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J. Pettiecord, Inc.
• mimiw Mid or: fYaoao 1,,aterlo° Air k tree tieerri ere a • je. pe et- ie co ref r.1c. l2OO Fate ri e br ?Docauvairi- „IA 5cx3%S Real Peg ec, 1200 PRAIRIE DRIVE SW BONDURANT, IA 50035 d arnd.4 ©,..G waieteko OPl.t C1 /✓0 /017 I /3t t G teac•Itt ems. FORE i OF BM 0 0 PRO SAL _ r 2020 WATERLOO AR AND k„ IIL PARK THE F CLEARI►�� CON TRACT NO 1O 7 CBTY OFkith-WIER _,009 [IOW Honorable Mayor and City Council Waterloo, Iowa Gentlemen: G 1. The undersigned, being a Corporation existing under the laws of the State of a Partnership consisting of the following partners: J. /'et fieco ' jeyc 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, Waterioo, lowa, hereby proposesto 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 WATERLOO AIR AND RAIL PARK TRIBE C CEARBNG, Contract No. 1017, all in accordance with the above -listed documents and for the unit prices for work in place for the following items and quantities: FY 2020 9ATERI,00 AIR AND RAIL PARK TREF CLEARING BID IDESCRIPTION ITEM 2 'MOBILIZATION CONT! ACT NO. 1017 TREE CLEARING TRAFFIC CONTROL UNIT EST: CITY. UNIT BID: PRICE LS AC LS 1.0 $ 7G0, C•ci TOTAL BID PRICE 18.7$ �3a6.00 $113/0177.,.?- 1.0 $2rZoo. a) $ 3 , Zoo. co TOTAL Bo $ in o Tom. 50 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to the undersigned within thirty (30) days after the opening thereof, or at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of the insurance within ten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. 1017 Page 1 of 3 4. Security in the sum of cd0 Dollars (J ) in the form of is submitted herewith it 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 ( ), or Non -Resident Bidder Certification ( ). (Mark one.) 7. The bidder is prepared to submit a financial and experience statement upon request. 3. 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. 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 \Nomen 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 L!sed on this Project to the City of Waterloo by 5:00 p.m. the business day following the day Bids on this Project are due along with the Non -Collusion Affidavits of All Subcontractor(s). The Contractor shall submit information on subcontractors on "SUBCONTRACTOR REQUEST AND APPROVAL" Form to be provided by City prior to approval of contract. The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer cannot be changed except for the following reasons: 1) The City of Waterloo does not approve the subcontractors. 2) The subcontractors submit in writing that they cannot fulfill their subcontracts. 11. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA". 12 The bidder has attached all applicable forms. 13. The Owner reserves the right to select alternates, delete line items, and/or to reduce quantities prior to the award of a contract due to budgetary limitations. FORM OF BID CONTRACT NO. 1017 Page 2 of 3 ,7: re is- +it e co (md (Name of Bidder) (Dade) njairee,' BY:g o,„time 6 Title � Official Address: (including Zip Code): 0,00 /26)-'at e-' ie / O cAD GGfra p , I A- 5co)± I.R.s No. yd- ! 3 /7577 FORM OF BID CONTRACTNO. 1017 Page3of3 NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of `a Po/fc County of/V/ ‘Ctio(a4 at 41 c ) , being first duly sworn, deposes and says that: He is (Owner, Partner, Officer, Representative, or Agent) , of , the Bidder that has submitted the attached Bid; )ss 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 frorn 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) � ZSAree ? ��-�"C' Cdo Title Subscribed and sworn to before me this Z day of fah,t4Xy My commission expires V '1 0 I JOHNNIE RANDALL COX Commission Number 809999 My Commission Expires April 10 2021 • 440-irikteit• Title Biidder Status To be complletecl by all bidders Part Please answer "Yes" or "No" for each of the following: Yes i No Yes Yes ri Yes n flNo LI No No n Yes n No My company is authorized to transact business in Iowa. (To help you determine if your company is authorized, please review the worksheet on the next page). My company has an office to transact business in Iowa. My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail. My company has been conducting business in Iowa for at least 3 years prior to the first request for bids on this project. 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. :o [be co mpU ted by resident add ers (`ram' sl f My company has maintained offices in Iowa during the past 3 years at the following addresses: / la00 fait'Ct ( 4'1 / e- ,t0A to I / Address: Dates: / City, State, Zip: 6°"91-(Anr(11-1 „ A 5o035 Dates: l I /47 _ to I / 3°17Address: Dates: / / to / / You may attach additional sheet(s) if needed. City, State, Zip: Address: City, State, Zip: Oes o es r4 5 0 3 r 3 To be compUeted by non=zreskdent bidders art 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. i Yes No You may attach additional sheet(s) if needed. To be completed by ail bidders Part 0 l 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: fie ffrecovi re-7 Signature: eittatrees2 u�� Date: � ?" 7 ` ;�' C� You must submit the completed form to the governmental body requesting bins per 875 Iowa Administrative Code Chapter 156. This form has been approved by the Iowa Labor Commissioner. 309-6001 (09-15) »Nor. sheet: Author llzatorn to Transact Busiiress 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. 71 Yes ri No My business is currently registered as a contractor with the Iowa Division of Labor. C C Yes fl No My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes. Yes L No My business is a general partnership or joint venture. More than 50 percent of the general partners or joint venture panties 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 ri No My business is a limited liability partnership which has filed a statement of qualification in this lYes C state and the statement has not been canceled. 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 n 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. n Yes ri No My business is a limited liability company whose certificate of organization is filed in Iowa and has not filed a statement of termination. n Yes l 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) rbe V 0 CO la, 1E72 al 0 •• sw a�q U tai .. M L» I� 1 p4• (1, stab Prime Contractor Name: stim 0 U (0 1- 0 E 0 0 co (6 C C) () . U w O - n ''S S. V J a) 12 o o o E 0 fi U 0 O 0 U W () m 0W U m to >> WC CO 4c 0 b ct 0 0 on co 1j frFt 0 1• O (0 sti .{.1 0 0 O L O CO C ,,-C C O O co 0 CZ ; o a) 0_ n 1 t 0 0 0 Contractor Signature: a) 0 rn 0, 0 0 c 0 0 m 0, (1) O a) c Q 0 (13 U (1>) a) CO 0 CO c 1- 0 o E Z3 1-0 O r U �o >> L 0 Ri L U 5 C 2 o 0 (0 a-4 0 0 CO V / CN Tair r CD N 1 6) CO U 0 U a E U 0 0 L o > Q) U O a) ..I E. Q -0 CO -O O O ..E� 0) 0 U as Q" o E o op 0 _O lV -:J V! E 0 EAU W o O o cn -C3 0 O C O o 1-15 E o > C o a) f1 4- -1 k • CD ID -0 :3 O (0 c o Q) (u > E O o = Q CD C• a) o C E O _a 0) Cn o a o D o O\` L i_ O o Q 0 0 0 0 U T o o 0 (3) a)� VJ an) rW ` L m o as v 0 .Q v 0 CI) E .{ J C a) (0 (15 0 0 a) 0) C 0 a) 0 0 0 -art V E 13 p 0 0 LL LL w 0 4 0 0 Lffe: tuu • ;edto r Ai n (7 Mica hes 1 Leter 3 ik v s S S I t V v tta +k 'M1 btu a (Form CCO-4) Rev. 06-20-02 z 0 0 w 1=7 0 z o LA z z Z Ca w 0 CO M® 0 w mra 0 Prime Contractor Res CT N a) E t0 LL O 0 co U C O "eaU c O O� U U) O C O) N CO 00 U 0 C U O c C (13 C L -O N u) 0. 0_ o O O N 0_ 0to N O n .o a) N t a) -c 0 v ea s- N u) O (A O E4- O 0 N c .0 (U O O N ZS N 0 >,U L a) a. O o 0 o_-Q U L C O U 0 U y_ c o o co c E o -0 a) co -o U C c Li U O O -O .L N N•O O00 LL o c zCa) N (n co Q ° O I— a_ in z QN O N CDo 2 m N Oj 0 (0 0_ N as W O O it0a) WU (o E a) `�w coo O z C S D •w O CO c mro as co aa) N E rs � oCO E 0 u) 0 W z 0 Q U O m 1 C > E (o 0 0 > a) 0 0 i U) O7 (0 a) N E> m� �,> (n o U 1- o .3 N 4- U N c c v 0 a ni 0 CO 46 O t'v= ,}La a) c C N U (o•�N W N O L m a)•Y2 >, S .O U O w O m U m u) c O o U L N (0 0 N N N t0 C +- 0 N W E. U U m E N cW Tr.Oom •CI)n E•ccw N OS2U E 0 sw u) O U (0 c O U N E Q N N as D N O O Q u) (o .a O' C •1 N a,)) 0 E E c E (0 N .O 0 D .0 0 a) N (0 N N v, N C .( c 0 W O• m `W0 CO > 0 0 as NU N U o (oO c 'O o. U N (yi ...C-, n 0 (0 L w CO m 2 N E O N a) U GC N O 0 U W( CO N 0 w m N 0 L.i.. O u z 0 0/''_ LL. 0 LQ z 0 U 0 W EC 0_ W U) E_ 0.. W z w (/) W ,z () m w Sm w 2 N C (0 0 O o c -CTO a) U ft N 0 �'z 0O H u)� �O c z U (o 0 C O w c N E U O D N 0. O 0 O. CO >, SD L 0 0 o_ co N O 0 (0 0 11) N U (o 0 O C N N O o N c 0) C N O U - N N .o 0_ C C L- N u .O 172 I. N -0 t O o04.- a Q� E a) c w o a s. O U Q c E- a L•_ C Lim�w CD m C [Q W • o2 -mW -.�C C (0 o N C L 0 D o O.a 14o:E F N Q O U maw 0 O Q C N CO +, .Q CZ C N N " _ N 7 .+-- ON N O. L O ,C Q) E .> Q) (/) Y a.o-C N o W u o � O a)Al. E U C "-E. 0 N N L_ L N N - 0_ O O 0- O L. o_Q o O u) a) u) U > ._ C 2 (Ov �O :wco �U OLco >j E- ° O) _ � cN- o U U(C) c •ia c > U O N N U nu) •�-� .O .O o ._(c) 0 yo. U N 2,OU 0 > O) N O O C U N L g E c - 0 0 C .(u 4- to .s-, N O N O E ( C E O c c 0 LU-0 w N +-,D_ c,W W tB 'a O o mi- L.. W () -0 rnW .� N O) m O C WU N N m W c O Form CCO-4A Rev. 07-08-02 DID BOND KNOW ALL MEN BY THESE PRESENTS, that we, J. Pettiecord, Inc. as Principal, and Merchants Bonding Company (Mutual) as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called "OWNER." In the penal sum Five Percent of Bid Amount (5%) Dollars ($ 50/0 ) 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 27th day of February , 2020 , for FY 2020 Waterloo Air and Rail Park Tree Clearing Contract No. 1017 NOW, THEREFORE, (a) If said Bid shall be rejected, or in the alternate, • (h) 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 tirne 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 20th day of February , A.D 20 J e t 1-i eccc roc . (Seal) ) Principal Y i/tma.,ree &et-4 00 y Merchants Bonding Company (Mutual) (Seal) Surety Tony Kanne By Attorney in -fact (Title) ERCi,TS BONDING COMPANY POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Tony Kanne their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 20th day of February , 2020 • • •• :c e03 °ftat.* eoti; : ���DAQp9q• ,;��,r1 :Z:2 -0- v:a: :ty.•= -o- r"• • -• %v' 2003 ••o: . STATE OF IOWA COUNTY OF DALLAS ss. On this this 20th day of February , 2020 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. •z._ b.R. • let: 1933 ; c: By President ALICIA K. GRAM Commission Number 767430 My Commission Expires April 1, 2020 aLchato.. \C Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this •-,..... n, h.* POA 0018 (3/17) 20th day of Secretary February 2020