The URL can be used to link to this page

Home My WebLink AboutDave Schmitt Construction Co., Inc.• CONSTRUCTION CO. INC. 250 50m AVE. B.W. CEDAR RAPIDS, IowA 52404 (319) 365-8669 FAx (319) 365-2677 SEWER • TRUCKING • EXCAVATION • WATER • GRADING • DEMOLITION To: 13 r t elm 1.. K- - ^`ff cci, .60D gz›A1(D 1t/7/1q Poopith • CONSTRUCTION CO. INC. 250 50TH AVE. S.W. CEDAR RAPIDS, IowA 52404 (319) 365-8669 FAx (319) 365-2677 SEWER • TRUCKING • EXCAVATION • WATER • GRADING • DEMOLT "ION Kuhl C. f< - - c 5*. SW ?K o P°5/44- 95/4 °Sim-- FORM OF BID OR PROPOSAL DRY RUN CREEK INTERCEPTOR CONTRACT NO. 877 CITY OF WATERLOO, IOWA Honorable Mayor and City Council Waterloo, Iowa Gentlemen: Revised Per Addendum #4 - 11/01/2019 The undersigned, being a Corporation existing under the laws of the State of Macao-, a Partnership consisting of the following partners:,. Scjn.,, tl, Cc .rtnuc is od.. , 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 DRY RUN CREEK INTERCEPTOR, CITY CONTRACT NO. 877, all in accordance with the above -listed documents and for the unit prices for work in place for the following items and quantities: DRY RUN CREEK INTERCEPTOR Item No. Description Unit Estimated Quantic Unit Price Total Price 1 Mobilization LS 1.0 $ (4-P5CCS Cf_ $ 1 -- 000." 2 Traffic Control LS 1.0 $ 7566. o b $ 75-6-t, c o 3 Clearing and Grubbing LS 1.0 $ / cilli. $ 15 1(4. on 5. o 4 Existing Pump Vault, Valve Vault and Equalization Tank Removal LS 1.0 /`1.S 5 33, ao $ / `f75 33, a a 5 Import Fill for Lift Station Site CY 254.8 $ 7(fr. -1 o $ 4 37, am 6 Import Fill for Trench Removals CY 5,800.0 $ /5.23.0 $ I/ G K n. ao 7 Lift Station Wet Well and Valve Vault LS 1.0 $ qYq Jto. 60 $ VY/ vile. c.c. 8 Electrical Equipment Building LS 1.0 $$ (4�(.t�.o® l4'd.41A.0.�. 9 Site Electrical LS 1.0 $ /5060, 4C` $ /5 ooa . a a 10 Stand -By Generator LS 1.0 $ 10, QU, J70 t tt 7 too _ 00 11 Metering Manhole LS 1.0 $ .31 'r 0 ,v� $ 1/43/4130. ti 12 Air Release Manhole LS 1.0 $c/ 3)27.C+ $ a (Vac, 67 13 Retaining Wall LS 1.0 $ /6S;.00, a a $ t 35aaa . a 14 Unclassified Material (Removal of Rippable Rock) CY 2,500 $9. 7 0 $ciq 7Sa, d a 15 Foundation Rock TON 82.0 $ n 7 $ /c' ct 3 Y 4 16 Trench Compaction Testing LS 1.0 $ Cla $ a FORM OF BID AECOM #60330823 (2019) CONTRACT NO. 877 FB -1 OF 4 DRY RUN CREEK INTERCEPTOR Revised Per Addendum #4 -11/01/2019 DRY RUN CREEK INTERCEPTOR Item No. Description Unit LF Estimated Quantity 215.0 Unit Price $ gyp. o O Total Price $ mai sea. d CI 17 _ Abandon and Plug 8 -Inch Sanitary Sewer 18 Sanitary Sewer Force Main Testing LS 1.0 $ 814,/a, et. $ g6 t Or esa 19 Cleaning, Inspection and Testing of Sanitary Sewer Gravity Mains LS 1.0 $ 3l 7GS- c0 $ 3t 24,ti. a o 20 24 -Inch Sanitary Sewer Gravity Main - Open Cut LF 5,178.7 $ 7v. o $ t47 as, .i 4 21 24 -Inch Sanitary Sewer Gravity Main - Directional Drilling LF 754.9 $ 4 $ i S pi Lice. Y c • 22 20 -Inch Sanitary Sewer Gravity Main Ductile Iron - Open Cut LF 92.0 $ 2. scs $ dt GGG. as 23 18 -Inch Sanitary Sewer Gravity Main - Open Cut LF 2,399.2 $ 4c, So $ 159 ,5*y`. ?a 24 12 -Inch Sanitary Sewer Force Main - Directional Drilling LF 524.0 $ /". `C' $ /63 )35,�e 25 12 -Inch Sanitary Sewer Force Main - Open Cut LF 1,958.0 $ ? c. 7 0 $ /Sep / 6$.,) . LQ 26 8 -Inch Sanitary Sewer Gravity Main - Open Cut LF 43.0 $ 13;" a $ 3511. / 0 . 27 6 -Inch Sanitary Sewer Gravity Main Ductile Iron - Open Cut LF 15.0 $ lir . So $ dd7' 1. 3.6 28 30 -Inch Steel Casing, With 18 -Inch Sanitary Sewer Gravity Main LF 235.0 $ zin$. s"o $ nit WI ), co 29 24 -Inch Steel Casing, With 12 -Inch Sanitary Sewer Force Main LF 196.0 $ stn. S(, $ !07 w.f. ab 30 Force Main Fittings LBS 655.0 $ (4 to $ 7a)c-ci. 31 48 -Inch Manhole Replacement EA 2.0 $ Tri 7. (1b $ 17 .8.34..0„=„ 32 72 -Inch Manhole Replacement EA 1.0 $ 1707. a z_ $ /$47 ). cis. 33 48 -Inch Manhole EA 28.0 $ 4116 .6 $ / 7, goof as 34 24 -Inch Circular Area Intake - SW -512, With SW -604, Type 3B EA 1.0 $ «3f, 6 d $ (Q 3,16. a4 35 Connection to Existing Sanitary Manhole EA 4.0 $ )(..,lie. a a $ It> SIG , o o 36 8 -Inch Drop Connection EA 1.0 $ 3gaa.6Q $ 35rta.O.Q. 37 24 -Inch RCP Storm Sewer LF 20.0 $ iai ,QA $ ?4,41.4. a o 38 24 -Inch RCP Apron EA 1.0 $d � AY -7. a $ 34 77.cci 39 18 -Inch RCP Storm Sewer LF 20.0 $ rg, 7a $ / 77 Y. Q a 40 18 -Inch RCP Apron EA 2.0 $ X." O 6 $ s), CS. clic 41 12 -Inch RCP Storm Sewer LF 32.0 $ En. a o $ 2 e`t 1, 4 a 42 12 -Inch RCP Apron p EA 1.0 $ ayQo.a o $ alyq a. as 43 Drain Tile Replacement LF 80.0 $ Si. i 0 $ 1776.4c FORM OF BID AECOM #60330823 (2019) CONTRACT NO. 877 FB -2 OF 4 DRY RUN CREEK INTERCEPTOR IUeve;ecl Ler Addendum ;;`/', I1U01120IU DRY RUN CREEK INTERCEPTOR Item No. Descri.tion Unit Estimated Quantity Unit Price $ / 6,d o Total Price $ '17 J41 4 w a4==b 44 6 -Inch PCC Pavement SY 477.0 45 8 -Inch PCC Pavement SY 130.0 $ /46, a o $ 13 o i d. +S c, 46 8 -Inch HMA Pavement SY 71.0 $ /4,4o $ aitch -a.. 4 o 47 Gravel Surfacing SY 198.0 $ )3 .$c) $ '1 70 • d 48 Crushed Stone - Class "A" SY 477.0 $ )o, s• -•z. $ 117 g • so 49 Pavement Removal SY 201.0 $ n.4 6 $ 1344. , G o 50 Seeding, Fertilizing and Mulching for Hydraulic -Yp e 1 Seed Mix Seeding T AC 6.1 $ ��• o v $ ?c../ no,. ao 51 Seeding, Fertilizing and Mulching for Hydraulic Seeding - Type 2 Seed Mix AC 5.7 $ 3B6b, a o$ diG G o - o( 52 Seeding, Fertilizing and Mulching for Hydraulic Seeding - Type 4 Seed Mix AC 6.1 $ )000/0e $ /4))-00-0C1 53 Seeding, Fertilizing and Mulching for Hydraulic Seeding - Type 5 Seed Mix AC 5.7 $ , ate, va $ i/9 d , d< 54 Erosion Stone SY 240.0 $ 4/5• y < $ inn. a a 55 Silt Fence LF 6,700.0 $ a 00 . $ 1pyc$6•ad 56 Temporary Rolled Erosion Control Products (RECP) SY 51,860.0 $ 6. 55-- $ c225 s� 3, cwa 57 SW PPP Requirements LS 1.0 $ ?.> clock *to $ taeX. aA Y. C& 58 6 -Foot Chain -Link Fence LF 233.0 $ 2ct. 3 $ 43,416 59 24 -Foot Chain -Link Gate EA 2.0 $ t, IQ °a $ 23.8.0 o� 60 Texas St. Lift Station Generator LS 1.0 rA 6'1 Rock Uxcavation CY 1,500 $ Cc •ga $ /clod) a4. tit, TOTAL BID AMOUNT $ $ lat a aa. S 75 j 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. FORM OF BID CONTRACT NO. 877 FB -3 OF 4 AECOM #60330823 (2019) DRY RUN CREEK INTERCEPTOR Revised Per Addendum #4 -11/01/2019 4. Security in the sum of 518.7t, 9 9 at, ari* b s Dollars ($ in the form of R ,, Aha , 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 the Bidder Status Form indicating Resident Bidder Certification ( ), 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 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. l: Date 1A5%► (O/06 f 1A 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. cD044t SLa. Cul sirec. , eTh I OA (Name of Bidde (Date) BY: C Official Address: (Including Zip Code): ?5c 45 -t s•••) Title v U I.R.S. No. LIA o $ i c•3 8 FORM OF BID CONTRACT NO. 877 FB -4 OF 4 AECOM #60330823 (2019) DRY RUN CREEK INTERCEPTOR Bidder Status Form To be completed by all bidders Part A Please answer "Yes" or "No" for each of the following: 13 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. Et' 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: / / Y1(.'( to / / . , Address: 2 5 4 ‘6 t -E, Auc. SLJ City, State, Zip. C•444' gar.) c r-1_.o:..ii. 5 3 `r d ti 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? 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 INo 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: atot 5ta�os • C Date: /1/7/11 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) Worksheets 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. 0 Yes IN 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 or joint 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 f 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 Ill. No My business is a limited liability partnership which has filed a statement of qualification in this Yes It No 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. Yes LJ 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 nNo 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 (N 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 ViNo 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) BSF-2 Page 2 Attachment 1 SRF Required Front -End Specifications (This form must be completed and signed by Prime Contractor and submitted with the bid.) U.S. Environmental Protection Agency Certification of Non -Segregated Facilities SRF STATE REVOLVING FUND (Applicable to contracts, subcontracts, and agreements with applicants who are themselves performing Federally assisted construction contracts, exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause.) By the submission of this bid, the bidder, offeror, applicant, or subcontractor certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. He certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The bidder, offeror, applicant, or subcontractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking Tots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color or national original, because of habit, local custom, or otherwise. He further agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause; that he will retain such certifications in his files; and that he will forward the following notice to such proposed subcontractors (except where the proposed subcontractors have submitted identical certifications for specific time periods): NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENT FOR CERTIFICATIONS OF NON -SEGREGATED FACILITIES A Certification of Non -segregated Facilities, as required by the May 9, 1967, order (33 F.R. 7808, May 28, 1968) on Elimination of Segregated Facilities, by the Secretary of Labor, must be submitted prior to the award of a subcontract exceeding $10,000 which is not exempt from the provisions of the Equal Opportunity clause. The certification may be submitted either for each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually, or annually). Signature J4osJ- Name ch and Title of Signer (Please Type) V7// ? Date Z(41 NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001. EPA -7 5720-4.2 INVESTING IN IOWA'S WATER /)A;i\A/ 1OWElSFf.com May 2015 Page 3 Attachment 2 SRF Required Front -End Specifications (This form must be completed and signed by the Prime Contractor and submitted with the bid.) Debarments and Suspensions Any bidder or equipment supplier whose firm or affiliate is listed in on the U.S. General REVOLVING FUND Services Administration Excluded Parties List System web site at http //www.epls.gov/ will be prohibited from the bidding process. Anyone submitting a bid who is listed on this web site will be determined to be a non-responsive bidder in accordance with 40 CFR Part 31. SRF STATE United States Environmental Protection Agency Washington, DC 20460 Certification Regarding Debarment, Suspension, and Other Responsibility Matters The prospective participant certifies to the best of its knowledge and belief that it and the principals: (a) Are not presently debarred, suspended, proposed for debarment declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission o f fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction: violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and (d) Have not within a three-year period preceding this application/proposal had one or more public transaction s (Federal, State, or local) terminated or cause or default. understand that a false statement on this certification may be ground for rejection of this proposal or termination of the award. In addition, under 18 U SC Sec. 10 01, a false statement ma y result in a fine of up to $10,000 or imprisonment for up to 5 years, or both. Eti,„ ILA. Li geAsse c• -k" Ian a na-4e."--- Typed Name & Title of Authorized Representative 1-ck Signature of Authorized Representative Date 1 am unable to certify to the above statements. My explanation is attached. EPA Form 5700-49 (11-88) INVESTING IN IOWA'S WATER www.iowasrf.com May 2015 Page 4 Attachment 3 SRF Required Front -End Specifications (This form must be completed and signed by Prime Contractor and submitted with the bid.) Disadvantaged Business Enterprise (DBE) Solicitation SRF STATE REVOLVING FUND It is EPA's policy that recipients of EPA financial assistance through the State Revolving Fund programs award a "fair share" of subagreements to small, minority and women -owned businesses, collectively know as Disadvantaged Business Enterprises (DBEs). Iowa's Fair Share goals are: Only work performed by certified DBEs can be counted toward the goals. In Iowa, DBEs must be certified through the Iowa Department of Transportation (IDOT). Information on certification requirements and a list of certified DBEs is on the IDOT website at http://www.iowadot.gov/contracts/contracts eeoaa.htm. Prime contractors' DBE requirements for SRF projects include: • Taking affirmative steps for DBE participation • Documenting the efforts and the proposed utilization of certified DBEs PROJECT INFORMATION SRF Applicant Minority -Owned Business Enterprise (MBE) Goal Women -Owned Business Enterprise (WBE) Goal Construction 1.7% 2.2% Supplies 0.6% 5.6% Services 2.5% 11.3% Goods/Equipment 2.5% 10.4% Average 1.8% 7.4% Only work performed by certified DBEs can be counted toward the goals. In Iowa, DBEs must be certified through the Iowa Department of Transportation (IDOT). Information on certification requirements and a list of certified DBEs is on the IDOT website at http://www.iowadot.gov/contracts/contracts eeoaa.htm. Prime contractors' DBE requirements for SRF projects include: • Taking affirmative steps for DBE participation • Documenting the efforts and the proposed utilization of certified DBEs PROJECT INFORMATION SRF Applicant c ik. e.9- Ucticr't Bidder: 110 C Address: )&b 5t 44- frat sco Contact Person: Bt.i... los rat-. Signature: Kat- 1 J1— Phone Number: 3 « acs s`6 q E -Mail Address: btu, 4a,acsQk41 I ft 6&Ns-t-ro`.--1/4-‘a.., . C4/1-• Check if Prime Contractor is: ❑ Mincrity-Owned ❑ Women -Owned INVESTING IN IOWA'S WATER wVV\n/.iowasr[.com May 2015 Page 5 GOOD FAITH EFFORTS CHECKLIST Please complete the checklist to determine if you have complied with the requirement to make good faith efforts to ensure that certified DBEs have the opportunity to compete for procurements funded by EPA financial assistance funds. Bidders/offerers must make good faith efforts prior to submission of bids/proposals. 1. Did you ensure that DBEs are made aware of contracting opportunities to the fullest extent practicable through outreach and recruitment activities? (c Yes No SRF STATE REVOLVING FUND 2. Did you make information on forthcoming opportunities available to DBEs and arrange time frames for contracts and establish delivery schedules, where the requirements permit, in a way that encourages and facilitates participation by DBEs in the competitive process? This includes, whenever possible, posting solicitation for bids or proposals for a minimum of 30 calendar days before the bid or proposal closing date. ><: Yes No 3. Did you consider in the contracting process whether firms competing for large contracts could subcontract with DBEs? This will include dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by DBEs in the competitive process. Yes No 4. Did you encourage contracting with a consortium of DBEs when a contract is too large for one of these firms to handle individually? :1 Yes ❑ No 5. Did you use the services of the Small Business Administration and the Minority Business Development Agency of the Department of Commerce to identify potential subcontractors? Yes No 6. List the potential DBE subcontractors that were contacted. Only list those that are certified through the Iowa Department of Transportation. Name How Contacted (e.g. letter, phone call, fax, e-mail) Response (e.g. did not respond, not interested, not competitive) R soW a {f /4 Tis., --c,; r. 3..#j 11fr a f li /UD 6Sfi S G 1.-v,dt Ivnist /up 7- G ar+ps-7i o C Ba PC- AQ -4= 0 itku est Gselbr"4-5 affgAfv gL'4 No /nom s g PLL s 4 4cy Raps., 616.,, 64.1eLi aza w K FQ N o A<85 Pard s c 1-tk,Yscr Loc+s MQ Pr i Pcze Na op2.6Spael Si PROPOSED UTILIZATION OF DBE SUBCONTRACTORS Please include Attachments 4 and 5 to document the proposed utilization of certified DBE subcontractors. INVESTING IN IOWA'S WATER wvw w.iowasri.co17m May 2015 Page 6 CONTRACT ADMINISTRATION PROVISIONS Several contract provisions are required to prevent unfair practices that adversely affect DBEs. These include: 1. Prime Contractor must pay its Subcontractor for satisfactory performance no more than 30 days from the Prime Contractor's receipt of payment from the SRF loan recipient. SRF STATE REVOLVING FUND 2. Prime Contractor must notify the SRF loan recipient in writing prior to termination of a DBE subcontractor for convenience. 3. Prime Contractor must employ the six Good Faith Efforts to solicit a replacement subcontractor if a DBE subcontractor fails to complete work under a subcontract for any reason. INVESTING IN IOWA'S WATER www.iowasrf.com May 2015 Page 7 Attachment 4 SRF Required Front=End Specifications (This form must be completed and signed by Prime and DBE Subcontractor for each subcontract and submitted with the bid.) NI& SRF STATE REVOLVING FUND OMB Control No: 2090-0030 Approved 8/13/2013 Approval Expires 8/31/2015 United States Environmental Protection Agency Disadvantaged Business Enterprise Program DBE Subcontractor Performance Form This form is intended to capture the DBE1 subcontractor's2 description of work to be performed and the price of the work submitted to the prime contractor. An EPA Financial Assistance Agreement recipient must require its prime contractor to have its DBE subcontractors complete this form and include all completed forms in the prime contractor's bid or proposal package. 'A DBE is a Disadvantaged, Minority, or Woman Business Enterprise that has been certified by an entity from which EPA accepts certification as described in 40 CFR 33.204-33.205 or certified by EPA. EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. EPA Form 6100-3 (DBE Subcontractor Performance Form) — Page 1 INVESTING IN IOWA'S WATER W4''lw.iowasrf.coni May 2015 Subcontractor Name Project Name Bid/Proposal No. Assistance Agreement ID No. (if known) Point of Contact Address Telephone No. Email Address Prime Contractor Name Issuing/Funding Entity Contract Item Number Description of Work Submitted to the Prime Contractor Involving Construction, Services, Equipment or Supplies Price of Work Submitted to the Prime Contractor DBE Certified by Other: DOT SBA Meets/exceeds EPA certification YES NO standards? Unknown 'A DBE is a Disadvantaged, Minority, or Woman Business Enterprise that has been certified by an entity from which EPA accepts certification as described in 40 CFR 33.204-33.205 or certified by EPA. EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. EPA Form 6100-3 (DBE Subcontractor Performance Form) — Page 1 INVESTING IN IOWA'S WATER W4''lw.iowasrf.coni May 2015 Page 8 SRF STATE REVOLVING FUND OMB Control No: 2090-0030 Approved 8/13/2013 Approval Expires 8/31/2015 United States Environmental Protection Agency Disadvantaged Business Enterprise Program DBE Subcontractor Performance Form certify under penalty of perjury that the forgoing statements are true and correct. Signing this form does not signify a commitment to utilize the subcontractors above. I am aware of that in the event of a replacement of a subcontractor, I will adhere to the replacement requirements set forth in 40 CFR Part 33 Section 33.302 (c). The public reporting and recordkeeping burden for this collection of information is estimated to average three (3) hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. EPA Form 6100-3 (DBE Subcontractor Performance Form) — Page 2 INVESTING IN IOWA'S WATER www.iowasrf.coni May 2015 Prime Contractor Signature Print Name Title Date The public reporting and recordkeeping burden for this collection of information is estimated to average three (3) hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. EPA Form 6100-3 (DBE Subcontractor Performance Form) — Page 2 INVESTING IN IOWA'S WATER www.iowasrf.coni May 2015 Subcontractor Signature Print Name Title Date The public reporting and recordkeeping burden for this collection of information is estimated to average three (3) hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. EPA Form 6100-3 (DBE Subcontractor Performance Form) — Page 2 INVESTING IN IOWA'S WATER www.iowasrf.coni May 2015 Page 9 Attachment 5 SRF Required Front -End Specifications (This form must be completed and signed by Prime Contractor and sub with the bid if utilizing DBE subcontractors.) SRF STATE REVOLVING FUND OMB Control No: 2090-0030 Approved 8/13/2013 Approval Expires 8/31/2015 United States Environmental Protection Agency Disadvantaged Business Enterprise Program DBE Subcontractor Utilization Form This form is intended to capture the prime contractor's actual and/or intended use of identified certified DBE1 subcontractors2 and the estimated dollar amount of each subcontract. An EPA Financial Assistance Agreement Recipient must require its prime contractors to complete this form and include it in the bid or proposal package. Prime contractors should also maintain a copy of this form on file. Continue on back if needed 1A DBE is a Disadvantaged, Minority, or Woman Business Enterprise that has been certified by an entity from which EPA accepts certification as described in 40 CFR 33 204-33.205 or certified by EPA. EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. EPA Form 6100-4 (DBE Subcontractor Utilization Form) — Page 1 INVESTING IN IOWA'S WATER w\ww,iowasrf.coni May 2015 Prime Contractor Name Project Name Bid/Proposal No. Assistance Agreement ID No. (if known) Point of Contact Address Telephone No. Email Address Issuing/Funding Entity I have identified potential DBE certified subcontractors If yes, please complete the table below. If no, please explain: YES NO Subcontractor Name/Company Name Company Address/Phone/Email Estimated Dollar Amount Currently DBE Certified? Continue on back if needed 1A DBE is a Disadvantaged, Minority, or Woman Business Enterprise that has been certified by an entity from which EPA accepts certification as described in 40 CFR 33 204-33.205 or certified by EPA. EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. EPA Form 6100-4 (DBE Subcontractor Utilization Form) — Page 1 INVESTING IN IOWA'S WATER w\ww,iowasrf.coni May 2015 Page 10 SRF STATE REVOLVING FUND OMB Control No: 2090-0030 Approved 8/13/2013 Approval Expires 8/31/2015 United States Environmental Protection Agency Disadvantaged Business Enterprise Program DBE Subcontractor Utilization Form I certify under penalty of perjury that the forgoing statements are true and correct. Signing this form does not signify a commitment to utilize the subcontractors above. I am aware of that in the event of a replacement of a subcontractor, I will adhere to the replacement requirements set forth in 40 CFR Part 33 Section 33.302 (c). Prime Contractor Signature Print Name grt^ (17.)71 a, froCc- LN Title Date P r 03e, csePleAvia G (AO 7 The public reporting and recordkeeping burden for this collection of information is estimated to average three (3) hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. EPA Form 6100-4 (DBE Subcontractor Utilization Form) — Page 2 INVESTING IN IOWA'S WATER ww\4'.iowasrf.com May 2015 NONCOLLUSION AFFIDAVIT OF PRIME BIDDER State of ` —) County of L-14' ss PAL 04, t , being first duly sworn, deposes and says that: 1 He is (Owner, Partner, Officer 'R p entative)or Agent) of ()sae_ 5,4" w 4•cfrgcetae 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 par res in interest, including this affiant. 74(/ (Signed) A Title Subscribed and sworn to before me this /`' 'day of %Uvvc t , 20__`; My commission expires Yr S-JA2o NON -COLLUSION AFFIDAVITS AECOM #0330823 (2019) • Title qP��A� JOSH PLEIN 4 - Commission Number 751573 My Commission Expires March 5, 2020 CONTRACT NO. 877 NCA -1 OF 2 DRY RUN CREEK INTERCEPTOR Quotes Received Quotation used in bid MBE/WBE Subcontractors Dates Contacted Yes/No Dates Contacted Yes/No Dollar Amount Proposed to be Subcontracted LK it{ it* Lk.i, 11 4 /il N PRI it - -. Pi ta444- Noes r Adu4.ccd s'racic ceHie4 ( il/i-( i i P OIL Aid t,4-- 0,,fracebeS OA q 1 0 Mikiut� eft 0/44 1 �i MBE/WBE BUSINESS ENTERPRISE PRE-BID CONTACT INFORMATION FORM Prime Contractor Name. Nbot &In A- Coir, i le c --Project: bei -4 ?► C,« r Z'V '"tee Letting Date: Uel 111 % NO MBE/WBE 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 Contractor Signature: L kbollest Title: tic ' -^mt/ Date: n 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 Compliance 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 MBE/WBE 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 Louis Starks, Contract Compliance Officer, for assistance at (319) 291-4429. In the event it is determined that the MBE/WBE 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 MBE/WBE BUSINESS ENTERPRISE CONTACTS (Form CCO-4) Rev. 06-20-02 MBE/WBE PARTICIPATION AECOM #60330823 (2019) CONTRACT NO. 877 MBE -6 OF 6 DRY RUN CREEK INTERCEPTOR BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Dave Schmitt Construction Co., Inc. as Principal, and United Fire & Casualty 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 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 7th day of November , 20 19 , for Dry Run Creek Interceptor, City of Waterloo, IA; Contract No. 877 • 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 pres- ents to be signed by their proper officers this 4th day of November , A.D. 2019 Dave Schmitt Construction Co., Inc. ire & •su.Ity Comm Witness Dione R. Youn (Title) (Seal) (Seal) ///r Attorney-in-fact Anne Cromer BID BOND AECOM #60330823 (2019) CONTRACT NO. 877 BB -1 OF 1 DRY RUN CREEK INTERCEPTOR UNITED FIRE & CASUALTY COMPANY, CEDAR RAPIDS, IA UNITED FIRE & INDEMNITY COMPANY, WEBSTER, TX FINANCIAL PACIFIC INSURANCE COMPANY, ROCKLIN, CA CERTIFIED COPY OF POWER OF ATTORNEY (original on file at Home Office of Company — See Certification) KNOW ALL PERSONS BY THESE PRESENTS, That UNITED FIRE & CASUALTY COMPANY, a corporation duly organized and existing under the laws of the State of Iowa; UNITED FIRE & INDEMNITY 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 the State of California (herein collectively called the Companies), and having their corporate headquarters in Cedar Rapids, State of Iowa, does make, constitute and appoint CRAIG E. HANSEN, JAY D. FREIERMUTH, BRIAN M. DEIMERLY, CINDY BENNETT, ANNE CROWNER, TIM MCCULLOH, STACY VENN, SHIRLEY BARTENHAGEN, DIONE R. YOUNG, KEVIN J. KNUTSON, MICHELLE GRUIS, KATHLEEN BREWER, SETH D. ROOKER, SYDNEY BURNETT, EACH INDIVIDUALLY Inquiries: Surety Department 118 Second Ave SE Cedar Rapids, IA 52401 their true and lawful Attorney(s)-in-Fact 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 $100,000,000.00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized 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 is continuous and shall remain in full force and effect until revoked by UNITED FIRE & CASUALTY COMPANY, UNI I ED FIRE & INDEMNITY COMPANY, AND FINANCIAL PACIFIC INSURANCE COMPANY. This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15, 2013, by the Boards of Directors of UNITED FIRE & 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 may, from time to time, appoint by written certificates attorneys -in -fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory instruments 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 and binding upon the Companies with the same force and effect as though manually affixed. Such attorneys -in -fact, subject to the limitations set forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instruments and to attach the seal of the Companies thereto. The President or any Vice President, the Board of Directors or any other officer of the Companies may at any time revoke all power and authority previously given to any attorney-in-fact. IN WITNESS WHEREOF, the COMPANIES have each caused these presents to be signed by its 0011111010 • n LOCO onn eeE.: _F `p 1. to °4lc pPPelii..4FE ▪ _9 coneovxrr._ 'x o'.o- - 3Si reLY22 e s¢AL• • • • ` SL\L �9-`.P...0 1908'%g`E • wumim"' ` u 111 111100 jiw;�;r ••f� INgo'1/4 vice president and its corporate seal to be hereto affixed this 156 day of January, 2014 UNITED FIRE & CASUALTY COMPANY UNITED FIRE & INDEMNITY COMPANY FINANCIAL PACIFIC INSURANCE COMPANY By: State of Iowa, County of Linn, ss: Vice President On 15'h day of January,2014, before me personally came Dennis J. Richmann to me known, who being by me duty 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 President of FINANCIAL 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. 401 e ft Judith A. Jones Iowa Notarial Seal Commission number 173041 My Commission Expires 04/23/2021 Notary Public My commission expires: 04/23/2021 I, Mary 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 that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Corporations this 4th day of November 2019 yuwr .w,! u 4 4,eiN5Ug1% �� pPeq�t4��% zi 11101.°01k1914 0k ULY Y; Oo§ BP0A0049 0913 By. 917Q0-146, ABa/u Assistant Secretary, OF&C'& OF&I&' EPIC