HomeMy WebLinkAboutFORM OF BID OR PROPOSAL FORM OF AID OR PrOPOSAL
F.Y. 2020 SIIEWILLK REPAIR ASSESS ENT PF£OGRAM -ZONE 9
CONTt" hCT O. 981
CITY OF Wry TERLOO, 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 F.Y. 2020 SIDEWALK REPAIR ASSESSMENT PROGRAM -
ZONE 9, Contract No. 981, all in accordance with the above-listed documents
and for the unit prices for work in place for the following items and quantities:
F.Y. 2020 SIDEWALK REPAIR ASSESSMENT PROGRAM —ZONE 9
CONTRACT NO. 981
BID DESCRIPTION UNIT EST.QTY. UNIT BID TOTAL BID PRICE
ITEM PRICE
1 REMOVE & REPLACE PCC SIDEWALK, 4" SF 43,886.1 $ $
2 REMOVE & REPLACE PCC SIDEWALK, 5" SF 5,129.4 $ $
3 REMOVE & REPLACE PCC SIDEWALK, 6" SF 2,318.5 $ $
REMOVE & REPLACE PCC SIDEWALK,
4 CLASS "A" SF 488.2 $ $
5 CLEAN SIDEWALK EACH 163.0 $ $
6 WATER VALVE ADJUSTMENT EACH 18.0 $ $
7 CONCRETE REMOVAL LS 1.0 $ $
8 SAW CUT LF 107.0 $ $
9 REMOVE SIDEWALK SF 2,550.9 $ $
10 EXCAVATION, CLASS 10 SF 2,550.9 $ $
11 SEEDING SF 2,550.9 $ $
12 DETECTABLE WARNING SURFACE SF 20.0 $ $
13 TRIM TREE/SHRUBS EACH 80.0 $ $
TOTAL BID $
FORM OF BID CONTRACT NO. 981 Page 1 of 3
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withdrawn, the undersigned agrees to execute and deliver an agreement in the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.
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:
FORM OF BID CONTRACT NO. 981 Page 2 of 3
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. 981 Page 3 of 3
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
:;adder St-tus Form
To be completed by all bidders P- rt
Please answer"Yes" or"No"for each of the following:
❑ 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).
❑ Yes ❑ 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.
❑ 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
My company has maintained offices in Iowa during the past 3 years at the following addresses:
Dates: l I to I l Address:
City, State, Zip:
Dates: I / to l I Address:
City, State, Zip:
Dates: I I to I / 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
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)
Worksheets Authorization to Transact usiness
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)
L
-®
cn o
• E co o a) o as
sa L co) mt
o -E--I V) c L O C) cie
a) L7 8 ( Wm'J '�
O C
c) -0 0 cr co4- . 6, Va
O O O m C al U O
cr
(Q U 2 as
L ,�, O
0 C O O L D 0_ U •,a 6 az
O) Q �� O O 2
L (�
C o O N > >, O C O 2 Mg
a) o > m p� A
J O 7 O U � O O V
L O 0_.0 O
N E O C O O
O (n ,_ C U E
p (n > ' O O O codi (/)
O co C LL U a) co
Ce I- a)
W Op C N '- C (n F®
o W
a _® o w -ate vac. as _c -8 ® uj
U W () f- E .L O W
W N mm O O CI
o
> O p) V� 44 C�
Z C O W a) O a) 0-6 c06 Z
W O E o N
CA
® (n >, _0 a) TS Q O W La)U.-(I) . W C -0 = "_a 0 -0 ® t
Ili � m (o 13 � > N � C 1Z
Z 1- O ai O � Qc 00 � CO W
(/) (� n_ m . 1- > '3 O o 0) 0O Z (/) ® O
M < O O (B +. O ® (/)
m F O >, O E (n W ®y1 co)
L
W Z C O O N (n O U L (n
C `c C CC
C r- N co W E
CO _a) U O C E U. W O 6d
W 0 � = RIM O •� 0 to (0 Z CC Asa
CN 2 0 U (n 'N Q m 0 ® O
O 4- 2 0l 00 0 � o m � Jm U
O CC
O •" 6
>, Cn = (0 O .0 -o E '
( Ca
a) U L, C.) L W O
›-- C O lb (+= COC
Q m
CH (-) Qn O O
(..) ( WU O - W
U , >, L� m �" N_c
C JmU L2 ,.
o .m O
NZ _0 ®. W C "_ � O
U j ® Q m O -0 C - Cd O
U >, cn 2U p E -00) c O
O rx L N O
as coO O Cfl
Z p O W p O
O w O O N F- 0 8 a) r. •c) C PO CJ
i W u) 0) U o p N c -0 •-_ E -
/�rq /_� Qo
ZONU O 0
u)w L
Z N n U CO (ten u) >- W al E
v Q U) -o
Cl) a)
o 0 C L LU CO
C a) U 0 0 -Q O z _a -o
� � Cli + (n olb-
O L a) ` •C O i ) co L
o o O. w •cnil c2a 0 m c � '� •o U
o_ a) L.L. p73 C - ' C „_ .. a) L
Q ..Q C E Q..0
p O fn w 0 O Z O U U
� C U) 2 co L W U 0 W co U U .�
a)`� 4 c}Uo a) a)E Q °o �m � w
o a) ` C W ° •c - �m
- N •( o ° co L. W •• W a) p �. W •C
p a) ° 2 L N m o U Q m m p w
Q_ v) W co c•-�� z O -0 c 0 c o o � m
ohm 0 i � � — NL al
Q c ova
cow a a) c a) Lo as U c0 E0 0 0 0 C
Cl) u) �pW O E o may - Q o o m 0 a - 0 a) -o
o CO o •Q U c NIii a) a
C o c > c
O au'i � a) � Tn.'
� � o Z 0 w m Lcu
cm o _c a) O - � � a)
U � � m > Q EE'CZE . 0 -I aa)) o
Ce w n cLa '§ � � m c o o a�'i v U o ° �
W m o U � .c >°, � N °p 0 U) c O E U 0 a) o_
��'/m� Cl. L
co V I o U c Q) v- • a ..0 L C O N >0 '� a) U "O a)
.� p ° DE "= Q) U L U) C C W fl
CU C (�
c y= O • w 0 co _c .c -a a) a)
m o a) U
Wo a�) IX
c°- c° � aci oa�iai � a w -0 (o .- 4- c0
~ LL O a) co C a' E cn a) U o ~ w m 'a w e• W w O O
Z o 2 -0 0 U `o Ems c c H m � � m •o o 0 E C Co a.
W Z us co 0 0 -0 D � � > z 2 w nJ sm.-E. >
o C N Z 'O C U p) C N W m 0 U O - C a) Q)
a) 0Ea) OUo -00wc0 U) m -C in E- o 0 ++� Q. 0 a)
MP o00C HE > _0m E o u) " a) as a) 0) co ° � �
o Es
ZG OEa) CN 2 (o •L CU ° L a) Z C 20oaO U o O E
Lp O Q aOQ + a)U - _ C a) o La)o
-csO Q) a) a) L c m a) L L 0.
mL- a) Eo � zoac) E � V > E LU � C L .DCo 0) cti <0
nL O
W Z a a) as I- cn U) N o CO QJ O o p L i Q UO u) .0 j' C
UQ o I- d m o m LLI � ._� � � � o o � c n rn� �
W �, ; z Q cnUc ° a) Q O M c W c .a) CC
m c o a) Oc\I� ° a) _c m C cn viw a) o °) call c°i
O o po a ▪ W o oz �_ 3 o •Q--0 C
U 0 to .� ai m (Dc o 0 co 0 °� cn o � � � o _E � ti 0 0 0
L O (D ++ , L (o L O C (0
® °o c '� 111 U) C n Q) Uo Q U a N Y a c oc U O
mco ° a > a) ; tea) c p on0oa) E ° a)
p N a a) c c a) U cn �' U o L > co 0
al
rn L ) _ L a) 0 0 .a a —C a) m a) 0
03 CC mY `� m � 0 c � � mi 0 ° 0_ 0U 0 � •C E .n v L o � �
o . _o73
C ro °' 0 w D o ° Z U o c c U
o_ c � > U _c3La) � - 'vi oO U5
15 ._ cn O w U co .Q E U U o n a) L m U a)
O C O ° co Q) 'a Q) C Q O .0.0 v_-. . Q) CD 0 OL
a) E ° z E 2 mo a3 C W o o C a8°i > U U1- co - o a) m ° — C 0 � Q0
(n co (� N — co E N
C O C "C 2 W (n 2 CU o M OU -0 U W O a OC O L C O fA c 03 "J o O
C13U
p m (o co C Q U , o C cn li a) w U O c o u°) a) c Q_ O p O
N _c E aj (n p . � n3 m W N 4) `) a) a)) .cn o U -g 0 0 0 U u) 0 O_ E rn C O
O o co m E = U c c -0 c co E o)
G) - ._ 00 z � � o) � a 2 � Ec coo Dco -0w � �. a) coo N Lkj � ccna) ~o
0' _ o a) > c L
L n. Q▪ - (nD o7• C .) -CO UO = ° -a (9i w W co E) 0 Q' E ) W U o •( >
v O v o m c o a) W - w Q.n L a 0 = W 0 o 2 Cl) m ,} c w O fX
0 04_, -to 0 0
w730 • � m .2
U cm o 0 0 � w . m U E >,U p c ' co Q
U U � : Ef3L w � � .- uo) o m t o o Wm (ti .Q ci �� CU n d o ai � io c ,7uoi c'm OU
aL4- u O cU O '-
m CO C > 0 L C W U
C) ° o o z Qcu E ,- c (n 0 0 cpW U > 0 U a) a) a)
c cca m
E E E a Q a) co U o �' U � Z C ° w - .0_ o2 o
'L 'C (0 (0 -. 0 C 4- a) a3 z _cc = o
A. a o_..o :� � o co c\I o .0U C') 4 a) La us H o U) _ a