HomeMy WebLinkAboutBoomerang Corp.12536 Buffalo Road
Anamos : IA 52205
Bid Security:
FY 2020 3200 Block W.
Airline Highway Sanitary
Sewer
Boomerang Corp
12536 Buffalo Road
Anamosa IA 52205
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Bid Proposal For:
FY 2020 3200 Block W.
Airline Highway Sanitary
Sewer
FORM OF BID OR PROPOSAL
FY 2020 3200 BLOCK W. AIRLINE HIGHWAY SANITARY SEWER
CONTRACT NO. 979
CITY OF WATLRLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1. The undersigned, being a Corporation existing under the laws of the State of
Teujo. , a Partnership _ consisting of the following partners:
kJ
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 F.Y. 2020 3200 BLOCK W. AIRLINE HIGHWAY SANITARY
SEWER, Contract No. 979, 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. 979
1 -4
F.Y. 2020 3200 B_OCK W. AIRLIPVF.
-
NO.
IG
979
WAY SANI
ARY SEWER
CON -QAC-
BID
ITEM
DESCRIPTION
UNIT
EST. QTY.
UNIT BID
PRICE
TOTAL
PRICE
BID
1
MOBILIZATION
LS
1
$ d4/ �,i�,
$�6� �7e
2
SUBGRADE PREPARATION
SY
200
1
$ 3 00
$ (oseeAO
3
PAVEMENT, HMA ST BASE, 1/2", PG 58-285
TN
22
$ 14500
$ 3, jqaeo
4
PAVEMENT, HMA ST INTERMEDIATE, 1/2", PG
58-28s
TN
22
�
('j.soo
$
tifl,DD
3,1
5
TN
22
$ i�5�ov
$ 3itemvo
PAVEMENT, HMA ST SURFACE, 1/2", PG 58-
28S
6
TRAFFIC CONTROL
LS
1
$ co5o.on
$ (o5ao&
SY
1500
$ iion
$ y,�oaoo
7
RECP MATTING, TYPE 1.A
8
SEEDING AND FERTILIZING (URBAN)
AC
.31
$ sieco.00
$ (+�$D4OD
9
CONSTRUCTION SURVEY
LS
1
$j, ()mac
$ 3cano
10
PAVEMENT REMOVAL
SY
200
$ ID•DO
$ a ImD°
FORM OF BID
CONTRACT NO. 979
1 -4
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. Security in the sum of_ -�`iVt feftevf f�,�M
�,Bctll�leDollars ($ � yp ) in the form of % net
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 a Resident Bidder Certification (Qff5j5) 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
FORM OF BID
CONTRACT NO. 979 2 - 4
11
REMOVE MANHOLE
EA
3
$ eQoo
$ cli
@atio
12
REMOVAL OF 8 IN. CONCRETE SANITARY
SEWER PIPE
LSF
11
$ MOO
$ (Meet
13
CLEARING AND GRUBBING
AC
.31
$15
$
01)0
14
SANITARY SEWER ABANDONMENT, FILL &
PLUG
LF
946
$ i fl, 0
$et ti tape®
15
SANITARY SEWER GRAVITY MAIN, TRENCHED,
POLYVINYL CHLORIDE PIPE (PVC), 8 IN. (TRUSS)
LF
967$
OM
$
013 4DBa
16
SANITARY SEWER SERVICE STUB, POLYVINYL
CHLORIDE PIPE (PVC), 6 IN. (SDR 23.5)
LF
20
$ Se,p(p
$ 60Mo
17
SANITARY SEWER SERVICE STUB, POLYVINYL
CHLORIDE PIPE (PVC), 4 IN.
LF
65
ao
$ some)$
3tgbate
18
MANHOLE, SANITARY SEWER, SW -301, 48 IN.
EA
4
$ %ScoMo
$1$f DOD•
19
DROP CONNECTION
EA
1
4 efecot
t)t,o.eo
20
CONNECTION TO EXISTING MANHOLE
EA
1
$600.049
$ coemo
BID
X
$_"&11+2/2S2_____
OM_
2. It is understood that the quantities set forth are approximate only and subject to
variation and that the unit bid price for the work done shall govern in the actual
payment to Contractor.
3. In submitting this bid, the bidder understands that the right is reserved by the City
of Waterloo, Iowa, to reject any or all bids. If written notice of the acceptance of
this bid is mailed, telegraphed, or delivered to the undersigned within thirty (30)
days after the opening thereof, or at any time thereafter before this bid is
withdrawn, the undersigned agrees to execute and deliver an agreement in the
prescribed form and furnish the required bond and certificate of the insurance
within ten (10) days after the agreement is presented to him for signature, and
start work within ten (10) days after "Notice to Proceed" is issued.
4. Security in the sum of_ -�`iVt feftevf f�,�M
�,Bctll�leDollars ($ � yp ) in the form of % net
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 a Resident Bidder Certification (Qff5j5) 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
FORM OF BID
CONTRACT NO. 979 2 - 4
submit an AAP or Update and an FOC, 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. �� Date
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.
hpoketat4eetioName of Bidde�
BY: ateMil Title Vie
Official Address: (Including Zip Code):
I 0,63 buffetto
b4 3t3103
•
4a�a��q
(Date)
I.R.S No. Lte..4••16allici
FORM OF BID
CONTRACT NO. 979 3 - 4
CONTRACTOR REGISTRATION CERTIFICATE
STATE OF IOWA
DIVISION OF LABOR
CONTRACTOR REGISTRATION
1000 East Grand Avenue
Des Moines, IA 50319-0209
Phone (515) 242 — 5871
www.iowacontractor.gov
BOOMERANG CORP
12536 BUFFALO ROAD
ANAMOSA, IA 52205-7637
DATE ISSUED:
11103/2017
DATE EXPIRES:
06/30/2020
REGISTRATION NUMBER:
C132185
Michael A. Mauro, Commissioner
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of taw
County of ie14465atticle
)
)ss
, being first duly sworn, deposes and says that:
1. He is (Owner, Partner, Officer, Representative, or Agent) , of _
�� , 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;
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.
(Signed)
Subscribed and sworn to before me this 19 day of Otote)Adoit , 2019.
My commission expires
CAA4 gig!
--16- 0,0 Dto
•
TitleA frii•
X0/4/
LP
lOWP
CINDY BEHRENDS
Commission Number 805939
My Commission Expires
EQUAL OPPORTUNITY CLAUSE
(As provided in Executive Order No. 11246)
All contractors, subcontractors, vendors and suppliers of goods and services
doing business with the City and value of said business equals or exceeds ten
thousand dollars ($10 000.00) annually agree as follows:
1. The contractors, subcontractor, vendor and supplier of goods and services
will not discriminate against any employee or applicant for employment
because of race, color, creed, sex, national origin, economic status, age,
mental or physical handicap, political opinions or affiliations. The
contractor, subcontractor, vendor and supplier will develop an Affirmative
Action program to ensure that applicants are employed and that
employees are treated during employment without regard to their race,
creed, color, sex national origin, religion, economic status, age, mental or
physical disability, political opinions or affiliations. Such actions shall
include but not be limited to the following:
a Employment
b. Upgrading
c. Demotion or Transfer
d. Recruitment and Advertising
e. Layoff or Termination
f. Rates of Pay or Other Forms of Compensation
g. Selection for Training Including Apprenticeship
2. The contractor, subcontractor vendor and supplier of goods and services
will, in all solicitations or advertisements for employees state that all
qualified applicants will receive consideration for employment without
regard to race, creed, color, sex, national origin, religion, economic status
age, mental or physical disabilities, political opinion or affiliations.
3. The contractor, subcontractor, vendor and supplier or his/her collective
bargaining representative will send to each labor union or representative
of workers which he/she has a collective bargaining agreement or other
contract or understanding, a notice advising said labor union or workers'
representative of the contractor's commitment under this section.
4. The contractor, subcontractor, vendor and supplier of goods and services
will comply with all published rules, regulations, directives, and order of
the City of Waterloo Affirmative Action Program Contract Compliance
Provisions.
EQUAL OPPORTUNITY CLAUSE 1 - 8
5. The contractor, subcontractor, vendor and supplier of goods and services
will furnish and file compliance reports within such time and upon such
forms as provided by the Affirmative Action Officer. Said forms will elicit
information as to the policies, procedures, patterns, and practices of each
subcontractor as well as the contractor himself/herself and said contractor,
subcontractor, vendor and supplier will permit access to his/her
employment books, records and accounts to the City's Affirmative Action
Officer, for the purpose of investigation to ascertain compliance with this
contract and with rules and regulations of the City's Affirmative Action
Program Contract Compliance Provisions relative to Resolution No.
24664.
6. In the event of the contractor's non-compliance with the non-discrimination
clauses of this contract or with any of such rules, regulations and orders,
this contract may be canceled, terminated or suspended in whole or in
part and the contractor may be declared ineligible for further contracts in
accordance with procedures authorized by the City Council.
7. The contractor, subcontractor, vendor and supplier of goods and services
will include, or incorporate by reference, the provisions of the non-
discrimination clause in every contract, subcontract or purchase order
unless exempted by the rules, regulations or orders of the City's
Affirmative Action Program, and will provide in every subcontract, or
purchase order that said provisions will be binding upon each contractor,
subcontractor, or supplier.
8. We, the undersigned, recognize that we are morally and legally committed
to non-discrimination in employment. Any person who applies for
employment with our company will not be discriminated against because
of race, creed, color, sex, national origin, economic status, age, mental or
physical disabilities.
(Signed
/(Appropriate Official)
COMA Wcey"
(Title)
laviq49
(Date)
EQUAL OPPORTUNITY CLAUSE 2 - 8
fielder Status Forma
To be completed by all bidders
Pad, 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).
4 Yes ❑ No My company has an office to transact business in Iowa.
14 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:
D ates: / abo Address: 1)63te 1hig42f4(o !Quad
City, State, Zip: AnaeC, �,!"� £03
D ates: / / to / /
D ates: /
to
You may attach additional sheet(s) if needed.
To be completed by nonresident bidders
Address:
City, State, Zip:
Address:
City, State, Zip:
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 I I No
You may attach additional sheet(s) if needed.
411
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:
Signature:
Date. tdoelcipiq
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: Auth t rizato s n to Transact Busoress
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.
Il
Yes U No
Yes No
Yes n No
My business is currently registered as a contractor with the Iowa Division of Labor.
My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes.
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 ❑ 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)
ITEMS OF POTENTIAL MBE/WBE PARTICIPATION
NOTICE TO PROSPECTIVE BIDDERS:
The following are items from the F.Y. 2020 3200 BLOCK W. AIRLINE HIGHWAY
SANITARY SEWER, Contract No 979, that have a potential for MBE/WBE
Participation. This listing, however, is not intended to be all encompassing; to preclude
MBE/WBE Contractors from bidding on any items of the Proposal as a Subcontractor or
the entire Proposal as a Prime Contractor.
MBE/WBE GOALS FOR THIS PROJECT
IMPORTANT: Prime Contract Bidders should be aware that ten percent (10%) MBE
goal and a two percent (2%) WBE goal is attached to this project. "Certified Return
Receipt" letters are no longer needed with the bid showing proof of contacting MBE or
WBE Subcontractors, but the Pre -Bid Contact Information Form must be filled out
completely.
City of Waterloo Contract Compliance Officer:
Contract Compliance Officer
Community Development Board
Carnegie Annex, Suite 202
620 Mulberry Street
Waterloo, IA 50703
Phone: (319) 291-4429
ITEM
BID
DESCRIPTION
UNIT
,'
EST. QTY.
1
MOBILIZATION
LS
1.00
6
TRAFFIC CONTROL
LS
1.00
8
SEEDING AND FERTILIZATION (URBAN)
ACRE
0.31
13
CLEARING AND GRUBBING
ACRE
0.31
MBE/WBE GOALS FOR THIS PROJECT
IMPORTANT: Prime Contract Bidders should be aware that ten percent (10%) MBE
goal and a two percent (2%) WBE goal is attached to this project. "Certified Return
Receipt" letters are no longer needed with the bid showing proof of contacting MBE or
WBE Subcontractors, but the Pre -Bid Contact Information Form must be filled out
completely.
City of Waterloo Contract Compliance Officer:
Contract Compliance Officer
Community Development Board
Carnegie Annex, Suite 202
620 Mulberry Street
Waterloo, IA 50703
Phone: (319) 291-4429
MBE/WBE BUSINESS ENTERPRISE
PRE-BID CONTACT INFORMATION FORM INSTRUCTIONS
Prime Contractor Responsibilities:
Prime Contractors bidding on City of Waterloo contract work are required to ensure that MBE/WBE businesses are provided the opportunity to
participate in the performance of contracts and subcontracts. Prime contractors are required to assist MBE/WBE businesses in overcoming
barriers to participation, and must make good faith efforts to secure bids from and award subcontracts to MBE/WBE businesses. For all contract
bids of $50,000 or more, the following is required to demonstrate good faith efforts in accordance with this policy:
1. "MBE/WBE BUSINESS ENTERPRISE PRE-BID CONTACT INFORMATION FORM" submitted with the prime contractor bid, properly
completed and signed on Form CCO-4 (Rev. 06-20-02). Please note that this document must include all subcontractor contacts, bids received,
and awarded - not just those related to disadvantaged business enterprise vendors.
2. A minimum of three (3) MBE/WBE business contacts must be made and documented, if there are at least three (3) MBE/WBE businesses
offering services in the areas to be subcontracted (see City of Waterloo MBE/WBE Certified List) If less than three (3) are offering the services to
be subcontracted, then a contact is required for any that are listed as providing that service If you have submitted a MBE/WBE contact not on the
City's MBE/WBE list, attach a copy of the certification from another government agency.
3. Contacts to each MBE/WBE businesses are required to be a minimum of seven (7) working days prior to the date the prime contractor submits
the bid to the City of Waterloo.
4. The following documentation must accompany the "MBE/WBE BUSINESS ENTERPRISE PRE-BID CONTACT INFORMATION FORM" for
each MBE/WBE business contacted.
a. A copy of the bid received from the MBE/WBE, OR
b. If no bid was received, a copy of correspondence received from the MBE/WBE with a "no bid" response, OR
c. If no response was received, a copy of the solicitation sent to the MBE/WBE with proof of mailing attached.
5. If any MBE/WBE business submitting bids are not selected for subcontract award, documentation must accompany the "MBE/WBE BUSINESS
ENTERPRISE PRE-BID CONTACT INFORMATION FORM" on why the MBE/WBE was not selected. These reasons could include:
a. Not low bid. Copies of the competing bids may be required for verification.
b. MBE/WBE did not bid, withdrew bid or was non-responsive.
c. Documentation of other business related reason for not selecting the MBE/WBE business for a subcontract.
d. Prime contractor self performs work.
e. Any other reason relied on by the Prime Contractor.
The Contract Compliance Officer will determine the weight to be given to each item listed above (supported by appropriate documentation) based
on overall program goals.
Subcontractors Responsibilities:
1. Each MBE/WBE firm planning to submit quotes on construction projects with goals, shall submit a Letter of Intent to Bid (Form CCO-5) to
the City Contract Compliance Officer seven (7) working days prior to bid opening, listing specific items which the MBE/WBE firm is
interested in bidding. If the City Contract Compliance Officer does not receive sufficient scope letters seven (7) working days prior to bid
opening, goals on subject project will be reduced accordingly. Agreements between the bidder/proposer and an MBE/WBE in which the
MBE/WBE promises not to provide subcontracting quotations to other bidders/proposers are prohibited.
Form CCO-4A Rev. 07-08-02 1 — 12C
Form CCO-4A Rev. 07-08-02
Form CCO-4A Rev. 07-08-02 2 - 12C
Prime Contractor Name:
MBE/WBE BUSINESS ENTERPRISE
PRE-BID CONTACT INFORMATION FORM
-siraProject: et4sel Letting Date: (6/49
EW- G4t►t' 4ti4614 aW� teL
N O MBEIVIIBE SUBCONTRACTORS: If ou are NOT using any MBEMBE subcontractrs to complete�th1 project, sign below. Attach a brief
Y
explanation as to why subcontracting was not feasible with this project. If any MBE/VVBE subcontractors will be used, please use the bottom
portion of this form.
Contractor Signature:
cal wttn✓ Title UP. Date: 1144q
S UBCONTRACTORS 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
E nterprise contacts made prior to your bid submission. This information is subject to verifications and confirmation.
If you are unable to identify MBE/V1BE firms to perform portions of the work, please contact Rudy Jones, 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
Quotes Received Quotation used in bid
MBE/WBE
Subcontractors
Dates
Contacted
Yes/No
Dates
Contacted
Yes/No
Dollar Amount Proposed to
be Subcontracted
A 1-14 6 Pawl/mkt/VI
tagitoiet
NO
UA
IVA
N
LUCIA er0 COVISkactOt4
133619
t\I oPthmvincistvieg_oteti
Mj4
AYI
A
tmodaq
6 r feer116 Work
t4IC41
t'40JO
1114-
-
Ott-
(Form CCO-4) Rev. 06-20-02
VP' wr
1 —12D
MBEIWBE BUSINESS ENTERPRISE
PRE-BID CONTACT INFORMATION FORM
Prime Contractor Name:tLOY*L9tCIflE5_�� Project: Q�Q h9100 Letting Date:
towaut t i� 1 aW� e.v
NOT usinganyMBE/WBE subcontract rs to com Tete th project, sign below. Attach a brief
N O MBElWBE SUBCONTRACTORS: If you are p
explanation as to why subcontracting was not feasible with this project. If any MBENVBE subcontractors will be used, please use the bottom
portion of this form.
WQ' is -i9
Contractor Signature:
kuAkt
Title:,. Date 194R49
S UBCONTRACTORS 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
E nterprise 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 Rudy Jones, 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
MBEIWBE BUSINESS ENTERPRISE CONTACTS
•
(Form CCO-4) Rev. 06-20-02
1
1 — 12D
Quotes Received
Quotation used in bid
Dates
Contacted
Yes/No
Dates
Contacted
Yes/No
Dollar Amount Proposed to
be Subcontracted
MBE/WBE
Subcontractors
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(Form CCO-4) Rev. 06-20-02
1
1 — 12D
MBEIWBE BUSINESS ENTERPRISE
AeLefAt
PRE-BID CONTACT INFORMATION FORM
Prime Contractor Name:6C&'YVIJ9('CIJ1%9J eta Project: er 3 Letting Date: 0,� a -W• C�witl' moi aNO MBE/WBE SUBCONTRACTORS: if you are NOT using any MBE/WBE subcontractto complete thect, 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:
1
Title: U.P. Date: idAdigsq
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/VVBE 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/VVBE 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 Rudy Jones, 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/VVBE BUSINESS ENTERPRISE CONTACTS
Quotes Received Quotation used in bid
MBE/WBE
Subcontractors
Dates
Contacted
Yes/No
Dates
Contacted
Yes/No
Dollar Amount Proposed to
be Subcontracted
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(Form CCO-4) Rev. 06-20-02
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1 — 12D
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Boomerang Corp 12536 Buffalo Road, Analnosa IA 52205
as Principal, and United Fire & Casualty Company 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
Dollars° $ 5 0
( ) 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 19th day of December
, 20 19 for FY2020 3200 Block W. Airline Highway Sanitary Sewer - Contract No. 979
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 presents to be
signed by their proper officers this 19th day of December , A.D. 20 19 .
uvitness
Cris Karr - Senior Account Manager
By
Pri
cipal Boomerang Corp
it0c,1914
(Seal)
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,(Title)
I)
urety United Fi e Casualty Company
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By Cassandra J. Daley - At o n,ey In Fact
Attorney-in-fact
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UNITED FIRE & CASUALTY: CON IPAN Y CEDAR:-R•APIDS, IA
UNITED FIRE &` INDEMN TY:COMPANY, WEBSTERTX
FINANCIAL PACIFIC INSURANCE COMPANY, ROCKLIN, CA
.::.CERTIFIED COPY OF POTR OF ATTORNEY:
...�Orldool Oil file: at HOnt Office of :COn*any -See Cett. )cation
Inquiries: `Surety Department:
118..Sect nd Ave: SE`
Cedar Rapids, IA 52401
KNOW - - T ' '.: NTS'That tmnited_ Fire &`Casualt ' Com pan , a col oration dui- organized` and:existin..g Oder the>laws.:;:
KILO« AI,L:.PERSOI� S B1 THES> :PR;ESE .�. :. ..:.: �: -.• . } . 1; } � . �..::: . 3 :..�. ..�. ,
1 -..:. &I:Indemnity '; ti :dill ' organized• and' existing underthe laws: of the :State of, Texas_ nd:
of tile State- of Iowa, L.111ted. Fii'e �..Inde'nulrt} Company, a �o��or�tio�l } �. �... . .... , , ..._
Fuan" a . ac is Insurance Coin fan r- i.co oration .dul '> organized: alld existing. under the la\\ s of tile, State -of:C. alfomia lere111•:collectively called
�:ial P if ....... .�.: � .:...�.� . ..
the Companies), and haViiit thea corporate headquartersHiil Cedat Rapids, State of Ion .k.does make, Co11Stitttt'e and- appeint
TIMOTHY
MICHAEL:. L B
PEDRTCK, GLENDA
GASSMA:NN, KEVIN..S. MEASE.,. CASSANDRA J. DALEY, JENNIFER ..J FREYMARK, :JOAN A. BONEW.ITZ,
L , LORI :A . F.RER.1:CHS , -KAT;I:E A MCGLAUN,•:. ANDREW J: SCAN.LO.N.,:_ MEGAN A . :KUKER , `::DEBORAH'
IBBEN , :NORMA J . CRE I GHT:ON , EACH I NQ:I VIDUALLY
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=inaFact with 5o.we1:>and authority 1 ereby conferred:otoii i seal :arid execute :.in its::: behalf. all :lawful bonds.,
t11e11: tnle�_sild lawful Atton�e} (s). � -.:.:• :.. .: } ..� -.:.} .. �....:�
u.Odertakings: and oth0::obllaatory instr tiii encs `of similar- natul.e::p0. yja I. that no sin gle obligation sllaii g eed:; $ 2.0 , 000
and to .bund the Com anies:thereb ' as`f illy:•:aild.:to the:.sriae extent. -as itsuch insti1imei tswere signed::by:;the:.diily ::a lthorized officets 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, anted shail_4xpire the 1st. day of.:..Januar.:y, :.:2Q.20 unless s:oo.n.er. revoked.:_.
COIIlp l}', United Fire. & Indemnity Company, and Flllallclal Pacific Insurance Company.
This Power Of Attonley is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15,
kectOts;:of.Vnitedilfire & Casualty Company, United Fire & Indemnity Company, and Financial Pacific Insurance Company.
"Article `'I — Surety- Bonds and Undertakings"
Section 2, Appoiritinent of Attorney -in -Fact. "The President or any Vice President, or any other officer of the Companies may, from time to time; .appoint byttten
certificates attorneys -un -fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature.
Th -e. 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 .sear of the
Corn an es, to.he 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 of
fort .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
the :Companies. thereto.-.•:: he President 01 any Tice President, the Board of Directors or any other officer of the Companies may at any time revoke.:. ala_: power and. authority
previously. given to any 'attorney-in-fact.
by United Fine & .Castlalt}'
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by .tire Eoards of
111s1 I I not/
coAteR.ATt..
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State of Iowa County of Linn, ss:
IN WITNESS WHEREOF, the COMPANIES have each caused these presents to be sighed b}T: it
vice president and its corporate seal to be hereto affixed this 1st day of January, 2018
UNITED FIRE & CASUALTY COS
UNITED FIRE & INDEMNITY COMPA
FINTANCIAL PACIFIC INSURANCE COMPANY
By:
Vice President
s_t da of..:Januar: ,: 2018 e:fore.:::mE ` personally came .:Dennis J ,: R i c.hmann
• d Ivo d': e . e ..id sa' thathe resides ill Cedar R ids State:of':Io va:� first lie is Vice President of Ui ited Fire
�io me l��o�y�u, ��ho beili�-:by ��e aly.s. rid., .di d 1 os �. } � ..;:. ::.. .... :•:.. ... h , ..... �
Vic - - 'e dent:7'of O sited ..1~ il'e '& Iild.eiiiliit .' :Coni jai :{ aid a:::vice: Pr-esldeilt cif Fin ficial : Pac lfie.• h1 su anm e Coin }any th- .
'asilty` .Compail} , a . Pl s� x . L . } 1 l
r i� d to •tire said
ra `ons described 111'_ slid ��111che: ecutoa die ::shove nlStit uent . that he knout: the seal of Sa:id coi �oratiolls: th4t file seRl affixed xe
:.colpo tt- .... ... ..- •.:: .. .. .... . . � � •
ii sti'ilr iellt.IS such COI or te�:.seal; dist it .Miers -SO affixed grsilc` nt*o.„: 0thO it} glv eni1 . die Board of .Dllec-to1 S:.of 1d :o1pol'atio: alld:.that he Signed.lis
ilaale -:thereto pursuant to_ like.:authority, and.•aek owledges'sar e to be fire .act and deed o f said col -1)6000s,
Patti Waddell
Iowa Notarial Seal
:.Commission number 7132741i'
My: Commission Expires 10/26/2019
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coriinlisS10I1 e pll'es :1 Q20./20:1 !
7 7 i tl 1t ' i 111• all 7an SSlStatlt S01. etar '`of tJllited Fre .:7llclemni ' Coni all `ai d Assistant
Iat.} . Bel-tseh, �ASsistazlt Seri etat-} Of t luted F�:e �...��s a } :: o p::...:�:. ::.� -::.: .} :. Omni :P }> -.... Assistant
's ice Coni pan do:'he �eb ' certif that I have.i:-coni-' ared the:foregolll- : co of the P6 ei: of Attorne � `arid affidav lt, and
Secretal } :of.Fuiaucial Pac lfc Ill. to aI
. 1 }
-the copy Of e -Section of<the by-IaWS`al1d'iesolutions Of Said`CblporatioliS aS' et forth lll>Sald Pouter:: f Attomey, witil:the.ORIGINALS-i.()EV FILE IN\ ::THE
HOME OFFICE OF SAID CORPORATIONS, and that the same are con-ect transcripts thereof, and of the whole of the said originals, and that the said
Power df Attorney has not been .revoked and IS now 4::17411 orc e:. and.. effect.
I11 testi on whereof I:lay : •ei to subs ib d rix}. nameand affixed the coi •orate.:: seal:.o.f:the said::.Corporations.
this day of : , :.0 `:
1f1
%‘11111 Illiii
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CORPORATE
SEAL ��,• •
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BPOA00=15 122.017
N‘ • 11/41 DE ) si
fiN
u CORPORATE
SEAL
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This paper has a colored background and void pantograph.
Assistant Secretary-,
LILT
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