23-00663-00-SC_Bid_Documents.pdf

Bituminous Surface Treatment Project 2023

Section 23-00663-00-SC

June 12, 2023

City of Urbana

Department of Public Works

TABLE OF CONTENTS

A. IDOT Proposal Forms

a. BLR 12240 – Local Public Agency Material Proposal or Deliver & Install Proposal

b. BLR 12241 – Material Schedule of Prices

c. BLR 12230 – Local Agency Proposal Bid Bond

d. BLR 12325 – Apprentice or Training Program Certification

e. BLR 12326 – Affidavit of Illinois Business Office

B. City of Urbana Proposal Forms

a. VRAD Form

b. EEO Form

c. Prevailing Wage

C. City of Urbana Special Provisions

a. General Information

b. General Contractual Conditions

c. Technical Provisions

D. IDOT Special Provisions

a. BLR 11300 – Check Sheet for Recurring Special Provisions

b. BDE Special Provisions

c. BLRS Special Provisions

E. Plans

a. Schedule Table

b. Location Map

SECTION A

IDOT Proposal Forms

Printed 06/13/23 Page 1 of 3 BLR 12240 (Rev. 01/19/23)

Local Public Agency Material Proposal or Deliver & Install Proposal

Proposal Submitted By:

Contractor's Name

Contractor's Address City State Zip Code

STATE OF ILLINOIS

Local Public Agency County Section Number

City of Urbana Champaign 23-00663-00-SC Street Name/Road Name Type of Funds

Material proposal Deliver and Install Proposal Plans

Note: All proposal documents, including Proposal Guaranty Checks or Proposal Bid Bonds, should be stapled together to prevent loss when bids are processed.

Local MFT Bituminous Surface Treatment 2023

For a Municipal Project

Submitted/Approved/Passed

Signature & Date

Official Title

City Engineer

June 13, 2023

Local Public Agency County Section Number

Printed 06/13/23 Page 2 of 3 BLR 12240 (Rev. 01/19/23)

City of Urbana Champaign 23-00663-00-SC

NOTICE TO BIDDERS

Sealed proposals for the project described below will be received at the office of the City of Urbana Public Works Department

Name of Office 706 Glover Avenue, Urbana, IL 61802 until 2:15 PM on 06/28/23 .

Address Time

Date

1. Plans and proposal forms will be available in the office of

2. Prequalification

If checked, the 2 low bidders must file within 24 hours after the letting an "Affidavit of Availability" (Form BC 57) in duplicate, showing all uncompleted contracts awarded to them and all low bids pending award for Federal, State, County, Municipal and private work.

One original shall be filed with the Awarding Authority and one original with the IDOT District Office.

3. The Awarding Authority reserves the right to waive technicalities and to reject any or all proposals as provided in BLRS Special Provision for Bidding Requirements and Conditions for Material/Deliver and Install Proposals.

4. A proposal guaranty in the proper amount, as specified in the BLRS Special Provision for Bidding Requirements and Conditions for Material/Deliver and Install Proposals, will be required. See the attached Special Provisions for specific instructions for proposal guaranty for this proposal packet.

5. The successful bidder at the time of execution of the contract will be required to deposit a contract bond or proposal guaranty as provided for in the special provisions. Failure on the part of the contractor to deliver the material within the time specified or to do the work specified herein will be considered just cause to forfeit his surety as provided in Article 108.10 of the Standard Specifications.

6. Proposals shall be submitted on forms furnished by the Awarding Authority and shall be enclosed in an envelope endorsed "Material

Proposal, Section 23-00663-00-SC ".

By Order of Awarding Authority

County Engineer/Superintendent of Highways/ Municipal Clerk

Date

To Awarding Authority

Material Proposal or Deliver & Install Proposal

Awarding Authority Address City State Zip Code

706 Glover Avenue Urbana IL 61802

If this bid is accepted within 45 days from the date of opening, the undersigned agrees to furnish or to deliver & install any or all of the materials, at the quoted unit prices, subject to the following:

1. It is understood and agreed that the "Standard Specifications for Road and Bridge Construction", adopted 01/01/22 and the "Supplemental Specifications and Recurring Special Provisions", adopted

01/01/23 , prepared by the Department of Transportation, shall govern insofar as they may be applied and insofar as they do not conflict with the special provision and supplemental specifications attached hereto.

2. It is understood that quantities listed are approximate only and that they may be increased or decrease as may be needed to properly complete the improvement within its present limits or extensions thereto, at the unit prices stated and that bids will be compared on the basis of total price bid for each group.

3. Delivery in total or partial shipments as ordered shall be made within the time specified in the special provisions or by the acceptance at the point and in the manner specified in the "Schedule of Prices". If delivery on the job site is specified, it shall mean any place or paces on the road designed by the awarding authority or its authorized representative.

4. The contractor and/or local public agency performing the actual material placement operations shall be responsible for providing work zone traffic control, unless otherwise specified in this proposal. Such devices shall meet the requirements of and be installed in accordance with applicable provisions of the "Illinois Manual on Uniform Traffic Control Devices" and any referenced Illinois Highway Standards.

City of Urbana

Register online at the City of Urbana website: https://www.urbanaillinois.us/bids-rfps to receive bid documents.

06/13/23 John C. Zeman http://www.urbanaillinois.us/bids-rfps

Printed 06/13/23 Page 3 of 3 BLR 12240 (Rev. 01/19/23)

Attach Cashier's Check or Certified Check Here

In the event that one proposal guaranty check is intended to cover two or more bid proposals, the amount must be equal to the sum of the proposal guaranties which would be required for each individual bid proposal. If the proposal guaranty check is place in another bid proposal, state below where it may be found.

The proposal guaranty check will be found in the bid proposal for: Section Number ).

Discounts will be allowed for payment as follows: calendar days calendar days

Discounts will not be considered in determining the low bidder

Bidder

By Title

Address City State Zip Code

5. Each pay item should have a unit price and a total price. If no total price is shown or if there is a discrepancy between the product of the unit price multiplied by the quantity, the unit price shall govern. If a unit price is omitted, the total price will be divided by the quantity in order to establish a unit price. A bid will be declared unacceptable if neither a unit price nor a total price is shown.

6. A proposal guaranty in the proper amount, as specified in BLRS Special Provision for Bidding Requirements and Conditions for Contract Proposals, will be required. The proposal guaranty as specified in the special provisions is attached.

If a bid bond is allowed or required, Department form BLR 12230 or a proposal guaranty check, complying with the specifications, made payable to: Treasurer of the City of Urbana .

The amount of the check is ( ).

Printed 06/13/23 Page 1 of 1 BLR 12241 (Rev. 01/19/23)

Material Proposal Schedule of Prices

Material Proposal Schedule of Prices Group No. Item(s) Delivery Unit Quantity Unit Price Total

+ 1 BIT SURF TREATMNT A1 SQ YD 54,097

The undersigned firm certifies that it has not been convicted of bribery or attempting to bribe an officer or employee of the State of Illinois, nor has the firm made an admission of guilt of such conduct which is a matter of record, nor has an official, agent, or employee of the firm committed bribery or attempted bribery on behalf of the firm and pursuant to the direction or authorization of a responsible official of the firm. The undersigned firm further certifies that it is not barred from contracting with any unit of State or local government as a result of a violation of State laws prohibiting bid-rigging or bid rotating.

Bidder Signature & Date

Completed 06/13/23 Page 1 of 2 BLR 12230 (Rev. 01/19/23)

Local Public Agency

County

Local Public Agency Proposal Bid Bond

Section Number

WE, as PRINCIPAL, and as SURETY, are held jointly, severally and firmly bound unto the above Local Public Agency (hereafter referred to as "LPA") in the penal sum of 5% of the total bid price, or for the amount specified in the proposal documents in effect on the date of invitation for bids, whichever is the lesser sum. We bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly pay to the LPA this sum under the conditions of this instrument.

WHEREAS THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH that, the said PRINCIPAL is submitting a written proposal to the LPA acting through its awarding authority for the construction of the work designated as the above section.

THEREFORE if the proposal is accepted and a contract awarded to the PRINCIPAL by the LPA for the above designated section and the PRINCIPAL shall within fifteen (15) days after award enter into a formal contract, furnish surety guaranteeing the faithful performance of the work, and furnish evidence of the required insurance coverage, all as provided in the "Standard Specifications for Road and Bridge Construction" and applicable Supplemental Specifications, then this obligation shall become void; otherwise it shall remain in full force and effect.

IN THE EVENT the LPA determines the PRINCIPAL has failed to enter into a formal contract in compliance with any requirements set forth in the preceding paragraph, then the LPA acting through its awarding authority shall immediately be entitled to recover the full penal sum set out above, together with all court costs, all attorney fees, and any other expense of recovery.

IN TESTIMONY WHEREOF, the said PRINCIPAL and the said SURETY have caused this instrument to be signed by their respective officers this

Company Name

Day of Month and Year

Principal

Company Name

Signature & Date

By: By:

Title Title

(If Principal is a joint venture of two or more contractors, the company names, and authorized signatures of each contractor must be affixed.) Surety

Name of Surety By:

Signature of Attorney-in-Fact Signature & Date

STATE OF IL

COUNTY OF

I , a Notary Public in and for said county do hereby certify that

(Insert names of individuals signing on behalf of PRINCIPAL & SURETY) who are each personally known to me to be the same persons whose names are subscribed to the foregoing instrument on behalf of PRINCIPAL and SURETY, appeared before me this day in person and acknowledged respectively, that they signed and delivered said instruments as their free and voluntary act for the uses and purposes therein set forth.

Given under my hand and notarial seal this Day day of .

Month and Year

Notary Public Signature & Date

(SEAL, if required by the LPA)

Date commission expires

Completed 06/13/23 Page 2 of 2 BLR 12230 (Rev. 01/19/23)

City of Urbana Champaign 23-00663-00-SC

ELECTRONIC BID BOND

Electronic bid bond is allowed (box must be checked by LPA if electronic bid bond is allowed) The Principal may submit an electronic bid bond, in lieu of completing the above section of the Proposal Bid Bond Form. By providing an electronic bid bond ID code and signing below, the Principal is ensuring the identified electronic bid bond has been executed and the Principal and Surety are firmly bound unto the LPA under the conditions of the bid bond as shown above. (If PRINCIPAL is a joint venture of two or more contractors, an electronic bid bond ID code, company/Bidder name title and date must be affixed for each contractor in the venture.)

Electronic Bid Bond ID Code Company/Bidder Name

Title

Completed 06/13/23 Page 1 of 1 BLR 12325 (Rev. 01/19/23)

For this contract proposal or for all bidding groups in this deliver and install proposal.

For the following deliver and install bidding groups in this material proposal.

Apprenticeship and Training Program Certification

Local Public Agency County Street Name/Road Name Section Number

City of Urbana Champaign Bit. Surf. Treatment 2023 23-00663-00-SC All contractors are required to complete the following certification

Illinois Department of Transportation policy, adopted in accordance with the provisions of the Illinois Highway Code, requires this contract to be awarded to the lowest responsive and responsible bidder. The award decision is subject to approval by the Department. In addition to all other responsibility factors, this contract or deliver and install proposal requires all bidders and all bidder's subcontractors to disclose participation in apprenticeship or training programs that are (1) approved by and registered with the United States Department of Labor's Bureau of Apprenticeship and Training, and (2) applicable to the work of the above indicated proposals or groups. Therefore, all bidders are required to complete the following certification:

1. Except as provided in paragraph 4 below, the undersigned bidder certifies that it is a participant, either as an individual or as part of a group program, in an approved apprenticeship or training program applicable to each type of work or craft that the bidder will perform with its own employees.

2. The undersigned bidder further certifies, for work to be performed by subcontract, that each of its subcontractors either (A) is, at the time of such bid, participating in an approved, applicable apprenticeship or training program; or (B) will, prior to commencement of performance of work pursuant to this contract, establish participation in an approved apprenticeship or training program applicable to the work of the subcontract.

3. The undersigned bidder, by inclusion in the list in the space below, certifies the official name of each program sponsor holding the Certificate of Registration for all of the types of work or crafts in which the bidder is a participant and that will be performed with the bidder's employees. Types of work or craft that will be subcontracted shall be included and listed as subcontract work. The list shall also indicate any type of work or craft job category for which there is no applicable apprenticeship or training program available.

4. Except for any work identified above, if any bidder or subcontractor shall perform all or part of the work of the contract or deliver and install proposal solely by individual owners, partners or members and not by employees to whom the payment of prevailing rates of wages would be required, check the following box, and identify the owner/operator workforces and positions of ownership.

The requirements of this certification and disclosure are a material part of the contract, and the contractor shall require this certification provision to be included in all approved subcontracts. The bidder is responsible for making a complete report and shall make certain that each type of work or craft job category that will be utilized on the project is accounted for and listed. The Department at any time before or afterward may require the production of a copy of each applicable Certificate of Registration issued by the United States Department of Labor evidencing such participation by the contractor and any or all of its subcontractors. In order to fulfill the participation requirement, it shall not be necessary that any applicable program sponsor be currently taking or that it will take applications for apprenticeship, training or employment during the performance of the work of this contract or deliver and install proposal.

Bidder Signature & Date

Title

Affidavit of Illinois Business Office

Local Public Agency County Street Name/Road Name Section Number

City of Urbana Champaign Bit. Surf. Treatment 2023 23-00663-00-SC

I, Name of Affiant of City of Affiant

State of Affiant being first duly sworn upon oath, state as follows:

1. That I am the of

Officer or Position

2. That I have personal knowledge of the facts herein stated.

3. That, if selected under the proposal described above, State of Illinois, which will be located in

County, Illinois.

, will maintain a business office in the

4. That this business office will serve as the primary place of employment for any persons employed in the construction contemplated by this proposal.

5. That this Affidavit is given as a requirement of state law as provided in Section 30-22(8) of the Illinois Procurement Code.

Print Name of Affiant

Notary Public

State of IL

Signed (or subscribed or attested) before me on by (date)

, authorized agent(s) of

(name/s of person/s)

Notary Public Signature & Date

(SEAL) My commission expires

Completed 06/13/23 Page 1 of 1 BLR 12326 (Rev. 01/20/23)

SECTION B

City of Urbana Proposal Forms

CITY OF URBANA

CERTIFICATION FORMS

The Notice of Award cannot be issued until the Contractor’s equal opportunity compliance and certification forms have been approved by Urbana’s Human Relations Commission. Contractors are encouraged to pre-qualify with the City prior to the bid opening to expedite issuance of the Notice of Award.

Consultants can check to see if they are Equal Employment Opportunity (EEO) qualified with the City by contacting the City Human Relations Office at HRO@urbanaillinois.us or (217)384-8455.

The following Urbana Certification Forms should be completed and submitted to the City of Urbana as soon as possible by Consultants that are not EEO qualified:

(1) Vendor Representations and Additional Duties Form

(2) Equal Employment Opportunity (E.E.O.) Workforce Statistics Form

The forms can be mailed to:

City of Urbana

Attn: Human Relations Office

400 South Vine Street

Urbana, IL 61802

217-384-2466 – Phone

HRO@urbanaillinois.us

VENDOR REPRESENTATIONS AND ADDITIONAL DUTIES

The Vendor agrees that following representations and additional duties are a material part of the contract. The undersigned, having been duly sworn under oath, certifies and agrees as follows:

1. None of the Vendor or its partners, officers, owners, employees, or agents have been barred from contracting with a unit of State or local government in the past five years as a result of a conviction for bid rigging, in violation of 720 ILCS 5/33E-3 or any similar offense of any state or the United States which contains the same elements as this offense. 720

ILCS 5/33E-11.

2. None of the Vendor or its partners, officers, owners, employees, or agents have ever been barred from contracting with a unit of State or local government as a result of a conviction for bid rotating, in violation of 720 ILCS 5/33E-4 or any similar offense of any state or the United States which contains the same elements as this offense. 720 ILCS 5/33E-11.

3. If the Vendor holds any elected or appointed office under the laws or Constitution of this State, the Vendor is in compliance with the Public Officer Prohibited Activities Act. 50

ILCS 105/3.

4. The Vendor is not a municipal officer with a prohibited financial interest in this contract, directly in the officer’s own name or indirectly in the name of any other person, association, trust, or corporation, in accordance with 65 ILCS 5/3.1-55-10.

5. Please initial one statement, in accordance with 65 ILCS 5/11-42.1-1:

A. ________ The Vendor is not delinquent in the payment of any tax administered by the Department of Revenue unless the Vendor is contesting, in accordance with the procedures established by the appropriate revenue Act, its liability for the tax or the amount of tax.

B. ________ The Vendor has entered into an agreement with the Department of Revenue for the payment of all such taxes that are due and is in compliance with the agreement.

6. If the Vendor employs commercial motor vehicle operators, the Vendor is in compliance with the Federal Highway Administration rules for controlled substances and alcohol use and testing. 49 CFR Parts 40 and 382.

7. During the term of this contract, the Vendor shall comply with (a) Urbana City Code Section 2-119, which prohibits employment discrimination by contractors and vendors with the City; (B) the Equal Employment Opportunity provisions of Ill. Admin. Code tit. 44, § 750; and (C) Article 2 of the Illinois Human Rights Act, 775 ILCS 5/2-101 et seq., including without limitation the requirement that the Vendor have a written sexual harassment policy in conformance with 775 ILCS 5/2-105.

8. If this contract involves the construction, reconstruction, alteration, repair, improvement, or maintenance of public works, the Vendor has filed with the City and made available to the general public a copy of the Vendor’s written substance abuse prevention program, which meets or exceeds the requirements of 820 ILCS 265/15.

VENDOR REPRESENTATIONS AND ADDITIONAL DUTIES

9. If this contract involves the construction, reconstruction, alteration, repair, improvement, or maintenance of public works, the Vendor shall use United States produced steel products, in compliance with 30 ILCS 565/4.

10. If this contract involves the construction, addition to, or alteration of public works, the Vendor shall employ laborers in compliance with the Veterans Preference Act (330 ILCS 55/0.01 et seq.) and the Employment of Illinois Workers on Public Works Act (30 ILCS 570/0.01 et seq.).

11. The Vendor shall comply with all applicable provisions of the Prevailing Wage Act, which requires the payment of the prevailing rate of wage to all laborers, workers, and mechanics employed by or on behalf of a public body in the construction, demolition, maintenance, or repair of public works. 820 ILCS 130/0.01 et seq. The prevailing wage rates are established and revised by the Department of Labor and are available at www.state.il.us/agency/idol/rates/rates.htm.

12. The Vendor shall obtain from all subcontractors to be used in the performance of this contract a sworn statement agreeing to the representations and additional duties contained on this document. The Vendor shall maintain the sworn statements on file for the duration of this contract and shall promptly provide them to the City upon request. If a subcontractor is or becomes ineligible for a contract with the City, the Vendor promptly shall terminate its subcontract upon the City’s request. The Vendor shall include adequate provisions in all subcontracts to allow it to terminate such subcontracts as required herein.

The representations contained on this document are true, complete, and correct in all respects. The representations contained herein are continuing. If any such representation is no longer true or correct, the Vendor promptly shall notify the City in writing.

Vendor:

By:

Printed name:

Title:

Date:

State of

County of

Signed and sworn (or affirmed) to before me on _____________________________ (date) by ______________________________________ (name of person making statement).

(seal)

Signature of notary public

2.

City/State/Zip:

1. Company Name and Address Name:

d/b/a:

Address:

Limited Liability Corporation

6. Project on which your company is bidding (or indicate general renewal):

5. Name and Address of the Company's Principal Office

Individual Proprietorship

(If principal office is same as above, skip to question #6.)

4. FEI Number:

of the following:Renewal

Name:

Address:

City/State/Zip:

HR&E EEO WS 3-2023

7. Please describe the major product or service of your company:

8. City of Urbana staff member assigned to your contract or to the RFP:

Partnership

OFFICE OF HUMAN RIGHTS AND EQUITY

400 SOUTH VINE ST

URBANA, ILLINOIS 61801

217-384-2455 hro@urbanaillinois.us

Corporation3. Please check one New Certification

Telephone:

Equal Employment Opportunity (EEO) Workforce Statistics Form

Failure to properly complete each section of this form as instructed may result in a delay or denial of eligibility to bid or do business with the City of Urbana.

Section I. Identification

Yes No 1.

2.

3.

4.

5.

6.

7.

Has the company developed a written policy statement prohibiting sexual harassment? (Note: An example of a Sexual Harassment Policy statement is on the same webpage as this form.) Please attach a copy of your company's Sexual Harassment Policy in order to be considered eligible to do business with the City of Urbana.

Have all recruitment sources been notified that the company will consider all qualified applicants without regard to race, color, creed, class, national origin, religion, sex, age, marital status, mental and/or physical disability, personal appearance, sexual orientation, family responsibilities, matriculation, political affiliation, prior arrest, conviction record, or source of income?

Are you currently seeking to renew an existing or expired Urbana EEO certificate? (If yes, please complete Table B. If no, skip to question #8.)

Section II. Policies and Practices

Does the company have a written Equal Employment Opportunity Statement?

(Note: An example of an EEO Statement is on the same webpage as this form.)

Please attach an EEO Statement in order to be considered eligible to do business with the City of Urbana.

Questions? 217-384-2455 or hro@urbanaillinois.us.

Were you previously issued a "Provisional Certificate"? (If yes, please refer to the letter you received when your provisional certificate was issued and respond to all stipulations required for renewal.

Questions? 217-384-2455 or hro@urbanaillinois.us.)

Is it the company's policy to recruit, hire, train, upgrade, promote and discipline persons without regard to race, color, creed, class, national origin, religion, sex, age, marital status, mental and/or physical disability, personal appearance, sexual preference, family responsibilities, matriculation, political affiliation, prior arrest, conviction record, or source of income?

Has someone been assigned to develop procedures, which will assure that the EEO policy is implemented and enforced by managerial, administrative, and supervisory personnel? If so, please indicate the name, title, and contact information of the official charged with this responsibility.

Name:

Telephone:

Email:

Title:

Yes N/A 8.

9.

10.

11.

12.

13.

If advertising is used, does it specify that all qualified applicants will be considered for employment without regard to race, color, creed, class, national origin, religion, sex, age, marital status, mental and/or physical disability, personal appearance, sexual orientation, family responsibilities, matriculation, political affiliation, prior arrest, convention record, or source of income?

Has the contractor notified all of its sub-contractors of their obligations to comply with the Equal Opportunity requirements either in writing, by inclusion in subcontract, or purchase orders?

Is the company a state certified minority/women owned business? If yes, please attach a copy of state certification.

Does the company have collective bargaining agreements with labor organizations? (If your answer is "N/A", skip to question #13.)

Have the labor organizations been notified of the company's responsibility to comply with the Equal Employment Opportunity requirements in all contracts with the City of Urbana?

Does the company perform construction, rehabilitation, alteration, conversion, demolition or repair of buildings, highways, or other improvements to real property? (If yes, please complete Table C.)

M F M F M F M F M F M F M F

Professionals

Categories

Technicians

Sales Workers

Office & Clerical Craft Workers (Skilled) Operatives (Semi-Skilled)

OVERALL

TOTALS

Service Workers

Laborers (Unskilled)

Please note any additional information unique to your workforce (for example, the number of employees who non-disclose race/ethnicity; staff members identifying as non-binary; someone splitting their time in two or more departments):

Date of this Data:

IMPORTANT: Please complete the company workforce analysis below. Use the number of employees as of the most recent payroll period. Complete this form in its entirety and submit your organization's (1) EEO Statement and (2) Sexual Harassment Policy in order to be eligible to do business with the City of Urbana.

For descriptions of Job Categories, as well as Race/Ethnic Categories, please see the last page of this form.

Job

Section III. Employment Information

TABLE A - TOTAL CONTRACTOR/VENDOR WORKFORCE

Hispanic or LatinoWhite

Black or African-

American

Asian;

Hawaiian or other Pacific

Islander

Native American or Alaskan Native

Other Races;

Two or More Races

Not of Hispanic Origin Not of Hispanic Origin

Total Employees in Category

Officials & Managers

M F M F M F M F

TABLE B - WORKFORCE TURNOVER SINCE PREVIOUS EEO REPORT

Job Categories

Total Employees Separated

Minority Employees Separated

Total Employees Newly Hired

Total Minorities Newly Hired

Please complete if your company previously received certification from the City of Urbana and now seeks renewal.

OVERALL

TOTALS

Officials & Managers

Professionals

Technicians

Sales Workers

Office & Clerical

Craft Workers (Skilled)

Operatives (Semi-Skilled)

Laborers (Unskilled)

Service Workers

M F M F M F M F M F M F

TABLE C* - EMPLOYEES TO BE ASSIGNED TO THE CITY OF URBANA CONTRACT

Black or African-

American

Asian;

Hawaiian or other Pacific

Islander

Native American or Alaskan Native

Total Employees in

Category Job Categories

Please complete if your answer to Section II, Question #13 (on page 3 of this form) was "Yes".

*Totals included in Table C should be a projection of the number of persons to be employed in the performance of the City contract.

For Contractors: Data provided in Table C will be verified by worksite inspections.

OVERALL

TOTALS

Service Workers

Hispanic or Latino

Other Races; Two or More Races

Laborers (Unskilled)

Officials & Managers

Professionals

Technicians

Sales Workers

Office & Clerical

Craft Workers (Skilled)

Operatives (Semi-Skilled)

1.

2.

3.

Yes N/A

4.

Section IV. Certification

E-mail

Did you fill in all of the appropriate boxes in the tables in Section III, including the "TOTAL" row?

Have you enclosed/attached your company's EEO statement?

Have you enclosed/attached your company's Sexual Harassment policy?

Prior to Submitting this form, please check the answers to the following questions to verify your completion of this form:

By signing below, the company certifies that it has answered all of the foregoing questions truthfully to the best of its knowledge and belief and agrees to comply and abide by the City of Urbana's Code of Ordinances (Section 2-119).

If your company is renewing and previously received a "Provisional Certificate", have you enclosed/attached a "Good Faith Efforts" plan or update?

Date

Signature

Section V. Verification

Printed Name and Title Check box to authorize electronic signature

DEFINITIONS OF TERMS LISTED ON THIS WORKFORCE STATISTICS FORM

DESCRIPTION OF RACE/ETHNIC CATEGORIES

Race/ethnic designations as used by the Office of Human Rights & Equity do not denote definitions of anthropological origins. For the purpose of this report, an employee may be included in the group to which he or she appears to belong, identifies with, or a community regards as belonging. However, please count no person in more than one column. The race/ethnic categories for this report are:

White (Not of Hispanic origin). All persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.

Black of African-American (not of Hispanic origin). All persons having origins in any of the Black racial groups of Africa.

Hispanic or Latino. All persons of Mexican, Puerto Rican, Cuban, Central, or South American, or other Spanish culture or origin, regardless of race.

Asian, Hawaiian, or other Pacific Islander. All persons having origins in any of the original peoples of the Asian continent or the

Pacific Islands. This category includes, but is not limited to, China, India, Japan, Korea, the Philippine Islands, and Samoa.

Native American or Alaskan Native. All persons having origins in any of the original peoples of North America. Includes those referred to as members of First Nations, and those who maintain cultural identification through tribal affiliation, or community recognition.

Other Races; Two or More Races. All persons who do not self-identify with the above categories, or who self-identify with two or more of the above categories.

DESCRIPTION OF JOB CATEGORIES

Count each employee in only one job category. Select the category containing the jobs most similar to that performed by the employee. The jobs listed in each category provide examples, not a complete list, of all job titles falling into that category.

Officials and managers. Occupations requiring administrative and managerial personnel who set broad policies, exercise overall responsibility for execution of these policies, and direct individual departments or special phases of a firm’s operations. Includes:

officials, executives, middle management, plant managers, department managers, and superintendents, salaried supervisors who are members of management, purchasing agents and buyers, railroad conductors and yardmasters, ship captains, mates and other officers, farm operators and managers, and kindred workers.

Professionals. Occupations requiring either college graduation or experience of such kind and amount as to provide a comparable background. Includes: accountants and auditors, airplane pilots and navigators, architects, artists, chemists, designers, dietitians, editors, engineers, lawyers, librarians, mathematicians, natural scientist, registered professionals nurses, personnel and labor relations specialist, physical scientist, physicians, social scientist, teachers, surveyors and kindred workers.

Technicians. Occupations requiring a combination of basic scientific knowledge and manual skill, obtainable through 2-years of post-high school education, such as offered in many technical institutes and union colleges, or through equivalent on-the-job training. Includes: computer programmers, drafters, engineering aides, junior engineers, mathematical aides, licensed, practical or vocational nurses, photographers, radio operators, scientific assistants, technical illustrators, technicians (medical, dental, electronic, physical science), and kindred workers.

Sales. Occupations engaging wholly or primarily in direct selling.

Includes: advertising agents and sales workers, insurance agents and brokers, real estate agents, and brokers, stock and bond sales workers, demonstrators, sales workers and sales clerks, grocery clerks, and cashiers/checkers, and kindred workers.

Office and clerical. Includes all clerical-type work regardless of difficulty, where the activities are predominantly non-manual though some manual work not directly involved with altering or transporting the products is included. Includes: bookkeepers, collectors (bills and accounts), messengers and office helpers, office machine operators (including computer), shipping and receiving clerks, stenographers, typists and secretaries, telegraph and telephone operators, legal assistants, and kindred workers.

Craft workers (skilled). Manual workers of relatively high skill level having a thorough and comprehensive knowledge of the processes involved in their work. These workers exercise considerable independent judgment and usually receive an extensive period of training. Includes: the building trades, hourly paid supervisors, and lead operators who are not members of occupations, compositors and typesetters, electricians, engravers, painters (construction and maintenance), motion picture projectionists, pattern and model makers, stationary hand painters, coaters, bakers, decorating occupations, and kindred workers.

Operatives (semiskilled). Workers who operate machine or processing equipment or perform other factory-type duties of an intermediate level, skills mastered in a few weeks and requiring only limited training. Includes: apprentices (auto service and stitchers, dryers, furnace workers, heaters, laundry and dry cleaning operatives, milliners, mine operatives and laborers, motor operators, oilers and greasers (except auto), painters (manufactured articles), photographic process workers, truck and tractor drivers, knitting, looping, taping and weaving machine operators, welders and flame cutters, electrical and electronic equipment assemblers, butchers and meat cutters, inspectors, testers and graders, hand packers and packagers, and kindred workers.

Laborers (unskilled). Workers in manual occupations, which generally require no special training who perform elementary duties that may be learned in a few days and require the application of little or no independent judgment. Includes: garage laborers, car washers and greasers, groundskeepers and gardeners, farmworkers, stevedores, woodchoppers, laborers performing lifting, digging, mixing, loading and pulling operation and kindred workers.

Service workers. Workers in both protective and nonprotective service occupations. Includes: Attendants (hospital and other institutions, professional and personal service, including nurses aides, and orderlies), barbers, char workers and cleaners, cooks, counter and fountain workers, elevator operators, firefighters and fire protection, guards, doorkeepers, stewards, janitors, police officers and detectives, porters, waiters and waitresses, amusement and recreation facilities attendants, guides, ushers, public transportation attendants, and kindred workers.

Overtime

Trade Title Rg Type C Base Foreman M-F Sa Su Hol H/W Pension Vac Trng Other Ins

ASBESTOS ABT-GEN All BLD 35.12 36.37 1.5 1.5 2.0 2.0 7.25 18.61 0.00 0.90

ASBESTOS ABT-MEC All BLD 25.45 26.45 1.5 1.5 2.0 2.0 9.95 8.25 0.00 0.50

BOILERMAKER All BLD 42.13 45.13 1.5 1.5 2.0 2.0 7.07 24.01 0.00 2.07

BRICK MASON All BLD 35.16 36.92 1.5 1.5 2.0 2.0 9.25 16.30 0.00 0.91

CARPENTER All BLD 37.83 40.08 1.5 1.5 2.0 2.0 9.25 17.23 0.00 0.78

CARPENTER All HWY 38.10 39.85 1.5 1.5 2.0 2.0 9.25 19.40 0.00 0.75

CEMENT MASON All BLD 36.36 38.86 1.5 1.5 2.0 2.0 10.00 11.70 0.00 0.50

CEMENT MASON All HWY 37.24 39.24 1.5 1.5 2.0 2.0 10.00 13.00 0.00 0.50

CERAMIC TILE FINISHER All BLD 33.17 33.17 1.5 1.5 2.0 2.0 9.25 12.70 0.00 0.50

ELECTRIC PWR EQMT OP All ALL 50.97 60.48 1.5 1.5 2.0 2.0 8.53 14.27 0.00 0.76

ELECTRIC PWR GRNDMAN All ALL 34.63 60.48 1.5 1.5 2.0 2.0 8.04 9.70 0.00 0.52

ELECTRIC PWR LINEMAN All ALL 56.74 60.48 1.5 1.5 2.0 2.0 8.70 15.88 0.00 0.85

ELECTRIC PWR TRK DRV All ALL 36.35 60.48 1.5 1.5 2.0 2.0 8.09 10.18 0.00 0.54

ELECTRICIAN All BLD 46.05 50.66 1.5 1.5 2.0 2.0 7.85 11.95 0.00 0.69

ELECTRONIC SYSTEM TECH All BLD 35.06 38.06 1.5 1.5 2.0 2.0 7.35 11.79 0.00 0.40

ELEVATOR CONSTRUCTOR All BLD 53.26 59.92 2.0 2.0 2.0 2.0 16.07 20.56 4.26 0.70

FENCE ERECTOR All ALL 35.50 37.50 1.5 1.5 2.0 2.0 11.74 15.00 0.00 1.11

GLAZIER All BLD 38.60 40.60 1.5 1.5 2.0 2.0 7.85 13.77 0.00 0.68

HEAT/FROST INSULATOR All BLD 34.90 36.40 1.5 1.5 2.0 2.0 8.49 13.79 0.00 0.30 0.65

IRON WORKER All ALL 35.50 37.50 1.5 1.5 2.0 2.0 11.74 15.00 0.00 1.11

LABORER All BLD 32.12 33.37 1.5 1.5 2.0 2.0 7.25 18.61 0.00 0.80

LABORER All HWY 35.17 36.17 1.5 1.5 2.0 2.0 7.25 18.73 0.00 0.80

LATHER All BLD 37.83 40.08 1.5 1.5 2.0 2.0 9.25 17.23 0.00 0.78

MACHINIST All BLD 53.18 57.18 1.5 1.5 2.0 2.0 9.93 8.95 1.85 1.47

MARBLE FINISHER All BLD 33.17 33.17 1.5 1.5 2.0 2.0 9.25 12.70 0.00 0.50

MARBLE MASON All BLD 34.69 34.69 1.5 1.5 2.0 2.0 9.25 12.70 0.00 0.50

MILLWRIGHT All BLD 34.58 36.83 1.5 1.5 2.0 2.0 9.25 20.94 0.00 0.78

MILLWRIGHT All HWY 38.82 40.57 1.5 1.5 2.0 2.0 9.25 21.71 0.00 0.75

OPERATING ENGINEER All ALL 1 43.85 46.85 1.5 1.5 2.0 2.0 11.35 12.50 0.00 1.30

OPERATING ENGINEER All ALL 2 28.75 46.85 1.5 1.5 2.0 2.0 11.35 12.50 0.00 1.30

OPERATING ENGINEER All ALL 3 45.85 46.85 1.5 1.5 2.0 2.0 11.35 12.50 0.00 1.30

Champaign County Prevailing Wage Rates posted on 5/22/2023

PAINTER All ALL 37.45 38.95 1.5 1.5 2.0 2.0 9.85 7.79 0.00 0.60

PAINTER - SIGNS All ALL 37.45 38.95 1.5 1.5 2.0 2.0 9.85 7.79 0.00 0.60

PILEDRIVER All BLD 38.83 41.08 1.5 1.5 2.0 2.0 9.25 17.23 0.00 0.78

PILEDRIVER All HWY 38.10 39.85 1.5 1.5 2.0 2.0 9.25 19.40 0.00 0.75

PIPEFITTER All BLD 48.54 51.55 1.5 1.5 2.0 2.0 8.75 11.14 0.00 2.14 0.10

PLASTERER All BLD 36.05 38.05 1.5 1.5 2.0 2.0 9.85 13.77 0.00 0.50

PLUMBER All BLD 48.54 51.55 1.5 1.5 2.0 2.0 8.75 11.14 0.00 2.14 0.10

ROOFER All BLD 36.00 39.00 1.5 1.5 2.0 2.0 10.47 9.34 0.00 0.56

SHEETMETAL WORKER All BLD 41.30 43.80 1.5 1.5 2.0 2.0 10.05 15.97 0.00 0.55 2.02

SPRINKLER FITTER All BLD 47.09 50.09 1.5 1.5 2.0 2.0 11.45 14.92 0.00 0.52

STONE MASON All BLD 35.16 36.92 1.5 1.5 2.0 2.0 9.25 16.30 0.00 0.91

TERRAZZO FINISHER All BLD 33.17 33.17 1.5 1.5 2.0 2.0 9.25 12.70 0.00 0.50

TERRAZZO MASON All BLD 34.69 34.69 1.5 1.5 2.0 2.0 9.25 12.70 0.00 0.50

TILE MASON All BLD 34.69 34.69 1.5 1.5 2.0 2.0 9.25 12.70 0.00 0.50

TRUCK DRIVER All ALL 1 40.91 45.27 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All ALL 2 41.50 45.27 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All ALL 3 41.77 45.27 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All ALL 4 42.16 45.27 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All ALL 5 43.26 45.27 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All O&C 1 32.73 36.22 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All O&C 2 33.20 36.22 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All O&C 3 33.42 36.22 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All O&C 4 33.73 36.22 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TRUCK DRIVER All O&C 5 34.61 36.22 1.5 1.5 2.0 2.0 14.69 7.16 0.00 0.25

TUCKPOINTER All BLD 35.16 36.92 1.5 1.5 2.0 2.0 9.25 16.30 0.00 0.91

Legend Rg Region Type Trade Type - All,Highway,Building,Floating,Oil & Chip,Rivers C Class Base Base Wage Rate OT M-F Unless otherwise noted, OT pay is required for any hour greater than 8 worked each day, Mon through Fri. The number listed is the multiple of the base wage.

OT Sa Overtime pay required for every hour worked on Saturdays OT Su Overtime pay required for every hour worked on Sundays OT Hol Overtime pay required for every hour worked on Holidays H/W Health/Welfare benefit Vac Vacation

Trng Training Other Ins Employer hourly cost for any other type(s) of insurance provided for benefit of worker.

Explanations CHAMPAIGN COUNTY

The following list is considered as those days for which holiday rates of wages for work performed apply: New Years Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving Day, Christmas Day and Veterans Day in some classifications/counties.

Generally, any of these holidays which fall on a Sunday is celebrated on the following Monday. This then makes work performed on that Monday payable at the appropriate overtime rate for holiday pay. Common practice in a given local may alter certain days of celebration. If in doubt, please check with IDOL.

Oil and chip resealing (O&C) means the application of road oils and liquid asphalt to coat an existing road surface, followed by application of aggregate chips or gravel to coated surface, and subsequent rolling of material to seal the surface.

EXPLANATION OF CLASSES

ASBESTOS - GENERAL - removal of asbestos material/mold and hazardous materials from any place in a building, including mechanical systems where those mechanical systems are to be removed. This includes the removal of asbestos materials/mold and hazardous materials from ductwork or pipes in a building when the building is to be demolished at the time or at some close future date.

ASBESTOS - MECHANICAL - removal of asbestos material from mechanical systems, such as pipes, ducts, and boilers, where the mechanical systems are to remain.

CERAMIC TILE FINISHER, MARBLE FINISHER, TERRAZZO FINISHER

Assisting, helping or supporting the tile, marble and terrazzo mechanic by performing their historic and traditional work assignments required to complete the proper installation of the work covered by said crafts. The term "Ceramic" is used for naming the classification only and is in no way a limitation of the product handled. Ceramic takes into consideration most hard tiles.

ELECTRONIC SYSTEMS TECHNICIAN

Installation, service and maintenance of low-voltage systems which utilizes the transmission and/or transference of voice, sound, vision, or digital for commercial, education, security and entertainment purposes for the following: TV monitoring and surveillance, background/foreground music, intercom and telephone interconnect, field programming, inventory control systems, microwave transmission, multi-media, multiplex, radio page, school, intercom and sound burglar alarms and low voltage master clock systems.

Excluded from this classification are energy management systems, life safety systems, supervisory controls and data acquisition systems not intrinsic with the above listed systems, fire alarm systems, nurse call systems and raceways exceeding fifteen feet in length.

TRUCK DRIVER - BUILDING, HEAVY AND HIGHWAY CONSTRUCTION Class 1. Drivers on 2 axle trucks hauling less than 9 ton. Air compressor and welding machines and brooms, including those pulled by separate units, truck driver helpers, warehouse employees, mechanic helpers, greasers and tiremen, pickup trucks when hauling materials, tools, or workers to and from and on-the-job site, and fork lifts up to 6,000 lb. capacity.

Class 2. Two or three axle trucks hauling more than 9 ton but hauling less than 16 ton. A-frame winch trucks, hydrolift trucks, vactor trucks or similar equipment when used for transportation purposes. Fork lifts over 6,000 lb. capacity, winch trucks, four axle combination units, and ticket writers.

Class 3. Two, three or four axle trucks hauling 16 ton or more. Drivers on water pulls, articulated dump trucks, mechanics and working forepersons, and dispatchers. Five axle or more combination units.

Class 4. Low Boy and Oil Distributors.

Class 5. Drivers who require special protective clothing while employed on hazardous waste work.

TRUCK DRIVER - OIL AND CHIP RESEALING ONLY.

This shall encompass laborers, workers and mechanics who drive contractor or subcontractor owned, leased, or hired pickup, dump, service, or oil distributor trucks. The work includes transporting materials and equipment (including but not limited to, oils, aggregate supplies, parts, machinery and tools) to or from the job site; distributing oil or liquid asphalt and aggregate; stock piling material when in connection with the actual oil and chip contract. The Truck Driver (Oil & Chip Resealing) wage classification does not include supplier delivered materials.

OPERATING ENGINEERS - BUILDING, HEAVY AND HIGHWAY CONSTRUCTION Class 1. Draglines, Derricks, Shovels, Gradalls, Mechanics, Tractor Highlift, Tournadozer, Concrete Mixers with Skip, Tournamixer, Two Drum Machine, One Drum Hoist with Tower or Boom, Cableways, Tower Machines, Motor Patrol, Boom Tractor, Boom or Winch Truck, Winch or Hydraulic Boom Truck, Tournapull, Tractor Operating Scoops, Bulldozer, Push Tractor, Asphalt Planer, Finishing Machine on Asphalt, Large Rollers on Earth, Rollers on Asphalt Mix, Ross Carrier or similar Machine, Gravel Processing Machine, Asphalt Plant Engineer, Paver Operator, Dredging Equipment, or Dredge Engineer, or Dredge Operator, Central Mix Plant Engineer, CMI or similar type machine, Concrete Pump, Truck or Skid Mounted, Engineer or Rock Crusher Plant, Concrete Plant Engineer, Ditching Machine with dual attachment, Tractor Mounted Loaders, Hydro Crane, Standard or Dinkey Locomotives, Scoopmobiles, Euclid Loader, Soil Cement Machine, Back Filler, Elevating Machine, Power Blade, Drilling Machine, including Well Testing, Caissons, Shaft or any similar type drilling machines, Motor Driven Paint Machine, Pipe Cleaning Machine, Pipe Wrapping Machine, Pipe Bending Machine, Apsco Paver, Boring Machine, (Head Equipment Greaser), Barber-Greene Loaders, Formless Paver, (Well Point System), Concrete Spreader, Hydra Ax, Span Saw, Marine Scoops, Brush Mulcher, Brush Burner, Mesh Placer, Tree Mover, Helicopter Crew (3), Piledriver-Skid or Crawler, Stump Remover, Root Rake, Tug Boat Operator, Refrigerating Machine, Freezing Operator, Chair Cart- Self-Propelled, Hydra Seeder, Straw Blower, Power Sub Grader, Bull Float, Finishing Machine, Self-Propelled Pavement Breaker, Lull (or similar type Machine), Two Air Compressors, Compressors hooked in Manifold, Chip Spreader, Mud Cat, Sull-Air, Fork Lifts (except when used for landscaping work), Soil Stabilizer (Seaman Tiller, Bo Mag, Rago Gator, and similar types of equipment), Tube Float, Spray Machine, Curing Machine, Concrete or Asphalt Milling Machine, Snooper Truck-Operator, Backhoe, Farm Tractors (with attachments), 4 Point Lift System (Power Lift or similar type), Skid-Steer (Bob Cat or similar type), Wrecking Shears, Water Blaster.

Class 2. Concrete Mixers without Skips, Rock Crusher, Ditching Machine under 6', Curbing Machine, One Drum Machines without Tower or Boom, Air Tugger, Self-Propelled Concrete Saw, Machine Mounted Post Hole Digger, two to four Generators, Water Pumps or Welding Machines, within 400 feet, Air Compressor 600 cu. ft. and under, Rollers on Aggregate and Seal Coat Surfaces, Fork Lift (when used for landscaping work), Concrete and Blacktop Curb Machine, One Water Pump, Oilers, Air Valves or Steam Valves, One Welding Machine, Truck Jack, Mud Jack, Gunnite Machine, House Elevators when used for hoisting material, Engine Tenders, Fireman, Wagon Drill, Flex Plane, Conveyor, Siphons and Pulsometer, Switchman, Fireman on Paint Pots, Fireman on Asphalt Plants, Distributor Operator on Trucks, Tampers, Self-Propelled Power Broom, Striping Machine (motor driven), Form Tamper, Bulk Cement Plant, Equipment Greaser, Deck Hands, Truck Crane Oiler-Driver, Cement Blimps, Form Grader, Temporary Heat, Throttle Valve, Super Sucker (and similar type of equipment).

Class 3. Power Cranes, Truck or Crawler Crane, Rough Terrain Crane (Cherry Picker), Tower Crane, Overhead Crane.

Other Classifications of Work:

For definitions of classifications not otherwise set out, the Department generally has on file such definitions which are available. If a task to be performed is not subject to one of the classifications of pay set out, the Department will upon being contacted state which neighboring county has such a classification and provide such rate, such rate being deemed to exist by reference in this document.