HomeMy WebLinkAboutModern Builders Inc. s Nn
0
` p4 ,
co to m.
0 00
N•
ro
8
co)
Cu
O
fi
II
k<� CD
xn � Nci
m 88
I-' X - :UH
H (D I
o a o °-
1-n pa
rh a
N• 1-'
N hi
1-1
rr
n
N
o
E _
w 3 <
/ 22 :
322
,:ft ƒ ƒ Ey
» $ % «
\ 00 " •■/\
/
. E
I.
<
(
/ H.t \ �/
\ )g' '1-1 11 )
CO
e Z1
2 $'
\ ° § \
e � 7
. ,
,
� �
FORM OF BID OR PROPOSAL
REPLACE BI-FOLD DOOR
HANGAR 2
AT THE WATERLOO REGIONAL AIRPORT
WATERLOO, IOWA
IOWA DOT CSVI PROJECT
PROJECT NO. 91140AL0200
CONTRACT NO. 15281
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1. The undersigned, being a Corporation existing under the laws of the State of Iowa , a
Partnership consisting of the following partners: , 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 AECOM 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 REPLACE BI-FOLD DOOR, HANGAR 2 AT THE
WATERLOO REGIONAL AIRPORT, all in accordance with the above-listed documents for the lump
sum price for work in place for:
Sixty-Six Thousand Three Hundred Fifty and No/100 Dollars
(words)
($66,350.00 ).
(figures)
2. In submitting this bid, the bidder understands that the right is reserved by the City of Waterloo, Iowa,
to reject any or all bids. If written notice of the acceptance of this bid is mailed, telegraphed, or
delivered to the undersigned within thirty(30) days after the opening thereof, or at any time thereafter
before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the
prescribed form and furnish the required bond and certificate of the insurance within ten (10) days
after the agreement is presented to him for signature, and start work within ten (10) days after
"Notice to Proceed" is issued.
3. Security in the sum of Five Percent of Bid Dollars
($ 5% ) in the form of bid bond , is submitted herewith
in accordance with the INSTRUCTIONS TO BIDDERS.
4. Attached hereto is a Non-Collusion Affidavit of Prime Contractor.
5. Attached hereto is a Targeted Small Business Pre-Bid Contact Information.
6. The bidder is prepared to submit a financial and experience statement upon request.
7. 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.
FORM OF BID REPLACE BI-FOLD DOOR Page 1 of 2
D a A -, -< 0'< N 0 * 2 m
CD � o a 3 co cr co 3 r ff2 : ,
�m 3. � m -o co Ea. 03OO C°i QCa C.) °..,(3 " 1
o v C) CD m CD o CD o m _2j o 0 rn 0 ow�\!�:.,..
oxi O o ' 3 � _o CD � xi w ' a,
�� � - ° ° � OwD Co m W
m� Cl) y y N C a N N 7 y O
O al< Q g O 0.. o c O C CO C z
z o O co o ao -i7 CO oCCnn m co 3
n Cn 3 m CD CD y a �o O m
co ' ° y O �?
o CU n 133 m J.Ct
7 � " � v � Mk 0 1
, C7 r CW'
n�i 0m 00. mCn 3. ° Ao w mD p,
y 07 - G A � •
om mo ° c(0 D . -I O
CD 0 m ? _a 0 \ * co? m
= y t \� F'
CD ° y
-oCn 30Cr 3 c s G N
a) m y O CD CD O sa
7 D a 0 m -0 c I
m h
C CO CD O y. O N O N CO
1 n 07 0 3. CD p C Jo 0
n+ Z H
O coy y, 3 CD a C Co C)
C r y,7 -° C -1 CT- CD c
m Cl CO m C fOp m o o- = = a
0 m m0 O y o ^o co o K`° 21
Q. WT QT No00,, Qa, pi m3
m -2ii aCD o < <' 3. � WW
CD 0 a-. 3: 3 m y o o m
G cm N CDno 0 •G m0) C)
'° y � 3m * ° a •' o y 0m
m O w Z1 ao ic3 o sCT 0 03 a -
r I-I 0 y0 Cam ° CCD 0 n n -. 3 m 2 0Cn
rn 'C y2 Q0 m a _ 3, ° -' c � Z
co c m = m y , CD OQ ° rZm
0O O O -1 0 v p n , 3.
A 0 3 T y
r tCC O
p y mC S � 3 ; 0 � yp� 2m
O
o G CD � � R. co— ,3 ' a = o y1
o hi O 0 NC -'Y r ° o y -, CD CD 1m
rto0i < mp � ? � " c n '� c p Ov
C) O Q , CD
2A
Xay a- Om 3 a y 3 CD CD CD0 Ty
lD 2 N m CT cn --O 3 00 m
° 1 N -., O w o -°
Dy g ° N m ° y m m 3
El CD O G y
H ym Co O 0 3 0.fD m m
N Sv ? ? a O 0 co y r
fD j
H 0 ? 0 C° D Cap O n ED
1-11 co 3 O •'< O y
�Q 0 -, CD 3 CO N
(e 7
o 11
"Ni
frh d 0 W T o Cr
°0 O 3 �' 0
(� 17
c 5-
0 n W al M yo � D
C) 0 m
o 3 0ac3 ' 0 CD 0
o CT OO O y N D mno3 y. -I,
O a C . c. 1 O 3D
m
co 7 3 co
n0 O X
L a 0 CD -O�'0 (D a
.. 7 0) 0. a O 07
3
O. co —OJ CD O j' v
a O. (0 O 000 Cr.
.. 3 co O O D 3
m O 0 a r
x ^0 CD a)
r 0OT o co O 07 a)
rn CD , CD .0. 0 Er
,;� CITY OF WATERLOO, IOWA
f/ t� f� WATERLOO ENGINEERING DEPARTMENT
715 Mulberry St. • Waterloo,IA 50703 ' (319) 291-4312 Fax (319) 291-4262
rlcso ERIC THORSON,P.E. • City Engineer
Mayor INFORMATION NEEDED
ERNEST G.
CLARK FOR
IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE
COUNCIL
MEMBERS
CONTRACTOR NAME: Modern Builders, Inc.
DAVID
JONES ADDRESS: 202 Main Street, PO Box 418
Ward I
CAROLYN Janesville, IA 50647
COLE
Ward 2
PATRICK (Check One) PRIME: X SUBCONTRACTOR:
MORRISSEY
Ward 3
QUENTIN FEDERAL ID#: 42-0928952
HART
Ward 4
RON PROJECT NAME: Replace Bi-Fold Door Hangar 2
WELPER
wards PROJECT CONTRACT NO.: 15281
TOM
LIND DESCRIPTION OF WORK:
At-Large
STEVEN ❑ Brickwork 0 Landscaping
SCHMITT
At-Large 0 Carpentry 0 Painting
❑ Concrete 0 Paving
❑ Drywall-Plaster-Insulation 0 Plumbing
❑ Electrical )( Roofing-Siding-Sheet Metal
❑ Excavation/Grading ❑ Windows
❑ Flooring 0 Wrecking-Demolition
❑ Heavy Construction '! l Other (Please Specify)
❑ Heating-Ventilating-Air Cond. ❑ D1r, I.ti1Vt,
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
SAI PS TAX FXFMPTION RFPI ACF RI-FOI D DOOR STF-1 of 1
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of Iowa )
)ss
County of Bremer )
Rick Stensland , being first duly sworn, deposes and says that:
1. He is (Owner, Partner, Officer, Representative, or Agent) , of Modern
Builders, Inc , 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 p rties in interest, including this
affiant.
(Sig ne
President
Title
Subscribed and sworn to before me this 371 day of July , 2014.
itle
My commission expires TAMARA ,, , .
*"--7.t- MYCOMMISN10 15IRES
a w EXPIRES
NON-COLLUSION AFFIDAVITS REPLACE BI-FOLD DOOR NCA-1 of 2
AECOM 60307648
!a_E WOO mo,= 3 maw \o
7) - z Es @s 0 0 ƒ o
\ }0 /� 0° cr a, \ 3
/ �/ «m 2 \ Co
e , e k\ f � • k = D \ \
\ ) ( a § / - 2 & / e
* a o n m .74
\ /\ C to a>t� k \ \/ \ { ƒ
CO {{ 0 _ ! / H
_ * e »
\ 7E \ � 3 c /
\ k ( ) a0 ) \ \ . j
*- E
/ } cr 7} ƒ\ \
` } \\ /k (\ )
k w \ \ � g ! | }
o > , � -
) #( \ / \ }} 0
in-
al \G � ® \ \\ \ 7a
to r= \2 7a i - co $>
e g% =3 ' � Co 53
#m 22 ( > §3
} i + $
Q [) ° _ _ Gc
§ m» } B » a /2
cz 0 H >
k0 — - m(
0� j /$ \ al
.B 0 a \ M)
0 \ �) _a { 2 0m
§2
§9 0 (( ] 0 0
0
§cn 0 \} j 0 /
m ®�
\ _ \ :
« ° 5 e k
§ §§ / 0 ]
\ ID
_ - \
C _ 7
§ cc q . C } .
\( \ co
- 4
/ CD
(/ ° 2 & rD
-
(/ \ { \
g3 CO B
T. ~
§d \ } /
8. The bidder has received the following Addendum or Addenda:
Addendum No. N/A Date
9. 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.
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 alternates, delete line items, and/or to reduce quantities prior
to the award of a contract due to budgetary limitations.
Modern Builders, Inc. June 3, 2014
(Name of Bidder) (Date)
BY: Title President
Rick Stensland
Official Address: (Including Zip Code):
707 Main Street, PO Pnx 418, Janesville. TA 50647
I.R.S. No. 42-0928952
FORM OF BID REPLACE BI-FOLD DOOR Page 2 of 2
A FCnM R03I17RAR
BID BOND
•
KNOW ALL MEN BY THESE PRESENTS,that we, Modern Builders, Inc.
as
Principal,and Western Surety Company
es Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum Five Percent of Amount of 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 3rd day of July
, 2014,for
Replace Bi-fold Door- Hanger 2, Waterloo Regional Airport
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 3rd day of July ,A.D. 2014. •
(Seal)
�BFiAcipB M de n Builders, Inc.
BY
(Title)
Western Surety Company (Sea!)
Wi . s Surety
1(1,
With Dio . oung ornay4n-faot Cindy Bennett
8iD SOND REPLACE O-FOLO DOOR an4 of ti
AECOM 9033754
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation
having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby
make,constitute and appoint
•
Craig E Hansen, Jay D Freiermuth, Brian M Deimerly, Clifford W Augspurger, Cindy
Bennett, Anne Crowner, Stacy Venn, Laure Guisinger, T Mc Culloh, Shirley S Bartenhagen,
Lacey Cramblit,Individually
of West Des Moines,IA,its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf
bonds,undertakings and other obligatory instruments of similar nature
-In Unlimited Amounts—
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by
the shareholders of the corporation.
In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be
hereto affixed on this 6th day of November,2012.
WESTERN SURETY COMPANY
- ae`yUPET}
_NW;pPOggr�4
W 4 iz
��TN DPKDp-
_ wW aul T.Bruflat,Vice President
StateofSodthDakota
ss
County of Minnehaha
On this 6th day of November,2012,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that
he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which
executed the above instrument;that he knows the seal of said corporation;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 corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires
J.MOHR
June 23,2015 SEAL NOTARY Puatic seAr 4
p - SOUTH DAKOTA a - i
J J ():7)1 67-41)
Sha4ti4hY4Y44r4Mtivb4a,4}
J.Mohr,Notary Public
CERTIFICATE
I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force,and further certify that the By-Law of the-corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporationihis. 3 r d day of July 2014
-E7 e WESTERN SURETY COMPANY
00#4.3Wi4 ♦"{D �.
c,�.�.;SEP 4e
V±
L.Nelson,Assistant Secretary
Form F4280-7-2012
Authorizing By-Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President,any Vice President, Secretary,any Assistant Secretary,or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings,Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.