26-014-ITB_2026_Fall_Protection_Installation_-_Exhibit_A_-_Proposal_Forms.pdf

KENTON COUNTY AIRPORT BOARD CINCINNATI/NORTHERN KY INTERNATIONAL AIRPORT

2026 FALL PROTECTION SYSTEMS INSTALLATION

EXHIBIT A

PROPOSAL DOCUMENTS

Table of Contents

PROPOSAL

PROPOSAL FORM

BIDDER’S QUALIFICATIONS

BID TAB

PROPOSAL BOND

SUBCONTRACTOR LIST

AFFIDAVIT REGARDING WORKER'S COMPENSATION

SAFETY EVALUATION AND PLANS

SAFETY EVALUATION FORM

CERTIFICATION AS TO KENTUCKY RESIDENT STATUS

CERTIFICATION AS TO NON- RESIDENT STATUS

PROPOSAL

PROPOSAL FORM

TO: Owner Kenton County Airport Board Cincinnati/Northern Kentucky International Airport

Boone County, Kentucky P.O. Box 752000 Cincinnati, Ohio 45275-2000

FROM: Bidder

Address

City/State/Zip

DATE:

1. The undersigned bidder (“Bidder”) declares that having familiarized itself with the local conditions affecting the cost of the work, Contract Documents including the Notice to Bidders, Instructions to Bidders, Proposal and Bid Schedule, General Provisions, Special Provisions and the Specifications and Drawings and other related Documents prepared by the Kenton County Airport Board titled:

CINCINNATI/NORTHERN KENTUCKY INTERNATIONAL AIRPORT

dated March 2026 together with any addenda to such Documents, proposes to furnish all materials and perform all work required in strict accordance with the provisions of the documents noted above for the consideration of prices quoted in #26-014-ITB, titled the same as written above, which is incorporated by reference.

The 2026 Fall Protection Systems Installation program consists of providing three fall protection packages that have been designed by LJB, Inc. ("LJB") in accordance with the current ANSI/ASSP Z359.6 standard meeting the requirements indicated on the documents.

• Bid Package 1: Storm Water Treatment Plant ("SWTP") Fall Protection Components & Confined Space Equipment. This package consists of: Providing fall arrest at the Sludge Holding Tank, Digesters, Clarifiers, and Splitter Box as indicated in the specifications.

• Bid Package 2: T3 Parking Deck Fall Protection Components. This package consists of:

Providing fall protection railings, gate, roof markings, access ladder and gate, etc. as indicated in the specifications.

• Bid Package 3: Concourse A Roof Fall Protection Components. This package consists of: Fall protection components and systems for the entire Concourse A Roof as indicated in the specifications.

A. Included in the above improvements are all appurtenances required for complete and functional systems. It should be noted that other contractors may require access in the vicinity of the project site. Accordingly, cooperation between contractors and close coordination between all parties concerned will be required and is of utmost importance.

B. Bidder understands that the quantities shown in the "Bid Schedule" are approximate only, are intended principally to serve as a guide in evaluating proposals and are subject to either increase or decrease.

C. Bidder affirms that in making such bid, neither Bidder nor any company that Bidder may represent, nor anyone on behalf of Bidder, directly or indirectly, has entered into any combination, collusion, undertaking or agreement with any other bidder or bidders to maintain the prices of said work, or any compact to prevent any other bidder or bidders from bidding on said Contract or work and further affirms that such bid is made without regard or reference to any other bidder or proposer and without any agreement or understanding or combination either directly or indirectly with any other person or persons with reference to such bidding in any way or manner whatsoever.

D. Bidder shall enter into a Contract with the Owner within 10 days from the date on the

Notice of Award for the execution of the work described within the period of time allocated, and shall give Performance Bond and Payment Bond, with good and sufficient surety.

E. Contractor shall commence the work within 10 calendar days after the date of the Notice to Proceed. Contractor shall complete the work in accordance with the completion schedule set forth in the Special Provisions of these Specifications including amendments, if any. If Contractor fails to complete the work as provided in the completion schedule, Contractor expressly agrees that the Owner may deduct the stipulated sum of liquidated damages from the Contract price as provided in the Special Provisions for each day that any phase of work under this Contract remains uncompleted thereafter, and retain that sum for failure of the Contractor to complete this Contract on or before the expiration of the period shown in the completion schedule.

F. Contractor agrees that the Owner's damages caused by delay are capable of being established but would be difficult to measure accurately. Accordingly, the sums specified as liquidated damages in the Contract Documents are not a penalty, but represent the parties' estimate of the actual damages which the Owner would suffer per day if the work is not completed as scheduled.

G. The Owner reserves the right to waive any informality or irregularity in any bid or bid guaranty, to reject any and all bids, to award or refrain from awarding a contract for the work and to negotiate with an apparent qualified responsible low bidder to such extent as may be beneficial to the Owner. It is agreed THAT THIS BID MAY NOT BE WITHDRAWN

FOR A PERIOD OF 120 DAYS AFTER THE OPENING THEREOF.

H. Bidder has attached its Proposal Bond in an amount equal to but not less than 5% of the aggregate amount of the bid, payable to the Kenton County Airport Board, as required in the Instructions to Bidders. Bidder agrees that in case Bidder fails to enter into the Contract and furnish the required Payment and Performance Bonds, with surety or sureties to be approved by Owner, and Insurance Certificates within 10 days after Notice of Award of the Contract to Bidder, the Owner may determine that Bidder has abandoned its rights and interest in such bid and that the Proposal Bond accompanying its bid has been forfeited. Otherwise, upon request by the Bidder the Proposal Bond will be returned to Bidder upon the execution of the Contract and acceptance of the Bonds and Insurance Certificates, or upon rejection of its bid.

I. Bidder affirms it has completed, signed and included in its submittal all required forms and pricing. A bid may be considered nonresponsive and rejected if it fails to include these fully executed statements or if Bidder fails to furnish required data. When a determination has been made to award the Contract to Contractor, Contractor shall furnish such other pertinent information regarding its own employment policies and practices as well as those of its proposed subcontractors as the FAA, the Owner, Secretary of Labor, the Labor Cabinet of the Commonwealth of Kentucky or the Office of Federal Contract Compliance (OFCC) may require.

J. Contractor shall furnish similar statements executed by each of its first-tier and second-tier subcontractors whose contracts equal Ten Thousand Dollars ($10,000.00) or more, and shall obtain similar compliance by such subcontractors before awarding subcontracts.

No subcontract may be awarded to any noncompliant subcontractor.

K. All work items are guaranteed for 1 year from the date of Final Acceptance. This is in addition to any third-party warranties.

L. Bidder affirms it has completed all of the unit prices on the Line Items tab on the online bidding system under Backup Airport Operations Center (AOC) Construction (#26-008- ITB) and agrees that where a discrepancy occurs the unit price governs when determining final costs or award of Contract.

M. Bidder agrees that the Contract amount will be decreased or increased where planned quantities shown on the drawings are decreased or increased, and that such increase or decrease shall be determined by use of the applicable unit price submitted in response to this ITB, except as provided for in Section 40-02 of the General Provisions.

N. Bidder acknowledges the requirement to provide evidence of qualifications to conduct business as the project's contractor under the laws of the Commonwealth of Kentucky within five days following the Owner's issuance of a Notice of Award.

O. Bidder acknowledges that Contract Time will be based on the number of consecutive calendar days as stipulated in these Contract Documents beginning on the date the

Notice-to-Proceed is issued by the Owner, with intermediate time(s) for selected phase(s) of work.

P. The legal status of Bidder is:

1. A corporation duly incorporated under the laws of the state of ______________________________, and authorized to do business in the Commonwealth of Kentucky, for whom __________________________, bearing official title of ______________________, whose signature is affixed to this bid, is duly authorized to execute contracts.

The names, titles and business addresses of the President, Secretary and Treasurer are as follows:

President:

Secretary:

Treasurer:

If non-Kentucky corporation:

Date of qualification in Kentucky: _____________________________

Name and address of process agent in Kentucky:

2. A partnership, all of the members of which, with addresses are: (Designate general partners as such.)

If all partners are non-resident of Kentucky: (Designate name and address of agent for service of process located in Kentucky.)

3. An individual, whose signature is affixed to this Bid: (If non-resident of Kentucky, resident agent for the service of process must be designated below.)

The Bidder shall fill out the appropriate form (1., 2., or 3. above) and strike out the other two.

Q. Bidder declares that the Bidder is the only person interested in this bid. This bid is made without any connection with any person making another bid for the same contract. Bidder did not, in any way, collude, conspire, or agree, directly or indirectly with any person, firm, corporation or other person in regard to the amount, terms, or conditions of this bid. No member of the Kenton County Airport Board (Board) or any person in the employ of the Board, is directly or indirectly interested in this bid, or in the supplies or work to which it relates or in any portion of the profits.

Dated and signed ______________________________, 20____.

NAME OF BIDDER:

BY:

TITLE:

BUSINESS ADDRESS: __________________________________________________________

WITNESS:

END OF SECTION

BIDDER’S QUALIFICATIONS

Each bidder shall furnish the following completed and signed statements on "evidence of competency" and "evidence of financial responsibility" with its bid in accordance with General Provision 20-02. In addition, the Owner reserves the right to conduct such additional investigation into the competency and responsibility of the bidders (or any particular bidder) as the Owner may deem necessary.

1. Name of Bidder: _____________________________________________________

2. Business address: ____________________________________________________

3. Telephone number: ___________________________________________________

4. When organized: _____________________________________________________

5. Where incorporated: __________________________________________________

6. How many years have you been engaged in the contracting business under the present firm name?

7. What is the type of construction work in which you are principally engaged?

8. On separate sheet, list major contracts in past 10 years.

9. On separate sheet, list equipment and plant available for this project.

10. Enclose evidence of financial responsibility per General Provisions Section 20-02. Evidence of

State Highway Division prequalification may be submitted as evidence of financial responsibility in lieu of the certified statements or reports specified above.

11. Credit available for this Contract $________________________

12. On a separate sheet, list all projects presently under Contract by name, gross amount, and percent complete.

13. Have you ever refused to sign a Contract at your original bid? _________________

14. Have you ever been declared in default on a Contract? ______________________

15. Total amount of bonding capacity $ _______________________________________

16. Total bonding capacity available for the project $ ____________________________

17. Remarks: ___________________________________________________________________

(The above statements must be subscribed and sworn to before a Notary Public.)

Date: _______________________________________

Firm Name: __________________________________

By: _________________________________________ (Signature)

Title: ________________________________________

STATE OF ___________________________________

COUNTY OF _________________________________

Subscribed and sworn to before me, a Notary Public, in and for the County and State aforesaid by

______________________________ duly authorized so to sign this _____ day of __________________, 20____.

Notary Public

My Commission Expires: _____________________________

BID TAB

** For reference only – pricing must be submitted through the online bidding system **

Location Line Item Description UOM Quantity

Bid Package 1 - SWTP 1.1 Fixed Ladder Assembly EA 2 Bid Package 1 - SWTP 1.2 Diversion Tank Ladders EA 2 Bid Package 1 - SWTP 1.3 Access Platform (Steel) SF 90 Bid Package 1 - SWTP 1.4 Davits & Anchors EA 26 Bid Package 1 - SWTP 1.5 Confined Space Winch System EA 1 Bid Package 1 - SWTP 1.6 X-Ray Slab Scanning LS 1

Bid Package 1 - SWTP 1.7 All other Bid Pkg 1 Items and general conditions not included above. LS 1

Bid Package 1 - SWTP 1.8 Owner Allowance LS 5000 Bid Package 2 - Beacon 2.1 Rail System per LF. LF 130 Bid Package 2 - Beacon 2.2 Roof Markings Lines LF 70 Bid Package 2 - Beacon 2.3 Safety Gate EA 1 Bid Package 2 - Beacon 2.4 Roof Access Ladder EA 1 Bid Package 2 - Beacon 2.5 PT Tendon (X-Ray Scanning) LS 1

Bid Package 2 - Beacon 2.6 All other Bid Pkg 2 Items and general conditions items not included above. LS 1

Bid Package 3 - Conc A 3.1 Roof Guardrail System LF 3200 Bid Package 3 - Conc A 3.2 Anchor Davit System EA 6 Bid Package 3 - Conc A 3.3 Hatch Rail Kits EA 1 Bid Package 3 - Conc A 3.4 Metal Access Platforms SF 185 Bid Package 3 - Conc A 3.5 Roof Penetration Patch Work LS 1

Bid Package 3 - Conc A 3.6 All other Bid Pkg 3 Items and general conditions items not included above. LS 1

Bid Package 3 - Conc A 3.7 Owner Allowance LS 20000

PROPOSAL BOND

KNOW ALL MEN BY THESE PRESENTS: That we, the undersigned bidder _____________________________, as Principal, and ____________________________, as a Corporation Surety authorized under the laws of the Commonwealth of Kentucky, and authorized to write this type of bond through a resident agent of the corporation located in the State of ___________________, as surety, are held and firmly bound unto the Kenton County Airport Board in the sum of _______________________________________ Dollars ($_____________) for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves and our heirs, executors, administrators, successors, and assigns.

The condition of the above obligation is such that if the attached proposal of ___________________________________________ for the improvement of airport facilities stipulated in said proposal in accordance with the Plans and Specifications provided therefore, is accepted and the Contract awarded to the above named Bidder, and the said Bidder shall within 10 days after notice of said award enter into a Contract in writing and furnish the required Payment and Performance Bonds with surety, or sureties, to be approved by the Kenton County Airport Board this obligation shall be void. Otherwise, the same shall be in full force and virtue of law, and the full amount of this Proposal Bond will be paid to the Kenton County Airport Board as stipulated for liquidated damages.

Signed this ________ day of ______________________, 20____.

(PRINCIPAL MUST INDICATE WHETHER

CORPORATION, PARTNERSHIP, COMPANY,

OR INDIVIDUAL)

Principal (Seal)

THIS PERSON SIGNING SHALL IN HIS/HER

OWN HANDWRITING SIGN THE PRINCIPAL'S BY:

NAME AND TITLE. BY WHERE THE

PERSON SIGNING FOR A CORPORATION IS

OTHER THAN THE PRESIDENT OR VICE (Name and Title)

PRESIDENT, HE/SHE MUST, BY AFFIDAVIT AS

CONTAINED HEREIN, SHOW AUTHORITY ____

TO BIND THE CORPORATION. Surety (Seal)

(Name and Title)

SUBCONTRACTOR LIST

Bidders must complete the Subcontractor List for ALL subcontractors anticipated to perform work and services for this project.

Bidder/Contractor may change or add subcontractors only if the change or addition is reasonable and is approved in writing by the Owner. Prior to award and during the term of the Contract, Bidder/Contractor must submit a request to the Owner to change or add any subcontractor(s) that is performing work and services equal to or greater than 5% of the total contract amount. The request must identify the subcontractor being replaced, if applicable, and include: the name and address of the proposed subcontractor; the scope to be performed by the proposed subcontractor; the estimated subcontract dollar amount; completed safety evaluation form for the proposed subcontractor accompanied by 3 previous years’ OSHA 300 logs and 300A forms; the proposed subcontractor’s certificate of insurance;

and, a statement describing Contractor’s reason/need to add or replace a subcontractor. Owner will evaluate Contractor’s reason for changing or adding a subcontractor to determine the reasonableness of the request. This determination will be made in Owner’s sole discretion. If the request is deemed reasonable, Owner will verify the responsibleness of the proposed subcontractor. If determined responsible, Owner will provide written approval of the subcontractor to the Contractor.

Regardless of subcontract amount, Contractor must notify Owner of all subcontractors which will perform work and services on CVG property prior to subcontractor commencing any work on site.

If Contractor desires to replace a DBE subcontractor that is terminated or has otherwise failed to complete its work on a contract, Contractor must either replace with another certified DBE or provide the Owner’s DBE Liaison Officer with evidence of good faith efforts to use another certified DBE. Contractor must notify the DBE Liaison Officer immediately of the DBE’s inability or unwillingness to perform and provide reasonable documentation. Contractor must obtain the DBE Liaison Officer’s prior approval of the substitute DBE and provide copies of new or amended subcontracts, or documentation of good faith efforts.

*GRS - Annual Gross Receipts Enter “1" for less than $1 million Enter “2" for more than $1 million, less than $5 million Enter “3" for more than $5 million, less than $10 million Enter “4" for more than $10 million, less than $15 million Enter “5" for more than $15 million

Subcontractor Name Subcontractor Address Certified

DBE

(Y or N)

Years in this

Business

GRS* Estimated Subcontract

Dollar Amount

Work to be Performed

AFFIDAVIT REGARDING WORKER'S COMPENSATION

The undersigned Contractor, being awarded a Contract by the Kenton County Airport Board, operator of the Cincinnati/Northern Kentucky International Airport, identified as:

________________________________ hereby assures that all Contractors and subcontractors employed, or that will be employed, under the provisions of the foregoing identified contract shall be in compliance with Kentucky requirements for Worker's Compensation Insurance according to KRS Chapter 342 and unemployment insurance according to KRS Chapter 341.

Dated ________ , 20____.

Signature: ___________________________________________________

Name and Title (Printed):

STATE OF

COUNTY OF

Subscribed and sworn to before me, a Notary Public, by ________ , on behalf of the foregoing identified Contractor this day of ____ 20 .

Notary Public

My Jurisdiction is:

My Commission Expires:

SAFETY EVALUATION AND PLANS

1.1 It is the goal of the Board to maintain a safe working environment for contractors, subcontractors and Airport personnel. All bidders must provide the following safety information for the bidder and all subcontractors for the three previous calendar years on the attached Safety Evaluation Form:

1. Documented DART Rate;

a. Desired DART Rate equal to or less than the BLS industry average

2. NCCI Workers’ Compensation Experience Modification Rate (EMR):

a. Desired EMR of 1.0 or less

3. Documented Recordable Incidence Rate;

a. Desired Incident Rate equal to or less than the BLS industry average

b. The rates for the “Construction” Industry Sector on the Bureau of Labor

Statistics most recent Table 7 - Incidence rates of nonfatal occupational injuries and illnesses by major private industry sector and selected case types will be used for comparison with industry standard. Table 7 may be found at http://www.bls.gov/news.release/osh.t07.htm

c. Information on calculating Incident Rates can be found at http://data.bls.gov/iirc/

4. Completed and signed OSHA 300 logs & OSHA 300A forms; and,

5. Any serious or willful KYOSHA, Federal OSHA or any other state OSHA plan violations.

1.2 At or before the preconstruction meeting and prior to commencement of physical work on this project, the successful bidder shall provide:

1 A site specific safety program for this project which includes the name of contractor’s safety manager for this project who will serve as the primary liaison to the Board for safety related issues, including all safety issues relating to subcontractors;

2 Certification that all contractor and subcontractor personnel on the project have been trained on the site specific safety program;

3 Completed and signed Contractor Safety Survey (form provided by Owner); and, 4 A description of Contractor’s and all subcontractors’ alcohol and drug free workplace plans, which at least includes pre-employment and post-accident drug and alcohol testing, and certification that all personnel working on the project are in compliance with these plans.

http://www.bls.gov/news.release/osh.t07.htm http://data.bls.gov/iirc/

*Bidder to make photocopies of this sheet if additional room is required. END OF SECTION

SAFETY EVALUATION FORM

Bidders must provide the following information for its company and all subcontractors which will be doing work on this project for evaluation by the Owner.

See Specifications for further details.

COMPANY NAME Discipline Documented recordable Incident Rate

NCCI WORKER’S

COMPENSATION

EXPERIENCE

MODIFICATION

FACTOR(EMR)

Serious or Willful KOSHA or Other State Plan

VIOLATIONS

If greater than “0" provide written details.

DOCUMENTED DART

RATE

(Last three calendar years)

2023 2024 2025 2023 2024 2025 2023 2024 2025 2023 2024 2025

CERTIFICATION AS TO KENTUCKY RESIDENT STATUS

1. Kentucky law provides that a Kentucky resident Bidder/Proposer shall be given a preference against a nonresident Bidder/Proposer equal to the preference given or required by the state of the nonresident Bidder/Proposer, unless such preference conflicts with federal law. In addition, if a procurement determination results in a tie between a Kentucky resident Bidder/Proposer and a non-resident Bidder/Proposer, preference shall be given to the Kentucky resident Bidder/Proposer.

2. To be eligible to be considered as a Kentucky resident Bidder/Proposer, you must: (i) satisfy the requirements set forth under Sections 3(a) and (b) below; and (ii) properly complete this certification and submit it with your Bid/Proposal. Do not sign and submit this certification unless you meet each of the requirements set forth below under Sections 3(a) and (b) below. If you do not meet the requirements set forth below under Sections 3(a) and (b) you must furnish a Certification as to Non-Resident Status contained within this solicitation.

3. The undersigned, by subscribing to this certification, certifies under oath and upon penalties of perjury, that each of the following is true and correct and that the Bidder/Proposer can furnish proof upon request by the Board that each of the following is true and correct:

That on the date this Bid/Proposal was first advertised or announced as available for bidding:

a) The Bidder/Proposer is authorized to transact business in the Commonwealth; and

b) That the Bidder/Proposer has during the one year period prior to and through the date of the advertisement for this Bid/Proposal: (i) filed Kentucky Corporate Income Taxes; (ii) made payments to the Kentucky Unemployment Insurance Fund; and (iii) maintained a Kentucky Workers Compensation Policy in effect.

Prior to an award to a Kentucky resident Bidder/Proposer, the Board may require you to furnish proof satisfactory to the Board that you meet each of the requirements set forth in (a) and

(b) above. Failure to timely submit such proof upon request by the Board may result in the lack of a preference being applied.

By certifying and signing below, I certify that each of the foregoing is true and correct for the Bidder/Proposer submitting this Bid/Proposal.

BIDDER/PROPOSER:

By: ____________________________ Signature of authorized officer/agent

Its:_____________________________ Title of authorized officer/agent

COMMONWEALTH OF KENTUCKY

COUNTY OF _____________

The foregoing certification was sworn to and acknowledged before me this ______ day of _______, 20___ by ___________________________(name), the __________________(title), for and on behalf of the bidder/proposer.

Notary Public

My Commission Expires:_______________

My Jurisdiction Is:_____________________

CERTIFICATION AS TO NON- RESIDENT STATUS

1. If you are ineligible to submit a Certification as to Kentucky Resident Status, you must complete this Certification as to Non-Resident Status.

2. Identify below each state in which you qualify as a resident for purposes of receiving a preference in that state:

a) __________________________________

b) __________________________________

c) __________________________________

3. For each state in which you qualify as a resident for purposes of receiving a preference under Section 2, above, for each such state list below the preference given or required by that state.

a) __________________________________

b) __________________________________

c) __________________________________

By certifying and signing below, I certify that each of the foregoing is true and correct for the Bidder/Proposer submitting this Bid or Proposal.

BIDDER/PROPOSER:

By: _______________________________ Signature of authorized officer/agent

Its: _______________________________ Title of authorized officer/agent