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FORM OF BID (4)
i .t FORM OF BID F.Y. 2013 STORMWATER LIFT STATIONS r (WESTFIELD AVE., VINTON ST., AND VIRDEN CREEK) i CITY OF WATERLOO, IOWA CONTRACT NO. 831 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) 1 (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 Stanley Consultants, Inc., 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 STORMWATER LIFT STATIONS (WESTFIELD AVE., VINTON ST., AND VIRDEN CREEK) CONTRACT NO. 831, all in ccordance with the above-listed documents for the following lump sum pn C, 4 "-71 -ff(o 4, h (In r V�d (-(-I(words) figures) c: A. Breakdown of lump sum price: ,. Westfield Lift Station: $_4 JrG� Vinton Lift Station: $ l / l yo Virden Creek Lift Station: $ �t r B. Unit Adjustment Prices: Required Base Bid quantities of the items listed below are set forth in the Contract Documents. If increases or decreases in these quantities occur, the Contract Price is to be adjusted by Change Order on the basis of the following. Adjustment prices are subject to acceptance by Owner, and rejection of one or more adjustment prices will not invalidate acceptance of this Bid. FORM OF BID CONTRACT NO. 831 Page 1 of 3 ms1222 r- 4 ' No. Item Unit Unit Adjustment Price 1. Structural Earth Excavation And Backfill CY $ , J1 6 2. 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 r-. bid is mailed, telegraphed, or delivered to the undersigned within sixty (60) days after the opening thereof, or at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form - and furnish the required bond and certificate of the insurance within ten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. r 4. Security in th sum Qf� 5% amount of bid ' - a Bid Bond f. . Dollars ($ �� ) in the form of , is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS. L; 5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor. ` 6. The bidder is prepared to submit a financial and experience statement upon request. 7. 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. f8. The bidder has received the following Addendum or Addenda: Addendum No. 1 Date 3/29/13 2 4/2/13 3 4/3/13 9. 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). F ' t 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. FORM OF BID CONTRACT NO. 831 Page 2 of 3 ms1222 t ( 2) The subcontractors submit in writing that they cannot fulfill their subcontracts. 10. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or"NA". 11. The bidder has attached all applicable forms. 12. 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. ti Woodruff Construction, LLC 4/8/2013 (NarRe of Bidder) (Date) - 1 BY: Title President Don A Woodruff € Official Address: (Including Zip Code): 1890 Kountry Lane r , Fort Dodge, Iowa 50501 i I.R.S. No. 76-0721180 j . i i r T I , 1 k FORM OF BID CONTRACT NO. 831 Page 3 of 3 ms 1222 F i_ NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of Iowa } )ss County of Webster ) Donald A Woodrjjff , being first duly sworn, deposes and says that: 1. He is (Owner. Partner, Officer, Representative, or Agent) , of r Woodruff Construction, LLC , the Bidder that has submitted the attached Bid; F_ 4 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 L 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) Donald A Woodruf , President r Title ` Subscribed and sworn to before me this 8th day of April T 2013 R_ sa4� CHis NE e 7 Commission Numbermber 776T6354 s My Commission Expires Title My commission expires NONCOLLUSION AFFIDAVIT CONTRACT NO. 831 Page 1 of 1 ms1222 i it j i E Lao c d o '� o m o a:-+ o o a m k onomc a > W o � +. 34) M Ec W m C� amn Ost Qi m m c0 `Q c .gym Cl� ' M o CO C tC = c m m!E CL is vi .mn i d>pQ• c m co w to V dt aS a cn C3 p 0y O m Q oU 3aM a)= }+ A us= $ m E o C w O ,,_C3 E m �' 3 ai 0 c a y � ? - oo0 ca0 WV} o p v v 3 y w E2 ¢ wm mo N4 >+ WQ � � Uo o oc`m � Y re t_ri �v) oou � qoJ Wp Z Cq +_j 0 H m.N n 16 U m m far O 4J t5W � I- ca L = � O W y v LIJ cn 2 p c a) 0 m N + W 9 WI: � m 0 N � � o Za. ma v oA mQ mE SSW y WZ Wmo A" nw � cn nSp > � rnv = Z Z -- m �a oaxo W � UQ magi � LO �-m= m� ZN p m � � o .d am. (D � - � W p W 'y WZU c 000 yato 2-m � � Wd � Eaa 0t-- Q wN Om -0 cn C4 tWt. m c LtWmm ° do• m caZm4J 0z mr o ©m u 4-4 Cr ca p 4am . aia o. tL ai up0i) ca0- � ma � - 0w � W w � o. o U u] a s -das o 0 0 co a y s m V O c� si mutes � : J a o �� 0000 W- . - w o t� w rn ui u '- :2 `0 1- w � c 3 E -0 om a) - 0 0 o ~ .mo t W U o o W as �:,- m m s L o ofj con o ai m •' Y c `� y mo mt5c v O m � di o m m'� W p 11 � a m Qa.vm � °' 10c A� u oCD 1. o i u tsJvsN �" a� a � � B .� .0 Ix CO c in tY� -0 a U ca c (D q o W j O z m ' C3 ` m � Oam C N E VC a: C N Ca so LU '3a 3 - 0•� « 0 ziii o. U c=n CA A a)) >--w 2= cu 5 E t BID BOND KNOW ALL MEN BY THESE PRESENTS,that we, Woodruff Construction, LLC as Principal,and United Fire&Casualty Company as Surety are held and firmly bound unto the CITY OF WATERLOO,Iowa, hereinafter called"OWNER." In the penal sum of Five Percent of Amount of 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 8th day of April ,2013 for F.Y. 2013 Storm Water Lift Stations (Westfield Ave., Vinton St., and Virden Creek)in the City of Waterloo, Iowa-Contract No. 831 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 be=ng 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 r in liquidation of damages sustained in the event that the Principal falls to execute the contras* and provide' the bond as provided in the specifications or by law. The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond shall be in no way impaired or affected by any extension of the time within which the Owner may accept such Bid or execute such contract; and said Surety does hereby waive notice of any such extension. IN WITNESS WHEREOF, the Principal and the Surety, have hereunto set their hands and seals, and such of them as are corporations, have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers this 8th day of April ,A,D;2013 Woodruff Construction, LLC tSeil�a in:C7 ,ABy4 -�_ Donald A Woodruff, 1�e)President United.Fre& CaptAalty Company (Seal) Witness` ngie Jerge s Surety witness Stacy Venn nne Cr ner Attomey-in-Fact BID BOND CONTRACT NO.831 Page 1 of ms1222 UNITED FIRE&CASUALTY COMPANY HOME OFFICE-CEDAR RAPIDS, IOWA CERTIFIED COPY OF POWER OF ATTORNEY (Original on file at Home Office of Company-See Certification) KNOW ALL MEN BY THESE PRESENTS, That the UNITED FIRE & CASUALTY COMPANY, a corporation duly organized and existing under the laws of the State of Iowa, and having its principal office in Cedar Rapids, State of Iowa, does make, constitute and appoint KEVIN J. KNUTSON, OR JACQUELINE M. DEVINE, OR JODY A. DECKER, ALL INDIVIDUALLY OF THE CEDAR RAPIDS, IA OFFICE, OR CRAIG E. HANSEN, OR JAY D. FREIERMUTH, OR BRIAN M. DEIMERLY, OR CINDY BENNETT, OR ANNE CROWNER, OR TIM MCCULLOH, OR STACY VENN, OR LACEY CRAMBLIT, OR SHIRLEY S. BARTENHAGEN, OR LAURE GUISINGER, ALL INDIVIDUALLY of DES MOINES IA its true and lawful Attorney(s)-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds,undertakings and other obligatory instruments of similar nature as follows: Any and Al 1 Bonds and to bind UNITED FIRE & CASUALTY COMPANY thereby as fully and to the same extent as if such irstruments were signed by the duly authorized officers of UNITED FIRE & CASUALTY COMPANY and all the acts of said Attorney pursuant to the authority hereby given are hereby ratified and confirmed. The .Authority hereby granted is continuous and shall remain in full force and effect until revoked by UNITED FIRE & CASUALTY COMPANY. This power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by Board of Directors of the Company on April 18, 1973. "Article V-Surety Bonds and Undertakings" Section 2, Appointment of Attorney-in-Fact. "The President or any Vice President, or any other officer of the Company may, from time to time, appoint by written certificates attorneys-in-fact to act in behalf of the Company in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby,and the Corporate seal, may be affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby; such signature and seal, when so used, being adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. Such attorneys-in fact, subject to the limitations set forth in their respective certificates of authority shall have full power to bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thereto. The President or any Vice President, the Board of Directors or any other officer of the Company may at any time revoke all power and authority previously given to any attorney-in-fact. IN WITNESS WHEREOF, the UNITED FIRE & CASUALTY COMPANY has caused these presents to be signed by its vice president and its corporate seal to be hereto affixed this 15th day of March, 2012 CORPORATE ° UNITED FIRE &CASUALTY COMPANY SEAL e °s `� By �/+-✓+..Gam-� State of Iowa, County of Linn, ss: On 15th day of March, 2012, before me personally came Dennis J. Richmann Vice President to me known, who being by me duly sworn, did depose and say; that he resides in Cedar Rapids, State of Iowa; that he is a Vice President of the UNITED FIRE& CASUALTY COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. Mary A.Jansen Iowa Notarial Seal /r . AV Commission number 713273 y My Commission Expires 10/26113 Notary Public I, the undersigned officer of the UNITED FIRE & CASUALTY COMPANY, do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the by-laws of said Company as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. PS s,`f' In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Company \`y4 'r13LlI/i this 8th day of April 20 13 CORPORATES . ,+1,11 Secretary BPOA0019 0611