Loading...
HomeMy WebLinkAboutRESPONSE - BID - 5868 ATMS COMMUNICATIONS SYSTEM PHASE 3SECTION 00300 BID FORM PROJECT: ATMS COMMUNICATIONS SYSTEM PHASE 3; Bid No. 5868 Place AL , l'e e r, CO Date -7 —147—Oci 1. In compliance with your Invitation to Bid dated �r. /v 1-7, and subject to all conditions thereof, '' the- undersigned I'd16" o Bonn• 40 . a ** (Ge*per-er�, Limited Liability Company, �, or )** 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 r_nc/aJcrA- ($ ) in accordance with the Invitation To Bid and Instructions 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: Ck/C 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 21. What are the limits of your public liability? DETAIL What company? 22. What are your company's bonding limitations? goo, 0 ad -�` 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 this _� day of / V 200Y. u o v o o/A, a Name of Bid By: State of Bolo ^acla County of (07r.im U ) JC94- .Jcc cJL-j being duly sworn deposes and says that he is as o...ntti of_901-,ka In and that (name of organization) the answers to the foregoing questions and all statements therein contained are true and correct. Sub�sPTibed and sworn to before me this day of 2 0AI-es �l Notary My commission expires '451�r� SL 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 10% of the contract. ITEM SUBCONTRACTOR ��rn�t fP/'y CGf 7/96 Section 00430 Page 1 \ COLORADO BORING CO. 3813 Canal Drive Fort Collins, CO. 60524 phone 970 494 1996 fax 970 494 4449 July 19, 2004 Ward Stmfi)ld Traffic Systems Engineer 626 linden St Ft Collins, CO.80522 RE: ATMS Communications System Phase 3 Mr. Stanford: Colorado Boring Company has received addendum one and two. jon Jacobs Outside Operations Manager COLORADO DEPARTMENT OF TRANSPORTATION PROJECT NO. J r Come.G ANTI -COLLUSION AFFIDAVIT LOCATION eyoA e-a . /C9s , 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 I 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. 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 T UE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. Contractor's fine or company name By Dale o ��ccao oNi C',3 Title C'wnt� 2ne contractor's fine or company name. (it joint venture.) By Date Title Sworn to before me this �y day of,� 2001'e_ Notary Public 'cbmnigsipn expi 9 NOTE: This document must be signed in ink. CDOT Form #606 1/02 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. VYes 2. ❑ No I have participated in a previous contract/subcontract subject to the equal opportunity / clause. 3. M 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 'SZ bidder ❑ proposed subcontractor ! Title: Dale: L // — CDOT Form 0347 11194 Year Vehicles Updated: 4-16-04 Model Value 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 Frei Miiner FL120 Water Truck Chev Box Van Chev Astro Van Ford F250 t_xtra Cab Fond 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 F250 White Pickup GMC Pothole Truck Dodge 3500 Red rota) $ 44,000.00 $ 44,000.00 $ 44,000.00 $ 44,000.00 $ 30,000.00 $ 28,000.00 $ 14,000.00 $ 22,000.00 $ 33,000.00 $ 33,000.00 $ 38,000.00 $ 33,000.00 $ 22,000.00 $ 4,000.00 $ 2,000.00 $ 10,000.00 $ 8,000.00 $ 2,000.00 $ 9,000.00 $ 15,000.00 $ 14,000.00 $ 14,000.00 $ 9,000.00 $ 9,000.00 $ 15,000.00 $ 1,950.00 $ 17,000.00 $ 5,000.00 $ 30,000.00 $ 24,000.00 $ 615,950.00 Unit # Trailers Updated: 4-1 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 King Felling Black 1620 Trailer Pothole Restoration Trailer Vermeer 1620 Trailer Big Tex 2nd Dump Trailer Load Trail Black 711 Trailer Red! Haul Flat bed EZ Dump Trailer Yellow 1620 Trailer Vermeer 1620 Fendered Trailer Hot Patch Black Trailer Black 3V Trailer TVS Aluminum End Dump Trailer Eliminator Enclosed Trailer Featherlite Ramp Trailer Featherlite 16' Flatbed Total $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 7,000.00 $ 7,000.00 $ 7,000.00 $ 3,000.00 $ 7,000:00 $ 1,000.00 $ 7,000.00 $ 5,000.00 $ 6,000.00 $ 4,000.00 $ 4,000.00 $ 8,000.00 $ 8,000.00 $ 1,500.00 $ 4,000.00 $ 11,000.00 $ 113,000.00 Year Equipment Model Vermeer 1620AR Vermeer 1620AR Vertneer1620A 2440A Vermeer 711A Vermeer 711 Vermeer 3550 Trencher/Backhoe Rin omatic Vac. Machine #3 Rin omatic Vac. Machine #2 Rinuomatic Vac. Machine #1 Air Updated: 4-16-04 Value 1$ IFS 1 1 SECTION 00410 BID BOND KNOW ALL MEN BY THESE PRESENTS: that we, the undersigned 'olorado Boring* as Principal, and Con r ct-ora Bondi nn and Tnciirarl, as Surety, are hereby held and firmly bound unto the City of Fort Collin Colorado, as OWNER, in the sum of $5% of Amount Bid for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors, and assigns. THE CONDITION of this obligation is such that whereas the Principal has submitted to the City of Fort Collins, Colorado the accompanying Bid and hereby made a part hereof to enter into a Construction Agreement for the construction of Fort Collins Project, ATM$ COMMUNICATIONS SYSTEM PHASE 3; BID NO. 5868. AiOW THEREFORE, (a) If said Bid shall be rejected, or 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 Sid) 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 i_s 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. *Company, LLC or ;ec".zon C0410 Page 2 IN WITNESS WHEREOF, the iIrincipai and the Surety have hereunto set their hands and seals this 19th day. of July , 20Q4 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. PRINCIPAL SURETY Mame: Cnl nradn Raring Commpaanw, LI C Cnntran ors Bondi na, and Tncnrance Company Address:3813 Canal Dr. 5300 DTC RKa,:3+Y Ste. 490 Fort Q6fUms, Co. 80524 Greenwood Village, Co. 80111 By: B Wil am K. Barbour itJ. © Title: Attorney In Fact ATTEST: ny /95 �cct.i:,n J04,10 Paqe 3 4fo l'ac J 20�Jtlg C'o CONTRACTOR BID SCHEDULE (Base Bid) BASE BID ITEM # PAY ITEM ESCRIPTION UNIT QTY. UNIT PRIPE ITEM COST 1 203 Potho ing Hour 600 2 613 2" Ele rical Conduit (Plastic L.F 38,545 3 613 Pull Box (1 'xl8")00E ach 5 4 613 Pull Box (2411x ") Each 45 5 613 Pull Box (30"x4 Each 4 6 613 Pull Box "x60") Each 2 7 614 Fiber is Cable (Ins 11 Only) L.F. 65,576 8 626,,o4obilization ump 1 630 Construction Traffic Control Lu Sum 1 Total Cost 7/96 Section 00300 Page 2 iAW Home Office: 1213 Valley Street Limited Power of AttorneyPO Box 9271 Seattle, WA 98109-0271 (206) 628-7200 KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, a corporation duty orgy toad and existing under the laws of the State of Washington, and haft Its principal office In Seattle, IOng County, Washinglom does by these presents make, constitute and appoint WILLIAM K BARBOUR, of Littleton, Colorado, its true and fearful Albrrrey-In.Fact with full power and authority hereby contarrecl in Its now, piece and stead, to execute, acknowledge and deliver on behalf of the Corrpany any and all bonds and undertakings of suretyship given for any Purpose, Provided, however, Oral no Attomay-intact shall be authorized to execute and delver any bond or undertaking that shall obligate the Company for any portion of tlb penal sum Ihered In VMS of $10,000,000, and provided, further, that no AOomeydn-Fad shall have that aulhadty to Issue a bid or proposal bad for any project where, O a contract b aw �ion O the a at or undertakingIn would be required with a penal sum in excess of $10,000,000; and to bind the Company thereby as fully and to the sane extent as t such bonds were signed fir th Presktent arty b nd the corporate seal of the Company and duly attested by ib Secretory; hereby rallying and confirming at that the said Attomey-in-Fad may do in the premises. Said appointment is made under and by authority of the '-following resolutions adopted by the Board of Directors of the CONTRACTORS BONDING AND INSURANCE COMPANY on May 20, 2004: RESOLVED that the Pmsktent of the Company is adhorbad to appoint any person as the Company's trueand lawful Afbmey-b-Fad With power and authority to execute and deliver on behalf of the Company any and ail bonds and undwteklngs of suretyship given for any purpose, subject to such limb as shall be determined by the President of the Compaq; provided, however, that no such person shall be authorized to execute and deliver any bond or undertaking that shall obligate the Company for any portion of the Panel sum thereof in excess of $10,000,000, and Provided, further, that no Attomey4n-Fad shall have the authority to issue a bid or proposal bond for any project wirers, If a contract Is awarded, any bond or undertaking would be required with panel sum in excess of $10,000,0g0. Any Atlomey4n-Fact authorized to execute a surety bond or rudertaldrhg may also be authorized to execute any consent or other documentation Incidental te sold bad or undertaking, provided such document does not obligate the Company In excess of the Omit set forth above. RESOLVED FURTHER that the authority of the Secretary of the Company to certify the authenticity and effectiveness of the foregoing resolution in any LhNtad Power of AOomey Is hereby delegated to the fdbwing persons, the signature of any of the following to bind the Company with respect to the aulhendelly and effectiveness of the foregoing resolutions as if signed by the Secretary of the Company: Terry N. Thompson, Luther L Hicks, Wllllan K Barbour, Diana Hollingsworth, John T. Pieprzn y, May Beth Kostyk; Rts A. Miller, Gregory P. Brno, Dorothy Tatra, Michael J. McVey, Phyllis K Jelferies, No Finer, Wesley B. Hong, John D. Minte, Brian Schlott, Eric Sirkin, Chris Reborn, Mark Noma, Wm Blair Meball, Julie A Schaller, Yolanda Urrula, Vickie Spence, and Maureen Sacclo. Provided, however, that no such person shall have the authority to certify the aAhentcity of a resolution or Undled Power ofAttemey document which serves to appoint themself as Atomey4n-Fact - RESOLVED FURTHER that the signatures (Including caticaton that the Power of Attorney is still in face and effect) of the President, Notary Public 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 Umited Power of Attorney shall be deemed an original in all aspects. RESOLVED FURTHER that all resdutons adopted prior to today appointing the above named as Atlomey4n-Fad her 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 tobe fherxjte affaed ants *'day of May, 2004. nxyy r CONTRACTORS BONDING AND INSURANCE COMPANY V' ✓ F ° / (x ,' 4 WSEAL By: Don Sift, President �p'y��B�HfNe3n� STATE OF WASHINGTON-COUNTYOF19NG w4WWWgN tE IrEI'y,,:z' °11 On this 20th day of May, 2004, Personalty appeared DON SIRKIN, to me known to be the President of the corporation that executed the foregoing Limited Power d Afbmey`ind arJordwledged said Limited Powaof Attorney to be the free acl voluntary act and dead of said corporation, for the uses and purposes therein mentiared, and on oath staled that he te authorized te execute ire sad Limited PowerofAttomey, IN WITNESS WHEREOF, I have hereunto set my hand and alhxed my official seal the day and year fist above Written.411 q CO. Notary Public in and for the State of Washington, reeding at Seattle gbgr?RWIpl�.��� The undersigned, acting under authority of the Board of Directors of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby certifies, as or In lieu of Certificate of the Secretary of CONTRACTORS BONDING AND INSURANCE COMPANY, that the above and foregoing is a full, We and correct copy of the Original Power of Attorney Issued by said Company, and does hereby further certify that the said Power of Attorney is still in face and effect GIVEN under my at , this 1 9 t h day of Ju 1 y .2004 PoaDSD1.14-US052004 ADDENDUM BID #5868 ATMS COMMUNICATIONS SYSTEM PHASE 3 BID SCHEDULE BASE BID ITEM # PAY ITEM DESCRIPTION UNIT QTY. UNIT PRICE ITEM COST 1 203 Potholing Hour 600 7f- p 00 2 613 2" Electrical Conduit Plastic L.F. 39,263 o 3 613 Pull Box 12"x18" Each 6 3/ : 4 613 Pull Box 24"x36" Each 43 3d' 5✓ 5 613 Pull Box 30" x48" Each 4 00 00 6 613 Pull Box 48"x60" Each 2 JL 00 u y r20 0 .- 7 614 Fiber Optic Cable Install Only) L.F. 66,244 8 626 Mobilization Lump Sum 1 ,,. .. 9 630 Construction Traffic Control Lump Sum 1 o� fir y4 -0 Total Cost y7 A 77 . The following Alternate Work locations are to be bid as separate work items. ALTERNATE BID ITEM # PAY ITEM DESCRIPTION UNIT QTY. UNIT PRICE ITEM COST Laurel St 1 203 Potholing (hr) Hour 25 2 613 2" Conduit (lf) LF 3030 �r 3 613 Pull Box 12 x 18 (ea) Each 1 4 613 Pull Box 24 x 36 (ea) Each 4 y 5 613 Pull Box 30 x 48 (ea) Each 0 6 613 Pull Box 48 x 60 (ea) Each 0 7 614 Fiber Optic Cable (install) LF 3528 b 3'-fU, 8 1 630 Construction Traffic Control Lump Sum 1 i 00_ d� 1100 TOTAL COST / ,2; S. College 1 203 Potholing (hr) Hour 50 sc 7 ` 3 2 613 2" Conduit (lf) LF 15834 3 613 Pull Box 12 x 18 (ea) Each 1 106 0 4 613 Pull Box 24 x 36 (ea) Each 17 O ' y0y6 - 5 613 Pull Box 30 x 48 (ea) Each 0 6 613 Pull Box 48 x 60 (ea) Each 0 Fiber Optic Cable �+ 7 614 (install) LF 17514 6 ST Construction Traffic Lump 8 1 630 1 Control Sum 1 0 TOTAL COST 7i?, 7/96 Section 00300 Page 3 W. Harmony 1 203 Potholing (hr) Hour 0 2 613 2" Conduit (lf) LF 20 3 613 Pull Box 12 x 18 (ea) Each 0 4 613 Pull Box 24 x 36 (ea) Each 7 5 613 Pull Box 30 x 48 (ea) Each 3 -/d� •� 0100- 6 613 Pull Box 48 x 60 (ea) Each 0 "— 7 614 Fiber Optic Cable (install) LF 5780 ;� J 8 630 Construction Traffic Control Lump Sum 1 TOTAL COST 5"193 W. Elizabeth 1 203 Potholing (hr) Hour 25 2 613 2" Conduit (lf) LF 1628 3 613 Pull Box 12 x 18 (ea) Each 1 / 0 6 ' 104 4 613 Pull Box 24 x 36 (ea) Each 1 ,z 30 •` �3vf 5 613 Pull Box 30 x 48 (ea) Each 0 `^ 6 613 Pull Box 48 x 60 (ea) Each 0 Fiber Optic Cable ;v 7 614 (install) LF 1785 6 %O Construction Traffic Lump � 51-0 8 630 Control Sum 1 [TOTAL COST / 0 7/96 Section 00300 Page 4 Horsetooth Rd. 1 203 Potholing (hr) Hour 25 2 613 2" Conduit (lf) LF 1853 3 613 Pull Box 12 x 18 (ea) Each 0 �-- �---- 4 613 Pull Box 24 x 36 (ea) Each 4 pl 5 613 Pull Box 30 x 48 (ea) Each 0 —'- 6 613 Pull Box 48 x 60 (ea) Each 0 Fiber Optic Cable 7 614 (install) LF 2168 Construction Traffic Lump J 8 630 Control I Sum 1 /00, //&V. TOTAL COST 1 %. 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 (25%) of the total Agreement Price. "7—/9-0 Date (J UJn lr Title cense Number (If Applicable) (Seal - if Bid is by corporation) Attest: Address Telephone 7/96 Section 00300 Page 5 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 (25%) of the total Agreement Price. RESPE LY UBMITTED: �-i9-off gn e Date Owli!r Title License Number (If Applicable) (Seal - if Bid is by corporation) Attest: Address Telephone 7/96 Section 00300 Page 5 SECTION 00420 STATEMENT OF BIDDER'S QUALIFICATIONS All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information he desires. 1. Name of Bidder: 119e /b^tocio n�14 Co. 2. Permanent main office address: 3�/7 l'drnal/ Qi r14 3. When organized: 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? to VEqt-J 6. Contracts on hand: (Schedule these, showing the amount of each contract and the appropriate anticipated dates of completion.) oaf- 7. General character of Work performed b p y your company:_ 8. Have you ever failed to complete any Work awarded to you? If so, where and why? /10 9. Have your ever defaulted on a contract? If so, where and why? 10. Are you debarred by any government agency? /Ip 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. n IRV 12. List your major equipment available for this contract. 4.� a ZAC&J 13. Experience in construction Work similar in project: A importance to this 14. Background and experience of the principal including officers: / 6 Carz � Le�iy M64"J1- r,3AXtr&CCJ'JO1 members of your organization, 1 . 15. 16. 17. Credit available: $ 4-0, 0 00 Bank reference: Atw Qw,,F Will you, upon request, fill out a detailed any other information that may be financial statement and furnish required by the OWNER? 18. Are you licensed as a General CONTRACTOR? Y�1 If yes, in what city, county and state? FE , `� //, _�, ; What class, license and numbers? �- 19. Do you anticipate subcontracting Work under this Contract? �e r 47 If yes, what percent of total contract?�� and to whom? CgPnGi iPrri, hsJ— 20. Are any lawsuits pending against you or your firm at this time? 4.0 If yes, DETAIL 7/96 Section 00420 Page 2