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REMITTER: LANDMARK TURF SERVICES: LLC
MICHAEL JOHN HILLER,. SMLLC
CITY OF WATERLOO
EXACTLY **2,347 AND 10/100 DOLLARS
PAY TO THE
ORDER OF
CASHIER'S CHECK
THE PURCHASE OF AN INDEMNITY BONG WILL BE REQUIRED BEFORE ANY
CASHIER'S CHECK OF THIS BANK WILL BE REPLACED OR REFUNDED IN THE
EVENT IT IS LOST, MISPLACED, DR STOLEN;:
FIRST
BAN K
Sen. ,A ,rru
Member DI
DATE
010 SIX MONTHS AFTER ISSUE DATE
5/12/22
0739027661: 000 L661I'
137636
$2,347.10
FIRST BANK
TWO SIGNATURES REQUIRED iVER 85,000.00
co
a
cn
FORM OF BID OR PROPOSAL
FY 2023 LEVEE RIP RAP SPRAYING
CONTRACT NO. 1065
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
7 o to 1 a Partnership consisting of the following partners:
Meekvi;11t✓ , 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 2023 LEVEE RIP RAP SPRAYING, Contract
No. 1065, all in accordance with the above -listed documents and for the unit prices for
work in place for the following items and quantities:
FY 2023
CONTRACT
LEVEE RIP
RAP
NO.
1065
SPRAYING
BID
ITEM
DESCRIPTION
.UNIT
EST. QTY.
'. UNIT BID ':
PRICE
TOTAL BID PRICE
CEDAR RIVER - 2300 FEET WEST OF CEDAR
LS
1.0
$
$
), 6 O d . b b
1
BEND PARK TO CEDAR BEND PARK
2
CEDAR RIVER - CONGER
SOUTH OF CN RAILROAD
STREET TO 78 FEET
BRIDGE
LS
1.0
$
$ S a b * b b
3
CEDAR RIVER - BOATHOUSE PARKING LOT TO
VIRDEN CREEK OUTLET
LS
1.0
$
$ 8 ni �d . O
LS
1.0
$
$ a, s e Go
CEDAR RIVER - 150 FEET NORTH OF EAST
4
MULLAN AVENUE
TO EAST 1ST STREET
CEDAR RIVER - IOWA NORTHERN RAILROAD
LS
1.0
$
$1 44,1
01.06
5
BRIDGE TO EAST CITY LIMITS
LS
1.0
$
$ 1, 3 caLi, oO
6
FORRESTER AVENUE DETENTION BASIN
LS
1.0
$
1 s B 3 . 0
$ , O
CEDAR RIVER - 3200 FEET WEST OF CONGER
STREET TO 100 FEET SOUTH OF WEST 1ST
7
STREET
8
BLACK HAWK CREEK - HIGHWAY 218 TO
RIVER ROAD (WEST SIDE)
LS
1.0
$
$ H
in 3 you
9
BLACK HAWK
RIVER ROAD (EAST
CREEK - HIGHWAY 218 TO
SIDE)
LS
1.0
$
'
$ 3 7 3 b e b Q
CEDAR RIVER - IOWA NORTHERN RAILROAD
LS
1.0
$
$ S, d `16
e n 0
10
BRIDGE TO HAWTHORNE
AVENUE
LS
1.0
$
$ y, $ I O
11
WATERLOO
PLANT RING
WASTEWATER TREATMENT
LEVEE
12
NO NAME CREEK - WCF & N DRIVE &
BROADWAY STREET OUTFALLS
LS
1.0
$
$ ca 3
I .\\O o
13
VIRDEN
CREEK - VIRDEN CREEK DAM
LS
1.0
$
$'I
(
ei q . ° O
LS
1.0
$
$
a1v-dd
14
CEDAR RIVER -HAWTHORNEAVENUE STORM
SEWER PUMPING STATION
FORM OF BID
CONTRACT NO. 1065
Page 1 of 3
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) clays after "Notice to Proceed" is issued.
4. Security mthe sum ofiwptxo.,s. Qt} e..tin.9rcA�o.�sca.,.lon„1,nA*ion ccn'ts
Dollars ($ N 5 , l o ) in the form of c ‘, s r; e,'s 4)1« k ,
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 MP 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 All
Subcontractor(s).
FORM OF BID
CONTRACT NO. 1065 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.
)-- ci rNeSl i c4 /' ( h/ f S c/ v; c c 1
(Name of \Bi�dd�er)
BY: �--.:& ��Y�'v1/4J
I-L.C. Si)a,Idoa,a,
(Date)
Title Q (c s cA t n�
Official Address: (Including Zip Code):
5 ay 1J, 6\hymont.. �O
tf+v 14,S ei Sofia, C,
I.R.S. No. a.7 • 0'463 ab7i
FORM OF BID
CONTRACT NO. 1065 Page 3 of 3
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of 3060A
)ss
County of I3 (ate 1-kkuIc )
ebv\nic J , VVlaa9n'ch
being first duly sworn, deposes and says that:
1. He is (Owner, Partner, Officer, Representative, or Agent) of - n r "a " ` ICI h r i
S‘ , ,, L k 5 L L c. , 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 saki 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. e
(Signed) \A\ 13\
Subscribed and sworn to before me this
Title
tat day of May
4 1
Title
My commission expires / 1 ' / 9 . a %
20 '
MBE/WBE BUSINESS ENTERPRISE
PRE -BID CONTACT INFORMATION FORM
Prime Contractor Name: I.- 0, A .A w, d ,1( i'n , c S t r v ‘ c t , L. to (—
Project: a v '3 RA,p R ? Si, r % ; n.) t o n't . , .+ i v L S Letting Date:
NO 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, pleasefuse the bottom portion of this form.
Contractor Signature:
Title: ®r , ; , A t
Date: Slra/aaA
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
Dates
Contacted
Yes/No
Dates
Contacted
Yes/No
Dollar Amount Proposed to
be Subcontracted
(Form CCO 4) Rev. 06-20-02
N haymond RD
Dunkc rton, IA 50626
5/12/2022
RE:FY 2023 Levee Rip Rap Spraying Contract 1065
No subcontractors are being used for this project
Mike Hiller
President
Landmark Turf Services LLC
(319)415-8523
mike@landmarkturf.com
Bidder Status Form
To be completed by all bidders
Part A
Please answer "Yes
QYes ONo
aYes ONo
Yes ONO
Yes ®No
es ONo
" or "No' for each of the following:
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. Please
complete Parts B and D of this form.
1f you answered "No" to one or more questions above, your company is a nonresident bidder. Please
complete Parts C and D of this form.
To be completed by resident bidders Part B
My company has maintained offices in Iowa during the past 3 years at the following addresses:
/oa`dto S /ID /40d4 Address• SaN-1 tJRgymoncook RA
phnkcrhFant In CoLa6
Dates:
Dates: /
3r>
/ to /
Dates: / / to
You may attach additional sheet(s) if needed.
City, State Zip
/ Address•
City, State Zip•
/ Address•
City, State, Zip•
To be completed by non-resident bidders
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 Yes o No
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.
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: "Anton cot( 'j v\r-c Scrv; t5 LLC.
Signature: Nen-.3‘•\ ^C
Date: 5/ I O J a, 0 4A
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)