attached hereto is a Resident Bidder Certification ( � _.), or Non-Resident
Bidder Certification ( ). ( Mark one.)
T The bidder is prepared to submit a financial and experience statement upon
request.
8. The Prime Contractor and Subcontractor(s), which have performed an aggregate
of $ 10 ,000 .00 in work for the City in the current calendar year, are prepared to
submit an AAP or Update and an EOC, within ten (10) days of notification that the
bid submitted is lowest and acceptable.
9. The bidder has received the following Addendum or Addenda:
Addendum No. f Date I- rT� �
10. The bidder shall list the MBE/WBE subcontractor(s) , amount of subcontracts and
bid items on the City of Waterloo Minority and/or Women Business Pre-bid
Contact Information Form submitted with this Form of Bid or Proposal. The
apparent low Bidder shall submit a list of all other Subcontractor(s) to be used on
this Project to the City of Waterloo by 5 :00 p .m . the business day following the day
Bids on this Project are due along with the Non-Collusion Affidavits of 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.
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.
FORM OF BID CONTRACT NO . 954 Page 3 of 4
�e�UYpUIo� L°OV�vO ��/�
( Name of er) I (Date)
BY: Title ��-
Official Address: (Including Zip Code):
Aiww�� ziA 6?, aos
I . R. S . No . � 1 ~ 1 iai I
VW
FORM OF BID CONTRACT NO . 954 Page 4 of 4
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State ojz)L
)55
County of ) . 8VW,5
, being first duly sworn, deposes and says that:
1 . He is (Owner, Partner. Officer Representative or Agent) , of �
pkJl , 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. //nn�JJ
(Signed) �2t 46e
y
Title
Subscribed and sworn to before me thikay of J4`1
201$
TI
My commission expires .
CINDY BEHRENDS
' p � Commission Number 806939
Gq MyC m Exprn
< /A
Bidder Status Form
To be completed by all bidders Part A
Please answer "Yes" or "No" for each of the following:
[� Yes ❑ No My company is authorized to transact business in Iowa.
(To help you determine if your company is authorized, please review the worksheet on the next page).
)j Yes ❑ No My company has an office to transact business in Iowa.
Yes ❑ No My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail,
[� Yes ❑ No My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
[� Yes ❑ No 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 B 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: / / L 4 4 D to /Address: _ 1O M && � R02i
City, State, Zip: ,/`t
/6?&mig& Q baao i
Dates: / / to / / Address:
City, State, Zip:
Dates: / / to / / 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 ❑ Yes ❑ No
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.
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: y
Signature: Date:
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)
Worksheet: Authorization to Transact Business
This worksheet maybe used to help complete Part A of the Resident Bidder Status form. If at least one of the following
describes your business, you are authorized to transact business in Iowa.
WYes ❑ No My business is currently registered as a contractor with the Iowa Division of Labor.
❑ Yes ❑ No My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes.
❑ Yes ❑ No My business is a general partnership or joint venture. More than 50 percent of the general
partners orjoint venture parties are residents of Iowa for Iowa income tax purposes.
Yes ❑ No 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.
❑ Yes ❑ No 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.
❑ Yes ❑ No My business is a limited liability partnership which has filed a statement of qualification in this
state and the statement has not been canceled .
❑ Yes ❑ No 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.
❑ Yes ❑ No 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.
❑ Yes ❑ No My business is a limited partnership or a 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 has been approved and no notice of cancellation has been filed by the
limited partnership or the limited liability limited partnership.
❑ Yes ❑ No My business is a limited liability company whose certificate of organization is filed in Iowa and has
not filed a statement of termination.
❑ Yes ❑ No 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)
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