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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
cry , 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 $ l)U Oc. $ 3oo,oo
SANITARY SEWER MANHOLE, STANDARD WATER-
102 TIGHT 48-INCH DIA. EACH 16 $ a,a100,O0 $ LAlp,y(X. LSO
103 TAP AND COLLAR EXISTING SANITARY SEWER EACH 1 $ `) Qc, $ J DO,00
104 SANITARY SEWER, 8" DIA., PVC TRUSS PIPE L.F. 1,155 $ ,1, 00 $ a4-1,D 5S.0o
105 SANITARY SEWER, 10" DIA., PVC TRUSS PIPE L.F. 331 $ y.&)C> $ q+ys Uc,
106 SANITARY SEWER, 15" DIA., PVC TRUSS PIPE L.F. r 2,379 $ 3,. 00 $ �S� �sKto (:)U
107 SANITARY SEWER, 18" DIA., PVC A-2000 PIPE L.S. 1,038 $ 110.00 $ yl so.c>C3
WELDED STEEL CASED CROSSING, HWY 21, ,`
108 COMPLETE L.S. 1 $ S 0_1 UOQ.00 $ 50, 000 DU
109 HAMMOND AVE. CROSSING, COMPLETE L.S. 1 $ 5,ac>c O $ 5,000, c>()
FORM OF BID CONTRACT NO. 816 Page 1 of 4
201 TRAFFIC CONTROL L.S. 1 $ 1,`J00 ,VC) $ I SOO•00
202 MAINTENANCE BOND,TWO(2)YEAR L.S. 1 $ 3,e(2,0, G')O $ 2i,C)00. O 0
203 EROSION CONTROL SILT FENCE L.F. 4,500 $ I.50 $ tU,7S0. 00
204 SEED, FERTILIZE AND MULCH (IDOT RURAL MIX) ACRES 6.5 $ '1UO.c C) $ -11 550,o(�
CONSTRUCTION ACCESS, HAMMOND AVENUE, ,^�
205 ONE EACH L.S. 1 $ v2.6.03 $ t3 33
CONSTRUCTION ACCESS, HIGHWAY 21,TWO
206 EACH L.S. 1 $ 300.03 $ 3 , t ;)
TOTAL BASE BID $ oQ 9 3,u o :i1cj $.• jS
BID DESCRIPTION UNIT EST.QTY. UNIT BID PRICE TOTAL BID PRICE
ITEM ALTERNATE A
Al FOUNDATION MATERIAL TONS UNKNOWN
REPLACE EXISTING FIELD DRAIN TILE CROSSING,
A2 3" DIA. THRU 8" DIA. EACH UNKNOWN $ L C.X.
REPLACE EXISTING FIELD DRAIN TILE CROSSING,
A3 10" DIA.THRU 15" DIA. EASH UNKNOWN $
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 five-vE 1?ecc •m c c AtraxaN\ did
Dollars ($ 5/- o tkrnaL,-r< ),,A ) in the form of a
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 ( ?(, ), 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 1112.i i
10. The bidder shall list the MBE/VVBE 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
d .
iic ic1�Cs c.xccia iL+4 - la k6aI13
(Name of Bidder) (Date)
BY: Title Z(Lici2 ' S� c(to cs �rek v
Official Address: (Including Zip Code):
153t_, .1,, `-kcS..
f\r os sf 59- o5
I.R.S. No. ` a- I Ilk9
FORM OF BID CONTRACT NO. 816 Page 4 of 4
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of .1 0. )
)ss
County of ..)c7, w-•
{qGe- PR cK_ce(5 , being first duly sworn, deposes and says that:
1. He is (Owner, Partner, Officer, Representative, or Agent) , of i��' .:Kieis
EXcauilkvY), Lscl , 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)
tes+aunt
Title
Subscribed and sworn to before me this !.1) day of
201.3.
AAA44,--1-0.4A:t4Av+ivy -Pu c C
Title
My commission expires a 5 5 I - I
JENNA HEASTY
Commission Number 768229
MY Commission Expires
iowI, US 3i-iy
RESIDENT BIDDER CERTIFICATION
CONTRACT NO: $t lv
PROJECT NAME: Wok(too Ora S k 0 l San �.ry ,Jx Exkos(o�s
DATE OF LETTING: DaceitMex i aO t 3 .1
To be a qualified resident bidder, the bidder shall be a person or
entity authorized to transact business in this state and having a
business for at least three years prior to the date of the first
advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
This qualification as resident bidder shall be maintained by the contractor and his
subcontractors at the work site until this project is completed.
I hereby certify that I am a resident bidder as defined above.
COMPANY NAME ' Cj(ecs E)ccowak- yn1 t
CORPORATE OFFICER&_ "47/.(i
TITLE 8fLp R xce{s t �tres;�m
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RICKLEFS EXCAVATING LTD.
12536 Buffalo Rd Anamosa, IA 52205 Phone: 319-462-4435 Fax: 319-462-2599
December 2, 2013
RE: MBE/WBE for Waterloo 2014 Orange School Sanitary Sewer Extentions
Contract No. 816
Our firm will be performing all portions of work except:
- Boring
- Asphalt
No bids were solicited from MBEIWBE boring or asphalt contractors because there were none
listed.
Therefore, we do not plan to have any MBE/WBE subcontractors for this project.
If you have any questions, please feel free to call us.
Thank you.
BID BOND
KNOW ALL MEN BY THESE PRESENTS,that we, Ricklefs Excavating, LTD
As Principal, and United Fire&Casualty
as Surety are held and firmly bound unto CITY OF WATERLOO, Iowa
hereinafter called"OWNER" in the penal sum
Five Percent of Amount Bid-----------------------
Dollars($**S%** )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 2nd day of December ,2013 for
F.Y.2014 Orange School Sanitary Sewer Extensions
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 presents to be
signed by their proper officers this 2nd day of December ,A.D. 2013
See (
Ricklefs Excavating, LTD (Seal)
Principal 24/17?BY treSdeAt--
(Title)
United Fire&Casualty (Seal)
Wit Surety
By o' I
Witn s usan A Holt, Attorney-in-fact
UNITED FIRE& CASUALTY COMPANY,CEDAR RAPIDS,IA Inquiries: Surety Department
UNITED FIRE&INDEMNITY COMPANY,GALVESTON,TX 118 Second Ave SE
FINANCIAL PACIFIC INSURANCE COMPANY,ROCKLIN,CA Cedar Rapids,IA 52401
CERTIFIED COPY OF POWER OF ATTORNEY 319-399-5494
(original on file at Home Office of Company—See Certification)
KNOW ALL PERSONS BY THESE PRESENTS,That UNITED FIRE&CASUALTY COMPANY,a corporation duly organized and existing under
the laws of the State of Iowa;UNITED FIRE&INDEMNITY COMPANY,a corporation duly organized and existing under the laws of the State of
Texas; and FINANCIAL PACIFIC INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of California
(herein collectively called the Companies),and having their corporate headquarters in Cedar Rapids, State of Iowa,does make,constitute and appoint
TIMOTHY J. GASSMANN, OR SUSAN A. HOLT, OR KEVIN S. LEASE, OR CASSANDRA J. DALEY, OR JAMES A.
TRUNNELL, OR JENNIFER FREYMARK, ALL INDIVIDUALLY of CEDAR RAPIDS IA
their true and lawful Attorney(s)-in-Fact with power and authority hereby conferred to sign,seal and execute in its behalf all lawful bonds,undertakings
and other obligatory instruments of similar nature provided that no single obligation shall exceed $20,000,000.00
and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Companies
and all of the acts of said Attorney,pursuant to the authority hereby given and hereby ratified and confirmed.
The Authority hereby granted shall expire the 6th day of November, 2015 un 1 ess sooner revoked by UNITED FIRE&
CASUALTY COMPANY,UNITED FIRE&INDEMNITY COMPANY,AND FINANCIAL PACIFIC INSURANCE COMPANY.
This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15,2013,by the Boards of
Directors of UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, and FINANCIAL PACIFIC INSURANCE
COMPANY. "Article VI—Surety Bonds and Undertakings"
Section 2,Appointment of Attorney-in-Fact. "The President or any Vice President,or any other officer of the Companies may,from time to
time, appoint by written certificates attorneys-in-fact to act in behalf of the Companies in the execution of policies of insurance, bonds,
undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby,and the Corporate seal,may be
affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby;such signature and seal,
when so used,being adopted by the Companies as the original signature of such officer and the original seal of the Companies,to be valid and
binding upon the Companies with the same force and effect as though manually affixed. Such attorneys-in-fact, subject to the limitations set
forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such
instruments and to attach the seal of the Companies thereto. The President or any Vice President,the Board of Directors or any other officer of
the Companies may at any time revoke all power and authority previously given to any attorney-in-fact.
,,CAs4r "" "��/ IN WITNESS WHEREOF,the COMPANIES have each caused these presents to be signed by its
' \ u.7D \`\\`\�111111ilflllf/I,'
� °Ox ``k^�� �� `O\`P�'\F\P ......Rq.'o°,vice president and its corporate seal to be hereto affixed this 6t h day of November, 2013
CORPORATE k „qql'•,cl`
z _ CORPORATE tr.; •3 \JLY z2 F: UNITED FIRE&CASUALTY COMPANY
SEAL �= UNITED FIRE&INDEMNITY COMPANY
_:z: :v=
SEAL Y: y: 1986 .;a
e s` ? 5 q �:�s FINANCIAL PACIFIC INSURANCE COMPANY
/, RAPI9 `\\ �i tP`` �''�.r �IFOP,:
1111111,,, f411tu111LL11"
By:
State of Iowa,Countyof
Linn,ss: Vice President
On 6th day of November, 2013, before me personally came Dennis J. Richmann
to me known,who being by me duly sworn,did depose and say;that he resides in Cedar Rapids, State of Iowa;that he is a Vice President of UNITED
FIRE&CASUALTY COMPANY, a Vice President of UNITED FIRE& INDEMNITY COMPANY, and a Vice President of FINANCIAL PACIFIC
INSURANCE COMPANY the corporations described in and which executed the above instrument;that he knows the seal of said corporations;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 corporations
and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporations.
o+e a Judith A.Davis a Notary Public
o`* Iowa Notarial Seal , :�
Commission number 173041 My commission e pines:4/23/2015
Oro, My Commission Expires 4/23/2015
I,David A. Lange, Secretary of UNITED FIRE&CASUALTY COMPANY and Assistant Secretary of ITED FIRE& INDEMNITY COMPANY,
and Assistant Secretary of FINANCIAL PACIFIC INSURANCE COMPANY, do hereby certify that I have compared the foregoing copy of the Power
of Attorney and affidavit,and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney,with the
ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATIONS,and that the same are correct transcripts thereof,and of the whole of the
said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect.
In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Corporations
this 2nd day of December ,2013
\\o„,,,,,,,,h/�A O' '::
RATE y{>>y BzC —•_ aE S o: SOLY 22•Iz_ oz: yL K` SEAL t: =a•. 1986
Secretary,UF&C
Assistant Secretary,OF&I/FPIC
BPOA0045 0913