HomeMy WebLinkAboutFORM OF BID (5) FORM OF BID
F.Y. 2013 STORMWATER LIFT STATIONS
(WESTFIELD AVE., VINTON ST.,AND VIRDEN CREEK)
CITY OF WATERLOO, IOWA
CONTRACT NO,831
1
t Honorable Mayor and City Council
( r
Waterloo, Iowa
t
Gentlemen:
1. The undersigned, being a Corporation existing
under the laws of the State of
Iowa g a or or tipn
rnersh�p consisting of the following partnem:
Tim Seibert, President of Carl A. Nelson & Company, having familiarized (himself)
t (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 accordance with the above-listed documents for the following lump sum price:
° I
(words) —,--
{ (figures)
A. Breakdown of lump sum price:
Westfield Lift Station: $ �L ,
Vinton Lift Station: $ j ZA ;cam ioa
Virden Creek Lift Station: $ 3
B. Unit Adjustment Prices: Required Base Bid quantities of the items listed
;5 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.
it
F
FORM OF BID CONTRACT NO. 831 Page 1 of 3
ms1222
1
i
No. Item Unit Unit Adjustment
Price
1. Structural Earth Excavation And Backfill CY $
i
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
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after the opening thereof, or at any time thereafter before this bid is withdrawn, the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.
4. Security in the sum of f ive percent of the amount of the bid
<_ I
Dollars ($ 5% of the bid ) in the form of Bid Bond
!` = is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS,
I 5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor.
7
s6. 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
a $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.
8. The bidder has received the following Addendum or Addenda:
I t__
Addendum No. 1 Date 3/2 9/13
F 2 4/02/13
°i 3 4/03/13
4 4/04/13
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
I Bidder shall submit a list of all other Subcontractor(s) to be used on this Project to
I
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:
j
1) The City of Waterloo does not approve the subcontractors.
l
FORM OF BID CONTRACT NO. 831 Page 2 of 3
ms1222
i
i
r
i
rrt
i
2) The subcontractors submit in writing that they cannot fulfill their subcontracts.
f 10. The bidder has filled in all blanks on this proposal. Those blanks not applicable are
3 marked "none"or"NA".
11. The bidder has attached all applicable forms.
i
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.
Carl A. Nelson & Company April 8, 2013
t (Nape of idder) {Date}
3 { 1l
j BY: / Title Tim Seibert, President
Official Address: (Including Zip Code):
} 1815 Des Moines Avenue
3
a
Burlington, IA 52601
I.R.S. No, Federal ID # 42-0635367
s
E
i
i
s
l
3
S
I
i
s
FORM OF BID CONTRACT NO. 831 Page 3 of 3
ms1222
M - O
r E y,
C) O` cn
N a) cn
M Cto
O 'C
U) O N O .a
O O w o O
L p N C = D (6 'C fl' U
U 9 O Q m N ,O ftS
1 ro N = a W U w-- a" �L.
Q - CC) c CO O
_ G
a)i r I m Q O Z O u
� U (y
c N Q cu
I-- cu
cl
Q U L
_ i+
O N i0 a O m U O O O M
N o rn
o N j 0 > _ C c V v (DO A
J O U 3: ,O (o N a
N 4-1 d.N O t0
44 4J (D O h U U m 0 O
�l 14 N N y O O (o Q W
4-1 N O U1 c p U' U M 3 rn W
� � o am
a ° � �� a
E oc a ,
0 � 2 UQ y+� UO 0 000
LL OU a m �o k� Z
O + _l Q•
N O W OF—
w
N Ua O O m
rn W �oW � r U E (, wV
a� u
M�
' c v•o a _
(D E 0Zo „ o w a) EnimujL 4j U T Z A UOC
�
4-a
n
0N m w2 �
m (D a ro � w O
�'" o W = H � au) Y c6a ON
Z � ° ai :3 a � 0 � � � W
o
� Ua co (DF ' � Oaf o>o Z � c Z
° � 0) a
oIt ate ° M
Wog � � E0 �� � � ' 00° _
-�
U
F O L 0 N
Z_ C ri r
Qc AZ •� mpLL t p U•- Q
co r- cc) Wa W
U r--I N r-I N rl N rl N rl N t�-i
p O.0 � a) Lu
I O CI U y m '� J m r� ri ri ri ri ri ri ri ri r�
ro } O W O m
C O.a fn c:
z c J0 om O N
O
O .� ' Maio 0 N
N \J Q = W
� U WU o � � a)Q c
U a � U o'��m w 3 i
o a ,C\l o W o Q
Z � Qm o �� c `r m CQ u a.) CA
E
cl
(6 m r N w i 0 O (V N c -1 O N
o t=n 0 io � � � �c a) a) � Aa u H oo rD
Ij
m m Ln
M
C xO" o v 0 0= O 3Cc:O Q N ' W o NpO w ' -0 O ro m
U
m = U . -0 a) � U U
•o 3cc m
h °O � o aV
€ U
d Z U) cn W 2 N C: E u U q Ll C�7 Lv =
M
0
N N M C O 't7
rl N -2 a) vUi
o O : in O O
sO N c a) 6
U -0 O CD J� GS
W 2 P `J
Q 02 O Q � rI U
Ui N O �4 O :
o � S)4 c 0
ir-
o
c y,
aai m °30 0 U o rn o o
p N v) > c U a) o A
� 0 � oc � .s �
Q.o r. o � Cmc � a) o
E °
4-4 � y � 10 6 E� � � E m
' .- Y m wN � °�
44 m $ c O a ns 3 u U rA 6 „^r
° E m aio w mU) Co � a V �"
0o Q
WO ( oo a 20 cu) 0a) NI-
LL 3 o U o µ o o °�0 0-' Z
E u _Q a� .� o.-._j n w O
apo o � 70 :� cuLm sa pw �,
— �' � ° w u, f- E'r � g w w U
W �" � o o � o > o � 0) OOtA
U r�
H M o U•o o a) E °� U' �' A en N
Who Um Q `in
n 0 � m oN Z0. °
NN �O o � `o, = � a Q� f� W
ej
a;ai a� o
L- w ( a -
F, E i � � = WZ o � off
N
NUOL
S ma�°i t= 0
:3 00 °'0 ZN
� Q � 0 0
. 0 . m ON r�
m o
> a >0 o
N - a -� �-- w> I Z
O Q
NC = a) aNm ® � C �
04
w0 Ern Q� °0 (n 0 Ohm
m m U H a) N N v Nj C LL. W rA
C Z co i.+ M M M fn fn M
a � Boa a m � O LL o � oo r- oD r-
O 0.0 o w W U \ \ \ N N
M M
7
a) U) O U E W O m
Z — 3 >- � m o�
me
� o� L11 � = rs � W � o Fa-
fl m
O m � E f T� o 0
W U o °
(�• Um omr Gn
Ja. m �. � � 3
~ a aW
V c
taEoi zU a0 > 2E ° • � pa q U r }ao
m Of L O O � 'a -H No0
�
7 C to O :_• (� C.' CO
Wucu co ) rn U ° ` c -� E p m
c cn � � -0 Q o 3i v w 0 `�
o ° � o` z < a) °' m o mo m °
U W ';- o U Q m > a m ° O
gmo M3: c`o �� t6 aim U v
CL z a 0- 0 0) cn � �° w�( � E a o a �
1
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of Iowa )
)ss
County of Des Moines )
Tim Seibert being first duly sworn, deposes and says that:
I President
1. He is _(Owner, q, of Carl A. Nelson
i & Company the Bidder that has
submitted the attached Bid;
2. He is fully informed respecting the preparation and contents of the attached Bid
I
and of all pertinent circumstances respecting such Bid;
j3. 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
t-} 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
J tainted by any collusion, conspiracy, connivance or unlawful agreement on the
part of the Bidder or any of its agents, representatives, owners, employees, or
3
a
parties in interest, including this affiant.
g
I (Signed)
Tim Seibert, President
Title
Subscribed and sworn to before me this Sth day of April 201 3.
i —
i Title
5/�01! KAREN W&SON
My commission expires c' C m *dm Nwdw 156121
A _ ow �S r�►Ik
i
I
NONCOLLUSION AFFIDAVIT CONTRACT NO. 831 Page 1 of 1
1 i ms1222
f
i
BID BOND
KNOW ALL MEN BY THESE PRESENTS,that we, Carl A.Nelson&Company
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 of Five Percent of the Amount of Bid----------- Dollars($ 5%of Bid ) lawful
money of the United States, for the payment of which sum will and truly be made,we bind ourselves,our
s... - 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 Contract No. 831 FX 2013 Storm
Water Lift Stations Westfield Avenue,Vinton Street,and Virden Creek
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.
1N 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.201 3
Carl A.Nelson&Company (Seal)
Principal
(Title) (/ naw
Travelers Casualty and Surety Company of AmericfSeal)
Witness Surety
4 ,
B
--
Witness - Att ey-m-Fact
Barbara L.Raedeke,
BID BOND CONTRACT NO. 831 Page 1 of 1
ms1222
Surety Acknowledgement
State of Minnesota }
} ss.
County of Hennepin }
On this 8h day of April, 2013, before me personally came Barbara L. Raedeke , to me
known, who, being by me duly sworn, did depose and say that she is an attorney-in-fact of Travelers
Casualty and Surety Co!ppany of America , the corporation described in and which executed the within
instrument; that she knows the corporate seal of said corporation; that the seal affixed to the within
instrument is such corporate seal, and that she signed the said instrument and affixed the said seal as
Attorney in Fact by authority of the Board of Directors of said corporation and by authority of this office
under the Standing Resolutions thereof.
My commission expires K X `� ✓"'^�� v `f" �w�—`'
ary Public
NINA E. WERSTEIN
NOTARY PUBLIC-MINNESOTA
My Commission Expires Jan.31,2016
x x
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
POWER OF ATTORNEY
TRAVELERSJ Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
Attorney-In Fact No. 224124 Certificate No. 004923351
KNOW ALL MEN BY THESE PRESENTS:That St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance
Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and
Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty
Company is a corporation duly organized under the laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under
the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin
(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint
I
Dennis G.Loots,Jill N.Swanson,Laurie Pflug,Nina E.Werstein,Brian D. Carpenter, Barbara L.Raedeke,Nicole Langer,and
i Teresa Hammers
i
of the City of Minnenz olic State of Minnesota their true and lawful Attomey(s)-in-Fact,
each in their separate capacity if more than one is named above,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.
18th
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this
day of June 2012
i
Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty'Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company w
'o s m CCNN. o CDNN. N 1896
1951 �.5EAL+o! o;SBALia o
� Eck ti1S +
k~s �1�1
I
State of Connecticut By:
City of Hartford ss. /Georg99Thompson,&or
ce President
On this the 18th day of June 2012 before me personally appeared George W. Thompson, who acknowledged
himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,
Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety
Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
p.Tl7
In Witness Whereof,I hereunto set my hand and official seal.
My Commission expires the 30th day of June,2016. 'OUBL�G * Marie C.Tetreault,Notary Public
58440-6-11 Printed in U.S.A.
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
i
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity
and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc., St. Paul Fire and Marine Insurance Company, St.Paul Guardian Insurance
Company, St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America, and United States
Fidelity and Guaranty Company,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 Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance
Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and
Surety Company,Travelers Casualty and Surety Company of America,and Unitt tes Fidela and Guaranty Company do hereby certify that the above and foregoing
is a true and correct copy of the Power of Attorney executed by said Companies,which is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and x€iI ft s s 01, lfianies this day of / 20/3.
Kevin E.Hughes,Assistant Sec tart'
6�W% �Tp INy`G ...........
pIfV ANO Suq T�
2 pprox J -y JP..........9 qJ S Nb Fry pFy 'tN0
�'S �' f1 �4 WCDAPORATED Z �I40RPORATf� iW 00PPORATf�� �' 9� I
t7 J• 1
d.�. .:• s �a a d r AMtd°
To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number,the
above-named individuals and the details of the bond to which the power is attached.
REC`D CARL A.NELSON&CO.
Vendor #—..�Inv _
MAR 2 0 Z013
GL/Job cc
S M RE Tax Group_,_.______�—.._. -----
Penn Bldg Mat i-Y - --
_
WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER