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Veracity Excavating, LLC
OP L C Lt LLL in a Ip_1, ;3 Sae 0 LLJ Pet' 0 1 1 1 40 • Lf ) ,a. 0LW �,� CN 1 LL EC t 4 LL CSI I.1,1 C J r • - (/) <r, Ca_ tie cv (11 i • Lae f Qj C serre G» 0 tie Jr r FORM OF BID OR PROPOSAL FY 2020 LEVEE TREE REMOVAL CONTRACT NO. 990 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 tm, a Partnership consisting of the following partners: rev, E'Jtvn ow 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 the City Engineer of the City of Waterloo 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 FY 2020 LEVEE TREE REMOVAL, Contract No. 990, all in accordance with the above -listed documents and for the unit prices for work in place for the following items and quantities: FORM OF BID CONTRACT NO. 990 Page 1 of 3 FY 2020 LEVEE TREE REMOVAL CONTRACT NO. 990 BID ITEM DESCRIPTION : UNIT ''. EST. QTY. 1 UNIT 'PRICE. BID . TOTAL BID PRICE 1 MOBILIZATION LS 1.00 $ 3 noo '• $ acne .0-3 2 CLEARING AND GRUBBING ACRE 2.40 $ -, .100.7s= cy,�' 3 CLEARING AND GRUBBING, LILAC BUSH EA 1.00 _ $ 5.00 $ s o Jw 4 CLEARING AND GRUBBING, 10 INCH WALNUT EA 1.00 $ iv`.‘42.... $ /owJ^ 5 CLEARING AND GRUBBING, 18 INCH WALNUT EA 1.00 $ '—= $ ipt fit? 6 CLEARING AND GRUBBING, 36 INCH ELM EA 1.00 $4 ". $ 0:00 7 CLEARING AND GRUBBING, 46 INCH ELM EA 1.00 $s Rein `"`' .=, $ 3S-00 8 CLEARING AND GRUBBING, CUT AND SPRAY ACRE 0.41 $jot 5'oasa3 $ /a$I 0,� 9 SEEDING, FERTILIZING, AND MULCHING ACRE 2.40 $ 3A$ $ 7Sb= 10 TRAFFIC CONTROL LS 1.00 $ rsco-®' $ l$Q aa TOTAL BID $ q5\ 4C'C'm FORM OF BID CONTRACT NO. 990 Page 1 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. lJC LLC la 7 19 (Name of Bidder) - (Date) BY: Scs:,n Title Official Address: (Including Zip Code): 1 , IA rten o 5-0 4..5- / LA,P0 C,��-� Z- • I.R.S. No. b—LALs, FORM OF BID CONTRACT NO. 990 Page 3 of 3 NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of `TTV WC& County of Sct Sem He is )ss being first duly sworn, deposes and says that: Partner Officer Re.resentative or A. en of the Bidder that has submitted the attached Bid; He is fully informer respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; Such Bid is genuine and is not a collusive or sham Bid; 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 The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful a ement on the part of the Bidder or any of its agents, representatives, owners, emplo s, or par iss-rr ter. t, including this affiant (S2drae& Vtle-Y. - Title SAsscriged amd sworn to before e this f��iiJ�/ 201 07 fumcc My commission expires 9 trc/09 day of T 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). ® 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. 10 Yes 0 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' / aS I y to Qrcsvp.. Address: City, State, Zip: Las Pc.el c CCi•r XA 90 G. s / 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 ❑ force preferences or any other type of preference to bidders or laborers? Yes ■ No 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: U. \1" EFI C -N Signature: _ Date: /0 9 You must bmit 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) SUBCONTRACTOR S BID REQUEST FORM PRIME BIDDER'S LETTERHEAD Contrac No.: Letting D. e: I (subcontra tor's name), hereby attest that I have been solicited fqf a bid on (project name in the area of (description of work and bid item no. . (Prime contractor) . s informed me that if I am interested in b'dding, a subcontracting bid p 'posal must be submitted to the comp y office by (date) and (time). Siibcontractor's Company Name i Date Subcontractor's Signature Date Prime Bidder's Signature Bond No. 7220563 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Veracity Excavating LLC as Principal, and WESTERN SURETY COMPANY 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 Dollars ($ 5% ) lawful money of the United States, for the payment of which sum will and truly be made, we bind ouresives, 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 day of , 20 , for FY2020 Levee Tree Removal; Contract No. 990 NOW, THEREFORE, (a) If said Bid shall be refected, 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 arty 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 same to be hereto affixed and these presents to be signed by their proper officers this 10th day of October , A Q. 207 9 . Veracity Excavating LLC Witness Witness Prind I WES 1 ERN SURETY COMPANY (Seal) Surety BY Y Att ey-in-fact MATTHEW J ARENHOLZ w (Seal) (Title) Western Surety Company POWER OF ATTORNEY - CERTIFIED COPY Bond No 72205673 Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the laws of the State of South Dakota, and having its principal office in Sioux Falls, South Dakota (the "Company"), does by these presents make, constitute and appoint MATTHEW J ARENHOLZ its true and lawful attorney(s)-in-faet, with full power and authority hereby conferred, to execute, acknowledge and deliver for and on its behalf as Surety, bonds for: Principal: Veracity Excavating LLC Obligee: City of Waterloo Amount: $1, 000, 000.00 and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Vice President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said attorney(s)-in-fact may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety Company which remains in full force and effect. "Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." If Bond No. 72205673s not issued on or before midnight of authority conferred in this Power of Attorneyshall expire and terminate. I -v. cornQi'a1Td-be U ix:'--s3-€r s ._-�.a' s ; = WEST SURELY COMPANY Sir2netREsot?ril,I PA COIIN#'•'tA rTAHA On this 10th day of October in the year 2019 ,before me, a notary public, personally appeared Paul T Bruflat vho being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act and deed of said corporation. +½.,½,%I�.+ s J. MOHR _ $ NOTARY PUBLIC £ SEAL to i& SOUTH DAKOTA - _ s +m.eayyeeyyyarov,SbaFawvaaa + My Commission Expires June 23, 2021 I the undersigned officer of Western Surety Company a stock corporation of the State of South Dakota, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable, and furthermore, that Section 7 of the bylaws of the Company as set forth in the Power of Attorney is now in force. In testimony whereof, I have hereunto set my hand and seal of Western Surety Company this 10th day of October 2019 January 10, 2020 Western Surety Company has caused these presents to be signed by its Vice President, Paul T. Bruflat, and its his 10th day of October 2019 SS Paul T $ruflat, Vice President %d h/t...) Notary Public - South Dakota WEST SURECOMPANY Paul T. Xrufiat Vice President To validate bond authenticity, go to www.cnasurety.com > Owner/Obligee Services > Validate Bond Coverage. Form F5306-10-2017