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HomeMy WebLinkAboutJQ Construction, LLC� t r:Y FORM OF BID OR PROPOSAL=k F.Y. 2016 SIDEWALK ASSESSMENT PROGRAM—ZONE 5 CONTRACT NO. 892 CITY OF WATERLOO, IOWA Honorable Mayor and City Council Waterloo, Iowa Gentlemen: 1. The undersigned, being a Corporation existing under the laws of the State of to..a , :a Partnership consisting of the following partners: "IL,Sties- Ot-S..! C_ovtSre ca.Ss.. 'ZL4 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 perso 1, labor, materials, machinery, tools, appurtenances, equipment, and servs, including utility and transportation services required to construct and ete this F.Y. 2016 SIDEWALK ASSESSMENT PROGRAM — ZONE 5, tract No. 892, all in accordance with the above-listed documents and for the R:tinit prices forwork in place for the following items and quantities: F.Y. 2016 SIDEWALK ASSESSMENT PROGRAM—ZONE 5 tNTRACT NO. 892 BIDS U. . cRIPTioN UNIT ;i_ EST.QTY. u►ilT BID_ k.41107A4044 4 ITEM; PRICE 1 REM/REP SIDEWALK,4", PCC SF 26,119.1 $ b,3oeo $ 1.61I SSD .. 2 REM/REP SIDEWALK, 5", PCC SF 6,441.6$ 6,gS°t2 $ J tzy qv SC '/ 3 REM/REP SIDEWALK, 6" PCC SF 3,42a 4 V $ 5336 4 PATCH EA 151.0$ 'SOoe tZZf;S( aof. 5 JOINT SEAL LF 40.0$ 1 $ it 6 DRAINAGE PLATE REPAIR EA 3.0$ 3So°d k)Sa'"` etc 7 SAW CUT LF 16.0$ Si'°° $ . VIC de 8 WATER VALVE ADJUSTMENT EA 28.0$ I So o° $ ` TOTAL BID $ 2 9 Si# , Is X ' G -rorikc- TZ.6%, likig WWI, globs" 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. FORM OF BID CONTRACT NO. 892 Page 1 of 3 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to the undersigned within thirty (30) days after the opening thereof, or at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of the insurance within ten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 F;Fref, c.ol(o, °f C Dollars ($ Fit x)° ' ) in the form of 8,,,, J 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 ( ), 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. Date $-3I 10. The bidder shall list the MBENVBE 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: FORM OF BID CONTRACT NO. 892 Page 2 of 3 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. TQ COnsi`-c .b.L Lk_ 9-:,, 9— Jo-is (Name of Bidder) (Date) BY: iUs)4.. Q�} ,! - Title GGv-v<.e7 Official Address: (Including Zip Code): S62Y fct,44be.,it Ac-e_ (A/t re/7oo , $07o t I.R.S. No. 416--Zo3'30417 FORM OF BID CONTRACT NO. 892 Page 3 of 3 • NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of County of &toe 11244 ) )ss , being first duly sworn, deposes and says that: 1. He is Ow Partner, Officer, Representative, or Agent) of J C_chkCT/e c✓y�� , 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; 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. (Signed) Title Subscribed and sworn to before me this /�� day of "-gem hell,- , 201 Title My commission expires 11��- / 7 ;A`: TERESA M KOOL COMMISSION NO.719768 COMMISSION EXPIRES "' DECEMBER 2,201? RESIDENT/NON-RESIDENT BIDDER RESIDENT BIDDER: In accordance with Section 73A.21 of the Iowa Code, all non-federal-aid public improvement projects, which include road construction, shall be performed by a qualified resident bidder. The resident bidder has been further defined as follows: Resident Bidder: A person or entity authorized to transact business in this state and having a business for at least three years prior to the date of the first advertisement for the public improvement. If another state or foreign country has a more stringent definition of a resident bidder, the more stringent definition is applicable as to bidders from that state or foreign country. The contractor shall provide the City with a certification that he is a qualified resident bidder according to the above definition. The Certification shall be submitted with the contractor's bid. A copy of the form of "Resident Bidder Certification" is included in the Contract Documents. If it is determined that the contractor does not meet this qualification after he begins work, a shutdown notice shall be issued and the voiding of the contract shall begin unless the contractor becomes qualified. NON-RESIDENT BIDDER: The contractor shall provide the City with a certification that he is a non-resident bidder according to the above definition. The Certification shall be submitted with the contractor's bid. A copy of the form of"Non-Resident Bidder Certification" is included in the Contract Documents. DJG 01/02/12 RESIDENT BIDDER CERTIFICATION CONTRACT NO: 'Mt PROJECT NAME: S?vim rA-°ire ReR r a ceSs ahtc 5 DATE OF LETTING: &-31-15 To be a qualified resident bidder, the bidder shall be a person or entity authorized to transact business in this state and having a business for at least three years prior to the date of the first advertisement for the public improvement. If another state or foreign country has a more stringent definition of a resident bidder, the more stringent definition is applicable as to bidders from that state or foreign country. This qualification as resident bidder shall be maintained by the contractor and his subcontractors at the work site until this project is completed. I hereby certify that I am a resident bidder as defined above. COMPANY NAME �Q Cch /i„eai�r� LGL CORPORATE OFFICER ��-S> C ✓r•,� TITLE Cent✓ DATE 9" I0-[S_ NON-RESIDENT BIDDER CERT(CATION CONTRACT NO.: PROJECT NAME: DATE OF LETTING: \. % I hereby certify that I am an Iowa nonAsident bidder. \ COMPANY NAME: CORPORATE OFFICER: TITLE: DATE: STATE/COUNTRY F RESIDENCY: i Stated beloW are the preference(s) to resident bidders in the state/country of • (Preference to bidders, labor force, or other preferential treatment to bidders or laborers, etc. l/) wa EO O! U 0 a co a)Q +- o � E c v, O 16 wwNO C O o' C >'� oc1 Eo o Na)C u co - w U co O 3ooao-U U)% po "COr � °.Q F. e p a" +i+' . . 4+ p cu o� � cs ui a a) Cr- yCC c a) a ep R co • L o C a) a) :c a i) ° Q a) 0, 0) a w "C o E (0 N :y i"' am .-. dj N > >. O COOicea m 0en o 0 o p O cc coiaa) o A All ooa) _ a a meL.n o N N E O my •w3 aia) E � DE m ° - o � v>-ic o" o" � o W � ol•mmnm ca 0 E Y � 0 -• Q WO o o 20 o • 00 F- ca) 4� � LYZ� L o _8 - c oo E ._ MI OdZo � g �� . � a) w a) D o� of w a� 1. 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