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FORM OF BID OR PROPOSAL (3)
FORM OF BID OR PROPOSAL F.Y. 2013 SIDEWALK REPAIR PROGRAM —ZONE 3 AND TRAIL REPAIRS CONTRACT NO. 848 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 T_A2W , 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 F.Y. 2013 SIDEWALK REPAIR PROGRAM —ZONE 3 AND TRAIL REPAIRS, Contract No. 848, all in accordance with the above-listed documents and for the unit prices for work in place for the following items and quantities: F.Y. 2013 SIDEWALK REPAIR PROGRAM — ZONE 3 AND TRAIL REPAIRS CONTRACT NO. 848 � ° tea � � �• �; ,• � � �����` m4 •A .�..., -t! .,,tea,,..-.> -,?a_ u ,:�...; 2� [� ', .'.e' >'^a ...: :» -3,%.:..v.o �'ae.. c-r^,„E.�«�, C�� REMOVE & REPLACE PCC SIDEWALK, 1 4" SF 3,892.5 $ L(,a5 $ (Q 5Y3,l3 2 NEW PCC SIDEWALK, 4" SF 262.1 $ 3• Sv $ gi7.35 REMOVE & REPLACE PCC SIDEWALK, 6 SF 4,104.E $ L1.7v $ Iq aq1.&2 � ' tsq 4 N p "EW PCC SIDEWALK, 6" SF 974.2$ 3. So $_ ,!,i D€1,. WWf, 5 REMOVE PCC SIDEWALK, 6" SF 710.9 $ . -75 $ S33.Is, REMOVE & REPLACE PCC SIDEWALK, 6 81# SF 73.2 $ (.a 5 $ 4 57.5e) 7 DETECTABLE WARNING SURFACE SF 914.0$ 05.od $as 13S ,rso FORM OF BID CONTRACT NO. 848 Page 1 of 4 REMOVE & REPLACE 24" PCC CURB & 8 GUTTER, 6" LF 163.9 $ ;?57.vo $ y 04 7, 56 REMOVE & REPLACE 24" PCC CURB & 9 GUTTER, 7" LF 52.0 $ 96-cm $ 1 35a•ua REMOVE & REPLACE 24" PCC CURB & 10 GUTTER, 7.5" LF 70.0 $ a(., 50 $ ! S SS. a0 REMOVE & REPLACE 24" PCC CURB & 11 GUTTER, 8.5" LF 252.7 $ a7. 50 $ G gy9 25 REMOVE & REPLACE 24" PCC CURB & 12 GUTTER, 10" LF 344.1 $ 36.co $ 10 .23.oo REMOVE & REPLACE 24" PCC CURB & 13 IGUTTER, 12" LF 29.0$ -2ot.csv $ cro 14 SIDEWALK PATCH EACH 3.0 $ 1-15.va $ 5R 5.00 15 ASPHALT PATCH SF 19.0 $ (5. S v $ Rqq. So 16 MANHOLE ADJUSTMENT EACH 1.0 $ 5oo.cw $ 5c)o. oc 17 REMOVE LIGHT POST BASE EACH 1.0$ 500-00 $ 506.0zv 18 3/4" ROADSTONE TON 20.0 $ 7o.vv $ .0V 19 TRAFFIC CONTROL LS 1.0 $ 150. $ �l 4160.0v TRAFFIC CONTROL, ANSBOROUGH 20 AVE & US HWY 218 LS 1.0 $ 550-0 $ I $15®•cz 97:f 9 44' 9 f "."- TOTAL BID - DIVISION 1 $ 4,7 qao,5D got 4 E �� . e REMOVE & REPLACE PCC 1 RECREATIONAL TRAIL, 5" SF 3,056.8 $ S© $ P 9 5'5,60 REMOVE & REPLACE HMA 2 RECRATIONAL TRAIL, 4" SF 2,775.5$ 5.Do $ 13 B-77.5v 3 INEW PCC SIDEWALK, 4" SF 1 82.0 $ 3. S0 $ d?-7.ciz) REMOVE & REPLACE PCC SIDEWALK, 4 4" SF 16.0 $ 1R,= $ 19a REMOVE & REPLACE PCC SIDEWALK, 5 6" SF 412.4 $ 9.10 $ 6 IREMOVE & REPLACE PCC STREET, 6" SF 1,040.0 $ LI.S5 $ 5,0Yy oa 7 DETECTABLE WARNING SURFACE SF 76.0 $ (95.00 $ REMOVE & REPLACE 24" PCC CURB & 8 GUTTER, 8.5" LF 53.0$ ;)'7. 50 $ yS7.5o 9 ISUBGRADE REPAIR EACH 7.0 $ 500.vV $ 3 S0,0-CV FORM OF BID CONTRACT NO. 848 Page 2 of 4 10 TRAFFIC CONTROL LS 1.0$ 1 UO.Oa $ a,l c1D.do TOTAL BID - DIVISION 2 $ Llgf C)5/, y$ TOTAL BID — DIVISION 1 + DIVISION 2 $ 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 S 90 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. 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 FORM OF BID CONTRACT NO. 848 Page 3 of 4 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. 130L41_0rvrL Coyyr2/1crt�lG LLe . t(fB 3 (Name of Bidder) (Date) BY: Lu Ke I�r n�a Title Ow"*,fL Official Address: (Including Zip Code): :P15-2g`t N Aya&uE 6twNiO`/ Cri�sr �/� Se�Lo38 I.R.S. No. a?- 3o�ay�s3 FORM OF BID CONTRACT NO. 848 Page 4 of 4 RESIDENT BIDDER CERTIFICATION CONTRACT NO: 7LIV PROJECT NAME: F.Y. 9013 Q"~ pgac ttifey • 2oAvg 3 t 2at� 2r AFnl DATE OF LETTING: LILSti3 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 foreign country has a more stringent definition of a resident bidder, the more stringent definition is applicable as to bidders from that state or foreign 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 Bout-ow cow"zAe-rrN6 x CORPORATE OFFICER LiAicrr- TITLE C)w+v DATE RESIDENT/NON-RESIDENT BIDDER RESIDENT BIDDER: In accordance with Section 73A.21 of the Iowa Code, all non-federal-aid public improvement projects, which include road construction, shall be performed by a qualified resident bidder. The resident bidder has been further defined as follows: Resident Bidder: 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 foreign country has a more stringent definition of a resident bidder, the more stringent definition is applicable as to bidders from that state or foreign country. The contractor shall provide the City with a certification that he is a qualified resident bidder according to the above definition. The Certification shall be submitted with the contractor's bid. A copy of the form of "Resident Bidder Certification" is included in the Contract Documents. If it is determined that the contractor does not meet this qualification after he begins work, a shutdown notice shall be issued and the voiding of the contract shall begin unless the contractor becomes qualified. NON-RESIDENT BIDDER: The contractor shall provide the City with a certification that he is a non-resident bidder according to the above definition. The Certification shall be submitted with the contractor's bid. A copy of the form of"Non-Resident Bidder Certification" is included in the Contract Documents. DJG 01/02/12 NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of -To w A ) County of &(ZzAt JOY )ss ) Z-(A 1c IF- �aw-",'i- , being first duly sworn, deposes and says that: 1. He is do—wZea Partner Officer Representative or Agent) , of >3vutic� Cvyvrl�e-�6 , 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. J�YHpME1STER (Signed) r z Colon Numbers 759497MCayofts y ow ugust 20 = [/ Title Subscribed and sworn to before me this 0�~ day of Title My commission expires U` (S _ E 3 o ° U) o L cn 0 m � o !E U- c a) c y ,+ o c a) o io 0 -0 ° a m Q w c Wco \ � Q O y '� a u o � Eo W 0 U o .a W a ° '� w Qf) vi -a_ O cm U 0 0) O O Q) O > c c a) Q .a) O iII (n O � v) E CO cm Q C O •J 3 O N E c U m 0) N > ' O O N �`p O W N c 0 U Y 3 inrp - .0 N a 1( N a-N y N U) o 0 a �- ^ 60 !L 0 c N E C tq O N y F- 1 v Oc p J Z O c O W O oN °)ate @ � � °� � � U Q m cn H E '� O W Ln Q CJ Z M OLu a) .N O a) a A C m O Q .N o U m O C6 Z n- V s O a) c W � � O Q a) a a) y .. We aD az t6a 0 �' 'J tq to Y �_ Z Z O m (0 > to 'o `� ° co fA W 0 -0 a c 3 O y •�' W 0 �. >+ - O O O 0) Z � w O � Q ma) oo *-M — a) o ON ° O 1 >. a) a - L, � w Z � > n v o ai (n U)) n N Q Z � J co - � mv oc Via) c c I N O W Ern 2 � 0 (ny 0m ^� a) +-' a O C LL W ++ , z 0- CO -0 0t: Z a -�- m a) O a) Ln a) m n LL A � ono W � OW U ,: 0 oI co ° O ° � " m W m ], T E w .1 o `,�° 0 ° � - W o m > ° mow me Q COa - W `O F- n m U N O D O y 101 >1 M i� o m " .�0 - oo m a2caN a)W v 73 �W4 i. Nz m o Q � O N -c a) � O N Q) � � oO =3 U3aa '— o M>, a -� o a m cII MnQ a) �' mn Q a) J i> O O O Z ` U > O v Imo V '� � m = y a) Q) c COZ a) a U U) 0) U) >- W = � I i BID BOND KNOW ALL MEN BY THESE PRESENTS,that we, Boulder Contracting, LLC as Principal,and Nxo Insurance Cwpany as Surety are held and firmly bound unto the CITY OF WATERLOO ,Iowa,hereinafter called "OWNER." In the penal sum Five Percent of Amount of Bid Dollars($ 51 )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 condit' of this obligation is such that " . whereas the Principal has submitted the a an in bid dated the tftn day of Agri 1 20 13 ,for �013� Sidewalk Repair rogrram E f NOW,THEREFORE, t. (a)If said Bid shall be rejected,or in the alternate, i (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, 1 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. s L" The Surety,for value received,hereby stipulates and agrees that the obligations of said Surety and its bond shall be in no way impaired or affected by any extension of the time within which the Owner may accept ` such Bid or execute such contract;and said Surety does hereby waive notice of any such extension. IN WITNESS WHEREOF,the Principal and the Surety, have hereunto set their hands and seals, and such of them as are corporations, have caused their corporate seals to be hereto affixed and these presents to i be signed by their proper officers this 5th day of A r� i 1 _ -A.D.20011 3 (Seal) Principal By (Title) r WO InswRnce Co an (Seal) c Witness ur ty i By i= i ess Jeff e orney-in-fact r- F l• t.. P 4 KNOW ALL MEN BY THESE PRESENTS THAT: Power of Attorney Nationwide Mutual Insurance Company,an Ohio corporation AMCO Insurance Company,an Iowa corporation Farmland Mutual Insurance Company,an Iowa corporation Allied Property and Casualty Insurance Company,an Iowa corporation Nationwide Agribusiness Insurance Company,an Iowa corporation Depositors Insurance Company,an Iowa corporation hereinafter referred to severally as the"Company"and collectively as the"Companies,"each does hereby make,constitute and appoint: Sandra Alitz,Andy Andersen,Megan L.Bartlett,Bill R.Breckenridge,Anita R.Calderon,Laura Cateron,Kerry Christensen,Dana R.Clark,Keith E.Clements, Morgan Collins,Susan K.Corey,Jeff Cose,William A Downing,Janelle Duffy,Janet Dutcher,Paulette M.Dyson,Melissa Evans,Matthew Gilmer, Grant R.Goodenow,Cristopher Hansen,David E.Harbeck,Jesse Huston,Aaron J.Jamison,Robert N Johnston,Diana Kelly,Mike Kuper,Ben Lewis, John Linnenbach,Kristina Meyer,Beth Miller,Jeff Mohr,Elizabeth Moore,Stephen Moore,Becky Nichols,Ryan J.O'Lear,Michael Paez,Amy J.Palmer, Spencer Paris,Andy Roby,Ashlee Schuling,Joshua Severson,Larry D.Slegh,Richelle L.Smith,Jeff Thielen,Patricia M.Vermace,Kim Wells,Carmon R.Wilson each in their individual capacity,its true and lawful attorney-in-fact,with full power and authority to sign,seal,and execute on its behalf any and all bonds and undertakings, and other obligatory instruments of similar nature,in penalties not exceeding the sum of FIVE MILLION AND NO/100 DOLLARS ($5,000,000.00) and to bind the Company thereby,as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company;and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED,that the president, or any vice president be,and each hereby is,authorized and empowered to appoint attorneys-in-fact of the Company,and to authorize them to execute and deliver on behalf of the Company any and all bonds,forms,applications,memorandums,undertakings,recognizances,transfers, contracts of indemnity,policies,contracts guaranteeing the fidelity of persons holding positions of public or private trust,and other writings obligatory in nature that the business of the Company may require;and to modify or revoke,with or without cause,any such appointment or authority;provided,however,that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER,that such attomeys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them,and to affix the seal of the Company thereto;provided,however,that said seal shall not be necessary for the validity of any such documents." This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president,any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents,instruments,contracts,or other papers in connection with the operation of the business of the company in addition to the chairman of the board,the chief executive officer,president,treasurer or secretary;provided,however,the signature of any of them may be printed,engraved,or stamped on any approved document, contract,instrument,or other papers of the Company. IN WITNESS WHEREOF,the Company has caused this instrument to be sealed and duly attested by the signature of its officer the 23`d day of Februarv,2011. ♦+ra ♦+�'�rr Gary A.Douglas,President and Chief Operating Officer of Nationwide Agribusiness Insurance Company / SE1�.L t and Farmland Mutual Insurance Company;and Vice President of Nationwide Mutual Insurance Company, / SEAL; AMCO Insurance Company,Allied Property Yand Casualty Insurance Company,and Depositors Insurance Company i ACKNOWLEDGMENT STATE OF IOWA,COUNTY OF POLK: ss -SEALy / On this 23`tlday of February 2011 before me came the above-named officer for the Companies aforesaid,to SEAL:, me personally known to be the officer described in and who executed the preceding instrument, and he �j�►� ts acknowledged the execution of the same, and being by me duly sworn,deposes and says,that he is the officer of the Companies aforesaid,that the seals affixed hereto are the corporate seals of said Companies, ♦'0' f and the said corporate seals and his signature were duly affixed and subscribed to said instrument by the authority and direction of said Companies. 0. SEAL'At . .�I t a rvc�arsa seas ��++rm+� -J10 =pTM» -sF Notary Public Yy CaerNMan E+gro+xWu,1+,a{Yl+ My Commission Expires CERTIFICATE March 24,2014 1,Robert W Homer III,Secretary of the Companies,do hereby certify that the foregoing is a full,true and correct copy of the original power of attorney issued by the Company;that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner; that said Gary A. Douglas was on the date of the execution of the foregoing power of attorney the duly elected officer of the Companies,and the corporate seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors;and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF,I have hereunto subscribed my name as Secretary,and affixed the corporate seals of said Companies this 5th day of April 20 13 Secretary This Power of Attorney Expires 03/24/2014 BDJ 1 (02-11)