HomeMy WebLinkAboutFORM OF BID OR PROPOSAL FORM OF BID OR PROPOSAL
FY 2020 CARDINAL DR., DONALD ST., LINBUD LN., MARTIN RD. DRAINAGE IMPROVEMENTS
CONTRACT NO. 988
CITY OF WATERLOO, IOWA
Honorable Mayor and City Council
Waterloo, Iowa
Gentlemen:
1. The undersigned, being a Corporation existing under the laws of the State of
, a Partnership consisting of the following partners:
, having familiarized
(himself) (themselves) (itself) with the existing conditions on the project area affecting the cost of the
work, and with all the contract documents listed in the Table of Contents and Addenda (if any), as
prepared by the City Engineer of the City of Waterloo now on file in the office of the City Clerk, City
Hall, Waterloo, Iowa, 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 FY 2020 CARDINAL DR., DONALD
ST., LINBUD LN., MARTIN RD. DRAINAGE IMPROVEMENTS, Contract No. 988, all in
accordance with the above-listed documents and for the unit prices for work in place for the following
items and quantities:
FY 2020 CARDINAL DR., DONALD ST., LINBUD LN., MARTIN RD.
DRAINAGE IMPROVEMENTS
Contract No. 988
SUDAS
SPECIFICATION
*SEE UNIT TOTAL
BID SUPPLEMENTAL EST BID BID
ITEM SP=SPCL PROV DESCRIPTION UNIT QTY PRICE PRICE
EARTHWORK,SUBGRADE,AND
SUBBASE
1 2010 108 B CLEARING AND GRUBBING BY SY 91.0
AREA $ $
2 TOPSOIL STRIP, STOCKPILE, 2068.0
2010-108-D* SPREAD,4 INCHES SY $ $
3 2010-108-E-0 EXCAVATION, CLASS 10 CY 41.0 $ $
4 2010-108-E* EXCAVATION, CLASS 10 WASTE CY 10.0 $ $
5 2010-108-E* EXCAVATION, CLASS 10 BORROW CY 67.0 $ $
6 2010-108-G SUBGRADE PREPARATION SY 165.0 $ $
7 2010-108-1-0 MODIFIED SUBBASE, 6 INCH SY 13.0 $ $
8 RECYCLED ASPHALT PAVEMENT AS 40.0
2010-108-I* SUBBASE, 6 INCH SY $ $
STORM SEWERS
9 4020-108-A* RCP, 12 INCH LF 149.0 $ $
FORM OF BID CONTRACT NO. 988 Page 1 of 4
SUDAS
SPECIFICATION
*SEE UNIT TOTAL
BID SUPPLEMENTAL EST BID BID
ITEM SP=SPCL PROV DESCRIPTION UNIT QTY PRICE PRICE
11 4020-108-A* HDPE, 18 INCH LF 222.0 $ $
12 4020-108-A* HDPE, 24 INCH LF 416.0 $ $
13 4020-108-A RCP,24 INCH LF 6.0 $ $
14 INLINE CHECK VALVE, 12 INCH EA 2.0 $ $
PIPE CULVERTS
15 4030-108-B* RCP APRON, 12 INCH EA 2.0 $ $
16 4030-108-B* RCP APRON, 18 INCH EA 1.0 $ $
SUBDRAINS AND FOOTING DRAIN
COLLECTORS
17 4040-108-A SUBDRAIN, 6 INCH LS 1571.0 $ $
18 4040-108-C* SUBDRAIN CLEANOUT, 6 INCH EA 4.0 $ $
19 4040-108-D* SUBDRAIN OUTLET, 6 INCH EA 5.0 $ $
NON-PERFORATED PVC STUB,4
20 4040-108-A* INCH LF 68.0 $ $
21 4040-108-A* 6 REINMOVE AND REPLACE SUBDRAIN, LS 10H .0 $ $
STRUCTURES FOR SANITARY AND
STORM SEWERS
22 6010-108-A* STORM SEWER MANHOLE, SW-401 EA 4.0 $ $
23 6010-108-B* STORM SEWER INTAKE, SW-501 EA 3.0 $ $
24 6010-108-B* STORM SEWER INTAKE, SW-503 EA 1.0 $ $
25 6010-108-B STORM SEWER INTAKE, SW-513 EA 2.0 $ $
PORTLAND CEMENT CONCRETE
PAVEMENT
26 7010-108-A-0* PCC PAVEMENT,6 INCH SY 13.0 $ $
27 7010-108-A-0 PCC PAVEMENT, 7 INCH SY 172.0 $ $
28 7010-108-A* PCC PAVEMENT, FLUME, 7 INCH SY 9.4 $ $
29 7010-108-E PCC CURB AND GUTTER, 24 INCH LF 49.0 $ $
HOT MIX ASPHALT PAVEMENT
30 7020-108-B* HMA PAVEMENT, 3 INCH SY 206.0 $ $
31 7020-108-B* HMA PAVEMENT, 5 INCH SY 13.0 $ $
32 7020-108-B* HMA PAVEMENT, 6 INCH SY 40.0 $ $
RECYCLED ASPHALT PAVEMENT AS
33 SHOULDER MATERIAL,6 INCH SY 500.0 $ $
PAVEMENT REHABILITATION
34 7040-108-H PAVEMENT REMOVAL SY 232.0 $ $
FORM OF BID CONTRACT NO. 988 Page 2 of 4
SUDAS
SPECIFICATION
*SEE UNIT TOTAL
BID SUPPLEMENTAL EST BID BID
ITEM SP=SPCL PROV DESCRIPTION UNIT QTY PRICE PRICE
36 7040-108-I CURB AND GUTTER REMOVAL LF 45.0 $ $
37 REMOVAL OF EXISTING SHOULDER SY 597.0
MATERIAL $ $
TEMPORARY TRAFFIC CONTROL
38 8030-108-A-0 TEMPORARY TRAFFIC CONTROL LS 1.0 $ $
SEEDING
HYDRAULIC SEEDING, FERTILIZING
39 9010 108 B 0* SY 39.0
AND MULCHING $ $
REMOVE AND REINSTALL FENCE
40 PANELS, 8'X 6'WOOD EA 40.0 $ $
EROSION AND SEDIMENT
CONTROL
TEMPORARY RECP,WOOD
41 9040-108-E-0 EXCELSIOR MAT SY 41.0 $ $
42 9040-108-F-1 WATTLE, STRAW,6 INCH LF 42.0 $ $
43 9040-108-F-2 WATTLE, REMOVAL LF 43.0 $ $
44 9040-108-J EROSION STONE, 6 INCH TN 44.0 $ $
45 9040-108-J MACADAM STONE, 3 INCH TN 45.0 $ $
46 9040-108-J CLASS D REVETMENT TN 46.0 $ $
MOBILIZATION
47 11020-108-A-1 MOBILIZATION LS 1.0 $ $
TOTAL BID $
2. It is understood that the quantities set forth are approximate only and subject to variation and that the
unit bid price for the work done shall govern in the actual payment to Contractor.
3. 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 the acceptance of this bid is mailed, telegraphed, or
delivered to the undersigned within thirty (30) 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 and certificate of the insurance within ten (10) days
after the agreement is presented to him for signature, and start work within ten (10) days after
"Notice to Proceed" is issued.
4. Security in the sum of Dollars
($ ) in the form of , is submitted herewith in
accordance with the INSTRUCTIONS TO BIDDERS.
FORM OF BID CONTRACT NO. 988 Page 3 of 4
5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor.
6. Attached hereto is a Bidder Status Form.
7. The bidder is prepared to submit a financial and experience statement upon request.
8. The Prime Contractor and Subcontractor(s), which have performed an aggregate of $10,000.00 in
work for the City in the current calendar year, are prepared to submit an AAP or Update and an EOC,
within ten (10) days of notification that the bid submitted is lowest and acceptable.
9. The bidder has received the following Addendum or Addenda:
Addendum No. Date
10. The bidder shall list the MBE/WBE subcontractor(s), amount of subcontracts and bid items on the
City of Waterloo Minority and/or Women Business Pre-bid Contact Information Form submitted with
this Form of Bid or Proposal. The apparent low Bidder shall submit a list of all other Subcontractor(s)
to be used on this Project to the City of Waterloo by 5:00 p.m. the business day following the day
Bids on this Project are due along with the Non-Collusion Affidavits of All Subcontractor(s).
The Contractor shall submit information on subcontractors on "SUBCONTRACTOR REQUEST AND
APPROVAL" Form to be provided by City prior to approval of contract.
The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer
cannot be changed except for the following reasons:
1) The City of Waterloo does not approve the subcontractors.
2) The subcontractors submit in writing that they cannot fulfill their subcontracts.
11. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none"
or"NA".
12. The bidder has attached all applicable forms.
13. The Owner reserves the right to select alternates, delete line items, and/or to reduce quantities prior
to the award of a contract due to budgetary limitations.
(Name of Bidder) (Date)
BY: Title
Official Address: (Including Zip Code):
I.R.S. No.
FORM OF BID CONTRACT NO. 988 Page 4 of 4
BID BOND
KNOW ALL MEN BY THESE PRESENTS,that we,
as Principal, and
as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum
Dollars ($ ) lawful money of the United States, for the payment
of which sum will and truly be made, we bind ourselves, our heirs, executors, administrators, and
successors, jointly and severally, firmly by these presents. The condition of this obligation is such that
whereas the Principal has submitted the accompanying bid dated the day of
, 20 ,for
NOW, THEREFORE,
(a) If said Bid shall be rejected, or in the alternate,
(b) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the form specified
and shall furnish a bond for his faithful performance of said contract, and for the payment of all persons
performing labor or furnishing materials in connection therewith, and shall in all other respects perform the
agreement created by the acceptance of said Bid,
Then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly
understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event,
exceed the penal amount of this obligation as herein stated.
By virtue of statutory authority,the full amount of this bid bond shall be forfeited to the Owner in liquidation of
damages sustained in the event that the Principal fails to execute the contract and prov de the bond as
provided in the specifications or by law.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond
shall be in no way impaired or affected by any extension of the time within which the Owner may accept
such Bid or execute such contract; and said Surety does hereby waive notice of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety, have hereunto set their hands and seals, and such
of them as are corporations, have caused their corporate seals to be hereto affixed and these presents to be
signed by their proper officers this day of ,A.D. 201
(Seal)
Principal
By
(Title)
(Seal)
Witness
Surety
By
Witness Attorney-in-fact
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of
)ss
County of )
, being first duly sworn, deposes and says that:
1. •He is (Owner, Partner, Officer, Representative, or Agent) , of
, 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.
(Signed)
Title
Subscribed and sworn to before me this day of
, 201_.
Title
My commission expires
Bidder Status Form
To be completed by all bidders Part A
Please answer"Yes"or"No"for each of the following:
0 Yes ❑ No My company is authorized to transact business in Iowa.
(To help you determine if your company is authorized, please review the worksheet on the next page).
0 Yes 0 No My company has an office to transact business in Iowa.
❑ Yes ❑ No My company's office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail.
0 Yes ❑ No My company has been conducting business in Iowa for at least 3 years prior to the first request for
bids on this project.
❑ Yes ❑ No My company is not a subsidiary of another business entity or my company is a subsidiary of another
business entity that would qualify as a resident bidder in Iowa.
If you answered"Yes"for each question above, your company qualifies as a resident bidder. Please
complete Parts B and D of this form.
If you answered "No"to one or more questions above, your company is a nonresident bidder. Please
complete Parts C and D of this form.
To be completed by resident bidders Part B
My company has maintained offices in Iowa during the past 3 years at the following addresses:
Dates: / / to / / Address:
City, State, Zip:
Dates: / / to / / Address:
City, State, Zip:
Dates: / / to / / Address:
You may attach additional sheet(s)if needed. City, State, Zip:
To be completed by non-resident bidders Part C
1. Name of home state or foreign country reported to the Iowa Secretary of State:
2. Does your company's home state or foreign country offer preferences to resident bidders, resident labor ❑ Yes ❑ No
force preferences or any other type of preference to bidders or laborers?
3. If you answered"Yes"to question 2, identify each preference offered by your company's home state or foreign country
and the appropriate legal citation.
You may attach additional sheet(s)if needed.
To be completed by all bidders Part D
I certify that the statements made on this document are true and complete to the best of my knowledge and I know that my
failure to provide accurate and truthful information may be a reason to reject my bid.
Firm Name:
Signature: Date:
You must submit the completed form to the governmental body requesting bids per 875 Iowa Administrative Code
Chapter 156. This form has been approved by the Iowa Labor Commissioner.
309-6001 (09-15)
Worksheet: Authorization to Transact Business
This worksheet may be used to help complete Part A of the Resident Bidder Status form. If at least one of the following
describes your business, you are authorized to transact business in Iowa.
❑ Yes ❑ No My business is currently registered as a contractor with the Iowa Division of Labor.
❑ Yes ❑ No My business is a sole proprietorship and I am an Iowa resident for Iowa income tax purposes.
❑ Yes ❑ No My business is a general partnership or joint venture. More than 50 percent of the general
partners or joint venture parties are residents of Iowa for Iowa income tax purposes.
❑ Yes ❑ No My business is an active corporation with the Iowa Secretary of State and has paid all fees
required by the Secretary of State, has filed its most recent biennial report, and has not filed
articles of dissolution.
❑ Yes ❑ No My business is a corporation whose articles of incorporation are filed in a state other than Iowa,
the corporation has received a certificate of authority from the Iowa secretary of state, has filed
its most recent biennial report with the secretary of state, and has neither received a certificate of
withdrawal from the secretary of state nor had its authority revoked.
❑ Yes ❑ No My business is a limited liability partnership which has filed a statement of qualification in this
state and the statement has not been canceled.
❑ Yes ❑ No My business is a limited liability partnership which has filed a statement of qualification in a
state other than Iowa, has filed a statement of foreign qualification in Iowa and a statement of
cancellation has not been filed.
❑ Yes ❑ No My business is a limited partnership or limited liability limited partnership which has filed a
certificate of limited partnership in this state, and has not filed a statement of termination.
❑ Yes ❑ No My business is a limited partnership or a limited liability limited partnership whose certificate of
limited partnership is filed in a state other than Iowa, the limited partnership or limited liability
limited partnership has received notification from the Iowa secretary of state that the application
for certificate of authority has been approved and no notice of cancellation has been filed by the
limited partnership or the limited liability limited partnership.
❑ Yes ❑ No My business is a limited liability company whose certificate of organization is filed in Iowa and has
not filed a statement of termination.
❑ Yes ❑ No My business is a limited liability company whose certificate of organization is filed in a state other
than Iowa, has received a certificate of authority to transact business in Iowa and the certificate
has not been revoked or canceled.
309-6001 (09-15)
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