26-045-ITB_-_Exhibit_A_-_Proposal_Forms_(AIP).pdf

KENTON COUNTY AIRPORT BOARD CINCINNATI/NORTHERN KY INTERNATIONAL AIRPORT

RUNWAY 18L/36R TUNNEL REHABILITATION & SAFETY IMPROVEMENTS

EXHIBIT A

PROPOSAL DOCUMENTS

Table of Contents

PROPOSAL

PROPOSAL FORM

BIDDER’S QUALIFICATIONS

BID TAB

PROPOSAL BOND

NON-DEBARMENT OR SUSPENSION CERTIFICATION

BUY AMERICAN CERTIFICATION – CONSTRUCTION PROJECTS

DISCLOSURE OF LOBBYING ACTIVITIES CERTIFICATION

AFFIDAVIT REGARDING WORKER'S COMPENSATION

SAFETY EVALUATION AND PLANS

SAFETY EVALUATION FORM

CERTIFICATION OF OFFEROR/BIDDER REGARDING TAX DELINQUENCY AND FELONY CONVICTIONS 23

CERTIFICATION REGARDING DOMESTIC PREFERENCES FOR PROCUREMENTS

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 August 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 Bid #26-045-ITB, titled the same as written above, which is incorporated by reference.

The Project includes rehabilitation and safety improvements to the South Airfield Drive tunnel beneath Runway 18L/36R at CVG. Work consists of concrete slab, wall, and soffit repairs, expansion joint and sealant replacement, slab waterproofing, ventilation roof slab infill, pavement and sidewalk replacement, drainage and storm sewer improvements, and striping and signage replacement; upgrading the tunnel lighting to new LED fixtures with a new lighting control system;

replacing the existing electrical distribution, panelboards, feeders, and wiring along with emergency power upgrades; replacing the existing ventilation fans with new tunnel exhaust fans, new unit heaters and controls; and upgrades to the fire protection, fire alarm, security, and technology systems for this project.

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 Runway 18L/36R Tunnel Rehabilitation & Safety Improvements (#26-045-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 affirms that wages not less than the minimum rates or wages, as predetermined for this project by the Department of Labor as provided in Section 7 of the Special Provisions of these Specifications, were used in the preparation of this proposal.

O. 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.

P. 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.

Q. 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.

R. 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 at _______________________________________________________, _______________ this _______ day of__________________, 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.

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

Table Name Line Item Description

Unit of Measure Quantity

MAIN BID 1 General Conditions (Civil) L.S. 1 MAIN BID 2 Remove and Replace Sidewalk (10 in) S.Y. 58 MAIN BID 3 Corner Joint Repair S.F. 1,168 MAIN BID 4 Pavement Panel Replacement S.F. 1,808 MAIN BID 5 Saw-Clean-Reseal Longitudinal Joint L.F. 3,965 MAIN BID 6 Saw-Clean-Reseal Transverse Joint L.F. 3,051 MAIN BID 7 Saw-Clean-Reseal Random Cracks L.F. 100 MAIN BID 8 Signage Removal S.F. 101 MAIN BID 9 Proposed Signage S.F. 103 MAIN BID 10 Pave Striping-Dur Ty 1-6 In W L.F. 6,978 MAIN BID 11 Pave Striping-Dur Ty 1-6 In Y L.F. 5,673 MAIN BID 12 Pave Mark Ty 1 Thermo Cross-Hatch S.F. 464 MAIN BID 13 Pave Mark Ty 1 Tape-Curv Arrow EA 1 MAIN BID 14 Pave Marking Remove Existing Hatching S.F. 464 MAIN BID 15 Water Blast Existing Striping L.F. 12,391 MAIN BID 16 Clean Existing 12" DIP Storm Pipes L.F. 315 MAIN BID 17 Clean Existing 18" RCP Storm Pipes L.F. 1,341 MAIN BID 18 Video Inspect 12" DIP Storm Pipes L.F. 315 MAIN BID 19 Video Inspect 18" RCP Storm Pipes L.F. 1,341 MAIN BID 20 Replace Catch Basin Frame EA 10 MAIN BID 21 Modify Catch Basin EA 2 MAIN BID 22 Modify Existing Drainage Box EA 2 MAIN BID 23 Grate Replacement, North Fan Room (Note 1) EA 3 MAIN BID 24 Grate Replacement, South Fan Room (Note 1) EA 5 MAIN BID 25 Erosion Control Blanket S.F. 1,650 MAIN BID 26 Turf Reinforcement Mat S.F. 1,650 MAIN BID 27 Minor Grading S.Y. 183 MAIN BID 28 Replace Double Box Inlet EA 2 MAIN BID 29 Drop Box Inlet EA 2 MAIN BID 30 Junction Box EA 1 MAIN BID 31 Storm Pipe - 8" PVC L.F. 139 MAIN BID 32 French Drain - 6" Perforated Pipe (Note 2) L.F. 34

MAIN BID 33

Replace 10" DI Sanitary Sewer Double Expansion Joint EA 1

MAIN BID 34 Replace Pipe Roller and Stand EA 12

MAIN BID 35 Clean and Repaint Pipe Support EA 24 MAIN BID 36 Adjust Manhole EA 1 MAIN BID 37 Sawcut Pavement L.F. 27 MAIN BID 38 Maintain & Control Traffic L.S. 1 MAIN BID 39 Maintain & Control Traffic (CSPP) L.S. 1 MAIN BID 40 Barricade-Type III EA 5 MAIN BID 41 Temporary Signs S.F. 150 MAIN BID 42 Arrow Panel EA 2 MAIN BID 43 Portable Changeable Message Sign EA 4 MAIN BID 44 Object Marker Ty 3 EA 2 MAIN BID 45 Pave Striping-Temp Rem Tape-W L.F. 4,500 MAIN BID 46 Pave Striping-Temp Rem Tape-Y L.F. 4,500 MAIN BID 47 Pave Striping-Temp Rem Tape-B L.F. 1,000 MAIN BID 48 Flexible Delineator Post (Yellow) EA 50 MAIN BID 49 Flexible Delineator Post Adhesive EA 100 MAIN BID 50 Temporary Seeding and Mulching S.Y. 150 MAIN BID 51 Installation and Removal of Silt Fence L.F. 100 MAIN BID 52 Silt Trap Type C (KYTC) EA 1 MAIN BID 53 Clean Silt Trap Type C (KYTC) EA 1 MAIN BID 54 General Conditions (Lighting) L.S. 1 MAIN BID 55 Removal of Existing Features EA 472 MAIN BID 56 L1 Fixture :TNLEDMED PK1 EA 52 MAIN BID 57 L2 Fixture :TNLEDMED PK1 EA 52 MAIN BID 58 L3 Fixture :TNLEDMED PK3 EA 60 MAIN BID 59 L4 Fixture :TNLEDMED PK4 EA 40 MAIN BID 60 L5 Fixture :TNLEDMED PK6 EA 240 MAIN BID 61 External Photocell EA 4 MAIN BID 62 Lighting Contactor EA 4

MAIN BID 63

Duke Energy Smart Saver Lighting Rebate Application and Coordination L.S. 1

MAIN BID 64 General Conditions (Mechanical) L.S. 1

MAIN BID 65

Remove & Replace Existing Fan Room Ductwork and Duct Drainage Piping LB 4,600

MAIN BID 66

Remove & Replace Exist. Axial Fans (EF-1 thru 4); 65,000 CFM w/ VFD's EA 4

MAIN BID 67

Remove & Replace Exist. Utility Fan (EF-6);

5,630 CFM EA 1

MAIN BID 68

Remove & Replace Exist. Utility Fans (EF-8 &

10); 1,250 CFM EA 2

MAIN BID 69

Remove & Replace Exist. Utility Fan (EF-11); 200

CFM EA 1

MAIN BID 70 Remove & Replace SS Grilles & Dampers EA 72 MAIN BID 71 Provide SS Grilles & Dampers for Attic Stock EA 10

MAIN BID 72

Install New Spring Vibration Isolators w/ Corrosion-Resistant Coating EA 16

MAIN BID 73

Remove & Replace Exist. Utility Fans (EF-5 &7);

1,250 CFM EA 2

MAIN BID 74

Remove & Replace Exist. Electric Unit Heaters (EUH-5 Through 13); 5 KW EA 9

MAIN BID 75

Install Electric Unit Heaters (EUH-1 Through 4);

5 KW EA 4

MAIN BID 76 HVAC General Conditions L.S. 1 MAIN BID 77 Hoisting and Rigging L.S. 1 MAIN BID 78 Engineering, Submittals, & Warranty L.S. 1 MAIN BID 79 Testing, Balancing & Commissioning L.S. 1

MAIN BID 80

Remove & Replace Exist. CO Monitoring System (Includes 12 Sensors, 1 Control Panel, & Wiring) EA 1

MAIN BID 81

Remove & Replace Exist. Utility Fan (EF-09);

1,000 CFM EA 1

MAIN BID 82 General Conditions (Fire) L.S. 1

MAIN BID 83

Replace Cracked Coupling and Perform Hydrostatic Test L.S. 1

MAIN BID 84 Replace All 2.5" Hose Valves EA 15 MAIN BID 85 Replace All 1" Drain Valves EA 16 MAIN BID 86 Provide Caps on Hose Connections EA 16 MAIN BID 87 Replace Auto Ball Drip Valve on Standpipe Riser EA 1 MAIN BID 88 Add Additional Hose Outlets EA 1 MAIN BID 89 Add Air Relief-Vacuum Valves L.S. 1 MAIN BID 90 New Fire Extinguishers EA 10 MAIN BID 91 Remove Abandoned Standpipe System L.S. 1 MAIN BID 92 Repair Hose Valve Cabinets EA 15 MAIN BID 93 Replace/Provide Standpipe Markings L.S. 1 MAIN BID 94 Cleaning, Testing and Start-up L.S. 1 MAIN BID 95 Modification to Existing Fire Alarm L.S. 1

MAIN BID 96

Remove and Replace Existing Red Strobes and Cages EA 7

MAIN BID 97 4" Standpipe Supply Main L.F. 220

MAIN BID 98

Add Additional 1" Drain Valve on New Hose Outlet EA 1

MAIN BID 99

General Conditions (Incidental Work, Surveys, Coordination, etc.) L.S. 1

MAIN BID 100

Station 96+00 Expansion Joint Waterproofing Repairs (S002) L.S.

MAIN BID 101 Concrete Floor Repair Case A (1/S501) S.F. 4,000 MAIN BID 102 Concrete Floor Repair Case B (1/S501) S.F. 4,000

MAIN BID 103

Concrete Floor Repair at Expansion Joints (3/S501) S.F. 780

MAIN BID 104 Concrete Curb Repair (4/S501) S.F. 220 MAIN BID 105 Overhead Concrete Repair (5/S501) S.F. 60 MAIN BID 106 Vertical Surface Repair (6/S501) S.F. 60 MAIN BID 107 Tunnel Portal Wall Concrete Repair (7/S502) L.F. 50 MAIN BID 108 Tunnel Expansion Joint Preparation (8/S502) L.S. 1 MAIN BID 109 Tunnel Expansion Joint Gutter (9/S502) L.S. 1

MAIN BID 110

Tunnel Expansion Joint Gutter Piping (9/S502) (Includes 10% Plan Quantity Overrun) L.F. 2,200

MAIN BID 111

Cove Sealant Replacement Along Tunnel Roadway (1/S510) L.S. 1

MAIN BID 112 Control Joint Sealant at Roadway (2/S510) L.S. 1 MAIN BID 113 Hairline Crack Filling at Roadway (3/S510) L.F. 24,000

MAIN BID 114

Isolation Joint Sealant at Roadway Expansion Joints Slab and Walls (4/S510) L.S. 1

MAIN BID 115

Isolation Joint Sealant at Utility Tunnel Expansion Joints Slab and Walls (4/S510) L.S. 1

MAIN BID 116 Epoxy Injection (036423) L.S. 1

MAIN BID 117

Concrete Coating at East and West Tunnel End Walls (099100) L.F. 200

MAIN BID 118

Replace Isolation Joint Sealant at East and West Tunnel End Wall (4/S510) L.S. 1

MAIN BID 119

Install Penetrating Sealer at Roadway and Curbs (071910) L.S. 1

MAIN BID 120

Concrete Infill and Roofing of Fan Rooms Roof Openings (S301) L.S. 1

MAIN BID 121 Scupper Drains at the Fan Rooms (S301) L.S. 1

MAIN BID 122

Removal and Replacement of Doors and Frames (081100 & 087100) L.S. 1

MAIN BID 123 Final Pressure Wash Cleaning of Tunnel L.S. 1 MAIN BID 124 General Conditions (Electrical) L.S. 1 MAIN BID 125 50kW Generator EA 1 MAIN BID 126 50A Bypass Isolation Transfer Switch EA 1 MAIN BID 127 1000A Distribution Board EA 1

MAIN BID 128 600A Power Panel EA 2 MAIN BID 129 225A Branch Panel EA 4 MAIN BID 130 30kVA Transformer EA 3 MAIN BID 131 45kVA Transformer EA 1 MAIN BID 132 100A Branch Panel EA 4 MAIN BID 133 50A Branch Panel EA 1 MAIN BID 134 100A Wireway EA 1 MAIN BID 135 60A Frame fused disconnect EA 1 MAIN BID 136 100A Frame fused disconnect EA 1 MAIN BID 137 GFCI Receptacles EA 40 MAIN BID 138 Junction Box (Heat trace connections) EA 4 MAIN BID 139 Disconnect - Safety Switch (Unit Heaters) EA 10 MAIN BID 140 VFD (Ventilation Fans) EA 4 MAIN BID 141 E Luminaires EA 86 MAIN BID 142 Quad EA 1 MAIN BID 143 E1 Luminaires EA 6 MAIN BID 144 3-way switch(es) EA 2 MAIN BID 145 Single Pole Switch (Lighting) EA 6

MAIN BID 146 ELU EA 8

MAIN BID 147 400A Fused Swiches (Ventilation Fans) EA 4 MAIN BID 148 #12 AWG Conductor L.F. 50,000 MAIN BID 149 #10 AWG Conductor L.F. 11,500 MAIN BID 150 #8 AWG Conductor L.F. 7,100 MAIN BID 151 #6 AWG Conductor L.F. 1,780 MAIN BID 152 #4 AWG Conductor L.F. 220 MAIN BID 153 #3 AWG Conductor L.F. 2,400 MAIN BID 154 #2 AWG Conductor L.F. 1,780 MAIN BID 155 #1 AWG Conductor L.F. 20 MAIN BID 156 #1/0 AWG Conductor L.F. 150 MAIN BID 157 #4/0 AWG Conductor L.F. 3,500 MAIN BID 158 #250KCMIL Conductor L.F. 4350 MAIN BID 159 #400 KCMIL Conductor L.F. 480 MAIN BID 160 #500 KCMIL Conductor L.F. 17,350 MAIN BID 161 #750 KCMIL Conductor L.F. 10,950 MAIN BID 162 4" Conduit L.F. 2,750 MAIN BID 163 3-1/2" Conduit L.F. 4,350 MAIN BID 164 3" Conduit L.F. 150 MAIN BID 165 2-1/2" Conduit L.F. 200 MAIN BID 166 1-1/2" Conduit L.F. 10

MAIN BID 167 1-1/4" Conduit L.F. 1,350 MAIN BID 168 1" Conduit L.F. 21,800 MAIN BID 169 3/4" Conduit L.F. 1,350 MAIN BID 170 NEMA Rated Equipment Rack EA 1 MAIN BID 171 Security Camera EA 7 MAIN BID 172 Fiber enclosure EA 1 MAIN BID 173 Fiber termination cassette EA 1 MAIN BID 174 Copper Patch Panel - Frame EA 1 MAIN BID 175 Copper data cable surge protection - Rack EA 1 MAIN BID 176 4 port fiber conversion - Berk-Tek EA 1 MAIN BID 177 2 port fiber conversion - Berk-Tek EA 2 MAIN BID 178 50A Branch Panel EA 1 MAIN BID 179 Data drop surge protection - Device EA 7 MAIN BID 180 Data terminations EA 16 MAIN BID 181 Pull box EA 3 MAIN BID 182 Device junction box EA 7 MAIN BID 183 Rack ground bar EA 1 MAIN BID 184 OSP Cat6A L.F. 300 MAIN BID 185 Fiber - OS2 L.F. 50 MAIN BID 186 Hybrid Copper / Fiber cable L.F. 1,375 MAIN BID 187 #6 AWG - Ground L.F. 30 MAIN BID 188 4" Communications Conduit L.F. 2,750 MAIN BID 189 1" Communications Conduit L.F. 350

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)

NON-DEBARMENT OR SUSPENSION CERTIFICATION

In accordance with the CODE OF FEDERAL REGULATIONS, Part 49, CFR Section 29.510, the Bidder, being duly sworn (or under penalty of perjury under the laws of the United States), certifies to best of his/her knowledge and belief, that its principals:

1. are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;

2. have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of record, making false statements, or receiving stolen property;

3. are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in the above paragraph of this certification; and

4. have not within a three-year period preceding this proposal had one or more public transactions (federal, state, or local) terminated for cause or default.

Where the Bidder is unable to certify to any of the statements in this certification, such Bidder shall list exceptions below. Exceptions will not necessarily result in denial of award, but will be considered in determining contractor responsibility. For any exception noted, indicate below to whom it applies, the initiating agency, and the dates of the action. Providing false information may result in criminal prosecution or administrative sanction. If an exception is noted, the Bidder must contact the Sponsor to discuss the exception prior to award of the Contract.

The Bidder certifies under penalty of perjury under the laws of the Commonwealth of Kentucky that the foregoing is correct and true.

Name: Bidding contractor ___________________________________________________

By _________________________________Date:_______________

(SIGNATURE)

Name and Title ____________________________________________________

(PRINT OR TYPE)

Subscribed and sworn before me this date: Month _________ Day ______ Year __________

Notary Public's signature: ____________________________________________________

Commission expires: _________________________________________________________

BUY AMERICAN CERTIFICATION –

CONSTRUCTION PROJECTS

The contractor shall comply with 49 USC § 50101, which provides that Federal funds may not be obligated unless all steel and manufactured goods used in AIP-funded projects are produced in the United States, unless the FAA has issued a waiver for the product; the product is listed as an Excepted Article, Material Or Supply in Federal Acquisition Regulation subpart 25.108; or is included in the FAA Nationwide Buy American Waivers Issued list.

As a matter of bid responsiveness, the bidder or offeror must complete, sign, date, and submit this certification statement with their proposal. The bidder or offeror must indicate how they intend to comply with 49 U.S.C. § 50101 by selecting one on the following certification statements. These statements are mutually exclusive. Bidder must select one or the other (i.e., not both) by inserting a checkmark () or the letter “X”.

Bidder or offeror hereby certifies that it will comply with 49 U.S.C. § 50101 by:

a) Only installing steel and manufactured products produced in the United States, or;

b) Installing manufactured products for which the FAA has issued a waiver as indicated by inclusion on the current FAA Nationwide Buy American Waivers Issued listing, or;

c) Installing products listed as an Excepted Article, Material or Supply in Federal

Acquisition Regulation Subpart 25.108.

By selecting this certification statement, the bidder or offeror agrees:

1. To provide to the Owner evidence that documents the source and origin of the steel and manufactured product.

2. To faithfully comply with providing US domestic product

3. To furnish US domestic product for any waiver request that the FAA rejects

4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified.

The bidder or offeror hereby certifies it cannot comply with the 100% Buy American Preferences of 49 U.S.C. § 50101(a) but may qualify for either a Type 3 or Type 4 waiver under 49 USC § 50101(b). By selecting this certification statement, the apparent bidder or offeror with the apparent low bid agrees:

1. To the submit to the Owner within 15 calendar days of the bid opening, a formal waiver request and required documentation that support the type of waiver being requested.

2. That failure to submit the required documentation within the specified timeframe is cause for a non-responsive determination may result in rejection of the proposal.

3. To faithfully comply with providing US domestic products at or above the approved US domestic content percentage as approved by the FAA.

4. To refrain from seeking a waiver request after establishment of the contract, unless extenuating circumstances emerge that the FAA determines justified.

Required Documentation

Type 3 Waiver - The cost of the item components and subcomponents produced in the United States is more that 60% of the cost of all components and subcomponents of the “item”. The required documentation for a type 3 waiver is:

a) Listing of all product components and subcomponents that are not comprised of 100% US domestic content (Excludes products listed on the FAA Nationwide Buy American Waivers Issued listing and products excluded by Federal Acquisition Regulation Subpart 25.108; products of unknown origin must be considered as non-domestic products in their entirety).

b) Cost of non-domestic components and subcomponents, excluding labor costs associated with final assembly at place of manufacture.

c) Percentage of non-domestic component and subcomponent cost as compared to total “item” component and subcomponent costs, excluding labor costs associated with final assembly at place of manufacture.

Type 4 Waiver – Total cost of project using US domestic source product exceeds the total project cost using non-domestic product by 25%. The required documentation for a type 4 of waiver is:

a) Detailed cost information for total project using US domestic product

b) Detailed cost information for total project using non-domestic product

False Statements: Per 49 U.S.C. § 47126, this certification concerns a matter within the jurisdiction of the Federal Aviation Administration and the making of a false, fictitious or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code.

Date Signature

Company Name Title

DISCLOSURE OF LOBBYING ACTIVITIES CERTIFICATION

Certification for Federal-Aid Construction Services. In accordance with Public Law 101-1210, Section 319, by signing and submitting this bid, the Bidder certifies to the best of Bidder’s knowledge and belief:

1. that no federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement; and

2. that if any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence and officer or employee of any federal agency, a Member of Congress, and officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.

This certification is a material representation of fact upon which reliance will be placed when a transaction is made or entered into. Submission of this Certification is a prerequisite for making or entering into a transaction imposed by Section 1352, Title 31, United States Code. Any person who fails to file the required Certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The Bidder also agrees by submitting its bid that Bidder shall require the language of this Certification be included in all lower tier subcontracts, which exceed $100,000 and all subrecipients shall certify and disclose accordingly.

The Bidder certifies under penalty of perjury under the laws of the Commonwealth of Kentucky that the foregoing is correct and true.

Name: Bidding contractor ________________________________________________________

By __________________________________________Date:__________

(SIGNATURE)

Name and Title ________________________________________________________

(PRINT OR TYPE)

Subscribed and sworn before me this date: Month _____________________ Day ______ Year _____

Notary Public's signature: ______________________________________________

Commission expires: ______________________________________________

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 this day of , 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 OF OFFEROR/BIDDER REGARDING TAX DELINQUENCY AND FELONY

CONVICTIONS

The applicant must complete the following two certification statements. The applicant must indicate its current status as it relates to tax delinquency and felony conviction by inserting a checkmark () in the space following the applicable response. The applicant agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification in all lower tier subcontracts.

Certifications

1) The applicant represents that it is (____) is not (____) a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

2) The applicant represents that it is (____) is not (____) a corporation that was convicted of a criminal violation under any Federal law within the preceding 24 months.

Note

If an applicant responds in the affirmative to either of the above representations, the applicant is ineligible to receive an award unless the sponsor has received notification from the agency suspension and debarment official (SDO) that the SDO has considered suspension or debarment and determined that further action is not required to protect the Government’s interests. The applicant therefore must provide information to the Owner about its tax liability or conviction, who will then notify the FAA Airports District Office, which will then notify the agency’s SDO to facilitate completion of the required considerations before award decisions are made.

Term Definitions

Felony conviction: Felony conviction means a conviction within the preceding twenty-four (24) months of a felony criminal violation under any Federal law and includes conviction of an offense defined in a section of the U.S. code that specifically classifies the offense as a felony and conviction of an offense that is classified as a felony under 18 U.S.C. § 3559.

Tax Delinquency: A tax delinquency is any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted, or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

CERTIFICATION REGARDING DOMESTIC PREFERENCES FOR PROCUREMENTS

The Bidder or Offeror certifies by signing and submitting this bid or proposal that, to the greatest extent practicable, the Bidder or Offeror has provided a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including, but not limited to, iron, aluminum, steel, cement, and other manufactured products) in compliance with 2 CFR § 200.322.