1-2 - REQUIRED PROCUREMENT FORMS PACKET.pdf

BC-5

CITY OF DALLAS

DEPARTMENT OF AVIATION

REQUEST FOR BID

BIDDER’S CHECKLIST FOR PROJECT

ALL REQUIRED DOCUMENTS ARE LISTED IN BONFIRE SECTION

REQUESTED INFORMATION

This Bidder’s Checklist is provided to ensure all required forms are completed and returned as part of the bid submission. All required documents are listed in the Bonfire Requested Information Section. All forms must be included as indicated for a bid to be considered a complete, responsive bid. Appropriate signatures and date are required on each document.

If a form is missing, does not have the required signature and date, and required company seal or affidavit, the bid may be declared unresponsive and therefore rejected.

Please follow these instructions to submit via the Public Portal.

*Check when filled out, signed, and include with submission of bid packet.

Document

File Type to Submit

# Files Check when completed

LETTER OF INTEREST FILE TYPE: PDF (.PDF) 1 ☐

BID PROPOSAL WITH

SIGNATURE AND

ACKNOWLEDGEMENT OF

ADDENDA (00 41 13)

FILE TYPE: WORD

(.DOC, .DOCX)

BID PROPOSAL WITH ALL UNIT

PRICES, TOTAL ADDENDUM, and

ALTERNATE BID FORM (00 43 22)

FILE TYPE: WORD

(.DOC, .DOCX)

1 ☐

BID PROPOSAL BOND AFFIDAVIT FILE TYPE: WORD

(.DOC, .DOCX)

1 ☐

BONDING REQUIREMENTS

(FORM – OPS-05)

FILE TYPE: PDF (.PDF) 1 ☐

STATEMENT OF INSURABILITY AND

QUOTE (INSURANCE

REQUIREMENTS)

FILE TYPE: PDF (.PDF) 1 ☐

BUSINESS INFORMATION FORM

(OPS-05)

FILE TYPE: PDF (.PDF)

REQUEST FOR W-9 TAXPAYER

IDENTIFICATION FORM

FILE TYPE: PDF (.PDF) 1 ☐

Name Type # Files Requirement

TAX DELINQUENCY AND FELONY

CONVICTIONS CERTIFICATION

FILE TYPE: PDF (.PDF) 1 ☐

PRIOR CONTRACTUAL ACTIVITIES FILE TYPE: PDF (.PDF) 1 ☐

PROJECT EXPERIENCE FORM FILE TYPE: PDF (.PDF) 1 ☐

ENVIRONMENTAL RECORD AFFIDAVIT

(032311 EDITION)

FILE TYPE: PDF (.PDF) 1 ☐

PROHIBITION ON CONTRACTS WITH

FOREIGN COMPANIES BOYCOTTING

ISRAEL AFFIDAVIT

(HOUSE BILL 89)

FILE TYPE: PDF (.PDF) 1 ☐

PROHIBITION ON CONTRACTS WITH

FOREIGN TERRORIST ORGANIZATIONS

(SENATE BILL 252)

FILE TYPE: PDF (.PDF)

BIDDER'S AFFIDAVIT OF SAFETY RECORD

CR NO. 89-1132 (OSHA)

FILE TYPE: PDF (.PDF) 1 ☐

TEAM MAKE-UP AND LOCAL

WORKFORCE FORM

OPS-FRM-640

FILE TYPE: EXCEL

(.XLSX) 1

OFFICE OF PROCUREMENT SERVICES

LIVING WAGE

AFFIDAVIT

FILE TYPE: PDF (.PDF)

CEMENT USE ON PUBLIC PROJECTS,

CEMENT

PREFERENCE FORM 25

FILE TYPE: PDF (.PDF)

BIDDERS CHECKLIST OF REQUIRED

ITEMS

FILE TYPE: PDF (.PDF) 1 ☐

Contractor’s Qualification Statement, AIA Contract Document A305-2020 Contractor’s Qualification Statement, Include:

Exhibit A- General Information, Exhibit B – Financial and Performance Info, Exhibit C – Project- Specific Information, Exhibit D – Past Project Experience (provide four recent past projects) Exhibit E – Past Project Experience (Continued).

Completed ,Signed, and Notarized

FILE TYPE: PDF (.PDF)

Multiple

BIDDER’S CHECKLIST FOR PROJECT

ALL REQUIRED DOCUMENTS ARE LISTED IN BONFIRE SECTION

REQUESTED INFORMATION

Requested Documents:

Please note the type and number of files allowed. The maximum upload file size is 1000 MB.

Please do not embed any documents within your uploaded files, as they will not be accessible or evaluated.

2. Upload your submission at:

https://dallascityhall.bonfirehub.com/opportunities

The Q&A period for this opportunity starts Friday, September 26, 2025, at 1:00 PM CST.

The Q&A period for this opportunity ends Wednesday, October 22, 2025, at 1:00 PM CST.

You will not be able to send messages after this time.

Your submission must be uploaded, submitted, and finalized prior to the Closing Time of Friday, October 31, 2025, at 1:00 PM CST. We strongly recommend that you give yourself sufficient time and at least ONE (1) day before Closing Time to begin the uploading process and to finalize your submission.

Important Notes:

Each item of Requested Information will only be visible after the Closing Time.

Uploading large documents may take significant time, depending on the size of the file(s) and your Internet connection speed.

You will receive an email confirmation receipt with a unique confirmation number once you finalize your submission.

Minimum system requirements: Internet Explorer 11, Microsoft Edge, Google Chrome, or Mozilla Firefox.

Javascript must be enabled. Browser cookies must be enabled. City of Dallas uses a Bonfire portal for accepting and evaluating proposals digitally. Please contact Bonfire at Support@GoBonfire.com for technical questions related to your submission.

After Notice of Intent to Award:

Bidder acknowledges after Notice of Intent to Award that the successful Contractor is required to complete the following before execution and award of the contract:

• Contract (all pages and supporting documents)

• Business Inclusion Development Required Documentation

• Performance Bond

• Payment Bond

• Completed Certificates of Insurance

• Certificate of Interested Parties 1295

• Conflict of Interest Form

• Wage Floor Affidavit

• Texas Secretary of State – registered business certification

• Dallas County Agent Contact Information for Bonds

• Any additional documents as requested by the City mailto:Support@GoBonfire.com

Prior to Construction:

Contractor is required to submit Construction Schedule before construction begins.

Seal (if incorporated) Bidder Name:

Address:

City, State, Zip Code:

Contractor Number:

Contact Name:

Title:

Contact Number:

Contact Email:

Signature of Authorized Agent for Bidder:

Gensler 027.6817.003

August 8, 2025

Issue for Bid_R1

Love Field Parking Garage

Repair Prioritization

Dallas, Texas

BID FORM

Copyright 2025 Gensler

00 41 13 - 1

SECTION 00 41 13 - BID FORM – STIPULATED SUM (SINGLE-PRIME CONTRACT)

Council Resolution No.: 24-0587

Project Title: Dallas Love Field Garage A & B Repair Reprioritization

Address: 8008 Herb Kelleher Way (Garage A 8025-A Cedar Springs, Garage B 8025-B Cedar Springs)

Location: Dallas Love Field

Airport Date:

Bidder's Name:

Address:

City: Zip: Phone:

I. BASE BID

A. This bid results from your advertisement for bids for the construction of the Dallas Love Field Garage A & B Repair Reprioritization project.

The undersigned Bidder, having examined the Plans, Specifications, and other Contract Documents including all Addenda, and being familiar with all of the conditions relating to the construction of the proposed project, hereby agrees to comply with all other conditions or requirements set forth in the Plans, Specifications, and other Contract Documents, and further proposes to; furnish all material, supplies, equipment, and appliances; to furnish all labor, tools, equipment and incidentals to complete the work in accordance with the Plans, Specifications, and other Contract Documents at and for the lump sum and unit prices proposed in the attached Unit Price Schedule(s).

The undersigned Bidder agrees to begin work within ten (10) calendar days after the issuance by, or on behalf of, the Owner of a "Work Order" or "Notice to Proceed" and to complete the work within one-hundred and eighty (180) consecutive calendar days thereafter (except as modified in accordance with the GENERAL PROVISIONS of these Contract Documents). Should the work fail to be completed within the time herein stated, the Contractor shall pay to the Owner, as fixed and agreed liquidated damages, and not as a penalty, the sum, for each day of delay until the work is completed and accepted, as stipulated in GENERAL PROVISIONS of these Contract Documents.

II. ADDENDA

A. The Undersigned acknowledges receipt of Addenda listed below and represents any additions to, modifications of, or deletions from the work specified, as stated in the Addenda, are included in the Base Bid Sum and the Alternates.

ADDENDUM NUMBER DATE

Addendum # Dated

Addendum # Dated

Addendum # Dated

(NOTE: If no Addenda have been received, write "NONE".)

August 8, 2025

Issue for Bid_R1

Love Field Parking Garage

00 41 13 - 2

III. BREAK OUT SUMS:

Division / Item No. Total Cost Percent of

Total Cost

01 GENERAL REQUIREMENTS

02 SITEWORK/EXISTING CONDITIONS

03 CONCRETE

04 N/A

05 METALS

06 N/A

07 THERMAL AND MOISTURE PROTECTION

08 N/A

09 FINISHES

10 SPECIALTIES

11 N/A

12 N/A

13 N/A

14 N/A

21 N/A

22 N/A

23 N/A

25 N/A

26 ELECTRICAL AND LIGHTING

27 N/A

28 N/A

31 N/A

32 EXTERIOR IMPROVEMENTS

33 N/A

SUBTOTAL – COST OF CONSTRUCTION

Performance Bond

Contractor’s Allowance

Other (specifically identify):

SUBTOTAL

General Contractor's Fixed Fee

TOTAL CONTRACT AMOUNT

The Bid sum includes the fee for General Conditions of the Contract, Supplemental Conditions, and Division 01 General Requirements costs only as necessary for a complete project.

Note: Refer to Specification Sections 00 43 23 – Alternates Form and 01 23 00 – Alternates for information related to alternates.

TOTAL CONTRACT PRICE FOR WORK: AND

/100 DOLLARS ($)_ .00

(Total Amount shall be shown in both words and figures. In case of discrepancy, the amount in words will govern).

August 8, 2025

Issue for Bid_R1

Love Field Parking Garage

00 41 13 - 3

IV. PERFORMANCE AND PAYMENT BONDS

A. If required by the Owner, a Performance Bond, and a Labor and Materials Payment Bond with a bonding company having an AM Best Company rating will be provided.

Yes No

B. Cost of Bond(s) is included in the Base Bid and covers all work indicated.

V. BIDDER ACCEPTANCE

A. The undersigned Bidder agrees that this bid shall be good and shall not be withdrawn for a period of one hundred fifty (150) calendar days after the opening thereof. If written notice of the acceptance of this Proposal is mailed, telegraphed, or delivered to the undersigned within one hundred fifty (150) days after the opening thereof, or at any time thereafter before this Proposal is withdrawn, the undersigned agrees to execute and deliver an Agreement (Contract) in the prescribed form, and furnish the required Performance and Payment Bond, within ten (10) days after the Agreement is presented to him for signature.

B. It is understood by the undersigned Bidder that the Owner reserves the right to reject any or all bids.

C. Accompanying this Proposal as bid security is a certified check/bid bond (strike one) in the amount of Dollars ($ ), being not less than five percent (5%) of the total amount of the bid for Base Bid. If the undersigned Bidder is the successful Bidder, but fails or refuses to execute the contract and furnish the required bond within the prescribed ten (10) days of the notification of award, then this bid security is to become the property of the Owner as liquidated damages for the delay and additional expense to the Owner caused by such failure or refusal.

VI. ATTACHMENTS

A. The Undersigned has attached to the Bid:

1. Bid Security in the form of in the amount of Dollars ($ )

2. Bid Checklist (BC-1)

3. Bid Form Supplement – Alternates

5. Bid Form Supplement – Unit Prices

4. Other:

August 8, 2025

Issue for Bid_R1

Love Field Parking Garage

00 41 13 - 4

VII. ADDRESS, LEGAL STATUS, AND SIGNATURE OF BIDDER

A. The Undersigned designates the address given below as the legal address to which notices, directions, or other communications may be served or mailed.

The Corporate Seal of

(Print full name of Proprietorship, Partnership, or Corporation) was affixed in the presence of:

Authorized signing officer and title

Authorized signing officer and title Affix seal here

Legal Address

City, State, Zip

If Bid is a joint venture or partnership, add additional forms of execution for each member of the joint venture in the appropriate form or forms as above.

NOTES: Sign in ink. Do not detach.

END OF BID DOCUMENT

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

UNIT PRICES FORM

Copyright 2025 JQ Infrastructure

00 43 22 - 1

SECTION 00 43 22 - UNIT PRICES FORM

1.1 BID INFORMATION

A. Bidder: ______________________________________________________________________

B. Project Name: Love Field Parking Garages A & B

C. Project Location: 8025-A, 8025-B Herb Kelleher Way, Dallas, Texas 75235

D. Owner: City of Dallas

E. Architect: Gensler

F. Engineer: JQ Infrastructure, LLC

1.2 RELATED DOCUMENTS

A. Section 01 22 00 – Unit Prices.

1.3 BID FORM SUPPLEMENT

A. This form is required to be attached to the Bid Form.

B. The undersigned Bidder proposes the amounts below be added to or deducted from the Contract Sum on performance and measurement of the individual items of Work and for adjustment of the quantity listed on the Drawings for the actual measurement of individual items of the Work.

1.4 UNIT PRICES

A. Unit-Price No. 1: Delaminations / Spalls - Horizontal

1. ________________________________________________________________________

________________________________________dollars ($_____________) per cubic ft.

B. Unit-Price No. 2: Delaminations / Spalls – Vertical

1. ________________________________________________________________________

________________________________________ dollars ($_____________) per cubic ft.

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

00 43 22 - 2

C. Unit-Price No. 3: Delaminations / Spalls – Overhead

________________________________________dollars ($_____________) per cubic ft.

D. Unit-Price No. 4: Epoxy injection

1. ________________________________________________________________________

_______________________________________ dollars ($_____________) per linear ft.

E. Unit-Price No. 5: Rout and Seal

1. ________________________________________________________________________

_______________________________________ dollars ($_____________) per linear ft.

F. Unit-Price No. 6: Bearing Pad

1. ________________________________________________________________________

___________________________________________ dollars ($_____________) per each

G. Unit-Price No. 7: Carbon Fiber Reinforced Polymer (CFRP)

1. ________________________________________________________________________

________________________________________dollars ($_____________) per linear ft.

H. Unit-Price No. 8: Steel Clean and Coat

1. ________________________________________________________________________

___________________________________________ dollars ($_____________) per each

I. Unit Price No. 9: Shear Transfer Devices

___________________________________ dollars ($_____________) per pair of angles

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

00 43 22 - 3

1.5 SUBMISSION OF BID SUPPLEMENT

A. Respectfully submitted this ____ day of ____________, 20____.

B. Submitted By: _____________________________________________________________ (Insert name of bidding firm or corporation).

C. Authorized Signature:____________________________________(Handwritten signature).

D. Signed By:______________________________________________(Type or print name).

E. Title:___________________________________(Owner/Partner/President/Vice President).

END OF DOCUMENT 00 43 22

ALTERNATES 00 43 23 - 1

Gensler 027.6817.003

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

SECTION 00 43 23 - ALTERNATES FORM

1.1 BID INFORMATION

A. Bidder:

B. Project Name: Love Field Parking Garages A & B

C. Project Location: 8025-A, 8025-B Herb Kelleher Way, Dallas, Texas 75235

D. Owner: City of Dallas

E. Architect: Gensler

F. Engineer: JQ Infrastructure, LLC

1.2 RELATED DOCUMENTS

A. Section 01 23 00 – Alternates.

1.3 BID FORM SUPPLEMENT

A. This form is required to be attached to the Bid Form.

1.4 DESCRIPTION

A. The undersigned Bidder proposes the amount below be added to the Base Bid if particular alternates are accepted by Owner. Amounts listed for each alternate include costs of related coordination, modification, or adjustment.

B. If the alternate does not affect the Contract Sum, the Bidder shall indicate "NO CHANGE."

C. The Bidder shall be responsible for determining from the Contract Documents the effects of each alternate on the Contract Time and the Contract Sum.

D. Owner reserves the right to accept or reject any alternate, in any order, and to award or amend the Contract accordingly within 60 days of the Notice of Award unless otherwise indicated in the Contract Documents.

E. Acceptance or non-acceptance of any alternates by the Owner shall have no effect on the

Contract Time unless the "Schedule of Alternates" Article below provides a formatted space for the adjustment of the Contract Time.

ALTERNATES 00 43 23 - 2

Gensler 027.6817.003

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

1.5 SCHEDULE OF ALTERNATES

A. Add Alternate No. 1: Remove and replace the existing expansion joints and shear transfer devices at the locations shown on the Second and Third Levels of Garage A, as well as the shear transfer devices at the locations shown on the First Level of Garage A.

1. ADD to the Base Bid the sum of:

Dollars ($ ).

2. ADD ( ) calendar days to adjust the Contract Time for this alternate.

B. Add Alternate No. 2: Remove and replace the existing expansion joints at the locations shown on the Second and Third Levels of Garage B.

C. Add Alternate No. 3: Perform all structural repair work shown on Level 1 and on Level 1 RCP, Garage A, except for shear transfer device removal and replacement (included in Alternate No.

1 above).

D. Add Alternate No. 4: Perform all structural repair work shown on Level 2 and on Level 2 RCP, Garage A, except for expansion joint and shear transfer device removal and replacement (included in Alternate No. 1 above).

2. ADD ( ) calendar days to adjust the Contract Time for this alternate.+

ALTERNATES 00 43 23 - 3

Gensler 027.6817.003

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

E. Add Alternate No. 5: Perform all structural repair work shown on Level 1, Garage B.

F. Add Alternate No. 6: Perform all structural repair work shown on Level 2, Garage B, except for expansion joint removal and replacement (included in Alternate No. 2 above).

G. Add Alternate No. 7: Install waterproof traffic deck coating system on the top (4th) level, Garage B, including the ramps to the top level.

H. Add Alternate No. 8: Install waterproof traffic deck coating system on the top (4th) level, Garage A, including the ramps to the top level.

I. Add Alternate No. 9: Perform all structural repair work shown on Levels 3 and 4 of Garage A, except for items noted to be included in Add Alternate No. 1 above.

ALTERNATES 00 43 23 - 4

Gensler 027.6817.003

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

J. Add Alternate No. 10: Perform all Garage A work shown in the architectural drawings that is not listed in the above Add Alternates. These items include, but are not necessarily limited to:

restriping existing parking stripes, hatched areas, handicap symbols, and direction arrows;

adjusting existing railings, fire extinguishers and fire extinguisher signage, and providing indicated guardrails.

K. Add Alternate No. 11: Replace control joints on Levels 03 and 04 in areas receiving traffic coating in Garage A.

L. Add Alternate No. 12: Replace control joints on all levels of Garage B, and replace the expansion joints on Level 01 of Garage B.

M. Alternate No. 13: Provide an alternate total price for the Base Bid work based upon a construction schedule of the Contractor’s choosing in lieu of the six-month total construction schedule for Garages A and B. Alternate construction schedule would still need to comply with the construction blackout dates (holidays) listed in the Project Manual.

1. Alternate Base Bid price of:

2. Based upon a construction schedule for Garage A of ( ) calendar days.

3. And based upon a construction schedule for Garage B of

( ) calendar days.

ALTERNATES 00 43 23 - 5

Gensler 027.6817.003

August 8, 2025 Issue for Bid_R1

Love Field Parking Garage

1.6 SUBMISSION OF BID SUPPLEMENT

A. Respectfully submitted this day of , 20 .

B. Submitted By:

(Insert name of bidding firm or corporation).

C. Authorized Signature: (Handwritten signature).

D. Signed By: (Type or print name).

E. Title: (Owner/Partner/President/Vice President).

END OF DOCUMENT 00 43 23

PROPOSAL BOND

THE STATE OF TEXAS )

KNOW ALL MEN BY THESE PRESENTS:

COUNTY OF DALLAS )

That we, _______________________________________________________________ as Principal, and __________________________________________________________________________, a Corporation duly organized under the laws of the State of ______________ and authorized to do business in the State of Texas, as Surety, are held and firmly bound unto the:

CITY OF DALLAS, TEXAS, a Municipal Corporation, as Obligee, in the penal sum of FIVE PERCENT ( 5%) OF THE GREATEST AMOUNT PROPOSED, lawful money of the United States of America; for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

SIGNED, SEALED and DATED this ____ day of __________________ 20____.

WHEREAS, the principal is herewith submitting its proposal for

Project)_________________________________________________________________

THE CONDITION OF THE ABOVE OBLIGATIONS ARE SUCH, that if the aforesaid Principal shall be awarded the Contract, the said Principal will, within the time required, enter into a contract and give Bonds for the faithful performance of the Contract and the prompt payment for labor and materials in the prosecution thereof, then this obligation shall be null and void, otherwise the Principal and Surety will pay unto the obligee the full penal sum hereof, as liquidated damages, it being difficult and impractical to determine accurately the actual amount of damages occurring to Obligee by reason of Principal' s failure to execute said Contract and Bonds.

PROVIDED FURTHER, that if any legal action be filed upon this Bond, venue shall lie exclusively in Dallas County, Texas.

PROPOSAL BOND (Continued)

Revised October 21, 2005

ATTEST:

Secretary

ATTEST:

Secretary

PRINCIPAL

BY___________________________________

SURETY ( Title)

BY___________________________________

Title)

Note: ( Certified copy of Power of Attorney must be attached hereto unless previously on file with the

City Secretary) and copy of certificate to do business in the State of Texas.

The Resident Agent of the Surety in Dallas County, Texas, for delivery of Notice and Service of Process is:

NAME: ______________________________ Address: ___________________________

The Proposer must complete this form regardless of whether or not the same information is given in the

Proposer's Bond:

1. Complete name and address of Surety Company for Performance and Payment Bonds:

2. Name of the Attorney- In-Fact for the Surety Company:

3. The name of the resident agent of the Surety Company in Dallas County, Texas, ( this name must be the name of a natural person residing in Dallas County, Texas):

4. Address of the resident agent of the Surety Company in Dallas County, Texas, ( this must be a street address and not a post office box number):

Telephone ________________ ________________________________

NameofProposer

Revised October 21, 2005

The undersigned further agrees that the Proposal Guaranty may be retained by the City of Dallas provided the undersigned is one of the three lowest and most and most advantageous proposers, and that said Proposal Guaranty shall remain with the City of Dallas until the Contract has been signed, and the Bonds required for the faithful performance of the Contract and the prompt payment for labor and materials in the prosecution thereof have been made by one of the three lowest responsible proposers;

otherwise, Proposal Guaranty may be obtained from the City Secretary after forty-eight (48) hours from the time of opening the proposals.

The undersigned hereby declares that he has visited the site, has had sufficient time to make all tests and investigations to arrive at an intelligent estimate of the cost of doing the Work, and has carefully examined the Plans, Specifications and other Contract Documents relating to the work covered by his proposal or proposals, that he agrees to do the Work, and that no representations made by the City are in any sense a warranty, but are mere estimates for the guidance of the Contractor, that upon receipt of notice of the acceptance of the Proposal, he will deliver the Surety Bonds as may have been required in the

Specifications.

The proposal security attached, in the sum of

Dollars ($ ) is to become the property of the City of

Dallas if a cashier's check, and if a Proposal Bond, the full principal amount shall be paid to the City, in the event the Contract and Surety Bonds are not executed within the time above set forth by Instructions to Proposers, Article 11, and to be considered as liquidated damages because the expense of delay and additional work caused thereby, as well as other damages, are incapable of accurate ascertainment.

Time of Completion: The undersigned agrees to complete the work within ______ calendar days, inclusive of ___ weather delay days, from the date specified in the Work Order. The Work Order may be issued on the date of acceptance of the bid, requiring the undersigned to commence work not later than ten ( 10) days thereafter. The undersigned further declares that he will provide all necessary tools and apparatus, do all the Work, and furnish all materials, and do everything required to carry out the above mentioned Work covered by this proposal, in strict accordance with the Contract Documents, and the requirements pertaining thereto, for the sum or sums above set forth.

* See General Conditions and Requirements Section B for details on weather related delays-

Revised October 21, 2005

Respectfully submitted, signature printed name company name street address city state zip

Seal-if Proposer is a Corporation)

Note: DO NOT DETACH Proposal and Proposal Bond from other papers. Fill in with ink and submit complete with attached papers. Name should be typed or printed all signatures in the Proposal and accompanying Proposal Bond)

OPS-05 1/14/2020

Rev. 0 – 01/13/2020 Page 1 of 1

OFFICE OF PROCUREMENT SERVICES

BONDING REQUIREMENTS

PERFORMANCE AND PAYMENT BONDS

Within 15 days of the award of this bid, the successful bidder will be required to post a Performance & Payment Bond in the aggregate amount of _______% of the annual value of the contract, and the cost of such bond must be absorbed by the bidder. Bonding must be made by a bonding company authorized to do business in the State of Texas, on the Treasury

Department’s list of approved sureties, and having a designated Resident Agent residing in Dallas County, Texas.

SURETY COMPANY INFORMATION

(Company providing Performance and Payment bonds for bidder)

Legal Name:

Address:

State of Incorporation:

Name of Attorney-in-Fact:

RESIDENT AGENT INFORMATION

(Must be a name of a natural person residing in Dallas County, Texas)

Name:

Address:

(Must be a street address and not a Post Office box number) Email Address: Phone Number:

Form 26

OFFICE OF PROCUREMENT SERVICES

STATEMENT OF INSURABILITY AND QUOTE

SOLICITATION INFORMATION

I, as the person(s) legally authorized to sign contracts for my company, hereby attest that I have reviewed the insurance requirements for this contract and agree to produce a valid certificate of insurance meeting all the insurance requirements within 15 days of award notification. If the 15-day requirement is not met, the City of Dallas has the right to reject the award.

Furthermore, I have sent the requirements to my insurance agent or broker, and I have attached a copy of the quote for the cost of the required insurance, or proof of coverage.

By submitting a bid or proposal, I certify the above statements are true.

INSURANCE INFORMATION

I, as the authorized representative of the insurance agency or brokerage firm, have reviewed the attached insurance requirements, provided a quote, and attest that the bidder or proposer listed above is able to obtain the required insurance.

Signature, name, and title of Insurance Representative:

Agency Name:

Signature Date

Printed Name Title

Questions concerning these requirements?

Please contact the City of Dallas Risk Management Division at (214) 671-9041.

OPS-04 1/14/2020

Rev. 0 - 12/05/2019 Page 1 of 1

Business Name:

PRIOR CONTRACTUAL ACTIVITIES

In accordance with the Instructions To Bidders, Article 7, Bidder’s Qualifications, the following documentation requires submission upon notification of pending Contract Award:

PRIOR CONTRACTS: Attach a listing of all prior contractual activities with the City of Dallas for the past three years from the date of this Bid Opening. Include the following information for the prior contracts:

Contract Project Name:

Contract Date: Contract Amount:

Council Resolution / Administrative Action Number: (Attach Copy) Contracting City Department:

Contract Completion Date:

Contract Change Order / Supplemental Agreement Listing: Provide the following information for each of the aforementioned:

Change Order / Supplemental Agreement Number:

Date: Amount:

Council Resolution / Administrative Action Number: (Attach Copy) Explanation:

Were liquidated damages assessed?

Was Surety required to complete contract?

The requested documentation is attached and submitted by:

By:

Name of Bidder Signature

Number of Prior Contracts:

Name of Signatory

State of: County of:

Subscribed and sworn to before me this day of , 20

Notary Public:

My Commission Expires:

INSTRUCTIONS FOR THE PROJECT EXPERIENCE FORM

1. Experience indicated should be relevant to the project for which the Statement of Qualifications (SOQ) is being submitted on your firm’s category of interest.

2. The Prime Firm is the firm proposed as the prime on the project for which the SOQ is being submitted on your firm’s category of interest.

3. Only the experience of current employees of the Prime Firm should be indicated on the form for the Prime Firm.

4. The Client information should include the name of the organization, its address and the name and telephone number of a contact person who is familiar with the project indicated. The Prime Firm is responsible for the accuracy of the contact information.

Experience may not be considered if the contact person indicated cannot be contacted. For work performed as a subconsultant, the client and contact may be either the Owner (City, County, or other agency commissioning the work) or the prime firm for which the firm worked as a subconsultant on that project. If the prime firm is indicated as the client, please indicate the name of the Owner agency in parenthesis. Also indicate the year design began and the stage of the project: under design, design complete, under construction, or construction complete. If construction has started, indicate the year construction started or finished.

5. Under the column labeled Prime or Sub, indicate a Prime for each project for which your firm was the prime consultant on that project and a Sub for each project for which your firm was a subconsultant. Use Other Prime for projects for which a current employee of the Prime firm gained experience while working for a previous employer who was the prime consultant on the project referenced. Use Other Sub for projects for which a current employee of the Prime firm gained experience while working for a previous employer who was a subconsultant on the project referenced. Use Other Owner for projects for which a current employee of the Prime firm gained experience while working for a previous employer who was the Owner agency on the project referenced.

6. In the project description column, indicate the project name, location (Plant Name, City, State etc.), and a brief description of the work for which your firm was responsible. If your firm was a subconsultant, the overall project can be referenced for clarity; however, the description should be for your firm’s work, not a description of the overall project.

7. The Personnel Involved columns should indicate the people involved with the referenced project who are on the proposed project team for the project. Also, indicate the level of involvement on the referenced project, i.e. John Doe – Project Manager, etc.

8. Experience forms for proposed subconsultant firms in major roles on this project should be completed in similar fashion.

9. If you have any questions, please contact the person indicated in the cover letter for the request for the SOQ. All questions must be submitted via Bonfire.

PROJECT EXPERIENCE FORM

PRIME FIRM: (Experience for Indicated Firm Personnel only)

Client Name, Address, Contact, Date & Status

Prime or Sub

Project Name, Location and Brief

Description

Personnel Involved & Role

Mr. Sample Client ABC Utility 1234 Broadway Anytown, USA

(999) 999-9999 Construction in progress, began in

PROJECT EXPERIENCE FORM

SUBCONSULTANT FIRM: (Experience for Indicated Firm Personnel only)

SUBCONSULTANT FIRM: (Experience for Indicated Firm Personnel only)

DELINQUENT TAXES AND ACCOUNTS RECEIVABLE REPORT

In accordance with the Instructions To Bidders, Article 7, Bidder’s Qualifications, the following documentation requires submission upon notification of pending Contract Award:

CITY OF DALLAS TAX STATEMENT: Provide the following City Tax Information for the Bidder and Owner(s) which will be forwarded to the City Controller’s Office:

Bidder: _ _ Address:_ _ _ _

Delinquent in City Tax Payment: NO YES If yes, provide explanation:

Owner(s):

Address: Delinquent in City Tax Payment: NO YES_ _ If yes, provide explanation:

CITY OF DALLAS ACCOUNTS RECEIVABLE STATEMENT: Provide the following information for the Bidder and Owner(s): _ _ _ Bidder:_ _ _ _

Address:_ _ _ _

Outstanding Accounts Receivable to City: NO _YES

Owner(s): _ _ _ Address:_ _ _ _ Outstanding Accounts Receivable to City: NO YES

The requested documentation is attached and submitted by:

By:_ __ Name of Bidder Signature

Name of Signatory

State of: _ County of: _ _

Subscribed and sworn to before me this Day of , 20

Notary Public: _

My Commission Expires:__ _

CITY OF DALLAS DEPARTMENT OF

AVIATION

REQUEST FOR BID

CERTIFICATION OF OFFERER/BIDDER REGARDING TAX DELINQUENCY

AND FELONY CONVICTIONS

The applicant must complete the following two certification statements. The applicant must indicate its current status as it relates to tax delinquency and felony conviction by inserting a checkmark () in the space following the applicable response. The applicant agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification in all lower tier subcontracts.

Certifications

1) The applicant represents that it is ( ) is not ( ) a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

2) The applicant represents that it is ( ) is not ( ) is not a corporation that was convicted of a criminal violation under any Federal law within the preceding 24 months.

Note

If an applicant responds in the affirmative to either of the above representations, the applicant is ineligible to receive an award unless the sponsor has received notification from the agency suspension and debarment official (SDO) that the SDO has considered suspension or debarment and determined that further action is not required to protect the Government’s interests. The applicant therefore must provide information to the owner about its tax liability or conviction to the Owner, who will then notify the FAA Airports District Office, which will then notify the agency’s SDO to facilitate completion of the required considerations before award decisions are made.

Term Definitions

Felony conviction: Felony conviction means a conviction within the preceding twenty-four

(24) months of a felony criminal violation under any Federal law and includes conviction of an offense defined in a section of the U.S. code that specifically classifies the offense as a felony and conviction of an offense that is classified as a felony under 18 U.S.C. § 3559.

Tax Delinquency: A tax delinquency is any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted, or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

Signature kendra.nichols Line kendra.nichols Line

ENVIRONMENTAL RECORD AFFIDAVIT

For purposes of this Affidavit:

(A) the term “Bidder/Proposer” includes any and all authorized officers, employees, agents, or other representatives of Bidder/Proposer working in that capacity on behalf of Bidder/Proposer within the past three (3) years prior to the date of this Affidavit;

(B) the term “Environmental Laws” includes any and all State, Federal, or local statutes, laws, rules, codes, regulations, or ordinances developed to regulate activities that impact human health and the environment including, but not limited to, those intended to control land, air, and water pollution, conserve natural resources, prevent damaging practices, and regulate chemical hazards.

By signing below, I, ______________________, the authorized representative of

________________ (hereinafter called the “Bidder/Proposer”), affirm, on behalf of

Bidder/Proposer, the following:

(1) That Bidder/Proposer has received and read the Contractor Environmental Packet.

Bidder/Proposer also understands that the Contractor Environmental Packet is not intended to be all inclusive, but rather a guideline for environmental responsibility.

[Strike the item indicated below that does NOT apply in this Affidavit.]

(2) That Bidder/Proposer has not been served with any notices of violation or notices of enforcement or had any civil or criminal fines or penalties imposed by any regulatory authority for a violation of any Environmental Laws within the past three (3) years prior to the date of this Affidavit.

(3) That Bidder/Proposer has been served with notices of violation or notices of enforcement or had any civil or criminal fines or penalties imposed by any regulatory authority for a violation of any Environmental Laws within the past three (3) years prior to the date of this Affidavit as follows:

[If Item (3) applies, use a separate sheet to list the notices of violation or enforcement, and any adjudications of actual violations, along with copies of any compliance documents issued by the regulatory authority in connection with the notices or actual violations, and attach the separate sheet to this affidavit.]

COMPANY NAME SIGNATURE

DATE TITLE

Environmental Record Affidavit [032311 Edition]

A 27. CEMENT USE ON PUBLIC PROJECTS

Item 303.3.6.COD: Cement Used on Public Projects - Sustainable Air Quality, as shown in the City of Dallas Addendum to the North Central Texas Council of Governments Public Works Construction Standards (Fourth Edition, October 2004), Latest Edition, is hereby replaced with the following:

(Page 303-14. Add the following:)

303.3.6.COD: CEMENT USED ON PUBLIC PROJECTS – SUSTAINABLE AIR

QUALITY:

(A) Pursuant to Section 271.907 of the Texas Local Government Code, as amended, the OWNER will give a bid preference to the Bid of a CONTRACTOR who certifies in the Bid that, in the purchase of concrete or other products using portland cement in construction of the Project, the CONTRACTOR will utilize portland Cement from manufacturers who:

(1) are incompliance with all applicable state and federal environmental standards relating to the emission of NOx, including all applicable TCEQ and EPA rules and regulations; and

(2) operate kilns with emissions that exceed the standards for Nx emissions set out in 30 Tex. Admin. Code § 117.3110(a)(1)-(4) (as provided presently and as may be amended in the future) by the following percentage amounts:

(a) for each long wet kiln, 10 percent lower than the standard for long wet kilns located in Ellis County, Texas as set out in 30 Tex Admin Code § 117.3110(B);

(b) for each long dry kiln, 20 percent lower than the standard for long dry kilns located in Ellis County, Texas, as set out in 30 Tex. Admin. Code § 117.3110(a)(2);

(c) for each preheater kiln, 20 percent lower than the standard for preheater kilns located in Ellis County, Texas, as set out in 30 Tex. Admin. Code § 117.3110(a)(3); and

(d) for each preheater-precalciner or precalciner kiln, 35 percent lower than the standard for preheater-precalciner and precalciner kilns located in Ellis County, Texas, as set out in 30 Tex. Admin. Code § 117.3110(a)(4).

[Reference: City Council Resolution No. 11-0657, passed by the Dallas City Council on March 9, 2011.]

(B) The preference shall apply only to the extent that the CONTRACTOR’S Bid, as certified, is not greater than 105 percent of the lowest responsible Bid of a CONTRACTOR who does not or cannot certify that it will utilize Portland cement from a cement kiln meeting the above-mentioned emission standards. The OWNER reserves the right to pursue any remedies it has under the CONTRACT Documents in the event the CONTRACTOR falsely certifies to the requirements stated above, including but not limited to termination of the CONTRACT, adverse evaluation at final completion of the CONTRACT, or debarment from participation in future construction contracts the OWNER may advertise or award. The OWNER also reserves the right to reject any load or item of portland cement, concrete, or other product containing portland cement delivered in the event it is discovered that the Portland cement used in the load or item was not manufactured as certified.

(C) When a bidding preference has been granted as provided herein and any load or item of portland cement, concrete, or other product which contains portland cement is delivered to the Project site for use, the CONTRACTOR shall obtain and present to the OWNER a sworn-to certification, using a certification form approved by the OWNER, from the portland cement or concrete manufacturer that the load or item delivered contains no portland cement other than portland cement meeting the requirements as specified in Paragraph (A). The CONTRACTOR shall also obtain a manifest for each portland cement or concrete load showing the quantity of portland cement or concrete delivered and the location of the manufacture of the portland cement, along with the name of a designated representative of the portland cement manufacturer for purposes of contact by the OWNER if necessary. On a monthly basis or other frequency desired by the OWNER, the CONTRACTOR shall furnish for inspection by the OWNER of a copy of the delivery manifests obtained. The CONTRACTOR shall certify in writing that the manifests are true and correct to the best of the CONTRACTOR’S knowledge.

Notwithstanding the manufacturer's certification, the CONTRACTOR will be held responsible in the event the OWNER discovers that the cement used was not manufactured in accordance with the requirements of Paragraph (A).

(D) The OWNER reserves the right to pursue any remedies it has under the CONTRACT Documents in the event the CONTRACTOR fails to comply with this materials specification, including but not limited to termination of the CONTRACT, adverse evaluation at final completion of the CONTRACT, or debarment from participation in future construction contracts the OWNER may advertise or award.

The OWNER also reserves the right to reject any load or item of Portland cement, concrete, or other product containing Portland cement delivered in the event it is discovered that the Portland cement used in the load or item was not manufactured as certified.

(E) Copies of the required forms are found on the following pages:

FORM 25

CEMENT PREFERENCE CERTIFICATION

I, ________________________, the _________________ [state title of officer of company] of _____________________________________ [legal name of bidder company], do hereby certify that my bid for concrete products utilizes Portland cement produced by vendors who:

(1) are in compliance with all applicable state and federal environmental standards relating to the emission of NOx, including all applicable TCEQ and EPA rules and regulations; and

(2) operate kilns with emissions that exceed the standards for NOx emissions set out in 30 Tex.

Admin. Code § 117.3110(a)(1)-(4) (as provided presently and as may be amended in the future) by the following percentage amounts:

(a) for each long wet kiln, 10 percent lower than the standard for long wet kilns located in

Ellis County, Texas as set out in 30 Tex. Admin. Code § 117.310(a)(1)(B) [As of 3-9-11, wet kiln NOx emissions can NOT exceed 3.6 lbs per ton of clinker produced.];

(b) for each long dry kiln, 20 percent lower than the standard for long dry kilns located in Ellis

County, Texas, as set out in 30 Texas. Admin. Code § 117.3110(a)(2) [As of 3-9-11, dry kiln NOx emissions can NOT exceed 4.1 lbs per ton of clinker produced.];

(c) for each preheater kiln, 20 percent lower than the standard for preheater kilns located in

Ellis County, Texas, as set out in 30 Tex. Admin. Code § 117.3110(a)(3) [As of 3-9-11, preheater kiln NOx emissions can NOT exceed 3.0 lbs per ton of clinker produced.];

and

(d) for each preheater-precalciner or precalciner kiln, 35 percent lower than the standard for preheater-precalciner and precalciner kilns located in Ellis County, Texas, as set out in 30 Tex. Admin. Code § 117.3110(a)(4) [As of 3-9-11, preheater-precalciner or precalciner kiln NOx emissions can NOT exceed 1.8 lbs per ton of clinker produced.].

BIDDER:

Print Name and Title

SUBSCRIBED and SWORN TO before me this ____ day of __________, 20___.

[Seal] Notary Public, State of Texas

My commission expires: ____________

Cement Preference Certification

FORM 26

CONCRETE/CEMENT DELIVERY CERTIFICATION

I, ________________________, the _________________ [state title of officer of company] of ______________________________________ [legal name of Portland cement or concrete manufacturer], do hereby certify that the concrete/cement products delivered between _________________ and _________________ to the City of Dallas project known as ________________________________________utilizes Portland cement produced by vendors who:

(1) are in compliance with all applicable state and federal environmental standards relating to the emission of NOx, including all applicable TCEQ and EPA rules and regulations; and

(2) operate kilns with emissions that exceed the standards for NOx emissions set out in 30 Tex.

Admin. Code § 117.3110(a)(1)-(4) (as provided presently and as may be amended in the future) by the following percentage amounts:

(a) for each long wet kiln, 10 percent lower than the standard for long wet kilns located in

Ellis County, Texas as set out in 30 Tex. Admin. Code §117.310(a)(1)(B) [As of 3-9-11, wet kiln NOx emissions can NOT exceed 3.6 lbs per ton of clinker produced.];

(b) for each long dry kiln, 20 percent lower than the standard for long dry kilns located in Ellis

County, Texas, as set out in 30 Texas. Admin. Code §117.3110(a)(2) [As of 3-9-11, dry kiln NOx emissions can NOT exceed 4.1 lbs per ton of clinker produced.];

(c) for each preheater kiln, 20 percent lower than the standard for preheater kilns located in

Ellis County, Texas, as set out in 30 Tex. Admin. Cod §117.3110(a)(3) [As of 3-9-11, preheater kiln NOx emissions can NOT exceed 3.0 lbs per ton of clinker produced.];

and

(d) for each preheater-precalciner or precalciner kiln, 35 percent lower than the standard for preheater-precalciner and precalciner kilns located in Ellis County, Texas, as set out in 30 Tex. Admin. Code §117.3110(a)(4) [As of 3-9-11, preheater-precalciner or precalciner kiln emissions can NOT exceed 1.8 lbs per ton of clinker produced.].

CONCRETE/CEMENT MANUFACTURER:

Print Name and Title

SUBSCRIBED and SWORN TO before me this ____ day of __________, 20___.

[Seal] Notary Public, State of Texas

My commission expires: _________________

Concrete/Cement Delivery Certification

(Must be submitted with the bid, or the bid proposal may be rejected as unresponsive)

Date of Bid Opening

BIDDER'S AFFIDAVIT OF SAFETY RECORD

The following information is required by City Council Resolution #89-1132. Failure to complete this form may result in bid rejection.

The undersigned certifies that safety records from the Dallas OSHA office, or from the local OSHA jurisdiction within which this firm does business, does not reflect penalties for six (6) or more Serious violations, none of which are Repeat violations, nor do they reflect three (3) or more Willful violations, none of which may be Repeat violations, within the preceding three (3) years.

Name of Signatory Title Address

Corporate Authorized Signatory (Only) Title Address

Legal Name of Bidder Address

SWORN TO AND SUBSCRIBED BEFORE ME on this my hand and seal on this office day of 2 0_, to certify which witness

Signature of Notary Public

Notary Public, State of

Printed Name of Notary

My commission Expires:

House Bill 89 – Contracting With Entities That Boycott Israel

“FAILURE TO SIGN YOUR BID WILL RESULT IN A REJECTION OF YOUR

BID/ STATEMENT OF QUALIFICATION/ PROPOSAL”

Bidder’s Acknowledgement of Prohibition on Contracts with

Companies Boycotting Israel

Effective September 1, 2017, Bidder acknowledges, in accordance with Chapter 2270 of the

Texas Government Code, that Bidder does not boycott Israel and will not boycott Israel during the term of any contract with the City of Dallas to provide goods and services to the

City. Bidder further acknowledges that this provision is hereby incorporated by reference, as if written word for word, into any subsequent contract entered into between City and

Bidder for goods and services.”

Company Name

Officer’s Signature Title

Printed Name Date

Senate Bill 252 – Contracting with Terrorist Organizations

“FAILURE TO SIGN YOUR BID WILL RESULT IN A

REJECTION OF YOUR BID/ STATEMENT OF

QUALIFICATION/ PROPOSAL”

Bidder’s Acknowledgement of Prohibition on Contracts with

Foreign Terrorist Organizations

Effective September 1, 2017, Bidder acknowledges, in accordance with

Chapter 2252 of the Texas Government Code, that (a) Bidder does not engage in business with Iran, Sudan or any foreign terrorist organization and (b) Bidder is not listed by the Texas Comptroller as a terrorist organization as defined by Chapter 2252 of the Texas Government Code.

Bidder further acknowledges that this provision is hereby incorporated by reference, as if written word for word, into any subsequent contract entered into between City and Bidder for (1) professional or consulting services subject to the Professional Services Act - Chapter 2254 of the Texas

Government Code, (2) general construction, (3) an improvement,

(4) a service, (5) a public works project, or (5) for a purchase of supplies, materials or equipment.”

Company Name

Officer’s…