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Form No 96 (Revised '98'l)
BIDOF
{'~ 2. COlIsrr/itli~ Co. :z;. c
(Contractor)
7'120 DiJfr/6,.!7^r;...:. Dr;'VlL
(Address)
/..o",i)vf II" J< '1
Lf 0;1 58
FOR
P.UBLlC WORKS PROJECTS
OF
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Action taken
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A.E. Sclo,a Co" ~ WourQl. iN 1240-'"
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CONTRACTORS BID .FOR PUBLIC WORKS
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PART I
(To be completed lor all bids)
(Please type or print)
1. Governmental Unit:
2. County:
3. Bidder (Rrm):
Address:
City/State:
4. Telephone Number:
Dale:
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7'(;JO 1>;~t(""/A1-/bv.. ])rN~'
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5'0;1- '17- "gS5
3/10/08
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5. Agent of Bidder (if applicable):
Pursuant to notices given, the undersigned offers to furni~h labor and/or material necessary to complete
the public works project of ~fft4_1I1Ue ,Dtlli..a.t. 8 OAf#(GovernmeotaI Unit) in accordance with plans
OIL( k...-C1.eA ~~"'y h~' f1--ro~s..d l'An S~I ~
and specifications of said unit for the sum of . fill! ",,,,,,Irel I'l,,,ft Me. $ .:;It"'. -,.. V()The under.
signed further agrees to tumish a bond or certified check with this bid lor an amounl specified in the notice of
the letting. If altern~tjye bids apply, submit a proposal for each in accordance with the notice.
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 the bid is 10 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,' 10 be employed in the periormance 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 malerial breach ollhe contract.
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CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
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I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory ob 19a-
lion to use steel products made in the United States. I.e. 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 il awarded. I understand that violations
hereunder may result in forieiture of contractual payments.
NON-COLLUSION AFFIDA VlT
The undersigned bidder or agent, being duly sworn bn 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 wilh any person relative 10 the price to be bid by anyone at such lelling nor
to prevent any person from bidding nor 10 induce anyone 10 refrain from bidding, and Ihat this bid is made without
reference to any other bid and without any agreement, understanding or combination with any other person in
reference 10 such .bidding.
He further says that no person or persons, firms, oicorponition has, have or will receive directly or indirect.
Iy, any rebate, tee, gift, commission or thing 01 value ory account of such sale.
OATH AND AFFIRMATION
I affirm under the penalties of perjury that the foregoing facts and information are true and correct 10 the
best 01 my knowledge and belief. .
Dated at this ,~ 'lOQg
By
(Tille of Person S'gnlng)
STATE OF
ACKNOWLEDGEMENT
ss:
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~-~/
(TIlle)
statements contained in the foregoing bid, certification an~idavil are lrue and correct.
S",,~lbed ""d ~ 10 beiore m. Ihl, 16 .u:~~ '
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. My Comisslon Expires:
County of Residence:
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ACCEPTANCE
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AA~ ,19~Ubject to the
The above bid is accepted this
following conditions:
PART II
(Complete sections J;rI,III, and IV for all state and local
public worKs projects as required by statutes.)
Governmental Unil:
J(FI=~,u~ ~;II, D,~:..c.S'
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E', '2 . C c>",sl'.I',uhi-
3/10/09
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Bidder (Firm):
Date:
These statements to be submitted under oath by each bidder with and as a pan of his bid.
Allach additional pages for each section as needed.
SECTiON I EXPERIENCE QUESTIONNAIRE
1. What pUblic works projects has your organization completed?
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Contract Amount Class or Work When Completed Name and Address of Owner
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2. What public worKs projects has your orgapization now in process of construction?
When 10 be
Conlract Amount Class 01 Work Completed Name and Address or Owner
Set. Ill-Jet. t-t..c. II
3.
Have you ever lailed 10 complete any work awarded 10 you? IV 0
II so, where and why?
4.
List references Ircyn privale firms for which: you have performed work.
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B-104
1.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
Explain your plan or layout for performing p~oposed work. f>.l.,.fo.,.;... 6-11 t/VU j( 4 '" dt.Su/"~' /" -rht pIQ"5.
If you intend to sublel 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. II / n
What equipment do you inlend to use for the proposed project? >el (;dft~lIktJ.
Have you made contracts or received offers felr all materials within prices used in preparing your proposal? "ItS
2.
3.
4.
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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 shalllhereby 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 OA1-H 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 belie!.
Dated at
this /0.,4 day of Mal"/. ,.:lofJ"Zb08'
E., (o/Atf"."lI._
By _~AP;:=tiDnl
,;,t rosiJ,..4'
(TIlle 01 Persor: Siglling)
ACKNOWLEDGEMENT
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1/j)4..e~ bein~uly SW"Ec deppses and says that he is
of the above E- z... ~ to and that the
{Name 01 Organization)
answers to the questions in the foregoing questionnaires and ~alements therem contained are true and correct.
Subscribed and sworn to before me this / () . day of f!/~- ~g.
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Notary Public .
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My Commission Expires:
County of Residence:
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. FRO~M : JTL, Inc.
FAX NO.
Mar. 07 2008 01:05PM P4
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MEADOWS SUBDMSION DRAINAGEroi~~OVEMEN1'S~ JOB NO. 06122
..........................--_..........-------_....._.-_._--_.._--_...__..-_.__._~~.~,~~.~---------_........oj,J......__...__._-_.-_---_..._-_._-_._--------....---...""......,
ITEM APPROXIMATE DESCR~9N WITH IJNIT PRICE IN TOTAL
UNIT PRICE AMOtJNl'
NO. QUANTITY WRITT~~:~.WORDS NUMBERS FOR BID ITEM
.._..........._--...______......______.___._____...............-------......---.;t__...._....""......--------.......-.......--------..-..---.-----..............-...-----------............~
1. 1 LS Clearing and Crii.1jbing
; .~~!:....~.~.~.~.~....~.~1~~;~~....~.ij~.'1.:............
.f. vt ::2:",,; .. Dollars ~
. .p~;'L~.....s~;t'"....Tf............-....................... $ ...., 8 -;) _ 0 U $ 7 8 s .. 00
__________.__._______~---....-..-..--.---.----...!.e----~--'.~':':--...------------------.....------.------.------------------.....--.,
2. 5.2 TONS lIMA Surfuce, 'Type 'B'. Complete
!.:?!........$..~.'!..~.~tr.........Ji~~,~.,.........,'-.............
....................................~.:.~~;~-.-.-.-.........!?2!~!~.
Per Ton " ......... $ 7 ~ - o() $ 310 - 00
__..___._____________.......___...._____________........_------0&...--.__a__........._---------......------.----------...............--------............------------........-..,
3.
10.2 TONS
HMA lntermediat.C. Type 'B',
Complete ,
.!:2T."..g,IJ.~-.-.~.~~t.'!..~......f:..:~t.................
,.,. . Dollars
P~;.T;;~...................~..,?'7:....-..-............................. $ I 05' - 00 $ I. 011 .. 00
------_................------_..------_..................-------_.__._-_........_~..._----...........-...----..--------------............---------;...-------------............-_....
Type ~O' Compacted Aggregate
Base, Size No. 53
.'f..~!.....r.~~'!:.t.'l.........~.~.J:.!..........._...-........
. , Dollars
..P;T~~................~......;"..,......-....~........................ $ ;)! - p~_ $ __ .. _~E~:_.~_~.
-...--.....---------------..........------------.......-......-------..-...---....------.........-----......----.-----.........- ---.... ... --........
4.
15 TONS
01
Class lA' Conc~'ete Wall,
5. 3.5 CYS Reinforced. Ddveway Rtlpair
.!:~F......s.:Lr.:.."...6..~~i.~~.~...............................
Dollars
.P;.L~.......-S~;........................................-......... $ & Ot}.::_~_~_.:t._______~~-:-~.9-,
..__________ _____________"'---------------------.!!l:E-----..----------------------------..--.------..
6' Wide Concrete Rolled Bottom .
6. 6] 0 LVI' "V" Ditcb
For e:,;..lf "n l....-
uu...................._....__......._.................................r"."'---..-...~...u.
i '. Dollars
.p;.U.~.;;.F~6i"........-...................m.............." $ K' I .. 10 $ If '!:.._~~_l!~:_!._~.
----.-----.......~---"_.------..-..-----5;-Wide-Concret~iioiicdBottQ~---------..--~---------~......---.-......-
7. 350 LFT UV" Ditch
For !elle,.fH .;w"
".......................u.:.~l....:..........."..n........__..u..u...................
, Dollars
.P~;.L;;;;.F~t....................'".."m.................... $ I a. _ o~ $ 25, ;;200 Oc)
..._--------_._....-..._---_...._------_._---~....------------..........---....,...-----...--"'......,------........-----...----.............---------......--......----.........--.
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8' X 3' RC Box wffwo Headwalls &
8. 1 LS Catch Basin Inlets
For n,'+V 1~1.(.s41o.J t~1
.k ..k::;;;;;J....-Fi......................._.....-.......D~~ii~~'
.P;;L;;......S~!ff-..................................-............. $ 4 a~o - 00 $ '10, 8S () .. 00
,,~--_...._._..._.__.._._--_.._-----_.._--------------~------....__._-------~-_.._---".._--------_.--_..---------_......_----.------..-------....'
!:l,\llyrlll.ylWjldoc;o~I22\Qu'.,lh~.1!l A-206
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.FRQM :JTL, Inc.
FAX NO,' ::812-288-6656
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Mar. 07 2008 01:05PM P5
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MEADOWS Sl1BDIVISlON DRAINAGE,IMPROVEMENTS, JOB NO. 06122
-;:~.:pp~;;;::;---DES.~'-~;;;;~:;-::~-_.
NO. QUANTITY WRITTEN IN WORDS NIJMBERS FOR BID ITEM
...___.._______.....------.-.....--.-.-.........---4IoloOl...--III'.....--..+~~~~;.;-----......-...-------......---------_...---------_...---...-------........---..-.--.
Traffic Control, Signs, Barricades,
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9. 1 LS Complete ..'ij;:;';
For . ,,~'^' ~~~J
...._......~......._............;.;.;,;::;;;.........".........................
:_'::"">";-_i Dollars
~~~_....._._._~__~~______________.y~i1i~i~!f{j~~I[~~~~~~~~~.~~~=~=-.~M---7.c2-~.._:~-'::...t.----_Zq-~-.:-~~,
. Constru<.-1ion Bngmcering (Stake-
10. 1 LS Out), C.omplcte',,;\ .'
.~:~!......Q..~.~.....tA~~f:.~/.....~~..........-....
tt_JrlJ. Dollars
.p;.L~;~..s~;h-..~..............-............................. $ I, 20 0 . () () $ /. Zoo .. 00
------_.._..._--_..~_._--_..--~--_._-_.~------_..;.:.-----I-----------..-------...-~---_.----.-----_.--.----~----..----.~---_.---...
C.oncrete box, with hinged grate,
11. 1 LS and headwall .
.~?!...tk~.....iA~.':.':..~....~~.~~..-..-........
~~~~~:~..._..r.f.!:!'t.....6:~~..~........Q!?!!~~~. _ \fI]NU
"'" Per Lump Sum '-. ~ 9f ,S" _0 d $ ;J. , '" S - 00
-s~~;;ti~.~.~..i lfu;;--i--~-1-1--;.ToiA2BIDPR1cE-------..-----.---.------------..$--..i.:;.~~~;,I:-O-~.
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S:\l:l~ncy\wpd00!<\06\06122IQllll"lili..,.1s
A-207
( FROM ': JTL, Inc.
March 7, 2008
ADDENDUM NO.1
Mea.dow!; Subdivision
DrainagcImprovetnenl:S
Jeffersonville, Indiana
Job No. 06122
The following t<..'Vh-iODS arc hereby lrtwrpo
1. The attached JNDOT standard
10cat1on of the lugs required along ,
Mar. 07 2008 01:05PM P2
shall he used to d(;~tennine the
2. 'lbe quantity fot Item No.5 shall be 3,.5
the wall [;
-1f[;"
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. ,~,;i'his includes the 6" concrete slab on each side of
.ii'
[l~'~ct,C box at stabonl0+54.47 has been added as
( is included 011 sheet A-301, st~ctinn 2.5 of the
..',
3. A pay Item for a Lump Sum cost fo~~e
Ttt:m No. 11. The measurement for Ipa
spedfications.:;:t
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4. The concrete for the concrete bottoJi'
4,000 psi, page 2-D-1, section 1.0. it:!'
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S. Flowable fin shall be used for the elt~, .......ofthc 8'x3' RC 'Box as shown in the trench
sl.!ctinn detail on Sheet 4 of the plans.iri~",a.reas, the flow able fill shaH be brought up to one
foot below grade. The remaining on~:!96G~~ll be dirt.
:'Y\~.:'~!"
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jhall be Class' N, with a c()mpressivt~ ::Ittength of
:-"f
6. 'l'he COfl~ra.ctor shill be respo:nl)ible'i~'~~Jiicite ~y utility service li~,e$ that are h~ the way of
fOt1!ltt'Uctlon at the expense of the Ow:l!~t, Any lines datnaged dnt.l1ig COllstrtlctl.on shall be,
repa1tcd a.t the Contractor's expense;
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The Conttactor shall acknowledge receipt of ~;^t!dcndumNo. 1 in writing on all bids turned in.
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Smce.r.ely ,~0j';:' .;
JACOBI. T()()MBS AND LANZ, me. ,':,::,.;
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Aaron Sutherland, r.n.
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