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MUNICIPAL PIPE TOOL CO., LLC
515 FIFTH STREET • PO BOX 398
H U DSO N f IOWA 50643
TO:
BID ENCLOSED:
2025 CIP PIPELINING PHASE
V, CONTRACT NO 1118
BID DATE: 2/13/2025
BID TIME: 1:00 PM
CITY HALL
715 MULBERRY STREET
WATERLOO, IA 50703
FEB 18 2025pm1 :06: 0
CITY CLERK'S OFFICE
CITY OF WATERLOO
FORM OF BID OR PROPOSAL
FY 2025 CIP Pipelining Phase V
CONTRACT NO. 1118
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
1. The undersigned, being a Corporation existing under the laws of the State of IOWA Type text hor'tl=
a Partnership consi e following partners: Sharon Waschkat
having familiarize - (themselves) (itself) with the existing conditions on the project area
affecting the cost o e wor , 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 the FY 2025 CIP PIPELINING PHASE V, CONTRACT
NO. 1118, 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 CIP Pipelining Phase V
CONTRACT NO. 1118
Item
Description
Unit
Estimated
Quantiles
Unit
Price
Total
Amount
BASE BID
A
Mobilization
LS
1
$ i,` CV) --
$
I ' I CCt
--
1
8"
Diameter
CIP
Pipe
Lining
LF
16,311
$
4624(030,ZS
$ 2.7,7s
2
10"
Diameter
CIP
Pipe
Lining
LF
1,879
$ (12,1'-W
.0
O
&3
$
<50
3
12"
Diameter
CIP
Pipe
Lining
LF
868
$
--.50
$ 33, Li
IS .CC
4
15"
Diameter
CIP
Pipe
Lining
LF
806
$
-1G
—
$
(PO Li
5
Lateral
Reinstatement
EA
249
$ GO --
$ 1 1:
LI
--
5-z)
6
3-FT
Lateral
Grouting
EA
249
$
400
-
$ 1 °, L2
00
-
7
Pipe
Televising
-
8"
LF
32,622
$ I --,
$ ! 2-,(p2Z
-
8
Pipe
Televising
-
10"
LF
3,758
$ 1 -•
$ 3-15
9
Pipe
Televising
-
12"
LF
1,736
$ 1 -----
$ 1-7
3(0 ---
10
Pipe
Televising
-
15"
LF
1,612
$
i ,
$
L
L' 1-
11
Type
A
Pipe
Cleaning
- 8"
LF
16,311
c,
$ i-f or
S
c
$ 2 0
12
Type
A
Pipe
Cleaning
- 10"
LF
1,879
$ 2 ef7-27
$- ,
- -1,jD
,
13
Type
A
Pipe
Cleaning
- 12"
LF
868
$ 2-1"- 7
c
---
$ 2
_c(j
14
Type
A
Pipe
Cleaning
- 15"
LF
806
$ 2. 1:7"
$ 2-0
15--
15
Type
C
Root
Removal
- 8"-10"
LF
4,547
$
1 '
$ 45C4-7
--
16
LF
217
-
$ 2_r7
--
Type
C
Root
Removal
- 12"-15"
$ ) -
17
Type
D
Lumberjack
- 8"-10"
LF
4,547
$
$ l*9L.t-7
-----
1 -
18
Type
D
Lumberjack
- 12"-15"
LF
217
'I
$ 2)'-7
$ —
19
Protruding
Taps
Removal
EA
50
$ 31c0
$ S=j --
BASE
BID
TOTAL
$
I
t
(L,o
en<
FORM OF BID
AECOM 1160743622
CONTRACT NO. 1118
FB-1 of 4
FY 2025 CIPP
BID
ALTERNATE
NO.
1
-
DWG
8
101
8"
Diameter
CIP
Pipe
Lining
LF
2,905
$ 6D, — ;
$
$ j U Z140/4 2A
-7S
102
Lateral
Reinstatement
EA
40
$ -
$
5,000
--
103
3-FT
Lateral
Grouting
EA
40
$ Lj
L5"
$
11
-
WO
104
Pipe
Televising
-
8"
LF
5,810
$ (---.
$
5gd
ID
..-
105
Type
A
Pipe
Cleaning
8"
LF
2,905
$
$ -7 2_,(c2
-
2,S C„
,�C
106
Type
C
Root
Removal
-
8"-10"
LF
726
$
i
$ _7 2 fr ---
107
Type
D
Lumberjack
-
8"-10"
LF
726
$ ;
$ -7 Z(L,
_
108
Protruding
Taps
Removal
EA
20
$ r•
$ 31000
--
BID
ALTERNATE
NO.
1
TOTAL
$
$ j
1z'L/
b;9-CT)
; r?
BID
ALTERNATE
NO.
2
-
DWG
11
201
8"
Diameter
CIP
Pipe
Lining
LF
2,375
$ 3 J,.2G_
$ S3,72;
jj
202
Lateral
Reinstatement
EA
39
$ -7G_
$ ZAZ c --
203
3-FT
Lateral
Grouting
EA
39
$ 1.4Zc3 -
$
1115—
204
Pipe
Televising
-
8"
LF
4,750
$ L-f
753
-_:.
$ j —
205
Type
A
Pipe
Cleaning
-
8"
LF
2,375
$ 2,5t
$
c
�,-7, cs
C
206
Type
C
Root
Removal
-
8"-10"
LF
593
$
I —
$
Gcl
3 ---
207
Type
D
Lumberjack
-
8"-10"
LF
593
$
I
--
$
—
cEC? 3
208
Protruding
Taps
Removal
EA
20
$
3, Ott))
---
$
j S 0
BID
ALTERNATE
NO.
2
TOTAL
$
$
I2h1 L4--_1
ADDITIONAL
CLEANING
RATES
Item
Description
Unit
Estimated
Quantity
Unit
Price
Total
Price
301
Type
A
Pipe
Cleaning
-
8"
HR
50
$
Olt;
—
$ 3 7 j---
s1
Cleaning
10"
HR
50
$ (975
$ 'J'
302
Type
A
Pipe
-
! S-C%
r-
303
Type
A
Pipe
Cleaning
- 12"
HR
50
$
Vi
$ 3S1-750
304
Type
A
Pipe
Cleaning
- 15"
HR
50
$ &2 7Cj --
$ .3E, 7S0
305
Type
C
Root
Removal
8"-10"
HR
50
$ --
$ 3t,75Y
-
6r76
—
306
Type
C
Root
Removal
12"-15"
HR
50
$ `7 --
$
-
-
(2
33,f7
5D
c
307
Type
D
Lumberjack
- 8"-10"
HR
50
$ %
$ BS 75) —
308
Type
D
Lumberjack
12"-15"
HR
50
$ -
$ .Z%SD
-
7-75
----
A table
of expected
cleaning
times
per
segment
shall
work.
be submitted
to the
Owner
prior
to
beginning
FORM OF BID CONTRACT NO. 1118
AECOM 1160743622
FB-2 of 4
FY 2025 CIPP
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. THE CONTRACT
SHALL BE AWARDED ACCORDING TO THE BASE BID.
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 5% BID BOND Dollars
($ ) in the form of , is submitted herewith in
accordance with the INSTRUCTIONS TO BIDDERS.
5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor.
Attached hereto is a Bidder Status Form indicating Resident Bidder Certification ( X ), or
Non -Resident Bidder Certification ( ). (Mark one.)
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 MP 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:
NJON No. ON 6 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.
FORM OF BID CONTRACT NO. 1118
AECOM 1160743622
FB-3 of 4
FY 2025 CIPP
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.
MUNICIPAL PIPE TOOL CO LLC 2/12/2025
(Name of Bidder) (Date)
a/WADI (/LktAC cL&odCOO
BY.Title
Official Address: (Including Zip Code):
515 5TH STREET, PO BOX 398
HUDSON, IA 50643
I.R.S. No. &- OS-
FORM OF BID CONTRACT NO. 1118
AECOM #60743622
FB-4 of 4
FY 2025 CIPP
INFORMATION NEEDED
FOR
IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE
CONTRACTOR NAME: MUNICIPAL PIPE TOOL CO LLC
ADDRESS: 515 5TH STREET, PO BOX 398, HUDSON, IA 50643
(Check One) PRIME X
FEDERAL ID#: 26-0583739
SUBCONTRACTOR
PROJECT NAME: 2025 CIP PIPELINING PHAVE V, CONTRACT NO. 1118
PROJECT CONTRACT NO.: CONTRACT NO. 1118
DESCRIPTION OF WORK:
❑ Brickwork
❑ Carpentry
❑ Concrete
❑ Drywall -Plaster -Insulation
❑ Electrical
❑ Excavation/Grading
Flooring
I-1 Heavy Construction
❑ Heating -Ventilating -Air Cond.
SALES TAX EXEMPTION
AECOM 1160743622
❑ Landscaping
❑ Painting
❑ Paving
❑ Plumbing
❑ Roofing -Siding -Sheet Metal
❑ Windows
r1 Wrecking -Demolition
Li Other (Please specify)
CIPP LINING & CCTV OF SEWER LINES
CONTRACT NO. 1118
STE-1 of 1
FY 2025 CIPP
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of IOWA )
BLACK HAWK )ss
County of )
Sharon Waschkat , being first duly sworn, deposes and says that:
1 He is e (Owner, Partner, Officer, Representative, or Agent) , of MUNICIPAL PIPE TOOL CO LLC
, the Bidder that has submitted the attached Bid;
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.
(Sig ned ) DV-W/0Y) L/4M C
Sharon Wachkat, COO
Subscribed and sworn to before me this 12TH
Title
day of FEBRUARY
PROJECT FILE ADMIN
My commission expires JULY 29, 2025
NON -COLLUSION AFFIDAVIT CONTRACT NO. 1118
AECOM 1160743622
Itle
, 2025.
COURTNY R SCHUMACHEU
Commission No.319100
My C • mmission E pires
NCA-1 of 2
FY 2025 CIPP
State of -Ac:fek.,
County of Se
1. He is
2. He is fully informed respecting the pr: •aration an contents • the subcontractor's proposal
submitted by the subcontractor to
contract pertaining to the
NON -COLLUSION AFFIDAVIT OF SUBCONTRACTOR
w
) ss:
, being first duly sworn, deposes and says that:
r Partner Officer Re resentative or A• ent
as the "Subcont act6f;"
of
hereinafter referred to
project in
(City or County and State)
3. Such subcontractor's proposal is genuine and is not a collusive or sham proposal;
4. Neither the subcontractor nor any of its officers, partners, owners, agents, representatives,
employees, or parties ;n 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 proposal in connection with such contract or to refrain from submitting a
proposal in connection with such contract, or has in any manner, directly or indirectly, sought by
unlawful agreement or connivance with any other bidder, firm or person to fix the price or prices in
said subcontractor's proposal, or to fix any overhead, profit or cost element of the price of prices
in said subcontractor's proposal, or to secure through collusion, conspiracy, connivance or
unlawful agreement any advantage against the City of Waterloo, Iowa, or any person interested in
the proposed contract; and
b. The price or prices quoted in the subcontractor's proposal 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) r4Ukcn. 8 u jitter
Vice President
Tit
Subscribed and sworn to before me this /2 day . ��� ,L 20 �
My commission expires 4--/7--2427
tat CRISTI HAGEDORN
9 Cn'' mii�� N::r'he' 813308
My Ex:i:res
/° -/7-AaAi
Cr
NON-COLLUSIONAFF'DAVII CONTRACT NO. 1118
AECON1 #60743622
Title
NCA-2 of 2
FY 2025 CIPP
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.
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,
EQUAL OPPORTUNITY CLAUSE CONTRACT NO. 1118
AECOM /160743622
EOC-1 of 2
FY 2025 CIPP
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.
(g)S-ActumSi (Signed) ocack. (go
(Appropriate Official)
COO
(Title)
2/12/2025
(Date)
EQUAL OPPORTUNITY CLAUSE CONTRACT NO. 1118 EOC-2 of 2
AECOM #60743622 FY 2025 CIPP
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, about 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, 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 CONTRACT NO. 1118
AECOM #60743622
TVI-1 of 1
FY 2025 CIPP
Bidder Status Form
To be completed by all bidders Part A
Please answer "Yes" or "No" for each of the following:
I
,II
I
Yes Lj No My company is authorized to transact business in Iowa.
('I'o help you determine if your company is authorized, please review the worksheet oil the next page).
Yes ❑ No My company has an office to transact business in Iowa.
Yes ❑ No My company's office in Iowa is suitable for more than receiving mail, telephone calls, and a -mail.
Yes ❑ No My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
Yes ❑ No 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 Parts 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:
/ ALL'
Address: 515 5th Street, PO BOX 398
City, State, Zip: Hudson, IA 50643
/ / to / / Address:
City, State, Zip:
/ / to / / Address:
City, State, Zip:
You may attach additional sheet(s) if needed
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?
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.
Yes 1 I No
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 1 know that my failure to
provide accurate and truthful information may be a reason to reject my bid.
Firm Name: Municipal Pipe Tool Co., LLC
Signature: Date:
2O76
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 l_J No
Yes No
Yes No
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.
Yes 1J No 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.
Yes U No 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.
Yes LJ No My business is a limited liability partnership which has filed a statement of qualification in this
state and the statement has not been canceled.
Yes U No 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.
Yes (J No 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.
Yes 1J No 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.
Yes LJ No My business is a limited liability company whose certificate of organization is filed in Iowa and has
not filed a statement of termination.
Yes U No 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)
BSF-2
DESCRIPTION OF JOB CATEGORIES
1 Officials/Manager: Occupations in which employees set broad policies, exercise overall
responsibility for execution of all policies, or direct individual departments or special phases of the
agency's operations or provide specialized consultation on a regional, district or area basis.
Includes: department heads, bureau chiefs, division chiefs, directors, deputy directors, controllers,
examiners, wardens, superintendents, unit supervisors, sheriffs, police and fire chiefs and
inspectors and kindred workers.
2. Professionals: Occupations which require specialized and theoretical knowledge which is
usually required through college training or thorough work experience and other training which
provides comparable knowledge. Includes: personnel and labor relations workers, social workers,
doctors, psychologists, registered nurses, economists, dietitians, lawyers, system analysts,
accountants, engineers, employment and vocational rehabilitation counselors, teachers or
instructors, police and fire captains and lieutenants and kindred workers.
3. Technicians: Occupations which require a combination of basic scientific or technical knowledge
and manual skill which can be obtained through specialized post -secondary school education and
through equivalent on-the-job training. Includes: computer programmers and operations,
draftsmen, surveyors, licensed practical nurses, photographs, radio operators, technical
illustrators, police and fire sergeants and kindred workers.
4. Office/Clerical: Workers are responsible for internal and external communication, recording and
retrieval of data and/or information and other paper work required in an office. Includes:
bookkeepers, messengers, office machine operators, clerk -typists, stenographers, court
transcribers, hearing reporters, statistical clerks, dispatchers, license distributors, payroll clerks
and kindred workers
5. Skilled Craft Workers: Workers perform jobs which require special manual skill and a thorough
and comprehensive knowledge of the processes involved in the work which is acquired through
on-the-job training programs. Includes: Mechanics and repairman, electricians, heavy equipment
operators, stationary engineers, skilled machine occupations, carpenters, compositors and
typesetters and kindred workers.
6. Sales Workers: Occupations engaging wholly and primarily in direct selling. Includes:
advertising agents and salesman, insurance agents and brokers, real estate agents and brokers,
stock and bond salesmen, demonstrators, salesmen and sales clerks, grocery clerks and cashier
checkers, and kindred workers.
7 Operatives (semi -skilled): Workers who operate machine or processing equipment or perform
other factory -type duties of intermediate skill level which can be mastered in a few weeks and
require only limited training. Includes: apprentices (auto mechanics), plumbers, building trades,
metal working trades, bricklayers, carpenters, electricians, machinists, mechanics, printing trades,
etc., operatives, attendants (auto service and parking), plasterers, chauffeurs, deliverymen and
furnacemen, heaters (metal) laundry and dry cleaning operatives, milliners, mine operatives and
laborers, motormen, oilers and greasers, (except auto painters), (except construction and
maintenance), photographic process workers, stationary fireman, truck and tractor drivers,
weavers, (textile), welders and flame cutters and kindred workers.
8. Laborers (unskilled): Workers in manual occupations which generally require no special
training. Perform elementary duties that may be learned in few days and require the application
of little or no independent judgment. Includes: garage laborers, car washers and greasers,
gardeners (except farm) and groundskeepers, longshoremen, and stevedores, lumbermen,
craftsmen and woodchoppers, laborers performing lifting, digging, mixing, loading and pulling
operations and kindred workers.
7
9. Apprentices: Persons employed in a program including work training and related instruction to
learn a trade or craft which is traditionally an apprenticeship, regardless of whether the program is
registered with a Federal or State agency.
10. Trainees (on -the -lob): Production. Persons in formal training for craftsmen when not trained
under apprentice programs --operative laborer, and service occupations.
White Collar. Persons engaged in formal training for clerical, managerial, professional, technical,
sales, office and clerical occupations.
8
ITEMS OF POTENTIAL MBE/WBE PARTICIPATION
NOTICE TO PROSPECTIVE BIDDERS:
The following are items from the FY 2025 CIP PIPELINING PHASE IVB1, CONTRACT NO. 1118, project
that have a potential for MBE/WBE Participation. This listing, however, is not intended to be all
encompassing; to preclude MBE/WBE Contractors from bidding on any items of the Proposal as a
Subcontractor or the entire Proposal as a Prime Contractor.
Item
Description
Unit
Estimated
Quantiles
Unit
Price
Total
Amount
BASE
BID
A
Mobilization
LS
1
$
$
1
8"
Diameter
CIP
Pipe
Lining
LF
16,311
$
$
2
10"
Diameter
CIP
Pipe
Lining
LF
1,879
$
$
3
12"
Diameter
CIP
Pipe
Lining
LF
868
$
$
4
15"
Diameter
CIP
Pipe
Lining
LF
806
$
$
5
Lateral
Reinstatement
EA
249
$
$
6
3-FT
Lateral
Grouting
EA
249
$
$
7
Pipe
Televising
- 8"
LF
32,622
$
$
8
Pipe
Televising
- 10"
LF
3,758
$
$
9
Pipe
Televising
- 12"
LF
1,736
$
$
10
Pipe
Televising
- 15"
LF
1,612
$
$
11
Type
A
Pipe
Cleaning
- 8"
LF
16,311
$
$
12
Type
A
Pipe
Cleaning
- 10"
LF
1,879
$
$
13
Type
A
Pipe
Cleaning
- 12"
LF
868
$
$
14
Type
A
Pipe
Cleaning
- 15"
LF
806
$
$
15
Type
C
Root
Removal
- 8"-10"
LF
4,547
$
$
16
Type
C
Root
Removal
- 12"-15"
LF
217
$
$
17
Type
D
Lumberjack
-
8"-10"
LF
4,547
$
$
18
Type
D
Lumberjack
-
12"-15"
LF
217
$
$
19
Protruding
Taps
Removal
EA
50
$
$
BASE
BID
TOTAL
$
$
BID
ALTERNATE
NO.
1
—
DWG
8
101
8"
Diameter
CIP
Pipe
Lining
LF
2,905
$
$
102
Lateral
Reinstatement
EA
40
$
$
103
3-FT
Lateral
Grouting
EA
40
$
$
104
Pipe
Televising
-
8"
LF
5,810
$
$
105
Type
A
Pipe
Cleaning
- 8"
LF
2,905
$
$
106
Type
C
Root
Removal
- 8"-10"
LF
726
$
$
107
Type
D
Lumberjack
- 8"-10"
LF
726
$
$
108
Protruding
Taps
Removal
EA
20
$
$
BID
ALTERNATE
NO.
1
TOTAL
$
$
MBE/WBE PARTICIPATION
AECOM 1160743622
CONTRACT NO. 1118
M-1 of 7
FY 2025 CIPP
BID
ALTERNATE
NO.
2 -
DWG
11
201
8"
Diameter
CIP
Pipe
Lining
LF
2,375
$
$
202
Lateral
Reinstatement
EA
39
$
$
203
3-FT
Lateral
Grouting
EA
39
$
$
204
Pipe
Televising
-
8"
LF
4,750
$
$
205
Type
A
Pipe
Cleaning
-
8"
LF
2,375
$
$
206
Type
C
Root
Removal
-
8"-10"
LF
593
$
$
207
Type
D
Lumberjack
-
8"-10"
LF
593
$
$
208
Protruding
Taps
Removal
EA
20
$
$
BID
ALTERNATE
NO.
2
TOTAL
$
$
ADDITIONAL
CLEANING
RATES
Item
Description
Unit
Estimated
Quantity
Unit
Price
Total
Price
301
Type
A Pipe
Cleaning
- 8"
HR
50
$
$
302
Type
A
Pipe
Cleaning
- 10"
HR
50
$
$
303
Type
A
Pipe
Cleaning
- 12"
HR
50
$
$
304
Type
A
Pipe
Cleaning
- 15"
HR
50
$
$
305
Type
C
Root
Removal
- 8"-10"
HR
50
$
$
306
Type
C Root
Removal
- 12"-15"
HR
50
$
$
307
Type
D
Lumberjack
- 8"-10"
HR
50
$
$
308
Type
D
Lumberjack
- 12"-15"
HR
50
$
$
A table
of expected
cleaning
times
per
segment
shall
work.
be submitted
to the
Owner
prior
to
beginning
MBE/WBE GOALS FOR THIS PROJECT
IMPORTANT: Prime Contract Bidders should be aware that ten percent (10%) MBE goal and a two
percent (2%) WBE goal is attached to this project. "Certified Return Receipt" letters are no longer needed
with the bid showing proof of contacting MBE or WBE Subcontractors, but the Pre -Bid Contact
Information Form must be filled out completely.
City of Waterloo Contract Compliance Officer:
Contract Compliance Officer
Community Development Board
Carnegie Annex, Suite 202
620 Mulberry Street
Waterloo, IA 50703
Phone: (319) 291-4429
MBE/WBE PARTICIPATION CONTRACT NO. 1118
AECOM ##60743622
M-2 of 7
FY 2025 CIPP
-
HVDSON `•IA .03`
5 PI J N _
. 1 .^.. • : : .• Y •pet • . .-�
... � .. �; wyvw.mur►i11L^� �co��•:��:
SUBCONTRACTOR'S BID REQUEST FORM
Contract No.: 1118
Letting Date: 2/13/2025
I, Service Signing hereby attest that I have been solicited for a bid on FY 2025 CIP
Pipelining Phase V City of Waterloo in the area of Traffic Control.
Municipal Pipe Tool Co., LLC has informed me that if I am interested in bidding, a
subcontracting bid proposal must be submitted to the company office by 2/12/2025
and 2:OOPM.
Date
(94 15
Date
.
Subcontractor's
Subcontractor's 5'gnatt
•
sio-u/mi wceAcckbatA
Prime Bidders Signature
•
•
•
.:.':
LETTER TO BE USED WHEN SOLICITING FOR
SUBCONTRACTOR QUOTES
Subcontractor's
RE: Contract No.: 2025 CIP PIPELINING PHASE V, CONTRACT NO. 1118
Dear SUB -CONTRACTOR
Municipal Pipe Tool Company is presently soliciting for the following work in connection with the above
referenced project.
ITEM(S) Needing Quotes for:
Traffic Control
Municipal Pipe Tool Company is an Equal Opportunity Employer, and all qualified bidders will not be
discriminated against due to race, religion, color, sex, or origin.
If interested in bidding your proposal must be turned into this office by 2/12/2025
and 12:00 P.M. Date
(Time)
Sincerely,
940),624 Ricoct/ut(a)c)
Sharon Waschkat, COO
Form CCO- 3 (11/28/2001)
MBE/WBE PARTICIPATION CONTRACT NO. 1118
AECOM 1160743622
M-4of7
FY 2025 CIPP
LETTER OF INTENT TO BID
(MBE/WBE LETTER)
According to the Current MBENVBE Contract Compliance Program - 2002, all MBENVBE Contractors
interested in submitting subcontractor quotes on construction protects with goals, MUST submit a
LETTER OF INTENT TO BID to the City of Waterloo Contract Compliance Officer at least seven (7) days
prior to bid opening.
The LETTER OF INTENT TO BID must list the specific items which the MBE/WBE Contractor is
interested in bidding.
Letter should include the following*
Name of Project: 202,5— C/P
Your Com any Name:
Address: PO doy /53(
Phone: 319 e?.3S q$57,7,
List of Specific items to be bid:
Item No.
Item No.
Item No.
Item No.
Item No.
cr!4 S-7Sb.C3
Description:
Description:
Description:
Description:
Description:
Date:
Subcontract mp Name and authorized signature) i
Subcontractor's o
Return this LETTER OF INTENT TO BID to:
Contract Compliance Officer
Community Development Board
620 Mulberry St.
Carnegie Annex, Suite 202
Waterloo, IA 50703
Phone: (319) 291-4429
Form CCO-5 (06-20-2002)
MBE/WBE PARTICIPATION CONTRAC I NO 1118
AECOM #60743522
M-50f7
FY 2025 CIF'P
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CO
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CONTRACT NO.
Courtnz Schumacher
afloat
Cc: vmiller@advanced-traffic.com; barricades@netzero.com; jerry@booneconst.com;
ddpatterson@iowatelecom.net; duffield6@msn.com; albeckpay@aol.com;
midwestcontractors@cfu.net; mps_engineers@hotmail com; rockette@iowatelecorn.net;
staffer@rupertconst.com; ktaylor@taylorconstr.com; jdelgado@tcwconstruction.com;
mevphoenixcorp@frontiernet.com; timothy@dormark.com; allison@servicesigning.com
Subject: QUOTE REQUEST -WATERLOO, IA 2025 CIP PIPELINING PHASE V
Attachments: DBE QUOTE REQUEST.pdf; PLANS COMPRESSED.pdf; SPECS.pdf
0cxxl Morning,
We are bidding a project in Vlratertoo, IA - 2025 CIP Pipelining Phase V and looking to get a traffic control quote. VW need
quotes no later than 12:00 PM on February 12, 2025. If you have questions or concerns please let me know. I have attached the
specs, plans, and bid items and the forms needed to be returned with your quote.
Thank you,
Courtny Schumacher, Project File Admin/Accounting Clerk
Municipal Pipe Tool Co., LLC
515 5th street - P.O. Box 398
Hudson, IA 50643
Office: 319-988-4205 ext. 295
Direct 319-988-3949
Fax: 319-988-3506
Email: courtnys@munipipe.com
i
Mb N iCIPAL
PIPE TOOL
July 10, 2024
To whom it may concern:
515 5TH ST
PO BOX 398
HUDSON, IA 50643
PHONE: 319-988-4205
www.munipipe.com
Sharon Waschkat, Chief Operations Officer, is authorized to sign contracts, bonds and
bids for Municipal Pipe Tool Company, LLC.
Kyle Armbrecht Production Manager, is authorized to sign contracts, bonds and bids for
Municipal Pipe Tool Company, LLC.
Todd Patterson, Fleet/Sales Manager, is authorized to sign contracts, bonds and bids for
Municipal Pipe Tool Company, LLC.
Mark Kaler, President, is authorized to sign contracts, bonds and bids for Municipal Pipe
Tool Company, LLC.
If you have any questions, please feel free to contact me at 319-988-4205.
Sincerely,
Ricuatiwt
Sharon Waschkat, Chief Operations Officer
Our Core Values:
Safety - Unity - Relationships - Determination - Results
Revised February 2003
CONTRACTOR'S OR SUBCQNTRACTOR'$ AFFIRMATIVE ACTIQN PROGRAM
Check box that applies to party completing program.
( X ) General Contractor
) Subcontractor
I. Section A to be completed by GENERAL CONTRACTORS only:
A.
Name of Company MUNICIPAL PIPE TOOL CO LLC
Address of Company 515 5TH STREET, PO 8OX 398. HUDSON, JA Lip 50643
Telephone Number (319 ) 988_4205
Federal ID Number (if no Federal ID Number, Owner/President's Social Security Number)
26-0583739
Name of Project 2025 CJP PIPELINING PHAVE V, CONTRACT NO. 1118
Project Contract Number CONTRACT NO. 1118
Estimated Construction Work Dates /
Start Finish
Section B 10 be completed by SUBCONTRACTORS only:
B.
Name of General or Prime Co_ tractor
Name of Subcontractor
Subcontractor's Address
/3
Zip
Subcontractor's Telephone Number (3/9) 001ss.-9352
Subcontractor's Federal ID Number (if no Federal ID Number Owner/President's Social Security
Number) '/2—/y5'3i}q 8
Name of Equal Employment Officer
C. Remainder of program to be completed by party completing program, either Prime or
Subcontractor
1. The Owners and/or Principals of your company.
1
E.
Ethnic
Name Address
Position Sex Sill
2. Other Areas of Interest:
If your company has branches or subsidiaries, or if your company is a branch or
subsidiary of a parent organization. give the following information:
Type of
Name Address
Affiliation Degree
II. EMPLOYER'S POLICY (Please read carefully.)
A. We, the undersigned, recognize that we are morally and legally committed to
nondiscrimination in employment. Any person who applies for employment with our
company will not be discriminated against because of race, color, creed, sex, national
origin, economic status, age, mental or physical handicap.
B. The employment policies and practices of the undersigned are to recruit and hire
employees without discrimination, and to treat them equally with respect to compensation
and opportunities for advancement, including training, upgrading, promotion, and
transfer. However, we realize the inequities associated with employment training,
upgrading, contracting and subcontracting for minorities and women and we will direct
our efforts to correcting any deficiencies to the maximum extent possible. The same will
be reguired of our SUBCONTRACTORS and suppliers.
C. We submit this program to assure compliance w:th Executive Order 11246, as amended,
and other subsequent orders that may pertain to equal employment opportunity and merit
employment policies, fully realizing that our qualification and/or merit system should be
evaluated and revised, if necessary.
D. We agree to put forth the maximum effort to achieve full employment and utilization of
capabilities and productivity of all our citizens without regard to race, creed, color, sex,
national origin, economic status, age. and mental or physical handicap.
MUNICIPAL PIPE TOOL CO LLC
will give training
(Name of Company)
and employment opportunities to local residents of Waterloo, Iowa, to the greatest extent
feasible.
III. AFFIRMATIVE ACTION
A. MUNICIPAL PIPE TOOL CO LLC
(Name of Company)
2
recognizes that the
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, Municipal Pipe Tool Co., LLC
as Principal, and Merchants Bonding Company (Mutual)
as Surety are held and firmly bound unto the 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 13th day of February
, 20 25 , for FY 2025 CIP Pipelining Phase V, Contract No. 1118, Waterloo, IA
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 23rd day of January , A.D. 2025.
Witness
itness Zach Fuller
BID BOND
AECOM #60743622
Municipal Pipe Tool Co., LLC
By
Principal
ThlAa (,O)7I I tiov)C-UctAIC Co
(Title)
Merchants Bonding Company (Mutu
Surety
By
ara , Attorney -in -fact
CONTRACT NO. 1118
BB-1 of 1
FY 2025 CIPP
MERCHANTS
BONDING COMPANY,„
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Alissa Cahalan; Anne Crowner; Ashlea McCaughey; Austin Muehlschlegel; Ben Williams; Brian J Oestreich; Brian M Deimerly; Cameron M Burt;
Colby D White; Craig E Hansen; D Gregory Stitts; Dione R Young; Donald E Appleby; Douglas Muth; Ginger Hoke; Grace Dickinson; Grace
Rasmussen; Graydon Dotson; Greg Krier; Jamie Gifford; Jay D Freiermuth; Jennifer Marino; Jessie Allen; Joe Tiernan; John Cord; Joseph Cardinal;
Joshua R Loftis; Kate Zanders; Keeton Welch; Kristine M Becks; Mark R DeWitt; Mark Sweigart; Mary Ashley Allen; Melinda C Blodgett; Michelle
Morrison; Michelle R Gruis; Nathan Weaver; Nicole Stillings; R C Bowman; Rachel Thomas; Sandra M Engstrum; Sara Huston; Sarah C Brown;
Seth D Rooker; Taylor Fogle; Ted Jorgensen; Tim McCulloh; Todd Bengford
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of
persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions
or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of
Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and April 27, 2024 and adopted by the Board of
Directors of Merchants National Bonding, Inc., on October 16, 2015 and amended on April 27, 2024.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenti ng to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 1st day of November 2024
►P�1ONqit ••.��
• .• ORq •6O':
:&a. -0- G:o :
COUNTY OF DALLAS ss.
On this 1st day of November 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
. ......
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By
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MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
d/bla MERCHANTS NATIONAL INDEMNITY COMPANY
President
x.' • 2003 • • .1
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STATE OF IOWA •• ..►4�
........►•►
/CQ31A
o v Commission
Z __ 1-
Penni
Number
Miller
787952
• n�
IOWA
•
My
Commission
January
20, 2027
Expires
Notary Public
(Expiration of notary's commission does not invalidate this instrument)
I, Elisabeth Sandersfeld, Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do
hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still
in full force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this
• • s . 0 • •
..............
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23rd day of
Secretary
January , 2025 .
POA 0018 (6/24)