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Home My WebLink AboutDave Schmitt Construction, Co., Inc.0. Y CONSTRUCTION CO. INC. 250 50TH AVE. S.W. CEDAR RAPIDS, IOWA 52404 (319) 365-8669 FAx (319) 365-2677 SEWER • TRUCKING • EXCAVATION • WATER • GRADING • DEMOLITION To: P'( 2S sera s-w e - S ec".' ij pc 1 14C P gseactis. ince.rt ,'wOr 5 ill Pisces iCt soft 4,2_, CONSTRUCTION CO. INC. 250 50TH AVE. S.W. CEDAR RAPIDS, IOWA 52404 (319) 365-8669 FAX (319) 365-2677 SEWER • TRUCKING • EXCAVATION • WATER • GRADING • DEMOLITION To: r't )-a.) 3 STD StK Q- rya lanssar ecoc ►t biz fl-tocev tca 7 Atelp aher-, ,PLS- c o 4 Nces g lJ Ptzcytiora- FORM OF BID OR PROPOSAL FY 2025 STATE STREET SANITARY SEWER REPLACEMENT AND STORM SEWER DISCONNECTS CONTRACT NO. 1110 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 tbwck, a Partnership consisting of the following partners: e , N i0n5 tr,c,k-i ar , 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 FY 2025 STATE STREET SANITARY SEWER REPLACEMENT AND STORM SEWER DISCONNECTS, Contract No. 1110, all in accordance with the above -listed documents and for the unit prices for work in place for the following items and quantities: FY 2025 STATE STREET SANITARY SEWER REPLACEMENT AND STORM SEWER DISCONNECTS - CONTRACT NO. 1110 DIVISION I - STATE STREET SANITARY SEWER REPLACEMENT BID ITEM SUDAS SPECIFICATION * SEE SUPPLEMENTAL DIVISION 2 - EARTHWORK DESCRIPTION DIV 1 EST UNIT BID PRICE QTY 1 2010-108-D-1* TOPSOIL, 4 INCHES, ON SITE SY 1720.0 2 2010-108-E * EXCAVATION, CLASS 10 CY 736.0 3 SEE EST. REF. EXCAVATION, CLASS 10, WASTE CY 732.0 4 2010-108-J SUBBASE, MODIFIED, 10 INCH DEPTH SY 0.0 5 2010-108-J SUBBASE, 1 INCH ROADSTONE, 7 INCH DEPTH SY 2366.0 DIVISION 4 - SEWERS AND DRAINS - SANITARY 6 4010-108-A SANITARY SEWER, TRENCHED, TRUSS, 12 INCH LE 516.1 7 4010-108-A SANITARY SEWER, TRENCHED, TRUSS, 10INCH LF 312.2 8 4010-108-E SANITARY SEWER SERVICE STUB, SDR 23.5, 6 INCH LF 386.0 9 SEE EST. REF. SANITARY SEWER SERVICE, UNDERGROUND EACH 2.0 INVESTIGATION DIVISION 4 - SEWERS AND DRAINS - STORM 10 4020-108-A STORM SEWER, TRENCHED, RCP 2000D, 15 INCH LF - 11 4020-108-A STORM SEWER, TRENCHED, RCP 2000D, 12 INCH LF - 12 4020 108 D REMOVAL OF STORM SEWER, RCP, LESS THAN OR EQUAL TO 36INCH LF - 13 4020-108-G STORM SEWER ABANDONMENT, FILL AND PLUG, 10 INCH PIPE LF - 14 4040-108-D SUBDRAIN OUTLET TO STRUCTURE, 6 INCH EACH - $ 9,15 $ S. of $ (a\. Dt $ 5b $ $ 1)55,bD $ 6, 1. b b $ GS.a $ ;)it-tt, $ 35,7`14,4t. $ $1,195:oce $ 2$I a. 0-c) $ b, G d $ cs. c O 5.3$ 6.60 $ ;0.at) $ 03.5 a $ o-da $ C>. ao FORM OF BID CONTRACT NO. 1110 Page 1 of 5 DIVISION 5 - WATER MAINS AND APPURTANCES 15 SEE EST. REF. CONVERT WATER MANHOLE TO ROADBOX EACH - 16 SEE EST. REF. WATER SERVICE, LOWER AND INSULATE EACH 5.0 DIVISION 6 - STRUCTURES FOR SANITARY AND STORM SEWERS 17 6010-108-A MANHOLE, SW-301, 48" EACH 2.0 18 6010-108-A MANHOLE, SW-401, 48" EACH - 19 6010-108-B INTAKE, SW-501, SINGLE GRATE EACH - 20 6010-108-B EACH - INTAKE, SW-512, 24", TYPE 4B CASTING 21 6010-108-G * CONNECTION TO EXISTING MANHOLE OR INTAKE, STORM EACH 22 6010-108-H REMOVE MANHOLE OR INTAKE EACH 2.0 DIVISION 7 - STREETS AND RELATED WORK SIDEWALKS, SHARED USE PATHS AND DRIVEWAYS 23 7010-108-E * LF - CURB & GUTTER, 24-INCH WIDE, 7-INCH DEPTH, PCC, C-4 24 7030-108-A-1 REMOVAL OF SIDEWALK SY 108.4 25 7030-108-A-3 REMOVAL OF DRIVEWAY SY 17.8 26 7030-108-E SIDEWALK, PCC, 4 INCH, C-4 SY 22.2 27 7030-108-E SIDEWALK, PCC, 6 INCH, C-4 SY 83.0 28 7030-108-G DETECTABLE WARNINGS SF 120.0 29 7030-108-H-1 DRIVEWAY, PAVED, PCC, 5 INCH, C-4 SY 17.8 30 7030-108-H-1 ALLEY, PAVED, PCC, 6 INCH, C-4 SY 46.5 31 7030-108-H-3 DRIVEWAY, GRANULAR, 4INCH TON 79.5 PAVEMENT REHABILITATION 32 7040-108-H * 1 PAVEMENT REMOVAL, SEAL COAT SY 2368.0 DIVISION 8 - PAVEMENT MARKINGS AND TRAFFIC CONTROL 33 8030-108-A TEMPORARY TRAFFIC CONTROL LS 0.75 DIVISION 9 - SITE WORK AND LANDSCAPING SEEDING 34 9010-108- B * HYDRAULIC SEEDING, SEEDING, FERTILIZING AND SY 1720.0 MULCHING - TYPE 1 35 9010-108-E * SY 430.0 WARRANTY EROSION AND SEDIMENT CONTROL 36 9040-108-Q-2 EROSION CONTROL MULCHING, HYDROMULCHING SY 1720.0 37 9040-108-T-1 * EACH 6.0 INLET PROTECTION DEVICE, INSTALLATION 38 9040-108-T-2 * INLET PROTECTION DEVICE, MAINTENANCE EACH 6.0 DIVISION 11 - MISCELLANEOUS 39 11010-108-A CONSTRUCTION SURVEY LS 0.75 40 11020-108-A MOBILIZATION LS 0.75 $ ,)t3q. (so $ 6" $ 1-7“,"6ts $ $836,o� $ S3 g4.a-o $ 16 76,&a $ 3-7aq.66-p $ 6.0 6 $ `iS5`I,�a $ d, a o0 $ I�,`�3.aD $ , o b 460 $ ! uco8.6ts $ a s3ca, d a a o,ot) $ o, a d 14C $ 7S, ob $ I tG . as $ ` 11)9, 3- t) $ 1 c7•�� $ •t3 tc .0 $ yS.al a $ 6Ctaa OD $ • ,.'61 .6 $ /bg,aa $ .So3).o� $ 3Cil").)5— $ 3566,60 $ e Lac o � O.go $ ?.; a o $ LN, 3.5 $ 2iS oa $ ►db $ 305.a $ /. o U $ 1pi a D $1e;cdo 00 $ /0 bb&0 $ 55t1.00 $ IR:ISS21 TOTAL BID DIVISION I $ s6 l acc Lt FORM OF BID CONTRACT NO. 1110 Page2of5 DIVISION II — BUTLER AVENUE AND DEARBORN AVENUE STORM SEWER DISCONNECTS ITEM BID SUDAS * SEE SUPPLEMENTAL SPECIFICATION DESCRIPTION 1 UNIT DIV QTY 2 EST UNIT BID PRICE TOTAL BID PRICE DIVISION 2 - EARTHWORK 1 2010-108-D-1* TOPSOIL, 4 INCHES, ON SITE SY 1053.0 2 2010-108-E * EXCAVATION, CLASS 10 CY - 3 SEE EST. REF. EXCAVATION, CLASS 10, WASTE CY _ 4 2010-108-J SUBBASE, MODIFIED, 10INCH DEPTH SY 637.0 5 2010-108-J SUBBASE, 1 INCH ROADSTONE, 7 INCH DEPTH SY - DIVISION 4 - SEWERS AND DRAINS - SANITARY 6 4010-108-A SANITARY SEWER, TRENCHED, TRUSS, 12 INCH LF - 7 4010-108-A SANITARY SEWER, TRENCHED, TRUSS, 10 INCH LF - 8 4010-108-E SANITARY SEWER SERVICE STUB, SDR 23.5, 6 INCH LF - 9 SEE EST. REF. SANITARY SEWER SERVICE, UNDERGROUND INVESTIGATION EACH DIVISION 4 - SEWERS AND DRAINS - STORM 10 4020-108-A STORM SEWER, TRENCHED, RCP 2000D, 15 INCH LF 899.5 11 4020-108-A STORM SEWER, TRENCHED, RCP 2000D, 12 INCH LF 695.9 12 4020-108-D REMOVAL OF STORM SEWER, RCP, LESS THAN OR EQUAL TO 36 INCH LF 194.2 13 4020-108-G STORM SEWER ABANDONMENT, FILL AND PLUG, 10 INCH PIPE LF 84.0 14 4040-108-D SUBDRAIN OUTLET TO STRUCTURE, 6INCH EACH 8.0 DIVISION 5 - WATER MAINS AND APPURTANCES 15 SEE EST. REF. CONVERT WATER MANHOLE TO ROADBOX EACH 1.0 16 SEE EST. REF. WATER SERVICE, LOWER AND INSULATE EACH 9.0 DIVISION 6 - STRUCTURES FOR SANITARY AND STORM SEWERS 17 6010-108-A MANHOLE, SW-301, 48" EACH - 18 6010-108-A MANHOLE, SW-401, 48" EACH 2.0 19 6010-108-B INTAKE, SW-501, SINGLE GRATE EACH 9.0 20 6010-108-B EACH 3.0 INTAKE, SW-512, 24", TYPE 4B CASTING 21 6010-108-G * CONNECTION TO EXISTING MANHOLE OR INTAKE, STORM EACH 4.0 22 6010-108-H REMOVE MANHOLE OR INTAKE EACH 12.0 DIVISION 7 - STREETS AND RELATED WORK SIDEWALKS, SHARED USE PATHS AND DRIVEWAYS 23 7010-108-E * LF 258.0 CURB & GUTTER, 24-INCH WIDE, 7-INCH DEPTH, PCC, C-4 24 7030-108-A-1 REMOVAL OF SIDEWALK SY 7.4 25 7030-108-A-3 REMOVAL OF DRIVEWAY SY - 26 7030-108-E SIDEWALK, PCC, 4 INCH, C-4 SY - 27 7030-108-E SIDEWALK, PCC, 6 INCH, C-4 SY 7.4 28 7030-108-G DETECTABLE WARNINGS SF 10.0 $ 44it5 $ d20.(W $ I1,63. $ Of 0 $ 3-6 $ 41, op $ (3 bCSS t $ 4S,`to $ `j5&fl a' $ )1,36 $ `1.413.��. $ D ».ac $ R/4414 $ 1)(>. 50 $ 9404, oa $ aI 39, et. $ an o $ 15 7S °19 $ S38`i. bt $ 6 $ 37al, oa $ $ `Is(s zo $ t3s1 4. db $ (`''it 3 . a o $ yr ," $ Ea., $ Yr3ad az $ I ) ‘14.-6 6 $ 4).4,05 $ St4.6, 0 $ e). /$ 5t 't t $ /7 Cg, $ ar 0-6 $ j BG.b o $ O. o $ /C:), 5 t $ 1C3 3 t �D $ 115,b0 $ -t6D, oe FORM OF BID CONTRACT NO. 1110 Page 3 of 5 29 7030-108-H-1 DRIVEWAY, PAVED, PCC, 5 INCH, C-4 SY - 30 7030-108-H-1 ALLEY, PAVED, PCC, 6 INCH, C-4 SY 23.7 31 7030-108-H-3 DRIVEWAY, GRANULAR, 4INCH TON 35.7 PAVEMENT REHABILITATION 32 7040-108-H * PAVEMENT REMOVAL, SEAL COAT SY 637.0 DIVISION 8 - PAVEMENT MARKINGS AND TRAFFIC CONTROL 33 8030-108-A TEMPORARY TRAFFIC CONTROL LS 0.25 DIVISION 9 - SITE WORK AND LANDSCAPING SEEDING 34 9010-108-B * HYDRAULIC SEEDING, SEEDING, FERTILIZING AND SY 1053.0 MULCHING - TYPE 1 35 9010-108-E * SY 264.0 WARRANTY EROSION AND SEDIMENT CONTROL 36 9040-108-Q-2 EROSION CONTROL MULCHING, HYDROMULCHING SY 1053.0 37 9040-108-T-1 * INLET PROTECTION DEVICE, INSTALLATION EACH 15.0 38 9040-108-T-2 * EACH 15.0 INLET PROTECTION DEVICE, MAINTENANCE DIVISION 11 - MISCELLANEOUS 39 11010-108-A CONSTRUCTION SURVEY LS 0.25 40 11020-108-A MOBILIZATION LS 0.25 TOTAL BID = DIVISION I + DIVISION II $ 1&C 400 $ 060 $ l cs34 C>t> $ Lt5.5b $ rcati.a5 $ a $ (7fl:1 $ 35 a t , v a $ 575. $ 1.4; $ 13c6.)c $ as" $ % s s $ 76--.t,40 $ lb, o60, $ Socl.cz $ 2SStribd $ $ 53E) 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 Dollars ($ ttVer ) in the form of a,(1 t„ul , 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 Bidder Status Form. 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. FORM OF BID CONTRACT NO. 1110 Page 4 of 5 9. The bidder has received the following Addendum or Addenda: Addendum No. Date 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. -l�Q,u �c (Name of Bidder) (Date) BY: c�-, Rbsd-- Title s r'',4-4,... Official Address: (Including Zip Code): a5D s � (S t I.R.S. No. 9 a " 38 Sb22 5 14 49 FORM OF BID CONTRACT NO. 1110 Page 5 of 5 NON -COLLUSION AFFIDAVIT OF PRIME BIDDER State of aoto‘ )ss County of t fie (:(3 ul�� , being first duly sworn, deposes and says that: 1 He is (Owner, Partner, Officer, Representative, or Agent) , of 77ThJP 6e-k , 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 propaqd 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 aJfint.' ti (Signed eivei ?r,e_c; Title Subscribed and sworn to before me this, d day o1,4)141 "I ,fZo Cc4 /t/15/1Qt r `Title My commission expires ao6 �£ f `.to JOSH JAMES PLEIN T. Commission Number 751573 • My Commission Expires March 5, 2026 , 2029 EQUAL OPPORTUNITY CLAUSE (As provided in Executive Order No. 11246) All contractors, subcontractors, vendors and suppliers of goods and services doing business with the City and value of said business equals or exceeds ten thousand dollars ($10,000.00) annually agree as follows: 1. The contractors, subcontractor, vendor and supplier of goods and services will not discriminate against any employee or applicant for employment because of race, color, creed, sex, national origin, economic status, age, mental or physical handicap, political opinions or affiliations. The contractor, subcontractor, vendor and supplier will develop an Affirmative Action program to ensure that applicants are employed and that employees are treated during employment without regard to their race, creed, color, sex, national origin, religion, economic status, age, mental or physical disability, political opinions or affiliations. Such actions shall include but not be limited to the following: a. Employment b. Upgrading c. Demotion or Transfer d. Recruitment and Advertising e. Layoff or Termination f Rates of Pay or Other Forms of Compensation g. Selection for Training Including Apprenticeship 2. The contractor, subcontractor, vendor and supplier of goods and services will, in all solicitations or advertisements for employees, state that all qualified applicants will receive consideration for employment without regard to race creed, color, sex, national origin, religion, economic status, age, mental or physical disabilities, political opinion or affiliations. 3. The contractor, subcontractor, vendor and supplier or his/her collective bargaining representative will send to each labor union or representative of workers which he/she has a collective bargaining agreement or other contract or understanding, a notice advising said labor union or workers' representative of the contractor's commitment under this section. 4. The contractor, subcontractor, vendor and supplier of goods and services will comply with all published rules, regulations, directives, and order of the City of Waterloo Affirmative Action Program Contract Compliance Provisions. 5. The contractor, subcontractor, vendor and supplier of goods and services will furnish and file compliance reports within such time and upon such forms as provided by the Affirmative Action Officer. Said forms will elicit information as to the policies, procedures, patterns, and practices of each subcontractor as well as the contractor himself/herself and said contractor, subcontractor, vendor and supplier will permit access to his/her employment books, records and accounts to the City's Affirmative Action Officer, for the purpose of investigation to ascertain compliance with this contract and with rules and regulations of the City's Affirmative Action Program Contract Compliance Provisions relative to Resolution No. 24664. 6. In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules, regulations and orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further contracts in accordance with procedures authorized by the City Council. 7 The contractor, subcontractor, vendor and supplier of goods and services will include, or incorporate by reference, the provisions of the non-discrimination clause in every contract, subcontract or purchase order unless exempted by the rules, regulations or orders of the City's Affirmative Action Program, and will provide in every subcontract, or purchase order that said provisions will be binding upon each contractor, subcontractor, or supplier. 8. We, the undersigned, recognize that we are morally and legally committed to non-discrimination in employment. Any person who applies for employment with our company will not be discriminated against because of race, creed, color, sex, national origin, economic status, age, mental or physical disabilities. (Signed) 6.4n 14J---7 (Appropriate Official) :�t%h,-fie 04) 1 (Title) (Date) TITLE VI CIVIL RIGHTS During the performance of this contract, the contractor (for itself), its assignees, and successors in interest (hereinafter referred to as the `contractor') agrees as follows: 1. Compliance with Regulations: The contractor shall comply with the Regulations relative to non-discrimination in Federally assisted programs of the DOT Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time, (hereinafter referred to as the Regulations), which are herein incorporated by reference and made a part of this contract. 2. Nondiscrimination: The contractor, with regard to the work performed by it during the contract, shall not discriminate on the grounds of race, color, national origin, sex, age, or disability in the selection and retention of subcontractors, including procurement of materials and leases of equipment. The contractor shall not participate either directly or indirectly in the discrimination prohibited by section 21.5 of the Regulations, including employment practices when the contract covers a program set forth in Appendix B of the Regulations. 3. Solicitations for Subcontracts, Including Procurement of Materials and Equipment: In all solicitations either by competitive bidding or negotiation made by the contractor for work to be performed under a subcontract, including procurement of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the contractor's obligations under this contract and the Regulations relative to non- discrimination on the grounds of race, color, national origin, sex, age, or disability. 4. Information and Reports: The contractor shall provide all information and reports required by the Regulations or directives issued pursuant there to, and shall allow access to its books, records, accounts, other sources of information, and its facilities as may be determined by the Contracting Authority, the Iowa DOT, or FHWA to be pertinent to ascertain compliance with such Regulations, orders and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish this information the contractor shall so certify to the Contracting Authority, the Iowa DOT, or the FHWA as appropriate, and shall set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance: In the event of the contractor's noncompliance with the nondiscrimination provisions of this contract, the Contracting Authority, the Iowa DOT, or the FHWA shall impose such contract sanctions as they may determine to be appropriate, including, but not limited to: a. Withholding of payments to the contractor under the contract until the contractor complies, and/or b. Cancellation, termination, or suspension of the contract, in whole or in part. 6. Incorporation of Provisions: The contractor shall include the provisions of paragraphs (1) through (6) in every subcontract, including procurement of materials and leases of equipment, unless exempt by the Regulations, or directives issued pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the Contracting Authority, the Iowa DOT, or the FHWA may direct as a means of enforcing such provisions including sanctions for non-compliance: Provided, however, TITLE VI CIVIL RIGHTS Page 1 of 2 that, in the event of a contractor becomes involved in, or it threatened with, litigation with a subcontractor or supplier as a result of such direction the contractor may request the Contracting Authority or the Iowa DOT to enter into such litigation to protect the interests of the Contracting Authority or the Iowa DOT; and, in addition, the contractor may request the United States to enter into such litigation to protect the interest of the United States. TITLE VI CIVIL RIGHTS Page 2 of 2 Bidder Status Form To be completed by all bidders Part A Please answer "Yes" or "No" for each of the following: Yes ONo ® Yes ONo ® Yes ONo O Yes ONo 0 Yes ONo My company is authorized to transact business in Iowa. (To help you determine if your company is authorized, please review the worksheet on the next page). My company has an office to transact business in Iowa. My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail. My company has been conducting business in Iowa for at least 3 years prior to the first request for bids on this project. 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 qualifies 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 Paris C and D of this form. 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: / t /my' to / / / �'\- / )-Le Address. ,-6-° City, State, Zip. / to / / Address. City, State, Zip' / to / / Address' Ca- J, ets I You may attach additional sheet(s) if needed. 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? 0 Yes 0 No 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. You may attach additional sheet(s) 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: .tot S,A^,.• if ((A5t-raa-14 Signature: L khyd, Date: 03/42 (4 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) Worksheet: Authorization to Transact Business This worksheet may be used to help complete Part A of the Resident Bidder Status form. If at least one of the following describes your business, you are authorized to transact business in Iowa. Yes Yes Yes 0 Yes Yes Yes O YesQ No Yes Yes O Yes O Yes My business is currently registered as a contractor with the Iowa Division of Labor. My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes. My business is a general partnership or joint venture. More than 50 percent of the general partners or joint venture parties are residents of Iowa for Iowa income tax purposes. My business is an active corporation with the Iowa Secretary of State and has paid all fees required by the Secretary of State, has filed its most recent biennial report, and has not filed articles of dissolution. My business is a corporation whose articles of incorporation are filed in a state other than Iowa, the corporation has received a certificate of authority from the Iowa secretary of state, has filed its most recent biennial report with the secretary of state, and has neither received a certificate of withdrawal from the secretary of state nor had its authority revoked. My business is a limited liability partnership which has filed a statement of qualification in this state and the statement has not been canceled. My business is a limited liability partnership which has filed a statement of qualification in a state other than Iowa, has filed a statement of foreign qualification in Iowa and a statement of cancellation has not been filed. My business is a limited partnership or limited liability limited partnership which has filed a certificate of limited partnership in this state, and has not filed a statement of termination. My business is a limited partnership or a limited liability limited partnership whose certificate of limited partnership is filed in a state other than Iowa, the limited partnership or limited liability limited partnership has received notification from the Iowa secretary of state that the application for certificate of authority has been approved and no notice of cancellation has been filed by the limited partnership or the limited liability limited partnership. My business is a limited liability company whose certificate of organization is filed in Iowa and has not filed a statement of termination. My business is a limited liability company whose certificate of organization is filed in a state other than Iowa, has received a certificate of authority to transact business in Iowa and the certificate has not been revoked or canceled. 309-6001 (09-15) MBE/WBE BUSINESS ENTERPRISE PRE -BID CONTACT INFORMATION FORM Prime Contractor Name: aloe- Ste, H (ons1 to dst o, Project: ri Ws- st-koc6 scre,6c-r- s etrireiAl 5E tt rc mcw,--,v Letting Date: A ro 6�ia-ti 3•- 4fl 013 O. in C NO MBE/WBE SUBCONTRACTORS: If you are NOT using any MBE/WBE subcontractors to complete this project, sign below. Attach a brief explanation as to why subcontracting was not feasible with this project. If any MBE/WBE subcontractors will be used, please use the bottom portion of this form. Contractor Signature. r--' Title: sIv - Date: SUBCONTRACTORS APPLICABLE: You are required, in order for your bid to be considered responsive, to provide the information on this form showing ALL of your MBE/WBE subcontractor contacts made for your bid submission. This information is subject to verification. Any questions may be directed to Contract Compliance Office 319-291- 4429. You are required, in order for your bid to be considered responsive, to provide the information on this Form showing your MBE/WBE Business Enterprise contacts made prior to your bid submission. This information is subject to verifications and confirmation. If you are unable to identify MBE/WBE firms to perform portions of the work, please contact Rudy Jones, Contract Compliance Officer, for assistance at (319) 291-4429. In the event it is determined that the MBE/WBE Business Enterprise goals are not met, then before awarding the contract the City of Waterloo will make a determination as to whether or not the apparent successful low bidder made good faith efforts to meet the goals. TABLE OF INFORMATION SHOWING BIDDER'S PRE -BID MBE/WBE BUSINESS ENTERPRISE CONTACTS Quotes Received Quotation used in bid Subcontractors MBE/WBE Contacted Dates Yes/No Contacted Dates Yes/No Dollar Amount be Subcontracted Proposed to -Tarr gia /awns-j geSAY ' An llescti to is (onamk- (NAN aVvSSRIJOik is (I Veil ()-1 iu (Form CCO-4) Rev. 06-20-02 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Dave Schmitt Construction Co., Inc. as Principal, and United Fire & Casualty Company bound unto the , as Surety, are held and firmly 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 22nd day of August 20 24 for FY 2025 State Street Sanitary Sewer Replacement and Storm Sewer Disconnects in the City of Waterloo, Iowa; Contract No. 1110 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 19th day of August , A.D. 20 24 Wit ess Witne / / 1 Sara Huston Dave Schmitt Construction Co., Inc. (Seal) Principal By in (C7/-Cif--- United 5 & C;Q alty Company re ttorney-in-fact Anne Crowner (Title) CORPORATE SEAL Jinuaty ? 1946 BID BOND Page 1 of 1 tifg INSURANCE UNITED FIRE & CASUALTY COMPANY, CEDAR RAPIDS, IA UNITED FIRE & INDEMNITY COMPANY, WEBSTER, TX FINANCIAL PACIFIC INSURANCE COMPANY, LOS ANGELES, CA CERTIFIED COPY OF POWER OF ATTORNEY (original on file at Horne Office of Company — See Certification) Inquiries: Surety Department 118 Second Ave SE Cedar Rapids, IA 52401 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 tuider the laws of the State of California (herein collectively called the Companies), and having then corporate headquarters in Cedar Rapids, State of Iowa, does make, constitute and appoint CRAIG E. HANSEN, JAY D. FREIERMUTH, BRIAN M. DEIMERLY, ANNE CROWNER, TIM MCCULLOH, DIONE R. YOUNG, MICHELLE GRUIS, JOE TIERNAN, SETH D. ROOKER, SARA HUSTON, SHELBY GREINER, GINGER HOKE, JOHN CORD, JENNIFER MARINO, BEN WILLIAMS, KATE ZANDERS, JAMIE GIFFORD, GRACE DICKINSON, EACH INDIVIDUALLY their true and lawful Attorneys) -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 $100, 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 is continuous and shall remain in full force and effect until 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 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 attomey 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 seine force and effect as though manually affixed. Such attorneys -in -fact, subject to the limitations set of 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 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. $ tcAsv, Je› *4s let 0o Alee 00 ts Inn s` �, ,�% riff nq► State of Iowa, County of Lim, ss: IN WITNESS WHEREOF, the COMPANIES have each caused these presents to be signed by its vice president and its corporate seal to be hereto affixed this 18t h day of March, 2022 UNITED FIRE & CASUALTY COMPANY UNITED FIRE & INDEMNITY COMPANY FINANCIAL PACIFIC INSURANCE COMPANY BY: ra-sgs..., Vice President On 18th day of March, 2022, before me personally came Kyanna M. Saylor to me known, who being by me duly sworn, did depose and say; that she resides in Cedar Rapids, State of Iowa; that she 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 she 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 she signed her name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporations. Patti Waddell Iowa Notarial Seal Commission number 713274 My Commission Expires 10/26/2025 Notary Public My commission expires: 10/26/2025 I, Mary A. Bertsch, Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemmity 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 19th day of August , 2024 BirlDeA) Assistant Secretary, UF&C & OF&I & FPIC BPOA0049 1217