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HomeMy WebLinkAboutRESPONSE - BID - 8449 PITKIN STREET BIKEWAYSECTION 00300 BID FORM PROJECT: 8449 Pitkin Street Bikeway Place: Fort Collins, Colorado Date: February 3, 2017 In compliance with your Invitation to Bid dated January 7 , 2017 and subject to all conditions thereof, the 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 5% of total bid price ($ 5% of total bid price ) 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: Contractors Bonding and Insurance Company 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. 1 through 3 8. The undersigned Bidder hereby acknowledges the documents listed below are required elements of the bid and must be submitted with the bid. The City may reject any incomplete bids as non -responsive. - Bid Form (Section 00300) RLI ®cis an RL Company 9025 N. Lindbergh Dr. I Peoria, IL 61615 Phone: (800)645-2402 1 Fax: (309)689-2036 Know All Men by These Presents: POWER OF ATTORNEY RLI Insurance Company Contractors Bonding and Insurance Company That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That this Power of Attorney may be effective and given to either or both of RLI Insurance Company and Contractors Bonding and Insurance Company, required for the applicable bond. That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each Illinois corporations (as applicable), each authorized and licensed to do business in all states and the District of Columbia do hereby make, constitute and appoint: W.R. Withrow, Megan A. Brown, Laurie Lewis, Renee Dameron, Don Bemdt, iointly or severallv in the City of Denver , State of Colorado , as Attorney in Fact, with full power and authority hereby conferred upon him/her to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds, undertakings, and recognizances in an amount not to exceed Ten Million Dollars ( $10,000,000.00 ) for any single obligation. The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company. RLI Insurance Company and Contractors Bonding and Insurance Company, as applicable, have each further certified that the following is a true and exact copy of the Resolution adopted by the Board of Directors of each such corporation, and now in force, to -wit: "All bonds, policies, undertakings, Powers of Attorney or other obligations of the Corporation shall be executed in the corporate name of the Corporation by the President, Secretary, any 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 Corporation. 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 or other electronic image." IN WITNESS WHEREOF, RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have caused these presents to be executed by its respective Vice President with its corporate seal affixed this 22nd day of March. 2016., eO�OWG AND,,vs., ,.`� JPpNCE co 5 .' pt'ORq ••9� �`�`tsy •'PPOR'•.�1,0�': XS SEAL SEAL ,_ y°° ~_ State of Illinois ... SS • ��LINO�S �C C 1 N OAS `` County of Peoria On this 22nd day of March 2016 before me, a Notary Public, personally appeared Barton W. Davis who being by me duly swom, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the RLI Insurance Company and/or Contractors Bonding and Insurance Company, and acknowledged said instrument to be the voluntary act and deed of said corporation. M. "OFFICIAL SEAL' JACQUELINE M. BOCKLER COMMISSION EXPIRES 01114l18 RLI Insurance Company Contractors Bonding and Insurance Company i Barton W. Davis Vice President CERTIFICATE I, the undersigned officer of RLI Insurance Company, and/or Contractors Bonding and Insurance Company, each Illinois corporations, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney, is now in force. In testimony whereof, I have hereunto set my hand and the seal of the RLI Insurance Company and/or Contractors Bonding and Insurance Company this 3rd day of Febri a� 2017 RLI Insurance Company Notary Public Contractors on ing and Ins rance Company Barton W. Davis Vice President 0575578020212 A0059115 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: Lightfield Enterprises, Inc. 2. Permanent main office address: 2600 Midpoint Drive, Fort Collins, CO 80525 3. When organized: 1978 (Formerly Vogel Concrete, Inc.) 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? 3 Years 6. Contracts on hand: (Schedule these, showing the amount of each contract and the appropriate anticipated dates of completion.) City of Fort Collins SMP-Phase III, $995,464.89, August. 2017 Anticipated Completion Date City of Loveland Street Rehab Concrete, $375,000, May, 2017 Anticipated Completion Date 7. General character of Work performed by your company: Concrete Flatwork and Traffic Control. 8. 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? No 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. City of Fort Collins Concrete Maintenance Project Phase 1, December, 2016, $2,574,550.26 • • • • L074WAIII• •• CSU Center for Advanced Technology Sitework Concrete, October. 2016, $296,222 12. List your major equipment available for this contract. Mini -Excavator Skid Steers Breakers, Front End Loaders, Dump Trucks, Pickup Trucks, Concrete Saws Concrete Forms Brooms Compressors Traffic Control Equipment and Devices 13. Experience in construction Work similar in importance to this project: 14. Background and experience of the principal members of your organization, including officers: Please see enclosed brochure. 15. Credit available: $ 350,000 Line of Credit 16. Bank Reference: 303-312-3486 17. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the OWNER? Yes 18. Are you licensed as a General Contractor? No If yes, in what city, county and state? What class, license and numbers? 19. Do you anticipate subcontracting Work under this Contract? Yes If yes, what percent of total contract? 45% And to whom? Various Trades (Pavement Marking, Tree Removal, Boring, Asphalt Patching) 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 $1.000.000 What company? Colony Insurance Company General Liability 22. What are your company's bonding limitations? s4,000.000 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 Fort Colli -CO--,this 03 day of February 2017. Company: Li h 'el Enter ris s, Inc. By: Printed: Lucia D Lightfield Title: President State of Colorado County of Larimer Lucia D. Lightfield being duly sworn deposes and says that he is President of Lightfield Enterprises, Inc. (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 J Not ublic My commission expires: 2-125-l20ZG day of February , 2017. (Seal) S!AGY &HNADETTE MAGDALENO Notary Public State of Colorado Notary 10 20164007798 My Commission Expires Feb 25, 2020 SECTION 00430 SCHEDULE OF SUBCONTRACTORS List all subcontractors for the work items listed below and all subcontractors performing over 15% of the contract. ITEM Tree Removal Potholing Boring Asphalt Patching Drilled Caissons Pavement Marking SUBCONTRACTOR Davey Tree Service or Jordan's Tree Service Colorado Boring Company Colorado Boring Company Martin Marietta Colorado Boring Company Precision Pavement Markina SECTION 00440 SECTION 00440 COLORADO DEPARTMENT OF TRANSPORTATION PROJECT NO 8449 ANTI -COLLUSION AFFIDAVIT LOCATION Fort Collins, Colorado I hereby attest that I am the person responsible within my firm for the final decision as to the price(s) and amount of this bid or, if not, that 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 TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. Contractor's firm or company name By Dale Lucia D. Lightfield 02/03/2017 Lightfield Enterprises, Inc. Till. L President 2nd contractor's 6rrn or company name. (It joint venture.) By Date Title Sworn to before me this �j day of, February 2017 Notary Public STACY BERNADETTE MAGDALENO Notary Public My commission e 2 /2 State of Colorado Notary ID 20164OQ7798 NOTE: This document must be signed in ink. My Commission Expires Feb 25, 2020 CDOT Form $606 1/02 SECTION 00450 COLORADO DEPARTMENT OF TRANSPORTATION BIDDERS LIST Project Name and Number Project Code Proposal Date 1 Contractor Region 8449 Pitkin Street Bikeway 8449 02/03/2017 Lightfield Enterprises, Inc Subcontractors/SuppliersNendors: The bidder must list all firms seeking to participate on the contract. This information is used by the Colorado Department of Transportation (CDOT) to determine overall goals for the Disadvantaged Business Enterprise Program. Failure to submit this form may result in the proposal being rejected. Firm Name Email Work Proposed (Select all that apply) DBE (YIN) Selected (Y/N) Li htfield Enterprises, Inc. LLightfield@LightfieldEnterprises.com 2, 3, 5,10,13,21,26 Yes Yes Colorado Boring Company Joncbc1 gmail.com 10.21 No Yes Martin Marietta Asphalt roper.marquiss@martinmarietta.com No Yes Jordan's Tree Service 21 No No Davey Tree Servide —david@jordantree.com natalie.mcneill@davey.com 21 No Yes Loveland Barricade joebrandt@lovelandbarricade.com 2, 16 No No Precision Pavement Marking chris@ppmhub.com 2,16 No Yes I certify that the information provided herein is true and c)drreet to the b st of my knowledge. Name Lucia D. Li htfield Signature/I tials ` L,�, Title President Date2/3/1 Work Proposed Categories: 11. Structural Steel and St / Reinlorc errrant 21 Clearing, DemofrNan. Excavation and f A latenals and Supplies 12_ Riprap and Anchored Re inrng Waits EaAhvwtk 2 Flagging and Traffic Control 13 Landscape and Erosion Control 22 Engineering and Surveying Services 3 Trucking and Healing 14 Bndge and Bndge Deck Construction 23 Public Relations and Involvement 4. Precast Concrete, Foundations, and 15. Asphalt Paving 24 Piles and Deep Foundations Footings 16 Road and Paiking Lot hfarking 25 Waste AAanagement and Recycling 5 Concrete Paving. Fla4vork and Repair 17. Chip Seal. Crack Seal Joint Seat and 26 Site Clear) Up 6 Lighting and Electrical Crack Fill 2T k lechanicai and HVAC 7 Signs, Signal Installation. and Guardrail 18 Bndge Painting and Coating 28, Tunnel Construction 8 Fencing 19 Stairway and Ornamental k4etal 29 Profiling and Grinding 9 Buildings and Vertical Structures 20, Parking Lots and Commercial Sidewalks 30 Environmental Health and Safety 10 Utility, Water and Server Lines his form must be submitted by the proposal deadline. For COOT projects, submit to cdot—hq_dbeforms(LZ)state.co.us. CDOT Form #141301r14 SECTION 00460 COLORADO DEPARTMENT OF TRANSPORTATION ANTICIPATED DBE PARTICIPATION PLAN Bidder: Lightfield Enterprises, Inc. Project: Pitkin Street Bikeway Contact Lucia D. Lightfield Project Code: 8449 Phone: 970-484-3880 Date of Proposal: February 3 2017 Email: LLi htfield Li htfield Enterprises. com Contract Goal: 10% Preferred Contact Method: DBE Firm Name Region: Work to Be Performed Commitment Eligible Amount Participation Lightfield Enterprises, Inc. Prime Contractor, Site Work, Concrete Construction Traffic Control, Caissons, Irrigation, Erosion Control $160,000 40% Total Eligible Participation $162, 636 Total Bid Amount $398, 735 Total Eligible Participation Percentage 41% Bldder Signature - This section must be signed by an individual with the authority to bind the Bidder. By signing this form, as an authorized representative of the Bidder, you declare under penalty 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 your knowledge. Further, you attest that you have read the Standard Special Provision Disadvantaged Business Enterprise Requirements and understand the following: CDOT shall not award a contract until it has been determined that the contract goal has been met or that you have otherwise demonstrated good cause. Once your proposal has been submitted, commitments may not be modified or terminated without the approval of CDOT. If selected as the lowest apparent bidder, you shall submit a Form 1415 for each commitment listed above. If you have not met the contract goal, you will also be required to submit documentation of all good faith efforts to meet the contract goal. It is your responsibility to ensure that the selected DBEs are certified for the o be performed and that their eligible participation has been properly counted. For additional information and instructions calculating ligible participation, see the Standard Special Provision Disadvantaged Business Enterprise Requirements. Lucia D. Lightfield President February 3, 2017 Name I Title Signnob Date This form must be submitted by the proposal deadline. For CDOT proje submit to cdot_hq_dbeforms@state.co.us. Civil Rights and Business Resource Center CDOT Form # 1414 01/14 - Certified or Cashier's Check Bid Bond (Item 3 above and Section 00410) - Acknowledgement of Bid Addenda (Item 7 above) Statement of Bidder's Qualifications (Section 00420) Schedule of Subcontractors (Section 00430) - CDOT Form #606, Anti -Collusion Affidavit (Section 00440) - CDOT Form #1413, Bidders List (Section 00450) - CDOT Form #1414, Anticipated DBE Participation Plan (Section 00460) Buy America Certification (Section 00470) - Certification Regarding Lobbying (Section 00480) 9. The Bidder acknowledges this is a Federally funded project subject to the Federal Terms and Conditions incorporated herein as part of the Invitation to Bid. This project has a DBE goal of 10%. In order for a bidder to be responsive one must make a good faith effort to meet the DBE goal. The bidder can meet this requirement in either of two ways. First, the bidder can meet the goal, documenting commitments for participation by DBE firms sufficient to meet the goal. Second, the bidder can document adequate good faith efforts. These good faith efforts must be completed prior to submittal of the bid. To meet the DBE eligibility requirements, DBE firms must be certified by CDOT. The CDOT DBE Directory is available at https://www.codot.gov/business/civiIrights/dbe. If the apparent low bidder does not meet the project DBE goal, three copies of the contractor's good faith effort needs to be submitted to the City of Fort Collins Purchasing Department by 4PM on the next business day after bid opening. 10. The undersigned Bidder shall provide three (3) completed or under construction project references within the contract amount of $250,000 or greater from the past three (3) years. It is the City's preference that the reference projects use the same Project Manager as the Contractor is proposing for this project. References shall include a brief project description, owner contact information, and total contract value. References may be checked by the City and bids that do not include the required references may be deemed non -responsive. The lowest responsive and responsible bidder may be required to attend a Pre -Award Meeting with City staff prior to awarding the contract. The Pre -Award Meeting will be required per the City's discretion: Project 1 Name: 2016 City of Fort Collins Maintence Project Phase 1 Brief Description: Concrete rehab at various locations around Fort Collins Owner Contact Information: Tom Knostman 970221-6615 Contract Value: $2 574 550.26 Colorado Unified Certification Program Page 1 of 2 Vendor Information 0 H ELP Vendor Information Business Name Lightfield Enterprises, Inc. Owner Lucia Lightfield Address 2600 Midpoint Drive > Map This Address Fort Collins, CO 80525 Phone 970-484-3880 Fax 970-416-6230 Email RFIDAlightfieldenterprises.com Website http://www.LightfieldEnteri)rises.com Ethnicity Hispanic Gender Female Certification Information Certifying Agency City and County of Denver Certification Type DBE - Disadvantaged Business Enterprise Certified Business Concrete Demo, Foundations, & Flat Work (Curb, Gutter, Description Sidewalks, etc..), Snow Removal & Traffic Control Work Codes NAICS NAICS Index CO UCP NAICS Concrete paving (i.e., highway, road, street, public sidewalk) 237310 CO UCP NAICS Curbs and street gutters, highway, road and street, construction 237310 CO UCP NAICS Sidewalk, public, construction 237310 CO UCP NAICS Concrete finishing 238110 CO UCP NAICS Concrete repair 238110 CO UCP NAICS Footing and foundation concrete contractors 238110 CO UCP NAICS Concrete breaking and cutting for demolition 238910 CO UCP NAICS Concrete paving, residential and commercial driveway and parking area 238990 CO UCP NAICS Curb and gutter construction, residential and commercial driveway and parking 238990 area, concrete CO UCP NAICS Flagging (i.e., traffic control) services 561990 https://coucp.dbesystem.com/FrontEnd/VendorSearchPublicDetail.asp?XID=7183 &TN=co... 2/3/2017 SECTION 00470 BUY AMERICA The contractor agrees to comply with 49 U.S.C. 53230) and 49 C.F.R. Part 661, which provide that Federal funds may not be obligated unless steel, iron, and manufactured products used in FTA-funded projects are produced in the United States, unless a waiver has been granted by FTA or the product is subject to a general waiver. General waivers are listed in 49 C.F.R. 661.7, and include final assembly in the United States for 15 passenger vans and 15 passenger wagons produced by Chrysler Corporation, and microcomputer equipment and software. Separate requirements for rolling stock are set out at 49 U.S.C. 53230)(2)(C) and 49 C.F.R. 661.11. Rolling stock must be assembled in the United States and have a 60 percent domestic content. A bidder or offeror must submit to the FTA recipient the appropriate Buy America certification (below) with all bids or offers on FTA-funded contracts, except those subject to a general waiver. Bids or offers that are not accompanied by a completed Buy America certification must be rejected as nonresponsive. This requirement does not apply to lower tier subcontractors. BIDDER MUST SIGN ONE (1) OF THE FOLLOWING: Certification requirement for procurement of steel, iron, or manufactured products. Certificate of Compliance with 49 U.S.C. 5323Q)(1) The bidder or offeror hereby certifies that it will meet the requirements of 49 U.S.C. 53230)(1) and the applicable regulations in 49 C.F.R. Part 661.5. Date February 3, 20 Signature Company Name L c Title President Inc. Certificate of Non -Compliance with 49 U.S.C. 53236)(1) The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C. 53230)(1) and 49 C.F.R. 661.5, but it may qualify for an exception pursuant to 49 U.S.C. 53230)(2)(A), 53230)(2)(B), or 53230)(2)(D), and 49 C.F.R. 661.7. Date Signature Company Name Title SECTION 00480 APPENDIX A, 49 CFR PART 20--CERTIFICATION REGARDING LOBBYING Certification for Contracts, Grants, Loans, and Cooperative Agreements (To be submitted with each bid or offer exceeding $100,000) The undersigned [Contractor] certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601, et seq.)] (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. [Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure.] The Contractor, Lightfield Enterprises. Inc. , certifies or affirms the truthfulness and accuracy of tatement of its certification and disclosure, if any. In addition, the Contractor understayrds and a rees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certific fi6Q and .. plgsure, if any. Signature of Contractor's Authorized Official Name and Title of Contractor's Authorized Official Date Project 2 Name:2016 City of Fort Collins Concrete Maint. Project, Phase III Brief Description: Concrete rehab at various locations around Fort Collins Owner Contact Information: Tom Knostman 970-221-6615 Contract Value: $995,464.89 Project 3 Name:2016 City of Fort Collins Annual Miscellaneous Concrete Brief Description: Miscellaneous concrete flatwork at various locations around Fort Collins Owner Contact Information: Tom Knostman 970-221-6615 Contract Value: $628 580 50 10. BID SCHEDULE (Base Bid) Replaced by Addendum #3 Schedule of Values Attached *Please note that the Bid Schedule has also been uploaded as a separate Microsoft Excel file. NO ITEM DESCRIPTION UNIT QUANTITY UNIT�COS1� r T 201-000 Clearing and Grubbing LS 1 $ - 202 Rem of Concrete SY 118 $ 202 Removal of (Less than 8" Diameter) EA 10 $ - 202 Removal of Tree (Gre r than 8' Diameter) EA 1 $ - 202-00203 Removal of Curb & Gutter LF 198 $ - 202-00220 Removal of Asphalt SY 694 $ - 203 Excavation CY 150 $ 203-01510 Backhoe HR 30 $ - 203-01597 Potholing HR 24 $ - 203-02330 Laborer HR 30 $ - 208 Erosion Control LS $ - 403-33841 Hot Mix Asphalt (Grading S) (100) (PG 64-22) TON 175 $ 503-00018 Drilled Caisson (18 inch) LF 32 $ - 503-00036 Drilled Caisson (36 inch) LF 60 - 608 Concrete Sidewalk (includes curb ramps, concrete ped. curb) SY 576 $ - 608-00015 Detectable Warnings EA 10 $ 609 Modified Curb & Gutter (4" Rolled Curb, Match Existing) LF 157 $ - 609-2 10 Curb Type 2 (Section B) LF 208 $ - 610 Bike Median (T thick) SY 101 $nc 610-00030�ncrete e Median Cover (6" thick) SY 67 $ - 613-00200 2" Electrica onduit LF 980 $ - 613-00206 2" Electrical Con Qt (Bored) LF 250 $ 613-00300 3" Electrical Conduit LF 300 $ - 613-00306 3" Electrical Conduit (Bored LF 330 $ - 613-07050 Pull Box (13"x24"x18") Deep EA 9 $ - 613-07060 Pull Box (18"x30"x18") Deep EA 2 $ - 623 Irrigation Restoration LS 1 $ 623 2.5" Irrigation Line - Bored LF 60 $ - 626-00000 Mobilization LS 1 $ - 627-00005 Epoxy Pavement Marking AL AL $ - 627-30205 Thermoplastic Pavement Marking (Word -Symbol) 1094 $ 627-30210 Thermoplastic Pavement Marking (Xwalk-Stop Line) SF 1753 $ 630 Construction Traffic Control LS 1 $ 630-00000 Flagging HOUR 480 $ - 630-00007 Traffic Control Inspection DAY 30 $ - 630-00012 Traffic Control Management DAY 20 $ - Force Account 700-01 F/A MINOR CONTRACT REVISIONS FA 1 $ 30,000.00 $ 30,000.00 700-02 F/A EROSION CONTROL FA 1 $ 2,500.00 $ 00.00 TOTAL BASE BID IN WORDS: 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 X NO, 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 8449 PITKIN STREET BIKEWAY RIn gCHFnLJLF DESCRIPTION UNIT ;QUANTITY UNIT COST,,, 201-00000 Clearing and Grubbing LS 1 $7,553.00 $ 7,553.00 202 Removal of Concrete SY 118 $22.00 $ 2,596.00 202 Removal of Tree (Less than 8" Diameter) EA 10 $158.00 $ 1,580.00 202 Removal of Tree (Greater than 8" Diameter) EA 1 $3,620.00 $ 3,620.00 202-00203 Removal of Curb & Gutter LF 198 $3.25 $ 643.50 202-00220 Removal of Asphalt SY 694 $10.65 $ 7,391.10 203 Excavation CY 150 $17.25 $ 2,587.50 203-01510 Backhoe HR 30 $105.00 $ 3,150.00 203-01597 Potholing HR 24 $185.00 $ 4,440.00 203-02330 Laborer HR 30 $34.45 $ 1,033.50 208 Erosion Control LS 1 $1,207.00 $ 1,207.00 403-33841 Hot Mix Asphalt (Grading S) (100) (PG 64-22) TON 175 $269.75 $ 47,206.25 503-00018 Drilled Caisson (18 inch) LF 32 $322.15 $ 10,308.80 503-00036 Drilled Caisson (36 inch) LF 60 $478.00 $ 28,680.00 608 Concrete Sidewalk (includes curb ramps, concrete ped. curb) SY 576 $69.25 $ 39,888.00 608-00015 Detectable Warnings EA 10 $303.00 $ 3,030.00 609 Modified Curb & Gutter (4" Rolled Curb, Match Existing) LF 157 $24.75 $ 3.885.75 609-20010 Curb Type 2 (Section B) LF 208 $31.75 $ 6,604.00 610 Concrete Bike Median (6" thick) SY 101 $140.80 $ 14,220.80 610-00030 Concrete Median Cover (6" thick) SY 67 $63.00 $ 4,221.00 613-00200 2" Electrical Conduit LF 1165 $9.60 $ 11,184.00 613-00206 2" Electrical Conduit (Bored) LF 540 $23.70 $ 12,798.00 613-00300 3" Electrical Conduit LF 540 $11.90 $ 6,426.00 613-00306 3" Electrical Conduit (Bored) LF 400 $26.30 $ 10,520.00 613-07050 Pull Box (13"x24"x18") Deep EA 9 $850.00 $ 7,650.00 613-07060 Pull Box (18"x30"x18") Deep EA 2 $924.00 $ 1,848.00 623 Irrigation Restoration LS 1 $6,000.00 $ 6,000.00 623 2.5" Irrigation Line - Bored LF 60 $23.70 $ 1,422.00 626-00000 Mobilization LS 1 $12,042.00 $ 12,042.00 627-00005 Epoxy Pavement Marking GAL 10 $79.00 $ 790.00 627-30205 Thermoplastic Pavement Marking (Word -Symbol) SF 1094 $32.80 $ 35,883.20 627-30210 Thermoplastic Pavement Marking (Xwalk-Stop Line) SF 1753 $12.20 $ 21,386.60 630 Construction Traffic Control LS 1 $14,999.00 $ 14,999.00 630-00000 Flagging HOUR 480 $28.00 $ 13,440.00 630-00007 Traffic Control Inspection DAY 30 $150.00 $ 4,500.00 630-00012 Traffic Control Management DAY 20 $575.00 $ 11,500.00 Force Account 700-01 MINOR CONTRACT REVISIONS FA 1 $ 30,000.00 $ 30,000.00 700 02 �F/A F/A EROSION CONTROL FA 1 $ 2,500.00 $ 2,500.00 TOTAL BASE BID 5 398,735.00 IN WORDS: Three Hundred Ninety-Eighk Thousand Seven Hundred Thirty -Five Dollars 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 (25%) of the total Agreement Price. RESPECTFULLY SUBMITTED: Lightfield Enterprises Inc. CONTRACTOR M Lucia D. Lightfield February 3, 2017 Printed Date President Title License Number (If Applicable) (Seal - if Bid is by corporation) A Address 2600 Midpoint —Drive, Fort Collins, CO 80525 Telephone (970) 484-3880 Email LLightfield@LightfieldEnterprises.com SECTION 00400 SUPPLEMENTS TO BID FORMS 00410 Bid Bond 00420 Statement of Bidder's Qualifications 00430 Schedule of Subcontractors 00440 CDOT Form #606, Anti -Collusion Affidavit 00450 CDOT Form #1413, Bidders List 00460 CDOT Form #1414, Anticipated DBE Participation Plan 00470 Buy America Certification 00480 Appendix A, 49 CFR Part 20, Certification Regarding Lobbying SECTION 00410 BID BOND KNOW ALL MEN BY THESE PRESENTS: that we, the undersigned Lightfield Enterprises, Inc. as Principal, and contractors Bonding and Insurance Company as Surety, are hereby held and firmly bound unto the City of Fort Collins, Colorado, as OWNER, in the sum of $ five percent of 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 Construction Agreement for the construction of Fort Collins Project, 8449 Pitkin Street Bikeway. NOW THEREFORE, (a) If said Bid shall be rejected, or (b) If said Bid shall be accepted and the Principal shall execute and deliver a Contract in the form of Contract attached hereto (properly completed in accordance with said Bid) and shall furnish a BOND for his faithful performance of said Contract, and for payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Agreement created by the acceptance of said Bid, then this obligation shall be void; otherwise the same shall remain in force and effect, it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its BOND shall be in no way impaired or affected by any extension of the time within which the OWNER may accept such Bid; and said Surety does hereby waive notice of any such extension. Surety Companies executing bonds must be authorized to transact business in the State of Colorado and be accepted by the OWNER. IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals this day of February 3 , 2017, 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 Name: Lightfield Enterprises, Inc. Address: 2600 Midpoint Drive ATTEST: By: c > SURETY Contractors Bonding and Insurance Company 26 W. Dry Creek Circle, Suite 600 Littleton, CO 80120 By: /&�A'r Title: Attorney -in -fact G AN O oQ`'•• PPOR �•'y �� • 0 - ��A�EAL o� •:� ',1,,,,"'L L 1 N O 151