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Home My WebLink AboutProposal Form "'.,iII; If. ~ City of Jeffersonville Ken Ellis Senior Center SECTION 00300 - PROPOSAL FORM ~. . I NAME OF BIDDER: SMITH CONCRETE CONSTRUCTION CONSTRUCTION PACKAGE: All Work City of Jeffersonville Ken Ellis Senior Center 1425 Pennsylvania Avenue Jeffersonville. Indiana To: The Honorabl9 Rob Waiz Mayor, City of Jeffersonville 501 East Court Avenue Jeffersonville, IN 47130 Gentlemen: JEFF.022 April 2006 The UNDERSIGNED, having carefully examined the ~ite of the work and the documents for this project as prepared by The Estopinal Group LLC of Jeffersonville, Indiana, hereby proposes to furnish all labor and material, supplies and services required for the project in accordance therewith, within the time set forth therein and the price stated below. The Bidder hereby acknowledges receipt of the following addenda: Addendum No. OI1P dated!:)! n 1/ 06ddendum No. dated {\ Addendum No. Two dated5 / 1 1 /0 Addendum No. dated I Addendum No. dated Addendum No. dated Insert in the above spaces the number and date of Addenda issued and received. If none has been issued and received, insert the word "NONE". BID: The UNDERSIGNED, agrees to complete the work of the Contract as set forth in the Documents for the construction and renovation for the City of Jeffersonyille, Ken Ellis Senior Center. FOR THE SUM OF: ~-1!!167'Ir (/~) 1.JoIJ b1Z~p ~1'v'D ~6~NI {USE WORDS} . ~ Nd CENTS {$ ~~ t 7!)O - . {USE FIGURES} *In the event of a conflict between the amount in writing and in the figures, the amount in writing shall prevail. , 'f/;"/I ;e ll( 'j}UtJJ/;e-O Dollars A./IIJ€. (~) }* and ALTERNATES 1. 2. 3. 4. ADDIDEDUCT $ ADD/DEDUCT $ ADD/DEDUCT $ ADD/DEDUCT $. UNIT PRICES 1. Unit Price No.1: AlJA. , $ r PROPOSAL FORM "'/A- JJ/A Ai Ii< AlIA 00300-1 . . , , City of Jeffersonville Ken Ellis Senior Center ~ TIME FOR COMPLETION The Undersigned agrees, if awarded the Contract, to complete the project on or before Contractor to Insert date of completion. VOLUNTARY ALTERNATES \1 JEFF.022 April 2006 J 7 /<~t)1V "'fH'S p~rl NT;:> I In an effort to provide competitive pricing, the Bidd(:lrs are encouraged to provide voluntary alternates for material and systems incorporated into the project. If voluntary alternates are selected by the Owner they will be incorporated into the Agreement. MATERIAL SUPPLIERS AND SUBCONTRACTOR~ I I Lists of work performed by Bidder's own forces, material suppliers and subcontractors proposed for use on this project are enclosed with this proposal. The lists may not be changed or modified without written authorization from the Owner. TIME LIMIT FOR EXECUTION OF CONTRACT DO~UMENTS It is further agreed, that in the event this Proposal is accepted by the Owner and the undersigned shall fail to execute the Contract within ten (10) calendar days from the. date of notification of award of the Contract, the Owner may at his option, determine that the undersigned has abandoned the Contract, and thereupon the Proposal shall become null and void. Bidder agrees that this bid shall be good and may not be withdrawn for a period of sixty (50) calendar days after the scheduled closing time for receiving bids. Bidder understands that the Owner reserves the right to reject any or all bids and to waive any informalities in the bidding. Respectfully submitted, r, BIDDER SMITH CONCRETF. r.ONS'T'RTTr.'T'TON (FIRM NAME) H.A. (Butch) Faust By Title VP Operations P.O. Box 788 Address Phone 502 957 2425: 18 May 2006 Date r, PROPOSAL FORM I 00300~2 . .. . ~ ~. , r"'\ t .! I ~. r I City of Jeffersonville Ken Ellis Senior Center JEFF.022 April 2006 VOLUNTARY ALTERNATES I Bidder has proposed the following voluntary alternates for consideration on the Project. If voluntary alternates are incorporated into the Work, Contractor shall be responsible for materials, systems and the interface of all other project coordination. The Owner is under no obligation to accept voluntary alternates. SPECIFIED ITEM ALTERNATE ITEM AMOUNT (+/-) PROPOSAL FORM 00300-3 , " . . ~. I r ~.. f City of Jeffersonville Ken Ellis Senior Center WORK TO BE PERFORMED BY BIDDER The following items of Work will be performed by the Bidder with his own forces: structural Concrete Reinforcing Steel Concrete Walks and Pads Rough Carpentry Finish Carpentry Doors, Frames and Hardware Toilet Compartments and Accessories Fire Extinguishers and Cabin~ts Signage PROPOSALFQRM JEFF .022 April 2006 ~ l i 00300-4 . , (\ , ~ , r- - I - - - - - r, - .' . . JEFF.022 April 2006 City of Jeffersonville Ken Ellis Senior Center MATERIAL MANUFACTURERS PRODUCT ~rJ~e 7q:; MANUFACTURER &=/LrJ9; )t-1"A'1PcJ~ P....f[ g()OP-/Af U- WMJ-- ~ekS :;;:S / ()7J ;t ~.~ hlb8slo-AI6 ~~ S'G,tJ ~~> 1;XJiJ /Z S c::.e CO /--7A/6t:;,pJp. /6~O I-bJuDJl/lkJ'ZE- 1/ C( / c/}f2l)~ , 7lJ/(,~T 41il/J/~~ Pt...,tJjl/j 0 r AN- Pr~5 '- / ~ PJfX/JV ~~'S Jfv~ ~t;;vlp ~>f I t>rze&CS/J'A./ J /U1 d ~ I k/V4sJu;4a- /I!:>I~ ~ 1(., ~1' -pON s:' I~o fb/I t/f:I2.. L--/~AI/A ~/V)SL 00300-5 PROPOSAL FORM . . City of Jeffersonville Ken Ellis Senior Center 1" MA:rER1AL SUPPLIERS AND SUBCONTRACTORS: LISTING I I MATERIAUTRADE 5J 7le JVJtt..l)C ~r al71/ c W/bI?S r ~ac:. M~~ S[e?GL . G#t?IN~V ~A/b- i ftVJ>U jJ<1Ilr;;~ ~~ ~ S j f:1t~/5 c) /~ W/N/}d)d~ ?sf f /);;{):I At; 7J1.X- f*1Ai)1IAJr- RLwt tbl;J~ ~};J~S /J1J~ END OF SECTION 00300 ~~ (> PROPOSAL FORM NAME ~Ai C5l..t1f: fv1~ j>>U1A.f.;- , ht./ AfYI/E; ptw pcS5/d/\! AC L 'PlJlt1 S J'Y1l. c- Lt ~ 7/114 /~ (/,a AI ~ L):'ONf: kl-JE4A..J ~1,J ~J stdIJ WM-.a J'fej(etV/A/W MeC/wiff rtrAJV'o M~ Me:; C/J1e!Y ~ JEFF.022 Apri12006 I~ I I I I I I I I I f 00300-6 r---." r>' .' Prescribed by the State Booard of Accounts Form No. 96 (Revised 2000) CONTRACTORS B'ID FOR PUBLIC WORKS PART I (To be completed for all bids) (Please type or print) KEN ELLIS SENIOR CENTER 1. Governmental Unit (Owner): Date: City of Jeffersonville !8 May 2006 Clark 2. County: 3. Bidder (Firm): SMITH CONCRETE CONSTRUCTION P.O. Box 788 Address: City/State: Hillview, KY 40129 502 9757 2425 4. Telephone Number: 5. Agent of Bidder (if applicable): Pursuant to notices given, the undersIgned offers to furnish labor and/or material necessary to complete the public works project of. KEN ELLI~S_SENIOR CENTER (Governmental Unit) in accordance with plans and specifications prepared by The Estopinal ( I..LA... ~ , . w. vt.41tS Group ~~-e..t&lW rfP>f"'/ and dated 0 4 . 21 . 2006 I'2)/JQJ ~ for the sum of \J\~I.\Ot..!~~ ~ ~II l"11"f-( ~ 'iE,7:>u - The undersigned further agrees to furnish a bond or certified check with this bid for .an a unt'specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in ccordance with the notice. Any addendums attached will be specifically refer~nced at the applicable page. ;8 ( ~ ) If additional units of material included in the contract are needed, the cost of the units must be the same as that shown in the original contract if accepted by the Government 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 obligationto use steel products made in the Unitef! States.. I.C. 5-16-8-2. I hereby certify that I and all subcontrac- tors 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. " NON-COLLUSION AFFIDAVIT r-'- The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other mem- ber, 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 induce 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. I I I '/- I I I I I I I r I He further says that no person or persons, firms, or corporatiion has, have or will receive directly or indi- rectly, any rebate, fee, gift. commission or thing of value on account of such contract. OATH AND AFFIRMATION I affirm under penalties of perjury thatthe foregoing facts and information are true and correct to the best of my knowledge and belief. Dated at Smith Concrete Constt11is 16 day of May 2006 SMITH CONCRETE CONSTRUCT ON H.A. (Name 01 Organization) (Butch) Faust By VP Operations (TItle of Person Signing) ACKNOWLEDGMENT ) ) ) STATE OF 5S: being duly sworn, deposes and says that he is '\j~ OC\a^~J of the above ~t~Qo(\C/u:lt> ~~~~and ~ _ _ (Title) (Name of Organization) that the statements contained in the foregoing bid" certification and affidavit are true and correct. Subscribed and sworn to before me this \Lo~ dayof ~ ~ 0< ~~)~_nf)~-:tL- NOr:;;;~ My Commission Expires: l.o OS Cq ~l o OJ. J::} County of Residence: ~ The above bid is accepted this conditions: day of . , subject to the following t I I I I I I I I I I I . , ACCEPTANCE Contracting Authority Members: PART II (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) Bidder (Firm): City of Jeffersonville SMITH CONCRETE CONSTRUCTION 18 May 2006 Govemmental Unit: Date: These statements to be submitted under oath by each bidder with and as a part of his bid Attachadditional pages for each section as needed. r SECTION I EXPERIENCE QUESTIONNAIRE I 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 Class of Work When Completed ..... Name and Address of Owner Amount ::oncrete & AFRICAN AMERICAN MUSEUM $279,000 1- ?""t:; Louisville. KY ..CC 2. What public works projects are now in process of construction by your organization? r Contract Class of Work When to be Name and Address of Owner Amount Completed $82,000 ::oncrete & 6/2006 NEW MUNICIPAL BUILDING ,,- ._u ~.. .. - . , , T7U J::' --.r , 3. Have you ever failed to complete any work awarded to you? NO If so, where and why? r 4. Ust references from private firms for which you have performed work. ROBERT~~TTINGLY & SONS Charlie Mattingly 502 968 0125 - . . I NBMC, INC. R~y N~hhol7. ~01 h7q hOOD SECTION II PLAN AND EQUIPMENT QUESTONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) Work will begin upon receipt of the Notice to Proceed. A schedule will be prepared and submitted. Anticipated sequence is Demo site prep, bldg. fdn.,framing, roofing, masonry and finishes: All work should be completed withineight months. , I~ i! 2. If you intend to subject 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, it you are unable to currently provide a listing, please understand, a listing must be provided prior to contract approval. . A complete listing of Subcontractors will be provided subsequent to the Bid. 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 govermental unit. Backhoe & Bobcat Lifts Hi-Lift, Dozer, Grader & Compactor 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. Quotations have been received from vendors and suppliers which are firm for the Bid Guaranty period. Purchase Orders and Contracts will be issued upon receipt of our Contract. f' r, (\ 1', , . I I ~ SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder'sfinancial statement isl mandatory. Any bid submitted without said financial state- ment 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. See attachment I SECTION IV OATH AND AFFIRMATION I I hereby affirm under the penalties of pe~ury 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 SCC this 16 day of May 2006 I SMITH CONCRETE CONSTRUCTION I By I Operations (Title of Person Signing) ACKNOWLEDGEMENT STATEOFd{~ ) ) SS: COUNTYOF eu.O~ ) f11 Ii II J I ~ (J (tll ~. . beinll, duly sworn, d~posesland ~'lY"~t he is -='i~ ~lheabO"" ~ [Q;ll'~ C~,.....~ (Title) ( Name of Organization) and that the answers to the questions in the foregoing Questiohnaire and aU statements therein contained are true and correct. [I Subscribed and sworn to before me this \u~ dayof ~ , ~ ~~ ~c\,(, r Notary Public My Commission Expires: ~ County of Residence: ~ ill~ ~\ ~ :II "T1 c:!: CD n ?:: ::r: "'0 (J) 0 0 0- f-'- l:!j f-'- . :3: 3 ::J rt ~ I-' 0 H ;l I-' 8 Z ~ l:!j <: ::r: !=l (I) 0 t-t f-'" tJj CO ::J Hi t-t ""0 (1) 0 () C>> H C :e: ~ 0 c.., (J) OJ .. ~ (1) r- ?:: -....I- n Hi (J) C; i-<:); (X)~ :::0 Hi l:!j ~ (X)::J l:!j (1) ~ tl::> C. - 8 !B 0, 0 "T1 C. ~ i'i H 0 0 ..., l:!j 0 :0 0 (l) (/l 0 "T1 ..... en 0 ^ ::0 0 0 :::0 en tv en .:::!- () - "T1 ::s 1..0 0 <: n ""0 ~ f-'- l:!j ::0 (J) I-' ~ 0 8 c:.. I-' 8 m :::0 :0 CD l:!j ~ C ~ :::0 () 8 (ij" H (I) C. 0 f\) ~ 0 0 0 r\ City of Jeffersonville Ken Ellis Senior Center ~\ SECTION 00310 - BIDDERS CHECKLIST r> I r 1- t The following is a list of required documents which each General Contractor is required to provide: Complete Section 00300 - Bid Form Acknowledge Receipt of All Addenda Complete Bid Bond - AlA Document A-31 0 (Circular 570 as amended) Include Bid Security (5% of total bid including all add alternates) , , r ~ f , Complete Form 96 Complete Contractor's Qualification Statement - AlA Document A305 END OF SECTION 00310 BIDDERS CHECKLIST JEFF.022 April 2006 00310 - 1 . , 1 . t.8 ,~. City of Jeffersonville Ken Ellis Senior Center JEFF .022 April 2006 SECTION 00450 - NON-COLLUSION AFFIDAVIT PART 1 - GENERAL 1.1 REQUIREMENTS A. Each bidder is required to submit this properly executed Affidavit with their Bid Form. \ Complete the following: Non-Collusion Affidavit r- The bidder, by its officers and agents, representatives present at the time of filing this bid, being duly sworn, on their oaths say that neither they nor any of them have in any way, directly or indirectly, entered into an agreement or agreements with any other bidder, or with any public official. Whereby such affiant or affiants or either of them, has paid or is to pay to such bidder to public official, any sum of moneYI or has given or is to give such other bidder or public official anything of value whatsoever, or-such affiant or affiants or either of them has not directly or indirectly entered into any agreement or agreements or arrangements with another bidder or bidders which tends. to ~r does lessen or destroy free competition in the letting or the contract sought for by the attached bids; that no inducement of any form or character other than that which appears upon the face of the bids will be suggested, offered, paid or delivered to any person whomsoever to influence the acceptance of said bid or awarding of the contract; nor has this bidder any agreement or understanding of any kind whatsoever, with any other person whomsoever to pay, deliver to , or share with any other person in any way or manner, any of the proceeds or the contract sought by this bid. ~ \~~ee:-r.e.. ~(2.()~ (Bidder) (Corporate Seal) ~ (~) FM.Hf" V otJ$ I SUbscri~ and sworn :0 before me by this~day of L-i ~# (Notary Public) I d)1~ I (Notary Seal) I My Commission Expires . (Q ~ 0') In and For ~GG l County. END OF SECTION 00450 00450-1 ..~OLLUSION AFFIDAVIT