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PETERSON CONTRACTORS, INC.
cx) �o VA w c4), \I\ 0 D u‘ER50N avancktuvar3 �11C BOX A REINBECK, IOWA 50669-0155 0?9�3 (be. (Icrice55 fooliary Sador LP 5-1C/e/i adon. (106-hacit r /075 Wa-ferko -71 Er2 PA0,4050-/ l S'25 pM1 SRF Required Front-End Specifications Attachment 1: -RESERVED- Attachment 2: Statement in Advertisement for Bids on Debarment and Suspension/Certification Regarding Debarment and Suspension Form (to be completed and signed by Prime Contractor and submitted with the bid) Attachment 3: Disadvantaged Business Enterprise Certification Form (to be completed and signed by Prime Contractor and submitted with the bid) Attachment 4: DBE Program Subcontractor Performance Form (to be completed and signed by Prime and DBE Subcontractor for each subcontract and submitted with the bid) *If no©BE was chosen by the Prime Contractor to bads this project then this form is not required to be submitted. Attachment 5: DBE Program Subcontractor Utilization Form (to be completed and signed by Prime and DBE Subcontractor for each subcontract and submitted with the bid) *If no DBE was chosen by the Prime Contrctor to be utilized for this project,then this form is nt required to be submitted. Attachment 6: -RESERVED- Attachment 7: Other Federal Requirements Language A. -RESERVED- B. Federal Labor Standards Provisions (including Davis-Bacon prevailing wage rates**) C. -RESERVED D. Historical and Archeological Finds E. Prohibitions on Procurement from Violating Facilities Attachment 8: Right of Entry and Records Retention Attachment 9: American Iron &Steel Requirement Attachment 10: Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment(to be completed and signed by Prime Contractor and submitted with the bid) July 2025 Attachment 2: SRF Required Front-End Specifications Debarments and Suspensions *This form to be completed by the Prime Contractor and submitted with the bid. Any bidder or equipment supplier whose firm or affiliate is listed in on the U.S. General Services Administration Excluded Parties List will be prohibited from the bidding process.The excluded parties records search engine is located at the System for Award Management(SAM)website: https://sam.gov. Pursuant to 2 CFR Part 180, as supplemented by 2 CFR 1532, any entity submitting a bid while the SAM website lists that entity as having an active exclusion will be determined by the DNR to be a non-responsive bidder and will not be able to receive SRF funding. United States Environmental Protection Agency Washington, DC 20460 Certification Regarding Debarment, Suspension, and Other Responsibility Matters The prospective participant certifies to the best of its knowledge and belief that it and the principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain,or performing a public (Federal,State, or local)transaction or contract under a public transaction:violation of Federal or State antitrust statutes or commission of embezzlement,theft,forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted or otherwise criminally or civilly charged by a government entity(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and (d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local)terminated for cause or default. I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award. In addition, under 18 U SC Sec. 10 01, a false statement may result in a fine or imprisonment, or both. 07-16-26 Signature of Authorized Representative Date Chris Fleshner Project Estimator Printed Name Title I am unable to certify to the above statements. My explanation is attached. July 2025 Attachment 3: SRF Required Front-End Specifications Disadvantaged Business Enterprise (DBE) Solicitation *This form to be completed by Prime Contractor and submitted with the bid. In Iowa, DBEs must be certified through the Iowa Department of Transportation (IDOT). Information on certification requirements and a list of certified DBEs is on the IDOT website at https://secure.iowadot.gov/DBE/Home/Index/. Prime contractors' DBE requirements for SRF projects include: • Taking affirmative steps for DBE participation • Documenting the efforts and the proposed utilization of certified DBEs PROJECT INFORMATION SRF Applicant: Peterson Contractors, Inc. Bidder: Peterson Contractors, Inc. Address: P.O. Box A City: Reinbeck State: IA Zip: 50669 Contact Person: Chris Fleshner Phone Number: 319-788-4722 Email: cfleshner@pcius.com 1. At this point in time, has the prime contractor begun to solicit work opportunities to subcontractors for this project? Yes ri\lo N/A 2. Do you agree to use the good faith efforts checklist to ensure the DBEs have the opportunity to compete for procurements funded by EPA financial assistance funds? I Yes No 3. If yes,was a DBE chosen by the prime contractor to be utilized for this project? }es I No Signature: July 2025 GOOD FAITH EFFORTS CHECKLIST Please complete the checklist to determine if you have complied with the requirement to make good faith efforts to ensure that certified DBEs have the opportunity to compete for procurements funded by EPA financial assistance funds. Bidders/offerers must make good faith efforts prior to submission of bids/proposals. 1. Did you ensure that DBEs are made aware of contracting opportunities to the fullest extent practicable through outreach and recruitment activities? (nYes nNo 2. Did you make information on forthcoming opportunities available to DBEs and arrange time frames for contracts and establish delivery schedules,where the requirements permit,in a way that encourages and facilitates participation by DBEs in the competitive process?This includes,whenever possible,posting solicitation for bids or proposals for a minimum of 30 calendar days before the bid or proposal closing date. Wes nNo 3. Did you consider in the contracting process whether firms competing for large contracts could subcontract with DBEs?This will include dividing total requirements,when economically feasible,into smaller tasks or quantities to permit maximum participation by DBEs in the competitive process. nYes nNo 4. Did you encourage contracting with a consortium of DBEs when a contract is too large for one of these firms to handle individually? nYes I No 5. Did you use the services of the Small Business Administration and the Minority Business Development Agency of the Department of Commerce to identify potential subcontractors? nYes Fri No 6. List the potential DBE subcontractors that were contacted.Only list those that are certified through the Iowa Department of Transportation. Name How Contacted(e.g.letter, Response(e.g.did not respond,not phone call,fax,e-mail) interested,not competitive) Tiedt Nursery e-mail Did not get a response CONTRACT ADMINISTRATION PROVISIONS Several contract provisions are required to prevent unfair practices that adversely affect DBEs.These include: 1. Prime Contractor must pay its Subcontractor for satisfactory performance no more than 30 days from the Prime Contractor's receipt of payment from the SRF loan recipient. 2. Prime Contractor must notify the SRF loan recipient in writing prior to termination of a DBE subcontractor for convenience. 3. Prime Contractor must employ the six Good Faith Efforts to solicit a replacement subcontractor if a DBE subcontractor fails to complete work under a subcontract for any reason. July 2025 Attachment 4: SRF Required Front-End Specifications Disadvantaged Business Enterprise (DBE) Subcontractor Performance Form *This form to be completed by Prime and DBE Subcontractor for each subcontract and submitted with the bid. *tf a DBE has NOT yet been selected by the Prime Contractor or if no DBEs are needed, then this form is not required to be submitted at this time. This form is intended to capture the DBE1 subcontractor's' description of work to be performed and the price of the work submitted to the prime contractor. An EPA Financial Assistance Agreement recipient must require its prime contractor to have its DBE subcontractors complete this form and include all completed forms in the prime contractor's bid or proposal package. Subcontractor Name: Project Name: Bid/Proposal No.: Assistance Agreement ID No. (if known): Point of Contact: Address: Telephone No.: Email: Prime Contractor Name: Issuing/Funding Entity: Contract Item Description of Work Submitted to the Prime Contractor Involving Price of Work Submitted Number Construction, Services, Equipment or Supplies to the Prime Contractor I certify under penalty of perjury that the forgoing statements are true and correct. Signing this form does not signify a commitment to utilize the subcontractors above. Prime Contractor Signature Print Name Title Date July 2025 Subcontractor Signature Print Name Title Date 'A DBE is a Disadvantaged, Minority,or Woman Business Enterprise that has been certified by an entity from which EPA accepts certification as described in 40 CFR 33.204-33.205. EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2Subcontractor is defined as a company,firm,joint venture,or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. July 2025 Attachment 5: SRF Required Front-End Specifications Disadvantaged Business Enterprise (DBE) Subcontractor Utilization Form *This form to be completed by Prime and DBE Subcontractor for each subcontract and submitted with the bid. *Jf CBE has NOT yet been selected by the Prime Contractor or if.no DBEs are needed,then this form is not required to be submitted at this time. This form is intended to capture the prime contractor's actual and/or intended use of identified certified DBE' subcontractors'and the estimated dollar amount of each subcontract.An EPA Financial Assistance Agreement Recipient must require its prime contractors to complete this form and include it in the bid or proposal package. Prime contractors should also maintain a copy of this form on file. Prime Contractor Name: Project Name: Bid/Proposal No.: Assistance Agreement ID No. (if known): Point of Contact: Address: Telephone No.: Email: Issuing/Funding Entity: I have identified potential DBE certified subcontractors []Yes No If yes, complete the table below. If no, explain: Subcontractor Name) Company Address/Phone/Email Estimated Currently DBE Company Name Dollar Amount Certified? Yes No nYes No Yes No Yes No []Yes No I certify under penalty of perjury that the forgoing statements are true and correct.Signing this form does not signify a commitment to utilize the subcontractors above. Prime Contractor Signature Print Name Title Date July 2025 1A DBE is a Disadvantaged,Minority,or Woman Business Enterprise that has been certified by an entity from which EPA accepts certification as described in 40 CFR 33.204-33.205 or certified by EPA.EPA accepts certifications from entities that meet or exceed EPA certification standards as described in 40 CFR 33.202. 2Subcontractor is defined as a company,firm,joint venture,or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance. July 2025 Attachment 7:SRF Required Front-End Specifications Other Federal Requirements Language A. -RESERVED- B. Federal Labor Standards Provisions(including Davis-Bacon prevailing wage rates) The Project or Program to which the construction work covered by this contract pertains is being assisted by the United States of America and the following Federal Labor Standards Provisions are included in this Contract pursuant to the provisions applicable to such Federal assistance. (1) Minimum wages. (i) All laborers and mechanics employed or working upon the site of the work will be paid unconditionally and not less often than once a week, and without subsequent deduction or rebate on any account (except such payroll deductions as are permitted by regulations issued by the Secretary of Labor under the Copeland Act(29 CFR part 3)),the full amount of wages and bona fide fringe benefits (or cash equivalents thereof) due at time of payment computed at rates not less than those contained in the wage determination of the Secretary of Labor which is attached hereto and made a part hereof, regardless of any contractual relationship which may be alleged to exist between the contractor and such laborers and mechanics. Contributions made or costs reasonably anticipated for bona fide fringe benefits under section 1(b)(2) of the Davis-Bacon Act on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of paragraph (a)(1)(iv) of this section;also, regular contributions made or costs incurred for more than a weekly period (but not less often than quarterly) under plans,funds, or programs which cover the particular weekly period,are deemed to be constructively made or incurred during such weekly period. Such laborers and mechanics shall be paid the appropriate wage rate and fringe benefits on the wage determination for the classification of work actually performed, without regard to skill, except as provided in Sec. 5.5(a)(4). Laborers or mechanics performing work in more than one classification may be compensated at the rate specified for each classification for the time actually worked therein: Provided that the employer's payroll records accurately set forth the time spent in each classification in which work is performed.The wage determination (including any additional classification and wage rates conformed under paragraph (a)(1)(ii) of this section) and the Davis-Bacon poster(WH-1321)shall be posted at all times by the contractor and its subcontractors at the site of the work in a prominent and accessible place where it can be easily seen by the workers. (ii) (A) The contracting officer shall require that any class of laborers or mechanics, including helpers, which is not listed in the wage determination and which is to be employed under the contract shall be classified in conformance with the wage determination.The contracting officer shall approve an additional classification and wage rate and fringe benefits therefore only when the following criteria have been met: (1) The work to be performed by the classification requested is not performed by a classification in the wage determination; and (2) The classification is utilized in the area by the construction industry; and (3) The proposed wage rate, including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage determination. (B) If the contractor and the laborers and mechanics to be employed in the classification (if known), or their representatives, and the contracting officer agree on the classification and wage rate(including the amount designated for fringe benefits where appropriate), a report of the action taken shall be sent by the contracting officer to the Administrator of the Wage and Hour Division, Employment Standards Administration, U.S. Department of Labor, Washington, DC 20210.The Administrator, or an authorized representative, will approve, modify, or disapprove every additional classification action within 30 days of receipt and so advise the contracting officer or will notify the contracting officer within the 30-day period that additional time is necessary. (C) In the event the contractor, the laborers or mechanics to be employed in the classification or their representatives, and the contracting officer do not agree on the proposed classification and wage rate (including the amount designated for fringe benefits,where appropriate), the contracting officer shall refer the questions, including the views of all interested parties and the recommendation of the contracting July 2025 officer,to the Administrator for determination.The Administrator, or an authorized representative,will issue a determination within 30 days of receipt and so advise the contracting officer or will notify the contracting officer within the 30-day period that additional time is necessary. (D) The wage rate (including fringe benefits where appropriate) determined pursuant to paragraphs (a)(1)(ii) (B) or(C)of this section, shall be paid to all workers performing work in the classification under this contract from the first day on which work is performed in the classification. (iii) Whenever the minimum wage rate prescribed in the contract for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly rate,the contractor shall either pay the benefit as stated in the wage determination or shall pay another bona fide fringe benefit or an hourly cash equivalent thereof. (iv) If the contractor does not make payments to a trustee or other third person,the contractor may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing bona fide fringe benefits under a plan or program, provided that the Secretary of Labor has found, upon the written request of the contractor,that the applicable standards of the Davis-Bacon Act have been met.The Secretary of Labor may require the contractor to set aside in a separate account assets for the meeting of obligations under the plan or program. (2) Withholding.The EPA shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld from the contractor under this contract or any other Federal contract with the same prime contractor, or any other federally-assisted contract subject to Davis-Bacon prevailing wage requirements,which is held by the same prime contractor,so much of the accrued payments or advances as may be considered necessary to pay laborers and mechanics, including apprentices,trainees, and helpers, employed by the contractor or any subcontractor the full amount of wages required by the contract. In the event of failure to pay any laborer or mechanic, including any apprentice,trainee, or helper, employed or working on the site of the work, all or part of the wages required by the contract,the EPA may,after written notice to the contractor,sponsor, applicant, or owner,take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds until such violations have ceased. (3) Payrolls and basic records. (i) Payrolls and basic records relating thereto shall be maintained by the contractor during the course of the work and preserved for a period of three years thereafter for all laborers and mechanics working at the site of the work.Such records shall contain the name, address,and social security number of each such worker, his or her correct classification, hourly rates of wages paid (including rates of contributions or costs anticipated for bona fide fringe benefits or cash equivalents thereof of the types described in section 1(b)(2)(B) of the Davis-Bacon Act), daily and weekly number of hours worked, deductions made and actual wages paid. Whenever the Secretary of Labor has found under 29 CFR 5.5(a)(1)(iv)that the wages of any laborer or mechanic include the amount of any costs reasonably anticipated in providing benefits under a plan or program described in section 1(b)(2)(B)of the Davis-Bacon Act,the contractor shall maintain records which show that the commitment to provide such benefits is enforceable,that the plan or program is financially responsible, and that the plan or program has been communicated in writing to the laborers or mechanics affected, and records which show the costs anticipated or the actual cost incurred in providing such benefits. Contractors employing apprentices or trainees under approved programs shall maintain written evidence of the registration of apprenticeship programs and certification of trainee programs, the registration of the apprentices and trainees,and the ratios and wage rates prescribed in the applicable programs. (ii) (A) The contractor shall submit weekly for each week in which any contract work is performed a copy of all payrolls to the (write in name of appropriate federal agency) if the agency is a party to the contract, but if the agency is not such a party,the contractor will submit the payrolls to the applicant, sponsor, or owner, as the case may be,for transmission to the(write in name of agency).The payrolls submitted shall set out accurately and completely all of the information required to be maintained under 29 CFR 5.5(a)(3)(i), except that full social security numbers and home addresses shall not be included on weekly transmittals. Instead the payrolls shall only need to include an individually identifying number for each employee(e.g., the last four digits of the employee's social security number).The required weekly payroll information may be submitted in any form desired. Optional Form WH-347 is available for this purpose from the Wage and Hour Division Web site at htto://www.dol.gov/whd/programs/dbra/forms.htm or its successor site.The prime contractor is responsible for the submission of copies of payrolls by all subcontractors. Contractors and July 2025 subcontractors shall maintain the full social security number and current address of each covered worker, and shall provide them upon request to the (write in name of appropriate federal agency) if the agency is a party to the contract, but if the agency is not such a party,the contractor will submit them to the applicant, sponsor, or owner, as the case may be,for transmission to the (write in name of agency),the contractor, or the Wage and Hour Division of the Department of Labor for purposes of an investigation or audit of compliance with prevailing wage requirements. It is not a violation of this section for a prime contractor to require a subcontractor to provide addresses and social security numbers to the prime contractor for its own records,without weekly submission to the sponsoring government agency(or the applicant, sponsor, or owner). (8) Each payroll submitted shall be accompanied by a "Statement of Compliance,"signed by the contractor or subcontractor or his or her agent who pays or supervises the payment of the persons employed under the contract and shall certify the following: (1) That the payroll for the payroll period contains the information required to be provided under Sec. 5.5 (a)(3)(ii) of Regulations, 29 CFR part 5,the appropriate information is being maintained under Sec.5.5 (a)(3)(i)of Regulations, 29 CFR part 5, and that such information is correct and complete; (2) That each laborer or mechanic(including each helper, apprentice, and trainee) employed on the contract during the payroll period has been paid the full weekly wages earned,without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly from the full wages earned, other than permissible deductions as set forth in Regulations, 29 CFR part 3; (3) That each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification of work performed,as specified in the applicable wage determination incorporated into the contract. (C) The weekly submission of a properly executed certification set forth on the reverse side of Optional Form WH-347 shall satisfy the requirement for submission of the "Statement of Compliance" required by paragraph (a)(3)(ii)(B) of this section. (D) The falsification of any of the above certifications may subject the contractor or subcontractor to civil or criminal prosecution under section 1001 of title 18 and section 231 of title 31 of the United States Code. (iii) The contractor or subcontractor shall make the records required under paragraph (a)(3)(i) of this section available for inspection, copying, or transcription by authorized representatives of the EPA or the Department of Labor, and shall permit such representatives to interview employees during working hours on the job. If the contractor or subcontractor fails to submit the required records or to make them available, the Federal agency may, after written notice to the contractor, sponsor, applicant, or owner, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds. Furthermore,failure to submit the required records upon request or to make such records available may be grounds for debarment action pursuant to 29 CFR 5.12. (4) Apprentices and trainees (i) Apprentices.Apprentices will be permitted to work at less than the predetermined rate for the work they performed when they are employed pursuant to and individually registered in a bona fide apprenticeship program registered with the U.S. Department of Labor, Employment and Training Administration, Office of Apprenticeship Training, Employer and Labor Services, or with a State Apprenticeship Agency recognized by the Office, or if a person is employed in his or her first 90 days of probationary employment as an apprentice in such an apprenticeship program,who is not individually registered in the program, but who has been certified by the Office of Apprenticeship Training, Employer and Labor Services or a State Apprenticeship Agency(where appropriate) to be eligible for probationary employment as an apprentice.The allowable ratio of apprentices to journeymen on the job site in any craft classification shall not be greater than the ratio permitted to the contractor as to the entire work force under the registered program.Any worker listed on a payroll at an apprentice wage rate,who is not registered or otherwise employed as stated above, shall be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any apprentice performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. Where a contractor is performing construction on a project in a locality other than that in which its program is registered,the ratios and wage rates (expressed in percentages of the journeyman's hourly rate) July 2025 specified in the contractor's or subcontractor's registered program shall be observed. Every apprentice must be paid at not less than the rate specified in the registered program for the apprentice's level of progress, expressed as a percentage of the journeymen hourly rate specified in the applicable wage determination.Apprentices shall be paid fringe benefits in accordance with the provisions of the apprenticeship program. If the apprenticeship program does not specify fringe benefits, apprentices must be paid the full amount of fringe benefits listed on the wage determination for the applicable classification. If the Administrator determines that a different practice prevails for the applicable apprentice classification,fringes shall be paid in accordance with that determination. In the event the Office of Apprenticeship Training, Employer and Labor Services, or a State Apprenticeship Agency recognized by the Office,withdraws approval of an apprenticeship program,the contractor will no longer be permitted to utilize apprentices at less than the applicable predetermined rate for the work performed until an acceptable program is approved. (ii) Trainees. Except as provided in 29 CFR 5.16,trainees will not be permitted to work at less than the predetermined rate for the work performed unless they are employed pursuant to and individually registered in a program which has received prior approval,evidenced by formal certification by the U.S. Department of Labor, Employment and Training Administration.The ratio of trainees to journeymen on the job site shall not be greater than permitted under the plan approved by the Employment and Training Administration. Every trainee must be paid at not less than the rate specified in the approved program for the trainee's level of progress, expressed as a percentage of the journeyman hourly rate specified in the applicable wage determination.Trainees shall be paid fringe benefits in accordance with the provisions of the trainee program. If the trainee program does not mention fringe benefits,trainees shall be paid the full amount of fringe benefits listed on the wage determination unless the Administrator of the Wage and Hour Division determines that there is an apprenticeship program associated with the corresponding journeyman wage rate on the wage determination which provides for less than full fringe benefits for apprentices.Any employee listed on the payroll at a trainee rate who is not registered and participating in a training plan approved by the Employment and Training Administration shall be paid not less than the applicable wage rate on the wage determination for the classification of work actually performed. In addition, any trainee performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. In the event the Employment and Training Administration withdraws approval of a training program,the contractor will no longer be permitted to utilize trainees at less than the applicable predetermined rate for the work performed until an acceptable program is approved. (iii) Equal employment opportunity.The utilization of apprentices,trainees and journeymen under this part shall be in conformity with, 29 CFR part 30. (5) Compliance with Copeland Act requirements.The contractor shall comply with the requirements of 29 CFR part 3, which are incorporated by reference in this contract. (6) Subcontracts.The contractor or subcontractor shall insert in any subcontracts the clauses contained in 29 CFR 5.5(a)(1) through (10)and such other clauses as the (write in the name of the Federal agency) may by appropriate instructions require, and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts.The prime contractor shall be responsible for the compliance by any subcontractor or lower tier subcontractor with all the contract clauses in 29 CFR 5.5. (7) Contract termination:debarment. A breach of the contract clauses in 29 CFR 5.5 may be grounds for termination of the contract, and for debarment as a contractor and a subcontractor as provided in 29 CFR 5.12. (8) Compliance with Davis-Bacon and Related Act requirements. All rulings and interpretations of the Davis-Bacon and Related Acts contained in 29 CFR parts 1, 3, and 5 are herein incorporated by reference in this contract. (9) Disputes concerning labor standards. Disputes arising out of the labor standards provisions of this contract shall not be subject to the general disputes clause of this contract. Such disputes shall be resolved in accordance with the procedures of the Department of Labor set forth in 29 CFR parts 5, 6, and 7. Disputes within the meaning of this clause include disputes between the contractor(and any of its subcontractors) and the contracting agency,the U.S. Department of Labor, or the employees or their representatives. (10)Certification of eligibility. (i) By entering into this contract,the contractor certifies that neither it(nor he or she) nor any person or firm who has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of section 3(a)of the Davis-Bacon Act or 29 CFR 5.12(a)(1). July 2025 (ii) No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of section 3(a)of the Davis-Bacon Act or 29 CFR 5.12(a)(1). (iii) The penalty for making false statements is prescribed in the U.S. Criminal Code, 18 U.S.C. 1001. (b) Contract Work Hours and Safety Standards Act.The Agency Head shall cause or require the contracting officer to insert the following clauses set forth in paragraphs (b)(1), (2), (3),and (4) of this section in full in any contract in an amount in excess of$100,000 and subject to the overtime provisions of the Contract Work Hours and Safety Standards Act.These clauses shall be inserted in addition to the clauses required by Sec. 5.5(a)or 4.6 of part 4 of this title.As used in this paragraph,the terms laborers and mechanics include watchmen and guards. (1) Overtime requirements. No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty hours in such workweek. (2) Violation; liability for unpaid wages; liquidated damages. In the event of any violation of the clause set forth in paragraph (b)(1)of this section the contractor and any subcontractor responsible therefor shall be liable for the unpaid wages. In addition,such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory,to such District or to such territory),for liquidated damages.Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in paragraph (b)(1)of this section, in the sum of$10 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in paragraph (b)(1)of this section. (3) Withholding for unpaid wages and liquidated damages.The loan recipient shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld,from any moneys payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contractor,or any other federally-assisted contract subject to the Contract Work Hours and Safety Standards Act,which is held by the same prime contractor,such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in the clause set forth in paragraph (b)(2) of this section. (4) Subcontracts.The contractor or subcontractor shall insert in any subcontracts the clauses set forth in paragraph (b)(1)through (4) of this section and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts.The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in paragraphs(b)(1)through (4) of this section. (c) In addition to the clauses contained in paragraph (b), in any contract subject only to the Contract Work Hours and Safety Standards Act and not to any of the other statutes cited in Sec. 5.1,the Agency Head shall cause or require the contracting officer to insert a clause requiring that the contractor or subcontractor shall maintain payrolls and basic payroll records during the course of the work and shall preserve them for a period of three years from the completion of the contract for all laborers and mechanics, including guards and watchmen, working on the contract. Such records shall contain the name and address of each such employee,social security number, correct classifications, hourly rates of wages paid, daily and weekly number of hours worked,deductions made, and actual wages paid. Further,the Agency Head shall cause or require the contracting officer to insert in any such contract a clause providing that the records to be maintained under this paragraph shall be made available by the contractor or subcontractor for inspection, copying,or transcription by authorized representatives of the EPA and the Department of Labor, and the contractor or subcontractor will permit such representatives to interview employees during working hours on the job. July 2025 C. -RESERVED- D. Historical and Archeological Finds Should any cultural, historical, or paleontological resources including but not limited to deposits of charcoal or ash, animal bones, pottery sherds, or stone tools be exposed as part of proposed project activities, the owner shall stop ground-disturbing activities within 100 feet of the discovery and immediately notify the State Revolving Fund Environmental Review Specialist (SRF). No further disturbance of the deposits shall ensue until the SRF determines that the project activities in that area may proceed. If human remains are accidentally discovered, Iowa burial law [[Iowa Code Sections 263B, 5231.316(6), and 716.5; 685 IAC 11.1] requires that all work in the vicinity of the finding be halted,the remains left in place and protected, local law enforcement officials notified, and the bioarchaeology director at the Office of the State Archaeologist (OSA) contacted immediately(319-384-0740). Photographs are only to be taken at the direction of the bioarchaeology director and must not be shared publicly. In all cases of inadvertent discovery,the SRF shall determine the applicability of the Protection of Historic Properties regulations of the Advisory Council on Historic Preservation [36 CFR Part 800.13(b)] and, when applicable, shall notify the State Historic Preservation Office (SHPO) and consult with the SHPO, OSA, and other interested parties to determine the proper course of action regarding the discovery. Compensation to the contractor, if any, for lost time or changes in construction to avoid the find, shall be determined in accordance with changed conditions or change order provisions of the specifications. E. Prohibitions on Procurement from Violating Facilities(Section 306,Clean Air Act;Section 508, Clean Water Act; Executive Order 11738) Both the Clean Water Act and the Clean Air Act prohibit federal agencies from extending assistance by way of loans or contracts to persons who have been convicted of violations of either law. Executive Order 11738 was issued to coordinate enforcement by the U.S. Environmental Protection Agency,which shall designate facilities which have given rise to a conviction for an offense under the criminal provisions of the Clean Air Act and the Clean Water Act. The Executive Order also prohibits agencies from extending assistance to facilities that are not in compliance with either Act. SRF assistance recipients may not procure goods, services, or materials from suppliers listed by the EPA as violators. The Excluded Parties Listing search engine is located at the System for Award Management (SAM)website: https://sam.gov. July 2025 Attachment 8: SRF Required Front-End Specifications Right of Entry and Records Retention The recipient shall provide access at all times for the Department of Natural Resources, the Iowa Finance Authority, the state auditor, and the U.S. EPA Office of the Inspector General to all project records and documents for inspection and audit purposes for a period of three years after the date of last loan payment. The same access to the project site(s) shall be provided for inspection purposes. 567 Iowa Administrative Code paragraph 92.8 (2).e. State inspections. Personnel of the department shall have the right to examine all construction aspects of the project, including materials and equipment delivered and stored on site for use on the project. July 2025 IOWA STATE REVOLVING FUND iowasrf.com State Revolving Fund Attachment 9: SRF Required Front-End Specifications American Iron and Steel Requirements H.R. 3547, the "Consolidated Appropriations Act, 2014," enacted January 17, 2014 by the U.S. Congress, includes "American Iron and Steel" provisions that require Clean Water and Drinking Water State Revolving Fund assistance recipients of these funds to use iron and steel produced in the United States. H.R. 3547 includes the following language in Division G, Title IV, under the heading, "Use of American Iron and Steel": Sec. 436. (a)(1) None of the funds made available by a State water pollution control revolving fund as authorized by title VI of the Federal Water Pollution Control Act (33 U.S.C. 1381 et seq.) or made available by a drinking water treatment revolving loan fund as authorized by section 1452 of the Safe Drinking Water Act (42 U.S.C. 300j-12) shall be used for a project for the construction, alteration, maintenance, or repair of a public water system or treatment works unless all of the iron and steel products used in the project are produced in the United States. (2) In this section, the term "iron and steel products" means the following products made primarily of iron and steel: lined or unlined pipes and fittings, manhole covers and other municipal castings, hydrants, tanks, flanges, pipe clamps and restraints, valves, structural steel, reinforced precast concrete, and construction materials. (b) Subsection (a) shall not apply in any case or category of cases in which the Administrator of the Environmental Protection Agency (in this section referred to as the "Administrator") find that- 1. Applying subsection (a) would be inconsistent with the public interest; 2. Iron and steel products are not produced in the United States in sufficient and reasonably available quantities and of a satisfactory quantity; or 3. Inclusion of iron and steel products produced in the United States will increase the cost of the overall project by more than 25 percent. (c) If the Administrator receives a request for a waiver under this section, the Administrator shall make available to the public on an informal basis a copy of the request and information available to the Administrator concerning the request, and shall allow for informal public input on the request for at least 15 days prior to making a finding based on the request. The Administrator shall make the request and accompanying information available by electronic means, including on the official public Internet Web site of the Environmental Protection Agency. The final guidance and any published waivers are found at: https://www.epa.gov/cwsrf/state-revolving-fund-american- iron-and-steel-ais-requirement. In particular the contractor should pay attention to the guidance for documentation of compliance. There is also a waiver for incidental items; in order to qualify for this waiver the total materials and costs for the project must be tracked and incidental items identified. Sample "American Iron and Steel" Contract Language In order to fulfill the requirements, the assistance recipient must in good faith design the project and solicit bids for construction with U.S.-made iron and steel. The following information will be included in any contracts resulting from this request for bids: The Contractor acknowledges to and for the benefit of the City of Waterloo, IA ("Purchaser") and the State of Iowa (the "State") that it understands the goods and services under this Agreement are being funded with monies made available by the Clean Water State Revolving Fund and/or Drinking Water State Revolving Fund and such law contains provisions commonly known as "American Iron and Steel;" that requires all of the iron and steel products July 2025 IOWA STATE REVOLVING FUND I WA iowasrf.com .M State Revolving Fund used in the project to be produced in the United States ("American Iron and Steel Requirement") including iron and steel products provided by the Contactor pursuant to this Agreement. The Contractor hereby represents and warrants to and for the benefit of the Purchaser and the State that (a)the Contractor has reviewed and understands the American Iron and Steel Requirement, (b) all of the iron and steel products used in the project will be and/or have been produced in the United States in a manner that complies with the American Iron and Steel Requirement, unless a waiver of the requirement is approved, and(c)the Contractor will provide any further verified information, certification or assurance of compliance with this paragraph, or information necessary to support a waiver of the American Iron and Steel Requirement, as may be requested by the Purchaser or the State. Notwithstanding any other provision of this Agreement, any failure to comply with this paragraph by the Contractor shall permit the Purchaser or State to recover as damages against the Contractor any loss, expense, or cost (including without limitation attorney's fees) incurred by the Purchaser or State resulting from any such failure (including without limitation any impairment or loss of funding,whether in whole or in part,from the State or any damages owed to the State by the Purchaser).While the Contractor has no direct contractual privity with the State, as a lender to the Purchaser for the funding of its project,the Purchaser and the Contractor agree that the State is a third-party beneficiary and neither this paragraph (nor any other provision of this Agreement necessary to give this paragraph force or effect)shall be amended or waived without the prior written consent of the State. Sample Certifications As indicated in the contract language, it will be the responsibility of the Contractor to obtain certifications that the products and materials used in the project are U.S.-made. EPA recommends the use of a step certification process for documenting compliance with AIS requirements,similar to one used by the Federal Highway Administration. Step certification creates a paper trail which documents the location of the manufacturing process involved with the production of steel and iron materials. Each handler(supplier,fabricator, manufacturer, processor, coater, etc.) of the iron and steel products certifies that their step in the process was domestically performed.Alternatively,the final manufacturer that delivers the iron or steel product to the worksite,vendor, or contractor, may provide a certification asserting that all manufacturing processes occurred in the US and providing detailed information on the steps involved. The following information is provided as a sample letter of certification for AIS compliance. Documentation must be provided on company letterhead. In this example,there may be multiple letters from different manufacturers if one manufacturer did not perform all of the steps. Date Company Letterhead Company Name Company Address City,State Zip Subject:American Iron and Steel Step Certification for Project(XXXXXXXXXX) I, (company representative), certify that the (melting, bending, coating, galvanizing, cutting, etc.) process for (manufacturing or fabricating)the following products and/or materials shipped or provided for the subject project is in full compliance with the American Iron and Steel requirement as mandated in EPA's State Revolving Fund Programs. Item, Products and/or Materials: 1. Xxxx July 2025 IOWA,SyTATvI�Em REVOLVING FUND WA lowas State Revolving Fund 2.Xxxx 3.Xxxx Such process took place at the following location: If any of the above compliance statements change while providing material to this project we will immediately notify the prime contractor and the engineer. Signed by company representative Covered and Non-Covered Items The EPA issued a waiver for De Minimus incidental components of eligible water and wastewater infrastructure projects. Funds used for such De Minimus incidental components cumulatively may comprise no more than a total of 5%of the total cost of the materials used in and incorporated into a project.The cost of an individual incidental item may not exceed 1%of the total cost of the materials used in and incorporated into a project. De Minimus incidental items include miscellaneous, generally low-cost components that are essential for, but incidental to,the construction and are incorporated into the physical structure of the project. For many of these incidental components,the country of manufacture and the availability of alternatives are not readily or reasonably identifiable prior to procurement in the normal course of business. For others,the country of manufacture may be known but the miscellaneous character in conjunction with the low cost, individually and (in total)as typically procured in bulk, mark them as properly incidental. Examples of incidental components could include small washers, screws,fasteners(i.e., nuts and bolts), miscellaneous wire, corner bead, ancillary tube, etc. Examples of items that are clearly not incidental include significant process fittings (i.e.,tees, elbows,flanges, and brackets), distribution system fittings and valves,force main valves, pipes,treatment and storage tanks, large structural supports,etc. In consultation with their contractors,assistance recipients should determine the items to be covered by this waiver, and must retain relevant documentation (i.e. invoices)as to those items.Assistance recipients must summarize in the AIS De minimis Product List the types and/or categories of items to which this waiver is applied,the total cost of incidental components for each type or category, and the calculations by which they determined the total cost of materials used in and incorporated into the project. The successful bidder will fill out the AIS Procurement List and submit it to the assistance recipient to indicate iron and steel items proposed to be procured for the project. Assistance recipients will complete the AIS De Minimis Waiver Products List for the entire project to demonstrate compliance with the De Minimis Waiver cost requirements outlined above. Related forms and resources can be found at httos://o rnortunitviowa.gov/community/water-quality/srf- resources/documents-and-guides. July 2025 IOwA STATE REVOLVING FUND iowasrf.com State Revolving Fund Attachment 10: SRF Required Front-End Specifications *This form to be completed by Prime Contractor and submitted with the bid. PROHIBITION ON CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT This term and condition implements 2 CFR 200.216 and is effective for obligations and expenditures of EPA financial assistance funding on or after 8/13/2020. EPA recipients and subrecipients, including borrowers under EPA funded revolving loan fund programs, are prohibited from obligating or expending loan or grant funds to: (a) Procure or obtain, extend or renew a contract to procure or obtain; (b) Enter into a contract (or extend or renew a contract)to procure; or (c) Obtain the equipment, services, or systems that use "covered telecommunications equipment or services" identified in the regulation as a substantial or essential component of any system, or as critical technology as part of any system. Certain equipment, systems, or services, including equipment, systems, or services produced or provided by entities subject to the prohibition are recorded in the System for Award Management exclusion list, website: https://sam.gov. (1) As described in Public Law 115-232, section 889, covered telecommunications equipment or services includes: (i) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities). (ii) For the purpose of public safety, security of government facilities, physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities). (iii) Telecommunications or video surveillance services provided by such entities or using such equipment. (iv) Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country. (2) Consistent with 2 CFR 200.471, costs incurred for telecommunications and video surveillance services or equipment such as phones, internet,video surveillance, and cloud servers are allowable except for the following circumstances: (i) Obligating or expending EPA funds for covered telecommunications and video surveillance services or equipment or services to procure (enter into, renew or extend contracts) or obtain the equipment, services, or systems as described in 2 CFR 200.216. I understand the above prohibitions and certify that the project will be in compliance with all the requirements. 07-16-2026 Signature Date Chris Fleshner Project Estimator Printed Name Title July 2025 FORM OF BID OR PROPOSAL FY 2023 CATTLE CONGRESS SANITARY SEWER LIFT STATION RECONSTRUCTION CONTRACT NO. 1075 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 Iowa 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 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 CATTLE CONGRESS LIFT STATION SANITARY SEWER RECONSTRUCTION, CONTRACT NO. 1075, all in accordance with the above-listed documents and for the unit prices for work in place for the following items and quantities: FY 2023 CATTLE CONGRESS SANITARY SEWER LIFT STATION RECONSTRUCTION CONTRACT NO. 1075 zf ay� �f, G; . 1 11020-A MOBILIZATION LS 2 2010-D-1 TOPSOIL,ON-SITE,6 INCHES CY 248.6 $ $ 3 2010-E EXCAVATION,CLASS 10—EMBANKMENT-IN- CY 400.0 $ $ PLACE 4 2010-I SUBGRADE TREATMENT,GEOFABRIC SY 175.0 $ $ 5 2010-J SUBBASE, MODIFIED, 11' SY 224.8 $ $ 6 2010-M COMPACTION TESTING LS 1.0 $ $ 7 3010-D REPLACEMENT OF UNSUITABLE BACKFILL CY 2872.4 $ $ MATERIAL 8 3010-H TRENCH COMPACTION TESTING LS 1.0 $ $ 9 4010 C-1 SANITARY SEWER FORCE MAIN,TRENCHED, LF 512.8 $ $ PVC, 10-INCHES 10 4010-C-1 SANITARY SEWER FORCE MAIN,TRENCHED, LF 5.5 $ $ DUCTILE IRON, 10-INCHES 11 4010-C-2 SANITARY SEWER FRRCE MAIN, LF 300.0 $ $ TRENCHLESS, PVC, 10-INCHES 12 4010-L SANITARY SEWER ABANDONMENT,FILL AND LF 815.3 $ $ PLUG, 10-INCHES 13 4050-G-3 BYPASS PUMPING LS 1.0 $ $ 14 4060 FORCE MAIN TESTING LS 1.0 $ $ 15 5010-C-2 FORCE MAIN FITTING LB 720.0 $ $ 16 6010-G-1 CONNECTION TO EXISTING MANHOLE EA 1.0 $ $ 17 7030-H-3 DRIVEWAY, GRANULAR,6-INCHES TON 172.9 $ $ 18 8030-A TEMPORARY TRAFFIC CONTROL LS 1.0 $ $ 19 9010 B HYDRAULIC SEEDING,SEEDING, AC 0.4 $ $ FERTILIZING,AND MULCHING,TYPE 1 FORM OF BID CONTRACT NO. 1075 FB-1 of 3 AECOM#60696351 FY 2023 CATTLE CONGRESS SAN SEWER LIFT STATION RECONSTRUCTION 20 9010-B HYDRAULIC SEEDING,SEEDING, AC 0.2 $ $ FERTILIZING,AND MULCHING,TYPE 4 21 9040-A-1 SWPPP PREPARATION LS 1.0 $ $ 22 9040-A-2 SWPPP MANEGEMENT LS 1.0 $ $ 23 9060-D REMOVAL AND REINSTALLATION OF LF 40.0 $ $ EXISTING FENCE,CHAINLINK,GALVANIZE 24 9080-A CONCRETE STEPS,TYPE A SF 115.5 $ $ 25 9080-B HANDRAIL,32-INCHES LF 22.0 $ $ 26 9080-C SAFETY RAIL LF 44.8 $ $ 27 10010-A DEMOLITION WORK-WET WELL LS 1.0 $ $ 28 10010.A DEMOLITION WORK-LIFT STATION LS 1.0 $ $ BUILDING AND EQUIPMENT 29 11050-A CONCRETE WASHOUT LS 1.0 $ $ 30 AS PER PLANS SANITARY SEWER MANHOLE EA 5.0 $ $ ABANDONMENT 31 AS PER PLANS LIFT STATION WET WELL LS 1.0 $ $ 32 AS PER PLANS PREFABRICATED OPERATOR'S BUILDING LS 1.0 $ $ 33 AS PER PLANS BYPASS MANHOLE LS 1.0 $ $ 34 AS PER PLANS SITE ELECTRICAL LS 1.0 $ $ 35 AS PER PLANS STAND-BY GENERATOR LS 1.0 $ $ 36 AS PER PLANS BOLLARDS EA 6.0 $ $ 37 AS PER PLANS STRUCTURAL CONCRETE RETAINING WALL CY 30.2 $ $ -GENERATOR PAD AND STAIRS 38 AS PER PLANS STRUCTUAL CONCRETE PAD-GENERATOR CY 8.1 $ $ 39 AS PER PLANS COMPACTING BACKFILL-GRADING CY 400.0 $ $ PROJECT TOTAL $ $ Please see the attached Itemized Cost Report for Unit Prices = $4,230,069.05 2. It is understood that the quantities set forth are approximate only and subject to variation and that the unit bid price for the work done shall govern in the actual payment to Contractor. 3. In submitting this bid,the bidder understands that the right is reserved by the City of Waterloo,Iowa, to reject any or all bids. If written notice of the acceptance of this bid is mailed,telegraphed,or delivered to the undersigned within thirty(30)days after the opening thereof,or at any time thereafter before this bid is withdrawn,the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of the insurance within ten(10)days after the agreement is presented to him for signature, and start work within ten (10)days after "Notice to Proceed"is issued. 4. Security in the sum of 5% Dollars ($ )in the form of Hid Bond ,is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS. 5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor. 6. 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. FORM OF BID CONTRACT NO.1075 FB-2 of 3 AECOM#60696351 FY 2023 CATTLE CONGRESS SAN SEWER LIFT STATION RECONSTRUCTION 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. #1 Date 7-8-26 #2 7-15-26 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. 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. Peterson Contractors, Inc. 07-16-2026 ( ame of Bi cler) (Date) BY: C 1 Title Peterson Contractors, Inc. Official Address: (Including Zip Code): 104 Black Hawk St. , P.O. Box A Reinbeck, IA 50669 I.R.S. No. 42-0921654 FORM OF BID CONTRACT NO. 1075 FB-3 of 3 AECOM#60696351 FY 2023 CATTLE CONGRESS SAN SEWER LIFT STATION RECONSTRUCTION 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. 3. 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.1075 EOC-1 of 2 AECOM#60696351 FY 2023 CATTLE CONGRESS SAN SEWER LIFT STATION RECONSTRUCTION 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. (Signed) (Appropriate Official) Project Estimator (Title) 07-16-2026 (Date) EQUAL OPPORTUNITY CLAUSE CONTRACT NO. 1075 EOC-2 of 2 AECOM#60696351 FY 2023 CATTLE CONGRESS SAN SEWER LIFT STATION RECONSTRUCTION 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. 1075 TVI-1 of 1 AECOM#60696351 FY 2023 CATTLE CONGRESS SAN SEWER LIFT STATION RECONSTRUCTION Bidder Status Form To be completed by all bidders Part A Please answer "Yes" or "No" for each of the following: 0 Yes ❑ No 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). Q Yes ❑ No My company has an office to transact business in Iowa. 0 Yes ❑ No My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail. 0 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. 2 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: 12 / 23 / 1968 to 07 / 16 / 2026 Address: 104 Black Hawk St . , P .O . Box A City, State, Zip: Reinbeck, IA 50669 Dates: / / to / / Address: City, State, Zip: Dates: / / to I / Address: You may attach additional sheet(s) if needed. City, State, Zip: 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 ❑ Yes ❑ No 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. 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: Peterson Contractors , Inc . Signature: Date: 07-16-2026 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. ❑x Yes ❑No My business is currently registered as a contractor with the Iowa Division of Labor. ❑Yes ❑x No My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes. ❑Yes (]No 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 ❑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 ®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 ❑x 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 Q 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 ❑x 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 x❑ 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 x❑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 x❑ 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 PETERSON CoNTRAcToRS , HEAVY & HIGHWAY CONTRACTORS 104 BLAC HAWK ST PHONE: (319)345-2713 P.O. BOX A ( AI FAX: (319) 345-2658 R:EIBEC , IA 50669 , www.pcius.com Proposal Cattle Congress Sanitary Sewer Lift Station Recon Item # Description Unit Type Quantity Unit Price Total Amount 1 MOB LS 1.000 $ 125,000.00 $ 125,000.00 2 Topsoil On-site 6" CY 248.600 $ 30.00 $ 7,458.00 3 Excavation Class 10 Embankment In Place CY 400.000 $ 15.00 $ 6,000.00 4 Subgrade Treatment Geofabric SY 175.000 $ 3.50 $ 612.50 5 Subbase Modified 11" SY 224.800 $ 160.00 $ 35,968.00 6 Compaction Testing LS 1.000 $ 10,000.00 $ 10,000.00 7 Replacement of Unsuitable Backfill Material CY 2,872.400 $ 65.00 $ 186,706.00 8 Trench Compaction Testing LS 1.000 $ 10,000.00 $ 10,000.00 9 10" PVC Sanitary Sewer Force Main Trenched LF 512.800 $ 90.00 $ 46,152.00 10 10" DIP Sanitary Sewer Force Main Trenched LF 5.500 $ 1,800.00 $ 9,900.00 11 10" PVC Sanitary Sewer Force Main Trenchless LF 300.000 $ 140.00 $ 42,000.00 12 10" Sanitary Sewer Abandonment Fill & Plug LF 815.300 $ 26.00 $ 21,197.80 13 Bypass Pumping LS 1.000 1,250,000.00 $ 1,250,000.00 14 Force Main Testing LS 1.000 $ 15,000.00 $ 15,000.00 15 Force Main Fitting LB 720.000 $ 32.50 $ 23,400.00 16 Connection to Existing Manhole EA 1.000 $ 9,500.00 $ 9,500.00 17 6" Granular Driveway Surfacing TN 172.900 $ 27.50 $ 4,754.75 18 Temporary Traffic Control LS 1.000 $ 4,500.00 $ 4,500.00 19 Hydraulic Seeding Fertilizing & Mulch Type 1 AC .400 $ 7,500.00 $ 3,000.00 20 Hydraulic Seeding Fertilizing & Mulch Type 4 AC .200 $ 2,000.00 $ 400.00 21 SWPPP Preparation LS 1.000 $ 5,000.00 $ 5,000.00 22 SWPPP Management LS 1.000 $ 50,000.00 $ 50,000.00 23 Removal & Reinstallation of Existing Chainlink I LF 40.000 $ 120.00 $ 4,800.00 24 Concrete Steps Type A SF 115.500 $ 160.00 $ 18,480.00 25 32" Handrail LF 22.000 $ 425.00 $ 9,350.00 26 Safety Rail LF 44.800 $ 425.00 $ 19,040.00 27 Wet Well Demolition Work LS 1.000 $ 120,000.00 $ 120,000.00 28 Lift Station & Building Demolition Work LS 1.000 $ 125,000.00 $ 125,000.00 29 Concrete Washout LS 1.000 $ 1,250.00 $ 1,250.00 30 Sanitary Sewer Manhole Abandonment EA 5.000 $ 5,000.00 $ 25,000.00 31 Lift Station Wet Well LS 1.000 $ 800,000.00 $ 800,000.00 32 Prefabricated Operators Building LS 1.000 $ 825,000.00 $ 825,000.00 33 Bypass Manhole LS 1.000 $ 90,000.00 $ 90,000.00 34 Site Electrical LS 1.000 $ 100,000.00 $ 100,000.00 35 Stand-by Generator LS 1.000 $ 125,000.00 $ 125,000.00 36 Bollards EA 6.000 $ 1,000.00 $ 6,000.00 37 Structural Concrete Retaining Wall -Generator CY 30.200 $ 2,000.00 $ 60,400.00 38 Structural Concrete Generator Pad CY 8.100 $ 2,000.00 $ 16,200.00 39 Compacting Backfill - Grading CY 400.000 $ 45.00 $ 18,000.00 Total Quoted Amount: $ 4,230,069.05 Peterson Contractors, Inc. Chris Fleshner, Project Estimator BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Peterson Contractors, Inc. as Principal, and Travelers Casualty and Surety Company of America 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 16th day of July , 20 26 , for FY 2023 Cattle Congress Sanitary Sewer Lift Station Reconstruction, Contract No. 1075,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 6th day of July , A.D. 20 26. Peterson Contractors, Inc. (Seal) ,-,,� Principal By� � 4 � asst. treas. (Title) Travelers Casualty and Surety Company of America(Seal) Witness s Surety �p SURFTy u: SEAL0;1 i71 By `s N j0 I Witness ara Huston - Zachary R.Fuller A orney-in-fact .. -tl,\aka BID BOND CONTRACT NO. 1075 BB-1 of 1 AECOM#60696351 FY 2023 CATTLE CONGRESS SAN SEWER LIFT STATION RECONSTRUCTION Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company TRAVELERS St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"), and the Companies do hereby make, constitute and appoint Zachary R Fuller of WAUKEE , Iowa , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 13th day of May, 2026. #!!1 Pao phARINFN+ i.'!1 L ziSEAL r :A: i�� •.... ...••O�;st "sad•., ,.•%er' State of Connecticut By: f';'' City of Hartford ss. Bryce Grissom, Senior Vice President On this the 13th day of May, 2026, before me personally appeared Bryce Grissom, who acknowledged himself to be the Senior Vice President, Surety, Bond & Specialty Insurance, of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. hy I, My Commission expires the 31st day of March, 2031 =` '�ortARk'; � tiab i `•_ tiBil•• .; .= Marie E. Sorensen, Notary Public ae...0 xr•aM This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated this 6th day of July 2026 gSURETy JpLtYANDs =�a MAR NFbI �f--SEAL �� 5 SEAL SEAL ?A *............. s• '.....••-:o, Kevin E. Hughes, Assistant Secretary To verify the authenticity of this Power of Attorney, please call us at 1-800-421-3880. Please refer to the above-named Attorney(s)-in-Fact and the details of the bond to which this Power of Attorney is attached.