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FORM OF BID OR PROPOSAL - BOULDER CONTRACTING LLC
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 © D vts o`. !- vs W 6 1 TAW . . 1 REMOVE & REPLACE PCC SIDEWALK, 4" SF 18,418.6 $ `! $ `-' `' .75 2 NEW SIDEWALK,4" PCC SF 53.2 $ $ ` •S`` 3 REMOVE SIDEWALK, 4" PCC SF - $ 1 U., $ G, 4 REMOVE & REPLACE PCC PAVING, 4" SF -$ � $ 5 REMOVE & REPLACE PCC PAVING, 5" SF 175.0 $ 1•C'o $ �aas.c'o 6 REMOVE& REPLACE PCC SIDEWALK, 6" SF 14,145.4 $ .Sv $ 1111,10 7 NEW SIDEWALK, 6" PCC SF 294.4 $ $ 8 REMOVE PCC SIDEWALK, 6" SF 519.2 $ $ red,0' FORM OF BID CONTRACT NO. 863 Page 1 of 5 9 DETECTABLE WARNING SURFACE SF 784.0$ "7 C $ ?S.e'88 e, REMOVE&REPLACE 24" PCC CURB & 10 GUTTER, 6" LF 39.0$ $ 1.an REMOVE& REPLACE 24" PCC CURB & 11 GUTTER, 7" LF -$ $ ' ,crti REMOVE & REPLACE 24" PCC CURB & 12 GUTTER, 8" LF 369.2 $ $ !1,G27,0 REMOVE& REPLACE 24" PCC CURB & 13 GUTTER, 9" LF 247.6$ 3;..'_ $ 6"oy7.o6 REMOVE & REPLACE 24" PCC CURB& 14 GUTTER, 10" LF 29.3 $ ''',r- $ 987.55 REMOVE&REPLACE 24" PCC CURB & 15 GUTTER, 11" LF 94.1 $ $ =YG.yS REMOVE &REPLACE 24" PCC CURB & 16 GUTTER, 12" LF 198.0$ 7 •0c $ ,a$.c'o 17 JOINT SEAL LF 5.0 $ PO.00 $ lvo.etn 18 PCC SIDEWALK PATCHING EACH 3.0$ $ t or. 19 HMA PAVEMENT PATCHING SF 59.0 $ $ eA e'' 20 MANHOLE ADJUSTMENT EACH 5.0 $ $ 54. 21 RETAINING WALL LF 35.0 $ $ 325.cv 22 3/4" ROADSTONE TON 20.0$ $ %(o.ay 23 TRAFFIC CONTROL LS 1.0$ $ 24 EXCAVATION, CLASS 10 CY 50.0$ f o.or $ 3,64e w TOTAL BID — BASE BID $ 'r� � al "� !� }� �4'., - - !` T� i � �� e9{ �-- fir--- L >.d. 1 REMOVE & REPLACE PCC SIDEWALK, 4" SF 6,591.2$ `- ,-_- $ ?'r.' 2 NEW SIDEWALK, 4" PCC SF 43.4 $ $ ?3.G< 3 REMOVE SIDEWALK,4" PCC SF 65.6 $ $ 'i?q. 4 REMOVE & REPLACE PCC PAVING, 4" SF 148.8 $ $ ".4N/.4C 5 REMOVE & REPLACE PCC PAVING, 5" SF 50.0 $ $ 6 REMOVE & REPLACE PCC SIDEWALK, 6" SF 8,907.6 $ $ y6,qq/.8o 7 NEW SIDEWALK, 6"PCC SF 54.7 $ $ 23a.gg FORM OF BID CONTRACT NO. 863 Page 2 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 5 i� f�svc, _ 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 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. AAA,. Date Wootr- 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. 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. r,ou.Lorie f '7R1110-1 (Name of Bidder) (Date) BY: kt-o+�w4a� Title PR�sc / Official Address: (Including Zip Code): ,)598't N. try'. -1,4 40c.KNay Ca•v ngfz- ,r A Sole?r I.R.S. No. a•7 -74)7 a N S3 FORM OF BID CONTRACT NO. 863 Page 5 of 5 NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of )ss County of ." I404'414 ) l--k KTtre*cwa. , being first duly sworn, deposes and says that: 1. He is (6;ner,Partner, Officer, Representative, or Agent) , of re.,u s ors,e. h wr i.c cx'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 rties in interest, including this affiant. (Signed) �t.�rStO�c'N 1 Title Subscribed and sworn to before me this cr I day of , 201 Title My commission expires 1 oPa`AC m, TAMMY FOUTS Commission No.761416 * MyCommi=.'. 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: R63 PROJECT NAME: fY sFOEw04LK itkoptt4 Paot,tisof L DATE OF LETTING: y(d! 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 •o1.4t-0E2 Cv#rRWcrT#IL 1 LLC. CORPORATE OFFICER Luk-E kJ• vherc TITLE ag-rsvoin+r DATE -I al /,4 n `� 35 N m -< NNN c) -c cDZ -o o 0 A ,_ o- a-'•o o , 0 0 _ o,. c 73 O tri;rait4'3)n m cD v n -, o ni g cnn °) < = v • m p-cn O o v W n . �O d` Q- cD ° fD N -. CD Z p . m o •• �BT' A co C c) _0 CD.. -' O , a V) c� rt v a) o C. R• r (n cXD C 3 c• = •� cD O D co a, co 0 < 5' 5 j m v CD 0 -^ C) : o -Y m o eo b� v o c> co •< -1 o u) g o 1y = M 0 0 96 in _ao p E. 3 g C Z N 3 ,.,. � m NQ3O o " � cn co cm � n 3 Q -0 ts� co 3 i° a) Q o- p W ," cn O cD N '� (�D A - • CD fD 7 m -0 QZ O Cmi O Q N�< p -+ 'p n -I * coK5 -, 0 r o (SDI • W .O � Wn oX t 5 — rn o c o0 D 0-‘ -�i y N coo a' _o a- W =' t' ti -I oK rn -10 om `ncn > , rn ego > S n) c com < W co ° ow 1o ° 1 ^� c m Q n'a W -a 3. e, 5 0 -, m m -D A. o CO -Zr, 7 N 3 O Q. co o (D (D o h 60 0 R W � � m 0NN -CI � n -• _. . Om _� N N o 'o .. N ° ,-cc n > co - moan iv �' = gym o N0 m 30 o -� mW DC 0 � Z � o CD � o � o grn oC) Cl) CA mu) cr C , _0W a -iZ Z = a0 ins. 0)) CT a) rn ° ZM -� O CCD m c o- c 0 < . . mU) et m C -, cD -a a. cD a• ,.. cn CO o - '0 Z ao cn m u, co mo . Z d cs, :a G) cD 3 0 o' �' y -1 z n e CO O (2D 0 < p 7 0 m m o n * 3 .- m 0 -° O0ag ) v a Co 'Uo. C l 00 m ST � p FA C �' Z73 Z � � a o o• o moo- oo ° -n Ddi oo • coo oC 30 3ti Om V Nm ov Noo oN• oT ° r ° oo 3 - Q 3 cn * 5 . �, - 7. ifco o30 0o ' m -0 ma CJ = mo o ? •• < 0 cncD m o co o co o a v o ,°, O �< < <D lD Q j CD - V' CACO � ro g v not a ID oro G N n co p_ o o n C O 3 CI)o v CD s .s b -I, m •< m CD a) Aa .z < (D CO -a o Q• � o cp o 0., m o 5' o v a. � o N oEh 3 .=', O. o N cco o c o a BID BOND KNOW ALL MEN BY THESE PRESENTS,that we, Boulder Contracting, LLC as Principal,and Nationwide Mutual Insurance Company as Surety are held and firmly bound unto the CITY OF WATERLOO ,Iowa,hereinafter called "OWNER." In the penal sum Five Percent of Amount Bid 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, firmly by these presents. The con tipn of this obligation is such that whereas the Principal has submitted the accompanying bid dated the z-I St day of April ,2014 ,for FY 2014 Sir1Pwalk R .pair Prngram - 7onP 4 • 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 liqu,dation 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 owed their corpgratelseals to be hereto affixe4and these presents to be signed by their proper officers this LL II Si` day of April ,A.D.201 . Boulder Contracting, LLC _(Seal) Principal By PA-64 rooter (Title) Nationwide Mutual Insurance Cany Witness Surety . ? l, By Witness Attorney-in-fact y D. Baltutat Power of Attorney — KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company,an Ohio corporation AMCO Insurance Company,an Iowa corporation Farmland Mutual Insurance Company,an Iowa corporation Allied Property and Casualty Insurance Company,an Iowa corporation Nationwide Agribusiness Insurance Company,an Iowa corporation Depositors Insurance Company,an Iowa corporation hereinafter referred to severally as the"Company"and collectively as the"Companies,"each does hereby make,constitute and appoint: F.MELVYN HRUBETZ GREG T.LAMAtR MARK E.KEAIRNES NANCY D.BALTUTAT PATRICK K DUFF JEFFREY R.BAKER JILL SHAFFER WEST DES MOINES IA each in their individual capacity,its true and lawful attorney-in-fact,with full power and authorityto sign,seal,and execute on its behalf any and all bondsand undertakings, and other obligatory instruments of similar nature,in penalties not exceeding the sum of THREE MILLION AND NO/100 DOLLARS S 3,000,000.00 and to bind the Company thereby,as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company;and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED,that the president,or any vice president be,and each hereby is,authorized and empowered to appoint attorneys-in-fact of the Company,and to authorize them to execute and deliver on behalf of the Company any and all bonds,forms,applications,memorandums,undertakings,recognizances,transfers, contracts of indemnity,policies,contracts guaranteeingthe fidelity of persons holding positions of public or privatetrust,and other writingsobligatoryin nature that the business of the Company may require;and to modifyor revoke,with or without cause,anysuch appointmentor authority;provided,however,that the authoritygranted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER,that such attorneys-in-fact shall have full power and authorityto execute and deliver any and all such documents and to bindthe Company subject to the terms and limitations of the power of attorney issued to them,and to affix the seal of the Companythereto;provided,however,that said seal shall not be necessary for the validity of any such documents." This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president,any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents,instruments,contracts,or other papers in connection with the operation of the business of the company in addition to the chairman of the board,the chief executive officer,president,treasurer or secretary;provided,however,the signature of anyof them maybe printed,engraved,or stamped on anyapproved document, 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 30l" day of April , 2013 Wail— Jr," -. . 6,'W6 4t4- �•- # 0 °SEAL; ° Terrance Williams,President and Chief Operating Officer of Nationwide Agribusiness Insurance Company -10••Me• � �4=4:1N•r and Farmland Mutual Insurance Company;and Vice President of Nationwide Mutual Insurance Company, a u( '►d,, �RMU 4" AMCO Insurance Company,Allied Property and Casualty Insurance Company,and Depositors Insurance lx sty� � ` Company s � 04""' ACKNOWLEDGMENT f, Ma:c.. „..„• p "SEAL O SEAL STATE OF IOWA,COUNTY OF POLK: ss •s6b°`•••`', �4 ...;�..... On this30t day of April .2013 ,before me came the above-named officer for the Companies aforesaid, °•;mu, kait.,:w to me personally known to be the officer described in and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn,deposes and says,that he is the p 40 e 4 iYro� 11 officer of the Companies aforesaid,that the seals affixed hereto are the corporate seals of said Companies, r eo•° +� ,f rfAit.q. ..k and the said corporate seals and his signature were duly affixed and subscribed to said instrument by the SEAL .S, AL +/ authority and direction of said Companies. sa •�..b.c. b •/ N+r • ;, ee- +' Iowa Notarial Seal �� 4 Cammissins minim 152r83 trww NYCOmmisslenr iresAlerrh24.2014 Notary Public My Commission Expires CERTIFICATE March 24,2014 I,Robert W Horner III,Secretary of the Companies,do hereby certify that the foregoing is a full,true and correct copy of the original power of attorney issued by the Company;that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner;that said Terrance Williams was on the date of the execution of the foregoing power of attorney the duly elected officer of the Companies,and the corporate seals and his signature as officer were duly affixed and subscribed to the said instrument by the authorityof said board of directors;and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF,I have hereunto subscribed my name as Secretary,and affixed the corporate seals of said Companies this 21 St day of April 20 14 . Secretary This Power of Attorney Expires • 12/10/16 BDJ 1 (04-13)00 01779