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RESPONSE - BID - 7417 ASPHALT SURFACE TREATMENT PROJECT
SECTION 00300 BID FORM PROJECT: 7417 Asphalt Treatment Project City of Fort Collins - Purchasing Dept Place: 215 N. Mason St., Ft. Collins, CO 80524 Date: 8/8/2012 In compliance with your Invitation to Bid dated August a 2012 and subject to all conditions thereof, the undersigned a (Corporation, Limited Liability Com pany, 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. Accompanying this Bid is a certified or cashier's check or standard Bid bond in the sum Of5 % of Total Amount Bid ... ...... ........................................................................ ................. ($ sr ) 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: western Surety Co. of South Dakota, 10375 Park Meadows Dr., Littleton, CO 80524 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 2 11 10 If so, where and why? Are you debarred by any government agency? No If yes list agency name. 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. See Attached 12. List your major equipment available for this contract. See Attached 13. Experience in construction Work similar in importance to this project: See Attached 14. Background and experience of the principal members of your organization, including officers: See Attached 15. Credit available: $ "" 16. Bank Reference: Colorado Business Bank, Elaine Shannon, 2025 Pearl St., Boulder, CO 17. Will you, upon request, fill out a detailed financial statement and furnish any other Yes, we are prequalified with CDOT and the City of information that may be required by the OWNER? County of Denver up to 5MM Projects 18. Are you licensed as a General Contractor? Yes 19. If yes, in what city, county and state? See Attached What class, license and numbers? Do you anticipate subcontracting Work under this Contract? Yes If yes, what percent of total contract? Less than 1% And to whom? Green Earth - Inlet Protection 20. Are any lawsuits pending against you or your firm at this time? No IF yes, DETAIL 21. What are the limits of your public liability? DETAIL What company? Travelers 22. What are your company's bonding limitations? See Attached 5MM/10MM 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 3:00 PM Compa A-1 Chi seal Co By: Title: Vice President State of Colorado County of Adams Daniel J. Gryzmala this 81h day of August 2012 /`"p4 y Printed: Daniel J. Gryzmala n being duly sworn deposes and says that he IS Vice President of A-i Chipseal Co. (Name) (Organization) and that the answers to the foregoing questions and all statements therein contained are true and correct. Subscribed and sworn to before me this 24th Notary Ajblic Stephanie Wallis My commission expires: 3128/13 day of August , 2012 A-1 Chipseal Co. Current Work On Hand As of 8/8/2012 3552 Colorado Department ofTranspo Colorado Dept. of Transport. $ 923,233.00 $' 923,233.00 ' 100% Jul-1: 4201 E. Arkansas Room 158 Denver, CO80222 Rick (720) 299 -5552 3667 Arvada, City of '. CityofArvada $ `. 1,578,593.26.$ 1,728,863.00 24% 'Sep-12 P.O. Box 8101 Arvada, CO 800018101 Anne Tully (720) 898-7740 3698 Centennial, City of 3743 City of Denver 3790 City of Westminster City 657: Wes Bart (30- 3835 ;City ofGreeley Chipseal $ 541,512.76 $ 546,843.00 35% Aug-12 a. z 3875 Adams County School District Adams County School District 5- 7002 Raleigh Street Westminster, CO 80030 Pam Nelson (303) 428-3535 644,918.00 `' 1% Aug-12 128,089.25 $-132,289.00 -100% Jul-12 A-1 Chipseal Co. Current Work On Hand As of 8/8/2012 3885 Wheat Ridge, City of City of Wheat Ridge $... 410,102.00 $ 410,102.00 86%.- Aug-12 7500 W. 29th Ave. Wheat Ridge, CO 80033 : - Duane Dubbel (303)475-1543 3960 CityofThornton CityofThornton $ 812879.20 $ 812,879.00, 21Y Aug-12i 12450 Washington St Thornton, CO 802411 Daniel Galanaugh ' (303) 538-7375 4003 Colorado Department ofTranspo Colorado: Dept. of Transport. $ 1,514,682.20 $ 1,514,682.00 1009/. Jul-12 4201 E. Arkansas Room 158 Denver, CO 80222 Rick (720)299-5552 <4033-;CityofSheridan 4069 Town of Mead Toi P.0 Me Dai (97 4146 Brannan Sand & Gravel 4173 'Southern Wine and Spirits Souther 5270 Fo Denver; Jeff Rotl (303) 2 4192 Highwoods $ `r274,909.32 '.$. ;.242,807.00 L 69% Aug-12 wd 10' $ 154,582.65 $:: 154,583.00 91% - Jul-12 29 & Spirits $ 166,394.06 $ 171,393.00 0% Sep-12 161604 i Community $ 103,606.39 $ :103,606.00 - - 10% Sep-12 ry i, CO 80126 A-1 Chipseal Co. Current Work on Hand As of 8/8/2012 A-1 Chipseal Co. Project References 5A 2007 Aurora Surface Treatment City of Aurora Willie Brown Chipseal 90% $ 1,003,359.82 $ 1003,359.82 5/1/2007 91 No 15151 E Alameda Ave Aurora, CO 80112 303 326-8208 SA 2007 City of Northglenn City of Noringlenn Joliette Woodson Hot Chipseal 90% $ 492,100.00 $ 4910000 7/12007 10/112007 No 11701 Community Center Dr. Northglenn, CO 80233 303 450-8795 5A 2007 Colo. Springs Chipseal City of Colorado Springs Elizabeth James Chipseal 95% $ 998,316.15 $ 998,316.15 511 /2007 7/12007 No 688 Geiger Court Colorado Springs, CO 80915 719 385-6813 5A 2007 Denver Chipseal City and County of Denver Lindsey VanCleave Chipseal 90% $ 1,389,642,71 $ 1,389,64271 4/l/2007 10/30/2007 No 201 W Colfax Ave Denver, CO 80202 303 4463t66 5A 2007 Douglas County Chipseal Douglas County Karl Lucero Chipseal 90% $ 540,20007 $ 540,20007 5/15/2007 9/30/2007 No 100 3rd Street Castle Rock, CO 80104 303 660-7490 SA 2007 Jefferson County Jefferson County Rick Pollock Slurry Seal 95% $ 585.424.24 $ 585,424.24 6/1/2007 10/30/2007 No 21401 Golden Gate Canyon Rd Golden, CO 80403 �30i 271-5294 5A 2007 Loveland Chipseal City of Loveland Jeff Ked Chipseal 75% $ 479.134.96 $ 479,134.96 5/15/2007 10/1/2007 No 500 E. Third St. Loveland, CO 80537 970 962-2695 5A 2007 Parker Hot Chipseal Town of Parker Ron Martinez Hot Chipseal 70% $ 962.323 02 $ 962,32302 6/15/2007 9/152007 No 20120 E. Mainstreet drier. CO 80138 303 805-3163 5A 2007 Thornton Chipseal City of Thomton Brett Henry Chipseal 85% $ 651,172,40 $ 651,172.40 5/l/2007 8/30/2007 No 12450 Washington St. Thornton, GO 80241 303 538-7375 SA 2007 Westminster Chipseal City of Westminster Dave Cantu Chipseal 95% $ 1,176,045.01 $ 1,176,04501 5/l/2007 9/1/2007 No 6575 West 88th Ave Westminster, CO 80031 303 658-2501 5A 2008 CDOT SH 60 & SH 257 Colorado Dept. of Transportation Gale Siedenburg Chipseal 85% $ BM 834.00 $ 724,942,35 5/1/2008 7/i/2008 No 120 N. Riverview Rd. Storing, CO 80751 970 522-0481 5A 2008 Centennial Slurry Seal City of Centennial Rick Coldsnow Slurry Seal 95% $ 719,711.60 $ 71695040 611/2008 10/1/2008 No 12503 E Euclid Dr. Centennial, CO 80111 720 874-6500 SA 2008 City of Aurora Street Resurfacing City of Aurora Willie Brown Chipseal 90% $ 1,035,528 50 $ 1,029,384.12 6/1/2008 10/l/2008 No 15151 E. Alameda Ave Aurora, CO 80112 303 326-8208 5A 2008 City of Brighton Capeseal City of Brighton Bob Younger Capeseal & Crackseal 95% $ 1,010,958,60 $ 1,073,005.24 6/1/2008 10/1/2008 No 22 S. 4th Ave Brighton, CO 80601 303 6594050 5A 2008 Colorado Springs Chipseal City of Colorado Springs Elizabeth James Chipseal 95% $ 550,301.60 $ 632.416 60 5/1/2008 6/1/2008 No 688 Geiger Court Colorado Springs, CO 80915 719 3856813 SA 2008 Denver Chipseal8 Crackseal CiN and County of Denver Lindsey VanCleave Chipseal & Crackseal 90% $ 2,348,500,00 $ 2,347 429,83 3/l/2008 5/31I2009 No 201 W Colfax Ave Denver, CO 80202 303 446-3466 A-1 Chipseal Co. Project References 5A 2008 Greenwood Village Chipseal City of Greenwood Village John Wanningman Chipseal 85% $ 1,398,205,00 $ 473,065,24 6/1/2008 10/l/2008 No 10001 East Costilla Ave Greenwood Village 80112 303 708-6145 5A 2008 Louisville Resurfacing City of Louisville Craig Curtin Hot Chipseal 70% $ 1,128,803.30 $ 1,014,881,88 6/1/2008 9/30/2008 No 749 Main St. Louisville, CO 80027 303 335-4602 5A 2008 Ncnhglenn Street Improvements City of Nornglenn Joliette Woodson Hot Chipseal 60% $ 904,030.28 $ 724,942 35 7/1/2008 9/30/2008 No 11701 Community Center Dr. Northglenn, CO 80233 303 450-8795 5A 2008 Parker Hot Chipseal Town of Parker Chns Hudson Hot Chipseal 60% $ 1598,395.30 $ 1,579,46874 7/1/2008 10/15/2008 No 20120 E. Mainstreet Parker, CO 80138 303 805-3163 5A 2008 Thornton Slurry Seal City of Thornton Brett Henry Slurry Seal 95% $ 1,018 640.00 $ 1,375,334.96 5/1/2008 10/15/2008 No 12450 Washington St. Thornton CO 80241 303 538-7375 5A 2008 Westminster Chipseal City of Westminster Dave Cantu Chipseal 90% $ 1,339,962,60 $ 1,438,674,48 5/1/2008 9/30/2008 No 6575 West 88th Ave Westminster, CO 80031 303 658-2501 5A 2008 Westminster Slurry Seal City of Westminster Dave Cantu Slurry Seal 95% $ 544,35806 $ 471,594,05 4/l/2008 10/15/2008 No 6575 West 88th Ave Westminster, CO 80031 303 658-2501 5A 2009 Aurora Surface Treatment City of Aurora Willie Brown Chipseal 92% $ 1,375,556 00 $ 1,416,525.69 8/1/2009 9/30/2009 No 15151 E. Alameda Ave Aurora, CO 80112 303 326-8208 SA 2009 Broomfield Chipseal Program City of Broomfield Les Weilacher Chipseal 90% $ 368,188,00 $ 362.558.10 6/15/2009 10/1/2009 No 3001 W. 124Ih Ave Broomfield, CO 80020 303 464-5675 5A 2009 Centennial Resurfadng City of Centennial Rick Coldsnow Slurry Seal 100% $ 668,013.00 $ 614,64268 7/15/2009 10/30/2009 No 12503 E Euclid Dr. Centennial, CO 80111 720 874-6500 5A 2009 Douglas County Chipseal Douglas County Kan Lucero Chipseal 88% $ 987,68] 00 $ 855,011.67 6/15/2009 9/1/2009 No 100 3rd Street Castle Rock, CO 80104 f303 660-7490 5A 2009 Jefferson County Slunv Seal Jefferson County Rick Pollock Slurry Seal 95% $ 358,134,00 $ 341,138 25 8/12009 10/30/2009 No 21401 Golden Gate Canyon Rd Golden, CO 80403 303 271-5294 5A 2009 Parker Chipseal Town of Parker Chins Hudson Hot Chipseal 62% $ 1,478,392.00 $ 1 370,763.30 7/15/2009 10/1/2009 No 20120 E. Mainstreet Parker, CO 80138 303 8053163 5A 2009 Town of Vail Paving Town of Vail Chad Sell Paving, Patching 90% $ 697,696 00 $ 725,659.44 6/1 /2009 10/30/2009 No 1309 Elkhorn Dr. Vail, CO 81657 970 47s-21 o9 5A 2009 Westminster Chipseal City of Westminster Dave Cantu Chipseal 8 Hot Chipseal 67% $ 1,568,360.00 $ 1,570,485 41 5/15/2009 9/12009 No 6575 West 880 Ave Westminster, CO 80031 303 658-2501 5A 2010 Broomfield Microsurfacing and Chipseal City of Broomfield Les Weilacher Chipseal, Crackseal 8 70% $ 2,779,056.22 $ 2,797 415.18 3/10/2010 11/15/2010 No 3001 W. 124th Ave Microsurfacing Broomfield, CO 80020 303 464-5675 A-1 Chipseal Co. Project References 5A 2010 CDOT Project ES6 4701-118 Colorado D�Tmnspo�tion Ron Buck Miaosurfacing 100% $ 3,800,549.01 $ 2,502,216.97 10/1/2009 ]/31/2010 No 120 N. RivSterling. C303 972- 5A 2010 City of Aurora Surface Treatment Program City of Aurora Willie Brown Chipseal 97% $ 1,998,441.18 $ 1,939,189.68 6/1/2010 M112010 No 15151 E. Alameda Ave Aurora, CO 80112 303 326-8208 5A 2010 City of Centennial Street Resurfacing City of Centennial Rick Coldsnow Slurry Seal & Crackseal 100% $ 569,90399 $ 683,714.78 7/12010 10/31/2010 No 12503 E. Euclid Dr. Centennial. CO 80111 20 874.6500 5A 2010 City of Loveland Chipseal City of Loveland Jeff Ked Chipseal 100% $ 538,760.67 $ 583,739.44 7/1/2010 grlwo10 No 500 E. Third St, Loveland, CO 80537 970 962-2695 5A 2010 City of Thornton Chipseal City of Thornton Brett Henry Chipseal, Hot Chipseal 90% $ 536,652.46 $ 474,095.66 6/1/2010 10/312010 No 12450 Washington St. Thornton, CO 80241 303 538-7375 5A 2010 Parker Street Resurfacing Town of Parker Chris Hudson Hot Chipseal & Slurry 77% $ 1,747,385.91 $ 1,868,514.82 7/12010 10/312010 No 20120 E. Mainstreet Seal, Crackseal Parker, CO 80138 303 805-3163 SA 2010 PPRTA Colorado Springs City of Colorado Springs Elizabeth James Chipseal 100% $ 758,013.65 $ 1,214,016.45 B/12010 9/302010 No 688 Geiger Court Colorado Springs, CO 80915 719 385-6813 5A 2010 Westminster Slurry Seal Program City of Westminster Dave Cantu Slurry Seal, Craraseal 87% $ 703.204.29 $ 687,940,81 7/12010 9/302010 No 6575 West 88th Ave Westminster, CO 80031 303 658-2501 A-1 Chipseal Co. Asset List As of 8/8/2012 Umt# Year --= '. •'C Description �,'_ " -'-Color - -, - Type ---.- :a'.-- Serial # .; 1100 1998 Ford Crown Victoria Silver Light Duty - Car 2FALP71 W2TX197947 1101 2004 Chev Impala - 4 Door Cream Light Duty - Car 2G1 WH55K649239941 1102 2009 Lincoln MKZ Black Light Duty - Car 3LNHM28T69R614657 1103 2012 Ford Edge AWD Black Light Duty- SUV 2FMDK4JC1 CBA53283 1211 2000 Chevy 1500 P.U. Black Light Duty - Truck 1GCEK19T6YE362741 1212 2000 GMC 1500 White Light Duty - Truck 1GTGK24R8YR216425 1214 2001 Chevy Sl0 P.U. White Light Duty - Truck 1GCCS14W418186298 1217 2002 Chevy S10 P. U. Black Light Duty - Truck IGCCT19W928133619 1220 2002 Ford F-150 Gray Light Duty - Truck IFTRX18L92NBO7884 1222 2002 GMC Yukon Black Light Duty - SUV 1GKEK13Z32J184769 1223 2003 Chevy S10 P.U. Black Light Duty - Truck 1 GCCT19X838118670 1224 2003 Chevy S10 P.U. Black Light Duty - Truck 1 GCCT19X238266491 1228 2004 Ford F-150 Red Light Duty - Truck 1 FTPX14544NB27736 1229 2004 Ford F-150 White Light Duty - Truck 2FTRX17W84CA27903 1230 2005 Ford Explorer White Light Duty -SUV 1FMZU73K85UA03161 1231 2006 Ford Explorer Burgundy Light Duty - SUV 1FMEU74836UA07038 1232 2007 GMC Sierra 1500 Black Light Duty - Truck 2GTEK13M971602835 1233 2008 GMC Sierra 1500 Gray Light Duty - Truck 3GTEK13398G131561 1234 2008 Ford F-150 XL Club Cab White Light Duty - Truck 1 FTVX14598KD53057 1235 2008 Chevy Silverado 1500 White Light Duty - Truck 1 GCEK19J1 SE122446 1236 2009 Lincoln Navigator 'Black Light Duty - SUV 5LMFL28599LJO0227 1237 2009 GMC Sierra Denali jWhite Light Duty - Truck 2GTEK638281313166 1238 2010 Ford F-150 - Crew Cab Black Light Duty - Truck 1 FTFW1 EV7AKB34254 1239 2011 Ford F-150 - Crew Cab Black Light Duty - Truck 1 FTFWIEFXBFA74599 1240 2011 Ford F-150 - Crew Cab Black Light Duty - Truck 1 FTFWIEF2BFA74600 1241 2012 Ford F-150 - Crew Cab FX4 'Black Light Duty -Truck 1 FTFW1 ET4CKD44599 1242 2012 Ford F-150 - Crew Cab Black Light Duty - Truck 1 FTFWl ETOCKD44602 1243 2012 Ford F-150 - Crew Cab Black Light Duty - Truck 1 FTFW 1 ET2CKD44603 1244 2012 Ford F-150 - Crew Cab Black Light Duty - Truck 1 FTFWIET4CKD44604 1245 2012 Ford F-150 - Crew Cab Black Light Duty - Truck 1 FTFWIET6CKD44605 1246 2012 Ford F-150-Crew Cab Black Light Duty - Truck 1FTFW1ET8CKD44606 1247 2012 Ford F-150 - Crew Cab FX4 Black Office IFTFWl ET7CKD44600 1248 2012 Ford F-150 - Crew Cab FX4 Black Office 1 FTFW1 ET9CKD44601 1249 2012 Ford F-150 ^ Club Cab Black Office 1 FTFXI ET3CKD44607 1300 1990 IChevy 2500 Black Light Duty - Truck 1GBGC24K2LE193857 1302 1996 Chevy 2500 Black Light Duty - Truck 1GCGK29R8TE232522 1303 1998 Chevy Silverado 2500 Black Light Duty - Truck 1GCGK29J6WE173632 1305 2000 Chevy 2500 Black Light Duty - Truck 1GCGK29U8YE233200 1306 2000 Chevy Silverado 1500 - X-Cab Black Light Duty - Truck 2GCEK19T6Y1142081 1308 2000 Chevy 2500 White Light Duty - Truck IGCGK24R6YF483659 1309 2000 Chevy 2500 White Light Duty - Truck 1 GCGK24R8YF482951 1310 2000 Chevy 2500 Blue Light Duty - Truck 1GCGK24ROYF481969 1312 2001 Chevy Silverado 2500 - X-Cab Black Light Duty - Truck 1GCHK29G11E198438 1314 2001 lChevy 2500 HD White Light Duty - Truck IGCHK24U11Z306319 1315 2001 Chevy 2500 HD White Light Duty - Truck 1 GCHK24U81Z310108 1316 2002 Chevy Silverado 2500 - Club Cad Black Light Duty - Truck 1GCHK29G32E100768 1317 2005 Ford F250 SD White Light Duty - Truck 1 FTSX20555EA42282 1318 2006 GMC Sierra 2500 - X-Cab White Light Duty - Truck 1GTHK29U66E241880 1319 2008 GMC Sierra 2500 - Club Cab Blue Light Duty - Truck 1GTHK23K78F179216 1320 2011 Ford F-250 -Crew Cab Black Light Duty - Truck 1 FT7W2B69BEB80983 1321 2011 Ford F-250 - Crew Cab Black Light Duty - Truck 1 FT7W2B60BEB80984 1404 1997 Chevy 3500 - Flatbed I Tommyliff Red Medium Duty - Truck 1GBHC34R7VF052870 1405 1998 JGMC 3500 - Dump Box Yellow Medium Duty - Truck 1GDKC34F5WFO41290 1407 1998 GMC Sierra 3500 Black Medium Duty - Truck IGTHK33F9WF018629 1408 1998 Chevy 3500 White Medium Duty - Truck 1GCHK33R7WFO33530 1409 1998 Chevy 3500 - Club Cab Flatbed White Medium Duty - Truck 1GCHK33RXWFO19735 1410 1998 GMC C6500 - Flatbed Red Medium Duty - Truck 19DJ6H1C7WJ517997 1413 1999 GMC W4500 - Flatbed White Medium Duty - Truck 4KD6481 R6XJ000106 1414 1999 GMC W4500- Flatbed White Medium Duty - Truck 14KDB4BlR4XJ000038 1415 2000 Chevy 3500- White IMediurn Duty -Truck I IGTHK33R4YF502124 A-1 Chipseal Co. Asset List As of 8/8/2012 Umt# Year ��.- ^'F`..:: .':Description - -� [ --,-Color _.. ..Type ,.- - 7 --, -Serial #" 1416 2000 GMC 3500 White Medium Duty -Truck IGDHK34RXYF491365 1417 2000 GMC 3500 White Medium Duty -Truck iGBHK34R2YF474438 1418 2001 Ford F-350 - Club Cab Flatbed Blue Medium Duty - Truck 1 FTSX30F71 EA44916 1419 2001 Chevy 3500-Flatbed White Medium Duty - Truck 1 GBJC39G11 F106974 1420 2002 GMC W3500 - Flatbed White Medium Duty - Truck J8DB4B14427005026 1421 2002 GMC 3500 - 16' Box Van Yellow Medium Duty - Truck 1GDH31RX21900538 1422 2002 Ford F-350 - Crew Cab White Medium Duty - Truck 3FTSW31F82MA04793 1424 2003 Ford F-350 White Medium Duty - Truck 1 FDWF36PO3EC13676 1425 2004 GMC 3500 White Medium Duty - Truck 1 GDJC34U14E247400 1426 2005 Ford F-350 Red Medium Duty - Truck 1 FTWX30P75EB26371 1427 2006 Ford F-350 White IMedium Duty - Truck 1FDWF37PO6EC16323 1428 2006 Ford F-350-Crew Cab White Medium Duty - Truck 1 FTWW31 P86EB94472 1429 2006 Ford F350 SD White Medium Duty - Truck 1FTWX31P96EB98981 1431 2007 GMC Sierra 3500 White Medium Duty - Truck 1GTHK33D77F161420 1432 2007 GMC W4500 Flatbed White Medium Duty - Truck J8DC4J16977015459 1433 2007 GMC W4500 Flatbed White Medium Duty - Truck ADC4J16677014849 1434 2005 Ford F-350 White Medium Duty - Truck 1 FTWW31 P85EB27160 1435 2011 Ford F-550 ^ Crew Cab Black Medium Duty - Truck 1 FDOW5HT5BEB89787 1436 2011 Ford F-550 - Crew Cab Black Medium Duty - Truck 1 FDOW5HT7BEB89788 1437 2004 Ford F-550-Crew Cab White Medium Duty -Truck 1FDAW57P24EB90360 1444 2008 Ford F450 Copper Medium Duty -Truck 1FTXW43R38ECO8869 1503 1998 Freightliner Mechanics Truck White Medium Duty - Truck 1FV3EFFC2WH926210 1504 2000 Chevy 3500 Service Truck Black Medium Duty - Truck 1GBJC34J5YF461000 1505 2008 GMC Sierra 3500 White Medium Duty - Truck 1GDJK39618E174645 1506 2010 Ford F450 Black Medium Duty - Truck 1 FD9X4HTOBEB15594 2102 1996 GMC 7000 - Sealcoat Tanker Black Heavy Duty - Truck 1GDJ7H1 P2TJ850197 2103 2001 GMC 7000-Sealcoat Tanker Yellow Heavy Duty - Truck i GDJ7H1 E91J506541 2104 2002 GMC 7000 - Sealcoat Tanker Black Heavy Duty - Truck 1 GDJ7H1 E62,1900967 2206 2002 GMC 7000-Infrared Yellow Heavy Duty - Truck 1 GDJ7H1 El 2J900679 2207 2002 GMC 6500 - Infrared Yellow Heavy Duty - Truck iGDJ7H1E12J900844 2208 2002 GMC 6500 - Infrared Yellow Heavy Duty - Truck 1GDJ7H1E52J900782 2210 2011 Freightliner M21 06 - Infrared Black Heavy Duty - Truck 1FVACXBSIBDAW8510 2211 2011 Freightliner M2106 - Infrared Black Heavy Duty - Truck 1 FVACXBS3BDAW8511 2300 1998 International - Distributor White Heavy Duty - Truck 1HTGLAHT2WH541204 2301 2002 Kenworth - Distributor Black Heavy Duty - Truck 1 NKDLUOX52R892661 2302 2003 Kenworth - Distributor Black Heavy Duty - Truck 1 NKDLBOX23J393918 2303 2006 Kenworth - Distributor Black Heavy Duty - Truck 1 NKDLBOX16R132088 2304 2007 Ford F-750 Etnyre - Distributor White Heavy Duty - Truck 3FRXF75G67V508702 2305 1973 Mack - Bearcat Distributor White Heavy Duty - Truck R685T36815 2402 2007 Freightliner-Bergkamp White Heavy Duty - Truck 1FVHC5CV27HW73595 2403 2007 Freightliner-Bergkamp White Heavy Duty - Truck iFVHC5CV07HW73594 2404 2009 Freightliner - Bergkamp Black Heavy Duty - Truck 1FVHC5CV3ADAN5333 2406 1981 Peterbilt - Bergkamp White Heavy Duty - Truck 1XP3L29X4BP138634 2407 1999 Freightliner - Bergkamp White I Heavy Duty - Truck 1FVXTMC61XHB99735 2408 1999 Freightliner-Bergkamp White Heavy Duty - Truck 1FVX6MCB4XPA23212 2409 1999 Freightliner - Bergkamp White Heavy Duty - Truck 1FVX6MCB6XPA23213 2410 2004 Freightliner-Bergkamp White Heavy Duty - Truck 1FVHC5CV44HM41401 2411 2005 Freightliner - Bergkamp White Heavy Duty - Truck iFVHC5CV85HV52437 2500 1998 Chevy 3500 Crackseal Black Medium Duty - Truck 1 GDKC34F4WJ503108 2501 2001 GMC 5500 Flatbed White Medium Duty - Truck J8DE5B14017900523 2600 1995 Ford Water Truck White Medium Duty - Truck 1FTYS95W3SVA58477 2601 2005 International Water Truck White Medium Duty - Truck 1 HTMMAAL05H691787 2700 1979 Freightliner Tractor Red Heavy Duty - Truck CB1 13HP1 72086 2701 1984 Freightliner Tractor Black Heavy Duty - Truck iFUPYDYB6EP254274 2702 1989 Peterbilt Tractor White Heavy Duty - Truck 1XPFDB9XOKD280720 2703 1989 Peterbilt Tractor White Heavy Duty - Truck 1XPFDB9XXKD284368 2706 1995 Volvo Tractor green Heavy Duty - Truck 4V1WDBCH1SN693115 2707 1995 Kenworth Tractor White Heavy Duty - Truck 1XKADR9X4SS647400 2712 1996 Mack CH613 - Tractor Black Heavy Duty - Truck JIM2AA18Y2TWO69271 2716 1998 1 Peterbilt Tractor Black Heavy Duty - Truck 11 XP5DU9X6WN450957 A-1 Chipseal Co. Asset List As of 8/8/2012 Unit# Aeaa rO _ _.''Description _ 7.` :'Color, _7;�. _,Type erial # 2717 1999 IMack CH613 - Tractor Black I Heavy Duty - Truck 1 M1AA18YXXWO95207 2718 2000 International Tractor White Heavy Duty - Truck 2HSCEAXROYCO72580 2809 1993 Freightliner - Tandem White Heavy Duty - Truck 1 FUPDXYB1 PP422659 2810 1995 Mack CHG613 Tandem Black Heavy Duty - Truck 1M1AA18Y4SWO51406 2811 1995 Mack CHG613 Tandem Black Heavy Duty - Truck 1M1AA18Y2SWO43949 2812 1995 Mack CH613 Tandem Black Heavy Duty - Truck lMlAA18YOSWO43948 2813 1997 Mack CHG613 Tandem Black Heavy Duty - Truck 1M1AA18Y1VW077935 3100 1996 Home made 12' Trailer Black Trailer - Equipment ID10020527CO 3104 1999 Felling Trailer Black Trailer - Equipment 5FTUE1013XIO12638 3105 1999 Home made 12' Trailer Black Trailer - Equipment ID1002161000 3106 2000 Maxey 14'Trailer Black Trailer - Equipment 1LHT10BT1Y101O719 3109 2001 Maxey 15' Trailer Black Trailer - Equipment 1M9DT12E311104210 3110 2001 Trailer 16'Wrap Red Trailer - Equipment 5CVUS16251SO09720 3112 2001 Hill Top Trailer Black Trailer - Equipment ID12052245CO 3113 2002 Maxey 20' Trailer Black Trailer- Equipment 5APDU16252LOO1611 3114 2002 Maxey 15' Trailer Black Trailer- Equipment iM9DT12E221104264 3115 2003 Trailer Exp. 16' Utility Black Trailer- Equipment 5CVUS162835020679 3116 2003 Maxey 15' Trailer Black Trailer- Equipment iM9DT12EX31104353 3117 2004 Tempco 12' Trailer Black ITrailer- Equipment 11 T9P361244M737266 3119 2004 Landoll 16' Trailer Black Trailer - Equipment 1 LHTlOBT341013499 3121 2005 Landoll 16' Trailer Black Trailer - Equipment 1 LHT1OBT151014085 3122 2005 Landoll 16' Trailer Black Trailer - Equipment 1 LHSlODT251014184 3124 2005 PJ Utility Trailer Gray Trailer - Equipment 4P5SA141352079079 3125 2006 Trailer 102"x2O' Black Trailer - Equipment 5L8GF252261004368 3126 2006 PJ Utility Trailer Gray Trailer - Equipment 4P5CH162162086801 3129 2006 Innovated Trailer MFG Black Trailer - Equipment 5POAU10136ROO4737 3130 2006 Jackson Trailer Black Trailer - Equipment iJ9FS121061033286 3131 2007 Trailer Black Trailer - Equipment 4ZETD202871036081 3133 2007 Maxey 15' Trailer Black Trailer - Equipment 1 M9DT12E471104077 3134 2007 Landoll 16'Trailer Black Trailer - Equipment 1 LHSlODT071015868 3135 2008 Home Made Black Trailer - Equipment IDTL000069AA 3136 2008 PJ Utility Trailer Black Trailer - Equipment 4P5F8222181112069 3137 2008 Carry On Trailer White Trailer - Equipment 4YMCLOB198TO19302 EXHIBIT 1 - REVISED BID TAB BID SCHEDULE ITEM NO DESCRIPTION UNIT CON'IRACI' QUANTITY ❑NI"I'PRICE TOTAL COST 10501 SWFETING-ALI.s rRELi SURFACE EACH 2 6.800.00 $ 13,600 10502 SWEEPING-ALLPARKINGLOTSURFACES EACH 2 870.00 $ 1,740.00 20801 S"rORMWAHER PROTECTION -WATTLE L EALFOOT 150 22.00 $ 3,300.00 20802 STORMWA'TER PROTECTION -STRAW BALE EACH 3 135.00 $ 405.00 409.01 CHIPSCAL(AKITRIAL) SQUAREYARD 18,000 2.80 $ 50,400.00 40902 CHIPSEAL(COLIP.CTOR) SQUAREYARD 11,500 2.78 $ 31,970.00 409.03 CHIP SEA L(REIDENTIA I.) SQUAREYARD 17,600 2.69 $ 47,344.00 409.N DOUBLE Cl UP S PA L(REIDENTIAL) SQUAREYARD 29,500 4.78 $ 141,010.00 409.05 '1'YI'E II SLURRYSIAL(COUECI'OR) SQUAREYARD I5,000 2.25 $ 33,750.00 409.06 TYPE II S L.URRY SEA 1.(REIDENrIA L) SQUAREYARD 71,500 2.20 $ 157,300.00 409.07 TYPE II SLURRY S FA 1. (PA RKING LOTS) SQUAREYARD 4,4W 3.48 $ 15,312.00 409.08 CA PE SEA1.(COLLECIOR) SQUAREYARD 16,000 4.69 $ 75.040.00 409.09 CA PE SEA 1.(RISIDETIA Q SQUAREYARD M." 4.46 5 294,360.00 409.10 CA PE SEA L(PA RKING LOTS) SQUAREYARD L. 6.98 $ 10,051.20 63001 \ARIA141.E MESACE BOARD EA/DAY 10 192.00 $ 1.920.00 63002 ADDITIONA L FLA GOING PERSONEL HOUR 4 23.25 $ 93.00 TOTAL COST $ 877,595.20 Hundred Seventy Seven Thousand Five Hundred Ninety Five Dollars and Signed Address Daniel 1131rya4a Company A-1 Chipseal Co. Check One: Individual Doing Business in Company Narre XX Corporation Partnership 2001 W. 641h Lane, Denver, CO 80221 Phone/Fax P: 303464-9267 F: 303-464-9261 ?4 w Addendum 1 - 7417 Asphalt Surface Treatment Project Twenty Cents Page 2 of 4 NOA-ONE CHIPSEAL Key Personnel Work Resumes Name Ben Vagher Years of Experience 30 Present Position President, Owner Skills/Responsibilities Product Development, Estimating, Contract Compliance, Current/Past Employment A-1 Chipseal Co. 1992 - Current & Safety, Quality Assurance, Customer Service, Cost Euntin Western Mobile 1980-1996 , Board of Directors Daniel J Gryzmala 8 Vice President, Estimator, Owner Operations, Estimating, Contract Compliance, EEO & Safety A-1 Chipseal Co. 2007 - Current Manager, Quality Assurance, Customer Service, Cost RG Insulation 2001-2007 Accounting, Board of Directors Nick Zieser 25 Treasurer, Owner Financial Advisor, CPA, Problem Solving, Acquisitions, Legal, A-1 Chipseal Co. 2007-Current Board of Directors CFO Management 2009-Current Medallion Mezzanine 1997-2009 KPMG, LLP 1985-1997 Stephanie Wallis 9 Controller, Corporate Secretary Cost Accounting, Contract Compliance, EEO & Safety, A-1 Chipseal Co. 2007-Current Financial Review, Audits, Customer Service W.L. Contractors 2005-2007 AmWest Well and Pump 2001-2005 Rick Whitfield 27 Operations Manager Operations, EEO & Safety Manager, Quality Assurance, A-1 Chipseal Co. 2009 - Current Customer Service, Cost Accounting, Project Management, Job Black Rock Paving 2004-2009 Performance Lafarge West Inc. 1983-2004 Renee White 12 Accounts Receivable Manager Cost Accounting, Unit Price Billing, AIA Billings, Contract A-1 Chipseal Co. 2009 - Current Compliance Rocky Mountain Pavement 1998-2008 Jeff Gross 16 Estimator Estimating, Customer Service, Cost Accounting, Job A-1 Chipseal Co. 2009 - Current Performance, Contract Compliance, Project Management New West Paving 2007-2009 Premier Paving 2005-2007 Lafarge 1985-2005 John Johnson 30 Estimator Estimating, Customer Service, Cost Accounting, Job A-1 Chipseal Co. 2010 - Current Performance, Contract Compliance, Project Management Sam Materials 2007-2009 City of Aurora 1980-2007 Paul Salazar 16 Asset Manager Equipment Sales & Acquisitions, Equipment Mantenance, A-1 Chipseal Co. 1997 - Current Employee Training, Safety, Crew Manan ement Western Mobile 1994-1997 Joshua Kruger 14 Chipspreader Operator Distributor Operator, Safety A-1 Chipseal Co. 2009 - Current Aztec 1998 - 2008 Kevin Furney 19 Distributor Operator Distributor Operator, Safety A-1 Chipseal Co. 1996 - Current Western Mobile 1991-1996 Luis Ortega 17 Slurry Seal & Crackseal Supervisor Customer Service, Crew Management, Job Performance, A-1 Chipseal Co. 2005 - Current Employee Training Safety Quality Resurfacing 1995-2005 Jaime Ortega 17 Slurry Seal & Crackseal Foreman Operator, Customer Service, Safety, Employee Training A-1 Chipseal Co. 2005-Current Quality Resurfacing 1995-2005 Eloy Medina 16 Brooming Supervisor Broom Operator, Safety, Traffic Control, Crew Manangemenl A-1 Chipseal Co. 1997- Current Western Mobile 1994-1997 Jaime Walton 7 Estimator Estimating, Customer Service, Cost Accounting, Job A-1 Chipseal Co. 2009-2011 Performance, Contract Compliance, Project Management Rocky Mountain Pavement 2005-2009 Southeast Corridor Constructors 2004-2005 Kiewitt Western Companies 2003-2004 Trevor Pigg 11 Concrete Supenntendanl Customer Service, Crew Management, Job Performance, A-1 Chipseal Co. 2010-2011 Employee Training, Safety JVC Enterpnses 2007-2010 Advantage Concrete 2005-2007 T&H Contractors 2000-2005 Juan Montoya 19 Paving Superintendent Customer Service, Crew Management, Job Performance, A-1 Chipseal Co. 2009-2011 Employee Training, Safety Rocky Mountain Pavement 2004-2009 N�\A�O NE CIPSEAL Contractors Licenses and Permits Owner Type Number Expiration Date Bond Arvada, City of Contractors License Type MC-S5 L06-0010 4/4/2013 $ 20,000.00 Aurora, City of Contractor License 2011 557258 00 CL 9/1/2012 $ 20,000.00 Aurora, City of Business License 49259 5/18/2013 NONE Aurora, City of Contractors License - ROW Concrete 2011 573484 00 CL 12/1/2012 None Boulder, City of Contractors License -Right of Way LIC-0008814-28 10/8/2012 Continous Brighton, City of Contractor License - Type D CL-02990 6/26/2013 Broomfield, City if Contractor Registration-GenA OL-12-06474 7/30/2013 Centennial, City of Contractor Business License CEN-13-04928 6/30/2013 Commerce City, City of Subcontractor Right of Way 101432 12/31/2012 NONE Denver, City & County of ROW - Paving 234637 6/30/2013 $ 50,000.00 Englewood, City of Contractors License-D05 Exc/Drill/Drain 15537 8/9/2013 UNKNOWN Erie, Town of Contractors License 2183 12/31/2012 Evans, City of Business License 895 12/31/2012 NONE Firestone, Town of Contractors License - Type C 12C-FIRCO-017 12/31/2012 NONE Fort Collins, City of Contractors License & Right of Way License no assigned # 6/25/2013 $ 20,000,00 Fort Collins, City of Right of Way License no assigned # 6/25/2013 $ 10,000.00 Fort Collins, City of Non -Structural Concrete License no assigned # 6/9/2013 $ 10,000.00 Fort Lupton, City of Contractor License - Type B 2012003 12/31/2012 NONE Fort Morgan, City of Contractor's License 557 12/31/2012 Fredrick, Town of Contractor's License - Type A 553 12/31/2012 Golden, City of Contractor Registration 2326 11/18/2012 Greeley, City of Paving Contractor License 21276 6/30/2013 $ 10,000.00 Greenwood Village, City of Contractors License - Level D OL-10-00555 10/10/2012 ,Lafayette, City of General License _ _ _ �` L08131 8/31/2012 Lakewood, City of Contractors License 15507 - 6/23/2014 NONE Longmont, City of Contractors License - Type D Asphalt D20000449 6/30/2013 Louisville, City of Contractors License - Type D CL00239 3/29/2013 NONE Northglenn, City of Right of Way License 12-ROW-002 12/31/2012 NONE Platteville, Town of Contractor's License 12-009 4/27/2013 NONE Sheridan, City of Contractors License 100147 10/31/2012 Sterling, City of Building Contractor License 2012-136 6/2/2013 NONE Thornton, City of Asphalt/Concrete Paving License - Type D 19043 4/3/2013 NONE Vail, Town of Contractor Registration 374-A 4/30/2014 Westminster, City of D-Public Way Contractor 60731047 6/30/2013 $ 5,000.00 Wheat Ridge, City of Class B 19775 11/12/2012 A`C)R a CERTIFICATE OF LIABILITY INSURANCE 2/20/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Moody Insurance Agency, Inc. BOSS East Tufts Avenue Suite 1000 Denver CO 80237 CONTACT ME: Erin Threlkeld, CRIS PNDNE (303)824-6600 FAX ,(303)3]0-011B E-MAIL .ethrelkeld@moodyins. com INSURERS AFFORDING COVERAGE NAICN INSURER A:Travelers Indemnity CompanV 25658 INSURED A-1 Chipseal Co. DBA: Rocky Mountain Pavement, LLC 2001 Nest 64th Lane Denver CO 80221 INSURER B:Travelers Prop Cas CO of Amrca 25674 INSURER C:Plnnacol Assurance 41190 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL INSR SUBR WVO1 POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP IMMIDD/YYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE -ffAMAGE S 1,000,000 X COMMERCIAL GENERAL LIABILITY RENTED MI eoccurrenc s 300,000 A CLAIMS -MADE OCCUR TC0019OP673 0/1/2011 10/1/2012 MED EXP(Any one person) S 10,000 PERSONAL S AW INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG S 2,000,000 POLICY X PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT tl 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO IAUTOS ALL OWNED SCHEDULED AUTOS AUTOS T8100190P673 0/1/2011 10/1/2012 BODILY INJURY(Peraceadent) S X WN HIRED AUTOS X NON -OWNED PROPERTY DAMAGE a itl $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 10,000,000 AGGREGATE $ 10,000,000 B EXCESS UAB CLAIMS -MADE DELI I X I RETENTIONS 10, 00C $ DTSWUP019OP673 10/1/2011 10/1/2012 C WORKERS COMPENSATION X WC STATU- DTH- AND EMPLOYERS' UABILITY YIN E.L. EACHACCIDENT S 500 000 ANY,11 PROPRIETORIPARTNERIEXECUTIVE NIA OFFCERIMEMBER EXCLUDED9 (M areal., In NH) 055760 10/1/2011 10/1/2012 E.L. DISEASE - EA EMPLOYE 5 500,000 If yea, describe under EL DISEASE - POUCY LIMIT 1 5 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks ScMdule, If mom apace Is repulrad) *** FOR INFORMATION ONLY*** ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Threlkeld, CRIS/CHR ©1988-2010 ACORD CORPORATION. All rinhHo INSM5nmm�zl nl Tho ef`nfJn nemn �nA Innn o.n enni�en.nA ma.4c ..t: ecnlan SECTION 00430 SCHEDULE OF SUBCONTRACTORS List all subcontractors for the work items listed below and all subcontractors performing over 10% of the contract. ITEM NONE SUBCONTRACTOR City of F6rt Collins Purchasing ADDENDUM No. 1 SPECIFICATIONS AND CONTRACT DOCUMENTS Description of BID 7417: Asphalt Surface Treatment Project OPENING DATE: 3:00 PM (Our Clock) August 8, 2012 Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins. CO 80522 970.221.6775 970.221.6707 fc9ov.com/Purchasing To all prospective bidders under the specifications and contract documents described above, the following changes/additions are hereby made and detailed in the following sections of this addendum: Exhibit 1 — Revised Bid Tab Exhibit 2 - Revised Specifications Please contact John Stephen, CPPO, LEED AP, Senior Buyer at (970) 221-6777 with any questions regarding this addendum. RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED. N Addendum 1 — 7417 Asphalt Surface Treatment Project Page 1 of 4 City of F6rt Collins Purchasing ADDENDUM No. 2 SPECIFICATIONS AND CONTRACT DOCUMENTS Description of BID 7417: Asphalt Surface Treatment Project OPENING DATE: 3:00 PM (Our Clock) August 8, 2012 Financial Services Purchasing Division 216 N. Mason St. 2ntl Floor PO Box 580 Fort Collins, CO 80522 970.221.6776 970.221.6707 fcgov com/purchasing To all prospective bidders under the specifications and contract documents described above, the following changes/additions are hereby made and detailed in the following sections of this addendum: Exhibit 1 — Questions & Answers Exhibit 2 — Corrections to Revised Specifications from Addendum 1 Please contact John Stephen, CPPO, LEED AP, Senior Buyer at (970) 221-6777 with any questions regarding this addendum. RECEIPT OF THIS ADDENDUM MUST STATEMENT ENCLOSED WITH THE ADDENDUM HAS BEEN RECEIVED. BE ACKNOWLEDGED BY A WRITTEN BID/QUOTE STATING THAT THIS Addendum 2 — 7417 Asphalt Surface Treatment Project Page 1 of 6 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. rJ7 :.(Seal, -.if Bld'ss-' corporation P ;yUD Eyfi ; RESPECTFULLY SUBMITTED: A-1 Chipseal Co Printed Date Vice President Title License Number (If Applicable) �.......... Address 2001 W 64th Lane, Denver, CO 80221 Telephone 103-464-9267 Email swallis@a-lchipseal.com SECTION 00400 SUPPLEMENTS TO BID FORMS 00410 Bid Bond 00420 Statement of Bidder's Qualifications 00430 Schedule of Subcontractors SECTION 00410 BID BOND KNOW ALL MEN BY THESE PRESENTS- that we, the undersigned A_-1 Chipseal Company as Principal, and Western Surety Company as Surety, are hereby held and firmly bound unto the City of Fort Collins, Colorado, as OWNER, in the sum of $ 5% * for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors, and assigns. *Five Percent of Amount Bid -- 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, Bid No. 7417, Asphalt Surface Treatment Project NOW THERErORE, (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 affect, 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 eay impaired or affected by any extension of the time within which the OWNER -nay 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 0HaREoF, the Principal and the Surety have hereunto set their hands and seals this 8th day of August , 2012 , and Stich of them as are corporations have caused their corporatz seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first sot forth above. PRINCIPAL SURETY Name: A-1 Chipseal Company Western Surety Company Address: 2001 West 64th Lane Denver, W 80221 By, Tittle: DanAl J. GrYzmala Vice President 7/96 o MOODY INSURANCE AGENCY, INC. 8055 East Tufts Avenue, Suite 1000 DENVER, COLORADO $0237 PHONE: (303) 824-6600 10375 Park Meadows Dr. Littleton, CO 80124 By. _ Ti ;Soechst� Attorne -in-Fact Y !Yz Section 00410 Page 3 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seat herein affixed hereby make, constitute and appoint Sara G. Hoechst , Individually of Denver, CO its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - Surety Bond Number: Bid Bond Principal: A-1 Chipseal Company Obligee: City of Fort Collins and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 21st day of June, 2012. g//yvarr WESTERN SURETY COMPANY pPoie3 �i4 fli= CAv'i�Y, j �4rM OP�4pr• JfP aul T. Bruflat, Vice President State of South Dakota 1 as Jj County of Minnehaha On this 21st day of June, 2012, before me personally came Paul T. Bruflat, tome known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires F44SSSS4S4SS4S44444S4hhS4� rr D. KRELL November 30, 2012 r ssEat SOUTH NOTARY PUBLIC SEAL r 4 SOUUTH DAKOTA �44444444444444SS\44S4SS D. Krell, Nc uy Public CERTIFICATE 1, L Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attomey hereinabove set forth is still in force, and further certify that the By-law of the corperation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 8th day of August 2012 I WESTERN SURETY COMPANY �n jopaneyAla� full OnK Farm F4280-09-06 L. Nelson, Assistant Secretary Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the i corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. 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: A-1 Chipseai co. 2. Permanent main office address: Zoos W 64th Lane, Denver, Co 80221 3. When organized: 11/1992 4 If a corporation, where incorporated: Colorado 5. How many years have you been engaged in the contracting business under your present firm or trade name? 19 Years 6. Contracts on hand: (Schedule these, showing the amount of each contract and the appropriate anticipated dates of completion.) See Attached 7. General character of Work performed by your company: Pavement Preservation S. Have you ever failed to complete any Work awarded to you? No If so, where and why? 9. Have you ever defaulted on a contract?.