HomeMy WebLinkAboutMunicipal Pipe Tool_,
Ind 00:1 :31A1I1 019
MUNICIPAL PIPE TOOL CO., LLC
515 FIFTH STREET • PO BOX 398
HUDSON, IOWA 50643
TO:
BID ENCLOSED:
FY 2024 CIP PIPELINING
PHASE IVB1
BID DATE: FEB. 29, 2024
BID TIME: 1:00 PM
CITY OF WATERLOO
715 MULBERRY STREET
WATERLOO, IA 50703
co
v
D
m
m
vo
N
0
ZBAI 3SVHd
0
m
r
2
2
FORM OF BID OR PROPOSAL
FY 2024 CIP Pipelining Phase IVB1
CONTRACT NO. 1102
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 Z 1 naiS
a Partnership consisting of the following partners: rk., t_cJ,11_r 4- Jcuun-es k� lLr�n r
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 the FY 2024 CIP PIPELINING PHASE IVB1,
CONTRACT NO 1102, all in accordance with the above -listed documents and for the unit prices for
work in place for the following items and quantities:
FY 2024 CIP Pipelining Phase IVB1
CONTRACT NO. 1102
Item
Description
Unit
Estimated
Quantiles
Unit
Price
Total
Amount
BASE
BID
TM.
-a.
1
8"
Diameter
CIP
Pipe
Lining
LF
5,101.00
$
t
$
1 S% 13I
2
10"
Diameter
CIP
Pipe
Lining
LF
1,585.00
$ 141
--
$
(Ut-(-i
r'1
-
3
12"
Diameter
CIP
Pipe
Lining
LF
911.00
$
Ii ,
(()
$ Ojj
ri
,(pC
4
Lateral
Reinstatement
EA
189.00
$ .�r�
-
$ 10 1
j-75
5
3-FT
Lateral
Grouting
EA
189.00
$ 1,.}1i.3--
$ in
tls .y.
.
6
Pipe
Televising
8"
LF
10,202.00
$
$ 101
—
-
I -�
2,
v,i
7
Pipe
Televising
- 10"
LF
3,170.00
$ I —
$ 7,
t i
o -A-
8
Pipe
Televising
- 12"
LF
1,822.00
$ 1 1
$ lc()
2-2-----
9
Type
A
Pipe
Cleaning
- 8"
LF
5,101.00
$ "?_
.C�0
$ j
-123l.,Y0�J
10
Type
A
Pipe
Cleaning
- 10"
LF
1,585.00
$ 7_,
$ 4
I
y-?mac-f
11
Type
A
Pipe
Cleaning
- 12"
LF
911.00
$ 2 , )
$ •2 6- ..
, 6D
12
Type
C
Root
Removal
- 8"-10"
LF
3,343.00
$ 1 /_6)
$
I4
i -1c
, 75
13
Type
C
Root
Removal
- 12"-15"
LF
455.00
$ ‘ , 2Lj
$ c-5( (, pc
14
Type
D
Lumberjack
- 8"-10"
LF
3,343.00
$ \ ,')�G)
$ 41-)9
,.7
15
Type
D
Lumberjack
- 12"-15"
LF
455.00
$ \ ,
V%)
$ 13 (ENS)
.1Cj
16
Protruding
Taps
Removal
EA
45.00
$ rsi9C-.
$ .;j:1/425-1ge�"
BASE
BID
TOTAL
$
$11I(19ik2-(,
FORM OF BID
AECOM /160721823
CONTRACT NO. 1102
FB-1 of 3
FY 2024 CIPP
BID
ALTERNATE
NO.
1
101
8"
Diameter
CIF
Pipe
Lining
LF
2,540.00
$ '�) 1—
$ -ig
, 7--1O---
102
Lateral
Reinstatement
EA
40.00
$ 1s
---
$ 94
000
-
103
3-FT
Lateral
Grouting
EA
40.00
$
L( `7SS
-
$ ({ i
Doo
-
104
Pipe
Televising
- 8"
LF
5,080.00
$ j ..r
$ cjOr60
. -
105
Type
A
Pipe
Cleaning
- 8"
LF
2,540.00
$ %_
1
j
$ 'it
t
2 --
106
Type
C
Root
Removal
- 8"-10"
LF
1,270.00
$
0
107
Type
D
Lumberjack
-
8"-10"
LF
1,270.00
$
1,2_6
$ ,
gcg7so
108
Protruding
Taps
Removal
EA
20.00
$ "lc-;
--'
$ 42CL6
.'
f
BID
ALTERNATE
NO.
1
TOTAL
$
$
1)71
W-7
ass
Item
Description
Unit
Estimated
Quantity
Unit
Price
Total
Price
ADDITIONAL
CLEANING
RATES
201
Type
A
Pipe
Cleaning
- 8"
HR
50
$
1j2c
--
$ a--Ytp,zgb
'"
202
Type
A
Pipe
Cleaning
- 10"
HR
50
$
5zc
--
$ LLo,2 50
$ DP -ZSv -s
$
62-6-
'
203
Type
A
Pipe
Cleaning
- 12"
HR
50
204
Type
C
Root
Removal
- 8"-10"
HR
50
$
$ ?)31-75-0
--
(o15
205
Type
C
Root
Removal
- 12"-15"
HR
50
$
(P-7(t''
$ 3 )cjQ---
206
Type
D
Lumberjack
- 8"-10"
HR
50
$
%
13.
$ 3-
207
Type
D
Lumberjack
- 12"-15"
HR
50
$ (p i
t3-
-
`?SD
$ 3, 3,
208
Type
A
Pipe
Cleaning
- 10"
HR
50
$
ca7
--
$ 2,1,0
1.7'j0
209
Type C
Root
Removal
- 8"-10"
HR
50
$ 77• � , So
-
$ 0.1
--
210
Type
D
Lumberjack
-
8"-10"
HR
50
$
ir ;� .$
'33l'a1sO--�
211
Type
D Lumberjack
- 12"-15"
HR
50
$ ( eit)
--
$ - 3),151
'_
A table
of
expected
cleaning
times
per segment
shall
work.
be submitted
to the
Owner
prior
to
beginning
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 < 7 0 iD
($ ) in the form of I!?» (\
accordance with the INSTRUCTIONS TO BIDDERS.
FORM OF BID
AECOM ##60721823
ADDENDUM NO. 1 - 2/8/2024
CONTRACT NO. 1102
Dollars
GO( ( t t'� is submitted herewith in
FB-2 of 3
FY 2024 CIPP
5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor.
6. Attached hereto is a Bidder Status Form indicating Resident Bidder Certification ( )(i), or
Non -Resident Bidder Certification ( ). (Mark one.)
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. LI 291 Date 1
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).
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:
Municipal Pipe Tool Co LLC
2 2 2r24
(Name of Bidder) ate)
Title CD)
Official Address: (Including Zip Code):
515 eth Weee4IC:b bp\k_
thAdEstn, ex.0t-13
I.R.S. No. <24045%313g
FORM OF BID CONTRACT NO. 1102
AECOM #60721823
FB-3 of 3
FY 2024 CIPP
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of )6W0•• )
�I )ss
County of ICJ 1Cka 'tI; ,�, )
%\ar-61\ \T\\ C htCUkT , being first duly sworn, deposes and says that:
1 He is (Owner, Partner, Officer, Representative, or Agent) , of Municipal Pipe Tool Co LLC
, 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.
(Signed)
ktuni Lithuo ketk
COD
Title
Subscribed and sworn to before me this 227^ day of Fe_,to.nJ , 2024-
My commission expires
1,29\t2ris
?i1LeC-C- MiThiCOn
Title
COURTNY R SCHUMACHER
Commission No.819100
My Commission Expires
NON -COLLUSION AFFIDAVIT CONTRACT NO. 1102
AECOM #60721823
•
NCA-1 of 2
FY 2024 CIPP
Bidder Status Form
To be completed by all bidders
Part A
Please answer "Yes" or "No" for each of the following:
I
Yes U No My company is authorized to transact business in Iowa.
('Ib help you determine if your company is authorized, please review the woaksheet on the next page).
Yes ❑ No My company has an office to transact business in Iowa.
VI 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 qualities 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.
,I/
FA
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:
Dates:
Dates:
You may attach additional sheet(.) if needed.
/
Address: 515 5th Street, PO BOX 398
City, State, Zip: Hudson, IA 50643
/ / to / / Address:
City, State, Zip:
/ / to / / 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 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 111 No
)2)1( may attach nciclilinnul ..lied(v) 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: Municipal Pipe Tool Co., LLC
W42 Gait
Signature: Date:
2�2�IZv2�
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)
MUNICIPAL
PIPE TOOU
515 5th Street
PO Box 398
Hudson, IA 50643
Phone: (319) 988-4205
Fax: (319) 988-3506
June 30, 2023
To whom it may concern:
Sharon Waschkat, Chief Operations Officer, is authorized to sign contracts, bonds and
bids for Municipal Pipe Tool Company, LLC.
Kyle Armbrecht Production Manager, is authorized to sign contracts, bonds and bids
for Municipal Pipe Tool Company, LLC.
Todd Patterson Fleet/Sales Manager, is authorized to sign contracts, bonds and bids
for Municipal Pipe Tool Company, LLC.
Mark Kaler, President, is authorized to sign contracts, bonds and bids for Municipal
Pipe Tool Company, LLC.
If you have any questions, please feel free to contact me at 1-800-798-4205.
Sincerely,
afrizum Rhocktac(-•
Sharon Waschkat, Chief Operations Officer
"We Protect the Environment!"
Our Core Values:
Safety - Unity - Relationships - Proactive - Determination - Results
0
H
0
0
Era
N�
LL
a
0)
(a
0
Q)
J
U
a_
0
0
CI
hZ
,FF0
a)
z
O
U
0
a)
E
W
E
0
0
Q
a)
a)
0)
(a
a)
a
D
O
0
U
c
cn
co
m
(a
0
w
Contractor Signature:
tea)
c _CD
0 5
- co
E `1)
O c
O 0
▪ a)
c
O CT
O
• Q
4(0
E
L•
4O (13
O U
L Q)
O ▪ O
O 0
Q
O O
>
c
o .o
• (6
• E
L
L o
a c
a) •—
a)-
D
• l—
c c
O 0
O
.0 .-
O E
u)
L 0
n
O
>,
O O
y_ >>
•. L
0
Q)
L a) ai
E
c U N
1
D 4 0)
O C r
}. 0 M
a)
J
CO
0 4E0
0 c
—I ocs
Q- Q =a
E
m0
o o
Uco4
Q
c �U
Z 42
0 o
J L.
to Q
0
L
0
CC)
c
W
c
W
O
L
E
O
LL
c
0
c
0
0
.c
a)
L
a)
- a
0
0
0
a>)
c
O
V/
4)
a)
a)
13
c
0
0
ID
0
13
Q
L
0 c
0 '- f
0
cl
_� (I)E
ca
a� E a)
Q
Ua3 (13
} 0
and confirmation.
ui
O
a)
0
O
a)
13
O
O
O7
a
E
L
0
9-
4"•
)
a)
U
U
CO
s .E
c
a]
(a
Q
o_
CO
-c
0
c
O
L
0)
a)
0
0)
(a
c
c
E
a)
(a
(a
E
0
DDER'S PRE-B
O
0
Z
0
ce
0
0
J
LQ
r
1-
0
H
0
cn
a.
ce
2
W
W
W
2
Quotes Received Quotation used in bid
Dollar Amount Proposed to
be Subcontracted
l
0
z
N
>-
Dates
Contacted
0
t
N
Dates
Contacted
co
*aka
w O
e35
m U
J
w ej
m U
co
(Form CCO-4) Rev. 06-20-02
�3
0 -
0
NU
N
0
N
LLL
N
0
CONTRACT NO.
I.
Attachment 1
SRF Required Front -End Specifications
(This form must be completed and signed by Prime Contractor and submitted with the bid.)
U.S. Environmental Protection Agency
Certification of Non -Segregated Facilities
(Applicable to contracts, subcontracts, and agreements with applicants who are themselves performing federally assisted
construction contracts, exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause.)
By the submission of this bid, the bidder, offeror, applicant, or subcontractor 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. He
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 bidder, offeror, applicant, or subcontractor 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, time clocks, 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, creed, color, or national original, because of habit, local custom,
or otherwise. He further agrees that (except where he has obtained identical certifications from proposed
subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the
award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause;
that he will retain such certifications in his files; and that he will forward the following notice to such proposed
subcontractors (except where the proposed subcontractors have submitted identical certifications for specific time
periods):
NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENT FOR
CERTIFICATIONS OF NON -SEGREGATED FACILITIES
A Certification of Non -segregated Facilities, as required by the May 9, 1967, order (33 F.R. 7808, May 28, 1968) on
Elimination of Segregated Facilities, by the Secretary of Labor, must be submitted prior to the award of a subcontract
exceeding $10,000 which is not exempt from the provisions of the Equal Opportunity clause. The certification may be
submitted either for each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually, or annually).
caw) (A4,\Athufte
Signature
¶hcxnn w asnt -
Date
Ott
Printed Name Title
2 I2.aI202s4
NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.
EPA-7 5720-4.2
January 2021
INVESTING IN IOWA'S WATER
www.iowasrf.com
DNR Form 542-0621
Attachment 2
SRF Required Front -End Specifications
(This form must be completed and signed by the Prime Contractor and submitted with the bid.)
Debarments and Suspensions
Any bidder or equipment supplier whose firm or affiliate is listed in on the U.S. General Services Administration Excluded
Parties List will be prohibited from the bidding process. The excluded parties records search engine is located at the
System for Award Management (SAM) website https://sam.gov. Pursuant to 2 CFR Part 180, as supplemented by 2 CFR
1532, any entity submitting a bid while the SAM website lists that entity as having an active exclusion will be determined
by the DNR to be a non -responsive bidder and will not be able to receive SRF funding.
United States Environmental Protection Agency Washington, DC 20460
Certification Regarding Debarment, Suspension,
and Other Responsibility Matters
The prospective participant certifies to the best of its knowledge and belief that it and the principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from covered transactions by any Federal department or agency;
(b) Have not within a three year period preceding this proposal been convicted of or had a civil judgment
rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting
to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction:
violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, or receiving stolen property;
(c) Are not presently indicted or otherwise criminally or civilly charged by a government entity (Federal, State, or
local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and
(d) Have not within a three-year period preceding this application/proposal had one or more public
transactions (Federal, State, or local) terminated for cause or default.
understand that a false statement on this certification may be grounds for rejection of this proposal or termination of
the award. In addition, under 18 U SC Sec. 10 01, a false statement may result in a fine of up to $10,000 or imprisonment
for up to 5 years, or both.
Signature of Authorized Representative
aycmi Imam/war 2.17\ ac i _ _
Date
COD
i \ 0.,- bc-, LO ascev \\cto-
Printed Name Title
am unable to certify to the above statements. My explanation is attached.
January 2021
INVESTING IN IOWA'S WATER
www.iowasrf.com
DNR Form 542-0621
Attachment 3
SRF Required Front -End Specifications
(This form must be completed and signed by Prime Contractor and submitted with the bid.)
Disadvantaged Business Enterprise (DBE) Solicitation
It is EPA's policy that recipients of EPA financial assistance through the State Revolving Fund programs award a "fair
share" of subagreements to small, minority and women -owned businesses, collectively known as Disadvantaged
Business Enterprises (DBEs). Iowa's Fair Share goals are:
Minority
-Owned
Enterprise
(MBE)
Business
Goal
Women
-Owned
Enterprise
(WBE)
Business
Goal
Construction
1.7%
2.2%
Supplies
0.6%
5.6%
Services
2.5%
11.3%
Goods/Equipment
2.5%
10.4%
Average
1.8%
7.4%
Only work performed by certified DBEs can be counted toward the goals. In Iowa, DBEs must be certified through the
Iowa Department of Transportation (IDOT). Information on certification requirements and a list of certified DBEs is on
the IDOT website at https://secure.iowadot.gov/DBE/Home/Index/.
Prime contractors' DBE requirements for SRF projects include:
• Taking affirmative steps for DBE participation
• Documenting the efforts and the proposed utilization of certified DBEs
PROJECT INFORMATION
SRF Applicant:6 Bidder:
pp Na*CAO0 Municipal Pipe Tool Co LLC
Address: 515 C" 41` SAYeQ* 1 RD k gq2
City: 1-ludSon State: I n & , Zip:
Contact Person: Nanarbn `/\3.S(\1C .
Phone Number: 3 'CV Cjigg . y WS Email: 5 la1-thv n&t mUlnl Opt . C t5m
Check if Prime Contractor is: Minority -Owned 1 J Women -Owned
After the Good Faith Efforts Checklist was completed, was a DBE chosen by the primary contractor to be utilized for this
Project? ❑ Yes P‘o
Signature:
SlAouum (/kJu9C&LktU
GOOD FAITH EFFORTS CHECKLIST
Please complete the checklist to determine if you have complied with the requirement to make good faith efforts to
ensure that certified DBEs have the opportunity to compete for procurements funded by EPA financial assistance funds.
Bidders/offerers must make good faith efforts prior to submission of bids/proposals.
1. Did you ensure that DBEs are made aware of contracting opportunities to the fullest extent practicable through
outreach and recruitment activities?
Vs ❑ No
January 2021
INVESTING IN IOWA'S WATER
www.iowasrf.com
DNR Form 542-0621
2. Did you make information on forthcoming opportunities available to DBEs and arrange time frames for contracts and
establish delivery schedules, where the requirements permit, in a way that encourages and facilitates participation
by DBEs in the competitive process? This includes, whenever possible, posting solicitation for bids or proposals for a
minimum of 30 calendar days before the bid or proposal closing date.
4Yes No
3. Did you consider in the contracting process whether firms competing for large contracts could subcontract with
DBEs? This will include dividing total requirements, when economically feasible, into smaller tasks or quantities to
permit maximum participation by DBEs in the competitive process.
P7Yes ❑ No
4. Did you encourage contracting with a consortium of DBEs when a contract is too large for one of these firms to
handle individually?
Yes
No
5. Did you use the services of the Small Business Administration and the Minority Business Development Agency of the
Depar ment of Commerce to identify potential subcontractors?
Yes ❑ No
6. List the potential DBE subcontractors that were contacted. Only list those that are certified through the Iowa
Department of Transportation.
Name
How
phone
Contacted
call,
fax,
(e.g.
e-mail)
letter,
Response
interested,
(e.g.
did
not
not
competitive)
respond,
not
Set
Ftt+!kched
PROPOSED UTILIZATION OF DBE SUBCONTRACTORS
Please include Attachments 4 and 5 to document the proposed utilization of certified DBE subcontractors.
CONTRACT ADMINISTRATION PROVISIONS
Several contract provisions are required to prevent unfair practices that adversely affect DBEs. These include:
1. Prime Contractor must pay its Subcontractor for satisfactory performance no more than 30 days from the Prime
Contractor's receipt of payment from the SRF loan recipient.
2. Prime Contractor must notify the SRF loan recipient in writing prior to termination of a DBE subcontractor for
convenience.
3. Prime Contractor must employ the six Good Faith Efforts to solicit a replacement subcontractor if a DBE
subcontractor fails to complete work under a subcontract for any reason.
January 2021
INVESTING IN IOWA'S WATER
www.iowasrf.com
DNR Form 542-0621
LETTER TO BE USED WHEN SOLICITING FOR
SUBCONTRACTOR QUOTES
Subcontractor
RE: Contract No.: FY 2024 CIP PIPELINING PHASE IVB1
Dear SUB -CONTRACTOR
•
•
Municipal Pipe Tool Co., LLC is presently soliciting for the following work in connection with the above
referenced project.
** TRAFFIC CONTROL (NOT LISTED AS BID ITEM)
Municipal Pipe Tool Co., LLC is an Equal Opportunity Employer, and all qualified bidders will not be
discriminated against due to race, religion, color, sex, or origin.
If interested in bidding your proposal must be turned in to this office by FEBRUARY 27TH
Date
and 2:00 P.M.
(Time)
Sincerely,
MUNICIPAL PIPE TOOL CO., LLC
Form COO- 3 (11/28/2001)
MBE/WBE PARTICIPATION CONTRACT NO. 1102
AECOM ##6021823
M-4of7
FY 2024 CIPP
Courtny Schumacher
Cc: vmiller@advanced-traffic.com; barricades@netzero.com; ferry@booneconst.com;
ddpatterson@iowatelecom.net, duffield6@msn.com; albeckpay@aol.com;
midwestcontractors@cfu.net; timothy@dormark.com
Subject: QUOTE REQUEST - WATERLOO, IA
Attachments: PLANS.pdf; SPECS.pdf; DBE BID ITEM (TRAFFIC CONTROL).pdf
Good Afternoon,
Municipal Pipe Tool Co., LLC is bidding a project in Waterloo, Iowa on February 29, 2024 @ 1:00 PM. We are looking to get a
quote for traffic Control on this project, I have attached the specs & plans for you as well. If you have questions please let me
know, we need quotes back no later than February 27, 2024 @ 2:00 PM.
Thank you,
Courtny Schumacher, Project File Admin/Accounting Clerk
Municipal Pipe Toot Co., LLC
515 5th street - P.O. Box 398
Hudson, IA 50643
Office: 319-988-4205 ext. 295
Direct 319-988-3949
Fax: 319-988-3506
Email: courtnys@munipipe.com
1
i
ITEMS OF POTENTIAL MBE/WBE PARTICIPATION
NOTICE TO PROSPECTIVE BIDDERS:
The following are items from the FY 2024 CIP PIPELINING PHASE IVB1, CONTRACT NO. 1102, project
that have a potential for MBE/WBE Participation. This listing, however, is not intended to be all
encompassing; to preclude MBE/WBE Contractors from bidding on any items of the Proposal as a
Subcontractor or the entire Proposal as a Prime Contractor.
Item
Description
Unit
Estimated
Quantiles
Unit
Price
Total
Amount
BASE
BID
1
8"
Diameter
CIP
Pipe
Lining
LF
5,101.00
$
$
2
10"
Diameter
CIP
Pipe
Lining
LF
1,585.00
$
$
3
12"
Diameter
CIP
Pipe
Lining
LF
911.00
$
$
4
Lateral
Reinstatement
EA
189.00
$
$
5
3-FT
Lateral
Grouting
EA
189.00
$
$
6
Pipe
Televising
-
8"
LF
10,202.00
$
$
7
Pipe
Televising
-
10"
LF
3,170.00
$
$
8
Pipe
Televising
-
12"
LF
1,822.00
$
$
9
Type
A
Pipe
Cleaning
- 8"
LF
5,101.00
$
$
10
Type
A
Pipe
Cleaning
- 10"
LF
1,585.00
$
$
11
Type
A
Pipe
Cleaning
- 12"
LF
911.00
$
$
12
Type
C
Root
Removal
- 8"-10"
LF
3,343.00
$
$
13
Type
C
Root
Removal
- 12"-15"
LF
455.00
$
$
14
Type
D
Lumberjack
- 8"-10"
LF
3,343.00
$
$
15
Type
D
Lumberjack
- 12"-15"
LF
455.00
$
$
16
Protruding
Taps
Removal
EA
45.00
$
$
BASE
BID
TOTAL
$
$
BID
ALTERNATE
NO.
1
101
8"
Diameter
CIP
Pipe
Lining
LF
2,117.00
$
$
102
Lateral
Reinstatement
EA
28.00
$
$
103
3-FT
Lateral
Grouting
EA
28.00
$
$
104
Pipe
Televising
-
8"
LF
4,234.00
$
$
105
Type
A
Pipe
Cleaning
- 8"
LF
2,117.00
$
$
106
Type
C
Root
Removal
- 8"-10"
LF
1,058.00
$
$
107
Type
D
Lumberjack
- 8"-10"
LF
1,058.00
$
$
108
Protruding
Taps
Removal
EA
20.00
$
$
BID
ALTERNATE
NO.
1
TOTAL
$
$
MBE/WBE PARTICIPATION
AECOM //6021823
CONTRACT NO. 1102
M-1 of 7
FY 2024 CIPP
Item
Description
Unit
Estimated
Quantity
Unit
Price
Total
Price
ADDITIONAL
CLEANING
RATES
201
Type
A
Pipe
Cleaning
- 8"
HR
50
$
$
202
Type
A
Pipe
Cleaning
- 10"
HR
50
$
$
203
Type
A
Pipe
Cleaning
- 12"
HR
50
$
$
204
Type
C
Root
Removal
- 8"-10"
HR
50
$
$
205
Type
C
Root
Removal
-
12"-15"
HR
50
$
$
206
Type
D
Lumberjack
-
8"-10"
HR
50
$
$
207
Type
D Lumberjack
- 12"-15"
HR
50
$
$
208
Type
A
Pipe
Cleaning
- 10"
HR
50
$
$
209
Type
C
Root
Removal
- 8"-10"
HR
50
$
$
210
Type
D
Lumberjack
- 8"-10"
HR
50
$
$
211
Type
D
Lumberjack
- 12"-15"
HR
50
$
$
A table
of
expected
cleaning
times
per
segment
shall
work.
be submitted
to the
Owner
prior
to
beginning
MBE/WBE GOALS FOR THIS PROJECT
IMPORTANT: Prime Contract Bidders should be aware that ten percent (10%) MBE goal and a two
percent (2%) WBE goal is attached to this project. "Certified Return Receipt" letters are no longer needed
with the bid showing proof of contacting MBE or WBE Subcontractors, but the Pre -Bid Contact
Information Form must be filled out completely.
City of Waterloo Contract Compliance Officer:
Contract Compliance Officer
Community Development Board
Carnegie Annex, Suite 202
620 Mulberry Street
Waterloo, IA 50703
Phone: (319) 291-4429
MBE/WBE PARTICIPATION CONTRACT NO. 1102
AECOM #6021823
M-2of7
FY 2024 CIPP
Attachment 5
SRF Required Front -End Specifications
(This form must be completed and signed by Prime Contractor and submitted with the bid if utilizing DBE subcontractors.)
If no DBE was chosen by the Prime Contractor to be utilized for this project, then this form is not required to be submitted.
Disadvantaged Business Enterprise Program
DBE Subcontractor Utilization Form
This form is intended to capture the prime contractor's actual and/or intended use of identified certified DBE'
subcontractors' and the estimated dollar amount of each subcontract. An EPA Financial Assistance Agreement Recipient
must require its prime contractors to complete this form and include it in the bid or proposal package. Prime contractors
should also maintain a copy of this form on file.
Prime Contractor Name: Municipal Pipe Tool Co LLC
Project Name: CtP ���.1i11(1 kr lliter � U31
F12b2L-% �
Bid/Proposal No.: Assistance Agreement ID No. (if known):
Point of Contact: a)a,11 r) Wascou t-
Address: S\ Cj 5-0e\ Str*) -1udS b n) l Sa.4043
Telephone No.: 31 oi . C1n L-42_()5 Email: sh(ron yr v� ntLr m p; pe . (fh
Issuing/Funding Entity:
I have identified potential DBE certified subcontractors
If yes, complete the table below. If no, explain:
,1)8 neeoled
Yes No
Subcontractor
Company
Name
Name/
Company
Address/Phone/Email
Dollar
Estimated
Amount
Currently
Certified?
DBE
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
lA DBE is a Disadvantaged, Minority, or Woman Business Enterprise that has been certified by an entity from which EPA accepts
certification as described in 40 CFR 33.204-33.205 or certified by EPA. EPA accepts certifications from entities that meet or exceed
EPA certification standards as described in 40 CFR 33.202.
2Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor to provide
services pursuant to an EPA award of financial assistance.
IA SRF6100-4
January 2021
INVESTING IN IOWA'S WATER
www.iowasrf.corn
DNR Form 542-0621
certify under penalty of perjury that the forgoing statements are true and correct. Signing this form does not signify a
commitment to utilize the subcontractors above. I am aware of that in the event of a replacement of a subcontractor, I
will adhere to the replacement requirements set forth in 40 CFR Part 33 Section 33.302 (c).
Shane, °scow
Prime Contractor Signature Print Name
Do
Z. 25( \mi'*
Title Date
IA SRF6100-4
January 2021
INVESTING IN IOWA'S WATER
www.iowasrf.com
DNR Form 542-0621
Attachment 10
SRF Required Front -End Specifications
(This form must be completed and signed by Prime Contractor and submitted with the bid.)
PROHIBITION ON CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE
SERVICES OR EQUIPMENT
This term and condition implements 2 CFR 200.216 and is effective for obligations and expenditures of EPA financial
assistance funding on or after 8/13/2020. EPA recipients and subrecipients, including borrowers under EPA funded
revolving loan fund programs, are prohibited from obligating or expending loan or grant funds to:
(a) Procure or obtain, extend or renew a contract to procure or obtain;
(b) Enter into a contract (or extend or renew a contract) to procure; or
(c) Obtain the equipment, services, or systems that use "covered telecommunications equipment or services"
identified in the regulation as a substantial or essential component of any system, or as critical technology as part of any
system.
Certain equipment, systems, or services, including equipment, systems, or services produced or provided by entities
subject to the prohibition are recorded in the System for Award Management exclusion list, website: https://sam.gov.
(1) As described in Public Law 115-232, section 889, covered telecommunications equipment or services includes:
(i) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any
subsidiary or affiliate of such entities).
(ii) For the purpose of public safety, security of government facilities, physical security surveillance of critical
infrastructure, and other national security purposes, video surveillance and telecommunications equipment
produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or
Dahua Technology Company (or any subsidiary or affiliate of such entities).
(iii) Telecommunications or video surveillance services provided by such entities or using such equipment.
(iv) Telecommunications or video surveillance equipment or services produced or provided by an entity that the
Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the
Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise
connected to, the government of a covered foreign country.
(2) Consistent with 2 CFR 200.471, costs incurred for telecommunications and video surveillance services or
equipment such as phones, internet, video surveillance, and cloud servers are allowable except for the following
circumstances:
(i) Obligating or expending EPA funds for covered telecommunications and video surveillance services or
equipment or services to procure (enter into, renew or extend contracts) or obtain the equipment, services,
or systems as described in 2 CFR 200.216.
understand the above prohibitions and certify that the project will be in compliance with all the requirements.
tAJaACi4 (ta
Si a ure
an)n 1itSCh1c_cd--
Printed Name
Date
COD
Title
January 2021
INVESTING IN IOWA'S WATER
www.iowasrf.com
DNR Form 542-0621
INFORMATION NEEDED
FOR
IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE
CONTRACTOR NAME:
Municipal Pipe Tool Go J,i_,G
ADDRESS: ke eD7-tftvJ21in1 sibtA2
(Check One) PRIME Sc
FEDERAL ID#:
0583139
SUBCONTRACTOR
PROJECT NAME:se‘i 2bal Y QrUrr' Prttct 1 V13L
PROJECT CONTRACT NO.: \ \02
DESCRIPTION OF WORK:
i Brickwork
H Carpentry
1 Concrete
I 1 Drywall -Plaster -Insulation
❑ Electrical
❑ Excavation/Grading
❑ Flooring
❑ Heavy Construction
❑ Heating -Ventilating -Air Cond.
SALES TAX EXEMPTION
AECOM 1160721823
❑ Landscaping
❑ Painting
❑ Paving
❑ Plumbing
❑ Roofing -Siding -Sheet Metal
❑ Windows
❑ Wrecking -Demolition
❑ Other (Please specify)
zeCPp Dn
CONTRACT NO. 1102
STE-1 of 1
FY 2024 CIPP
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Municipal Pipe Tool Co., LLC
as Principal, and Merchants Bonding Company (Mutual)
as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum Five Percent of the Total Amount Bid
Dollars ($ 5% ) lawful money of the United States, for the payment of which
sum will and truly be made, we bind ourselves, our heirs, executors, administrators, and successors,
jointly and severally, firmly by these presents. The condition of this obligation is such that whereas the
Principal has submitted the accompanying bid dated the 29th day of February
, 20 24 , for FY 2024 CIP Pipelining Phase IVB1, Waterloo, Iowa; Contract No. 1102
NOW, THEREFORE,
(a) If said Bid shall be rejected, or in the alternate,
(b) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the form
specified and shall furnish a bond for his faithful performance of said contract, and for the payment of all
persons performing labor or furnishing materials in connection therewith, and shall in all other respects
perform the agreement created by the acceptance of said Bid,
Then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly
understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event,
exceed the penal amount of this obligation as herein stated.
By virtue of statutory authority, the full amount of this bid bond shall be forfeited to the Owner in
liquidation of damages sustained in the event that the Principal fails to execute the contract and provide
the bond as provided in the specifications or by law.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its
bond shall be in no way impaired or affected by any extension of the time within which the Owner may
accept such Bid or execute such contract; and said Surety does hereby waive notice of any such
extension.
IN WITNESS WHEREOF, the Principal and the Surety, have hereunto set their hands and seals, and
such of them as are corporations, have caused their corporate seals to be hereto affixed and these pres-
ents to be signed by their proper officers this 7th day of February , A.D. 20 24
Witnes
Witness -
BID BOND
AECOM #60721823
Municipal Pipe Tool Co., LLC e'dtJ—
Princ pal
ayGOri Ch..tVa-
By
45Va.rbAANotXWa-(Title) Ca)
Merchants Bondin
Surety
ow er
CONTRACT NO. 1102
ompany (Mutual) (Seal)
Attorney -in -fact
BB-1 of 1
FY 2024 CIPP
M E RC FIANTS��
BONDING COMPANY.
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Anne Crowner; Bailey Beach; Ben Williams; Brian J Oestreich; Brian M Deimerly; Cameron M Burt ; Cindy Bennett; Colby D White; Craig E Hansen;
D Gregory Stitts; Dione R Young; Donald E Appleby; Douglas Muth; Ginger Hoke; Grace Rasmussen; Graydon Dotson; Greg Krier; Jamie Gifford;
Jay D Freiermuth; Jennifer Marino; Jessica Jean Rini; Jessie Allen; Joe Tiernan; John Cord; Joshua R Loftis; Kate Zanders; Keeton Welch; Lukas
Schroder; Mark R DeWitt; Mark Sweigart; Mary Ashley Allen; Michelle R Gruis; Nathan Weaver; R C Bowman; Sara Huston; Sarah C Brown; Seth D
Rooker; Ted Jorgensen; Tim McCulloh; Todd Bengford; W R Withrow
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of
persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions
or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of
Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenti ng to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 3rd day of February , 2024 •
:'•••••P1%° Nq< ••�•'•.
•
sP Oft
•
a."
Is
-o- o':o:
.Q.
•-
.z.
j?, 2003 ;,s�
•.#4,•.......•••^` ��'
STATE OF IOWA •••..•• ..* .. s•.••'4
COUNTY OF DALLAS ss.
•••. v•••
GC .
•
• o •••�PO4•>
9 .
�y;v0 -7A•.4e
•
• �-:? -0- o
• z•
• a 1933 • c: By
• 0•�,►.
.
• O.' • • •
•be4, ••`4 • ,
•
MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY
Terri
On this 3rd day of February 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
TOWN
Penni Miller
Commission Number 787952
My Commission Expires
January 20, 2027
(Expiration of notary's commission does not invalidate this instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
--QNotarx ' bl
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 7th day of February , 2024 .
♦ 4ply •. %
. •oR R •• o .
:is q�' •:2 :
44:1:1° - :s:
.Q.
-O p.
.�• • 2:
151.
v�•, 2003 ,,bi;
•1#j ........ se ^\'�..
1..v••
•
.,,,,.••••
�.-
ti
•
.•1�%G c 4, .
•9•
• :Z CO: •
:a 1933
• �w• •�y•
•C' •, •••
Secretary
POA 0018 (1/24)