1-Hill Rd Bid Package.pdf
PDF 6 MB Posted
- Attached to
- Earl Township Hill Road Storm Sewer Project
- Solicitation number
- Not on record
- Issued by
- Berks County, Pennsylvania
About this file
Summary of Earl Township Hill Road Storm Sewer Project Bid Package
This is a bid package and invitation to bidders issued by the Earl Township Board of Supervisors in Berks County, Pennsylvania, for the Hill Road Storm Sewer Project. The scope of work includes installation of 649 linear feet of 24-inch HDPE pipe, 26 linear feet of 15-inch HDPE pipe, 6 Type 1 M-Top inlet boxes, 2 endwalls, pavement restoration, swale grading, and related incidental work as detailed in the contract specifications. Bid proposals must be submitted through the PennBID online system no later than 11:00 AM on Thursday, July 16, 2026, with proposals to be opened and read aloud at 11:30 AM the same day. The Earl Township Board of Supervisors will award or reject the contract during their meeting on Monday, July 20, 2026, at 7:00 PM at the Earl Township Building, 19 Schoolhouse Road, Boyertown, PA 19512. All work must be completed by October 31, 2026. No pre-bid meeting or site visit is explicitly mandated, though bidders are expected to have examined the plans, specifications, and project site as part of their proposal preparation.
Bidders must submit a certified check or bid bond equal to 10 percent of their bid amount, along with a workman's compensation affidavit, proof of insurance, CDL compliance certificate, public works verification form, and anti-collusion affidavit. The successful bidder will be required to furnish a 100-percent performance bond and 100-percent payment bond within 20 days of contract award. Pennsylvania Prevailing Wage Rates apply to all work on the project. Liquidated damages are assessed at $500.00 per calendar day for work not completed by the deadline. No specific budget amount is disclosed in the invitation, and no set-asides for disadvantaged businesses are mentioned. The contract documents are available exclusively through the PennBID system, and all submissions must be made through that platform. Earl Township reserves the right to reject any or all bids and to waive defects, errors, or irregularities in bids received.
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INVITATION TO BIDDERS
Bid proposals will be received by the Earl Township Board of Supervisors until 11 AM, prevailing time, Thursday, July 16, 2026 via PennBID (www.pennbid.bonfirehub.com) only for the following scope of work:
Earl Township Hill Road Storm Sewer Project – Include installation of 649 LF of 24” HDPE, 26 LF of 15” HDPE, 6 Type 1 M-Top Inlet boxes, 2 endwalls, pavement restoration, swale grading and other incidental work as specified in the Bid Documents
Proposals will be opened via PennBID on Thursday, July 16, 2026, at 11:30 AM. The contract will be awarded or rejected during the Earl Township Board of Supervisors meeting held on Monday, July 20, 2026 at 7:00 p.m. at the Earl Township Building, 19 Schoolhouse Road, Boyertown, PA 19512.
Contract documents are available through the PennBID system and all required items shall be submitted through PennBID based upon contract documents.
All work must be completed by October 31, 2026. Liquidated damages apply at a rate of $500.00 per calendar day.
Pennsylvania Prevailing Wage Rates apply to this Contract.
A certified check or bank draft, payable to Earl Township or a satisfactory bid bond executed by the bidder and acceptable sureties in an amount equal to ten percent (10%) of the bid shall be submitted with the bid. In addition, the following documents must be included with the bid package: workman’s compensation affidavit, proof of insurance, CDL compliance certificate, public works verification form and anti-collusion affidavit.
A performance bond or certified check in the amount of 100% of the contract price as well as the payment bond and official insurance certificate shall be furnished by the successful bidder within 20 days after contract is awarded.
Earl Township reserves the right to reject any or all bids submitted or any part thereof or item therein that may not be in the public’s best interest. The Township also reserves the right to waive any defects, errors, omissions, irregularities or informalities in bids received.
Township of Earl Janice Haller Secretary-Treasurer http://www.pennbid.bonfirehub.com/
317MS-944 02-01 PROPOSAL & CONTRACT (THIS PROPOSAL INCLUDES
(WHEN EXECUTED) INSTRUCTIONS TO BIDDERS)
A. DEPOSIT OF PROPOSALS.
Bids shall be submitted via PennBID for EARL TOWNSHIP “Hill Road Storm Sewer Project” Municipality Name and Type for Letting of
July 16, 2026 JANICE HALLER Date Secretary
Sealed Proposals will be received on or before 11:00 A.M., on July 16, 2026 via PennBID 19 SCHOOLHOUSE RD Time Address
Bids will be opened and read at approximately BOYERTOWN, PA 19512 11:30 A.M. on the above Bid Date. Proposals must be submitted via PennBID.
1. The contractor proposes to furnish and deliver all materials (including Form TR-465. Daily Bituminous Mixture Certification) and to do and perform all work in the bid for the following project as more specifically set forth in the Bid Line Items (Attachment), in accordance with drawings and specifications and bid table on file on PennBID as well as the supplements and special requirements contained herein and/or attached hereto and current PennDOT specifications (Publication 408), bidders need to be prequalified by PennDOT (Sec. 102.01), except (a) Marshall testing of bituminous paving materials is not required (Sec. 401).
2. If designated as the successful bidder, the contractor may begin work on the date specified in the notice to proceed, or as otherwise provided in the special requirements, and will complete all work on or before October 31, 2026. If work is not completed per the above deadlines, liquidated damages will be assessed at the rate of $_500.00 per additional calendar day.
3. Accompanying this proposal is a certified check or bid Bond in the amount of 10% of the bid 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 requirement of the proposal.
B. PROPOSAL OF: _____________________________________________________________________________ Name of Contractor
Address
CONTRACTOR’S CERTIFICATION
It is hereby certified as follows:
1. The only person(s) interested in this 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.
4. 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 prices listed on the Schedule of Prices (Attachment 1).
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5. 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.
6. The contractor will provide the municipality with a 100% performance bond, conditioned upon the faithful performance of the contractor in accordance with the plans, specifications and conditions thereof, and a 100% 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 Work’s Contractors’ Bond Law of 1967; These items shall be submitted within 20 days of notice of award.
7. The contractor, with the bid submission, shall include a signed copy of the project specifications, an affidavit accepting the provisions of the Workmen’s Compensation Act of 1915, as amended, an insurance certificate, an anti-collusion affidavit, a public works employment verification form and CDL compliance certificate.
8. “The parties agree that the relationship between the Contractor and Earl Township is one of independent contractor and not the employer/employee and that the individual employees of the Contractor who will be performing the work pursuant to this contract are not employees of Earl Township. Contractor hereby certifies, represents and warrants to the Township that all persons performing any aspect of the work pursuant to this Contract who are required to have commercial driver’s license are subject to a program for drug and alcohol testing in accordance with the Omnibus Transportation Employee Testing Act of 1991 and the federal regulations adopted pursuant thereto.”
Contractor
WITNESSED OR ATTESTED BY:
BY:______________________________________
Title (Seal)
Title
SEAL
TO BE EXECUTED ONLY IN THE EVENT THE ABOVE PROPOSAL IS ACCEPTED
ACCEPTED ON:_______________________________________
Date
Municipality
ATTESTED BY:
________________________________________ BY:_______________________________________ Title Title
SEAL
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ATTACHMENT #1
County: Berks Municipality: Earl Township Project No.: Hill Road Storm Sewer
Project T
H
IS
P O
R T
IO
N
T O
B E
C
O M
P L
E T
D
Y T
H E
M U
N
IC
IP
A
L
IT
LOCATION OF WORK
Hill Road between 36 Hill Road and Alder Ln, in Earl Township.
DESCRIPTION OF WORK:
As indicated below and in Attachments. Refer to all site drawings, details and notes. Refer to attached detailed scope of work for further explanation of line items below. Follow PADOT Pub. 408.
ESCALATOR CLAUSE:
Per Pub. 408 Section 110.04 Current Edition. Bituminous Price Adjustment applies to this contract.
Contractor required to supply Form CS-1-PA when applicable. Bid index is June 2026.
BID LINE ITEMS
1.Item
No.
2. Approx.
Quantities
3.
Units
4.*Description
LS
EA
LF
SY
SY
Mobilization
Type 1 Inlet Boxes
Standard Type M Inlet Tops w/ Bicycle Safe Grates
24” HDPE including stone backfill
Type DW Headwall for 24” HDPE Pipe
15” HDPE including stone backfill
Pavement Restoration
Removal of existing 15” CMP & HDPE Pipes
Swale grading along roadside between inlets
36 Hill Road Driveway Restoration
Seeding, Matting and Stabilization of all Disturbed Areas
Survey for Site Layout
Traffic Control
24” Compost Filter Sock
Filter Bag Inlet Protection
Stone & Concrete Block Inlet Protection
Stone Inlet Protection w/ Berm
R-4 Riprap Apron
ONLY
ENTER
PRICING
IN
PENNBID
ONLY
ENTER
PRICING
IN
PENNBID
*DESCRIPTION
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.
3 – 1
Project
Attachment 1-A
SPECIFICATIONS AND SPECIAL PROVISIONS TO CONTRACT MS-944
CONTAINS IMPORTANT INFORMATION FOR THE CONTRACTOR(S)
The Prime Contractor(s) and subcontractors must comply with all of the following provisions:
TRAFFIC CONTROL
- Traffic Control and Safety Devices to be provided by the Contractor(s). (PA. DEPART. OF TRANS. Publication 213, WORKZONE TRAFFIC CONTROL, CURRENT EDITION.)
- The Contractor(s) may close one lane of the roadway provided sufficient traffic control / flagging is in place.
BIDDING
- All questions shall be submitted through PennBID and will be answered through PennBID.
- Bids must be submitted through PennBID only. All required bid documents shall be uploaded to PennBID as part of the bid submission
- Completion of Non-Collusion Affidavit, Public Work Verification, Insurance Certificate, and Workman’s Compensation affidavit required.
- Contractor(s) to supply proof of CDL Drug and Alcohol Compliance.
- The successful bidder(s) must provide a 100% Performance Bond and a 100% Payment Bond within 20 days of the award of the contract.
- Future award of Contracts will be based on quality of work as determined by the Municipality.
- Pennsylvania Prevailing Wage Rates apply to this project
GENERAL
- The Contractor(s) shall notify the Municipality and public five (5) calendar days prior to the start of the project.
- Work to start on or after issuance of Notice to Proceed and all work to be completed on or before October 31, 2026. After
10/31/26, liquidated damages apply at $500/day.
- A pre-construction meeting prior to start of construction with the Township and Township Engineer will be mandatory and the Contractor’s and any Sub-Contractor’s on-site foreman must attend. The Contractor(s) will schedule this meeting with the Municipality at least 3 calendar days prior to the start of the project.
- Municipality will inspect the project.
- Contractor(s) is (are) responsible for defects that occur within eighteen months of applications.
- Final Completion Certificate & Notice of Completion required.
- Contractor’s equipment may not leave project location until the contracted work has been completed.
- Delivery tickets shall be submitted for all materials.
- CS-4171 Certificate of Compliance required for all materials.
- Submit Bill of Lading for each shipment of bituminous material per Section 702.1(c) of PENNDOT Spec. Form 408.
- Submit Bill of Lading for each shipment of concrete material per Section 701.1(c) of PENNDOT Spec. Form 408.
- Municipality reserves the right to limit work completed.
- Municipality reserves the right to procure material which best suits their requirements after all bids and items are reviewed.
- 4 -
Project
Attachment 1-A
SPECIFICATIONS AND SPECIAL PROVISIONS TO CONTRACT MS-944
CONTAINS IMPORTANT INFORMATION FOR THE CONTRACTOR(S)
CONSTRUCTION
- Refer to all project drawings, details and additional project specifications contained in the bid documents
- Where Contract references current PennDOT specifications (Publication 408) or PennDOT Specifications Form 408, the latest edition in effect at time of letting of contract shall apply.
- Contractor to work within road right-of-way (33’ wide).
- Township Engineer or designee must witness / inspect / approve stone backfill compaction efforts for permanent restoration.
- Incidental preparation and clean up required by Contractor. (Project Construction Materials)
- Contractor to remove all excess material from the project site.
- Contractor is responsible for proper disposal of all materials being removed as part of this project.
BITUMINOUS PAVING
- Complete all testing in accordance with PENNDOT Specifications Form 408 Section 401 except Marshall Testing.
- Tack Coat is required per Section 460 / 409 of PennDOT Specifications Form 408 and is incidental to paving.
- Bituminous Seal on all abutting pavement, manholes, inlets and curbs required after wearing course.
- Saw cut or Milled Paving Notch per RC-28M is required and incidental to paving.
- Roadway is to be power broomed by the Contractor prior to start of paving.
My signature signifies that I have read and understand the above conditions and 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.
________6/17/26__________
Contractor’s Representative Date Municipality’s Representative Date
______________________________________________ _____ EARL TOWNSHIP_ _
Company Municipality
- 5 -
HW-1 TW 541.00
Inv In/out (24") 538.00 Station Type Length (LF) Slope (%)
I-1 T/G 536.50 HW-1 to I-1 24" HDPE 40 12.5 Type 1 Box, Type M Top Inv In (24") 533.00
Inv Out (24") 532.80
I-2 T/G 518.50 I-1 to I-2 24" HDPE 139 12.8 Type 1 Box, Type M Top Inv In (24") 515.00
Inv Out (24") 514.80
I-3 T/G 513.85 I-2 to I-3 24" HDPE 164 2.7 Type 1 Box, Type M Top Inv In (15" HDPE) 510.48 End-I-3 15" HDPE 26 5.3
Inv In (24") 510.30 Inv Out (24") 510.10
I-4 T/G 512.00 I-3 to I-4 24" HDPE 38 4.2 Type 1 Box, Type M Top Inv In (24") 508.50
Inv Out (24") 508.30
I-5 T/G 506.00 I-4 to I-5 24" HDPE 168 3.8 Type 1 Box, Type M Top Inv In (24") 502.00
Earl Township Hill Road
New Pipes
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363-2134-008 / March 31, 2012 / Page 99
STANDARD CONSTRUCTION DETAIL # 4-16
Filter Bag Inlet Protection - Type M Inlet
Adapted from PennDOT RC-70, 2008 Edition
Maximum drainage area =½ acre.
Inlet protection shall not be required for inlet tributary to sediment basin or trap. Berms shall be required for all installations.
Rolled earthen berm in roadway shall be maintained until roadway is stoned. Road subbase berm on roadway shall be maintained until roadway is paved. Earthen berm in channel shall be maintained until permanent stabilization is completed or remain permanently.
At a minimum, the fabric shall have a minimum grab tensile strength of 120 lbs., a minimum burst strength of 200 psi, and a minimum trapezoidal tear strength of 50 lbs. Filter bags shall be capable of trapping all particles not passing a No. 40 sieve.
Inlet filter bags shall be inspected on a weekly basis and after each runoff event. Bags shall be emptied and rinsed or replaced when half full or when flow capacity has been reduced so as to cause flooding or bypassing of the inlet. Damaged or clogged bags shall be replaced. A supply shall be maintained on site for replacement of bags. All needed repairs shall be initiated immediately after the inspection. Dispose accumulated sediment as well as all used bags according to the plan notes.
DO NOT USE ON MAJOR PAVED ROADWAYS WHERE PONDING MAY CAUSE TRAFFIC
HAZARDS.
363-2134-008 / March 31, 2012 / Page 274
STANDARD CONSTRUCTION DETAIL # 11-1
Erosion Control Blanket Installation
Source Unknown
Seed and soil amendments shall be applied according to the rates in the plan drawings prior to installing the blanket.
Provide anchor trench at toe of slope in similar fashion as at top of slope.
Slope surface shall be free of rocks, clods, sticks, and grass.
Blanket shall have good continuous contact with underlying soil throughout entire length. Lay blanket loosely and stake or staple to maintain direct contact with soil. Do not stretch blanket.
The blanket shall be stapled in accordance with the manufacturer’s recommendations.
Blanketed areas shall be inspected weekly and after each runoff event until perennial vegetation is established to a minimum uniform 70% coverage throughout the blanketed area. Damaged or displaced blankets shall be restored or replaced within 4 calendar days.
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INLET I-1
INSTALL TYPE 1 M INLET
INV IN: 533.0
INV OUT: 532.8
T/G: 536.5
INLET I-2
INSTALL TYPE 1 M INLET
INV IN: 515.0
INV OUT: 514.8
T/G: 518.5
INLET I-3
INSTALL TYPE 1 M INLET
INV IN NEW 15" HDPE: 510.48
INV IN: 510.3
INV OUT: 510.1
T/G: 513.85
EX 15" CMP PIPE
TO BE REMOVED
INSTALL NEW
15" HDPE PIPE
26 LF @ 5.3%
INLET I-5
INSTALL TYPE 1 M INLET
INV IN: 502.0
INV OUT: 501.8
T/G: 506.0
INLET I-6
INSTALL TYPE 1 M INLET
INV IN: 501.0
INV OUT: 500.8
T/G: 505.50
HEADWALL HW-1
INSTALL DW HEADWALL
INV IN: 538.0
TW: 541.0
40 LF OF 24"
HDPE @ 12.5%
RESTORE DRIVEWAY
AFTER PIPE
INSTALL
139 LF OF 24"
HDPE @ 12.8%
164 LF OF 24"
HDPE @ 2.7%
38 LF OF 24"
HDPE @ 4.2%
168 LF OF 24"
HDPE @ 3.8%
48 LF OF 24"
HDPE @ 4.8%
U
R
C
I
N
U
INLET I-4
INSTALL TYPE 1 M INLET
INV IN: 508.5
INV OUT: 508.3
T/G: 512.0
52 LF OF 24"
HDPE @ 1.5%
REMOVE EXISTING
15" HDPE (54 LF)
UNDER ROADWAY
ENDWALL EW-1
INSTALL DW ENDWALL
INV OUT: 498.5
TW: 502.0
RIPRAP APRON RR-1
R-4 18" DEPTH
10' LONG X 10' WIDE AT END
I
P
I
P
I
P
I
P
I
P
I
P
22 LF OF 24" CFS
156 LF OF 24" CFS
172 LF OF 24" CFS
45 LF OF 24" CFS
171 LF OF 24" CFS
26 LF OF 24" CFS
REVISIONS
DRAWN CHECK SCALE
AS NOTED
PLAN NO.
SHEET
2026 HNT, LLC
C
06/18/2026
25-094
OF 03
Situate In:
Earl Township
Berks County, Pennsylvania
297 SUEDBERG ROAD, SUITE #7, PINE GROVE, PA 17963
(570) 345-8288 FAX: (570) 345-8299
EXISTING GROUND CONTOUR LINE
PLAN LEGEND
PROPOSED FEATURE
EXISTING FEATURE
SLANT LETTERING
VERTICAL LETTERING
PROPERTY LINE
RIGHT-OF-WAY LINE
STORM SEWER IMPROVEMENT
PLAN
FOR
HILL ROAD
NOTES:
1. BOUNDARY LOCATIONS ARE REPRESENTED BY TAX
PARCEL MAPPING.
2. ROAD RIGHT-OF-WAY DEPICT HILL ROAD AS 50'
RIGHT-OF-WAY
3. PA STATE PLANE SOUTH COORDINATE SYSTEM GPS
RTK
4. ELEVATION DATUM NAVD88
5. ALL INLETS SHALL BE TYPE 1
6. STORM SEWER PIPE LENGTHS ARE COMPUTED FROM
CENTER OF INLET BOX TO CENTER OF INLET BOX.
- STOP -
CALL BEFORE YOU DIG
PENNSYLVANIA ONE CALL SYSTEM, INC.
3 WORKING DAYS NOTICE IS THE LAW!
1-800-242-1776
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EF
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LOCATION MAP
1" = 2,000'
PROJECT
AREA
0 30 60 90
24" COMPOST FILTER SOCK
IP
-1
IP
-1
IP
-2
INLET PROTECTION (DETAIL 4-16)
INLET PROTECTION (DETAIL 4-18)
INLET PROTECTION (DETAIL 4-20)
Heath Machamer 6/18/2026
REVISIONS
DRAWN CHECK SCALE
AS NOTED
PLAN NO.
SHEET
2026 HNT, LLC
C
06/18/2026
25-094
OF 03
Situate In:
Earl Township
Berks County, Pennsylvania
297 SUEDBERG ROAD, SUITE #7, PINE GROVE, PA 17963
(570) 345-8288 FAX: (570) 345-8299
STORM SEWER IMPROVEMENT
PLAN
FOR
HILL ROAD
RIPRAP APRON AT PIPE OUTLET
WITH FLARED END SECTION OR ENDWALL
NOTES:
ALL APRONS SHALL BE CONSTRUCTED TO THE DIMENSIONS SHOWN. TERMINAL WIDTHS
SHALL BE ADJUSTED AS NECESSARY TO MATCH RECEIVING CHANNELS.
ALL APRONS SHALL BE INSPECTED AT LEAST WEEKLY AND AFTER EACH RUNOFF
EVENT. DISPLACED RIPRAP WITHIN THE APRON SHALL BE REPLACED IMMEDIATELY.
0% SLOPE
PLAN VIEW
SECTION Y-Y
SECTION Z-Z
AI
AI
Atw
Pd
Rt
Aiw
Pd
Y Y
Z
Z
OUTLET
NO.
PIPE
DIA
Pd
(IN)
RIPRAP APRON
SIZE
R-_
THICK.
Rt
(IN)
LENGTH
Al
(FT)
INITIAL
WIDTH
Aiw
(FT)
TERMINAL
WIDTH
Atw
(FT)
PADEP STANDARD CONSTRUCTION DETAIL #9-1
GEOTEXTILE
0% SLOPE
GEOTEXTILE
24 R-4 18 10 6 10
RR-1
-SIDE VIEW-
-PLAN VIEW-
-ISOMETRIC-
TOP RISER SECTION
33"
43"
8"
26"
26"
30°
52"
8"
26"
12"
6"
8"
PIPE ∅
6"
NOTES:
1. HEADWALLS, ENDWALL, AND END SECTIONS
SHALL BE SET ON A MINIMUM OF 12" AASHTO
NO. 57 (PENNDOT 2B) COARSE AGGREGATE.
NO SCALE
TYPE D-W ENDWALL DETAIL
1' MIN.
L
NO SCALE
W
ENDSECTION DETAIL
(AS MANUFACTURED BY ADS OR APPROVED EQUAL)
-SIDE-
B
-TOP-
A
H
P
I
-END-
A
L
H
PIPE DIA A Bmax H L W
12", 15" 6.5" 10" 6.5" 25" 29"
18" 7.5" 15" 6.5" 32" 35"
24" 7.5" 18" 6.5" 36" 45"
30" 10.5" NA 7.0" 53" 68"
36" 10.5" NA 7.0" 53" 68"
ENDSECTION DIMENSIONS
NOTE: USE ENDSECTION WITH
COLLAR ABOVE PIPE FOR SOIL
CONTAINMENT (WHERE AVAILABLE)
PRECAST INLET BOX BASE PREPARATION
NO SCALE
NO SCALE
(RC-34) PRECAST CONCRETE INLET BOXES
1. ALL CAST-IN-PLACE INLET TOPS SHALL CONFORM TO THE SHAPE
AND DIMENSIONS AS SHOWN ON THE STANDARD, AND AT THE OPTION
OF THE CONTRACTOR, MAY BE MONOLITHIC WITH THE INLET BOX.
2. CONCRETE TOP UNITS WHICH SEAT THE GRATE DIRECTLY WITHIN
THE
UNIT SHALL UTILIZE 1-1/4" X 1-1/4" ANGLES EMBEDDED IN THE
CONCRETE AS A BEARING AREA FOR THE GRATE.
3. THIS STANDARD DEPICTS THE SHAPE AND DIMENSIONS REQUIRED
FOR
UNIFORMITY AND COMPATIBILITY. IT IS NOT INTENDED TO SHOW THE
DETAILS REQUIRED FOR MANUFACTURING AND HANDLING. ONLY THOSE
ITEMS WHICH ARE SUPPLIED BY AN APPROVED MANUFACTURER AS
LISTED IN PA BULLETIN NO. 15 WILL BE PERMITTED.
4. THE SELECTION OF COMPONENTS TO ACHIEVE A SPECIFIED INLET
TYPE
IS THE CONTRACTOR'S RESPONSIBILITY.
5. PIPES SHALL BE LOCATED AS REQUIRED.
6. WEEP HOLES SHALL BE INSTALLED AS REQUIRED BY SECTION 605,
PA DOT FORM 408.
7. GRADE ADJUSTMENT RINGS MAY BE OF MASONRY OR PRECAST
CONCRETE CONSTRUCTION, AS APPROVED.
8. INLET BOX SHALL EITHER CAST-IN-PLACE CONCRETE, OR PRECAST
CONCRETE.
9. REFER TO PA DOT BUREAU OF DESIGN STANDARDS RC-34M.
10. ALL NEW CONSTRUCTION SHALL BE IN ACCORDANCE WITH PADOT
PUBLICATION 408, SECTION 605 & STANDARDS FOR ROADWAY
CONSTRUCTION, RC-34M. CONTRACTOR SHALL VERIFY INLET BOX
SIZING BASED ON PIPE SIZES AND ALIGNMENT PRIOR TO ORDERING
PRECAST STRUCTURES.
11. ALL DRAINAGE STRUCTURES SHALL HAVE POURED-IN-PLACE
CONCRETE
CHANNEL BOTTOMS.
12. SEAL AROUND UNIT TOP AND PAVING (ALL UNITS) WITH AC-20.
13. INLETS DEEPER THAN 6 FT. FROM TOP OF GRATE SHALL BE
EQUIPPED WITH METAL STEPS.
14. ALL INLET TOPS SHALL BE CONSTRUCTED WITH A 2" SUMP (10"
REVEAL AT ALL INLETS TO MATCH 8" CURB REVEAL ELSEWHERE).
15. FOR DOUBLE INLET BOX CONFIGURATION, REMOVE CENTER
KNOCKOUT PANELS AND GROUT JOINT CLOSED. JOINED STRUCTURE
SHALL HAVE POURED-IN-PLACE CONCRETE CHANNEL BOTTOM WITH
INVERT PER PLAN.
16. PLACE SUBBASE MATERIAL MEETING THE REQUIREMENTS OF
PENNDOT PUBLICATION 408, SECTION 350.2, IN LAYERS OF 4" THICK,
COMPACTED TO A DENSITY SATISFACTORY TO THE BOROUGH ENGINEER
(SEE DETAIL A).
(RC-34) PRECAST CONCRETE
TYPE M INLET TOP DETAIL
#4 BARS2-12"1-12"
6"
8"
24"
-SECTION-
-PLAN-
48-14"
57-14"
STRUCTURAL STEEL
GRATE (BICYCLE SAFE)
NO SCALE
PROVIDE ONE LAYER
OF REINF. BARS
(0.12 SQIN/FT.)
EACH WAY MIN
#4 BARS 12" C. TO C. (TYP)
EACH WAY TOP & BOTTOM
OR 0.20 SQIN/FT W.W.F.
(6" MAX SPACING)
PROVIDE ONE LAYER
OF REINF. BARS
(0.12 SQIN/FT.)
EACH WAY MIN
#4 BARS 12" C. TO C. (TYP)
EACH WAY TOP & BOTTOM
OR 0.20 SQIN/FT W.W.F.
(6" MAX SPACING)
38"
COVER ADJUSTMENT SLAB
TYPE 1
SECTION B-B
6" MIN
6"
M A X
H E I G H T
4" MIN
M I N
6"
A
T Y P
57-1/4"
STANDARD BOX
A
B
6" MIN
M A X
O D
M A X
H E I G H T
6" (TYP)
36" ∅ MAX
FOR RCP
STANDARD BOX EXPANDED IN
THE SHORT DIRECTION
TYPE 1
M A X
O D
SECTION A-A
B
57-1/4"
INLET NOTES
(RC-34) STRUCTURAL STEEL GRATE
BICYCLE SAFE
1/4" MIN
(TYP)
1/4" MIN
6 TRANSVERSE RODS
AT 3-5/8" C. TO C. (TYP)
3/8"∅ x 46-1/4" ROD
SECTION A-A
3' 11-3/4"
A
1-1/4"
3/4"
NO SCALE
26 BEARING BARS
AT 1-3/4" C. TO C. (TYP)
1/2" x 2-1/2" x 25" BAR
S E C T I O N
B B
A
B
3/4"
B
3/4"
2-1/2"
4"MIN.
MAX.
9'-0"
HEIGHT
A A
A
A
A A
7"
6"MIN.
COVER ADJUSTMENT SLAB
TYPE 2
SECTION C-C
PROVIDE
ONE LAYER OF
REINF. BARS
(0.12 in /FT.)
EACH WAY MIN.
AA
6"
A AAA
6"59.25"
DETAIL A
SUBBASE MATERIAL
12" MIN. SEE NOTE 16
COVER ADJUSTMENT SLAB
SECTION G-G
NO SCALE
TYPE 1
N
M I N
SECTION F-F
71 1/4''
57 1/4''
FF
57 1/4''
#5 BARS
6''
45 1/4''
SUPERPAVE ASPHALT MIXTURE DESIGN HMA
9.5MM WEARING COURSE, PG 64-22, 0.3 TO 3.0
MILLION ESALS, 1.5" DEPTH
SUPERPAVE ASPHALT MIXTURE
DESIGN HMA 25MM BASE COURSE,
PG 64-22, 0.3 TO 3.0 MILLION
ESALS, 5" DEPTH
PENNDOT 2A MODIFIED STONE
COMPACTED IN 6" LAYERS
EARL TOWNSHIP
TRENCH RESTORATION DETAIL
NOTES:
1. EXPOSED VERTICAL AND
HORIZONTAL SURFACES SHALL BE
PREPARED AS PER PUB 408,
SECTION 409.3.(g)
2. MINIMUM 1' PAVEMENT CUTBACK,
EXCAVATE OLD AND TEMPORARY
MATERIAL. RECOMPACT SUB-GRADE,
TACK COAT ALL VERTICAL EDGES.
INSTALL BASE COURSE AND
WEARING COURSE ON SEPARATE
DAYS.
3. TOWNSHIP ENGINEER MUST
OBSERVE STONE BACKFILL
COMPACTION.
4. MATCH EXISTING PAVING DEPTHS IF
GREATER.
5. HOT SEAL ALL EDGES W/ 12" WIDE
PG 64-22.
6. CLEAN FILL SHALL HAVE NO STONE
SIZE LARGER THAN 6".
1' MIN
6" MIN
1' MIN
6" MIN
CLEAN FILL COMPACTED IN 8"
LAYERS
PENNDOT 2A MODIFIED STONE
COMPACTED IN 6" LAYERS6" MIN
6" MIN
12" MIN
PAVED AREAS GRASS AREAS
ROADWAY SHOULDER TO BE
SWALED A MINIMUM 2' WIDE WITH
MINIMUM 4" SWALE DEPTH TO
CONVEY RUNOFF BETWEEN
INLETS
REVISIONS
DRAWN CHECK SCALE
AS NOTED
PLAN NO.
SHEET
2026 HNT, LLC
C
06/18/2026
25-094
OF 03
Situate In:
Earl Township
Berks County, Pennsylvania
297 SUEDBERG ROAD, SUITE #7, PINE GROVE, PA 17963
(570) 345-8288 FAX: (570) 345-8299
STORM SEWER IMPROVEMENT
PLAN
FOR
HILL ROAD
INSTALLATION DETAIL
PLAN VIEW
SECTION VIEW
ISOMETRIC VIEW
NOTES:
MAXIMUM DRAINAGE AREA = 1/2 ACRE.
INLET PROTECTION SHALL NOT BE REQUIRED FOR INLET TRIBUTARY TO SEDIMENT BASIN OR TRAP. BERMS
SHALL BE REQUIRED FOR ALL INSTALLATIONS.
ROLLED EARTHEN BERM IN ROADWAY SHALL BE MAINTAINED UNTIL ROADWAY IS STONED. ROAD SUBBASE
BERM ON ROADWAY SHALL BE MAINTAINED UNTIL ROADWAY IS PAVED. EARTHEN BERM IN CHANNEL
SHALL BE MAINTAINED UNTIL PERMANENT STABILIZATION IS COMPLETED OR REMAIN PERMANENTLY.
AT A MINIMUM, THE FABRIC SHALL HAVE A MINIMUM GRAB TENSILE STRENGTH OF 120 LBS., A MINIMUM
BURST STRENGTH OF 200 PSI, AND A MINIMUM TRAPEZOIDAL TEAR STRENGTH OF 50 LBS. FILTER BAGS
SHALL BE CAPABLE OF TRAPPING ALL PARTICLES NOT PASSING A NO. 40 SIEVE.
INLET FILTER BAGS SHALL BE INSPECTED ON A WEEKLY BASIS AND AFTER EACH RUNOFF EVENT. BAGS
SHALL BE EMPTIED AND RINSED OR REPLACED WHEN HALF FULL OR WHEN FLOW CAPACITY HAS BEEN
REDUCED SO AS TO CAUSE FLOODING OR BYPASSING OF THE INLET. DAMAGED OR CLOGGED BAGS SHALL
BE REPLACED. A SUPPLY SHALL BE MAINTAINED ON SITE FOR REPLACEMENT OF BAGS. ALL NEEDED
REPAIRS SHALL BE INITIATED IMMEDIATELY AFTER THE INSPECTION. DISPOSE ACCUMULATED SEDIMENT AS
WELL AS ALL USED BAGS ACCORDING TO THE PLAN NOTES.
DO NOT USE ON MAJOR PAVED ROADWAYS WHERE PONDING MAY CAUSE TRAFFIC HAZARDS.
FLOW
Filter Bag Inlet Protection - Type M Inlet
NOT TO SCALE
PADEP STANDARD CONSTRUCTION DETAIL #4-16
W
I
D
T
H
L
E
N
G
T
H
INLET GRATE
I" REBAR FOR BAG
REMOVAL FROM
INLET
EXPANSION RESTRAINT
(1/4" NYLON ROPE)
2" x 2" x 3/4"
RUBBER BLOCK
FLOW
STORM
INLET
2:1 MAX
(TYP.)
EARTHEN BERM TO BE
STABILIZED WITH TEMPORARY
OR PERMANENT VEGETATION
2:1 MAXIMUM
BERM
3:1
6" MINIMUM
HEIGHT
DROP OR
TYPE M
INLET
PLAN VIEW
SECTION A-A
A A
BERM
FLOW
3:13:1
NOTES:
MAXIMUM DRAINAGE AREA =1 ACRE.
INLET PROTECTION SHALL NOT BE REQUIRED FOR INLET TRIBUTARY TO SEDIMENT BASIN OR TRAP. BERMS
SHALL BE REQUIRED FOR ALL INSTALLATIONS NOT LOCATED AT A LOW POINT.
ROLLED EARTHEN BERM IN ROADWAY SHALL BE PROVIDED AND MAINTAINED IMMEDIATELY DOWN GRADIENT
OF THE PROTECTED INLET UNTIL ROADWAY IS STONED. ROAD SUBBASE BERM ON ROADWAY SHALL BE
MAINTAINED UNTIL ROADWAY IS PAVED. EARTHEN BERM IN CHANNEL SHALL BE MAINTAINED UNTIL
PERMANENT STABILIZATION IS COMPLETED OR TO REMAIN PERMANENTLY.
TOP OF BLOCK SHALL BE AT LEAST 6 INCHES BELOW ADJACENT ROADS IF PONDED WATER WOULD POSE
A SAFETY HAZARD TO TRAFFIC.
SEDIMENT SHALL BE REMOVED WHEN IT REACHES HALF THE HEIGHT OF THE STONE. DAMAGED OR
CLOGGED INSTALLATIONS SHALL BE REPAIRED OR REPLACED IMMEDIATELY.
FOR SYSTEMS DISCHARGING TO HQ OR EV SURFACE WATER, A 6 INCH THICK COMPOST LAYER SHALL BE
SECURELY ANCHORED ON OUTSIDE AND OVER TOP OF STONE. COMPOST SHALL MEET THE STANDARDS IN
TABLE 4.2 OF THE PA DEP EROSION CONTROL MANUAL.
Stone And Concrete Block Inlet Protection - Type M Inlet
NOT TO SCALE
PADEP STANDARD CONSTRUCTION DETAIL #4-18
FLOW
6" MINIMUM
M I N I M U M
M I N I M U M
1' MINIMUM
X
X
BERM
STORM
INLET
SECTION VIEW
NOTES:
INLET PROTECTION SHALL NOT BE REQUIRED FOR INLET TRIBUTARY TO SEDIMENT BASIN OR TRAP. BERMS
SHALL BE REQUIRED FOR ALL INSTALLATIONS NOT LOCATED AT A LOW POINT.
ROLLED EARTHEN BERM IN ROADWAY SHALL BE PROVIDED AND MAINTAINED IMMEDIATELY DOWN GRADIENT
OF THE PROTECTED INLET UNTIL ROADWAY IS STONED. ROAD SUBBASE BERM ON ROADWAY SHALL BE
MAINTAINED UNTIL ROADWAY IS PAVED. EARTHEN BERM IN CHANNEL SHALL BE MAINTAINED UNTIL
PERMANENT STABILIZATION IS COMPLETED OR TO REMAIN PERMANENTLY.
STONE INLET PROTECTION AND BERM FOR A TYPE M INLET CAN BE USED IN ONE ACRE MAXIMUM
DRAINAGE AREA WITH 15 IN. OVERFLOW PIPE AND 4 IN. HEAD. A PERFORATED PLATE WELDED TO A
METAL RISER MAY NOT BE SUBSTITUTED FOR THE WIRE MESH. A SLOTTED PLATE WELDED TO THE RISER
MAY BE USED IN CONJUNCTION WITH THE WIRE MESH IF CALCULATIONS ARE PROVIDED TO SHOW
SUFFICIENT CAPACITY OF THE INLET TO ACCEPT THE PEAK RUNOFF FOR A 2-YEAR STORM EVENT FROM
THE TRIBUTARY DRAINAGE AREA. TOP OF PIPE SHALL BE AT LEAST 6 INCHES BELOW ADJACENT
ROADWAY IF PONDED WATER WOULD POSE A SAFETY HAZARD TO TRAFFIC. EARTHEN BERM SHALL BE
ROLLED.
SEDIMENT SHALL BE REMOVED WHEN IT REACHES HALF THE HEIGHT OF THE STONE. DAMAGED OR
CLOGGED INSTALLATIONS SHALL BE REPAIRED OR REPLACED IMMEDIATELY.
FOR SYSTEMS DISCHARGING TO HQ OR EV SURFACE WATER, A 6 IN. THICK COMPOST LAYER SHALL BE
SECURELY ANCHORED ON OUTSIDE AND OVER TOP OF STONE. COMPOST SHALL MEET THE STANDARDS IN
TABLE 4.2 OF THE PA DEP EROSION CONTROL MANUAL.
DO NOT USE ON MAJOR PAVED ROADWAYS WHERE PONDING MAY CAUSE TRAFFIC HAZARDS.
BERM
FLOW
3:13:1
INLET PROTECTION
C ROAD
L
PLAN VIEW
M I N I M U M
Stone Inlet Protection And Berm - Type M Inlet
NOT TO SCALE
PADEP STANDARD CONSTRUCTION DETAIL #4-20
2:1 MAX
6" MINIMUM
HEIGHT
GRATE
15" MINIMUM DIAMETER PIPE
AASHTO #57 STONE
GALVANIZED WIRE MESH,
11 GAUGE OR PLASTIC MESH
(1/4" MAXIMUM OPENING)
EARTHEN BERM STABILIZED
WITH TEMPORARAY OR
PERMANENT VEGETATION
15" MINIMUM DIAMETER PIPE
AASHTO #57 STONE
F
L
O
W
F
L
O
W
DISTURBED AREA
SECTION
PLAN VIEW
DISTURBED AREA
UNDISTURBED AREA
NOTES:
SOCK FABRIC SHALL MEET STANDARDS OF TABLE 4.1 OF THE PA DEP EROSION CONTROL
MANUAL. COMPOST SHALL MEET THE STANDARDS OF TABLE 4.2 OF THE PA DEP EROSION
CONTROL MANUAL.
COMPOST FILTER SOCK SHALL BE PLACED AT EXISTING LEVEL GRADE. BOTH ENDS OF THE
BARRIER SHALL BE EXTENDED AT LEAST 8 FEET UP SLOPE AT 45 DEGREES TO THE MAIN
BARRIER ALIGNMENT. MAXIMUM SLOPE LENGTH ABOVE ANY BARRIER SHALL NOT EXCEED THAT
SPECIFIED FOR THE SIZE OF THE SOCK AND THE SLOPE OF ITS TRIBUTARY AREA.
TRAFFIC SHALL NOT BE PERMITTED TO CROSS COMPOST FILTER SOCKS.
ACCUMULATED SEDIMENT SHALL BE REMOVED WHEN IT REACHES 1/2 THE ABOVE GROUND
HEIGHT OF THE BARRIER AND DISPOSED IN THE MANNER DESCRIBED ELSEWHERE IN THE PLAN.
COMPOST FILTER SOCKS SHALL BE INSPECTED WEEKLY AND AFTER EACH RUNOFF EVENT.
DAMAGED SOCKS SHALL BE REPAIRED ACCORDING TO MANUFACTURER’S SPECIFICATIONS OR
REPLACED WITHIN 24 HOURS OF INSPECTION.
BIODEGRADABLE COMPOST FILTER SOCKS SHALL BE REPLACED AFTER 6 MONTHS;
PHOTODEGRADABLE SOCKS AFTER 1 YEAR. POLYPROPYLENE SOCKS SHALL BE REPLACED
ACCORDING TO MANUFACTURER’S RECOMMENDATIONS.
UPON STABILIZATION OF THE AREA TRIBUTARY TO THE SOCK, STAKES SHALL BE REMOVED. THE
SOCK MAY BE LEFT IN PLACE AND VEGETATED OR REMOVED. IN THE LATTER CASE, THE MESH
SHALL BE CUT OPEN AND THE MULCH SPREAD AS A SOIL SUPPLEMENT.
I N
M I N
PADEP STANDARD CONSTRUCTION DETAIL #4-1
EXISTING CONTOURS
2" x 2" WOODEN STAKES
PLACED 10' O.C.
COMPOST
FILTER
SOCK
2" x 2" WOODEN STAKES
PLACED 10' O.C.
COMPOST
FILTER
SOCK
BLOWN/PLACED
FILTER MEDIA
COMPOST FILTER SOCK
NOT TO SCALE
MS-944-S (7-09)
Attachment 2
PERFORMANCE BOND
(With Corporate Surety)
KNOW ALL MEN BY THESE PRESENTS, That we, as Principal and a corporation incorporated under the laws of the State of are held and firmly bound unto
(NAME AND ADDRESS OF CONTRACTOR)
(SURETY COMPANY)
as Surety
(NAME OF STATE)
in the full and just sum of
(NAME OF MUNICIPALITY)
($ ) dollars 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.
WHEREAS, the above bounden Principal has entered into a contract with the above Municipality, bearing even date herewith, for 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 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 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.
It is further provided that any alteration which may be made in the terms of the contractor or its specifications with the express 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 forbearance being hereby waived.
IN WITNESS WHEREOF, the said Principal and Surety have duly executed this Bond under Seal, pursuant to due and legal action authorizing the same to be done on .
(DATE OF BOND)
PLACE
HERE
Attest / Witness:
CONTRACTOR
BY
TITLE:
HERE
Attest / Witness:
SURETY COMPANY
TITLE: -7-
MS-944S PAYMENT BOND Attachment 3
KNOW ALL MEN BY THESE PRESENTS, that we as PRINCIPAL and 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 maybe 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 forbearance 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 forbearance 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:
WITNESS:
SURETY COMPANY
TITLE: TITLE:
- 8 -
AFFIDAVIT RE
Attachment 4
ACCEPTING PROVISIONS OF THE WORKMEN’S COMPENSATION ACT
State of )
) ss:
County of ) he has being duly sworn according to law deposes and says that they have it has 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 .
(SURETY COMPANY)
( TYPE OR PRINT) CONTRACTOR
SIGNATURE
Sworn to and subscribed before me this day of A.D. 20 .
SIGNATURE
My Commission Expires ( DATE )
- 9 -
D-7126 ( 7-09 )
ANTI-COLLUSION AFFIDAVIT
County Berks
Municipality Earl Township
Project Number Hill Road
Storm Sewer Project
State of Fed. Project No.
( If Applicable )
County of
The undersigned deponent deposes and says that he is the ____________________ of the Company; that he is authorized to make this affidavit on behalf of said company in compliance with section 102.06 (e) of Department Specifications, Publication 408, as amended and that the said company has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with such contract.
(Contractor)
Sworn to and subscribed before me the undersigned notary public this day of , .
Notary Public
My Commission expires
- 10-
Commonwealth of Pennsylvania
Public Works Employment Verification Form
Public Works Employment Verification Office Department of General Services Bureau of Procurement 6th floor, Forum Place 555 Walnut Street
Harrisburg, PA 17101-1914
717-346-8115 ra-gsgseverify.pa.gov
Instructions: Complete and return the form to the contracting Public Body prior to the award of the contract.
Business or Organization Name (Employer)
Address
City State Zip Code
Check One:
Contractor
Subcontractor
Contracting Public Body
Contract/Project No.
Project Description
Project Location
Date enrolled in E-Verify
As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of the above 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 post January
1, 2013 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
Rev 2/15 PSATS CDL Program Form Contractor
PSATS CDL Program Suggested Clause for Independent
Contractor Contracts
It is suggested that all participants in the PSATS CDL Program include the following language in any contract with any contractor hired to do work for the participating employer.
This language puts on record that the hiring party is not responsible for ensuring that the hired party’s CDL employees are covered by a qualified drug and alcohol testing program.
It is also suggested that the employer use a “Contractor’s Statement of Compliance with
CDL Testing Program Requirements” form to obtain the required information pertaining to any contractor’s compliance with these federal regulations.
Contract Language:
“The Parties agree that the relationship between the Contractor and the Employer is one of independent contractor and not employer/employee and that the individual employees of the
Contractor who will be performing the work pursuant to this Contract are not employees of the
Employer. Contractor hereby certifies, represents, and warrants to the Employer that all persons performing any aspect of the work pursuant to this Contract who are required to have a commercial driver’s license are in a program for drug and alcohol testing in accordance with the
Omnibus Transportation Employee Testing Act of 1991 and the federal regulations adopted pursuant thereto.”
Rev 2/15 PSATS CDL Program Form Contractor
Contractor’s Statement of Compliance with
CDL Testing Program Requirements
Due to the nature of the work that this contractor may perform for this employer, this contractor must use employees who perform safety-sensitive functions for which a Commercial
Driver’s License (CDL) is typically required. Section 49 CFR 382.301(c)(2) of the federal CDL regulations requires that, prior to the first time an employer uses a CDL employee employed by another entity (i.e., a contractor to whom the township is awarding a contract), and every six months of the contract, this employer must certify that any CDL employees used by each contractor remain covered by a qualified CDL drug and alcohol testing program.
An original signed copy of this form must be permanently retained by the employer with this contract and a new form received every 6 months of the contract’s duration.
If the contractor is not participating in a qualified CDL drug and alcohol testing program at the time of the awarding of the contract, or at any six-month re-certification point, then all the contractor’s CDL employees must obtain a negative result on a pre-employment drug test before beginning (or continuing) contracted work for this employer.
Contractor Name__________________________________________________________________________
By signing here, I, as the contractor’s authorized representative, verify that the contractor named above is a current participant in the below identified CDL testing program conforming to 49 CFR Part 40.
Contractor’s Authorized Representative ________________________________________________________
Today’s Date ____/____/____
Signature of Authorized Representative ________________________________________________________
CDL Testing Program Name ________________________________________________________________
Testing Program Contact Person ____________________________________________________________
Testing Program Address __________________________________________________________________
Phone #: ( ) City ______________________________ State _____ Zip __________
Contact person confirms program conforms to 49 CFR Part 40? (_____) Yes (______) No
Contact person confirms list of contractor’s CDL employees covered in this program and that all drivers are qualified to driver under 49 CFR Part 382.301? (_____) Yes (______) No
CERTIFICATE OF INSURANCE
NAME OF INSURED
ADDRESS
COVERAGE LIMITS OF LIABILITY EXPIRATION POLICY NO.
DATE
I. WORK.MEN'S State/Federal Statutory COMPENSATION Employer's Liability $I 00,000/$500,000/$100,000
Bodily Injury Property Damage
2. COMPREHENSfVE D Comprehensive Form Each Occurrence Each Occurrence COMMERCIAL D Premises- ($2,000,000 rcq 'd) ($ 1,000,000 req 'd)
GENERAL
LIABlLITY
Operations Explosion & Collapse Annual Aggregate Annual Aggregate
D Hazard ($2,000.000 re 'd ($1,000,000 re 'd D Underground Hazard D Products/ Completed
Operations Hazard D Contractural
Insurance D Broad Form Property
D Damage Independent Contractors
D Personal Injury Including Employees Each Occurrence Aggregate
($ 1,000,000 req 'd) ($1,000,000 rcq 'd)
3. AUTOMOTfVE D Comprehensive Form Each Person Each Occurrence LIABILITY D Owned ($500,000 req 'd) ($250,000 req 'd)
Hired OR D Non-Owned
Each Occurrence Combined Single ($1,000,000 req 'd) Limit of$1,000,000
4. EXCESS LIABILITY D Umbrella Form Each Occurrence ($5,000,000) D Other Than Umbrella
Form Annual Aggregate ($5,000,000)
5. OTHER-PROPERTY D Builders Risk Full Replacement Cost INSURANCE Installation Floater
Technicon Enterprises Inc. II Earl Township
Name (print):
Running Avg. of 5
%AC
Daily No. 1
Wearing Course
Specimen #1Test Results Pass #8
Plant:
Location:
Binder Course Base Course
Signature:
Title:
Publication 408, Section:
P.O. No.
Consigned to:
Material Class:
Plant Code:
Daily No. 2
County
PennDOT Maintenance
Municipality
Contractor S.R.
Group / P.O.C. No. ECMS No.
ESALS SRL PG Grade
Section
County
Date Shipped:
Daily No. 3
Daily AASHTO T209 Density:
Pass #200
Daily Avg.
Specimen #2 Specimen #1 Specimen #2 Air Voids VMA
CS-4171B (2-16) Formerly TR-465
CERTIFICATE OF COMPLIANCE
FOR DAILY BITUMINOUS MIXTURES
Please select the Payment factor percentage below, based on Pub 408 Sec.409.4(a) Table H:
Defective Pavement: The material as listed above shipped on this date does not conform to the certification tolerances for 100% pay as listed in Pub 408 Sec. 409.2(e) Table A. QC test results are being forwarded to the Inspector-In-Charge which indicate material must be removed and replaced or accepted at 50% CUP with District Executive approval in writing. Our records attesting to this statement are open for inspection by a Department Representative for not less than THREE years from the date of shipment.
Job Mix Formula: (Year-Number):
100% Payment Factor: The material as listed above shipped on this date conforms fully with the specification requirements of the Pennsylvania Department of Transportation. Our records, attesting to this statement, are open for inspection by a Department Representative for not less than THREE years from the date of shipment.
85% Payment Factor: The material as listed above shipped on this date does not conform to the certification tolerances for 100% pay as listed in Pub 408 Sec. 409.2(e) Table A. A reduced pay factor has been applied and QC test results are being forwarded to the Inspector-In-Charge. Our records attesting to this statement are open for inspection by a Department Representative for not less than THREE years from the date of shipment.
Tons Shipped:
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…
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