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Prescribed by State Board of Accounts
State Form 52414
Form No. 96 (Revised 2005)
CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96
PARTJ
(To be completed for all bids. Please type or print)
Date: '6 \\ L\ \ 0 lo
1. Governmental Unit (Owner): "S"ef'.('O"SbI"'W'\\\.t.. Se.wu \3oMd
Address:
L\CA.V" ~
M "OJ L.oi\. s\YUL.~oY""'\ . \ ~ c.. .
\\0.'-\ flq'O'\DYl1 p\. ~ ~U\-\t. t)..
~'(o..ndU"l bv..v-~ I 'l-\.\. '-\O\D~
l..10 .. L.\'U" 4. 0 la'"
2. County:
3. Bidder (Firm):
City/State:
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
F\ the public works project ofl\Nl.~ 'l'\n \ I t:l A:x't.n u..t... Li ~t S+a....\.., 0./\ R.sL\DC At} D'f"\
(Governmental Unit) in accordance with plans and specifications prepared by .\CA..C-O h" t I OllVV\b~ and
Uln'Z. i \nC-.
and dated
3 uJ"1 20() fp
for the sum of
$
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 and all
subcontraCtors employed by me for this project will use U.S. steel products on this project if awarded. 1
understand that violations hereunder may result in forfeiture of contractual payments.
{\
?JOlt...: PrDObJO u.fY\ +;L! R.E:CE1VCO IbATE-O
B'rDID{P
SECTION II PLAN AND EQUIPMENT QUESTIONAIRE
Plan or Layout for Proposed Work.
Proposed Start- 9/15/06 with 4 workers
Set wet well valve vault and all m.anholes except B.
Construct building, lay force main, install electrical, set manhole 8
Start new pump station, demo old pump station, final clean up
MTN Construction, Inc.
2 Names and Address of All Sub Contractors used on Public Works projects during the past 5 years,
with a brief description of work done by each.
Cherokee Construction
Link Electric
Encon Environmental
Flynn Construction
Louisville, KY
Louisville, KY
Louisville, KY
Louisville, KY
3 List of Sub Contractors to be used on this project.
Link Electric
G & G Masonry
Straffer Pump & Supply
Sherman Dixie Pre-cast
Bagshaw Trucking
Jones & Scott Fencing
Louisville, KY
Louisville, KY
Louisville, KY
Louisville, KY
Louisville, KY
Louisville, KY
Concrete
Electric
Erosion control
Asphalt
Link
Block Masonry
Equipment
Pre-Cast
Trucking
Fencing
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4
What equipment is available to be used on this project? Any equipment to be used by sub
contractors may also be required to be listed by the governmental unit.
210 Volvo Excavator
555 Volvo Excavator
145 Volvo Loader
277 Cat Loader wi Attachments
F350 Foremans Truck
MBE
WBE
5 Have you entered into contracts or received offers for all materials which substantiate the prices
used in preparing your proposal? If not, please explain the rationale used to which would
corroborate the prices listed.
Yes.
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$~RT AND ATIACHTO FORM 96, DO NOT USE THE CONTRACTOR'S
"BID SECTION ON FORM 96. BESURE TO SIGN BID, NOTARIZE BID
AND EXECUTE N<UN.COLI:;;USIONAFFIDAVIT.
(;NVILLE SEWER BOARD
::R,CITY-COUNTY BUILDING
({CQURT AVENUE
.~.~. -" -
QNVILLE, INDlANA47130
:'~i~(}1.\lOLIA AVENUE LIFT STATION RELOCA nON
i<~'NO. 9735
.i'
, Mrewith, our sealed proposal to furnish all necessary labor, tuatetial and
'rVh the above captioned project, in accordance with the suhjectplans and
.~'. unit prices listed herein.
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MAGNOLIA AVItNUE LIFTSTATION RELOCATION JOB NO. 9735
I_______________~~-~--------~----~----------~~-~-~-----~-----~--------~~----------~-~----~------
ITEM APPROXIMATE DESCRIPTIQN WITH UNff PRICE TOTAL AMT.
NO. QUANTITY UNIT PRICE IN FOR BID
._______________________________~~~~~~_~~i~_~~~____~~~~~-~~-------~~~~-------
.'\
1
o TONS
Cmshed LilUe~toIie . .
(Misc. Sizes)
For :T~...;.::-:.......................
.............................,.......... Dollars ::.":J
Per Ton $ --r.,a. $
o
I___-------------------------------~"-------------~~-----------------------~---------------~---
2
o TONS
BankRUl1 Sand
For ..:::r\1:l.~~.....;...............,...
..=.......... ....... ........ .....::::-Dollars
Per Ton
o
----, ::l\'::I
$ L-~.
$
I__~------~---------------------~-----~-------------------~-----~-~---------~--------------~---
3
OCY
Formed Concrete
Non-R~~~eL.. .
For .....~..................:..dr.~....
.......~.......~.....:................ DUltllrs OllliO
Per Cubic Yard $ 'S:O.::i t $
o
,---------~---------------~--------------------~----------~-----------~--------------------~---
, . . " - . ".
4
OCY
. Non~Fot1Iled Concrete
NoiJ;'~l1forY\ld ..' ft. ,
Fat ...J.!1?~..~...,.,......
C'~...~
p;;r.~~bic UY~~d'''''''''' Dollars
$
r\
-r.,A :%)
'-<s~ . $
o
I___------------------------------~---~~--------------~-------------~---------~------~---------
5 0 TONS Dense Grade
Aggregate Type P
(I.t>.O.H. Specs)
For ..::r~.,.,~.:.~....~.............
..::........;.."..................... Dollars . . . ~
Per Ton $ --c:..~ .. $ 0
,__~__~___~______________~_______________M____________-------------~-------~--~----------------
6
OLBS
~~r~~5~~~t.~~~CK.\-+~............
...................................... ~
Per Pound $
o
.C'c-c ~ $
.~-------------------------------~-----~------------------~-----~~-------------~---------------
7 0 SY Sod
Fat .....S"t.!(.~;.............,.........~
..,::::;~.........................::. Dollars --, . ~
Per Square Yard '. $ , $ 0
,-----------~-----------------------------------------------------------------~------------~---
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8 0 SY Seed, Fertilizer
~~ ~~~k*=r:.6:~.,.....
..~!:$..................~l'S" ---, c;- <\
Per Square Yard $ $ 0
.~-------------------------------~-----------~-----------~-------------------------------------
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ITEM APPROXIMATE DESCRIPTION WITH UNIT PRICE TOTAL AMT.
NO. QUANTITY UNIT PRICE IN FOR BID
WRITTEN IN WORDS NUMBERS ITEM
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._---------------------------~---~-----------------~---------------~-------------~--------------
9
o TONS
INDOT, Surface Asphalt,
Number 11
For ... .:.... ..................... ......... ..........
P~;.T~~....................... Dollars $ \ ~ ~ . pi:!
$
o
. . ..
,--------------------------------------~------------------------~--------------~---------------
10 1 LS Connect new 6" Force Main to
existing Manhole
For.::r~.Q.~:r.bl~1!~..Q~...
~~............. Dollars . ~. ..:::0
. . Per Lump Sinn .' $ '""'"l- \ ~ ' $ -c... \ O~.
._---------------------------~------------~------_._-------------------~-----~---~------------~
\
11
630 LF
6"PVC, C900 Sanitary Force
Main .' , - 54-. .
F r::;;........\.. .. t::..ve. ~I .~
or .. t. \1... .l~~;~ ..)..~..............." I.ff......._
...-;';;-...........;..............~..... Dollars
Per Linear Foot
2- '0 bCfO, 2:-0
I
. .;;,-rJ
"""LQ \0 ~ ~.
.t.\~ . "> t.\
'. ~
~i
. .
f""L. ~4- 7'f' $.
.' .,' ..' ."
.--------------------------------------------------------------------------------------------~-
12
1 EA
Type 'B' Manhole on existing
sewer... ~
For ..f(~:tbv.}t..~.~;!JI.~....
. ~.$.~.:::::7'Dol1ars
Per Each $
. ..,.
S~~ \y". $
<;G1-<:). G,,<fP
.-'
. ' . . ., . " .
,----------------------~------~-------------------~~------------------~---------~-~~-----------
13 1 LS 300 gpm Lift Station, pumps,
buildirig, piping, electrical,
conduit, wet well,' valve pit,
einergency pumpout manhole,
drop inlet; reconnect
telemetry, pavement
. restoration... etc., COIl\Plete _' !
For .::r~.~.t,\r.~.,:tbo.Y:-~ ~QC) ..&A
.:::::~............................... DClllars .... .' . ..-,..
'. Per Lunip Sum $ . ($iI'Jil~' $ <<-~O:C .Of)
._-------~------~--------------------~-~~~-----------------------------------------------------
14
34 LF
10" PVC Gravity. SewerR ...
For,O'~.~........~
Q~ ,_ 4l; A IJ"'--- .
.!.~....l....gJ....Y........... Dollars
Per Linear Foot $
",'S' ,I \II
"'~;.,')o
~
$
,.,-- (CC/ ,'1 d-
~ .;:..',1. u"r
::P
~\~-c.
.).'
._--~-----~-~----------------~-----------------------------------------------------------------
15
1 EA
Type uB" Manhole with Sluice
Gate Valve
For ,ThH.:t.~..l~~.....
\f.P..\\K.;~'" Dollars A
Per Each $ '~<.10. $
\~I.\ ~ .-
,-----------------~-------------------------------------~--------------------------------------
S.\Sydney\wPDOCs\9\9735\unil prices.wpd
A-207
--.
MAg.l!<?~!!!Y!?_~~!~:!;.~!:~'!!Q~~~Q.QA,!,~Q1'i_..__..________~Q!~Q:..2.7~2_______
ITEM APPROXIMATEDESCRIPTIO~WITH UNIT PRICE TOtAL AMT.
NO. QUANTIty UNIT PRlCE IN FOR BID
WRITTEN INfWORDS NUMBERS ITEM
I______---------~------------------------------~------~~_____________________~__________________
16 1 LS DecOl~unissiolling of existing
Lift StB:tion ~ ~
For .hv.f.T.hc?f1..$...;........:..s.~~
p~.~~~~~.s.~~~........... Dollars $ 'S~ .~ ~ ,'" . $ ~. Co~ _$
._---~--------------~-----------~---------~------------------------------~--------~------------
17 1 EA Air Rel~ase Valve and
Manhole; Complete . .
For...~.TI!P.M.S.~............
-:th.~t..-t..t:b:,,~;:1AY.~A.::'"Dollars L\ "2....... ... ".
._-------~-----------------_.._--~~~~}:!~-----------_..-------~--~~~::_~--_!_---~~~~~~--
TOTAL BID PRICE = Total ofItemsl tbl'u 17 =$ Otl.oa4, (l!'l(.Q .00
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BID FOR:
MAGNOLIA AVENUE LIFT STATION
RELOCATION
JOB NO. 9735
CITY OF JEFFERSONVILLE
CLARK COUNTY, INDIANA
RESPECTFULLY SunMI'fTEn,
...,.....M.:r:.rJ....~.o.sh~~...l.~.f:-:.:....................
NAME OF FIRM
~~.
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........... ".... ...........,.. .......... ......... ..... ....... .................... ...,.... ......................
, PERSON
.. ........-r--... ....,... ......... ................... ..... ........... ....... ,..,.. ............ ..................
PERSON
1'Y1~tfJ.--fL. '. L .A.~. .
. .AfTisT....'.'..............h...~.!.:..................................,....
.........f?.J.t~.J..Q.f?..................................................... .....................
DATE
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