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JIOWEN
•
CONTRACTING
OWEN CONTRACTING, INC.
1325 RAIL WAY
CEDAR FALLS, IA 50613
MAY 14'26 PMI2:52
Bid Security For:
Runway 18-36 Rehabilitation Outside Runway
12-30 Safety Area
FAA Project No. 3-19-0094-060-2026
arilirWr
PROPOSAL FORM
FOR
RUNWAY 18-36 REHABILITATION OUTSIDE
RUNWAY 12-30 SAFETY AREA
FAA #3-19-0094-060-2026
AT THE
WATERLOO REGIONAL AIRPORT
WATERLOO, IOWA
Waterloo Regional Airport
2790 Livingston Lane
Water loo, IA 50703
Gentlemen:
..r
1. The undersigned, being a Corporation existing under the laws of the State of - ottoa , a Partnership consisting of the
following partners: , 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 Runway 18-36 Rehabilitation Outside Runway 12-30 Safety Area, FAA #3-19-0094-
060 -2026, all in accordance with the above -listed documents and for the unit prices for work in place for the following
items and quantities:
2. The extent of the work involved is as follows:
•
•
•
•
Rehabilitation of Runway 18/36 with profile milling and 7.5-inch PCC white top overlay of the pavement within
the project area.
Grooving of the new runway pavement.
Pavement marking for Runway 18/36.
Restoration along the edge of the new pavement.
3. The undersigned, in compliance with your Invitation for Bids dated 3/ 3 0/.24 , hereby proposes to do the
work called for in said Contract and Specifications and shown on said Plans and Addendum Nos.
and to furnish all materials, tools, labor and all appliances and appurtenances necessary for the
said work at the following rates and pi ices:
FAA AiP #3-19-0094-060-2026 P-I Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
ITEMIZED PROPOSAL
WATERLOO REGIONAL AIRPORT
WATERLOO, IOWA
PROJECT: RUNWAY 18-36 REHABILITATION WITHIN
RUNWAY 12-30 SAFETY AREA
FAA #3-19-0094-060-2026
ITEM
NO.
SPEC.
NO.
DESCRIPTION
UNIT
ESTIMATED
QUANTITY
UNIT
PRICE
BID
TOTAL
PRICE
BID
BASE
BID
1
C-105
MOBILIZATION
DEMOBILIZATION
AND
LS
1
$
$ 17a
Oates vo
1 '70) voo, oa
2
GP
50-06
CONS"I'RUC"I'ION
SURVEY
LS
1
1
$ 19y.ot,od
$ J 9, Soa.oa
3
C-105
BARRICADES
LS
1
$ I/vfoOa.ea
$ ISO 0404'ea
4
P-101
CRACK
REPAIR
SYD
200
$ G oo
$ ) *3 otbscb
5
P- I
O
I
COLD
PROFILE
MILLING
SYD
17,920
$ 12. .00
$ 2 / S� v'jw. cSd
6
P-401
ASPHALT
TRANSITION
TONS
560
$ f Pz,
at
$ /off f '26, Oa
7
P-401
ASPHALT
LEVELING
COURSE
TONS
1,000
) 7€o 06d.60
1"76
oo
8
P-501
7.5
INCH
WHITETOP
SYD
16,500
$ S3, tic)
$ g$ /) lab,
Ace
9
P-603
EMULSIFIED
ASPHALT
TACK
COAT
GAL
2,300
$ 6,7c
$ /55.<24,4)
$ 9tap,OD
$ 6) (pSO,oc
10
P-605
CRACK
SEALING
FILLER
LFT
2,000
$ Z..00
11
P-620
AIRIFELD
REFLECTIVE
MARKING
-WATERBORNE)
(YELLOW-
SF
1,900
$3. .5-2)
12
P-620
AIRIFELD
REFLECTIVE
MARKING
-WATERBORNE))
(WHITE-
SF
50,800
$
$ 3$ /eo,
01)
0.7<
13
P-620
AIRIFELD
REFLECTIVE
MARKING
-WATERBORNE)
(BLACK
-NON-
SF
1
1,700
$ /. ��
$/ /REFLECTIVE �'dD'Db
14
P-620
GRADA
I
ION
A)EDIA
(TYPE
I,
LBS
3,350
$ /, op
$ 3, 3 Sd, do
15
P-621
GROOVING
SYD
14,300
$ 7, -Lc
$ 1/4,, 975.0t
16
T-901
SEEDING
AC
1
$ J 6ya.ob
$ / f 4.<0.0o
17
T-905
"I'OPSOILING
"I'I-IE
SI"I
E)
(FURNISHED
FROM
OFF
CY
50
$
ty.�
46745
$ o, tea
18
T-908
MULCHING,
HYDRO
-APPLIED
AC
1
$ 114Sv,co
$ 42} G Co, vo
TOTAL
BASE
BID
$
I,75 A360.a0
4. The undersigned understands that the above quantities of work to be done are approximate only and are
intended principally to serve as a guide in evaluating the bids. All quantities are subject to increase or decrease
and are to be performed at the unit prices stipulated herein.
5. It is understood that the schedule of minimum wage rates, as established by the Secretary of Labor and included
in the Specifications, are to govern on this project, and the undersigned certifies that he has examined this
schedule of wage rates and that the prices bid are based on such established wage rates.
6. The bidder shall make good faith efforts, as defined in Appendix A of 49 CFR Part 26, Regulations of the
Office of the Secretaty of Transportation, to subcontract eight and four tenths (0.0) percent of the dollar value
of the prime contract to small business concerns owned and controlled by socially and economically
disadvantaged individuals (DBE). Individuals who are rebuttably presumed to be socially and economically
FAA AIP 113-19-0094-060-2026
AECOM Project 1160747512
P-2 Waterloo Regional Airport
Runway 18-36 Rehab Outside RSA
disadvantaged include women, Blacks, Hispanics, Native Americans, Asian -Pacific Americans, and Asian-
indian Americans. The apparent successful competitor will be required to submit information concerning the
DBE's that will participate in the contract. Eke information will include the name and address of each DBE, a
description of the work to be performed by each named firm, and the dollar value of the contract. If the bidder
fails to achieve the contract goal stated herein, it will be required to provide documentation demonstrating that
it made good faith efforts in attempting to do so. In the event that the apparent successful competitor for this
solicitation qualified as a DBE, the contract goal shall be deemed to have been met. A bid that fails to meet
these requirements will be considered nonresponsive.
7. The undersigned certifies that he does not maintain or provide for his employees any segregated facilities at any
of his establishments, and that he does not permit his employees to perform their services at any location, under
his control, where segregated facilities are maintained. The undersigned certifies further that he will not
maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not
permit his employees to perfoi m their services at any location, under his control, where segregated facilities are
maintained. The undersigned agrees that a breach of this certification is a violation of the equal opportunity
clause in this contract. As used in this certification, the term "segregated facilities" means any waiting rooms,
work areas, restrooms and washrooms, restaurants and other eating areas, timeclocks, locker rooms and other
storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and
housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on
the basis of race, color, religion, or national of igin, because of habit, local custom, or any other reason. The
undersigned agrees that (except where he has obtained identical certifications from proposed subcontractors for
specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of
subcontracts exceeding $10,000 which are not exempt from the provisions of the equal opportunity clause, and
that he will retain such certifications in his files.
8. The undersigned agrees, upon written notice of the acceptance of this bid, within ninety (90) days after the
opening of the bids, that he will execute the Conti act in accordance with the bid as accepted and give Contract
(Performance and Payment) bond on attached forms within fifteen (15) days after the prescribed forms are
presented for signature.
9. The undersigned understands, award of contract is contingent upon receipt of project funding from the Federal
Aviation Administration. If funding is not received, bid bonds will be returned to all bidders and the project
will be postponed.
10. The under signed further agrees that if awarded the Contract, he will commence the work within ten (10)
calendar days after the receipt of a "Notice to Proceed" and that he will substantially complete all work
according to the terms of the entire contract within one hundred and eighty (180) calendar days from the date
established in the Notice to Proceed. Failure to complete within the allotted time will result in assessment of
liquidated damages in the amount of $500.00 per calendar day for each day in excess of the authorized contract
time. In addition, Phase 2 work shall be completed within forty-five (45) calendar days. Phase 2 calendar
days can be non-consecutive.
11. The undersigned agrees that within 30 days after award of this contract, the Contractor/Subcontractor shall file
a compliance report (Standard Form 100) if s/he has not submitted a complete compliance report within 12
months proceeding the date of award. This report is required if the Contractor/Subcontractor meets all of the
following conditions:
a. Contractors/Subcontractors are not exempt based on 41 CFR 60-1,5.
b. Has 50 or more employees.
c. Is a prime contractor or first tier subcontractor.
d. There is a contract, subcontract, or purchase order amounting to $50,000 or more.
FAA AIP ##3-19-0094-060-2026 P-3 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
12. TRADE RESTRICTION CERTIFICATION
By submission of an offer, the Offeror certifies that with respect to this solicitation and any resultant contract, the Offeror -
1) is not owned or controlled by one or more citizens of a foreign country included in the list of countries that discriminate
against U.S. firms as published by the Office of the United States Trade Representative (USTR);
2) has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or national of a
foreign country included on the list of countries that discriminate against U.S. firms as published by the USTR; and
3) has not entered into any subcontract for any product to be used on the Federal project that is produced in a foreign country
included on the list of countries that discriminate against U.S. firms published by the USTR.
This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false,
fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18 USC § 1001.
The Offeror/Contractor must provide immediate written notice to the Owner if the Offeror/Contractor learns that its certification or
that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The
Contractor must require subcontractors provide immediate written notice to the Contractor if at any time it learns that its
certification was erroneous by reason of changed circumstances.
Unless the restrictions of this clause are waived by the Secretary ofTransportation in accordance with 49 CFR § 30.17, no contract
shall be awarded to an Offeror or subcontractor:
1) who is owned or controlled by one or more citizens or nationals of a foreign country included on the list of countries that
discriminate against U.S. firms published by the USTR; or
2) whose subcontractors are owned or controlled by one or more citizens or nationals of a foreign country on such USTR list; or
3) who incorporates in the public works project any product of a foreign country on such USTR list.
Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good
faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that
which is normally possessed by a prudent person in the ordinary course of business dealings.
The Offeror agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification
without modification in all lower tier subcontracts. The Contractor may rely on the certification of a prospective subcontractor that
it is not a firm from a foreign country included on the list of countries that discriminate against U.S. firms as published by USTR.
unless the Offeror has knowledge that the certification is erroneous.
This certification is a material representation of fact upon which reliance was placed when making an award. If it is later
determined that the Contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation
Administration (FAA) may direct through the Owner cancellation of the contract or subcontract for default at no cost to the Owner
or the FAA.
13. CERTIFICATION OF OFFEROR/BIDDER REGARDING DEBARMENT
By submitting a bid/proposal under this solicitation. the bidder or offeror certifies that neither it nor its principals are
presently debarred or suspended by any Federal department or agency from participation in this transaction.
CERTIFICATION OF LOWER TIER CONTRACTORS REGARDING DEBARMENT
The successful bidder, by administering each lower tier subcontract that exceeds $25,000 as a "covered transaction", must
confirm each lower tier participant of a "covered transaction" under the project is not presently debarred or otherwise
disqualified from participation in this federally -assisted project. The successful bidder will accomplish this by:
1. Checking the System for Award Management at website: http://www.sam.gov.
2. Collecting a certification statement similar to the Certification of Offeror /Bidder Regarding Debarment, above.
3. Inserting a clause or condition in the covered transaction with the lower tier contract.
If the Federal Aviation Administration later determines that a lower tier participant failed to disclose to a higher tier
participant that it was excluded or disqualified at the time it entered the covered transaction, the FAA may pursue any
available remedies, including suspension and debarment of the non -compliant participant.
FAA AIP 113-19-0094-060-2026 P-4 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
14. As an evidence of good faith in submitting this Proposal, the undersigned encloses bid security in the amount of
five (5) percent of the bid which, in case he refuses or fails to accept an award and to enter into a Contract and
file the required bonds within the prescribed time, shall be forfeited to the Waterloo Regional Airport as
liquidated damages.
15. CERTIFICATION OF OFFEROR/BIDDER REGARDING TAX DELINQUENCY AND FELONY
CONVICTIONS
"I'he applicant must complete the following two certification statements. The applicant must indicate
its current status as it relates to tax delinquency and felony conviction by inserting a checkmark (ti) in the space
following the applicable response. The applicant agrees that, if awarded a contract resulting from this solicitation, it
will incorporate this provision for certification in all lower tier subcontracts.
Certifications Note
If an applicant responds in the affirmative to either of the above representations, the applicant is
ineligible to receive an award unless the Sponsor has received notification from the agency suspension and debarment
official (SDO) that the SDO has considered suspension or debarment and determined
that further action is not required to protect the Government's interests. The applicant therefore
must provide information to the owner about its tax liability or conviction to the Owner, who will then
1)
The applicant represents that it is ( ) is not ( ) a corporation that has any unpaid Federal tax
liability that has been assessed, for which all judicial and administrative remedies have been exhausted or
have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority
responsible for collecting the tax liability.
2) The applicant represents that it is ( ) is not ( ) a corporation that was convicted of a criminal
violation under any Federal law within the preceding 24 months.
Note
If an applicant responds in the affirmative to either of the above representations, the applicant is ineligible to receive an
award unless the Sponsor has received notification from the agency suspension and debarment official (SDO) that the SDO
has considered suspension or debarment and determined that further action is not required to protect the Government's
interests. The applicant therefore must provide information to the owner about its tax liability or conviction to the Owner,
who will then notify the FAA Airports District Office, which will then notify the agency's SDO to facilitate completion of'
the required considerations before award decisions are made.
Term Definitions
Felony conviction: Felony conviction means a conviction within the preceding twenty four (24) months of a felony
criminal violation under any Federal law and includes conviction of an offense defined in a section of the U.S. Code
that specifically classifies the offense as a felony and conviction of an offense that is classified as a felony under 18
USC § 3559.
Tax Delinquency: A tax delinquency is any unpaid Federal tax liability that has been assessed, for which all judicial and
administrative remedies have been exhausted, or have lapsed, and that is not being paid in a timely manner pursuant to an
agreement with the authority responsible
for collecting the tax liability.
16. Certification Regarding Domestic Preferences for Procurements
The Bidder or Offeror certifies by signing and submitting this bid or proposal that, to the greatest extent practicable, the
Bidder or Offeror has provided a preference for the purchase, acquisition, or use of goods, products, or materials produced
in the United States (including, but not limited to, iron, aluminum, steel, cement, and other manufactured products) in
compliance with 2 CFR § 200.322.
FAA AIP #3-19-0094-060-2026 P-5 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
1
17. The undersigned hereby declares that the only parties interested in this Proposal are named herein, that this
Proposal is made without collusion with any other person, firm or corporation, that ilo membel of the Council,
Waterloo Regional Airport or agent of the City of Waterloo, Iowa, is directly or indirectly financially interested
in this bid.
18. In submitting this bid, it is understood that the right to reject any and all bids has been reserved and that this bid
may not be withd1awn for a period of ninety (90) days from the opening thereof.
19. CERTIFICATION REGARDING LOBBYING
The Bidder or Offeror certifies by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Bidder or Offeror, to any person for
influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of
any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting
to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its
instructions.
(3)
The undersigned shall require that the language of this certification be included in the award documents for all sub -awards at
all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all sub -
recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 U.S.C. § 1352.
Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
20. FAA BUY AMERICAN PREFERENCE
The Contractor certifies that its bid/offer is in compliance with 49 U.S.C. § 50101, BABA and other related Made in America
Laws,2 U.S. statutes, guidance, and FAA policies, which provide that Federal funds may not be obligated unless all iron, steel
and manufactured goods used in AIP funded projects are produced in the United States, unless the Federal Aviation
Administration has issued a waiver for the product; the product is listed as an Excepted Article, Material Or Supply in Federal
Acquisition Regulation subpart 25.108; or is included in the FAA Nationwide Buy American Waivers Issued list.
The bidder or offeror must complete and submit the certification of compliance with FAA's Buy American Preference, BABA
and Made in America laws included herein with their bid or offer. The Airport Sponsor/Owner will reject as nonresponsive any
bid or offer that does not include a completed certification of compliance with FAA's Buy American Preference and BABA.
The bidder or offeror certifies that all constructions materials, defined to mean an article, material, or supply other than an item
of primarily iron or steel; a manufactured product; cement and cementitious materials; aggregates such as stone, sand, or gravel;
or aggregate binding agents or additives that are or consist primarily of: non-ferrous metals; plastic and polymer -based products
(including polyvinylchloride, composite building materials, and polymers used in fiber optic cables); glass (including optic
glass); lumber; or drywall used in the project are manufactured in the U.S.
The bidder or offeror certifies procurement of certain rolling stock using F'AA grant funds will prohibit airports from using
Federal financial assistance to procure buses or rail car vehicle rolling stock from covered entities.
FAA AIP #3-19-0094-060-2026 P-6 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
21. Attachment to This Bid. The following documents are attached to and made a part of this Bid:
a. Bid Guaranty in the form of
f- ;d 3D h cl
b. Non -Collusion Affidavit of Prime Bidder.
c. Statement of Intent — Non -Discrimination and Equal Opportunity Statement.
d. Buy American Certification Statement.
e. Bidder's Information Sheet.
f. Synopsis of Experience Record. (IDOT Certification may be substituted.)
g. Completed DBE forms "Utilization Statement" and "Letter of Intent."
22. The Bidder shall indicate whether the bid is submitted by a/an:
❑ Individual, Sole Proprietorship
❑ Partnership
l� Corporation
❑ Joint -venture: all parties must join -in and execute all documents
❑ Other
Respectfully submitted,
dder
By
Signature
eet2raft len�
Title
3 Z S (I4c7; / 11%
Address %
eb Fab ll�� ZA sdG 13
(Include Zip Code)
3/9- 277-3.*a1
Telephone No.
FAA AIP #3-19-0094-060-2026 P-7 Waterloo Regional Airport
AECOM Project 1160747512 Runway 18-36 Rehab Outside RSA
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of ero w A
// // )ss
County of 13IQ 4k 'h&j< )
v We -y
(1) He is c(O< ne Partner
(t2W&`7 LidofirTry aelt,te.,7J 2—•�
(2) He is fully informed respecting the preparation and
circumstances respecting such bid;
(3) Such bid is genuine and is not a collusive or sham bid;
, being first duly sworn, deposes and says that:
Representative, or Aaent
of
, the Bidder that has submitted the attached Bid:
contents of the attached bid and of all pertinent
(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 of 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 pi ice 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 14#-h day of 11\�� , 2026.
etaiu,„
Title
My Commission Expires - 1Z
fTMITiv
/0Y/ik
COLLEEN A LILLY
COMMISSION NO. 8346051
MY C,QMMISSION EXPIRES
- 22 -- Z,
Nvtnyy
Z.oz 1
, 2026.
(Signedl �� J ft
Title
FAA AIP #3-19-0094-060-2026
P-9 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
STATEMENT OF' INTENT
NONDISCRIMINATION
AND
EQUAL OPPORTUNITY STATEMENT
The Contractor does hereby certify to the Waterloo Regional Airport, that no person shall, in any way, be favored or
discriminated against because of his race, political or religious opinions and affiliations, national origins, sex, age, sexual
orientation, gender identity, disability, color, creed, marital status, employee union or association membership or office
herein.
If selected as the successful bidder, this contractor hereby agrees to file either a nondiscrimination and equal opportunity
statement and/or an Affirmative Action Program.
Improvements to the Waterloo Regional Airport consisting of
Runway 18-36 Rehabilitation Outside
Runway 12-30 Safety Area
FAA #3-19-0094-060-2026
0 Wel-7
COMPANY
EXECUTIVE OFFICER
AFFIRMATIVE ACTION OFFICER
ADDRESS OF THE AFFIRMATIVE ACTION OFFICER
1325- 7q; l >1/4),
eeclaer /z-A ro 13
PHONE NUMBER 3 19 - 2 7 i_ 3 az/
FAA AIP #3-19-0094-060-2026 P-11 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
BIDDER'S INFORMATION SHEET
A. BIDDER'S CAPACITY: (Check One)
1. Individual 0
2. Co -Partnership 0
3. Corporation
B. (IF ITEM 2 IS CHECKED, COMPLETE THE FOLLOWING)
State of
Names and Addresses of Partners
2.
3.
4.
5.
C. (IF ITEM 3 IS CHECKED, COMPLETE THE FOLLOWING)
State of Incorporation � w 4
Names and Addresses of Officers:
President JOE
Secretary JO, E (A, 6.A1/
Treasurer a 9. t(,v Ejt.J
J3z<
FAA AIP #3-I9-0094-060-2026 P-12 Waterloo Regional Airport
AECOM Project 1160747512 Runway 18-36 Rehab Outside RSA
SYNOPSIS OF EXPERIENCE RECORD
(This synopsis must accompany Proposal Form.)
Name of Bidder We I'1 OMffrac4Th9 n Zh
Business Address 1 32. S_ �I� Biel Wy
Individual ( ) Partnership ( ) Corporation (v-J (Check One.)
Construction successfully completed within past five years similar in size, scope, and difficulty of construction to the
work bid upon.
gehr %fill g *Ca 13
Name of Location of' Amount of
Name of Owner' I / Project r ProiectContract /'
1 *1- 5 ae ,4TT�}L eG rJ 6T ii,'er)Re r/ € Lei 14 re
2
3
4
5
Number of Contract Days Actual Number of Days to
Allowed for Above Projects Complete above Project
1
2
3
4
5
(Signed
(BY) clig akcv
(TITLE) `el'iden+
Date fie/ /
Weil ad re, tIt; n 1.722.,
Name of Company
FAA Ali' 83-19-0094-060-2026
AECOM Project #60747512
P-13 Waterloo Regional Airport
Runway 18-36 Rehab Outside RSA
RECORD OF PAST EXPERIENCE
(Continued)
Project
Owner or Engineer
No. of
Project No., and Date, Phone
Reference
Location
(Bridge, PCC, ACC, Grading Patching, Erosion, Etc.
Include quanties for ACC, PCC, and Grading)
Dollar Value
YR
2023
PETERSON
319-345-2713
UNIVERSITY
CONTRACTORS,
AVENUE
PHASE
INC.
II
WATERLOO, IA
Mobilization
$20,148
PETERSON
319-345-2713
UNIVERSITY
CONTRACTORS,
AVENUE
INC.
PHASE III
CEDAR FALLS, IA
Mobilization
$28,680
CEDAR
319-266-8767
FALLS
FALLS SCHOOLS
HIGH SCHOOL
CEDAR
CEDAR FALLS, IA
PCC 30,040
$1,185,557
PETERSON
319-345-2713
SHAULIS
RD
CONTRACTORS
RECONSTRUCTION
INC
WATERLOO, IA
PCC 3,799
$258,363
PETERSON
319-345-2713
HEIGHTS
DRIVE
CONTRACTORS
INC
CEDAR
CEDAR FALLS, IA
INCENTIVE
$55,979
CARL
8415
A
NELSON
319-754-
PEOPLE'S CLINIC
WATERLOO, IA
PCC 5,625
$241,239
VIETH
319-277-1006
SULLIVAN
CONSTRUCTION
BROTHERS
CORP
PLAZA
RENOVATION
WATERLOO, IA
PCC 1,940 SY; CURB 1,442 LF; PCC
WALL 140 LF
$45,395
PETERSON
319-345-2713
VIKING
RD
CONTRACTORS
INDUSTRIAL
PARK
INC
W
PHASE V
CEDAR FALLS, IA
PCC 21,319 SY
$56,393
PETERSON
319-345-2713
27TH
STREET
CONTRACTORS
RECONSTRUCTION
INC
W
CEDAR FALLS, IA
PCC 17,450 SY
$1,274,906
FRED
266-1110
ROSCAMP
ROSE
LC 319-
CPM
WATERLOO, IA
PCC 136,395 PCC SIDEWALK 6,480
$645,445
CITY
8600
CORRIDOR
OF C F 319-273-
CENTER STREET
CEDAR FALLS, IA
$29,487
PCC SIDEWALK 1,060 SY
IOWA
IOWA
DEPARTMENT
27
INTERCHANGE
OF TRANSPORTATION
CEDAR FALLS, IA
PCC PAVEMENT 21,984 SY, PCC SHOULDER
8,957 SY
$4,141,694
PETERSON
319-345-2713
STREET
CONTRACTORS
INC
OLIVE
CEDAR FALLS, IA
PCC 929 SY
$92,482
PRIMUS
CREDIT
UNION
COMPANIES,
INC. VERIDIAN
CEDAR FALLS, IA
PCC 6,242 SY
$230,690
PETERSON
319-345-2713
FALLS
MAIN
CONTRACTORS
STREET
INC
CEDAR
CEDAR FALLS, IA
PCC 29,163
$2,286,467
PETERSON
319-345-2713
58
&
RIDGEWAY
CONTRACTORS
RECONSTRUCTION
INC
HWY
CEDAR FALLS, IA
PCC 37,750
$3,516,075
LODGE
319-239-
AIRPORT
CONSTRUCTION,
0480
ARFF
PARKING
INC.
LOT
WATERLOO
WATERLOO, IA
PCC 1,229 SY
$100,429
CARDINAL
5400
COMMUNITIES
CONSTRUCTION
319-232-
WESTERN HOME
CEDAR FALLS, IA
PCC 1,167 SY
$73,871
PETERSON
319-345-2713
CF
STREET
CONTRACTORS
RECONSTRUCTION
INC
2023
CEDAR FALLS, IA
PCC 9,014 SY
$585,924
INSTITUTIONAL
UNIVERSITY
319-273-2611
OF
NORTHERN
ROADS
2023
IOWA
UNI
CEDAR FALLS, IA
PCC 1,924 SY
$328,405
K CUNNINGHAM
260-2612
AND
VIRDEN
CREEK
CONSTRUCTION
319-
NORTH CROSSING
WATERLOO, IA
PCC 9,387 SY
$539,534
190016
200013
210011
210024
210027
220008
220009
220010
220019
220020
220022
220026
230004
230005
230006
230008
230010
230011
230014
230015
230016
Page 1
RECORD OF PAST EXPERIENCE
(Continued)
Project Owner or Engineer Project No., and Date, Phone
No. of Reference
Location
(Bridge, PCC, ACC, Groding Patching, Erosion, Etc.
Include quanties for ACC, PCC, and Grading)
Dollar Value
PETERSON
319
MARNAN
345-2713
CONTRACTORS
DR.
RECONSTRUCTION
INC
E. SAN
WATERLOO, IA
PCC 20,574 SY
$1,207,875
HUDSON
988-3231
RECONSTRUCTION
HARDWARE
PLUMBING
319-
WOOD ST.
HUDSON, IA
PCC 2,602 SY
$172,638
UNIVERSITY
319-273-2611
INSTITUTIONAL
OF
NORTHERN
ROADS
IOWA
UNI
2023
CEDAR FALLS, IA
PCC PATH 245 SY
$21,265
YR 2024
PETERSON
319-345-2713
UNIVERSITY
CONTRACTORS,
AVENUE
INC.
PHASE III
CEDAR FALLS, IA
PCC 1,089 SY
$136,140
CEDAR
319-266-8767
FALLS
FALLS
HIGH
SCHOOLS
SCHOOL
CEDAR
CEDAR FALLS, IA
PCC 8,736 SY
$336,462
PETERSON
319-345-2713
SHAULIS
CONTRACTORS
RD
RECONSTRUCTION
INC
WATERLOO, IA
PCC 1,509 SY
$117,211
PETERSON
319-345-2713
BRIDGE REPLACEMENT
CONTRACTORS
INC
11TH STREET
WATERLOO, IA
PCC 2,955 SY
$169,062
PETERSON CONTRACTORS
319-345-2713
BRIDGE REPLACEMENT
INC
PARK
AVENUE
WATERLOO, IA
PCC 3,185 SY
$199,689
CEDAR
319-266-8767
FALLS
FALLS SCHOOLS
CEDAR
HIGH SCHOOL NATATORIUM
CEDAR FALLS, IA
PCC 2,444 SY
$186,903
PETERSON
319-345-2713
FALLS
MAIN
CONTRACTORS
STREET
INC
CEDAR
CEDAR FALLS, IA
PCC 17,715 SY
$1,312,079
PETERSON
319-345-2713
AREA
CONTRACTORS
INC
RECREATIONAL RIVER
CEDAR FALLS, IA
PCC 1,972 SY
$391,349
PETERSON
319-345-2713
58 & RIDGEWAY
CONTRACTORS
INC
HWY
RECONSTRUCTION
CEDAR FALLS, IA
_
PCC 44,948 SY
$2,989,447
K CUNNINGHAM
260-2612
AND
VIRDEN
CREEK
CONSTRUCTION
NORTH
319-
CROSSING
WATERLOO, IA
PCC 19,450 SY
$1,114,716
HUDSON
988-3231
HARDWARE
PLUMBING
HUDSON
319-
HIGH SCHOOL
HUDSON, IA
PCC 3,736 SY
$200,489
CITY
4311
TAXIWAY
OF WATERLOO
A WEST
319-291-
WATERLOO AIRPORT
WATERLOO, IA
PCC 11,387 SY
$2,315,449
ROSE,
FREEDOM
FRED
TRUCK
AND
(319)
TRAILER WASH
961-6100
WATERLOO, IA
PCC 4,116 SY
$291,329
DAVE
8669
ADDITION
SCHMITT
CONSTRUCTION
HIDDEN
319-365-
PINES
CEDAR FALLS, IA
PCC 9,788 SY
$508,435
HUDSON
319-988-3231
ADDITION
HARDWARE
PLUMBING
MARIAN
LANE
HUDSON, IA
PCC 2,220 SY
$110,207
DAN
5324
LOT
DEERY
MOTORS
888-904-
DAN DEERY PARKING
WATERLOO, IA
PCC 11,012 SY
$1,322,006
PETERSON
345-2713
RECONSTRUCTION
CONTRACTORS
INC
KINGSLEY
319-
AVENUE
WATERLOO, IA
PCC 3,667 SY
$227,538
PETERSON
2713
RECONSTRUCTION
CONTRACTORS
INC 319-345-
W VIKING ROAD
CEDAR FALLS, IA
PCC 8,999 SY
$531,157
230017
230018
220025
200013
210011
210024
220004
220005
220028
230006
230007
230008
230016
230019
230023
240004
240005
240006
240007
240009
240012
Page 2
RECORD OF PAST EXPERIENCE
(Continued)
Project Owner or Engineer Project No., and Date, Phone
No. of Reference
Location
(Bridge, PCC, ACC, Grading Patching, Erosion, Etc.
Include quanties for ACC, PCC, and Grading)
Dollar Value
ASPRO
RIVER HILLS SCHOOL
(319) 232-6537
CEDAR FALLS, IA
PCC C&G 2,865 LF
$100,296
WAVERLY MEDICAL PARK LLC
STONE MEADOWS ADDITION
WAVERLY, IA
PCC 3,313 SY
$161,589
WATTS GROUP
SUBDIVISION
MARYVILLE
INDEPENDENCE, IA
PCC 2,656 SY
$137,464
YR 2025
PETERSON CONTRACTORS INC
319-345-2713
BRIDGE REPLACEMENT
11TH STREET
WATERLOO, IA
PCC 1,834 SY
$158,337
PETERSON CONTRACTORS INC
319-345-2713
FALLS MAIN STREET
CEDAR
CEDAR FALLS, IA
PCC 5,603 5Y
$2,516,224
PETERSON CONTRACTORS INC
319-345-2713
58 & RIDGEWAY RECONSTRUCTION
HWY
CEDAR FALLS, IA
PCC 4965
$478,729
K CUNNINGHAM CONSTRUCTION
260-2612
AND VIRDEN CREEK
NORTH
319-
CROSSING
WATERLOO, IA
PCC 1,679 SY
$101,442
PETERSON CONTRACTORS INC
2713
RECONSTRUCTION
W VIKING
319-345-
ROAD
CEDAR FALLS, IA
PCC 8,181 SY, C&G 2,801 LF
$514,085
WAVERLY MEDICAL PARK LLC
STONE MEADOWS ADDITION
WAVERLY, IA
PCC 6,235 SY
$330,269
CITY OF C F
8600
PRAIRIE PARKWAY
VIKING
319-273
ROAD &
CEDAR FALLS, IA
PCC 11,523 SY, C&G 2,102 LF
$938,807
LAFAYETTE
ELK RUN HEIGHTS, IA
PCC 14,858 SY
$938,596
CITY OF ELK RUN HEIGHTS
RD & GILBERTVILLE RD
PETER'S CONSTRUCTION
HIGH SCHOOL NATATORIUM PH 2
CEDAR FALLS
CEDAR FALLS, IA
PCC 3,973
$190,330
UNIVERSITY OF NORTHERN IOWA
319-273-2611
MODERNIZATION PARKING LOT
UNI ITC
CEDAR FALLS, IA
PCC 6,620
$339,573
HUDSON HARDWARE PLUMBING
PARKING LOT
UNI GBPAC
CEDAR FALLS, IA
PCC 4,762 SY, C&G 217 LF
$221,156
ASPRO
6537 2025 WATERLOO
ASPHALT RECONSTRUCTION
(319) 232-
WATERLOO, IA
PCC C&G 2,177 LF
$68,310
UNI
CEDAR FALLS, IA
PCC 3,103 SY, C&G 221 LF
$224,990
UNIVERSITY OF NORTHERN IOWA
319-273-2611
INSTITUTIONAL ROADS 2023
PETERSON CONTRACTORS INC
2713 2025 CEDAR
SRTREET RECONSTRUCTION
319-345-
FALLS
CEDAR FALLS, IA
PCC 9,270 SY, C&G 86 LF
$553,195
CITY OF C F
8600
RECONSTRUCTION
319-273-
W 23RD STREET
CEDAR FALLS, IA
PCC 6,875 SY
$470,215
CITY OF PARKERSBURG
ALLEY RECONSTRUCTION
3RD STREET
PARKERSBURG, IA
PCC 880 SY, C&G 133 LF
$56,505
HUDSON HARDWARE PLUMBING
ST & LINCOLN ST
WEMPLE
PARKERSBURG, IA
PCC 4,050 SY
$190,779
PETERSON CONTRACTORS INC
2713
PLAZA
319-345-
TA TRAVEL
HOLLAND, IA
PCC 21,172 SY
$1,056,286
PANTHER FARMS
WINDS 6TH ADDITION
PRAIRIE
CEDAR FALLS, IA
PCC 7,450 SY
$335,457
JIM SANDS CONSTRUCTION
NORTH CEDAR ESTATES
CEDAR FALLS, IA
PCC 8,814 SY
$407,694
240013
240014
240016
220004
230006
230008
230016
240012
240014
240019
240020
250003
250006
250009
250010
250011
250012
250014
250019
250021
250022
250023
250025
Page 3
RECORD OF PAST EXPERIENCE
(Continued)
Project Owner or Engineer Project No., and Date, Phone
No. of Reference
Location
(Bridge, PCC, ACC, Grading Potching, Erosion, Etc.
include quonties for ACC, PCC, and Grading)
Dollar Value
LARSON CONSTRUCTION WATERLOO HIGH SCHOOL
WATERLOO, IA
PCC Flume 528 SY, PCC Footing 150 LF
$42,606
250030
Page 4
UTILIZATION STATEMENT
Disadvantage Business Enterprise
The undersigned bidder/offeror has satisfied the requirements of the bid specification in the following manner.
(Please mai k the appropriate box)
,The bidder/offeror is committed to a minimum of 0.0% DBE utilization on this
contract.
❑ The bidder/offeror, while unable to meet the DBE goal of %, hereby commits to
a minimum of % DBE utilization on this contract and also submits
documentation, as an attachment demonstrating good faith efforts (GFE).
The undersigned hereby further assures that the information included herein is true and correct, and that the DBE firm(s) listed herein have agreed to
perform a commercially useful function in the work items noted for each firm. The undersigned further understands that no changes to this statement
may be made without prior approval from the Civil Right Staff of the Federal Aviation Administration.
Wh �aKing d:i ) Z L.
Bidder's/Offeror's Firm Name
ignature
,/' G
Date
DBE UTILIZATION SUMMARY
Contract Amount
DBE Amount Contract
Percenta&e
DBE Prime Contractor $ x 1.00 = $ %
DBE Subcontractor $ 7 302).414. x 1.00 = $ 4j 3aO• OC 0.72-
DBE Supplier $ x 0.60 = $ %
DBE Manufacturer $ x 1.00 = $ %
Total Amount DBE $ 3Do, a Q. Z
DBE Goal $ 4 • c b O. as %
Note: If the total proposed DBE participation is less than the established DBE goal, Bidder must provide written documentation of the good
faith efforts as required by 49 CFR Part 26.
FAA AIP #3-19-0094-060-2026
AECOM Project 1160747512
P-14 Waterloo Regional Airport
Runway 18-36 Rehab Outside RSA
Bidder/Offer
DBE Firm:
DBE Contact Person:
LETTER OF INTENT
Disadvantage Business Enterprise
(This page shall be submitted for each DBE firm)
Name: 0 Wen eafrikadi hi) �l)L
Address: J 3 2 5 «4;) �t
r
c
City: tecde - rafts State: CA Zip:
DBE Firm: Tiedt Nursery, LTD.
Address: 2419 E Bremer Ave
s'at3
City: Waverly State: IA Zip: 50677
Name: Scott Tiedt Phone: (319) 352-0418
DBE Certifying Agency: Iowa DOT Expiration Date:10/31/2025
Each DBE Firm shall submit evidence (such as a photocopy) of their certification status.
Classification:
Prime Contractor
Manufacturer
Subcontractor
Supplier
•
Joint Venture
to
Work
be
performed
DBE
item(s)
by
Description
of Work
Item
Quantity
Total
22
Seeding
1.0
AC
$1,650.00
24
Mulching
1.0
AC
$2,650.00
The bidder/offeror is committed to utilizing the above -named DBE firm for the work described above. The
estimated participation is as follows:
DBE contract amount: $ l� 3aiS • �o Percent of total contract: 0
AFFIRMATION
The above -named DBE firm affinns that it will perform the portion of the contract for the estimated dollar value as stated
above.
By: c5GdZ/�ea- Vice President
(Signature)
(Title)
Note: hi the event the bidder/offeror does not receive award of the prime contract, any and all representations in this
Letter of Intent and Affirmation shall be null and void.
FAA AlP 113-19-0094-060-2026 P-I5 Waterloo Regional Airport
AECOM Project 1160747512 Runway 18-36 Rehab Outside RSA
IOWA DEPARTMENT OF TRANSPORTATION
CIVILRIGHTS BUREAU
800 Lincoln Way
mimes, IA 50010
515-239-1422
ei�Wv .i0waljlit.:i✓V
December 16, 2024
VIA ELECTRONIC MAIL
Vallarie Holm
Tiedt Nursery, Ltd.
2419 E. Bremer Avenue
Waverly, IA 50677
RE: DBE Annual Declaration Of Eligibility
Ms. Holm,
This letter confirms receipt of your annual Declaration Of Eligibility and supporting documentation.
The Iowa Department of Transportation (Iowa DOT), in compliance with 49 Code of Federal
Regulations Part 26 (49 C.F.R. §§26 et seq.), is pleased to inform you that your firm's information has
been reviewed and approved. Your firm's Disadvantaged Business Enterprise (DBE) certification will
remain valid until the anniversary of your certification with your Jurisdiction of Original Certification.
The DBE Directory, located at https:`1sec. 7e.iunradot.csov'DBE lcme1ndex', will continue to list your
contact information and will include the following NAILS codes and description of services performed:
NAICS Code: 238990, 561730, 484220
Work Types: Erosion Control (Seed, Sod, Mat, Silt Fence, and Stormwater Pollution Prevention
Plans [SWPPPJ), Fencing, Herbicide Application; Landscaping (Trees and Shrubs),
Mowing, and Retaining Walls; Supplier Trees, Shrubs, Seed, Fertilizer, and Erosion
Control Products; Hauling of dirt, sand, and rock
As a DBE, you have the responsibility to comply with all aspects of 49 C.F.R. Part 26; maintain an
accurate mailing address, e-mail address and phone number with Iowa DOT and promptly return all
solicitation inquiries. If you have any questions, please contact this office.
Sincerely,
Danny Wagener
Civil Rights Compliance Officer
CERTIFICATION OF COMPLIANCE WITH FAA BUY AMERICAN PREFERENCE - CONSTRUCTION
PROJECTS
As a matter of bid responsiveness, the bidder or offeror must complete, sign, date, and submit this certification
statement with its proposal. The bidder or offeror must indicate how it intends to comply with 49 USC § 50101,
BABA and other related Made in America Laws, U.S. statutes, guidance, and FAA policies, by selecting one of the
following certification statements. These statements are mutually exclusive. Bidder must select one or the other
(i.e., not both) by inserting a checkmark (✓) or the letter "X".
Ill Bidder or offeror hereby certifies that it will comply with 49 USC § 50101, BABA and other related U.S.
statutes, guidance, and policies of the FAA by:
a) Only installing iron, steel and manufactured products produced in the United States;
b) Only installing construction materials defined as: an article, material, or supply — other than an item
of primarily iron or steel; a manufactured product; cement and cementitious materials; aggregates
such as stone, sand, or gravel; or aggregate binding agents or additives that are or consist primarily
of non-ferrous metals; plastic and polymer -based products (including polyvinylchloride, composite
building materials, and polymers used in fiber optic cables); glass (including optic glass); lumber or
drywall that have been manufactured in the United States.
c) Installing manufactured products for which the Federal Aviation Administration (FAA) has issued a
waiver as indicated by inclusion on the current FAA Nationwide Buy American Waivers Issued
listing; or
d) Installing products listed as an Excepted Article, Material or Supply in Federal Acquisition Regulation
Subpart 25.108.
■
By selecting this certification statement, the bidder or offeror agrees:
a) To provide to the Airport Sponsor or the FAA evidence that documents the source and origin of the
iron, steel, and/or manufactured product
b) To faithfully comply with providing U.S. domestic products.
c) To refrain from seeking a waiver request after establishment of the contract, unless extenuating
circumstances emerge that the FM determines justified.
d) Certify that all construction materials used in the project are manufactured in the U.S.
The bidder or offeror hereby certifies it cannot comply with the 100 percent Buy American Preferences of 49
USC § 50101(a) but may qualify for a Type 3 or Type 4 waiver under 49 USC § 50101(b). By selecting this
certification statement, the apparent bidder or offeror with the apparent low bid agrees.
a) To the submit to the Airport Sponsor or FAA within 15 calendar days of being selected as the
responsive bidder, a formal waiver request and required documentation that supports the type of
waiver being requested.
b) That failure to submit the required documentation within the specified timeframe is cause for a non-
responsive determination that may result in rejection of the proposal.
c) To faithfully comply with providing U S. domestic products at or above the approved U.S. domestic
content percentage as approved by the FAA.
d) To furnish U.S. domestic product for any waiver request that the FAA rejects.
e) To refrain from seeking a waiver request after establishment of the contract, unless extenuating
circumstances emerge that the FAA determines justified.
Required Documentation
Type 2 Waiver (Nonavailability) - The iron, steel, manufactured goods or construction materials or manufactured
goods are not available in sufficient quantity or quality in the United States. The required documentation for the
Nonavailability waiver is
a) Completed Content Percentage Worksheet and Final Assembly Questionnaire
b) Record of thorough market research, consideration where appropriate of qualifying alternate items,
products, or materials including;
FAA AIP #3-19-0094-060-2026 P-16 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
c) A description of the market research activities and methods used to identify domestically manufactured
items capable of satisfying the requirement, including the timing of the research and conclusions reached
on the availability of sources.
Type 3 Waiver — The cost of components and subcomponents produced in the United States is more than 60
percent of the cost of all components and subcomponents of the "facility/project." The required documentation for a
Type 3 waiver is:
a) Completed Content Percentage Worksheet and Final Assembly Questionnaire including;
b) Listing of all manufactured products that are not comprised of 100 percent U.S. domestic content (excludes
products listed on the FAA Nationwide Buy American Waivers Issued listing and products excluded by
Federal Acquisition Regulation Subpart 25.108; products of unknown origin must be considered as non -
domestic products in their entirety).
c) Cost of non -domestic components and subcomponents, excluding labor costs associated with final assembly
and installation at project location.
d) Percentage of non -domestic component and subcomponent cost as compared to total "facility" component
and subcomponent costs, excluding labor costs associated with final assembly and installation at project
location.
Type 4 Waiver (Unreasonable Costs) - Applying this provision for iron, steel, manufactured goods or construction
materials would increase the cost of the overall project by more than 25 percent. The required documentation for this
waiver is:
a) A completed Content Percentage Worksheet and Final Assembly Questionnaire from
b) At minimum two comparable equal bids and/or offers;
c) Receipt or record that demonstrates that supplier scouting called for in Executive Order 14005, indicates that
no domestic source exists for the project and/or component;
d) Completed waiver applications for each comparable bid and/or offer.
False Statements: Per 49 USC § 47126, this certification concerns a matter within the jurisdiction of the Federal
Aviation Administration and the making of a false, fictitious, or fraudulent certification ma render the maker subject
to prosecution under Title 18, United States Code.
Date 'nature
&Weil vb i ra <;h ) ern re��de��
Company Name Title
FAA AIP ##3-19-0094-060-2026 P-17 Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
Buy America Waiver Request
Title 49 U.S.0 Section 50101 (b)
For Airfield Development Projects funded under the
Airport Improvement Program
(Revised 4/19/2010)
Instructions for Permissible Waivers
Section 50101(b)(I) Waiver:
The bidder may not request a waiver based upon the best interests of the public. The FAA Office of Airports publishes such waivers at:
http://www.faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls
Section 50101(b)(2) Waiver:
The bidder may not request a waiver based upon insufficient supply of U.S. manufactured. The FAA Office of Airports publishes such
waivers at:
http://www. faa.gov/a irports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls
Section 50101(b)(3) Waiver:
The bidder may request a waiver if 60% or more of the components are produced in the United States and final assembly
occurs in the U.S. Bidder is hereby advised that the Owner's approval with the bidder's waiver request is contingent upon
FAA approval.
1. "Equipment" in Section 50101 shall mean the following:
a) Individual type "L" items (Airfield Lighting Equipment) as listed in FAA Advisory Circular 150/5345-53.
b) Individual bid items as established within FAA Advisory Circular 150/5370-10. The bid item application may not be applied
for the type "L" items listed in AC 150/5345-53.
c) A waiver request may only address one specific equipment item. Submit separate requests for each equipment item for which
a waiver.
d) items listed under the Nationwide Waiver do not require further review. Please refer to the following webpage:
http://www.faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls
2. The bidder must base the U.S. percentage upon the value that results from completing a component cost calculation table similar to
the attached format. Bidder shall avoid mere pro forma efforts to establish the waiver request percentage. The Bidder must submit
the component cost calculation table as an attachment to the waiver request.
3. Components/subcomponents are the material and products composing the "equipment".
4. The final assembly of the AIP-funded "equipment" must be within the USA (Section 50101(b)(3)(B)). Final assembly is the
substantial transformation of the components and subcomponents into the end product.
5. All steel used in the "Equipment" must be produced in the United States.
6. The Buy American requirements apply to all tier contractors and subcontractors. All contractors/subcontractors are required to
provide appropriate documentation that indicates origin of manufacturer and percentage of domestic made product.
7. The bidder is hereby advised there is no implied or expressed guarantee that a requested waiver will be issued by the Federal
Aviation Administration (FAA). Less than 60% USA component/subcomponent proposed for this facility CANNOT be waived.
Products made with foreign steel are not eligible for a waiver.
8. North America Free Trade Act (NAFTA): Free Trade Agreements such as NAFTA do not apply to the AIP. Products and material
made in Canada or Mexico must be considered as foreign made products.
9. Preparation of a Component Cost Calculation Table is not necessary for equipment listed on the FAA national listing:
http://www.faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american waiver.xls.
Bidder however shall submit a listing of any equipment it proposes to install on the project that is included on the National Buy
American conformance list.
Instructions for Section 50101(b)(4) Waiver:
1. The bidder may request a waiver if application of Buy America preferences results in a 25% cost increase in
the overall project. This waiver is rarely applicable. Consult the Owner before making this request.
FAA AiP 113-19-0094-060-2026
AECOM Project #60747512
P-18 Waterloo Regional Airport
Runway 18-36 Rehab Outside RSA
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AECOM Project #60747512
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 6/30/2023
- CONFIDENTIAL -
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Airport Sponsor. Sample Airport Authority
Total material cost: $ 1,523,900.00
U.S. Content
Non-U.S. Content 95.00 %
Worksite LOCID: SMP
Project Description: Reconstruct Runway 18/36
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FAA Form 5100-143 (8/20)
FAA #3-19-0094-060-2026
AECOM Project #60747512
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 6/30/2023
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FAA Form 5100-143 (8/20)
FAA #3-19-0094-060-2026
AECOM Project 460747512
Buy America Conformance Listing
Title 49 U.S.0 Section 50101 (b)
For Airfield Development Projects funded under the
Airport Improvement Program
• Preparation ofa Component Cost Calculation Table is not necessaiyfor equipment listed on the !'AA national listing:
htup•;/►r►rir.faa.gowaiiports/aip;procuremenifederal conlractjfrovisions/media'buv american waiver.xls
• Bidder shall submit a listing of equipment it proposes to install on the project that is included on the current National 13uti'
American conformance list.
Equipment Type
Name of Manufacturer
Product Number
Certification Signature:
Bidder hereby certifies that the above listed equipment, which we propose for installation on the subject
project, are on the current National Buy America Conformance list as established at:
http://www.faa.gov/airports/aip/procurement/federal contract provisions/media/buy american waiver.xls
I hereby certify the above information is accurate and complete.
cO We fi Coh`hra <fi1�yj -‘
Bidder's Firm Name
571 V2 6
Dale
FAA #3-19-0094-060-2026
Waterloo Regional Airport
AECOM Project #60747512 Runway 18-36 Rehab Outside RSA
P-24
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we
Owen Contracting, Inc. as Principal, and
United Fire & Casualty Company as Surety are held and firmly
bound unto the Waterloo Regional Airport, 2790 Livingston Lane, Waterloo, Iowa, hereinafter call "Owner", in the penal
sum of Five Percent of Bid Amount Dollars (S 5% of Bid
lawful money of the United States, for the payment of which sum will and truly be made, we bind ourselves Rerrs,
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 May 14th, 2026 , 2026
for Runway 18-36 Rehabilitation Outside Runway 12-30 Safety Area at the Waterloo Regional Airport, Waterloo,
Iowa, FAA #3-19-0094-060-2026.
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 ot'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
this14th day of May , 2026.
Witness
Witness
Principal
By Owen Contracting, Inc.
(Title)
(Seal)
Surety
By United Fire & Casualty Company
(Attey-In-Fact)
IJi -Bt-U=(.9L1 (Sec l
JuliaBartlett, Attorney -in -Fact
FAA AIP #3-19-0094-060-2026
AECOM Project 1160747512
P-8 Waterloo Regional Airport
Runway 18-36 Rehab Outside RSA
ufgeINSURANCE
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 Home Office of Company — See Certification)
Lnquiries: 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 under the laws of the State of California (herein collectively called
the Companies), and having their corporate headquarters in Cedar Rapids, State of Iowa, does make, constttute and appoint
GREG T. LA MAIR, JEFFREY R. BAKER, JOSEPH I. SCHMIT, E. A. VON HARZ, BRANDON HORBACH, COURTNEY
MEYER, JULIANA BARTLETT, DANIEL M. MOLYNEAUX, LAURA J. ADAMS, LORI S. BURROUGHS, KAREN S. HARTSON,
LAUREN MOSER, ERIC DESOUSA, STACY L. PAISLEY, EACH INDIVIDUALLY
their true and lawful Attorney(s)-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 continued.
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 behalrof the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory uistnrments of like nature.
The signature of any officer authorized hereby, and the Corporate seal, may be affixed by facsimile to any power of attorney 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 same 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 instmmnents 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.
001111104
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119
State of Iowa, County of Linn, ss:
,•,111U111111/010
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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 16th day of July, 2024
UNITED FIRE & CASUALTY COMPANY
UNITED FIRE & INDEMNITY COMPANY
FINANCIAL PACIFIC INSURANCE COMPANY
13y:
<
Vice President
On 16th day of July, 2024, 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.
Judith A. Jones
Iowa Notarial Seal
Commission number 173041
My Commission Expires 04/23/2027
Notaty Public
My cone mission expires: 04/23/2027
I, Mary A. Bertsch, Assistant Secretary of United Fire & Casualty Company and Assistant Secretary of United Fire & Indemnity 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 FILL; IN THE
HOME OFFICE OF SAID CORPORATIONS, and that the sane 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 14th day of May , 20 26
E%
act
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By:
Bitta0M-)
Assistant Secretary,
UF&C & OF&I & FPIC
I3POA0049 1217