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HomeMy WebLinkAboutFORM OF BID OR PROPOSAL - TI-ZACK CONCRETE, INC FORM OF BID OR PROPOSAL F.Y. 2010 SIDEWALK REPAIR BLOCK GRANT PROGRAM—ZONE 9 CONTRACT NO. 766 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 J%N ATE , 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. 2009 SIDEWALK REPAIR BLOCK GRANT PROGRAM - ZONE 8, Contract No. 751, 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 UNIT QTY. BID PRICE BID PRICE 1. REM/REP SIDEWALK, cc) 05 4" PCC SF 3,454.5 $ . �"" $ 09) 343 . '` 2. REM/REP SIDEWALK, no 5" PCC SF 335.7 $ 1©. $ 3 357,150 3. TREE ROOT REMOVAL EACH 18.0 $ /00, $ I S CO. -'-' oci 4. WATER VALVE ADJUSTMENT EACH 1.0 $ a , $ n.0 n� 5. CLEAN SIDEWALK EACH 1.0 $ $ 500 mac- TOTAL BID $ 35 g'7®, as wws-- 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 FORM OF BID CONTRACT NO. 766 Page 1 of 3 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to the undersigned within thirty (30) days after the opening thereof, or at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of the insurance within ten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 Owe f 56V&&) NDR� Sxr1 -Twee hob �Ir(� — Dollars ($ I� 76'3, 5) ) in the form of f, El 60ND , is submitted herewith in accordance with the INSTRUCTIONS 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 9. The bidder shall list the MBE/WBE subcontractor(s), if any, amount of subcontracts and bid items on the City of Waterloo Minority and/or Women Business Pre-bid Contact Information Form obtained from the Contract Compliance Office submitted with this Form of Bid or Proposal. If no MBE/WBE subcontractors are proposed to be utilized on this project, the above Pre-bid Contact Information Form will not be required. 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 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. 10. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA". FORM OF BID CONTRACT NO. 766 Page 2 of 3 11. The bidder has attached all applicable forms. 12. 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. 1 — 244 �k Lon1CRE 1'E f ANC. B —a► —0 (Name of Bidder) (Date) BY: Ogre, R- — Title V/('6 I Official Address: (Including Zip Code): 39350. off/ 74ViS LE CCN,%Zf /04 5:057 I.R.S. No. 9/ —/??/ 7s02- FORM OF BID CONTRACT NO. 766 Page 3 of 3 A,� NON-COLLUSION AFFIDAVIT OF PRIME BIDDER State of /ilNNFS0Th ) )ss County of LE St i ) JA5Or) R. EE6 Z , being first duly sworn, deposes and says that: 1 . He is (Owner, Partner, Officer, Representative, or Agent) , of Tr-zAck CoNc ETE,jNc. , 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) / '"(146)^— r- 4-- V<ca Pea, Title S bscrif�ed and sworn to before me this ig day of ayo , 200 . A //afi Title / -IA My // My commission expires ,-5 ( ir1U/ . AMBER LARAE OVERN t, ).. Natary Public--Minnesota n[, My Comm.Expires Jan.31,2013 o9Rdoo~OS