HomeMy WebLinkAboutPROPOSAL FORM (2) The PROPOSAL FORM
FOR
IMPROVEMENTS TO THE WATERLOO REGIONAL AIRPORT
CONSISTING OF
RECONSTRUCT TAXIWAY C
BID PACKAGE#1
AT THE
WATERLOO REGIONAL AIRPORT
WATERLOO,IOWA
FAA AIP PROJECT NO. 3-19-0094-045
Waterloo Regional Airport
2790 Livingston Lane
Waterloo,IA 50703
Gentlemen:
1. The undersigned hereby certifies that he has examined the Form of Contract,Plans,and Specifications for the
Construction of Improvements to the Waterloo Regional Airport to Reconstruct Taxiway C,Bid Package#1,
at the Waterloo Regional Airport,Waterloo,Iowa,FAA AIP Project No.3-19-0094-45,and has examined the
site of the work and is familiar with local conditions pertaining to the work.
2. The extent of the work involved is to Reconstruct Taxiway C, Bid Package#1, including the removal of
Taxiway C-1,removal and replacement of Taxiway C north and south of Runway 12/30 with an 8-inch Portland
Cement Concrete Pavement section, replacement of the subdrain system, installation of a section of 18-inch
reinforcement concrete pipe storm sewer,replacement of the taxiway edge lighting system and guidance signs in
the project area,pavement marking in the areas shown on the plans and all other incidental work associated with
this project. This work and all other incidentals shall be performed as shown on the Drawings and described in
the Specifications.
3. The undersigned,in compliance with your Invitation for Bids dated S//7/i 7 ,hereby proposes to do
the work called for in said Contract and Specifications and shown on said Plans and Addendum Nos.
and to furnish all materials,tools,labor and all appliances and appurtenances necessary
for the said work at the following rates and prices:
ITEMIZED PROPOSAL
WATERLOO REGIONAL AIRPORT
WATERLOO,IOWA
PROJECT: RECONSTRUCT TAXIWAY C
BID PACKAGE#1
FAA AIP PROJECT NO.3-19-0094-045
ITEM SPEC. ESTIMATED UNIT BID TOTAL BID
NO. NO. DESCRIPTION UNIT QUANTITY PRICE PRICE
1 GP105 MOBILIZATION AND DEMOBILIZATION LS 1 $ ,Ooo.00 $ 2,34o00,o0
2 GP 50-06 CONSTRUCTION SURVEY LS 1 $ 2.7,at,o.oe $ Z 7 000 oc
3 PLANS CONSTRUCTION BARRICADES LS 1 $ SS aches. $ SSpoc,G�eS
4 P-101-5.1 PAVEMENT REMOVAL SY 19,855 $ 17:SO $
8I3y7.So
5 P-152-4.1 UNCLASSIFIED EXCAVATION CY 7,900 $ 6.%S $ 9 37S.o0
6 P-154-5.1 SUBBASE COURSE CY 3,200 $ 20.as $ 2 Slo oao.oa
FAA AIP#3-19-0094-045 P-I Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
ITEM SPEC. ESTIMATED UNIT BID TOTAL BID
NO. NO. DESCRIPTION UNIT QUANTITY PRICE PRICE
7 P-156-5.1e INSTALLATION AND REMOVAL OF SILT FENCE LF 5,500 $ dos $ /y 5"7 j 00
8 P-156-5.1f INSTALLATION AND REMOVAL OF INLET EA 6 $
PROTECTION 23 S.4O $ //7 72).as
9 P-156-5.1g RIP RAP CHECK DAM EA 2 $ 2/Soe,oa $ 5-pod,ac
10 P-208-5.1 AGGREGATE BASE COURSE CY 2,900 $ g/,00 $ 2 3 17'92)25.OG
11 P-501-8.1 8.0-INCH PORTLAND CEMENT CONCRETE SY 17,755 $ $
PAVEMENT SO.40 898 Yo3-ov
_ J
12 P-620-5.1-1 RUNWAY AND TAXIWAY MARKING SF 8,800 $ /.g g $ /40)S'yy,cv
13 P-620-5.1-2 REFLECTIVE MEDIA(TYPE I,GRADATION A) LB 250 $ O.Sa $ /2 S.Oo
14 P-620-5.1-4 TEMPORARY RUNWAY AND TAXIWAY MARKING SF 8,800 $ /.O0 $ g$7 Sty,o0
15 D-701-5.1a 18-INCH REINFORCED CONCRETE PIPE(RCP) LF 273 $ (o/.oo $ /(o,45-3,00
16 D-701-5.1c 18-INCH FLARED END SECTION WITH PIPE GUARD EA 1 $ 272 SO,oo $ .2 .2$'p,Qn
6-INCH PERFORATED SUBDRAIN(SDR 35)
17 D-705-5.1 COMPLETE INCLUDING POROUS BACKFILL AND LFT 5,321 $ l7.Sb $ 93 /l 7.50
FILTER FABRIC
18 D-705-5.2 6-INCH NON-PERFORATED SUBDRAIN(SDR 35) LFT 1,346 $ /Z.s'a $ /e...J$ s-.oc
19 0-705-5.3 SUBDRAIN CLEANOUT EA 23 $ i 2 cd,oa $ 2.g 750.ao
J
20 D-751-5.2 CATCH BASIN EA 1 $ /Diooa.oz. $ /o,"sc.",or>
21 T-901-5.1 SEEDING AC 8.2 $ 2J/Sp,00 $ 17(. 30,dd
22 T-905 5.1 TOPSOILING(OBTAINED ON SITE OR REMOVED CY 3,500 $ t $
FROM STOCKPILE) /,y S /��7Oo
23 T-908-5.1 MULCHING j31-Ac- 8.2 $ 3)Sob.od $ 2,g766,6•36
J
24 L-108-5.1 NO.8 AWG,5KV,L-824,TYPE C CABLE,INSTALLED LF 8,900 $ $
IN TRENCH DUCT BANK OR CONDUIT 0.9p 2?/ Ofo..o1S
25 L-108-5.2 NO.6 AWG,5KV,L-824,TYPE C CABLE,INSTALLED LF 1,250 $ $
IN TRENCH,DUCT BANK OR CONDUIT I.nG /J Z Sa,cc
NO.6 AWG BARE COPPER COUNTERPOISE WIRE,
26 L-108 5.3 INSTALLED IN TRENCH,ABOVE THE DUCT BANK OR LF 7,000 $ $
CONDUIT,INCLUDING GROUND RODS AND /,/o 7J 77a•az
GROUND CONNECTORS
27 L-110-5.1 CONCRETE ENCASED ELECTRICAL DUCT BACK,2- LF 260 $ 28.p0 $ 7 zg6,a2,
WAY,4-INCH SCHEDULE 40 PVC
28 L 110-5.2 NON-ENCASED ELECTRICAL CONDUIT,2-INCH LF 7,000 $ 2 $ /7'S -'.c.c.c.c.SCHEDULE 40 PVC .SD /
29 L-115-5.4 ELECTRICAL HANDHOLE,L-868 EA 4 $ 6,7 S Do $ 2X 7t�.00
30 L-115-5.4 ELECTRICAL HANDHOLE,2'0"BY 2'0" EA 6 $ 3Ao..a.de $ /g Ooo.o0
J
31 L-125-5.1 L-861T(LED)TAXIWAY EDGE LIGHT-LED EA 60 $ gSo.ou. $ 57,an a,co
32 L-125-5.2 L-861 RUNWAY EDGE LIGHT-QUARTZ EA 2 $ $oo,Oo $ 44,e,25.b4.
AIRFIEL33 L-125-5.3 MODULD GUIDANCE SIGN,SIZE 1,LED,1(ONE)E EA 1 $ 2,375,oo $ 2J373-mod
34 L-125-5.3 AIRFIELD GUIDANCE SIGN,SIZE 1,LED,2(TWO) EA 1 $
MODULE ZJ9So.or $ 2 '9.S.o,ob
35 L-125-5.3 AIRFIELD GUIDANCE SIGN,SIZE 1,LED,4(FOUR) EA 2 $ L
MODULE (-35":o o $ 9 .7a,a a
36 L 125 5.3 AIRFIELD GUIDANCE SIGN,SIZE 3,LED,3(THREE) EA 1 $
MODULE 3,333.00 $ 3,333,oa
37 L-125-5.4 L-804(LED)RUNWAY GUARD LIGHT EA 2 $ 2.6,Sb.0o $ 573po.o0
38 L-125-5.5 REMOVE DUCT BANK LF 225 $ 7,oa $ 4'5.--7S
FAA AIP#3-19-0094-045 P-2 Waterloo Regional Airport
AECOM Project 460537973-BPI Reconstruct Taxiway C
ITEM ' SPEC. ESTIMATED UNIT BID TOTAL BID
NO. NO. DESCRIPTION UNIT QUANTITY PRICE PRICE
39 L-125-5.6 REMOVE TAXIWAY EDGE LIGHT EA 102 $ ( 9 pe $ 7 938,po
40 L-125-5.7 REMOVE ELECTRICAL HANDHOLE EA 12 $ 69.ao $ $Zat.0a
41 L-125-5.8 REMOVE AIRFIELD GUIDANCE SIGN EA 9 $ 2, r o.Op $ .2,.2 Sa.b0
TOTAL BID $2i2,los379.00
4. The undersigned understands that the above quantities of work to be done are approximate only and are
intended principally to serve as a guide in evaluating the bids. All quantities are subject to increase or decrease
and are to be performed at the unit prices stipulated herein.
5. It is understood that the schedule of minimum wage rates,as established by the Secretary of Labor and included
in the Specifications, are to govern on this project, and the undersigned certifies that he has examined this
schedule of wage rates and that the prices bid are based on such established wage rates.
6. The bidder shall make good faith efforts, as defined in Appendix A of 49 CFR Part 26, Regulations of the
Office of the Secretary of Transportation,to subcontract 7.33 percent(7.33%)of the dollar value of the prime
contract to small business concerns owned and controlled by socially and economically disadvantaged
individuals(DBE). Individuals who are rebuttably presumed to be socially and economically disadvantaged
include women,Blacks,Hispanics,Native Americans,Asian-Pacific Americans,and Asian-Indian Americans.
The apparent successful competitor will be required to submit information concerning the DBE's that will
participate in the contract. The information will include the name and address of each DBE,a description of the
work to be performed by each named firm,and the dollar value of the contract. If the bidder fails to achieve the
contract goal stated herein,it will be required to provide documentation demonstrating that it made good faith
efforts in attempting to do so. In the event that the apparent successful competitor for this solicitation qualified
as a DBE,the contract goal shall be deemed to have been met. A bid that fails to meet these requirements will
be considered nonresponsive.
7. The undersigned certifies that he does not maintain or provide for his employees any segregated facilities at any
of his establishments,and that he does not permit his employees to perform their services at any location,under
his control, where segregated facilities are maintained. The undersigned certifies further that he will not
maintain or provide for his employees any segregated facilities at any of his establishments,and that he will not
permit his employees to perform their services at any location,under his control,where segregated facilities are
maintained. The undersigned agrees that a breach of this certification is a violation of the equal opportunity
clause in this contract. As used in this certification,the term"segregated facilities"means any waiting rooms,
work areas,restrooms and washrooms,restaurants and other eating areas,timeclocks,locker rooms and other
storage or dressing areas,parking lots,drinking fountains,recreation or entertainment areas,transportation,and
housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on
the basis of race,color,religion, or national origin,because of habit, local custom,or any other reason. The
undersigned agrees that(except where he has obtained identical certifications from proposed subcontractors for
specific time periods)he will obtain identical certifications from proposed subcontractors prior to the award of
subcontracts exceeding$10,000 which are not exempt from the provisions of the equal opportunity clause,and
that he will retain such certifications in his files.
8. The undersigned agrees, upon written notice of the acceptance of this bid, within sixty (60) days after the
opening of the bids,that he will execute the Contract in accordance with the bid as accepted and give Contract
(Performance and Payment) bond on attached forms within fifteen(15)days after the prescribed forms are
presented for signature.
9. The undersigned understands,award of contract is contingent upon receipt of project funding from the Federal
Aviation Administration. If funding is not received,bid bonds will be returned to all bidders and the project
will be postponed.
FAA AIP#3-19-0094-045 P-3 Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
10. The undersigned further agrees that if awarded the Contract, he will commence the work within ten (10)
calendar days after the receipt of a "Notice to Proceed" and that he will substantially complete all work
according to the terms of the entire contract within ninety(90)calendar days from the date established in the
Notice to Proceed. An extension of time may be allowed when extra or additional work is ordered by the
Engineer.
11. The undersigned agrees that within 30 days after award of this contract,the Contractor/Subcontractor shall file a
compliance report (Standard Form 100) if s/he has not submitted a complete compliance report within 12
months proceeding the date of award. This report is required if the Contractor/Subcontractor meets all of the
following conditions:
a. Contractors/Subcontractors are not exempt based on 41 CFR 60-1,5.
b. Has 50 or more employees.
c. Is a prime contractor or first tier subcontractor.
d. There is a contract,subcontract,or purchase order amounting to$50,000 or more.
12. To satisfy Clear Air and Water Pollution Control Requirements on all Construction Contracts and Subcontracts
exceeding$100,000.00 Contractors and Subcontractors agree:
a. That any facility to be used in the performance of the Contract or to benefit from the Contract is not listed
on the Environmental Protection Agency(EPA)List of Violating Facilities.
b. To comply with all the requirements of Section 306 of the Clean Air Act(42 USC 1857(h)),and Section
508 of the Clean Water Act (33 USC 1368), Executive Order 11738, and Environmental Protection
Regulations(40 CFR Part(15)).
c. That as a condition for award of a Contract he shall notify the awarding official of the receipt of any
communication from EPA indicating that a facility to be utilized for performance of or benefit from the
Contract is under consideration to be listed on the EPA List of Violating Facilities.
d. To include or cause to be included in any Contract or Subcontract which exceeds $100,000.00 the
aforementioned criteria and requirements.
13. The contractor,by submission of this offer and/or execution of a contract,certifies that it:
a. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of
countries that discriminate against U.S. firms published by the Office of the United States trade
Representative(USTR);
b. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen
or national of a foreign country on said list,or is owned or controlled directly or indirectly by one or more
citizens or nationals of a foreign country on said list;
c. has not procured any product nor subcontracted for the supply of any product for use on the project that is
produced in a foreign country on said list.
Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR
30.17,no contract shall be awarded to a contractor or subcontractor who is unable to certify to the above. If the
contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on
the said list for use on the project, the Federal Aviation Administration may direct, through the sponsor,
cancellation of the contract at no cost to the Government.
FAA AIP#3-19-0094-045 P-4 Waterloo Regional Airport
AECOM Project#60537973-BP I Reconstruct Taxiway C
Further,the contractor agrees that,if awarded a contract resulting from this solicitation,it will incorporate this
provision for certification without modification in each contract and in all lower tier subcontracts. The
contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the
certification is erroneous.
The contractor shall provide immediate written notice to the sponsor if the contractor learns that its certification
or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed
circumstances.The subcontractor agrees to provide immediate written notice to the contractor,if at any time it
learns that its certification was erroneous by reason of changed circumstances.
This certification is a material representation of fact upon which reliance was placed when making the award. If
it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification,the
Federal Aviation Administration may direct,through the sponsor,cancellation of the contract or subcontract for
default at no cost to the Government.
Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render, in good faith, the certification required by this provision. The knowledge and information of a
contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course
of business dealings.
This certification concerns a matter within the jurisdiction of an agency of the United States of America and the
making of a false,fictitious,or fraudulent certification may render the maker subject to prosecution under Title
18,United States Code,Section 1001.
14. The bidder/offeror certifies,by submission of this proposal or acceptance of this contract,that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency. It further agrees by
submitting this proposal that it will include this clause without modification in all lower tier transactions,
solicitations, proposals, contracts, and subcontracts. Where the bidder/offer/contractor or any lower tier
participant is unable to certify this statement,it shall attach an explanation to this solicitation/proposal.
15. As an evidence of good faith in submitting this Proposal,the undersigned encloses bid security in the amount of
five(5)percent of the bid which,in case he refuses or fails to accept an award and to enter into a Contract and
file the required bonds within the prescribed time, shall be forfeited to the Waterloo Regional Airport as
liquidated damages.
16. By entering into this contract,the contractor certifies that neither it(nor he or she)nor any person or firm who
has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by
virtue of section 3(a)of the Davis-Bacon Act or 29 CFR 5.12(a)(1).
17. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government
contract by virtue of section 3(a)of the Davis-Bacon Act or 29 CFR 5.12(a)(1).
18. The undersigned hereby declares that the only parties interested in this Proposal are named herein,that this
Proposal is made without collusion with any other person,firm or corporation,that no member of the Council,
Waterloo Regional Airport or agent of the City of Waterloo,Iowa,is directly or indirectly financially interested
in this bid.
19. In submitting this bid,it is understood that the right to reject any and all bids has been reserved and that this bid
may not be withdrawn for a period of sixty(60)days from the opening thereof.
20. Contractor certifies that all employees employed by Contractor or any subcontractor working on behalf of the
Contractor are in compliance with the Immigration Reform Control Act of 1986(IRCA)and indemnifies the
Owner and holds harmless Owner for any violations of IRCA as a result of the Contractor's employees or his
subcontractor's employees working on behalf of the Contractor on the Owner's project.
FAA MP#3-19-0094-045 P-5 Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
21. The undersigned certifies,to the best of his or her knowledge and belief,that:
a. No Federal appropriated funds shall be paid, by or on behalf of the Contractor, to any person for
influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an
officer or employee of Congress,or an employee of a member of Congress in Congress in connection with
the making of any Federal grant and the amendment or modification of any Federal grant.
b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency,a member of Congress,an
officer or employee of Congress,or an employee of a Member of Congress in connection with this Federal
grant,the Contractor shall complete and submit Standard Form-LLL,"Disclosure of Lobby Activities",in
accordance with its instructions.
c. The Undersigned shall require that the language of this certification be included in the award documents for
all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements)and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than$10,000 and not more than$200,000 for each
such failure.
22. Buy American Certificate(Title 49 U.S.C. Chapter 501)
As a condition of bid responsiveness, the bidder must how it intend to comply with the Buy American
preferences established under Title 49 U.S.C.Section 50101.Bidder must complete the attached Buy American
certification.If the bidder requests a permissible waiver to the Buy America requirements,the Bidder identified
as with the successful bid must submit a formal waiver request and component cost calculation within the
prescribed time identified on the Buy America certification.
23. Drug Free Work Place,Act of 1988.
a. By submission of this offer,the offeror,if other than an individual,who is making an offer that equals or
exceeds$25,000,certifies and agrees that with respect to all employees of the offeror to be employed under
a contract resulting from this solicitation,it will--no later than 30 calendar days after contract award(unless
a longer period is agreed to in writing,for contracts of 30 calendar days or more performance duration;)or
as soon as possible for contracts of less than 30 calendar days
performance duration,but in any case,by a date prior to when performance is expected to be completed--
(1) Publish a statement notifying such employees that the unlawful manufacturer,distribution,dispensing,
possession or use of a controlled substance is prohibited in the Contractor's workplace and specifying
the actions that will be taken against employees for violations of such prohibition;
(2) Establish an on going drug-free awareness program to inform such employees about--
(a) The dangers of drug abuse in the workplace;
(b) The Contractor's policy of maintaining a drug-free workplace;
(c) Any available drug counseling,rehabilitation,and employee assistance programs;and
(d) The penalties that may be imposed upon employees for drug abuse violations occurring in the
workplace;
(3) Provide all employees engaged in performance of the contract with a copy of the statement required
by subparagraph a.(1)of this provision;
FAA AIP#3-19-0094-045 P-6 Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
(4) Notify such employees in writing in the statement required by subparagraph a.(1)of this provision
that, as a condition of continued employment on the contract resulting from this solicitation, the
employee will--
(a) Abide by the terms of the statement;and
(b) Notify the employer in writing of the employee's conviction under a criminal drug statute for a
violation occurring in the workplace no later than 5 calendar days after such conviction;
(5) Notify the Contracting Officer in writing within 10 calendar days after receiving notice under
subdivision a.(4)(b)of this provision,from an employee or otherwise receiving actual notice of such
conviction. The notice shall include the position title of the employee;and
(6) Within 30 calendar days after receiving notice under subdivision a.(4)(b) of this provision of a
conviction,take one of the following actions with respect to any employee who is convicted of a drug
abuse violation occurring in the workplace;
(a) Take appropriate personnel action against such employee,up to and including termination;or
(b) Require such employee to satisfactorily participate in a drug abuse assistance or rehabilitation
program approved for such purposes by a Federal, State,or local health,law enforcement,or
other appropriate agency.
(7) Make a good faith effort to maintain a drug-free workplace through implementation of subparagraphs
a.(1)through a.(6)of this provision.
b. By submission of its offer,the offeror,if an individual who is making an offer of any dollar value,certifies
and agrees that other offeror will not engage in the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance in the performance of the contract resulting from this
solicitation.
c. Failure of the offeror to provide the certification required by paragraphs a.or b.of this provision,renders
the offeror unqualified and ineligible for award. [See FAR 9.104-1(g)and 19.602-1a.(2)(a)].
d. In addition to other remedies available to the Government,the certification in paragraphs a.or b.of this
provision concerns a matter within the jurisdiction of an agency of the United States and the making of a
false, fictitious, or fraudulent certification may render the maker subject to prosecution under title 18,
United States Code, Section 1001.
24. Attachment to This Bid. The following documents are attached to and made a part of this Bid:
a. Bid Guaranty in the form of B; "Ba/7d
b. Non-Collusion Affidavit of Prime Bidder.
c. Statement of Intent—Non-Discrimination and Equal Opportunity Statement.
d. Buy American Certification Statement.
e. Bidder's Information Sheet.
f. Synopsis of Experience Record. (IDOT Certification may be substituted.)
g. Completed DBE forms "Utilization Statement"and"Letter of Intent."
FAA AIP#3-19-0094-045 P-7 Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
25. The Bidder shall indicate whether the bid is submitted by a/an:
❑ Individual, Sole Proprietorship
❑ Partnership
Er Corporation
❑ Joint-venture: all parties must join-in and execute all documents
❑ Other
Respectfully submitted,
Bidder
By
Signature
Vi -Vre_t;.,:/en'f'
Title
Joas- L hf¢r S-71reef
Address
2c7a- /!f ZA 50613
(Include Zip Code)
3/9 - 277 —300/
Telephone No.
FAA AIP#3-19-0094-045 P-8 Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of G5Wa )
)ss
County of S1a<k h'4 W k )
a f 2►n/e h ,being first duly sworn,deposes and says that:
(1) He is (Owner,Partner Representative,or Agent) of
h n i 25/au 144 d KtFri,,,c-610h C.c) 2h< • ,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.
Title « - 1 Glen 7‘
Subscribed and sworn to before me
this ot day of , 2017.
Her"
er"
itle
My Commission Expires 3' ,201g.
4'�1A��. DIANE L CALEY
_ COMMISSION NO.703084
�ovr NIAY.`
FAA ATP#3-19-0094-045 P-10 Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
STATEMENT OF INTENT
NONDISCRIMINATION
AND
EQUAL OPPORTUNITY STATEMENT
The Contractor does hereby certify to the Waterloo Regional Airport,that no person shall, in any way, be favored or
discriminated against because of his race,political or religious opinions and affiliations,national origins,sex,age,sexual
orientation,gender identity,disability,color,creed,marital status,employee union or association membership or office
herein.
If selected as the successful bidder,this contractor hereby agrees to file either a nondiscrimination and equal opportunity
statement and/or an Affirmative Action Program.
Improvements to the Waterloo Regional Airport consisting of
Reconstruct Taxiway C
Bid Package#1
1T. L�Csi)nitl1/4►" CapJ,irti�1k:en Cad =.11
J COMPANY
3 E DWE„/
EXECUTIVE OFFICER
AFFIRMATIVE ACTION OFFICER
ADDRESS OF THE AFFIRMATIVE ACTION OFFICER
/d- S Ce/7'7er 5-41ree,4
GQar I a!/t) ,i. 5 t3
PHONE NUMBER 3 1 - 27-7 — 3o/
FAA AIP#3-19-0094-045 P-12 Waterloo Regional Airport
AECOM Project#60537973-BPl Reconstruct Taxiway C
BIDDER'S INFORMATION SHEET
A. BIDDERS CAPACITY: (Check One)
1. Individual ❑
2. Co-Partnership 0
3. Corporation GiIr
B. (IF ITEM 2 IS CHECKED, COMPLETE THE FOLLOWING)
State of
Names and Addresses of Partners
1.
2.
3.
4.
5.
C. (IF ITEM 3 IS CHECKED,COMPLETE THE FOLLOWING)
State of Incorporation Sd Wa
Names and Addresses of Officers:
President ale//y G'u nn:,AQ m ie).2 eekokn, )9ree� Cam'-c�cr is, 2774 S of,3
Secretary
Treasurer
FAA AIP#3-19-0094-045 P-13 Waterloo Regional Airport
AECOM Project#60537973-BPI Reconstruct Taxiway C
SYNOPSIS OF EXPERIENCE RECORD
(This synopsis must accompany Proposal Form.)
Name of Bidder n• Guhn;�X4hl 2,47,s4►L.4)1;on �� .l n<.
Business Address /D,2 een7e. Liar //si 2A 5.--06.l 3
Individual( ) Partnership( ) Corporation(.- (Check One.)
Construction successfully completed within past five years similar in size,scope,and difficulty of construction to the work
bid upon.
Name of Location of Amount of
Name of Owner Project Project Contract
1 See A atk e:, corc/ of Y-f £p erie4A4e 5.-:: Te/ N1a17-14
2
3
4
5
Number of Contract Days Actual Number of Days to
Allowed for Above Projects Complete above Project
1
2
3
4
5
(Signed) kCu r,n:77 /4a1)
1
e hsir ;oh n� .) hc.
Name of Company
(By)
(TITLE) ' s Vie„ f
Date G/2 )7
FAA AIP#3-19-0094-045 P-14 Waterloo Regional Airport
AECOM Project#60537973-BP1 Reconstruct Taxiway C
RECORD OF PAST EXPERIENCE
(Continued)
Description of Work
Project Owner or Engineer Project No.,and Date, Location (Bridge,PCC,ACC,Grading Patching,Erosion,Etc. Dollar Value
Phone No.of Reference Include quanties for ACC,PCC,and Grading)
YR 2014
UNIVERSITY OF NORTHERN IOWA
319-273-2611 UNI,CEDAR FALLS,IA PCC 14,985 SY $508,059
UNI SOUTH ART PARKING LOT
CITY OF ALLISON
319-267-2245 ALLISON,IA PCC 2,480 SY $182,146
ALLISON OAK STREET IMPROVEMENT
PETERSON CONTRACTORS,INC.
319-345-2713 WAVERLY,IA PCC 21,357 SY $813,833
WAVERLY,CEDAR RIVER PARKWAY
ASPRO,INC.
319-232-6537 1-380 BLACK HAWK CO. C&G 2,713 LF $97,488
1-380 BLACK HAWK CO.
ASPRO,INC.
319-232-6537 VARIOUS STREETS, PCC 814 SY-C&G 5,906 LF $146,977
2014 STREET RESTORATION CEDAR FALLS,IA
LOCKARD CONSTRUCTION
319 277 8000 WESTERN HOME,CEDAR PCC 9,290 SY $270,855
WESTERN HOME 6TH ADDITION
FALLS,IA
AOl CORPORATION
402-896-5520 WATERLOO,IA PCC 4,258 SY $123,725
MCDONALDS
PETERSON CONTRACTORS,INC.
319-345-2713 CEDAR FALLS,IA PCC 30,036 $920,700
PRAIRIE PARKWAY STREET
METRO INVEST-HUFF CONTRACTING
319-233-9000 FORT DODGE,IA PCC 6,604 SY $175,737
FORT DODGE RETAIL CENTER
PETERSON CONTRACTORS,INC.
319-345-2713 VARIOUS STREETS, PCC 22,048 SY $883,060
2014 CF STREET RECONSTRUCTION CEDAR FALLS,IA
IOWA EROSION CONTROL
319-647-3561 AIRLINE HIGHWAY, PCC 1,271 SY
$63,680
W.AIRLINE HWY REHAB
WATERLOO, IA
OCWEN FINANCIAL
319 236 5200 OCWEN FINANCIAL, PCC 659 SY
WATERLOO,IA
OCWEN FINANCIAL $55,000
HAWKEYE PROPERTY MANAGEMENT
319-624-5233 HAMMOND HILLS, PCC 2,373 SY $67,333
HAMMOND HILLS 6TH ADDITION
WATERLOO,IA
HAWKEYE COMMUNITY COLLEGE
319-234-5734 HCC WATERLOO, IA PCC 7,043 SY $426,774
HAWKEYE CC PARKING LOT
PETERSON CONTRACTORS,INC.
319-345-2713 US 20 GRUNDY CO.,IA PCC 1,544 SY $177,602
US 20,B.O.4 GRUNDY CO.
PETERS CONSTRUCTION CO.
319-236-2003 WATERLOO IA PCC 9,753 SY $542,932
JOHN DEERE PEC TRACK
HAWKEYE COMMUNITY COLLEGE
319-234-5734 HCC WATERLOO, IA PCC 548 SY $72,506
HAWKEYE CC CONCRETE REPAIR
PETERSON CONTRACTORS, INC.
319-345-2713 BLACK HAWK CO,IA PCC 19,802 SY $601,668
DYSART ROAD,BO 102
Page 1
RECORD OF PAST EXPERIENCE
(Continued)
Description of Work
Project Owner or Engineer Project No.,and Date, Location (Bridge,PCC,ACC,Grading Patching,Erosion,Etc. Dollar Value
Phone No.of Reference Include quanties for ACC,PCC,and Grading)
CITY OF CEDAR FALLS
319-273-8600 CEDAR FALLS,IA PCC 10,086 SY $769,572
WEST VIKING INDUSTRIAL PARK.
YR 2015
CITY OF WATERLOO
319-266-2621 GERALDINE ROAD, PCC 5,489 SY $147,788
GERALDINE ROAD PHASE III WATERLOO,IA
LOCKARD CONSTRUCTION
319-277-8000 CEDAR FALLS,IA PCC 5,707 SY $180,506
PINNACLE PRAIRIE NORTH II
HUFF CONTRACTING,INC
319-233-9000 WATERLOO,IA PCC 6,166 SY $168,340
RIDGEWAY DEVELOPMENT RETAIL CENTER
STANDARD DISTRIBUTION
319-266-1110 CEDAR FALLS,IA PCC 8,093 SY $300,136
STANDARD DISTRIBUTION INDUSTRIAL PARK
ASPRO,INC.
319-232-6537 VARIOUS STREETS, PCC 1,145 SY-C&G 5,616 LF $172,228
2015 STREET RESTORATION CEDAR FALLS,IA
PETERSON CONTRACTORS,INC.
319-345-2713 DUNKERTON ROAD,BLACK PCC 2,336 SY $96,548
DUNKERTON ROAD BO 102 HAWK CO
WRIGHT COUNTY
515-532-3597 150TH STREET, PCC 2,038 SY $184,466
BELMOND 150TH ST BO 112 BELMOND,IA
PETERS CONSTRUCTION CO.
319-236-2003 WATERLOO IA PCC 2,239 SY $177,846
JOHN DEERE PEC HILL TRACK
JOHN DEERE PEC
319-292-4964 WATERLOO,IA PCC 3,655 SY $368,788
JD PEC DURABILITY TRACK 2015
PETERSON CONTRACTORS,INC.
319-345-2713 WAVERLY,IA PCC 16,129 SY-C&G 3,157 LF $915,673
WAVERLY DRY RUN CREEK
BOLTON&MENK,INC.
952-890-0509 IOWA FALLS,IA PCC 9,565 SY-C&G 2,247 LF $3,965,935
IOWA FALLS DOWNTOWN STREETSCAPE
PETERS CONSTRUCTION CO.
319-236-2003 CEDAR FALLS,IA PCC 50,809 SY $1,395,216
MARTIN BROTHERS EXPANSION
JOHN DEERE PEC
319-292-4964 WATERLOO,IA PCC 4,950 SY $418,552
JD PEC NO ENTRANCE DRIVE
DAVE SCHMIDT CONSTRUCTION
319-365-8669 CEDAR FALLS,IA PCC 4,641 SY $133,184
PRAIRIE WEST 2ND ADDITION
BOLTON&MENK,INC.
952-890-0509 WASHINGTON AVE, PCC 4,951 SY-C&G 1,448 LF $576,877
WASHINGTON AVE BO 105 HARDIN CO HARDIN CO.
HIGH DEVELOPMENT
319-363-3900 CEDAR FALLS,IA PCC 3,330 SY $107,844
GREENHILL VILLAGE 10TH ADDITION
PETERSON CONTRACTORS,INC.
319-345-2713 VARIOUS STREETS PCC 24,314 SY $1,034,775
2015 CF RECONSTRUCTION CEDAR FALLS,IA
Page 2
RECORD OF PAST EXPERIENCE
(Continued)
Description of Work
Project Owner or Engineer Project No.,and Date, Location (Bridge,PCC,ACC,Grading Patching,Erosion,Etc. Dollar Value
Phone No.of Reference Include quanties for ACC,PCC,and Grading)
LOCKARD CONSTRUCTION,INC
319-277-8000 WESTERN HOME PCC 9,217 SY $286,337
WESTERN HOME 7TH ADDITION CEDAR FALLS,IA
PETERSON CONTRACTORS,INC.
319-345-2713 EVANSDALE,IA PCC 2,055 SY $62,600
NORMA AVENUE EXTENSION
YR 2016
PETERSON CONTRACTORS,INC.
319-345-2713 WAVERLY,IA PCC 1,677 SY-C&G 378 LF $355,635
WAVERLY DRY RUN CREEK
BOLTON&MENK,INC.
952-890-0509 IOWA FALLS,IA PCC 270 SY-C&G 110 LF $1,084,997
IOWA FALLS DOWNTOWN STREETSCAPE
PETERS CONSTRUCTION CO.
319-236-2003 CEDAR FALLS,IA PCC 21,470 SY $616,163
MARTIN BROTHERS EXPANSION
LOCKARD CONSTRUCTION,INC
319-277-8000 WESTERN HOME PCC 8,812 SY $246,137
WESTERN HOME 7TH ADDITION CEDAR FALLS,IA
LOCKARD CONSTRUCTION,INC
319-277-8000 HOME PLAZA PCC 5,777 SY $181,682
HOME PLAZA CEDAR FALLS,IA
BAKER CONCRETE&EXCAVATING
563-423-5000 PINACLE RIDGE, PCC 11,866 SY $365,350
PINNACLE RIDGE SUBDIVISION CEDAR FALLS,IA
HUDSON HARDWARE PLUMBING&HEATING
319-988-3231 UPPER RIDGES PCC 4,323 SY $113,479
UPPER RIDGES 2ND ADDITION CEDAR FALLS,IA
MURPHY TRACTOR
319-235-7085 WATERLOO,IA PCC 2,627 SY $113,790
MURPHY TRACTOR LOT
ASPRO,INC.
319-232-6537 VARIOUS STREETS, PCC 1,272 SY-C&G 4,216 LF $163,763
2016 STREET RESTORATION CEDAR FALLS,IA
CITY OF CEDAR FALLS
319-243-2704 CEDAR FALLS,IA PCC 51,785 SY-C&G 1,631 LF $9,306,760
UNIVERSITY AVENUE RECONSTRUCTION
HUFF CONTRACTING,INC.
319-233-9000 WATERLOO,IA PCC 3,003 SY-C&G 675 LF $108,610
KWWL RENOVATION
DAVE SCHMIDT CONSTRUCTION
319-365-8669 WAVERLY,IA PCC 3,338 SY $110,138
CENTENIAL BUSINESS PARK
DAVE SCMIDT CONSTRUCTION
319-365-8669 WAVERLY,IA PCC 3,023 SY $86,156
Omni Development 1st Addition
CITY OF WATERLOO
319-266-2621 WATERLOO,IA PCC 10,181 SY $565,328
SHAULIS ROAD TRAIL BO 101
BAKER CONCRETE&EXCAVATING
563-423-5000 CEDAR FALLS,IA PCC 11,298 SY $316,344
PRAIRIE WEST/WINDS 3RD ADDITION
CITY OF CEDAR FALLS
319-273-8600 VARIOUS STREETS, PCC 20,224 SY $724,998
CEDAR FALLS RECONSTRUCTION 2016 CEDAR FALLS,IA
Page 3
RECORD OF PAST EXPERIENCE
(Continued)
Description of Work
Project Owner or Engineer Project No.,and Date, Location (Bridge,PCC,ACC,Grading Patching,Erosion,Etc. Dollar Value
Phone No.of Reference Include quanties for ACC,PCC,and Grading)
ilemmonswh
UNIVERSITY OF NORTHERN IOWA
319-273-2611 UNI, PCC 3,762 SY $284,382
UNI INSTITUTIONAL ROADS CEDAR FALLS,IA
PETERSON CONTRACTORS,INC.
319 345 2713 UNI, PCC 7,448 SY $232,966
UNI SW CAMPUS STORMWATER MANAGEMENT CEDAR FALLS,IA
PETERSON CONTRACTORS,INC.
319-345-2713 WATERLOO,IA PCC 16,906 SY $700,541
RIVER FOREST ROAD BO 101
PRAIRIE RAPIDS,LLC
319-352-0055 CEDAR FALLS,IA PCC 7,063 SY $212,635
PRAIRIE RAPIDS SQUARE
PETERSON CONTRACTORS,INC.
319-345-2713 BLACK HAWK CO,IA PCC 2,490 SY $319,422
HWY21&SHAULIS ROAD
S&D DEVELOPMENT
319-290-7001 WAVERLY,IA PCC 3,680 SY $115,000
HIGHPOINT 2ND ADDITION
DEER CREEK DEVELOPMENT,LLC
319-269-4081 WATERLOO, IA PCC 4,308 SY $137,849
GREENBELT TITAN TRAIL
Page 4
UTILIZATION STATEMENT
Disadvantage Business Enterprise
The undersigned bidder/offeror has satisfied the requirements of the bid specification in the following manner.
(Please mark the appropriate box)
❑ The bidder/offeror is committed to a minimum of % DBE utilization on this
contract.
t(The bidder/offeror,while unable to meet the DBE goal of 1.33 %,hereby commits to
a minimum of -7•2- % DBE utilization on this contract and also submits
documentation,as an attachment demonstrating good faith efforts(GFE).
The undersigned hereby further assures that the information included herein is true and correct,and that the DBE firm(s)listed herein have agreed to
perform a commercially useful function in the work items noted for each firm.The undersigned further understands that no changes to this statement may
be made without prior approval from the Civil Right Staff of the Federal Aviation Administration.
K. G4Ah; �an. C6hStruct;an Co) -SAG.
Bidder's/Offero s Firm Name
Signature Date
DBE UTILIZATION SUMMARY
Contract Amount DBE Amount Contract
Percentage
DBE Prime Contractor $ _ x 1.00= $ —
DBE Subcontractor $ l6'3,/5'yv42 x 1.00= $ /63)/S1S1.O0 7.2e, %
DBE Supplier $ _ x 0.60=
DBE Manufacturer $ — x 1.00= $ — —
Total Amount DBE $ /6,3,/yy ,o 7•Zo
DBE Goal $ /(063or3,75' -7.3 3
Note: If the total proposed DBE participation is less than the established DBE goal,Bidder must provide written documentation of the good
faith efforts as required by 49 CFR Part 26.
FAA AIP 43-19-0094-045 P-15 Waterloo Regional Airport
AECOM Project:#6O537973-BP i Reconstruct Taxiway C
LETTER OF INTENT
Disadvantage Business EntOrprise
(This page shall be submitted for each D8E firm)
Bidder/Offer Name: !r24,,t .,:t-2,714,1, 67,eps"-/rue71;4/7 .e>..)
Address: /4.2"5-eeeillec ' ilr4E7-' "
City: -`";?-. r f;..--7,1 State: .-2--)4 _Zip: 5.e,4,13
DBE Firm: DBE Firm: 17 e d i ifivi se/(....--7
dr-
Address: kg_4:;7(1 er-e.,44„2,- A- ,,,y.v.e_
City: iAlc.,/-ev.f.--, I:09 State:-21 Zip: .;',04,--P---"
/
DBE Contact Person: Name: th/ #4/4-1 Phone:L'579) IS r-6,N7/2
DBE Certifying Agency: _____ _C2_Q:j______1- ____ Expiration Date:Feb/34/
Each DBE Firm shall submit evidence(such as a pho(ocopy) of their certification status,
El Prime Contractor EiSubcontractor ElJoint Venture
„.„ -,,,,,,;,:, ,:n:
„,„,4,,,„„:,„„,,:,,,.,,,k,"s,:11=i' 0 Manufacturer OSupplier
- - ,
Work item(s)
, 1 to be performed by Description of Work Item Quantity Total
DBE
i
_
11
1-lee, 7 1W;;1 -6.eif, -re.c,se ; P,e,m,,Lpit. 1 5S00 iS--
Pr__ 4'
A.0-9,4ie it+,_6)4iae-- ) e .496. .. .- r27d ,...."':
The bidder/offeror is committed to utilizing the above-named DBE firm for the work described above. The
estimated participation is as follows:
DBE contract amount: $it 7 7 4e.7.....,c-)- Percent of total contract: --'•
.--4,--
Z3
AFFIRMATION:
The above-named DBE firm affirms that it will perform the portion of the contract for the estimated dollar value
as slated above.
By: vii,,e Zeills96,-, ....1 Pro:
(Signature) .."- %Pile) 0 -1444,4ww,11wplapwvw
0.0
4A.-,UW-44:,V:::
l'i:Ilititatitt
In the event the bidder/offeror does not receive award of the prime contract,any and all representations in this
Letter of Intent and Affirmation shall be null and void. i. -- q, ; itArlf =P.,„f„,,,,,i,:koke,,AN-I1
WaenEgiOntakleMN0510AgIONNAVgngaM4tNVAIAAVAMMailMOngnaIRARA, ., -_ c,- - :,---, --',',--44TAWA4-*WeiWtA*4-'404a2M'NOAtQ'fMg.00t:WPV7VriiOWN36TMRV501r0i01000MIUNMOtitiAWUZIP*IWAW ' WRXMORRMY '
4:1
-:.,w,iki;:m*,eqi-a4mpivz5R:,Sze-:rmE',44M'irnZztt;Maqwvma-iit
pyAA -ot_"''''''''''''''''"Wi,M,'&VAA:2';A;,'-*VgtYNla,O:iiMgYiEi=:S44'-'d'iWfilttPVtS-MltWVZEW.VNORNMagalTga5VingfaRDeitaMtatrirattRMMOVIN,,,,,,gNPAN500g4!::::CNIOrripel;
s't:i;':3?V'V':4!'!V4n(;q'Ele;-6:egtgq!VeA:'NtW,AVS;::q5:Zit;_KttgrnZirSrrtntMIVVErr:'glftMiat*f3,IS-Migtat.'.', - 'WA,--,,'-.,,,':':, i 'li,46:'g-;::;t5:W4ttit%A!,igiaAV':AV,;A54,Z4Zfiin;P* AM,W.R4,:MilMSii!,k,MWANK:VtilkAtVg.M4,ighZp*:*,515-NOW-1*Ifi%
40PROSMUZ:R.,i4i1K01::::*,i':,!::,,*:50Ma',::',V.ANWItRign: ,%!:nkl:Wit'i:Mtii,TZt'cii-,: iF.V4W&ik:IliataitrW,Z550:&13iFi.15,14t*AkViSt4Ni,v4,...vz
qi-„VA:k;';' " % 4:,- INgi' ;,: ::'2MR4Y,7gn'LV.AM'W.iftiO*,-7 - -a-4* :S0, 24-SZAWk-L,Wge-VVAtIi4Wg4MIIVW7;1:0N§4"'''',0
:::-'::::::;AV;;:I4K'4PaiggtW,'N-giKM:igt :'551AtR;4f,A:IRA;;6'n•k-*g4gNitffg::,N,e-PgV::SW4; , 0