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FORM OF ID OR PROPOSAL
FY 2022 LEVEE RIP "ALP SP YING
CONT ".:.CT NO 1047
CITY OF WATERLOO IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1.The undersigned, being a Corporation existing under the laws of the State of
S. 0 , a Partnership consisting of the following partners:
K.kc ti 11 (1' having
familiarized (himself) (themselves) (itself) with the existing conditions on the project area
affecting the cost of the work and with all the contract documents listed in the Table of
Contents and Addenda (if any), as prepared by the City Engineer of the City of Waterloo
now on file in the office of the City Clerk, City Hall, Waterloo Iowa, hereby proposes to
furnish all supervision, technical personnel labor materials, machinery, tools,
appurtenances equipment and services, including utility and transportation services
required to construct and complete this FY 2022 LEVEE RIP RAP SPRAYING, Contract
No. 1047, all in accordance with the above -listed documents and for the unit prices for
work in place for the following items and quantities:
BID
ITEM
DESCRIPTION
FY 2022 LEVEE RIP RAP SPRAYING
CONTRACT NO. 1047
UNIT
EST. QTY.
UNIT BID
PRICE
TOTAL BID PRICE
1
2
3
4
5
6
7
8
9
10
11
12
CEDAR RIVER - 2300 FEET WEST OF CEDAR
BEND PARK TO CEDAR BEND PARK
CEDAR RIVER - CONGER STREET TO 78 FEET
SOUTH OF RAILROAD BRIDGE
CEDAR RIVER - CEDAR RIVER PARK TO
VIRDEN CREEK OUTLET
CEDAR RIVER - 150 FEET NORTH OF E.
MULLAN AVE. TO E. 1ST STREET
CEDAR RIVER - E. 6TH STREET TO CITY
LIMITS
FORRESTER DETENTION POND
CEDAR RIVER - 3200 FEET WEST OF CONGER
STREET TO 100 FEET SOUTH OF W 1ST
STREET
BLACK HAWK CREEK - HWY 218 TO RIVER
ROAD (WEST SIDE)
BLACK HAWK CREEK - HWY 218 TO RIVER
ROAD (EAST SIDE)
CEDAR RIVER - W. 6TH STREET TO
HAWTHORNE AVENUE
TREATMENT PLANT RING LEVEE
NO NAME CREEK - WCF & N DR & BROADWAY
ST OUTFALLS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
$
$ Wi a •
$1, ts %Li c,?
$3,�15.�
$L1s-o•Ll
$9,3$ d•oci
$936.06
0
$b•Oc
0.0 0
$ I'3 1%0 .ob
$ lssLI,���
$
$1.1) .00
$ y 9 a _C)n
$ (-1 °p c c)
$y'3IS0•0c
13
VIRDEN CREEK - VIRDEN CREEK DAM
LS
1.0
$ 1,I I"I•ob
$ 1,1 19-o
FORM OF BID
CONTRACT NO. 1047
Page 1 of 3
TOTAL BID $ � � a r CA 0 0
2. It is understood that the quantities set forth are approximate only and subject to
variation and that the unit bid price for the work done shall govern in the actual
payment to Contractor.
3. In submitting this bid, the bidder understands that the right is reserved by the City
of Waterloo, Iowa, to reject any or all bids. If written notice of the acceptance of
this bid is mailed, telegraphed, or delivered to the undersigned within thirty (30)
days after the opening thereof, or at any time thereafter before this bid is
withdrawn, the undersigned agrees to execute and deliver an agreement in the
prescribed form and furnish the required bond and certificate of the insurance
within ten (10) days after the agreement is presented to him for signature, and
start work within ten (10) days after "Notice to Proceed" is issued.
4. Security in the sum of e 2` W ►'1
1 C) 1 �1 f sr a 9 gitni
Dollars ($ i a •es) cla ) in the form of C
is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS.
5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor.
6. Attached hereto is a Bidder Status Form.
7. The bidder is prepared to submit a financial and experience statement upon
request.
8. The Prime Contractor and Subcontractor(s), which have performed an aggregate
of $10,000.00 in work for the City in the current calendar year, are prepared to
submit an AAP or Update and an EOC, within ten (10) days of notification that the
bid submitted is lowest and acceptable.
9. The bidder has received the following Addendum or Addenda:
Addendum No. Date
10. 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 Alt
Subcontractor(s).
FORM OF BID
CONTRACT NO. 1047 Page 2 of 3
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.
11. The bidder has filled in all blanks on this proposal. Those blanks not applicable
are marked "none' or "NA".
12. The bidder has attached all applicable forms.
13. The Owner reserves the right to select alternates, delete line items, and/or to
reduce quantities prior to the award of a contract due to budgetary limitations.
BY:
ti ck i ] "1 ( 1 C c . v 1. . s
(Name of B dder)
r
`-1/lc)/ .1
(Date)
Title (9 l c s c c ,.j'
Official Address: (Including Zip Code):
5 d1\b
I.R.S. No. a? ' ° %3d6� c1
FORM OF BID
CONTRACT NO. 1047 Page 3 of 3
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of /0 wit- )
County of LUCAI?J1AAJ )
� . \(c \- \) t- t , being first duly sworn, deposes and says that:
)ss
or Agent) c1 n cx c ' k('1 '1r # S Q
1. He is (Owner, Partner, Officer, Representative,g } , of
, 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, lowa, or any person interested in the Proposed Contract; and
5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion,
conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives,
owners, employees, or parties in interest, including this affiant.
(Signed)
Sz�r,�
Title
• � / 20� da of yapt
*)/
T' e/KZ 4 n e g
My commission expires e •
ANGIE SABERS
Commission Number 779693
My Commission Ex ires
.,
41Cc(
idder tatus For
To be completed by all bidders
Please answer 'Yes" or 'No" for each of the following:
Yes
eYes
Yes
Yes
3 Yes
Q No
Q No
CINo
Q No
QNo
My company is authorized to transact business in Iowa.
(To help you determine if your company is authorized, please review the worksheet on the next page).
My company has an office to transact business in Iowa.
My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail.
My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
My company is not a subsidiary of another business entity or my company is a subsidiary of another
business entity that would qualify as a resident bidder in Iowa.
If you answered "Yes' for each question above, your company qualifies as a resident bidder.
complete Parts B and D of this form.
If you answered "No" to one or more questions above, your company is a nonresident bidder.
complete Parts C and D of this form.
Please
Please
To be completed by resident bidders
Part
My company has maintained offices in Iowa during the past 3 years at the following addresses:
Dates: / / `' g to / i / a 1 Address: 5 S d 1U , �� t� m 0 r\ 4 6),1)
Dates: / / to / /
Dates: / / to
You may attach additional sheet(s) if needed.
To be completed by non-resident bidders
City, State, Zip:
Address:
City, State, Zip•
Address:
City, State, Zip•
Part C
1. Name of home state or foreign country reported to the Iowa Secretary of State:
2. Does your company's home state or foreign country offer preferences to resident bidders, resident labor
force preferences or any other type of preference to bidders or laborers?
3. If you answered 'Yes' to question 2, identify each preference offered by your company's home state or foreign country
and the appropriate legal citation
Yes
No
You may attach additional sheet(s) if needed.
To be completed by all bidders
Part D
I certify that the statements made on this document are true and complete to the best of my knowledge and I know that my
failure to provide accurate and truthful information may be a reason to reject my bid.
Firm Name: - C'� n 1
S ignature:
hrf Scty:
LcS
Date: yl ►`old)
You must submit the completed form to the governmental body requesting bids per 875 Iowa Administrative Code
Chapter 156. This form has been approved by the Iowa Labor Commissioner.
309-6001 (09 15)
MBE/WBE BUSINESS ENTERPRISE
PRE -BID CONTACT INFORMATION FORM
P rime Contractor Name. n a 4\ H( S e r U
P roject: ? 'C a o '�,�, 6� ; P � S P r, ,�, -; r s Letting Date: `t / J.a, I
N O MBE/WBE SUBCONTRACTORS: If you are NOT using any MBE/WBE subcontractors to complete this project,
sign below. Attach a brief explanation as to why subcontracting was not feasible with this project. If any MBE/WBE
subcontractors will be used, please use he bottom portion of this form.
Contractor Signature.
Title 4 s c s,
Date: v1
SUBCONTRACTORS APPLICABLE: You are required, in order for your bid to be considered responsive, to provide
the information on this form showing ALL of your MBE/WBE subcontractor contacts made for your bid submission.
This information is subject to verification. Any questions may be directed to Contract Compliance Office 319-291-
4429.
You are required, in order for your bid to be considered responsive, to provide the information on this Form showing
your MBE/WBE Business Enterprise contacts made prior to your bid submission. This information is subject to
verifications and confirmation.
If you are unable to identify MBE/WBE firms to perform portions of the work, please contact Rudy Jones, Contract
Compliance Officer, for assistance at (319) 291-4429
In the event it is determined that the MBE/WBE Business Enterprise goals are not met, then before awarding the
contract the City of Waterloo will make a determination as to whether or not the apparent successful low bidder made
good faith efforts to meet the goals.
TABLE OF INFORMATION SHOWING BIDDER'S PRE -BID
MBE/WBE BUSINESS ENTERPRISE CONTACTS
Quotes
Received
Quotation
used
in
bid
Subcontractors
MBE/WBE
Contacted
Dates
Yes/No
Contacted
Dates
Yes/No
Dollar
be
Proposed
to
Amount
Subcontracted
(Form CCO-4) Rev. 06-20-02
LANDMARK TURF SERVICES, LLC
7524 N Raymond RD
Dunkerton, IA 50626
Due to the nature of this project all work will be performed by Landmark employees and no
subcontractors will be needed.
Mike Hiller
President
Landmark Turf Services LLC
(319)415-8523
mike@landmarkturf.com