4-2025-BRP-017 Required Documents.pdf

STEEL RIVERS COUNCIL OF GOVERNMENTS

Request for Bids

November 2026

2025-BRP-017

PORT VUE DEMOLITION

PORT VUE BOROUGH, PA

Steel Rivers Council of Governments

1705 Maple Street, Room 100

Homestead, PA 15120

412-462-7600 (phone)

412-462-3986 (fax)

Glenn Engineering & Associates, Ltd.

14920 US-30

Irwin, PA 15642

412-824-5672

Project Timeline: 30-Day Completion Period

Contractor Affidavit of Eligibility

, being first duly sworn, deposes and says that he is

Of (sole owner, partner, president, secretary, etc) (Name of Firm) and that he is authorized to make this affidavit on behalf of the firm, and its owners, directors, and officers. He is the person responsible in my firm for accurate submission of this bid.

1. , its affiliates subsidiaries, officers, directors, (Name of Firm) and employees are not currently under investigation by any governmental agency and have not in the last four years been convicted or found liable for any act prohibited by State or Federal law in any jurisdiction with respect to bidding on any public contract, except as follows:

2. , its affiliates subsidiaries, officers, directors, and employees are not debarred, suspended, proposed for debarment, excluded or disqualified under the nonprocurement common rule, or otherwise declared ineligible from receiving Federal contracts, certain subcontracts, and certain Federal assistance and benefits.

3. I state that , understand and acknowledges that the above representations are material and important, and will be relied on by Steel Rivers

Council of Governments in awarding the contract(s) for which this bid is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from Steel Rivers Council of Governments of the true facts relating to the submission of bids for this contract.

Signed:

By:

Title:

Sworn to and subscribed before me this Day of

20 .

Notary Public

Date My Commission Expires

Non Collusion Affidavit To Be Executed by Each Bidder

State of: Municipality:

County of: Contract Name:

, being first duly sworn, deposes and says that he is

Of (sole owner, partner, president, secretary, etc) and that he is authorized to make this affidavit on behalf of the firm, and its owners, directors, and officers. He is the person responsible in my firm for the price (s) and the amount of this bid.

To state that:

1. The price(s) and amount of this bid have been arrived at independently and without consultation, communication or agreement with any other contractor, bidder or potential bidder.

2. That such bid is not made in the interest of or on behalf of any undisclosed person, partnership, company association, organization, or corporation; that such bid is genuine and not collusive or sham;

3. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit an complementary or other noncompetitive bid.

4. That said bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of said bidder or of any other bidder, nor to fix any overhead, profit, or cost element of such bid price nor of that of any other bidder, nor to secure any advantage against the public body awarding the contract to anyone interested in the proposed contract;

5. No attempt has been made or will be made to induce any firm or person to refrain from bidding on this contract, or to submit a bid higher than this bid, or to submit any intentionally high or noncompetitive bid or other form of complementary bid.

6. That said bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly induced or solicited any other bidder connived, or agreed with any bidder or anyone else to put in a sham bid.

7. Neither the price(s) nor the amount of this bid, and neither the approximate price(s) nor approximately amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder, and they will not be disclosed before bid opening.

8. That all statements contained in such bid are true; and, further, that said bidder has not directly or indirectly, submitted his bid price or any breakdown thereof, nor the contents there of, nor divulged information or data relative thereto, nor paid and will not pay fee in connection therewith to any corporation, partnership, company, association, organization, bid depository, nor to any member or agent thereof, nor to any other individual except to such person or persons as have a partnership or other financial interest with said bidder in his general business.

9. , its affiliates subsidiaries, officers, directors, and employees are not currently under investigation by any governmental agency and have not in the last four years been convicted or found liable for any act prohibited by

State or Federal law in any jurisdiction involving conspiracy or collusion with respect to bidding on any public contract, except as follows:

10. I state that , understand and acknowledges that the above representations are material and important, and will be relied on by Steel

Rivers Council of Governments in awarding the contract(s) for which this bid is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from Steel Valley Council of

Governments of the true facts relating to the submission of bids for this contract.

Signed:

By:

Sworn to and subscribed before me this Day of

20 .

Notary Public

Date My Commission Expires

Qualification Statement (Type or Print Legibly)

1. Name of Bidder: Federal ID#

2. Address of Bidder:

Business Telephone Number: Cell Number: Fax Number:

Email address:

3. Date When Organized:

4. Type of Organization

(Individual) (Partnership) (Corporation)

5. Years Engaged in Contracting Business

6. Experience Record: Name, address, phone number and contact person of four (4) organizations you have performed similar work.

1)

2)

3)

4)

7. Contracts on Hand: Anticipated

Project Gross Amount Completion Date

8. Ever fail to complete any work awarded to you?

9. If so, where and why?

10. Most Important Contracts recently Completed by You:

Project Gross Amount Completion Date

11. Background and Experience of Principal Members of your Company:

12. Major Equipment Available for this Contract:

13. Do you agree to submit a detailed financial statement if requested?

Contractor Name:

Signed By:

Date:

INCLUDE IN BID

SPECIFICATIONS

Project Name:

Project Number:

Grantee:

Project Manager:

Allegheny County Economic Development

Procurement Compliance Package Checklist

PROCUREMENT DOCUMENTS TO BE SUBMITTED BY THE PRIME CONTRACTOR/SUBCONTRACTOR/SUPPLIER

The documents listed on this checklist must be included in your bid submission, unless otherwise noted below. These documents are to be submitted to the Grantee by all contractors and forwarded to the ACED Project Manager for final approval. The documents pertaining to Subcontractors must be provided within 10 days of the project award letter, if not included with the Prime Contractor’s original bid proposal.

INITIAL TO INDICATE THE DOCUMENTS HAVE BEEN PROVIDED

Grantee / Project Manager

Notice to Prime Contractors/Subcontractors This document must be included in the bid package and completed by the Prime Contractor/Subcontractor as part of the original bid proposal.

Affirmative Action / MWBE Certification This document must be included in the bid package and completed by the Prime Contractor/Subcontractor as part of the original bid proposal.

Award Verification for Prime/ Subcontractors (Form-PL3/PL4) This document must be included in the bid package and completed by the Agency/Prime Contractor/Subcontractor as part of the original bid proposal.

Fringe Benefit Letter This document must be included in the bid package and completed by the Prime Contractor/Subcontractor as part of the original bid proposal.

Pennsylvania Certified Payrolls/ Apprentice Registrations Upon being awarded the contract, all contractors must submit a weekly certified payroll sheet to the Project Manager. The first and last payroll sheets must be notarized. This document is two (2) pages; include deduction explanations. Provide valid apprenticeship program documents for all apprentices.

Construction Stoppage Statement This document is provided to the Project Manager if the project requires a delay of work for six weeks or more.

New Hires-Pennsylvania Act 127 (Pennsylvania Public Works Employment Verification Program) This document is required for projects with estimated total cost greater than $25,000.

Award Verification for Suppliers -PL5 This document is to be submitted for all suppliers receiving $1,000 or more.

Agency/Prime Contractor/Subcontractor Supplier Verification This document must be included in the bid package and submitted no more than 10 days after contract is awarded.

Port Vue Blight Removal

2025-BRP-017

Steel Rivers Council of Governments

Jennifer Kwiatek, SRCOG Govt Grants Manager Port Vue Borough

SPECIFICATIONS Procurement Compliance / Bid Package Documents

NOTICE TO PRIME CONTRACTORS/SUBCONTRACTORS

PROJECT NAME_ #

Acknowledgement by Prime Contractor Subcontractor

Company Name_

Authorized Official:

Signature: Date:

PROJECT LOCATION

GRANTEE_

All contractors for the above-named project understand that any payment request for the project will not be processed by the Redevelopment Authority of Allegheny County until all requirements are met. It is the responsibility of the Grantee to make sure that all the paperwork is submitted by everyone on the project before request for payments are submitted.

It is further understood that the Prime Contractor is responsible for collecting all paperwork for each Subcontractor hired and must submit it to the Grantee, along with a signed agreement between the Prime and Subcontractor . Both Prime and Subcontractors are required to retain copies of all paperwork for this State-funded project for a period of three years after completion of the project.

The contractor understands that no basic wage can be lower than the wage issued: if fringe benefits are not paid into a special fund, the fringe benefits listed for any particular trade in the wage decision is added to, and becomes part of, the basic hourly wage for the employee performing the work.

All payrolls must be forwarded within seven days after the pay period. Payrolls must be certified on the reverse side and the signatures must be hand written in blue i

This form must be signed by the Prime Contractor or Subcontractor

Port Vue Blight Removal 2025-BRP-017

Port Vue Borough

Steel Rivers Council of Governments

Procurement Compliance / Bid Package Documents

AFFIRMATIVE ACTION /MWBE CERTIFICATION

PRIME / SUBCONTRACTOR AFFIRMATIVE ACTION CERTIFICATION

PRIME/SUBCONTRACTOR — Agrees to comply with the U.S. Department of Labor Model Affirmative Action (41-CFR-60- 1.4) Plan.

MINORITY BUSINESS AND FEMALE UTILIZATION CERTIFICATION

Company Name , Contractor, will abide by and initiate all of my subcontracts to the greatest extent feasible, the requirements of Executive Order 11625 and Executive Order 12138 regarding utilization of Minority and Female Business on this project.

SIGNATURE _DATE

NAME_ TITLE

CONTRACTOR’S FEDERAL ID NUMBER_ PHONE#

PROJECT NAME_

LOCATION PROJECT #

INCLUDE IN BID

SPECIFICATIONS

Port Vue Blight Removal Port Vue Borough 2025-BRP-017

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Allegheny County Economic Development

AWARD VERIFICATION FOR PRIME/ SUBCONTRACTORS - PL3/PL4

INCLUDE IN BID

SPECIFICATIONS

T :

2025-BRP-017

Port Vue Blight Removal Port Vue Borough

Jennifer Kwiatek Govt. Grants Manager

SCHEDULE OF SUBCONTRACTORS

PRIME CONTRACTORS: to the GRANTEE no more than ten days after you have received a bid award letter notifying you that you have been awarded the contract. Failure to submit this form could disqualify your bid.

PROJECT NAME

PROJECT LOCATION PROJECT #

CONTRACTOR’S NAME

IRS ID#_ DATE

COMPANY NAME

ADDRESS

CITY

IRS ID#TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

COMPANY NAME

ADDRESS

CITY ZIP

IRS ID#

No No No No

TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

COMPANY NAME

ADDRESS

CITY ZIP

IRS ID#

No No No No

TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

COMPANY NAME

ADDRESS

CITY ZIP

IRS ID#

No No No No

TELEPHONE#

Is Subcontractor a MBE? Yes Is Subcontractor a WBE? Yes Is Subcontractor a DBE? Yes Is Subcontractor a VOSB? Yes

Type of Work

INCLUDE IN BID

SPECIFICATIONS

Port Vue Borough 2025-BRP-017

AGENCY PRIME CONTRACTOR / SUBCONTRACTOR VERIFICATION

has an agreement with to work on the

(Agency/Prime/Subcontractor Legal

Name) (Prime/Subcontractor Legal Name)

(Project Name)_ located in the area of , PA.

If awarded the contract, the above Agency/Prime Contractor/Subcontractor intends to have a binding contract with the above Prime Contractor or Subcontractor to perform the following work:

(Provide Brief Description of the Type of Work Agreed Upon)

$ . _. The contract dollar amount

Agency’s Authorized Signature:_____________________________________________ Date:

Agency’s Printed Name:___________________________________________________ Title:

Prime Contractor’s Authorized Signature:_____________________________________ Date:

Prime Contractor’s Printed Name: __________________________________________ Title:

Subcontractor’s Authorized Signature:_______________________________________ Date:

Subcontractor’s Printed Name: _____________________________________________ Title

INCLUDE IN BID

SPECIFICATIONS

THIS FORM MUST BE SUBMITTED FOR EVERY PRIME / SUBCONTRACTOR HIRED FOR THIS

PROJECT AND SUBMITTED TO THE AGENCY. THIS FORM IS TO BE SUBMITTED 10 DAYS AFTER CONTRACT IS AWARDED.

2025-BRP-017

Steel Rivers COG

Port Vue Blight Removal Port Vue Borough

Demolition of three (3) residential structures in Port Vue Borough, asbestos removal and abatement as required, backfill, grading, and seeding of lot, and all related work complete and in compliance with Federal, State, County, and Local laws & regulations, and Contract Documents. 1612 Trimble Ave, 1801 New York Ave, 1889 Romine Ave, 30-day completion.

Jennifer Kwiatek Govt. Grants Manager

FRINGE BENEFIT LETTER

Wage Decision

IRS ID#

City State

Project Name_

Project #

Contract Amount $

Prime/Subcontractor Company Name (Circle One)_

Address:

FRINGE BENEFITS:

All Fringe Benefits will be paid as follows:

_Fringes will be included in the basic hourly wage rates.

_Fringes will be paid into the following Benefit Plans: (List Hourly Fringe Benefit Rate)

Name of Plan:

Address:

City:

Classification: Hourly Fringe Benefit Rate

Name of Plan:

Address:

City:

Classification: Hourly Fringe Benefit Rate

Name of Plan:

Address:

City:

Classification: Hourly Fringe Benefit Rate

Prime/ Subcontractor’s Signature

Printed Name: Date:

INCLUDE IN BID

SPECIFICATIONS

As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of the above date, our company is in compliance with the Public Works Employment Verification Act (‘the Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. To the best of my/our knowledge, all employees hired post January 1, 2013 are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.

I, , authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

COMMONWEALTH OF PENNSYLVANIA

PUBLIC WORKS EMPLOYMENT VERIFICATION FORM

Date

Business or Organization Name (Employer)

Address

City State Zip Code

Contracting Public Body

Contract/Project No

Project Description

Project Location

Authorized Representative Signature

INCLUDE IN BID

SPECIFICATIONS

2025-BRP-017

Port Vue Borough

SPECIFICATIONS

Allegheny County Economic Development

Pennsylvania Public Works Employment Verification Program

The Commonwealth of Pennsylvania enacted Act 127 of 2012, known as the Public Works Employment Verification Act (‘the Act’) which requires all public work contractors and subcontractors to utilize the Federal Government’s E-Verify system to ensure that all employees performing work on public work projects are authorized to work in the United States.

The Department defines a “Public Work” to be construction, reconstruction, demolition, alteration and/or repair work other than maintenance work, done under contract and paid for in whole or in part out of the funds of a public body where the estimated cost of the total project is in excess of twenty-five thousand dollars ($25,000) but shall not include work performed under a rehabilitation or manpower training program.

The Department of General Services’ Public Works Employment Verification Compliance Program is responsible for the administration, education and enforcement of the Public Works Employment Verification Act 127 of 2012. It provides contractors and subcontractors with educational outreach, conducts investigations when complaints are received and random audits to ensure compliance with the requirements of this Act.

Please direct your questions to the Public Works Employment Verification Compliance Office

Mail: Department of General Services Public Works Employment Verification Compliance Office Room 105 Tent Bldg.

18th & Herr Streets Harrisburg, PA 17125 Phone: 717-214-3668 Fax: 717-214-3669 To reference the following helpful links below go to:

http://www.portal.state.pa.us/portal/server.pt/community/construction_and_public_works/ 1235/public_works_employment_verification/1357211

Statement of Policy as published in the Pennsylvania Bulletin, December 29, 2012, and effective January 1, 2013.

Public Works Employment Verification Form

Public Works Employment Verification Complaint Form

Overview Presentation of the Public Works Employment Verification Act

Frequently Asked Questions

U.S. Department of Homeland Security Employment Verification web site

AWARD VERIFICATION FOR SUPPLIERS –PL5

SPECIFICATIONS

Allegheny County Economic Development Procurement Compliance / Bid Package Documents

AGENCY / PRIME CONTRACTOR / SUBCONTRACTOR SUPPLIER

VERIFICATION

THIS FORM MUST BE SUBMITTED FOR EVERY SUPPLIER

HIRED FOR THIS FUNDED PROJECT AND SUBMITTED TO THE GRANTEE.

(Agency/Prime/Subcontractor Legal Name) has an agreement with

(Supplier Legal Name/ Address) to work on the

(Project Name) _ located in the area of _, PA.

If awarded the contract, the above Agency/Prime Contractor/Subcontractor intends to have a binding contract with the above upplier to provide the following materials :

(Provide Brief Description of the Supplies Agreed Upon)

Grantee’s Authorized Signature: ______________________________________________Date: ______________________

Grantee’s Printed Name: _____________________________________________Title: _____________________________

Prime Contractor’s Authorized Signature: ______________________________________Date: ______________________

INCLUDE IN BID

SPECIFICATIONS

Prime Contractor’s Printed Name: ______________________________________ Title: ____________________________

Subcontractor’s Authorized Signature: ________________________________________ Date: ______________________

Subcontractor’s Printed Name: _________________________________________ Title: ____________________________

Supplier Authorized Signature: _______________________________________Date: ______________________

Supplier Printed Name: ________________________________________Title: ____________________________

. . The contract dollar amount $

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THE NOTARIZATION MUST BE COMPLETED ON FIRST AND LAST SUBMISSIONS ONLY. ALL OTHER

INFORMATION MUST BE COMPLETED WEEKLY.

*FRINGE BENEFITS EXPLANATION (FB): Bona fide benefits contribution, except those required by Federal or State Law (unemployment tax, workers’ compensation, income taxes, etc.)

Please specify the type of benefits provided and contributions per hour:

1) Medical or hospital care

2) Pension or retirement

3) Life insurance

4) Disability

5) Vacation, holiday

6) Other (please specify)

CERTIFIED STATEMENT OF COMPLIANCE

1. The undersigned, having executed a contract with

(AWARDING AGENCY, CONTRACTOR OR SUBCONTRACTOR)

for the construction of the above-identified project, acknowledges that:

(a) The prevailing wage requirements and the predetermined rates are included in the aforesaid contract.

(b) Correction of any infractions of the aforesaid conditions is the contractor’s or subcontractor’s responsibility.

(c) It is the contractor’s responsibility to include the Prevailing Wage requirements and the predetermined rates in any subcontract or lower tier subcontract for this project.

2. The undersigned certifies that:

(a) Neither he nor his firm, nor any firm, corporation or partnership in which he or his firm has an interest is debarred by the Secretary of Labor and Industry pursuant to Section 11(e) of the PA Prevailing Wage Act, Act of August 15, 1961, P.L. 987 as amended, 43 P.S.§ 165-11(e).

(b) No part of this contract has been or will be subcontracted to any subcontractor if such subcontractor or any firm, corporation or partnership in which such subcontractor has an interest is debarred pursuant to the aforementioned statute.

3. The undersigned certifies that:

(a) the legal name and the business address of the contractor or subcontractor are:

(b) The undersigned is: a single proprietorship a corporation organized in the state of partnership other organization (describe)

(c) (c)The name, title and address of the owner, partners or officers of the contractor/subcontractor are:

NAME TITLE ADDRESS

The willful falsification of any of the above statements may subject the contractor to civil or criminal prosecution, provided in the PA Prevailing Wage Act of August 15, 1961, P.L. 987, as amended, August 9, 1963, 43 P.S. § 165.1 through 165.17.

(DATE)

(SEAL)

(TITLE)

Taken, sworn and subscribed before me this Day

LLC -25 REV 10-03 (Page 2) of A .D., CONSTRUCTION STOPPAGE STATEMENT

If there is no work performed on the project for SIX WEEKS or MORE, this form must be completed and submitted to the by the ontractor.

State Zip Code

Company Name

Company Address

City

Telephone Number

Project #

Project Name

Project Address City

I certify that work on this project will be delayed for a period of six (6) weeks or more effective as of this date _. The work on this project will resume on (date)_ .

The payroll number which was last submitted to the GRANTEE was payroll number .

Therefore when the work resumes, the payrolls will be numbered starting with the next sequential number from the last payroll submitted.

Authorized Signature: Prime Contractor_ Date Print Name Prime Contractor

Authorized Signature: Subcontractor_ Date Print Name Subcontractor

This form must be submitted to the GRANTEE to be forwarded to the Project Manager at the Allegheny County Economic Development.

Received by (Grantee Name)

Authorized Signature Date

Received by ACED Project Manager_

Signature Date

INCLUDE IN BID

SPECIFICATIONS