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DAMES S. ADAMS OR PATRICIA A. ADAMS
PH 319-232-3738
2119 CITY VIEW ST �%
WATERLOO, IA 50707 / / /
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1. The undersigned, being a Corporation existing under the laws of the State of ��d�z.;-or a limited liability company
existing under the laws of the State of d 4J6L- , or a Partnership consisting of the following partners:
having been familiarized with the existing conditions on the project area affecting the cost of the work, and with all the
Contract Documents now on file in the offices of the City Clerk, City all, 715 Mulberry Street, Waterloo, Iowa, and the
Planning and Zoning Department, 715 Mulberry Street, Waterloo, Iowa hereby proposes to furnish all supervision,
technical personnel, labor, materials, machinery, tools, equipment, and services, including utility and transportation
services required to complete the proposed MOWINGS, in accordance with the contract documents and for the unit price
in place for the following amount:
OPTION A: Provide all specified as needed mowing and trimming services for city owned lots under 1 acre:
Price per lot less than one acre.
Price Per Occurrence:
OPTION 1B: Provide all specified as needed mowing and trimming services on lots 1 acre or more.
Price per acre for lots one acre or more.
Price Per Occurrence:
2. In submiifing this bid, the Bidder understands that the City reserves the right to reject any or all bids and to award one
or more contracts for a single Option, all Options together, or any combination of Options. If written notice of acceptance
of this Bid is mailed or delivered to the undersigned within thirty (30) days after Bid Opening, of at anytime 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before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and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 insurance within ten (10) days after the agreement is presented for signature,
and start work within ten (10) days after "Notice to Proceed" is issued.
3. Security in the sum of dollars ($
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:
L The contractor, 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.
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 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 maybe 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:
Approprl'ate Official
Title
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of
County of A Caa )
1.
2
3
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;
He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances
respecting such Bid;
Such Bid is genuine and is not a collusive or sham Bid;
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 parties in interest, including this affiant.
Title
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����A� a CHRISTOPHER W WESTERN
Z � COMMISSION N0.811089
*ffffiRw MY COMMISSION EXPIRES
iowp JUNE 15, 2021
in the form of
is submitted herewith in accordance with NOTICE TO BIDDERS.
4. Attached is a Non -Collusion Affidavit of Prime Contractor.
5. The Bidder is prepared to subnut a financial and experience statement upon request.
6. The Prime Contractor and Sub contractor(s), which have performed an aggregate of $109000.00 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.
7. The Bidder has received the following Addendum or Addenda:
Addendum No.
S. The Bidder shall list the MBE/WBE subcontractors, amount of subcontracts and bid items listed on the City of
Waterloo Minority and /or Women Business Pre -bid Contract Information Form submitted with this Bid Form. 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 subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer cannot be changed except
for the following reasons.
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1. The City of Waterloo does not approve the subcontractors.
2. The subcontractors submit in writing that they cannot fulfill their subcontracts
The Bidder shall list all equipment available for this project:
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10. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA"
11. The bidder has attached all applicable forms.
12. The owner reserves the right to select alternatives, delete line items, and/or to reduce quantities prior to the Award of
Contract due to budgetary limitations.
SIGNED:
STATEMENT OF BIDDER'S QUALIFICATIONS
(To be submitted by the Bidder- only upon request of the City of Waterloo, Iowa.)
All questions shall be answered and the data given must be clear and comprehensive. This statement must be notarized.
If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information
desired.
1. Name of Bidder.v(Q Q
2. Permanent main off cc ddress.
3. When organized.
4. If a corporation, where incorporated.
5. How many years have you been engaged in the contracting business under your present firm or trade name?
J s O/V
U Contracts on hand: (Schedule these showing amount of each contract and the appropriate anticipated dates of
completion.) p�
7. General. character of work performed by your company. (l (� P/v
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8. Have you ever failed to complete any work awarded to you? If so, where and why?
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9. Have you ever defaulted on a contract? If so, where and why? N
10. List the more important projects recently completed by your company, stating the approximate cost for each, and the
month and ryear completed. IA {JD tv�r ON Ivy toy dW, d C201 9.
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11. List your major equipment available for the contract t
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12. �perien e ca o lc srrrnlar m importance to the project.
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1�. Background and experience of the principal members of your organization, including the officers.
14. Credit available: $
15. Give Bank reference:
16. Willupon request, fill out a detailed financial statement and furrish any other information that may be required
by the City of Waterloo, Iowa?___
17. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any information requested
by the City of Waterloo, Iowa, in verification of the recitals comprising this Statement of Bidder's Qualifications.
Dated this 3c> day of IN 0��/�. , 20
Name of Bidder
By:
Title
State of CA
ss
County of 6L.al Aa z
deposes and says that she/he is
Name of Organization
being duly sworn
of
and that the answers to the foregoing questions and all statements therein contained are true and
correct. Subscribed and sworn to before me this Iday of ` 1 , 20y
F
7M�y
HRISTOPHER W WESTERN
OMMISSION NO, 811089
COMMISSION EXPIRES
Notary
My commission expires �� � � � �-
20�