4-Ch.5 BID DOCUMENTS Fillable.pdf

5: 1

Supplemental Bid Information Wattis Coal Mine Fire 2 Abatement

Name of Bidder:

COMPLETION TIME:

I/We guarantee to complete the WORK within 30 calendar days after receipt of Notice to Proceed, should I/we be the successful bidder.

LICENSING:

CONTRACTOR's License Number for Utah:

License Classification(s):

Expiration Date:

Copy of license must be enclosed with hard copy bid or uploaded with electronic bid.

Type of Organization:

(Corporation, Co-Partnership, Individual, etc.)

AVS CERTIFICATION:

If applicable, the CONTRACTOR shall certify that all reclamation fees or civil penalty assessments required by the provision of the Surface Mining Control and Reclamation Act of 1977, P.L. 95-87, 30 U.S.C. Sec 1201 et seq., have been paid. Provided further, this certification requirement shall also apply to all Subcontractors utilized by the successful bidders.

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Bidder's Proposed Subcontractors, Suppliers & Vendors List Wattis Coal Mine Fire 2 Abatement Project

We submit the following list of first-tier subcontractors, suppliers and vendors for OWNER approval.

We recognize this list as binding on us, and acknowledge OWNER'S right to reject any or all subcontractors, suppliers or vendors listed or unlisted which the OWNER feels are unqualified to do the work.

SUBCONTRACTOR CONTRACT

AMOUNT

STATE

CONTRACTOR'S

LICENSE NO

LICENSE

LIMIT

Excavation:

Steel Fabrication:

Trucking/Transport:

Polyurea Silicate Foam Installation:

Helicopter:

Other:

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BIDDER'S PROPOSED SUBCONTRACTORS, SUPPLIERS & VENDORS LIST

SUPPLIER/VENDOR AMOUNT PRODUCT

Other:

By submitting a bid under this solicitation, we certify that:

1. This list includes all subcontractors, suppliers and vendors whose bids exceed $5,000 (for prime contractor bids less than $250,000) or $25,000 (for prime contractor bids of $250,000 or more).

2. Where we have listed "Self" it is our intent to perform said work and that we generally and regularly perform that type of work and are appropriately licensed.

3. Any approved change in sub-bidders, suppliers or vendors which results in a lower contract price for sub-bid work shall accordingly reduce the total sum of the prime contract.

Note: Failure to submit this form properly completed and signed may be grounds for OWNER'S refusal to enter into a written CONTRACT with BIDDER. Action will be taken against BIDDER'S bid bond or cashier's check as deemed appropriate by OWNER. Timely notice of unacceptable subcontractors, suppliers or vendors will be given to the BIDDER. Reporting of subcontractors may be required for conformance with 63A-5-208 UCA.

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Minority and Woman Business Enterprise Representation

The offeror represents that it [_]is [_]is not a minority business enterprise.

A minority business enterprise is defined as a concern that:

1) is at least 51 percent owned by one or more individuals who are socially and economically disadvantaged, or a publicly owned business having at least 51 percent of its stock owned by one or more individuals who are socially and economically disadvantaged individuals; and

2) has its management and daily business controlled by one or more such individuals.

Qualified groups. The offeror shall presume that socially and economically disadvantaged individuals include Black Americans, Hispanic American, Native Americans, Asian-Pacific American, Asian-Indian Americans, and other individuals found to be qualified by the Small Business Administration under 13 CFR 124.l.

The offeror represents that it [_]is [_]is not a woman business enterprise.

A woman business enterprise is defined as a concern that:

1) is at least 51 percent owned by one or more women, or a publicly owned business having at least 51 percent of its stock owned by one or more women; and

2) has its management and daily business controlled by one or more of the women owners.

Business firms that are 51 percent owned by minorities or women, but are in fact managed and operated by non-minority individuals do not qualify as minority or woman business enterprises.

The offeror represents that the following proposed subcontractor(s) is (are) a minority or woman business enterprise:

This information is requested for Federal reporting purposes only.

Minority/woman status has no bearing on the selection of a contractor.

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Applicant/Violator System Eligibility Check

(Data to be submitted after Bid Opening)

Federal regulations (30 CFR 874.16) effective July 1, 1994, require all successful bidders on contracts funded through Title IV of the Surface Mining Control and Reclamation Act (SMCRA) of 1977 to be eligible under 30 CFR 773.15(b)(1) to receive a permit to conduct surface coal mining operations. In general, this means that the Utah Abandoned Mine Reclamation Program may not hire a contractor who is or whose company is associated with a coal mine operator with outstanding unabated violations under SMCRA. The regulations further require that contractor eligibility be confirmed by the Applicant/Violator System (AVS) at the U.S. Office of Surface Mining Reclamation and Enforcement (OSMRE). Compliance checks are also required for all subcontractors.

To comply with these rules, the apparent low bidder must provide the Division of Oil, Gas and Mining with information on the ownership and control of the firm for AVS review. A bidder must receive a recommendation of "Issue" or "Conditional Issue" from the OSM AVS office to be awarded the contract.

The apparent low bidder shall submit to DOGM within 24 hours (excluding weekends and holidays) of the bid opening a completed copy of the "AML Contractor Information Form." This form is used to provide, correct, or update your company’s ownership and control information in OSMRE’s AVS database. DOGM will provide forms for these submissions (a facsimile is provided in Chapter 2).

DOGM will submit the ownership and control information to OSMRE for AVS review. OSMRE's review will be completed within 72 hours if the ownership and control data entry is complete.

The following information is required for the "AML Contractor Information Form":

● Contractor's identity (name, address, telephone, fax, e-mail address, tax payer ID number).

● Contractor's legal structure (sole proprietorship, partnership, corporation).

● Identities (name, address, telephone, title, % ownership, dates with the company) of every officer, general partner, shareholder (≥10% voting stock), director, or other controlling entity.

● All of the above information for any subcontractor.

Summary Bid Schedule

This bid schedule is provided in the specifications for information only. For bidding, use the Excel spreadsheet (XLSX file) provided separately with the online bid solicitation. The Excel spreadsheet provides the necessary supporting bid detail. No other cost data are needed in this PDF bid form.

Bid Item Lump Sum Amount

RECLAMATION CONSTRUCTION SUBTOTAL

(carried over from Detailed Bid Schedule) $

MOBILIZATION/DEMOBILIZATION

INSURANCE $

BONDS (see note below) $

TOTAL CONTRACT BID PRICE $

Variation in Contract Bond Rate: %

TOTAL CONTRACT BID PRICE WRITTEN:

By submitting a bid under this solicitation, I/we acknowledge that I/we have examined the site conditions and have made the measurements and evaluations necessary to plan and bid the

WORK.

Notes:

The total contract bid price entered here MUST match the total bid price entered in the item section on Purchasing’s online bid form. If the amounts are different, the bid price entered in the item section of the online bid form will be considered the correct bid and will be considered the official bid to be evaluated with other bids received.

The "Variation in Quantity Unit Price" on the Bid Schedule will be used for adjustments to the CONTRACT amount where the actual WORK quantity varies by more than 15% from the estimated quantity listed in the Bid Schedule (see Supplemental General Condition No. 26: Variation in Estimated Quantities). The "Variation in Quantity Unit Price" will also be used as the basis for determining costs for tasks not currently specified in the WORK that may be added in the future by change order.

Award of CONTRACT will be based on the base "Bid Price." Contractors are cautioned to submit accurate unit prices for any variations in quantities. Verified quantities can go either up or down from the original estimated quantities. If a unit price appears high at the time of any change order, the OWNER reserves the right to negotiate that unit price down to a reasonable amount regardless of the unit prices quoted in this section.

The "Variation in Contract Bond Rate" will be used to adjust the Lump Sum Amount for bonds when the CONTRACT amount changes (see Section 0200, Part 5.01.D).

Bid Schedule

For bidding, use the Excel spreadsheet (XLSX file) provided separately with the online bid solicitation. The Excel spreadsheet provides the necessary supporting bid detail.

No other cost data are needed in this PDF bid form.

Note: If a unit price appears to be excessive based on the market, OWNER reserves the right to negotiate that unit price for any change order. Otherwise the unit prices will be as bid.

Required Submittals

Provide the requested information in the space provided.

Instructions to Bidders, Item 5: Contractor’s License Enter the license number, class, and expiration date in the spaces provided on the Supplemental Bid Information form. Also attach a copy of the license as instructed elsewhere in this document.

Chapter 2: Davis-Bacon Act Wage Determination – Worker Classification CONTRACTOR shall submit with the Bid the worker classification of all workers I.E.

Laborers, Operators etc. CONTRACTOR shall specify any classifications that are not listed on the wage determination.

Section 0230: Access Improvement

1.02 The CONTRACTOR shall submit with the Bid a description of access improvements to be performed at each site and shall not deviate from this plan without the written approval of the OWNER.

Section 0310: Polyurea Silicate Foam Closures

1.02 CONTRACTOR shall submit with the Bid the proposed construction procedures, including a description of the form materials to be used and the foam application equipment or method.

Section 0300: Specific Site Requirements

1.03 CONTRACTOR shall submit with the Bid the proposed construction procedures, including a description of the means of vegetation removal at required sites.