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Prescribed by Stale board of Accounls
Boyce Forms. $yslems, Muncie, IN 1240
Form No. 96 (Revise<l 2000)
CONTRACTORS BID FOR PUBLIC WORKS
PART I
(To be completed for all bids)
(Please type or print)
1, Governmental Unit (Owner):
Date: May 18, 2006
City of Jeffersonville
3. Bidder (Firm):
Clark
Upton Pry, Inc.
2. County:
Address:
1304 Dewey street
City/State:
New Albany, IN 47150
(812) 944-5923
4. Telephone Number:
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5. Agent of Bidder (if applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
bl' k . t f Ken Ellis Senior Center
pu IC wor s proJec 0
(Governmental Unit) in accordance with plans and specifications prepared by
The Estopinal Group and dated
eiqht hundred seventy thousand dollars $ 870,000.00
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.
April 2006
for the sum of
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.
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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 and 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.
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ACCEPTANCE
The above bid is accepted this
following conditions:
day of
, subject to the
Contracting Authority Members:
PART II
(Complete sections 1,11,111, 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:
City of Jeffersonville
Bidder (Firm)
Upton Pry, Inc.
Date:
May 18, 2006
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?
Contract Amount Class of Work When Name and Address of Owner
Completed
525,835.00 Remodel Jail 2005 Harrison County Commissioners
p88,395.00 Remodel cthse 2005 Harrison County Commissioners
744,933.00 New Facility 2006 City of Scottsburg
2. What public works projects are now in process of construction by your organization?
Contract Amount Class of Work When to be Name and Address of Owner
Completed
1,635,000.00 Remodeling 2006 NA-FC School Corporation
694,000.00 Warehouse 2006 NA-FC School Corporation
263,200.00 Remodling 2006 West Clark Community School Corp.
,
No
If so, where and why?
3 Have you ever failed to complete any work awarded to you?
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4. List references from private firms for which you have performed work.
Floyd Physicians Corp., 1919 state st., New Albany, IN
LifeSpring Inc., 460 Spring st., Jeffersonville, IN
Betty Nance, 1302 Dent Avenue, New Albany, IN
Performance Services, 5777 Purdue Road, Indianapolis, IN
Harrison County Cornmissioenrs, 300 N. Capitol Avenue, Corydon, IN
SECTION II 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.)
Work will be performed per Architect's plans, specifications and addenda.
We have carpenter and laoorers on staff. Work can begin 10 days after
Notice to Proceed is received.
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.
Due to timing of receiving bids a complete list of subcontractors will
be provided later for CMnerner' s approval.
3. 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.
We have available:
Backhoes
Crawler
Skytrac
Mobile office trailers
Various hand and electrical tools
Bobcat
Dump trucks
Pick up trucks
Welders
4. 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.
We will have received firm offers on all aspects of the project.
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SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of 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.
Dated at
New Albany
18th
May
2006
day of
this
upton
rganization)
L. Stephen ry, Presi ent
(Title of Person Signing)
ACKNOWLEDGEMENT
STATE OF
Indiana
Floyd
COUNTY OF
L. Stephen Pry
being duly sworn, deposes and says that he is
President of the above upton Pry, Inc.
(Title) (Name of Organization)
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
18th day of May
~Ju(L~
" u . th A. House Notary Public
2006
My Commission Expires:
12/17/09
County of Residence:
Floyd
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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 lettillg nor
to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made witllOlli
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.
D New Albany
ated at
this
18th
day of
May
2006
(Title of Person Signing)
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ACKNOWLEDGEMENT
Indiana
STATE OF
COUNTY OF
Floyd
SS:
L. Stephen Pry
being duly sworn, deposes and says that he is
President
(Title)
of the above
upton Pry, Inc.
(Name of Organization)
and that the
statements contained in the foregoing bid, certification and affidavit are true and correct.
Subscribed and sworn to before me this
18th
day of
~j~/J,Jj~/
CU 1 . se Notary Public
May
2006
My Comission Expires:
12/17/09
County of Residence:
Floyd
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UPTON PRY, INC.
BALANCE SHEETS
December 31, 2004 and 2003
ASSETS
CURRENT ASSETS
Cash
Accounts receivable
Due from related party
Costs and estimated earnings in excess of
billings on uncompleted contracts
Advances to stockholders
Other current assets
TOTAL CURRENT ASSETS
PROPERTY AND EQUIPMENT
Leasehold improvements
Vehicles and rolling equipment
Office equipment
Less accumulated depreciation
PROPERTY AND EQUIPMENT, NET
OTHER ASSETS
Investments
Cash surrender value of life insurance
TOTAL OTHER ASSETS
TOTAL ASSETS
LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES
Current portion of long-term debt
Accounts payable
Billings in excess of costs and estimated earnings
on uncompleted contracts
Advances from stockholders
Accrued payroll and payroll taxes
TOTAL CURRENT LIABILITIES
Employee benefits obligation
Long-term debt, less current portion
TOTAL LIABILITIES
STOCKHOLDERS' EQUITY
Common stock, no par value; 100 voting shares
authorized, issued and outstanding
Common stock, no par value; 900 non-voting shares
authorized, issued and outstanding
Additional paid-in-capital
Retained earnings
TOTAL STOCKHOLDERS' EQUITY
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY
See notes to financial statements.
3
2004
$
34,940
449,124
87,426
7,275
108,709
4,799
692,273
1,498
201,282
13,627
216,407
(175,200)
41,207
40,000
125,141
165,141
$
898,621
$
3,435
176,284
30,939
38,583
2,744
251,985
75,368
14,035
341,388
6,400
57,600
129,553
363,680
557,233
$
898,621
2003
$
50,963
346,599
42,543
34,703
105,767
6,641
587,216
1,498
181,142
13,627
196,267
(163,683)
32,584
40,000
108,899
148,899
$
768,699
$
205,669
25,627
56,583
4,130
292,009
64,585
356,594
6,400
57,600
129,553
218,552
412,105
$
768,699
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UPTON PRY, INC.
STATEMENTS OF INCOME AND RETAINED EARNINGS
for the years ended December 31, 2004 and 2003
REVENUE
Contract revenue
DIRECT COSTS
Material
Labor
Subcontractors
Overhead
Total direct costs
Gross profit
OPERATING EXPENSES
Salaries
Payroll taxes
Employee welfare
Travel and entertainment
Insurance
Interest
Vehicle expense
Rent
Utilities
Telephone
Property and other taxes
Office and postage expense
Professional fees
Dues and subscriptions
Depreciation expense
Bad debts expense
Advertising expense
Management fees
Miscellaneous
Total operating expenses
Income from contracting operations
OTHER INCOME
Interest income
Miscellaneous income
Total other income
NET INCOME
RETAINED EARNINGS
Beginning of year
End of year
2004
$ 2,746,283
333,093
231,692
1,541,283
77,811
2,183,879
562,404
89,681
26,155
56,335
6,216
73,994
978
42,304
8,400
9,366
10,016
6,360
7,031
15,885
10,557
11,516
991
37,200
4,480
417,465
144,939
189
189
145,128
218,552
$ 363,680
See notes to financial statements.
4
2003
$ 4,204,816
395,660
182,270
2,980,351
171,178
3,729,459
475,357
84,174
22,565
65,726
5,541
49,200
5,448
41,499
2,400
7,283
12,546
7,902
6,285
16,439
9,474
7,486
740
913
30,000
3,981
379,602
95,755
1,640
5,152
6,792
102,547
116,005
$
218,552