HomeMy WebLinkAboutElite Fire and Sprinkler System(.:1? OF WA T ERLOZJ
11,,,r.ERK'S OFFICE
•
2019FtMi2:C'2° _:;_�;
Elite Fire Sprinkler Systems
1355 Sherman Road, Suite 100
Hiawatha, IA 52233
PROPOSAL
Riverloop Public Market Fire Suppression for
the City of Waterloo, IA
THIS DOCUMENT HAS COLORED INK ON WHITE PAPER, N %ICROPRINTING AND A WATERMARK - HOLD UP TO LIGHT TO VIEW WATERMARK.
IaCdOONIMUNITY
COLLINS
CREDIT UNION"
P.O. BOX 10500
1150 42ND ST NE
CEDAR RAPIDS, IOWA 52410-0500
CHECK NO.
32056
Pay Two Thousand Two Hundred Ninety -c e and 00/100 Dollars**********
Pay to the
Order of Treasurer of the City of Waterloo
Memo
-7294/2739
DATE '
06/26/201,
AMOUNT
*******2,295.00
COLLINS COMMUNITY CREDIT UNION
OFFICIAL CHECK
A 90 day waiting period and the purchase of an Indemnity Bond will
be required before any Official Check of this Credit Union will be
replaced or refunded in the event it is lost, misplaced, or stolen.
AU-IORIZED REPRESENTATIVE
00 3 20 560 1: 2? 39 7 2911191: 600000000 L 211'
CITY OF Wf TER OO
CITY CLERK'S OFFICE
IN
2019 2:49:33
Elite Fire Sprinkler Systems
1355 Sherman Road, Suite 100
Hiawatha, IA 52233
BID SECURITY
Riverloop Public Markey Fire Suppression for
the City of Waterloo, Iowa
FORM OF PROPOSAL
GENERAL SPRINKLER CONTRACT
1. SUBMITTED TO: CITY OF WATERLOO
2. SUBMITTED BY: Et+e Fire S f; Attie( SrfesiS
3. PROJECT: RIVERLOOP PUBLIC MARKET FIRE SUPPRESSION
FOR THE CITY OF WATERLOO, IOWA
4. DOCUMENTS: A. Advertisement to Bid.
B. Instructions and Supplementary Instructions to Bidders.
C. General and Supplementary General Conditions.
D. Proposal Bid Form properly executed with Bid Security and/or other
Supplementary Forms.
E. Plans and Specifications.
F. Addendum No. Dated
Addendum No. Dated
Addendum No. Dated
Addendum No. Dated
(Contractor to insert number of each Addendum received)
5. AGREEMENTS: In submitting this proposal, the Contractor agrees to the following stipulations
A. Contract date will be on or after the bidding date, and Contractor will be required to hold valid all terms
of the proposal.
B. The requirements of the Instructions to Bidders will be adhered to.
C. If the undersigned be notified of the acceptance of this proposal, he/she agrees to execute a contract for
the above work, for the below stated compensation in the form prescribed in Article 8.1 of the
Supplementary Instructions to Bidders.
D. The work will be accomplished in accord with the contract documents.
E. The and signed agrees, if awarded the contract, to have the work substantially completed on or before
the /5 day ofSet w2019. (Contractor to insert completion date)
F. The undersigned agrees, if awarded the contract and required by Article 7 to execute and deliver to the
Owner prior to the signing of the agreement, a satisfactory bond in the form set out in Paragraph 7.3 of
the Supplementary Instructions to Bidders.
G. To include in the bid all other taxes lawfully assessed against the Contractor or company in connection
with the work Included hetein. SEE: SUPPLEMENTARY GENERAL CONDITIONS 3.6.1. TAXES
6. PROPOSAL
Having carefully examined the contract documents as well as the premises and conditions affecting the work, the
undersigned hereby proposes to furnish all labor and materials to complete the general contract requirements of the
project in accordance with said documents for the sum of:
/let /tell
60
DOLLARS ($ qJ, 7D6 )
BASIS BID**
(**Basis Bid to include Cotingency Allowance, see Section 012100 Allowances)
Contractor initial here
acknowledging allowances are included hi Basis Bid
Form of Proposal - General Sprinkler Contract (Continued)
Respectfully Submitted,
PERSON, FIRM OR CORPORATION BIDDER
FIRM: Eir
i f e. 1(1 Y1 1 Sy4e wI.S
BY: I i►' lr es(k eh I
SignaturTitl
BY: SCK )()L,t vl (Ores; eli
Print/Type above naki e / Title
DATE:
ADDRESS l:
ADDRESS 2:
CITY, STATE, ZIP:
PHONE:
FAX:
EMAIL:
0/Micr
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SuHe /00
{G w�af,c,, _rG4 522.3
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Bidder Status Form
To be completed by all bidders
Part A
Please answer "Yes" or "No" for each of the following:
[Yes No
TAYes ❑ No
ZLYes ❑ No
❑
Yes t No
laYes ❑ 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).
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. .Z1 bus ih,ess , n wa ph'yi s inc e Juh t /(p tt 201 g
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 IoOtPS
a during the
past 3 years at the following addresses:
Dates: CP / ` / %11 to `�--�3'�� Address' /255 shot -man -20w , .SU :-f e 160
Dates:
to /
Dates: — / / to
You may attach additional sheet(s) if needed.
City, State, Zip. ci w+Aa / t iA 5 tZ33
Address'
City, State, Zip.
Address'
City, State, Zip:
To be completed by non-resident bidders Part C
to 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.
Yes l I No
You may attach additional sheet(s) if needed.
To be completed by all bidders
Part D
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: Ft -ft I ' !'' S1p;t k(er Syc/ehis
Signature: � `' '� Date•
6/277/9
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 may be 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.
12CYes ❑ No My business is currently registered as a contractor with the Iowa Division of Labor.
Yes [ to
My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes.
Yes It No 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.
Yes 3: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 'INo 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 la 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 14.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.
YesNo
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 EiNo 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)