HomeMy WebLinkAboutPeters Construction CorpRevised Per Addendum No, 1 — 1/19/2024
Revised Per Addendum No, 2— 1/23/2024
PROPOSAL FORM
FOR
HANGAR NO. 4
(Mold Remediation)
FAA AIP 3-19-0094-048
AT THE
WATERLOO REGIONAL AIRPORT
WATERLOO, IOWA
Waterloo Regional Airport
2790 Livingston Lane
Waterloo, IA 50703
Gentlemen:
1. The undersigned, being a Corporation existing under the laws of the State of Iowa , a Partnership consisting of
the following partners: Bradley F Best - President of S Corp, having familiarized (himselt)(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 famish 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 (Mold Remediation) -FAA AIP 3-19-0094-048, all in
accordance with the above -listed documents and for the unit prices for work in place for the following items and
quantities:
2. The extent of the work involved is as follows.
The FAA 3-19-0094-048 Hangar No. 4 (Mold Remediation) project which consists of removing ceiling tiles, carpet,
and paneling from mold affected rooms within Waterloo Airport (ALO) Hangar No. 4 as shown in the Appendix of
these contract documents. Walls shall be cleaned, treated, and painted.
3. The undersigned, in compliance with your Invitation for Bids dated 01/25/2024 , hereby proposes to do the
work called for in said Contract and Specifications and Addendum Nos. 1 & 2 and to furnish all
materials, tools, labor and all appliances and appurtenances necessary for the said work at the following rates and
prices:
FAA AIP 3-19-0094-048 P-I Hangar No. 4 - Mold
AECOM Project 460675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1— 1/19/2024
Revised Per Addendum No. 2 — U23/2024
ITEMIZED PROPOSAL
WATERLOO REGIONAL AIRPORT
WATERLOO, IOWA
PROJECT: • HANGAR NO. 4
(Mold Remediation)
FAA AIP PROJECT NO. 3-19-0094-048
ITEM
NO.
DESCRIPTION
UNIT
ESTIMATED
QUANTITY
TOTAL
QUOTE
UNIT QUOTE
PRICE
PRICE
1
SF
4,850.0
$ 3.95
$19,157.50
CEILING TILE REMOVAL
2
CARPET REMOVAL
SF
1,050.0
$ 6.90
$ 7,245.00
3
WALL PANELING REMOVAL (SW
OFFICE AREA)
-SE
I,160.0
$ 3.66
$4,477.60
4
WALL SURFACE TREATMENT
SF
9,250,0
$ 3.26
$ 30,155.00
5
WALL PAINT
SF
9,250.0
$ 2.42
$ 22,385.00
6
DRY WALL REPLACEMENT
SF
900.0
$ 15.58
$14,022.00
7
ASBESTOS TES97NG
LS
L0
$ 1,500.00
$ 1,500.00
TOTAL
$ 98,942.10
4. The undersigned understands that the above quantities of' work to be done are approximate only and are
intended principally to serve as a guide in evaluating the bids. All quantities are subject to increase or
decrease and are to be performed at the unit prices stipulated herein.
5. It is understood that the schedule of minimum wage rates, as established by the Secretary of Labor and
included in the Specifications, are to govern on this project, and the undersigned certifies that he has examined
this schedule of wage rates and that the prices bid are based on such established wage rates.
6. The bidder shall make good faith efforts, as defined in Appendix A of 49 CFR Part 26, Regulations of the
Office of the Secretary of Transportation, to subcontract zero (0%) percent of the dollar value of the prime
contract to small business concerns owned and controlled by socially and economically disadvantaged
individuals (DBE). Individuals who are rebuttably presumed to be socially and economically disadvantaged
include women, Blacks, Hispanics, Native Americans, Asian -Pacific Americans, and Asian -Indian Americans.
The apparent successful competitor will be required to submit information concerning the DBE's that will
participate in the contract. The information will include the name and address of each DBE, a description of
the work to be performed by each named firm, and the dollar value of the contract. If the bidder fails to
achieve the contract goal stated herein, it will be required to provide documentation demonstrating that it made
good faith efforts in attempting to do so. In the event that the apparent successful competitor for this
solicitation qualified as a DBE, the contract goal shall be deemed to have been met. A bid that fails to meet
these requirements will be considered nonresponsive.
7. The undersigned certifies that he does not maintain or provide for his employees any segregated facilities at
any of his establishments, and that he does not permit his employees to perform their services at any location,
under his control, where segregated facilities are maintained. The undersigned certifies further that he will not
maintain or provide for his employees any segregated facilities at any of his establishments, and that he will
not permit his employees to perform their services at any location, under his control, where segregated
facilities are maintained. The undersigned agrees that a breach of this certification is a violation of the equal
opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any
waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, timeclocks, locker
rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas,
transportation, and housing facilities provided for employees which are segregated by explicit directive or are
in fact segregated on the basis of race, color, religion, or national origin, because of habit, local custom, or any
other reason. The undersigned agrees that (except where he has obtained identical certifications from
proposed subcontractors for specific time periods) he will obtain identical certifications from proposed
FAA AIP 3-19-0094-048 P-2 Hangar No. 4 - Mold
AECOM Project 1160675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1 — 1/19/2024
Revised Per Addendum No. 2-- 1/23/2024
subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions
of the equal opportunity clause, and that he will retain such certifications in his files.
8. The undersigned understands, award of contract is contingent upon receipt of project funding from the Federal
Aviation Administration. If funding is not received, the project will be postponed.
9. The undersigned further agrees that if awarded the Contract, he will commence the work within ten (10)
calendar days after the receipt of a "Notice to Proceed" and that he will substantially complete all work
according to the terms of the entire contract within thirty (30) calendar days from the date established in the
Notice to Proceed. An extension of time may be allowed when extra or additional work is ordered by the
Engineer.
10. The undersigned agrees that within 30 days after award of this contract, the Contractor/Subcontractor shall file
a compliance report (Standard Form 100) if s/he has not submitted a complete compliance report within 12
months proceeding the date of award. This report is required if the Contractor/Subcontractor meets all of the
following conditions:
a. Contractors/Subcontractors are not exempt based on 41 CFR 60-1,5.
b. Has 50 or more employees.
c. Is a prime contractor or first tier subcontractor,
d. There is a contract, subcontract, or purchase order amounting to $50,000 or more,
11. To satisfy Clear Air and Water Pollution Control Requirements on all Construction Contracts and
Subcontracts exceeding $100,000.00 Contractors and Subcontractors agree:
a. That any facility to be used in the performance of the Contract or to benefit from the Contract is not listed
on the Environmental Protection Agency (EPA) List of Violating Facilities.
b. To comply with all the requirements of Section 306 of the Clean Air Act (42 USC 1857(h)), and Section
508 of the Clean Water Act (33 USC 1368), Executive Order 11738, and Environmental Protection
Regulations (40 CFR Part (15)).
c. That as a condition for award of a Contract he shall notify the awarding official of the receipt of any
communication from EPA indicating that a facility to be utilized for performance of or benefit from the
Contract is under consideration to be listed on the EPA List of Violating Facilities.
d. To include or cause to be included in any Contract or Subcontract which exceeds $100,000.00 the
aforementioned criteria and requirements.
12. The contractor, by submission of this offer and/or execution of a contract, certifies that it:
a. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of
countries that discriminate against U.S. firms published by the Office of the United States trade
Representative (USTR).
b. has not knowingly entered into any contract or subcontract for this project with a contractor that is a
citizen or national of a foreign country on said list or is owned or controlled directly or indirectly by one
or more citizens or nationals of a foreign country on said list.
c. has not procured any product nor subcontracted for the supply of any product for use on the project that is
produced in a foreign country on said list,
Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with
49 CFR 30.17, no contract shall be awarded to a contractor or subcontractor who is unable to certify to the
above. If the contractor knowingly procures or subcontracts for the supply of any product or service of a
FAA AIP 3-19-0094-048 P-3 Hangar No. 4 - Mold
AECOM Project 460675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1— 1/19/2024
Revised Per Addendum No. 2— 1/23/2024
foreign country on the said list for use on the project, the Federal Aviation Administration may direct, through
the sponsor, cancellation of the contract at no cost to the Government.
Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this
provision for certification without modification in each contract and in all lower tier subcontracts, The
contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the
certification is erroneous.
The contractor shall provide immediate written notice to the sponsor if the contractor learns that its
certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of
changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at
any time it learns that its certification was erroneous by reason of changed circumstances.
This certification is a material representation of fact upon which reliance was placed when making the award.
If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the
Federal Aviation Administration may direct, through the sponsor, cancellation of the contract or subcontract
for default at no cost to the Government.
Nothing contained in the foregoing shall be construed to require establishment of a system of records in order
to render, in good faith, the certification required by this provision. The knowledge and information of a
contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary
course of business dealings.
This certification concerns a matter within the jurisdiction of an agency of the United States of America and
the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under
Title 18, United States Code, Section 1001.
13. The bidder/offeror certifies, by submission of this proposal or acceptance of this contract, that neither it nor its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency. It further agrees by
submitting this proposal that it will include this clause without modification in all lower tier transactions,
solicitations, proposals, contracts, and subcontracts. Where the bidder/offer/contractor or any lower tier
participant is unable to certify this statement, it shall attach an explanation to this solicitation/proposal.
14. By entering into this contract, the contractor certifies that neither it (nor he or she) nor any person or firm who
has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by
virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1).
15. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government
contract by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1).
16. The undersigned hereby declares that the only parties interested in this Proposal are named herein, that this
Proposal is made without collusion with any other person, firm, or corporation, that no member of the Council,
Waterloo Regional Airport or agent of the City of Waterloo, Iowa, is directly or indirectly financially
interested in this bid.
17. Contractor certifies that all employees employed by Contractor or any subcontractor working on behalf of the
Contractor are in compliance with the Immigration Reform Control Act of 1986 (IRCA) and indemnifies the
Owner and holds harmless Owner for any violations of IRCA as a result of the Contractor's employees or his
subcontractor's employees working on behalf of the Contractor on the Owner's project.
18. The undersigned certifies, to the best of his or her knowledge and belief, that:
a. No Federal appropriated funds shall be paid, by or on behalf of the Contractor, to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a member of Congress in Congress in connection
with the making of any Federal grant and the amendment or modification of any Federal grant.
FAA AIP 3-19-0094-048 P-4 Hangar No. 4 - Mold
AECOM Project 460675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1 — 1/19/2024
Revised Per Addendum No. 2— 1/23/2024
b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this
Federal grant, the Contractor shall complete and submit Standard Form-LLL, "Disclosure of Lobby
Activities", in accordance with its instnlctions.
c. The Undersigned shall require that the language of this certification be included in the award documents
for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $200,000 for each
such failure.
19. BUY AMERICAN CERTIFICATE (Title 49 U.S.C. Chapter 501)
As a condition of bid responsiveness, the bidder must how it intend to comply with the Buy American
preferences established under Title 49 U.S.C. Section 50101. Bidder must complete the attached Buy
American certification, If the bidder requests a permissible waiver to the Buy America requirements, the
Bidder identified as with the successful bid must submit a formal waiver request and component cost
calculation within the prescribed time identified on the Buy America certification,
20. Drug Free Workplace, Act of 1988.
a. By submission of this offer, the offeror, if other than an individual, who is making an offer that equals or
exceeds $25,000, certifies and agrees that with respect to all employees of the offeror to be employed
under a contract resulting from this solicitation, it will --no later than 30 calendar days after contract award
(unless a longer period is agreed to in writing, for contracts of 30 calendar days or more performance
duration;) or as soon as possible for contracts of less than 30 calendar days performance duration, but in
any case, by a date prior to when performance is expected to be completed--
(1) Publish a statement notifying such employees that the unlawful manufacturer, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the Contractor's workplace
and specifying the actions that will be taken against employees for violations of such prohibition.
(2) Establish an on -going drug -free awareness program to inform such employees about --
(a) The dangers of drug abuse in the workplace.
(b) The Contractor's policy of maintaining a drug -free workplace.
(c) Any available drug counseling, rehabilitation, and employee assistance programs; and
(d) The penalties that may be imposed upon employees for drug abuse violations occurring in the
workplace.
(3) Provide all employees engaged in performance of the contract with a copy of the statement required
by subparagraph a. (1) of this provision.
(4) Notify such employees in writing in the statement required by subparagraph a.(I) of this provision
that, as a condition of continued employment on the contract resulting from this solicitation, the
employee will --
(a) Abide by the terms of the statement; and
(b) Notify the employer in writing of the employee's conviction under a criminal drug statute for a
violation occurring in the workplace no later than 5 calendar days after such conviction.
Notify the Contracting Officer in writing within 10 calendar days after receiving notice under
subdivision a. (4) (b) of this provision, from an employee or otherwise receiving actual notice of
such conviction. The notice shall include the position title of the employee; and
(5)
FAA AIP 3-19-0094-048 P-5 hangar No. 4 - Mold
AECOM Project 1160675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1 — 1/19/2024
Revised Per Addendum No. 2 — 1/23/2024
(6) Within 30 calendar days after receiving notice under subdivision a.(4)(b) of this provision of a
conviction, take one of the following actions with respect to any employee who is convicted of a
drug abuse violation occurring in the workplace.
(7)
Take appropriate personnel action against such employee, up to and including termination; or
Require such employee to satisfactorily participate in a drug abuse assistance or rehabilitation
program approved for such purposes by a Federal, State, or local health, law enforcement, or
other appropriate agency.
Make a good faith effort to maintain a drug -free workplace through implementation of
subparagraphs a. (1) through a. (6) of this provision.
b. By submission of its offer, the offeror, if an individual who is making an offer of any dollar value,
certifies and agrees that other offeror will not engage in the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance in the performance of the contract resulting from
this solicitation.
(a)
(b)
c. Failure of the offeror to provide the certification required by paragraphs a. or b. of this provision, renders
the offeror unqualified and ineligible for award. [See FAR 9.104-1(g) and 19.602-1a.(2)(a)].
d. In addition to other remedies available to the Government, the certification in paragraphs a. or b. of this
provision concerns a matter within the Jurisdiction of an agency of the United States and the making of a
false, fictitious, or fraudulent certification may render the maker subject to prosecution under title 18,
United States Code, Section 1001.
21. Attachment to This Bid. The following documents are attached to and made a part of this Bid'
a. Non -Collusion Affidavit of Prime Bidder.
b. Statement of Intent —Non -Discrimination and Equal Opportunity Statement.
c. Buy American Certification Statement.
d. Synopsis of Experience Record. (IDOT Certification may be substituted.)
e. Completed DBE forms "Utilization Statement" and "Letter of Intent."
22. The Bidder shall indicate whether the bid is submitted by a/an:
❑ Individual, Sole Proprietorship
❑ Partnership
MI Corporation
❑ Joint -venture: all parties must join -in and execute all documents
❑ Other
Respectfully submitted,
By
President
Bidder
1 '-L
Signature
Title
901 Black Hawk Rd
Address
Waterloo, Iowa 50701
(Include Zip Code)
319-236-2003
Telephone No.
FAA AIP 3-19-0094-048 P-6 Hangar No. 4 - Mold
AECOM Project 460675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1 — 1/19/2024
Revised Per Addendum No, 2 — 1/23/2024
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of Iowa
County of Black Hawk
(1) He is
)ss
Bradley F Bestbeing first duty sworn, deposes and says that:
(Owner, Partner, Officer, Representative, or Agent) of
Peters Construction Corporationtie 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.
Subscribed and sworn to before me
this 2.5 day of Tcwv n , 202Q
M av Ke 4-; v\ei cutud ?rot d Ass( skAi--
Title
My Commission Expires A p r i t to 20 25
(Signed)
Title President
0
z
As
IOWA
LAURA KANN
COMMISSION NO. 816332
MY COMMISSION EXPIRES
APRIL 10, 2025
FAA AIP 3-19-0094-048 P-7 Hangar No. 4 - Mold
AECOM Project /160675091 Waterloo Regional Airport - 60675091
Revised Per Addcudum NO. 1- 1/19/2024
Revised Per Addendum No. 2 — 1/23/2024
STATEMENT OF INTENT
NONDISCRIMINATION
AND
EQUAL OPPORTUNITY STATEMENT
The Contractor does hereby certify to the Waterloo Regional Airport, that no person shall, in any way, be favored or
discriminated against because of his race, political or religious opinions and affiliations, national origins, sex, age, sexual
orientation, gender identity, disability, color, creed, marital status, employee union or association membership or office
herein.
If selected as the successful bidder, this contractor hereby agrees to file either a nondiscrimination and equal opportunity
statement and/or an Affirmative Action Program.
Improvements to the Waterloo Regional Airport consisting of
Hangar No. 4
(Mold Remediation)
FAA AIP Project No. 3-19-0094-048
Peters Construction Corporation
COMPANY
Brad Best - President
4 1�%1
EXECUTIVE OFFICER
Gabe Berger 1% < -text, Al
AFFIRMATIVE ACTIOhI OFFICER
ADDRESS OF THE AFFIRMATIVE ACTION OFFICER
901 Black Hawk Rd
Waterloo, Iowa 50701
PHONE NUMBER 319-236-2003
FAA AIP 3-19-0094-048 P-9 Hangar No. 4 _ Mold
AECOM Project 460675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1 -- l/l9/2024
Revised Per Addendum No. 2— 1/23/21124
Name of Bidder
SYNOPSIS OF EXPERIENCE RECORD
(This synopsis must accompany Proposal Form.)
Peters Construction Corporation
Business Address 901 Black Hawk Rd Waterloo, Iowa 50701
Individual ( ) Partnership ( ) Corpo ation 00 (Check One.)
Construction successfully completed within past five years similar in size, scope, and difficulty of construction to the
work bid upon.
Name of Owner
1 NewAldaya
2 JSA
3 St. Patrick Church
4 Advanced Tech Sery
5 St. Stephens
Name of
Proiect
Sena Rownd Remodel
Storefront Remodel
Classroom Remodel
Exterior Remodel
Kitchen Remodel
Number of Contract Days
Allowed for Above Projects
1150 Days
2 140 Days
3 150 Days
4 TBD - Design in progress during contsruction
5 50 Days
(By) Bradley F Best
(TITLE) President
Date 01/25/2024
Location of
Project
Cedar Falls, IA
Waterloo, IA
Cedar Falls, IA
Cedar Falls, IA
Waterloo, IA
Amount of
Contract
95,000
98,000
265,000
375,000
60,000
Actual Number of Days to
Complete above Project
125 Days
130 Days
150 Days
360 Days
43 Days
Peters Construction Corporation
Name of Company
FAA AIP 3-19-0094-048 P-10 hangar No. 4 - Mold
AECOM Project 1/60675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1— 1/19/2024
Revised Per Addcudum No. 2— 1/23/2024
UTILIZATION STATEMENT
Disadvantage Business Enterprise
The undersigned bidder/offeror has satisfied the requirements of the bid specification in the following manner.
(Please mark the appropriate box)
5( The bidder/offeror is committed to a minimum of 0% DBE utilization on this
contract.
❑ The bidder/offeror, while unable to meet the DBE goal of %, hereby commits
to a minimum of % DBE utilization on this contract and also submits
documentation, as an attachment demonstrating good faith efforts (GFE).
The undersigned hereby further assures that the information included herein is true and correct, and that the DBE firm(s) listed herein have agreed to
perform a commercially useful function in the work items noted for each fine. The undersigned further understands that no changes to this statement
may be made without prior approval from the Civil Right Staff of the Federal Aviation Administration.
Peters Construction Corp.
Bidder's/Offerors Firm Name
Signature
01 /25/2024
Dat
DBE UTILIZATION SUMMARY
Contract Amount
DBE Amount Contract
Percentaee
DBE Prime Contractor $ x 1.00 = $ %
DBE Subcontractor $ x 1.00 = $ %
DBE Supplier $ x 0.60 = $ %
DBE Manufacturer $ x 1.00 = $ %
Total Amount DBE
DBE Goal
Note: If the total proposed DBE participation is less than the established DBE goal, Bidder must provide written documentation of the
good faith efforts as required by 49 CFR Part 26.
FAA AIP 3-19-0094-048
AECOM Project 460675091
P-11 Hangar No. 4 - Mold
Waterloo Regional Airport - 60675091
Revised Per Addendum No, 1— t/l9/2024
Revised Per Addendum No. 2 — 1/23/2024
LETTER OF INTENT
Disadvantage Business Enterprise
(This page shall be submitted for each DBE firm)
Bidder/Offer Name: N/A
DBE Firm:
Address:
City: State: Zip:
DBE Firm.
Address:
City: State: Zip:
DBE Contact Person: Name: Phone: ( )
DBE Certifying Agency:
Classification:
Expiration Date:
Each DBE Firm shall submit evidence (such as a photocopy) of their certification
status,
❑Prime Contractor El Subcontractor
❑Manufacturer ■ Supplier
■
Joint Venture
Work item(s)
to be perforated by
DBE
Description of Work Item
Quantity
Total
The bidder/offeror is committed to utilizing the above -named DBE firm for the work described above. The
estimated participation is as follows:
DBE contract amount:
$ Percent of total contract: a/
AFFIRMATION:
The above -named DBE firm affirms that it will perform the portion of the contract for the estimated dollar value as
stated above.
By:
(Title)
(Signature)
Note: In the event the bidder/offeror does not receive award of the prime contract, any and all representations in this
Letter of Intent and Affirmation shall be null and void.
FAA AIP 3-19-0094-048 P-I2 Hangar No. 4 - Mold
AECOM Project 460675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. 1 -- 1/19/2024
Revised Per Addendum No. 2— 1/23/2024
BUY AMERICAN CERTIFICATION FORM FOR TOTAL FACILITY
(Building projects such as Terminal, SRE, ARFF, etc.)
As a matter of bid responsiveness, the Bidder or Offeror must complete, sign, date, and submit this
certification statement with their proposal. The Bidder or Offeror must indicate how they intend to comply
with 49 USC § 50101 by selecting one of the following certification statements. These statements are
mutually exclusive. Bidder must select one or the other (i.e. not both) by inserting a checkmark (✓) or the
letter "X".
The Bidder or Offeror hereby certifies that it will comply with 49 USC. 50101 by:
a) Only installing steel and manufactured products produced in the United States, or;
b) Installing manufactured products for which the FAA has issued a waiver as indicated by
inclusion on the current FAA Nationwide Buy American Waivers Issued listing, or;
c) Installing products listed as an Excepted Article, Material or Supply in Federal Acquisition
Regulation Subpart 25.108,
By selecting this certification statement, the Bidder or Offeror agrees:
1. To provide to the Owner evidence that documents the source and origin of the steel and
manufactured product.
2. To faithfully comply with providing US domestic products.
3. To refrain from seeking a waiver request after establishment of the contract, unless extenuating
circumstances emerge that the FAA determines justified.
® The Bidder or Offeror hereby certifies it cannot comply with the 100% Buy American Preferences
of 49 USC § 50101(a) but may qualify for either a Type III or Type IV waiver under 49 USC §
50101(b). By selecting this certification statement, the apparent Bidder or Offeror with the apparent
low bid agrees:
1. To the submit to the Owner within 15 calendar days of the bid opening, a formal waiver request
and required documentation that support the type of waiver being requested.
2. That failure to submit the required documentation within the specified timeframe is cause for a
non -responsive determination may results in rejection of the proposal.
3. To faithfully comply with providing US domestic products at or above the approved US domestic
content percentage as approved by the FM.
4. To furnish US domestic product for any waiver request that the FAA rejects.
5. To refrain from seeking a waiver request after establishment of the contract, unless extenuating
circumstances emerge that the FAA determines justified.
Required Documentation
Type III Waiver — The cost of components and subcomponents produced in the United States is more
that 60% of the cost of all components and subcomponents of the "facility". The required documentation
for a Type III waiver is:
a) Listing of all manufactured products that are not comprised of 100% US domestic content
(Excludes products listed on the FAA Nationwide Buy American Waivers Issued listing and
products excluded by Federal Acquisition Regulation Subpart 25,108; products of unknown origin
must be considered as non -domestic products in their entirety).
b) Cost of non -domestic components and subcomponents, excluding labor costs associated with
final assembly and installation at project location.
FAA AIP 3-19-0094-048 P-13 Ilangar No. 4 - Mold
AECOM Project tt60675091 Waterloo Regional Airport - 60675091
Revised Per Addendum No. I — 1/19/2024
Revised Per Addendum No. 2 — 1/23/2024
c) Percentage of non -domestic component and subcomponent cost as compared to total "facility"
component and subcomponent costs, excluding labor costs associated with final assembly and
installation at project location.
Type IV Waiver — Total cost of project using US domestic source product exceeds the total project cost
using non -domestic product by 25%. The required documentation for a Type IV of waiver is:
a) Detailed cost information for total project using US domestic product.
b) Detailed cost information for total project using non -domestic product.
False Statements: Per 49 USC § 47126, this certification concerns a matter within the jurisdiction of the
Federal Aviation Administration and the making of a false, fictitious or fraudulent certification may render
the maker subject to prosecution under Title 18, United States Code.
01/25/2024
Date
Peters Construction Corporation
Company Name
Signature Bradley F Best
President
Title
FAA AIP 3-19-0094-048 P-14 Hangar No. 4 - Mold
AECOM Project 460675091 Waterloo Regional Airport - 60675091
Information to provide upon award of contract.
Revised Per Addendum No, 1 — 1/19/2024
Revised Per Addendum No. 2 — 1/23/2024
Buy America Waiver Request
Title 49 U.S.0 Section 50101 (b)
For Airfield Development Projects funded under the
Airport Improvement Program
(Revised 4/19/2010)
Instructions for Permissible Waivers
Section 50101(b)(1) Waiver:
The bidder may not request a waiver based upon the best interests of the public. The FAA Office of Airports publishes such waivers at:
http://www.faa.gov/airports/aip/procuremenUfederal_contractj,rovisionshnedia/buyamerican_waiver.xls
Section 50101(b)(2) Waiver:
The bidder may not request a waiver based upon insufficient supply of U.S. manufactured. The FAA Office of Airports publishes such
waivers at:
http://www. faa.gov/airports/aip/procuremenUfederal_contract_provisions/media/buy_american_waiver.xls
Section 50101(b)(3) Waiver:
The bidder may request a waiver if 60% or more of the components are produced in the United States and fmal assembly
occurs in the U.S. Bidder is hereby advised that the Owner's approval with the bidder's waiver request is contingent upon
FAA approval.
1. "Equipment" in Section 50101 shall mean the following:
a) Individual type "L" items (Airfield Lighting Equipment) as listed in FAA Advisory Circular 150/5345-53.
b) Individual bid items as established within FAA Advisory Circular 150/5370-10. The bid item application may not be applied
for the type "L" items listed in AC 150/5345-53,
c) A waiver request may only address one specific equipment item. Submit separate requests for each equipment item for which
a waiver.
d) Items listed under the Nationwide Waiver do not require further review. Please refer to the following webpage:
http://www. faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls
2. The bidder must base the U.S. percentage upon the value that results from completing a component cost calculation table similar to
the attached format. Bidder shall avoid mere pro forma efforts to establish the waiver request percentage. The Bidder must submit
the component cost calculation table as an attachment to the waiver request.
3. Components/subcomponents are the material and products composing the "equipment".
4. The final assembly of the AIP-funded "equipment" must be within the USA (Section 50101(b)(3)(B)). Final assembly is the
substantial transformation of the components and subcomponents into the end product.
5. All steel used in the "Equipment" must be produced in the United States.
6. The Buy American requirements apply to all tier contractors and subcontractors. All contractors/subcontractors are required to
provide appropriate documentation that indicates origin of manufacturer and percentage of domestic made product.
7. The bidder is hereby advised there is no implied or expressed guarantee that a requested waiver will be issued by the Federal
Aviation Administration (FAA). Less than 60% USA componenUsubcomponent proposed for this facility CANNOT be waived.
Products made with foreign steel arc not eligible for a waiver.
8. North America Free Trade Act (NAFTA): Free Trade Agreements such as NAFTA do not apply to the AIP. Products and material
made in Canada or Mexico must be considered as foreign made products.
9. Preparation of a Component Cost Calculation Table is not necessary for equipment listed on the FAA national listing:
http://www.faa.gov/airports/aip/procurement/federal_contract_previsions/media/buy_american_waiver.xls.
Bidder however shall submit a listing of any equipment it proposes to install on the project That is included en the National Buy
American conformance list.
Instructions for Section 50101(b)(4) Waiver:
I. The bidder may request a waiver if application of Buy America preferences results in a 25% cost increase in the
overall project. This waiver is rarely applicable. Consult the Owner before making this request.
FAA AIP 3-19-0094-048
AECOM Project 460675091
P-15 Hangar No. 4 - Mold
Waterloo Regional Airport - 60675091
to
rn10
R 5
v
'n o p•
re
M
M re
o
O qy�
o pa Fe
rt'i
re
a41•
a
e no 0
p b C
m 8$
b t
a y,°
7 f
g o o•
re re It
o
PI 0
0 0
O. 0O t00+
m
Et 54
co 10
O. 9
ain
B M
5a
0
4. a
c
re o
m
.
H
o
C
91 c
a
A
k0.
re
On
a
Component/Subcomponents
Name of Manufacturer
Country of Origin
Cost of Foreign Manufactured
Components/Subcomponents
It
re/
C 1
0
as
•
p
rat
in
n
14
elD
in
ran
ImE
jtlj
5.S.
e.
CD CO
as
aCO CD
a• o
as
1-4
N W
I
H
\
Revised
Information to provide upon award of contract.
>e
Addendum No, 2 - 1/23/2024
IrU.S. Department of Transportation OMB CONTROL NUMBER: 2120-0569
Federal Aviation Administration EXPIRATION DATE: 6/30/2023
Buy American Project/Product
Content Percentage Calculation — Worksheet
Applicant Information
Date of Application:
Applicant Name:
Applicant Type (choose one):
Prime Contractor II Manufacturer ❑ Supplier
Point of Contact (First and Last Name):
Applicant Business Address:
Email address:
Telephone: Extension:
Project/Product Information
FAA Eligible Project:
Airport Sponsor:
Airport LOCID:
FAA Award Number:
FAA Item Number (FAA Advisory Circular reference, if applicable):
Total Material Cost:
Total U.S. Material Content Cost: Percentage:
Total Non-U.S. Material Content Cost: Percentage:
FAA Form 5100-136 (6/2023) SUPERSEDES PREVIOUS EDITION Page 1 of 7
FAA AIP 3-19-0094-048
P-17 Hangar No. 4 - Mold
AECOM Project V60675091 Waterloo Regional Airport - 60675091
Revised Per Addendum Nu. 2 - 1/23/2024
Information to provide upon award of contract.
FAA Buy American Preference (including Buy American Build American) Compliance
Does this project include any iron, steel or any of the following construction materials, not 100%
produced in the United States?
Yes 1 I No
If "Yes," indicate the cost and percentage of the project below.
Steel (e.g., structural steel, rebar) Cost: Percentage: %
Iron Cost: Percentage: %
Non-ferrous metals Cost: Percentage: %
Plastic and polymer -based products Cost: Percentage:
Glass (including optic glass) Cost: Percentage:
Lumber Cost: Percentage:
Drywall Cost: Percentage: %
Use of Non -Domestic Construction Materials Justification
Provide a description of your efforts to locate and secure a domestic source for those "construction
materials' or final manufactured goods that are not 100% produced in the U.S., including use of
the Manufacturing Extension Partnership (MEP) and market research.
FAA Form 5100-136 (6/2023) SUPERSEDES PREVIOUS EDITION Page 2 of 7
FAA AIP 3-19-0094-048 P-18 Hangar No. 4 - Mold
AECOM Project U60675091 Waterloo Regional Airport - 60675091
VD
ro
o
o-
N Go
0
0
o •
A
N cl
e
g
0
cn
W
0
cn
zi
0
Project Material Structure Worksheet
NOT SUBJECT TO DISCLOSURE UNDER EXEMPTION # 4 OF THE FREEDOM OF INFORMATION ACT
Information to provide upon award of contract.
—1VIIN301dNOO —
Revised Per Addendum No. 2 - 1/23/2024
0
0
L
cp
O A
ci
e
FAA Form 5100-136 (6/2023) SUPERSEDES PREVIOUS EDITION
d
N
0
a
2
d
0.
z�
0®
cn
co
03 We
mm
0
0
cn
0
r
O wzw
co 0
c°'
Zr.
0
m
m
0
Z
4t
A
0
m
--1
m
m
m
m
0
0
0
m
z
m
0
0
Z
0
H
1VI.N3UldNOO
Revised Per Addendum No. 2 - 1/23/2024
rm 5100-136 (6/2023) SUPERSEDES PREVIOUS EDITION
to
cn
z
0
!omit .0
'mt(
11,
Di C
TDI
f
cn /
ati
to o
SD C;
m .
ma -
to {0
0
NOT SUBJECT TO DISCLOSURE UNDER EXEMPTION # 4 OF THE FREEDOM OF INFORMATION ACT
Information to provide upon award of contract.
-1VI1N301dNO0 -
Revised Per Addendum No. 2 - 1/23/2024
R
J ap
CO
Co
0
6
Z •
O
-I °.9
coa
C <,
CO
m�
-1 0
O w
0
n
r
O gmh
cn
C
rZ1 �
m�,
C r+
Z'
0
m
m O
• Z
m
H
z
D
0
r
m
m
m
m
m
0
0
0
m
Z S.
O
D a
O
z g
D
H
ti
N
Information to provide upon award of contractNFIDENTIAL—
Revised Per Addendum No. 2 - 1/23/2024
NOT SUBJECT TO DISCLOSURE UNDER EXEMPTION # 4 OF THE FREEDOM OF
INFORMATION ACT
Certification
The undersigned certifies that this information is true and accurate to the best of their knowledge. A
false certification represents a violation of 18 U.S.0 § 1001 and 49 U.S.0 § 47126. Signatory has
the burden of proof to establish compliance.
Signature:
Name:
Title:
Date:
FOR FAA USE ONLY
(Mark the appropriate Waiver Type & Scope)
Applicable FAA Waiver Type
Type I Public Interest (HQ Only)
n Type II Nonavailability (HQ Only)
❑ Type III More than 60% and Final Assembly within the U.S.
n Type IV Unreasonable Cost (Requires MEP/requires HQ coordination)
BABA Iron, Steel, or Construction Material (requires justification) (Apply BABA Flag)
Applicable FAA Waiver Scope
❑ Project Specific
Nationwide — (General Applicability) (For HQ Only)
Justifications
Manufacturing Extension Partnership (MEP) Coordinated
FAA Official's Signature:
End of FAA -Use Only Section
FAA Form 5100-136 (6/2023) SUPERSEDES PREVIOUS EDITION Page 7 of 7
FAA AIP 3-19-0094-048 P-23 Hangar No. 4 - Mold
AECOM Project 860675091 Waterloo Regional Airport - 60675091
Tf
aft
PETERS CONSTRUCTION CORP.
A/��\\C 901 Black Hawk Road
P.O. Box 2940
j WATERLOO, IOWA 50704
amEm (319) 236-2003
Waterloo Regional Airport — FFA Project No. 3-19-0094-048 Hanger
#4
City of Waterloo
715 Mulberry Street
Waterloo, Iowa 50703
BID PROPOSAL FOR: Waterloo Regional Airport — FFA Project No. 3-
19-0094-048 Hanger#4