HomeMy WebLinkAboutFORM OF BID OR PROPOSAL FORM OF BID OR PROPOSAL
FY 2016 FLOOD CONTROL GATEWELL REPAIRS
CITY CONTRACT NO.895
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
AECOM 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 2016 FLOOD
CONTROL GATEWELL REPAIRS,CITY CONTRACT NO.895,all in accordance with the above-listed
documents and for the unit prices for work in place for the following items and quantities:
FY 2016 FLOOD CONTROL GATEWELL REPAIRS
CITY CONTRACT NO.895
BID UNIT BID
ITEM DESCRIPTION UNIT EST.QTY. PRICE TOTAL BID PRICE
1 Gatewell M LS 1.0 $ $
2 Gatewell P LS 1.0 $ $
3 Traffic Control LS 1.0 $ $
4 Granular Surfacing on Road TONS 250.0 $ $
TOTAL BASE BID AND ALTERNATE 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withdrawn,the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the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.
5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor.
FORM OF BID CITY CONTRACT NO.895 BF-1 of 2
AECOM 60441314
6. Attached hereto is a Resident Bidder Certification ( ), or Non-Resident Bidder Certification
( ). (Mark one.)
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/VvBE 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 CITY CONTRACT NO.895 BF-2 of 2
AECOM 60441314
CITY OF WATERLOO, IOWA
azeri ; 4 WATERLOO ENGINEERING DEPARTMENT
1,1111;11."T 715 Mulberry St. • Waterloo,IA 50703 ' (319)291-4312 Fax(319) 291-4262
E'rloo ERIC THORSON,P.E. ' City Engineer
Mayor INFORMATION NEEDED
QUENTIN FOR
HART
IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE
COUNCIL
MEMBERS CONTRACTOR NAME:
DAVID
JONES ADDRESS:
Ward 1
BRUCE
JACOBS
Ward 2
(Check One) PRIME: SUBCONTRACTOR:
PATRICK
MORRISSEY
Ward 3 FEDERAL ID#:
JEROME PROJECT NAME:
AMOS,JR.
Ward 4
PROJECT CONTRACT NO.:
RON
WELTER
Wards DESCRIPTION OF WORK:
TOM
LIND 0 Brickwork 0 Landscaping
At-Large
❑ Carpentry 0 Painting
STEVEN
SCI-LMITT ❑ Concrete ❑ Paving
At-Large
❑ Drywall-Plaster-Insulation ❑ Plumbing
O Electrical 0 Roofing-Siding-Sheet Metal
❑ Excavation/Grading 0 Windows
O Flooring 0 Wrecking-Demolition
O Heavy Construction 0 Other(Please Specify)
❑ Heating-Ventilating-Air Cond. 0
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
SALES TAX EXEMPTION CITY CONTRACT NO.895 Page STE-1 of 1
AECOM 60441314
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 ,2016,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 provide 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.2016.
(Seal)
Principal
By
(Title)
(Seal)
Witness Surety
By
Witness Attorney-in-fact
BID BOND CITY CONTRACT NO.895 BB-1 of 1
AECOM 604413 14
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
,2016
Title
My commission expires
NON-COLLUSION CITY CONTRACT NO.895 NCA-1 of 2
AECOM 60441314
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