HomeMy WebLinkAboutFORM OF BID OR PROPOSAL FORM OF BID OR PROPOSAL
FY 2016 LOWER PLAZA FENCIlVG
CITY CONTRACT NO.915
CITY OF WATERLOO,IOWA
Honorable Mayor and City Council
Waterloo,Iowa
Gentlemen:
1. The undersi�ned; bein�a Corporation existing under the laws of the State of , a Partnership
consisting of the followin� partners: , havin� familiarized
(hunselfl (themselves) (itselfl with the existin� conditions on the project area affecting the cost of the work,
and cvith all the contract documents listed in the Tabie 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 fumish all
supervision, technical personnel, labor, materials, machinery, tools, appurtenances, equipment, and services,
includin; utiliry and transportarion services required to construct and complete this FY 2016 LOWER
PLAZA FENCING, CITY CONTRACT NO. 915, all in accordance with the above-listed documents and
for the unit prices for�vork in place for the items and quantities shown on the following pages:
FY 2016 LOWER PLAZA FENCING
CITY CONTRACT NO.915
CITY OF WATERLOO,IOWA
Item Description Unit Unit Total Bid
No. Price Quantity Price
1 Cable Guardrails,With Galvanized LF $ 119.58 $
Steei Posts
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 Qovern in�he actual payment to Contractor.
3. In submitting this bid,the bidder understands that the riQht 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, tele�aphed, or delivered to the
undersi�ed within thirty (30) days after the opening thereof, or at any time thereafter before this bid is
withdraw�n,the undersigned agrees to execute and deliver an a;reement in the prescribed form and furnish the
required bond and certificate of the insurance within ten (10) days after the a�-eement is presented to hun for
si�ature,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 Resident Bidder Certification ( ), or Non-Resident Bidder Certification
(___). (Mark one.)
7. The bidder is prepared to submit a financial and experience statement upon request.
FOR:�I OF BID CITY CONTRACT NO.912 BF-I of2
AECOM 60494736
8. The Prime Contractor and Subcontractor(s),which have performed an ag�eaate of$10,000.00 in�vork for the
City in the current calendar year, are prepared to submit an AAP or Update and an EOC,«�ithin ten(10)days
of notification that the bid submitted is lowest and acceptable.
9. The bidder has received the followinJ Addendum or Addenda:
Addendum No. Date
10. The apparent low Bidder shall submit a list of all other Subcontractor(s)to be used on this Project to the City
of Waterloo by 5:00 p.m.the business day following the day Bids on this Project are due along with the Non-
Collusion Affidavits of All Subcontractor(s).
The Contractor shali submit information on subcontractors on "SUBCONTRACTOR REQLTEST AIVD
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 follo�ving reasons:
1) The City of Waterloo does not approve the subcontractors.
2) The subcontractors submit in��7itin�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 ri�ht to select alternates, delete line items, and/or to reduce quantities prior to the
award of a contract due to bud;etary limitations.
(Name ofBidder) (Date)
BI'� Title
O�cial Address: (Includin�Zip Code):
I.R.S.No.
FORM OF BID CITY CONTRACT NO_912 BF-2 of 2
AECOM 60494736
,� � .� CITY OF WATERLOO, IOWA
WATERLOO ENGINEERING DEPARTMENT
715 Mulberry St. Waterloo, IA 50703 ' (319) 291-4312 Fax(319) 291-4262
,.
ERIC THORSON,P.E. • City Engineer
nr`�'°Y Il�'FORMATION NEEDED
QUENTIN
xaur FOR
IO`�A CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE
cou�TclL
NtEt�sERs CONTRACTOR NAME:
DAVID
JONES ADDRESS:
tiVaYd 1
BRUCE
JACOBS
G�/ard 2
(Check One) PRIME: SUBCONTRACTOR:
PATRICK
N10RRISSEY
�vara 3 FEDERAL ID#:
JERo`vr� pROJECT NAME:
A�'vIOS;JR
Ward 4
PROJECT CONTRACT NO.:
RON
���LPER
ti�ards DESCRIPTION OF WORK:
To�
LI;•iD ❑ Brickwork ❑ Landscaping
At-Large
❑ Carpentry ❑ Painting
STEVEN
SCH�Irr ❑ ConCrete ❑ Paving
Ar-LaYge
❑ Dryw�all-Plaster-Insulation ❑ Plumbing
❑ Electrical ❑ Roofing-Siding-Sheet Metal
❑ ExcavationJGrading ❑ Windows
❑ Flooring ❑ Wrecking-Demolition
❑ Hea�y Construction ❑ Other(Please Specify)
� Heating-Ventilating-Air Cond. ❑
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
SALES TAX EXEMPTION GITY CONTRACT NO.915 Pa'e STE-1 of 1
AECOM 60494736
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 obli;ation is such that whereas the Principal has submitted
the accompanying bid dated the day of ,2016,for
NOW,THEREFORE,
(a)If said Bid shall be rejected, or in the alternate,
(b)If said Bid shali 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
furnishin; materials in connection therewith, and shall in all other respects perform the a�reement created by the
acceptance of said Bid,
Then this obli�ation shall be void, other�r�ise the same shall remain in force and effect; it being expressly understood
and a�reed 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 ful( amount of this bid bond shall be forfeited to the O��mer in liquidation of
damages sustained in Che 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 a�rees that the obli�ations 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 Principai and the Surety,have hereunto set their hands and seals,and such of them as
are corporations, have caused their corporate seals to be hereto affixed and these presents to be signed by their �
proper officers this day of ,A.D.2016.
(Seal)
Principal
By
(Title)
(Seal)
Witness Surety
By
Witness Attorney-in-fact
BID BOND CITY CONTRACT NO.915 BB-1 of 1
AECOM 60494736
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of �
)ss
County of �
,bein;first duly sworn,deposes and says that:
L He is (O�vner, Partner Officer Representative or AQent) ,of
,the Bidder that has submitted the attached Bid;
2. He is fully informed respectin; the preparation and contents of the attached Bid and of all pertinent
circumstances respectina 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, owmers, a�ents, representatives, employees, or
parties in interest, includina this affiant, has in any way colluded, conspired, connived or a�reed, 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 biddinQ in connection with such
Contract, or has in any manner, directly or indirectly, sought by a�reement or collusion or communication
or conference with any other Bidder, firm ar 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 throu�h any collusion, conspiracy, connivance, or unla�vful a�reement any advantage
a�ainst 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 a�reement on the part of the Bidder or any of its agents,representatives,
owners,employees, or parties in interest, including this affiant.
(Si�ned)
Title
Subscribed and s�vorn to before me this day of
,2016.
Title
My commission expires
iVON-COLLUSION CITY COi�ITRACT NO.915 NCA-I of2
AECOM 60494736
RESIDENT BIDDER CERTTFICATION
CONTRACT NO:
PROJECT NAME:
DATE OF LETTING:
To be a qualified resident bidder, the bidder shall be a person or entity authorized to transact
business in this state and having a business for at least three years prior to the date of the first
advertisement for the public improvement. If another state or forei�country has a more strinaent
definition of a resident bidder, the more stringent definition is applicable as to bidders from that
state or forei�n country.
This qualification as resident bidder shall be maintained by the contractor and his subcontractors at the work site
until this project is completed.
I hereby certify that I am a resident bidder as defined above.
COMPANY NAME
CORPORATE OFFICER
TITLE
DATE
RESIDENT BIDDER CITY CONTRACT NO.915 RB-2 of 3
.1ECOM 6049d736
NON-RESIDENT BIDDER CERTIFICATION
CONTRACT NO.:
PROJECT NAME:
DATE OF LETTING:
I hereby certify that I am an Iowa non-resident bidder.
COi�1PANY NAME:
CORPORATE OFFICER:
TITLE:
DATE:
STATE/COUNTRY OF RESIDENCY:
Stated below are the preference(s)to resident bidders in the state/country of
(Preference to bidders,labor force, or other preferential treatment to bidders or laborers,etc.
RESIDENT BIDDER CiTY CONTRACT NO.915 RB-3 of 3
AECOv160494736