1-2026 Street Improvements-Mill-in-place-Reclaiming (MS-944) Specifications and Map.pdf

SEALED BIDS WANTED

Sealed bids for milling-in-place/reclaiming will be received online via the PennBid Program by the West Manheim Township Board of Supervisors, York County, Pennsylvania until 9:00 A.M., Thursday, April 2, 2026.

The bids will be publicly opened and read on Thursday, April 2, 2026, at 9:00 A.M., prevailing time. Bid results will be available end of business day, same date.

Bidding Documents for 2026 Street Improvements – Mill-in-place/Reclaiming are available online and at no cost at https://pennbid.bonfirehub.com.

A bid bond by acceptable surety or a certified check made payable to West Manheim Township in the amount of 5% of the maximum bid must be provided by each bidder with their bid.

The successful bidder, when awarded a contract, shall furnish Performance and Payment Bonds (with suitable surety), as specified in the Contract.

Notice is hereby given to bidders that this project is not subject to the provisions of the Pennsylvania Prevailing Wage Act approved August 15, 1961 (Act No. 442, P.L. 987), as amended.

All proposals must be submitted online via PennBid and include documents outlined within the specifications.

West Manheim Township reserves the right to accept any bid or reject any or all bids.

West Manheim Township

Mike Bowersox, Manager

Publish Dates: Friday, March 20, 2026 & Monday, March 23, 2026

INSTRUCTIONS TO BIDDERS

AND TECHNICAL SPECIFICATIONS

1. The approximate quantities shown in the proposal (schedule of prices) are the best available estimate of the quantities of materials that West Manheim Township will require during the contract period.

2. MS-944: The length of the Contract will be from May 1, 2026 to July 31, 2026.

3. Bidders shall submit the following with the respective bids:

a. Proposal and Contract MS-944 (pages 1 through 2.)

b. Special provisions to Contract MS-944 (Attachment #1-A), signed and dated by the Contractor.

c. Anti-Collusion Affidavit (D–7126 (7-09))

d. Public Works Employment Verification Form

e. Bid Bond, 5%

4. Contractor warrants that he is in compliance with the Americans with Disabilities Act (Public Law

101-336) and that it will, in carrying out requirements of this Contract; comply in all respects with the provisions of the Act and its implementing regulations.

5. Contractor warrants that he is in compliance with the United States Omnibus Transportation Employee Testing Act of 1991, and related Federal Highway Administration Regulations regarding commercial driver’s license (CDL) requirements for its employees; and that he will, in carrying out the requirements of the Contract, comply in all respects with the provisions of this Act.

6. All Successful Bidders will be required to furnish the following:

a. Certificate of Insurance, in accordance with attached requirements

b. Performance Bond

c. Payment Bond

d. Workmen’s Compensation Affidavit

7. All materials and workmanship must be in accordance with PennDOT Publication 408 and PennDOT Publication 447.

8. Schedule of Prices are listed within PennBid’s “Prepare your Submission” tab.

9. For the MS-944 Contract, the Contractor will furnish an itemized invoice and completed MS-NCP Notice of Completion form to the Municipality or its Engineer.

10. A Location Map is attached herein.

11. West Manheim Township reserves the right to reject any or all proposals and to make an award which is in the best interest of the Township. The Owner fully intends to construct the work for which bids are solicited. However, the Owner specifically reserves the right, which all bidders acknowledge by submission of a bid, to reduce quantities and/or eliminate projects to meet available finances.

Reduction of quantities or elimination of projects will not constitute grounds of additional or compensatory charges to the successful bidder.

12. A Pre-bid meeting will not be held.

MS 944

The Contract will be awarded to the lowest responsible bidder, based upon the low total for Bid Item

Nos. 1 through No. 2.

END

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MS-944 (7-09)

TIME

Bids will be opened electronically and read at approximately

, on the above Letting Date. PROPOSALS MUST BE SUBMITTED ELECTRONICALLY

TIME

complete all work within ninety-two (92) calendar days.

3 Accompanying this proposal is a certified check or bid bond in the amount of made payable to the municipality as a proposal guarantee which, it is understood, will be forfeited in case the contractor fails to comply with the requirements of the proposal.

B. PROPOSAL OF:

1 The only person interested in the proposal as principal (s) is (are):

2 None of the above persons are employees of the municipality.

3 This proposal is made without collusion with any other person, firm or corporation.

VIA THE ELECTRONIC BID MANAGEMENT SYSTEM PENNBID

(https://pennbid.net)

All Bids shall be submitted via the PennBid

Program for the letting on

Electronic Proposals will be received on or before and specifications on file electronically on the PennBid Program website (https://pennbid.net), as well as the supplements and special requirements contained herein and/ or attached hereto and current PennDOT Specifications (Publication 408 and 447), except (a) bidders need not be prequalified by PennDOT (Sec.102.01), and (b) Volumetric testing of bituminous paving materials is not required (Sec. 410).

DATE

on the above Letting Date.

2412 Baltimore Pike

9:00 AM

The contractor proposes to furnish and deliver all materials (including Form CS-4171, CERTIFICATE OF COMPLIANCE and/ or TR-465 DAILY BITUMINOUS MIXTURE

CERTIFICATION) and to do and perform all work on the following project as more specifically set forth in the Schedule of Prices (Attachment), in accordance with drawings

MANAGER

If designated as the successful bidder, the contractor will begin work on the date specified in the notice to proceed, or as otherwise provided in the special requirements, and will

5%

-1-

It is hereby certified as follows:

NAME / ADDRESS OF CONTRACTOR

CONTRACTORS CERTIFICATION

All plans and specifications referred to above and the site of the work have been examined by the contractor. The contractor understands that the quantities indicated herein are approximate and are subject to change as may be required; and that all work is payable on the basis of the unit price listed on the Schedule of Prices. (Attachment 1).

THIS PROPOSAL INCLUDES

INSTRUCTIONS TO BIDDERS

ADDRESS

A. DEPOSIT OF PROPOSALS.

PROPOSAL AND CONTRACT

( WHEN EXECUTED )

Hanover, PA 17331

April 2, 2026

9:00 AM

West Manheim Township

MUNICIPALITY (NAME & TYPE)

Mike Bowersox

BY:

DATE:

TITLE:

DATE:

TITLE:

BY:

TITLE:

BY:

TITLE:

BY:

TITLE:

ATTESTED BY:

TITLE:

-2-

MUNICIPALITY

West Manheim Township

The Contractor will comply with all requirements of the laws and implementing regulations of the Commonwealth of Pennsylvania and the United States relating to human relations, equal opportunity and non-discrimination in employment, and will pay to workmen employed in the performance of the contract the wages to which they may be entitled.

The Contractor will provide the municipality with a performance bond, conditioned upon the faithful performance of the contract in accordance with the plans, specifications and conditions thereof, and a payment bond, conditioned on the prompt payment of all material furnished and labor supplied or performed in the prosecution of the work, in accordance with the Public Works Contractors’ Bond Law of 1967; and an affidavit accepting the provisions of the Workmen’s Compensation Act of 1915, as amended.

CONTRACTOR

DATE

ACCEPTED ON :

WITNESSED OR

ATTESTED BY:

TO BE EXECUTED ONLY IN THE EVENT THE ABOVE PROPOSAL IS ACCEPTED

SEAL

County:

SY

SY

1 7,400 Placement of 2A Stone, 2" Avg. Depth

2 7,400 Mill-In-Place/Reclaim, 6" Depth

Unit

SCHEDULE OF PRICES

*Description

ESCALATOR CLAUSE:( if adopted by Municipality.)

Contractor shall be responsible for temporary traffic control in accordance with PennDOT Publication 213.

The cost thereof shall be incorporated into each Bid Item, as required. No separate payment will be made.

The roads may be closed during construction but local traffic must be accommodated at all times. Advance road closure postings and door hangers shall be placed at least five (5) calendar days in advance with anticipated construction dates.

Item No.

Approximate

2 Quantities

Total

Must include ADT on wearing surfaces USE OF CUTBACK ASPHALT IS PROHIBITED BETWEEN MAY 1st AND OCTOBER 31st, EXCEPT AS NOTED IN BULLETIN NO. 25. FOR OPTION OR PHASE BIDS THE TOTALS FOR EACH MUST BE INCLUDED.

- 3 -

N/A

ATTACHMENT 1

TO MS - 944 ( PROPOSAL AND CONTRACT MS - 944 )

York Municipality: West Manheim Township

Unit

5 Price

Project Number: 1204.4.04.26

DESCRIPTION OF WORK:

Leppo Mill Road (T-510) - Beginning at the intersection with Grand Valley Road (T-511) to the intersection with Impounding Dam Road (T-513). Approximately 3,025' x 22' avg. width, match existing. Contractor to provide equipment and labor necessary to install 2" avg. depth of 2A stone over the existing roadway surface, mill-in-place/reclaim to a depth of 6", re-grade roadway to provide 2% cross-slope from centerline, and compact with min. 20 ton vibratory roller. 2A stone will be provided by the Township and stockpiled at 1941 Baltimore Pike. Contractor will be responsible for providing equipment and labor to load and haul material to project site.

LOCATION OF WORK:

T H

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County:

DESCRIPTION OF WORK (continued):

ATTACHMENT 1

TO MS - 944 ( PROPOSAL AND CONTRACT MS - 944 )

York Municipality: West Manheim Township

- 4 -

Bid Item No. 1: Placement of 2A Stone, 2" avg. depth: The Contractor shall furnish equipment and labor to load 2A stone, transport material to project site, and install 2A stone to a 2" avg. depth over existing roadway surface. 2A stone will be provided by the

Township and stockpiled at 1941 Baltimore Pike.

Bid Item No. 2: Mill-in-Place/Reclaim, 6" depth: The Contractor shall furnish equipment and labor to mill-in-place/reclaim existing roadway and 2A stone to a depth of 6".

Contractor shall be responsible to re-grade roadway surface to provide a crown at the centerline of the roadway with a 2% cross-slope and compact with a minimum 20-ton vibratory roller.

T H

IS

P

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Y Project Number: 1204.4.04.26

X Traffic Control and Safety Devices to be provided by the Contractor.

X Delivery tickets for all materials.

X CS-4171 Certificate of Compliance and/ or TR-465 Daily Bituminous Mixture Certification required for all materials.

X five working days prior to start of project.

X Work to be completed ninety two (92) calendar days after the Notice to Proceed is issued. After ninety two (92) calendar days, Liquidated damages apply at the rate of $870.00 per calendar day.

X Roadway to be power broomed by (contractor X municipality )prior to start of project.

X Excess material to be removed by (contractor X municipality .)

X Municipality to inspect project.

Need Bill of Lading for each shipment of bituminous material per Section 702.1(c) of Specifications 408.

Tack Coat required per Section 460, or 410 for superpave, of Specifications 408 and is incidental to paving item unless noted otherwise.

Prime Coat required per Section 461 of Specifications 408.

Bituminous Seal on all abutting pavement and curbs required.

Saw cut or Milled Paving Notch required and incidental to paving item unless noted otherwise.

Scratch/ Leveling Courses to be placed at the discretion of appointed inspector(s).

Municipality reserves the right to limit work completed.

Taper pavement the last 3 feet to curb.

For FOB Source bids, hauling distance will determine selection of bid award.

Municipality reserves the right to procure material which best suits their requirements after all bids and items are reviewed.

X Incidental Preparation and clean up required. ( Project Construction Materials )

The municipality reserves the right to make an award on the basis of the aggregate total for all like items on which quotations are received.

Provide design, which meets Specifications Form 408 to the municipality 5 days prior to start of work.

Contractor responsible for defects that occur within one year of applications.

Contractor required to review proposed project with Municipality’s Representative prior to bidding.

Oil Samples required from each distributor truck by contractor (1) one quart : A.M. & P.M. and witnessed by municipality and retained by municipality. (Oil samples must be placed in an approved type container that is compatible with oil sample.)

At least three random stone samples to be taken by contractor on project site witnessed by municipality and retained by municipality.

Complete all testing in accordance with Specification Form 408 Section 410 except for superpave volumetric testing.

X Notice to Proceed will be the date of Contract acceptance.

X Final Completion Certificate & Notice of Completion required.

X Future award of Contract will be based on quality of work as determined by the municipality.

X Contractor shall notify all residents of pending work to be performed.

My signature signifies that I have read and understand the above special provisions to this contract, and by being authorized by this company to act as their authorized representative, and on their behalf hereby agree to adhere to any and all of the provisions pertaining to this contract.

Date

Full width pavement with one pass required.

Company Municipality

Contractor's Representative Municipality's Representative Date

West Manheim Township

Notify the Municipality

(5-06) SPECIAL PROVISIONS TO CONTRACT MS-944 ( Attachment 1-A )

CONTAINS IMPORTANT INFORMATION FOR THE CONTRACTOR

The Prime Contractor and subcontractors must comply with all of the following provisions that are marked with an "X".

( Maintenance and Protection of Traffic to comply with current MUTCD, Publication 212 and Publication 213.)

D-7126 ( 7-09 )

County

Municipality

Project Number

State of Fed. Project No.

( If Applicable )

The undersigned deponent deposes and says that he is the of the

BY

Sworn to and subscribed before me the undersigned notary public this day of , .

County of

ANTI-COLLUSION AFFIDAVIT

York

1204.4.04.26

N/A

West Manheim Township competitive bidding in connection with such contract.

into any agreement, participated in any collusion, or otherwise taken any action in restraint of free

Company; that he is authorized to make this

Publication 408, as amended and that the said company has not, either directly or indirectly, entered affidavit on behalf of said company in compliance with section 102.06 (e) of Department Specifications, Notary Public

(Contractor)

My Commission expires

Street Address 2

City State Zip Code

Doing Business As:

(if different from Legal Name)

Commonwealth of Pennsylvania Public Works Employment Verification Form

Complete and return the form to the contracting Public Body prior to the award of the contract.

Company Legal Name: ___________________________________________________________

Mailing Address: ______________________________________________________

Check one: Contractor Subcontractor

Contracting Public Body: _________________________________________________________

Contract/Project Number: ________________________________________________________

Project Description: _____________________________________________________________

Project Location: _______________________________________________________________

Date Enrolled in E-Verify (MM/DD/YYYY): ___________________________________________ As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of today’s date, __________________________, our company is in compliance with the Public Works Employment Verification Act (‘the Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. To the best of my/our knowledge, all employees hired are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.

I,____________________________________________, authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

Authorized Representative Signature Date of Signature

Printed Name: _________________________________________________________________

Phone Number: ______________________ Email: ____________________________________

Street Address 1

BB-1

BID BOND

KNOW ALL MEN BY THESE PRESENTS that we, (hereinafter called the “Principal”) as Principal, and a corporation authorized to transact business in Pennsylvania, and having its principal office at

(hereinafter called the “Surety”) as surety, are held and firmly bound unto

(hereinafter called the “Obligee”) as Obligee, in the sum of

DOLLARS ($ ),

lawful money of the United States of America; for the payment of which we bind ourselves, and each of our respective heirs, legal representatives, successors, and assigns, jointly and severally, by these presents, on this day of , 20 .

WITNESSETH THAT:

WHEREAS, said principal is herewith submitting to the Obligee a proposal to perform the contract work for the Obligee’s, proposed pursuant to plans, specifications and other Contract Documents incorporated into said proposal by reference; and it is a condition of the Obligee’s receipt and consideration of said proposal that the proposal be accompanied by bid security to be held by the Obligee on terms embodied herein.

THEREFORE, the condition of this obligation is that if said principal shall furnish a performance bond, payment bond, and insurance certificates to the Obligee upon the Obligee’s delivery to the principal of fifteen days notice of intention to accept his proposal and to make a formal award of contract to him, and shall enter into such contract in all respects as required by said Contract Documents, then this obligation shall be void; but otherwise it shall remain in full force, and the principal and surety will pay to the Obligee the difference between the amount of the Principal’s accepted bid(s) and any higher amount for which the

Obligee may contract for the required work, plus any advertising, architect’s, legal and other expenses

BB-2

incurred by the Obligee by reason of the default; provided, however, that the obligations of the Surety hereunder shall not exceed the amount of this bond together with the interest.

IN WITNESS WHEREOF, the Principal and Surety, intending to be legally bound, have executed this bond the day and year aforementioned.

(Individual Principal)

(SEAL)

Witness: (Signature of Individual)

Trading and doing business as

(Partnership Principal)

(SEAL)

(Name of Partnership) Witness:

By:

(SEAL) (Partner)

BB-3

(Corporation Principal)

(Name of Corporation)

ATTEST:

Title or (if appropriate)

*By:

(Authorized Representative) Witness or Attest:

*Attach appropriate proof, dated as of the same date as the Bond, evidencing authority to execute in behalf of the Corporation.

(Corporation Surety)

Witness or Attest:

**By:

Title

(CORPORATE SEAL)

**Attach an appropriate power of attorney, dated as of the same date as the Bond, evidencing the authority of the Attorney-In-Fact to act in behalf of the Corporation.

N:\Admins\2-Project Execution\Specifications\Bid Bond (complete).docx

Engineer’s Project No. 1204.4.04.26

INSURANCE REQUIREMENTS FOR ALL

SUPPLIERS, CONTRACTORS AND SUBCONTRACTORS

CERTIFICATES OF INSURANCE SHALL BE FURNISHED FOR ALL COVERAGE LISTED

BELOW IN THE FOLLOWING MINIMUM AMOUNTS:

Type of Insurance Required Limits

Commercial General Liability (Per Occurrence Basis)

General Aggregate $ 1,000,000

Products & Completed Operations Aggregate 1,000,000

Person & Advertising Injury 1,000,000

Each Occurrence 1,000,000

Explosion, Collapse and Underground (XCU) 1,000,000

Fire Damage (Any one fire) 50,000

Medical Expense (Any one person) 5,000

Automobile Liability (Owned, Hired, & Non-Owned Autos

Combined Single Limit 1,000,000

Worker's Compensation and Employer's Liability (Statutory)

Each Accident 100,000

Disease - Aggregate Policy Limit 500,000

Disease - Each Employee 100,000

Deductible Limits

Deductible limits shall not exceed 5% of aggregate or combined single limits stated above.

Notice of Cancellation

All policies shall contain a provision that coverage affected will not be cancelled, materially changed or renewal refused until at least 30 days prior written notice has been given to the certificate holder.

Certificate Holder

West Manheim Township

2412 Baltimore Pike

Hanover, PA 17331

K:\120440426\Contract Administration\Specs\Leppo Mill - Mill-in-place\4 - Insurance Requirements for Suppliers, Contractors, Subcontractors

(for Clients).docx

Attachment 2

KNOW ALL PEOPLE BY THESE PRESENTS, That we, ($ ) dollars

WHEREAS, the above bounden Principal has entered into a contract with the above Municipality, bearing even date herewith, for

It is further provided that any alteration which may be made in the terms of the contractor or its specifications with the express authorizing the same to be done on .

BY

TITLE:

TITLE:

TITLE:

SURETY COMPANY

Attest / Witness:

a manner satisfactory to the municipality fulfill all obligations as therein set forth, then this Obligation shall be void, but otherwise the same shall be and remain in full force, virtue and effect.

approval of the Municipality or the Principal to the other, shall not in any way release the Principal and the Surety or either or any of them, their heirs, executors, administrators, successors or assigns from their liability hereunder, notice to the surety of any such alteration or forebearance being hereby waived.

IN WITNESS WHEREOF, the said Principal and Surety have duly executed this Bond under Seal, pursuant to due and legal action

(DATE OF BOND)

Attest / Witness:

CONTRACTOR

to and made a part thereof, and such alterations as may be made in said Specifications as therein provided, and shall well and truly, and in

(NAME OF STATE)

are held and firmly bound unto West Manheim Township in the full and just sum of

(NAME OF MUNICIPALITY)

lawful money to the United States of America, to be paid to the above Municipality or its assigns, to which payment well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

the undertaking of certain obligations as therein set forth.

NOW, THEREFORE, the condition of this obligation is such that if the above bounden Principal, as Contractor, shall in all respects comply with and faithfully perform the terms and conditions of said Contract, including the Specifications and conditions referred as Principal and

(SURETY COMPANY)

a corporation incorporated under the laws of the State of as Surety

(NAME AND ADDRESS OF CONTRACTOR)

MS-944S (8-24)

www.penndot.pa.gov

PERFORMANCE BOND

(With Corporate Surety)

PLACE

SEAL

HERE

PLACE

HERE

MS-944S (8-24)

KNOW ALL PEOPLE BY THESE PRESENTS, that we a corporation incorporated under the laws of the State of as SURETY, are held and firmly bond unto the , in the full and just sum of

($ ) dollars, lawful money of the United States of America, to be paid to the said or its assigns, to which payment well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

WHEREAS, the above bounden Principal has entered into a contract with the above municipality hereinafter called Obligee, bearing even date herewith, for the improvement of a certain section of highway or bridge in said Municipality consisting of:

for approximately the sum of: ($ ) dollars.

NOW, THEREFORE, the condition of this obligation is such that if the above bounden PRINCIPAL shall and will promptly pay or cause to be paid in full all sums of money which may be due by contract or otherwise, to any individual, firm, partnership, association or corporation, for all material furnished or labor supplied or performed in the prosecution of the work, whether or not the said for material or labor entered into and became component parts of the work and for rental of the equipment used and services rendered by public utilities in, or in connection with the prosecution of such work, then this obligation to be void, otherwise to remain in full force and effect.

The PRINCIPAL and SURETY, hereby, jointly and severally, agree with the Obligee herein that any individual firm, partnership, association or corporation, which has performed labor or furnished material in the prosecution of the work as provided, and any public utility which has not been paid in full therefor, may sue in assumpsit on this Payment Bond in his, their, or its own name and may prosecute the same to final for such sum or sums as may be justly due him, them or it, and PAYMENT BOND Attachment 3 as PRINCIPAL and as may be justly due him, them or it, and have execution thereon. Provided, however, that the Obligee shall not be liable for the payment of any costs of expenses of such suit.

RECOVERY by any individual, firm, partnership, association or corporation hereunder shall be subject to the provisions of the “Public Works Contractors’ Bond Law of 1967", Act No. 385, approved December 20, 1967,P.L. 869, which Act shall be incorporated herein and made a part hereof, as fully and completely as though its provisions were fully and at length herein recited

It is further provided that any alterations which may be made in the terms of the contract or in the work to be done or materials to be furnished or labor to be supplied or performed under it or the giving by the Obligee of any extension of time for the performance of the contract or any other forebearance on the part of either the Obligee or the Principal to the other, shall not in any way release the PRINCIPAL and the SURETY or SURETIES of any such alteration, extension of forebearance being hereby waived.

IN WITNESS WHEREOF, the said PRINCIPAL and SURETY have duly executed this Bond under seal this day of ,20 .

WITNESS:

CONTRACTOR

BY:

SURETY COMPANY

TITLE: TITLE:

WITNESS:

TITLE:

2026 Street Improvements - Mill-in-place/Reclaiming

PAYMENT BOND Attachment 3 as PRINCIPAL and

West Manheim Township

West Manheim Township

PLACE

SEAL

HERE

PLACE

HERE

Attachment 4

MS-944S (8-24)

State of

County of being duly sworn according to law deposes and says that they have accepted the provisions of the Workmen’s Compensation Act of 1915 of the Commonwealth of Pennsylvania, with has his its supplements and amendments, and have insured their liability thereunder in accordance with the terms of said its

Act with .

( TYPE OR PRINT)

BY

day of A.D. 20 .

My Commission Expires ( DATE )

SIGNATURE

Sworn to and subscribed before me this

SIGNATURE

CONTRACTOR

AFFIDAVIT RE

ACCEPTING PROVISIONS OF THE WORKMEN’S COMPENSATION ACT

he has it has

(SURETY COMPANY)

1. uCOUNTY:_________________________ uLR/SR:____________ uSEC/SEG:____________ uECMS#:____________ (u - To be completed by the party that will ship the material to the project, otherwise enter N/A.)

2. I / WE hereby certify that the material listed on line 5 was:

If a single company performs more than one operation (e.g., a company manufactures and coats guiderail), more than one box may be checked.

¨Manufactured ¨Fabricated ¨Coated ¨Precasted ¨Produced By_____________________________________________________________ ____________________________________________

3. and the party listed above certifies that the material(s) on line 5 meets the requirements of Publication 408, Section(s) ______________________________________________________________________________________ AASHTO, ASTM, Federal or other designation ______________________________________________________________________

4. The material listed below is being shipped to (Company Name): __________________________________________________________ 5.

6. ¨CHECK HERE IF YOUR PRODUCT CONTAINS IRON OR STEEL. I certify the material identified above conforms to Sections 106.01 and 106.10(a) of Publication 408.

CHECK ONE OF THE TWO BOXES:

¨Product is 100% US steel. ¨Product contains minimal foreign steel in accordance with Act 3 and Buy America.

Attach Form CS-4171S with receipts or invoices.

CHECK THE BOX THAT APPLIES TO YOUR PRODUCT:

¨ ‘Identifiable Steel’ - Steel products that contain permanent markings that identify that the material was melted and manufactured in the

United States. Only Form CS-4171 is required.

¨ Steel Products and Products Containing Steel with In-Plant Inspection by the Department or a Department Representative -

For 100% US steel products where in-plant inspection has verified that the steel was melted and manufactured in the United States, only Form CS-4171 is required. For products where in-plant inspection has verified minimal foreign steel in accordance with Act 3 and Buy America, attach bills of lading or shipping documents for foreign steel, and attach Form CS-4171S with supporting documentation.

¨ ‘Unidentified Steel’ – Steel products that do not meet the definition of ‘‘Identifiable Steel’ and do not receive in-plant inspection as defined above. For 100% US steel products, attach supporting documentation including invoices, bills of lading and mill test reports that positively identify that the steel was melted and manufactured in the United States. For products containing minimal foreign steel in accordance with Act 3 and Buy America, attach bills of lading or shipping documents for foreign steel, and attach Form CS-4171S with supporting documentation.

7. VENDOR CLASSIFICATION (CHECK ONE BLOCK ONLY) -

¨#1 Manufacturer, Fabricator, Coater, Precaster ¨#2 Distributor, Supplier or *Private Label Company

Listed in Bulletin #15, or Producer Listed in Not Listed in Bulletin #15. Bulletin #15 or Agent listed in Bulletin #14, 41 or 42 Bulletin #14. Also, complete line 10

I certify that the above statements are true and to the best of my I certify that the material being supplied is one and the same as provided to us knowledge, fairly and accurately describe the product(s) listed. by the manufacturer listed on this document and quantities listed above are accurate.

8. By signing this document, you are certifying that this product meets the Build America, Buy America Act requirements and conforms to Section 106.11 of Publication 408.

9. NAME (print) : ____________________________________________ TITLE: ____________________________________________

COMPANY NAME : ______________________________________________ SHIPMENT/CERTIFICATION DATE: ______________

SIGNATURE : ______________________________________________________ DATE: __________________________________

10. List company that sold you the material(s) documented above: __________________________________________________________ (Complete if you checked Block # 2 on line # 7, otherwise leave blank.)

(Name of Manufacturer, Fabricator, Coater, Precaster or Producer) (Supplier Code) Must match exactly as in eCAMMS

(Company Name)

CS-4171 (2-25)

CERTIFICATE OF COMPLIANCE

www.pa.gov/penndot

By Responsible Company Offical

LOT NO. HEAT NO. QUANTITY UNIT OF

MEASURE APPROVED MATERIAL AS LISTED IN PENNDOT BULLETIN

LOT NO. HEAT NO. QUANTITY UNIT OF MEASURE APPROVED MATERIAL AS LISTED IN PennDOT BULLETIN

CS-4171 (2-25)

CERTIFICATE OF COMPLIANCE

www.pa.gov/penndot

INSTRUCTIONS

Form CS-4171 is to be completed by the party that is shipping approved material to the next destination.

Refer to Publication 2, Project Office Manual, Section B.6.3 for additional guidance in completing this Form.

1. COUNTY, LR/SR, SEC/SEG, ECMS#

Provide the project information where the material is being shipped. If information is unknown, enter N/A.

2. NAME OF MANUFACTURER, FABRICATOR, COATER, PRECASTER OR PRODUCER

- Check appropriate box: manufactured, fabricated, coated, precasted or produced as appropriate. If a single company performs more than one operation (e.g., a company manufactures and coats guiderail), more than one box may be checked.

- Also, provide the name and the supplier code of the manufacturer, fabricator, coater or precaster of the material listed in

Bulletin #15 or the name and the supplier code of the Producer of material listed in Bulletin # 14, 41 or 42.

3. MEETS SPECIFICATION REQUIREMENTS

List the specification under which the product is approved.

4. SHIPPED TO

List the name of the company to which the material is being shipped.

5. LOT NUMBER, HEAT NUMBER, QUANTITY, UNIT OF MEASURE, DESCRIPTION OF MATERIAL

List the unique Lot Number and Heat Number for the product, the quantity (with unit of measure) being shipped to the project or next destination, and a description of the approved material as listed in PennDOT Bulletin #14, 15, 41, or 42.

For those items that do not pertain to the material being shipped, enter N/A.

6. CHECK THIS BLOCK IF YOUR PRODUCT CONTAINS IRON OR STEEL

- Check box if your product contains iron or steel, and complete the additional check boxes. If your product does not contain iron or steel, skip to Item# 7.

- Check one of the two boxes to indicate whether the product is composed of 100% US steel or whether it contains the minimum allowed foreign steel.

- Check one of the three boxes to indicate whether your product is identifiable steel, unidentified steel, or receives in-plant inspection by the Department or Department Representative.

- Be sure to provide the required supporting documentation.

7. VENDOR CLASSIFICATION (CHECK ONE BLOCK ONLY)

If you are a Manufacturer, Fabricator, Coater or Precaster listed in Bulletin #15, or a Producer listed in Bulletin # 14, 41 or 42, check block # 1.

If you are a *Distributor, *Supplier or *Private Label Company of Bulletin #15 items, Bulletin #15 items or an Agent listed in Bulletin #14, check block # 2.

(* - These categories are not eligible for listing in Bulletin #15, however, you may provide material for PennDOT projects on condition that the material being shipped is listed in Bulletin #15.)

9. CERTIFICATION REQUIREMENTS, NAME & TITLE, COMPANY NAME, SHIPMENT/CERTIFICATION DATE, SIGNATURE AND DATE

Enter the required information and sign the Certificate of Compliance form. Ink signatures or electronic signatures are acceptable.

10. COMPLETE LINE # 10 ONLY IF YOU CHECKED BLOCK # 2 ON LINE # 7, OTHERWISE LEAVE BLANK List company that sold the material to you. (Company Name)

IN ADDITION:

2. & 5. Private Label Companies who complete the Certificate of Compliance form CS-4171 must identify the true manufacturer (Line 2) and the approved material (Line 5) as it is listed in Bulletin # 15 under that manufacturers listing.

After completing the Certificate of Compliance form CS-4171, maintain the original at your company’s location. A copy of the Certificate of Compliance form must accompany your material shipment to its next destination. Also, if you receive material shipments from other companies related to PennDOT projects, the accompanying Certificate of Compliance forms must be kept on file at your location. These files must be available for inspection and verification by a Department Representative for a period of not less than THREE years from the date of the last shipment.

CS-4171 (2-25)

CERTIFICATE OF COMPLIANCE

www.pa.gov/penndot

MS-NCP

MUNICIPALITY

Name of Contractor

Performance of work as specified on the above numbered contract is completed and final pavement inspection has been made by the contractor and municipality in accordance with the terms of the contract awarded.

DATE OF AWARD

Both copies of this form to be filled by the Contractor-Municipality on completion of final pavement restoration.

*DATE

for a period of one year from this date.

West Manheim Township

Signature of Contractor

Signature of Municipality

* The contractor is responsible for maintenance of permanent pavement repairs

By the affixing of my signature I hereby certify that final

NOTICE OF COMPLETION

IN REFERENCE TO PROJECT # 1204.4.04.26

accordance with the above contract # and is hereby accepted inspection has been made and all work has been performed in

FINAL COMPLETION CERTIFICATE

THIS PORTION TO BE COMPLETED BY MUNICIPALITY

Authorized Agent for the Municipality by the municipality as completed.

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COUNTY BOUNDARY

STATE BOUNDARY

TOW NSHIP BOUNDARY

CITY OR BOROUGH BOUNDARY

MUNICIPAL BUILDING

RAILROAD (IN SERVICE)

(TRACK RETAINED)

RAILROAD ABANDONED

MUNICIPALITIES

SPLIT MILEAGE BETW EEN

IMPASSABLE TOW NSHIP ROAD

LIMITED ACCESS HIGHW AY

ON TOW NSHIP ROAD

STATE MAINTAINED BRIDGE

OTHER ROAD

SEGMENT LENGTH IN MILES

TOW NSHIP ROAD, NUMBER ANDT715

.34

LEGEND

STATE ROUTE AND NUMBER

TURNBACK TOW NSHIP ROAD

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W E S T

M

IN

S T E R

A V

ROCK

R D

BLACK

M anheim W est

Pleasant Hill

Raubenstine

Hobart

SCALE

0 30001500 4500

0 1500 METERS375 750 1125

FEET

TYPE 5 MAP W EST MANHEIM TOW NSHIP

TOTAL MILES

Total

Township Road System

State Highway System

* Includes ACT 32 Turnback Mileage of 20.01

YORK COUNTY PENNSYLVANIA

7.88

68.44

76.32

REVISED PER FORM 990 DATED

PREPARED BY THE

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHW AY ADMINISTRATION

SECOND CLASS TOW NSHIP M AP

PENNSYLVANIA DEPARTMENT OF TRANSPORTATION

BUREAU OF PLANNING AND RESEARCH

4-12-22

GEOGRAPHIC INFORMATION DIVISION

IN COOPERATION WITH THE

DOCUMENTATION OF LIQUID FUELS TAX FUND MILEAGES

THIS MAP IS PUBLISHED AS A SUPPLEMENTAL

TELEPHONE: (717)787-6746

HARRISBURG, PENNSYLVANIA 17105-3451

P.O. BOX 3451

SALES STORE

PENNSYLVANIA DEPARTMENT OF TRANSPORTATION

CONTACT:

COPIES OF THIS MAP ARE AVAILABLE AT NOMINAL COST

W EST M ANHEIM

YORK COUNTY

M UNICIPAL CODE 66 232

CREATED BY RG 9-12-02 (REVISED 2-22-23)

524 WESTWOOD DR

523 WYNDFIELD DR

522 RIDGEWOOD DR

521 NORTHRIDGE DR

520 CHRISTIANS DR

519 SHAFFER CIR

518 COUNTRY LA

517 HOBART RD

516 FUHRMANS MILL RD

515 GLENVILLE RD

514 SHORBS HILL RD

513 IMPOUNDING DAM RD

512 WESTMINSTER RD

511 GRAND VALLEY RD

510 LEPPO MILL RD

509 FAIRVIEW DR

508 SMEACH DR

507 TAMMY CT

506 BRIBERRY LA

505 SUGARBOOT LA

504 MARIANNE DR

503 HILLCREST DR

502 LAWRENCE RD

501 GEETING RD

437 EASTWOOD DR

436 MARFIELD DR

435 DIANA CT

433 MUMMERT AV

432 DUBBS CHURCH RD

431 LISAWOOD CT

430 DAVID LEE DR

429 MORNING MIST LA

428 ROMAN LA

427 KNOLLWOOD LA

426 RUHLMAN DR

425 PATWILL PL

424 LONGVIEW DR

423 WATERVIEW RD

422 WILSON SPRING RD

421 KENLEE CIR

420 FOX RUN RD

419 PHEASANT RIDGE RD

418 HICKORY CT

417 HARGET DR

416 COLONIAL CT

415 HERITAGE DR

414 LEE ANN CT

413 UTZ DR

412 RICKEY DR

411 MICHELLE WAY

410 LAKEVIEW TER

409 SUNSET DR

408 HUNTMASTER DR

407 WARNER RD

406 TRACEY RD

405 ROSS RD

404 MUSSELMAN RD

403 TOLL GATE RD

402 PLEASANT HILL RD

401 BAIR CIR

400 OAKWOOD DR

378 BANKARD RD

365 CRYSTAL CLEAR DR

364 SWIFTWATER DR

363 WATER GARDEN DR

362 WATERFALL DR

361 RESERVOIR HEIGHTS DR

360 SAINT GEORGIA DR

359 FLANDERS CT

358 MALEK DR

356 LOUVAIN DR

355 SIMPSON DR

354 NACE DR

353 STARLITE DR

352 FIRMIN WAY

351 WINIFRED DR

350 BRUNSWICK DR

349 RIDGE RD

347 KNOBBY HOOK DR

346 YARA WAY

345 JOSHUA CT

344 SAINT RENE LA

343 VISTA LOOP

342 CIRCLE DR

341 AARON CT

340 COLONIAL DR

339 SARA LA

338 ZACHARY DR

337 DUNMORE DR

336 GALWAY DR

335 WINDY CT

334 MENLENA CIR

333 CASINO DR

332 SHADY LA

331 EL VISTA DR

330 VEGAS DR

329 CASINO CT

328 WANDA DR

327 VALLEY VIEW DR

326 SKYLITE DR

325 MISTY CT

324 LINDA DR

323 KRISTINE CIR

322 KIMBERLY DR

321 KEVIN DR

320 ART DR

319 LINDSAY LA

318 LAKEVIEW CIR

317 HIGHVIEW DR

316 HEMLER DR

315 PANORAMA LA

314 BONNIE CT

313 JOSHUA DR

312 BECK MILL RD

311 GARRETT RD

310 HOFFACKER RD

309 PUMPING STATION RD

308 SHERMANS CHURCH RD

307 LILLY SPRING RD

306 FROGTOWN RD

305 OAK HILLS DR

304 DEER RD

303 RAUBENSTINE RD

302 KREIDERS SCHOOLHOUSE RD

301 SAINT BARTHOLOMEW RD

300 BAND HALL HILL RD

CAM

Line

CAM

Line

CAM

Text Box T-300

CAM

Text Box T-300

CAM

Highlight

CAM

Highlight

510 LEPPO MILL RD

CAM

Callout Leppo Mill Road (T-510)