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FarmersState..Bank.
1310 6th Street
Jesup,IA 50648-1183
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THIS DOCUMENT CONTAINS A TRUE WATERMARK - HOLD TO LIGHT TO VIEW
Reference:Landmark Turf Services -Contract 1150
Pay to the order of:City of Waterloo
Amount:
Pay:Two Thousand Eight Hundred Fifty -Four Dollars And Zero Cents
City of Waterloo
S0TC)
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03/ 12/20261:`
$2,854.00
3032
::::72-804/739.
VOID AFTER 90 DAYS
TWO SIGNATURES REQUIRED ON MOUNTS GREATER THAN $100,000.00
0030322" 1:07390804SI: 003 732 5ee'
AUTHORIZED SIGNATURE
PP
Details on Back
Security Features Included.
MAR. 1 i25 Pm2`M2
FORM OF BID OR PROPOSAL
LEVEE RIP RAP SPRAYING
CONTRACT NO. 1150
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 7 u L) (.(
a Partnership consisting of the following partners: Iv\ ; k--1 �\ nt
, 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 LEVEE RIP RAP SPRAYING, Contract No. 1150, all in accordance with the above -listed documents
and for the unit prices for work in place for the following items and quantities:
LEVEE
CONTRACT
RIP
RAP
NO.
SPRAYING
1150
ITEM
BID
ITEM
DESCRIPTION
UNITS
QTY.
UNIT
BID
PRICE
TOTAL
BID
PRICE
1
BEND
CEDAR
PARK
RIVER
TO
CEDAR
-
2300
FEET
BEND
WEST
PARK
OF
CEDAR
LS
1.0
$ I
0
ej , C c.
$)
a ,6 c , 0 C
2
SOUTH
CEDAR
OF
RIVER
CN
RAILROAD
-
CONGER
BRIDGE
STREET
TO
78
FEET
LS
1.0
$ S)
; • O ?)
$ S) ) c0 i
3
VIRDEN
CEDAR
CREEK
RIVER
OUTLET
-
BOATHOUSE
PARKING
LOTTO
LS
1.0
$ 1
?i
\t.i • C- 6
$ c7CT
Li,
G ?
4
MULLAN
CEDAR
RIVER
AVENUE
-
150
TO
FEET
EAST
1ST
NORTH
STREET
OF
EAST
LS
1.0
$ a
,a
- Cs 0>
$ 3 if'
a • 0 07
5
BRIDGE
CEDAR
TO
RIVER
EAST
-
CITY
IOWA
LIMITS
NORTHERN
RAILROAD
LS
1.0
$ I �`�,
SA
• or%
$ l Ll, SA.
_
C • 0 O
6
DETENTION
CEDAR
RIVER
BASIN
-
FORRESTER
&
CUNETTE
AVENUE
LS
1.0
$
),
( j
15. . o a$
1) `
I ' 0 0
7
STREET
CEDAR
TO
RIVER
100
-
FEET
3200
SOUTH
FEET
WEST
OF
WEST
OF
CONGER
1ST
STREET
LS
1.0
$
1 a
1 c) o • T n
$ 1 a,
I
u 6 . 0 6
8
ROAD(WESTSIDE)
BLACK
HAWK
CREEK
-
HIGHWAY
218
TO
RIVER
LS
1.0
$
NI
1345•t-'O
$
I! I
'3\ ,O T,
9
ROAD
BLACK
(EAST
HAWK
SIDE)
CREEK
-
HIGHWAY
218
TO
RIVER
LS
1.0
$ 3 `) 5 t�. L �'�'�
r
•
$ ��' 5 3
C . (} 0
10
BRIDGE
CEDAR
TO
RIVER
HAWTHORNE
-
IOWA
NORTHERN
AVENUE
RAILROAD
LS
1.0
$ S , 7 6 c3 i Cr,
$ ell ) 1. O i 6
(0
FORM OF BID
CONTRACT NO. 1150
Page 1 of 3
11
RING
WATERLOO
LEVEE
WASTEWATER
TREATMENT
PLANT
LS
1.0
$ �")/ (3`,S
C) . U e)
$
t I
�,
S c.� o
�� ( ,
12
DRIVE
NO
NAME
TO
NO
CREEK
NAME
-
CUNETTE
CREEK
FROM
WCF
&
N
LS
1.0
$ `-I
3,
L. , cJ r>
$ t-1 )•
i; . O 0
13
VIRDEN
CREEK
-
VIRDEN
CREEK
DAM
LS
1.0
$ ),
)
nI
.0 ()
$ ),
I c�
�.
-
0 C>
14
SEWER
CEDAR
PUMPING
RIVER
-
HAWTHORNE
STATION
AVENUE
STORM
LS
1.0
$ a
0 (1 (
$ ), 3 t) , 0
00
15
SEWER
CEDAR
PUMPING
RIVER
-
CEDAR
STATION
BEND
STREET
STORM
LS
1.0
$
\
4 1 a 0
$ A
E U , (") 0
16
JAPANESE
CEDAR
RIVER
KNOTWEED
-
RIGHT
DESCENDING
BANK
-
LS
1.0
$ Q 15 • 0 o
$
(
I S - ' ()
17
JAPANESE
CEDAR
RIVER
KNOTWEED
-
LEFT
DESCENDING
BANK
-
LS
1.0
$ >u
I
i • o V)
$
C:
I .• 0 -,
18
STORM
BLACK
SEWER
HAWK
OUTLET
CREEK
-
ANSBOROUGH
AVE
LS
1.0
$ \'3 0 ) C o
$ thaC •(' 0
19
HAWK
BLACK
RD
HAWK
-JAPANESE
CREEK
KNOTWEED
-
BEHIND
901-925
BLACK
LS
1.0
$ ci
L-1. I (-' 0
$ 7
t. ' , 0 p
20
JAPANESE
CEDAR
RIVER
KNOTWEED
-
BEHIND
CASTLE
HILL
PARK
-
LS
1.0
$ t g S ' I o
$ g `> S ' 6 a
21
CONGRESS
CEDAR
RIVER
-JAPANESE
-
BEHIND
KNOTWEED
NATIONAL
CATTLE
LS
1.0
$ (6 C b , O i)
$ cj; C C) ' b
22
VIRDEN
CREEK
- VIRDEN
CREEK
ENCLOSURE
LS
1.0
$ 1,
> >-1
U--' , c., 0
$
I ,c; LI 0 • `' 0
23
SINK
CREEK
- WESTDALE
BIOSWALE
LS
1.0
$ 4
S •' t
$ 11
g 5 ' a 0
TOTAL
BID
$ 5 );
c' ,�
`6 . a 0
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 i. &.it i; ; ;►,} l� :,,, �,t,� 1= , �i 1 1' • •-, / Dollars ($ �, `6 SH,c 0
) in the form of (- ►\ , is submitted herewith in accordance with
the INSTRUCTIONS TO BIDDERS.
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.
FORM OF BID CONTRACT NO. 1150
Page 2 of 3
8. The Prime Contractor and Subcontractor(s), which have performed an aggregate of $10,000.00 in work
for the City in the current calendar year, are prepared to submit an AAP or Update and an EOC, within ten
(10) days of notification that the bid submitted is lowest and acceptable.
9. The bidder has received the following Addendum or Addenda:
Addendum No. Date
10. 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.
(Name of Bidder)
BY: 1-\�
t,,,Lic 3JJ)/Z,oUU
(Date)
Title P
Official Address: (Including Zip Code):
IL\ "\\) 4 £0
h n )< c l� J III
I.R.S. No. °`ir3 c3C.)`\
FORM OF BID
CONTRACT NO. 1150 Page 3 of 3
Bidder Status Form
To be completed by all bidders
Part A
Please answer "Yes" or "No" for each of the following:
QYes
OD Yes
0 Yes
gYes
Yes
Q No
ONo
ONo
ONo
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 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: �a /
Dates:
Dates:
I 3 / i 1 / 4(>�. L Address: ) 5 L) ill) r �n �J �1 iii--,
<R. 0
City, State, Zip: �� '�► 11.(c1; ��)
/ / to / / Address:
City, State, Zip:
/ / to / / Address:
City, State, Zip:
/ Ks' to
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? 0 Yes Q 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:
Signature:
C ti l t 11\
ON,
v'
Date: 4-)-3 / i 1) O d, (2,
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)
State of
County of
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
)ss
k L. I \\ C l , being first duly sworn, deposes and says that:
1 He is (Owner, Partner, Officer, Representative, or Agent) , of 1-, A,,, s it Sc v: Lcs
, the Bidder that has submitted the attached Bid;
2. He is fully -informed respecting the preparation and contents of the attached Bid and of all pertinent
circumstances respecting such Bid;
3. Such Bid is genuine and is not a collusive or sham Bid:
4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or
parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or
indirectly, with any other Bidder firm or person to submit a collusive or sham Bid in connection with the
Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such
Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or
conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other
Bidder, or, to fix any overhead, profit or cost element of the bid price or the bid price of any other Bidder, or
to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the
City of Waterloo, Iowa, or any person interested in the Proposed Contract; and
5 The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion,
conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives,
owners, employees, or parties in interest, including this affiant.
Subscribed and sworn to before me this
My commission expires 3"1-22-7
(Signed)
Ivy Pub11C
Title
2-^''= day Ularati
t\i pootfr,
Title
•
ELIZABETH L WEBER
COMMISSION NO.788786
MY COMMISSION EXPIRES
20 2(a