HomeMy WebLinkAboutmeadows Subdivision Drainage Project
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Foorm ND 96 {Revised 19BV}
BID OF
('- 2. C CUC.J rr" ,Ii a,. CO. :z;. ,
(Contractor)
7'120 D,-Jfr/I>,./jb.... DrNe.
(Address)
t.D"i>fI: II" K V
'I o~ 58
FOR
P.UBLlC WORKS PROJECTS
OF
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tIf(adows 5~b"/v/J/Di^
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Filed fJlayej,
10
, % ~()08
Action taken
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CONTRACTORS BID FOR PUBLIC WORKS
PART I
(To be completed lor all bids)
(Please type or print)
1. Governmental Unit:
2, County:
3. Bidder (Firm):
Address:
City/Stale:
4. Telephone Number:
Date:
7', Fft.a'lIl vi He
( (e",,1l.
f'!. Z c()~ sir" L.m....
7 'f;J 0 7>;~ t ( .." ... f{b...... ]) r tv f1..
LIJ.illl;/lc f I< If '/o).~8
S()~. '17- ,gSS
3/10/08
p(~,,~.~ 800. r d
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5. Agent of Bidder (if applicable):
Pursuant to notices given, the undersigned,oHers to furni~h labor and/or material necessary to complete
the public works project of~fftri..,."l"t P,"'i4~ 8l>N';(Governmental Unit) in accordance with plans
OM 1'U..~d<e A r-.>4'':j h., f1<-s...d l'I'lIJ 5(:11 "
and specifications of said unit lor the sum of . Pi..... t.v.-...in, 1'/,.,.,11 OM!, $ 41-"', -,. V~The under.
signed 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, submit a proposal for each in accordance with the notice.
If additional units 01 material included in the contracl are needed, the cost of units must be the same as
that shown in the original contract. If the bid is to be awarded on a unit basis, the itemization of 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
respecl 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 malerial 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 obliga-
tion to use steel products made in the United States. I.C. 5-H,-8-2. I hereby certify that I and all subcontractors
employed by me for this project wlll use U.S. steel products on this project if awarded. t understand that violations
hereunder may result in forfeiture of contractual payments.
NON-COLLUSlON AFFIDAVIT
The 'undersigrted bidder or agent, being duly sworn on oath, says that he. has nol, 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 lelling nor
to prevent any person from bidding nor to induce anyone to refrain /rom bidding, and that this bid i~ 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 indirect.
Iy, 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 belie!.
Dated at this ,~ 7. OQg
By
(Tille 01 Person SIgning)
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ACKNOWLEDGEMENT
55:
being duly sworn, deposes and says that he is
and that the
~.
,My Comlsslon Expires:
County of Residence:
B-103
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ACCEPTANCE
The above bid is accepted this
following conditions:
l'e~
day of
AA~ .19~SUbject to the
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PART II
(Complete sections 1,II,m, and IV for all state and local
public works projects as required by statutes.)
Governmental Unit: J(Ff:~411~ u;ll, i:>"<Aj..~S' Za...."-"
-
f!, '2 . (' o..s1",." hi^,"
_ 3/10/09
Bidder (Firm):
Date:
These statements to be submitted under oath by each bidder with and as a part of his bid.
Altach additional pages for each section as needed.
SECTiON I EXPERIENCE QUESTIONNAIRE
1. Whal pUblic works projects has your organization completed?
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Contract Amount Class of Work When Compleled Name and Address of Owner
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2. What public works projects has your organization now in process of construction?
When 10 l>e
Contract Amounl Class of Work Compleled Name and Address or Owner
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3.
Have you ever failed to complete any work awarded to you? /110
If so, where and why?
4.
List references frqrn private firms for which you have perlormed work.
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B-104
1-
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
Explain your plan or layout for periorming proposed work.P.t.,.fo.,.;.-. ().I/ (.NQ~I< 4C dtsu/"~' ;.. 1'''''- plq#tJ.
If you intend to sublet any portion of the work, state the name and address of each subcontractp~ equip-
ment to be used by the subcontractor, and whether you expect 10 require a bond. N / n
What equipment do you intend to use for the proposed project?}U &I tft..,Jt.tJ.
Have you made contracts or received offers for all materials within prices used in preparing your proposal? 'f~ S
2.
3.
4.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is 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 capabiUty lor 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 correcl 10 the best of my knowledge and belie!.
Daled at
this I () 14 day of Afar' J. ,.;.Ei'24>Ofi'
E-1. (()",tt,."lI._
By -~A p;:::ationl
';u. rositl,..,r
(TIlle of ?-affiO~ Signing)
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~ ACKNO~EDGEMENT
STATE OF
) 5S:
COUNTY OF . )
& :If,-iJ-f 11. :J>v.... ""W'" ~"'"' de~ .,d e" ."'. he .
tALe - ~'-k2.;~. of the above 1:;-2- ~ to andlhatthe
(T111e) {NBme 01 Orpanization}
answers to the questions in the foregoing questionnaires and ~alements therem contained are true and correct.
Subscribed and sworn 10 before me this / () . day of JlfP~ ~g.
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Nolary Public .
R-~,kJIO/
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My Commission Expires:
County of Residence:
B-105
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· FRCll"1 ~ JTL, Inc.
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FAX NO. :812~288-6656
Mar. 07 2008 01:05PM P4
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MEADOWS SUBDIVISION DRAINAGE W~~OVEMENTS~ JOB NO. 06122
~m~;~~~:;p~~;~;..-.....-DESCRJm~N WITH----~~.~.~~~~;;~~.~...-...--TOTAL.--.---'
NO UNffPRICE' s AMOtJN"f
. QUANTITY WRITTEN:~WORDS NUMBER.. FOR BID ITEM
.._.........._--...~-------.......-----------------.............------_.........---~0.~~~,.~~~..~~...I"'f......-------_......_........._--------..-----.---.-....."'"'"....-...---------............-.
1. 1 LS Clearing and Crtubhing
.~~!.....~.~.~.~.~...!.~1~~t......~.!'-~,':t.::..............
i .f'-vt,:>r':'2< Dollars 'J ~ ~ 0''\
. .p~;i:~....:S~;;:r...:~.T.2...........-....................... $ I O. ~. v $ 7 8- S" _ 00
_...._..__.._._....__~---...n.....-.--.-..-----!E------'"--~':.__....__...__.._---------..~__--.-----..-------....-----_____..~._..o
2. 5.2 TONS HMA Surface, Type 'B', Complete
.~~!.______$..~.~..~.'!.!:::t........:fi:.~.~................__..........
;J. " Dolla.rs
.p;;.:l:~~.................'".."---'-...._..--........................... $ 7 5" .. 0 () $ 310 _ 00
-------_.-----------_........--~-_._------_.__........_-----_........-----~--_.......-------_........_.._--_._--------_..............,-------_...........--.---.-----.....,.,--.
3.
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1 0.2 TONS
HMA Intermediate, Type 'B',
Complete .
.E2!....P!!~...A~~t.r-!.~......f.~L................
Dollars
__._.~u~..................n............",";,,"'''__.___~~'''''''''''.''''''''''''''''''''' lor I 11
Per Ton 'i'. $ ~ - 00 $ . 0 - 00
__.____..,......_I"'f...-------..------...-......-~---.-.-.------III-.......---------........-...-----------.---.----............---------:-.......------------............-_....
Type ~Ol Compacted Aggregate
4. 15 TONS Base, Size No, S3
For -r wl*"ht. e(J.J..1
.................................., ............... ...............D~ii;;;.
..P~;T~~.--~...............................-............................... $ ;),8'- 00 $ '7;10 - 0 ()
...........--......-----.---------.......-------------.....--.......---------....--....-.--.---..........-----.......--.------.........------'......-----------...........----.......-------.
Class IA' Concl'ete Wall,
5. 3.5 CYS Reinforced, Driveway Rt-'Pair
.!:2F......~.!:t.........I!~~i.~.~.~..................,...-.......
Dollars
.P~;.L~......-S;;;;:;.~..........................-.---.............. $ & O{J~_~_~~~t__ _..___~~~-:..~.9.,
..-----..-------.--..---_..---..-------..--------!!l.E..--------__.._______.___m------.-..--.-.--........ .
6' Wide Concrete Rolled Bottom .
6. 610 UrI' "V" Diteh
For Ef,;..lf "n L-
.................".........-'.....n.....~.............................n.~......~--~~. _u........
o Dollars
.p;ii~;;'F~~'t'......--.-...................................... $ K' I -- 10 $ 0/ !._'!..~_~_:_!.._~.
.-...-.---......~---_....---..-..------5;-WideConcret~R.olicdBotto..;..-...------~--------....-----....-.....
7. ",. 350 LFT "Vll Ditch
For felle,.fu -/w.>
.......".n....,..~....~-.-.:~..l...u.................~~.-~.-.........n.................
Dollars
.P~;.L~;;.F~t.....m......................--'.m_............ $ I a. . ()tJ $ a 5, ;1.00 Co
........_____..__.__..........----....---.--------Y"O'I"'..----------.........----.....-...--------.........------.........-.----.----..............---------.....-.-----...---.....,...--.
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8' x 3'RC Box wffwo Headwal1s &
8. 1 LS Catch Basin Inlets .
For (7,rl-y 1~.s4U t~f
.................--......-Fi.......................----.--..........................
.,~ .~;t~--...s~~..........................m.!?~?~.~~. $ 4 a~o - o~ $ 110, 8~ 0 .. DO
.._~--...._-----_-.----..------------..------.-"!E-------~-.-.-.......--------..-.-.----....-..-..--------------~-----...---......---------..,
S'lllydll.ylwpdoosI06\06122\<iu:""illts... A-206
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'FR~M :JTL, Inc.
FAX NO. ':~~?-:288-6656
.;:.'t;X>,} :;{i' i;~
Mar. 07 2008 01:05PM P5
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MEADOWS SUBDIVISION DRAINAGE IMPROVEMENTS, JOB NO. 06122
-~'-:pp~;;~;;---D~~~~'-;;;;~~~;~---]l;fu~:---
NO. QUANTITY WRITTEN'iN WORDS NtJMBER.~ FOR BID ITEM
...----......--------..---------.-----.-.--.....-----.....----........---....;.;;~~~~......_...__...._-----_.......---------_...--_..._--_..._-,.....-_......._------.......---...-.--.
" Traffic Control~ Signs. Barricades.
9. 1 LS Complete'lf:l'f),
For . .u"- 'M~;J
.__.........~....._-............;.;.;.~;--...m..............-..-............
:')i. Dollars
..__-......_____--...-_____._...._~~.j;~~i~~~jf~iC~j~~~~~~~~=~~.~j-~._~..___7.c?._~___::~_~_.~_____--Z~-~-.:-~~,
ConstrnL1ion Engineering (Stake-
1 n. 1 LS Out), ('.omplcte <;' i'
.~~~-.....Q.~..~-..."ffi..~.~~~-?.---..~~......---------..
h,_lrlJ. .... Dollars
__-___.__..___--....._____--....-.---?;i1~~i~~~~~==~~~~~~=~~~=~=~~~j~'~_~t-.~~-~-~-i!..--_:-~~.-t-----.L~~-~.~:-~~.
Concrete box, with hinged grate,
11. 1 LS and headwall
_~?!...tk~._}:~~~~-f.:~...~'::..~......_.._.........
"~ ~;:!;t~;.~~;:....~7:-~.............P..~.!.~~~. ~'i "$" _0 d $ ;l, 'i' S - 00
s~;;;;~ti;~.~fit~;.i-.fuxti--l-1.-;.T(nALBrr;pRici---.----------...-----..----.-------$--~/:;.Zi.-~;T:-oo
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S:'IS}\jneylwpdno.I06I06122IQIlllntiti....!J;
A-207
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S. Flowable fill shall be used for the eiifi"'thof the 8'x3' RC 'Box as shown in the t.rench
scctinn detail on Sheet 4 of the plans.:[ri ",,"are.as, the flowable fill shall be brought up to one
foot below grade. The remaining on~;~ "'.;>;$~~1l be dirt.
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Mar. 07 2008 01:05PM P2
· FROM ':JTL, Inc.
Maxch 7,2008
ADDENDUM NO.1
MeadowH Subdivision
Dtainagclm.provemctlts
Jeffersonville, Indiana
Job No. 06122
The following tL'Visions arc hereby incorpor
1. 'Ibe attached JNDOT standll:t:d dra.
10cflt1on of the lugs required along
'607-PSDT-05, shall he use.d to determine the
ditch.
2. 'lbe quantity for Item No.5 shall be 3t
the wall
This include." the 6" concrete. slab on each side of
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3. A pay item for a Lump Sum cost for'fh
TtLm No. 11. The measu:t<",ment for p~
specifications.
:~
'p;dc box at station 10+54.47 has been added as
t is included 011 sbeet A-301, st!ction 2.5 of the
4. The concrete for the. coru;;tcte bottom'
4,000 psi, page. 2-D-1, section 1.0.
shall. be Class 'A', with a c()mpressivt~ tlttength of
6. 'lbe Contractor shall he responsible t~~~f~~te any utility se.rvice linc(ol that are h1 the way of
~onlltttl.cti.Ol1 at the expense of the (J~11~t~ Any lines da.lnaged during construction shall be
tepaired at the Contr~ctor's expense.
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1 in writ:iog 01l all bids turned In.
'Ihe Contractor shall acknowledge receipt of
Sincer.ely,
JACOBI, T()()MBS AND LANZ, TNe.
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Aaron Sutherland, r.n.
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