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HomeMy WebLinkAboutRESPONSE - BID - 6100 SOUTH COLLEGE BIKE LANES PROJECTYU BOX 4U4 Platteville, CO 80QS1 (970) 785-6161 CITY OF FORT COLLINS COLORADO DEPT OF TRANSPORTATION PROPOSALFOR FA PROJECT NO STE M455-063 US 287 / S COLLEGE AVE BIKE LANES t I The undersigned Bidder hereby acknowledges receipt of Addenda No through BID SCHEDULE (Base Bid) US 287 / S College Avenue Bike Lanes City of Fort Collins & Colorado Department of Transportation Federal Aid Project No STE M455-063 Bid Schedule ITEM NO CONTRACT ITEM UNIT QUANTITY UNIT COST TOTAL COST 201 CLEARING AND GRUBBING LS 1 000 A000 - 202 REMOVAL OF TREE EA 2 4-00- 202 REMOVAL OF SIDEWALK SY 39 /a - 202 REMOVAL OF CURB AND GUTTER LF 93 5- 4&5 - 202 REMOVAL OF ASPHALT MAT SY 22 10, .220 - 202 REMOVAL OF PAVEMENT MARKING SF 22 374 1/$ bra "l30 10 202 REMOVAL OF GROUND SIGN EA 5 /ep - Epp - 202 REMOVAL OF SIGN PANEL EA 1 /Co - /00 - 203 UNCLASSIFIED EXCAVATION COMPLETE IN PLACE CY 219 - ,t &94 _ 203 BLADING HR 4 I /0 -40 - 206 STRUCTURE EXCAVATION CY 279 12 - 3 3qg ^ 206 STRUCTURE BACKFILL (CLASS 1) CY 194 j - 5, 23$ - 206 STRUCTURE BACKFILL (CLASS 2) CY 83 / - - 207 TOPSOIL (COMPLETE IN PLACE) CY 47 32 - /, s5 - 208 STORM DRAIN INLET PROTECTION EA 2 175 - 350 - 208 EROSION LOG (12 INCH) LF 350 g - / ISO 208 CONCRETE WASHOUT STRUCTURE EA 1 -76D - -150 208 SEDIMENT REMOVAL AND DISPOSAL LS 1 1000 - 1000 - 210 RESET GROUND SIGN EA 3 60- 45-0 210 RESET IRRIGATION SYSTEM LS 1 AnOD - 000 - 210 ADJUST VALVE BOX EA 1 S G - Sig - 212 SEEDING (NATIVE) AC 005 120.0f70 / 000 - 213 MULCHING (WEED FREE HAY) AC 005 a0 Q 100 - 213 MULCHING TACKIFIER LB 10- 304 AGGREGATE BASE COURSE (CLASS 6) TON 99 P4 - _ 3 403 HOT MIX ASPHALT (GRADING S)(100 PG58 28 TON 35 /2(p - l 1© - �h 403 HOT MIX ASPHALT PATCHING ASPHALT TON 14 j 1 _ �/ 4 3 o _ 412 CONCRETE PAVEMENT (10 INCH) SY 5 514 PEDESTRIAN RAILING (STEEL) LF 242 4s - 35 090 - Rev 10/20/07 Section 00300 Page 2 519 STONE VENEER 601 CONCRETE CLASS D (WALL) 601 STRUCTURAL CONCRETE COATING 602 REINFORCING STEEL 607 FENCE (PLASTIC) 608 CURB RAMP (SPECIAL) 608 CONCRETE BIKEWAY (6 INCH) 609 CURB AND GUTTER TYPE 2 (SECTIC 1113 609 MEDIAN COVER MATERIAL CONCRETE 613 4 INCH ELECTRICAL CONDUIT 614 SIGN PANEL (CLASS 1) 614 SIGN PANEL (CLASS II) 614 SIGN PANEL (CLASS III) 614 STEEL SIGN SUPPORT (2 INCH ROUND POST AND SOCKET STEEL SIGN SUPPORT (2 5 INCH 614 ROUND SCHEDULE 80)(POST AND SLIPBASE 620 SANITARY FACILITY 626 MOBILIZATION 627 EPDXY PAVEMENT MARKING 627 PREFORMED PLASTIC PAVEMENT MARKING TYPE 11 WORD SYMBOL 627 PREFORMED THERMOPLASTIC PAVEMENT MARKING WORD -SYMBOL 627 PREFORMED THERMOPLASTIC PAVEMENT MARKING (XWALK STOPLI 630 TRAFFIC CONTROL mil EA 38 / $S EA 53 483 EA 1 400 LS 1 GAL 222 SS - SF 1369 1i - SF 820 11 - SF 252 1( - LS 1 J?-" - Total Sum of Contractor Bid Items 5,27q - 3,255 - Q, 59-7 - 432 - 6,954 - 25, 599 - A rn - $ -7O - 23, 21 3 - 13,940 Z,-772 - 2 OOP — .,3o.S co 700 F/A Minor Contract Revisions F/A 1 $ 24 000 00 $ 24 000 00 700 F/A On -The Job Trainee HR 0 $ $ - 700 F/A OJT Colorado Training Program F/A 1 $ 20000 $ 20000 700 F/A Erosion Control F/A 1 $ 1 00000 $ 1 00000 700 F/A FUEL COST ADJUSTMENT F/A 1 $ 1 50000 $ 1 50000 Total Sum of Force Account Items $ 26,700 00 TOTAL PROJECT COST (Bid items + Force Account Items) Lftq , 00 3 19 Rev 10/20/07 Section 00300 Page 3 ACCEPTANCE OF FUEL COST ADJUSTMENTS Bidders have the option to accept Fuel Cost Adjustments in accordance with the Revision of Section 109 - Fuel Cost Adjustment To accept this standard special provision the bidder must fill in an "X" next to "YES" below No Fuel Cost Adjustment will be made due to fuel cost changes for bidders who answer "NO" If neither line is marked the Department will assume the bidder rejects Fuel Cost Adjustments for this project After bids are submitted bidders will not be given any other opportunity to accept or reject this adjustment (Mark only one line with an "X") YES I choose to accept Fuel Cost Adjustments for this project XNO I choose NOT to accept Fuel Cost Adjustments for this project (if neither line is marked the default is "NO" I choose NOT to accept Fuel Cost Adjustments for this project 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 (251) of the total Agreement Price Rev 10/20/07 Section 00300 Page 4 RESPECTFULLY SUBMITTED • •• PRINT NAME a oS Signatuw Date V I C_P-- P15; I Af of Title License Number (If Applicable) (Seal - if QBid is by corporation) Attest Address i�� Mal,-. 5LCe.-P—+ Telephone Q1Q- 7 z s — L I& I 1 Email TYl11hC-Onsj I&�P-Ciy-'FJLY\�.ne-f Rev 10/20/07 Section 00300 Page 5 COLORADO DEPARTMENT OF TRANSPORTATION PROJECT NO ANTI -COLLUSION AFFIDAVIT LOCATION US a87 �S Go\\e�e fLver,ue , 3� e, L�r,es 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 petr ive 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 firms 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.AR TRU AND COMPLETE TO THE BEST OF MY KNOWLEDGE / Contractors firmorcompany name By Date I 1 MODrIA\n inc, p O Tle 2nd contractors in or company, name (If joint venture) By Date Title Sworn to before me this (ate` day of May 2008 Notary PU of My commission ezp res NOM This document must be signed in ink LIP COOT Form MG tb2 STATE OF COLORADO DEPARTMENT OF TRANSPORTATION 4201 E Arkansas Avenue, B404 LAA&DOTI Denver, CO 80222 NOTICE CHANGES TO CDOT'S GOOD FAITH EFFORT AND UDBE COMMITMENT PROCESS This letter contains important information for you about a 6-month Pilot project that CDOT will implement on all CDOT construction projects (including Local Agency projects) that are advertised after September 1, 2004 and will apply to bid openings beginning September 23, 2004 Please read the information carefully If you have ay questions about how this will apply to you and the forms you submit to CDOT, please call the phone number listed below to discuss your questions with someone from the Business Programs Office The CDOT Form #714 (Underutilized DBE Bid Conditions Assurance), which is attached, has been updated to require all Contractors bidding on CDOT Construction projects to list their UDBE commitment information for the project at the time of bid opening This information includes the names of the UDBE fines they will use, the items of work committed to them and their percent of the contract Please take special note of the changes made in the text at the bottom of the form "The actual amounts submitted on each CDOT Form #715 must equal or exceed the percentage commitments documented on this form In addition, if my company does not meet the DBE/UDBE goal for this project, I must submit a completed CDOT Form #718 (Underutilized DBE Good Faith Effort Documentation) before the above stated deadline CDOT Form #715s submitted for firms not included on this form, OR for amounts exceedmQ those listed on this form, will be accepted but NOT counted as Good Faith Efforts Only the efforts the contractor made prior to the bid opening will count as Good Faith Efforts " As always, the low bidder must submit their CDOT Form #715's (Certificate of Proposed Underutilized DBE Participation) by 4 00 pm the day after the bid opening During the Pilot project, if the low bidder doesn t commit on the CDOT Form #714, enough UDBE participation to meet the UDBE goal for the project, they will be required to submit their Good Faith Efforts by 4 00 pm the day after the bid opening CDOT will evaluate only the good faith efforts made by the contractor Prior to the bid opening Any UDBE Participation submitted on CDOT Form #715's that exceeds the participation submitted on the CDOT Form #714 will be accepted as additional UDBE participation, but will not be counted as Good Faith Efforts and will not exempt a contractor from fulfilling the Good Faith Efforts requirements CDOT will evaluate the results of this Pilot project after 6 months to determine whether CDOT will make the pilot process or a similar process a permanent requirement These changes are being communicated by letter to all Prequalrfied Contractors all DBEs, all ESBs, and any other firm that has been used as a subcontractor on a CDOT project within the past year Also, a Notice about the change and the new CDOT Form #714 will be placed in each plan set sold by CDOT's plans room during the 6-month Pilot period, and the Business Programs Office will schedule informational meetings for Contractors and subcontractors to discuss the process Questions about the Pilot project should be directed to the Business Programs Office at (303) 757-9234 STATE OF COLORADO DEPARTMENT OF TRANSPORTATION 4201 E Arkansas Avenue, B404 Denver, CO 80222 APRIL 2005 NOTICE CHANGES TO CDOT'S GOOD FAITH EFFORT (GFE) AND UDBE COMMITMENT PROCESS TO CONTINUE UNTIL FURTHER NOTICE Last September, CDOT implemented a 6-month Pilot project on all construction projects (including Local Agency projects) that were advertised after September 1, 2004 The Pilot made changes to CDOT s Good Faith Efforts (GFE) and UDBE Commitment process and applied to bid openings beginning September 23, 2004 The purpose of this notice is to inform all firms bidding on CDOT construction projects that CDOT's Chief Enumeer has directed CDOT to extend the GFE Pilot protect, as implemented m September of 2004, until CDOT has the opportunity to assess the results of the Pilot and to issue final auidehnes for the GFE and UDBE Commitment Process Please read August 23, 2004 NOTICE for details on the Pilot process which Contractors should continue to follow until further notice It is located on CDOT's `Project Bidding" page at httn //www dot state co us/biddms/Newsflash4 doc When the final guidelines are issued, CDOT will send a mailed notification to all Prequahfied Contractors, all DBEs, all ESBs, and any other firm that has been used as a subcontractor on a CDOT project in the past year Any questions or input you may have about the continuation of the Pilot project should be directed to the Business Programs Office at (303) 757 9234 COLORADO DEPARTMENT OF TRANSPORTATION Project No UNDERUTILIZED DBE (UDBE) BID S-r f CONDITIONS ASSURANCE Location u1,s a8? S (-cD I l e-e- Ave n tee, Instructions Contractor- Complete and submit this form with your bid Report only Underutilized DBE (UDBE) participation percentages which qualify under the contract goal specification for this protect 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 fedeml state or local entity funds UNDERUTILIZED DBE PARTICIPATION COMMITMENT 1) Will your company Underutilized DBE (UDBE) participation commitment meet contract goals? ,ey Yes ❑ No 2) Total eligible Underutilized DBE (UDBE) percentage amount from Box A below 8 0 % 3 List the UDBE firms committed work items and eli ibla UDBE percent of your bid that you are committing to each CERTIFICATION COMMITTED SUBCONTRACT ELIGIBLE UDBE FIRM NAME EXP DATE WORK ITEM(S) CATEGORY UDBE % 9 Subcontractor - Q-� [I Supplier ❑Broker Subcontractor r, 1 /'� I /+� 2 NQOQY) ) CiVil ( 7oviSt (� qq -{ /39 /00 +,� 'c"'1'ICce L`- Supplier Broker b 0 o 0 �o ❑ ❑ ❑ Subcontractor 3 / / ❑ Supplier ❑ Broker % ❑ Subcontractor 4 / / ❑ Supplier ❑ Broker % ❑ Subcontractor 5 / / ❑ Supplier ❑ Broker % ❑ Subcontractor 6 / / ❑ Supplier ❑ Broker % BOX A TOTAL ELIGIBLE UDBE PERCENTAGE AMOUNT $ Q Round percentage amounts to the nearest hundredth Additional instructions on how to calculate the actual eligible amounts and percentages for the subcontractor supplier and broker categories are available on the CDOT Form #715 and in the Counting DBE Participation Toward Contract Goals and CDOT s annual DBE goal section of the DBE - Definitions and Requirements in the Standard Special Provisions I understand that If my company Is determined to be the low bidder for the contract on this project I must submit a completed COOT Form #715 CERTIFICATION OF UNDERUTILIZED DBE PARTICIPATION for each firm listed on this form to the Transportation Department by 4 00 pm the day after the bids are opened The actual amounts submitted on each CDOT Form #715 must equal or exceed the percentage commitments documented on this form In addition if my company does not meet the DBE/UDBE goal for this project I must submit a completed CDOT Form #718 DBE GOOD FAITH EFFORT DOCUMENTATION before the above stated deadline CDOT Form #715s submitted for firms not included on this form, OR for amounts exceeding those listed on this form will be accepted but NOT counted as Good Faith Efforts Only the efforts the contractor made prior to the bid opening will count as Good Faith Efforts I understand my obligation to abide by the policy stated above I shall not discriminate on the basis of race color age sex national ongin 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 Na Date 5 iia i og Comp atur Title l r e r c—,<,\CiC✓1 Previous editions may not be used CDOT Form 714 08/04 00410 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned Mountain Constructors Inc as Principal, and First National Insurance Company of America as Surety, are hereby held and firmly bound unto the City of Fort Collins, Colorado, as Owner, in the penal sum of Five Percentof Amount Bid ($ 5% )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 Contract Agreement for the construction of City of Fort Collins Project, US287/South College Avenue Bike Lanes as per Bid # 6100 WHEREAS, the Owner, as a condition for receiving said bid, requires the Principal to deposit with the Owner a Bid Guaranty equal to five percent (5%) of the amount of said bid NOW, THEREFORE, (a) If said bid shall be rejected, or in the alternate, (b) If said bid shall be accepted and the Principal shall execute and deliver a Contract Agreement (properly completed in accordance with said bid) and shall furnish a Performance and Payment Bond upon the forms prescribed by the Owner for the faithful performance of said Agreement, 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 liabi- lity of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated 00410 continued 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 IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals this 12th day of May , 2008 , 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 First National Name Mountain Constructors Inc Insurance Company of America 622 Main str a 14123 Denver West Parkway O Address Plattevlll 0 Golden CO 80401 By \'f \ 1 By V I Title Vera T Kalba Attorney in Fact s U (SEAL) (SEAL) NOTE Surety Companies executing bonds must be authorized to thansact business in the State of Colorado and be acceptable to the Owner MOODY INSURANCE AGENCY, INC 3773 CHERRY CREEK NORTH DRIVE SUITE 800 DENVER COLORADO 80209 3804 PHONE (303) 824 6600 TO John Stephens City of Fort Collins 215 N Mason St Fort Collins, Colorado WE ARE SENDING YOU THE FOLLOWING ITEMS DATE 5/13/08 PROJECT Bid No 6100 US 287/S College Bike Lanes �X Attached Under Separate Cover Copies Description 1 CDOT Form # 605 - Contractors Peformance Capability Statements 1 CDOT Form # 606 - Anti -Collusion Affidavit 1 CDOT Form # 621 - Assignment of Antitrust Claims 1 CDOT Form # 715 - Certificate of Proposed UDBE Participcation THESE ARE TRANSMITTED AS CHECKED V7 1 Al FOR APPROVAL FOR REVIEW FOR YOUR USE AS REQUESTED REMARKS BELOW AS APPROVED AS SUBMITTED FOR APPROVAL OTHER PLEASE RETURN AFTER SIGNING Please return 2 copies of the approved MHTs Thanks SIGNED Pam Duncan PO BOX 405 • PLATrEVLM C0L0R=806514W (870) M4161 1r H POWER First National Insurance Company or Amer" W" • OF ATTORNEY Safeco Plaza Seattle WA 98185 KNOW ALL BY THESE PRESENTS No 13289 That FIRST NATIONAL INSURANCE COMPANY OF AMERICA a Washington corporation does hereby appoint " D N BROYLES KAREN A FEGGESTAD DANIEL S FINHOLM VERA T KALBA BRAD MOODY EVAN E MOODY Denver CO -- its True and lawful attomey(sFin fact with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of Its business and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as If such Instruments had been duly executed by Its regularly elected officers at Its home office IN WITNESS WHEREOF FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and atlested these presents this 6th .�rpl+atn.0 �k/af.(G>Li STEPHANIE DALEY WATSON SECRETARY day of February 2008 � Pti f I,IYS �V,��r3il�ti TIM MIKOLAJEWSKI SENIOR VICE-PRESIDENT SURETY CERTIFICATE Extract from the By Laws of FIRST NATIONAL INSURANCE COMPANY OF AMERICA Article V Section 13 FIDELITY AND SURETY BONDS the President any Vice President the Secretary and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations shall each have authority to appoint individuals as attorneys in fact or under other appropriate titles with authonty, to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company In the course of its business On any instrument making or evidencing such appointment the signatures may be affixed by facsimile On any instrument conferring such authority or on any bond or undertaking of the company the seal or a facsimile thereof may be impressed or affixed or in any other manner reproduced provided however that the seal shall not be necessary to the validity of any such instrument or undertaking Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted July 28 1970 On any certificate executed by the Secretary or an assistant secretary of the Company setting out (1) The provisions of Article V Section 13 of the By Laws and (ill A copy of the power of attorney appointment executed pursuant thereto and (ill) Certifying that said power of attorney appointment is in full force and effect the signature of the certifying officer may be by facsimile and the seal of the Company may be a facsimile thereof I Stephanie Daley Watson Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA do hereby certify that the foregoing extracts of the By Laws and of a Resolution of the Board of Directors of this corporation and of a Power of Attorney issued pursuant thereto are tme and correct and that both the By Laws the Resolution and the Power of Attorney are still in full force and effect IN WITNESS WHEREOF 1 have hereunto set my hand and affixed the facsimile seal of said corporation S 1049/DF 4/05 this 12th day of May 2008 ApAa,w Gay[c2 ytia14L-, STEPHANIE DALEY WATSON SECRETARY Safii o and the Safacn logo are egisiered Iradamarics of Saleco CorporaUnn WEB PDF COLORADO DEPARTMENT OF TRANSPORTATION CONTRACTORS PERFORMANCE CAPABILITY STATEMENT Project# S F- My5S'c$G3 1 List names of partnerships or joint ventures y 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 A none b Key equipment changes A 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 DEGRE D AN OTHER APPLICABLE STATE OR FEDERAL LAWS THAT THE STATEMENTS MADE ON THIS DOOIM T A T E AND CORRECT TO THE BEST OF MY KNOWLEDGE , Contractor s firm or company name /v �pUtl�D�l C'� lAr��ClxOti'Si �` C— By Date Title/ t f- t5t e.rc' 2nd Contractor's firm or company name (if joint venture) By Date Title CDOT Fonn #605 1/92 COLORADO DEPARTMENT OF TRANSPORTATION PROJECT NO ST , oL 3 ANTI -COLLUSION AFFIDAVIT LOCATION U5 dg'i l.S Ava '13, ke Low es 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 fine 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 firms 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 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 A E AND COMPLETE TO THE BEST OF MY KNOWLEDGE Contrectufs Arm or company name By Date /1� II ,,..��^^ Mour4wrf Cnrs4-{�1 cAc. ,r5t-1-oc. TAU. YL e ES)Ci f End contractors firm o ocmpany name pt jalnt venture) By Date Tine Sworn to before me this \8th day of M0.y 20 O$ Notary ublic My commission e 1 li This document must be signed in Ink ODOT Form MOB I= COLORADO DEPARTMENT OF TRANSPORTATION PROJECT NO ASSIGNMENT OF ANTITRUST CLAIMS ISIE M�1ss oas 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 1 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 That upon becoming aware that a third party has commenced a civil action asserting on Contractors 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 To take no action which will in any way diminish the value of the claims or rights assigned or dedicated to CDOT hereunder and Promptly to pay over to CDOT its proper share of any payment under an antitrust claim brought on Contractors behalf by any third party and which claim has been assigned to CDOT hereunder 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 subcontractors oblige tions to Contractor b Upon becoming aware that a third party has commenced a civil action on the subcontractors 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 subcontractors 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 o company nem Moir+oar. W I\$�V- 1tiG� OC S I Z1'hG Titla V t LC —�)T 2 S I tlCMA, d comredor a firm or comp yname (Ifto tventure) IRv Ttl CDOT Form 6611 1V91 COLORADO DEPARTMENT OF TRANSPORTATION CERTIFICATE OF PROPOSED Project No 5-FF My 5 5 - (- UNDERUTILIZED DBE (UDBE) Project Code (SA#) 1/43e,3 Location lJ S a87 S Go\\EchQ va �kka. LAr,e Form# ` of PARTICIPATION Prime Contractor— Send completed/signed form to the Business Programs Office (instructions on second page) The Eligible UDBE Amounts submitted on this form must equal or exceed the commitment(s) documented on the CDOT Form 714 you submitted with your bid For the complete list of certified DBE/UDBE firms and their DBE work codes go to htt //www dot state co us/app_ucp/ NOTE See 49 CFR part 26 55 and the DBE Definitions and Requirements in the Standard Special Provisions for further information concerning counting DBE participation of truckers subcontractors suppliers and service providers toward the projects UDBE goal PART 1 a -TRUCKING CONTRACT If the UDBE Is being used as a trucker for one or more "trucking DBE work codes (25500 25505 etc ) then ACTUAL UDBE AMOUNT = Actual contract amount for the transportation services provided by the UDBE firm and any UDBE lessees ELIGIBLE UDBE TRUCKING AMOUNT= I (ACTUAL UDBE AMOUNT) — (Any non UDBE lessee amounts in this contract)* ] * For work done on this UDBE contract with non UDBE lessees credit toward the project UDBE goal is given only for the broker fees or commissions the UDBE trucker receives for arranging the transportations services because the services themselves are being performed by non UDBEs NAME OF UDBE FIRM CERTIFICATION # EXPIRATION DATE ELIGIBLE UDBE TRUCKING AMOUNT $ DBE WORK CODE NUMBER(S) THIS UDBE IS BEING USED FOR Complete list of work codes is at hffp lAvww dot state cc us/app_ucp/ PART 1 b - SUBCONTRACT ELIGIBLE UDBE SUBCONTRACT AMOUNT= I (Actual UDBE contract amount)—Wy.ndn-UDBE�Iowe0 tier amounts in this contract)* * Work that a UDBE subcontracts to a lower tier non UDBE firm does not count toward tha pgowd UDBE Goal NAME OF UDBE FIRM CERTIFICATION # EXPIRATION DATE I ELIGIBLE UDBE SUBCONTRACT AMOUNT 1aG<0 R /3A/c+S $ r73,gS3 $o DBE WOR CODE NUMBER(S) THIS UDBE IS BEING USED FOR Complete list of work codes is at hffpLwww dot aleteuxt us(app_ucj.✓ PART 1 c - SUPPLY CONTRACT If the supplier Is a UDBE with a Type k1181d of "), iplilfacturer' for the item(s) ELIGIBLE UDBE,SUPPLy'AMOUNT s C (Actual UDBE contract amount) X 100% If the supplier is a UDBE with a Type" field of Regular Dealer for the item(s) ELIGIBLE UDS# SUPPLYAMOUNT = I (Actual UDBE contract amount) X 60% NOTE If the supplier is a UDDE with a "Type field of Broker for the item(s) use PART 1d — BROKER / SERVICE CONTRACT NAME OF UDBE FIRM CERTIFICATION # EXPIRATION DATE ELIGIBLE UDBE SUPPLY AMOUNT Is DBE WORK CODE NUMBER(S) THIS UDBE IS BEING USED FOR Complete list of work codes is at http lAvww dot state co us/app ucpl PART 1 d - BROKER / SERVICE CONTRACT If purchasing materials or supplies through a UDBE with a "Type field of Broker count only the amount of brokerage commission and/or delivery service fees included in the contract Other examples of services to Include in this section are bonding brokering consulting security guards and insurance etc ELIGIBLE UDBE SERVICE FEE AMOUNT= Actual compensation retained by the UDBE broker/agent for services rendered* * The amounts that count toward UDBE goals are limited to the compensation retained by the UDBE broker/agent for services rendered provided the fee/commission is determined by COOT to be reasonable and not excessive as compared with fees customarily charged for similar services NAME OF UDBE FIRM CERTIFICATION # EXPIRATION DATE ELIGIBLE UDBE SERVICE FEE AMOUNT / / $ DBE WORK CODE NUMBER(S) THIS UDBE IS BEING USED FOR Complete list of work codes is at httplhvww dot state co us/app ucpr ..nyinal — ousmess Programs vmce Previous editions may not be used CDOT Form 715 — Page 1 of 2 1/06 PART 2 - UDBE PARTICIPATION SUMMARY A) What is the total dollar value of this proposed trucking subcontract supply OR broker/service contract that is eligible for counting toward contract goals? A= [ TOTAL FROM ELIGIBLE COLUMNS IN PART 1 ] A> $ r73/R53 So NOTE Provide in actual subcontractor dollars and not prime contract prices B) What is the total dollar value of proposed subcontracts that are eligible for counting towards B> $ contract goals from prior sheets/forms? C) What is the accumulative value of proposed subcontracts that are eligible for counting towards contractgoals9 C> $ 73,453 80 C=[A + B] D) What is the original contract bid total? D> $14 I q,003 to E) What is the accumulative percent of contract bid total subcontracted to all underutilized DBEs? E=[(C — D) X 100] E> �� (,Jr % PAKI 3 — UU51: I confirm that my company is participating in this contract as documented in the PnmetdtrtfactorrficpTtijrltrnent(s) in PART 1 of this form Only the value of the work tha�py company is actually performing fs befttg couhte)d on this form UDBE Firm Name UDBE Representative Signature and Title PAK 1 4 — PKIML GONTKAGTOR Date 5 /'3 /O9 • my company has met the contracted UbBE goals or has submitted a completed CDOT Form #718 • my company has agceptq&a"osal from the UDBE named above • my company has nptfed4he proposed UDBE of the contracted UDBE commitment • my comparr has ehsured+that the proposed UDBE has signed PART 3 of this form • my comprinys use tit the proposed UDBE for the items of work listed above is a condition of the contract award • my company will frWitathe proposed UDBE to attend the preconstruction conference • my company wilt'npt use a substitute UDBE for the proposed UDBE s failure to perform under a fully executed subcontract 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 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 complete to the best of my knowladne Pnme Contractor Name M t � 'C u.�%or s , Z n c- I Date 5 / I g / og Officer Signature and Title V � f i v-e✓ �rp�t dQn� w FORM INSTRUCTIONS Prime Contractor 1 An officer of the contractor(s) must complete this form 2 Include only DBE firms which meet the underutilized criteria in the contract goal specification for this project (i a UDBE firms) 3 Complete only relevant section(s) for PART 1 4 Ensure that the proposed UDBE has signed PART 3 of this form 5 Complete ALL sections of PART 2 and PART 4 6 Submit a separate CDOT Form #715 for EACH proposed UDBE Retain a photocopy for your records Send original to Colorado Department of Transportation Business Programs Office 4201 E Arkansas Ave Denver Colorado 80222 FAX (303) 757 9019 may SECTION 00300 BID FORM SECTION 00300 BID FORM PROJECT 6100 US 287/South College Avenue Bike Lanes Place hake-v,lle C O gOL51 Date 1 In compliance with your Invitation to Bid dated M&V�_Z, 2009 and subject to all conditions thereof thd undersigned 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 ($y ) 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^n and payment bonds is as follows M�o[�v SnSiarnnre /i 3793 erry Crk -t< N A'tnvt�©ono 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 Rev 10/20/07 Section 00300 Page 1