6982AF19B000005.pdf

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SD FTNP 10(9), Dillon Pass Embankment Repairs
Solicitation number
6982AF19B00005
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This is an invitation for bid solicitation issued by the Department of Transportation Federal Highway Administration for construction services. The solicitation seeks bids for roadway construction work including milling, overlaying and reconstruction of Dillon Pass in Badlands National Park, South Dakota. Bids are due by May 1, 2019. The work must be completed within the time frame specified in the special contract requirements. The solicitation is set aside for total small business and is governed by the Federal Acquisition Regulation and Standard Specifications for Construction. It includes a bid schedule, plans and provisions related to bonding, Davis-Bacon wages, and subcontracting requirements.

Solicitation 6982AF19B000005

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Bid_Opening_Summary_Dillon_Pass.pdf PDF
QnA_04.25.2019.pdf PDF
A001.pdf PDF
FINAL_Report_SD_FTNP_BADL_10(9).pdf PDF
BADL_10(9)_X-sheets.pdf PDF
BADL_10(9)_Plan_Sheets.pdf PDF

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Text version

INVITATION FOR BID

SOLICITATION NUMBER: 6982AF19B000005

SOLICITATION TYPE: TOTAL SMALL BUSINESS SET-ASIDE

PROJECT NUMBER: SD FTNP BADL 10(9)

PROJECT NAME: DILLON PASS EMBANKMENT REPAIRS

BID OPENING DATE:

See Page A-1, Item 13A

This solicitation cites Standard Specifications for Construction of Roads and Bridges on

Federal Highway Projects, FP-14 US Customary Units

ISSUING OFFICE:

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 360

LAKEWOOD, CO 80228

Web site: http://www.fbo.gov E-mail: CFLContracts@dot.gov

PROJECT SD FTNP BADL 10(9)

LOCATION BADLANDS NATIONAL PARK

COUNTY PENNINGTON

STATE SOUTH DAKOTA

LENGTH A: 1.71SCHEDULE MILES

TYPE OF IMPROVEMENT MILL, OVERLAY AND

RECONSTRUCTION

OPTION X: 0.14 MILES

OPTION Y: 0.0 MILES

TABLE OF CONTENTS

Notice to Bidders ............................................................................................................. A-i

Solicitation, Offer, and Award ........................................................................................ A-1

Basis for Award and Bid Schedule ................................................................................ A-4

Solicitation Provisions .....................................................................................................B-7

Contract Clauses ..............................................................................................................C-1

Construction Wage Rate Requirement ............................................................................ D-1

Division 100 ..................................................................................................................... E-1 Division 150 ................................................................................................................... E-20 Division 200 ................................................................................................................... E-30 Division 300 ................................................................................................................... E-35 Division 400 ................................................................................................................... E-36 Division 500 ......................................................................................................... SEE FP-14 Division 600 ................................................................................................................... E-41 Division 700 ................................................................................................................... E-58

APPENDICES

SPECIAL CONTRACT REQUIREMENTS (SCRs)

The following Special Contract Requirements amend and supplement the Standard Specification for Construction of Roads and Bridges on Federal Highway Projects

Appendix A .................................................................................................. Borrow Source Map Appendix B ................................................................................................................. 404 Permit

NOTICE TO BIDDERS

A-i

ELECTRONIC BIDS WILL NOT BE ACCEPTED. Submit a printed copy of your bid to the address listed on the SF-1442 (Page A-1, Item 8). Submit the following documents with your Bid Package–

• SF-1442, Solicitation, Offer & Award, Pages A-1 and A-2

• Bid Schedule including Buy American Act & Hazardous Materials, Pages A-5 through A-19

• Bid Guarantee (see FAR Clause 52.228-1), Pages B-1 and B-2. Bid bonds must be originals with original signatures and corporate seals. Photocopies and Faxed copies are NOT acceptable and will make your bid non-responsive.

• Completed the VETS-4212 declaration, Page A-ii; Bidders’ Information, Pages B-3 through B-6.

• Annual Representations and Certifications (FAR Provision 52.204-8) and Certification Regarding Responsibility Matters (FAR Provision 52.209-5).

Bidders should retain all other pages for their information. Bids should be submitted in a sealed enveloped and include the Contractor’s Name, Solicitation Number and the Project Number/Name.

I. PRE-BID INFORMATION

It is the responsibility of the bidder to verify that this solicitation document, including the plans, are complete as listed in the table of contents and the index to sheets. Plan sheets can be found at http://www.fbo.gov and viewed by individual sections, downloaded by individual sections, or the entire plan set downloaded in a zip file. Physical data relevant to this solicitation may also be viewed or downloaded at the above site.

This solicitation and subsequent contract are governed by the Federal Acquisition Regulations (FAR), agency supplemental regulations, and the Standard Specifications for Construction of Roads and Bridges on Federal Highway Projects, FP-14.

The FP-14 was utilized for the design of this project. Paper copies of the FP-14 will not be provided to bidders or the awarded Prime Contractor. The FP-14 is available electronically at https://flh.fhwa.dot.gov/resources/specs/ and a copy is uploaded with this solicitation. A single paper copy can be obtained from the Research & Technology Distribution Center (RTPDC) by email report.center@dot.gov .

Applicable FAR provisions and clauses in this IFB are incorporated by reference or full text. FAR provisions and clauses incorporated by reference can be accessed on the Internet at http://farsite.hill.af.mil/vffara.htm.

A-ii

Notice of SAM Registration – you must be registered in the System for Award Management (SAM) prior to submission of a bid in response to this solicitation. Failure to register prior to submission of a bid may require award to the next successful registered offeror. See FAR Subpart

4.1102. Register online at www.sam.gov.

Representations and Certifications – This solicitation is issued under NAICS 237310 – Highway, Street & Bridge Construction with a small business size standard of $36.5 million. If your average annual gross receipts for the past 3 years are above $36.5 million, you are a large business for this solicitation. If they are below $36.5 million you are a small business. Please complete the certification listed in paragraph (b) of FAR Provision 52.204-8 Annual Representation and Certifications. The System for Award Management (SAM) is the Official U.S. Government system that consolidated the capabilities of CCR/FedReg, ORCA, and EPLS. Please include NAICS 237310 in SAM. Before submitting bids, please ensure you have completed your annual representations and certifications electronically at the SAM website at www.sam.gov.

Vets-4212 Reporting: - The Contractor must complete the report if required. See reporting requirements at: www.dol.gov/vets/programs/fcp/main.htm.

My firm had a qualifying Federal Contract in 2018 and has complied with the reporting requirements.

My firm did not have a qualifying Federal Contract in 2018 and is therefore exempt from the reporting requirements

Bid Guarantee – Follow the requirements of FAR Clause 52.228-1 Bid Guarantee and Subpart

102.03 of the FP-14. Bid bonds must be originals and have original signatures and corporate seals.

Photocopied and faxed copies of bonds will be rejected and cause your bid to be non-responsive.

ATTENTION: Minority, Women-owned, and Disadvantaged Business Enterprises (DBEs). The Department of Transportation (DOT), offers working capital financing and bonding assistance for transportation related contracts. DOT's Bonding Assistance Program (BAP) offers bid, performance and payment bonds on contracts up to $1,000,000. DOT's Short-Term Lending Program (STLP) offers lines of credit to finance accounts receivable. Maximum line of credit is $500,000 with interest at the prime rate. For further information, call (800) 532-1169. Internet address:

http://osdbuweb.dot.gov.

Accuracy and Completeness of Bid- The Contractor is fully responsible to verify that all data is correct when an offer is submitted. Failure to properly update your data may cause the offer to be rejected.

Request for Technical Information – Questions relative to the plans and SCRs for this solicitation will only be accepted in writing (see Item 9 on Page A-3).

A-iii

TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE

ACCEPTED AFTER 4 P.M. ON APRIL 24, 2019

Questions can be submitted to CFLContracts@dot.gov. Questions and answers will be posted at http://www.fbo.gov

Modifications to Bids - Bids may be modified or withdrawn by regular mail, electronic commerce (email) or facsimile, if such notice is received prior to the time specified for receipt of bids. The Government will not be responsible for ANY failure attributable to the transmission or receipt of electronic commerce (email) or facsimile data.

For all modifications, we STRONGLY ENCOURAGE you to resubmit the entire bid schedule with a unit price and amount for every bid item, and a Schedule Total. See FAR Provision 52.214-5, Submission of Bids. Modifications which make the bid ambiguous, indefinite, or uncertain as to any essential requirement of the contract will cause the bid to be rejected as nonresponsive.

FAX Number to submit modifications to bids for this project is (720) 963-3360

Email Address to submit modifications to bids for this project is cflcontracts@dot.gov

II. POST AWARD INFORMATION

CFLHD will no longer be providing paper copies of the conformed contract to the Awarded Prime Contractor.

Subcontracting - FAR Clause 52.219-8, Utilization of Small Business Concerns states that Prime Contractors afford small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns the maximum practicable opportunity to participate in performing contracts let by any Federal agency.

Insurance requirements - See Subsection 107.05 of the FP-14.

EEBACS - Contractors shall use the Government’s web-based system, Engineer’s Estimating, Bidding, Award, and Construction System (EEBACS), to prepare all “Inspector’s Daily Record of Construction Operations” (Contractors Daily Reports) and measurement notes (pay notes).

The Contractor shall be required to attend a training session on the use of EEBACS. The training session will require up to 4 hours. No more than 3 Contractor staff may attend the training unless approved by the CO. The Contractor shall be responsible for training additional staff.

The Contractor shall be required to submit a user account form to gain access to the EEBACS system. See Subsection 108.01.

A user guide, “EEBACS for Construction Contractors”, is available. An electronic version can be found at http://flh.fhwa.dot.gov/resources/pse/estimate/guide.htm

A-1

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

6982AF19B000005

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

04/01/2019

PAGE OF

PAGES

IMPORTANT - THE "OFFER SECTION ON THE REVERSE MUST BE FULLY COMPLETED BY OFFEROR.

4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.

HFLCEO190074PR

6. PROJECT NO.

SD FTNP BADL 10(9)

7. ISSUED BY:

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS DIVISION

12300 WEST DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CODE: 69050001 8. ADDRESS OFFER TO:

Craig Holsopple, Contract Specialist Federal Highway Administration Central Federal Lands Division Office 12300 W. Dakota Avenue Lakewood, CO 80228

9. FOR INFORMATION CALL

SEE PAGE A-3

A. NAME:

SEE PAGE A-3

B. TELEPHONE NO. (Include area code)

SEE PAGE A-3

SOLICITATION

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS:

ROADWAY CONSTRUCTION PROJECT IN STRICT ACCORDANCE WITH:

1. FEDERAL ACQUISITION AND TRANSPORATION ACQUISITION REGULATIONS (FAR & TAR)

2. DEPARTMENT OF LABOR, CONSTRUCTION WAGE RATE REQUIREMENT RATES

3. SPECIAL CONTRACT REQUIREMENTS

4. PLANS

5. BID SCHEDULE

6. STANDARD SPECIFICATIONS FOR CONSTRUCTION OF ROADS AND BRIDGES ON FEDERAL HIGHWAY

PROJECTS, FP-14, U.S. CUSTOMARY UNITS

See Subsection 104.04 of the FP-14 for governing order of precedence

11. The Contractor shall begin performance within 10 calendar days and complete it within * calendar days after receiving award notice to proceed. The performance period is mandatory negotiable. *Refer to Subsection 108.01 as amended in the Special Contract Requirements.

12A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES," indicate within how many calendar days after award in Item 12B.) YES NO

12B. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and 0 copies to perform the work required are due at the place specified in Item 8. by 2:00 p.m. (hour) local time on 05/01/2019 (date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is is not required.

C. All offers are subject to the (1) work requirements and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than 60 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

NSN 7540-01-155-3212 1442-102 STANDARD FORM 1442 (REV. 4-85)

Prescribed by GSA

FAR (48 CFR) 53-236-1(e)

X

X

X

X

X

A-2

GPO: 1985 0 - 469-796 STANDARD FORM 1442 PAGE 2 (REV. 4-85)

OFFEROR (Must be fully completed by offeror)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NO. (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14)

DUNS NO.

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing with calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in Item 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.)

AMOUNTS SEE INDIVIDUAL BID SCHEDULE(S)

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation - give number and date of each)

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED

TO SIGN OFFER (Type or print)

20B. SIGNATURE 20C. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 27

(4 copies unless otherwise specified)

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

□ 15 U.S.C. 637( ) □ 41 U.S.C. 253(c)( )

26. ADMINISTERED BY CODE: 27. PAYMENT WILL BE MADE BY

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return copies to issuing office.)

Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by

(a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.

No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON

AUTHORIZED TO SIGN (Type or print)

31A. NAME OF CONTRACTING OFFICER (Type or print)

30B. SIGNATURE 30C. DATE 31B. UNITED STATES OF AMERICA

BY

31C. AWARD

DATE

A-3

Item 8: LOCATION OF PUBLIC BID OPENING: Offers must be received by designated date and time as stated in Item 13A.

Item 9: FOR GENERAL INFORMATION: E-mail us at CFLContracts@dot.gov.

FOR TECHNICAL INFORMATION (plans and specifications): Questions must be submitted in writing by e-mail at CFLContracts@dot.gov .

FOR PHYSICAL DATA: The following data is available electronically with this solicitation at:

Item 11: COMPLETION DATE: Work shall be completed on or before the date specified in Subsection 108.01 of the SCRs.

Item 12A: PERFORMANCE AND PAYMENT BONDS: See FAR Clause 52.228-15 Performance and Payment Bonds-Construction (Clauses begin on Page C-1) and Subsection 102.06 of the FP-14.

Item 13B: BID BOND AMOUNT: See FAR Provision 52.228-1 Bid Guarantee (Provisions begin on Page B-1) and Subsection 102.03 Bid Guarantee of the FP-14. All bid guarantees must have original signatures with original corporate seals.

Item 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO

ACKNOWLEDGE AMENDMENTS, IN ITEM 19 OF THE SF-1442, BY THE

DESIGNATED DATE AND HOUR SPECIFIED IN THE SOLICITATION

MAY RESULT IN REJECTION OF YOUR BID. If amendments are issued, they will be posted to www.fbo.gov.

Item 24: SUBMITTING INVOICES: See Subsection 109.08 Progress Payments of the

FP-14.

ESTIMATED

PRICE: The price range of the project work is between $4 and $6 million.

A-4

Bid Schedule Instructions

BIDDERS, PLEASE NOTE: This Bid Proposal is comprised of one schedule and two options.

Before preparing the bid, carefully read the Solicitation Provisions and the following:

• Insert a numeric unit bid price for each pay item for which a quantity appears in the bid schedule. Unit bid prices should be quoted no more precisely than the nearest cent (2 decimal places). Unit bid prices quoted more precisely will be rounded up to the nearest cent by the Government

• Multiply the unit price by the quantity for each pay item and show the amount bid.

When the words “Lump Sum” appear as a unit bid price, insert an amount for each lump sum pay item.

• Total all amounts bid for each pay item and show the Construction Cost Total on the space provided on the last page of each schedule or option.

• Also show the Construction Cost Total for each schedule/option as well as the combined Total of each Schedule and the Option in the spaces provided on the Bid Summary page.

NOTE: If the amount bid for a pay item is inconsistent with the product of the unit price provided by the bidder and the quantity provided by the Government, the unit price will govern and the Government will determine a corrected amount bid for the pay item by multiplying the unit price by the quantity.

Basis for Award

To be eligible for award of contract, the offeror shall submit prices for each item in Bid Schedule A, Option X and Option Y. Accordingly, contract award will be made to the lowest responsible bidder conforming to the solicitation, provided funds are available.

Per FAR provision 52.217-5, Evaluation of Options (JULY 1990), the Government will evaluate offers for award purposes by adding the total price for all options to the total price for Schedule A.

Evaluation of options will not obligate the Government to exercise the option(s). If the determination is made to exercise any of the Options, the Contracting Officer will provide the contractor with written notice no later than 60 days after contract award, per FAR clause 52.217-7, Option for Increased Quantity- Separately Priced Line Item (MAR 1989).

Page A - 5

Bidder/Offeror please note: Before preparing the bid, carefully read the Solicitation Provisions.

Insert a unit bid price, in figures, for each pay item for which a quantity appears in the bid schedule. Multiply the unit price by the quantity for each pay item and show the amount bid. Should any mathematical check made by the Government show a mistake in the amount bid, the corrected unit price extension shall govern.

When the word "LPSM" (Lump Sum) appears as a unit bid price, insert an amount for each lump sum pay item.

When a sum based on a fixed rate appears for any pay item in the amount bid column, include the Government inserted amount bid for the item in the total bid amount.

Total all of the amounts bid for each pay item and show the total bid amount.

Bid Schedule

Project No:SD FTNP BADL 10(9)

Project Name:Dillon Pass Embankment Repairs

Page A - 6

Contract Quantity Pay Items

61502-1000 DRIVE PAD, CONCRETE

Item No. Pay Item No. Description Quantity Unit Unit Price Amount

A0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

A0040 15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

1.500 MILE $____________ $____________

A0060 15210-3000 CENTERLINE, VERIFICATION AND STAKING

0.300 MILE $____________ $____________

A0080 15214-3000 SURVEY AND STAKING, PARKING AREA

ALL LPSM $___LPSM_____ $____________

A0100 15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

12 EACH $____________ $____________

A0120 15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

0.100 MILE $____________ $____________

A0140 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

A0160 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

A0180 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

A0200 15703-1500 SOIL EROSION CONTROL, TEMPORARY SOIL TACKIFIER

9.0 ACRE $____________ $____________

A0220 15705-1400 SOIL EROSION CONTROL, FIBER ROLL

11,000 LNFT $____________ $____________

A0240 15706-1000 SOIL EROSION CONTROL, INLET PROTECTION

27 EACH $____________ $____________

A0260 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

Bid Schedule Schedule:A Schedule Type:Base

Page A - 7

A0280 20101-0000 CLEARING AND GRUBBING

16.0 ACRE $____________ $____________

A0300 20301-0600 REMOVAL OF CATTLE GUARD (BISON GATE)

1 EACH $____________ $____________

A0320 20301-1400 REMOVAL OF INLET

4 EACH $____________ $____________

A0340 20301-1900 REMOVAL OF PIPE CULVERT

12 EACH $____________ $____________

A0360 20301-2800 REMOVAL OF STRUCTURES AND OBSTRUCTIONS (SLURRY FILL)

1 EACH $____________ $____________

A0380 20301-2800 REMOVAL OF STRUCTURES AND OBSTRUCTIONS (GABIONS)

1 EACH $____________ $____________

A0400 20301-3400 REMOVAL OF WHEELSTOP

10 EACH $____________ $____________

A0420 20302-0200 REMOVAL OF CURB (TIMBER)

525 LNFT $____________ $____________

A0440 20302-0400 REMOVAL OF CURB, ASPHALT

8,200 LNFT $____________ $____________

A0460 20302-0500 REMOVAL OF CURB, CONCRETE

300 LNFT $____________ $____________

A0480 20303-0000 REMOVAL OF STRUCTURES AND OBSTRUCTIONS (RIPRAP)

120 SQYD $____________ $____________

A0500 20303-1600 REMOVAL OF PAVEMENT, ASPHALT

700 SQYD $____________ $____________

A0520 20303-3000 REMOVAL OF SIDEWALK, ASPHALT

550 SQYD $____________ $____________

A0540 20303-3200 REMOVAL OF SIDEWALK, CONCRETE

60 SQYD $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Page A - 8

A0560 20402-0000 SUBEXCAVATION

110 CUYD $____________ $____________

A0580 20420-0000 EMBANKMENT CONSTRUCTION

8,300 CUYD $____________ $____________

A0600 20420-0000 EMBANKMENT CONSTRUCTION (SHALLOW REINFORCED SOIL SLOPE)

6,000 CUYD $____________ $____________

A0620 20420-0000 EMBANKMENT CONSTRUCTION (REINFORCED SOIL SLOPE)

3,800 CUYD $____________ $____________

A0640 20420-0000 EMBANKMENT CONSTRUCTION (DEEP PATCH)

1,200 CUYD $____________ $____________

A0660 20425-1000 DITCH, EXCAVATION

430 LNFT $____________ $____________

A0680 21101-1000 ROADWAY OBLITERATION, METHOD 1

2,600 SQYD $____________ $____________

A0700 25101-2200 PLACED RIPRAP, METHOD B, CLASS 2

220 CUYD $____________ $____________

A0720 25101-2400 PLACED RIPRAP, METHOD B, CLASS 4

75 CUYD $____________ $____________

A0740 30202-2000 ROADWAY AGGREGATE, METHOD 2

1,300 TON $____________ $____________

A0760 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1

3,700 TON $____________ $____________

A0780 40601-0000 FOG SEAL

20 TON $____________ $____________

A0800 41102-1000 PRIME COAT, METHOD 1

1,100 SQYD $____________ $____________

A0820 41201-0000 TACK COAT

20 TON $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Page A - 9

A0840 41301-0200 ASPHALT PAVEMENT MILLING, 1-INCH DEPTH

33,000 SQYD $____________ $____________

A0860 60101-0000 CONCRETE (HDPE TO RCP CONNECTION)

2 CUYD $____________ $____________

A0880 60103-0140 CONCRETE, HEADWALL FOR 24-INCH PIPE CULVERT

2 EACH $____________ $____________

A0900 60103-0300 CONCRETE, HEADWALL FOR 72-INCH PIPE CULVERT

2 EACH $____________ $____________

A0920 60201-0600 18-INCH PIPE CULVERT (CONCRETE)

130 LNFT $____________ $____________

A0940 60201-0800 24-INCH PIPE CULVERT (CONCRETE)

430 LNFT $____________ $____________

A0960 60201-0800 24-INCH PIPE CULVERT (HDPE)

380 LNFT $____________ $____________

A0980 60201-0900 30-INCH PIPE CULVERT (CONCRETE)

80 LNFT $____________ $____________

A1000 60201-1600 72-INCH PIPE CULVERT (CONCRETE)

130 LNFT $____________ $____________

A1020 60210-0600 END SECTION FOR 18-INCH PIPE CULVERT (CONCRETE)

4 EACH $____________ $____________

A1040 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT (CONCRETE)

3 EACH $____________ $____________

A1060 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT (HDPE)

3 EACH $____________ $____________

A1080 60210-0900 END SECTION FOR 30-INCH PIPE CULVERT (CONCRETE)

1 EACH $____________ $____________

A1100 60231-0000 DISSIPATOR, PIPE

3 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Page A - 10

A1120 60404-0000 CATCH BASIN

5 EACH $____________ $____________

A1140 60404-0000 CATCH BASIN (OVERSIZED)

1 EACH $____________ $____________

A1160 60501-0000 STANDARD UNDERDRAIN SYSTEM

200 LNFT $____________ $____________

A1180 60707-0500 LINING 24-INCH PIPE CULVERT

200 LNFT $____________ $____________

A1200 60901-1700 CURB, CONCRETE, 18-INCH DEPTH

10,600 LNFT $____________ $____________

A1220 60915-1000 WHEELSTOP, CONCRETE

8 EACH $____________ $____________

A1240 61501-0100 SIDEWALK, CONCRETE

600 SQYD $____________ $____________

A1260 61502-1000 DRIVE PAD, CONCRETE

138 SQYD $____________ $____________

A1280 61504-1000 ACCESSIBILITY RAMP, CONCRETE

3 SQYD $____________ $____________

A1300 62201-0250 DUMP TRUCK, 10 CUBIC YARD MINIMUM CAPACITY

20 HOUR $____________ $____________

A1320 62201-0950 WHEEL LOADER, 3 CUBIC YARD MINIMUM RATED CAPACITY

20 HOUR $____________ $____________

A1340 62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

20 HOUR $____________ $____________

A1360 62201-3300 HYDRAULIC EXCAVATOR, 3/4 CUBIC YARD MINIMUM CAPACITY

20 HOUR $____________ $____________

A1380 62301-0000 GENERAL LABOR

20 HOUR $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Page A - 11

A1400 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

20 HOUR $____________ $____________

A1420 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

20 HOUR $____________ $____________

A1440 62406-0300 PLACING CONSERVED TOPSOIL, 4-INCH DEPTH

9.0 ACRE $____________ $____________

A1460 62501-0000 TURF ESTABLISHMENT (BIOTIC SOIL AMENDMENT)

9.0 ACRE $____________ $____________

A1480 62510-1000 SEEDING, DRY METHOD

9.0 ACRE $____________ $____________

A1500 62515-2000 MULCHING, HYDRAULIC METHOD

4.5 ACRE $____________ $____________

A1520 62901-1100 ROLLED EROSION CONTROL PRODUCT, TYPE 4

24,000 SQYD $____________ $____________

A1540 63301-0000 SIGN SYSTEM

3 EACH $____________ $____________

A1560 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID

70,000 LNFT $____________ $____________

A1580 63405-0850 PAVEMENT MARKINGS, TYPE B, ACCESSIBILITY SYMBOL

3 EACH $____________ $____________

A1600 63501-2000 TEMPORARY TRAFFIC CONTROL, TRAFFIC SIGNAL SYSTEM

ALL LPSM $___LPSM_____ $____________

A1620 63502-0700 TEMPORARY TRAFFIC CONTROL, CONE

250 EACH $____________ $____________

A1640 63502-1300 TEMPORARY TRAFFIC CONTROL, DRUM

250 EACH $____________ $____________

A1660 63502-1500 TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE A

8 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Page A - 12

A1680 63502-1600 TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE B

4 EACH $____________ $____________

A1700 63502-1700 TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE C

20 EACH $____________ $____________

A1720 63503-0700 TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

17,000 LNFT $____________ $____________

A1740 63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

400 SQFT $____________ $____________

A1760 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER

2,500 HOUR $____________ $____________

A1780 63506-0600 TEMPORARY TRAFFIC CONTROL, PILOT CAR

1,250 HOUR $____________ $____________

A1800 65001-1000 CONSTRUCT AND MAINTAIN DIVERSION

ALL LPSM $___LPSM_____ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:A Schedule Type:Base

Page A - 13

Item No. Pay Item No. Description Quantity Unit Unit Price Amount

X0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

X0040 15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

0.137 MILE $____________ $____________

X0060 15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

2 EACH $____________ $____________

X0080 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

X0100 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

X0120 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

X0140 15703-1500 SOIL EROSION CONTROL, TEMPORARY SOIL TACKIFIER

1.5 ACRE $____________ $____________

X0160 15705-1400 SOIL EROSION CONTROL, FIBER ROLL

4,500 LNFT $____________ $____________

X0180 20101-0000 CLEARING AND GRUBBING

2.5 ACRE $____________ $____________

X0200 20301-1900 REMOVAL OF PIPE CULVERT

2 EACH $____________ $____________

X0220 20302-0500 REMOVAL OF CURB, CONCRETE

330 LNFT $____________ $____________

X0240 20420-0000 EMBANKMENT CONSTRUCTION

3,300 CUYD $____________ $____________

X0260 20420-0000 EMBANKMENT CONSTRUCTION (SHALLOW REINFORCED SOIL SLOPE)

7,000 CUYD $____________ $____________

X0280 25101-2200 PLACED RIPRAP, METHOD B, CLASS 2

20 CUYD $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Page A - 14

X0300 30202-2000 ROADWAY AGGREGATE, METHOD 2

50 TON $____________ $____________

X0320 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1

330 TON $____________ $____________

X0340 40601-0000 FOG SEAL

2 TON $____________ $____________

X0360 41201-0000 TACK COAT

2 TON $____________ $____________

X0380 41301-0200 ASPHALT PAVEMENT MILLING, 1-INCH DEPTH

3,000 SQYD $____________ $____________

X0400 60101-0000 CONCRETE (HDPE TO RCP CONNECTION)

1.0 CUYD $____________ $____________

X0420 60201-0800 24-INCH PIPE CULVERT (CONCRETE)

90 LNFT $____________ $____________

X0440 60201-0800 24-INCH PIPE CULVERT (HDPE)

280 LNFT $____________ $____________

X0460 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT (CONCRETE)

1 EACH $____________ $____________

X0480 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT (HDPE)

1 EACH $____________ $____________

X0500 60231-0000 DISSIPATOR, PIPE

1 EACH $____________ $____________

X0520 60901-1700 CURB, CONCRETE, 18-INCH DEPTH

400 LNFT $____________ $____________

X0540 62201-0250 DUMP TRUCK, 10 CUBIC YARD MINIMUM CAPACITY

20 HOUR $____________ $____________

X0560 62201-0950 WHEEL LOADER, 3 CUBIC YARD MINIMUM RATED CAPACITY

20 HOUR $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Page A - 15

X0580 62201-3300 HYDRAULIC EXCAVATOR, 3/4 CUBIC YARD MINIMUM CAPACITY

20 HOUR $____________ $____________

X0600 62301-0000 GENERAL LABOR

20 HOUR $____________ $____________

X0620 62406-0300 PLACING CONSERVED TOPSOIL, 4-INCH DEPTH

1.5 ACRE $____________ $____________

X0640 62501-0000 TURF ESTABLISHMENT (BIOTIC SOIL AMENDMENT)

1.5 ACRE $____________ $____________

X0660 62510-1000 SEEDING, DRY METHOD

1.5 ACRE $____________ $____________

X0680 62901-1100 ROLLED EROSION CONTROL PRODUCT, TYPE 4

7,000 SQYD $____________ $____________

X0700 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID

6,000 LNFT $____________ $____________

X0720 63502-0700 TEMPORARY TRAFFIC CONTROL, CONE

40 EACH $____________ $____________

X0740 63502-1300 TEMPORARY TRAFFIC CONTROL, DRUM

40 EACH $____________ $____________

X0760 63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

100 SQFT $____________ $____________

X0780 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER

500 HOUR $____________ $____________

X0800 63506-0600 TEMPORARY TRAFFIC CONTROL, PILOT CAR

250 HOUR $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:X Schedule Type:Options

Page A - 16

Item No. Pay Item No. Description Quantity Unit Unit Price Amount

Y0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

Y0040 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

Y0060 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

Y0080 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

Y0100 20301-3400 REMOVAL OF WHEELSTOP

55 EACH $____________ $____________

Y0120 40901-1000 MICRO SURFACING, TYPE 1

6,500 SQYD $____________ $____________

Y0140 41401-2000 CRACKS, CLEANING AND SEALING

1,000 LNFT $____________ $____________

Y0160 60920-0000 RESET WHEELSTOP

55 EACH $____________ $____________

Y0180 62301-0000 GENERAL LABOR

20 HOUR $____________ $____________

Y0200 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID

6,000 LNFT $____________ $____________

Y0220 63405-0850 PAVEMENT MARKINGS, TYPE B, ACCESSIBILITY SYMBOL

3 EACH $____________ $____________

Y0240 63501-0000 TEMPORARY TRAFFIC CONTROL

ALL LPSM $___LPSM_____ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:Y Schedule Type:Options

Page A - 17

Bid Schedule Summary

Schedule Bid Total

Schedule A - Base(Page A - 6)

Schedule X - Option(Page A - 13)

Schedule Y - Option(Page A - 16)

Total - Schedules

Submitted By: ________________________________

Bid Schedule

A-18

BUY AMERICAN ACT- CONSTRUCTION MATERIALS

It is understood and agreed that the materials and components listed in Subparts 25.1 and 25.2 of the FAR are a part of this contract and are deemed to be Domestic Construction Material for the purposes of this contract.

NOTE TO CONTRACTOR:

The following information and any applicable supporting data is required for evaluation of requests under FAR Clause 52.225-9 Paragraph (c) & (d) and FAR Provision 52.225-10 Paragraph (b).

Material and/or Component

Construction Material Description Unit of Measure Quantity *Cost Delivered to Job Site

Foreign Construction Material

Comparable Domestic Material

Material and/or Component

Construction Material Description Unit of Measure Quantity *Cost Delivered to Job Site

Foreign Construction Material

Comparable Domestic Material

[* Include all delivery costs to the construction site and any applicable duty (whether or not a duty-free entry certificate is issued).] [Please include name, address, telephone number and contact for suppliers surveyed. Attach copy of response; if oral, attach summary. Include all applicable supporting information.]

A-19

HAZARDOUS MATERIALS

As required by FAR Clause 52.223-3, Hazardous Materials Identification and Safety Data - Alternate I, the apparent low bidder must submit prior to award a Material Safety Data Sheet (MSDS) for all hazardous materials that the bidder identifies in paragraph (b) of the FAR clause and defined under the latest version of Federal Standard No. 313.

Hazardous Material Identification Number

USE OF RECOVERED MATERIALS ON FEDERAL LANDS HIGHWAY PROJECTS

Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (RCRA) of 1976, as amended (42 U.S.C. 6901 et seq.), requires Federal, State, and local procuring agencies using appropriated Federal funds to purchase items composed of the highest percentage of recovered materials practical. Use of recovered materials is strongly encouraged on Federal Lands Highway Projects. Highway construction items covered by the Environmental Protection Agency’s Comprehensive Guidelines for Procurement of Products Containing Recovered Materials include fly ash, ground granulated blast furnace slag, traffic barricades, traffic cones, hydraulic mulch and compost for mulch.

Use of fly ash and ground granulated blast furnace slag and construction materials containing fly ash and ground granulated blast furnace slag on Federal Lands Highway Projects:

It is the policy of the United States Government that fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag shall have maximum practicable opportunity for incorporation into its construction projects.

The Contractor agrees to investigate the use of fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag to the fullest extent consistent with the efficient performance of this contract. Both the contractor and the subcontractors are urged to seek out suppliers of fly ash and ground granulated blast furnace slag, cement and concrete containing fly ash and ground granulated blast furnace slag and to solicit bids for these materials.

Names of firms that supply fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag are available from the American Coal Ash Association and the National Slag Association.

B-1

BID BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must not be later than bid opening date) OMB NO. 9000-0045 Expiration Date: 7/31/19

Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, D.C. 20405.

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION (AX@ one)

INDIVIDUAL PARTNERSHIP

JOINT VENTURE CORPORATION

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PENAL SUM OF BOND BID IDENTIFICATION

PERCENT OF

BID PRICE AMOUNT NOT TO EXCEED

BID DATE INVITATION NO.

6982AF19B000005

20 PERCENT

MILLION(S) THOUSAND(S) HUNDRED(S) CENTS FOR (Construction, Supplies or Services) CONSTRUCTION

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum “jointly and severally” as well as “severally” only for the purpose of allowing a joint action or actions against any or all of

us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty

(60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of time for acceptance of the bid that the Principal may grant to the Government. Notice to the surety(ies) of extension(s) are waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

PRINCIPAL

SIGNATURE(S)

1.

(Seal)

2.

(Seal)

3.

(Seal) Corporate

Seal NAMES(S) &

TITLE(S)

(Typed)

1. 2. 3.

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

1.

(Seal)

2.

(Seal)

NAME(S)

(Typed)

1. 2.

CORPORATE SURETY(IES)

NAME &

ADDRESS

STATE OF INCOPORATION LIABILITY LIMIT($)

SURETY A

SIGNATURE(S)

1. 2.

Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (Rev. 8/2016) Previous edition is usable Prescribed by GSA - FAR (48 CFR) 53.228(a)

B-2 CORPORATE SURETY(IES) (Continued)

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT ($)

SURETY B SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT ($)

SURETY C SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT ($)

SURETY D SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT ($)

SURETY E SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT ($)

SURETY F SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT ($)

SURETY G SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated “Principal” on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed 3,000,000.00 dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury=s list of approved sureties and must act within the limitation listed therein. Where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed “CORPORATE SURETY(IES).” In the space designated “SURETY(IES)” on the face of the form, insert only the letter identification of the sureties.

(b) Where individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28), for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capacity.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word “Corporate Seal”;

and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms “bid” and “bidder” shall include “proposal” and “offeror.”

STANDARD FORM 24 (Rev. 8/2016) BACK

B-3

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

BIDDER'S INFORMATION

INSTRUCTIONS: Answer all questions on this form inserting "none" or "not applicable" where appropriate. If more space is required attach additional sheets. Return the signed, dated and completed form with the bid to the address shown in the invitation for bids on or before the time set for bid opening. The prospective bidder shall provide any additional information requested by the Government during evaluation of the bids.

If the prospective bidder is a joint venture or general partnership, a separate Bidder's Qualifications form shall be provided individually for each joint venture participant or partner.

1. Name and address of business:

Name DUNS Number (See FAR Provision 52.204-6)*

Street Home Office Congressional District (Insert District #) *

City State Zip Code

* Necessary for Government reporting purposes only

To obtain a Dun & Street number, call

County 800-333-0505.

Telephone Number (Include Area Code)

Fax Number (Include Area Code) E-mail address

2. a. Type of organization (check appropriate box):

If a Foreign entity:

Individual Non-profit organization Corporation

Partnership Joint Venture Registered in:

b. Size and type of Business Concern (check appropriate boxes):

Large Business Concern Small Disadvantaged Business Concern Emerging Small Business

Small Business Concern Women-Owned Small Business SBA 8(a) Certified

HUB Zone Business Concern Veteran Owned Business Concern Service-Disabled Veteran-Owned Business Concern

Individual Non-profit organization Corporation

Partnership Joint Venture Incorporated in:

B-4

3. If a joint venture or general partnership:

a. Provide the name under which the project will be bid, the home office address, and name of the principal who will represent the company with regard to this project if different from "1." above.

Principal

Business Name

Street

City State Zip Code

b. Provide the name and home office addresses of each of the joint venture partners; indicate which partner is the sponsoring partner. Attach a separate sheet for additional partners.

Sponsoring Partner Other Partner

Street Street

City State Zip Code City State Zip Code

4. Date organization established: _______________________

5. Name of succeeded business, if any: _________________________________________________________

6. How many years have you been in business as:

a. General contractor years.

b. Subcontractor years.

7. a. Furnish the following information concerning the owner, partners, officers and directors:

Percent of Business Owned

Years of Business Experience

Name Title Contracting Other

b. Attach resumes of these key personnel as well as the on-site project manager(s) and superintendent(s), and specifically identify the following:

- Present position, responsibility, and length of employment.

- Amount and type of construction experience.

- Amount and type of highway construction experience, including position, responsibility, and a brief project description of each period of employment.

- Formal education and training, professional or technical registrations or licenses.

B-5

8. a. Contracts in force. (Attach additional sheets if necessary)

Project Name and Contract Numbers

Owner's Name, Address, and Contact Name, Email and

Telephone # Scope of Work Performed Contract Amount Estimated

Completion Date Name of Surety

b. Are there any unresolved claims or lawsuits associated with these projects? If so, state the amount in dispute, parties involved, nature and circumstances of the dispute, and status of the matter on a separate sheet.

B-6

9. a. List up to five of the largest jobs you have completed in the last five years which are similar in project work scope to this project. (Attach additional sheets if necessary)

Project Name and Contract Numbers

Owner's Name, Address, Contact Name, Email and

Telephone # Scope of Work

Performed Original and Final Contract Amounts

Original and Final Completion Dates

Names of On-site Project Manager and Superintendent

Name of Surety

b. Are there any unresolved claims or lawsuits associated with these projects? If so, state the amount in dispute, parties involved, nature and circumstances of the dispute, and status of the matter on a separate sheet

B-7

Solicitation Provisions

52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. (SEP 2007)

52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements-Representation. (JAN 2017)

(a) Definition. As used in this provision-- Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

(b) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(c) The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form 312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General).

(End of provision)

52.204-7 System for Award Management. (OCT 2018)

52.204-8 Annual Representations and Certifications. (OCT 2018)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 237310.

(2) The…

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