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Home My WebLink AboutRESPONSE - BID - 8098 TIMBERLINE & HORSETOOTH INTERSECTION IMPROVEMENTSSECTION 00300 BID FORM PROJECT: 8098 Horsetooth & Timberline Intersection Improvements Place: ~~~~~~~~ Date: LI /1...\ / 15 1. In compliance with your Invitation to Bid dated fvf it+<LC-\~ ?.., I , 20__!2 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 hvt: ~~ oF ~ 13,0 ~~. ($ 5 c;.,. ) 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: T\-\t:. o\-ho Ct.~~' \tJ5~c~ ~~ lPZ f'--'\A-{'l.i µ 1 l.l.~ 1 \Sn 03Y'3\ 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 z. undersigned Bidder hereby acknowledges receipt of Addenda No. ___ through ~!'JT~,.. tio;, 201-01 202-01 202-02 202-03 202-04 202-05 202-06 202-07 202-08 202-09 202-10 202-11 202-12 202-13 202-14 203-01 203-02 203-03 203-04 203-05 203-06 206-01 207-01 208-01 208-02 208-03 208-04 208-05 208-06 208-07 208-08 208-09 210-01 8098 HORSETOOTH & TIMBERLINE INTERSECTION IMPROVEMENTS BID SCHEDULE ~ ?¥ i ,. ,, ">Ff4,:;;:iJJ§';: •. e;1tl:M1;>ESc1~.U'TloN'0';" 8 "~'" ,,;;:c":,z~W:'Ltf<:t s;;; ~·".UNI~~ ~tlli~tfl:tt:Y~ ,~,~~PNJ! (:{)Jlt;~;; ,,,, CLEARING AND GRUBBING LS 1 $44,100.00 REMOVAL OF TREE EACH 37 $480.00 REMOVAL OF INLET EACH 3 $1,292.00 REMOVAL OF MANHOLE EACH 1 $1,292.00 REMOVAL OF VALVE EACH 1 $159.00 REMOVAL OF PIPE LF 196 $12.00 REMOVAL OF CONCRETE MEDIAN COVER MATERIAL SY 818 $8.50 REMOVAL OF SIDEWALK SY 2282 $8.50 REMOVAL OF CURB AND GUTTER LF 8394 $7.00 REMOVAL OF CONCRETE CURB RAMP SY 69 $10.00 REMOVAL OF CONCRETE PAVEMENT SY 3163 $21.00 REMOVAL OF ASPHALT MAT SY 5201 $7.00 REMOVAL OF ASPHALT MAT (PLANING) SY 13183 $3.00 REMOVAL OF PAVEMENT MARKING SF 4000 $2.40 REMOVAL OF TRAFFIC SIGNAL EQUIPMENT LS 1 $7,140.00 UNCLASSIFIED EXCAVATION (COMPLETE IN PLACE) CY 9812 $17.50 MUCK EXCAVATION CY 1200 $56.00 PROOF ROLLING HOUR 20 $115.00 BACKHOE HOUR 30 $120.00 COMBINATION LOADER HOUR 15 $157.00 POTHOLING HOUR 100 $325.00 FILTER MATERIAL (CLASS A) CY 117 $71.00 .ltEM~Oi• :;:;$; 5}j··:.;;~ >%• ; ; _;jifEMQESCRIP'Tl<ll\I .•; .· ; ; • .. ;; .~ Jllil!t>: Qil&'Mfin' •· .; >~{l.lfil'(rx~Qs:tb~. ~{ff. ··'<'"•• ;; .• ·<.%/>t'l!fT; .• ; "Sf'.f~ > 210-02 RESET FIRE HYDRANT EACH 2 $11,600.00 $ 23,200.00 210-03 RESET PULL BOX EACH 5 $266.00 $ 1,330.00 210-04 ADJUST MANHOLE EACH 5 $600.00 $ 3,000.00 210-05 MODIFY MANHOLE EACH 2 $2,770.00 $ 5,540.00 210-06 MODIFY STRUCTURE EACH 1 $3,533.00 $ 3,533.00 210-07 ADJUST VALVE BOX EACH 13 $366.00 $ 4,758.00 212-01 TREE RETENTION AND PROTECTION LS 1 $8,480.00 $ 8,480.00 213-01 LANDSCAPE BOULDER EACH 17 $330.00 $ 5,610.00 304-01 AGGREGATE BASE COURSE (CLASS 6) TON 6800 $25.00 $ 170,000.00 403-01 HOT MIX ASPHALT (PATCHING) (ASPHALT) TON 845 $140.00 $ 118,300.00 403-02 HOT MIX ASPHALT (GRADINGS) (75) (PG 64-22) TON 1014 $88.00 $ 89,232.00 403-03 HOT MIX ASPHALT (GRADING SX) (100) (PG 64-22) TON 1794 $106.00 $ 190,164.00 412-01 CONCRETE PAVEMENT (6 INCH) SY 935 $55.00 $ 51,425.00 412-02 CONCRETE PAVEMENT (9 INCH) SY 5410 $66.80 $ 361,388.00 412-03 CONCRETE PAVEMENT (9 INCH) (SPECIAL) SY 659 $107.00 $ 70,513.00 412-04 CONCRETE PAVEMENT (9 INCH) (FAST TRACK) SY 1350 $77.00 $ 103,950.00 420-01 GEOTEXTILE (EROSION CONTROL) (CLASS 1) SY 1914 $3.70 $ 7,081.80 601-01 CONCRETE CLASS D CY 1.77 $800.00 $ 1,416.00 602-01 REINFORCING STEEL LBS 28.34 $3.00 $ 85.02 603-01 15 INCH REINFORCED CONCRETE PIPE (COMPLETE IN PLACE) LF 182 $66.00 $ 12,012.00 604-01 INLET (SPECIAL) (DOUBLE) (5 FOOT) EACH 1 $5,277.00 $ 5,277.00 604-02 INLET (SPECIAL) (SINGLE) (5 FOOT) EACH 2 $5,495.00 $ 10,990.00 604-03 MANHOLE SLAB BASE (10 FOOT) EACH 1 $3,486.00 $ 3,486.00 605-01 4 INCH NON-PERFORATED PIPE UNDERDRAIN (SPECIAL) LF 281 $12.50 $ 3,512.50 605-02 4 INCH PERFORATED PIPE UNDERDRAIN (SPECIAL) LF 1397 $16.40 $ 22,910.80 607-01 FENCE (PLASTIC) LF 500 $3.00 $ 1,500.00 608-01 CONCRETE SIDEWALK (SPECIAL) SY 129 $106.00 $ 13,674.00 608-02 CONCRETE SIDEWALK (6 INCH) SY 1937 $42.50 $ 82,322.50 608-03 CONCRETE CURB RAMP SY 245 $104.00 $ 25,480.00 608-04 METAL SIDEWALK CULVERT LF 12 $232.00 $ 2,784.00 609-01 CURB TYPE 2 (SECTION B) LF 892 $29.00 $ 25,868.00 609-02 CURB AND GUTTER TYPE 2 (SECTION 1-B) LF 3255 $22.40 $ 72,912.00 609-03 CURB AND GUTTER TYPE 2 (SECTION 11-B) LF 5136 $25.00 $ 128,400.00 609-04 CURB AND GUTTER TYPE 2 (SPECIAL) LF 2926 $27.00 $ 79,002.00 ITEM NO. ITEM DESCRIPTION UNIT QUANTITY UNIT COST COST 610-01 MEDIAN COVER MATERIAL (DECORATIVE) SF 756 $11.00 $ 8,316.00 612-01 DELINEATOR (TYPE I) EACH 9 $55.00 $ 495.00 613-01 2 INCH ELECTRICAL CONDUIT (BORED) LF 170 $47.00 $ 7,990.00 613-02 2 INCH ELECTRICAL CONDUIT (PLASTIC) LF 1040 $15.00 $ 15,600.00 613-03 3 INCH ELECTRICAL CONDUIT (PLASTIC) LF 1240 $18.00 $ 22,320.00 613-04 PULL BOX (24"x36"x24") EACH 8 $1,105.00 $ 8,840.00 613-05 . PULL BOX (30"x48"x24") EACH 1 $1,580.00 $ 1,580.00 619-01 WATER SERVICE EACH 1 $8,400.00 $ 8,400.00 619-02 WATER METER VAULT LS 1 $35,000.00 $ 35,000.00 620-01 SANITARY FACILITY EACH 1 $1,130.00 $ 1,130.00 621-01 DETOUR PAVEMENT SY 1600 $78.38 $ 125,408.00 623-01 PLASTIC PIPE (IRRIGATION SLEEVE) LF 625 $16.80 $ 10,500.00 626-01 MOBILIZATION LS 1 $147,600.00 $ 147,600.00 627-01 4 INCH PAVEMENT MARKING TAPE (REMOVABLE) LF 1600 $2.00 $ 3,200.00 627-02 8 INCH PAVEMENT MARKING TAPE (REMOVABLE) LF 1600 $4.00 $ 6,400.00 630-01 CONSTRUCTION ZONE TRAFFIC CONTROL LS 1 $25,400.00 $ 25,400.00 630-02 FLAGGING HOUR 2500 $27.00 $ 67,500.00 630-03 UNIFORMED TRAFFIC CONTROL HOUR 40 $77.00 $ 3,080.00 630-04 TRAFFIC CONTROL INSPECTION DAY 50 $106.00 $ 5,300.00 630-05 TRAFFIC CONTROL MANAGEMENT DAY 130 $800.00 $ 104,000.00 630-06 BUSINESS ACCESS SPECIAL TY SIGN EACH 10 $118.00 $ 1,180.00 630-07 PORTABLE MESSAGE SIGN PANEL DAY 80 $95.00 $ 7,600.00 630-08 CONCRETE BARRIER (TEMPORARY) LF 1700 $55.00 $ 93,500.00 630-09 IMPACT ATTENUATOR (TEMPORARY) EACH 2 $3,990.00 $ 7,980.00 630-10 TRAFFIC SIGNAL (TEMPORARY) EACH 1 $46,000.00 $ 46,000.00 Force Account 700-01 F/A MINOR CONTRACT REVISIONS FA 1 $100,000.00 $ 100,000.00 700-02 F/A PARTNERING FA 1 $3,000.00 $ 3,000.00 700-03 F/A FUEL COST ADJUSTMENT FA 1 $15,000.00 $ 15,000.00 700-04 F/A ASPHALT CEMENT COST ADJUSTMENT FA 1 $20,000.00 $ 20,000.00 700-05 F/A ON-THE-JOB TRAINEE HOUR 640 $3.00 $ 1,920.00 700-06 F/A EROSION CONTROL FA 1 $5,000.00 $ 5,000.00 TOTAL BASE BID s 3,304,501.62 IN WORDS: THREE MILLION, THREE HUNDRED FOUR THOUSAND, FIVE HUNDRED ONE, ------62/100'S DOLLARS Force Account 700-01 F/AMINOR CONTRACT REVISIONS FA 1 $100,000.00 $ 100,00~ 700-02 F/A PARTNERING FA 1 $3,000.00 $ --------3,000.00 1 700-03 F/A FUEL COST ADJUSTMENT FA 1 $~er--- $ ~ i--- 700-04 F/AASPHAL T CEMENT COST ADJUSTMENT FA $20,000.00 $ 700-05 F/AON-THE-JOB TRAINEE -----HolJR 640 $3.00 $ 700-06 F/A EROSION CONTROL -------- FA 1 $5,000.00 $ -------- TOTAL BASE BID WORDS: 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. RESPEGJ FULL Y SUBMITTED: \-\ t L (.{)t-J~ \t.Jt . 1 1::>1Sli1 NA.~~o ~V'\l. Cot..i~~ 1 \Ne.. CONTR~ BY: __ ~-=--zl""'--"---.:----=------------ -::fo~ l:e~ 4 /?Aft? Printed Date VP Title License Number (If Applicable) Q (Seal - if Bid is by corporation) Attest~~~ Address \8Ui3 Z\LQ fr.re ~l:EMJ Co ~6Z&i"31 Telephone C\-io.35lP·l90~ Email :Io\+tJ::nz..@...NP.~C\V\L, ~ 15,000.00 20,000.00 1,920.00 5,000.00 _........ SECTION 00400 SUPPLEMENTS TO BID FORMS 0041 O 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 Naranjo Civil Constructors, Inc. as Principal, and The Ohio Casualty 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 <S%l of Total Bid Amount 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, 8098 Horsetooth & Timberline Intersection Improvements. 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 21st this day of April , 20~, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above. PRINCIPAL SURETY Name: Naranjo Civil Constructors, Inc. The Ohio Casualty Insurance Company Address: 1863 2nd Avenue 62 Maple Avenue Greeley, CO 80631 Keene, NH 03431 By:_, _~L _ :;....._;'------------- Title: ___ V_P _________ _ Title: Attorney-in-Fact -------- ATTEST: (SEAL) 'fHIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. American Fire and Casualty Company The Ohio Casualty Insurance Company Liberty Mutual Insurance Company West American Insurance Company POWER OF ATTORNEY Certificate No. 6502832 KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Chris Richmond; Darlene Krings; Diane Clementson; K'Anne E. Vogel; Katherine E. Dill; Kelly T. Urwiller; Royal R. Lovell ; Russell D. Lear; Steve J. Blohm; Wesley J . Butorac all of the city of Greeley , state of co each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 27th day of March , ~. STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY American Fire and Casualty Company The Ohio Casualty Insurance Company Liberty Mutual Insurance Company West American Insurance Company On this 27th day of March , 201 4 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American Fire .and Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto ~ubsc 'b.ed'my name and affixed my notarial seal at Plymouth Meeting, Pe. _nnsylvania, on the day and year first above written. -~i:- f·As):'~ ;oMMONWEAlTl·WF PENNSYLVAMl\ A---.. ~ ~<t; .ti\oNW(?; ~( ) i t.Jc!arlol Se<il 1 {I/, ' , // -/- ti J IJJ e}"" '4(_,, < ! Tercs;i Pos:,::a. Notacy PcM<: _ l By: ~ ~ ~• Q 'So 17 j Ply-mou1hTwri.~Monlgan1,;,ryCoun:y 1 "'-Te_r_e-sa_P_a_s-te_ll_a_,-N""'o-ta_ry_P_u_b_li_c _____ _ OF ~ M'/ Cotrffn!~$!0:': t:.Xplf6$ r.-1Brcn 2~. ~G17 i L - -- __ _ ,__ - -- - -- ' ~ ~ Mcr11hcr, PCl1!~7 ~ w1nt.-::; ~'l<.:soe;-;.H0n (;f f,hYtn''>Bs This Power of Attorney is made and executed~i$~11'fd'li~~~y§d liority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company)n~~can Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV - OFFICERS - Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attacli thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or 11uthority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII - Execution of Contracts - SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Company's Board of Directors, the Company co11sents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Gregory W. Davenport, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said 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 s,u,bmit ao.y additional information he desires. H*L LQNC{l.-~ f-Nc., ~A 1. Name of Bidder: NA.AA-N3o Cw'\L \oN5-nwC=r>06, lr..it. . 2. Permanent main office address: l'Olo3 2......o M 1 ~ ; C6 56lP 3 l 3. When organized: _ l_'\_'_O I ____________________ _ 4. If a corporation, where incorporated: _Co _ Lo __ 'O-_A-O _ -o ___________ _ 5. How many years have you been engaged in the contracting business under your present firm or trade name? __ \_t.f ____________________ _ 6. Contracts on hand: (Schedule these, showing the amount of each contract and the appropriate anticipated dates of completion.) ~/IS Loi 15 lP/15 7. General character of Work performed by your company: L\V\L CeN~C::noN - ~a<LM... ,. \J'nL\'\\"'E;:5 .. ~) TIEJv'\a J ~~t-WM CoNs-m,,ue::nOl'i 8. Have you ever failed to complete any Work awarded to you?---'t-_ J c _______ _ If so, where and why?---------------------- 9. Have you ever defaulted on a contract?_N_ O-'--------------- .. If so, where and why? ______________________ _ 10. Are you debarred by any government agency? __ N--=o'------------- lf 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. 12 . List your major equipment available for this contract. 13. Experience in construction Work similar in importance to this project: 14. Background and experience of the principal members of your organization, including officers: 15. Credit available: $_5_cx:_ i ...... a_ o_o __________________ _ 16. Bank Reference: Lotz-\ i\NNAj-.)t> C\10 . 454 · 5 4 \3 °3A-tJIL a;. Co\.o~ 17. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the OWNER? _Y_C:_- :.5 __________ _ 18. Are you licensed as a General Contractor?_Y_e_ .5 ______________ _ If yes, in what city, county and state? _ yp._{2._.._ , o._! :_S ____________ _ What class, license and numbers?------------------- 19. Do you anticipate subcontracting Work under this Contract?_Y_E. _5 _______ _ If yes, what percent of total contract? _'L_S_0 _7_ 0 _____________ _ 20. Are any lawsuits pending against you or your firm at this time?_N_ o ______ _ IF yes, DETAIL _______________________ ~ 21. What are the limits of your public liability? DETAIL 3, 0001 ooo A e:, GrO--£~-n:; 22. What are your company's bonding limitations? ~ 4,'000,ooo 5t1'JG,~ Ytz.o3'b-C:::r :#>iPl0~1DCP ~ 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. State of Co\...Q~o County of W'l:;vo __ 3__o~ __ lt __ ~--------- being duly sworn deposes and says that he is V? of NA~3'"o G.v\L CoN~~1 ]Nc.. (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 2l~ day of Afl<.IL , 20_15 My commission expires: \( · 5 · \ b (Seal) NOELIA MORALES NOTARY PUBLIC STATE OF COLORADO NOTARY ID# 20044040165 MY COMMISSION EXPIRES NOVEMBER 05. 2016 D D N B T R LI D T D R B Professional Profile and Project Experience 1863 2nd Avenue Greeley, CO 80631 Office: (970) 356 - 7909 Naranjo Civil Constructors, Inc. - General Manager, Vice President & Secretary June 1999 - Present Currently responsible for all phases of project management, design- build services, estimating, business development, accounting, personnel management, and contract management. Experience summaries of major responsibilities are as follows: • Project Management. Currently responsible for construction projects totaling nearly 5.0 million per year in revenue. Project management tasks include but are not limited to pre-construction meetings, submittals, materials purchasing, scheduling, utility locates and potholing services, subcontractor management, progress billing, and equipment and manpower allocation.Also serves as the in-house engineer to troubleshoot technical problems on the plans and in the field, as well as providing surveying and takeoff support to the excavating and concrete crews. Tasked with promoting quality construction, safe working environments and ultimately project profitability. • Design-Build Services. Offers small-scale design-build services to a select group of contractors normally related to drainage structures and solutions related to structural concrete. Design services have been offered using AutoCAD R 14, photo/image editors and publishing software to produce high-end presentation style drawings for ownership review and acceptance. Subsequent "build" services are implemented from design and directly into the field. • Estimating. Obtains all quotes from suppliers and subcontractors for approximately 30 projects per month. Manages the database of quotes received over time by supplier by specification.Attends all pre-bid meetings on behalf of the organization and conducts thorough site investigations to troubleshoot conditions that could possibly impact the cost of construction. • Business Development. Responsible for assessing new business opportunities via public advertisements for bid, negotiated work with clients, and scanning contacts to develop new leads. Constructs all presentation materials for new client development with several software packages namely, Microsoft Office, Adobe Publisher, and AutoCAD R 14. • Accounting. Responsible for tracking all accounting functions including but not limited to A/R,A/P, project cost tracking, payroll, and all federal, state and local taxation issues.Also responsible for monthly, quarterly, and annual continued ... a a N B T R u 0 T a R B Jerry Naranjo 1863 2nd Avenue Greeley, CO 8063 1 Office: (970) 356 - 7909 General Manager/Vice President/Secretary financial statements to be submitted to bonding and banking authorities. Also develops budgets and revenue forecasts for internal review. • Personnel Management. Serves as new-hire screener in charge of selecting qualified applicants for various positions within the organization. Responsible for all new hire reporting to the state as well as all personnel issues related to job performance evaluations, terminations, workman's compensation claims, and most importantly the redistribution of personnel to optimize crew performance. • Contract Management. Responsible for getting low-bid and negotiated work under contract. Responsibilities also include all tasks related to subcontracts, change orders, change of condition cost estimates, actual vs. budget analysis, retainage issues, and punchlist management. Serves as the point person for all clients, engineers, and subcontractors. Morrison Knudsen Corporation, Denver, Colorado Staff Engineer - I 996-1999 Served as a Staff Engineer and consultant to the mining and construction industry. Known in the industry to be one of the most advanced users of the Mincom mine planning software. Extensive participation in developing feasibility studies and mine plans in Venezuela and Germany.Also served long-term consulting contracts for onsite engineering and innovative solutions for BHP New Mexico Operations in Farmington, NM and ALCOA Sandow Mine in Rockdale, Texas. Provided engineering and cost analysis to support potential and ongoing mining and construction projects internal and external to the organization. Morrison Knudsen Corporation, Denver, Colorado Interim Offlce Manager - 1996 - 1997 Responsible for starting the Mining Group's Denver Office, and developing a solid client base. Responsible for consulting revenues, marketing and development of future business, and the subsequent expansion of the office to include technical staff relocated from San Antonio, Texas.Also responsible for all administrative duties until support structures were In-place, and operational. Mincom, Denver, Colorado Engineering Consultant - 1995 - I 996 Served as a software consultant to clients in Germany, Texas, New Mexico, and Pennsylvania, Mr. Naranjo developed a strong background in the use of Mincom's Mine Planning and Geological Modeling Software. He was also heavily involved in marketing and sales, by serving as the company representative for software exhibits in multiple locations. He also completed a short-term assignment in Brisbane, Australia, working in the software development department, specifically responsible for the specifications and design of Mincom's user-friendly GTi environment. Morrison Knudsen Corporation, Carlos, Texas Project Engineer-1993 - 1995 Mr. Naranjo provided dragline engineering and design support for a two-dragline (BE-1570) open-pit lignite operation. He was responsible for developing long-range mine planning, strategic development, and designed and implemented post-mining topography, including endlake and drainage design. Mr. Naranjo provided daily engineering support to the operations engineer and pit superintendents and completed a temporary assignment as night shift dragline superintendent. He was also responsible for the integration of state-of-the-art mining- software solutions in the mining engineering department. 0 0 N B T R LI 0 T 0 R B Professional Profile and Project Experience 1863 2nd Avenue Greeley, CO 80631 Office: (970) 356 - 7909 Naranjo Civil Constructors, Inc. - Engineering Manager November 2005 - Present Currently responsible for all phases of estimating and contract management. Also act as project manager as needed. Experience summaries of major responsibilities are as follows: • Estimating. Obtains all quotes from suppliers and subcontractors for approximately 30 projects per month. Manages the database of quotes received over time by supplier by specification.Attends all pre-bid meetings on behalf of the organization and conducts thorough site investigations to troubleshoot conditions that could possibly impact the cost of construction. • Contract Management. Responsible for getting low-bid and negotiated work under contract. Responsibilities also include all tasks related to subcontracts, change orders, change of condition cost estimates, and actual vs. budget analysis. • Business Development.Assists in assessing new business opportunities via public advertisements for bid, negotiated work with clients, and scanning contacts to develop new leads. Constructs all presentation materials for new client development with several software packages namely, Microsoft Office, Adobe Publisher. Aggregate Industries, Greeley, Colorado Estimating Manager - 2004-2005 Served as head estimator and project manager for Aggregate Industries Greeley Contracting Division. Projects ranged in size from $5000 to $5,500,000. Projects included both private and public projects including COOT projects. Projects estimated and managed included projects with up to I 0 subcontractors. Responsible for obtaining all quotes from suppliers and subcontractors, attending all pre-bid meetings on behalf of the organization, getting subcontractors under contract, and managing projects in the construction phase. J-2 Contracting Company, Greeley, Colorado Estimator/Project Manager/Owner - I 996-2004 Responsible for estimating and managing projects totaling $6,000,000 per year. Projects ranged in size from $5000 to $3,300,000. Projects included both private and public projects including COOT projects. Approximately $2,000,000 of yearly revenue was subcontracted. Responsible for obtaining all quotes from suppliers and subcontractors, attending all pre-bid meetings on behalf of the organization, getting subcontractors under contract, and managing project in the construction phase. D D N B T R U D T D R B Professional Profile Herman Naranjo 1863 Second Avenue Greeley, CO 80631 Office: (970) 356-7909 Naranjo Civil Constructor~ Inc. Owner and President March 1982 - Present 37 years of experience in Concrete Construction In Colorado. Projects completed Include a vast array of civil concrete structures including: urban and rural waterways, complex street and trail reconstruction, municipal concrete, decorative and structural concrete Installations. Experience summaries of major responsibilities are as follows: • Project Management and Execution. Directly oversees and manages construction activities in the field for large and technically complex projects. Project management tasks Include but are not limited to pre-construction meetings, submlttals, materials purchasing, scheduling, utility locates and potholing services, subcontractor management, and equipment and manpower allocation. Tasked with promoting quality construction, safe working environments and ultimately project profitability. • Resource Management. Directs labor and equipment allocation on a dally basis to ensure the optimum distribution of resources across all active projects. Oversees all supply-chain activities to ensure that resources are in place on all projects to successfully complete the work at hand. • Personnel Management. Serves as new-hire screener In charge of selecting qualified applicants for various positions within the organization. Responsible for personnel issues related to job performance evaluations, coaching and terminations. Recent Project Experience Ken Mitchell Lakes Pump Station Owner Contact: Subcontracted by J2 Contractors for Scope of Work: Installation of McGinn Ditch Owner Contact: Boulder County Scope of Work: Installation of concrete control structure with fish passage in active stream . . Horsetooth/Ziegler Roundabout Project Owner Contact: City of Fort Collins Scope of Work: Construction of 2 -Lane, concrete paved, roundabout. BB'h Avenue Widening Owner Contact: City of Arvada Scope of Work: Partial demolition and reconstruction of bridge over feeder stream to Standley Lake to widen the road from 2 to 4 lane. EQUIPMENT 1999 Komatsu PC60 Rubber Tracked Excavator 2007 Komatsu PC78MR-6 Rubber Tracked Excavator 2007 Komatsu PC200LC-8 2007 Komatsu PC200LC-8 2004 John Deere 544J Wheel Loader 2004 Caterpillar 252 Skidsteer Loader 2001 Caterpillar 246 Skidster Loader DUMP TRUCKS 1992 Kenworth Tandem Dump Truck 2007 Mack Tandem Dump Truck 1996 Peterbuilt Tractor 2005 Ford Utility Dump Truck TRAILERS Small Utility Trailer Mid Sized Trailer (Tow wffandem Dump Truck) Lowboy Trailer (Tow w/Peterbuilt Tractor) Crew Truck/Pickups 1999- Pickup Trucks (2dr) (Pickup Box) 2011 1999- Crew Truck (4dr} (Flatbed with Overhead Racks) 2011 2006 Chevy4500 MOBILE CONSTRUCTION EQUIPMENT 2007 Hydraulic Thumb Attachment for Komatsu PC200 LC-8 2000 Stanley Hydraulic Plate Compactor for CASE 580 1995 Ground Pounder Plate Compactor (Honda} 1996 Multi - Quip Rammer MT-85H 1998 Ingersoll- Rand E30kW Gensel 2007 Wacker 25KW Gensel 2002 Wacker 25KW Genset 2000 Honda Generators 6.5 hP 1995 Multi - Quip Generator 6.5 hP 1985 Lincoln Arc Welder (Portable) 1995 Gar-Bro Concrete Bucket 1998 Hotsy 550C 2002 Sweeper Attachment for Skidsters 2001 Concrete Power Buggies 1999 Stone Sheepsfoot Trench Compactor Bomag BW605 walk Behind Roller 1985 Clipper Concrete 14" Floor Saw w/ Diamond Blade 2001 Partner K950 16" Concrete Demo Saw w/blade 2003 Partner K950 14" Concrete Demo Saw w/Blade 2003 Honda GX120 4.0HP Joint Saw 2001 Bosch Rotary Hammer Drill 11227E 2002 Laser Level Spectra Precision 2002 TOPCON Rotating Laser Bomag BW605 walk Behind Roller 2005 Multiqulp 211 Submersible Pump 2001 Munro 3" Submersible Pump CAPACITY 75HP 18KLB 140 HP 140HP 145HP 63HP 80HP 10CY 10CY I Naranjo Civil Constructors Project List · :J Year Project Name Project Twe Value Project Owner Contact Phone Number 2014-2015 Westerly Creek Reach 3 Creek Restoration, Boulder Drop Structure s 686,000.00 UDFCD Barb Chongtoua 303-455-6277 2014-2015 Cherry Creek @ Hess Creek Restoration, Sculpted Concrete Drop Structure $ 1,500,000.00 UDFCD Barb Chongtoua 303-455-6277 2013-2014 Westerly Creek Reach 2 Creek Restoration, Boulder Droo Structure s 513,000.00 UDFCO Barb Chongtoua 303-455-6277 2013-2014 Weir Gulch @ South Platte River River and Creek Restoration, Grouted Boulder Drops $ 2,500,000.00 UDFCD Dave Bennets 303-455-6277 2013-2014 South Platte Park Phase I River Restoration, Riffle Drop Structures $ 500,000.00 UOFCO Laura Kroei:rer 303-455-6277 2014-2015 South Platte Park Phase II River Restoration, Riffle Oroo Structures $ 885,000.00 UDFCO Laura Kroeger 303-455-6277 2014 Clear Creek COrridor Improvements Creek Enhancements $ 360,000.00 City of Golden Anne Beierle 303-433-4257 2014 Little Dry Creek at Woodie Hollow Grouted Boulder Drop, Grouted BoulderWalls $ 280,000.00 UDFCD Jeff Fischer 303-455-6277 2014-2015 Cherry Creek Drop 14 Sculpted Concrete Drop Structure $ 400,000.00 UDFCD Richard Borchardt 303-455-6277 2014 8th Ave. - 16th -14th Street Enhancements $ 878,000.00 City of Greeley Joe Marcisofsky 970-336-4124 2013-2014 South Platte River Enhancernents-PAR1192 River Restoration, Riffle Drop Structures s 1,022,000.00 Metro Wastewater Bill Brennan 303-286-3388 SECTION 00430 SCHEDULE OF SUBCONTRACTORS List all subcontractors for the work items listed below and all subcontractors performing over 15% of the contract. SUBCONTRACTOR MA~~ ~Pr~~ COLORADO DEPARTMENT OF TRANSPORTATION ANTI-COLLUSION AFFIDAVIT LOCATION 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 behaH and on behalf of my firm. I further attest that: f . 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 prlce(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. I 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. I 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 PENAL TY 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. By Tille ~ VP 2nd contractors l rm or company name. (II joint ven!Ure.) By I Date Tiiie ,.,\ ~!' Sworn to before me this £- day of, A i'R.\L 20 lS NolafY Pubfic My commission expl "'8""'" /i"1 . c;-. \I~ NOTE: This document must be signed In Ink. NOELIA MORALES NOTARY PUBLIC STATE OF COLORADO NOTARY ID# 20044040165 MY COMMISSION EXPIRES NOVEMBER 05. 2016 COOT Fonm ffO& 1/02 COLORADO DEPARTMENT OF TRANSPORTATION BIDDERS LIST Project Name and Number I Project Code I Proposal Date I Contractor Region f\GC:.. LA455 OlO I lqQOl I 4/U115 I N""'?..A+-l'3::> ~~ L . .n ... ":.-;-:- ~ ... ,Ir.JC . t/ $ubcontractors/SuppllersNendors: The bidder must list all firms seeking to participate on the contract. This information is used by the Colorado Department of Transportation (COOT) 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 DBE Selected (Select all that apply) (YIN) (Y/N) Ac:.c:,-O:'E;C .. ~~ \"-ia.h"T"tL1 ~ Dl::...,...,~ . 1"'\ovsr:.i-.~ &--~ .~ ~ I t-J N ~'-~ M\LUNc;.. S 'lo~ E..A~\\l...\Nii. . CoM Z\ N y C.~-6- r~- -7'· ·- . "DAV\D~~ ~IWlS-·~ JS y N C.o\.c::)f1A-c:>o ~"T G~Af9Co~~~.~ I N '/ ~\..C.O \)..rt:::>u~ t-..S ~ ... ,..a ~s · M~ld-A~:!>Ftua,..,o.4M ~ I N 'I "D~ t-A~NC,- (An,\..e.,:D1!.~\>/. ~ I N y ren""- '5-oN U.,,.scA '\e.toliQ.C!. ~ ~- - I~ c:.- t N N \-\D ~JPP1>1 ~.~e.\+S>S~W . CON\ I N y I/- .. ~~ ,.._(UU 0,.~ toN"!.~"TO'.cotl\ 7_.1 N tJ 'hS \ S.05Q.\,o{o~~P\'6-. ~ II# tJ y tv\A(ion~ °:"-A I\ n-~. ;_ ~IW\'iS ·~N,...M..\":. ;:- - I 15 N y ~\L&,c. n.s~e.tJ1~. ~ ., N y ~~ ~~~~ fl\'112&-~·<-<nl\ /_p 'kl i-J ~L~ - - !:._ ...... , K""'~'-'E.. ~ CO'CV\ '-" N y Si"'\\"\'\+ ~V\ ilaN""'~ ~<1-.,-..µe !.~,-n .. t:>'i-4..,\i"GP.S.Cc:J r.. 30 N N 1-"\w:.c.,~ M\U.,\~ ::n..,••.,.,..,u,...,"1~. ~ -Z.• IV ....... \ N C.:rc. NC. .,-e, \ f"\aa....6 ~ f't<::j_. C<>IV' "'l.. y y I certify that the Information provided herein Is true and correct to the best of my knowledge. Name ~LE~ Signature/Initials ~ Title VP Date '//z, /15 Work Proposed Categories: 11. Structural Steel and Steel Reinforcement 21. Clearing. Demolition, Excevation and 1. Materials anq Supplies 12. Riprap and Ancliored Retaining Walls Eatth1vork 2, Flagging and Traffic Control 13. Landscape and Erosion Control 22. Engineering and Surveying Services 3. Trucking and Hauling 14. Bridge and Bridge Deck Constmction 23. Public Relations and Involvement 4. Precast Concrete, Foundations, and 15. Asphalt Paving 24. Piles and Deep Foundations Footings 16. Roacl ancl Parking Lot Marking 25. Waste Management and Recycling 5. Concrete Paving, Fla/work and Repair 17. Chip Seal, Crack Seal, Joint Sea/ and '26. Site Clean Up 6. Lighting and Electrical Crack Fi/I 27. Mechanical and HVAO 7. Signs, Signal Installation, and Guardrail 18. Bridge Painting and Coating 28. Tunne/Consuuclion 8. Fencing 19. Stainvay and Omamenlal Metal 29. Profiling and Grinding 9. Buildings and Vettica/ Structures 20. Parking Lots and Commercial Sida walks 30. Environmental Health and Safety 10. Utility, Water and Sewer Lines This form must be subm ltted by the proposal deadline. For COOT projects, subm It to cdot_hq_dbeformSdlstate.co.us. COOT Form #1413 01/14 COLORADO DEPARTMENT OF TRANSPORTATION ANTICIPATED DBE PARTICIPATION PLAN Bidder: NA~ Cw\L~"T12·--~-.Jwc . Project AGC ~ "l S'S--0\ o Contact '30\.U...1 I r..- r Project Code: \G\"301 Phone: 0110· 3SC.. ·I C\O~ Date of Proposal: L{/ '2.-l / 15 Email: l°:lo~tJ::r~NP.~'3'-aC.\V\L..CDM Contract Goal: C\ o/o Preferred Contact Method: ~A--.L Region: '-l LJl::jt Commitments DBE Firm Name Work to Be Performed Commitment Eligible Amount Particioation NA~~ C\V\l..CorJ~~ ~Mf; ~ ~ 99\, ~50'1'1 :#> '1'i 1 l r-JC. 1 3S o 'l1 NCIC. ~c.. · ~ 4t / 8 3, 40C> q9 :t1s31 qoo~ Total Eliaible Particioation I 1-,ll, '"1Soq..3_ Total Bid Amount ~ 3ol/ S'otfo'2. Total Eliaible Particioation Percentaae ~s . SS' -1., Bidder 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 i;tatements 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 work to be performed and that their eligible participation has been properly counted. For additional information and instructions on calculating eligible participation, see the Standard Special Provision Disadvantaged Business Enterprise Requirements. _,,,/ ~ "3"0\-T+J ~ VP ~~ Y/U/f; Name Title .Si~re Date This form must be submitted by the proposal deadline. For COOT projects, submit to cdot_hq_dbeforms@state.co.us. Civil Rights and Business Resource Center CDOT Form# 1414 01/14 COLORADO DEPARTMENT OF TRANSPORTATION Project#: BIDDERS LIST DATA and UNDERUTILIZED PG)C. t-A4SS-QIO Location: DBE (UDBE) BID CONDITIONS ASSURANCE Fa~ ~N5 Prime Contractor Instructions: This form has two sections, both must be completed and submitted with your bid. Complete Section I to list a// subcontract quotes received (non-DBE and DBE). Complete Section II to report only Underutilized DBE (UDBE) participation percentages which qualify under the contract goal specification for this project. Please review COOT Form #715 instructions before completing Section II. Attach additional sheets as necessary. POLICY It is the policy of the Colorado Department of Transportation that underutilized disadvantaged business enterprises have equal opportunity to participate on projects financed with federal, state or local entity funds. Consistent with 49 Code of Federal Regulations (CFR) Part 26.11, the Bidders List data provided by the Contractors will provide COOT as accurate data as possible about the universe of DBE and non-DBE firms actively seeking work on its highway construction contracts, for use in setting overall DBE goals. SECTION I: COOT BIDDERS LIST INFORMATION (Non-DBEs and DB Es) 1) Are all subcontract bids (quotes) received by your firm for this project listed below? ~ Yes 0 No 2) If No, make certain any additional subcontract bidding information is submitted to the COOT Business Programs Office before 4:00 pm on the day after bids are opened to ensure COOT has the best data possible for setting future DBE goals (use the same table format as below): COOT Business Programs Office 4201 E. Arkansas Ave., Room 200 Denver, Colorado 80222 FAX: 303-757-9019 EMAIL: eo@dot.state.co.us 3) The most recent COOT Bidders List will be posted online at: www.dot.state.co.us/EEO/DBEProgramPage.htm Certified Firm being Name of firm submitting Bid/Quote DBE firm? Work item(s) description used? l Yes No Yes No ~'ti 1. f.>.~~ 1~~C::s v- Sw\)~VL .,..- 2· A U'H-Pr l'l\\LU NG,... ........ "-'1\\1.J-\NG ,.... 3. (~c-~ V' Vfrv",~~ ,,.,... 4. G\..o\~o P~T ""' SvOQL\~ / 5. \.)fTLC.O ......... 45 \A':QL\ tJL- / 6· ""°D 13,'E- l\.A f\.N~,1\-C:nA NC'> ...- SvQQutn- / 7. F~o-t--1 .....- s L»\)L\ bJ2- / 8. HD '5'.J(QL>f .....- ~QU.bfl.. / 9. )l~ .,/' t-A' LU. N (:,.. / 10. ~S\ ,- ~OlNGr- ,,.,... 11. f'.A ~ t-.1 l'J\ f.\..{2.1,~ - VAvNC::r- / 12. N, \...,'S,l ..,,... S~QL-lb-tL. / 13. WL / 1:\...L-"C-1~<...~ ,,.. 14. S-rva..-G.~ , 'C\}C:-c."'''°" ~ _.... Page 1 of 2 Previous editions are obsolete and may not be used COOT Form #714 4/08 Certified Firm being rl> Name of firm submitting Bid/Quote DBE firm? Work item(s) description used? & Yes No Yes No ~'11 15. SM '\\4 - 8"'cs1c!N ~ / 16. LI--' E-s~ tv'\ \ U.,\ r-JG-- v MILL.\ NC.- ,/' 17. tJ C..T<:_ .......... ~<:.~ V"" 18. 19. 20. SECTION II: UNDERUTILIZED DBE (UDBE) PARTICIPATION COMMITMENT 1) Total eligible Underutilized DBE (UDBE) percentage amount from Box A below: "?> 5 .55 % 2) Will your company's Underutilized DBE (UDBE) participation commitment meet the contract goal? tll1 Yes D No 3) List the UDBE firms, committed work items, and eligible UDBE percentage of your bid committed to each. UDBE Firm name Certification# Committed work item(s) % Commitment toward DBE Goal* 1. ~A~~ C.,v,L. ~~~S.\Nt . I Cl.Pd Y~Mt- ~~ 30 .ao % 2. N C-\C:. J y DtlP ~(_~ 5 .55 % 3. % 4. % 5. % BOX A: TOTAL ELIGIBLE UDBE PERCENTAGE AMOUNT (Round to nearest hundredth) ~ 35 . 5_$ % * Detailed instructions on how to calculate DBE commitment amounts are available on 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 in Section II of this form to the Transportation Department by 4:00 pm on the third work day after the day bids are opened. The actual amounts submitted on each COOT Form #715 must equal or exceed the DBE 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 COOT Form #718 DBE GOOD FAITH EFFORT DOCUMENTATION before 4:00 pm on the day after bids are opened. COOT 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 Section I. I shall not discriminate on the basis of race, color, age, sex, national origin, or handicap in the bidding process or the performance of contracts. I 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 OF MY KNOWLEDGE. Company T:>?.>'A Name: N~~ H ~ L ·(C:\,N'c.VIL~".(t.."'ESt '-:\ :\c-;." lc I . .J'I~ Date: 4 I £5 ?_ L I Company Officer Signature: ~~ Title: VP Page 2 of 2 , Previous ed1t1ons .. are obsolete and may not be used COOT Form #714 4/08 550HP 3CY 12000 LB 20000 LB 50TON nla n/a n/a nla n/a 5.5HP 4.0HP 30kW 25KW 25KW 5kW 6kW 225AC/DC 0.75 CY 1000 psi n/a 16 CF n!a nla 11 HP 95cc 95cc n/a nla n/a nla nla n/a nla Companies, is in full force and effect and has not been revoked. . '&+ . ~· IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this~ day of~~,.__ .......=- ~~,(~; _______ , 20}5__. By : Gregory ~ W. Davenport, Assistant Secretary LMS_1 2873_ 122013 41 of150 TOPSOIL (SPECIAL) CY 1270 $29.00 EROSION LOG LF 500 $4.24 AGGREGATE BAG LF 300 $7.80 CONCRETE WASHOUT STRUCTURE EACH 2 $2,820.00 STORM DRAIN INLET PROTECTION EACH 6 $353.00 VEHICLE TRACKING PAD EACH 2 $2,900.00 REMOVAL AND DISPOSAL OF SEDIMENT (LABOR) HOUR 70 $103.00 REMOVAL AND DISPOSAL OF SEDIMENT (EQUIPMENT) HOUR 30 $162.00 SWEEPING (SEDIMENT REMOVAL) HOUR 20 $155.00 EROSION CONTROL SUPERVISOR DAY 80 $71.00 RESET WATER METER EACH 1 $8,000.00 ;~\''\>:JJ1f :<:~.i9'9St~;~ '/h. :'+-::';;t;;):J;if;~, $ 44,100.00 $ 17,760.00 $ 3,876.00 $ 1,292.00 $ 159.00 $ 2,352.00 $ 6,953.00 $ 19,397.00 $ 58,758.00 $ 690.00 $ 66,423.00 $ 36,407.00 $ 39,549.00 $ 9,600.00 $ 7,140.00 $ 171,710.00 $ 67,200.00 $ 2,300.00 $ 3,600.00 $ 2,355.00 $ 32,500.00 $ 8,307.00 $ 36,830.00 $ 2,120.00 $ 2,340.00 $ 5,640.00 $ 2,118.00 $ 5,800.00 $ 7,210.00 $ 4,860.00 $ 3,100.00 $ 5,680.00 $ 8,000.00