104620 - Contract Docs _ Tech Specs.pdf

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Attached to
SPH New Fuel Facility, Springhill Airport
Solicitation number
104620
Issued by
West Carroll Parish, Louisiana

About this file

This is a Proposal, Contract Documents, and Technical Specifications document for the City of Springhill, Louisiana, prepared by KSA Engineers, Inc., for the construction of a new fuel facility at Springhill Airport. The project involves removing an existing obsolete fuel tank, fuel dispenser, and payment terminal, and installing a new 5,000-gallon fuel tank, fuel dispenser, and payment terminal with required mechanical and electrical appurtenances. The Federal Aviation Administration Airport Improvement Program (FAA AIP No. 3-22-0049-022-2026) is funding the project. Sealed bids were due on Tuesday, June 30, 2026, at 2:00 p.m. CST, with public opening and reading at Springhill City Hall located at 101 Machen Drive, Springhill, Louisiana 71075. A pre-bid conference was scheduled for Tuesday, June 16, 2026, at 10:00 a.m. CST at Springhill Airport, 367 Airport Road, Springhill, Louisiana 71075. The successful bidder must commence work within ten (10) days following issuance of the Notice to Proceed and complete the project within thirty (30) calendar days. Contract documents were available for free download at www.civcastusa.com, with addenda posted at the same location.

The bid guarantee requirement is five percent (5%) of the total bid amount, submitted as either a bid bond, cashier's check, or certified check payable to the City of Springhill. The successful contractor must furnish performance, payment, and maintenance bonds, each in the amount of 100 percent (100%) of the contract price. Bidders on contracts of $50,000 or more must be licensed under Louisiana Revised Statute 37:2150-2164 in the Mechanical or Limited Specialty Services category. The project is subject to federal prevailing wage requirements under Davis-Bacon, Buy American preferences under 49 U.S.C. § 50101, and disadvantaged business enterprise (DBE) requirements under 49 CFR Part 26. The maintenance bond includes a one-year warranty period following final project acceptance, with a limit of ten percent (10%) of the penal bond amount. Bids may be held by the City of Springhill for forty-five (45) calendar days after the opening date, and the City reserves the right to reject any or all bids for just cause.

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CITY OF SPRINGHILL

SPRINGHILL AIRPORT

LOUISIANA

PROPOSAL, CONTRACT DOCUMENTS

AND TECHNICAL SPECIFICATIONS

FOR

New Fuel Facility

FAA AIP No. 3-22-0049-022-2026

KSA Project No. 104620

May 2026

Prepared by:

1111 Hawn Ave.

Shreveport, LA 71107

Phone (318) 221-7501

Louisiana State Reg. No. EF.476

SPRINGHILL AIRPORT

New Fuel Facility

PROJECT MANUAL TABLE OF CONTENTS

DIVISION 0 BID & CONTRACT DOCUMENTS

Invitation for Bid

Instructions to Bidders

Bid Form

Bid Bond

AIP Contract Certification

Agreement

Public Contract Affidavit

Performance/Maintenance/Payment Bond

Attestations

Disadvantaged Business Enterprise

Mandatory Federal Contract Provisions

Wage Rate Determination

Insurance Requirements

GENERAL PROVISIONS

Section 10 - Definition of Terms

Section 20 - Proposal Requirements and Conditions

Section 30 - Award and Execution of Contract

Section 40 - Scope of Work

Section 50 - Control of Work

Section 60 - Control of Materials

Section 70 - Legal Relations and Responsibility to Public

Section 80 - Execution and Progress

Section 90 - Measurement and Payment

FAA STANDARD SPECIFICATIONS

Item C-105 - Mobilization

ADDITIONAL TECHNICAL SPECIFICATIONS

Item KSA-101 - Shop Drawings, Project Data and Samples

Item S-01 – Fuel Facility

Electrical & Instrumentation Specifications

ATTACHMENT

Construction Safety and Phasing Plan (CSPP)

AC 150/5370-2G Operational Safety on Airports During Construction

SEALS & CERTIFICATIONS

PROJECT: SPH – New Fuel Facility

Springhill Airport

City of Springhill, Louisiana

Specification Divisions/Sections prepared under my responsible supervision:

DIVISION I Contract Documents

DIVISION II General Provisions

DIVISION III Technical Specifications

Item C-105 - Mobilization

Item KSA-101 - Shop Drawings, Project Data and Samples

Mark J. Hall, P.E.

Civil Engineer - LA License # 0051163

DIVISION 0

BID & CONTRACT DOCUMENTS

C-1

INVITATION FOR BID

SEALED BIDS for construction at the Springhill Airport consisting of SPH New Fuel Facility, Airport

Infrastructure Grant No. 3-22-0049-022-2026 will be received by the Owner, City of Springhill, located at

101 Machen Drive, Springhill, Louisiana 71075, until Tuesday, June 30, 2026, at 2:00 p.m. CST. Bids will then be publicly opened and read aloud at Springhill City Hall. Bids received after the 2:00 p.m. deadline will be returned to the bidder unopened via certified mail. Received bids will be referred to the City of

Springhill for action and award.

A Pre-Bid Conference will be held on Tuesday, June 16, 2026, at 10:00 a.m. CST at the Springhill Airport, 367 Airport Road, Springhill, Louisiana 71075. Representatives from the Owner and Engineer will be present to discuss the project. Although the meeting is not mandatory, bidders are encouraged to attend and participate in the conference.

Contract Documents including bid proposal forms, plan sheets, and specifications for the project may be viewed and downloaded free of charge at www.civcastusa.com. Addenda will be posted at www.civcastusa.com. You will be notified of addenda automatically, through email, if you downloaded your plans and specifications via www.civcastusa.com. Please submit questions for the project 72 hours prior to bid opening through www.civcastusa.com in the Q&A portal.

Bids shall be received only on proposal forms furnished by the Engineer. In no event shall proposal forms be issued later than twenty-four (24) hours prior to the hour and date set for receiving proposals.

Bid proposals, amendments to bids, or requests for withdrawal of bids, which are received after the time specified for bid opening, shall not be considered for any cause whatsoever.

An acceptable bid bond, cashier's check or certified check payable to the City of Springhill, in an amount equal to five percent (5%) of the bid price, shall be submitted with each bid. The successful Bidder will be required to furnish and pay for satisfactory performance and payment bonds. Bidders are advised that

Performance, Payment, and Maintenance Bond, each in the amount of 100 percent (100%) of the contract price, will be required.

On any bid submitted in the amount of $50,000 or more, the Contractor shall certify that he is licensed under Louisiana Revised Statute 37:2150-2164 and show his license number on the bid and on the envelope. Bidders must be licensed in the following category: Mechanical or Limited Specialty Services

(or applicable sub classification). The licensee shall not be permitted to bid or perform any type or types of work not included in the classification under which his license was issued.

C-2

TITLE VI SOLICITATION NOTICE

The City of Springhill, in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat.

252, 42 U.S.C. §§ 2000d to 2000d-4), 28 CFR § 50.3, and 49 CFR Part 21, hereby notifies all bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, all contractors will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of the owner’s race, color, national origin, sex, creed, age, or disability in consideration for an award.

DISADVANTAGED BUSINESS ENTERPRISE

The requirements of 49 CFR Part 26 including any amendments thereto apply to this contract. It is the policy of the City of Springhill to practice nondiscrimination based on race, color, sex, or national origin in the award or performance of this contract. The Owner encourages participation by all firms qualifying under this solicitation regardless of business size or ownership.

FEDERAL FAIR LABOR STANDARDS ACT (FEDERAL MINIMUM WAGE)

All contracts and subcontracts that result from this solicitation incorporate by reference the provisions of

29 CFR Part 201, et seq, the Federal Fair Labor Standards Act (FLSA), with the same force and effect as if given in full text. The FLSA sets minimum wage, overtime pay, recordkeeping, and child labor standards for full and part-time workers.

The Contractor has full responsibility to monitor compliance to the referenced statute or regulation. The

Contractor must address any claims or disputes that arise from this requirement directly with the U.S.

Department of Labor – Wage and Hour Division.

TRADE RESTRICTION CERTIFICATION

By submission of an offer, the Offeror certifies that with respect to this solicitation and any resultant contract, the Offeror –

1) is not owned or controlled by one or more citizens of a foreign country included in the list of countries that discriminate against U.S. firms as published by the Office of the United States Trade

Representative (USTR);

2) has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or national of a foreign country included on the list of countries that discriminate against

U.S. firms as published by the USTR; and

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3) has not entered into any subcontract for any product to be used on the Federal project that is produced in a foreign country included on the list of countries that discriminate against U.S. firms published by the USTR.

This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18 USC § 1001.

The Offeror/Contractor must provide immediate written notice to the Owner if the Offeror/Contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The Contractor must require subcontractors provide immediate written notice to the Contractor if at any time it learns that its certification was erroneous by reason of changed circumstances.

Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49

CFR § 30.17, no contract shall be awarded to an Offeror or subcontractor:

1) who is owned or controlled by one or more citizens or nationals of a foreign country included on the list of countries that discriminate against U.S. firms published by the USTR; or

2) whose subcontractors are owned or controlled by one or more citizens or nationals of a foreign country on such USTR list; or

3) who incorporates in the public works project any product of a foreign country on such USTR list.

Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

The Offeror agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in all lower tier subcontracts. The Contractor may rely on the certification of a prospective subcontractor that it is not a firm from a foreign country included on the list of countries that discriminate against U.S. firms as published by USTR, unless the Offeror has knowledge that the certification is erroneous.

This certification is a material representation of fact upon which reliance was placed when making an award. If it is later determined that the Contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration (FAA) may direct through the Owner cancellation of the contract or subcontract for default at no cost to the Owner or the FAA.

C-4

PROHIBITION OF COVERED UNMANNED AIRCRAFT SYSTEMS (UAS)

The Bidder or Offeror certifies that they are aware of and comply with relevant Federal statutes and regulations, including those from the Federal Aviation Administration (FAA), for operating unmanned aircraft systems (UAS) in accordance, and in compliance with all related requirements in the FAA

Reauthorization Act of 2024 (Public Law 118-63), section 936 (49 U.S.C. § 44801 note).

Contractor warrants that all UAS operations will be conducted in full compliance with all applicable

Federal Aviation Administration (FAA) regulations, including but not limited to 14 CFR Part 107, and any other applicable local, state, or Federal laws and regulations.

Sponsors and subgrant recipients cannot use AIP grant funds to enter into, extend, or renew a contract related to covered unmanned aircraft systems (UAS). This includes both procurement and operational contracts, as well as contracts with entities that operate such systems.

All Bidders and Proposers shall comply with the provisions of Buy American Preferences, Davis Bacon

Requirements, Debarment and Suspension, Lobbying Federal Employees, and Recovered Materials.

Bids may be held by the City of Springhill for a period of forty-five (45) calendar days after the date and hour set for the opening.

The City of Springhill reserves the right to reject any or all Bids for just cause and reserves the right to waive any and all informalities.

W. Ray Huddleston

Mayor

City of Springhill

Published in The Minden Press Herald

Advertise: May 27, 2026

June 3, 2026

June 10, 2026

C-5

INSTRUCTIONS TO BIDDERS

PROPOSAL FORMS. All proposals must be made on the forms provided in these contract documents. All proposals must be legibly written in ink, with total price given in words and figures. No alterations in proposals or in the printed forms will be permitted by erasures or interlineations. Each proposal shall be enclosed in a sealed envelope, addressed to the City of Springhill and identified on the outside of the envelope with the appropriate title of the project as indicated on the plans.

Proposals shall be strictly in accordance with the prescribed form. Any modifications thereof or deviations there from may be considered as sufficient cause for rejection.

Proposals carrying riders or qualifications to the proposal as submitted may be rejected as irregular.

PROPOSAL GUARANTEE. Each proposal shall, as a guarantee of good faith on the part of the bidder, be accompanied by either a cashier's check, or a certified check drawn on an acceptable bank, or an acceptable bidder's bond with an authorized surety company in an amount of not less than five percent (5%) of the total bid.

The proposed guarantee shall be made payable without conditions to the City of Springhill and the amount of the check or bond may be retained by and forfeited to said City of Springhill hereinafter referred to as "Owner" as liquidated damage if such proposal is accepted and the contract is awarded, and the bidder fails to enter into a contract in the form prescribed, with legally responsible sureties, within ten (10) calendar days after such award is made by the Owner.

ONLY ONE PROPOSAL. No bidder may submit more than one (1) proposal. Proposals under different names will not be received from one firm or association.

RESPONSIBILITY OF AGENT. Any person signing a proposal as the agent of another or of others, may be required to submit satisfactory evidence of authority to do so.

The title of the person executing the proposal or contract will be clearly indicated beneath his signature.

QUALIFICATIONS OF BIDDERS. Bidders may be required to submit satisfactory evidence that they have a practical knowledge and experience in the particular work bid upon, and that they have the necessary financial resources to complete the proposed work. Inexperience in the type or size of the job bid upon shall be sufficient cause for rejection of the bid. The opinion of the Engineer in this regard shall be final. In determining the lowest responsible bid, the following elements will be considered: Whether the bidder involved maintains a permanent place of business, has adequate plant equipment to do the work properly and expeditiously, has a suitable financial status to meet obligations incidental to the work and has appropriate technical experience.

C-6

Each bidder may be required to show that former work performed by him has been handled in such manner that there are not just or proper claims pending against such work. No bidder will be acceptable if he is engaged in other work which impairs his ability to finance this contract or provide proper equipment for the execution of same. Each bidder shall demonstrate his ability by meeting all requirements herein stipulated.

LOCAL CONDITIONS AFFECTING WORK. Each bidder must inform himself fully of the conditions relating to the construction of the project and the employment of the labor thereon. Failure to do so will not relieve a successful bidder of his obligation to furnish all material and labor necessary to carry out the provisions of this contract. Insofar as possible the Contractor, in carrying out his work must employ such methods or means as will not cause any interruption of or interference with the work of any other contractor.

The Contractor to whom the work is awarded shall conduct his work in strict conformance with the state and parish laws and parish ordinances relative to labor, sanitary requirements and traffic safety regulations.

TAXES. All sales and use taxes, including such taxes as might lawfully be assessed against the Owner in the execution and performance of the proposed contract and work covered thereby, are to be paid by the Contractor for the work from monies obtained in satisfaction of this contract. It is to be understood by all bidders that the bid price or prices submitted shall include the total cost of all such taxes.

INTERPRETATION OF CONTRACT DOCUMENTS. If any person contemplating submitting a bid for the proposed contract is in doubt as to the true meaning of any parts of plans, specifications or other proposed contract documents, he may submit to the Engineer a written request for interpretation thereof. The person submitting the request will be responsible for its prompt delivery.

Any interpretation of the proposed documents will be made only by addendum duly issued and a copy of such addendum will be mailed or delivered to each person receiving a set of such documents. The Owner will not be responsible for any explanations or interpretations of the proposed documents.

TIME OF CONSTRUCTION. Bidder must agree to commence work within ten (10) days following the issuance of the "Notice to Proceed" issued by the Owner, and must agree to fully complete the project within THIRTY (30) CALENDAR DAYS.

WITHDRAWAL OF BID. No bidder may withdraw his bid for a period of 60 days after the date and hour set for the opening herewith. A bidder may withdraw his proposal at any time prior to the expiration of the period during which the proposals may be submitted by written request of the bidder, which request must be signed in the same manner and by the same persons or person who signed the proposal.

C-7

ACCEPTANCE AND REJECTION OF BIDS. The Owner reserves the right to the bid which, in its judgment, is the lowest and best bid on and for the work covered by the proposal, to reject any or all bids, and to waive irregularities in bids.

The low bidder shall be determined and the contract for the project shall be awarded based upon the terms and conditions and the Rules and Regulations of the Owner and under the direction of the engineer or his authorized representative(s).

PROOF AND CARRIAGE OF INSURANCE. The Contractor shall submit a Certificate of Insurance showing proof of carriage of the insurance required under Section 70-11 and the Special Conditions of these contract documents.

DISPUTE RESOLUTION. Neither mediation nor arbitration will be acceptable as a means for settling claims, disputes, or other matters. The Agreement executed in accordance with the contract documents shall be governed by and construed in accordance with the laws of the State of Louisiana.

FORMS.

a) Forms to be completed and submitted with the bid are:

a. Bid Form

b. Bid Bond

c. Corporate Resolution or written evidence of the authority of the person signing the bid

b) Forms to be completed and submitted to Engineer within five (5) days of bid opening shall be:

a. Bidder’s List Collection Form

b. Buy American Certification

c) Forms to be completed and submitted to Engineer within ten (10) days of receipt of written notification advising Contractor of award shall be:

a. AIG Contract Certification

b. Agreement

c. Public Contract Affidavit

d. Performance/Maintenance/Payment Bond

e. Attestations

f. Certificate of Insurance

g. Fostering Small Business Participation

h. Non-Certified Small Business Verification

TO: BID FOR:

TOTAL BASE BID: For all work required by the Bidding Documents (including any and all unit prices designated "Base Bid" * but not alternates) the sum of:

LOUISIANA UNIFORM PUBLIC WORK BID FORM

City of Springhill Springhill Airport

101 Machen Drive New Fuel Facility

Springhill, Louisiana 71075 FAA AIP No. 3-22-0049-022-2026

The undersigned bidder hereby declares and represents that she/he; a) has carefully examined and understands the Bidding Documents, b) has not received, relied on, or based his bid on any verbal instructions contrary to the Bidding Documents or any addenda, c) has personally inspected and is familiar with the project site, and hereby proposes to provide all labor, materials, tools, appliances and facilities as required to perform, in a workmanlike manner, all work and services for the construction and completion of the referenced project, all in strict accordance with the Bidding Documents prepared by: KSA Engineers, Inc. 1111 Hawn Ave. Shreveport, LA

71107 and dated May 2026.

Bidders must acknowledge all addenda. The Bidder acknowledges receipt of the following ADDENDA: (Enter the number the Designer has assigned to each of the addenda that the Bidder is acknowledging) _______________________________________

Dollars ($

ALTERNATES: For any and all work required by the Bidding Documents for Alternates including any and all unit prices designated as alternates in the unit price description.

Alternate No. 1 N/A for the lump sum of:

Dollars ($

Alternate No. 2 N/A for the lump sum of:

Dollars ($

Alternate No. 3 N/A for the lump sum of:

Dollars ($

NAME OF BIDDER:

ADDRESS OF BIDDER:

LOUISIANA CONTRACTOR'S LICENSE NUMBER:

NAME OF AUTHORIZED SIGNATORY OF BIDDER:

TITLE OF AUTHORIZED SIGNATORY OF BIDDER:

THE FOLLOWING ITEMS ARE TO BE INCLUDED WITH THE SUBMISSION OF THIS LOUISIANA UNIFORM

PUBLIC WORK BID FORM:

* The Unit Price Form shall be used if the contract includes unit prices. Otherwise it is not required and need not be included with the form. The number of unit prices that may be included is not limited and additional sheets may be included if needed.

** A CORPORATE RESOLUTION OR WRITTEN EVIDENCE of the authority of the person signing the bid for the public work as prescribed by LA R.S. 38:2212(B)(5).

BID SECURITY in the form of a bid bond, certified check or cashier's check as prescribed by LA R.S. 38:2218(A) attached to and made a part of this bid.

SIGNATURE OF AUTHORIZED SIGNATORY OF BIDDER**:

DATE:

C-8

C-9

BID BOND

Date: _____________

KNOW ALL MEN BY THESE PRESENTS:

That ____________________________________ of ___________________________________, as Principal, and _____________________________________________________, as Surety, are held and firmly bound unto ______________________________________________________________ (Obligee), in the full and just sum of five (5%) percent of the total amount of this proposal, including all alternates, lawful money of the United States, for payment of which sum, well and truly be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally firmly by these presents.

Surety represents that it is listed on the current U. S. Department of the Treasury Financial

Management Service list of approved bonding companies as approved for an amount equal to or greater that the amount for which it obligates itself in this instrument or that it is a Louisiana domiciled insurance company with at least an A rating in the latest printing of the A. M. Best's Key Rating Guide. If surety qualifies by virtue of its Best's listing, the Bond amount may not exceed ten percent of policyholders' surplus as shown in the latest A. M. Best's Key Rating Guide.

Surety further represents that it is licensed to do business in the State of Louisiana and that this

Bond is signed by surety's agent or attorney in fact. This Bid Bond is accompanied by appropriate power of attorney.

THE CONDITION OF THIS OBLIGATION IS SUCH that, whereas said Principal is herewith submitting its proposal to the Obligee on a Contract for:

NOW, THEREFORE, if the said Contract be awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing and give a good and sufficient bond to secure the performance of the terms and conditions of the Contract with surety acceptable to the Obligee, then this obligation shall be void; otherwise this obligation shall become due and payable.

PRINCIPAL (BIDDER) SURETY

BY: _______________________________ BY:______________________________

AUTHORIZED OFFICER OWNER PARTNER AGENT OR ATTORNEY IN FACT(SEAL)

C-10

AIG CONTRACT CERTIFICATION

The BIDDER (Proposer) shall complete the following statement by checking the appropriate spaces.

The BIDDER (Proposer) has ____ has not ____ participated in a previous contract subject to the equal opportunity clause prescribed by Executive Order 10925 or Executive Order 11114, or Executive Order

11246.

The BIDDER (Proposer) has ____ has not ____ submitted all compliance reports in connection with any such contract due under the applicable filing requirements; and that representations indicating submission of required compliance reports signed by proposed subcontractors will be obtained prior to award of subcontracts.

If the BIDDER (Proposer) has participated in a previous contract subject to the equal opportunity clause and has not submitted compliance reports due under applicable filing requirements, the Bidder (Proposer) shall submit a compliance report on Standard Form 100, "Employee Information Report EEO-1" prior to award of the contract.

Standard Form 100 is normally furnished contractors annually, based on a mailing list currently maintained by the Joint Reporting Committee. In the event a contractor has not received the form, he may obtain it by writing to the following address:

Joint Reporting Committee

1800 G Street

Washington, D.C. 20506

The bidder certifies, by submission of this bid or acceptance of this contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntary excluded from participation in this transaction by any Federal department or agency. It further agrees that by submitting this bid that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the bidder or any lower tier participant is unable to certify to this statement, it shall attach an explanation to this proposal.

Certification Regarding Foreign Trade Restrictions

(49 CFR PART 30)

C-11

The contractor or subcontractor, by submission of an offer and/or execution of a contract, certifies that it:

a. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade representative (USTR);

b. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list.

c. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list.

Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49

CFR 30.17, no contract shall be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on said list for use on the project, the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract at no cost to the Government.

Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor shall provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances.

This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract or subcontract for default at no cost to the Government.

Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001.

C-12

Respectfully submitted:

Signature

Title

License Number (If Applicable)

Address

(SEAL - If BID is by a Corporation)

ATTEST: ___________________________________________

C-13

AGREEMENT

THIS AGREEMENT, made this _____ day of ______________________, 2026, by and between the

City of Springhill hereinafter called "OWNER", and ________________________________, doing business as (an individual), or (a partnership), or (a corporation), hereinafter called "CONTRACTOR".

WITNESSETH: That for and in consideration of the payments and agreements hereinafter mentioned:

A. The CONTRACTOR will commence and complete the construction of the “SPRINGHILL AIRPORT –

NEW FUEL FACILITY”, AIG No. 3-22-0049-022-2026 in Springhill, Louisiana, and all extra work in connection therewith, under the terms as stated in the General Provisions and at his (or their) own proper cost and expense to furnish all materials, supplies, machinery, equipment, tools, superintendence, labor, insurance, and other accessories and services necessary to complete said construction, in accordance with the Invitation for Bid, General Provisions, Special Conditions, plans and other drawings and printed or written explanatory matter thereof, and the

Specifications and addenda therefore, as prepared by KSA Engineers, Inc. together with the

CONTRACTOR’s written bid form, General Provisions, and the Performance/Maintenance/

Payment Bonds hereto attached; all of which are made a part hereof and collectively evidence and constitute the entire CONTRACT.

B. The CONTRACTOR will commence the work required by the CONTRACT within ten (10) days after the date of the NOTICE TO PROCEED and will complete the same within THIRTY (30) CALENDAR

DAYS, unless the period for completion is extended otherwise by the CONTRACT.

C. The CONTRACTOR agrees to perform all of the work described in the CONTRACT and comply with the terms therein for the sum of $__________________________.

D. The OWNER will pay to the CONTRACTOR in the manner and at such times as set forth in the

General Provisions such amounts as required by the CONTRACT.

E. The OWNER may, upon reasonable notice to the CONTRACTOR, examine the books, records and operations of the CONTRACTOR that relate to all items in this contract. Any claims arising from such examinations shall be submitted by the OWNER to the CONTRACTOR for immediate settlement.

F. This Agreement shall be binding upon all parties hereto and their respective heirs, executors, administrators, successors and assigns.

IN WITNESS WHEREOF, the parties hereto have executed, or caused to be executed by their duly authorized officials, this Agreement in six (6) copies each of which shall be deemed an original on the date first above written.

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(SEAL) OWNER:

ATTEST: CITY OF SPRINGHILL

________________________________ BY: ______________________________

NAME: __________________________ NAME: __________________________

(Please Type) (Please Type)

TITLE: ___________________________ TITLE: ____________________________

(SEAL)

CONTRACTOR:

ATTEST:

________________________________ BY: ______________________________

NAME: __________________________ NAME: __________________________

(Please Type) (Please Type)

TITLE: ___________________________ TITLE: ____________________________

ADDRESS: _________________________

C-15

PUBLIC CONTRACT AFFIDAVIT

ATTESTING THAT PUBLIC CONTRACT WAS NOT SECURED

THROUGH EMPLOYMENT OR PAYMENT OF SOLICITOR

All architects, engineers, contractors, subcontractors, or any other person, corporation, firm, association, or other organization receiving value for services rendered in connection with this contract shall execute the following affidavit:

BEFORE ME, the undersigned Notary Public duly qualified and commissioned, came and appeared

________________________________, authorized representative of ____________________________, who does hereby state as follows, to-wit:

G. That I employed no person, corporation, firm, association, or other organization, either directly or indirectly, to secure the public contract under which he received payment, in connection with the construction of the public building or project or in securing the public contract were in the regular course of their duties for me; and

That no part of the contract price received by me was paid or will be paid to any person, corporation, firm, association, or other organization for soliciting the contract, other than the payment of their normal compensation to persons regularly employed by me whose services in connection with the construction of the public building or project were in the regular course of the duties for me.

Architects and engineers are prohibited from owning a substantial financial interest, either directly or indirectly, in any corporation, firm, partnership, or other organization which supplies materials for the construction of a public building or project when the architect or engineer has performed architectural or engineering services, either directly or indirectly, in connection with the public building or project for which the materials are being supplied.

a) For the purpose of this Section, a "substantial, financial interest" shall exclude any interest in stock being traded on the American Stock Exchange or the New York Stock Exchange.

THUS DONE AND PASSED before me, Notary, on this _____ day of ___________________________, 2026.

Signature and Title

Notary Public

C-16

STATE OF LOUISIANA

PARISH OF WEBSTER

PERFORMANCE/MAINTENANCE/PAYMENT BOND

KNOW ALL MEN BY THESE PRESENTS:

That the undersigned contractor; herein the Principal _________________________________________ and his/her/their/its Surety _______________________ are held and firmly bound unto the City of

Springhill, State of Louisiana, in the penal sum of _____________________________________________

_________________________________________ and Cents ($_________________________), which is

100% of the contract amount, to be paid to the City of Springhill, its successors or assigns, for the payment of which said sum, well and truly to be made, we do hereby firmly bind ourselves, our heirs, executors, administrators and successors, jointly and severally by these presents.

The condition of the above obligation is such that the Principal shall enter into a contract with said City of

Springhill for furnishing all labor, materials, equipment, rentals and other services and supplies specified in said contract for the following:

Project Name: NEW FUEL FACILITY

SPRINGHILL AIRPORT, LOUISIANA

Project Number: AIP No._3-22-0049-022-2026

Now, therefore, if the said Principal shall well, properly, faithfully, and honestly discharge, do and perform all and singular obligations and things of said contract, to be done and performed by said

Principal, according to said contract, then this obligation shall be void; otherwise, the same shall remain in full force and effect.

The obligation of the Principal shall include, though it is expressly and specifically not limited to, the maintenance and repair of any and all defects in workmanship or materials which may develop or occur in the above referenced project, free of any and all cost to the City of Springhill, for a period of one

(1) year from the date of the final acceptance of the project. The limit for the maintenance portion of the obligation shall be ten percent (10%) of the penal sum.

Provided further, that if said Principal fails to duly pay for any labor, materials, equipment, rentals, or any other supplies or materials used or consumed by the Principal or his/her/their/its subcontractors in performance of the work contracted to be done, the Surety will pay the same in any amount not exceeding the amount of this obligation, together with interest as provided by law.

C-17

Provided further, that the Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the contract, or the work to be performed thereunder, or the specifications accompanying the same, shall in any way affect its obligations on this bond and it does hereby waive notice of any such change, extension of time, alteration, or modification.

Provided further, that the Principal and Surety hereby stipulate and agree that this bond shall be in full force and effect as of the effective date of the above referenced contract.

IN TESTIMONY WHEREOF, the said Principal has hereunto set his hand, the Surety has caused these presents to be executed in its name and its corporate seal to be hereunto affixed, by its attorney-in-fact; and the undersigned attorney-in-fact hereby attests that s/he is duly authorized on this date and under the conditions set forth herein so to do.

WITNESS:

CONTRACTOR

________________________________ BY: _____________________________

Signature

WITNESS:

SURETY

________________________________ BY: _____________________________

Name of Attorney-in-Fact

Signature and Seal

Signed, sealed and acknowledged before me, the undersigned notary, duly commissioned and qualified in the presence of ___________________________________ and ________________________ competent witnesses on this the _____________ day of ________________________, 2026.

Notary Public

C-18

SPH – NEW FUEL FACILITY FAA AIP No. 3-22-0049-022-2026

NAME OF PROJECT PROJECT NUMBER

ATTESTATIONS

Appearer, as a Bidder on the above-entitled Public Works Project, does hereby attest that:

L.A. R.S. 38:2227 (PAST CRIMINAL CONVICTIONS OF BIDDERS)

A. No sole proprietor or individual partner, incorporator, director, manager, officer, organizer, or member who has a minimum of a ten-percent (10%) ownership in the bidding entity named below has been convicted of, or has entered a plea of guilty or nolo contendere to any of the following state crimes or equivalent federal crimes:

a) Public Bribery (R.S. 14:118)

b) Corrupt Influencing (R.S. 14:120)

c) Extortion (R.S. 14:66)

d) Money Laundering (R.S. 14:23)

B. Within the past five years from the project bid date, no sole proprietor or individual partner, incorporator, director, manager, officer, organizer, or member who has a minimum of a ten-percent (10%) ownership in the bidding entity names below has been convicted of, or has entered a plea of guilty or nolo contendere to any of the following state crimes or equivalent federal crimes, during the solicitation or execution of a contract or bid awarded pursuant to the provisions of Changer 10 of Title 38 of the Louisiana Revised Statutes:

a) Theft (R.S. 14:67)

b) Identity Theft (R.S. 14:67.16)

c) Theft of a Business Record

(R.S. 14:67.20)

d) False Accounting (R.S. 14:70)

e) Issuing Worthless Checks

(R.S. 14:71)

f) Bank fraud (R.S. 14:71.1)

g) Forgery (R.S. 14:72)

h) Contractors; Misapplication of Payments

(R.S. 14:202)

i) Malfeasance in Office (R.S. 14:134)

L.A. R.S. 38:2212.10 Verification of Employees

A. Appearer is registered and participates in a status verification system to verify that all employees in the state of Louisiana are legal citizens of the United States or are legal aliens.

B. If awarded the contract, Appearer shall continue, during the term of the contract, to utilize a status verification system to verify the legal status of all new employees in the state of Louisiana.

C. If awarded the contract, Appearer shall require all subcontractors to submit to it a sworn affidavit verifying compliance of Paragraphs (A) and (B) of this Subsection.

C-19

NAME OF BIDDER NAME OF AUTHORIZED SIGNATORY OF BIDDER

DATE TITLE OF AUTHORIZED SIGNATORY OF BIDDER

SIGNATURE OF AUTHORIZED

SIGNATORY OF BIDDER

DISADVANTAGED BUSINESS ENTERPRISE

DBE-1

BID SPECIFICATION

The requirements of 49 CFR part 26 apply to this contract. It is the policy of the Sponsor to practice nondiscrimination based on race, color, sex, or national origin in the award or performance of this contract. The Sponsor encourages participation by all firms qualifying under this solicitation regardless of business size or ownership.

Bidders List: The Sponsor is required to obtain the following bidder information about all DBE and non-

DBEs who bid as prime contractors and subcontractors on each DOT-assisted contract. The Bidder must submit the following information within five (5) days of bid opening on the forms provided herein (Bidders

List Collection Form):

• Firm’s name;

• Firm’s address including zip code;

• Firm’s status as a DBE or non-DBE;

• NAICS code applicable to each scope of work the firm sought to perform in its bid;

• Age of the firm; and

• Annual gross receipts of the firm.

Small Business Participation: The Sponsor has established a Small Business Element in accordance with

49 CFR Part 26 to facilitate competition by small business concerns, taking all reasonable steps to eliminate obstacles to their participation and to create a level playing field on which small businesses can compete fairly. While there is no specific numerical goal assigned to small business participation the prime contractor should make every effort to solicit small business concerns (as defined in 13 CFR Part 121) to participate as subcontractors, service providers, suppliers, etc.

The Sponsor has identified work categories conducive to small business participation on the form entitled

Fostering Small Business Participation – List Defining Work Categories Conducive to Small Business

Participation. Prime contractors are encouraged to solicit small business participation for the work items referenced.

The Bidder must submit the Small Business Participation information on the forms provided herein

(Fostering Small Business Participation & Non-Certified Small Business Verification Form) when requested by the Sponsor.

Socially/Economically Disadvantaged Financial Institutions: The Sponsor encourages Contractors and

Subcontractors to utilize the services of financial institutions owned and controlled by socially and economically disadvantaged individuals in the community.

You can find a link to Minority-Owned Financial Institutions and their branches on the FDIC website:

https://www.fdic.gov/regulations/resources/minority/mdi.html or the U. S. Department of Treasury –

Bureau of the Fiscal Service https://fiscal.treasury.gov/mbdp/.

DBE-2

FOSTERING SMALL BUSINESS PARTICIPATION – LIST DEFINING WORK CATEGORIES CONDUCIVE TO

SMALL BUSINESS PARTICIPATION

Background 49 CFR §26.39

The Sponsor has established a Small Business Element in accordance with 49 CFR Part 26 to facilitate competition by small business concerns, taking all reasonable steps to eliminate obstacles to their participation and to create a level playing field on which small businesses can compete fairly. While there is no specific numerical goal assigned to small business participation the prime contractor should make every effort to solicit small business concerns (as defined in 13 CFR Part 121).

The Sponsor has identified the below work categories that are conducive to small business participation for the referenced project. As per the agreement, prime contractors are encouraged to solicit small business participation for the work items referenced below.

Project Information

Project No/Description _________________________________________________________________________________________________

Identified Work Categories Conducive to Small Business

Work Category/Bid Line Item NAICS Code

Oil and Gas Pipeline and Related Structures Construction 237120

Electrical Contractors and Other Wiring Installation Contractors 238210

Other Building Equipment Contractors 238290

General Freight Trucking 4841

DBE-3

Fostering Small Business Participation

The Sponsor has established a Small Business Element in accordance with 49 CFR Part 26 to facilitate competition by small business concerns, taking all reasonable steps to eliminate obstacles to their participation and to create a level playing field on which small businesses can compete fairly. While there is no specific numerical goal assigned to small business participation the prime contractor should make every effort to solicit small business concerns (as defined in 13 CFR Part 121) to participate as sub-contractors, service providers, suppliers, etc.

The Sponsor encourages small business participation, including DBE certified firms and SBA certified Small

Disadvantaged Business (SBD), Women-Owned Small Business/Economically Disadvantaged Women-Owned Small

Businesses (ED/WOSB), Veteran-Owned Small Business/Service-Disabled Veteran-Owned Small Business (SD/VOSB), 8(a) Small Business Development Program (8(a)), SBA Mentor-Protégé Program (SBA MP), and HUBZone Program

(HUBZone).

DBE certified firms can be located through the State's UCP website and SBA certified firms can be located through the Small Business Search Tool (https://beta-search.certify.sba.gov/advanced and https://dsbs.sba.gov/search/dsp_dsbs.cfm).

Prime Contractor

Firm Name ________________________________________________ Contact Name ____________________________________________

Email Address ________________________________________________________ Phone _________________________________________

Small Business Firms to be Utilized

Firm Name ________________________________________________ Contact Name ____________________________________________

Email Address ________________________________________________________ Phone _________________________________________

Address __________________________________________________ City __________________________ State _______ Zip ____________

Is the firm currently certified? If yes, check the appropriate box(es) and provide proof of certification. If no, complete the non-certified small business verification form.

☐ DBE ☐ SBD ☐ ED/WOSB ☐ SD/VOSB ☐ 8(a) ☐ SBA MP ☐ HUBZone ☐ No, Verification Form Attached

NAICS Code Description of Work to be Performed Estimated Total Cost of Work

DBE-4

Firm Name ________________________________________________ Contact Name ____________________________________________

Email Address ________________________________________________________ Phone _________________________________________

Address __________________________________________________ City __________________________ State _______ Zip ____________

Is the firm currently certified? If yes, check the appropriate box(es) and provide proof of certification. If no, complete

☐ DBE ☐ SBD ☐ ED/WOSB ☐ SD/VOSB ☐ 8(a) ☐ SBA MP ☐ HUBZone ☐ No, Verification Form Attached

Firm Name ________________________________________________ Contact Name ____________________________________________

Email Address ________________________________________________________ Phone _________________________________________

Address __________________________________________________ City __________________________ State _______ Zip ____________

Is the firm currently certified? If yes, check the appropriate box(es) and provide proof of certification. If no, complete

☐ DBE ☐ SBD ☐ ED/WOSB ☐ SD/VOSB ☐ 8(a) ☐ SBA MP ☐ HUBZone ☐ No, Verification Form Attached

Prime Signature

Signature ____________________________________________________________ Date ________________________________________

Print Name __________________________________________________________ Title _________________________________________

Firm Name ____________________________________________________________________________________________________________

DBE-5

NON-CERTIFIED SMALL Business VERIFICATION

Firms seeking to participate under the Sponsor's Small Business Element who are not certified under one of the pre-qualified certifications listed on the Fostering Small Business Participation Form but believe their firm meets the small business requirements per 13 CFR Part 121 should complete the attached form and provide the requested documentation. Firms meeting the requirements as verified by the Sponsor are eligible to participate in the Small Business Participation Plan.

Business Information

Firm Name ________________________________________________ Contact Name ____________________________________________

Email Address ________________________________________________________ Phone _________________________________________

Address __________________________________________________ City __________________________ State _______ Zip ____________

Business Profile

Primary Activities of your Firm Associated NAICS Codes

Number of Employees

Full Time ____________________ Part-time ____________________ Total ____________________

Gross Receipts of Firm (Attach Tax Returns for the last five years)

Gross Receipts of Firm for last 5 years Year _______________ Total Receipts ________________________________

Year _______________ Total Receipts ________________________________

Year _______________ Total Receipts ________________________________

Year _______________ Total Receipts ________________________________

Average Total Receipts ________________________________

Gross Receipts of Affiliate Firms (Attach Tax Returns for the last five years)

Gross Receipts of Affiliate Firms for last 5 years Year ________________ Total Receipts ________________________________

Affiliates are defined in accordance with Year _______________ Total Receipts ________________________________ the Small Business Administration (SBA) Year _______________ Total Receipts ________________________________ definition. Year _______________ Total Receipts ________________________________

Average Total Receipts ________________________________

Prime Signature

Signature ____________________________________________________________ Date ________________________________________

Print Name __________________________________________________________ Title _________________________________________

DBE-6

Firm Name ____________________________________________________________________________________________________________

Reviewer Certification (For use by Sponsor Only)

The Reviewer has determined that the above presented business:

☐ Meets the requirements of a Small Business and is eligible to participate under the Small Business Element

☐ Does not meet requirements of a Small Business and is not eligible to participate under the Small Business

Element

Signature __________________________________________________________

Print Name _________________________________________________________ Date…

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