MS-944 (4-20)

TIME

, on April 7, 2026. PROPOSALS MUST BE MAILED OR OTHERWISE

TIME DELIVERED TO THE ABOVE ADDRESS.

and specifications on file at as well as the supplements complete all work within calendar days.

3 Accompanying this proposal is a certified check or bid bond in the amount of made payable to the municipality as a proposal guarantee which, it is understood, will be forfeited in case the contractor fails to comply with the requirements of the proposal.

B. PROPOSAL OF:

1 The only person interested in the proposal as principal (s) is (are):

2 None of the above persons are employees of the municipality.

3 This proposal is made without collusion with any other person, firm or corporation.

Brookhaven, PA 19015

7:00 PM

The contractor proposes to furnish and deliver all materials ( including Form CS-4171, CERTIFICATE OF COMPLIANCE and/ or CS-4171B DAILY ASPHALT MIXTURE CERTIFICATION ) and to do and perform all work on the following project as more specifically set forth in the Schedule of Prices (Attachment), in accordance with drawings and special requirements contained herein and/ or attached hereto and current PennDOT Specifications (Publication 408), except (a) bidders need not be prequalified by PennDOT (Sec.102.01), and (b) Volumetric testing of asphalt paving materials is not required (Sec. 413).

INSTRUCTIONS ON PAGE 4

Bids will be opened and read at approximately

March 31, 2026

10:00 AM

Brookhaven Borough

MUNICIPALITY (NAME & TYPE)

If designated as the successful bidder, the contractor will begin work on the date specified in the notice to proceed, or as otherwise provided in the special requirements, and will see attachment 1-A

-1-

It is hereby certified as follows:

NAME / ADDRESS OF CONTRACTOR

CONTRACTORS CERTIFICATION

All plans and specifications referred to above and the site of the work have been examined by the contractor. The contractor understands that the quantities indicated herein are approximate and are subject to change as may be required; and that all work is payable on the basis of the unit price listed on the Schedule of Prices. (Attachment 1).

THIS PROPOSAL INCLUDES

INSTRUCTIONS TO BIDDERS

ADDRESS

A. DEPOSIT OF PROPOSALS.

Sealed Proposals will be received on or before

All envelopes containing Bid proposals shall be clearly marked “Bid Proposal for letting of

PROPOSAL AND CONTRACT

( WHEN EXECUTED )

John Wilwert

SECRETARY

DATE

on the above Letting Date.

2 Cambridge Road, Suite 100

BY: DATE:

TITLE:

DATE:

TITLE:

TITLE:

BY:

TITLE:

BY:

TITLE:

TITLE:

ATTESTED BY:

MUNICIPALITY

BY:

-2-

DATE

Brookhaven Borough

The contractor will comply with all requirements of the laws and implementing regulations of the Commonwealth of Pennsylvania and the United States relating to human relations, equal opportunity and non-discrimination in employment, and will pay to workmen employed in the performance of the contract the wages to which they may be entitled.

The contractor will provide the municipality with a performance bond, conditioned upon the faithful performance of the contract in accordance with the plans, specifications and conditions thereof, and a payment bond, conditioned on the prompt payment of all material furnished and labor supplied or performed in the prosecution of the work, in accordance with the Public Works Contractors’ Bond Law of 1967; and an affidavit accepting the provisions of the Workmen’s Compensation Act of 1915, as amended.

CONTRACTOR

WITNESSED OR ATTESTED BY:

TO BE EXECUTED ONLY IN THE EVENT THE ABOVE PROPOSAL IS ACCEPTED

ACCEPTED ON :

SEAL

County:

SY

SY

TON

SY

TON

SUBTOTAL

EACH MUST BE INCLUDED.

- 3 -

ATTACHMENT 1

TO MS - 944 ( PROPOSAL AND CONTRACT MS - 944 )

Delaware Municipality: Brookhaven Borough

LOCATION OF WORK:

TH

IS

P O

R

TI

O N

T O

B E

C O

M

PL

ET

ED

BY

T

H E

M U

N

IC

IP

AL

IT

Y

Unit

SCHEDULE OF PRICES

*Description

Project Number: 26-23402-001CA

Not Adopted

DESCRIPTION OF WORK:

Item 1 No.

1,130

Mt. Vernon Avenue - Edwards Drive to Brookhaven Road Burke Avenue - Edwards Drive to Brookhaven Road Barlow Avenue - Ridge to End Hillside Avenue - 500 Hillside to Circle Victor Avenue - House # 3455 to House # 235 Charles Avenue - Janney to Washington Alternate: Ridge Boulevard - Barlow to End

Approximate 2 Quantities

Milling and paving and base repair for multiple streets in Brookhaven Borough.

Total

10,920

Milling

BASE BID:

Base Repair Wearing Course

BASE BID TOTAL

ESCALATOR CLAUSE:( if adopted by Municipality.)

4,300

Milling Wearing Course

Unit 5 Price

SUBTOTAL FROM OTHER ATTACHMENTS

* DESCRIPTION:

Must include ADT on wearing surfaces

USE OF CUTBACK ASPHALT IS PROHIBITED

BETWEEN MAY 1st AND OCTOBER 31st, EXCEPT

AS NOTED IN BULLETIN NO. 25.

FOR OPTION OR PHASE BIDS THE TOTALS FOR

A-1.2 A-1.1

ALTERNATE 1 BID TOTAL

ALTERNATE:

X Traffic Control and Safety Devices to be provided by the Contractor.

X Delivery tickets for all materials.

CS-4171 Certificate of Compliance and/ or CS-4171B Daily Asphalt Mixture Certification required for all materials.

X five working days prior to start of project.

X

X Roadway to be power broomed by (contractor X municipality )prior to start of project.

X Excess material to be removed by (contractor X municipality .)

X Municipality to inspect project.

X Need Bill of Lading for each shipment of asphalt material per Section 702.1( c ) of Specifications 408.

X Tack Coat required per Section 460, or 413 for superpave, of Specifications 408 and is incidental to paving item unless noted otherwise.

Prime Coat required per Section 461 of Specifications 408.

X Asphalt Seal on all abutting pavement and curbs required.

X Saw cut or Milled Paving Notch required and incidental to paving item unless noted otherwise.

X Scratch/ Leveling Courses to be placed at the discretion of appointed inspector(s).

X Municipality reserves the right to limit work completed.

Taper pavement the last 3 feet to curb.

For FOB Source bids, hauling distance will determine selection of bid award.

Municipality reserves the right to procure material which best suits their requirements after all bids and items are reviewed.

X Incidental Preparation and clean up required. ( Project Construction Materials ) X The municipality reserves the right to make an award on the basis of the aggregate total for all like items on which quotations are received.

X Provide design, which meets Specifications Form 408 to the municipality 5 days prior to start of work.

X Contractor responsible for defects that occur within one year of applications.

Contractor required to review proposed project with Municipality’s Representative prior to bidding.

Oil Samples required from each distributor truck by contractor (1) one quart : A.M. & P.M. and witnessed by municipality and retained by municipality. (Oil samples must be placed in an approved type container that is compatible with oil sample.)

At least three random stone samples to be taken by contractor on project site witnessed by municipality and retained by municipality.

Complete all testing in accordance with Specification Form 408 Section 413 except for superpave volumetric testing.

Notice to Proceed will be the date of Contract acceptance.

X Final Completion Certificate & Notice of Completion required.

Future award of Contract will be based on quality of work as determined by the municipality.

X Contractor, notify all residents of pending work to be performed.

My signature signifies that I have read and understand the above special provisions to this contract, and by being authorized by this company to act as their authorized representative, and on their behalf hereby agree to adhere to any and all of the provisions pertaining to this contract.

Date

Work to be completed in 30 consecutive calendar days. After 30 consecutive calendar days Liquidated damages apply at the rate of $885.00 per calendar day.

Full width pavement with one pass required.

Company Municipality

Contractor's Representative Municipality's Representative Date Brookhaven Borough

Notify the Municipality

(4-20) SPECIAL PROVISIONS TO CONTRACT MS-944 ( Attachment 1-A )

CONTAINS IMPORTANT INFORMATION FOR THE CONTRACTOR

The Prime Contractor and subcontractors must comply with all of the following provisions that are marked with an "X".

( Maintenance and Protection of Traffic to comply with current MUTCD, Publication 212 and Publication 213.)

Attachment 4

State of ) ) ss:

County of ) he has being duly sworn according to law deposes and says that they have it has accepted the provisions of the Workmen’s Compensation Act of 1915 of the Commonwealth of Pennsylvania, with has his its supplements and amendments, and have insured their liability thereunder in accordance with the terms of said its

Act with .

( TYPE OR PRINT)

BY

day of A.D. 20 .

My Commission Expires

AFFIDAVIT RE

ACCEPTING PROVISIONS OF THE WORKMEN’S COMPENSATION ACT

- 3 -

CONTRACTOR

SIGNATURE

Sworn to and subscribed before me this

( DATE )

SIGNATURE

(SURETY COMPANY)

D-7126 ( 7-09 )

County

Municipality

Project Number

State of Fed. Project No.

( If Applicable )

The undersigned deponent deposes and says that he is the of the

BY

Sworn to and subscribed before me the undersigned notary public this day of , .

Notary Public

My Commission expires

(Contractor) competitive bidding in connection with such contract.

into any agreement, participated in any collusion, or otherwise taken any action in restraint of free

Company; that he is authorized to make this

Publication 408, as amended and that the said company has not, either directly or indirectly, entered affidavit on behalf of said company in compliance with section 102.06 (e) of Department Specifications, County of

ANTI-COLLUSION AFFIDAVIT

Delaware

26-23402-001CA

Brookhaven Borough

006060-1

SECTION 006060

BIDDER'S QUALIFICATIONS

All questions must be answered and the date given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit additional information if he so desires.

1. Name of Bidder:

2. Permanent main office address:

3. When Organized:

4. If a corporation, where incorporated:

5. How many years have you been engaged in the contracting business under your present firm or trade name?

6. Contracts on hand: Schedule these showing amount of each contract and the appropriate anticipated dates of completion.

7. General character of work performed by your company:

8. Have you ever failed to complete any work awarded to you? If so, where and why.

9. Have you ever defaulted on a contract? If so, where and why.

10. List the more important projects recently completed by your company, stating the approximate cost for each and the month and year completed.

11. List your major equipment available for this contract:

12. List experience in construction work similar in importance to this project:

13. List background and experience of the principal members of your organization, including the officers:

14. List credit available: $

15. List bank references:

16. Will you, upon request, fill out a detailed financial statement and furnish any other information which may be required by the Owner?

17. The undersigned hereby authorizes and requests any person, firm or corporation to furnish any information requested by the Owner in verification of the recitals comprising this Statement of Bidder's Qualifications.

Bidder:_ _

By: ___________________________________

Title: ___________________________________________________

Dated this __________ day of _______________________, 20_________.

State of , County of __________________________________________:

____________________________ being duly sworn deposes and says that he is ___________________ of and that the answers to the foregoing questions and all statements therein contained are true and correct.

Subscribed and sworn to before me this __________________, day of ____________________, 20________. .

____________________ Notary Public

My commission expires: ________________________________

006110-2

COMMONWEALTH OF PENNSYLVANIA

PUBLIC WORKS EMPLOYMENT VERIFICATION FORM

Date:__________________

Business or Organization Name (Employer):__________________________

Address: ____________________________________

City: __________________ State: ________________________ Zip Code: _________________

Contractor Subcontractor ( c h e c k one)

Contracting Public Body Brookhaven Borough

Contract/Project No 82850-104-2026

Project Description: 2026 Brookhaven Borough Road Program

Project Location: Brookhaven Borough, Delaware County, PA

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.

Authorized Representative Signature