26-00718-00-MS_BLR_12200_Proposal.pdf

Local Public Agency Formal Contract Proposal

Page 1 of 6 BLR 12200 (Rev. 01/19/23)Completed10/05/26

Proposal Submitted By:

Contractor's Name

Contractor's Address City State Zip Code

STATE OF ILLINOIS

Local Public Agency

City of Urbana

County

Champaign

Section Number

26-00718-00-MS

Route(s) (Street/Road Name)

Misc Sewer Repairs 2027

Type of Funds

Various Local Funds

Proposal Only Proposal and Plans Proposal only, plans are separate

Submitted/Approved For Local Public Agency:

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

COVER SHEET

For a Municipal Project

Submitted/Approved/Passed

Official Title

City Engineer

Signature & Date

10/25/2026

BLR 12200 (Rev. 01/19/23)Page 2 of 6Completed10/05/26

Route(s) (Street/Road Name)

Misc Sewer Repairs 2027

Section Number

26-00718-00-MS

County

Champaign

Local Public Agency

City of Urbana

NOTICE TO BIDDERS

Sealed proposals for the project described below will be received at the office of Name of Office

City of Urbana Public Works Department

Address

706 Glover Avenue, Urbana, IL 61802 until Time on Date

Sealed proposals will be opened and read publicly at the office of Name of Office

City of Urbana Public Works Department

Address

706 Glover Avenue, Urbana, IL 61802 at Time on Date

DESCRIPTION OF WORK

Location

Various Locations within ROW or property owned and/or maintained by the City of Urbana

Project Length

N/A

Proposed Improvement

This project includes unplanned repair work on miscellaneous storm sewer and sanitary sewer systems owned and/or maintained by the City of Urbana.

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

Bid documents are obtained via the City of Urbana's Procurement Portal at https://procurement.opengov.com/ governments/217/projects/315958. Request for Proposals (RFP) instructions and selection procedures may also be obtained from the City of Urbana's Procurement Portal.

2. Prequalification

If checked, the 2 apparent as read low bidders must file within 24 hours after the letting an "Affidavit of Availability" (Form BC 57) in triplicate, 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.

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 Contract Proposals.

4. The following BLR Forms shall be returned by the bidder to the Awarding Authority:

a. Local Public Agency Formal Contract Proposal (BLR 12200)

b. Schedule of Prices form on the City's Procurement portal (in lieu of IDOT form BLR 12201)

c. Proposal Bid Bond (BLR 12230) (if applicable)

d. Apprenticeship or Training Program Certification (BLR 12325) (do not use for project with Federal funds.)

5. The quantities appearing in the bid schedule are approximate and are prepared for the comparison of bids. Payment to the Contractor will be made only for the actual quantities of work performed and accepted or materials furnished according to the contract. The scheduled quantities of work to be done and materials to be furnished may be increased, decreased or omitted as hereinafter provided.

6. Submission of a bid shall be conclusive assurance and warranty the bidder has examined the plans and understands all requirements for the performance of work. The bidder will be responsible for all errors in the proposal resulting from failure or neglect to conduct an in depth examination. The Awarding Authority will, in no case, be responsible for any costs, expenses, losses or changes in anticipated profits resulting from such failure or neglect of the bidder.

7. The bidder shall take no advantage of any error or omission in the proposal and advertised contract.

8. If a special envelope is supplied by the Awarding Authority, each proposal should be submitted in that envelope furnished by the Awarding Agency and the blank spaces on the envelope shall be filled in correctly to clearly indicate its contents. When an envelope other than the special one furnished by the Awarding Authority is used, it shall be marked to clearly indicate its contents. When sent by mail, the sealed proposal shall be addressed to the Awarding Authority at the address and in care of the official in whose office the bids are to be received. All proposals shall be filed prior to the time and at the place specified in the Notice to Bidders. Proposals received after the time specified will be returned to the bidder unopened.

9. Permission will be given to a bidder to withdraw a proposal if the bidder makes the request in writing or in person before the time for opening proposals.

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BLR 12200 (Rev. 01/19/23)Page 3 of 6Completed10/05/26

Misc Sewer Repairs 2027

Section Number

26-00718-00-MS

County

Champaign

Local Public Agency

City of Urbana

PROPOSAL

1. Proposal of Contractor's Name

Contractor's Address

2. The plans for the proposed work are those prepared bythe City of Urbana Public Works Department and approved by the City of Urbana on .

3. The specifications referred to herein are those prepared by the Department of Transportation and designated as "Standard Specifications for Road and Bridge Construction" and the " Supplemental Specifications and Recurring Special Provisions" thereto, adopted and in effect on the date of invitation for bids.

4. The undersigned agrees to accept, as part of the contract, the applicable Special Provisions indicated on the "Check Sheet for

Recurring Special Provisions" contained in this proposal.

5. The undersigned agrees to complete the work within working days or by 12/31/27 is granted in accordance with the specifications.

6. The successful bidder at the time of execution of the contract will be required to deposit a contract bond for the full amount of the award. When a contract bond is not required, the proposal guaranty check will be held in lieu thereof. If this proposal is accepted and the undersigned fails to execute a contract and contract bond as required, it is hereby agreed that the Bid Bond of check shall be forfeited to the Awarding Authority.

7. 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 products 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 may be declared unacceptable if neither a unit price nor a total price is shown.

8. The undersigned submits herewith the schedule of prices on the City's Procurement portal covering the work to be performed under this contract.

9. The undersigned further agrees that if awarded the contract for the sections contained in the combinations on the schedule of prices, the work shall be in accordance with the requirements of each individual proposal for the multiple bid specified in the Schedule for

Multiple Bids below.

10. A proposal guaranty in the proper amount, as specified in BLRS Special Provision for Bidding Requirements and Conditions for unless additional time

Contract Proposals, will be required. Bid Bonds will be allowed as a proposal guaranty. Accompanying this proposal is either a bid bond, if allowed, on Department form BLR 12230 or a proposal guaranty check, complying with the specifications, made payable to: Treasurer of .

The amount of the check is ( ).

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 placed 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 .

City of Urbana N/A

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BLR 12200 (Rev. 01/19/23)Page 4 of 6Completed10/05/26

Misc Sewer Repairs 2027

Section Number

26-00718-00-MS

County

Champaign

Local Public Agency

City of Urbana

CONTRACTOR CERTIFICATIONS

The certifications hereinafter made by the bidder are each a material representation of fact upon which reliance is placed should the Department enter into the contract with the bidder.

1. Debt Delinquency. The bidder or contractor or subcontractor, respectively, certifies that it is not delinquent in the payment of any tax administered by the Department of Revenue unless the individual or other entity is contesting, in accordance with the procedure established by the appropriate Revenue Act, its liability for the tax or the amount of the tax. Making a false statement voids the contract and allows the Department to recover all amounts paid to the individual or entity under the contract in a civil action.

2. Bid-Rigging or Bid Rotating. The bidder or contractor or subcontractor, respectively, certifies that it is not barred from contracting with the Department by reason of a violation of either 720 ILCS 5/33E-3 or 720 ILCS 5/33E-4.

A violation of section 33E-3 would be represented by a conviction of the crime of bid-rigging which, in addition to Class 3 felony sentencing, provides that any person convicted of this offense, or any similar offense of any state or the United States which contains the same elements as this offense shall be barred for 5 years from the date of conviction from contracting with any unit of State or local government. No corporation shall be barred from contracting with any unit of State or local government as a result of a conviction under this Section of any employee or agent of such corporation if the employee so convicted is no longer employed by the corporation: (1) it has been finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to contract that entity finds that the commission of the offense was neither authorized, requested, commanded, nor performed by a director, officer or a high managerial agent on behalf of the corporation.

A violation of Section 33E-4 would be represented by a conviction of the crime of bid-rotating which, in addition to Class 2 felony sentencing, provides that any person convicted of this offense or any similar offense of any state or the United States which contains the same elements as this offense shall be permanently barred from contracting with any unit of State of Local government. No corporation shall be barred from contracting with any unit of State or Local government as a result of a conviction under this Section of any employee or agent of such corporation if the employee so convicted is no longer employed by the corporation and: (1) it has been finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to contract and that entity finds that the commission of the offense was neither authorized, requested, commanded, nor performed by a director, officer or a high managerial agent on behalf of the corporation.

3. Bribery. The bidder or contractor or subcontractor, respectively, certifies that, it has not been convicted of bribery or attempting to bribe an officer or employee of the State of Illinois or any unit of local government, nor has the firm made an admission of guilt of such conduct which is a matter or 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.

4. Interim Suspension or Suspension. The bidder or contractor or subcontractor, respectively, certifies that it is not currently under a suspension as defined in Subpart I of Title 44 Subtitle A Chapter III Part 6 of the Illinois Administrative code. Furthermore, if suspended prior to completion of this work, the contract or contracts executed for the completion of this work may be canceled.

BLR 12200 (Rev. 01/19/23)Page 5 of 6Completed10/05/26

Misc Sewer Repairs 2027

Section Number

26-00718-00-MS

County

Champaign

Local Public Agency

City of Urbana

SIGNATURES

(If an individual)

Business Address

City State Zip Code

(If a partnership) Firm Name

Title

Business Address

City State Zip Code

Insert the Names and Addresses of all Partners

(If a corporation) Corporate Name

Title

Business Address

City State Zip Code

Insert Names of Officers President

Bidder Signature & Date

BLR 12200 (Rev. 01/19/23)Page 6 of 6Completed10/05/26

Secretary

Treasurer

Attest:

Secretary