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BID OR DEMO AND SITE CLEARANCE
BID FOR DEMOLITION AND SITE CLEARANCE CONTRACT GROUP 144-D-GO-08-18-06 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), (itself) with the existing conditions on the Project Area affecting the cost of the work and with the Contract Documents of Group 144-D-GO-08- 18-06 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 No. 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 144-D-GO-08-18-06 Thirty three thousand eight hundred sixty-five Dollars($ .33,865.00 ) 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to the undersigned within two (2) days after the opening thereof, or at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an Agreement in the prescribed form and furnish the required bond within ONE (1) day after the agreement is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 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 August 10, 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 August 17, 2006 LEHMAN TRUCKING & EXCAVATING, INC. Name of idder By Laverne Lehman Title President Name of Firm LEHMAN TRUCKING & EXCAVATING, INC. Address 323 Kothe Avenue 42-1226169 IRS or ID No. City, State and Zip Code Waterloo, IA 50703-2247 Area Code and Phone Number 319-235-6163 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 0 0 0 0 Cpi© c 0 0 0 0 0 w ' 0 0 in 0 in G� 01 qO Cr) n 1 .1 U Cr) 0 �7 O CO O rn Ln c� cc-) U► z m 69 64 69 69 i A v. rr O o z a) cot. Ei t ur' al a> O O A C7 � � ow W o v cG U W ooa CA �1 � � Ca c) Q .c:s cl al cu CI) -d -o .. W a) a) 4.• W w 4 P-4 " 0 H coo o c g x u. a) Q H C CD 74 w, o .� N 00 o a) a�i o • ~ �4 w w cu a 00 � x 0 0 a; c4 o 0 o U Q+ N .-1 .—, G z O Oa O a, Q +r a� — r ' i A A E a) a) w Z 1-1 Q a tu bn �O W ;ao :n0 A o W H O 00 U L7 CO N N N 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 Subscribed and sworn to before me this n day of 2006. ap Name Title My commission expires November 24, 2006 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 $10,000.00 which are not exempt from the provisions of the Equal Opportunity Clause, and that he will retain such certifications in his files. NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. ss 1001. DA1'E: August 17 , 2006 LEHMAN TRUCKING & EXCAVATING, INC. NAME OF DER BY Laverne Lehman TITLE President OFFICIAL ADDRESS (Including Zip Code): LEHMAN TRUCKING & EXCAVATING, INC. 323 Kothe Avenue Waterloo, IA 50703-2247 319-235-6163 - Phone & Fax NCA-3 AUG-15-2006 03 :48 PM LEHMAN- TRUCKING. AND. EXC 319 235 6163 P. 02 BID BOND KNOW ALL MEN BY THESE PRESENTS, That we the undersigned, Lehman Truckin & Excavating, 23 Kothe St. , Waterloo, IA 507+)3 Inc. ,neco� r nc pa as PRINCIPAL, and as SURETY are held and Merchants Bonding Company (Mutual) Development rm oun un o e , y o a er oo, owa rough its Carmun 5% of bid amount ity � fb Do lars($ Board the penal sum of en o w ch sum will an ru y ) lawful money of the Uni e a es, or e paw Administrators, to be made, we bind ourselves, our heirs, executors,rA y by these presents . successors and assigns jointly and s seesv�hatlwhereas the Principal has THE CONDITION OF THIS OBLIGATION IS SUCH, 18 , 2006 for submitted the accompanying bid dated Demolition and Site Clearance, Commune y eve opment oard Demolition Project. NOW THEREFORE, if the Principal shall onothwithdrawosaidfb no id wihin bee period specified therein after the opening andi shall periodhi specified, within thirty (30) days ater opening,thidbe specified withinsal ten (10) n the period specified therefore, or, if no period days after the prescribed forms are presenteditoahhim ffor ressignature, bid enter s into a written Contract with the City of accepted, and give bond with gdsufficient propersfulfyllment sureties suchs may be required, for the faithful performanceperiod Contract; or in the event of the withdrawal of said bid within theh specified , or the failure to enter into such Contract and he gCive y of Waterloo the bond within the time specified, if the Principal shall pay difference between the amount specified in said bid and thamount bffor'w if hich he the City of Waterloo may procure the required wen ork or arvsu supplies obligation shall, be latter amount be in excess of the former, void and of no effect, otherwise to remain in full force and virtue. IN WITNESS WHEREOF, the above-bonded parties have exeAutedtthis instrument under their several seals this 18 day of g us 2006 the name being hereto affixed and these presef nts govern ngbodY- is un ers gned representatives, prusuant to authority (SEAL) In Presence of: n v ua r ncipa —Trans ness ress (SEAL) — TirTd. v ua ncl pal j us ne5s ress BB-1 AUG-15-2006 03 :49 PM LEHMAN. TRUCKING. AHD. EXC 319 235 6163 P. 03 • Lehman Trucking & Excavating, Inc. (Corporate Principal) ATTEST:• 323 Kothe St. , Waterloo, IA 50703 (Busfness Address) Affl Corporate ae,tUu:u.2'Th 0,44-61,4A./ By Yftk).--(dt—,....._, Seal ATTEST: Merchants Bonding Company (Mutual) (Corporate Suretyr • Countersigned 2100 Fleur Dr. , Des Moines, IA 50321-1158 Affix Corporate Seal By '0.,f- ()J Janet Willard Attorney-infact, State of Tow (Power 0- Attorney for person signing for surety company must be attached to Bond CERTIFICATE AS TO CORPORATE PRINCIPAL 1 , L'� -- + , certify that I am the 3ecretary of the coreA ration named as Principal in the within bond; that L.�suc^k L� ,.t� of said corporation; that I know his signature. and bus signature thereto is genuine, and that said bond was duly signed, sealed, and attested to for and in behalf of said corporation by authority of its gove ing body. (Corporate) Title " J (Seal) (Date of Bond must not be prior to date of instrument for which it is given .) BB-2 Merchants Bonding Company (Mutual) i POWER OF ATTORNEY Know All Persons By These Presents,that the MERCHANTS BONDING COMPANY(MUTUAL),a corporation duly organized under the laws of the State of Iowa,and having its principal office in the City of Des Moines,County of Polk,State of Iowa,hath made, constituted and appointed,and does by these presents make,constitute and appoint W.D.McCausland,III,Marjorie M.Miller, John S.Pedersen,Frank D.Dowie,III, Susan Logan, Annette M.Robinson,Stephen A.Clabby,Sherry A.Haren,Janet Willard of Waterloo and State of Iowa its true and lawful Attorney-in-Fact,with full power and authority hereby conferred in its name, place and stead,to sign,execute, acknowledge and deliver in its behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of: TWENTY MILLION($20,000,000.00)DOLLARS and to bind the MERCHANTS BONDING COMPANY(MUTUAL)thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the MERCHANTS BONDING COMPANY(MUTUAL),and all the acts of said Attorney-in-Fact,pursuant to the authority herein given,are hereby ratified and confirmed. This Power-of-Attorney is made and executed pursuant to and by authority of the following Amended Substituted and Restated By- Laws adopted by the Board of Directors of the MERCHANTS BONDING COMPANY(MUTUAL)on November 16,2002. ARTICLE II,SECTION 8-The Chairman of the Board or President or any Vice President or Secretary shall have power and authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,bonds and undertakings, recognizances,contracts of indemnity and other writings obligatory in the nature thereof. ARTICLE II, SECTION 9-The signature of any authorized officer and the Seal of the Company may be affixed by facsimile to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed. In Witness Whereof,MERCHANTS BONDING COMPANY(MUTUAL)has caused these presents to be signed by its President and • its corporate seal to be hereto affixed,this 16th day of January,2006. • •'. \I1G Cti4.• MERCHANTS BONDING COMPANY(MUTUAL) Oq.OR P° 9••. • • •�•2 o v3: '''E• 1933 � •�ti• By 6/6/7 7,,Zfas, STATE OF IOWA •'• President COUNTY OF POLK ss. On this 16th day of January,2006,before me appeared Larry Taylor,to me personally known,who being by me duly sworn did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL),the corporation described in the foregoing instrument,and that the Seal affixed to the said instrument is the Corporate Seal of the said Corporation and that the said instrument was signed and sealed in behalf of said Corporation by authority of its Board of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines,Iowa,the day and year first above written. CINDY SMYTH j46.61 zFCommission Number 173504 Q 4 My Commission Expires March 16,2009 Notary Public,Polk County,Iowa STATE OF IOWA COUNTY OF POLK ss. I, William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL),do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said MERCHANTS BONDING COMPANY(MUTUAL),which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Company on this l.8tfay of August, 2006 ••• G CD,7A•. •moo,.opt P 0 qq.•q . !/,,�< •�;V rt• ci i� S� CI 3 ' 6• 1933 ;c Secretary • y•• ti POA 0001 (1/06) ••...4.••.• -\ .