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BID - QUALITY PUMP CONTROL INC
FORM OF BID OR PROPOSAL F. Y. 2008 WEST COMMERCIAL STREET STORMWATER PUMPS CONTRACT NO.750 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 c4 W Cam, a Partnership consisting of the following partners i a , P 4I0.11P.A1 kris. pti P el le la tw 9lr n p t1f,.,0 i o!ti r_ , 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 Wayne Claassen Engineering and Surveying, Inc., are 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.2008 WEST COMMERCIAL STREET STORMWATER PUMPS, Contract No. 750, all in accordance with the above-listed documents and for the unit prices for work in place for the following items and quantities: ITEM EST. UNIT TOTAL NO. DESCRIPTION UNITS QTY. PRICE PRICE 001. Furnishing of Pump Nos. 1 and 2 with , C controls and appurtenant items L.S. 1 1 , ,500 000..0 ) TOTAL BASE BID 4 SO O 000. CO ALT. NO. 1 ITEM EST. UNIT TOTAL NO. DESCRIPTION UNITS QTY. PRICE PRICE 101. Furnishing of Pump No. 3 with controls and appurtenant items L.S. 1t4 196e e)0)(to co P TOTAL-ALT.NO. 1 7 0'` 000 FORM OF BID CONTRACT NO. 750 PAGE 1 OF 3 ALT.NO.2 Il'rM. EST. UNIT TOTAL NO_ DESCRIPTION UNITS QTY. PRICE PRICE 201_ Furnishing of Pump Nos. 3 and 4 with controls and appurtenant items L.S. 1 NI&Iwe -950, coo.co TOTAL-ALT.NO.2 4 5-0 OOO, 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to the undersigned within thirty(30) days after the opening thereof, or at any time thereafter before this bid is withdrawn,the undersigned agrees to execute and deliver an agreement in the prescribed foin.i and furnish the required bond and certificate of the insurance within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 ($ '/ 500. pO )in the foiiu 004/4. y C+� , is submitted herewith in accordance with the INS"'RUCTIONS TO BIDDERS. 5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor. 6_ The bidder is prepared to submit a financial and experience statement upon request. 7. 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. 8. The bidder has received the following Addendum or Addenda: Addendum No. Date 7/710 9 • FORM OF BID CONTRACT NO. 750 PAGE 2 OF 3 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 alternates, delete line items, and/or to reduce quantities prior to the award of a contract due to budgetary limitations. Q u� ( . F./ Pt ,o v �,L4 w� ► 7!%y,/o (Name of Bidder) (Date) BY: Title L1iL,o_ 'ry.aa,s Official Address: (Including Zip Code): (AAA vi-47 ?u Yn A NJ-do J a--t-0 1 L{Q 15 5+, 5w , aoti C tic t . & 561466 I.R.S. No. c2a -365m::,63 FORM OF BID CONTRACT NO. 750 PAGE 3 OF 3 NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of c©(N�; ) ss County o�,Q�.4.p b� )O ht s 4-oP L •- P, A I C pa. ,being first duly sworn,deposes and says that: I. He is (Owner,Partner, Officer,Representative, or Agent) ,of a tit,1,4- p 60,V,4 ao 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) CCU ON. Title Subscribed and sworn to before me this // day of ,2008. Title My commission expires /` /D NON-COLLUSION AFFIDAVIT OF SUBCONTRACTOR State of (Jt H @-- N O St 1, cP `o tt� Ncce.4-o ws. ss: I v�� County of �, ) ,being first duly sworn, deposes and says that: 1. He is (Owner,Partner, Officer,Representative, or Agent), of 4 .11 hereinafter referred to as the"Subcontractor;" 2. He is fully informed respecting the preparation and contents of the subcontractor's proposal submitted by the subcontractor to /v 4 contract pertaining to the Ai 4 ' project in A../ 4 (City or County and State) 3. Such subcontractor's proposal is genuine and is not a collusive or sham proposal; 4. Neither the subcontractor 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 proposal in connection with such contract or to refrain from submitting a proposal in connection with such contract, or has in any manner, directly or indirectly,sought by unlawful agreement or connivance with any other bidder, firm or person to fix the price or prices in said subcontractor's proposal, or to fix any overhead,profit or cost element of the price of prices in said subcontractor's proposal, or to secure through collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Waterloo,Iowa, or any person interested in the proposed contract; and 5. 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