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Home My WebLink AboutRESPONSE - BID - 5802 ATMS COMMUNICATIONS SYSTEM 2 COLORADO BORINGSECTION 00300 BID FORM PROJECT: COMMUNICATIONS SYSTEM PHASE 2; Bid No. 5802 Place -,z2/f N 004 Sf Date SrQ X 222!! -- �ioo j 1. In compliance with your Invitation to Bid dated and subject to all conditions thereof, the undersigned [310^ dCopmnaaosw LLB 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 hereby declare and stipulate that this proposal is made in good faith, without 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 and Instructions to Bidders, the Agreement, the detailed Specifications, and the Drawings pertaining to the Work to be done, all of which have been examined by the undersigned. 3. Accompanying this Bid is a certified or cashier's check or standard Bid bond in the sum of _5_l e &w- ay WA / ,e ,[W"o..!'.l« ($ //.z ro —'" ) in accordance with the'Invitation To Bid and Inst actions to Bidders. 4. The undersigned Bidder agrees to execute the Agreement and a Performance Bond and a Payment 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 the address given on this Bid. The name and address of the corporate surety with which the Bidder proposes to furnish the specified performance and payment bonds is as follows: e ro 5. All the various phases of Work enumerated in the Contract Documents with their individual jobs and overhead, whether specifically mentioned, included by implication or appurtenant thereto, are to be 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 Bid Schedules subject to changes as provided in the Contract Documents. 7. The undersigned Bidder hereby acknowledges receipt of Addenda No. through 7/96 Section 00300 Page 1 Unit # Year 2000 1999 1998 1998 1997 1997 1997 1995 2001 2000 1999 1997 1970 Equipment Model 1620AR 1620AR 1620A 1620A 2440A Vermeer 711A Vermeer 711 Vermeer 3550 Trencher/Backhoe Rin omatic Vac. Machine #3 Rin omatic Vac. Machine #2 Ringomatic Vac. Machine #1 Air Updated: 8-13 Value Trailers Updated: 9-11 Model Value Small Reel Trailer Small Reel Trailer Small Reel Trailer Small Reel Trailer Small Reel Trailer Small Reel Trailer Small Reel Trailer Small Reel Trailer Small Reel Trailer Wheeler Reel Trailer White Wheeler Reel Trailer White Wheeler Reel Trailer Yellow Trail Kin Felling Black 1620 Trailer Pothole Restoration Trailer Vermeer 1620 Trailer PJ Black 711 Trailer Load Trail Black 711 Trailer Redi Haul Flat bed EZ Dump Trailer Yellow 1620 Trailer Vermeer 1620 Fendered Trailer Hot Patch Black Trailer Black 30' Trailer TVS Aluminum End Dump Trailer Eliminator Enclosed Trailer Featherlite Ramp Trailer Featherlite 16' Flatbed Total ACDRD- CERTIFICATE OF LIABILITY INSURANCE 01J06,12003 PRODVOL"„ (303)295-1700 FAX C3D3)295-2121 Peoples Insurance Agency, Inc. p 9 Y, 62117th Street, M112S Denver, CD 80293-0625 I ORMATION ONLY AND CONFERS No RIGHTS UPONTHECERTIACATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXT ENO OR ALTER THE COVERAGE AFFORDED BY THE POU CIES BELOW. INSURERS AFFORDING COVERAGE imusro LORADD BORING, LLC, 1AC085 INVESTMENT, LLC, NORTHERN LIGHTS LEASING, LLC 812 QUEENS CT FT COLLINS CO 8052S INSJPEaA NATIONAL FIRE INS. CO./CNA INS. INSLREPB, VALLEY F RG£JCNA INS. INsr.a=Rc CNA insurance NaRERr.. Pinnace Assurance NSWERE COVERAGES THE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUEOTO THE INSURED NAMED ABOVE FOR THE PC UCY PERIOD IN D'CATED.NOTN'ITIISTANDNG ANY REOUIRELIENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT VAITH RESPECT TO WHICH THIS CEPTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCEAFFORCI BY THE POLICIES DESCRIBEDHEREIN IS SUBUECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIM TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, JA TYPE CF INSURANCE GENERAL UAEIOTY X CDMMEikaALCcNEA4__Aa:LI1V CJ'JM3 MI ❑X OCb R X XCU POL'.CYNUIMER 025582442 UTIV OA70 MM IiCYERFI-Di 08/Dl/2002 TE HMS 08/OL/2003 1.1MIT3 EAI:H o—uPPEHcE IS1,000,00 FIR- DAMAOIZNIV]WNeJ E 50,0 NED EKP(Arty w-.Ppwlarl; S SIC K. PEHSONALSADY:NJJR S 1,000,0 cEVErALACKIAEGATE E 2,D00,0 04 X PD Ded 53,000 PRODLCi € C;UMP,Ay A'33 S 2 ,GOO, O CEN LAWREWE LIN - APPLIES PEA: Pa-Iw X JPnr. AUTOMOBILE LUABIUTY X AW AL"O 02 582456 08/0l/2002 09/01/2003 .,D.,Nec BNm_E _MIT wa sldanl & , 1000, 00 ALL OWNED AUTOS WALY IN.UiTY Py !I9a B 9CHCCUIFDAL-OS FIRED AUTt7S t.U]ILY INJURY CPa ArddVAl S NGN-OWN ED l,UI D6 ?TPE-TY DAMAOP. ('i p, a.daMl C DANAOELIABILTIY AUTO ONLY. GA ACCICEN' S CT -%ER WN _AACC A 17,7 :C ,LY: AGG E ANY AU-0 S EXCESS LIABILITY Ti OCCUa ❑ rLA' VS VMF 2054814556 09/01/2002 09/01/2003 EA.^,II OCM,R.FNCF_ S 1,000,00 A03REd-E C 1,000,000 E C E DEDUCTIBLE S WTEN-ION S 10r %YORKERS COAPENSATION AND EMRLL✓TENS'LIABLITY 4021687 08/01/2D02 08/01/2003 X T, N'.LS =-I EL EACHACCIOENT S 100,ODE D E.L. DISEASF-EA ENACYE. S 100 ODC E.L DISEASE-C/JUCP UNIT $ S00,0 Arntractor's O'HER Equipment Scheduled JOISS82456 08/0l/2002 08/01/2003 491,800 Limit - 41,000 d DESd11PTUCM IF OPERATICPI9,LCCATICNWVEHICUG91CXCLLMONS ADOEDBV ENDORDEMENTSPECNL PROVISIONS W"D ANY OF THE ADOVE DESCRIBED POUDES BE CANCELLED BEFORE THE. FXIIIRATION DATE THEREOF THE %&DING COMPANY WILL ENDEAYOII TONAL N/A DAYSWRITTEN NOTOCTOTE:CERMCA-M HOLDER NAMED TOTHE LEFT, BUT FAILURE 70 NAIL SUCH NOTICE SHALL IMPOSE NOAMLIBATION OR LIABILTY OF ANY KIND UPON THE COMPANY, ITS AGENTBCR REPRESENTATIVES. TO WHOM IT MAY CONCERN AUTHOR= REPRESENTATIVE David Snaawn/1.10A ttwe T'd USTT-Ebb-OLG uawaaauA WTN dLS:bO EO SO daS eorvos c �c INSURANCE BID BOND (Public Work) For the CBIC branch nearest you, call toll Free: (888) 283-2242 (888) 293-2242 FAX Premium: KNOWN ALL BY THESE PRESENTS, That we, Colorado Boring romnanv I I G , as Principal, and CONTRACTORS BONDING AND INSURANCE COMPANY, Surety, are held and firmly bound unto city of Fort Collins rnlorado , Obligee, in the sum of xxyxyxxxyyyxxxXyyyx(p(XYfYxxyyy xxyyyx Five percent of amrolnt hid 01%Dollars ($ XXXXXXXXXXXXXX ) for the payment of which we bind ourselves, and our successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has submitted or is about to submit a bid to the Obligee on a contract for ("Project"). NOW, THEREFORE, the condition of this bond is that if Obligee accepts Principal's bid, and Principal enters into a contract with the Obligee in conformance with the terms of the bid and provides such bond or bonds as may be specified in the bidding or contract documents, then this obligation shall be void; otherwise the Principal and Surety will pay to the Obligee the difference between the amount of the Principal's bid and the amount for which the Obligee shall in good faith contract with another person or entity to perform the work covered by the Principal's bid, but in no event shall the Surety's and Principal's liability exceed the penal sum of this bond. Signed and sealed this 29th day of September 2003 Q-pany I I C (Seal) rinci 1 By: CONTRACTORS BONDING AND INSURANCE COMPANY By: �/� A omey-in-Fact William K. Barbour LJ COLORADO DEPARTMENT OF TRANSPORTATION ANTI -COLLUSION AFFIDAVIT PFOJECT NO, ATMS COMMUNICATION SYSTEM PHASE 2 BID NO.: 5802 LOCATION Fort Collins, Colorado I hereby attest that I am the person responsible within my firm for the final decision as to the price(s) and amount of this bid or, if not, that 1 have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose or with the effect of restricting competition with any other firm or person who is a bidder or potential prime bidder. 2A. Neither the price(s) nor the amount of this bid have been disclosed to any other firm or person who is a bidder or potential prime bidder on this project, and will not be so disclosed prior to bid opening. 2B. Neither the prices nor the amount of the bid of any other firm or person who is a bidder or potential prime bidder on this project have been disclosed to me or my firm. 3A. No attempt has been made to solicit, cause or induce any firm or person who is a bidder or potential prime bidder to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non- competitive bid or other form of complementary bid. 3B. No agreement has been promised or solicited for any other firm or person who is a bidder or potential prime bidder on this project to submit an intentionally high, noncompetitive or other form of complementary bid on this project. 4. The bid of my firm is made in good faith and not pursuant to any consultation, communication, agreement or discussion with, or inducement or solicitation by or from any firm or person to submit any intentionally high, noncom- petitive or other form of complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase or sale of materials or services from any firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit any intentionally high, noncompetitive or other form of complementary bid or agreeing or promising to do so on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person, and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any other project, in consideration for my firm's submitting any intentionally high, noncompetitive or other form of complementary bid, or agreeing or promising to do so, on this project. 7. 1 have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, or other conduct inconsistent with any of the statements and representations made in this affidavit. 8. 1 understand and my firm understands that any misstatement in this affidavit is and shall be treated as a fraudulent concealment from the Colorado Department of Transportation, of the true facts relating to submission of bids for this contract. DECLARE UNDER PENALTY OF PERJURY IN THE SECOND DEGREE, AND ANY OTHER APPLICABLE STATE OR FEDERAL LAWS, THAT THE STATEMENTS MADE ON THIS DOCUMENT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. Contractoes fimr or company name eyJon Jacobs Colorado Boring Company Title Member 2nd contractor's Arm or company name. (it joint venture.) By Title Sworn to before me this�day of, �m 20D Notary Public/�%' \\may\J •• •• 'Ay commission expires v • • OTAR ID `1- D N Y: NOTE: This document must be signed in ink. PUBLIC..* . cA'•_ c %Z*• .....;DYF1 Dale 9-28-03 Dale CDOT Form 9606 1/02 I k C COLORADO DEPARTMENT OF TRANSPORTATION ASSIGNMENT OF ANTITRUST CLAIMS NO. SAME Contractor and Colorado Department of Transportation (CDOT) recognize that in actual economic practice antitrust violations ultimately impact on CDOT. Therefore, for good cause -and as consideration for executing this contract and for receiving payments hereunder: Contractor hereby irrevocably assigns to CDOT any and all claims it may now have or which may hereafter accrue to it under federal or state antitrust laws in connection with the particular project, goods or services purchased or acquired by CDOT pursuant to this contract. 2. Contractor hereby expressly agrees: a. That, upon becoming aware that a third party has commenced a civil action asserting on Contractor's behalf an antitrust claim which has been assigned to CDOT hereunder, Contractor shall immediately advise in writing: (1) Such third party that the antitrust claim has been assigned to CDOT, and (2) CDOT that such civil action is pending and of the date on which, in accordance with subparagraph a. (1) above, Contractor notified such third party that the antitrust claim had been assigned to CDOT; b. To take no action which will in any way diminish the value of the claims or rights assigned or dedicated to CDOT hereunder; and c. Promptly to pay over to CDOT its proper share of any payment under an antitrust claim brought on Contractor's behalf by any.third party and which claim has been assigned to CDOT hereunder. 3. Further, Contractor agrees that in the event it hires one or more subcontractors to perform any of its duties under the contract, Contractor shall require that each such subcontractor: a. Irrevocably assign to CDOT (as a third party beneficiary) any and all claims that such subcontractor may have or which may thereafter accrue to the subcontractor under federal or state antitrust laws in connec- tion with any goods or services provided by the subcontractor in carrying out the subcontractor's obliga- tions to Contractor; b. Upon becoming aware that a third party has commenced a civil action on the subcontractor's behalf asserting an antitrust claim which has been assigned to CDOT hereunder, shall immediately advise in writing: (1) Such third party that the antitrust claim has been assigned to CDOT, and (2) Contractor and CDOT that such civil action is pending and of the date on which, in accordance with subparagraph b. (1) above, the subcontractor notified such third party that the antitrust claim had been assigned to CDOT; c. Take no action which will in any way diminish the value of the claims or rights assigned or dedicated to CDOT hereunder; and d. Promptly pay over to CDOT its proper share of any payment under an antitrust claim brought on the subcontractor's behalf by any third party and which claim has been assigned or dedicated to CDOT pursuant hereto. I, acting in my capacity as officer of a bidder (bidders if a joint venture) do agree to the above assignment of antitrust claims. scrota firm or company name 6y Jon Jacobs Date Colorado Boring Company 9 - 2 8 - 0 3 n company name. (it joint venture.) .I By Date COOT Form /621 12191 COLORADO DEPARTMENTOF TRANSPORTATION Project ATMS COMMUNICATIONS SY UNDERUTILIZED DBE GOOD FAITH EFFORT Phase 2 Bid No.: 5so2 DOCUMENTATION Fort Collins, Colorado Date 9-28-03 The Contractor who is the apparent low bidder on a CDOT construction project and has failed to meet the Underutilized DBE (UD contract goals shall use this form to document good faith efforts made to date by said Contractor to attempt to meet these goals. FAILURE TO FULLY COMPLETE THIS FORM MAY RESULT IN REJECTION OF THE BID. Each portion of this form is to be addressed in the space provided, or on supplemental sheets. Attach supporting documentation as required. This completed form and required attachments are to be submitted to the Business Programs Office in the Center for Equal Opportunity prior to 4:00 p.m. on the day after the day bids are opened. This form may be submitted by FAX (303-757-9019) with an original copy to follow. An extension may be granted by the DBE Liaison. Solely at its discretion, CDOT may request additional information and accept additional UDBE participation at any time and prior to the final decision concerning Good Faith Efforts. I. List sufficient bid items (including portions of bid items) identified as subcontract work to be performed by UDBEs to achieve the established UDBE participation goal. Indicate the total percentage of work identified for UDBE participation. The total percentage of subcontract items identified for UDBE participation must equal or exceed the percentage goal established by CDOT. NONE II. For each subcontract item identified, co%by�ail, Wor telephone a minimum of two currently CDOT-certified UDBEs whose work and function codes match the ty�f Ong s ed. For projects in areas of the state where there are more than two UDBEs capable of performing identified bco t i contact at least two thirds of those UDBEs. If soliciting by telephone, provide a telephone log of calls, including s date, time, name of person contacted, and the response received. If soliciting by mail, provide copies of le ei responses. Letters and FAXes must specifically identify the project, the items to be subcontracted, and ths an AXes must provide an address and phone number where specific quantities or details will be available to bidder he C hall provide sufficient time to allow the UDBEs to participate effectively in the bidding process. Submit a det�x tion a essing failure to provide any of the above. NONE Original -Business Programs Office. Copy -Contractor Previous editions are obsolete and may not be used CDOT Form #718 3199 III. List all UDBE and non-UDBE bidders, bid dollar amounts for each bid item, and the name of the successful bidder. uescnoe now Dic items were broken down to increase opportunities for specific UDBE bidders. If the UDBE bids were rejected, give reasons for each case. Cost alone may not be adequate justification for failure to use a UDBE bid. If the work is to be counted as a potential UDBE subcontract item, the Contractor cannot elect to perform that work itself when a UDBE bid is competitive or only UDBE bids are received. When a non-UDBE bid is significantly lower than a UDBE bid, the Contractor may choose to perform the item itself. Whether a bid is "competitive" or "significantly lower" will be determined by CDOT. Provide a detailed explanation for failure to provide any of the above. NONE IV. The effortsiffquired her of exhaustive or exclusive. Other factors or types of efforts may be relevant in appropriate cases. In determining w er G Faith Efforts have been made, the quantity and intensity of the efforts made as well as kinds of efforts made may be considaJILLLIWy additional efforts to increase UDBE contract participation, such as requesting subcontractors to assist with providing UDBE ation. Note the results of such efforts. Colorado Boring Company shall perform 100% of all work required under this bid. It will not subcontract any work requird. THE CONTRACTOR UNDERSTANDS THAT DEMONSTRATION OF GOOD F EFFORTS IN ACHIEVING THE UDBE I GOALS ESTABLISHED BY CDOT IS REQUIRED THROUGHOUT THE P OR -PF THE CONTRACT. Company - Signatur Colorado Boring Company COLORADO DEPARTMENT OF TRANSPORTATION CERTIFICATION OF EEO COMPLIANCE Instructions: Bidders and subcontractors must complete and submit this form with bid proposals for federally funded contracts greater than $10,000. This is required by the Equal Employment Opportunity Regulations [41 CFR 60-1.7(b) (1)]. The regulation also requires that if you have participated in a previous contract or subcontract and have not filed a Standard Form 100 (EEO- 1), you cannot be awarded this contract. You may file a report covering the delinquent period for consideration by the Federal Highway Administration or the Director of the Office of Federal Contract Compliance, U.S. Department of Labor. The Standard Form 100 (EEO-1) may be requested from the: Joint Reporting Committee P.O. Box 779 Norfolk, VA 23501 (757)461-1213 1. Yes No I have developed and have on file at each establishment an affirmative action program as required by 41CFR Chapter 60, Part 60-2. 2. Yes No I have participated in a previous contract/subcontract subject to the equal opportunity clause. 3. Yes No I have filed with the Joint Reporting Committee, the Director, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements. I declare under penalty of perjury in the second degree and any other applicable state or federal laws, that the state- ments made in this document are true and complete to the best of my knowledge. Company Colorado Boring Company X_ bidder proposed subcontractor By: Jon Jacobs Title: Date: Member 9-28-03 O/ CDOT Form $747 H194 COLORADO DEPARTMENT OF TRANSPORTATION CERTIFICATE OF PROPOSED UNDERUTILIZED DBE PARTICIPATION 'roject# ATMS COMMUNICATIONS SYSTEM Phase 2 Bid No.: 5802 ocation Fort Collins, Colorado ,reject code (SA#) ISheet Contractor:1. An officer of the contractor(s) must complete this form. 5. Send original to: 2. Include only DBE firms which meet the underutilized criteria in Colorado Department of Transportation the contract goal specification for this project. Business Programs Office 3. Submit a separate CDOT Form #715 for each proposed DBE. 4201 E. Arkansas Ave. 4. Retain a photocopy for your records. Denver, Colorado 80222 FAX: (303) 757-9019 DBE Subcontractor information None of work subcontracted A) What is the total dollar value of this proposed (NOTE: dollar values are to be actual subcon' B) What is the total dollar value of propose sul prior sheets? C) What is the accumulative value o D) What is the orginal con bid ? E) What is the Contractor Certification is ap ablWoward contract goals? ill-tolffme contract prices) toward contract goals from 100 B> $100.00 that are applicable towards contract goals? I C> $200.00 D> $100.00 bid total subcontracted to all underutilized DBEs? I E> A + B = C (C=D)x100 =E • my company has met the contracted DBE goals or has attached a completed CDOT Form #718, DBE Good Faith Effort Documentation. • my company has accepted a proposal from the DBE subcontractor named above. • my company has notified the proposed DBE subcontractor of the contracted DBE commitment. • my company's use of the proposed DBE subcontractor for the items of work listed above is a condition of the contract award. • my company will invite the proposed DBE subcontractor to attend the preconstruction conference. • my company will not use a substitute DBE subcontractor for the proposed DBE subcontractor's failure to perform under a fully executed subcon- tract, unless my company complies with the definitions and requirements section of the DBE Special Provisions. • 1 understand that failure to comply with the information shown on this form will be considered grounds for contract termination. 1 declare under penalty of perjury in the second degree, and any other applicable state or federal laws, that the statements made on this document are true and complete to the best of my knowledge. IPrime contractor name vale Colorado Boring Company 1 9-28-03 Member ess Programs copy - Project Engineer Previous editions are obsolete and may not be used COOT Form #716a 6101 EEO representative copy - contractor CONTRACTOR BY: j r d /:)S ADDRESS: Ull cRyzal dr 8. BID SCHEDULE (Base Bid) PHASE II BID SCHEDULE ITEM # PAY ITEM DESCRIPTION UNIT QTY. UNIT PRICE ITEM COST 1 2 3 4 5 6 7 8 9 10 11 203 613 613 613 613 613 613 614 614 626 630 Potholing Proof ExistingConduit 1-1/2" Electrical Conduit Plastic 2" Electrical Conduit (Plastic) Pull Box 18"x30° Pull Box 18"x30" Stacked Pull Box 30"x48" Communication Hub Fiber Optic Cable (Install nn1vVAR s.m. Mobilization Construction Traffic Control Hour L.S. Lin. Foot Lin. Foot Each Each Each Each Lin. Foot Lump Sum Lump Sum 600 1 5,800 26,500 15 35 4 3 38,590 1 1 7 �o /,;EY 3s= .00 0.00 yoo. o0 yo0,ov , 30 60000.00 5Zw.00 Total oo.00 .00 3 7y0.00 700.00 'O �.t00. o G p o00.00 3 S'pa,O0 AA 916Y. 00 7/96 Section 00300 Page 2 COLORADO DEPARTMENT OF TRANSPORTATION ProjectoATMS COMMUNICATIONS SYSTEM UNDERUTILIZED DBE BID Phase 2 Bid No.:5802 Location CONDITIONS ASSURANCE Fort Collins, Colorado Instructions: Contractor - Complete and submit tnis form witn your bid. Heport only unaeruuuzea ubr- tuubL) participa- tion which qualifies under the contract goal specification for this project. POLICY It is the policy of the Colorado Department of Transportation that underutilized disadvantaged business enterprises have maximum opportunity to participate in the performance of contracts financed with federal, state or local entity funds. INTENDED UNDERUTILIZED DBE PARTICIPATION 1) Will your company's intended Underutilized DBE (UDBE) participation meet contract goals? ❑ yes 10 no Meets contract goals 2) Total intended Underutilized DBE (UDBE) participation: 0 % ❑ yes & no 3) List the UDBE firms you intend to use for your UDBE participation None Name of UDBE firm(s) Certification Intended items) expiration date of work I understand that, if my company is determined to be the low bidder for the contract on this product, I must submit a completed CDOT Form #715 CERTIFICATION OF UNDERUTILIZED DBE PARTICIPATION to the Transportation Department by 4:00 pm the day after the bids are opened. In addition, if my company does not meet the intended contract goals, I must submit a completed CDOT Form #718 DBE GOOD FAITH EFFORT DOCUMENTATION before the above stated deadline. I understand my obligation to abide by the policy stated above. I shall not discriminate on the basis of race, color, age, sex, national origin, or handicap in the bidding process or the performance of contracts. 1 DECLARE UNDER PENALITY OF PERJURY IN THE SECOND DEGREE, AND ANY OTHER APPLICABLE STATE OR FEDERAL LAWS, THAT THE STATEMENTS MADE IN THIS DOCUMENT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. Company name Date Colorado Boring Company 9-28-03 Company officer sign ure Title Member Previous editions are obsolete and may not be used CDOT Form #714 6/02 COLORADO DEPARTMENT OF TRANSPORTATION Project# CONTRACTORS PERFORMANCE CAPABILITY STATEMENT I Same 1. List names of partnerships or joint ventures gJ none 2. List decreases in the contractors fiscal or workmanship qualifications compared to the last prequalification statement submitted to CDOT. (Attach additional sheets if necessary.) a. Key personnel changes non b. Key equipment changes none c. Fiscal capability changes (legal actions, etc.) none d. Other changes that may effect the contractors ability to perform work. none I DECLARE UNDER PENALTY OF PERJURY IN THE SECOND DEGREE, AND ANY OTHER APPLICABLE STATE OR FEDERAL LAWS, THAT THE STATEMENTS MADE ON THIS DOCUMENT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE Contractor's firm or company name Colorado Boring Company By Jon Jaco Date 9-28-03 Title Me r 2nd Contractorsfirm orcompany name (if joint venture) By Date Title CDOT Form r16e5 1192 SECTION 00410 BID BOND KNOW ALL MEN BY THESE PRESENTS: that we, the undersigned �o�arcow Qsny CO. as Principal, and Eon „f Oon,Ln% Ro , as Surety, are hereby held and firmly bound unto the City of Fort Collins, Colorado, as OWNER, in the sum of $ Z4.2 5-0 for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors, and assigns. THE CONDITION of this obligation is such that whereas the 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, COMMUNICATIONS SYSTEM PHASE 2; Bid No. 5802. NOW THEREFORE, (a) If said Bid shall be rejected, or (b) If said Bid shall be 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, and for 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. 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; and said Surety does hereby waive notice of any such extension. Surety Companies executing bonds must be authorized to transact business in the State of Colorado and be accepted by the OWNER. 7/96 Section 00410 Page 2 IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals this day of , 20 , 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, the day and year first set forth above. Address: By: Title: ATTEST: By: PRINCIPAL (SEAL) SURETY MO - Title: (SEAL) 7/96 Section 00410 Page 3 acN1°6 AW Home Office: 1213 Valley Street Limited Power of Attorney Se Box 9271 Seattle, WA 98109-0271 INSURANN- (206) 628-7200 KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of Washington, and having is principal office in Seattle, King County, Washington, does by these presents make, constitute and appoint WILLIAM K. BARBOUR, of Littleton, Colorado, its true and 6adul Affomey-in-Fact, with ful power and authority hereby conferred in is name, piece and stead, to execute, acknowledge and delver on behaf of the Company any and al bonds and undertakings of suretyship given for any purpose, provided, however, that no Atlomay-in-Fact shag be authorized to execute and delver any bond or undertaking that shag obigate the Company for any portion of the panel sum thereof in excess of $10,000,000, and provided, further, that no Attorney -in -Fact shag have the suthority to issue a bid or proposal bond for any project where, if a contract is awarded, any bond or undertaking would be required with a penal sum in excess of $10,000,000; and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company and duly attested by is Secretary, hereby ratifying and confirming all that the said Attomeyan-Fact may do in the premises. Said appointment is made under and by autority of the following resolutions adopted by the Board of Directors of the CONTRACTORS BONDING AND INSURANCE COMPANY on September 8, 1998: RESOLVED that the President of the Company is authorized to appoint any person as the Company's true and lawful Attorney -in -Fact with power and sud'aily to execute and delver on behalf of the Company any and all bonds and undertakings of suretyship given for any purpose, subject to such Imhs as shag be determined by the President of the Company, provided, however, that no such person shag be authorized to execute and delver any bond or undertaking that shag obligate the Company for any portion of the penal sum thereof In excess of $10,000,000, and provided, further, that no Attorney -in -Fact shag have the authority to issue a bid or proposal bond for any project where, if a contract is awarded, any bond or undertaking would be required with penal sum in excess of $10,000,000. RESOLVED FURTHER that the authority of the Secretary of the Company to certify the authenticity and effectiveness of the foregoing resolution in any Limited Power of Attorney is hereby delegated to the following persons, the signature of any of the following to bind the Company with respect to the authenticity and effectiveness of the foregoing resolutions as if signed by Via Secretary of the Company: Donald Siddn, Steven A. Gaines, John Pieprzny, John D. Unto, Marc A. Mrkvicka, Lamy A. Byers, and Diana Hoingsworth. RESOLVED FURTHER that the signatures (ncluding certification that the Power of Attorney is stl in. force and effect) of the President, Notary Pubic and person certifying authenticity and effectiveness, and the corporate and Notary seals appearing on any Limited Power of Attorney containing this and the foregoing resolutions as well as the Limited Power of Attorney itself and its transmission, may be by facsimile; and such Limited Power of Attorney shag be deemed an original in all aspects. RESOLVED FURTHER that all resolutions adopted prior to today appointing the above named as Attomey-in-Fact for CONTRACTORS BONDING AND INSURANCE COMPANY are hereby superseded. IN WITNESS WHEREOF, CONTRACTORS BONDING AND INSURANCE COMPANY has caused these presents to be signed by its President and its corporate seal to be hereto affixed this 8th day of September, 1998.--,.,,,,,_ CONTRACTORS BONDING AND INSURANCE COMPANY By Ste' STATE OF WASHINGTON--COUNTY OF KING On this % day of September, 1998, personally appeared STEVEN A. GAINES. to me known to be the President of the corporation that executed the foregoing Limited Power of Attorney and admowladged said Limited Power of Attorney to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he is authorized to exnr.+!te the sad limited Power of Attomey. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written. Notary Pubic in The undersigned, acting under autnoir ty pt)the Board of Directors of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby certifies, as or in feu of Certificate of the Secretary of CONTRACTORS BONDING AND INSURANCE COMPANY, that the above and foregoing is a ful, true and.correct copy of tha Odginal Power of Attorney issued by said Company, and does hereby firrdw certify that the said Paver of Attorney is still in force and effect. GIVEN under my hand at , this 2 9 th day of Sept . - , 20 03 PoaWB01.03-US022200 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 the several kinds called for. Bidder acknowledges that the OWNER has the right to delete items in the Bid or change quantities at his sole discretion without affecting the Agreement or prices of any item so long as the deletion or change does not exceed twenty-five percent (250) of the total Agreement Price. RES?ECTFUI;&? SUBAITTED: Title -a. ( .r Racy Perm,-j- License Number (If Applicable) (Seal - if Bid is by corporation) Attest: - 17-??-o3 Date Address d Cnu./ (+I . S . �9�i�set-) Telephone 970 - 99Y-199b 7/96 Section 00300 Page 3 SECTION 00400 SUPPLEMENTS TO BID FORMS 00410Bid Bond 00420 Statement of Bidder's Qualifications 00430 Schedule of Subcontractors 7/96 Section 00410 Page 1 SECTION 00420 STATEMENT OF BIDDER'S QUALIFICATIONS All questions must be answered and the data given must be clear and comprehensive. be This statement must be notarized. If necessary, questions may answered on separate attached sheets. The Bidder may submit any additional information he desires. 1. Name of Bidder: 2. Permanent main office address: 3. When organized: Der[-.,/!- 4. If a corporation, where incorporated: -- 5. How many years have you been engaged in the contracting business under your present firm or trade name? � yea M 6. Contracts on hand: (Schedule these, showing the amount of each contract and theappropriate anticipated dates of completion.) '' 1fY� LO-_ i��r�a��r per. G� n�bTG i 7. General character of Work performed by your company: Ail O ao r« az and a nc b".,O A. A �w � 0r2 r1rf�Lcf.' n 8. Have you ever failed to complete any Work awarded to you? 40 If so, where and why? 9. Have your ever defaulted on a contract? h 0 If so, where and why? 10. Are you debarred by any government agency? 7 _4 If yes list agency name. 7/96 Section 00420 Page 1 11. List the more important projects recently completed by your company, stating the approximate cost of each, and the month and year completed, location and type of construction. 12. List your major equipment available for this contract. Sct !aifg. ed 13. Experience in construction Work similar in importance to this project: COIQry.ato Ca. Aa.,r/i a ai_ L Tn c /fG�i Qr��iii eaig4ti _fb a r1 3V em-s �JfL��QBr 14. Background and experience of the principal members of your organization, including officers: -All n, a Qe .i K ' a y. ilot, o .,4 Syr y.yi� 0 15. Credit available: $ 7 7r 000. 16. Bank reference: ) i 017 741e/- QanX _(,U,� ei`� CO 5 - 67y 90zfO 17. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the OWNER? 18. Are you licensed as a General CONTRACTOR? G,S If yes, in what city, county and state? What class, license and numbers? F, L, 6{0tv 19. Do you anticipate subcontracting Work under this Contract? Z20 If yes, what percent of total contract? and to whom? 20. Are any lawsuits pending against you or your firm at this time? /yp If DETAIL yes, 7/96 Section 00420 Page 2 21. What are the limits of your public liability? DETAIL ate q. 79a dA j=d What company? 5&�� C4�C 22. What are your company's bonding limitations? 23. The undersigned hereby authorizes and requests any person, firm or corporation to furnish any information requested by the OWNER in verification of the recital comprising this Statement of Bidder's Qualifications. Dated at /D.'OO an_ this Z9+� day of��6a• 200,7. State of edflor,a,do County of LaP4inee ) �Jo�, QCL-Coo-r being duly sworn deposes and says that he is (name� of organization) of ��ont B°r� and that the answers to the foregoing questions and all statements therein contained are true and correct. Subscribed and sworn to before me this C746� day of 2 0 "JO N o 4a r Q1 My commission expires .-'- 1o1',,-4`, 7/96 Section 00420 Page 3 SECTION 00430 SCHEDULE OF SUBCONTRACTORS List all subcontractors for the work items listed below and all subcontractors performing over 100 of the contract. ITEM 7/96 SUBCONTRACTOR 4onc- Section 00430 Page 1 Year Vehicles Model Chev 3500 Rob Chev 3500 Lonnie Chev 3500 Jon Chev 3500 Lloyd Chev 1500 Cecil GMC To kick Vac. Truck GMC To kick Vac. Truck Ford F800 Vac. Truck Freightliner FL70 Water Truck White Freightliner FL70 Water Truck Yellow Freightliner FL80 Water Truck Freightliner FL120 Water Truck Chev Box Van Chev Astrtro Van Ford F250 Extra Cab Ford F350 Aluminum Box Truck Ford F250 Service Truck GMC Pothole Restoration Pickup Ford F150 White Extra Cab 2WD Ford F350 Flatbed Ford F150 White Extra Cab 4WD Chev 1 Ton Dump Flatbed Chev 1 Ton Flatbed International Semi Ford F250 White Extra Cab 4WD Chev 12 passenger bus Ford F250 White Extra Cab 4WD CH Ford F150 White Pickup GMC Pohole Truck Dodge 3500 Silver Dodge 3500 Red I f-Ul I Updated: 8-13-031