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Home My WebLink AboutAdamsa • II 0 0 0 r Co 3Lif iVNOIS 03ZI1:1OH1f1V City of Waterloo, Iowa (n -65 cn a C m m 0 C < m ov �m 070 ce zo -10 Oco D -i m x 2 8 _Security Features Included. n) 0 tn O C 0) J a -n (D C D a (D a v O r— v rn J a N (D 0 n m J rt (n Pay to the order of:City of Waterloo, Iowa a 0 r rt T (D fl) 0) 0) -+� rt -, rt (D (D B' (D (D' -1 (D -3 r- 7 .O (A o o o •• rt O' co N rt D d (D (n N m rt (D VI ID C O D C , .: -"1 7r er N C 0% • rt V A V Co) CD Details on Back: N rt CD rt 0 0 n m Miams bsul cavtkata:ns = Lk. c.4.t4e.r Si\b. kioAtAgt...-anA stmt. FY ab2Seabac. casw9Acaryk, Ntimo‘v‘s w:Ur% NON OLLUSION AFFIDAVIT OF PRIME BIDDER State of ',,got County of ,/tea ✓i ) 40•na- 1. He is (Owner), (Partne Bidder that has submitt 2. He is fully informed re circumstances respecti 3. Such Bid is genuine an 4. Neither the said Bidder or parties in interest, in directly or indirectly, w connection with the Co bidding in connection agreement or collusion the price or prices in th element of the bid price conspiracy, connivance, any person interested in 5. The price or prices quot collusion, conspiracy, c agents, r ent tives, Signature v1�T--1ti�1_ S SeginatUrei My , being first duly sworn, deposes and says that: (Officer), (Representative), or (Agent) of ?s- ),A(,%)%ek.Car C, the d the attached Bid; ecting the preparation and contents of the attached Bid and of all pertinent such Bid; is not a collusive or sham Bid; or any of its officers, partners, owners, agents, representatives, employees, uding this affiant, has in any way colluded, conspired, connived or agreed, h any other Bidder, firm or person to submit a collusive or sham Bid in act for which the attached Bid has been submitted or to refrain from th such Contract, or has in any manner, directly or indirectly, sought by r communication or conference with any other Bidder, firm or person to fix attached Bid or of any other Bidder, or, to fix ar.y overhead, profit or cost �r the bid price of any other Bidder, or to secure through any collusion, r unlawful agreement any advantage against the City of Waterloo, Iowa, or e Proposed Contract; and d in the attached Bid are fair and proper and are not tainted by any ivance or unlawful agreement on the part of the Bidder or any of its wners, employees, or parties in interest, including this affiant. Title Chad, a.nth sworn/too byre. me' thtse Day (*_.,., __ _,.cat , 2024. s11 Ac1Uh•••• 5P5iina-s. rate, eisi„.,3 2 /20 Z rC THOMAS AMLIE COMMISSION NO. 824068 MY COMMISSIO EXPIRES .a COMPLAM BIDDER: N COMPANY NAME ADDRESS: PHONE: CALL)r) 1. The undersigned, being a Co co , pan existin under the aw having been familiarized with all the Contract Documents now Iowa, and the Code Enforcemen supervision, technical personnel; transportation services requirei COMPLAINT SNOW REMOV the following amount: CITY OF WATERLOO, IOWA CODE ENFORCEMENT DEPARTMENT BID FORM for FY 20254026 MOWING WITH COMPLAINT SNOW REMOVAL oration existing under the laws of the State of i or a limited liability of the State of partners: a Partnership consisting of the following e existing conditions on the project area affecting the cost of the work,and with on file in the offices of the City Clerk, City Hall, 715 Mulberry Street,Waterloo, Department, 626 Mulberry Street, Waterloo, Iowa hereby proposes to furnish all labor, materials, machinery, tools, equipment, and services, includin to complete the proposed FY 2025-2026 MP r • -- -- g utility and G WITH in accordance with the contract documents and for theunitprice in place for OPTION A: Provide all specie,,ed as needed mowing and trimmingservices for: vacant lots. Approximately 75 vaca it lots with each lot averaging 0.25 of an acre (totalin a r per occurrence) g pp og.17.5-18 acres Price Per Occurrence: OPTION Bi m vi a all s e C pcif as needed mowing and trimming services on dilapidated structures. Approximately 60 dilapidated structures with each lot averaging 0.25 of an acre 12.5-13 acres per occur •nee) (totaling approx. Price Per Occurrence: • • dollars ($ O joQ. C do tars ($ 2 q • BID FORM Page 1 of 3 OPTION C: Provide all specific Price Per Man Hour: .Au `l \ltiSt (0t� OPTION D: Provide all specific Price Per Man Hour: -_)Yl\\lAv\ (x (QA c• 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. d mowing services for property complaint properties. Cl , v\� ✓<< . • �__ dollars ($ jflf? (,(j ) d snow removal services for complaint properties. 3. In submitting this bid, the Bidd award one or more contracts for a notice of.acceptance of this Bid is Opening, of at any time thereafter agreement in the prescribed form after the agreement is presented fo issued. 4. Security in the sum e-)Nniq in the form of , BIDDERS. 5. Attached is a Non -Collusion A idavit of Prime Contractor. 6. The Bidder is prepared to submi a financial and experience statement upon request. v Ldollars ($ V .3 71)) understands that the City reserves the right to reject any or all bids and to Ingle Option, all Options together, or any combination of Options. If written ailed or delivered to the undersigned within thirty (30) days after Bid efore this bid is withdrawn, the undersigned agrees to execute and deliver an d furnish the required bond and certificate of insurance within ten (10) days signature, and start work within ten (10) days after "Notice to Proceed" is 7. The Prime Contractor and Subc City in the current calendar year, a notification that the bid submitted VrxsN,A., k ,1Q \\JtQLdol1ars ($ 1 3WIC �V\ :CAS , is submitted herewith in accordance with NOTICE TO ntractor(s), which have performed an aggregate of $10,000.00 in work for the •e prepared to submit an AAP or Update and an EOC, within ten (10) days of s lowest and acceptable. 8. The Bidder has received the foll i wing Addendum or Addenda: Addendum No. 9. The Bidder shall list the MBE/ Waterloo Minority and /or Womei The apparent low bidder shall sub Waterloo by 5:00 p.m. the busines collusion Affidavits of ALL Subc Date: / / / / / / E subcontractors, amount of subcontracts and bid items listed on the City of Business Pre -bid Contract Information Form submitted with this Bid Form. it a list of all other subcontractor(s) to be used on this project to the City of day following the day bids on this project are due along with the Non- ntractor(s). The subcontractors listed on this p oposal and/or submitted to the Contract Compliance Officer cannot be changed except for the following reasons. 1. The City of Waterloo s oes not approve the subcontractors. 2. The subcontractors su 'mit in writing that they cannot fulfill their subcontracts BID FORM Page 2 of 3 10. The Bidder shall list all equ • 11. The Bidder has filled in all 12. The bidder has attached all 13. The owner reserves the righ Award of Contract due to budge SIGNED: Name and Title pment available for this project: lncvr=TFr • r anks on this proposal. Those blanks not applicable are marked "none" or "NA". plicable forms. select alternatives, delete line items, and/or to reduce quantifies prior to the ry limitations. DATE: /r-� 1,,)(/ BID FORM Page 3 of 3