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7l7/25, 2:15 PM Detailed Tracking
Tracking ID: 882449703929 p <
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WATERLOO, IA
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FORM OF BID OR PROPOSAL
F.Y. 2025 PREFABRICATED SHELTER AT
512 UNIVERSITY AVE
CONTRACT NO. 1113
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1. The undersi ned, bein a Cor oration a�istin uncJer e lay✓ of the State of 1 wtdc-, a Parinershi
consisting off the following partners: /h mA 145(Al u n,= d- CIVIU Zuni "l C p
having familiarized (himself) (themselves) (itself) with the a ing conditions on a 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. 2025 PREFABRICATED SHELTERAT
512 UNIVERSITYAVE, CONTRACT NO.1113, all in accordance with the above -listed documents and for the lump sum for
work in place for the following items and quantities:
F.Y. 2025 PREFABRICATED SHELTER AT S12 UNIVERSITY AVE, CONTRACT NO. 1113
Description
Total Cost
BASE BID (NEW CONCRETE SHELTER)
$
ALTERNATE BID (REFURBISHED CONCRETE SHELTER)
FORM OF BID CONRACT NO. 1113 Page 1 of 3
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. 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 ($_
in the form of is submitted herewith in accordsce with
the INSTRUCTIONS TO BIDDERS. Ta toe Pro C ca�or� Nola wAAan
5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor,
6. Attached hereto is a Bidder Status Form,
7. The bidder (s 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 orAddenda:
R'CC72`tll"ii1
10. The bidder shall list the MBENIIBE subconlractor(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).
eeeeeeeeee
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.
/Jl // Title
FORM OF BID CONRACT NO. 1113
Paye ?_ of 3
Official Address: (Including Zip Code):
3o,,q
I.R.S. No. 4173 73 ! 0I 7�
FORM OF BID CONRACT N0. 1113 Page 3 of 3
CITY OF
NUJ y TERLOO
C"MunryofOpp�nfty
Prime
MBE/WBE BUSINESS ENTERPRISE
PRE -BID CONTACT INFORMATION FORM
Date:
NO MBE/WBE SUBCONTRACTORS: Ifyou 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
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 inbid
MBE/WBE
Subcontractors
Dates
Contacted
Yes/No
Dates
Contacted
Yes/No
Dollar Amount Proposed to
be Subcontracted
(Font CCO-4) Rev. 06-20-02
MBE/WBE BUSINESS ENTERPRISE
PRE -BID CONTACT INFORMATION FORM INSTRUCTIONS
Prime Contractor ReSDOnSlblhtiCS:
Prime Contractors bidding on City of Waterloo contract work are required to ensure that MBE/WBE businesses are
provided the opportunity to participate in the performance of contracts and subcontracts. Prime contractors are required to
assist MBE/WBE businesses in overcoming barriers to participation, and must make good faith efforts to secure bids from,
and award subcontracts to, MBE/WBE businesses. For all contract bids of $50,000 or more, the following is required to
demonstrate good faith efforts in accordance with this policy:
L "MBE/WBE BUSINESS ENTERPRISE PRE -BID CONTACT INFORMATION FORM" submitted with the prime contractor
bid, properly completed and signed on Form CCO-4 (Rev. 06-20-02). Please note that this document must include all
subcontractor contacts, bids received, and awarded - not just those related to disadvantaged business enterprise vendors.
2. A minimum of three (3) MBE/WBE business contacts must be made and documented, if there are at least three (3)
MBE/WBE businesses offering services in the areas to be subcontracted (see City of Waterloo MBE/WBE Certified List). If
less than three (3) are offering the services to be subcontracted, then a contact is required for any that are listed as
providing that service. If you have submitted a MBE/WBE contact not on the City's MBE/WBE list, attach a copy of the
certification from another government agency.
3. Contacts to each MBE/WBE businesses are required to be a minimum of seven (7) working days prior to the date the
prime contractor submits the bid to the City of Waterloo.
4. The following documentation must accompany the "MBE/WBE BUSINESS ENTERPRISE PRE -BID CONTACT
INFORMATION FORM" for each MBE/WBE business contacted:
a. A copy of the bid received from the MBE/WBE, OR
b. If no bid was received, a copy of correspondence received from the MBE/WBE with a "no bid" response, OR
c. If no response was received, a copy of the solicitation sent to the MBE/WBE with proof of mailing attached.
5. If any MBE/WBE business submitting bids are not selected for subcontract award, documentation must accompany the
"MBE/WBE BUSINESS ENTERPRISE PRE -BID CONTACT INFORMATION FORM"on why the MBE/WBE was not
selected. These reasons could include:
a. Not low bid. Copies of the competing bids may be required for verification.
b. MBE/WBE did not bid, withdrew bid or was n o n -responsive.
c. Documentation of other business -related reason for not selecting the MBE/WBE business for a subcontract.
d. Prime contractor self performs w or k .
e. Any other reason relied on by the Prime Contractor.
The Contract Compliance Officer will determine the weight to be given to each item listed above (supported by appropriate
documentation) based on overall program goals.
Subcontractors Resnonsibilities:
1. Each MBE/WBE firm planning to submit quotes on construction projects with goals, shall submit a Letter of
Intent to Bid (Form CCO-5) to the City Contract Compliance Officer seven (7) working days prior to bid opening, listing
specific items which the MBE/WBE firm is interested in bidding. If the City Contract Compliance Officer does not
receive sufficient scope letters seven (7) working days prior to bid opening, goals on subject project will be reduced
accordingly. Agreements between the bidder/proposer and an MBE/WBE in which the MBE/WBE promises not to
provide subcontracting quotations to other bidders/proposers are prohibited.
Form CC04A Rev. 07-08-02
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of \I5 )
ss
County of C"S�Iy� 1� )
the B[dder t(tat has submitted the
being first duly sworn, deposes and says that:
i
�•4 R_ ,
i
2. I-Ie isfully-informed respecthrg 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 a• shamBid:
4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, a 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 outer 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 colluslon,
conspiracy, connivance, or unlawftd 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 at•e fair and proper and ate not tainted by any collusion,
conspiracy, connivance or unlawful agreement on the part of the B idder or any of its agents, representatives,
owner's, employees, or parties in interest, including this of lit.
(Signed) QQ
I itte
Subscribed and sworn to before me this 1 day of � vl % , 20 �.
G No�c./ �vb11(
�5t YNt. title
My commission expires S t?k b,� 30, ZuZ7
Jaaab fiadd Townsend
NOTARY PUBLIC
REGISTRATION # 8063687
COMMONWEALTH OF VIRGINIA
MY COMMISSION EXPIRES September 30, 2027