1-Project Manual.pdf

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Walnut Street Sidewalks - Phase 3
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Not on record
Issued by
Mercer County, Pennsylvania

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This is a Project Manual and Invitation for Bids document for the Walnut Street Sidewalks - Phase 3 project issued by Brown Township Supervisors in Mifflin County, Pennsylvania, prepared by Buchart Horn, Inc. The project involves the installation and replacement of sidewalks and ADA ramps along Walnut Street in the Village of Reedsville. The scope of work includes removal of existing sidewalk (4,670 square feet), installation of 4-inch thick concrete sidewalk 5 feet wide (5,470 square feet), installation of three Type 4/4AA ADA ramps with detectable warning surfaces, bituminous paving (60 square feet), replacement of one existing ADA ramp, removal of one existing vinyl fence, and stump removal for nine trees. Online sealed bids will be received via PennBid until 11:00 a.m. prevailing time on Friday, June 19, 2026, with public opening and reading of bids to follow. A prebid conference will be held on Friday, June 12, 2026 at 11:00 a.m. at Brown Township Office, 22 Brown Township Drive, Reedsville, PA 17084. Bidders may be held for up to 60 days from the date of opening for bid review and investigation of qualifications prior to contract award.

Bidders must submit a certified check, bank draft, or bid bond equal to ten percent (10%) of the total bid amount along with a completed Non-Collusion Affidavit. The project utilizes Community Development Block Grant (CDBG) and federal HUD funds exceeding $200,000, requiring compliance with Davis-Bacon wage standards and prevailing wage rates. Contractors must establish employment goals of 6.9% female participation and 1% minority participation for on-site construction workforce on contracts exceeding $10,000. For contracts of $25,000 or more, contractors must strive to meet MBE goals of 5% and WBE goals of 3%. For HUD/CDBG funding exceeding $200,000, contractors must attempt to meet Section 3 minimum numerical goals of 25% Section 3 worker labor hours and 5% Targeted Section 3 worker labor hours. Bidders must submit documentary evidence of solicitations and commitments to minority and women business enterprises and Section 3 business concerns, along with a Build America, Buy America (BABA) certification. All bids must be submitted with a Statement of Bidder's Qualifications, Equal Employment Opportunity certification, Public Works Employment Verification Form confirming E-Verify compliance, and W-9 Form prior to Notice to Proceed.

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WALNUT STREET SIDEWALKS – PHASE 3

FOR:

Brown Township Supervisors

Mifflin County, Pennsylvania

May 2026

©Copyright 2026, Buchart Horn, Inc.

All Rights Reserved

CONTRACT DOCUMENTS

TABLE OF CONTENTS

PAGE

PART I - INVITATION FOR BIDS

PART II - INSTRUCTIONS TO BIDDERS

PART III – SIGNATURE DOCUMENTS

BID

STATEMENT OF BIDDER'S QUALIFICATIONS

BID BOND

NON-COLLUSION AFFIDAVIT OF PRIME BIDDER

CERTIFICATION NON-SEGREGATED FACILITIES & NON-EMPLOYMENT OF ILLEGAL ALIEN LABOR..15

PUBLIC WORKS EMPLOYMENT VERIFICATION FORM

CERTIFICATION OF BIDDER REGARDING EQUAL EMPLOYMENT OPPORTUNITY

MINORITY AND WOMEN’S BUSINESS ENTERPRISE BIDDER INSTRUCTIONS

MBE/WBE CONTRACT SOLICITATION AND COMMITMENT STATEMENT

MINORITY AND WOMEN BUSINESS ENTERPRISE BIDDER CERTIFICATION

PRIME CONTRACTOR MINORITY & WOMEN’S BUSINESS ENTERPRISE UTILIZATION REPORT………27

SUBCONTRACTOR MINORITY & WOMEN’S BUSINESS ENTERPRISE UTILIZATION REPORT………..…28

MINORITY AND WOMEN’S BUSINESS CERTIFICATION

SECTION 3 BUSINESS CONCERNS BIDDER INSTRUCTIONS

WORK FORCE NEEDS TABLE

SECTION 3 CONTRACT SOLICITATION AND COMMITMENT STATEMENT

SECTION 3 IMPLEMENTATION ACTION PLAN

SECTION 3 UTILIZATION REPORT

SECTION 3 PRIME CONTRACTOR UTILIZATION REPORT

SECTION 3 SUBCONTRACTOR UTILIZATION REPORT

SECTION 3 BUSINESS CONCERN CERTIFICATION

PRIME CONTRACTOR CERTIFICATION OF COMPLIANCE

SUBCONTRACTOR CERTIFICATION OF COMPLIANCE

PRIME CONTRACTOR SUBCONTRACTOR LISTING

W-9

PART IV - CONTRACT CONDITIONS

SECTION 1 – GENERAL

1.1 DEFINITIONS

1.2 SCOPE OF WORK

SECTION 2 – CONTRACT AND CONTRACT DOCUMENTS

2.1 GENERAL

2.2 BIDDING DOCUMENTS

2.3 CONTRACTUAL DOCUMENTS

2.4 PLANS AND SPECIFICATIONS

2.5 NOTICE OF CHANGE OF ADDRESS

2.6 ASSIGNMENT OF CONTRACT

2.7 MODIFICATION OF CONTRACT

2.8 ORAL AGREEMENTS

SECTION 3 – INSURANCE, BONDS AND RELATED MATTERS

3.1 CONTRACTOR’S LIABILITY INSURANCE

3.2 OWNER'S LIABILITY INSURANCE

3.3 PROPERTY INSURANCE

3.4 WAIVER OF RIGHTS

3.5 RECEIPT AND APPLICATION OF INSURANCE PROCEEDS

3.6 LIMITS OF INSURANCE COVERAGE

3.7 PARTIAL UTILIZATION--PROPERTY INSURANCE………………………

3.8 INDEMNIFICATION

3.9 SURETY BONDS

SECTION 4 – RESPONSIBILITY OF THE ENGINEER

4.1 GENERAL

4.2 OBSERVATION OF THE WORK

4.3 ACCEPTANCE OF WORK

4.4 ENGINEER IS OWNER’S REPRESENTATIVE

SECTION 5 – OWNER’S RIGHTS AND RESPONSIBILITIES

5.1 LANDS AND RIGHTS OF WAY

5.2 PERMITS

5.3 BASE LINES AND GRADES

5.4 OWNER’S RIGHTS TO CORRECT DEFICIENCIES

5.5 UNDERGROUND STRUCTURES

5.6 OWNER’S RIGHT TO STOP WORK OR TERMINATE CONTRACT

SECTION 6 – CONTRACTOR’S RIGHTS AND RESPONSIBILITIES

6.1 GENERAL

6.2 APPLICABLE LAWS AND REGULATIONS

6.3 PERMITS, LISCENSES AND CERTIFICATES

6.4 STRUCTURES OR WORK IN NAVIGABLE STREAMS

6.5 PERMITS AND INSPECTION CHARGES

6.6 PROJECT SIGNS

6.7 CONTRACTOR’S RIGHT TO STOP WORK OR TERMINATE CONTRACT

6.8 UNDERGROUND STRUCTURES

6.9 SURVEYS

6.10 LANDS BY CONTRACTOR

6.11 PRIVATE AND PUBLIC PROPERTY

6.12 REPORTS, RECORDS, AND DATA

6.13 MATERIALS AND EQUIPMENT – SOURCES OF SUPPLY

6.14 EXAMINATION AND TESTING

6.15 SPECIFIED BRANDS OF MATERIALS

6.16 TITLE TO MATERIALS

6.17 PATENTS, ROYALTIES, AND LICENSES

6.18 SUPERVISION BY CONTRACTOR

6.19 CONTRACTOR RESPONSIBLE UNTIL WORK COMPLETED

6.20 LIGHT, HEAT, POWER, AND WATER

6.21 SANITARY PROVISIONS

6.22 SAFETY PROVISIONS

6.23 WORK DURING AN EMERGENCY

6.24 WARNING SIGNS AND BARRICADES

6.25 PUBLIC CONVENIENCE

6.26 PROTECTION, SUPPORT, AND MAINTENANCE OF STRUCTURES

6.27 WEATHER CONDITIONS

6.28 PROTECTION AGAINST FREEZING

6.29 REMOVAL OF WATER

6.30 CONTRACTOR TO PROVIDE WATCHMEN

6.31 FIRES, SIGNS, LOADING, AND REFUSE

6.32 USE OF PREMISES AND REMOVAL OF DEBRIS

6.33 EROSION AND SEDIMENTATION CONTROL

6.34 EMPLOYMENT REQUIREMENTS

6.35 SEXUAL HARASSMENT

6.36 MINORITY AND WOMEN BUSINESS ENTERPRISES

6.37 SECTION 3 OF THE HOUSING AND URBAN DEVELOPMENT ACT OF 1968

6.38 DATE OF STARTING AND COMPLETING WORK

6.39 ORDER OF WORK

6.40 PROSECUTION OF WORK

6.41 COMPETENT WORKERS

6.42 SUBCONTRACTING

6.43 WORK BY OTHERS

6.44 COOPERATION OF TRADES

6.45 COOPERATION OF CONTRACTORS

6.46 NOTICE OF IMPERFECT WORK OR MATERIAL

SECTION 7 – PAYMENTS TO THE CONTRACTOR

7.1 DETAILED BREAKDOWN OF CONTRACT AMOUNT

7.2 PARTIAL MONTHLY PAYMENTS

7.3 RETAINAGE

7.4 PAYMENT FOR UNCORRECTED WORK

7.5 PAYMENT FOR REMOVAL OF REJECTED WORK AND MATERIALS

7.6 ESTIMATES OF ENGINEER TO BE FINAL

7.7 STATED ALLOWANCES

7.8 REQUESTS FOR EXTRA COMPENSATION

7.9 NO CHARGE FOR DELAY

7.10 LIQUIDATED DAMAGES

7.11 FINAL PAYMENT

7.12 ACCEPTANCE OF FINAL PAYMENT CONSTITUTES RELEASE

PART V - FEDERAL REQUIREMENTS

SECTION 1 – TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 (P.L. 88-352) AS STATED IN 24 CFR 570.601

SECTION 2 – EXECUTIVE ORDER 11063, AS AMENDED

SECTION 3 – EXECUTIVE ORDER 11246

3.1 CONDITIONS IF CONTRACT AMOUNT LESS THAN $10,000

3.2 CONDITIONS IF CONTRACT EXCEEDS $10,000

3.3 NOTICE OF REQUIREMENTS FOR AFFIRMATIVE ACTION TO ENSURE EQUAL

EMPLOYMENT OPPORTUNITY (EXECUTIVE ORDER 11246)

3.4 STANDARD FEDERAL EQUAL EMPLOYMENT OPPORTUNITY CONSTRUCTION CONTRACT

SPECIFICATIONS (EXECUTIVE ORDER 11246)

SECTION 4 – EQUAL OPPORTUNITY FOR VEVRAA PROTECTED VETERANS

SECTION 5 – CONTRACT WORK HOURS AND SAFETY STANDARDS ACT (40 U.S.C. 327 ET. SEQ.)

SECTION 6 – FEDERAL LABOR STANDARDS PROVISIONS

6.1 APPLICABILITY

6.2 MINIMUM WAGE RATES FOR LABORERS AND MECHANICS

SECTION 7 – SECTION 3 OF THE HOUSING AND URBAN DEVELOPMENT ACT OF 1968 (12 U.S.C. 1701U)

7.1 PROVISIONS

7.2 SECTION 3 GOALS

7.3 REQUIRED EFFORTS

7.4 RESPONSIBILITY

7.5 ACCESS TO INFORMATION

7.6 NONCOMPLIANCE

7.7 RECORDKEEPING AND REPORTING

SECTION 8 – LEAD BASED PAINT REQUIREMENTS

SECTION 9 – CLEAN AIR AND CLEAN WATER ACTS

SECTION 10 – ENERGY PROVISIONS

SECTION 11 – SECTION 109 OF THE HOUSING AND COMMUNITY DEVELOPMENT ACT OF 1974

SECTION 12 – MINORITY/WOMEN'S BUSINESS ENTERPRISE

12.1 PARTICIPATION LEVEL

12.2 RESPONSIVENESS

12.3 RESPONSIBILITY

12.4 ACCESS TO INFORMATION

12.5 MBE/WBE CERTIFICATION

12.6 RECORDKEEPING AND REPORTING

SECTION 13 – AGE DISCRIMINATION ACT OF 1975

SECTION 14 – EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES

SECTION 15 – BUILD AMERICA, BUY AMERICA (BABA)

PART VI - STATE REQUIREMENTS

SECTION 1 – PENNSYLVANIA STEEL PRODUCTS PROCUREMENT ACT (NO. 178-3)

SECTION 2 – PENNSYLVANIA HUMAN RELATIONS ACT, AS AMENDED

SECTION 3 – THE PUBLIC WORKS EMPLOYMENT VERIFICATION ACT

SECTION 4 – DEPARTMENT OF GENERAL SERVICES MBE/WBE CERTIFICATION

SECTION 5 – NONDISCRIMINATION/SEXUAL HARASSMENT CLAUSE

SECTION 6 - 2024 LIST OF EXEMPT MACHINERY AND EQUIPMENT STEEL PRODUCTS

PART VII - GENERAL SPECIFICATIONS

SECTION 1 – PROJECT SITE

SECTION 2 – TIME FOR COMPLETION

SECTION 3 – LIQUIDATED DAMAGES

SECTION 4 – RESPONSIBILITIES OF CONTRACTOR

SECTION 5 – COMMUNICATIONS

SECTION 6 – JOB OFFICES

SECTION 7 – PARTIAL USE OF SITE IMPROVEMENTS

SECTION 8 – WORK BY OTHERS

SECTION 9 – CONTRACT DOCUMENTS AND DRAWINGS

SECTION 10 – PROGRESS SCHEDULE

SECTION 11 – SUBSTITUTION

SECTION 12 – SIGNS, BARRICADES, LIGHTS

SECTION 13 – PROTECTION OF EXISTING SITE CONDITIONS

SECTION 14 – REDUCTION IN WORK

SECTION 15 – ENGINEER’S RESPONSIBILITY AND AUTHORITY

SECTION 16 – TEMPORARY SUSPENSION OF CONSTRUCTION

SECTION 17 – INTENT OF PLANS AND SPECIFICATIONS

SECTION 18 – WORK INCIDENTAL TO CONTRACT ITEMS

SECTION 19 – CONSTRUCTION RESERVATION

SECTION 20 – DAMAGE TO EXISTING CONSTRUCTION

SECTION 21 – DISPOSAL OF EXISTING MATERIALS

SECTION 22 – PUBLIC CONVENIENCE AND SAFETY

SECTION 23 – STORAGE OF MATERIALS

SECTION 24 – GENERAL GUARANTY

PART VIII - TECHNICAL SPECIFICATIONS

PART I - INVITATION FOR BIDS

The Brown Township Supervisors will receive online sealed bids for the Walnut Street Sidewalks

– Phase 3 via PennBid until 11:00 a.m. prevailing time on Friday, June 19, 2026, at which time, all bids will be publicly opened and read aloud.

Copies of the Contract Documents may be obtained at pennbid.bonfirehub.com.

A certified check or bank draft payable to the order of Brown Township, or a satisfactory Bid Bond executed by the Bidder and an acceptable surety in an amount equal to ten percent (10%) of the total of the Bid, shall be submitted with each bid. The Bidder shall include the fully completed Non-

Collusion Affidavit with the bid.

In addition to the Equal Employment requirements of Executive Order 11246 regarding discrimination, the CONTRACTOR must establish a 6.9% goal for female participation and a 1% goal for minority participation in his/her aggregate on-site construction workforce for contracts in excess of $10,000.

The Brown Township Supervisors are utilizing federal funds for this project, and Brown Township has adopted a Minority and Women Business Enterprise (MBE/WBE) plan in accordance with

Executive Orders 11625, 12138, and 12432 and a Section 3 Action Plan in accordance with Title

24 Part 75 Code of Federal Regulations. As such, the bidders/offerors must submit documentary evidence of minority and women business enterprises and Section 3 business concerns who have been contacted and to whom commitments have been made. Documentation of such solicitations and commitments shall be submitted with the bid. In accordance with the Buy America, Build

America Act, Brown Township must also adhere to such requirements, the bidders/offerors must adhere to these requirements and submit the included certification.

Moreover, the CONTRACTOR shall strive to meet the MBE goal of 5% and the WBE goal of 3% for contracts of $25,000 or more. For projects which the amount of HUD or CDBG funding exceeds

$200,000 the CONTRACTOR must attempt to meet the minimum numerical goals of which 25% or more of the total number of labor hours worked by all workers on a Section 3 project are Section

3 workers, per 24 CFR Part 75.19; and 5% or more of the total number of labor hours worked by all workers on a Section 3 project are Targeted Section 3 workers, as defined in 24 CFR Part

75.21. Brown Township, in accordance with its Section 3 Action Plan, may provide a bid preference to a bidder who is a Section 3 business concern. MBE/WBE and Section 3 business concerns shall be afforded full opportunity to bid without discrimination. Davis-Bacon and Related Acts apply to this Project.

A Prebid Conference will be held at the Brown Township Office at 22 Brown Township Drive, Reedsville, PA 17084 on Friday, June 12, 2026 at 11:00 a.m. Prospective bidders may discuss the project at that time with representatives of the Owner and Engineer.

Bids may be held by the Brown Township Supervisors for up to 60 days from the date of opening for the purpose of reviewing the bids and investigating the qualifications of bidders prior to awarding the contract. The Brown Township Supervisors reserve the right to reject any or all bids, to waive any irregularities, or to negotiate contract amounts.

© SEDA Council of Governments

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PART II - INSTRUCTIONS TO BIDDERS

1. BIDS

A. All bids must be submitted via PennBid and shall be subject to all requirements of the Contract

Documents, including the product descriptions, and these INSTRUCTIONS TO BIDDERS. All

Bids must be regular in every respect and no inter-lineations, excisions, or special conditions shall be made or included in the Bid Form by the Bidder.

B. Bid Documents, including the completed Bid Forms, Certification of Non-Segregated Facilities, Public Works Employment Verification Form, Certification of Bidder Regarding Equal

Employment Opportunity, Identification of Individual, Partnership, or Corporate Principals, MBE/WBE Contract Solicitation and Commitment Statement, Minority and Women Business

Enterprise Bidder Certification, Section 3 Workforce Needs Table, Section 3 Contract Solicitation and Commitment Statement, Contractor’s Certification of Compliance – Section 3, Bid Bond, and the Non-Collusion Affidavit shall be completed and submitted via PennBid.

C. The Owner may consider irregular any Bid on which there is an alteration of or departure from the Bid Form hereto attached and at its option may reject or accept same.

D. If the Contract is awarded, it will be awarded by the Owner to a responsible Bidder on the basis of the lowest responsible bid.

E. In the event that deduct(s), add alternate(s), or optional line items are included on the project bid form, the OWNER reserves the right to remove deduct(s) from the project or award individual add alternates or optional line item(s) at its sole discretion, based upon, but not limited by available grant funding.

In the event that the OWNER awards a combination of add alternate(s) or optional line item(s), the lowest apparent bidder shall be calculated by totaling the combined amount of the base bid with any alternate(s), or optional line item(s) that are to be awarded.

F. Each Bidder shall include in his/her Bid the following information:

Firm Name

Federal Employer Identification Number

Address

City, State, and Zip Code

Principals’ Names

2. ALTERNATIVE BIDS

No alternative bids will be considered.

3. COLLUSIVE AGREEMENTS

Each Bidder submitting a Bid to the Owner shall execute and attach hereto, an affidavit substantially in the form herein provided, to the effect that they have not colluded with any other person, firm, or corporation in regard to any Bid submitted.

4. TIME FOR RECEIVING BIDS

Bids received prior to the advertised hour will be securely kept and sealed. The officer whose duty it is to open them will decide when the specified time has arrived, and no Bid received thereafter will be considered.

5. OPENING OF BIDS

At the time and place fixed for the public opening of Bids, the Owner, or their agent will cause to be opened and read aloud the Bid(s) received within the time set for receiving Bids, irrespective of any irregularities therein. Bidders and other persons properly interested may be present, in person, or by representative.

6. AWARD OF CONTRACT: REJECTION OF BIDS

The Contract will be awarded to the lowest responsible Bidder complying with the conditions of the

Invitation for Bids. The Bidder to whom the award is made will be notified at the earliest possible date. Bidders agree to honor their bid for not less than 60 days from the date of bid opening. The

Owner reserves the right to reject any and all Bids and to waive any irregularity in Bids received whenever such rejection or waiver is in its interest.

7. WARRANTY

A warranty of at least one year on all parts and labor is to be provided with no exceptions. There shall be no charge to the buyer for any travel, parts, or labor during this warranty period.

8. EQUAL EMPLOYMENT OPPORTUNITY

Attention of Bidders is particularly called to the requirement for ensuring that employees and applicants for employment are not discriminated against because of race, sex, color, national origin, or religion. Each Bidder must submit a completed Certification of Bidder Regarding Equal

Employment Opportunity.

9. COMPLIANCE WITH FEDERAL, STATE, AND LOCAL LAWS

Attention of Bidders is particularly called to the necessity of complying with all Federal, State, and

Local Laws and regulations.

10. W-9 FORM

The Bidder to whom the award is made shall complete the W-9 Form prior to issuance of the Notice to

Proceed.

11. BABA Certification

The Bidder to whom the award is made shall complete the BABA Certification prior to the issuance of the Notice to Proceed.

© SEDA Council of Governments

PART III – SIGNATURE DOCUMENTS

BID

To the Brown Township Supervisors 22 Brown Township Drive, Reedsville, PA 17084

Gentlemen:

1. The undersigned, having familiarized (himself/herself/themselves) with the existing conditions on the

Project area affecting the cost of the Work, and with the Contract Documents, including the Invitation for

Bids, Signature Documents, the form of Bid, the form of Bid Bond, the form of Contract, the Non-

Collusion Affidavit, the form of Surety Bond or Bonds, the Contract Conditions, Federal Requirements, State Requirements, Specifications, and Addenda, as prepared by Buchart Horn Inc., and on file in the office of Buchart Horn Inc., hereby proposes to furnish all supervision, technical personnel, labor, materials, machinery, tools, appurtenances, equipment, and services, including utility and transportation services required to construct and complete Walnut Street Sidewalks – Phase 3, all in accordance with the above-listed documents as follows:

Item No. Description Estimated Quantity Unit Price Extended

Removal of Existing Sidewalk, complete in place.

4,670 SF $_______/SF $_________

4” Thick Concrete Sidewalk (5’ Wide), complete in place.

5,470 SF $_______/SF $_________

Type 4/4AA ADA Ramp with Detectable Warning Surface, complete in place.

3 LS $_______/LS $_________

4 Bituminous Paving, complete in place. 60 SF $_______/SF $_________

Replace Existing ADA Ramp, complete in place.

1 LS $_______/LS $_________

Remove Existing Vinyl Fence, complete in place.

1 LS $_______/LS $_________

Stump Removal (Tree Previously Removed), complete in place.

9 EA $_______/EA $_________

for the Base Bid sum of _________________________________________________________ dollars

2. In submitting this Bid, the bidder understands that the right is reserved by the Brown Township

Supervisors to reject any and all Bids. If written notice of the acceptance of this Bid is mailed, telegraphed, or delivered to the undersigned within sixty (60) days after the opening thereof, or at any time thereinafter before this Bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond or bonds within ten (I0) days after the

Agreement is presented to him/her for signature.

3. Security in the sum of dollars ($ ), in the form of , is submitted herewith in accordance with the

Instructions to Bidders.

4. Attached hereto is an affidavit in proof that the undersigned has not entered into a collusive agreement with any person in respect to this Bid or any other Bid or the submitting of Bids for the Contract for which this Bid is submitted.

5. The bidder is prepared to submit financial and experience statements upon request.

6. The undersigned represents that he/she is in receipt of the following number of Addenda. (If no

Addenda are issued, insert the word “none” in the following space.)

Witness Signature

Name, Title (Please Print)

Date

STATEMENT OF BIDDER'S QUALIFICATIONS

All questions must be answered, and the date given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate, attached sheets. The bidder may submit any additional information he/she desires.

1. Name of bidder.

2. Permanent main office address.

3. When organized.

4. If a corporation, where incorporated.

5. How many years have you been engaged in the contracting business under your present firm or trade name?

6. Contracts on hand: (Schedule these, showing amount of each contract and the appropriate anticipated dates of completion.)

7. General character of work performed by your company.

8. Have you ever failed to complete any work awarded to you? If so, where, and why?

9. Have you ever defaulted on a contract? If so, where, and why?

10. List the more important projects recently completed by your company, stating the approximate cost for each, and the month and year completed.

11. List your major equipment available for this contract.

12. Experience in construction work similar in importance to this Project.

13. Background and experience of the principal members of your organization, including the officers.

14. Credit Available: $

15. Give bank reference:

16. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the (OWNER)?

17. The undersigned certifies for itself, it has no unsatisfied tax liabilities or other Commonwealth obligations.

18. The undersigned certifies for itself and all of its subcontractors and suppliers that it is not under suspension or debarment by the Commonwealth or any governmental entity, instrumentality, or authority.

19. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any information requested by the (OWNER) in verification of the recitals comprising this Statement of

Bidder's Qualifications.

Dated at this day of , 20__.

(Name of Bidder)

By:

Title:

State of )

County of )

, being a duly sworn representative of deposes and says that all statements herein contained are true and correct.

Subscribed and sworn to before me this day of , 20 .

Notary Public

My commission expires , 20 .

STATEMENT OF BIDDER'S QUALIFICATIONS (continued)

Certifications:

I, , certify that I am the of the Corporation named as

CONTRACTOR herein; that who signed this Agreement on behalf of the CONTRACTOR, was the of said Corporation; that said Agreement was duly signed for and on behalf of said Corporation by authority of its governing body and is within the scope of its corporate powers.

(Corporate Seal)

BID BOND

KNOW ALL MEN BY THESE PRESENTS THAT WE, THE UNDERSIGNED

as PRINCIPAL; and as SURETY, are held and firmly bound unto , hereinafter called the "OWNER," in the penal sum of Dollars ($ ), lawful money of the United

States of America, for the payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

The CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the accompanying bid, dated , , for

(description of work).

NOW, THEREFORE, if the Principal shall not withdraw said Bid within the period specified therein after the opening of the same, or, if no period be specified, within sixty (60) days after the said opening, and shall within the period specified therefore, or if no period be specified, with ten

(10) days after the prescribed forms are presented to him/her for signature, enter into a written Contract with the OWNER in accordance with the Bid as accepted, and give bond with good and sufficient surety or sureties, as may be required, for the faithful performance and proper fulfillment of such Contract; or in the event of the withdrawal of said Bid within the time specified, if the Principal shall pay the OWNER may procure the required Work or supplies or both, if the latter be in excess of the former, then the above obligation shall be void and of no effect, otherwise to remain in full force and virtue.

IN WITNESS WHEREOF, the above-bounded parties have executed this instrument under their several seals this day of , 20 , the name and corporate seal of each corporate party being hereto affixed and these presentees signed by its undersigned representative, pursuant to authority of its governing body.

INDIVIDUAL OR PARTNERSHIP PRINCIPALS

(SEAL)

In the presence of: (SEAL)

CORPORATE PRINCIPAL

ATTEST:

BY: (SEAL)

SURETY

ATTEST:

BY: (SEAL)

Countersigned:

BY:

Attorney-in-fact, State of

CERTIFICATE AS TO CORPORATE PRINCIPAL

I, , certify that I am the , Principal in the within bond; that , who signed the said bond on behalf of the

Principal, was then of said Corporation; that I know his/her signature, and his/her signature thereto is genuine; and that said bond was duly signed, sealed, and attested to for and on behalf of said Corporation by authority of his/her governing body.

(CORPORATE SEAL)

NON-COLLUSION AFFIDAVIT OF PRIME BIDDER

State of )

County of )

, being first duly sworn, deposes and says that:

1) He/She is (Owner, Partner, Officer, Representative or Agent) of , the bidder that has submitted the attached Bid;

2) He/She is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;

3) Such Bid is genuine and is not a collusive or sham Bid;

4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived, or agreed, directly or indirectly, with any other bidder firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted, or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other bidder, firm or person to fix the price or prices in the attached Bid or of any other bidder, or to fix any overhead, profit, or cost element for the Bid prices or the Bid price of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Brown Township Supervisors or any person interested in the proposed Contract; and

5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the bidder or any of its officers, partners, agents, representatives, owners, employees, or parties in interest, including this affiant.

Signed

Title

Subscribed and sworn to before me this day of , 20__

My commission expires:

CERTIFICATION OF NON-SEGREGATED FACILITIES AND NON-

EMPLOYMENT OF ILLEGAL ALIEN LABOR

The Bidder certifies that he/she does not maintain or provide for his/her employees any segregated facilities at any of his/her establishments, and that he/she does not permit his/her employees to perform their services at any location, under his/her control, where segregated facilities are maintained. The Bidder agrees that a breach of this certification will be a violation of the Equal Employment Opportunity Clause in any contract resulting from acceptance of this Bid. As used in this certification, the term “segregated facilities" means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, or national origin, because of habit, local custom, or otherwise. The Bidder agrees that (except where he/she has obtained identical certifications from proposed subcontractors) prior to the award of subcontracts exceeding

$10,000 which are not exempt from the provisions of the Equal Employment Opportunity Clause, that he/she will retain such certifications in his/her files.

The Bidder further certifies in accordance with Act 43 (PL May 11, 2006) that he/she shall not knowingly employ, or knowingly permit any of its subcontractors to knowingly employ, the labor services of an illegal alien.

In the event that the Bidder

(a) knowingly employs or knowingly permits any of its subcontractors to knowingly employ, the labor services of an illegal alien; and

(b) the Bidder or any of its subcontractors are sentenced under Federal law for an offense involving knowing use of labor by an illegal alien, The Bidder shall be subject to penalty as prescribed in Pennsylvania Act 43 (PL May 11, 2006).

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. § 1001.

Date: , 20__

(Name of Bidder)

Official Address By:

(including ZIP CODE):

(Title)

COMMONWEALTH OF PENNSYLVANIA

PUBLIC WORKS EMPLOYMENT VERIFICATION FORM

Date:

Business or Organization Name (Employer)

Address:

City State Zip Code:

Contractor Subcontractor (check one)

Contracting Public Body Brown Township Supervisors

Contract/Project No Walnut Street Sidewalks – Phase 3 – BH #90082-30

Project Description Installation/replacement of sidewalks and ADA ramps along Walnut Street

Project Location Village of Reedsville, Brown Township, Mifflin County

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

CERTIFICATION OF BIDDER REGARDING EQUAL EMPLOYMENT OPPORTUNITY

INSTRUCTIONS

This certification is required pursuant to Executive Order 11246 (30 F.R. 12319-25). The implementing rules and regulations provide that any bidder or prospective contractor, or any of their proposed subcontractors, shall state as an initial part of the bid or negotiations of the contract whether it has participated in any previous contract or subcontract subject to the Equal Employment Opportunity Clause; and, if so, whether it has filed all compliance reports due under applicable instructions.

Where the certification indicates that the Bidder has not filed a compliance report due under applicable instructions, such Bidder shall be required to submit a compliance report within seven (7) calendar days after bid opening. No contract shall be awarded unless such report is submitted.

CERTIFICATION BY BIDDER NAME

AND ADDRESS OF BIDDER (Include ZIP code)

1. Bidder has participated in a previous contract or subcontract subject to the Equal Employment

Opportunity Clause.

Yes No

2. Compliance reports were required to be filed in connection with such contract or subcontract.

3. Bidder has filed all compliance reports due under applicable instructions, including SF-100.

Yes No None required

4. Have you ever been or are you being considered for sanction due to violation of Executive Order

11246, as amended?

Name and Title of Signer (Please Type)

Signature Date

MINORITY AND WOMEN’S BUSINESS ENTERPRISE

BIDDER INSTRUCTIONS

This Project is funded in part with Community Development Block Grant (CDBG) funds. In accordance with

CDBG rules and regulations, municipalities must uphold the conditions of the Minority/Women’s Business

Enterprise (MBE/WBE) Action Plan. The objective of the plan is to facilitate the strengthening and expansion of MBE/WBE business concerns. Complete copies are available by contacting SEDA-COG Community

Development Program, 201 Furnace Road, Lewisburg, PA 17837.

The minimum participation level of five percent (5%) for Minority Business Enterprises and three percent

(3%) for Women Business Enterprises MBE/WBE has been established. The successful bidder will be required to submit evidence that these goals have been met either through his/her own employment practices or through the use of MBE/WBE subcontractors and vendors. Failure to comply may result in the bidder being determined not responsible.

In preparation of your bid, you shall contact MBE/WBE firms listed in these bid documents in order to solicit subcontractor and supplier proposals. You may also contact other MBE/WBE firms of which you are aware. MBE/WBE firms can also be solicited using the following link:

http://www.dgs.internet.state.pa.us/suppliersearch

As part of your bid, you are expected to complete and submit the MBE/WBE Contract Solicitation and

Commitment Statement form. This form will be used during bid review to ascertain your level of MBE/WBE utilization. Your efforts and success in utilizing these firms will be one of the tests of bidder responsibility.

Failure to meet this Project’s MBE/WBE goal does not automatically disqualify your bid; however, the

MBE/WBE Bidder Certification must be submitted with the bid. At the municipality’s discretion, elements of the MBE/WBE may be waived, provided the bidder can submit adequate evidence of an effort to enlist

MBE/WBE subcontractors and suppliers for the Project.

If you are the successful bidder you will be expected to document, at the pre-construction conference, your efforts to solicit MBE/WBE business enterprises, and to confirm the percentage of participation you will achieve.

Finally, at the completion of the Project and before final payment, you will be required to furnish a completed

Minority/Women Business Enterprise Utilization Report for yourself and your subcontractors along with a

Minority/Women Business Certification form, if applicable.

http://www.dgs.internet.state.pa.us/suppliersearch

MBE/WBE CONTRACT SOLICITATION AND COMMITMENT STATEMENT

TO BE SUBMITTED WITH THE BID

Goals of 5% for minority business enterprise and 3% for women business enterprise participation have been established.

Name of Bidder: Project Name: Walnut Street Sidewalks – Phase 3

Email Address:

Bid Opening Date: Friday, June 19, 2026

Telephone Number: Contact Person:

List those minority/women owned businesses from which you solicited quotes and/or received quotes in regard to this invitation for bid.

Company Name &

Telephone Number

MBE*

(enter code from below)

WBE

(X)

Type of

Construction, Equipment, Services, and/or

Supplies to be provided to the

Project

Total Dollar

Amount of Quote

Received

(Please mark NR If no response was received)

Total Dollar Amount

Awarded

(If not awarded indicate reason)

Prepared By: Title:

* Ethnic Code: A- Asian-Pacific Americans; B-African Americans; H-Hispanic Americans; N- Native Americans

MINORITY AND WOMEN BUSINESS ENTERPRISE BIDDER CERTIFICATION

The submittals of each bidder are subject to review to determine whether the bidder has discriminated in the selection of manufacturers, subcontractors, and suppliers. If a bidder has met the goals for MBE/WBE participation, the bidder will be presumed not to have discriminated in their selections.

Where the goals are not met, the below statements, if accurate, shall be certified by the bidder:

1. The limited number or no commitment to MBEs/WBEs was not motivated by consideration of race or gender.

2. MBEs/WBEs were not treated less favorably than other businesses in the contract solicitation and commitment process.

3. Solicitation and commitment decisions were not based upon policies which disparately affect

MBEs/WBEs.

By signing below, I certify that the above statements are true and accurate.

Company Name

PRIME CONTRACTOR

MINORITY & WOMEN’S BUSINESS ENTERPRISE

UTILIZATION REPORT

SHALL BE SUBMITTED PRIOR TO FINAL PAYMENT

Prime Contractor Firm Name: Project Name: Walnut Street Sidewalks – Phase 3

Address: Contractor EIN No.:

Email: Total Prime Contract: $

Telephone: Total of All Subcontract(s): $

Contact Person: Total MBE/WBE Subcontract(s):

List MBE/WBE businesses from which you have purchased services and/or supplies in reference to this contract.

Address/Telephone

(see below)

Trade

Paid

Dollar Amount

Of Contract(s)

SUBCONTRACTOR

MINORITY & WOMEN’S BUSINESS ENTERPRISE

UTILIZATION REPORT

SHALL BE SUBMITTED PRIOR TO FINAL PAYMENT

Prime Contractor Firm Name: Project Name: Walnut Street Sidewalks – Phase 3

Address: Contractor EIN No.:

Email: Total Prime Contract: $

Telephone: Total of All Subcontract(s): $

Contact Person: Total MBE/WBE Subcontract(s):

List MBE/WBE businesses from which you have purchased services and/or supplies in reference to this contract.

Address/Telephone

(see below)

Trade

Paid

Dollar Amount of Contract(s)

MINORITY AND WOMEN’S BUSINESS CERTIFICATION

As principal owner of , I certify that this

(MBE/WBE Firm Name) firm is a bona fide Minority/Women Business Enterprise owned business.

I further certify that this firm was subcontracted by for Work on the Project in the amount of $ .

Date Signature/Title

SECTION 3 BUSINESS CONCERNS BIDDER

INSTRUCTIONS

This Project is funded in part with Community Development Block Grant (CDBG) funds. In accordance with

CDBG rules and regulations, municipalities must uphold the conditions of the Section 3 Action Plan. The objective of the plan is to the greatest extent feasible, ensure that employment and other economic opportunities are directed to low- and very low-income persons (Section 3 workers and Targeted Section 3 workers) and to eligible businesses (Section 3 Businesses) and requires the same of its contractors, as summarized in the “Section 3 Certificate of Compliance” included herein. Complete copies of the Section 3

Plan are available by contacting SEDA-COG Community Development Program, 201 Furnace Road, Lewisburg, PA 17837, or by calling (570) 524-4491.

Section 3 minimum numerical goals apply to any contractor when the total amount of assistance to the project exceeds a threshold of $200,000. The bidder must attempt to meet the minimum numerical goals which require 25% or more of the total number of labor hours worked by all workers on a Section 3 project are Section 3 workers; and 5% or more of the total number of labor hours worked by all workers on a

Section 3 project are Targeted Section 3 workers, as defined in 24 CFR Part 75.21. Section 3 firms can also be solicited using the attached vendor list.

As part of your bid, you are expected to complete and submit the Section 3 Workforce Needs Table and the Section 3 Contract Solicitation and Commitment Statement form. This form will be used during bid review to ascertain your level of Section 3 utilization. Your efforts and success in utilizing these firms will be one of the tests of bidder responsibility. Failure to meet this Project’s Section 3 goal does not automatically disqualify your bid. However, contractors and subcontractors failing to meet the goals must document actions taken to comply with the Section 3 requirements. The Grantee will take appropriate actions upon finding that a contractor is in violation of 24 CFR Part 75 and does not knowingly contract with any contractor that has been found in violation of the Section 3 regulations. At the municipality’s discretion, elements of the Section 3 may be waived, provided the bidder can submit adequate evidence of an effort to enlist Section 3 residents and business concerns for the Project. All contractors/businesses seeking

Section 3 preference must, before submitting bids/proposals to the Owner be required to complete certifications, as appropriate. Such certifications shall be adequately supported with appropriate documentation as referenced in the Section 3 Business Concern Certification Form.

The CONTRACTOR will be considered to have complied with the Section 3 requirements and met safe harbor, if they certify that they followed the required prioritization of effort and met or exceeded the Section 3 benchmarks, absent evidence of the contrary.

Prior to the beginning of work, contractors and subcontractors will be required to certify that they will follow the required prioritization of effort for Section 3 workers, Targeted Section 3 workers, and Section 3 business concerns as outlined below in 24 CFR Part 75. After completion of the project, on the Section 3 Cumulative Report, contractors and subcontractors will be required to certify that they followed the prioritization of effort requirements.

If the contractor and subcontractor does not meet the safe harbor requirements, they must provide evidence that they have made qualitative efforts to assist low and very low-income persons with employment and training opportunities.

WORK FORCE NEEDS TABLE

PROJECTED BENCHMARKS

Occupation

Code

Total Number of

Project Labor

Hours

(Estimated)

Total Number of

Section 3 Project

Labor Hours

(Estimated)

Total % of

Section 3

Labor Hours

Total Number of

Targeted

Section 3

Labor Hours

Total % of

Targeted

Section 3

Labor Hours

EMPLOYMENT CERTIFICATION

The CONTRACTOR hereby certifies that the above table represents the approximate number of employee positions that are needed and are not presently filled by regular and permanent employees, for which new employees will be required in the execution of the ____________________________contract, and also represents the percentage of Project area residents that the CONTRACTOR proposes to make a good faith effort to employ.

The CONTRACTOR certifies that he/she will make a good faith effort to ensure 25% or more of the total number of labor hours worked by all workers on a Section 3 project are Section 3 workers; and 5% or more of the total number of labor hours worked by all workers on a Section 3 project are Targeted Section 3 workers.

The CONTRACTOR, prior to subcontracting any portion of the Work covered by this contract, will require this

Work Force Needs Table and certification to be executed.

The CONTRACTOR certifies that any vacant employment positions, including training positions that are filled

(1) after the CONTRACTOR is selected but before the contract is executed, and (2) with persons other than those, to whom the regulations of Section 3 require employment opportunities to be directed, were not filled to circumvent the contractor’s obligation under Section 3.

1 The following are the occupational category classifications that should be inserted in the Table:

1. Asbestos Workers 7. Glaziers 13. Plasterers

2. Brick Layers 8. Iron Workers 14. Plumbers

3. Carpenters 9. Lathers 15. Roofers

4. Cement Masons 10. Machinists 16. Sheet Metal

5. Electricians 11. Operating Engineers 17. Tile Setters

6. Elevator Constructors 12. Painters 18. Other (Specify)

SECTION 3 CONTRACT SOLICITATION AND COMMITMENT STATEMENT

Minimum Participation Levels (MPL): Section 3 – 25% or more of the total number of labor hours worked by all workers on a Section 3 project are Section 3 workers.

5% or more of the total number of labor hours worked by all workers on a Section 3 project are Targeted Section 3 workers

List those Section 3 business concerns from which you solicited quotes, or which contacted you and gave you quotes in regard to this invitation for bid.

1. Indicate whether Section 3 Business Concerns were solicited for each type of work the bidder expects to subcontract for and for all materials which the bidder expects to procure and, if not, the reason(s) why no such solicitation was made;

2. Indicate the reason a Section 3 Business Concern has not been committed to for a type of subcontract work or materials in any area where a quote was received from a Section 3 Business Concern, and;

3. In any case where no quotations are received or commitments made to a Section 3 Business Concern, indicate that no quotes were received, and if there is another reason for no commitments being made, the reason for the lack of commitments.

Name of Bidder: Project Name: Walnut Street Sidewalks – Phase 3

E-Mail Address:

Bid Opening Date: Friday, June 19, 2026

Telephone Number: Contact Person:

Company Name &

Telephone Number

Type of Construction and/or Services, to be provided to the

Project of Quote Received

(Please mark NR if no response was received)

Awarded

(If not awarded indicate the reason)

IF NO COMMITMENT WAS

MADE TO A SECTION 3

BUSINESS- EXPLAIN

Preparers Signature: Title

IMPLEMENTATION ACTION PLAN IF BENCHMARKS ARE NOT MET (24 CFR Part 75.15)

Check the boxes that apply to demonstrate your good faith efforts to satisfy your section 3 obligations.

Engaged in outreach efforts to generate job applicants who are Targeted Section 3 workers.

Provided training or apprenticeship opportunities.

Provided technical assistance to help Section 3 workers compete for jobs (e.g., resume assistance, coaching).

Provided or connected Section 3 workers with assistance in seeking employment including: drafting resumes, preparing for interviews, and finding job opportunities connecting residents to job placement services.

Held one or more job fairs.

Provided or referred Section 3 workers to services supporting work readiness and retention (e.g., work readiness activities, interview clothing, test fees, transportation, childcare).

Provided assistance to apply for/or attend community college, a four-year educational institution, or vocational/technical training.

Assisted Section 3 workers to obtain financial literacy training and/or coaching.

Engaged in outreach efforts to identify and secure bids from Section 3 business concerns.

Provided technical assistance to help Section 3 business concerns understand and bid on contracts.

Divided contracts into smaller jobs to facilitate participation by Section 3 business concerns.

Provided bonding assistance, guaranties, or other efforts to support viable bids from Section 3 business concerns.

Promoted use of business registries designed to create opportunities for disadvantaged and small businesses.

Outreach, engagement, or referrals with the state one-stop system as defined in Section 121(e)(2) of the Workforce Innovation and Opportunity Act.

NOTES AND COMMENTS TO SUPPORT EFFORTS (If needed, attach additional sheets)

By signing below, I hereby certify and declare under penalty of perjury under the laws of the United States and the State of Pennsylvania that the information provided on this form, as well as all documentation provided in support thereof, are true and correct, and that I am authorized on behalf of the Company to make this certification.

Furthermore, I certify that I will maintain this documentation for the time period required for record retentions in accordance with applicable program regulations or, in the absence of applicable program regulations, in accordance with 2 CFR part 200. I will make these records available upon request.

Signature Name and Title Date

ADDITIONAL GUIDANCE FOR CONTRACTORS AND VENDORS

24 CFR Part 75.31

Contractors, subcontractors and other recipients or sub-recipients must maintain documentation to ensure that workers meet the definition of a Section 3 Worker or Targeted Section 3 Worker as follows:

For a worker to qualify as a Section 3 worker, one of the following must be maintained:

1. A worker’s self-certification that their income is below the income limit from the prior

2. calendar year;

3. A worker’s self-certification of participation in a means-tested program such as public housing or Section

8-assisted housing;

4. Certification from a PHA, or the owner or property manager of project-based Section 8-assisted housing, or the administrator of tenant-based Section 8-assisted housing that the worker is a participant in one of their programs;

5. An employer’s certification that the worker’s income from that employer is below the income limit when based on an employer’s calculation of what the worker’s wage rate would translate to if annualized on a full-time basis; or

6. An employer’s certification that the worker is employed by a Section 3 business concern.

For a worker to qualify as a Targeted Section 3 worker under Housing and Community Development Programs, one of the following must be maintained:

1. An employer’s confirmation that a worker’s residence is within one mile of the work site or, if fewer than 5,000 people live within one mile of a work site, within a circle centered on the work site that is sufficient to encompass a population of 5,000 people according to the most recent U.S. Census;

2. An employer’s certification that the worker is employed by a Section 3 business concern; or

3. A worker’s self-certification that the worker is a YouthBuild participant.

OTHER

▪ A contractor/vendor may report on Section 3 workers and Targeted Section 3 workers for five years from when their certification as a Section 3 worker or Targeted Section 3 worker is established.

▪ Income limits are individual and not household.

▪ The Section 3 Worker Certification Form can be used to establish eligibility as a Section 3 Worker and

Targeted Section 3 Worker.

▪ SEDA-COG can assist contractors/vendors in outreach and recruitment efforts.

▪ To calculate the labor hour benchmarks, see the graphics below:

SECTION 3 UTILIZATION REPORT

SECTION 3

UTILIZATION REPORT

SHALL BE SUBMITTED PRIOR TO FINAL PAYMENT

Section 3 Goals: 25% of labor hours are Section 3 & 5% of labor hours are Targeted Section 3

Prime Contractor’s Name: Project Name: Walnut Street Sidewalks – Phase 3

Address: EIN No.:

Email: Total Prime Contract: $

Telephone: Total of All Subcontract(s): $

Contact Person: Total Section 3 Subcontract(s): $

Total Work Force Section 3 Labor Hours Targeted Section 3 Labor Hours Occupation Total Hours

Worked

Section 3 Employee

Hours Worked

Section 3 Employee

Hours Worked % Targeted Section 3

Employee Hours

Worked

Targeted Section 3

Employee Hours Worked %

If a recipient agency or contractor does not meet the benchmark requirements but can provide evidence on the Implementation Action Plan that they have made a number of qualitative efforts to assist low- and very low-income persons with employment and training opportunities, the recipient or contractor is considered to be in compliance with Section 3.

SUBCONTRACTOR

SECTION 3

UTILIZATION REPORT

SHALL BE SUBMITTED PRIOR TO FINAL PAYMENT

Section 3 Goals: 25% of labor hours are Section 3 & 5% of labor hours are Targeted Section 3

Subcontractor’s Name: Project Name: Walnut Street Sidewalks – Phase 3

Address: EIN No.:

Email: Total Contract: $

Telephone: Total of All Subcontract(s): $

Contact Person: Total Section 3 Subcontract(s): $

Total Work Force Section 3 Labor Hours Targeted Section 3 Labor Hours Occupation Total Hours

Worked

Section 3 Employee

Hours Worked

Section 3 Employee

Hours Worked % Targeted Section 3

Employee Hours

Worked

Targeted Section 3

Employee Hours Worked %

If a recipient agency or contractor does not meet the benchmark requirements but can provide evidence on the Implementation Action Plan that they have made a number of qualitative efforts to assist low- and very low-income persons with employment and training opportunities, the recipient or contractor is considered to be in compliance with Section 3.

Section 3 Business Concern Certification Instructions: Enter the following information and select the criteria that applies to certify your business’ Section 3 Business Concern status.

Select from ONE of the following three options below that applies:

□ At least 51 percent of the business is owned and controlled by low- or very low-income persons (Refer to income guidelines, attached).

□ At least 51 percent of the business is owned and controlled by current public housing residents or residents who currently live in

Section 8-assisted housing.

□ Over 75 percent of the labor hours performed for the business over the prior three-month period are performed by Section 3 workers

Section 3 Worker Definition:

• A low or very…

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