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FORM OF BID OR PROPOSAL F.Y. 2014 ORANGE SCHOOL SANITARY SEWER EXTENSIONS CONTRACT NO. 816 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 l'vw , 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 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 furnish all supervision, technical personnel, labor, materials, machinery, tools, appurtenances, equipment, and services, including utility and transportation services required to construct and complete this F.Y. 2014 ORANGE SCHOOL SANITARY SEWER EXTENSIONS, Contract No. 816, all in accordance with the above-listed documents and for the unit prices for work in place for the following items and quantities: F.Y. 2014 ORANGE SCHOOL SANITARY SEWER EXTENSIONS CONTRACT NO. 816 BID DESCRIPTION UNIT EST.QTY. UNIT BID TOTAL BID PRICE ITEM BASE BID PRICE 101 ADJUST MANHOLE TOP EACH 1 $ / 975 $ / 7 7 SANITARY SEWER MANHOLE, STANDARD WATER- 102 TIGHT 8 NCH DIA EACH 16 $ 3 45 t) $ 55 9-00 103 TAP AND COLLAR EXISTING SANITARY SEWER EACH 1 $ floc $ a dd 104 SANITARY SEWER, 8" DIA., PVC TRUSS PIPE L.F. 1,155 $ $ 3o &0?. 5o 105 SANITARY SEWER, 10" DIA., PVC TRUSS PIPE L.F. 331 $ 31. .$ $ JO 75 7.50 106 SANITARY SEWER, 15" DIA., PVC TRUSS PIPE L.F. 2,379 $ 3`I $ 72. 78 1 107 SANITARY SEWER, 18" DIA., PVC A-2000 PIPE L.S. 1,038 $ Lic9.. 56 $ `t"`1 l/55 WELDED STEEL CASED CROSSING, HWY 21, 108 COMPLETE L.S. 1 $ Td 000 $ 60 109 HAMMOND AVE. CROSSING, COMPLETE L.S. 1 $ 4,3o6 $ 6,866 FORM OF BID CONTRACT NO. 816 Page 1 of 4 201 TRAFFIC CONTROL L.S. 1 $ f CIO() $ / o-o 202 MAINTENANCE BOND, TWO(2)YEAR L.S. 1 $ t&'CC) $ /cw 203 EROSION CONTROL SILT FENCE L.F. 4,500 $ gr.50 $ lI -ga 204 SEED, FERTILIZE AND MULCH (IDOT RURAL MIX) ACRES 6.5 $ 1956 o $ 1 d,C75 205 ONE EACH CONSTRUCTION ACCESS, HAMMOND AVENUE, L.S. 1 $ 3660 $ 36 p6 CONSTRUCTION ACCESS, HIGHWAY 21,TWO ii��11 206 EACH L.S. 1 $ ``7T6® $ 6 D o TOTAL BASE BID $ 3a 1 J 3 & I . 00 of- BID DESCRIPTION UNIT EST.QTY. UNIT BID PRICE TOTAL BID PRICE ITEM ALTERNATE A Al FOUNDATION MATERIAL TONS UNKNOWN $ 3 v $ REPLACE EXISTING FIELD DRAIN TILE CROSSING, $ ��6 $ A2 3" DIA.THRU 8" DIA. EACH UNKNOWN REPLACE EXISTING FIELD DRAIN TILE CROSSING, A3 10" DIA.THRU 15" DIA. EASH UNKNOWN $ 750 $ 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 S©/p Dollars ($ ) in the form of o,s1 Bend is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS. 5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor. 6. Attached hereto is a Resident Bidder Certification ( 'K ), or Non-Resident Bidder Certification ( ). (Mark one.) FORM OF BID CONTRACT NO. 816 Page 2 of 4 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. / Date /1/d2 703 10. The bidder shall list the MBE/VIBE 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. FORM OF BID CONTRACT NO. 816 Page 3 of 4 V e-ons4r1•ti'1-'On Corp, 121 -1/3 (Name of Bidder) (Date) BY: 4J k-i iiveb&r Title i- (b a Q r Official Address: (Including Zip Code): VIETH CONSTRUCTION COM" 6419,NORDIC DR.. crictA'R FALLS, 'I.A! r'f ; I.R.S. No. 2--c Slob b S7 FORM OF BID CONTRACT NO. 816 Page 4 of 4 • RESIDENT/NON-RESIDENT BIDDER RESIDENT BIDDER: In accordance with Section 73A.21 of the Iowa Code, all non-federal-aid public improvement projects, which include road construction, shall be performed by a qualified resident bidder. The resident bidder has been further defined as follows: Resident Bidder: 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. The contractor shall provide the City with a certification that he is a qualified resident bidder according to the above definition. The Certification shall be submitted with the contractor's bid. A copy of the form of "Resident Bidder Certification" is included in the Contract Documents. If it is determined that the contractor does not meet this qualification after he begins work, a shutdown notice shall be issued and the voiding of the contract shall begin unless the contractor becomes qualified. NON-RESIDENT BIDDER: The contractor shall provide the City with a certification that he is a non-resident bidder according to the above definition. The Certification shall be submitted with the contractor's bid. A copy of the form of "Non-Resident Bidder Certification" is included in the Contract Documents. DJG 01/02/12 RESIDENT BIDDER CERTIFICATION CONTRACT NO: g PROJECT NAME: O(ancie School 50ev ew-t_r DATE OF LETTING: /2 Ia j 13 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 kite- 60et5-F, 6-0 f-p + rn es4fGr A CORPORATE afeRCER /T 1k (Aleb e( TITLE e.$f1(16 q+o DATE e'} )a 11 NON-RESIDENT BIDDER CERTIFICATION CONTRACT NO.: PROJECT NAME: DATE OF LETTING: I hereby certify that I am an Iowa non-resident bidder. COMPANY NAME: CORPORATE OFFICER: TITLE: DATE: STATE/COUNTRY OF RESIDENCY: Stated below are the preference(s) to resident bidders in the state/country of (Preference to bidders, labor force, or other preferential treatment to bidders or laborers, etc. NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of U•. 22 )ss County of ) Alex , being first duly sworn, deposes and says that: 1. He is (Owner, Partner, Officer, Representative, or Agent) , of Ui r, G 04 S,L, r P. , 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) S /44 , /®/ Title Subscribed and sworn to before me this of Ca4 1 day of Wadembe,� 201 3 d c44 J Title My commission expires 0 ( / b 3/i y °COLLEEN A. LOTT tLCOMMISON NO75300MY COMMISSION EXPIRES °w June 3,2014 M oou 0 a3 UbA �cb a) czt p yYp aa a) aVI 140 a .r O ,so ct u i.- v 2 .t;i o : o b4 o b = y U `- +, O N mot+ N O ) � . W .j d Y Ca o b o� pa C ti- .- w 3 3 0 O c� p 4 .. i. .Q 3 w O 'N S t 4° w 0 0 03 a p U 1 aai O >, >,'^ O 0 N i Q - O O aJ 0--0 0. O c> a U ° � o ApWz o� a w 3-. v) a O a > 3 AU Ta W 0 .0a •Q� 0 a> z �e+ o CcA D 0 0 Ot'll N 1CD 0� f G L/1 z n 'O E O a) " w ) C/1 o U ct E W F-1 W - C) UW E a o a oO � UZ ' 0 a)-a) bn 1...4f' °� O4, O"� > O a) z II • o p °� z � w o 0 aO W ° o obo . C A bin a1 0 •i - .o w W ^O W • fl o H cad O a O W e z Z . Cr ., a, .r.� O O > 0 C...) •° a) , ;v0 „ 0W ` `\� c 0 � Wo p ' o ' U L ciD ,� \' G:� - O • O W R, +-' i ,-' U (4 ct 0 U :0 ,. N ,' E. fl Q o '" °� 48 ••� gU N 0 a� +' p cad \ $-. vN >>,'0cf) tt ii. O ,, N o x. 9 u C.) cd c -a )O 1, _ 0_, P p N , ? 3 W o al 0 '9M a z tanaF- 0 o o = u (L o ' m O a 0 a 'C >oU W DWc, U a = cdb O s.. c U - O p OU O �-. G 20 > VI) illfg Ali -4.- `1) 3 ,-- P .t1 •i, O .o o p o 0 cC o a. Z 3 U va >,U 72 ,. -o BID BOND KNOW ALL MEN BY THESE PRESENTS,that we,_Vieth Construction Corporation... as Principal,and North American Specialty Insurance Company .-- _T - --- as Surety are held and firmly bound unto the _;C l,TY C3F i_AT7+R1:0 , Iowa,hereinafter called "OWNER," In the penal sum_Five Percent of Amount B ___ __- _... -• Dollars($; --5% )lawful money of the United States,for the payment of which sum will and truly be made, we bind ourselves, Our hears, executors, administrators, and successors, jointly and severally, firmly by these presents. The condition of this obli ati n is such hat whereas the.Principal has submitted the accompanying bid dated the.2nd ,day o. 20 13 for F.Y. 2014 Orange School Sanitary Sewer Extensions,Waterloo, IA Contract No. 810, -...�._.. _._. ,� _. . . 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, arid for the payment of all persons performing labor or furnishing materials in connection therewith,.and shall in all other respects perform the agreement created bythe.aceeptanOe 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'far any and all dalms-hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. By virtue of statutory autherity,.the.full amount of this bid bond shall be forfeited to the Owner In liquidation of damages sustained in thu'event that the Principal fails to execute tiie contract and provide the bond as provided in the speciftcattans 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 extensfan 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 Princtpal.and the surety, have hereunto set their hands-and seals,and such of them as are corporations,have cauued their corporate seals.to be hereto affixed. and these presents to be signed by their proper officers this.2n... day of•.uecember ,:A,p,201.3 Vieth Construction Corporation (?e !) T_ Principal By if �`` (Title) e tkA-A-44.<1614______ North Am icon Specialty Insurance Company(Seal) Witness 1 ure#y l Witness Cindy Bennett Attorney-in-fact Anne Crowner,Attorney-in-fact NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: JAY D.FREIERMUTH,CRAIG E.HANSEN,BRIAN M.DEIMERLY,SHIRLEY S.BARTENHAGEN, CINDY BENNETT,ANNE CROWNER,TIM McCULLOH,STACY VENN,LACEY CRAMBLIT and DIONE R.YOUNG JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attoifiey is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9th of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." � `" w'ero y2 �`'•; = By ti,'Lo���rs V SEALi Cf= Steven P.Anderson,Senior Vice President of Washington International Insurance Company ,�2P SEAL ',,i. , �t W%�i. 1973 juicy &Senior Vice President of North American Specialty Insurance Company O m '1s: ��?O: cDiNovseitiv n r/irr��d0111IIIl11Nd\\�� B . % _.Y/ i .... .. 13r, Y David M.Layman,Vice President of Washington International Insurance Company aaa &Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this25th day of January 2013 , North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 25th day of January ,2013 ,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. r. "OFFICIAL SEAL" IJ lyrvnct / �g,6 Donna D.Sklens,Notary Public DONNA D.SKLENS Notary Public,State of Illinois My Commission Expires 10/06/2015 I, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 2nd day of December ,20 13 j":,,,,,,. ..‘,. .--,,,....- Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Insurance Company