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Home My WebLink AboutFORM OF BID OR PROPOSAL FORM OF BID OR PROPOSAL FY 2018 UNIVERSITY AVENUE RECONSTRUCTION - PHASE 1 CONTRACT NO. 933 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 , 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 FY 2018 UNIVERSITY AVENUE RECONSTRUCTION — PHASE 1, Contract No. 933, all in accordance with the above- listed documents and for the unit prices for work in place for the following items and quantities: FY 2018 UNIVERSITY AVENUE RECONSTRUCTION-PHASE 1 CITY CONTRACT NO.933 ITEM EST. UNIT BID TOTAL BID NO. ITEM CODE ITEM UNIT QTY. PRICE PRICE 1 2010 CLEARING AND GRUBBING UNIT 44.0 $ $ 2 2010 ON-SITE TOPSOIL CY 3708.0 $ $ 3 2010 TOPSOIL,CONTRACTOR FURNISH CY 2537.0 $ $ 4 2010 EXCAVATION,CLASS 10,ROADWAY AND CY 23562.0 $ $ BORROW 5 2010 EXCAVATION,CLASS 10,UNSUITABLE OR CY 4464.0 $ $ UNSTABLE MATERIAL 6 2010 EXCAVATION,CLASS 10,WASTE CY 28018.0 $ $ 7 2010 EXCAVATION,CLASS 13 CY 65.0 $ $ 8 2010 SUBGRADE PREPARATION,12 IN. SY 43545.2 $ $ 9 2010 SUBGRADE TREATMENT,GEOTEXTILE SY 2066.0 $ $ 10 2010 SUBBASE,MODIFIED CY 16925.9 $ $ 11 2010 REMOVALS,STRUCTURES EACH 20.0 $ $ 12 3010 REPLACEMENT OF UNSUITABLE BACKFILL CY 500.0 $ $ MATERIAL 13 4020 STORM SEWER,TRENCHED,RCP, LF 1307.4 $ $ CLASS III,15 IN. 14 4020 STORM SEWER,TRENCHED,RCP, LF 1201.8 $ $ CLASS III,18 IN. 15 4020 STORM SEWER,TRENCHED.RCP, LF 2524.9 $ $ CLASS III,24 IN. 16 4020 STORM SEWER,TRENCHED,RCP, LF 1158.5 $ $ CLASS III,30 IN. FORM OF BID FB-1 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No.933 Waterloo,Iowa ITEM EST. UNIT BID TOTAL BID NO. ITEM CODE ITEM UNIT QTY. PRICE PRICE 17 4020 STORM SEWER,TRENCHED,RCP, LF 770.0 $ $ CLASS III,36 IN. 18 4020 STORM SEWER,TRENCHED,RCP, LF 476.7 $ $ CLASS III,42 IN. 19 4020 STORM SEWER,TRENCHED,RCP, LF 397.4 $ $ CLASS III,48 IN. 20 4020 STORM SEWER,TRENCHED,RCP, LF 66.8 $ $ CLASS III,60 IN. 21 4020 STORM SEWER,TRENCHED,RCP, LF 626.4 $ $ CLASS III,44 IN.X 27 IN. 22 4020 STORM SEWER,TRENCHED,RCP, LF 506.9 $ $ CLASS III,52 IN.X 32 IN. 23 4020 STORM SEWER,TRENCHED,RCP, LF 12.0 $ $ CLASS III,58 IN.X 91 IN. 24 4020 STORM SEWER,TRENCHED,RCP, LF 12.0 $ $ CLASS III,68 IN.X 106 IN. 25 4020 STORM SEWER,TRENCHED,PVC,6 IN. LF 6.0 $ $ 26 4020 REMOVAL OF STORM SEWER,RCP,LESS LF 7646.0 $ $ THAN 36 IN. 27 4020 REMOVAL OF STORM SEWER,RCP, LF 1447.0 $ $ GREATER THAN 36 IN. 28 4020 STORM SEWER ABANDONMENT,PLUG LF 105.0 $ $ AND FILL,GREATER THAN 36 IN. 29 4040 SUBDRAIN,TYPES,6 IN. LF 11837.7 $ $ 30 4040 SUBDRAIN OUTLETS AND CONNECTIONS, EACH 27.0 $ $ EXISTING SUBDRAIN,6 IN. 31 4040 SUBDRAIN OUTLETS AND CONNECTIONS, EACH 99.0 $ $ DR-303,6 IN. 32 5010 WATER MAIN,TRENCHED,DUCTILE IRON LF 9.0 $ $ PIPE(DIP),4 IN,NITRILE GASKETS 33 5010 WATER MAIN,TRENCHED,DUCTILE IRON LF 95.4 $ $ PIPE(DIP),6 IN,NITRILE GASKETS 34 5010 WATER MAIN,TRENCHED,DUCTILE IRON LF 102.8 $ $ PIPE(DIP),8 IN,NITRILE GASKETS 35 5010 WATER MAIN,TRENCHED,DUCTILE IRON LF 103.2 $ $ PIPE(DIP),12 IN,NITRILE GASKETS 36 5010 WATER MAIN,TRENCHED,DUCTILE IRON LF 7.0 $ $ PIPE(DIP),16 IN,NITRILE GASKETS 37 5010 WATER MAIN,TRENCHED,DUCTILE IRON LF 4.0 $ $ PIPE(DIP),20 IN,NITRILE GASKETS WATER MAIN,TRENCHLESS,DUCTILE 38 5010 IRON PIPE(DIP),8 IN,NITRILE GASKETS, LF 116.5 $ $ INTEGRAL RESTRAINED JOINTS WATER MAIN,TRENCHLESS,DUCTILE 39 5010 IRON PIPE(DIP),12 IN,NITRILE GASKETS, LF 1710.4 $ $ INTEGRAL RESTRAINED JOINTS FORM OF BID FB-2 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No.933 Waterloo,Iowa ITEM EST. UNIT BID TOTAL BID NO. ITEM CODE ITEM UNIT QTY. PRICE PRICE WATER MAIN,TRENCHLESS,DUCTILE 40 5010 IRON PIPE(DIP),6 IN,NITRILE GASKETS, LF 72.0 $ $ INTEGRAL RESTRAINED JOINTS WITH CASING PIPE WATER MAIN,TRENCHLESS,DUCTILE 41 5010 IRON PIPE(DIP),8 IN,NITRILE GASKETS, LF 289.3 $ $ INTEGRAL RESTRAINED JOINTS WITH CASING PIPE WATER MAIN,TRENCHLESS,DUCTILE 42 5010 IRON PIPE(DIP),12 IN,NITRILE GASKETS, LF 320.8 $ $ INTEGRAL RESTRAINED JOINTS WITH CASING PIPE 43 5010 FITTINGS BY COUNT,DUCTILE IRON,4 IN, EACH 1.0 $ $ 22 1/2°ELBOW 44 5010 FITTINGS BY COUNT,DUCTILE IRON,6 IN, EACH 1.0 $ $ MJ CAP 45 5010 FITTINGS BY COUNT,DUCTILE IRON,6 IN, EACH 8.0 $ $ 45°ELBOW 46 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 1.0 $ $ 6 IN X 8 IN,REDUCER 47 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 1.0 $ $ 8 IN,MJ CAP 48 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 6.0 $ $ 8 IN,45°ELBOW 49 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 2.0 $ $ 12IN,MJ CAP 50 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 6.0 $ $ 12 IN,90°ELBOW 51 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 9.0 $ $ 12 IN,45'ELBOW 52 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 4.0 $ $ 12 IN,TEE 53 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 1.0 $ $ 12 IN X 4 IN,TEE 54 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 2.0 $ $ 12 IN X 6 IN,TEE 55 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 2.0 $ $ 12 IN X 8 IN,TEE 56 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 1.0 $ $ 12 IN X 8 IN,REDUCER 57 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 1.0 $ 16 IN,MJ CAP 58 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 2.0 $ $ 16 IN X 12 IN,REDUCER 59 5010 FITTINGS BY COUNT,DUCTILE IRON, EACH 1.0 $ $ 16 IN X 20 IN,REDUCER 60 5010 FITTING BY COUNT,DUCTILE IRON, EACH 1.0 $ $ 4 IN,RJ LONG SLEEVE 61 5010 FITTING BY COUNT,DUCTILE IRON, EACH 5.0 $ $ 6 IN,RJ LONG SLEEVE FORM OF BID FB-3 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No.933 Waterloo,Iowa ITEM EST. UNIT BID TOTAL BID NO. ITEM CODE ITEM UNIT QTY. PRICE PRICE 62 5010 FITTING BY COUNT,DUCTILE IRON, EACH 3.0 $ $ 8 IN,RJ LONG SLEEVE 63 5010 FITTING BY COUNT,DUCTILE IRON, EACH 6.0 $ $ 12 IN,RJ LONG SLEEVE 64 5010 FITTING BY COUNT,DUCTILE IRON, EACH 2.0 $ $ 16 IN,RJ LONG SLEEVE 65 5010 FITTING BY COUNT,DUCTILE IRON, EACH 1.0 $ $ 20 IN,RJ LONG SLEEVE , 66 5010 WATER SERVICE STUB,COPPER,1 IN LF 10.0 $ $ 67 5010 WATER SERVICE STUB,COPPER, LF 105.0 $ $ 1-1/2 IN 68 5020 VALVE,GATE,DIP,4 IN EACH 1.0 $ $ 69 5020 VALVE,GATE,DIP,6 IN EACH 3.0 $ $ 70 5020 VALVE,GATE,DIP,8 IN EACH 4.0 $ $ 71 5020 VALVE,GATE,DIP,12 IN EACH 16.0 $ $ 72 5020 FIRE HYDRANT EACH 4.0 $ $ 73 5020 FIRE HYDRANT ASSEMBLY REMOVAL EACH 2.0 $ $ 74 6010 MANHOLE,SW-402 EACH 5.0 $ $ 75 6010 MANHOLE,SW-403 EACH 7.0 $ $ 76 6010 MANHOLE,SPECIAL 1 EACH 1.0 $ $ 77 6010 MANHOLE,SPECIAL 2 EACH 1.0 $ $ 78 6010 INTAKE,MODIFIED SW-501 EACH 1.0 $ $ 79 6010 INTAKE,MODIFIED SW-508 EACH 9.0 $ $ 80 6010 INTAKE,MODIFIED SW-510 EACH 6.0 $ $ 81 6010 INTAKE,SW-507 EACH 7.0 $ $ 82 6010 INTAKE,SW-508 EACH 5.0 $ $ 83 6010 INTAKE,SW-509 EACH 6.0 $ $ 84 6010 INTAKE,SW-510 EACH 3.0 $ $ 85 6010 INTAKE,SW-511 EACH 1.0 $ $ 86 2435 INTAKE,SW-545 EACH 10.0 $ $ 87 6010 MANHOLE OR INTAKE ADJUSTMENT, EACH 8.0 $ $ MINOR 88 6010 CONNECTION TO EXISTING MANHOLE OR EACH 15.0 $ $ INTAKE 89 6010 REMOVALS,MANHOLE OR INTAKE EACH 60.0 $ $ STANDARD OR SLIP FORM PORTLAND 90 7010 CEMENT CONCRETE PAVEMENT,CLASS SY 497.9 $ $ C-SUD,CLASS 3 DURABILITY,8.5 IN. STANDARD OR SLIP FORM PORTLAND 91 7010 CEMENT CONCRETE PAVEMENT,CLASS SY 41320.9 $ $ C-SUD,CLASS 3 DURABILITY,10 IN. 92 2304 TEMPORARY PAVEMENT SY 1773.9 $ $ 93 2304 TRANSITION PAVEMENT SY 878.5 $ $ FORM OF BID FB-4 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No 933 Waterloo,Iowa ITEM EST. UNIT BID TOTAL BID NO. ITEM CODE ITEM UNIT QTY. PRICE PRICE 94 7010 CURB AND GUTTER,SLOPED,VAR.,10 IN. LF 1478.7 $ $ 95 7010 CURB AND GUTTER,STANDARD,VAR., LF 103.5 $ $ 10 IN. 96 7010 CONCRETE MEDIAN SY 261.1 $ $ 97 7010 LINSEED OIL SURFACE TREATMENT OF SY 8264.2 $ $ PCC PAVING AND CURB AND GUTTER 98 7030 REMOVAL OF SIDEWALK,SHARED USE SY 682.2 $ $ PATH,OR DRIVEWAY 99 7030 SHARED USE PATHS,PCC,6 IN. SY 5128.0 $ $ 100 7030 PCC SIDEWALK,PCC,4 IN. SY 2180.0 $ $ 101 7030 PCC SIDEWALK,PCC,6 IN. SY 129.9 $ $ STANDARD PORTLAND CEMENT COLORED 102 TECHNICAL 401 CONCRETE PAVEMENT,CLASS C-4, SY 2516.9 $ $ CLASS 3 DURABILITY,6 IN. STANDARD PORTLAND CEMENT COLORED 103 TECHNICAL 401 CONCRETE PAVEMENT,CLASS C-4, SY 1177.3 $ $ CLASS 3 DURABILITY,10 IN. 104 7030 DETECTABLE WARNINGS,CAST IRON SF 532.0 $ $ 105 7030 DRIVEWAYS,PCC,6 IN. SY 527.4 $ $ 106 7040 FULL DEPTH PATCHES,HMA SY 260.6 $ $ 107 7040 REMOVAL OF PAVEMENT SY 55425.0 $ $ 108 7040 CURB AND GUTTER REMOVAL LF 1552.5 $ $ 109 7040 SAWCUT FOR REMOVALS LF 6895.8 $ $ 110 8010 TRAFFIC SIGNAL EACH 4.0 $ $ 111 8010 TRAFFIC SIGNAL REMOVAL EACH 4.0 $ $ 112 8010 TEMPORARY TRAFFIC SIGNAL EACH 4.0 $ $ 113 8030 TRAFFIC CONTROL LS 1.0 $ $ 114 2523 LIGHT POLES EACH 64.0 $ $ 115 2523 ELECTRICAL CIRCUITS LF 11561.0 $ $ 116 8010 HANDHOLES AND JUNCTION BOXES EACH 33.0 $ $ 117 2523 CONTROL CABINET EACH 2.0 $ $ 118 2528 FLAGGER EACH 5.0 $ $ 119 8020 PAINTED PAVEMENT MARKINGS,SOLVENT STA 621.7 $ $ WATERBORNE 120 8020 WET,RETROREFLECTIVE REMOVABLE STA 756.1 $ $ TAPE MARKINGS 121 8020 PAVEMENT MARKINGS REMOVED STA 404.3 $ $ 122 8020 SYMBOLS AND LEGENDS REMOVED EACH 18.0 $ $ 123 2401 REMOVAL OF CONCRETE FOOTINGS OF EACH 52.0 $ $ LIGHT POLES 124 2505 REMOVAL OF STEEL BEAM GUARDRAIL LF 64.0 $ $ 125 2505 STEEL BEAM GUARDRAIL LF 87.5 $ $ FORM OF BID FB-5 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No.933 Waterloo,Iowa • ITEM EST. UNIT BID TOTAL BID NO. ITEM CODE ITEM UNIT QTY. PRICE PRICE 126 2505 STEEL BEAM GUARDRAIL END ANCHOR, EACH 1.0 $ $ W-BEAM 127 2505 STEEL BEAM GUARDRAIL TANGENT END EACH 1.0 $ $ TERMINAL,BA-205 128 2518 SAFETY CLOSURE EACH 44.0 $ $ 129 2524 PEAMOVE N AND REINSTALL SIGN AS PER EACH 12.0 $ $ 130 2524 REMOVAL OF TYPE A SIGN ASSEMBLY EACH 71.0 $ $ 131 2524 PERFORATED SQUARE STEEL TUBE LF 2202.0 $ $ POSTS PERFORATED SQUARE STEEL TUBE POST 132 2524 ANCHOR,BREAK-AWAY SOIL EACH 192.0 $ $ INSTALLATION 133 2524 TYPE A SIGNS,SHEET ALUMINUM SF 1599.9 $ $ 134 2524 TEMPORARY BUSINESS ACCESS SIGNS EACH 24.0 $ $ 135 2528 TEMPORARY BARRIER RAIL,CONCRETE LF 2183.9 $ $ 136 2528 TEMPORARY FLOODLIGHTING LUMINAIRE EACH 12.0 $ $ 137 2528 TEMPORARY LANE SEPARATION SYSTEM LF 1367.3 $ $ 138 2528 PORTABLE DYNAMIC MESSAGE SIGN CDAY 110.0 $ $ 139 9010 TEMPORARY SEEDING ACRE 2.0 $ $ 140 9040 SWPPP MANAGEMENT LS 1.0 $ $ 141 9010 SEEDING,FERTILIZING,AND MULCHING ACRE 10.0 $ $ FOR HYDRAULIC SEEDING 142 9040 SILT FENCE OR SILT FENCE DITCH CHECK LF 2363.0 $ $ INSTALLATION 143 9040 REMOVAL OF SILT FENCE OR SILT FENCE LF 2363.0 $ $ DITCH CHECK 144 9040 TURF REINFORCEMENT MATS,TYPE II SQ 104.0 $ $ 145 2601 MOWING ACRE 5.0 $ $ 146 9040 TEMPORARY INTAKE OR MANHOLE EACH 23.0 $ $ COVER ASSEMBLY 147 9040 MAINTENANCE OF TEMPORARY INTAKE EACH 23.0 $ $ OR MANHOLE COVER ASSEMBLY 148 9040 OPEN-THROAT CURB INTAKE SEDIMENT LF 61.0 $ $ FILTER 149 9040 MAINTENANCE OF OPEN-THROAT CURB EACH 61.0 $ $ INTAKE SEDIMENT FILTER 150 9040 GRATE INTAKE SEDIMENT FILTER BAG EACH 3.0 $ $ 151 9040 MAINTENANCE OF GRATE INTAKE EACH 3.0 $ $ SEDIMENT FILTER BAG 152 9060 CHAIN LINK FENCE,72 IN. LF 311.0 $ $ FORM OF BID FB-6 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No.933 Waterloo,Iowa ITEM EST. UNIT BID TOTAL BID NO. ITEM CODE ITEM UNIT QTY. PRICE PRICE 153 9060 GATES,72 IN.,16 LF EACH 1.0 $ $ 154 9060 REMOVAL OF FENCE LF 330.9 $ $ 155 9060 CHAIN LINK FENCE,TEMPORARY LF 330.9 $ $ 156 9070 MODULAR BLOCK RETAINING WALL SF 1661.4 $ $ 157 11020 MOBILIZATION LS 1.0 $ $ 158 11030 RELOCATION OF MAILBOXES LS 1.0 $ $ 159 11050 CONCRETE WASHOUT LS 1.0 $ $ 160 TECHNICAL 400 LANDSCAPING LS 1.0 $ $ 161 9010 WATERING MGAL 100.0 $ $ TOTAL BID AMOUNT $ 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 Dollars($ ) in the form of , 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 Bidders Status Form. 7. The bidder is prepared to submit a financial and experience statement upon request. 8. The Prime Contractor and Subcontractor(s), which have performed an aggregate of $10,000.00 in work for the City in the current calendar year, are prepared to submit an AAP or Update and an EOC,within ten (10)days of notification that the bid submitted is lowest and acceptable. 9. The bidder has received the following Addendum or Addenda: Addendum No. Date 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. FORM OF BID FB-7 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No.933 Waterloo,Iowa The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer cannot be changed except for the following reasons: 1) The City of Waterloo does not approve the subcontractors. 2) The subcontractors submit in writing that they cannot fulfill their subcontracts. 11. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or"NA". 12. The bidder has attached all applicable forms. 13. The Owner reserves the right to select alternates, delete line items, and/or to reduce quantities prior to the award of a contract due to budgetary limitations. (Name of Bidder) (Date) BY: Title Official Address: (Including Zip Code): I.R.S. No. FORM OF BID FB-8 of 8 FY 2018 University Avenue Reconstruction-Phase I AECOM#60528991 City Contract No.933 Waterloo,Iowa INFORMATION NEEDED FOR IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE CONTRACTOR NAME: ADDRESS: (Check One) PRIME SUBCONTRACTOR FEDERAL ID#: PROJECT NAME: PROJECT CONTRACT NO.: DESCRIPTION OF WORK: ❑ Brickwork ❑ Landscaping ❑ Carpentry ❑ Painting ❑ Concrete ❑ Paving ❑ Drywall-Plaster-Insulation ❑ Plumbing ❑ Electrical ❑ Roofing-Siding-Sheet Metal ❑ Excavation/Grading ❑ Windows ❑ Flooring ❑ Wrecking-Demolition ❑ Heavy Construction ❑ Other (Please specify) ❑ Heating-Ventilating-Air Cond SALES TAX EXEMPTION CERT STE-1 of 1 FY 2018 University Avenue Reconstruction-Phase 1 AECOM#60528991 City Contract No.933 Waterloo,Iowa BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, as Principal, and as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called "OWNER." In the penal sum Dollars ($ ) 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 day of , 20 , for 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 day of , A.D. 201 (Seal) Principal By (Title) (Seal) Witness Surety By Witness Attorney-in-fact BID BOND BB-1 OF 1 FY 2018 University Avenue Reconstruction-Phase 1 AECOM#60528991 City Contract No.933 Waterloo,Iowa NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of )ss County of , being first duly sworn, deposes and says that: 1. He is (Owner, Partner, Officer, Representative, or Agent) , of , the Bidder that has submitted the attached Bid; 2. He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; 3. Such Bid is genuine and is not a collusive or sham Bid; 4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or, to fix any overhead, profit or cost element of the bid price or the bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of Waterloo, Iowa, or any person interested in the Proposed Contract; and 5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. (Signed) Title Subscribed and sworn to before me this day of 20 . Title My commission expires NON-COLLUSION AFFIDAVITS NCA-1 of 2 FY 2018 University Avenue Reconstruction-Phase 1 AECOM#60528991 City Contract Nol.933 Waterloo,Iowa . Bidder Status Form To be completed by all bidders Part A Please answer"Yes"or"No"for each of the following: ❑ 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). ❑ Yes ❑ No My company has an office to transact business in Iowa. ❑ Yes ❑ No My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail. ❑ 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. ❑ 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: / / to / / Address: City, State, Zip: Dates: / / to / / Address: City, State, Zip: Dates: / / to / / 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 force preferences or any other type of preference to bidders or laborers? ❑ Yes ❑ No 3. If you answered"Yes"to question 2, identify each preference offered by your company's home state or foreign country and the appropriate legal citation. You may attach additional sheet(s) if needed. To be completed by all bidders Part D I certify that the statements made on this document are true and complete to the best of my knowledge and I know that my failure to provide accurate and truthful information may be a reason to reject my bid. Firm Name: Signature: Date: 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) BSF-1 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. ❑ Yes ❑ No My business is currently registered as a contractor with the Iowa Division of Labor. ❑ Yes ❑ 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 ❑ 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 ❑ 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 ❑ 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 ❑ 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 ❑ 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 ❑ 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 C o)"a Q) 0 - m o C a) •V) 0 Q) w o 3 Q O Y m- C O oU L C asa s O.. 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