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FORM OF BID OR PROPOSAL
3-• FORM OF BID OR PROPOSAL F.Y. 2006 FLAMMANG DRIVE LEFT TURN LANE EXTENSION IDOT PROJECT # CS-TSF-8155(681)--85-07 TRF-115-06 CITY OF WATERLOO,IOWA Honorable Mayor and City Council Waterloo, Iowa Gentlemen: 1. The undersigned, being a Corporation existing under the laws of e State of 4//x/ a Partnership consisting of the following partners: .v/ having familiarized (himself) (toms) (its) with the existing conditions on the project area affecting the cost of the work, and with the General Specifications and Project Specifications, 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. 2006 FLAMMANG DRIVE LEFT TURN LANE EXTENSION, all in accordance with the General Specifications and Project Specifications and for the unit prices for work in place for the following items: ITEM UNIT TOTAL NO. DESCRIPTION UNIT QUANTITY BID PRICE BID PRICE 1. Pavement Removal SY 55.7 $ /'V, fl 0 $ 2. Excavation CY 40.7 $ /S• 0 0 $ 6/0,5 0 3. Special Backfill TON 33.5 $ /7. S 0 $ i'8 6,.t 5 4. PCC Pavement, 7",C-4 SY 125.6 $ 3 S, ).S $ y y/7 y 6 5. Topsoil SY 45.8 $ 8. 0 0 $ '3 ,�i'D 6. Seed,Fertilize and Mulch SY 45.8 $ I, 5 o $ ,t 5/. 0 7. Pavement Markings STA 1.8 $ /0 5. 0 0 $ /8 7, 0 0 8. Pavement Symbols EACH 3.0 $ 50, 0 0 $ /S 0. 0 0 9. Traffic Control LS 1.0 $/ 006. 00 $ / 0 0 (No O Total Bid $ 1 3/1, 5 BID PROPOSAL PAGE 1 OF 2 F.Y. 2006 FLAMMANG DRIVE LEFT TURN LANE EXTENSION MBE/WBE BUSINESS ENTERPRISE PRE-BID ONTACT INFORMATION (FORM CCO-4) Prime Contractor Name: 4 4y/44[0€3- 4y Project: oUG C.//'M/MAI IIIr'T i vA,v LL/Letting Date: A/'0I NO MBE/WBE SUBCONTRACTORS:If you are NOT using any MBE/WBE subcontractors to complete this project,sign below. Attach a brief explanation as to why subcontracting was not feasible with this project. If any MBE/WBE subcontractors will be used,please use the bottom portion of this form. Contractor Signature: Title: 0 k1/II4-71- Date: 6 0 SUBCONTRACTORS APPLICABLE:You are required,in order for your bid to be considered responsive,to provide the information on this form showing ALL of your MBE/WBE subcontractor contacts made for your bid submission.This information is subject to verification. Any questions should be directed to Contract Compliance Office 319-291-4429. You are required,in order for your bid to be considered responsive,to provide the information on this Form showing your MBE/WBE Business Enterprise contacts made prior to your bid submission. This information is subject to verifications and confirmation. If you are unable to identify MBE/WBE firms to perform portions of the work,please contact Louis Starks,Contract Compliance Officer,for assistance at(319)291-4429. In the event it is determined that the MBE/WBE Business Enterprise goals are not met,then before awarding the contract the City of Waterloo will make a determination as to whether or not the apparent successful low bidder made good faith efforts to meet the goals. TABLE OF INFORMATION SHOWING BIDDER'S PRE-BIDMBE/WBE BUSINESS ENTERPRISE CONTACTS Quotes Received Quotation used in bid MBE/WBE Dates Yes/No Dates Yes/No Dollar Amount Subcontractors Contacte Contacted Proposed to d Be Subcontracted (Form CCO-4)Rev. 06-20-02 Page 10 of 19 SUBMITTED BY: 4 16 ,cg!//I 2,2 S L S1//i/2/ (Bidder) r cr/i/e419 5 .l hri97-Mia a .�'A. 0 ) o ) (Address) SIGNED BY: 7444 14/474r- -- 1,4/01 (Title) (Date) ACCEYI ED BY CITY OF WA 1'ERLOO: SIGNED BY: (Title) (Date) BID PROPOSAL PAGE 2 OF 2 F.Y. 2006 FLAMMANG DRIVE LEFT TURN LANE EXTENSION CITY OF WATERLOO, IOWA WATERLOO ENGINEERING OEPAIRTMENT ' � 715 Mulberry St. • Waterloo,IA 54709 • (319)291-4312 FAx(319)291-4262 , r!C O �c ERIC THORSON,P.E. • City Engineer Mayor Date: January 27, 2006 HURLEYHY j ADDENDUM REPLY SHEET 1 FOR u COUNCIL F.Y. 2006 FLAMMANG DRIVE LEFT TURN LANE EXTENSIOP MEMBERS TRF-115-06 REGINALDA. IDOT PROJECT # CS-TSF-8155(681)----85-07 . SCHMITT Ward 1 ADDENDUM NO. 1 CAROLYN COLS Dated January 27,2006 Ward 2 Number of pages sent: HAROLD GETTY i Ward 3 If you did not receive all of the pages or if any of the pages are illegible, please call oIA offices (319-291-4312)betltveen the hours of 8:00 A.M. and 5:00 P.M., Monday loHrr A.tClNCA1L7 through Friday, for assistance. Our facsimile machine is automatic and operates 24 Ward 4 hours a day. • RON WELPER IMPORTANT: Please SIGN this page .: '_;),&,c Word 5 BOB on the line below and AX is sheet GREENWOOD At-Lar back to us for verification of your receipt >�, GUNDERSON of this addendum. At-Frye The facsimile machine phone number is 319-291-4262. b- g /,(..�.: 1�et?S Company Name(PLEASE PRINT) azike , (Signature) ; .F ,WE`RE WORKING POIt YOU! An Equal OpporalnftylAtkrnative Action Employer Bond No. IAC49238 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That we, B & B BUILDERS AND SUPPLY, of Waterloo, Iowa (hereinafter called the Principal), and Merchants Bonding Company(Mutual) of Des Moines, Iowa (hereinafter called the Surety), are held and firmly bound unto the City of Waterloo (hereinafter called the Obligee), in the penal sum of---Eight Thousand Three Hundred Sixty One and 25/100--- Dollars ($--8,361.25=), lawful money of the United States, to payment of which sum, well and truly to be made, the Principal here firmly binds himself/themselves, his/their heirs, executors, and administrators, and the said Surety binds himself, his successors, assigns, executors, and administrators, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that, WHEREAS the above bounden Principal did, on the day of , 2006, enter into a written contract with the City of Waterloo, Iowa, for the construction of F.Y. 2006 Flammang Dr,Left Turn Lane Extension IDOT Project#CS-TSF-8155(681)--85-07 TRF-115-06 City of Waterloo„l opy of which contract, together with all of its terms, covenants, conditions, and stipulations, is incorporated herein and made a part hereof as full and completely as if said contract were recited at length herein; and WHEREAS, the Principal and Surety on this bond hereby agree to pay to all persons, firms or corporations having contracts directly with the Principal or with subcontractors, all just claims due them for labor performed or materials furnished in the performance of the contract on account of which bond is given when the same are not satisfied out of the portion of the contract price which the public corporation is required to retain until completion of the public improvement, but the Principal and Surety shall not be liable to said persons, firms, or corporation unless the claims of said claimants against said portion of the contract price shall have been established as provided by law, Now, if the Principal shall in all respects fulfill his said contract according to the terms and tenor thereof, and shall satisfy all claims and demands incurred for the same, and shall fully indemnify and save harmless the Obligee from all costs and damages which it may suffer by reason of failure to do so, and shall fully reimburse and repay the Obligee all outlays and expenses which it may incur in making good any such default, then the obligation is to be void and of no effect, otherwise to remain in full force and effect. FORM OF BOND PAGE 1 OF 2 PAGES Every Surety on this bond shall be deemed and held, any contract to the contrary notwithstanding, to consent without notice: 1. To any extension of time to the contract in which to perform the contract. 2. To any change in the plans, specifications, or contract when such change does not involve an increase of more than twenty percent (20%) of the total contract price, and shall then be released only as to such excess increase. 3. That no provision of this bond or of any other contract shall be valid which limits to less than one (1) year from the time of the acceptance of the work the right to sue on this bond for defect in workmanship or material not discovered or known to the Obligee at the time such work was accepted. IN WITNESS WHEREOF, we have hereunto set our hands and seals this day of , 20 06. B&B Builders& Supply Principal By: 0P4 Merchants Bonding Company(Mutual) Surety B 1' ; i ) A mey in-Fact Di e R. un &Iowa Resident Agent FORM OF BOND PAGE 2 OF 2 PAGES , Merchants Bonding Company (Mutual) 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 Terry A.Schultz,Dione R.Young,Barry A.McGee,John W.Ahrold,John R.Fay,Jennifer Stark, Karlene Kentner,Matt Fay of Des Moines 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: TWO MILLION FIVE HUNDRED THOUSAND($2,500,000.00)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 Substitute°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. .4\\1G•CQ4A• MERCHANTS BONDING COMPANY(MUTUAL) •0•• 'RP09 •9% •z: v 1933 :c: By c/f-"Z•7 774, .sd •Cti. 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 &di • Commission Number 173604My Commission Expires March 16,2008 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(ML TUAL),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 day of ,2006. •.\NG C0•• • •0�OpP09 ..e.co. Z• Secretary •c• 1933 ;c. . • -v. POA 0001 (1/06) ••6�k, • '`••a.• DATE(MM/DD/YYYY) ACCORD CERTIFICATE OF LIABILITY INSURANCE CSR Sv PRODUCER B&BBU-1 03/20/06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AHROLD - FAY & CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 317 6th Ave. , Ste. 900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Des Moines IA 50309 Phone: 515-309-6200 Fax:515-309-6225 INSURERS AFFORDING COVERAGE INSURED NAIC# INSURER A: Bituminous Insurance Companies INSURER B: B & B Builders & Supply INSURERC: 5728 Sierra Drive Waterloo IA 50701 INsuRERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSH AUU'L LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY)E DA E(M D�)N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X X COMMERCIAL GENERAL LIABILITY CLP3222106 01/01/06 01/01/07 PREMISES(Ea occurence) $ 100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,0 0 0 X Contractual Liab. PERSONAL&ADVINJURY $ 1,000,000 X XCU Included GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY }( PRODUCTS-COMP/OP AGG $2,000,000 PRO- JECT LOC Emp Ben. 1,000,000 AUTOMOBILE LIABILITY A ANY AUTO COMBINED SINGLE LIMIT $ 1,0 0 0 CAP3502684 01/01/06 01/01/07 (Ea accident) ,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) PROer acciPERdent)TY DAMAGE (P GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 A X OCCUR CLAIMSMADE CUP2576491 01/01/06 01/01/07 AGGREGATE $ 2,000,000 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WCY SLIMIMI U- Ol 1- A EMPLOYERS'LIABILITY X ITORTS ER ANY PROPRIETOR/PARTNER/EXECUTIVE WC3222105 01/01/06 01/01/07 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 5 O O,0 0 0 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ 500,000 A Equipment Floater CLP3222106 01/01/06 01/01/07 Hired $50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Equipment For: F.Y. 2006 Flammang Dr. Left Turn Lane Extension IDOT Project #CS-TSF-8155 (681) --85-07 TRF-115-06 City of Waterloo, Iowa. The City of Waterloo, Iowa is an additional insured on the commercial general liability policy in connection with this project. CERTIFICATE HOLDER CANCELLATION WATER-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Waterloo NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 715 Mulberry S t, IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Waterloo IA 50703 REPRESENTATIVES. Q�( A ZED REPR ACORD 25(2001/08) ©ACORD CORPORATION 1988