HomeMy WebLinkAboutRESPONSE - BID - 5557 METER BOX INSTALLATIONSECTION 00300
BID FORM
PROJECT: METER BOX INSTALLATION, BID NO 5557
Place!"6r6haSlnq vision
DateOctober- I'1 2000
1 In compliance with your Invitation to Bid dated October 19 9000
and sub3ect to all conditions thereof, the undersigned G a T Wrack nE r
L nt�ses =nc . a ** (Corporation, Limited Liability
Company, Partnership, Joint Venture, or Sole Proprietor)** authorized to do
business in the State of Colorado hereby proposes to furnish and do
everything required by the Contract Documents to which this refers for the
construction of all items listed on the following Bid Schedule or Bid
Schedules
2 The undersigned Bidder does hereny declare ant stipulate that this proposal
is made in good faith, a tnout collusion or connection with any other
person or persons Bidding for the same Work, and that it is made in
pursuance of and subject to all the terms and conditions of the Invitation
to Bid aid instructions to Bidders, the Agreement, the detailed
Specifications, and the Dfawings pertaining to the Work to be done, all of
which have been examined ny the undersigned
3 Accompanying this Bic _s a certified or cashier's chic'{ or standard Bid bond
in the sum of # 2500°Q 'doer,+ -Lue Hundred ($
�2500°O ) in accordance witn the Invitation To Bid and
Instructions cc Bidders
4 The undersigned Bidder agrees to execute the Agreement and a Performance
Bond and a Pavment Bond for the amount of the total of this Bid within
fifteen (15) calendar days from the date when the written notice of the
award of the contract is delivered to him at he address given on this Bid
The name and address cf the ccru_orate sirety aith wn_cn the Bidder
proposes to furnish the specified performance and payment bonds is as
follows QIJ Republic Suretu Corrnpan"
5 All the various ohases of Work enumerated in the Contract Documents with
their individual jobs and overhead, whether- specifically mentioned,
included by 'implication or appL.=enant thereto, are to ne performed by the
CONTRACTOR under one of
the items listed in the Bid Schedule, irrespective of whether it is named
in said list
6 Payment for Work performed will be in accordance with the Bid Schedule or
7/96
Section 00300 Page 1
0
11
Last the more important projects recently completed by your company, stating
the approximate cost of each, and the month and year completed, location
12 L-_st your major equipment available for this contract
13
Experience in construction Work similar in importance to this
_4 Background and experience of the principal members of your organization,
including officers
is Credit available $ 3 Q Q Q Q
16 Bank reference. Wells Farao
17 WL11 you, upon request, fill out a detailed financial statement and furnish
any other in=ormacion _nat rav be required by the OWNER?
iB Are you licensed as a General CONTRACTORS /gyp
I` yes, in what city, county and states What
class, license and n-mbers,
19 Do you anticipate suocontracting Work under this Contract'_ A10
IE yes, what percent of total contract
and to whom?
20 Are any lawsuits pending against -you or your firm at this time° /1/0
I` yes, DETAIL
7/96 Sectic- 0042C ?age 2
U
Ell,
21
22
What are the limits of your punlrc llanility�
_ #/ 000 Ooo
What company FAR07ER'5 SNguRANCE 00
DETP.I
What are your company's bonding '_imitat_ons� anknoWO
23 The undersigned
corporation to
verification of
Qualifications
hereby authorizes and requests any person, firm or
furnish any information requested by _he OWNER in
the recital comprising this Statement of Bidder's
Dated at: e o&h r this 3 day of
Name of Bidder
Title �rp� r,/ /
State o _ �i��G k , e,f
County of L -17r I y» eY
2 O-LIO.
ing duly sworn deposes and says that he is
fV�,.1 an FvU7- and tnat
(name o- organization)
the answers to the foregoing questions and all statements therein contained are
true and correct
Subscribed and sworn to before me tr__s l day of
be-g r� (2 z , 20
T ••
No 1'
fbYL� O
OF COO \
My commission expi_
My Commission ExpUes 01A )ZM
7/96 Section 00420 Page 3
6
SECTION 00430
SCHEDULE OF SUBCONTRACTORS
List all subcontractors for the work items listed below and all subcontractors
performing over 10% of the contract
ITEM
SUBCONTRACTOR
7/96 Section 00430 Page 1
Nr
2497
SECTION 00500
AGREEMENT FORMS
00S10Notice of Award
0 0 5 2 0 Agreement
00530Notice to Proceed
117
SECTION 00510
NOTICE OF AWARD
Date November 22, 2000
TO G & J Wagner Enterprises, Inc.
PROJECT: METER BOX INSTALLATION, BID NO 5557
OWNER CITY OF FORT COLLINS
(hereinafter referred to as "the OWNER")
You are hereby notified that your Bid dated October 17, 2000 for the above project
has been considered You are the apparent successful Bidder and have been awarded
an Agreement for METER BOX INSTALLATION, BID NO 5557
Four ,4) copies of each of the proposed Contract Documents (except Drawings)
accompany this Notice of Award Four (4) sets of the Drawings will be delivered
separately or otherwise made available to you immediately
You must comply with the following conditions precedent within fifteen (15) days
of the date of this Notice of Award, that is by December 8, 2000
1 `Cou must deliver to the OWNER four (4) fully executed counterparts of the
Agreement including all the Contract Documents Each of the Contract
Documents must bear your signature on the cover of the page
2 "ou must deliver with the executed Agreement the Contract Security (Bonds)
as specified in the Instructions to Bidders, General Conditions (Article
y) 1) and Supplementary Conditions.
Failure to comply with these conditions
OWNER =o consider your Bid abandoned, to
your Bid Security forfeited
within the time specified will entitle
annul this Notice of Award and to declare
Within ten (10) days after you comply with those conditions, OWNER will return to
you one (1) fully -signed counterpart of the Agreement with the Contract Documents
attached.
City of Fort Collins
OWNER
M
James B O'Neill II, CPPO
Director of Purchasing and Risk Management
Title
7/96 Section 00510 Page 1
SECTION 00520
SERVICES AGREEMENT
WORK ORDER TYPE
THYS AGREEMENT made and entered into the day and year set forth below,
by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal
Corporation, hereinafter referred to as the "City" and G & J Wagner
Enterprises hereinafter referred to as "Service Provider"
WITNESSETH
In consideration of the mutual covenants and obligations herein
expressed, it is agreed by and between the parties hereto as follows
1 Services to be Performed
a This Agreement shall constitute the basic agreement between
the parties for services for Meter Box Installation Bid #5557 The
concitions set forth herein shall apply to all services performed by
the Service Provider on behalf of the City and particularly described
in V=k Orders agreed upon in writing by the parties from time to
time Such Work Orders, a sample of which is attached hereto as
Exhibit "A", consisting of two (2) page and incorporated herein by
this reference, shall include a description of the services to be
performed, the location and time for performance, the amount of
payment, any materials to be supplied by the City and any other
special circumstances relating to the performance of services No work
order shall exceed $50,000 The only services authorized under this
agreement are those which are performed after receipt of such Work
Order, except in emergency circumstances where oral work requests may
WOSA 7/98 2
9
be issued Oral requests for emergency actions will be confirmed by
issuance of a written Work Order within two (2) working days
b The City may, at any time during the term of a particular
Work Order and without invalidating the Agreement, make changes within
the general scope of the particular services assigned and the Service
Provider agrees to perform such changed services
2 Changes in the Work The City reserves the right to
independently bid any services rather than issuing work to the Service
Provider pursuant to this Agreement Nothing within this Agreement
shall obligate the City to have any particular service performed by
the Service Provider
3 Time of Commencement and Completion of Services The
services to be performed pursuant to this Agreement shall be _initiated
as specified by each written Work Order or oral emergency service
request Oral emergency service requests will be acted upon without
waiting for a written Work Order Time is of the essence
4 Contract Period This Agreement shall commence January 1,
2001, and shall continue in full force and effect until December 31,
2001, unless sooner terminated as herein provided In addition, at the
option of the City, the Agreement may be extended for additional_ one year
periods not to exceed four (4) additional one year periods Pricing
changes shall be negotiated by and agreed to by both parties and may not
exceed the Denver - Boulder CPI-U as published by the Colorado State
Planning and Budget Office Written notice of renewal shall be provided
to the Service Provider and mailed no later than 90 days prior to
WOSA 7/98
[cl
contract end.
S. Delav If either party is prevented in whole or in part
from performing its obligations by unforeseeable causes beyond its
reasonable control and without is fault or negligence, then the party
so prevented shall be excused from whatever performance is prevented
by such cause To the extent that the performance is actually
prevented, the Service Provider must provide written notice to the
City of such condition within fifteen (15) days from the onset of such
condition.
6 Early Termination by City/Notices Notwithstanding the time
periods contained herein, the City may terminate this Agreement at any
time without cause by providing written notice of termination to the
Service Provider. Such notice shall be mailed at least fifteen (15) days
pricr to the termination date contained in said notice unless otherwise
agreed in writing by the parties All notices provided under this
Agreement shall be effective when mailed, oostage prepaid and sent to the
following address
City Dept Service Provider
City of Ft Collins Water Utilities G & J Wagner Enterprises
Purchasing P O Box 580 P O Box 397
256 W Mountain Ave Ft Collins, CO 80522 Red Feather Lakes, CO
Ft Collins, Cc 80522 Attu Lee Me Mahon 80545-0397
Attn John Stephen
In the event of early termination by the City, the Service Provider
shall be paid for services rendered to the termination date, subject
only to the satisfactory performance of tze Service Provider's
WOSA 7/98 4
K3
oblLgations under this Agreement Such payment shall be the Service
Provider's sole right and remedy for such termination
7 Contract Sum This is an open-end indefinite quantity
Agreement with no fixed price The actual amount of work to be
performed will be stated on the individual Work Orders The City
makes no guarantee as to the number of Work Orders that may be issued
or the actual amount of services which will in fact be requested
Payments
a The City agrees to pay anc the Service Provider agrees
to accept as full payment for all work done and all materials
furnished and for all costs and expenses incurred in performance of
the work the sums set forth for the hourly labor rate and material
costs, with markups, stated within the Bid Schedule Proposal Form,
attached hereto as Exhibit "B", consisting of four (4) pages, and
incorporated herein by this reference
Payment shall be made by the City only upon acceptance of the work by
the City and upon the Service Provider furnishing satisfactory
evidence of payment of all wages, taxes, supplies and materials, and
other costs incurred in connection with the performance of such work
8 Liquidated Damages OWNER and CONTRCTOR recognize that time
is of the essence of this Agreement and that OWNER will suffer financial
loss if the Work is not completed within the times specified in the work
order, plus any extensions thereof allowed in accordance with Article 12
of the General conditions They also recognize the delays, expenses and
WOSA 7/98 5
difficulties involved in proving in a legal proceeding the actual loss
suffered by OWNER if the Work is not completed on time Accordingly
instead of requiring any such proof,
9 City Representative The City's representative will be shown
on the specific Work Order and shall make, within the scope of his or her
authority, all necessary and proper decisions with reference to the work
requested All requests concerning this Agreement shall be directed to
the City Representative
10 Independent Contractor It is agreed that in the performance
of any services hereunder, the Service Provider is an independent
contractor responsible to the City onlf as to the results to be obtained
in the particular work assignment and to the extend that the work shall
be done in accordance with the terms, plans and specifications furnished
by the City
11 Personal Services It is understood that the City enters into
the Agreement based on the special abiLit-Les of the Service Provider and
that this Agreement shall be considered as an agreement for personal
services Accordingly, the Service Provider shall neither assign any
responsibilities nor delegate any duties arising under the Agreement
without the prior written consent of the city
12 Acceptance Not Waver The City's approval or acceptance of,
or payment for any of the services shall not be construed to operate as
a waiver of any rights under the Agreement or of any cause of action
arising out of the performance of this Agreement
WOSA 7/98 6
Z'1
n
Bid Schedules subject to cnanges as provided in the Contract Documents
7 The undersigned Bidder hereby acknowledges receiot of Addenda No NA
through _
+ T 1,,1Sgne-r Cn+erprises�Tnc
CONTRACTOR
BY ��� L 1�✓/'f/
ADDRESS IH Letd-ia Trail
O. Box 39'7
Red Fea-tker Lakes CO 80545-o397
8 BID SCHEDULE (Base Bid)
-he following is an example list of five installations These examples
are provided for bid purposes only and do not necessarily represent all
conditions that may be encountered at a _possible work site The "Amount"
for each work site example should be the sum of the applicable "Unit"
prices from Exhibit B-1
Work Site Examples
Typical Installation "Units" Amount
o_o
(1) The meter box will be installed in 1 - 3 $ �Eo
a lawn area next to the our-- box
The service line is 66" deep
22%% o0
O
(2) The
curb stop
is in a concrete
1 + 3 + 5 s3
driveway, but
the service
drifts
out
of the driveway
into
the lawn
The
meter box
will be located
in
the
lawn and
the service
line _s
78"
deep
00
5 30
(3) There are two
curb boxes,
serving
2 , 3x2 $
two
different
customers,
side by
7/96
Section 00300 Page 2
13 Warranty
a Service Provider warrants that all work performed hereunder
shall be performed with the highest degree of competence and care in
accordance with accepted standards for work of a similar nature
b Unless otherwise provided in the Agreement, all materials and
equipment incorporated into any work shall be new and, where not
specified, of the most suitable grade of their respective kinds for their
intended use, and all workmanship shall be acceptable to City
c. Service Provider warrants all equipment, materials, labor and
other work, provided under this Pgreement, except City -furnished
materials, equipment and labor, against defects and nonconformances in
design, materials and workmanship/workwomanship for a period beginning
with the start of the work and ending twelve (12) months from and after
final acceptance under the Agreement, regardless whether the same were
furnished or performed by Service Provider or by any of its
subcontractors of any tier Upon receipt of written notice from City of
any such defect or nonconformances, the affected item or part thereof
shall be redesigned, repaired or replaced by Service Provider in a manner
and at a time acceptable to City
14 Default Each and every term and condition hereof shall be
deemed to be a material element of this Agreement In the event either
party should fail or refuse to perform according to the terms of this
agreement, such party may be declared in default thereof
15 Remedies In the event a party has been declared in default,
wosA 7/98 7
such defaulting party shall be allowed a period of ten (10) days within
which to cure said default In the event the default remains
uncorrected, the party declaring default may elect to (a) terminate the
Agreement and seek damages, (b) treat the Agreement as continuing and
require specific performance, or (c) avail himself of any other remedy
at law or equity If the non -defaulting party commences legal or
equitable actions against the defaulting party, the defaulting party
shall be liable to the non -defaulting party for the non -defaulting
party's reasonable attorney fees and costs incurred because of the
default
16 Binding Effect This writing, together with the exhibits
hereto, constitutes the entire agreement between the parties and shall
be binding upon said parties, their officers, employees, agents and
assigns and shall inure to the benefit of the respective survivors,
heirs, personal representative, successors and assigns of said parties.
17 Indemnity/Insurance
a The Service Provider agrees to indemnify and save harmless the
City, its officers, agents and employees against and from any and all
actions, suits, claims, demands or liability of any character whatsoever,
brought or asserted for injuries to of death of any person or persons,
or damages to property arising out of, result from or occurring in
connection with the performance of any service hereunder
b The Service Provider shall take all necessary precautions in
performing the work hereunder to prevent injury to persons and property
WOSA 7/98 8
c Without limiting any of the Service Provider's obligations
hereunder, the Service Provider shall provide and maintain insurance
coverage naming the City as an additional insured under this Agreement
of the type and with the limits specified within Exhibit "D", consisting
of one (1) page, attached hereto and incorporated herein by this
reference The Service Provider before commencing services hereunder,
shall deliver to the City's Director of Purchasing and Risk Management,
256 West Mountain Avenue, Fort Collins, Colorado 80521 one copy of a
certificate evidencing the insurance coverage required from an insurance
company acceptable to the city
18 Entire Agreement This Agreement, along with all Exhibits and
other documents incorporated herein, shall constitute the entire
Agreement of the parties Covenants or representations not contained in
this Agreement shall not be binding on the parties
19 Law/Severability This Agreement shall be governed in all
respect by the laws of the State of Colorado In the event any provision
of this Agreement shall be held invalid of unenforceable by any court of
competent jurisdiction such holding shall not invalidate or render
unenforceable any other provision of this Agreement
CITY OF FORT COLLINS, COLORADO
a municipal corporation
0
John F Fischbach
City Manager
WO9A 7/98 2
By
James B O'Neill II, CPPO
Director of Purchasing and Risk Management
Date
ATTEST
City Clerk
APPROVED AS TO FORM
Assistant City Attorney
G & J Wagner Enterprises, Inc
m
Print Name
Title
Corporate President or Vice President
Date
ATTEST
(Corporate Seal)
Corporate Secretary
WOSA 7/98 3
EXHIBIT "A"
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
DATED
Work Order Number
Purchase Order Number.
Project Title
Commencement Date
Completion Date.
Maximum Fee (time and reimbursable direct costs)
Project Description
Scope of Services
Acceptance
User
Service Provider agrees to perform the services identified above and on the
attached forms in accordance with the terms and conditions contained herein and
in the Services Agreement between the parties In the event of a conflict
between or ambiguity in the terms of the Services Agreement and this work order
(including the attached forms) the Services Agreement shall control
Service Provider
M
Date.
CC Purchasing
The attached forms consisting of pages are hereby accepted and
incorporated herein by this reference, and Notice to Proceed is hereby given
City of Fort Collins
M
Date
10/97 Section 00520 Page 1
J
M
LI
OWNER CITY OF FORT COLLINS
By
JOHN F FISCHBACH, CITY MANAGER
BY
JAMES B O'NEILL II, CPPO
DIRECTOR OF PURCHASING
AND RISK MANAGEMENT
Date
Attest
City Clerk
Address for giving notices-
P 0 Box 580
Fort Collins, CO B0522
Approved as to Form
Assistant City Attorney
10/97
CONTRACTOR
By
Title
Date
(CORPORATE SEAL)
Attest
Address for giving notices
LICENSE NO
Section 00520 Page 2
0
side in a lawn area Two meter
boxes will be installed in one
oversized excavation The service
lines are 66" deep.
Average of typical installation x 90 =
(l - 2 + 3 divided by 3 x 90)
Non -Typical Installation
(4) The cure box is in the middle of a
concrete driveway that is 16'
wide The meter box will be
installed in the lawn area next to
the driveway Approximately 24 sq
feet of concrete driveway will be
removed The service line will oe
looped from the curb box to the meter
box and back to the original service
The original service is 66" deep
(5) Two curb boxes, serving tvo
different customers, are located
in a dirt driveway Two meter
boxes will be installed in one
oversized excavation in the lawn
area next to the driveway The
c=b boxes are 10' from _ne nearest
edge of the meter nox excavation
The service lines will be looped
from the curb boxes to the meter
boxes and back to the original
services The original services
are 70" deep
1 , 3 + 6x8
+ 8x24
2 - 3x2 -
6xi0
Average of Non -Typical Installation x 10 =
(4 + 5 divided by 2 x 10)
Total Bid (Typical + Non -Typical)
,
$ 9 ODIN
$ LlIn 1 400
EXHIBIT B-I
The Bidder will supply "Unit" Prices for the following items of work that
he/she will perform throughout the contract period Any extras to be
paid above the "Typical" installation price, at each site, will be
7/96 Section 00300 Page 3
reviewed
and approved by the Pro]ect Manager
1.
Excavation for meter box installation up to
$ 2�50�
4'W x 5'L x 6'D (Includes bacK fill, compaction
and site restoration, does not include plumbing
or, setting meter box to grade)
2
Oversized excavation for 2 meter box
$3 ao
installations up to 4'W x 7'L x 6'D (Includes
backfill, compaction and site restoration, does
not include plumbing or setting meter box
to grade)
3
PLumb and set meter box to grade (Does not
ao
$)05
include excavation or backfill)
4
Demo meter box. (Remove sabszandard meter box
$245"
and reconnect services at original orade)
CO
5
Deep hole (Extra digging for a S IO
per
foot
excavations greater than 72" deep)
6
Open cut trench. (Up to 31W x 5'D) C� $� per
lineaL foot
00
7
Bore (Able to accommodate uo to 2. $ per
lineaL foot
2-one inch services)
00
8
Cut and remove concrete @ $�` per
sq foot
O_o
9
Cut and remove asohalz a $� per
sq foot
10
c Uo
J O
Acid a curb stop $
11.
Materials furnished by contractor Cost Plus 100s
00
12
Removal of frozen soil (deeper @ $ per
vertical foot
than 10")
9
PRICES
The foregoing prices shall include all labor, materials, transportation,
shoring, removal, dewatering, overhead, profit, insurance, etc , to cover
the complete WorK in place of zihe several kinds called for
7/96 Section 00300 Page 4
Bidder acknowledges that the OWNER has the right to delete items in the Bid
or change quantities at his sole discretion -,ithout affecting the Agreement
or prices of any item so long as the deletion or change does not exceed
twenty-five percent (25%) of the total Aareement ?rice
RESPECTFULLY SUBMITTED
C74V, Aeoa
Signature Date
Title
r,C " License Number (£f Applicable)
-(Seal '7,if Bid is b,, corporation,
r^" "?t.test
Address /Iv �efitia Trail
v<
PO Box 397
Rede�`
Fea-M- La kes COOO 80s-5-o397
Telephone 97p,34 0- a 9� -4 0
7/96 Section 00300 Page 5
L
SECTION C0400
SUPPLEMENTS TO BID FORMS
00410Bid Bond
00420 Statement of Bidder's Qualifications
00430 Scnedule of Subcontractors
3
SECTION 00410
BID BOND
KNOW ALL MEN BY THESE PRESENTS that we, the undersigned
as Principal, and as
Surety, are hereby held and firmly bound unto the City of Fort Collins. Colorado,
as OWNER in the sum of $ for the payment of which, well and
truly to be made, ,ae hereby jointly and severally bind ourselves, successors, and
assigns.
THE CONDITION of this obligation is such that whereas cne Principal has
submitted to the City of Fort Collins Colorado the accompanying Bid and hereby
made a part hereof to enter into a Construction Agreement for the construction
of Fort Collins Project, METER BOX INSTALLATION, BID NO 5557
NOW THEREFORE,
(a) T' said Bid snall he rejected, or
(b) Tf said Bid shall ne accepted and the Principal shall execute and deliver
a Contract in the form of Contract attached hereto (properly completed in
accordance with said Bid) and shall furnish a BOND for his faithful
performance of said Contract, ana for payment of all _ _sons performing
labor or furnisning materials _n connection therewith, and snall in all
other respects perform the Agreement created by the acceptance of said Bid,
then this obligation snall be void, otherwise the same shall remain in
force and effect, it being expressly understood and agreed that the
1--ability of the Surety for any ana all claims hereunder shall, in no
event, exceed the penal amount of this obligation as herein stated
The Surety, for value received, hereby stipulates and agrees that the obligations
of sa2,d Surety and its BOND shall be in no may impaired or affected by any
extension of the time within which the OWNER may accept such Bid, and said Surety
does hereby waive notice of any such extension
Surety Companies executing bonds must be asthorized to transact business in the
State of Colorado and be accepted by the OWNER
7/96 Section --041-0 Page 1
IN WITNESS WHEREOF, the Principal and the S-rety have hereunto set their hands
and seals this day of , 20_ and such of them as are
corporations nave caused tneir corporate seals to ze hereto affixed and these
presents to be signed by their proper officers, the day and year first set forth
above
PRINCIPAL
Name
Address
By
Title
ATTEST
By
(SEAL)
r-M
Title
SURETY
(SEAL)
7/906 Section 00410 Page
3
SECTION 00420
STATEMENT OF BIDDER'S QUALIFICATIONS
All rn,estions must be answered and the data given must be clear and
comprehensive This statement must he notarized If -iecessary, questions may
be answered on separate attached sheets The Bidder may sunmit any additional
information he desires
1 Name of Bidder G t T Wagner Enterprises Tnr- .
2 Permanent main office address I�-4 (_e+i+ia Trail (gedF�rL4e5CC
SC
SoSws
3 When organized 1 f by uarL3 157 9 9 3
4 If a corporation, where incorporated Februa r (A 15 19�
5 How many years have you teen enga ed in the contracting business under your
present firm or trade names uea r s
6 Contracts on rand (schecl-le these, snowing the amount of each contract and
the appropriate anticipated dates of completion )
Outside Water Me+ers -Cif o� Ft Collins
Uneneci-Pied Amount - C)a+e o4 L9M1pi +;nn-j'aj*0o
7 General character of Work performed by your company
Hand excava+ion and meter installahion
8 Have you ever failed to complete any Work awarded to your_ 1C_
If so, where and wnv'
10
Have ;our ever defaul:ied on a contrac:�
If so, where and whys —
Are you debarred by any government agency
If yes list agency name
7/96 Section 00420 Page 1