HomeMy WebLinkAboutBID FORM - FAILOR HURLEY CONSTRUCTION 4
CITY OF WATERLOO, IOWA
WATERLOO LEISURE SERVICES COMMISSION
BID FORM
for
2009 RIVERFRONT STADIUM
FIRST BASE PARTY DECK REPLACEMENT
BIDDER: P►04- ikiet.Ec e'Dio-sr2€4C 11®A)
COMPANY NAME
ADDRESS: A O, `aox qiito
///,ds0A 1 4 6Q$443
PHONE: ( 3l ) .2 3o - 3y05'
1. The undersigned,being a Corporation existing under the laws of the State of_IOWA ,
a Partnership consisting of the following partners:
having been familiarized with the existing conditions on the project area affecting the
cost of the work, and with all the Contract Documents now on file in the offices of the
City Clerk, City Hall, Waterloo, Iowa, and the Waterloo Leisure Services Commission,
1101 Campbell Ave.,Waterloo, Iowa,hereby proposes to furnish all supervision,
technical personnel, labor,materials,machinery, tools, equipment, and services,
including utility and transportation services required to complete the proposed 2009
RIVERFRONT STADIUM FIRST BASE PARTY DECK REPLACEMENT
PROJECT in accordance with the contract documents and for the total price for work in
place for the following amount:
TOTAL BID PRICE:
od
Sixty_ DODO 77 N/OaSA,J4 A' 44,,C,ACE4 dollars($ (�I, 9 95, 0 )
N/A/grey - Fide ,A)4 A)O4 's
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 acceptance of this Bid is
mailed or delivered to the undersigned within thirty(30) days after Bid Opening, of at
any time thereafter before this bid is withdrawn, the undersigned agrees to execute and
deliver an agreement in the prescribed fowl and furnish the required bond and certificate
of insurance within ten(10) days after the agreement is presented for signature, and start
work within ten(10) days after"Notice to Proceed"is issued.
3. Security in the sum of dollars ($ )
in the form of 6/4 ®.ad , is submitted herewith in accordance
with NOTICE TO BIDDERS.
4 Attached is a Non-Collusion Affidavit of Prime Contractor.
5. The Bidder is prepared to submit a financial and experience statement upon request.
BID FORM page l of 2
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6. The Prime Contractor and Subcontractor(s), which have performed an aggregate of
$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.
7. The Bidder has received the following Addendum or Addenda:
Addendum No. Date: I /
/ /
/ /
8. The Bidder shall list the MBE/WBE subcontractors, amount of subcontracts and bid
items listed on the City of Waterloo Minority and/or Women Business Pre-bid Contract
Information Form submitted with this Bid Form. The apparent low bidder shall submit a
list of all other subcontractor(s) to be used on this project to 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 subcontractors listed on this proposal and/or submitted to the Contract Compliance
Officer cannot be changed except for the following reasons.
a) The City of Waterloo does not approve the subcontractors.
b) The subcontractors submit in writing that they cannot fulfill their subcontracts
9. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are
marked"none"or"NA".
10. The bidder has attached all applicable forms.
11. The owner reserves the right to select alternatives, delete line items, and/or to reduce
quantities prior to the Award of Contract due to budgetary limitations.
CONTACT PERSON: ki/LZ.,J,4,4 �, cizi/L p,Q.
Please Print
PHONE: 31 q — ) 3®- 34175-
SIGNED: i DATE: 3 / 16 /09
Azes L0e1.3 r
BID FORM page 2 of 2
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of )
County of-Zt.Ac . gekoir_. )
, being first duly sworn, deposes and says that:
l. He is (Owner), (Partner), Officer , (Representative), or(Agent) of/ ,4,tie.
the Bidder that has submitted-Fie attached Bid; J1
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, film 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.
4.4-44 7Z,r,;%- /),e-CSA4
Signature Title
Su scrik—ed.c ad.worn,to-l efo rei yne t�
clay of leiZed , 2009.
SCg-nott 'e, OOLIN J.
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