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► 3IA 01 1HJI1 01 010H - )IHVWH31VM 31181 V SNIV1N0O 1N3Wf 300 IH
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Security Features Included. "� Details on Back :_9.
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CITY CLERrch OFFICE
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NON"COLT[,USION AIVF ILD BUDDER
State of _
County of g,k_
, being first duly sworn, deposes and says that:
1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) of Vim` a•W(L <e, TAY'
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 r =p���ptivS(owners, employees, arties in interest includinaffiant. or p � g this
S ignature Title
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Subs -crib -ad/ cuv.aL warn/ to- vhz th.;.a,
rr clArAY � f itio r � I , 2021.
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CITY OF WATERLOO, IOWA
BIDDER•
WASTE MANAGEMENT SERVICES
BID FORM
for
2021 WWTP & LIFT STATIONS MOWING
COMPANY NAME
k 1/4_-_\(v Care / C
ADDRESS: I cX Le_ e_r
LAD k_Ve_r
PHONE ( ) -cLI Tq(
1. The undersigned, being a Corporation existing under the laws of the State of ,
or a limited liability company existing under the 1._ . of the State of }, , or a
Partnership consisting of the following partners: Q
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 Hall, 715 Mulberry Street, Waterloo, Iowa, Waterloo Waste
Management, 3505 Easton Avenue, 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
2020 WWTP & LIFT STATIONS MOWING, in accordance with the contract documents
and for the unit price in place for the following amount:
OPTION A: provide all specified mowing & trimming services for three mowing
monthly or every ten day mowing & two (2) weed control spraying services per contract:
For Wastewater Treatment Plant at 3505 Easton Ave., Waterloo, IA
Price Per Occurrence
ccurrence Mowing:
IN r
Price Per Occurrence Weed Control Spraying:
dollars ($ g 7'S )
., „Ara o dollars ($ ,9)
BID FORM Page 1 of 5
OPTION D: provide all specified dike/slope mowing for WWTP EQ Basin Dike and
Lagoon Dike Four (4) times/year:
LS-325 2749 Independence Ave
Lagoon Dike only
Wastewater Treatment Plant at 3505 Easton Ave., Waterloo, IA EQ DIKE ONLY
Price Per Occurrence Mowing: ' (�
CAA- _ .\� �--)�u ,lS` ��,�aJJC dollars ($
YEARLY CONTRACT ESTIMATED AMOUNT:
OPTION A:
16
# of Mowings/year
x $ G-75-.�x�
Mowing Price/Occurrence
2 x $ 7j ,get) • C�
# of Weed Sprayings/year Weed Spraying Price/Occurrence
OPTION B:
12
# of Mowings/year Mowing Price/Occurrence
1 x $ 1 . CC7
# of Weed Sprayings/year
t (:y
\S,(0
Total
Total
�a yct. cop
Weed Spraying Price/Occurrence
Total
Total
OPTION C:
6 x$ ;Thb.CDN _$ ) &DO.00
# of Mowings/year Mowing Price/Occurrence
1 x$ )�
# of Weed Sprayings/year Weed Spraying Price/Occurrence
OPTION D:
4 x $ 1 om, CO _$
#of Mowings/year Mowing Price/Occurrence
Total Estimate Yearly Cost =
Total
Total
-7, Ct.C)(
Total
7 qoe. c
Note: While yearly contract estimated amount is based upon the estimated number of
times mowing and weed control sprayings, the actual payment will be based upon the
actual number of occurrences of mowing and weed control spraying work was
performed.
BID FORM Page 3 of 5
10. The Bidder shall list all equipment available for this project:
' 50 ri so Ltl n t LID LC2 V i (63, LI ka
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11. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are
marked "none" or "NA".
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12. The bidder has attached all applicable forms.
13. 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•
ame and Title
DATE / •7
BID FORM Page 5 of 5