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Wilson Custom Tree
cgm) � AI r x wrco cri a:L4 gi)4, 0y CITY OF WATERLOO, IOWA WASTE MANAGEMENT SERVICES BID FORM for 2021 WWTP & LIFT STATIONS MOWING BIDDER: VJ ikon COMPANY NAME ADDRESS: Iv9 Short AO te- PHONE: (51)3 ) 50.- 4a35 1. The undersigned, being a Corporation existing under the laws of the State of NSA or a limited liability company existing under the laws of the State of N/A , or a Partnership consisting of the following partners: i\I/4 having been familiarized with the existing conditions on the pioject 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 tiansportation services required to complete the proposed 2021 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 Mowing: i"a-@' t- %IW Price Per Occurrence Weed Control Spraying: dollars ($ qua n ) aiArro �hoa>ta,{4 Litike antiZ likl) "dollars ($ c2,1000- 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: e� i�uc.a� . �0 (nut i�p�1 DCj �- dollars ($ q 5 C� 6 c YEARLY CONTRACT ESTIMATED AMOUNT: OPTION A: 16 x$ qCQ®� # of Mowings/year Mowing Price/Occurrence co 2 x $ 0 (p OOP # of Weed Sprayings/year Weed Spraying Price/Occurrence OPTION B: 12 x$ ��' _$ SiCROO. # of Mowings/year Mowing Price/Occurrence Total oa $iLf-,moo. Total Total 1 x$ 00o `'3 _$ doo. # of Weed Sprayings/year Weed Spraying Price/Occurrence Total OPTION C: 6 x$ 40 0 $ i q°b, gl # of Mowings/year Mowing Price/Occurrence Total 1 x$ 950 _$ 853. # of Weed Sprayings/year Weed Spraying Price/Occurrence Total OPTION D: 4 #of Mowings/year Mowing Price/Occurrence Total x $ ci5o Total Estimate Yearly Cost = $ 3 1,4 / 0 - eV - 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 perfoi med. BID FORM Page 3 of 5 10. The Bidder shall list all equipment available for this project: -1.5 fr ,.T i4on Last- -6rar &d Lz.vv i uurn 4-5gh Weak bati too" . n k/ 9 ". /o H/ 4c-h.r.J ma we.- `,2H/© /al Dit w cc /me 06/6 .1/4"7,nMec -77:4-sdeirS A 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 alternatives, delete line items, and/or to reduce quantities prior to the Award of Contract due to budgetary limitations. SIGNED• Name an0 tlega) DATE //A BID FORM Page 5of5 NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of --4 a ) County of beaMi ) 6f, tar.. , being first duly sworn, deposes and says that: 1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) of the Bidder that has submitted the attached Bid; 'km 6 kin free 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. Title S&thw -abedi • (worn/tom belbre/ me/tietik EP day of- # ` , 2021. kcU / L S to -nature. My cone e p cies Ji NON -COLLUSION AFFIDAVIT OF SUBCONTRACTOR State of /J1/41 County of Al/A by A that: , being first duly sworn, deposes and says 1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) of Af A hereinafter referred to as the "Subcontractor"; 2. He is fully informed respecting the preparation and contents of the subcontractor's proposal submitted by the subcontractor to N/A , contract pertaining to the 2021 WWTP & LIFT STATION MOWING in Waterloo, Black Hawk County, Iowa; 3. Such subcontractor's proposal is genuine and is not a collusive or sham proposal; 4. Neither the subcontractor nor any of its officers, partners, owners, agents representatives, employees, or parties in interest, including thisaffiant, 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 proposal in connection with such contract or to refrain from submitting a proposal in connection with such contract, or has in any manner, directly or indirectly sought by unlawful agreement or connivance with any other bidder, firm or person to fix the price or prices in said subcontractor's proposal, or to fix any overhead, profit or cost element of the price of prices in said subcontractor's proposal, or to secure through collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Waterloo, Iowa, or any person interested in the proposed Contract; The price or prices quoted in the subcontractor's proposal 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 N A. Signature Title N/4 Sf.ture& Cbe& nen& bworwto- before/ me.thi4 11 day of /V A ___ , 2021. __.. rate/ My convinarsten. emp iek__.... '� Bond No. CIC1911978 1111) BOND) KNOW ALL MEN BY THESE PRESENTS, that we, Jeff Wilson dba Wilson Custom Tree, 212 Short Avenue _ Cresco, IA 52136 EIS Principal, and Capitol Indemnity Corporation, P.O. Box 5900, Madison, WI 53705-0900 as Surety are held and firmly bound unto the city of Waterloo, Iowa, hereinafter called "OWNER", In the penal sum One Thousand Five Hundred and No/100 dollars ($,1 500.00 l 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 8th day of April , 20 21 , for 2021 WWTP & Lift Stations Mowing NOW, THEREFORE, a) If said Bid shall be rejected, or in the alternate, b) If said Bid shall be accepted aiicl 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 tics. 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 spcoifications 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 25th day of March , A,D, 20 21 Witness Jeff Wilson dba Wilson Custom Tree (Seal) (Title) Capitol Indemnity Corporation (Seal Surety Witness Rita Jorgenson, Account Specialist Attorney-inaFact, Jack Anderson • �) /-".? r. �••••..,.4� • _mow ••1 CI • . J. • //• e,, I , 11 BID BOND PAGE 1, ()f: I'r 1 t personally comes ACKNOWLEDGMENT OF PRINCIPAL (Individual) State of uoGi County of-40loQ.tit } • On this (Du) day of , in the year © I , before me to me known and known to me to be the person who is described in and executed the foregoing instrument, and Wiitazr-r) acknowledges to me that he/she State of April D, Buls Commission Number 783136 MY COMM. EXP0 .cz IAA/4 . 6-kao Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Partnership) County of } On this day of , in the year , before me personally come(s) a member of the co -partnership of known and known to - the person who is described in and executed the foregoing instrument, and to me kno acknowledges to that he/she executed the same as the act and deed of the said co -partnership. State of Notary Public ACKNOWLEDGMENT OF PRINCIPAL (CorporationtL County of } On this day of , i e year , before me personally come(s) , to me known, who being duly sworn, deposes and says that he/she resides in the City of that he/she is the of the , the corporation described in and which execs, i the foregoing instrument, and that he/she signed his/her name thereto by like order. Notary Public CAPITOI, INDEMNITY CORPORATION POWER OF ATTORNEY CIC1911978 Bond Number KNOW ALL MEN BY THESE PRESENTS, That the CAPITOL INDEMNITY CORPORATION, a corporation of the State of Wisconsin, having its principal offices in the City of Middleton, Wisconsin, dots make, constitute and appoint JACK ANDERSON; RONAI_D I;.AIHOI; RITA JORGENSON its true and lawful Attorneys) -in -fact, to make, execute. seal and deliver for and on its behalf, as surety, and as its act and dead, any and all bonds, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in an101111t the 411111 of ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED: $20,000,000,00 This Power of Attorney is granted anti is sigmcd and scaled by tacsinule under and by the authority of the tbllowing Resolution adopted by the Board of Directors of CAPITOL INDEM` 111' CORPORATION at a meeting duly called and held on the 15th day of May, 2002. "RESOLVED, that the President, Exccutive Vice President, Vice President, Sexretary or Treasurer, acting individually or otherwise, be and they hereby are granted the power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings, and other writings obligatory in the nature thereof, one or more resident N ice -presidents, assistant secretaries and attorneys) -in -fact, each appointee to have the powers and duties usual to such offices to the business of this company: the signature of such oficers and 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 hearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company, and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking or other writing obligatory in the nature thereof to which it is attached. Any such appointment may be revoked, tier cause. or without cause, by any of said officers, at any lime." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is Billy understood that consentinu to the State of Florida Department of Transportation making payment of the final estimate to the Contractor andior its assignee:, shall not relieve this surety company of any of its obligations under its bond. In eunnection with obligations in favor of the Kentucky Department of 1 tighways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the moclification or revocation. IN WITNESS WHEREOF. the CAPITOL INDEMNITY CORPORATION has caused these presents to be signed by its oilier undersigned and its col borate seal to be hereto affixed duly attested, this 1st day of January, 2020. Attest: Ryan J. Byrnes Senior Vice President, Chief Financial Officer and Treasurer JY1 (Sszokobo Suzanne M. Broadbent Assistant Secrcta►v STATE OF WISCONSIN COUNTY OF DANE S.S.: On the 1st day of January, 2020 before me personally he resides in the County of Ilarttbrd, State of CORPORATION, the corporation described in and seal affixed to said instrument is such corporate seal: thereto by like order. STATE OF WISCONSIN COI INTY OF DANE } S.S.: ..... CPCIF • v� = SEAL . • I. • • ., %/ lottllrttitlrrll\\‘‘\ CAPITOL INDEMNITY CORPORATION 6,{1/41set John L. Sennott, (r. Chief Executive Officer and President • came John L. Scutum. Jr., to me known, who being by me duly sworn, did depose and say: that Connecticut; that he is Chief Executive Officer and President of C.%P1•T01. INDEMNFi1' which executed the above instniment; that he knows the seal of the said corporation' that the that it was so affixed by order of the Board of Directors of said curpulation and that he signed his name "„c���1eW1e11lNNjui�/��f`//i 9.. • a ,eoTA/4 L• David J. Regelc Notary Public, Dane Co., WI *.. • 00 I. 4.. :1113 •••••. r••l'i• lrnlrt 100 • • • • • My Commission Is Permanent i, the undersigned, duly elected to the office stated below, now the incumbent in CAPITOL INDEMNITY CORPORATION, a Wisconsin Corporation, authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force. Signed and sealed at the City of Middleton. State of Wisconsin this 25th ..t>s 00. :ill. ti:. • �� • :SEAL F 4-• • I H I S DOC LJ ML- N 1 HAS BEEN GENERATED FOR A SPECIFIC BOND. IF dati of March YOU • .Andrew B. Diaz-Matos Senior Vice President, General Counsel and Secretarx, HAVE ANY QUESTIONS CONCERNING T J • s AUTHENTICITY OF THIS DOCUMENT CALL 800-475-4450. (•1C-cPOA-i (Revtal-70`0) 1 ' Lk_ i_.i 4 +• 7 f A • • 1t s ••• - . ,, • �,-_ 1 .• `•• �•41 Y- • 1 r fri US algid% �Ijl /1t, ACKNOWLEDGEMENT OF SURETY STATE OF MINNESOTA COUNTY OF CHIPPEWA On this 25 th day of March , 2021 , before me, a Notary Public within and for said County, personally appeared Jack Anderson to me personally known, who being by me duly sworn he/she did say that he/she is the attorney -in -fact of Capitol Indemnity Corporation , the corporation named in the foregoing instrument, and the seal affixed to said instrument is the corporation seal of said corporation, and sealed on behalf of said corporation by authority of its Board of Directors and said Jack Anderson acknowledged said instrument to be the free act and deed of said corporation. 4livaps_e . Lati, NOTARY PUBLIC My Commission Expires / /3i/aoa3 fl NNE C. DUIS ' Public -Minnesota sion Expires Jan 31, 2023