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BID FOR DEMOLITION AND SITE CLEARANCE CONTRACT GROUP 142-D-GO-02-24-06-VGM To the City of Waterloo, Iowa, acting through its Community Development Department; Carnegie Annex, Suite 202, 620 Mulberry Street, Waterloo, Iowa 50703. Gentlemen: 1. The undersigned, being a Corporation existing under the laws of the State of Iowa, a Partnership consisting of the following partners: an Individual doing business as having familiarized (himself), (themselves), (its with the existing conditions on the Project Area affecting the cost of the work and with the Contract Documents of Group 142-D- GO-02-24-06-VGM which includes Invitation for Bids, Instructions to Bidders, the Form of Bid, Form of Contract (or agreement), Form of Non-Collusion Affidavit, Non-Segregated Facilities, Addenda #1 General Conditions, Special Conditions, Technical Specifications Drawings (as listed in the Schedule of Drawings), and on file in the office of the Community Development Board, hereby proposes to furnish all supervision,technical personnel, labor, materials, machinery,tools, equipment and services including utility and transportation services and to start demolition within seven(7) days of Notice to Proceed, complete all work required for the Demolition and Site Clearance for City of Waterloo General Obligation Bond Demolition Project, within 20 calendar days of Notice to Proceed, all in accordance with above listed documents. Demolition and Site Clearance Contract for Group 142-D-GO-02-24-06-VGM Thirty three thousand two hundred ninety _ 1o11ars Dollars($fl,?go.on ) 2. In submitting this bid, the bidder understands that the right is reserved by the City of Waterloo acting through its Community Development Department to reject any and all bids. If written notice of the acceptance of this bid is mailed, telegraphed or delivered to the undersigned within two (2) days after the opening thereof, or at any time thereafter before this bid is withdrawn,the undersigned agrees to execute and deliver an Agreement in the prescribed form and furnish the required bond within ONE (1) day after the agreement is presented to him/her for signature. BF-1 ,- q .‘N. w as N W O U a E.• Ca O Z 0.1 69 64 69 69 69 b4 69 A i N ,:r C z a F.0 V c 0 g A 00 A O a) w 0 • a N 0a1 � � < CJ b w a w U 0 ;Li0 •0 u) w w a. in CZ.'in co co 00 w o ci co co o OM H o0 � W 4-t k sr Cam• U U CI a, ,9 0 0 O C� U U ao v� o 0 � 0 0 z — U U U U O a 0 : 0 P. co 0 U wo 'oon E- to �Q o 0 0 0 o 0 0 0 0 0 • e o 0 OO - -a w o H0 o - i 3. Attached hereto is a Non-Collusion Affidavit and a Non-Segregated Affidavit in proof that the undersigned has not colluded and does not have segregated facilities with any person in respect to this bid or any other bid for the Contract for which this bid is submitted. 4. The bidder is prepared to submit a financial and experience statement upon request. 5. The bidder has received the following Addendum or Addenda: Addendum No. #1 Dated Feb.23,2006 Addendum No. Dated Addendum No. Dated Addendum No. Dated 6. The bidder certified that he/she does not maintain or provide for his/her 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 bidder agrees that a breach of this certification will be a violation of the Equal Opportunity Clause in any Contract resulting from acceptance of this bid. As used in this certification, the term segregated facilities means any waiting room, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, 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 otherwise. The bidder 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 subcontractors 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. Date 24 Feb 2006 LEHMAN TRUCKING & EXCAVATING, INC. Name of Bidder By '4-,--•-.�„ f -..--LAVERNE LEHMAN Title President Name of Firm LEHMAN TRUCKING & EXCAVATING, INC. Address 323 Kothe Ave. 42-1226169 IRS or ID No. City, State and Zip Code waterloo, IA 50703-2247 Area Code and Phone Number 319-235-6163 BF-2 PRINCIPALS OF FIRM: Name LAVERNE LEHMAN 478-68-3221 Social Security No. Title President and all other officers Home Address 1456 Cummings Ave. City, State &Zip Code Fairbank, IA 50629 Name Social Security No. Title Home Address City, State&Zip Code Name Social Security No. Title Home Address City, State&Zip Code (ONE COPY OF THIS BID IS REQUIRED) (ONE COPY OF NON-COLLUSION AFFIDAVIT REQUIRED) (ONE COPY OF BID BOND REQUIRED) BF-3 NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of Iowa ) ss County of Black Hawk ) Laverne Lehman , being first duly sworn, deposes and says that: (1) He/She is (Owner, partner, officer, representative, or agent) of LEHMAN TRUCKING & EXCAVATING, INC. ,the bidder that has submitted the attached bid: (2) He/She is fully informed respecting the preparations 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 price of any 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. Signed Laverne Lehman (Title) President ti Subscribed and sworn to before me this day of , 2006. i-JY-csir Name Title My commission expires ant. .. 7,vZ 0 0 NCA-1 CERTIFICATION ON NONSEGREGATED FACILITIES The bidder 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 bidder 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 bidder agrees that a breach of this certification will be a violation of the Equal Opportunity Clause in any contract resulting from acceptance of this bid. As used in this certification, the term"segregated facilities"means any waiting rooms, work areas, restrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing 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 otherwise. The bidder agrees that(except where he has obtained identical certification from proposed subcontractors prior to the award of subcontracts exceeding $10,000.00 which are not exempt from the provisions of the Equal Opportunity Clause, and that he will retain such certifications in his files. NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. ss 1001. DATE: 24 February , 2006 LEHMAN TRUCKING & EXCAVATING, INC. NAME OF9IDDER BY � ��_ , LAVERNE LEHMAN TITLE President OFFICIAL ADDRESS (Including Zip Code): LEHMAN TRUCKING & EXCAVATING, INC. 323 Kothe Ave. Waterloo, IA 50703-2247 319-235-6163 - Phone & Fax NCA-3 o o C C o C 0 o w p 0 C 0 0 0 C C . GQ N 0 O 0 O O 0 C 0, i WO N 0 0 c0 � C Lt) C N U a0 O .--r � .-a .. ., o W cn 0. O N N C,-1 u z cG 69 64 64 69 64 69 69 A N O a z H a" .� w p U U o Cq ONO A © 0 a) W u: A U U bA w O co ¢ d w a ¢� w '' w r u) w i.Na mH N M g O O CO Q w /., WI cis at Hon w a--,‘i. � w aU C, I. oo w en 00 VI ,__ en O� N c• U.) r0 u ii C.• O O �r Fat �� 'O alA faA cu es O m >- 0 U U O a) U 0 a o v) 0 0 0 0 c, L.) C...) 1-1 '� U U 15 Z 0 a V V V V w ¢ Q o o o -= 3A 0 0 0 0 0 0 z A Q .� fl �, .a 0 �p 0 y w ¢ d d ¢ ¢ d w 0 Hp d 0 - V U C.7 R4 CA