HomeMy WebLinkAboutLouise Street Pump Station
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8-107
TO THE BIDDER -
The following Form 96a is not required by the State Board of Accounts. However, the bidder must
either use this form or one similar to it prepared by their accountant.
JACOBI, TOOMBS AND LANZ, INC.
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B-l08
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SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachrnentof bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to
the governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
SECTION IV OATH AND AFFIRMATION
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct to the best of my knowledge and belief.
511f) UTIC.~ -:Se.\.S2-SBul2t:. ilp ~. , ..,~
Dated at this \~ - day of MAo.e."" ~
E-u;a\.. Ei-G.'AvCoTu..)G \r~L .
". (Name of Organization)
By ~~ ,,^I\lt:. t:'Uoi,.!,J.
~ m(".e.
(Title of Person Signing)
ACKNOWLEDGEMENT
STATE OF \ rJOtA..,)A
)
)
)
COUNTY OF C'-~
N'\ \l'E. t="'\"''l~ tJ
? flA" 1'Ob2..
being duly sworn, deposes and says that he. is
of the above,.
tl)f(:EI... E'l'C.A"~'" t y..)C::, \ t-L
(Name of Organization)
(Title)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained are
true and correct.
Subscribed and sworn to before me this
l!s 'T~
day of M"-a.a\'\
, '7rr'A
~ .4J~~
My Commission Expires: l( - ~ -\ ~
r~ County of Residence: C \ ~ ./ \ \....
8-105
NON - COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other
member, representative, or agent of the firm, company, corporation or partnership represented by him,entered
into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such
letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is
made without reference to any other bid and without any agreement, understanding or combination with any other
person in reference to such bidding.
He further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale.
OATH AND AFFIRMATION
I affirm under the penalties of perjury that the foregoing facts and information are true and correct to the
best of my knowledge and belief.,_
~'H6 UT\(.A '$tS\.\..E~\?,u~l.. Q" l~"~ .. A .
Dated at this 0 day of ,v.~(2c.~...
,-~, "<'E~~e:~~'E~l.-A'\J~~~ \~c..
(Name of Organization)
, "X,\l,E ~~)..)N
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By
ACKNOWLEDGEMENT
STATE OF lNC>I~A
COUNTY OF L~C2.."-
)
) SS:
)
"^ \V.e ~ l.>.t N "->
?120~ M~
(Tille)
being duly sworn, deposes and says that he is
'T~IY~'~bov~:",)j~:; E.~E't. E--'C'CN~TJ ""-'6 \ N(..
(Name of Organization)
..;.__~ '''l,.'''-!
and that the statements contained in the foregoing bid, certification and affidavit are true and correct.
Subscribed and sworn to before me this ~B""~ day of MA<Zc..1oI\. , -zeoe
'<":''':'"\.:'::,.;0
o"^~.~ ;J~
. '.' ' ,.' . . . -NolaryPu i
/i;< MY:CommissionExpires:~ - q - I ~
~ ~,~.courity ~f Residence: C- \ 4. f \ (
~~:,,~
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ACCEPTANCE
,..-..
The above bid is accepted this
day of
, Za::> 'e ,subject to the
following conditions:
..-~-
Contracting Authority Members:
tMi()n..~,. Q.O' ~\\\~, ft\l~
\LM..,e. ..J..(.e",~~ ~,"t.J,-\'\~
~o.~l~.M~
PART 1\
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(Complete sections I, II, III, and IV for all state and local public works projects as required
by statutes if project is one hundred thousand dollars ($100,000) or more. (IC 36-1-12-4)
Governmental Unit: C'T"J o~ jE'F~&~t..)".\..\..E:
Bidder (Firm) E~c:.e:t. e-M::A"~Tt~ \t-J~.
Date:
3.1~ .oE>
r~ These statements to be submitted under oath by each bidder with and as a part of his bid.
! Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
When
Contract Amount Class of Work Completed Name and Address of Owner
"Zft>5. 60C - oS ,.,.€ 'ca 10' t..iZAA
"z 1(0, 000 - l20a 0 1\01 a~"erz. Q. Ot.E: o tN. AuTI4 .
4\,000- )O~~T liZE?4dZ '101 L-lZA P.
..
2. What public works projects are now in process of construction by your organization?
When to be
Contract Amount Class of Work Completed Name and Address of Owner
Z~'5. 000 - (.ZoAO 410~ c.~"\"~ ol=' ,Jew p~~
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8-103
3.
4.
3.
Have you ever failed to complete any work awarded to you?
....1"b
If so, where and why?
4. List referenced from private firms for which you have performed work.
~r:tc.NUUtV\ C~",~T
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~'C.~ ~~e."> ~~b":.
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SECTION" PLAN AND EQUIPMENT QUESTIONNAIRE
1.
Explain your plan or layout for performing proposed work. (Examples could include a narrative of when
you could begin work, completed the project, number of workers, etc. and any other information which
you believe would enable the governmental unit to consider your bid.)
Fo\.\.e.""" Ft~'=> \ '$t:>EC.~
2.
If you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you expect to require a bond. However, if you
are unable to currently provide a listing, please understand a listing must be provided prior to contract
approval. ,.J 10).
What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
~..,.co..v~~> ~'ZS{2..S. "\12~"'-~
.
Have you entered into contracts or .received offers for all materials which substantiate the prices used in
preparing your proposal? Otherwise, please explain the rationale used which would corroborate the
prices listed. ~E.">
8-104
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DIVISION B - CONTRACT FORMS
" "'''''~.._1~('. ..;- .",..,
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SEcrI(jNB~i.~t(jNT:R.A.cf'D(jCtJMENTS
1.0
GENERAL
1.1
It is understood that the signature and seal of the CONTRACTOR on a properly completed
and executed State Board of Accounts Form 96 indicates the CONTRACTOR's acceptance
of all terms as set out in these specifications and documents and his willingness to complete the
project as stated herein and shown on the drawings.
1.2
It is further understood that by the acceptance of, and the proper affixing of the signatures of
the OWNER to the Form 96, that a binding contract exists between the OWNER and the
CONTRACTOR.
1.3 After the OWNER signs the Form 96, and notifies the CONTRACTO~ qf his acceptance, the
CONTRACTOR shall proceed to complete the project with the best workmanship possible
conforming to all specifications set out herein and to all details, drawings and notes shown on
the plans for this project.
S:\Sydney\ WPDOCS\miscelJaneousIMASTER\divB.wpd
B-1 0 1
Prescribed by State Board of Accounts
Form No. 96 (Revised 2000)
CONTRACTORS BID FOR PUBLIC WORK
PART I
(To be completed for all bids)
(Please type or print)
Date: '3. \~ .6~
1. Governmental Unit (Owner): C''T",,-\ 0;:' jEi=t=EQ.~vl\..\..€
2. County: CoLA""
3. Bidder (Firm): E:'#.C-E\... E--/.GAvA'T'ul:, \N"(..
Address:
Ro. ~~ 5"A~
,.)a=t:El'Soloo.)\1t\...u::
l,..J
City/State:
4. Telephone Number:
6\'Z.. 24<'.095,
5. Agent of Bidder (if applicable): "^\~€. t:"'~N,J.
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete
the public works project of e,",,\ ~F ~ept:'6Q$O"'>II\..\..~
(Governmental Unit) in accordance with plans and specifications prepared by
j~eo~' Tootv'p:,c, '-: LAt-J"7..
I
and dated ?>. '3 . 'Z6<!>e
for the sum of
~<aJ!: ~~ $ -z.S8. ..,aco .IS
TWb HVt->Qe~p FIF.,."'t Ic:h~T 'T'lO-\OUS~O :SE"e'.)\~t.lQQ.CPE.\~1"-t Ev~ ~o~.. S!.v~""T"i ;:"wl!. C~<..
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the
notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the
notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as
that shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee,
or applicant for employment, to be employed in the performance of this contract, with respect to any matter
directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry.
Breach of this covenant may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory
obligation to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify that I am;:! all
subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I
understand that violations hereunder may result in forfeiture of contractual payments.
8-102
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It: Excel Excavating Mike
From: Lynn Imaging
3-12-08 3:22pm p, 2 of 3
~JACOBI, TOOMBS AND LANZ, INC.
CONSULTING ENGINEERS
e
~
120 Bell Avenue
ClarksvilLe, Indiana 47129
(812) 288w6646 (812) 288.6656 Fax
Match 12, 2008
ADDENDUM NO.1
Loui:>c SttcL't Pump Station Tmptovctnc11lS
Job No. 07122
~~t> I $>
~ l'~ ()
The following revis.iol1~ anu darifiattiolls Rt:e h~~tc:hy incotpMaled:
1. As refetc;nced in the Specification:> on pllge 15-A-13 Section 2.16 D, a sluice gate is
referenced. No sluice gate will be required.
2. A:> referenced in the Specifications on page 2-B-2 Section 4.1 calls for IndiliOa #-'11 ~t(}nc
bedding, Section 4.5 calls for ttP, :>totle. Indiana #8 stone shall he u....,ed for the
referenced bedding.
.). A:> tderenced in the Spcl:ificatiotls on page 15-A-7 Sc<.:t10r1 2.10 A call..., [ox Neenall R-6077
casting :l1,d frutne, while the Phn Shed () callf> 1....11: Neenah R-6020. Neenah casting and
ttdDle R-6020 shall he used.
4. As shown on Pkn Sheet H, the Prec.ast Manhole over t.he 1 ~.xi5li:tlg Sewer calls fot a
bituminou:> ~cllle:r. TIns is correct, the exterior walls of the manhole are to be coated
with a bituminou.s sealer.
5. A:> shown all Plan Sheet Ii, t.he Air Release. Valve Det~jl i:> cotlTel.. A 12" base is to be
used., and the R1792-JL lid is to be lJ.sed. The "Nu 1792-JL on the detail is a
typographical c.tror.
6. As i-ihown on Plan Sheet 6, Notl.: #'1 califi fox bank nUl sand to be ulSccl as Imcki1ll axound the
wet well Indiana No.8 (57) stone is acceptable backfill around the wet welL
7. The "FOUNDA'nON VI.AN" dcl..w shown 011 Plan Sheet 7 has been revised. Sce the
attached "Revised Foundation Plan'~ detail.
8. ABS shall be an approved equal for acceptable pump manufacturers.
The Contractor shall acknowleuge receipt of this Addendum No.1 in writing on all bids tutnecl in.
SinceJ:ely,
~~~T.AN7.'INC
.J ol>hua Hilhnan, EJ.
S:\Sydllcy\WPDOC8\07\07122\07122-Al1l}JjNDUMl,doc
, '
'to.: Excel Excavating Mih
from: Lynn Imaging
]-12-08 3:22pm p. 3 of 3
('
10'
CONCRETE FOOTING
WALL
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4' 0"
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INSTALL #4
DOWEL BAR
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I I I I
I I I I
I I EXISTING I I
;:> I I STEPS I I
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1'-4"
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EXISTING
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3' -4"
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FOUNDA TION PLAN
EXISTING
9' -8"
No Scale
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LOUISE STREET Pl.l'MP STATION
JEFFERSONVILLE. INDIANA
REVISED FOUNDATION PLAN DETAIL
DRAWN: J.fII.H.
JACOBI. TOOMBS a: LANZ. INC.
CONSULTING ENGINEERS
120 BELL AvENUE
CI.ARKSVlLL'E. INDIANA 4'1'129
(812) 286-6646
CHECKED.: G.E.H. APPROVED: .J.~L.
. SHEET
'1
SCALE: N1S
DATE: 3-1~-08
JOB No. 07122
c:\Ef>2002\Projec:bl\07122.\07122-DETA,ll.J
To:'ExceI Excavating Mike
From: Lynn Imaging
]-14-08 ]:45pm p. 2 of 2
~-' ,
"JACOBI, TOOMBS AND LANZ, INC.
CONSULTING ENGINEERS
-
:9
120 Bell Avenue
Cla"rksviLle, Indiana 47129
(812) 288-6646 (812) 288-6656 Fax
Ma:rch 14, 2008
ADDENDUM NO.2
] ,musc Sttc{:t PU1-np Slation Improvements
Job No. 07122
v,-t(j A. ll1tJ
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'l1Ie following revh;ions ~\fiJ clarifications a:re hereby incorporated:
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1. The existing; dccu-ical supply at the station 1S 120V /208
2. As .tefetenn:d in the. Specifications 011 page 2-E-2 section (1-"1, it statt;$ that "Pavement
markings shall be installed as shown on the plans," this shall be revised to say "Pavement
markings shall be installed to match the ,existing markings, including hut not limited
to, Stop Bars, "STOP" lettering, and striping". Tbis crn;.t shan be considered
incidental and included it\ your bid.
~. In reference to the fence to be furnished, and installed around tile lift station, Privacy
Decorative Slatting (PDS - Privacy Slats) shall be furnished an.d installed. The color
shall be black, and tbe materhll shan be vinyL Thiq item shall he included in. the cost
of Pay hem No. 14 (Lift Station).
'rhe Contractor shall acknowJedgl.~ tl.~cdpt of this AddL'11dum No, 2 i11 writil1~ on all bids tu1'11ed in.
Sincerely,
J A<:< mI, TOOMBS AND LANZ, INC.
~-rd& -
S:\sydnc:y\ WI'I)()( ;S\07\07122\07J 22-ADDENDUM2.t1o,'
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BID FOR:
f)
LOUISE STREET PUMP STATION IMPROVEMENTS
JOB NO. 07122
A
CITY OF JEFFERSONVILLE
CLARK COUNlY, INDIANA
RESPECTFULLY SUBMITTED,
\E~C.E:L e:~~1/ AT\~ . \ Nt..
NAME OF FIRM
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L.;~~
PERSON
PERSON
ATTEST
DATE
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Accepted this I '. . day of .
,2008
S:\SYONEY\WPOOCS\07\07122\SECA2.00CX
A-208
APPROXIMATE
QUANTITY
DESCRIPTION WITH UNIT
PRICE WRITTEN IN WORDS
08 NO. 07122
UNI~~RICE TOTAL AMT.
NUMBERS FOR BID ITEM
215
450
/'
S:\SydneylWPDOCS\07I07122Iunit pric"
LOUISE STREET PUMP STATION IMPROVEMENTS
o
TONS Crushed Limestone (Misc. Sizes)
For
..... w... ..... .w. w. ............. ............................... w........
.. .T~~ ~":':L...........,............. ~~~~~.
PelTon $ ZO.t:O
TONS Bank Run Sand
For
.............. ... ......... ..... w..... ...... _._........ .............. .....
on. F.'.!-r.~E?~......n"..........'''''' :Q~~~~.
Per Ton $ 1CO ,0c>
CY Formed Concrete. Non-Reinforced
For'
:f.~;~:~~~J~!:';;:: :::::::: :t?~~~~:
Per Cubic Yard $ 450.00
CY Non-Formed Concrete
Non-Reinforced
For
.................................................................................................... .
.:r:~~~..~~~.~.~.~~................:Q~~~~.
Per Cubic Yard $ '?>bO.OO
TONS Dense Gra.de Aggregate
Aggregate Type P (ID.O.H. Specs)
For
.............................................................-...................................... .
... on...... :T~~~":.:l............. 0" R~~~.
Per Tons $ 20 .00
LBS Reinforcing Steel
For
......... ..... '~';,.i""""" ........... j):;i1;;'
"" ....................... ........ ...................... ................-.....
Per Pounds $ ~ . 00
Sod
For
'~~iz:P~~'~:~:;:;C~~""'D~~'
.. ...-........ ...... .......... .......... ....... .......................
Per Square Yard $ 4.'50
Seed Fertilizer and Mulching
For
ITEM
NO.
1
2
3
4
5
r\'~
6
7
8
9
~
10
r\
1 I
o
o
o
o
o
o
SY
o
SY
TONS
ONt. Dollars
'P;;'Sq~;'Y~d"''''''''''''''''''''''''''''''$ ~. 00
INDOT Surface Asphalt
Number 11
. E <?!,?,~~~~'.i..~ ~':\'!'.~?~';-~.~. ':':.........
fi.l!1:':l.Ey.~. g.~.. .... .... .... .R~~.
Per Ton $ 7B .45
Surfa.ce Milling
.!:<?!.~~.~~,:~~~?.~.\.~~.E\tg,~~T">>
Dollars
oP;~'Sq~;;;'y~~i".........................m"'$ 4.<\5'
A-206
SY
$ Zoo.eo
$ \.1l5.00
$ 4So.co
$ ~oo.tJO
$ 'Z..o .1:0
$ 5'.00
$ 4. ~o
$ l ..<<)
$ Ht> e~..lS
,
$ ~. 12. . '=0
LOUISE STREET PUMP STATION IMPROvEMENTS
ITEM APPROXIMATE DESCRIPTI'ON WITH UNIT
.~ 11 1 LS Connect new 6" Focre Main to
existing Manhole
. !:?~. .~~~.~ .H~~9:.~. E!f.X~g~........
Dollars
4.. ........ .......... .... ................ ..... ..... .............. ....... ....
Per Lump Sum $ 'h"5.oo $ q\S.oc>
6" PVC, C900 Sanit:aJ:y Force Main,
Thrust Blocks
.!:<?~.~~!';i._~.g.~~~~. .-.......-,
.~f.:.':l.C_l?~:.~___.. __..... -. -., - -- -~~~~~,
Per Linear Feet $ 44. 'So
Manhole on existing sewer
For Foul' 1 \.4oU~~~(") 'TVoJO ~~oa.e.o
:~l~i~~5~~~~~~~~~~~~::~~::~~:~~~R~~~~:$ 4. '2.e5.60 $ 4, 'Z~c; ,00
275 gpm Lift Stati~n, Pumps building
piping, electrical, conduit, wet well,
valve pit, emercency pump out
manhole, drop inlet, reconnect
telemetry, fencing, handling existing
flow, rain guage relocation (pavement
at the lift station site), etc. complete
I
.!:<?~.~~.~~9.~~:?\_~":'i~~:r~P EI~'f
"'l!!~~!~~~~~~__..~.....; _ _ p.~~~~ ,F\F\'i ee..J'l"'>
Per Lump Sum $ \b\.B31.S0$ \~\. ~<:;., ,SO
8" PVC Gravity Sewer
. !:<?~.g~~~~ ..~~:I=. .~.~.~ ~..............
~INGu't"t ~ Dollars
'P~"L~~~F~~t""""'''''''''''''''''''----'' $ 8~.lb
Decommissioning of existing
Lift Station
.!:<?!.f~~I~?S'{.~~~~?-~9.~
">>~.~~~~.~m~~~~...P.~~~~,
Per Lump Sum $ 3,S4~. qc $ ~.5~. Coto
Air Release Valve and Manhole
Complete
.!:<?~.~~!~~~!?~~~.~~~'?~~.~~""
~~~.~~~g)~~'!:1.~'d...p.~~~~. '
Per Each '. $ 4.~4~. ~ $ '11 z~, . fob
. Manhole Lining Rehabilitation
Forr"a.ee:~~c 'T~~i! 1-k~
:~~~~;~~~~~:~~~~:~:~~:~:~:::~:~~!?~~~~:
. Per Lump Sum $"3 ~ ~~. t::b
TOTAL BID PRICE = Total ofItems 1 thm 18 = 1
f'
12
1200
LF
13
1
EA
14
LS
1
(\ ,-----.
15
3'5
LF
16
LS
1
17
EA
2
18
LS
1
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S:\SydneyIWPDOCSI07\07122\unit prices.x"
OB NO. 07122
UNIT PRICE TOTAL AMT.
$ 5:,,4-60.co
$ ~ ~34.'SO
I
$ -;,~B~.60
$Z5811eS,"1S
A-207