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INCL DE TRUE WATERMARK PAPER HEAT SENSITIVE ICON AND FOIL HOLOGRAM.
•ADAMS OUTDOOR
CONTRACTING INC.
PO Box 604
Waterloo, IA 50704
PAY TO THE
ORDER OF
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MIDWESTONE BANK
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BIDDER:
ADDRESS:
CITY OF WATERLOO, IOWA
CODE ENFORCEMENT DEPARTMENT
BID FORM
for
FY 2026-2028
COMPLAINT MOWING WITH COMPLAINT SNOW REMOVAL
Oct LOA( as �� .
COMPANY NAME
c-S\
1--\cc CD S
PHONE: ()(9741-critt
1. The undersigned, being a corporation existing under the laws of the State of '.A , or a limited liability
com'an`yexistiag un er the laws of the State of .J o,,,>A , or a Partnership consisting of the following partners:
keS,a`0..r vrS
having been familiarized with the existing conditions on the project area affecting the cost of the work, and with
all the Contract Documents now on file in the offices of the City Clerk, City Hall, 715 Mulberry Street, Waterloo,
Iowa, and the Code Enforcement Department, 626 Mulbeny Street, Waterloo, Iowa hereby proposes to furnish all
supervision, technical personnel, labor, materials, machinery, tools, equipment, and services, including utility and
transportation services required to complete the proposed FY 2026-2028 COMPLAINT MOWING WITH
COMPLAINT SNOW REMOVAL, in accordance with the contract documents and for the unit price in place for
the following amount:
OPTION A: Provide all specified as needed mowing and trimming services for vacant lots:
Approximately 85 vacant lots with each lot averaging 0.25 of an acre (totaling approx. 17.5-18 acres
per occurrence)
Price Per Occurrence:
\-\e\vLA-3Ain Cs-‘ (L\MA.v 9(tJ' dollars ($ \,J 19,L\9)
vr\\.,t- 0; 4 ci.cMctJ .> c. �� L1 °‘ % I CO
OPTION B: Provide all specified mowing and trimming services on dilapidated structures.
Approximately 70 dilapidated structures with each lot averaging 0.25 of an acre (totaling approx.
12.5-13 acres per occurrence)
Price Per Occurrence:
/I(��G
Cs��. ��o� �s J �� V Q. \\.V. A re dollars ($ 5`�t- l
or�M- 1'�� Q- bo\tAf
BID FORM
Page 1 of 3
OPTION C: Provide all specified mowing services for residential complaint properties.
Price Per Man Hour:
\Ct. f S 44114/dollars ($
o
OPTION D: Provide all specified snow removal services for residential complaint properties.
Price Per Man Hour:
Mars Okte �v�.,-��lQ-1t�(C�_-t /19dollars ($ bb143)
OPTION E: Provide all specified as needed snow removal services for vacant lots:
There is a possibility of approximately 85 vacant lots
Price Per Occurrence:
dollars
\ pa- ' v\c Own
�(IWNCS( aQA\0it,
OPTION F: Provide all specified as needed snow removal services for Dilapidated Structures:
There is a possibility of approximately 70 dilapidated structures
Price Per Occurrence:
-\\\Ot,esis.dollars ($\ 1750 )
V\l/%-tV'reJ S C-- 1 c&V\ ct s
1. It is understood that the quantities set forth are approximate only and subject to variation and that the unit price
for the work done shall govern the actual payment to the Contractor.
2 In submitting this bid, the Bidder understands that the City reserves the right to reject any or all bids and to
award one or mot e contracts for a single Option, all Options together, or any combination of Options. If written
notice of acceptance of this Bid is mailed or delivered to the undersigned within thirty (30) days after Bid
Opening, of at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an
agreement in the prescribed form and fiirmsh the requited bond and certificate of insurance within ten (10) days
after the agreement is presented for signature, and start work within ten (10) days after "Notice to Proceed" is
issued.
3. Security in the sum of c -v.c \-�c AA,6., ' , v't kuj dollars ($
in the form of �\/.., , is submitted herewith in accordance with NOTICE TO
BIDDERS.
4. Attached is a Non -Collusion Affidavit of Prime Contractor.
5. The Bidder is prepared to submit a financial and experience statement upon request.
BID FORM Page 2 of 3
6. 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.
7. The Bidder has received the following Addendum or Addenda:
Addendum No.
Date: / /
/ /
/ /
8. The Bidder shall list the MBE/WBE subcontractors, amount of subcontracts and bid items listed on the City of
Waterloo Minority and /or Women Business Pre -bid Contract Information Form submitted with this Bid Form.
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 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
9. The Bidder shall list all equipment available for this project:
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10. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA".
11. The bidder has attached all applicable forms.
12. The owner reserves the right to select alternatives, delete line items, and/or to reduce quantifies prior to the
Award of Contract due to budgetary limitations.
SIGNED:
• Name and Title
Q,,
•
DATE. / )1-4 /2026
BID FORM Page 3 of 3
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State ofjc,,,
County of Ofiti( ttG-u t
ar4 icavvuc
, being first duly sworn, deposes and says that:
1. He is (Owner), (Partner), (Officer), (Representative), or (Agent) ofSv)CLw<> C(AL 7, 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,
representa: v- , Owners, employees, or parties in interest, including this affiant.
Signature
aa S t f/Q'\
Title
Srared/ cusA Asiw or yvto- be fo-rre' n've't
4?Dcvyf VW Kin , 2026.
SC'rre •
r
My coiS e4q311 A re r)C
•
State of Tiebtio .A )
County of Ct it 1 0“
SS
Name of Bidder
BY: ACIr bOS JDOX (Ovvtict-Ltic
Title: Ps;davJ �jb2r
•
, being duly sworn
P/6tanti
deposes and says that she/he is
ass
C oo CO3� 7 -#( `r
Name of Organization
of
and that the answers to the foregoing questions and all statements therein contained are true and
correct. Subscribed and sworn to before me this )'day of Mitt V, 202 G
( /
Notary Public
My commission expires
\A\i\c\L')
4 -�
, 20
.
STATEMENT OF BIDDER'S QUALIFICATIONS PAGE 2 OF 2