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FORM OF BID OR PROPOSAL
HANGAR NO. 4 IMPROVEMENTS (2022)
WATERLOO REGIONAL AIRPORT
In the City of Waterloo, Iowa
IDOT CSVI 9I220AL0200
CONTRACT NO. 3345
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
The undersigned, being a Corporation existing under the laws of the State of Iowa , a Partnership
consisting of the following partners: n/a , 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
AECOM 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 HANGAR NO. 4
IMPROVEMENTS (2022), all in accordance with the above -listed documents and for the unit prices for
work in place for the following items and quantities:
HANGAR NO. 4
IMPROVEMENTS
NO.9I220AL0200
NO. 3345
(2022)
CSVI PROJECT
IDOT CONTRACT
Ref.
Item
Item
Unit
Estimated
Quantity
Unit Bid
Price
Total Bid Price
1
HVAC Demolition
LS
1
$ 7,100,
00
$
7,100.00
330.00
2
HVAC Ductwork
EA
1
$10, 330.00
$ 10,
3
HVAC Rooftop Unit including Gas
EA
1
$38, 900.00
$ 38, 900. 00
4
Wall
and Asbestos Abatement
SFT
744
$ 1 3.00
$ 9, 672.00
Removal
5
Drywall Installation and Insulation
SFT
760
$ 11.25
$ 8, 550.00
6
Remove and Dispose
Asbestos Floor Tile
SIT
25
$ 9.40
$ 235.00
7
Replace
Ceiling
Lights with LED
EA
28
$ 943.00
$ 26, 404.00
8
Electrical
System Replacement
SFT
1,650
$ 15.60
$ 25, 740.00
9
Telecom System Replacement
SFT
1,650
$ 3.20
$ 5,280.00
$ 10, 560.00
10
Replace Suspended Ceiling
SFr
1,650
$ 6.40
11
Paint Drywall and Interior CMU
SF 1
2,800
$ 2.85
$ 7,980.00
12
Replace Carpet
SET
1,500
$
12.20
$
18, 300.00
12, 375.00
13
Remodel Bathrooms
SFT
150
$ 82.50
$
14
Replace Flooring in Bathrooms
SFT
150
$ 55.00
$ 8, 250.00
TOTAL
BASE
$ 189.
676.00
BID
2. It is the City's intention to evaluate bids reviewing both the Base Bid and Add Alternate Bids. The City
has limited funds available and will award only what funding allows. The City reserves the right to award
the contract based on the Base Bid only or the Base Bid plus any and all Add Alternate Bid Options.
FORM OF BID
AECOM 60674611
IDOT CSVI 91220AI,0200 Hangar No. 4 Improvements (2022)
CONTRACT NO. 3345 BF-1 of 2
3. 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.
4. 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 00) days after "Notice to Proceed" is issued.
5. Security in the sum of 5% Bid Bond
Dollars ($ ) in the form of Bid Bond , is submitted herewith in
accordance with the INSTRUCTIONS TO BIDDERS.
6. Attached hereto is a Non -Collusion Affidavit of Prime Contractor.
7. Attached hereto is a Bidder Status Form indicating Resident Bidder Certification ( X ) or Non -
Resident Bidder Certification ( ). (Mark one.)
8. The bidder is prepared to submit a financial and experience statement upon request.
9. 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 HOC, within ten (10)
days of notification that the bid submitted is lowest and acceptable.
10. The bidder has received the following Addendum or Addenda:
Addendum No. NONE Date
11. 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).
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.
12. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA".
13. The bidder has attached all applicable forms.
14. 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.
Modern Builders, Inc.
BY:
(Name of Bidder
July 14, 2022
(Date)
Title Rick Stensland, President
Official Address: (Including Zip Code):
201 Main Streeti. PO Box 418
Janesville, IA 50647
I.R.S. No. 42-0928952
FORM OF BID
AECOM 60674611
IDOT CSVI 9I220AL0200 Hangar No. 4 Improvements (2022)
CONTRACT NO. 3345 I3F-2 of 2
INFORMATION NEEDED
FOR
IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE
CONTRACTOR NAME: r
(Check One
FEDERAL ID#:
PROJECT NAME:
PROJECT CONTRACT NO.:
DESCRIPTION OF WORK:
PRIME ✓
SUBCONTRACTOR
TO
a
Ire V
❑ Brickwork
❑ Carpentry
C Concrete
❑ Drywall -Plaster -Insulation
❑ Electrical
❑ Excavation/Grading
❑ Flooring
Li Heavy Construction
❑ Heating -Ventilating -Air Cond.
SALES TAX EXEMPTION
AECOM 60674611
El Landscaping
❑ Painting
❑ Paving
❑ Plumbing
i'Roofing-Siding-Sheet Metal
L] Windows
0 Wrecking -Demolition
❑ Other (Please specify)
IDOT CSVI 91220AL0200 hangar No. 4 Lnprovements (20220)
CONTRACT NO. 3345 STE-I of I
Bidder Status Form
To be completed by all bidders Part A
Please answer "Yes" or "No" for each of the following:
x
x
Ei
x
■
Yes U No 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).
Yes ■ No My company has an office to transact business in Iowa.
Yes ❑ No My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail.
Yes ■ No My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
Yes ❑ No 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.
If 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:
Dates: 01 / 11 /1967 to 08 / 20 /2018 Address• 202 Main Street
Dates: 08 / 20 / 2018 to pre/sent /
City, State, Zip' .Tanesvi 11 e, TA 50647
Address 201 Main Street
City, State, Zip• Janesville, IA 50647
Dates: / / to / / Address
You may attach additional sheet(s) if needed. 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 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: Modern Builders, Inc.
Signature: /" %�'c i.r-7
Date: CJ/4- oZ2
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)
State of Iowa
County of Bremer
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
) ss
Rick Stensland , being first duly sworn, deposes and says that:
President/
He is (Owner, i}trtner,-Of€ieetr I2epeesen4atimerer-.4gotlt) , of Modern Bi li 1 riars Tne
, 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,
representatives, owners, employees, or parties in interest, including this affiant.
Ric Stensland
President
Subscribed and sworn to before me this
My commission expires
(Signed)
14thday e.
Title
Jul
L
lieTAMARAK KOFRON
Notarial Ceal IOWA
IOWA Commission No.156798
My Commission Expires July 06, 20�1
2022
Title
NON -COLLUSION AFFIDAVITS
AECOM 60674611
IDOT CSVI 91220AL0200 Hangar No. 4 Improvements (2022)
CONTRACT NO. 3345 NCA-I of 2
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a brief explanation as
KNOW ALL MEN BY THESE PRESENTS, that we,
as principal, and Western Suret Coman
as Surety are held and firmly bound unto the
Five Per
„OWNER' In the penal sum
5%
Dollars ($_—
truly be made,
these presents.
bid dated the _
Han • ar No. 4
BID BOND
Modern Builders Ltd
Iowa, hereinafter called
cent
lawful money o
whereas the Principa20 22 for
aterloo IA• IDOT CSVI Pro'ect No. 91220AL0200
payment of which sum w
Cit of Waterloo
5 % of the Total Amount Bid
f the United States, for the
;nistrators, and successors, jointly and severally, finny b g
�rfimitted the accompanying
we bind ourselves, our heirs, executors,
The condition dof thiay s obligation is such that
Ju
ImIm1ro�s 2022 Contract No. 3345 W
a
1 has
11 and
NOW, THEREFORE,
rejected, or in the alternate, specified and shall
(a) If said Bid shall bee raj persons performing labor It
accepted and the Principal shall execute and deliveanraoftat` the °�
respects perform the agreement created by thee
(b) If said Bid shall ornperformance therewith,
of said contract, and for the payment
r
furnish a bond for his faithful connection
famishing materials in connection therewith, and shall in all other it being expressly understood
acceptance of said Bid, penal amount
and
this obligation for any and all claims hereunder shall, in no event, exceed the
ation shall be void, otherwise the same shall remain in force and effect; ;
Th
and agreed that the liability of the Surety
of this obligation as herein stated.
0the
By virtue of statutory tot
authority, the full amount of this bid bond shall be forfeited to the Owner in liquidation
damages sustained in the event that the Principal fails to execute the contract andprovidethe bond as provided fand its bond shall be in
specifications or by law.
stipulates and agreeseaccept such Bid or execute
that the obligations of said are
The way impaired
air value received, hereby p
anyextension of the time within which such extension. liler may noimpat;an or affected by
hereby waive notice of any
such contract; and ER Surety presents to signed bye their proper
the Principal and the Surety, have hereunto set their hands and seals, and such of them as
areIN WITNESS WHEREOF, caused orate seals to be hereto affixed and these
corporations, have their
p A.D. 2022 . (Seal)
officers this 12_th day of �— Modern Builders, Inc.
PrincTat
Stacy VetlO Attorney -
Stacy in -fact
CONTRACT NO. 3345
Hangar No. 4 ImprovemeBB`10of 1
BID BOND
AECOM 60674611
THIS PAGE LEFT BLANK INTENTIONALLY
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -TACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Dione R Young, Craig E Hansen, Jay D Freiernmth, Stacy Venn, Cindy Bennett, Anne
Crowner, Brian M Deimerly, Stacie Christensen, T Mc Culloh, Individually
of Waukee, IA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign
undertakings and other obligatory instruments of similar nature
In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corpora
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused These presents to be signed by its Vice President and its corporate seal to be
WESTERN SURETY CO.MPAN;.Y.
hereto affixed on this 22nd day of June, 2021.
State of South Dakota 1
County of Minnehaha I
On this 22nd day of June, 2021, before me personally came Paul T. Bruflat, to me known, who, being by me duly swom, did depose and say: that he
resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed
the above instmment; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed
pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges
same to be the act and deed of said corporation.
cal and execute for and on its behalf bonds,
on and all the acts of said
re
ul T. Bnifla6 Vice President
My commission expires
March 2, 2026
SS
/+�ROTARYM. BENT
f
CRSH DAXOTA
. Bent, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation thi§' j th day of July ' 2022
OIL
SUP
WESTERN SURETY COMPANY
!
L. Nelson, Assistant Secretary
Vann P4280-7-2012
Go to www cna_ su_____ -___et`/ corn > Owner / Obligee Siam/Ices > Validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.