HomeMy WebLinkAboutModern Builders, Inc. FORM OF BID OR PROPOSAL
BAG MAKEUP DOOR REPLACEMENT ON TERMINAL BUILDING
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 Iowa , a
Partnership consisting of the following partners:
having familiarized (himself) (themselves) (itself) with the existing conditions on the project area
affecting the cost of the work, and with all the contract documents listed in the Table of Contents
and Addenda (if any), as prepared by AECOM now on file in the office of the City Clerk, City Hall,
Waterloo, Iowa, hereby proposes to furnish all supervision, technical personnel, labor, materials,
machinery, tools, appurtenances, equipment, and services, including utility and transportation
services required to construct and complete this BAG MAKEUP DOOR REPLACEMENT ON
TERMINAL BUILDING, all in accordance with the above-listed documents and for the unit prices
for work in place for the following items and quantities:
BAG MAKEUP DOOR REPLACEMENT ON TERMINAL BUILDING—BASE BID
Ref. Estimated Unit Bid
Item Item Unit Quantity Price Total Bid Price
1 Install High-Speed Vinyl Door EA 2 $22,900. $ 45,800.
TOTAL BASE BID AMOUNT $ 45,800.00
BAG MAKEUP DOOR REPLACEMENT ON TERMINAL BUILDING—ADD ALTERNATE BID
Ref. Estimated Unit Bid
Item Item Unit Quantity Price Total Bid Price
1 Install Pedestrian Door LS 1 $ 21,000. $ 21,000.
TOTAL ADD ALTERNATE BID AMOUNT $ 21,000.00
TOTAL BID—BASE BID PLUS ADD ALTERNATE $ 66,800.00
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. It is the Airport's intention to evaluate bids reviewing both the Base Bid and Add Alternate Bid.
The Airport has limited funds available and will award only what funding allows. The Airport
reserves the right to award the contract based on the Base Bid only or the Base Bid plus any
and all Add Alternate Eid Option.
FORM OF BID BAG MAKEUP DOOR REPLACEMENT
AECOM 60482850 BF-1 of 3
4. In submitting this bid, the bidder understands that the right is reserved by the City of Waterloo, Iowa,
to reject any or all bids. If written notice of the acceptance of this bid is mailed, telegraphed, or
delivered to the undersigned within thirty (30) days after the opening thereof, or at any time
thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an
agreement in the prescribed form and furnish the required bond and certificate of the insurance
within ten (10) days after the agreement is presented to him for signature, and start work within ten
(10)days after"Notice to Proceed"is issued.
5. Security in the sum of 5% of Amount Bid
Dollars($ )in the form of Bid Bond , is submitted herewith
in accordance with the INSTRUCTIONS TO BIDDERS.
6. Attached hereto is a Non-Collusion Affidavit of Prime Contractor.
7. Attached hereto is a Resident Bidder Certification ( X ), or Non-Resident Bidder
Certification ( ). (Mark one.)
8. The bidder is prepared to submit a financial and experience statement upon request.
9. The Prime Contractor and Subcontractor(s), which have performed an aggregate of$10,000.00 in
work for the City in the current calendar year, are prepared to submit an AAP or Update and an
EOC,within ten (10)days of notification that the bid submitted is lowest and acceptable.
10. The bidder has received the following Addendum or Addenda:
Addendum No. / Date /I
w
0
itThe bidder shall list the MBE 4E subcontractor(s), amount of subcontracts and bid items on the
City of Waterloo Minority and/or Women Business Pre-bid Contact Information Form submitted with
this Form of Bid or Proposal. The apparent low Bidder shall submit a list of all other
Subcontractor(s) to be used on this Project to the City of Waterloo by 5:00 p.m. the business day
following the day Bids on this Project are due along with the Non-Collusion Affidavits of All
Subcontractor(s).
The Contractor shall submit information on subcontractors on "SUBCONTRACTOR REQUEST
AND APPROVAL" Form to be provided by City prior to approval of contract.
The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer
cannot be changed except for the following reasons:
1) The City of Waterloo does not approve the subcontractors.
2) The subcontractors submit in writing that they cannot fulfill their subcontracts.
12. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none"
or"NA".
13. The bidder has attached all applicable forms.
FORM OF BID BAG MAKEUP DOOR REPLACEMENT
AECOM 60482850 BF-2 of 3
14. The Owner reserves the right to select alternates, delete line items, and/or to reduce quantities prior
to the award of a contract due to budgetary limitations. .
Modern Builders, Inc. August 11, 2016
(Name of Bidder) (Date)
BY: / "' Title President
Rick Stensland
Official Address: (Including Zip Code):
202 Main Street, PO Box 418
Janesville, Iowa 50647
I.R.S. No. 42-0928952
FORM OF BID BAG MAKEUP DOOR REPLACEMENT
AECOM 60482850 BF-3 of 3
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of Iowa
)ss
County of Bremer
Rick Stensland , being first duly sworn, deposes and says that:
1. He is (Own e r,-Peftnefrgifioef,Re Keseatativerar_,9ger4_, of Modern Builders, Inc.
, 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 iininterest, including this affiant.
(Signed) i�` )'
Title
Subscribed and sworn to before me this 11th day o August , 2016.
My commission expires
Ta� K. Kofron
`PP1A1 sen Commis onaNumber 156798
* My Commission Expires
iowP July 06,2017
NON-COLLUSION AFFIDAVITS BAG MAKEUP DOOR REPLACEMENT
AECOM 60482850 NCA-1 of 2
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RESIDENT BIDDER CERTIFICATION
CONTRACT NO:
PROJECT NAME: waterloo Airport - Bag Makeup Door Replacement
DATE OF LETTING: August 11, 2016
To be a qualified resident bidder, the bidder shall be a person or entity authorized to
transact business in this state and having a business for at least three years prior to the
date of the first advertisement for the public improvement. If another state or foreign
country has a more stringent definition of a resident bidder, the more stringent definition is
applicable as to bidders from that state or foreign country.
This qualification as resident bidder shall be maintained by the contractor and his subcontractors at the
work site until this project is completed.
I hereby certify that I am a resident bidder as defined above.
COMPANY NAME Modern Builders, Inc.
CORPORATE OFFICER
TITLE Rick Stensland, President
DATE August 11, 2016
RESIDENT BIDDER BAG MAKEUP DOOR REPLACEMENT
AECOM 60482850 RB-2 of 3
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1,. � , : CITY OF WATERLOO, IOWA
t4jail WATERLOO ENGINEERING DEPARTMENT
112.1 .41, 715 Mulberry St. • Waterloo,IA 50703 ' (319)291-4312 Fax(319) 291-4262
atotlao No ERIC THORSON,P.E. • City Engineer
Mayor INFORMATION NEEDED
QUENTIN FOR
HART
IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE
COUNCIL
MEMBERS CONTRACTOR NAME: Modern Builders, Inc.
DAVID 202 Main Street, PO Box 418
JONES ADDRESS:
Ward 1
Janesville, Iowa 50647
BRUCE
JACOBS
Ward 2
(Check One) PRIME: X SUBCONTRACTOR:
PATRICK
MORRISSEY 42-0928952
Ward 3 FEDERAL ID#:
JEROME PROJECT NAME: Wloo Airport - Bag Makeup Door Replacement
AMOS,JR
Ward 4
PROJECT CONTRACT NO.:
RON
WELPER
Wards DESCRIPTION OF WORK:
TOM
LIND ❑ Brickwork ❑ Landscaping
At-Large
❑ Carpentry ❑ Painting
STEVEN
SCHMITT 0 Concrete 0 Paving
At-Large
❑ Drywall-Plaster-Insulation 0 Plumbing
❑ Electrical Ex Roofing-Siding-Sheet Metal
❑ Excavation/Grading 0 Windows
❑ Flooring 0 Wrecking-Demolition
❑ Heavy Construction 0 Other(Please Specify)
❑ Heating-Ventilating-Air Cond. 0
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
SALES TAX EXEMPTION BAG MAKEUP DOOR REPLACEMENT
AECOM 60482850 STE-1 of 1
•
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Modern Builders, Inc.
as Principal, and Western Surety Company
as Surety are held and firmly bound unto the City of Waterloo Iowa, hereinafter called
"OWNER." In the penal sum ---Five Percent of Amount of 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 11th day of August
, 2016, for Bag Makeup Door Replacement on Terminal Building,Waterloo Regional Airport
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 3rd day of August A.D. 2016.
Modern Builders, Inc.
(Seal)
Pri i
By /2( ,
(Title)
Weste Surety Comp J(Seal)
A41_
. B _
+ •r v nie Cr Dione R.Young Attorn y-in_ t
BID BOND BAG MAKEUP DOOR REPLACEMENT
AECOM 60482850 BB-1 of.1
� � v
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation
having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby
make,constitute and appoint
Dione R. Young, Craig E. Hansen, Brian M. Deimerly, Cindy Bennett, Lacey C'ramblit, Anne
Crowner, Stacy Vemi, Shirley S. Bartenhagen, T. Mc Culloh,Jay D. Freiermuth,Individually
of West Des Moines,IA,its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf
bonds,undertakings and other obligatory instruments of similar nature
-In Unlimited Amounts-
and to bind it thereby as fully and to the same extentat,if such instruments were signedby a duly authorite tofficer ofthe corporation and all the acts of said---
Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by
the shareholders of the corporation.
In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be
hereto affixed on this 8th day of February,2016.
44E;r,o� WESTERN SURETY COMPANY
vo.tTi^iP
511\SE AV! =
aul T.Bruflat,Vice•President
State of South Dakota
ss
County of 1V1innehaha
On this 8th day of February,2016,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which
executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so
affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
-- acknowledges same to be the act and deed of said corporation.
My commission expires
J.MOHR
worairw!er�c �En 4
June 23,2021 �sO1TM641�O7� C;47-7,/-)eatr/L_)
J.Mohr.Notary Public
CERTIFICATE
I, L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 3r 'day of August 2016
"e = WESTERN SURETY COMPANY
4,9DRAW'
W`VO lie,`ya
F=_
•
L.Nelson,Assistant Secretary
Form F4280-7.2012