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REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
PROPOSAL FORM
FOR
RECONSTRUCT TAXIWAY B SOUTH OF RUNWAY 18/36
FAA AIP 3-19-0094-0047-2020
RECONSTRUCT WEST TERMINAL APRON AND CLEAN/RESEAL JOINTS
EAST TERMINAL APRON
FAA AIP 3-19-0094-0046-2020
REMOVE TREES
FAA AIP 3-19-0094-0047-2020
AT THE
WATERLOO REGIONAL AIRPORT
WATERLOO, IOWA
Waterloo Regional Airport
2790 Livingston Lane
Waterloo, IA 50703
Gentlemen:
1. The undersigned, being a Corpo ion eisting under the laws ofthe State of OWL , a Partnership consisting ofthe
following partners: Cvoa.I 1 aG.. , having familiarized (himself) (themselves) (itself)
with the existing conditions on the project area affecting the cost ofthe 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 Reconstruct Taxiway B South of Runway 18/36; Reconstruct West Terminal Apron
and Clean/Reseal Joint East Terminal Apron; and Remove Trees e FAA AIP 3-19-0094-0046 and 0047-2020, all in
accordance with the above -listed documents and for the unit prices for work in place for the following items and
quantities:
2. The extent of the work involved is as follows:
• FAA AIP 3-19-0094-0046-2020 Reconstruct West Terminal Apron and Clean/Reseal Joints East Terminal
Apron consists of reconstruction of West Terminal Apron, including removal of the existing bituminous apron
pavement ranging in thickness from ten (10) to twelve and one-half (12 1/2) inches in thickness; removal and
replacement of the existing base and subbase materials; installation of cement treated permeable base course;
installation of approximately 3,400 square yards of 12 %2 -inch thick Portland Cement Concrete Pavement;
reconstruction and installation of three (3) storm sewer structures; and Add Alternate Bid Option for joint
cleaning/sealing.
• FAA Al? 3-19-0094-0047-2020 Reconstruct Taxiway B South of Runway 18/36 and Remove Trees consists
of reconstruction of Taxiway B South of Runway 18/36 with 13-inch Portland Cement Concrete Pavement;
removal and replacement of Taxiway B Medium Intensity Edge Lights, wiring and conduit, and replacement
with new LED Medium Intensity Taxiway Edge Lights, new conduit and wiring, and LED Guidance Signage;
removal of existing subdrain system and installation of new system; pavement marking for Taxiway B;
reconstruction of Taxiway C south ofRunway 12/30; and clearing and grubbing of trees north ofRunway 18/36
and clearing and grubbing of trees west of Runway 18/36.
3. The undersigned, in compliance with your Invitation for Bids dated ''(fr Zv , hereby proposes to do the
work called for in said Contract and Specifications and shown on said Plans and Addendum Nos.
•� Z and to furnish all materials, tools, labor and all appliances and appurtenances necessary for the
said work at the following rates and prices:
FAA AIP 3-19-0094-0046 and 0047-2020 P-1 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
ITEMIZED PROPOSAL
WATERLOO REGIONAL AIRPORT
WATERLOO, IOWA
PROJECT: • RECONSTRUCT TAXIWAY B SOUTH OF RUNWAY 18/36
• RECONSTRUCT WEST TERMINAL APRON AND CLEAN/RESEAL JOINTS
EAST TERMINAL APRON
• REMOVE TREES
FAA AIP PROJECT NOs. 3-19-0094-0046 and 0047-2020
ITEM
SPEC.
I
ESTIMATED
UNIT
BID
TOTAL
BID
PRICE
NO.
NO.
DESCRIPTION
UNIT
QUANTITY
PRICE
BID
PACKAGE
#1
- RECONSTRUCT
WEST
TERMINAL
APRON
AND
CLEAN/RESEAL
JOINTS
EAST
TERMINAL
1
C-105
MOBILIZATION
LS
1
$ / 4CQO,
00
$ /
f
&Cc0, 00
$ ¥O[o.cV
$ 110000 .00
2
GP 40-05
TRAFFIC
CONTROL
LS
1
3
GP 50-07
CONSTRUCTION
SURVEY
LS
1
5.000.
$ 50ro0.O0
$
00
4
P-101-5.1
PAVEMENT
REMOVAL
SY
3,400
$ 39/ OQe oo
$ //,a
O
5
PLANS
REMOVAL
OF
STRUCTURE
EA
1
$ /500.
00
$ /5-00.00
$ /2
, 00
$ 2O 4100.
00
6
P-152-4.1
UNCLASSIFIED
EXCAVATION
CY
1,700
7
P-154-5.1
SUBBASE
COURSE
CY
690
$ 42
060
$ lei 2$', 00
8
P-209-5.1
CRUSHED
AGGREGATE
BASE
SY
3,400
$ oz0•
O D
$ Oa o00. 0Q
COURSE
- 6
INCH
$ 391,0
O
$ 95 / fo o. ®O
9
P-307-7.1
CEMENT
BASE
COURSE
TREATED
PERMEABLE
SY
2,440
$ b912 Q,
ICJ
10
P-501-8.1b
10.0-INCH
CONCRETE
PORTLAND
PAVEMENT
CEMENT
SY
960
$ 72.
00
12.5-INCH
PORTLAND
CEMENT
$ (p6,0o
$ /6/0Y0.00
11
P-501-8.1c
CONCRETE
PAVEMENT
SY
2,440
$ 8,00
$ a9
yn 0,00
12
P-620-5.2b
RUNWAY
AND
TAXIWAY
MARKING
SF
3,675
13
P-620-5.3c
REFLECTIVE
GRADATION
MEDIA
A)
(TYPE
I,
LB
260
$
&Cot 0®
$ 250
14
PLANS
AIRCRAFT
TIEDOWN
ANCHORS
IN
SF
20
$ Z60.0O
$ 6'000.Qo
NEW
PAVEMENT
$
Llgo.
OO
$ Lisevoroo
AIRCRAFT
1'1hDOWN
ANCHORS
IN
15
PLANS
EXISTING
PAVEMENT
SF
10
16
D-705-5.1
4 -
(SDR
INCH
35)
PERFORATED
COMPLETE
INCLUDING
SUBDRAIN
LFT
270
$
IS.
(}0
$ g0.5"Q, 00
POROUS
FABRIC
BACKFILL
AND
FIL
1
hR
17
D-705-5.2
4 -INCH
NON
-PERFORATED
LFT
165
$ IiiOZ Co.
$
8 So
SUBDRAIN
(SDR
35)
$ /7s•D.00
$ C,)s 0, Oo
18
D-705-5.5
SUBDRAIN
CLEANOUT
EA
3
$ 9500,
00
$ /9000, 0 0
19
PLANS
CATCH
BASIN,
ADJUSTMENT
EA
2
20
D-751-5.1
CATCH
BASIN
EA
2
$ / 9Co0,
00
$ 39000. 00
SUBTOTAL
$ $
i 7 1
! 7, S 0
Alternate
Bid
1
$ 3000.00
$ 3000.00
1
GP
40-05
TRAFFIC
CONTROL
LS
2
P-101-5.2
SAW AND
SEAL
JOINTS
LFT
4,950
$ Z 115
$ /2_ /2 7
,
.CO
SUBTOTAL
$ /5 / 2 7 0
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
P-2
Waterloo Regional Airport
FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
ITEM
NO.
SPEC.
NO.
DESCRIPTION
UNIT
ESTIMATED
QUANTITY
UNIT
PRICE
BID
TOTAL
PRICE
BID
TOTAL
BID
PACKAGE
#1
$
3Z 325,
00
BID
PACKAGE
#2 - RECONSTRUCT
TAXIWAY
B
SOUTH
OF
RUNWAY
18/36
AND
REMOVE
TREES
LS
1
$ ZS0000.04
$ 2SOOo0.00
1
C-105
MOBILIZATION
2
GP
40-05
TRAFFIC
CONTROL
LS
1
$ j 1.0
00 0.0t3
$ / 2 0 O00 , O0
3
GP
50-07
CONSTRUCTION
SURVEY
LS
1
$ S0000.
00
$ 20000.OQO
BARRICADES
LS
1
$ /'O
OOo. 00
$ / 0 0 00, 00
4
PLANS
CONSTRUCTION
C-102-S.le
INSTALLATION
AND
REMOVAL
OF
LF
6,500
$ /, 75.
$ // 1 ?S. oo
5
SILT
FENCE
6
C-102-5.If
INSTALLATION
AND
REMOVAL
OF
EA
10
$ Z 9s, 0
07
$ 2-9so, AO
INLET
PROTECTION
SY
25,440
$ 0 0
$ Zsyyoo.00
7
P-101-5.1
PAVEMENT
REMOVAL
/0.
SY
220
$ 7 7050
$ 6OS0,Q0
8
P-101-5.6
COLD
MILLING
9
P-151-4.1
CLEARING
ACRE
6
$ IMOO,(,O
$ 2-q{000•00
10
P-151-4.2
CLEARING
AND
GRUBBING
ACRE
21
$
/./2,0 00
$ rzSO,00
11
P-152-4.1
UNCLASSIFIED
EXCAVATION
CY
3,000
$ /0 00
$ j 0 too .00
,
-r&
P-154-5.1
SUBBASE
COURSE
CY
1,250
$ 61. Oa
$ 250.
oo
12
CRUSHED
AGGREGATE
BASE - 6-
OQ
13
P-209-5.1
SY
3,400
$ 20, 00
$ b2Loro .
INCH
CEMENT
TREATED
PERMEABLE
SY
20,940
$ 32.700
$ ( 7()OYo,
00
14
P-307-8.1
BASE
COURSE
15
P-501-8.1
8.O
CONCRETE
INCH
PORTLAND
PAVEMENT
CEMENT
SY
1,070
$ (p(oy�CJ
$ 7/ /S5', 00
13.0
INCH
PORTLAND
CEMENT
2 5
//
SY
18,500
$ 6y.
$ 87625, 00
16
P-501-8.1
CONCRETE
PAVEMENT
so
AND
TAXIWAY
MARKING
SF
10,200
$ 3
$ 3S 7 OQ. D O
17
P-620-5.2b
RUNWAY
REFLECTIVE
MEDIA
(TYPE
I,
LB
225
$ 2 . CO
$ s , SD
18
P-620-5.3c
GRADATION
A)
.)
6 -
INCH
PERFORATED
SUBDRAIN
(SDR
35)
COMPLETE
INCLUDING
6,380
$ PI, 0 0
$ 113 3 2 Q 00
19
D-705-5.3
POROUS
BACKFILL
AND
FILTER
LFT
,
FABRIC
6 INCH
NON
-PERFORATED
LFT
200
$ 3 S' YJ
$ / 7 00 00
20
D-705-5.4
SUBDRAIN
(SDR
35)
.
EA
21
$ / 750, OD
$ 6,75-4,OO
21
D-705-5.5
SUBDRAIN
CLEANOUT
j
22
D-751-5.1
CATCH
BASIN
EA
6
$ 19
000,
00
$
!ill
000.00
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
P-3
Waterloo Regional Airport
FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
SPEC.
ESTIMATED
UNIT
BID
TOTAL
BID
ITEM
NO.
NO.
DESCRIPTION
UNIT
QUANTITY
PRICE
PRICE
23
T-901-5.1
SEEDING
AC
30
$
C®0.
('A
$ 77000, 00
TOPSOIL
(OBTAINED
ON
SITE
OR
24
T-905-5.1
REMOVED
TAXIWAY
FROM
B
STOCKPILE)
-
CY
790
$ (Z , D0
$ 9Ngo
t
0
D
25
T-908-5.1
MULCHING
AC
30
$
(85-1
00
$ Sy7Co,co
NO.
8 AWG,
5KV,
L-824,
TYPE
C
CABLE,
INSTALLED
IN
TRENCH,
LF
10,500
$ (,
0
$
26
L-108-5.1
DUCT
BANK
OR
CONDUIT
0
I
QCQO
,
00
NO.
6 AWG,
5KV,
L-824,
TYPE
C
(ZS
/Z Sr OD
27
L-108-5.2
CABLE,
INSTALLED
IN
TRENCH,
LF
100
$
$
DUCTBANK
OR
CONDUIT.
NO.
6 AWG,
BARE
COPPER
COUNTERPOISE
WIRE,
INSTALLED
IN
TRENCH,
ABOVE
THE
DUCT
Qr
p
b ctissioct
28
L-108
5.3
BANK
GROUND
CONNECTORS
OR
CONDUIT,
RODS
AND
INCLUDING
GROUND
LF
7,700
$
0
$
CONCRETE
ENCASED
ELECTRICAL
29
L-110-5.1
DUCT
SCHEDULE
BACK
40
4-WAY
PVC
4-INCH
LF
160
$ 37, OQ
$
%OO,OD
30
L-110-5.3
NON
-ENCASED
ELECTRICAL
LF
7,700
$ Z '
0
$
( %®.
a0
40
PVC
CONDUIT,
2-INCH
SCHEDULE
ELECTRICAL
HANDHOLE,
L-868
EA
4
$
o0,
oo
$
3600100
31
L-115-5.4
9
ELECTRICAL
HANDHOLE,
2'0"
BY
32
L-115-5.4
2'0"
EA
6
$ 3c00.00
$
/ O C7C3. f9 Ck
33
L-125-5.1
LED
EDGE
LIGHT
-
EA
EA
65
$ T ?D
. cif
$
(p3 06-0. 0
0
AIRFIELD
GUIDANCE
SIGN,
SIZE
1,
34
L-125-5.4
EA
6
$ 2(400.00
$
itiyoo
oo
LED,
1
(ONE)
MODULE
35
L-125-5.4
AIRFIELD
LED,
2
(TWO)
GUIDANCE
MODULE
SIGN,
SIZE
1,
EA
2
$ 30oo •OO
$ 40t00, 00
GUIDANCE
SIGN,
SIZE
3,
AIRFIELD
00
36
L-125-5.4
EA
1
$ 24070.00
$ Z
&70,
LED,
1
(ONE)
MODULE
AIRFIELD
GUIDANCE
SIGN,
SIZE
1,
L-125-5.4
EA
2
$ 32:75,00
$
&SSO, 00
37
LED,
3 (THREE)
MODULE
RUNWAY
GUARD
LIGHT
EA
2
$ 3 325, 00
$ 6 &$O, 00
38
L-125-5.5
L-804
(LED)
39
L-125-5.6
REMOVE
DUCT
BANK
LF
700
$ 7,00
$ 490040
VIA
OQ
L-125-5.7
REMOVE
TAXIWAY
EDGE
LIGHT
EA
68
$ ZSS. 0 0
$ /73
40
ZSB,
$
41
L-125-5.7
REMOVE
ELECTRICAL
HANDHOLE
EA
12
$
00
3096,00
Q
19
567,00
$ 6 3,3, 00
42
L-125-5.8
REMOVE
AIRFIELD
GUIDANCE
SIGN
EA
$
7
FAA AIP 3-19-0094-0046 and 0047-2020 P-4
AECOM Project #60625545
Waterloo Regional Airport
FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
ITEM
NO.
SPEC.
NO.
DESCRIPTION
ESTIMATED
QUANTITY
UNIT
BID
TOTAL
BID
PRICE
PRICE
UNIT
43
P-401
ASPHALT
SURFACE
COURSE
TON
28
$
,i Q, dO
$
' 7 2
o tiff
/
t
44
P-603
EMULSIFIED
ASPHALT
TACK COAT
GAL
30
$
/
0 1
b 0
$ 300.
00
45
D-701
10" CLASS
III
REINFORCED
LF
503
$ 6 S co
$ 3 2
b 95t 00
CONCRETE
PIPE
TOTAL
BID
PACKAGE
#2
$ 352
0
(02 / So
35-Z G, Go
TOTAL
BID
— BID
PACKAGE
#1
PLUS
BID
PACKAGE
#2
$
9.1
T
4. It is the Airport's intention to evaluate bids reviewing both the Base Bid and Add Alternate Bid. The Airport
35has limited funds available and will award only what funding allows. The Airport reserves the right to award
the36 contract based on the Base Bid only or the Base Bid plus Add Alternate Bid Option.
The undersigned understands that the above quantities of work to be done are approximate only and are
2mtended principally to serve as a guide in evaluating the bids. All quantities are subject to increase or
decrease and are to be performed at the unit prices stipulated herein.
6. It is understood that the schedule of minimum wage rates, as established by the Secretary of Labor and included
m the Specifications are to govern on this project, and the undersigned certifies that he has examined this
schedule of wage rates and that the prices bid are based on such established wage rates
7. The bidder shall make good faith efforts, as defined in Appendix A of 49 CFR Part 26, Regulations of the
Office of the Secretary of Transportation, to subcontract seven and one-third (7.33%) percent of the dollar value
of the prime contract to small business concerns owned and controlled by socially and economically
disadvantaged individuals (DBE). Individuals who are rebuttably presumed to be socially and economically
disadvantaged include women, Blacks, Hispanics, Native Americans, Asian -Pacific Americans, and Asian -
Indian Americans. The apparent successful competitor will be required to submit information concerning the
DBE's that will participate in the contract The information will include the name and address of each DBE, a
description of the work to be performed by each named firm, and the dollar value of the contract If the bidder
fails to achieve the contract goal stated herem, it will be required to provide documentation demonstrating that
it made good faith efforts in attempting to do so. In the event that the apparent successful competitor for this
solicitation qualified as a DBE, the contract goal shall be deemed to have been met A bid that fails to meet
these requirements will be considered nonresponsive
8. The undersigned certifies that he does not maintain or provide for his employees any segregated facilities at any
of his establishments, and that he does not permit his employees to perform their services at any location, under
his control where segregated facilities are maintained. The undersigned certifies further that he will not
maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not
permit his employees to perform their services at any location, under his control where segregated facilities are
maintained. The undersigned agrees that a breach of this certification is a violation of the equal opportunity
clause in this contract. As used in this certification, the term "segregated facilities" means any waiting rooms,
work areas restrooms and washrooms, restaurants and other eating areas timeclocks, locker rooms and other
storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and
housmg facilities provided for employees which are segregated by explicit directive or are in fact segregated on
the basis of race, color, religion, or national origin, because of habit local custom, or any other reason The
undersigned agrees that (except where he has obtained identical certifications from proposed subcontractors for
specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of
subcontracts exceeding $10,000 which are not exempt from the provisions of the equal opportunity clause, and
that he will retain such certifications m his files.
9. The undersigned agrees upon written notice of the acceptance of this bid, within ninety (90) days after the
opening of the bids, that he will execute the Contract in accordance with the bid as accepted and give Contract
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
P-5 Waterloo Regional Airport
FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
(Performance and Payment) bond on attached forms within fifteen (15) days after the prescribed forms are
presented for signature.
10. The undersigned understands, award of contract is contingent upon receipt of project funding from the Federal
Aviation Administration. If funding is not received, bid bonds will be returned to all bidders and the project
will be postponed.
11. The undersigned further agrees that if awarded the Contract, he will commence the work within ten (10)
calendar days after the receipt of a "Notice to Proceed" and that he will substantially complete all work
according to the terms of the entire contract within sixty-five (65) calendar days from the date established in the
Notice to Proceed An extension of time may be allowed when extra or additional work is ordered by the
Engineer.
12. The undersigned agrees that within 30 days after award of this contract, the Contractor/Subcontractor shall file
a compliance report (Standard Form 100) if s/he has not submitted a complete compliance report within 12
months proceeding the date of award. This report is required if the Contractor/Subcontractor meets all of the
following conditions:
a. Contractors/Subcontractors are not exempt based on 41 CFR 60-1,5.
b. Has 50 or more employees.
c. Is a prime contractor or first tier subcontractor.
d. There is a contract, subcontract, or purchase order amounting to $50,000 or more.
13. To satisfy Clear Air and Water Pollution Control Requirements on all Construction Contracts and Subcontracts
exceeding $100,000.00 Contractors and Subcontractors agree.
a. That any facility to be used in the performance of the Contract or to benefit from the Contract is not listed
on the Environmental Protection Agency (EPA) List of Violating Facilities.
b. To comply with all the requirements of Section 306 of the Clean Air Act (42 USC 1857(h)), and Section
508 of the Clean Water Act (33 USC 1368), Executive Order 11738 and Environmental Protection
Regulations (40 CFR Part (15)).
c. That as a condition for award of a Contract he shall notify the awarding official of the receipt of any
communication from EPA indicating that a facility to be utilized for performance of or benefit from the
Contract is under consideration to be listed on the EPA List of Violating Facilities.
d. To include or cause to be included in any Contract or Subcontract which exceeds $100,000.00 the
aforementioned criteria and requirements.
14. The contractor, by submission of this offer and/or execution of a contract, certifies that it:
a. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of
countries that discriminate against U S firms published by the Office of the United States trade
Representative (USTR);
b. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen
or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more
citizens or nationals of a foreign country on said list;
c. has not procured any product nor subcontracted for the supply of any product for use on the project that is
produced in a foreign country on said list
FAA AIP 3-19-0094-0046 and 0047-2020
P-6 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR
30.17, no contract shall be awarded to a contractor or subcontractor who is unable to certify to the above. If the
contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on
the said list for use on the project, the Federal Aviation Administration may direct, through the sponsor,
cancellation of the contract at no cost to the Government.
Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this
provision for certification without modification in each contract and in all lower tier subcontracts. The
contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the
certification is erroneous.
The contractor shall provide immediate written notice to the sponsor if the contractor learns that its certification
or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed
circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it
learns that its certification was erroneous by reason of changed circumstances.
This certification is a material representation of fact upon which reliance was placed when making the award.
If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the
Federal Aviation Administration may direct, through the sponsor, cancellation of the contract or subcontract for
default at no cost to the Government.
Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render, in good faith the certification required by this provision The knowledge and information of a
contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course
of business dealings.
This certification concerns a matter within the jurisdiction of an agency of the United States of America and the
making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title
18, United States Code, Section 1001.
15. The bidder/offeror certifies, by submission of this proposal or acceptance of this contract, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency. It further agrees by
submitting this proposal that it will include this clause without modification in all lower tier transactions,
solicitations proposals, contracts, and subcontracts. Where the bidder/offer/contractor or any lower tier
participant is unable to certify this statement, it shall attach an explanation to this solicitation/proposal.
16. As an evidence of good faith in submitting this Proposal, the undersigned encloses bid security in the amount of
five (5) percent of the bid which, in case he refuses or fails to accept an award and to enter into a Contract and
file the required bonds within the prescribed time, shall be forfeited to the Waterloo Regional Airport as
liquidated damages.
17. By entering into this contract, the contractor certifies that neither it (nor he or she) nor any person or firm who
has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by
virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1).
18. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government
contract by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1).
19. The undersigned hereby declares that the only parties interested in this Proposal are named herein, that this
Proposal is made without collusion with any other person, firm or corporation, that no member of the Council,
Waterloo Regional Airport or agent of the City of Waterloo, Iowa, is directly or indirectly financially interested
in this bid.
20. In submitting this bid, it is understood that the right to reject any and all bids has been reserved and that this bid
may not be withdrawn for a period of ninety (90) days from the opening thereof.
FAA AIP 3-19-0094-0046 and 0047-2020
P-7 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
21. Contractor certifies that all employees employed by Contractor or any subcontractor working on behalf of the
Contractor are in compliance with the Immigration Reform Control Act of 1986 (IRCA) and indemnifies the
Owner and holds harmless Owner for any violations of IRCA as a result of the Contractor's employees or his
subcontractor's employees working on behalf of the Contractor on the Owner's project.
22. The undersigned certifies, to the best of his or her knowledge and belief, that:
a. No Federal appropriated funds shall be paid, by or on behalf of the Contractor, to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a member of Congress in Congress in connection with
the making of any Federal grant and the amendment or modification of any Federal grant.
b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal
grant, the Contractor shall complete and submit Standard Form-LLL, "Disclosure of Lobby Activities", in
accordance with its instructions
c. The Undersigned shall require that the language of this certification be included in the award documents
for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into Submission of this certification is a prerequisite for making or entering into this
transaction imposed by Section 1352, Title 31 U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $200,000 for each
such failure.
23. BUY AMERICAN CERTIFICATE (Title 49 U.S.C. Chapter 501)
As a condition of bid responsiveness, the bidder must how it intend to comply with the Buy American
preferences established under Title 49 U.S.C. Section 50101. Bidder must complete the attached Buy American
certification If the bidder requests a permissible waiver to the Buy America requirements, the Bidder identified
as with the successful bid must submit a formal waiver request and component cost calculation within the
prescribed time identified on the Buy America certification.
24. Drug Free Work Place, Act of 1988.
a. By submission of this offer, the offeror, if other than an individual, who is making an offer that equals or
exceeds $25,000 certifies and agrees that with respect to all employees of the offeror to be employed
under a contract resulting from this solicitation it will --no later than 30 calendar days after contract award
(unless a longer period is agreed to in writing, for contracts of 30 calendar days or more performance
duration;) or as soon as possible for contracts of less than 30 calendar days performance duration, but in
any case, by a date prior to when performance is expected to be completed--
(1) Publish a statement notifying such employees that the unlawful manufacturer, distribution,
dispensing, possession or use of a controlled substance is prohibited in the Contractor s workplace
and specifying the actions that will be taken against employees for violations of such prohibition;
(2) Establish an on -going drug -free awareness program to inform such employees about --
(a) The dangers of drug abuse in the workplace;
(b) The Contractor s policy of maintaining a drug -free workplace;
(c) Any available drug counseling, rehabilitation, and employee assistance programs; and
(d) The penalties that may be imposed upon employees for drug abuse violations occurring in the
workplace;
FAA AIP 3-19-0094-0046 and 0047-2020
P-8 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
(3) Provide all employees engaged in performance of the contract with a copy of the statement required
by subparagraph a.(1) of this provision;
(4) Notify such employees in writing in the statement required by subparagraph a.(1) of this provision
that, as a condition of continued employment on the contract resulting from this solicitation, the
employee will --
(a) Abide by the terms of the statement; and
(b) Notify the employer in writing of the employee's conviction under a criminal drug statute for a
violation occurring in the workplace no later than 5 calendar days after such conviction;
(5) Notify the Contracting Officer in writing within 10 calendar days after receiving notice under
subdivision a.(4) (b) ofthis provision, from an employee or otherwise receiving actual notice of such
conviction. The notice shall include the position title of the employee; and
(6) Within 30 calendar days after receiving notice under subdivision a.(4)(b) of this provision of a
conviction, take one of the following actions with respect to any employee who is convicted of a drug
abuse violation occurring in the workplace;
(7)
(a) Take appropriate personnel action against such employee, up to and including termination; or
(b) Require such employee to satisfactorily participate in a drug abuse assistance or rehabilitation
program approved for such purposes by a Federal, State, or local health, law enforcement, or
other appropriate agency.
Make a good faith effort to maintain a drug -free workplace through implementation of subparagraphs
a.(1) through a.(6) of this provision.
b. By submission of its offer, the offeror, if an individual who is making an offer of any dollar value, certifies
and agrees that other offeror will not engage in the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance in the performance of the contract resulting from this
solicitation.
c. Failure of the offeror to provide the certification required by paragraphs a. or b. of this provision, renders
the offeror unqualified and ineligible for award. [See FAR 9.104-1(g) and 19.602-1 a.(2)(a)].
d. In addition to other remedies available to the Government, the certification in paragraphs a. or b. of this
provision concerns a matter within the jurisdiction of an agency of the United States and the making of a
false, fictitious, or fraudulent certification may render the maker subject to prosecution under title 18,
United States Code, Section 1001.
25. Attachment to This Bid. The following documents are attached to and made a part of this Bid:
a. Bid Guaranty in the form of gid go tv
b. Non -Collusion Affidavit of Prime Bidder.
c. Statement of Intent — Non -Discrimination and Equal Opportunity Statement.
d. Buy American Certification Statement.
e. Bidder's Information Sheet.
f. Synopsis of Experience Record. (IDOT Certification may be substituted.)
g. Completed DBE forms "Utilization Statement" and "Letter of Intent."
•
FAA AIP 3-19-0094-0046 and 0047-2020
P-9 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
26. The Bidder shall indicate whether the bid is submitted by a/an:
Individual, Sole Proprietorship
Partnership
bk Corporation
Joint -venture: all parties must join -in and execute all documents
Other
■
■
■
■
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
Respectfully submitted,
By
er
"ClA// K 9 Sigr�at�'e
Title
AAA Atenr
20 / O L,w,• -�
Address
Pew /3/44,04, An OF d6S7
(Inc1ucfe Zip Code)
qr)rq.» 6717
Telephone No.
FAA AIP 3-19-0094-0046 and 0047-2020 P-10 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of )
ss
County ofChi.-11=c4fr,444A
row4 Sch0477f
, being first duly sworn, deposes and says that:
(1) He is (Owner, Partner, Officerepresenta -, or Agent) of
en/a/SA:dm - 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 re ►= sentatives, owners,
employees, or parties in interest, including this affiant.
(Signed)
Title
Subscribed and sworn to before me
this_a_g_ day of creaAC , 202.0
My Commission Expires
ar,V'Y ,zott-
.1/4'0AL 4, JULIE A. BLOOM
0 T- Commission Number 178535
. • My Coman s1,i/y/�,'',/I/jJn/, Expires
ow
FAA AU' 3-19-0094-0046 and 0047-2020
P-12 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
STATEMENT OF INTENT
NONDISCRIMINATION
AND
EQUAL OPPORTUNITY STATEMENT
The Contractor does hereby certify to the Waterloo Regional Airport, that no person shall, in any way, be favored or
discriminated against because of his race, political or religious opinions and affiliations, national origins, sex, age, sexual
orientation, gender identity, disability, color, creed, marital status, employee union or association membership or office
herein.
If selected as the successful bidder, this contractor hereby agrees to file either a nondiscrimination and equal opportunity
statement and/or an Affirmative Action Program.
Improvements to the Waterloo Regional Airport consisting of
Reconstruct Taxiway B South of Runway 18/36
Reconstruct West Terminal Apron and Clean/Reseal Joints East Terminal Apron
Remove Trees
FAA AIP Project Nos. 3-19-0094-0046 and 0047-2020
&ndI/j .Lr✓c.
COMPANY
A/V/i efad
EXECUTIVE OFFICER
(Ertl RAI OGk
AFFIRMATIVE ACTION OFFICER
ADDRESS OF THE AFFIRMATIVE ACTION OFFICER
)-10 /0 fettotA.V.9491 itiote •
A14141 /14404t rattr9
PHONE NUMBER Qrfrat7eG 727
FAA AIP 3-19-0094-0046 and 0047-2020
P-14 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
BIDDER'S INFORMATION SHEET
A. BIDDER'S CAPACITY: (Check One)
1. Individual
2. Co -Partnership
3. Corporation
■
■
B. (IF ITEM 2 IS CHECKED, COMPLETE THE FOLLOWING)
State of an
Names and Addresses of Partners
1.
2.
3.
4.
5.
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
C. (IF ITEM 3 IS CHECKED, COMPLETE THE FOLLOWING)
State of Incorporation
Names and Addresses of Officers:
President
Secretary
Treasurer
� ��/4/Zentomi / av/o 1
li
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
P-15 Waterloo Regional Airport
FY 2020 FAA AIP Projects
Date
Name of Bidder
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
SYNOPSIS OF EXPERIENCE RECORD
(This synopsis must accompany Proposal Form.)
fbe//,t'e.
Business Address ap 44444.0,1 Act "Au
it#44,:r4 raitry•
Individual ( ) Partnership ( ) Corporation ( ) (Check One.)
Construction successfully completed within past five years similar in size, scope, and difficulty of construction to the
work bid upon.
Name of Location of
Name of Owner Proi_ect Project
for 4M*1L,
2 ttfA'ijO,7" 1 90
rakak a-44e
4C41i0-ileiy easart lid
5 .vor A 9
2
3
4
5
Number of Contract Days
Allowed for Above Projects
Ak
the
(Signed)
Amount of
Contract
latein APwiee&
1/14454/144)
wato-Ap
1144.44+
jezaa
SI , Iry eve&
al / a 0, CaP
IF00, ae7
/A pay, voo
Actual Number of Days to
Complete above Project
Name of Company
(By) a
(TITLE) Atlij
(0
FAA AIP 3-19-0094-0046 and 0047-2020 P-16 Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
UTILIZATION STATEMENT
Disadvantage Business Enterprise
The undersigned bidder/offeror has satisfied the requirements of the bid specification in the following manner.
(Please mark the appropriate box)
iv The bidder/offeror is committed to a minimum of 7svx
% DBE utilization on this
contract.
The bidder/offeror, while unable to meet the DBE goal of %, hereby commits to
a minimum of % DBE utilization on this contract and also submits
documentation, as an attachment demonstrating good faith efforts (GFE).
The undersigned hereby further assures that the information included herein is true and correct, and that the DBE firm(s) listed herein have agreed to
perform a commercially useful function in the work items noted for each firm. The undersigned further understands that no changes to this statement
may be made without prior approval from the Civil Right Staff of the Federal Aviation Administration.
e„„a...i#6
Bidder's/0
ature
Dat
DBE UTILIZATION SUMMARY
Percentage
DBE Prime Contractor
DBE Subcontractor
DBE Supplier
DBE Manufacturer
Total Amount DBE
DBE Goal
Contract Amount
$ x 1.00 =
$ 35c 527 op
• x 1.00 =
$ X 0.60 =
$ /AVIA C)49 X 1.00 =
DBE Amount
$ _
$ 335311'%"'
$ _
$ 10009,02
$ 30537.°
$ 30to. sor
Contract
2,
?9
Note:
If the total proposed DBE participation is less than the established DBE goal, Bidder must provide written documentation of the good
faith efforts as required by 49 CFR Part 26.
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
P-17 Waterloo Regional Airport
FY 2020 FAA AIP Projects
PROPOSAL ATTACHMENT:
Bidder/Offer
DBE Firm:
DBE Contact Person:
DBE Certifying Agency:
Classification:
PART F — ADDITIONAL REQUIREMENTS
ITEM 3 — DBE FORMS
LETTER OF INTENT
Disadvantage Business Enterprise
(This page shall be submitted for each DBE firm)
Name: radK�✓r/C
Address: 0,70/9 /�.(jl•�,w-vGL� �C.
City: Ma✓1'� `s���� State:Zip:Cp&r,
DBE Firm: Advanced Traffic Control, Inc.
Address: PO Box 8958
city: Cedar Rapids
Name: Vaugn Miller
State: Iowa Zip: 52408
Phone:1319) 396-5269
Iowa Department of Transportation Expiration Date: 12/31/20(renewal)
Each DBE Finn shall submit evidence (such as a photocopy) of their certification status.
Prime Contractor
Manufacturer
X
Subcontractor
Supplier
Joint Venture
Work item(s)
to be performed by
DBE
evia
itt
Description of Work Item
Quantity
39,g/a
Total
2137, 3ia. md
The bidder/offeror is committed to utilizing the above -named DBE firm for the work described above. The estimated
participation is as follows:
DBE contract amount:$
Percent of total contract: %
AFFIRMATION:
The above -named DBE firm affirms that it will perform the portion of the contract for the estimated dollar value as stated above.
1
By:
(Signature)
Note: In the event the bidder/offeror does not receive award of the prime contract, any and all representations in this
Letter of Intent and Affirmation shall be null and void.
DBE
REVISED PER ADDENDUM Na 1
JUNE 8; 2020
LETTER OF INTENT
Disadvantage Business Enterprise
(This page shall be submitted for each DBE firm)
Bidder/Offer Name: &-dgcler---
Address: c2-0/0/6-r44-sneel /lee,
City• A2&-
ry'Statea p: S^�Le Sarni
DBE Firm: DBE Firm: )VL/(Stf CTD
Address: 24096 Eacii ;ren'ter
City: &Attie l '
DBE Contact Person: Name: ifa Ho
State: drA
zip:
co6,79-
DBE Certifying Agency: Tow l3cr
Classification:
'319
Phone: ( )
337 -wit
:It/5/z�
Expiration Date.
Each DBE Firm shall submit evidence (such as a photocopy:) ref their certification status.
Prime Contractor EISubcontractor
Manufacturer DSupplier
Joint Venture
to
Work
be
performed
DBE
item(s)
by
Description
of Work
Item
Quantity
Total
c
51
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The bidder/offeror is committed to utilizing the above -named DBE firm for the work described above. The
estimated participation is as follows:
DBE contract amount:
Percent of total eontract:o2e L %
AFFIRMATION:
The above -named DBE firm affirms that it will perform the portion of the contract for the estimated dollar value as stated
above,
By:
vp
(Title)
Note: In the event the bidder/offeror does not receive award of the prime contract, any and all representations in this
Letter of Intent and Affirmation shall be null and void.
FAA AIP 3-19 0094-0046 and 0047-2020
AECOM Project #60625545
P- 8 Waterloo Regional Airport
FY 2020 FAA AIP Projects
DBE Firm:
LETTER OF INTENT
Disadvantage Business Enterprise
(This page shall be submitted foi' each DBE flrrn)
Bidder/Offer Name; %U-il „Si&
Add$ U / 0 Xe-n gcs- & Ace •
Zip: 5.0431
•
DBE Fii+rri /41
City!,
DBE Contact Person: Names
DBE Certifying Agency:
Classification:
State;
Phone:
Expiration Date:,_..
Each DBE Finn shall submit evidence (such as a photocopy) of their certification ication status.
Prime Contractor
Manufacturer
Subcontractor
Supplier
0Joint Venture
Quantity
Tf
Total
to
.
be
Work
performed
DBE
item(s)
by
Description
of
work
Item
,
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The bidder/offeror is committed to utilizing the above•snared DBE firm for the work described above‘ The estimated
participation is as follows: o
JO/ 0O0
DBE contract amount*
. a9-s
Percent of total contract: hd %
AFFIRMATION:
The above named DBE firm affirms that it will perform the portion of the contract for the estimated dollar value as stated above:
By; _ .
(Signatitt"e) (Ville)
Note: In the event the bidder/offeror does not receive award of the prime contract, any and all representations in this
Letter of Intent and Affirmation shall be null and void,
DBE-2
Form 730007WP 7-97
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JUNE 8, 2020
BUY AMEUICAN CERTIFICATION FORM FOR MANUFACTURED PRODUCTS
(Non -building projects such as airfield/roadway construction, equipment acquisition, etc.)
As a matter of bid responsiveness, the Bidder or Offeror must complete, sign, date, and submit this
certification statement with their proposal. The Bidder or Offeror must indicate how they intend to
comply with 49 USC § 50101 by selecting one on the following certification statements. These
statements are mutually exclusive. Bidder must select one or the other (not both) by inserting a
checkmark (1') or the letter "X".
he Bidder or Offeror hereby certifies that it will comply with 49 USC § 50101 by:
a) Only installing steel and manufactured products produced in the United States, or;
b) Installing manufactured products for which the FAA has issued a waiver as indicated by
inclusion on the current FAA Nationwide Buy American Waivers Issued listing, or;
c) Installing products listed as an Excepted Article, Material or Supply in Federal
Acquisition Regulation Subpart 25.108.
By selecting this certification statement, the Bidder or Offeror agrees:
1. To provide to the Owner evidence that documents the source and origin of the steel and
manufactured product.
2. To faithfully comply with providing US domestic product.
3. To furnish US domestic product for any waiver request that the FAA rejects.
4. To refrain from seeking a waiver request after establishment of the contract, unless
extenuating circumstances emerge that the FAA determines justified.
The Bidder or Offeror hereby certifies it cannot comply with the 100% Buy American
Preferences of 49 USC § 50101(a) but may qualify for either a Type 3 or Type 4 waiver under 49
USC § 50101(b). By selecting this certification statement, the apparent Bidder or Offeror with
the apparent low bid agrees:
1. To the submit to the Owner within 15 calendar days of the bid opening, a formal waiver
request and required documentation that support the type of waiver being requested.
2. That failure to submit the required documentation within the specified tinneframe is cause
for a non -responsive determination may result in rejection of the proposal.
3. To faithfully comply with providing US domestic products at or above the approved US
domestic content percentage as approved by the FAA.
4. To refrain from seeking a waiver request after establishment of the contract, unless
extenuating circumstances emerge that the FAA determines justified.
ReQuired Documentation
Type 3 Waiver o The cost of the item components and subcomponents produced in the United
States is more that 60% of the cost of all components and subcomponents of the "item". The
required documentation for a type 3 waiver is:
a) Listing of all product components and subcomponents that are not comprised of 100% US
domestic content (Excludes products listed on the FAA Nationwide Buy American Waivers
Issued listing and products excluded by Federal Acquisition Regulation Subpart 25.108;
products of unknown origin must be considered as non -domestic products in their entirety).
FAA AXP #3-19-0094-046
AECOM Project #60562796 Rehabilitate West Terminal Apron
P- 1 9 Waterloo Regional Airport
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
b) Cost of non -domestic components and subcomponents, excluding labor costs associated
with final assembly at place of manufacture.
c) Percentage of non -domestic component and subcomponent cost as compared to total
"item" component and subcomponent costs, excluding labor costs associated with final
assembly at place of manufacture.
Type 4 Waiver as Total cost of project using US domestic source product exceeds the total project
cost using non -domestic product by 25%. The required documentation for a type 4 of waiver is:
a) Detailed cost information for total project using US domestic product.
b) Detailed cost information for total project using non -domestic product.
False Statements: Per 49 USC § 47126, this certification concerns a matter within the jurisdiction of
the Federal Aviation Administration and the making of a false, fictitious or fraudulent certification
may render the maker subject to prosecution under Title 18, Unite t-tes she
Company Name
FAA ATP #3-19-0094-046
AECOM Project #60562796
Sat
Title
P-20 Waterloo Regional Airport
Rehabilitate West Terminal Apron
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
Buy America Waiver Request
Title 49 U.S.0 Section 50101 (b)
For Airfield Development Projects funded under the
Airport Improvement Program
(Revised 4/19/2010)
Instructions for Permissible Waivers
Section 50101(b)(1) Waiver.
The bidder may not request a waiver based upon the best interests of the public. The FAA Office of Airports publishes such waivers at:
http://www.faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls
Section 50101(b)(2) Waiver:
The bidder may not request a waiver based upon insufficient supply of U.S. manu
waivers at:
http:I/www.faa.gov/airports/aip/procurement/federal contract_provisions/media/buy_american waiver.xls
factured. The FAA Office of Airports publishes such
Section 50101(b)(3) Waiver:
The bidder may request a waiver if 60% or more of the components are produced in the United States and final assembly
occurs in the U.S. Bidder is hereby advised that the Owner's approval with the bidder's waiver request is contingent upon
FAA approval.
"Equipment" in Section 50101 shall mean the following:
a) Individual type "L" items (Airfield Lighting Equipment) as listed in FAA Advisory Circular 150/5345-53.
b) Individual bid items as established within FAA Advisory Circular 150/5370-10. The bid item application may not be applied
for the type "L" items listed in AC 150/5345-53.
A waiver request may only address one specific equipment item. Submit separate requests for each equ
a waiver.
Items listed under the Nationwide Waiver do not require further review. Please refer to the following webpage:
http://www.faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls
The bidder must base the U.S. percentage upon the value that results from completing a component cost calculation table similar to
the attached format. Bidder shall avoid mere pro forma efforts to establish the waiver request percentage. The Bidder must submit
the component cost calculation table as an attachment to the waiver request.
Components/subcomponents are the material and products composing the "equipment".
The final assembly of the AIP-funded "equipment' must be within the USA (Section 50101(b)(3)(B)). Final assembly is the
substantial transformation of the components and subcomponents into the end product.
5. All steel used in the "Equipment" must be produced in the United States.
6. The Buy American requirements apply to all tier contractors and subcontractors.. All contractors/subcontractors are required to
provide appropriate documentation that indicates origin of manufacturer and percentage of domestic made product
7. The bidder is hereby advised there is no implied or expressed guarantee that a requested waiver will be issued by the Federal
Aviation Administration (FAA). Less than 60% USA component/subcomponent proposed for this facility CANNOT be waived.
Products made with foreign steel are not eligible for a waiver.
8. North America Free Trade Act (NAFTA): Free Trade Agreements such as NAFTA do not apply to the AIP. Products and material
made in Canada or Mexico must be considered as foreign made products.
9. Preparation of a Component Cost Calculation Table is not necessary for equipment listed on the FAA national listing:
http://www.faa.gov/airports/aip/procurement/federal contract_provisions/media/buy_american waiver.xls.
Bidder however shall submit a listing of any equipment it proposes to install on the project that is included on the National Buy
American conformance list.
Instructions for Section 50101(b)(4) Waiver:
1. The bidder may request a waiver if application of Buy America preferences results in a 25% cost increase in
the overall project. This waiver is rarely applicable. Consult the Owner before making this request.
pment item for which
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
P-21 Waterloo Regional Airport
FY 2020 FAA AIP Projects
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REVISED PER ADDENDUM NO.
JUNE 8, 2020
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I hereby certify the above information is accurate and complete.
Bidder's Firm Name
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
REVISED PER ADDENDUM NO. 1
JUNE 8, 2020
Buy AmercAnnefrica Cornf. rnrumc 11 Ilstfirapj
Title 49 U.S.0 Section 50101 (b)
thew Aorrh9eDoi Dever'.pment Pr fleets funded under tho
/Akr rt improvement Program
® Preparation of a Component Cost Calculation Table is not necessary for equ pllent listed 011 the FAA national listing:
http://wwiv.faa.gov/airports/aip/proCurelllent/federal_contr'act provisions/media/but ta111erican_waiver.xls
m Bidder shall submit a listing of equipment it proposes to install on the project that is included on the current National Buy
American conformance list.
Equipment Type
Name of Manufacturer
Product Number
Certification Signature:
Bidder hereby certifies that the above listed equipment, which we propose for installation on the subject
project, are on the current National Buy America Conformance list as established at:
http://www.faa.gov/airports/aip/pro curement/federal_contract__provisions/media/buy__american_waiver.xls
I hereby certify the above information is accurate and complete.
Bidder's
Signature
Date
FAA ALP 3-19-0094-0046 and 0047-2020
P-23
Waterloo Regional Airport
AECOM Project #60625545 FY 2020 FAA AIP Projects
REVISED PER ADDENDUM NO. 1
J U N E 8, 2020
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we
Croell, Inc. as Principal, and
North American Specialty Insurance Company as Surety are held and firmly
bound unto the Waterloo Regional Airport, 2790 Livingston Lane, Waterloo, Iowa, hereinafter call "Owner", in the penal
sum of Five Percent (5%) of the Total Amount 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 June 11 ,20 2Q
for Reconstruct Taxiway B South of Runway 18/36; Reconstruct West Terminal Apron and Clean/Reseal Joints
East Terminal Apron; and Remove Trees at the Waterloo Regional Airport, Waterloo, Iowa, FAA AIP 3-19-0094-
0046 and 0047-2020.
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
9th o f June 2020.
this day A.D.,
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Principal
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By
(Attorney -In -Fact)
Dione R. Young, Attorney -in -fact
rance Company
(Seal)
FAA AIP 3-19-0094-0046 and 0047-2020
AECOM Project #60625545
P-11 Waterloo Regional Airport
FY 2020 FAA AIP Projects
SWISS RE CORPORATE SOLUTIONS
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
WESTPORT INSURANCE CORPORATION
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under
laws of the State of New Hampshire, and having its principal office in the City of Overland Park, Kansas and Washington International Insurance
Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland
Park, Kansas, and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in the City of
Overland Park, Kansas each does hereby make, constitute and appoint:
JAY D. FREIERMUTH, CRAIG E. HANSEN, BRIAN M. DEIMERLY, SHIRLEY S. BARTENHAGEN, CINDY BENNETT, ANNE CROWNER,
TIM McCULLOH„ STACY VENN, DIONE R. YOUNG, and WENDY ANN CASEY JOINTLY OR SEVERALLY
Its true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of: ONE HUNDRED TWENTY FIVE MILLION ($125,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011.
"RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any Assistant Vice President,
the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
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Steven P. Anderson, Senior Vice President of Washington International Insurance Company
& Senior Vice President of North American Specialty Insurance Company
& Senior Vice President of Westport Insurance Corporation
By
Mike A. Ito, Senior Vice President of Washington International Insurance Company
& Senior Vice President of North American Specialty Insurance Company
& Senior Vice President of Westport Insurance Corporation
IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport
Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this
this 3rd day of November , 20 17
State of Illinois
County of Cook
On this 3rd day of
North American Specialty Insurance Company
Washington International Insurance Company
Westport Insurance Corporation
ss:
November , 20 17, before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of
Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President
of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who
being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the
voluntary act and deed of their respective companies.
OFFICIAL SEAL
M. KENNY
Notary Public - State of Illinois
My Commission Expires
12/0412021
M. Kenny, Notary Public
I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington
International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a
Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance
Corporation which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 9th day of June , 2020 .
Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company &
North American Specialty Insurance Company & Vice President & Assistant Secretary of Westport Insurance Corporation