HomeMy WebLinkAboutFORM OF BID OR PROPOSAL - TODD VAN DORN FORM OF BID OR PROPOSAL
F.Y. 2014 SIDEWALK REPAIR PROGRAM—ZONE 4
CONTRACT NO. 863
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 F.Y. 2014 SIDEWALK REPAIR PROGRAM — ZONE 4, Contract
No. 863, 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. 2014 SIDEWALK REPAIR PROGRAM — ZONE 4
CONTRACT NO. 863
B d PMt�PT I DM$0N1, i H+ gSA ppix9wo 1,19Tuk Ip
s n.
is s` r xi � ' '`-�„ -<>^ �,'-
at,-..a.�."�..r.-�:�>�.,r�_ .'L�,..s' s�'+���� _: sv� ��'' '��1 n.��',kwa's'
1 REMOVE & REPLACE PCC SIDEWALK, 4" SF 18,418.6 $ /, $ Z3 ,/Y,'Y�
2 NEW SIDEWALK, 4" PCC SF 53.2 �. $ y
3 REMOVE SIDEWALK, 4" PCC SF -$ r" $ (Th
4 REMOVE & REPLACE PCC PAVING, 4" SF - $ ( $
5 REMOVE & REPLACE PCC PAVING, 5" SF 175.0 $ h , Cr $
6 REMOVE & REPLACE PCC SIDEWALK, 6" SF 14,145.4 $ "I „ 1-a $ 60)IC,as
7 NEW SIDEWALK, 6"PCC SF 294.4 $ j .co $/L J z d tx;
8 REMOVE PCC SIDEWALK, 6" SF 519.2 $ O[ $ /C3 .*
FORM OF BID CONTRACT NO. 863 Page 1 of 5
9 DETECTABLE WARNING SURFACE SF 784.0 $ : .CO $ /9)4,t1G,a)
REMOVE &REPLACE 24" PCC CURB &
10 GUTTER, 6" LF 39.0 $ 23. iv $ 9 '15 eV
REMOVE& REPLACE 24" PCC CURB &
11 GUTTER, 7" LF - $ $
REMOVE &REPLACE 24" PCC CURB &
12 GUTTER, 8" LF 369.2 $ 2 7, Ce $ .3)948. 9e
REMOVE &REPLACE 24" PCC CURB &
13 GUTTER, 9" LF 247.6 $ 28,,e $t^) -32 .
REMOVE& REPLACE 24" PCC CURB &
14 GUTTER, 10" LF 29.3 $ ;9 LX; $ II Y' . 76
REMOVE & REPLACE 24" PCC CURB &
15 GUTTER, 11" LF 94.1 $.3%. & $316 9. 9('
REMOVE & REPLACE 24" PCC CURB &16 GUTTER, 12" LF 198.0 $3 !q
OD $ 77 ZZ-Ge'
17 JOINT SEAL LF 5.0 $ (.7) $ Gam'
18 PCC SIDEWALK PATCHING EACH 3.0 $ -SCE $ f.SCF .C
19 HMA PAVEMENT PATCHING SF 59.0 $ 3. GEC`, $ i 7Z, c'O
20 MANHOLE ADJUSTMENT EACH 5.0 $ // `r $ ('i';n
elit
21 RETAINING WALL LF 35.0 $ :6- $ /75 .c`
22 3/4" ROADSTONE TON 20.0 $ )76 `-'e. $&GC. 66
23 TRAFFIC CONTROL LS 1.0 $ 7 /t` $ 7 _ e
24 EXCAVATION, CLASS 10 CY 50.0 $ LC', ex $ /". et')
TOTALBID — BASEBID $ / ei`i, I 9 "
g DESCi1-TIP /�L��ERN T B D --.;,- . NI,,fa SST VA AUNJF BID r ;, 4('p vp,,.
8„ p .ems'#� `� '4,xi �'4'-.:12- *, fi �Yr e�
»..�..�._.,�..,.... ..., . _>._ Nat. . wq.. »�., .efisY ,bp .....zx-.,.�.. 4"uA._ ,. ...,as-u
1 REMOVE & REPLACE PCC SIDEWALK, 4" SF 6,591.2 $ L';, CC $.2 0
2 NEW SIDEWALK, 4" PCC SF 43.4 $ ` . et $ 17 00
3 REMOVE SIDEWALK, 4" PCC SF 65.6 $ ,A, at $/3/ Z 6
4 REMOVE & REPLACE PCC PAVING, 4" SF 148.8 $ 4 $ ! L/q,Lam,
5 REMOVE & REPLACE PCC PAVING, 5" SF 50.0 $ 5• CC $ G
6 REMOVE & REPLACE PCC SIDEWALK, 6" SF 8,907.6 $ ! 3S $38)'74g ' t:
7 NEW SIDEWALK, 6" PCC SF 54.7 $ 4';. r $ 73. sr
FORM OF BID CONTRACT NO. 863 Page 2 of 5
8 REMOVE PCC SIDEWALK, 6" SF 249.0 $ . $ I`13 4 e
9 DETECTABLE WARNING SURFACE SF 1,167.0 $ - $ 'e; ''I . .a
REMOVE& REPLACE 24" PCC CURB &
10 GUTTER, 6" LF 19.9 $ .S.Cte $ x 1.,. (
REMOVE & REPLACE 24" PCC CURB &
11 GUTTER, 7" LF 166.3 $,. 7. et $ III 91 /
REMOVE & REPLACE 24" PCC CURB &
12 GUTTER, 8" LF 455.7 $ 2C ' ` $ //, 3(1
REMOVE & REPLACE 24" PCC CURB &
13 GUTTER, 9" LF 270.4$ 7, G � $ j . ,_
REMOVE& REPLACE 24" PCC CURB &
14 GUTTER, 10" LF -$ `` $
REMOVE & REPLACE 24" PCC CURB &
15 GUTTER, 11" LF 109.9 $ t $ /' _,
REMOVE & REPLACE 24" PCC CURB &
16 GUTTER, 12" LF 76.7 $ ,CC- $ '' I -
17 JOINT SEAL LF 10.0 $ ii C' '` $
18 PCC SIDEWALK PATCHING EACH - $ '~ $ '
19 HMA PAVEMENT PATCHING SF 177.0 $ 7'-' $ 71g , r
20 MANHOLE ADJUSTMENT EACH -$ $
21 RETAINING WALL LF 48.5 $ $
22 3/4" ROADSTONE TON -$ $ C/
23 TRAFFIC CONTROL LS 1.0 $ $ 17e-c `''''
24 EXCAVATION, CLASS 10 CY 200.0_$ $ ,'.
TOTAL BID —ALTERNATE BID $ / /
TOTAL BID — BASE BID + ALTERNATE BID $ _ `/ 4/ :
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
FORM OF BID CONTRACT NO. 863 Page 3 of 5
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 r /a
Dollars ($ /6 7 ' ' / ) in the form of ,
is submitted hdrewith in accordance with the INSTRUCTIONS TO BIDDERS.
5. Attached hereto is a Non-Collusion Affidavit of Prime Contractor.
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 MBENVBE 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.
FORM OF BID CONTRACT NO. 863 Page 4 of 5
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.
07;4 .00c„1 Go.� t� c Y/477/ l
(Name of Bidder) (Date)
Title e)r.4.Wc
Official Address: (Including Zip Code):
Sd / "2.. Ai, L- bead
I.R.S. No. 9g — /5/f el 99d,
FORM OF BID CONTRACT NO. 863 Page 5 of 5
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RESIDENT/NON-RESIDENT BIDDER
RESIDENT BIDDER:
In accordance with Section 73A.21 of the Iowa Code, all non-federal-aid public
improvement projects, which include road construction, shall be performed by a
qualified resident bidder. The resident bidder has been further defined as follows:
Resident Bidder:
A person or entity authorized to transact business in this state and
having a business for at least three years prior to the date of the
first advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
The contractor shall provide the City with a certification that he is a qualified
resident bidder according to the above definition. The Certification shall be
submitted with the contractor's bid. A copy of the form of "Resident Bidder
Certification" is included in the Contract Documents. If it is determined that the
contractor does not meet this qualification after he begins work, a shutdown
notice shall be issued and the voiding of the contract shall begin unless the
contractor becomes qualified.
NON-RESIDENT BIDDER:
The contractor shall provide the City with a certification that he is a non-resident
bidder according to the above definition. The Certification shall be submitted with
the contractor's bid. A copy of the form of"Non-Resident Bidder Certification" is
included in the Contract Documents.
DJG
01/02/12
RESIDENT BIDDER CERTIFICATION
CONTRACT NO: Gj 3
PROJECT NAME: F y Z O/9 /4' c 4
4194.c,‘
g Z
DA
TE OF LETTING: t//Z J /' ? O/c/
To be a qualified resident bidder, the bidder shall be a person or
entity authorized to transact business in this state and having a
business for at least three years prior to the date of the first
advertisement for the public improvement. If another state or
foreign country has a more stringent definition of a resident bidder,
the more stringent definition is applicable as to bidders from that
state or foreign country.
This qualification as resident bidder shall be maintained by the contractor and his
subcontractors at the work site until this project is completed.
I hereby certify that I am a resident bidder as defined above.
COMPANY NAME Thdd Poc4) GDti f c
CORPORATE OFFICER •?� �GeY l/�_ !_
TITLE A) it)
DATE q/ ZI °ZD,y
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER
State of Le e-
County of _R/e, 41./1-4.1-.;/,
)ss
Todd uti Der.ra , being first duly sworn, deposes and says that:
1. He is caner`Partner, Officer, Representative, or Agent) , of /. s
, 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. 7---_,ovi/frr
(Signed) Pf.
Title
Subscribed and sworn to before me this
201'1Z. d-
58
was
Title
My commission expires -Cc
BID BOND
KNOW ALL MEN BY THESE PRESENTS,thatwe, Todd Van Dorn dba Todd Van Dorn Constructic
as Principal,and AMCO Insurance Company
as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum
Dollars ($ 5% )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, iiirmly by these presents. The condition of this obligation is such that
whereas the Principal has submitted the accompanying bid dated the 21 st day of April
, 20 1$_,for
F .Y. 201'1 sidewalk Repair Program — Zone- 4,' Contract No 863
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 sha'I, in no event,
exceed the penal amount of this obligation as herein stated.
By virtue of statutory authority,the lull 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 haw.
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_ 21 say of A p r i 1 A.D. 2014 .
Todd Tan Dorn Con.structiog5eal)
Penc-ipat _ __
Van Dorn Construction
By
(Title)
D64,.-ft _ AMCO Insurance Co (Seal)
ss Surety
By YVk
C )SAA
ess Attorney-in-fact
RHonda R Schrage
4 of
f Power of Attorney
THAT: an an Iowa corporation
✓J ALL MEN eV TNESE PRESENTS AMCO Company,ti AlliedInsurance Cmay Insurance an Iowa corporation
ilande Mutual Insurance Company,an Ohio corporation
Depositors Property Insurance Casualty Company,an Company,corporation
Nolo,„ Hand MutualAgriAgribusiness
Insurancen Company,
ma Iowa,an Iowa corporationappoint:
��tronwide Agribusiness Comp Y, antes,"each does hereby make,constitute and
hereinafter referred to severally as the"Company"and collectively as the"Comp
Steven C.
Schomaker, Scot Cessna,Rhonda R. Schrage,Katie Wirtjes,Joan Brown
each in their individual capacity,its true and lawful attorney-in-fact,,with full power and authority to sign,seal,and execute on its behalf any and all bonds and undertakings,
wit
$250,000.00
and other obligatory instruments of similar nature,in penalties not exceeding the sum of he dulyauthorized officers of the Company;and all acts of said
TWO HUNDRED FIFTY THOUSAND DOLLARS AND NO/100
and to bind the Company thereby,as fully and to the ratifiedsame extent as if and confirmedh instruments were signed by t the board of directors of the Company:
Attorney pursuant to the authority given are hereby
opted by
is,authorized and to attorneys-in-fact of the Company,and to
This po"R erS of ED,attorney is made and executednyvice press e tand e by authority eachhereby o the ,authorized
ing resolutionndempoweredduly etappoint undertakings,attorneys-in-fact
of the Co transfers,y the business authorize of
presidennbe,andapplications,memorandums, n nature the
acts of
"RESOLVED,that the president,or anyanyand all bonds,forms,app•
itndemmnity,
to execute and delivera guaranteeing beaaf of thet Company
with or without cause,any such appointment or authority;provided,however,that the authority granted hereby shall
mnit policies,contracts the fidelity of persons holding positions of public or privdocuments on behalte trust,and other f of ithesCompany."
in n Y,P of said the Company may require;and to modify or revoke,
In y limit the authorityHER of such
hr duly authorizedfc agentsallhave to sign and countersign any and an thereto;all such d,however,mnts that to bind seal any
t such attorneys-in-fact shall full poweaand to affix the seal often Company
any and such documents and the Company
"RESOLVED FURTHER,mtha
subject to the terms and limitations of the power of attorney issued to them,
necessary for the validity of any such documents." the following bylaws duly adopted by the board of directors of the Company.
This power of attorney is signed Anyd sealedicep under and by have in addition authorityd oe chairman or the document
n vice president,any assistant secretary oa assistant treasurer
the business of the company er or tamped o ganyn rapp attest all approved
documen , Intruments, Anybemeengraved,
y provided,however,the signature of any of them mayprinted,
the chief
documents,instruments,contracts,or other papers in connection with theP
executive officer,president,treasurer or secretary;
contract,instrument,or other papers of the Company.
IN WITNESS WHEREOF,the Company has caused this instrument to be sealed and duly attested by the signature of its officer the
13" day of Febr_. ,2014. .3aL
40% ` and Farmlandia President
rIns d Insurance Company;and Vice Officer
resident of Nationwide Mutual Insurance Company,
!vR....
/„�: �'••. ' �; owe ,�' and Farmland Mutualand Casualty Insurance Company,and Depositors Insurance
/ f
�,.SEAL . ,:SEAL; / AMCO Company trance Company,Allied Property
�, ;
`1 . ,•4Illis W ACKNOWLEDGMENT
``nl�I `\�►•
/�� �, �W �% STATE OF day of COUNTY 20O POLK: ss
Art.' o�, .. /: �4 On this son day known to the officer described in14,before me came hand who acute d the precedinghe ecens that m is the and
e
°°' A. / � me personally me duly
SEAL;,/ .SEAL
�'*:, .., $ acknowledged the execution of the same,and being by
f, of the Companies aforesaid,that the seals affixed hereto are the corporate seals of said Companies,andthe
`4?Horiiis;�I \\�i� said corporate seals and his signature were duly affixed and subscribed to said instrument by the authority and
m direction of said Companies. p J- ' �2p�f
� �� di --
���` � .F?y 1 Sandy Alitz
"AF � '' ,� Notarial Seal-Iowa Public
A.• / ' / Commission Number 152785
/ */ * SEAL;
SEAL; My Commission Expires March,24,2017 My MarchNotary Public
sires
p ,\" :j� CERTIFICATE
i`\ �� \�
by the
cri t from the minutes of the meetings of the boards of direct duly directors
el and the s mef as Companies,t bee rked
III Secretary of the Companies,do hereby certify the foregoing is a full,true and correctof attopy yf the original power of attorney issuedpower of
I,Robert W Homerpower
ked
Company;that the resolution included therein is a true and correctoftheor corporatepoed in any al manner;that said Terrance Were was one the date s the execution he ening
seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors;and the foregoing
21ST
attorney is still in full force and effect. day
IN WITNESS WHEREOF,I have hereunto subscribed my name as Secretary,and affixed the corporate seals of said Companies this
APRIL ,20 14 al
of Secretary
This Power of Attorney Expires
March 24,2017
BDJ 1(03-14)00