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Pay:One Thousand Five Hundred Dollars And Zero Cents
Pay to the order of:City of Waterloo
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BIDDER:
EXHIBIT "A"
SIGNATURE PAGE
2023-2025 Residential/Miscellaneous Areas Snow Removal Contract
COMPANY NAME
BID FORM
ADA_ ecu7S- r/D(.
Project
Manager: e A
PROJECT MANAGER NAME
ADDRESS: ' Levd_cr
,>`-rd-4 ,SE701
PHONE: (�I� ) ay] am co
1. The undersigned, being a Corporation existing under the laws of the State of ,.TA , or a limited liability company
exis 4. under he law f the State of A , or a Partnership consisting of the following partners:
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, and the
Planning and Zoning Department, 715 Mulberry Street, 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 SNOW REMOVAL, in accordance with the contract documents and for the
unit price in place for the following amount:
Bid Price: Price per Lot Area per occurrence for approximately 190 Properties
C11 n t t&v'1 olkedSQ,h, £49 j,i _ L c dollars $
Written Price Per Lot/Occurrence:
2. It is understood that the quantities set forth are approximate only and subject to variation and that the unit price for the
work done shall govern the actual payment to the Contractor.
3. In submitting this bid, the Bidder understands that the City reserves the right to reject any or all bids and to award one
or more contracts for a single Option, all Options together, or any combination of Options. If written notice of acceptance
of this Bid is mailed or delivered to the undersigned within thirty (30) days after Bid Opening, 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before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and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 certificate of insurance within ten (10) days after the agreement is presented for signature, and start
work within ten (10) days after "Notice to Proceed" is issued.
4. Security in the sum of dollars ($ SC,C0
in the form of C C. T` ; n 4 c \A ai L , is submitted herewith in accordance with NOTICE TO BIDDERS.
5. The Bidder is prepared to submit a financial and experience statement upon request.
6. 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 Affirmative Action Plan or update and an Equal Opportunity Clause,
within ten (10) days of notification that the bid submitted is lowest and acceptable.
7. The Bidder has received the following Addendum or Addenda:
Addendum No.
Date: / /
/ /
/ /
8. The Contractor shall provide a complete inventory of sufficient and proper equipment to perform all work in a safe and
timely manner. E ui ment list may be submitted as a separate attachment.
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9. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA".
10. The bidder has attached all applicable forms.
11. The City 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:
1
ame and itle
DATE: j1,7c